소아나 협조가 힘든 환자에서 봉합사 제거가 쉬운 봉합법

남수봉,오흥찬,강철욱,최수종,배용찬 부산대학교 병원 암연구소 2009 부산대병원학술지 Vol.- No.25

鷄龍山의 水棲昆蟲 群集에 관한 硏究

남상호,조영호,박영준,한용구,이정수 대전대학교 기초과학연구소 2002 自然科學 Vol.13 No.2

천황봉에서 발원하여 산간 계류를 형성하고 흐르다가 유성천과 합류해 금강으로 유입되는 계룡산 동학사 계곡의 수선곤충 군집을 조사한 결과 총 5목 17과 37종이 출현하였다. 이중에서는 하루살이류가 6과 14종으로 가장 많이 출현하였으며, 현존량은 파리류가 전체 1,165개체중 569개체(48.84%)로 가장 높게 나타났다. 전체 우점종은 꼬마하루살이와 깔다구류로 0.15의 우점도지수를 기록하였다. 종다양도는 제 4지점인 남매탑 계류의 합류점이 0.93으로 가장 높았고, 제 1지점인 은선산장 위 부근이 0.09로 낮게 나타났다. 각 지점별 오수생물계열은 초강부수성-강부수성으로 매우 낮게 조사되었다. Aquatic insect communities were investigated in a mountain streams of YIt. Iiyeryong1 one of the central areas of Korea, from March to September, 2002. As a result, 37 species of aquatic insects in 17 families and in 6 orders appeared during the study period, the order Ephemeroptera and Diptera of which were the most appeared. Ephemeroptera was consisted of 14 species of 6 families, and Diptera was consisted of 589 individuals(48.84%j of total individual nun-her. Dominant species was Baetis ther-micus and the subdominant species was Chironmidae sp.. Dominant species index of Baetis thermicils and Chironmidae sp. was O.15 The highest species diversity index was observed of site 4 as 0.93 and the lowest species diversity index was observed of site 1 as 0.09. Dominance indices ranged between 0.15 and 1.00 while diversity indices between 0.09 and 0.93. In relation to species diversity indices, Mt. Iiyeryong streams were determined as Isosaprobity-Polysaprobity area. In general, it is inferred from the aquatic insect community that typical mountain streams of Korea are low.

VDT작업별 정신사회적 스트레스와 근골격계 장애에 관한 연구

백남종,강종두,주영수,배인근,권호장,박종만,조수헌,김돈규,김재용,최홍렬 大韓産業醫學會 1998 대한직업환경의학회지 Vol.10 No.4

It has been hypothesized that jobs that have both high psychological demands and low decision latitude("job strain") can lead to musculoskeletal disorder. The objective of this study was to test whether job strain was correlated with the presence of work-related musculoskeletal disorder, especially myofascial pain syndrome(MPS). Information on demographic factors, confounders such as household load and taking care of children or not, and scores for decision latitude, job demand, and social support was obtained by self-administered questionnaire, which had been developed in Korean language, by adopting NIOSH instrument and Extended Karasek Model(16 items). All subjects were also examined by rehabilitation medicine specialists for musculoskeletal disorders. Subjects(n=370) could be categorized into 4 groups, these were, housewives(n=89), shipyard CAD workers(n=89), general female workers(n=79; nurses, insurance counselors, public officials, clerks, etc), and telephone directory assistance operators(n=113). Results from univariate analyses indicated that all demographic factors, all confounders, scores for decision latitude and social support were not associated with the risk of musculoskeletal disorder. However, score for job demand was higher in musculoskeletal disorder cases than others. In subgroup analysis, this association was convinced again, in telephone directory assistance operators. Job strain model showed that the group of telephone directory assistance operators was high-stain group, and OR of musculo skeletal disorder was 2.446(95% C. I. : 1.174, 5.096), when comparing this with the low strain group. In conclusion, job strain is a risk factor for work-related musculoskeletal disorder.

1996-1997년 겨울철에 유행한 인플루엔자의 임상역학적 분석 및 원인 바이러스의 분리

김수정,정규영,이용화,기창석,이남용,이상일,김지희 대한감염학회 1997 감염 Vol.29 No.4

목적: 인플루엔자는 매년 겨울 전 세계적인 유행을 일으키는 급성 호흡기 질환으로 높은 이환률과 사망율을 보인다. 국내에서도 1996-1997년 겨울철에 다수의 보고가 있었으나 아직 체계적인 감시가 이루어지고 있지 못하다. 저자들은 이 기간 동안 인플루엔자 바이러스 감염의 역학적 특성과 임상상을 연구하여 인플루엔자 감시의 기초 자료를 제공하고자 하였다. 방법: 1996년 10월부터 1997년 4월까지 삼성서울병원 임상병리과에 인플루엔자 바이러스 배양 검사가 의뢰된 모든 검체를 대상으로 인플루엔자 바이러스의 분리율과 유행 양상, 그리고 환자들의 임상상을 후향적으로 조사, 분석하였다. 결과: 총 461명의 환자로부터 525례의 검체가 의뢰되어 총 98명의 환자로부터 인플루엔자 바이러스가 분리되었다. 인플루엔자 A형은 54명의 소아 환자와 4명의 소아 환자로부터 분리되었다. 아형과 항원 특성 검사를 시행한 31례의 인플루엔자 A형 중 한 예에서 A/Wuhan/359/95 유사주로 확인되었고 12례의 인플루엔자 B형 중 5례에서 B/Guangdong/8/97 유사주로 확인되었다. 인플루엔자의 유행 양상은 3월과 4월 중순, 두 번의 인플루엔자 최고 분리 시점이 관찰되었고, 가장 많은 불리 빈도를 보인 연령층은 인플루엔자 A형의 경우 1세 미만이었고 인플루엔자 B형의 경우 3-5세였으며 폐렴이 가장 흔한 호흡기 질환이었다. 결론: 저자들은 3차 의료기관에서 분리된 인플루엔자 바이러스에 대한 역학적, 임상적 특성을 연구하였다. 지역사회에 대한 광범위한 연구가 아니므로 국내의 전반적 상황과는 차이가 있을 것으로 생각되지만 우리나라에서도 인플루엔자 바이러스의 이환률이 낮지 않을 것으로 생각되며, 보다 조직적이고 전국적인 인플루엔자 감시가 이루어져야 할 것으로 사료된다. Background: Although influenza has been a leading cause of global morbidity and mortality, we have few data regarding the epidemioloical and clinical characteristics of influenza activity in korea. Since an outbreak of influenza was recognized during winter of 1996-1997, we analysed the epidemiological and clinical features of influenza activity in the hospital seeting. Methods: All clinical specimens requested for isolation of influenza virus at Samsung Medical Center from October 1996 to April 1997 were included. Mardin-Darby canine kidney (MDCK) cell line was used for virus culture. Isolated viruses were confirmed with immunostain followed by subtyping. The demograpic and clinical characteristics of the patients were reviewed retrospectively. Results: Ninety eight influenza viruses were isolatd from 461 patients (21.3%). Influenza A and B virus were isolated from 58 (54 children and 4 adults) and 40 pediatric patients, respectively. One of 31 influenza A viruses was confirmed as A/Wuhan/359/95-like strain and 5 of 12 influenza B viruses were confiremd as B/Guangdong/8/97-like strains. Two distinctive peaks of influenza activity were recognized and the most common age of patients was less than 1 year for influenza A, and 3 to 5 years for influenza B. Common lower respiratory infections were pneumonia followed by croup, bronchiolitis and laryngitis. Conclusion: We analyzed the epidemiological and clinical features of influenza activity during winter of 1996-1997. Although this study was performed not in the community but in the hospital setting, the morbidity caused by influenza may not be low in Korea. Therefore, nationwide surveillance for influenza activity is warranted.

다제 내성 폐렴구균에 대한 항균제 병합시의 시험관내 항균효과

김수정,이남용,양지원,백경란,김성민,배직현,송재훈 대한감염학회 1997 감염 Vol.29 No.2

목적: 페니실린 및 다제 내성 폐렴구균은 선택할 수 있는 치료제가 제한되어 임상적으로 문제가 되고 있다. 특히 다제 내성 균주에 의한 수막염의 치료에 cephalosporin제 단독요법의 치료 실패가 계속 보고 되면서, 기존 항균제의 병용요법이나 새로 개발되는 항균제에 관심이 모아지고 있다. 특히 국내에서 분리되는 폐렴구균의 페니실린 및 다제 내성율은 이미 세계 최고 수준으로 이러한 치료법의 개발이 더욱 필요한 상황이다. 저자들은 다제 내성 폐렴구균 감염증의 새로운 치료법을 찾고자 국내에서 흔히 사용되는 항균제를 대상으로 time-kill 방법을 이용한 시험관내 synergy 여부를 알아보고자 하였다. 방법 :대상균주는 국내에서 분리된 페니실린 감수성인 2균주와 모든 β-lactam 제제에 동시 내성을 보인 다제 내성 5균주이었다. 대상 병용요법은 penicillin+gentamicin, cefotaxime+gentamicin, vancomycin+gentamicin, vancomycin+cefotaxime, vancomycin+imipenem, ampicillin+cefotaxime 등이었다. 각 항균제의 시험 농도는 1/2 MIC로 하였으며, 균 집락수의 측정은 0,4,8,24시간에 시행하였다. 결과:Penicillin+gentamicin, cefotaxime+gentamicin, vancomycin+cefotaxime 등의 병합요법이 시험관내 synergy를 보였으며, vancomycin+gentamicin, vancomycin+imipenem, ampicillin+cefotaxime 등의 병용은 indifference의 결과를 보였다. 결론 본 연구를 통하여 penicillin+gentamicin, cefotaxime+gentamicin, vancomycin+cefotaxime 등의 병용요법이 다제 내성 균주에 대하여 시험관내 synergy를 보임으로써 새로운 치료요법의 대상이 될 수 있음을 확인하였다. 또한 이는 향후 생체 내에서의 약물 상호작용에 대한 동물실험시 응용될 수 있는 기본 자료로 의미가 있을 것으로 생각된다. Background: Penicillin-and multidrug-resistant Streptococcus pneumoniae became a global problem during recent decades. Multidrug resistance poses a serious threat to clinical medicine due to restriction of selecting appropriate antimicrobial agents to treat with. Current data suggest that any single antimicrobial agent cannot be a satisfactory option to treat pniemococcal infections caused by multidrug-resistant strains, particularly in meningitis. The aim of the study was to assess in vitro efficacy of several antimicrobial combinations which are commonly used in clinical practice, and to obtain reasonable regimens which can be applied to in vivo model. Methods: We performed time-kill studies of antimicrobial combinations including penicillin, cefotaxime, vancomycin, gentamicin, imipenem and ampicillin against five multidrug-resistant strains and two penicillin-susceptible strains. Penicillin, cefotaxime and vancomycin were combined with gentamicin, respectively. Cefotaxime plus vancomycin, imipenem plus vancomycin, and cefotaxime plus ampicillin combinations were also tested. Synergy was defined as a ≥100-fold or 2-log decrease in colony count at 24 h by the combination compared with that by the most active single agent. Result: Penicillin puls gentamicin, cefotaxime plus gentamicin, and vancomycin plus cefotaxime combinations were deminstrated to have in vitro synergistic activities against multidrug-resistant strains. Conclusion: Three combinations showed in vitro synergism against penicillin-resistant pneumococci. Experimental animal study is warranted to determine the clinical relevance of the in vitro results.

주사전자현미경을 이용한 무당벌레에 기생하는 무당벌레기생파리(Degeeria separata)의 외부형태적 특징

윤영남,김남성,김기덕,박수진,서미자,채순용 충남대학교 농업과학연구소 2000 농업과학연구 Vol.27 No.1

External morphological characteristics of male and female of Degeeria separata, which was endoparasited in adult of the Asian ladybird, were studied by using the scanning electron microscopy(SEM). The antenna of Degeeria separata was consisted of three segment and arista. Anstae were about 750㎛ length and 30㎛ in diameter. The surface of antennae was covered with many sensilla. They were long or short, slender or thick, and straight or curved. Each three morphological types of sensilla were observed on the second and third segment of antennae. The mouthpart was sponging type. It was consisted with clypeus, labellum, labium, labrum, and maxillary palp. The labellum is 400㎛ width and double folded vertically. The leg consist of tarsus, tarsus claw, pulvilli, and empodium.

두경부 편평세포암에서 형질전환 성장인자-알파(TGF-α)의 발현에 관한 연구

도남용,이승학,김완수,김경일,이동용,김용기,최봉남 조선의대 1996 The Medical Journal of Chosun University Vol.21 No.2

세라믹 섬유필터를 이용한 디젤 입자상물질 배출저감에 관한 기초연구

주용남,홍민선,문수호,이동섭,임우택 한국대기환경학회 2003 한국대기환경학회지 Vol.19 No.3

Works were focused on back pressure characteristics of ceramic fiber filter on DPF(Diesel Particulate Filter) system and experiments were performed to select appropriate filter which can filter particulates. Filters were installed on metal-support tube which has openings for exhaust as flow. Ceramic fiber filters with high specific surface area and adequate high temperature strength are commercially available for filtration of diesel particulates and in-situ hot regeneration. Thus, ceramic blanket and ceramic board which are used as insulating media were applied to filter and filteration apparatus was installed on exhaust as line connected to 2.0L diesel engine. Alternating filter structure to adapt DPF system, collection efficiency test of diesel particulates was measured. In case of ceramic blanket, pressure drop was low, caused by the destruction of soft structures. Also, particulate collection efficiency was decreased depending on loading time. In case of ceramic board, structure design was altered to reduce back pressure on DPF system. Structure design was altered to induce Z-flow by making 10mm and 5mm holes on the surface of media. Alteration of 5mm hole showed that media have low back pressure but particulate collection efficiency was 77%, while 10mm hole showed that of 90%.

WWW 기반의 원격교육시스템 설계 및 구현

박남숙,장기화,곽난희,이수현,우용태 國立 昌原大學校 精報通信硏究所 1998 精報通信論文集 Vol.2 No.-

The purpose of this paper is to develope a distance education that would be a courseware for a specific object, which can be available for student to learn the necessary knowledge or function, with no restriction of time or place, using WWW and Oracle DBMS. The distance education was designed in this paper consists of bulletin board, subject information, lecturing schedule, online instructions, questions and answers, submit and confirmation of reports, evaluation of lecturing, reference sites, chatting and discussion room, and data bank. The distance education coupled by WWW and database will change the educational form from one-direction to bi-direction between a teacher and the students. This can also provide a multimedia information to the students through WWW environment with convenient user interface. Those benefits made it possible to offer animated audio-visual materials and search for the information concerned through a hypertext technique. Besides, various kinds of informations were stored at database to increase an effectiveness in managing data. Since both teacher and students, are easy to add new information using the process of instruction to the database, the amount of the stored information in the distance education can be expanded effectively.

함불소 공정부산물을 활용한 규불화염계 구체방수재의 공학적 특성에 관한 연구

강용식,길배수,남재현 대한건축학회 2003 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.23 No.2

This study wishes to apply when added Metal Silicofluoride waterproofing admixture to concrete, grasp engineering special quality and confirms the optimum recruitment stock. Through various experiments, got following conclusion. Did not give big Influence in slump in result in fresh concrete. Displayed High result most in compressive strength wave and 1.5% in hardened concrete. High permeability resistivity at waterproofing admixture addition was seen in permeability test. SEM observation wave and synergistic effect of compressive strength and reason of pitcher reduction performance. When see all these sequences, optimum recruitment stock estimates that 1.5% is the most suitable mixing amount.