한국형 출혈열 이환 후 발생된 뇌하수체 기능 저하증 2 예 보고

최정규,윤경우,최수봉,강찬규,김종설 대한내과학회 1987 대한내과학회지 Vol.32 No.2

Korean hemorrhagic fever is a disease that most patients recover without sequelae after clinical course of febrile, hypotensive, oliguric, diuretic and convalescent phases. In the autopsy findings of Korean hemorrhagic fever patients, coagulation necrosis of anterior pituitary gland is known as one of the most characteristic macroscopic findings, but there has been rare reports of panhypopituitarism in patients with Korean hemorrhagic fever. Recently we have experienced panhypopituitarism in two patients who had past history of Korean hemorrhagic fever. First patient, who had Korean hemorrhagic fever 2 and half years ago was presented with chief complaint of sexual dysfunction, Second patient, who had Korean hemorrhagic fever 12 years ago was presented with Addison crisis-like manifestations. Both patients were confirmed as panhypopituitarism by combined anterior pituitary function test. There was no evidence of hypothalamic or pituitary diseases by history and several tests including brain CT scan. Past history of Korean hemorrhagic fever was confirmed by the high titers of antibody against Hantaan virus in patients serum. Our experience shows that Korean hemorrhagic fever can be a cause of panhypopituitarism and high index of suspicion should be maintained to detect hypopituitarism in patients with past history of Korean hemorrhagic fever when appropriate symptoms and signs are present.

행동경제학

최정규 대우재단 2011 지식의 지평 Vol.- No.10

삼척 산, 바다, 동굴이 어우러진 천연의 도시

최정규 The Korea Foundation 2008 Koreana (Korean) Vol.22 No.2

登錄稅, 印紙稅, 國民住宅, 債券등에 관한 小考

崔精圭 법조협회 1994 法曹 Vol.43 No.5

신포괄수가 시범사업 모형개선이 건강보험 보장률에 미친 영향

최정규,김선희,장정하,윤종민,강중구 한국보건행정학회 2020 보건행정학회지 Vol.30 No.2

Background: Korea set up a new diagnosis-related group as a demonstration project in 2009. The new diagnosis-related group was reformed in 2016. The main purpose of the study is to identify the effect of reform on coverage of national health insurance. Methods: This study collected inpatient data from a hospital that contains medical information and cost from 2015 July to 2016 June. The dependent variable was the coverage of national health insurance. The dependent variable was divided by total, internal medicine partition, surgical partition, and psychiatric partition. To analyze the effect of the reform, this study conducted an interrupted time series analysis. The final sample included 23,695. Results: The health insurance coverage of internal medicine has the highest, followed by surgery and psychiatry. The health insurance coverage of bundle payment is higher than that of unbundled payment. The proportion of bundled payment and non-benefit decreased and the proportion of unbundled payment increased. The coverage of national health insurance significantly increased after policy reform in internal medicine partition (p-value=0.0356). Conclusion: The results of the study imply that policy reform enhanced the coverage of national health insurance in internal medicine. The government needs to monitor side effects such as an increase of unbundled payment.

신포괄수가 시범사업 모형 개선 이후의 지불정확도 변화

최정규,김선희,신동교,강중구,Choi, Jung-Kyu,Kim, Seon-Hee,Shin, Dong-Gyo,Kang, Jung-Gu 한국보건행정학회 2017 보건행정학회지 Vol.27 No.3

Background: Korea set up new diagnosis related group (DRG) as demonstration project in 2009. The new DRG was reformed in 2016. The main purpose of study is to identify the effect of reform on accuracy of payment. Methods: This study collected inpatient data from a hospital which contains medical information and cost from 2015 to 2016. The dependent variables were accuracy of total, bundled, unbundled payment, and payment for procedures. To analyze the effect of reform, this study conducted a multi-variate regression analysis adjusting for confounding variables. Results: The accuracy of payment increased after policy reform. The accuracy of total, bundled, unbundled payment, and payment for procedures significantly increased 3.90%, 2.92%, 9.03%, and 14.57% after policy reform, respectively. The accuracy of unbundled payment showed the largest increase among dependent variables. Conclusion: The results of study imply that policy reform enhanced the accuracy of payment. The government needs to monitor side effects such as increase of non-covered services. Also, leads to a considerable improvement in the value of cost unit accounting as a strategic play a role in development of DRG.

A numerical investigation on head losses and flow qualities for a large cavitation tunnel without impeller

최정규,김형태,이창섭,이승재 대한조선학회 2022 International Journal of Naval Architecture and Oc Vol.14 No.1

In this study, a numerical investigation of the flow quality and total head loss of a large cavitation tunnel is conducted. Excluding the impeller, the entire tunnel is modeled, and calculations are conducted for the test section's maximum speed of 15 m/s. The numerical study showed that an edge chamfer eliminates the pressure drop in the test section, resulting in a constant cavitation number downstream, and that a diverging top diffuser, as opposed to a flat top, induces upward flow at the exit of the test section. Also, the effectiveness of the flow straightener and honeycomb in reducing turbulence has been validated. In the test section, the turbulence intensity is 0.10% and the uniformity is 0.20%. The 2nd corner has the highest head loss due to the shaft. Due to the relatively high speed, significant head losses are observed in the test section, diffuser, and first corner.

원측 유식학의 철학적 기반

최정규 보조사상연구원 1999 九山論集 Vol.3 No.-

국내 정신보건시설의 재원기간과 관련된 정신사회적 요인

최정규,장홍석,이명수,홍진표,박종익 대한신경정신의학회 2013 신경정신의학 Vol.52 No.2

Objectives The aim of this study was to investigate the correlated factors that may influence the length of stay in mental health related facilities. Methods We chose 2253 patients with mental illness using a stratified multi-stage cluster sampling from 48 psychiatric hospitals, twelve psychiatric clinics, five psychiatric welfare facilities, and five mental rehabilitation facilities. The investigation involved psychiatrists, psychology practitioners, and social workers, and lasted from August 1, 2008 to November 15, 2008. Assessment and investigation of diverse factors was performed using one-way analysis of variance in order to examine their influence on length of stay. Results Factors showing significant correlation with length of stay included the types of mental health related facilities, age, marital status, socioeconomic status, type of medical security, familial support, type of admission, diagnosis, age of onset of the illness, number of admissions, severity of psychiatric symptoms, daily living and social function, GAF score, prominent thought/perception disability, memory/orientation disturbance, odd behavior/prominent regression, personal hygiene, communication/personal relationship, management of money, and public transportation/facility utilization. Conclusion Findings of this study suggest that the type of mental health related facilities and the type of medical security are the most significant factors showing correlation with length of stay.

국내 방음벽 구조물 개별요소에 대한 강풍취약도 평가

최정규,전오현,정우영 한국복합신소재구조학회 2017 복합신소재구조학회 학술발표회 Vol.2017 No.04

Recently, the damage caused by typhoons and strong winds, which frequently occur as a result of global climate change, is on the rise. Soundproofing and windshield walls installed on roads often fail to function because of damage due to strong winds. Therefore, in this study, strong wind fragility evaluation was performed to predict the probability of failure of soundproof / windproof walls from wind loads. A three-node bending experiment was carried out to investigate the material characteristics of the aluminum frame which was installed on the actual soundproof wall. Based on the results of this experiment, the resistance performance of target structure was calculated, and the frame damage was selected as the performance limit state. Wind loads acting on 4m x 1m individual element soundproof wall was compared with the resistance capacity by Monte Carlo simulation method. In the future, the evaluation of the strong wind safety of the sound barrier structure should be proceeded by setting the limit state and performing the vulnerability evaluation through the additional experimental data. This work can become guideline information for future design of soundproof and windproof wall.