• 보건행정학회지
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• 제9권3호
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• pp.21-32
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• 1999

The purpose of this study is to assess individual decisive factors for distribution of medical specialists in Korea. A data set was constructed using several published data sources. including the Korean Medical Association's physician master file as a principal source for physician information. Linear logistic regression analysis was performed to assess the relationship between the location of private specialist clinic for practice with six variables related with individual characteristics: age. sex. location of postgraduate training hospital. location of medical school graduated, size of hospital for training, and specialty. Analysis showed that location of practice. classified into urban and rural areas, was significantly associated with the variables of sex. location of postgraduate training hospital. location of medical school. In addition, significant association was found between the location of practice which was categorized into "near-Seoul area" and others, and sex, location of postgraduate training hospital. and location of medical school. We could conclude that to improve area maldistribution of physicians locations of hospitals for training and medical schools have to have the highest priority in the policymaking.icymaking.

• 한국콘텐츠학회논문지
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• 제18권11호
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• pp.75-86
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• 2018

본 연구는 요양병원 입지전략과 내부역량의 복합적인 상호작용을 전제로 하여 재이용의도와의 관련성을 동시추정방식으로 분석하였다. 연구결과는 다음과 같다. 첫째, 재이용의도에 대한 상대적 영향력은 병원입지전략(${\beta}=0.313$) 보다 병원내부역량(${\beta}=0.490$)이 크지만 두 요인 모두 재이용의도에 통계적으로 유의미한 영향을 미친다는 점에서 선행연구 결과를 확인해 주고 있다. 둘째, 재활기능강화형 요양병원의 경우 입지전략의 중요성이 일반요양형 병원에 비해 더 중요하다는 점이 확인되었다(${\beta}=0.443$). 재활기능강화형 요양병원 개원시 특히 입지시장성, 교통인프라, 건물매력도, 의료집적성 등 입지요인에 근거하여 면밀한 준비가 선행되어야 한다는 점이 제시되고 있다. 셋째, 병원내부역량은 병원유형에 따른 조절효과는 나타나지 않았으며, 일반요양형 병원과 재활기능강화형 병원에 있어 모두 중요한 요인임이 확인되었다.

• Investigative Magnetic Resonance Imaging
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• 제24권1호
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• pp.21-29
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• 2020

Purpose: To investigate normal location of the peroneus longus tendon (PL) in the cuboid groove by evaluating it between ankles with no significant abnormality (asymptomatic group) and those with retromalleolar PL dislocation (dislocation group) using three-dimensional isotropic fast spin-echo (3D-FSE) magnetic resonance imaging (MRI) of the ankle. Materials and Methods: Thirty-six and 32 3D-FSE ankle MRI were assigned to the asymptomatic group and the dislocation group, respectively. Using multiplanar reformatted 3D-FSE, qualitative PL location (i.e., outside, overlying, and inside in relation to the cuboid groove), quantitative PL location (i.e., distance between the proximal margins of PL and cuboid groove), and cuboid groove size were measured in lateral, middle, and medial levels of the cuboid groove. Results: In the asymptomatic group, 64%, 42%, and 11%, respectively, had the outside or overlying-located PL in lateral, middle, and medial levels of the cuboid groove and the quantitative location gradually decreased from lateral to medial level. Qualitative and quantitative PL locations were not significantly different between the asymptomatic group and dislocation group. Cuboid groove size showed significant negative correlation with quantitative PL location in both groups. Conclusion: Outside- or overlying-located PL in lateral and middle levels of the cuboid groove would be a normal finding, regardless of PL status at the retromalleolar level.

• 한국의료질향상학회지
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• 제1권2호
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• pp.34-43
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• 1994

Background: The average hospital stay in most Korean teaching hospitals is longer than that of hospitals in developed countries. The investigation of average hospital stay of teaching hospitals is considered as an important measure to evaluate the effectiveness of hospital management. In this article authors analyzed the relationship of several variables (hospital ownership, number of beds, location of hospitals, number of physician) to length of hospital stay in each clinical department. Methods: The average hospital stay of each clinical department of 184 teaching hospitals was investigated. Authors reviewed the papers of teaching hospitals, that was reported to the Korean Association of Hospitals. Results: The means of hospital stay day of hospitals were not significantly different according to the number of hospital beds and location of hospitals. Only the difference of hospital stay according to ownerships was significant. The length of stay was the highest in public hospitals and the lowest in juridical hospitals. Conclusions: The number of beds and location of hospitals were not associated with the average hospital stay. But ownerships affected the average hospital stay. The national or public hospitals had the longest length of hospital stay. Number of specialists and number of all physicians were closely related to the average hospital stay.

• 한국산학기술학회논문지
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• 제20권3호
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• pp.110-124
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• 2019

최근 몇 년 동안 병원의 과다 공급으로 인해 병원 관리가 어려워지면서 병원은 혁신적인 병원 경영을 도입하여, 고객 만족도를 높이고 있다. 이에 본 연구는 요양병원의 혁신성이 고객만족도에 미치는 영향에 대하여 병원의 내부역량과 입지전략의 매개효과를 중심으로 살펴 보았다. 연구의 대상은 서울 및 수도권 소재 요양병원 재원중인 환자 및 보호자 120명을 대상으로 선정하여 설문조사와 통계분석을 시행 하였다. 연구의 시사점은 다음과 같다. 첫째, 병원혁신성이 고객만족도에 유의한 영향을 주지 못하고 오히려 통계적으로 유의하지 않지만 부(-)의 영향을 미친다는 점에서 병원조직의 보수성 및 안정성에 대한 고객들의 기대를 확인할 수 있다. 일반기업과 달리 생명을 다루는 병원조직의 특성상 일반기업과 차별화된 병원조직 고유의 혁신성 측정도구 개발이 시급하다. 둘째, 혁신성이 내부역량과 입지전략에 미치는 영향력은 비슷했지만, 입지전략(${\beta}=0.357$)은 내부역량(${\beta}=0.283$)에 비해 고객만족도에 더 큰 영향력을 미치고 있음이 확인되었다. 요양병원의 경우 개원 시점부터 입지시장성, 교통인프라, 건물매력도, 의료집적성 등 입지요인에 근거하여 면밀한 준비가 선행되어야 한다는 점을 시사해 주고 있다. 셋째, 내부역량과 입지전략은 병원혁신성과 고객만족도 간의 관계를 완전매개하고 있음이 실증분석을 통해 확인되었다. 병원 혁신성은 유무형의 내부역량을 제고하고 있으며, 입지전략 수립을 위한 적극적 태도를 유도함으로써 고객만족도에 유의한 영향을 미치고 있음이 확인되었다.

• Asian Pacific Journal of Cancer Prevention
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• 제15권20호
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• pp.8951-8955
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• 2014

Background: Studies have shown the existence of gender- and age-related differences in the incidence and anatomic distribution of colorectal cancers. The purposes of this study were to analyze the distribution characteristics of colorectal cancer patients regarding gender, age, location and tumor size in the course of colonoscopy. Materials and Methods: All colorectal cancer patients who underwent colonoscopy in the First Affiliated Hospital of Guangxi Medical University from 2003 to 2012 were included in our retrospective study. Demographic information (age and gender) and colonoscopy report information (tumor size and location) were collected and analyzed. To compare the gender differences in tumor location and tumor size, as well as the size differences in tumor location, the chi-square test was used. Results: A total of 3, 369 colorectal cancer patients (2, 007 men vs 1, 362 women) were included in our study. Statistical analysis showed there was no gender difference in the anatomic distribution of the tumors (p>0.05). However, there was a gender difference in tumor size (p<0.05). In addition, our study found there was a significant difference in tumor size between rectal and colon tumors (p<0.001). Conclusions: There was no gender difference in the anatomic distribution of colorectal tumors. In addition, tumors observed in men were larger than in women.

• Journal of Acupuncture Research
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• 제39권2호
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• pp.77-88
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• 2022

The purpose of this review was to identify research trends in acupuncture training systems and models and to analyze acupuncture training using phantom models. Articles on acupuncture training were retrieved from domestic and foreign electronic databases (PubMed, CNKI, CiNii, NDSL, KISS, RISS and KMBase). The search included studies conducted from January 1, 2010 to October 1, 2021. Acupuncture training was analyzed by categorization into acupoint location training and needling training. Acupuncture training was most frequently studied in China, acupoint location training was the most studied in 2012, and needling training was the most studied in 2013 and 2020. Among them, a silicone model with a sensor was used for training in acupoint location, and silicone and agarose gel were frequently used for needling training. Classifications of the phantom models for needling training by topic included phantom development, phantom-based education and evaluation system, phantom-based quantitative measurement, comparison of kinematic characteristics of hand motion between experts and beginners, and phantom models for acupoint location and needling training. Further research on the development of acupuncture practice training systems to improve practical skills is needed.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제22권4호
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• pp.67-77
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• 2016

Purpose: This paper aimis to analyze the characteristics of ward plan of Korean hospital architecture constructed in each periods and identify the change since 1945. Methods: Literature review was conducted while ward plans for analysis were sellected. And then the important points of ward design were analyzed in each periods. Results: The important points of ward design - type of corridor in ward plan, number of beds per nursing unit, location of nurse station, organization of multi-bed rooms, location of patient toilet, number of day room, concentration and separation of elevator halls for patient and general- were analyzed and the characteristics of change were identified in each periods. Implications: This paper could be a basic data for arranging the history of hospital architecture in Korea.

• 대한핵의학회:학술대회논문집
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• 대한핵의학회 2000년도 2nd Korea-China Congress of Nuclear Medicine and 39th Annual Spring Meeting if the Korea SOciety Nuclear Medicine
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• pp.82-82
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• 2000

• Journal of Korean Neurosurgical Society
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• 제62권6호
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• pp.649-660
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• 2019

Objective : To analyze the angiographic features and clinical course, including treatment outcomes and the natural course, of fusiform middle cerebral artery aneurysms (FMCAAs) according to their location, size, and configuration. Methods : We reviewed the literature on adult cases of FMCAAs published from 1980 to 2018; from 25 papers, 112 FMCAA cases, for which the location, size, and configuration could be identified, were included in this study. Additionally, 33 FMCAA cases in our hospital were included, from which 16 were assigned to the observation group. Thus, a total of 145 adult FMCAA cases were included. We classified the FMCAAs according to their location (l-type 1, beginning from prebifurcation; l-type 2, beginning from bifurcation; l-type 3, beginning from postbifurcation), size (small, <10 mm; large, ${\geq}10mm$; giant, ${\geq}25mm$), and configuration (c-type 1, classic dissecting aneurysm; c-type 2, segmental ectasia; c-type 3, dolichoectatic dissecting aneurysm). Results : The c-type 3 was more commonly diagnosed with ischemic symptoms (31.8%) than hemorrhage (13.6%), while 40.9% were found accidentally. In contrast, c-type 2 was more commonly diagnosed with hemorrhagic symptoms (14.9%) than ischemic symptoms (10.6%), and 72.3% were accidentally discovered. According to location, ischemic symptoms and hemorrhage were the most frequent symptoms in l-type 1 (28.6%) and l-type 3 (34.6%), respectively. Most of l-type 2 FMCAAs were found incidentally (68.4%). Based on the size of FMCAAs, only 11.1% of small aneurysms were found to be hemorrhagic, while 18.9% and 26.0% of large and giant aneurysms were hemorrhagic, respectively. Although four aneurysms of the 16 FMCAAs in the observation group increased in size and one aneurysm decreased in size during the observation period, no rupture was seen in any case and there were no significant predictors of aneurysm enlargement. Of 104 FMCAAs treated, 14 cases (13.5%) were aggravated than before surgery and all the aggravated cases were l-type 1. Conclusion : While ischemic symptoms occurred more frequently in l-type 1 and c-type 3, hemorrhagic rather than ischemic symptoms occurred more frequently in l-type 3 and c-type 2. In case of l-type 1 FMCAAs, more caution is required in determining the treatment due to the relatively high complication rate.