호텔 브로슈어(Brochure)製作에 關한 硏究 : 基礎理論을 中心으로

金亨燮 대구보건대학 1992 대구보건대학 論文集 Vol.13 No.-

스키장의 서비스스케이프가 고객만족과 행동의도에 미치는 영향

김형섭,장경수,이귀옥 대한경영학회 2003 大韓經營學會誌 Vol.16 No.6

The purpose of this study is to develop scale items to measure servicescape of ski resort, to measure servicescape of ski resort to use them, and to find out relationships among servicescape, customer satisfaction and Behavioral intentions. Hypotheses were developed from reviewing the existing literature and tested empirically. The survey, based on questionnaire, was conducted in ski resort. The data were analyzed using SPSS 10.0 and structural equation model by LISREL 8.51. As a result of factor analysis on servicescape of ski resort, 6 factors were extracted and titled "lift", "ski slope", "facilities layout", "safety facilities", "other facilities", and "ski equipments". The results of the study show that servicescape of ski resort has a positive relationship with customer satisfaction, but has not relationship with behavioral intention. The customer satisfaction has a positive influence on behavioral intentions.

정상 분만 후 발생한 대동맥 박리증

심민섭,송형곤,정연권,송근정 대한응급의학회 2000 대한응급의학회지 Vol.11 No.4

Hypertension is a risk factor for developing fatal aortic dissection. Aortic dissection occurs 2~3 times as often in men than in women between ages of 50~70 years old. Among other risk factors, aortic dissection occurs especially in women below the age of 40 years old in pregnancy-related cases. In pregnancy-related cases, aortic dissection occurs n the third trimester and in puerperium, as well as in multiparous women. The writers experienced an aortic dissection related pregnancy. The patient was 32 years old, diagnosis of dissection occurred in the postpartum period. Although, aortic dissection is a rare complication of pregnancy, the knowledge of this may assist the emergency physician save the lives of patients.

혈관내 초음파로 증명된 관상동맥 가성협착 1예

박형섭,허승호,한성욱 대한순환기학회 2004 Korean Circulation Journal Vol.34 No.2

3D-CT를 이용한 골격성 III급 개방교합자의 악교정 수술 전, 후 설골 및 상기도의 변화

이윤섭,백형선,이기준,유형석 대한치과교정학회 2009 대한치과교정학회지 Vol.39 No.2

본 연구는 골격성 III급 개방교합자의 악교정 수술 전, 후 설골과 상기도의 변화를 3D-CT를 이용하여 관찰하고 이를 정상교합자와 비교하기 위하여 시행하였다. 전치부 개방교합을 동반한 골격성 III급 부정교합으로 진단되어 악교정 수술을 받은 환자 중 12명을 선정 후, 3D-CT를 통해 설골과 상기도의 3차원 입체영상을 분석하여, 악교정 수술 전, 후의 설골의 위치 변화 및 상기도의 부피 변화를 살펴보고, 이의 결과를 정상교합자 10명과 비교하였다. 설골은 골격성 III급 개방교합군에서 악교정 수술 전에 정상교합군의 설골에 비해 전방에 위치하고 있었고 악교정 수술 후 설골은 후, 상방으로 변화하였으나 유의성은 관찰되지 않았다. Hyoid plane과 mandibular plane이 이루는 각은 악교정 수술 전의 골격성 III급 개방교합군이 정상교합군보다 큰 값을 나타내었고, 악교정 수술 후에는 그 차이가 더욱 증가하였다. 골격성 III급 개방교합군의 상기도 부피는 정상교합자보다 작으며 이는, 악교정수술 후에 더욱 감소하였다. 3차원 영상 분석 결과, 골격성 III급 개방교합자의 상기도는 정상교합자에 비해 좁으며, 하악골 후퇴술 이후 더욱 감소하기 때문에 이는 수술적 개선의 안정성에 영향을 줄 수 있음을 알 수 있었다. Objective: The purpose of this study was to investigate the structural changes of the hyoid bone and upper airway after orthognathic surgery for skeletal class III anterior open bite patients, and make comparisons with normal occlusion. Methods: Pre- and post-operative computed tomography (CT) examinations were performed on 12 skeletal class III anterior open bite patients who were treated with mandibular setback osteotomy. Using the V-works 4.0 program, 3-dimensional images of the total skull, mandible, hyoid bone, and upper airway were evaluated. Results: In the Class III openbite group, the hyoid bone were all positioned anteriorly, compared to the Normal group (p < 0.05). The angle between the hyoid plane and mandibular plane in the Class III openbite group before surgery was greater than in the Normal group (p < 0.05), and the difference increased after surgery (p < 0.01). In the Class III openbite group, the volume of the upper airway decreased after surgery (p < 0.001) and the volume of the upper airway was smaller than the Normal group before and after surgery (p < 0.001). Conclusions: The narrow upper airway space in skeletal Class III openbite patients decreased after mandibular setback osteotomy. This may affect the post-surgical stability.

건축물에서 PCM의 활용가능성에 관한 연구

임병찬,최형섭,최성호,문광석 東亞大學校 建設技術硏究所 2008 硏究論文集 Vol.31 No.2

Many technology have been developed to improve an interior environment in buildings for human being, as well Energy saving. Above all things, Energy saving technology with PCM have been used(applied to) for heating and cooling system in buildings and devoted to save Energy. The technology with PCM can improve energy efficiency in a room. Because it can maintain the temperature, storing the energy which was used for heating and cooling in the room. In this study, we analyze the possibility of PCM as Architectural Materials. Appling PCM which uses latent heat to the building, we try to reduce a loss of heat and maximize the effect of energy saving in the building.

Rocuronium 정주시 통증에서 Ondansetron 전처치에 따른 효과

소금영,기형섭 朝鮮大學校 附設 醫學硏究所 2003 The Medical Journal of Chosun University Vol.28 No.2

Background: Intravenous rocuronium produces intense discomfort at the injection in conscious patients. The purpose of this study was two fold; first, to determine the incidence and severity of pain associated with IV injection of rocuronium in conscious patients; and second, to determine the efficacy of IV ondansetron in minimizing injection pain. Methods: We evaluated 60 inpatients undergoing various elective surgery. The patients were randomized into three groups of 20 patients in double blinded prospective study. After tourniquet application on forearm, the patients were given saline (4 ml) (Group I, n=20), ondansetron 6 mg (Group II, n=20), ondansetron 8 mg (Group III, n=20). The occlusion was released after 20 seconds and rocuronium 0.6 mg/kg was injected over 10 seconds. The patients were observed and asked immediately if they had pain in the arm, and the response was assessed. Thirty seconds after the administration of the rocuronium, 5 mg/kg of thiopental was administered intravenously. Results: We observed that the incidence of moderate to severe pain was 85 % in the group 1 and were significantly decreased to 45 % in the group 2, 5 % in the group 3. Conclusions; The doses of 6 mg and 8 mg ondansetron was effective in relieving the pain of rocuronium.

'퇴원설명문'에 의한 72시간내 부적절한 응급센터 재방문의 감소

박하영,심민섭,송형곤,송근정 한국의료QA학회 2005 한국의료질향상학회지 Vol.12 No.1

Background : Patients who were discharged from the emergency department(ED) may revisit. These patients are divided into two groups; one is expected scheduled condition, the other is unexpected condition. These patients of inappropriate revisits to the ED would be unsatisfied, difficult to make rapport and take legal action as a result of additional medical charges. The purpose of this study was to reduce inappropriate revisits to the ED with a new method which was developed by analyzing inappropriate revisits in 2002. Methods : This study was conducted in a tertiary hospital consisting of 1,278 beds. The most common cause of inappropriate revisits was the medical team's lack of explanation about a disease. Thus we decided that the effective method was to offer full explanations to patients to understand the clinical pathway of a disease. We made four types of stickers to explain most common 4 diseases in 2003. An emergency physician completed 'discharge explanation report' and explained it to patients in 2004. Results : In 2002 inappropriate revisited patients were 164, patients with four diseases were 79. During the same period of 2003, inappropriate revisited patients were 56 (-65.9%), four disease patients were 6 (-92.4%) and in 2004 inappropriate revisited patients were 52, four disease patients were 19. Causes of revisits were lack of explanation about a disease in 35 patients (44.3%) in 2003, and 5 patients (83.3%) in 2003, and 16 patients (84.2%). Conclusions : Application of 'explanation stickers' at discharge reduced inappropriate revisits from 34.5% in 2002 to 15.9% in 2003. Application of 'Discharge explanation report' by emergency physician reduced inappropriate revisits from 15.9% in 2003 to 13.5% in 2004. Reduction of inappropriate revisits elevated the quality of medical treatment, and decreased patients' dissatisfaction in ED.

칸디다균에 의해 발생된 피부 궤양

김낙인,조항래,김형섭 대한의진균학회 1996 대한의진균학회지 Vol.1 No.1

Cutaneous ulcers due to candida infection are very rare condition, occurring almost in immunocompromised host or occuring as cutaneous manifestation of systemic candidal infection. A 52-year-old woman presented with cutaneous ulcer on dorsum of left hand which had lasted for about 15 days. Bacterial culture showed nonpathogenic organism, Enterobacter cloacae. Mycologic studies including KOH mount and fungus culture were positive for pseudohyphae and colonies of Candida species. A biopsy specimen from the center of ulcer revealed numerous spores and fungal hyphae in the upper dermis and necrotic epidermis. Bacterial culture and fungus culture of patient's serum and urine were negative. Initial treatment with antibiotics had no effectiveness for 2 weeks. After then we treated with antifungal drug, itraconazole 100mg/day. After 6 weeks of antifungal therapy, the skin lesion was much improved. We report this case, because it showed cutaneous ulcer due to candida infection but had neither systemic candidal infection nor clinical sign of immunosuppression.

Combination of Uric Acid and NT-ProBNP: A More Useful Prognostic Marker for Short-Term Clinical Outcomes in Patients with Acute Heart Failure

( Hyoung Seob Park ),( Hyung Seop Kim ),( Ji Hyun Sohn ),( Hong Won Shin ),( Yun Kyeong Cho ),( Hyuck Jun Yoon ),( Chang Wook Nam ),( Seung Ho Hur ),( Yoon Nyun Kim ),( Kwon Bae Kim ),( Hee Joon Park 대한내과학회 2010 The Korean Journal of Internal Medicine Vol.25 No.3

Background/Aims: In patients with heart failure (HF), N-terminal prohormone brain natriuretic peptide (NT-ProBNP) is a standard prognostic indicator. In addition, uric acid (UA) was recently established as a prognostic marker for poor outcome in chronic HF. The aim of this study was to determine the combined role of UA and NT-ProBNP as prognostic markers for short-term outcomes of acute heart failure (AHF). Methods: The levels of UA and NT-ProBNP were determined in 193 patients (age, 69±13 years; 76 males) admitted with AHF. Patients were followed for 3 months and evaluated for cardiovascular events, defined as cardiac death and/or readmission for HF. Results: Of the 193 patients, 23 (11.9%) died and 20 (10.4%) were readmitted for HF during the 3-month followup period. Based on univariate analysis, possible predictors of short-term cardiovascular events were high levels of UA and NT-ProBNP, low creatinine clearance, no angiotensin converting enzyme inhibitors or angiotensin receptor blockers, and old age. Multivariate Cox hazard analysis showed that UA levels were independently associated with increased incidence of cardiovascular events (hazard ratio, 1.115; 95% confidence interval, 1.006 to 1.235; p=0.037). Kaplan-Meier survival analysis revealed that patients with UA levels >8.0 mg/dL and NT-ProBNP levels >4,210 pg/mL were at highest risk for cardiac events (p=0.01). Conclusions: The combination of UA and NT-ProBNP levels appears to be more useful than either marker alone as an independent predictor for short-term outcomes in patients with AHF. (Korean J Intern Med 2010; 25:253-259)