• 대한한의정보학회지
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• 제11권2호
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• pp.57-64
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• 2005

Objectives The aim of this study is to evaluate effects of hard board applied to acute low back pain patient by using Visual Analogue Scale(VAS) and Pain Rating Score(PRS). Methods From March. 2005 to October. 2005, 20 cases of acute low back pain were divided into 2 groups in sequence. Control group took a rest on the bed(marble-sponge mattress) and sample group took a rest on the hard board. Visual Analogue Scale(VAS) and Pain Rating Score(PRS) were used to assess the change of pain. VAS and PRS were checked 3 times before the treatment, after 3day treatment and 6day treatment. Results 1. After 3day and 6day treatment, there was statistical significance between control and sample group by VAS. 2. After 3day and 6day treatment, there was statistical significance between control and sample group by PRS. Conclusions On treating acute low back pain, it is more effective taking a rest on the hard board than taking a rest on the bed. Further study is needed about effects of hard board applied to acute low back pain patient.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제25권3호
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• pp.15-23
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• 2019

Purpose: As the medical laboratories in general hospitals have made an efforts on quality management and employee health, they recognized the need of design guideline for clinical laboratory. As laboratories are prohibited to patients, their environments are becoming more congested and deteriorated as time goes by. So, this study investigates the current status of facility and equipment of laboratory medicine focusing on less than three hundred patient bed hospitals, and searches the improving matters. Methods: Questionnaires to technologist captains and field surveys to medical laboratories in korean hospitals have been conducted for the data collection. 18 answers have been analysed statistically by MS Excel program. Results: The result of this study can be summarized into followings. Clinical laboratory functions are all hematology, clinical chemistry, immunology, transfusion and urine microscopy, and except for three including microbiology for infection and bio safety level. Average man power of lab are 12.3 man including lab director and captain. Patient bed number, space area and total specimen numbers are not correlated with each other, but specimen numbers and employee number are correlated with. Work space distances are usually good, but exit distances are not adequate for escape owing to obstacles. Specimen delivery system by courier, test method by automatic analyzer, access floor for exposed plumbing and electricities are more practical. Open lab layed out in the center and lab support layed peripheral in space diagram. Lab space configuration by SD method showed that lab support area and employee support area are dissatisfied. Implications: Specialized hospital and yearly total specimen numbers are related to the space area and organization for laboratory planning and design.

• 한국병원경영학회지
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• 제19권4호
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• pp.9-20
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• 2014

The purpose of this study is to find out factors affecting patient moving to receive medical service. This study is analyzed by multi-level model with patient and hospital level by using SAS 9.3. Total number of patients is 600,000 persons for inpatients and 550,000 patients for outpatients. The degree of the factors, which is combined with personnel factor and hospital factor, can be analyzed by Intra-Class Correlation (ICC). The percentage of group(hospital) level variance of the total variance for out-bound moving case are 30.6% at inpatients, and 28.3% at outpatients. And the percentage of hospital level variance of the total variance for moving distance, are 26.7%, 32,5% respectively. Conclusionally, although the main factor of moving is patient level, hospital is also very important factor to make decision to go out-bound. It contributed to about 1/3 for hospital choice. And, when the one make decision, he will consider the hospital type, number of bed, and training institute in hospital level. Through this study to find out hospital factors affecting patient moving for medical service, it must be continued to find out which factors have more influence to choice the hospital among disease type after this.

• 제어로봇시스템학회논문지
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• 제21권11호
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• pp.1038-1043
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• 2015

When the study on the relationship between the Head-of-Bed (HOB) angle and ventilator-associated pneumonia is performed, the fact that the HOB angle can only be measured intermittently imposes a significant limitation on the study. Therefore, there has been demand for the development of a device that can measure the HOB angle continuously. In this paper, we propose the rapid prototyping of an HOB measurement system using open-source hardware and software. The proposed system helps to maintain the HOB angle at a particular angle by displaying the angle and helps the medical study of pneumonia patients by enabling continuous data acquisition. Firstly, we eliminate the process of making an MCU board by utilizing an open-source hardware mbed LPC1768. Secondly, we reduce the software development time by using libraries and hence enabling the easy use of peripherals. Thirdly, for rapid prototyping, we build the enclosure of the proposed system using a 3D printer. The proposed system can be attached and detached to and from a bed. Therefore, we can attach it to the bed of a patient for whom measurement of the HOB angle is necessary. Finally, we check the measurement performance and the validity of the proposed system through an experiment utilizing an incremental encoder.

• 대한상한금궤의학회지
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• 제7권1호
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• pp.75-85
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• 2015

Objective : This case report presents the effect of Soshiho-tang on Atopic Dermatitis. The patient was diagnosed with Yangmyung-byung based on Shanghanlun provisions. Methods : According to Shanghanlun six meridian patterns diagnostic system, we dianosed the patient as Yangmyung-byung and he had trouble getting out of bed and nighttime itch. The patient was treated with Soshiho-tang. We evaluated the results of treatment by Objective SCORAD Index and pictures. Results : After the treatment, Objective SCORAD Index decreased from 61 to 21.5. And he became to have no trouble in getting up and also nighttime itch vanished. Conclusions : This case report sowed and effectiveness of using Soshiho-tang according to Diagnostic system based on Shanghanlun provisions on Atopic Dermatitis.

• Journal of Korean Neurosurgical Society
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• 제54권4호
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• pp.344-346
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• 2013

A 55-year-old female patient presented with lower back pain and neurogenic intermittent claudication and underwent L3-L4 posterolateral fusion. To prepare the bone fusion bed, the transverse process of L3 and L4 was decorticated with a drill. On the 9th post-operative day, the patient complained of a sudden onset of severe abdominal pain and distension. Abdominal computed tomography revealed retroperitoneal hematoma in the right psoas muscle and iatrogenic right L3 transverse process fracture. Lumbar spinal angiography showed the delayed hematoma due to rupture of the 2nd lumbar artery pseudoaneurysm and coil embolization was done at the ruptured lumbar artery pseudoaneusyrm. Since then, the patient's postoperative progress proceeded normally with recovery of the hemodynamic parameters.

• 성인간호학회지
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• 제26권4호
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• pp.424-433
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• 2014

Purpose: This study was to test the effects of the positional change on low back pain, discomfort, and bleeding complications during the period of bed rest following transarterial chemoembolization (TACE). Methods: The research design for this study was a non-equivalent control group quasi-experimental design. The participants were 23 patients for the experimental group, and 23 patients for the control group. The experimental group received positional change of taking the semi-Fowler's position and the 30-degree lateral position alternatively during the period of bed rest after TACE for 4 hours at one-hour intervals. The control group maintained the supine position continuously during the period of bed rest after TACE. Results: There were statistically significant differences in low back pain and discomfort between the experimental and the control group after intervention. And no significant difference was found in bleeding complication between two groups. Conclusion: The results of the study suggest that the positional change is an effective nursing intervention to reduce low back pain and discomfort without increasing the risk of bleeding after TACE.

• 한국정보통신학회논문지
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• 제21권6호
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• pp.1231-1236
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• 2017

본 연구에서는 폐쇄성 수면 무호흡증을 개선하기 위하여 환자의 자세를 변환 시킬 수 있는 시스템을 구현하고자 한다. 폐쇄성 수면 무호흡증의 원인이 되는 기도 폐쇄는 수면 중 세로로 누운 자세로 변경 시켜 줄 경우 무호흡 증상을 완화 시켜 줄 수 있다. 이러한 자세 변환 시스템을 구현하기 위하여 어레이 형태의 FSR 402 압력센서를 사용하였고, 에어 실린더는 자세변환 시스템인 침대를 들어 올리는데 사용하였다. 본 연구에서 구현된 시스템을 이용하여 누운자세와 세로로 변경된 자세에서 압력센서 값의 차이를 계산하여 자세변환을 확인하였다. 그 결과 누운 자세에서 센서값이 차이는 $0.41{\pm}0.30$ 이고 세로로 자세를 변경하였을 때는 $1.09{\pm}0.73$로 나타났다. 즉, 자세를 변경하여 세로로 누운 자세에서는 센서값의 차이가 크게 나타났다. 그러므로 본 연구에서 제시한 폐쇄성수면 무호흡 환자의 자세변환시스템은 기도를 확보하여 무호흡 증상을 완화시켜 줄 수 있음을 확인하였다.

• 한국콘텐츠학회논문지
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• 제13권12호
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• pp.348-356
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• 2013

본 연구는 전국 11개 국립대병원의 2008-2012년 자료를 이용하여 병원의 의료외수익에 관한 다각적인 분석을 시도하였다. 병원의 의료수익, 의료비용, 의료이익, 의료외수익, 총수익, 의료수익의료이익율, 의료수익경상이익율, 총수익대비의료외수익비율의 연도별 변화와 경영성과, 병상수, 지역에 따른 의료외수익의 차이가 주요 분석대상이다. 본 연구의 주요 결과를 제시하면, 국립대병원의 의료외수익은 2008-2012년 동안 지속적으로 증가하는 것으로 나타났다. 경영성과에 따른 의료외수익은 유의한 차이가 없는 것으로 나타났으며, 병상수가 많고 대도시에 위치할수록 의료외수익의 규모가 큰 것으로 나타났다. 본 연구의 결과는 병원의 수익성 다각화를 통해 경영 개선을 제고하기 위한 객관적 자료로 활용될 수 있을 것이다.

• 산업공학
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• 제23권3호
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• pp.246-256
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• 2010

As wireless and mobile technologies have advanced significantly, lots of large sized healthcare organizations have implemented so called mobile hospital (m-Hospital) which provides a location independent and point of care (POC) clinical environment. Implementation of m-Hospital enhances quality of care because health professionals such as physicians and nurses can use hospital information systems at the very place where patients are located without any delay. This paper presents a real-time patient monitoring system based on wireless network technologies. A general framework for the patient monitoring process is introduced and the architecture and components of the proposed monitoring system is described. The system collects and analyzes biometric signals of in-patients who suffer from cancer. Specifically, it continuously monitors oxygen saturation of patients in bed and alarms health professionals instantly when an abnormal status of the patient is detected. The monitoring system has been used and clinically verified in a university hospital.