병리검사 처방오류 개선 시스템 구축

이현임,최영진,구숙희,양승주,김병로,김묘정,신일근,신미옥,서임선 한국의료QA학회 2006 한국의료질향상학회지 Vol.13 No.2

문제: 조직병리검사의 처방이 복잡하고 전문화됨에 따라 오류처방이 빈번하게 발생되고 이를 해결하기위한 프로세스가 복잡하여 부서간의 갈등과 업무의 가중, 또한 병원 수입 감소가 초래되었다. 목적: 발생된 오류처방의 유형과 발생율, 오류처방을 해결하기 위한 프로세스를 파악하여 이에 대한 문제점을 개선하여 업무의 효율성과 관련부서간의 부가업무 감소와 갈등해소, 더불어 병원수익을 향상시키는 것에 목표를 두고 활동하였다. 의료기관: 서울시에 소재한 종합병원 질 향상 활동: 조직병리검사 처방의 오류처방 발생 원인과 유형, 발생율을 조사하여 원인을 파악하고 개선을 위한 프로세스를 구축하여 질 향상을 도모하였다. 개선효과: 수술실에서 의뢰한 외과 입원환자의 일반조직병리검사 오류율은 개선 전 7.8%에서 개선 후 3.5%, 동결절편조직검사 오류율은 개선 전 28.6%에서 개선 후 0%로 이전보다 모두 개선되었다. 또한 수술실 간호사의 업무 만족도는 일반조직병리검사의 처방시 95%, 동결절편조직검사 처방시 90%로 높은 만족도를 보였다. 단 병리과의 경우 업무가 증가됨에 따라 초과근무시간이 증가하였다.

서울시내 고등학교 위탁급식의 급식비와 투자비의 실태 및 위탁업체의 기대수준 비교 분석

양일선,배환미,김현아,신서영,조미나,박수연,차진아,이보숙 한국식생활문화학회 2002 韓國食生活文化學會誌 Vol.17 No.5

The purposes of this study were to a) find out the operational characteristics of the contract-managed highschool foodservice in Seoul, b) investigate the expected level of meal-price and facilities investment cost perceived by contract-managed highschool foodservice managers c) compare the present level and expected level of meal-price and facilities investment cost. From October 12 to November 13 in 2001, the questionnaires were mailed to 249 high schools which was managed by contract foodservice company with respondent rate 40.2%. Data were analyzed using SPSS Win(10.0) for descriptive analysis and one group paired t-test. The results of this study were as follows ; 1. The student enrollment of highschools run by contract-managed foodservice was 1,243 with 72.6% participation rate of school lunch program. The average meal-price was 2,138 won. The average annual period of school foodservice operation was 156.78 days per year. The average contracting period was about 3 years. 2. The average cost concerned in the facilities investment amounts 169,578,180 won at the initial investment and 25,204,092 won at the repairs and maintenance cost in the course of operation. 3. The present level of meal-price and facilities investment cost were respectively 2,136won/meal and 171,157,336.72 won. And expected level.of meal-price and amount of facilities investment cost were 2,418.75 won and 121,353,215.19 won. Comparing the present level with expected level of the meal-price and facilities investment cost, expected level of meal-price was significantly higher than the present level of meal-price(p<.001) and expected level of facilities investment cost was significantly lower than present level of facilities investment cost(p<.001).

Ribbon형 Co1-x Crx (x=0.27, 0.29, 0.30, 0.32, 0.35) 합금의 자기특성

장현숙,김미양,이장로,이용호 숙명여자대학교 자연과학연구소 1994 자연과학논문집 Vol.- No.5

급냉법으로 리본형 결정질 Co1-x Crx (x=0.27, 0.29, 0.30, 0.32, 0.35)합금을 제조하여 Cr의 조성에 따른 자기적 특성을 조사하였다. 포화자화값은 벌크값보다 컸지만 박막의 경우보다는 작았다. Cr의 함량이 증가함에 따라 포화자화값은 감소하였다. 27 at.% Cr의 경우를 예외로 하면 Cr 함량 증가에 따라 결정립의 크기는 감소하였고, 항자력은 증가하였다. 리본형 Co1-x Crx 는 포화자화값의 온도 의존성이 비정질 시료인 경우와 유사한 경향을 나타내었으며 Cr의 함량이 증가할수록 Curie온도(Tr)는 감소하였다. Cr 함량의 증가에 따라 exchange interaction의 평균자승거리<r²>와 spin wave stiffness 상수D는 감소하는 경향을 나타내었다. 천이금속(Co)의 원자당평균 자기모멘트는 Cr의 증가에 따라 선형적으로 감소하였다. The magnetic cnaracteristics of crystalline Co1-x Crx (x=0.27, 0.29, 0.30, 0.32, 0.35) ribbons prepared by the rapid solidification were investigated. The saturation magnetization for ribbon was greater than that for bulk alloys containg the same amount of Cr. but smaller for the films. The grain size of ribbon became smaller and coercive force increased with increasing Cr contents except case of 27 at.% Cr. The saturation magnetization decreased with increasing Cr contensts. The temperature dependence of saturation magnetization for Co1-x Crx ribbon showed the similar behavior as the amorphous alloy and the Curie temperatures were decreased with the increase of Cr contents. The spin wave stiffness constant and the mean square range of exchange interaction, also were decreased. The average magnetic moment per transition metal atom was linearly decreased with increasing the contents of Cr.

조기위함에서 침윤, 유형 및 분화도에 따른 p53, bcl-2의 발현

권오선,조현득,오미혜,김의한,양승하 순천향대학교 의학연구소 2006 Journal of Soonchunhyang Medical Science Vol.12 No.2

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유방선암의 유형에 따른 c-erbB-2, p53, bcl-2, 그리고 c-myc의 발현

강영근,조현득,오미혜,김의한,양승하 순천향의학연구소 2006 Journal of Soonchunhyang Medical Science Vol.12 No.2

Breast carcinoma is a common malignant tumor in female of the korea. Various oncogenes have been found in malignant tumor cells. There were many reports or correlation between the prognosis of patients and c-erbB-2, p53, bcl-2, and c-myc, but is controversial. We performed immunohistochemical stain for above antigenic protein for 80 cases of breast carcinoma and evaluated expression rate of each antigens, and we compared their correlation with prognosis of patients. The results were as follow; 1) The expression rates in breast carcinoma was c-erbB-2 80%, p53 56.3%, bcl-2 51.3% and c-myc 53.8%. 2) c-erbB-2 showed no significant difference according to histologic types, grade, and lymph node metastatic status of breast carcinoma. 3) p53 showed higher expression rate in metastatic cases compared to non-metastatic cases, and it showed higher expression rate according to increasing of grade without significant difference. There is no significant difference according to types. 4) The expression rate of bcl-2 in breast carcinoma be lowed according to increasing of grade. There was no significant difference according to types, side, and status of lymph node metastasis. 5) c-myc showed higher expression rate in non-metastatic cases compared to and metastatic cases, and it showed decreasing expression rate according to increasing of grade without significant difference. There is no significant difference according to types. 6) p53 and bcl-2 in breast carxinoma showed reverse corre1ation(P < 0.05), and bc1-2 and c-myc showed close correlation without statiscally significance. Above results showed that p53 may be related to poor prognosis of the patients and c-myc may be related good prognosis in breast carcinoma. There was reverse correlation between p53 and bcl-2 and bcl-2 and c-myc may be correlated closely. c-erbB-2 and bcl-2 showed no interrelation to prognosis.

조기위암에서 침윤, 유형 및 분화도에 따른 p53, bcl-2의 발현

권오선,조현득,오미혜,김의한,양승하 순천향의학연구소 2006 Journal of Soonchunhyang Medical Science Vol.12 No.2

Purpose: For evaluation of the role of tumohgenesis of p53 over expression and bcl-2 inhibition in early gastric cancer, the immunohistochemical tissue status of 31 primary early gastric cancer patients was investigated, and also the association between p53 , bcl-2 expression status and clinicopathologic parameters was analyzed for evaluation of prognostic relevance. Materials and Methods: DO7, a monoclonal antiserum to p53 protein and clone 124, monoclonal antibody to bcl-2 protein were used for the immunohistochemical analysis in 31 primary early gastric cancer tissue. The expressions were scored and divided into negative, positive, low expression, and over expression. Results: The clinocopathologic parameters; tumor depth of invasion, histologic type and differentiation were not related with the expression status of p53 and bcl-2. In 31 cases, the p53 over expression was 14 cases(45.2%), and the bcl-2 positive expression was 15 cases(48.4%), and 9 cases(29.0%) were the status of p53 over expression and bc1-2 positive expression. Conclusions: These results suggest that altered cell cycle and apoptosis control by p53 and bcl-2 may be an event in carcinogenesis of early gastric cancer but there are many other mediators that may fascilitate tumorigenesis.

정상과 갑상선 종양조직에서 사람 IGF-I 유전자의 발현

김성운,장현하,박상미,김덕윤,우정택,양인명,김진우,김영설,김광원,고석환,홍성화,최영길 경희대학교 유전공학연구소 1993 遺傳工學論文集 Vol.5 No.-

Many of the growth-promoting properties of growth hormone(GH) are mediated by insulin-like growth factor-I(IGF-I), a highly conserved circulating 70-amino acid peptide. Recent studies have shown that multiple mechanisms influence IGF-I gene expression, including transcription from two promoters, alternative RNA splicing, and variable polyadenylation. In thyroid tissue, thyroid stimulating hormone(TSH) and IGF-I are the most possible candidates for follicular cell proliferation and hypertrophy. Actually IGF-I had autocrine and paracrine effect for tissue growing. We prepared thyroid tumor tissue mRNAs using single step method for detecting IGF-I levels according to different tissues, i.e., thyroid adenoma or papillary thyroid carcinoma. We used Northern blot analysis for IGF-I mRNA and RNase protection assay (RPA) for IGF-I transcription start sites. For Northern blot, we used whole human IGF-I cDNA as a DNA probe and for RPA, we used IGF-I exon 1 containing noncoding promoter 1 as a riboprobe. We got good RNA bands from Northern blot analysis around 1 kb (IGF-IA) and 7.5 kb (IGF-IB) region. To clarify the amount of both IGF-IA and IB mRNAs, we measured autoradiographied signal of IGF-I mRNAs bands using densitometer. In IGF-IA signals, there's no change among liver and thyroid tissues, but in case of IGF-IB mRNA bands, the signal was markedly increased in thyroid carcinoma tissues than that of normal thyroid tissue (85% vs 14%). In the study of RPA, all thyroid tissues used the same transcription start sites as those of liver's. We concluded that that this different regulation of IGF-I mRNA was originated from tissue specificity. That meant some tissue specific transcription factor/s were related to tissue IGF-I expression.

Ni53-Fe47자성박막의 신형전류자기 기전력효과

정한,손희영,김미양,장현숙,이장로,이용호 숙명여자대학교 자연과학연구소 1994 자연과학논문집 Vol.- No.5

진공증착방법으로 제작한 Ni53-Fe47 박막에 관한 신형전류자기 기전력효과의, 전류와 자장 방향이 만드는 각θ의존성이, 자기저항효과의 cos 2θ, Hall 1효과의 경우 sin θ임에 대하여 sin 2θ로 관측되고, 이 효과의 자장에 의존하는 전압변화율이 자기저항효과와 비교할 때 차수가 다르게 큰 것이 조사된다. 이 효과가 2 Carrier형 모델로 이해 할 수 있음을 이론적으로 확인된다. A new Galvanomagnetic electromotive force effect of Ni53-Fe47 thin films is studied. The dependence of this effect on θ, angle between the current and the magnetic field, is found to be the form of sin 2θ, in contrast with that of the magnetoresistance effect cos2θand that of the Hall effect sinθ. Property of this effect is that 1the rate of the voltage variation depending on the magnetic field is extremely large as compared with the magnetiresistance effect. It is theoretically confirmed that this effect is well understood on the basis of the two carrier types model.

Ni_53-Fe_47 자성박막의 신형전류자기 기전력효과

정한,손희영,김미양,장현숙,이장로,이용호 全北大學校 基礎科學硏究所 1994 基礎科學 Vol.17 No.-

진공증착방법으로 제작한 Ni_53-Fe_47 박막에 관한 신형전류자기 기전력효과의 전류와 자장 방향이 만드는 각 θ 의존성이, 자기저항효과의 cos 2θ, Hall 1 효과의 경우 sin 2θ로 관측되고, 이 효과의 자장에 의존하는 전압변화율이 자기저항효과와 비교할 때 차수가 다르게 큰 것이 조사된다. 이 효과가 2 Carrier형 모델로 이해할 수 있음을 이론적으로 확인된다. A new Galvanomagnetic electromotive force effect of Ni_53-Fe_47 thin films is studied. The dependence of this effect on θ, angle between the current and the magnetic field, is found to be the form of sin 2θ, in contrast with that of the magnetoresistance effect cos 2θ and that of the Hall effect sin θ. Property of this effect is that the rate of the voltage variation depending on the magnetic field is extremely large as compared with the magnetiresistance effect. It is theoretically confirmed that this effect is well understood on the basis of the two carrier types model.

Expression Analysis of Visual Arrestin gene during Ocular Development of Olive Flounder (Paralichthys olivaceus)

Yang, Hyun,Lee, Young Mee,Noh, Jae Koo,Kim, Hyun Chul,Park, Choul-Ji,Park, Jong-Won,Hwang, In Joon,Kim, Sung Yeon,Lee, Jeong-Ho The Korean Society of Developmental Biology 2013 발생과 생식 Vol.17 No.3

Olive flounder (Paralichthys olivaceus) is one of the commercial important flatfish species in Korea. The ocular signal transduction pathway is important in newly hatched flounders because it is closely involved in the initial feeding phase thus essential for survival during the juvenile period. However, the study of gene expression during ocular development is incomplete in olive flounder. Therefore we examined the expression analysis of specifically induced genes during the development of the visual system in newly hatched flounders. We searched ocular development-involved gene in the database of expressed sequence tags (ESTs) from olive flounder eye and this gene similar to arrestin with a partial sequence homology. Microscopic observation of retinal formation corresponded with the time of expression of the arrestin gene in the developmental stage. These results suggest that arrestin plays a vital role in the visual signal transduction pathway of the retina during ocular development. The expression of arrestin was strong in the ocular system during the entirety of the development stages. Our findings regarding arrestin have important implications with respect to its biological role and evolution of G-protein coupled receptor (GPCR) signaling in olive flounder. Further studies are required on the GPCR-mediated signaling pathway and to decipher the functional role of arrestin.