한국 정신장애의 역학 조사 연구[I] : 각 정신장애의 유병률

조맹제,함봉진,김장규,박강규,정은기,서동우,김선욱,조성진,이준영,홍진표,최용성,박종익,이동우,이기철,배재남,신정호,정인원,박종한,배안,이충경 大韓神經精神醫學會 2004 신경정신의학 Vol.43 No.4

Objectives : This study aims to estimate the prevalence of the DSM-IV psychiatric disorders in Korean population using the Korean version of Composite International Diagnostic Interview (K-CIDI). Methods : Subjects were selected by taking multi-stage, cluster samples of 7,867 adult household residents, 18 to 64 years of age, in ten catchment areas. Total 78 trained interviewers administered the K-CIDI to the selected respondents, from June 1 to November30,2001. Results : Total 6,275 respondents completed the interview. Some 33.5% of respondents reported at least one lifetime disorder, 20.6% reported at least one-year disorder, and 16.7% reported at least one-month disorder. The most common lifetime disorders were alcohol abuse/dependence (17.24%), nicotine dependence/withdrawal (11.19%), specific phobia (5.16%), and major de-pressive disorder (4.25%). The lifetime prevalence of substance abuse/dependence (0.25%) and schizophrenia (0.16%) was very low. Nicotine and alcohol use disorder showed very high male/female ratio. Mood disorder and anxiety disorder were more prevalent among female than male. Conclusion : The prevalence of psychiatric disorders was high. In comparison with other studies, remarkable differences in distributions of psychiatric disorders across the areas and times were observed.

Predicting postoperative total calcium requirements after parathyroidectomy in secondary hyperparathyroidism

( Byung Heon Kang ),( Soon Young Hwang ),( Jeong Yeop Kim ),( Yu Ah Hong ),( Mi Yeon Jung ),( Eun Ah Lee ),( Ji Eun Lee3 ),( Jae Bok Lee ),( Gang Jee Ko ),( Heui Jung Pyo ),( Young Joo Kwon ) 대한내과학회 2015 The Korean Journal of Internal Medicine Vol.30 No.6

Background/Aims: To prevent hypocalcemia after parathyroidectomy (PTX), parenteral calcium is required in addition to oral calcitriol and calcium. After switching to oral calcium, patients can be discharged from the hospital. The aim of this study was to analyze the clinical characteristics and outcomes of PTX performed at a single Korean center and to investigate the associated laboratory factors used to analyze the total amount of postoperative calcium required. Methods: We enrolled 91 hemodialysis patients undergoing PTX from November 2003 to December 2011. We collected clinical and laboratory data preoperatively, 12 and 48 hours postoperatively, at discharge, and 3 and 6 months postoperatively. Results: In total, 59 patients underwent PTX with autotransplantation (AT), 6 underwent total PTX without AT, 11 underwent subtotal PTX, and 15 underwent limited PTX. Total PTX without AT showed the lowest recurrence rate. At all postoperative time points, the mean levels of serum calcium, phosphorus, and intact parathyroid hormone (iPTH) decreased significantly, compared with preoperative levels; however, alkaline phosphatase (ALP) increased significantly from 48 hours postoperatively to discharge (p < 0.001). On multiple linear regression analysis, the total amount of injected calcium during hospitalization showed a significant correlation with preoperative ALP (p < 0.001), preoperative iPTH (p = 0.037), and Δphosphorus at 48 hours (p < 0.001). We developed an equation for estimating the total calcium requirement after PTX. Conclusions: Preoperative ALP, preoperative iPTH, and Δphosphorus at 48 hours may be significant factors in estimating the postoperative calcium requirement. The formula for postoperative calcium requirement after PTX may help to predict the duration of postoperative hospitalization.

중소기업을 위한 소프트웨어 프로세스 평가 모델 개발

이은표,이병걸 서울여자대학교 컴퓨터과학연구소 2006 정보기술논문지 Vol.4 No.-

Many software organizations are pouring every effort to enhance the qualities of their software products. Software process improvement is one of the most representative activity among many improvement indicatives. But it is not feasible to implement the improvement function effectively in small and medium organiations due to its high cost and appraiser's impartiality. This paper analyzes the existing process appraisal issues, and proposes an cost effective method to appraise organization's process capability. The suggested methods enhances the objectiveness of appraisal by adopting the facilitated check lists and shortens the appraisal time from 10-14 working days to 5 days by reducing the number of appraisal documents from 1000 to 300 and replacing document verification activities to document finding activities. 최근 소프트웨어 프로세스 개선의 중요성이 증가하면서, 많은 공공 기관과 민간 발주처들이 사업자의 프로세스 능력에 대한 객관적인 검증을 요구하는 사례가 점차 늘어나고 있다. 하지만 기존의 소프트웨어 프로세스 능력 심사 모델들이 외국 모델을 그대로 수용하고 있어 국내 소프트웨어 개발 업체에서 이를 도입하기에는 많은 무리가 따르고 있다. 기존의 모델들에서는 심사자의 주관적인 판단이 많이 개입될 수밖에 없다는 문제점이 있으며, 심사 기간과 심사 준비에 과도하게 많은 시간과 노력이 소요된다는 단점이 있다. 본 논문에서는 기존의 심사 모델을 개선함으로써 심사의 객관성을 확보하는 동시에 심사 비용 및 기간을 축소할 수 있는 방안을 제시한다. 심사의 객관성 확보를 위해 심사 대상 문서 리스트의 활용을 제안하였으며, 심사 기간과 비용을 줄이기 위해 검증 활동 중심의 문서심사를 핵심영역 파악 활동으로 대체하고 각종 검토 활동 및 교육 활동을 통폐합하였다. 개선된 심사평가 모델을 도입함으로써 1000여 종의 심사 대상 산출물이 300여 종으로 감소하여 기존 10일에서 14일 정도 소요되는 심사 기간이 최대 5일로 단축될 수 있으며, 정형화된 심사 지침서 및 체크리스트의 활용을 통해 심사 등급 결정에 있어서도 객관성을 확보할 수 있는 효과를 기대할 수 있다.

병원정보시스템의 경영전략적 활용방안에 관한 연구

이은효,신종연,윤병준,김영훈 서울보건대학 1999 서울보건대학 부설 병원경영연구소 논문집 Vol.4 No.2

This study includes an empirical analysis of utilization of strategic management with hospital information system and a policy implication on hospital management. The purposes of this study are to analyze the effects of strategic information and implementation on the major performance factors. For this study. the materials used are mailing survey data of 65 hospitals and related literature was reviewed. Crosstabulation and multiple response analysis were made to find the frequencies by groups. ANOVA and multiple regression analysis were adopted to examine the differences and the relationship between variables involved. The major findings are as follow: 1. Internal information needed for strategic management focuses on the patients' data and the ones of services being delivered. Using portion of financial indices also ranked 2nd by respondents. but financial analysis was not performed frequently. 2. The Effects of strategic information on the hospital management environment were the most in hospital planning and hospital administration and medical support tasks. Ane the effects of assessment of the external factors and rapidity and accuracy of decision making, however. were relatively low. 3. The more computer system group satisfy planning group on the material requested by planning group. the more effects of cost reduction and service promotion have favorable results. Besides. the more computer education and PR are performed. the more efficiencies of hospital management have favorable results. In result of more exploration, the relationship of between computer education and PR item and satisfaction level of planning group on requested material and cost reduction effects was statistically significant. Of the above results. there are favorable effects on the major performance factors. However. there are few results of being performed on systematic strategic planning, action and management. With regard to hospital management information system, there are many challenges in the future when applying strategic management methods. Hospital executives must begin to use information system strategically for survival and growth in the 2000s.

Telecar 시스템의 경제성 평가에 관한 연구

이은표,이경희 한국보건정보교육학회 1999 보건정보교육학회지 Vol.1 No.1

AbstactThis study is aimed to provide the sources of rational decision making for installing(introducing) Telecar system through the cost effectiveness analysis which the direct effect of introducing Telecar system was analyzed by conversed currency value and the indirect effect was analysed by economics each effect point between users and non users this system.This study was analyzed by conversed up to data value of reduce effect on labor cost which is the direct effect of investment and maintenance cost accomplish by introducing Telecar system and the indirect effect was by comparison analysis of the better quality of medical service effects of which the details are the promptness of chart control, error rate and the extent of communication with the treating medical care, and also by comparing the number of persons in charge of chart control, departing rate, and the extent of satisfaction.According to the result of this study, the not effect of direct effect for the direct cost within limitation period was about 351 million Won and the cost rate for direct effect showed 0.65%But in the aspect of direct effect, there was no economical merit, nevertheless the indirect effect which was not measured by cost showed that the rapidity of the users of this system was 8.3min/6.7min faster in admission/outpatient, and the error case rate 0.63%/0.28% reduced in admission/outpatient. On the contrary, it showed lower extent of communication with medical care team in the user of this system according to the result of the survey using point extent.The users showed 0.1 person decrease in average numbers of employees per average lOOtimes of chart control. And the average satisfaction rate was higher than non-user group even though there was no meaningful difference in the satisfaction rate for the employee in charge of chart control in the user group.The rate of changing occupation of the user group was 4.9% higher than non-user group. Regarding the improvement of efficiency in the chart control part the user group task the recruitment the best way, and the other group took change of the chart control instrument.Although we can see the lack of the total analysis of the cost effectiveness according to use of data Telecar in this study, it could be a help in a development of the work in the medical record room by the cost-effectiveness analysis of the instrument and equipment widely used medical record room. This study is aimed to provide the sources of rational decision making for installing(introducing) Telecar system through the cost effectiveness analysis which the direct effect of introducing Telecar system was analyzed by conversed currency value and the indirect effect was analysed by economics each effect point between users and non users this system. This study was analyzed by conversed up to data value of reduce effect on labor cost which is the direct effect of investment and maintenance cost accomplish by introducing Telecar system and the indirect effect was by comparison analysis of the better quality of medical service effects of which the details are the promptness of chart control, error rate and the extent of communication with the treating medical care, and also by comparing the number of persons in charge of chart control, departing rate, and the extent of satisfaction. According to the result of this study, the not effect of direct effect for the direct cost within limitation period was about 351 million Won and the cost rate for direct effect showed 0.65% But in the aspect of direct effect, there was no economical merit, nevertheless the indirect effect which was not measured by cost showed that the rapidity of the users of this system was 8.3min/6.7min faster in admission/outpatient, and the error case rate 0.63%/0.28% reduced in admission/outpatient. On the contrary, it showed lower extent of communication with medical care team in the user of this system according to the result of the survey using point extent. The users showed 0.1 person decrease in average numbers of employees per average 1001imes of chart control. And the average satisfaction rate was higher than non-user group even though there was no meaningful difference in the satisfaction rate for the employee in charge of chart control in the user group. The rate of changing occupation of the user group was 4.9% higher than non-user group. Regarding the improvement of efficiency in the chart control part the user group task the recruitment the best way, and the other group took change of the chart control instrument. Although we can see the lack of the total analysis of the cost effectiveness according to use of data Telecar in this study, it could be a help in a development of the work in the medical record room by the cost-effectiveness analysis of the instrument and equipment widely used medical record room.

CMMI의 Organizational Training KPA를 지원하는 훈련 프로세스 프레임워크의 개발

이은표,이병걸 서울여자대학교 컴퓨터과학연구소 2004 정보기술논문지 Vol.3 No.-

많은 소프트웨어 조직에서는 소프트웨어 제품의 품질을 높이기 위해 다양한 노력을 수행하고 있다. 그 중 가장 대표적인 것이 프로세스 개선을 이루고자 하는 것이며, 이와 더불어 프로세스를 수행하는 인력의 품질 또한 중요시 되고 있다. 하지만 인력을 품질을 높이기 위해서 이루어지는 다양한 훈련 과정에 대한 체계적인 방법론 및 절차의 부재로 인하여 기대한 효과를 제대로 얻지 못하고 있다. 본 논문에서는 기존의 훈련 이슈들을 분석하고 재정의하여 다양한 형태의 소프트웨어 조직에서 조직의 특성에 맞게 훈련 프로세스를 재구성하거나 변경할 수 있는 훈련 프로세스 프레임워크를 제안한다. 제안하는 프레임워크는 CMM이나 CMMI, SPICE와 같은 프로세스 모델에도 부합하도록 구성함으로써 조직의 소프트웨어 프로세스 개선에 직접 활용될 수 있도록 하였다. Many software organizations are pouring every effort to enhance the qualities of their software products. The process improvement in organizational training is one of the most representative activity among many improvement indicatives. But it is still not feasible to have the improvement function effectively in organization's training process improvement due to its high cost with implementation and the absence of the systematic methodology and procedures. This paper analyzes and re-classifies the existing organizational training issues, and proposes a framework to reorganize and customize the known training activities. The framework enables software organizations customize their training to be consistent with organization's process environment goal and characteristics. The framework is also constructed to be compliance with assessment standards such as CMM or SPICE and thus can be practically used in improving organization's other software process areas.

熟地黃의 抱製에 따른 5-hydroxymethyl-2-furaldehyde 함량 연구

이제현,고정아,황은영,홍선표 대한본초학회 2002 大韓本草學會誌 Vol.17 No.2

Objectives : Rehmanniae Radix Preparata has been used to enrich blood and supply yin for a several thousand years. We have studied on the quantity of 5-hydroxymethyl-2-furaldehyde (5-HMF) from Rehmanniae Radix Preparata at various processings and tried to develop the making method. Methods : The Rehmanniae Radix Preparata was prepared from the steaming process with rice wine, sterilized rice wine, diluted ethanol and water each other. And the change of 5-HMF was determinated. The analysis of 5-HMF was conducted by HPLC with reversed-phase C18 column and a UV detector at 280 nm. Elution was carried out at 1.0 ml/min with 5% acetonitrile. Results and Conclusions : From this analysis, we found out that the content of 5-HMF was increased with the number of processing times and the content of 5-HMF from Rehmanniae Radix Preparata steamed for 4 times was the same as that of Korea pharmacopoeia.

무도전공자들의 입시준비 실태에 관한 연구

이병익,김진표,최은환 龍仁大學校 武道硏究所 2004 武道硏究所誌 Vol.14 No.2

This study of intended to survey the actual condition of the students who want to be admitted to the Department of Martial Arts of University, the realities and the influence of home, school, and private institution as the influencing factors and their relations to the preparation for the physical examination. This study is also designed to plant the right perception of the Physical training in the minds of the students preparing for the physical examination for the Department of Martial Arts, help them make the most of special abilities and be prepared for the future as professionals. For teachers who guide them, the goals of this study are to make them understand the importance of students choosing major, let them know the things to be improved, and provide the right direction and fundamental data on Martial Arts education. In order to achieve these goals, those 300 student who are taking lecturess from private institutes to apply for the department of Martial Arts in Suwon city, pyungtak city and Osan city were sampled, except those insincere answers of 4 students, The rest reliable answers of 296 students were used for statistical use with the statistic software SPSS 10.0 for Windows package. The results of the research on the Actual condition of the Applicants Preparing for the Phyical Examination for the Department of Martial Arts are as follows: Firstly, the major factor of choosing the Department of Martial Arts is ones own will and majority of the students are going to major it in order to be teachers or coaches. It was indicated that only a few students are going to choose the major because of their grades. Secondly, the money spent on the preparation for the physical examination per month varied from 10 thousand won to 40 thousand won and it seemed that the differences among tuition fees came from the characteristic of the institutes. Overall the parents of those student showed positive response to the preparation for the physical examination for the Department of Martial Arts. Thirdly, the sources of the information on physical examination were mostly gained from internet and seniors. The time spent on the institute was more than 4 hours per day and the length of course taken by students were mainly lass then a year and over 3 years. The majors to be applied in Department of Martial arts were Judo, Taekwondo, Yonpmdo, Kando, Taekyun, and etc. in order. Lastly, it seemed that many students thought the money spent on the preparation for the physical examination was excessive but most of them would not change their choice. Although some students answered that they might change their major according to their grades, but majority of the students were very sure of what they are going to do and also told that they would do their best to achieve their goal.

진공용 나노스테이지 개발

홍원표,강은구,이석우,최헌종 한국공작기계학회 2004 한국공작기계학회 춘계학술대회논문집 Vol.2004 No.-

Miniaturization is the central theme in modem fabrication technology. Many of the components used in modern products are becoming smaller and smaller. The direct write FIB technology has several advantages over contemporary micromachining technology, including better feature resolution with low lateral scattering and capability of maskless fabrication. Therefore, the application of focused ion beam(FIB) technology in micro fabricaton has beome increasingly popular. In recent model of FIB, however the feeding system has been a very coarse resolution of about a few μm. It is not unsuitable to the sputtering and the deposition to make the high-precision structure in micro or macro scale. Our research is the development of nano stage of 200mm strokes and 10nm resolutions. Also, this stage should be effectively operating in ultra high vacuum of about 1×10^(-5)pa. This paper presents the concept of nano stages and the discussion of the material treatment for ultra high vacuum.

송화분을 이용한 간기능 증진제 개발 연구

하은주,이해경,한준표 대구효성가톨릭대학교 1993 연구논문집 Vol.47 No.1

To investigate the effect of the pine pollen on serum and liver of rat pretreated with carbon tetrachloride. Rats were first administrated CCl₄and then treated orally with the water-washed pine pollen as indicated in the book of "Imperial courtcookery" The results are summarized as follows ; GPT activity of rat administrated the pine pollen was lower than that of rat treated with CCl₄to induce a chronic liver injury and was similar to that of nontreatment group. Totla cholesterol in serum of pine pollen administrated rat decreased significantly compared with that of the CCl₄-treated group. There was a noticeable improvement in the activity of the live protein synthesis of pine polllen-administrated rat, compared with that of CCl₄-treated group. Body weight of non-treated group are increased but that of CCl₄-treated and pine pollen-treated group were retarded according to time.