• 한국병원경영학회지
• /
• 제3권1호
• /
• pp.165-191
• /
• 1998

The objectives of this research are 1) to identify different motivation of choice for each National University hospitals 2) to examine the factors influencing the patients' satisfaction, 3) and to investigate that the patients' satisfaction effects the hospital re-choice and recommendation on seven National University's hospitals. The data for this analysis were collected by questionnaire survey. Totally 852 interviews were conducted. The major statistical methods used for the analysis are paired t-test, factor analysis, x2-test, and multiple regression. We find that satisfaction level is a function of not only the quality of medical service but also non-medical service. The main results of research are follows: 1) The most important factor of hospital choices is 'the trust and fame as National University hospitals'; 2) Overall satisfaction of inpatients is turned to be influenced by the doctor's services, nurse's services, environment, and convenience. And overall satisfaction of outpatients is also found to be influenced by the waiting time for lab test; 3) Highly satisfied patients preferred to revisit and to recommend to others.

• 한국환경보건학회지
• /
• 제42권2호
• /
• pp.92-101
• /
• 2016

Objectives: Outdoor workers are exposed to thermally stressful work environments. In this study, heat stress indices for harbor workers in summer were calculated to evaluate thermal comfort based on a human heat balance model. These indices are Physiological Subjective Temperature (PST), Dehydration Risk (DhR), and Overheating Risk (OhR) according to respective stage of cargo work in a harbor. In addition, we constructed a forecast system to provide heat stress information. Methods: Thermophysiological indices in this study were calculated using the MENEX model (i.e. the human heat balance model), which used as inputs the meteorological parameters, clothing insulation, and metabolic rate for each stage of cargo work in the harbor of Masan over the course of seven days, including a four-day heat wave. The forecast heat stress information constructed for Masan harbor was based on meteorological data supported by the Dong-Nae Forecast from the KMA (Korea Metrological Administration) and other input parameters. Results: According to higher metabolic rate, thermophysiological indices showed a critical level. In particular, PST was evaluated as reaching the 'Very hot' or 'Hot' level during all seven days, despite the heat occurring over only four. It is important in a regard to consider the work environment conditions (i.e. labor intensity and clothing in harbor). On a webpage, the forecast thermophysiological indices show as infographics to be easily understand. This webpage is comprised of indices for both current conditions and the forecast, with brief guidance. Conclusion: Thermophysiological indices show the risk level to health during a heat wave period. Heat stress information could help to protect the health of harbor workers. Further, this study could extend the applicability of these indices to a variety of outdoor workers in consideration of work environments.

• Clinics in Shoulder and Elbow
• /
• 제27권1호
• /
• pp.3-10
• /
• 2024

Background: Gunshot-related fractures near the elbow are challenging, and available data to guide the practitioner are lacking. This report analyzes injury patterns and treatment strategies in a case series from a high-volume urban trauma center. Methods: All periarticular gunshot fractures near the elbow treated at a level 1 trauma center from 2014 to 2018 were retrospectively reviewed. Fracture location, patient demographics, concomitant injuries, treatment modalities, and complications were analyzed. Results: Twenty-four patients were identified. All patients received prophylactic antibiotics upon admission and underwent urgent surgical debridement. Open reduction and internal fixation (ORIF) was performed with initial debridement in 22 of 24 patients. Seven patients sustained distal humerus fractures, 10 patients sustained isolated proximal ulna or proximal radius fractures, and seven had combined fracture patterns. Eleven patients presented with nerve palsy, and two had transected nerves. Two patients had vascular injury requiring repair. One patient required a temporary elbow-spanning external fixator and underwent staged debridement followed by ORIF. One patient with a grade IIIC fracture developed a deep infection that precluded ORIF. One patient required revision ORIF due to fracture displacement. Conclusions: This investigation reports on management of ballistic fractures near the elbow at a busy urban level I trauma center. Our management centered on rapid debridement, early definitive fixation, and intravenous antibiotic administration. We report on associated neurovascular injury, bone loss, and other challenges in this patient population. Level of evidence: IV.

• 한국산업보건학회지
• /
• 제5권1호
• /
• pp.16-39
• /
• 1995

From July 8 to September 2 1994, asbestos exposure level among asbestos textile workers was surveyed. Six plants out of plants in Korea were selected for this study. In addition to the exposure level, the relationship between the level of exposure and some factors affecting exposure were studied. Also, using historical data of asbestos concentrations in asbestos textile plants plus current data, trend of asbestos exposure level could be introduced. Historical exposure level was estimated on the basis of these data. The main results of this study are follows. 1. Average concentration of all six plants surveyed was 1.54 f/cc, and range of those concentrations was 0.03 - 11.58 f/cc. The minimum average concentration was 0.32 f/cc and the maximum was 8.04 f/cc which is four times higher than the Korean standard. A wide difference of exposure level among the workers of different plants was observed. In three plants, the half of all the plants surveyed, their average concentrations exceeded the Korean standard, and those in all the plants exceeded the ACGIH TLV. 2. Among total 56 samples, 22 samples(39%) were in excess of the Korean standard, and 53 samples(95%) were above the ACGIH TLV. Among 32 personal samples, 15 samples(47%) exceeded the Korean standard, and 30 samples(94%) exceeded the ACGIH TLV. Among 24 area samples excluding a few samples collected in office area, seven samples exceeded the Korean standard, and 23 samples( 96%) exceeded the ACGIH TLV. 3. Distributions of concentrations were observed by processes. In weaving, the highest, average concentration was 4.29 f/cc, and range was 2.61 - 11.58 f/cc. In spinning, average concentration was 2.22 f/cc, and range was 0.41 - 8.93 f/cc. In carding, average concentration was 1.98 f/cc, and range was 0.23 - 10.93 f/cc, In twisting, average concentration was 1.65 f/cc, and range was 0.21 - 9.83 f/cc. In mixing, the lowest, average concentration was 0.48 f/cc, and range was 0.22 - 1.20 f/cc. 4. All the samples from basic processes of asbestos textile plants were above the ACGIH TLV. Nineteen samples(45%) out of all these 42 samples exceeded Korean standard. Fourteen samples(58%) of total 24 personal samples, and five samples(28%) of total 18 area samples exceeded the Korean standard. Considering processes, all the samples in weaving process exceeded the Korean standard and 50 did 54% of those in spinning, 40% in carding, and 27% in twisting. 5. Trend of decreasing asbestos concentrations in asbestos textile plants was observed by time. 6. Asbestos concentrations in asbestos textile plant in 1975 were estimated to be 11.0 - 92.4 f/cc.

• 분석과학
• /
• 제20권4호
• /
• pp.268-278
• /
• 2007

값이 싸고 효과적인 항 부식제로서 수용성 금속가공유에 첨가되는 아질산염은 수용성 금속가공유에서 미생물 번식을 제어하기 위하여 첨가되는 아민류와 공존 시, 발암성 물질인 니트로소아민류를 생성한다. 본 연구에서는 금속가공, 자동차 부품 제조업 등을 중심으로 현장에서 수거한 금속가공유 원액 및 희석액 중 니트로소 화합물을 생성시키는 아질산염 및 질산염과 에탄올 아민류의 함량을 이온크로마토그라피를 이용하여 분석하고, GC/MS로 분석한 니트로소아민의 분석결과를 비교하여 우리나라 유통 수용성 금속가공유 중 니트로 화합물의 함유실태를 조사하였다. 21개의 금속가공유 희석액 시료 중 11개(52%)의 시료에서 아질산염이 검출되었으며 독일 기준치인 $20{\mu}g/mL$를 초과하는 시료는 3개(14%)였다. 21개의 희석액 중 18개의 희석액에서 니트로소아민(NDELA, N-nitrosodiethanolamine)이 검출되었는데 독일의 권고치인 $5{\mu}g/mL$를 초과하는 시료는 7개(33%)였다. 아질산염의 농도와 NDELA 농도는 $R^2=0.453$, n=19)의 상관성이 관찰되었다.

• 한국멀티미디어학회논문지
• /
• 제9권8호
• /
• pp.1054-1066
• /
• 2006

본 연구는 의료기관 간 정보공유를 위해 간호분류체계를 기반으로 임상문서구조(Clinical Document Architecture, CDA)의 생성과 새로운 패러다임의 병원정보시스템을 제안하였다. 간호정보 CDA는 간호진단, 간호중재 및 수행과 관련된 코딩시스템을 포함하였고 표준문서의 생성을 위해 CDA생성도구를 개발하였다. 본 연구의 목표는 개인의 필요한 간호정보를 간호전문가에게 실시간으로 제공하여 적정 간호를 제공하며 건강 증진을 도와 생산적인 삶의 질을 향상하는 것이다. 본 연구가 가지는 의의는 첫째, 국제 표준인 HL7 임상문서구조를 사용하기 위한 확장과 정제과정의 연구를 했으며, 둘째, 임상문서구조를 사용할 수 있는 웹 기반의 차세대 병원정보시스템의 구조를 제안하였다. 결론적으로, 임상문서구조에 대한 본 연구로 말미암아 평생전자의무기록(Electronic Health Record)과 임상데이터저장소(Clinical Data Repository)를 포함하여 다양한 보건의료기관 간 간호정보 공유의 기반이 될 것이다.

• 한국환경보건학회지
• /
• 제26권4호
• /
• pp.21-28
• /
• 2000

Various man-made mineral fibers(MMMF) including refractory ceramic fiber(RCF) have been used widely in industries as insulation materials. The effect of fibrous dust on human health depends on fiber size, concentration (exposure level), and durability in biological system. Therefore, these parameters should be determined to evaluate accurately the potential risk of fibers on human health. The purpose of this study was to characterize the size of airborne fiber and the workers＇ exposure to airborne fibers in refractory ceramic fiber manufacturing and processing factories. Airborne fibers were collected on 25-mm mixed cellulose ester membrane filters at personal breathing zones, and analyzed by A and B counting rules of the National Institute for Occupational Safety and Health(NIOSH) Method # 7400. The average ratios of the fiber density by B rule to the fiber density by A rule was 0.84. This result indicates that the proportion of respirable fibers (<3 ${\mu}{\textrm}{m}$ diameter) in air samples was high. The average diameter and length of airborne fibers were 1.05${\mu}{\textrm}{m}$ and 35${\mu}{\textrm}{m}$, respectively. The average fiber concentrations (GM) of all personal samples was 0.26f/cc, and the average concentration was highest at blanket cutting and packing processes. The fifty seven percent of personal air samples was exceeded the proposed American Conference of Governmental Industrial Hygienists(ACGIH) Threshold Limit Value(TLV), i.e. 0.2 f/cc. It was concluded that the RCF industrial workers had the higher potential health risk due to small fiber diameter, long fiber length, and high exposure level to the airborne fibers.

• 보건행정학회지
• /
• 제32권3호
• /
• pp.304-316
• /
• 2022

Background: As prevention of coronavirus disease 2019 (COVID-19) transmission in healthcare settings has become a critical component in its effective management, COVID-19 specific infection prevention and control (IPC) guidelines were developed and implemented by numerous countries. Although largely based on the current evidence-base, guidelines show much heterogeneity, as they are influenced by respective health system capacities, epidemiological risk, and socioeconomic status. This study aims to analyze the variations and concurrences of these guidelines to draw policy implications for COVID-19 response and future guidelines development. Methods: The contents of the COVID-19 IPC guidelines were analyzed using the categories and codes developed based on "World Health Organization guidelines on core components." Data analysis involved reviewing, appraising and synthesizing data from guidelines, which were then arranged into categories and codes. Selection of countries was based on the country income level, availability of COVID-19 specific IPC guideline developed at a national or district level. Results: The guidelines particularly agreed on IPC measures regarding application of standard precautions and providing information to patients and visitors, monitoring and audit of IPC activities and staff illnesses, and management of built environment/equipments. The guidelines showed considerable differences in certain components, such as workplace safety measures and criteria for discontinuation of precautions. Several guidelines also contained unique features which enabled a more systematic response to COVID-19. Conclusion: The guidelines generally complied with the current evidence-based COVID-19 management but also revealed variances stemming from differences in local health system capacity. Several unique features should be considered for benchmark in future guidelines development.

• 한국정보과학회:학술대회논문집
• /
• 한국정보과학회 2012년도 한국컴퓨터종합학술대회논문집 Vol.39 No.1(D)
• /
• pp.52-54
• /
• 2012

수년 전부터 환자와 병원 간 의료정보 교환의 표준에 관한 연구가 국내외에서 꾸준히 진행되고 있으며, 앞으로도 활발한 연구가 진행되어 많은 산출물들이 도출될 것이다. 현재 대부분의 연구에서는 병원정보시스템(HIS)을 기반으로 병원 내 의료 장비들 간의 메시지 표준화를 위한 것으로 환자와 병원 간 정보 교환을 위해 스마트 기기, Open Service Gateway Initiative(OSGi) 플랫폼 등에서 오픈소스를 이용한 HL7 메시지 교환 시스템을 구성하는 연구는 아직 미비한 실정이다. 본 논문에서는 Open eHealth Integration Platform(IPF)을 이용해 안드로이드와 OSGi 플랫폼에서 환자와 병원 간의 HL7(Health Level Seven) 메시지의 교환, 검증 그리고 모니터링 위한 시스템을 구현하였다.

• 보건의료산업학회지
• /
• 제8권4호
• /
• pp.57-67
• /
• 2014

This study analyzed the differences for educational training demographic characteristics and provides basic information for efficient education. The meaningful results of this study were as follows. First for gender, seven-factors except for education satisfaction had significant differences. Second for age, five-factors education performance, education satisfaction, professionalism, diversity, and education had significant difference. Third, for occupation and position, eight-factors had significant differences. We realized that senior staff of Grade 3 or above had the highest level in six-factors education concentration, education performance, education satisfaction, motivation, professionalism and diversity. Finally, for employment period, six factors except for professionalism and motivation had significant differences.