영양불량환자의 중증도 적용 향상을 위한 영양지원팀 협의진료체계 개선활동의 중요성

권국환 ( Kuk Hwan Kwon ),이형순 ( Hyung Soon Lee ),유지형 ( Jee Hyoung Yoo ),지수나 ( Soo Na Chi ),박현희 ( Hyun Hee Park ),김소원 ( So Won Kim ),김경란 ( Kyung Ran Kim ),윤난희 ( Nan Hee Yun ),라경택 ( Kyoung Taek Ra ),송현정 ( H 한국정맥경장영양학회 2018 한국정맥경장영양학회지 Vol.10 No.1

Purpose: The grade of complexity in the diagnosis related group (DRG) payment system is influenced by the secondary diagnosis of specific complication and comorbidity level, in which moderate or severe malnutrition is included. This study examined an existing proportion of patients with malnutrition who were supposed to be qualified for the complexity level and devised quality improvement measures to increase the proportion of qualifying complexity payments. Methods: The goal of the activities was to increase the rate of complexity payment claims for patients with malnutrition (%). Cases ineligible for the DRG payment system and cases with no diagnosis of malnutrition were excluded. We established a collaborative system between the nutrition support team and departments related to each improvement factor (i.e., patient care, medical records, insurance review, and medical information). Results: Before implementing the activities, this study investigated the current level of complexity payment claims for malnutrition patients who were discharged within a specific period (June 1, 2015∼August 31, 2015). The results showed that complexity payment claims were filed in 10.00% (2 of the 20 malnutrition cases). After the activities, the rate of complexity payment claims for the patients with malnutrition within the study period (June 1, 2016∼August 31, 2016) was 46.43% (26 out of 56), showing an approximately 364% increase from the pre activity rate. This change was statistically significant according to the chi-square test on Microsoft Excel 2010 (P<0.01). Conclusion: Collaborative efforts by the related departments enabled the smooth implementation of each activity. In addition, moderate or severe malnutrition was revealed to be a variable in the complexity-specific payment system. In the future, hospital-wide awareness and effort are crucial to promot the steady practice of these activities and expand their implementation.

구강악안면 영역에서 Tutoplast Dura의 임상적 적용

지재휴,김영균,여환호,박인순,변웅래 大韓顎顔面成形再建外科學會 1996 Maxillofacial Plastic Reconstructive Surgery Vol.18 No.1

Human Dura mater treated by various processes was used to restore small periodontal defects, large bony defects for improvement of new bone formation, and soft tissue defects and replace the disc of TMJ, etc.. Tutoplast Dura is the solvent-preserved Human Dura mater and sterilized by gamma radiation. In our department, Tutoplast Dura was implanted in 32 patients, from 1994, 6 to 1995, 7. We implanted the Tutoplast Dura at 11 various cysts, 6 implantations, 4 fractures, 3 clefts, 2 TMJ disease, 2 maxillary sinusitis, etc.. We performed the retrospective study about the purpose of Tutoplast Dura implantation, postoperative complication and histologic examination of biopsy specimen at implant second surgery.

화상으로 인한 소구증 환자의 치험례

지재휴,이병준,김영균,김수관,황경곤,여환호,박인순 大韓顎顔面成形再建外科學會 1996 Maxillofacial Plastic Reconstructive Surgery Vol.18 No.3

Deep burns of the face & lips often lead to scarring and contraction of the circum-oral tissues with a marked reduction in the size of the oral aperture. Such burns most commonly caused by electrical contact, for example, children sucking electric plugs, or as a result of chemical burns and the exposture to flame. Once having burns, burned tissue may contract and reduce considerably the size and mobility of the mouth ; therefore bring up the resultant functional disturbance, verbal difficulty, even disgestive difficulty, and poor appearance, which fall into difficulty in social acceptability, caused by burns. In our department, 2 patients who were complain of functional limitations and esthetic problem owing to scar contracture, were visited, and we treated this microstomia with scar excision, graft and flap technique, and postoperative intensive physical therapy. We obtained relatively favorable results, thus report this cases with literature review.

쇄골하 정맥 카테터 제거 후 발생한 일과성 피질맹

김지훈,이규환,한시령,최영빈,김영인 대한신경과학회 1999 대한신경과학회지 Vol.17 No.5

태권도 연구경향과 방향성 대한 연구

지치환,윤상화,조임형 龍仁大學校 武道硏究所 1997 武道硏究所誌 Vol.8 No.2

The purpose of this study was to investigate the rescarch pattern and trends of Tae Kwon Do researches. Hundred ten papers were analysised for this purpose and the analysis were devided two categories. The first category was analysis of subject in Tae Kwon Do research. The second category was analysis of object in Tae Kwon Do research. From the analysis, result were made as follows; 1. Analysis of subject in Tae Kwon Do research. The researches which treat physiological factor were 26.4%, the researches which treat techniques for compitition were 25.5%, and the researches which treat psycological factors were 11.8%. 2. Analysis of object in Tae Kwon Do research. The researches which object compitition were 77.3%, and it contains kicking, physical fitness, point, athlete, division, weight, structure of technique, injury, judge, rules. The researches which object displine were 10% and reality of Tae Kwon Do were only 9%

淸末 民國初 天津錢庄의 發展

林地煥 전북대사학회 1997 전북사학 Vol.19ㆍ20 No.-

1900년대 초 中國 錢庄의 회획 制度

임지환 全北史學會 2001 전북사학 Vol.24 No.-

한국판-적응행동검사(K-ABI)의 표준화 예비연구(Ⅰ) : A Preliminary Study(Ⅰ)

안병환,윤치연,천성문 한국동서정신과학회 2001 동서정신과학 Vol.4 No.2

본 연구는 Brown과 Leigh가 개발한 Adaptive Behavior Inventory(ABI)의 한국판 표준화를 위한 예비연구로서, 본 검사의 신뢰도와 타당도를 검증함으로써 그 유용성을 입증하고자 하였다. 정신지체학생 124명과 정상학생 82명을 대상으로 교사로 하여금 5개 하위척도(자조능력, 의사소통능력, 사회능력, 학업능력, 작업능력)에 4점 척도로 평정하도록 하였다. 신뢰도를 알아보기 위하여 먼저 내적 일치도(Cronbach' α)를 산출하였는데, 정신지체집단에서는 .85~.93이었고, 정상집단에서는 .89~.94로 모두 통계적으로 유의미하였다(p<.05). 검사-재검사는 정신지체집단에서 .88~.91이었고, 정상집단에서 .88~.92로 모두 통계적으로 유의미하였다(p<.01). 한편, 교사의 전문적 판단과 각 하위척도와의 준거관련타당도는 정신지체집단에서 .71~.78이었고, 정상집단에서 .72~.81로 나타나 비교적 높은 정적 상관을 보였으며, 사회성숙도와 각 하위척도와의 피어슨 적률상관계수는 정신지체집단에서 .39~.47이었고, 정상집단에서 .38~.45로 만족할만한 수준으로 나타났다. 또 구성타당도는 각 하위척도들간의 상호상관계수가 정신지체집단에서 .51~.75이었고, 정상집단에서 .61~.80으로 나타나 모두 통계적으로 유의미하였다(p<.05). 본 연구에서 나타난 결과를 종합해 볼 때, 이 적응행동검사는 정신지체집단과 정상집단 모두의 적응행동을 평가할 수 있는 유용한 도구가 될 수 있음을 시사해 준다. This study was preliminarily executed to develop the Korean Version of ABI(Adaptive Behavior Inventory) for identifying the abilities of self-help, communication, social interaction, academic tasks, and occupation tasks.Subjects were 124 students with mental retardation and 91 normal students. The internal consistency of the items on the Korean Version of ABI was investigated using Cronbach's α. The coefficient alpha for the subtests ranged from .85 to .93 in MR students, .89~.94 in normal students and were statistically significant(p<.05). Also, test-retest correlation coefficients ranged .88~.91 in MR students, .88~.92 in normal students, and were statistically significant(p<.01). In addition, criterion-reference validity coefficients for teacher's judgement and subtests ranged .70~.78 in MR students, .72~.81 in normal students and were highly correlated. In Social Maturity Scale and subtests,the Pearson product-moment coefficients of correlation ranged .38~.47 in MR students, .38~.45 in normal students and were accepted statistically significant. Also, construct validity coefficients ranged .51~.75 in MR students, .63~.80 in normal students and were statistically significant(p<.05). As a result, this study suggest the scale can be used for identifyingthe abilities of social adaptation of persons with mental retardation and other disabilities.

民國初 四川地域 軍閥과 四川鹽政

林地煥 전북대사학회 1990 전북사학 Vol.13 No.-

光州 同福水源池의 富營養化 현상과 Photoplankton의 계절적 발생에 관한 연구

김병환,류일광,이치영,강영식 광주보건대학 1980 論文集 Vol.5 No.-

Eutrophication in the Lake Dongbock used as a source of water to Gwangju city was studied to examine the concentration of nutrients and distribution of phytoplanktons. Water sample was collected at 3 positions; surface water of influent area, lake center and pumping station from 18. May 1978 to 18. February 1980. A summary of the experimental results is shown as follows. (1) The phytoplankton identification in this investigation showed Cyanophyceae is 7 genera 8 species, Bacillariophyceae 16 genera 26 species and Chlorphyceae 16 genera 26 species; Total 39 genera 60 species. (2) To appear a dominated alge was Synedra, Melosira, Asterionella, Navicula, Gloecystis, Golenkia and Microcystis. (3) In the remarkly dominated specis of seasonal welfare s.p 1 and s.p 2, Synedra, Melosira, Asterionella and Gloecystis in spring- (May), and Microcystis, Aphanacapsa, Syrndra and Melosira in summer (Aug) occur the great deal of quantity, and is inclined to decrease in Autumn and Winter. (4) The concentration of nutrients for nitrogen and phosphorous was 1.124㎎/l and 0.775㎎/l. Because Melosira, Asterionella, Scenedesmus and Anabaena is occuring, it proved to be Eutrophic Lake. (5) As appearing indication of α and β mesosaprobic system; Anabaena, Microcystis, Oscillatoria, Melosira, Scnedesmus, Navicula and Antictrodesmus, the Lake Dong-bock continues to be a pollution.