병리검사 처방오류 개선 시스템 구축

이현임,최영진,구숙희,양승주,김병로,김묘정,신일근,신미옥,서임선 한국의료QA학회 2006 한국의료질향상학회지 Vol.13 No.2

문제: 조직병리검사의 처방이 복잡하고 전문화됨에 따라 오류처방이 빈번하게 발생되고 이를 해결하기위한 프로세스가 복잡하여 부서간의 갈등과 업무의 가중, 또한 병원 수입 감소가 초래되었다. 목적: 발생된 오류처방의 유형과 발생율, 오류처방을 해결하기 위한 프로세스를 파악하여 이에 대한 문제점을 개선하여 업무의 효율성과 관련부서간의 부가업무 감소와 갈등해소, 더불어 병원수익을 향상시키는 것에 목표를 두고 활동하였다. 의료기관: 서울시에 소재한 종합병원 질 향상 활동: 조직병리검사 처방의 오류처방 발생 원인과 유형, 발생율을 조사하여 원인을 파악하고 개선을 위한 프로세스를 구축하여 질 향상을 도모하였다. 개선효과: 수술실에서 의뢰한 외과 입원환자의 일반조직병리검사 오류율은 개선 전 7.8%에서 개선 후 3.5%, 동결절편조직검사 오류율은 개선 전 28.6%에서 개선 후 0%로 이전보다 모두 개선되었다. 또한 수술실 간호사의 업무 만족도는 일반조직병리검사의 처방시 95%, 동결절편조직검사 처방시 90%로 높은 만족도를 보였다. 단 병리과의 경우 업무가 증가됨에 따라 초과근무시간이 증가하였다.

가정의 음악환경과 예술교육 경험이 유아의 음악능력에 미치는 영향

신주현,김희연 한국아동교육학회 2004 아동교육 Vol.13 No.1

본 연구는 가정의 음악환경과 예술교육 경험이 유아의 음악능력에 미치는 영향을 분석함으로써 유아의 음악 능력을 향상시키는 효과적인 방안 연구를 위한 기초 자료를 제공하고자 하였다. 연구 결과 가정의 음악환경이 우수한 상위집단의 유아가 하위집단의 유아보다 높은 음악 능력을 보였다. 가정의 음악환경은 물리적 음악환경과 심리적 음악환경 모두에서 유아의 음악 능력에 의의 있는 영향을 가져왔다. 유아의 조기 예술교육 경험에 따른 음악능력과의 관계에서는 조기에 다양하고 지속적인 예술교육 경험을 한 유아가 높은 음악 능력을 보이는 것으로 나타났다. The purpose of this study is to compare and analyze the difference of each group's musical audiation by an children's musical home environment and the experience of art discipline. the subjects of this study are 222 for, five and six year old children's at kindergarten in seoul. the questionnaire of PMMA is used to test an children's music listening ability. the investigation to find out an children's musical activity and art discipling was made on the basis of music environment (you Ae-keyong, 1995). The result of this course is as follows. First, the physical music environment showed the development difference of an children's musical audiation. Second, The psychological music environment showed the development difference of an children's musical audiation. Third, The musical experience and art discipline had a greater effect on children's musical audiation. This study has reached following conclusion on the basis of the above results. It is essential to set up and educate the program of music education by which an children's can grow up to be creative and well-rounded in the 21 century society of knowledge and information. And the music activity by teaching an musical element concretely and systematically can make the perception of music high and apply to the new music and help bringing up the aptitude to join the music listening happily. Therefore it is important to make good environment considering the level of an children's development in the educational institution of an children or to make the publicity of the continuous musical education for the active change of the musical environment of an children's home.

韓國觀光産業振興을 爲한 課題와 解決方案 小考

申鉉柱 세종대학교 1981 세종대학 논문집 Vol.8 No.-

Travel, once the preregative of only the wealthy few, is more and more becoming an activity enjoyed by many. This phenomena has resulted in the unprecedented growth of the tourist industry and became one of prime industry with world wide importance. According to the Korea Tourism Development Master Plan, Tourism in Korea can be expected to grow at an annual rate of 20% for at least next 10 years. To accommodate and facilitate ever increasing tourist to Korea, a study has to be made on the physical development of tourism resources, accommodation facilities, employee trainning and service improvement. There are also naeed of governmental supports in terms of promotional works as well as operations. With the assumptions that the tourist industry is not only contribute to the development of national wealth in terms of improvement of the national balance, increased employment and tax revenue for government expenditure, but also has direct bearing on the socio-cultural development of the country, improvement of the local and national spirit, communication between nations and cultivation of culture-loving mindedness. This study is to examine the present address of Korean tourism and evaluating briefly some of details which are considered as the must and obstacles in the road of promotion and development of tourism in Korea, as a strategic industry. Since not many systematic studies are made in this area, in the process of ducumentation of this study, some of materials are drawn from the interviews and private conversations with the people those who are in the field. On this study published materials by Ministry of Transportation were used to observed current status of Korean tourism and evaluated these data to find the tasks. Also utilized material is the A Study on Job Satisfaction of Korean Hotel Employees to see smployee's job satisfaction. Above mentioned job satisfaction study is product of servey using Korean version of Porter's Need Satisfaction Questionnaire and modified Smith Job Description Index. Based on the findings of these materials treated herewith were, 1) Need of marketing strategy in terms of number and diversity of inbound tourists. Currently the status of international turism of this country shows the urgent need of effective promotional endeaver to attract nationalities beyond the Japanese. To accomplish this task, lmage build up on Korean tourism, effective advertizement and public relational works, unique tourism product developments were suggested. 2)Need for tourism resources development and modernization of tourism facilities is found. Systematic and nation wide study and development of toulism resources are suggested to make a leap up of Korean tourism. It is also suggested, historical, national interest and anti-polution measure should be considered and in the facility development, the needs and the desires of the customers whould be focued. For example, building lodging facilities, facilities for handicapped, “buzet hotel”for low income travellers were also suggested. 3) Need for educational endeavers and improvement of employee efficiency. Job satisfaction and need importance study indicated that there are danger signal among guest contact lower level employees. Improvement of working conditions, pay, self-esteem needs were indicated. Also professional training programs and educational opportunity for the employees of tourism industry were suggested. Licensing policy revision, training of teaching staff, utilization of research institutions in the universityes were also discussed in this chapeer. 4) Lastly, needs of revision of government organization for tourism development were found and suggested. To execute effective policy formation and assistance for tourism industry, an independent ministry for tourism were suggested as a mandatory one. Tourism industry is now recognized by all as a strategic industry. It's impacts on national wealty, employement and contribution of international goodwill and peace making is understood. Now, our tasks are to find obstacles on the road of promotion of this very important industry and eliminate them and achieve the desirable outcomes in the forseeable future.

아로마요법이 수부 미세수술환자의 수면만족도, 통증 및 불안에 미치는 효과

신미영(외 4명) 신라대학교 (부산여자대학교) 2015 論文集 Vol.60 No.-

대나무 섬유소를 이용한 섬유보강 콘크리트의 역학적 특성

류현기,권용주,신상용 忠州大學校 2009 한국교통대학교 논문집 Vol.44 No.-

This study is a experiment on the mechanical properties of concrete according to the fiber additional quantity of bamboo. The experiment and analysis results are as the following. The slump as a quality of the concrete not to harden showed to decrease more remarkably for a slump value than the plain according to the increment of cellulose additional rate. Air quantity showed to increase only in 0.2% fiber additional rate and to get out of KS allowable error of bad air content in 0.4% and 0.6%, and capacity mass by unit showed a reverse tendency against air quantity according to the change of cellulose additional quantity. Compression intensity as a quality of hardening concrete showed collectively a tendency to decrease in the remnant past days except only 0.6% at the standard past day 愀8 and the initial 3 days. Pulling intensity showed to increase more than the plain in all past days according to the change of fiber additional quantity of bamboo, and bending intensity also showed to be higher revelation intensity than the plain in the measurement result at the standard past day 28. In the result of length change rate, we can find the bigger the cellulose additional rate as a special quality increased, the more it decreased according to the pass of the past day.

치은섬유아세포의 MMP 발현에 대한 Nitric Oxide의 영향

신인식,윤상오,정현주 전남대학교 치의학연구소 2003 구강과학 Vol.15 No.1

Periodontitis are infectious diseases characterized by periodontal attachment loss and bone destruction. Various collagens, the predominant extracellular matrix (ECM) components of periodontium which produced by periodontal ligament and gingival fibroblasts, are the main targets of degradation in periodontitis. Among host proteases degrading the extracellular matrix, matrix metalloproteinases (MMPs) are highly related to tissue destruction and remodeling events in periodontal diseases. The initial split of gingival and periodontal ligament collagens is a key feature of progressive and active periodontitis lesions or pockets, and this initial cleavage is carried out by the host cell-derived MMPs. It has been suggested that increased number and activity of phagocytes in periodontitis lesion results in a high degree of reactive oxygen species (ROS) such as superoxide anion, hydrogen peroxide, nitric oxide, peroxynitrite. There are few reports on the relationship between ROS and MMPs expressions in gingival fibroblast. This study showed that, especially nitric oxide, could be the critical mediator of periodontal disease progression through control of MMP-2 expression in gingival fibroblast possibly via Ras/NF-kappa B pathway.

간외담관 폐쇄에서의 초음파소견 : 담관벽 경계소실의 중요성 Significance of Decreased Echotexture of Bile Duct Wall-Interface

신현준,손은주,이창희,최영칠,전혜정,박정희,이태의 건국대학교 의과학연구소 2002 건국의과학학술지 Vol.12 No.-

Ultrasound is very useful in evaluation of obstructive jaundice. We retrospectively evaluated the useful findings of ultrasonography in differentiating benign extrahepatic duct obstruction from malignant diseases. Among the 36 patients, 25 patients were benign extrahepatic obstruction and 11 patients were malignant obstruction. The shapes of extrahepatic dilatation were classified into fustiform, meniscus, and abrupt cut off by bowel gas. The diameter, length, and bile duct wall-interface were compared between benign and malignant groups and serum bilirubin and alkaline phosphatase were also compared between two groups retrospectively. The results were as follows. The most common form of extrahepatic dilatation was meniscus(10 of 26 patients, 38%) in benign obstruction, and fusiform(8 of 11 patients, 73%) in malignant obstruction. No significant difference was noted in diameter, length, serum bilirubin, and alkaline phosphatase between benign and malignant groups. Only one case showed decreased bile duct wall-interface in benign obstruction, but loss or decrease of bile duct wall-interface were 8 patients in malignant obstruction. The combined findings of fusiform dilatation and loss of bile duct wall-interface in ultrasonography will be helpful in differential diagnosis of malignant extrahepatic bile obstruction from benign conditions.

관광객의 만족도 측정과 그 응용을 위한 이론적 접근

申鉉柱 건국대학교 1987 論文集 Vol.25 No.1

This study was disigned to aid in the development of an understanding of tourist satisfaction and its application for the likelihood of return to the destination area. It is hoped that the findings and implications of this study will be beneficial to the professionals in the travel industry as well as pro-viding an impetus for further research designed to provide insights into tourist satisfaction and its application with the consideration of the cultural differences in the vacation decision-making pro-cess. In this study tourist satisfaction was conceptually defined by pizam etal. (1978). As the result of the interaction between a tourist's experience at the destination area and the expectation he / she had about that destination. A theoretical framework was designed in order to describe the purpose of this study. The frame-work shows that tourist satisfaction or complaints result from an evaluation process based on the interaction of two factors, i.e., expectation level and experience, which then subsequently in-fluences the likelihood of return on future vacations. The researchers further hope that the findings will act as an aid for developing appropriate ma-rketing strategies to promote and develop the more attractive features, which has been considered to be pivotal factors in attracting more and repeat visitors.

영아기 자녀를 둔 취업부의 결혼만족도에 영향을 미치는 변인

신현주,전귀연 한국가족관계학회 2008 한국가족관계학회지 Vol.13 No.2

The purpose of this study was to investigate how much socio-demographic variables, personal variables, relational variables, and situational variables have an effect on marital satisfaction of the working fathers with infant. The subjects of this study were the working fathers 185 who reside in Daegu and Kyung-Buk and have children under the 36 months. The instruments of measurement were marital satisfaction scale, gender-role attitude scale, personality Scale, communication type scale, and conflict-coping method scale, parenting stress scale, household duties work accomplishment satisfaction scale, and economic satisfaction scale. The major findings of this study were as follows: First, children age had an effect on the marital satisfaction of working father. Second, rational communication attitude had an effect on the marital satisfaction of working father. Third, satisfaction of income, satisfaction of performing household duties had an effect on the marital satisfaction of working father. Finally, satisfaction of income, parenting stress burden, distress caused by performing partental role, satisfaction of household duties had an effect on the marital satisfaction of working father than any other variables have.

중학생들의 식물들에 대한 인지도 연구

신현철,이진희,황현주,심재민 순천향대학교 기초과학연구소 1997 순천향자연과학연구 논문집 Vol.3 No.2

To investigate the understanding of middle-school students about the plants described in the middle-school textbooks, a questionnaire concerning the observation and understanding of the plants and the usefulness or kind of materials used in the lecture was developed, and distributed to a sample of middle-school students with diverse grades and locations. Although the middle-school student know plants from the textbook, and observe the plants directly or indirectly, they do not exactly know the reality of plants. Among the many reasons about this problem, the most serious aspect is the absence of the materials about the plants described in textbooks, except the textbook or references. They want to observe the plant speceimens at first, and to see the plant photos, video tape, or CD in computers.