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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.
윤혜정,서규태,이택순 7개 국립대학교 환경연구논문집 공동발행 위원회 2005 공업기술연구 Vol.5 No.-
The corrosion rate of copper pipe used in distribution system was studied in presence of chloride, sulfate and fluoride ions, respectively. It was compared with test results using mixtures of sulfate and chloride at concentrations similar to those of tap water in Gyeongnam area. The corrosion rate of copper pipe was higher in the presence of sulfate than chloride showing two fold higher rate. In contrast copper concentration in synthetic water containing chloride was rather higher than in the presence sulfate. Fluoride was generally considered less aggressive toward corrosion of pipes, but corrosion rate and the concentration of copper were relatively large values. During potentiostatic anodic polarisation a relatively large current was producted in the chloride containing solutions.
O_3/활성탄에 의한 고도정수처리에 미치는 기존처리공정의 영향에 관한 연구
김현정,서규태,문병현,이택순 7개 국립대학교 환경연구 논문집 공동발행 위원회 2001 환경연구논문집 Vol.1 No.1
The effect of conventional process, such as coagulation, sedimentation and rapid sand filtration, on O_3/GAC was evaluated for stable operation of the advanced treatment process. Five years long term water quality data was analyzed for a water treatment plant adopting O_3/GAC. Treatment efficiency of unit process in the plant was also monitored for 7 months(from 2000. 11 to 2001. 5) to investigate the pre-treatment effect on the operation of the process. Despite significant seasonal variation of raw water quality, treated water of the plant was good enough to meet drinking water quality standard. However effluent turbidity (1NTU) of sand filter was relatively high compared to the guideline that turbidity of filtered water should be lower than 0.3NTU for the effluent turbidity, 2NTU, of sedimentation tank. It was observed that effluent organic compound of sand filter gave an adverse effect on the running time of GAC filter. This phenomenon could be deduced from the correlation of the effluent water quality of sand filter and GAC in terms of TOC and UV-254. Therefore more sophisticated operation, such as adopting enhanced coagulation, should be given to the conventional process for stable and extended operation of GAC filter to produce safer drinking water even at deteriorated raw water quality.
다발성 간종괴의 형태로 나타난 특발성 과호산구 증후군 치험1예
최승오,연규민,이승민,김순제,왕준호,박형석,이재동,진춘조,이창훈,신현준,김정은 건국대학교 의과학연구소 2004 건국의과학학술지 Vol.14 No.-
Hypereosinophilic syndrome is characterized by persistent blood eosinophilia of 1,500/ul or more in the absence of known causes and multiorgan dysfunction by eosinophil-related tissue damage. In Korea, some cases of hypereosinophilic syndrome with hepatic involvement have been described with prolonged benign clinical courses. Most of them were diffuse or multifocal lesions in imaging studies, and a few case presenting as a single mass has been described. Here we report a case of hypereosinophilic syndrome with hepatic involvement in a 65-year-old man who presented with multifocal mass lesions. By abdominal US and CT scan, multiple, ill-defined nodules were detected in throughout the liver. Liver biopsy revealed severe eosinophilic hepatitis, suggestive of hypereosinophilic syndrome. Hepatic mass lesions improved after steroid administration for several weeks.
Jeong Soon Lee,Moon Gyu Kim,Chol Lee,Min Sil Yang,Jeong Hyun Park,Jong Seo Park 大韓遠隔探査學會 2005 大韓遠隔探査學會誌 Vol.21 No.5
We present a processing system for the Atmospheric Infrared Sounder (AIRS) sounding suite onboard Aqua satellite. With its unprecedented 2378 channels in IR bands, AIRS aims at achieving the sounding accuracy of radiosonde (1 K in 1-km layer for temperature and 10% in 2-km layer for humidity). The core of the processor is the International MODIS/AIRS Processing Package (IMAPP) that performs the geometric and radiometric correction for generation of Level 1 brightness temperature and Level 2 geophysical parameters retrieval. The processor can produce automatically from received raw data to Level 2 geophysical parameters. As we process the direct-broadcast data almost for the first time among the AIRS direct-broadcast community, a special attention is paid to understand and verify the Level 2 products. This processor includes sub-systems, that is, the near real time validation system which made the comparison results with in-situ measurement data, and standard digital information system which carry out the data format conversion into GRIdded Binary II (GRIB II) standard format to promote active data communication between meteorological societies. This processing system is planned to encourage the application of geophysical parameters observed by AIRS to research the aqua cycle in the Korean peninsula.
Conversion to Aromatic Hydrocarbons Over Nano- and Micro-Sized Particle La/Zn/HZSM-5 Catalysts.
Kim, Han-Gyu,Yang, Yoon-Cheol,Jeong, Kwang-Eun,Kim, Tae-Wan,Chae, Ho-Jeong,Jeong, Soon-Yong,Kim, Chul-Ung,Lee, Kwan-Young American Scientific Publishers 2015 Journal of Nanoscience and Nanotechnology Vol.15 No.1
<P>The effect of the template of HZSM-5 and its synthesis method on the catalytic conversions of ethanol to aromatic hydrocarbons has been investigated over a 0.8%Zn/0.6%La/HZSM-5 (Si/Al2 = 50) catalyst in a fixed-bed flow reactor under operating conditions of T = 710 K, P = 1 bar, and WHSV = 0.8 hr(-1). Nano- and micro-size HZSM-5 were prepared by hydrothermal and microwave synthesis with different templates: TPAOH, TPABr, and HMDA. Zinc and lanthanum modified HZSM-5 catalysts were prepared by a simple co-impregnation method. It was found that the size of the particles and the crystal structure of HZSM-5 were influenced by the template type and synthesis method. When using the TPAOH template, the nano-sized particles were prepared by microwave synthesis, whereas HZSM-5 prepared from TPABr and HMDA by a hydrothermal method, were composed of cubic shaped nanocrystals inside a micro-sized particle. The effect of the template on the selectivity to aromatics over a La/Zn/HZSM-5 catalyst was shown as follows: HMDA > TPABr > TPAOH.</P>