• 한국임상약학회지
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• 제19권2호
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• pp.105-109
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• 2009

In July 2008, The National Police Hospital has developed the CPOE system(Computerized Physician Order Entry system) which links the medicine master and introduced the new program for the injectable antimicrobial agents. After introducing new system, we wanted to check the management of oral antimicrobial agents. Because new system has limitation that new system control only the use of the injectable antimicrobial agents. So we tried to evaluate the use of oral levofloxacin, which was chosen by a medical specialist of the infection. We retrospectively analyzed the appropriateness of oral levofloxacin through EMR(Electric Medical Record) of 72 inpatients who received oral levofloxacin in National Police Hospital in December 2008. We applied the modified ASHP(American Society of Health- System Pharmacists) DUE(Drug Use Evaluation) criteria, which is composed of justification of drug use, critical indicators, complications and outcome measures. Acceptable cases of use of levofloxacin were 67(93.01%) and 57cases(79.2%) showed good outcome. However critical indicators were not performed very well. We want to suggest the new system for the management of the medical therapeutics by the pharmacist in charge.

• 시큐리티연구
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• 제14호
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• pp.485-516
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• 2007

자치경찰 제도의 도입 목적은 지역여건에 적합한 치안 서비스를 제공하고자 하는 것이다. 그러나 창설 1년을 바로 눈앞에 둔 제주자치경찰은 형식상으로는 지방분권이나 정부개혁의 업적이라고 주장되기도 하나 실제로는 독자적인 자치경찰인지 국가경찰의 보조기관인지 구분이 어렵다는 문제가 제기된다. 따라서 제주자치경찰은 국가경찰과의 업무협약을 통해서 업무와 관할의 범위를 약정할 수밖에 없고, 약정의 결과 그 관할은 제주국제공항과 관광지 등 극히 제한적이다. 또한 제주자치경찰은 산림, 환경 등을 수사하는 특별사법경찰관리로 규정되어 일반범죄에 관한 수사권이 없다. 특별사법경찰관리의 관할범죄에 대해서는 긴급체포권이 인정되지만, 일반형사범에 대해서는 긴급체포권이 인정되지 않는다. 특별사법경찰의 관할범죄에 관한 수사권이 인정되고 "경범죄처벌법"과 "도로교통법"에 의한 통고처분은 할 수 있으나 유치장 운영조차 할 수 없고 즉결심판청구권이 없다. 국가는 자치경찰 사무가 지방사무라는 이유로 자치경찰에 대한 국가예산지원에 소극적이어서 정원으로 책정된 인력을 신규채용하지 못하고 있다. 따라서 본 논문은 첫째, 제주 자치경찰 제도가 지역여건에 적합한 치안서비스를 제공할 수 있는 구조적으로 독자적이고 자율적인 자치경찰 제도인가를 자치경찰 이념형을 도출하고 이를 배경으로 하여 제주자치경찰의 실태를 분석해 보고자 한다. 둘째, 2006년 7월 1일 창립된 후 약 1년 동안의 제주자치경찰의 직무수행과 관련된 다양한 실태분석을 통해 미래의 발전모델을 제시해 보고자 한다. 제주자치경찰 발전 모델은 자치경찰 시스템의 이념형을 기준으로 한 구조개혁, 합리적인 수사권 배분, 자치경찰 예산분담의 합리화, 그리고 특별사법경찰 관할 범죄수사기법의 개발과 전문화의 측면에서 접근된다.

• Safety and Health at Work
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• 제10권1호
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• pp.30-38
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• 2019

Background: Police officers' stress perception, frequency of stressful events (stressors), and police work characteristics may contribute to poor sleep quality through different mechanisms. Methods: We investigated associations of stress severity (measured by stress rating score) and frequency of stressors with sleep quality and examined the influence of police work characteristics including workload, police rank, prior military experience, and shift work on the associations. Participants were 356 police officers (256 men and 100 women) enrolled in the Buffalo Cardio-Metabolic Occupational Police Stress Study from 2004 to 2009. A mean stress rating score and mean frequency of stressors occurring in the past month were computed for each participant from the Spielberger Police Stress Survey data. Sleep quality was assessed using the global score derived from the Pittsburgh Sleep Quality Index survey. Linear associations of the stress rating score and frequency of stressors with sleep quality (Pittsburgh Sleep Quality Index global score) were tested. Age, sex, race/ethnicity, and smoking status were selected as potential confounders. Results: The stress rating score was positively and independently associated with poor sleep quality (${\beta}=0.17$, p = 0.002). Only workload significantly modified this association (${\beta}=0.23$, p = 0.001 for high workload group; p-interaction = 0.109). The frequency of stressors was positively and independently associated with poor sleep quality (${\beta}=0.13$, p = 0.025). Only police rank significantly modified the association (${\beta}=0.007$, p = 0.004 for detectives/other executives; p-interaction = 0.076). Conclusion: Both police officers' perception of stress severity and the frequency of stressors are associated with poor sleep quality. Stress coping or sleep promotion regimens may be more beneficial among police officers reporting high workloads.

• 대한족부족관절학회지
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• 제10권1호
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• pp.48-55
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• 2006

Purpose: The purpose of this study is to assess the results of the autologous osteochondral grafting for the osteochondral lesion of the talus. Materials and Methods: This study included 21 patient who had been treated with the open autologous osteochondral grafting between December, 1999 and December 2003. We treated the patients with autologous osteochondral grafting method who had the lesion of stage II or medial lesion of stage III without improvement for at least 6 months, the medial lesion of stage IV, the lateral lesion of stage III, IV by Berndt and Harty's classification or who had not improved with previous operation. The average duration of follow up was 26 (12-56) months. 6 patients had been treated with the previous operation that 3 patients with drilling, 3 patients excision, curettage and drilling. Results: The average AOFAS Ankle/Hindfoot score was 92.7 points and no patient had a limitation of the daily activities due to pain or abnormal function. Postoperative radiography showed good joint congruency and postoperative MRI good incorporation of the graft. The average Lysholm knee score was 96 points and only two patients had mild knee pain during severe exertion. Conclusion: The autologous osteochondral grafting is the useful operative method when the lesion is advanced stage or when previous operative treatment has failed.

• Nuclear Medicine and Molecular Imaging
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• 제41권3호
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• pp.247-251
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• 2007

A 38-year-old man who was diagnosed with malignant paraganglioma underwent computed tomography (CT) and I-131 metaiodobenzylguanidine (MIBG) san. CT showed extensive lymph node enlargement in right iliac area and retroperitoneum with severe hydronephrosis and mass on posterior bladder wall. However, I-131 MIBG scan didn't showed abnormal uptake. He also underwent F-18 fluorodeoxyglucose (FDG) positron emisson tomography/CT for localizing accurate tumor site. F-18 FDG PET/CT showed multiple metastases of left supraclavicular, hilar, mediastinal para-aortic, inguinal, right iliac lymph nodes, lung, vertebrae, and pelvis. There are a few reports showing that the F-18 FDG PET/CT is helpful for staging and localizing tumor site of patients who are diagnosed with negative on the MIBG scans. Thus, we report a case with paraganglioma which showed negative I-131 MIBG scan, but revealed multiple intense hypermetabolic foci in F-18 FDG PET/CT.

• 대한핵의학회지
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• 제28권3호
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• pp.397-401
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• 1994

저자들은 간 스캔상 간 우엽 전반에 걸친 냉소를 보여 공간점유병소로 생각되었던 Budd-Chiari증후군 1예를 경험하였다. 본례는 복부팽만을 주소로 본원 내원하여 시행한 간 스캔상 간 우엽 전반에 걸친 집적감소를 보여 만성 간 질환에 동반된 간 종괴로 생각하였으나 복부 전산화 단층촬영과 자기공명촬영에서 간우엽의 경색이 의심되었다. 자기공명혈관촬영과 초음파 도플러를 시행하였으며 우측 간정맥과 중앙 간정맥폐쇄를 보여 Budd-Chiari증후군으로 진단된 경우이다. 하대정맥의 폐쇄소견은 보이지 않았다. 이를 문헌고찰과 함께 보고하는 바이다.

• Journal of Gastric Cancer
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• 제6권1호
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• pp.43-46
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• 2006

위의 샘근종과 이소성 췌장의 구별은 어려우며, 샘근종을 이소성 췌장의 한 종류라고 생각하기도 한다. 위의 샘근종과 이소성 췌장의 구별은 이소성 체장에서는 샘창자샘 (Brunner's gland)이 발견되지 않는다는 점이다. 위의 샘근종이 악성화하는 경우는 매우 드물다. 본 증례의 경우, 위체부 하방과 유문부에 종괴가 있었으며, 조직겅검 결과에서 위체부 하방의 종괴는 샘암종으로 진단되었고, 유문부의 종괴는 샘근종으로 진단되었다. 본 증례의 경우, 위의 샘근종이 위암과 우연히 동반된 것이라고 생각된다.

• 대한관절경학회:학술대회논문집
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• 대한관절경학회 2007년도 제17차 추계학술대회 심포지움
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• pp.99-100
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• 2007

• 대한핵의학회지
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• 제21권1호
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• pp.83-88
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• 1987

$^{67}Ga$ Scanning may be a useful adjuvant in screening for suspected extrapulmonary tuberculosis and in assessing the response of therapy. A 52-year-old man with renal tuberculosis showed a renal localization of $^{67}Ga-citrate$ scans. Follow-up Scans after 3 months of chemotherapy showed decrease in uptake. So we present a case with the brief review of literatures.

• International Journal of Contents
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• 제9권1호
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• pp.81-89
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• 2013

Police officers' job satisfaction has usually been measured by quantitative methods such as survey. This research is the first attempt to interview police officers in Korea to find how satisfied they are with their job. Based on e-mail interview with fourteen police officers in Korea, the study measured the multiple dimensions of job satisfaction including work condition, relationship with supervisors and colleagues, personnel management, pay and benefit, and discretion. The results suggested that police officers' attitude toward their job and motivation of becoming police officers may influence their job satisfaction. Other findings and policy implications are also discussed.