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.

인체대장암에서의 Cyclin 유전자의 발현

백원기,서민호,서성일,문성희,박종욱,최병길,배옥석 대한대장항문학회 1996 Annals of Coloproctolgy Vol.12 No.2

HBsAg 양성자에 있어서의 HBe 항원 및 간기능검사에 대한 고찰

배기택,김병성,최원충 인제대학교 1990 仁濟醫學 Vol.11 No.2

건강관리과 신체 검사에서 발견된 473명의 HBsAg 양성자를 대상으로 HBeAg 및 transaminase치를 추적 조사하여 HBeAg 양성률이 45.1%, transaminase 상승률이 28.5%이고 HBsAg 보균자가 지속될 확률은 98% 이상임을 밝혀냈다. Among those who received regular health examination at health center, 473 HBsAg carriers were followed for 5 years with serial measurements of transaminase levels, hepatitis B surface antigen (HBsAg), hepatitis Be Ag(HBeAg). Male to female ratio was 4.7:1 and the average age was 32 in male, 26 in female. Persistent HBsAg positive rate was 98.7% and HBsAg was seroconverted to negative in 6.4%. The HBeAg positivity rate among HBsAg carriers was 45.1%, and seroconversion late of HBeAg was 4.3%. Transaminase levels were elevated in 28.5% of the HBsAg carriers. The proportion of abnormal transaminase levels in HBeAg positive carriers (42.9%) were significantly higher than that of HBeAg negative carriers (20.2%)(P<0.005) and the Odds ratio was 2.96. The 24 clients out of 135 carriers (17.8%) who had elevatd transaminase levels were normalized and the average duration was 7.1±7.0 months.

Hydroxybiphenyl 유도체의 항균작용(Ⅲ) : 충치균 Streptococcus mutans에 대한 p-Phenylphenol 유도체의 항균작용 The Antibacterial Activities of p-Phenylphenol Derivatives against a Cariogenic Bacterium Streptococcus mutans

배기환,서원준,박종태 충남대학교 약학대학 의약품개발연구소 1991 藥學論文集 Vol.7 No.-

For the purpose of developing of anticariogenic agents, p-phenylphenol derivatives were synthesized and determined their antibacterial activities against a cariogenic bacterium, Streptococcus mutans. Among synthetic compounds, 2-nitro-6-bromo-p-phenylphenol showed as potent antibacterial activity as magnolol and honokiol.

젊은 예술가의 초상

裵基源 관동대학교 1997 關大論文集 Vol.25 No.1

James Joyce published his long novel, A Portreit of the Artist as a Young man, in 1916. He employed Stephen's growing mind from his infancy to his young man; from a six years old child to a twenty years old young man. The novel is composed of five chapters, thereby I researched them by chapters in this novel. As over 90% of Irish populations and Joyce are catholic, I concentrated on their ethos and connected them in conjunction with five chapters. While Stephen was attending Belvedere College, the rector of school consulted with him to become a catholic father. However, Stephen declined to become an artist, although the rector didn't know the fact that Stephen had carnal sex with a whore. Therefore, he rued so much after hearing a father's preaching on the hell where all devils, evils, and thirty things are. As a result, Stephen departed from his family, church, country and exiled to foreign countries to become a creative literary writer. Thus, Joyce buckled down for ten years, concluding this ambitions and fine work. In this novel, the readers realize that there are Stephen's strong intrepid soul and spirit to describe this literary art, the novel. In addition, I delineated something about stream of consciousness.

반투과 박막의 광정수 측정

裵世煥,成商基,秦源培 東亞大學校 1981 東亞論叢 Vol.18 No.1

The determination of the absorption of very weakly absorbing thin film systems is a difficult problem. Shamir-Graff have introduced a method by which optical parameters of thin films are obtained from meaurements of interference between reflected and transmitted laser beams. Values of n, k, and h, the thickness of the film, are obtained. We have performed the measurements on a silicon oxide and cerium dioxide for evaluation the method. The results of two kinds of sample at room terperature made by vacuum deposition are that (a) the refractive index is 1.92 and the extinction coefficient is 0.001 at depostion rate 6Å/sec of SiO, refractive index 1.93 and extinction coefficient 0.002 at the rate 12Å/sec of SiO and (b) the refractive index is 2.26 and the extinction coefficient is 0.003 at deposition rate 40Å/sec of CeO? in which the whole sample thickesses are range from 1,000Å to 15,000Å.

전기응집에 의한 도금폐수 처리의 최적화

이찬원,양기섭,윤재일,박영배 경남대학교 환경문제연구소 1998 환경연구 Vol.21 No.-

The zinc containing wastewater from the metal finishing industry was treated by electro-coagulation system. The zine was effectively removed with removal efficiency ranging from 95 to 99%. The operation of the system was conducted to find out the optimum conditions to reduce bleaching out effect from plate, changing important parameters such as reactor plate select, flow rate, pass, amperage and settling time, along with a consideration of O&M costs for the electro-coagulation system. The most effective and economical conditions was concluded to be a combination of Fe plate 1.0 L/min of flow rate, 5 pass, 15 amperage and 30 min settling. The copper plating wastewater was also effectively treated with 94% removal effectively under this optimum condition.

비정질 KNbO₃박막의 전기광학계수 측정

구본원,배세환,전기범 東亞大學校 大學院 1997 大學院論文集 Vol.22 No.-

In order to improve the optical applications of amorphous KNbO? thinfilms, we deposited KNbO? on glass substrate by rf magnetron sputtering method. The sample was prepared by a number of different conditions, such as composition mole percent ratio of target, calcine temperature and rf power. And then we measured the refractive indices and electrooptic coefficients by measuring of induce phase difference of light from electrooptic effect of amorphous KNbO? thinfilms. We obtained the value of refractive indices 2.130 ~ 2.213 at 632.8nm and electrooptic codefficients γ= 0.2476 × 10? ~ 1.0716 × 10?m/V.

초등학교 게임수업에서의 팀 선호 유형 분석

정배영,부기원 江原大學校附設體育科學硏究所 2004 江原大學校附設體育科學硏究所論文集 Vol.- No.27

This study aims to analyze team preference types according to various variables in game activity situations in elementary school class. It is possible to identify students' participation level in game activities in class by examining team preference types indicated in forming teams with the variables of gender differences, of the time of measurement - in the beginning and at the end of a school term, and of team formation of the same-sex members and mixed-sex members. And then this study addresses individual characteristics of students and locates the students alienated from activities in order to create environments that can make all students enjoy class. To serve this purpose, 41 students (23 male and 18 female students) from 2nd class of Year 4 at Nara Elementary School(Alias) in Chuncheon were chosen for the subjects of this study. This study addressed a series of physical training classes conducted by a physical education teacher by observing them, and another series of physical training classes conducted by the researcher herself. The data were collected by resorting to participatory observation, descriptive observation, in-depth interviews and a survey. The data collected were analyzed by means of constant comparative method, examination by member, diversified analytical method, and agreement by colleagues. The results drawn from the above processes are as follows: First, team preference types by gender difference indicated that male students preferred 'victory pursuing style' and 'activity pursuing style', while female students went for 'close friends prefering style'. Second, team preference types in the beginning and at the end of a school term revealed that students preferred 'indifferent style' and 'activity pursuing style' in the beginning of a term, while they preferred 'victory pursuing style' at the end of the term. Third, team preference types in team formation of the same-sex members and mixed-sex members shoed that in the teams with the same-sex members, the styles of 'victory pursuing style', activity pursuing style' and 'close friends preferring style' were evenly distributed, whereas in the teams with mixed-sex groups a lot more students preferred 'victory pursuing style'.

HBx형질전환 생쥐에서 발생한 간세포암종에서 H-ras 및 c-myc의 발현에 관한 연구

문형배,소병준,김학철,윤기중,한원철,조향정,유대열,정영진 圓光大學校 醫科學硏究所 2002 圓光醫科學 Vol.17 No.2

<연구목적> HBx형질전환 생쥐에서 발생한 간세포암종의 발암과정에 종양유전자(H-rgs, c-myc)의 발현 정도를 조사하고자 하였다. <연구방법> 정상생쥐 12마리(4-18개월) 및 HBx 형질전환 생쥐 44마리(4-18개월)를 대상으로 포르말린에 고정하고 파라핀에 포매한 간 조직을 이용하여 면역조직화학적염색을 실시하였다. 실험군은 정상 부위, 이형성 부위 및 종양 부위로 구분하였으며, 종양 부위는 소결절성병변 부위와 간세 포암종 부위로 구분하였고, 이형성병변 부위는 이형성병변만 발견되는 부위, 소결절성병변과 동반된 이형성병변 부위 및 간세포암종과 동반된 이형성병변 부위로 구분하였다. <연구결과> H-rgs의 발현은 정상 간조직에 비하여 이형성병변 부위(P<0.05) 및 종양 부위(P<0.01)에서 증가하였으며, 소결절성병변 부위과 간세포암종 부위 사이에서는 간세포암종 부위에서 증가된 경향이었으나 통계학적으로 유의한 차이가 없었으며, 각 이형성병변 부위 사이에서도 유의한 차이는 없었다. c-myc의 발현은 정상 간조직 및 이형성병변 부위에 비해 종양 부위에서 증가하였으며(P<0.001), 소결절성병변 부위와 간세포암종 부위에서는 비슷하였고, 각 이형성병변부위 사이에서도 비슷하였다. <결론> HBx형질전환 생쥐에서 발생하는 간세포암종의 발생에 H-rgs는 이형성 변화를 일으키는 시기에 관여하며, c-myc은 이형성병변에서 암으로 이행하는 시기에 관여할 것으로 생각한다. Background: This experiment was designed for the expression of H-ras and c-myc in hepatocarcinogenesis of the HBx transgenic mice. Methods: Immunohistochemical stains in the paraffin embedded tissue of the liver were used for the detection of H-ras and c-myc in the 12 normal mice and 44 HBx transgenic mice of the 4-18 month old. Results: Expression of the H-ras was significantly increased in the dysplastic area (P<0.05) and tumor area (P<0.01) than in the normal liver. But there were no differences of H-ras expression between areas of microscopically identified hepatocellular carcinoma (MI-HCC) and grossly identified hepatocellular carcinoma (GI-HCC) and dysplastic areas among the only dysplastic areas, dysplastic areas with MI-HCC and GI-HCC. Expression of the c-myc was significantly increased in the tumor area (P<0.001) than in the normal liver and dysplastic area. But there were no differences of c-myc expression between areas of MI-HCC and GI-HCC, and dysplastic areas among only dysplastic areas, dysplastic areas with MI-HCC and GI-HCC. Conclusions: Our study suggests that H-ras is related to the dysplastic change and c-myc is related to the neoplastic change in the hepatocarcinogenesis of the HBx transgenic mice.