• 제목/요약/키워드: health maintenance

검색결과 1,367건 처리시간 0.028초

의료기기 QI 활동 개선방안에 대한 연구 (A Study on Quality Improvement of Medical Equipments)

  • 강훈희;주라형;김종순;김서확;허수진
    • 한국의료질향상학회지
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    • 제5권2호
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    • pp.190-201
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    • 1998
  • Background : Medical equipments take a very important role in diagnosis and treatment of disease in modern medicine and effective maintenance of the equipments is a necessary to provide a good health care to the public. After developing a new QC program for effective maintenance of medical equipments and practicing it for a year, we report the results of the new program. Methods : The maintenance data of 9 equipments in 8 categories including a CT Scanner were analyzed with regard to the parts responsible for most frequent failure and cause of the failure. After learning the most frequent failure part and cause of the failure, we developed a new QC program that emphasizes preventive maintenance of the most frequent failure part. We compared the number of failure per year and active rate of each equipment before and after the adoption of the new QC program. Results : The average number of failure per year per equipment was 20.7 before and it decreased by 43% to 11.9 after adoption of the new QC program. The average active rate of the equipments was 92.6% before and it increased by 3.2% to 95.8% after adoption of the new program. Conclusions : The practice of the new QC program appears very useful as it decreased the failure rate and increased the active rate of the equipments.

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유효성분들을 배합한 치약제의 실험실적 및 임상적 치아미백유지 효과 (Tooth whitening maintenance efficacy of dentifrices containing several active ingredients in vitro and in vivo)

  • 안재현;김지혜;김종훈
    • 한국치위생학회지
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    • 제15권2호
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    • pp.325-332
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    • 2015
  • Objectives: The purpose of this study was to investigate tooth whitening maintenance efficacy of several dentifrices containing effective ingredients for tooth whitening. Methods: Hydroxyapatite specimens(HAPs) staining was done by using modified Stookey's methods. HAPs were treated with 2.9% hydrogen peroxide containing strip for whitening, and were shaken with several dentifrice slurry(dentifrice 1 : artificial saliva 2) for 30 minutes. The HAPs were finally dipped in staining solution for an hour. Shaking and dipping were repeated 4 times and lightness values were measured by colorimeter at each step. In clinical test, test 4 dentifrice and control dentifrice were evaluated by 21 subjects for 2 months after receiving institutional review board(IRB) approval. Organoleptic(vita shade guide) and instrumental(SHADEEYE-NCC) evaluation were performed for whiteness change of teeth. Statistical analysis was performed using repeated measures ANOVA, Tukey's post hoc test and ${\chi}^2$-test(p<0.05). Results: All dentifrices showed statistical significance in comparison with control dentifrice containing sodium fluoride and test 4 dentifrice containing sodium pyrophosphate, sodium metaphosphate, candelilla wax, and sodium fluoride showed statistical significance in comparison with other dentifrices by inhibiting staining in vitro(p<0.05). In clinical test, test 4 dentifrice showed better effects than control dentifrice in organoleptic and instrumental evaluation in tooth whitening maintenance efficacy(p<0.05). The awareness toward tooth whitening maintenance efficacy for 2 months use showed that test 4 dentifrice was much better than control dentifrice, but did not show statistically significant(p>0.05). Conclusions: Dentifrice containing sodium pyrophosphate, sodium metaphosphate, candelilla wax and sodium fluoride was more effective in keeping teeth white.

지방도시 거주 노인들의 재활서비스에 대한 요구 조사 - 안동시 거주 노인들을 중심으로 - (A Survey of the Rehabilitation Services Needs of the Elderly in Rural Area)

  • 김선엽
    • 한국전문물리치료학회지
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    • 제4권3호
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    • pp.1-16
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    • 1997
  • This study was carried out to find out general characteristics and health-related be haviors of elders aged 60 or over and factors related to their activities of daily living, and thus to contribute to their health maintenance and promotion. The subjects were 200 elders who had resided at An-Dong city and participated in this study. To collect data, the field survey was conducted from December 13 to 23, 1996 with structured questionnaires by 6 trained student interviewers. Chi-square test, t-test and Pearson's correlation were used for data analysis by use of SPSS/$PC^+$ program. The major findings were as follows; 1) In the individual characteristics of the respondents, the average age were 73.6 years old. 21.5% of the subjects were 60-69 years old, while 27.5% were 70-74 years old, 25.0% were 75-79 years old, 26.0% were 80 years old or over. 2) For the degree of the subject's perceptive health condition, the aver age 3.39 point and standard deviation 1.09. The perceptive health condition of the subjects was in the mid point range of health condition. 3) 46.6% of men and 25.8% of women practiced exercise regularly for their health maintenance and promotion. 4) For the degree of the subject's perceptive health condition, the difference by sex was not statistically significant. 5) 51.8% of men and 60.2% of women has idea for interventions to health promotion program by rehabilitation services.

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MAINTENANCE COST ANALYSIS FOR LARGE HOSPITAL BUILDINGS

  • Sy-Jye Guo;Tzu-Ping Lo
    • 국제학술발표논문집
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    • The 3th International Conference on Construction Engineering and Project Management
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    • pp.310-315
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    • 2009
  • Large hospitals such as medical centers provide not only medical services, but also carry the responsibilities for emergency refuges, medical researches and education. The function of large hospitals is as important as other infrastructure systems such as highways, bridges, and utilities. When disasters occur, the hospitals have to provide emergency medical services for victims and support the patient's needs of health. In order to keep a smooth operation of hospitals, the maintenance management of hospital buildings should be carefully investigated. However, there are few researches focused on maintenance management issues of hospital buildings. This paper investigated the National Taiwan University Hospital (NTUH) and established a maintenance cost database. The NTUH is the best-known and most high-renowned medical center in Taiwan in which more than 4,000 employees serving approximately 2,000 in-patients and 7,000 out-patients daily. The data were collected from the NTUH which consisted of 16,228 maintenance records in the past ten years. This paper analyzed these data to obtain various characteristics of maintenance records, and revealed the key items of maintenance cost for large hospital buildings, which can provide the facility manager of hospital buildings to execute a proper maintenance policy for hospital buildings.

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Monitoring and performance assessment of a highway bridge via operational modal analysis

  • Reza Akbari;Saeed Maadani;Shahrokh Maalek
    • Structural Monitoring and Maintenance
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    • 제10권3호
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    • pp.191-205
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    • 2023
  • In this paper, through operational modal analysis and ambient vibration tests, the dynamic characteristics of a multi-span simply-supported reinforced concrete highway bridge deck was determined and the results were used to assess the quality of construction of the individual spans. Supporting finite element (FE) models were created and analyzed according to the design drawings. After carrying out the dynamic tests and extracting the modal properties of the deck, the quality of construction was relatively assessed by comparing the results obtained from all the tests from the individual spans and the FE results. A comparison of the test results among the different spans showed a maximum difference value of around 9.3 percent between the superstructure's natural frequencies. These minor differences besides the obtained values of modal damping ratios, in which the differences were not more than 5 percent, can be resulted from suitable performance, health, and acceptable construction quality of the bridge.

한국인의 평생건강관리 프로그램 (Lifetime Health Maintenance Program for Korean)

  • 김영식
    • 한국건강관리협회지
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    • 제2권3호
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    • pp.97-116
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    • 2004
  • Lifetime Health Maintenance Program(LHMP) for Koreans is the Korean guide to clinical preventive services which include screening for chronic diseases, counseling and immunization. The Korean Task Force on the LHMP vigorously reviews evidence for interventions to prevent over 50 different illnesses and conditions which are important in Korea. The problems addressed in this program are common ones seen every day by primary care physicians in Korea: cardiovascular, infectious diseases, gastrointestinal and endocrine diseases, cancers, alcohol and smoking, and many others. Primary care clinicians have a key role in screening for many of these problems and immunizing against others. Of equal importance, however, is the clinician's role in counseling patients to change unhealthful behaviors related to diet, smoking, exercise, injuries, and sexually transmitted diseases. The recommendations are grouped by age, sex, and other risk factors.

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하천유지유량 추가 댐방류에 따른 한강유역의 수질 및 수생태계 건강성 변화 평가 (Assessment of changes on water quality and aquatic ecosystem health in Han river basin by additional dam release of stream maintenance flow)

  • 우소영;김성준;황순진;정충길
    • 한국수자원학회논문집
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    • 제52권spc2호
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    • pp.777-789
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    • 2019
  • 본 연구에서는 SWAT (Soil and Water Assessment Tool)을 이용하여 한강유역 ($34,148km^2$)내 다목적 댐(소양강댐, 횡성댐, 충주댐)의 하천유지유량 추가 방류 모의를 통한 유역의 수질 및 수생태계 건강성 변화를 평가하였다. 추가 방류기간은 수생태계 건강성 조사가 수행되는 봄(4-6월), 가을(8-10월)로 산정하였으며, 방류량은 댐의 기존 방류량에 비례하며 총 방류량이 댐별 고시된 하천유지유량을 초과하지 않도록 산정하였다. 하천 유지유량 방류에 따른 수질(T-N, $NH_4$, $NO_3-N$, T-P, $PO_4-P$) 농도는 봄철에 감소하지만 가을철에는 오히려 증가하는 것으로 모의되었다. 변화한 수질농도 데이터를 기존에 구축한 Random Forest 알고리즘에 적용하여 수생태계 건강성을 평가하였을 때, 유역의 하류에서 모든 수생태계 건강성 지수(FAI, TDI, BMI) 등급이 개선되는 것으로 분석되었다. 가을보다 봄에 하천유지유량 방류에 따른 수생태계 개선의 효과가 큰 것으로 나타났다.