포괄수가지불제도 적용에 따른 산부인과 진료수입의 변화

황태연,유병철,정귀언,정수진,김성준,배기택,손혜숙,이종태,전진호,엄상화 인제대학교 2001 仁濟醫學 Vol.22 No.1

Objectives: Under the fee-for-service system, Korean hospitals have been suffering from the worsening profitability caused by law medical care fees. To overcome the difficulties, they have maximized the quantity of medical services and made relatively large investment in developing new medical services using high-priced medical equipment, medicines and medical supplies which were not covered by medical insurance system rather than reduced running costs. Materials and Methods: This study was made to analyze and forecast the revenue change of the department of Obstetrics and gynecology of an university hospital in Seoul, expecting the implementation of DRG system in 2000. Results: The results were as follows : 1.During the first two days of hospitalization. 41% of total medical service fee was occurred, which was thought that most of the check-ups and operations were made during this period. After two days of hospitalization, the new occurrence of medical service fee tended to reduce. 2.Out of total medical service fee, 67% of admission fee was occurred after 5 days of hospitalization. This was because medical service fees in obstetrics and gynecology department occurred during the first 5 days of hospitalization. 3.Out of fees for operation, treatment, medical supplies and blood transfusion. 71% was occurred during the first two days. 4. In case of fees for examination, 50% was occurred during the first two days. 5.A total of 53% of fees for medication and injection was occurred during the first 5 days. Conclusions: By the implementation of the DRG system, the income is forecast to increase by 800 won to 310,000 won by the disease group of obstetrics and gynecology department. To increase hospital income with the implementation of DRG system, the results of this study suggest that examinations should be done at out-patient departments before the hospitalization of patient, the discharge of patient should be noticed in advance to reduce the period of hospitalization, and admission appointment system should be implemented for the immediate operation and delivery.

주요우울증이 근로자의 생산성에 미치는 영향 : WHO-HPQ(Health and Work Performance Questionnaire)를 이용한 예비연구

김원,황태연,함병주,이준석,최병휘,김세주,서용진,강은호,우종민 大韓神經精神醫學會 2007 신경정신의학 Vol.46 No.6

Objectives : Major depressive disorder (MDD) causes patients' distress and makes socioeconomic burden, both directly and indirectly. We used the concept of lost productive time (LPT) to estimate the indirect costs and calculated both absenteeism and presenteeism among workers with MDD. Mcthods : Depression group was recruited from workers visiting psychiatric outpatient clinic who had MDD without major physical or mental disorders (N= 106). Age and sex matched healthy control group was also recruited through advertisement (M=100). All participants completed a interview using WHO Health and Work Performance Questionnaire (HPQ), Job Stress Measurement Scale for Korean Employees, and Hamilton Rating Scale for Depression. Statistical analysis was performed with independent t-test or χ² test as characteristics of values (p=0.05). Results : The number of absence (0.94-day/month vs. 0.10-day/month, P=0.015) andthe numberofearly leaving (2.56-day/month vs. 0.24-day/month, P<0.001) were significantly higher in the depression group. Depression group evaluated their Perfor-mance level much lower than controls with significant value (5.16 vs. 7.62, P<0.001). In addition, depression group estimated their performance level during the last 4 weeks lower compared to the level of past 1-year (5.16 vs 6.63, P<0.001). The estimated costs of absenteeism in depression group were higher than controls by 2,520,000 Korean Won per year, and those of presenteeism were also higher by 4,880,000 Korean Won per year. The total costs of LPT in depression group were higher than controls by 7,400,000 Korean Won, which corresponds to 26% ofmean annual salary. In addition, the level of occupational stress, such as high demand and interpersonal conflict, was higher in the depression group. Conclusion : Major depressive disorder costs substantial productivity loss to workers and their company. Presenteeism imposes more time cost than absenteeism. Effectiveness trials are needed to devise cost-effective programs for the early detection and treatment of depression at the workplace.

한국판 정신사회재활 성과 측정도구의 신뢰도 및 타당도 연구

황태연,강대엽,임영란,김명식,이원혜,박용범 용인정신의학연구소 1999 용인정신의학보 Vol.6 No.2

RAM 및 LCC의 제조시스템의 능력에 대한 영향

황흥석,박태원 한국경영과학회 2000 한국경영과학회 학술대회논문집 Vol.- No.1

제조설비의 운영은 적절한 생산제품의 품질(신뢰도 생산단가 등)을 유지하는 조건으로 유지되어야 한다. 본 연구에서는 제조설비의 적정운영조건을 구하기 위하여 제조설비의 RAM 및 순기비용 (LCC)이 제조설비의 성능에의 영향을 분석하고 최적대안을 구하였다. 이를 위하여 우선 설비의 RAM 및 LCC 산정모델을 개발하고 이를 이용하여 제조설비의 성능에 미치는 영향을 분석하기 위한 수리모델을 제시하였다. 이를 위한 전산프로그램을 개발하고 이를 이용하여 제조시스템의 성능 분석 사례를 들어 보였다. 또한 다양한 환경에서 제조시스템의 성능을 예측하기 위하여 시스템의 복잡성이 큼 문제를 분석하는데 적절한 GMDH방법을 사용하여 추정하였다. 이를 이용한 성능예측의 실 예를 들어 본 연구의 과정을 보였다.

정신장애인의 재활의 위한 사회기술훈련의 효과성에 관한 연구

황태연,손덕순,백형의,박종원,김지현,이경화 용인정신의학연구소 1999 용인정신의학보 Vol.6 No.2

자동적하장비를 이용한 자동물류센터의 개념설계모델

황흥석,박태원 동의대학교 산업기술개발연구소 2000 産業技術硏究誌 Vol.14 No.-

The robotic palletizing vehicles are recently studied and have been successfully employed in industry for years. This research focuses on the technical and operational feasibility test of robotic palletizing vehicles and developing a conceptual model for distribution center which incorporates robotic palletizing vehicles. We also developed simulation program based on Siman simulator for performance evaluation of distribution centers. Based on data given, the performance of robotic palletizing vehicles improve order picking performances in the distribution centers. Key words : Order-Picking, Robot Palletized Distribution Center.

Thomas Anold의 體育觀과 Rugby School에 관한 硏究

黃太相,趙源敏 釜山大學校 附設 體育科學硏究所 1997 體育科學硏究所 論文集 Vol.13 No.-

This study was conducted by Thomas Anold, the representative of a modern reformer and an idea of physical education's phenomena and the purpose in the rugby school. The purpose of Thoams Anold's the education reformation in the rugby school was that he influenced the school principal of christianity to students to destroy unmorality and to build the christian school in school. To do that, the problem was to recreate school principle's control and the moral effect to school. Students' voluntary activities were provided and these activities developed as organized games. There were two factors wether Thomas Anold was the reformer of physical educational or not. In the previous studies and books mentioned that he was educational reformer. However, he was not to influence the physical education in the pure perspective. Another word, he was not a man of thought in the physical education. As a matter of fact, he influenced sports activities at rugby school activities. In Thom Brown's school days, it was found that sport activities were very active at the rugby school. In a novel, team sports were more popular than individual sports such as cricket and rugby. The team sports were utilized as educational system in this novel. For instance, the purpose of improving team sports influenced to create the proper social attitudes and sportsmanship through team sport activities. In the rugby school, a lots of time were admitted for games. A cricket and a rugby play were admitted two hours on an every (13:30-15:30) the Tuesday, the Thursday, and the Saturday at school. Also, traditional sport was "the big side run" and cricket, and Crik is one of running sport which was held in regular program.

원전 중대사고시 피폭경로 및 핵종의 방사선 피폭에 대한 상대적 중요도 해석

황원태,김은한,김병우,서경석,한문희 대한방사선 방어학회 1994 방사선방어학회지 Vol.19 No.3

원자력발전소의 중대 사고시 대기로 방출된 방사성물질에 의해 피폭자가 사고후 일생동안 받게 될 전신 피폭선량의 핵종의 상대적 중요도를 방출점으로부터 거리에 따라 각 피폭결로에 대해 평가하였다. 방사능운과 지표에 침적된 방사성물지에 의한 외부피폭,호흡과 오염된 음식물섭취에 의한 내부피폭이 피폭경로로 고려되었다. 오염된 음식물섭취에 의한 영향은 우리나라 환경을 고려하여 개발된 동적 섭식경로모델 KORFOOD를 사용하여 침적시점과 침점후 시간에 따른 음식물내 방사성물질의 농도 변화를 고려하였다. 방출점으로부터 80 km까지 피폭선량을 평가한 결과, 오염된 음식물섭취에 의한 영향이 가장 놓았다. 핵종별 기여도는 방사능운에 의한 외부피폭과 호흡에 의한 내부피폭의 경우 I, 침적된 방사성물질에 의한 외부피폭의 경우 Cs에 의한 영향이 가장 높았다. 오염된 음식물섭취에 의한 내부피폭의 경우 Cs은 여름철 침적, Sr은 겨울철 침적에 보다 중요한 영향을 미쳤다. In the case of a severe accident of a nuclear power plant, the whole body does and the relative importance of the radionuclides during the lifetime of an exposed person were estimated for each exposure pathway with distances from the release point. The external exposure pathways due to immersion of radioactive could and deposition of radioactive materials on the ground, and the internal exposure pathways due to inhalation and ingestion of contaminated foodstuffs were estimated considering the variation of radioactive concentration in the foodstuffs according to deposition time and elapsed time after deposition using a dynamic ingestion pathway model applicable to Korean environment, named "KORFOOD". As the results up to 80 km from the release point, the effects due to ingestion of contaminated foodstuffs showed the highest contribution to total exposure does. The contribution of I isotopes was the highest in the case of the external does due to immersion of radioactive cloud and internal does due to inhalation. The contribution of Cs isotopes was highest in the case of the external does due to deposition of radioactive materials on the ground. In the case of the internal does due to ingestion of contaminated foodstuffs, Cs deposition in summer and Sr deposition in winter, respectively, were the most dominant radionuclide to whole body.

Tabu 탐색법을 이용한 PI 제어기 설계

원태현,황기현,문경준,이용길 동의공업대학 2000 論文集 Vol.26 No.1

We propose an adaptive Tabu search method changing neighbor solution's range to be searched each iteration according to an objective function and design a PI controller using the proposed Tabu search. We apply it to a time-delay system to evaluate the usefulness of the proposed method. overshoot, rising time, and settling time.

排卵湯이 白鼠의 排卵에 미치는 影響

황태원,박재웅,위석,조한백,유심근 한국전통의학연구소 2002 한국전통의학지 Vol.12 No.1

Baelantang(BLT) is used in female infertility caused by ovulation disorder. An attempt was to evaluate the influences, of BLT on the serum concentrations of FSH, LH, estradiol(E_(2)) and progesterone, the histological and optical changes of ovary, ovary weight of rats. The results of the study were as follows : 1. Blood FSH level increased experimental group as compared with control group on 7th day, which showed no efficacy. 2. Blood LH level increased in experimental group as compared with control group on 7th day and decreased 14th day, which showed no efficacy. 3. Blood E_(2) level decreased in experimental group as compared with control group on 7th day and increased 14th day, which showed no efficacy. 4. Blood progesterone level increased in experimental group as compared with control group on 7th day and decreased 14th day, which showed no efficacy. 5. In histological observations of ovary, ovulation increased in experimental group as compared control group on 7th day and on 14th day, which showed no efficacy. 6. In optically observations of ovary, weight of ovary increased in experimental group as compared with control group on 7th day and 14th day, which showed no efficacy. According to these results, BLT did not influence on the ovulation and ovary of rats.