• Title/Summary/Keyword: 의료기구

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Evaluation of Usefulness of Assertive Devices to Improve the Accuracy in Skull lateral X-ray Projection (두개골 측방향 X-선 촬영에서 정확도 향상을 위한 촬영 보조 기구의 유용성 평가)

  • Bo-Seok Chang
    • Journal of the Korean Society of Radiology
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    • v.18 no.2
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    • pp.153-159
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    • 2024
  • In X-ray projection, Unskilled radiologists become skilled through fail exam. This causes the patient to be exposed to unnecessary radiation. In this study, pre-position unskilled radiologic technologist presented ways to improve clinical proficiency. presented a skull lateral x-ray projection practice method using visual, spatial, and assistive devices. In addition, the accuracy and usefulness of the use of assistive devices were evaluated. When X-ray images were taken based on learning, the rotational spacing, which indicates image distortion, was 7.85 ± 1.45 mm and the tiliting spacing was 4.84 ± 0.5 mm. When practicing using visual aids, the rotational spacing is 4.4 ± 0.76 mm and the inclination spacing is 3.01 ± 0.87 mm. using a spatial compensation device, the rotational spacing is 5.2 ± 0.69 mm and the tiliting spacing is 3.33 ± 0.61 mm. Skull lateral X-ray Image distortion caused by empirical photography practice decreased by 5.4%, but image distortion caused by tilting increased by 1.2%. When practicing using a visual assistive devices, the degree of rotational spacing by 40.1% and the tiliting spacing decreased by 30.7% compared to the empirical x-ray exposure practice. When using spatial assistive devices, the rotation interval was reduced by 41.7% and the tilting interval by 23.7% compared to conventional empirical x-ray exposure practice. Therefore, if an unskilled radiologist practices using visual and spatial aids,the accuracy will be improved in skull lateral x-ray projection.

The Analysis of the Prevention against Virus Infection in Dental Hygienist at Medical Treatment (치과위생사의 진료실 감염방지에 대한 행태 분석)

  • Yoon, Mi-Suk;Choi, Mi-Suk
    • Journal of dental hygiene science
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    • v.7 no.2
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    • pp.101-106
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    • 2007
  • This research was based on self-filling survey which 128 dental hygienists who work in dental clinic and dental hospital on May 2006 through July 2006. This survey was analyzed the prevention against virus infection in dental hygienist at medical treatment. As follows analyzed results The experience of get a hand pricked by an infected needle rate is 76.6 percent and the majority of the dental hygienist are sterilize by disinfectant after wash hand and draw blood. The most of dental hygienist are experienced the education of the prevention infection in student and they think that It is necessary to prevention infection in medical treatment. The proportion of use the glove and mask in medical treatment and disuse the glove after medical treatment and the mask when mask get damped is high but the rate of put on the goggle in medical treatment and use the glove in washing and re-treat is low irrespective of age, clinical career, work place. As a result of Independent-sample T Test, the Hygienist who have experience the education of the prevention against virus infection are more excellent work than in-experience group in medical treatment. So we can find that the experience of the education of the prevention infection is very significant to prevention infection in dental hygienist.

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Development of Supplemental Equipment to Reduce Movement During Fusion Image Acquisition (융합영상(Fusion image)에서 움직임을 줄이기 위한 보정기구의 개발)

  • Cho, Yong Gwi;Pyo, Sung Jae;Kim, Bong Su;Shin, Chae Ho;Cho, Jin Woo;Kim, Chang Ho
    • The Korean Journal of Nuclear Medicine Technology
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    • v.17 no.2
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    • pp.84-89
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    • 2013
  • Purpose: Patients' movement during long image acquisition time for the fusion image of PET-CT (Positron Emission Tomography-Computed Tomography) results in unconformity, and greatly affects the quality of the image and diagnosis. The arm support fixtures provided by medical device companies are not manufactured considering the convenience and safety of the patients; the arm and head movements (horizontal and vertical) during PET/CT scan cause defects in the brain fundus images and often require retaking. Therefore, this study aims to develop patient-compensation device that would minimize the head and arm movements during PET/CT scan, providing comfort and safety, and to reduce retaking. Materials and Methods: From June to July 2012, 20 patients who had no movement-related problems and another 20 patients who had difficulties in raising arms due to shoulder pain were recruited among the ones who visited nuclear medicine department for PET Torso scan. By using Patient Holding System (PHS), different range of motion (ROM) in the arm ($25^{\circ}$, $27^{\circ}$, $29^{\circ}$, $31^{\circ}$, $33^{\circ}$, $35^{\circ}$) was applied to find the most comfortable angle and posture. The manufacturing company was investigated for the permeability of the support material, and the comfort level of applying bands (velcro type) to fix the patient's head and arms was evaluated. To find out the retake frequency due to movements, the amount of retake cases pre/post patient-compensation were analyzed using the PET Torso scan data collected between January to December 2012. Results: Among the patients without movement disorder, 18 answered that PHS and $29^{\circ}$ arm ROM were the most comfortable, and 2 answered $27^{\circ}$ and $31^{\circ}$, respectively. Among the patients with shoulder pain, 15 picked $31^{\circ}$ as the most comfortable angle, 2 picked $33^{\circ}$, and 3 picked $35^{\circ}$. For this study, the handle was manufactured to be adjustable for vertical movements. The material permeability of the patient-compensation device has been verified, and PHS and the compensation device were band-fixed (velcro type) to prevent device movements. A furrow was cut for head fixation to minimize the head and neck movements, fixing bands were attached for the head, wrist, forearm, and upper arm to limit movements. The retake frequency of PET Torso scan due to patient movements was 11.06% (191 cases/1,808 patients) before using the movement control device, and 2.65% (48 cases/1,732 patients) after using the device; 8.41% of the frequency was reduced. Conclusion: Recent change and innovation in the medical environment are making expensive medical image scans, and providing differentiated services for the customers is essential. To secure patient comfort and safety during PET/CT scans, ergonomic patient-compensation devices need to be provided. Therefore, this study manufactured a patientcompensation device with vertically adjustable ergonomic ROM according to the patient's body shape and condition during PET Torso scan. The defects in the basal ganglia images due to arm movements were reduced, and retaking was decreased.

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Study on the Standardization of a Surveillance Culture Laboratory in Infection Control Fields (감염관리 분야에서 감시배양검사의 표준화 연구)

  • Park, Chang-Eun;Jeong, Na-Yeon;Yang, Min-Ji;Kim, Han-Wool;Joo, Sei-Ick;Kim, Keon-Han;Seong, Hee-Kyung;Hwang, Yu-Yean;Lim, Hyun-Mi;Son, Jae-Cheol;Yoon, Sun-Han;Yoon, Nam-Seob;Jang, In-Ho
    • Korean Journal of Clinical Laboratory Science
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    • v.50 no.3
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    • pp.359-369
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    • 2018
  • An essential measure to prevent healthcare-associated infections (HAI) is to develop a consistent system of surveillance, thereby promoting a reliable situation diagnosis to perform efficient control for the problem. Patient-to-patient transmission of pathogens within the hospital plays a substantial role in the epidemiology of HAIs. Contamination of healthcare environments commonly occurs, including facilities surfaces (e.g., bed rails, bedside tables), drinking water, cooling tower water, endoscopic instruments, food, airborne, endotoxin test, sterile test and medical equipment, with pathogenic organisms. In addition, epidemiological analysis is performed by multi locus sequence tying, pulsed-field gel electrophoresis for active surveillance. Therefore, an environmental surveillance culture test for prevention improves patient safety and blocks infection agents. Effective infection control and increased safety are possible by controlling the national infection control system. In conclusion, this study contributes to an effective infection control system through the standardization of active surveillance culture laboratory and secure expertise as infection control specialist. The primary objective of the standardization is to improve the safety of the nation's healthcare system by reducing the rates of HAIs.

How to organize and manage hospital QA according to specific structures of a general hospital in Korea? (한국의 병원 구조에서 QA 팀을 어떻게 구성하고 운영 할 것인가?)

  • Yang, Ung Suk
    • Quality Improvement in Health Care
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    • v.4 no.2
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    • pp.280-284
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    • 1997
  • Since the start of the Korean Society of Quality Assurance in Health Care in 1994, QA has improved, but it is time to develop our own policies that are more appropriate for Korean hospitals. American Quality Assurance policies are difficult to apply to the Korean medical community due to the differences in health insurance policies, and hospital structure between the two countries. Methods : I would like to propose more efficient organization and management of Quality Assurance according to the specific structures of hospitals in Korea. All of the hospital departments and committees should report to the Quality Assurance office, which in turn should report to the director. I would like to suggest that the current insurance review staff be used for the Quality Assurance office. A nurse should be in charge of the Quality Assurance department. The Quality Assurance department should have three sections: Medical Inssurance Review, QA records for the different Medical Departments, and QA records for the Ancillary Departments. A staff physician should be the chairman of the hospital QA committee, which should serve as the advising body to the QA Department. The QA Committee should be organized into eight subcommittees so that all departments thought the hospital are represented. The current Medical Insurance Review offices in Korea have similar responsibilities to the QA Department: therefore I would like to recommend that the Medical Insurance Review office be changed the the QA office. If there are presently two separate Medical Insurance and QA offices, these should be combined into one office. Conclusion : These changes would surely benefit hospitals and strengthen the efficiency of both Insurance Review and Quality Assurance.

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양송시기(兩宋時期)의 의정사(醫政史)에 관한 연구

  • Park, Hyeon-Guk;Kim, Jae-Cheol;Kim, Gi-Uk
    • Journal of Korean Medical classics
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    • v.19 no.3
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    • pp.65-99
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    • 2006
  • 송대통치자희환의약병중견의학적발전. 축소궁정의료궤구(縮小宮廷醫療机構), 각확대평민의료여의약유관적자선궤구이개선백성의료조건적정책방향흔진보적. 장의적엄범지수집, 교정(校訂), 편찬(編纂), 반포이수존의학문헌(頒布以收存醫學文獻), 병차위의학적전파화보급작출봉헌. ${\ulcorner}$내경(內經)${\lrcorner}$, ${\ulcorner}$상한(傷寒)${\lrcorner}$ 등기초이론적연구방면상야운용(等基礎理論的硏究方面上也運用), 금원시기성위료학술쟁론적기출, 저시송대의정상최성공적정책(這是宋代醫政上最成功的政策). 유정부엄구약물, 수정본초병건립제약공창화약점(修訂本草幷建立製藥工廠和約店), 전매약물(專賣藥物), 개혁제형, 이발전'성약'(以發展'成葯'), 통일용약적규범등(統一用藥的范等), 저양적조시향약물적발전화의약적민중화흔대적영향. 의약교육방면상(醫藥敎育方面上), 재태의국화국자감리건립적'의학'교육제도유흔다건공, 궤구적예속, 전과(專科) 적분과(的分科), 고시제도(考試制度), 학교관리등도적료신경험(學校管理等都積了新驗), 의학상이'삼사법'(醫學上以'三舍法') '공액'위려의학교육적조시('貢額'爲勵醫學敎育的措施), 저치득긍정적(這値得肯定的). 송대의학교육상야유과착(宋代醫學敎育上也有過錯). 비여(譬如), 인제도적존폐이유실교육적연속성(因制度的存廢而有失敎育的連續性), 이방애의약교육경금적척축화계승(以妨碍醫藥敎育經驗的積蓄和繼承), 불단결핍잠력, 상실동력이차몰건립전문약학교육(喪失動力而且沒建立專門藥學敎育). 대부분수요의정궤구적건립(大部分需要醫政机構的建立). 단시유례속관사흔옹제적문제, 인위피상부소속궤관소견체소이불구통일적지도화협조, 최고의정궤구'한임의관원'야몰유통제의약궤구적권한(最高醫政机構'翰林醫官院'也沒有統制醫藥机構的權限), 직책중복(職責重複), 인원과잉(人員過剩), 의관원본신이야유흔다과잉리인원, 부구엄격적관리제도. 인비송대의관관리방면상강락료총효율(因比宋代醫官管理方面上降落了總效率).

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The Fabrication and Design of Driving Circuit for LCD panel using the high efficiency LED (고 효율 LED를 이용한 LCD 패널 구동회로의 설계 및 제작)

  • Ryu, Jang-Ryeol
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.7
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    • pp.3146-3151
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    • 2012
  • For using them as a optical source of inspections equipment for LCD panel, the design ofexcellent backlight system, brightness uniformity and high power and good protection against heat is essential.In this paper, backlight system which is built in the 45 inch side emitting LCD backlight by LED arraystructure and driving circuit were designed and developed. After that, their performances were measured. Itshowed the luminance from 3,000 to 25,000[$cd/m^2$], the mean value x:0.3144, y:0.3076 of x-y chromaticity,dimming range of 27~515[$cd/m^2$], free flicker noise in the 80kHz and black level of 0.7~0.1[$cd/m^2$], thermaltest of cooling system in 20,000[$cd/m^2$] over values.

A Study on the Development of a Program to support VFSS by using Deeplearning (딥러닝을 활용한 VFSS를 도와주는 프로그램 개발 연구)

  • Choi, Dong-gyu;Jang, Jong-Wook
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2018.10a
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    • pp.58-61
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    • 2018
  • In Korea, current medical technology is the highest level in the world. As a result, many doctors have specialized knowledge of various disorders or diseases, and are proceeding in a better way. With such high medical technology, it is possible to increase the probability of success of surgery to provide high reliability to patients. Rehabilitation is also a form of medical treatment that reduces the side effects that occur after surgery that is done for quick cure. However, the situation in this section is slightly different. There are moves to develop rehabilitation devices and operations, but most of them are now dependent on foreign technology. Rehabilitation therapy, which we commonly know, is dominated by behavior. However, it is also a kind of rehabilitation to find out how much the patient's symptoms are improved or recovered. In this paper, we have studied the development of a program by using the Deeplearning method in order to detect the problem of the food swallowing operation by the severity.

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Analysis of Hand Hygiene Practices of Health Care Personnels (의료기관 종사자의 손 위생 수행 분석)

  • Oh, Hyang Soon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.9
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    • pp.6160-6168
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    • 2015
  • Hand hygiene(HH)of the health care personnels(HCPs) was the most effective method to prevent the transmission of healthcare associated infections. This study was conducted to measure and analysis the status of the HH compliance of HCPs. Data were collected by the direct observation methods of the World Health Organizations(WHO) using WHO's HH monitoring tool kits from 25th October to 31th December, 2010. Data were analyzed by descriptive statistics, cross analysis, multiple logistic analysis using the SPSS/PC 21 program. A total of 8,644 opportunities for HH were observed, and the overall HH compliance rate was 94.1%. HH rates of physicians was lowest(83.4%; OR: 0.209, 95%CI:0.174-0.252). HH rates were statistically different by the job titles(p<0.001), WHO's 5 moments(p<0.001). HH rates in registered nurses(p=0.003), and medical technicians(p<0.001) were statistically different by the WHO 5Moments. Jobs specific HH strategies and WHO 5Moments should be developed to increase the HH compliances of the HCPs.

Clinical Evaluation of Instrumental Esophageal Perforation (기구에 의한 식도천공에 대한 임상적 고찰)

  • Sa Young-Jo;Kang Chul-Ung;Cho Kyu-Do;Park Kuhn;Wang Young-Pil;Park Jae-Kil
    • Journal of Chest Surgery
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    • v.39 no.5 s.262
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    • pp.387-393
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    • 2006
  • Background: Esophageal perforation is an uncommon problem, but it is associated with high mortality. We performed a retrospective review of patients with instrumental esophageal perforation to assess the outcome of current management techniques. Material and Method: We retrospectively analyzed all cases of instrumental esophageal perforation diagnosed at our hospital from January 1999 through to March 2005. The study group consisted of 12 patients (8 women and 4 men) with a mean age of 48.8 years (range, $21{\sim}83$ years). We reviewed the effects of the surgical or medical treatments in various conditions of patients, such as of various sites of perforation and time delayed after injury. Result: Perforations were due to diagnostic endoscopy (50.0%, 6/12), esophageal bougination for benign stricture (33.3%, 4/12), endoscopic port insertion (8.3%, 1/12), and tracheal intubation (8.3%, 1/12). The perforated sites were thoracic in 7 patients and cervical in 5. The treatment included resection and reconstruction (5 cases), incision and drainage (4 cases), medical treatment (2 cases), and closed thoracostomy drainage only (1 case). Post-operative complications of transient pneumonia and wound infection were developed in 1 patient respectively. Both occurred in two patients with diffuse mediastinal abscess formation. The overall mortality was 8.3% (1/12) in one old patient who was managed medically for cervical esophageal perforation. Conclusion: We concluded that surgical treatment for esophageal perforations was safe and effective whether diagnosed early or lately.