• Title/Summary/Keyword: Medical Support

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Studies on the Administration of the Quality of Herbal Medicine (한약재 품질 관리에 관한 연구)

  • 최선미;정희진;윤유식;이미영;최환수;성현제
    • The Journal of Korean Medicine
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    • v.21 no.3
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    • pp.99-112
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    • 2000
  • Objective: This study was conducted to suggest a proper administration system of the quality of herbal medicine. Methods: Related literature was carefully inspected and discussions among specialists in the field of herbal medicine's growth, production, circulation and administration were conducted. Results: 1. The administration of herbal medicine's quality should be done in each stage of its circulation; growing stage, harvesting stage, importing stage, production stage, quality examination stage, wrapping stage, circulating stage, and administration stage. 2. A safety standard should be established for items, parts and origins of each medicinal herb. A standard for the identification of forged products and objective standards for quality discrimination should also be established. 3. A national system for the training of herbal medicine quality administration personnel and herbal medicine discrimination personnel should be established. A data base of standardized product specimens should be established and a pharmacopoeia of herbal medicine should be published as a standard of quality administration in herbal medicine. 4. Research into the following preliminary areas should be conducted to investigate quality adminstration of herbal medicine: research related to herbal medicine's raw materials and herbal medicinal drugs; quality estimation of raw materials and drugs; quality administration in oriental medical hospitals; herbal medicine administration law; herbal medicine administration organization; herbal medicinal pharmacology; and policy-related research for the quality improvement of domestically grown medicinal herbs. Conclusion: For the proper administration of herbal medicine's quality, governmental support and intensive research among specialists should be done for the supply of good quality medicinal herbs and the improvement of the efficacy of herbal medicine.

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Picture archiving and communications systems development and performance results

  • Nam, Ji-Seung;Ralph Martinez
    • 제어로봇시스템학회:학술대회논문집
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    • 1991.10b
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    • pp.1796-1800
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    • 1991
  • Picture Archiving and Communication Systems(PACS) provide an integration of digital imaging information in a hospital, which encompasses various imaging equipment, viewing workstations, database archive systems, and a high speed fiber optic network. One of the most important requirements for integration is the standardization of communication protocols to connect devices from different vendors. Since 1985, the ACR-NEMA standard provides a hardware interface, a set of software commands, and a consistent set of data formats for point-to-point interconnection of medical equipment. However, it has been shown to be inadequate for PACS networking environments, because of its point-to-point nature and its inflexibility to allow other services and protocols in the future. Based on previous experience of PACS developments in The University of Arizona, a new communication protocol for PACS networks has been suggested to the ACR-NEMA Working Group VI. The defined PACS protocol is intended to facilitate the development of PACS's capable of interfacing with other hospital information systems. Also, it is intended to allow the creation of diagnostic information data bases which can be interrogated by a variety of distributed devices. A particularly important goal is to support communications in a multivendor environment. The new protocol specifications are defined primarily as a combination of the International Organization for Standardization / Open Systems Interconnection (ISO/OSI) protocols and the data format portion of ACR-NEMA standard. This paper addresses the specification and implementation of the proposed PACS protocol into network node. The protocol specification, which covers Presentation, Session, Transport, and Network layers, is summarized briefly. The implementation has natural extentions to Global PACS environments. The protocol implementation is discussed based on our implementation efforts in the UNIX Operating System Environment. At the same time, results of performance evaluation are presented to demonstrate the implementation of defined protocol. The testing of performance analysis is performed on the PACS prototype node.

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A Study of in-vitro Performances of the Intracardiac Axial Flow Pump (심장내 이식형 축류 혈액펌프의 in-vitro특성에 관한 연구)

  • 김동욱;삼전부호희
    • Journal of Biomedical Engineering Research
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    • v.19 no.1
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    • pp.33-38
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    • 1998
  • The intracardiac axial flow pump has been developed This device has several advantages: it fits well anatomically, its blood-contacting surface is small, and it is implanted as easily as an artificial heart valve replacement. The axial flow pump consists of an impeller and a motor, both of which are encased in a housing. Two types of impeller with 4 vanes and 6 vanes are used. Sealing of the motor shaft is achieved by means of a ferrofluidic seal. A flow of 5$\ell$/min was obtained at a differential pressure of 100mmHg with a motor speed of 7091rpm with the 4-vane impeller and 6402rpm with the 6-vane impeller. Sealing was kept against a pressure of 150mmHg at 7000rpm with the 4-vane impeller and 6402rpm with the 6-vane impeller. Sealing was kept against a pressure of 150mmHg at 7000rpm over 24 hours. The index of hemolysis was 0.056 with the 4-vane impeller and 0.214 with the 6-vane impeller. The intracardiac axial flow pump is a very promising circulatory support.

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Survey of Perception of Complementary and Alternative Therapies (CAT) (암환자를 돌보는 일부 종합병원 간호사의 보완대체요법에 대한 인식도)

  • Kim, Keum-Soon;Yi, Myung-Sun;An, Kyung-Eh;Yu, Han-Jin;Kwon, So-Hi
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.13 no.3
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    • pp.457-466
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    • 2006
  • Purpose: This study was done to investigate oncology nurses' perception, attitude, knowledge and practice of CAT and to describe nurses' needs for education on CAT Method: A cross-sectional descriptive study was conducted. A total of 270 oncology nurses working at four medical centers in Seoul and Kyungki participated in this study. They completed the questionnaire between December 2005 and February 2006. Results: Oncology nurses perceived CAT as possible nursing interventions, but felt that there was no conclusive evidence on effectiveness/safety. Of the participants 44.4% have used CAT for themselves, and 73.9% of them were satisfied after using CAT. Two biggest reasons for CAT use were symptom control and emotional support. However, 80.8% of the participants had not had any training related to CAT Both nurses who have used CAT and those who have been trained to practice CAT represented a more positive perception toward CAT (p=.000). The biggest perceived obstacles to the practice of CAT were concerns about side effects (71.2%) and lack of knowledge and skill (69.6%). The most favorable CAT modalities in both practice and training were mind-body medicine. Conclusion: Overall oncology nurses' perception toward CAT was encouraging. However a high number of the nurses reported lack of knowledge and skill in CAT Education and training strategy for CAT need to be developed.

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The Relationship between Self Efficacy and a Health Locus of Control in University Student Smokers (일부 흡연 대학생의 자기효능과 건강통제위와의 관계)

  • Hyun, Hye-Jin
    • Research in Community and Public Health Nursing
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    • v.9 no.2
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    • pp.385-395
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    • 1998
  • This study was conducted to investigate the relationship between self efficacy and a health locus of control. We conveniently sampled 204 university students who smoke. We invastigated by using questionaries and collected data that were analyzed using a t - test, an analysis of variance, a Pearson product-moment correlation. The results are as follows: 1. The average score of self efficacy was 66.16 (out of a total score of 100.00) in university students who smoke. In relation to the health locus of control, the internality score was highest at 25.22, the influence of others was 20.39, and the effect of chance was 15.86. 2. In a significant test of the general character other and aspect related to the smoking of the subjects and in the score of the health locus of control, the internality score of subjects who had been never been asked to quit smoking was higher than that of subjects who had been. There are significant differences in the scores concerning the influence of powerful others, especially religion. In chance occurrences, the score of subjects in medical school was higher than in other schools. The lower the age one beginns smoking, the higher the score of chance. 3. In a significant test of the general character and other aspects related to smoking and the score of self efficacy, there was no significant relationship. 4. Considering the relation of self efficacy to a health locus of control, a positive relationship between self efficacy and internality, and the influence of others, but not between self efficacy and the effect of chance. With these results, we can conclude that the higher the level of self efficacy, the higher the internality, the higher the influence of powerful others. Consequently, it is necessary to identify the relationships clearly among self efficacy the health locus of control by repeated research. It can be used to support, revise and develop health behavior theory.

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SEPSIS FROM ODONTOGENIC INFECTION : A CASE REPORT (패혈증으로 진행된 치성 감염 : 증례보고)

  • Oh, Seng-Seob;Park, Eun-Jin;Kim, Il-Kyu;Choi, Jin-Ho;Kim, Hyung-Don;Oh, Nam-Sik
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.25 no.4
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    • pp.375-378
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    • 1999
  • Incidence and mortality rate of maxillofacial infection is relatively low in the era of antibiotics. Despite the use of antibiotics, delayed treatment, underlying systemic diseases, drug-resistant microorganisms may result in life-threatening situations. The deep neck infection developed from odontogenic infection may result in sepsis, mediastinitis, aspiration pneumonia, asphyxia. Sepsis is the most dangerous complication which can quickly result in a number of lethal situations. The treatment of sepsis includes awareness of such complication, use of sensitive antibiotics, removal of infection source, and hemodynamic, respiratory and metabolic support. We experienced a patient who died of sepsis, which developed from odontogenic infection. The initial diagnosis was a buccal space cellulitis. However, in spite of medical and surgical treatment, this progressed to Ludwig's angina and then deep neck infection and finally sepsis. On the 10th hospital day, the patient died of multiorgan failure caused by sepsis.

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Evaluation of suitability and stability in a skeletal Class III complete denture patient with flabby tissue: A case report (Flabby tissue를 동반하는 골격성 Class III 환자의 양악 총의치 수복 및 적합성/안정성 평가 증례)

  • Lee, Junsuk;Hong, Seoungjin;Paek, Janghyun;Noh, Kwantae;Pae, Ahran;Kim, Hyeong-Seob;Kwon, Kung-Rock
    • The Journal of Korean Academy of Prosthodontics
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    • v.56 no.4
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    • pp.295-301
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    • 2018
  • To obtain denture retention, support, and stability in Class III edentulous cases with flat alveolar ridges and extensive flabby tissue is very difficult. The patient was a 72-year-old male who wore ill-fitting 20 year old dentures made by non-medical institutions. There was flabby tissue on the maxillary anterior ridge. The patient showed Angle Class III skeletal relationship with severe protruded mandible. First, temporary dentures were fabricated to restore the masticatory function, and final dentures were made through non- pressure impression technique and careful the arrangement of the posterior resin teeth. Improvement of the retention and stability of the denture during the occlusal force application is reported.

Glucose Variations in the First Day of Life of Newborns under Observational Surveillance (관찰감시를 요하는 저위험신생아의 생후 초기 혈당변이 탐색)

  • Cho, Jung Ae;Son, Kyoung Hee;Eom, Hyun Young;Lim, Seo Hae;Jun, Yong Hoon;Ahn, Young Mee
    • Child Health Nursing Research
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    • v.26 no.2
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    • pp.212-221
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    • 2020
  • Purpose: Nursing protocols for glucose management are well known for both healthy term newborns and high-risk newborns. However, for less risky newborns who are under only observation surveillance, hypoglycemia could be overlooked unless clinical symptoms develop. Methods: A retrospective study was performed to explore factors influencing variations in glucose levels in 91 newborns who did not require any interventions, but were under nursing surveillance, at a level II neonatal intensive care unit. Data were retrieved from electrical medical records on glucose levels, demographic characteristics, and other clinical characteristics of newborns in their first day of life from January 2016 to May 2019. Results: Glucose levels tended to stabilize within the normal range (60~80 mg/dL) as time passed during the first day of life. Cesarean section, multiple gestation, abnormal growth, and later preterm birth were associated with low glucose levels in the first 2 hours of life. Thirty-one newborns experienced a hypoglycemic episode (< 45 mg/dL) during the first 24 hours of life. Conclusion: The findings of this study support the active encouragement of early feeding within 2 hours of birth and urgent adoption of a structural protocol for glucose surveillance in newborns with potential health problems immediately after birth.

The Job Stress and Presenteeism of Occupational Health Nurses in Workplace in Korea (산업간호사의 직무스트레스와 프리젠티즘)

  • Kwon, Min;Kim, Soon-Lae
    • Korean Journal of Occupational Health Nursing
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    • v.19 no.2
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    • pp.159-169
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    • 2010
  • Purpose: This is a descriptive study to provide basic material that enables to prevent industrial hospital nurses from occupational stress, health problems and work impairment by understanding their work environment, stress, Presenteeism and correlation among them. Method: The subjects for this study consists of 272 industrial hospital nurses who have attended the training conducted by KAOHN from October to December 2009 and recognized the purpose of this study and agreed to participate. The questionnaire included Korean Version of Occupational Stress questionnaire developed by S.J. Chang and Stanford Presenteeism Scale questionnaire translated by Y.M. Lee. The data were analyzed using descriptive statistics, t-test, ANOVA, Scheff$\acute{e}$ test and Pearson's correlation coefficient with SPSS/WIN 17.0. Result: The industrial hospital nurses get much more stress than the average in three fields of occupational stress: interpersonal conflict, job insecurity and occupational climate. The study shows in particular, the age group of twenties with one to three year work experience having higher than any other groups in occupational stress, work impairment and perceived productivity of Presenteeism. Conclusion: It is necessary to develop management for these groups of nurses. In addition, institutional support and policy should be rendered to secure job conditions so that occupational stress can be relieved from these nurses and to prevent work impairment in advance as occupational stress has substantial correlation with health problems, work impairment and perceived productivity of Presenteeism.

Study on the Recognition and Behavioral Intention for Alcohol-reduction Programs (절주프로그램의 인지도 및 이용의도에 영향을 미치는 요인 연구)

  • 장혜정;심재선;박종애
    • Korean Journal of Health Education and Promotion
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    • v.21 no.1
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    • pp.243-257
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    • 2004
  • Alcohol consumption is a major source of health problems, for example, alchol consumption is related to liver diseases. In addition, the social and economic costs related to alcohol consumption are enormous. This study was conducted to evaluate the current status and influencing factors related to the recognition and behavioral intention for both drinking and alcohol-reduction programs. Three effective alcohol-reduction programs of clinic program, mass education, and alliance were considered. To explain the health behavior for drinking and alcohol-reduction programs, a five-stage behavioral intention model was built and 500 questionnaires were completed through a telephone survey. Stages of the model composed of recognition of the programs, past experiences, present drinking status, intention for drinking, and behavioral intention for alcohol-reduction programs. As a result, recognition rates of the programs were low in general, therefore the strategies of education, public relations, and advertisement need to be pursued. The alcohol dependency resulted in the fact that success rate was 30% although trial rate of alcohol-reducing was 23%. The necessity of alcohol-reduction programs were suggested. In addition, significant factors related to the intention for alcohol-reducing were individual attitude and reluctancy to pay their time and money. An insignificant factor was the attitude to their alcohol-reduction by other people. Behavioral intention rates for alcohol-reducing clinics were 4%, and those for mass education were 8%. There were very low purchase rates for clinic program, mass education, and alliance. In conclusion, evidenced-based and effective alcohol-reduction programs need to be encouraged to drinkers by medical doctors, and the strategies of education, public relations, and advertisement are also recommended. In addition, continuing legal and systematic support for alcohol-reducing would lower the drinking rate and ultimately contribute to the nation's health promotion.