• Title/Summary/Keyword: 중한

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A Study on the design of the outpatient and inpatient conversion factors based on the medical expenditure budget system (진료비 예산에 기초한 외래 및 입원 환산지수 설계에 관한 연구)

  • O, Dongil
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.2
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    • pp.470-478
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    • 2020
  • In this paper, a theoretical model that separates one single conversion factor into two conversion factors for both outpatients and inpatients is introduced. By using hypothetical numbers, two conversion factors and an adjustment factor were calculated. The major implications are as follows. Firstly, by introducing two conversion factors, a minimum incentive mechanism for admitting outpatients to a clinic and high risk inpatients to a hospital was installed. Secondly, the introduction of two conversion factors decreased the drive to admit outpatients to a hospital by reducing the economic benefits for the hospital. Thirdly, it is possible to make explicit contracts for several factors rather than a single conversion factor, so that it can be used as an appropriate management tool for rapidly increasing medical expenses. Finally, this research can be used to set up policy tools to establish a proper healthcare delivery system in Korea by inducing behavioral changes in healthcare institutions.

A Clinical Study of SJ-002 (SJ-002의 임상적 효과)

  • Yong, Suk-Joong;Lee, Jae-Gap
    • The Korean Journal of Pharmacology
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    • v.27 no.2
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    • pp.207-210
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    • 1991
  • SJ-002 is a combination prescription of acetaminophen, ibuprofen, DL-methylephedrine HCl, caffeine, chlorpheniramine maleate, guaifenesin and dextromethorphan HBr. Common cold symptoms such as headache, pharyngitis, fever, or cough were improved by oral administration of SJ-002. This study enrolled about 30 patients, which was carried out from Jun. to Jul. 1991. The patients were given one bottle (30 ml) of SJ-002 t.i.d by P.O for one to seven days. 1) Thirty patients(100%) had improvements with this drug. 2) There were eight patients (26.7%) with side effects. But the side effects were not serious and transient when the medication was discontinued.

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A study on Jang Cong-zheng's treatment in "Ru-Men-Shi-Qin" ("유문사친(儒門事親)"에 나타난 장종정(張從正)의 치료법(治療法)에 관(關)한 연구(硏究))

  • Kim, Yong-Hwan;Lee, Sang-Hyup;Kim, Joong-Han
    • Journal of Korean Medical classics
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    • v.25 no.3
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    • pp.127-147
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    • 2012
  • Objective : Methods of Jang Cong-zheng's treatment related to his theories include of promoting the sweating-vomiting-purgation(汗吐下三法), prickling-bleeding method(瀉血療法), and emotional therapy(情志療法). He succeeded Liu wan-su(劉完素) as promoter of fire-heat pattern theory(火熱論), thereby emphasizing six qi(六氣), especially fire(火) and dampness(濕), as pathogens. He suggested that physician should treat patients whose diseases occurred due to fire(火) and dampness(濕) with promoting the sweating(汗)-vomiting(吐)-purgation(下) methods, which would remove pathogen qi(邪氣) and help circulation of qi and blood, therefore getting them back healthy qi(正氣). Method : I will try to describe the Jang Cong-zheng's treatment in "Ru-Men-Shi-Qin", and I would like to explain the sweating-vomiting-purgation(汗吐下三法), prickling-bleeding method(瀉血療法), and emotional therapy(情志療法). Result : For emotional diseases, he suggested that most should be caused by heart fire(心火) so they should be treated with methods of suppressing heart fire and medication would be using cool and cold herbal drugs which lead to clear heart fire. Conclusion : Theories of Zhang zi-he(張子和) can be applied to nurturing for modern world maintaining and improving health by his care methods. People these days suffer usually from excess intake or unbalanced diet problem, so wastes matter and pathogenic qi can be driven out of the human body by applying the sweating-vomiting-purgation methods. His medical theories could contribute to modernization of traditional medicine this way.

Fabrication and Measurement of Triple U-shaped slot Microstrip Antenna in 5GHz band (5GHz 대역에서 트리플 U-슬롯 모양의 마이크로스트립 안테나 설계 및 제작)

  • Kang, Moon-Kyou;Jung, Yoo-Keun;Ju, Jeong-Min;Jeong, Gyey-Teak;Yoon, Joong-Han;Kwak, Kyung-Sup
    • Journal of IKEEE
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    • v.8 no.1 s.14
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    • pp.86-95
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    • 2004
  • In this paper, we designed, fabricated, and measured antenna results consisting of previous research, that can handle from wireless using-LAN U-shaped slot antenna of HiperLAN bandwidth to ISM band of HiperLAN 1/2 & 5 GHz bandwidth. We presented a new model that structuresof basic U-shaped slot added the same thing twice.After the foam layer is inserted between ground plane and substrate, we got enough bandwidth for VSWR<1.5. The antenna gain was $6.27{\sim}9.82dBi$. The radiation pattern got a stable pattern in frequency bandwidth.

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Radiation Characteristics of Microstrip Antenna on the Superstrate-Loaded Cylindrical Bianisotropic Substrated (덮개층을 갖는 원통형 쌍이방성 기판 위의 마이크로스트립 안테나의 방사특성)

  • Yoon, Joong-Han;Lee, Sang-Mok;An, Gyoo-Chul;Kwak, Kyung-Sup
    • Journal of the Korean Institute of Telematics and Electronics D
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    • v.36D no.11
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    • pp.1-11
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    • 1999
  • In this paper, the effects of superstrate on the radiation patterns of dipole on cylindrical bianisotropic substrates were studied. Special constitutive relations are used to describe the bianisotropic properties of a material, such that the Green's function can be formulated. Electromagnetic fields and boundary conditions in spectral region were used to find Green's function of the spectral representation and electromagnetic fields in space region were derived through inverse Fourier transformations of fields in spectral region using asymptotic formula for far zone. Radiation characteristics of axial Hertzian dipole on superstrate loaded cylindrical bianisotropic substrates were obtained. The effects of bianisotropic superstrate on the radiation properties of the antennas including beam scanning, directivity enhancement, dark-region illumination, and on horizon radiation, are discussed.

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The Stress of Patients in the Coronary Care Unit (심장내과 중한자실 입원 환자의 스트레스)

  • Yoo, Yang-Sook;Bong, Seung-Ok;Kim, Kyung-Lim;Choi, Kyung-Ok;Jeong, Hye-Sun
    • Journal of Korean Biological Nursing Science
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    • v.9 no.2
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    • pp.135-142
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    • 2007
  • Purpose: This study was conducted to investigate degree of stress level in CCU patients, and to give a baseline data in developing nursing intervention program to reduce the stress. Method: Subjects of this study were the 100 hospitalized patients of C University Hospital in Seoul City from February to December 2003. The collected data was analyzed by using the SAS program: t-test, Scheff$\acute{e}$ test, and ANOVA analysis were employed to find differences in stress level. Result: The highest stress factor was 'Concern', and next were 'Dependency & limitation', 'Uncertainty', 'Treatment procedure', 'Sleep disturbance', 'Environment' in order. The perceived stress level of CCU patients was 1.65 scores; the highest scored item was 'have to void urine and feces on the bed', next were 'have to use the toilet bowel lying on the bed' in order. The stress level according to characteristics of the subjects was significantly different with the marital status, the presence of religion, the hospitalized days, the economic status, and the admission experience. Conclusion: The stress level of patients in the coronary care unit was high in concern of a disease, family and economic state, in limitation and dependency, and in uncertainty about prognosis of a disease. Further researches are necessary to develop and apply the intervention method of reducing stress level of CCU patients. In addition studies on family members of CCU patients are also recommended.

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SELF-PREPARATION OF BATHYTHERMOGRAPH SMOKED-GLASS SLIDE (Bathythermograph Smoked-glass slide의 간역제작법)

  • HUE Jong Soo
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.1 no.2
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    • pp.135-137
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    • 1968
  • Bathythermograph (B. T) has been coumonly used to obtain a records of water temperature in the depth of 270m from the surface. We have, however, experienced some difficulties in obtaining smoked or coated glass which is used for the bathythermograph in this region, Therefore I introduce a easy method of preparing the smoked-glass slide. Preparing method is as follows. 1. Glass slides must be cleaned by dipping into the concentrated solution of sodium hydroxide ana hydrochloric acid then rinsing with hot water and polishing with a clean gauge. 2. The cleaned slide is immersed in the wax solution for coating, and dried on the filter paper. The Wax solution is prepared as follow : 1g of white wax is dissolved in 200CC of benzol or 1g of lard is dissolved in 300CC of gasoline. 3. A slide held in a fingertip is smoked on the flame of alcohol lamp, or Meter burner. When alcohol lamp is used the fuel alcohol must contain 1/5 of benzol, and when Meker burner is used, the air intake must be blocked up. The smoking on the glass slide should be light and uniform, after smoking the slide is cooled down. 4. The smoked glass slide is again dipped into the wax solution using a fingertip and the excessive wax solution on the slide is absorbed on the filter paper and drain off. 5. Thus prepared smoked slide can be used for B.T.

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Design and Fabrication of Circularly Polarization Antenna for Electronic Toll Collection System (ETCS용 원형편파 안테나의 설계 및 제작)

  • Lee, Sang-Mok;Yoon, Joong-Han;Kim, Heung-Soo
    • Journal of IKEEE
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    • v.6 no.1 s.10
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    • pp.40-46
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    • 2002
  • In this paper, a microstrip array antenna is designed, fabricated and measured for ETCS(Electronic Toll Collection System). To reduce effect of external propagation environment, we use edge-cuffed element and to obtain wider axial ratio and increased bandwidth, we use the sequential rotation array method. Also to fulfill ETCS, roadside equipment are designed to be provide a radiation pattern which can accurately pinpoint the designated communication area without interference of another lanes. And we make and apply an absorber to the array antenna to reduce SLL(Side Lobe Level). From the measurement, we get that return-loss at center frequency is -20.675dB, axial ratio is 0.35dB and the gain is 20.26dBi. And we found that SLL is reduced.

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Interrupted Single-layer Suture Technique in Esophageal Anastomosis Using Monofilament Polypropylene Suture (Monofilament Polypropylene사를 이용한 단속단층 식도문합술)

  • 성시찬;편승환
    • Journal of Chest Surgery
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    • v.31 no.7
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    • pp.711-717
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    • 1998
  • Background: Although various anastomotic techniques and suture materials have been used in esophageal anastomosis, anastomotic leakage and stenosis are still somewhat frequent and serious complications when compared to other intestinal anastomoses. We have used interrupted single-layer suture technique using monofilament polypropylene suture in various esophageal anastomoses, including repair of the esophageal atresia, since 1990. Methods and method: We retrospectively evaluated the efficacy of this technique on postoperative leakage and stenosis in several esophageal reconstructions. The esophageal reconstructions using this technique were performed in 90 patients at Dong-A University Hospital from April 1990 through December 1996. Results: Anastomotic leakage occurred in 5 patients(5.6%) with one operative death. Stenosis at the anastomotic site occurred in 15 patients(n=86, 17.4%), which was most common in esophagogastrostomy(22%) and least common in esophagocolostomy (5%). This result was comparable to other methods including the autosuture technique. Conclusions: We concluded that this suture technique in esophageal anastomosis can be used with reasonable results in various esophageal reconstructions including correction of the esophageal atresia.

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Interrupted Aortic Arch with Apical Muscular Ventricular Septal Defect Associating Esophageal Atresia with Tracheoesophageal Fistula (식도폐쇄 및 기관식도루를 동반한 심첨부 근육성 심실 중격 결손과 대동맥궁 단절 -1예 보고-)

  • 조정수;이형두
    • Journal of Chest Surgery
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    • v.37 no.10
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    • pp.856-860
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    • 2004
  • Interrupted aortic arch with concomitant intracardiac defects is a rare congenital anomaly that has an unfavorable natural course. We report a successful staged operation of interrupted aortic arch with apical muscular ventricular septal defect associating esophageal atresia with tracheoesophageal fistula in a 3-day-old neonate weighing 2.6 kg. We repaired esophageal atresia through the right thoracotomy and subsequently performed extended end-to-end anastomosis of the aortic arch with pulmonary artery banding through the left thoracotomy at same operation. The apical muscular VSD was repaired 87 day after first operation. The patient required multiple additional interventions before closure of the apical muscular ventricular septal defect, such as pyloromyotomy for idiopathic hypertrophic pyloric stenosis, anterior aortopexy for airway obstruction, and balloon aortoplasty for residual coarctation. She is now doing well.