• Journal of Yeungnam Medical Science
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• 제13권2호
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• pp.324-346
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• 1996

의사와 간호사의 복장에 대한 견해를 파악하기 위하여 1996년 3월1일부터 1996년 3월31일까지 영남대학교 의료원에 근무하는 의사 130명, 간호사 147명과 입원환자 211명을 대상으로 자기기입식 설문조사를 실시하였다. 의상의 복장에서는 의사와 간호사 모두 기존 코트 형태의 가운보다 다른 형태의 가운을 선호하였고, 특히, 의사보다 간호사들이 더 선호하였다. 환자에서 전체적으로 기존 형태와 다른 형태의 가운에 대한 선호도의 차이는 없었으나, 학력이 높을수록 다른 형태의 가운을 더 선호하였다(p<0.01). 의사의 가운 색상에 있어 의사와 간호사의 73.6%는 흰색을 선호하였으며, 환자는 86.3%가 흰색을 선호하였다. 남자의사가 여자의사와 간호사에 비해 흰색을 더 선호하였고(p<0.01), 환자에서는 색상 선호도에 대한 유의한 차이는 없었다. 진료시 넥타이를 착용해야 한다라는 응답률이 남자의사, 40세 이상 의사, 내과계 근무 의사, 그리고 교수에서 다른 군보다 유의하게 높았다(p<0.01). 환자에서는 여자가 남자보다, 60세 이상군이 다른 연령군보다, 초등졸 이하군이 다른 학력군보다, 기타 시지역 거주자와 군지역 거주자가 대구시 거주자보다 더 높았다(p<0.01). 주말 및 휴일 진료시 의사의 캐주얼 복장에 대해서는 전체적으로 찬성하는 편이었고, 의사의 연령이 젊을수록 유의하게 선호도가 높았다(p<0.05). 간호사 복장에 대해서는 의사와 간호사 전체의 78%가 바지 착용을 선호하였고, 간호사는 96%가 바지 착용을 선호하였으며, 특히, 40세 이상군과 외래, 지원 및 행정부서에 근무하는 간호사들은 100% 선호하였다. 환자들은 학력이 낮을수록 스커트를 선호하였고, 고학력군일수록 바지 착용을 선호하였다. 간호사의 가운 색상에 대해서는 의사와 간호사 전체의 46.7%가 흰색을 선호하였고, 의사들은 흰색을, 간호사들은 다른 색을 더 선호하였다(p<0.01). 환자들은 79.1%가 흰색을 선호하였다. 캡 착용에 대한 문항에서 간호사들은 95.9%가 착용하지 않아도 좋다고 응답하였으며, 특히, 40세 이상군과 외래 및 특수부서에 근무하는 간호사들은 전원 캡을 착용하지 않아도 좋다라고 응답하였다. 반면에 환자들은 77.7%가 캡을 착용하여야 한다라고 응답하였다. 이상의 결과로 보아 의사와 간호사의 복장은 기존의 전통적인 형태와 색상만을 고집할 것이 아니라, 의사와 간호사 본인들과 환자들의 의견을 만족시킬 뿐만 아니라 시대적 흐름과 현실감각에 맞게 가운의 형태와 색상에 변화를 주는 것을 고려하는 것이 좋을 것이라고 사료되었다.

• 한국생산제조학회지
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• 제20권4호
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• pp.452-457
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• 2011

The internal temperature of an operating room had to keep within $20^{\circ}C$. However, the doctor who is wearing operating gown and mask caused to rise temperature because of the thermal occurrence of dental LED light source. At first, the surgery environment is getting worse. And then last, it would increase bleeding rate by the expansion of patient's exposured blood vessel. A surgical operator can distribute the patient's tissue through such surgery environment, exactly. It can do accurate surgery. So, it gave to effect that surgical operator's eye condition is getting better and it could keep a mutual assistance system. For this research, we develop the LED dental light source module of high color rendition. It performed simulation for replacing established the method of Halogen lamp and Plazma lamp of light source. We analyzed intensity of illumination and the change of viability by changing the height of light source module.

• 한국의류학회지
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• 제34권1호
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• pp.138-152
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• 2010

This study investigates the actual hospital-clothes consumption experience of consumers according to gender and age. An all age survey was conducted among male and female ex-patients in Korea nationally. From data collected during April and May 2009, a total of 513 responses were analyzed using descriptive statistics, chi-square analysis, two-way ANOVA, and MANOVA using SPSS 10.1.4. The results are as follows. The hospitalization ratio was higher in the male group than in the female group and increased with age. Many hospitalizations were taken to the department of orthopedics, internal treatment, obstetrics and gynecology, and surgery. The satisfaction with patient gowns was low regarding size, fabric touch, color and pattern, Psychological comfort, and holistic satisfaction, Specifically, the stiffness of the fabric, cheerless colors, and the limited number of sizes were the main complaints; size dissatisfaction was expressed strongly by females. About 35% of respondents showed a positive attitude to wear premium patient gowns. Various medical supplies were used and different items were utilized according to gender and age of patients. Uncomfortableness of medical supplies were highly related to laundry and fabric touch.

• 한국의류학회지
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• 제34권2호
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• pp.345-356
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• 2010

This study investigates the present conditions of hospital clothes management. A survey was conducted with 72 respondents from 28 different hospitals in April and May 2009. Data were analyzed with descriptive statistics and correlations using PASW 17.0. The results were as follows: (1) Administrators, nurses, and outside specialists took part in the clothes management process. The administrators participated in the process of purchase determination. Nurses involved in the design, size selection, and outside specialists were responsible for routine management. (2) Most clothes were planned through the discussions between hospitals and manufacturers. Price was the most important element to determine the purchase of clothes. Size systems were various depending on the conditions of the hospital according to the number of beds. (3) Laundry duties were performed by the hospitals themselves or in specialized laundry plants. In addition, the hygienic condition of clothes management were satisfactory. (4) Patient gowns were evaluated positively, yet some complaints from patients were reported. (5) Various medical supplies were used and were uncomfortable related to textile and fitting problems. Future research themes are suggested based on these results.

• 한국의류학회지
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• 제9권3호
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• pp.71-78
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• 1985

This research is designed to systemize the protection theory as well as to supplement the missing theory by organizing various studies on the protective functions of celothes by domestic and foreign scholers of clothing. Human environments is classified two standpoints : (1) Physical environments, and (2) man built psychological environments including socio-physical environments, socio-biological environments, behavioral environments, socio-psychological environments and institution environments. Clothes acting as a physical protection might be of (1) extreme air temperature: Parka; (2) high relative humidity: raincoat; (3) air movement: windbreaker; (4) radiation: space suit; (5) atmospheric pressure: deep sea diver suit; (6) mechanical agent: bullet proof vest; (7) physical agent: (8) chemical agent: (9) biological agent: surgeon's gown, cap, and mask. Also dresses act to support the body comfort, health and the well-being; corset for bad back patient, wrist band for people with weak wrist, bottom half of pressure suit for people with low blood pressure. Clothes acting as a psychological protection might be of (1) influence of magic and of spirits: (2) moral danger; (3) the general unfriendliness of the world as a whole; a reassurance against the lack of love. Clothes should provide the maximum of satisfaction in accordance with the full recognition of reality. The reality should aim at the formulation of general laws concerning the most pleasing forms, colors, and styles to suit. The complex physiological anatomical and psychological aspects of individual personalities.

• 기본간호학회지
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• 제17권3호
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• pp.351-361
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• 2010

Purpose: The purpose of this study was to investigate the perception and performance of tuberculosis infection control measures among emergency department nurses. Methods: A structured questionnaire was administered to a convenience sample of 227 emergency department nurses from 20 hospitals in B City. Results: The mean perception score was 4.52 out of a possible 5, and the mean performance score was 3.31 out of a possible 5. There were big differences between the perception and performance score on the items regarding wearing a gown or mask, while there were small differences on the items regarding dealing with patients' articles or medication. Conclusion: Emergency nurses showed high perception and low performance score on the items related to facilities and regulation such as visitation restriction or patient isolation. There was a positive correlation between perception and performance score. Conclusion: For emergency nurses, perception is higher than performance of tuberculosis infection control measures. The findings indicate the importance of providing continuing education for emergency nurse professionals seeking to update and increase their knowledge and to develop evidence-based nursing protocols on tuberculosis infection control in emergency department.

• 한국직업건강간호학회지
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• 제12권1호
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• pp.31-38
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• 2003

This study is an attempt to analyze the physical load by the type of the nursing tasks at the neurosurgical ICU nurses through the quantitative analysis of the working postures by the type of the nursing tasks with the OWAS(Ovako Working Postures Analysis System). Data collection was conducted through the video recording of the 13 nurses working at the neurosurgical ICU. For the analysis of the work postures by the type of the nursing tasks, and were interviewed regarding the subjective degree of the difficulties with the work postures related to the tasks. Collected data was analyzed through the WinOWAS program. The results were as follows : AC3 or AC4 tasks among the 18 nursing tasks types are "occupied bed making and change of the patient gown", "back massage", "suction", "elimination management", "change of position", "adjustment of bed", "helping the patient to move","measurement of CVP"and "measurement of urine volume". It appears that these tasks are harmful to the musculoskeletal system and the improvement or change of the work is required. The results stated above indicate that improper working postures during the nursing tasks influence the musculoskeletal system. Therefore, making use of assistant devices for the improvement of the working environment at the nursing tasks, based on human technological diagnoses, is required regarding the duty types with massive work pressure known to be harmful to the musculoskeletal system among those performed by the nurses. And there is a need of the education about the employment and maintenance of the vocational back pain prevention.

• 한국방사선학회논문지
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• 제9권3호
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• pp.131-137
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• 2015

본 연구의 목적은 기존에 사용 중인 X선 발생장치의 촬영대를 따뜻하게 가열하면서도 X선 감약이 적은 탄소나노튜브(carbon nano tube, CNT) 발열체를 사용하여 가열장치를 구비한 X선 발생장치용 부착형 촬영대의 고안 및 설계를 하고자 한다. 고안된 제품의 구성은 부착형 탄소발열체 촬영대로서 기존 X선 촬영대, 탄소나노튜브 면상발열체, 전극선, 난연 처방된 보호필름과 바닥필름으로 구성되어 있다. 본 고안 제품의 특징과 장점은 냉기(冷氣)를 느끼는 촬영대에서 환의를 착용하고 검사를 받는 환자에게 온화한 느낌과 안전감을 제공하고 심적인 불안감을 해소하여 검사에 도움을 줄 수 있기 때문에 임상 적용을 적극 권장하는 바이다.

• 기본간호학회지
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• 제14권1호
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• pp.62-71
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• 2007

Purpose: This study was done to compare sleep patterns, factors of sleep disturbance and sleep enhancement behaviors between sleep disturbance and non-sleep disturbance elderly patients. Method: The participants were 117 patients over 65 years old who were hospitalized at 5 general hospitals in Seoul. There were 83 patients in the good sleeper group and 34 in the poor sleeper group. The survey questionnaires included questions on general characteristics, sleep patterns, sleep disturbing factors, and sleep enhancement behaviors of the patients. Results: For sleep patterns and environmental factors of sleep disturbance, the poor sleepers was significantly higher than that of the good sleepers. Significant differences between good sleepers and poor sleepers were also found on the following variables: Environmental factors of sleep disturbance -'Sound of other patient's or care-giver's', 'Discomfort of bed, linen, pillow and patient's gown', 'Light in the room', 'Emergency situations', 'Temperature of patients rooms too hot or too cold'. The significant physical factor of sleep disturbance was 'Hard to breath even without moving' and for sleep enhancement behaviors: 'Use of ear plugs or eye covers' Conclusion: Consequently it is necessary to develop positive and differentiated programs for sleep enhancement for the inactive and poor sleeper among the elderly patients.

• Hip & pelvis
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• 제35권4호
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• pp.228-232
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• 2023

Purpose: Prosthetic joint infection (PJI) has an enormous physiological and psychological burden on patients. Surgeons rightly wish to minimise this risk. It has been shown that a standardised, evidence-based approach to perioperative care leads to better patient outcomes. A review of current practice was conducted using a cross-sectional survey among surgeons at multiple centers nationwide. Materials and Methods: An 11-question electronic survey was circulated to hip and knee arthroplasty consultants nationally via the BOA (British Orthopaedic Association) e-newsletter. Results: The respondents included 56 consultants working across 19 different trusts. Thirty-four (60.7%) screen patients for asymptomatic bacteriuria (ASB) preoperatively, with 19 (55.9%) would treating with antibiotics. Fifty-six (100%) screen for methicillin-resistant Staphylococcus aureus and treat if positive. Only 15 (26.8%) screen for methicillin-sensitive S. aureus (MSSA) or empirically eradicate. Zero (0%) routinely catheterize patients perioperatively. Forty-one (73.2%) would give intramuscular or intravenous gentamicin for a perioperative catheterisation. All surgeons use laminar flow theatres. Twenty-six (46.4%) use only an impervious gown, 6 (10.7%) exhaust pipes, and 24 (42.3%) surgical helmet system. Five different antimicrobial prophylaxis regimens are used 9 (16.1%) cefuroxime, 2 (3.6%) flucloxacillin, 19 (33.9%) flucloxacillin and gentamicin, 10 (17.9%) teicoplanin, 16 (28.6%) teicoplanin and gentamicin. Twenty-two (39.3%) routinely give further doses. Conclusion: ASB screening, treatment and intramuscular gentamicin for perioperative catheterisation is routinely practiced despite no supporting evidence base. MSSA screening and treatment is underutilised. Multiple antibiotic regimens exist despite little variation in organisms in PJI. Practice varies between surgeons and centers, we should all be practicing evidence-based medicine.