• 제목/요약/키워드: Small Hospitals

검색결과 464건 처리시간 0.026초

휘도비 측정을 통한 유도등의 경년변화 연구 (A Study on the Aging Change of Exit Light by Measuring the Ratio of Luminance)

  • 정종진
    • 한국화재소방학회논문지
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    • 제33권6호
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    • pp.181-185
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    • 2019
  • 본 연구에서는 유도등의 광원과 경년변화에 따른 휘도성능을 분석하기 위하여 사무실, 상가, 병원, 공장 등에 설치된 유도등을 발취하여 CCFL, LED광원별 경년변화에 따른 휘도성능을 분석하였다. 이는 유도등과 같은 전기적 특성을 갖는 소방제품은 설치된 곳의 주위온도나 습도, 먼지 등이 그 성능에 변화를 줄 수 있기 때문에 설치장소별로 발취하여 그 특성을 분석하였다. 실험결과, CCFL유도등은 대형, 중형, 소형 모두 '휘도비 2'정도의 값을 나타내었다. 기술기준 규정값이 '휘도비 9이하'인 점을 감안할 때 매우 양호한 값을 나타냈으며, 경년변화에 의한 휘도비 변화도 거의 없음을 확인할 수 있었다. LED유도등은 '휘도비 5'정도의 값을 나타냈으며, 이는 표시면의 빛이 균일하지 못함을 뜻한다. 또한 경년변화에 의한 휘도비 변화는 거의 없으나, 휘도비의 값은 LED유도등보다 크게 나타났다. 이는 시각적인 측면에서는 만족스럽지 못한 결과이다. 이를 개선하기 위해서는 LED광원의 빛 분산이 필요하며 휘도비 관련 규정을 강화할 필요가 있다.

중소병원 간호사의 성공적 노후인식, 이직의도 및 노후대책의 융복합적 연구 (A study of convergence perception of successful aging, turnover intention and retirement plans of hospital nurses)

  • 허현점;권영채
    • 디지털융복합연구
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    • 제13권8호
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    • pp.337-344
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    • 2015
  • 본 연구는 간호사들의 노후 인식정도와 이직의도를 파악하여 성공적인 노후를 위해 안정적인 노후대책의 필요성을 인식 시키고자 시도 되었다. 연구대상자는 G시에 소재하는 간호사 290명이었다. 자료수집을 위한 설문조사는 2014년 8월 5일부터 8월 31일까지 실시되었고, 자료 분석은 SPSS WIN 18.0프로그램을 이용하여 기술적 통계, t-test, One way-ANOVA, 변수간의 상관관계는 Pearson Correlation Coefficien 로 분석하였다. 연구결과 성공적 노후인식과 노후대책 정도는 정적상관관계(r=.13. p=.022)를 보였고, 정서적 노후대책과 성공적 노후인식도 정적상관관계 (r=.16, p=.007)를 보였다. 본 연구에 의하면 융복합시대의 간호사들은 안정적인 직장에서 이직하지 않고 입사 하는 시점부터 노후준비의 필요성을 인식하고 장, 단기적 관점에서 경제적, 신체적, 정서적 측면에서 노후 대책을 실천해 나갈 수 있는 교육프로그램이 요구된다.

Hypertension and the Risk of Breast Cancer in Chilean Women: a Case-control Study

  • Pereira, Ana;Garmendia, Maria Luisa;Alvarado, Maria Elena;Albala, Cecilia
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권11호
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    • pp.5829-5834
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    • 2012
  • Background: Breast cancer is the most common cancer in women worldwide. Although different metabolic factors have been implicated in breast cancer development, the relationship between hypertension and breast cancer has not been elucidated. Aim: To evaluate hypertension as a risk factor for breast cancer in Chilean women of low and middle socio-economic status. Methods: We conducted an age-matched (1:1) case-control study in 3 hospitals in Santiago, Chile. Breast cancer cases (n=170) were histopathologically confirmed. Controls had been classified as Breast Imaging Reporting and Data System I (negative) or II (benign findings) within 6 months of recruitment. Blood pressure was measured using a mercury sphygmomanometer and standardized procedures. We used 2 hypertension cut-off points: blood pressures of ${\geq}140/90$ mmHg and ${\geq}130/85$ mmHg. Fasting insulin and glucose levels were assessed, and anthropometric, sociodemographic, and behavioral information were collected. Odds ratios and 95% confidence intervals were estimated for the entire sample and restricted to postmenopausal women using multivariable conditional logistic regression models. Results: Hypertension (${\geq}140/90$ mmHg) was significantly higher in cases (37.1%) than controls (17.1%) for the entire sample and in postmenopausal pairs (44.0% compared to 23.8%). In crude and adjusted models, hypertensive women had a 4-fold increased risk of breast cancer (adjusted odds ratio: 4.2; 95% confidence interval: 1.8; 9.6) compared to non-hypertensive women in the entire sample. We found a similar association in the postmenopausal group (adjusted odds ratio: 2.8; 95% confidence interval: 1.1; 7.4). A significant effect was also observed when hypertension was defined as blood pressure of ${\geq}130/85$ mmHg. Conclusion: A significant association was found between hypertension and breast cancer over the entire sample and when restricted to postmenopausal women. Hypertension is highly prevalent in Latin America and may be a modifiable risk factor for breast cancer; therefore, a small association between hypertension and breast cancer may have broad implications.

기자 경력 및 기자 전문성에 따른 취재활동 분석 - 메르스 취재를 중심으로 - (A Study on the Specialism and Professionalism of Journalists: A MERS-CoV Case)

  • 전형준
    • 디지털융복합연구
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    • 제14권10호
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    • pp.381-391
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    • 2016
  • 본 연구에서는 2015년 발생한 메르스 사태를 중심으로 기자들의 취재 활동을 분석했다. 과학 의료 보건 등의 영역과 언론의 융합에 해당하는 전문기자와 전문기자가 아닌 경우 어떤 차이가 있는지와 기자들의 경력에 따라 어떤 차이가 있는지를 보았다. 기자 21명을 구조화된 설문지를 통해 인터뷰했고, 이들을 전문기자 여부와 기자 경력의 고저에 따라 4개의 소그룹으로 구분해, 소그룹 별 차이를 분석했다. 분석 결과, 일부 전문기자들은 정부 발표 이외의 취재원으로부터 국내 최초의 메르스 환자가 발생했다는 사실에 대해 처음 접한 경우가 발견됨으로써, 전문기자로서 오랜 기간 구축한 취재원 네트워크가 유효했다는 것을 추정할 수 있었다. 또한 전문기자들은 일반기자들에 비해 해외의 취재원을 접촉한다든가 메르스 관련 논문을 직접 찾아서 읽어보는 등 더 깊이 있는 취재활동을 했음을 알 수 있었다. 한편, 메르스 사태에서 기자들이 정부의 소통에 문제의식을 느낀 시점에 대해 조사한 결과, 전문기자들은 정부의 접촉자 판단 기준 밖에서 확진자가 발생한 것을 꼽았고, 일반기자들은 정부가 병원명을 공개하지 않은 것을 꼽았다.

다섯 가지 다용한약처방의 전탕 전후 유해 중금속 이행률 조사 (Some Toxic Heavy Metals Transferring Rates to Decoction of Five Most Generally Adopting Herbal Medicinal Prescriptions)

  • 김기동
    • 대한예방한의학회지
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    • 제19권3호
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    • pp.103-113
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    • 2015
  • Objective : Five most generally adopting basic oriental prescriptions (yookmijihwangtang, ojeoksan, sipjeondaebotang, samultang, bojoongikgitang) samples were collected from 10 oriental hospitals nationwide and the transferring ratio to aqueous phase (TRAP) were calculated. Method : The samples are grounded evenly and the decocted at $120^{\circ}C$ for 12 min on hot plate and then filtered. The concentrations of As, Cd, Co, Cr and Pb in before and after decoction were measure by ICP/MS and the TRAPs were calculated. Results : The concentrations of As, Cr and Pb in the ground samples before decoction were all below criteria level, and TRAP values were also very low (<10%). For Cd, although some ground samples before decoction showed relatively high concentration level compare to the criteria level, because of their low TRAP (~3%), the actual concentrations in the decoction were quite low compare the criteria level. The Co's concentrations in the ground samples before decoction were all relatively low level. However, the TRAP of Co was astonishingly high value of around 40% average. Conclusion : The toxic heavy metal concentrations in the decoction were very low compare to the criteria level. The TRAPs are less than <10% except Co. The toxic heavy metals in the prescriptions are mainly remained in the residue and the only very small fraction may transferred to the decoctions. Therefore the toxicity of the oriental herbal medicine about the toxic heavy metal may be overstressed. The Co's TRAP turned out to be quite high value (40% average). Since the criteria level wes not established yet, the safety of decoctions according to Co was not fully confirmed.

입원 아동의 자연적 놀이 활동 (Play Activity in Hospitalized Children)

  • 오가실;김희순;원대영;김태임;전화연;이인혜;손선영;신현숙
    • Child Health Nursing Research
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    • 제12권4호
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    • pp.486-494
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    • 2006
  • Purpose: This study was done to analyze children's play during hospitalization. Method: Data were collected from 36 play situations of hospitalized children, ages 2 to 6, hospitalized at 4 general hospitals, one in each city, Seoul, Suwon, Daejeon and Daegu. All observations were made in pediatric units during free-play periods. Each child was observed for 5 minutes at each observation and observed three times at each play session. Results: Of the children, 83.3% played on the bed. Play partners were mainly mothers. While 75.0% of children actively took part in play activity and 70.0% played with joy, 63.9% of play partners were more passive in the play. The most frequent play material was a small toy. The level of play was early stage of social and cognitive play, and dramatic play was observed in a few children over the age of 3 years. The play activities were conversional play, reflections of therapeutic procedures, imagination, and exploratory play. In the conversional play, children converted hospital equipments into play materials. Conclusion: It is recommended that health care team members should pay attention and actively participate in play of hospitalized children in order to help them have some control over the stress of the situation.

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병원 구성원의 조직 유효성 연구 : 직무만족, 조직몰입, 이직의도를 중심으로 (Organization Effectiveness Studies of General Hospital Employees : Focusing on Job Satisfaction, Organizational Commitment, Turnover Intention)

  • 임경태
    • 한국콘텐츠학회논문지
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    • 제17권6호
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    • pp.261-271
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    • 2017
  • 본 연구는 병원 구성원의 직무 만족, 조직 몰입 및 이직 의사의 요인을 분석 하였다. 연구 대상은 행정 직원, 의료 기사, 간호사 등 355 명을 인터뷰 조사 및 t- 테스트, ANOVA 및 회귀 분석을 실시하였다. 연구 결과로 행정 직원은 직무 만족은 낮고, 조직 몰입도가 높으며, 부정적 심성으로 이직 의도는 높게 나타났다. 의료 기사는 직무 만족과 조직 몰입 수준은 낮지만 외부 취업 기회와 과도한 직무 량으로 이직의도가 있었다. 간호사는 직무 만족과 조직 몰입 수준은 높지만 외부 취업 기회로 인해 높은 이직의도를 보이는 것으로 나타났다. 정부시책을 시범 사업 중인 중소병원의 부족 인력에 대한 대안을 제시하고, 효율적인 병원 운영을 위한 시기적절 하고 실질적인 대처방안이 제시 될 것으로 기대 된다.

만성 교약성 심낭염의 외과적 치료 (Surgical Treatment of Constrictive Pericarditis)

  • 유회성
    • Journal of Chest Surgery
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    • 제8권2호
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    • pp.101-108
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    • 1975
  • Since 1959 the authors experienced 43 cases of chronic constrictive pericarditis treated surgically at the Department of Thoracic & Cardiovascular Surgery, the National Medical Center in Seonl. Of 43 cases, detailed patients' records could be obtainable in 36 cases, and most of our studies. were made on the basis of these 36 available cases. About 84 per cent of the cases were male with several pediatric cases, and duration of symptoms ranged between 2 months and 10 years. The diagnosis of this condition is not difficult, however, about half of our cases were previously treated under the impression rf various other conditions such as liver cirrhosis or nephrotic syndrome at other hospitals and clinics. Many of our cases showed hepatic functional disturbances and about 89 per cent of the cases showed reversed A/G ratio, and we are sure that some of them had so-called protein losing enteropathy. Three of 36 cases showed normal electrocardiogram, and most peculiar electrocardiographic findings were ST or T changes and low amplitude of QRS complexes. Seven cases showed auricular fibrillation and five had first degree A-V block. Mean preoperative peripheral venous pressure at the antecubital fossa and arm-to-tongue circulation time were 273 mm $H_2O$and 20.2 seconds, respectively, and they were markedly reduced postoperatively to 152 mm $H_2O$ and 13 seconds, respectively. Several different approaches were made with various extents of pericardial decortication according to patients' condition and probably surgeon's preference. In 12 cases we met cardiovascular injuries during decortication and one of them died of massive bleeding through the torn right atrium, and we experienced excellent postoperative result in a grave case operated on just a small pericardial window. Eleven of 35 cases were tuberculous pericarditis and others were non-specific pericarditis histopathologically, and 6 of total 43 cases operated on passed away by various ways with the mortality rate of 13.9 per cent.

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한국 병원 영양실의 환자 영양 교육 실행 현황에 관한 실태조사 (Assessment of the Dietary Consultation and Patient Education Practices in the Hospital Dietetics)

  • 옥혜운
    • Journal of Nutrition and Health
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    • 제13권1호
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    • pp.9-14
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    • 1980
  • A total of 35 hospitals throughout Korea were surveyed for the assessment of the educational function of dietitians. The current situation and the depth of practices were diagnosed in such areas as: 1. The continuing education for the hospital dietitians 2. The characteristics of patient consultation performed by the hospital dietitians 3. Systems and methods of patient instruction practiced by the dietitians, and 4. Prospectives in establishing the nutrition education center for the in-and out-patients. The major findings are: 1. Approximately half of the hospital dietitians feel positive about the practicality of their college education for the job. Extremely small number of them are on any kind of continuing education program 2) The monthly average of only 20 patients at one hospital receive diet consultation or nutrition education service from dietitians. The 50% of the consultation cases is taken up by the patients with diabetes and various circulartory diseases followed by the tube feedings, liver and renal diseases with less frequencies 3) Not even a single hospital has an office for the diet consultation and nutrition education for the in-or out-patients. Very few hospital dietetics have educational aids and/or any feedback system to evaluate the effect of the consultation. Charting is not practiced by most dietitians leaving no record of their contributions to the patient care. 4) Although the necessity of the nutrition education center in the hospital is strong1y recognized among dietitians the progress has been blocked by such obstacles as the poor system in the hospital administration in general, short in funds, lack of preparation in the dietetics and the lack of recognition both by the hospital administration and by the dietitian themselves.

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종합병원 일반 및 특수촬영유니트의 건축계획에 관한 연구 (A Study on the Architectural Planning of the X-ray Unit in General Hospital)

  • 윤우용;채철균
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제12권3호
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    • pp.27-34
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    • 2006
  • Planning for the space of the Media Medical Department requires the details about the efficiency of the equipment and the operation in professional sector. For that, as designing, it is necessary to keep communicating with the experts on the technology and the officials from the company producing the equipment. One of the common concerns is not only how to insure enough room for the future extension and the upgrade of the equipment, as concerning the scale of the hospital, but the plan to cover movie cameras. As technology has been developed, despite the fact that machinery tend to be small, it can be possible to require continuously about the concerns of the scale because the camera taking body-picture tend to be much bigger and more complicated than before. Currently used diagnostic media techniques are divided by the method and the feature of the equipment such as Diagnostic X-ray, Ultrasound, CT, MRI, Angiography. The general and special photographing units which are used more than the other diagnostic parts, must be planned not for experiencing any inconvenience and unnecessary risks for the patients and must accept technical requirements. Also, it must be designed not to be seen as a clinic zone, as concerning the psychological stability of the patients. However, study of the general and special photographing units among the domestic general hospitals is insufficient. Also, as there is shortage of the material considering the development of the equipment, when planning, it's involving a lot of difficulties. Thus, this study has got a purpose on giving the basic material which is essential for further study, as suggesting the planning guidelines and the alternative plans for the general and special photographing units in a general hospital.

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