위암수술 환자에서의 cp 개발과 cp적용에 따른 질 향상 활동에 관한 연구

임은주,황순휘,박도중,하광일,배현주,김형호 한국의료QA학회 2006 한국의료질향상학회지 Vol.13 No.2

Background : In an era of increasing medical costs, safe reduction in postoperative stay has become a major focus to optimize utilization of healthcare resources. The authors aimed to evaluate the clinical significance of the critical pathway(CP) for gastrectomy patients by implementing standardized postoperative management and electronic medical records. Method : From August 2006 to April 2007, critical pathways were introduced to inpatients and outpatients with gastric cancer. 60 consecutive patients undergoing distal gastrectomy were randomly divided into two groups; 30 CP group(A) and 30 non-CP group(B). Simultaneously, we also retrospectively reviewed the records of 438 patients(C:control group) who were able to be enrolled in CP program. We compared group(A) with (B), (C) in terms of hospital stay, complication rate, use of antibiotics and hospital costs. Patient satisfaction was surveyed by questionnaires. Result : There was no significant demographic difference between group(A) and (B). Of 30 patients in group(A), 5 drop-outs and 14 variances occurred. The mean postoperative hospital stays(Laparoscopy-assisted distal gastrectomy: LADG/Open distal gastrectomy: ODG) were 7.6/10.5 days for the group(A), 8.9/12.7 days for the group(B) and 12.6/14.5 days for the group(C) (p=0.02 in LADG). The total hospital cost of group(A) had a tendency to be less than that of group(B) and the amount of hospital cost per day in group(A) was significantly higher than that in group(B). The usage rates of the first generation antibiotics were 73.33%, 63.33%, and 59.2% in group(A), (B), and (C), respectively. Patients’ satisfaction had a tendency to be higher in the CP group than non-CP group. Conclusion : The mean hospital stay in LADG patients was shortened meaningfully and hospital cost per day was enlarged after introduction of clinical pathway. It is necessary to apply a number of patients to the critical pathway and to make an effort to reduce the variation and drop-out rates.

동국대학경주병원에서 분리된 각종 병원성 세균 및 항생제 감수성 양상

하경임,고은하,전창호,정병욱,안우섭,김우택,배정수,어경윤 동국대학교 경주대학 1993 東國論集 Vol.12 No.-

We investigated characteristics of bacterial infection and antimicrobial suscerptibility patterns of clinical specimens in Dong Guk University Kyong Ju Hospital from october 1991 to december 1992. The types of clinical specimens requested for culture were as follows ; pus(34.2%), urine(29.6%), sputum(25.2%), blood(9.2%), etc. The most frequently isolated organisms were E. coli(17.6%), Pseudomonas(12.7%), S. aureus(12.2%), and CNS(11.2%), orderly. Predominant organisms from pus, urine and sputum were S.aureus, E. coli and Pseudomonas. Blood culture was requested 1,244 samples from 614 patients, 91 pathogeni organisms were isolated(14.8% from patient and 7.3% from requested clinical samples). E. coli was most frequently isolated(29.7%) and Salmonella typhi was noted 8.8% from the requested samples. The patterns of isolated organisms according to departments were as follows ; E.coli and Klebsiella were frequently isolated in internal medicine and general surgery, E.coli and Pseudomas in Neurosurgery, S. aureus and Pseudomonas in orthopedic surgery. In ICU, Pseudomonas was predominatly isolated and the rate of mixed infection was also high(16.4%). Most of gram-negative bacilli revealed relatively high susceptibility to Chlorampenicol, Amikacin, Tobramycin and Carbenicillin, but Acinetobacter were only susceptible to Carbenicillin and Tetrecyclin, and Serratia were to Carbenicillin and Amikacin while Salmonella were susceptible to all tested first drugs. The proportions of multi-drug resistant bacteria were 34.9% of Acinetobacter, 21.1% of Serratia, 20.0% of Pseudomonas and 15.4% of Citrobacter but Aztreonam was highly susceptible(84∼100%) except Acinetobacter. S. aureus and CNS were susceptible to Chlorampenicol, Oxacillin, Cephalothin and Vancomycin, especially, 100% susceptible to Vancomycin. But Methicillin reistant Staphylococcus aureus were very high(49%) inspite of new constructed hospital. Pneumococcus and Streptococcus species were relatively high susceptible to all tested drugs.

음양곽과 함초의 간독성에 대한 연관성

하배진,남천석,박은경,강금석 신라대학교 자연과학연구소 2006 自然科學論文集 Vol.15 No.-

In the present study the hepatoprotective and antioxidative effects of Epimedium koreanum (EK) and Salicornia herbacea (SH) were investigated against carbon tetrachloride (CCl_(4))-induced liver damage in rats. EK and SH (100 mg/kg) were administered into rats intraperitoneally (i.p) for 2 weeks. After CCl_(4) a dose of 3.3ml/kg was administered to induce hepatotoxicity. This antioxidative effects of EK and SH on CCl_(4) -treated rats were measured through the activity of Aspartate aminotransferase (AST), Alanine aminotransferase (ALT) in serum and Superoxide dismutase (SOD), Catalase (CAT) in liver tissue. EK or SH-administered and CCl_(4) -treated (ECT or SCT) groups showed inhibitory effects in AST and ALT activities compared to CCl_(4) -treated control (CTC) group. SOD and CAT in ECT and SCT groups were increased compared to those of CTC group.

임신과 동반된 난소섬유난포막종 1례

류은석,김윤숙,전섭,김종수,최승도,선우재근,배동한,양승화 순천향의학연구소 2005 Journal of Soonchunhyang Medical Science Vol.11 No.1

Fibrothecoma are mesenchymal tumors deriving from the ovarian stroma and consisting of theca-like elements and fibrous tissues. The reported incidence is between 0.4 and 8.0% of all ovarian tumors and this side variability can be attributed to the difficulty in differentiation fibrothecoma from ovarian fibroma or hyperplastic stroma nodules. We experienced a rare case of ovarian fibrothecoma in woman at 38 weeks gestation with previous repeat cesarean section diagnosed after tertiary cesarean delivery and bilateral tubal ligation with a brief review of literature.

의사 소통 능력 신장을 위한 교수 방법 및 학습 자료 연구 : 독일어 수업을 중심으로

이난희,배은하 이화여자대학교 교과교육연구소 1999 교과교육학연구 Vol.3 No.1

본 연구는 독일어에 대한 학습 동기를 유발하여 효과적인 독일어 학습을 실시하고, 의사 소통 능력을 배양할 수 있는 방법을 모색하는데 있다. 수업 과정에 직적 참여하고 외국어의 창의적인 활용 기회를 지닌 학생이 보다 더 쉽고 효과적으로 독일어를 배우게 된다는 것은 명백하다. 의사 소통 중심 교수법은 이러한 학생 중심 수업을 필요로 하며, 수업 계획도 교육 과정의 주체자인 학생으로부터 출발한다. 실제적인 자료의 활용은 대규모 학습 집단에 있어서 일방적인 교사 중심의 학습에서 개인적 학습 형태와 의사 소통적 학생 중심으로 전환할 수 있는 가능성을 제공한다. 학생 중심으로 의사 소통 활동을 위주로한 외국어 교육이 이루어지려면 새로운 학습 자료를 개발하고 실제적인 학습 자료들을 수업에 적극 활용하도록 알맞은 방법을 선택하고 수정, 보완하는 노력이 계속 이어져야 할 것이다. 본고는 독일어 교육 개선의 일환으로 현행 교육 과정의 지도에 따른 학습 현장의 문제점들을 분석, 검토하고 보완책을 모색하여 효율적인 독일어 학습이 이루어지도록 학습 도움 자료를 제작하고 그 활용 방법을 제시하였다. Die vorliegende Arbeit befasst sich mit den Problemen des Deutschunterrichts an den Cymnasien in Korea. Bezugspunkt der Diskussion sind dabei zum einen die Gegebenheiten und Bedu¨nisse des Sprachunterrichts mit seinen Rahmenbedingungen, zum anderen aktuelle mthodische Paradigmen des fachs Deutsch als Fremdsprache. Der technologische Fortschritthat auch im Unterrichtssektor eine substantielle Vera¨erung mit sichgebracht. In diesem Zusammenhang wurden die Mo¨ichkeiten diskutiert, den in der Padagogik wurzelnden jingeren Paradigmenwechsel des Faches umzusetzen: weg vom "struktionalen Paradigma' hin zu einem Ansatz, der den Lerner selbst und seine individuellen Bedu¨nisse in den Mittelpunkt stellt. Um Lemerzentrierung, autonomes und selbstentdeckendes Lernen besser realisieren zu ko¨en, hat die vorliegende Albeit die Vorschla¨ gemacht, eine Verbesserung der Lehrbu¨er anzustreben und verschiedene authentische Materialien im Unterricht einzusetzen.

정밀체성분 분석자료 및 복부지방율(WHR)과 임상검사 비교분석

박영원,최상철,이동춘,윤은희,이정화,김현숙,배경림,김은희 한국건강관리협회 1999 건협 Report Vol.2 No.-

Development of Serological Procedures for Sensitive and Rapid Detection of Cucumber Mosaic Virus in Lilium

Eun Hye Bae,Yong-Tae Jung,Jin Ha Kim,Ha Na Yoo 한국원예학회 2012 한국원예학회 학술발표요지 Vol.2012 No.5

Notes : Monitoring of Aflatoxin B1 in Livestock Feeds Using ELISA and HPLC

( Eun Mee Han ),( Hee Ra Park ),( Soo Jung Hu ),( Ki Sung Kwon ),( Hyo Min Lee ),( Mi Sun Ha ),( Kyung Mi Kim ),( Eun Jung Ko ),( Sang Do Ha ),( Hyang Sook Chun ),( Duck Hwa Chung ),( Dong Ho Bae ) 한국미생물 · 생명공학회 2006 Journal of microbiology and biotechnology Vol.16 No.4

Possibility of a Standardized System for Task-Related Hierarchal Positions of Dental Hygienists

( Eun-ha Jung ),( Sun-young Han ),( Eun-bi Sim ),( Sung-suk Bae ) 한국치위생과학회 2020 치위생과학회지 Vol.20 No.3

Background: Despite the demand for greater competence of dental hygienists in recent times, and the consequent standardization of systems in the organizations, there is a lack of a proper system for hierarchal positions of dental hygienists. The aim of this study was to identify the tasks performed by Korean dental hygienists in various work settings and hierarchal positions to suggest a standardized system for task-related hierarchal positions. Methods: A survey was conducted by sending questionnaires to 966 dental hygienists, and responses from 757 participants were included in the final analysis. The survey comprised questions regarding participants’ general characteristics, tasks, current positions, and the internal policies or standards of the respective organizations to define these positions. The participants’ positions were analyzed as frequency and cross-sectional analysis with respect to their general characteristics, their place in the organizational charts, the size of their workplaces, and differences in the tasks performed. Results: Data showed that 82.6% of the hospitals and clinics in Korea have organizational systems to determine the positions, and there was a significant difference in the systems according to the size of the health facility (p<0.05). The standards or policies used to define positions within general or university hospitals were determined by internal regulations or bylaws, whereas work experience was the major determinant of positions in smaller dental hospitals or clinics. The main tasks performed by dental hygienists in Korea were dental assistance (81.2%), routine dental hygiene tasks (53.4%), and administrative tasks, such as reception and billing (46.1%). Conclusion: Most dental hygienists in Korea are actively involved in dental assistance. Therefore, their specific tasks and responsibilities should be standardized more effectively. The data obtained from this study can be used to establish a standardized position system.

Development of Online Continuing Education Courses on National Health Examination for Community Health Nurses: Using the Rapid Prototyping Method

Eun-Ha Kim(김은하),Kye-Ha Kim(김계하),Kyung-Eui Bae(배경의) 한국산학기술학회 2019 한국산학기술학회논문지 Vol.20 No.8

본 연구의 목적은 방문간호사를 위한 국가 건강검진에 관한 온라인 보수교육 프로그램을 개발하기 위함이다. 연구 기간은 2016년 11월부터 2017년 12월까지 시행되었다. 교육 프로그램은 래피드프로토타입 방법을 활용하여 단계적으로 개발하였다. : 1) 관련 문헌 검토와 이해관계자 및 전문가의 포커스그룹 면담(FGI)을 통해 학습자의 요구도를 확인하였다. 2) 방문 간호사의 건강 검진에 관한 상담 전략을 포함하는 교육내용의 개요를 작성하였다. 3) 온라인 교육자료 개발자와 연구자가 회의를 거쳐 온라인 교육 프로그램을 개발하여 학습자에게 모의 조사를 실시하였다. 4) 확정된 교육내용을 8개의 모듈로 구분하여 온라인 교육 자료 초안을 개발하여 파일롯 과정을 실행하였다. 5) 학습자의 피드백을 반영하여 교육 프로그램을 확정하여 지역사회 간호사를 위한 건강검진 온라인 보수교육 프로그램을 최종적으로 개발 및 운영하였다. 개발 된 온라인 보수교육 프로그램은 방문 간호사가 건강검진에 관한 상담을 수행하도록 돕는 데 효과적이었다. 따라서 온라인 보수교육 프로그램은 간호사의 실무역량을 향상하는데 효과적인 교육적 접근이라 할 수 있겠다. This study was conducted to develop an online education program for visiting health nurses on National Health Examination. The study period was from November 2016 to December 2017. The program was developed in stages using rapid prototyping methodology. 1) Learners" needs were identified through literature review and focus group interviews (FGIs) with visiting health nurses and stake-holders in the field. 2) The contents of the education program including counseling strategies regarding the heath of visiting health nurses were developed. 3) Online education materials were developed and piloted amongst learners. 4) The contents of educational programs were classified into eight learning modules, and online education drafts were pilot tested. 5) Based on feedback from learners, this program was revised and a web-based continuing education program for community nurses was developed. These education programs effectively assisted nurses with counseling regarding health examinations during visiting health nursing care. Therefore, the online continuing education program may be a very effective educational approach to improving nurses competency.