경막 내 colistimethate 투여로 치료한 다제 내성 cinetobacter baumannii 뇌실염

홍유아,유진홍,김진진,모은영,안건희,정희경,김진석,이현정,정미향,윤승배 대한감염학회 2009 감염과 화학요법 Vol.41 No.4

Acinetobacter species is a non-fermentative aerobic gram-negative coccobacillus that is an important pathogen found in nosocomial infections. Recently, multi-drug resistant Acinetobacter baumannii (MDR-AB) infections have been increasing and pose a serious problem. Most such infections present as bacteremia, pneumonia, or a wound infection; however, CNS infections are very rare. We herein present a case of ventriculitis caused by MDR-AB in a 37-year old man after a neurosurgical intervention. The patient was successfully treated with intrathecal colistimethate.

인체에서 방사되는 생물광자(生物光子)에 대한 소고

이승호,김진수,박하준,양준모,소광섭,임사비나 경희대학교 동서의학연구소 2006 東西醫學硏究所 論文集 Vol.2006 No.-

Objectives : The purpose of this study is to review research papers published by Korean research groups on biophoton of human beings based on experiment subject and methodology. Methods : In order to review human biophoton research executed in Korea, all the papers published in Korean and international journals by Korean research groups were selected. Several key foreign papers were also reviewed for clarification of this study. Based on experiment subjects, experiment methodology, and interpretation of experiment results were analyzed. On each experiment, its original interpretation was directly quoted. Issues on the experiment methodology and interpretation were expressed at the end of each subject. Results and Conclusions : We found that experiments on human biophoton were compelling. However it seemed that mom experiments, especially on their sample sizes, ate needed to demonstrate its clinical application. Interpretations based on Korean traditional medicine also need to be elaborated more. In order to do accomplish clinical application of biophoton, interdisciplinary works are required. Some suggestions on biophoton experiments were made.

광주광역시 전문계 고등학교 특성화 및 종합발전방안

나승일,정철영,김진모,안강현,한홍진,김기용,민상기,장현진 한국농업교육학회 2008 농업교육과 인적자원개발 Vol.40 No.1

이 연구의 목적은 광주광역시 전문계 고등학교의 특성화 및 종합발전방안을 수립하는데 있다. 이 연구는 ① 전문계 고등학교 관련 선행연구 분석,② 인력육성 및 특성화 방향을 설정하기 위하여 광주광역시,전라남도,우리나라의 산업여건 분석,③ 광주광역시 전문계 고등학교에 대해 Malcolm Baldrige 평가모형에 의한 진단평가와 SWOT 및 활용전략 분석, ④ 광주광역시 전문계 고등학교의 개편 요구 분석,⑤ 광주광역시 전문계 고등학교의 특성화 및 종합발전방안 설정 등의 과정을 통해 수행되었다. 이 연구의 결과는 다음과 같다. 첫째,비전은 광주광역시 전문계고 특성화와 발전 역량 구축을 통한 산업체 요구에 부합하는 우수 인력 양성이며,이를 위한 전략은 특성화 체제구축,학교교육 혁신,인적 자원 혁신,학교경영 혁신,인프라 구축으로 설정하는 것이 필요하다. 둘째, 특성화 체제 구축은 특성화 체제 개편,교육과정 중심 특성화,학과 재배치 통합형 고교 도입,특성화고 신설을 통해 추진할 수 있 는데 특히,교육과정 중심 특성화가 적극 도입되어야 한다. 셋째,학교교육 혁신은 교육과정 개편,교수 학습 개선,진로지도 개선,시설 및 기자재 개선을 통해 추진할 수 있다. 넷째,인적자원 혁신은 학교 관리자 역량 강화,교원 역량 강화,학생 역량 강화를 통해 추진할 수 있다. 다섯째,학교경영 혁신은 경영 리더십 제고,경영 성과관리 강화,학교 재정 혁신을 통해 추진할 수 있다. 여섯째,인프라 구축을 위해 지자체,대학,산업체,지역주민과 연계 강화를 통해 추진할 수 있다. 일곱째,13개 전문계 고둥학교의 여건 및 특성에 적합한 단위학교별 특성화 및 종합발전방안을 수립하였다. The purpose of this study was to suggest strategies to specialize and develop vocational high schools in Gwangju Metropolitan City. The study was orderly performed as follows: (1) reviewing literature about vocational high school, (2) analyzing the condition of industries, (3) diagnosing the vocational high school through Malcolm Baldrige model, (4) analyzing the SWOT and application strategies, (5) analyzing the needs of reform, and (6) establishing the strategies for the specialization and development of Vocational High Schools in Gwangju Metropolitan City. The major findings of this study were as the following: First, the vision was to bring up excellent human resources to corresponds industrial needs through specialization and development of vocational high schools in Gwangju Metropolitan City. Five strategies to achieve it were creating the specialization system, innovating the school education, human resources, and the school management, and building the infrastructure. Second, creating the specialization system can be performed through five tasks which were restructuring the specialization system, creating curriculum-based specialization, trading departments in inter-schools, introducing an integrated high school, and building a new specialized high school. Especially curriculum based specialization needs to be accepted. Third, innovating the school education can be performed through four tasks which were reorganizing the curriculum, improving the teaching and learning, improving the career guidance, and improving the facilities and equipments. Fourth, innovating human resources can be performed through three tasks which were enhancing each competencies of a school manager, a teacher, and a student. Fifth, innovating the school management can be performed through three tasks which were improving the management leadership, developing the performance management, and innovating the school finance. Sixth, building the infrastructure can be performed through four tasks which were enhancing the relationships with a local government, colleges, industries, and local residents. Seventh, individual strategies for the specialization and development of thirteen vocational high schools were also developed by corresponding to their conditions and characteristics.

근관세정 방법에 따른 수산화칼슘 제재의 제거 효율 비교

은재승,박세희,조경모,김진우 대한치과보존학회 2009 Restorative Dentistry & Endodontics Vol.34 No.6

The purposes of this study were to compare the efficacy of irrigation systems by removing a calcium hydroxide (Ca(OH)₂) paste from the apical third of the root canal and the effect of the patency file. Sixty single rooted human teeth were used in this study. The canals were instrumented by a crown-down manner with .04 taper ProFile to ISO #35. Ca(OH)₂ and distilled water were mixed and placed inside the root canals. The teeth were divided into 6 groups according to the root canal irrigation system and the use of patency file as follows: group 1 - conventional method: group 2 - EndoActivator : group 3 - EndoVac; group 4 - conventional method, patency: group 4 - EndoActivator, patency; group 6 - EndoVac, patency. All teeth were irrigated with sodium hypochlorite. After the root canal irrigation, the teeth were split in bucco-lingual aspect. Percentage of the root canal surface coverage with residual Ca(OH)₂ until 3 mm from working length was analyzed using Image Pro Plus ver. 4.0. Statistical analysis was performed using the One-way ANOVA, t-test and Scheffe's post-hoc test. Conventional groups had significantly more Ca(OH)₂ debris than EndoActivator, EndoVac groups. There was no significant difference between EndoActivator, and EndoVac groups. Groups with patency file showed more effective in removing Ca(OH)₂ paste than no patency groups. but. it was no significant difference. This study showed that EndoActivator and EndoVac systems were more effective in removing Ca(OH)₂ paste from the apical third of the root canal than conventional method. 이 실험의 목적은 근관 내에 충전된 수산화칼슘의 제거 시 치근단 1/3에서 기존의 근관세정법과 EndoActivator, EndoVac system의 세정 효율을 비교하고, 근관 세정 중 치근단공 개방 확인의 영향에 대해 평가하고자 함이다. 60개의 단근치를 사용하였고 ISO #35까지 근관성형 후 수산화칼슘을 충전하였다. 근관 세정법과 치근단공 개방 확인 유무에 따라 6개 실험군으로 나누어 세정하였다. 실험 치아를 양분하여 치근단 3 mm에서 근관 면적에 대한 잔존 수산화칼슘 면적의 백분율을 측정하였다. 실험결과 EndoActivator, EndoVac군이 기존의 근관 세정법 군에 비해 유의하게 높은 제거효율을 나타냈으며 (p<0.05), 치근단공 개방 확인 유무에 따른 유의한 차이는 나타나지 않았다. 이 실험 결과에 따르면 기존의 근관세정법으로 효과적인 세정이 불가능했던 근관의 치근단 1/3부위에서 EndoActivator, EndoVac system과 같은 근관 세정법이 효과적인 대안이 될 수 있다는 결론을 얻었다.

EndoVac과 EndoActivator를 이용한 근관세척법의 Enterococcus faecalis 제거 효율 평가

송승곤,박세희,조경모,김진우 대한치과보존학회 2009 Restorative Dentistry & Endodontics Vol.34 No.5

이 실험의 목적은 EndoVac과 EndoActivator를 이용한 근관세척시 근관 내 접종된 Enterococcus faecalis의 제거 효율을 기존의 irrigation needle을 이용한 방법과 비교 평가하고자 함이다. 발거된 70개의 단근치를 사용하였으며 .04 taper ProFile #40까지 근관형성 후 치아를 멸균하고 근관에 E. faecalis를 접종하고 배양하였다. 치아는 근관세척 방법에 따라 20개씩 3개의 실험군과 2개의 대조군으로 나누었다. 2.5% 치아염소산나트륨을 사용하여 근관세척 시행 후 일차 표본을 채취하였고, 다시 근관 내에 배양액을 채우고 24시간 동안 배양 후 이차 표본을 채취하였다. 표본은 colony forming units (CFU) 값을 얻기 위해 BHI agar plate에 배양하였다. 일차 표본 결과에서는 모든 실험치아 중 기존의 근관세척 방법을 이용한 하나의 근관에서 양성 배양을 보였다. 이차 표본 결과에서는 EndoVac실험군에서 가장 적은 양성 배양을 보였으며, 기존의 근관세척 방법과 비교시 통계적으로 유의한 차이를 보였다. 실험 결과에 따르면 EndoVac은 근관 내 접종된 E. faecalis의 제거에 있어 기존의 근관세척 방법보다 더 좋은 효율을 보였다. The aim of this study was to evaluate endodontic irrigation methods with EndoVac and Endovactivator in the elimination of Enterococcus faecalis from the root canals. Extracted 70 human single-rooted teeth were used. The canals were instrumented by a crown-down technique with .04 taper ProFile to ISO size 40. After the teeth were autoclaved, the canals were inoculated with E. faecalis and incubated for 48 h. The teeth were randomly divided into three experimental groups of 20 teeth each according to canal irrigation methods and two control groups as follows: group 1 - EndoVac ; group 2 - EndoActivator ; group 3-Conventional needle irrigation method. After canal irrigation using 2.5% NaOCl. first samples (S1) were taken using sterile paper point. And the canals were filled with sterile brain heart infusion (BHI) broth and incubated for 24 h, then second samples (S2) were taken. The samples were cultured on BHI agar plate to determine the numbers of colony forming units (CFU). In first sampling (S1), only one canal of conventional method among the all experimental groups was positive cultured. In second sampling (S2), EndoVac group showed the least positive culture numbers of E. faecalis. There was statistically significant difference between the EndoVac and conventional needle irrigation methods in the mean value of Log CFU. According to the results of this study, showed better efficacy than conventional needle irrigation method in the elimination of E. faecalis from the root canal.

Poly(4,9-di(p-acetylphenyl)diadamantane)의 합성

具廣謨,具承榮,張晋圭 慶一大學校 1996 論文集 Vol.13 No.2

4,9-Di(p-acetylphenyl)diadamantane monomer was synthesized by Fridel-Craft acetylation on 4,9-phenyldiadamantane with acetyl chloride in CS². The 4,9-diphenyldiadamantane was prepared from diadamantane and benzene in the presence of t-butyl bromide and AlCl³. The polymerization of the difunctional ketone, 4,9-di(p-acetylphenyl)diadamatane monomer under McMurry coupling reaction condition gave white powderic polymer. The chemical structure of the resulting polymer was characterized by ¹H NMR, ¹³C NMR, IR and TGA. Oligomeric polymers were slightly soluble in halogenated solvents, and the polymer was almost insoluble in any organic solvent. The temperatures of 10% weight loss were 492℃ under nitrogen and 429℃ in air at a heating rate 20℃/min.

NOLM 구조를 이용한 데이터 속도 가변 펄스 발생기

이승우,윤경모,이용기,엄진섭 강원대학교 정보통신연구소 2003 정보통신논문지 Vol.7 No.-

This paper describes a tunable data rate pulse generator using the NOLM structure. This can induce the change of pulse rate by the control of PC (Polarization Controller) which located in NOLM. We measured very stable NRZ pulse sequences of three rates (200Mbps, 400Mbps, 800Mbps), and also obtained 100ps pulse width under the same condition.

도농간 교육격차 해소를 위한 농촌지역 유형별 교육혁신 추진과제 탐색

나승일,정철영,구자억,박행모,장호순,김진구,마상진,조단비,문세연 한국농업교육학회 2007 농업교육과 인적자원개발 Vol.39 No.1

이 연구는 교육혁신에 대한 이론적 고찰을 토대로 농촌지역 교육혁신 성공요소를 도출하고, 농촌의 지역특성을 고려하여 도농간 교육격차 해소를 위한 농촌지역 유형별 추진과제를 제시하는 데 목적이 있었다. 연구목적 달성을 위해 문헌고찰 및 사례연구를 실시하였고, 연구결과의 타당성 확보를 위해 전문가협의회를 실시하였다. 농촌지역 교육혁신 성공요소는 마을공부방 운영 등 26개가 최종적으로 도출되었다. 또한 농촌지역 교육혁신모형을 개발하여 목표와 전략을 수립하고, 이를 기초로 농촌지역 유형별 추진과제를 제시하였다. 농촌지역 교육혁신의 비전은 "도농간 교육격차 해소를 위한 교육혁신 실현으로 살고 싶은 농촌지역 구현" 으로 설정하고, 이를 달성하기 위한 목표는 도시수준의 교육기회 제공, 농촌형 수월성 교육 추구, 지역 인적자원개발로 설정하였다. 농촌지역 유형별 중점적으로 추진해야 할 과제는 발전 농촌지역은 마을 공부방 운영 및 학습도우미 지원, 중간수준 농촌지역은 교육환경 개선, 장학금 지원 및 다양한 교육기회 제공, 저개발 농촌지역은 기존 지원 유지, 적극적 학습 지원 및 교원의 근무여건 개선, 도농복합 농촌지역에서는 교통편의 제공, 학습기회 개선 및 학부모의 교육참여 유도 등이 선정되었다. 그리고 농촌지역 유형별 중점 추진과제에 대한 단계별 로드맵과 이를 적용하기 위한 정책적 제언을 제시하였다. The purpose of this research was to derive success factors and explore actions plan for the education innovation of rural areas for releasing education gaps between urban and rural areas. For the purpose, the researcher carried out literature reviews and case analysis were conducted, and experts council were executed. As a result, 26 success factors for the education innovation of rural area were derived. And, this study suggested the education innovation model of rural area including goals and strategies to identify action plan for the education innovation by types of rural areas. The vision of the education innovation model was making the place pleasant to live in by doing education innovation for releasing education gaps between urban and rural areas. The goals of the education innovation model were to provide urban-level educational opportunities, to pursue rural-customized education for excellency and to develope local human resources. This study identified several core tasks corresponding to each rural area: additional establishment and operation of village study-rooms and support for learning assistant system for highly-developed rural areas; improvement of educational condition and provision of scholarship and various educational opportunities for middle-developed rural areas; maintenance of existing support, active learning-support and improvement of teachers' working conditions for lowly-developed rural areas; provision of traffic convenience, improvement of learning opportunities and promotion of parents' educational participation for urban-rural complex areas. Moreover, this study suggested roadmap according to action plan divided by types of rural areas, and political proposal for effective actualization of that.

폐암과 동반되어 나타난 기관기관지병증 골연골형성증 1예

이영진,전현수,박시형,김모세,김현주,이승헌,이영민,이현욱,이현경 仁濟大學校 白病院 2010 仁濟醫學 Vol.31 No.-

Tracheobronchopathia osteochondroplastica (TPO) is a rare benign disease of unknown etiology characterized by multiple cartilaginous or bony submucosal nodules, which project into the tracheobronchial lumen. Although some disorders were reported combined with TPO, these seemed to be considered casual. We report a case of TPO that combined with adenocarcinoma of lung. She was 50-year-old non smoking woman presented with chronic cough with right chest pain. Lung mass on right lower lobe was found on chest x-ray, so lung cancer was suspected. Multiple scattered whitish small elevations from trachea to bronchial trees were found on bronchoscopic exam. We mistook these lesions for metastases from lung cancer and biopsies of these lesions were done. Transbronchial biopsy for right lower lobe mass lesion was also done. But biopsies from trachea and bronchus revealed TPO rather than lung cancer. Transbronchial lung biopsy of right lower lobe mass was diagnosed adenocarcinoma of lung. So TPO combined with adenocarcinoma of lung was diagnosed.

한의진단명과 진단요건의 표준화 연구 III : 3차년도 연구결과 보고

최선미,양기상,최승훈,박경모,박종현,심범상,김성우,노석선,이인선,정진홍,이진용,김달래,임형호,김윤범,박성식,송태원,김종우,이승기,최윤정,신순식 한국한의학연구원 1997 한국한의학연구원논문집 Vol.3 No.1

The diagnostic requirements were suggested and explained regarding the systems of differentiation of symptoms and signs in the third year study of standardization and unification of the terms and conditions used for diagnosis in oriental medicine. The systems were as follows : - analyzing and differentiating of epidemic febrile disease - analyzing and differentiating in accordance with the Sasang constitution medicine based on four-type recognition - differentiation of disease according to pathological changes of Chong and Ren channels - standards for diagnosis of women's disease - standards for diagnosis of children's disease - standards for diagnosis of motor and sensor disturbance (-muscle. born, joint, etc.) - standards for diagnosis of neuropsychiatric disease - standards for diagnosis of five sense organ disease - standards for diagnosis of external disease The indivisual diagnosis pattern was arranged by the diagnostic requirements in the following order : another name, notion of diagnosis pattern, index of differentiation of symptoms and signs, the main point of diagnosis, analysis of diagnosis pattern, discrimination of diagnosis pattern, prognosis, a way of curing a disease, prescription, herbs in common use, disease appearing the diagnosis pattern, documents. The standards for diagnosis of each disease was arranged by the diagnostic requirements in the following order : another name, notion of disease, the main point of diagnosis, analyzing and differentiating of disease, analysis of disease, discrimination of disease, prognosis, a way of curing and prescription of disease, disease in western medicine appearing the disease in oriental medicine, documents.