• 서비스연구
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• 제13권4호
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• pp.113-130
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• 2023

본 연구는 환자와 의료진의 경험을 중심으로 상급종합병원 권역응급의료센터의 서비스디자인을 적용한 단일 사례 연구이다. 서비스디자인 기법을 활용하여 의료 서비스 경험을 측정 및 개선하고, 그 효과를 검증하는 것을 목표로 한다. 환자와 의료진으로부터 심층적인 경험 데이터를 수집하기 위해 민족지학(ethnography)과 디자인 워크숍을 중심으로 한 질적 사례 연구를 진행했다. 이 연구는 응급 의료 서비스에서 직면한 문제에 특히 중점을 두고 환자와 의료진 간의 주요 경험 차이를 확인하였으며, 권역응급의료센터 환경의 복잡한 역학을 이해하기 위해 환자와 의료진 인터뷰, 디자인씽킹 워크숍을 통해 수집된 정성 데이터를 대해 종합적으로 분석하고 디자인에 반영했다.연구 결과, 환자와 의료진의 요구를 반영한 디자인 현황을 3가지 주요 측면인 소통 개선, 환자 흐름 관리, 환경 개선의 필요성이 강조되었으며, 환자와 의료진 두 그룹의 특정 요구 사항의 차이점을 분석하여 권역응급의료센터의 서비스 개선을 위해 디자인 주도의 실행 과정을 적용 할 수 있었다. 이 연구는 의료 분야에서 디자인의 역할과 중요성을 강조하며, 이론적인 연구와 실제 디자인 실행 간의 효율적인 방법을 제시하고 있다. 이를 통해 더욱 빠르고 효과적이며 만족도가 높은 의료 서비스 환경을 만드는 데 기여할 수 것이다. 그리고 서비스디자인이 환자와 의료진 모두의 만족을 위한 새로운 혁신 과정의 핵심으로 보는 새로운 계기가 되기를 기대한다.

• 대한한의학원전학회지
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• 제22권4호
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• pp.15-28
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• 2009

Traditional korean medicine which has long history and many clinical experiments stands out in bold relief because the medicine's point of view has been changed from medical treatment to disease protection and the wellbeing life through health care and complementary alternative medicine has been emerged for the incurable disease. Many traditional korean medical research has been conducted in the fields of preventive medical application, leading material drawing and medical service upgrade through eastern and western medical treatment and the more advanced project are being studied as time goes by. But because we have the hardship of manifesting traditional korean medicine's knowledge into detailed data and information in the field of analytical science and we don't have well arranged research trend data of it, researchers are using much time to survey the preceding research and planners needing more accurate research trend data to protect duplication and raise efficiency. So we have studied the traditional korean medicine's research trend to solve this problems by the method of bibliography applied for the preceding project results. Through the analysis of traditional korean medicine's 370 project reports we came to a conclusion that the R&D investment is concentrated on the university and research institute, the utilization projects are lower than basic and applied research, regional snobbism is excessive than the whole nation's R&D and advanced project has been started since 2006.

• 대한간호학회지
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• 제42권5호
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• pp.749-758
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• 2012

Purpose: The purpose of this study was to develop a tool for measuring the intra-operative caring as perceived by regional anesthesia patients. Methods: A preliminary instrument with 54 questions, based on a literature review and semi-structured interviews with 11 regional anesthesia patients, was developed. A group of experts revised individual questions, and 34 questions were finally selected. This tool was tested with 137 regional anesthesia patients admitted to D university hospital in B city from August to October 2008. Results: The validity and reliability of the tool were tested using factor analysis. After item analysis, one question with a correlation coefficient under .30 was discarded After performing factor analysis on the final 33 questions, 7 factors were identified; holistic needs fulfillment, consideration, protective environment, cautiousness, concern, information, physical comfort. The total variance shown in the test was 73.5%. A Cronbach alpha of 0.96 showed the reliability of the instrument. Conclusion: Results of this study indicate that the tool is statistically reliable and valid to measure the intra-operative caring perceived by regional anesthesia patients. This tool can be utilized usefully in assessing the effects of nursing interventions for regional anesthesia patients.

• 한국식품저장유통학회지
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• 제17권2호
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• pp.275-280
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• 2010

포도주와 포도즙 등 가공품의 생산 후 대량 발생되는 포도 부산물(포도박)의 이용도를 제고하기 위하여 포도박을 조건을 달리하여 추출 농축하여 분말을 제조하여 그 특성을 조사하였다. 물은 용매로 추출한 농축 분말의 경우 가용성 고형물의 함량이나 기능성 성분의 함량이 낮게 나타났으며 카테킨의 경우에서는 에탄올 추출물에서는 검출되지 않은 EGCg를 함유하였다. 에탄올 추출 농축 분말은 가용성 고형물의 함량이 높으며 기능성 성분인 카테킨과 레스베라트롤의 함량이 높게 나타났다. 카테킨은 포도박을 분쇄 후 추출한 경우가 분쇄하지 않았을 때보다 약 1.5배의 함량 증가를 나타냈다. 그러나 레스베라트롤은 분쇄하지 않고 추출한 시료가 더 높게 나타났다. 건본 연구의 결과 포도박 추출 분말은 에탄올로 추출하고 추출 전 분쇄한 것은 카테킨의 함량이 높고 분쇄하지 않은 것은 레스베라트롤의 함량이 높았으며 5% 덱스트린을 첨가하여 건조 한 것이 기능성 성분을 가장 많이 포함하였다.

• Journal of Trauma and Injury
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• 제34권3호
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• pp.187-190
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• 2021

A 91-year-old female presented to Chonnam National University Hospital Regional Trauma Center with a lateral compression type III fracture of the pelvis. She was managed non-operatively for a week in the intensive care unit under close observation and had an emergency operation due to delayed onset of an acute obstructed direct inguinal hernia. Traumatic abdominal wall hernias are rare. However, trauma surgeons should always be aware of the possibility of such injuries because of their critical consequences.

• 한국컴퓨터정보학회논문지
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• 제25권11호
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• pp.239-244
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• 2020

본 연구는 광주지역 권역응급의료센터에 내원한 환자의 의료정보를 기초로 외상의 중등도별 특성 분석을 통한 손상발생의 위험요소를 파악하여 손상예방대책을 위한 보건예방정책 제언 및 기초 자료를 마련하는데 목적이 있다. 2019년 9월 1일부터12월 31일까지 4개월간 응급의료센터에 내원한 2585명의 환자를 대상으로 손상외인 관련성을 연구의 통계학적 분석을 위하여 SPSS-Window(ver. 20.1)프로그램을 이용하였다. 연구 분석결과는 다음과 같다. 응급의료센터에 내원한 손상 환자 중 전체 2585명 환자에서 성별은 남성(61.3%)이 여성(38.7%)보다 더 많았으며, 20대에서 50대까지의 연령층에서 발생률이 높았으며 중증도를 감안하면 50대(16.8%)의 연령층이 가장 많았다(P<.001). 둘째, 중등도에 따른 손상외인의 발생장소로는 도로 및 교통지역(35.1%)이 가장 높았다(P<.001). 셋째, 중등도에 따른 손상발생의 시간은 12-18시(35.8%)로 높았다(P<.001). 넷째, 중등도에 따른 손상부위는 두부 및 안면부(55.4%)에서 가장 높았다(P<.001). 다섯째, 중등도에 따른 손상 유형은 열린상처(31.2%)에서 높았다(P<.001). 향후 손상에 대한 지속적인 관심과 연구로 외상환자 등 중증도별 특성에 따라 구체적인 보건예방정책 수립이 요구된다.

• Journal of Trauma and Injury
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• 제26권3호
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• pp.190-197
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• 2013

Purpose: Trauma is one of the major cause of death in Korea. This study focused on the survival rate and the neurologic outcome for patients with traumatic cardiac arrest (CA) at one emergency center. Methods: We retrospectively reviewed the medical records of patients with traumatic CA who were seen at a regional emergency medical center from January 2010 to December 2011. From among major trauma patients at that medical center, adults older than 18 years of age who had CA were included in this study. CA included out-of-hospital CA with arrival at the Emergency Department (ED) within three hours and in-hospital CA. We checked the survival rate and the neurologic outcome. Results: A total of 61 patients were analyzed: 32 patients had return of spontaneous circulation (ROSC), 6 patients survived to discharge (survival rate: 9.84%), and 4 were still alive 90 days after discharge. The Cerebral performance category (CPC) scores at 6 months after discharge showed 1 good and 5 poor in neurologic outcomes. Factors such as initial rhythm of CA, part with major injury, Revised Trauma Score (RTS) and pH, were significant for ROSC, survival, and neurologic outcome in patients with traumatic CA. Conclusion: In this study, patients who had traumatic CA showed a 9.84% survival rate and a 1.64% good neurologic outcome. The results are poorer than those for CA caused by disease. Multi-center, prospective studies are needed.

• 농촌의학ㆍ지역보건
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• 제43권2호
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• pp.74-84
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• 2018

Objectives: The purpose of this study is to compare the perceptions of the rural healthcare service improvement project' performance and reorganization of public health centers between project staffs and local residents. Methods: Data collection from this study was performed in 141 project areas using structured questionnaires. Data analysis was used in SPSS 22.0 version. Results: The public health center staffs were more positive about the items for improving health facilities than the local residents. Residents in the Si area generally perceived performance as more positive than residents in the Gun area, while public health center staffs in the Gun area perceived performance as more positive than public health center staffs in the Si area. Local residents expressed negative opinions about the reduction in the number of branches of public health clinics and health medical clinics. Conclusions: In conclusion, careful improvement projects for rural health care and the establishment of health care systems will be necessary, reflecting the opinions of local residents, along with a variety of regional characteristics.

• Tuberculosis and Respiratory Diseases
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• 제71권2호
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• pp.126-133
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• 2011

Unilateral pulmonary artery hypoplasia (UPAH) is a rare disease in adults and is frequently accompanied by a congenital cardiac anomaly at a young age. The diagnosis is usually based on computed tomography (CT), angiography, and magnetic resonance imaging (MRI). However, no reports are available on retrograde flow in patients with UPAH. We describe a 68-year-old man with isolated UPAH and retrograde blood flow. He was admitted for dyspnea on exertion for the past 23 years. His diagnosis was delayed, as his symptoms and signs mimicked his underlying pulmonary diseases, such as emphysema and previous tuberculous pleurisy sequelae. A discrepancy was detected between the results of a ventilation-perfusion scan and the CT image. This was resolved by MRI, which showed retrograde blood flow from the right to the left pulmonary artery. Using MRI, we diagnosed this patient with isolated pulmonary artery hypoplasia and retrograde flow.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제27권1호
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• pp.35-44
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• 2021

Purpose: To presenting basic data for the spatial composition required when planning the future department of rehabilitation medicine by analyzing the spatial composition of the location, size, area, and plan type of the rehabilitation department of the Regional Public Hospital. Methods: 3 Methods have been used in this paper. 1) Analyzing drawings to derive the net floor area of each room. 2) A literature survey about rehabilitation healthcare system. 3) Observation survey for user circulation analysis. Results: 1) Rehabilitation is an overall process of treatment that helps to play a role as an individual in society, away from the perspective of treating physical damage. The Department of Rehabilitation Medicine of the local medical center must provide rehabilitation medical services corresponding to the recovery and maintenance period for community rehabilitation. 2) The Department of Rehabilitation Medicine can be classified into diagnostics area, examination area, treatment area, management area, and interface area based on the rehabilitation treatment process. Implication: It can be used as basic data when planning related facilities by analyzing the characteristics of the space plan of the required room according to the relationship between activities, movement lines, and operation plans based on user behavior.