담관결석증이 동반된 담도회충증 1예

주봉덕,유철재,이헌영 충남대학교 의과대학 지역사회의학연구소 1990 충남의대잡지 Vol.17 No.1

Biliary ascariasis results not only in biliary tract disease, but also in secondary stone formation, hemorrhage into biliaty tract, acute cholecystitis, biliary perforation, invasion to pancreatic duct, pancreatitis, he%atitis, and liver abscess. In recent, we experienced a case of biliary ascariasis with concomitant biliary stones, which was identified by ultrasonogram percutaneous transhepatic cholangiography, and computed tomography, thereby reporting it herein with a review of literatures.

연마방법에 따른 탄성의치의 표면거칠기와 Candida albicans의 부착율 변화

오주원,서재민,안승근,박주미,강철균,송광엽 대한치과보철학회 2012 대한치과보철학회지 Vol.50 No.2

연구 목적: 본 연구는 탄성의치 제작 시 주로 사용되는 polyamide를 수종의 연마방법을 사용하여 처리 후 Candida albicans의 부착정도와 표면거칠기를 비교하고자 하였다. 연구 재료 및 방법: 25×15×2 mm 크기의 polyamide 시편을 4군으로 나누어 연마재를 사용하여 기공용 lathe 연마하는 방법(기공실내 연마방법)과 각기 다른 2종의 실리콘 포인트로 진료실내 연마하는 방법, 그리고 실리콘포인트 연마 후 pumice로 연마하는 방법으로 처리하였다. C. albicans의 부착성을 평가하기 위해 5×106 CFU/ml의 C. albicans 현탁액에 시편을 2시간 동안 침적하였고 5회 수세처리 후 한천배지에서 배양하였다. 그리고 주사전자 현미경(JSM-5900, JEOL LTd., Tokyo, Japan) 촬영을 시행하였다. Profilometer (Surf-pak; Kawasaki, Japan)를 이용하여 표면거칠기를 측정하였고 통계처리를 위하여 SPSS 18.0 프로그램을 사용하였다. 일원변량분석으로 비교 분석하였고 사후검증은 C. albicans의 부착성 검증을 위해 Scheffe test를 시행하였으며 표면조도검증을 위해 Tamhane’s T2 test를 시행하였다(α=.01). 결과: 최대 거칠기 값을 보인 군은 2단계의 연마용 버를 사용한 것으로 0.32 ㎛±0.10 값을 나타냈으며, 가장 낮은 거칠기 값을 보인 것은 tungsten carbide를 사용하지 않고 기공용 lathe로만 연마를 한 군으로 0.02 ㎛±0.00의 거칠기 값을 나타냈다. C. albicans 부착 실험에서는 기공용 lathe만을 이용한 연마방법이 가장 적은 부착수를 보였으며 다른 세 군과 유의한 차이가 발견되었다(P<.01). 결론: 표면거칠기 및 미생물 부착능 실험 결과 기공실 연마만을 시행한 경우 유의하게 낮은 거칠기 값과 부착율을 보였다. Pumice로 추가 연마한 군은 진료실연마를 시행한 군에 비해 낮은 거칠기 값을 보였으나 C. albicans 부착에 있어서는 유의한 차이를 보이지 않았다(P>.01). Purpose: The purpose of this study was to compare the effect of 3 chairside polishing methods and laboratory polishing methods on surface roughness and C. albicans adhesion of polyamide denture base. Materials and methods: Using contact profilometer, the surface of polyamide specimens (25×15×2 mm) was studied after conventional polishing without finishing and after chiarside polishing with 2 chiarside polishing kits and chairside-pumice polishing following finishing with tungsten carbide bur. To evaluate the adhesion of C. albicans, C. albicans suspension was overlayed on the test specimen. And the specimens were incubated for 2 hours. Imprint culture method was achieved and counted the colony on the agar plate. Polished polyamide were evaluated using a scanning electron microscope. The statistics were conducted using one-way ANOVA and in case of difference, Scheffe test and Tamhane’s T2 test were used. Results: Surface roughness (Ra) of surfaces polished with 2 chairside polishing kits had higher than conventional polishing and pumice polishing. The highest roughness value was 0.32 ± 0.10 ㎛, and the lowest was 0.02 ± 0.00 ㎛. The adhesion of C. albicans on the specimens polished with chairside polishing group and pumice polishing group were increased than conventional polishing group (P<.01). Conclusion: Conventional laboratory polishing was found to produce the smoothest surface and the lowest adhesion of C. albicans. Two groups polished with Chairside polishing kits were similar with respect to surface roughness. Surface of the specimen polished with pumice is significantly smoother than 2 chairside polishing groups, but the result of C. albicans adhesion is that group polished with pumice was similar with 2 chairside polishing groups (P>.01).

신조 의태어의 실태와 문제

박철주 한국어학회 2007 한국어학 Vol.35 No.-

The purpose of the present paper offers an analysis of the newly-coined mimetic word. We encounter new mimetic word in these days. Also the newly-coined mimetic word has very various forms. The newly-coined mimetic word is accomplished by 'mimetic word of facial expression', 'mimetic word of body operation', 'mimetic word of operation of thing', and 'mimetic word of situation expression'. The newly-coined mimetic word consists of newly creation, modification of general mimetic word, borrowing from adverb, adjective, verb, and borrowing from foreign language. However, the newly-coined mimetic word escapes from the environment of communication of internet, and the broadcasting is using it mimetic word recently even from publication. This problem is very serious against the mimetic word. Therefore, this research will discuss this problem.

광범위 베타 락탐계 항생제 분해 효소를 생성하는 폐렴간균에 의한 균혈증이 발생한 환자에서 감영의 위험 인자 및 치료 결과

강철인,김성한,방지환,김홍빈,박상원,최영주,오명돈,김의종,최강원 대한감염학회 2003 감염과 화학요법 Vol.35 No.2

목적 : 본 연구는 ESBL을 생성하는 K. pneumoniae에 의한 균혈증 환자에서 감염의 위험 인자 및 치료 결과를 알아보고자 시행하였다. 방법 : 1998년 1월부터 2002년 4월까지 혈액 배양 검사에서 동정된 K. pneumoniae를 대상으로 NCCLS guidelines과 이중 디스크 확산법(double-disk diffusion test)을 이용하여 ESBL 생성 여부를 확인하였다. ESBL 생성 균주에 의한 균혈증 환자 60명(환자군)에 대해 ESBL을 생성하지 않는 균주에 의한 균혈증 환자들(대조군)을 연령, 성별, 균혈증 발생 시점을 고려하여 1:2 또는 1:3으로 배정하였다. 총 159명의 대조군을 선정하였고 후향적인 환자-대조군 연구를 시행하였다. 결과 : 환자군과 대조군 사이에 연령, 성별, APACHE Ⅱ score, 주된 감염 부위의 유의한 차이는 없었다. ESBL을 생성하는 K. pneumoniae에 의한 균혈증이 발생할 독립적인 위험 인자에는 요관 삽입, 균혈증 발생 이전 72시간 동안 침습적인 시술을 받은 경우, 균혈증 발생 이전 30일 동안 투여받은 항생제 개수가 있었다. 초기 항생제 치료 72시간 후의 반응을 평가하였을 때, 완전 반응(complete response)은 대조군에서 더 많았고(13.3% vs. 40.3%, P<0.001), 치료 실패(treatment failure)는 환자군에서 더 많았다(33.3% vs. 11.9%, P<0.001). 7일 사망률은 환자군에서 20% (12/60), 대조군에서 15.6% (25/159)이었고(P=0.451), 30일 사망률은 환자군에서 30% (18/60), 대조군에서 24.5% (39/159)이었다(P=0.410). ESBL 생성 균주에 의한 균혈증이 있는 환자들에서 최종 항생제 치료가 부적절했던 환자들을 제외하고 30일 사망률을 분석하였을 때 효과적인 항생제 치료의 지연은 사망률을 높이지 않았다(11.1% vs. 9.1%, P=1.000). 결론 : ESBL을 생성하는 K. pneumoniae에 의한 균혈증이 있는 환자에서 초기 항균제 치료 72시간 후의 치료 반응률은 낮지만 사망률은 유의하게 증가하지 않았다. 원인균이 동정된 후 최종 치료 항생제의 선정이 적절하다면 초기에 효과적인 항생제 투여의 지연은 사망률을 유의하게 증가시키지는 않았다. Background : This study was conducted to evaluate risk factors for infection and treatment outcome of bloodstream infection due to extended spectrum β-lactamases(ESBL)-producing K. pneumoniae. Methods: ESBL production was evaluated by NCCLS guidelines and/or double-disk synergy test in K. pneumoniae blood isolates stored from January, 1998 to April, 2002. Sixty patients with bloodstream infection due to ESBL-producing K. pneumoniae (case patients) were compared with 159 matched control patients with bloodstream infection of non-ESBL-producing K. pneumoniae. Retrospective case-control study was performed. Results : There were no significant differences in age, sex, APACHE Ⅱ score, and the primary site of infection between the case and control groups. In multivariate analysis, significant independent risk factors associated with bloodstream infection due to ESBL-producing K. pneumoniae were urinary catheterization, invasive procedure within previous 72 hours, and the number of antibiotics administered within previous 30 days. In clinical response at 72 hours after initial antibiotic treatment, complete response rate was higher in the controls (13.3% vs. 40.3%, respectively, P<0.001), however, treatment failure rate was higher in the cases (33.3% vs. 11.9%, respectively, P<0.001). Overall 7-day mortality rates in the cases and the controls were was 20% (12/60) and 15.7% (25/159) (P=0.451), respectively, and overall 30-day mortality rates were 30% (18/60) and 24.5% (39/159), respectively (P=0.410). When the patients with bloodstream infection of ESBL-producing organism were evaluated and the patients who received inadequate definitive antibiotic treatment were excluded, delayed effective antibiotic treatment was found to be not associated with higher mortality. Conclusion : In patients infected with ESBL-producing K. pneumoniae bacteremia, clinical response rate at 72 hours after antimicrobial therapy was lower, but the increase of mortality rate was not significant. Delayed effective antibiotic treatment was not associated with higher mortality, when definitive appropriate antibiotic treatment was prescribed.

실사 노면 영상에 기반한 헤드램프의 배광 해석 알고리즘

이철희,오주환 경운대학교 산업기술연구소 2001 産業技術硏究論文誌 Vol.3 No.2(A)

자연정화공법에 의한 하수처리장에서 최적 여재 선정

서동철,이홍재,조주식,박현건,김형갑,허종수 한국환경농학회 2003 한국환경농학회지 Vol.22 No.1

농어촌 등에서 소규모로 발생하는 하수를 환경친화적이고 높은 하수처리효율을 유지하면서 하수처리장의 장기간 사용을 위한 최적의 여재를 선정하기 위하며 자연정화공법을 이용한 소형하수처리장치를 호기성조 및 혐기성조로 구분하여 시공한 다음, 하수처리량 및 여재 입경별 수처리 효율을 조사하였고, 호기성조와 혐기성조에서 여재 입경별 하수의 투수속도를 조사한 결과는 다음과 같다. 호기성조 처리수 및 방류수중의 pH 및 EC는 여제입경에 따라서 별 차이가 없었고, 용존산소는 호기성조를 동과한 호기성조 처리수의 용존산소는 큰 폭으로 증가하였으나 혐기성조를 통과한 방류수의 용존산소는 호기성조 처리수에 비해 약간 감소하여 여재입경 및 하수처리량에 따라서 별 차이가 없이 약 2.4~5.1 mg/L정도이었다. BOD,000 및 탁도 처리율은 여재 대(4~10 mm)를 사용했을 경우에도 호기성조 처리수에서 BOD 처리율은 약 91%이상, COD 처리율은 73%이상, 탁도 처리율은 83%이상이었으며, 이들 처리율은 여재입경이 작을수록 증가하였고 모든 조건에서 방류수중의 BOD 처리율은 98%이상, COD 처리율은 91%이상, 탁도 처리율은 98%이상이었다. 여재입경별 총 질소 및 총 인 처리율은 여재입경이 작을수록 약간 증가하였고, 모든 조건에서 방류수중의 총 질소 처리율은 약 45~59%, 총 인 처리율은 약 80~96% 정도이었다. 하수 처리율 및 투수속도를 고려해 볼 때 하수처리장 호기성조의 최적입경은 2~4 mm정도 혐기성조의 최적입경은 0.1~4 mm정도가 적절한 젓으로 사료되었다. 따라서 이러한 조건을 자연정화공법을 이용한 하수처리장에 적용하면 높은 하수처리효율을 유지하면서 하수처리장의 공극폐쇄현상이 일어나지 않아 장기간 운전할 수 있을 것으로 판단된다. An investigation was carried out to evaluate the effects of pebble size on the small-scale sewage treatment apparatus by natural purification method that consisted of aerobic and anaerobic plot pH and EC in both plots varied minimally regardless of pebble size. DO in aerobic plot increased as the pebble size decreased. That in the anaerobic plot was slightly less in comparison with that of the aerobic plot, but varied minimally, 2.4~5.1 mg/L regardless of pebble size. Under all experimental conditions, removals of BOD, COD and turbidity in anaerobic plot were more than 98, 91 and respectively. Removals of T-N and T-P increased as pebble size decreased. Under all experimental conditions, removals of T-N and T-P in anaerobic plot were about 45~59 and 80~96%, respectively. Judging from the above results, it should be considered that the optimum pebble size and pebble permeability in both plot was 2~4 mm and 0.1~4 mm, respectively.

자연정화공법에 의한 소형 하수처리장치 개발을 위한 최적 깊이 및 호기ㆍ협기 비율

서동철,박미령,곽내운,황하나,이홍재,조주식,허종수 한국환경농학회 2006 한국환경농학회지 Vol.25 No.1

맞춤형 취업지도 방안 연구 : 순천향대학교 사회과학대학 졸업생들을 중심으로

김현철,김홍진,윤주명,김재필 순천향대학교 사회과학연구소 2007 순천향 사회과학연구 Vol.13 No.1

The purpose of this study was to develop a foundation for planning a customized job guidance system for social science major students at Soonchunhyang University, In order to suggest a practical implication related to the student support system, the recent graduates of the College of Social Science at Soon chunhyang University were surveyed. A total of 110 graduates representing all majors of this college, Participated in this study. According to the empirical results, it appeared that a college-wide strong job search guidance system which are structured focusing on sharpening foreign language and interview skills should be initiated. The implications of the result are discussed to construct a customized career planning guidance svstem for social science majors at Soonchunhyang University.

현상학적 신체관념의 고찰

황철문,우현주 釜山大學校 附設 體育科學硏究所 1993 體育科學硏究所 論文集 Vol.9 No.-

This thesis of to establish the general idea of body movement as an objective which furnishes the basis of the science of physical education and dance. To understand the physical being and body activity, phenomenologists have examined the physical being and body activity and have clarified this newly existent field which surpasses the duality of the human body. In traditional philosophy, it has been thought in pure ego that the subject of sensation without the body can be exist. Also, absolute knowledge can be obtained when the mind transcends the body, with the thought body considered lower level than the mind. Challenging this notion of physical being and bringing out new physical being in to the science of physical education and dance was phenomenologists' theory. Phenomenologists have in common when examined the following: 1. Body and mind not independently separated, but both are organically associated and together form the mind-body as a unified entity. 2. Body is understood as a middle agent to consciousness and the surrounding world. "I" exists in the world and with the world and can experience selfness, but the chief object of experiencing "I" is body. 3. Body, which is the center of all the orientation plays the fundamental role of knowledge. The perspective of the surrounding world is centered down to "I" and the body that senses the surrounding world is the most important basis for understanding. 4. Body can not be materially understood, but body is worthy when it exists as a specific living body.

유산균의 배양 및 건조조건에 관한 연구 : 제1보 유산균의 배양조건에 관한 연구 partⅠ.Optimum Cultural Conditions of Lactic Acid Bacteria

신원철,윤주천,김갑수,최승락,이근억,유주현 江原大學校 産業科學硏究所 1981 産業技術硏究 Vol.1 No.-

In order to use as a starter after drying, optimum growth conditions of Str. thermophilus and L. bulgaricus were investigated. The results were as follows. The growth of Str. thermophilus was reached at stationary phase after 12 hours incubation and L. bulgaricus was after 6 hours. Str. thermophilus was grown well, in the medium containing 10% of skim milk, 2%5 of sucrose, 0.1% of KCl and 0.015%(v./v.) of soy-sauce. In the case of L. bulgaricus, 10% of skim milk, 2% of glucose, 0.5% of bacto-peptone, 0.1% of K₂HPO₄ and 0.02% of pyridoxine was suitable for the maximum growth.