• 한국의사학회지
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• 제34권2호
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• pp.45-63
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• 2021

This study considers the stages of curriculum development for the integrated curriculum of Pusan National University Graduate School & Hospital of Korean Medicine, and specifically the KAS2021 (announced in 2019), improvement measures for the curriculum of the College of Traditional Korean Medicine, and the case of the College of Medicine. The introduction of integrated curriculum in the College of Traditional Korean Medicine starts from the members (doers)' agreement. In the process of development, the organization that represents the members, the organization that sets up a goal and designs the curriculum, and the organization that executes them should fulfill their own roles. The stage of development and operation should have the support system for manpower, institution, administration, and finance. The curriculum (draft) should be concrete enough to be operated in reality. For the smooth operation of integrated education, it is necessary to secure more full-time teachers than before, and it is also necessary to have an organization fully in charge of monitoring and improving the operation. For the introduction and operation of integrated curriculum in Traditional Korean Medicine education, the members' agreement, institutional change, support system, and the cultivation of manpower for the operation/evaluation/development of curriculum should be considered.

• 한국의학물리학회지:의학물리
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• 제26권2호
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• pp.99-105
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• 2015

모니터 전리함은 의료용 선형가속기에서 방출되는 방사선의 세기와 출력 제어를 위하여 사용된다. 본 연구에서는 가속기 기반 방사선 발생장치의 제어 시스템 개발에 사용하기 위하여 모니터 전리함 시작품을 개발하였다. 개발한 모니터 전리함은 평행 평판형 전리함 형태로서 독립적 작동이 가능한 두 개의 전리함으로 구성되어 있으며, 전극의 재료는 방사선의 감쇠를 최소화하기 위하여 얇은 연성인쇄회로기판이 사용되었다. 전리함의 시험을 위하여 코발트-60 방사선원을 이용하여 측정된 전하의 포화특성과 선형성과 같은 선량학적 특성을 평가하였다. 결과적으로 개발된 시작품이 기본 성능을 만족하며 추가 연구의 가능성을 확인하였다.

• 간호행정학회지
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• 제15권2호
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• pp.193-202
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• 2009

Objective: The purpose of this study was to compare preceptors and new graduate nurses on their perception of preceptor teaching effectiveness. Methods: The participants were 90 new nurses and 90 preceptors who worked in A medical center. The data were collected from July 1 to September 30, 2008. A cross-sectional descriptive survey was done using a structured questionnaire. Results: New nurses' perception ($4.07{\pm}.44$) of the preceptor teaching effectiveness was significantly higher than perception of the preceptors ($3.57{\pm}.37$). Fifty five percent of new graduate nurses reported a lack of coherence in the preceptor's practice guidelines. For 5 causal factors classified on the teaching effectiveness, the factor of 'Professional knowledge and ability' showed the highest score, but 'Interpersonal and communication skill' got lowest score for both group. Preceptors responded that they did not have enough time to teach well because of their heavy workloads. Conclusions: These results suggest that the preceptors need appropriate compensation and education opportunities, and new graduate nurses need consistent education by the teaching professionals. Therefore, it is important to give preceptors full charge of the preceptorship. Also, it will be necessary to develop education programs to enhance interpersonal and communication skill for preceptors and new nurses.

• 융합보안논문지
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• 제5권1호
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• pp.19-27
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• 2005

이 연구는 인터넷 기반에서의 3자(환자, 의사, 약사)간의 상호대화형 원격진료 시스템 구현으로서, 효율적인 진료와 빠른 처리를 위한 전자진료차트 및 자료처리에 관한 내용을 제시하고 있으며, 데이타베이스 구축은 IIS 4.0 웹서버 상에서 ASP와 SQL을 연동하여 구현하였으며, 온라인 및 오프라인 겸용모드의 효율적인 자료처리를 위한 시스템 통합과 환자와 의사간의 상담, 그리고 오프라인 상에서의 진료와 환자가 지정한 약사로의 처방전 전송 및 조제, 그리고 진료데이터의 저장 및 검색으로 인한 반영구적인 진료데이터저장, 환자 및 의사의 이 진료데이터를 이용한 보다 정확한 진료 및 처방 등이 가능하도록 하였다. 그리고, 일반회원 및 유료회원, 의사와 악사간의 데이터처리를 각각 등급을 나누어 다르게 하고 있으며, 이에 따른 서비스 접근권한이 부여되기에 각 회원들의 인증이 반드시 뒤따르게 하였다.

• Biomedical Engineering Letters
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• 제8권4호
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• pp.337-344
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• 2018

Additive manufacturing (AM) is an alternative metal fabrication technology. The outstanding advantage of AM (3D-printing, direct manufacturing), is the ability to form shapes that cannot be formed with any other traditional technology. 3D-printing began as a new method of prototyping in plastics. Nowadays, AM in metals allows to realize not only net-shape geometry, but also high fatigue strength and corrosion resistant parts. This success of AM in metals enables new applications of the technology in important fields, such as production of medical implants. The 3D-printing of medical implants is an extremely rapidly developing application. The success of this development lies in the fact that patient-specific implants can promote patient recovery, as often it is the only alternative to amputation. The production of AM implants provides a relatively fast and effective solution for complex surgical cases. However, there are still numerous challenging open issues in medical 3D-printing. The goal of the current research review is to explain the whole technological and design chain of bio-medical bone implant production from the computed tomography that is performed by the surgeon, to conversion to a computer aided drawing file, to production of implants, including the necessary post-processing procedures and certification. The current work presents examples that were produced by joint work of Polygon Medical Engineering, Russia and by TechMed, the AM Center of Israel Institute of Metals. Polygon provided 3D-planning and 3D-modelling specifically for the implants production. TechMed were in charge of the optimization of models and they manufactured the implants by Electron-Beam Melting ($EBM^{(R)}$), using an Arcam $EBM^{(R)}$ A2X machine.

• 대한방사선기술학회지:방사선기술과학
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• 제41권5호
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• pp.451-456
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• 2018

During last a decade, there has been increased demand for 3D-printed medical devices with significant improvement of 3D-Printer (also known as Additive. Manufacturing AM), which depend upon human body features. Especially, demand for personalized medical material is highly growing with being super-aged society. In this study, 3D-reconstructed 3D mesh image from CT/MRI-images is demonstrated to analyse each patients' personalized anatomical features by using in house, then to be able to manufacture its counterpart. Developed software is distributed free of charge, letting various researcher identify biological feature for each areas.

• 동의신경정신과학회지
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• 제15권2호
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• pp.181-190
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• 2004

Tremor is the common symptom clinically and often be continuous with the brain cortex function. Scalp Acupuncture was designed by connecting the Meridian theory with brain cortex functional theory. We carried out four patients with tremor. We operated Scalp Acupuncture on the chorea-tremor area in connection with precentral gyrus which is in charge of the motion of the opposite part of body about 20 minutes. Herbal medication and the other oriental medical treatments were performed. After our treatments, tremor and some other symptoms were improved.

• International Journal of Contents
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• 제1권2호
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• pp.18-21
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• 2005

The following suggested algorithm is completed care report for the family medical history. Rn=$U\;Pnj+U\;Dn^i$ : (j=1,2,...,j), (i=1,2,...,i), (n=1,2,...,n) The Rn(completed care report) integrates comprehensive patients reports ranging from patient $P^2\;to\;P^j$ including $P^1$ (oneself) with the doctors' care reports up to the care No. no by i number of doctors ($D^1$ =doctor in charge, $D^{2,3...i}$=doctors on corporation program.) This approach, since a participation in a family membership effectuates all of family members, can minimize the membership fees, thus enabling inter-family health care on a home doctor basis.

• 한국의료질향상학회지
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• 제5권2호
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• pp.278-294
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• 1998

This study was planned to provide basic data for activating quality improvement by genera hospital with more than 400 beds across the country, of which 65 coordinators answered. Main results of the study are as follows.. 1. Job satisfaction and organizational commitment by individual characteristics were compared. It was revealed that the sense of self-efficacy was related to job satisfaction positively. But job satisfaction and organizational commitment by locus of control showed no significant difference. 2. In terms of the characteristics of QI activities, the active participation of QI coordinators in QI planning process and smooth communication among hospital staffs were showed positive relationship to job satisfaction significantly. 3. Also support system was proposed as most significant variable related to the job satisfaction and the organizational commitment of QI coordinators. Especially support to QI activities by CEO's, seniors, and other hospital staff was a factor to enhance the job satisfaction and organizational commitment of QI coordinators. 4. In the aspect of organizational culture, culture which were tendency to be recognized high autonomy in their work and organizational identity strongly and to operate reasonable compensation system were related to job satisfaction and organizational commitment positively. The more formalized climate, supportive communication, cooperative teamwork and promoting creative/risk take behavior, it showed the higher organizational commitment. 5. For the aspect of QI job characteristics, QI coordinators' job satisfaction was high when QI office was arranged for independent department which was exclusively in charge of QI activities and their role is exclusively in charge of QI. It can be concluded that organizational support in the aspect of relation and finance and efforts of encouraging their motivation and providing on the job training program are need.

• 대한족부족관절학회지
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• 제10권2호
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• pp.238-241
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• 2006

Purpose: The purpose of this study was to figure out the appropriate and systemic insurance charge for the hallux valgus operations. Materials and Methods: 5 Hospitals for hallux valgus operations were analyzed how they have been charging the national health insurance corporation for their operation fees and how to use the estimated guide and authoritive interpretation through the guide book of health insurance medical treatment grant expense and the guide book of Health insurance medical treatment. Results: There are nothing for guiding principle of hallux valgus operations in both books but a guide of Mcbride operation which is approved 'JA-93-KA and JA-31' for operation fee. So majority of hospitals have charged operation fee depending on their own interpretations they like. According to the guide books, there was a authoritive interpretation that simultaneous operation of osteotomy and tendon transfer for cerebral palsy and flat foot can be eatimated as 'osteotomy+JA-93-NA'. Conclusion: Distal soft tissue procedure should be approved as 'JA-93-NAx100%+JA-31x50%' according to the the estimated guide and authoritive interpretation if transected adductor hllucis is transfered to first metatarsal head. So distal chevron osteotomy could be 'JA-30-1-RAx100%+JA-31x50%', proximal metatarsal osteotomy could be 'JA- 93-NAx100%+JA-31-50%+JA-30-1-RAx50%', first metatarsocuneiform joint arthrodesis could be 'JA-93-NAx100%+ JA-31x50%+JA-73-RAx50%'.