위절제술 환자의 표준진료지침 개발 및 적용 효과

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.

1998-1999년 절기에 부산지역에서 유행한 인플루엔자 바이러스의 분리

정영기,정명주,이주연,안정배,김지희,김만수,조경순 동의대학교 기초과학연구소 2000 基礎科學硏究論文集 Vol.10 No.1

Investigate the epidemics for influenza outbreaks. The outbreak pattern of the internal and external patients housed in the 10 designated hospitals was monitered to investigated and the characteristics of the virus isolates are as follows. 232 strains of influenza virus was isolated from the oral specimen of 1,320 respiratory disease patients in Pusan from Oct. 1998 to Jun. 1999. Among these isolates, 222 strains were A-type and the rest were B-type. The outbreak pattern for sex-and age-group is as follows. The male outbreak was similar to the female outbreak: male outbreak, 47.4% and female outbreak, 52.5%. Most of the patients were less than 10 years old. The monthly influenza outbreak was consistent from Dec. 1998 to Apr. 1999. and The 113 strains from the A-type isolates were A/Sydney/05/97(H3N2)-like, the 109 strains were A/Beijing/262/95(H1N1)-like, and all of the 10 B-type isolates were B/Harbin/07/94-like.

수도권 지역 대학병원과 재활병원의 인턴물리치료사간 인턴 만족도 비교

강순희,전수진,정민현,정은송,이범승,최용진 韓國交通大學校 2013 한국교통대학교 논문집 Vol.48 No.-

The purpose of this study was to compare internship satisfaction of intern physical therapists working in the university hospitals with that of them working in the rehabilitation hospitals in Seoul metropolitan area. The questionnaire for internship satisfaction survey that amended from vocational interest test [Strong Interest Inventory(SII)] was used to examine satisfaction of intern physical therapists and the questionnaire was used to ask general characteristics, educational and work environment. Thirty nine intern physical therapists working in university hospital and fifty nine intern physical therapists rehabilitation hospital in Seoul metropolitan area responded. Frequency analysis, χ² test and independent t-test were conducted to evaluate differences between groups about variables of internship satisfaction survey, general characteristics, work and educational environments with using the PASW 18.0 statistical program. The results of the study were as follows. There were significant differences of intern physical therapists between university hospitals and rehabilitation hospitals in overall scores of internship satisfaction and scores of all sub-items such as duty, supervision, working condition, work mates and wages. Intern physical therapists working in the university hospitals showed higher satisfaction than that of Intern physical therapists working in the rehabilitation hospitals.

"부유" 단감의 묘목 생산에 관한 연구

정순재,이용재,김혜진,이영병,이용문 東亞大學校附設 農業生命科學硏究所 1999 農業生命資援硏究 Vol.8 No.1

'부유' 단감의 접목시기별 묘목의 생장과 토양 깊이별 접목 후의 생장을 알고자 시험한 결과는 다음과 같다. 대목싹은 접목시기가 늦을수록 많은 경향을 나타내었다. 접목 활착율은 시기별로 보아 5월 21일까지는 차이가 없었고 5월 30일은 7%정도 약간 낮았다. 접목일수와 접목활착일의 차이는 접목시기가 늦을수록 단축되었다. 접목 일자가 빠른 4월 25일, 5월 1일 접목구의 신초장은 상지보다 하지가 5.17cm 5.33cm가 더 길었다. 그리고 그 외는 대부분 상지가 하지보다 좋은 현상을 나타내었다. 시기별 접목에 관계하지 않고 근의 직경이 큰 구가 신초 신장이 큰 효과를 나타내었다. 토양의 깊이별 묘목 생장은 25cm 구가 신초의 직경이 크고 신초장이 가장 길었다. The study was conducted to assess the growth and development of 'Fuyu' grafted nursery plant according to various grafting time and soil depth. The earlier grafting time was taken, the more shoots were got rid. The cv. 'Fuyu' was grafted on the rootstock of Kyungsan Bansi cv. After grafting, graft-take rates was not showed any difference until on may 21 however it was little bit low on may 30. The later grafting time was taken, the more graft-take days were shortened. Bottom shoot length of scion was 5.17cm longer than top's on April 25 and 5.33cm longer than top's on April 1. Top shoot length was longer than bottom shoot length most of other days. The growth and development of persimmon seeding was related to root weight. The growth and development of persimmon tree according to the soil depth showed beter results in the 25cm treatment than any other treatments.

建築見積業務에 對한 電算프로그래밍에 關한 硏究

鄭義容,李重雨,楊淳甲 啓明大學校 産業技術硏究所 1988 産業技術硏究所 論文報告集 Vol.10 No.-

The Computer Programming of Estimation for building construction has been studied with the complicated and diversified circumstance. In spite of many Korea builders attempt to practical use of a computer aid estimation, they have been faced with so many problems in its application. In this regard, this study will present a system for adequate program and estimation method, which is compatible to Korean builders. Science the programme of this computer aided system is composed of standard cost breakdown, bill of quantity, unit price and the estimated cost is to be automatically produced by feeding up the input data.

建設에 있어서 經營情報體制 導入에 關한 基礎的 硏究

鄭義容,李重雨,楊淳甲 啓明大學校 産業技術硏究所 1988 産業技術硏究所 論文報告集 Vol.10 No.-

The circumstance of construction are more complicated and more diversified so that the managers may save their money and time in their management. In this regard, this paper will present a basic theory of Total Management information System in construction.

참다래잼의 제조와 품질특성

고정삼,김지용,김용철,강순선 濟州大學校 亞熱帶農業硏究所 1999 亞熱帶農業硏究 Vol.16 No.-

초록 제주산 참다래의 화학적 분석을 통하여 가공적성을 구명하고 잼 생산을 위한 최적 제조조건을 검토하였다. 참다래의 수분 함량은 82.84%이었으며, 당함량은 12.08%로 비교적 높은 편이었다. 가용성고형물은 14.80이었고 산 함량은 1.33%이었으며, 비타민 C 함량은 27.47%/100g로 높은 편이었다. 관능평가에 의한 상품은 원료 300g에 첨가하는 당농도를 60%로 하며, 당을 100%로 하였을 경우 설탕 : 물엿 : 올리고당(60 : 30 : 10)으로 하며, 여 기에 펙틴 1%와 청주 10㎖를 첨가하는 경우 잼의 물성과 변향을 억제하기 위하여 바람직하 였다. 시제품의 관능평가 결과시판하고 있는 유산 제품보다 기호성이 높아 개발가티가 있는 것으로 판단되었으며, 열탕에서 5분간 처리한 시제품은 30℃에서 한달간 저장 중 미생물 증 식이 인식되지 않아 유통 중에 문제가 없을 것으로 보인다. Abstract Chemical analysis and optimum processing conditions of kiwiifruit jam were investigated. Soluble solids, acid content and vitamin C of kiwiifruit was 14.80, 1.33% and 27.47mg/100g, respectively. Moisture content and total sugar of fruits was 82.84% and 12.08%. In processing of kiwiifruit jam, the ratio of sucrose : maltose syrup : oligo sugar (60 : 30 : 10) was the best in addition of sugar source 60%(w/w) in total. Otherwise, the addition of 1% pectin and 10ml of rice wine were recommended for texture and masking of off-flavor. Kiwiifruit jam prepared in this experiment was better than that of commercial other products in sensory evaluation, and microbial growth of this product was not recognized for one month at 30℃ with treatment the products for 5min in boiling water.

先加力 후 補修-補强한 鐵筋콘크리트 壓縮部材의 構造特性에 관한 實驗的 硏究

신용석,최진석,김판선,조철희,손순채,김정섭 대한건축학회 2003 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.23 No.2(구조계)

This study examined the Stress and structural characteristics of reinforced concrete compressive member repair and strengthening by CFS and GFS after pre-loading. The following results were obtained. The results of compressive testing by the kind of fiber suggested that: In CFS, Specimen increased by about 26.9% and strengthening after pre-loading, by about 111.8%, compared with after strengthening, In GFS, Specimen increased by about 69.0% and repaired and models after pre-loading, by about 76.7%, compared with after strengthening. In the compressive testing, strengthen with CFS-Specimen showed a brittle fracture and strengthen with GFS-Specimen represented ductile fracture. More increasing in stress of Specimen, and repair and Strengthening specimen after pre-loading than loading specimen after strengthening suggested the strengthen effect of fiber.

일회통과 관류실험시 물의 수송 : 관류액의 종류와 삼투압의 영향 Effects of Some Perfusates and Their Osmolality

이정화,이현주,용철순,오두만 영남대학교 약품개발연구소 1995 영남대학교 약품개발연구소 연구업적집 Vol.5 No.-

The single pass perfusion experiments were performed in anesthetized rata to investigate the effects of perfusates and their osmolality on the water transport and to determine the correlation between the extent of water transport and the volume change of perfusate. Phenol red was used as a nonabsorbable marker. In normal rats, when perfused at a flow rate of 0.5 ml/min 2-(N-morpholino) ethanesulfonic acid (MES) aid Sorensen's phosphate hullers showed minimal net water transport as 0.125 and 0.173 %/cm of intestinal length, respecetively. Hypotonic perfusate of 200 mOsm㎏ of water and hypertonic perfusate of 400 mOsm/㎏ of water generated significant water transport compared with isotonic perfusate of 300 mOsn/㎏ of water. There was a linear correlation between the attent of water transport and the volume change of perfusate, suggesting that the volume change can be used as a measure of water transport.

말쥐치기름 및 들깨기름의 攝取가 高콜레스테롤 食餌 흰쥐의 血淸 및 肝臟의 脂質成分에 미치는 影響

鄭承鏞,朴畢淑,徐孟姬,姜晋順,禹靜淑 慶尙大學校 1985 論文集 Vol.24 No.1

Hypercholesterolemic male rats of Sprague Dawley, divided into six groups, were fed for 3 weeks with the diets containing several different oils of 10,0, the mixtures of 5% perilla oil and 5% other oils. The concentration of the lipid peroxide, T-cholesterol, phospholipid and triglyceride in the serum and liver were measured along with the HDL-cholesterol concentration of the serum. The results were as follows: 1. The concentration of LPO in the serum of the rats fed with lO% perilla oil, with 5% perilla oil+5% lard and with 5% perilla oil+5% file fish oil was higher than those with any other oils. The concentration of that was significantaly high in the liver of the rats fed with 10% perilia oil, while it was considerably low with 10% olive oil. 2. The concentration of T-cholesterol in the serum of the rats fed with 10% perilla oil, with 10% file fish oil and with 5% perilla oil+5% file fish oil was lower than those with any other oils. 3. The concentration of HDL-cholesterol was low in the serum of the rats fed with 10% perilla oil, while it was high with 5% perilla oil+5% file fish oil and with 10% file fish oil. The concen tration of that for the T-cholesterol in the serum of the rats fed with 10% file fish oil and with 5% perilla oil+5% file fish oil was much higher than those with any other oils. 4. The concentration of T-cholesterol in the liver of the rats fed with 10% perilla oil was high, while it was low with 10f file fish oil and with any other oils. 5. The concentration of PL and TG in the serum of the rats fed with 10% perilla oil and with 10% file fish oil was lower than those with any other oils, but it was lower in the liver of the rats fed with 10% perilla oil than the mixtures of perilla oil and with 10% file fish oil.