전경대원에서 발생한 결핵의 임상 양상

문창기,박상준,조민구,김영중,김소연,김윤권,정준오,안석진,김은실,서승오,김지훈,최원제,이윤영,박형기,최규영,김현근 대한감염학회 2006 감염과 화학요법 Vol.38 No.6

Background: The purpose of this study was to document the incidence and clinical characteristics of patients with tuberculosis (TB) in combat and auxiliary police, living in a group, in Korea where the incidence rate of active TB in a general population is higher than in Western countries. Materials and Methods:We retrospectively reviewed the medical records of all tuberculosis patients diagnosed at National Police Hospital from January 2002 through December 2004. Results:In 2002-2004, a total of 156 cases of tuberculosis were identified with the mean (Standard deviation) age of 20.6 (±1.0) years. Of these, 134 (85.9%) patients were registered as new cases, 11 (7.1%) as relapse, 2 (1.3%) as failure, 5 (3.1%) as treatment-after-default cases whereas 4 (2.6 %) patients were not included in any categories. Average annual new TB rate and smear-positive TB rate were 86.5/10^(5) and 17.4/10^(5) person-years, respectively. In 12 of 31 smear-positive cases, time from onset of symptoms to diagnosis was more than 30 days. Two multidrug-resistance TB cases were identified and two suspected outbreak episodes of TB had occurred during 3 years. Conclusion:There was no statistically significant difference in the incidence rate of new cases of TB between the general population aged 20 to 29 years and combat and auxiliary police in Korea. 배경 : 국내 결핵의 발생은 감소 추세에 있으나 여전히 후진국형 발생양상을 보이고 있다. 특히 집단생활을 하는 젊은이들에서 발생하는 결핵의 유행이 간헐적으로 알려지고 있어 우려를 낳고 있다. 이에 저자들은 최근 전경대원의 결핵 발병 양상에 대해 알아보고자 본 연구를 시행하였다. 재료 및 방법 : 2002년 1월부터 2004년 12월까지 3년간 경찰병원에서 결핵 진료를 받은 전경대원의 의무기록을 후향적으로 분석하여 연도별 결핵 신환발생률, 도말양성결핵 신환율, 진단 지연, 집단발병, 다제내성결핵을 조사하였다. 결과 : 연도별 결핵 신환자 수(10만명당 발생추정치)는 2002년 50명(83.6명), 2003년 42명(83.7명), 2004년 42명(93.5명)이었고 도말양성 폐결핵 신환자 수는 2002년 10명(16.7명), 2003년 11명(21.9명), 2004년 6명(13.4명)이었다. 3년간 도말양성 폐결핵 환자는 31명이 있었고 그 중 12명은 호흡기 증상 발생 30일이 지나서 진단을 받았다. 다제내성 결핵은 2명이 있었으며 결핵의 집단발병이 의심되는 사례는 2차례 있었다. 결론 : 전경대원과 20-29세 연령군 일반인의 결핵 신환발생률, 도말양성 폐결핵 발생률의 통계적으로 유의한 차이는 없었다.

태권도 경기중 선수의 발자세 형태별 역습공격기술의 득점 비교분석

문원재,양대승,이승국 韓國體育大學校 1998 論文集 Vol.21 No.-

This study was to obtain such facts as a result of analyzing and observing foot step patterns for quarter final(32 game), the semi-final(32 game) and final matches(16 game) of national championship from february of 1997 untill February of1998. the conclusion of this study is as a follows : In comparing attaking points by foot step patterns in defence attack techinique, a kind of triangle pattern in foot step patterns is getting highest point but there were no significant difference by foot step patterns among defence attack techiniques. However, while there was significant difference in dolryuchaki(p<.05), in one step back dolryuchaki(p<.01) and punching (p<.01) by foot step patterns, there was no significant difference in back kick and double kick by foot step patterns.

EEMR 관을 이용한 식도 과립세포종의 제거 1예

문정섭,유권,전영빈,정원종,양대열,이승진 대한소화기내시경학회 1999 Clinical Endoscopy Vol.19 No.4

The granular cell tumor was first described in 1926. Recently, it has been suggested that the tumor is Schwann cell in origin, and this notion has been supported by electron microscopic studies and immunohistochemistry of the S-100 protein. The most frequently involved organs include the tongue, skin, breast, and digestive tract. The esophagus is rarely involved. The treatment of choice for an esophageal granular cell tumor is still controversial. The traditional treatment has been surgical excision, but new therapeutic options, including laser surgery, diathermy loop, and multiple biopsies have recently been tried. An endoscopic esophageal mucosal resection (EEMR) tube, originally designed for resection of early esophageal cancer, is widely used nowadays. A case of a granular cell tumor of the esophagus, which was successfully removed by an EEMR tube, is herein reported.

피부와 외래환자와 일반인의 진균질환 역학조사

문현주,문재동,이지범,김성진,원영호,이승철 全南大醫大 2001 전남의대학술지 Vol.37 No.4

소아 요로감염 환자에서 분리된 Extended-spectrum β-lactamase 생성 Escherichia coli의 위험인자 분석

문희원,이미애,이승주 대한임상미샐물학회 2003 Annals of clinical microbiology Vol.6 No.2

飼料作物의 生育에 關한 調査 Ⅱ : 晉州地方을 中心으로 for Chinju Area

文勝式,金基元,鄭鉉承 진주산업대학교 1971 論文集 Vol.8 No.-

Sowing 6 Kinds of leguminous grasses 8 Kinds of forage grasses 6a ward of mixture grasses 20 kinds in total, I had bbserved them for 8 month (Marchs. 1970~ october 30 1970) and acquired the results as follow; 1. The growth of forage crops and mixture was well in good soil with plenty rainfall in moderate atmospherical condition. 2. The summer drought is sure in ladino clover alfalfa, birds foot trefoil, Perennial ryegrass, Timothy and Brome grass, The mixture ward is comparatively little. 3. The respective fresh yield of orchard grass, Red clover O+OL+B+R were 5,500㎏, 5,100㎏, 4,325㎏.

알루미늄-크롬 용융도금 강판의 식염수중에서의 부식거동

임병문,홍승현,정재인,최장현,정원섭 대한금속재료학회 2003 대한금속·재료학회지 Vol.41 No.8

The microstructure and the corrosion behavior of aluminized steel sheet and hot-dipped Al-Cr wteel sheet were investigated. The EPMA, GDLS and XRD measurements of the Al-Cr coated layer showed that the coating layer was characterized by three phases. The surface layer was Al, the middle layer was Al_(13)Cr_(2), and the interfacial layer between the Fe substrate and the coated layer was composed of Al_(13)Fe_(4) and Al_(5)Fe_(2). The polalization curve indicates that the corrosion behavior of Al-Cr coated layer was different from that of Al coated layer. For the Al coated layer, porosities in the Al-oxide film on the surface layer lead to preferential corrosion. After the Al coated layer was completely removed, the Al_(5)Fe_(2) layer was selectively corroded and then, the steel substrate was exposed to the corrosion medium. In case of the Al-Cr coated layer, the Al_(13)Cr_(2) layer became a barrier against further corrosion after the Al layer was removed. In this case, corrosion was not proceeded even through the same current density. The high corrosion resistance was due to the existence of the Al_(13)Cr_(2) layer.

Flavobacterium meningosepticum에 의한 균혈증 1예

장성원,유진홍,진승원,김선우,김연식,박순민,이대훈,최민호,최주연,신완식,강문원,강지민 대한화학요법학회 1997 대한화학요법학회지 Vol.15 No.1

1996년 6월 카톨릭대학교 부천성가병원에 뇌경색으로 입원했던 61세 남자 환자의 혈액에서 Flavobacterium meningosepticum을 분리하였다. 환자는 폐렴을 동반한 패혈증의 예로 ceftriaxone과 metronidazole을 투여하였으나 입원 48시간만에 사망하였다. Flabovacterium meningosepticum is a rae cause of nosocomial infection which shows multi-drug resistance. It mainly invades patients with impaired immunity. Recently, we experienced a case of F. meningosepticum bacteremia in a patient with chronic debilitated state owing to stroke. The clinical progress was so rapid that he died within 48 hours. Blood culture revealed F. meningosepticum which showed characteristic yellow colony in blood agar plate.

염수분무 환경에서 알루미늄-크롬 용융도금강판의 부식생성물이 내식성에 미치는 영향

임병문,홍승현,정재인,최장현,정원섭 대한금속재료학회 2003 대한금속·재료학회지 Vol.41 No.10

The effect of corrosion products of hot-dip Al-Cr steel sheet on the corrosion resistance were investigated. The results of XRD and XPS measurements showed that there was not found a hydroxide type corrosion product on the surface of aluminized steel after salt spray test(SST) but there was found some cracks in the surface layer which accelerates corrosion during SST. In Al-Cr coated steel case, the main phase of the corrosion products after salt spray test was found to be Al(OH)₃. The polalization curves of aluminized steel after SST shows that there was no passivation layer. For the Al coated layer, a porosity in the Al-oxide film on the surface layer leads to preferential corrosion. After the Al coated layer was completely removed, the Al_(5)Fe₂layer was selectively corroded and then, the steel substrate was exposed to the electrolyte. However, the polalization curves of Al-Cr coated steel after SST shows that the passivation layer was formed, which could increase the corrosion resistance of Al-Cr coated steel. In case of the Al-Cr coated layer, the densely covered hydroxide layer of Al(OH)₃and the intermetallic compound layer of Al_(13)Cr₂became a barrier against further corrosion after the Al layer was removed. In this case, corrosion was not proceeded even through the same current density. The densely covered hydroxide of Al(OH)₃and the intermetallic compound layer of Al_(13)Cr₂were considered to be one of the reasons of high corrosion resistance for Al-Cr coating.

알루미늄-크롬 용융도금강판의 미세조직과 집합조직에 미치는 크롬의 영향

임병문,홍승현,정재인,최장현,정원섭 대한금속재료학회 2003 대한금속·재료학회지 Vol.41 No.10

Microstructure and texture changes of aluminized coatings on steel sheets having Cr ranging from 0.0% to 1.0% in the coated layer were investigated. The surface morphology of the Al-Cr coated steel is not influenced by the increase of Cr contents in the coated layer. While the coated layer of aluminized steel consisted of two phases of Al and Al_(5)Fe₂, the aluminized coating layer containing Cr was composed of three phases of Al, Al_(13)Cr₂, and Al_(13)Fe₄+Al_(5)Fe₂. The surface layer was Al, the middle layer was Al_(13)Cr₂, and the interfacial layer between the coating and the steel substrate was Al_(13)Fe₄and Al_(5)Fe₂. The texture of the aluminized coating without Cr was characterized as a {001} fiber texture which major orientation was {001}<110>. As the Cr content in the aluminized layer was increased to 1.0%, the texture of the aluminized coating was not changed but the intensity of the {001} fiber texture was increased. The major orientation in the {001} fiber texture was changed from the rotated cube orientation of the aluminized coating with 0.1%Cr to the cube orientation of the aluminized coating with 1.0%Cr.