• Title/Summary/Keyword: 병원재이용

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Analysis about Planning Introduction PACS in Hospital Scale and Equipment Operation of Radiology Department (병원규모에서 PACS 도입 계획과 영상의학과 장비 운영에 관한 분석)

  • Seok, Jong-Min;Jung, Hong-Ryang;Lim, Cheong-Hwan;Kim, Jeong-Koo;Park, Jeong-Kyu
    • The Journal of the Korea Contents Association
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    • v.8 no.12
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    • pp.322-333
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    • 2008
  • This research examined use rate and profitability of equipment in hospital scale with about 500 beds to present data including to review before introducing PACS with the checklist included in preparation and proposal based on expected profit suggested by operation department and cost and use rate of the expensive medical equipment were analyzed. It was proved that profit was generated in the research subject hospital if PACS is introduced. Three to five year of lease is proper for the purchase method of medical equipment. Profit after two year of use will surpass investment cost and generate clear profit. Based on the profit generated from operation of radiology department, the purchase amount to introduce PACS at the hospital will be retrieved after about 1.9 years for the investment. The number of reshoot test at radiology department will be decreased and film, development, and fixer will not be necessary to buy so the operation cost will be reduced. Moreover, other than actual profit increased, the hospital can improve its reputation and employees can reduce their works and get better working environment with less stress. Their job satisfaction will be increased so they can improve service quality and it is good for marketing strategy of the hospital. As a result of this research, it was proved that the small and general hospital should have expected profit with introduction of PACS and analyze its contribution to treatment service and profit after the purchase. Then, the hospital should make a proposal for introduction of the medical equipment and establish effective operation plan.

A Case Report of Sweating and Palpitation due to Chemotherapy for Cancer in a Soeumin Patient with Primary Central Nervous System Lymphoma (원발성 중추신경계 림프종으로 항암화학요법 후 발생한 자한, 심계정충을 호소하는 소음인 치험 1례)

  • Lee, Seul;Lee, Yongjae;Lee, Jeongyun
    • Journal of Sasang Constitutional Medicine
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    • v.31 no.2
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    • pp.31-40
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    • 2019
  • Objectives The purpose of this case study was to report improvements of a Soeumin patient with sweating and palpitation after chemotherapy for primary central nervous system lymphoma by diagnosing and treating as Yang Depletion Symptomatology. Methods The Soeumin patient was administered Bojungikgi-tang and treated with acupuncture. Global assessment scale (GAS) was used to assess the improvements of symptoms. Results Sweating was improved to GAS 20 and palpitation was gone away after using Sasang constitutional medicine treatment. Conclusions This study shows that Sasang constitutional medicine can be effective treatment for side effects caused by chemotherapy for cancer.

A Study on Influence of Human Resource Efficiency of University Hospitals on Revenue and Expense (대학병원 인적 효율성이 수익과 비용에 미치는 영향)

  • Yang, Jong-Hyun;Suh, Chang-Jin;Chang, Dong-Min
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.1
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    • pp.383-391
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    • 2010
  • The purpose of this study is to analyze influence of human resource efficiency of 32 university hospitals on revenue and expense. This study applies DEA(Data Envelopment Analysis) to evaluate human resource efficiency of the university hospitals. The results are as follows. First, university hospitals' average human resource efficiency are over 0.9 for the period 2005-2007. Second, in the relationship between revenue and efficiency, the revenue had any significant relation to human resource efficiency. Third, There is close correlation between revenue and human resource efficiency. The hospitals that are high on human resource efficiency were found to be high on revenue and expense. There is a dynamic relationship that connects revenue, expense and human resource efficiency. The higher the investment expense, the greater is the number of in-patients and out-patients which leads to higher growth and profits.

The Effect of Hospital Mobile App Service Quality on Consumer Satisfaction, Involvement, and Reuse Intention (병원 모바일 앱 서비스 품질이 소비자 만족, 관여도, 재이용 의도에 미치는 영향)

  • Pak, SunYoung;Cho, Na-Eun
    • Korea Journal of Hospital Management
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    • v.26 no.1
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    • pp.1-16
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    • 2021
  • Purpose: The purpose of the study is to identify the influence of the hospital mobile app service quality on consumer satisfaction, involvement, and re-use intention of consumers who have experience in hospital mobile app service. Methodology: The survey was conducted on 230 users. The collected data were analyzed using correlation analysis, multiple regression analysis, and the Process Model in Hayes(2013). Findings: (1)The usability, reliability, and medical information provision among the service quality factors of hospital mobile apps had an effect on reuse intention, and consumer satisfaction partially mediated. (2)The usability and the provision of medical information were partially mediated by the involvement, which also affected the intention to reuse. (3)Only reliability showed an age-moderated effect. In reliability and re-use intent, age was a moderated mediating effect that controlled the effect of consumer satisfaction. Practical Implications: The results of this study provide initial data of mobile app services centered on hospitals and prove the type of consumer usage. It suggests that it can be used to attract potential consumers of hospitals and strategies to increase the use of mobile apps.

A Case-Study of Taeeumin Patient with Atypical Parkinsonian Disorders Having Dizziness and Gait Disturbance (비정형파킨슨증후군 태음인의 어지럼증과 보행장애 치험례)

  • Park, Jieun;Kim, Kukhwa;Lee, Seul;Lee, Yong-jae;Lee, Jeongyun
    • Journal of Sasang Constitutional Medicine
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    • v.34 no.3
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    • pp.69-80
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    • 2022
  • A 52-year-old female diagnosed with Atypical Parkinsonian Disorders (APD) about one year ago suffered from dizziness and gait disturbance. The patient was identified as Taeeumin esophagus-cold lung-dry symptomatology pattern and was treated with Jowisengcheong-tang. The patient's symptoms of dizziness and night sweats were assessed using Global Assessment Scale (GAS). And, the Unified Multiple System Atrophy Rating Scale (UMSARS) and the Unified Parkinson's Disease Rating Scale (MDS-UPDRS) were used to assess the overall function of the patient. The patient's symptoms of dizziness and night sweats were significantly improved, and UMSARS and MDS-UPDRS scores were decreased. This case showed that Sasang constitutional medicine treatment can improve APD symptoms and improve the quality of life of the patient.

Enhanced Pathogenicity of Baculovirus Using Immunosuppressive Genes Derived From Cotesia plutellae Bracovirus (폴리드나바이러스(CpBV) 유래 면역억제 유전자를 이용한 베큘로바이러스 병원력 제고 기술)

  • Kim, Yong-Gyun;Kwon, Bo-Won;Bae, Sung-Woo;Choi, Jai-Young;Je, Yeon-Ho
    • The Korean Journal of Pesticide Science
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    • v.12 no.3
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    • pp.283-290
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    • 2008
  • Baculoviruses have been used to control some serious lepidopteran pests. However, their narrow target insect spectrum and slow efficacy are main limitations to be used in various applications. This study introduces a technique to overcome these limitations by inhibiting insect immune defence to enhance the viral pathogenicity. Polydnaviruses are an insect DNA virus group and symbiotic to some ichneumonid and braconid endoparasitoids. Cotesia plutellae bracovirus (CpBV) is a braconid polydnavirus and encodes several immunosuppressive genes. We selected seven CpBV genes and recombined them to wild type Autographa California multiple nucleopolyhedrovirus (AcNPV). A bioassay of these seven recombinants indicated that most recombinants had similar or superior efficacy to wild type AcNPV against beet armyworm, Spodoptera exigua, and diamondback moth, Plutella xylostella. Recombinant AcNPV with CpBV-ELP was the most potent in terms of lethal time by shortening more than 2 days compared to wild type AcNPV. This recombinant was further proved in its dose-dependent pathogenicity and its efficacy by spray application on S. exigua infesting cabbage cultivated in pots. We discussed the efficacy of CpBV-ELP recombinant AcNPV in terms of suppressing antiviral activity of target insects.

Factors Affecting the Satisfaction for Medical Service and Reuse Intention of Patients at Dental Clinic in Gyeongnam Province (경남 일부지역 치과의원 내원 환자들의 치과 의료서비스 질 만족도와 재이용 의사에 미치는 영향 요인)

  • Seong, Mi-Gyung;Kim, Jae-Hwa;Jang, Kyeung-Ae
    • Journal of dental hygiene science
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    • v.15 no.2
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    • pp.106-112
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    • 2015
  • This study was conducted to provide with baseline data with the purpose of increasing the values of medical services. Self-administered questionnaire survey was conducted on 236 patients at a dental clinic follow-up visit in dentist clinic Gyeongnam area from June 2013 to August 2013. All statistical analyses were performed using SPSS. The motivation visiting the dental clinic is that the first one is introduction from the family and friends, the second is accessibility, the third is conspicuity and the last one is awareness of the dentist. The main variables in the process of treatment are service system, kindness, satisfaction of service, efficient of re-call system. The relief of discomfort at revisit show the highest score in the process of implant treatment and intention of revisit hereafter do in the prostheses process. In the correlation between main variables, service system and relief of discomfort at revisit (r=0.440, p<0.001), kindness and satisfaction of medical service (r=0.675, p<0.001), revisit hereafter and satisfaction of service (r=0.387, p<0.001) and efficiency of re-call system and revisit showed the highest correlation. The influence on satisfaction of dental service show meaningful level in kindness (p<0.001) and efficiency of re-call system (p<0.05). The intention of revisit is affected meaningfully by relief of uncomfort (p<0.05), service system (p<0.05), kindness (p<0.01) and efficiency of re-call system (p<0.01). In summary, the personal network of patients is most important variable at intention for revisit of dental clinic. As satisfaction of kindness and efficiency of re-call system is higher, satisfaction of medical service and intention for revisit are shown higher. Therefore further research for improvement of satisfaction for medical service and of intention of revisit at the dental clinic should be carried out.

A Study on the Influence of the Quality of the Care Service of the Caregivers in a Nursing Hospital for the Elderly in the Intent of Reuse: Focusing on Chinese-Korean Caregivers (노인요양병원 간병인의 돌봄서비스 질이 재이용의도에 미치는 영향 연구: 중국동포 간병인을 중심으로)

  • Song, In Sik
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.5
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    • pp.456-467
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    • 2019
  • The rapid aging of South Korea is causing difficulties in meeting the man-power demands for the increasing number of elderly nursing hospitals. To cope with this gap in supply and demand, more foreign workers are now being hired to provide elderly care services. The purpose of this study is to examine the influence of the quality of the care services provided by foreign caregivers in nursing hospitals for the elderly. For this purpose, the researcher surveyed 249 senior citizens who are receiving care services from Chinese-Korean caregivers in six elderly nursing hospitals in Seoul and Gyeonggi region. The data collected from the survey were analyzed through SPSS and AMOS. The result of the analyses showed that, first, the quality factors of the care services of the caregivers at elderly nursing hospitals, such as reliability, responsibility, empathy, formality, and expertise, all turned out to have a positive correlation with the trust in, satisfaction with, and intent to revisit the institute. Second, thefluencing factors for the qualities of the care services by Chinese-Korean care givers in elderly nursing hospitals included responsiveness, materiality, and expertise, while the factors that influenced satisfaction with significance included trust, materiality, and expertise. Also, the trust in and satisfaction with the institution both influenced the intent of revisit in a positive manner. Third, the indirect effect of trust in the relationship between the quality of the care services by the Chinese-Korean care givers and satisfaction, appeared in all independent variable except for responsiveness, which was a factor of the quality of the care services. And, it was also shown that the satisfaction level had an indirect effect in the relationship between trust and revisiting intent. The result of this study implicates that, in order to cause the quality of the care service by the Chinese-Korean care givers in elderly nursing hospitals to increase the revisit rate, it would be necessary to provide a strategy to increase the levels of trust and satisfaction through a higher quality level of care services.

Impacts of Diastolic Function on Clinical Outcomes in Young Patients with Acute Myocardial Infarction (젊은 급성 심근경색증 환자에서 좌심실 이완 기능 및 충만압이 관상동맥중재술 후 임상 경과에 미치는 영향)

  • Cho, Eun Young;Jeong, Myung Ho;Yoon, Hyun Ju;Kim, Yong Cheol;Sohn, Seok-Joon;Kim, Min Chul;Sim, Doo Sun;Hong, Young Joon;Kim, Ju Han;Ahn, Youngkeun;Cho, Jae Young;Kim, Kye Hun;Park, Jong Chun
    • The Korean Journal of Medicine
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    • v.93 no.6
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    • pp.538-547
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    • 2018
  • Background/Aims: The impact of left ventricular (LV) diastolic function and filling pressure on clinical outcomes in young patients with acute myocardial infarction (AMI) has been poorly studied. Therefore, the aim of this study was to investigate the impact of LV diastolic function and LV filling pressure on major adverse cardiac events (MACEs) in young patients with AMI. Methods: A total of 200 young patients (males < 45 year, females < 55 year) with AMI were divided into two groups according to the diastolic function; normal (n = 46, $39.5{\pm}5.3$ years) versus abnormal (n = 154, $43.5{\pm}5.1$ years). Results: Despite regional wall motion abnormalities, normal LV diastolic function was not uncommon in young AMI patients (23.0%). During the 40 months of clinical follow-up, MACEs developed in 26 patients (13.0%); 14 re-percutaneous coronary intervention (7.0%), 8 recurrent MI (4.0%), and 4 deaths (2.0%). MACEs did not differ between the normal and abnormal diastolic function group (13.6% vs. 10.9%, p = 0.810), but MACEs were significantly higher in the high LV filling pressure group than the normal LV filling pressure group (36.8% vs. 10.5%, p < 0.001). On multivariate analysis, high LV filling pressure was an independent predictor of MACEs (hazard ratio 3.022, 95% confidence interval 1.200-7.612, p = 0.019). Conclusions: This study suggested that measurement of the LV filling pressure (E/e' ratio) would be useful in the risk stratification of young patients with AMI. However, it would be necessary to monitor this category of patient more carefully.

In Vitro Quantum Dot LED to Inhibit the Growth of Major Pathogenic Fungi and Bacteria in Lettuce (Quantum Dot LED를 이용한 상추 주요 병원성 곰팡이 및 세균의 생장억제효과 기내실험)

  • Lee, Hyun-Goo;Kim, Sang-Woo;Adhikari, Mahesh;Gurung, Sun Kumar;Bazie, Setu;Kosol, San;Gwon, Byeong-Heon;Ju, Han-Jun;Ko, Young-Wook;Kim, Yong-Duk;Yoo, Yong-Whan;Park, Tae-Hee;Shin, Jung-Chul;Kim, Min-Ha;Lee, Youn Su
    • Research in Plant Disease
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    • v.25 no.3
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    • pp.114-123
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    • 2019
  • QD LED has an ideal light source for growing crops and can also be used to control plant pathogenic microorganisms. The mycelial growth inhibition effect of QD LED light on Rhizoctonia solani, Phytophthora drechsleri, Sclerotinia sclerotiorum, Sclerotinia minor, Botrytis cinerea, Fusarium oxysporum, Pectobacterium carotovorum, and Xanthomonas campestris were investigated. According to the results, BLUE (450 nm) light, suppressed S. sclerotiorum by 16.7% at 50 cm height from the light source, and 94.1% mycelial growth at 30 cm height. Mycelial growth of Sclerotinia minor was inhibited by 80.4% at 50 cm height and 36.3% at 50 cm height in B. cinerea. S. minor, and B. cinerea was inhibited by 100% mycelial growth at a height of 30 cm from the light source. At 15 cm height, all three pathogens (B. cinerea, S. minor, and S. sclerotiorum) was inhibited by 100%. QD RED (M1) and QD RED (M2) light suppressed mycelial growth of S. minor and B. cinerea by 100% at 30 cm and 15 cm height from the light source. For S. sclerotiorum, QD RED (M1) and QD RED (M2) showed 75.2% and 100% inhibition, respectively. Further experiment was conducted to know the suppression effect of lights after inoculating the fungal pathogens on lettuce crop. According to the results, QD RED (M2) suppressed the S. sclerotiorum by 59.9%. In addition, Blue (450 nm), QD RED (M1), and QD RED (M2) light reduce the infestation by 59.9%. In case of B. cinerea, disease reduction was found 84% by BLUE (450 nm) light. Results suggest that the growth inhibition of mycelium increases by Quantum dot LED light.