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PACS 도입후 필름관리시스템에 대한 병원 구성원들의 인식 변화
배석환 ( Bae Seok Hwan ),이무식 ( Moo Sik Lee ),조형원 ( Hyung Won Cho ),김철웅 ( Chul Woung Kim ),나백주 ( Baeg Ju Na ),김건엽 ( Keon Yeop Kim ) 경희대학교 경영연구원 2007 의료경영학연구 Vol.1 No.1
Objective: The purpose of this study was to evaluate changes the perception and attitude of hospital personnel about film management system after implementation of PACS. This study was aimed to offer better conditions to the hospital personnel so that they can adjust to the new system more easily and increase the efficacy of hospital work on the basic information. Methods: The subjects were 436 hospital personnel(doctor, radiographers, nurses, and other) who exposured the changes from film operating system to PACS in Daejeon metropolitan city. Questionnaire was administrated from 10, OCT, 2005 to 10, NOV, 2005. Results: The result are as follows. All of the hospital personnel replied that the PACS is efficient and easy to use in clinical practice(nurses 1.45 > doctors 1.43 > others 1.31 > radiographers 1.23 point). They replied that the working process has become efficiently improved using PACS(nurses 1.57 > others 1.56 > doctors 1.47 > radiographers 1.26 point). They recognized the improvement of working environmental changes after applying PACS(others 2.01 > doctor 1.97 > nurses 1.89 > radiographers 1.83 point) and improvement in utilizing information after applying PACS(others 1.63 > nurses 1.61 > doctors 1.45 > radiographers 1.37 point). In aspect of the economic of hospital management, it has improve after administering PACS(others 1.88 > radiographers 1.79 > nurses 1.78 > doctor 1.77 point). And in aspect of the user`s adaption and satisfaction, it showed improvement after administering PACS(nurses 2.09 > others 2.04 > doctors 2.00 > radiographers 1.78 point). Conclusion: The recognition of hospital personnel after applying PACS, which is a core value in hospital information system, was evaluated in this study. The expected resistance of the hospital personnel in applying PACS was not demonstrated in this study. In this study, the PACS was shown to be an alternate utility for previous film management system and it is positively recognized by the hospital personnel.
Clostridium difficile 장염에 의한 속발성 유전분증에서 발현된 독성 장염
조형원,정혜경,강현주,이윤표,강혜원,심기남,정성애 Ewha Womans University School of Medicine 2014 EMJ (Ewha medical journal) Vol.37 No.1
Amyloidosis is characterized by extracellular deposition of protein fibrils in one or multiple organs. AA amyloidosis is secondarily occurred to be related with chronic infections or inflammatory diseases. We report a 67-year-old man suffered from secondary AA amyloidosis related with chronic Clostridium difficile colitis after repeated total hip replacement surgery. Infection control is the most important treatment of AA amyloidosis secondary to chronic infection. However, the patient’s C. difficile colitis was not controlled well, eventually toxic megacolon with sepsis was developed. Consequently, he had to take total colectomy, but he expired with multi-organ failures. We suggested that early surgical procedure might be one option for intractable C. difficile colitis complicated with secondary amyloidosis.