• Title/Summary/Keyword: 중앙병원

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The Portrayal of Nurses and Physicians in Hospital Administration Journals (병원원보에 나타난 간호사와 의사의 이미지 비교)

  • Park, Sun Ah;Kwon, Hye Jin;Kim, Hye Jin
    • Journal of Korean Clinical Nursing Research
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    • v.16 no.2
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    • pp.33-42
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    • 2010
  • Purpose: The current study was done to describe how nurses are portrayed in hospital administration journals as compared with physicians. Methods: A content analysis of the pictures was conducted using the framework of Goffman. The data were collected from all issues of four hospital administration journals published in 2005, 2006, and 2007 (n=465). Results: Overall, the analysis indicates that nurses were portrayed from the perspective of femininity and mothering. In group scenes, nurses were pictured as peripheral, compared with physicians. Sometimes the photos did not focus on nurses at all. Nurses were also placed standing in the periphery not like physicians at the center of the scene. In terms of professional portrayal, the photos in general present positive image of nurses similar to that of physicians. However, the number of photos including nurses was relatively small. Conclusion: The results of this study indicate that nurses appear less frequently in mass media and when they do it is at the periphery of the scene. It is, then, necessary to make greater effort to call upon mass media to cover more nurses showing a positive images of the profession. All stake holders such as individual nurses, hospitals and related associations should make a combined effort toward that end.

긴급진단 - HPAI 발생에 따른 농가 당부사항(7)

  • 대한양계협회
    • KOREAN POULTRY JOURNAL
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    • v.47 no.5
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    • pp.115-117
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    • 2015
  • 지난해 9월 4일 이동제한 조치 해제 후 9월 24일 전남 영암 육용오리 농가에서 고병원성 AI가 재 발생하였다. 최근에는 전북 김제, 경기도 안성에서 고병원성 AI가 잇따라 발생하고 있는 상황이다. AI 조기종식을 위해 중앙정부, 방역당국, 지자체, 생산자들이 똘똘 뭉쳐 농장차단방역을 실시해야 한다. 조금이라도 차단방역에 소홀하면 전국으로 AI가 다시 확산될 가능성은 충분하다. 또한, 미국, 홍콩, 팔레스타인, 부탄 등에서 고병원성 AI가 발생했다는 OIE의 긴급보고가 있었다. 고병원성 AI 발생에 따른 농가 지침사항을 알아보자.

Rehabilitation with minimal increase in occlusal vertical dimension in a patient with excessive tooth wear and edge-to-edge bite (과도한 치아 마모와 절단교합을 보이는 환자에서 최소한의 수직 고경 증가를 통한 구강회복 증례)

  • Hee-Young Kim;Seong-A Kim;Yong-Sang Lee;Keun-Woo Lee;Joo-Hyuk Bang
    • The Journal of Korean Academy of Prosthodontics
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    • v.61 no.2
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    • pp.143-152
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    • 2023
  • Although tooth wear is a normal process due to aging, severe tooth wear causes various complications such as increased tooth sensitivity, loss of tooth structure, and pulp complications. In the treatment of patients with excessive tooth wear, the evaluation of loss of vertical occlusal dimension should be prioritized. If it is necessary to increase the vertical dimension to secure the restoration space, it is important to establish a treatment plan with the comprehensive analysis and determine the minimum vertical dimension elevation. In this case, 66-year-old male patient with severe worn dentition wanted to restore masticatory function and improve esthetic restoration. In order to determine the appropriate vertical dimension of the patient, we evaluated oral examination, radiographic examination, and diagnostic cast examination, and performed rehabilitation with minimum vertical dimension elevation. As a result of observation for 8 months, the definitive prosthesis was completed with contact of all teeth in centric occlusion, and proper anterior/posterior guidance. Through the above process, satisfactory aesthetic and functional outcomes were obtained.

Idea of Persecution and Psychological Factors Associated With Idea of Persecution in Patients With PTSD (PTSD 환자의 피해 사고 및 피해 사고에 기여하는 심리학적 요인)

  • Seungyun Lee;Young Kyung Moon;Sora Lee;Hayun Choi
    • Korean Journal of Psychosomatic Medicine
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    • v.31 no.2
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    • pp.155-164
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    • 2023
  • Objectives : The aim of this study was to identify the factors affecting ideas of persecution in post-traumatic stress disorder (PTSD) patients who underwent Clinician-Administered PTSD Scale (CAPS) and Minnesota Multiphasic Personality Inventory-2 (MMPI-2). Methods : We retrospectively reviewed 116 patients who underwent CAPS and MMPI 2 between May 2013 and April 2020 at Veteran Health Service Medical Center. Based on the CAPS score, the patients were divided into the PTSD group (n=63, age: 58.16±17.84) and the trauma exposed without PTSD group (n=53, age: 67.34±12.05). After checking the correlation between Ideas of persecution, CAPS, and MMPI-2 scales, linear regression analysis was performed to identify the risk factors for clinically relevant symptoms. Results : The PTSD group showed significant differences in Schizophrenia, Ideas of persecution, Dysfunctional negative emotions, Aberrant Experiences, Psychoticism, Negative Emotionality/Neuroticism, Anxiety, Depression, and Anger scales compared to the trauma-exposed without PTSD group. When analyzing the correlation between Idea of persecution, CAPS and MMPI-2 scales, there was a strong association with most of the scales in MMPI-2 and Idea of persecution except Disconstraint. Multiple linear regression analysis performed in PTSD group identified that risk factors for Idea of persecution were Dysfunctional negative emotions and Anger scale. Conclusions : The PTSD group had increased idea of persecution compared to the trauma exposed without PTSD group. Dysfunctional negative emotions and anger may be risk factors for idea of persecution in trauma exposed population.

Antidotes Stocking and Delivery for Acute Poisoning Patients at 20 Emergency Departments in Korea 2015-2017 (2015-17년 전국 20개 거점병원 응급해독제 비축 및 제공 결과)

  • Lee, Seungmin;Youn, Han Deok;Chang, Hanseok;Won, Sinae;Kim, Kyung Hwan;Oh, Bum Jin
    • Journal of The Korean Society of Clinical Toxicology
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    • v.16 no.2
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    • pp.131-140
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    • 2018
  • Purpose: The National Emergency Medical Center has been running a project for the storage and delivery of antidotes for acute poisoning patients of the Department of Health and Welfare, Korea. This study analyzed the results of this project over the past two years. Methods: The requests received by the National Emergency Medical Center and the data on the delivery process were analyzed. Results: This study analyzed a total of 121 patients with acute poisoning, who were requested to receive an antidote reserved at 20 key hospitals in 2015-2017, and whose age was $52.3{\pm}23.5\;years$; old; 54 were women. Intentional poisoning were 58.7%, and the home was the most common place of exposure (66.9%). The toxic substances were chemicals (32.2%), pesticides (27.3%), medicines (24.8%), and snake venom (4.1%). The patient's poison severity score was $2.4{\pm}0.7$ (median 3) indicating moderate-to-severe toxicity. Antidote administration was the cases treated in key hospitals 67.8% (82/121), in which transferred patients accounted for 57.3% (47/82). After receiving an antidote request from a hospital other than the key hospitals, the median was 75.5 minutes (range 10 to 242 minutes) until the antidote reached the patient, and an average of 81.5 minutes was required. The results of emergency care were intensive care unit (70.3%), general wards (13.2%), death (10.7%), and discharge from emergency department (5.0%). Conclusion: This study showed that the characteristics of acute poisoning patients treated with an antidote were different from previous reports of poisoned patients in the emergency department, and basic data on the time required for delivery from key hospitals was different.

국립마산요양원(II) - 그 반세기의 찬연한 발자취 -

  • 김대규
    • 보건세계
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    • v.43 no.2 s.474
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    • pp.12-15
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    • 1996
  • 1946년 6월 1일 미군정하에서 문을 연 국립마산요양원은 반세기 동안 국립마산결핵요양소, 국립중앙결핵요양소, 마산결핵요양소, 국립마산병원, 국립마산결핵병원으로 명칭이 바뀌면서 우리나라 결핵치료의 중심적 지위를 확고하게 지켜왔으며 흉곽성형술(胸廓成形術)과 폐절제술을 처음으로 실시하여 흉부외과 개척의 길을 열기도 했다. 또한 1951년 우리나라에서 최초로 결핵약제 내성검사법을 연구 개발하여 화학요법 발전에 새 정기를 마련했다.

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업계탐방 - 분당서울대학교

  • O, Jeong-Gyu
    • 방재와보험
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    • s.126
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    • pp.68-69
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    • 2008
  • 이번 탐방은 중앙지부의 추천으로 경기도 성남시 분당구 구미동 300번지에 위치한 분당 서울대학교병원을 방문하였다. 불곡산의 푸른 공기와 탄천의 맑은 물이 어우러진 넉넉한 자연의 품에 안긴 모습이 병원이라기보다는 휴양시설에 온 느낌이다. 이곳에서 방화관리를 담당하는 시설팀 이홍규 과장을 만나 시설현황과 안전관리현황, CEO의 경영철학 등에 관한 이야기를 나누어 보았다.

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Preliminary Report of the $1998{\sim}1999$ Patterns of Care Study of Radiation Therapy for Esophageal Cancer in Korea (식도암 방사선 치료에 대한 Patterns of Care Study ($1998{\sim}1999$)의 예비적 결과 분석)

  • Hur, Won-Joo;Choi, Young-Min;Lee, Hyung-Sik;Kim, Jeung-Kee;Kim, Il-Han;Lee, Ho-Jun;Lee, Kyu-Chan;Kim, Jung-Soo;Chun, Mi-Son;Kim, Jin-Hee;Ahn, Yong-Chan;Kim, Sang-Gi;Kim, Bo-Kyung
    • Radiation Oncology Journal
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    • v.25 no.2
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    • pp.79-92
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    • 2007
  • [ $\underline{Purpose}$ ]: For the first time, a nationwide survey in the Republic of Korea was conducted to determine the basic parameters for the treatment of esophageal cancer and to offer a solid cooperative system for the Korean Pattern of Care Study database. $\underline{Materials\;and\;Methods}$: During $1998{\sim}1999$, biopsy-confirmed 246 esophageal cancer patients that received radiotherapy were enrolled from 23 different institutions in South Korea. Random sampling was based on power allocation method. Patient parameters and specific information regarding tumor characteristics and treatment methods were collected and registered through the web based PCS system. The data was analyzed by the use of the Chi-squared test. $\underline{Results}$: The median age of the collected patients was 62 years. The male to female ratio was about 91 to 9 with an absolute male predominance. The performance status ranged from ECOG 0 to 1 in 82.5% of the patients. Diagnostic procedures included an esophagogram (228 patients, 92.7%), endoscopy (226 patients, 91.9%), and a chest CT scan (238 patients, 96.7%). Squamous cell carcinoma was diagnosed in 96.3% of the patients; mid-thoracic esophageal cancer was most prevalent (110 patients, 44.7%) and 135 patients presented with clinical stage III disease. Fifty seven patients received radiotherapy alone and 37 patients received surgery with adjuvant postoperative radiotherapy. Half of the patients (123 patients) received chemotherapy together with RT and 70 patients (56.9%) received it as concurrent chemoradiotherapy. The most frequently used chemotherapeutic agent was a combination of cisplatin and 5-FU. Most patients received radiotherapy either with 6 MV (116 patients, 47.2%) or with 10 MV photons (87 patients, 35.4%). Radiotherapy was delivered through a conventional AP-PA field for 206 patients (83.7%) without using a CT plan and the median delivered dose was 3,600 cGy. The median total dose of postoperative radiotherapy was 5,040 cGy while for the non-operative patients the median total dose was 5,970 cGy. Thirty-four patients received intraluminal brachytherapy with high dose rate Iridium-192. Brachytherapy was delivered with a median dose of 300 cGy in each fraction and was typically delivered $3{\sim}4\;times$. The most frequently encountered complication during the radiotherapy treatment was esophagitis in 155 patients (63.0%). $\underline{Conclusion}$: For the evaluation and treatment of esophageal cancer patients at radiation facilities in Korea, this study will provide guidelines and benchmark data for the solid cooperative systems of the Korean PCS. Although some differences were noted between institutions, there was no major difference in the treatment modalities and RT techniques.

A study on the general characteristics of Kahn's healthcare buildings - with the comparative study from historical and contextual standpoints - (루이스 칸의 병원건축에 나타난 일반적인 특성에 관한 연구 - 시대적 문맥적 비교와 함께 -)

  • Lim, Yeonghwan;Kim, Jihwan
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.15 no.4
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    • pp.13-21
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    • 2009
  • Healthcare design is always challenged to come up with the rapid changes in healthcare system and industry as well as complicated planning requirements. This thesis aims to grab good instructions from Louis I Kahn who designed more than 15 healthcare projects during his entire life, from the winning project of the student competition in 1920 to Ayub hospital in Dhaka, Bangladesh after his death. His many hospital projects are deeply related to his famous projects such as Yale Art gallery, Philips Exeter Library, and Sher-E-Bangla Nagar national capital of assembly hall. But, it is not easy to find the researches about his hospital projects among many books and theses about him. Thus, this thesis investigates them and their contextual and historical relationships in order to find the way to apply his knowledge and philosophy about healthcare design to the modern hospital projects. We expect that it will promote more following researches for his healthcare projects.

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