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      • 서울의 Penicillinase Producing Neisseria Gonorrhoeae 발생빈도(1996)

        김재홍,황동규,전재홍,김윤석,김중환,김용준,이창균,임동진,김현수,조창근,김경문,박상훈,전우형,김희성,이호정,차명수,김갑형,김형석,김석우,황지환,박병순,권오상,이민수,송기훈,성소영,이인섭,부태성 대한화학요법학회 1999 대한화학요법학회지 Vol.17 No.2

        Background : In recent years, gonorrhea has been panedemic and remains one of the most commom STDs in the world, especially in developing countries. Objective & Methods: For the detection of a more effective therapeutic regimen and assessing the prevalence of PPNG, we have been trying to study the patients who have visited the VD Clinic of Choong-Ku Public Health Center in Seoul since 1980 by means of the chromogenic cephalosporin method. Results: In 1996, 139 strains of N. gonorrhoeae were isolated, among which 53(39.0%) were PPNG. Conclusion: Our results suggests that after a peak of 74.3% in 1993, the prevalence of PPNG in Seoul is gradually declining.

      • 서울의 Penicillinase Producing Neisseria gonorrhoeae 발생빈도(1997)

        김재홍,문득곤,김정수,김용준,임동진,박상훈,김희성,이민수,송기훈,김갑형,김형석,성소영,이인섭,김석우,황지환,조창근,김경문,부태성 대한화학요법학회 2000 대한화학요법학회지 Vol.18 No.3

        Background : In recent years, gonorrhea has been pandemic and remains one of the most common STDs in the world, especially in developing countries. Objective & Methods : For the detection of a more effective therapeutic regimen and assessing the prevalence of PPNG, we have been trying to study the patients who have visited the Venereal Disease Clinic of Choong-Ku Public Health Center in Seoul since 1980 by means of the chromogenic cephalosporin method. Results : In 1997. 99 strains of N. gonorrhoeae were isolated, among which 45(45.5%) were PPNG. Conclusion : The prevalence of PPNG in Seoul, which had been decreased to 39% in 1996 after a peak of 74.3% in 1993, is increased to 45.5% in 1997.

      • KCI등재

        1920년대 통영지역 청년운동과 ‘김기정 징토운동’

        김상환(Kim, Sang-Hwan) 부산경남사학회 2014 역사와 경계 Vol.91 No.-

        본 논문은 3.1운동 이후 통영청년단을 비롯한 청년운동의 발전과정을 살펴보고, 그 과정에서 나타난 ‘김기정 징토운동’이 통영지역에서 항일운동으로까지 전화되어가는 과정을 검토해보았다. 1919년 7월 창립된 통영청년단은 지역사회운동과 항일운동의 중심이었다. 통영청년단의 멤버들은 다수의 다른 청년단체에 복수의 멤버십으로 가담하기도 했으며, 시대의 조류와 중앙의 청년단체들의 변화에 부응하면서 발전해 갔다. 즉 1925년에는 통영지역에도 ‘정의단’, ‘거화동맹’, ‘안우회’, ‘사과실탄티’ 같은 사상단체도 만들어 지고, 청년조직들도 청년동맹으로 변화되어 가기도 했던 것이다. 김기정 사건에서도 이들은 함께 ‘민정회’를 출범시켜 한시적인 임무수행을 위해 ‘특별위원회’의 위상을 부여하였다. 각 청년조직들이 이렇게 별도의 조직을 만들어가면서 개별단체들이 한계를 극복해 나갔다. 김기정 징토운동은 경상남도 도 평의회에서의 김기정의 발언이 단초가 되었고, 통영 사상단체의 효시인 ‘정의단’에서 활동한 김원석의 징토문 살포로 촉발되었다. 게다가 경찰 출신자들의 모임이자 친일 단체인 ‘삼구회’라는 친일조직에 대한 통영민들의 반감으로 항일의식은 더욱 고취되었다. 김원석의 전격구속에 이은 3월 25일의 보고대회가 진행되어 김기정에 대한 징토운동운동이 확산되어가는 시점에 김기정이 관선 도 평의원으로 재임 된다든지, 5월 9일 앞의 보고대회 집행위원 11인을 추가 구속함으로써 사건은 증폭되었다. 3월 15일부터 시작된 이 운동은 동년 5월 15일까지 두 차례에 걸쳐 도합 33인이 구속되고 김기정이 공직에서 사퇴함으로 마무리 되었다. 이 운동을 주도한 것은 ‘통영청년단’을 비롯한 지역의 청년조직이었다. 이 운동이 두 달 동안 지속되어 목적을 달성할 수 있었던 것은 전적으로 통영지역민의 일치단결된 항일의식과 민족반역자에 대한 분노였다. 통영지역의 김기정 징토운동은 지역을 넘어 전국으로, 해외로까지 알려져 일제의 식민지 지배정책 가운데 내선일체에 대한 허구를 공격하고, 부일협력자에 대한 경종을 울려주었다. This thesis examines Tongyeong Youth Union as well as the youth’s movement after the 3·1 Independence Movement. Also, the thesis has identified the process in which the ‘Punish-Movement Ki-jeong Kim’ has evolved into an anti-Japanese movement. The Tongyeong Youth Union which was established in July 1919, was the center of the regional society movement and the anti-Japanese movement. The members of Tongyeong Youth Union participated simultaneously in other numerous youth associations and continued developing after adapting to and fulfilling the changes which the central youth organizations underwent with the tides of the times. In other words, an organization advocating a particular system of ideology emerged in Tongyeong 1925, such as ‘Jeongeuidan’, ‘Geohwa-alliance’, ‘Ahnwoohwae’, ‘Sagwasiltanti’ and other organizations. Moreover, youth organizations transformed into youth alliances. Also in the ‘Ki-jeong Kim Incident’, the youths established the ‘Minjeonghwae’ and for carrying out temporary duties, they also appointed the status of special commission. Each and every youth organization established these separate organizations, which supported independent organizations to overcome limits. The ‘Punish-Movement Ki-jeong Kim’ was triggered by Won-seok Kim (an individual who had participated in the ‘Jeongeuidan (the first ideology organization in Tongyeong))’s Punish-Movement and also by Ki-jeong Kim’s remark during the Gyeongsangnam-do provincial council. Furthermore, the pro-Japanese organization ‘Samgoohwae’, consisting of personnel with backgrounds as policemen and in pro-Japanese organization, had forced the people of Tongyeong to foster a sense of rebellion towards the Japanese during this organization’s development. Following the imprisonment of Won-seok Kim, a briefing conference had been held on the 25th of March when ‘Punish-Movement Ki-jeong Kim’ was expanding. This period marked a point when Ki-jeong Kim was to be repositioned for office by the government as a provincial councillor, and marked the amplification of the incidence when 11 more member of the executive committee (briefing conference) were imprisoned on the 9th of May. This movement, which started on the 15th of March, resulted in 33 total individuals being imprisoned until the 15th of May and ended with Ki-jeong Kim’s resignation from public office. Those who led this movement were nonetheless, the Tongyeong Youth Union and the region’s youth organizations. The reasons as to how this movement continued for two months were down to the unanimity of Tongyeong residents’ anti-Japanese sentiment and the rage felt towards traitors. The ‘Punish-Movement Ki-jeong Kim’ of the Tongyeong region spread across the nation to overseas, which attached the fabrication of the ‘Naeseon Ilche (‘Korea and Japan are One’ policy) which was part of Japan’s policy of domination. Lastly, it sounded the alarm for those who acted for the Japanese domination over Korea; traitors.

      • 土壤硬度測定器具 開發에 關한 硏究

        金容煥,河浩成,李昇揆,金成泰,羅又禎,閔泳鳳 慶尙大學校 1980 論文集 Vol.19 No.1

        An instrument for measuring cone penetration using the strain gage system was devised. The soil hardness of given soils under different conditions can be measured and compared by using this instrument. The soil hardness is a very useful index for making decisions in various aspects of the field and laboratory use; the workability of the agricultural machinery on the given field, and the uniformity of soil hardness of the stuffed soil in the soil bin which is tilled repeatedly. The performance of this newly devised cone penetrometer was compared with the conventional one through the field test. The summarized results are as follows; 1. In case of KM-1 type cone penetrometer, the newly devised one, the relation between the cone index and the strain indicated are as follows, Ci=0.026642ε₁-0.4173 when base area is 3.23㎠ Ci=0.013342ε₂ when base area is 6.45㎠ 2. The KM-1 type cone penetrometer is more convenient than conventional one in view of its accuracy and its adaptability of the self recording system. 3. Cone index increases gradually as penetrating depth into the soil is increased. Its maximum value appeared at the depth of about 20cm and then the cone index decreases until the cone reaches the depth of 40cm. It is assumed that such increase of cone index is caused by the existence of plow pan in paddy fields. 4. When cone penetrometers are manually penetrated into the soil deeper than 20cm from ground surface, its found to be difficult to carry out measuring operations due to high soil resistance to penetration. So, in order to use cone penetrometers below the depth more than 20cm, some equipment is necessary to maintain uniform penetrating speed of the cone. 5. Under the same soil conditions, the relation between Cik and Cic, cone indexes derived KM-1 type from conventional cone penetrometers respectively, was as follow;??

      • 소규모사업장 용접근로자들의 소음·용접흄·망간 노출에 관한 연구

        김동구,문덕환,이채관,박명희,함성애,손병철,김대환,이창희,김휘동,이채언 인제대학교 백병원 2002 仁濟醫學 Vol.23 No.5

        Objective : This study was conducted for the purpose of investigating the level exposure of welders to noise, welding fume and Manganese(Mn) related to this process. Methods and Material : All subjects in this study were welders engaged in CO2 arc and coated arc welding process especially in small-scale enterprises classified by type of manufacture of ship building, repairing and of other fabricated metal products, which is located in Gimhae and Milyang of Kyeongsang province in south Korea. Air sampling of welding fume was measured, shipped and analyzed on the basis of national institute for occupational safety and health(NIOSH) method in U.S. and work environment measurement method established in south Korea. To measure Noise in the work environment, Noise dosimeter was used on the basis of work environment measurement method established in south Korea. Result : This study was performed during a period from January, 2000 to December, 2001 and Results were as follows: 1. Noise level measured in this work environment was higher than national criteria for permissible exposure limit on health examinations related to hearing loss. 2. The concentration of welding fume and Mn in manufacture of ship building and repairing was higher than those in manufacture of other fabricated metal products. 3. In conditions of existing in ventilation system installed and operated, the concentration of welding fume and Mn was slightly lower than those of not existing. 4. In conditions of existing in sufficient air supply from out door into the work place relied on natural exhaust system, the concentration of welding fume and Mn was slightly lower than those of in not sufficient. 5. In all subjects, a rate of wearing ear plug and respiratory mask for dust and fume was lower than that of not wearing. Conclusion : According to above results, this study suggests that more positive work environment managements such as the use of portable local ventilation system, the supply of highly qualified personal protective equipment, and consecutive education and training related to health protection should be need to acquire suitable health protection program for welders engaged in small-scale enterprises in Korea.

      • KCI등재

        부산지역 소방공무원의 폐기능과 호흡기증상

        김성훈,김정원,,김종은,손병철,김정호,이창희,장상환,이채관 大韓産業醫學會 2006 대한직업환경의학회지 Vol.18 No.2

        목적: 본 연구에서는 소방관 집단의 호흡기 증상과 폐기능을 조사하여 호흡기 질환의 유병 정도를 비교 분석함으로써 소방관의 호흡기 질환과 화재 노출과의 관련성을 규명하고자 하였다. 방법: 2004년 11월 13일부터 동년 12월 15일까지 부산 소재 4개 소방서와 부속 파출소의 남성 소방공무원 699명을 대상으로 폐기능 검사와 호흡기 설문조사를 실시하였다. 호흡기 증상 설문은 BMRC에서 개발한 설문조사표를 이용하였다. FVC, FEV_(1), MMEF 예측치는 Morris의 폐기능 예측식을 사용하여 계산하였고, 폐기능 검사 이상을 판정하기 위하여 미국 NHNES 기준에 따라 정하였다. 폐기능 측정치와 호흡기 증상은 노출유무와 흡연여부로 집단을 나누어 각각 비교분석하였다. 유의수준은 p<0.05로 정하였다. 결과: 폐기능 비교에서 화재노출군이 FVC, FVC%, FEV_(1), FEV_(1)%, FEF_(25%)는 비노출군에 비해 통계학적으로 유의하게 저하되어 있었고, 이를 흡연여부에 따라 층화하였을 때, FVC 와 FEV_(1)은 흡연여부와 관계없이 노출 여부에 따른 차이를 보이나 FVC%, FEV_(1)%, PEFR은 흡연군에서만 차이를 보였다. 폐기능 검사 이상을 비교하면 전체적으로 화재노출군이 비노출군보다 폐기능 이상자의 수가 많았고 흡연군에서 FEV_(1) 이상자의 차이는 통계적으로 유의하였다. FVC, FEV_(1), MMEF를 종속변수로 하여 다중회귀분석을 시행하였을 때, FVC와 FEV_(1)은 부분적으로 화재노출유무와 관련성이 있었다. 호흡기 증상 조사에서 화재노출군은 비노출군에 비해 코막힘, 목아픔, 흉부압박감의 증상의 호소율이 통계학적으로 유의하게 높았으나, 이를 흡연여부에 따라 층화하면 이들 증상들은 경계역의 차이를 보였다. 결론: 이러한 결과들을 종합하면 소방관은 화재진압과정에서 노출되는 많은 호흡기 유독물질로 인해 급성 폐기능 저하와 높은 호흡기 증상 호소율을 보이며, 이는 화재노출 외에 흡연의 부가적 효과가 영향을 미친다고 생각된다. 따라서 폐기능이 저하된 경방군에서 주기적인 폐기능 검사가 실시되어야 하며, 금연과 호흡기 보호구의 철저한 착용이 권장되어야 하겠다. Objective: The purpose of this study was to evaluate the relationship between respiratory disorders and fire exposure by investigating and analyzing the lung function and respiratory symptoms of firefighters. Methods: The health effects of firefighting on respiratory function were investigated in 699 male fire officers in 4 fire departments in Busan by recording respiratory symptoms and measuring lung function. The data were analysed according to fire exposure and smoking habits. Results: Mean spirometric data showed significantly decreased levels in the fire-exposed group (FVC, -0.20 L; FVC%, -4.2%; FEV_(1) -0.21 L; FEV_(1)%, -5.1%; FEF25%, -0.13 L/SEE p<0.05). After stratification by smoking habits, FVC and FEV1 showed a significant difference between groups. The prevalence of spirometric abnormality was greater for the fire-exposed group than for the non-exposed group. Significantly higher prevalences of nasal stiffness (16.7% vs. 10.9%), sore throat (17.7% vs. 14.2%) and chest tightness (6.5% vs. 2.5%) were recorded in fire fighters compared to controls (p<0.05). However, after stratification by smoking habits, the 3 symptoms were showed only marginal differences in the smoking group. Conclusions: This study demonstrated that fire-exposed firefighters generally suffer a decline of lung function and a higher prevalence of respiratory symptoms. These results suggest that the exposure to routine firefighting activity is associated with adverse health effects to the respiratory system.

      • KCI등재

        유도 허벅다리걸기 기술발휘 시 받기의 자세와 저항수준에 따른 중심변인 분석 사례연구(Ⅱ)

        김의환,김성섭,정재욱 한국운동역학회 2005 한국운동역학회지 Vol.15 No.1

        E. H. KIM, S. S. KIM, C. W. CHUNG. A Case Study on Center of Gravity Analysis when Performing ilchimata by Posture and Voluntary Resistance Levels of Uke in Judo[ II]. Korean Journal of Sport Biomechanics, Vol. 15, No. 1, pp. 237.-257, 2005. It was to study as a following-research of "A Case Study on Center of Gravity(COG) Analysis when Performing Uchimata(inner thigh reaping throw) by Posture and Voluntary Resistance Levels(VRL) of Like in Judo[1]". The purpose of this study was to analyze the COG variables when performing uchimata(inner thigh reaping throw) by two postures and voluntary resistance Jevels(VRL) of uke(reciver) in Judo. The subjects, who were one male judoka(YH) for 1992 Barcelona Olympic Games Olympian(silver medalist), and one male trainee; Y.I.University representative member (SDK), and were filmed on two S-VHS 16mm video cameras(60fields/sec.) through 3-dimensional motion analysis methods, that postures of uke were shizenhontai (straight natural posture) and jigohontai(straight defensive posture), VRL of uke were 0% and 100%, respectively. The kinematical variable was COG variable, distance of COG, and distance of resultant COG between uke and tori(the thrower), velocity and acceleration of COG. The data of this study collection were digitized by SIMI Motion Program computed the mean values and the standard deviation calculated for each variables. When performing uchinwta according to each posture and VRL of uke and classifying. From the data analysis and discussion, the conclusions were as follows : 1. Displacement of COG Subject YH, COG was the highest in kuzushi(balance -breaking), vertical COG was low when following in tsukuri(positioning; set-up), kake(application; execution), and COG was pattern of same character each postures and resistance, respectively. Subject SDK, COG was low from kumikata(engagement positioning) to kake, and COG was that each postures and resistance were same patterns, respectively. Subject YH, SDK, each individual, postures and resistance, vertical COG was the lowest in kake phase, when performing. 2. Distance of COG between uke and tori The distance of COG between uke and tori when performing, subject YH was 0.64-0.70cm in kumikata, 0.19-0.28cm in kake, and SDK was 0.68-0.72cm in kumikata, 0.30-0.42 cm in kake. SDK was wider than YH. 3. Distance of resultant COG between uke and tori The distance of resultant COG between uke and tori when performing, subject YH was 0.27-0.73cm from kumikata to kake. and SDK was 0.14-0.34cm in kumikata, 0.28- 0.65cm in kake. Jigohontai(YH:0.43-0.73cm,SDK:0.59-0.65cm) was more moved than shizenhontai(YH:0.27-0.53cm, SDK: 0.28- 0.34cm). 4. Velocity of COG The velocity of COG when performing uchimata, subject YH was fast anterior-posterior direction in kuzushi, ant-post. and vertical direction fast in tsukuri and kake. SDK was lateral, ant.-post. and vertical direction in kuzushi, ant.-post. and vertical direction in tsukuri and ant.-post. direction in kake, respectively. 5. Acceleration of COG The acceleration of COG when performing uchimata, The trend of subject YH was showed fast vertical direction in kuzushi and tsukuri, ant-post. and vertical direction fast in kake. The trends of SDK showed lateral direction in kuzushi, lateral and ant.-post. direction in tsukuri and ant.-post direction in kake, respectively.

      • KCI등재후보

        위절제술 환자의 표준진료지침 개발 및 적용 효과

        김은희,김철규,이순교,김순덕,이혜옥,권정순,이경미,이민미,심순미,유용만,신종식,강은희,이상일,김병식,오성태,육정환,박수길 한국의료QA학회 2003 한국의료질향상학회지 Vol.10 No.2

        Background : Gastric cancer is the most common malignant tumor in Korea. surgical operation is one of the major treatment modalities for gastric cancer patients. Therefore, gastrectomy is one of the most common procedures in General Surgery. There were variation in length of hospital stay and medical treatment for gastrectomy between three surgeons at Asan Medical Center. Clinical pathways have received considerable attention as a tool for recucing the medical practice variation, increasing the efficiency of care process, and improving the quality of care. The aim of this study was to evaluate the effect of a clinical pathway for gastrectomy in gastric cancer patients. Methods : The clinical pathway for gastrectomy was developed and implemented by a multidisciplinary group in Asan Medical Center. A computerized clinical pathway program was developed and revised after a pilot test. A total of 145 patients underwent gastrectomy by three surgeons at Asan Medical Center. We compared the length of hospital stay, patient satisfaction, and unplanned readmission rate between the pre-pathway group(n=67) and the post-pathway group(n=78). We also investigated the degree of satisfaction among the physicians and nurses who were main end-users of the clinical pathway. Results : The clinical pathway was applied to all target patients. The average length of hospital stay was shortened from 12.7days to 10.6days(p<0.01). The degree of patient satisfaction with the care process changed from 90.3% to 89.2% after the implementation of the clinical pathway, but the difference was of satistically significant(p=0.761). Unplanned readmission rate was 2.9% in the pre-pathway group. More than 90% of physicians and nurses answered that the clinical pathway had been a useful tool in their medical practice. Conclusions : The findings of the study demonstrated that implementation of the clinical pathway for gastrectomy produced substantial reduction in the length of hospital stay while improving the quality of patient outcomes. The computerized clinical pathway program can be used as one of the powerful patient management tools for reducing the practice variations and increasing the efficiency of care process in Korea hospital settings.

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