• 제목/요약/키워드: Field Hospital

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농도 보상용 셀로판지를 사용한 흥부촬영에 대한 검토 (A Study of Chest Radiography with Cellulose Paper)

  • 김영환;이창엽;김창남;허준
    • 대한방사선기술학회지:방사선기술과학
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    • 제10권1호
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    • pp.25-29
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    • 1987
  • To compensate density of abnormal lung field for density of normal lung field, used each cellulose paper calculated sensitometry and contrast. As apply clinic part to the result: We are able to compensate density of abnormal lung that is pleural effusion atelectasis, etc for normal lung. We believe this method is good one because the method is simple to change exposure and the material is cheap enough to be accessible to every one and easily buyable and we need not be afraid of loss of image quality.

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병원 내 다양한 구역의 미끄럼 위험성 평가 연구 (The Evaluation for Slip Risk of Various Hospital's zones)

  • 강현수;박범
    • 대한안전경영과학회지
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    • 제18권3호
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    • pp.81-89
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    • 2016
  • Floor slipperiness is a leading cause in slip and fall accidents which are a major source of occupational injuries in Korea. Researchers have estimated the slip and fall related accidents rank number one or two in number of the injured. The objectives of this study were to find the field contamination effect and improvement countermeasure. Slipping and falling are common accidents in large public facilities, especially facility which vulnerable adults generally use as like hospital. So, we measured the coefficient of friction of several floors on the floor in hospital, under dry and wet using BOT-3000. The results of the coefficient of friction measurements showed that floor type and surface conditions were all significant factors affecting the coefficient of friction. The most surprising finding of this study was that there were significant friction improvement when the floors were properly cleaned with cleaning equipments.

Successful Management of a Tracheo-gastric Conduit Fistula after a Three-field Esophagectomy with Combined Sternocleidomastoid Muscle Rotation Flap and Histoacryl Injection Treatment

  • Chung, Yoon Ji;Kim, Ji Hyun;Kim, Dong Jin;Kim, Jin Jo
    • Journal of Gastric Cancer
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    • 제20권4호
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    • pp.454-460
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    • 2020
  • Tracheo-gastric conduit fistula is an extremely rare but severe complication that is difficult to manage. Conservative care, esophageal or tracheal stent placement, or cutaneomuscular flaps have been suggested; however, no definite treatment has been proven. We report a case of tracheo-gastric conduit fistula that occurred after a minimally invasive radical three-field esophagectomy. Following the primary surgery, the diagnosis was made while evaluating the patient's frequent aspiration and coughing. Conservative management failed, and a surgical correction was undertaken to identify the multifocal mucosal defect and exposed tracheal ring. A sternocleidomastoid muscle rotation flap and subsequent Histoacryl injection into the remaining fistula were performed, and the fistula was successfully managed.

Field-in-Field Technique을 이용한 두경부암의 접합부위 선량개선에 관한 고찰 (Field-in-Field Technique to Improve Dose Distribution in the Junction of the Field with Head & Neck Cancer)

  • 김선명;이영철;정덕양;김영범
    • 대한방사선치료학회지
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    • 제21권1호
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    • pp.17-23
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    • 2009
  • 목 적: 두경부암의 치료에 있어 상부 두경부의 양측면조사면과 하경부의 전방조사면의 접합부위에 균등한 선량을 조사하는 것은 매우 중요하다. 접합부위의 선량분포개선을 위하여 하경부 전방조사면의 치료시 Field-in-Field technique을 이용하여 부족선량(under dose)과 초과선량(over dose)으로 인한 선량불균등을 개선하고 일반치료와의 비교를 통하여 두경부암치료에 적용하고자 한다. 대상 및 방법: 상부 두경부의 양측면 조사시 빔의 확산으로 일어나는 입사점과 출사점의 선량차이를 알아보기 위하여 인체모형팬톰을 이용하였다. 인체모형팬톰을 전산화단층촬영하고 전산화치료계획에서 관심점의 선량비교를 시행하였고, 하경부 접합부위의 선량비율을 계산하여 이를 보정하였다. 조사면 접합부위의 선량분포를 알아보기 위하여 하경부의 접합부위에 저감도 필름을 놓고 일반적인 치료인 상부 두경부의 양측면조사와 하경부의 전방조사시 선량분포를 측정하였다. 또한, 상부 두경부 양측면 조사에 따른 빔의 확산을 고려한 Field-in-Field technique을 이용하여 하경부 전방조사를 할 때의 접합부위의 선량분포 차이를 측정하여 비교하였다. 접합부위의 관심점 선량을 알아보기 위하여 열형광선량계를 이용하여 인체모형팬톰내의 관심점에서의 선량변화를 비교, 분석하였다. 결 과: 전산화치료계획에서 하경부의 접합부위에 Field-in-Field technique을 적용하여 치료계획시 상부 두경부 양측면 조사와 선량합성을 한 경우 부족선량 영역의 선량이 4.7~8.65% 이상 증가하였다. 초과선량 영역의 선량도 2.75~10.45% 감소하였다. 또한, 저감도 필름을 이용한 측정에서는 부족선량영역에서 11.3% 증가, 초과선량영역에서 5.3% 감소한 것으로 나타났다. 열형광선량계를 이용한 관심점선량측정에서도 Field-in-Field technique 적용시 부족선량을 최소 7.5%에서 최대 17.6%까지 보정해주는 것으로 나타나 불균등한 선량분포를 개선할 수 있었다. 결 론: 전산화치료계획시 빔의 확산을 고려한 Field-in-Field technique을 적용하면 접합부위의 선량보정을 통해 냉점(cold spot)과 온점(hot spot)을 줄일 수 있었으며 특히, 빔의 확산에 따른 입사점의 부족선량을 보정할 수 있었다. 본 실험을 통해 Field-in-Field technique의 임상적용시 경부임파절의 저선량으로 인한 임파절전이에 대한 위험도를 감소시킬 수 있을 것으로 사료된다.

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금속 전극 변화에 따른 CuPc Field-effect Transistor의 전기적 특성 (Electrical Properties of CuPc Field-effect Transistor with Different Metal Electrodes)

  • 이호식;박용필
    • 한국전기전자재료학회:학술대회논문집
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    • 한국전기전자재료학회 2007년도 추계학술대회 논문집
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    • pp.494-495
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    • 2007
  • Organic field-effect transistors (OFETs) are of interest for use in widely area electronic applications. We fabricated a copper phthalocyanine (CuPc) based field-effect transistor with different metal electrode. The CuPc FET device was made a top-contact type and the substrate temperature was room temperature. The source and drain electrodes were used an Au and Al materials. The CuPc thickness was 40nm, and the channel length was $50{\mu}m$, channel width was 3mm. We observed a typical current-voltage (I-V) characteristics in CuPc FET with different electrode materials.

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rs10505474 and rs7837328 at 8q24 Cumulatively Confer Risk of Prostate Cancer in Northern Han Chinese

  • Zhang, Lin-Lin;Sun, Liang;Zhu, Xiao-Quan;Xu, Yong;Yang, Kuo;Yang, Fan;Yang, Yi-Ge;Chen, Guo-Qiang;Fu, Ji-Cheng;Zheng, Chen-Guang;Li, Ying;Mu, Xiao-Qiu;Shi, Xiao-Hong;Zhao, Fan;Wang, Fei;Yang, Ze;Wang, Bin-You
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권7호
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    • pp.3129-3132
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    • 2014
  • Aims: Genome-wide association studies (GWAS) have identified several risk variants for prostate cancer (pCa) mainly in Europeans, which need to be further verified in other racial groups. We selected six previously identified variants as candidates and to define the association with PCa in Northern Han Chinese. Methods: 749 subjects from Beijing and Tianjin in Northern China were included. Six variants (rs10505474, rs7837328, rs4242384, rs7813, rs486907 and rs1058205) were genotyped by high resolution melting (HRM) assays. The individual and cumulative contribution for of the risk of PCa and clinical covariates were analyzed. Results: Among the six candidate variants, onlyrs10505474, and rs7837328, both locating at 8q24 region, were associated with PCa in our population.rs10505474 (A) was associated with PCa ($OR_{recessive}=1.56$, p=0.006); and rs7837328 (A) was associated with PCa ($OR_{dominant}=1.38$, p=0.042/$OR_{recessive}=1.99$, p=0.003). Moreover, we observed a cumulative effects between them ($p_{trend}=2.58{\times}10^{-5}$). The joint population attributable risk showed the two variants might account for 71.85% of PCa risk. In addition, we found the homozygotes of rs10505474 (A) and rs7837328 (A) were associated with PCa clinical covariants (age at onset, tumor stage, respectively) ($p_{age}=0.046$, $P_{tumorstage}=0.048$). Conclusion: rs10505474 (A) and rs7387328 (A) at 8q24 are associated with PCa and cumulatively confer risk, suggesting the two variations could determine susceptibility to PCa in the Northern Chinese Han population.

전뇌(Whole Brain)치료 시 Field-in-Field Technique 적용에 관한 고찰 (A comparative study of dose distribution for whole brain with field-in-field technique)

  • 김보겸;이제희;정치훈;박흥득
    • 대한방사선치료학회지
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    • 제17권1호
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    • pp.9-17
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    • 2005
  • 목적 : 방사선치료에 있어 치료부위내의 균등한 선량분포는 환자의 치료성적 및 장해를 좌우하는 매우 중요한 인자이다. 이러한 치료부위내의 균등한 선량분포를 얻기 위해 사용하는 여러 가지 방법 중 간단한 Field-in-Field Technique의 유용성을 평가하고 다양한 크기의 전뇌(whole brain)치료 환자에게 적용가능성을 알아보고자 한다. 대상 및 방법 : 전뇌(whole brain)의 일반적인 치료기법인 대향2문조사와 Field-in-Field Technique을 적용했을 때의 선량분포도를 비교하기 위하여 phantom(acryl 16 cm spheral phantom)을 대상으로 치료계획을 수립하였으며, 선량분포평가를 위하여 저감도필름(X-Omat V-film)과 열형광선량계(TLD)를 사용하여 측정하였다. 또한 다양한 두께의 환자20명(대, 중, 소 및 소아-각각 5명)을 대상으로 Field-in-Field Technique의 적용가능성을 평가 하였다 결과 : 전뇌(whole brain)치료에 대향2문조사와 Field-in-Field Technique을 적용한 경우 각각의 치료부위내의 선량분포 및 DVH를 비교한 결과, Field-in-Field Technique을 사용한 경우 고선량(high dose)영역을 $3{\sim}4\%$이하로 줄일 수 있었고, 저감도필름(X-Omat V-film)과 열형광선량계(TLD)에 의한 측정결과 또한 유사한 수치를 얻을 수 있었다. 이러한 Field-in-Field Technique을 다양한 두께의 환자에게 동일하게 적용해도 선량분포의 변화는 $1{\sim}2\%$로 나타났다. 결론 : 전뇌(whole brain)치료에 Field-in-Field Technique를 이용하여 치료계획을 수립하여 적용하면 치료부위내의 균등한 선량분포를 얻을 수 있으므로 추가적인 치료가 필요한 경우 선량합성이 용이하여 쉽게 치료계획을 수립할 수 있었다. 그리고 균등한 선량분포를 얻기 위해 사용하는 wedge filter 및 3D compensator 의 역할을 대체 할 수 있으며, 방사선 치료 시 고선량 영역으로 인해 발생되는 장해를 최소화할 수 있을 것으로 사료된다.

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글로벌 시대에 병원행정 관리자가 갖추어야 할 역량 (Competencies Necessary to Hospital Staffs and Managers in the Global Age)

  • 공명달
    • 대한안전경영과학회지
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    • 제18권1호
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    • pp.227-236
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    • 2016
  • Main purpose of this study is to provide some basic data necessary to research, education, and policy to cultivate professional talents, by investigating what competencies needed to hospital administrative staffs and managers in performing their jobs in the global age. A survey was conducted through self-administered questionnaires for hospital administrative staffs and managers including first-line hands-on workers who were working in 77 hospitals located in Busan, Keongnam, Ulsan areas in South Korea. Major results are as follows: (a) The analysis for the competencies needed to hospital administrative staffs and managers in order to perform successfully their jobs revealed that interpersonal competency, knowledge of management skills in healthcare field, understanding ability for healthcare, in that order of importance, had significant influence on performing their jobs. (b) Regarding the analysis for the detailed competencies necessary to hospital administrative staffs and managers in order to perform successfully their jobs revealed that problem-solving ability, sense of responsibility, positive attitude, leadership, in that order of importance, had significant influence on performing them. This study suggests that universities opened courses related to health care management should newly open a subject 'problem-solving ability in health care' to link with health care field and their curriculums are necessary to change over to practice-oriented curriculum system.

The use of mobile computing devices in microsurgery

  • Pafitanis, Georgios;Hadjiandreou, Michalis;Miller, Robert;Mason, Katrina;Theodorakopoulou, Evgenia;Sadri, Amir;Taylor, Kirsten;Myers, Simon
    • Archives of Plastic Surgery
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    • 제46권2호
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    • pp.102-107
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    • 2019
  • Mobile computing devices (MCDs), such as smartphones and tablets, are revolutionizing medical practice. These devices are almost universally available and offer a multitude of capabilities, including online features, streaming capabilities, high-quality cameras, and numerous applications. Within the surgical field, MCDs are increasingly being used for simulations. Microsurgery is an expanding field of surgery that presents unique challenges to both trainees and trainers. Simulation-based training and assessment in microsurgery currently play an integral role in the preparation of trainee surgeons in a safe and informative environment. MCDs address these challenges in a novel way by providing valuable adjuncts to microsurgical training, assessment, and clinical practice through low-cost, effective, and widely accessible solutions. Herein, we present a review of the capabilities, accessibility, and relevance of MCDs for technical skills acquisition, training, and clinical microsurgery practice, and consider the possibility of their wider use in the future of microsurgical training and education.