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BSC기반의 중소병원 경영성과예측 시스템다이내믹스 모델개발
정희태 ( Hee Tae Chung ),김윤신 ( Yoon Sin Kim ),곽상만 ( Sang Man Kwak ),이용균 ( Yong Kyoon Lee ) 한국시스템다이내믹스학회 2007 한국시스템다이내믹스 연구 Vol.8 No.2
Recently, balanced scorecard is widely used in the public sector as well as in the private sector. Balanced scorecard system of a particular hospital is a very useful tool in the sense that it shows various measures for the management including the traditional financial measures. However, since it does not show the impact of action items, managers have to analyze his potential decisions. On the other hand, a system dynamics model for the management of a hospital can be used to predict future management status. In this paper, a balanced scorecard system with a system dynamics model is developed for a small sized hospital, and the feasibility and applicability of the system have been tested. It turns out the combination of the balanced scorecard and system dynamics technique can be comprised each other. The balanced scorecard system can take advantage of the data forecasted by the system dynamics model including the implementation of action items taken today. On the other hand, the key performance indicators and action items from the balanced scorecard system provide guidelines the scope and direction of the system dynamics model. The additional efforts of developing a system dynamics model are well compensated by the additional colorful functionalities of the system. This paper also covers the future research areas for the combined system to be more effectively developed.
김미소 ( Mi So Kim ),박향숙 ( Hyang Suk Park ),김윤신 ( Yoon Sin Kim ) 한국치위생학회(구 한국치위생교육학회) 2015 한국치위생학회지 Vol.15 No.3
Objectives: The purpose of the study was to investigate the correlation between health behaviors and experiences of oral diseases in Korean adolescents. Methods: This study used the results of the seventh, eighth, and ninth adolescent health behavior online survey which was completed by a self-administered questionnaire targeting 222,264 middle school and high school students in September, 2011, June, 2012, and from June to July, 2013. The questionnaire consisted of four questions of socio-economic characteristics of the subjects, three questions of health behaviors, and four questions of eating habits. Data were analyzed by SPSS 18.0 program. Results: Oral health knowledge and behaviors were closely correlated to smoking, alcohol drinking, and toothbrushing after meal. Liking for fruit, soda, snack, and vegetable had a significant influence on oral diseases. Smoking and alcohol drinking had a significant relation to oral disease prevalence rate. Conclusions: In Korea, the prevalence rate of oral diseases is still high in the adolescents. Therefore, continuous dental health education program is very important to decrease the oral disease morbidity. The incentive program for the adolescents will improve the concern for the oral health.
제2형 당뇨환자의 유산소능력과 말초동맥혈관기능, CRP(C-reactive protein)와의 관계
안기만(Ki-Man Ahn),김윤신(Yoon-Sin Kim),김종혁(Jong-Hyuck Kim) 한국생활환경학회 2012 한국생활환경학회지 Vol.19 No.2
The purpose of this study was to investigate the effect of aerobic capacity (VO₂peak) would ameliorate inflammatory, anti-inflammatory markers and vascular function in patients with type 2 DM. To compare the importance of different inflammatory markers and traditional risk factors in predicting peripheral vascular disease(PAD) in patients with Type 2 diabetes mellitus. Diabetes mellitus (DM), chronic inflammation and vascular function are strongly related to increased cardiovascular risk. The purpose of this study was to evaluate whether an aerobic capacity (VO₂peak) would ameliorate inflammatory, anti-inflammatory markers and vascular function in patients with type 2 DM. The subjects consisted 203 middle aged men who was aged 40-59 years were checked by blood test(including CRP), measurement of body fat, blood pressure, lipid profile, exercise stress testing and ABI. Aerobic capacity was determined in all individuals by measurement of maximal oxygen consumption during treadmill exercise. Control group VO₂peak were significantly high compared with type 2 diabetes mellitus patients group(p=0.01). This study show that VO₂peak levels are positively correlated with hsCRP (r=0.22) and ABI(ABI_R, r=0.137, ABI_L, r=0.86) in patient with type 2 diabetes mellitus. Higher physical conditioning status, indexed by VO₂peak was associated with reduced arterial stiffness. The results of our study suggest that high aerobic exercise capacity was associated with reduced arterial stiffness in type 2 diabetes mellitus.
韓國人에서 HumFIBRA/FGA와 D21S11 遺傳座의 對立遺傳子 頻度와 遺傳的 變異의 分析
김윤신,황적준,이혜린,구태완,한길로,김성민,이혜승 大韓法醫學會 1998 대한법의학회지 Vol.22 No.1
Allele-and genotype frequencies of the two short tandem repeat (STR) loci, HumFGA and D21S11, were determined in Korean population(n=196). DNA typing was accomplished by applying fluorescence-labeled PCR products and a differently labeled sequenced allelic ladders, followed by automated analysis using ABI 377 automatic sequencer and GeneScan 2.02 software. Prior to typing, allelic ladder of each locus was constructed with a combination of all alleles occuring from the population sample. A total of 15 alleles and 48 genotypes with the heterozygosity of 0.854 for HumFGA, and 12 alleles and 33 genotypes with the heterozygosity of 0.787 for D21S11 are observed in a population of 196 genetically unrelated individuals. No deviations from Hardy-Weinberg equilibrium were observed(p=0.753 for HumFGA, p=0.262 for D21S11). The data presented here (power of discrimination and average power of exclusion) show that both STR Loci, HumFGA and D21S11, are very informative for individualization from criminal evidences, and are also useful for parentage testing.
Southern Blot Hybridization법을 이용한 악성 림프종의 면역유전형에 관한 연구
전호종,기근홍,김윤신,이미숙,이미자,장원재,장숙진,박영진,정춘해,정종훈,양성훈,이광민 조선대학교 1994 The Medical Journal of Chosun University Vol.19 No.2
Immunogenotyping using gene rearrangement analysis has emerged as a precise laboratory aid in the diagnosis and classification of malignant Iymphoid neoplasms. The lineage and clonality of the malignant Iymphoid neoplasms can be identified by the demonstration of rearrangements of antigen receptor genes of the immunoglobulin and T-cell receptor genes. The analysis of the gene rearrangements on the malignant Iymphoid neoplasms are also useful as a sensitive unique clonal markers to detect early recurrence in patients with malignant Iymphoid neoplasms after treatment. To analyze the sensitivity and specificity of gene rearrangements in the diagnosis of malignant Iymphoid neoplasms. 24 cases of malignat Iymphoma were examined by Southern blot hybridization using CTβ-T cell receptor β chain gene-DNA probe and JH-immunoglobulin heavy chain gene-DNA probe. The results of the immunogenotypings using Southern blot hybridization disclosed high correlation between the immunophenotyping using immunohistochemical stain with monoclonal antibodies (B-cell Iymphoma 84.2%. T-cell Iymphoma 75% ). The analysis of the gene rearrangement of the angioimmunoblastic lymphadenopathy(AILD) and unclassifiable Iymphoma using immunohistochemical stain could resolve the monoclonality and lineage . Rearranged bands to the CTβDNA probe were observed in one case out of 2 cases of AILD. One case of unclassifiable Iymphoma showed rearranged bands to the CTβ DNA probe. There were no rearrangements in reactive follicular Iymphoid hyperplasia and paracortical Iymphoid hyperplasia. In conclusion, DNA gene rearrangement study should be applied to differentiate the clonality and cell lineage in the malignant Iymphoma with indistinctive immunophenotype.