2007년 대한감염학회 권장 성인 예방접종 권장안

강진한,김홍빈,손장욱,이상오,정문현,정희진,최영화,최정현,최준용,최희정 대한감염학회 2008 감염과 화학요법 Vol.40 No.1

In 2007, the Korean Society of Infectious Diseases recommended an immunization schedule for adults residing in Korea. This recommendation includes four categories: standard immunization for healthy persons, supplementary immunization for persons with underlying illnesses, recommendations for health-care personnel and for international travelers. The Standard Immunization Schedule consists of universal vaccination (tetanus-diphtheria/tetanus-diphtheria-pertussis (Td/Tdap); hepatitis A vaccine for persons aged 20s; human papilloma virus vaccine for women under 26 years old; meningococcal vaccine for military recruits and college students in dormitories; influenza vaccination for persons aged 50 years or more and pregnant women; and pneumococcal vaccination for persons aged 65 years or more) and catch-up vaccination (hepatitis A vaccine for persons aged 30s; hepatitis B vaccine, varicella and MMR vaccines for persons who have uncertain specific immunities). The Supplementary Immunization Schedule recommends 4 vaccines, i.e., pneumococcal, influenza, meningococcal, and Haemophilus influenzae type b, appropriate to the underlying illnesses, and confirmation of the presence of antibodies to hepatitis A and hepatitis B. The Recommendation for Health-Care Personnel includes universal vaccination (influenza and pertussis) and catch-up vaccination (hepatitis B, measles-mumps-rubella and varicella for seronegative health-care personnel). The Recommended Immunization for International Travelers focuses reinforcement of vaccinations for healthy persons and includes certain immunizations necessary for international travel (yellow fever, meningococcal, plaque, tick-borne encephalitis, and cholera). These guidelines can be seen at www.ksid.or.kr.

최씨 훅을 이용한 복강경 버찌씨 수술

김영혜 ( Young Hye Kim ),박준선 ( Jun Seon Park ),최상준 ( Sang Joon Choi ),송창훈 ( Chang Hoon Song ),한세준 ( Sei Jun Han ),정혁 ( Hyuk Jung ) 대한산부인과학회 2006 Obstetrics & Gynecology Science Vol.49 No.6

목적: 버찌씨 수술은 복압성 요실금 수술에 효과적인 수술로 여겨져 왔다. 요실금의 원인이 내인성 요도 괄약근의 결손소견 없이 요도의 과운동성으로 인한 경우 버찌씨 수술이 일반적으로 추천되어진다. 본 연구에서는 복강경 버찌씨 수술에서 최씨 훅의 유용성에 대해 알아보고자 하였다. 연구방법: 2000년 10월부터 2005년 3월까지 본원에서 복강경 버찌씨 수술을 시행받은 47명의 환자를 대상으로 하였다. 27명은 고전적 복강경 버찌씨 수술을 시행하였고 20명은 내골반 근막을 Cooper 인대를 부착하는데 유용한 본원에서 고안한 최씨 훅을 이용하여 복강경 버찌씨 수술을 시행하였다. 결과: 고전적 복강경 버찌씨 수술을 시행한 군과 최씨 훅을 이용한 복강경 버찌씨 수술을 시행한 군의 평균 나이, 분만력, 폐경률, BMI는 두 군간에 통계학적으로 유의한 차이를 보이지 않았다 (p>0.05). 수술 시간은 고전적 복강경 버찌씨 수술은 90.52±15.32분, 최씨 훅을 이용한 복강경 버찌씨 수술은 38.50±10.14분으로 최씨 훅을 이용한 경우 수술시간이 통계적으로 유의하게 짧았다 (p<0.05). 두 군간에 재발률 및 합병증 발생은 통계적 유의성을 보이지 않았다 (p>0.05). 결론: 본 연구에서 본원에서 고안한 최씨 훅을 이용하여 복강경 버찌씨 수술을 시행한 결과 수술 시간을 단축시킬 수 있었으며 수술 효과는 기존 방법과 동일하게 관찰되었다. 이에 최씨 훅은 복강경 버찌씨 수술에서 사용할 때 집도자의 봉합 과정을 단순화시켜 수술 시간을 단축시키므로 복강경 버찌씨 수술에 용이한 기구이다. Objective: Burch operation has been effective method for the treatment of stress incontinence. Burch operation is a well-accepted procedure for treating stress urinary incontinence secondary to urethral hypermobility without intrinsic sphincter deficiency and is the reference standard with which other procedures are compared. This study is to evaluate the effectiveness of the Choi`s hook in laparoscopic Burch operation. Methods: This study included 47 patients who had undergone laparoscopic Burch operation from October 2000 through March 2005. Of these 47 patients, 27 patients underwent traditional laparoscopic Burch operation (Group 1) and 20 patients underwent laparoscopic Burch operation with Choi`s Hook on anchoring the endopelvic fascia to the Cooper`s ligament (Group 2). Results: The mean age of patients of Group 1 was 55.6±9.37 years of age and that of Group 2 was 56.0±5.93 years of age. There is no difference in the mean age of patients (P>0.05). The mean operating time was 90.5±15.32 minutes for Group 1 and 38.5±10.14 minute for Group 2. The mean operating time was shorter in Group 2 than Group 1 (P<0.05). There was no difference in recurrence rate and complication rate between Group 1 and Group 2 (P>0.05). Conclusion: We performed laparoscopic Burch operation with the Choi`s Hook on anchoring the endopelvic fascia to the Cooper`s ligament. When we compared traditional laparoscopic Burch operation with laparoscopic Burch operation with Choi`s Hook, we could shorten the operation time using the Choi`s Hook.

텔레비젼(TV)생산업체 근로자들의 영상단말기(VDT)작업이 시력과 안증상에 미치는 영향

우극현,최광서,정영연,한구웅,박정한,이종협,Woo, Kuck-Hyeun,Choi, Gwang-Seo,Jung, Young-Yeon,Han, Gu-Wung,Park, Jung-Han,Lee, Jong-Hyeob 대한예방의학회 1992 예방의학회지 Vol.25 No.3

영상단말기 (VDT)작업이 시력과 안증상에 미치는 영향을 알아보기 위해 1991년 7월에서 10월 사이에 구미시의 1개 TV생산업체에 종사하는 근로자들 가운데 채용 당시 안과적으로 문제가 없었고, 나안시력이 1.0 이상인 40세 미만 남자 338명을 대상으로 일일 평균 화면작업시간이 4시간 미만인 근로자(I군, 60명)와 4시간 이상인 근로자(II군, 204명)를 폭로군으로 하고 유사한 작업환경에서 근무하는 비화면작업자(74명)를 비폭로군으로 나누어 연령, 작업경력, 교대근무형태, 확대경 사용유무, 1일 평균 TV시청 시간 및 수면시간과 그리고 안자각증상에 대한 설문조사를 실시한 후, 안과적검사를 시행하였다. 조사시 원거리시력 (양안의 평균시력)이 채용시에 비해 0.15 이상 저하된 비율은 II군이 20.6%로 비화면작업군의 14.9 %, I군의 15.0 % 보다 다소 높았으나 통계적으로 유의한 차는 아니었다. 연령, 작업경력, 확대경 사용유무, 교대근무형태 등에 따라 층화하여 원거리시력 저하율을 비교해 본 결과 세 군간에 통계적으로 유의한 차가 없었다. 근거리시력 저하율도 비화면작업군이 28.4 %, I군이 18.3 %, II군이 27.5 %로 통계적으로 유의한 차이가 없었으며, 연령 등 4가지 독립변수를 층화하여 비교해 보아도 유의한 차이가 없었다. 안자각증상 호소율은 안피로를 포함한 7가지 항목에서 눈물이 나는 것을 제외한 모든 항목에서 비화면작업군에 비해 I군이, I군 보다는 II군이 통계적으로 유의하게 높았다(P<0.01). 화면작업자 264명 가운데 조명이 나쁜 장소에서 일하는 근로자들의 원거리시력 저하율과 안자각증상 호소율이 조명이 좋은 작업장에서 일하는 근로자보다 더 높았다(P<0.05). 7가지 안자각증상을 각 증상 마다 늘 느끼는 경우는 2, 가끔 느끼면 1, 느끼지 않으면 0으로 점수화하여 개인별 총 안증상 점수를 구해 세 군간에 원거리시력 차이 유무별로 비교해 본 결과, 시력차 유무에 따른 평균 안자각증상 점수의 차는 없었으나 시력차 유무에 관계없이 II군의 평균 안자각증상 점수가 6.13 으로 I군(3.53) 또는 비화면작업군(3.30) 보다 훨씬 더 높았다(P<0.01). 안자각증상 점수와 유의한 상관관계를 보인 독립변수들은 화면작업시간, 확대경 사용유무, 교대근무형태 등이었고, 채용시와 조사시 원거리시력 차이, 원거리시력과 근거리시력 차이, 누액분비기능, 안압, 굴절력 등과 유의한 상관관계를 보인 독립 변수는 하나도 없었다. 안자각증상 점수를 종속변수로 하는 중선형 회귀분석 결과에서는 화면작업시간이 길수록, 단부제나 2교대 근무자보다 3교대 근무자에서 유의한 선형관계를 나타내었다(P<0.01). 본 조사에서는 1일 장시간 VDT작업으로 시력이 저하되는 것은 관찰할 수 없었고 안자각증상은 유발되는 것으로 나타났다. 안자각증상의 예방을 위해 VDT 작업장의 조명을 적절하게 유지하고 장시간 연속해서 작업하지 않도록 작업관리를 해야 할 것이다. This study was conducted to evaluate the effect of VDT work on eyes and vision among workers in a TV manufacturing plant. The study subjects consisted of 264 screen workers and 74 non-screen workers who were less than 40 years old male and had no history of opthalmic diseases such as corneal opacities, trauma, keratitis, etc and whose visual acuity on pre-employment health examination by Han's test chart was 1.0 or above. The screen workers were divided into two groups by actual time for screen work in a day : Group I, 60 workers, lesser than 4 hours a day and group II, 204 workers, more than 4 hours a day. From July to October 1992 a questionnaire was administered to all the study subjects for the general charateristics and subjective eye symptoms after which the opthalmologic tests such as visual acuity, spherical equivalent, lacrimal function, ocular pressure, slit lamp test, fundoscopy were conducted by one opthalmologist. The proportion of workers whose present visual acuity was decreased more than 0.15 in comparison with that on the pre-employment health examination by Han's test chart was 20.6% in Group II. 15.0% in Group I and 14.9% in non-screen workers. However, the differences in proportion were not statistically significant. The proportion of workers with decreased visual acuity was not associated with the age, working duration, use of magnifying glass and type of shift work (independent variables) in all of the three groups. However, screen workers working under poor illumination had a higher proportion of persons with decreased visual acuity than those working under adequate illumination (P<0.05) . The proportion of workers whose near vision was decreased was 27.5% in Group II, 18.3% in Group I, and 28.4% in non-screen workers and these differences in proportion were not statistically significant. Changes of near vision were not associated with 4 independent variables in all of the three groups. Six out of seven subjective eye symptoms except tearing were more common in Group I than in non-screen workers and more common in Group II than in Group I (P<0.01). Mean of the total scores for seven subjective symptoms of each worker(2 points for always, 1 point for sometimes, 0 point for never) was not significantly different between workers with decreased visual acuity and workers with no vision change. However, mean of the total scores for Group II was higher than those for the Group I and non-screen workers (P<0.01). Total eye symptom scores were significantly correlated with the grade of screen work, use of magnifying glass, and type of shift work. There was no independent variable which was correlated with the difference in visual acuity between the pre-employment health examination and the present state, the difference between far and near visions, lacrimal function, ocular pressure, and spherical equivalent. Multiple linear regression analysis for the subjective eye symptom scores revealed a positive linear relationship with actual time for screen work and shift work(P<0.01). In this study it was not observed that the VDT work decreased visual acuity but it induces subjective eye symptoms such as eye fatigue, blurred vision, ocular discomfort, etc. Maintenance of adequate illumination in the work place and control of excessive VDT work are recommended to prevent such eye symptoms.

들깨잎의 품종에 따른 성분분석 및 생리활성물질 탐색

한호석,박정혜,최희진,손준호,김영활,김성,최청 한국식생활문화학회 2004 韓國食生活文化學會誌 Vol.19 No.1

The biochemical components of Namcheondlggae, Miryangdlkkae 25, Boradlggae and Ipdlkkae 1 were measured. The samples were extracted with hot water, 60% acetone or 80% ethanol for screening physiological activity. The crude protein content (4.36%) was found in the Miryangdlkkae 25 and calcium content (497.5 mg%) was found in the Namcheondlggae among the tested 4 perilla leaves. Fructose was 30.86 mg% in the Namcheondlggae and free amino acids at all perilla leaves was detected seventeen. In Boradlggae, glutamic acid and alanin were 25.37 and 11.91 mg%. Totally nine non-volatile organic acids were also detected and the contents of malic acid and glutaric acid were 28.34 and 14.57 mg% in Boradlggae. The Miryangdlkkae 25 had the highest vitamin C amount which was 113.24 mg%. Angiotensin converting enzyme (ACE) inhibition activity of 80% ethanol extract of Boradlggae was 46.71%. Electron donating activity of 60% acetone extract from Namcheondlggae was the strongest inhibition activity as 98.19% when 200ppm level of the sample extracts were added.

세균성 뇌막염과 병발된 다엽성이면서 다발성인 화농성 뇌농양 1예

최용석,김정미,한영수,차경만,한정호,조은경,김두응 최신의학사 2004 最新醫學 Vol.47 No.1

디자인에 있어 Kitsch적 요소와 그 효용에 관한 연구

최경한,한정완 한국디자인과학학회 1999 디자인과학연구 Vol.2 No.-

19세기 산업혁명 이후 전세계는 획기적 산업의 발전과 더불어 시민계급이 부의 축적을 이루었다. 시민계급이 이룬 부의 축적은 풍요로운 삶의 바탕이 되었다. 풍요로운 삶은 새로운 욕구를 야기 시켰고, 욕구의 해소는 상품의 소비를 통하여 행해 졌으며 이는 범람하는 상품의 물결 속에서 이루어졌다. 과학의 발전과 함께 사회, 경제, 문화면에서 현대의 자본주의를 바탕으로 인간의 욕구는 기하급수적으로 증가하였고, 욕구증가에 따른 해소의 갈망은 더욱 심화되며 사회적으로 새로운 변화를 주도했다. 즉 과거, 상품에 따라서 선택이 되던 인간의 기호도 역으로 인간의 욕구 및 성향에 맞추는 시대가 도래하면서 더욱 세분화되고 다양한 욕구충족을 위한 상품의 홍수 시대가 전개되고 있는 것이다. 따라서 디자인에 있어서 이러한 현대적 인간의 욕구를 충족시킬 수 있는 요소를 규명함은 필연성을 가지고 있다. 본 연구는 인간과 환경, 사물과의 관계방식을 극명하게 보여주는 키치에서 그러한 요소를 찾으려고 한다. 따라서 인간과 사물간의 형식적 진보의 양태로 간주되는 키치에 대하여 연구의 필요성을 느끼며, 인간과 안경 그리고 사물사이에 존재하는 미적가치 즉 키치에 관한 유형분류와 그 요소의 구조화 과정을 통해 긍정적 의미와 부정적 의미의 효용성에 관해 명확성을 제시 하고자 한다. After the industrial revolution In 19th century, the civilian class had amassed a great deal of waealth with the advent of an unprecedented Industrial growth. This wealth had been the foundation of their prosperous life which then triggered new desires among people. the way to satisfy these new desires was through consumption In the wave of affluent products. With the enhancement of science human's desire based on modern capitalism-in the societal. economic, and cultural sense - had increased drastically and the craving to resolve it had intensified. As a result, a new change was introduced In the society, Unlike the past where people's taste was subject to products, a new era had opened where instead of the products, the people's desire and the environment had influence on the people's preference. Hence, a new age of overflow of products which would meet the more diverse desires was emerging. Therefore, in industrial Design it is necessary to define these factors that would satisfy the human's desire in this day and age. In this research, these factors are considered from the view point of Kitsch which shows the relationship of human beings with the environment, and objects, Consequently, it is essential to study Kitch since it is regarded as the form of the progress of the relationship between humans and objects. Through the aesthetic value between humans and the environment, also with objects, 1.e., It represents the effective dearness both affirmative and negative aspects through deviding type and processing structure of it's factors about Kitsch.

양산시 하수관거의 불명수 산정을 위한 유량 및 수질특성

최호은,김한석,정연화,김대용,성낙창 東亞大學校 建設技術硏究所 2008 硏究論文集 Vol.31 No.2

The objective of this study were to investigated the water quantity and quality characteristics of sewer infiltration/inflow(I/I) computation in Yangsan City. infiltration/inflow(I/I) were evaluated the water-use evaluation, average daily minimum flow-water quality evaluation and minimum daily flow evaluation. Flow meter for infiltration/inflow(I/I) evaluation was used the FLO-TOTE II. Contaminant came into very low concentration at all sampling points as BOD5 standard. Also, I/I evaluation during dry weather on maximum daily infiltration flow-water quality evaluation, maximum-minimum daily flow evaluation, average daily-minimum flow-water quality evaluation is desirable than water-use evaluation. Because that infiltration/inflow(I/I) amount is much different than other evaluation methods.

강원도 하천 호안 실태조사

최한규,정영덕,백효선 江原大學校 産業技術硏究所 2009 産業技術硏究 Vol.29 No.B

The propose of this study is to survey the revetments installed in Gangwon Province for identifying their characteristics. The survey showed that in eastern Gangwon Province, gabion, retaining wall and concrete blocks took about 63% or more, and in western Gangwon Province, dry wall, gabion and retaining wall, 68% or more. Gabion and dry wall had better vegetation coverage in western Gangwon Province than in eastern Gangwon Province. That is thought to be due to slope of river and under-water frequency.

탄소섬유보강판의 홈삽입에 따른 철근콘크리트 보의 보강효과

한상훈,최만용,조홍동,박중열,황선일 충북대학교 건설기술연구소 2002 建設技術論文集 Vol.21 No.1

This paper presents a feasibility study of an alternative strengthening method by slot-bonded CFRP plates for reinforced concrete beam. A total 14 reinforced concrete beam were constructed, tested and the response of the beams in terms of deflection, strains, failure load and failure mode were examined. Each specimen was initially loaded for 75% of ultimate load, cracked specimen were strengthened with CFRP plate and then tested until complete failure. Test variables included the strengthening method, steel ratio and strengthening length, and the effects according to each test variables are analysed. The experimental results show that proposed methods can increase the flexural strength and stiffness of the beam significantly. Also, the failure of the specimens strengthened by the proposed method are more ductile than externally bonded specimen.

초등 과학 지구 영역 '암석' 단원에 대한 학습차원의 하위 범주 분석

한영욱,최정미,곽민숙 부산교육대학교 과학교육연구소 2005 科學敎育硏究 Vol.30 No.-

In this study, the earth units rock in center of elementary school science were classified to the lower categories of Dimensions of Learning out of the 7th National Curriculum using the Demensions of Learning Project developed by ASCD in USA. Also they were investigated which lower categories of Dimensions of Learning were used to the Curriculum. The results were as follows ; First, the percentages of using lower categories of Dimensions of Learning were difference especially subject. subject F, C(21varieties) were used plentifully and subject D(16varieties) was used few. This result is because quality of subject. second, the average percentages of using the lower categories of Dimensions of Learning was similar according to grade 3 to 6. For example, the average percentages of using the lower categories of Dimensions of Learning was similar by 69.6%, 66.1%, 60.7%, 67.9%. third, percentages of using the lower categories of Dimensions of Learning was becoming intensively in Dimension 1 and Dimension 2 (Attitudes and Perception, Acquir and Integrate Knowledge). forth, Consequently in Grade especially use ratio of Dimension 5, grade 3, 4 to compare in grade 5, 6 was plentifully used. fifth, Consequently in time especially the average percentages of using the lower categories of Dimensions of Learning was a great extent in 6th grade. the results are considered to agrees with a research result which evenly using, accomplishing is high. sixth, look of Dimension 2 were used plentifully. Because of observatioing is many and data provision picture is many.