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박윤배,전태식,강애남 慶北大擧校 師範大學 科學敎育硏究所 2000 科學敎育硏究誌 Vol.24 No.-
We investigated the effective instructional methods of levelized curriculum in secondary school science. A total of 923 students from grade 7 to 10 and 5 teachers were involved in this study. Questionnaire for students' need and perceptions toward the levelized instruction, questionnaire for teachers' perception, and instructional material were developed and administered. Results showed students wanted various methods and topics related with daily living. Difficulty is the primary reason why the students lost their interest toward science subject. The same kind of activities, although dealing with different contents, were recommended for both enrichment and complement groups. Group dynamics techniques and process evaluation were needed for getting higher effect. Teachers expressed the levelized instruction was more difficult than traditional instruction in terms of preparation, delivery, and evaluation. Although there was no significant gain at the levelized group in comparision with traditional group, interest and involvement level were raised significantly.
박윤배,김차식 慶北大學校 科學敎育硏究所 2003 科學敎育硏究誌 Vol.27 No.-
The purpose of this study was to identify the possibility of use of mind map in vocational high school science class. Eleventh graders in a vocational high school in Daegu were our subject. Topics for making mind map were digestion, nerve system, reproduction, and genetics. A criteria for mind map evaluation and several mind maps were presented. The students were very liked the use of mind map and it might be a very effective instructional technique for vocational high school.
産業災害로 인한 手脂切斷 患者의 療養期間과 診療費의 變異
이종호,이종영,손지연,하영애,박순우,감신,이영숙,김건엽,강윤식 大韓産業醫學會 1997 대한직업환경의학회지 Vol.9 No.3
This study was conducted to analyze variation in patient days and medical care benefits among finger-amputated patients due to industrial injury. The 242 personal data on medical care for finger-amputated patients due to industrial injury(131 in 1994, 111 in 1995) of Regional Labor Office were analyzed. The major results of this study were as follows: Patient days per case were 69. And the ratio of the maximum and the minimum among patient days for case was 26.6. Patient days per case in university hospital were 134.8 and the longest than other medical facilites. The ratio of the maximum and the minimum among the patient days per case was higher in hospital(24.7) than in other medical facilities. Benefits per case were 1,258,000 Won. And the ratio of the maximum and the minimum among benefits of case was 232.0. Case benefits was higher in university hospital (2,685,000 Won) than in other medicl facilities. The ratio of the maximum and the minimum among the benefits per case was higher in hospital(232.0) than in other medical facilities. Variation in patient days and medical care benefits per finger-amputated patient in industrial injury was large. This study results indicated need for a new industrial injury compensation insurance policy initiative for efficient utilization of medical resources and quality assurance. And the author thought that the results of this study would influence the policy for the industrial injury compensation insurance policy.
강윤식 ( Yune Sik Kang ) 한국의료윤리학회 2010 한국의료윤리학회지 Vol.13 No.3
Many Korean physicians are dissatisfied with their socioeconomic status. While they report high levels of pride in their chosen profession, Korean physicians tend to have a poor understanding of ethical issues, weak social skills, confusion about their job identity, and high levels of anxiety toward the future. These problems are partly addressed by current medical school curricula, most of which provide students with at least some basic training in medical ethics. However, this article argues that in order to resolve the aforementioned problems fully, greater awareness is needed of the concept of medical professionalism. Awareness of the requirements of medical professionalism would not only assist physicians in their practice of medicine, but would also help physicians gain greater levels public trust and thereby improve their standing in society.
Change of Clostridium difficile Colitis during Recent 10 Years in Korea
Lee, Yune Jeong,Choi, Myung Gyu,Lim, Chul Hyun,Jung, Woong Ryong,Cho, Hyun Sun,Sung, Hye Young,Nam, Kwan Woo,Chang, Jae Hyuck,Cho, Yu Kyung,Park, Jae Myung,Kim, Sang Woo,Chung, In Sik The Korean Society of Gastroenterology 2010 대한소화기학회지 Vol.55 No.3
<P>Background/Aims: Our clinical experience and recent published literatures suggest that Clostridium difficile colitis (CDC) has become more common and potentially more pathogenic in recent years. The aim of study was to evaluate changes in the epidemiological features of CDC in hospitalized patients in Korea. Methods: We retrospectively reviewed all patients of CDC diagnosed at Kangnam St. Mary Hospital from 1998 to 2007. CDC was defined as having a positive C. difficile cytotoxicity assay, or endoscopic or pathologic evidence of CDC. Results: A total of 189 cases (male 73, female 116, mean age 63.3 years) of CDC were diagnosed during the study period. The prevalence of CDC increased from 1.9/10,000 patient admissions in 1998-1999 to 8.82/10,000 patient admissions in 2006-2007. One hundred sixty three indication for cases (86.2%) of patients identified a prior use of antibiotics in the 2 months preceding diagnosis. The most common antibiotic use was prophylactic use during perioperational period (33.3%) followed by pneumonia (23.3%). The overall response rate to initial antibiotics was 82.7%. One hundred seventy two (91%) patients were initially treated with metronidazole. The response rate was 84.3%. All patients with initial failure to metronidazole were successfully treated by vancomycin. The response rate of vancomycin as first treatment was 80%. Three deaths were associated with CDC despite the use of combination of metronidazole and vancomycin. Conclusions: The prevalence of CDC in hospitalized patients in Korea significantly increased from 1998 to 2007.</P>
Post-poliomyelitis Syndrome의 임상적 고찰
김병식,윤승호 충남대학교 의과대학 지역사회의학연구소 1993 충남의대잡지 Vol.20 No.2
Post-poliomyelitis syndrome characterized by new neuromuscular symptoms, including muscle weakness, fatigue, joint or back pain and decreased level of activity may develop years after recovery from acute paralytic poliomyelitis. To understand the pattern of post-poliomyelitis syndrome in patients who had history of acute poliomyelitis in their early childhood, 30 patients( 22 male and 8 female) were evaluated in history, physical examination and electrodiagnosis. The results were as follows : 1. Age at acute poliomyelitis ranged 1-5 years and age at this study ranged 19 to 38 with mean of 26.3 years. 2. Among 30 subjects, 20 patients(66.7%) showed the new symptoms of post-poliomyelitis syndrome, such as muscle weakness, fatigue, joint or back pain, muscle pain, decreased level of activity in the order of frequency. 3. Nine subjects used wheelchairs and 4 showed clinical findings of compressive neuropathy, among whom one showed electrophysiologic evidence of Carpal Tunnel syndrome. 4. No significant difference was noted in electrodiagnostic study in formerly affected vs unaffected muscles in 4 patients. 5. No patient seeked for medical attention when they noticed the new symptoms of post-poliomyelitis syndrome.
강윤식,감신,이상원,천병렬,예민해 경북대학교 병원 2002 경북대학교병원의학연구소논문집 Vol.6 No.1
Odjective: To investigate the sources,extent and related factors in South Korean doctors. Methods: The study subjects were 934 doctors in Taegu,Kyungook Province,Korea(540 independent practitioners, 105 empolyed at hospitals and 289 residents in traning).Information concering job stress was obtained using a 9-item questionnaire.Information regarding related factors such as demographic characteristics(age, sex, marital status),perceptions on the socioeconomic status of doctors and working conditions(work time, on-call days per week)was also obtained by self-administered questionnaire during April and May,2000. Result: Major sources of jod stress included clnical responsibilty judgment factor,patient factor and work loading factor.The job stress score of residents was the highest among three groups.The score was lower in order doctors.The score was low among those who thought doctors'socioeconomic status was not good.The longer the work time, the higher the jod stress score was.Multiple regression analysis was conduted to control for the mutual influence of independent variables.In regression analysis, the score of residents was higher than practitioners. Work time and socioeconomic status perceotion had negative effects on job stress score. Conclusion: The average job stress score of the doctors was high. Age, work type, working conditions and perptions of socioeconomic status were found to besignificantly related to job stress score. Although the job stress of doctors is somewhat invitable due to the nature of the doctor's job, control of work time, development of coping tools and other intervention methods are needed to reduce job stress of doctors. Further studies are required to understand the characteristics of job stress and reduce the job stress of doctors.