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.

암호화된 DB에서 대칭키 기반 검색기법 구현

정민경(Jung, Min-Kyoung),송희정(Song, Hee-Jeong),신승수(Shin, Seung-Soo),한군희(Han Kun-Hee) 한국산학기술학회 2009 한국산학기술학회 학술대회 Vol.- No.-

최근 개인정보유출사건으로 프라이버시에 대한 관심이 급증하면서, 데이터베이스의 내용을 암호화할 필요성이 요구된다. 초기에는 문서 전체의 복호화를 통해서만 검색이 가능하기 때문에 효율성이 떨어져 암호화기법이 거의 사용되지 않았다. 최근에는 복호화 하지 않고 암호화된 데이터로부터 특정 키워드를 포함하는 정보를 효율적으로 검색하고자 하는 연구가 시작되었다. Song의 연구를 시작으로 점차 효율적인 검색 기법이 제안되어졌다. 본 논문에서는 데이터베이스내의 암호화된 데이터를 검색하는 기법에 대한 설계 및 구현하고, 그에 따른 정확도 및 오류율을 분석한다.

북창동의 지역적 특성과 시민의 행태로 재해석된 아고라 건축 구상

김송희(Kim Song-Hee),이정만(Lee Jung-Man) 대한건축학회 2009 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.29 No.1(계획계)

This study set out to analyze and reinterpret the architectural space characteristics of certain specialized urban spaces and the concerned programs regarding Bukchang-dong, Jung-gu, Seoul and to suggest a new civil space for Seoul. The diverse elements surrounding Bukchang-dong include many historical relics, which contributed to the history of Seoul, and architectural spaces, which create such urban images as represent the city. Suggested in the study was a "civil agora" space based on the analysis of Bukchang-dong's local and spatial features and a new program that reflected the diverse spatial characteristics surrounding Bukchang-dong. The goal was to turn Bukchang-dong into a new space to present the citizens, the nation, tourism, and culture connecting Sejong-ro and Namdaemun-ro crowded with the representative elements of Seoul.

원발성 조기 위 소세포암

송근영,강길,박정희,김경종,민영돈,박치영,임성철 朝鮮大學校 附設 醫學硏究所 2002 The Medical Journal of Chosun University Vol.27 No.2

Gastric small cell carcinoma(SCC) is defined as poorly-differentiated neuroendocrine tumor of the stomach, and their morphologic and biologic features arc similar to those of the lung. It is known that this tumor has poor prognosis even in early pathologic stage, It acounts for only 3% of all gastrointestinal SCC. that has been reported only 33 cases outside and 6 cases inside of the comitiy. Most of these reports are related to advanced gastric SCC. as pathologic stage IIIb or IV. This report describes a case of early gastric SCC. pathologic stage Ib.

도시주부의 갈등정도와 대처 행동에 관한 연구

송말희,이정우 숙명여자대학교 생활과학연구소 1990 生活科學硏究誌 Vol.5 No.-

The purpose of this paper is to investigate the relationship between the housewives conflict level and coping behavior, and find out how independent variables(the age of housewife, level of education, socio economic status, durations of marriage, employment, number of children) have an effect on two dependent variables. The research problems are as follow : 1) How independent variables influence on the level of conflict. 2) How independent variables influence on the coping behavior. 3) How relate the level of conflict and the coping behavior. Two instruments were administrated to 328 housewives in Seoul, in March, 1989. The first instrument, 22 item questionnaire, made by investigator, was developed based upon Lee Soon, and Moon Sung Soon, The second instrument, based upon Ilfeid, F., and modified to be appropriate to Korean culture. Data was analyzed by frequency, percentage, mean and t-test, F-test, Pearson-r, Scheffe-test. The results are summarize as follow : 1) Most housewives show the middle level of conflict. 2) Among independent variables, the ages of housewife(p<.05), socio economic status(p<.001), employment(p<.01), were variables to have influence on the level of conflict. 3) Housewives coping behaviors were relatively middle level. 4) Among independent variables, the ages of housewife(p<.01) the level of education(p<.01), socio economic status(p<.01) were variables to have influence on the coping behavior. 5) There were very low positive correlation(r=.18, p<.001) between the level of conflict and Avoidance, Repression style. From this results, more objective methods and research both sides of husbands and wives, are needed to develop the study of conflict and coping behavior.

어린이 김치 표준화에 대한 연구(1) : 어린이 김치의 담금법 개발 Development of the Preparation of Kimchi for the Children

송영옥,전영수,권명자,빈성미,김은희,문정원,김명 부산대학교 가정대학 1995 家政大學硏究報告 Vol.21 No.-

The purpose of this study is reporting the results of first trial for the standardization of children's kimchi in terms of brining standardization, development for the recipe ad pannel test for the children's kimchi. In order to develop the standard recipe for children's kimchi, our research team have visited kimchi factories, temples and houses located in Pusan and Kyung-Sang Nam Do province. Three kinds of chinese cabbage kimchi (hamyang, haeundae, and jinrae kimchi named by region where we collected) which got the top three highest score in panel testing was selected. The original recipes of these kimchi were sightly modified to prepared the kimchi at laboratory. Among three of them, hamyang kimchi which contained dried anchovy power was selected as a model kimchi for development of the children's kimchi recipe. We find out that the optimal salt concentration of brined cabbage and kimchi for the children's kimchi (sliced style kimchi, approximately 2.5X3cm a piece) that showed the hightest pennel score were approximately 1.5% and 2.0%, respectively. The salt concentration of brined cabbage became 1.5, 1.43, and 1.60% after 60 min at 10% brining solution, 45 min at 12% and 30 min at 15%, respectively. The developed recipe used for the children's kimchi at our team is as follows. The major ingredients used for the preparation of kimchi is brined sliced chinese cabbage (salt concentration is 1.5%) 1kg galic 11g, ginger 5.0g, red pepper powder 20.0g, fermented anchovy juice 25.0g, fermented shrimp juice 5.0g dried anchovy and sea weed extracts 30.0g, anchovy power 2.4g glutinious rice gel 40.0g, starch syrup, 10.0g, and apple juice 22.5g. The total acceptability test of developed children's kimchi (test kimchi) was carried out with 84 of 6th grade student during lunch time at elementary school in Pusan where has a school lunch program. Sixty nine percent of student answered test kimchi is very good, 25% of them said it is fair, and only 6% of students answered they didn't like test kimchil. However, for the kimchi supplied from school at lunch, 52% students answered the kimchi is good, 26% of them said it is fair, and 22% of them said they don't like school supplied kimchi. This result tells us that the test kimchi is better than school supplied kimchi and the test kimchi can be developed further as a children's kimchi.

Baculovirus를 이용한 Aujeszky's Disease Virus gⅢ 단백질 발현

송재영,이중복,현방훈,박종현,김병한,권창희,전무형,안수환 충남대학교 생물공학연구소 1993 생물공학연구지 Vol.3 No.-

The g Ⅲ gene located in U_L region of Yangsan strain, a field isolate of Aujeszky's disease virus (ADV) in Korea, was cloned into pTZ18R and sequenced. The gⅢ gene consisting of 1,437 nucleotides showed 98% sequence homology with that of Becker strain, a reference strain of ADV. The gene encoding gⅢ of Yangsan strain was placed under the control of Autographa californica nucleopolyhedrosis virus (AcNPV) polyhedrin promoter, and expressed by the derived recombinant baculovirus using Spodoptera frugiperda 9 (Sf9) cells. The expressed gⅢ was a protein with molecular weight of 72kd determined by immunoprecipitation and Western blotting assay using anti-ADV polyclonal antibodies and anti-gⅢ monoclonal antibody. The partially purified gⅢ protein was utilized as antigen in the radial immunodiffusion enzyme assay (RIDEA) to detect to specific antibody against ADV in pig sera. The results indicated that the sensitivity of RIDEA with the recombinant gⅢ protein antigen (98%) was as high as that with the conventional glycoprotein antigen extracted from the ADV infected cells. In addition, the false positive and false nagative reactions in gⅢ RIDEA were significantly reduced than the conventional glycoprotein RIDEA as judged from the results of standard serum neutralization test.

RF-magnetron 스퍼터링에 의해 제조된 HAp와 HAp-Ag 복합재료의 미세구조와 In-vitro 연구

송호연,이희정,고광균 순천향대학교 교수학습개발센터 2004 Journal of Soonchunhyang Medical Science Vol.10 No.3

Microstructure and in-vistro study of RF-magnetron sputtered HAp and HAp-Ag composite films on the ZrO_(2) substrate were investigated using XPS, SEM, AFM and HR-TEM techniques. The homogenous and dense films about 0.8 ㎛ in thickness were successfully obtained and they were comprised with nano-crystalline grains about 30 nm in diameter. Micro cracks were not found at the interfaces between HAp and ZrO_(2) substrate and also on theire films. Without the dependency of Ag addition the fracure mode of HAp-Ag films showed a transgranular type. Due to the excellent bioaffinity, osteoblast MG-63 cells wre grown well on the HAp and HAp-Ag films with dense and healthly morphology, although the growth rate of cells on the HAp-Ag film was slower than that of the HAp film.

허혈성 뇌졸중 환자에서 lipoprotein lipase 유전자 다형성과 혈중 지질과의 관계

송희정,김재문,김제 대한신경과학회 1999 대한신경과학회지 Vol.17 No.3

The Institute of Industrial Science & Technology Kon-Kuk University

송희열,김화중,유인상 建國大學校 附設 産業技術硏究所 1993 논문집 Vol.18 No.-

The objectives of this paper was to study was to study the effects of highly concentrated methanol fuel mixture(HCMFM) and the anti-corrosion additives on the vehicle component materials. The anti-corrosion experiments were carried out at 25℃ submerging several different materials used for vehicle component into the HCMFM and the anti-corrosion additive containing fuel mixture for 100 and 70 days, respectively. The experimental results showed that among several different materials tested, anti-corrosion effect against HCMFM was highly significant for all the materials except cloth-rubber composite tube. However, it was found that if methanol was not 100% pure, all tested materials except polymeric material were significantly corroded. It may be ascribed to organic acid present as an impurity. In case of using anti-corrosion additives, several different additives except triamine showed significant anti-corrosion effects. In addition, sebasic acid seems to be detrimental to copper because it changed the color of copper to blue. In general, teflon was the most corrosion-resistant material and a commercial anti-corrosion agent, DGOI-100 was comparatively superior as an anti-corrosion additive.