일 대학병원 주차장 유료화에 따른 주차장 이용실태 조사

김정희,박진숙,주찬웅,최기철 한국의료QA학회 1997 한국의료질향상학회지 Vol.4 No.1

Background : As parking problem caused by increasing owner-driver and patients concentration to a general hospital is becoming one of the dissatisfactions in medical care. It is time that a general hospital should solve the parking problem in a desirable way. The purpose of this survey is to let the clients understand the basic motivation of the pay parking and develop the better parking system. Methods : Clients of a tertiary care hospital in Chon-ju were surveyed by means of a questionnaire. All in all, 193, subjects answered the questionnaire. Results : In relation to the previous experiences, 39.6% of the subjects experienced inconvenience with confuse parking lot and the shortage of parking space. Under the were more than those who didn't 62.7% of the subjects answered that the y could find the parking lot easily. 33.2% of the subjects mentioned that it was not easy to drive in the parking area ; The reasons were pointed out the shortage of space, disordered parking, and insufficient guide, 12.8% of the subjects satisfied with the current administering system of parking lot. The outpatients were more affirmative than the admitted patients about the charging system. As for the parking fee, 64% of the subjects answered that it is expensive, and 89.5% of the subjects answered that it is expensive, and 89.5% of the subjects thought imposing of parking fee is irrational. Conclusion : To say as a whole, th basic purpose of the charging system are more of less accepted. However, the management details like parking facilities and payment method are dissatisfactory, so it is necessary to improve the management system. It is also noted that the inpatients showed more negative attitude than the outpatients with the charging system. To secure a more convenient parking, the parking system should be considered in relation to the information service, kind guidance, improve facilities, personnel cooperation, fix outpatient scheduling system. etc.

중ㆍ고등학생들의 수학교과 호오도(好惡度)의 변화에 대한 분석

박규홍,박기양,김영국,박윤범,박혜숙,임재훈 서원대학교 교육대학원 2000 교육논총 Vol.4 No.-

In this paper we investigate and analyze the variation of secondary school student's like and dislike the school mathematics lesson. First, we investigate the reason that why students dislike mathematics in the class and we search the point of time when the students dislike mathematics in the class. Next, we investigate and analyze the variation of student's inclination to the school mathematics lesson. In this research we try the followings. 1) We analyze the variation of each level school, student's inclination to the school mathematics class, 2) We analyze the variation of student's inclination to the mathematics for each place where the school located. 3) We analyze and compare between the inclination to the mathematics lesson and to each level school. 4) We analyze and compare between the inclination to the mathematics lesson and to each factors of student's inclination From these investigation and analysis, we have the following conclusion . (1) The student's inclination to the mathematics is depend on the teacher's teaching method and on the fact that how can the mathematics lesson be composed easily. (2) The student's response was seen in the same type from the inquiry about the inclination to the mathematics lesson in the school of Seoul and small country town. This is a passing phase caused by the educational environment in Seoul and the small country town's schools is better than that of the big city or medium city. (3) The student group of the human knowledge in the general high school show the negative response for the inclination to the matheirlatics lessen compare to that of the student group of natural science in the general high school. (4) In the middle school, about half of the students dislike mathematics But such dislike rate of mathematics increased in the high school. (5) Teachers must take into consideration to the student in the first grade high school mathematics course To do this, teachers make adapt the curriculum easily for the student and must teach the mathematics to the students who can take interest in the mathematics.

관동맥질환에서 저밀도 지단백 입자 크기의 분포

임효영,김인숙,승기배,강동헌,전두수,장기육,박준철,이수영,홍순조,최규보 대한순환기학회 1998 Korean Circulation Journal Vol.28 No.8

연쇄알구균 감염에 의한 급성 인후염 후 반응성 관절염 1예

박은하,도연실,양정채,강미라,서현주,정숙인,손준성,기현균,오원섭,백경란,송재훈 대한감염학회 2004 감염과 화학요법 Vol.36 No.6

연쇄알구균에 의한 급성 인후염 후 발생한 반응성 관절염은 급성 류마티스열의 개정된 진단기준을 충족하지 못하면서, 지속적 혹은 재발성의 비이동성 관절염과 발열, 홍반성 결절, 일시적 간기능 이상 등을 보이면서 심장염과 무도증을 드물게 동반하는 질환이다. 따라서, 발열을 동반한 급성 관절염 환자에서 감별해야 할 질환 중의 하나이며, 심근염 예방을 위한 페니실린 요법의 적응증 및 기간에 대해서는 아직 이론이 많은 상황으로, 보다 광범위한 연구가 필요하다. 저자들은 연쇄알구균에 의한 급성 인후염 1주 후에 발생한 하지의 다발성 비이동성 관절염과 함께 결절홍반 및 일시적 간기능 이상을 보인 환자에서 PSRA로 진단하고 비스테로이드성 항염증제 및 스테로이드로 성공적인 치료를 하였기에 이를 문헌 고찰과 함께 보고하는 바이다. Poststreptococcal reactive arthritis (PSRA) is associated with recent streptococcal infections. However, PSRA is distinct from acute rheumatic fever by its clinical manifestations: non-migrating arthritis, erythema nodosum or erythema multiforme, and transient elevation of serum transaminases. We experienced a 33-year-old man who presented with fever, arthritis of both knees and ankles, and erythema nodosums on extensor surfaces of lower legs which developed 6 days after the onset of pharyngitis symptoms. Blood and urine cultures were negative. Throat culture was negative for group A β-hemolytic streptococcus. The ASO titers increased up to 2080 IU/mL in sequential monitoring. The result of bone scan was compatible to arthritis of both knees and ankles. There were no signs or symptom of carditis. He showed clinical improvement with anti-inflammatory drugs (naproxen 1,000 mg/day and prednisolone 7.5 mg/d). PSRA should be included in the differential diagnosis of patients presenting with arthritis combined with fever.

일반인과 정신과 환자 보호자들의 정신질환에 대한 인식과 태도에 관한 연구

박정우,곽영숙,백기청 大韓神經精神醫學會 1995 신경정신의학 Vol.34 No.4

This study was conducted to examine the knowledge and attitude toward mental illness in the lay people and the psychiatric patients' caretakers from December 1993 to October 1994. 242 lay people who were the parents of the students in an elementary school and 164 psychiatric patients' caretakers at Seoul National Mental Hospital were asked to answer a questionnaire about mental illness. In addition, parent Bonding Instrument(PBI) was used to determine the parental bonding style in 94 psychiatric patients' caretakers. And the results were as follows : 1) the primitive, supernatural concepts toward mental illness were significantly high in caretakers and in low educational group. 2) The psychological, environmental concepts toward mental illness were significantly high in female and in low educational group. 3) The negative attitudes toward the mentally ill were significantly high in female caretakers and in older age group and how educational group. 4) The caretakers' negative attitude toward the mentally ill were significantly associated with increased number of admissions. 5) The Mothers had more psychological, environmental concepts and more negative attitudes toward mental illness than the siblings in caretakers. 6) The negative attitudes toward the mentally ill were significantly associated with high level of parental overprotection and low level of parental care and the primitive, supernatural concepts toward mental illness were significantly associated with high level of paternal overprotection and low level of paternal care. We suggest that educational programs on the mental illness, especially for the primary caretakers, are necessary for early detection and treatment of illnesses, prevention of relapses- and rehabilitation.

불소화 처리가 폴리이미드 필름의 표면 및 유전특성에 미치는 영향

박수진,조기숙,김성현 한국화학공학회 2003 Korean Chemical Engineering Research(HWAHAK KONGHA Vol.41 No.4

본 연구에서는 폴리이미드 필름 표면에 불소화 처리하여 필름의 표면 및 유전특성을 X-ray photoelectron spectroscopy (XPS)와 유전율 측정을 통해 관찰하였고, 열적·기계적 특성은 thermogravimetric analysis (TGA)와 인장강도를 측정하여 고찰하였다. 본 실험결과, 불소화 처리한 폴리이미드 필름은 처리가스량에 따라 불소함량이 증가하였으며, 결과적으로 미처리 필름과 비교하여 유전율이 감소하였다. 이러한 결과는 치환된 불소가 폴리이미드의 전자편극 (electron polarization)을 감소시키고, 큰 불소의 부피로 인해 자유부피를 증가시킴으로써 폴리이미드 필름의 유전율을 감소시킨 주요한 인자로 작용한 것으로 판단된다. 또한 본 실험에서 불소화 처리는 필름의 열적·기계적 특성에 큰 영향을 미치지 않은 것을 관찰할 수 있었다. In this work, the effects of fluorine treatment of polyimide thin film on surface and dielectric characteristics were studied using X-ray photoelectron spectroscopy (XPS) and dielectric constant, respectively. And, their thermal and mechanical properties of the polyimide film were characterized by thermogravimetric analysis (TGA) and tensile strength, respectively. The fluorine content of the polyimide film was increased with increasing the amount of the treatment gas, resulting in decreasing the dielectric constant of the film. It was explained that the replacement of fluorine led to the decrease of the local electron polarization of polyimide, or to the increase of the free volume which can be attributed to the relatively large volume of fluorine. Nevertheless, the fluorination didn't significantly affect thermal or mechanical properties of the polyimide film under a mild condition in this system.

「부인필지」에 수록된 어ㆍ육류 조리법에 관한 문헌적 고찰

박미정,김기숙,최애진 중앙대학교 생활과학연구소 2000 생활과학논집 Vol.13 No.-

「Puinpilji」 is an old cooking book written in 1915. Although 「Puinpilji」 documents a variety of recipes, in this study primarily intends to examine recipes employing fish and meat; these dishes are often presented as always food. This study will try to lucidly categorize the kinds of fish and meat introduced in the first volume of 「Puinpilji」 according to their recipes in order to analyze them by comparison to the recipes of fish and meat documented in 「Eumsikdimibang」 and 「Siuijeonseo」 ; 「Emsikdimibang」 is the oldest cook book written in Hangul and 「Siuijeonseo」 is a great resource of traditional cookery at the end of Chosun dynasty. We classified the recipes into five categories: soup, stew, salted fish, sauce, and other cooking method. In general, the recipes introduced in 「Puinpilji」 were similar to those in 「Siuijeonseo」 since the two books were written without much disparity in timeline.

농촌 노인의 식품 기호도 조사

박기순,박영숙,김 순 순천향대학교 기초과학연구소 1996 순천향자연과학연구 논문집 Vol.2 No.2

A study about food preference of the elderly in rural area was performed to 110 home-living subjects by questionaires and personal interviews. We found that they prefered the sweet and hot than the salty and sour. Among five food groups vegetables and fruits were the most favorite food groups to the elderly. followed by meats, fishes, eggs and legumes. Fats, oils and sugars were the least favorite one. Cooked rice with legumes was the most liked food among the grains and starches. most of the elderly liked soy paste and soybean curd among meats, fishes, eggs and legumes and yogurt among milk and milk products. They liked dried seaweed, watermelon, percimon, lettuce, peach, chinese cabbage and cucumber among vegetables and fruits and enjoyed vegetable oils including sesami oil among fats and oils.

前腕部 經穴 取穴에서 骨度分寸法과 一夫法의 比較 硏究

박히준,채윤병,차웅석,박종배,이혜정,이향숙,인창식,고형균,김수영,최일환,김강식,문정배,배기태,유경환,육근영,정병주,손인철,임사비나 WHO COLLABORATING CENTRE FOR TRADITIONAL MEDICINE 2004 東西醫學硏究所 論文集 Vol.2004 No.-

Background : The cun measurement System, an essential and convenient method in locating acupoints, has been widely used in the practice of acupuncture. However, traditional cun measurement has been criticized for its lack of reliability. Objectives : The purposes of this study are to determine if one cun measured by the directional methods have a consistency with that of proportional methods and to investigate which factors are related with these differences, especially in forearm. Methods : The distance between the elbow crease and the wrist crease of forearm was compared to a reference value of one cun obtained by the directional method. In this method, one cun is one third of the distance between index finger and Small finger of a subject, measured at proximal interphalangeal joint. In addition, to investigate the factors influencing the differences between these two methods, we measured the height and body weight and calculated body mass index (BMI). Finally we analyzed the factors correlated with these lengths by linear regression test. Results : The results showed that one cun obtained by the directional methods were significantly different from one cun by the proportional methods in forearm. It was demonstrated that the length acquired with the directional method was more correlated with body weight and body mass index, while the length obtained by the proportional method was more correlated with the height.

다발성 말초신경증이 동반된 불명열로 발현한 혈관내 림프종증

박병배,김갑현,손준성,기현균,정숙인,오원섭,백경란,정철원,송재훈,고영혜 대한감염학회 2003 감염과 화학요법 Vol.35 No.5

불명열의 원인에는 감염, 신생물, 교원섬유혈관질환 등의 여러 가지 질환이 속한다. 불명열 환자를 접하게 되면 그 원인을 밝히기 위한 검사를 시행하게 되는데, 수많은 검사를 시행하고도 그 원인 질환이 진단 안 되는 경우가 5-15% 정도 된다. 불명열의 원인으로서 이전까지 진단이 어려웠던 농양이나 종양은 현대의 방사선적 영상기술 발달로 조기 진단이 가능하게 되었지만, 악성 혈액질환처럼 종괴를 형성하지 않는 질환들의 정확하고 신속한 진단은 여전히 어려운 실정이다. 혈관내림프종증은 림프절 병변을 거의 형성하지 않기 때문에 진단이 매우 어려운 질환이다. 병의 경과가 빨리 진행하여 예후가 좋지 않으므로 신속한 진단이 절실히 요구되는 질환이다. 저자들은 말초신경증이 동반된 불명열을 주소로 내원한 환자에서 흉강내시경 폐생검을 시행하여 혈관내림프종증을 조기 진단할 수 있었기에 이를 문헌 고찰과 함께 보고 하는 바이다. Fever of unknown origin (FUO) is caused by infections (30-40%), neoplasms (20-30%), collagen vascular diseases (10-20%), and numerous miscellaneous diseases (15-20%). The literatures also reveal that 5-15% of FUO cases defy diagnosis, despite extensive studies. Diagnostic advances continuously modify the spectrum of FUO-causing diseases. Modern imaging techniques (e.g., ultrasound, CT scan, MRI) enable early detection of abscesses and solid tumors that used to be difficult to diagnose. But the correct diagnosis can be delayed because the tumor, such as rare hematologic malignancy, is difficult to be detected by various imaging studies. Intravascular lymphomatosis (IVL) is a rare form of non-Hodgkin's lymphoma and generally fatal disease characterized by extensive proliferation of neoplastic mononuclear cells within the lumina of blood vessels. The prognosis is usually extremely poor, with rapid death despite chemotherapy. The diagnosis is most frequently made after biopsy of skin or brain but is often established post mortem. Most patients with IVL present with FUO and nonspecific cutaneous and neurologic manifestations. Peripheral nerve system or pulmonary involvements are not common as initial menifestations. We report a case of intravascular lymphomatosis, presenting as FUO with peripheral polyneuropathy. We made early diagnosis of IVL by video-assisted thoracoscopic lung biopsy. She is improving with good performance after the 4th cycle of chemotherapy till now.