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Internal Impact Score를 이용한 대한류마티스학회지 게재 논문의 자체 기여도 조사
김덕언 ( Duck An Kim ),김신규 ( Think You Kim ) 대한류마티스학회 2007 대한류마티스학회지 Vol.14 No.3
Objective: The authors created a new citation index of the Journal of the Korean Rheumatism Association (JKRA) and, based on the index, developed internal impact score, which can measure contribution to the development of the journal by manuscript, by author and by institute. Thus, we report the results in this paper. Methods: For manuscripts published in the JKRA from Volume 1 No. 1 in 1994 to Volume 13 No. 4 in 2006, we built a database of the journals and their references, and created an index using the database. The citation index were analyzed using three indicators internal impact score for manuscript (IIS-M), internal impact score for author (IIS-A) and internal impact score for institute (IIS-I). Results: The total number of references cited in the manuscripts was 7,341, and of the references, 80 (1.1%) had been published in the JKRA. The mean IIS-M of all the cited manuscripts was 0.46. The total number of authors participated in the cited manuscripts was 226. In IIS-A calculated in consideration of each author`s participation and the weight of manuscripts, the highest score was 19.253. The number of institutes that had produced the cited manuscripts was 29. In IIS-I calculated in consideration of each organization`s participation and the weight of manuscripts, the highest score was 92. Conclusion: If the indicators developed by the authors are used as tools for analyzing the citation indexes of journals, they can quantify the contribution of manuscripts, authors and institutes to each journal, and compensation based on the quantified contribution will promote the development of academic journals considerably.
류마티스 질환에서의 경제적인 생화학검사 Profile 제작
김덕언 ( Duck An Kim ),김신규 ( Think You Kim ) 대한류마티스학회 2000 대한류마티스학회지 Vol.7 No.3
Objective: Developments in science have brought about progress in automated chemistry analyzers, which have increased the capability of testing various items in short time period. This has resulted in grouping several test items into a profile. However, the profiles generally used can include some unnecessary tests for a specific patient group. Therefore, selecting the right tests for a profile of a particular patient group is a prerequisite for cost-effective medical care. The present study set out to develop an economic chemistry profile in patients suspected of having a rheumatic disease. Methods: The study included 60,302 patients who attended the Hospital for Rheumatic Diseases between June 1995 and May 2000. A total 21 different chemistry tests were performed by the automated chemistry analyzer (Hitachi-747, Hitachi Inc., Tokyo, Japan). Results: A total of 758,305 chemistry tests were performed, an average of 12.6 tests per patient. The tests relatively less commonly ordered were direct bilirubin, gamma glutamyl transpeptidase, iron, TIBC. The percentage of abnormal results of total protein, albumin, total calcium, creatinine and total bilirubin were less than 5%. Therefore, these tests should be eliminated from routine testing. Conclusion: An economic chemistry profile for rheumatology outpatients would include alkaline phosphatase, alanine aminotransferase, aspartate aminotransferase, blood urea nitrogen, total cholesterol, creatine kinase, glucose, HDL-cholesterol, lactate dehydrogenase, triglyceride, uric acid. This would result in a 46.4% decrease in cost of biochemical test.
PEG(Polyethylene glycol) antiglobulin test를 이용한 항체선별검사의 평가
이종숙 ( Jong Sook Lee ),김덕언 ( Duck Ean Kim ),김대근 ( Dae Keum Kim ) 대한임상검사과학회 1998 대한임상검사과학회지(KJCLS) Vol.30 No.2
The polyehylene glycol antiglobulin test for detection of red cell antibodies was compared with a proven, highly sensitive test system using bovine serum albumin(BSA). All specimens recived in the blood bank over 1-year period for transfusion requests or preoperation patients for roution antibody screening test. The sera of 73 of 6734 patients had detected antibodies. Nine c1inically significant antibodies (1anti-Jka, 2-E, 1-E,c, 3-c, 2-Lea) and four antibodies(l -anti-Jka,Fyb’ 1-C, 1-Fyb, 1-warm auto) demonstrated inconc1usive PEG method. Eight patients had multiple antibodies. We used polyspecific antihuman globulin serum but 1.23% nonspecific reactions by PEG method.
의학과 4학년 종합평가로서의 객관적-구조적 임상능력평가(OSCE)의 경험
박훈기(Hoon-ki Park),김동원(Dong-won Kim),김덕언(Duck An Kim),최호순(Ho-soon Choi),김경태(Kyoung-tai Kim) 한국의학교육학회 1998 Korean journal of medical education Vol.10 No.1
BACKGROUND: Experiences on Objective Structured Clinical Examination(OSCE) for student assessment are limited in medical colleges in Korea. The purposes of this study were to develop an OSCE to fourth-year medical students after completion of all clerkships at Hanyang University Medical College. METHODS: The OSCE was a 8-station examination, with each station taking five minutes. We conducted two parallel OSCEs simultaneously by duplication. We checked each stage of the process in the development of OSCEs with recording of diary. We analysed validity and costs of the OSCE. We got feedback from all participants by questionnaires. RESULTS: Of the total 102 fourth-year students, only 74 persons(72.5%) were evaluated. The rate of pass was 63.5%. Cronbach alpha of the OSCE was 0.14. The scores were different between sites according to stations, especially in items related to attitude and physical. The total OSCE score was not significantly different either between duplication sites or among groups. OSCE scores didn t relate to those of both multiple choice tests and entrance exam for internship. Our use of only a few SP s contributed to relatively low cost of $85 per examinee. Both students and faculty were satisfied with the examination, and felt that the material tested was relevant and appropriate for primary care. The OSCE process served to identify weakness in the curriculum and/or teaching methods, and thus could serve as a mechanism to improve educational effectiveness. CONCLUSIONS: Problems of validity and reliability were detected in the developing process of the OSCE. It appeared financially feasible. Setting appropriate goal, optimum number of station, training of evaluators, development of good checklist, and enthusiastic support of the school s administartion were all needed more to success of such a program. 연구배경 : OSCE는 의학교육에서 임상능력을 평가하는 좋은 방법으로 인정받고 있다. 하지만 우리나라에서는 일부 의과대학을 중심으로 한정된 경험이 고작이다. 따라서 한양대학교 의과대학에서는 의학과 4학년을 대상으로 졸업시험의 일환으로 OSCE를 실시하고 그 개발과정, 운영에서의 문제점을 분석하고, 학생과 교수의 의견을 수렴하고자 이 연구를 수행하였다. 연구방법 : OSCE는 총 8개 문제로 구성되었으며 각 스테이션별로 5분이 배정되었다. 양측으로 동일하게 복제를 하였고 3개조로 나누어 실시하였으며 보안 유지를 위해 대기 학생은 슬라이드 시험을 치르도록 하였다. 운영상의 문제점을 단계별로 파악하기 위해 운영 책임자의 일기를 활용하였고, 학생 및 교수의 의견은 미리 준비된 자가설문지를 활용하였다. 결과 : 총 102명의 4학년 후보 학생 중 74명(72.5%)이 참가하였다. OSCE총점이 60인 학생은 전체의 63.5%였고, 일치도는 0.14였다. 과목별로 점수의 분포가 차이를 보였다. OSCE총점에서는 복제장소별로 차이가 없었으나 과목별로는 차이를 보였다. OSCE총점은 기존의 학업성적이나 후의 인턴 성적과 상관성이 없었다. 수험생 1인당 소요 경비는 75,676원 이었다. 학생이나 교수 모두 시험에 대해 긍정적인 평가를 하였으며, 시험문제의 내용이 일차의료에 중요하고 적절한 것으로 평가했으나 문제내용에 대한 실습교육의 강화를 지적했다. 이번 시험으로 학생과 교수 모두 현행 실습교육의 문제점을 볼 수 있었다. 결론 : OSCE는 4학년 졸업시험으로써 여러 면에서 용이한 것으로 판단된다. 하지만 좀 더 성공적으로 OSCE를 수행하려면 시험목표 설정, 적정 스테이션의 수 구성, 평가자의 훈련, 좋은 체크리스트의 개발, 의대의 행정적인 뒷받침 등이 앞으로 더 필요하다.
한국인 만성 B형 간염 바이러스 보유자에서 B형 간염 바이러스 유전자형의 분포
이승환 ( Soong Hwan Lee ),한성희 ( Sung Hee Han ),조승철 ( Seung Chul Cho ),노병주 ( Byung Joo Roh ),손주현 ( Joo Hyun Sohn ),김덕언 ( Duck An Kim ),이동후 ( Dong Hoo Lee ),기춘석 ( Choon Suhk Kee ) 대한소화기학회 2002 대한소화기학회 춘계학술대회 Vol.2002 No.-
<목적> B형 간염 바이러스의 만성 감염은 무증상 감염, 만성 간염, 간경변, 간세포암 등 다양한 임상 경과를 보이며 바이러스 인자와 숙주 인자, 환경적 요인 등이 이 과정에 중요한 역할을 할 것으로 생각된다. 최근 중국과 일본에서 B형 간염 바이러스 유전자형에 따른 임상 경과에 차이가 있다는 보고가 있다. 유전자형의 분포는 지역적인 차이가 있는 것으로 잘 알려져 있으며 아직까지 한국인 만성 B형 간염 바이러스 보유자에서 B형 간염 바이러스 유전자형에