• 제목/요약/키워드: health care system

검색결과 2,932건 처리시간 0.026초

구급차 내부 디자인 개선에 관한 연구 (A study on improving the interior design of ambulance)

  • 신동민;박시은;박신혜
    • 한국응급구조학회지
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    • 제17권3호
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    • pp.9-20
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    • 2013
  • Purpose: This research project addressed the need to designing more safe and efficient interior of the future ambulance in Korea. Methods: The study sample contained 760 paramedics in 4 districts. Data was collected by using a revised and complemented questionnaire based on literature review. Results: In relation to the efficacy and safety of work, answers related to storage closet showed to be the highest, and the most difficult part of paramedic work in an ambulance was lurching. CPR is the most frequently used emergency care inside an ambulance, but 66% of the paramedics responded that accurate CPR is not possible during vehicle transfer. Safety belts are not worn for 82.8% of the time, because of discomfort (51.3%). 13.8% of the paramedics responded that stretchers are unstable, 29.5% had an experience of having patients fall off the stretcher inside an ambulance. There were comments on installing equipments to prevent noise, and assist communication. Conclusion: The suggested practical layout contains five main modifications 1. Developing specially designed belt is needed for paramedic safety & efficient work. 2. The seats are molded to be ergonomically friendly. 3. Equipments to secure the body and safety devices for CPR are needed. 4. System improvement for communication between the driver seat and paramedics is needed. 5. The stretchers are molded to be maximize efficiency and minimize injury.

Rapid Isolation of Cyanidin 3-Glucoside and Peonidin 3-Glucoside from Black Rice (Oryza sativa) Using High-Performance Countercurrent Chromatography and Reversed-Phase Column Chromatography

  • Jeon, Heejin;Choi, Janggyoo;Choi, Soo-Jung;Lee, Chang Uk;Yoon, Shin Hee;Kim, Jinwoong;Yoon, Kee Dong
    • Natural Product Sciences
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    • 제21권1호
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    • pp.30-33
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    • 2015
  • Anthocyanins are water soluble plant pigments which are responsible for the blue, red, pink, violet colors in several plant organs such as flowers, fruits, leaves and roots. In recent years, anthocyanin-rich foods have been favored as dietary supplements and health care products due to diverse biological activities of anthocyanins including antioxidant, anti-allergic, anti-diabetic, anti-microbial, anti-cancer and preventing cardiovascular disease. High-performance countercurrent chromatography (HPCCC) coupled with reversed-phase medium pressure liquid chromatography (RP MPLC) method was applied for the rapid and efficient isolation of cyanidin 3-glucoside (C3G) and peonidin 3-glucoside (P3G) from black rice (Oryza sativa L., Poaceae). The crude black rice extract (500 mg) was subjected to HPCCC using two-phase solvent system composed of tert-butyl methyl ether/n-butanol/ acetonitrile/0.01% trifluoroacetic acid (TBME/B/A/0.01% TFA, 1 : 3 : 1 : 5, v/v, flow rate - 4.5 mL/min, reversed phase mode) to give enriched anthocyanin extract (37.4 mg), and enriched anthocyanin extract was sequentially chromatographed on RP-MPLC to yield C3G (16.5 mg) and P3G (8.7 mg). The recovery rate and purity of isolated C3G were 76.0% and 98.2%, respectively, and those of P3G were 58.3% and 96.3%, respectively. The present study indicates that HPCCC coupled with RP-MPLC method is more rapid and efficient than multi-step conventional column chromatography for the separation of anthocyanins.

한.양방 협진에 대한 의사들의 인식변화 - 국내 문헌에 대한 체계적 고찰 - (Changes in the Attitudes of Doctors toward Cooperative Practices between Western Medicine and Traditional Korean Medicine - A Systematic Review in Korean Literature -)

  • 민현주;류지선;윤영주
    • 대한예방한의학회지
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    • 제16권1호
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    • pp.15-29
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    • 2012
  • Background : With the increase of cooperative practices (CP) between conventional western medicine and traditional Korean medicine, there have been lots of researches on the status of CP and the attitude of doctors. Objective : Since most of the research is cross-sectional, this study aims to figure out the changes in the attitude of doctors toward CP through systematic review. Method : Systematic literature searches were performed on several databases in Korea. They were categorized according to the respondents and question items and analyzed by the context of questions, similarity of respondents and measurement scale. And we analyzed the changes of response regarding to doctors' awareness and attitude to CP. Results : Thirteen survey studies including attitude of doctors toward CP were selected. These studies were conducted between 1997 and 2009 and the number of respondents of each study ranged from 20 to 702. There has been increasing awareness of CP among doctors ; however the positive responses on the necessity of CP has decreased. Regarding the type of illness effectively treated employing CP, there was a shift from neurovascular to musculoskeletal and immune diseases. Most of the studies listed different approaches to disease, prejudice of health care providers and inadequate legal system as major obstacles against CP. Conclusion : In spite of the increase of CP in the last 20 years, there has not been marked positive change in the doctors' attitude toward CP. To promote CP, it is required to confirm the effectiveness of CP through disease models and change the medical legislation policies on CP.

계절(季節)에 따른 헤어컬러 변화(變化)에 관(關)한 연구(硏究) - 2003 $\sim$ 6년 여성잡지(女性雜誌)에 나타난 헤어컬러 트렌드를 중심(中心)으로- (A Study on the Seasonal Changes of Hair Color - Centered on 2003 $\sim$ 6' hair color trends published on women's magazines -)

  • 안현경
    • 패션비즈니스
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    • 제11권1호
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    • pp.1-14
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    • 2007
  • This study was aimed at giving help to the people intending to change their own hair color design and also providing the guide line to the cosmetic circles for developing new hair color design and promoting sales by statistically analyzing seasonal changes of hair colors puplished on women's magazines(Vogue Korea, Estetica Korea, Woman Chosun, Ce.ci) from 2003 to 2006. The researching methods were as follows; (1) hair colors published on women's magazines from september 2003 to August 2006 were measured by N.C.S. color reader(4 magazines $\times$10 main hair colors/magazine $\times$ 12 months $\times$ 3 years = 1,440 colors). (2) N.C.S. tone is made of percentage, so measured values and chromas were statistically analyzed by mean, standard deviation, and seasonal deferences were statistically analyzed by t-test and specified on high significant values. But hues were not made of percentage, so these were statistically analyzed by cross tabulation analysis, $x^2$ -test and specified on high significant values. These all had been analyzed by SPSS program(ver. 11.0). The results were as follows; (1) Usually seasonal changes of hair values were significant, specially in foreign licensed magazines, and bright values appeared in S/S and dark values in F/W. (2) Seasonal changes of hair hues were significant only on foreign women's magazines. Therefore seasonal changes of korean hair colors were not significant compared by foreign hair colors because of hardness of color changes of dark black hair and hair damages by hair tints and bleaches and trends of well being and hair care. But hair color changes have been developed gradually and will developed furthermore. So korean hair cosmetic circles have to present hair color trends deferenciated by seasons. And S/S hair values have to be brignt and F/W have to be dark. And new seasonal hair hues matched by korean have to be developed and presented.

사용자 성향에 따른 스마트폰 품질특성 분석 (Analysis of Smartphone Quality Attributes According to User Tendency)

  • 박종훈;이상천;홍정식
    • 산업경영시스템학회지
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    • 제42권4호
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    • pp.153-164
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    • 2019
  • Since the appearance of smartphones, the smartphone market has been in fierce completion by new technologies and marketing trends. The smartphone market is now somewhat saturated, and the manufacturers are trying to improve their position in the market through the repurchase of existing customers and the influx of competitors. At the same time, customers have their own purchasing criteria for smartphones. Therefore, manufacturers need to determine new technology and marketing trends based on customer purchasing trends and usage characteristics. The aim of this study is to analyze the quality attributes of smartphones. We conducted a survey on 220 respondents, and divided the respondents into several groups by purchasing trends and usage characteristic through cluster analysis. The groups are analyzed and compared based on the Kano model for the quality attributes of smartphone. The analysis result are as follows. Firstly, purchasing trends divide responders into groups that prefers high-end premium smartphones and those that take into account practicality in terms of purchasing trends. Secondly, usage characteristic divide responders into three groups: those with clear usage pattern, those who prefer ease of use, and the rest, and we find out that those with clear usage pattern are important customer in viral marketing. Lastly, Kano analysis is revealed the 'Slow/hi-speed camera', 'Private mode', 'Widget', 'Health care' are attractive quality attributes.

HPV and Cervical Cancer Epidemiology - Current Status of HPV Vaccination in India

  • Chatterjee, Sharmila;Chattopadhyay, Amit;Samanta, Luna;Panigrahi, Pinaki
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권8호
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    • pp.3663-3673
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    • 2016
  • Cervical cancer (CaCx) is the second most fatal cancer contributing to 14% of cancers in Indian females, which account for 25.4% and 26.5% of the global burden of CaCx prevalence and mortality, respectively. Persistent infection with high-risk human papilloma virus (HPV- strains 16 and 18) is the most important risk factor for precursors of invasive CaCx. Comprehensive prevention strategies for CaCx should include screening and HPV vaccination. Three screening modalities for CaCx are cytology, visual inspection with acetic acid, and HPV testing. There is no Indian national policy on CaCx prevention, and screening of asymptomatic females against CaCx is practically non-existent. HPV vaccines can make a major breakthrough in the control of CaCx in India which has high disease load and no organized screening program. Despite the Indian Government's effort to introduce HPV vaccination in the National Immunization Program and bring down vaccine cost, challenges to implementing vaccination in India are strong such as: inadequate epidemiological evidence for disease prioritization, duration of vaccine use, parental attitudes, and vaccine acceptance. This paper reviews the current epidemiology of CaCx and HPV in India, and the current status of HPV vaccination in the country. This article stresses the need for more research in the Indian context, to evaluate interventions for CaCx and assess their applicability, success, scalability and sustainability within the constraints of the Indian health care system.

병원감염관리에 대한 문헌적 고찰 (A Study of Literature of the Hospital Infection Control.)

  • 손영희
    • 기본간호학회지
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    • 제2권2호
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    • pp.213-227
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    • 1995
  • Today, although hospital infectious diseases are readily diagnosed, are treatable and preventable, many of these continues to be a major health problem in the developing countries, as well as the advanced nations. In the advanced countries efforts for hospital infection control has been presented but in Korea. The importance of being knowledgeble concerning hospital infection control is not much recognized yet. Presently in Korea good quality of care and services in the hospital is a main issue of discussion, therefore the subject of hospital infection control can't be over emphasized. Hospital infection control measures ranged from almost non existent to none when the pathogen transmission were not fully understood. As the knowledge of the transmission and contraction of the diseases expanded, newer and more effective procedures evolved. To be vital it is required to have good system for hospital infection control and inspection, rules and regulations and many numbers of persons with dedication. The strategy has been applied for hospital infection control standards as outlined by the centers for disease control and prevention(CDC). The hospital infection control committee is the factor to be well managed. Especially nurses are the important part of any hospital infection control program because they are the one who makes function properly. It is also required the responsibility of every employer who has employees who are exposed to blood, blood products or other potentially hospital infectious materials. Laws enacted by agencies of the federal government but the emphasis, and the demands for initiating and maintaining these control measures should be practiced on a routine and daily basis. The forgoing facts and requirements will assist us in assuring our hospital infection control program is successful.

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한국, 미국, 일본의 간호인력 양성 및 활동 현황 비교 (Comparisons of the Nursing Workforce with Japan, and the U.S.)

  • 유선주
    • 디지털융복합연구
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    • 제11권6호
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    • pp.275-287
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    • 2013
  • 본 연구의 목적은 미국과 일본의 간호인력 양성 및 활동현황과의 비교를 통해 현재 우리나라 간호인력 정책 및 관리에 주는 시사점을 도출하는 것이다. 우리나라는 간호사, 간호조무사 및 간호보조인력의 높은 이직율과 이로 인한 간호서비스의 질 저하, 수급관리, 인력관리 비용의 증가 등 간호인력 정책제도 운영에 있어 여러 가지 어려움을 겪고 있으며, 이를 해결하기 위한 다양한 정책방안의 모색이 시급하다. 미국, 일본 등 간호인력 부족에 대한 어려움은 공통적이나, 이들 국가는 간호사 취업률이 우리나라의 40% 수준 대비 70~80% 수준으로 높고, 간호인력 확충을 위한 간호사 배치기준 법제화 및 수가정책, 근로조건 개선 등의 정책 마련이 중요함을 시사하고 있다. 우수한 간호인력의 안정적인 수급을 통해 환자안전 및 간호서비스의 질 향상을 달성하기 위해서는 보건당국의 보다 적극적인 간호인력 확충, 근로조건 개선 의지가 필요하며, 이를 위한 법 제도 개선이 요구된다.

모바일 환경에서 의료 진단 정보 시스템의 구현 및 의료 영상의 적합성 평가 (Implementation of Medical Diagnostic Information System and Conformance Test of Medical Image in Mobile Environment)

  • 조정호;김광현
    • 한국전자통신학회논문지
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    • 제10권6호
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    • pp.713-720
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    • 2015
  • 모바일 환경이 널리 확산되면서 최근 의료진단시스템은 기존 시스템의 지역적 한계를 넘어 시공간의 제약을 받지 않고 제공되고 있다. 또한 무선 인터넷 기술과 모바일 이동 통신 기술이 의료 기술과 융합하며 빠르게 보급되어 발전하고 있다. 의료 서비스 이용자는 다양한 종류의 무선 단말기를 이용하여 이동 중 무선망을 통해 의료 서비스를 제공 받을 수 있다. 본 논문에서는 병원 의료영상 진단 정보를 병원내의 시공간을 벗어나 전송, 검색 및 갱신할 수 있는 의료 진단 정보 시스템을 구현하고 평가하였다. DICOM CT영상과 JPEG 2000 CT압축영상의 비교를 통하여 임상적으로 적합한 영상인지를 t-test를 실시하여 통계적으로 평가한 결과 DICOM CT영상의 경우 평균 평가 값이 비교적 임상적 진단에 적합한 영상임을 확인하였다.

Periodontitis among poor rural Indian mothers increases the risk of low birth weight babies: a hospital-based case control study

  • Jacob, Pulikottil Shaju;Nath, Sonia
    • Journal of Periodontal and Implant Science
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    • 제44권2호
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    • pp.85-93
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    • 2014
  • Purpose: Low birth weight (LBW) is one of the major public health problems in India. Hence, there is a need to identify risk factors that, when modified, will reduce the burden of unhealthy children on the healthcare system. The objective of this study was to determine whether periodontitis among mothers in the rural population of India is a risk factor for LBW babies. Methods: A hospital-based case control study was conducted among 340 postpartum mothers. The cases consisted of 170 women who had given birth to babies weighing <2,500 g, while the control group consisted of 170 women who had given birth to babies weighing ${\geq}2,500g$. Details of the mothers were taken from the hospital records and through a personal interview, and a full-mouth periodontal examination was performed postpartum, which included probing depth, clinical attachment level, and bleeding on probing on six sites per tooth. Results: LBW cases had a significantly worse periodontal status than the controls, having an odds ratio (OR) of 2.94 (P=0.01). The multivariate logistic regression model demonstrated that periodontal disease is a significant independent risk factor with an adjusted odds ratio (aOR) of 2.85 for the LBW group (95% confidence interval [CI], 1.62-5.5). Other factors showing significant associations with LBW were pre-eclampsia (aOR, 4.49; 95% CI, 1.4-14.7), preterm labor (aOR, 5.5; 95% CI, 3.2-9.9), and vaginal type of delivery (aOR, 2.74; 95% CI, 1.4-5.2). Conclusions: Periodontitis represents a strong, independent, and clinically significant risk factor for LBW. Periodontal therapy should form a part of the antenatal preventive care among rural women in India.