서울의 Penicillinase Producing Neisseria gonorrhoeae 발생빈도(1998)

김재홍,김준호,반재용,이정우,황성주,정준규,정성태,강진문,조흔정,홍창의,정혜신,이한승,김이선,이봉길,이종호,선영우,한기덕,윤성필,이성훈,안종성,박석범,문승현,조항래,김형섭,류지호,황재영,박준홍,손상욱 한양대학교 의과대학 2001 한양의대 학술지 Vol.21 No.1

In recent years, gonorrhea has been pandemic and remains one of the most common STDs in the world, especially in developing countries. For the detection of a more effective therapeutic regimen and assessing the prevalence of Penicillinase Producing Neisseria gonorrhoeae(PPNG), we have been trying to study the patients who have visited the Venereal Disease Clinic of Choong-Ku Public Health Center in Seoul since 1980 by menas of the chromogenic cephalosporin method. In 1998, 93 strians of N. genorrhoeae were isolated, among which 60(64.5%) were PPNG. The prevalence of PPNG in Seoul, which had been decreased to 39% in 1996 after a peak of 74.3% in 1993, is increased to 64.5% in 1998.

기초군사훈련이 체력과 신체구성에 미치는 영향

정영수,우재홍,박익렬,박성태,김연수 서울대학교 체육연구소 2000 서울大學校 體育硏究所論集 Vol.21 No.2

The purpose of this study was to investigate the effects of basic military training on the physical fitness and body composition of midshipmen. The test on the twenty subjects were done twice at the beginning and end of their 5-week's basic training with same variables and order in both tests in Naval Academy, Jin-Hae. The source variables of physical fitness in the test were muscle strength, muscle endurance, muscle power, agility, balance, flexibility and so on. The source variable of body composition were body weight, fat-free mass, percentage of body fat and so on. The sum of abdomen, triceps, and suprailium skinfold thickness were measured in order to assess alterations in fat-free mass and percentage of body fat. Paired sample t-test was used for data analysis and the significance level was set at the 0.05. The results of this study were as follow: 1.muscle endurance, balance, flexibility, endurance time(p〈0.01) and muscle power(p〈0.05) were increased after training programme. 2.muscle strength and agility showed tendency to increase. 3.Body weight and free-fat mass were increased but % body fat were decreased after training programme(p〈0.01). It might be concluded from the test that basic military training in Korean Naval Academy is effective for the increase physical fitness, cardiopulmonary function, fat-free mass and for the reduce of body fat percentage.

7개 대학 병원에서 조사한 지역사회 폐렴의 원인균

정문현,김성민,강문원,최희정,정희진,이경원,한성우,송재훈,신형식,김의종,최강원,김민자,박승철,배현주,정윤섭,김준명,백경란,신완식,이규만,김양리 대한감염학회 1997 감염 Vol.29 No.5

목 적 : 폐렴은 많이 발생하면서 사망률이 크게 줄지 않는 질환이며, 이를 적절히 치료하기 위해서는 원인균의 상대적 빈도, 기저 질환에 따른 변화, 항균제 내성률, 사망에 관련된 인자들을 알아야 한다. 원인균의 빈도는 지역마다 차이가 있고 국내에서는 항균제 내성률이 높아 지역사회에서 발생한 폐렴을 치료하기 위한 경험적 항균제 선택에 도움이 되기 위해 서울 소재 6개 대학 병원과 천안의 1개 대학 병원이 참여하여 위의 사항들에 대해 조사를 하였다. 방 법 : 1995년에 내과에 입원했던 16세 이상 환자를 대상으로 했다. 퇴원 진단명이 폐렴 또는 폐결핵인 병록지을 찾았고, 이중에서 병원 감염을 제외하였다. 특이도를 높이기 위해, 이들 중에서 호흡기 증상이 있고 발열이나 저체온이 있으면서 흉부 X-선에서 이상 음영이 있는 환자만을 대상으로 했다. 폐결핵은 위의 기준에 입원 초기에 항균제 치료를 하고 입원 7일 이후에야 항결핵제가 투여된 경우만을 폐렴의 원인균으로 하였다. 혈액 배양에서 양성, 객담에서 항상균이나 M. tuberculosis가 증명된 경우, 혈청학적으로 항체가가 4배 이상 증가된 경우, 조직에서 원인균이 진단된 경우는 확정(definitive) 원인균으로 하였고, 객담에서 배양된 균이 그람 도말과 일치할때, 항결액제에 대한 반응으로 진단한 폐결핵, 단일 항체가 양성이고 이에 대해 항균제를 사용했을 때는 가능(probable) 원인균으로 정의하였다. 다세균 감염균은 각각 다 른 원인균으로 처리하였다. 임상 조사와 함께 임상병리과에서 S. pneumoniae, H. influenzae, M. catarrhalis, mycoplasma, 항상균에 대해 검사 의뢰 건수, 배양 양성수, 항균제 감수성 결과를 조사하였다. 결 과 : 폐렴의 증례 정의에 부합하지 않은 135명과 폐결핵의 정의에 해당하지 않는 230명을 제외하고 남은 246명의 평균 나이는 58.2세이고 남성이 142명(58.2%) 이었고, 71%의 환자에서 기저 질환이 있었다. 진단 방법의 시행 횟수는 혈액 배양 77.6%, 혈청 검사 18.3%, 기관지경 검사는 4.1%였고, 세균의 항원 검사를 한 예는 없었다. 원인균이 밝혀진 예는 77명(31.3%)이었다. 다세균 감염이 4명에서 있었고, 원인균의 상대적 빈도는 결핵 20명(확정 17, 가능 3: 6개 병원 자료), 폐렴구균 18(확정8 가능 10)명과 폐렴구균이 아닌 Streptococcus 3명 (모두 확정), H. influenzae 11명(모두 가능), 그람음성간균 11명(확정 7, 가능 4) (K. pneumoniae 8건), Mycoplasma 5명(확정 1, 가능 4), S. aureus 4명(확정 2, 가능 2), mucormycosis 1명(확정)이었다. 평균 입원 기간은 19일이고, 중환자실 입원률과 인공 호흡기 사용율은 각각 18%와 9.3%였다. 사망률은 13.8%였고 사망까지 평균 기간은 14.6일 이었다. 다변량 분석에서 사망을 예측할 수 있는 인자는 저체온과 빈호흡이었다. 임상병리과에서 배양되었던 모든 폐렴구균의 Penicillin 내성률은 서울 3개 병원에서 82-88%, 천안에서 72%였다. 폐렴 환자의 혈액에서 배양된 7주는 모두 Penicillin에 감수성이 있었다. K. pneumoniae 8주 모두 cefotaxime과 gentamicin에 감수성을 보였다. 결 론 : 후향적 조사이고 병원마다 원인균 진단에 차이가 있지만, 원인이 밝혀진 경우에는 결핵과 폐렴균이 흔하였고, 무균 부위에서 배양된 폐렴구균의 항균제 내성률은 낮았다. 원인이 밝혀지지 않은 경우가 많고, 혈청검사로 진단되는 원인균이 드물며, 분리균주가 적어 항균제 내성 정도를 추정하기 어려워, 이를 밝히기 위한 전향적 조사가 필요하다. Background : Community-acquired pneumonia (CAP) is one of the leading causes of mortality and morbidity, but its management is still challenging. The limitation of diagnostic methods to identify etiologic agents rapidly make it necessary to use empiric antibiotics in almost all patients, and furthermore the discovery of new respiratory pathogens and the emergence of antibiotic-resistant organisms pose difficulties to the selection of an empiric regimen. To clarify the factors necessary for the optimal choice of empirical antibiotics, such as the frequency of etiologic agents, the attributable rates to death and antimicrobial resistance rates in the community, six university hospitals in Seoul and one university hospital in Cheonan were participating in this study. Methods : medical records of adults (>15 years of age) hospitalized for CAP or pulmonary tuberculosis between April 1995 and March 1996, were reviewed. Patients who satisfied all of the following criteria were included in the study: (1) fever or hypothermia; (2) respiratory symptoms; and (3) pulmonary infiltrates on chest roentgenogram. To exclude cases of pulmonary tuberculosis whose roentgenographic features were so typical that it could be easily differentiated from conventional pneumonia, two additional criteria were required for inclusion: antibiotic treatment during the first week of hospital admission and initiation of anti-tuberculosis medications thereafter. Organisms isolated from sterile body sites, acid-fast bacilli or Mycobacterium tuberculosis isolated from sputum, pathogens diagnosed by a 4-fold rising titer of antibodies to “atypical”pathogens, or pathogens revealed by histopathology were defined as definitive cause of pneumonia; isolates from sputum withcompatible Gram stain, pathogens diagnosed by a single diagnostic titer plus use of a specific antimicrobial agent, or tuberculosis diagnosed by clinucal response to anti- tuberculosis medications were considered probable cause of pneumonia. The records of the clinical microbiology were reviewed for isolates of S. pneumoniae, H. influenzae, M. catarrhalis, Mycobacterium or acid-fast bacilli, and Mycoplasma. Then the frequency of these agents, antimicrobial resistance rates of resiratory pathogens from all body sites, and their clinical significance were evaluated. Results: After excluding 365 patients (230 with pulmonary tuberculosis and 135 with CAP) who were screened for inclusion but did not meet the inclusion criteria,246 persons were enrolled in this study. Their mean age was 58.2 years old with slight male predominance (58.2%), and 171(71%) patients had underlying illnesses. Blood cultures were performed on 191 (77.6%) patients and serologic tests on 44(18.3%) patients. The etiologic agents were identified in 31.3%, and the list of individual agents, in decreasing order, was pulmonary tuberculosis (17 definite and 3 probable: data of six hospitals), S. pneumoniae (8 definite and 10 probable), non-pneumococci (3 definite), aerobic gram-negative bacilli (7 definite and 4 probable), Haemophilus spp. (11 probable), mycoplasma (1 definite and 4 probable), polymicrobial infections (2 definite and 2 probable: E. coli and S. agalactiae, M. tuberculosis and S. aureus, S. pneumoniae and H. influenzae and A. baumannii and K. pneumonias), S. aureus (2 definite and 2 probable) , and mucormycosis (1 definite). Among gram-negative bacilli, K. pneumoniae was the most common agent (8isolates). therates of admission to the intensive care unitand of using assisted ventilation were 18% and 9.3%, respectively. The mortality was 13.8% and logistic regression analysis showed that hypothermia and tachypnea were associated with death. Hospital stay averaged 19 days. Susceptible rates of S. pneumoniae isolated from all body sites to penicillin ranged from 8% to 28% but seven isolated from blood of patients with pneumonia were susceptible to penicillin. Also all 8 isolated of k> pneumoniae from patients with pneumonia were susceptible to cefotaxime and gentamicin. Conclusion: In Korea, in addition to S. pneumoniae, M. tuberculosis is an important agent causing community-acquired pneumonia. The low incidence of etiologic diagnosis is probably related to infrequent requesting of test "atypical" pathogens and does not represent the true incidence of infections by "atypical" pathogens, which well be answered by a prospective study. The antimicrobial resistance rates of major respiratory pathogens from sterile body sites are low, however, because of a small number of the isolates this result needs confirmation by a nationwide surveillance of antimicrobial resistance.

Metallurgical Process for Total Recovery of All Constituent Metals from Copper Anode Slimes: A Review of Established Technologies and Current Progress

Jae‑chun Lee,Kurniawan Kurniawan,Kyeong Woo Chung,Sookyung Kim 대한금속·재료학회 2021 METALS AND MATERIALS International Vol.27 No.7

Copper anode slimes, the by-product of the copper electrorefining process, have been the subject of extensive investigationfor recovering precious metals viz., Au, Ag, Pt and Pd, in addition to being the main source of rare/energy-critical elementssuch as Se and Te. There have been various approaches aiming at the development of extraction processes involving thermaland aqueous approaches and their combination. In this paper, the literature relating to the treatments of copper anode slimeis compiled to present the underlying concept for the total recovery of all valuable metals from anode slimes. The industrialand proposed scenarios gathered from various sources show that the basis of applying different streams essentially dependson the concentration of copper and selenium in the slimes. Copper anode slime processing has a history of being in a developmentperiod, though at times showing overlaps. The discussion of each metallurgical process is basically explained bythermodynamic analysis using suitable software as well as fundamentals of the chemistry. Recent progress is highlightedand compared to the established technologies with regard to environmental impact and economic consideration/feasibility. This discussion is followed by the construction of a conceptual flowsheet on the progress currently made. It is expected thatfurther work regarding metal recovery from copper anode slimes would objectively shorten the number of stages for thepretreatment as well as metal separation from leach solutions.

초기 다발성 신경병증의 진단에 족지간 신경전도검사의 유용성에 관한 연구

이광우,이성현,정재면 대한신경과학회 1998 대한신경과학회지 Vol.16 No.2

후천성 이중 유문 1예

정규성,조기섭,정재용,조영호,민영돈,박찬국,김만우 조선대학교 1994 The Medical Journal of Chosun University Vol.19 No.1

Double pyrolus, one of the relatively rare anomalies of the gastrointestinal tract, is a fistulous communication between the gastric antrum and the duodenal bulb. The first case of a double Pylorus was reported in 1969 by Smith, since then several cases have been reported. Recently, as the frequency of examining upper gastrointestinal series and endoscopy increases, it occurs more frequently and a few cases have been described in our country. According to the reports previously published, it resulted only from cysts, diverticla, atresia, band, membrane malformation of the pylorus, however, it might be also caused by penetration, complication of peptic ulcer. We report a case of double pylorus in a 67-year old man with prolonged administration of corticostetoids due to lumbago who has complained epigastric pain which was confirmed by endoscopy and biopsy.

생체분자 분리 및 분석에 있어서의 마이크로-나노 시스템

정우재,신동식,이윤식 한국공업화학회 2002 공업화학 Vol.13 No.8

휴먼게놈 프로젝트가 종료됨에 따라, 우리 몸의 대사ㆍ생리 작용, 질병에 직접 관여하고 있는 단백질의 분리와 구조 분석에 관심이 집중되고 있다. 현재 프로테오믹스의 근간이 되고 있는 2D-젤 전기영동법은 긴 소요시간, 복잡한 과정, 재현성 문제, 검출한계 등 그 문제점이 지적되고 있으며, 이를 해결하기 위한 마이크로-나노 대체 기술들이 최근 속속 보고되고 있다. 이에 본 총설에서는 단백질을 포함한 생체분자의 분리ㆍ검출 및 미량 분석을 위한 마이크로-나노 시스템 기술들의 최신 연구동향을 알아보고자 한다. 구체적으로는 마이크로 비드 어세이를 기반으로 하는 마이크로 분석 시스템, 나노 테크놀로지를 이용한 바이오 센서 또는 바이오 칩 분야와 마이크로 어레이 기술 등과 그 응용을 중심으로 최근 2∼3년간 중요 논문에 보고된 내용을 소개함으로써 최근 발전하고 있는 마이크로-나노 기술의 중요성에 대해서 언급하고자 한다. In the post-genomic era, purification and structure identification of proteins that are related to cell functions and diseases became the most important research topics. Although 2D-gel electrophoresis is currently the most widely accepted technique for the separation of complex protein mixtures, it still possesses some drawbacks to overcome. Being very labor intensive, it is time consuming, difficult to obtain reproducible results, and has low detection limit. Recently, various methods that utilize micro/nano systems to separate and analyze biomolecules including proteins appeared to overcome these drawbacks. In this report, we overviewed recent research trends of micro/nano bio field, by reviewing recent papers for the last 2∼3 years, and emphasized the importance of the development of bead based micro analysis system, nanotechnology for biosensing, and protein micro array system.

과학수업모형의 비교 분석 및 내용과 활동 유형에 따른 적정 과학수업모형의 고안

정완호,권재술,최병순,정진우,김효남,허명 한국교원대학교 과학교육연구소 1996 청람과학교육연구논총 Vol.6 No.1

The purpose of this study is to develop appropriate science teaching models which can be applied effectively to relevant situations. Five science teaching models; cognitive conflict teaching model, generative teaching model, learning cycle teaching model, hypothesis verification teaching model and discovery teaching model, were identified from the existing models. The teaching models were modified and in primary and secondary students using a nonequivalent pretest-posttest control group design. Major findings of this study were as follows: 1. For teaching science concepts, three teaching models were found more effective; cognitive conflict teaching model, generative teaching model and discovery teaching model. 2. For teaching inquiry skills, two teaching models were found more effective; learning cycle teaching model and hypothesis verification teaching model. 3. For teaching scientific attitudes, two teaching models were found more effective; learning cycle teaching model and discovery teaching model. Each teaching model requires specific learning environment. It is strongly suggested that teachers should select a suitable teaching model carefully after evaluating the learning environment including teacher and student variables, learning objectives and curricular materials.

골프장의 잔디 토양에서 살균제 Tolclofosmethyl의 분해

정근욱,우선희,김흥태,사동민,김영기,홍순달,김재정,이재구 한국환경농학회 2004 한국환경농학회지 Vol.23 No.3

Tolclofosmethyl (TCFM) is heavily and annually applied to the turf soils of most golf courses in Gyeongju to control the fungi known to cause the disease brown patch. The soil samples used for the experiment was collected three weeks after the annual application at the end of May in the year 2002. The preliminary results obtained from this study demonstrated that the repeated field annual applications of TCFM to the turf soils of a golf course located in Gyeongju city in the southern area of Korea showed the enhanced degradation of the parent compound TCFM, especially in the surface (0~15 cm) soil rather than the shallow subsurface (15~30 cm) and deep subsurface (30~45 cm) soils, compared to the corresponding surface (0~15 cm) and shallow and deep subsurface (15~30 cm and 30~45 cm) soils of the untreated plot. It appears that microorganisms in the soil may be involved in the enhanced degradation of TCFM.

여성과 남성 그리고 차별의 경제학 : 성차별과 생산성차별 접근 Sex Discrimination and Production Discrimination Approach

우재현,정영숙,박충선 大邱大學校 社會科學硏究所 1996 社會科學硏究 Vol.3 No.1

본 연구에서는 여성의 고용환경을 사회·경제·문화적 측면에서 긍정적 요인과 부정적 요인별로 살펴보고, 남녀임금격차에 영향을 미치는 요인은 무엇이며, 임금격차가 성차별로 인한 것인지 아니면 생산성 차이로 인한 것인지를 분석하고자 하였다. 자료는 대구시에 있는 98개의 기업체에 근무하는 910명의 근로자를 대상으로 1995년 9월에 설문조사를 실시하여 수집하였다. 분석결과는 여성에게 성차별이 존재하듯이 남성에게는 생산성차별이 존재하고 있음을 시사하고 있다. 즉 남녀임금격차 중 63%는 여성의 낮은 생산성 때문이고 나머지 37%는 논리적 근거을 갖지 못한 남녀차별에 의해 발생한 것이라는 것을 말해 주고 있다. 연구결과를 토대로 여성에 대한 임금차별을 불식시키고 여성의 경제활동참가율을 높이기 위한 제언과 정책대안을 제시하고자 하였다.