• 제목/요약/키워드: treatment room

검색결과 1,672건 처리시간 0.023초

외래 항암 화학요법 주사실 모델의 적정성 분석 (The Economic Evaluation of Outpatient-chemotherapy administration model)

  • 송정흡
    • 한국의료질향상학회지
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    • 제11권1호
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    • pp.16-30
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    • 2004
  • Background: Although the number of cancer patients increase, the resources for cancer management are not increased. If the outpatient chemotherapy administration room is operated, the shift of patients from inpatient 10 outpatient is occurred. So the capacities for chemotherapy increased and the shifted rooms were occupied with new non-chemotherapy patients. The income of the hospital increased. The purpose of this study was to assess usefulness and cost-effectiveness of the outpatient-chemotherapy adminstration model. Method: There are six beds, two chairs and two nurses and one personnel in the outpatient chemotherapy room. The satisfaction study by patients/family and doctors and the cost analysis over 12 months, by comparing costs of chemotherapy administration at outpatient chemotherapy room with inpatient at ward and inpatient-nonchemotherapy at ward were done. Results: The 97.1 percent of patients/family and the 94.4 percent of doctor who involved chemotherapy were satisfied with outpatient chemotherapy administration. The 91.7% of doctors said there were no differences in treatment outcome between outpatient and inpatient chemotherapy administration. The average number of patients in outpatient chemotherapy room increased from 10.7 to 15.4 but in inpatient from 19.4 to 18.3. The average number of inpatient chemotherapy were not changed related to increase of the average number of outpatient chemotherapy. The profit between outpatient chemotherapy and inpatient chemotherapy administration was 45,344,710 won and the profit between outpatient chemotherapy and non chemotherapy treatment was -185,294,614 won. Conclusion: The outpatient chemotherapy administration model is good for patients/family, doctors and hospital partially. But the hypothesis described above was not correct. The process of cancer patients treatment were from diagnosis and treatment to first administration of chemotherapy. So the shift from inpatient to outpatient was not occurred. In economic aspect, the profit between outpatient chemotherapy and non chemotherapy treatment was in the red. As the level of health care fees was so low, the hospitals hesitate operating the room of outpatient chemotherapy. It is necessary to raise the level of health case fees for outpatient chemotherapy administration.

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박물관 보존과학계 영역의 공간계획 지표에 관한 연구 (A Study on the Design Guidelines for the Spatial Planing of Conservation Area in Museums)

  • 정성욱
    • 한국실내디자인학회논문집
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    • 제20권5호
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    • pp.197-207
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    • 2011
  • In general, collections in museum are kept in storage according to a preservation and administration program in long or short term, after conservators' conservation treatment. Museum activities related to conservation science are common to do before and after exhibitions. That is, the museum collections include a flow mechanism, which circulate a space in where conservation science related activity is carried on centering around its storage. The purpose of this study is to suggest the design guidelines of a conservation area in a museum. The results of this study as follows. First, to program space planning, conservation area of museum is divided into 4 kinds of zone. Second, space for relics unloading in basically includes 'unloading room', 'control room', 'worker room', 'unpacking room', and 'unloading tools storage' and considers to install 'outdoor arrangement space', etc. In case of space for making relics collections, 'arrangement room' and 'temporary storage' are separately planned in order to arrange and temporarily store relics taken in. Conservation analysis space should be divided into 2 kinds of zone, 'conservation analysis lab' for analysis of collection characters and 'restoration lab' for conservation treatment in the bigger museum. In case of large-scale museum, conservation treatment space is basically classified with characters of museum collections. And it considers installing 'waterlogged wood lab', 'painting clothes treatment lab', 'storage of treated relics' etc. Third, for 'the spaces for analysis treatment', must consider activity contents and sizes of the department for scientific conservation every museum, can classify in detail required space, and must review the space for relics settlement in construction.

몬테카를로 모의 모사를 이용한 방사성옥소 2인 치료병실의 안전성 평가 (Evaluation of Stability using Monte Carlo Simulation in 2 People Isolation Treatment Room of Radiation Iodine)

  • 장동근;고성진;김창수;김정훈
    • 대한방사선기술학회지:방사선기술과학
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    • 제39권3호
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    • pp.385-390
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    • 2016
  • 방사성옥소를 이용한 2인 치료격리병실은 환자간의 불필요한 피폭선량을 유발하게 된다. 이에 본 연구에서는 방사성 옥소를 섭취 후 배설 없이 모두 인체에 분포하였다는 가정 하에 방사성 옥소의 물리적 특성 및 생물역동학적 정보를 제외한 보수적인 관점으로 몬테카를로 모의 모사를 이용한 2인 치료격리병실의 안전성을 평가하고자 한다. 실험 결과 방사성옥소에서 방출되는 364 keV의 감마선은 공기층 약 30 cm 또는 납 차폐체 3 mm가 반가층으로 작용됨을 파악할 수 있었으며, 환자간 거리 및 납 차폐체의 두께를 이용하였을 때, 입원기간(48시간)동안 상대방 환자로부터 받게 되는 외부 피폭선량은 5 mSv 이하로 법적 격리 기준선량 보다 낮게 나타남으로써 2인 치료격리병실의 효율적인 관리가 가능한 것으로 분석되었다.

응급실 내원 환자의 사회경제적 요인에 따른 치료 결과 분석 (Analysis of treatment outcomes based on socioeconomic factors of patients visiting the emergency room)

  • 신요한;박상규;김보균
    • 한국응급구조학회지
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    • 제27권1호
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    • pp.127-137
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    • 2023
  • Purpose: This study aimed to analyze the treatment outcomes according to the socioeconomic factor of patients who visited the emergency room. Methods: This study conducted frequency analysis, percentage analysis, and Fisher's exact test analysis method, using the R 4.1.2 program based on the 2019 data from the Korea Health Panel. Results: Among the treatment results of 1,648 patients, 392 patients were hospitalized or transferred to other hospitals, 845 were discharged after treatment, 224 were discharged, and 7 died. The Fisher's exact test of treatment outcomes and socioeconomic factors was not statistically significant for status of the worker and employment relationship, but was significant for the housing, household, economic activity, and insurance types, and marital status and education. Conclusion: The results of this study indicate that it is necessary to conduct follow up studies on socioeconomic factors to provide basic data that can contribute to fairness and equity in the health care field.

고내열 페라이트계 스테인레스 주강의 고온인장특성 평가 (High Temperature Tensile Properties of Heat-resistant Cast Ferritic Stainless Steels)

  • 정현경;이동근
    • 열처리공학회지
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    • 제34권1호
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    • pp.10-16
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    • 2021
  • Exhaust manifold is a very important component that is directly connected to air environment pollution and that requires strict mechanical properties such as high temperature fatigue and oxidation. Among stainless steels, the ferritic stainless steel with body-centered cubic structure shows excellent resistance of stress-corrosion cracking, ferromagnetic at room temperature, very excellent cold workability and may not be enhanced by heat treatment. The microstructural characteristics of four cast ferritic stainless steels which are high heat-resistant materials, were analyzed. By comparing and evaluating the mechanical properties at room temperature and high temperature in a range of 400℃~800℃, a database was established to control and predict the required properties and the mechanical properties of the final product. The precipitates of cast ferritic stainless steels were analyzed and the high-temperature deformation characteristics were evaluated by comparative analysis of hardness and tensile characteristics of four steels at room temperature and from 400℃ to 800℃.

상급종합병원의 신생아 집중치료실(NICU) 설치 위치 및 기능 배치 특성 연구 (A Study on the Location and Functional Arrangement Characteristics of the Neonatal Intensive Care Unit(NICU) in a Certified Tertiary General Hospital)

  • 이기환;박서원
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제30권3호
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    • pp.35-44
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    • 2024
  • Purpose: The purpose of this study is to present basic data on installation location, functional connection, and arrangement to be considered when planning a neonatal intensive care unit in a certified tertiary general hospital. Method: Review the facility standards related to the neonatal intensive care unit, such as laws and guidelines, and select a Certified Tertiary General Hospital as a case hospital among the Neonatal Intensive Care Regional Centers designated by the Ministry of Health and Welfare to analyze the placement characteristics of major NICU components such as the location of the NICU installation, the connection of movement between adjacent facilities and functions, and the treatment room and accessory room. Results and Implications: NICU is a facility for critically ill babies among newborns and needs to consider more about infection and patient management compared to adult intensive care units, which not only install close to delivery-related facilities to enable immediate action after childbirth, but also divide the treatment room into open rooms and allow access to the attached rooms through dedicated corridors to minimize movement in the treatment room.

견부통 환자에 대한 물리치료방법의 적용 시간을 중심으로 한 기술적 연구 (Physical Therapy Session Duration in patients with Shoulder pain: Descriptive Research)

  • 김선엽;채정병;권재확
    • 대한물리치료과학회지
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    • 제9권4호
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    • pp.119-130
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    • 2002
  • Objective: The purpose of this research was to use data for furnish quality physical therapy service. The research subjects were admitted shoulder pain patients treated with physical therapy that was to grasp physical therapy method as distinguishing application time. Subject: Total number of distributed questionnaire was 563 persons that was to utilized physical therapy room of 56th medical institution and distributed it to each physical therapist in charge. Method: The research used questionnaire in order to research itemized treatment application time that is according to physical therapy method to applicated with shoulder pain patient. The research contents is to received shoulder pain diagnosis period, total duration of utilizing physical therapy room, the number of times per week to used physical therapy room, etc. And we had physical therapist recording the time of application physical therapy method come under the items. Result: The average treatment time was 59.2 minutes at all patients. During this time, 39.7 min was modality treatment. Active movement treatment was only 7.1 min. Total treatment time was longest in general hospital at 64.9 min, it was shortest in clinical hospital at 53.3 min. Treatment time was difference as hospital scale(p<0.001). Active movement treatment time was longest in general hospital at 11.5 min. The average treatment time was 4.5 min in clinical hospital. Therefore, it was related to hospital scale(p<0.05). The average of manual therapy time by physical therapist was 7.5 min. General hospital was linger at 8.6 min than clinical hospital at 6.7 min(p<0.05). Patient of 90.2 % were treated to hot pack, ultra-sound treatment was next as 50.1%. Active strengthening exercise was most carrying out of the active treatment as 25.4 %. Active sensorimotor exercise was practiced only 28 persons of 5.0 %. Most joint mobilization (38.4 %) was used of the passive manual therapy items, next to soft tissue mobilization (33.0 %), and next to manual distraction therapy(14.0 %).

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농어촌지역 응급환자 실태조사 - 서남해안 지역을 중심으로 - (Research on Actual Condition of Emergency Patients in Farming and Fishing Villages - In southwest coast district center -)

  • 최길순;권혜란
    • 한국응급구조학회지
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    • 제10권1호
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    • pp.13-21
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    • 2006
  • Purpose: This study aims to examine characteristics and actual conditions of patients using emergency room at farming and fishing villages, solve overcrowding of emergency room at the tertiary hospital and activate local emergency clinics. Methods: It examines department of diagnosis and treatment, vehicles used, sex, age, residential area, visit hour, length of stay, presence or absence of trauma, measures after first aid and degree of severity based on medical records of 6,740 patients using emergency room at farming and fishing villages from Jan. 1 to Dec. 31, 2005. Conclusion : 1. Sex distribution of patients of emergency room was male 54.9% and female 45.1% and age distribution between over 40 and below 50 was most as 15.9%. 2. Transport means to emergency room were 91.4 of private car and others (public transport and going on foot), 7.5 of 119, 129 and police car and 1.0% of ambulance. 3. According to distribution of residential areas of emergency patients, 38.9% were Eup area, 42.1% Myeon area, 11.4% distant area and 7.5% adjacent area. 4. According to distribution of emergency patients by department of diagnosis and treatment, internal medicine was most as 35.8% and 55% of patients visited emergency room from 3:31 p.m. to 11:30 p.m.. 5. According to total hours of diagnosis and treatment of subjects, 51.2% were within 30min. and cases of non-trauma disease were 68.2%. 6. According to degree of emergency of emergency patients, non-emergency cases were 65.3%, urgent cases 27.7% and emergency cases 7.0% and 74.2% of patients returned home after first aid and 20.6% of them hospitalized. In conclusion, characteristics and diversification of patients should be examined and efforts by government and local medical institutions which must organize emergency system and facility and personnel levels suitable to regional conditions are needed in order to prevent overcrowding of emergency center of the tertiary hospital and activate local emergency center.

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모 한방병원 응급실에 내원한 소아 환자에 대한 임상적 연구 (A Clinical Study of the Pediatric Patients Who Visited in Emergency Room of Oriental Medical Hospital)

  • 윤혜진;백정한;서정민
    • 대한한방소아과학회지
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    • 제21권2호
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    • pp.35-50
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    • 2007
  • Objectives The purpose of this study was to revitalize pediatric emergency care in oriental medical hospital. Methods The study was composed of 281 pediatric patients who visited emergency room of the ${\bigcirc}{\bigcirc}$ university oriental hospital, from March 2006 to February 2007. Results The age distribution showed that 1 to 3 year's patients(40.6%) are the most New pediatric patients(59.1%) were more than who received medical treatment in this place. The seasonal distribution of between month's section and the 24 solar terms's section made no differences and pediatric patients who visited in emergency room was most in spring, least in autumn. Moreover the changes of season's patients were more than others. Pediatric patients who visited during the weekends and holidays(50.9%) were more than during the weekdays(49.1%). Systemic division of the major problems were the digestive symptoms(44.5%) and nervous symptoms(30.6%), respiratory symptoms(12.5%), musculoskeletal symptoms(5.3%), dermatological symptoms(1.8%), cardiovascular symptoms(0.7%) and others(4.6%) followed. The time interval between arrival and onset : within 6 hours were the most(54.5%). Pediatric patients who had digestive, nervous, musculoskeletal diseases within 6 hours were the most, but in the case of patients who had respiratory diseases, most of them were visited within 48 hours. Acting and herb-med treatment(77.9%) were the most in medical treatments. Pediatric patients(69.0%) who didn't revisit in this hospital after treatment in emergency room were more than who revisited(29.9%). Conclusions Pediatric patients who visited in emergency room of oriental medical hospital were most not acute form of a serious diseases, patients most visited in disease prefer to oriental medicine; such as dyspepsia, convulsions, crying, ankle sprain. Further studies will be needed for the actual circumstance's reflecion from this hospital and other oriental hospitals nearby or other western emergency rooms for the accurate studies.

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레이온 직물의 Wet-Fixation에 의한 DP가공에 관한 연구(II) -처리온도 및 시간의 영향- (A study on the Durable Press finish by Wet-Fixation Process for Rayon Fabrics (II) - Effect of Treatment Temperature and Time -)

  • 허윤숙;김은애
    • 한국의류학회지
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    • 제13권4호
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    • pp.357-369
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    • 1989
  • The purpose of this study was to investigate the effects of treatment temperature and time on the, of easy-care and strength properties of the wet fixation processed rayon fabrics. Viscose rayon fabrics were treated with mixed resins of melamine formaldehyde (MF) and DMDHEU by one bath and two bath wet fixation processes. The MF/DMDHEU mixed resin concentrations were 50/100, 50/150, 100/100 and 100/150(g/1). Magnasium chloride was used as a catalyst. The wet fixation conditions were 24hrs at room temperature,20 mins at $75^{\circ}C$ and 5 mins at $105^{\circ}C$ Wet fixation processed fabrics did not show the difference in the resin add-one, DP ratings and wrinkle recovery angles by the different treatment temperatures and times. DP ratings were in the order of $105^{\circ}C>75^{\circ}C>room$ temp, in one bath and two bath wet fixation. Breaking and tearing strength of one bath processed fabrics showed in the order of $75^{\circ}C>room\;temp>105^{\circ}C$ The breaking strength of two bath processed fabrics showed in the order of $105^{\circ}C>75^{\circ}C>room$ temp. Tearing strength showed in the order of $75^{\circ}c>105^{\circ}C>room$ temp. Abrasion resistances were in the order of $75^{\circ}C>105^{\circ}C>room$ temp. in one bath and two bath processes.

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