日本保健系의 專門大學의 敎育制度

김성기 서울保健大學 1982 論文集 Vol.2 No.1

春城郡 地域社會 保健事業의 向後展開方向에 關한 �p샵 報告書

서울大學校 保健大學院 春城郡 地域社會 保健事業 執行委員會 서울大學校保健大學院 1981 보건학논집 Vol.18 No.1

보건소 질병통계 산출을 위한 질병정보체계에 관한 연구

신종연 서울保健大學 1990 論文集 Vol.10 No.1

아동전문병원을 위한 전용서체에 관한 연구

김현철,김용우,최영규 서울보건대학 1997 서울보건대학 부설 병원경영연구소 논문집 Vol.3 No.1

The direction of the typeface of children's hospital helping the development of hospital's image and the propagation of patient's emotion, having good feeling of hospital is as follow; (1) In a children's hospital, there is almost no case having perpendicular writing or mixing Korean and chinese character. A combination letter type is the letter having both varity and uniformity in terms of moulding. The typeface having combination type is proper as the combination letter type is building in the cost with 1/8 degree compared to the complete letter type. (2) When considering typeface for a children's hospital, the simple letter type has good impression which is more distinguishable compared to Ming type. (3) The association of letters and such objects as animals, flowers, insects, birds and so on in the familiar style for children makes the image of hospital distinguishable. Even this case, the simple style make distinguishable and help good feeling for children compared to the detailed description. (4) Children like solid color and can make the distinction of color more distinguishable than light and darkness.

콘택트렌즈 착용자에서 각막곡률과 TBUT의 변화

마기중,이군자 서울보건대학 1999 서울보건대학 부설 한국보건과학연구소 논문집 Vol.5 No.1

RGP 및 Soft 콘택트렌즈 착용자 28명을 대상으로 콘택트렌즈 착용 후 1년 동안 각막곡률과 굴절이상도 및 눈물의 변화도를 알아보았다. 각막곡률과 굴절이상도에 대한 데이터분석은 디옵터굴절력을 디옵터굴절력매트릭스로 변환시키고 단변량 및 다변량 통계분석을 하고 3차원 h벡터 공간에 신뢰영역을 도시하였다. 각막곡률의 평균변화도는 RGP 착용군에서 주로 h_(3) 성분이 플랫하게 변화되며 1년후에는 수평성분도 플랫하게 변화되었고, Soft 착용군에서는 착용초기 플랫하게 변하다가 1년후에는 약간 스티프해지는 변화를 보였으나, 착용전후 각막곡률의 평균에 대한 3변량 가설검증 결과 두 그룹 모두 착용전과 비교하여 차이가 없는 것으로 나타났다(w<F_(0.05. 3. n-3)). 굴절이상도의 평균변화도는 RGP착용군에서 h_(1) 및 h_(3) 성분이 착용전과 비교하여 감소한 것으로 나타났으나 (p<0.05), Soft 착용군에서는 유의한 차이가 없었으며, 3변량 가설검증 결과 두 그룹 모두 착용전과 비교하여 차이가 없는 것으로 나타났다(w<F_(0.05. 3. n-3)). 각막곡률의 변화와 굴절이상도의 변화는 RGP 착용군에서 h_(2) 성분만 낮은 상관관계를 보였다(p<0.05). 비침입성 눈물막 파괴시간은 침입성 눈물막 파괴시간보다 평균값에서 길게 측정 되었으나 통계학적으로 유의한 차이는 나타나지 않았다. 눈물막 파괴시간을 측정하는 TBUT 방법과 NIBUT 방법은 서로 상관관계가 없는 것으로 나타났다. 콘택트렌즈 l년 착용군의 TBUT 검사에 의한 눈물막 파괴시간은 대조군에 비하여 감소하였으며 통계학적으로도 유의한 차이가 나타났다 (p<0.05). 따라서 RGP 렌즈를 장기간 착용하게 되면 각막굴절력 및 각막난시도의 감소와 굴절이상도의 구면성분 및 원주성분이 감소될 것이며, 콘택트렌즈 착용에 의하여 눈물이 불안정해진다고 생각된다. 28 patients wearing RGP and soft contact lenses were studied for one year. Data analysis of variation in corneal curvature and refractive error was carried out using matrix representations of conventional dioptric power. Confidence regions for mean dioptric power were represented by principal axes in a 3 - D space called h - space. Variations in the corneal curvature of RGP Group did show a significant decrease (h_(3) component). but those of Soft Group showed irregular change of intial flattening and minor steepening during experimental period. Variations in refractive error were significant decrease in both h1 component and h₃component of RGP Group. However, no significant changes were found in either corneal curvature and refractive error by the multi-variate statistics. NIBUT values were slightly higher than the TBUT values in average. but there was no difference statistically in control eyes. No significant correlation was found in either TBUT or NIBUT values. The stability of the precorneal tear film after 1year of wear was slightly lower than those of the precorneal tear film before lens insertion in the values of TBUT.

수도권 지역의 의료기기 관련 업체의 실태 조사 연구

양태홍,이우철,김정래,박승환 서울보건대학 1997 서울보건대학 부설 병원경영연구소 논문집 Vol.3 No.1

Recently, the domestic business of medical equipment have many difficult things in the development and sale of new product. To overcome them, it is needed to solidify the co-work system of industry-education marriage. This paper is undertakened to serve an aid in the field of medical equipment. The analysis of data is attempted through the survey by questionaires, and an object of study is the medical business corporation at Seoul area. As a result to review the data it was identifided that this study is able to be applied to the basis material to reconstruct a right role and phase to medical business Also, it`s expected that we're able to use its results as the educational materials to bring up the more qualified students fit to the industrial need.

종합 건강검진센터 운영실태에 관한 고찰

나동진,김태전,김남용 서울보건대학 1999 서울보건대학 부설 병원경영연구소 논문집 Vol.4 No.2

As the national income improves and thereby people's concern about health increases. it becomes essential to operate a general health examination center in the hospital. On the other hand. medical consumers patterns change much, requiring diverse health check services. In order to meet such diversifying demands. it may be necessary to investigate the current condition of health examination centers. To this end, each two of general hospitals and clinics which operated a general health examination center were sampled to be surveyed. As a method of study, the researcher visited the sample hospitals to interview with the personnels concerned and at the same time poll their opinions via a questionnaire. The results of this study can be summarized as follows; 1. As a result of comparing the scales of the health examination centers in terms of facilities, it was found that the general hospitals operate some 1.000 square-meter or wider health examination centers, while special hospitals and clinics 100 square-meter or less ones. 2. At the general hospitals, patients should wait for 6-12 months to be checked for their health conditions. But at the special hospitals or clinics, patients may only wait for 1-5 days for their health checking. At a clinic. patients can be registered and checked for their health conditions in a day. Such a difference of waiting period for health check may be attributable to patients preferences of the general hospital services. 3. More than 95% of the patients who were checked for their health at general hospitals were advised to undergo subsequent treatment, while 26-30% of the patients who were checked at special hospitals or clinics underwent subsequent treatment. These special hospitals or clinics recommend their customers to consult other eligible hospitals in case they were not capable to treat their customeres. However, they complained about the poor transfer system for patients. 4. the general hospital operate diverse special or precision health checking programs, and one of general hospital even opens a sport medical clinic where patients are checked for their health conditions periodically 3 or 4 times a year. 5. Female patients outnumbered male ones at the six sample hospital. and those in their forties numbered most. Most of the patients used a basic comprehensive health check program, and 25-30% of the patients were checked by a special and precision health check program. 6. The general hospital charge some 400 thousand Wons for their 63 kinds of basic comprehensive health check service and 300 thousand Wons for their 60 kinds of service, while the special hospital charge 220 thousand Wons for their 64 kinds of health checking services. In contrast. the clinic charge 280 thousand Wons for 63 kinds of basic health checking services and 100 thousand Wons for 50 kinds of the services. 7. All the six sample hospital own such basic comprehensive health checking equipments as blood examination and image scanning ones. However. those special and precision checking equipments are operated only by general and special hospital. and the sports medical examination equipments are only owned by the general hospital operating the medical sports clinic. To sum up, the small-scale hospital provide for poorer basic health checking system than general hospital in every terms, although the basic health checkpoints are similar. Thus, it deems necessary for those small hospital to introduce various health improvement facilities in addition to health checking ones. Lastly, it is conceived that more money should be invested to expand the health-checking and -improving facilities, while normal people as well as patients should continue to checked for their health conditions by efficient programs.

효율적 의료정보 시스템의 알고리즘 구현

김정래,이우철 서울보건대학 1995 서울보건대학 부설 한국보건과학연구소 논문집 Vol.1 No.1

National medical information system has been evolved and used to process medical administration using host. However, rapidly developed micro-computers and softwares from the late 80‘s. Distributed-processing form is introduced to medical information system. Distributed-processing form is composed of client PC, LAN, Data base, diverse application programs and it is wide spread all over the word. Therefore, We are going to implement the effective medical information system using client server architecture. Which is a kind of distributed-processing system. There were implemented on the HIS, LIS, RIS, PACS, etc.

방사선 BY-445가 생성하는 α-amylase 저해물질의 특성

방병호,이진영 서울보건대학 1997 서울보건대학 부설 한국보건과학연구소 논문집 Vol.4 No.1

α-amylase에 대한 강력한 저해물질을 생산하는 방사균 BY-445를 토양으로부터 분리하였으며 이 균이 생산하는 배양액을 Amberlite IRA 420 column, Silica gel column chromatography 및 Sephadex G-50 column을 이용하여 조정제하였다. 이때 수율은 21.4%였으며 비활성도는 6배 증가하였다. 그리고 저해제의 α-amylase 100㎍에 대해 2배의 농도인 200㎍에서 저해활성이 거의 95%로 최고에 달하였다. 본 저해물질의 활성에 미치는 금속이온의 영향으로 Co^(+2), Hg^(+2), Pb^(+2), 및 Cu^(+2) 등에 의해 상대활성이 각각 13, 30, 37 및 72%로 각각 나타났다. 또한 본 저해물질은 열에 대한 안정성이 커서 100℃에서 120분간의 열처리를 하여도 그 활성은 거의 잔존하였으며 또한 전 pH 범위(pH2.0~12.0)에서도 아주 안정하였다. 본 저해물질의 여러가지 생화학적 반응을 검토한 결과 Anthrone, Molisch, Phenol-sulfuric acid반응에서는 양성을 띠었으며, Ninhydrin, Biuret, Benedict 등의 반응에서는 음성으로 나타났으며, 각종 carbohydrases에 대한 본 저해물질의 활성을 검토한 결과 사람 침 α-amylase와 Bacillus subtilis,porcine pancreas,Asp.niger의 glucoamylase등의 α-amylase에 대한 저해율이 각각 87%와 81,79,63%로 나타났으며, Aspergillus속의 cellulase와 Saccharomyces cerevisiae의 invertase에 대한 저해는 나타나지 않았다. A strain of Actinomycetes BY-445 isolated from soil was able to produce a biological active substance that has a strong inhibitory activity against hydrolysis by α-amylase. Extracellular inhibitory substance (inhibitor) from the culture broth of Actinomycetes BY-445 was purified to partial homogeneity by procedures including Amberlite IRA 420 column, Silica gel column, and Sephadex G-50 column chromatography. The partial purifying procedures resulted in 6-fold purification with the overall yield of 21.4% and the velocity of the inhibitor was reached at maximum in inhibitor concentration of 200㎍ against α-amylase enzyme concentration of 100㎍. In effect of metal salt, Co^(+2), Hg^(+2), Pb^(+2) and Cu^(+2), the relative inhibitory activity were shown about 13, 30, 37 and 72%, respectively and the inhibitor was also appeared to be relatively thermostable, and no appreciable inactivation was observed after incubation at 100℃ for 2 hour. The substance was stable in pH range from 2.0 to 12.0 at 37℃. The biochemical reaction of the substance was positive to Anthrone, Molisch and Phenol-sulfuric acid, but negative to Ninhydrin, Biuret and Benedict. A strong inhibitory activity against hydrolysis by α-amylase of human saliva, Bacillus subtilis, and porcine pancreas and glucoamylase of Aspergillus niger was shown 87, 81, 79 and 63%, respectively. but it did not inhibit cellulase of Aspergillus sp. and invertase of Saccaromyces cerevisiae.

재원일수 단축에 따른 병상당 연간 의료수익 증대효과 분석

김영훈,윤병준 서울보건대학 1997 서울보건대학 부설 병원경영연구소 논문집 Vol.3 No.1

As medical insurance system and medical delivery system has been expanded, the demand of medical service at the tertiary medical institutions has been increasing rapidly. There has been shortage of beds in these hospitals and effective management of beds had to be considered. For the efficient utilization of the exsisting hospital beds, bed turnover rate has to be high and their length of stay in hospital has to be shortened. The sample of this study was in-patients admitted in 10 clinical departments of a tertiary hospital in Seoul. Daily medical fees through length of stay in hospital were observed and we analyzed the increase of hospital revenues per bed for the shortening of length of stay. The results of the analysis were as follows : 1. The trend of daily medical fees of in-patients admitted in dept. of digestive internal medicine, respirative internal medicine, circulatory internal medicine, general surgery, nervous surgery, orthopedic surgery, gynecology, pediatrics, urology, E.N.T. was the highest from the first day to the third day. Because most necessary examination and various treatment or operation took place in these period. 2. The estimative model for medical fees by the length of stay at each clinical department was inferred. 3. The increased revenue per bed by shortening the length of stay was calculated by the estimative model. Shortening one day would increase 16,168 thousand won in dept. of gynecology, 12.926 thousand won in dept. of E.N.T., 1,938 thousand won in dept. of digestive internal medicine, 4,227 thousand won in dept. of circulatory internal medicine. 739 thousand won in dept. of respiratory intrnal medicine, 2,375 thousand won in dept. of general surgery,1,752 thousand won in dept of nervous surgery, 2,236 thousand won in dept. of orthopedic surgery, 655 thousand won in dept. of pediatrics, 5.664 thousand won in dept. of urology. It is expected that they can improve their profitability by shortening the length of stay of the in-patients.