Medical technologies are gaining in importance because of scientific and technical progress in medicine andthe increasing average lifetime of people. This has opened up a huge market for medical devices, where complex-shapedmetallic parts made from biocompatible materials are in great demand. Today many of these components are alreadybeing manufactured by powder metallurgy technologies. This includes mass production of standard products and alsocustomized components. In this paper some aspects related to metal injection molding of Ti and its alloys as well asmodifications of microstructure and surface finish were discussed. The process chain of additive manufacturing (AM)was described and the current state of the art of AM processes like Selective Laser Melting and electron beam meltingfor medical applications was presented.

Instruments for surgical and dental application based on oscillatory mechanics submit unwanted vibrations to the surgeon's and dentist's hands. frequently the weight of the instrument's body is increased to dampen its vibration. Because medical devices to contact with human body directly are sterilized before use, conventional damping method and damper are not good for medical use. For dissipation of vibration, based on recent research regarding the optimization of particle damping, we made a prototype particle damper that dissipate the vibration of oscillatory saw and tested for validation of particle damping. As a result we found that particle damper operate more efficiently than solid mass damper if the geometry of the damper is optimized with respect to the specific amplitude of the vibration.

In this paper, two kinds of advanced powder processing techniques Metal Injection Molding (MIM) and Direct Laser Forming (DLF) are introduced to fabricate complex shaped Ti alloy parts which are widely used for med- ical and aerospace applications. The MIM process is used to strengthen Ti-6Al-4V alloy compacts by addition of fine Mo, Fe or Cr powders. Enhanced tensile strength of 1030 MPa with 15.1% elongation was obtained by an addition of 4 mass%Cr because of the microstructural modification and also the solution strengthening in beta phase. However, their fatigue strength was lower compared to wrought materials, but was improved by HIP. Subsequently, the effect of feed- ing layer height (FLH) on the characteristics of the DLF compacts was investigated. In the case of 100 µm FLH, sur- face roughness was improved and nearly full density (99.8%) was obtained. Also, tensile strength of 1080 MPa was obtained, which is higher than the ASTM value.

About 70% of total honey products produced by Korean bee keepers was acacia honey. The remaining 30% was chestnut honey, jujube honey, snowbell honey, and another honey. False acacia, went down in payability since the middle 2000s because of simultaneous blooming etiolation chlorsis decreases productivity after aging. Therefore, substitution honey plants were necessary. This study estimated nectar secretion amount of each flower and productivity per ha at 14 medical herbs. Each flower, Codonopsis lanceloata, estimated a majority nectar secretion amount at 176.08 ul for each of the 14 medical herbs. Astragalus membranaceus estimated majority nectar secretion amount at 1273.3 L per ha for each of the 14 medical herbs. Medical herbs were hypothesized with valuable honey plants.

This study evaluated the efficacy and safety of medi- cal shampoo containing terbinafine hydrochloride and chlorhexidine gluconate in dogs with dermatophytos is complicated with bacterial infection. Although several stud- ies in dogs and cats with fungal dermatitis have found that oral administration of terbinafine is effective for controlling clinical signs, the topical form of terbinafine has rarely been studied in dogs and cats. Therefore, this study evaluated the efficacy of medical shampoo containing terbinafine hy- drochloride and chlorhexidine gluconate in dogs with der- matophytos is complicated with bacterial infection. Eight dogs infected with Microsporum spp. complicated with bacterial infection were enrolled in this study. These dogs were further blindly divided into Group 1 (no treatment, fourdogs) and group 2 (treated with medical shampoo with terbinafine/chlorhexidine, four dogs). Clinical improvement was evaluated using bacterial and fungal cultural evaluation combined with clinical evaluation. This study found that the medical shampoo has sufficient efficacy to treat varying degrees of dermatophytosis complicated with bacterial in- fection in dogs, although the speed of improvement differed according to the degree and type of infection. Our study also found that combined therapy using antifungal and antibac- terial agents can improve clinical signs more effectively and rapidly, suggesting that concurrent bacterial infection plays a significant role in the development of dermatitis.

This research paper introduces the application and implementation of medical decision metrics that classifies medical decision-making into four different metrics using statistical diagnostic tools, such as confusion matrix, normal distribution, Bayesian prediction and Receiver Operating Curve(ROC). In this study, the metrics are developed based on cross-section study, cohort study and case-control study done by systematic literature review and reformulated the structure of type I error, type II error, confidence level and power of detection. The study proposed implementation strategies for 10 quality improvement activities via 14 medical decision metrics which consider specificity and sensitivity in terms of α and β. Examples of ROC implication are depicted in this paper with a useful guidelines to implement a continuous quality improvement, not only in a variable acceptance sampling in Quality Control(QC) but also in a supplier grading score chart in Supplier Chain Management(SCM) quality. This research paper is the first to apply and implement medical decision-making tools as quality improvement activities. These proposed models will help quality practitioners to enhance the process and product quality level.

This study was performed to investigate the distribution of indoor air pollutants in medical facility in Gyeonggi-do area from February to November, 2012, and to conduct the health risk assessment from obtained data. PM10, CO₂, formaldehyde, CO, and total bacteria count(TBC) did not exceed the maintained standards, but mean concentration of TVOC was 402.3 ㎍/㎥ and thirteen of them exceeded the recommended standard. In the concentration distribution of pollutants for the monthly samples, CO₂, formaldehyde, TVOC, TBC were the highest level in August. From the factor analysis of indoor air pollution provided three factors; the first factor was seasonal factor (indoor temperature and humidity, TBC and formaldehyde), the second factor was ventilation factor (CO₂, PM10 and CO), and the third factor was building(or interior) factor (TVOCs). In the health risk assessment results, the excess carcinogenesis of formaldehyde for resonable maximum exposure worker was 1.21×10-⁴ which means exceeding the cancer criteria(1.0×10-⁴). We confirmed the probability of health effect caused by TVOC. The lifetime excess cancer risk of carcinogens(benzene, formaldehyde) and hazard quotient of non-carcinogens(toluene, ethylbenzene, xylene, styrene), and risk of regulation substances(PM10, CO₂) were safety level for inpatients and out patients.

Staphylococcus species are one of prevalent pathogens found in hospitals. Microbes that are a primary cause of nosocomial infection were isolated from a dental and medical environment it may assist the reader to explain what this is and how it differs from the ‘dental health care providers and ward health care providers’. To investigate the distribution of staphylococcus species in this environment, we used vitek II to measure drug sensitivity, and further performed biochemical testing. The isolation rate of staphylococcus species from the dental and medical environment was 100% but from dental health care providers and ward health care providers were 44.4% and 33.3%, respectively. In the analyses, staphylococcus species showed resistance to diffusion of cefoxitin and oxacillin discs. These staphylococci may be sufficiently positive for the mecA gene. Our results suggest that staphylococci might be an important cause of nosocomial infection in the dental clinic.

본 연구는 산림기반형 한방치유 관광상품에 대한 수요자 욕구와 선호를 파악하여 향후 보다 표적화되고 차별화된 산림치유 관련 정책 수립과 한방치유 관련 프로그램의 개발을 위한 기초자료 제공을 목적으로 실시되었다. 서울에 거주하는 30대 이상 성인남녀 400명을 조사대상으로 성과 연령별, 거주지역별로 비례할당 표본추출법을 사용, 인터넷조사(CAWI)를 실시하여 총 317부가 최종 분석에 이용되었다. 산림기반형 한방치유 관광상품에 대한 이미지는 '산림욕, 숲속 걷기, 나무'가 다수(61.5%)를 차지했고, 선호 의견과 이용 의향은 각각 72.9%와 67.5%로 긍정적인 경향이 높았다. 단지 조성에 적합한 지역으로는 수도권이 53.6%, 강원도가 38.8%로 나타났다. 이용목적은 '스트레스 해소와 재충전', '산림휴양활동', '건강 유지 및 체력 증진'의 순이었다. 선호 치유요법은 '트래킹, 산책 등 걷기요법'이 가장 많았으며 '피트니스, 기체조 등 운동요법'이 그 뒤를 이었다. 상품선택 시 주요 고려 요인은 '이용 비용의 적정성', '음식과 이용 식자재의 적절성', '의료진 및 직원들의 친절성' 등으로 나타났으나 이용편의성과 의료서비스의 질, 관광활동 관련 요인 등 전 요인에 걸쳐 높은 점수를 기록하여 상품에 대한 수요자의 높은 기대수준을 보여주고 있다. 또한 인구통계학적 세분시장 별로 이용관련 요인들에 대한 선호에 차이점을 보이고 있어 관련 상품의 기획과 운영 시 차별화 되고 세분화된 수요자 욕구를 반영하는 것이 필요할 것으로 보인다. 그러나 본 연구는 상이한 수요자 선호를 파악함에 있어 인구통계학적 세분 시장만을 규명함으로써 가장 기초적인 단계에 머무른 한계점을 지니고 있어 후속연구에서는 다차원적이고 복합적인 수요자 욕구에 대한 보다 정교화된 규명이 요망된다.

The main milling cutter used for typical arthroplastic surgery robot, ROBODC system is 7.8 mm milling cutter. this cutter was used in case of traditional total knee arthroplasty, but 7.8mm milling cutter is not appropriate for newest surgical technique, MIS(minimally invasive Surgery). Generally, cutting method for MIS is tunnel cutting and cutter of cantilever type and small diameter is must be developed for MIS. Generally, Main problem of cutting system is chattering due to vibration of cutter by rotation and numerical analysis using finite element method was used for identifying chattering problems in this study. shaft length, cutter length, diameter and so on were proposed by axis displacement, stress, strain analysis through numerical analysis.

This paper describes the traditional Ondol medical care, the specific combination of ancient and contemporary examples to be articulated. As a traditional Korean culture, to be extracted from the historical perspective, it described the relationship and origins between them, From a health perspective, in accordance with the logic and pharmacology it introduced Ondol as the important principle of health care equipment. The modern architecture of some common harmful to the body, from the perspective of Ondol, it should be improved and based on scientific proof to the theory.

The existing evaluation systems based on financial performance summarize the information about past results and focus on short-term performance, and so they have the limits to explain the future value of firms and to make a long-term strategic performance. By this reason, as a way to increase the future value, the development of the integrated performance evaluation system with which we may manages financial performance and knowledge assets together has been required recently. This study puts together various researches for the evaluation of knowledge assets, and analyzes the existing studies for the domestic medical devices industry and the tendency of introduction for business practice. Under this analysis, this study develops the knowledge asset evaluation indexes for medical devices industry by using the Balanced Score Card (BSC) of Kaplan & Norton(1992), and then presents the evaluation model by applying the Analytic Hierarchy Process (AHP) of Saaty(1980) to get the weight for each index. With the final evaluation model, we can calculate the evaluation score combined with both the quantitative indexes and the qualitative indexes at once.

본 연구는 한약재 부산물을 조사료 대체 사료원으로서 사용하였을 때 발효기간에 따른 in vitro 발효 특 성을 조사하고자 수행되었다. 처리구는 대조구 (control), 한약재 부산물 20%와 볏짚 80% (T1), 한약재 부산물 40%와 볏짚 60% (T2), 한약재 부산물 50%와 볏짚 50% (T3), 그리고 한약재 부산물 100%와 볏짚 0% (T4)이었으며 3, 6, 9, 12, 24, 36, 48, 및 72h 동안 처리당 3반복으로 in vitro 발효실험을 실 시하였다. 가스 발생량과 건물소화율은 시간이 지남에 따라, 그리고 한약재 부산물의 양이 많아짐에 따라 서 증가하는 경향이었으며, 특히 72시간에 T4가 가장 높았다 (P<0.05). 메탄 발생량 또한 비슷한 결과 로서 시간이 경과하고 한약재 부산물의 양이 많아짐에 따라 지속적으로 증가하였다 (P<0.05). pH는 5.39~6.80의 범위로 첨가량이 높아질 수록 유의적으로 낮아졌다 (P<0.05). 미생물 성장량은 발효 후 시 간이 경과함에 따라서 점차적으로 증가하였고, 첨가구가 control 보다 높았다 (P<0.05). CMCase, Xylanase 및 amylase 효소 활력은 처리구별 특정한 패턴이나 유의적인 차이가 없었다. 본 실험의 결과는 한약재 부산물이 가스발생량, 미생물성장량 및 건물소화율을 높이고 pH를 감소시키는 등의 효과를 주어 반추위 발효의 안정화 및 향상을 꾀할 수 있고, 효소 활력을 높임으로써 사료의 이용효율을 향상시킬 수 있다는 가능성을 보여 주었다

의학기술의 발달에 따라 의료현장에서 환자에 대한 기록이 축적됨에 따라, 환자의 의료상 비밀 유출에 대한 우려가 커졌다. 우리 판례는 환자의 비밀을 보호해야 한다는 것은 인정하면서도, 보호되어야 할 의료상 비밀을 좁게 인정했기 때문에 문제로 생각된다. 일각에서는 환자의 비밀 보호를 위한 별도의 법제정까지 요구되기도 하는데, 현행법규정을 활용한 의료상 비밀 보호가 우선되어야 할 것으로 생각된다. 의료상 비밀이란 의료행위와 관련한 모든 활동에서 생성되어, 환자와 의사, 혹은 일부의 사람만 알고 있는 사실로, 환자 스스로가 타인에게 알리기를 원하지 않는 사실인 동시에, 만일 타인에게 알릴 경우 환자에게 불이익이 되는 모든 사실이다. 비밀누설행위에 대해 현행 형법과 의료법은 규정을 두고 있다. 그런데 판례에서는 의료상 비밀은 그 범위가 좁게 인정된 바 있는데, 이 점은 환자의 의료상 비밀의 주체가 바로 환자 자신이라는 사실을 간과한 판단으로 생각된다. 자기결정권을 가진 환자가 의료상 비밀의 주체라는 관점에서 보면, 환자에게 이익이 되거나 혹은 불이익이 되지 않는 사실이더라도, 환자가 원하지 않거나 원하지 않을 것으로 예상되면 누설하지 않는 것이다. 환자의 건강정보, 즉 의료상 비밀을 보호하거나 활용하기 위한 별도의 법제정에 대한 요구가 있다. 생각건대 현행법으로 의료상 비밀을 보호하는 것이 우선되어야 하고, 만일 공백이 생기는 경우는 검토하여 보완입법이 가능할 것이다. 그러나 이 때 중요한 점은 의료의 특수성을 감안하여 현행법으로 보호하기 어려운 의료상 비밀의 보호를 위한 법률의 제정이 되어야 할 것이지, 연구목적 등 여타의 이유로 의료상 비밀을 활용하기 위한 제정이 되어서는 안된다는 것이다.이 글에서는 현행법상 의사가 가진 환자의 의료상 비밀을 기재할 의무와, 그 비밀을 보호할 의무를 살피고, 관련 판례에서 나타난 법원의 판단을 통해 환자의 의료상 비밀을 정의해 보고, 비밀 보호의 방향을 모색하고 하였다.

The present study aimed to compare and analyze the particulars of and difference in medical expenses and their composition ratio for 2,026 patients hospitalized at 2 types of medical institutions (443 at a clinic and 1,583 at a hospital) in Jeonju-si, Jeollabuk-do under coverage of automobile insurance during 2009. From the analysis, it became evident that there were differences in individual characters of inpatients covered by automobile insurance, and details, composition and composition ratio of medical treatment for them depending on types of medical institutions. There was no difference, however, between the total and average medical expenses per capita even when markup rate was applied to the automobile insurance by types of hospitals. The ratio of radiotherapy and physical therapy in the composition of medical expenses was found to be extraordinarily high in clinics compared to that of hospitals. The composition ratio of the fixed cost including charge for hospitalization also turned out to be fairly high in all medical institutions.

Methicillin-resistant Staphylococcus aureus (MRSA) is one of the most prevalent pathogens in hospitals. To investigate cross contamination by this bacterium in both dental and medical settings, the pathogens that cause acute pyogenic infection and one of the major microbes responsible for nosocomial infection were isolated from health care providers, nurses and patients. We used VITEK II to measure drug sensitivity, and we further performed biochemical testing, coagulase serotype testing and pulse-field gel electrophoresis (PFGE) for isolated MRSA colonies. The isolation rate of Staphylococcus aureus from nasal swabs was 75.0% from dental health care providers and 18.8% from the medical health care providers. A total of 10 MRSA strains were isolated from 40 health care providers and 2 patients and the prevalent coagulase serotype from patients and health care providers was VII. The antimicrobial drug resistance and partial PFGE types of the isolated MRSA strains showed a similar pattern. These results suggest that MRSA may be one of the principal causes of nosocomial infection in dental and medical hospitals.