메타버스기반 다문화 요리 교육을 통한 문화 이해 프로그램 설계 김시우(Sea Woo Kim); 박예은(Ye Eun Park); 김시혜(Shi Hae Kim) ...
한국컴퓨터정보학회 학술발표논문집,
2022, Letnik:
30, Številka:
2
Journal Article
Educational evaluation involves data collection and the analysis of various education-related factors to make decisions that improve educational quality. Systematic educational evaluation is ...essential for enhancing the quality of education. This study reports a case of student-conducted process evaluation of a medical school's student support system and the procedure for devising improvement plans. Sixteen Inje University College of Medicine students participated in the Education Evaluation Committee (IUCM-EEC) to understand the educational improvement process as learners and actively achieve improvement. The Quality Improvement Committee of the Inje University College of Medicine (IUCM-QIC) decided to reform its student support system based on a previous educational evaluation in 2019. The evaluation of the student support system was conducted for 10 months in 2021 by the student subcommittee, under the guidance of the IUCM-EEC. The CIPP (context-input-process-product) evaluation model was used for a systematic evaluation. Accordingly, the subcommittee developed evaluation criteria and indicators, and analyzed relevant data collected from surveys and the previous literature. For further recommendations and revision ideas, the student subcommittee members interviewed faculty members from six other medical schools and also conducted a focus group interview with the dean and vice deans of IUCM. Finally, the student subcommittee submitted a report to the IUCM-QIC. Communication with various stakeholders is essential for a successful evaluation process. In this case, students, as key stakeholders in education, evaluated the student support system. Their active participation helped improve their understanding of the evaluation process.
Background: Thus far, research studies on community-acquired pneumonia (CAP) have focused on its clinical severity. Recently, it has been determined that procalcitonin (PCT) level is correlated with ...severity of CAP. A retrospective study conducted at our hospital used risk predictability and PCT to determine whether or no PCT is useful in assessing the severity of CAP. Methods: This study covered 92 CAP cases that were admitted to the respiratory department at Changwon Fatima Hospital between July 1, 2008 and June 30, 2009. All enrolled subjects were measured for infection markers and risk predictability. Results: Based on hospital admission data, enrolled subjects had Pneumonia Severity Index (PSI) scores serving as risk predictors showed that both PCT and white blood cell (WBC) were statistically significant as infection markers (p=0.001, 0.037). Thus, this study used ROC curves in PSI for data analysis. As a result, it was determined that the area under curve (AUC) of PCT and WBC was 0.694 and 0.593 respectively, indicating that PCT has a higher test value for WBC, when PCT was higher than 0.745 ng/mL. In addition, it was found that PCT levels higher than 0.745 ng/mL had higher PSI scores than the group with PCT lower than 0.745 ng/mL (p=0.032). Conclusion: In order to predict risk of pneumonia cases admitted due to symptoms of CAP, it is important to consider PCT as well as PSI, and follow-up monitoring of PCT cases.
하수처리장 방류수에 존재하는 항생제 내성인자가 하천에 미치는 영향 장예진(Yejin Jang); 유용재(Yong-Jae Yoo); 설우준(Woo Jun Sul) ...
Korean journal of microbiology,
2017, Letnik:
53, Številka:
4
Journal Article
Odprti dostop
The antibiotic resistant genes (ARG) and mobile genetic elements (MGE) were investigated with the effluent of waste-water treatment plant (WWTP), and river waters of upstream and downstream in order ...to elucidate the effect of effluent on antibiotic resistance in a natural river. Total numbers of 134~183 of ARG and MGE were detected and the abundance of ARG and MGE was 0.063~0.422 copies per one of 16S rRNA gene in three water samples. Effluent sample contained the highest amount of the total number and abundance of ARG and MGE whereas total viable cells were observed in the lowest amount among the three samples. This indicated that the genes were originated from cells died during the wastewater treatment process. In addition, the co-relationship of abundance between ARG and MGE suggested that acquired resistance was a prevalent mechanism among the antibiotic-resistant bacteria existing in WWTP. 하수처리장 방류수와 하천 중의 항생제 내성인자 분포에 대한 상관성을 분석하기 위해 방류수와 상류 하천수, 하류 하천수를 대상으로 항생제 내성유전자와 전파 관련 유전자를 조사하였다. 3개 지점에서 134~183개의 항생제 내성유전자(ARG) 및 전파 관련 유전자(MGE)가 검출되었으며, 1개의 16S rRNA 유전자에 대한 ARG 및 MGE 유전자의 상대적인 총 합이 0.063~0.422 copy로 분석되었다. ARG와 MGE의 수와 존재량은 방류수에서 가장 높게 검출된 반면, 총 세균 수는 가장 적게 검출됨으로서 하수처리 과정에서 사멸된 세균에 포함된 유전자들이 검출된 것으로 판단된다. 또한 MGE의 존재량 양상이 ARG의 존재량과 상관관계를 보임으로서 항생제 내성균들의 내성기작이 자연내성보다는 획득내성일 가능성을 제시하였다.
패션 라이프스타일이 패션 렌탈 서비스의 이용의도에 미치는 영향 양희순(Yang, Hee Soon); 윤시온(Yun, Si On); 강수빈(Kang, Su Bin) ...
예술· 디자인학연구,
12/2018, Letnik:
21, Številka:
2
Journal Article
국내 하천에 분포하는 ampicillin 내성균의 다양성 고은별(Eun Byeul Go); 정인영(In-Young Chung); 김혁(Hyuk Kim) ...
Korean journal of microbiology,
2015, Letnik:
51, Številka:
4
Journal Article
Odprti dostop
The widespread emergence of antibiotic resistant microorganisms in clinics and natural environments has attracted public concern. Especially, microorganisms inhabiting natural environment is ...considered as a source responsible for increasing the abundance of antibiotic resistant genes in ecosystem. In this study, the diversity of culturable bacteria resistant to ampicillin was investigated with water samples collected from seven locations in Korea. The genera belonging to Aeromonas and Acidovorax were dominant among the isolated 498 strains. The 66% of isolates showed multi-drug resistance against more than six antibiotics among tested fourteen ones and isolates resistant to seven antibiotics were the most prevalent with 19.7% abundance. Using the antibiotics susceptibility results, the intrinsic resistance profile was suggested for the most dominant genera, Aeromonas, Acidovorax, Pseudomonas, and Elizabethkingia. 임상과 자연환경에서 발견되는 항생제내성균의 문제는 보건학적 관심의 대상이 되고 있으며 환경 중의 미생물은 항생제 내성유전자 확산의 한 요인으로 판단되고 있다. 본 연구에서는 국내 하천 7지점으로부터 분리한 배양성 ampicillin 내성균의 다양성을 조사하였다. 분리된 498종의 세균들 중에서 Aeromonas와 Acidovorax 속의 내성균 분포가 가장 높았으며, 66%의 분리균들이 조사된 14종의 항생제 중 6종 이상의 항생제에 내성을 나타내었다. 그리고 7종의 항생제에 내성을 보이는 비율이 19.7%로 가장 높았다. 또한 항생제감수성 조사 결과를 바탕으로, 분포율이 높았던 Aeromonas, Acidovorax, Pseudomonas, Elizabethkingia 속의 내성균에 대한 자연내성 특징을 파악하였다.
복막투석은 급성 괴사성 췌장염에 병발한 급성신부전 치료에 요독 물질뿐 아니라 독성 염증 물질을 제거할 수 있어 그 유용성이 크지만 감염 위험성 등의 단점과 함께 최근 혈액투석이나 지속적 신대체요법의 발달 등으로 거의 이용되지 않는 실정이다. 그러나 혈액투석을 할 수 없거나 복강 세척, 복수 배액이 필요한 환자에서는 아직도 유용한 치료 방법이 될 수 있다고 ...생각되어 복막투석으로 급성신부전과 췌장염을 성공적으로 치료한 경험을 보고하는 바이다. 41세의 남자로 급성췌장염으로 보존적 치료 중 핍뇨성 급성신부전이 병발하였다. 투석 치료를 고려하던 중 복강 내 괴사성 염증의 세척 및 배액과 요독 제거를 동시에 수행하기 위해 혈액투석 보다는 복막투석이 유리할 것으로 생각되어 복막투석을 시행하였다. 급성 복막투석용 도관 대신 띠가 달린 Tenckhoff 도관을 수술적 방법으로 삽입하였고, 3시간 간격으로 1 L씩 하루 8차례 복막투석을 지속하였다. 복막투석을 지속하면서 점진적인 소변량 증가와 함께 복통감소, 핍뇨의 호전 및 신기능이 회복되었다. 또한 복수 및 흉수의 소실과 췌장 주위의 체액 저류 등 췌장염도 호전되었다. 급성췌장염에 합병된 급성신부전의 치료에서 복막투석은 불안정한 생체징후를 보이는 환자, 출혈성 경향으로 혈액투석이나 지속적 신대체요법을 하기 곤란한 경우 등에서 여전히 유용한 치료 방법의 하나로 고려되어야 할 것으로 생각된다.
The mortality of acute pancreatitis complicated by acute renal failure (ARF) remains high. Among several therapeutic modalities, peritoneal dialysis (PD) has advantages due to its ability to remove toxic materials in the peritoneal exudate as well as urotoxic substances in the blood. We report successful treatment with PD in a patient with acute pancreatitis and ARF. A 41-year-old heavy drinker was admitted due to acute pancreatitis complicated by ARF. A therapeutic plan of PD was designed. A Tenckhoff PD catheter was used, considering its lower potential for infection compared to conventional catheters. The frequency of PD was set at 8 times per day, considering the catabolic state in pancreatitis. The clinical symptoms and biochemical parameters showed remarkable improvement during the follow-up period. In conclusion, PD is one of the effective treatment modalities for treating ARF in patients with pancreatitis.(Korean J Med 74:430-434, 2008)
본 연구의 목적은 단속전인 최대하운동 후 산소투여가 회복속도와 다음에 이어지는 최대하운동에 어떠한 영향을 미치는 지를 규명하는 것이다. 본 연구를 위하여 남자 대학생 8명을 선정하여 호흡가스분석을 통한 각 개인의 최대운동능력을 측정하고, 최대운동능력의 85%에 준하는 운동강도를 설정하였다. 본 실험에서는 산소비투여 실험과 산소투여 실험으로 나누어 ...실시하였는데, 산소비투여 실험은 트레드밀 상에서 각 피험자의 85%O2max에서 3분간 실시하고, 1분간 휴식하는 방법으로 3세트 실시하였고, 휴식 시 동안에 산소투여를 하지 않았다. 산소투여 실험은 산소비투여 실험 3일 후, 산소비투여 실험과 같은 방법으로 실시하였고, 휴식 시 1분 동안에 35% 산소를 61/min의 속도로 투여하였다. 정맥혈과 동맥혈에서 혈액을 채취하여 혈중 가스 농도를 측정하였다. 본 연구의 결과, 산소투여에 의해 페하지수(pH)는 동맥혈에서 유의하게 증가하였고(p<.05). 이산화탄소 분압은 정맥혈에서 1라운드 휴식 직후 유의하게 증가하였다. (p<.05). 산소 분압은 동맥혈에서 유의하게 증가하였고(p<.01), 산소포화도는 동맥혈에서 유의하게 증가하였다(p<.01). 중탄산염은 정맥혈에서 1라운드 휴식 직후와 2라운드 휴식 직후 유의하게 증가하였고(p<.05), 동맥혈에서도 유의하게 증가하였다(p<.01). BE(Base Excess) 는 정맥혈에서 2라운드 휴식 직후 유의하게 증가하였고(p<.05). 동맥혈에서도 유의하게 증가하였다(p<.05). 결론적으로 단속적 최대하 운동 후 산소투여가 이어지는 운동수행력 및 회복에 상당히 긍정적인 효과를 나타냈으며, 향후 다양한 운동형태와 강도, 산소투여시간과 농도에 대해서 보다 구체적인 연구가 이루어져야 할 것으로 시도된다.
The purpose of this study is to investigate the effect of oxygen breathing in recovery during intermittent submaximal exercise on following exercise on 8 healthy male students. The °O2max and 85%°O2max was determined through the treadmil running by Bruce protocol. Main test was designed of pretest and post test. On the pretest, 3min exercise, 1min recovery, 3min exercise, 1min recovery, 3min exercise, 1min recovery were performed with 85%°O2max on treadmil and no oxygen breathing, post test was performed 3 days later with same procedure with oxygen breathing on each 1min recovery. The blood of 8 subjects was sampled on the rest state(1 times), after exercise(3 times), after recovery(3 times) in vein, and was sampled on the rest state, and after exercise in artery. With the collected blood samples, the concentration of blood gases were analyzed by blood gas analyzer. The results of the present study were as follows: The change of concentration of blood gas was significantly different depend on oxygen breathing. pH was significantly increased in artery on oxygen breathing(p<.05), PCO2 was significantly increased in vein on oxygen breathing(p<.05), PO2 was significantly increased in artery on oxygen breathing(p<.01), SaO2 was significantly increased in artery on oxygen breathing(p<.01), Bicarbonate was significantly increased in vein(p<.05) and artery(p<.01) on oxygen breathing, BE was significantly increased in vein and artery on oxygen breathing(p<.05).
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