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.

재가노인들을 위한 무료급식소의 식단 평가

한경희,채인숙,박정숙,최미숙,정순둘 한국식생활문화학회 2002 韓國食生活文化學會誌 Vol.17 No.5

The purpose of this study was to evaluate the diet quality of the menus delivered by 17 free meal service centers for the low-income home-bound elderly in Chung- cheong buk-Do. Statistical data analysis was compleleted using the SPSS package program for descriptive analysis, T-test, and ANOVA. The meals offered by free meal service centers were not met the 1/3 recommended dietary allowances in calcium and vitamin B_2. There were significant differences between dependent variables(nutrient content, nutrient density, nutrient deficiency, NAR, MAR, food group intake patterns) and independent variables (operation type, operation status, operation period, nutritionist, food cost).

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.

공격성이 주호소 문제인 경도 정신지체 아동의 미술치료 사례연구

정계숙,구정희 부산대학교 영유아보육연구소 2004 영유아보육연구 Vol.10 No.-

The purpose of this case study examined the effect of a child-centered art therapy for a primary grade child with mild mental retardation, who showed moderately severe aggression as a main problem and other maladjusted behaviors. The subject was a 10 years old boy. The program consisted of art activities for enhancing emotional expression, emotional stability, seif regulation and seif esteem. Fach of 33 sessions nm 50 minutes once a week The process of the session was recorded and client's art works and products were gathered at every session. It administerd the Aggression Checklist, K-HTP, FD and KSD before and alter the art therapy program. The effectiveness of the program was analyzed qualitatively and quantitatively. The results of this study were as follows: First, the program reduced aggression of a child with mild mental retardation effectively. Second, the program improved his other maladjustive behaviors. It discussed about practical implications, limitations of the study and future research directions.

잭슨 구조적 프로그래밍 방법의 통합을 위한 새로운 객체지향 방법에 관한 연구

정현숙,조정은,김행곤 대구효성가톨릭대학교 응용과학연구소 1995 응용과학연구논문집 Vol.4 No.-

Software is on the increase to translate existing system into an object-oriented system that is due to spread a problem recognition to have structured development methodology and prosperity of object-oriented related techniques. This paper presents a new object-oriented method which integrates the Jackson Structur-ed Programming method with an object-oriented approach. The new method analyzes the user's services, identifies attributes from data structure diagrams, and identifies operations from program structure diagrams. As well, this method defers the identification of class relationship until the attributes and operations have been identified, so as to present premature desicions. Besides, the con-cepts of "leading object" is used to decrease the number of actors and agents and to in-crease the number of servers in a system. Some of the results may also enhance reusability of the objects.

컴퓨터에 의한 여자 마고자의 원형제도

정정숙,이수정 진주여자전문대학 1993 論文集 Vol.16 No.-

A computer is an important too for the mordern designer. With it one can easily create, demonstrate, alter of copy an original pattern. The present study is undertaken to utilize the computer in pattern making of magoja for women The results are as follow ; 1. The pattern of magoja were automatically depicted by inputting the body measurements to bodice. 2. Basic points which can be connected to depict basic pattern are represented with the numerical expression and the curved tines consist of arc. 3. The patterns grading were depicted by inputting the standard size (large, medium and small), the grading work is accurate and quickly accomplished by using a computer.

교육연극을 적용한 집단상담프로그램이 유아의 친사회적 행동 증진에 미치는 영향 : 또래관계 형성이 어려운 유아를 중심으로

정계숙,김미정,김정은 부산대학교 영유아보육연구소 2002 영유아보육연구 Vol.8 No.-

This study examined the applicability of creative drama to group intervention for poorly accepted elementary school children. The study was one of the planned variations study series for identifying the effectiveness of the social and emotional difficulties or developmental delays by the Child Counselling and Intervention Center Child Educare Research Institute, PNU since 1998. The goal of the program was to improve prosocial behavior through creative drama on emotion regulation and social skill. The subjects were 6 children, age 10∼13, with poorly accepted elementary school children. The program was composed of total 16 sessions for 16 weeks. Each session was implemented for 90 minutes by intervenient. Every child was observed and recorded on 3∼4 target behaviors after the 4th session. The behavior episodes of each of children were described through all sessions by the assigned observers for each child. The effects of the program were described with qualitative analysis and the behavior episodes related each child's target behaviors. The changes of target behaviors and other related prosocial behaviors of children were different to children. It was concluded that the group intervention program intended to improve prosocial behavior through the creative drama was generally effective for poorly accepted children.

기관지석으로 발현한 기관지성 방선균증 1예

정숙인,천정학,홍종락,고영민,정만표,권오정,이종헌,백경란,송재훈 대한화학요법학회 1999 대한화학요법학회지 Vol.17 No.2

기관지성 방선균증은 매우 예외적이고 드물며 임상양상이 다양하여 폐암과의 감별이 어렵기도 하지만 기관지내시경 검사를 통해 진단할 수 있고 항생제 투여로 완치될 수 있는 질환이다. 저자들은 기관지석과 함께 발현한 기관지성 방선균증을 장기간의 경구 항생제 요법으로 완치한 1례를 경험하였기에 보고하는 바이다. Endobronchial actmomycosis is considered as an exceptional event. We report a case of a 49-year-old woman who presented with cough and exertional dyspnea for 20 months. Her chest X-ray showed calcified lymph nodes in the right lower paratracheal and subcarinal area and consolidation in the right middle lobe. Bronchoscopic examination demonstrated whitish broncholithiasis with mucosal nodularity in the bronchus intermedius obstructing the lumen near-completely. The biopsy specimen revealed sulfur granules and calcified material which were consistent with actmomycosis. Prolonged oral antibiotic treatment resulted in complete recovery, without need for surgical resection.

JUN SYSTEM를 이용한 직물 문양 연구(1) : 한복지 Plants Patterns을 중심으로

정정숙 진주여자전문대학 1992 論文集 Vol.15 No.-

Modern society came to make more excellent merchandise fast by using computer with high advanced function in each field of industry. Now that CAD and CAM are used further to the new field of art which couldn't be felt through handicraft, the development of design is urgent to use various functions of computer in each field. As the result of visiting textile companies in Chin Ju city and researching the types of pattern, this study suggests some patterns applying CAD to the pattern, which will offer a footstep to the further study of pattern design.

선택적 함묵아의 놀이치료 사례연구 : A Case Study of Play Therapy for Selective Mutism Child

정계숙,이은하,이정희 부산대학교 영유아보육연구소 2002 영유아보육연구 Vol.8 No.-

The purpose of this study was to examine the effect of child-centered play therapy for a young child with selective mutism. The subject was a 4.10 year old girl who had interpersonal difficulties caused of selective mutism. The objects of the play therapy were to improve emotional expression and social communication and to change unadapted social behavior. The total number of play therapy sessions was 56. The ongoing parent interventions for child's mother was implemented once a week and the interview with kindergarten teacher were administered periodically. The changes of the child were described qualitatively through all sessions. During the early stage, the child showed severe mother separate anxiety and told to the therapist hardly. The feature of her play was to separate houses and cars which she built and placed with the traffic signals. Through the middle stage, she showed the depressions and the stress caused of conflicts between self and reality repeatedly, and then, changed a little in interpersonal relations, including her young sister. On the later stage, the aspects of her play sessions showed that she became a quiet adaptive child. She became to talk with strange peoples even in strange situations and to be generous to her young sister even when she made a scar in her own face. It was discussed about the effectiveness of the child-centered play therapy on improving emotional expression and social communication of a young child with selective mutism.