産業災害로 인한 手脂切斷 患者의 療養期間과 診療費의 變異

이종호,이종영,손지연,하영애,박순우,감신,이영숙,김건엽,강윤식 大韓産業醫學會 1997 대한직업환경의학회지 Vol.9 No.3

This study was conducted to analyze variation in patient days and medical care benefits among finger-amputated patients due to industrial injury. The 242 personal data on medical care for finger-amputated patients due to industrial injury(131 in 1994, 111 in 1995) of Regional Labor Office were analyzed. The major results of this study were as follows: Patient days per case were 69. And the ratio of the maximum and the minimum among patient days for case was 26.6. Patient days per case in university hospital were 134.8 and the longest than other medical facilites. The ratio of the maximum and the minimum among the patient days per case was higher in hospital(24.7) than in other medical facilities. Benefits per case were 1,258,000 Won. And the ratio of the maximum and the minimum among benefits of case was 232.0. Case benefits was higher in university hospital (2,685,000 Won) than in other medicl facilities. The ratio of the maximum and the minimum among the benefits per case was higher in hospital(232.0) than in other medical facilities. Variation in patient days and medical care benefits per finger-amputated patient in industrial injury was large. This study results indicated need for a new industrial injury compensation insurance policy initiative for efficient utilization of medical resources and quality assurance. And the author thought that the results of this study would influence the policy for the industrial injury compensation insurance policy.

企業의 環境情報公示實態에 대한 槪觀

최종서,문승엽 부산대학교 환경문제연구소 1998 環境硏究報 Vol.16 No.-

The need for a substantial response to the worldwide environmental crisis from organizations in general and businesses in particular has never been clearer or more urgent. Despite the relatively considerable strides made by many businesses throughout the world by the early 1990s, the role played by accounting in the early steps taken by corporations towards a greening of business was small. Yet it was becoming apparent that a more substantial move towards a sustainable economic framework could not be achieved without a more substantial response from accounting and finance. There are two principal reasons for this. First, it is cutie apparent that if there is to be any major progress in reducing the rate of ecological destruction, business will have to play a major part. Second, business people need some performance indicators on their achievements in environmental activity and such an information system would need to run parallel or be incorporated with the present accounting information system. Wide experience shows however, that current accounting practice and the present accounting and financial frameworks both hinder environmental initiatives and positively encourage environmentally malign activity Thus business cannot fully embrace the necessary environmental changes until accounting and finance has done so. Many researches to date have examined the extent to which companies produce social information, of which environmental information would be a part. The recent upsurge in concern for environmental issues has brought an attendant increase in the emphasis on environmental disclosure. Despite the probable national differences in disclosure rates, the overall levels of reporting might encourage one to be optimistic about the success of voluntary disclosure. The Korean Securities Exchange Commission followed suit by enacting in 1996 a provision in the Corporate Accounting Standards which required the inclusion of environmental information in the form of accompanying footnote to the corporate financial reports. This paper aimed to examine the of overall trend of the corporate environmental disclosures made by business community throughout the world along with the Korean evidence available from 1997 semi-annual as well as annual audit reports.

흉부 X선촬영 기술의 변천에 관한 연구

이창엽,조평곤,김지닐,최소영,김창균,최종학,김정민,김유현 高麗大學校 倂設 保健大學 保健科學硏究所 2002 保健科學論集 Vol.28 No.2

To find elements which enable improving Quality of image of chest radiography, we attempted to make comparison between chest radiography used currently with that of the past, and following conclusion was reached: 1) It could be confirmed that a dependance on chest radiography was declining, because proportion of chest radiography against overall radiography decreased. 2) There was a change of kVp to a high voltage in a chest radiography, and use of high kVp became a generalization 3) Exposure time was reduced and exposure dose was curtailed accordingly. 4) Apparatus was mainly comprised of 3-phase rectifier circuit and inverter type. 5) It could be confirmed that frequency of applying additional filters for high kVp radiography was insufficient. 6) There was almost no difference in the condition of exposure between hospitals using film/screen and hospitals using CR. But when CR is used for radiography, it was increase in exposure dose due to increase in tube current and it will be necessary to have continuous study on exposure dose by an increase use of CR in the future.

견관절부 근막동통증후군의 근육내 전기자극치료시 신장운동과 안정화운동의 효과 비교

김상은,이현옥,김종순,김선엽 대한정형도수치료학회 2005 대한정형도수물리치료학회지 Vol.11 No.2

Summary of Background Data: Myofascial pain syndrome (MPS) is a common painful muscle disorder caused by trigger points occurring in myofascial. MPS is a major cause of chronical pain and is the subject of further clinical examination. Purpose: To uncover effective intramuscular stimulation therapy (IMS), the patients' actively participation stretching exercise and stabilizing around shoulder girdle where trigger point provoking myofascial pain syndrome in usually occurred. Methods: 45 myofascial pain syndrome patients were randomly chosen and divided into 3 groups. The first group (G1) received only IMS therapy, The second group (G2) had both IMS and active stretching exercises administered and the final group (G3) was given IMS therapy and stabilizing exercises. Therapy intervention was given for 3 weeks, 3 times a week and then only stretching exercise for the second group and stabilizing exercise for the third group was given for another 3 weeks. The visual analogue scale was dine before the experiment, 3 weeks after the experiment and 6weeks after the experiment to measure subjective degrees of pain and pressure pain threshold to measure sensitivity improvement of trigger point and functional ability questionnaire to measure daily life performance. Results: There were no significant changes after 3 weeks but after 6 weeks, between G1 and G2 and between G1 and G3 showed significant change of pain, pressure pain threshold and daily life performance. There were significant improvement of the measurement of degrees of pain, pressure pain threshold and improvement of daily life performance at different times for G1 showed change 3 weeks after the experiment, but there were no changes 6 weeks after the experiment. There were significant improvement of the measurement at different times for G2 and G3 showed change 3 weeks after the experiment and 6 weeks after the experiment. Conclusions: IMS therapy proved to be effective in inactivation of trigger points of the myofascial pain syndrome patients and stretching and stabilizing exercises beside it keep remedial value longer by improvement of pain and dysfunction that occurred by the trigger point.

안정한 지지면과 불안정한 지지면에서 팔굽혀펴기 운동시 견갑골 주위 근육의 근활성도 비교

박수경,이현옥,김종순,김선엽 대한정형도수치료학회 2005 대한정형도수물리치료학회지 Vol.11 No.2

The couple force of the scapular stabilizers for upward rotation that include the upper and lower trapezius, serratus anterior muscles is essential to maintain the stability of shoulder joint. But if there is and imbalance of these muscles, it would occur many problems of shoulder joint. A push-up plus exercise with an unstable support is used in order to increase the muscle activity and stimulate the proprioception of shoulder joint. The purpose of this study was to compare the muscle activity of upper and lower trapezius, serratus anterior muscles and to determine which exercise is more effective when subjects perform push-up plus exercise in the stable support and unstable support. 15 healthy subjects perform push-up plus exercise in the stable support and unstable support. 15 healthy subjects and 15 painful subjects with injury of shoulder joint participated in this study. Surface electromyography data were collected during plus phase of push-up plus exercise. The types of push-up plus exercise were composed of three conditions. Stable type is subjects performed the push-up plus exercise on the fixed support and unstable type 1 is on the sling without shaking and unstable type 2 is on the sling with shaking by tester's manual. The upper and lower trapezius activities of injured group were higher than uninjured group at three measure conditions, but serratus anterior activities were not. The UT/SA ratio of injured group was higher than uninjured group at three measure conditions. The serratus anterior activities were most high at unstable 2 measure in both groups. The UT/SA ratio was most low at unstable 2 measure condition in injured group only. The present result revealed that push-up plus exercise in the unstable support with shaking which took most high serratus anterior activities and most low of UT/SA ratio is optimal cure method that can improve the imbalance of the scapular stabilizer.

Effect of Epidural Block in the Incidence of Postherpetic Neuralgia: A Population-Based Matched-Cohort Study

Jong-Yeop Kim,Jee-Young Hong,Inseok Ko,Minhye Chang,Chi-Bum In 대한노인병학회 2023 Annals of geriatric medicine and research Vol.27 No.1

Background: Incidence of postherpetic neuralgia (PHN) increases with age. Epidural block in patients with herpes zoster (HZ) is expected to decrease the risk of PHN. The purpose of this study was to evaluate the effectiveness of epidural block on PHN incidence in a population-based study. Methods: This was a retrospective matched cohort study and data were sourced from the Korean National Health Insurance Service. The study cohort comprised 427 patients diagnosed with HZ who received epidural block within 30 days after a diagnosis of HZ. The matched control cohort included 427 patients without epidural block and were randomly matched to the study cohort at a 1:1 ratio based on covariates such as sociodemographic factors. The log-rank test was used to assess differences in the incidence of PHN. Cox proportional hazards regression models were used to estimate the hazard ratio (HR) for subsequent PHN, while controlling for potential comorbidities. Results: Among the 854 sampled patients, 30 (7.03%) from the study cohort and 18 (4.22%) from the match-control developed PHN during follow-up. There were no significant differences in the incidence of PHN between the two cohorts (p=0.08). Cox proportional hazard regressions showed that the HR for PHN in patients with epidural block was 1.66 (95% confidence interval, 0.91–3.02; p=0.10). Conclusion: Our study indicates that epidural block did not effectively prevent PHN. However, further studies are needed to determine the effect of epidural block in patients with HZ for the prevention of PHN.

Cross-simulation between two pharmacokinetic models for the target-controlled infusion of propofol

Jong-Yeop Kim,Dae-Hee Kim,A-Ram Lee,문봉기,Sang-Kee Min 대한마취통증의학회 2012 Korean Journal of Anesthesiology Vol.62 No.4

Background: We investigated how one pharmacokinetic (PK) model differed in prediction of plasma (C_p) and effect-site concentration (C_eff) using a reproducing simulation of target-controlled infusion (TCI) with another PK model of propofol. Methods: Sixty female patients were randomly assigned to TCI using Marsh PK (Group M) and TCI using Schnider PK (Group S) targeting 6.0 μg/ml of C_p of propofol for induction of anesthesia, and loss of responsiveness (LOR) was evaluated. Total and separate cross-simulation were investigated using the 2 hr TCI data (Marsh TCI and Schnider TCI), and we investigated the reproduced predicted concentrations (MARSH_SCH and SCHNIDER_MAR) using the other model. The correlation of the difference with covariates, and the influence of the PK parameters on the difference of prediction were investigated. Results: Group M had a shorter time to LOR compared to Group S (P < 0.001), but C_eff at LOR was not different between groups. Reproduced simulations showed different time courses of C_p. MARSH_SCH predicted a higher concentration during the early phase, whereas SCHNIDER_MAR was maintained at a higher concentration. Volume and clearance of the central compartment were relevant to the difference of prediction, respectively. Body weight correlated well with differences in prediction between models (R_sqr = 0.9821, P < 0.001). Conclusions: We compared two PK models to determine the different infusion behaviors during TCI, which resulted from the different parameter sets for each PK model. Background: We investigated how one pharmacokinetic (PK) model differed in prediction of plasma (C_p) and effect-site concentration (C_eff) using a reproducing simulation of target-controlled infusion (TCI) with another PK model of propofol. Methods: Sixty female patients were randomly assigned to TCI using Marsh PK (Group M) and TCI using Schnider PK (Group S) targeting 6.0 μg/ml of C_p of propofol for induction of anesthesia, and loss of responsiveness (LOR) was evaluated. Total and separate cross-simulation were investigated using the 2 hr TCI data (Marsh TCI and Schnider TCI), and we investigated the reproduced predicted concentrations (MARSH_SCH and SCHNIDER_MAR) using the other model. The correlation of the difference with covariates, and the influence of the PK parameters on the difference of prediction were investigated. Results: Group M had a shorter time to LOR compared to Group S (P < 0.001), but C_eff at LOR was not different between groups. Reproduced simulations showed different time courses of C_p. MARSH_SCH predicted a higher concentration during the early phase, whereas SCHNIDER_MAR was maintained at a higher concentration. Volume and clearance of the central compartment were relevant to the difference of prediction, respectively. Body weight correlated well with differences in prediction between models (R_sqr = 0.9821, P < 0.001). Conclusions: We compared two PK models to determine the different infusion behaviors during TCI, which resulted from the different parameter sets for each PK model.

Hepatitis C : Rate and predictors of treatment initiation for hepatitis C in Korea (초)

( Jong Yeop Kim ),( Ho Kil ),( Sook Hyang Jeong ),( Si Hyun Bae ),( Young Seok Kim ),( Han Chu Lee ) 대한간학회 2011 Clinical and Molecular Hepatology(대한간학회지) Vol.17 No.3(S)

Thermal Gelation of Vicilin and Legumin Globulins Isolated from Mung Bean and Red Bean

Jong Yeop Lee,Eun-Jung Lee,Geun-Pyo Hong 한국식품영양과학회 2020 한국식품영양과학회 학술대회발표집 Vol.2020 No.10

Clinical Research Article : Titration of the plasma effect site equilibrium rate constant of propofol; a Link method of "Concentration-Probability-Time"

( Jong Yeop Kim ),( Sung Yong Park ),( Sun Kyung Park ),( Jin Soo Kim ),( Sang Kee Min ) 대한마취과학회 2010 Korean Journal of Anesthesiology Vol.58 No.3

Background: The plasma effect-site equilibrium rate constant (k(e0)) of propofol has been reported in various pharmacodynamic studies; however, it is not desirable to apply k(e0) for the link with pharmacokinetic models that were separately investigated. Thus, we titrated k(e0) for the pharmacokinetic model, which is known as the multiple covariates adjusted model of propofol. Methods: Ninety female patients scheduled for gynecologic surgery were randomly assigned to three groups targeting different plasma concentrations of 5.4, 8.1, and 10.8 μg/ml. Target-controlled infusions (TCI) were provided by a computer-assisted continuous infusion system. Time to loss of responsiveness (LOR) was measured by a blind investigator; effect-site concentrations (Ce) for LOR were then calculated with simulation of TCI using different k(e0)s. We determined the ke0 minimizing total discrepancy (TD) between the inputted and calculated k(e0) from the t1/2k(e0)s for a given probability of LOR of the Ce, and also obtained the k(e0) for the minimal TD between the median Ce, which were compared to the known k(e0). Results: K(e0)s from these two methods were 0.3692 and 0.3788/min. C(e)s for LOR with these k(e0)s were significantly different from those with Schnider`s k(e0). Conclusions: We proposed a method for titration of the k(e0) of propofol. The k(e0)s of propofol was lower than Schnider`s k(e0). An adequate ke0 for the specific pharmacokinetic model and a certain population would be useful for prediction of an accurate Ce, and could be used for calculation of accurate dosing during targeting of the effect site. (Korean J Anesthesiol 2010; 58: 231-238)