• Journal of Yeungnam Medical Science
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• 제13권1호
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• pp.97-109
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• 1996

현대는 정보화의 사회로서 첨단과학을 이용한 진료업무의 선진화사업은 진료의 서비스 향상과 경영혁신을 위해 필수적이다. 이번에 새로이 개발된 방사선종양학과 진료업무 전산화시스템은 병원내 처방전달시스템 개발과정에서 별도의 비용부담없이 부수적으로 개발된 것으로 방사선종양학과의 고유 업무뿐만 아니라 모든 외래 및 병실진료업무와 수납업무를 수행할 수 있는 편리한 프로그램이다. 이 시스템의 도입으로 방사선종양학과의 진료업무 간소화는 물론 신속 정확한 진료가 가능하여 진료서비스를 향상시켜 향후 다가올 진료 환경의 급격한 변화에 적극적으로 대처할 수 있어서 진료업무의 능률향상에 큰 도움이 되며 몇 가지의 새로운 기능을 추가시키면 학문연구의 발전과 경영개선효과도 기대할 수 있으리라 생각된다.

• 한국의료질향상학회지
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• 제8권1호
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• pp.84-94
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• 2001

Background : in order to adapt to changes of the medical environm interests that is drawn in ambulatory surgery are increased as a method of approaching a patients' satisfaction and cost-effective management. The purpose of this study is to a assess the operation which is able to perform through ambulatory care unit, to identify the problem in ambulatory surgery, and to increased the opportunity of ambulatory surgery with safety. Methods : Between May 13th, 1998 and June 30th, 2000, we performed surgical treatment through ambulatory care unit, and evaluate the results of them. The sorts of operation, duration of stay in the hospital, total cost of treatment, satisfaction of patients and safety if anesthesia were assessed. Results : We performed ambulatory surgery without serve complications and the patients were satisfied with surgical treatment through ambulatory care unit. In comparison of ambulatory and admission surgery, there was a reduction of cost to 16.7~25.3% in ambulatory surgery. Also, the duration of admission was 2 days shorter than admission surgery. Conclusions : According to our results, the surgical treatment through ambulatory care unit is safe and useful method that increase the quality of medical service, satisfaction of patients and reduce the cost of treatments.

• 의료법학
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• 제10권2호
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• pp.11-36
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• 2009

This thesis introduces the trends of korean courts' ruling on damages in medical malpractice cases for past 10 years. First of all, Korean courts' ruling have had a tendency to pay only non-economic damages for not taking the informed consent. If a doctor cannot get the informed consent from a patient, he compensate only non-economic damages for the infringement of self-determination rights of patient. It's enough for the plaintiff to prove the infringement of self-determination rights, if the plaintiff just want to get non-economic damages. The Korean Supreme court have ruled that if plaintiffs want to get economic damages for the infringement of self-determination rights or informed consent, plaintiffs must prove that the infringement of self-determination rights is the proximate cause of the economic damages of patient. There is another tendency for the Korean Supreme court to limit the damages in medical malpractice cases on the ground of patient's diseases' dangerousness or patient's idiosyncrasy. In the past courts often limit the damages only to 70~80% of total damages, but now a days courts mostly limit the damages to 20~30%. This thesis also introduce the Korean courts' trends about Valuing damages in personal injury actions awarded for gratuitously rendered nursing and medical care.

• 한국직업건강간호학회지
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• 제21권1호
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• pp.55-65
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• 2012

Purpose: The purpose of this study was to provide baseline data on paid hospital-caregivers' work performance, degree of importance of caregiving, and their knowledge as well as affecting factors on the level of practice when there is no guardian. Methods: The subjects of this study were 155 total caregivers working at 9 hospitals. Data were collected by self-reported questionnaires in December, 2010. The collected data were analyzed using SPSS/WIN 17.0. Results: The caregivers' level of practice showed 4.0/5.0 points, degree of importance, 4.4/5.0 points, and knowledge, 4.3/5.0 points. The level of practice was significantly different depending on the hospital types. Significant correlations were found between level of practice, degree of importance and knowledge. The degree of importance and types of hospital attributed to 17.1% of variance in the level of practice. Conclusion: A systematic hospital caregivers' program focusing on strategy to enhance caregivers' level of practice, degree of importance and knowledge can be effective for paid hospital-caregivers when there is no guardian.

• 핵의학기술
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• 제12권1호
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• pp.119-122
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• 2008

Radioiodine (I-131) Therapy has been known one of the methods treated with hyperthyroidism and thyroid tumor, using a separate ward. This technique has been already used for several decades, and its clinical efficacy proven. Today, Radioiodine takes a form of capsule through continuous development, so, 30 odd domestic hospitals run about 63 separate wards. And, its demands would increase continuously; because of tending upwards the patients had thyroid cancer. However, various kinds of wastes originate from a procedure of radioiodine therapy. Especially, when their radioactivity exceed permissible level (4 Bq/$cm^2$) set by Nuclear laws of the Republic of Korea, it regards as radioactive wastes, then, managed separately from origination to the last disposal.

• 한국산학기술학회:학술대회논문집
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• 한국산학기술학회 2009년도 춘계학술발표논문집
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• pp.583-586
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• 2009

우리나라에서의 실내공기 중 미생물에 대한 연구는 사무실, 유치원, 극장, 도서관등 다중이용시설과 병실 내 공간에 존재하는 곰팡이를 비롯한 오염 미생물 수에 대한 조사가 이루어지고 있으나 노인요양시설을 대상으로 한 바이오에어로졸이 포함되어 있는 미생물의 종류에 대한 연구는 아직 미비한 실정이다. 따라서 본 조사에서는 1개 광역도 1개 도농복합도시 지역의 노인요양시설을 대상으로 실내 미생물 오염상태가 건강에 미치는 영향과 적절한 실내 환경유지를 위한 미생물 오염 방지 및 개선방안에 대한 기초자료를 제공하고자 노인요양시설의 실내 미생물의 오염실태를 조사하였다. 2007년 4월 1일부터 5월 31일까지 2개월 동안 1개 광역도 1개 도농복합도시 지역의 노인요양시설 5곳을 대상으로 실내 외의 공기 중 바이오에어로졸 조사하기 위해 관성충돌 채취법을 적용한 미생물 채취기인 air IDEALTM(Biomerieux)를 이용하여 면양혈액한천배지와 Sabouraud Dextrose Ager를 사용하여 채취하여 배양하였다. 배양하여 분리 동정한 결과 다음과 같은 결론을 얻었다. 1. 각 시설별 전체 미생물의 분리는 300 L 실내에서 S 요양원이 263 cfu/m3로 가장 많았고, U 요양원이 123 cfu/m3로 가장 낮은 수가 분리되었다. 진균의 수는 300 L 실내에서 G 요양원이 73 cfu/m3로 가장 많았으며, C 요양원은 40 cfu/m3로 가장 낮은 비율로 분리되었다.

• 한국간호교육학회지
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• 제7권2호
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• pp.207-216
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• 2001

To understand the types of interactions between the nurses' college students and patients, this research used Spradley's Cultural Description Method to carry out his eleven- stage research conduct process : participatory observation, cultural description recording, descriptive observation, category analysis, focus observation, classification analysis, selective observation, components analysis, cultural themes, cultural discovery, and cultural description writing. The research participants were 7 nurses' college students practising at the hospital affiliated to E university, and data were collected from May 2000 through primary and secondary in-depth interviews and observations. The cultural characteristics of the subjects extracted from these results were as follows : 1. The students learned through contacts with patients. 2. The students experienced "Sharing" through interactions with patients. 3. The students showed evasive behaviors in difficult situations. 4. The students paltered when faced with difficult situations. 5. The students did not surrender to the refusals of patients. 6. The students identified their studentship. 7. The students regarded human interaction as 'contact'.

• 대한간호학회지
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• 제38권3호
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• pp.353-362
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• 2008

Purpose: This study was conducted to analyze and clarify the meaning of the concept for relocation stress -focusing on patients transferred from an intensive care unit to a general ward. Methods: This study used Walker and Avant's process of concept analysis. Results: Relocation stress can be defined by these attributes as follows: 1) involuntary decision about relocation, 2) moving from a familiar and safe environment to an unfamiliar one, 3) broken relationship of safety and familiarity, 4) physiological and psychosocial change after relocation. The antecedents of relocation stress consisted of these facts: 1) preparation degrees of transfer from the intensive care unit to a general ward, 2) pertinence of the information related to the transfer process, 3) change of major caregivers, 4) change in numbers of monitoring devices, 5) change in the level of self-care. There are consequences occurring as a result of relocation stress: 1) decrease in patients' quality of life, 2) decrease in coping capacity, 3) loss of control. Conclusion: Relocation stress is a core concept in intensive nursing care. Using this concept will contribute to continuity of intensive nursing care.

• 임상간호연구
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• 제14권1호
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• pp.139-150
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• 2008

Purpose: The aim of this study was to develop instrument measuring the relocation stress syndrome for patients transferred from intensive care unit to general ward in Korea. Method: For item construction, components were drawn from an extensive review of the literature, existing instruments and the result of qualitative approach. A total 48 items were selected for the first draft. Ten experts evaluated this instrument for content validity and the number of items was reduced to 29. To refine and test reliability and validity of the instrument, data were collected from the 594 patients following transfer from intensive care unit. Results: Preliminarily twenty-nine items were generated through content validity and a pilot study. Using corrected items to total correlation coefficient, this instrument was further shortened to a 25 item scale. Factor analysis extracted a total of 23 items with a 5-point Likert-type scale. Relocation Stress Syndrome (RSS) included three subscales; physical factors (12 items), Patient's recognition to health care providers (8 items), and emotional factors (3 items). The RSS established content validity, construct validity, and reliability. Conclusion: This instrument demonstrates good reliability and validity, and therefore it is an appropriate measurement of assessing relocation stress syndrome in ICU to ward transition period.

• 한국산학기술학회논문지
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• 제8권6호
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• pp.1355-1362
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• 2007

본 논문에서는 태양광 발전의 효율을 높이기 위하여 센서와 마이크로프로세서를 이용한 태양광 위치추적 장치를 설계하여 고정 방식의 태양광 발전과 위치 추적 방식의 태양광 발전에 대하여 비교해 보았으며, 태양전지에 대한 특성 해석과 수학적 모델링을 통한 시뮬레이션을 행하여 태양전지 특성 사양과 비교해 보았다. 또한 전력변환 시스템을 Boost 컨버터와 전압형 인버터로 구성하여 각각에 대하여 실험하였으며, Boost 컨버터 제어에서 최대 전력점 추적을 위해 일정전압 제어법을 사용하였다. 인버터의 제어에서는 SPWM(Sinusoidal Pulse Width Modulation) 제어법을 사용하여 실험하여 좋은 결과를 나타내었다.