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의원 의료보조인력이 건강보험 진료비와 환자수에 미치는 영향
조석주 ( Suk Ju Cho ),김상아 ( Sang A Kim ),박웅섭 ( Woong Sub Park ) 한국보건행정학회 2007 보건행정학회지 Vol.17 No.2
The purpose of this study was a quantitative analysis for the influence of physician`s assistants on national health insurance revenue and number of patients in clinic. The data was derived from the Korean national health insurance. That was complete enumeration. Dependent variables were measured by national health insurance revenue and number of patients. Independent variables were reported physician`s assistants that the number of nurse, nurse-aid, tachnologist of clinical laboratory, physical therapist and radiologist in clinic. Confounding variables were classified by demand(region, number of inhabitants, number of clinics, number of bed per a hundred thousand persons) and supply(sex and age of representative, number of bed, subjective of medical treatment). On the multiple regression analyses, the physician`s assistants that nurse, nurse-aid, technologist of clinical laboratory and physical therapist were statistically significant for outputs. But radiologist was statistically significant only for number of patient.
증례보고 : Tay-Sachs Disease 환자의 전신마취 경험
김성수 ( Seong Su Kim ),조석주 ( Suk Ju Cho ),정화성 ( Hwa Sung Jung ) 대한마취과학회 2007 Korean Journal of Anesthesiology Vol.52 No.1
Tay-Sachs Disease (TSD), the most common form of GM2 gangliosidosis, is an autosomal recessive inborn lysosomal glycosphingolipid storage disease which is resulted from the mutations that affect the α-subunit locus on chromosome 15 and cause a severe deficiency of hexosaminidase A. It is characterized by normal motor development in the first few months of life, followed by progressive weakness and loss of motor skills beginning around 6 months of life. Neurodegeneration is relentless and manifested as relentless motor and mental deterioration, beginning with motor incoordination, mental obtundation leading to muscular flaccidity, blindness, and increasing dementia, with death occurring by the age of 4 or 5 years. We report a successful anesthetic management in a patient with Tay-Sachs Diseases for tracheostomy and feeding gastrostomy. (Korean J Anesthesiol 2007; 52: 107~10)
증례보고 : 마취 중 요도 카테터 삽입 후 발생한 Chlorhexidine 아나필락시스
김태희 ( Tae Hee Kim ),조석주 ( Suk Ju Cho ),김혜진 ( Hye Jin Kim ),노규정 ( Gyu Jeong Noh ) 대한마취과학회 2007 Korean Journal of Anesthesiology Vol.52 No.1
Chlorhexidine is a widely used antiseptic and disinfectant that has eliminating effects on gram-positive bacteria, gram-negative bacteria, some mycobacteria, candida albicans, and some viruses. There have been a few reports regarding severe adverse reactions associated with chlorhexidine. But, there was no report about the anaphylactic shock due to chlorhexidine during anesthesia in Korea. We report a severe anaphylaxis reaction after the use of chlorhexidine jelly for the urethral catheterization, presenting the positive skin test for chlorhexidine. This case shows that the ``innocent`` products such as urethral lubricants may elicit serious life-threatening reactions. (Korean J Anesthesiol 2007; 52: 104~6)
전관식,유성현,조영준,홍장표,한욱진,최병순,강필상,조석주,Chun, Kwan-Sik,Yoo, Sung-Hyun,Cho, Young-June,Hong, Jang-Pyo,Han, Wook-Jin,Choi, Beong-Soon,Kang, Pil-Sang,Cho, Suk-Ju 한국방사성폐기물학회 2009 방사성폐기물학회지 Vol.7 No.3
To evaluate the efficiency of the decontamination plant for the removal of uranium compounds deposited on the internal surface of $UF_6$ cylinder for its reuse, two demonstration tests of the plant with different ratio of ${Na_2}{CO_3}$ and ${H_2}{O_2}$ were carried out, and each test had 5 steps. The main chemical form removed by the tests was to be identified as ${Na_4}{UO_2}(CO_3)_3$. More than 50% of uranium was removed by water of the first step, and at the following steps the removal amounts were exponentially decreased. On the other hand, the result shows that the injected amount of ${Na_2}{CO_3}$, compared with that of the removed uranium, was stoichiometrically excessed. This suggests that the injected amounts of ${Na_2}{CO_3}$, the generation rate of decontaminated waste, and the decontamination steps could be reduced by a process optimization of the plant.