• 한국병원경영학회지
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• 제14권4호
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• pp.149-162
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• 2009

The purpose of this study is to design strategic hospital service based on each hospital's features. For this study, an assessment was conducted by 398 in-patents of one university hospital located in Seoul. The self-questionnaires, which were investigated from Oct. 15th to 29th in 2008, compared central reception desk with ward reception desk in satisfaction and re-use rate of patients. The major results of this study are as follow. First, according to each reception desk user, they have different satisfaction of it. As for the staff kindness, admission procedure, discharge procedure and manner of staff, those made patients be gratified as well. Second, when it comes to the intention of re-use, there were no significant features between them. Only convenience in admission and discharge procedure, however, was an attractive factor for the recommendation. Third, this study found out the reasons for higher re-use rate of central reception desk users. Regarding service, they were contented with the time for test and treatment. As for the hospital service, they would like to re-use this hospital because of convenient steps of paying interim fee and getting certificates. Forth, this study found out the reasons for higher re-use rate of ward reception desk users. As a point of hospital service view, they responded that respected privacy, hospital facility and general service were good for staying. As for the manner of staff, they mentioned nurses and staff in charge and whole staff members were kind. When it comes to the procedures of patient management, steps of discharge and paying interim fee were convenience. In conclusion, the results of this study suggest that providing a ward reception desk service can boost the satisfaction and re-use rate of in-patients. Furthermore, this strategic management method would be good for not only cutting the moving line but also efficient in-patient care system. These results can be used for the strategic hospital marketing field, as well. Even though this study has a limitation of the targeted populations which were only in a ward reception desk running hospital, it can say that having competitiveness in satisfaction of hospital service is good for promoting and differencing each hospital. Consequently, whole general management system would be adjusted first for differencing each hospital; however, this sort of additional factor should be concerned as well. I expect that this study would give meaningful data for designing strategic and differencing marketing method to lots of hospitals.

• 한국학교보건학회지
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• 제17권2호
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• pp.127-150
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• 2004

Objectives: The purpose of this study is to provide a basic structure for the establishment of the direction of school health programs, an overview of the historical changes of school health programs and their results, and a conceptual framework on school health programs. Methods: The data analysis has been done using a statistical almanac, relevant laws and regulations, operation handbook of the program, theses, reports, records of public hearings, and other reports as a technical research primarily based on evidence. The methodology of this research classifies the development and growth transition of school health programs during a historical period through the investigation of regulations, organization, manpower, and its program via its development process and to provide a basic tool to design a solid school health policy. Results: A The growth and development of school health programs The development of school health programs was classified into three different periods including the forthcoming period (1945~1967), the completion period (1967~1993), and the actualization period based on the establishment of legislation for School Health Law, other relevant legislation, and the contents of school health programs (1993~present). B. Policy direction of school health programs School health programs have reestablished their goals and range based on basic direction, and developed the W1it model of information structure for school health program management and its basic structure. Finally, the stepwise support system through the building of the school health support center is recommended. (1) The basic direction of school health programs has proposed 7 basic goals to reestablish the policy direction of health improvement based on total health. (2) The W1it model of information system and the school health information system for school health program management has been developed to utilize positive management. (3) School health policy through the study of the health laws and systems has been developed. The necessity of school health support center for the policy support, functional support and operation support has also been proposed. Conclusions: It is necessary to build a school health support center that consists of health professionals in charge of policy support, functional support, and program support of school health programs in order to realize and develop new policy.

• 한국콘텐츠학회논문지
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• 제10권6호
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• pp.329-335
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• 2010

디지털 방사선시스템에서의 의료영상 획득의 방법은 X선을 조사하고, 반도체 디텍터(Detector)를 이용하여 직접 및 간접으로 변환하여 기존 업체마다 여러 가지 알고리즘을 적용하여 적절한 이미지 프로세싱을 거쳐서 임상의 적정한 영상을 획득한다. 방사선과에서 적절한 의료 영상 형성을 위하여 적용하는 이미지 프로세싱 파라미터(Image Processing Parameters)는 Edge, Frequency, Contrast, Latitude, LUT, Noise 등의 영상 증강의 과정은 기술력 및 업체 알고리즘에 따라 다르게 적용되고 있다. 따라서 본 논문에서는 디지털 방사선 환경에서의 최종의 임상 영상을 위한 이미지 증강의 파라미터들의 적정 세팅 값의 기준을 제시하고자 한다. 그리고 각 병원들의 의료 영상을 바탕으로 이미지 프로세싱 파라미터들을 변화하여 각 파라미터들의 세부적인 기준 세팅값을 연구하며, 실제적인 파라미터 변화에 대한 적합한 의료 영상을 디지털방사선시스템의 영상 평가 방법을 도식화하여 결과를 제시하고, 향후 임상에서 적응 및 활용 가능한 객관적인 영상 파라미터에 대한 특성 평가의 응용을 정립하고자 한다. 또한 다양한 표본 병원의 디지털 방사선 환경에서 적정 파라미터 값들을 조사하여 임상에서 영상의 화질에 미치는 영향으로 특성 평가의 객관적인 기준의 변조전달함수(MTF)의 공간해상력을 제시하고 한다.

• 대한의용생체공학회:의공학회지
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• 제39권5호
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• pp.220-228
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• 2018

The internal resistance of microbial fuel cell (MFC) using stainless steel skein for oxidizing electrode was investigated and the factors affecting the voltage generation were identified. We also investigated the effect of power management system (PMS) on the usability for MFC and the removal efficiency of organic pollutants. The performance of a stack microbial fuel cell connected with (PMS) or PMS+LED was analyzed by the voltage generation and organic matter reduction. The maximum power density of the unit cells was found to be $5.82W/m^3$ at $200{\Omega}$. The maximum current density was $47.53A/m^3$ without power overshoot even under $1{\Omega}$. The ohmic resistance ($R_s$) and the charge transfer resistance ($R_{ct}$) of the oxidation electrode using stainless steel skein electrode, were $0.56{\Omega}$ and $0.02{\Omega}$, respectively. However, the sum of internal resistance for reduction electrode using graphite felts loaded Pt/C catalyst was $6.64{\Omega}$. Also, in order to understand the internal resistance, the current interruption method was used by changing the external resistance as $50{\Omega}$, $300{\Omega}$, $5k{\Omega}$. It has been shown that the ohm resistance ($R_s$) decreased with the external resistance. In the case of a series-connected microbial fuel cell, the reversal phenomenon occurred even though two cells having the similar performance. However, the output of the PMS constantly remained for 20 hours even when voltage reversal occurred. Also the removal ability of organic pollutants (SCOD) was not reduced. As a result of this study, it was found that buffering effect for a certain period of time when the voltage reversal occurred during the operation of the microbial fuel cell did not have a serious effect on the energy loss or the operation of the microbial fuel cell.

• 한국의료질향상학회지
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• 제8권1호
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• pp.44-55
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• 2001

Background : This study aimed at identifying the effect of the standardized protocol on lowering the incidence of the ventilator associated pneumonia(VAP). Methods : The standard protocol focusing on decreasing VAP was made and applied at 5 ICUs (Medical ICU, surgical ICU, Respiratory ICU, Neonatal ICU, Pediatric ICU) in a university affiliated tertiary hospital, from April 1, 2000 to Oct 31, 2000. The protocol involved 3 parts : hand washing, the suctioning method and ventilator circuit management. All the nursing personnel received intensive education which was consisted of lecture, video film and demonstration. 176 nurses reported the performance of handwashing pre and post intervention. And randomly selected 15 nurses were observed by charge nurse and the handwashing practice was analyzed pre and post intervention. The incidence of VAP was compared with the former year incidence. Results : The self reported frequency of hand washing increased. In the direct observation of handwashing, the frequency, time, thoroughness of hand washing during 8 hours day duty was found to be improved. The frequency was increased from 1.1 time to 4.1 times; the time was improved from 1.7 seconds to 5.7 seconds and the thoroughness of the washing practice was from 0.2 times to 3.0 times respectively (p<0.001). The incidence of VAP decreased from at a rate of 15.63 number of case per 1,000 ventilator-day (April 1~August 31, 1999) to 7.23 number of case per 1,000 ventilator-days(April 1~Oct 31, 2000)(P<0.001). Conclusion : We developed the protocols which included hand washing, the suctioning method, and ventilator circuit management. Through the implementation of the protocol, the performance of hand washing improved and the VAP incidence rate in ICU was decreased.

• 전자공학회논문지
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• 제50권12호
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• pp.247-253
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• 2013

본 연구의 목적은 Direct DR(Digital Radiography), Indirect DR, I.I(Image Intensifier) DR에서 X선 광자 검출 방식에 따른 선량측정 및 획득된 영상을 정량적이고 객관적인 측정을 통해 DR System을 비교 평가 하는 것이다. Rando phantom을 사용하여 입사표면선량을 측정하였으며, 측정된 입사표면선량 값을 통해 PCXMC 프로그램을 사용하여 유효선량과 방사선 조사로 인한 위험을 평가하였다. 21cm 아크릴 phantom을 사용하여 SNR(Signal to Noise Ratio), NPS(Noise Power Spectrum), CNR(Contrast to Noise Ratio)을 측정하였으며, 측정값은 통계학적 분석기법을 사용하여 유의성을 평가하였다. 입사표면선량, 주요장기선량, 유효선량 모두 direct DR이 가장 낮게 측정되었으며, direct DR 선량을 기준으로 I.I type DR은 약 1.3배, indirect DR은 약 2.4배 높은 선량 비율로 측정되었다. 방사선량에 따른 위험도 역시 동일한 비율로 측정되었다. SNR 측정 결과 direct DR측정값을 기준으로 I.I DR은 약 7.25배, indirect DR이 약 1.48배 낮은 비율로 측정되었다. CNR 측정 결과 direct DR 측정값을 기준으로 I.I DR은 약 1.16배 높고, indirect DR이 약 0.87배 낮은 비율로 측정되었다. 따라서 a-selenium 검출소자를 사용하여 X선 광자를 검출하는 방식인 direct DR은 적은 선량으로 우수한 화질의 영상을 구현함으로써 선량에 민감한 소아나 생식선이 포함된 검사 등에 유용할 것으로 사료된다. 또한 많은 진단 정보를 위한 영상 평가가 요구되는 경우에는 indirect DR이 유용할 것으로 판단된다.

• 대한화학회지
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• 제43권2호
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• pp.193-198
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• 1999

다가 양이온성 고분자인 polyethylenimine(PEI)를 이용한 plasmid DNA의 세포 전이를 검색했다. 먼저 agarose assay에 의한 2, 10, 25, 및 50KD PEI와 DNA의 중화복합체의 최적비율은 분자량에는 영향을 받지 않았고, 최적의 PEI nitrogen/DNA phosphate 중화 비율은 1.5-2.0(nmol/nmol)로 나타났다. 이 복합체들을 이용한 COS1 세포전이에서는 2KD를 제외하고는 naked DNA에 대비 전이가 증가했고, 이 중에서 특히 25KD PEI는 적정 전이조건에서 DEAE-dextran 혹은 lipofectin 보다 다소 증가된 전이율을 보였다. In vitro 세포전이의 최적 PEI/DNA 비는 7.6-13.3(nmol/nmol)이었고 최적 중화복합체를 이루는 비율보다 높게 나타났다. 용액의 pH에 따른 전이율의 변화는 크게 없었으나 산성일때가 약간 더 증가했다. 세포 표적전이와 독성감소를 위해 인지질분자를 사용한 liposome formulation을 PEI/DNA계에 도입하였다. 그 결과, PC/PE 중성 리포솜이 도입된 경우는 25KD를 제외하고는 PEI 단독일 때 혹은 리포솜 단독일 때 보다 전이율이 2-2.5 배씩 증가했다. 그러나 PEI와 같은 양이온성의 DOTAP/PE 리포솜 도입은 charge repulsion 작용으로 오히려 DOTAP/PE 단독계보다 전이가 감소하는 역효과를 보였다. Liposomal PEI계의 세포독성은 PEI 단독일 때 보다 % cell survival이 10-20% 정도 증가했다. 이 결과들은 PEI가 단독으로도 좋은 전이제로 작용 할 뿐 아니라 세포표적 운반이 가능한 중${\cdot}$음성 리포솜의 효과적인 DNA 응축제로도 이용 될 수 있음을 증명했다.

• 한국병원경영학회지
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• 제2권1호
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• pp.162-182
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• 1997

This study was carried out to assess the current status of hospital wage structure and to find out the characteristics and problems in the current hospital wage structure. so as to provide empirical data for establishing a rational wage structure. The data were collected from administrative personnels in charge of wage management in 31 hospitals by using a structured questionnaire through direct visiting and mailing in Pusan Metropolitan City. The major findings in this study were as follows: First, the hospital wage structure applied differently to the basic wages between doctors and the other employees. The wage structure for doctors included performance rate of 51.6%, followed by a synthesis rate of 29.0%, while the wage for the other employees had the synthesis rate of 74.2%, followed by the seniority rate of 12.9%. Second, the wage consisted of a basic wage for 57.5%. the allowance for 21.1% and monthly installed bonus for 21.4%, and the basic wage comprised 68.3% of the total wage for doctors, as compared to 51.9% for nurses and medical technicians and 52.4% for administrative and managerial personnel. The annual rate of the bonus was average 460%, and 96.8% of the hospital did not consider personnel preformance appraisal when paying the bonus. Third, 80.6% of the hospitals applied the legal rate to the retirement allowance while 19.4% applying cumulative rates more than the legal rate, and all of university hospitals applied cumulative rates. Retirement reserves were practiced only in 54.9% of the hospitals. Forth, many hospitals seemed to be interested in applying graded wage system according to performance, by showing that 42.9% of the hospitals were planning to apply it in the future, despite only 9.7% practicing it. Fifth, the wage structure appeared to be complicated due to various kinds of allowances. The kind of the allowances varied among hospitals, ranging from 2 to 26 kinds, and increased as the size of hospital was larger. Sixth, the opinions leading to improve the basic wage structure favored the seniority rate for 51.6% either to maintain the present seniority rate(16.1%) or to apply the incentive pay in addition to the senior rate(35.5%). and also favored the performance rate for 35.5%, followed by the job rate for 12.9%. In conclusion, the current hospital wage structure seemed to be too complicated to reflect personal ability, contribution and performance and to become a big barrier to inducing worker's motivation and to strengthening in competitveness. Therefore it is suggested that the current wage structure should be revised to the one emphasizing on job and ability base with considering characteristics and situation of the hospital, rather than seniority factors.

• 한국치위생학회지
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• 제16권6호
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• pp.969-978
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• 2016

Objectives: The purpose of the study was to examine the expected role and competency of future public health dental hygienist. Methods: This study was cross-sectional design. One dental hygienist per 16 cities and provinces was selected from the list of Korea Society of public dental hygienists. After signing in the informed consent, the interview was carried out. Transcripts were made after each interview. Six researchers recorded meaningful contents in the transcripts. They classified and integrated the information that they had recorded commonly or not. Their opinions were converged by conference. Two supervisors verified results whether they were derived from actual recordings for the reliability of the results. The records were confirmed once again and corrected into common message. Results: The main difficult subjects in public health official examination were public health, English, and medical legislation to pass the examine. The preliminary certificates included public health related certificate, computer certificate, and driver's license. In the personality aspect, creativity, activeness, cooperation and good responsibility were very important trait to public health official. Among 16 interviews, 9 were positive and 5 were negative about the future prospects of a public dental hygienist. Conclusions: The future of public health dental hygienist will be positive. Throughout effort to prepare for the public health official, the public health dental hygienist will be expanded and in many ways the dental hygienists will take the charge of the important parts of the public health administration in the near future.

• 한국방사선학회논문지
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• 제10권8호
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• pp.565-569
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• 2016

최근 다엽콜리메이터를 부착한 선형가속기를 이용한 방사선수술의 빈도가 점차 높아지고 있다. 이러한 정교한 방사선 수술은 소조사면 내에 고선량의 방사선이 집중적으로 조사되기 때문에 체계적이고 정확한 정도관리가 필수적이다. 본 연구는 PIB(Particle in Binder) 방식 중 침전법을 이용하여 $400{\mu}m$ 두께의 요오드화납($PbI_2$)과 요오드화수은($HgI_2$) 광도전체 센서 시편를 제작하였다. 제작된 시편의 전기적 특성은 암전류, 출력전류, 응답특성 및 선형성을 평가하였다. 평가 결과, $HgI_2$ 가 우수한 신호발생량과 선형성을 보였다. 끝으로, 두께에 따른 $HgI_2$ 센서의 신호반응 특성 결과, $400{\mu}m$ 두께에서 신호발생효율이 가장 높았고, ${\pm}2.5%$ 이내의 우수한 재현성을 보였다.