2003년 국내 중증급성호흡기증후군 진료 현황 및 문제점 분석

이진수,김은실,정문현,백제중,정선화,안주희,최영화,이선희,고철우,김성범,김민자,박승철,기현균,송재훈,최상호,김양수,이상오,조용균,박영훈,정숙인,김연숙,이흥범,손창희,장성희,정희진,김우주 대한감염학회 2004 감염과 화학요법 Vol.36 No.3

목적 : 2002년 말 중국에서 SARS가 발생한 이후 국내에서도 2003년 10월까지 총 3명의 추정환자, 17명의 의심환자가 보고되었다. 향후 추가적인 SARS의 유행이 우려되는 상황에서, 그간의 SARS 환자 진료에 있어서의 실질적인 준비사항, 진료 현황 등에 대한 조사를 통해 문제점을 파악하여, 향후 더 나은 대비가 될 수 있도록 개선점을 제시하고자 하였다. 재료 및 방법 : SARS로 의심되는 환자를 진료 경험이 있는 병원의료진을 대상으로 2003년 10월에 설문조사를 실시하였다. 설문에는 SARS 환자 진료 시의 실질적인 조치, 진료 현황, 병실, 응급실 및 외래에서의 격리 시설과 준비사항, 보건당국의 관리와 지원에 관한 사항을 포함하였다. 결과 : 대상이 되는 22개 병원 중 17개(17/22, 77.2%) 병원이 설문에 응하였다. SARS 환자를 위한 격리실은 응급실, 외래, 일반병실 및 중환자실에서 각각 9개(9/17, 52.9%), 5개(5/17, 29.4%), 15개(15/16, 93.7%), 4개(4/16, 25%) 병원에서 음압처리가 되어있지 않은 일인실 혹은 다인실이 사용되었고, 1개(1/16, 6.3%) 병원에서만 일반병실에서 음압격리실이 운영되었다. 입원환자의 진찰 시 개인보호구의 착용은 거의 모든 의료기관에서 이루어졌다. 보건당국에서 SARS지정병원의 시설 등을 사전에 확인한 곳은 1곳(1/12, 8.3%)이였고, 14개 병원(14/15, 93.3%)에서는 보건당국에 의뢰한 검사결과를 통하 받지 못하였다. 결론 : 의료기관에서 SARS 환자용 격리실뿐만 아니라 기존의 격리실 설비 등이 미흡하였으며, 특히 중환자실 및 외래의 준비가 더욱 부족하였다. 보건당국의 의료기관에 대한 종합적인 지원이 부족하였고, 병원과의 원활한 연계가 잘 이루어지지 않았다. SARS 만이 아닌 격리를 필요로 하는 질환의 적절한 진료를 위해 향후 병원 시설의 정비와 정부차원에서의 보다 구체적이고 실질적인 대책마련이 필요하다. Background : There was an worldwide outbreak of the Severe Acute Respiratory Syndrome (SARS) originated from China in late 2002. During that period three cases of suspected SARS and 17 cases of probable SARS were reported in Korea. With the concerns about the reemergence of SARS-coV transmission, it is important to be prepared for any possibility. So, this study is aimed to analysis the past measures in managing SARS and propose the amendatory plans to improve the preparedness. Materials & Methods : Questionnaires were collected among clinicians with any experience in managing the probable or suspected SARS cases in Oct. 2003. 17 out of 22 hospitals responded to the questionnaire. The contents in the questionnaire were practical activities, personal equipments, response plans, isolation facilities in emergency centers, outpatient clinics, general wards and intensive care units, and relationship with the public health department. Results : The dedicated isolation rooms in emergency centers, outpatient clinics, general wards, and intensive care units were prepared in 9 (9/17, 52.9%), 5 (5/17, 29.4%), 15 (15/16, 93.7%), and 4 (4/16, 25.0%) hospitals, respectively. Except for one hospital that newly made negative pressure room for SARS, single or multi-bed rooms without airborne infection control were used in all the other hospitals. The personal precaution principles were kept quite well in general wards. Before the designation of SARS hospital by the public health department prior evalution to see if the hospital was suitable for managing SARS was conducted in only 1 (1/12, 8.3%) hospital. The results of laboratory diagnosis were reported back in 1 (1/15, 6.6%) hospital. Conclusions : The isolation facilities which can control airborne infection were almost deficient not only for SARS but also for other respiratory transmissible diseases. For the infection control of transmissible diseases including SARS, more investment is needed on medical facilities and comprehensive support from the public health department required.

NFI-C 결손 생쥐의 상아모세포 분화과정에서 DSPP와 BSP mRNA의 발현

정현구,이창섭,,이상호,이난영,김홍중,박주철 大韓小兒齒科學會 2005 大韓小兒齒科學會誌 Vol.32 No.4

NFI-C는 정상적으로 상아모세포, 골모세포에 존재하며,NFI-C가 결손된 경우 치근상아질을 형성하는 상아모세포의 분화에 이상이 있다고 알려져있다. 본 연구는 NFI-C(-/-) 생쥐에서 치관 및 치근의 상아질을 형성하는 상아모세포의 표현형을 상아모세포에 특이적으로 발현하는 DSPP와 골모세포에 특이적으로 반응하는 BSP 유전자를 이용한 in-situ hybridization을 통하여 연구하여 다음과 같은 결과를 얻었다. 1.NFI-C(-/-) 생쥐의 구치에서 치관 상아질은 정상적으로 형성되었으나, 치근 상아질은 형성되지 않았다. 2.NFI-C(-/-) 생쥐의 하악 절치의 순측 상아질은 비교적 많이 형성되었으나, 설측의 상아질은 형성되지 않았다. 3.NFI-C (-/-) 생쥐의 하악 절치의 상아모세포는 형태가 변화되었으며, 형성된 상아질 내에 세포가 함입되는 양상을 보였다. 4.NFI-C (-/-)생주의 구치에서 치관부위의 상아모세포에서는 DSPP가 강하게 발현되었으나. 치근부위의 상아모세포에서는 발현되지 않았다. 또한 NFI-C(-/-) 생쥐에서 절치의 순측 상아모세포에서는 DSPP가 약하게 발현되었다. 5. 정상 생쥐에서 절치의 상아모세포에서는 BSP가 발현되지 않았으나. NFI-C (-/-) 생쥐에서는 BSP가 강하게 발현되었다. 이상의 결과를 종합하여 볼 때 NFI-C가 결손된 경우 상아모세포가 골모세포로 분화되는 표현형의 변화를 보이는 것으로 사료된다. Nuclear factor I (NFI) exists in the odontoblast and osteoblast.NFI-C null mice demonstrated aberrant odontoblast differentiation, abnormal dentin formation, and molar lacking roots. The purpose of this study was to examine phenotype of the aberrant odontoblast in NFI-C null mice and to evaluate the expression of DSPP and BSP mRNAs in NFI-C null mice with in-situ hybridization. The results were as follows: 1.In the NFI-C (-/-) mice, the crown dentin of molar showed normally formation, but there was no root dentin. 2.In the NFI-C (-/-) mice, the labial dentin of mandibular incisors showed relatively a lot of dentin formation, but the lingual dentin showed defect. 3.In the NFI-C (-/-) mice, the odontoblast of mandibular incisors revealed abnormal shape and trapped in osteodentin-like mineralized tissue. 4.In the NFI-C (-/-) mice, the odontoblast in the crown dentin of molars showed strong expression of DSPP, the odontoblast in the root dentin of molars was not expression of DSPP. In the NFI-C (-/-) mice the odontoblast in the mandibular incisors showed weekly expression of DSPP. 5.In the wild mice, the odontoblasts of mandibular incisors were not expression of BSP, but in the NFI-C (-/-) mice the odontoblast of mandibular incisors showed strong expression of BSP. These results suggest that odontoblst in the NFI-C (-/-) mice changes the phenotype into osteoblast.

항공사 객실승무원의 외향성이 감정노동의 표먼적행동과 내면적행동에 미치는 영향에 관한 연구

정현주 김천대학교 2014 김천대학교 논문집 Vol.35 No.-

Objectives of this study is to examine the effect of extraversion on emotional labor in the airline industry. The data were collected from 328 airline flight attendants and ana-lyzed with SPSS 18.0. In order to identify single regression analysis of extraversion, the principle compo- nent factor analysis with varimax rotation was performed. The single regression analysis was employed to examine the relationship between extraversion factor and emotional labor. The research findings can be summarized as follows. First, extraversion has a negative impact on surface acting for the test of Hypothesis 1-1. Second, extraversion have a positive effect on deep acting for the test of Hypothesis 1-2. The implications of the findings were discussed.

생활치에서 나타나는 치근단 병소 : 보존적 치료 후 자연치유

김현주,이승종,정일영,박성호 大韓齒科保存學會 2012 Restorative Dentistry & Endodontics Vol.37 No.2

It is often presumed that apical periodontitis follows total pulp necrosis, and consequently root canal treatment is commonly performed. Periapical lesion development is usually caused by bacteria and its byproduct which irritate pulp, develop pulpitis, and result in necrosis through an irreversible process. Afterwards, apical periodontitis occurs. This phenomenonis observed as an apical radiolucency in radiographic view. However, this unusual case presents a spontaneous healing of periapical lesion, which has developed without pulp necrosis in a vital tooth, through conservative treatment.

시민참여와 정부신뢰

정수현,강한솔,황은진,이정주,노승용 서울여자대학교 사회과학연구소 2012 사회과학논총 Vol.19 No.-

이 연구는 시민참여와 정부신뢰와의 관계를 분석하는데 그 목적이 있다. 이를 위하여, 이 연구에서는 시민참여를 전통적인 오프라인 시민참여와 디지털 방식인 온라인 시민참여로 그 유형을 분류하고, 오프라인 시민참여와 온라인 시민참여의 경험이 정부신뢰와 어떤 관계가 있는지를 분석하였다. 2차 자료를 활용하여 빈도분석, 교차분석, t-test, 분산분석, 회귀분석 등을 실시한 결과 먼저, 우리나라 시민참여 경험자는 약 22% 정도이며, 오프라인 시민참여 경험자는 약 12%, 온라인 시민참여 경험자는 약 15%, 그리고 온라인과 오프라인 시민참여를 모두 경험한 시민은 약 5% 정도인 것으로 나타났다. 또한, 시민참여와 정부신뢰와는 관계를 분석한 결과 통계적으로 유의미한 관계가 없는 것으로 나타났다. 오히려, t-test 및 분산분석 결과 오프라인 및 온라인 시민참여 경험자에 비하여 무경험자의 정부신뢰 수준이 상대적으로 약간 더 높은 것으로 나타났다. 시민참여의 경험 유무 만으로 정부신뢰를 설명하는데는 한계가 있음을 보여 주는 결과일 뿐만 아니라 시민참여를 제도적으로 보장하는 것에서 나아가서 시민참여가 실질적 효과를 높일 수 있도록 시민참여과정에서 정부와 시민의 보다 적극적인 노력이 필요함을 보여주는 결과라 하겠다. Trust in government adds legitimacy to political system, provides social stability, and helps government to work effectively. In addition it increases cooperation between governments and citizens, and improves effectiveness of government affairs. However, citizens' trust in government has been quite low sine 1990s. In Korea, citizens' trust in government dropped after financial crisis in late 1990s. Various literatures indicated that citizen participation is one of the best ways to increase citizens' trust in governments. Especially as information technology increases, it is expected that citizens acquire information about different policy areas, and actively participate in surveys, discussion, and policy evaluation through internet. This research attempts to prove the relationship between citizen participation and trust in government by comparing online and offline citizen participation. The research utilized 2nd dataset from 'the influence of information on citizens' participation in policy-making.' With various statistical techniques such as frequency analysis, cross tabulation, ANOVA, and regression analysis, the characteristics of offline and online policy participants are examined. The results showed that citizens, who participate in policy-making processes more actively both online and offline, trust in government less. Comparing online and offline participation, online participants distrusted government more than offline participants. Such variables as policy competitiveness, democracy in government, quality of government, and transparency in government have direct influences on trust in government. However, citizen participation is not statistically significant. Key Words:Citizen Participation, Traditional Citizen Pariticipation, Digital Citizen Participation, Trust in Government.

직류 전철 계통의 정류기용 몰드변압기 안전성에 관한 연구

주현정,박현준,김경화 서울産業大學校 2005 논문집 Vol.54 No.3

Electric railroad transformer of a supply of Operation power of DC electric cars is intense Fluctuation of load and flows the only big short-circuit current as a accident of the power system, it is a peculiarity more severe than general power transformer. Consequently, researches the properties about the rectifier mold transformer of DC substation and applies with data of safety of the electric railroad transformer. This paper analyzed a failure mode, the accident occurrence scenario and the be latent dangerous unit against the rectifier mold transformer of DC railway system.

H9c2 심근 세포주에서 외인성 nitric oxide가 허혈에 의한 세포 독성에 미치는 영향

정성구,장현용,김명천,고영관,정주호,배영미,박원서,김대중,유영민,김성수,임성빈 대한응급의학회 2001 대한응급의학회지 Vol.12 No.4

Background: Nitric oxide(NO) is known to have protective effects on an ischemic heart and to exert triggering effects on ischemic preconditioning. However, the effects of NO during the ischemic period have not been investigated. To investigate the role of exogenous nitric oxide in a model of ischemic heart cell death, we studied the effects of ischemic preconditioning and ischemia in a normal and an ischemic buffer. Methods: Rat cardiac myoblast cells(H9c2) were cultured in a normal and an ischemic buffered medium. For the ischemic culture of heart cells, the cells were cultured in a dessicator with GasPak for 5 hrs. In ischemic preconditioning, the cells were pretreated with ischemic buffer for 5 min and then perfused with normal medium for 30 min. For the measurement of the cytotoxicity, a MTT(3-4-Sdimethylthiazol-2-yl-2,5-diphenyl tetrazolium bromide) assay was performed. A DAPI(4',6-diamidino-2-phenylindole dihydrochloride) staining procedure and a flow cytometry analysis were performed to confirm apoptotic cell death by ischemia. Results: Cell viability, as determined by using a MTT assay, showed that the preconditioned group treated with NO showed more cell death than with the not-preconditioned groups in both normal and ischemic buffers. But, In normal medium and not-preconditioned groups, NO showed protective effect according to the concentrations(100,1000μM) . No treatment with NO produced the different results. In normal medium, the protective effect of ischemic preconditioning was demonstrated, but no protective effect of ischemic preconditioning could be seen in the case of the ischemic buffer. The DAPI staining and flow cytometry analysis of heart cells showed characteristic apoptotic features. Conclusion: NO added in the ischemic phase had deterious effects on heart cells. Ischemic preconditioning was more harmful than ischemia alone. The toxicity of the cells was characteristic apoptosis.

정보회전 표시기능을 구비한 RFID 리더내장 단말기

주정현, 구연일, 김석일 충북대학교 컴퓨터정보통신연구소 2008 컴퓨터정보통신연구 Vol.16 No.1

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XML 저장 관리 시스템에서 효율적인 버전 관리 및 문서 저장 방안

정현주,김권양,최재혁 한국컴퓨터교육학회 2003 컴퓨터교육학회 논문지 Vol.6 No.4

빠르게 변하는 정보화 사회에서 방대한 양의 문서 정보를 전자 문서로 만들고 관리하는 것은 필수적이다. 이러한 전자 문서를 표현하는 데 있어서 사용하는 문서 내에 포함된 모든 정보를 손실 없이 저장하고 관리하는데 적합한 언어가 전자 문서의 표준인 XML이다. 본 논문에서는 문서의 변경이 발행한 경우에 문서 전체가 아닌 변경이 발행한 내용만 버전을 부여하고 저장함으로써 저장 공간을 절약하였다. 그리고 문서의 변경 내용이 일정한 크기 이하이면 JOIN 연산을 생략할 수 있도록 시스템을 설계함으로써 JOIN연산으로 인한 시스템의 성능 저하를 줄여 효율적인 XML 문서 저장과 빠른 검색 및 버전 관리가 가능한 방안을 제시하고, 이를 적용한 문서 저장 관리 시스템을 구현하였다. In rapidly changing an information=oriented society, it is essential to control massive document information by electronic file, In relation to these electronic document, it is also important to keep and maintain all kinds of information without any losses. It should be allowed to trace previous contents as well as recently updated contents by controlling updated contents with version. For these, XML is recommendable. In this thesis, we intend to save the document storing space by saving only updated contents with version without saving whole documentation, when document is updated. In case of controlling the history of document update by version, we designed system so as to omit “JOIN operation” if document size is under a certainspecific size. Therefore, we implemented a new XML document repository system which is possible for quick search and efficient XML document saving by reducing perfomance deterioration caused by JOIN operation.

9-12%Cr강의 첨가원소 및 열처리에 따른 미세조직거동과 경도변화

주성욱,유정훈,신기삼,허성강,이재현,석진익,김병훈,김정태 국립7개대학공동논문집간행위원회 2004 공업기술연구 Vol.4 No.-

9-12%Cr steel are getting increasing attention for expanded application as high temperature materials applicable for gas turbine compressors, steam turbine rotors, blade and casing. For efficient and extensive application of 9-12%Cr steel, the data in addition to the improvement of mechanical properties on the correlation of microstructural evolution and mechanical properties are inevitable and thus the investigation in this study is performed for the determination for the specimens heat-treated at 600, 650 and 700℃ for 1000, 3000 and 5000hrs. The microstructure of as-received specimen was tempered martensite, with a high dislocation density and secondary phases. Upon high temperature heat-treatment, the martensite lath got larger and dislocation density decreased resulting the reduction of the strength. In addition, sharp growth of secondary phases was observed in the specimen heat-treated at 700℃ for 5000hrs. A specimen aged at 600℃ and 650℃ Laves phase was observed. The hardness showed close relationship with the secondary phase particle and dislocation density.