노인 위암의 임상 병리학적 특징 및 Helicobacter pylori 감염

김혜랑,문영수,박영숙 凡石學術奬學財團 1999 凡石學術論文集 Vol.3 No.-

만성 신부전 환자에서 과도한 수분섭취로 유발된 심한 저나트륨혈증 1예

문기원,권순길,김혜영 충북대학교 의과대학 충북대학교 의학연구소 2003 忠北醫大學術誌 Vol.13 No.2

만성 신부전에서는 사구체 여과율이 감소함에 따라 농축능은 손상되지만 희석능은 오랜 기간 유지되기 때문에 심한 저나트륨혈증은 잘 발생하지 않는 것으로 알려져 있다. 저자들은 잘못된 민간 의료지식으로 인하여 만성 신부전 환자에서 과도한 수분섭취로 유발된 심한 저나트륨혈증을 합병증 없이 치료한 증례를 경험한 바 있어 보고하는 바이다. Hyponatremia is one of the most common electrolytes imbalances in clinical medicine. However, it may be fatal if not corrected appropriately. In pre-dialytic chronic renal failure patients, severe hyponatremia is rare, because the dilutional capacity of the nephron is well preserved despite of diminished glomerular filtration rate. We report a case of severe hyponatremia induced by excessive water intake in a 33-year-old woman with chronic renal failure, treated successfully with diuretics and 3% saline. She had drunken 2-3 liters of free water daily for 7 days, and nausea, vomiting and dyspnea were developed 2 days later. At admission, serum sodium concentration was 103 mEq/L and serum creatinine was 4.7 mg/dL. Salt and free water intake were restricted and furosemide was administered intravenously, but serum sodium concentration rose only by 2 mEq/L. Then, 3% saline was added and serum sodium concentration rose to 118 mEq/L after 48 hours. On 7th hospital days, serum sodium concentration was 132 mEq/L, the patient discharged without any complication at all.

난소 기형종에 동반된 직장후방 기형종

오보영,이령아,구혜수,문혜성 이화여자대학교 의과학연구소 2012 EMJ (Ewha medical journal) Vol.35 No.2

側面計測女兒顔貌構成要素의 6歲以後2年間變化에 關한 硏究

이영혜,文赫秀,白大日,金鍾培 대한구강보건학회 2003 大韓口腔保健學會誌 Vol.27 No.2

The purpose of this study was to obtain data relating to the growth and developmental patterns of faces in Korean female students during two years after six years of age, which were necessary to design the models for estimating the growth and developmental patterns of faces. Since forty two cephalometric measurements representing lateral facial pattern were measured on the lateral radiograms of 210 six year old girls resding in yeon Cheon-Gun county, Kyungki-Do province in 1995, they were longitudinally measured each year until the year 1997. Accoriding to the profile classification criteria reported by Lee and Moon, the profile of 210 six year-old students were classified into seven profile groups. During the two years after six years of age since 1995, the changed forty two cephlometiic measurements representing the growth and development of lateral facial pattern were discussed respectively in the seven profile groups. The obtained conclusions were as follows: 1. Cd-Pog Cd-Gn Ar-LIE Ar-Id Go-LIE Go-LIE Go-Pog and Ba-Pog distances were continued to increase each year after six years of age in all female seven profile group(P<0.01). 2. UIE-UIA/Cd-Or UIE-UIA/PNS-ANS and UIA-UIE/N-A angles were continued to increase each year, but GoI-Me/UIA-UIE angles were continued to decrease each year after six years of age in all female seven profile groups(P<0.01). 3. Sixteen lateral facial pattern composing angle and twenty six lateral facial pattern composing distance had statistially significant differences among seven profile groups at each year. 4. The distance change of PNS-ANS and Sd-Id per 10㎜ per 2years per 10㎜ during 2years had statistically signficant differences among seven profile groups, unlike any other lateral facial pattern composing distance change per 10㎜ per 2years.

주상병 일치도에 관한 연구 : 1개 중소병원을 중심으로

서영숙,김유미,남문희,강성홍,임지혜 한국의료QA학회 2009 한국의료질향상학회지 Vol.15 No.1

Background : The principal diagnosis has been used in many different fields such as hospital statistics, medical research, insurance claim, national health statistics and so on. Some principal diagnoses have a relatively low level of reliability in the medium-sized hospitals. The purpose of this study is to identify the reliability level of principal diagnoses and to suggest ways to improve reliability of the principal diagnosis. Method : Data were collected from a medium-sized hospital located in Pusan. The discharge summaries on 323 patients who were discharged in January, 2008 and the outpatient summaries on 251 patients who visited the hospital on March 28, 2008 were collected, and descriptive analysis was performed using SPSS version 12.0K. Result : The findings are the followings: (1) the diagnostic consistency rate between medical records and doctors’ was 92.0%; (2) the diagnostic consistency rate between medical records and insurance claims was 86.1%; (3) the diagnostic consistency rate between doctors’ diagnoses and insurance claims was 80.2%. The evidence seems to indicate that some principal diagnoses have reliability problems in the medium-sized hospitals. Conclusion : The results of this study suggest the followings: (1) employees should be trained and supervision of hospital activities are needed; (2) network systems should be constructed for each department; (3) professions need to be fostered (4) doctors’ awareness of medical records should be changed.

이온 교환체로서 Quinine-금속thiocyanate착물을 이용한 Quinine의 정량

허문희,백광진,최현영,안문규 경성대학교 1997 論文集 Vol.18 No.1

The fabrication and performance characteristics of quinine sensitive poly(vinyl chloride) membrane electrodes based on the ion-association complex of quinine with an anionic counter ion, metal thiocyanates (Co(SCN)??, Cd(SCN)??, Fe((SCN)??, Hg(SCN)??, Mn(SCN)??, Ni(SCN)??, zn(SCN)??) was described. The sensing membrane was based on the quinine complex of cobalt thiocyanate plasticized with 65.3% (w/w) tris(2-ethylhexyl) phosphate (TEHP), ferric thiocyanate with 65.3% (w/w) TEHP, nickel thiocyanate with 65.3% (w/w) TEHP and zinc thiocyanate with 49% (w/w) TEHP. These electrodes show a linear response down to 1.2×10?, 1.0×10?, 9.6×10?, 2.0×10?M with Nernstian slope of 55.69, 54.96, 56.63, 55.80 mV/dec. for quinine with relative standard deviation of 3.1, .51, 2.26, 3.16% at pH 5.5∼7.6, respectively. Response time was 10∼20s. The quinine-nickel complex with 65.3% (w/w) TEHP was the optimal ion-exchanger for quinine selective electrode. The electrode exhibits good selectivity for the quinine in the presence of some inorganic cation and organic cations. The quinindine-nickel complex instead of quinine-nickel complex as an ion-exchanger was successfully applied to the direct potentiometric determination of quinidine pharmaceutical preparation giving an average recovery of 101.5% and relative standard deviation of 2.5%.

‘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.

재래의류시장의 e-business 적용 전략 연구

윤문길,정대영,이신수,이혜영 한국경영과학회 2000 한국경영과학회 학술대회논문집 Vol.- No.2

Dongdaemoon clothes market can make traditional commerce to improve problems which happen to traditional commerce and satisfy between customers and salers through combination among Electronic Commerce which is growing up in 21 centuries place innovation This thesis is focusing on suggesting strategies which practice to let Dongdaemoon clothes market customers and wholesalers, retailers to use Electronic Commerce as strategic skills by analyzing core successful factors for adopting Electronic Commerce in Dongdaemoon clothes market. Adopting Electronic Commerce in Dongdaemoon clothes market when the customer make a reservation and the salers provide the customer with discounting service, the customer was willing to but it. Internet service categories which affect customer's satisfaction are providing lots of product information. This thesis shows providing information made the customer to increase customers's satisfaction degree and buying intention. Also convenience of product research, and reliability in transaction process can enable the customer to increase transaction reliability. These factors are very important in Electronic Commerce. In addition, factors which show customer's suggestion and incovenience by using best seller information and discounting service board when they buy some items in Dongdaemoon clothes market affect the customer satisfaction degree and satisfaction degress of providing information. However, this thesis is analyzed that reliability of transaction process doesn't affect all successful factors such as product quality, size, online payment system, price reliability.

식약청 HACCP 지정 여부에 따른 위탁급식소의 HACCP에 필요한 시설ㆍ기구의 구비실태 비교

전지영,문혜경 창원대학교 생활과학연구소 2003 생활과학연구 Vol.- No.7

In this study, based on HACCP prerequisite program in Food Sanitation Act, essential facilities and equipment for HACCP implementation were identified. And other purpose of this study was to compared present status of facilities and equipment at HACCP appointed contract foodservices by KFDA(Korea Food and Drug Administration) and those of non-appointed. Usage status of facilities and equipment (total 49 items) were surveyed on 12 appointed foodservices and 33 non-appointed foodservices. The Results showed significant differences between two groups from 34 items. It was found that the general usage status level at the appointed foodservices were considerably higher than that of the non-appointed. The appointed foodservices had many essential items included in the Food Sanitation Act, but non-appointed foodservices possessed a few items.

데이터마이닝을 이용한 의료의 질 측정지표 분석 및 의사결정지원시스템 개발

김혜숙,채영문,탁관철,박현주,호승희 한국의료QA학회 2001 한국의료질향상학회지 Vol.8 No.2

Background : This study presented an analysis of healthcare quality indicators using data mining and a development of decision support system for quality improvement. Method : Specifically, important factors influencing the key quality indicators were identified using a decision tree method for data mining based on 8,405 patients who discharged from a medical center during the period between December 1, 2000 and January 31, 2001. In addition, a decision support system was developed to analyze and monitor trends of these quality indicators using a Visual Basic 6.0. Guidelines and tutorial for quality improvement activities were also included in the system. Result : Among 12 selected quality indicators, decision tree analysis was performed for 3 indicators ; unscheduled readmission due to the same or related condition, unscheduled return to intensive care unit, and inpatient mortality which have a volume bigger than 100 cases during the period. The optimum range of target group in healthcare quality indicators were identified from the gain chart. Important influencing factors for these 3 indicators were: diagnosis, attribute of the disease, and age of the patient in unscheduled returns to ICU group ; and length of stay, diagnosis, and belonging department in inpatient mortality group. Conclusion : We developed a decision support system through analysis of healthcare quality indicators and data mining technique which can be effectively implemented for utilization review and quality management in a healthcare organization. In the future, further number of quality indicators should be developed to effectively support a hospital-wide Continuous Quality Improvement activity. Through these endevours, a decision support system can be developed and the newly developed decision support system should be well integrated with the hospital Order Communication System to support concurrent review, utilization review, quality and risk management.