의료보험(醫療保險) 및 의료보호(醫療保護) 입원환자간(入院患者間) 의료이용(醫療利用) 비교(比較) 분석(分析)

김세라 ( Se Ra Kim ),조우현 ( Woo Hyun Cho ) 한국보건경제정책학회(구 한국보건경제학회) 2001 보건경제와 정책연구 Vol.7 No.1

The growth of health expenditures for the Medicaid enrollees is very rapid in spite of reduced enrollees in the Medicaid program. Therefore, the cost containment strategies in the Medicaid program is under progress these days. It has been concerned about the evaluation of utilization volume and pattern of healthcare services for the Medicaid enrollees. The existing findings showed that the utilization volume is larger for the Medicaid enrollees compared to the Medical Insurance enrollees, in terms of the length of stay(LOS) and health expenditures. However, the existing studies did not consider the severity of diseases between two groups. Moreover no study has been conducted on the differences of healthcare utilization pattern between two groups. In these context, this study investigated whether the Medicaid and the Medical Insurance enrollees have different healthcare utilization pattern based on the Korean Adjacent Diagnosis Related Group(KADRG). When significant differences were noted, the influencing factors to those differences were examined by analyzing six months medical record data from 30 hospitals. 1. For the ten most frequent KADRGs, the LOS of Medicaid Type 1 inpatients is longer than that of the insured over all 10 disease groups, but the Medicaid Type 1 inpatients have the lowest cost per day. However, the LOS of Medicaid Type 2 inpatients is not different to that of the insured, and their cost per day is even higher. 2. The regression analyses by disease groups show that the LOS of both Medicaid Type 1 and 2 is longer than that of the insured. However, while the cost per day for Medicaid Type 1 inpatients is lower than that for the insured, that for Medicaid Type 2 inpatients is higher than that for the insured.

『古今笑叢』에 나타난 남녀의 권력관계 연구

김세라(Kim Se-ra) 국어문학회 2016 국어문학 Vol.62 No.-

이 논문은 『고금소총』에 등장하는 주요 남녀 등장인물의 권력관계와 이에 내포된 서사적 함의와 남성 만족을 위해 여성이 철저히 배제된 사회적 시각을 고찰하기 위한 연구이다. 그래서 당대 집필자의 시각과 향유자의 입장이 아닌 여성 수용자의 입장에서 문제의식을 가지고 새로운 시각에서 성문화와 성의식을 고찰하고자 했다. 그동안 ‘해학’이나 ‘골계미’로 포장된 사회적 시각에 의문을 제기하면서 남성들의 웃음 속에 가려진 여성 소외와 타자화 문제를 전면적으로 분석하고자 했다. 여기에 등장하는 여성들이 이야기 속에서 겪는 일들이 가해자와 피해자의 관계가 아니라, 오히려 그동안 몰랐던 성에 눈을 뜨고 고맙게도 ‘기쁨을 알게’ 해주는 시혜자와 수혜자의 관계로 역전된다. 남성양반들에 의해 타자화된 여성의 몸은 심지어 여성 스스로에게까지도 철저히 소외된다. 이는 이야기부와 논평부 사이에서 발생하는 서사방식의 불일치에서 기인하는데, 내용의 충돌만큼이나 이야기 속 주인공과 작자, 당대의 독자층과 현재의 독자층, 그것도 현재의 여성독자층의 판단의 괴리는 깊다. 현재의 독자들조차 선조들의 ‘해학과 풍자’, ‘경직된 시대의 엄숙성에 대한 발랄한 경종’ 정도로 평가하는 이 작품은, 그 층위 간의 간극이 단순히 시대의 물리적 차이에서 기인하는 것은 아니다. 지금의 연구자들 시선 또한 당대의 향유계층과 의식과 다르지 않다. 오락성과 교훈성을 모두 갖춘 작품으로 해석해내려 하고, 농담에서조차 근엄한 훈계를 하며 세련되게 포장하려는 식자층의 현학적인 태도에 다름 아니기 때문이다. The present dissertation goes a step further from the meaning dealt with in preceding studies, which simply assessed Go-geum-so-chong as humor or humoristic beauty, and deducts the narrative implications of the male and female power relation between the main characters, in an attempt to make a connection with the social perspective that objectifies and excludes women for the purpose of male satisfaction. The reason for ‘rereading’ these works from the position of a female audience living now, not as a reader or writer of the time, is that the story of Go-geum-so-chong, in which molestation and violence are routinely perpetrated against lower hierarchy women by men with power, still displays a significant critical consciousness for the situation we live in today. The things these women experience in the story are not placed in a relationship between offender and victim but reversed into a relationship between a beneficiary and a benefactor, who open their eyes to an act of sex yet unfamiliar to them and thankfully allows them ‘to know its joy’. The bodies of women otherized by male Yangban are thoroughly alienated even by the women themselves. Ultimately, the candid gaze toward women by male nobles and the way in which they treat women are revealed without filter, and the women who are displayed through the stories are totally nonexistent or become completely silent entities. The subjects that may be disciplined with a dignified voice in the commentary section are those with a lowly social status. Ultimately, the male commentator is silent or, with laughter, sympathizes with the ridiculous and strange behavior of the male yangban who share the same social class, but the males with a lower status than themselves, they trample, criticizing them severely. What the male nobles do to lowly women is show appreciation and have fun, but what the lower class men do to the same women is impart depravity or wickedness. The expression of criticism is too exclusive and discriminating to view it as emphasizing ‘admonishment’ as a customary or decorative expression.

돼지 림프구의 미소핵 형성을 지표로 방사선 생물학적 선량측정법 확립

김세라,이해준,이진희,강창모,김태환,조성기,김종춘,김성호,Kim, Se-ra,Lee, Hae-june,Lee, Jin-hee,Kang, Chang-mo,Kim, Tae-hwan,Jo, Sung-kee,Kim, Jong-choon,Kim, Sung-ho 대한수의학회 2004 大韓獸醫學會誌 Vol.44 No.3

The purpose of the present experiment was to investigate the micronuclei(MN) frequency in cytokinesis-blocked(CB) cells after various doses of gamma-rays in pig (Landrace, male, 3-month-old) and so to contribute to the clarification of the question whether these species are suitable as a target organism in the test system. The frequencies of binucleated cells, and gamma-ray-induced MN in CB cells at several doses were measured in three donors. The peaks of binucleated lymphocyte formation(22%) were found at a concentration of 2% phytohaemagglutinin(PHA) and $4{\mu}g/ml$ Cytochalasin B(Cyt-B) in pig at 72 hours after incubation. Measurements performed after irradiation showed a dose-related increases in MN frequency in each of the donors studied. When analysed by linear-quadratic model the line of best fit was $y=0.0183D+0.0124D^2+0.0133$(y = number of MN/CB cells and D=irradiation dose in Gy). In conclusion, the results demonstrate that it appears feasible to use pig as target organisms in the micronucleus test to estimate the cytogenetic damage caused by ionizing radiations or, potentially, chemical compounds.

고선량 및 저선량 방사선 조사 마우스에서 누에동충하초 (Paecilomyces japonica)의 효과

김세라(Se Ra Kim),오헌(Heon Oh),이해준(Hae June Lee),신동호(Dong Ho Shin),김종춘(Jong Choon Kim),박인철(In Chul Park),오기석(Ki Seok Oh),조성기(Sung Kee Jo),김성호(Sung Ho Kim) 대한수의학회 2003 大韓獸醫學會誌 Vol.43 No.2

마우스에서 방사선 영향에 대한 녹차와 Diethyldithiocarbamate의 조절효과

김세라(Se-Ra Kim),김성호(Sung-Ho Kim),이해준(Hae-June Lee),오헌(Heon Oh),류시윤(Si-Yun Ryu),이윤실(Yun-Sil Lee),김태환(Tae-Hwan Kim),조성기(Sung-Kee Jo) 한국식품영양과학회 2003 한국식품영양과학회지 Vol.32 No.7

본 연구에서는 방사선 손상 경감 효과를 나타내는 기호식품을 발굴하고자 국내에서 주로 음용되고 있는 녹차의 방사선 손상 경감효과를 확인하기 위하여 고선량 및 저선량 방사선을 마우스에 조사하고 소장움 생존, 내재성 비장 조혈세포집락 형성 및 apoptosis 유발 등을 관찰하였으며, 그 효과를 방사선 방호효과가 알려져 있는 diethyldithiocarbamate(DDC)와 비교ㆍ관찰하였다. 생존 소장움의 수는 방사선 조사 전 녹차 투여군(경구투여군 : p<0.01, 복강내 투여군 : p<0.01) 및 DDC 투여군(p<0.005)에서 유의성있게 증가되었다. 내재성 조혈세포집락 형성은 방사선 조사 대조군에 비하여 조사 전 복강내 투여한 군(p<0.05)에서만 유의성 있는 증가를 나타냈으며, DDC 투여군에서는 효과를 관찰할 수 없었다. 방사선에 의한 apoptotic cell의 형성은 방사선 조사 전 녹차 투여군(경구 투여군 : p<0.005, 복강내 투여군 : p<0.05) 및 DDC 투여군(p<0.005)에서 통계적으로 유의성 있게 감소되었다. 이상의 결과에서 녹차의 방사선 손상 경감효과를 조혈세포의 생존과 회복, 소장움 세포 생존 및 방사선에 의한 apoptosis 유발억제를 통하여 확인하였으며, 이는 독성이 적은 천연물이라는 관점에서 방사선 손상 경감 음료로서 적용이 가능할 것으로 사료되며 추후 유효 분획 및 성분에 관한 연구가 요구된다. We performed this study to determine the effect of green tea on jejunal crypt survival, endogenous spleen colony formation, and apoptosis in jejunal crypt cells of mice irradiated with high and low dose of gamma-irradiation. The radioprotective effect of green tea was compared with the effect of diethyldithiocarbamate (DDC). Jejunal crypts were protected by pretreatment of green tea (p<0.01). Green tea administration before irradiation resulted in an increase of the formation of endogenous spleen colony (p<0.05). The frequency of radiation-induced apoptosis in intestinal crypt cells was also reduced by pretreatment of green tea (p<0.05). The radioprotective effect on jejunal crypts and apoptosis in the DDC treated group appeared similar to those in the green tea treated groups. Treatment with DDC showed no significant modifying effects on the formation of endogenous spleen colony. These results indicated that green tea might be a useful radioprotector, especially since it is a relatively nontoxic natural product. Further studies are needed to characterize better the promotion nature of green tea and its components.

수자궁질증의 산전 태아 초음파 소견 1 예

김사진(Sa Jin Kim),김수평(Soo Pyung Kim),김민정(Min Joung Kim),이상호(Sang Ho Lee),이희중(Hee Joong Lee),문희봉(Hee Bong Moon),이지현(Jee Hyun Lee),박철훈(Chul Hun Park),이귀세라(Gui Se Ra Lee),신종철(Joung Chul Shin) 대한산부인과학회 2002 Obstetrics & Gynecology Science Vol.45 No.3

Cloacal anomalies are very rare congenital malformations with the incidence of 1/50,000-250,000 births. Hydrocolpos involves the dilatation of the vagina due to obstruction of the genital tract, leading to accumulation of secretions. Because of wide spectrum of abnormal anatomy involving urogenital and gastrointestinal systems, prenatal diagnosis is difficult. As ultrasound becomes more and more reliable, prenatal diagnosis is possible as early as in the second trimester. The presence of prenatally detected hydro (metro) colpos warrants a systematic evaluation of fetal and neonatal anatomy to rule out a large variety of possibly associated malformations or syndromes. We present a case of urogenital sinus maldevelopment which was initially presented as a fetal ascites.

한국인 기호 차류의 방사선 장해 경감효과 평가

김세라,이해준,오헌,이진희,김휴경,김태환,조성기,김성호,Kim, Se-Ra,Lee, Hae-June,Oh, Heon,Lee, Jin-Hee,Kim, Hu-Kyung,Kim, Tae-Hwan,Jo, Sung-Kee,Kim, Sung-Ho 대한수의학회 2002 大韓獸醫學會誌 Vol.42 No.4

We performed this study to determine the effect of Korean favorite teas (green tea, ginseng tea, coffee and barley tea) on jejunal crypt survival, endogenous spleen colony formation and apoptosis in jejunal crypt cells of mice irradiated with high and low dose of ${\gamma}$-radiation. Jejunal crypts were protected by pretreatment of green tea (P.O.: 1.25% water extract, for 7 days before irradiation., I.P.: 50 mg/kg of body weight, at 12 and 36 hours before irradiation, p<0.01) or ginseng (I.P.: 50 mg/kg of body weight, at 12 and 36 hours before irradiation, p<0.05). Green tea (p<0.05) or ginseng (p<0.05) administration before irradiation (I.P. at 12 and 36 hours before irradiation) resulted in an increase of t formation of endogenous spleen colony. The frequency of radiation-induced apoptosis was also reduced by pretreatment of green tea (P.O.: p<0.005, I.P.: p<0.05), pretreatment of ginseng (P.O.: p<0.005, I.P.: p<0.005) or posttreatment of ginseng (I.P.: 50 mg/kg of body weight, at 30 minutes after irradiation, p<0.05). Treatment with coffee or barley tea showed no significant modifying effects on the radiation-induced damages. These results indicated that green tea and ginseng might be a useful radioprotector, especially since it is a relatively nontoxic natural product. Further studies are needed to characterize better the promotion nature of green tea, ginseng and its components.

학업수행 자기효능감 증진 프로그램의 개발 및 타당화

김세라(Se Ra Kim),김진아(Jin A Kim),박병기(Byung Gee Bak) 한국교육심리학회 2007 敎育心理硏究 Vol.21 No.3

새로운 인상용 코핑을 이용한 임플란트 인상법의 정확성에 대한 3차원적 비교 연구

김세라(Se-Ra Kim),김인수(In-Soo Kim),박성재(Sung-Jae Park),이병옥(Byung-Ok Lee),고석민(Sok-Min Ko) 대한턱관절교합학회 2010 구강회복응용과학지 Vol.26 No.3

전치 태반의 임상적 고찰

김수평(Soo Pyung Kim),이초희(Cho Hi Lee),김사진(Sa Jin Kim),허수영(Soo Young Hur),이귀세라(Gui Se Ra Lee),이지현(Jee Hyun Lee),권인(In Kweon),송승규(Seung Kyu Song) 대한산부인과학회 1999 Obstetrics & Gynecology Science Vol.42 No.3

N/A Objective: A Clinical Study of Placenta P#revia done by cesarean section and the study of preterm delivery that is major cause of premature motality even thought expected managment of placente previa. Methods: This study was evaluated for the clinical analysis on the 641 patients with placenta previa among total deliveries of 56,120 cases at the St. Mary and Holy Family hospital of Catholic University from Jan. 1,1989 to Dec.31,1997. Results: The following results were obtained: 1. The total incidence of placenta previa was 1.14%. 2. The incidence of placenta previa increases with age. 3. Placenta previa has occurred more often in multipara(60.2%) than primipara(39.8%), and placenta previa has occurred more often in women who had experienced abortion(71.8%) than women who hadnt(28.2%). 4. The types of placenta previa distributed 326 cases of totalis(50.9%), 110 cases of partialis(17.2%), 99 cases of marginal(15.4%) and 106 cases of low lying placenta(16.4%). 5. The fetal presentation distributed 557 cases of vertex(86.9%), 49 cases of breech(7.6%), 28 cases of transverse lie(4.4%). 6. The types of uterine incision included 543 cases of low sepnent transverse incision(84.7%), 46 cases of classical incision(7.2%), 9 cases of inverted T incision and 43 cases of cesarean hysterectomy(6.7%). 7. Premature delivery of placenta previa prior to completion of 37 weeks was 186 cases(29.0%) and low birth infant less than 2,500gm was 128 cases(20.0%).and perinatal mortality rate was 28.0 per 1,000. 8. During delivery, 278 cases of placenta previa(43.4%) were transfused with mean 3.6 pints. Incidence of vaginal bleeding was 49.3% of placenta previa,mean admission day until delivery was about 5 day. Conclusion: there is a strong association between advancing age and incidence of placenta previa, and then. the risk increases with parity & the number of abortion. Considering the mean volume of blood loss more than 3 pints of blood should be prepared befor delivery.