의료보장 형태가 혈액투석 서비스 제공에 미치는 영향에 대한 다수준 분석

정진희,권순만,김경훈,이선경,김동숙,Jung, Jin-Hee,Kwon, Soon-Man,Kim, Kyoung-Hoon,Lee, Seon-Kyoung,Kim, Dong-Sook 대한예방의학회 2010 예방의학회지 Vol.43 No.3

Objectives: This study aims to compare quality indicators for the hemodialysis services between patients with health insurance and those with medical aid. Methods: This study used data from sampled hospitals that provided a hemodialysis service. A total of 2287 patients were selected, and the information for hemodialysis service has been granted from medical record reviews. A multi-level regression analysis was used to examine the differences in process and outcome indicators for hemodialysis between patients with health insurance and those with medical aid. Process indicators were defined as: frequency of hemodialysis, hemodialysis time, erythropoietin (EPO) use, measurement of hemodialysis dose at least once a month, measurement of phosphate at least once every three months, and measurement of albumin at least once every three months. Outcome indicators were defined as: hemodialysis adequacy, anemia management, blood pressure management, and calcium, phosphate and nutrition management. The total scores for outcome indicators ranged from 0 (worst) to 4 (best). Results: There was a significant difference in the measurement of hemodialysis dose at least once a month between patients with health insurance and those with medical aid (OR 0.66, 95% CI = 0.43 - 0.99). However, frequency of hemodialysis, hemodialysis time, EPO use, measurement of phosphate at least once every three months, measurement of albumin at least once every three months, hemodialysis adequacy management, Hb${\geq}$11 g/dL, blood pressure within the range of 100-140 /60-90 mmHg, calcium x phosphate${\leq}$55 $g^2/dL^2$ and albumin${\geq}$4 g/dL were not significantly different between the groups. Conclusions: There were no significant differences in outcome indicators for hemodialysis between the groups. Further studies are warranted into the mechanism that results in no differences in the outcome indicators for hemodialysis.

이질형 바이오 데이터베이스 통합을 위한 게이트웨이 시스템

정진희,정민아,Jung, Jin-Hee,Jung, Min-A 한국정보통신학회 2005 한국정보통신학회논문지 Vol.9 No.8

이질적인 생물 데이터베이스의 통합은 데이터간의 연계 분석의 필요성이 높아짐에 따라 중요한 문제로 대두되고 있다. 그러나 이러한 데이터베이스들은 초기에 이질적 환경에서 각기 다른 목적에 의해 생성되므로 포맷, 설계자가 불일치하는 등 여러 가지 문제점으로 인해 통합하는데 어려움이 따른다. 그러므로 이질적인 데이터베이스의 통합을 위해서는 초기단계의 설계가 무엇보다도 중요하다. 본 논문에서는 대표적인 핵산 데이터베이스인 Genbank와 단백질 데이터베이스인 Swiss-Prot을 통합하기 위해 ER 모델을 사용하여 개념적 모델을 보인 후, 이를 합병하여 통합모델을 제시한다. 또한, 핵산-단백질 자료로 연계되는 정보를 통합 서비스할 수 있는 시스템 구조를 제안한다. 제안된 바이오 게이트웨이 시스템은 개념적 설계 단계에서 가장 원자적인 단위로 분할하여 모델링 함으로써 정교한 질의 처리가 가능하고, 사용자가 상세 조건을 알고 있을 경우에 기존의 검색시스템과 달리 여러 번의 검색 과정을 거치지 않고, 단시간에 원하는 결과를 얻을 수 있다는 장점을 지닌다. The Integration of biological databases is critically important because of the interconnectedness of biological research. But it's not easy to integrate these databases for the different formats and designers in heterogeneous environments. So initial design is indispensable to integrate heterogeneous databases. In this paper, after we performed conceptual modeling on a popular nucleotide database, GenBank and a protein database, Swiss-Prot and integrated them by considering cross-reference. we also propose the integration system architecture called Bio-Gateway System, which can help users query closely linked information between two biological databases within one system differently from existing systems as well as query easily on condition that user knows fine condition for less effort.

Pimozide와 Haloperidol 과량 복용 후 반복적으로 발생한 심실 빈맥 1례

정진희,장혜영,어은경,Jung, Jin-Hee,Jang, Hye-Young,Eo, Eun-Kyung 대한임상독성학회 2005 대한임상독성학회지 Vol.3 No.1

Pimozide and haloperidol are typical antipsychotics. They share a similarity in pharmacotherapeutic and adverse effect profiles. Cardiovascular effects may be seen as alterations in heart rate, blood pressure, and cardiac conduction. Conduction disturbances may occur ranging from asymptomatic prolongation of the QT interval to fatal ventricular arrhythmia. So in the case of anti psychotics overdose, the patient must be carefully monitored by continuous electrocardiography (ECG). We experienced a 34-year-old woman of schizophrenia with recurrent ventricular tachycardia after pimozide and haloperidol overdose. Initially she was slightly drowsy, however her ECG showed normal sinus rhythm. After 6 hours on emergency department entrance, her ECG monitoring showed ventricular tachycardia and we successfully defibrillated. There were five times events of ventricular arrhythmia during the in-hospital stay. She was discharged 5 days later without any other complications.

혈액관류 요법과 함께 L-카르니틴을 투여한 valproic acid 중독 환자 1례

정진희,김기범,안기옥,어은경,Jung Jin Hee,Kim Gi Beom,Ahn Ki Ok,Eo Eun Kyung 대한임상독성학회 2005 대한임상독성학회지 Vol.3 No.2

Valproic acid (VPA) is used in the management of a variety of conditions including simple and complex absence seizure disorder. bipolar disorder, and migraine prophylaxis. Clinical manifestation of VPA overdose vary in severity from mild confusion and lethargy to severe coma and death. The treatment of VPA toxicity is mainly supportive. There is no specific antidote, nor are there specific guidelines for the management of VPA intoxication. Anecdotal reports describe the efficacy of naloxone and L-carnitine, but the data are insufficient to make strong conclusions. Various techniques of extracoporeal therapy for the management of VPA toxicity have been described, but none has prevailed as standard therapy. We report a patient with VPA overdose who was successfully treated with hemoperfusion with activated charcoal and L-carnitine. VPA levels of the patient was more than 1,000 ${\mu}g$/ml and was normalized after 3 times hemoperfusion. The patient was injected with L-carnitine by maximum 600 mg/kg/day for 5days without complications.

응집제 자동주입장치를 이용한 소화슬러지의 탈수효율 향상

정진희 ( Jin-hee Jung ),김진영 ( Jin-young Kim ),윤태경 ( Tae-kyung Yoon ),김정권 ( Jung-kwon Kim ),허승녕 ( Seung-nyung Huh ),정병길 ( Byung-gil Jung ) 한국환경기술학회 2013 한국환경기술학회지 Vol.14 No.6

본 연구는 하수처리장에서 발생되는 소화슬러지의 탈수성 향상을 위한 응집제 자동주입시스템과 기존 시스템의 탈수케이크 함수율 및 응집제 주입량에 미치는 영향을 비교·평가하는데 그 목적이 있다. 고분자 응집제 주입율은 기존 시스템에서 운영하고 있는 유입슬러지량 대비 고분자 응집제주입율인 14%를 기준으로 9%까지 점차적으로 낮추어 가면서 실험을 실시하였다. 실험결과 하수슬러지 탈수시 응집제 자동주입시스템이 기존시스템에 비해 함수율 및 약품주입량을 효과적으로 저감시킬 뿐만 아니라 중앙제어실을 통한 실시간 모니터링이 가능하므로 인력감축 유도 및 공정자동화에도 기여할 수 있을 것으로 판단된다. The purpose of this research was to evaluate the effects on enhanced sewage digested sludge dewatering and compare polymer dosage reduction between an automatic coagulant feeding system and a conventional system. The polymer dosage rate per sludge quantity was adjusted from 9% to 14% based on coagulant dosage of the conventional system. The results of this study indicate that the automatic coagulant feeding system not only could be effectively reduced the moisture contents and polymer dosage in the sewage sludge dewatering but also made the workforce reduction and automatic dewatering by real-time monitoring at central control room of sewage treatment plant more than a conventional system.

중봉당 혜호(中峰堂 慧皓)의 작품과 화맥연구

정진희 ( Jung Jin-Hee ) 한국불교선리연구원 2021 禪文化硏究 Vol.30 No.-

불화 그리는 것을 수련의 한 방법으로 여겼던 전통은 근대기 늘어난 불화의 수요에 맞춰 단지 화업을 업으로 삼으면서 작업을 위해 모이고 흩어졌던 제작 분위기와는 사뭇 다른 양상이었다. 혜호는 근대화라는 과도기적인 시기에 전통의 맥을 이어 후대에 전했던 화승이다. 조선 후기 불화의 제작은 화업을 위주로 생활하였던 화승들에 의해 행해졌고 그들은 화맥에 따라 유파를 이루어 작품활동에 임하였다. 화승이자 선승이었던 중봉당 혜호의 화연 관계는 서울과 경기지역을 중심으로 시작되었고 말년에는 강원지역에서 주로 활동하면서 서울과 경기지역의 불화특징이 강원지역에 전달되는데 역할을 다하였다. 단아한 이목구비와 화려하고 공교한 문양 등이 특징인 혜호의 전성기 불화는 서양화법에 영향을 받은 신경향 불화와는 차별되는 전통적인 표현기법과 유사성을 보인다. 혜호가 남긴 작품들을 통해 그의 특징적인 화풍은 승가의 법맥과 선맥에 의해 이루어졌고 이후 흥국사, 봉은사, 건봉사 등을 중심으로 문중의 인연으로 맺어진 화연관계에 따라 전승되고 있음을 알 수 있었다. 혜호가 이루어낸 전통에 기초한 화풍은 시대에 맞춰 빠르게 변하는 신경향 불화와 차이를 나타내는 제자 화승들의 작품을 통해 전통적이고 보수적인 성향이 짙은 또 하나의 양식으로 계승되고 있다. Buddhist paintings in the late Joseon Dynasty were produced by monks who painted paintings. They participated in the work according to the relationship of the monk's. Jungbongdang Hyeho is a Zen priest and a painter who paints the outstanding Buddhist painting in Seoul. His work began with the families of monks living in Seoul and Gyeonggi Province. The late - life work played a role in spreading Buddhist painting in Seoul and Gyeonggi Province while living in Gangwon Province. Hyeho's style of Buddhist painting in his heyday is different from that of neurotic styles influenced by Western painting methods. He composed his work based on traditional techniques. His works show that his painting style is based on the relationship of the monk family and has since been handed down to his juniors on the same route. He created a new style based on tradition. The results can be seen that the Buddhist painting painted by his disciples, who have a conservative tendency to differ from the neurotic discord, was established and passed on in a single style.

춘천시 PM<SUB>2.5</SUB>의 질량농도 및 이온성분 농도의 특성에 관한 연구

정진희(Jin-Hee Jung),한영지(Young-Ji Han) 한국대기환경학회 2008 한국대기환경학회지 Vol.24 No.6

마인드 맵을 활용한 수업이 중학생들의 창의력에 미치는 영향

정진희 ( Jin Hee Jung ),정영란 ( Young Lan Chung ) 한국과학교육학회 2009 한국과학교육학회지 Vol.29 No.4

공업지역에서 Eco-water의 생산을 위한 Birm + 막공정(UF) 적용시 수질특성 및 UF membrane 오염 특성 파악

정진희 ( Jin Hee Jung ),이준희 ( Jun Hee Lee ),최영익 ( Young Ik Choi ) 한국수처리학회 2016 한국수처리학회지 Vol.24 No.4

This study aimed to secure a supply of reclaimed wastewater using the Birm filter to eliminate the manganese during the pretreatment stage. Another purpose was to analyze the characteristics of the UF membrane fouling. In this study, there were no investigations on the residual chlorine level, the chloride criterion, and the ABS criterion. Owing to these missing criteria, the quality of the reclaimed wastewater was found to be substandard when compared to the required quality standards for reclaimed water. However, it complied with the SS, BOD, turbidity, and chromaticity standards and was therefore still suitable for landscaping, cleaning that does not involve human contact and industrial applications. The water treatment facilities in industrial areas did not seem to need the Birm filter, since the removal of Mn ions in the wastewater was not effective enough. However, when manganese removal is required, injection of calcium permanganate or chlorine can remove the oxidation. The study of the UF membrane fouling involved SEM and EDX analyses, which indicated that carbon and oxygen ions accounted for 47% of the overall composition, but there was no trace of inorganic matter. Furthermore, the difference in the recovery rate of the fouled membrane between acidic and alkali cleaning was more than 78%. In conclusion, the results indicated that organic matter contributes to membrane fouling whereas inorganic matter has no effect.

하수처리장의 효율적 응집공정 운영을 위한 응집제(Al계 및 Fe계)별 유기물 제거특성 연구

정진희 ( Jin-hee Jung ),박병호 ( Byeong-ho Park ),김대용 ( Dae-yong Kim ),이승철 ( Seung-chul Lee ),최영익 ( Young-ik Choi ) 한국환경기술학회 2017 한국환경기술학회지 Vol.18 No.1

본 연구에서는 MLE 공법 + 화학처리하고 있는 하수처리장에서 화학처리시 사용되고 있는 응집공정의 효율적 운영을 도모하고자 Jar-test를 실시하여 응집제별(PAC(10%), Alum(8%), PSO-M (8%) FeCl₃(38%)) 유기물 지표 COD_Mn 및 SS, 항목의 제거 특성을 파악하는데 그 목적이 있다. 본 연구에 사용된 원수의 경우 P시 N하수처리장 폭기조 유출수를 사용하였으며, 선행연구(응집제를 5 mL 단위로 주입)에서 도출된 응집범위를 1 mL 단위로 나누어 실험을 진행하였다. 이때 공통적인 실험조건으로는 급속교반 200 r/min(1 min), 완속교반 60 r/min(15 min) 및 Sedimentation time (30 min)로 실시하였으며, PAC의 경우 (38 ~ 43) mL, Alum의 경우 (48 ~ 53) mL, PSO-M의 경우 (43 ~ 48) mL 및 FeCl₃의 경우 (48 ~ 53) mL 범위로 각각 주입하였다. Jar-test 결과 COD_Mn 제거효율 50.0%, SS 제거효율 95.1%로 FeCl₃ 응집제가 가장 높은 제거효율이 나타났다. 이는 Fe(Ⅲ)계 응집제가 Al(Ⅲ)계 응집제 보다 넓은 pH 범위를 가지고 있어 유기물 제거효율 보다 높게 나타나 하수처리장에서 최적의 응집제는 FeCl₃ 판단된다. This study, Jar-test was conducted to investigate the efficient operation of the coagulation process used at the sewage treatment plant. The purpose of this research is to identify the removal characteristics of COD_Mn and SS with different coagulants. The raw water used in this study, the effluent of the aeration basin of the P city N sewage treatment plant was used and the agglomeration range derived from the previous study (coagulant injected in 5 mL increments) was divided into 1 mL units. Coagulation Injection of 38 to 43 mL for PAC(10%), 48 ~ 53 mL for PSO-M(8%), 43 ~ 48 mL for Alum(8%) and 48 ~ 53 mL for FeCl₃(38%), respectively. The common experimental conditions were agitation at 200 rpm (1 min), 60 rpm (15 min) and sedimentation time (30 min). Use for Fecl3 removal efficiency of COD_Mn was 50.0% and the removal efficiency of SS was 95.1%. It was concluded that Fe(Ⅲ) based flocculants have a wider pH range than Al(Ⅲ) based flocculants and higher than organic removal efficiency. Optimum coagulant is FeCl₃ of the non-biodegradable organic matter flows into sewage treatment plant.