포괄수가지불제도 적용에 따른 산부인과 진료수입의 변화

황태연,유병철,정귀언,정수진,김성준,배기택,손혜숙,이종태,전진호,엄상화 인제대학교 2001 仁濟醫學 Vol.22 No.1

Objectives: Under the fee-for-service system, Korean hospitals have been suffering from the worsening profitability caused by law medical care fees. To overcome the difficulties, they have maximized the quantity of medical services and made relatively large investment in developing new medical services using high-priced medical equipment, medicines and medical supplies which were not covered by medical insurance system rather than reduced running costs. Materials and Methods: This study was made to analyze and forecast the revenue change of the department of Obstetrics and gynecology of an university hospital in Seoul, expecting the implementation of DRG system in 2000. Results: The results were as follows : 1.During the first two days of hospitalization. 41% of total medical service fee was occurred, which was thought that most of the check-ups and operations were made during this period. After two days of hospitalization, the new occurrence of medical service fee tended to reduce. 2.Out of total medical service fee, 67% of admission fee was occurred after 5 days of hospitalization. This was because medical service fees in obstetrics and gynecology department occurred during the first 5 days of hospitalization. 3.Out of fees for operation, treatment, medical supplies and blood transfusion. 71% was occurred during the first two days. 4. In case of fees for examination, 50% was occurred during the first two days. 5.A total of 53% of fees for medication and injection was occurred during the first 5 days. Conclusions: By the implementation of the DRG system, the income is forecast to increase by 800 won to 310,000 won by the disease group of obstetrics and gynecology department. To increase hospital income with the implementation of DRG system, the results of this study suggest that examinations should be done at out-patient departments before the hospitalization of patient, the discharge of patient should be noticed in advance to reduce the period of hospitalization, and admission appointment system should be implemented for the immediate operation and delivery.

컴포넌트 기반의 건강관리 시스템 개발을 위한 UI 툴

정호진;주문일;박광호;박태향;김희철 인제대학교 2012 仁濟論叢 Vol.27 No.1

Component-based systems are generally known as useful for maintenance and extension. However, there are a number of difficult aspects in designing them, and skillful knowledge of component-based design is strongly requested. Against the problem, this paper presents a User Interface tool that helps to develop component-based healthcare systems more easily and effectively. This UI tool has been developed, aiming at enabling easier and faster development of such systems. Further it supports standardization and interoperability. We expect that use of the UI tool helps to add, delete, change medical contents, and maintain related systems with less effort and better performance.

SM20C 旋削時 加工條件 變化에 따른 칩 形狀에 관한 硏究

정태상,황광성,김명규,김길진,박영태 진주산업대학교 산업과학기술연구소 2007 산업과학기술연구소보 Vol.- No.14

This study was to look for cutting conditions which are safe, comfortable and contributable to the increase in productivity at the time in turning. The shape of chips while turning have a strong effect on cutting processing. If chips fail to be well controlled, systematic cutting is not possible by revolution of chips entangled with workpiece or damage of tool edges, and this causes problems threatening the safety of the operator. This study is designed to identify conditions which chips effectively controlled and able to treat properly, and the results are as follows: 1. Feed rate, which determined the shape of chips, was found to have a stronger impact on the shape of resulting chips than any other cutting condition. 2. When feed rate was 0.25mm or over, controlled chips(coil spring type) were produced under whatever cutting conditions. 3. When feed rate was 0.25mm or over and depth of cut was 1.0mm, well-controlled shorter coil type chips were produced at every spindle speed, which implied they were the most suitable cutting conditions. 4. Feed rate 0.2mm was found to be an unstable section where coil spring and linear mixed type chips were produced together, and as feed rate decreased, more linear chips beyond control were produced. 5. At the same spindle speed, as the diameter of the material became bigger, controlled chips were produced only when the depth of cut was reduced, and vice versa under feed rate 0.2mm. 6. At the same feed rate, the lower spindle speed was, the more stable chips were produced.

뇌성마비 환아의 발달 평가와 유발 전위, 뇌파,뇌 자기 공명 영상의 비교연구

서정수,김태민,채진목,김영경,김봉옥 大韓再活醫學會 2000 Annals of Rehabilitation Medicine Vol.24 No.4

호수원의 상수원화를 위한 수처리 공정 개선에 관한 연구

정두식,이태진,이용택 경희대학교 환경연구소 1994 環境硏究 論文集 Vol.5 No.-

This study researched the improvement of water treatment process for lake water to drinking water. Especially, we examined water in Lake Shin Gal located nearby Kyung Hee University and investigated the possilbility of the treated water for drinking purpose. Analysis of the treated water gave the satisfactory results for the standard values of drinking water except the several items. However, the water pollution will become serious if the number of factories increase. Therfore, in order to keep possibility of the water in Lake Shin Gal, the number of factories musts be restricted and the application of membrane separation process with general water treatments must be considered.

구간 분할 제어를 이용한 형상기억합금 와이어의 온도제어에 관한 연구

정상화,김주환,김태호,서호진,박진완 朝鮮大學校 機械技術硏究所 2007 機械技術硏究 Vol.10 No.1

The key technology of robot is the design of the actuator. Particularly breakthroughs of power-to-weight ratio or energy-density III actuator technology have significant impacts upon the design and the control of robotic systems. To realize the anthropomorphic motion, artificial muscles such as shape memory alloy(SMA) and electro active polymer(EAP) are used. These actuators have the higher energy density than the electromechanical actuators such as the electric motor. The EAP has the property of good elasticity, but it is difficult to get the required power. The SMA has the good power density and simple structure, but the control scheme of the actuator is difficult. In this paper, temperature control of SMA wire using segment control is studied. The SMA wire is segmented by thermo-electric module(TEM). To supply constant currents in TEMs, MOSFET is used. Hysteresis in one segment of SMA wire is evaluated. The force and displacement of SMA wire are measured according to the number of segment. The program to control the temperature of TEM is developed by using LabVIEW software.

공복 시 Caffeine 투여 후 일회성 운동이 흰쥐의 인슐린 및 골격근의 GLUT-4 발현에 미치는 영향

정일규,오명진,김영표,김종오,윤재석,서태범,윤진환 한국스포츠리서치 2004 한국 스포츠 리서치 Vol.15 No.5

This study was done to investigate the effects of caffeine ingestion on the expression of GLUT-4 in rats' skeletal muscle(soleus m) and blood insulin level after 12 hr fasting condition and one hour treadmill running. Total 19 rats(Sprague-Dawley) who were 7week Did were used for experimental subjects and raised for 1week in the room controled the air temperature and relative humudity(22℃ and 50%). They were divided three groups ; 12hr fasting group(F group, n=5), fasting+exercise group(FE, n= 7) and fasting+caffeine+exercise group(FCE group, n=7). FG and FCE group performed treadmill running for one hour and the treadmill speed was 18m/min that was supposed to be moderate exercise to rats. Each Dr rats in FCE group was forced to he given the caffeine solution(5mg/kg, Sigma Chemical co.) through stainless steel tube directly to their stomachs one hour before treadmill exercise. Immediately after treadmill running, we anesthetized them with the mixed solution(Ketamin 80g/kg and Rompun 5ml/kg) to draw 3ml blood from heart four insulin analysis and then obtained the rats' soleus muscle for GLUT-4 expression. We found that FCE group showed significantly higher GLUT - expression then the other groups and FE group showed the lowest GLUT-4 expression. This rusults suggest that the endurance type of exercise in fasting condition inhibit the GLUT-4 expression in working muscle and the caffeine helped to facilitate the GLUT-4 expression during endurance type of exercise. The future studies needed to confirm the action of caffeine to increase the GLUT- 4 and the mechanism.

동종 골수이식 후 만성 이식편대숙주질환과 동반되어 신증후군으로 발현된 IgA 신병증 1예

정철권,김현수,박준성,정성현,조도연,최진혁,남동기,임호영,김명성,신규태,임현이,김효철 대한조혈모세포이식학회 1999 대한조혈모세포이식학회지 Vol.4 No.2

동종 골수이식 후 발생하는 신기능부전은 원인이 다양하여 감별에 어려움이 있다. 만성 GVHD는 흉선의 기능저하에 따른 면역관용의 실패로 발생되는 자가면역현상에 의해 발생되는 것으로 알려져 있으며 드물게 신장을 침범하여 신증후군을 일으키기도 한다. CaA의 용량을 줄이거나 투약중지 후 발생한 만성 GVHD에 동반된 신증후군의 경우 조기에 신조직검사를 시행하여 감별진단하고 CsA의 용량을 증량하거나 재투약하여 좋은 치료 결과를 보일 것으로 기대된다. 저자들은 문헌고찰을 통해 동종 골수이식 후 발생된 신증후군이 유사한 임상양상을 보이며 발생기전에 만성 GVHD와 자가면역현상이 연관되어 있음을 확인하였으며 동종 골수이식 후 신증후군의 임상양상을 보이는 환자에서 병리조직학적으로 lgA 신병증을 진단하고 이러한 lgA 신병증이 발생기전에 만성 GVHD와 자가 면역현상이 연관되어 있을 가능성을 최초로 확인하였으며 CsA를 이용하여 성공적으로 치료한 경험을 하였기에 보고하는 바이다. Renal insufficiency is occasionally encountered in allogeneic bone marrow transplantation and its cause is difficult to ascertain. Chronic graft-versus-host disease (GVHD) related to thymic dysfunction is immune-mediated and involves autoreactivity of T-lymphocytes derived from donor marrow to recipient's major histocompatibility complex(MHC) minor antigens. The clinical mainifestations of chronic GVHD are similar to those of autoimmune disease but kidney involvement is rare. Few cases of nephrotic syndrome with membranous nephropathy or minimal change nephrotic syndrome have been reported to be associated with chronic GVHD in allogeneic bone marrow transplant recipient especially after cyclosporine A(CsA) withdrawal, and these cases have responded well to CsA. Therefore, it is prudent to differentiate the cause of post-transplant renal insufficiency using renal biopsy and to start CsA in a case of nephrotic syndrome associated with chronic GVHD as early as possible. We report a case who had a massive proteinuria during the post-allogeneic marrow transplantation period. The cause of nephrotic syndrome was diagnosed as IgA nephropathy by renal biopsy. The patient was successfully treated with reintroduction of CsA.

집단콜라주 미술치료가 단순 언어장애 아동 어머니의 양육스트레스에 미치는 효과

임진섭, 김태형, 이윤정 培材大學校 人文科學硏究所 2018 人文論叢 Vol.35 No.-

본 연구는 집단콜라주 미술치료가 단순 언어장애 아동 어머니의 양육스트레스에 미치는 효과를 검증하기 위하여, 창원시 D아동청소년 발달센터 게시판을 통해 모집한 23명의 모집 공고 대상자 중 면담을 통해 연구 참여 희망자 12명을 선별하여 실험집단 6명과 통제집단 6명, 총12명을 선정하였다. 실험집단에는 2014년 7월부터 10월까지 사전·사후검사를 포함한 총 12회기의 집단콜라주 미술치료를 실시하였다. 집단 간 동질성을 알아보기 위하여 맨 위트니 유 검정(Man-Whitney U Test)을 실시하였으며, 이후 사전·사후 차이를 확인하기 위해 윌콕슨의 결합-조-기호-순위 검정(Wilcoxon Matched Pairs Signed Rank Test)을 실시하였다. 연구결과 집단콜라주 미술치료는 단순 언어장애 아동 어머니의 양육스트레스를 감소시키는 것으로 나타났으며 효과적인 방법임이 검증되었다. This study's purpose is about the effect of the collage art therapy which was implemented for mother for children with specific language impairment. For this study, 12 Mothers with simple language impaired children who used Development Center of the Children's youth in Chang-Won and they were chosen to the participants for this study and divided into an experimental group and control group, whit 6 in each group. This collage group art therapy Program Over 12 session from July 2014 until October. We conducted Man-Whitney U Test to evaluate the homogeneity between groups and Wilcoxon Matched Pairs Signed Rank Test to check for pre and post differences. In conclusion, the findings suggest that the group art therapy has a positive effect on the reduction of mother's child-rearing stress and can be a effective approach to improve parenting stress of mother with simple language impaired children.

감마선 조사 랫트의 고환에서 fibronectin의 발현

정진우,김희철,김정태,안미정,이지영,신태균 제주대학교 방사능이용연구소 2005 방사선응용과학연구소논문집 Vol.19 No.-