• Title/Summary/Keyword: Medical charge

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Highly Efficient Cold Sputtered Iridium Oxide Films for Polyimide based Neural Stimulation Electrodes

  • Kim, Shin-Ae;Kim, Eui-Tae;Kim, Sung-June
    • Journal of Biomedical Engineering Research
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    • v.30 no.3
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    • pp.199-204
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    • 2009
  • Iridium oxide films (IROFs) have been extensively studied as a material for electrical stimulation of neurons, as iridium oxide has higher charge storage capacity than other metal films. More recently, sputtered iridium oxide film (SIROF) has been studied, because it can be made more conveniently than activated iridium oxide film (AIROF). Typically, the SIROFs are grown at temperatures from 400 to 600 $^{\circ}C$. However, such high temperatures cannot be used when the iridium oxide (IrOx) film is to be deposited on a flexible polymer material, such as polyimide. In this paper, we show that we can still obtain excellent characteristics in SIROFs grown without heating (cold SIROF), by optimizing the growth conditions. We show that the oxygen flow rate is a critical parameter for controlling the surface properties of a cold SIROF. At an oxygen flow rate of 12 seem, the cold SIROF exhibited a charge storage capacity (CSC) of 60 mC/cm$^2$, which is comparable to or better than other published values for iridium oxide films including heated SIROFs. The film produced under these conditions also had the minimum impedance value of all cold SIROFs deposited for this study. A stability test and biocompatibility test also demonstrated the superiority of the optimized cold SIROF.

Seperate Driving System For Large Area X-ray Detector In Radiology (대면적 X-ray 검출기를 위한 분할 구동 시스템)

  • Lee, D.G.;Park, J.K.;Kim, D.H.;Nam, S.H.;Ahn, S.H.;Park, H.D.
    • Proceedings of the Korean Institute of Electrical and Electronic Material Engineers Conference
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    • 2003.11a
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    • pp.388-391
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    • 2003
  • The properties of these detectors can be controlled by electronics and exposure conditions. Flat-panel detectors for digital diagnostic imaging convert incident x-ray images to charge images. Flat panel detectors gain more interest real time medical x-ray imaging. Active area of flat panel detector is $14{\times}17$ inch. Detector is based on a $2560{\times}3072$ away of photoconductor and TFT pixels. X-ray conversion layer is deposited upper TFT array flat panel with a 500m by thermal deposition technology. Thickness uniformity of this layer is made of thickness control technology(5%) of thermal deposition system. Each $139m{\times}139m$ pixel is made of thin film transistor technology, a storage capacitor and charge collection electrode having geometrical fill factor of 86%. Using the separate driving system of two dimensional mosaic modules for large area, that is able to 4.2 second per frame. Imaging performance is suited for digital radiography imaging substitute by conventional radiography film system..

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Detection of Moving Position of AGV Using Rotating LSB(Laser Slit Beam) (회전 레이져 슬릿 빔을 이용한 AGV 이동위치 검출)

  • Kim, Seon-Ho;Park, Gyeong-Taek;Park, Geon-Guk;An, Jung-Hwan
    • Journal of the Korean Society for Precision Engineering
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    • v.18 no.12
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    • pp.137-144
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    • 2001
  • The major movement blocks of the container are the range between the apron and the designation points on yard in container terminals. The yard tractor drived by operator takes charge of it's movement in conventional container terminals. In automated container terminal, AGV(automatic guided vehicle) takes charge of a yard tractor's role and information of navigation path are ordered from upper control system. The automated container terminal facilities must have the docking system that guides landing zinc to execute high speed travelling and precision positioning. This paper describes the new docking method with the rotating LSB(laser slit beam) generator and two pair of photo receiver. The LSB generator is installed on the fixed ground and the photo receiver is implemented on the moving vehicle such as AGV. The proposed docking system is implemented to confirm it's function and accuracy. The accuracy of measured moving position is represented in ±5mm at 1 data sampling.

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Development of Nurses' Practical Educational Needs Scale for Women with Infertility (간호사의 난임 간호에 대한 실무 교육 요구도 측정 도구 개발)

  • Park, Jummi;Shin, Nayeon;Lee, Kyungmi;Choi, Junghyun
    • Women's Health Nursing
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    • v.25 no.1
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    • pp.99-111
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    • 2019
  • Purpose: To develop nurses' educational needs scale for woman with infertility. Methods: A total of 201 nurses in charge of infertility health services in 4 infertility hospitals and 1 public health center were enrolled for this study. The scale was developed through literature review, in-depth interview, development of preliminary items, verification of content validity, development of secondary items, verification of construct validity, and extraction of final items. Data were analyzed using item analysis, exploratory factor analysis, Pearson's correlation coefficients, and Cronbach's ${\alpha}$. Results: Nurses' educational needs scale for women with infertility consisted of 41 items. Three factors (education for disease and symptom of infertility, supporting and counselling for infertility patients, and education for daily life of infertile patients) explained 63.7% of the total variance. Conclusions: Nurses' educational needs scale for woman with infertility demonstrated acceptable validity and reliability. Its items could be used to assess the level of educational needs for nurses in charge of infertility health services.

Research for Network on Medical Association and International Medical Tourism - Based on Centum Medical Partners - (의료협력과 국제 의료관광 네트워크에 관한 연구 - 센텀 메디컬 파트너스를 중심으로 -)

  • Park, Ki-Soo;Bae, Jong-Cheol;Choi, Bong-Joon
    • Journal of Korean Clinical Health Science
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    • v.2 no.1
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    • pp.59-71
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    • 2014
  • Purpose. Medical tourism is recently becoming a new industry with great growth potential. The South Korean government is shifting medical tourism from simple cultural tourism to a high value-added industry with a new paradigm. Methods. The government has been providing positive support and marketing policies since the introduction of the article concerning foreign patient attraction to the medical law in 2009, and various types of medical institutions around the country has participated actively in medical tourism by themselves or in cooperation of government bodies and made increasingly greater performance. Results. This study obtained the following results. The medical institutions in Korea have been making efforts to see more development and profitability in diverse ways, including medical tourism for foreign patients and the advance of the Korean medical institutions into foreign markets. However, many local governing bodies and medical institutions participating in medical tourism around the country have primarily focused on examination and treatment on the basis of foreign patients' visit to South Korea and rarely built a medical network with other countries directly for medical tourism. This study presents a case of building a local medical network and a network for international medical tourism successfully on the basis of the local medical association, CMP, which has been formed naturally in Busan. The success factors for CMP included 1) enthusiasm of the official in charge; 2) the medical level, the service level, and open-mindedness of participant medical institutions; 3) cost efficiency due to executive office management with no costs, no conflicts, and constant partnership; 4) security of non-competitive expertise for participants; 5) local factors of CMP; 6) participation of good agencies; 7) reinforcement of participation networks; and 8) post facto management and local doctor management. Conclusions. Its positive effects included patient introduction and greater profitability on an internal basis as well as construction of the collaboration system with the institutions related to medical tourism and confidence. However, there are some limitations: it is still difficult to predict performance due to the short period of their activities, and it is necessary to continue to observe their constant activities since a single medical association was involved.

A Study on Park-Golf for Rehabilitation training of the Patients with Hemiplegia (편마비 환자의 재활치료 효과를 위한 파크골프 도입에 대한 고찰)

  • Ahn, Myung-Hwan;You, Young-Youl
    • Journal of Korean Physical Therapy Science
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    • v.15 no.1
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    • pp.75-86
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    • 2008
  • The purpose of this study suggest that Park Golf for rehabilitation training of the patients with hemiplegia. The increase of the aged caused various problems. Among the problems, chronic illnesses the old people suffer from charge their family with mental, physical, social and economic burden as well as the person. Especially, the more old people are the more risks and attacks of cerebral vascular accident(CVA) exist. Therefore, the increase of the aged means the increase of cerebral vascular accident(CVA) patients. The cerebral vascular accident(CVA) patient get into difficulties to secure their livelihood due to troubles and disoders, so medical care facilities and rehabilitation training are really necessary to help them return to their normal life with mental, physical and social capability. The rehabilitation of patient with hemiplegia is ongoing process. It may possibly accomplish throughout the whole life because it takes a lot of time and effort. In addition, an ultimate aim of the rehabilitation is returning and adaptation to society. In this way, it is hardly to expect a satisfied results of the rehabilitation without motive. Therefore, patient with hemiplegia rehabilitation motive will is the most important. If interesting of park golf the patient with hemiplegia can be absorbed in easily are applied to the rehabilitation training, the patient are will to participate in the training without troubling.

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A Study on the Su hyeol lon (兪穴論) of the Nan gyeong (難經) (난경(難經).유혈론(兪穴論)에 대(對)한 연구(硏究))

  • Kim, Young-Un
    • Journal of the Korean Institute of Oriental Medical Informatics
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    • v.15 no.1
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    • pp.11-55
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    • 2009
  • The nan gyeong(難經) is another name of hwang je pal sib-il nan gyeong(黃帝八十一難經) which is book of traditional oriental medicine that contains many medical theories. This thesis studies 'su-hyeol'(兪穴) that is recorded in the books. 1. '62th nan' contains that um-gyeong(陰經) has five su-hyeols and yang-gyeong(陽經) has six su-hyeols. 2. '63th nan' contains why Jeong-hyeol(井穴) starts at first among the five su-hyeols. 3. '64th nan' appears su-hyeol's character and explains it's reason. 4. '65th nan' discusses that some divisions of su-hyeol's character correspond with the climate. 5. '66th nan' explains the importance of 'Won-hyeol(原穴). 6. '67th nan' appears the eum-yang's character of 'Mo-hyeol'(募穴), eum-yang's character of 'Bae-suhyeol'(背兪穴), it's situation and it's pathological significance. 7. '68th nan' explains the stream of 'su-hyeol' in twelve meridians and it's symptoms of a disease. The Nan gyeong(難經) has the difficulty in it's contents and many scholars take charge of that differently. In that reason, each argument is subjectly. This thesis unites scholar's arguments of 'Su-hyeol'(兪穴) as many as possibly and investigates their differences objectively.

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The Effect of Hospital, Department and Physician Factors on Hospital Resource Use (입원 환자의 병원내 자원 이용에 영향을 미치는 병원, 진료과 및 의사의 특성 분석)

  • 안형식
    • Health Policy and Management
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    • v.7 no.1
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    • pp.125-154
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    • 1997
  • The hospital, clinical department and the physician factor in explaining variations of hospital resource use in surgically admitted patients was compared. This analysis was based on 6, 361 discharges in 28 hospitals for three surgical conditions - lens procedures anal and stomal procedures, uterine and ovarian procedures using medical insurnce claim data. The results were as follows: 1. Regression analysis indicated that the hospital and clinical department characteristics, such as hospital ownership and size, were more significant predictors of the resource use indicators than the physician and patients' social characteristics. 2. Regarding to the physician factors, the hospital where the physician received the residency training and the medical shool where he/she graduated had less effect compared to the hospitals where he/she currently works. Between the residency trained hospital and medical school, the is more important than the latter. 3. When the hospital charges were divided into type of service provided i. e. room, drug, laboratory & radiologic, procedure & operation, and anesthesic charges, variance due to the hospital factor was larger than that due to the physician factor in each item. In summary, the hospital and clinical departmental factor played an important role than physician factor ; indicating to reduce the variation in hospital resource use, the policy that affects hospital behavior would be more effective than that targets individual physician behavior.

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The Management Factors of Medical Expenditure Reduction and Recovery of Hospital Health Insurance Department (의료기관 진료비 삭감율 및 이의신청 회수율과 관련되는 관리요인)

  • Park, Hyun-Suk
    • Korea Journal of Hospital Management
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    • v.13 no.4
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    • pp.46-75
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    • 2008
  • Main objective of this study is to investigate the factors that affect the reduction and recovery rate of hospital health insurance review departments of Korean tertiary hospitals, general hospitals and hospitals. A nationwide mail survey was conducted through structured questionnaire for chiefs and members of health insurance review departments of 178 hospitals, and data from 1,064 respondents were utilized in the final analysis. Major findings are as follows: 1) Monthly average reduction rate of surveyed hospitals was 1.18% for inpatients and 0.56% for outpatients. Also, average recovery rates from protests were 45.7% and 53.6%, respectively. 2) Average ages of health insurance review department employees were 41.5 for chiefs and 34.9 for members, and their average working period was 6.64 years. 69.1% of the respondents felt stress in their jobs, and they suggested 'communication problems with doctors' along with 'heavy workloads' as major reasons for the stress. 3) Reduction rates decreased and recovery rates increased when separate member in charge was assigned to each medical department, when health insurance review departments periodically provided medical parts with related education, and when the members participated in various committees.

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A trial of Drug use Evaluation of oral levofloxacin in the Hospitalized Patients (입원환자의 경구용 levofloxacin 약물 사용 평가)

  • Ro, Eun-Sook;Park, Yun-Hee;Bang, Eun-Mi;Kim, Won-Kyu;Lim, Keum-Sook
    • Korean Journal of Clinical Pharmacy
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    • v.19 no.2
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    • pp.105-109
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    • 2009
  • In July 2008, The National Police Hospital has developed the CPOE system(Computerized Physician Order Entry system) which links the medicine master and introduced the new program for the injectable antimicrobial agents. After introducing new system, we wanted to check the management of oral antimicrobial agents. Because new system has limitation that new system control only the use of the injectable antimicrobial agents. So we tried to evaluate the use of oral levofloxacin, which was chosen by a medical specialist of the infection. We retrospectively analyzed the appropriateness of oral levofloxacin through EMR(Electric Medical Record) of 72 inpatients who received oral levofloxacin in National Police Hospital in December 2008. We applied the modified ASHP(American Society of Health- System Pharmacists) DUE(Drug Use Evaluation) criteria, which is composed of justification of drug use, critical indicators, complications and outcome measures. Acceptable cases of use of levofloxacin were 67(93.01%) and 57cases(79.2%) showed good outcome. However critical indicators were not performed very well. We want to suggest the new system for the management of the medical therapeutics by the pharmacist in charge.

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