• 제목/요약/키워드: of general type

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An Analysis of Actual States of the Nursing Grade of Medical Institutions

  • Park, Hyun-Suk
    • 한국임상보건과학회지
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    • 제2권3호
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    • pp.158-166
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    • 2014
  • Purpose. This study pursued the way for the effective application of the differentiated charge (Nursing grading system) by the nursing manpower which is performed for the nursing service quality improvement to the in-patients in Korea and the minimum employment problem solution of nurses. Methods. For this matter, the status of the nursing grade for 1,452 hospitals (44 high class general hospitals, 259 general hospitals, 265 hospitals, 59 oriental medicine hospitals and 825 recuperation hospitals) was identified which were registered in the Health Insurance Review and Assessment Service in March 2011 status quo. Results. In the most nursing grade by the kind of medical institutions, 70.5% of the nurses were third-graded in upper general hospitals, 38.1% were sixth graded in general hospitals, 62.7% were seventh-graded in oriental medicine hospitals and 40.4% were first-graded in recuperation hospitals. In the nursing grade by the scale of hospitals (in terms of the number of beds), there was a significant difference in general hospitals, but there was no significant difference between oriental medicine hospitals and recuperation hospitals. In the nursing grade by the location of hospitals and the foundation type of hospitals, there was a significant difference between general hospitals and recuperation hospitals. Conclusion. For the effectiveness of applying differentiated nursing fees by the number of nurses, it seems necessary to consider adjusting the present differentiated inpatient-charge system for the better so that small and medium-sized hospitals may induce more nurses.

치과위생사의 보수교육 실태 및 인식에 관한 연구 (A study on the state of inservice education for dental hygienists and their relevant awareness)

  • 정재연;김경미;조명숙;안금선;송경희;최혜정;최윤선;황윤숙
    • 한국치위생학회지
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    • 제7권1호
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    • pp.73-89
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    • 2007
  • The purpose of this study was to examine the reality of inservice education provided to members of Korean Dental Hygienists Association, the state of relevant academic conferences, and the perception of the members about inservice education and academic conference. It's basically meant to help boost their participation in inservice education and their satisfaction with it, and to show some of the right directions for that. The subjects in this study were dental hygienists who attended a symposium on July 1, 2006. After a survey was conducted, the answer sheets from 489 participants were analyzed, and the findings of the study were as follows: 1. General hospitals and university hospitals made up the largest group(91.4%) that gave a monthly leave of absence, and the second largest group was dental hospitals(75.4%), followed by dental clinics(58.3%) and public dental clinics(48.0%). The most common closing time in dental clinics and dental hospitals was 5 p.m., and that was 12 p.m. in general hospitals and university hospitals. The dental hygienists in public dental clinics didn't work on Saturdays. By type of workplace, treatment was the most common duty for the dental hygienists in dental clinics and dental hospitals to perform, and those who worked at general hospitals, university hospitals and public health clinics were in charge of extensive range of jobs. 2. The rates of the dental hygienists who took that education stood at 94.9% in public dental clinics, 78.7% in dental hospitals and 75.3% in dental clinics, general hospitals and university hospitals. Regarding how many marks they got on an yearly basis, those who got eight marks or more made up the largest group(55.6%), followed by four marks or more(11.8%), six marks or more(3.4%), and two marks or more(1.5%). As for the usefulness of inservice education for their job performance, the largest number of the dental hygienists(40.8%) found it to be helpful, and the second greatest group(37.5%) considered its effectiveness to be so-so. The third largest group(8.4%) found it to be of great use, and the fourth biggest group(4.2%) considered it to be of no service. The fifth biggest group(l.3%) thought it was absolutely useless. By type of workplace, the workers in dental clinics, dental hospitals, general hospitals and university hospitals wanted the most to learn how to take care of clinical work(acquisition of up-to-date technology), and those in public health clinics hoped the most to learn about public dental health. By type of workplace, the workers in dental clinics had their sight set on self-development the most, and the dental hygienists in dental hospitals, general hospitals, university hospitals and public health clinics were most in pursuit of acquiring new knowledge. By type of workplace, the specific given conditions at work were most singled out by the dental clinic workers as the reason, and the dental hospital employees pointed out time constraints the most. The dental hygienists in general hospitals and university hospitals cited time constraints and financial burden the most, and the public health clinic personnels mentioned inaccessibility of a place for inservice education as the reason. 3. The public health clinic workers participated in academic conferences the most(90.8%), followed by the general and university hospital personnels(68.8%), dental hospital employees(65.6%) and dental clinic workers(65.5%). By type of workplace, the public health clinic workers(73.5%) expressed the most satisfaction, followed by the general and university hospital employees(67.7%), dental clinic workers(62.3%) and dental hospital personnels(54.1%). By type of workplace, the employees of dental clinics, dental hospitals, general hospitals and university hospitals preferred Saturdays, and the public health clinic workers had a liking for weekdays. As for a favored place, hotels were most preferred, followed by university hospitals, general hospitals, college lecture rooms, district halls and local public institutions. Hotels were most favored regardless of the type of workplace. 4. Regarding outlook on inservice education, they had the highest opinion on the facilities and given conditions of lecture rooms($3.41{\pm}0.83$), followed by the professionalism of lecturers($3.34{\pm}0.83$), procedures of receipt and attendance confirmation($3.34{\pm}0.83$) and class size($3.13{\pm}0.89$). On the contrary, they took the most dismal view of the inaccessibility of a place of inservice education($2.08{\pm}0.92$), followed by limited opportunity and limited date for that education($2.51{\pm}0.99$), extra financial burden($2.53{\pm}1.18$) and high tuition fee($2.57{\pm}0.96$).

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강원도 어도의 설치 현황 및 I형 아이스하버식 어도 적용성 연구 (Establishment present of fish-road in Kangwondo and Study to apply fish-road is ice harbor 1-type)

  • 최한규;최영수;전영수
    • 산업기술연구
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    • 제26권B호
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    • pp.63-71
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    • 2006
  • The concerned object of the construction industry is environment. It is one of the main purposes of today's construction that human can live reasonably in nature. This study is about the fish-road connecting hydraulic structure in the river with nature. Chapter 2, starting with the general investigation about fish-road and helps comprehension for relatively general fish-road such as necessity, establishment purpose, history, study example, relating domestic law, design condition, consideration and form of fish-road. Chapter 3, containing the present condition of fish-road facilities in Gangwon-Do and thoughts of the problems and general countermeasures of existing fish-road. Chapter 4, Having Examined compatibility by amount of flowing water through hydraulic model test in the Ice harbor I-type model. chapter 5, Analyzation and arrangement to efficient establishment plan of fish-road and the result of the hydraulic model experiment to be beaconed a little in forward fish-road study. In the hydraulic model test result, when we suppose establishment of 1~3 in slope of 1/20, could know that applicable drought flow of the river is $0.06{\sim}3.0m^3/sec$ in case of Ice harbor I-type which transforming Ice harbor that was invented as studying project of the Ministry of Environment.

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양.한방 협진을 운영하는 종합병원 외래진료부의 공간 구성 및 면적분석에 관한 연구 (A Study on the Spatial Composition and Area Analysis of O.P.D in General Hospitals that Offer the Cooperative Treatment between Western and Oriental Medicine)

  • 박유선;박재승
    • 한국실내디자인학회논문집
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    • 제19권2호
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    • pp.216-224
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    • 2010
  • This study aims to examine a special type of hospital known as Western Oriental medicine treatment designed to provide the best treatment by combining the advantages of Western and Oriental medicine, The actual conditions of the organizations and operations of O.P.D and how the cooperative treatment between Western and Oriental medicine is conducted at general hospitals that operate the cooperative treatment by applying a drawing analysis and an area analysis, and provide materials that help design hospitals that offers the cooperative treatment based on the information. According to the results of this study, the forms of the cooperative treatment between Western and Oriental medicine included several methods; to operate the cooperative center separately between an Oriental hospital and a general hospital, to operate the cooperative hospital, using several floors for an Oriental hospital inside a general hospital, and to operate the cooperative center in specialized centers inside a general hospital and the type of cluster that offers the cooperative treatment in specialized centers is known as the best appropriate treatment.

65세 이상 노인의 척추·관절 수술별 의료이용에 미치는 영향요인 분석 (Factors Affecting the Healthcare Utilization of Spinal and Joint Surgery in Elderly Patients)

  • 정순현;구여정;유기봉
    • 보건행정학회지
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    • 제30권1호
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    • pp.62-71
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    • 2020
  • Background: The purpose of this study is to analyze the current status and factors of elderly patients' hospitalization for hip replacement, knee replacement, and general spine surgery. Methods: National health insurance data in 2018 was provided by the National Health Insurance Service. We used multiple regression to analyze factors associated with the medical utilization of hip replacement, knee replacement, and general spine surgery in elderly patients over 65 years old. The dependent variables are the length of stay and total health expenditure. The independent variables are the demographic-social factors (sex, age, region, insurance type, income level) and surgery-related factors (institution type, location of the hospital, surgery classification). Results: The most common factor affecting surgery was the location of medical institutions. Compared with the medical institutions located in metropolitan, the length of stay in rural medical institutions was higher and total health expenditure was lower. The lower quartile of income, the higher the length of stay and total health expenditure. In addition, the variables of age, type of health insurance, and type of medical institution were statistically significant. Conclusion: In this study, we confirmed the effect of sociodemographic factors and medical institution factors on the Healthcare Utilization of spinal and joint surgery.

경남지역 중대형 아파트의 단위세대 평면구성 특성에 관한 연구 (A Study on the Characteristics of he Space Composition of the Medium Large Size Apartments' Unit Plan in Gyeongnam)

  • 한민정
    • 한국주거학회논문집
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    • 제19권5호
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    • pp.1-10
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    • 2008
  • This study attempts to analyze the characteristics of the space composition of the apartments and the general principles of apartments unit plans in Gyeongnam. Literature review and content analysis method were used in his research. The data of 108 unit plans were collected from e-catalogue and model houses of housing construction firms. The results of this study were as follows; 1) The general principle of Gyeongnam apartment unit plans, the tendency of 4LDk+2BATH type, 4bay, central type living room were showed. 2) In the point LDK and couple's bed room, LDK area become large and open type and couple's bed room were showed bed room+dress+powder+bath type as Maser's zone. 3) The entrance has a intermediate space as a balcony or a former space and the privacy of LDK space was protected from the entrance. 4) In the case of support space, generally support kitchen and laundry space were offered and several balconies were utilized. In fact, he differences of apartment plan composition between central cities and Gyeongnam were no showed. Therefore, these tendencies on plan composition of apartment in Gyeongnam were followed the general principles of Korean unit plans.

치과의료기관 유형별 감염관리 이행실태 (Infection control by type of dental institution)

  • 이예린;한경순
    • 한국치위생학회지
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    • 제20권6호
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    • pp.875-888
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    • 2020
  • Objectives: The purpose of this study was to investigate the infection control system and actual conditions according to the type of dental medical institution. Methods: From April 1st to May 10th, 2020, dental institutions were recruited through stratified random sampling. Each item constituting the infection control system by dental institution type was analyzed using the chi-square test and fisher's exact test. Results: The infection control system and operation level of each dental institution type was 89.0 points for university-general hospitals, 75.6 points for dental hospitals, and 34.4 points for dental clinics. The environment management levels were 76.1, 72.5, 73.0, and 74.0 points for university-general hospitals, similar to 77.2, 75.1, 71.0, and 73.8 points for dental hospitals, while dental clinics had 61.1, 40.0, 37.0, and 45.6 points. Prevention and management of staff infection exposure, wearing personal protective equipment, and hand hygiene levels were 90.7, 75.5, 88.5 points for university-general hospitals, 79.8, 79.5, 80.4 points for dental hospitals, and 50.2, 88.0, 61.5 points for dental clinics, respectively. Conclusions: Efforts are required to bring about improvement in the areas of insufficient infection control in order to raise the overall infection control levels, especially the management of dental clinics is urgently needed.

INCORPORATING PRIOR BELIEF IN THE GENERAL PATH MODEL: A COMPARISON OF INFORMATION SOURCES

  • Coble, Jamie;Hines, J. W esley
    • Nuclear Engineering and Technology
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    • 제46권6호
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    • pp.773-782
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    • 2014
  • The general path model (GPM) is one approach for performing degradation-based, or Type III, prognostics. The GPM fits a parametric function to the collected observations of a prognostic parameter and extrapolates the fit to a failure threshold. This approach has been successfully applied to a variety of systems when a sufficient number of prognostic parameter observations are available. However, the parametric fit can suffer significantly when few data are available or the data are very noisy. In these instances, it is beneficial to include additional information to influence the fit to conform to a prior belief about the evolution of system degradation. Bayesian statistical approaches have been proposed to include prior information in the form of distributions of expected model parameters. This requires a number of run-to-failure cases with tracked prognostic parameters; these data may not be readily available for many systems. Reliability information and stressor-based (Type I and Type II, respectively) prognostic estimates can provide the necessary prior belief for the GPM. This article presents the Bayesian updating framework to include prior information in the GPM and compares the efficacy of including different information sources on two data sets.

Clinical Comparison of Proximal Gastrectomy With Double-Tract Reconstruction Versus Total Gastrectomy With Roux-en-Y Anastomosis for Siewert Type II/III Adenocarcinoma of the Esophagogastric Junction

  • Ma, Xiaoming;Zhao, Mingzuo;Wang, Jian;Pan, Haixing;Wu, Jianqiang;Xing, Chungen
    • Journal of Gastric Cancer
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    • 제22권3호
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    • pp.220-234
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    • 2022
  • Purpose: The incidence of adenocarcinoma of the esophagogastric junction (AEG) has increased in recent years, and the optimal surgical strategy for AEG remains highly controversial. We aimed to evaluate the safety and efficacy of proximal gastrectomy with double-tract reconstruction (PG-DT) for the treatment of patients with AEG. Materials and Methods: We retrospectively analyzed patients with Siewert type II/III AEG between January 2013 and July 2018. Clinicopathological characteristics, survival, surgical outcomes, quality of life (QOL), and nutritional status were compared between the PG-DT and total gastrectomy with Roux-en-Y anastomosis (TG-RY) groups. Results: After propensity score matching, 33 patients in each group were analyzed. There were no statistical differences between the 2 groups in terms of disease-free survival and overall survival. The surgical option was not an independent prognostic factor based on the multivariate analysis. In addition, no differences were found in terms of surgical complications. There were no significant differences in QOL assessed by the Visick grade, Gastrointestinal Symptom Rating Scale, or endoscopic findings. Furthermore, the long-term nutritional advantage of the PG-DT group was significantly greater than that of the TG-RY group. Conclusions: PG-DT is a safe and effective procedure for patients with local Siewert type II/III AEG, regardless of the TNM stage.

하이브리드형 초음파 스피커 개발 (Development of the hybrid-type ultrasound speaker)

  • 이형상;김복규
    • 한국음향학회지
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    • 제40권3호
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    • pp.247-253
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    • 2021
  • 소리에 방향성을 부여하여 특정 영역에서만 소리를 들을 수 있도록 활용되는 초음파 스피커는 일반 스피커와 비교하여 음질 및 비용적인 이슈에서 다양한 개선 연구가 지속적으로 이루어지고 있다. 본 논문에서는 초음파 스피커의 센서 특성상 500 Hz 미만 저음 구현이 어려운 점을 감안하여 500 Hz 대의 소리를 보완할 수 있도록 일반 스피커와 동시 사용이 가능한 DSP 기반의 하이브리드형 초음파 스피커를 제안한다. 일반 스피커와 초음파 스피커의 단순 연결로 각각의 분리 처리 및 송출하는 시스템은 초음파 재생성 처리 시간 차에 따른 음질저하뿐만 아니라 일반 음원과 초음파 음원이 2개의 앰프로 구동되어 높은 비용 이슈가 있으며 제반 제어적인 측면에서도 어려움이 있다. 이러한 점을 개선하고자 제안한 DSP 기반의 앰프에서 Dynamic Range Control(DRC) 및 Equalizer(EQ)의 기존 코덱 기능은 물론, 초음파 음원으로의 재생성, 일반/초음파 음원을 동기화함으로써 동시 재생이 가능한 하이브리드형 초음파 스피커를 개발하였다.