‘병동 중심의 처치수가 산정지침 개발’ 등을 통한 간호업무 표준화 및 그 효과

한혜정,설미진,김영주,박소영,박아리스,문한경,이현영 한국의료QA학회 2009 한국의료질향상학회지 Vol.15 No.1

문제: 병동 처치수가 산정 부정확 및 누락으로 인한 부적절한 재고관리로 진료차질, 불필요한 업무발생 및 수익이 감소한다. 목적: 병동 처치수가 산정 정확화를 위한 업무 표준화 도구 및 시스템을 개발하여 적정 재고관리를 통한 수익증대 및 직무만족도를 향상시킨다. 의료기관: 서울시 종로구에 소재한 대학병원 질 향상 활동: 병동중심의 처치 산정지침 개발 및 수가물품의 적정재고 관리방안을 모색하였다. 개선효과: 병동중심의 처치수가 산정 지침서를 제작하여 업무표준화를 기하였음. 응급청구 품목 및 수량이 ’07년 대비 71%감소하고 타 병동 차용품목이 활동 전에 비해 61% 감소, 수량은 77% 감소함. 응급청구 총소요시간이 활동 전에 비해 ’07년 대비 77% 감소하고 타 병동 차용 총 소요시간이 61% 감소함. 전년 동기간 대비 수익이 4% 증가하였으며 또한 54병동과 보험 심사팀에서 직원들의 직무만족도가 향상되었다.

노인의 팔 굽힘/폄 저항 운동 시 하중 증가에 따른 근육의 활성도 및 기여도 분석

김현동(Hyun Dong Kim),황성재(Sungjae Hwang),손종상(Jongsang Son),김한성(Han Sung Kim),김영호(Young Ho Kim) 대한인간공학회 2009 大韓人間工學會誌 Vol.28 No.4

The purpose of this study was to assess activation and contribution of muscles of the elderly according to increased loading during the arm flexion extension resistance exercise. Surface electromyographic signals were acquired from biceps brachii, triceps brachii, deltoid posterior, pectoralis major and latissimmus dorsi to determine the difference of the activation of specific muscles between the elderly and young. Five elderly and five young males with no musculoskeletal disease volunteered for the study. Electromyographic activities in the muscles were measured during resistance exercise and normalized to the maximum EMG activity recorded in the maximal voluntary static contraction (MVC). Against the increased loading during arm flexion/extension resistance exercises, the young uses muscles evenly but the elderly uses one specific muscle frequently. Contribution of triceps brachii during extension and deltoid posterior during flexion was principal in the elderly.

『서울 1964년 겨울』에 나타나는 동시적 구성 방식 연구

한영현(Han Young-Hyun) 돈암어문학회 2005 돈암어문학 Vol.- No.18

The purpose of this study is to understand the meaning of “Seoul, 1964 winter” by Kim Seung-Ok using the analysis tool of concurrent composition method.<br/> This work shows the isolation and communication gap between people through arranging concurrent scenes.<br/> First of all, the conversation between I and Mr. Ahn shows that they are isolated from each other and depressed as well. Secondly, the guy's narrative and the ruptured behaviors of I and Mr.Ahn reveal isolated relations and fragmented bond of each other. Lastly, the concurrent composition of individual and space plays a crucial role in reflecting the desolate emotion of individual in the 1960's by showing a sense of alienation and a dreary sight. These three kinds of concurrent composition method contribute to indicate and the vague fear for future and the fragmented life of people living in modernizing korean society. Kim Seung-Ok has captured this theme of work through his original sensitive insight about 1960's. the concurrent composition method catches a glimpse of the theme of work in terms of plot.

用寒遠寒과 用熱遠熱에 대한 考察 : 六元正紀大論에서

채영진,신창환,임현택,여성원,한성규,이재원,정헌영,금경수 한국전통의학연구소 2003 한국전통의학지 Vol.13 No.1

Five elements motion and six kinds of natural factors influence not only human disease but also difference of medicine effect. Because the climate of summer is very hot, that is easy to increase the properties of hot medicines, a doctor must be careful to use it in summer. Also the climate of winter is very cold, that is easy to increase the properties of cold medicines, a doctor must be careful to use it in winter. But in the certain conditions to use diaphoretics or purgatives, in spite of that regulation a doctor can use them.

漢江下流部 水害輕減을 爲한 調査 硏究

金漢星,高在雄,李相鎔,玄義泰,柳興根 건국대학교 1974 學術誌 Vol.17 No.1

The effect of reducing flood magnitudes, flood stages, and flood damage by upstream reservoir regulation are investigated in this study. The analytical procedures which has been established newly, are treated through this study for 7 index stations and same numbr of reaches. The method of this study could be expressed briefly as following procedures. Using stage-frequency relations and the potential damage survey data, damage-frequency relations are established, and from this, average annual flood damages computed. By holding out portions of the floods with various amounts of flood control storage in 6 reservoirs in the basin, routing were made to establish modified stage-frequency relations. From damage frequency relation, average annual damages are computed with and without condition of each control volume. The study result are concluded as follows; (1) The relationtship of corresponding water level between nearby stations are useful tools to adjust error of the data due to observation error and change of the gaging location. (2) The number of records about 10 years could not be applied for the statistical methods of flood frequency analysis. (3) The regional skew factors are recommended to apply flood frequency study by the log-Pearson Type III method. (4) The effect of damage reductions are greatly affectedin accordance with the routed flood. Therefore application of the Typical Tributary Contribution Flood are reasonable for this type of study. (5) In the North Han, effect of damage reduction due to the lacation of control point are gradually increased from upstream to downward until the confluence of North and South Han. (6) In the South Han, control effect are increased from Chungju to Yeoju where the maximum effect are analyzed and then decrease gradually until the confluence. (7) Better hydrologic and topographic combinations for the flood control are existed in South Han to compare with North Han in this study results.

일 대학병원에 입원한 노년기 양극성 장애 환자의 인구학적 및 임상적 특징

조숙현(Sook Hyun Cho),정한용(Han Yong Jung),권영준(Young Jun Kwon),이소영(So Young Lee),김양래(Yang Rae Kim),김윤정(Yun Jung Kim) 대한노인정신의학회 2006 노인정신의학 Vol.10 No.2

Objectives : As the elderly population is continuing to increase, psychiatric diseases of the elderly are becoming an important social issue. This study looks into the demographical and clinical features of the elderly patients diagnosed with bipolar disorder in a University hospital. Methods : The study subjects include patients admissioned in the closed wards of Soonchunhyang Seoul hospital and Cheonan hospital from March, 2000 to February, 2005 who met the DSM-IV-TR criteria for bipolar disorder at the time of discharge. A total of 146 patients (76 men, 70 women) medical records were studied retrospectively. Subjects older than the age of 50 at time of admission were grouped as the old age group, whereas those who were younger than 50 as the young age group. Also among the old age group, those who had the first onset of episode under the age of 50 were grouped as the early onset group, whereas those who had the first onset after the age 50 were grouped as the late onset group. Results : The number of bipolar disorder patients in the young age group and old age group were 73 and 73 respectively. The number of early onset group and late onset group were 46 and 23 respectively. The old age group had a relatively higher incidence of bipolar II disorder than the young age group. Also in the old age group there was a higher incidence of hypomanic or depressive episode rather than manic episode compared to the young age group. And in the old age group psychotic symptoms were less common and the mean admission length shorter than the young age group. Additionally in the old age group treatment with Lithium monotherapy or with no mood stabilizers at all were relatively common. Among the old age group, late onset group had a higher rate of bipolar II disorder than the early onset group. Conclusion : This study shows differences in the demographical and clinical features among different age groups. But additional research would be required to determine whether the bipolar disorders in the elderly or late onset group are actually a different type of disorder from those of the young.

야뇨증 환아들의 심리사회적 특성에 대한 다기관 연구 : 행동 및 정서 문제를 중심으로

조수철,김재원,신민섭,황준원,한상원,박관현,이상돈,김경도,김건석,서홍진,이유식,정재용,김영균,문두건,남궁미경,한창희,조원열,김영식,배기수,이종국,정우영,신의진 大韓神經精神醫學會 2005 신경정신의학 Vol.44 No.6

Objectives : The aim of this study was to examine the behavioral and emotional problems associated with nocturnal enuresis in Korean children. Methods : Three hundred eighteen children with nocturnal enuresis, together with their parents, completed the Child Behavior Checklist (CBCL), Disruptive Behavior Disorder Scale according to DSM-IV (DBDS), Children's Depression Inventory (CDI), State-Trait Anxiety Inventory for Children (STAIC), and Piers-Harris Children's Self-Concept Scale (PHCSC). Ninety-three normal students were selected as the control group. Results : Compared to the normal control group, the mean scores with regard to the withdrawn, social problems, attention problems, delinquent behavior, aggressive behavior, externalizing problems and total problems profiles were significantly higher in the nocturnal enuresis group according to the CBCL results. The nocturnal enuresis group also scored significantly higher in the ADHD and ODD profiles of the DBDS. The nocturnal enuresis group was more depressed and anxious than the control group according to the results of the CDI and STAI. The mean score of the PHCSC was significantly lower in the nocturnal enuresis group when compared to the normal control group. Conclusion : The results of this study suggest that children with nocturnal enuresis in Korea have clinically relevant behavioral and emotional problems. The findings support the link between nocturnal enuresis and psychopathology in Korean children.

아동기에 주의력결핍 과잉행동증상을 경험한 성인의 정신병리와 기질 성격 요인

송열매(Yul-Mai Song),이건석(Kounseok Lee),한덕현(Doug Hyun Han),이영식(Young Sik Lee),민경준(Kyung Joon Min),박진영(Jin Young Park),김준원(Jun Won Kim) 대한소아청소년정신의학회 2013 소아청소년정신의학 Vol.24 No.4

Objectives:The objective of this study is to find out the differences in psychopathology, temperament, and character factors between young adults with and without childhood attention-deficit hyperactivity disorder (ADHD) symptoms. Methods:The subjects consisted of 314 university students (male=72, female=242) in Gongju. They were divided into childhood ADHD group (N=54) and normal group (N=260) to the Wender-Utah Rating Scale. Participants were assessed using Korean Adult ADHD Scale, Beck Depression Inventory-II, Beck Anxiety Inventory, Kimberly Young’s Internet Addiction Test, Barratt Impulsiveness Scale, Paranoia Scale, Korean-Schizotypal Ambivalence Scale, Lubben Social Network Scale, and Temperament and Character Inventory-Revised. Descriptive statistics, t-test, chi-square, spearman correlation, and stepwise multiple regression were applied to analyze the data. Results:Participants with childhood ADHD symptoms had high level of adult ADHD symptoms (p<.001), impulsiveness(p=.001), depression (p<.001), anxiety (p<.001), internet addiction (p<.001), paranoia tendency (p<.001) and low level of selfesteem (p<.001) compared to normal group. Self-directedness (p<.001) was lower, Harm avoidance (p=.001) and Self-transcendence (p=.029) were higher in the childhood ADHD group. In correlation and stepwise multiple regression, childhood ADHD symptoms were significantly associated with cooperativeness (r=-0.515 and β=-0.547, p<.001 respectively). Conclusion:This result showed that young adults with childhood ADHD symptoms had various forms of psychopathology and childhood ADHD symptoms were influenced by character such as cooperativeness. Therefore, more thorough evaluation regarding childhood ADHD symptoms is needed.

부재료 첨가에 따른 오이지의 펙틴질 변화에 관한 연구

한정희,심영현 서울여자대학교 자연과학연구소 1997 자연과학연구논문집 Vol.9 No.-

부재료 첨가에 따른 오이지의 제조에서 pH, Texture(Blossom end, Middle, Stem end), 펙틴 조성의 변화(AIS, HWSP, HXSP, HCISP), hardness와 펙틴질 사이의 상관관계에 대해서 다음과 같은 결론을 얻었다. 1. 담금액의 pH 대조군과 부재료 첨가군의 pH 변화를 보면 모든 실험군에서 빠른 감소를 보이는데 E처리구는 다른 부재료 첨가군보다 빠른 숙성 7일째에 pH 3.5에 도달하고, 그 수준을 35일까지 유지하여 오이지의 적정 pH인 3.7을 오래 유지하므로써 적당한 산미를 계속 유지하였고, 대조군과 다른 부채료 첨가군에서는 숙성 14일째에 pH 3.5~pH 3.9에 도달하나 숙성 21일째에 다시 빠른 증가를 나타냈다. 2. 조직감 특성 Blossom end 부위에서는 백두웅이 증가하면 산초 5g 경우 시료 C, D에서 최고 hardness를 나타내는 저장기간이 길어지고, 산초 10g첨가군인 E, F, G에서는 백두웅 양 중가시 최고의 hardness를 나타내는 기간이 짧아졌다. Middle에서도 산초 5g첨가군에서는 B, C, 및 F처리군은 숙성 14일째, 시료 A, G에서는 7일째 높은 hardness를 나타냈고, 산초 10g을 첨가한 경우는 D, F처리군에서 최고의 hardness를 나타내어 산초 10g을 첨가할 경우 백두웅 양 증가시 최고 hardness에 이르는 기간이 짧아지는 경향을 나타냈다. Stem end 부위는 시료 A, B, C, F, G에서는 숙성 7일째, 시료 D처리군에서는 14일째, 시료 E처리군에서는 숙성 28일째 가장 높은 hardness를 나타냈다. 결과적으로 산초양이 적은경우(5g) 백두웅 양이 많아야(30g) 저장기간이 연장되며, 오히려 산초양이 많은 경우(10g)는 백두웅 양이 중가할 필요가 없고 어느재료를 얼마나 첨가할 것인지는 개인의 기호에 맞춰야 될것이며, 이는 앞으로 관능평가등의 방법을 통해 연구해 보는 것이 좋을 것이라 생각된다. 현재 결과로는 부재료 첨가시 (시료 C, D) 대조군보다 저장기간 중 완만한 hardness 변화를 나타내므로 저장성 연장에 효과가 있다고 본다. 3. 펙틱조성의 변화 3.1 AIS 함량의 변화 AIS는 숙성기간이 경과하면서 함량이 약간씩 감소함을 나타냈다. 산초 5g첨가군인 경우 백두웅 30g 첨가시 AIS 함량이 완만하게 감소했고, 산초 10g첨가군인 경우 백두웅 20g 첨가시 AIS 함량이 완만하게 감소했다. 3.2 HWSP함량의 변화 HWSP함량은 가용성 팩틴질의 함량을 보는 것으로 숙성됨에 따라 오이지가 연화되면서 그 함량이 증가한다. 산초 5g을 첨가한 경우는 백두웅 양이 증가함에 따라 HWSP 함량이 증가했고, 산초 10g첨가 군에서는 백두웅의 양이 증가하면 HWSP 함량이 E처리군이 F, G처리군보다 낮은 HWSP 함량을 나타냈다. 3.3 HXSP함량의 변화 대조군과 비교시 산초 5g첨가군에서는 백두웅 20g 첨가(시료 C)시 숙성 21일째까지도 높은 HXSP 함량을 보이며, 산초 10g첨가군에서는 백두웅 30g첨가군(시료 G)인 경우에는 28일째까지 높은 HXSP 함량을 나타냈다. 3.4 HCISP함량의 변화 HCISP는 대조군을 비롯하여 모든 부재료 첨가군에서 숙성기간에 따라 감소하였고, 산초 5g첨가군인 경우 백두웅 20g첨가군(시료 C)과 산초 10g첨가군인 경우 백두웅 10g첨가군이(시료 E) 완만히 감소하여 천천히 숙성되는 것으로 저장기간이 연장된다고 생각된다. 4. Hardness와 펙틴질 사이의 상관관계 팩틴물질의 함량과 조직감 측정과의 상관관계로 HCISP의 함량이 증가하면 hardness도 같이 증가하는가를 알아 보았다. 결과적으로 부재료 첨가군에서 대조군 보다 높은 유의성(p<0.001)의 양의 상관관계를 보여 hardness가 단단하면 HCISP 의 함량도 증가한다는 것을 나타냈다. This study was intended to observe the changes of pH, hardness, and pectic substances(AIS, HWSP, HXSP, HCISP) of Korean pickled cucumbers added Sancho and Backdooung to during fermentation for 6 weeks at 25℃. Changes of pH was decreased and later increased. Korean pickled cucumbers added Sancho 10g and Backdooung 10g maintained a sour taste for a long time. Control and minor ingredient treatments were reached pH 3.5~3.9 at 14th day of fermentation, but 21st day of fermentation fast increased. In blossom end, amount of Backdooung was increased ans Sancho 5g(C, D) showed hardness of maximum and period of storing became longer. Sancho 10g(E, F, G) showed hardness of maximum and period of storing shortens. In Middle, Sancho 5g(B, C) showed hardness of maximum at 14th day of fermentation, and Sancho 10g(D, E) showed hardness of maximum at 27th day of fermentation. A and D showed hardness of maximum at 7th day of fermentation. Minor ingredient treatments was longer than control in period of string. when Korean pickled cucumbers added Backdooung 10g to was reciprocal action to Sancho that was high significantly(p<0.001). Content of alcohol insoluble pectin(AIS), sodium hexametaphosphate soluble pectin(HXSP), and HCl soluble pectin(HCISP)were decreased, whereas content of hot water soluble pectin(HWSP) was increased during fermentation. In case of content of AIS, when Sancho 5g added, Backdooung 30G(C) was decreased gradully, and when Sancho 10g added, Backdooung 20g(F) was decreased gradually. Content of HWSP was increased when Sancho 5g added, as amount of Backdooung was increased. Control and Minor ingredient treatments were decreased during fermentation. this was the same as correlation between hardness and pectin substances.

Expansion Analysis of Subsea Pipe-In-Pipe Due to High Temperature and High Pressure Product

HAN­SUK CHOI(최한석),HYUN-MO SON(손현모),SI-YOUNG KIM(김시영) 한국해양공학회 2002 韓國海洋工學會誌 Vol.16 No.5

본 논문은 고온 고압의 유류 수송용 이중배관의 팽창에 대한 해석적 방법에 대한 결과고찰과 해석, 그리고 설계시 응용이 가능한 현상에 대해 논하였다. 고온의 유류수송시 온도를 유지할 목적으로 내부의 수송 배관과 외부의 케이싱 배관사이에 절연체가 쓰여진다. 이런 이중배관의 팽창을 조사할 수 있는 간단한 해석적 방법이 개발되었다. 본 논문에서는 온도의 분포, 압력, 토질의 저항, 수송배관과 케이싱배관과의 상호작용 등이 고려되어졌으며, 이 해석적 방법은 심해의 이중배관 해석에 적합하게 개발되었다. 계산의 결과 분석에서 고온의 영향이 고압보다 현저한 것이 밝혀졌다.