• Title/Summary/Keyword: Small Hospitals

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Outbreak Pattern of Isolated Enterovirus Causing Aseptic Meningitis in Busan, 2002 Years. (2002년도 바이러스성 뇌수막염의 발생양상)

  • 조경순;정명주
    • Microbiology and Biotechnology Letters
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    • v.32 no.2
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    • pp.179-183
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    • 2004
  • Enterovirus isolation was attempted from samples obtained from aseptic meningitis-suspected patients in hospitals in Busan during 2002. Enteroviruses were found in 83 of 703 cases. Echovirus serotypes 2, 3, 6, 7, 9, 13, 25, 29, 30 were isolated in 72 cases while coxsackievirus serotypes B3 and B4 were isolated in 11 cases. The occurrence was found to be distributed from April thru November with the highest rate during June and July. The strains of Vero and HEp-2 of echovirus and coxsackievirus, respectively, are highly infectious. Age distribution of patients, 61 patients in Enteroviruses and 11 patients in coxsackievirus, respectively, occurred in 0 to 10 year-olds. The sex distribution of the patients is as follows, 52 males (62.7%), 31 females (37.3%). Occurrence rate was found to be higher in male patients. Electron micrograph of echovirus and coxsackievirus show that they are small nonenevolped, isometric-shaped viruses. Isolated RNA from strains of echovirus and coxsackievirus showing cytopathic effects were used to undergo nested PCR which resulted in a 437 bp single band in all the strains.

LED Fiber-Optic Lighting Devices Developed for Medical Assistance for the Local Treatment Retractor (국부치료를 위한 Retractor용 LED 광섬유 의료보조조명 장치 개발)

  • Eo, Ik-soo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.2
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    • pp.666-671
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    • 2016
  • This paper introduces a device providing close local lighting to the affected part, where the operation-purpose astral lamp alone cannot shed light directly, in an operation room of hospitals or clinics, which helps clinical doctors perform safe treatment of the affected part deep inside a human body. This medical assisting lighting is a device necessary to prevent fatal operation failures, which can occur with minute operation processes, such as tumor removal or angiorrhaphy. The components, such as the light source and power supply were designed to be low power consuming and small in size, have a narrow angle lens was used to increase the light spreading effect and focused illumination. The end-caps of the light transmission device using an optical cable and the lighting device were designed in the waterproof type to enable disinfection of these devices after use for the next patients. According to the measurement of the light source properties made after development of the retractor lighting device, the illumination intensity was 490 lux, the brightness was $11,550cd/m^2$, general color rendering index was 78, color temperature was 11,000K, and the intensity distribution was even, which were confirmed to be adequate for medical assisting local lighting.

The Recruiting Experience of Chief Executive Nurses in Small and Medium-sized Hospitals (중소병원 간호부서장의 간호사 채용 경험)

  • Park, Song-Yi;Park, Seen-You
    • Journal of Digital Convergence
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    • v.18 no.2
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    • pp.301-312
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    • 2020
  • This is a user experience study of factors that should be considered in designing home appliances experience service. Untact services are emerging, but the development of home appliances sector is in early stage. Based on the six factors of Stephen P. Anderson's Creating Pleasurable Interface Model, this study conducted surveys, 1:1 in-depth interviews, and participation observations to measure and analyze user experience. In this study, I compared 4060s and 2030s's user experience in that the untact services raise the digital alienation among middle-senior-aged. As a result, there were significant differences between the two, including the opposite satisfaction in terms of reliable, usable and pleasurable factors. I hope that this study will be of strategic help in designing future home appliance experience services.

Risk Factors for Hip Fracture among the Elderly (노인들의 고관절골절 위험요인에 관한 환자-대조군 연구)

  • Kim, Yong-Kwon;Cho, Young-Ha
    • Journal of Korean Physical Therapy Science
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    • v.9 no.1
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    • pp.25-36
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    • 2002
  • Objectives: This study was conducted to find out risk factors related to elderly hip fracture, so that the result could provide basic data to establish prevention programs for hip fracture among the elderly. Methods: The data were collected from 199 cases hospitalized in 4 university hospitals in Pusan from January, 1996 to December, 1998, 193 healthy controls who visited elderly facilities in Pusan. The data were obtained from medical records and by using questionnaires through telephone contact or direct personal interview with the subjects or their family, and were analyzed for 2-test and multiple logistic regression. The risk factors were shown with odds ratios and their 95% confidence intervals. Results: In univariate analysis, the odds ratio of hip fracture risk was estimated to be 1.9 for the elderly aged 75 years as compare with those aging less than 65 years; 42 for those with job as compared with those without job; 3.3 for those with more than 6 children as compared with those with one or two children. For the variables related to physical characteristics, small height (p=0.015), light weight (p=0.000), and low BMI (p=0.014) were risk factors for elderly hip fracture. Sane variables related to health, such as previous history of illness (OR=3.3.), abnormal blood pressure (OR=1.6), previous fracture history (OR=22), lower limbs weakness (OR=12.1) and gait disturbance (OR=42.6), were significantly associated with the risk of hip fracture. In multiple logistic regression, risk factors for hip fracture were age, having job, lower limb weakness and previous history of illness. The adjusted odds ratios of hip fracture risk among the elderly were age (OR=1.1), having jobs (OR=11.7), weak lower limb (OR=10.8) and previous history of illnesses (OR=3.3), respectively. Conclusion: This study suggests that the plan for improving the daily living environment for the elderly systematically should be implemented to avoid the chances of fall, and that programs encouraging to practice regular exercise for physical activity and to promote health of the elderly should be developed.

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Whiplash Injury Case Studies through Low Speed Rear-end Crash Tests (차대차 추돌사고 재현시험을 통한 경추염좌 상해 위험도 연구)

  • Lim, Namkyoung;Shim, Sangwoo;Jung, Hyuncheol
    • Transactions of the Korean Society of Automotive Engineers
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    • v.24 no.4
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    • pp.432-438
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    • 2016
  • Whiplash injuries in low-speed rear-end collisions are the most common injuries and has been a social issue in insurance industry, such as excessive medical claim costs along with exaggerated injuries of victims and treatments from hospitals. According to the Korea Insurance Development Institute reports, the number of claims by rear-end collision was approximately 703,000, which accounts for 53.6 % of the total car-to-car collisions in 2014. Part of the neck injury claims in the Korea car insurance was approximately 28.3 %. Furthermore, approximately 98.4% of the injured persons in rear-end collisions sustained minor injuries under AIS2. In order to improve this situation as well as find out the severity of neck injuries from rear-end collision, the Korea Automobile Insurance Repair Research and Training Center conducted car-to-car rear-end crash tests that striking vehicles(SUV) collided into different sizes of struck-vehicles(small, middle, and large sedan) at the impact speeds of 8 km/h ~ 16 km/h. In order to analyze the whiplash injury, the BioRID-II was seated in each struck-vehicles, and the neck injury criteria(NIC), head contact time, maximum vehicle accelerations, and mean vehicle accelerations were calculated from values from the accelerations of the dummy and the struck-vehicles.

Physicians and Pharmacists' Perceptions about the Goal Achievement of the Separation Policy of Drug Prescribing and Dispensing, and Benefit and Loss Caused by the Policy in Busan (부산시 개원 의사와 개국 약사의 의약분업 정책목적 달성도와 손익에 대한 인식도)

  • 박재성;남은우;권영철
    • Health Policy and Management
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    • v.11 no.4
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    • pp.70-87
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    • 2001
  • The purpose of this study was to identify health care providers' perceptions about the goal achievement and benefit/loss caused by the separation policy of drug prescribing and dispensing after the policy implemented on July 1, 2001. Uslng stratified sampling method based on the administration area, Ku, 315 physicians and pharmacists were sampled from the rosters of physician and pharmacist association in the city of Busan on 2001. There were 122 and 115 responses from physician and pharmacist sample, respectively. 78.3% of physicians and 50.4% of pharmacists evaluated that the goal of the policy was not achieved. Moreover, 75.3% of physicians and 40.7% of pharmacists did not support the policy. Most physicians and pharmacists considered preventing the citizens with drug abuse and misuses as the most important benefit derived from the policy. However, physicians and pharmacists concerned over raising health care cost that could be patients' burden. The most important physicians' benefit derived from the policy was free choice of all possible medicine that might result in effectiveness of medication. In physicians' the most important loss, most physicians worried about that breaking traditional patient and physician relationship might cause physicians' authority in treating diseases to be damaged. Pharmacists considered the most important policy benefit as hiked social status resulted from enforcement of profession due to the policy whereas they considered the most significant loss as expected financial problems of small pharmacies compared to that of large pharmacies or pharmacies adjacent to hospitals. In the current problems of the policy, physician and pharmacists blamed the government for inadequate preparations of the policy implementation. Physicians and pharmacists also considered citizens' mature attitudes toward the policy as a crucial success factor.

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3D Visualization of Medical Image Registration using VTK (VTK를 이용한 의료영상정합의 3차원 시각화)

  • Lee, Myung-Eun;Kim, Soo-Hyung;Lim, Jun-Sik
    • The KIPS Transactions:PartB
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    • v.15B no.6
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    • pp.553-560
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    • 2008
  • The amount of image data used in medical institution is increasing rapidly with great development of medical technology. Therefore, an automation method that use image processing description, rather than manual macrography of doctors, is required for the analysis large medical data. Specially, medical image registration, which is the process of finding the spatial transform that maps points from one image to the corresponding points in another image, and 3D analysis and visualization skills for a series of 2D images are essential technologies. However, a high establishment cost raise a budget problem, and hence small scaled hospitals hesitate importing these medical visualizing system. In this paper, we propose a visualization system which allows user to manage datasets and manipulates medical images registration using an open source graphics tool - VTK(Visualization Tool Kit). The propose of our research is to get more accurate 3D diagnosis system in less expensive price, compared to existing systems.

Breast-feeding & Breast-feeding Health Behavior among first-time mothers (초산모 영아의 월령별 모유수유양상 및 모유수유건강행위실천에 관한 연구)

  • Park, Eun-Ok;Lee, Kun-Sei;Jang, In-Soon;June, Kyung-Ja
    • Women's Health Nursing
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    • v.7 no.3
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    • pp.382-392
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    • 2001
  • The purpose of this study is to investigate breast-feeding and breast-feeding health behavior among korean first-time mothers and to provide basic data for promoting breast- feeding. Data were collected by interview or self report from 444 first-time mothers who visited health clinic center in the area of metropolitan, medium or small city, countryside. and whose infants were under 12 months old from January 2001 to February 2001. The results show that breast-feeding was 31.5% in a week after childbirth, 25.8% in 4 weeks after childbirth, 22.7% in 2 months, 17.8% in 3 months, 14.3% in 6 months, 2.5% in 12 months after childbirth. Breast-feeding rate was very low in Korea and the duration of breast-feeding was very short. Breast-feeding health behavior did not show significant differences by general characteristics of the subjects except area. The subjects in the health clinic center with MCN project did better breast feeding health behavior than the subject in the health clinic center without MCN project. To raise breast-feeding rate, several strategy could be suggested. Systemic education about importance and advantages of breast-feeding and desirable breast-feeding method should be provided to pregnant women and postpartum women. Childbirth leave in the work should be prolonged, and supportive facility such as nursery room should be installed for working mothers. Hospitals should follow the guideline of 'Baby Friendly Hospital Initiative' which was provided by UNISEF and WHO, including rooming-in after delivery.

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A Survey on the Experience of Accident of Infant, Toddler and Preschooler, and the Education about Emergency Care for Parents (영 유아 및 학령전 아동의 안전사고 및 어머니의 응급처치 정보 접촉 경험에 관한 조사 연구)

  • Kim Il-Ok;Shin Sun-Hwa
    • Child Health Nursing Research
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    • v.8 no.2
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    • pp.174-182
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    • 2002
  • The purpose of this study was to investigate the experiences of accident and visiting emergency center, and the experiences of education about emergency care for parents. The subjects of this study were 117 mothers whose children are attending 9 different nursery schools or kindergartens. The instrument used in this study was developed by researchers and validated by nursing professor, first aid doctor and the president of nursery school, and consisted of 'most important thing in child rearing' ,'experiences of accident and visiting emergency center', 'type of trauma' and 'need for parent education program' the result of this study were as followed ; 1.There were 70.09% of the experience of visiting emergency center among the subjects. The cause of visiting emergency center were high fever and convulsion(42.86%), and trauma by accident(28.04%) 2. The most common type of the indoor accident were fall down and slipping(76.92%), the common type of trauma were contusion (76.92%), abrasion(47.01%), laceration(29.06%), dislocation or fracture(12.82%), burn(10.26%), piercing(8.55%). 3.47.01% of subjects had the experience of education about emergency care for parents. They were educated by child rearing journals (32.72%), small books which were published by hospitals or community health center (25.45%), mass media(21.8%), parent seminar (12.72%), nursery school or kindergarten (5.45%). In conclusion, the need of emergency care for children was strongly found. Therefore, on the basis of above results, the parent education program which fits their cognitive level and their health care needs So, it must be directed on the further study of parents' knowledge about emergency care for children. To enhance the effectiveness of program and accomplish the children's health promotion, advanced instructional media and demonstration must be included.

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A Comparative Study on National and International Hospital Accreditation Systems Focusing on Korea, the U.S., and Australia (의료기관인증제도의 국내외 비교 연구 -한국, 미국 및 호주 중심으로-)

  • You, Sun-Ju;Kim, Myo-Gyeong;Kim, Yoo-Mi;Choi, Yun-Kyoung
    • Journal of Convergence for Information Technology
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    • v.7 no.4
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    • pp.27-38
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    • 2017
  • The purpose of this study was to ascertain new policies fo the development of the Korean Hospital Accreditation Program (HAP) by comparing and reviewing the domestic HAP of Korea, the U. S. and Australia as well as the International Accreditation Program of the International Society for Health Care Quality. The results of this study are as follows. First, it is necessary to improve the standards of the HAP such as 'patient and community centered standards' and 'staffing related standards'. Second, it is necessary to strengthen patient safety through the HAP. Third, the linkage among the HAP, clinical indicators and patient experience evaluation should be strengthened. Fourth, the competencies of surveyors should be improved. Fifth, the HAP of small and medium hospitals also needs to be vitalized. Sixth, it is necessary to improve the disclosure of the healthcare quality evaluation results. The findings of this study can be used as a basis to improve the Korean HAP.