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관광정보기술 적용에 관한 연구 : 호텔정보시스템을 중심으로
김천중,김권수 관광경영학회 2000 관광경영연구 Vol.7 No.-
In this article, I have a purpose to research the applied condition of hotel information system in Korea to see how IT(Information Technology) which is required to process tourism information precisely and efficiently is applied to tourism industry and then suggest the direction of development of hotel information system application. The survey was practiced on 13 first class hotel in Seoul, Korea, from September 27 to October 7 by mainly fax and telephone. As a result of this research, I think that the hotels in Korea still have many things to do, applying information technology. Especially IT should be applied for the work connection among departments in front office and in back office as well as between front office and back office to achieve an entire harmony.
천민정(Min Jung Cheon),권용일(Yong Ill Kwon),유영옥(Young Oak Lew),이방현(Bang Hyun Lee),이희중(Hee Joong Lee),김찬주(Chan Joo Kim),권동진(Dong Jin Kwon),이진우(Jin Woo Lee),박태철(Tae Chul Park) 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.2
목적 : 최근 증가되는 자궁외임신에 대한 5년간의 고찰로 자궁외임신의 임상 및 역학적 특성을 분석함으로써 자궁외임신의 조기진단과 치료의 발전을 도모하기 위하여 본 연구를 시행하였다. 연구 방법 : 1995년 1월부터 1999년 12월까지의 가톨릭대학교 의정부성모병원에서 수술 후 조직병리학상 자궁외임신으로 확정된 입원기록을 중심으로 임상 및 역학적인 특성 등을 분석하였다. 결과 : 자궁외임신의 빈도는 20개의 분만당 1건 이였으며 26-30세에서 가장 많이 호발 되었다(34.4%). 과거력상 복부나 골반수술을 시행한 경우가 42.1%이였고 난관 불임술은 14.4%이였으며 골반염이 있었던 경우가 8.3%이였다. 헤모글로빈은 10gm/dl이상이 79.2%이였고 8gm/dl이하가 4.5%이였으며 입원 당시 수축기 혈압은 100mmHg이상이 79%이었다. 마지막 생리 기간과 초기증상이 나오기까지의 기간은 6-8주가 56%로 가장 많았고 임상적 증거는 마지막 생리 후 4∼8주가 지나서 나타나는 경우가 78.8%이였는데 증상 중에서 무월경 91.7% 하복통 88.3% 질 출혈이 47.3%이였다. 난관 내에 이소성 임신이 97.1%, 난소임신 1.1%, 자궁경부 임신 0.7%, 복강내 임신에 0.9% 그리고 1례는 자궁내벽임신이었다. 복강내 출혈은 100-999ml인 경우가 59.5%이였고 1000ml이상은 37.5%이였으며 100ml 이하는 3.0%이였다. 448례 중에 개복술 229례(51.0%), 복강경 수술 219례(49.0%)이었고, 평균 재원일수는 복강경 수술 3.1일, 개복술은 5일이였다. 수술방법은 난관 절제가 87.5%, 난소 난관 절제 4.9%, 자궁각절제 6.3%, 난소 쐐기 절제술이 0.7%이었고 난소 절제술이 0.2%이었다. 복강경 수술시 개복술에 비해 입원일수가 약 2일 정도 감소되었고 합병증은 개복수술의 경우 1.7% 복강경 수술의 경우 1%정도로 측정되었다. 결론 : 자궁외임신의 빈도를 증가시키는 여러 가지 요인들에 대한 관리와 인식이 필요하며다양한 진단방법을 통한 조기진단과 함께 보존적, 약물적, 수술적 치료방법을 시행함으로써 모체의 이환율 및 사망률을 감소시킬 수 있고, 또한 향후 임신가능성의 예후를 향상시킬 것으로 기대된다. Objective : The incidence of ectopic pregnancy is increasing recently. To establish the quick and accurate diagnosis of ectopic pregnancy, we reviewed and analyzed the cases during recent 5 years Methods : Study datas was acquired from the 448 cases of the ectopic pregnancies who were managed and confirmed histopathologically at the our hospital from Jan. 1 1995 to Dec. 31 1999. Results : The incidence of ectopic pregnancy was 1 in 20 deliveries. The most common age group was 26 - 30 years of age(34.4%). A previous history of abdominal or pelvic surgery was in 42.1% and tubal sterilization was in 14.1%, pelvic inflammatory disease was in 8.3%. Hemoglobin value over 10.0 gm/㎗ was in 79.2% and below 8.0 gm/㎗ in 4.5%. Initial systolic blood pressure risen above 100mmHg was in 79.0%. The most frequent intervals between last menstrual period and the onset of symptom was 6∼8 weeks in 56.0%. The clinical manifestations were appeared in 78.8% from the last menstrual period to the next 4∼8 weeks. In clinical symptoms, amenorrhea was encountered in 91.7%, lower abdominal pain in 88.3% and vaginal spotting in 47.3%. Ectopic gestation was implanted on the fallopian tube in 97.1%, the ovary in 1.1%, the cervix in 0.7%, the intraabdominal in 0.9% and 1 case was intramural pregnancy. Total amount of intraperitoneal hemorrhage between 100-999ml was in 59.5%, above 1,000ml in 37.5% and less than 100 ml in 3.0%. Of total 448 cases, laparotomy was done in 229 cases(51.0%) and pelvisopic surgery in 219 cases(49.0%). The mean hospital stay was 3.1 days in pelviscopy procedure and 5.0 days in laparotomy. The operative precedures were salpingectomy in 87.5%, salpingo-oophorectomy in 4.9%, cornual resection in 6.3%, ovarian wedge resection in 0.7%, and oophorectomy in 0.2%. There was no dead case in all ectopic pregnancy. Average admission period after laparoscopy was 3.1 day and after laparotomy was 5.0 day Conclusion : The cognizing of increasing incidence of ectopic pregnancy, early diagnosis and early treatment is presumed to decrease mortality and increase fertility. The successful treatment and decision is a challenge to the clinician who must consider the patient's needs with appropriate tactfulness.
( Young Kook Shin ),( Joong Goo Kwon ),( Ka Young Kim ),( Jae Bum Park ),( Seok Jae Han ),( Jong Woon Cheon ),( Eun Young Kim ),( Ho Gak Kim ),( Tae Sung Lee ),( Kyung Sik Park ),( Kyoung Sook Won ) 대한소화관운동학회 2010 Journal of Neurogastroenterology and Motility (JNM Vol.16 No.1
Cyclic vomiting syndrome (CVS) is a disorder characterized by recurrent episodes of incapacitating nausea and vomiting interspersed with symptom free periods. Common triggers of cyclic vomiting include noxious stress, excitement, fatigue and menstrual period. Here, we report a case of cyclic vomiting syndrome in adult patient characterized by stereotypical vomiting attack, occurring in every menstruation period. Recurrent vomiting episodes began 6 years ago and we treated this patient with subcutaneous injection of goserelin, a gonadotropin-releasing hormone analogue (GnRHa) and oral estrogen. After 4 months of therapy, she was symptom free for the following 5 years, even with the resumed normal menstruation. Recurrence of vom -iting attack with same pattern occurred 1 month before readmission. Treatment with intravenous Lorazepam aborted vomiting, but could not prevent recurrences of vomiting and epigastric pain. We treated the patient with GnRHa and oral estradiol again which effectively prevented recurrence of the symptoms.(J Neurogastroenterol Motil 2010;16:77-82)
기관지경검사에서 Midazolam 의 임상적 유용성에 관한 연구
천은미(Eun Mee Cheon),박상준(Sang Joon Park),권오정(O Jung Kwon),김호중(Ho Joong Kim),정만표(Man Pyo Chung),최동철(Dong Chull Choi),이종헌(Chong H . Rhee),한용철(Yong Chol Han) 대한내과학회 1997 대한내과학회지 Vol.53 No.2
N/A Objectives: Although bronchoscopy is an important diagnostic tool for lung disease, patients compliance is low due to discomfort. Recently, midazolam which has a favorable anterograde amnesia effect and short action duration, has been used to relieve patients discomfort during bronchoscopy. Midazolam was investigated in order to see the beneficial effect and safety during bronchoscopy. Methods: The study design was single blind, randomized, prospective. 102 patients were included, in whom bronchoscopy was performed between June, 19% and October, 1995 at Samsung Medical Center. They were categorized into midazolam group and control group. Patients were asked about the amnesic effect, discomfort of procedure and the willingness to repeat procedure. The consciousness level of patients during procedure, patient cooperation during procedure and ease of procedure were also reported by bronchoscopists. Results: 1) The difference of oxygen saturation between two groups : There was no significant difference in oxygen saturation between midazolam group and control group before and after bronchoscopy. During procedure, however, mean oxygen saturations in midazolam group (90±6.4%) was significantly lower than in control group (93±4.7%)(p<0.05). 2) Evaluations by patients (1) Effect of amnesia : 41 patients (82%) in midazolam group could not recall the procedure but 52 patients (100%) recalled the entire procedure in control group. A favorable amnesic effects could be found in midazolam group(p<0.05). {2) The discomfort during the procedure: 43 patents(86%) did not experience discomfort from procedure in midazolam group but 25 patients(48%) complained of discomfort in control group (p<0.05). (3) Most patients except two(96%) were willing to repeat fiberoptic bronchoscopy in midazolam group but 13 patients (25%) answered that they would never repeat bronchoscapy. There was a statistically significant difference between two groups in the willingness to repeat bronchocopy (p<0.05). 3) The evaluations by bronchoscopists Cooperations of the patients and ease of procedure were not different between two groups. The patients in midazolam group except eight could not respond to verbal stimuli but most patients were awakened during procedure in control group(p<0.05). Conclusion: Midazolam is a good sedative agent for a patient to give a favorable amnesia, reduction of discomfort during bronchoscopy. We concluded that midazolam is a safe and useful sedative agent and midazolam may be used routinely during bronchoscopy. Monitoring of oxygen saturation, however, is essential to prevent severe hypoxia during procedure.
工業敎育大學의 實驗實習施設 共同活用 및 運營에 關한 硏究
尹錫天,牟相榮,權五憲,千炳善,周赫鍾,李永臣,金健中,羅聲雄,洪錫雨,吳德成,盧泰天 충남대학교 공업교육연구소 1983 論文集 Vol.6 No.2(A)
The College of Engineering was specialized to have a sole function for supplying technical high school teachers in 1977 and referred to as the College of Industrial Education according to the Government's policy. The economic impact mainly due to the oil-crises caused a severe problem to this college, namely discrepancy of supply to demand scale. Accordingly the number of student enrollment was to be fluctuated from 479 in 1979 through 800 in 1979 and 900 in 1980 to 430 in 1981. And the engineering departments have been attached to this Engineering Education College since 1981. These circumstanses met singnificant inefficiency in facility operation. This program aims at providing an overall relocation of the college facilities and preparing the practical system to make the joint-operation possible taking into account circulation, academic stream, budget, maintenance, etc. However this study could not get optimal spacing but some trade-off, considering the current situation.