의과대학생을 위한 진로개발: 프로그램 개발과 운영 시 고려할 것은?

정성수,Sung-soo Jung 연세대학교 의과대학 2024 의학교육논단 Vol.26 No.1

방음벽 개발 동향 및 음향특성

정성수 한국소음진동공학회 1999 한국소음진동공학회 세미나 Vol.1999 No.7

기차의 저주파 소음

정성수,전병수 한국대기환경학회 2007 한국대기환경학회 학술대회논문집 Vol.- No.-

중등 예비교사의 현장 적응성 강화를 위한 교직실무 교과목 운영 및 개선 요구 분석

정성수,김훈호 한국교원교육학회 2019 한국교원교육연구 Vol.36 No.4

The purpose of this study was to find ways to improve the teaching practice classes currently being taught in teaching literacy courses for secondary pre-service teachers at the College of Education. To this end, first, we reviewed the operational status by collecting and analyzing the current law and the Teacher's College Practical Work Syllabus related to the teaching work lecture, and proposed future improvement methods for teaching work based on the demands of teachers to improve the lectures. The improvement plans for teaching work lectures were largely divided into the direction of lecture reorganization, the syllabus of teaching lectures, and the contents of teaching and teaching methods. 이 연구는 사범대학에 재학 중인 중등 예비교사들의 현장적응성 강화를 위해, 현재 교직소양 과목으로 운영 중인 교직실무 강좌의 개선방안을 모색하기 위한 목적으로 실시되었다. 이를 위해 먼저 교직실무 강좌와 관련된 현형 법령을 살펴보고, 사범대학 교직실무 강의계획서를 수집하여 유형별로 분석함으로써 강좌의 운영 실태를 살펴보았다. 그리고 대학에서 교직실무 강좌를 담당하고 있는 교수자들의 강좌 개선 요구를 조사․분석함으로써 교직실무 강좌의 현장 적응성을 높이기 위한 개선방안을 모색하였다. 중등 예비교사들의 현장 적응성 강화를 위한 교직실무 강좌의 개선방안은 크게 세 가지로 구분하여 제시하였는데, 개편 방향과 교과목명 변경안, 교수요목 및 교수내용 변경안, 교수방법 변경안 등을 차례로 제안하였다.

성인 척추에 발생한 호산구성 육아종 : 1례 보고 Report of a Case

정성수,이종서,안긍환,정광훈 대한척추외과학회 1998 대한척추외과학회지 Vol.5 No.2

Eosinophilic granuloma of bone well-documented in the literature.This lytic bone disease most commonly occurs in children, but a fraction of the cases does occurs in adult. When the disease occurs in adults, the bone most often affected include the skull, ribs, mandible, clavicle, pelvis, and long bone of the extremities. We report the case of a 31-year old woman with isolated eosinophilic granuloma of the thoracic spine. She had a 1-month history of progressive back pain that radiated to the right anterior chest. Authors performed resection of vertebral body lesion and soft tissue lesion and anterior fusion from T7 to T9. Immunochemical staining showed a positive S100 protein stain. EM demonstrated characteristic Birbeck granule. Postoperatively, the patient underwent a 5-day course of RT to the T6-T10 spine with 200cGY fractions (total dose 1000cGY). Postoperatively, the patient's back and chest pain had disappeared. There is no evidence of local recurrence or distant metastasis at 18 months follow-up. Though rare, eosinophilic granuloma of the adult spine could be considered in the differential diagnosis of osteolytic lesions.

Lidocaine 과 Propranolol 이 Ketamine 의 심박수와 혈압에 미치는 영향

정성수,임웅모,정훈 대한마취과학회 1986 Korean Journal of Anesthesiology Vol.19 No.6

It is well known that ketamine produces an increase in the heart rate and blood pressure. Lidocaine has a direct myocardial depressant effect with indirect stimulant effects mediated by the autonomic nervous system, and propranolol, beta-adrenergic receptor blockade, has negative chronotropic effects through the beta-adrenergic blockade. In order to investigate the effect of propranolol and lidocaine on the heart rate and blood pressure increased by ketamine, lidocaine, and/or propranolol were administered intravenously in awake patients. The results were as follows. 1) In ketamine(2 mg/kg) receiving group, the heart rate increased 16-19 beats per minute and systolic, diastolic and the mean blood pressure increased significantly. 2) In ketamine(2 mg/kg)-lidocaine(2 mg/kg) receiving group, the heart rate increased l2-14 beats per minute, and the systolic, diastolic and mean blood pressure increased significantly. 3) In ketamine(2 mg/kg)-propranolol(0.02 mg/kg) receiving group, the heart rate increased below 5 beats per minute and systolic, diastolic, and the mean blood pressure increased significantly. 4) In ketamine(2 mg/kg)-propranolol(0.02 mg/kg)-lidocaine(2 mg/kg) receiving group, the heart rate increased only 3-4 beats per minute and systolic, diastolic, and mean pressures increased significantly. From the above results, the chronotropic effect of ketamine was markedly attenuated by propranolol or propranolol-lidocaine but not attenuated by lidocaine, and the pressor effect was not attenuated by lidocaine, or propranolol and propranolol with lidocaine.

국내 천식환자에서 천식 조절제 처방강도와 천식 악화와의 관계

정성수,박동일,정재욱 대한결핵 및 호흡기학회 2018 대한결핵 및 호흡기학회 추계학술대회 초록집 Vol.126 No.-

목적: 우리나라 천식조절과 관련된 기존의 연구결과 천식 조절제 사용률이 낮다는 보고는 있었으나 실제 약물 사용패턴을 분석하여 우리나라 환자가 얼마나 천식 조절에 순응하는지를 살펴보지는 않았다. 따라서 낮은 조절제 사용률이 미치는 결과를 천식조절제 처방강도를 통해 살펴보고자 하였다. 방법: 연구 대상은 건강보험심사평가원 등록 자료에서 2010-2016년 천식진단을 받은 성인 환자(ICD-10 진단코드: J45.X-J46.X)로서 1년이상 추적되고 천식진단이 반복 등록된 환자를 대상으로 하였다. 이들 환자에서 천식 조절과 관계된 천식 처방을 조사하였고 다음과 같이 저자가 개발한 천식조절제 처방강도를 계산하였다. 이에 따라 천식조절제 처방강도와 입원이나 응급실 방문 같은 천식악화와 상관관계를 분석하였다. 천식 조절제 처방 강도(asthma controller prescription intensity)=관찰기간 동안 조절제 처방 총 개수/(1 + 속효성증상완화제 처방갯수)/관찰기간(년) 결과: 최종700,652명을 분석한 결과 2010년 이후의 천식 처방 패턴은 이전과 같이 조절제의 처방은 연평균 1개 이하(0.71개/인)로 미흡하고 속효성 완화제가 상대적으로 5배 이상(3.82개/인) 더 많이 처방되는 것을 확인하였다. 또한 고령일수록 증상완화제에 대한 선호가 증가하였다. 고령일수록 천식의 중증도는 일반적으로 높아지는데 비해 오히려 천식 조절치료는 감소하고 있어서 노인 천식에서 상대적으로 잦은 악화를 유발하였다고 판단할 수 있다. 조절제 처방강도가 낮을수록 입원 및 응급실 방문 빈도는 증가하였다. 반면 속효성완화제 처방빈도가 높을수록 입원 및 응급실방문 빈도가 높았다. 결론: 낮은 천식 조절제 처방강도는 천식의 악화(입원 및 응급실방문)와 관련되어 있다. 조절제 처방강도를 높이고 속효성 완화제 처방을 줄이는 천식 치료 전략이 필요하다.

A Nationwide Retrospective Study of Opioid Management Patterns in 2,468 Patients with Spinal Pain in Korea

정성수,박춘근,조규정,최경효,김진혁,김승범,구성욱,이재철,이재협,이규열,이선호,문성환,박시영,심재항,손병철,윤명하,박혜정 대한척추외과학회 2016 Asian Spine Journal Vol.10 No.6

Study Design: Retrospective patient data collection and investigator survey. Purpose: To investigate patterns of opioid treatment for pain caused by spinal disorders in Korea. Overview of Literature: Opioid analgesic prescription and adequacy of consumption measures in Korea have markedly increased in the past decade, suggesting changing patterns in pain management practice; however, there is lack of integrated data specific to Korean population. Methods: Patient data were collected from medical records at 34 university hospitals in Korea. Outpatients receiving opioids for pain caused by spinal disorders were included in the study. Treatment patterns, including opioid types, doses, treatment duration, outcomes, and adverse drug reactions (ADRs), were evaluated. Investigators were interviewed on their perceptions of opioid use for spinal disorders. Results: Among 2,468 analyzed cases, spinal stenosis (42.8%) was the most common presentation, followed by disc herniation (24.2%) and vertebral fracture (17.5%). In addition, a greater proportion of patients experienced severe pain (73.9%) rather than moderate (19.9%) or mild (0.7%) pain. Oxycodone (51.9%) and fentanyl (50.8%) were the most frequently prescribed opioids; most patients were prescribed relatively low doses. The median duration of opioid treatment was 84 days. Pain relief was superior in patients with longer treatment duration (≥2 months) or with nociceptive pain than in those with shorter treatment duration or with neuropathic or mixed-type pain. ADRs were observed in 8.6% of cases. According to the investigators’ survey, “excellent analgesic effect” was a perceived advantage of opioids, while safety concerns were a disadvantage. Conclusions: Opioid usage patterns in patients with spinal disorders are in alignment with international guidelines for spinal pain management. Future prospective studies may address the suitability of opioids for spinal pain treatment by using appropriate objective measurement tools.

방해물의 소음저감 효과 산정방법

정성수 한국소음진동공학회 2001 한국소음진동공학회 세미나 Vol.2001 No.6

Screening of Brain Metastasis with Limited Magnetic Resonance Imaging (MRI):Clinical Implications of Using Limited Brain MRI During Initial Staging for Non-small Cell Lung Cancer Patients

정성수,김재성,Park Hee Sun,조문준,Kim Jin Whan,임승평,Kim Sun Young,김주옥,Song Chang Jun 대한의학회 2005 Journal of Korean medical science Vol.20 No.1