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혈관 내 치료 시대에 복부 대동맥류의 수술적 치료의 적응과 단기 치료 성적
노영남(Young-Nam Roh),박양진(Yang Jin Park),김동익(Dong-Ik Kim),박광보(Kwang-Bo Park),도영수(Young-Soo Do),최승혁(Seung Hyuk Choi),김덕경(Duk-Kyung Kim),김영욱(Young-Wook Kim) 대한외과학회 2011 Annals of Surgical Treatment and Research(ASRT) Vol.80 No.3
Purpose: To assess the role of OR in treatment of AAA patients, we reviewed the indications and our current results of OR of AAA. Methods: We retrospectively investigated the database of 366 patients (mean age, 68.3±8.7 years, male 86%) who underwent open surgical (n=291, 80%) or endovascular treatments (n=75, 20%) of AAA in a tertiary referral center between Sep. 2003 to Aug. 2010. Treatment-related morbidities and mortality rates within 30 days were investigated according to the indications for treatment, clinical features, anatomic location, and underlying causes of AAA. Results: According to the location of AAA, we treated 343 (94%) infrarenal, 17 (5%) juxtarenal and 6 (2%) suprarenal AAAs. Underlying causes of AAA were degenerative (90%), infected (3%), inflammatory (3%), Marfan’s syndrome (2%), and vasculitis (0.5%). Clinically, 338 (92%) were non-ruptured and 28 (8%) were ruptured AAAs. 75% of patients were treated with OR after the inception of reimbursement of aortic device while 25% of patients were treated with EVARs. The operative mortality rates of OR was 0.4% in patients with non-ruptured infrarenal AAA, 0% in patients with non-ruptured juxta- and suprarenal AAA and 21.4% in ruptured AAA patients. Conclusion: In an era of endovascular treatment of AAA, we have experienced excellent surgical results after OR in patients with non-ruptured AAA with various clinical features. Though EVAR is rapidly replacing OR in treatment of infrarenal AAAs, OR has its own role in treatment of AAA patients with unfavorable conditions for EVAR. The role of OR should not be underestimated.
우리나라 지방의료원의 BSC 성과지표 간 인과관계 및 모형 적합도 검증연구
노영수(Young-Soo Roh) 한국의료정보교육협회 2013 보건의료생명과학논문지 Vol.1 No.1
In this result, the employees in Regional Public Hospitals who have the will to work and motivation to work which were induced by the learning and growth in adequate compensation, service training influence on internal process elevation and customer satisfaction. Also internal process elevation influence on customer satisfaction but financial results in partly. Therefore using the BSC theory in Regional Public Hospitals is proper effectively with detail investigation. we have to confirm whether BSC model is fitted for general public hospital. And we have to conduct the study results that include the valid outcome or outcome index, when we apply to BSC model. Particularly, if we survey directly customers satisfaction, we can elevate the creditability of study apply BSC model.
노영수 ( Young Soo Roh ),이무식 ( Moo Sik Lee ) 경희대학교 경영연구원 2014 의료경영학연구 Vol.8 No.4
This empirical study was performed to verify the balanced scorecard(BSC) model which has been applied by a lot of domestic and foreign global corporations would be utilized in regional public hospitals that overcome their own business troubles. As the analysis of the relationship between financial performance and performance indicators in BSC, the hypotheses and BSC model were adapted in the verified former study, the survey, the factor analysis, the regression analysis, and path analysis. First, the compensation for gains in learning and growth are directly related to the internal process efficiency, but the job fitness and the education don``t have any connection with the internal process efficiency. Second, the compensation for gains in learning and growth are concerned with the customer satisfaction, such as the price satisfaction, the quality satisfaction, the medical service satisfaction, and the public information service satisfaction. However, the job fitness only are related to the medical service satisfaction and the public information service satisfaction. Besides, the education doesn``t have any causal relationship between the customer satisfaction of performance indicators. Third, the job improvement activities in the internal process efficiency have a causal relationship with all of performance indicators in the customer satisfaction. On the other hand, the application of automatic control system in the internal process efficiency is related to the quality satisfaction and the public information service satisfaction. Forth, the job improvement activities in the internal process efficiency are concerned with the operating income to sales ratio in financial performance, but the automatic control system has no influence on the financial performance(return on sales, ROS). Fifth, the customer satisfaction doesn``t affect on the financial performance(ROS). As a result, employees in regional public hospitals who are influenced on compensation for gains in learning and growth is given rise to enthusiasm for their work. The internal process efficiency is directly affected by the learning and growth and also have the causal relationship with the financial performance.
에칠렌디아민을 배위자로 한 백금(II) 착체의 합성과 항암효과
이경태,정지창,노영수,Lee, Kyung-Tae,Jung, Jee-Chang,Roh, Young-Soo 한국약제학회 1994 Journal of Pharmaceutical Investigation Vol.24 No.4
An attempt was made to develop new water-soluble antitumor Pt(ll) complexes containing ethylenediamine, and their structures were determined by infrared spectroscopy, $^{13}C$ nuclear magnetic resonance and elemental analysis. Their antitumor activities in vitro against L-1210, p-388 leukemia cells and M-14 melanoma cells were investigated and acceptable antitumor activity was found as compared with cisplatin.
일개 농촌지역 주민의 체구성, 운동 및 체력상태와 골밀도와의 관계
양란(Yang, Ran),김건엽(Kim, Keon-Yeop),이무식(Lee, Moo-Sik),나백주(Na, Bak-Ju),노영수(Roh, Young-Soo) 한국산학기술학회 2009 한국산학기술학회 학술대회 Vol.- No.-
본 연구는 일개 농촌주민들을 대상으로 신체구성, 운동(과거 운동여부), 체력상태, 골밀도를 조사하고, 골밀도와의 관련된 요인을 파악하여 농촌 주민들의 골다공증 예방을 위한 기초자료를 제시하고자 143명을 대상으로 연구하였고, 결과는 다음과 같다. 1. 조사대상자들 연령이 증가할수록, 교육수준이 낮을수록 골밀도가 낮았다(p<0.05). 2. 만성질환이 있는 경우는 없는 경우보다 골밀도가 낮았다(p<0.05). 3. 체중BMI체지방량제지방량이 많이 나가는 경우가 낮은 경우보다 골밀도가 유의하게 높았다(p<0.01). 4. 과거 운동을 했던 경우와 기초대사량이 높은 경우, 근육량이 많은 경우 골밀도가 높았다(p<0.01). 5. 악력윗몸일으키기팔굽혀펴기 등 체력이 좋은 경우 골밀도가 높았다(p<0.01). 6. 골밀도 수치를 종속변수로 한 다중 회귀분석결과 연령, 만성질환 유무, 과거 운동유무가 유의한 변수로 나타났다.
일개 농촌지역 주민의 체구성, 운동 및 체력상태와 골밀도와의 관계
양란(Yang, Ran),김건엽(Kim, Keon-Yeop),이무식(Lee, Moo-Sik),김대경(Kim, Dae-Kyung),노영수(Roh, Young-Soo) 한국산학기술학회 2009 한국산학기술학회논문지 Vol.10 No.11
본 논문은 일개 농촌주민들을 대상으로 신체구성, 운동(과거 운동여부), 체력상태, 골밀도를 조사하고, 골밀도 와의 관련된 요인을 파악하여 농촌 주민들의 골다공증 예방을 위한 기초자료를 제시하고자 143명을 대상으로 연구하 였고, 결과로서 조사대상자들 연령이 증가할수록, 교육수준이 낮을수록 골밀도가 낮았으며(p<0.05), 만성질환이 있는 경우는 없는 경우보다 골밀도가 낮았다(p<0.05). 그리고, 체중BMI체지방량제지방량이 많이 나가는 경우가 낮은 경 우보다 골밀도가 유의하게 높았으며(p<0.01), 과거 운동을 했던 경우와 기초 대사량이 높은 경우, 근육량이 많은 경우 골밀도가 높았다(p<0.01). 또한, 악력윗몸일으키기팔굽혀펴기 등 체력이 좋은 경우 골밀도가 높았으며(p<0.01), 골밀 도 수치를 종속변수로 한 다중 회귀분석결과 연령, 만성질환 유무, 과거 운동유무가 유의한 변수로 나타났다. This study was performed to be used as basic data to preventive the osteoporosis of a rural community people, after finding out the bone mineral density and a state of health, that of exercise, body composition and basic physical strength of the rural community adult. the subject for 143 adults of a rural community, the relation between bone mineral density and a state of health, that of exercise, body measurement and basic physical strength was studied. The research results were as follows. 1. In survey subjects, the more the age increased(p<0.01) and the lower the educational level was, the lower bone mineral density was(p<0.05). 2. Bone mineral density was significantly lower in those who had chronic diseases than those who didn't (p<0.05). 3. Bone mineral density was significantly higher in those who had much weight, BMI, body fat mass, and fat-free mass than those who didn't(p<0.01). 4. Bone mineral density was significantly high in those who exercised in the past, whose basal metabolism was high, and whose muscle mass was much(p<0.05). 5. Bone mineral density was high in those who had much grasping power and a number of sit-ups and push-ups (p<0.01). 6. As a result of Multiple Regression Analysis in which BMD was a dependent variable, the more the age increased, the more the score of bone density decreased when they had chronic diseases. And the exercise of the past affected the increase of bone mineral density.
에칠렌디아민을 배위자로 한 백금(Ⅱ) : 착체의 합성과 항암효과 Complexes Containing Ethylenediamine
정지창,이경태,노영수 한국약제학회 1994 Journal of Pharmaceutical Investigation Vol.24 No.4
An attempt was made to develop new water-soluble antitumor Pt(II) complexes containing ethylenediamine, and their structures were determined by infrared spectroscopy. ^(13)C nuclear magnetic resonance and elemental analysis. Their antitumor activities an vitro against L-1210, P-388 leukemia cells and M-14 melanoma cells were investigated and acceptable antitumor activity was found as compared with cisplatin.