신이식후 발생하는 감염에 대한 고찰

김재필(Jae Phil Kim),조대옥(Dae Ok Cho),고경식(Kyung Sik Ko),안재형(Jai Hyung Ahn),이태원(Tae Won Lee),임천규(Chun Gyoo Ihm),김명재(Myung Jae Kim) 대한내과학회 1995 대한내과학회지 Vol.49 No.1

N/A Objectives: Renal transplantation is a major therapeutic advance for patients with chronic renal failure. But recipients of renal transplantation are prone to infection with both common and unusual organisms. And infectious diseases remain a major cause of morbidity and mortality in renal transplant recipients. This study was to analyze the infections in renal transplant recipients; its occurrence according to sites and organisms; comparison among immunosuppressive agents; prognostic differences of urinary tract infections(UTI) between those developed during 1 month after transplantation and those not developed; graft outcome; and patients mortality. Mothods: 181 renal transplant recipients were examined. They received renal transplantion between january 1979 and December 1992 at the Kyung-Hee University Hospital. 158 of them received transplantation from living-related donors, 22 from living-unrelated donors, and 1 from cadaver donor. Their age at the time of transplantation ranged from 14 to 66 years(mean 35.6 years), and the male to female ratio was 2.3: 1. The observation period ranged from 1 to 144 months(41.26±31.71, mean±S. D.). Results: 1) 110 recipients(60.7% of total) had 232 episodes of infectious complications whereas 71(39.3% of total) had no infectious episodes. About half of infectious episodes(128 episodes, 55.2% ) occurred during 1 month after transplantation. 2) The most common site of infection was urinary tract(138 episodes, 59.2%) whth the next sites coming in this order, bacteremia(32 episodes, 13.8%), pulmonary(21 episodes, 9.1%), and skin(21 episodes, 9.1%). 3) The causative organisms of UTI ranked in this order E. coli 21.7%, staphylococcus spp 14.5%, and pseudomonas spp 13.0%. 4) The causative organisms of bacteremia ranked in this order E. coli 34.4% salmonella spp 18.8%, pseudomonas spp 12.5 %, and staphylococcus spp 12.5%. 5) There was no significant differences of infectious episodes among immunosuppressive regimens. 6) Early UTI group(UTI occurred during 1 month after transplantation) recorded significantly higher incidence of urinary tract infections after 1 month that followed than non-UTI group. But there was no differences between two groups on graft and patients outcome. 7) The major cause of death was life-threatening infections(63.2 %). Conclusion: Most infections due to various organisms may occur during 1 month after transplantation. And still they constitute a major cause of death in renal transplant recipients.

청소년 일탈행동 예방을 위한 사회정서학습의 특징과 교육적 함의

손경원 ( Kyung Won Son ),이인재 ( In Jae Lee ) 한국윤리교육학회 2009 윤리교육연구 Vol.0 No.19

청소년 문제가 날로 심각한 사회문제가 되고 있다. 본 연구는 청소년 문제의 효과적인 해결 방안을 모색하기 위해 사회정서학습(SEL)의 이론적 배경 및 실제 사례를 분석하여, 한국의 예방교육의 개선방향을 모색하였다. 사회정서학습은 사회 정서적 유능성을 길러, 단기적으로는 청소년이 당면하는 문제들을 발달적으로 적합하게 해결하도록, 장기적으로 책임있고 건전한 시민으로 성장하도록 기여하는 데 있다. 따라서 자신과 타인의 감정 인식과 조절, 친사회적 문제해결 기술을 기르는 데 중점을 둔다. 이러한 기술들은 문제 행동을 유발할 수 있는 개인의 기질적 위험요인이나 환경의 위험요인이 미치는 부정적 효과를 줄이거나 상쇄하는 보호하는 요인으로서 작용한다. 기술의 학습에서는 기술에 대한 이해와 지식만큼이나 반복적 실천이 중요하기 때문에, 교육에 적합한 환경조성이 중요하다. 그러므로 사회정서학습은 문제행동을 보이는 학생을 선별한 프로그램 교육보다 모든 학생들을 대상으로 한 예방 교육을 강조한다. 최근 청소년 문제를 해결하기 위해, 문제 행동을 보이는 청소년에게 문제해결기술 함양을 목표하는 사후적 상담 프로그램이 실시되고 있다. 이러한 조치가 보다 효과적이려면, 모든 학생들을 대상으로 한 예방교육이 동시에 이루어져야 하며, 보다 장기적으로 실시되어야 하며, 정서적 유능성과 관련된 정서 인식 및 조절에 대한 기술의 교육이 보완되어야 한다. 이를 위해 본 연구에서는 사회정서학습을 도덕과 교육의 내용요소로 통합하는 일이 하나의 대안이며, 이는 도덕과 교육의 효과성뿐 아니라 청소년 문제 해법의 효과성을 높일 것이라고 주장하였다. It has been more and more increasing worry about how to solve youth problems like violence, bullying drug abuse, drop out. This study is investigate to Social and Emotional Learning and suggest it`s implication on the korean education in order to effectiveness of the treatment and prevention of adolescents problems. SEL helps young people to be grown up with healthy and as responsible citizen. This is the reason why SEL tries to give importance to "understanding and control self and other`s emotion" as well as responsible decision making skill. Social and emotion skills works resilience elements in spite of risk element adolescents might meet. SEL tries to build good circumstance which students exercise their learned skills in the class whole day, and then SEL had better every student targeted program than indicated prevention program. In other hand, it has been implementing indicated prevention program in the Korea. That is enough efficient to help youth prevention because these program is too short, not for every student and doesn`t include emotion intelligence. This study suggests that SEL has to integrate in the moral education. That policy will be made win-win situation in prevention education as well as moral education on the side of education efficiency

야뇨증 환아들의 심리사회적 특성에 대한 다기관 연구 : 행동 및 정서 문제를 중심으로

조수철,김재원,신민섭,황준원,한상원,박관현,이상돈,김경도,김건석,서홍진,이유식,정재용,김영균,문두건,남궁미경,한창희,조원열,김영식,배기수,이종국,정우영,신의진 大韓神經精神醫學會 2005 신경정신의학 Vol.44 No.6

Objectives : The aim of this study was to examine the behavioral and emotional problems associated with nocturnal enuresis in Korean children. Methods : Three hundred eighteen children with nocturnal enuresis, together with their parents, completed the Child Behavior Checklist (CBCL), Disruptive Behavior Disorder Scale according to DSM-IV (DBDS), Children's Depression Inventory (CDI), State-Trait Anxiety Inventory for Children (STAIC), and Piers-Harris Children's Self-Concept Scale (PHCSC). Ninety-three normal students were selected as the control group. Results : Compared to the normal control group, the mean scores with regard to the withdrawn, social problems, attention problems, delinquent behavior, aggressive behavior, externalizing problems and total problems profiles were significantly higher in the nocturnal enuresis group according to the CBCL results. The nocturnal enuresis group also scored significantly higher in the ADHD and ODD profiles of the DBDS. The nocturnal enuresis group was more depressed and anxious than the control group according to the results of the CDI and STAI. The mean score of the PHCSC was significantly lower in the nocturnal enuresis group when compared to the normal control group. Conclusion : The results of this study suggest that children with nocturnal enuresis in Korea have clinically relevant behavioral and emotional problems. The findings support the link between nocturnal enuresis and psychopathology in Korean children.

열공형과 비열공형 피질하 혈관성 치매에서 위험인자의 차이에 관한 비교 연구

배희준,정지향,유경호,나덕렬,김상윤,최경규,양동원,손의주,이상도,김재우,박경원,김응규,이재홍,박미영,한일우,함동석,최문성,하충건,최성혜,이애영,이병철,한설희 대한치매학회 2003 Dementia and Neurocognitive Disorders Vol.2 No.2

Backgrounds and Objectives: Vascular dementia is a group of dementing disoders arising from various stroke syndrome. Among these. subcortical ischemic vascular dementia (SIVD) is regarded as a relatively distinct clinical entity. However, MRI patterns of SIVD are not homogenous. In some patients, lacunes are dominant, and in others, subcortical white matter changes are. This study was designed to compare risk factor profiles between SIVD with and without multiple lacunes. Methods: We divided 47 subjects (22 males, mean age. 68 years) recruited from VADAPET (Multicenter Trial For Evaluation Of The Changes In the PET Images Of Subcortical Vascular Dementia Patient) study into two groups one with more than 5 lacunes in deep gray matter (lacune group) and the other with 5 or less(non-lacune group) Clinical characteristics and laboratory findings of two groups were compared. Results: Nineteen of 47 patients (40%) belonged to the lacune group. The lacune and non-lacune groups d d not differ in the following variables: age, hypertension, diabetes mellitus, hyperlipidemia heart disease, history of stroke or TIA, history of trauma or major surgery, family history of hypertension stroke, or dementia, age at diagnosis of dementia, body mass index, white blood cell count, ESR, CRP, fibrinogen, hemoglobin A1C, total cholesterol. LDL cholesterol creatinine, proteinuria, glucosuria, and microhematuria. However, male sex, smoking alcohol. hemoglobin, and HDL cholesterol were possibly associated more with lacune group SIVD than with non-lacune group (p<0 1) Multivariate analyses revealed that smoking, hemoglobin, and HDL cholesterol were independent predictors of SIVD with multiple lacunes Conclusion: Our study suggests that SIVD with multiple lacunes may be significantly different in smoking habits hemoglobin, and HDL cholesterol from SIVD without multiple lacunes.

用寒遠寒과 用熱遠熱에 대한 考察 : 六元正紀大論에서

채영진,신창환,임현택,여성원,한성규,이재원,정헌영,금경수 한국전통의학연구소 2003 한국전통의학지 Vol.13 No.1

Five elements motion and six kinds of natural factors influence not only human disease but also difference of medicine effect. Because the climate of summer is very hot, that is easy to increase the properties of hot medicines, a doctor must be careful to use it in summer. Also the climate of winter is very cold, that is easy to increase the properties of cold medicines, a doctor must be careful to use it in winter. But in the certain conditions to use diaphoretics or purgatives, in spite of that regulation a doctor can use them.

수면 다원검사상 정상인 단순 코골기 환자에서 레이저 수술의 임상적 효과

김경수,이정권,김성식,박국진,한재욱,김원석 대한이비인후과학회 1998 대한이비인후과학회지 두경부외과학 Vol.41 No.3

한국인 성장기 아동에서 Angle씨 2급 1류 부정교합자의 골격 특징

경희문,권오원,김유경,성재현 대한치과교정학회 1989 대한치과교정학회지 Vol.19 No.3

This study was designed to investigate the difference of teeth and craniofacial complex between normal occlusion and Angle's Class II, div. 1 malocclusion in korean childern. The sample was divided into 2 groups, the 66 subjects with normal occlusion and 96 subjects with Angle's Class II, div.1 malocclusion in both sexes. The results obtained were as follows: 1. No significant differences were observed in ant. cranial base length & flexure(saddle angle) between normal occlusion & cranial Angle's Class II, div. 1 malocclusion group, but posterior cranial base length of Class II, div. 1 malocclusion group was larger than that of normal occlusion group. 2. No significant difference was observed in the anteroposterior position of Maxilla to cranial base between two groups, but mandibular position in Class II. div. 1 malocclusion was posterior and interior to that of normal occlusion. 3. The length of maxilla (ANS-PSN) was larger in Class II, div. 1 malocclusion than normal occlusion. The length of mandibular body(Go-Me) was nor differnet between Class II, div. 1 malocclusion and normal occlusion. 4. Maxillary incisor position of Class II, div. 1 malocclusion to cranial base was more protrusive than that of normal occlusion, but there was no difference in mandibular incisor position between two groups.

학교체육경영에 있어서 교사의 직무태도에 영향을 미치는 요인분석

원기승,김경호,김영재 한국스포츠리서치 2004 한국 스포츠 리서치 Vol.15 No.2

The purpose of this paper two to find out elements which have an effect on teacher's behavior and job satisfaction/dissatisfaction on physical education services in the managerial organization. These elements were called "Determining Factors of Job Accomplishment", and divided into immanent and external side in job. The former was defined as a sense that teachers have directly throughout job accomplishment, and the latter meant the organizational context of teacher's job accomplishment. It was assumed that the relation between some organizational elements and teacher's behavior would be conditioned by contingency variables as follow: types of physical education service, sex. Data were collected from 138 teachers in elementary schools and lower secondary schools by questionnaires in the fall of 2003. The summary of the results was: 1) In every of service job immanent side affected the positiveness of job accomplishment behavior. 2) Any categories of job external side have no effect on teacher's behaviors in Club Service(C.S). While in Program Service(P.S.) 4 categories: teachers group, principal, chief of physical education teachers, physical education service, related to daily behavior. And in addition to these 4 categories well-filled material condition was important in Area Service(A.S.). 3) Female teacher was activated only by job immanent side, while male teacher's activity was influenced by both sides. It was suggested that as to organizational power, the male accepted more compliantly than the female. 4) High job satisfaction exalted the willingness to job accomplishment but job dissatisfaction did not have relation to in it every services. 5) About the same factors provided for job satisfaction and dissatisfaction in C.S. but determining factors of both feelings to job were different in P.S., that is, job immanent side and the policy of services contributed to job satisfaction, fully equipped social and physical conditions reduced dissatisfaction.

수소손상 검출과 평가기술

원순호,현양기,이종오,조경식,이재도 한국비파괴검사학회 2002 한국비파괴검사학회지 Vol.22 No.1

산업현장에서 수소는 설비를 손상시킬 수 있는 주원인 중의 하나이며, 종종 설비를 파괴시키는 사고를 발생시킨다. 수소손상에 의한 결정립계의 공동 또는 미세균열은 강재의 파괴인성과 강도를 떨어뜨리는 원인이 되고, 따라서 과거 제한적인 방법으로 수소손상을 평가하기 위한 시도가 수행되었다. 본 연구에서는 초음파를 적용하여 수소손상을 검출하고 평가하기 위한 연구를 수행하였다. 미세조직시험에 의해 확인된 시험편을 이용하여 초음파의 속도와 감쇠계수를 구한 결과, 수소손상에 의해서 초음파 속도는 감소하고 감쇠는 현저하게 증가하는 것으로 나타났다. 이러한 결과를 바탕으로 수소손상을 검출하기 위한 신뢰성 있는 평가법을 제시하였다. The presence of hydrogen in industrial plants is a source of damage. Hydrogen attack is one such form of degradation and often causing large tube ruptures that necessitate an immediate shutdown. Hydrogen attack may reduce the fracture toughness as well as the strength of steels. This reduction is caused partially by the presence of cavities and microcracks at the grain boundaries. In the past several techniques have been used with limited results. This paper describes the application of an ultrasonic velocity and attenuation in hydrogen damage. Ultrasonic tests showed a decrease in wave velocity and an increase in attenuation. Such results demonstrate the potential for ultrasonic nondestructive testing to quantify damage. Based on this study, reliable recommendation is suggested to detect hydrogen attack.

난소의 호산성 투명세포암종 - 1예의 보고 -

하창원,고재수,명나혜,조경자,박상윤,김미경,장자준 대한병리학회 1992 Journal of Pathology and Translational Medicine Vol.26 No.5