국가예방접종전산등록체계 개발을 위한 민간의료 기관 하부구조 및 환경 조사연구

이무식,김은영,이건세,이석구,홍지영,김건엽,김대경,신의철,이연경,기몽서,나백주,김영택 한국모자보건학회 2003 한국모자보건학회지 Vol.7 No.2

복식 전자궁적출술후 절단부에 발생한 난관탈출증 1예

송은석,이해혁,김태희,김정식,남계현,이권해,고은석 순천향의학연구소 2004 Journal of Soonchunhyang Medical Science Vol.10 No.2

Prolapse of the fallopian tube into the vaginal vault after hysterectomy is a rare complication. Since most of cases may resolve before detection or remain undiagnosed, the exact incidence is still unknown. Though most common sign of tubal prolapse is tender friable tissue in vaginal cuff, with the simptoms of lower abdominal pain, dysparenunia, vaginal discharge, or postcoital spotting. The definitive diagnosis should be confirmed histologically Recently, we experienced a case of fallopian tube prolapse after abdominal hysterectomy in a 41-year-old woman and report with a brief review of the literature.

조혈모세포이식 환자에서 침습성 진균 감염에 대한 Micafungin의 예방 효과 및 안전성

김시현,이동건,최수미,권재철,박선희,최정현,유진홍,이성은,조병식,김유진,이석,김희제,민창기,조석구,김동욱,이종욱,민우성,박종원 대한감염학회 2010 감염과 화학요법 Vol.42 No.3

Background: Micafungin, a potent inhibitor of 1,3-β-D-glucan synthase, is a novel antifungal agent of the echinocandin class. In vitro study showed that micafungin was effective against Aspergillus species as well as Candida species, but clinical data on the prophylactic efficacy against invasive fungal infections (IFIs) other than candidiasis are still lacking. Materials and Methods: We identified 60 consecutive adult hematopoietic stem cell transplantation (HSCT) recipients who received at least 3 doses of micafungin during neutropenic period. Micafungin was started as an alternative in patients who were intolerant or had adverse events (AEs) to primary prophylactic antifungal agents. We retrospectively reviewed the medical records and analyzed the efficacy and safety of micafungin for prophylaxis against IFIs. Results: The patients either had autologous (n=9) or allogeneic (n=51: 1 syngeneic, 24 sibling, 26 unrelated donor) HSCT. Itraconazole oral solution (n=58) was the most frequently used first line antifungal agent for prophylaxis and was administered for median 11 days. The most frequent cause of switch to micafungin was vomiting (n=42). The duration of neutropenia and micafungin administration was median 13 and 12 days, respectively. A successful outcome was achieved in 45 (75%) patients. Empirical antifungal therapy was initiated in 13 (22%) patients. There were 2 cases (3.3%) of breakthrough fungal infections which comprised a probable invasive pulmonary aspergillosis and a possible invasive fungal sinusitis. There was no case of invasive candidiasis. A total of 53 (88%) patients experienced at least one AE regardless of causality during micafungin administration. The most frequent AEs were hypokalemia, vomiting, diarrhea, and elevated serum aspartate aminotransferase or alanine aminotransferase. Among the aforementioned AEs, only 1 case of diarrhea could be classified as a probable relation with micafungin when causality was assessed. There was no AEs that caused discontinuation of micafungin. Conclusions: Micafungin seems to be a safe and effective agent for prophylaxis of IFIs including aspergillosis as well as candidiasis in HSCT recipients. However, further large, prospective, and randomized comparative studies are warranted for aspergillosis.

횡문근융해증과 경한 신손상을 동반한 급성 A형 간염 1예

조규민,김창욱,성현진,허준,전부석,이종환,심은희,이석종,이창돈 영남대학교 의과대학 2012 Yeungnam University Journal of Medicine Vol.29 No.1

A 48-year-old male visited the emergency room of the authors’ hospital due to nausea, vomiting, and myalgia for four days. Acute hepatitis A was identified from the serologic marker of the hepatitis A virus. Mild elevation of the serum creatinine and creatinine phosphokinase(CPK) suggested rhabomyolysis, which was confirmed with the serum aldolase, myoglobin, and urine myoglobin. With supportive care, both the liver and renal func- tions were recovered gradually and fully. This case shows that rhabdomyolysis can be one of the mechanisms of renal complication in cases of acute symptomatic hepatitis A.

식품 기준·규격의 합리적 관리 ·운영에 관한 연구(Ⅰ) : 두부,식용유지, 전분의 분말상 원료에 관하여 Powdered marerials of Tofu, Edible oil, Starch

김희연,홍진환,박혜경,한상배,박종석,이은주,이정성,송경희,최은희,최영준,소경아,성영제,이주엽 식품의약품안전청 2000 식품의약품안전청 연보 Vol.4 No.-

본 연구는 분말상 원료(전분, 대두분)의 저장유통시 품질변화를 건전성과 안전성 측면에서 검토하여 식품의 기준 ·규격 설정f.」 합지적으로 반영하고자 하였다. 전분과 패두분의 이물을 검사하고, 2종 대두분(중국산, 미국산)을 ?0일간 IS'c와 30t에 저장하면서 성상, 수분, 산가, 과산화물가, 지방산 조성,아플라톡신 BB의 생성여부를 분석하였다. 중국산 대두분 30'』 저장군에서 50일 이후 곰팡이가 발생한 것 이외에 모든 시료에서 양호한 성상을 나타내었고, 전분과 대두닥 모든 시료에서 이물은 검출되지 않았다. 산가는 중국산과 미국산 시료간에 편차를 보여 증국산 30"C, 50일 저장시료에서 약 10배끙도 증가하였고, 과산화물가는 저장 90일후 15'E 저장군은 약 2.3배, 30'c 저장군은 3배정도 증가하였다. 대두분의 주요 지방산은 linoleic acidf18. 2), oleic acid(18 : 1), palmitic acid(16 : 0)이었으며, 3개월 저장에 따른 지방산 함량의 변화는 미미하였다. 아플라톡신 B₁은 모든 시료에서 검출되지 않았다. The objective of this study was to investigate auality changes of type raw materials(starch, soy flour) during various storage conditions. Starchflour(source of China, U.S.A) were slfred under two temperature(15'C, 30'c) forSensory evaluation, (o.reign material test, moisture content, acid value, peroxide ualue,composition, aflatorin Bi were analyzed. China soy flour(stor·ed 30'f) was contaminated by fungj on 50 days. Except for soy flour contardnated by fungi, sensory characteristics were not changed and foreign mater;als were notdetected. Acid value of China soy flour(stored at 30'C, 90 days) was about 10 times higherlevel before storage and acid value was more influenced by source(China, USA). Peroxide valuewas in proportion with the storage period slightly. The major fatty acid of soy flour waslinoleic acid(18 . 2), an(3 the change of fatty acid composition was not observed. Aflatoxlrl Blwas not detected.

당뇨병 및 간병변증 환자에서 발생한 Fusarium verticllioides에 의한 피부 감염 1예

이석종,전영민,원지연,송은섭,최용우,김한욱 예수병원 1998 예수병원학술지 Vol.19 No.-

지역사회에 봉사하기 위한 복합 다기능교회당 계획안 : 세속석 이용(secular use)의 증진을 위한 열린 교회 디자인 방법 연구

이은석,한요섭 경희대학교 디자인연구원 2004 예술· 디자인학연구 Vol.7 No.1

This paper aims to propose the model of the multi-functional church as a community center. It is based on the background of modern theology and the responsibilities of church itself. Current issues on the contemporary church are 'serving community', 'raising efficiency', 'focusing on other than worship space', and 'raising flexibility'. This study is focused on the efficiency and flexibility to house the complex programs in the same space without losing the original quality of each program.

공통과학(화학) 수행평가의 적용 효과

이석희,이상은,박종근,문성배 부산대학교 사범대학 과학교육연구소 2001 科學敎育硏究報 Vol.28 No.-

The purpose of this study is to examine the effects of the application of experimental practices, descriptive tests, and research papers among the performance assessments on the students' accomplishment, their scientific research abilities and their attitudes to science in high schools. Two classes among the first grade ones were selected and assigned to the control group and the experimental group respectively. T-analysis of pre-test showed that the two groups have the same quality(p>.05). The questionnaire made by the Korean Educational Development Institute(KEDI) was used. Its reliability is .689. The experimental process was evaluated on the basis of the criterion table and reports. T-tes and ANOVA were enforced with the SPSS/WIN(ver10.0) for the purpose of analyzing the mean difference between the two groups. The results of this study are as follows. First, though the application of the performance assessments showed that there were little significant differences between the scientific research abilities of the experimental group with the experimental practice and those of the control group(p>.05), and the results of the pre-test and the post-test on the experimental group revealed that there were significant effects on improving the students' scientific research abilities(p<.05). Second, the result of the test using ANOVA at each research course factor showed that there was no significant difference at most research course factors that there were significant differences between the two groups in expanding the scientific research abilities of classification and measurement(p<.05). Finally, the results of the pre-test and the post-test by application of the performance assessments showed that they had significant effects on changing the students' attitude to science subject positively(p<.05). In addition, the results of the pre-testing and the post-testing on the sub-factors of the attitude related to science showed that there were significant changes in the concept of 'self-consciousness' and the attitude to learning(p<.05). In conclusion, the application of the performance assessments has positive effects on improving the high school students' scholastic achievement, scientific research abilities, and attitudes to related to science. Consequently, science teachers should be willing to use various performance assessments in the class.

工事 管理業務에 관한 意識調査 : 韓國 現場 工事管理者의 業務에 관한 意識을 中心으로 The Case study of General Contractor Managers' in Korea

이은석,嘉納成男 대한건축학회 2004 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.24 No.1

The purpose of this study is to analyze the consciousness of job site management by the general contractor managers' in Korea. The results of this study are as follows: 1. The highest value of doing in B job-site is 「Drawing check」. Importance (4.0 point), Dependence to knowledge and experience (3.5 point), Time to do work(3.5 point) are highly evaluated. This is common in the site of the framework. 2. In the case of H job-site is 「Drawing check」 and 'Various construction planning and scheduling are highly evaluated. Value of doing and Importance are 3.3 point. This is the meaning of importance of planning on the finish processing. 3. Highly evaluated items of the J job-site is 'Periodical meeting with a subcon.(3.8point)」. This grasps a problem beforehand through the periodical deliberations with a subcon. at the sheathing work. 4. K job-site recognizing value of doing and importance 「Safety ceremony, TBM」is highly(3.8point), compared with knowledge and time.

김천대학생들의 구취인지 실태에 관한 조사연구

이은숙 ; 김혜진 ; 김희천 ; 최옥선 김천대학교 2003 김천대학교 논문집 Vol.24 No.-

To help the guidance of treatment method, prevention of halitosis, and oral hygiene management for halitosis patient or non-halitosis group for investigating the status in accordance with awareness of halitosis to improve the oral health for college students, the survey including ques- tionnaire was performed for 331 persons of students who is studying in the Gimcheon college located in the northern province of Kyeongsang-Do. As a conclusion, the following data are obtained. 1. For the question of "I am acknowledging the halitosis", the replying person were 123 persons (37.2%), including men-69 persons(20.8%), women-54 persons(16.3%), So, in case of the ratio of acknowledging the halitosis, men was higher than women. On the contrary, for the question of "I do not acknowledging the halitosis", men-68 persons (20.5%), women-140 persons(42.3%), So, in case of the ratio of non-ackowledging the halitosis, men was much higher than women. 2. For the question of "When did you acknowledge the halitosis at most in the whole day?", total of 127 persons(38.4%) said "as soon as get up" out of the 183 persons (55%) who acknowledging the halitosis. The remaining replies were followed in the order of "before breakfast", "after breakfast", and "before sleeping". 3. In the status of oral hygiene, it showed that the persons who acknowledge the halitosis acts positively the frequency of toothbrushing (more than twice a day), method of toothbrushing, and brushing the tongue than the persons who do not acknowledge the halitosis. 4. In the status of smoking habits, there was no increment according to the duration of smoking, but in the status of amount of smoking, the persons who smokes less than half carton a day were 20 (6.0%), half through one carton a day were 31 (9.4%). So, it showed that the amount of smoking is affected to the cause of halitosis. 5. The ordinary prevention methods for oral hygiene according to the awareness of halitosis were investigated in the order of toothbrushing/brushing the tongue (37.3%), chewing the gum (33%), and using the rinsing liquids (12.4%).