• Title/Summary/Keyword: 김선미

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Factors associated with changes in pharmaceutical expenditures of outpatient care in clinic setting : Focusing on the incentive scheme to reduce total prescribed drug expenditure and the drug utilization review system (의원 외래환자의 약품비 변화 관련요인: 처방총액 절감 인센티브제도와 DUR 제도 시행 전후를 중심으로)

  • Yi, Myung-Hyun;Chung, Woojin;Cho, Eun;Kim, Roeul;Lee, Sunmi
    • Health Policy and Management
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    • v.22 no.4
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    • pp.561-578
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    • 2012
  • This study was performed in order to compare a change in pharmaceutical expenditures per outpatient of clinic and to analyze factors relevant to a systems as part of evaluating policies for the incentive scheme to reduce total prescribed drug expenditure and for the drug utilization review system("DUR system" hereafter). For this, it had finally analytical subjects as 21,320 clinics nationwide without a change in location, clinics symbol and signed subject during both terms of the first half of 2010 and the first half of 2011. As a result, the odds ratio with reduction in pharmaceutical expenditures of clinic was statistically higher significantly in the shorter year number of opening clinic, in the larger number of doctors, when the classification of establishment is other, not individual, and when the signed subject is surgical division. Also, the odds ratio was significantly higher in the less patient number of clinic and in the lower ratio of patients aged over 65. Finally, the odds ratio was significantly high when a clinic had been located in DUR system demonstrative project area. Through this, a case of policy for improvement in doctor's autonomous prescription behavior like DUR system can be known to be effective for reduction in pharmaceutical expenditures. A future research on evaluation of policy for pharmaceutical expenditure management system will need to be performed in-depth analysis in consideration of diverse characteristics on the participatory entities.

Nurse Wage Structure and Its Determinants in Hospital Industry (전국 병원간호사의 임금구조와 임금수준 결정요인 분석)

  • Kim, Jin Hyun;Ha, Sang Keun;Park, Young Woo;Kim, Yeon Hee;Yi, Sun Mi;Kwon, Hyun Jeong
    • Journal of Korean Clinical Nursing Research
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    • v.25 no.3
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    • pp.294-302
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    • 2019
  • Purpose: The purpose of this study was to investigate the wage structure of hospital nurses in Korea and to analyze the factors that determine the level of nurses' wages. Methods: First, a mobile survey on nurses' wages was conducted with a total of 3,742 nurses working in hospitals. A literature review was also done. Second, a regression model was applied to analyze the determinants of nurses' wages. Results: The average monthly wage of 3,742 nurses based on the survey was KRW 3,588,000 and the standardized monthly income of 3,742 nurses was estimated to be KRW 3,364,000 as of the end of 2018. The results of regression analysis(R2=61.7%) showed that gender, nursing experience, designated night duty, ownership, and number of beds were statistically significant variables for nurses' wages at 1% significance level. The monthly wage of nurses working in total nursing care wards was not significantly different from those working in other wards at 5% significance level. Conclusion: The substantial difference in nurses' wages according to job career, hospital size, region, etc may result in the low proportion of nurses with more than three to five years of service experience and the high turnover of less-experienced workers. Consideration should be given to adjust the gap in wage level and a standard nurse wage system could be effective measures.

Effect of Ethephon, Paclobutrazol, and Uniconazole on Growth and Flowering of Potted Yarrow, Achillea millefolium 'Cerise Queen' (Ethephon, Paclobutrazol과 Uniconazole 처리가 분화 서양톱풀의 생장과 개화에 미치는 영향)

  • Nam, Sang-Yong;Kwon, O-Dal;Kim, Sun-Dong;Park, Sun-Mi;Soh, Chang-Ho
    • FLOWER RESEARCH JOURNAL
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    • v.17 no.4
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    • pp.303-307
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    • 2009
  • The purpose of this study was to investigate the effects of ethephon, paclobutrazol, and uniconazole on the flowering of potted Yarrow (Archillea millefolium). Each plant growth regulator was sprayed two times before stem elongation period of yarrow. The tallest was 45.7 cm at $1000mg{\cdot}L^{-1}$ ethephon and the shortest was 11.1 cm at 20 uniconazole. Uniconazole delayed flowering and decreased the number of flowers. Both uniconazole at 20 ppm and paclobutrazol at 200 ppm decreased the number of florets to 90.0% and 43.6% of control, respectively. In ethephon, number of florets was increased 34.1% compared with control. In addition, ethephon and paclobutrazol increased the number of mean auxillaly flowers to 28.6% and 23.5% of control, respectively. On the other hand, uniconazole decrease the number of auxillary flowers to 55.3%. Thus, paclobutrazol was recommended as a suitable plant growth regulator for yarrow pot plant production.

Antioxidant Activity of Vinegars Commercially Available in Korean Markets (국내 시판되는 식초의 항산화 활성)

  • Lee, Seon-Mi;Choi, Youngmin;Kim, Youngwha;Kim, Dae-Jung;Lee, Junsoo
    • Food Engineering Progress
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    • v.13 no.3
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    • pp.221-225
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    • 2009
  • The aim of this study was to determine the antioxidant compounds (polyphenolics and flavonoids) and to evaluate antioxidant activities using 2,2'-azino-bis-(3-ethylbenzothiazoline-6-sulfonic acid (ABTS) radical scavenging activity and reducing power in 19 vinegar samples. In general, antioxidant activities and antixoidant compounds in drinking vinegars were higher than those in seasoning vinegars. The highest polyphenolic content was found in balsamic vinegar (372.53 mg/100 mL) and also the highest flavonoid contents was in balsamic vinegar (114.40 mg/100 mL). Organic acid content in glacial acetic acid among 19 samples was found in highest amount. There was no relationships between antioxidant compounds/activities and organic acid content in vinegar samples. Therefore, it is assumed that antioxidant activity of vinegars is due to the polyphenolic and/or flavonoid contents of the vinegar samples.

Potential Flow Analysis for a Ship with a Flow Control Plate near the Stern (선미부에 유동제어판을 부착한 선박에 대한 포텐셜 유동해석)

  • Choi, Hee-Jong;Chun, Ho-Hwan;Yoon, Hyun-Sik;Lee, In-Won;Park, Dong-Woo;Kim, Don-Jean
    • Journal of the Society of Naval Architects of Korea
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    • v.46 no.6
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    • pp.587-594
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    • 2009
  • In the paper the effect of a stern-plate attached to a ship was taken into account. The relationship between the trim angle of a ship and the wave-resistance coefficient induced by the a stern-plate was studied using the potential flow analysis method. Numerical algorithm was described using the panel method and the vortex lattice method(VLM) to simulate the flow phenomena around a ship. The non-linearity of the free surface boundary conditions were considered using the iterative method and the IGE-GMRES(Incomplete Gaussian Elimination-The Generalized Minimal RESidual) algorithm was adopted to solve the linear equation at each iterative step. Numerical calculations were carried out to investigate the validity of the adopted algorithm using KCS(KRISO 3600 TEU Container) hull. Possible cases for attachment of the plate were checked. The results showed that the numerical algorithm could be physically appropriate.

Hepatoprotective Activities of Glycyrrhizin and Baicalin in Primary Cultured Rat Hepatocytes (흰쥐의 일차배양 간세포에서 Glycyrrhizin 및 Baicalin의 간 보호 활성 평가)

  • Kim, Sung-Hwa;Cheon, Ho-Jun;Park, Jin-Gu;Kim, Yeong-Sik;Kang, Sam-Sik;Xu, Guang-Hua;Lee, Seung-Ho;Son, Kun-Ho;Lee, Sun-Mi
    • YAKHAK HOEJI
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    • v.50 no.6
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    • pp.358-366
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    • 2006
  • The aim of this study was to investigate the protective effects of glycynhizin, active glycosides of Glycyrrhizae Radix, and baicalin, bioactive flavonoid isolated from Scutellariae Radix, on hepatocyte injury induced by carbon tetrachloride(CCl$_4$, 10 mM), tert-butyl hydroperoxide (TBH, 0.5 mM), and D-galactosamine (GaIN, 30 mM). Primary cultures of rat hepatocyte (18 hr cultured) were treated with CCl$_4$, TBH, or GaIN and various concentrations (0.1, 1, 10, and 100 ${\mu}$M) of glycyrrhizin or baicalin. Activity was accessed by determining the release of lactate dehydrogenase (LDH) and aminotransferses. CCl$_4$ significantly increased the levels of LDH, alanine aminotransferase (ALT), and aspartate aminotransferase(AST) and these increases were prevented by baicalin concentrations of 0.1,1, and 100 ${\mu}$M. The increases in ALT and AST levels were reduced by glycyrrhizin concentration of 100 ${\mu}$M. The level of LDH was markedly increased by TBH, and this increase was reduced by both glycyrrhizin and baicalin. ALT and AST levels were increased by TBH, which were prevented by glycynhizin and bacalin, respectively: GaIN markedly increased the levels of LDH, ALT and AST These increases was significantly reduced by both glycyrrhizin and baicalin. These results suggest that glycynhizin and baicalin possess the hepatoprotective activity.

In-vitro Anti-thrombosis Activities of Different Parts of Nelumbo nucifera Gaertner (다양한 부위별 연 추출물의 항혈전 활성)

  • Ahn, Seon-Mi;Sung, Hwa-Jung;Kim, Jong-Sik;Park, Jong-Yi;Sohn, Ho-Yong
    • Microbiology and Biotechnology Letters
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    • v.46 no.4
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    • pp.372-376
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    • 2018
  • To investigate the bio-activities of lotus (Nelumbo nucifera Gaertner), ethanol extracts were prepared from different parts of lotus, including lotus root, node of root (NR), leaf, pod of seed (PS), seed (S), and embryo of seed (ES), respectively. Anti-thrombosis activities were evaluated. NR, S, and PS extracts displayed strong anti-coagulation activities, as evidenced by the inhibition of thrombin, prothrombin, and coagulation factors, respectively. NR, leaf, S, and PS extracts displayed strong platelet aggregation inhibitory activities. The aggregation inhibition of S and PS extract was comparable to that of aspirin. The extracts of NR, S, and PS did not show hemolysis activity up to 1.0 mg/ml.

A Study on the Resistance Performance of Catamarans with Modified-Reverse Bow (반전형 선수부 형상을 가진 쌍동선 저항성능에 관한 연구)

  • Kim, Do-jung;Oh, Woo-jun;Kim, Jung-eun;Na, Hyun-ho;Choi, Hong-sik
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.24 no.7
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    • pp.923-929
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    • 2018
  • In this study, we analyzed the resistance performance and running attitude of a catamaran by numerical analysis with a conventional bow, which is generally applied, and a reverse, protruding bow. The shape of the reverse bow was compared through numerical analysis and model tests. The reverse bow shape showed an improved wave pattern by shifting the generation position of the forward divergent wave to the aft in comparison with a conventional bow shape. This effect was found to be effective in determining resistance and stable running attitude. The hull resistance improved by about 2.95 %. The comparative numerical analysis and model test for the reverse bow shape completed in this study should be useful for future hull design application.

A Captive Model Test on Hydrodynamic Force and Neutral Level Flight of BB2 Submarine in Straight Operation at Near Free Surface with Different Depths (자유수면 근처에서 직진하는 BB2 잠수함의 심도별 유체력과 중립운항에 대한 구속모형시험 연구)

  • Kwon, Chang-Seop;Kim, Dong-Jin;Yun, Kunhang;Kim, Yeon-Gyu
    • Journal of the Society of Naval Architects of Korea
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    • v.59 no.5
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    • pp.288-295
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    • 2022
  • In this study, the force and moment acting on a Joubert BB2 submarine model at depths near the free surface were measured through a captive model test with the scale ratio of 1/15. Based on the experiment, the pitch moment and heave force due to the "Tail suction effect", including the change in surge force with depth near the free surface, were quantitatively analyzed. The change of force and moment according to the relative position of the sail and the free surface was reviewed with the free surface waves generated for each depths. As a result, the angle of attack of the hull to counteract the pitch moment induced by the tail suction effect was derived. The effect of the hydrostatic moment component according to the angle of attack on the equilibrium of pitch moment was also taken into account. The control plane performance tests for the X-type rudder and sail plane were conducted in snorkel and surface depth conditions to figure out the control plane angles for the neutral level flight of the submarine at near free surface. The results of this study are expected to be used as a reference data for the neutral level flight of the submarine at near free surface operation in the free running model test as well as numerical studies.

Antiplatelet fraction from Ulmi cortex and its active components (유백피의 항혈전 활성 분획 및 유효성분에 관한 연구)

  • Kim, Dong-Seon;Yang, Won-Kyung;Sung, Yoon-Young;Lim, Sun Mi;Kim, Ho Kyoung
    • The Korea Journal of Herbology
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    • v.28 no.3
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    • pp.39-44
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    • 2013
  • Objectives : The purpose of this study was to identify active fraction and components from antiplatelet Ulmi cortex extract. Methods : The 70% ethanol extract of Ulmi cortex was subjected to column chromatography over D101 resin and eluted with an 20% (W1), 30% (W2), 40% (W3), 50%(W4), 70% (W5), and 100% ethanol (W6) to yield 6 fractions. W6 was further fractioned and its active components were purified using semi-preparative HPLC. The isolated compounds were identified by MS and NMR, and their contents were simultaneously analyzed using HPLC/UV. Antiplatelet aggregation activities of the fractions and the compounds were evaluated using rat platelet-rich plasma in presence of collagen ($5{\mu}g/ml$), arachidonic acid (0.05 U/ml), or thrombin ($100{\mu}M$). Results : Among six fractions, W3 prominently inhibited platelet aggregation. At the concentration of $200{\mu}g/ml$, W3 strongly inhibited arachidonic acid- and collagen-induced platelet aggregations by 78.2% and 65.9%, respectivley, and weakly inhibited thrombin-inducded platelet aggregation by 32.6%. Catechin, epicatehin, and catechin-7-O-${\beta}$-D-glucopyranoside were isolated from W3 and their contents were revealed to be 15.1%, 0.87%, and 0.32%. Catechin and epicatechin at the concentrations of $100{\mu}M$ strongly inhibited collagen-induced platelet aggregation by 79.9% and 86.6%, respectively, but weakly inhibited arachidonic acid- and thrombin-induced platelet aggregations. Conclusions : A main active principle of anitplatelet Ulmi Cortex extract is W3 fraction, of which main active component is catechin considering its antiplatelet activity and content.