TPN 처방시스템을 이용한 약국업무 개선

조영환,김정태,김승란,백지은,김미경 한국병원약사회 2000 병원약사회지 Vol.17 No.1

As a part of a plan to improve the multifunctional hospital information system, Asan Medical Center has invented the COES (Clinician's Order Entry System) for the physicians which involves computerized TPN prescription. As an initial step, an outline of the system has been formulated after collection relevant materials from various sources including foreign materials. This project simplifies and standardizes COES between physicians and pharmacists. By introducing this system, we could minimize the possible errors during inputing the inscription and converting the requirements to the volumes to prepare the required medicine. Units of prescribed volume were automatically changed through the computerization of TPN order. This procedure can save time and man-power for preparing the medicine by using Automatic TPN Prescripter. All of these has encouraged us to seek more active TPN consultation for the systemical examination and monitor TPN inscription, and to provide patients with TPN of a good quality.

신생아 집중치료를 받았던 극소 저출생체중아의 입원중 성장에 관한 연구

김승란,이재연,노서영,조영환,노환성,김애란,김기수,피수영,강위창 한국병원약사회 2002 병원약사회지 Vol.19 No.3

Pharmacists of neonatal intensive care unit(NICU) at Asan Medical Center monitored appropriateness of TPN orders from January 1999. The objective of this study was to generate growth curves and to quantify the factors associated with the growth of very small premature infants during initial hospitalization. We reviewed patient charts and daily collection forms retrospectively. Study patients included 67infants who were surviving singleton, appropriated for gestational age, weighted <1,651g at birth, born January 1st in 1999, to May 31th in 2000, who did not develop necrotizing enterocolitis. They were grouped four birth weight; <875g, 875~1,124g, 1,125~1,374g, 1,375~1,624g, respective A, B, C, D groups. The each patients'amount of macronutrient intakes, and body weight were recorded daily up to 105days of age or hospital discharge, whichever occurred first. Monitored parameters were; gestational age, sex, Apgar score, respiratory support and parenteral nutrition support duration, started day of feeding, presence of patent ductus arteriosus, infection and treatment of dexamethasone. Growth was determined as change in weight during the period. Four growth curves were generated. Postnatal ages of recovery to birth weight were 21, 20.2, 18, 12.2 days respective groups. There was positive association with respiratory support duration. Mean changes of weight were 14.4, 15.9, 16.4, 16.3g/day. There were negative associations with respiratory support and parenteral nutrition support duration, presence of the treatment of dexamethasone and positive associations with the amount of macronutrient intake. Stepwise regression explained that the growth was correlated with positive calories intake and negative parenteral nutrition support duration. The new weight curves are the reflection of current in-hospital growth trends in korean preterm babies. It is important that the pharmacist fulfills their appropriate nutrition support.

소아 약물처방 스크린 프로그램과 임상약사 활동이 drug safety 향상에 미치는 효과

김승란,김재연,안숙희,강민경,신혜영 韓國病院藥師會 2006 병원약사회지 Vol.23 No.2

소아 간질

김승란 약업신문사 2000 의약정보 Vol.2000 No.4

Comparison of quantitative imaging parameters between two different types of stationary and mobile magnetic resonance imaging

Hong Hye-Lan,Seoung Youl-Hun 한국물리학회 2022 THE JOURNAL OF THE KOREAN PHYSICAL SOCIETY Vol.81 No.11

The purpose of this study was to compare several quantitative imaging parameters for mobile magnetic resonance imaging (MRI) to stationary MRI. The acquisition conditions for MRI were as follows: the American College of Radiology (ACR) phantom was used as the essential part of MRI quality control (QC) protocols, and seven tests were quantitatively evaluated: geometric accuracy, high-contrast resolution, slice thickness accuracy, slice position accuracy, image intensity uniformity, percent signal ghosting, and low-contrast object detectability. We evaluated image quality using digital analysis methods with the new percent integral uniformity (PIU) method. The results indicate that the mobile MRI was degraded with signifcant diferences in geometric accuracy (p=0.021), image intensity uniformity (PIU p=0.248, New PIU p=0.043), and high-contrast spatial resolution of 0.9 mm (p=0.019). In particular, image intensity uniformity was signifcantly diferent between the two diferent MRI system based on the new PIU (p=0.043), but was not on the conventional PIU (p=0.248). Our methods suggest that mobile MRI is more easily exposed to external high-frequency noise than stationary MRI. In conclusion, when reading images with mobile MRI, it is important to pay attention to geometric accuracy and high-contrast resolution, which require shielding against external high-frequency signals.

The use of an electronic medical record system for mandatory reporting of drug hypersensitivity reactions has been shown to improve the management of patients in the university hospital in Korea

Park, Chan Sun,Kim, Tae-Bum,Kim, Seoung Lan,Kim, Jae Youn,Yang, Kyung Ai,Bae, Yun-Jeong,Cho, You Sook,Moon, Hee-Bom John Wiley Sons, Ltd. 2008 Pharmacoepidemiology and Drug Safety Vol.17 No.9

<B>Purpose</B><P>This study was conducted to evaluate the effectiveness of a computerized surveillance system for adverse drug events (ADEs) reinforced with mandatory reporting of all past drug hypersensitivity reactions (DHSRs) and supervision of the processes by allergy specialists in a university hospital.</P><B>Methods</B><P>All information on both prior and newly developed DHSRs was collected via the surveillance system described above and compared with the data from previous system based on voluntary reporting of DHSRs by attending physicians.</P><B>Results</B><P>The report rate of past DHSRs was greatly increased and the estimated incidence of new events decreased under the new system. The occurrence rate of new DHSRs during hospitalization, which were caused by the repeated administration of the agents previously suspected as culprit drugs enormously, decreased from 15% of previous system to 1% of new system.</P><B>Conclusion</B><P>The mandatory reporting system for past DHSRs and the supervision by allergy specialists appear to be important in improving the management of patients with drug hypersensitivity and in preventing the occurrence of DHSRs in a general hospital. Copyright © 2008 John Wiley & Sons, Ltd.</P>

신생아 집중치료를 받았던 극소 저출생체중아의 입원 중 영양 및 성장에 대한 연구

이재연,노서영,김승란,노환성,김애란,김기수,피수영,강위창 한국병원약사회 2001 병원약사회지 Vol.18 No.2

Low birth weight premature infants require unique nutritional supplement that can recover rapid growth within a short term. There has been an examination for correlation between growth and nutritional supplement. With this, we suggest ideal nutrition guideline for low birth weight premature infants in neonatal intensive care units (NICU) by investigating neonate nutritional status. The survey consisted of infants admitted to Asan Medical Center from 1 Jan 1999 to 31 May 2000. Data were obtained concerning all 67 infants born weighing < 1625 gm who were divided into four groups. Daily intakes of fluid, energy, and protein from all sources were determined and body weight was recorded. During the first 2 weeks of life, intake of energy averaged 87.3±12.0 ㎉/㎏/day and intake of protein averaged 2.0±0.4 g/㎏/day. From 15 to 35 days, intake of energy averaged 99.6±12.2 ㎉/㎏/day and intake of protein averaged 3.0±0.4 g/㎏/day. During the period 36 to 56 days, energy intakes were 109.8±16.4 ㎉/㎏/day and protein intakes were 3.2±0.5 g/㎏/day, respectively. Weight reached birth weight by 17.5 days of age. Subsequently, weight gains averaged 14.4, 15.9, 16.4, 16.3 g/㎏/day, in successive periods. Our data suggest that more liberal volume of intake combined with more frequent use of concentrated feedings would lead to increase in both energy and protein intake. Bur low birth weight infants are required fluid restriction therapy, so we can change in feeding practice or in composition of TPN fluid. And we can attempt early MEN (minimal enteral nutrition) a supplement to parenteral nutrition for reducing TPN toxicity by shorter time to full enteral feedings, smaller gastric residuals and less feeding intolerance and the same or faster weight gain.

2B상의 WEB형 플라스틱 사출 금형 견적 산출 시스템 연구

최성(Choi Sung),김승찬(Kim Seoung Chan),유정근(Yu jeoung Geun),한정란(Han Jung Lan) 한국산학기술학회 2004 한국산학기술학회 학술대회 Vol.- No.-

본 연구는 플라스틱 사출 금형 견적 산출 전문가 시스템에 관한 내용이다. 일반적으로 경험에 의한 견적 산출은 프라스틱 사출 금형 제조 회사의 경험이 많은 엔지니어가 직접 작성하게 된다. 이렇게 되면, 시간은 많이 소요되지 않지만, 객관성과 과학성이 결여된 견적이 산출된다. 때때로, 고객과 제조회사 간의 분쟁이 발생하게 되는 원인이 되기도 한다. 이러한 문제를 극복하기 위해, 본 연구로 개발된 시스템이 대안이 될 것이다. 윈도우 환경의 Visual Basic과 SQL 데이터 베이스를 사용한다. 이 시스템에서 얻어진 결과는 제조 현장에서 설계들에게 효과적인 지침이 될 것이다.

3 Tier Architecture 시스템 구조연구

최성(Choi Sung ),김승찬(Kim Seoung Chan),유정근(Yu jeoung Geun),한정란(Han Jung Lan) 한국산학기술학회 2004 한국산학기술학회 학술대회 Vol.- No.-

정보기술 패러다임의 주요 흐름을 살펴보면 오랜 기간동안 주도했던 메인 프레임 위주의 시스템이 90년대 들어서 클라이언트/서버 시스템이 주도하는 환경으로 전환되었으며, 90년대 후반 들어서는 인터넷의 활용증대로 네트웍 컴퓨팅등에 대한 관심이 증대하고 있는 현실이다. 3-tier 구조는 이 시대서 요구하는 시스템 아키텍쳐에 적합하며 발전해 나가 서비스 확장성(scalability) 과 안정성, 그리고 효율면에서 유리하므로 대용량 서비스에 적합하다. 본 논문에서는 이제 앞으로 주도할 3-Tier 아키텍처를 제안하였다.

데이터마이닝을 이용한 e-CRM System연구

최성(Choi Sung ),김승찬(Kim Seoung Chan),유정근(Yu jeoung Geun),한정란(Han Jung Lan) 한국산학기술학회 2004 한국산학기술학회 학술대회 Vol.- No.-

고객 중심의 기업활동의 중요성이 인식되면서 e-Business에서도 지속적인 고객의 가치를 중 대하기 위해 eCRM을 실현하고 있다. eCRM은 비즈니스 모델에서의 다양한 프로세스를 지원할 수 있는 여러 시스템으로 구성된다. 데이터마이닝은 eBusiness 데이터로부터 유용한 지식을 추 출할 수 있는 기술로서 eCRM에서 핵심 요소로 인식된다. 본 논문에서는 eCRM의 개념적 정의 와 그 구성 프로세스를 살펴보고 eCRM에서의 데이터마이닝의 역할을 연구하였다.