• Title/Summary/Keyword: 병원재이용

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An ability test for the use of indirect radiographic unit (간접촬영용 X-선 발생장치 성능 평가)

  • Im, In-Cheol
    • Journal of radiological science and technology
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    • v.27 no.4
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    • pp.37-41
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    • 2004
  • Purpose : Raise ability cultivation in presence at a sicked business by performance management estimation of device through measurement. Also Learn a technology that measure exact tube voltage, exposure time, output dose. And it is to grasp photofluorography X-ray generator existing circumstances using at hospital. Material & Method : Investigated Photofluorography X-ray generator(inside, outside each 10) of 10 university hospitals using tube voltage, exposure time, output dose measuring instrument. Result : Photofluorography device that tube voltage correctness is incongruent by examination PAE decision came out 3, and at exposure time correctness examination 2 incongruent, Also 3 that calculate coefficient of variation about exposure in repeatability examination of exposure were incongruent. Inappropriate photofluorography device is 5 outside hospital(mobile unit) and the thing in hospital was 3 in 3 kind of efficiency test. It appeared high that photofluorography device outside hospital is more incongruent than thing in hospital. Conclusion : May ready situation that can offer patient medical service of good quality by radiation exposure reduction, image quality administration, retake decrease etc. by keeping performance of Photofluorography device. Therefore, is considered that need on-time efficiency test.

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A method for improving security and data accessibility in EMR systems based on GRID technologies (EMR 시스템을 위한 그리드 기술 기반의 보안성 및 데이터 접근성 향상 기법)

  • Shin, Dong-Min;Shin, Dong-Kyoo;Shin, Dong-Il
    • Proceedings of the Korean Information Science Society Conference
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    • 2010.06c
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    • pp.211-215
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    • 2010
  • 지금까지 병원에서 사용하던 일반 종이차트를 벗어나 전자적으로 환자의 데이터를 기록하고 유전자 데이터를 이용하여 환자의 유사 질병까지 찾아 낼 수 있는 EMR(Electronic Medical Record 전자 의무 기록)이 개발되면서 의료계는 환자에게 더욱 신속하고 정확한 진료를 할 수 있게 되었다. 본 논문은 이에 그리드 환경을 접목하여 더 빠른 데이터 처리와 신뢰성 과 접근성을 높일 수 있는 방법을 제시한다. 첫째, 현재 기 개발된 EMR 시스템의 환경에서 인증된 사용자만이 스토리지에 접근 할 수 있도록 GSI Service를 이용하여 단일 인증 방식으로 보안성을 높이며 동시에 단 한번의 인증절차로 모든 자원을 활용 할 수 있다. 둘째, Replica Service를 이용하여 기존의 스토리지를 복제 하여 중요한 데이터 들을 보호하며 다수의 접근이 발생할 경우 처리를 분산 시킬 수 있는 방법을 제시한다. 그리드 미들웨어인 글로 버스가 스토리지와 서버 상에서 CA인증을 담당하며 파일 전송을 담당하는 RFT는 스토리지의 Replica를 관리하는 RLS서버의 정보를 사용 하여 멀리 떨어져 있는 복제된 데이터와의 관계를 기억하고 접근시 가장 가용성이 뛰어난 머신에서 데이터를 불러온다. 이런 글로버스의 서비스 들은 중요하며 고용량이 데이터를 분산 시킴으로써 데이터의 지역성을 높여 재사용 혹은 동시 접근시 처리 시간을 단축 시킬 수 있다. 본 논문은 그리드 환경을 접목하여 이러한 서비스를 구현할 경우 높은 신뢰성과 접근의 신속성을 보장할 수 있다고 제시한다.

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Research and Consideration of Eco-friendly Radiation Shielding using CT Contrast Agent (CT 조영제를 이용한 친환경적인 방사선 차폐에 관한 연구 및 고찰)

  • Sung-Gil Kim;Yeon-Sang Ji
    • Journal of the Korean Society of Radiology
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    • v.17 no.6
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    • pp.827-833
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    • 2023
  • CT(Computed Tomography) contrast agents are commonly used in general hospitals and university hospitals when taking radiographic examinations. The CT contrast medium contains a mixture of a substance called "Iodine", which absorbs radiation energy and makes it appear white in the CT image, further improving the image quality. In addition, the CT contrast agent, which moves like blood in the blood vessels, clearly differentiates it from muscle and water, so CT contrast agents are widely used in hospitals. These CT contrast agents absorb X-rays, but in order to absorb X-rays, they must have a high density or a high radiation absorption coefficient. Since the CT contrast agent is injected into the blood vessels, if the density is high, the blood vessels are strained and the patient is in shock. For this reason, it is necessary to match the density similar to that of water and always pay attention to side effects. In addition, the amount of CT contrast medium is adjusted according to the patient's body shape, and the remaining contrast medium is discarded. However, This study tried to find out the idea of recycling it as a radiation shielding material. Since the CT contrast medium has a high radiation absorption coefficient at a density similar to that of water, the amount to absorb radiation is adjusted, the amount of contrast medium and the amount of water are adjusted, and the amount of radiation absorbed is determined by mixing with water. In addition, a study was conducted to find out the result of the difference in radiation absorption in various ways by comparing the radiation quality coefficient and absorption coefficient with other substances or materials in an environmentally friendly method harmless to the human body by mixing CT contrast medium and water.

Nematicidal and Reproduction Supression Activity of Actinomyces Isolates against Pine Wood Nematode, Bursaphelenchus xylophilus (소나무재선충에 대한 방선균 균주의 살선충 및 증식억제 효과)

  • Lee, Chae Min;Lim, Tae Heon;Lee, Sang Myeong;Mun, Il Sung;Han, Sang Sub;Lee, Dong Woon
    • The Korean Journal of Pesticide Science
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    • v.19 no.2
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    • pp.141-150
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    • 2015
  • Thirty-two actinomycetes isolates from Korean forest soil were screened for their nematicidal and reproduction suppression activity against pine wood nematode (PWN) which is widely spread in Korea. Culture filterates of 21 isolates showed more than 90% mortality at 2-fold concentration. Among them, AM210, SG16, YD116 and YD315 were more effective than others on reproduction of PWN. The YD116 isolate was identified as Streptomyces atratus by morphological and 16S rDNA analyses. Hydrazine hydrate, similar to hydrazidomycin which has cytotoxicity among substances from S. atratus against PWN, was tested for its nematicidal activity. Ten ppm of the hydrate showed 60.8% mortality. Additional studies are needed for practical use of the S. atratus YD116 isolate.

Germinated Rhynchosia nulubilis Hydrolysate Ameliorates Dexamethasone-induced Muscle Atrophy by Downregulating MAFbx Expression in C2C12 Cells and C57BL/6 Mice (발아 서목태 가수분해물의 근위축 억제 효과)

  • Won Keong Lee;Eun Ji Kim;Sang Gon Kim;Young Min Goo;Young Sook Kil;Seung Mi Sin;Min Ju Ahn;Min Cheol Kang;Young-Sool Hah
    • Journal of Life Science
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    • v.33 no.3
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    • pp.277-286
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    • 2023
  • Sarcopenia is the age-related loss of muscle mass and function. It is a natural part of aging and can lead to decreased mobility and increased frailty. The ubiquitin-proteasome pathway, which is involved in muscle protein degradation, is closely linked to sarcopenia. Germinated Rhynchosia nulubilis hydrolysate (GRH) has been reported to have anti-inflammatory and antioxidant properties, but there have been no reports on its inhibitory effect on muscle reduction. However, no study has yet explored the relationship between GRH and muscle loss inhibition. In this study, we evaluated the effects of GRH on muscle atrophy inhibitory activity in dexamethasone (Dexa)-induced muscle atrophy C2C12 myotubes and mouse models. Moreover, we identified a molecular pathway underlying the effects of GRH on skeletal muscle. May Grunwald-Giemsa staining showed that the length and area of myotubes increased in the groups treated with GRH. In addition, the GRH-treated group significantly reduced the expression of muscle ring finger protein 1 and muscular atrophy F-box (MAFbx) in the Dexa-induced muscular atrophy C2C12 model. GRH also improved muscle strength in C57BL/6 mice with Dexa-induced muscle atrophy, resulting in prolonged running exhaustive time and increased grip strength. We found that muscle strengthening by GRH was correlated with a decreased expression of the MAFbx gene in mouse muscle tissue. In conclusion, GRH can attenuate Dexa-induced muscle atrophy by inhibiting the ubiquitin-proteasome pathway via downregulation of the MAFbx gene expression.

Service Quality of Dental Institutes Measured by SERVQUAL Model and Intention to Re-visit (SERVQUAL 모형으로 측정한 일부 치과의원의 서비스 질과 재이용의도)

  • Jun, Mee-Jin;Noh, Eun-Kyung
    • Journal of dental hygiene science
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    • v.10 no.1
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    • pp.55-61
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    • 2010
  • The main purpose of this study was to identify the service quality of some dental clinics located in Gwangju and find an association between service quality and patient's intention to re-visit the same dental clinic. The search objects were 197 patients from five dental clinics, and data collected by self-administered questionnaire which was composed general characteristics, characteristics relating to visit of clinics, quality of service, patients satisfaction and intentions to re-visit. The used statistical analysis to find the association between quality of service and intention to re-visit was multiple regression analysis. This study looked at relations between quality of dental service, service satisfaction and intentions to visit again, and found that quality of service including six service areas had a statistically significant positive correlations with satisfaction and intentions of re-visit. When this study conducted a multiple regression analysis to identify variables that influence intentions of re-visit, it found that patients revisited the dental clinic only when quality of service was included. In conclusion, quality of service evaluated by patients influenced on their intention of re-visit and especially. Therefore, this study concludes that improvement in satisfaction and intentions of re-visit relies on Accessibility, that is, providing of medical information, consultant telephone, how delivery the dental medical system is. Service quality of dental institutes measured by SERVQUAL model and intention to re-visit.

A Comparative Study of Production of [68Ga]PSMA-11 with or without Cassette Type Modules (비 카세트 방식과 카세트 방식을 이용한 [68Ga]PSMA-11의 자동 합성 방법 비교)

  • Hyun-Sik, Park;Byeong-Min, Jo;Hyun-Ho, An;Hong-Jin, Lee;Jin-Hyeong, Lee;Gyeong-Jae, Lee;Byung-Chul, Lee;Won-Woo, Lee
    • The Korean Journal of Nuclear Medicine Technology
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    • v.26 no.2
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    • pp.15-19
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    • 2022
  • Purpose [68Ga]PSMA-11 is needed the high reproducibility, excellent radiochemical yield and purity. In term of radiation safety, the radiation exposure of operator for its production also should be considered. In this work, we performed a comparative study for the fully automated synthesis of [68Ga]PSMA-11 between non-cassette type and cassette type. Materials and Methods Two different type of modules (TRACERlab FX N pro for non-cassette type and BIKBox for cassette type) were used for the automated production of [68Ga]PSMA-11. According to the previously identified elution profile, Only 2.5 ml with high radioactivity was used for the reaction. After adjusting the pH of the reaction solution with HEPES buffer solution, the precursor was added and reacted with at 95 ℃ for 15 minutes. The reaction mixture was separated and purified using a C18 light cartridge. The product was eluted with 50% EtOH/saline solution and diluted with saline. It was completed by sterilizing filter. In the non-cassette type, the aforementioned process must be prepared directly. However, in the cassette method, synthesis was possible simply by installing a kit that was already completed. Results Both total [68Ga]PSMA-11 production time were 25±3(non-cassette type) and 23±3 minutes(cassette type). The radiochemical yield of the non-cassette type(65.5±5.7%) was higher than that of the cassette type(61.6±4.8%) after sterilization filter. The non-cassette type took about 120 minutes of preparation time before synthesis due to washing of synthesizer and reagent preparation. However, since the cassette type does not require washing and reagent preparation, it took about 20 minutes to prepare before synthesis. Both type of synthesizer had a radiochemical high purity(>99%). Conclusion The non-cassette type production of [68Ga]PSMA-11 showed higher radiochemical yield and lower cost than the cassette type. However, The cassette type has an advantage in terms of preparation time, convenience, and equipment maintenance.

Development of Tomotherapy couch device capable of yaw-directional correction (Yaw방향의 보정이 가능한 Tomotherapy couch device의 개발)

  • Chae, Moon Ki;Kwon, Dong Yeol;Sun, Jong Lyool;Choi, Byung Ki
    • The Journal of Korean Society for Radiation Therapy
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    • v.30 no.1_2
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    • pp.139-151
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    • 2018
  • Objectives : A self-made "Tomotherapy couch device" capable of correcting the Yaw direction was fabricated and evaluated for its usefulness. Materials and Methods : "Tomotherapy couch device" capable of correcting the Yaw direction is made of rigid fibreboard with a flexural strength of $200kg/cm^2$. CBCT Image from Novalis Tx and Iso-Align Phantom from MED-TEC were used to evaluate the physical accuracy. The treatment plan was designed using Accuray $Precision^{TM}$ and In House Head and Phantom. Accuray $PrecisionART^{TM}$ and $Precision^{TM}$ was used to evaluate dose. Results : Evaluation results, the self-fabricated device accurately corrected the setup error, Target dose was within 95 %~107 % of all. In order to directly evaluate the OAR dose according to the Yaw change, the absolute dose was measured. As a result, when the error in the Yaw direction was $3^{\circ}$, the specific OAR showed a maximum difference of 18.4 %. Conclusion : "Tomotherapy couch device" capable of correcting the Yaw direction can be manufactured at a lower cost compared to the effect, and it can prevent the patient's MVCT image dose for re-imaging. Accurate radiation therapy without errors can be performed.

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Accuracy of conventional and digital mounting of dental models: A literature review (치과용 모형의 모형 부착 과정에서 발생하는 오차에 대한 문헌 고찰)

  • Kim, Cheolmin;Ji, Woon;Chang, Jaeseung;Kim, Sunjai
    • The Journal of Korean Academy of Prosthodontics
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    • v.59 no.1
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    • pp.146-152
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    • 2021
  • Accurate transfer of the maxillo-mandibular relationship to an articulator (i.e., mounting) is critical in prosthetic treatment procedures. In the current study, a PubMed search was performed to review the influencing factors for the maxillo-mandibular relationship's accuracy. The search included digital mounting as well as conventional gypsum cast mounting. The results showed that a greater amount of displacement was introduced during positioning the maxillary and mandibular models to interocclusal records rather than the dimensional change of registration material. Most intraoral scanners resulted in an accurate reproduction of the maxillo-mandibular relationship for posterior quadrant scanning; however, the accuracy was declined as the scan area increased to a complete arch scan. The digital mounting accuracy was also influenced by the image processing algorithms and software versions, especially for complete arch scans.

Perceived consumers satisfaction with nursing and medical service and hospital revisiting intent (소비자가 지각하는 간호 및 의료서비스에 대한 만족과 병원 재이용 의도 분석)

  • Lee, Mi-Aie;Kim, In-Hong;Baek, Seol-Hyong
    • Journal of Korean Academy of Nursing Administration
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    • v.9 no.3
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    • pp.403-414
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    • 2003
  • Purpose: This study is performed to measure the level of nursing and medical service satisfaction according to consumer's demographic and hospital using behavior characteristics, and investigate the relationship among the nursing service satisfaction and the medical service satisfaction and the hospital revisiting intent. Method: The questionnaire is distributed to 300 patients at the six general hospitals in provincial city, Korea. For data analysis, SPSS/PC program is used. Result: The characteristics of consumer's demographics and hospitals using behavior that make difference in nursing and medical service satisfaction are education, the average number of the visiting(by month) and hospitals. Nursing service satisfaction correlated with medical service satisfaction(r=.677) and hospital revisiting intent(r=.570), and medical service satisfaction correlated with hospital revisiting intent(r=.680). Nursing service satisfaction explained medical service satisfaction(45.9%) and hospital revisiting intent(32.5%), and medical service satisfaction explained hospital revisiting intent(54%). Conclusion: It is concluded that education, the average number of the visiting(by month) and hospitals make difference in nursing and medical service satisfaction, and there are very close relationship among nursing service satisfaction and medical service satisfaction and hospital revisiting intent. Nursing service is a very important factor to improve medical service satisfaction and hospital revisiting intent.

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