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뇌졸중 환자의 우울감 감소를 위한 스트레스 면역훈련을 기반으로 한 원예치료 프로그램
박신애(Sin Ae Park),이지영(Ji Young Lee),이아영(A Young Lee),박시운(Si Woon Park),손기철(Ki Cheol Son) 인간식물환경학회 2015 인간식물환경학회지 Vol.18 No.3
This study was conducted to investigate the effects of horticultural therapy (HT) program based on the stress immunization training for reducing depression symptom in the patients with stroke. Twenty six stroke patients aged over 50 years (10 males, 16 females) with symptom of mild or moderate depression were participated in this study. A total of thirteen patients in the experimental group were participated in the 16-session HT program (twice a week, average 40 min per session) and the rest of the patients were in the control group. Before and after the HT program, depression symptom of the patients were evaluated by using Korean Form of Geriatric Depression Scale (KGDS). As the results, depression scores of the patients in the experimental group significantly decreased (p=.000), however, there was no significant difference in the control group. Additionally, higher satisfaction rate of the patients in the experimental group showed for the HT program. In conclusion, the HT program based on the stress immunization training led a positive impact on reduction of depression symptom of stroke patients and it could be applicable for the patients with depression symptom in the rehabilitation hospitals.
정우진 ( Woo Jin Chung ),이선미 ( Sun Mi Lee ),신승호 ( Seung Ho Shin ),조우현 ( Woo Hyun Cho ),류시원 ( See Won Ryu ),정상혁 ( Sang Hyuk Jung ),고광욱 ( Kwang Wook Koh ),박시운 ( Si Woon Park ),신의철 ( Eui Chul Shin ),이선희 ( S 한국병원경영학회 2002 병원경영학회지 Vol.7 No.3
This study estimated the influence of `the separation of prescribing and dispensing roles` (SPD) policy, which implemented in July 2000, on the community pharmacies in Korea, by using data on the revenues and expenditures in the previous researches. We first assumed the rate of drug price differential was 20% with four different models which was based on various data of studies carried out in the similar period. Later, we applied different rates for the sensitivity analysis. According to the results, all community pharmacies made the net profit of 118.9 billion won (0.552 million won monthly per one pharmacy) after the SPD policy. The ratio of net profit to net sales dropped by 7.41%~ from 22.19% to 14.78%. Additional sensitivity analysis indicated there were wide range of differences about whether net profit or net gain, and that extent which either existed.
의약분업실시에 따른 의료기관의 건강보험외래부문 순이익변화 추계
정우진 ( Woo Jin Chung ),신승호 ( Seung Ho Shin ),이선미 ( Sun Mi Lee ),정상혁 ( Sang Hyuk Jung ),고광욱 ( Kwang Wook Koh ),박시운 ( Si Woon Park ),신의철 ( Eui Chul Shin ),이선희 ( Sun Hee Lee ),황진미 ( Jin Mee Hwang ) 한국병원경영학회 2002 병원경영학회지 Vol.7 No.4
This study examined the influence of the separation of prescribing and dispensing roles(SPD) policy implemented in Korea in July 2000, especially on the change in the net profit of medical institutions. Using the data set from the Korea`s National Health Insurance and the previous research, t h s study elicited the following main results. First, tertiary care institutions was estimated to lose about 631 billion won after the SPD policy. Second, general hospitals and hospitals gained about 557 billion and 56-4 billion won, reswtively. Third, it is shown that clinics also gained 389-659 billion won. Finally, however, the change in net profit of m&cal institutions after the SPD policy largely depends on different estimation models. Moreover, it also varies from the assumptions on the price differential of a reimbursable drug which worked as cross-subsidy to insufficient physician`s fee before the SPD policy. Despite such limitations as lack of data outside of the National Health Insurance`s coverage, this study differs from others. This is the first research to explore the effect of the SPD policy on different types of medical institutions and to attempt to purely focus on the SPD policy. In this study, we can draw the policy implication that preparing for a policy change, the government should set up the policy evaluation system to collect the concerned data and develop the methodologies in advance to the policy implementastion.
V. Vulnificus Cytolysin에 대한 Sandwich ELISH
박시운,김형남,김종석 의과학연구소 1998 全北醫大論文集 Vol.22 No.1
A sensitive Enzyme-Linked Immunosorbent Assay(ELISA) for Vibrio vulnificus cytolysin was established. Cytolytic activity in V. vulnificus culture supernatant reached to the maximum at about 4 hours and decreased rapidly afterwards. V. vulnificus cytolysin was completely purified from culture supernatants by ammonium sulfate precipitation, DEAE-cellulose chromatography and phenyl-Sepharose chromatography. The polyclonal antibodies against the purified cytolysin were produced from a chicken and a rabbit. Resulting antibodies showed a high antigen-specificity for cytolysin, visualizing a band of 51 kDa when the V. vulnificus culture supernatants were on immunoblottings. Anti-cytolysin polyclonal rabbit and chicken antibodies were used as a capture or a detector antibody in sandwich ELISA after further purification with cytlysin-AFFi-prep immunoaffinity chromatography. The limit of detection was 10 ng of V. vulnificus cytolysin, with saturation achieved at 50 ng.