4차 산업 혁명시대의 의료 환경 변화와 웰니스의 전망

이희주 한국웰니스학회 2017 한국웰니스학회지 Vol.12 No.4

The purpose of this study was to examine the changes of medical environment in the life of the 4th Industrial Revolution and to predict wellness of future society. With the development of artificial intelligence, it is possible to collect individual information to enable individual tailored coaching, and its utilization will deepen the depth of learning through big data of artificial intelligence again. Healthcare devices monitor healthcare using vital signs and share them with electronic health records through smart devices. In what sense does wellness come to us in the future? First, you should be able to enjoy healthy life safely. Second, smart health should be enjoyed. Third, the quality of life should be improved by emotional sympathy. Fourth, there must be a reduction in suffering and an improvement in value due to convenience. Fifth, the environment should be controlled. We believe that the wellness life that is going on ahead of us in the era of the 4th Industrial Revolution will be achieved through the realization of the five propositions for disease prevention, health promotion, happiness pursuit, and life satisfaction improvement. 본 연구는 4차 산업혁명 시대의 생활 속 의료 환경의 변화를 살펴보고 미래 사회의 웰니스를 전망해보고자 하였다. 인공지능의 발전으로 개인의 정보를 모두 수집하여 개인별 맞춤형 코칭을 가능하게 하고, 그 활용은 다시 인공지능의 방대한 빅데이터를 통한 학습의 깊이가 더 깊어지게 할 것이다. 헬스케어 디바이스는 생체 징후를 활용한 건강관리를 위한 모니터링을 하여 스마트 기기를 통해 전자건강기록으로 공유하게 된다. 향후 웰니스는 우리에게 어떤 의미로 다가올 것인가? 첫째, 안전하게 건강생활을 누릴 수 있어야 한다. 둘째, 스마트헬스를 누릴 수 있어야 한다. 셋째, 감성적 교감으로 삶의 질을 향상시킬 수 있어야 한다. 넷째, 고통이 경감되고 편리함으로 인한 가치 향상이 있어야 한다. 다섯째, 환경을 다스리고 제어할 수 있어야 한다. 4차 산업혁명시대를 살아가는 우리들의 앞에 진행되고 있는 웰니스적 삶은 질병 예방, 건강 증진, 행복 추구, 삶의 만족도 향상을 위하여 5가지 명제의 가치 실현을 통해 이루어질 것으로 생각한다.

갈수량 빈도해석을 위한 수문-통계 모형

이희주,유양규,이재형 全北大學校 附設 都市및環境硏究所 2000 都市 및 環境硏究 Vol.15 No.1

The purpose of this paper is an attempt to carry out Low flow analysis using the Physically based distribution function. The Physically based distribution function is derived in terms of base-flow recession. The derived distribution function contains four parameters. Two of the parameters are determined from recession analysis of low flow. The other two are derived from a statistical analysis of the maximum length of rainless periods when precipitation is less than a assumed threshold value. The Physically distribution function with the same parameters can be applied to calculating mean low flow for 1, 5, 10 and 15 days of durations. It is applied and tested for low flow in Yongdam basin.

정맥 마취제에서 Staphylococcus aureus의 증식

강화자,이희주 대한감염학회 1997 감염 Vol.29 No.5

목 적 : 마취과 영역에서 많이 사용되는 정맥 마취제들인 propofol, thiopental sodium, midazolam과 ketamine에서 약제 취급이나 보관시 흔하게 오염될 수 있는 S. aureus의 증식을 비교관찰하였다. 방 법 : 혈액한천 배지에서 하루밤 배양한 S. aureus를 0.5 McFarland 농도로 맞춘후 다시 0.9% 생리 식염수로 1:50 희석한후 0.1ml 를 각 약제 10ml씩 한 약제당 3개씩 준비된 약제와 혼합한후 20℃로 보관하면서 0, 3, 6, 21, 24, 및 27시간에 균주가 혼합된 약제를 1㎕ 씩 취하여 한 개 bottle당 세게의 혈액 한천 배지에 접종한 후 35℃에서 24시간 배양한 후 colony forming unit(CFU) 를 최소한 2번이상 측정하였다. 결 과 : S. aureus의 균집락수가 midazolam과 kwtamine군에서는 약제에 노출된지 3시간부터 0으로 나타났고 (P<0.05) thiopental군은 약제에 노출된지 6시간부터 급격히 감소하였으나 (P<0.05)piopofol군은 노출시간이 경과할수록 균집락수가 점차적으로 증가하였다.(P<0.05). 결 론 : 위의 결과에서 propofol군에서만 S.aureus가 시간이 경과함에 따라 빠르게 증식되므로 propofol은 정맥마취제중 병원감염의 원인이 될 가능성이 높다고 판단된다. Background : Patients infected with Staphylococcus aureus related to the use of propofol have been reported. The purpose of this study was to assess and compare the growth of S. aureus in propofol, thiopental, midazolam and ketamine. Methods : These intravenous anesthetics were innoculated with S. aureus and they were plated onto blood agar at 0, 3, 6, 21, 24, and 27 hrs. The number of colony forming units(CFU) on the plate was counted after 24 rs of incubation. Results : Samples from ketamine and midazolam showed no CFU at the 3 hr and thereafter. The 21hr, thiopental exhibited no CFU. The innoculated propofol emulsion showed a significant increase in number of CFU at the 21, 24 and 27hr compared with the zero time(P<0.05) Conclusions : This study shown that propofol was the only anesthetic that provided a medium for the growth of S. aureus. Therefore when handling propofol, meticulous steril technique is advised.

탄산염을 함유한 수산화인회석의 합성

이희주 부산대학교 병원 암연구소 1999 부산대병원학술지 Vol.- No.6

Spinoza의 윤리설에 관한 고찰 : Espicially on the Principle of Value 가치의 원리을 중심으로

이희주 제주대학교 1971 논문집 Vol.3 No.-

The gist of "Ethics", one of the most remarkable works of Spinoza, may be considered from three aspects : (1)metaphysics, (2)psychology, and (3) Ethics. The essential point brought out in this study is how to formulate the principle of value from an ethical standpoint. 1) Introduction of the Subject. This chapter presents that purpose of this article which is to inquire in to the process of the establishment of the univesal principle of value from the standpoint of an ethical theory cf relativity with considerable emphasis on subjectivity of value. 2) Relativity of Value : In this chapter, the process of Spinoza's demonstrating subjectivity of value based on his metaphysics is studied. Spinoza took the position that there is but one substance, and that the one and only substance is "God" as well as nature. The universe that itself is "God or Nature" works according to the natural law of cause and effect. All the objects that we perceive are modes of God, unique substance. Nothing finite is Self-subsistent. According to Spinoza's assertion that the system of nature is subject to the natural law, his world has no connection with value. Therefore, the standard of value is not to be established in an objective world from his view of point, but to be inevitably set on the basis of human subjectivity. Value of Good and Evil is recognized only when human beings view it from a subjective point of view. Everything, according to Spinoza, is ruled by an absolute logically necessity. There is no such thing as free will in the mental sphere or chance in the physical world. Everything that happens is a manifestation of God's inscrutable nature, and it is logically impossible that events should be other then they are. Spinoza's metaphysics is the best example of what may be called logical monism... the boctrine, namely, that the world as a whole is a single substance, none of whose parts are logically capable of existing alone. The appearance of evil arises only from regarding parts of the universe as if they were self-subsistent. 3) Universality of Value : The heart of questions as to Spinoza's Ethics is studied in this chapter. Spinoza, while recognizing subjectivity of value, brings forward the universal principle of morality. He reached at the conclusion, based on the principle of "Self-Preservation", that a Free Man is the measure of the universal value. Consequently, the heart of Spioza's Ethics can be said to be a theory of the way to be a free man. The way to be a free man can be found when one forms an adequate idea for the porpose. By such an adequate idea, we understand the divine which, in so far as it is considered in itself, without reference to the object, has all the properties or internal signs of a true idea. The adequate idea means rational intelligence with which he, as a rationalist, gives weight to reason. 4) Criticism : Five logical contradictions in his theory are pointed out here, aside from his theoretical merits.

Enterobacter 균혈증의 임상양상 및 예후인자에 관한 고찰

김구엽,서환조,이성배,박종오,최욱선,홍승재,정일우,이희주 대한감염학회 1996 감염 Vol.28 No.5

목 적 : Enterobacter균은 인체 병원균으로, 기저질환이 있거나 병원에 입원중인 환자들에게 있어서 매우 중요하다. 최근들어, 항생제의 광범위한 사용, 고령층의 증가, 카테터 사용의 증가, 악성 신생물 질환의 증가, 장기이식의 증가 등에 따라 Enterobacter 균혈증이 증가되고 있으며 항생제에 대한 내성도 증가되어 점차 그 중요성이 강조되어지고 있다. 따라서 이의 임상양상 및 예후인자에 대하여 알아보고자 본 연구를 시행하였다. 방 법 : 1990년 1월부터 1994년 12월 까지 경희의대 부속병원에서 Enterobacter 균혈증을 보인 49예의 임상양상 및 치료, 예후와 관련된 인자 등을 후향적으로 조사하였다. 결 과 : 1) 49명 환자의 평균 연령은 39.1세(1일-88세)였고, 남녀비는 1.72:1 이었다. 2) 병원내 감염은 29명(59.1%)이었고, 복합균혈증은 6예(12.2%)였다. 3) 기저질환을 갖고 있었던 경우가 46예(93.8%)였으며, 감염경로로는 호흡기를 통한 경우가 가장 많았다. 4) 임상양상은 고열(75.5%), 백혈구 증가증(46.9%), 혈소판 감소증(34.6%), 그리고 패혈성 쇽(38.7%) 등이었다. 5) 항생제에 대한 감수성은 amikacin 89.9%, ciprofloxacine 87.5%의 감수성을 보였으나, ampicillin 4.2%, cephalothin 6.2%로 강한 내성을 보였다. 5) 15명이 균혈증으로 사망하였으며(30.6%), 사망과 관련된 예후인자로는 폐렴, 패혈성 쇽, 기저질환이 위중하였던 경우에서는 의미있게 높은 사망률을 보였으나(p<0.05), 성별, 병원내감염, 복합균혈증 유무에 따른 차이는 없었다(p>0.05). 결 론 : Enterobacter 균혈증은 기저질환으로 면역기능이 저하된 환자에서 많이 발생하며, 폐렴, 패혈성 쇽이 동반된 경우와 기저질환이 위중한 환자에서 높은 사망율을 보이며, 따라서 이들에 있어 항생제 감수성 결과에 따른 적절한 항생제의 투여가 매우 중요하다. Background : Enterobacter species have emerged as important human pathogens, particularly in hospitalized patients. Recently, the morbidity and mortality associated with Enterobacter bacteremia have increased. sick because popalativn of old ages, neoplasms, use of indwelling catheter, use of antibiotics and organ transplantations have increased, In this study the epidemiologic factors, clinical characteristics, treatment and outcome of 49 patients with Enterobacter bacteremia are reviewed in Kyung-Hee medical center during a 5-year period. Methods : Fourty-nine cases of Enterobacter bacteremia diagnosed from January 1990 to December 1994 in Kyunghee medical center were analysed by their clinical records retrospectively. Results : 1) Male to female ratio was 1.72:1 and mean age was 39.1. 2) Twenty-nine cases were nosocomially acquired; Enterobacter bacteremia six showed polymicrobial infections. 3) Significant underlying conditions were present in 46 patients(93.85%), and the respiratory tract infection was the most common source of bacteremia. 4) Common clinical manifestations were fever(75.5%), leukocytosis(46.9%) and thrombocytopenia(34.6%), and there were no symptom discrimating from or signs bacteremias by other gram negative organisms. 5) In vitro tests showed susceptibility rates of 89.9% to amikacin, 87.5% to ciprofloxacine, 4.2% to ampicillin and 6.2% to cephalothin. 6) Case fatality rate was 30.6% and the mortality was significantly increased with the presence of pneumonia, septic shock or other fatal underlying diseases. Conclusion : This study suggests that Enterobacter bacteremia is common in patients with altered host defenses secondary to serious underlying disease. Appropriate antibiotics are necessary to decrease the morbidity and mortality rates in enterobacter bacteremia with fatal underlying disease.

Preparation of Gallium Oxide Thin Films by ALD Using Dimethylgallium Isopropoxide and Water

이희주,우정준,전두진,김윤수,조용재,조현모 한국진공학회 2008 한국진공학회 학술발표회초록집 Vol.2008 No.8

조선초기 정치소통구조와 공론정치

이희주 한국동양정치사상사학회 2010 한국·동양정치사상사학회 학술대회 발표논문집 Vol.2010 No.08

취영 홍남순의 생애와 사상: 저항과 투쟁에서 포용과 사회적 통합으로

이희주 한국동양정치사상사학회 2023 한국동양정치사상사연구 Vol.22 No.2

This article aims to examine the life and philosophy of Chwiyoung Nam Soon Hong (1912-2006) and extract the philosophical elements that contributed to the establishment of democracy in South Korean political society, utilizing them for the theory of social integration. Discussions of democratization have often tended to be dominated by ideological debates, neglecting to illuminate the life and philosophy of a single person. This article focuses on the life, and philosophy of Chwiyoung. He was a resolute figure in modern and contemporary Korean history, as he resisted state violence and injustice, and fought fiercely throughout his life for democracy. His resistance and struggle culminated in May 1980 with the ‘Return to Gwangju, a Death Ground Turned into a Sea of Flames to Save Gwangju’ and the ‘March of Death.’ After the entry of democracy in 1987, he pursued inclusion and social integration based on justice and principles. In the examination of academic research findings up to this point, discussions tracing the process of democratization through an individual’s life and ideology have been scarce. The philosophical examination embedded within Chwiyoung’s life is considered a meaningful endeavor, as it can identify the factors that allowed democratization to rapidly take root in South Korean political society. Simultaneously, it can be a way to resolve conflicts intensified and amplified in the process of globalization.

Salmonella typhimurium의 Plasmid DNA 양상, 염색체 DNA 제한효소 양상, Ribotyping 및 Antimicrobial Resistance Pattern에 관한 연구

이희주,김영일,김구엽,서환조 대한임상병리학회 1996 대한임상병리학회지 Vol.16 No.2