건강보험공단 건강검진과 자비 건강검진 수검자간의 만족도 비교

신연수,박종연,정상혁,정혜영,강혜영 한국의료QA학회 2005 한국의료질향상학회지 Vol.12 No.1

Backgrouds : This study was performed to compare the satisfaction levels for health examination programs provided by between the Korea National Health Insurance Corporation (KNHIC) and private healthcare organizations in Korea. We investigated factors associated with the satisfaction level for the KNHIC health examination. Also, factors explaining for the additional receipt of private healthcare organization's examination were identified. Methods : A self-administered questionnaire survey was conducted in June 2004 with 250 beneficiaries of the KNHIC industrial workers' program and 100 beneficiaries of the KNHIC selfemployed program. A total of 297 completed the questionnaire, including 213 (85.2%) and 84 (84.0%) for each insurance program. Ten questions measuring satisfaction levels for each examination program were rated on a scale ranging from 1 (strongly unsatisfied) to 5 (strongly satisfied). Results : Among the subjects receiving both examinations, the mean satisfaction level for the KNHIC examination (3.07) was significantly lower than that for the private healthcare organization's examination (3.50) (p<0.05). The KNHIC examination showed lower satisfaction for all of the 10 items than the counterpart. In particular, the KNHIC examination had the scores of lower than 3.0 for the items reflecting post-examination management services. According to the multiple regression analysis results, the satisfaction for the KNHIC examination was positively associated with the positive attitude toward health examination(•‚=0.38, p<0.00). The logistic regression results showed that the likelihood of receiving the private healthcare organization's examination in addition to the KNHIC examination increases as the respondents were less healthier(OR=0.29, 95% CI = 0.10¢¶0.84), the satisfaction level for the KNHIC examination decreased(OR=0.46, 0.28¢¶0.75) or the attitude toward health examination was more positive (OR=2.56, 1.31¢¶5.12). Conclusion : The relatively low satisfaction level for both examination programs suggests that there's ample room for improvement of health examination services in Korea. The negative association between additional receipt of private healthcare organization's examination and satisfaction level for the KNHIC examination implies that the improvement of the satisfaction for the KNHIC examination would help to reduce the national expenditure spent on the additional examination.

동맥경화에 의한 하지 허혈증 환자에서 Subintimal Angioplasty의 효과 : 단기 추적 결과를중심으로

윤상섭,허윤정,최승혜,박종경,이성,송경섭 대한혈관외과학회 2003 Vascular Specialist International Vol.19 No.2

CPPU유도 참다래 단위결과 과실의 특성

조윤섭,조혜성,박문영,박재옥,박태동,김월수 全南大學校 農業科學技術硏究所 2001 農業科學技術硏究 Vol.36 No.-

This study was designed to find out an alternative to artificial pollination in kiwifruit production. The parthenocarpic kiwifruits induced by (N-2-chloro-4-pyridyl)-N-phenyl urea (CPPU) treatment tended to be less attractive due to deep furrowing and excessive outgrowth of stigma in mature fruits. Especially, on flower buds after CPPU spray, severe fruit-drop was induced. It was considered enough to spray CPPU at more than 4ppm to attain sufficient fruit set but needed to spray CPPU at more than 16ppm to attain marketable fruit size. When CPPU at 16ppm was sprayed to the same flower once, twice or three time, the fruits received CPPU treatment more time was larger but less attractive. Application of CPPU mare than at 16ppm seemed to be necessary to produce fruits heavier than 80 gr. Enlargement of the fruits received CPPU treatment mainly occurred cross wisely and vertical development was not affected and thickening of outer pericarp primarily contributed to the fruit enlargement. Difference in flesh color or contents of vitamin C and sugars between control fruits and CPPU-treated fruits was not noticed. In conclusion, CPPU treatment to induce parthenocarpic kiwifruits could be commercially applicable, only the method for improving fruit appearance is worked out.

자일리톨 섭취에 따른 Streptococcus mutans의 글루칸 생성관련 유전자 발현 억제효과

김지혜,이영은,안상헌,최연희,남순현,송근배 大韓小兒齒科學會 2009 大韓小兒齒科學會誌 Vol.36 No.4

본 연구에서는 장기적인 자일리톨의 섭취가 Streptococcus mutans의 대표적인 독성인자 중 하나인 글루칸 생성에 미치는 영향을 알아보기 위하여 글루칸 합성효소인 glucosyltansferase의 mRNA 발현을 실시간 역전사 중합효소 연쇄반응을 통해 평가하여 다음과 같은 결과를 얻었다. 1. 24개월 동안 자일리톨껌을 섭취한 군에서 타액 내 Streptococcus mutans의 colony 수는 통계적으로 유의하게 감소하였다(p<0.05). 2. 비수용성 글루칸 합성에 관여하는 유전자인 gtfB, gtfC의 발현은 자일리톨껌을 섭취한 군에서 시간이 지남에 따라 유의 하게 감소하였다(p<0.05). 특히 gtfB의 발현은 12개월과 24개월째 대조군에 비하여 통계적으로 유의하게 낮았고, gtfC의 발현은 24개월째 대조군에 비하여 통계적으로 유의하게 낮았다(p<0.05). 3. 수용성 글루칸 합성에 관여하는 유전자인 gtfD의 발현 역시 자일리톨껌을 섭취한 군에서 시간이 지남에 따라 유의하게 감소하였다(p<0.05). 또한 gtfD의 발현은 12개월과 24개월째 대조군에 비하여 통계적으로 유의하게 낮았다(p<0.05). 이상의 결과들을 종합해 보았을 때, 자일리톨의 섭취는 구강 내 Streptococcus mutans의 글루칸 합성 관련 유전자들의 발현을 억제시킴으로써 Streptococcus mutans의 수적인 감소를 가져오는 것으로 생각된다. Xylitol has the ability to reduce the adherence of Streptococcus mutans(S. mutans), which can make it easier to remove plaque, decrease acid production and inhibit dental caries. There are few reports on the effects of xylitol on the expression of the virulence related genes in S. mutans. This study examined the inhibitory effect of chewing gum containing xylitol on glucan synthesis related gene expression of S. mutans. Participants were voluntarily recruited for a women's oral health prevention program, classified into two groups(a control and a xylitol group), and then followed for 2 years. Twenty salivary samples were randomly selected from each group. Colony count and real-time reverse transcription polymerase chain reaction were used to analyze the characteristics of S. mutans. The following results were obtained: The S. mutans counts decreased steadily in the xylitol group over the study period(p<0.05). The expression of the virulence related genes (gtfB, gtfC and gtfD) was significantly lower in the xylitol group than in the control groups (p<0.05). In conclusion, these results suggest that chewing xylitol gum for a long period of time may reduce the expression of the genes associated with S. mutans virulence, which can result in a decrease growth of S. mutans colonies as a result.

참다래 수품종의 형태적 특성과 RAPD에 의한 유연관계 분석

조윤섭,조혜성,노일섭,김월수 전남대학교 농업과학기술연구소 2000 農業科學技術硏究 Vol.35 No.-

To examine the taxonomic relationships among 13 male kiwifruits by 36 morphological characters, principal component analysis and cluster analysis were carried out. Of 36 characters, hair density on ventral midribs and between ventral midribs, leaf length/leaf width ratio etc. were considered as very useful characters for the classification of Actinidiacea plants and number of white dots on branch, full flowering period and flower color etc. also showed significant differences among A. deliciosa, A. chinensis and wild kiwis. Results of cluster analysis using scores of the principal component indicated that 13 male kiwifruits could be grouped into A. deliciosa, A. chinensis and wild kiwis phenon at 0.5 of average distance in WMVCA. This result was also very similar to that of RAPD analysis. However, it seems that more characters including various kinds of Actinidia species are needed for the exact classification.

미생물제 Mity-Gro의 포도 품질 향상 효과

정경화,상혜영,윤정희,박희승 中央大學校 食糧資源硏究所 2002 食糧資源硏究所 論文集 Vol.14 No.1

Mity-Gro는 비병원성 박테리아인 Bacillus Lateosporus를 주성분으로 하는 미생물제재로서 본 실험은 Mity-Gro가 포도 품질 향상에 미치는 효과를 알아보기 위하여 수행하였다. Mity-Gro 엽면시비는 포도과실의 착색을 증진시키는 것으로 나타났으며 유의성은 인정되지 않았으나 일부 당도향상 효과가 있는 것으로 조사되었다. 착색에 대한 처리효과는 품종간, 과방중간에 다른 것으로 조사되었다. 반면에 Mity-Gro 처리는 과실 비대에는 영향을 미치지 않으며 다른 외부요인들이 과실비대에 더 큰 영향을 미치는 것으로 나타나 Mity-Gro 처리에 의한 수량증대는 기대하기 어려웠다. 한편 멸균처리시에도 안토시아닌 증가를 통한 과실의 품질향상 효과가 인정되어 이와 관련된 다른 연구가 필요할 것으로 생각되었다. This experiment was conducted to study the effect of Mity-Gro on the improvement in the quality of Grapes. Mity-Gro is a microbial fertilizer that is made from Bacillus lateosporus, an avirulent bacteria. Applying Mity-Gro on the leaves of gapes improved in coloring of berries and had somewhat effect on increasing the sugar content. The effects of Mity-Gro on coloring between varieties and between clusters were different. In contrast, applying Mity-Gro on the leaves of grapes did not directly effect on the growth of berries, Because many unknown external factors were considered to affect on berry growth, the increase in grape quantity by applying of Mity-Gro could not be expected. However, more studies in related areas are necessary in the future since anthocyanin content of grapes was increased in the control, the treatment of sterilizing water.

프리셉터 경험이 간호업무수행과 직무만족에 미치는 영향 연구

류언나,송혜숙,장은희,서효신,추연화,김인선,나명주,지성애,박경숙 중앙대학교 간호과학연구소 2001 중앙간호논문집 Vol.5 No.2

The purpose of this study was to investigate how preceptor experience has an effect upon preceptor nurses. This study was so designed that it could compare the difference between clinical performance and Job satisfaction of preceptor nurses and those of nonpreceptor nurses. Study subjects were sampled out from those nurses who worked with two university hospitals where preceptor programs were implemented. The number of subjects totaled to 134, including 69 preceptor nurses and 70 nonpreceptor nurses. The score of preceptor nurses' clinical performance and job satisfaction revealed a higher value than that of nonpreceptor nurses. A similar result was also shown in the subdomains. However these difference were not statistically significant. Among all of the preceptor nurses, the highest number of preceptor experience was just one time. Except for five times in preceptor experience, the more the number of times of preceptor experience, the higher score in clinical performance. It was manifested that the number of preceptor experience was not related to job satisfaction. The score of preceptor nurses' clinica1 performance and job satisfaction revealed a higher value than that of nonpreceptor nurses. A similar result was also shown in the subdomains. However these difference were not statistically significant. The reward that preceptor nurses wished most was a reduction of the work load assigned to them. Currently preceptor nurses are only receiving a small quantity of financial reward related with their preceptor role. Most of preceptor nurses (96.8%) were not satisfied with their existing reward. Almost half of the preceptor nurses(43.5%) did not want to play a role as preceptor again. The reason why the scores of clinical performance and job satisfaction were low might be attributed to the inadequate preceptor training program and reward system. Appropriate knowledge and clinical skill are expected to enhance the level of preceptor nurses' clinical performance and appropriate internal and external reward to elevate the level of preceptor nurses' Job satisfaction. Therefore, it is needed for us to develop more effective preceptor education program, financial reward, support of colleague nurses and nursing managers, and adjust workload for the purpose of more effective preceptor programs.

여름 캠프활동에 관한 연구 : 서울여대 부속유치원 여름 캠프활동을 중심으로

민행난;최윤선;최인경;민혜원;임양선;이윤희;이상희 서울여자대학교 1998 아동연구 Vol.3 No.-

[초록없음]

하계 집중 호우에 따른 강화도 갯벌 퇴적물 내 공극수 성분 변화

목진숙,김성한,조혜연,현정호 한양대학교 이학기술연구소 2007 이학기술논문지 Vol.10 No.-

2007년 7월 10일부터 8월 9일까지 강화도 남단 동검리 갯벌에서 표층 퇴적물 6 cm 이내 화학 성분(CO₂, NH₄^(+), Fe^(2+), SO₄^(2-), HS^(-))의 농도를 측정하였다. 조사 기간 동안 세 차례의 태풍(EWINIAR, BILIS, KAEMI)과 폭우 (110∼202.5 mm)가 있었다. 그로 인해 염분은 7∼21 psu(practical salinity units)의 범위를 보였고, CO₂, NH₄^(+), Fe^(2+), SO₄^(2-), HS^(-)의 농도는 각각 84∼159, 5.52∼16.46, 3.56∼9.69, 160∼461, 0.58∼0.99 mmol m^(-2)의 범위로 나타났으며, 전반적으로 폭우 이후 급격히 감소한 후 다시 회복되는 경향을 보였다. 이러한 결과는 폭우 이후 담수 유입 증가에 따른 희석 효과를 반영하고 있을 뿐만 아니라, 물리적 교란에 의해 혐기성 상태의 분해 산물이 재산화 됨으로써 퇴적물 내 혐기성 조건이 완화되었음을 의미한다. 본 연구 결과는 향후 기상이변에 따른 집중호우가 갯벌 내 생지화학적 과정에 큰 영향을 미칠 수 있음을 지시해 준다. Concentrations of pore water constituents CO₂, NH₄^(+), Fe^(2+), SO₄^(2-), HS^(-) within top 6 cm sediment were measured from 10 July to 9 August 2007 at Donggeom intertidal mudflat of the south Ganghwa in Korea. There was a typhoon (EWINIAR, BILIS, KAEMI) and heavy rainfall (110∼02.5 mm) of three times during the period. Therefore salinity ranged from 7 to 21 psu concentrations of CO₂, NH₄^(+), Fe^(2+), SO₄^(2-), HS^(-) ranged 84∼159 , 5.52∼16.46, 3.56∼9.69, 160∼461 0.58∼0.99 mmol m^(-2), respectively, and constituents were steeply decreased after heavy rainfall and recovered again. These results reflected the dilution effect by the increasing of freshwater discharge after heavy rainfall and implied that physical disturbance led to less anoxic conditions in the sediment by reoxidizing the anoxic decomposition products. This results also implied that the short-term heavy rainfall may have a profound impact on the sediment biogeochemistry.

한약재를 첨가한 오소리 발효액이 폐경기 증후군과 Estradiol 농도 및 골대사에 미치는 영향

한종현,김윤홍,이윤희,박성혜 동아시아식생활학회 2004 동아시아식생활학회지 Vol.14 No.3

The purpose of this study was to investigated the possibility of Meles meles as an edible functional resource. To asses the effects Meles meles fermented liquid(ML) with medicinal plants in postmenopausal women, the menopause symptoms, hematological and serum chemical variables and bone health indices were examined. Twenty five postmenopausal women participated in the study. As a result, in postmenopausal women, ML supplements were effective in reducing the incidence of menopause symptoms, such as insomnia(44.0%), sensitivity(40.0%), headache(34.0%), hot flush and decreased vaginal lubrication(20.0%) after 12 weeks. Also serum estradiol and calcitonin and calcium levels were 23.27 pg/mL, 14.88 pg/mL and 8.86 ㎎/dL before the ML intake. Levels were significantly increased of estradiol and calcitonin and calcium after ML intake during 12 weeks to 30.36 pg/mL, 21.61 pg/mL and 10.01 ㎎/dL. Osteocalcin and bone alkaline phosphatase activity were 14.36 ng/mL, 21.55 U/L before the ML intake, but according to ML intake, the levels were significantly decreased. In conclusion, ML Play benefical roles in the prevention of bone loss and menopause symptoms. Howere current data are not sufficient to determine the effective doses for benefical effect as well as harmful effect and support dietary recommendation level for ML. Therefore, our results should be viewed with caution. But Meles meles fermented liquid with medicinal plants can be used as possible food resources and functional food materials, more studies are needed to identify the proper mechanism of ML.