• Korea Journal of Hospital Management
• /
• v.11 no.3
• /
• pp.56-72
• /
• 2006

This study aims to deal with hospital staff's recognition on the opening of the medical services market, their attitude to the opening - agreement and disagreement, and their intention to use a foreign hospital or to consult its doctors again. It was conducted for 450 employees of one university hospital located in Gyeonggi Province, Korea with systemized questionnaires. The main results of this study are as follows: First, Medical technicians showed the highest level recognition on the opening of the medical services market. Second, The percentage of agreement to the opening was the highest for medical technicians and lowest for doctors while that of agreement was the highest for doctors and lowest for nurses. For residents, among doctors, the percentage of disagreement was the lower than that of agreement. Third, the intention to use a foreign hospital and to consult its doctor again was the lowest for medical engineers and the highest for doctors. Fourth, The most urgent task for local hospitals to accomplish in response to the opening was the improvement of the diagnosis and treatment technologies for nurses, and the improvement of the service provided by the hospital staff for the others. For doctors, in particular, the improvement of the diagnosis and treatment technologies was just the fourth urgent task. In conclusion, the result varies to the type of occupation. Apparent difference was found for doctors, in particular, that seem to be directly affected by the opening of medical services market. Local hospitals and doctors, therefore, should make efforts together to improve the diagnosis and treatment technologies. All the hospital employees of every type of occupation, meanwhile, need to prepare for the opening with medical service of improved quality.

• Korea Journal of Hospital Management
• /
• v.24 no.2
• /
• pp.67-83
• /
• 2019

The aim of this study is to analyze the differences in the publicness indices depending on the environmental factors of regional public hospitals to derive the policy implications for improving management for regional public hospitals. The data of the 34 regional public hospitals from 2016 was used for the analysis. Major results of this study are as follows. First, the analysis of the differences in the scores of the medical safety net function showed significantly higher scores for regional public hospitals with a larger location, a larger number of hospitals in a unit area, a larger number of nurses per 100 beds, and the lower management fee ratio. Second, the analysis of the differences in the scores of the unmet healthcare needs showed significantly higher scores for regional public hospitals with a larger number of hospitals in a unit area, and a larger number of beds. Third, the analysis of the differences in the scores of the hospital-specialized services showed significantly higher scores for regional public hospitals with a larger location, a higher financial independence of the local government, a larger number of hospitals in a unit area, a larger number of beds, and a larger number of nurses per 100 beds. Major conclusions of this study are as follows. Consideration should be given to the appropriate number of nurses for each regional public hospital to maximize publicness by providing the appropriate amount of medical services, but not to incur unnecessary labor costs. In addition, efforts should be made to enhance profitability, which can be a means of strengthening publicness, by identifying the minimum administrative expenses required for efficient operation and reducing unnecessary administrative expenses. Finally, it is necessary to identify the appropriate number of beds to meet the needs of the customers and to create maximum profits.

• Proceeding of Spring/Autumn Annual Conference of KHA
• /
• 2005.11a
• /
• pp.367-370
• /
• 2005

Offer of medical treatment service for recovery or preservation of physical spiritual function of elderly people by sudden population graying developing is essential. Therefore, according to increase of elderly's medical treatment demand, medical treatment service request is augmented. Number of medical treatment service utilization wishes to grope medical treatment service support way for elderly residing cloth elevation laying stress on elderly's Aging in Place in increase trend in this research. If decide, is as following : First, national hospital and public health center were concentrated most on Seoul and kyonggi, and there were many hospitals to south of a river nine, Songpagu, Seochogu, and public health center was expose that is one by one to each nine. Second, in the case of Seoul, elderly population ratio was expose that comparatively high Yeongdeungpo, Chongno, Yongsan, west passage nine is few hospital number relatively in elderly's residential area. Third, need that establish elderly full text clinic on part of general hospital or university hospital equipment. Fourth, must do so that can use access as is easy little more in local community to all elderly who need medical treatment service of visit nursing, visit medical examination and treatment etc.. that consist in present public health center.

• Asian Pacific Journal of Cancer Prevention
• /
• v.16 no.14
• /
• pp.5721-5726
• /
• 2015

Lung cancer is the leading contributor to cancer deaths in the developing world. Within countries, significant variability exists in the prevalence of lung cancer risk, yet limited information is available whether some of the observed variability is associated with differences in the consumption pattern of local tobacco products with differing potency. We recruited 606 lung cancer cases and 606 controls from the B.P. Koirala Memorial Cancer Hospital in Nepal from 2009-2012. We estimated odds ratios (ORs) and 95% confidence intervals (CI) for lung cancer risk associated with different tobacco products, using unconditional logistic regression. Unfiltered cigarettes tended to be the most frequently used products across ethnic subgroup with about 53.7% of Brahmins, 60.1% of Chettris, and 52.3% of Rai/Limbu/Magar/others. In contrast, about 39.9% of Madishe/Tharu smokers reported using bidi compared with only 27.7% who smoked unfiltered cigarettes. Among those who only smoked one type of product, choor/kankat smokers had the highest lung cancer risk (OR 10.2; 95% CI 6.2-16.6), followed by bidi smokers (OR 5.6; 95% CI 3.6-8.7), unfiltered cigarettes (OR 4.9; 95% CI 3.4-7.2), and filtered cigarettes (OR 3.4; 95% CI 2.2-5.3). A clear dose-response relationship was observed between increased frequency of smoking and lung cancer risk across all ethnic subgroups. These results highlight the important role of traditional tobacco products on lung cancer risk in the low income countries.

• Journal of architectural history
• /
• v.30 no.4
• /
• pp.7-16
• /
• 2021

This study examines changes and features of provincial office buildings in Suwon and Chungju after relocation during Japanese occupation. Gyeonggi and Chungbuk provincial offices(Gwanchalbu) were relocated by Japan. Gyeonggi Provincial Office in Suwon used HwaseongHaenggung buildings and moved to Seoul in 1910. After relocation, most of HwaseongHaenggung buildings used for Suwon Governmental hospital(JaHye Uiwon). Suwongun Office, Suwon public elementary school, Japanese Military and Suwon Police station also used HwaseongHaenggung buildings with the Hospital. At first, Japan remodeled local government buildings for their use. Most of HwaseongHaenggung buildings had been destroyed to build new buildings since 1920s. Chungbuk Provincial office in Chungju used DongHeon building which is Chungju local government building and relocated to Cheongju in 1908. DongHeon building changed to Chungju county office after relocation. This building was renovated. Chungju county office moved to other site, this building was used for Chungju county conference room. During Japanese colonial period, Suwon local government buildings were destroyed and replaced with new Japanese style buildings. Chungju local government buildings were also renovated or destroyed.

• Journal of Preventive Medicine and Public Health
• /
• v.53 no.4
• /
• pp.289-292
• /
• 2020

Yemen has been faced with the worst cholera epidemic of modern times, with more than 1 million suspected cases and 3000 deaths at the time of writing. This problem is largely due to the longstanding civil war between pro-government forces and the Houthi armed movement, which has severely damaged already vulnerable sanitation and healthcare facilities and systems in the country. It is further compounded by a dire lack of basic amenities, chronic malnutrition, and unfavourable weather conditions. Another contributory component may be aerial transfer by cholera-infected chironomid insects. To contain the spread of cholera in Yemen, a nation-wide armistice should be negotiated, and national and local committees must be convened to coordinate efforts on the ground. Community isolation facilities with proper sanitation, reliable disposal systems, and a clean water supply should be set up to isolate and treat sick patients. The continuity of vaccination programmes should be ensured. Public health campaigns to educate local communities about good hygiene practices and nutrition are also necessary. The One Health paradigm emphasizes a multi-sectoral and transdisciplinary understanding and approach to prevent and mitigate the threat of communicable diseases. This paradigm is highly applicable to the ongoing cholera crisis in Yemen, as it demands a holistic and whole-of-society approach at the local, regional, and national levels. The key stakeholders and warring parties in Yemen must work towards a lasting ceasefire during these trying times, especially given the extra burden from the mounting severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) outbreak worldwide.

• Journal of The Korea Institute of Healthcare Architecture
• /
• v.28 no.2
• /
• pp.31-38
• /
• 2022

Purpose: This study presents the results of the analysis on space utilization of kidney dialysis units in regional public hospitals, which plays a key role in local public medical services. The result aims to achieve safety from infection, allow comfort for the dialysis environment, and stability for medical support. The purpose of this study is to present fundamental data for architectural plans for the kidney dialysis unit, as well as to alleviate potential infectious diseases such as COVID-19. Methods: For research purposes, the investigation and analysis of space utilization were based on architectural floor plans, research papers and literature, related legal systems, and public statistics. Of the main 35 regional public hospitals, in regards to data accessibility, 15 facilities were selected to conduct the survey and analysis for the objective. Results: The space composition by area research results of kidney dialysis units in public hospitals are as follows: Firstly, most targets do not have required rooms in the access and support area, except for the hemodialysis beds in the treatment section. Secondly, the access area requires necessary room and space design that took into consideration of convenience and accessibility for patients. Thirdly, in regards to infection prevention and control, proper circulation and room plan is essential for storage and disposal of contaminated products and linen after use. For the treatment area, the arrangement plan needs to establish a visual connection between the isolation room, the nursing station, and the bed area. Additionally, consideration of circulation in the preparation, treatment, observation, examination, and all other rooms in the facility is required. Lastly, for the support area, the room is designed to consider adequate working and meeting spaces for the medical staff, consultation space for patients or guardians, separate storage and disposal of clean and contaminated items, and the storage of various equipment for dialysis. Implications: In preparation for the increase in chronic kidney failure patients and the spread of infectious diseases, such as COVID-19, the researched data demonstrates the basic guidelines for space composition of kidney dialysis units and the significant role of regional public hospitals.

• The Korean Journal of Pain
• /
• v.2 no.1
• /
• pp.72-77
• /
• 1989

Sciatic neuralgia has been considered as the symptom of herniated lumbar disk. but disk disease is not the only causes of sciatic neuralgia. Sciatic neuralgia uncombined with disk disease in thought to be a sign of myofascial syndrome of the piriform is muscle. Local anesthetic injection into piriform is muscle is recommended for the therapeutic treatment of sciatica without lumbago.

• Clinical and Experimental Pediatrics
• /
• v.45 no.4
• /
• pp.454-458
• /
• 2002

Purpose : Bacillus Calmette-$Gu\acute{e}rin$(BCG) lymphadenitis is one of the most common complications of BCG vaccination. The involved lymph nodes usually subside spontaneously, but they may become enlarged and form an abscess. Treatment of these infants is controversial. The Pan American Health Organization recommends local isoniazid or rifampicin instillation for patients with suppurative BCG lymphadenitis. Methods : The study group comprised 37 patients who presented with BCG lymphadenitis over the last three years. BCG lymphadenitis was diagnosed if the affected patient developed an ipsilateral axillary or supraclavicular lymphadenitis, with no other identifiable cause for the lymphadenitis. We used rifampicin instillation therapy for patients with suppurative BCG lymphadenitis. Results : Lymphadenitis regressed spontaneously in three patients. Thirty four patients showed a progression to abscess formation. Among 34 patients with suppurative lymphadenitis, drainage developed spontaneously during the follow-up period in nine patients before therapy. Twenty five patients received needle aspiration and local rifampicin instillation therapy. Reaspiration was performed in seven patients. One of these patients still has large lymph nodes after the second attempt. Conclusion : Needle aspiration and local rifampicin instillation therapy into the node is a safe and effective form of treatment for suppurative BCG lymphadenitis.

• Journal of The Korea Institute of Healthcare Architecture
• /
• v.27 no.1
• /
• pp.35-44
• /
• 2021

Purpose: To presenting basic data for the spatial composition required when planning the future department of rehabilitation medicine by analyzing the spatial composition of the location, size, area, and plan type of the rehabilitation department of the Regional Public Hospital. Methods: 3 Methods have been used in this paper. 1) Analyzing drawings to derive the net floor area of each room. 2) A literature survey about rehabilitation healthcare system. 3) Observation survey for user circulation analysis. Results: 1) Rehabilitation is an overall process of treatment that helps to play a role as an individual in society, away from the perspective of treating physical damage. The Department of Rehabilitation Medicine of the local medical center must provide rehabilitation medical services corresponding to the recovery and maintenance period for community rehabilitation. 2) The Department of Rehabilitation Medicine can be classified into diagnostics area, examination area, treatment area, management area, and interface area based on the rehabilitation treatment process. Implication: It can be used as basic data when planning related facilities by analyzing the characteristics of the space plan of the required room according to the relationship between activities, movement lines, and operation plans based on user behavior.