• Title/Summary/Keyword: medical resources

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Review on Interchangeability between Efficiency Ranking and Profitability Ranking in Public Medical Centers (공공의료원의 효율성과 수익성 평가 지표의 대체 가능성 검토)

  • Kim, Sang Mi;Lee, Hae Jong;Lee, Dong Won
    • Korea Journal of Hospital Management
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    • v.21 no.1
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    • pp.43-50
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    • 2016
  • The public medical centers are required to make efficient and profitable operation. The efficiency is usually measured by DEA(data envelopment analysis), and profitability is measured by medical income rate. But DEA is measured by relative, not absolute value. So, profitability rate is used alternatively for DEA. This study want to analyze the interchangeability between DEA ranking and medical income rate ranking among public medical centers. The return on total assets is same ranking with DEA on bed number, employee number and total asset, but 60-70% relationship with DEA on bed number and employee number, as input resources. The operating margin is similar ranking with DEA on bed number and employee number, but 50-60% relationship with DEA on bed number, employee number and total asset, as input resources.

The Survey on the Health Status of an Islands-District Residents II. The Medical Utilization Pattern and Recognition of Medical Facilities (일부 도서지역의 보건의료에 대한 기초조사 II. 주민의 의료이용양상 및 의료기관에 대한 인식도)

  • Ko, Kee-Ho;Moon, Gang;Sohn, Seok-Joon;Choi, Jin-Su
    • Journal of agricultural medicine and community health
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    • v.17 no.2
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    • pp.113-121
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    • 1992
  • In order to estimate the pattern of medical care utilization and recognition for health factor among the inhabitants in Wan-do district which is located off the southern seashore from mainland Korea, household interview survey was performed from January 15 to 30, 1990 in Wan-do Gun area. The results observed were following: 1. Among the users of medical facilities 40.8% used public health facility as first contact facility. Lower the income level was and longer the residency duration was, the utilization rate of public health facilities was higher. By age groups and medical security status the utilization pattern was likely to disperse to local clinic and secondary contact medical resources. 2. Medical expense and access time were significantly different between primary contact and secondary contact medical resources. 3. Public health facility was recognized as the favoured institute having advantage of geographic and economic accessibility. 4. Statistically significant determinants in public health facility utilization among total medical service were the region, the medical expense, and the access time.

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The Efficient Managements of 3-Year Allied Health Departments (3년제 보건계학과의 효율적 운영방안)

  • Cho, Kyung-Jin;Park, Young-Sun;Park, Ji-Whan
    • Journal of Korean Physical Therapy Science
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    • v.2 no.3
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    • pp.691-705
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    • 1995
  • Most of the Medical Junior Colleges faced new environmental changes: School years of some Health-related departments were extended from two-year program to three-year ones; The total high school graduates willing to apply to the colleges will fall short of the legal number limits of this country; Govorment's educational opening policies enables competitive foreign schools to land in our country more easily. In order to survive under these turbulant circumstances, any junior college has to cultivate it's own competitiveness establishing strategies and utilizing resources very efficiently. Some of the major points extracted from three-year junior college professors' opinions against the environmental changes are as follows, 1. Environmental changes should be fully appreciated. And junior colleges have to make haste to establish strategies placing priorities on specific fields which are their own strengths compared to others. 2. The crieria of provisions of miminstry of Education on the facilities and equipments should be enhanced. 3. The practical way to use available resources effectively is to make the best of human resources. 4. It is time to consider consolidating akin departments to one. 5. The school year of the health-related departments should be extended to four years to meet the contemporary needs in the medical fields.

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The Career Counseling Program in Medical Schools outside Korea (외국 의과대학에서의 진로탐색 및 진로지도 프로그램)

  • Chung, Eun-Kyung
    • Korean Medical Education Review
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    • v.15 no.2
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    • pp.82-86
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    • 2013
  • Medical students can choose to pursue any of a large number of specialties. This diversity reflects exciting opportunities, yet it also present significant challenges, such as providing medical students with adequate resources and guidance to help them to make informed career decisions. Additionally, because the medical internship will be abolished in the near future, many Korean medical schools have recently focused on implementing a career planning and advising program. This paper describes the Careers in Medicine (CiM) program offered by the Association of American Medical Colleges as a framework for other schools to adopt or adapt as they consider the best ways to address the career counseling needs of their own students. CiM is a comprehensive career planning program that provides students with the skills, information, and resources to choose a specialty and residency program that meets their career goals. CiM follows a four-year, four-step career planning process including self-understanding, exploring a variety of medical careers, and finally choosing a specialty. The CiM program has been evaluated as successful because of widespread participation and positive feedback from medical students. The information in this study can be used to develop a formal career advising program throughout the four years of medical school.

A Study on the Problem about Oriental Treatment Fee Based on Valuation of Resources (투입자원 평가에 근거한 한방 침구 부항 시술 수가의 문제점에 관한 연구)

  • Kim, Yong-Ho;Lee, Won-Hui;Chang, Hye-Jung;Lim, Sa-Bi-Na
    • The Journal of Korean Medicine
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    • v.29 no.1
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    • pp.15-24
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    • 2008
  • Objectives : The purpose of this study is to reexamine current oriental medical treatment fees based on valuation of input resources which are the treating time, the treatment's difficulty, and the material cost. Methods : This study obtained the following results by reviewing the answers given by 172 oriental medical doctors from March 1 to April 15, 2006. To investigate material cost, we took inventory of treatment materials used by 2 oriental hospitals. Results : The current system does not reflect well enough the treating time and treatment's difficulty. Considering current oriental treatment fees, material costs are too much of doctors' fees. Especially, Wang-ssuk-dduem, which is another form of moxibustion treatment, was spent as much as 74.6% on materials cost. Conclusions : The findings suggest the current oriental treatment fees should be revised to reflect the actual input resources into oriental medical doctor activities and to avoid a distortion of physicians' behavior.

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Exploring Supervisor-Related Job Resources as Mediators between Supervisor Conflict and Job Attitudes in Hospital Employees

  • Elfering, Achim;Gerhardt, Christin;Grebner, Simone;Muller, Urs
    • Safety and Health at Work
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    • v.8 no.1
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    • pp.19-28
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    • 2017
  • Background: Conservation of resources theory assumes loss of resources as a cause of job strain. In hospital work, conflicts with supervisors are tested to predict lower resources, that is, supervisory social support, participation possibilities, and appreciation. All three resources are expected to predict, in turn, experienced stress (job strain) and lower job satisfaction, lower affective commitment, and a higher resigned attitude towards the job (job attitudes). Methods: The sample included 1,073 employees from 14 Swiss hospitals (n = 604 nurses, n = 81 physicians, n = 135 medical therapists, and n = 253 technical and administrative staff). Of the total sample, 83.1% were female and 38.9% worked full-time. The median tenure was between 7 years and 10 years. Constructs were assessed by online questionnaires. Structural equation modeling was used to test mediation. Results: Structural equation modeling confirmed the negative association of conflict with supervisors and job resources. Tests of indirect paths to resources as a link between conflicts with supervisors and job attitudes were significant. For nurses, social support, participation and appreciation showed a significant indirect path, while among medical technicians the indirect paths included social support and appreciation, and among physicians only appreciation showed a significant indirect path. In medical therapists no indirect path was significant. Job resources did not mediate the link between conflict with supervisors and stress in any occupational group. Conclusion: Conflicts with supervisors are likely to reduce job resources and in turn to lower job attitudes. Work design in hospitals should, therefore, address interpersonal working conditions and conflict management in leadership development.

Quantitative Change of Aristolochic Acid Contents by Processing Methods on the Plants of Aristolochiaceae (쥐방울과 한약의 수치에 따른 aristolochic acid 함량변화)

  • Kim, Min-Suk;Lee, Joung-Bok;Park, Si-Hyung;Kim, Dong-Wook;Min, Oh-Jin;Rhyu, Dong-Young
    • Korean Journal of Pharmacognosy
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    • v.38 no.2 s.149
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    • pp.123-127
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    • 2007
  • Aristolochic acid (AA) included in the plants Aristolochiaceae have been well known to be nephrotoxic and carcinogenic inducer and to cause renal disease such as Chinese Herb Nephropathy (CHN). In this study, we used a high performance liquid chromatopaphy-mass spectrometry (HPLC-MS) under the positive ion detection mode for the quantitative change of aristolochic acid-I and-II (AA-I and AA-II) in Aristolochiaceae (Aristolochia contorta Bunge, Aristolochia debilis Sieb. et Zucc., Aristolochia fangchi Wu), some related plants (Cocculus trilobus De candolle, Inula helenium Linne, Saussurea lappa Clarke), and its prescriptions (防己茯笭湯, 定喘散) with or without processing. Here, the processing methods and prescriptions in oriental medicine were generally used to alleviate toxicity or alter property of herbal medicines. However, the concentrations of AA-I and AA-II were highly determined in processed material extracts rather than unprocessed those, not measured in some related plants. Also, the concentrations of AA-I and AA-II even at the prescriptions mixed the plants of Aristolochiaceae were detected to range from 0.73 to 2.53 ppm. Thus, the present results suggest that the content of AA-I and AA-II contained to plants of Aristolochiaceae was not reduced by the processing methods or prescriptions which can induce the physico-chemical change and pharmacological transformation in traditional herbal medicines.

Allergenicity Assessment of Cry Proteins in Insect-resistant Genetically Modified Maize Bt11, MON810, and MON863

  • Kim, Jae-Hwan;Seo, Young-Ju;Kim, Ji-Young;Han, Young-Shin;Lee, Kwang-Shin;Kim, Sun-Ah;Kim, Han-Na;Ahn, Kang-Mo;Lee, Sang-Il;Kim, Hae-Yeong
    • Food Science and Biotechnology
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    • v.18 no.5
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    • pp.1273-1278
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    • 2009
  • This study aimed to evaluate the potential allergenicity of Cry proteins in insect-resistant genetically modified (GM) maizes (Bt11, MON810, and MON863) using serum screening tests. Serum samples were obtained from Korean children (0-15 years old) with allergic symptoms who had positive maize-specific IgE. The levels of serum specific IgE was measured by the Phadia ImmunoCAP system and considered as positive when they are 0.35 kU/L or higher. Cry proteins (Cry1Ab in Bt11, mCry1Ab in MON810, and Cry3Bb1 in MON863) were expressed in Escherichia coli and purified for serum screening. The reactivity of purified Cry proteins was confirmed by IgE immunoblots in 50 patients (maize-sensitized patients). There was no reaction between Cry proteins and sera from maize-sensitized patients. Our results suggest that these Cry proteins are not likely to cause allergic reactions. Further studies using more sera from patients with true clinical allergies are needed to evaluate the potential allergenicity of novel proteins in GM maize.

Diversity and Chemical Defense Role of Culturable Non-Actinobacterial Bacteria Isolated from the South China Sea Gorgonians

  • Jiang, Peng;Zhang, Xiaoyong;Xu, Xinya;He, Fei;Qi, Shuhua
    • Journal of Microbiology and Biotechnology
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    • v.23 no.4
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    • pp.437-443
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    • 2013
  • The diversity of culturable non-actinobacterial (NA) bacteria associated with four species of South China Sea gorgonians was investigated using culture-dependent methods followed by analysis of the bacterial 16S rDNA sequence. A total of 76 bacterial isolates were recovered and identified, which belonged to 21 species of 7 genera, and Bacillus was the most diverse genus. Fifty-one percent of the 76 isolates displayed antibacterial activities, and most of them belonged to the Bacillus genus. From the culture broth of gorgonian-associated Bacillus methylotrophicus SCSGAB0092 isolated from gorgonian Melitodes squamata, 11 antimicrobial lipopeptides including seven surfactins and four iturins were obtained. These results imply that Bacillus strains associated with gorgonians play roles in coral defense mechanisms through producing antimicrobial substances. This study, for the first time, compares the diversity of culturable NA bacterial communities among four species of South China Sea gorgonians and investigates the secondary metabolites of gorgonian-associated B. methylotrophicus SCSGAB0092.

Antioxidative Effects of Phellinus linteus Extract (상황버섯 추출물의 항산화 효과)

  • Rhyu, Dong-Young;Kim, Min-Suk;Min, Oh-Jin;Kim, Dong-Wook
    • Korean Journal of Plant Resources
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    • v.21 no.1
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    • pp.91-95
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    • 2008
  • Reactive oxygen species(ROS) or free radical-mediated oxidative stress plays an important role in the pathophysiologic process of disease state. This study investigated antioxidative effects of Phellinus linteus extract on the generation of 1,1-diphenyl-2-picrylhydrazyl(DPPH) radical, superoxide anion radical(${O_2}^-$), hydroxyl radical(${\cdot}OH$), nitric oxide(NO), and peroxynitrite($ONOO^-$) radical and free radical-mediated protein oxidation under in vitro assay systems. This results showed that Phellinus linteus extract effectively inhibited the generation of free radicals in the all assay system with dose-dependent manner and also significantly reduced the protein oxidative level. Thus, the present study indicates that Phellinus linteus extract possesses a potent antioxidant activity and plays a beneficial role against free radical-induced oxidative injury.