• 제목/요약/키워드: Medical charge

검색결과 519건 처리시간 0.035초

간호사의 근무부서 이동 희망여부 예측요인과 추정확률 (Estimative Factors and Probability Whether It is Desire or No on the Transfer of Nurses' Duty Post)

  • 손인순;한상숙
    • 간호행정학회지
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    • 제9권4호
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    • pp.571-583
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    • 2003
  • Purpose: This study was aimed by presenting basic data of nurses' manpower management on studying about estimative variables and provability assumption whether it is desire or no on the transfer of nurses' duty post. Method: The study was designed retrospective survey and the subjects of this study consisted of 508 nurses who have engages in the K-university hospital. Data were analyzed by SPSS windows for 11.0, by logistic regression. Result: The status on clinical specific variables were verified on estimative variable about whether it is desire or no on the transfer of nurses' post of duty that staff nurses was 3.95 times when set the standard over the charge nurses, and unsatisfied nurses than satisfied nurses on the place of duty at present was 1.4 times. On the low domains of duty's satisfied degree was verified on predictive variable about whether it is desire or no on the transfer of nurses' post of duty that nurses of low feeling of satisfaction about personal relationship was 1.19 times, unsatisfied nurses about hospital management was 2.01 times verified on desiring transfer to other places. Conclusion: The suitability of estimative model whether it is desire or no on the transfer of nurses' post of duty explainable by the variable of the status, the feeling of satisfaction on post of duty, the personal relationship the hospital management and estimative probability was 80.9%.

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간호사가 인식한 간호 조직문화가 고객지향성에 미치는 영향에 대한 융복합 연구 (Convergence Study of The Effects of Nurses' Perceived Nursing Organization Culture and on Their Customer Orientation)

  • 이민정;한진숙;장영미
    • 디지털융복합연구
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    • 제13권11호
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    • pp.303-311
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    • 2015
  • 이 연구는 종합병원에 근무하는 간호사를 대상으로 간호사의 고객지향성을 파악하고 간호사가 인식한 간호조직문화와 고객지향성이 어떤 관계가 있는지를 분석하고자 한다. 2014년 10월 1일에서 15일까지 442부의 설문지를 선택하였고 SPSS 21.0 프로그램을 통해 분석하였다. 연구결과는 간호사가 인식한 각 간호조직문화 유형과 고객지향성은 양의 상관관계가 있는 것으로 나타났다. 책임 간호사, 비교대 근무형태에서 유의한 결과가 나왔다. 또한 관계지향적 문화, 혁신적조직 문화, 위계지향적 문화 순으로 유의하게 나타났다. 따라서 병원 관리자들은 간호 조직 문화내의 내부 고객인 간호사에 대한 관심과 관리가 필요할 것이다.

혼합 기능을 갖는 마이크로 펌프의 연구 (A Study on the MHD Micropump with Mixing Function)

  • 최범규;강호진;김민석
    • 대한기계학회논문집B
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    • 제34권6호
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    • pp.579-586
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    • 2010
  • MEMS 기술의 향상과 함께 $\mu$-TAS(Micro Total Analysis System)가 개발 되어 의료 및 생물학 분야가 급속하게 성장했다. $\mu$-TAS의 한 분야로 Chip 위에서 소량의 sample과 반응물을 가지고 혼합공정과 분석공정이 이루어지는 LOC(Lab on a chip)에 관한 연구는 활발하게 연구되어진다. LOC는 마이크로 펌프 와 마이크로 믹서와 같은 microfluidic 장치들로 구성된다. Microfluidic 시스템의 유동이 층류 유동이므로 유체상태의 반응물들을 효율적으로 혼합하고 공급하는 것이 어렵다. 본 논문은 이송 및 혼합이 동시에 이루어지는 MHD micropump의 설계와 제작에 관해 제시하였다. 최종 개선사양은 상용 CFD 프로그램의 해석결과를 통하여 결정하였다.

치과기공소(齒科技工所)의 운영구조(運營構造) 실태(實態)에 관(關)한 조사연구(調査硏究) (A Study on the Status of Management Structure to Dental Laboratory in Chun-Buk)

  • 정경풍;김종인
    • 대한치과기공학회지
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    • 제13권1호
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    • pp.79-97
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    • 1991
  • To improve the management of dental laboratory through the research on the actual condition, this study posed questions on 36 dental laboratories. The results are as follows : 1. The establishment of dental laboratory in Chunbuk was increased between in 1980 and 1986. Especially it has been more increased since 1989. According to the proportion of population the number of the dental laboratories in Chunbuk was much more than that of other provinces and took the first place in september 1990. 2. The ratio between the unlicensed dental technician and the licensed was 24.83% and 67.11% each . The former must be replaced by the licensed. And the latter ought to try to improve their culture and technique. 3. Overtime payment must be paid for those who work above eight hours. 4. It takes 5 days at a minimum for the production of dental prosthesis with both stability and esthetics. 5. Every Saturday afternoon, Sunday and national holiday must be free. 6. Bonus must be paid 600% a year at a minimum. The system of retirement allowance should be active. All dental technicians ought to be affliated with their labor union and medica insurance. 7. Such dental restoration as porcelain and crown and bridge prosthesis must by increased to a degree between 30% and 50% at a minimum and the reduction system of charge for a dental technique has to be abolished. 8. The general working conditions of dental laboratory, especially pay and working hour must be improved. 9. To advance the service improvement of dental treatment and the banishment of illegal one, the medical insurance of crown and bridge prosthesis must be generally practised. 10. Ill case of the staff cull:lloyulent of dental laboratory, minimem wage system must be observed. 11. Directing dentist system on the ertablisment of dental laboratory must be abelished or wholly improved.

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Environmental Investigation of a Long-term Care Hospital with Respect to COVID-19

  • Park, Min Woo;Shin, Seung Hwan;Cha, Jeong Ok;Lim, Hyeon Jeong;Kim, Jun Nyun
    • 한국환경보건학회지
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    • 제46권5호
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    • pp.599-609
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    • 2020
  • Objectives: Coronavirus disease 2019 (COVID-19) first emerged in December 2019 in Wuhan, China, and has rapidly become a global pandemic with over 26.4 million confirmed cases and approximately 871,000 fatalities worldwide as of this writing. In the Republic of Korea, disease clusters frequently occurred in long-term care hospitals where the majority of residents are elderly with underlying medical conditions. Despite the fact that public health authorities and local community health centers have put tremendous efforts into preventing the spread of disease, positive cases have continued to occur. Thus, the Korea Centers for Disease Control & Prevention rapid response team decided to conduct an environmental investigation of a long-term care hospital to identify whether environmental contamination has remained and contributed to the spread of COVID-19. Methods: An environmental investigation was conducted at Hospital A. The characteristics of the facility and its HVAC system were assessed by checking the layout and interviewing the people in charge. A total of 64 surface samples were collected from areas of concern, including patient rooms, toilets, elevators, and nurses' station. These samples were tested by a regional health and environmental research institute using real-time reverse transcription polymerase chain reaction. Results: All samples from Hospital A were confirmed to be negative. Through interviews with high-level personnel at the regional community health center, we found that extensive disinfection is frequently performed on potentially contaminated areas in Hospital A in accordance with government guidelines. Conclusion: The environmental control measures implemented in Hospital A had been sufficient for mitigating the risk of further infection, suggesting that such measures may also be effective for other long-term health care facilities.

PC 및 LAN을 이용한 외래처방 전달 시스템 (Computerized Order Communication System for Out-patient's Clinic Using Personal Computer and Local Area Network)

  • 김남현;김원기
    • 대한의용생체공학회:의공학회지
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    • 제14권4호
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    • pp.321-326
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    • 1993
  • Recently, microcomputer technology has been developed rapidly and it provides not only graphic user interface that can be fraendly accessable but also large storage capacity to han- dle much hospital information. Almost all the order communication system for hospital has been developed under the concept of host and terminal environment since last 20 years. However, host-terminal system has not been successful in korea simply because most of physicians prescibe for rrlany patients a day(sometimes more than 150 patients a day). Also, under the host-terminal environment, programs are not friendly implemented for users. Since March 1991, we had developed order communication system for out-patients(named YONSEI-PC) using personal computer(PC) and local area network(LAN) . Since September 1992, we has applied succesfully in the Yonsei Cardiovascular Center, Sevrance Hospital, Yonsei University College of Medicine. This system consisted with Server and Clients which is communicated through LAN(Ethernet). The system also use the Host computer(IBM 9221 170) as a data bank and communicates to the Server with emulation card(3270 emulator, Interlink Inc., Korea) . After introducing this system, it enables patients to receive drugs witllin 20 minutes after prescription of 300-400 patients per day and it seemed to be effective system not to reduce waiting time for the patients but also to remove charge-troubling(due to His-entry of prescription) . This system also seems to be effective in terms of office automatism for hospital management. However users, usually physitions, required more friendly and easy system to operate and we thought that the most important one to successfully introduce order communication computer system in the hospital is user interface.

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암 환자의 정신사회적 치료 (Psychosocial Management of Cancer Patients)

  • 송지영
    • 정신신체의학
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    • 제2권1호
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    • pp.22-33
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    • 1994
  • The author presented several points of experienced materials obtained from the joint meetings of consultation-liaison Psychiatric division with oncologic department in Kyung Hee University Hospital. The joint meetings which have been held regularly every other week were very helpful not only for the psychiatrist but also for the cancer department stags to manage the cancer patients actively. The joint meetings have been progressed into more cohesive and active communication as time goes by. Most of the subjects discussed in the meeting was focused on the psychological and behavioral problems of the cancer patients. Besides, the difficulties arising from the chemotherapy were discussed. Probably the most difficult task for the treatment team was to provide complete information while respecting the patient's right to deny their situation The liaison psychiatrist usually gave comments to the charge doctor and/or nusing staff how to evaluate the patient's behavior and what would be the influential factors in developing the doctor-patient relationship. It was found that many cancer patients and their family members had their own peculiar illness behavior and disease concept which led patients to take non-medical or moreover, anti-therapeutic care. The family members were found to play an influential role in the choice of treatment method and progression of the disease. Another role of the liaison psychiatrist in the oncology ward was to encourage the treatment team members. In the practical point of view, it was not easy for the liaison psychiatrist to have time regularly for the cancer patients to encourage the liaison activities. And it seems to be fundamental that the consultation fee for the liaison psychiatrist should be set up at the resonable level.

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국내화장품기업의 사회공헌활동(CSR)에 대한 사례분석 (A Case Study on Corporate Social Responsibility(CSR) of Domestic Cosmetics Companies)

  • 윤진숙;이재하
    • 융합정보논문지
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    • 제8권5호
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    • pp.219-228
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    • 2018
  • 본 연구의 목적은 화장품기업의 사회공헌활동에 대한 사례를 분석하여 향후 관련활동이 더욱 효과적으로 지속될 수 있도록 하는 방향을 제시하는 데에 있다. 연구방법으로는 선행연구와 개별기업의 사회적 책임활동에 대한 사례(사보, 공개정보, 담당자와의 면담 등)를 통하여 분석하였다. 이를 통하여 도출된 주요 결과는 다음과 같다. 첫째, 화장품기업의 사회공헌활동은 교육, 사업, 의료 보건, 환경보호, 문화 예술, 기부 등 매우 다양하게 수행되고 있다. 둘째, 기업의 사회공헌활동 및 다양성은 기업규모와 연관성이 높은 것으로 확인되었다. 셋째, 사회적 기업과 전문기관과의 협업을 통해 사회공헌활동의 효과가 배가될 수 있다. 넷째, 사회공헌활동에 대한 전략적 접근과 체계적인 홍보, CEO의 책임의식 등이 관련활동에 주요 영향을 미치는 것으로 볼 수 있다. 이러한 연구결과를 토대로 화장품기업의 사회공헌활동이 보다 효과적으로 이루어질 수 있도록 방향을 제시하였다는 점에서 본 연구의 의의를 찾을 수 있겠다. 아울러, 향후 국내 외 화장품기업의 사회공헌활동에 대한 비교분석의 필요성도 제기된다.

Low Coverage and Disparities of Breast and Cervical Cancer Screening in Thai Women: Analysis of National Representative Household Surveys

  • Mukem, Suwanna;Meng, Qingyue;Sriplung, Hutcha;Tangcharoensathien, Viroj
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권18호
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    • pp.8541-8551
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    • 2016
  • Background: The coverage of breast and cervical cancer screening has only slightly increased in the past decade in Thailand, and these cancers remain leading causes of death among women. This study identified socioeconomic and contextual factors contributing to the variation in screening uptake and coverage. Materials and Methods: Secondary data from two nationally representative household surveys, the Health and Welfare Survey (HWS) 2007 and the Reproductive Health Survey (RHS) 2009 conducted by the National Statistical Office were used. The study samples comprised 26,951 women aged 30-59 in the 2009 RHS, and 14,619 women aged 35 years and older in the 2007 HWS were analyzed. Households of women were grouped into wealth quintiles, by asset index derived from Principal components analysis. Descriptive and logistic regression analyses were performed. Results: Screening rates for cervical and breast cancers increased between 2007 and 2009. Education and health insurance coverage including wealth were factors contributing to screening uptake. Lower or non-educated and poor women had lower uptake of screenings, as were young, unmarried, and non-Buddhist women. Coverage of the Civil Servant Medical Benefit Scheme increased the propensity of having both screenings, while the universal coverage scheme increased the probability of cervical screening among the poor. Lack of awareness and knowledge contributed to non-use of both screenings. Women were put off from screening, especially Muslim women on cervical screening, because of embarrassment, fear of pain and other reasons. Conclusions: Although cervical screening is covered by the benefit package of three main public health insurance schemes, free of charge to all eligible women, the low coverage of cervical screening should be addressed by increasing awareness and strengthening the supply side. As mammography was not cost effective and not covered by any scheme, awareness and practice of breast self examination and effective clinical breast examination are recommended. Removal of cultural barriers is essential.

Effect of antidiarrhoeal formulation on acute experimental diarrhoea in rats

  • Khan, M. Aleem;Khan, Naeem A.;Qasmi, Iqbal A.;Ahmad, Ghufran;Zafar, Shadab
    • Advances in Traditional Medicine
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    • 제5권2호
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    • pp.150-155
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    • 2005
  • Aqueous extract of antidiarrhoeal formulation (ADF) containing Holarrhena antidysentrica, Aegle marmelos and Punica granatum was investigated for antidiarrhoeal activity against charcoal-induced gut transit, serotonin-induced diarrhoea and $PGE_2-induced$ small intestine enteropooling in rats. The control, standard and test groups of experimental animals were administered with normal saline (p.o.), diphenoxylate hydrochloride (5 mg/kg, p.o.) and ADF (250 mg and 500 mg/kg, p.o.) respectively except the control group of $PGE_2-induced$ small intestine enteropooling which received only 5% ethanol in normal saline (i.p.). Charcoal (10 ml/kg, p.o.) and serotonin $(600\;{\mu}g/kg,\;i.p.)$ were administered after 30 min, while $PGE_2\;(100\;{\mu}g/kg,\;p.o.)$ was administered immediately afterwards. The distance traveled by charcoal in small intestine was measured after 15 and 30 min of charcoal administration, diarrhoea was observed every 30 min for six hour after serotonin administration and the volume of intestinal fluid was measured after 30 min of $PGE_2$ administration. Oral administration of ADF significantly inhibited the frequency of defaecation and decreased the propulsion of charcoal meal through the gastrointestinal tract, reduced the wetness of faecal dropping in serotonin-induced diarrhoea and also reduced the $PGE_2-induced$small intestine enteropooling. ADF may have potential to reduce the diarrhoea in rats.