충수염의 임상적 고찰과 초음파의 유용성

박정배,양혁준,김형수,황성연,박철완,이근 대한응급의학회 1995 대한응급의학회지 Vol.6 No.2

Appendicitis is the most common acute abdomen in Emergency Medical Center & outpatient department. But sometimes, it is difficult for us to diagnose because of clinically variable symptoms. We reviewed the ultrasonographic findings and analyse 521 cases of appendectomy patients about its distribution of sex and age, seasonal prevalence, clinical symptom and signs, laboratory findings, duration from onset of symptom to arrival at hospital, duration from arrival at hospital to operation, vital signs, operative results, and associated diseases, which were treated at the department of General Surgery & Emergency Medical Center in Chung Ang Gil Hospital from July, 1994 to June, 1995. The results were as follows : 1. The most common age group was second decade. And male to female ratio was 1.43:1. Seasonal variation was not significant. 2. Of 521 cases, 141 cases(27.1%) visited the hospital within 24 hours from the onset of symptom, and 259 cases(49.7%) visited between 24 to 48 hours. 3. In duration from arrival to operation, the cases within 6 hours were 263 (50.5%), the cases between 6 and 12 hours were 131(25..1%). 4. In systolic blood pressure, cases below 90mmHg were 19(3.6%), cases above 160mmHg were 23(4.4%). Below 60mmHg diastolic pressure were 55 cases(10.6%), cases above 110mmHg were 9(1.7%). In pulse rate, above 90 rate/min were 171(32.8%). 5. On admission leukocytosis was found in 413 cases(79.3%) and 342 cases of them were pathologic appendicitis. 6. Ultrasoundgraphy was performed in the 87 cases, but 23 cases were suggested appendicitis. Among 23 cases, 22(95.7%) revealed pathologic appendicitis at ooperation and labortatory examination. Of the 64 cases which were normal on ultrasonography, only 2 cases(3.1%) were proved to be appendicitis. 7. The results of 496 operations without ultrasonography were appendicitis in 390 cases(78.6%), mesenteric lymphadenopathy 36(7.3%), pelvic inflammatory disease 28(5.6%), fecalith 15(3.0%), terminal ileitis 8(1.6%), diverticulitis 7(1.4%), urinary tract stones 5(1.0%), cecal cancer 2 cases, right ovarian tumor 2 cases, tubo-ovarian abscess 2 cases, grater omentum internal hernia 1 case. Our results showed that the sensitivity of ultrasonohraphy was 95.8% and the specificity 98.4% in the diagnosis of appendicitis, It suggests that the ultrasonography is very helpful in the diagnosis & differential diagnosis of acute appeendiditis.

2축 편심축력을 받는 고강도 콘크리트 기둥의 등가응력블럭 수정

박준용,유석형,반병열,신성우 대한건축학회 2003 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.23 No.1(구조계)

The characteristics of stress distribution of non rectangular compressed area in the RC columns are different to those of rectangular compressed area. Nevertheless, in ACI 318-99 code, the design tables for columns subjected to axial loads with bidirectional eccentricities are based on the parameters recommended for rectangular stress block(RSB) of rectangular compressed areas. In this study the characteristics of stress distribution through both angle and depth of neutral axis are observed and formulated rationally. And the modified parameters of rectangular stress block(MRSB) for non rectangular compressed area is proposed. And the computer program using MRSB for the biaxial bending analysis of RC columns in developed and the results of MRSB are compared to RSB and experimental results respectively.

당뇨병환자의 후각에 대한 영향인자의 분석

박시영,구한얼,구수권,이상화,손성표,장형준,노환중 대한이비인후과학회 1999 대한이비인후과학회지 두경부외과학 Vol.42 No.7

치과위생사의 감염관리 실태에 관한 연구

조윤정,윤석준,안형식,김순덕,박형근 한국의료QA학회 2003 한국의료질향상학회지 Vol.10 No.2

Background : Dental hygienists are at risk of acquiring infections through exposure to infectious agents. This study explores the frequency of exposure to infectious agents and infection control practices among dental hygienists. Methods : We undertook a cross-sectional survey to examine the exposure to infectious agents and infection control practices among dental hygienists through questionnaire. Data were obtained from 124 dental hygienists attending educational conferences. A multiple logistic regression analysis was conducted to determine the factors that effect infection control practices in to age, completion of infection control education, recognition of their own serum hepatitis Ag/Ab status, the number of one day patients, location of clinics, type of clinics, and career years. Results : Of the 124 dental hygienists, 91.7% were exposed to at least one accident such as needle strike injuries during their practices periods. The health screening coverage rate in dental hygienists was 16.5%. The number of one day patients and career years were important in relation to infection control practices among dental hygienists. The adjusted odds ratio estimates for career years were 5.049 times greater(95% CI 1.238-20.597)for groups with 4 career years than under 2 career years. That for the number of one day patients were 0.261(95% CI 0.071-0.0955)lower for through 20 up to 30 patients, 0.531(95% CI 0.102-2.78)lower for through 30 up to 40 patients and 0.498(95% CI 0.123-2.017)lower for more than 40 patients than under 20 patients. Conclusion : From these results, prevalence of infection control practices among dental hygienists is related to the number of one day patients and career years. Prevention of cross infection and reduction of future transmission should be a priority to dental hygienists for promotion of infection control and further efforts to educate newcomers on infection prevention should be made.

사체간이식 환자와 생체간이식 환자들의 삶의 질 비교 연구

김금희,윤석준,안형식,이준영,박형근,서경석 한국의료QA학회 2004 한국의료질향상학회지 Vol.11 No.1

Objective : The aim of this study were to measure quality of life(QOL) in liver transplant recipicnts, to ocmpare QOL between living donor liver transplant recipicnts and cadavcric live transplant recipients and to investgatre whether SF-36 may be used as a disease-specific instrument in liver transplant recipients. Methods : We conducted a single-center cross-sectional study of 133 LT recipients ages 13 to 65 years, all of whom had had Liver Transplantion(LT) at least 1 months previously. QOL was assessed using a self-completion questionnaire consisting of the Bang Whal Ran(1991) instruments and the 36-Item Short-Firm Health Survey(SF-36) health status profile measure. We investigated whether the SF-36 instrument may be used as a disease-specific instrument in LT recipients. Individual scale scores range from 0 to 100 , with higher score reflecting better health. Data on demograpics, clinical status at pre transplantation 1 day, post transplantation clinical statns, and graft gunction were collected to identify predictors of post transplantation QOL. Results : Standard measures for test-rtest reliability, internal consistency, and discriminant and concurrent validity were examined. The reliability of the SF-36, as measured by test-retest correlation(Pearson coeffocoents: 0.729, p=0.002) and by internal consistency (Cronbach's alpha: 0.9431) exceeded conbentional acceptability criteria. The correlation between domain scores of SF-36 and the Bang Whal Ran(1991) was clear and logical in that the clinical characteristics of SF-36 strongly correlated with the clinical component summary score of the Bang Whal Ran(1991)(r = 0.8155, P<01). SF-36 scale scores were compared between Cadaveric Liver Transplant recipients and Living Donor Liver Transplant recipients. Donor types of post LT did not influence HRQOL(P >0.05). 87% of the liver transplant recipients were safisfied to get LT. Satisfaction of post LT showed significantly greater HRQOL(p<0.001). Conclusion : SF-36 is found reliable and valid. This study indicates thet Donor Type did not influence HRQOL after LT. The information gained from this study will help us to better define expectations and the colinical course after liver transplantation to patients and their families.

한국인 직무 스트레스 측정도구의 개발 및 표준화

장세진,고상백,강동묵,김성아,강명근,이철갑,정진주,조정진,손미아,채창호,김정원,김정일,김형수,노상철,박재범,우종민,김수영,김정연,하미나,박정선,이경용,김형렬,공정옥,김인아,김정수,박준호,현숙정,손동국 大韓産業醫學會 2005 대한직업환경의학회지 Vol.17 No.4

Background and Purposes: Over the past three decades, numerous studies performed in Korea have reported that job stress is a determinant risk factor for chronic diseases and work disability. Every society has its own culture and occupational climate particular to their organizations, and hence experiences different occupational stress. An occupational stress measurement tool therefore needs to be developed to estimate it objectively. The purpose of this study is to develop and standardize the Korean Occupational Stress Scale (KOSS) which is considered to be unique and specific occupational stressors in Korean employees. Subjects and Methods: Data were obtained from the National Study for Development and Standardization of Occupational Stress (NSDSOS Project: 2002-2004). A total of 12,631 employees from a nationwide sample proportional to the Korean Standard Industrial Classification and the Korean Standard Occupational Classification were administered. The KOSS was developed for 2 years (2002-2004). In the first year, we collected 255 items from the most popular job stress measurement tools such as JCQ, ERI, NIOSH and OSI, and 44 items derived from the a qualitative study (depth interview). Forty-three items of KOSS, in the second year, were retained for use in the final version of the KOSS by using Delphi and factor analysis. Items were scored using conventional 1-2-3-4 Likert scores for the response categories. Results: We developed eight subscales by using factor analysis and validation process: physical environment (3 items), job demand (8 items), insufficient job control (5 items), interpersonal conflict (4 items), job insecurity (6 items), organizational system (7 items), lack of reward (6 items), and occupational climate (4 items). Together they explained 50.0% of total variance. Internal consistency alpha scores were ranged from 0.51 to 0.82. Twenty-four items of the short form of the KOSS (KOSS-SF) were also developed to estimate job stress in the work setting. Because the levels of the subscales of occupational stress were gender dependent, gender-specific standard norms for both the 43-item full version and the 24-item short form using a quartile for the subscales of KOSS were presented. Conclusion: The results of this study suggest that KOSS might be an appropriate measurement scale to estimate occupational stress of Korean employees. Further and more detailed study needs to be conducted to improve the validity of this scale.

이청준의 <당신들의 천국>에 드러난 ‘연민’ 연구 - 누스바움의 ‘연민’ 이론을 중심으로 -

박준형 ( Park Jun-hyeong ) 한민족어문학회 2020 韓民族語文學 Vol.0 No.87

본고는 마사 누스바움의 ‘연민’이론을 통해 소설 이해의 새로운 방향을 제시하는데 그 목적을 둔다. 이청준의 <당신들의 천국>을 그 텍스트로 삼아 ‘연민’의 다양한 층위를 분석하고 적용해 보았다. 누스바움은 감정 이론을 통해 감정을 인지주의적으로 바라보고자 한다. 이는 그간의 철학자들이 감정을 통한 판단은 많은 오류 가능성을 담보한다고 주장한 부분과 대치되는 부분이지만 ‘연민’에 대해서 타인의 고통에 대한 합리적인 가치판단이며 타인의 고통을 느끼는 연민으로부터 사회적 공감대와 사회적 제도의 변화를 불러일으키는 것이 중요하다고 주장한다. 감정은 대상을 가지며, 감정의 대상은 감정 주체의 지향적 대상이고, 감정은 대상에 관한 믿음을 체현하며, 감정의 자각은 대상을 가치부여된 것으로 판단한다는 점을 그 근거로 삼는다. 이청준의 <당신들의 천국>은 군부 독재 하의 현실을 알레고리 기법으로 보여주는 작품이며, 또 한편으로는 르포로 기획되어 제작된 소록도의 현실을 고발하고 비판하는 소설이다. 육군 장교이자 소록도의 원장인 조백헌과 의무과장인 이상욱, 나병 환자들의 우두머리인 황희백이 중심이 되어 다양한 이해관계를 보여주는 본 소설에서 첫째, 조백헌이 보여주는 소록도 주민들에 대한 연민과 그 인지적 구조에 대한 분석, 둘째, “이상욱”을 통해 자기 연민과 자기혐오가 원생들을 대하는 인물의 태도에 어떠한 영향을 미치고 있는지에 대한 분석, 셋째, 황희백 노인을 통해 보여주는 자기 연민에 대한 분석을 통해 마사 누스바움의 감정 이론을 이해하고, 이러한 것들이 문학 수용의 과정에서 새로운 방향을 제시할 가능성을 엿보는 것에 의의를 둔다. This study aims to suggest a new direction of understanding the novel through Martha Nussbaum's theory of compassion. Using Lee Cheong-jun's < Your Heaven > as the text, I analyzed and applied various layers of compassion. Nussbaum tries to see emotion emotionally through emotion theory. This is in contrast to what philosophers in the past have argued for, through emotional feelings, guarantees many possible errors, but it is a reasonable value judgment of the suffering of others about compassion, and the social sympathy and social system of compassion. Insist that change is important. It is based on the fact that emotions have objects, objects of emotion are oriented objects of the emotion subject, emotions embody beliefs about objects, and awareness of emotions judges objects as valued. Lee Cheong-jun's < Your Heaven > is a work that shows the reality under military dictatorship by the allegory technique, and it is a novel that accuses and criticizes the reality of Sorok-do, which was designed and produced as a report. In this novel, which shows various interests, centered on the army officer and head of Solok-do, Cho Baek-heon, medical director Lee Sang-wook, and leprosy head Hwang Hee-baek. First, the analysis of the compassion and cognitive structure of the people in Solok-do, as shown by Jo Baek-Hun. Second, the analysis of how self-pity and self-hate affects the attitudes of the characters toward their indigenous people through “Lee Sang-wook”. Third, it is meaningful to understand the theory of emotion of Martha Nussbaum through the analysis of self-pity shown by Hwang Hee-baek, and to see the possibility that these can suggest a new direction in the process of accepting literature.

분산전원 연계형 스마트변압기 개발에 관한 연구

박준형(Jun-Hyeong Park),배은수(Eun-Soo Bae),주형준(Hyeong-Jun Ju),박은애(En-Ae Park),송일근(Il-Keun Song),박철배(Cheol-Bae Park) 대한전기학회 2020 대한전기학회 학술대회 논문집 Vol.2020 No.7

우리나라 생태산업단지 구축사업의 추진전략과 성과평가

박준모(Jun Mo Park),김형우(Hyeong Woo Kim),박흥석(Hung Suck Park) 大韓環境工學會 2014 대한환경공학회지 Vol.36 No.12

본 연구는 국내에서 2005년부터 산업통상자원부에서 산업단지의 환경을 개선하기 위하여 추진하여 온 생태산업단지구축사업의 전략과 경제적/환경적 성과를 정량적으로 평가하고, 향후 발전방향에 대하여 고찰하였다. 우선 산업공생에 기반을 둔 생태산업단지의 개념을 소개하고, 국내 생태산업단지의 추진배경과 사업수행절차에 대하여 설명하였다. 또한 산업공생 사업의 전후의 경제적, 환경적 성과평가 방법론을 제안하고, 사업화된 과제를 대상으로 성과평가를 실시하였다. 우리나라생태산업단지 구축사업은 한국산업단지공단이 주관하여 현재 전국에 9개 지역사업단을 운영 중에 있다. 2005년부터 2013년까지 449개의 아이템을 발굴하여 296개가 선정되어 수행되었으며, 이 중 244개의 과제가 완료되었다. 완료된 과제 중 118개의 과제가 사업화되어 사업화 성공률이 약 48%로 나타났다. 사업화된 과제를 통하여 약 3,111.1억 원/년의 경제적 효과와 폐기물/부산물 828,112.6톤/년, 용수/폐수 215,517.0톤/년, 에너지 250,474.5 toe/년, 온실가스 1,107,189.1 tCO₂/년의 사용 및 배출을 저감하는 환경적 효과를 얻었다. 이상의 결과로부터 산업공생 원리를 이용하한 생태산업단지 구축사업은 산업단지의 생태효율성 향상으로 환경과 경제를 조화시킬 수 있음을 실질적으로 확인시켜주었다. 하지만, 관계 부처 간 협조와 협력의 부재 및 법과 제도적 한계, 지방자치단체의 요구 증대 및 기업체의 자금문제 등의 장애요인이 존재한다. 따라서 생태산업단지 구축사업이 지속가능한 산업단지 모델로 전국적으로 확대되고, 산업단지 경쟁력 강화와 환경관리를 위한 툴로 발전시키기 위해서는 현재의 장애요인을 해소하기 위한 범부처적, 학제적 접근이 필요함을 보여주었다. This study assesses the strategy and performance of Eco-industrial Park (EIP) initiative implemented by Korea Industrial Complex Corporation (KICOX) with the support of Ministry of Trade, Industry and Energy (MOTIE), Korea since 2005 to 2013 and recommends future directions. After the concept of EIP based on industrial symbiosis (IS) is introduced, the background and implementation procedure of the EIP initiative are described. Then, economic and environmental achievement was assessed. During the project periods (2005-2013), 449 industrial symbiosis project were explored, among which 296 projects have been implemented. Among (Of these 296 projects,) them, 244 projects have been completed in which 118 projects have been commercialized which shows 48% commercialization rate of the completed projects. Through these commercialized projects, around 311.1 billion won/year of economic benefits and reduction of waste.by-products of 828,113 tons/year, wastewater of 215,517 tons/year, reduction in energy consumption of 250,475 toe/year and GHG emission reduction of 1,107,189 tCO₂/year were achieved. This results confirmed that EIP initiative based on industrial symbiosis can enhance eco-efficiency of industrial parks and harmonize economy and environment. However, there are obstacles like absence of interagency coordination and cooperation, laws and institutional barriers, increased demand for local governments, funding for project investment. Thus, to utilize EIP initiative as a strategic tool for competiveness and environmental management of industrial parks, it needs intergovernmental collaboration and interdisciplinary approach to lower barrier in implementation.

Seventeen Unrecorded Species from Gayasan National Park in Korea

( Hyun Lee ),( Myung Soo Park ),( Ji-hyun Park ),( Hae Jin Cho ),( Ki Hyeong Park ),( Shinnam Yoo ),( Jun Won Lee ),( Nam Kyu Kim ),( Jin Sung Lee ),( Jae Young Park ),( Changmu Kim ),( Jae-jin Kim ) 한국균학회 2020 Mycobiology Vol.48 No.3

Macrofungi play important roles in forest ecology as wood decayers, symbionts, and pathogens of living trees. For the effective forest management, it is imperative to have a comprehensive overview of macrofungi diversity in specific areas. As a part of the National Institute of Biological Resources projects for discovering indigenous fungi in Korea, we collected macrofungi in Gayasan National Park from 2017 to 2018. These specimens were identified based on morphological characteristics and sequence analysis of internal transcribed spacer (ITS) or the nuclear large subunit rRNA (LSU) region. We discovered 17 macrofungi new to Korea: Butyrea japonica, Ceriporia nanlingensis, Coltricia weii, Coltriciella subglobosa, Crepidotus crocophyllus, Cylindrobasidium laeve, Fulvoderma scaurum, Laetiporus cremeiporus, Lentinellus castoreus, Leucogyrophana mollusca, Marasmius insolitus, Nidularia deformis, Phaeophlebiopsis peniophoroides, Phanerochaete angustocystidiata, Phlebiopsis pilatii, Postia coeruleivirens, and Tengioboletus fujianensis. We described their detailed morphological characteristics.