• Title/Summary/Keyword: hospital efficiency

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A STUDY ON THE BONE MINERAL DENSITY OF ILIAC AND TIBIAL BONE USING DUAL ENERGY X-RAY ABSORPTIOMETRY (이중에너지 방사선 흡수계측법을 이용한 성인 남녀의 장골 및 경골의 골밀도에 관한 연구)

  • Cho, Yong-Seok;Kim, Kyoung-Won;Lee, Keong-Ho;Park, Hyun-Jin;Seo, Sang-Su;Oh, Sang-Youp
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.22 no.3
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    • pp.265-273
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    • 2000
  • Purpose : The aim of this study was to evaluate the bone mineral density of iliac and tibial bone which are frequently selected as autogenic bone graft donor sites, and to evaluate the efficiency of this method as a guideline for the selection of bone graft donor site. Materials and Methods : In this study 61 male and 70 female volunteers at Chungbuk National University Hospital were involved between Jan. 1998 to Sept. 1999. We measured bone mineral density of the iliac and the tibial bone using dual energy X-ray absorptiometry. We evaluated the data using the SAS system for Windows and bone mineral density of the lumbar was used for control. Results : Age showed the highest correlation in correlation matrix between physical and bone variables. Height and weight showed lower correlation of linear increment. In man, the change of bone density according to age demonstrated linear decrease irrespective of the lumbar, ilium, and tibia. In woman, the change of bone density according to age showed cubic form, which increased in the third and forth decade. So it had a peak bone mass on about 35 year-old, thereafter, the change of bone density slowly decreased until 50 year-old, but it rapidly decreased after 50 year-old and it slowly decreased again after 65 year-old. Both in all subjects and subject with osteoporosis, the change of bone mineral density according to age showed statistically significant decrease in lumbar and tibia, but ilium was irrespective. Conclusion : In patients of aged or with osteoporosis, ilium demonstrated less tendency of decrease in bone mineral density than tibia. So this preliminary study suggested that ilium seemed better donor site for autogenic bone graft than tibia.

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Effects of Vibration Stimulation Method on Upper Limbs Spasticity in Patients with Brain Lesion (진동자극 방식이 뇌병변 환자의 상지경직에 미치는 영향)

  • Bae, Sea-Hyun;Kim, Kyung-Yoon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.7
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    • pp.3109-3116
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    • 2011
  • We studied the effects of vibration stimulation method on upper limbs spasticity in patients with brain lesion. 21 patients with spasticity of the upper limbs selected and divided randomly 3 groups. And then vibratory stimulation was applied to the triceps brachii muscle in group I(n=7), to biceps brachii muscle in group II (n=7), and to both muscles in group III (n=7). Using Neuro-EMG_Micro to investigate the changes in spinal neuronal excitability, F-waves were measured at before and directly after stimulation, and 10 minutes later and 20 minutes later after stimulation especially. MAS(Modified Ashworth Scale) test for muscle tone and MFT(Manual Function Test) for the upper extremity motor function were performed before stimulation and 20 minutes later after stimulation for the purpose of clinical evaluation. In our study, MAS was significant decreased in all groups, F wave and F/M ratio parameters were decreased in all groups and more decreased specially in group III. MFT was increased in group II and III, and more increased specially in group III. Vibration stimulation reduced the neuronal excitability of spinal cord and also muscle tone, and improved the motor function of the upper extremity. These results suggested that vibration stimulation giving to both muscles(triceps and biceps brachii muscle) at the same time was more efficiency in reducing the neuronal excitability of spinal cord and improving the motor function of the upper limbs.

Correlation between Self-evaluation Factor and Academic Achievement of Medical Students according to Introduction of Explanation Meeting in Cadaveric Dissection (해부설명회의 도입에 따른 의학전문대학원생들의 자기 평가 요인과 학업성취도 상관관계 분석)

  • Park, Jeong-Hyun;Kim, Jee-Hee;Kim, Kwang-Hwan
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.7
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    • pp.2475-2482
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    • 2010
  • This study aimed to evaluate correlation between self-evaluation factors(satisfaction, linkage with major, suitability of management, verbal and non-verbal communication) and academic achievement of medical students according to introduction of explanation meeting in cadaveric dissection. The study was carried out that medical students(n=57) explained cadaveric structure to health allied sciences students and discussed with each other. Just after the meeting,, medical students filled out a questionnaire on impact of self-evaluation factors and communication. We analyzed these factors and their scores using frequency analysis, T-test and analysis of variance. Regardless of their gender, age, previous experience, the majority of the students gave high scores in all of self-evaluation factors. Among them, only verbal communication factor was closely related to their academic achievement(p<0.05). The verbal and non-verbal communication also had a high correlation of 0.673(p<0.01). The explanation meeting provided chance to learn further with positive attitude to medical students and motivated them academically. Additionally, they realized that communication skill played a key role in transmitting medical knowledge to others. Therefore, introduction of communication-based explanation meeting would be very useful tool in improving educational efficiency.

Marinelli Beaker Measurement and Self Absorption Correction and Application for Various Environmental Samples in Monte Carlo Simulation (몬테카를로 시뮬레이션에서의 다양한 환경 샘플에 대한 Marinelli 비이커 측정 및 자기 흡수 보정과 적용)

  • Jang, Eun-Sung;Gim, Yang-Soo;Lee, Sun-Young
    • Journal of radiological science and technology
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    • v.40 no.4
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    • pp.605-611
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    • 2017
  • The structure of the actual detector was computed using the code of the PENELOPE. Using the standard mixed sources (450, 1,000 ml), compare the effectiveness of each energy according to various densities and height of the PENELOPE computer simulation, and calculate the effectiveness of the various environmental specimens and apply them to various environmental specimens to determine the lower limit. The values obtained by the obtained value were obtained by applying the obtained efficiency to the actual environmental specimens and obtaining the lower limit values. The density correction factor is 1.155 g of the density correction factor of $0.4g/cm^3$ (59.54keV), 1.153 (661 keV), $1.06g/cm^3$ 1.064 (1,836.04keV), 1.03, and 1.033. It was confirmed that the radioactivity concentration of environmental samples decreased as the amount of specimen was measured increases, and the MDA value decreased as time measured increases.

Effect of Non-homologous Spacing in Target DNA Sequence on the Frequency of Cloning Based Homologous Recombination (Target DNA 염기서열 내에 존재하는 비상동성 간격이 상동성재조합을 이용한 클로닝 빈도에 미치는 영향)

  • Kim Jae-Woo;Do Eun-Ju;Yoon Se-Lyun;Jeong Yun-Hee;Yoon Young-Ho;Leem Sun-Hee;Sunwoo Yangil;Park In-Ho
    • Korean Journal of Microbiology
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    • v.41 no.4
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    • pp.239-245
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    • 2005
  • Transformation-Associated Recombination (TAR) cloning technique allows selective isolation of chromosomal regions and genes from complex genomes. The procedure requires knowledge of relatively small genomic sequences that reside adjacent to the chromosomal region of interest. This technique involves homologous recombination during yeast spheroplast transformation between genomic DNA and a TAR vector that has 5' and 3' gene targeting sequences. In this study, we examined the effect of non-homologous spacing sequence in target hooks on homologous recombination using a plasmid model system. The efficiency of homologous recombination between the modified his3-TRP1-his3 fragments and HlS3 gene on plasmid were analyzed by the characterization of $Ura^+$ transformants. The numbers of $Ura^+$ transformant showed same level when seven different modified his3-TRP1-his3 fragments were used. But the percentage of positive recombinants. $Trp^+His^-$, dramatically decreased when used the modified his3-TRP1-his3 fragments contained incorrect spacing of nonhomologous region. As a result, we suggest that incorrect spacing inhibits the homologous recombination between target hook and substrate DNA. Therefore, we should consider the correct spacing in target hook when the target hook are used for cloning of orthologue gene.

An Efficient Personal Information Collection Model Design Using In-Hospital IoT System (병원내 구축된 IoT 시스템을 활용한 효율적인 개인 정보 수집 모델 설계)

  • Jeong, Yoon-Su
    • Journal of Convergence for Information Technology
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    • v.9 no.3
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    • pp.140-145
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    • 2019
  • With the development of IT technology, many changes are taking place in the health service environment over the past. However, even if medical technology is converged with IT technology, the problem of medical costs and management of health services are still one of the things that needs to be addressed. In this paper, we propose a model for hospitals that have established the IoT system to efficiently analyze and manage the personal information of users who receive medical services. The proposed model aims to efficiently check and manage users' medical information through an in-house IoT system. The proposed model can be used in a variety of heterogeneous cloud environments, and users' medical information can be managed efficiently and quickly without additional human and physical resources. In particular, because users' medical information collected in the proposed model is stored on servers through the IoT gateway, medical staff can analyze users' medical information accurately regardless of time and place. As a result of performance evaluation, the proposed model achieved 19.6% improvement in the efficiency of health care services for occupational health care staff over traditional medical system models that did not use the IoT system, and 22.1% improvement in post-health care for users who received medical services. In addition, the burden on medical staff was 17.6 percent lower on average than the existing medical system models.

Design and development of clear aligner management system using QR code (QR 코드를 활용한 투명 교정장치 관리 시스템 설계 및 개발)

  • Jang, Jin-Su;Son, Ho-Jung;Sim, Ji-Young;Kang, Sin-Yeong;Moon, Jun-Mo;Lee, Tae-Ro
    • Journal of Digital Convergence
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    • v.17 no.9
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    • pp.185-192
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    • 2019
  • The introduction of smart technology provides accuracy, safety, and efficiency to both physicians and patients. Although interest in a clear aligner is increasing among users worldwide, the current clear aligner requires a visit to the hospital every one or two weeks for replacement, which is a very cumbersome process. There is also confusion among dentists and patients because about 40 to 80 devices are made, and calibration is done based on the order and duration of the clear aligner. Therefore, this study designed and developed a clear aligner management system so that communication between the patient and dentist can be smoothly performed by inserting the QR code into the transparent correction device. As a result, the size of the QR code was recognized as $6{\ast}6mm^2$ which can be used in the oral and the recognition distance was 100% within 12 cm. Since the dentist can remotely manage the patient with the proposed system and improve the correction effect, it is possible to manage patients abroad, as well as domestically.

Comparison of Bacterial Removal Effectiveness by Different Hand Washing Methods (손세정 방법에 따른 세균 제거 효과 비교에 대한 융복합 연구)

  • Chong, Moo-Sang;Lee, Jang-Jin;Kim, Jiro
    • Journal of the Korea Convergence Society
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    • v.10 no.9
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    • pp.69-74
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    • 2019
  • The purpose of this study is to compare the efficiency of bacteria removal of three different types of hand washing methods. This study performed a convenient sampling of 30 volunteers in cross-over design. The study divided the 30 volunteers into three random groups. The three groups were asked to use antiseptic soap, alcohol-based hand disinfectant, and disposable wet wipes respectively. The result of the study showed that mean log reduction values after each had washing method were $-0.45({\pm}0.69)$ with antiseptic soap and water, $-1.19({\pm}0.52)$ with alcohol-based hand disinfectant and $-0.75({\pm}0.58)$ with disposable wet wipes. The difference was statistically significant when using alcohol-based hand disinfectant compared to the other two methods (p=0.000). According to this study, alcohol-based hand disinfectant was the most effective product based on bacteria removal for hand washing. Advantages of using alcohol-based hand disinfectant are that it is cost-effective and easy to buy, also eco-friendly. Therefore, to prevent infectious disease, providing alcohol-based hand disinfectant to every corner of the community will be very helpful.

Research on ANIOS Disinfection Efficiency to Prevent Infection in Radiography Room (방사선촬영실 감염 방지를 위한 에니오설프의 소독효율 연구)

  • Jung, Woo-Chan;Ahn, Ki-Song;Yang, Eun-Ju;Kim, Young-Jae
    • Journal of the Korean Society of Radiology
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    • v.15 no.1
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    • pp.55-61
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    • 2021
  • In this study, microbes were collected before and after disinfection using ANIOS(ANIOSURF Premium NPC) and compared the areas where the radiological technologist and the patient frequently contacted the chest X-ray. From September 1st to September 7th, 2020. in P Hospital in Deagu, 4 region were collected in a 10×10 size using a sterile cotton swab of the transport medium, and before and after disinfection results were obtained through the colorimetric method. As a result, n the X-ray tube handle Proteus mirabilis, Staphylococcus epidermidis, Bacillus spp., Candida spp., and in the Chin region Proteus mirabilis, Enterococcu faecium, Pseudomonas aeruginosa, NTM, and in the Chest region Proteus mirabilis, Enterococcu faecium, Pseudomonas aeruginosa, and in the Palm region NTM, Candida spp. were detected, and 103 CFU(Colony Forming Unit) or more were measured. After disinfection, only X-ray tube handle was detect Bacillus spp. and more than 102 CFU was measured. Microorganisms found prior to disinfection can cause opportunistic infections, Experimental results showed that Aniosulf(0.25%) is more economical and disinfectant than ethanol(70-90%) and isopropyl alcohol(70-90%). However, further research is needed on the detection of Bacillus spp. resultingly this research is useful basic data of infection control in Radiography room and prevention secondary infections.

Usability of CPR Training System based on Extended Reality (확장현실 기반의 심폐소생술 교육 시스템의 사용성 평가)

  • Lee, Youngho;Kim, Sun Kyung;Choi, Jongmyung;Park, Gun Woo;Go, Younghye
    • Journal of Internet of Things and Convergence
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    • v.8 no.6
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    • pp.115-122
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    • 2022
  • Recently, the importance of CPR training for the layperson has been emphasized to improve the survival rate of out-of-hospital cardiac arrest patients. An accurate and realistic training strategy is required for the CPR training effect for laypersons. In this study, we develop an extended reality (XR) based CPR training system and evaluate its usability. The XR based CPR training system consisted of three applications. First, a 3D heart anatomy image registered to the manikin is transmitted to the smart glasses to guide the chest compression point. The second application provides visual and auditory information about the CPR process through smart glasses. At the same time, the smartwatch sends a vibration notification to guide the compression rate. The 'Add-on-kit' is a device that detects the depth and speed of chest compression via sensors installed on the manikin and sends immediate feedback to the smartphone. One hundred laypersons who participated in this study agreed that the XR based CPR training system has realism and effectiveness. XR based registration technology will contribute to improving the efficiency of CPR training by enhancing realism, immersion, and self-directed learning.