2003년 국내 중증급성호흡기증후군 진료 현황 및 문제점 분석

이진수,김은실,정문현,백제중,정선화,안주희,최영화,이선희,고철우,김성범,김민자,박승철,기현균,송재훈,최상호,김양수,이상오,조용균,박영훈,정숙인,김연숙,이흥범,손창희,장성희,정희진,김우주 대한감염학회 2004 감염과 화학요법 Vol.36 No.3

목적 : 2002년 말 중국에서 SARS가 발생한 이후 국내에서도 2003년 10월까지 총 3명의 추정환자, 17명의 의심환자가 보고되었다. 향후 추가적인 SARS의 유행이 우려되는 상황에서, 그간의 SARS 환자 진료에 있어서의 실질적인 준비사항, 진료 현황 등에 대한 조사를 통해 문제점을 파악하여, 향후 더 나은 대비가 될 수 있도록 개선점을 제시하고자 하였다. 재료 및 방법 : SARS로 의심되는 환자를 진료 경험이 있는 병원의료진을 대상으로 2003년 10월에 설문조사를 실시하였다. 설문에는 SARS 환자 진료 시의 실질적인 조치, 진료 현황, 병실, 응급실 및 외래에서의 격리 시설과 준비사항, 보건당국의 관리와 지원에 관한 사항을 포함하였다. 결과 : 대상이 되는 22개 병원 중 17개(17/22, 77.2%) 병원이 설문에 응하였다. SARS 환자를 위한 격리실은 응급실, 외래, 일반병실 및 중환자실에서 각각 9개(9/17, 52.9%), 5개(5/17, 29.4%), 15개(15/16, 93.7%), 4개(4/16, 25%) 병원에서 음압처리가 되어있지 않은 일인실 혹은 다인실이 사용되었고, 1개(1/16, 6.3%) 병원에서만 일반병실에서 음압격리실이 운영되었다. 입원환자의 진찰 시 개인보호구의 착용은 거의 모든 의료기관에서 이루어졌다. 보건당국에서 SARS지정병원의 시설 등을 사전에 확인한 곳은 1곳(1/12, 8.3%)이였고, 14개 병원(14/15, 93.3%)에서는 보건당국에 의뢰한 검사결과를 통하 받지 못하였다. 결론 : 의료기관에서 SARS 환자용 격리실뿐만 아니라 기존의 격리실 설비 등이 미흡하였으며, 특히 중환자실 및 외래의 준비가 더욱 부족하였다. 보건당국의 의료기관에 대한 종합적인 지원이 부족하였고, 병원과의 원활한 연계가 잘 이루어지지 않았다. SARS 만이 아닌 격리를 필요로 하는 질환의 적절한 진료를 위해 향후 병원 시설의 정비와 정부차원에서의 보다 구체적이고 실질적인 대책마련이 필요하다. Background : There was an worldwide outbreak of the Severe Acute Respiratory Syndrome (SARS) originated from China in late 2002. During that period three cases of suspected SARS and 17 cases of probable SARS were reported in Korea. With the concerns about the reemergence of SARS-coV transmission, it is important to be prepared for any possibility. So, this study is aimed to analysis the past measures in managing SARS and propose the amendatory plans to improve the preparedness. Materials & Methods : Questionnaires were collected among clinicians with any experience in managing the probable or suspected SARS cases in Oct. 2003. 17 out of 22 hospitals responded to the questionnaire. The contents in the questionnaire were practical activities, personal equipments, response plans, isolation facilities in emergency centers, outpatient clinics, general wards and intensive care units, and relationship with the public health department. Results : The dedicated isolation rooms in emergency centers, outpatient clinics, general wards, and intensive care units were prepared in 9 (9/17, 52.9%), 5 (5/17, 29.4%), 15 (15/16, 93.7%), and 4 (4/16, 25.0%) hospitals, respectively. Except for one hospital that newly made negative pressure room for SARS, single or multi-bed rooms without airborne infection control were used in all the other hospitals. The personal precaution principles were kept quite well in general wards. Before the designation of SARS hospital by the public health department prior evalution to see if the hospital was suitable for managing SARS was conducted in only 1 (1/12, 8.3%) hospital. The results of laboratory diagnosis were reported back in 1 (1/15, 6.6%) hospital. Conclusions : The isolation facilities which can control airborne infection were almost deficient not only for SARS but also for other respiratory transmissible diseases. For the infection control of transmissible diseases including SARS, more investment is needed on medical facilities and comprehensive support from the public health department required.

A Study on Gender Differences in Morality and Ethics: From the Perspective of Feminist Therapy

Ju–yeon LEE 한국융합인문학회 2015 Asian-Pacific Journal of Social Quality Vol.2 No.1

Feminist therapy, based on feminist philosophy, has the aim of supporting and strengthening the powers of social minority groups, including women, and bringing change to society through these efforts. Its basic principle is that of equality, seeking freedom from any prejudice or oppression coming from gender differences. Through the analysis of a commercial entitled “Show,” by Korea Telecom, this study discusses how women, and especially women’s sense of ethics, are viewed in society. The commercial has been analyzed according to ethical theories, and a tentative conclusion has been reached: Women’s ethics is more relationshiporiented and caring than that of men, and it is the product of experiences, and learned through a system. Men and women are not innately different in terms of ethics, but rather the difference is something experienced, learned, and encouraged, and people acquire this difference in the course of interacting with others in order to survive. Taking this into consideration, the current study proposes and discusses a new method of dealing with ethics in feminist therapy: The fact that difference exists should be acknowledged, and an effort should be made to ‘show’ various effects of this difference.

국가예방접종전산등록체계 개발을 위한 민간의료 기관 하부구조 및 환경 조사연구

이무식,김은영,이건세,이석구,홍지영,김건엽,김대경,신의철,이연경,기몽서,나백주,김영택 한국모자보건학회 2003 한국모자보건학회지 Vol.7 No.2

실용무용 코레오그래피 팀의 LMX(리더와 구성원의 교환관계)와 TMX(팀 구성원의 교환관계)가 팀 몰입 및 팀 성과에 미치는 영향

이연주 한국실용무용학회 2024 한국실용무용학회지 Vol.2 No.1

본 연구는 실용무용 코레오그래피 팀의 LMX(리더와 구성원의 교환관계)와 TMX(팀 구성원의 교환관계)가 팀 몰입 및 팀 성과에 미치는 영향관계를 확인하고 팀 경력에 따른 가설 경로의 차이를 확인하는 것에 목적이 있다. 이를 위하여 공연, 방송, 교육, 대회를 목적으로 운영되는 코레오그래피 팀에 소속되어 있거나 소속 경험이 있는 실용무용 전공자를 대상으로 온라인 설문을 시행하였으며 수집된 249부를 최종결과분석에 활용하였다. 자료는 SPSS 29.0 프로그램과 AMOS 26.0 프로그램을 활용하여 분석하였으며 통계기법은 빈도분석, 상관관계분석, 탐색적 요인분석, 신뢰도 분석, 확인적 요인분석, 구조방정식 모형분석, 다중집단 분석을 시행하였다. 연구결과, LMX는 팀 몰입과 팀 성과에 모두 정(+)적인 영향을 미치는 것으로 나타났다. TMX는 팀 몰입에는 정(+)적인 영향을 미치는 것으로 나타났으나 팀 성과에는 영향을 미치지 못하는 것으로 나타났다. 또한, 팀 경력에 따른 경로의 차이는 유의한 것으로 나타났다. 이러한 연구결과에 따라 사용되지 않았던 사회적 교환관계 이론을 적용함으로써 실용무용 분야의 연구를 확장하고 효과적인 팀 관리 체제 구축을 위한 기초자료로써 활용되는 것에 목적이 있다. The purpose of this study is to examine the impact relationships, specifically Leader-Member Exchange(LMX) and Team-Member Exchange(TMX) within practical dance choreography teams, have on team commitment and performance. Additionally, the study aims to explore differences in hypothesis paths based on team experience. To achieve this, an online survey was conducted targeting individuals with experience in or affiliation with choreography teams operating for performance, broadcasting, education, or competitions. A total of 249 responses were collected and utilized for the final result analysis. The data were analyzed using SPSS 29.0 and AMOS 26.0 programs, employing statistical techniques such as frequency analysis, correlation analysis, exploratory factor analysis, reliability analysis, confirmatory factor analysis, structural equation modeling, and multigroup analysis. The results indicate that LMX positively influences both team commitment and performance. TMX was found to have a positive impact on team commitment but did not significantly affect team performance. Furthermore, there were significant differences in paths based on team experience. The findings of this study, applying social exchange theory not previously utilized in practical dance research, aim to extend research in the practical dance domain. They also serve as foundational data for establishing effective team management systems within the field of practical dance.

유병기간에 따른 한국인 파킨슨병 환자의 영양소 섭취 상태 및 식사의 질에 관한 연구

이주연,안태범,전범석,김윤영,조여원 대한지역사회영양학회 2008 대한지역사회영양학회지 Vol.13 No.4

Both genetic and environmental factors play important roles in the pathogenesis of Parkinson Disease (PD). The contribution of many environmental factors including dietary factor remains unproven. The purpose the study was to investigate the dietary habits, nutrient intake and dietary quality of Korean PD patients according to the duration of disease. PD patients were recruited from K and S university hospitals from May 2005 to January 2006. This study was carried out after approval by the Institute Review Board (IRB). British Brain Bank criteria was used to diagnose PD. The subjects were classified into 2 groups based on the duration of PD: < 25 months and ≥ 25 months groups. General characteristics, anthropometric measurements, food habits and dietary intakes were investigated. The results of this study were as follows: 1) The mean age of < 25 months group (66.9 ± 8.0 yr) was significantly higher than that of ≥ 25 months group (62.2 ± 8.8 yr) (p < 0.05). No significant differences were found for academic background, occupation, living status and social activity, however, numbers of diseases, exercise and family history of PD were significantly different. 2) Anthropometric measurements were not different between the two groups. 3) The frequency of taking snacks was significantly higher in < 25 months group and the amounts of alcohol consumption were significantly higher in ≥ 25 months group. 4) Daily intakes of most nutrients were very low compared with DRI. 5) The MAR score was significantly lower in < 25 months group (p < 0.05;) however, the scores of DVS, DDS and DQI were not significantly different. As a conclusion an overall nutrient intake and dietary quality of the Parkinson's Disease patients need to be improved regardless of duration of the disease and a well-balanced diet should be emphasized.

TMV에 의한 고추의 역병에 대한 전신획득저항성 유도

이성희,차재순,이주연 충북대학교 한국과학재단 지정 첨단원예기술개발 연구센터 1997 연구보고서 Vol.2 No.-

고추에 있어서 전신획득저항성 및 PR 단백질 축적과의 관계를 알아보기 위하여 TMV pepper strain을 고추잎에 접종하고 4일후 고추역병균 P. capsici를 고추줄기에 접종후 역병발생량을 비교하였다. TMV를 전접종한 고추에서는 TMV를 전접종하지 않은 고추에서보다 역병발생량이 크게 감소하였는데, TMV를 전접종한 고추의 역병 발병도와 병반길이는 역병접종 10일째에 TMV를 전접종하지 않은 고추의 약 50% 수준이었다. 담배의 PR1b와 PR5a 항혈청을 이용한 immuno-blot으로 추적한 고추의 PR1 과 PR5 단백질은 TMV 접종엽과 접종상위엽에서 TMV 접종 24시간후부터 세포간극에서 동시에 검출되기 시작하였다. PR1 과 PR5 단백질은 TMV 접종엽에서는 TMV 접종 4-5일후 잎이 탈락할때까지 그 양이 크게 증가하였다. PR5는 TMV 접종상위엽에서 TMV 접종후 그 양이 크게 증가하지는 않았지만 실험종료일인 TMV 접종 20일후까지 검출되었다. 이러한 결과는 고추에서 TMV 검염에 의해 역병에 대한 전신획득저항성이 유도되며, 전신획득저항성이 유도되는 동안 매우 빠르게 고추전신에서 PR 단백질의 생산이 유도되고, 생성된 PR 단백질들이 오래동안 유지됨을 암시하고 있다. Induction of systemic acquired resistance (SAR) against phytophthora blight and PR protein accumulation by TMV in pepper plant (Capsicum annuum cv. Nockwang) were examined to understand the mechanism of systemic acquired resistance in pepper plant. The zoospore suspension of Phytophthora capsici was inoculated on stem of pepper plant on which TMV-pepper strain had been inoculated on fully expanded 3 leaves, and the amount of phytophthora blight incidence was determined with time course. Both disease severity and lesion length of phytophthora blight were much smaller in TMV pre-inoculated pepper plant than in uninoculated control plant. The amount of phytophthora blight in TMV pre-inoculated pepper was about 50% of uninoculated control plant's at 10 days after P. capsici inoculation. PR1 and PR5 protein were monitored in intercellular fluid of TMV inoculated and uninoculated upper leaves by immuno-blot with tobacco PR1b and PR5a antibody to find accumulation of PR proteins locally and systemically during induction of SAR. PR1 and PR5 were detected from 24 hours after TMV inoculation both TMV inoculated and uninoculated upper leaves, and increased rapidly in TMV inoculated leaves until th leaves were defoliated on 4-5 days after TMV inoculation. PR5 was not increased in uninoculated upper leaves as much as in TMV inoculated leaves, but it can be detected until 20 days after TMV inoculation. These results suggest that TMV infection induces SAR against phytophthora blight in pepper plant, and PR proteins is accumulated very rapidly after TMV infection systematically during induction of SAR and maintained for quite long time in pepper plant.

공개키 기반 구조에서의 고속 인증 경로 탐색 서버의 설계 및 구현

이주남,유종덕,이구연 江原大學校 産業技術硏究所 2001 産業技術硏究 Vol.21 No.B

In the field of secure information systems including electronic commerces, public key infrastructure(PKI) is widely used for secure services. The more PKI domains are established, the more needs are required for cross-domain certifications. Furthermore, each country has many certificate authorities(CA) which require more complex cross certification. We may need a fast algorithm in order to find the possible certification paths. This will be more indispensible in the growing PKI systems. We designed and implemented the high-speed certification path discovery algorithm. Also, we investigated the feature of operation of the system.

빠른 핸드오프를 지원하는 PKI 기반의 무선랜 인증기법 설계

이주남,이구연 강원대학교 정보통신연구소 2003 정보통신논문지 Vol.7 No.-

Wireless LAN has the advantage of extension, flexibility, and easy of installation and maintenance. However it is vulnerable to security attacks. Public Key Infrastructure(PKI) is a good solution offering security function. to wireless LAN PKI offers high security, but it able generates high overheads such as CRL search and certificate verification. For the fast handoff, the overheads should be minimized. In this paper, we design a fast handoff authentication mechanism using PKI in wireless LAN and analyze the performance of the mechanism.

좌측흉수로 발현된 Boerhaave 증후군 1예

이준,변유미,조민근,조주연,원경준,김영대,박찬국,김만우,유재근,서홍주,이석기 朝鮮大學校 附設 醫學硏究所 2008 The Medical Journal of Chosun University Vol.33 No.2

구토 후 발생한 토혈을 주소로 내원한 환자에서 좌측 늑막 삼출 동반 시 식도 파열의 가능성을 고려하여 흉수 천자 및 지속적인 흉부 단순 촬영의 추적관찰이 필요하며 식도 파열이 배제된 후 환자의 생체 징후 및 토혈 양을 파악하여 내시경 검사 시기를 신중히 결정하는 것이 좋을 것으로 생각된다. 본 증례는 토혈을 주소로 내원하여 Mallory-Weiss 증후군 의심 하에 내시경을 통한 치료 시행 후 추적 관찰에 의해 진단된 Boerhaave 증후군을 경험하였기에 보고하는 바이다. Boerhaave's syndrome is a spontaneous perforation of the esophagus most commonly resulting from a sudden increase in intraesophageal pressure combined with negative intrathoracic pressure caused by straining or vomiting. Surgery should generally be performed within 24 hours because mortality approached 30 to 50 percent in which surgery was delayed. Therefore, early diagnosis and prompt surgical repair are critical for survival. We have experienced a case of Boerhaave's syndrome in a patient presenting with hematemesis with left pleural effusion without any signs or symptoms of pneumomediastinum or pneumothorax.

흉추의 병적골절을 보인 심한 신성 골이영양증 1례 : 증례 보고

이송주,이은미,임학,정연순,장재호 고신대학교의과대학 2008 고신대학교 의과대학 학술지 Vol.23 No.4

A 33-year-old woman presented with tingling sensation and weakness in the both hands and feet. She had a diagnosis of secondary hyperparathyroidism caused by renal failure. Her height was shortened due to severe kyphosis. On plain radiograph, there were fractures on both femoral necks and pathologic fracture on thoracic vertebra. An MRI scan of the spine demonstrated a expansile, heterogeneous hypointense lesion of the 2nd thoracic spine, which remained hypointense on T2 images. Following total parathyroidectomy the patient underwent a thoracic decompression and spinal stabilization from the back. Hyperparathyroidism may cause brown tumor and tumor associated pathologic fracture in the spine. Involvement of the spine with neural compression is extremely rare. An early spinal decompression with parathyroidectomy leads to remission of symptoms.