• 제목/요약/키워드: Operation Department

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사용자 수술명과 수술분류 code (ICD-9-CM) 일치율 향상에 관한 연구 (수술실 OCS program 사용 활성화를 통하여) (Study of matching user operation name and operation classification code (ICD-9-CM) (Through OCS program use facilitation at operating room))

  • 최향하;김미영;김도진;유지원;장정화;박수정;박재성
    • 한국의료질향상학회지
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    • 제12권1호
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    • pp.104-112
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    • 2006
  • Background : The necessity of unify and standardize codes used at hospital has been emphasized since OCS (Order Communicating System) was adopted. Therefore, the purpose of this study were to standardize operation code by continuous training of the ICD-9-CM code that is used as standard code in OCS program at operating room. Method : In 400 operation data, operation code entered in OCS program at operating room was compared to operation name recorded in medical record. In addition, a matching rate between input data of operation code by medical record department and computing input data of operation code in 3,710 cases was compared for each department. User operation name and operation code were matched and major diagnosis by operation department and operation name were also matched. Results : User operation name was reflected in operation classification code in detail, and operation code entered on user was registered. Input rate and matching rate of operation code were gradually improved after improvement activity. In particular, a matching rate was high at ophthalmology where operation name is segmented. Plastic surgery and orthopedics with a lot of emergency operation and comprehensive operation name show low input rates. Conclusions : As the medical field makes progress in computerlization, awareness of information exchange and sharing becomes higher. Among codes to classified medical institution, codes related to surgical operation are all different by user of hospital and department. Computerlization and standardization is essential. And when efforts of standardization continue in alliance with individual hospital and institution, initiative of preparing medical policy data at a national level will be accelerated.

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수술실 간호사의 간호업무 분석 (An Analysis of Nursing Work of Operating Room Nurses)

  • 권성복;박영숙;김동옥;이여진;이은희;조경숙
    • 간호행정학회지
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    • 제14권1호
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    • pp.72-84
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    • 2008
  • Purpose: The purpose of this study was to identify nurses' duties and tasks for job analysis of the nurses in the operating room. Methods: This study was descriptive investigation research using the 3-point likert scale questionnaires and the level of importance, difficulty and the frequency of each duty and task were analyzed. Data were collected by 422 OR nurses from 57 hospitals. Results: Job of OR nurses included 13 duties and 105 tasks. The 13 duties were 'management of operative patient' 'assistive work for operation' 'supportive work for operation' 'infection control in OR' 'management of equipments and instruments for operation' 'administrating medicine for operation' 'supplies management for operation' 'safety management for operation' 'environmental management for operating room' 'administrative work for operation' 'education for operating room personnel' 'development of operation procedure books' and 'elf development of OR personnel' Conclusion: This study identified duties and tasks performed by OR nurses. Based on these results, the importance, frequency, and difficulty in this study will provide research evidence for developing training programs for OR nurses.

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수술용 장갑의 천공률에 대한 연구 (Incidence and Risk Factors for Surgical Glove Perforation)

  • 유선주;임영신;김명숙
    • 임상간호연구
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    • 제16권3호
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    • pp.63-71
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    • 2010
  • Purpose: This study was conducted to evaluate the incidence and risk factors for surgical glove perforation during operation. Methods: During the month of december 2008, a total of 1,400 pairs of surgical gloves used in major operations was collected in a tertiary hospital. All gloves were examined immediately after operation using the standardized water-leak method to detect any perforation. Incidence of the glove perforation was counted according to the type of operation, operation time, the number of involved personnel, perforation sites, and the manufacturing companies. Results: Out of 2,800 gloves examined, 312 perforations were detected comprising 11.1% of samples. In terms of the type of operation, the perforation incidence varied from 5% to 20%, and the perforation rates in CS (20%) and NS (18%) (p<.001) were significantly higher than those in other departments. The 1st assistant or scrub nurse got glove perforation more frequently than the 2nd assistant or operator (p<.001). Longer operation time was associated with higher incidence of perforation evidently (p<.001). In terms of the sites, the thumb and index finger were more frequently perforated than other sites (4.1% and 3.4% respectively) without any differences between left and right side. Conclusion: Risk factors for glove perforation including the department of operation, operation time, participating personnel, and location of perforation should be taken into account to improve surgical safety.

THE RELATION BETWEEN HPA AND COMS MULTI-CARRIER

  • Park Durk-Jong;Yang Hyung-Mo;Hyun Dae-Wan;Ahn Sang-Il;Kim Eun-Kyu
    • 대한원격탐사학회:학술대회논문집
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    • 대한원격탐사학회 2005년도 Proceedings of ISRS 2005
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    • pp.564-566
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    • 2005
  • The relation between HPA (High Power Amplifier) and COMS (Communication Ocean Meteorological Satellite) multi-carrier is analyzed in this paper. MODAC (Meteorological and Ocean Data Application Center) has a primary mission to transmit processed data, HRIT (High Rate Information Transmission) and LRIT (Low Rate Information Transmission), which is normalized and calibrated by pre-processing. It is also replaced with the SOC (Satellite Operation Center) in emergency case and can transmit the command and ranging tones for operation of COMS. From the result of simulation with modelled HPA, it is found that the multi-carrier in one HPA can give rise to an inter-modulation which makes harmonic and spurious elements increase in-band. Under the environment of these increased parasitic elements, the degradation of multi-carrier's quality is estimated from the ratio of the amount of noise to total output power of HPA.

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급성 견봉쇄골관절 탈구에서 변형된 Phemister 술식과 C-C sling 술식의 결과 비교 (The Surgical Treatment of Acute Acromioclavicular Joint Dislocation Using C-C Sling Method and Modified Phemister Operation)

  • 전철홍;심대무;정을오;이종명;이병창;김정우
    • Clinics in Shoulder and Elbow
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    • 제9권1호
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    • pp.60-67
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    • 2006
  • Purpose: The purpose of this study was to compare the method of using coraco-clavicular (C-C) sling with modified Phemister operation by postoperative clinical results, radiologic analysis and complications. Materials and Methods: 33 patients of acromioclavicular joint dislocation were included in this study. Thirteen patients were treated with simple C-C sling method and twenty patients were treated with modified Phemister operation. The assesment of clinical and radiological evaluation were performed and the final results were examined by using the Weitzman's classification. Results: In the final result of C-C sling method group, forward elevation $161^{\circ}$, external rotation $70^{\circ}$, internal rotation T8 level, Visual Analogue Scale (VAS) 83.3 points were checked. In modified Phemister operation group, forward elevation $155^{\circ}$, external rotation $67^{\circ}$, internal rotation T6 level, VAS 83.8 points were checked. In coracoclavicular distance of C-C sling method group, pre-operation 12.82 mm and last follow up 8.37 mm were checked. In modified Phemister operation group, pre-operation 12.8 mm and last follow up 7.7 mm were checked. In functional evaluation by the Weitzman criteria, C-C sling group had excellent 8, good 1, fair 1 and modified Phemister group had excellent 13, good 4, fair 3. Conclusion: C-C sling method would be the better than the Modified Phemister operation because of short operation time and smaller skin incision.

LRIT DESIGN OF COMS

  • KOO In-Hoi;PARK Durk-Jong;SEO Seok-Bae;AHN Sang-Il;KIM Eun-Kyou
    • 대한원격탐사학회:학술대회논문집
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    • 대한원격탐사학회 2005년도 Proceedings of ISRS 2005
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    • pp.305-308
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    • 2005
  • The COMS, Korea's first geostationary multipurpose satellite program will accommodate 3 kind of payloads; Ka-Band communication transponder, GOCI (Geostationary Ocean Color Imager), and MI (Meteorological Imager). MI raw data will be transferred to ground station via L-band link. The ground station will perform image data processing for raw data, generate them into the LRIT/HRIT format, the user dissemination data recommended by the CGMS. The LRIT/HRIT are disseminated via satellite to user stations. This paper shows the COMS LRIT data generation procedure based on COMS LRIT specification and its verification results using the LRIT user station.

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GOES-9 Raw Data Acquisition & Image Extraction

  • Kang C. H.;Park D. J.;Koo I. H.;Ahn S. I.;Kim E. K.
    • 대한원격탐사학회:학술대회논문집
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    • 대한원격탐사학회 2005년도 Proceedings of ISRS 2005
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    • pp.582-585
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    • 2005
  • The Geostationary Operational Environmental Satellite (GOES) 9, which is currently located at 155°E geostationary orbits, has transmitted earth observation data acquired by imager to CDA at NOAA. After the acquisition on ground, observation data are corrected on ground and re-transmitted to GOES-9 for the dissemination to users. In this paper, the procedure and result from raw data acquisition and pre-processing for earth observation imagery retrieval from GOES-9 Raw data acquired in Korea at May 2005 are introduced.

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Analysis on Processing Timeline of COMS LHGS Design

  • Bae, Hee-Jin;Koo, In-Hoi;Seo, Seok-Bae;Ahn, Sang-Il;Kim, Eun-Kyou
    • 대한원격탐사학회:학술대회논문집
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    • 대한원격탐사학회 2006년도 Proceedings of ISRS 2006 PORSEC Volume I
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    • pp.216-219
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    • 2006
  • This paper analyzes on LHGS (LRIT/HRIT Generation Subsystem) processing timeline for COMS LHGS design. The LHGS shall transmit LRIT/HRIT (Low Rate Information Transmission/ High Rate Information Transmission) data to the users within 15 minutes after the end of the image acquisition. So, this paper performs experiment using MTSAT-1R LRIT/HRIT (11 days) and calculates minimum LHGS processing time. Only HRIT FD (Full Disk) image is considered in this paper because data size of HRIT FD image is the largest. As a result of experiment, COMS LHGS should be able to receive MI Level 1B product within 157 seconds at least.

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직렬형 플러그인 하이브리드 전기 버스의 엔진 구동 전략에 따른 시뮬레이션 기반 연비 분석 (Analysis of Fuel Economy for Series Plug-in Hybrid Electric Bus according to Engine Operation Strategy Based on Simulation)

  • 김진성;이치범;박영일
    • 한국자동차공학회논문집
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    • 제22권5호
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    • pp.102-107
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    • 2014
  • Because of high oil prices and emission gas problems, many governments tighten regulation of fuel economy and emission gas. For Passenger car, there are many researches for plug-in hybrid electric vehicles and they are being manufactured. On the other hand, there are few researches for plug-in hybrid electric bus that is heavy commercial vehicle. In this study, analysis of fuel economy for series plug-in hybrid electric bus according to engine operation strategy based on simulation is conducted. Forward simulator is developed using Autonomie. Engine operation strategies consist on constant engine operation strategy and engine on/off operation strategy. Considering the engine operation strategy, results of vehicle speed, engine operating points and fuel economy are obtained and analyzed. As a result, engine on/off operation strategy has more advantage than constant engine operation strategy in terms of fuel economy.