• 제목/요약/키워드: Medical Support

검색결과 3,006건 처리시간 0.025초

500병상 미만 종합병원에서의 전문지원인력 운영실태 -간호인력을 중심으로- (The Current Status of Professional Medical Support Staffs in General Hospitals less than 500 Beds -Focusing on Nursing Staffs-)

  • 전미경;김민영;최수정;설미이;김희영;김정혜
    • 임상간호연구
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    • 제24권2호
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    • pp.197-208
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    • 2018
  • Purpose: This study aimed to investigate the current statistics of professional medical support staffs(PMSSs) working in general hospitals with less than 500 beds. Methods: This study was conducted on 35 general hospitals with less than 500 beds from September 11th to October 27th, 2017. Results: Four hundred fifty one PMSSs were currently providing medical support. The number of clinical nurse experts was the highest among the roles, followed by Physician Assistants(PA) and Advanced Practice Nurses. The mean job satisfaction score was 3.07 out of 5. In the case of PA group, most of the delegated prescriptions were performed, however the delegated roles were not much documented in written format. The paucity of documentation requires a development of a committee for PMSSs, including a development of selection criteria and a scope of practice in each institution. Conclusion: The results of this study suggested the composition of a committee for PMSSs in the medical institutions and renaming the specified titles of PMSSs.

Short Note on Optimizing Feature Selection to Improve Medical Diagnosis

  • Guo, Cui;Ryoo, Hong Seo
    • 한국경영과학회지
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    • 제39권4호
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    • pp.71-74
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    • 2014
  • A new classification framework called 'support feature machine' was introduced in [2] for analyzing medical data. Contrary to authors' claim, however, the proposed method is not designed to guarantee minimizing the use of the spatial feature variables. This paper mathematically remedies this drawback and provides comments on models from [2].

한.양방 협진의 실태 및 문제점과 나아가야 할 방향 (The Problems of Cooperative Medical System of Oriental and Western Medicine and Their Solutions)

  • 이원철
    • 대한한의학회지
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    • 제20권2호
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    • pp.3-11
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    • 1999
  • The Korean system of health and medical care has been organized with both Oriental and Western medical sciences. To get complete clinical treatment results is not possible with only one-sided medical care, therefore we need to formulate an interdisciplinary plan for better health care, that is to say our ultimate purpose is the cooperative medical care for the promotion of social welfare and health. Hereupon, I made a searching inquiry into the present condition of cooperative medical care and its problems and also took a consideration into the medical state of other countries like China. Japan and North Korea where the Oriental medical care is used. The results of this investigation are as follows. There are some problems in both Oriental and Western(general) medical care, such as a lack of mutual confidence, a severance of interdisciplinary study, a shortage of professional human resources and so on. There also used to be problems of the system such as, the responsibility of medical care, the double charge for medical treatment, the governmental passive participation and policy, the private-oriented study system and so on. The solutions of these problems are that the mutual understanding and coexistence between both Oriental and Western medical sciences should be preceded and the interdisciplinary study, identified terminology and cooperative medical specialists would be necessary. Furthermore, the government has to seek some policies and legislation for the cooperative medical system and needs to support the public research institutes and centers of the cooperative medical care. After all, we have to train the cooperative medical specialists for the mutual aid of both Oriental and Western medical sciences and the government also has to support it with some policies and legislation for the better medical care system.

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Transfromation of Percutaneous Extracorporeal Life Support to Paracorporeal Ventricular Assist Device: A Case Report

  • Kim, Chilsung;Cho, Yang Hyun;Sung, Kiick;Yang, Ji-Hyuk
    • Journal of Chest Surgery
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    • 제47권4호
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    • pp.409-412
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    • 2014
  • Percutaneous extracorporeal life support (P-ECLS) is a useful modality for the management of refractory cardiac or pulmonary failure. However, venoarterial P-ECLS may result in a complication of left ventricular distension. In this case report, we discuss a patient with drug-induced dilated cardiomyopathy managed with venoarterial P-ECLS and a left atrial vent catheter. The venoarterial P-ECLS was modified to a paracorporeal left ventricular assist device (LVAD) by removing the femoral venous cannula. After 28 days of hospitalization, the patient was successfully weaned from the paracorporeal LVAD and discharged home from the hospital.

대형 민간병원의 사례분석에 의한 사용자별 면적배분 현황에 대한 연구 (A research on User-focused Space analysis of representing large Corporate hospitals)

  • 이정만;최아현
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제1권2호
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    • pp.39-51
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    • 1996
  • Design scheme drawings of the two major corporate hospitals - Asan Medical Center and Samsung Medical Center - are analysed in the aspect of floor area distributions and their proportions for various users and user-functions. Primary users of hospitals are categorized into three ; patients, employees and others. Then, patient spaces are subdivided into patient private, patient/medical, patient/support staff, patient/nursing, patient/guardian, patient common ; employee spaces into doctors, trainees, doctors common, nurses, support staffs, non-medical staffs, employee common ; others spaces into subcontractors, general publics, non-living, and internal circulation. The purpose of this research is to develop a user-focused insight into hospital spaces and a new method of hospital programming and design.

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기본소생술 S-PBL 패키지 개발 및 적용 후 평가 (An Examples Development and Implementation of S-PBL Package in Basic Life Support)

  • 이영아
    • 한국응급구조학회지
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    • 제9권2호
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    • pp.207-221
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    • 2005
  • Purpose: The purpose of this study was to develop and apply a simulation-problem based learning(S-PBL) package in basic life support(BLS). Methods: This study was used to developed BLS' S-PBL package throughout 12 steps of PBL package development model. Then, BLS' S-PBL methodology was implemented in second year student in the undergraduate emergency medical technology, and survey was done. Results: 1. S-PBL package model was presented based on conceptual model II of PBL ; PEL for professional action. 2. Quantitative analysis of survey was to the effectiveness of learning, 3.59 points ; 4.15 of BLS and 3.84 of integration and practical use of knowledge. 3. As to the satisfaction of student, S-PBL package management, tutor and self-satisfaction' score was 3.59, 3.82, 3.39 respectively. Conclusion: This study was suggested that S-PBL education would be necessary with improved tutor skill and achieved advantage of simulation and PBL.

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화상으로 손실된 비익에 대한 전두피판을 이용한 재건 (Reconstruction of Postburn Nasal Alar Defect by Paramedian Forehead Flap)

  • 박대환;박슬기;백봉수;지소영
    • 대한화상학회지
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    • 제24권2호
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    • pp.60-63
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    • 2021
  • In the face, the nose plays an important role in both function and appearance. Among the subunits on the nose, the alar is a critical nasal structure of high aesthetic value. Previously, many surgeons have insisted that structural support should be added to the reconstruction of alar and particularly so in the case of a full-thickness defect. In a 58-year-old male patient who had a third-degree burn injury and full-thickness defect in most of the left nasal alar, forehead flap surgery alone was successfully performed without structural support.

일부 전문대생의 건강증진행위와 자아존중감, 사회적 지지에 관한 연구 (건강관련학과와 비건강관련학과의 비교를 중심으로) (A study on the health promoting behavior, self-esteem and social support of college students)

  • 최은숙
    • 한국응급구조학회지
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    • 제2권1호
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    • pp.36-46
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    • 1998
  • The study was conducted to investigate the health promoting behavior, self-esteem and social support of college students. The subjects were 170 college students(health related department and non health related department) of college in K, C, U city. The instruments used for this study were a survey of general characteristics(9 items), health promoting behavior(47 items), self-esteem(10 items), social support(25 items). Analysis of data was done by use of mean, percentage, t-test, ANOVA, Pearson correlation coefficient and stepwise regression with SAS program. The results of this study are as follows ; 1. Health promoting behavior were showed significant difference in two groups. 2. Health promoting behavior of two groups according to general characteristics were showed significnant difference in religon, personality, exercise, health food choice of A group and perceived health status, personality, exercise, health food choice of B group. 3. Significant correlation between exercise and health promoting behavior, self-esteem and social support, social support and health promting behavior in A group and between perceived health status and exercise, perceived health status and social support, perceived health status and health promoting behavior, self-steem and social support, exercise and health promoting behavior, self-esteem and health promoting behavior, social support and health promoting behavior in B group was found. 4. Significant correlations were found between most of the subscales of total health promoting behavior. 5. Predicting factor of health promoting behavior were social support and exercise in A group(51.74%) and social support, exercise and self-esteem in B group(41.18%).

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Effect of Perceived Social Support on Psychosocial Adjustment of Turkish Patients with Breast Cancer

  • Rizalar, Selda;Ozbas, Ayfer;Akyolcu, Neriman;Gungor, Bulent
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권8호
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    • pp.3429-3434
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    • 2014
  • Aims: To identify the psychosocial adjustment of Turkish patients with breast cancer and the effects of perceived social support on their adjustment. Materials and Methods: The sample comprised 100 volunteering patients diagnosed with breast cancer in the last six months reporting to the Outpatient Chemotherapy Unit at the Medical Faculty Hospital in northern Turkey. The data for the study were collected through the Descriptive Information Form, the Psychosocial Adjustment to Illness Scale-Self-reflection (PAIS-SR) and the Cancer-Specific Social Support Scale and analyzed via SPSS 16.0 for Windows. Descriptive statistics, Chi square test, ANOVA and correlation were used to evaluate data. Results: There was a negative significant correlation between mean scores in the sub-scales of the social support scale and the ones in the sub-scales of the psychosocial adjustment to illness scale (p<0.05). Similarly, there was a negative significant correlation between confidence support and health care orientation as well as adjustment to social environment. Likewise, emotional support was in a negative significant correlation with health care orientation, adjustment to domestic environment, extended family relationships and adjustment to social environment. Conclusions: It was concluded that social support for patients with breast cancer had an influence on their psychosocial adjustment to illness. Holistic care should be given to breast cancer patients by oncology nurses especially in the first six months of treatment. It could be concluded that patients should be accompanied by their family/relatives in treatment and care following their diagnosis with breast cancer, that their family should be made more aware of the fact that the patient should be physically and psychologically supported, that patients with breast cancer should be provided with domiciliary care, and that they should be encouraged to participate in social support groups.

저소득 한부모가정, 사례에 비추어 본 지원방안 연구 : 건강가정지원센터 활용을 중심으로 (A Study on How to Provide Support to Poor Single Families based on Case Studies)

  • 이승미;김선미
    • 가족자원경영과 정책
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    • 제9권4호
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    • pp.95-112
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    • 2005
  • The purpose of this study is to identify the characteristics and the limits of, as well as, Propose an improvement of, the government based policies that support poor single families. For this purpose, this study has analyzed the government based supporting policies for poor single families into four different aspects; income support, dwelling support, medical support, and child-caring support. Also, in order to analyze the situation of the poor single family as well as the limits of the government based supporting policies, an in-depth interview has been conducted with 8 personnel (including 7 single parents and 1 social worker). In the final analysis, a total of 5 case studies have been used to identify the characteristics of the government based supporting policies for various poor single families. As a result, it turned out that the economic situation of the poor single families were extremely unfavorable, and the quality of life was extremely low in the aspects of dwelling, nutrition, health child nurturing and education. Therefore, we are proposing the following supporting policies for the improvement of these families' living conditions: increasing income levels, providing job opportunities, securing dwelling places, providing medical support, and implementing child care benefit policies. Furthermore, we are proposing an expansion of the human services provided by the healthy family support center to these poor single families.

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