서울의 Penicillinase Producing Neisseria Gonorrhoeae 발생빈도(1996)

김재홍,황동규,전재홍,김윤석,김중환,김용준,이창균,임동진,김현수,조창근,김경문,박상훈,전우형,김희성,이호정,차명수,김갑형,김형석,김석우,황지환,박병순,권오상,이민수,송기훈,성소영,이인섭,부태성 대한화학요법학회 1999 대한화학요법학회지 Vol.17 No.2

Background : In recent years, gonorrhea has been panedemic and remains one of the most commom STDs in the world, especially in developing countries. Objective & Methods: For the detection of a more effective therapeutic regimen and assessing the prevalence of PPNG, we have been trying to study the patients who have visited the VD Clinic of Choong-Ku Public Health Center in Seoul since 1980 by means of the chromogenic cephalosporin method. Results: In 1996, 139 strains of N. gonorrhoeae were isolated, among which 53(39.0%) were PPNG. Conclusion: Our results suggests that after a peak of 74.3% in 1993, the prevalence of PPNG in Seoul is gradually declining.

정신분열병에 대한 리스페리돈의 효과 및 안정성

이민수,김용구,김영훈,연병길,오병훈,윤도준,윤진상,이철,정희연,강병조,김광수,김동언,김명정,김상훈,김희철,나철,노승호,민경준,박기창,박두병,백기청,백인호,손봉기,손진욱,양병환,양창국,우행원,이정호,이종범,이홍식,임기영,전태연,정영조,정영철,정인과,정인원,지익성,채정호,한상익,한선호,한진희,서광윤 大韓神經精神醫學會 1998 신경정신의학 Vol.37 No.1

연구목적 : 본 시험의 목적은 임상시험 시작전에 연구자들을 대상으로 PANSS Workshop을 통하여 PANSS, ESRS에 대한 국내에서의 표준화 작업을 구축하고 새로운 정신병 치료제인 리스페리돈의 효과와 안정성을 재확인하여 리스페리돈 사용에 대한 적정화를 이루는데 있다. 연구방법 : 1996년 4월부터 1996년 9월까지 국내 39개 대학병원 정신과에 입원중인 혹은 증상이 악화되어 입원하는 정신분열병 환자 377명을 대상으로 다시설 개방 연구를 시행하였다. 1주일간의 약물 배설기간을 가진후, 리스페리돈을 8주간 투여하였고, 기준점, 1주, 2주, 4주, 그리고 8주후에 평가되었다. 용량은 제1일에는 리스페리돈 1mg씩 1일 2회, 제2일에는 2mg씩 1일 2회, 제3∼7일에는 3mg씩 1일 2회 투여하였다. 이후 환자의 임상상태에 따라 임의로 증량할 수 있으며, 최대 일일 16mg을 초과하지 않도록 하였다. 추체외로 증상을 조절하기 위한 투약을 허용하였다. 임상증상 및 부작용의 평가는 PANSS(Positive and Negative Syndrome Scale), CGI(Clinical Global Impression) 그리고 ESRS(Extrapyramidal Symptom Rating Scale)을 사용하였다. 연구결과 : 377명중 343명(91%)이 8주간의 연구를 완결하였다. 치료 종결시점인 8주후 PANSS 총점수가 20% 이상 호전된 경우를 약물 반응군으로 정의할때, 약물반응군은 81.3%였다. 리스페리돈에 반응하는 예측인자로는 발병연령, 이전의 입원 횟수, 유병기간이 관련 있었다. 리스페리돈은 1주후부터 PANSS양성, 음성, 및 일반정신병리 점수상에 유의한 호전을 보여 효과가 빨랐다. CGI의 경우도 기준점에 비해 1주후부터 유의한 감소를 나타내었다. ESRS의 경우, 파킨슨 평가점수는 기준점과 비교해 투여 1주, 2주, 4주후 유의하게 증가되었다가 8주후 기준점과 차이가 없었다. Dystonia 평가점수는 1주후만 유의한 증가를 보였으며, dyskinesia 평가점수는 유의한 차이가 없었다. 혈압, 맥박수의 생명징후 및 일반 혈액학 검사, 생화학적 검사, 심전도 검사에서 유의한 변화는 없었다. 결 론 : 이상의 다시설 개방 임상 연구를 통해 리스페리돈은 정신분열병 환자에서 양성증상뿐만 아니라 음성증상 및 전반적인 증상에도 효과적인 것으로 사료된다. 보다 명확한 평가를 위해서는 다른 항정신병약물과의 이중맹검 연구가 필요할 것으로 생각되며, 또한 장기적 치료에 대한 평가도 함께 이루어져야 하겠다. Objective : The purpose of this study was to investigate the efficacy and safety of risperidone in the treatment of Korean schizophrenic patients. Method : This multicenter open study included 377 schizophrenic patients drawn from 39 university hospitals. After a wash-out period of 1 week, the schizophrenic patients were treated with risperidone for 8 weeks and evaluated at 5 points ; at baseline, and 1, 2, 4 and 8 weeks of treatment. The dose was increased from 2mg/day(1mg twice daily) to 6mg/day(3mg twice daily) during the first week and adjusted to a maximum of 16mg/day over the next 7 weeks according to the patient's clinical response. Medication to control extrapyramidal symptoms was permitted. The psychiatric and neurological status of the patients was assessed by PANSS, CGI, and ESRS scales. Results : 343(91%) of 377 patients completed the 8-week trial period. Clinical improvement, as defined by a 20% or more reduction in total PANSS score at end point, was shown by 81.3% of patients. The predictors of response to risperidone were associated older age, shorter duration of illness, fewer previous hospitalization. Risperidone had rapid onset of action ; a significant decrease of the total PANSS and three PANSS factor(positive, negative, general), and CGI was already noticed at the end of first week. For the ESRS, parkinsonism rating scores were significantly increased until week 4 comparing with baseline. Dystonia rating scores were significantly increased until week 1, and dyskinesia rating scores were not significantly changed during the study. Laboratory parameters including vital sign, EKG, hematological, and biochemical values showed no significant changes during the trial. Conclusions : This study suggests that risperidone is generally safe and effective against both the positive and negative symptoms in our group of patients.

혈관질환 정보관리 시스템

김동익,김덕경,허세호,이병붕,김용신,김은숙,문지영,도영수,신성욱,김동수,김만태,진재욱,김용신 대한혈관외과학회 2002 Vascular Specialist International Vol.18 No.1

As medical technology progresses rapidly, there is a rise in the average age along with the Korean dietary lifestyle becoming more westernized, which leads to an increase in the number of vascular disease patients in Korea. Thus, we need to manage the medical information of a disease systematically in order to diagnose and treat constructively. However, since there has been no standardized method of man agement to date, a great deal of information could not be properly utilized nor studied. Therefore, the departments of Cardiology, Radiology and Neurology of Samsung Seoul Hospital recently got together to develop an information management system called the Vascular Data System. This program was developed to be run on win98 O/S, upper Pentium Ⅲ, and upper 128 MB Memory, and its source code is Dephi 4.0. It was configured for the user to set the configurations as well as do a variety of search and analysis. If this program were to be updated continuously, it may be used extensively as well as in various parts of clinical research activities.

단일공법 복강경하 질식자궁절제술 110예의 고찰 및 다공법과의 비교

박병준 ( Byung Joon Park ),김용욱 ( Yong Wook Kim ),노덕영 ( Duck Yeong Ro ),김태응 ( Tae Eung Kim ),류기성 ( Ki Sung Ryu ),김장흡 ( Jang Heup Kim ) 대한산부인과학회 2010 Obstetrics & Gynecology Science Vol.53 No.7

목적: 통상적인 복강경기구만을 사용한 단일공법 복강경하 질식자궁절제술을 다공법 복강경하 질식자궁절제술과 비교하여 안전성 및 유용성을 평가하고자 하였다. 연구 방법: 2007년 4월부터 2009년 11월까지 인천성모병원에서 자궁근종 또는 자궁샘근증의 질환으로 단일공법 복강경하 질식 자궁절제술을 시행받은 환자 110명과 다공법 복강경하 질식자궁절제술을 시행받은 환자 110명, 총 220명의 환자를 대상으로 하였다. 우리는 모든 수술에서 통상적으로 사용되는 구부러지지 않는 일직선의 복강경기구를 사용하였다. 또한 단일공법 및 다공법 복강경하 질식자궁절제술 둘 다에서 수술자 (Kim, YW)의 이름을 따서 명명한 새로운 질단부 봉합 방법인 김씨 질구개 현수법 (Kim`s Vaginal Vault Suspension Method)을 사용하였다. 결과: 환자 나이, 수술 시간, 자궁의 무게, 혈색소 수치의 변화, 수혈 빈도, 수술 후 발열에서 두 군 간에 유의한 차이를 보이지 않았다. 환자들의 평균 나이는 46.7±7.0세(단일공법)와 45.5±6.3세(다공법)이었다. 평균 수술 시간은 87.2±21.0분(단일공법)과 83.3±20.3분(다공법), 평균 자궁의 무게는 261.4±139.7 g(단일공법)과 257.8±132.9 g(다공법), 평균 혈색소 수치의 변화는 1.1±0.7 g/dL(단일공법)와 1.2±0.6 g/dL(다공법)이었다. 두 군 모두에서 수술 중 장 또는 요로의 손상은 없었다. 두 군 모두에서 각각 한 건의 개복수술로의 전환이 있었다. 단일공법을 시행한 군에서 입원 기간이 유의하게 짧았다(2.6±0.6일 [단일공법], 3.3±0.7일 [다공법], P<0.05). 결론: 통상적으로 사용하는 구부러지지 않는 일직선의 복강경기구를 이용한 단일공법 복강경하 질식자궁절제술은 다공법 복강경하 질식자궁절제술에 대한 안전하고 유용한 대체 수술이 될 수 있다. Objective: To evaluate the safety and feasibility of single-port access laparoscopically assisted vaginal hysterectomy (SPA-LAVH) using conventional laparoscopic instruments compared to multi-port access laparoscopically assisted vaginal hysterectomy (MPA-LAVH). Methods: We reviewed the medical records of 220 patients with uterine leiomyoma or adenomyosis who underwent 110 SPA-LAVH and 110 MPA-LAVH in Incheon St. Mary`s Hospital between April 2007 and November 2009. We performed SPA-LAVH with conventional rigid straight laparoscopic instruments in all cases. We also performed a new vaginal cuff closure method, Kim`s Vaginal Vault Suspension Method, named after the operator (Kim, YW) in both SPA-LAVH and MPA-LAVH. Results: There was no significant difference in patients` age, operating time, uterine weight, hemoglobin change, frequency of blood transfusion, and incidence of postoperative fever between the two groups. The patients` mean age was 46.1±7.0 years (SPA-LAVH) and 45.5±6.3 years (MPA-LAVH). The mean operating time was 87.2±21.0 minutes (SPA-LAVH) and 83.3±20.3 minutes (MPA-LAVH). The mean uterine weight was 261.4±139.7 g (SPA-LAVH) and 257.8±132.9 g (MPA-LAVH). The mean hemoglobin change was 1.1±0.7 g/dL (SPA-LAVH) and 1.2±0.6 g/dL (MPA-LAVH). Neither bowel injury nor urinary tract injury occurred during the operation in the two groups. One of the SPA-LAVH and one of the MPA-LAVH cases were converted to abdominal total hysterectomy. The mean hospital stay time was shorter with SPA-LAVH (2.6±0.6 days [SPA-LAVH] and 3.3±0.7 days [MPA-LAVH], P<0.05). Conclusion: SPA-LAVH using conventional rigid straight laparoscopic instruments can be offered as a safe and feasible alternative to MPA-LAVH.

65세 이상의 노령층에서 고지혈증의 위험요인

김용배,장원기,황보영,김화성,안규동,이병국,이용진,김세훈,김승수,김승훈,김영록,김웅빈,이성수 순천향의학연구소 2006 Journal of Soonchunhyang Medical Science Vol.12 No.1

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학부모용 유아교육정책 평가척도 적용 및 타당화 : 「3-5세 연령별 누리과정」 정책을 중심으로

김병만 ( Kim Byung-man ),김미진 ( Kim Mi-jin ),김정주 ( Kim Jung-ju ) 한국아동교육학회 2019 아동교육 Vol.28 No.1

본 연구는 학부모용 유아교육정책 평가척도에 「3-5세 연령별 누리과정」 정책을 적용하여 선행적으로 개발된 평가척도의 타당도를 검토하고자 한다. 연구의 목적을 달성하기 위해 학부모 232명을 연구대상으로 선정하였고, 김병만(2018)이 개발한 유아교육정책 평가척도를 「3-5세 연령별 누리과정」 정책 중심으로 수정·보완하여 연구도구로 사용하였다. SPSS 23.0과 AMOS 8.0 program을 사용하여 평가 정도, 내용단일성, 문항변별도, 척도양호도를 확인하였고, 연구결과는 다음과 같다. 첫째, 「3-5세 연령별 누리과정」 정책의 평가 정도는 2.84∼3.66의 분포로 나타났다. 둘째, 내용단일성의 범위는 .71∼.90으로 모두 통계적으로 유의미하였다. 셋째, 문항변별도는 모든 평가지표 상위 집단의 평균이 하위 집단의 평균보다 높게 나타났으며, 통계적으로 유의미한 차이가 있는 것으로 나타났다. 넷째, 척도양호도는 확인적 요인분석 결과 모든 측정변인이 잠재변인을 설명하는 경로가 통계적으로 유의미한 것으로 나타났다. 이상의 결과를 통해 「3-5세 연령별 누리과정」 정책에 기초한 학부모용 유아교육정책 평가척도는 타당하고 신뢰로운 평가척도임이 검증되었고, 유아교육정책 및 평가 분야에 가치 있는 학술적 의미와 시사점을 제공하였다. The purpose of this study is to validate and apply the parental early childhood education policy evaluation scale by applying the Nu-ri Curriculum for 3-to-5-year-olds. In order to achieve the purpose of this study, 232 parents were selected as the research subjects. The research tool was modified and supplemented with the policy of ‘Nu-ri Curriculum for 3-to-5-year-olds’ policy developed by Kim Byung-man (2018) Respectively. The data collected in this study were descriptive statistics, construct validity, correlation analysis, reliability analysis, item discrimination, confirmatory factor analysis, and AMOS 8.0 program. The results of this study are as follows. First, the degree of evaluation of the parental early childhood education policy evaluation scale applying the ‘Nu-ri Curriculum for 3-to-5-year-olds’ policy was 2.84 ~ 3.66. The average of the public interest evaluation index of the colony was the highest, and the demographic average of the true women index was the lowest. Second, as a result of the reliability and validity test, it was proved through statistical significance that the parents' evaluation scale applying the policy of ‘Nu-ri Curriculum for 3-to-5-year-olds’ was valid and reliable evaluation scale for the early childhood education policy. This study suggests that the validity and application of the early childhood education policy evaluation scale suggests the possibility of active involvement of parents in the evaluation area of early childhood education policy.

Discovery of urinary metabolomic biomarkers for early detection of acute kidney injury

Won, A Jin,Kim, Siwon,Kim, Yoon Gyoon,Kim, Kyu-Bong,Choi, Wahn Soo,Kacew, Sam,Kim, Kyeong Seok,Jung, Jee H.,Lee, Byung Mu,Kim, Suhkmann,Kim, Hyung Sik The Royal Society of Chemistry 2016 Molecular bioSystems Vol.12 No.1

<P>The discovery of new biomarkers for early detection of drug-induced acute kidney injury (AKI) is clinically important. In this study, sensitive metabolomic biomarkers identified in the urine of rats were used to detect cisplatin-induced AKI. Cisplatin (10 mg kg(-1), i.p.) was administered to Sprague-Dawley rats, which were subsequently euthanized after 1, 3 or 5 days. In cisplatin-treated rats, mild histopathological alterations were noted at day 1, and these changes were severe at days 3 and 5. Blood urea nitrogen (BUN) and serum creatinine (SCr) levels were significantly increased at days 3 and 5. The levels of new urinary protein-based biomarkers, including kidney injury molecule-1 (KIM-1), glutathione S-transferase-alpha (GST-alpha), tissue inhibitor of metalloproteinase-1 (TIMP-1), vascular endothelial growth factor (VEGF), calbindin, clusterin, neutrophil, neutrophil gelatinase-associated lipocalin (NGAL), and osteopontin, were significantly elevated at days 3 and 5. Among urinary metabolites, trigonelline and 3-indoxylsulfate (3-IS) levels were significantly decreased in urine collected from cisplatin-treated rats prior to histological kidney damage. However, carbon tetrachloride (CCl4), a hepatotoxicant, did not affect these urinary biomarkers. Trigonelline is closely associated with GSH depletion and results in insufficient antioxidant capacity against cisplatin-induced AKI. The predominant cisplatin-induced AKI marker appeared to be reduced in urinary 3-IS levels. Because 3-IS is predominantly excreted via active secretion in proximal tubules, a decrease is indicative of tubular damage. Further, urinary excretion of 3-IS levels was markedly reduced in patients with AKI compared to normal subjects. The area under the curve receiver operating characteristics (AUC-ROC) for 3-IS was higher than for SCr, BUN, lactate dehydrogenase (LDH), total protein, and glucose. Therefore, low urinary or high serum 3-IS levels may be more useful for early detection of AKI than conventional biomarkers.</P>

예비유아교사의 학업적 자기효능감과 그릿이 행복감에 미치는 영향

김정주(Jung-Ju Kim),김병만(Byung-Man Kim) 인문사회과학기술융합학회 2018 예술인문사회융합멀티미디어논문지 Vol.8 No.11

본 연구는 예비유아교사의 학업적 자기효능감과 그릿이 행복감에 어떠한 영향력을 미치는지 확인하는 데 목적이 있다. 이를 위해 부산광역시, 울산광역시, 경상남도 내에 소재하고 있는 대학교의 유아교육과에 재학 중인 예비유아교사 300명을 임의표집하여 연구대상으로 선정하였다. 예비유아교사의 학업적 자기효능감을 측정하기 위해 김아영, 박인영(2001)이 개발하고 타당화한 후 김병만, 김정주, 윤정진(2017)이 수정하여 사용한 학업적 자기효능감 검사도구를 사용하였다. 고, 그릿을 측정하기 위해 Duckworth, Peterson, Matthews와 Kelly(2007)가 개발한 Original Grit Scale(Grit-O)를 이수란(2014)이 한국실정에 맞게 번안한 척도를 사용하였으며, 행복감을 측정하기 위해 Seligman(2011)의 웰빙에 대한 PERMA 이론을 토대로 Butler와 Kern(2014)이 개발하여 김미진(2015)이 번안한 다차원적행복척도(Multidimensional Measure of Flourishing: MMF)를 사용하였다. 본 연구의 결과는 다음과 같다. 첫째, 예비유아교사의 학업적 자기효능감, 그릿, 행복감에 대한 인식에 대한 결과로 모든 변인에서 보통 이상의 긍정적인 인식 정도가 나타났다. 둘째, 예비유아교사의 학업적 자기효능감, 그릿, 행복감 간의 상관관계에는 유의미한 정적 상관관계가 있음을 알 수 있다. 셋째, 예비유아교사의 학업적 자기효능감은 예비유아교사의 행복감에 영향을 미치는 변인으로 나타났으나, 그릿은 예비유아교사의 행복감에 영향을 미치지 않는 변인으로 나타났다. The purpose of this study is to investigate the influence of pre-service early childhood teachers academic self-efficacy and grit on happiness. For this purpose, 300 Pre-service early childhood teachers in preschool education at universities located in Busan, Ulsan and Gyeongsangnam province were randomly sampled and selected. In order to measure the pre-service early childhood teachers academic self-efficacy, I used the academic self-efficacy test tool modified by Kim Byung-man, Kim Jung-ju and Youn Jung-jin (2017) after the development and validation of Kim Ae-Young and Park In-Young (2001). The original Grit Scale (Grit-O) developed by Duckworth, Peterson, Matthews and Kelly (2007) was used to measure grit. And to measure happiness, we used the multidimensional happiness scale developed by Butler and Kern (2014) and developed by Kim Mi-jin (2015) based on the PERMA theory of wellness in Seligman (2011). The results of this study are as follows. First, as a result of pre-service early childhood teachers perception of academic self-efficacy, grit, and happiness, positive perceptions were more than usual in all variables. Second, there is a significant positive correlation between the pre-service teacher s academic self-efficacy, grit, and happiness. Third, the academic self-efficacy of pre-service early childhood teachers was a factor affecting the happiness of pre-service early childhood teachers. Specifically, it was found that task difficulty preference, self-regulated efficacy, and self-confidence affect the happiness of pre-service early childhood teachers among the sub-variables of happiness. However, the sub-variables of Grit did not affect the pre-service teachers happiness.

日本의 社會科學 및 體育分野 學問硏究動向에 對한 調査 硏究

金榮秀,崔晄烈,金相漢,金麟坤,金炳斗,金永煥 慶北大學校 經商大學 經濟學科 1981 慶商大學論集 Vol.9 No.-

This paper attempts to review and trace back to, based on the data collected during visits of Japanese universities and research institutes, the organizational characteristics, the structures of curricula and study trends, with regard to the fields of social sciences, especially economics and business administration. One of the most conspicuous characteristics observed in academic organizations was Tsukuba university's system whose academic institution was organized around academic grouping, academic genealogy, and specialty: particularly social economic planning belonged to the genealogy of social engineering, in light of its characteristics in term of curriculum, seems to meet the contemporary need. There found two speciality areas in the Department of Social Engineering at the Graduate School: one is the concentration on Mathematical Planning and the other Management Engineering. Considering that its academic goal is tosys tematically and empirically analyze the human behaviors, and to take interdi-sci plinary approach through a policy-oriented system in doing so, it reflects one of the true natures of the academic trend. Their curricula appear to emphasize on analytical methods under uncertainty, application of mathematical planning techniques, system simulation, and information system design and its application, in the area of economics and business administration. Physical education is believed to require modernized facilities and equipments for its record-breaking and technical enhancement, and so increased investment in physical facilities and policy considerations for the training of physical educators are necessary.

유도 '되치기 본'의 개선 방안에 관한 연구

김의환,김도준,김규수,김관현,김종달,최종삼,조용철,박순진,윤익선,안병근,정 훈,김미정,한성철 龍仁大學校 武道硏究所 1999 武道硏究所誌 Vol.10 No.1

The purpose of this study was to reform practically a Korean Judo's Doechigi-Bon(Forms of Counterattack, judo's Gaeshi no Kata, Judo's Uradori no Kata, Judo's Gonosen no Kata) that was established in 1955 Korea, according to changing of techniques by Judo's modernization, in order to have Judo's carefulness and systematic diffusion. Reform procedure of Judo's Doechigi-Bon was 1st stage, Questionnaire survey 303 judokas, 2nd stage, Technical seminar by judo experts(12 judo professor) 4 times, 3rd stage, wording report for reform, 4rd stage, Discussion and judgement of Teaching and Judgement commission of Korean judo Association(KJA), 5th stage, Public hearing for reform in KJA, 6th stage, Report and decision of board of directors in KJA, 7th stage, public publication of Judo News(No.53) in KJA. Basic principle of reform of Judo's Doechigi-Bon were as table 1. Table 1. Basic principle of reform of Judo's Doechigi-Bon ------------------------------------------------------------------------------- Items Reformed Key Points of Judo's Doechigi-Bon ------------------------------------------------------------------------------- 1. Structure 1) Grand classification : Classified by 3 parts(1,2,3Gyo) 2)Medium classification : Te waza, Goshi waza, Ashi waza devided per each part(Gyo) 3)Sub-classification : Classified five techniques per each part(Gyo) 2. Contents 1) Selected established techniques as possible 2) Considered rationalty and overlapping of counterattack techniques 3. Decision of Conterattack techniques 1) Refered to results of Basic Questionnaire survey 2) Priority to decisions of Judo expert technical seminar -------------------------------------------------------------------------------- Reformed Korean Judo's Doechigi-Bon(Forms of Counterattack techniques-KJA, 1999) are as follows: 1. Gyo; ① Uki otoshi -> Uchi mata ② Harai goshi -> Harai goshi gaeshi ③ O soto gari -> O soto gake ④ Ko uchi gari -> Sasae tsurikomi ashi ⑤ O uchi gari -> Ko soto gari 2. Gyo; ① Ippon seoi nage -> Okuri eri jime ② Tsuri domi goshi -> Uki waza ③ Okuri ashi harai -> Okuri ashi harai ④ Ko soto gari -> Tai otoshi ⑤ Hiza guruma -> Hiza guruma 3. Gyo; ① Kata guruma -> Sumi gaeshi ② Tai otoshi -> Ko soto gari ③ Hane goshi -> Harai tsurikomi ashi ④ Uchi mata -> Tai otoshi ⑤ Tomoe nage -> O uchi gari