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이은표,이경희 한국보건정보교육학회 1999 보건정보교육학회지 Vol.1 No.1
AbstactThis study is aimed to provide the sources of rational decision making for installing(introducing) Telecar system through the cost effectiveness analysis which the direct effect of introducing Telecar system was analyzed by conversed currency value and the indirect effect was analysed by economics each effect point between users and non users this system.This study was analyzed by conversed up to data value of reduce effect on labor cost which is the direct effect of investment and maintenance cost accomplish by introducing Telecar system and the indirect effect was by comparison analysis of the better quality of medical service effects of which the details are the promptness of chart control, error rate and the extent of communication with the treating medical care, and also by comparing the number of persons in charge of chart control, departing rate, and the extent of satisfaction.According to the result of this study, the not effect of direct effect for the direct cost within limitation period was about 351 million Won and the cost rate for direct effect showed 0.65%But in the aspect of direct effect, there was no economical merit, nevertheless the indirect effect which was not measured by cost showed that the rapidity of the users of this system was 8.3min/6.7min faster in admission/outpatient, and the error case rate 0.63%/0.28% reduced in admission/outpatient. On the contrary, it showed lower extent of communication with medical care team in the user of this system according to the result of the survey using point extent.The users showed 0.1 person decrease in average numbers of employees per average lOOtimes of chart control. And the average satisfaction rate was higher than non-user group even though there was no meaningful difference in the satisfaction rate for the employee in charge of chart control in the user group.The rate of changing occupation of the user group was 4.9% higher than non-user group. Regarding the improvement of efficiency in the chart control part the user group task the recruitment the best way, and the other group took change of the chart control instrument.Although we can see the lack of the total analysis of the cost effectiveness according to use of data Telecar in this study, it could be a help in a development of the work in the medical record room by the cost-effectiveness analysis of the instrument and equipment widely used medical record room. This study is aimed to provide the sources of rational decision making for installing(introducing) Telecar system through the cost effectiveness analysis which the direct effect of introducing Telecar system was analyzed by conversed currency value and the indirect effect was analysed by economics each effect point between users and non users this system. This study was analyzed by conversed up to data value of reduce effect on labor cost which is the direct effect of investment and maintenance cost accomplish by introducing Telecar system and the indirect effect was by comparison analysis of the better quality of medical service effects of which the details are the promptness of chart control, error rate and the extent of communication with the treating medical care, and also by comparing the number of persons in charge of chart control, departing rate, and the extent of satisfaction. According to the result of this study, the not effect of direct effect for the direct cost within limitation period was about 351 million Won and the cost rate for direct effect showed 0.65% But in the aspect of direct effect, there was no economical merit, nevertheless the indirect effect which was not measured by cost showed that the rapidity of the users of this system was 8.3min/6.7min faster in admission/outpatient, and the error case rate 0.63%/0.28% reduced in admission/outpatient. On the contrary, it showed lower extent of communication with medical care team in the user of this system according to the result of the survey using point extent. The users showed 0.1 person decrease in average numbers of employees per average 1001imes of chart control. And the average satisfaction rate was higher than non-user group even though there was no meaningful difference in the satisfaction rate for the employee in charge of chart control in the user group. The rate of changing occupation of the user group was 4.9% higher than non-user group. Regarding the improvement of efficiency in the chart control part the user group task the recruitment the best way, and the other group took change of the chart control instrument. Although we can see the lack of the total analysis of the cost effectiveness according to use of data Telecar in this study, it could be a help in a development of the work in the medical record room by the cost-effectiveness analysis of the instrument and equipment widely used medical record room.
일 농촌지역의 우울 증상에 관한 역학연구 -위험요인 및 요인구조분석
하양숙,홍진표,김한규,이군희,한경자,조맹제,김용익,송미순,박성애,김창윤 大韓神經精神醫學會 1999 신경정신의학 Vol.38 No.2
연구목적 : 세계적으로 널리 사용되는 우울증 척도인 the Center for Epidemiologic Studies Depression Scale(CES-D)을 이용하여 지역사회 주민의 우울증상의 정도를 평가하고, 우울증상의 위험요인을 분석하고, 한국인에서 우울증상의 요인구조를 알기 위해 본 연구를 실시하였다. 방 법 : 경기도 일 농촌 지역의 30세 이상 주민에 대해 무작위 군집 집락 추출을 실시하였고, 훈련된 면담원들이 가정 방문을 통하여 면접 및 자기보고 검사인 CES-D를 실시하였다. 총 1,315명에서 응답을 하였고 응답율은 59.3%이었다. 결 과 : CES-D에 의한 우울증 점수는 0∼5점이 57%정도를 차지하였고, 평균 점수는 남자 7.8점 여자 9.5점으로 비교적 낮은 편이었다. ANCOVA 분석 결과 비결혼, 저학력, 여성이라는 위험요인은 독립적으로 우울증상을 악화시키는 요인이었으나 연령은 통계적으로 유의하지 않았다. CES-D 결과를 요인분석을 시행한 결과 4가지 요인이 추출되었는데 우울증상 및 신체증상이 한 개의 요인으로, 다른 나라에서 보고되지 않는 정서적 고통이 별도의 요인으로 추출되었다. 결 론 : 국내 역학 조사에서도 외국과 유사한 우울점수 및 위험요인이 확인되었으나 우울증의 요인에서는 특이한 요인이 추출되었다. 한국인에 독특한 우울 반응에 관한 추가 연구가 필요하다. Objectives :The rates, correlates, and factor structure of depressive symptoms in a Korean rural sample were examined using Korean version of the Center for Epidemiologic Studies Depression Scale(CES-D). Methods : Door to door visiting survey was conducted by trained interviewers. A random cluster sample of 1,315 respondents, aged 30 and over completed the CES-D scale along with additional sociodemographic questionnaire. Results : In this sample, mean CES-D score of male and female were 7.8 and 9.5, respectively which were lower than those reported previously. Symptoms of depression were most common among the less educated, non-married and female according to ANCOVA. Age was not a significant risk factor for depressive symptoms. Different factor structures emerged from this sample as compared to other studies using this approach. Somatic symptoms and affective symptoms were combined as one factor and emotional hardship emerged as a separate factor. Conclusion : Symptoms scores and risk factors were similar to the results reported in other countries but unique factor structures were found in this study. Further research is needed about the Korean depressive symptomatology and related areas.
1% Zinc Pyrithione 샴푸의 비듬 치료 효과에 관한 연구
박주희 ( Ju Hee Park ),김범준 ( Beom Joon Kim ),김명남 ( Myeung Nam Kim ),홍연표 ( Yeon Pyo Hong ),주정흔 ( Jung Hun Ju ),이정표 ( Jung Pyo Lee ),손경희 ( Kyung Hee Sohn ),박귀례 ( Kui Lea Park ),이은창 ( Eun Chang Lee ),천영진 ( 대한피부과학회 2009 대한피부과학회지 Vol.47 No.8
Background: Dandruff is a common complaint, and is suffered by up to 50% of the population at some time. Malassezia yeasts, which comprise part of the normal skin flora, might be a critical factor in this disease, as they have been found in higher proportions in patients with seborrheic dermatitis or dandruff, its milder form. Objective: The aim of this study was to evaluate the clinical efficacy of 4 weeks of treatment with 1% zinc pyrithione (ZP) shampoo. Methods: A randomized, double-blind, 4-week treatment period was preceded by a 1-week run-in period. A total of 30 patients were enrolled in this study. Assessments included the patient`s subjective score (PSS) and the investigator`s assessment score (IAS), images of the affected scalp area, the severity of sebum production, and the erythema and moisturizing effect of the shampoo. Results: 1% ZP shampoo significantly reduced the extent and severity of scaling, as measured by folliscope imaging on visit 2 (p=0.0391) and visit 3 (p=0.0381), as well as pruritus related to the disease as measured by the grading systems, PSS (p=0.0352) and IAS (p=0.0142). Additionally, the results of this study show that a treatment regimen with 1% ZP shampoo significantly reduced scalp sebum production as measured by a sebumeter. Erythema measured by the chromameter was not as meaningful. The corneometric values were slightly increased in the group treated with 1% ZP shampoo but not in the group treated with ZP-free shampoo. Side effects of the ZP shampoo were quite mild and tolerable, and were observed only in a small group of patients. Conclusion: 1% ZP shampoo appears to be both effective and well-tolerated when used for the treatment of dandruff. (Korean J Dermatol 2009;47(8):875~883)