• Journal of Pharmacopuncture
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• v.6 no.1
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• pp.33-34
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• 2003

배경: 독일 의사와 보험회사 위원회 (The German Board of Physicians and Insurance Companies:Bundesausschuss der Arzte und Krankenkassen)가 앞으로 일부 적응증에 대한 침치료에 대해 공적 보험회사가 보험료를 지급해야 할 지에 대한 추가 결정을 하기 위해 침의 효과를 평가하기로 했다. 목적: 1) 침치료가 편두통의 예방, 긴장성 두통, 요통, 무릎과 고관절의 골관절염치료에 대조군 침치료보다 효과가 있는지 검증 2) 침치료가 편두통의 예방적 치료에 표준 약물 치료와 비슷하게 효과가 있는지 검증 3) 보건의료 서비스체계 안에서 주어진 조건에 대한 일상적 침치료의 질적인 부분을 서술하고, 안전성을 평가하며, 다른 침술학파간의 임상결과의 차이와 비용의 효용적 활용부분을 평가한다. 4) 위의 적응증에 해당하는 모든 임상실험연구를 찾아내어 기존의 고찰내용을 갱신한다. 방법: 1) 무작위 표본추출 임상 실험, 침치료, 거짓침 치료, 대기자 명단 대조군, 출발시점 4주, 28주 관찰 2) 무작위 표본추출 임상 실험, 침치료, 표준약물치료 대조군, 츨발시점 4주, 28주 관찰 3) 전향적 다중 의료기관 관찰 연구, 두 가지 다른 자료를 활용하여서, 치료 결과를 침 시술자에 의한 모든 환자 평가 자료와, 열 두 명의 환자 가운데 한 명의 환자로부터 직접 받은 평가 자료 (관찰 출발시점, 치료 출발 시점, 치료 시작 후 6 개월) 실험공간: 1) and 2) 높은 수준의 수련을 한 침 시술 의사가 시술하는 병원이나 일차 진료기관의 외래. 3) 보건 의료 서비스내 저급의 침 시술 의사 (140 시간 수강, 학점 이수 필수) 참가자: 1) $4{\times}320$ 편두통의 예방, 긴장성 두통, 요통, 무릎과 고관절의 골관절염 환자 2) 480 편두통 환자(긴장성 두통 환자 추가적) 3) 약 500,000 환자, 2년 반 동안: 대략 한 적응증 당 10,000 환자 치료법: 모든 침치료 자리는 체침만 허용함. 1) 진짜 침은 학파의 지침에 따른 심자, 거짓 침은 비특이적 자리의 표피만 찌르는 자침 (12-15회, 8주): 대기자 대조군은 12주 동안에 아무 치료도 받지 않는다. 2) Group 1(N=240): 최대 15회 치료, 12주 동안: Group II (N=240) 투약 Proponolol (80-240mg), Metoprolol (100-200mg) or Flunarizin (5-10mg) 하루, 16주 이상 3) 치료회수와 침자리의 선정은 참가자가 결정 주된 임상 결과 지표: 1) 군 간의 치료 전 및 치료 진행 도중 4주 마다의 두통을 느낀 날 수의 차이 (평균 혹은 이상의 편두통이나 긴장성 두통) 2) 요통환자 군간의 기능을 측정하는 FFbH-R (Funktionsfragebogen Hannover) 비교 3) 관절염 환자의 군간 WOMAC 지표 비교 4) 군 간의 24주 동안 두통을 느낀 날 수의 차이(평균 혹은 이상의 편두통이나 긴장성 두통) 5) 적응증, 부작용, 성공율에 대한 거시적 평가, 사용한 침수, 환자의 만족도, SES(?). ADS(?) 통증 장애 지표(PDI), 삶의 질 지표(SF36). 예비 결과 위의 결과가 큰 관찰 연구에 초점을 맞추면서 소개될 것임.

• Pediatric Infection and Vaccine
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• v.23 no.1
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• pp.31-39
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• 2016

Purpose: The aim of this study was to investigate the prognostic factors for Pneumocystis jirovecii pneumonia (PCP) and to evaluate the influence of PCP prophylaxis in pediatric patients. Methods: From January 2002 to April 2015, patients aged <18 years with a diagnosis of confirmed PCP at our institute were reviewed retrospectively. Clinical characteristics and outcomes were compared according to the groups with or without PCP prophylaxis. Risk factors associated with PCP-related death were analyzed by logistic regression analysis. Results: During study period, a total of 24 patients were diagnosed with PCP by immunofluorescence assay and/or PCR. The median age of the patients was 5 years (range, 3 months-18 years) and 23 (96%) had immunocompromised conditions including hematologic disorders with or without hematopoietic stem cell transplantation (n=15), solid organ transplantation (n=4), and primary immune deficiency (n=4). Most common presenting symptoms were tachypnea and cough (92%, each). At the time of diagnosis, 79% (19/24) and 25% (6/24) suffered from respiratory failure and multi-organ dysfunction syndrome (MODS), respectively. Mechanical ventilation was required in 8 (33%) patients and 5 (21%) patients died of PCP. Multivariate analysis showed that MODS at initial presentation was an indicator of poor prognosis (OR, 17.1 [95% CI 1.13-257.67]; P=0.04). Compared to the patients without PCP prophylaxis, the frequency of MODS at diagnosis, need for mechanical ventilation and length of hospital days were significantly less common in the children who received PCP prophylaxis. Conclusions: MODS at presentation was a significant predictor for poor outcome and PCP prophylaxis could alleviate the clinical courses of pediatric PCP. Prospective study will be mandatory to determine the risk factors for development and deterioration of PCP in children.

• Pediatric Infection and Vaccine
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• v.9 no.1
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• pp.61-66
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• 2002

Purpose : To determine wether varicella can be prevented by administration of oral acyclovir(ACV) during the incubation period of the disease. Methods : Starting 9 days after exposure to the index case in their families, ACV(40 mg/kg/day in four divided doses) was given orally to 20 exposed children for 5 days. Their clinical features was compared with those of 20 control subjects. Antibody titers to VZV were measured in both group 1 week and 4 weeks after finishing the oral ACV administration. Results : The mean age of family members with varicella(51.4 months) were significantly high compared to that of ACV prophylaxis group(28.5 months) and control group(31 months) (P<0.05). Among the 12 children with ACV prophylaxis who completed follow up blood sampling, nine children were diagnosed as VZV infection on the serologic test(75%). Among them six children showed positive VZV IgM on the first blood sample and two children showed serocoversion to positive IgM on the second test after ACV prophylaxis. One child who was negative on both IgM and IgG, showed positive IgG on the second test. The incidence of fever and severity of skin rashes were significantly low in children received oral ACV than in the control group. No or reduced number of maculopapular eruption were observed in the oral ACV group compared to multiple vesicles of the control group. Conclusion : In the present study, we observed that oral ACV prophylaxis to the family contacts is effective in reducing severity of skin lesion. It is likely that oral ACV 9 days after contact prevents or reduces blood dissemination of VZV. Little is known about clinical effect and immunity to the virus in exposed children with no varicella symptom after treatment. We propose the checking up antibody to VZV some period after oral ACV, and considering vaccination to whom with no antibody. But further more studies are needed to practical application of oral ACV for the postexposure prophylaxis of varicella.

• Journal of the Korean Society of Radiology
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• v.10 no.3
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• pp.187-193
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• 2016

In this study, we performed the carotid artery ultrasound targeting 140 subjects who have conducted to evaluate the changes in intima-media thickness(IMT) and plaque correlated with the presence or absence of a hematological test of the carotid artery. Considering that the IMT thickness more than 1mm is abnormal based on the carotid artery ultrasound to assess the presence or absence of plaque, and examined the correlation by classifying the blood lipid value and the fasting blood glucose level through the serum test. Consequently, the fasting blood glucose level is being analyzed as independent predictors of causing dental plaque(p=0.033), cut off value was determined as 126 mg/dL(sensitivity 56.25%, specificity 68.38%) in ROC curve analysis. Furthermore, the odds ratio appeared 1.01 times the value in the Logistic regression. Therefore, it seemed that the necessity to prospective studies in a number of subjects are considered, and also taking into account a number of blood test values along with the sonography of the carotid artery as a valuable part for effective primary prevention and follow-up observation of the cardiac and brain vascular disease is highly recommended.

• Journal of Sericultural and Entomological Science
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• v.50 no.2
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• pp.93-100
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• 2012

To investigate the effects of Protaetia. brevitarsis extracts on the protection against liver damage by carbon tetrachloride($CCl_4$) in rat, two kinds of experiment were performed, firstly by the primary hepatocyte culture and secondly by the animal feeding. The primary hepatocyte culture with the extracts of P.brevitarsis showed significantly low activities of GPT, bile acid, and bilirubin, indicating an excellent protective effect against liver damage by $CCl_4$. Especially, below molecular weight 1,000 blew the water to have 32.1% recovery degree. In the seconde experiment, serum GPT activity was significantly decreased in water fraction of P. brevitarsis compared to $CCl_4$ treatment by 98.2%. Serum concentration of bile acid and bilirubin were tended to increased by $CCl_4$ treatment, but water fraction of P. brevitarsis and silymarin recovered the level. These consistent results in vitro and in vivo suggest that the extracts of P. brevitarsis may have strong protective effects against liver damage induced by the potential toxicants such as $CCl_4$.

• 한국신재생에너지학회:학술대회논문집
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• 2010.06a
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• pp.231-231
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• 2010

아직까지 국내에서 사용하는 대부분의 에너지는 화석연료에 의존하고 있다. 지하자원에서 나오는 석탄, 석유와 같은 화석연료는 다른 에너지원에 비해 운송이 간편하고 쉽게 이용할 수 있는 장점이 있지만, 환경오염의 문제성과 오일가상승, 자원의양 및 저장장소가 한정되어 있다는 단점을 가지고 있다. 이에 따라 수소와 같은 대체에너지를 이용하여 환경오염을 예방하고 무한히 사용할 수 있는 에너지원을 개발하기 위한 대체 방안들이 연구되고 있다. 폐기물 가스화시 발생되는 합성가스(CO, $CO_2$, $CH_4$, $H_2$) 내 일차로 생성된 일산화탄소는 수증기와 반응함으로써 이산화탄소로 전환이 가능하다. 잔류 메탄은 이산화탄소를 이용하여 개질함으로써 합성가스내 수소농도를 높일 수 있다. 전환된 잔류가스(CO, $CO_2$, $H_2$)내 일산화탄소는 산소를 이용하여 이산화탄소로 산화시킬 수 있으며, 산화된 이산화탄소는 흡착제를 이용하여 제거가 가능하다. 본 연구에서는 실제 가스화시 발생되는 합성가스를 이용하기 위하여, RPF가스화시 발생되는 합성가스를 직접 포집하여 실험을 진행하였다. 합성가스내 소량의 메탄은 니켈촉매를 이용하여 수소로 전화시켰으며, 잔류하는 일산화탄소는 백금촉매, 이산화탄소는 탄산나트륨 흡착제를 이용하여 연속적으로 제거함으로써 순수한 수소를 제공하였다.

• Journal of Preventive Medicine and Public Health
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• v.34 no.3
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• pp.219-227
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• 2001

Objectives : To understand the current status of the opening, closing and relocation of primary medical institutes in Korea and identify the underlying decision factors. Methods : Sources of analyzed data included the medical institutional master file at the National Health Insurance Corporation(1998, 2000) and Regional Statistic Annual Bulletins. To investigate changes including the opening, closing and relocation, a total of primary medicalinstitutions(16,757 in 1998, 19,267 in 2000) were analysed. Results : Between 1998 and 2000, there was a 15.0%(2,510) increase in the number of primary medical institutions and the rate of increase in the rural area was higher than the urban area, and higher for specialty clinics than primary practice. However, these findings did not suggestany improvement in the maldistribution of primary medical institutions. During the time period studied, newly opened and closed primary medical institutions numbered 4,085 and 1,573, respectively. Additionally, institutions thatrelocated numbered 2,729, or 16.3% of all primary medical institutions in operation in 1998. These openings and closings were more frequent among young doctors. As a result of our analysis on the underlying regional factors forrelocation, the factors that were statistically significant were local per capita tax burden and the number of schools per ten thousand persons. !n, the case of institutional factors, movements were significantly associated with gender and the location of primary medical institutions. Conclusions : In order to establish effective long-term intervention for primary medical institutions, further study and monitoring of primary medical institutions and the identification of factors influencing opening location and relocation is necessary.

• Proceedings of the Korea Water Resources Association Conference
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• 2009.05a
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• pp.770-774
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• 2009

한강하구 일대는 세계최대 규모의 갯벌이 조성되어 해양생태계에서 중요한 역할을 수행하는 곳이다. 육상기원의 퇴적물이 흐름이 완만한 하구 주변부에 퇴적되어 대규모의 갯벌을 생성하여 육상에서 유입되는 많은 유기물이 집중되고 탁도가 높아 대량의 플랑크톤과 같은 일차생산자가 상대적으로 부족한 대신에 담수 유입이 많아 하구와의 거리에 따른 일정한 염분 구배를 가지고 있어 더욱 다양한 환경이 조성되어 있음에도 1980년대 후반부터 각종 매립사업과 한강종합개발사업($1982{\sim}1986$)이 실시되어 한강하구의 습지가 줄어들고, 해안침식, 토사유입, 퇴적, 적조현상, 갯벌 및 해수오염과 같은 결과를 가져왔다. 1990년대에는 한강하구지역에서 퇴적으로 인한 홍수 예방과 건설골재 확보를 위한 준설이 활발히 이루어졌으나, 이로 인한 습지생물 서식처 파괴와 같은 환경영향이 우려되어 현재는 실시하지 않고 있다. 무차별적인 개발계획으로 매년 홍수 때마다 피해를 입는 김포일대, 한강과 임진강 지역의 수위 및 흐름 영향을 살펴보고 향후 대책 수립을 검토해야 한다. 이에 본 연구에서는 한강하구의 유사이송에 의한 수리학적 특성을 분석하기 위해 상류로부터 이송되어온 유사에 대하여 시간적 흐름특성을 통하여 조성된 한강하구의 특징을 분석하였고, 지형변화 분석을 위해 MIKE 21 프로그램의 이동상 해석모듈을 사용하여 지형변화에 따른 한강하구에서의 홍수기 하상변화와 유수 흐름 및 수위등의 변화를 모의하였다. 그 결과 예성강과 한강의 유수흐름은 청주초를 통하여 외해로 유출되고 이 흐름은 대부분 강화도와 교동도 사이의 교동수로로 유출되는 것으로 나타났으며, 염하수로 합류부 및 임진강 합류부에서는 침식 및 퇴적이 활발히 일어나는 것으로 모의되었다. 향후 수리학적 특성변화에 따른 유사의 퇴적 및 세굴에 의한 한강하구 지역의 지형변화를 분석하여, 주변 환경영향에 대한 대책 수립을 검토해야 할 것이다.

• Journal of Preventive Medicine and Public Health
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• v.29 no.2 s.53
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• pp.255-264
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• 1996

To study reliability and validity of PWI, this newly developed self-administered questionnaire which measures stress, was given to medical students. All respondent(133) were followed 4 weeks later and 92 were retested. Cronbach's $\alpha$ coefficient of data was 0.93. Test-retest reliability measured by Pearson's correlation coefficient was 0.72(P<0.01). Exploratory factor analysis(EFA) performed by principal axis factor method without iteration and by varimax rotation explored 13 principal components(eigenvalues > 1). After exploring 4 factor structure according to previous study results, factor 1 showed good agreement but other factors did not. Confirmatory factor analysis(CFA) showed poor fit of 4 factor model to data. In the further study, it may be considered to model that has unidimensional factor structure.

• Journal of Preventive Medicine and Public Health
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• v.7 no.2
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• pp.299-304
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• 1974

The physical status (standing height, body weight, chest girth, sitting height, length of leg, length of thigh, thigh girth, length of crus, length of arm, brachial length, antebrachial girth and skinfold thickness) of 360 healthy middle and high school boys aged between 12 and 17 years in Taegu area was measured and evaluated by means of dispersion. For regression equation and coefficient ofidetermination of each status against standing height were computed. The growth progress of physical status had a tendency to be exponential and, generally, between 13 and 14 years of age the fastest progress was observed. The regression coefficient of body weight against standing height (0.90) was largest and that of skinfold thickness against standing height (0.09) was smallest. In general, the dimension of the regression coefficient was accordant with the dimension of respective physical status. Except in length of thigh and skinfold thickness, coefficient of determination of each physical status against standing height was almost 1 and the regression line could express the relation between standing height and each physical status very satisfactorily. But the regression curve was more desirable for the elucidation of the relation between standing height and skinfold thickness.