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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.
A Study on the Current Status of Mountain-Grown Ginseng
Im, Byung-Ok The Plant Resources Society of Korea 2011 한국자원식물학회지 Vol.24 No.6
For the current study, 2,000 questionnaire sheets were printed and distributed while at the same time postal questionnaires were also conducted. The questionnaire survey was conducted July 25 through September 25, 2008, whereby 206 copies of desirable responses were secured. Analysis of the survey made it possible to grasp the overall current status and prospects of the mountain-grown ginseng business, and the level of technology required for cultivating mountaingrown ginsengs. It was learned that, with no legal and institutional arrangements now in force, no precise facts and figures concerning the total area cultivated and the quantity produced are currently available, and that the products are being marketed under the table. Under such circumstances, it is high time for the mountain-grown ginseng cultivation business to contribute to the promotion of incomes of the farming households and the generation of national wealth by developing the business into a systematic industry. This study conducted a survey on the current status of mountain-grown ginseng producers and of their production, thereby contributing to the introduction of policies for mountain-grown ginsengs.
Morphine 및 Bupivacaine 혼합액의 지속적 경막외 주입과 Meperidine 근주가 상복부 수술후 폐기능에 미치는 효과비교
민병우,여상임,김흥대,권옥희 대한마취과학회 1996 Korean Journal of Anesthesiology Vol.30 No.3
Background: Pain after upper abdominal surgery may cause shallow and rapid breathing, resulting in postoperative pulmonary complications. Intramuscular injection of narcotics may increase mortality and morbidity of pulmonary complications. Continuous epidural infusion of opioid with local anesthetic mixture may produce good analgesic action without hypoventilation and hypoxia. Methods: Forty patients for upper abdominal surgery, chosen at random, were studied for postoperative pain relief. In grouop 1 (n=20), pain was managed by intramuscular injection with meperidine and in group 2 (n=20), it was managed by continuous thoracic epidural block with morphine and bupivacaine mixture. In both groups, pulmonary functions were assessed before operation, on the 1st postoperative day. the 2nd day and the 3rd day. Results: In group 1 and 2, On the 1st postoperative day, FEV_(10) was 32.1% and 45.4% of the preoperative value, FVC was 31.9% and 42.4% and MEF was 34.4% and 46.7%, respectively(P$lt;0.05). On the 2nd postoperative day, FEV_(10) was 38.6% and 54.8%(P$lt;0.01), PEF was 31.7% and 42.5%, FVC was 37.1% and 49.8% and MEF was 43.2% and 59.6%(P$lt;0.05). on the 3rd postoperative day, FEV_(10) was 46.3% and 68.7%, PEF was 38.7% and 54.4%, FVC was 43.8% and 63.1%(P$lt;0.01) MEF was 56.1% and 69.7% of the preoperative value(P$lt;0.05). Conclusions: As a result of pulmonary function test, we suggest that continuous epidural infusion of morphine with bupivacaine mixture will be an appropriate way of postoperative pain relief methods, with its potential effectiveness in aged, smoking, obese and debilitated patients with ventilatory dysfunction.
A rare case of abnormal vaginal bleeding caused by vulva venous hemangioma: a case report
( Jin Ok Park ),( Jung Mi Byun ),( Hwa Jin Cho ),( Dae Hoon Jeong ),( Do Hwa Im ),( Byung Jin Min ),( Hye Rim Park ),( Young Nam Kim ),( Kyung Bok Lee ),( Moon Su Sung ) 대한산부인과학회 2020 대한산부인과학회 학술대회 Vol.106 No.-
Haemangioma is a benign formation originating from vascular tissue which usually occurs in childhood. A hemangioma can occur anywhere on the body but, vulva venous hemangiomas are extremely rare in nulliparous women. A 25-year-old woman with abnormal vaginal bleeding with genital ulcerative lesion for six months presented to the hospital. Vaginal examination revealed a 1.5X1 cm papillary mass with ulcerated surface on the vaginal fourchette. Speculum examination revealed a cervix with an apparently normal epithelium and external os with no pathological discharge. The mass was visually suspected to be a precancerous lesion or malignancy. The mass was successfully removed by complete excision and biopsy showed ulcerative lesion with chronic active inflammation and granulation tissue and compatible with squamous papilloma. One month later, the same lesion with bleeding was growing on vaginal fourchette and, excision was performed. The pathologic finding was vulva hemangioma. The review of primary vulva lesion was diagnosed with hemangioma and, the second lesion was recurred hemangioma. Vulva hemangiomas with ulcerative lesion are very rare and only small number of cases are reported in literature. It is necessary to carry out differential diagnosis of premalignant or malignant lesions.