진료재료의 관리개선을 통한 운영재고 절감 방안

김경미,박지혜,Kim, Kyoung Mi,Park, Jee Hye 한국의료질향상학회 2013 한국의료질향상학회지 Vol.19 No.1

Research Problem: 45-65% of all medical supplies in hospital are used in operating rooms. Medical supplies in operating rooms are difficult to manage in general because many of them are frequently used and come in a variety of types. Purpose: Our aim was to strive for user-friendliness and reduce the inventory through efficient management of medical supplies stocked in operating rooms. Medical Facility: Korea University, Ansan Hospital Quality Improvement Activity: On the last day of each month, we checked the inventory of medical supplies in all operating rooms by identifying the amount of medical supplies in each room, warehouse, and OCS, identified problems, and presented the ways to improve. Improvement Outcome: We increased the number of post-processing medical supply items by 8%, and reduced the inventory cost by 15% through improved management of medical supplies.

청각자극의 세기에 따른 노인의 인지 반응시간 분석

김경미,장문영,홍은경,Kim, Kyeong-Mi,Chang, Moon-Young,Hong, Eun-Kyoung 대한감각통합치료학회 2007 대한감각통합치료학회지 Vol.5 No.1

Objective: The purpose of this study was to get the cognitive reaction time according to the intensity of auditory stimuli in older people and to differentiate the cognitive reaction time between older people and adults. Method: 49 subjects consisted of 32 older people and 17 adults. Cognitive reaction time was assessed with Simple Auditory Reaction of Foundation I in PSS CogReHab. Analysis of the data was done by using independent t-test. Results: The results were as follows: 1. There was a significant difference of the mean of cognitive reaction time to the intensity of auditory stimuli. 2. There was no significant difference from older people regardless of sexual distinction in mean of cognitive reaction time. However, there was a significant difference of the mean of cognitive reaction time in adults. 3. There was a significant difference between older people who got a job or not in 90 dB of auditory stimuli. 4. The mean of cognitive reaction time to the intensity of auditory stimuli in older people was slower than adults. There was a significant difference of the mean of cognitive reaction time between older people and adults in 70 dB of auditory stimuli. 5. The mean of cognitive reaction time to the intensity of auditory stimuli in older people did not have the significant difference in scholastic ability. Conclusions: The results of the study showed slowing of the cognitive reaction time in auditory stimuli to aging in older people. Therefore, applying silver industry and development of equipment for older people may maintain independent life.

자하거 약침을 이용한 기미 환자 치료에 대한 임상연구

김경미,김민지,홍승욱,Kim, Kyoung-mee,Kim, Min-ji,Hong, Seung-ug 대한한방안이비인후피부과학회 2003 한방안이비인후피부과학회지 Vol.16 No.2

Objectives: The purpose of this study is to evaluate the efficacy of Hominis Placenta Aqua-acupuncture Solution in patients of melasma. Methods: The treatment was performed twice weekly in 15 volunteer patients for 8 weeks by Hominis Placenta Aqua-acupuncture Solution. We used Melasma Area and Severity Index(MASI) to evaluate the severity of melasma. Results: MASI score was decreased from A to B and the significant clinical improvement was proved compared to before treatment. Conclusions: On the basis of this study, Hominis Placenta Aqua-acupuncture Solution is an effective treatment of melasma.

IMO 최근 의제 동향 및 한국의 IMO 활동현황

김경미,조익순,Kim, Kyoung-Mi,Cho, Ik-Soon 해양환경안전학회 2009 해양환경안전학회지 Vol.15 No.2

국제해사기구(IMO)에서 검토되는 의제들은 갈수록 다양해지고 있으면, 내용도 목적기반선박건조기준(GBS), 선체보호도료의 성능기준개발(PSPC), 선박장거리위치추적제도(LRIT) 등 세부적인 사항까지도 국제적인 표준화를 도모하고 있는 추세이다. 본 논문에서는 IMO 각 위원회의 최근 동향을 살펴보고 이에 대한 한국의 대응 및 활동현황을 조사 분석해 본 결과, A그룹 이사국 지위에 맞는 역할 수행이 아직 미흡하고 정부의 IMO 대응능력을 지속적으로 뒷받침 할 연구지원 인프라가 없는 것으로 나타났다. 이에 한국은 국가차원에서 국제해사동향에 정책적으로 접근할 필요성을 절실히 인지하여야 하며, 국제해사정책을 주도할 수 있는 국내외 인프라 완비가 필요하다고 판단된다. IMO is treating various and numerous agenda with time, and the contents of agenda have been tending to achieve international standardization for details of technology, for example GBS(Goal based new ship construction standards), PSPC(Performance Standards of Protective Coating), LRIT(Long-Range Identification and Tracking of Ships), etc. This paper presents the latest agenda trend of IMO committees and analyzes the ROK's activities in response to IMO committees. In the result of analysis, ROK lacks in performance ability as a A-category council member as well as infrastructure to support the government activities in IMO continuously. Therefore, ROK should be conscious of policy approaches to international maritime tendency and needs to complete the internal/external infrastructure which leads the international maritime policy.

인공모델막에 대한 Polyene 계 항생물질의 영향 ( 2 )

김경미,손동환,유병설 ( Kyoung Mi Kim,Dong Hwan Sohn,Byung Sul Yu ) 생화학분자생물학회 1990 BMB Reports Vol.23 No.1

The effects of water soluble derivatives of polyene antibiotics, amphotericin B methyl ester (AME) and nystatin methyl ester, on the osmotic behavior of sterol-containing liposomes were investigated. The activity of polyene methyl esters on different sterol-containing liposomes as a function of sterol contents was observed. Cholesterol, ergosterol and 7-dehydrocholesterol were incorporated to egg phosphatidylcholine/dicetyl phosphate liposomes, which showed a good osmotic stability. When polyene derivatives were added to liposomes containing ergosterol, the osmotic stability was disturbed at final concentration of 6.45×10^(-5)M. Cholesterol-containing liposomes were not affected by these antibiotic solutions of the same concentration. 7-Dehydrocholesterol-containing liposomes have shown the intermediate sensitivity to AME when compared with cholesterol- and ergosterol-containing liposomes. Selectiveactivity on ergosterol-containing liposomes was also observed for nystatin methyl ester at a higher concentration above 2.31×10^(-4)M. These results suggest that AME is more potent than nytatin methyl ester and that the selectivity of polyene antibiotics for fungi is due to a stronger interaction of polyenes with ergosterol than with cholesterol.

유방의 원발성 편평상피암종의 세침흡인 세포학적 소견 - 1예 보고 -

김경미,이안희,이교영,서은주,심상인,문한림,Kim, Kyoung-Mee,Lee, An-Hi,Lee, Kyo-Young,Seo, Eun-Joo,Shim, Sang-In,Moon, Han-Lym 대한세포병리학회 1996 대한세포병리학회지 Vol.7 No.1

A primary squamous cell carcinoma of the breast was evaluated by fine needle aspiration cytology in a 60 year-old female. Squamous cell carcinoma is a rarely encountered lesion in the breast and nine cases of cytologic findings of mammary squamous cell carcinoma have been reported in the world literature. Our case appears to be one of these rare pure squamous cell tumors. The cytologic diagnosis was possible because of the well defined characteristics of the malignant squamous cells, similar to those found in other locations. Thorough examination of the patient did not reveal squamous cell carcinoma elsewhere.

위에서 전암병변의 분류와 임상적 의의

김경미,Kim, Kyoung-Mee 대한위암학회 2009 대한위암학회지 Vol.9 No.2

암종화 과정 중 침윤성 암종의 발생에 선행하는, 형태학적으로 인지되는 병변이 전암병변이다. 그러나 전암병변의 임상적인 중요성에도 불구하고 전암병변에 대한 목록이나 분류에 대한 노력은 거의 전무한 실정이었다. 2001년 미국암연구소 주최 전암병변의 분류에 대한 모임에서는 전암 병변이나 비침윤성 병변에 대한 통일된 전문용어가 없음을 결론짓고 모든 주요 장기에서 전암병변의 용어와 진단 기준에 대한 협약을 할 것을 권고하였다. 이 모임에서 결정된 바에 의하면 모든 전암병변이 종양으로 진행되는 것은 아니라는 것이다. 그리고 한편으로는 종양으로서의 특성이 명확히 밝혀지지는 않았으나 암과 밀접하게 연관이 있는 것으로 밝혀진 미만성의 증식성 병변도 전암병변으로 분류하였다. 본 종설은 이러한 전암병변의 정의 및 분류 체계에 맞추어 인체의 주요 장기인 위에서의 전암병변을 분류하고 그 임상적 의의를 알아보고자 한다. During carcinogenesis, precancers (premalignant lesions) are the morphologically identifiable lesions that precede invasive cancers. In theory, the successful treatment of precancers would result in the eradication of most human cancers. Despite the importance of these lesions, there has been no effort to list and classify all of the precancers. In 2001, the NCI sponsored a workshop on the classification of precancers. When considering all the possible classes of precancers, it is worth noting that not all precancers are neoplastic. In fact, precancers need not progress to cancer, and precancerous lesions often have a high rate of regression. Thus, the following five classes were adopted: 1) acquired microscopic precancers; 2) acquired large lesions with microscopic atypia; 3) Precursor lesions occurring with inherited hyperplastic syndromes that progress to cancer; 4) acquired diffuse hyperplasias and diffuse metaplasias; and 5) currently unclassified entities. In this review paper, precancerous lesions of the stomach are classified and their clinical significance is described.

다발성 골단 이형성증 환자 보고

김경미,조성호,이길영,Kim, Kyoung-Mee,Cho, Sung-Ho,Lee, Gil-Young 대한한방안이비인후피부과학회 2002 한방안이비인후피부과학회지 Vol.15 No.1

Multiple epiphyseal dysplasia is an uncommon disorder, which was first described by Fairbank in 1935, characterized by irregularity in development of the epiphysis that manifests itself as late appearance and mottling of the ossification centers, knobby joints, stubby digits and minimal shortness of stature. It is typically transmitted as an autosomal dominant trait though recessive forms have been described. The diagnosis is established on the basis of the positive roentgenographic findings in combination with the absence of biochemical abnormalities. We report a case of multiple epiphyseal dysplasia, which was improved by herbal medication.

유아기 아토피 피부염의 임상적 연구

김경미,이길영,Kim, Kyoung-Mee,Lee, Gil-Young 대한한방안이비인후피부과학회 2002 한방안이비인후피부과학회지 Vol.15 No.2

Background: Atopic dermatitis is chronic eczematous dermatosis characterized by severe itching, localized eruption and chronic relapsing progress and has family history of atopic diseases and hereditary disposition. This Study is attempted in order to estimate the efficacy of herb medication treatment on atopic dermatitis. Objective: We studied 35 patients with atopic dermatitis from October 2001 to September 2002. Methods: We treated them with herb-medication and used the SCORAD index to assess the severity of atopic dermatitis. Results: Of the 35 patients that were treated, the SCORAD index was lowered to $30.5{\pm}20(3.5-94)$ than before of which the SCORAD index was $46.8{\pm}18.1(14.9-97.5)$. Conclusion: On the basis of this study, It should be considered that treatment of atopic dermatitis should be focused on the gastrointestinal system. Moreover a balanced diet should be considered

보문 : Polyethylene Film포장이 포도 Sheridan의 저장력에 미치는 영향

남상영(Sang Young Nam),김경미(Kyoung Mi Kim),박종천(Jong Chun Park),주선종(Seon Jong Joo),정재현(Jai Hyun Jung) 한국식품저장유통학회(구 한국농산물저장유통학회) 1997 한국식품저장유통학회지 Vol.4 No.1