‘병동 중심의 처치수가 산정지침 개발’ 등을 통한 간호업무 표준화 및 그 효과

한혜정,설미진,김영주,박소영,박아리스,문한경,이현영 한국의료QA학회 2009 한국의료질향상학회지 Vol.15 No.1

문제: 병동 처치수가 산정 부정확 및 누락으로 인한 부적절한 재고관리로 진료차질, 불필요한 업무발생 및 수익이 감소한다. 목적: 병동 처치수가 산정 정확화를 위한 업무 표준화 도구 및 시스템을 개발하여 적정 재고관리를 통한 수익증대 및 직무만족도를 향상시킨다. 의료기관: 서울시 종로구에 소재한 대학병원 질 향상 활동: 병동중심의 처치 산정지침 개발 및 수가물품의 적정재고 관리방안을 모색하였다. 개선효과: 병동중심의 처치수가 산정 지침서를 제작하여 업무표준화를 기하였음. 응급청구 품목 및 수량이 ’07년 대비 71%감소하고 타 병동 차용품목이 활동 전에 비해 61% 감소, 수량은 77% 감소함. 응급청구 총소요시간이 활동 전에 비해 ’07년 대비 77% 감소하고 타 병동 차용 총 소요시간이 61% 감소함. 전년 동기간 대비 수익이 4% 증가하였으며 또한 54병동과 보험 심사팀에서 직원들의 직무만족도가 향상되었다.

農村住民의 農藥使用에 대한 知識, 態度 및 農藥中毒에 관한 硏究

文宰奎,정주현,鄭耀翰 朝鮮大學校 醫學硏究所 1982 The Medical Journal of Chosun University Vol.7 No.-

This survey has tried to investigate the respondents' characteristics, knowledge, attitude and poisoning in using pesticides in 7 Meyon districts of Cheollanambuk Do province, where 837 inhabitants were selected, during 4 months from July, 1981 to October, 1981, making use of questionaires. The results obtained from this study are as followings, 1. In purchasing pesticides, 49% of the respondents obtained it from an agricultural co-operative, and 34.3% of them from an agricultural co-operative and pesticide shops. 98% of them transported the pesticides separately. 2. 50.9% of the respondents kept the pesticides in a barn or a corner of the yard and 26.8% of them in a storehouse. 3. In spraying the pesticides, 56.5% of the respondents made plans for the spraying before hand and 8.6% of them were prepared for pesticide-poisoning before the spraying. 4. Before using the pesticide, 68.1% of the respondents always read an explanatory note and 83.3% of them examined the spraying equiment. 5. In the use of protection equipment against pesticide-poisoning, gloves were used by 19.5% of the repondents, masks by 81.6% goggles by 2.0%, boots by 11.1% and hats by 87.6%. 6. Spraying time for pesticide was 3-4 hour in 46.7% of the respondents, and averagely 4.1 hours. 47.8 of the respondents rested for 1-9 minutes during spraying the pesticides and 40.1% of them for 10-19 minute. 7. 42.9% of the respondents did not smoke during spraying the pesticides and 58.3% of them did not take a meal. 8. 72.8% of the respondents sprayed the pesticides against the direction of the wind and 26.0% of them sprayed regardles of the wind direction. 9. After spraying the pesticides, 67.7% of the respondents took a bath and 58.9% of them washed their equipment. 10. Pesticide bottles and package papers were buried under the ground by 38.1% by the respondents, dumped into the garbage by 32.5% of them and into fields by 13.4% of them, And 10.8% of the respondents returned them to the agricultural co-operative after collecting the bottles and package papers. 11. The remnants of the pesticides after spraying were kept safely for reuse by 52.8% of the respondents and dumped into a field by 23.3% of them. 12. 24.9% of the respondents used the pesticides only for agriculture, purposes and but 62.8% of them utilized them in disinfection of toilets and domestic sewage besides for the agricultral use. 13. Through abuse of pesticides, injury to man and beast, occured in 87.2% of the cases and 12.8% of them were indifferent to pesticides abuse. 48.1% of respondents recognized the destruction of the ecology but 48.9% of them did take no interest in the fact. 14. Knowledge for the pesticide-poisoning was acquired from their neighbours by 33.0% of the repondents, radio by 20.3% of them, leaders of the new village movement and the head of a village by 17.7%, a health center by 6.7% and newspaper and jounals by 4.9%. 15. 37.9% of the respondents had experience in pesticide-poisoning; The poisoning symptoms were, vertigo (35.3%), mausea (21.8%), headache (19.6%), dyspnea (8.2%), myatonia (5.0%), lacrimation (3.2%), and salivation (2.2%). 16. Frequency of experience of pesticide-poisoning was: the first time (51%), and 2nd time (21.5%), and 3rd time (14.2). After poisoning, 46.1% of the respondents took the rest, 41.2% of them went to a hospital and pharmacy, and 39.1% of them did not take any measures. 17. People engaged in agriculture for a long time had high frequencies of experience of pesticide-poisoning(P<0.05). 18. In cases in which emergency measures were prepared for pesticide-poisoning before using agricultural pesticides, rates of poisoning were significantly desreased(P<0.05).

1866∼7년 데이 드레스(day dress)의 설계 및 디자인 분석

김문숙,이서희,오현남,한성지,김현주 서울여자대학교 자연과학연구소 1996 자연과학연구논문집 Vol.7 No.-

As the current stage of the fashion begins to follow the styles of the past, the study on the past costume is getting more important, and as the methodology of the study accurately approached study through the rehabilitation of the past costume is more needed than the simple rearrangement of the historical documents. By this methodology, this study can be positioned as a recreation activity. The results of the study are as follows. 1) Style : The general silhouetts is the late crinoline style which is the period from 1860s to just before bustle. The dress is one-piece composed of fitted bodice, and skirt which the front is flat, side and back is triangular shape to the skirts. 2) Color and Material : the main color is pale stone and the sub-color is ivory and blue. The dress is made of a silk surface and cotton back and partly satin and velvet. 3) Pattern and sewing : the dress is together sewing comnined with lining and fabric. The skirt is gored skirt, the number of patterns is plenty because of the plenty of width of skirt. The double piping has various effect not only to decorate but also to conceal the seam, support the silhouette. 4) Detail : The general detail is double piping which are repeatedly used to decorate stand collar, bands of sleeve, froint bodice and gored panel seam of skirt. And the fringe and velvet ribbon are used to decorate the dress. 5) Structural characteristics : The double piping, velvet ribbon and twilled cotton are used to emphasize structural characteristics of crinoline style. And the waistband which is backed with a webbing band to reinforce it is also the structural characteristics. Synthetically, the 1886~7 day dress has the characteristics of transitional stage in which the chararcteristics of the costume of 1860s and the remnants of the characteristics of the previous costume style, and shows the characteristics of day dress well in terms of the style, color and fabrics, pattern and sewing, detail, and structural characteristics.

다량의 하부위장관출혈이 병발된 Vibrio vulnificus 패혈증 1예

최주연,유진홍,한석원,이대훈,최민호,박순민,김연식,김선우,신완식,강문원,강성구 대한화학요법학회 1996 대한화학요법학회지 Vol.14 No.2

최근 저자들은 Vibrio vulnificus 감염에 의해 패혈증 및 이차성 피부 병변을 보인 42세의 남자 환자의 치료중 하부 위장관 출혈이 병발된 1예를 경험하였기에 보고하는 바이다. We experienced a case of Vibrop vulnificus septicemia which showed an unusual manifestation such as hematochezia. The patient was a 42-year-old man with chronic liver disease. The blood and wound culture revealed the organism. During intensive care, he suffered from massive hematochezi for several days. Colonoscopy and abdominal CT showed findings suspicious of ischemic colitis. To our knowledge, this is the first unusual case of V.vulnificus infection which showed massive lower gastrointestinal bleeding.

蒼附導痰丸이 白鼠의 排卵에 미치는 影響

강복환,박종문,박경미,조한백,엄주오,유심근 한국전통의학연구소 2003 한국전통의학지 Vol.13 No.1

Changbudodamhwan(CBH) is used in female infertility caused by ovulation disorder. An attempt was made to evaluate the influences of CBH on the serum concentrations of FSH, LH, estradiol(E_(2)) and progesterone, the histological and optical changes of ovary, ovary weight of rats. The results of the study were as follows : 1. Blood FSH level increased experimental group as compared with control group, which showed no efficacy. 2. Blood LH level increased in experimental group as compared with control group, which showed no efficacy. 3. Blood E_(2) level increased in experimental group as compared with control group, which showed no efficacy. 4. Blood progesterone level increased in experimental group as compared with control group, which showed no efficacy. 5. In optically observations of ovary, weight of ovary increased in experimental group as compared with control group, which showed no efficacy. 6. In histological observations of ovary, ovulation increased in experimental group as compared control group, which showed efficacy. According to these results, CBH influence on the ovulation and ovary of rats.

NIHSS 활용을 통한 뇌졸중 환자 간호의 질향상 전략

박경현,송경애,공혜성,나화주,유수경,박소영,김상희,최혜림,배희준,한문구,양미화 한국의료QA학회 2009 한국의료질향상학회지 Vol.15 No.2

문제: 뇌졸중 환자를 돌보는 간호현장에서는 급성기 뇌졸중 환자의 증상악화에 대한 조기사정과 적절한 대처가 매우 중요한 문제이다. 그러나 임상현장에서는 이를 객관화하고 수치화하여 모든 의료진이 의사소통할 수 있는 유용한 도구를 사용하고 있지는 못하는 실정이다. 이러한 문제를 해결하기위해 NIHSS(National Institute of Health Stroke Scale)를 신경과 진료의사를 중심으로활용하고 있지만 아직 간호현장에서는보편적으로사용하지 않고있다. 이에 뇌졸중환자간호에 NIHSS를 활용하여 뇌졸중 증상악화의 조기사정과 빠른 대처로 궁극적으로는 뇌졸중환자 간호의 질을보다 향상시키기 위하여 본활동이 시도되었다. 목적: 첫째, 간호사의 NIHSS 측정 신뢰도의 현수준을 점검하고 이를향상시키기 위한 프로그램을 개발·적용한다. 둘째, 간호사가급성기 뇌졸중환자에게 NIHSS 측정을 통하여 뇌졸중악화를 얼마나 예측할 수 있는지 분석하고 이를 향상시킬수있는 방법을 모색한다. 셋째, 궁극적으로 급성기 뇌졸중 환자의 증상악화의 조기 발견과치료를위한의료진의 올바른 대처지침을 마련하여 이를 적용한다. 의료기관: 경기도에 소재한 대학병원의 뇌졸중 집중치료실 질 향상 활동: 첫째, 간호사의 NIHSS 측정 신뢰도 향상을 위해 「NIHSS 간호사 교육 프로그램」을 마련하였다.

척수 경막외 혈관 기형에 의한 재발성 척수병증

오동호,김희태,박운규,이영주,김승현,김주한,김명호,박문향 대한신경과학회 1998 대한신경과학회지 Vol.16 No.5

보문 : 버섯 세균성갈색무늬병원균(Pseudomonas tolaasii)의 분비 독소(tolaasin)를 저해하는 미생물 Pseudomonas sp. HC1

이찬중 ( Chan Jung Lee ),유영미 ( Young Mi Yoo ),한주연 ( Ju Yeon Han ),전창성 ( Chang Sung Jhune ),정종천 ( Jong Chun Cheong ),문지원 ( Ji Won Moon ),서장선 ( Jang Sun Suh ),한혜수 ( Hye Su Han1 ),차재순 ( Jae Soon Cha ) 한국균학회 2013 韓國菌學會誌 Vol.41 No.4

A Gram-negative bacterium was isolated from mushroom media that markedly reduces the level of extracellular toxins (i.e., tolaasins) produced by Pseudomonas tolaasii, the most destructive pathogen of cultivated mushrooms. The HC1 strain was selected as detoxifying tolaasin by bioassay on potato and it was identified Pseudomonas sp. by the cultural, morphological and physiological characteristics, and analysis of the 16S rRNA.. The isolated bacterium is saprophytic but not parasitic nor pathogenic to cultivation mushroom. The isolated bacterium for P. tolaasii cell, was sufficient for detoxification in vitro. Inoculation of the isolated bacterium prevents the development of bacterial disease in Pleurotus ostreatus, Flammunia velutipes and Agaricus bisporus. Control efficacy of brown blotch of strain HC1 treatment was 69, 68 and 55% on Agaricus bisporus, Flammulina velutipes and Pleurotus ostreatus, respectively. The suppressive bacterium may be useful in future for the development of biocontrol system and the construction of genetically modified edible fungi resistant to the disease caused by P. tolaasii.

지난 2년간의 학회지 "신경정신의학" 심사 평가보고

김찬형,김세주,김도관,김성곤,박원명,송동호,박용천,이영문,오강섭,정영철,이상열,김주한,이동영,이헌정,함병주,김율리,김문두,김정진,이강욱,천근아,김재진,홍진표,홍승철 大韓神經精神醫學會 2007 신경정신의학 Vol.46 No.6

A Study on Plastron Basque - Centering around Rehabilitation of 1887 ~ 9`s Day Dress -

(Moon Sook Kim),(Hyun Ju Kim),(Sung Ji Han),(Hyun A Kim),(Jin Kyung Ryou),(Jung A Cho),(Eun Jung Choi),(Shin Ae Moon),(In Suk Hong),(Wan Ju Kim),(Su Young Lee),(Yu Jin Chun) 복식문화학회 2000 Fashion, industry and education Vol.3 No.1