병원내 생리기능 검사실의 적정 업무환경에 관한 연구

배형준,윤기은,김승곤,나동진,문희주,김태전,박정오 서울보건대학 1999 서울보건대학 부설 병원경영연구소 논문집 Vol.4 No.2

The purpose of this study was to suggest guideline for optimal work environment of physiological laboratory in hospital. Therefore this study was carried out to analyze the actual condition of laboratory system, major equipments and persons. The period of survey was from September to November 1997 and the objects were 123 laboratory. The major results of this study were as follows. 1. The optimal areas of general ECG room, exercise ECG room and echocardiology room were all 9-18㎡, that of Holter ECG room was 3-12㎡. The optimal areas of neurosystem laboratory were all 9-12㎡, those of respiratory system laboratory were all 9-18㎡. 2. The optimal number of persons laboratory of hospital 500 beds and less were 2∼3, those of 501∼700 beds were 3∼4.701∼1.000 beds were 4∼5 and over 1.001 beds were 7∼8 persons in circulatory system laboratory. The optimal number of persons laboratory of hospital 500 beds less than were 1∼2, those of 501∼700 beds were 3∼4, 701∼1.000 beds were 6∼7 and over 1.001 beds were over 8 persons in neurosystem laboratory. The optimal number of persons laboratory of hospital 500 beds and less 1. those 501∼1.000 beds were 1∼2 and over 1.001 beds were 2∼3 persons in repiratory system laboratory. 3. The optimal number of equipments of general ECG were 2∼3 in the 500∼1.000 beds hospital. there were 3∼4 units in the 1,001 beds. The optimal number of equipment EEG were both 1∼2 in the hospital 500 beds and less and 501∼700 beds. those were 4∼5 units in hospital over 701 beds. The optimal number of equipments of spirograph were both 1∼2 in the hospital 500 and less and 501∼1.000 beds. those were 2∼3 units in the over 1.001 beds. 4. In view of speciality and legal problem of physiofunctional test. we sugget that non-licensee were so quickly change place licensee in the interests of optimal work environment. 5. We suggest that to upgrade qualitative level of domestic equipment and to the more amplify utilization with respect to domestic equipment for the purpose of reducing loss of foreign money.

입원치료를 요하는 소아의 급성복증

배택환,김준식,유인술,조준필,이철주,민영기 大韓應急醫學會 1996 대한응급의학회지 Vol.7 No.1

The acute abdomen defined as an acute abdominal condition which needs immediate decision for treatment is one of the most common cause for emergency care. One thound six hundreds nine patients were visited to pediatric emergency center due to acute abdomen. To aid in early diagnosis and proper treatment, a clinical review was made on 278 cases of acute abdomen under 15 yrs old which admitted to Pediatrics and General surgery via emergency center from June of 1994 to May of 1995. The results as follows: It was 17.3% of total visiting to pediatric emergency center due to gastrointestinal sysmptoms. The sex ratio(Male: Female) was 2.35:1. Acute gastroenteristis was the most common acute abdominal condition(54%) and followed by acute appendicitis(17.9%), and intussusception(13.9%). The most common chief commplaint was vomiting(58%) and followed by abdominal pain(39.4%), diarrhea(35.8%), and fever(42.1%). One hundred fifty-five patients were visited to pediatric emergency center via local clinic and thirty patients via OPDs. The operations were done in 75 patients. Among them, immediate operation were done in 60 patients and delayed operations were done in 15 patients, but there is no difference in complication.

5세 된 유전성 구상 적혈구증 환아에서 폐쇄성 황달을 동반한 다발성 담석증 1례

민택기,이인규,박경배,박준수 순천향의학연구소 2004 Journal of Soonchunhyang Medical Science Vol.10 No.2

Hereditary spherocytosis is a common cause of hemolysis and hemolytic anemia. Some children remain asymptomatic into adulthood but others may have severe anemia with pallor, jaundice and fatigue. After infancy, the spleen is usually enlarged, and pigmentary gallstones may form as early as age 4~5 year. But it increases abruptly after age 10 year. At least 50% of unsplenectomized patients ultimately form gallstones, although for the most part they remain asymptomatic. We report herewith a case of multiple gallstone with obstructive jaundice in 5 years old patient with hereditary spherocytosis.

시뮬레이션을 활용한 DIO가공시스템에서의 운영정책의 비교평가

임준목,배기웅 大田産業大學校 1998 한밭대학교 논문집 Vol.15 No.1

In this paper, an integrated-automated manufacturing system called direct-input-output manufacturing system(DIOMS) is described. We only consider the operational aspect for DIOMS. Once DIOMS is designed appropriately, the system efficiency depends on the method of operation applied These operation problems include dispatching rules of storage/retrieval(S/R) machine, input sequence control methods and storage policies. In this paper, these control method are researched and under the given system conditions, DIOMS is modeled and simulated as to developed operational policies. For the performance characteristics, mean flow time and throughput are adopted. For each performance measure, an optimal operating policy and condition are determined.

춘천교육대학교 학생들의 MT(Membership Training) 프로그램 모형 개발

이형준,김기용,배성제 춘천교육대학교 학생생활연구소 1999 學生生活硏究 Vol.23 No.-

前腕部 經穴 取穴에서 骨度分寸法과 一夫法의 比較 硏究

박히준,채윤병,차웅석,박종배,이혜정,이향숙,인창식,고형균,김수영,최일환,김강식,문정배,배기태,유경환,육근영,정병주,손인철,임사비나 WHO COLLABORATING CENTRE FOR TRADITIONAL MEDICINE 2004 東西醫學硏究所 論文集 Vol.2004 No.-

Background : The cun measurement System, an essential and convenient method in locating acupoints, has been widely used in the practice of acupuncture. However, traditional cun measurement has been criticized for its lack of reliability. Objectives : The purposes of this study are to determine if one cun measured by the directional methods have a consistency with that of proportional methods and to investigate which factors are related with these differences, especially in forearm. Methods : The distance between the elbow crease and the wrist crease of forearm was compared to a reference value of one cun obtained by the directional method. In this method, one cun is one third of the distance between index finger and Small finger of a subject, measured at proximal interphalangeal joint. In addition, to investigate the factors influencing the differences between these two methods, we measured the height and body weight and calculated body mass index (BMI). Finally we analyzed the factors correlated with these lengths by linear regression test. Results : The results showed that one cun obtained by the directional methods were significantly different from one cun by the proportional methods in forearm. It was demonstrated that the length acquired with the directional method was more correlated with body weight and body mass index, while the length obtained by the proportional method was more correlated with the height.

HBsAg 양성혈청에서의 HBeAg 및 anti-HBe 양성율과 ALT와의 관계 고찰

문희주,윤기은,박정오,배형준,최범열 서울보건대학 1996 서울보건대학 부설 한국보건과학연구소 논문집 Vol.3 No.1

The authors investigated HBeAg and anti-HBe in 1,000 cases(male 941, female 59) of HBsAg positive among the 225,512 blood donors in Seoul Nambu Blood Center in 1994. HBeAg and anti-HBe was detected by the method Enzyme Immunoassy. The results obtained were as follows ; 1. HBeAg and anti-HBe positive rates were detected 498 cases(49.8%) and 445 cases(44.5%) respectively among 1,000 cases HBsAg positive blood donors. 2. In HBsAg positive carriers, HBeAg positive rates were not significantly different between anti-HBe positive rates, but in sex were significantly different between HBeAg positive rates and anti-HBe positive rates. 3. HBeAg positive 498 cases were analyzed with age and it was found percentages of positive rates were 63.6% in 1st decade, 53.7% in 2nd decade, 20.6% in 3rd decade, 19.6% in 4th decade and 8.3% in over 5th decade, but anti-HBe positive 447 cases were 32.4% in 1st decade, 40.5% in 2nd decade, 69.2% in 3rd decade, 78.3% in 4th decade and 91. 7% in above 5th decade. 4. HBeAg positive rate decreased stepwise with age, while anti-HBe positive rate increased stepwise with age. 5. ALT abnormal cases in the HBeAg positive donors were higher than normal cases, but ALT normal cases in the anit-HBe positive donors were higher than abnormal cases.

유포변경 간헐폭기식 침전지내장형 산화구시스템에 의한 하수의 탈질,탈인

장덕,홍기호,허준무,한상배 대한상하수도학회 2003 상하수도학회지 Vol.17 No.1

Phased isolation intrachannel clarifier ditch system devised in this study is an innovative biological nutrient removal system employing two ditches with intrachannel clarifiers and eliminating external per-anaerobic reactors and recycle of sludge and treated effluent. The performances of the system were evaluated through a long term pilot-scale experiments. The system operated at hydraulic retention times of 10-21hours and solids retention times of 16-36days showed removals of biochemical oxygen demand, total nitrogen, and total phosphorus in the range of 90-99%, 64-93%, and 63-98%, respectively, at the mixed liquor temperature above 10℃. The solids retention time played a relatively important role among the operational parameters of the system. As the solids retention time became longer, the effluent total nitrogen decreased dramatically, whereas the effluent total phosphorus increased. Optimal system operating strategies maximizing phosphorus release and its uptake as well as nitrification and denitrification satisfying both the best nitrogen and phosphorus removals included hydraulic retention times ranged 10-14hours and solids retention times ranged 20-25days. The phase separation in a cycle maximizing the performance of the system was completely accomplished by scheduling of alternating flow and intermittent aeration in a simplified process scheme. Especially, temporal phase separation for phosphorus release without additional anaerobic reactor was successfully accomplished during anaerobic period without any nitrate interference and carbon-limiting. The phased isolation ditch system with intrachannel clarifier developed in this study was, therefore, believed to be a simplified and improved option to solve the problems in the existing biological nutrient removal technologies.

폭식 행동에 대한 인지행동 집단치료의 효과

공성숙,김준기,배재현 대한신경정신의학회 2000 신경정신의학 Vol.39 No.6

연구목적 : 본 연구는 폭식행동을 보이는 대상자에게 인지행동 집단치료를 시행하고 폭식이나 구토 등의 식이행위와 식이태도, 자아존중감, 우울에 미치는 효과를 평가하여, 현재 우리 나라에 급증하고 있는 폭식행동자에게 경제적이고 효과적인 치료모델을 제시하는 데에 있다. 방 법 : 식이장애 전문 클리닉인 M병원에 내원한 대상자 중 EAT-26 검사에서 17점 이상인 44명을 대상으로 5차례에 나누어 8-10명 단위로 각 10회의 인지행동 집단치료를 시행하였으며 도중탈락자를 제외한 27명이 참여하였다. 치료 전후에 식이행위 기록지, 다차원적 식이태도 검사(EDI), Rosenberg 자아존중감 척도, 우울 척도(BDI)를 통해 자료를 수집하였으며 식이행위 기록지는 대상자가 매일 적도록 하여 주단위로 변화양상을 분석하였다. 통계방법은 백분율과 paired t-test를 사용하였다. 결 과 : 1) 폭식과 구토빈도는 식이행위 기록지를 분석한 결과 치료 후에 유의하게 감소하였으며, 변화양상은 치료 2주째 급격한 감소를 보였고 초기부터 종결까지 하향곡선을 나타냈다. 2) 식이태도는 '다차원적 식이태도 검사 (EDI)'로 평가한 결과 8개 소척도 중에서 마르고 싶은 욕망, 폭식경험, 신체불만족, 무능감, 내면자각에서는 유의한 감소를 보인 반면, 완벽주의, 대인관계 불신감, 성장 공포에서는 유의한 차이가 없었다. 3) 자아존중감과 우울은 치료 후에 유의하게 감소되었다. 결 론 : 폭식행동자를 대상으로 인지행동 집단치료를 시행한 결과 폭식 및 구토 등의 식이행위와 자아존중감, 우울, 그리고 식이태도의 일부에서 유의한 호전을 보였으나, 식이태도 중 완벽주의, 성장공포, 대인관계 불신감에서 유의한 효과를 보이지 않았다. 이 세 변인들은 인지행동 치료를 통해 변화되기 어려운 성격적 요인으로 생각되며, 폭식행동의 감소와 같은 중요한 변인들에 유의한 효과가 있었으므로 인지행동 집단치료는 향후 우리 나라에서도 폭식행동자를 위한 경제적, 효과적인 치료모델로 제시될 수 있다고 본다. Objectives : The binge eaters are increasing rapidly since 1990's in Korea. The purpose of this study was to examine the effect of cognitive-behavioral group therapy on improving the frequency of binging and purging, eating attitude, self-esteem, and depression. Method : The subjects were 27 women who showed over 17 on the EAT-26 among binge eaters visited at eating disorders clinic "M". 10 sessions of cognitive-behavioral group therapy were provided to each group composed of 8-10 binge eaters. All subjects completed the Eating Disorders Inventory(EDI), Rosenberg Self-Eesteem Scale, Beck Depression Inventory(BDI) pre-and post intervention, and recorded daily food records. Paired t-test was used for the comparison of EDI subscales before and after treatment. Results : Frequency of binging and purging, self-Esteem, depression, drive for thinness, bulimia, body dissatisfaction, ineffectiveness, interoceptive awareness subscales of EDI showed significant immprovement but perfectionism, interpersoual distrust, maturity fear subscales of DEI showed no improvement after the cognitive-behavioral group therapy. Frequency of binging and purging per week showed a general trend of decline from the beginning to the end of the treatment and a rapid decrease at the second week was noticed. Conclusion : The results of this preliminary study suggest that cognitive-behavioral group therapy may be an effective initial approach for the treatment of binge eating. Future research aimed at replicating these initial results and providing systematic long-term evaluation is needed.

Prevalence of Campylobacter spp. in Chicken Meat and Application of Real Time PCR for Quantitative Detection of Campylobacter jejuni.

Joon-bae Hong,Won-ki Bae,Joon-man Kim,Jeong-hee Ser,Yong-ho Park 대한수의학회 2003 대한수의학회 학술대회발표집 Vol.2003 No.-