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의료보험(醫療保險) 및 의료보호(醫療保護) 입원환자간(入院患者間) 의료이용(醫療利用) 비교(比較) 분석(分析)
김세라 ( Se Ra Kim ),조우현 ( Woo Hyun Cho ) 한국보건경제정책학회(구 한국보건경제학회) 2001 보건경제와 정책연구 Vol.7 No.1
The growth of health expenditures for the Medicaid enrollees is very rapid in spite of reduced enrollees in the Medicaid program. Therefore, the cost containment strategies in the Medicaid program is under progress these days. It has been concerned about the evaluation of utilization volume and pattern of healthcare services for the Medicaid enrollees. The existing findings showed that the utilization volume is larger for the Medicaid enrollees compared to the Medical Insurance enrollees, in terms of the length of stay(LOS) and health expenditures. However, the existing studies did not consider the severity of diseases between two groups. Moreover no study has been conducted on the differences of healthcare utilization pattern between two groups. In these context, this study investigated whether the Medicaid and the Medical Insurance enrollees have different healthcare utilization pattern based on the Korean Adjacent Diagnosis Related Group(KADRG). When significant differences were noted, the influencing factors to those differences were examined by analyzing six months medical record data from 30 hospitals. 1. For the ten most frequent KADRGs, the LOS of Medicaid Type 1 inpatients is longer than that of the insured over all 10 disease groups, but the Medicaid Type 1 inpatients have the lowest cost per day. However, the LOS of Medicaid Type 2 inpatients is not different to that of the insured, and their cost per day is even higher. 2. The regression analyses by disease groups show that the LOS of both Medicaid Type 1 and 2 is longer than that of the insured. However, while the cost per day for Medicaid Type 1 inpatients is lower than that for the insured, that for Medicaid Type 2 inpatients is higher than that for the insured.
메를로-퐁티의 현상학을 기반으로 한 무용에서의 창작자-수용자 소통 연구
김세라 ( Se Ra Kim ) 대한무용학회 2016 대한무용학회논문집 Vol.74 No.1
The purpose of this research is to consider the meaning of communication process in dance, by applying the concept from Phenomenology of Merleau-Ponty. Unlike the general language the body language in dance does not have any settled symbol system, thus it is difficult to make the consensus between the creator and audience. Therefore, by using the concept of ‘Incarnation’ and ‘Inter-Sensation’ from the Phenomenologie de la Perception, this study tried to reach the core issue arise from the communication relationship between the creator and audience. Consequently, this study drew the conclusion of ‘communication structure model of the creator-audience in dance.’
김세라,이해준,오헌,이진희,김휴경,김태환,조성기,김성호,Kim, Se-Ra,Lee, Hae-June,Oh, Heon,Lee, Jin-Hee,Kim, Hu-Kyung,Kim, Tae-Hwan,Jo, Sung-Kee,Kim, Sung-Ho 대한수의학회 2002 大韓獸醫學會誌 Vol.42 No.4
We performed this study to determine the effect of Korean favorite teas (green tea, ginseng tea, coffee and barley tea) on jejunal crypt survival, endogenous spleen colony formation and apoptosis in jejunal crypt cells of mice irradiated with high and low dose of ${\gamma}$-radiation. Jejunal crypts were protected by pretreatment of green tea (P.O.: 1.25% water extract, for 7 days before irradiation., I.P.: 50 mg/kg of body weight, at 12 and 36 hours before irradiation, p<0.01) or ginseng (I.P.: 50 mg/kg of body weight, at 12 and 36 hours before irradiation, p<0.05). Green tea (p<0.05) or ginseng (p<0.05) administration before irradiation (I.P. at 12 and 36 hours before irradiation) resulted in an increase of t formation of endogenous spleen colony. The frequency of radiation-induced apoptosis was also reduced by pretreatment of green tea (P.O.: p<0.005, I.P.: p<0.05), pretreatment of ginseng (P.O.: p<0.005, I.P.: p<0.005) or posttreatment of ginseng (I.P.: 50 mg/kg of body weight, at 30 minutes after irradiation, p<0.05). Treatment with coffee or barley tea showed no significant modifying effects on the radiation-induced damages. These results indicated that green tea and ginseng might be a useful radioprotector, especially since it is a relatively nontoxic natural product. Further studies are needed to characterize better the promotion nature of green tea, ginseng and its components.
김사진(Sa Jin Kim),김수평(Soo Pyung Kim),김민정(Min Joung Kim),이상호(Sang Ho Lee),이희중(Hee Joong Lee),문희봉(Hee Bong Moon),이지현(Jee Hyun Lee),박철훈(Chul Hun Park),이귀세라(Gui Se Ra Lee),신종철(Joung Chul Shin) 대한산부인과학회 2002 Obstetrics & Gynecology Science Vol.45 No.3
Cloacal anomalies are very rare congenital malformations with the incidence of 1/50,000-250,000 births. Hydrocolpos involves the dilatation of the vagina due to obstruction of the genital tract, leading to accumulation of secretions. Because of wide spectrum of abnormal anatomy involving urogenital and gastrointestinal systems, prenatal diagnosis is difficult. As ultrasound becomes more and more reliable, prenatal diagnosis is possible as early as in the second trimester. The presence of prenatally detected hydro (metro) colpos warrants a systematic evaluation of fetal and neonatal anatomy to rule out a large variety of possibly associated malformations or syndromes. We present a case of urogenital sinus maldevelopment which was initially presented as a fetal ascites.
돼지 림프구의 미소핵 형성을 지표로 방사선 생물학적 선량측정법 확립
김세라,이해준,이진희,강창모,김태환,조성기,김종춘,김성호,Kim, Se-ra,Lee, Hae-june,Lee, Jin-hee,Kang, Chang-mo,Kim, Tae-hwan,Jo, Sung-kee,Kim, Jong-choon,Kim, Sung-ho 대한수의학회 2004 大韓獸醫學會誌 Vol.44 No.3
The purpose of the present experiment was to investigate the micronuclei(MN) frequency in cytokinesis-blocked(CB) cells after various doses of gamma-rays in pig (Landrace, male, 3-month-old) and so to contribute to the clarification of the question whether these species are suitable as a target organism in the test system. The frequencies of binucleated cells, and gamma-ray-induced MN in CB cells at several doses were measured in three donors. The peaks of binucleated lymphocyte formation(22%) were found at a concentration of 2% phytohaemagglutinin(PHA) and $4{\mu}g/ml$ Cytochalasin B(Cyt-B) in pig at 72 hours after incubation. Measurements performed after irradiation showed a dose-related increases in MN frequency in each of the donors studied. When analysed by linear-quadratic model the line of best fit was $y=0.0183D+0.0124D^2+0.0133$(y = number of MN/CB cells and D=irradiation dose in Gy). In conclusion, the results demonstrate that it appears feasible to use pig as target organisms in the micronucleus test to estimate the cytogenetic damage caused by ionizing radiations or, potentially, chemical compounds.
마우스에서 방사선 영향에 대한 녹차와 Diethyldithiocarbamate의 조절효과
김세라(Se-Ra Kim),김성호(Sung-Ho Kim),이해준(Hae-June Lee),오헌(Heon Oh),류시윤(Si-Yun Ryu),이윤실(Yun-Sil Lee),김태환(Tae-Hwan Kim),조성기(Sung-Kee Jo) 한국식품영양과학회 2003 한국식품영양과학회지 Vol.32 No.7
본 연구에서는 방사선 손상 경감 효과를 나타내는 기호식품을 발굴하고자 국내에서 주로 음용되고 있는 녹차의 방사선 손상 경감효과를 확인하기 위하여 고선량 및 저선량 방사선을 마우스에 조사하고 소장움 생존, 내재성 비장 조혈세포집락 형성 및 apoptosis 유발 등을 관찰하였으며, 그 효과를 방사선 방호효과가 알려져 있는 diethyldithiocarbamate(DDC)와 비교ㆍ관찰하였다. 생존 소장움의 수는 방사선 조사 전 녹차 투여군(경구투여군 : p<0.01, 복강내 투여군 : p<0.01) 및 DDC 투여군(p<0.005)에서 유의성있게 증가되었다. 내재성 조혈세포집락 형성은 방사선 조사 대조군에 비하여 조사 전 복강내 투여한 군(p<0.05)에서만 유의성 있는 증가를 나타냈으며, DDC 투여군에서는 효과를 관찰할 수 없었다. 방사선에 의한 apoptotic cell의 형성은 방사선 조사 전 녹차 투여군(경구 투여군 : p<0.005, 복강내 투여군 : p<0.05) 및 DDC 투여군(p<0.005)에서 통계적으로 유의성 있게 감소되었다. 이상의 결과에서 녹차의 방사선 손상 경감효과를 조혈세포의 생존과 회복, 소장움 세포 생존 및 방사선에 의한 apoptosis 유발억제를 통하여 확인하였으며, 이는 독성이 적은 천연물이라는 관점에서 방사선 손상 경감 음료로서 적용이 가능할 것으로 사료되며 추후 유효 분획 및 성분에 관한 연구가 요구된다. We performed this study to determine the effect of green tea on jejunal crypt survival, endogenous spleen colony formation, and apoptosis in jejunal crypt cells of mice irradiated with high and low dose of gamma-irradiation. The radioprotective effect of green tea was compared with the effect of diethyldithiocarbamate (DDC). Jejunal crypts were protected by pretreatment of green tea (p<0.01). Green tea administration before irradiation resulted in an increase of the formation of endogenous spleen colony (p<0.05). The frequency of radiation-induced apoptosis in intestinal crypt cells was also reduced by pretreatment of green tea (p<0.05). The radioprotective effect on jejunal crypts and apoptosis in the DDC treated group appeared similar to those in the green tea treated groups. Treatment with DDC showed no significant modifying effects on the formation of endogenous spleen colony. These results indicated that green tea might be a useful radioprotector, especially since it is a relatively nontoxic natural product. Further studies are needed to characterize better the promotion nature of green tea and its components.
김수평(Soo Pyung Kim),이초희(Cho Hi Lee),김사진(Sa Jin Kim),허수영(Soo Young Hur),이귀세라(Gui Se Ra Lee),이지현(Jee Hyun Lee),권인(In Kweon),송승규(Seung Kyu Song) 대한산부인과학회 1999 Obstetrics & Gynecology Science Vol.42 No.3
N/A Objective: A Clinical Study of Placenta P#revia done by cesarean section and the study of preterm delivery that is major cause of premature motality even thought expected managment of placente previa. Methods: This study was evaluated for the clinical analysis on the 641 patients with placenta previa among total deliveries of 56,120 cases at the St. Mary and Holy Family hospital of Catholic University from Jan. 1,1989 to Dec.31,1997. Results: The following results were obtained: 1. The total incidence of placenta previa was 1.14%. 2. The incidence of placenta previa increases with age. 3. Placenta previa has occurred more often in multipara(60.2%) than primipara(39.8%), and placenta previa has occurred more often in women who had experienced abortion(71.8%) than women who hadnt(28.2%). 4. The types of placenta previa distributed 326 cases of totalis(50.9%), 110 cases of partialis(17.2%), 99 cases of marginal(15.4%) and 106 cases of low lying placenta(16.4%). 5. The fetal presentation distributed 557 cases of vertex(86.9%), 49 cases of breech(7.6%), 28 cases of transverse lie(4.4%). 6. The types of uterine incision included 543 cases of low sepnent transverse incision(84.7%), 46 cases of classical incision(7.2%), 9 cases of inverted T incision and 43 cases of cesarean hysterectomy(6.7%). 7. Premature delivery of placenta previa prior to completion of 37 weeks was 186 cases(29.0%) and low birth infant less than 2,500gm was 128 cases(20.0%).and perinatal mortality rate was 28.0 per 1,000. 8. During delivery, 278 cases of placenta previa(43.4%) were transfused with mean 3.6 pints. Incidence of vaginal bleeding was 49.3% of placenta previa,mean admission day until delivery was about 5 day. Conclusion: there is a strong association between advancing age and incidence of placenta previa, and then. the risk increases with parity & the number of abortion. Considering the mean volume of blood loss more than 3 pints of blood should be prepared befor delivery.
고등학생의 입시스트레스 수준과 주관적 구강건강상태의 관련성
김세라 ( Se Ra Kim ),한수진 ( Su Jin Han ) 한국치위생과학회 2015 치위생과학회지 Vol.15 No.4
This study attempted to identify the entrance exam stress levels in high school students and analyze the relationship this entrance exam stress and perceived oral health status. Self-administered survey was conducted in total 304 students attending in academic high schools in Bucheon. For analysis, SPSS was used to perform t-test and one-way ANOVA. As a result of the study, the entrance exam stress level of academic high school students was 2.71. The level of sub-factors were that tension for exam/poor result was highest by 3.08 and the next were future uncertainty (2.81), parents pressure (2.56), and insufficient free time (2.52). The group with high entrance exam stress showed significantly high perceived degrees of temporomandibular disorder, oral mucosal disease and xerostama. Among sub-factors of stress, the group with high tension for exam/poor result stress had significantly high perceived degrees of dental caries, teporomandibular disorder, oral mucosal disease and xerostama. Because perception on oral health issues increased with high entrance exam stress in high school students, it is necessary to seek some ways to decrease oral health problems even though entrance exam stress is intensified. To do so, it is inferred that it will be very important to promote oral health education to develop ability of high school students to practice correct oral management method.