The purpose of this study was to investigate the actual conditions of radiation safety supervision in animal clinics using inspection standard of X-ray generator for diagnosis. The surveys for inspection standard system, equipment condition, and safety supervision were carried out in 18 animal clinics randomly. The inspection standard included reproducibility of dose exposure, kVp, mAs, collimator accuracy test, collimator luminance test, X-ray view box luminance test, grounding system equipment test and external leakage current test. The surveys of equipment condition and safety supervision used one-on-one interview with 5 points measurement. As a result, 44.44% of reproducibility of dose exposure was proper, 81.25% of kVp test was good, and 100% of mAs test was appropriate. Also, 66.66% of collimator accuracy test was proper, 61.11% of collimator luminance test was good, 53.13% of X-ray view box luminance test was suitable. In addition, only 5.55% of grounding system equipment and ground resistance was proper, 63.64% of external leakage current test was appropriate in grounding system equipment test. The 100mA electric capacity of X-ray generator for diagnosis was popular with 44.44%, and its 55.56% was purchased used equipment. Monthly average of less than 50 times (61.11%) was top frequency in use, and no animal clinic had a thermo-luminescence dosimeter(TLD). The 16 animal clinics with radiation safety zone and 2 without radiation safety zone were appeared.

The purpose of this study was to investigate the actual conditions of radiation safety supervision in animal clinics using quality assurance (QA) and quality control (QC) of diagnostic X-ray units. The surveys for QA/QC, equipment condition, and safety supervision were carried out in 18 animal clinics randomly. The QA/QC included reproducibility of dose exposure, kVp, mAs, collimator accuracy test, collimator luminance test, X-ray view box luminance test, grounding system equipment test and external leakage current test. As a result, 44.44% of reproducibility of dose exposure was proper, 81. 25% of kVp test was good, and 100% of mAs test was appropriate. Also, 66.66% of collimator accuracy test was proper, 61.11% of collimator luminance test was good, 53.13% of X-ray view box luminance test was suitable. In addition, only 5.55% of grounding system equipment and ground resistance was proper, 63.64% of external leakage current test was appropriate in grounding system equipment test.

The psychosocial stress and musculoskeletal disorders(MSDs) have been one of major health problems for hospital workers. This study tried to understand the relationship between symptoms associated with MSDs and risk factors such as working posture, job stress, psychosocial stress and fatigue. A total number of 655 hospital workers participated in this study. Specifically, REBA was applied for evaluating working posture and a checklist prepared by KOSHA(Korean Occupational Safety and Health Agency) was used for symptom survey. A questionnaire from KOSHA was also used for collecting data associated with job stress, psychosocial stress and fatigue. All these data were formulated and modeled by path analysis which was one of major statistical tools in this study. Specifically, path analysis for the data we collected came up with several major findings. As a result, as for body part(neck), (waist) and (arms) the degree of risk of work posture measured with the use of job stress(KOSS), psycho-social stress(PWI-SF) and REBA is significantly more affected by fatigue than muscular skeletal disease related consciousness symptom. However, regarding bod(wrist), the degree of risk of work posture measured with the use of job stress(KOSS) and REBA is directly affected by muscular skeletal disease related consciousness symptom. This study is meaningful in that the study clarified the causal relations of the degree of risk of work posture, degree of fatigue, and muscular skeletal disease related consciousness symptoms by each body part measured with the use of work stress(KOSS), psycho-social stress(PWI-SF) and REBA.

동물병원에서 행해진 진료현황, 총 41,305건에 대해 WHO의 질병분류법(ICD)에 따라 검증한 결과 예방의학이 42.2%, 피부질환이 16.4%, 소화기계가 12.0%, 耳科가 8.5%, 호흡기계 질환이 4.3%이었다. 내과질환에서는 내원한 진료 중에서 소화기계 질환이 52.9% 호흡기계 질환이 18.9%, 순환기질환이 13.2%, 종양이 4.4%순이었다. 피부질환 총 6,774건 중에서 농피증이 50%, 외부기생충증이 12.2%, 피부사상균증이 11.0%, 알레르기성 피부병이 9.8%이었다. 동물병원의 수입을 진료부분과 용품 판매, 애견 미용 등 크게 3부분으로 구분하였을 때 전체 매출의 71.6%가 진료부분, 용품의 판매가 16.9%, 애견 미용이 11.5%를 차지하였다. 동물병원의 홍보 형태는 인터넷 웹사이트를 통한 홍보가 47%로 가장 많았으며, 지역광고지가 23.5%, 전단지와 전화통신 서비스가 11.8% 순이었다. 동물병원의 인적구성에서는 수의사가 절반정도인 45.5%를 차지하였으며 전문적인 교육과정을 거친 수의테크니션은 없었다. 동물병원의 시설구획에서는 평균 진료실은 2.7실, 입원실은 1.7실, 격리입원실은 0.5실이었고 이외 수술실과 방사선촬영실을 병용하는 동물병원도 있었고 일반 처치실의 시설은 미흡하였다.

In this study, disinfection effect of coliform group treated with ozone was analyzed for the effluent discharging from activated sludge treatment process in hospital wastewater treatment plant. Based on these results, it aims to get basic data to establish the disinfection facility in hospital wastewater treatment, suggesting affecting factors according to hydraulic retention time of the activated sludge process and design basic factors necessary to ozone disinfection. Removal efficiencies of coliform group for the effluent according to HRT such as 4hr, 8hr, 12hr were analyzed using a lab-scale activated sludge process, respectively. To decay the microorganism regulates the CT value multiplied disinfectant concentration by contact time. CT value is highly correlated with a removal efficiency of coliform group and according to increasing an injected ozone concentration, the CT value was increased.. When HRT was 4, 8, 12 hours , CT value takes place at minimum condition 50, 40, 334 mg/L-min, respectively.

This study of hospital wastewater by activated sludge wastewater treatment facility for your use of the UV disinfection process in the HRT and the UV intensity UV disinfection coliform group by evaluating the effectiveness of the disinfection facilities to meet basic data is for. Study the active sludge process coliform group emissions alone will not meet the accepted standards of the disinfection process needs to be separate. Active sludge from the same UV dose settling water interfere with my a particle substance acts as an argument between the disinfection effect a point of difference, which requires the removal of material a particle before in disinfect. The higher the UV intensity coliform group HRT long the effects of the disinfection was higher, permitted emission standards 3,000 EA/mL to meet UV dose said the 82 mJ/cm2. Existing water pollution prevention facilities, the design of the UV dose 2,310 mJ 1m/cm2 the a safety factor 50% of the company considered the same as after consideration, 120 mJ/cm2 to about 19 times higher than the results of the experiment setup, and of the existing water pollution prevention facilities UV disinfection equipment is installed, the excess.

The airms of this study are to examine the concentrations of volatile organic compounds(VOCs) in hospitals and to compare concentrations of VOCsin hospital with public facilities. Mean concentraton of total volatile organic compounds(TVOCs) in hospital was 103.97±87.39㎍/m³, that was lower than guideline of KMOE. The highest concentration of VOCs in hospital was 19.07±13.47㎍/m³ for Toluene. The distribution of VOCs in hospitals was log-normal distribution. As the result of Monte carlo simulation, the distribution of VOCs in hospitals was log-normal distribution with the exception of Toluene with normal distribution.

목적 : 이 연구는 재활병원에서 입원치료를 받고 있는 척수손상환자를 대상으로 작업수행의 영역에서의 문제점을 명시하고, 작업수행의 수준, 수행도 및 만족도와 영역별 시간사용의 관련성을 분석하고자 하였다. 연구방법 : 연구대상은 재활병원에 입원하여 치료를 받고 있는 척수손상환자 19명을 대상으로 하였다. 일상생활활동은 MBI(Modified Barthel Index), 작업수행에서의 문제는 COPM(Canadian Occupational Performance Measure)을 통하여 조사하였고, 시간 사용을 기준으로 활동 배치를 조사하기 위해 30분 단위로 활동을 배치하는 타임테이블을 사용하였다. 조사기간은 2008년 7월 14일에서 7월 16일까지였다. 결과 : 전체 작업수행의 문제는 총 84건이었으며, 자조활동에 대한 문제가 71.4%로 가장 많았다. MBI 점수가 높을수록 자조활동 시간사용은 높았고, 여가활동 시간사용은 낮았다(p<.05). 전체 여가활동 중 정적 여가활동에 대한 시간사용이 높았다. 결론 : 이 연구결과를 통하여 척수손상환자에게 필요한 문제의 우선순위가 다양하고, 작업수행 영역별 시간사용이 불균형이 심한 것을 확인할 수 있었다. 그러므로 척수손상환자에 대한 작업치료 중재 시 우선순위를 고려한 목표설정이 필요하고, 효율적인 시간관리를 위한 작업치료 중재가 필요함을 알 수 있었다.

The psychosocial stress and musculoskeletal disorders(MSDs) have been one of major health problems for hospital workers. This study tried to understand the relationship between symptoms associated with MSDs and risk factors such as working posture, job stress, psychosocial stress and fatigue. A total number of 655 hospital workers participated in this study. Specifically, REBA was applied for evaluating working posture and a checklist prepared by KOSHA(Korean Occupational Safety and Health Agency) was used for symptom survey. A questionnaire from KOSHA was also used for collecting data associated with job stress, psychosocial stress and fatigue. All these data were formulated and modeled by path analysis which was one of major statistical tools in this study. Specifically, path analysis for the data we collected came up with several major findings. The risk scores from working posture based on REBA had indirect effects via fatigue factor(MFS) as well as direct effects on symptoms. The factors associated with job stress (KOSS) and psychosocial stress(PWI-SF) had significant effects on symptoms. Specifically, indirect effect of job stress factors via fatigue factors(MFS) had bigger than that of direct effect of job stress on symptom.

This paper deals with the application of Supply Chain Operations Reference (SCOR) model to make a Service Supply Chain(sSC) of a hospital treatment service. At first, we compare the service supply chain with the traditional supply chain. At second, we app

The psychosocial stress and musculoskeletal disorders(MSDs) have been one of major health problems for hospital workers. This study tried to understand the relationship between symptoms associated with MSDs and risk factors such as working posture, job stress, psychosocial stress and fatigue. A total number of 655 hospital workers participated in this study. Specifically, REBA was applied for evaluating working posture and a checklist prepared by KOSHA(Korean Occupational Safety and Health Agency) was used for symptom survey. A questionnaire from KOSHA was also used for collecting data associated with job stress, psychosocial stress and fatigue. All these data were formulated and modeled by path analysis which was one of major statistical tools in this study. Specifically, path analysis for the data we collected came up with several major findings. The risk scores from working posture based on REBA had indirect effects via fatigue factor(MFS) as well as direct effects on symptoms. The factors associated with job stress(KOSS) and psychosocial stress(PWI-SF) had significant effects on symptoms. Specifically, indirect effect of job stress factors via fatigue factors(MFS) had bigger than that of direct effect of job stress on symptom.

This is to prevent accidents that can be caused during the process of hospital logistics and accidents in relation to the traceability of medical wastes. And this is also to set up the logistic management system of medical wastes is hospital where the safety of patients shall to regard as the first priority. through these case studies effective operating plans shall be provided.

The average BOD concentration was found to be about 269mg/L before a process innovation, but after the innovation, it became 30mg/L, which satisfied the effluent standard of 120mg/L. The removal effluent standard of 120mg/L. The removal efficiency was about 60～80%, and the concentration of the treated water was found th be low. after the process innovation, the average COD concentration was 29mg/L, and the CODmn removal efficiency became low to the level of about 65～76%, which was found lower than the effluent standard of 130mg/L. After the process innovation the SS average concentration of the treated water was 13mg/L, which was lower than that before the innovation (32mg/L). By the activated sludge process innovation, the SS removal efficiency was improved to be 30～70%. The average concentration of total coliform before the process innovation was 6100 count/mL because an Activated sludge process only occasionally pass over the allowed standard(The average number of the total coliform of Activated sludge process treated water was about 8100 count/mL), UV disinfection process was introduced. after the introduction, the average number of the total coliform was 1800 count/mL, which satisfied the allowed effluent standard of 3000 count/mL.

Among patients with di seases of dental 01' oral & maxillol'acial a reas, those who have pathologic lesions ta ke upon a considerable part of these pat ients , The accurate diagnosis is importa nt for the treatment of them Oral and max illofacial lesions may have specifi c characteristics associated with tooth, oral mucosa‘ sali vary gland itself and its devel opmental process, For histopathologic diagnosis of oral and maxill ofacial lesions . pa thologist s hould unde rstand pathogenesis, clinical features, radiographic appearance, treatment, and prognosis of the lesions. [n the hos pital that had oral surgeons on staff, but not an oral pathologist, they sent the pa thologic samples and requ ested the delïn itive diagnosis t。 the oral pathologist worked in th e other dental college hos pita l, Recently, however, it had been impossible for some reasons 80 they sent the samples to general pathologists worked in private clinical laboratory center, 8ince then, oral surgeons and their pati ents were occasionally suffered I'rom unreliabl e and even inacc ura te diagnoses and improper treatments We would like to review the cases that general pa thologists made wrong diagnosis and emphasize the necessity and importance of oral pathologists for oral surgeons.

The purpose of this study was to utilize the K-MBI (Korean Modified Barthel Index) and subscales of K-MBI in predicting the length of hospital stay (LOS) and the discharge destinations for stroke patients. The study population consisted of 97 stroke patients (57 men and 40 women) admitted to the Seoul National University at the Bundang Hospital. All participants were assessed by K-MBI at admission and discharge after rehabilitation therapy and the information available was investigated at admission. The data were analyzed by using the Mann-Whitney U test, the stepwise multiple regression and the logistic regression. The median LOS was 30 days (mean, 32.8 days; range, 22 to 43 days). The K-MBI score at initiation of rehabilitation therapy (p<.001), the type of stroke and living habits before a stroke were the main explanatory indicators for LOS (p<.05). Within the parameters of K-MBI measured at initiation for rehabilitation, feeding and chair/bed transfer were the explanatory factors for LOS prediction (p<.01). Confidence in the prediction of LOS was 20%. Significant predictors of discharge destination in a logistic regression model were the discharge K-MBI score, sex and hemiplegic side. Dressing in items of discharge K-MBI was the significant predictor of discharge destination. The K-MBI score was the most important factor to predict LOS and discharge destination. Knowledge of these predictors can contribute to more appropriate treatment and discharge planning.

  This study is evaluation of shift-workers’ sleep and social life related to hospital workers’ performance and health. We researched shiftworkers’ sleep, sleeping quality and social relations using a questionnaire method to shiftworkplace scattered Daeje

Methic illin - resistant StaphyJococcus aureus(MRSA) is not only a common cause of nosocomial infections worldwide but also leading to seri ous illnesses with high rates of mortali ty , This study was performed to determine resistance patterns and molecul ar biological ca racteri slics on MRSA isolated from clinical specimen, The purpose is to provide valua ble in formation related to t he purs uit 0 (' in('ec tion trace and infe<:tion control The test of susceptibility to 17 kinds antibiotics showed that these bacterias were susceptible to glycope ptides s uch as vancomycin, teicoplanin by 100%, rifarnpin by 65, 8%, They we re a lso 100% resistance to peni cillin , cefotaxim, gentamycin and aminoglycoside drugs , and showed 68, 56% multidrug res is ta nce to a bove 13 a ntibi oti cs incl uding peni cillin, 1n the analysis of MRSA using PCR, mecA was detected in every MRSA at 35 s t ra i ns a nd l'emA in 94 1%, ln a test , to de tect toxic genes, six genes, such as sea, seb(8, 6% res pectively)‘ sec(51, 4%) ‘ seg, se i(65 , 7% res pectively) and seh(2 , 9%) were found Finally , in resisrance chract eristics, toxic genes we re isola ted c1 ifferently acco rcling to specimen but there was no c1ifference res istance pattern ancl toxic genes The c1ata from t his s t ucly contribule to a more prec ise knowledge about the resistance pa ttern of MRSA in a clinical sett ing in k orea ancl regarcl exa mi na ti on of resis ta nce pattern accorcling to molecular biological methocl are expectecl to provide bas ic informa ti on on MRSA di ssemination and infection contro