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유형식 慶北專門大學 2003 慶北專門大學 論文集 Vol.22 No.-
The objective is to develope a long term care medel in Young-Ju City. I analyzed annual report of Young-Ju City in 2001. Currently many countries are widely perceived the rising percentage of older people in the population. Many older people suffer from combinations of different diseases and treatment of each condition is complicated by the presence of others. Many diseases that affect older people cannot be solved by acute but require chronic care extending over months and years. For all but the most sick people this care can be delivered in a domestic environment, and most older people wish to remain in their homes as long as possible. So far so good, but by the time that these older people have reached home or been placed in a care home. Followings are the results of the analysis. 1. Centering around with health center, public and private resources in the community must be integrated and closed linked. Health center must play a role in case manager and direct service provider to effectively drive long term care program. 2. Through the integration of health center and department of social welfare in a city office, related resources must be used efficiently, mutual intervention and business linkage must be performed smoothly. 3. First of all, decision-makers must perceive need and importance of long term care. 4. To provide continuously, long term care program needs a clear, consistent national policy to guide the partnership between public and private provision.
방사성 면역측정상의 혈청 FSH와 LH에 관한 일차성 무월경증 환자의 진단적 고찰
유형식,이종태,박창윤,유경자,홍인수,김귀언 대한핵의학회 1980 핵의학 분자영상 Vol.14 No.1
일차성 무월경증을 주소로 하는 환자 16명을 대상으로 혈청 FSH와 LH의 단독측정치와 최종 진단과의 관계 그리고 차후검사로는 어떤 검사가 필요한지를 조사하였던 바 다음과 같은 결론을 얻었다. 1) 혈청 FSH와 LH가 모두 증가된 경우는 5명으로 모두 난소의 일차적 병변블 보였으며 효과적 차후검사로는 구강점막 도말검사, 염색체검사, 복강경검사 및 부인과계검사 등이 필요하였다. 2) 혈청 FSH와 LH가 모두 정상인 경우는 9명으로 이중 4명은 말단 장기 즉 자궁이나 경부의 발생이상을 보였으며 5명은 원인이 불분명한 경우로 차후검사로는 환자내진, 복강경검사, 부인과계검사 및 자궁난관조영술이 필요하였다. 3) 혈청 FSH가 감소되고 LH가 정상 또는 감소를 보인 경우는 2명으로 1명은 FSH단독결핍을 보였으며 1명은 원인이 불분명한 경우로 효과적인 차후 검사로는 뇌하수체분비능검사와 두부 X-선 검사 및 LH-RH 자극시험이 필요하였다. 또한 일차성 무월경증 환자에 있어서 방사성면역측정을 이용한 혈청 FSH와 LH의 단독측정치로는 어떤 특정 원인을 진단할 수는 없었으나 주된 병변을 의심할 수는 있었고 또한 확진하기 위한 차후검사의 선택을 효과적이고 유용하게 함으로 단독측정치의 유용성이 있음을 알 수 있었다. The usefulness of single, random measurements of serum FSH and LH in the diagnosis of Primary amenorrhea by radioimnnunoassay was investigated. The 16 patients were divided into 3 groups by the level of serum FSH and LH. The first group with increased level of serum FSH and LH is five patients, all of these are related to the acquired or congenital abnormality of the ovary. Further studies indicated include buccal smear, chromosome analysis, gynecography and laparosocopy. The second group with normal serum FSH and LH is nine patients, four patients of these are related to the developmental anomaly of the Mullerian duct and five patients are undetermined origin. Further studies indicated include laparoscopy and gynecography. The third group with decreased serum FSH and normal or decreased serum LH is two patients, one of these is related to the pituitary function, isolated FSH deficiency, the other is undetermined origin. Further studies indicated include the pituitary function test, LH-RH stimulation test, skull radiography. Determination of serum FSH and LH levels does not permit a specific etiologic diagnosis of primary amenorrhea. However the serum levels of FSH and LH can be used to differentiate the principal area of the investigation and can be of assistance in choosing more specific testing procedures. $quot;
경구 Corticosteroid계 약물 치료한 환자에 있어서 혈중 cortisol에 관한 연구
유형식,이종태,박창윤,김기황,박정희,유경자 대한핵의학회 1980 핵의학 분자영상 Vol.14 No.1
32명의 코티코스테로이드계 약물을 장기간 경구 투여한 환자에서 방사면역측정법에 의해 혈중 코티솔치를 측정하고 부작용을 분석한 결과 다음과 같은 결과를 얻었다. 1) Cusing 증후군을 비롯한 부작용을 호소한 환자는 32예중 24예(75%)로 비만부종이 제일 많았다. 2) Doe의 방법을 이용하여 주야간 변이를 분석한 결과 주야간 변이의 이상을 초래한 경우는 21예(66%)로 평균 약물 사용기간은 55.7±4.4개월, 이상이 없었던 경우 43.9±7.0개월로 의의가 있었다. 3) 주야간 변이 이상을 보인 경우 1예를 제외하고 오전 8시 농도가 오후 8시 농도의 2배가 안되는 경우와 일치했다. 또 주야간 변이 이상을 보인 21예중 4예는 오전 8시보다 오후 8시 농도가 높거나 같았다. 4) 32예의 평균 코티솔치는 오전과 오후 모두 정상보다 감소되어 있었고 11예에서 오전, 오후 농도가 모두 정상 이하치를 보여주었다. This is an analysis of 32 patients who received long continuous corticosteroid drug due to some diseases. Patients were collected from June 1976 to March 1980. Blood cortisol leve1, variation of diurnal rhythm and side effects were studied. The Result as follows: 1) Side effects were observed in 24 patients(75%) and most common complaint was obesity. 2) Diurnal rhythm analysed by Doe's method shows abnormal diurnal rhythm is 21 out 32(66%) 3) Mean durations of therapy of abnormal diurnal rhythm were 55.7±4.4 months and 43.9±7.0 months respectively which shows statistically significant difference. 4) Mean cortisol value of steroid treated patients were lower than normal. 5) Reverse diurnal rhythm was 4 out of 21 patients. 6) 8 A.M. cortisol value is lower than 2 times of 8 P.M. in all patients who showed abnormal diurnal rhythm except one.
병원 고객관계관리(CRM) 기법을 적용한 주문식 교육과정 개발연구 : Yoo, Hyeong-Sik Kim, Key-Hoon Kim, Sook-Jung
유형식,김기훈,김숙정 慶北專門大學 2006 慶北專門大學 論文集 Vol.24 No.-
This study was conducted to develope a customized curriculum for applying hospital CRM. We surveyed the education need of hospital staffs, managers of medical education Institute, and students. And also, we investigated the examples of being successful hospitals in application of CRM. As a result, we deduced new curriculum of Hospital CRM Education, Medical Information & Statistics, Hospital Office Management Practice, Health Insurance Practice, Hospital Customer Relationship Management, and Basis of Medical Science.