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인두염 환아에서 A군 연구균 검출의 임상적 점수제의 유용성
김은성,정지영,차성호,이희주,Kim, Eun-Seong,Jung, Ji-Young,Cha, Sung-Ho,Lee, Hee-Joo 대한소아감염학회 2002 Pediatric Infection and Vaccine Vol.9 No.1
목 적 : 소아 만성 질환의 원인이 되기도 하는 A군 연구균에 의한 인두염을 정확히 진단하여 항생제 투여 여부를 결정하는 것은 매우 중요하며 시간이 소요되는 인두 배양 결과가 나오기 전 조기 진단을 위해 여러 방법들이 연구되어 왔다. 이는 무분별한 항생제 사용으로 인한 경제적 손실과 균내성의 문제가 대두되면서 더욱 강조되어 온 내용이다. 임상적 증상을 기초로 한 점수제로 진단의 효용을 평가한 과거의 연구가 있으나 혈액 검사 소견을 첨가한 점수제 변형으로 진단적 유용성을 평가해 보고자 하였다. 방 법 : 1998년 1월부터 2000년 12월까지 인두통과 상기도 감염 증상으로 경희대학교병원 외래를 방문한 환아 45명에 대하여 1997년 발표된 Breese의 9가지 항목을 수정 보완하여 임상증상, 나이, 이전의 항생제 사용력, 진찰 소견에 더불어 백혈구수와 그 분율에 대한 검사를 실시하여 각각 점수화하여 결과를 예측하였으며, 인두 배양 검사를 실시한 후 점수제의 결과와 비교하였다. 결 과 : 45명의 환아 중 A군 연구균 배양 양성인 경우는 20명, 음성인 경우 25명이었으며, 배양 양성인 환아 중 그 점수 분포상 70 백분위수에 해당하는 30점을 기준으로 하여 배양 검사 결과와 비교하여 민감도 35%, 특이도 96%, 양성예측도 88%, 음성예측도 65%의 결과를 얻었다. 결 론 : 각 항목별 소견상 A군 연구균 감염을 시사하는 의미있는 결과를 보이지는 않았고 혈액 소견을 첨부함으로써 1997년의 결과에 비하여 특이성을 높이고 위양성율을 의미 있게 감소시켰다. 비교적 감수성은 낮으나 특이성이 96%로 우리나라와 같이 균분리율이 낮은 경우에서는 이 점수제가 유용할 것으로 사료된다. Purpose : Proper diagnosis of group A streptococcal pharyngitis that may cause chronic diseases in childhood is not easy because its signs and symptoms would be nonspecific. Because results of classical throat culture delays for one to two days, we'd like to determine whether early antibiotics would be introduced with according to the clinical score system. This study was undertaken to evaluate of clinical usefulness of scoring system based on the clinical and laboratory findings. Methods : From Jan. 1998 to Dec. 2000, 10 clinical items based on modified 9 items by Breese in 1977 were checked in patients with pharyngitis who visited on outpatients clinic of pediatrics, Kyunghee University Hospital. We compared the results of throat culture with the points of clinical score system. Results : Out of 45 cases, the positive culture for Group A Streptococcus was 20 and negative culture was 25. When we applied more than 30 points of score, which correspond to 70 percentile of study population, the sensitivity and specificity were 35.0% and 96.0%, respectively. Conclusion : Although sensitivity was relatively low this scoring system, but the high specificity may be useful diagnostic tool in the areas where the rate of isolation of Group A Streptococcus is low.
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CDR을 이용한 웹 기반 음성 트래픽 관리시스템의 설계 및 구현
김은성,안성진,정진욱,Kim, Eun-Seong,An, Seong-Jin,Jeong, Jin-Uk 한국정보처리학회 2001 정보처리학회논문지 C : 정보통신,정보보안 Vol.8 No.5
In this paper, it is proposed the management items for voice traffic using CDRs so that global carriers can treat and manage the voice traffic for a customer, and defined computational expressions to produce the management items. From them, we have designed the management system, which is composed of web interface module, analysis module, data collection module and database management module, and have improved the availability and convenience of the system using web technologies. In addition, we have tested these items using CDRs in real environments that are collected by the global carrier in order to verify their validity. It is expected that the proposed web based voice traffic management system provide a global carrier with network information collection, fault detection/trouble-shooting and high quality of service through analyzing the characteristics of subscribers. 본 논문에서는 글로벌 캐리어들이 고객 중심으로 음성 트래픽을 효율적으로 처리 및 관리할 수 있도록 CDR을 이용하여 음성 트래픽 관리 항목들을 제안하였으며, 관리 항목을 산출하기 위한 계산 수식들을 정의하였다. 이러한 관리 항목들을 웹 인터페이스 모듈, 분석 모듈, 데이터 수집 모듈, 데이터베이스 관리 모듈로 분리하여 시스템을 설계하였으며 웹 기술을 이용하여 시스템을 구현함으로써 가용성 및 사용의 편의성을 높였다. 또한, 규정된 관리 항목의 유효성을 검증하기 위하여 실제로 글로벌 캐리어에 의해 수집된 CDR을 바탕으로 관리 항목들을 실험하였다. 제안된 웹 기반 음성 트래픽 관리 시스템은 글로벌 캐리어들에게 네트워크 정보 수집, 장애 판단 및 원인 해결, 고객의 성향 분석을 통한 보다 질 높은 서비스 제공 등 도움을 줄 것으로 기대된다.
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국소간의 자기공명영상에서 Mn-DPDP의 유용성과 적합한 MR Sequence에 관한 비교, 고찰
김은성,김대현,이현근,오근택,이순노,이우식,Kim Eun Seong,Kim Dae Hyeon,Lee Hyeon Geun,O Geun Taek,Lee Sun No,Lee U Sik 대한방사선사협회 2001 대한방사선사협회지 Vol.27 No.2
Ⅰ. Purpose : To evaluate the diagnostic value of Mn-DPDP for the detection of focal hepatic lesions on MR images and to determine the optimal pulse sequence to maximize its effect. Ⅱ. Material and Methods : Twenty-eight patients(6 women and 22 men, aged f
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김은성(Kim, Eun-Seong),신영희(Shin, Yeonghee) 계명대학교 간호과학연구소 2012 계명간호과학 Vol.16 No.2
Purpose: The purpose of this study was to investigate the association of sleep disturbance and depression among patients with brain injuries. Methods: One hundred twenty three participants were recruited among patients with brain injury from a department of neurosurgery of University hospital and in a Metropolitan city during the period of July 16-August 31, 2008. Research instruments employed in this study were SPMSQ(Short Portable Mental State Questionnaire), KSS(Korean Sleep Scale) and GDSSF-K(Geriatric Depression Scale Short Form-Korean version). Results: Subjects' sleeping hours had an average of 5.92(2.01) hours at night and 0.5 hours nap during daytime. Averages of GDSS-K and KSS scores of the subjects were 8.08(3.44) and 38.24(6.47) respectively, and the two means were significantly correlated (r=.3, p<.01). Sleep deficit from previous night was also significantly correlated with depression. Percentages of sleep disturbance and depression among subjects were both 81%. Conclusion: It was found that patients with brain injuries presented relatively high sleep disturbance. Majority of the patients exhibited symptoms of depression in this study. Sleep disturbance and depression were significantly correlated, and sleep deficit from previous night was highly correlated with depression.
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윌리엄 바트람의 『여행기』에 나타난 미국의 야생의 공간 (재)규정
김은성 ( Eun Seong Kim ) 한국영미문화학회 2014 영미문화 Vol.14 No.3
In the late 18th century, William Bartram travelled in southeastern places of North America. Almost travelling alone, he observed, examined, collected, recorded, and cataloged various natural objects in the places. Travel, which is a result of his journey into wilderness, is structured in the two modes of travel narrative and natural historical description. Adopting the system of taxonomy established by Carolus Linnaeous, Bartram universalized and classified American natural objects, and also tried to represent them to people at home and abroad. The American landscape which the author encountered and experienced during his journey is represented in travel narrative. Bartram combines the two modes to try to define and describe scenes, lands, and territories of America which already existed there but are not described yet, and thus are simultaneously universal and unique. Bartram finds the land of America vast, fertile, abundant, wild, and innocent. This essence, he thinks, would distinguish America from other countries and then contribute to form a new identity as America. For him, the American wilderness is natural and cultural resources. Bartram imagined a new nation to be based on this nature and his new country was embodied in the notion of “middle landscape.” While it is written in a scientific mode, Travel can be said that it (re)defined territories where a new country would exist.
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미국문학에서의 과학의 의미 포우, 휘트만, 제퍼스, 베리의 경우
김은성 ( Eun Seong Kim ) 한국영미문화학회 2009 영미문화 Vol.9 No.3
This paper examines complex correlations between the human mentality and science which American writers have pursued, paying special attention to Walt Whitman, Robinson Jeffers, and Wendell Berry. That is, through a reading of Whitman`s, Jeffers`, and Berry`s works, I will attempt to explore how science contributes to the formation or pursuit of the mentality in various periods and how objective facts of science have been correlated with the inner experiences of human beings; namely their esthetic, imaginative, and ethical reactions to the world. In American literature, it is Walt Whitman who has the most positive attitude toward science. The poetic forms, contents, and vision of Whitman`s works are combined to form a poetic wholeness. In his work, science plays a significant role in forming new poetic forms, contents, and visions, serving as a ground for providing new visions and dictions. Scientific facts are also employed as images and metaphors to support his visions which are expansive, progressive, and democratic. Robinson Jeffers tries to study human beings and the world objectively and believes that science and its facts are useful tools for his purpose. He uses science to deny and deconstruct the anthropocentric vision which Whitman pursues and supports with science. Throughout his entire poetic career, Jeffers attempted to relocate human beings from the center of meaning and truth to inconsiderable beings. Thus, objective truth and facts of science are valuable because they destroy human solipsism and anthropocentric visions. Wendell Berry is concerned with the problems of the industrialized society and its mechanism between politics, economics, and science (or its technologies). It is not science itself but its dogmatism and abstractions that are important for Berry. He argues that the abstractive mind of scientists becomes a destructive force, because, although it seems to increase knowledge, it actually fragments knowledge. It also, according to Berry, contributes to solidifying the centralized power and monoculture. Berry senses the potential danger that which the dogmatism and abstraction of science can produce.
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