‘병동 중심의 처치수가 산정지침 개발’ 등을 통한 간호업무 표준화 및 그 효과

한혜정,설미진,김영주,박소영,박아리스,문한경,이현영 한국의료QA학회 2009 한국의료질향상학회지 Vol.15 No.1

문제: 병동 처치수가 산정 부정확 및 누락으로 인한 부적절한 재고관리로 진료차질, 불필요한 업무발생 및 수익이 감소한다. 목적: 병동 처치수가 산정 정확화를 위한 업무 표준화 도구 및 시스템을 개발하여 적정 재고관리를 통한 수익증대 및 직무만족도를 향상시킨다. 의료기관: 서울시 종로구에 소재한 대학병원 질 향상 활동: 병동중심의 처치 산정지침 개발 및 수가물품의 적정재고 관리방안을 모색하였다. 개선효과: 병동중심의 처치수가 산정 지침서를 제작하여 업무표준화를 기하였음. 응급청구 품목 및 수량이 ’07년 대비 71%감소하고 타 병동 차용품목이 활동 전에 비해 61% 감소, 수량은 77% 감소함. 응급청구 총소요시간이 활동 전에 비해 ’07년 대비 77% 감소하고 타 병동 차용 총 소요시간이 61% 감소함. 전년 동기간 대비 수익이 4% 증가하였으며 또한 54병동과 보험 심사팀에서 직원들의 직무만족도가 향상되었다.

『서울 1964년 겨울』에 나타나는 동시적 구성 방식 연구

한영현(Han Young-Hyun) 돈암어문학회 2005 돈암어문학 Vol.- No.18

The purpose of this study is to understand the meaning of “Seoul, 1964 winter” by Kim Seung-Ok using the analysis tool of concurrent composition method.<br/> This work shows the isolation and communication gap between people through arranging concurrent scenes.<br/> First of all, the conversation between I and Mr. Ahn shows that they are isolated from each other and depressed as well. Secondly, the guy's narrative and the ruptured behaviors of I and Mr.Ahn reveal isolated relations and fragmented bond of each other. Lastly, the concurrent composition of individual and space plays a crucial role in reflecting the desolate emotion of individual in the 1960's by showing a sense of alienation and a dreary sight. These three kinds of concurrent composition method contribute to indicate and the vague fear for future and the fragmented life of people living in modernizing korean society. Kim Seung-Ok has captured this theme of work through his original sensitive insight about 1960's. the concurrent composition method catches a glimpse of the theme of work in terms of plot.

노인의 팔 굽힘/폄 저항 운동 시 하중 증가에 따른 근육의 활성도 및 기여도 분석

김현동(Hyun Dong Kim),황성재(Sungjae Hwang),손종상(Jongsang Son),김한성(Han Sung Kim),김영호(Young Ho Kim) 대한인간공학회 2009 大韓人間工學會誌 Vol.28 No.4

The purpose of this study was to assess activation and contribution of muscles of the elderly according to increased loading during the arm flexion extension resistance exercise. Surface electromyographic signals were acquired from biceps brachii, triceps brachii, deltoid posterior, pectoralis major and latissimmus dorsi to determine the difference of the activation of specific muscles between the elderly and young. Five elderly and five young males with no musculoskeletal disease volunteered for the study. Electromyographic activities in the muscles were measured during resistance exercise and normalized to the maximum EMG activity recorded in the maximal voluntary static contraction (MVC). Against the increased loading during arm flexion/extension resistance exercises, the young uses muscles evenly but the elderly uses one specific muscle frequently. Contribution of triceps brachii during extension and deltoid posterior during flexion was principal in the elderly.

漢江下流部 水害輕減을 爲한 調査 硏究

金漢星,高在雄,李相鎔,玄義泰,柳興根 건국대학교 1974 學術誌 Vol.17 No.1

The effect of reducing flood magnitudes, flood stages, and flood damage by upstream reservoir regulation are investigated in this study. The analytical procedures which has been established newly, are treated through this study for 7 index stations and same numbr of reaches. The method of this study could be expressed briefly as following procedures. Using stage-frequency relations and the potential damage survey data, damage-frequency relations are established, and from this, average annual flood damages computed. By holding out portions of the floods with various amounts of flood control storage in 6 reservoirs in the basin, routing were made to establish modified stage-frequency relations. From damage frequency relation, average annual damages are computed with and without condition of each control volume. The study result are concluded as follows; (1) The relationtship of corresponding water level between nearby stations are useful tools to adjust error of the data due to observation error and change of the gaging location. (2) The number of records about 10 years could not be applied for the statistical methods of flood frequency analysis. (3) The regional skew factors are recommended to apply flood frequency study by the log-Pearson Type III method. (4) The effect of damage reductions are greatly affectedin accordance with the routed flood. Therefore application of the Typical Tributary Contribution Flood are reasonable for this type of study. (5) In the North Han, effect of damage reduction due to the lacation of control point are gradually increased from upstream to downward until the confluence of North and South Han. (6) In the South Han, control effect are increased from Chungju to Yeoju where the maximum effect are analyzed and then decrease gradually until the confluence. (7) Better hydrologic and topographic combinations for the flood control are existed in South Han to compare with North Han in this study results.

用寒遠寒과 用熱遠熱에 대한 考察 : 六元正紀大論에서

채영진,신창환,임현택,여성원,한성규,이재원,정헌영,금경수 한국전통의학연구소 2003 한국전통의학지 Vol.13 No.1

Five elements motion and six kinds of natural factors influence not only human disease but also difference of medicine effect. Because the climate of summer is very hot, that is easy to increase the properties of hot medicines, a doctor must be careful to use it in summer. Also the climate of winter is very cold, that is easy to increase the properties of cold medicines, a doctor must be careful to use it in winter. But in the certain conditions to use diaphoretics or purgatives, in spite of that regulation a doctor can use them.

일 대학병원에 입원한 노년기 양극성 장애 환자의 인구학적 및 임상적 특징

조숙현(Sook Hyun Cho),정한용(Han Yong Jung),권영준(Young Jun Kwon),이소영(So Young Lee),김양래(Yang Rae Kim),김윤정(Yun Jung Kim) 대한노인정신의학회 2006 노인정신의학 Vol.10 No.2

Objectives : As the elderly population is continuing to increase, psychiatric diseases of the elderly are becoming an important social issue. This study looks into the demographical and clinical features of the elderly patients diagnosed with bipolar disorder in a University hospital. Methods : The study subjects include patients admissioned in the closed wards of Soonchunhyang Seoul hospital and Cheonan hospital from March, 2000 to February, 2005 who met the DSM-IV-TR criteria for bipolar disorder at the time of discharge. A total of 146 patients (76 men, 70 women) medical records were studied retrospectively. Subjects older than the age of 50 at time of admission were grouped as the old age group, whereas those who were younger than 50 as the young age group. Also among the old age group, those who had the first onset of episode under the age of 50 were grouped as the early onset group, whereas those who had the first onset after the age 50 were grouped as the late onset group. Results : The number of bipolar disorder patients in the young age group and old age group were 73 and 73 respectively. The number of early onset group and late onset group were 46 and 23 respectively. The old age group had a relatively higher incidence of bipolar II disorder than the young age group. Also in the old age group there was a higher incidence of hypomanic or depressive episode rather than manic episode compared to the young age group. And in the old age group psychotic symptoms were less common and the mean admission length shorter than the young age group. Additionally in the old age group treatment with Lithium monotherapy or with no mood stabilizers at all were relatively common. Among the old age group, late onset group had a higher rate of bipolar II disorder than the early onset group. Conclusion : This study shows differences in the demographical and clinical features among different age groups. But additional research would be required to determine whether the bipolar disorders in the elderly or late onset group are actually a different type of disorder from those of the young.

야뇨증 환아들의 심리사회적 특성에 대한 다기관 연구 : 행동 및 정서 문제를 중심으로

조수철,김재원,신민섭,황준원,한상원,박관현,이상돈,김경도,김건석,서홍진,이유식,정재용,김영균,문두건,남궁미경,한창희,조원열,김영식,배기수,이종국,정우영,신의진 大韓神經精神醫學會 2005 신경정신의학 Vol.44 No.6

Objectives : The aim of this study was to examine the behavioral and emotional problems associated with nocturnal enuresis in Korean children. Methods : Three hundred eighteen children with nocturnal enuresis, together with their parents, completed the Child Behavior Checklist (CBCL), Disruptive Behavior Disorder Scale according to DSM-IV (DBDS), Children's Depression Inventory (CDI), State-Trait Anxiety Inventory for Children (STAIC), and Piers-Harris Children's Self-Concept Scale (PHCSC). Ninety-three normal students were selected as the control group. Results : Compared to the normal control group, the mean scores with regard to the withdrawn, social problems, attention problems, delinquent behavior, aggressive behavior, externalizing problems and total problems profiles were significantly higher in the nocturnal enuresis group according to the CBCL results. The nocturnal enuresis group also scored significantly higher in the ADHD and ODD profiles of the DBDS. The nocturnal enuresis group was more depressed and anxious than the control group according to the results of the CDI and STAI. The mean score of the PHCSC was significantly lower in the nocturnal enuresis group when compared to the normal control group. Conclusion : The results of this study suggest that children with nocturnal enuresis in Korea have clinically relevant behavioral and emotional problems. The findings support the link between nocturnal enuresis and psychopathology in Korean children.

아동기에 주의력결핍 과잉행동증상을 경험한 성인의 정신병리와 기질 성격 요인

송열매(Yul-Mai Song),이건석(Kounseok Lee),한덕현(Doug Hyun Han),이영식(Young Sik Lee),민경준(Kyung Joon Min),박진영(Jin Young Park),김준원(Jun Won Kim) 대한소아청소년정신의학회 2013 소아청소년정신의학 Vol.24 No.4

Objectives:The objective of this study is to find out the differences in psychopathology, temperament, and character factors between young adults with and without childhood attention-deficit hyperactivity disorder (ADHD) symptoms. Methods:The subjects consisted of 314 university students (male=72, female=242) in Gongju. They were divided into childhood ADHD group (N=54) and normal group (N=260) to the Wender-Utah Rating Scale. Participants were assessed using Korean Adult ADHD Scale, Beck Depression Inventory-II, Beck Anxiety Inventory, Kimberly Young’s Internet Addiction Test, Barratt Impulsiveness Scale, Paranoia Scale, Korean-Schizotypal Ambivalence Scale, Lubben Social Network Scale, and Temperament and Character Inventory-Revised. Descriptive statistics, t-test, chi-square, spearman correlation, and stepwise multiple regression were applied to analyze the data. Results:Participants with childhood ADHD symptoms had high level of adult ADHD symptoms (p<.001), impulsiveness(p=.001), depression (p<.001), anxiety (p<.001), internet addiction (p<.001), paranoia tendency (p<.001) and low level of selfesteem (p<.001) compared to normal group. Self-directedness (p<.001) was lower, Harm avoidance (p=.001) and Self-transcendence (p=.029) were higher in the childhood ADHD group. In correlation and stepwise multiple regression, childhood ADHD symptoms were significantly associated with cooperativeness (r=-0.515 and β=-0.547, p<.001 respectively). Conclusion:This result showed that young adults with childhood ADHD symptoms had various forms of psychopathology and childhood ADHD symptoms were influenced by character such as cooperativeness. Therefore, more thorough evaluation regarding childhood ADHD symptoms is needed.

일반골퍼의 성취목표성향과 참여동기가 스포츠 몰입에 미치는 영향

한태준,배영훈,박현숙 한국스포츠리서치 2004 한국 스포츠 리서치 Vol.15 No.6

A study is to analyze how a participating motivation and achievement goal orientation of amateur golfers concentrate on sports and the results are as follows.: First, there was no significant difference on sex in the achievement goal orientation, however, the better record, the more selforiented and retention-oriented. Second, men had a higher participating motivation in pleasure and sociability, on the contrary, women had one in health and physical strength. The highest level of participating motivation among men was pleasure and that among women was physical condition Third, the expected factors on sports concentration were given different depending on golf records. The higher record, the more importance in inner motivation factors rather than external ones or achievement goal orientations. To make them participate in playing golf continuously, the participating motivation of sports should be given differently according to the level of competition. It is required to study the ways in succession how to rase the level of concentration on sports with the less competition, the higher concentration.

現代産業社會의 人間欲求類型과 大學生 善導

韓榮春,姜珉,申邦鉉 단국대학교 1987 論文集 Vol.21 No.-

Modern Industrial Society has experienced by large-scale development in its structure. At the same time, it has developed into the open society which allows the coexistence of individual freedom and national society. Consequently, more importance has placed on the functional group, which is the basic unit of social components, This means that the function of groups has become differentiated. The individual in modern society should find one's satisfaction only in a group life at the expense of oneself. Since human behavior should rest upon a basis of rational consciousness, human relations themselves from fragmentary but broad spheres. Therefore, although the individual seems to have the broad sphere of activity, in reality, it only maintains convenient relations without deep understanding about the substance of human relations. Change in social structure is related on change in human consciousness and life pattern. Thus, human types become varied and differentiated. The differentiation phenomena resuit in bringing about human desire frustration. The frustration is apt to be expressed in action. Social phenomena mobilized by action are attended with various difficulties in social disorder. As we have seen the characteristics of modern society, this study is trying to analyze human types, contents of desire frustration, student problems, and measures for proper guidance of students. Although there are various theories about human desire types, the study, in behavioristic aspects, examines several theories such as: the five steps of human needs by A.H. Maslow, the concept of human nature and its control tactics by E. Schein, human types of X.Y theory by D, Mcgregor, and so on. It is believed that these scholars express the consciousness of the moderns with relatively realistic and explicit views. In order to analyze what factors cause the desire frustration of the moderns, first the study looks at gereral social factors. Next, it takes the process of analyzing the desire frustration factors of dollege students. Because of the varieties of desire frustration factors depending on human experiences and growth process, the study deals with the factors to which college students are easy to face in college life. In the case of facing desire frustration, it can be shown four patterns of actions as follows: (1) aggressive action, (2) dilinquent action, (3) abstinate action, and (4) subordinate action. It seems that the behaviorial types of modern college students would belong to one of these four patterns. Of course, we must no ignore the fact that many parts of preseat college students run their lives based on historical and societal value. However, there is no way of finding an absolutely excellent formula for frustrated students who need to be guided good, we can only suggest abstract measures following on general login. At this point, consentrating on the characteristics of open societal system, the study emphasizes the maintenance of human interdependent relations with their ecognition of human dignity. The suggestion would provide mere the way of keeping the strictsy stem of reward and punishment under the condition that we allow our latitude in those students to the last minute. In other words, this means that, when students do their best on their responsibilities and their given rights are guaranteed, our suggestion can be verified in logic.