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SMC Full PACS로의 전환 및 System 구축

  • Kim, Sam-Soo;Ro, Duk-Woo;Cheung, Hwan
    • Korean Journal of Digital Imaging in Medicine
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    • v.3 no.1
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    • pp.20-23
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    • 1997
  • The purpose of this paper is to describe the transition of a 1,100 beds teritary hospital from 50% softcopy operation to full PACS operation. For the past 2 years, radiologists and clinicians have been using PACS to provide softcopy services to the outpatient clinics and inpatient wards of orthopedics surgery, neurosurgery and neurology as well as emergency room, surgical intensive care unit, medical intensive unit, pediatrics intensive care unit and neonatal intensive care unit. The examinations requested by these departments account for about 50% of hospital's radiological exams. In September 1996, we began the second phase of PACS implementation and installed additional workstations (102) in the remaining wards and clinics, interfaced to PACS additional imaging modalites, and increased the capacity of both the image server (256 Gbytes) and optical juke boxes (3 Tbytes). As of January 1997, we are in the final phase of moving away from conventional film system to full PACS operation.

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Change of Hospital Architecture in Korea since 1945 (1945년 이후 한국 병원건축의 변화)

  • Yu, Youngmin
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.20 no.4
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    • pp.91-100
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    • 2014
  • Purpose : The purpose of this paper is to analyze the characteristics of hospital architecture constructed in each periods and identify the changing process of hospital architecture in Korea since 1945. Methods : Literature review was conducted while the data of hospitals had been collected and the subject of investigation were selected. The important point of analysis is about design conception, site plan, block plan and hospital form. Results : The characteristics of hospital architecture are identified in each periods. Developed by private sector, hospitals have enlarged their beds and sizes under the competitive environments. In terms of size and external shape, vertical form has become a dominant scene of hospital forms in Korea. Among the dominance of tower-on podium, various block plans have been adopted with hospital streets. Also a few cases of horizontal disintegrated form was introduced. Implications : This paper could be the basic data to organize the history of Korean Hospital Architecture, and insufficient data should be supplemented continuously.

Relationship between Knowledge, Stress, and Nursing Performance about Care for Delirium in Geriatric Hospital Nurses (노인요양병원 간호사의 섬망에 대한 지식, 섬망간호스트레스 및 섬망간호수행간의 관계)

  • Kim, Eun-Hee
    • Journal of Korean Clinical Health Science
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    • v.4 no.2
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    • pp.593-602
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    • 2016
  • Purpose. The purpose of this study was to investigate knowledge, stress and nursing performance about care for delirium in geriatric hospital nurses. Methods. For this study, data were collected from 242 nurses employed at geriatric hospitals with the capacity of more than 100 beds which were located in A, P and Y cites. Frequency analysis, t-test and one-way ANOVA were utilized to analyze the data and Scheffe test was used to conduct post-hoc tests. Results. Nurses showed significant differences in the level of Knowledge, as well as terminal care performance by marital status, nursing experience. A significant relationship was found between knowledge, stress and Delirium care performance. Conclusion. This study found nurses perform delirium care with a high level of stress but with insuffiecient understanding, and thus, showed great needs for related training. Such findings can be useful to develop educational programs to improve knowledge on delirium and plans to reduce stress from delirium for geriatric hospital nurses.

On-Channel Micro-Solid Phase Extraction Bed Based on 1-Dodecanethiol Self-Assembly on Gold-Deposited Colloidal Silica Packing on a Capillary Electrochromatographic Microchip

  • Park, Jongman;Kim, Shinseon
    • Bulletin of the Korean Chemical Society
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    • v.35 no.1
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    • pp.45-50
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    • 2014
  • A fully packed capillary electrochromatographic (CEC) microchip with an on-column micro-solid phase extraction (SPE) bed for the preconcentration and separation of organic analytes was prepared. A linear microchannel with monodisperse colloidal silica packing was formed on a cyclic olefinic copolymer microchip with two reservoirs on both ends. Silver-cemented silica packing frit structure was formed at the entrance of the microchannel by electroless plating treatment as a base layer. A gold coating was formed on it by reducing $Au^{3+}$ to gold with hydroxylamine. Finally micro-SPE bed was formed by self-assembly adsorption of 1-dodecanethiol on it. Micro-SPE beds were about 100-150 ${\mu}m$ long. Approximately $10^3$ fold sensitivity enhancements for Sulforhodamine B, and Fluorescein in nM concentration levels were possible with 80 s preconcentration. Basic extraction characteristics were studied.

Iron hydrolysis and lithium uptake on mixed-bed ion exchange resin at alkaline pH

  • Olga Y. Palazhchenko;Jane P. Ferguson;William G. Cook
    • Nuclear Engineering and Technology
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    • v.55 no.10
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    • pp.3665-3676
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    • 2023
  • The use of ion exchange resins to remove ionic impurities from solution is prevalent in industrial process systems, including in the primary heat transport system (PHTS) purification circuit of nuclear power plants. Despite its extensive use in the nuclear industry, our general understanding of ion exchange cannot fully explain the complex chemistry in ion exchange beds, particularly when operated at or near their saturation limit. This work investigates the behaviour of mixed-bed ion exchange resin, saturated with species representative of corrosion products in a CANDU (Canadian Deuterium Uranium) reactor PHTS, particularly with respect to iron chemistry in the resin bed and the removal of lithium ions from solution. Experiments were performed under deaerated conditions, analogous to normal PHTS operation. The results show interesting iron chemistry, suggesting the hydrolysis of cation resin bound ferrous species and the subsequent formation of either a solid hydrolysis product or the soluble, anionic Fe(OH)3-.

A Study on the Nurses' Contingent Employment and Related Factors (간호사의 비정규직 고용실태 및 관련요인에 관한 연구)

  • Choi, Sook-Ja
    • Journal of Korean Academy of Nursing Administration
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    • v.5 no.3
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    • pp.477-500
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    • 1999
  • Korean labor market has showed remarkable change of the increase in the amount of unemployment and contingent employment since IMF bailout agreement. There is a theoretical position to explain this increase in contingent employment at hospitals with the notion of flexibility. The high flexibility of employment due to the increase of contingent employees is becoming very important part in new business strategy of hospitals. The types of contingent employment of the nurse are part-time employment temporary employment, fixed-term employment, and internship which was introduced in early 1999. Recently, Korean health care industry managers have paid attention to the customer oriented service, rationalization of business administration, service quality control so that they can adjust their business to outer environment. Especially their efforts concentrate on the wage reduction through efficient and scientific control of man power because wage shares about 40% of total cost. This dissertation aims at verifying the phenomena of the contingent employment of the nurse and analyzing the related factors and problems. To rephrase these aims in ordinal: First, verifying the phenomena of contingent employment of the nurse. Second, verifying the problems of that phenomena. Third, analyzing the related factors of the contingent employment of the nurse. To accomplish these research goals, a statistical survey was executed. in which 384 questionnaires-66 for manager nurses, 318 for contingent nurses - were given to nurses working at 66 hospitals-which have at least 100 beds-in Seoul. Among them, 187 questionnaires-38 from manager nurses, 149 from contingent nurses'- 'were returned. Then, the data coded and submitted to T-test, $X^2$ -test, variance analysis(ANOVA), correlation analysis, multiple regression analysis, Logistic Regression with SAS program. The research results of the contingent nurses are followings: 1. The average career term at the present hospital 8.4 months: duty-on days per month are 24.2 days: working time per day is 7.9 hours. These results showed little difference from regular nurses. 2. Their wage level is about 70% of regular nurses except for internship nurses whose wage level is 41% of regular nurses. To break down the wage composition, part-time nurses and internship nurses get few allowance and bonus. And contingent nurses get very low level of additional pay except for fixed-term nurses who are under similar condition of employment to regular nurses. These results show that hospital managers are trying to reduce the labor cost not only through the direct way of wage reduction but through differential treatment of bonus, retirement allowance, and other additional pay. 3. The problem of contingent employment: low level of pay; high level of turn-over rate: weakening of union; low level of working condition: heavy burden of work; inhuman treatment. The contingent nurses consider these problems more seriously than manager nurses do. What manager nurses regard problematic is the absence of feeling-belonged and responsibility of the contingent nurses. 4. The factors strongly related with the rate of the number of contingent nurses for the number of regular nurses; gross turn-over nurses; average in-patients per day; staring wage of graduate from professional college: the type of hospital ownership; the number of beds; the gap between gross newcomer nurses and gross turn-over nurses. The factors related with their gross wage per month; the number of beds; applying of health insurance; applying of industrial casualty insurance; applying of yearly-paid leave; the type of hospital ownership; average out-patients per day; gross turn-over nurses. The meaningful factors which make difference by employment type: monthly-paid leave; physiological leave. The logistic regression analysis using these two factors shows that monthly-paid leave is related with the type of hospital ownership; the number of beds; average out-patient per day, and physiological leave is related with the gross newcomer nurses; gross turn-over nurses; the number of beds.

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A Study of Carvernous Limestone Aquifer of Jeon Cheon Basin (전천 석회암 대수층에 관한 연구)

  • 한종상
    • Water for future
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    • v.16 no.3
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    • pp.171-179
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    • 1983
  • In the Jeon Cheon Basin, unconsolidated alluvium and marine clay beds overlying Tertiary conglomerate and impermeable mudstone, and Cambro-Ordovician sedimentary rocks composed of mainly cavernous limestones, and age-unknowned crystalline rocks are occured. Most productive rock is Cambro-Ordovician limestones containing a lot of solution openings and secondary porosities and shows its transmissivity of 1836$m^2$/day and storativity of 1.47 $\times$ $10^{-3}$. The storage of deep seated groundwater in linestone aquifer is estimated about 1059 $\times$ $10^6$ metric tons, being equivalent to 6 years total precipitation of the basin. The safe yield of the groundwater to be abstracted from the aquifer is about 126,000 tons/day. To pump at least 100,000 tons/day of groundwater from the said aquifer, a well field comprising 34 deep wells ranging in depth from 80 to 100 meter and penetrating the cavernous limestone aquifer shall be established at middle and down stream area.

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Effect of Different Irrigation Levels on the Fiber Content of Sweetpotato Root

  • Won Park;Hyeong-Un Lee;Tae Hwa Kim;Kyo Hwui Lee;Sang Sik Nam;Mi Nam Chung
    • Proceedings of the Korean Society of Crop Science Conference
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    • 2022.10a
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    • pp.49-49
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    • 2022
  • One of the major problems with sweetpotato (Ipomoea batats Lam.) is the tough thread tissue that occurs in the storage root, which has a negative impact on the sales of sweet potato because it impairs the texture during cooking and the processing quality. The fiber contents in storage roots of sweetpotato is affected by cultivation conditions and environment. To investigate the effect of fiber generation at different levels of irrigation, the sweetpoatoto "Hogammi" was transplanted in greenhouse. Sweetpotato was grown in styrofoam beds(W1605*D330*H300mm) to block moisture flowing from the outside. The irrigation was carried out as 3 levels (5,10, and 20 mm through drip irrigation facilities) at 20-day intervals. Five plants were harvested per plot at 90, 100 and 120 days after transplanting (DAT). The size of the storage root was large in the order of irrigation conditions 10mm>20mm>5mm treatment. And the longer cultivation period, the larger size of the storage root was observed. As a result of the analysis of the fiber content, it showed a tendency to decrease as the cultivation period increased (90days→120days). In addition, the fiber contents of sweetpotato harvested at 90, 100 and 120 DAT in the level of 5 mm irrigation plot were 351, 324 and 207 mg/100g, respectively, which were higher than those of other irrigation level plots. During all cultivation periods, the 10mm treatment group showed the lowest fiber content of 280, 228 and 127 mg/100g. At 20 mm irrigation level, the fiber content was less than that of 5mm irrigation level, but showed a tendency to increase compared to that of 10 mm irrigation level. These results suggested that drought stress or excessive-irrigation increases the fiber content of sweetpotato, which reduces their commercial value.

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The characteristics related to the development of pressure ulcers in long term care facilities : the use of 2009 National Patient Sample (요양병원 입원 환자의 욕창 발생 현황과 관련 요인: 2009년 건강보험 환자표본 자료 이용)

  • Moon, Mikyung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.7
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    • pp.3390-3399
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    • 2013
  • The purpose of this study was to examine the incidence rates of pressure ulcers depending on the types of healthcare organizations and to determine whether the characteristics of patients and facilities influence on the incidence of pressure ulcers in long term facilities. We analyzed data on 796,857 patients of the 2009 National Patient Sample which was extracted from to claims for medical fees to Health Insurance Review & Assesment Service(HIRA). A total of 3.2% of patients(n=25,339) had at least 1 pressure ulcer during their hospitalization. The pressure ulcer rates were highest in long term care facilities(8.2%, n=11,895) following general hospital(2.7%, n=8,052), hospital(1.7%, n= 5,059). According to logistic regression analysis, urinary incontinence (Odds ratio(OR)=2.462, 95% confidence interval(CI)=2.038-2.974), hypertension(OR=1.456, CI=1.400-1.515), peripheral vessel diseases (OR=1.357, CI=1.200-1.534) were significant predictors of pressure ulcers. As the number of diagnoses, age, and the number of doctors per 100 beds increased, the incidence of pressure ulcers increased. In addition, more number of beds was associated with fewer pressure ulcers.

A Study on Utilization of non-residential areal hospitals in Inpatient (입원의료의 타 지역 이용에 관한 연구)

  • Kim, Yoo-Mi;Kang, Sung-Hong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.10 no.11
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    • pp.3444-3450
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    • 2009
  • Our study was carried out to suggest the way of improving the accessibility of medical service through identifying the factors that make patients be hospitalized in non-residential area not in their residential area. The subjects were 523,782 inpatients of the 2005 Patient Survey data. The 2004 Hospital Evaluation data, the 2005 census data which were obtained from the Korean National Statistics Office, and the 2006 Survey on National Healthcare Resources data were used. The data were analyzed using descriptive statistics, chi-square test and logistic regression in a SAS program. The most important factor was quality level of care of local hospitals. In the possibility of being hospitalized in non-residential areas, the region with the score of more than 9.5 per 100,000 people in the hospital evaluation was 8.3 times more than the region with the score of less than 9.5. However patients is hospitalized in the area with the hospitals with above 910 beds per 100,000 people more than in the area with the hospitals with less than 910 beds by 2.0 times. For the accessibility of medical services, government policy should focus on improving the quality of care in local hospitals not on increasing and distributing health care resources.