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임선미,Sung-Won Jang,Hyun Ji Chun,Su Jung Kim,Kyu Young Choi,Beom-June Kwon,김동빈,조은주,이만영,노태호,김재형 대한심장학회 2012 Korean Circulation Journal Vol.42 No.10
Left ventricular hypertrabeculation/noncompaction (LVHT) is an uncommon type of genetic cardiomyopathy characterized by trabecula-tions and recesses within the ventricular myocardium. LVHT is associated with diastolic or systolic dysfunction, thromboembolic compli-cations, and arrhythmias, including atrial fibrillation, ventricular arrhythmias, atrioventricular block and Wolff-Parkinson-White syndrome. Herein, we describe a patient who presented with heart failure and wide-complex tachycardia. Echocardiography showed LVHT accompa-nied with severe mitral regurgitation. The electrophysiologic study revealed a fasciculo-ventricular accessory pathway and atrial flutter (AFL). The AFL was successfully treated with catheter ablation.
Critical current densities of bicrystalline HTSC film under various magnetic fields
임선미,정예현,염도준,정용환,장경진,이상무 한국초전도.저온공학회 2006 한국초전도저온공학회논문지 Vol.8 No.2
Critical current densities were measured for a bicrystalline (Sm0.8Dy0.2)Ba2Cu3O7 film under various magnetic fields ( ). The fields were varied from to for various orientations with respect to the film surface. The curves of the critical current densities ( ) vs showed the well known butterfly-like hysteretic curves. Our data could be analyzed for the two components of field, which are normal and parallel to the film surface, respectively. We combined the effect of deduced from the data for the normal field ( ) and the effect of deduced from the data for the almost parallel field ( ). Our analyses indicate that depends on the two components of flux density at the grain boundary. All the experimental data for various s fit well to this new formula which was obtained by multiplying the factors deduced from the field dependences of these two components.
임선미,서경화,김혜경,박윤형 대한의사협회 2012 대한의사협회지 Vol.55 No.2
In Korea, physicians of the public health sector have significantly contributed to health services such as prevention and treatment of disease. However, advances in the field of public health have not provided sufficient institutional strategies and systems for reinforcement of adminis-trative capabilities and health services. As a result, the satisfaction of physicians working in com-munity health centers has been decreasing and their advances in the field of public health have also decreased. This study was conducted to examine the work status, working conditions, and overall job satisfaction physicians in order to strengthen of the role of physicians who work in community health centers. The subjects of the study included 191 individuals. The data were analyzed by frequency analysis and descriptive analysis using SAS. It was found that among physicians working in a community health center, the overall degree of job satisfaction was satisfactory, at 52.2% of respondents. However, it was found that employment stability (81.3%), salary increases (78.8%), the abolition of new recruitment of managing physicians on the basis of temporary (5-year term) employment (75.4%), and the provision and support for education (71.2%) should be improved to increase the job satisfaction of physicians in the community health center. Regarding this, the physicians responded that the most important conditions for them to work in the community health center were actualization of salary (63.3%) and the change of job status from temporary to full-time employment (17.0%). In conclusion, we must increase the job satisfaction of physicians working in community health centers to improve the quality of the public health care system in Korea and systematically improve the personnel system, salary, administration, and job status to increase job satisfaction.
임선미,신인순,이선희,서경화,정유민,장지은 대한의사협회 2011 대한의사협회지 Vol.54 No.4
Tools for assessing methodological quality or risk of bias in randomized controlled trials (RCTs)and non-randomized studies (NRS) were reviewed. The van Tulder scale and Cochrane‘s assessment of risk of bias are the two most useful methodological quality evaluation tools for RCTs. Cochrane’s tool includes sequence generation, allocation of sequence concealment,blinding, incomplete outcome data, selective outcome reporting, and other potential sources of bias. The Cochrane Collaboration Group recommends the Downs and Black instrument and the Newcastle-Ottawa Scale for evaluating the quality of NRS. In conclusion, this study offers useful information to physicians about tools for assessing the quality of evidence in clinical guidelines. Further research is needed to provide an essential core for evidence-based decision making regarding levels and/or grades of recommendations.
Trends of Mammography Use in a National Breast Cancer Screening Program, 2004-2008
임선미,이후연,최귀선,전재관,박은철,김연주,한미아,오동관,신정임 대한암학회 2010 Cancer Research and Treatment Vol.42 No.4
Purpose Korea started breast cancer screening as part of the National Cancer Screening Program (NCSP) in 1999. In order to identify under-served groups, we investigated mammography uptake in the National Breast Cancer Screening Program. Materials and Methods The study population was participants in the National Breast Cancer Screening Program from 2004 to 2008. We analyzed participation rates by insurance type, age group, and area of residence. Results Total participation rates for breast cancer screening increased from 18.2% in 2004 to 35.0% in 2008. The participation rate in the group aged 60 to 69 years showed the greatest increase, 21.3%, among the four age groups. Although the screening rate increased continuously, the participation rate of the Medical Aid Program (MAP) group was low compared to the National Health Insurance (NHI) group. Moreover, the increasing trend of mammography uptake in the MAP group was much lower than that of the NHI group. Conclusion The participation rate for breast cancer screening in the NCSP in Korea has increased. However, the participation rate in mammography among MAP recipients is still lower than that of NHI beneficiaries. To increase mammography uptake, it is important to make it available to everyone by ensuring inclusion of all population subgroups.
임선미,김계현 대한의사협회 2022 대한의사협회지 Vol.65 No.7
Background: In order to encourage physicians to work in medically-underserved areas, it is imperative to provide financial incentives and appropriate supportive systems. This paper reviews the concept of medically-underserved areas in Korea is welestablished with reasonable criteria and that the budget and the policy direction of the manpower support are effective. Current Concepts: Some recommendations may be needed to expand the supportive policy for medically underserved areas. First, the selection criteria for medically-underserved areas should be revised and the evaluation index improved. Second, it is imperative to secure consistency in the legal system by containing overall contents on the definition, criteria, designation procedure, and support matters of medically-underserved areas through the revision of the Public Health and Medical Service Act. This consistency may designate and support medically-underserved areas according to the subject and type through health care resources distribution and condition at the national level. Third, an integrated regional medical service plan should be prepared through the construction of an inter-medical institution cooperation system, effort, and cooperation among parties having diverse interests. Fourth, the incentive system should be improved to secure medical personnel in medically underserved areas. Fifth, the introduction of untact medical services and related governmental support to the area having insufficient medical personnel is needed. Discussion and Conclusion: The Korean government should seek new supportive measures and models for physicians to continue working in medically-underserved areas.