• Title/Summary/Keyword: 표준병원

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Comparative Study for Basic Protocol of High Dose Ablation Therapy (고용량 방사성옥소 치료의 기본 Protocol 비교)

  • Moon, Jae-Seung;Jeong, Hee-Il;Lee, Chi-Young
    • The Korean Journal of Nuclear Medicine Technology
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    • v.12 no.3
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    • pp.147-156
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    • 2008
  • Purpose: All acts which are enforced from the radioactive iodine therapeutic team is a in its own way principle and provision. Therefore unification of all acts can not be appropriately. We will make the standard coherence. Materials & Methods: From 5 November, 2007 to 17 November 2007, we conducted a questionnaire survey of the nuclear medicine manager of 30 hospitals. The contents of a questionnaire is medical treatment section, patient management, prosecuting attorney section, waste management and safety supervision in about the patient and a questionnaire was drawn up in the method which selects an item. Results: 30 hospital agencies are operating purely for I-131 high dose ablation therapy. Diagnostic study and daily schedule had the difference of some. The most of education for the patients took charge of doctor and nurse. The satisfaction of education was evaluated as the high thing. The safety supervision of waste management accomplishment and Safety supervision the patient and the worker observed on the basis of atomic energy law. Conclusion: Specific standards with sufficient amount of information and practical contents should have been presented through the following data. However, it seems to be lacking in many aspects. Nevertheless, respondents rated 70.9%, which is relatively high, on the value of clinical utilization, and I am very thankful for the evaluation. For many years from now, it may seem necessary for a lot of research on the specific matters based on these data to be conducted.

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The Effects of Clinical Nurses' Resilience and Social Problem-Solving Ability on Burnout (임상간호사의 회복탄력성과 사회적 문제해결능력이 소진에 미치는 영향)

  • Kim, Min Jung;Park, Yeong Sook;Kwon, Yunhee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.2
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    • pp.1284-1291
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    • 2015
  • This study was conducted as a descriptive study with the aim of identifying the effects of clinical nurses' resilience and social problem solving abilities on burnout. Data collection for the study was carried out between May $30^{th}$ and June $19^{th}$, 2013 by surveying 192 clinical nurses working in university medical centers and general hospitals located in D city. Measures were subjects' resiliency, social problem solving abilities, and burnout. For the analysis of the data, the statistical methods of frequency, mean and standard deviation, t-test, ANOVA, Pearson's correlation coefficients, and multiple regression analysis were employed. When the category of burnout was analyzed by general features, placement in a desired department and size of hospital, there were significant differences. Burnout correlated negatively with resilience and social problem solving abilities. Factors affecting clinical nurses' burnout were identified in the order of resilience, size of hospital, social problem solving abilities, and placement in a desired department and the explanatory power was 43.1%. The findings of the study indicate that in order to decrease clinical nurses' burnout, their resilience and social problem solving abilities have to be enhanced.

Design of Fetal Health Classification Model for Hospital Operation Management (효율적인 병원보건관리를 위한 태아건강분류 모델)

  • Chun, Je-Ran
    • Journal of Digital Convergence
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    • v.19 no.5
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    • pp.263-268
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    • 2021
  • The purpose of this study was to propose a model which is suitable for the actual delivery system by designing a fetal delivery hospital operation management and fetal health classification model. The number of deaths during childbirth is similar to the number of maternal mortality rate of 295,000 as of 2017. Among those numbers, 94% of deaths are preventable in most cases. Therefore, in this paper, we proposed a model that predicts the health condition of the fetus using data like heart rate of fetuses, fetal movements, uterine contractions, etc. that are extracted from the Cardiotocograms(CTG) test using a random forest. If the redundancy of the data is unbalanced, This proposed model guarantees a stable management of the fetal delivery health management system. To secure the accuracy of the fetal delivery health management system, we remove the outlier which embedded in the system, by setting thresholds for the upper and lower standard deviations. In addition, as the proportion of the sequence class uses the health status of fetus, a small number of classes were replicated by data-resampling to balance the classes. We had the 4~5% improvement and as the result we reached the accuracy of 97.75%. It is expected that the developed model will contribute to prevent death and effective fetal health management, also disease prevention by predicting and managing the fetus'deaths and diseases accurately in advance.

Violent Experiences, Responses and Coping of Nurses in Long-Term Care Hospitals in J Province (J도 소재 요양병원 간호사의 폭력피해경험, 반응 및 대처양상 분석)

  • Park, Jinhee;Yoo, Kwang Soo;Kong, Eun Suk;Chang, Soo Jung
    • 한국노년학
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    • v.36 no.3
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    • pp.869-881
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    • 2016
  • The purpose of this study was to analyze the characteristics of violent experiences, the types of responses to violent experiences, the coping methods among nurses working in long-term care hospitals. Data were collected using structured questionnaires from 226 nurses in 12 long-term care hospitals in J province. Data collection was performed between April 15, 2016 and April 29, 2016. The data were analyzed by using descriptive statistics and ${\chi}2-test$. Of all the respondents, 55.8% had experienced violence in the past 1 year. Of the perpetrators of the violence, 54.6% and 60.0%, were aged 65 and over and had cognitive functional decline, respectively. The most frequent type of violence was verbal abuse(90.5%). Following the violent experiences, emotional responses had the highest score($2.8{\pm}0.8$). The major coping behavior was "told their peers(84.1%)", followed by "disregarded it and worked although it felt bad(75.4%)". These results indicate the need to establish systems for violence prevention and coping, as well as applicable educational programs, tailored to the circumstances of long-term care hospitals and the characteristics of their patients.

Evaluation of Spatial Uniformity about Resolution and Sensitivity of a 'fixed focusing type SPECT' (고정식 초점형 SPECT에 있어, 선예도와 감도의 공간 균일성에 대한 평가)

  • Kim, Jaeil;Lim, Jeongjin;Cho, Seongwook;Noh, Kyeongwoon
    • The Korean Journal of Nuclear Medicine Technology
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    • v.23 no.1
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    • pp.54-58
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    • 2019
  • Purpose At now, there are many kind of dedicated heart SPECT machine in clinical nuclear medicine. Among those, the fixed focusing type SPECT can make a good quality, quantity image because a detectors of this SPECT arranged forward a special ROI and didn't rotate around of body. So, in this paper, we will evaluate a spatial uniformity about resolution and sensitivity at a same plane of a fixed focusing type SPECT. Materials and Methods We used D-SPECT as a fixed focusing type SPECT and Cario MD as a rotated parallel type SPECT to comparing each other. We injected $^{99m}Tc(14.8MBq/1cc)$ to 10 capillary tube (diameter=1mm), and we set those line sources a tfield of view of each SPECT. And then we acquired SPECT date, we applied are construction by recommended methods. By using two tomography images, we calculated a full width of half maximum as a resolution and total counts as a sensitivity, and we compared a CV (coefficientofvariation) values between two images as a spatial uniformity. Results In case of D-SPECT, a CV of resolution and sensitivity are 7.45%, 12.34%. In case of Cario MD, an CV of resolution and sensitivity are 12.49%, 21.84% Conclusion As a results, CV of resolution and sensitivity of a fixed focusing type SPECT is 67.75%, 77.00% higher than ones of a rotated parallel type SPECT. It means that a fixed focusing type SPECT is more uniformed, because this new SPECT can reduce a motion blur artifact by rotating detector around body, also all of detector that made by semiconductor arrange forward a special FOV like heart.

Responses of Medical Students to Using Smartphone Video at Clinical Performance Examination (표준화환자가 스마트폰 동영상으로 증상을 보여준 진료문항에 대한 의과대학생들의 반응)

  • Cho, Young Hye;Kim, Min Ji;Yeom, Jung Sook;Bae, Hwa-ok;Kim, Jae-Bum;Lee, Keunmi;Koh, Suk Bong;Seo, Ji-Hyun
    • Health Communication
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    • v.13 no.2
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    • pp.217-221
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    • 2018
  • Background: There are practical difficulties to show exact clinical symptoms such as seizure to medical students at Clinical Performance Examination (CPX). We developed a new CPX case of child's seizure on video using smartphone. Methods: A total of 356 $4^{th}-year$ students of five universities in Daegue-Gyeongbuk and Gyeongnam area took the clinical skill examination from June $13^{th}$ to $17^{th}$ in 2016. Among them, 72 students took the new CPX case in June $15^{th}$ and 71 students filled out the questionnaire on whether the new CPX with smartphone video is helpful, authentic, difficult, and necessary for other CPX. All the questions were measured on 5-Likert scale. Results: Mean score of the new CPX was 57.1, lower than the mean scores of the other 11 CPX cases, 62.8. For the question "Smartphone videos helped to solve the problem", 45 students (63.4%) answered 'Very much'. For the question "Is it realistic compared to other questions?" 30 students (42.3%) and 25 students (35.2%) answered 'Very much' and 'Much'. For the question "Is it difficult compared with other questions?" 18 students (25.4%) and 26 students (36.6%) answered 'Very much' and 'Much'. As for the question "I would like to have more tests using smartphone video", 26 students (36.6%) answered 'So and so'. Conclusion: A majority of students responded that video presentation was helpful and authentic to figure out the CPX, whereas they assessed smartphone video was more difficult compared with other CPXs. Further, students were negative toward using smartphone video for the other CPXs.

Development of Web Service for Liver Cirrhosis Diagnosis Based on Machine Learning (머신러닝기반 간 경화증 진단을 위한 웹 서비스 개발)

  • Noh, Si-Hyeong;Kim, Ji-Eon;Lee, Chungsub;Kim, Tae-Hoon;Kim, KyungWon;Yoon, Kwon-Ha;Jeong, Chang-Won
    • KIPS Transactions on Computer and Communication Systems
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    • v.10 no.10
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    • pp.285-290
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    • 2021
  • In the medical field, disease diagnosis and prediction research using artificial intelligence technology is being actively conducted. It is being released as a variety of products for disease diagnosis and prediction, which are most widely used in the application of artificial intelligence technology based on medical images. Artificial intelligence is being applied to diagnose diseases, to classify diseases into benign and malignant, and to separate disease regions for use in identification or reading according to the risk of disease. Recently, in connection with cloud technology, its utility as a service product is increasing. Among the diseases dealt with in this paper, liver disease is a disease with very high risk because it is difficult to diagnose early due to the lack of pain. Artificial intelligence technology was introduced based on medical images as a non-invasive diagnostic method for diagnosing these diseases. We describe the development of a web service to help the most meaningful clinical reading of liver cirrhosis patients. Then, it shows the web service process and shows the operation screen of each process and the final result screen. It is expected that the proposed service will be able to diagnose liver cirrhosis at an early stage and help patients recover through rapid treatment.

Development of Ultra-Rapid Multiplex PCR Detection against 6 Major Pathogens in Honeybee (꿀벌 6종 주요 병원체에 대한 초고속 다중 PCR 검출법의 개발)

  • Lim, Su-Jin;Kim, Jung-Min;Lee, Chil-Woo;Yoon, Byoung-Su
    • Journal of Apiculture
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    • v.32 no.1
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    • pp.27-39
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    • 2017
  • PCR-chip-based ultra-rapid multiplex PCRs for detection of six major infectious pathogens in honeybee were developed. The 6 kinds of major infectious pathogens in honeybee included Paenibacillus larvae causing American Foulbrood, Melissococcus plutonius causing European Foulbrood as bacteria, Ascosphaera apis (Chalkbrood), Aspergillus flavus (Stonebrood), Nosema apis and Nosema ceranae (Nosemosis) as fungi. The developed PCR-chip-based ultra-rapid multiplex PCR showed successful amplification for all six major pathogens in the presence of more than $10^3$ molecules. The time for confirming amplification (Threshold cycles; Ct-time) was about 7 minutes for two species, and about 9 minutes for four species. Total 40 cycles of PCR took 11 minutes 42 seconds and time for melting point analysis was 1 minute 15 seconds. Total time for whole PCR detection was estimated 12 minutes 57 seconds (40 cycles of PCR and melting point analysis). PCR-chip based ultra-rapid multiplex PCR using standard DNA substrates showed close to 100% accuracy and no false-amplification was found with honeybee genomic DNA. Ultra-rapid multiplex PCR is expected to be a fast and efficient pathogen detection method not only in the laboratory but also in the apiary field.

A Study on the Development of the Standard Manual for ETE (Emotion To Emotion) Therapy (오지상승위치료법의 표준매뉴얼 개발을 위한 타당화 연구)

  • Cheong, Moon Joo;Lee, Do-Eun;Kim, Jeesu;Kang, Sunghyun;Lyu, Yeoung Su;Jung, In Chul;Kang, Hyung Won
    • Journal of Oriental Neuropsychiatry
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    • v.33 no.3
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    • pp.227-239
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    • 2022
  • Objectives: The purpose of this study was to develop a standardization manual for Emotion To Emotion therapy. In this study, the processes and categories derived through literature search related to the Emotion To Emotion treatments, were revised and supplemented by the expert FGI (Focus Group Interview). Afterwards, the expert Delphi was conducted, to develop a standard manual for the disease types, purpose, and method of Emotion To Emotion therapy. Methods: In this study, literature analysis and expert Delphi, as a quantitative research method, were conducted, and the expert Focus Group Interview (FGI) was conducted as a qualitative study. The manual was completed by leading the consensus, on the standardization manual for Emotion To Emotion therapy. After that, a clinical expert Delphi was conducted to test the reliability as well as validity of the manual, through quantitative consensus on the manual of the Emotion To Emotion therapy. Results: First, as a result of literature studies, to date, studies related to Emotion To Emotion therapy have been qualitatively and quantitatively limited, as comparative literature related to clinical cases. Second, through expert FGI, the manual was structured with eight sub-factors for the indication diagnosis, six sub-factors for the implementation method, and 13 detailed factors. Third, through an expert Delphi, the consensus did the factor of indication, implementation methods, and implementation process, and developed a standardization manual for Emotion To Emotion therapy ver 1.0. Conclusions: Through literature analysis, expert FGI, and expert Delphi, the Emotion To Emotion therapy standardization manual ver 1.0 was completed, and will proceed with the revision and improvement report.

The Influence of Professional Identity, Role Conflict, and Job Stress on Job Satisfaction of Nurses in the General Hospital Wards

  • Su-Kyung Kim;Sun-Yeun Hong
    • Journal of the Korea Society of Computer and Information
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    • v.28 no.10
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    • pp.187-195
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    • 2023
  • In this paper aims to identify the effects of professional identity, role conflict and job stress on job satisfaction of nurses in general hospital wards. The subjects of this study were 193 nurses who worked in general hospitals in K district. Data were analyzed using frequency, percentage, mean, standard deviation, t-test, one-way ANOVA, Scheffe test, Pearson's correlation coefficient, and multiple stepwise regression. The results of the study are as follows. First, among the general characteristics, working years in general hospital wards showed a statistically significant difference in professional identity the less the working years in general hospital, the higher the professional identity. Second, professional identity showed a positive correlation with job satisfaction and role conflict, and a negative correlation with job stress. The higher the professional identity, the higher the job satisfaction and role conflict, but the lower the job stress. Role conflict showed a positive correlation with job stress the higher the role conflict, the higher the job stress. Job stress and job satisfaction showed a negative correlation the higher the job stress, the lower the job satisfaction. Third, the factors that affected the job satisfaction of nurses working in general hospital wards were job stress and professional identity, which had an influence of 38%. Thus, to improve the job satisfaction of nurses, it is necessary to develop programs that develop a positive professional identity. In addition, it is necessary to recognize the necessity of relieving job stress caused at work and to secure diverse human and material support resources.