종합병원의 암등록 질관리에 관한 상관성 분석

김종인(Jong-In Kim),권은하(Eun-Ha Kweon),고민석(Min-Seok Ko) 한국보건복지학회 2007 보건과 복지 Vol.9 No.-

Objective. This study is to compare and analyze the difference in preciseness and consistency of the cancer registration data kept by the member hospital s of Korea Central Cancer Registry as a part of researches into quality control of the data depending on individual and educational characters of their registration system. Methods. Subjects of this study were selected from among clinical registars engaged in cancer registration at 139 hospitals out of 176 registered with Korea Central Cancer Registry in 2007 across the country and conducting on-the-job training for staff members. Those hospitals which have no outpatients or experience difficulties in registration were excluded from the survey. Out of subjects, 42 hospitals (31%) sent their replies to the Inquiry. Results. From the analysis into difference in individual and educational characters of quality control of the cancer registration data in hospitals, it was found that (1) The average consistency in the data of the surveyed hospitals is found to be lower than the average comparativeness and preciseness. (2) The general characters show no statistically significant correlation with quality control of cancer registration data, but have positive (+) correlation with comparativeness, preciseness and overall average quality control depending on whether the clinical registars have completed the course of cancer registration as an educational factor. A positive (+) correlation is also confirmed among the characters of comparativeness, consistency and overall average quality control depending on whether in-service training for cancer registration is conducted; Conclusions. As a consequence, further studies on quality control of cancer registration data should be done in more depth in a bid to ensure that better data could be acquired. Efforts should also be made to secure more lecture hours for cancer registration-related subjects than currently that may enable to train more qualified manpower practically as well as theoretically. Moreover, it is desired to update the guidebook for cancer registrar ion as soon as there are needs to revise any part of it and to continue to provide chance for persons in charge of cancer registration to be trained in advanced course.

전침자극이 Spontaneously Hypertensive Rat의 대뇌겉질, 뇌줄기, 소뇌 부위의 Nitric Oxide Synthase 신경세포에 미치는 영향

김종인,김용석,김창환,Kim, Jong-In,kim, Yong-Suk,Kim, Chang-Hwan 대한침구의학회 2001 대한침구의학회지 Vol.18 No.4

Background and Objetive : The aim of this study was to investigate the effect of various electroacupuncture stimulation on NADPH-diaphorase in cerebral cortex, brain stem, cerebellum of spontaneously hypertensive rats. Materials and Methods : We evaluated the changes of NADPH-d-positive neurons using a histochemical method. The staining intensity of NADPH-d-positive neurons was assessed in a quantitative fashion using a microdensitometrical method based on optical density by means of an image analyzer. Results and Conculsion : The average optical density of NADPH-d-positive neurons of 100 Hz (bipolar square wave 0.2 ms duration and 100 Hz frequency) electroacupuncture treatment group significantly increased in most cortical areas comparison between the manual acupuncture and 2 Hz (bipolar square wave 0.2 ms duration and 2 Hz frequency) electroacupuncture groups. In the brain stem, the optical density of NADPH-d-positive neuron at only superficial gray layer of the superior colliculus area was same as cerebral cortex. We conclude that the morphological evidence for NADPH-d-positive neurons may be have regional change in cerebral cortex brain stem and cerebellum according to various electroacupuncture stimulations.

비육기간이 홀스타인육 패티의 산화안정성에 미치는 영향

김종인,강선문,강근호,성필남,정석근,박범영,김천제,조수현,Kim, Jong-In,Kang, Sun-Moon,Kang, Geun-Ho,Seong, Pil-Nam,Jung, Seok-Geun,Park, Beom-Young,Kim, Cheon-Jei,Cho, Soo-Hyun 한국축산식품학회 2012 한국축산식품학회지 Vol.32 No.4

The objective of this research was to investigate the effect of the fattening period (18, 21, and 24 mon) on the oxidative stability of Holstein beef patties. The ground Holstein steer beef samples (M. longissimus dorsi) were stored at $4^{\circ}C$ for 12 d and used for lipid oxidation, protein oxidation, myoglobin oxidation, and color measurements. Fat content was significantly (p<0.05) higher in the 24 mon group than in the 18 mon group. 2-thiobarbituric acid reactive substances content and metmyoglobin concentration were the highest (p<0.05) in the 24 mon group from 8 d of storage. Conjugated dienes content was significantly (p<0.05) higher in the 21 and 24 mon groups. Carbonyl content was the highest (p<0.05) in the 24 mon group at 12 d of storage. In surface meat color, the CIE $L^*$ value showed a lower level in the 21 and 24 mon groups from 4 d of storage. Although the CIE $a^*$ value was further lowered, the CIE $b^*$ value maintained a higher value in the 24 mon group during storage, compared to the other groups. Therefore, greater fattening period increased lipid oxidation, protein oxidation, and myoglobin oxidation in Holstein beef patties. Partially, the 24 mon group had the lowest oxidative stability. 본 연구는 비육기간이 홀스타인육 패티의 산화안정성에 미치는 영향에 관해 구명하고자 실시하였다. 18, 21 및 24개월령 홀스타인 거세우 등심(M. longissimus dorsi) 패티를 $4^{\circ}C$에서 12일간 저장하면서 지방산화, 단백질산화, 육색소산화 및 육색을 분석하였다. 일반성분 중 지방 함량은 24개월령이 18개월령보다 높았다(p<0.05). 저장 중 TBARS 함량과 metmyoglobin 농도는 8일째부터 24개월령이 높았다(p<0.05). Conjugated dienes 함량은 저장 4일째부터 21과 24개월령이 높았으며(p<0.05), carbonyl 함량은 12일째에 24개월령이 높았다(p<0.05). 표면육색 중 명도($L^*$)는 저장 4일째부터 21과 24개월령이 낮은 경향을 보였다. 적색도($a^*$)는 24개월령이 저장기간 동안 가장 빨리 감소하였으나 (p<0.05), 황색도($b^*$)는 가장 높은 값을 유지하였다. 따라서 비육기간이 높을수록 홀스타인육 패티의 지방산화, 단백질산화, 육색소 산화가 촉진되었다. 특히 24개월령의 산화안정성이 가장 낮았다.

구안와사(口眼喎斜)의 평가방법(評價方法)에 대한 고찰(考察)

김종인,고형균,김창환,Kim, Jong-In,Koh, Hyung-Kyun,Kim, Chang-Hwan 대한침구의학회 2001 대한침구의학회지 Vol.18 No.2

Background and Objetive : Lack of uniformity in reporting facial nerve recovery in patients with facial nerve paralysis has been a major disadvantage in comparing treatment modalities. The objective evaluation of facial nerve function is a complex procedure. The House and Brackmann grading system, the Yanagihara grading system has been recommend as a universal standard for assessing the degree of facial nerve palsy. However, clinical studies for treatment of facial palsy have rarely used this universal standard in oriental medicine. That is the reason for analysing this facial nerve grading system. Material and Method : We choose 10 scales reported from 1955 till 1995. These facial nerve grading systems may be classified as Gross system, Regional system and Specific system. Result and Conculsion : The scales of Botmann and Jonkees, May, Peitersen, and House and Brackmann are the gross facial nerve grading systems with which we grossly assess the facial motor dysfunction and the secondary defect. Among these scales, H-B scale is the most widespred The scales of Yanagihara(若杉文吉), Smith, Adour and Swanson, Jassen, FEMA are the regional facial nerve grading system in which we weight, or unweight the facial motor dysfunction and the secondary defect. For example, the scales of Yanagihara(若杉文吉) and Smith are the unweighted regional scale, the scale of Adour and Swanson, Jassen, FEMA are the weighted regional grading system. The scale of Stennert is the Specific facial nerve grading system in which we respectively assess the grade of facial dysfunction at rest, in motion and the secondary defect. For the objective evaluation of the oriental medicine treatment for facial palsy, we must use the universal standard scale, i.e. the H-B scale, the Yanagihara scale.

한국보건통계학회 : 우리나라 우수 육상선수에 있어서 지속적 운동이 심장의 형태 및 기능에 미치는 효과에 관한 연구

김종인,최영근,배종화,박순영 ( Jong In Kim,Young Keun Choi,Bae Jong Hwa,Park Soon Young ) 대한보건협회 1997 대한보건협회 보건종합학술대회 Vol.- No.-

Gamma 다층 신경망을 이용한 비선형 적응예측

김종인,고일환,최한고,Kim Jong-In,Go Il-Hwan,Choi Han-Go 한국융합신호처리학회 2006 융합신호처리학회 논문지 (JISPS) Vol.7 No.2

동적 신경망은 시스템 식별과 신호예측과 같이 temporal 신호처리가 요구되는 여러 분야에서 적용되어 왔다. 본 논문에서는 신경망의 동특성을 향상시키기 위해 순방향 다층 신경망의 히든 층에 감마(Gamma) 메모리 커넬을 사용하는 감마 신경망(GAM)을 제안하고, 적응필터로 제안된 신경망을 사용하여 비선형 적응예측을 다루고 있다. 제안된 신경망은 비선형 신호예측을 통해 평가되었으며, 예측성능의 상대적인 비교를 위해 순방향 신경망(FNN)과 리커런트 신경망(RNN)과 비교하였다. 시뮬레이션 결과에 의하면 GAM 신경망은 수렴속도와 예측의 정확도에서 이러한 신경망보다 더 우수한 동작을 수행함으로써, 제안된 신경망이 기존의 다층 신경망보다 비정적 신호에 대한 비선형 예측에 더 효과적인 예측모델임을 확인하였다. Dynamic neural networks have been applied to diverse fields requiring temporal signal processing such as system identification and signal prediction. This paper proposes the gamma neural network(GAM), which uses gamma memory kernel in the hidden layer of feedforward multilayered network, to improve dynamics of networks and then describes nonlinear adaptive prediction using the proposed network as an adaptive filter. The proposed network is evaluated in nonlinear signal prediction and compared with feedforword(FNN) and recurrent neural networks(RNN) for the relative comparison of prediction performance. Simulation results show that the GAM network performs better with respect to the convergence speed and prediction accuracy, indicating that it can be a more effective prediction model than conventional multilayered networks in nonlinear prediction for nonstationary signals.

병원행정인력의 환자의료정보 비밀보호 요인 분석

김종인(Jong In Kim),이다음(Da Um Lee) 한국보건복지학회 2010 보건과 복지 Vol.12 No.-

Objectives: This paper was thus aimed at surveying consciousness of the persons working at the departments of administration, insurance (investigation) or clinical records in hospitals about security of patients' clinical information in an effort to detect related problems and to suggest alternative plans. Methods: From the departments of administration, insurance and clinical records at the hospitals located in Jeollabuk province as of 2009, 200 staff members were randomly selected as subjects for this study. Descriptive statistics were employed to determine frequency, percentage, average and standard deviation of the data and t-test and ANOVA were also utilized to analyze the factor of the subjects about security of patients' clinical information depending on their personal characters and characters of the hospitals they were working in. Results: The study says the key point is that Factors for Medical Information Protection in Medical Manpower of hospitals were too lower than general hospitals. That's because hospitals are on small scale and are not departmentalized, and their concerned security regulation, guideline or detailed curriculum are in poor condition. Conclusions: It is hoped for continuing research and investigation to pinpoint the reasons that influence consciousness of the people working at medical institutions about protection of patients' medical information. Furthermore, medical institutions are requested to take the initiative not only of providing quality and specialized medical service to patients but also of protecting safely medical information that may contain sensitive and versatile information of patients.

월경전기 증후군과 해리증상 및 과거 학대 경험과의 연관성

김종인,최태규,윤재항,서신영,Kim, Jong-In,Choi, Tae-Kyou,Yoon, Jae-Hang,Suh, Shin-Young 한국정신신체의학회 2008 정신신체의학 Vol.16 No.2

연구목적 : 월경전기 증후군(Premenstrual Syndrome : PMS)은 가임기 여성의 약 80% 이상에서 발생하는 것으로 알려져 있다. 월경 주기와 일치하는 질환의 특성 상 여성 호르몬의 변화가 질환과 가장 밀접한 연관이 있는 것으로 알려져 있으나 아직까지 특징적인 생물학적 원인에 대한 일관된 보고는 되어 있지 않다. 이에 질환의 심리학적 원인에 대한 여러 가지 가설들도 제시되고 있는데 그 중에서도 심리적 외상 경험과의 연관성에 대한 연구들은 과거의 심리적 외상이 클수록 월경전기 증후군의 증상이 심해진다는 흥미로운 관점을 제시한다. 한편 과거의 심리적 외상은 해리 증상과도 연관이 있는 것으로 알려져 있는데 이러한 사실들로부터 월경전기 증후군과 해리증상의 연관성에 대한 가능성을 유추할 수 있다. 이에 본 연구에서는 월경전기 증후군의 정도와 해리증상 경험의 정도, 과거 학대 경험의 연관성을 알아보고자 하였다. 방법 : 본 연구는 서울 경기 경북에 근무하는 377명의 간호사들 중 설문과 기록을 충실하게 수행한 183명을 대상으로 하였다. 월경전기 증후군의 존재 여부와 증상의 정도는 Daily Record of Severity of Problems(DRSP), Shortened Premenstrual Assessment Form(SPAF)을 이용하여 측정하였다. 해리 증상의 정도는 Dissociation Experience Scale(DES-K)을 사용하였고 과거의 신체/언어적 학대 경험, 성적 학대 경험, 부모의 배우자 학대 경험은 각각 부모의 신체적 언어적 학대 방임 척도, 성적 학대 척도, 배우자 학대 척도를 이용하였다. 결과 : SPAF 점수를 기준으로 대상자들을 월경전기 증후군이 없는 군(No PMS), 경도에서 중등도의 증상을 경험하는 군(mild to moderate PMS), 중증의 증상을 경험하는 군(severe PMS)으로 나누었을 때 신체적 언어적 학대 방임 척도($x^2=14.397$, df=2, p=0.001), 성적 학대 척도($x^2=8.376$, df=2, p=0.015), 부모의 배우자 학대 척도($x^2=9.322$, df=2, p=0.009)에서 각 군 간에 유의한 차이를 보였다. 마찬가지로 DES 점수에서도 각 군 간에 유의한 차이가 있었다($x^2=14.966$, df=2, p=0.001). SPAF를 사용하여 측정한 월경전기 증후군의 증상 정도와 과거의 학대 경험 정도는 양의 상관관계를 보였으며 이는 해리 증상의 경험 정도에서도 마찬가지였다. 결론 : 상기 결과는 월경전기 증후군의 증상과 해리증상, 과거 외상경험이 연관이 있을 수 있음을 시사한다. Objectives : Premenstrual syndrome(PMS) is known to occur in more than 80% of reproductive women. Since PMS is closely related to changes in sex hormones, biological factors are suspected to be associated with the syndrome, but there have been no consistent reports regarding biological causes. In that sense, it is postulated that the occurrence of PMS is much dependent on the biological aspects, but that the severity or characteristics of the syndrome is more dependent on the psychological factors. Studies focusing on psychological factors are based on the theory that symptoms of PMS and previous psychologically traumatic events are closely related. If the theory is valid, it can be further postulated that symptom severity of PMS is associated with dissociative symptoms, since traumatic events are known to be related to dissociative symptoms. In this study, we tried to find out the association of PMS symptom severity with previous abuse history and dissociative symptoms. Methods : Subjects for the study were 377 nurses working in Seoul, Kyung-gi, and Kyung-book. 183 subjects who submitted valid data entered the study. The presence and the symptom severity of PMS were rated using Daily Records of Severity of Problems(DRSP) and Shortened Premenstrual Assessment Form(SPAF). Dissociative symptoms were evaluated with Dissociation Experience Scale Korean version(DES-K). Previous physical/verbal abuse, sexual abuse, and parental spouse abuse experience were rated with correspondent abuse scales. Results : Subjects were divided into 3 groups as No PMS group, mild to moderate PMS group, and severe PMS group according to SPAF total score. There was a statistically significant difference in DES-K total score among 3 groups($x^2=14.966$, df=2, p=0.001). Physical/verbal abuse scale($x^2=14.397$, df=2, p=0.001), sexual abuse scale($x^2=8.376$, df=2, p=0.015), and parental spouse abuse scale($x^2=9.322$, df=2, p=0.009) also revealed a significant difference among 3 groups. Symptom severity of PMS using SPAF total score showed a positive correlation both with degree of dissociative experience and previous abuse experience. There was a statistically significant difference in both dissociative experience and previous abuse experience among 3 groups. Conclusion : These results show that there can be a possible association among PMS symptoms, dissociative symptoms, and previous psychologically traumatic experience.

16S rRNA 유전자의 일부 염기서열에 기초한 한국산 Microcystis의 계통 유연관계

김종인,임종헌,이재완,이해복,Kim, Jong-In,Lim, Jong-Hun,Lee, Jae-Wan,Lee, Hae-Bok 한국조류학회(藻類) 2002 ALGAE Vol.17 No.3

Partial 16S rRNA gene sequences of seven cyanophycean strains from the National Instiute of Environmental Research of Korea - Microcystis aeruginosa, M. aeruginosa f. aeruginosa, M. ichthyoblade, M. viridis, Anabaena flos-aquae, and Oscillatoria sancta - were analyzed and the phylogenetic relationship of Microcystis among Cyanophyceae were evaluated. Based on sequence analysis results, Microcystis is monophyletic, the clade of which supported 100% bootstrap tress, and distinguished clearly from the other taxa. Therefore, the partial 16S rRNA gene sequences can be a useful and efficient tool for distinguishing Microcystis from other cyanophycean without axenic culture or cloning.

직무중심임금시스템 채택 기업의 운영 효율성에 대한 탐색적 연구

박양규 ( Yang Kyu Park ),이동임 ( Dong Im Lee ),김종인 ( Jong In Kim ),임알비나 ( Al Bi Na Lim ) 한독경상학회 2008 經商論叢 Vol.26 No.4

국내 기업들은 글로벌화 된 환경에서 경쟁력 강화를 위해 연공 중심에서 탈피하여 직무와 성과 중심의 HR시스템을 도입하고 있다. 이런 직무중심의 HR시스템을 잘 보여주는 대표적인 예가 직무급 임금시스템이다. 그러나 직무급은 관심에 비해 깊이 있는 연구가 이루어지고 있지 않고 있다. 더욱이 직무급관련 연구의 고도화와 운영의 효율성을 확보하기 위해 요구되는 현황에 대한 상세한 조사가 결핍되어 있다. 따라서 본 연구는 국내 기업의 직무급 관련 시스템도입에 대한 심도 있는 현황조사를 통해 직무급과 연공급을 활용하는 기업의 직무 및 임금관리에서의 차이와 성과관리시스템에서의 차이를 살펴보고자 한다. 먼저, 직무급 기업과 연공급 기업의 직무 및 임금관리의 차이를 알아보기 위해 직무기술서 및 직무평가결과 활용의 효과성이라는 측면과 자동승급폐지의 효과성 측면을 조사하였다. 연구결과 직무기술서와 자동승급폐지에 대한 효과성에서 직무급운영기업이 통계적으로 유의한 높은 효과를 보이는 것으로 나타났다. 성과관리시스템 측면에서의 차이 분석을 위해 두 집단의 MBO, 역량평가, BSC 활용에 대한 효과성 수준을 분석한 결과 역량평가 활용에 대한 효과성에서만 직무급 기업의 수준이 유의적으로 높게 나타나는 결과를 보였다. Facing environmental challenges, recently job based pay system is spotlighted in korean firms. However, there have not been in-depth studies regarding the status quo of JBP (job based pay system). This study is engaged in exploratory research for testing two research questions, whether job/pay/performance management under the JBP comparing SBP (seniority based pay system) are managed more effectively. Data are obtained from 1:1 in-depth interviews with 200 HR managers August to October, 2006. All items to measure the perception level of respondents are designed on a five-point scale: 1 point for very strongly disagree to 5 points for very strongly agree. Multiple items for measuring each variable are used in this study. Anova in SPSS Ver. 15 adopted to test the research questions. The results indicate that the firms with JBP are operated more effectively on the job/pay/performance management system based on job/organization design than those with SBP in parts. In particular, the test results show that the variance difference between two groups in the three aspects (the effectiveness of using job description and of annulment of pay increase based on seniority and of competency assessment) is statistically significant. Using a larger sample for future study would improve the possibility of generality of the research findings. It could be suggested as a future agenda that building up a structured model reduces the characteristics of an exploratory research.