• 가정∙방문간호학회지
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• 제16권2호
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• pp.98-107
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• 2009

Purpose: The objective of this study was to identify the effects of a telephone follow-up program on patient compliance, urea kinetic modeling and incidence of infection in patients with continuous ambulatory peritoneal dialysis (CAPD). Method: A pretest-posttest design with a nonequivalent control group was used to examine the effects of a telephone follow-up program for 12 weeks in a group of 39 CAPD patients. The telephone follow-up group of 17 patients received telephone follow-up 10 min once a week for 1 month and 10 min twice a month for 2 months during 12 weeks compared to control group of 22 who patients received usual care. Results: The telephone follow-up group showed no significant changes in patient compliance and urea kinetic modeling, although patients with CAPD receiving a telephone follow-up showed reduced incidence of exit site infection during the intervention compared with the control group. Conclusion: Telephone follow-up program for CAPD patients may decrease the incidence of exit site infection. Future studies with a larger sample be done utilizing diet and exercise reinforcement program combined with telephone follow-up as a nursing intervention for patients with CAPD.

• 한국병원경영학회지
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• 제9권2호
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• pp.102-127
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• 2004

The objective of this study is to analyze a current trend of and relating factors on profitability of the Korean Public Corporation Medical Centers(KPCMCs, hereinafter, hospitals) in Korea. There are 34 hospitals in Korea as of 2004. Among these hospitals some are red ink hospitals, others are black inks in terms of profitability. Data were collected by Korea Health Industry Development Institute(KHIDI) Statistics for Hospital Management 2000-2002 and Ministry of Health and Welfare(MOHW) financial data of public hospitals which was planned to coordinate public health care services roadmap in the long run. The samples are 32 hospitals. Profitability was measured in the aspect of profit rate with normal profit to total assets, and normal profit to gross revenues as dependent variables in respective. Independent variables were classified by general factors, i.e., location, intern/resident training, period of opening, number of beds, and managerial factors(current ratio, fixed ratio, liability to total assets, total assets turnover, personnel costs, materials cost, administrative cost), and finally factors related to patient treatment(average length of stay, bed occupancy rate, admission ratio of outpatients). The methods of analysis are correlation and multiple regression analysis. This study shows firstly, a lot of hospitals are optimal current ratio. Hospitals in upper 100% current ratio are 81.2%. And the personnel cost in total costs are high. Secondly, the trend of normal profit to gross revenues of hospitals are deteriorating gradually. And lastly, as a result of multiple regression analysis, the factors had on significant effect on normal profit to total assets are fixed ratio(+), liability to total assets(-), bed occupancy rate(+), admissions of outpatients(+), etc. And the factors had on significant effect on normal profit to gross revenues are current ration(+), fixed ratio(+), personnel cost(-), administrative expenses(-), admissions of outpatients(+), etc. In conclusion, to improve the profitability of hospitals, the efforts to reduce personnel cost and average length of stay might be needed. And also beds utilization rate need to be increased.

• 대한족부족관절학회지
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• 제16권3호
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• pp.175-180
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• 2012

Purpose: To evaluate the radiological and clinical results after open reduction and internal fixation with calcaneal F plate and locking calcaneal plate using lateral extensile approach in the treatment of intra-articular calcaneal fracture Materials and Methods: This study included 34 cases of 33 patients followed up for at least 6 months postoperatively. F plate was applied in 18 cases (Group 1), locking plate was used in 16 cases (Group 2) and compared radiological and clinical results between two groups. Results: Radiollogically, the mean Bohler angle was improved from $5.5^{\circ}$ preoperatively to $20.1^{\circ}$ postoperatively and $18.8^{\circ}$ at the last follow up in group 1 and $8.6^{\circ}$ preoperatively, $21.4^{\circ}$ postoperatively and $20.3^{\circ}$ at last follow up in group 2. Bone union was observed in all cases and 4 cases of screw loosening were noted in Group 1 with extended fracture to anterior process. At the last follow up, both groups showed clinical results in American orthopedic foot and ankle society ankle hindfoot score, 76(77 in Sanders type II and 75 in type III) in group 1 and 72(73 in type II and 70 in type III) in group 2. Conclusion: F plate and locking plate showed firm fixation and satisfactory clinical results in the treatment of intra-articular calcaneal fracture. We suggest applying locking plate in cases with extended fracture to anterior process, considering screw loosenings in those who were treated with F plate fixation.

• Asian Pacific Journal of Cancer Prevention
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• 제13권8호
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• pp.3795-3802
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• 2012

Cochinchina momordica seeds (CMS) have been widely used due to antitumor activity by Mongolian tribes of China. However, the details of the underlying mechanisms remain unknown. In the present study, we found that an EtOAc (ethyl ester) extract of CMS (CMSEE) induced differentiation and caused growth inhibition of melanoma B16 F1 cells. CMSEE at the concentration of $5-200{\mu}g/ml$ exhibited strongest anti-proliferative effects on B16 F1 cells among other CMS fractions (water or petroleum ether). Moreover, CMSEE induced melanoma B16 F1 cell differentiation, characterized by dendrite-like outgrowth, increasing melanogenesis production, as well as enhancing tyrosinase activity. Western blot analysis showed that sustained phosphorylation of p38 MAP accompanied by decrease in ERK1/2 and JNK dephosphorylation were involved in CMSEE-induced B16 F1 cell differentiation. Notably, 6 compounds that were isolated and identified may be responsible for inducing differentiation of CMSEE. These results indicated that CMSEE contributes to the differentiation of B16 F1 cells through modulating MAPKs activity, which may throw some light on the development of potentially therapeutic strategies for melanoma treatment.

• 한국콘텐츠학회:학술대회논문집
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• 한국콘텐츠학회 2008년도 춘계 종합학술대회 논문집
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• pp.352-355
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• 2008

국립대병원은 국가가 설립주체이고 엄연한 공공의료기관임에도 불구하고, 국가가 직접 운영하던 방식에서 특수법인 형태의 독립채산제로 전환되면서 사립대병원과 차이가 없이 수익성에 치중하여 운영되고 있는 실정이다. 국립대병원이 설립법에 명기된 교육, 연구, 진료 외에도 지역내에서 선도병원으로서의 3차진료기관에 합당한 공공성의 책무를 다하여야 한다고 본다. 따라서, 현재 수익성에 치중하고 있는 국립대병원에 어떠한 공공성 기능을 부여하여야 할것이가. 그리고, 지역사회내에서 다른 공공의료기관과는 어떻게 역할분담을 하여야 할것인가. 또한 국립대병원내에서 공공성과 수익성의 조화로운 강화방안은 어떻게 하여야 하는지를 다각도로 분석하여 상관관계를 살펴보고 방안을 제시하고자 한다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제14권1호
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• pp.95-102
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• 2003

목 적：본 연구는 청소년의 자살성향과 관련된 정서적 특성을 지역사회연구를 통하여 조사함과 아울러 우울불안 집단을 설정하여 그들의 충동성과 자살사고를 알아보고자 하였다. 방 법：경기도 고양시의 1909명의 중·고등학생들을 대상으로 Center for Epidemiologic Study for Depression(CES-D), Revised Children's Manifest Anxiety Scale(RCMAS), Youth Self Report(YSR)의 Anxious/Depressed subscale을 사용하여 우울불안집단을 선정하였고, 대조집단과 비교하여 PS-1 of Offer's Self Image Questionnaire(PS-1 of OSIQ), Suicide Ideation Questionnaire(SIQ) 척도점수를 측정하였다. 또한 자살사고와 관련된 정서적 요인들과의 상관성 및 자살사고 예측력을 분석하였다. 결 과：우울불안집단을 연구대상의 6.58%를 차지하였으며 남녀비는 약 1:1.5이었다. 또한 우울불안집단에서 대조집단에 비하여 충동성조절 점수는 유의하게 높았고 자살사고 척도 점수도 유의하게 높았다. 자살사고와 관련하여 우울척도, 불안척도, 우울-불안척도 및 자살사고 척도는 모두 유의한 상관성을 보인 요인들이었으며, 다중회귀분석 결과 우울과 불안이 자살사고를 예측하는 유의한 요인이었다. 결 론：지역사회 청소년들을 대상으로 자살사고의 정서적 요인들 조사한 결과 우울 및 불안성향을 지닌 집단이 자살의 고위험군임을 시사하였으며, 이를 위한 예방적 개입이 중요함을 알 수 있었다.

• Journal of Preventive Medicine and Public Health
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• 제19권2호
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• pp.314-321
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• 1986

Forced vital capacities (FVC's) and forced expiratory volumes in one second $(FEV_{1.0}'s)$ of 26 pneumoconiosis patients were checked at admission and were followed up for 10 months through hospitalization. FVC's and $FEV_{1.0}'s$ were slightly improved in 10 months after admission. The improvement of FVC's was statistically significant. In the group of large opacities in chest radiographs, FVC's and $FEV_{1.0}'s$ were lower than those values in small opacity group at admission but improved more progressively. Similar finding was noted in the group of emphysema; those values were lower at admission but improved more progressively than those of non-emphysema group.

• 한국병원경영학회지
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• 제7권3호
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• pp.121-136
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• 2002

The main purpose of this study is to examine the overall procedure of hospital's internal review of health insurance reimbursement, to present the case of protest against reimbursement cut, and hence to provide some information on hospital's management of medical revenue. The object of the case study is 'P' university medical center, possessing 5 different hospitals under its system. Presentation of the case of protest against reimbursement cut has following meanings: Firstly, to the hospitals that already have internal review departments, information on the details of the protest process and results can be exchanged. Secondly, to the Government and National Health Insurance Corporation, useful data are provided for the improvement of the rules and procedures of health insurance reimbursement. Thirdly, to the hospitals without internal review departments, fundamental materials on the internal review process are provided for the effective management of medical revenue.

• Clinical and Experimental Pediatrics
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• 제51권3호
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• pp.225-232
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• 2008

The mission of National Health Screening Program for Infant and Children is to promote and improve the health, education, and well-being of infants, children, families, and communities. Although the term 'diagnosis' usually relates to pathology, a similar diagnostic approach applies to the child seen primarily for health supervision. In the case of health, diagnosis determines the selection of appropriate health promoting and preventive interventions, whether medical, dental, nutritional, educational, or psychosocial. Components of the diagnostic process in health supervision include the health 'interview'; assessment of physiological, emotional, cognitive, and social development (including critical developmental milestones); physical examination; screening procedures; and evaluation of strengths and issues. Open and informed communication between the health professional and the family remains the most significant component of both health diagnosis and health promotion. Families complete medical history forms at their health supervision visit. Family-friendly questionnaires, checklists, and surveys that are appropriate for the child's age are additional tools to improve and update data gathering. This type of information helps initiate and inform discussions between the family and the health professional. This article provides a comprehensive review of current National Health Screening Program for Infant and Children in Korea.

• KEPCO Journal on Electric Power and Energy
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• 제2권3호
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• pp.425-431
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• 2016

Supply Capability of the generator, if the maximum demand occurs, refers to the maximum power that can be stably supplied and it is possible to maintain stable power supply to be greater than actual load. However, unexpected power demand and reduction in supply Capability due to stop of unexpected generator in operation can temporarily make a big chaos in power system. In fact, due to a lack of power supply Capability in the country, enforced emergency load adjustment to the September 15, 2011, the circulation power outage has occurred in several cities. As the result, interrupted operation of the elevator and stopped hospital medical equipment led to a great deal of trouble to people's lives, causing a social problem. At that time, it was found that a failed frequency control because of smaller actual supply Capability than that of predicted. The difference was about 1,170 MW with Gas turbine power plant. By accurately calculating the generator supply capability, we can not only grasp the power reserve rate, but also correspond to the time of power supply instability.