• 제목/요약/키워드: Doctors' awareness

검색결과 125건 처리시간 0.021초

동병하치 확산을 위한 전략적 방향과 이행방안 (Strategic Direction and Road Map of Expanding Prevention of Winter Disease in the Summer)

  • 송호섭
    • Journal of Acupuncture Research
    • /
    • 제27권3호
    • /
    • pp.147-157
    • /
    • 2010
  • Objectives : The purpose of this study was to propose appropriate strategic directions and road maps for successful achievement of programs preventing winter disease in the summer. Methods : Details on programs preventing winter disease in the summer such as clear concept, theoretical basis, current status, intervention or available prescriptions and indication/contraindication/caution were prepared through the related journal review, upon which an observational study was devised and done for simulation to find out even a trivial problem and to guarantee the safety beforehand. The experimental group was divided into 5 groups by the size of pill and the way ginger is treated; 1cm pill with ginger group, 3cm pill group without ginger, 3cm pill group dipped into ginger, 3cm pill group applying ginger to acupoints and 3cm pill group with ginger Results 1. program preventing winter disease in the summer was defined as representative winter diseases such as common cold, influenza, chronic asthma, chronic bronchitis, allergic rhinitis, emphysema, chronic gastritis and rheumatoid arthritis, and preventive care in the summer, reinforcing deficient yang qi of five viscera by using exuberant yang qi from summer heat. 2. It was based upon historically established theories which is 'nourishing yang qi in the spring and summer', 'long summer, namely rainy spell in the summer overwhelms the winter, because of earth winning water according to the five phases theory' and 'To replenish yang qi is major principle to treat winter diseases, which can be most appropriately and timely applied to the patient with deficient yang qi of five viscera inherently, especially in the three dog days of the summer, because of exuberant exterior yang qi and deficient interior yang qi in the five viscera'. 3. In the adjacent China and Taiwan, acupoint applying method in the three dog days named 'San Fu Tie' have been stirring a boom throughout the nation, in which Xiaochuan Gao was used as a basic prescription and it mainly was applied at bilateral $BL_{13}$, $_{15}$ and $_{17}$ for about 4 hours. As far as domestic current status, the necessity of adopting the above method prior to Herbal formula was also recognised, because not a few koreans have apprehension for the safety of it including medicinal herbs and are reluctant to take it any more due to negative advertisement of narrow minded doctors' association. 4. Indication of acupoint applying method in the three dog days included most of winter diseases such as common cold, influenza, chronic asthma, chronic bronchitis, allergic rhinitis, emphysema, chronic gastritis. contraindication was pregnant woman and the weak such as infants and the old. More attention was paid to grasp firmly the normal reaction following the treatment for preventing side effect and teasing blister. recommendation was also given to abstain from food inducing phlegm and dampness such as meat, shrimp and crab as well as cold drinks and foods 5. In the simulation observational study based upon the above findings following review the related articles, no blister was shown on the acupoints icluding bilateral $BL_{13}$, $_{15}$ and $_{17}$ in every experimental group during 24hr observation following the acupoint applying treatment with pills made by modified and devised prescription. At 4 hr, the effectiveness of it reached a peak showing redness and mild tenderness and there is little difference between groups 3cm pills groups regardless of the way ginger was treated. abdominal distention and growling was found in all the volunteers during the treatment at CV 8. Strategic directions and road maps : Through successful fulfillment of the program preventing winter disease in the summer, Korean traditional medicine should be integrated into mainstream national health care services. Cultural access was thought to be as important as Scientific EBM approach. First of all, To evoke potential cultural homogeneity from campaigns and press advertisement was needed for promoting public awareness about preventing winter disease in the summer by enhancing immunity via acupoint applying treatment in the three dog days, and then indigenous name as Sambokcheop, protocol, Clinical Research Form for data collection of it should be developed and prepared. Once the first step was taken this summer, through a thorough data collection and scrutinized scientific evaluation, drawbacks should be compensted for and the efficacy and safety should be substantiated.

전북대학교병원 소아치과에 내원한 교정환자 보호자들의 의식에 관한 설문조사 (THE ATTITUDE SURVEY OF ORTHODONTIC PATIENTS' PARENTS AT CHONBUK NATIONAL UNIVERSITY HOSPITAL, THE DEPARTMENT OF PEDIATRIC DENTISTRY)

  • 소유려;백병주;김재곤;양연미;이용훈
    • 대한소아치과학회지
    • /
    • 제35권3호
    • /
    • pp.487-493
    • /
    • 2008
  • 최근 치의학의 눈부신 발전과 소득의 증가에 따른 일반인의 의식 변화로 외모에 대한 관심도가 높아지고 있다. 본 연구에서는 대학병원에 내원한 동기와 교정치료를 시작하게 된 동기, 치료방법 및 치료기간을 파악하여, 이를 토대로 보호자와 보다 적절한 의사소통을 위한 정보를 파악하고, 보호자들의 교정치료에 대한 기대를 파악하고자 본 연구를 시행하였다. 이를 위해 전북대학교 치과병원 소아치과에 내원한 교정환자의 보호자 150명을 대상으로 조사 연구한 결과 다음과 같은 결론을 얻었다. 1. 본 병원의 소아치과를 찾게 된 이유 중 대학병원이 좋을 것 같아서가 52.1%, 친지나 아는 사람의 권유가 25%, 다른 치과병원의 소개가 16.7%로 나타났다. 2. 내원 전 예상하였던 치료기간 중 2년 이상이 37.5%, $12{\sim}18$개월이 12.5%로 나타났다. 3. 교정치료를 받으려는 이유 중 부모가 부정교합을 발견하고 걱정스러워서가 58.3%, 주위사람들의 지적이 12.5%로 나타났다. 4. 소아치과 내원 환자의 치료방법은 구강 내 고정성장치가 41.7%, 가철성장치가 29.2%, 구외 장치가 2.1%를 차지했다. 5. 예약 후 치료를 위해 기다리는 시간 중 $5{\sim}10$분이 39.6%, $15{\sim}30$분이 4.1%로 나타났으며, 기다리는 시간은 어느 정도까지 괜찮다고 생각하는가에 대해 $5{\sim}10$분이 60.4%, $15{\sim}30$분이 2.1%로 나타났다.

  • PDF

의료기관 경쟁력 향상에 영향을 미치는 핵심 요인 (The Critical Factors on Improvement of Medical institution Competitiveness)

  • 염재광;강창렬
    • 한국병원경영학회지
    • /
    • 제12권1호
    • /
    • pp.1-30
    • /
    • 2007
  • The study carried out a survey with employees of hospitals located in Daejeon, Chungnam, and Chungbuk from Sep. 12 to Sep. 30, 2005 in order to derive primary elements that affect the improvement of hospital's competitiveness. The study investigated and analyzed the employees' recognition on the change of competitive environment caused by the change of medical environment. The study also analyzed the elements that affect the hospital's competitiveness and the competitive strategies of the hospitals. The conclusion of this study can be summarized as follows. 1. Summary 1) Most of the employees responded that there is a rival in the competitive environment and the competitive is intense. Especially when the employees are married, live in urban areas, have an education level of university graduate or are managers, they tend to think the competitive is very intense. Also, they said that the competitive is based upon the quality of medical service. They mentioned the element that has the biggest effect on the competitiveness is the element of medical consumer and they recognized that the medical services in university and general hospitals have more competitiveness than the one-department hospitals. 2) It was investigated that the medical technique service has the most effect on the hospital's competitiveness. Also, the external service of medical techniques also has a large effect on the hospital's competitiveness. 3) When they were asked for the factors that affect the patients' decision on selecting a hospital, most of them responded "capability and technique of the medical staffs." Also, they said that "sufficient explanation from doctors" and "special center and clinic" are the factors that have big effects on the patients' decision. 4) In the SWOT analysis, most of them responded that the strength is the hospital's characteristics and the weakness is insufficient and obsolete equipment. They said the opportunity is the demands for professional medical service and the risk is the intense competitive among the hospitals. 5) In the SWOT strategy, they emphasized the strategy that uses the opportunity and the strength and the strategy that uses the opportunity while overcoming the weakness. 6) As for the basic competition strategy, most of them thought of the strategy of professionalizing the medical service most importantly. Next, they focused on the strategy of distinct service and the strategy of lower prime cost. 2. Conclusion 1) Because service competition between hospitals is happening seriously, need competitiveness security through right awareness transfer and satisfaction upgrade about medical consumer. 2) For medical technique service upgrade that equip Hospital's competitiveness but affects most, must solidify the countermeasure because professionalizing the medical service and newest medical technique induction should be achieved first, and compose task force for the external service of medical techniques improvement. 3) To improve SWOT of hospital, opportunity and the strength strategy choice that rescue hospital's characteristics heightening professionalizing the medical service level is fancied. 4) As for the basic competition strategy, will have to try in phase triangular position of hospital which is trusted medical level upgrade and excellent manpower security and finance independence through upgrade. The study was only done with hospitals in Daejeon, Chungnam and Chungbuk. Also, it is a study from the side of suppliers of medical service so there are limitations. However, the significance of the study is to present the basic data for improvement of hospital's competitiveness by examining the importance of medical techniques and external service of medical techniques that are the main effects on the improvement of hospital's competitiveness.

  • PDF

방사선 작업종사자의 피폭선량 비교 평가 (Comparative evaluation of radiation exposure in radiation-related workers)

  • 백성민;장은성
    • 한국방사선학회논문지
    • /
    • 제5권4호
    • /
    • pp.195-200
    • /
    • 2011
  • 최근의 방사선 피폭 선량을 조사하여 그 경각심을 일깨워주기 위함이다. 그 분석결과, K병원의 2008년도 평균피폭 선량은 $0.75{\pm}0.26mSv$, 2009년은 $0.67{\pm}0.30mSv$, 2010년은 $0.92{\pm}0.33mSv$였다. P병원은 2008년이 $0.43{\pm}0.13mSv$, 2009년 $0.43{\pm}0.20mSv$, 2010년이 $0.33{\pm}0.85mSv$로 나타났으며, 연령별 평균 피폭선량은 K병원의 20대가 13.39mSv, 30대 8.37mSv, 40대 1.19mSv, 50대 0.28mSv, 60대 0.32mSv로 나타났고 P병원은 20대 0.33mSv, 30대 1.41mSv, 40대 0.83mSv, 50대 1.66mSv, 60대 1.12mSv 였다. 또한 3년간 피폭선량의 평균을 성별로 나누어서 나타냈는데 K병원에서 남자의 피폭선량은 $2.92{\pm}1.03mSv$, 여자의 피폭선량은 $0.94{\pm}0.93mSv$였다. P병원에서의 남자의 피폭 선량은 $0.66{\pm}0.18mSv$이고 여자는 $1.80{\pm}0.60mSv$로 나타났다. 방사선을 취급하는 과별로 받는 년간 평균 피폭 선량은 영상의학과 $1.65{\pm}1.54mSv$, 방사선종양학과 $1.17{\pm}0.82mSv$, 핵의학과 $1.79{\pm}1.42mSv$, 기타 $0.99{\pm}0.51mSv$였으며 상대적으로 저선량율 에너지를 사용하는 핵의학과에서 다른 과와 비교해서 방사선 피폭이 높게 나타났으며(p<0.05), 핵의학과내에서는 특히 동위원소 조작실과 주입실의 년간 평균 피폭량이 $3.69{\pm}1.81mSv$으로 많은 피폭을 받고 있었다(p<0.01). 직종별 연평균 피폭선량은 의사 $1.75{\pm}1.17mSv$, 방사선사 $1.60{\pm}1.39mSv$, 간호사 $0.93{\pm}0.35mSv$, 기타 $1.00{\pm}0.3mSv$로 의사와 방사선사가 다른 직종에 비해 높게 나타났다(p<0.05). 방사선 작업 종사자에 대한 피폭측정 및 평가가 철저히 이루어져 피폭 가능성을 줄이는데 관심과 주의가 필요하며 누적 선량을 최소화하여 방사선 작업 종사자의 건강을 유지하고 증진 시켜야 할 것이다.

의료기관 핵의학 종사자의 직무 별 개인피폭선량에 관한 연구 (A Study on the Individual Radiation Exposure of Medical Facility Nuclear Workers by Job)

  • 강천구;오기백;박훈희;오신현;박민수;김정열;이진규;나수경;김재삼;이창호
    • 핵의학기술
    • /
    • 제14권2호
    • /
    • pp.9-16
    • /
    • 2010
  • 본 연구는 방사성동위원소의 의학적 이용도가 증가함에 따라 의료기관 핵의학과 방사선 관계종사자의 직무 별 방사선 이용에 대한 개인 방사선 피폭선량의 실태를 파악하여, 방사선 위험에 대해 경각심을 고취시키고, 방사선 관계종사자들에게 안전관리와 합리적인 피폭선량 관리에 도움을 주고자 분석하였다. 2007년 1월 1일부터 2009년 12월 31일까지 의료기관에서 근무하는 핵의학 방사선 관계종사자로 분류되어 개인 방사선피폭선량 측정을 정기적, 연속적으로 3년 간 조사 관리된 40명의 종사자를 대상으로 직종 별, 영상실 별, 연령 별, 선량구간 별, 직무 별 관련업무를 파악하여 심부선량에 대하여 연간평균피폭선량을 각각 분석하였다. 분석법으로는 빈도분석과 ANOVA를 시행하였다. 3년 간 영상실 별 연간피폭선량은 PET 및 PET/CT 영상실이 11.06~12.62 mSv로 가장 높은 피폭선량을 보였고, 감마카메라 주사실이 11.72 mSv로 높았으며, 직종 별 연간평균피폭선량은 임상병리사가 8.92 mSv로 가장 높았고, 방사선사 7.50 mSv, 간호사 2.61 mSv, 연구원 0.69 mSv, 접수 0.48 mSv, 의사 0.35 mSv 순으로 나타났으며, 세부업무에 따른 직무별 연간평균피폭선량은 PET 및 PET/CT 업무가 12.09 mSv로 가장 높은 피폭선량을 보였으며, 감마카메라 주사실이 11.72 mSv, 싸이크로트론 관련 합성 업무 8.92 mSv, 감마카메라 영상업무 4.92 mSv, 치료 및 안전관리 2.98 mSv, 간호사 업무 2.96 mSv, 관리 업무 1.72 mSv, 영상분석 업무 0.92 mSv, 판독업무 0.54 mSv, 접수업무 0.51 mSv, 연구업무 0.29 mSv 순으로 나타났다. 선량구간 별 연간평균피폭선량은 연구대상자의 15명(37.5%)이 1 mSv이하의 선량분포와 5명(12.5%)이 1.01~5.0 mSv이하의 선량분포를 가지고 있었고, 5.01~10.0mSv에서 14명(35.0%), 10.01~20.0 mSv에서 6명(15.0%)의 분포로 분석되었다. 연령에 따른 연간평균피폭선량은 방사선사 직종에서는 25~34세 종사자가 8.69 mSv로 가장 높은 평균선량을 보였고, 근무기간에 따른 연간평균피폭선량은 방사선사 직종에서 5~9년 종사자가 9.5 mSv로 가장 높은 평균선량을 나타냈다. 고용형태에 따른 연간평균피폭선량은 정규직 임상병리사 8.92 mSv, 방사선사 7.82 mSv, 계약직 방사선사 7.55 mSv, 인턴직 방사선사 5.62 mSv, 계약직 간호사 2.61 mSv, 정규직 연구원 0.69 mSv, 접수 0.55 mSv, 의사 0.35mSv 순으로 피폭을 받는 것으로 나타났다. 이와 같은 결과로 볼 때 의료기관에서 근무하는 핵의학 방사선 관계종사자의 대부분이 현재의 방사선 안전관리가 실효성 있게 이루어지고 있었으며, 직무특성에 따라 많은 차이가 있는 것을 알게 되었다. 그러나 방사선 피폭을 최소화시키는 노력이 필요하며, 이를 위해서 체계적 교육과 합리적 피폭량 관리를 위한 체계가 필요하다고 사료된다.

  • PDF