• Title/Summary/Keyword: 기초의학

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Basic Data Analysis of the Quality Control for Patient Safety in Department of Radiation Oncologyat Yeungnam University Hospital (영남대학교병원의 환자안전을 위한 정도관리의 기초자료 분석)

  • Oh, Se An;Kim, Sung Kyu;Yea, Ji Woon;Kang, Min Kyu;Lee, Joon Ha;Lee, Rena
    • Progress in Medical Physics
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    • v.26 no.2
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    • pp.112-117
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    • 2015
  • In order to establish the quality control on patient safety following the guideline presented by American Association of Physicists in Medicine (AAPM) TG-100 committee, we aim to analyze the modes based on errors occurred during treatment of patients at the radiation oncology department at Yeungnam University Hospital and establish a quality control guideline for patient safety when patient-centered radiation treatment is conducted. We aim to analyze the errors that can occur during radiation treatment at the radiation department, and assess the frequency of error, the severity of error affecting patients, and probability of proceeding without noticing error, with scores. The places where errors can take place were divided into CT simulation treatment room, treatment planning room, and treatment room for the analysis. In CT simulation treatment room, an error from using the immobilization device showed the highest Risk Priority Number (RPN) value of 60, and an error from simulation treatment information input showed the lowest of 6. In treatment planning room, an error from selecting the radiation dose calculation model showed the highest RPN value of 168, and an error of patient treatment start date showed the lowest of 36. In treatment room, a Table Bar error showed the highest RPN value of 252, a weight change error showed 190, and a Pillow error showed the lowest of 24.

Audit of Appropriateness of Fresh Frozen Plasma Transfusion (신선동결혈장의 적정수혈 분석)

  • Seo, Youkyung;Kim, Moon Jung;Kim, Sinyoung;Kim, Hyun Ok
    • The Korean Journal of Blood Transfusion
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    • v.23 no.2
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    • pp.136-144
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    • 2012
  • Background: Fresh frozen plasma (FFP) transfusion is administered primarily for management of acquired bleeding disorders. However, in practice, FFP transfusion is increasing without a solid rationale. Methods: We conducted an audit to evaluate the appropriateness of the indications for FFP transfusion during the period from July 2010 through June 2011. Assessment of the appropriateness of the indications was based on the national transfusion guidelines and the transfusion criteria promulgated by the Severance Hospital. Results: In total, 17,733 units of plasma were transfused to 1,949 patients over 4,982 events. We found that administration of FFP was not in compliance with the recommended guidelines in 1,990 events. The number of total FFP transfusions was higher in medical departments (Gastroenterology) than in surgical departments (Thoracic and cardiovascular surgery, General surgery). However, the proportion of cases of inappropriate transfusion was higher in surgical departments than in medical departments. Both the total number of FFP transfusion and the proportion of inappropriate transfusion were high in patient with neoplasm, disease of the digestive system, and diseases of the circulatory system. Conclusion: Continuous monitoring on appropriateness for FFP transfusion and feedback to the physician are critical in securing the transfusion safety as well as maintaining the quality of FFP transfusion. New-found indication for FFP transfusion should be investigated and applied in timely manner.

Acaricidal and Repellent Activities of Cnidium officinale-derived Compounds Against Haemaphysalis longicornis (Acari: Ixodidae) (작은소피참진드기에 대한 다양한 식물체 및 천궁유래물질의 살비 및 기피 효과)

  • Ahn, Hyeonmo;Shin, Eungyeong;Kim, Hyun Kyung;Kim, Gil-Hah
    • Korean journal of applied entomology
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    • v.60 no.3
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    • pp.315-322
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    • 2021
  • This study investigated the acaricidal and repellent activities of various plant extracts and Cnidium officinale-derived materials against Haemaphysalis longicornis. Among the 24 methanolic plant extracts, C. officinale showed the highest acaricidal activity (93.3%) against H. longicornis. Platycodon grandiflorus, Phytolacca americana, Magnolia denudata, Houttuynia cordata, C. officinale, and Pueraria montana showed significant differences in their repellent activity. Consequently, the activity of solvent-fractionated materials and the derived material of the C. officinale, was investigated and a 90% acaricidal effect was observed three days after hexane fraction treatment, indicating that the repellent response was statistically significant. Butylidenephthalide, which is a C. officinale-derived compound, showed 90% acaricidal activity seven days after treatment. Additionally, all H. longicornis moved to the untreated area in the t-tube olfactometer experiment, confirming the repellent activity of butylidenephthalide. Therefore, the results of this study suggest the use of C. officinale crude extract and butylidenephthalide as potent acaricidals and repellents against H. longicornis, respectively.

The Effects of Smartphone Use on Structured Social Network Types among Retired Older Adults in South Korea (스마트폰 이용이 은퇴 노인의 구조적 사회관계망에 미치는 영향)

  • Um, Sa Rang;Chio, Eun Young;Cho, Sung Eun;Chio, In Jung;Kim, Young Sun
    • 한국노년학
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    • v.38 no.3
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    • pp.481-499
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    • 2018
  • The purpose of this study is to examine the impacts of smartphone use on structured social network types in the Korean elderly population. Data was derived from the 2014 survey of living conditions and welfare needs of Korean older persons collected by Korea Institute for Health and Social Affairs. A total of 4,180 participants were selected for the Propensity Score Matching (PSM) analysis. Based on propensity score estimates, the 491 smartphone users (treatment group) and 491 featurephone users (control group) were matched. Ordinary Least Squares (OLS) regression analysis was conducted to examine the relationship between smartphone use and structural social network types. The results showed that among retired older adults, people using smartphone had significantly better structured social networks than those using featurephone even after controlling for covariates. Smartphone users had the higher levels of social contact and social activity. These findings suggested empirical evidence that using smartphone positively affects structured social networks, which might be used as the basis for designing intervention programs to promote social networks and social engagement of retired older adults.

Recovery and Associated Factors of Cognitive Function in Patients with Hemorrhagic Stroke (출혈성 뇌졸중 환자의 인지기능 변화 및 연관 요인에 대한 추적조사)

  • Park, Minsu;Min, Ji Hong;Ko, Sung Hwa;Lee, Sang Won;Ko, Hyun-Yoon;Shin, Yong-Il
    • 재활복지
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    • v.21 no.2
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    • pp.247-259
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    • 2017
  • We investigated the improvement of cognitive functions, activity of daily living (ADL), and quality of life (QoL) after hemorrhagic stroke and identified associated factors. For this research, twenty-five patients with a hemorrhagic stroke were enrolled. We measured cognitive function, activity of daily living (ADL), and quality of life (QoL) from 7 days to 12 months after onset of stroke. Then we analyzed the correlation between cognitive function and other risk factors. According to results, cognitive functions improved during 12 months with statistically significant differences. Other functions were similar to cognitive functions. Improvement of cognitive functions were correlated with age, the type of hemorrhagic stroke and Glasgow coma scale at 7 days after stroke. Overall, cognitive function in patients with hemorrhagic stroke recovered from acute to 12 months after onset of stroke. And, improvement of cognitive function at this phase were associated with age, the type of hemorrhagic stroke and GCS score at 7 days. These results would provide us an information to plan cognitive rehabilitation in patients with hemorrhagic stroke.

Analysis and estimation of species distribution of Mythimna seperata and Cnaphalocrocis medinalis with land-cover data under climate change scenario using MaxEnt (MaxEnt를 활용한 기후변화와 토지 피복 변화에 따른 멸강나방 및 혹명나방의 한국 내 분포 변화 분석과 예측)

  • Taechul Park;Hojung Jang;SoEun Eom;Kimoon Son;Jung-Joon Park
    • Korean Journal of Environmental Biology
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    • v.40 no.2
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    • pp.214-223
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    • 2022
  • Among migratory insect pests, Mythimna seperata and Cnaphalocrocis medinalis are invasive pests introduced into South Korea through westerlies from southern China. M. seperata and C. medinalis are insect pests that use rice as a host. They injure rice leaves and inhibit rice growth. To understand the distribution of M. seperata and C. medinalis, it is important to understand environmental factors such as temperature and humidity of their habitat. This study predicted current and future habitat suitability models for understanding the distribution of M. seperata and C. medinalis. Occurrence data, SSPs (Shared Socio-economic Pathways) scenario, and RCP (Representative Concentration Pathway) were applied to MaxEnt (Maximum Entropy), a machine learning model among SDM (Species Distribution Model). As a result, M. seperata and C. medinalis are aggregated on the west and south coasts where they have a host after migration from China. As a result of MaxEnt analysis, the contribution was high in the order of Land-cover data and DEM (Digital Elevation Model). In bioclimatic variables, BIO_4 (Temperature seasonality) was high in M. seperata and BIO_2 (Mean Diurnal Range) was found in C. medinalis. The habitat suitability model predicted that M. seperata and C. medinalis could inhabit most rice paddies.

The Role and Focus Areas of Medical Technologists in the Field of Diagnostic Tests in the COVID-19 Era (COVID-19 시대 임상병리사의 역할 및 영역)

  • Yang, Byoung Seon;Choi, Se Mook;Bae, Hyung Joon;Kim, Yoon Sik;Lim, Yong;Kang, Hee Jung;Bae, Do Hee;Choi, Byoung Ho;Lee, Jae Suk;Park, Ji Ae
    • Korean Journal of Clinical Laboratory Science
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    • v.54 no.1
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    • pp.49-60
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    • 2022
  • This study attempted to provide the basic data for developing a system to identify the role of medical technologists and ensure an efficient response for quick and accurate diagnostic tests in the COVID-19 era. The research method involved using focus group interviews for a survey and analysis of 15 medical institutions. Eleven sample collection institutions, 10.4 medical technologists, 2.1 minutes of collection time, 5.4 hours of test time, 9,670 tests, 6.2 member test workforce size, and 7 screening center operating institutions were surveyed. The results of the focus group interview analysis revealed that there were no standardized guidelines covering working hours, area, and environment to protect sample collectors and testers in relation to the COVID-19 tests. Also, legal protection measures were insufficient in the event of accidental infections and there were no personnel regulations related to COVID-19. In addition, the professional training of sample collectors and molecular diagnostic testers was required for reliable COVID-19 testing. In conclusion, it is necessary to provide professional education through special test short-term training institutions to cope with emergency infectious diseases such as COVID-19. Legal systems should be put in place to protect the workforce and ensure stability.

A Study on Elderly People in Health Inequality in Vulnerable Health Areas Centering around Agriculture and Fisheries Areas (농어촌 건강취약지역 노인의 건강불평등 관련요인 연구)

  • An, Sung A;Sim, Mi Young;Jeong, Baek Geun;Kim, Jang-Rak;Kang, Yun Sik;Park, Ki-Soo;Yeum, Dong Moon
    • 한국노년학
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    • v.31 no.3
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    • pp.673-689
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    • 2011
  • It is a qualitative study based on a focus group with an aim to figure out elderly people's experiences in health inequality in vulnerable health zones in agriculture and fisheries areas. Of eups, myeons and dongs selected as 40 vulnerable areas where standardized death rates had continued to be high from 2004 to 2007 in 20 counties and cities in Gyeongsang-do, 15 agriculture and fisheries areas were randomly chosen to extract 8 to 10 elderly people. Explanations were given to study subjects, and 7 to 8 people who agreed to take part in the study joined a regional focus group. Contents of interviews were analyzed with a phenomenological method by Colaizzi (1978) in order to accurately describe pertinent phenomena. The study has found four categories including ecological environmental problems, insufficient services for local community & harmful environmental problems, worsening economic conditions and insufficient health care management in terms of health behavior.

Control of Lycoriella ingenua (Diptera: Sciaridae) in Exports of King Oyster Mushroom, Pleurotus eryngii, using Ionizing Radiation (이온화에너지를 이용한 수출용 큰느타리버섯의 긴수염버섯파리 방제)

  • Hyeonmo Ahn;Sun-Ran Cho;Hyun-Na Koo;Gil-Hah Kim
    • Korean journal of applied entomology
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    • v.62 no.4
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    • pp.333-343
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    • 2023
  • King oyster mushrooms are one of the major fresh agricultural products which their exports are increasing every year in Korea. Lycoriella ingenua, is notorious insect pest in agriculture, especially in mushroom production. Larvae of L. ingenua cause mainly direct crop damage and adults are vectors of several dangerous fungal pathogens. In this study, the effects of electron beam, X-ray, and gamma-ray irradiation on the development and reproduction of L. ingenua were evaluated. In addition, to find the optimal dose to control L. ingenua in a box filled with king oyster mushrooms, an empirical experiment was conducted for each radiation. As a result, the development and reproduction of L. ingenua were inhibited at 50 Gy for all electron beam, X-ray, and gamma-ray irradiation. Additionally, at the top, middle, and bottom of the export box filled with king oyster mushrooms, the development and reproduction of L. ingenua were inhibited by electron beam with 150 Gy, X-ray with 100 Gy, and gamma-ray with 50 Gy. These results can be provided as basic data for establishing an integrated quarantine management system when exporting mushrooms. It will also contribute to the safety of agricultural products and the strengthening of export competitiveness.

공기의 질과 건강

  • Choe, Tae-Seop
    • Journal of Korea Far Infrared Association
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    • s.24
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    • pp.32-37
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    • 2005
  • 공기이온에 관한 연구는 많은 분야의 연구원 참여에 의해 폭넓게 알려져, 반세기에 이르는 번영의 역사를 쌓아 왔지만, 불가사의하게도 현재, 가장 중요한 적용분야인 보건 분야에서 위기를 맞고 있다. 20세기 초, 대기 중에 전하를 띤 입자의 존재가 관찰된 이래, 공기 이온의 성질을 문제로 한 기초적 연구가, 간단한 공기이온계측기 보급과 함께, 물리학자, 생물학자, 의학자의 협력 하에 1930년대 이후 활발히 이루어져, 공기이온의 위생적ㆍ치료적 가치에 대한 풍부한 정보를 얻을 수 있게 되었다. 어찌되었든 이온화환 공기 속에서는 생활할 수 없는 것이 확실해져, 어떤 농도의 공기이온은 사람 및 동물의 생체에 유익한 작용을 하고, 대용량 공기이온은 치료에 적용가능하지만, 농도의 여하에 관계없이, 양이온이 음이온에 비해 2~3배 우세하면, 신체의 상태를 악화시켜며, 또한 공조설비와 필터류는 모두 이온화작용을 나타내는 것도 밝혀졌다. 청정한 공기를 이온화하는 것은 산소, 탄산가스, 약용물질분자를 활성화시키지만, 오염된 공기의 이온화는 유독한 불순물의 독성을 증가시키는 점도 지적되었다.

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