응급실에 내원한 국내 간질중첩증 소아의 발생율과 특성

신은주(Eun Ju Shin),황세희(Se Hee Hwang) 대한소아신경학회 2016 대한소아신경학회지 Vol.24 No.1

Purpose: Status epilepticus (SE) is the most common life-threatening neurological condition in childhood. To clarify the incidence and outcome, we have evaluated the epidemiological and clinical characteristics of SE patients in Korea. Methods: In evaluating data from the National Emergency Department Information System (NEDIS), we retrospectively analyzed patients, and classified them by age and sex distribution, body temperature, time on arrival, seasonal variation and treatment outcome. The patients were under 8 years old who visited 111 general hospital emergency rooms in Korea between 2007 and 2013. Results: There were 4,257 total patients enrolled in our study. The ratio of males to females was 1.11:1. The incidence of SE in Korean children was 14.5/100,000 in 2010, and the highest incidence was seen in patients 1 to 2 years old. We could not find a seasonal variation. Febrile patients with temperatures over 38 °C accounted for 1,901 patients(44.7%). Peak time on arrival was 6 p.m. to midnight for 1,301 patients (30.5%). 3,356 patients (78.8%) were admitted immediately for proper treatment, while 678 patients(15.9%) were allowed to go home after emergency treatment. Unfortunately, 4 patients (0.1%) died despite first aid. Conclusion: The most common age in SE is 1 to 2 years. Regarding the correlation of fever with SE, patients who exhibit fever accounted for almost half of the patients with SE. In our study, the mortality rate in emergency room was 0.1%. Therefore, anyone who is suspected to have SE should be immediately transferred to a general hospital with ICU facilities for intensive treatment under the direction of medical experts.

흰쥐 Kupffer 세포에 대한 Propofol의 작용

박세훈,지대림,성언기,김희선,송인환,박희영,김준수,이덕희,박대팔 대한마취과학회 2002 Korean Journal of Anesthesiology Vol.43 No.4

Background: Propofol has an antioxidant capacity and can be used for ischemia-reperfusion injury of the liver. However, the effects of propofol on the Kupffer cells have not been establisked. Methods: Kupffer cells were isolated and cultured from male Sprague-Dawley rats. The effects of propofol on the Kupffer cells were evaluated by a phagocytosis assay, TNF-α gene expression, and superoxide anion release after administering propofol in different concentrations on the cultured Kuprrer cells. Results: The latex bead phagocytosis by the Kupffer cells was suppressed when the Kupffer cells were exposed to propofol irrespective of concentrations. Higher propofol concentrations decreased the loss of Kupffer cells after latex bead phagocytosis. Propofol induced TNF-α mRNA expression in the Kupffer cells, but the mRNA expression level after 50㎍/ml of propofol decreased. The pattern of TNF-α mRNA expression induced by propofol was different to that induced by LPS: TNF-α mRNA was expressed continuously in the propofol-treated cells until 16 hours after exposure to propofol, whereas the level of TNF-α mRNA expression induced by LPS was evident after 2 hours and was not found thereafter. TNF-α production after propofol treatment was not higher than that of the control. Formazan presipitation did not show any qualitative differences between cells untreated or treated with propofol concentrations of 0.5, 5.0, and 50 ㎍/ml. Conclusions: These results showed that propofol might inhibit Kupffer cells. This suggests that propofol and be used for patients with ischemia-reperfusion injury of the liver. (Korean J Anesthesiol 2002; 43: 475~484)

동·서양 고전에 나타난 도덕적 통념에 관한 비판적 해석 -『논어』와 『에우티프론』에 나타난 아버지를 고발한 아들의 사례를 중심으로-

임명희 ( Lim Myung Hee ),김세원 ( Kim Se Won ) 동양철학연구회 2017 東洋哲學硏究 Vol.89 No.-

본 논문은 동서양의 고전 문헌에서 도덕적 통념에 관한 문제가 어떻게 다루어졌는지 고찰한 것이다. 이를 위해 『논어』에 나타난 `곧음(直)`에 관한 공자와 제자들의 대화, 『에우티프론』에 나타난 `경건함(?σιον)`에 관한 소크라테스와 에우티프론의 대화를 각각 분석하고, 그 철학적 함의를 검토하였다. 이를 통해 본 논문은, 공자와 소크라테스가 특정 도덕적 딜레마나 그것의 해결책 또는 특정 도덕관념에 대한 정의 자체에 관심이 있었다기보다, 독단적 자기 확신 또는 도덕적 통념에 관한 비판적 해석에 주안점을 두고 있었다는 것을 주장하였다. 결론적으로, 이들 철학자들은 아버지를 고발한 아들이라는 사례를 통해 우리의 삶에서 도덕적 믿음에 대한 반성적 태도가 중요함을 강조하며, 그 과정은 타자와의 대화를 수반한다는 점을 보여주고자 한 것이라 볼 수 있다. The aim of this study is to examine an issue of moral beliefs and moral conceptions in the Eastern and Western Classics. This paper focuses on the texts with one specific common material. That is the son who accused the father in the Analects(Lunyu) and the Plato`s Euthyphron. Confucius has a conversation with his follower about `Zhi(直)` and Socrates makes dialectical arguments with Euthyphron about a definition of `piety(to hosion)`. The philosophers critically examine opinions of the opposing parties to support the accusation. Other papers studied on aspects of moral dilemma(the private or the public, Physis and Nomos) or relation of religion and philosophy. But the important problem is relation between rightness(or justice) and honesty. In conclusion, this paper illuminates that the philosophers emphasize personal moral beliefs and their reflective attitudes toward one` own and lives, rather than the dilemma`s solution or the definition of moral ideas per se. Also, it is necessarily that the reflective courses involve a conversation with others.

Association between Socioeconomic Status and Altered Appearance Distress, Body Image, and Quality of Life Among Breast Cancer Patients

Chang, Oliver,Choi, Eun-Kyung,Kim, Im-Ryung,Nam, Seok-Jin,Lee, Jeong Eon,Lee, Se Kyung,Im, Young-Hyuck,Park, Yeon Hee,Cho, Juhee Asian Pacific Journal of Cancer Prevention 2014 Asian Pacific journal of cancer prevention Vol.15 No.20

Background: Breast cancer patients experience a variety of altered appearance - such as loss or disfigurement of breasts, discolored skin, and hair loss - which result in psychological distress that affect their quality of life. This study aims to evaluate the impact of socioeconomic status on the altered appearance distress, body image, and quality of life among Korean breast cancer patients. Materials and Methods: A cross-sectional survey was conducted at advocacy events held at 16 different hospitals in Korea. Subjects were eligible to participate if they were 18 years of age or older, had a histologically confirmed diagnosis of breast cancer, had no evidence of recurrence or metastasis, and had no psychological problems at the time of the survey. Employment status, marital status, education, and income were assessed for patient socioeconomic status. Altered appearance distress was measured using the NCI's cancer treatment side effects scale; body image and quality of life were measured by the EORTC QLC-C30 and BR23. Means and standard deviations of each outcome were compared by socioeconomic status and multivariate linear regression models for evaluating the association between socioeconomic status and altered appearance distress, body image, and quality of life. Results: A total of 126 breast cancer patients participated in the study; the mean age of participants was 47.7 (SD=8.4). Of the total, 83.2% were married, 85.6% received more than high school education, 35.2% were employed, and 41% had more than $3000 in monthly household income. About 46% had mastectomy, and over 30% were receiving either chemotherapy or radiation therapy at the time of the survey. With fully adjusted models, the employed patients had significantly higher altered appearance distress (1.80 vs 1.48; p<0.05) and poorer body image (36.63 vs 51.69; p<0.05) compared to the patients who were unemployed. Higher education (10.58, standard error (SE)=7.63) and family income (12.88, SE=5.08) was positively associated with better body image after adjusting for age, disease stage at diagnosis, current treatment status, and breast surgery type. Similarly, patients who were married and who had higher education had better quality of life were statistically significant in the multivariate models. Conclusions: Socioeconomic status is significantly associated with altered appearance distress, body image, and quality of life in Korean women with breast cancer. Patients who suffer from altered appearance distress or lower body image are much more likely to experience psychosocial, physical, and functional problems than women who do not, therefore health care providers should be aware of the changes and distresses that these breast cancer patients go through and provide specific information and psychosocial support to socioeconomically more vulnerable patients.

특수 언어발달 장애 환아의 임상 및음향음성학적 특성연구

김연희,박세훈,신용일,김찬양,김현기,김정수 大韓再活醫學會 2000 Annals of Rehabilitation Medicine Vol.24 No.1

역사교육에서 '가학기술사' 교육의 의의와 교재 개발의 방향

장세옥,이명희 한국사회과교육연구학회 2004 사회과교육 Vol.43 No.1

본 연구에서는 과학기술사 교육을 역사교육에서 접근한다면 다음과 같은 의의가 있음을 고찰하였다. 첫째, 역사적 방법의 특성을 살려 종합적으로 접근함으로써 과학기술사의 내용과 발달과정 및 그 배경과 영향을 종합적으로 파악할 수 있다. 둘째, 근거에 입각하여 사실을 주장하고 판단하는 역사적 방법과 과학의 본질인 합리성을 통해 시민적 자질의 기초를 육성할 수 있다. 셋째, 과학기술을 삶과 분리된 현상으로서가 아니라 인간생활의 한 양식인 문화로 인식하는 데 유용하다. 넷째, 역사교육의 내용이 정치, 경제, 사회, 문화의 측면에서 선정되고 구성되는 종래의 틀에서 벗어나 과학기술의 내용과 발전 과정을 중요한 내용으로 다룸으로서 역사교육의 내용과 소재를 풍부하게 할 수 있다. 다섯째, 과학적 문제의 해결과정과 사고의 발전과정을 추체험적으로 이해함으로써 역사적 사고력을 효과적으로 육성할 수 있다. 그리고 역사교육에서 과학기술사 교재 개발은 다음과 같은 방향에서 이루어지는 것이 바람직함을 고찰하였다. 첫째, 과학기술의 내용과 발전 과정 및 그 영향을 당시의 역사적 배경과 더불어 종합적으로 접근한다. 둘째, 과학의 합리주의적 정신이 과학기술사를 통해 어떻게 실현되며 또 그것이 당시의 사회생활에 어떠한 변화를 초래하였는지를 역사적 사례를 근거로 활용하여 실감할 수 있도록 한다. 셋째, 역사적 상황과 현실 속에서 새로운 과학기술의 발명과 문제해결이 구체적으로 어떻게 진행되는지 그 사고의 과정을 추체험할 수 있도록 새로운 과학기술의 내용뿐만 아니라 이를 발명하고 이끌어간 사람들의 삶과 경험 등을 소재로 교재를 개발한다. 넷째, 과학기술사를 통해 역사의 핵심 개념인 '변화와 계속성', '원인과 결과'를 학습하여 궁극적으로 역사이해의 폭을 넓힐 수 있도록 교재를 개발한다. 다섯째, 과학기술을 잘못 사용하여 생긴 인류의 위기를 극복하기 위한 방안으로 인간·자연·과학기술이 공존하는 '생태학적 문화관'에 입각한 교재를 개발한다. This survey is to look over The Educational Meaning of Science- Technology History in History Education and The Guideline of Textbook Development, as a process of a textbook research in history education to teach 'Science-Technology History' effectively. Nowadays, Science-Technology History in Secondary class is to list only the events of Science-Technology, so it is difficult to comprehend the overall development of Science-Technology. There was no complete textbook and learning model used in the history class concerning the developmental stages, the contents of change, and the social influences of Science-Technology. In this respect, this survey is focused on the whole comprehension of Science-Technology, by enriching the contents as culture, by reflecting the historical and social changes, and by combining mult7i-discipline. The Education of Science-Technology History can be expected to be most effective in history class than any other class due to its overall comprehension, and can be helpful for growing up the scientific rationality, one of the democratic Qualities. In addition, teaching materials are enriched by adding Science- Technology to culture. The Guideline of Textbook Development is as follows; to comprehend the whole social phenomena related with Science-Technology; to get the experience shared in the past by re-enactment; to comprehend the main concept of history such as 'change and continuity' and 'cause and effect'; and finally to develop the textbook in terms of 'Physiological Culture' to coexist with Science-Technology.

株主의 代表訴訟制度에 관한 硏究 : 1993년 日本改正商法과의 比較 Comparative Study with 1993 Reformed Japanese Commercial Act

鄭世喜 東亞大學校 1996 東亞論叢 Vol.33 No.-

This article analyzed the derivative suit reforms in 1993 Japanese Commercial Act, including comparison with Korean Commercial Act. It also examined the theoretical cases reformed in 1993 Japanese Commercial Act to Propose the direction of Korean Commercial Act. Finally, it concluded that 1993 reformed Japanese commercial Act is better than the existing law, but it has inconsistent problem with other aspects of the corporate governance sheme, and it may not be easy to implement.

多數의 品質特性을 동시에 管理하는 品質管理 技法에 대한 文獻的 考察

安世熙,李鍾盛 江原大學校 産業技術硏究所 1986 産業技術硏究 Vol.6 No.-

Multicharacteristic quality control is concerned with monitering production processes and inspecting the quality of a lot when the state of a process or the quality of an item is determined by a number of quality characteristics. This paper reviews procedures currently available for multicharacteristic quality control when the quality characteristics are either variables or attributes.

항공사의 운항품질에 영향을 미치는 항공종사자의 관계에 관한 연구

은희봉,최세종 한국품질경영학회 2003 품질경영학회지 Vol.31 No.4

The primary purpose of this paper is to determine the impact of shared values, conflicts and balanced power that reside in the relationships between airline maintenance engineers and pilots who are considered to be core components in operating aircraft. the lower the conflicts, and the more balanced power between those two parties, the higher the mutual trust and job satisfaction levels. It was also found that the quality of flight operation changes depending on the mutual trust and job satisfaction levels. These results clearly show that the quality of flight operation is directly related to the interactions among two parties and feelings for each other in an environment where mutual dependencies are highly required. According to the analysis, the higher the shared values,

내사절개 치은 절제술을 이용한 Dilantin성치은 증식증의 치료 증례

오세영,이광희 大韓小兒齒科學會 1993 大韓小兒齒科學會誌 Vol.20 No.2

The most successful method of preventing Dilantin gingival hyperplasia is that of establishing and maintaining sound, conservative periodontal therapy. Treatment in patients in whom discontinuance of Dilantin is not feasible, and in whom other conservative measures have failed, consists of removal of the hyperplasia by gingivectomy. Routine gingivectomy techniques with external bevel may have delayed healing, postoperative pain, esthetic problems due to incision of keratininzed epithelium. Gingivectomy with internal bevel instead of external bevel, has produced esthetic effect by preservation of attached gingiva width, postoperative pain relief, short healing period by decrease of wound areas.