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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.
김서연,박길순,정현숙 복식문화학회 2001 服飾文化硏究 Vol.9 No.5
The purpose of this study was to make hip-hop clear as a comprehensive cultural factor, and to analyze how it was reflected and shown in the modern fashion. The fashion influenced by hip-hop consisted of music(mcing), dance(b-boying), art(graffiti), technology(djing), and clothing(hip-hop style) was as fallows; 1.Each music, dance, and art factor was expressed as multiethnic style, a oversized sportive style, and a graffiti look. 2.Oversized-Sportive style was the most peculiarity in Old School's hip-hop fashion. 3.Sportive style was changed into Multiethnic-Baggy style in New School's hip-hop fashion. Key words: mcing, b-boying, graffiti, djing, hip hop.
김서연,박길순 服飾文化學會 2001 服飾文化硏究 Vol.9 No.6
Applying the grobalization theory to the fashion phenomena which regarded the phenomena of the contemporary culture as globalization, this study had an object of looking into the globalization tendency of the fashion phenomena shown Paris, London, Milano, New York, Tokyo, and Seoul collections from 1995 to 1999. The results of this study were as follows; 1. It was the blend of romanticism that was the most common trend shown at the six world collections. 2. The works appeared at the six world collections showed the regional peculiarity under the historical back-ground or the sociocultural influence each city had. 3. Another character appeared at the six city collections was the appearance of multi-ethnic style mixed various regional motive at a work. After all, the world fashion phenomena in the second half of 1990's could be condensed into globalization appeared homogenization, regionalization, and hybridization at the same time.
제주도 연안 해수의 화학적 및 미생물학적 수질 현황에 관한 연구
김재하,박길순,강영주 제주대학교 해양연구소 1981 해양자원연구소연구보고 Vol.5 No.-
A survey of seawater pollution was carried out monthly during October 1979 through May 1980 for three major harbors in Jeju island ; Jeju, Seogwipo and Seogsanpo. Eight different sites were selected for each harbor to determine a chemical and microbiological pollution level together with a pigment content. Among three harbors, Jeju was most polluted chemically and microbiologically with significantly high level of pollution at the inner harbor which were well above the maximum permitted level. The inner harbor of Seogwipo also was in excess of permitted level under the influence of Cheonjicheon, but the other sites were rather clean. Seongsanpo is not polluted at the present time. It was shown that the pigment contents in seawater were higly variable from month to month. The highest pigment content in Jeju with the similar low values in Seogwipo and Seongsanpo were obtained oqter port. This indicates that the sites with inflowing fresh water or sewage were and carotenoid. throughout the investigating period. The differences in the pigment contents among the sampling sites showed that the inner harbor was much higher than outer prot. This indicates that the sites with inflowing fresh water or sewage were generally high in pigment content. In pigment sorts, there always appeared higher amount of chlorophyll c than chlorophyll a,b and carotenoid.
김무룡,황연자,차경미,이순자,위광복,남철현,김기열,김홍길 慶山大學校 保健福祉硏究所 1997 保健福祉硏究 Vol.1 No.-
This study was carried out to grasp the awareness and habits of food intake and use the information for health education program in order to help healthy dietary life. The survey was done in cooperation with health manager in industries on 1,200 workers who was selected randomly from 5 types of industries from Sep. 2 to Oct. 31, 1995. The results are summarized as follows: 1) The percentage of subjects who assess themselves "Healthy" was more higher in female, in 20∼29 age group, in single, in daytime workers, in college graduate than other groups respectively. 2) As for the degree of health education satisfaction, 35.5% of the subjects answered "dissatisfaction" 3) As for the exercise, 52.7% exercised for their health and the rate of exercise was more higher in male, in 30 years age group, in single than other groups respectively. 4) The rate of smoking was 57.6% and the rate of drinking alcohol was 47.3%. 5) 92.8% of the subjects got stress everyday and the rate is more higher in female, in less than 19 years old, in single, in longer working duration, in lower income, in high school graduates, in workers of product field line than other groups respectively. 6) As for drinking times of coffee or soft drink, two times per day was 29.5%, more three times per day was 28.0%. As for the eating speed of meal, 46.0% of the subjects answered "fast" and the rate was more higher in male, in 30 years age group, in married group, than other groups respectively. 7) With regard to the level of preference to instant food, 23.1% preferred to take instant food. As for the level of preference to hot and salty food, 28.1% preferred to have hot and salty food. 8) The score of eating behavior was 3.38±32 point to 6 point full marks. 9) With regard to the correlation among related variables, the variables of gender, marital status and working duration had positive relation with the variables of regular meal intake, the preference to food intake between regular meals.
具永順,金吉洙,李承晋 梨花女子大學校 韓國生活科學硏究院 1990 韓國生活科學硏究院 論叢 Vol.45 No.-
HEMA-styrene 공중합체 매트릭스를 활용한 항암제인 Tegafur의 조절 방출에 관하여 검토하였다. HEMA-styrene 공중합체를 styrene의 조성비를 달리하여 합성한 후 약물 전달체를 제조하고, 팽윤도 실험 및 약물 방출 실험을 수행하였다. 고분자의 팽윤도는 소수성 변조에 따라 광범위한 조절이 가능 하였으며 Tegafur의 방출은 고분자의 친수-소수성 정도에 따라 조절 가능하였다. In an attempt to develop anti-cancer drug delivery systems, controlled release of Tegafur from 2-hydroxyethyl methacrylate(HEMA)-styrene copolymer matrices was investigated. HEMA-styrene copolymer was synthesized at different monomer composition. Swelling of the copolymers decreased as the styrene content increased. Release rates of Tegafur from the copolymer matrices were controlled by their hydrophilic-hydrophobic balances. As the copolymer hydrophobicity increased, the drug release rates retarded and approached to zero-order release pattern. The release kinetics was attributed to the polymer relaxation control mechanism.