• Journal of Korean Neurosurgical Society
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• 제44권3호
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• pp.146-150
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• 2008

Objective : The authors reviewed the experience of 19 patients with orbital tumors and summarize the clinical features, surgical treatment and outcomes. Methods : The authors searched the database for all patients who underwent surgery for the treatment of orbital tumors at a single institution between 1999 and 2007. Data from clinical notes, surgical reports, and radiological findings were obtained for the analysis. Results : Orbital tumors constituted a heterogenous array of histopathology. The presenting symptoms were exophthalmos (52.6%), visual disturbance (26.3%) and pain (21.1%). The surgical approaches used were transcranial in 17 patients. Tumors located in the intraconal or perioptic space were surgically excised using a frontoorbital approach (8 cases). while pterional (3 cases). orbital (2 cases) and combined approaches (6 cases) were used for tumors in other sites. Total resection of tumors was achieved in 12 of 19 patients. In 4 patients with glioma and lymphoma only diagnostic biopsy was done. Three patients experienced visual deterioration postoperatively. Two patients had temporary diplopia, and one patient had temporary ptosis. Conclusion : Surgical treatment could be the mainstay of therapy for the majority of symptomatic orbital tumors. Many orbital tumors can be treated safely via a transcranial approach. Frontoorbital approach allows the surgeon to reach both the intraorbital and intracranial structures. Knowledge of the microanatomy of the orbit and meticulous surgical skills are necessary to overcome the pitfalls of intraorbital surgery.

• 한국콘텐츠학회논문지
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• 제11권11호
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• pp.253-263
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• 2011

본 연구는 국내 일부 지역에 거주하는 외국인의 치과의료 이용 실태를 분석하여 국내 거주 외국인에 대한 치과의료서비스를 확충하고, 관련 제도의 개선을 위한 기초자료를 제공하고자 수행하였다. 조사 대상자의 대부분이 국내에서의 치과치료 경험이 없었고, 치과치료를 받지 못한 이유는 시간부족과 진료비 부담 때문이었다. 건강보험이 있는 경우 치과치료 경험이 많았으며, 국내 치과의료기관 이용 시 만족도는 전반적으로 불만족하다고 응답하였다. 따라서, 국제화 시대에서 날로 증가하고 있는 외국인들이 국내에 체류하는 동안 기본적인 구강건강을 유지하고 양질의 치과의료서비스를 받을 수 있도록 실질적인 치과의료서비스 확충 및 관련 보건정책의 수립이 필요하다.

• 대한소아치과학회지
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• 제24권3호
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• pp.556-561
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• 1997

Intentional replantation of the posterior teeth has been performed as a last resort except extraction when it is impossible to perform the conventional endodontic or surgical endodontic treatment. Many studies have done with the prognosis, and root resorption, of which the responsibility might have been injury of periodontal ligament and remaining periodontal lesion, proved to be major cause of failure. Intentional replantation, however, can exclude anatomic difficulty, risk of nerve injury, and maxillary sinus trauma that surgical access can raise, especially in posterior teeth, and it is reported that success rate is not less than surgical endodontics, independent of replantation of traumatically avulsed teeth. The success of intentional replantation can be evaluated with, clinically, reduction of pocket depth, pain and mobility(physical mobility), and, radiographically, hard tissue formation, reduction of periapical radiolucency. In this case report, for the maxillary left first bicuspid with dens evaginatus that had periapical lesion, painfulness, mobility and showed no reduction of mobility after even extirpation and a number of irrigation, extraction followed by extraoral root filling with calcium hydroxide and replantation was performed. Based on many studies, it is concluded that hard tissue formation capacity of calcium hydroxide, preceded extirpation before extraction, and careful extraction without injuring periodontal ligament affected successful results of this case.

• 한국병원경영학회지
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• 제9권4호
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• pp.21-44
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• 2004

Toe objective of this study is to verify the factors influencing the taxation cognition of medical institutions and to verify the difference of taxation cognition among the interest groups in medical services. The factors that influence taxation cognition are supposed to be five: cognition of public benefits on medical services, cognition of profits from medical institutions, cognition of self-responsibility of medical institutions, cognition of distinction of medical institutions, and cognition of the importance of medical services. The interest groups are divided into four: medical institution employees, medical treatment consumers, taxation experts, and tax officials. As a result of this study, first, cognition of public benefits, cognition of profits, and cognition of distinction are verified to have statistical significance as factors for taxation cognition. It means that cognition of the public benefits of medical services is low, while cognition of profits is high, and taxation cognition such as tax supports and tax exemption appears low in accordance with lowness of cognition of distinction of medical institutions. Second, taxation cognition of the interest groups about medical service shows statistical significance between the group of medical institution employees and the group of tax officials, and between the group of medical institution employees and the group of taxes experts. This study is expected to contribute to tax policy, which can support medical institutions to provide medical consumers with good medical services, by analyzing the factors that influence taxation cognition on medical institutions.

• 지역사회간호학회지
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• 제12권1호
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• pp.32-38
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• 2001

This study focused on the understanding the life of the elderly in the institution by phenomenological method. The participants were seven. who were 4 men and 3 women living in the elderly institution in Taegu. The data were collected through the indepth interviews and participant observation from June 20. 1999 to January 10. 2000 and analyzed by phenomenological analytic method by Giorgi. The structure of the meaning were as follows: Unhappy life: irresponsibility. self-centered thought. hardness. Irresistible life: misfortune. unhealthiness. Reading their son's intention. Bitter life: unfair treatment from their sons and daughters, betrayed feeling for their being thrown away. Outside oriented life: a fear of others' attention, wrong information about institutionalized life, maladjustment. Self-consolation life: comfortableness, convenience, economic merit of low cost. Dissatisfied life: discomfort from communal living. unkindness of the institution staffs, depreciated tendency to the elder people, irrational social security system. economic distress, physical pain, restrained feeling. Tenacity to their sons and daughters longingness for their sons and daughters, regretableness, waiting, Regretable life: remorse for their past life. agony, guilty, loneliness, grief, self-abandonment, self-depreciation, other residents' death in common. Inharmonious life with other residents complaint, conflict, ignorance, selfishness. Yearning life for opposite sex: sexual interest. Preparing for their life: control over their body and mind, consideration for others. A life with hope: blessing death, forever healthfulness, affiliation to their family. From the results of this study an education and consultation should be done as soon as possible to remove the negative recognition of the institutional life to the facility residents. the family and the future consumers of elderly institution. To minimize the maladjustment to facility life of residents, a new program and interventions for the new comer's are needed. The thesis with above results will widen the understandings of institutional residents and an important guidance for a better nursing care in elderly institutions of korea.

• 보건행정학회지
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• 제32권1호
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• pp.3-13
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• 2022

Health centers provided intensive health care services for local residents according to changes in the times and environment. Public health centers were given various roles such as medical treatment, administration, and service, and the demand for functional reorganization has emerged. We analyzed the literature on the functional restructuring of public health care institutions. In addition, the current status of medical services, which is the main function of institutions, will be analyzed through health insurance statistical data, and detailed contents will be analyzed according to regional types and income levels. As a result of the analysis of medical services at institutions, the total number of patients was 2,238,000, and the number of visits was 11,806 times. Total medical expenses were 169.6 billion won, of which 132 billion won was found to be benefit. When analyzing the number of patients per institution, public health centers had the largest number of 4,326, and the share of benefit was also the highest at public health centers. It should focus on the function of providing local health and medical services related to health promotion and disease prevention in the community. This functional reorganization of public health centers can contribute to forming cooperative relationships with private medical institutions in the local community. For this, first, to establish the role, essential functions for public health centers for preventive health management are established. Secondly, regular manpower expansion and flexible manpower management are required in the human resources sector. Finally, in the organizational sector, it is necessary to establish a step-by-step organizational system according to environmental changes.

• Journal of East Asia Management
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• 제3권2호
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• pp.21-41
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• 2022

This study aims to analyze the characteristics of the management situation of the Korea Railroad Corporation(KORAIL) through the management innovation process of the KORAIL and to suggest its implications for military application. Despite stable demand, the railway passenger industry had the limitation of not being able to abolish deficit routes due to public service obligations. In addition, the launch of the Suseo High-Speed Line has introduced a competitive system, posing a threat to corporate management. KORAIL wanted to overcome this crisis by innovating its management through the utilization of big data, improvement of the freight business, decentralization of demand, the introduction of tourism railroads, and development of station influence areas. By utilizing big data, KORAIL was able to optimize the railway fare system while reducing fixed costs spent on railway maintenance. It also drastically reduced the station of cargo and created a base station to pursue economies of scale. On the other hand, the existing exclusive station system was abolished to solve the chronic saturation of the downtown area, and the railway demand was moved to Gwangmyeong Station and Suwon Station to optimize the passenger supply. In particular, it developed a new business model called the tourism railway by developing the mountain Byeokjin Line, which was a chronic deficit line, and sought to improve liquidity through the development of the station influence area. Such a process of innovation at KORAIL suggests an appropriate direction in seeking ways to innovate the military medical institutions. First of all, the necessity of improving organizational immersion through the development of a personnel structure suitable for the compulsory organization, while expanding the facilities of the division and corps, and reducing the time required for medical treatment and waiting through the establishment of a data-based medical system was suggested. Next, it was also discussed to integrate the National Health Medical College, which received accreditation as a medical facility through the designation of advanced general hospitals and is ultimately under discussion with the Medical Institution. Through this, we hope that the military medical institutions, which are facing various challenges, will overcome existing limitations and be re-lighted as innovative institution that provides comprehensive public health services.

• 한국게임학회 논문지
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• 제15권5호
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• pp.57-78
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• 2015

본 연구는 일국의 경제 발전에서 포용적 제도가 미치는 영향을 알아보기 위한 것이다. 이에 미래 경제성장을 견인할 수 있는 인덱스로 게임산업에 주목하고, 독일과 한국의 게임의 제도화 과정과 제도의 차이가 게임산업 발전에 미치는 영향을 비교하였다. 여기서 한국과 독일의 게임제도를 비교하는 이유는 양국에서 게임은 국가주도에 의해 육성되기 시작하였지만, 현 시점에서 한국과 독일의 게임제도는 첨예하게 대립되고 있다는 점에서, 이러한 차이가 발생하는 주요 지점으로 제도에 주목할 수 있기 때문이다. 본 연구의 결과, 첫째, 게임의 제도화 과정에서 개방적/폐쇄적 연결망은 게임의 사회적 위상에 영향을 준다. 이로 인해 둘째, 법제도에서 게임 인력은 독일의 경우 아티스트로, 한국의 경우 잠정적으로 중독자(중독생산자)로 분류되며, 인센티브 제도에서도 독일은 게임산업의 수익이 재투자되는 창작자 보호로, 한국은 그 수익이 중독치료를 위한 집단으로 이전되는 징벌적 수탈로 이어지게 된다. 셋째, 이러한 제도적 포용성의 차이는 게임시장 규모의 성장과 창조기업 및 인력의 지역적 유입에 영향을 미치고 있었다. 이같이 유망 산업인 게임산업에 대한 포용성의 상실은 한국사회가 경제발전의 기회로부터 멀어지는 결과를 가져올 수 있음을 시사한다.

• 한국사회복지학
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• 제69권2호
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• pp.143-169
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• 2017

본 연구는 서울특별시 북부병원 301 네트워크 사업에 참여한 이용자들의 경험을 통해, '보건-의료-복지' 네트워크를 통한 통합적 지원의 의미와 운영의 구체적인 맥락을 탐색한 연구이다. 이를 위해 일반적 질적연구 방법을 적용하여, 총 10명의 연구 참여자와의 심층면접을 통해 얻어진 자료를 주제분석하였다. 분석 결과, 이용자들은 301 네트워크 서비스 참여 이전 가난과 질병의 악순환으로 삶의 의지를 상실하였으나, 서비스 참여를 통해 '치료-케어-생활안정'의 통합적인 지원을 받을 수 있었고 이를 통해 종국에 그들의 삶의 의지가 재생성되는 경험을 하였다. 이러한 경험의 기저에는 다전문직의 팀의 구성, 병원 내외의 연계 체계의 구축, 치료 지원금 확보를 통한 치료연계 체계 구축, 조정 수준의 자원연계 등의 운영전략과 조건이 작동되고 있었다. 연계의 전략과 조건이 잘 갖추어진 '보건의료복지'의 통합 지원의 시도는 우리나라 보건복지 지원 체계의 한계를 보완할 수 있다는 가능성을 보여주었기에 관련 사업의 확장을 주장하였으며, 이를 위해 연계체계의 더욱 공고한 안정화와 제도적 측면의 개선을 제언하였다.

• Journal of Gastric Cancer
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• 제11권2호
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• pp.69-77
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• 2011

Purpose: In an effort to examine the clinicopathological characteristics of GC and the status of its surgical treatment, the Korean Gastric Cancer Association (KGCA) conducted a nationwide survey targeting surgically-treated gastric cancer patients in 2009. Materials and Methods: A standardized electrical case report was sent to every member institution of the KGCA via E-mail with detailed instructions regarding the survey data. Completed data forms were retrieved from each institution and analyzed by the KGCA information committee. Results: Data on 14,658 patients was collected from 59 institutions. The mean patient age was $59.2{\pm}11.9$ years with a male to female ratio of 2.05 : 1. Lower third cancer (56.0%) was the most common among all gastric cancers. The histological type revealed poorly differentiated adenocarcinoma (34.1%) to be the most common, and the Lauren classification revealed the intestinal type (50.0%) to be the most prevalent. Curative surgery was performed in 92.4% of patients with laparoscopic surgery in 25.8% of patients. A Billroth I reconstruction was performed most frequently after a distal gastrectomy (63.4% of distal gastrectomy). T1 cancers accounted for 57.6% of all cases, and 62.6% of patients showed no lymph node metastasis. Compared to previous reports, it was found that patients are becoming older, laparoscopic surgery is being performed increasingly, and the proportion of T1 cancer is increasing with time. Conclusions: This survey presented the clinicopathological characteristics and current status of the surgical treatment of gastric cancer in Korea. This survey is expected aid research studies as well as planning and evaluation programs targeting cancer control.