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의료인의 의료 행위 경험을 위한 정맥 수액 요법용 의료 소모품 키트 디자인
이혜민,반영환 한국융합학회 2019 한국융합학회논문지 Vol.10 No.8
의료 서비스는 환자 뿐 만 아니라 의료 행위의 주체인 의료진에게도 제공되어야 한다. 이 연구는 에스노그라피를 통해, 의료 행위를 수행하는 의료인들의 행태를 살펴보고 처치를 위한 물리적인 의료 행위 중 가장 많은 빈도로 수행하는 행위를 도출하였다. 특히, 심층 인터뷰를 통해 의료인의 침습 의료 행위 시, 인지하는 행위의 중요성과 수행과정의 니즈를 도출하였다. 이를 바탕으로 의료진의 신속한 물리적 의료 행위와 환자와의 관계를 위한 심리적 의료 행위를 포함하는 4가지의 경험적 가치 요소를 정의하였다. 정맥 수액 요법용 의료 소모품 키트 디자인 제안과 함께 디자인 프로토타입을 제작하여, 디자인 요소를 검증하였다. 의료 소모품의 키트화는 처치 전체 과정에 있어 준비 및 폐기 과정을 간소화함으로 업무의 효율성을 높힐 수 있다. Medical services should be provided not only to patients but also to medical staff who are the main actors of medical treatment. This paper is based on Ethnography, observing the behavior of medical staff performing medical actions and finding what is the most frequent of physical medical treatment. In particular, I observed the need for recognition and performance of the clinical workforce for invasive medical treatment. Based on the Insight from the observation and analysis of medical staff's behavior on intravenous fluid therapy and in-depth interview, I defined four design value factors. Plus, I suggest a design prototype with a proposal for designing a medical consumable kit for intravenous fluid therapy to validate the design elements. Kitting medical consumables simplify the preparation and disposal process throughout the treatment, enabling rapid medical action and increasing work efficiency.
원조 범람이 수원국의 보건부분 정부지출에 미친 영향분석: 아프리카 사하라 사막 이남 지역 국가들을 중심으로
이혜민,장덕희 한국외국어대학교 국제지역연구센터 2017 국제지역연구 Vol.21 No.1
The purpose of this study is to conduct an empirical analysis on the effect of aid proliferation on government spending on health by the recipient nations using panel data and acquire information on the direction of future ODA operations. In this study, calculated excessive foreign aid index with regard to the health sector of Sub-Sahara African nations and conducted an empirical analysis on the effect of aid fragmentation on government spending on health sector. The result of the analysis disclosed that aid fragmentation significantly reduced government spending on health. It is anticipated that such trend came from the mutual pursuit of profit between the attribute (the needs of the donor nation) of ODA projects after new businesses and the governments of recipient nations that want ODA funding. Because competitive and excessive supports in ODA projects induce distortion in the government budget operation of the recipient nations and thereby trigger disutility in ODA projects, Based on the result of the analysis, We proposed to incorporate a more comprehensive deliberation with regard to the capacity of the recipient nations as well as a need for the role of mediating body such as DAC. 이 연구의 목적은 원조 범람이 수원국의 정부지출에 미친 영향을 패널데이터를 이용해 실증 분석하고, 이를 통해 향후 공적개발원조 사업의 운영 방향에 대한 함의를 얻는 데 있다. 이 연구에서는 아프리카 사하라 사막 이남 지역 국가들의 보건 부문에 대한 원조범람지수를 산정하고, 원조범람이 보건 부문에 대한 정부지출에 어떤 영향을 미치는지를 실증분석하였다. 이 연구에서 수행한 실증분석 결과, 원조범람은 보건 부문에 대한 정부지출 수준을 유의미하게 감소시키는 효과를 발생시키는 것을 확인하였다. 그리고 이와 같은 현상이 발생한 것은 신규 사업을 추구하는 공적개발원조 사업의 특징(공여국의 니즈)과 가능하면 더 많은 공적개발원조 자금을 수혜하고자 하는 수원국 정부 간 상호 이익추구에 따른 것으로 추론된다. 분석결과를 토대로, 이 연구에서는 경쟁적이고 과도한 공적개발원조 사업지원이 수원국 정부의 예산운영 과정에 대한 왜곡을 유도해 결과적으로 공적개발원조 사업의 비효율을 초래하므로, 사업지원 과정에서 수원국의 정책 능력에 관한 종합적인 고려가 필요하며, 개발원조위원회(Development Assistance Committee)의 종합조정 기능의 강화가 필요함을 제안하였다.
이혜민,김주환,김병주 한국공업화학회 2020 한국공업화학회 연구논문 초록집 Vol.2020 No.-
Activated carbon fibers (ACF) were modified via e-beam irradiation in various gas atmospheres for use as an adsorbent of a chemical protective overgarment. E-beam irradiation was performed at 50 to 300 kGy. The N<sub>2</sub> adsorption isotherm characteristics were measured at 77K. Brunauer- Emmett-Teller, Barrett-Joyner-Halenda, and non-local density functional theory equations were used to calculate pore characteristics. The surface functional groups of ACF were analyzed by a Fourier transform infrared spectroscopy and X-ray photoelectron spectroscopy. The adsorption capacities of the ACF were measured by breakthrough experiments in the gas phase (150 Оg/mL of 2-CEES, DMMP, DFP in N<sub>2</sub> balance). From the result, the e-beam irradiation on the ACF caused significant changes of surface functional groups without the deformation of pore characteristics. It was also found that the toxic gas removal ability of the ACF enhanced according to the surface treatment conditions.
Prevalence of Vitiligo and Associated Comorbidities in Korea
이혜민,오상호,이무형,이동윤,강희영,김기호,최광성,신정현,이희정,김동현,김태흥,이애영,이승철,이상훈,김경완,한승경,박철종 연세대학교의과대학 2015 Yonsei medical journal Vol.56 No.3
Purpose: Vitiligo prevalence and its associated comorbidities rate have been reportedvariably among different populations. We aimed to determine the prevalence of vitiligo in Korea along with the baseline rate of comorbidities and compared the risks to the general population using hospital visit information of the total population in Korea. Materials and Methods: We assessed demographic characteristics of vitiligopatients in Korean population from 2009 to 2011 in a nationwide data from Health Insurance Review Assessment Service. Patients who had at least one visit to Korea’s primary, secondary, or tertiary referral hospitals with International Classificationof Diseases, 10th Revision, Clinical Modification diagnosis code for vitiligo were identified. As a supplementary study, comorbidities associated with vitiligo were selected for further review to calculate relative risks compared to the general population. Results: The annual prevalence of vitiligo determined by hospital-visitingrate in Korea was 0.12% to 0.13% over a three year period. In sync with other previous epidemiological studies, there was bimodal distribution among the age groups and no difference between genders. Also, vitiligo in Korean population was associated with various autoimmune/non-autoimmune diseases such as thyroiditis, atopic dermatitis, and psoriasis. Conclusion: This study was by far the most comprehensivereview on prevalence of vitiligo using a data of total population in Korea. The prevalence is within a range of those reported in previous literatures, and increasedrisk of comorbidities such as thyroid diseases and psoriasis in vitiligo might aid clinicians in the initial work up of vitiligo patients and concurrent follow ups.