Rifampicin에 의한 것으로 추정되는 위막성 대장염1예

김수현,이은우,정종혁,문승현,김동한,양혁승,오영상,김호동,김도현,박혁,박정환,박경옥,이영직 朝鮮大學校 附設 醫學硏究所 2006 The Medical Journal of Chosun University Vol.31 No.2

Pseudomembranous colitis, caused by altering the normal colonic flora and allowing the multiplication of Clostridium difficile, is an deleterious adverse effect of antibiotics. But it is rarely reported by rifampicin. Rifampicin is one of the first line drug in the treatment of tuberculosis and many patients are exposed to its potential adverse effects. We experienced a patient that had abdominal discomfort and hematochezia due to pseudomembranous colitis after receiving antituberculous medication, and which was probably caused by rifampicin. A 82 years old man was admitted with abdominal discomfort and hematochezia for one week. On the past history he had been diagnosed as endobronchial tuberculosis about 4 months ago. Colonoscopy revealed multiple discrete whitish mucosal lesion on rectosigmoid colon, and histologic findings were consistent with pseudomembranous colitis. The antituberculous agents were discontinued and vancomycin was administered. The patient's symptoms were resolved within several days. There was no recurrence after reinstitution of the antituberculous agents excluding rifampicin. We report here on a case of pseudomembranous colitis probably due to rifampicin.

연 X-선 현미경을 이용한 금 나노입자 세포영상

권영만,김한경,김경우,김선희,윤홍화,천권수,강성훈,박성훈,정선관,윤권하 韓國電子顯微鏡學會 2008 Applied microscopy Vol.38 No.3

연 x-선 현미경은 ‘물의 창’ 영역(2.3~4.4 nm)의 파장을 이용하여, 수십 nm의 분해능으로 세포를 파괴하지 않고 살아있는 상태에서 세포의 내부구조를 관찰할 수 있어 가시광선현미경과 전자현미경을 단점을 보완하는 특징을 갖는 세포 생물학 연구에 적합한 현미경이다. 그러나 기존 연 x-선 현미경은 광원으로 방사선 가속기를 이용하기 때문에 사용이 제한적이었다. 이에, 본 연구에서는 2.88 nm의 연 x-선을 광원으로 사용하는 소형 연 x-선 현미경을 이용하여, 내포작용에 의해 금 나노입자를 포획한 HT1080과 MDA-MB 231 세포의 영상을 약 60 nm 분해능으로 획득하였다. 금 나노입자의 세포에 대한 독성을 제거하기 위하여 폴리에틸렌 글리콜을 캡핑하였고, 2.88 nm 파장의 연 x-선에 대하여 충분한 조영효과로 인하여 세포영상에서 뚜렷한 대조도를 나타내었다. 내포작용에 의해 액포에 포함되어 있는 다양한 크기의 금 나노입자 군집을 확인하였으며, 세포내부의 액포의 분포상태도 관찰할 수 있었다. 따라서 고분해능을 가진 소형 연 x-선 현미경을 이용하여 금 나노입자를 세포내의 미세기관이나 특정 단백질에 표지하면 연 x-선에 대한 조영효과의 증가에 의하여 더욱 유용한 정보를 획득할 수 있을 것으로 생각한다. A compact soft x-ray microscope operated in the ‘water window’ wavelength region (2.3~4.4 nm) was used for observing cells with nano-scale spatial resolution. To obtain cellular imaging captured with colloidal gold nanoparticles using a compact soft x-ray microscope. The colloidal gold nanoparticles showed higher contrast and lower transmission more than 7 times than that of cellular protein on the soft x-ray wavelength region. The structure and thickness of the cell membrane of the Coscinodiscus oculoides (diatome) and red blood cells were seen clearly. The gold nanoparticles within the HT1080 and MDA-MB 231 cells were seen clearly on the soft x-ray microscopy. The gold nanoparticles were aggregated within vesicles by endocytosis.

임대아파트의 수선비용 관리시스템을 위한 데이터베이스 구축

이춘경,정영한,박태근,김광우,김창덕,김옥규,황영삼,박홍석 대한건축학회 2003 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.23 No.1

It shows that a variety of side effects result from the housing-supply policy focused in quantity. In a rental apartment for the low-income group, a shortage of maintenance cost in facilities become aggravated. The rapid progress of obsolete leads the lessor to the economic loss as well as a baneful influence to national economy. Also, the maintenance skill brings inadequacy by reason of technique development focused on new construction. As a result, the cost which needs for maintenance should get accomplished to application toward economy analysis and attempt considered management and financial affairs. Simultaneously, it should keep and administer a lot of data of maintenance affairs during life cycle in apartment and set up the way for aiding the situation of maintenance process.

백서의 우울모형에서의 칼슘통로 길항제 에타베린(Ethaverine)의 항우울효과

이상경,김선희,김록우,윤성환,김용관,김경태,김영훈 대한신경정신의학회 2000 신경정신의학 Vol.39 No.2

연구목적: 본 전임상연구에서는 우울증의 두가지 동물모형을 통해 에타베린이 단독 혹은 이미프라민과 병용처치 되었을 때의 효과를 알아보고자 하였다. 방법: 표준화된 검사법인 강제수영검사를 사용하여 옹성백서에게 에타베린(20mg/kg) 및 이미프라민 (20mg/kg)을 단독 혹은 병용 처치하였을 때의 부동시간의 변화를 관찰하였고, 경도의 만성 스트레스를 3주간 가한 후 4주간 에타베린과 이미프라민을 단독 혹은 병용 처치하였을때의 자당섭취량의 변화를 관찰하였다. 결과: 약물을 1회 단기처치 및 7일간 장기처치한 강제수영검사에서 이미프라민 및 에타베린 단독처치는 대조군에 비하여 부동시간의 단축을 보였고 에타베린은 이미프라민의 부동시간 감소에 대한 증강작용을보였다. 경도의 만성스트레스 실험에서도 3주간의 스트레스로 인하여 감소된 백서의 자당섭취량을 이미 프라민 및 에타베린이 회복시켰으며, 치료초기에 두 약물의 병용처치효과가 두드러졌다. 결론: 본 연구의 결과는 에타베린이 향우울 효과를 가지고 있음을 시사하며, 삼환계 항우울제인 이미프라민의 항우울효과를 증강시키므로 에타베린의 임상적 활용 가능성을 보여준다. Objectives: This pre-clinical study was performed to assess the effects of ethaverine in the two kinds of behavioral models of depression in rats. Methods: We observed the changes of the immobility time in the froced swimming test and the quantity of sucrose consumed in the chronic mild stress model, using ethaverine(20mg/kg) alone, imipramine(20mg/kg) alone, or ethaverine and imipramine concomitantly. Results: In the forced swimming test, both single treatment and chronic treatment(for 7days) with imipramine or ethaverine significantly reduced the immobility time, and concomitant chronic treatment with ethaverine potentiated the effect of imipramine. In the chronic mild stress model, both imipramine and ethaverine reversed the decreased sucrose consumption induced by 3-week stress and concomitantly treated ethaverine potentiated the effect of imi-pramine in the early phase of treatment. Conclusions: The data suggest that ethaverine can be used alone or concomitantly with other antidepressants in the clinical situation.

군 간호 리더십 개념 개발

김은경 ( Eun Kyong Kim ),유명란 ( Myoung Ran Yoo ),박계화 ( Kye Hwa Park ),금경림 ( Kyeong Lim Keum ),정은영 ( Eun Young Jung ) 국군간호사관학교 군진간호연구소 2015 군진간호연구 Vol.33 No.2

Purpose: This study identifies the concept of `military nursing leadership’ based on a qualitative investigation. Methods: The study is based on Hybrid Model, proposed by Schwartz-Barcott and Kim. The study compromises of 3 steps : theory investigation, field study and final analysis. For theory investigation, we searched various literatures about ‘leadership’. Secondly, field study was conducted through interview and participatant observation of 14 participants (6 patients, 4 peer workers, and 4 nursing officers). Based on the above, we identified conceptual attributes of military nursing leadership. Results: Identified 9 attributes of military nursing leadership are achievement of group goal, respect, leading attitude, communication, educating how to be soldierly, specialty, persuasive power, judgment, and encouragement. Those attributes indicate that military nursing leadership is a process of achieving group goal through communication, educating soldierly manners based on encouragement and respect by nursing officers with specialty, persuasive power and judgement. Conclusion: In this study, we provide a way of understanding definition and 9 attributes of military nursing leadership to make military nursing officers have better apprehensibility. In addition, it can be helpful data in developing concept of military nursing leadership and related educational course.

AC8A-T6 알루미늄 合金材의 切削加工 特性에 關한 硏究

최현민,김경우,김우순,김용환,김동현,채왕석 한국공작기계학회 2002 한국공작기계학회 추계학술대회논문집 Vol.2002 No.-

In this study, examined the cutting characteristics of alumuminum alloy AC8A-T6 that is used to present car piston materials. And in been holding materials machining empirically escape as result that experiment comparison changing the cutting speed and feed on various condition to choose efficient machining condition. The following results can be summarized from this research. 1.As the cutting speed decreased, principal cutting force and thrust cutting force is increased, and reason that cutting force interacts greatly in the low cutting speed is thought by result by BUE's stabilization. 2.The feed speed and cutting speed increase, friction factor is decrescent and the cause appeared the thrust cutting force is fallen than cutting force relatively because chip flow according to increase of the feed rate is constraint. 3.Though specific cutting resistance grows cutting area and the feed rate are few, the cause was expose that shear angle decreases by rake face of tool gets into negative angle remarkably as wear of a cutting tool or defect part of workpiece is cut. 4.Cutting speed do greatly depth of cut is slow, surface roughness examined closely through an experiment that becomes bad, and know that it can get good surface that process cutting speed because do feed rate by 0.1㎜/rev low more than 250m/min to get good surface roughness can.

行政에 대한 住民參與 實態分析

金相榮,文景三 경북대학교 법정대학 1984 法大論叢 Vol.22 No.-

The concept of citizen participation is often referred to be an integral part of both political and administrative systems of democratic nation. The participation phenomenon, however, is so worldwide that ist meaning, function, role, and importance may vary from one political system to another, thus taking many forms. This paper examines the way citizen participation is taking place and the way city administrators are meeting citizen's demands in the urban administration of Korea, particularly focusing on the City of Daegu. The analytic framework for this study identifies some components of participation: (1) participative orientation of residents, (2) administrative response to particpation, and (3) openness of administrative information providing feedback functions to citizen and agency relationships. The participative orientation is further devided into two categories of resident environment which are participative culture and participative activity, whereas the administrative response to participation mechanism and participative response behavior. The openness of administrative information in its analytic purpose has two perspectives: ① the contents of information and ② the information channel by which administrative information is provided to citizens. The basic research effort is to clarify some problems that are inherent to both citizen and city agency so that some sound measures for remedying the problems can be recommended. The research, which is exclusively based on the City of Daegu, is conducted to analyze cumulative data analyze cumulative data available since 1970 in order to grasp the general trends of citizen participation while relying on the relatively recent data in 1982 to explain the updated participative behaivor of citizens. However, the behaivor of citizens and the public officials for which there are few official data is derived mainly from the writer's resident experience and concerned literature in addition to informal discussion with city officials. The results of this study may be summerized as follows. The Korean society has few opportunities to cultivate its autonomy, public spirit, and democratic citizenry through the experience of participation. Accordingly, such a lack of autonomy and impartialty tends to make citizens selfish and benefit-seekers relying on the administration. This phenomenon has been improved by the strong administrative leadership in orienting citizens to participation by means of some participative organs. However, it has not been considered easy to make the society active by the administrative leadership efforts only. The high degree of citizens' understanding of and wish for liberal democracy has not been positively reflected in their actual participative behavior. However, there appears to lay a firm foundation for the potential participative society although it has not been easy to form and strengthen autonomous organizations of residents in the highly specializing contemporary society. The administrative efforts have been particularly stressed on the active administration for the citizen-agency dialogue and public opinion in order to promote residents' creativity and demands on the direction of city administration. Such a positive attitude and action provided by the agency has narrowed the credibility gap that exists between the local administration and the residents. This, however, has not been very fruitful in postering residents autonomous activity.

상업스포츠 참가자의 사회경제적 배경과 사회관계 만족 및 관계지속의사의 관계

김경식,장현철,윤상영,천정필 한국스포츠리서치 2004 한국 스포츠 리서치 Vol.15 No.3

This study was to analysis a relationship between socio-economic characteristics, social relation satisfaction, and the adherence of social relation at the commercial sports centers. To attain the goal of the study described above paragraphs, some members of commercial sports center held in Seoul were set as a collected group. Then, using the cluster random sampling method, finally drew out and analyzed 713 people in total The material collection device was the brochure named <the survey on socio-economic characteristics, social relation satisfaction, and the adherence of social relation at the commercial sports centers>. The result of reliability check up was here below; social interaction, Chronbach' α=.840~.915, the satisfaction according to social relation, α=.787, the adherence of social relation α=.847. To analyze materials, factor analysis, reliability analysis, oneway-ANOVA, multiple-regression were used as statistic analysis techniques. The conclusion based on above study method and the result of material analysis are here below. First, it is found that there is a significant difference in satisfaction according to social relation. Second, it is found that there is a significant difference in the adherence of social relation. Third, the satisfaction according to social relation influences on the adherence of social relation.

콘크리트 포장의 플라이애쉬 재활용 방안연구

정영화,최성용,윤경구,용석응,김태경 강원대학교 석재복합신소재제품연구센터 1998 석재연 논문집 Vol.3 No.-

한국 대부분의 고속도로는 콘크리트로 포장되고 있으며, 플라이애쉬를 포장용 콘크리트에서 재활용하면 콘크리트의 성능을 향상시킴과 동시에 경제적 이익과 환경보호에 큰 기여를 할 것이다. 본 연구에서는 플라이애쉬를 포장 콘크리트에 재활용하고자, 플라이애쉬 치환율, 물-시멘트비, 굵은골재 최대치수를 주요실험 변수로 하여 이들이 플라이애쉬를 혼입한 포장용 콘크리트의 역학적 특성에 미치는 영향을 살피기 위해서 실험하여 통계처리 분석하였다. 이러한 분석결과를 바탕으로 포장 콘크리트의 적정배합을 제시하였으며 결과는 다음과 같다. 플라이애쉬를 혼입한 포장콘크리트의 휨강도에 영향을 미치는 인자는 플라이애쉬 치환율이 가장 큰 것으로 나타났으며, 다음으로 굵은골재 최대치수와 물-시멘트비 순으로 영향을 미친다. 또한, 플라이애쉬 치환율과 굵은골재 최대치수의 상관관계가 가장 큰 것을 알 수 있었다. 목표압축강도를 목표 휨강도의 6배로 선택하여 적정구간을 결정하였으나, 적정배합구간이 목표압축강도에 의해서 결정되었다. 이는 플라이애쉬의 작은 수화물이 공극을 효과적으로 채움으로써 휨강도의 증진에 크게 기여하기 때문으로 판단된다. 고속도로 포장에 적용할 수 있는 32mm의 굵은골재 최대치수와 45%의 물-시멘트비를 사용하는 목표 휨강도 45kg/㎠의 적정배합에서는 5.0%까지 플라이애쉬를 치환 가능하고, 50kg/㎠의 적정배합에서는 2.5%까지 치환 가능하다. 공항 포장에 적용할 수 있는 40mm의 굵은골재 최대치수와 37%의 물-시멘트비를 사용하는 목표 휨강도 45kg/㎠의 적정배합에서는 4.5%까지 플라이애쉬를 치환 가능하고, 50kg/㎠의 적정배합에서는 2.0%까지 치환 가능하다. The most of highway in Korea have been paved by concrete since last ten years. The recycling of fly ash in pavement concrete may result in economics, the improvement of concrete quality and the reservation of environment. This paper focused on the series of experiment and statistics analysis with experimental variables such as fly ash substitute ratio, water-cement ratio and maximum size of coarse aggregate in order to investigate the feasibility of recycling of fly ash in pavement concrete, to see the strength characteristics and t propose the optimum mix design based on previous results. The results of experiments and analysis were follows; The fly ash substitute ratio affected most seriously to the flexural strength of concrete among main variables, followed by maximum size of coarse aggregate and water-cement ratio. The interaction between fly ash substitute ratio and coarse aggregate size was the biggest. The optimum mix design was determined by target compressive, which was selected as 6 times of flexural strength. This indicated that the small hydrate of fly ash in concrete filled in effectively and resulted in the enhancement of flexural strength. the optimum mix design for highway pavement concrete with 32mm of maximum size of coarse aggregate and 45% of W/C can incorporate up to 5.0% and 2.5% of fly-ash at 45 kg/cm² and 50 kg/cm² of target flexural strength, respectively. The optimum mix design for airport pavement concrete with 40mm of maximum size of coarse aggregate and 37% of W/C can incorporate up to 4.5% and 2.0% of fly ash at 45 kg/cm² and 50 kg/cm² of target flexural strength, respectively.

알코올 의존 환자의 의사 결정에서의 보속적인 경향

김남욱,구정훈,이은,최유경,정영철 大韓神經精神醫學會 2007 신경정신의학 Vol.46 No.5

Objectives : The relationship between substance dependence and poor decision making has received much attention inrecent years. This study aimed to test the hypothesis that alcohol dependent subjects would demonstrate a more perseverative decision-making pattem, during ambiguous situations. Methods : 15 alcohol dependent patients and 15 healthy normal controls performed a novel computerized decision-making task, which presented figures of coins. The subjects were instructed to guess whether the total number of coins was 'odd' or' even'. Besides these two response, one could select a third altemative - 'pass' - in case the chances were assumed to be low. Results : There was significant difference in performance between the two groups (F=4.339, P=0.008). The control groupgained 15.4±14.4 points, whereas the alcohol dependent group lost 0.6±5.3 points. The normal control group demonstrated a tendency to make more pass responses as the trials were repeated. In contrast, the alcohol dependent group didn't make use of the altemative, but kept challenging between 'odd' and 'even', although they sensed that the chances were low. Conclusion : The alcohol dependent patients demonstrated a more rigid and perseverative response pattem and showed deficits in making use of compromise altematives.