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김은희,김철규,이순교,김순덕,이혜옥,권정순,이경미,이민미,심순미,유용만,신종식,강은희,이상일,김병식,오성태,육정환,박수길 한국의료QA학회 2003 한국의료질향상학회지 Vol.10 No.2
Background : Gastric cancer is the most common malignant tumor in Korea. surgical operation is one of the major treatment modalities for gastric cancer patients. Therefore, gastrectomy is one of the most common procedures in General Surgery. There were variation in length of hospital stay and medical treatment for gastrectomy between three surgeons at Asan Medical Center. Clinical pathways have received considerable attention as a tool for recucing the medical practice variation, increasing the efficiency of care process, and improving the quality of care. The aim of this study was to evaluate the effect of a clinical pathway for gastrectomy in gastric cancer patients. Methods : The clinical pathway for gastrectomy was developed and implemented by a multidisciplinary group in Asan Medical Center. A computerized clinical pathway program was developed and revised after a pilot test. A total of 145 patients underwent gastrectomy by three surgeons at Asan Medical Center. We compared the length of hospital stay, patient satisfaction, and unplanned readmission rate between the pre-pathway group(n=67) and the post-pathway group(n=78). We also investigated the degree of satisfaction among the physicians and nurses who were main end-users of the clinical pathway. Results : The clinical pathway was applied to all target patients. The average length of hospital stay was shortened from 12.7days to 10.6days(p<0.01). The degree of patient satisfaction with the care process changed from 90.3% to 89.2% after the implementation of the clinical pathway, but the difference was of satistically significant(p=0.761). Unplanned readmission rate was 2.9% in the pre-pathway group. More than 90% of physicians and nurses answered that the clinical pathway had been a useful tool in their medical practice. Conclusions : The findings of the study demonstrated that implementation of the clinical pathway for gastrectomy produced substantial reduction in the length of hospital stay while improving the quality of patient outcomes. The computerized clinical pathway program can be used as one of the powerful patient management tools for reducing the practice variations and increasing the efficiency of care process in Korea hospital settings.
박은희(Eun-Hee Park),김통일(Tong-il Kim),정원옥(Won-Ok Jeong),권헌교(Heon-Gyo Kwon),정평희(Pyeong-Hee Jeong) 한국산림휴양학회 2010 한국산림휴양학회지 Vol.14 No.2
본 연구는 지리산국립공원 칠선계곡 탐방로에 19개의 지점을 선정하고 탐방 예약·가이드제 시행에 따른 훼손 확장 상태 등을 파악하기 위해 수행되었다. 2009년도에 조사한 탐방로 물리적 특성의 평균값을 분석한 결과 노폭은 128.4㎝, 나지폭은 108.1㎝, 노면 침식깊이는 22.8㎝로 2008년에 비해 노폭은 20.4㎝, 나지폭은 23.7㎝, 노면 침식깊이는 3.3㎝ 정도 훼손이 확장된 것으로 조사되었다. 훼손유형은 노면침식 현상(39%)이 가장 많은 발생빈도를 보였고, 다음으로 뿌리노출(24%), 사면침식(17%), 암석노출(13%), 노폭확대(7%) 순으로 나타났으며, 노면의 침식깊이와 종단경사를 분석한 결과 유의한 수준의 회귀관계(R<SUP>2</SUP>=0.74)가 성립되어 종단경사가 탐방로 훼손발생에 많은 영향을 미치는 것으로 분석되었다. The purpose of this study was to analyze the changes of the trail deterioration condition by visitor guide program in Jirisan National Park Chilseon Valley. The trail characteristics of 2009 were average trail width was 128.4㎝, average bare width was 108.1cm and average erosion depth was 22.8㎝. The extend of trail deterioration condition compared with 2008. Major deterioration types of trail were trail deeping (39%), root exposure (24%), slope erosion (17%), rock exposure (13%) and widening (7%) in order of frequency. The regressions showed the signind ant positive relationship between erosion depth and vertd al degree of the trail (R<SUP>2</SUP>=0.74). And occurrence of trail deterioration was considerably influenced by vertical degree the trail.
당뇨병환자의 자기조절교육 프로그램 효과와 지속에 관한 연구
홍명희 ( Myeong Hee Hong ),유주화 ( Joo Wha Yoo ),구미옥 ( Mee Ock Gu ),김순애 ( Soon Ai Kim ),이정림 ( Jeong Rim Lee ),구민정 ( Min Jeong Gu ),강양교 ( Yang Gyo Kang ),장숙희 ( Sook Hee Jang ),박봉숙 ( Bong Suk Park ),심강희 ( Ka 대한당뇨병학회 2009 임상당뇨병 Vol.10 No.3
연구배경: 당뇨병 치료의 성공여부는 환자 자신의 자기간호행위에 달려있으므로 환자교육이 매우 중요하다. 그러나 일회적인 교육은 단기적으로 관련 지식과 행위를 변화시키는데 효과적이나 장기적인 행동변화나 일상활동의 조절에는 제한점을 갖는다. 따라서 행위 조절을 유도하는 다른 중재 방법을 포함시킨 장기적이고 포괄적인 교육 프로그램이 보다 지속적인 행위 변화 효과를 기대하게 하므로 본 연구는 일반적인 당뇨병교육을 이수한 사람들 가운데 인슐린 주사요법으로 치료받고 있는 당뇨병환자를 대상으로 4주간의 자기조절교육 프로그램에 참여하게 하여 당뇨병 관리에 대한 자기효능을 높이고, 자기간호행위를 증진시킴으로써 혈당조절을 개선하고, 그 효과가 얼마간 지속되는지 여부를 확인하기 위하여 시도되었다. 방법: 본 연구는 제2형 당뇨병환자들로 6개월 이상 인슐린 치료를 받고 있고, 당화혈색소 7.5% 이상인 자로 실험군 46명, 대조군 37명을 대상으로 하였다. 실험군은 자기조절 교육을 받은 군이고, 대조군은 교육을 받지 않은 군이며, 독립변수는 자기조절교육 유무이며, 자료 수집은 교육을 시행하기 전, 4주간의 자기조절교육을 실시한 직후, 교육 후 2개월, 교육 후 6개월로 정하여 자기효능, 자기간호행위, 자기조절에 관한 설문지를 이용하여 총 4회에 걸쳐 수집하였고 혈당조절 측정은 교육 전, 교육 후 2개월, 6개월에 실시하였다. 결과: 1) 자기간호행위정도는 실험군과 대조군 간에 유의한 차이를 보였다(F=5.286, P=0.025). 자기간호행위는 시기에 따른 차이(F=5.336, P=0.005)가 두 군 간에 유의하였고, 시간 경과와 집단 간의 상호작용(F=5.514, P=0.004) 또한 두 군 간의 유의한 차이가 있는 것으로 나타났다. 2) 자기효능은 실험군과 대조군 간에 유의한 차이를 보이는 것으로 나타났다(F=29.409, P=0.000). 그러나 시기에 따른 차이(F=0.945, P=0.392) 및 시간 경과와 집단 간의 상호작용(F=1.442, P=0.241)은 두 군 간에 유의하지 않은 것으로 나타났다. 3) 혈당조절은 실험군과 대조군 간에 유의한 차이를 보이지 않았으나(F=0.627, P=0.432), 시기에 따른 차이(F=4.641, P=0.013)가 유의하게 나타났으며, 시간 경과와 집단 간의 상호작용(F=0.843, P=0.430)은 유의하지 않은 것으로 나타났다. 결론: 4주간의 자기조절교육 프로그램은 자기효능이나 자기간호행위는 증가시켰지만, 혈당조절에서는 유의한 차이가 없었다. 본 연구가 6개월 이상 장기적인 연구인 까닭에 대조군의 탈락자가 많이 발생한 점, 환자나 의료진 모두 인슐린 용량 증감에 대한 적극적인 개입이 어려웠다는 점, 또한 10년 이상 당뇨병을 가지고 살아가는 환자들의 생활습관의 변화를 유도하기는 쉽지 않다는 점을 고려할 때 당뇨병관리에 필요한 자기효능 및 자기간호행위를 강화시키기 위해서는 보다 효과적인 교육 프로그램의 개발과 반복적 연구가 필요하다. Background: This research was conducted to confirm whether 4-weeks self-regulation education program makes the diabetic patients, who are treated with injection of insulin, to improve their glucose adjustment and how long this effect will be persisted by self-care and improvement of self-efficacy. Methods: This research is object for 46 persons of test group and 37 persons of control group in type2 diabetics who are under the medical care more than 6 months and above HbA1c 7.5%. Test group is defined as self-regulation educated group and control group is not. Independent variables are defined whether self control education is trained or not. We compared self care score and self efficacy score with pre-education, post-education, at the point of 2 month later and 6 month later. Results: 1) The extent of self-care shows considerable difference between test group and control group (F=5.286, P=0.025). Self care indicates that it is connected to difference of period (F=5.336, P=0.005), lapse and interaction among the groups. 2) Self-efficacy appears to have shown the considerable difference between test group and control group (F=29.409, P=0.000). However, self efficacy does not seems to be connected with the gap of period (F=0.945, P=0.392), lapse, and interaction among the groups (F=1.442 P=0.241). 3) Blood glucose adjustment dose not show the considerable differences between test group and control group (F=0.627, P=0.432), However, the gap of period (F=0.627, P=0.432) has an effect to connect with blood glucose adjustment. Meanwhile, that is not seemed to connect with lapse and interaction among the groups (F=0.843, P=0.430).
Choi, Go Eun,Jang, Mi Hee,Song, Eun Ju,Jeong, Seok Hoon,Kim, Jae-Seok,Lee, Wee Gyo,Uh, Young,Roh, Kyoung Ho,Lee, Hye Soo,Shin, Jong Hee,Ryoo, Nam Hee,Kim, Young Ree,Jeong, Joseph,Kim, Jee Hee,Lee, Sun The Korean Academy of Medical Sciences 2010 JOURNAL OF KOREAN MEDICAL SCIENCE Vol.25 No.12
<P>The Beijing family of <I>Mycobacterium tuberculosis</I> has been emerging in the world. However, there are few nationwide data of genotypic distribution in Korea. This study aimed to identify the genotypic diversity of clinical isolates of <I>M. tuberculosis</I> and to demonstrate the population of Beijing family in Korea. We collected 96 clinical <I>M. tuberculosis</I> isolates from 11 university hospitals nationwide in Korea from 2008 to 2009. We observed 24 clusters in IS<I>6110</I>-RFLP analysis and 19 patterns in spoligotyping. Seventy-five isolates were confirmed to be Beijing family. Two isolates of the K strain and 12 isolates of the K family strain were also found. We found that drug resistance phenotypes were more strongly associated with Beijing family than non-Beijing family (<I>P</I>=0.003). This study gives an overview of the distribution of genotypes of <I>M. tuberculosis</I> in Korea. These findings indicate that we have to pay more attention to control of <I>M. tuberculosis</I> strains associated with the Beijing family.</P>
Hee-Won Park,Gyo In,Jeong-Han Kim,Byung-Goo Cho,Gyeong-Ho Han,Il-Moo Chang 고려인삼학회 2014 Journal of Ginseng Research Vol.38 No.1
Discriminating between two herbal medicines (Panax ginseng and Panax quinquefolius), with similar chemical and physical properties but different therapeutic effects, is a very serious and difficult problem. Differentiation between two processed ginseng genera is even more difficult because the characteristics of their appearance are very similar. An ultraperformance liquid chromatography-quadrupole time-offlight mass spectrometry (UPLC-QTOF MS)-based metabolomic technique was applied for the metabolite profiling of 40 processed P. ginseng and processed P. quinquefolius. Currently known biomarkers such as ginsenoside Rf and F11 have been used for the analysis using the UPLC-photodiode array detector. However, this method was not able to fully discriminate between the two processed ginseng genera. Thus, an optimized UPLC-QTOF-based metabolic profiling method was adapted for the analysis and evaluation of two processed ginseng genera. As a result, all known biomarkers were identified by the proposed metabolomics, and additional potential biomarkers were extracted from the huge amounts of global analysis data. Therefore, it is expected that such metabolomics techniques would be widely applied to the ginseng research field.
Jeong, So Young,Bustamante, Danilo E.,Lee, Jin Gyo,Won, Boo Yeon,Kim, Seung Hee,Cho, Tae Oh Korean Society of Environmental Biology 2017 환경생물 : 환경생물학회지 Vol.35 No.3
Detailed morphological studies and molecular analyses based on plastid-encoded rbcL gene sequences were undertaken on Peyssonnelia species, a poorly known genus from Korea. We report new records for the Korean coast, Peyssonnelia harveyana and P. rumoiana. Peyssonnelia harveyana is chiefly characterized by P. rubra-type anatomy, closely packed perithallial filaments in firm matrix, hypothallial filaments arranged in parallel rows, thalli with appressed margins, hypobasal calcification, and unicellular rhizoids. Peyssonnelia rumoiana is principally characterized by two vegetative features, hypothallial filaments arranged in a polyflabellate layer, and perithallial filaments arising from the whole upper surface of each hypothallial cell (Peyssonnelia rubra-type anatomy). Our rbcL analyses revealed that P. harveynana and P. rumoiana were placed within a clade of Peyssonnelia. We also propose the new combination, Sonderophycus cauliferus comb. nov., for previous Peyssonnelia caulifera. Phylogenetic analyses revealed that our S. cauliferus was placed within a clade of Sonderophycus.