• Title/Summary/Keyword: hospital efficiency

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Development of Oriental Medical CRM System based Wire/Wireless for Digital Oriental Hospital (디지털 한방 병원을 위한 유무선기반 한방의료 CRM 시스템 개발)

  • Park, Hong-Jin;Youn, Young-Su
    • Journal of Korea Society of Industrial Information Systems
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    • v.12 no.4
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    • pp.131-137
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    • 2007
  • The development of logical and systematical oriental hospital system is very important because most of oriental hospitals are taking pain of the competition's of the hospital and the medical market open. The setup of oriental medical is to enhance medical services and to maximize the efficiency of the management of the hospital. This paper develop the oriental hospital CRM based wire and wireless for digital oriental hospital mixed oriental hospital area and IT technology to maximize the profit the hospital

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Efficiency Comparison of Radiological Work in the Integration Environment of PACS and OCS (PACS와 OCS연동으로 인한 방사선사 업무의 효율성 비교)

  • Yoo Eun Jeong;Kang Hye Kyeong;Kim Kyeong Joon;Ahn Soo Hyeon;Ahn Tae Hun;Lee Ki Hyeob;Choi Hong Joon;Kim Seung Sik
    • Journal of The Korean Radiological Technologist Association
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    • v.27 no.2
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    • pp.35-42
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    • 2001
  • Information concerning a patient visit is to be sent from the OCS(Order Communication System) to the PACS(Picture archiving and Communication System) and when the image acquisition is completed, information regarding the procedures also actually preformed

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Prediction Model for unfavorable Outcome in Spontaneous Intracerebral Hemorrhage Based on Machine Learning

  • Shengli Li;Jianan Zhang;Xiaoqun Hou;Yongyi Wang;Tong Li;Zhiming Xu;Feng Chen;Yong Zhou;Weimin Wang;Mingxing Liu
    • Journal of Korean Neurosurgical Society
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    • v.67 no.1
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    • pp.94-102
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    • 2024
  • Objective : The spontaneous intracerebral hemorrhage (ICH) remains a significant cause of mortality and morbidity throughout the world. The purpose of this retrospective study is to develop multiple models for predicting ICH outcomes using machine learning (ML). Methods : Between January 2014 and October 2021, we included ICH patients identified by computed tomography or magnetic resonance imaging and treated with surgery. At the 6-month check-up, outcomes were assessed using the modified Rankin Scale. In this study, four ML models, including Support Vector Machine (SVM), Decision Tree C5.0, Artificial Neural Network, Logistic Regression were used to build ICH prediction models. In order to evaluate the reliability and the ML models, we calculated the area under the receiver operating characteristic curve (AUC), specificity, sensitivity, accuracy, positive likelihood ratio (PLR), negative likelihood ratio (NLR), diagnostic odds ratio (DOR). Results : We identified 71 patients who had favorable outcomes and 156 who had unfavorable outcomes. The results showed that the SVM model achieved the best comprehensive prediction efficiency. For the SVM model, the AUC, accuracy, specificity, sensitivity, PLR, NLR, and DOR were 0.91, 0.92, 0.92, 0.93, 11.63, 0.076, and 153.03, respectively. For the SVM model, we found the importance value of time to operating room (TOR) was higher significantly than other variables. Conclusion : The analysis of clinical reliability showed that the SVM model achieved the best comprehensive prediction efficiency and the importance value of TOR was higher significantly than other variables.

$^{99m}Tc$ Labeling Kit Preparation and Characteristics of Anti-NCA-95 Monoclonal Antibody (항 NCA-95 단일클론항체의 $^{99m}Tc$표지 키트 제조 및 특성 연구)

  • Hong, Mee-Kyoung;Jeong, Jae-Min;Chung, June-Key;Choi, Seok-Rye;Kim, Chae-Kyun;Lee, Yong-Jin;Lee, Dong-Soo;Lee, Myung-Chul;Koh, Chang-Soon
    • The Korean Journal of Nuclear Medicine
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    • v.30 no.4
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    • pp.541-547
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    • 1996
  • The previous monoclonal antibody labeling method for bone marrow immunoscintigrapy was complicated and laborious for clinical application. Also it showed a relatively low labeling efficiency. To improve this procedure, we compared several direct labeling methods of $^{99m}Tc$. 1) The labeling efficiency in the method using gluconate as a transchelator was low (40-70%), but immunoscintigraphy using this radiotracer produced a clear image. 2) To improve labeling efficiency, ${\beta}$-mercaptoethanol was removed after reduction. The labeling efficiency was improved up to 70-80%, but the radioactivity of the blood pool was high. 3) The higest labeling efficiency (>90%) and best quality images could be obtained by using MDP as a transchelating agent. It did not require additional procedures for separation of labeled antibodies. The immunoreactivity of this antibody was 60%. Residual MDP which can be taken up by the bone could be removed by PD-10 column. The reduced antibodies were stable with a high labeling efficiency (>90%) for up to 47 days by deep freezing. We concluded that the improved procedure for $^{99m}Tc$ labeling of anti-NCA-95 monoclonal antibody using MDP as a transchelating agent will be a simple and useful method for clinical application.

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Study on Labeling Efficiency of $^{99m}Tc$-HMPAO ($^{99m}Tc$-HMPAO 표지효율에 대한 고찰)

  • Hyeon, Jun Ho;Lim, Hyeon Jin;Kim, Ha Kyun;Cho, Seong Uk;Kim, Jin Eui
    • The Korean Journal of Nuclear Medicine Technology
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    • v.16 no.2
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    • pp.131-134
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    • 2012
  • Purpose : The labeling efficiency of radiopharmaceuticals in nuclear medicine is important in terms of accuracy and reliability of the examination. Usually $^{99m}Tc$-HMPAO used for brain SPECT scan is chemically unstable since lots of impurities are existing. Therefore, occurrence of loss of labeling efficiency is easy to appear. In this paper, labeling and use of $^{99m}Tc$-HMPAO should be helpful through experiments on factors affecting the labeling efficiency of $^{99m}Tc$-HMPAO. Materials and Methods : Domestic HMPAO vials (Dong-A) used for brain SPECT scan were tested. Domestic Samyeong Generator 55.5 GBq (1,500 mCi), TLC measurement sets (ITLC-SG, butanone, saline, TLC chamber) and radio-TLC scanner (Advantest, Bioscan) were used. In the first experiment, after eluting generator at 1, 8, 16, 24, 28 hours apart, each eluted $^{99m}Tc$-pertechnetate were labeled with HMPAO and the labeling efficiency was measured. In the second experiment, after eluting $^{99m}Tc$-pertechnetate from a generator, $^{99m}Tc$-pertechnetate was drawn at 0, 1, 3, 6 hours. And each drawn $^{99m}Tc$-pertechnetate were labeled with HMPAO for measuring labeling efficiency. In the third experiment, labeling efficiency was measured at 0, 0.5, 3, 5, 7 hours after labeling $^{99m}Tc$-HMPAO. Results : In the first experiment, measured values were appeared 95.05, 94.64, 94.94, 95.64, 96.76% in passing order of time. In the second experiment, measured values were appeared 94.38, 94.23, 93.26, 91.03% in passing order of time. In the third experiment, measured values were appeared 95.76, 94.17, 88.19, 83.6, 76.86% in passing order of time. Conclusion : In the first experiment of this paper, labeling efficiency of $^{99m}Tc$-HMPAO labeled with $^{99m}Tc$-pertechnetate eluted after 24 hours from first elution. Additional experiments will be needed to discuss for usability. In the second experiment, the labeling efficiency was slightly decreased in chronological order, but it was measured higher than 90%. Also, additional experiments will be needed to discuss for usability. In the third experiment, the labeling efficiency was decreased considerably. Especially, within 3 hours after the labeling is recommended to use $^{99m}Tc$-HMPAO

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Medical Care Environment and the Productivity Change in Korean Tertiary Hospitals. (Malmquist 생산성 지수를 이용한 종합전문요양기관의 생산성 변화 분석)

  • Kim, Young-Hee;Cho, Woo-Hyun;An, Dong-Hwan;Park, Sang-Woo;Chung, Woo-Jin
    • Korea Journal of Hospital Management
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    • v.10 no.4
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    • pp.51-74
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    • 2005
  • This paper presents an analysis of the current status of domestic hospital industry which went trough the time of new hospitals operated by chaebols from 1994 to 2003 and the dramatic changes of medical service environment such as IMF relief loan in 1997 and the separation of prescription and dispensing (SPD) in 2000. For the sake of righteous policy-making in the future, this paper presents a productivity analysis of the management and administration of 38 tertiary hospitals nationwide in the past 10 years. The analysis is based on the Malmquist index approach using linear programming. d prepare a productivity index that measures not merely efficiency but the technological evolution and adjustment to changing environments.

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Energy Performance Evaluation of Building Micro-grid System Including Micro-turbine in Hospital Buildings (마이크로터빈이 포함된 빌딩마이크로그리드시스템의 병원건물의 에너지성능평가)

  • Kim, Byoung-Soo;Hong, Won-Pyo
    • Proceedings of the Korean Institute of IIIuminating and Electrical Installation Engineers Conference
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    • 2009.10a
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    • pp.279-283
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    • 2009
  • Distributed generation(DG) of combined cooling, heat. and power(CCHP)has been gaining momentum in recent year as efficient, secure alternative for meeting increasing energy demands. This paper presents the energy performance of microturbine CCHP system equipped with an absorption chiller by modelling it in hospital building. The orders of study were as following. 1)The list and schedule of energy consumption equipment in hospital were examined such as heating and cooling machine, light etc. 2) Annual report of energy usage and monitoring data were examined as heating, cooling, DHW, lighting, etc. 3) The weather data in 2007 was used for simulation and was arranged by meteorological office data in Daejeon. 4) Reference simulation model was built by comparison of real energy consumption and simulation result by TRNSYS and ESP-r. The energy consumption pattern of building were analyzed by simulation model and energy reduction rate were calculated over the cogeneration. As a result of this study, power generation efficiency of turbine was about 30% after installing micro gas turbine and lighting energy as well as total electricity consumption can be reduced by 40%. If electricity energy and waste heat in turbine are used, 56% of heating energy and 67% of cooling energy can be reduced respectively, and total system efficiency can be increased up to 70%.

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Economic Analysis and Energy Saving Evaluation for Smart Grid System of Hospital Building (병원건물의 스마트그리드시스템의 에너지절약평가 및 경제성분석)

  • Hong, Won-Pyo
    • Journal of the Korean Institute of Illuminating and Electrical Installation Engineers
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    • v.24 no.4
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    • pp.129-139
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    • 2010
  • This paper presents a basic energy performance data of microturbine, renewable Energy(BIPV and Solar Collector System) and a hybrid energy system(geothermal system and microturbine) installed in hospital building. The efficiency of solar collector and BIPV system was 30[%], 10[%] individually, and lower than micro turbines. Finally, in energy performance aspect, microturbine and geothermal source heat pump system were a high-efficiency system in hospital building. It is confirmed hybrid energy systems also show the most powerful alternative energy system for green hospital building from the simulation results.

Imprinted gene Zinc finger protein 127 is a novel regulator of master pluripotency transcription factor, Oct4

  • Kwon, Yoo-Wook;Ahn, Hyo-Suk;Park, Joo-Young;Yang, Han-Mo;Cho, Hyun-Jai;Kim, Hyo-Soo
    • BMB Reports
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    • v.51 no.5
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    • pp.242-248
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    • 2018
  • Induced pluripotent stem cells (iPSCs) show great promise for replacing current stem cell therapies in the field of regenerative medicine. However, the original method for cellular reprogramming, involving four exogenous transcription factors, is characterized by low efficiency. Here, we focused on using epigenetic modifications to enhance the reprogramming efficiency. We hypothesized that there would be a new reprogramming factor involved in DNA demethylation, acting on the promoters of pluripotency-related genes. We screened proteins that bind to the methylated promoter of Oct4 and identified Zinc finger protein 127 (Zfp127), the functions of which have not yet been identified. We found that Zfp127 binds to the Oct4 promoter. Overexpression of Zfp127 in fibroblasts induced demethylation of the Oct4 promoter, thus enhancing Oct4 promoter activity and gene expression. These results demonstrate that Zfp127 is a novel regulator of Oct4, and may become a potent target to improve cellular reprogramming.

A Study on the Spatial Composition Strategy in the Remodeling of General Hospitals - Focused on the Departmental Relocation and Circulation System - (국내 종합병원의 리모델링에 나타난 공간구성방안에 관한 연구 - 부문별 재배치 및 동선연결방안을 중심으로 -)

  • Kim Ha-Jin;Yang Nae-Won
    • Korean Institute of Interior Design Journal
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    • v.13 no.6
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    • pp.123-131
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    • 2004
  • The hospitals built In the seventies and eighties have gone through many different extensions and renovations. However, as there had been no prior projections of the future extensions, irrational processes in terms of interdepartmental functional relocations and space availability have recurred. As well, areas and departments are located in several wings, which bring about a decrease in interdepartmental functional linkage, causing a lot of confusion and trouble in hospital management. Through this research we acquire concluding remarks. 1) To restore functional linkage in the whole hospital, strategy of interdepartmental relocation with the clinic-in-the clinic concept is the measure to minimize the problems of the increase in interdepartmental functional linkage since the clinic-in-the clinic concepts minimize circulation and maximizes efficiency of hospital management by making all the dispersed wings as professional as possible. 2) The measure of smooth circulation in order to resolve the problems of patients' difficulty in identifying directions and in decrease in staff's work performance, which arises from the extensions without considering the traffic systems of the whole hospital involves introduction of linear circulation systems in which connections between departments or areas can be made centering main axes of circulation. It is also a responsive measure to enhance the functional linkage between buildings and efficiency of patient's ease in identification of directions.