충남지역의 수술실 및 마취기재의 오염도에 관한 연구

최재규,최세진,김익수 대한마취과학회 1975 Korean Journal of Anesthesiology Vol.8 No.1

Infection by organisms in the anesthetic apparatus and in the operating theater is one of the important problems. Authors have studied the distribution of organisms that have been isolated from the anesthetic apparatuses and the operating theaters of some hospitals in Chung-Nam province. We have tested antibacterial activity and sensitivity by disinfectants and antibiotics. The results are follows: 1. Eleven strains of organisms were isolated from the anesthetic apparatus and the operating theatres: fstaphylococcus, B. subtilis, pseudomonas, E. coli, yeast-forms, both Gram positive or negative cocci and bacilli and fungi. 2. Antibacterial activity was stronger at a higher temperature (50℃) than at a lower temperature (20℃) and in comparison of effects between difference concentrations, there was not any noted difference in the phenol group and benzalkonium group but in the Hygien group, antibacterial activity was increased by increasing the concentratoin. 3. Staphylococci, Gram negative bacilli, Gram negati cocci, and Gram positive yeast-forms were sensitive to the majority of antibiotics but other organisms were resistantall to almost all antibiotics.

환자중심 의료에 관한 연구

최재규 한국지역복지정책연구회 2002 지역복지정책 Vol.16 No.-

병원 경영자의 리더십에 관한 이론적 고찰

최재규 한국보건복지학회 2001 보건과 복지 Vol.4 No.-

現下의 癩施策(慶北) 及在家患者實態調査의 檢討

崔在圭,金重明,徐舜鳳,尹達祥 慶北大學校 醫科大學 1958 慶北醫大誌 Vol.1 No.1

Kyung-Pook province is widely known as one of the highly endemic areas in Korea. It has two large leprosaria; the Ae Rak Won, which is controlled by Presbyterian Mission and the Ae Seng Won, which is under the National Government. There are in addition several villages and Sam Yuk Hak Won intended for untainted children of leprous patients. According to official report from 1934 to 1938 the number of home patients was decreasing year by year but since emancipation in 1945 the number of patients suddenly increased from approximately 5000 to twice that figure. However, in the eyes of Dr. Lew Joon the actual number of patients at least three times the official number somewhere in the neighbours of 45,000 cases. It is appreciated that to arrive at a precise figure is difficult and there is need for a standardized method of estimation. In investigating the number of home registered patients in Andong Goon the fallacies of the Government method were brought to light. Two estimated what taken into consideration. The first was the offical report, the second was that supplying by home registered patient fully familiar with the situation in above mentioned Goon. Result showed in the first instance that only 112 patients were on official record, on the other hand it was possible to trace 146 patients through information supplied by the patient already mentioned. It is noteworthy, however, these totals only 39 patients were known both to the Goon as well as to the private source of information. Sampling from these two angles, we find that the conservative estimate supplied by the Government to be quite misleading in indicating trace state of affairs. Both methods have advantage and disadvantage, but it was believed and later confirmed that a departure from the normally accepted Government estimate was extremely informative. During this same survey the infectivity of all patients was found to be 45.7 per cent: that is to say this proportion of case were of the open lepromatous type. The remainders were all advanced in the disease being either burned out or arrested tuberculoid or lepromatous cases. Early cases were not seen. Indeterminate skin lesions were entirely absent. The weakness in the system of detection in the province is that does not appear to be possible to bring to light early cases; only those who are so advanced that they come to be recognized by the neighbours as cases leprosy are officially notified On these ground it is strongly urged that propaganda on leprosy and how to recognize the disease in its early stages be launched through special lectures, movies and exhibitions. At the same time new chinics should be opened in those rural areas where the endemicity of the disease is known to be high.

국내외 ICT DIY 현황 및 의미

최재규 한국통신학회 2014 정보와 통신 Vol.31 No.7

본고에서는 ICT DIY의 개념과 의미에 대해 국내외 사례를 통해 알아본다. ICT DIY이 만들어가는 새로운 문화 운동과 산업생태계의 도래에 대해 살펴본다. ICT DIY의 핵심은 오픈소스 하드웨어와 소프트웨어의 이용 그리고 자율적인 커뮤니티 문화의 확산이다. ICT DIY는 스스로 만드는 ICT 제품 및 서비스로 자신의 아이디어를 쉽고 빠르게 구현해 볼 수 있는 기술적, 문화적 환경을 제공합니다. 이를 통해, 기존 제품을 개선하거나 새로운 제품을 만들어 볼 수 있다. ICT DIY는 개인 차원의 단순한 취미를 넘어 차세대 산업 생태계 관점에서 크게 주목 받고있다.

癩患者에 施行한 Tuberculin反應과 Lepromin反應 成績에 對하여

崔在圭,金重明,李相準,河桂子,卞東吉,崔炳吉 慶北大學校 醫科大學 1958 慶北醫大誌 Vol.1 No.1

Since Mitsuda established a skin reaction induced by injection of the emulsion of leprous nodule, the reaction has been called as Mitsuda reaction or lepromin reaction, and it has been considered as an important test in classifying the type of leprosy and determining the prognosis of the disease. Futhermore from the preventive point of view the lepromin test may be used in the estimation of the resistance against leprosy infection. In 1939 Fernandez found that in 97% of test was also positive. He also found that when the BCG antituberculosis vaccine was inoculated to 123 chiidren who showed negative reaction for both tuberculin and lepromin test the tuberculin reaction became positive in 99.18% and lepromin reaction in 96.86% in one month. He suggested that the BCG vaccination might have some protecting effect against leprosy infection. Azulay, Rosenberg, Neyra, Ramiras, Convit, Bundiansky, supported his idea but these have been same discussing opinions. In order to investigate this point further, I inoculated 567 leprosy patients with tuberculin and lepromin, and this observation gives us as following restults; On the lepromin reastions, in the lepromatous leprosy, the incidence of negative reactor is 1.6% higher on the 16th day (49.6%) than on the 8th day (48%). In the tubercloid leprosy, the negatives are 2.4% higher on the 16th day (32%) than rate of the lepromin reaction are generally paralled with the severity of the disease, but in tuberculoids, these are irregular. On the tuberculin reactions, in the lepromatous, the negative rate ddcreases and the positive rate increases along with severity of the disease. However, in the tuberculiod thise are irregular. When a comparison is made between the lepromin reaction (on the 16th day) and the tuberculin reaction in the lepromatous and tuberculoid types, in the lepromatous type, the lepromin negatives are 9.3% more than tuberculin negative, the lepromin doubtfuls are 3% more than the tuberculin and the positive are 12.2% less than the tuberculin. In the tuberculoid type, the lepromin negative are 6% less than the tuberculin negatives. The lepromin doubtfuls are 2.8% less than the tuberculin. When the lepromin and tuberculin reactors are compared, as a whole, on the 8th day, the lepromin negative are 0.4% more than those of tuberculins, but the lepromin positives are 0.4% less than the tuberculin. On the 16th day, the lepromin negative are 2.3% the lepromin doubtful cases are 0.7% more than those of tuberculins, but the lepromin positive are 3.3% less than the tuberculin positives. In the same patients, the same reactions are 48.3%, the opposite reactions are 32.9% and 18.7% are others. It is suggested that there are certain immunological relations between the lepromin and tuberculin reactions and especially in the lepromatous leprosy, the tuberculin reaction might be used in classification and determination of the severity of the disease as the lepromin reaction.

일반학생과 운동선수의 향성(向性) 검사에 대한 결과분석

최재규 圓光大學校 體育學會 1973 體育學會誌 Vol.- No.1

Anaphylaxis following atropine administration during general anesthesia -a case report-

최재규,김현창,전윤석,홍덕만 대한마취통증의학회 2015 Korean Journal of Anesthesiology Vol.68 No.5

Anaphylaxis is an acute, potentially lethal, multisystem syndrome resulting from the sudden release of mast-cell- and basophile-derived mediators into the circulation. Common manifestations of anaphylactic reactions include urticaria, angioedema, nausea, vomiting, hypotension and cardiovascular collapse. Cardiovascular collapse is the first detected manifestation in up to 50% of cases in perioperative anaphylaxis, because patients are anesthetized and unable to report symptoms. A 25-year-old male presented with severe hypotension and erythema after intravenous atropine administration during general anesthesia. Postoperative laboratory findings demonstrated elevated serum tryptase and total immunoglobulin E. An intradermal test showed atropine sensitivity. Although atropine is used widely as a perioperative anticholinergic agent, it is a potential risk factor for a severe anaphylactic reaction. Therefore, prompt recognition and adequate therapeutic measures are necessary to avoid fatal consequences.

乾燥 BCG-Vaccin에 依한 Lepromin 反應의 影響에 對해서

崔在圭,金重明,李相準,河桂子,卞東吉,崔炳吉,徐舜鳳 慶北大學校 醫科大學 1958 慶北醫大誌 Vol.1 No.1

Since 1939, Fernandez had reported on the tuberculin and lepromin test, prophylaxy of leprosy by inocculating with BCG was also suggssted by him, and Azulay, Rosenberg, Neyra, Ramirez, Convit, Bundiansky and others were agreable by their furthermore invstigation, but some othsrs discussed. Recently in Japan, Mayama showed that a fraction of serum protein induced from human and rat leprosy has been an inhibitory growing factor of tubercle bacilli. On the other hand Gawaguch said that the haemoagglutination test was to be stronger positive not only with tuberculous patient's serum, cut with serums of human and rat leprosy. From Feb. to Sept. in 1957, we inocculated with dry BCG Vaccine to 116 cases of untainned children of leprosy at Sam Hyuck Preventorium in Taegu city, and observed the influences of lepromin reaction by vaccination of dry BCG, and dividing A.B. and C group of all cases according to its given conditions observed results are as follow;. In the A group (53 casss), 13 cases of the lepromin negative 3 cases of them were turned to be lepromin positive by firs vaccination of BCG. After 2 months later, and lepromin positives increased to 2 cases by second inocculation, after 5 months later. And there were 15 cases of the leptomin negative in the B group, (52 casss) 4 cases of them covnerted to be lepromin positive by vaccination of BCG after 5 months later. In the C group (11 case) 3 cases were negative, one case of them turned to be positive. Of the total cases, there were some cases which a lepromin positive reactor inverted to be negative and which a lepromin negative fixed parmanentely for the negative nevertheless. Generally, the lepromin negative reactors were 31 cases in total (116 casss), 10 cases of them (31 cases) converted to be lepromin positive. As above, Vaccination of BCG enables the lepromin negative to convert to be lepromin positive. Especially, it is most important things to in occulats with BCG to the untainned children for prevention of leprosy and tuberculosis.

合理的 保健企劃 模型에 관한 一考察

최재규 全北行政學會 1999 全北行政學報 Vol.13 No.1