• Title/Summary/Keyword: 소형병원

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Fine Needle Aspiration Cytology of the Mediastinal Lesions (종격동 병변의 경흉 세침흡인 세포학적 진단)

  • Park, In-Ae;Ham, Eui-Keun
    • The Korean Journal of Cytopathology
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    • v.1 no.1
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    • pp.43-50
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    • 1990
  • The authors report 16 cases of mediastinal fine-needle aspiration cytology from Jan. 1985 to Mar. 1988 at the Seoul National University Hospital. Among them, diagnostic material were obtained in fifteen cases, establishing the diagnosis of 7 thymomas, 2 germinomas, 2 neurogenic tumosr, 1 lymphoma, and 3 meastatic carcinomas. The 9 cytologic diagnoses could be confirmed by histologic examination in 8 patients and by another cytologic method in one patient, allowing concordance rate of 77%.

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A Study on the Aging Change of Exit Light by Measuring the Ratio of Luminance (휘도비 측정을 통한 유도등의 경년변화 연구)

  • Jung, Jong-Jin
    • Fire Science and Engineering
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    • v.33 no.6
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    • pp.181-185
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    • 2019
  • In this study, Exit light installed in offices, malls, hospitals, and factories were analyzed to analyze the luminance performance of CCFL and LED light sources. In addition, fire protection products with electrical characteristics such as Exit light may change their performance due to ambient temperature, humidity, and dust. So it was extracted by installation place and analyzed its characteristics. As a result of the experiment, Exit light for CCFL type showed the value of 'ratio of luminance 2' for large, medium and small. Considering that the reference value was 'lower than 9', the value was very good and it can be seen that there is almost no change in ratio of luminance due to aging. The Exit light for LED type showed a value of 'ratio of luminance 5', which means that the light on the display surface is not uniform. In addition, there was almost no change in ratio of luminance due to ageing, but the ratio of luminance was larger than Exit light for LED type. This is an unsatisfactory result from a visual point of view. To improve this, it is necessary to disperse the light of LED light source and strengthen the regulation on ratio of luminance.

Clinical Analysis of Patients Who Visited the Emergency Room of an Oriental Medical Center (한의과대학 부속 한방병원 한방응급실 내원환자에 대한 임상적 분석)

  • Ryu, Jae-Hwan;Kim, Young-Chul;Lee, Beom-Jun;So, Hyung-Jin
    • The Journal of Korean Medicine
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    • v.28 no.3 s.71
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    • pp.197-206
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    • 2007
  • Objectives : By recording basic data of patients visiting the emergency room of the oriental medicine center, we can understand their characteristics and gain better insight about them. Methods : We performed a retrospective study of 2,674 patients who visited the emergency room of Kyunghee Oriental Medical Center, from June 1, 2006 to May 31, 2007. Results : 1. Of 2,674 total patients, the male to female ratio was 0.94:1 and the 6th decade of life was the peak age group. 2. The majority of patients visited our emergency room between 06:00 and 24:00(midnight). 3. Most patients visited on a Saturday or Sunday. 4. By monthly distribution, the patients increased slightly during June, July, August and October. 5. The majority of patients visited the emergency room within 24 hours of onset. 6. The patients were categorized as follows: neurological diseases 71.15%, musculoskeletal diseases 16.02%, internal medical disease 9.04%, psychiatric and related disease 3.79%. 7. The average transit time was about 1 hour 30 minutes. 8. Admission rate was 48% and the rate of admission to the intensive care unit (ICU) was 5% of total visiting patients. Conclusion : Assuming that this research will continue adding patient's data continuously, this work will help us to understand the features of patients who visiting the emergency room of the oriental medical center.

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Implementation ANY-PACS Using Web Module and DICOM Converter on the windows platform (윈도우 플랫폼 상에서 Web Module 과 Converter를 이용한 Any-PACS 구현)

  • Yoon, Min-Jong;Lee, Joon
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 1999.05a
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    • pp.93-98
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    • 1999
  • In recent years, medical procedures have become more complex, while financial pressures for shortened hospital stays and increased efficiency in patient care have increased. As a result, several shortcomings of present film-based systems for managing medical images have become apparent. Maintaining film space is labor intensive and consumes valuable space. Because only single copies of radiological examinations exist, they are prone to being lost or misplaced, thereby consuming additional valuable time and expense. In this paper, Any-PACS for image archiving, transmission, and viewing offers a solution to these problems. Proposed Any-PACS consists of mainly four parts such as Web Module, Client-Server Module, Internal Module, Acquisition Module. In addition, Any-PACS system includes DICOM Converter that Non-DICOM file format converts standard file format. In Client-Server Module case, Proposed system is combined both SCU(Service Class Use: Client) part and SCP(Service Class provider: Server)part therefore this system provides the high resolution image processing techniques based on windows platform. Because general PACS system is too expensive for Medium and Small hospitals to install and operate the full-PACS. Also, we constructed Web Module for database connection through the WWW.

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Mobile Volume Rendering System for Client-Server Environment (클라이언트 서버 기반 모바일 볼륨 가시화 시스템)

  • Lee, Woongkyu;Kye, Heewon
    • Journal of the Korea Computer Graphics Society
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    • v.21 no.3
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    • pp.17-26
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    • 2015
  • In this paper, we explain a volume rendering system for client-server environment. A single GPU-equipped PC works as a server which is based on the ideas that only a few concurrent users use a volume rendering system in a small hospital. As the clients, we used Android mobile devices such as smart phones. User events are transformed to rendering requests by the client application. When the server receives a rendering request, it renders the volume using the GPU. The rendered image is compressed to JPEG or PNG format so that we can save network bandwidth and reduce transfer time. In addition, we perform an event pruning method while a user is dragging the touch to enhance latency. The server compensates the pruning by interpolating the touch positions. As the result, real-time volume rendering is possible for 5 concurrent users on single GPU-equipped commodity hardware.

성격5요인 모델을 이용한 종업원 직무만족과 고객지향적 태도에 관한 연구

  • Kim, Jeong-Jin;Jeon, Hong-Sik
    • Proceedings of the Korean Society for Quality Management Conference
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    • 2010.04a
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    • pp.491-491
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    • 2010
  • 본 연구는 의료서비스기업에 종사하는 종업원의 성격 5요인 모델에 따라 종업원의 직무 만족(job satisfaction) 과 고객지향적 태도(customer orientation) 에 미치는 영향을 연구 하고자 하였다. 연구를 위해서 서울과 대구에 소재한 대학병원과 경기도에 소재한 중 소형 병윈의 간호사들을 대상으로 자기기입식 설문조사를 실시하여 총 207개의 유효 표본을 획득하였다. 통계분석로는 응답자특성을 파악하기 위해 빈도분석을 설시하였고, 측정모형의 신뢰성과 타당성 분석을 위해 신뢰성도 분석, 요인분석 및 확인적 요인분석을 실시하였다. 또한 의료서비스종업원의 성격 5요인 모델이 종업원의 직무만족과 고객지향적 태도에 통계적으로 유의한 영향을 미치는 요인을 실증적으로 검증하기 위해 구조방정식 모델 분석을 통해 실시하였다. 그 결과, 성격 5요인 모델은 종업원의 직무만족과 고객지향적 태도에 통계적으로 매우 유의한 영향을 미치는 것으로 나타났다. 이와 같은 결과는 국내에서는 의료서비스업종을 대상으로 성격 5요인 모델을 적용한 연구가 미비한 현재 시점에서 의미 있는 결과라고 할 수 있다. 직무만족, 역시 고객지향적 태도에 통계적으로 유의한 방향으로 영향을 마치는 것으로 나타나, 직무만족이 높을수록 고객지향적 태도가 높아질 수 있다는 것을 실증적으로 확인할 수 있었다. 이와 같은 연구 결과는 다음과 같은 시사점을 찾을 수 있었다. 첫째, 고객과 종업원의 상호작용을 통해 서비스가 전달되는 상황에서 고객 욕구를 인지하고 충족시키며, 요구된 서비스를 전달하고, 고객과 개인적인 관계를 평가할 수 있는 고객지향적 태도 측정모델의 이론적인 토대를 제공한 점이다. 둘째, 최근의 성격이론가들은 성격 5요인 모델이 개인의 성격특성에 있어서 개인차를 설명해주는 포괄적이고 공통적인 구조로 존재한다는 학문적 통합에 동의한다. 마지막으로, 본 연구를 통해서 의료서비스 종업원의 직무만족도는 고객지향적 태도에 통계적으로 매우 유의한 영향을 마치는지를 실증적으로 밝혔다는 것이다. 따라서 관리자들은 종업원의 직무만족도를 주기적으로 측정하여 불만족 요인을 찾아 해결하고, 높은 수준의 고객지향적 태도를 유지하기 위한 노력이 필요함을 시사해준다 하겠다.

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Making profits of Health checkup by Marketing Activation (마케팅 활성화를 통한 건진 수익증대)

  • Park, Yong Sang;Kim, Mi Ran;Park, So Hyung;Rim, Sung Eun;Kwon, Mi Ju;Yang, Jung Shil
    • Quality Improvement in Health Care
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    • v.15 no.2
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    • pp.59-64
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    • 2009
  • 문제: 2008년 수입예산의 편성을 위해 2개년도의 수입 구조를 비교 했을 때 검사공간의 부족외에 여러 내부적요인과 동일 권역에 경쟁 건진센터의 건립 등 외부적요인이 복합적으로 작용하여 수입의 감소가 예견되고 있는 상황이었다. 목적: 해결 가능한 내부적 요인을 찾아 시정하고 외부적 요인에 대해서도 적극적으로 대처하여 수입을 증가 시킬 방안을 실행한다. 의료기관: 서울에 소재한 대학병원의 건강증진센터 질 향상 활동: 수입을 감소 시키는 원인을 내부와 외부로 나누어 분석하고 개선 할 수 있는 방안을 찾아내고 실현가능 한 것을 시행하였다. 개선효과: 개선 활동 후 건강검진 수입이 전년대비 27%, 수입이 가장 높았던 해와 비교 할 때 17%가 증가 한 것으로 나타났다. 교훈: 수입감소를 유발 하는 요인들을 여러경로를 통해 문제점을 수집 및 분석하고 고객이 요구하는 것을 파악하는 것이 최우선이었다. 그 결과 장비 신규 구입과 건진센터 규모의 확대와 같은 시설과 장비의 개선, 해외의료홍보, 텔레마케터의 양성과 교육 등과 같이 여러부서에 걸쳐 협조가 필요한 사항과, 새로운 건진프로그램의 개발 및 영업력의 강화 등 부서 차원의 프로세스 개선과 교육을 통해 고객에게 한걸음 더 다가 가는 것이 가장 중요 한 요소로 나타났다.

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Second Opinion Diagnoses of Cytologic Specimens on Consultation : Asan Medical Center Experience (세포 병리 자문 재판독의 진단 불일치에 관한 연구: 서울아산병원의 경험)

  • Park, So-Hyung;Ro, Jae-Y.;Cho, Kyung-Ja;Gong, Gyung-Yub;Cho, Yong-Mee;Khang, Shin-Kwang
    • The Korean Journal of Cytopathology
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    • v.19 no.2
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    • pp.99-106
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    • 2008
  • Background : Second opinion diagnosis of outside pathology slides is a common practice for efficient and proper patient management. We analyzed cytology slides from outside hospitals submitted for a second opinion diagnosis to determine whether the second opinion diagnosis had any influence on patient care. Methods : We reviewed 1,153 outside cytology slides referred to Asan Medical Center for second opinions from January, 2007, to December, 2007. All cases were categorized into three groups; no diagnostic discrepancy, minor diagnostic discrepancies (no impact on the management), and major diagnostic discrepancies (significant impact on the management and subsequent follow-up). Results : The thyroid was the most common organ system (933 cases, 80.9%), Forty cases (3.6%) belonged to the major diagnostic discrepancy group and 149 cases (12.8%) to the minor discrepancy group. For validation of second opinion diagnoses in major discrepancy cases, subsequent biopsy or surgical resection specimens and clinical information were reviewed, which were available in 29 cases. The second opinion diagnoses resulted in alteration of clinical management in 21 of 29 cases. Conclusion : For all referred patients, second opinion diagnosis is important and mandatory for appropriate patient care.

Mobile-type blood gas analysis system for data transmission system (이동형 혈액가스분석기의 데이터 전송시스템)

  • Kang Sung-Chul;Kim Gi-Ryon;Jung Dong-Keun;Jeong Do-Un;Jeon Gye-Rok
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2006.05a
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    • pp.1027-1031
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    • 2006
  • Recently, mobile-type analysis system when emergency patient can check his blood condition in the transportation or vessel has being required. Under the present system, it takes lots off-time to know the blood analysis result of patient, so, it may lead to a dangerous situation. But, in this study, analysis time makes to fall down to $1{\sim}min$. to emergency treatment patient more quickly, and you can check the information by wireless PC through Bluetooth base. It is able to measure in about 7minutes from 25minutes of warming-up time in existing facilities by testing temperature peculiarity curve, to operate system without error even minute temperature change by adoption DUAL heating. And Bluetooth base was adopted to reduce power consumption and be able to hospital networking by keeping and sending analyzed data when it needs.

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First Report of Fusarium oxysporum Causing Damping-off on Paprika in Korea (Fusarium oxysporum에 의한 파프리카 잘록병)

  • Park, Mi-Jeong;Back, Chang-Gi;Seo, Yunhee;Park, Jong-Han
    • Research in Plant Disease
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    • v.25 no.2
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    • pp.94-97
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    • 2019
  • In February 2019, a damping-off disease occurred at the seedling stage of paprika in a commercial nursery located in Cheorwon, Korea. A species of Fusarium was isolated from the diseased plant and it was identified as Fusarium oxysporum based on morphological characteristics and nucleotide sequence data of translation elongation factor $1-{\alpha}$ and the largest subunit of RNA polymerase. The isolate obtained was revealed to be pathogenic to the host plant through pathogenicity tests, and the reisolation of the pathogen confirmed Koch's postulates. This is the first report of damping-off caused by Fusarium oxysporum on paprika in Korea.