포괄수가지불제도 적용에 따른 산부인과 진료수입의 변화

황태연,유병철,정귀언,정수진,김성준,배기택,손혜숙,이종태,전진호,엄상화 인제대학교 2001 仁濟醫學 Vol.22 No.1

Objectives: Under the fee-for-service system, Korean hospitals have been suffering from the worsening profitability caused by law medical care fees. To overcome the difficulties, they have maximized the quantity of medical services and made relatively large investment in developing new medical services using high-priced medical equipment, medicines and medical supplies which were not covered by medical insurance system rather than reduced running costs. Materials and Methods: This study was made to analyze and forecast the revenue change of the department of Obstetrics and gynecology of an university hospital in Seoul, expecting the implementation of DRG system in 2000. Results: The results were as follows : 1.During the first two days of hospitalization. 41% of total medical service fee was occurred, which was thought that most of the check-ups and operations were made during this period. After two days of hospitalization, the new occurrence of medical service fee tended to reduce. 2.Out of total medical service fee, 67% of admission fee was occurred after 5 days of hospitalization. This was because medical service fees in obstetrics and gynecology department occurred during the first 5 days of hospitalization. 3.Out of fees for operation, treatment, medical supplies and blood transfusion. 71% was occurred during the first two days. 4. In case of fees for examination, 50% was occurred during the first two days. 5.A total of 53% of fees for medication and injection was occurred during the first 5 days. Conclusions: By the implementation of the DRG system, the income is forecast to increase by 800 won to 310,000 won by the disease group of obstetrics and gynecology department. To increase hospital income with the implementation of DRG system, the results of this study suggest that examinations should be done at out-patient departments before the hospitalization of patient, the discharge of patient should be noticed in advance to reduce the period of hospitalization, and admission appointment system should be implemented for the immediate operation and delivery.

인체대장암에서의 Cyclin 유전자의 발현

백원기,서민호,서성일,문성희,박종욱,최병길,배옥석 대한대장항문학회 1996 Annals of Coloproctolgy Vol.12 No.2

Hydroxybiphenyl 유도체의 항균작용(Ⅲ) : 충치균 Streptococcus mutans에 대한 p-Phenylphenol 유도체의 항균작용 The Antibacterial Activities of p-Phenylphenol Derivatives against a Cariogenic Bacterium Streptococcus mutans

배기환,서원준,박종태 충남대학교 약학대학 의약품개발연구소 1991 藥學論文集 Vol.7 No.-

For the purpose of developing of anticariogenic agents, p-phenylphenol derivatives were synthesized and determined their antibacterial activities against a cariogenic bacterium, Streptococcus mutans. Among synthetic compounds, 2-nitro-6-bromo-p-phenylphenol showed as potent antibacterial activity as magnolol and honokiol.

반투과 박막의 광정수 측정

裵世煥,成商基,秦源培 東亞大學校 1981 東亞論叢 Vol.18 No.1

The determination of the absorption of very weakly absorbing thin film systems is a difficult problem. Shamir-Graff have introduced a method by which optical parameters of thin films are obtained from meaurements of interference between reflected and transmitted laser beams. Values of n, k, and h, the thickness of the film, are obtained. We have performed the measurements on a silicon oxide and cerium dioxide for evaluation the method. The results of two kinds of sample at room terperature made by vacuum deposition are that (a) the refractive index is 1.92 and the extinction coefficient is 0.001 at depostion rate 6Å/sec of SiO, refractive index 1.93 and extinction coefficient 0.002 at the rate 12Å/sec of SiO and (b) the refractive index is 2.26 and the extinction coefficient is 0.003 at deposition rate 40Å/sec of CeO? in which the whole sample thickesses are range from 1,000Å to 15,000Å.

HBsAg 양성자에 있어서의 HBe 항원 및 간기능검사에 대한 고찰

배기택,김병성,최원충 인제대학교 1990 仁濟醫學 Vol.11 No.2

건강관리과 신체 검사에서 발견된 473명의 HBsAg 양성자를 대상으로 HBeAg 및 transaminase치를 추적 조사하여 HBeAg 양성률이 45.1%, transaminase 상승률이 28.5%이고 HBsAg 보균자가 지속될 확률은 98% 이상임을 밝혀냈다. Among those who received regular health examination at health center, 473 HBsAg carriers were followed for 5 years with serial measurements of transaminase levels, hepatitis B surface antigen (HBsAg), hepatitis Be Ag(HBeAg). Male to female ratio was 4.7:1 and the average age was 32 in male, 26 in female. Persistent HBsAg positive rate was 98.7% and HBsAg was seroconverted to negative in 6.4%. The HBeAg positivity rate among HBsAg carriers was 45.1%, and seroconversion late of HBeAg was 4.3%. Transaminase levels were elevated in 28.5% of the HBsAg carriers. The proportion of abnormal transaminase levels in HBeAg positive carriers (42.9%) were significantly higher than that of HBeAg negative carriers (20.2%)(P<0.005) and the Odds ratio was 2.96. The 24 clients out of 135 carriers (17.8%) who had elevatd transaminase levels were normalized and the average duration was 7.1±7.0 months.

젊은 예술가의 초상

裵基源 관동대학교 1997 關大論文集 Vol.25 No.1

James Joyce published his long novel, A Portreit of the Artist as a Young man, in 1916. He employed Stephen's growing mind from his infancy to his young man; from a six years old child to a twenty years old young man. The novel is composed of five chapters, thereby I researched them by chapters in this novel. As over 90% of Irish populations and Joyce are catholic, I concentrated on their ethos and connected them in conjunction with five chapters. While Stephen was attending Belvedere College, the rector of school consulted with him to become a catholic father. However, Stephen declined to become an artist, although the rector didn't know the fact that Stephen had carnal sex with a whore. Therefore, he rued so much after hearing a father's preaching on the hell where all devils, evils, and thirty things are. As a result, Stephen departed from his family, church, country and exiled to foreign countries to become a creative literary writer. Thus, Joyce buckled down for ten years, concluding this ambitions and fine work. In this novel, the readers realize that there are Stephen's strong intrepid soul and spirit to describe this literary art, the novel. In addition, I delineated something about stream of consciousness.

초등학교 게임수업에서의 팀 선호 유형 분석

정배영,부기원 江原大學校附設體育科學硏究所 2004 江原大學校附設體育科學硏究所論文集 Vol.- No.27

This study aims to analyze team preference types according to various variables in game activity situations in elementary school class. It is possible to identify students' participation level in game activities in class by examining team preference types indicated in forming teams with the variables of gender differences, of the time of measurement - in the beginning and at the end of a school term, and of team formation of the same-sex members and mixed-sex members. And then this study addresses individual characteristics of students and locates the students alienated from activities in order to create environments that can make all students enjoy class. To serve this purpose, 41 students (23 male and 18 female students) from 2nd class of Year 4 at Nara Elementary School(Alias) in Chuncheon were chosen for the subjects of this study. This study addressed a series of physical training classes conducted by a physical education teacher by observing them, and another series of physical training classes conducted by the researcher herself. The data were collected by resorting to participatory observation, descriptive observation, in-depth interviews and a survey. The data collected were analyzed by means of constant comparative method, examination by member, diversified analytical method, and agreement by colleagues. The results drawn from the above processes are as follows: First, team preference types by gender difference indicated that male students preferred 'victory pursuing style' and 'activity pursuing style', while female students went for 'close friends prefering style'. Second, team preference types in the beginning and at the end of a school term revealed that students preferred 'indifferent style' and 'activity pursuing style' in the beginning of a term, while they preferred 'victory pursuing style' at the end of the term. Third, team preference types in team formation of the same-sex members and mixed-sex members shoed that in the teams with the same-sex members, the styles of 'victory pursuing style', activity pursuing style' and 'close friends preferring style' were evenly distributed, whereas in the teams with mixed-sex groups a lot more students preferred 'victory pursuing style'.

自然資源 Cartel化와 이에 對應한 緩衝在庫 運用方案

김기태,정현식,김유배,이종원 成均館大學校 韓國産業硏究所 1981 韓國經濟 Vol.9 No.-

원유수출국기구 OPEC이 1973년 이후 가격Cartel화를 통해 원유가를 계속적으로 성공리에 인상시킴에 따라 다른 자연자원수출국들이 이에 자극을 받아 OPEC을 모방한 국제기구들을 새로 조직하거나 기존기구들의 활동을 강화하게 되었으니 그 주요한 예로 ITC, CIPEC, IBA 그리고 AIEC등을 들 수 있다. 이로 인해 주요원자재의 국제가격이 급상승하는 현상을 낳게 되어 세계각국, 특히 자원수입국경제에 지대한 영향을 미치게 되었다. 한편 후진국이 중심이 되어 발족된 UNCTAD는 그들 경제문제의 보다 적극적인 해결방안의 일환으로 그들의 주요수출품인 자연자원의 Cartel화를 추진하는 한편 이른바 신국제경제질서를 주창하며 국제종합상품대책을 마련하여 후진자원수입국들의 수출수익안정 및 증대를 도모함에 따라 세계적 Inflation 현상을 가속시키게 되었다. 자연자원의 부존상태가 빈약하여 대부분을 수입에 의존해야 하는 한국은 수입원자재가격의 급등으로 국내물가 및 수출에 지대한 피해를 입게 되었고 지속적인 경제성장에 제동이 걸렸다. 본 연구는 해외로부터의 자원의 안정적인 공급방안의 하나로 완충재고 운용효과를 분석코자 국제자연자원시장의 현황을 살펴보는 동시에 이들 가격의 변동으로 인한 국내경제에의 영향에 대하여 새로 기존연구결과 및 자료를 토대로 정리하였다. 한편 완충재고의 운용방식 및 효과분석에 알맞는 모형을 설정코자 역대의 제반이론을 비교 검토하였다. 검토결과, 기존하는 대부분의 이론들인 폐쇄경제(Closed Economy)하에서 완충재고를 운용할 때에 공급자 및 소비자에 미치는 영향을 중심으로 전개되었음이 밝혀져 본연구의 목적을 성취시키기 위하여는 새로운 모형의 개발이 필요시됨을 알 수 있었다. 즉 개방경제하에서 한국과 같은 소국이 자체만의 비축을 통하여 외생적으로 주어지는 국제가격으로부터의 충격을 완화시킬 수 있는 모형은 전무하였다. 따라서 본고에서는 Konandreason과 Schmitz의 분석을 토대로 새로운 모형을 도입하여 사용하였고 소국이 국제무역에서 갖는 특징을 감안하여 부분완충화방안의 하나인 가격안정대(Price-Band)정책을 운용한다는 가정하에 적정비축량을 산정하였다. 연구대상품목으로서는 해외의존도 및 가격Cantel화정도 등의 기준에 의거하여 원유, 원당, 철강석, 원면 및 알루미늄의 5개원자재를 선정하였고 통계적 추정에 있어서는 세계시장의 경우 연립방정식, 그리고 국내시장은 1차방정식체계를 이용하였다. 여기서 추정된 국제 및 국내방정식을 토대로 1980년부터 1985년까지 6개년간의 국내가격예측치를 산정하였고 이들 가격을 장기 추세치(3년 이동평균을 사용하였음)을 중심으로 하는 가격 안정대에 추지시키는데 소요되는 비축량을 계산하였다. 계산결과, 원유 및 알루미늄에 대해서만 타당성 있는 비축량이 얻어졌고 이들 두 품목 중 원유의 경우는 시장가격을 안정대내에 묶어두기 위해서는 실로 막대한 비축물량(5%가격 안정대 경우 전체수입의 약 30% 내지 127%)이 필요한 것으로 나타나 실현가능성이 희박한 것으로 나타났으며 알루미늄경우에 한해 합당한 수준의 가격완충용 비축물량이 계산되었다. 본연구가 선정했던 5개 품목 중 단 두 품목에 대하여만 당초 의도했던 적정비축량 산정이 가능했던 점은 주로 자료부족에 연유하는 것이었으나 이외에도 본연구결과가 갖는 한계성을 지적해 둘 필요가 있을 것이다. 첫째, 완충재고운용에 소요되는 비용을 자료부족으로 인해 고려하지 못함으로서 완충제도자체의 효율성분석(Cost-Benefit Analysis)이 다루어 질 수 없었다. 둘째, 국내시장의 경우 대부분의 품목이 국내생산이 전무하거나 무시할 수 있을 정도로 미미한 상태에서 국내수요와 수입의 구분이 불투명하였고 따라서 소비자 및 공급자가 비축제도운용으로부터 얻는 득실에 대한 논의를 전개시킬 수 없었다. 셋째, 앞서 지적한 자료의 불충분으로 구조방정식을 완전한 연립방정식체계로 설정할 수 없었고 따라서 장기가격 추세치를 직접도출하지 못하여 적정비축량 산출에 있어 동태적 Simulation을 적용치 못하고 나아가서는 비축량의 확보시기를 명시하지 못한 채 소요방출량만을 제원 하는데 그쳤다.

전기응집에 의한 도금폐수 처리의 최적화

이찬원,양기섭,윤재일,박영배 경남대학교 환경문제연구소 1998 환경연구 Vol.21 No.-

The zinc containing wastewater from the metal finishing industry was treated by electro-coagulation system. The zine was effectively removed with removal efficiency ranging from 95 to 99%. The operation of the system was conducted to find out the optimum conditions to reduce bleaching out effect from plate, changing important parameters such as reactor plate select, flow rate, pass, amperage and settling time, along with a consideration of O&M costs for the electro-coagulation system. The most effective and economical conditions was concluded to be a combination of Fe plate 1.0 L/min of flow rate, 5 pass, 15 amperage and 30 min settling. The copper plating wastewater was also effectively treated with 94% removal effectively under this optimum condition.

폐 프리트를 활용한 자기질 타일 소지의 개발

김순기,박민준,배원태 국립경상대학교 공과대학 부설 첨단소재연구소 1992 尖端素材 Vol.2 No.-

The optimum batch formula to obtain the vitreous tile body using the waste frit at 1210℃ was studied. The basic batch formula in this study consisted of 20 wt% Hongkong clay, 10 wt% Hadong kaolin and 70 wt% fluxes. Bobae pottery stone, Gagok feldspar and waste frit were used as fluxes. Surface flatness of the samples, which were fired at 1210℃, were maintained using waste frit up to 40 wt%. The samples with 40 wt% waste frit showed deformation when feldspar content increasd above 25 wt%. When waste frit was used above 30 wt%, water absorption of the samples which were fired at 1210℃ were less than 0.5%. After all the batches were milled so that approxiamtely 1% of residue remained on the 62 ㎛ sieve, samples fired at 1210℃ showed no weight change after abrasion resistance test. The most favorable result was obtained from the sample which contained 35 wt% waste frit, 20 wt% pottery stone, and 15 wt% feldspar. The above sample fired at 1210℃ showed 39.64 MPa of MOR test, about 0.2% of water absorption, and about 4.2% of firing shrinkage.