• Title/Summary/Keyword: Medical charge

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Reliability Management of Mechanical Ventilator in Intensive Care Unit Using FMEA Based on ISO14971 (ISO14971 기반 FMEA를 이용한 중환자실내 인공호흡기 신뢰성 관리)

  • Hyun Joon, Kim;Won Kyu, Kim;Tae Jong, Kim;Gee Young, Suh
    • Journal of Biomedical Engineering Research
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    • v.44 no.1
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    • pp.19-24
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    • 2023
  • Due to the spread of COVID-19, many patients with severe respiratory diseases have occurred worldwide, and accordingly, the use of mechanical ventilators has exploded. However, hospitals do not have systematic risk management, and the Medical Device Regulation also provides medical device risk management standards for manufacturers, but does not apply to devices in use. In this paper, we applied the Failure Mode Effects Analysis (FMEA) risk analysis technique based on the International Standard ISO 14971 (Medical Devices-Application of risk management to medical devices) for 85 mechanical ventilators of a specific model in use in hospitals. Failure modes and effects of each parts were investigated, and risk priority was derived through multiplication of each score by preparing criteria for severity, occurrence, and detection for each failure mode. As a result, it was confirmed that the microprocessor-based Patient Unit/Monitoring board in charge of monitoring scored the highest score with 36 points, and that reliability management is possible through systematic risk management according to priority.

An Analysis of Actual States of the Nursing Grade of Medical Institutions

  • Park, Hyun-Suk
    • Journal of Korean Clinical Health Science
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    • v.2 no.3
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    • pp.158-166
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    • 2014
  • Purpose. This study pursued the way for the effective application of the differentiated charge (Nursing grading system) by the nursing manpower which is performed for the nursing service quality improvement to the in-patients in Korea and the minimum employment problem solution of nurses. Methods. For this matter, the status of the nursing grade for 1,452 hospitals (44 high class general hospitals, 259 general hospitals, 265 hospitals, 59 oriental medicine hospitals and 825 recuperation hospitals) was identified which were registered in the Health Insurance Review and Assessment Service in March 2011 status quo. Results. In the most nursing grade by the kind of medical institutions, 70.5% of the nurses were third-graded in upper general hospitals, 38.1% were sixth graded in general hospitals, 62.7% were seventh-graded in oriental medicine hospitals and 40.4% were first-graded in recuperation hospitals. In the nursing grade by the scale of hospitals (in terms of the number of beds), there was a significant difference in general hospitals, but there was no significant difference between oriental medicine hospitals and recuperation hospitals. In the nursing grade by the location of hospitals and the foundation type of hospitals, there was a significant difference between general hospitals and recuperation hospitals. Conclusion. For the effectiveness of applying differentiated nursing fees by the number of nurses, it seems necessary to consider adjusting the present differentiated inpatient-charge system for the better so that small and medium-sized hospitals may induce more nurses.

Charge Transport Characteristics of a-Se based X-ray Detector (비정질 셀레늄 기반의 X선 검출 센서의 전하 수송 특성)

  • Kang, Sang-Sik;Cha, Byung-Youl;Jang, Gi-Won;Kim, Jae-Hyung;Nam, Sang-Hee
    • Proceedings of the Korean Institute of Electrical and Electronic Material Engineers Conference
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    • 2002.11a
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    • pp.375-378
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    • 2002
  • There has recently been a great deal of interest in amorphous selenium for application of digital x-ray image sensor. The initial number of the electron-hole induced by interaction a-Se with x-ray photons and the collection efficiency to surface of generated charges are important parameters for x-ray sensitivity of the a-Se. Therefore, in this paper, we analyzed that thickness of a-Se film and electric field is affected on the initial number of electron-hole and the collection efficiency. The experimental value of x-ray induced charge about the various thickness and the electric field is compared with estimated absorbed energy through MCNP 4C code to analyze the mechanism x-ray induced signal of a-Se. The experimental results showed that the electric field depends on initial escape coefficient and the thickness depends on collection coefficient than escape efficient.

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The Comparison of Electric Characteristics of Radiation Detective Sensor(a-Se) with changing composition ratio of Arsenic (Arsenic의 첨가량에 따른 방사선 검출센서 (a-Se)의 전기적 특성 비교)

  • Seok, Dae-Woo;Kang, Sang-Sik;Lee, Dong-Gil;Kim, Jae-Hyung;Nam, Sang-Hee
    • Proceedings of the Korean Institute of Electrical and Electronic Material Engineers Conference
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    • 2002.11a
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    • pp.391-394
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    • 2002
  • There has recently been much interest and research in developing digital x-ray systems based on using amorphous selenium(a-Se) photoconductors as the image receptor. The amorphous selenium layer that is currently being studied for use as an x-ray photoconductor is not pure a-Se but rather amorphous selenium alloyed with arsenic. We fabricated samples using the selenium and arsenic alloy with various concentrations of the arsenic. In this work, x-ray photoconductor using amorphous selenium alloyed with arsenic were fabricated with different concentrations of the arsenic (0.1 wt.%, 0.3wt.%, 0.5wt.%, 1wt.%, 1.5wt.%, 3wt.%, 5wt.%). The seven kind of samples was fabricated with a-Se alloyed with arsenic through vacuum thermal evaporation. We also investigate the arsenic concentration dependence on the device performance in radiation detector. The electric characteristics of radiation detector devices with changing additive ratio of the arsenic is performed by measuring the x-ray induced photocurrent and integrating it over time to find the total charge. The thickness of a-Se is $100{\mu}m$. Bias voltages $3V/{\mu}m$, $6V/{\mu}m$$9V/{\mu}m$ are applied at the samples. As results, the net charge of a-Se 0.3% As sample is $526.0pC/mR/cm^2$ at $9V/{\mu}m$ bias. The net charge is decreased as with the increasing additive ratio of arsenic.

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Analysis of Job Characteristics for Ultrasound Examination of Radiological Technologists in Yeongnam Area (영남지역 방사선사의 초음파검사 직무특성 분석)

  • Jeong, Bong-Jae;Lee, Sang-Hun
    • Journal of the Korean Society of Radiology
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    • v.16 no.5
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    • pp.639-647
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    • 2022
  • This study analyzed the job characteristics of radiological technologists in charge of ultrasound examinations in the Yeongnam region. The measuring tool used in the study was a questionnaire, and the subjects were radiological technologists in charge of ultrasound examination at medical institutions located in the Yeongnam region from August 01 to November 30, 2021. In consideration of the COVID-19 situation, statistical analysis was performed using the SPSS/PC Ver 18.0 program using e-mail and SNS in a non-face-to-face manner with 158 questionnaires. As a result of analyzing the job characteristics of the radiological technologists in charge of ultrasound examination, the job satisfaction was 3.24±0.61. In the effect of job characteristic factors on job satisfaction, professional position, self-esteem, and trust relationship formation were found to be higher than the average of 3.0. However, as the dissatisfaction factor, compensation and appropriateness of work were cited. Therefore, in order to improve the job characteristics and satisfaction level of radiological technologists in charge of ultrasound examinations, it is necessary to do their best to improve the appropriate work environment of medical institutions and to continuously secure professionalism of radiological technologists in charge of ultrasound examinations.

PRACTICAL USE OF KOREAN MEDICAL DATABASE (국내 의학 데이테베이스의 활용)

  • Lee, Hyo-Seol;Kim, Jong-Soo;Lee, Jae-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.39 no.3
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    • pp.325-331
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    • 2012
  • Korean medical databases are various from managing institutions. Korean major medical databases are KoreaMed, KoMCI, Synapse of Korean Association of Medical Journal Editors (KAMJE) made by medical researchers and doctors, and KMbase of Medical Research Information Center (MedRIC), RISS of Korea Education & Research Information Service (KERIS), NDSL of Korea Institute of Science and Technology Information (KISTI), KCI of National Research Foundation of Korea (NRF) made by government. Private companies made KISS (Koreanstudies Information Service System) and DBpia are providing medical information on charge. Internet portal site, Google and Naver, also provide enormous materials.

A study of the Office for Saving Lives (活人署), a government office in the Joseon, through its history and use of a standing prescription (조선 시대 활인서 연구 - 연혁 및 상비처방을 중심으로)

  • Park, Hun-Pyeong
    • The Journal of Korean Medical History
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    • v.33 no.1
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    • pp.11-20
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    • 2020
  • The Office for Saving Lives (活人署) (OSL) was the office in charge of the treatment and relief of the poor in the Joseon Dynasty. This study disputes prior scholarship on the OSL by analyzing the use of a ready-made prescription and by focusing on the personality of the OSL's medical institutions. The work of the three government offices, the Office of Great Mercy (大悲院) (OGM), which was the formal office of OSL, the Office of Benefiting People (惠民署) and the Office of Aiding Life (濟生院), overlapped in the area of relief of the common people. But OGM was different from the other two in that it was not a purely medical office, had no educational function, and did not manage medicine. By analyzing a standing prescription, this article argues: 1) Heojun's influence on the composition of a standing prescription is absolute. 2) Epidemic warm disease (溫疫) was a major social problem in terms of emergency medical care at the time. 3) In the late Joseon Dynasty, the treatment of epidemic warm diseases became more sophisticated than the previous era.

Study on the Fluence and LET Distribution of Projectile Fragments Produced from Heavy Ion Therapeutic Beams

  • Komori, Masataka;Fukumura, Akifumi;Hirai, Masaaki;Kanai, Tatuaki;Kohno, Ryosuke;Kohno, Toshiyuki;Matsufuji, Naruhiro;Nanbu, Syuya;Nishio, Teiji
    • Proceedings of the Korean Society of Medical Physics Conference
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    • 2002.09a
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    • pp.216-218
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    • 2002
  • Fluence and LET spectrum for 290,400 MeV/u $\^$12/C and 400 MeV/u $\^$20/Ne beams have been measured by a $\Delta$E-E counter telescope. Total charge-changing cross sections are deduced from measured fluence. The measured cross sections agree with previous measurements, however, they are disagreement with a model calculation. To dose-averaged LETs, the model calculation can reproduce the measured LETs except for peak LETs at Bragg peak region.

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The Effect of Psychological Control Felt by Overseas Medical Tourists on Service Satisfaction and Word of Mouth Communication (해외 의료관광객이 느끼는 통제력이 서비스 만족 및 구전의도에 미치는 영향)

  • Chengcheng Ma;Jungki Lee
    • Asia-Pacific Journal of Business
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    • v.14 no.3
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    • pp.25-44
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    • 2023
  • Receiving medical services abroad is an event that involves a high level of risk and stress for most people. This study proposes and empirically examines perceived control as a factor that has a potential to reduce the stress associated with overseas medical experience and enhance satisfaction with it. Based on the research findings in environmental psychology, one's perceived control was divided into cognitive control, behavior control, and decision control. A research model and a set of hypotheses were constructed to investigate the effect of each control on satisfaction and word-of-mouth communications among consumers who had overseas medical service experiences. The data collection was conducted through an online survey of 220 Chinese consumers who had visited Korea as plastic medicine tourists. Satisfaction with their service experience was significantly affected by both behavioral control and decisional control, but not by cognitive control. Thus, Chinese medical tourists prefer to maintain the belief that they are in charge of major decisions associated with the medical procedure, and that the results of the medical procedure will have personally desirable consequences. In addition, satisfaction experienced by Chinese consumers with overseas medical services had a significant impact on their word-of-mouth activities. Based on the research results, a set of academic and practical implications were derived.

Educational Needs for Consideration in Developing Curriculum for Staff in Charge of Public Health Services in Public Hospitals (공공병원의 공공보건의료사업 교육프로그램 개발을 위한 담당자들의 교육요구도)

  • Hwang, Eun-Jeong
    • Journal of Korean Academy of Nursing
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    • v.41 no.3
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    • pp.393-402
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    • 2011
  • Purpose: This study was done to assess the educational needs that should be considered in developing curriculum for staff in charge of public health services in public hospitals. Methods: The participants in this study were staff in charge of public health services in 130 public hospitals. The Borich's Needs Assessment Model which analyzed the relation of 'required competence level' and 'present competence level', was utilized. Data were collected from October to November 2007 using a structure self-report questionnaire. The return rate was 66.9%. The Cronbach's alpha score was 0.959. Results: The mean scores for 'required competence level', 'present competence level' and Borich's need were 4.02, 3.44, and 2.30 respectively. According to public health service items, 'strategies to recognize the present condition and analyze problems' had the highest score for Borich's need, but 'establishment of annual or monthly objectives' had the lowest score for Borich's need. Conclusion: Education was found to be very important for staff carrying out public health services. Ultimately the results of this study may be utilized to develop education program for staff carrying out public health services in public hospitals.