• 제목/요약/키워드: standard hospital

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혈청(血淸) ferritin 측정(測定)의 정도관리(精度管理)에 관(關)한 고찰(考察) (A Study on the Quality Control of 2-site Immunoradiometric Assay of Serum Ferritin)

  • 김병국;서일택;김광원;조보연;고창순;이문호
    • 대한핵의학회지
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    • 제14권1호
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    • pp.9-16
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    • 1980
  • A 2-site immunoradiometric assay for serum ferritin was evaluated with commercially available kit. The assay required 6 hours. The slope of the standard curve kept up ideal range with the calculation of maxium binding instead of total dose until expire date. The stage II washing was more important than the stage I washing on the modified washing procedure as the bead keeping to remain in the tube. With this modified mothod, three times of tube. washing was sufficient to reduce the significant errors The measured values of serially diluted sample with standard diluting buffer was proportional to the predicted values. In the experiment of serum effect on the assay. a linear relationship from 5 to 50% serum, but beyond 50% there was reduction in measured ferritin concentration. It has a sensitivity of 2.77 ng/ml, within-assay precision (CV) of 8.0%, and between-assay reproducibility(CV) of 7.4% (mean 174.8 ng/ml).

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Setting the Stomach Transection Line Based on Anatomical Landmarks in Laparoscopic Distal Gastrectomy

  • Hosogi, Hisahiro;Kanaya, Seiichiro;Nomura, Hajime;Kinjo, Yousuke;Tsubono, Michihiko;Kii, Eiji
    • Journal of Gastric Cancer
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    • 제15권1호
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    • pp.53-57
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    • 2015
  • Laparoscopic distal gastrectomy has become widespread as a treatment for early gastric cancer in eastern Asia, but a standard method for setting the stomach transection line has not been established. Here we report a novel method of setting this line based on anatomical landmarks. At the start of the operation, two anatomical landmarks along the greater curvature of the stomach were marked with ink: the proximal landmark at the avascular area between the last branch of the short gastric artery and the first branch of the left gastroepiploic artery, and the distal landmark at the point of communication between the right and left gastroepiploic arteries. Just before specimen retrieval, the stomach was transected from the center of these two landmarks toward the lesser curvature. Then, about two-third of the stomach was reproducibly resected, and gastroduodenostomy was successfully performed in 26 consecutive cases. This novel method could be used as a standard technique for setting the transection line in laparoscopic distal gastrectomy.

요추 추간판 탈출증 환자에 대한 보존적 치료의 행정기준과 임상기준에 관한 비교 연구 (The comparative study with administrative and clinical standard of conservative treatment on herniated intervertebral lumbar disc patients)

  • 강군용;김영배
    • 대한물리치료과학회지
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    • 제13권3호
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    • pp.27-40
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    • 2006
  • The purpose of this study is comparative with administrative and clinical standard of conservative treatment on herniated intervertebral lumbar disc patients. The persons who diagnosed to herniated intervertebral lumbar disc were attended in this study. The number of cases were 120 cases. We evaluated their chart, X-ray and MRI. The result of the group 1 study(60 cases) were as follows; 1. The patients who treated for 41days were improved 100%, which was 3cases(5%). 2. The patients who treated for 45days were improved 90%, which was 13cases(22%). 3. The patients who treated for 43days were improved 80%, which was 28cases(47%). 4. The patients who treated for 39days were improved 70%, which was 6cases(10%). 5. The patients who treated for 28days were improved 60%, which was 5cases(28%). 6. The patients who treated for 22days were improved 50%, which was 4cases(7%). 7. The patient who treated for 28days were improved 40%, which was 1case(2%). The result of the group 2 study(60 cases) were as follows; 1. The patients who treated by administrative standard were improved 40%, which was 8cases(13%). 2. The patients who treated by administrative standard wereimproved 30%, which was 32cases(53%). 3. The patients who treated by administrative standard wereimproved 20%, which was 7cases(12%). 4. The patients who treated by administrative standard were improved 10%, which was 9cases(15%). 5. The patients who treated by administrative standard wereimproved 0%, which was 4cases(7%). Conclusion ; In herniated intervertebral lumbar disc patients who had conservative treatment. The highest improve patients were 28 cases(47%), who treated for 43 days in group 1. The lowest improve patient were 4 case(7%), who treated by administrative standard in group 2. The Effective duration of conservative treatment was more than 43 days in group 1. Group 1 which applied to clincal standard was much batter than group 2 which applied to administrative standard.

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간호 대학생의 의료관련감염 관리에 대한 표준주의 인지도와 표준주의 수행도: 내적 건강통제위의 매개효과 (Awareness and Performance on Standard Precautions of Hospital-acquired Infection Control in Nursing Students: The Mediating Effect of Internal Health Locus of Control)

  • 양선이;임효남
    • 한국간호교육학회지
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    • 제23권4호
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    • pp.378-388
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    • 2017
  • Purpose: The aim of this study was to identify the status of performance on standard precautions among nursing students and to examine the mediating effects of internal health locus of control on the relationship between awareness and performance on standard precautions of hospital-acquired infection control. Methods: The participants in this study were 134 nursing students. The measurements included a standard precautions awareness and performance scale, and a multidimensional health locus of control scale. Data were analyzed using independent t-test, one-way ANOVA, $Scheff{\acute{e}}$ test, Pearson correlation coefficient, and simple and multiple regression techniques. Mediation analysis was performed by the Baron and Kenny's method and Sobel test. Results: The mean score of standard awareness, standard performance, and internal health locus of control about standard precaution were $174.30{\pm}9.08$; $169.48{\pm}12.04$; and $20.43{\pm}2.82$; respectively. There was a positive correlation between standard awareness and performance (r=.414, p<.001). Also, standard awareness was significantly correlated with internal health locus of control (r=.413, p=.014). Internal health locus of control showed partial mediating effects in the relationship between awareness and performance. Conclusion: The results indicate a need to improve the internal health locus of control of nursing students. Therefore, an internal health locus of control improvement program should improve performance on standard precautions for patients and themselves.

돌봄제공자의 감염관리를 위한 표준주의 이행도 영향요인 (Factors influencing Healthcare-associated Infection Control of Caregivers)

  • 김지영;장은희
    • 중환자간호학회지
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    • 제14권1호
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    • pp.63-75
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    • 2021
  • Purpose : The purposes of this study were to examine the relationships between knowledge, awareness, safe environment, and performance of standard precautions and identify factors associated with performance of standard precautions. Methods : This study was a descriptive research. A structured questionnaire on knowledge, awareness, safe environment, and performance of standard precautions was used for the survey with a convenience sample of 150 caregivers. Data were collected from July to August 2019 and were analyzed using descriptive statistics, independent t-test, one way ANOVA, Pearson's correlation coefficient, and multiple regression with SPSS/WIN 25.0 program. Results : The mean scores on knowledge, awareness, safe environment, and performance of standard precautions were 15.77±3.34, 7.35±1.91, 4.55±2.05, and 55.20±10.11 respectively. Performance of standard precautions showed a statistically significant positive correlation with knowledge (r=.54, p<.001), awareness (r=.54, p<.001), and safe environment (r=.50, p<.001). Awareness (β=.24, p=.025) and safe environment (β=.35, p<.001) were significantly associated with factors of performance of standard precautions. Also, education level (high school and above college), affiliated institution (private association), and importance of infection control education (moderate) were significantly associated with factors of performance of standard precautions. Conclusion : The results of the study indicate that factors influencing the performance of standard precautions of caregivers were awareness and safe environment. Therefore, to improve implementation of the standard precautions among caregivers, a safe environment within the hospital must be supported, and appropriate infection management education needs to be provided to caregivers to improve their knowledge and awareness of the standard precautions.

Meditation for Alzheimer's Disease: Systematic Review and Meta-Analysis

  • Lee, Go eun;Kim, Sang ho;Jung, In chul;Kang, Hyung won
    • 동의신경정신과학회지
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    • 제30권3호
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    • pp.237-249
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    • 2019
  • Objectives: Interest in the use of complementary and alternative treatments to treat dementia. Meditation is used to treat various symptoms of physical and psychological diseases. Some studies suggest that meditation might have positive effects on cognitive functions, especially attention, in the elderly. However, how meditation affects Alzheimer's disease (AD) patients remains unclear. In this review, we assessed the effectiveness of practicing meditation in combination with standard care in AD. Methods: We searched the CCRCT, MEDLINE, EMBASE, AMED and CINAHL databases on 30 May 2017. We included randomized controlled trials (RCTs) that used meditation in adult patients diagnosed with AD. We allocated patients to a meditation combined with standard care or a standard care-only group. Results: The two RCTs met the inclusion criteria. A total of 98 patients were included in the meditation with standard care and standard care-only groups in this review. All meditation programs in the included trials were based on practicing mindfulness. The results of our meta-analysis indicatedthat adjunctive mindfulness meditation programs exerted favourable but non-significant effects on cognitive function on the Mini Mental State Examination (MMSE) (MD=4.68, 95% CI -0.11 to 9.46; Z=1.92, p=0.06). Only one study assessed depression, anxiety, quality of life and stress. No adverse events related to meditation were reported in the included studies. Conclusions: Insufficient data iscurrently available to determine the effectiveness of practicing meditation on patients diagnosed with AD. Hence, further RCTs with high methodological quality and larger sample sizes are needed to effectively estimate the effects of meditation on AD.

종합병원의 병동부 기능공간 구성비율에 관한 연구 (A Study on the proportion of functional Areas in the ward of General Hospitals)

  • 권순정;주소현
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제17권4호
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    • pp.49-55
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    • 2011
  • This study proposes proportions of functional areas in the ward of general hospitals, which are derived from 5 big university hospitals in order to establish the ward area standard for hospital design. The results of this paper are as follows. First, functional areas of hospital ward are composed of bedroom area, nursing area, training area, service area, and common area. Of course common area can be divided into first common area and secondary common area. The first common area(inter departmental common area) includes lobbies, elevator lobbies, corridors, restroom, and mechanical shafts. The secondary common area means the common area within special department such as ward or radiology department. Second, a standard method of calculating ward areas has been proposed: the standard is based on the center line of the wall between functional areas. Third, the proportions of 6 functional areas in ward are suggested.

응급구조과 학생의 병원감염 표준주의에 대한 인지도와 수행도 (Emergency Medical Technology Students' Awareness and Performance of Standard Precautions in Hospital Infection Control)

  • 최성수;윤성우
    • 한국산학기술학회논문지
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    • 제14권5호
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    • pp.2262-2270
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    • 2013
  • 이 연구는 임상실습을 실시하면서 병원감염에 노출되어 있는 응급구조과 학생들을 대상으로 병원감염관리 표준주의 지침의 인지도와 수행도를 파악함으로써 감염예방과 노출을 감소시킬 수 있는 효율적인 실천방안을 마련하는데 기초자료를 제공하고자 하였다. 연구결과 병원감염관리 표준주의 인지도에 비해 수행도가 낮은 결과를 보였고, 인지도와 수행도는 양의 상관관계가 있는 것으로 나타났으며 통계적으로 유의한 차이가 있었다(r=0.325, p=0.000). 향후 응급구조과 학생들의 병원감염관리 수행도를 증진 시킬 수 있도록 교과과정과 실습기관에서의 지속적인 교육프로그램이 수행되어야 할 것이다.

Myringoplasty Outcomes From a 5-Year Single Surgeon's Experience and Important Surgical Technical Aspects

  • Karunaratne, Dilhara;Violaris, Nick
    • Journal of Audiology & Otology
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    • 제25권4호
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    • pp.224-229
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    • 2021
  • Background and Objectives: The United Kingdom (UK) national standard for the closure rate for myringoplasty is 89.5% (90.6% and 84.2% for primary and revision surgeries, respectively). The average hearing gains for primary and revision myringoplasty are 9.14 dB and 7.86 dB, respectively. This study compared the myringoplasty outcomes for a single surgeon over 5 years. Subjects and Methods: Data for 68 cases were analyzed retrospectively. The outcome measures were achievement of the tympanic membrane closure and the average hearing gain or loss. Results: The overall and primary closure rates were 97% and 98%, respectively and significantly higher than the UK national standard (p=0.0210 and p=0.0287, respectively). The revision closure rate was 93%; however, it was not significantly higher than the national standard (p=0.1872). The average hearing gain was 5.18 dB. The gains for primary and revision surgeries were 5.15 dB and 5.25 dB, respectively. Conclusions: We propose that these outcomes are a result of our surgical technique, including the simultaneous use of cortical mastoidectomy in ears with discharge.

Myringoplasty Outcomes From a 5-Year Single Surgeon's Experience and Important Surgical Technical Aspects

  • Karunaratne, Dilhara;Violaris, Nick
    • 대한청각학회지
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    • 제25권4호
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    • pp.224-229
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    • 2021
  • Background and Objectives: The United Kingdom (UK) national standard for the closure rate for myringoplasty is 89.5% (90.6% and 84.2% for primary and revision surgeries, respectively). The average hearing gains for primary and revision myringoplasty are 9.14 dB and 7.86 dB, respectively. This study compared the myringoplasty outcomes for a single surgeon over 5 years. Subjects and Methods: Data for 68 cases were analyzed retrospectively. The outcome measures were achievement of the tympanic membrane closure and the average hearing gain or loss. Results: The overall and primary closure rates were 97% and 98%, respectively and significantly higher than the UK national standard (p=0.0210 and p=0.0287, respectively). The revision closure rate was 93%; however, it was not significantly higher than the national standard (p=0.1872). The average hearing gain was 5.18 dB. The gains for primary and revision surgeries were 5.15 dB and 5.25 dB, respectively. Conclusions: We propose that these outcomes are a result of our surgical technique, including the simultaneous use of cortical mastoidectomy in ears with discharge.