‘병동 중심의 처치수가 산정지침 개발’ 등을 통한 간호업무 표준화 및 그 효과

한혜정,설미진,김영주,박소영,박아리스,문한경,이현영 한국의료QA학회 2009 한국의료질향상학회지 Vol.15 No.1

문제: 병동 처치수가 산정 부정확 및 누락으로 인한 부적절한 재고관리로 진료차질, 불필요한 업무발생 및 수익이 감소한다. 목적: 병동 처치수가 산정 정확화를 위한 업무 표준화 도구 및 시스템을 개발하여 적정 재고관리를 통한 수익증대 및 직무만족도를 향상시킨다. 의료기관: 서울시 종로구에 소재한 대학병원 질 향상 활동: 병동중심의 처치 산정지침 개발 및 수가물품의 적정재고 관리방안을 모색하였다. 개선효과: 병동중심의 처치수가 산정 지침서를 제작하여 업무표준화를 기하였음. 응급청구 품목 및 수량이 ’07년 대비 71%감소하고 타 병동 차용품목이 활동 전에 비해 61% 감소, 수량은 77% 감소함. 응급청구 총소요시간이 활동 전에 비해 ’07년 대비 77% 감소하고 타 병동 차용 총 소요시간이 61% 감소함. 전년 동기간 대비 수익이 4% 증가하였으며 또한 54병동과 보험 심사팀에서 직원들의 직무만족도가 향상되었다.

Electropulsing Treatment on Enhancement of Electrical Conductivity of Screen-Printed Ag Wire

Ju‑Won Park,Howook Choi,Hwangsun Kim,Simoon Sung,Hye‑Jin Jeong,Il Kim,Jaeseok Gong,Sung‑Tae Hong,Heung Nam Han 대한금속·재료학회 2021 METALS AND MATERIALS International Vol.27 No.5

The effect of high electric current density on the sintering of Ag wires manufactured by screen printing is evaluated throughelectrical resistivity analysis and microstructure observation. Different forms (continuous and pulsed) of electric currentwith different current densities are applied to the specimens. Conventional heat treatment is also performed as a controlgroup to examine the athermal effect of electropulsing treatment. Compared to the conventional heat treatment, the resistivityis reduced more under the electropulsing treatment with continuous current for the same temperature and treatment time.Also, the process time of electropulsing treatment can be reduced by applying a pulse form of high density current insteadof continuous current without losing the benefit of enhanced reduction of resistivity. The microstructural observationsobtained from high angle annular dark field scanning transmission electron microscope and a digital precession instrumentclearly show that necking connecting the crystals is formed more firmly under electric current. In addition, the temperaturechange of Ag wire and substrate is calculated according to the change of the resistivity when the electric current is appliedto confirm the reliability.

과학적 관찰과 규칙성 발견 활동에서 나타나는 감성단어 유형과 과학 지식 생성력과의 관계

권용주,신동훈,한혜영,박윤복 한국과학교육학회 2004 한국과학교육학회지 Vol.24 No.6

본 연구의 목적은 첫째, 학생들이 과학적 관찰 및 규칙 발견 활동을 수행할 때 나타나는 과학적 감성 단어의 유형과 빈도, 강도를 분석하고, 둘째, 과학 지식 생성력과 과학적 감성지수(ISE)와의 상관관계를 밝히는 것이다. 이를 위해 연구에서는 먼저 선행 연구를 고찰하여 과학적 감성을 정의하고, 효과적인 지식 생성 활동을 위해 겨울눈과 화석 관찰, 씨앗과 암석 분류의 4개의 과제를 개발 하였다. 연구대상은 교원양성대학교 4학년 학생 161명으로 하였다. 피험자들은 각 과제를 수행하면서 인지적 사고과정과 느낀 과학적 감성을 기록하고 형용사 이모티콘 척도 용지에 자신의 감성 강도를 나타내었다. 연구 결과, 관찰 활동에서는 '흥미-수용-사랑-거부'의 순으로 감성유형이 나타났고, 규칙성 발견 활동에서는 '흥미-거부-수용-기대'의 순으로 감성유형이 나타났다. 각각의 감성 단어 빈도는 감성 강도와 통계적으로 상관관계가 있었다. 과학적 감성 빈도(FSE)와 과학적 감성 강도(SSE)를 곱한 과학적 감성지수(ISE)는 과학적 감성능력을 나타내는 하나의 지표로서 과학 지식 생성력과 높은 정적인 상관관계를 가진다. 개별적인 과학적 감성 지수에서는 '수용-사랑-슬픔-흥미'순으로 과학 지식 생성력과 정적인 상관관계를 나타낸다. The purposes of this study were to analyze types of scientific emotion word and to investigate the relationship between the ISE(Index of Scientific Emotion) and the ability of science-knowledge generation in subjects' scientific observation and rule-discovery. The subjects were asked to perform four scientific tasks. The tasks were developed that are suitable for scientific observation and rule-discovery. In performing tasks, the subjects were asked to describe their generated science-knowledge and scientific emotion through self-report questionnaire, performing each task. The strength of their scientific emotion was also measured using adjective emoticon check lists. In subjects' scientific observing, they showed 33.3% of interest emotion which was the biggest, 15.0% of acceptance emotion, and 11.3% of love emotion, respectively. In scientific rule-discovering, types of emotion were shown as 23.8% of interest, 21.5% of disgust, and 10.8% of acceptance, respectively. In addition, ability of science-knowledge generation was significantly correlated to ISE.

음경에 발생한 기저세포암 1예

이용주,최혜자,윤석권,김한욱,임철완 대한피부과학회 2004 大韓皮膚科學會誌 Vol.42 No.3

Basal cell carcinoma is the most common malignant skin cancer in Korea. The lesions are most frequently found in the head and neck region. But penile basal cell carcinoma is very rare and there are only 29 other reported cases. We report a rare case of basal cell carcinoma of the penis in a 76-year-old man. He had a well circumscribed 1.3㎝×1.3㎝ thick scaly plaque with central ulcer in right penile root area for 4 years. The lesion was completely excised and no recurrence for four months. (Korean J Dermatol 2004;42(3):350~352)

수영참가 주부회원의 운동지속수행에 영향을 미치는 요인(Ⅱ)

염혜수,박주한 서울여자대학교 자연과학연구소 1997 자연과학연구논문집 Vol.9 No.-

The purpose of the present study was to investigate the factors influencing the adherence. This investigation was based on the social learning theory that the individual characteristics, significant others, and social situation determine the participant's exercise adherence. For this purpose five hundred women were randomly selected from four swimming centers in Seoul. The subjects participated three times a week more than three months. In order to collect the data the items of the questionnaires were selected based on the previous studies(Im, 1987; Yamaguchi, 1987, 1988; Jung, 1991)and were reconstructed through the test of the validity and reliability. The data were analyzed through the one-way ANOVA. The analysis of results provided the following conclusions : The economic level, the degree of the participant's satisfaction for the exercise program, facilities and instructors, participant level of the other swimmers and previous exercise experience made significant influences on the exercise adherence. The other factors did not influence the participant's exercise adherence.

PPV 공중합체의 합성 및 발광특성

민혜경,이경민,한동제,박성진,오응주 명지대학교 자연과학연구소 1997 자연과학논문집 Vol.16 No.-

Blue light emitting PPV [poly (p-phenylene vinylene)] copolymers soluble in common organic solvents are synthesized and their structural and light emitting properties are studied. Copolymers show π-π* transition in UV-Vis. spectra and their λmax shift to shorter wavelength compare to that of monomers. The PL and absorption spectrum shows the symmetric vibration modes with muror images which means that copolymers are highly, aligned. The band gap energy of these copolymers are ~3.0 eV. By introducing aliphatic hydrocarbon group into polymer main chain, the stability of copolymers is increased and no significant effects of substituents are observed.

패션 브랜드 지면 광고의 문화적 포지셔닝 전략에 따른 색채사용

강은정;한솔비;조주연;이규해 한양대학교 2009 韓國 生活 科學 硏究 Vol.29 No.1

Brand advertisement can be effective when they can communicate with the customers who can share the culture and trend expressed through the advertisement. Therefore, the advertisers should be well aware of the possible target customer of the brand. Furthermore by making an advertisement that parallels cultural codes of the customers', it will be able to attract attentions from potential customers. This research analyzed the consumer culture positioning trends incorporated by female casual brands magazine advertisements, and examined the periodic changes and preferred colors for each different positioning type for the past five years. 345 magazine advertisements were classified into foreign consumer culture positioning and local consumer culture positioning types. Among the colors expressed in the advertisement, the color that occupied the largest visual area was selected as the main color of the advertisement. After chosen, the color was analyzed by Munsell's 10 hues and 12 tone classifications of PCCS (Practical Color Coordinate System). Ad with foreign consumer culture positioning counted for 281 taking the dominant portion, whereas local consumer culture positioning ad accounted for only 64. There were brands that implement culture positioning techniques than other brands. The 20 brands frequently applied foreign consumer culture positioning in their advertisements. The most frequently used hue was Red. Purple Blue was also common. In terms of value and intensity, dark grayish tone was also most commonly incorporated.

소프트웨어 컴퍼넌트 재구축을 위한 개념 인식 및 정제

현창문,한은주,남혜영,김행곤 대구효성가톨릭대학교 응용과학연구소 1995 응용과학연구논문집 Vol.4 No.-

Most of present-day information system have been in use for a long time. They have been developed using the system development methods, programming tools data base hand-less. Even if the systems are adapted to chagned requirements from the surrounding world, the basic structure and the original technical and methodological ties have been retained. Our goal is to show how an object-oriented development method can be used to grandu-ally moderning an old system. We do this by showing how object-orientd reengineering method solve the software maintainability.

급성 담낭염에 대한 내과적 치료의 역할

강성원,조한래,한설해,박현주,정인성,홍선미,김성걸,이헌영 충남대학교 의과대학 지역사회의학연구소 1993 충남의대잡지 Vol.20 No.2

In 58 patients who were admitted to department of internal medicine, ChungNam national university hospital from January 1989 to March, 1993. We evaluated for medical treatments and the following results were obtained. 1) The ratio of male and female was 1 : 1 and mean age of the patients was 57.4 years. 2) At arrival on hospital, the most common clinical symptom was pain in right upper quadrant and epigastrium(93.1%), the remainders were fever and chill(79.3%), nausea(51.7%) and vomiting(36.2 %) in order of frequency. 3) The most common physical findings was tenderness on the right upper quadrant and epaigastrium(98%), the remainders were jaundice(50%) and palpable gall bladder(13.8%) in order of freguency. 4) In laboratory examination, elevated levels of ESR(82.8%), leukocytosis(67.2%), elevated levels of AST(62.0%), ALT(50.0%), serum total bilirubin(51.7%) and alkaline phosphatase (43.1%) were noted. 5) The mean period of NPO was 3.9 days and the mean hospital period was 13.5 days. 6) The rates of combined complications in patients with acute cholecystitis were 17.2%; these are gall bladder empyema(5.2%), hydrops(5.2%), perforation(3.4%), sepsis(3.4%) and intestinal obstruction (1.7%). 7) In 96.6 percent of 58 cases, the symptoms of acute cholecystitis were improved by conservative management. 8) The mean follow-up period was 25.5 months and the recurrence rate was 10% during this period.

식품 기준·규격의 합리적 관리 ·운영에 관한 연구(Ⅰ) : 두부,식용유지, 전분의 분말상 원료에 관하여 Powdered marerials of Tofu, Edible oil, Starch

김희연,홍진환,박혜경,한상배,박종석,이은주,이정성,송경희,최은희,최영준,소경아,성영제,이주엽 식품의약품안전청 2000 식품의약품안전청 연보 Vol.4 No.-

본 연구는 분말상 원료(전분, 대두분)의 저장유통시 품질변화를 건전성과 안전성 측면에서 검토하여 식품의 기준 ·규격 설정f.」 합지적으로 반영하고자 하였다. 전분과 패두분의 이물을 검사하고, 2종 대두분(중국산, 미국산)을 ?0일간 IS'c와 30t에 저장하면서 성상, 수분, 산가, 과산화물가, 지방산 조성,아플라톡신 BB의 생성여부를 분석하였다. 중국산 대두분 30'』 저장군에서 50일 이후 곰팡이가 발생한 것 이외에 모든 시료에서 양호한 성상을 나타내었고, 전분과 대두닥 모든 시료에서 이물은 검출되지 않았다. 산가는 중국산과 미국산 시료간에 편차를 보여 증국산 30"C, 50일 저장시료에서 약 10배끙도 증가하였고, 과산화물가는 저장 90일후 15'E 저장군은 약 2.3배, 30'c 저장군은 3배정도 증가하였다. 대두분의 주요 지방산은 linoleic acidf18. 2), oleic acid(18 : 1), palmitic acid(16 : 0)이었으며, 3개월 저장에 따른 지방산 함량의 변화는 미미하였다. 아플라톡신 B₁은 모든 시료에서 검출되지 않았다. The objective of this study was to investigate auality changes of type raw materials(starch, soy flour) during various storage conditions. Starchflour(source of China, U.S.A) were slfred under two temperature(15'C, 30'c) forSensory evaluation, (o.reign material test, moisture content, acid value, peroxide ualue,composition, aflatorin Bi were analyzed. China soy flour(stor·ed 30'f) was contaminated by fungj on 50 days. Except for soy flour contardnated by fungi, sensory characteristics were not changed and foreign mater;als were notdetected. Acid value of China soy flour(stored at 30'C, 90 days) was about 10 times higherlevel before storage and acid value was more influenced by source(China, USA). Peroxide valuewas in proportion with the storage period slightly. The major fatty acid of soy flour waslinoleic acid(18 . 2), an(3 the change of fatty acid composition was not observed. Aflatoxlrl Blwas not detected.