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종합병원에 근무하는 의공기사의 직무만족에 미치는 영향요인
이현성,이윤환,이순영,박재범 한국보건행정학회 2010 보건행정학회지 Vol.20 No.2
The effective administration of hospital with innovation and human resource practices is a matter of grave concern because hospitals are becoming bigger and more specialized. Biomedical engineers who manage medical machineries and tools used to deliver healthcare services in a hospital setting play an important role in providing customers good quality services. Maintaining job satisfaction of biomedical engineers is, thus, important in the delivery of quality care. This is a descriptive cross-sectional study aiming to determine factors affecting job satisfaction of biomedical engineers working in general hospitals. The study population consisted of biomedical engineers at 79 general hospitals of 26 regions based on the registry of the Korea Medical Engineering Association(KMEA). The data were collected using a self-administerd questionnaire between May and July of 2009. Job satisfaction was assessed with 19 items covering 3dimensions of work-external, work-internal, and organizational aspects (Cronbach's α=0.884), resulting in an average summary score. Statistical analysis was conducted with SPSS for Windows version 15.0. The mean score of job satisfaction was 3.50 (±0.04). There were statistically significant differences in job satisfaction according to age, health status, job position, duration of work as a biomedical engineer, years in the current workplace, difficulty at work, intent to change job, and the amount of support from superiors and colleagues. In multiple regression analysis, the factors affecting job satisfaction of biomedical engineers were salary, health status, and support of superiors and colleagues (r2=0.512). Effective motivation-plans, taking into account organizational characteristics and the working environment of the hospital, may help to improve the job satisfaction of biomedical engineers.
수에즈막스 탱커의 탑브레이싱에 따른 선체 진동 영향 연구
이현성,조윤성,김영남 대한조선학회 2011 대한조선학회 학술대회자료집 Vol.2011 No.11
Long stroke and low speed diesel engines with six or more cylinders have a likelihood of vibration problems related with resonant response of engine due to the guide force moment which can causes H-mode and X-mode vibration. Top bracings are installed between the main engine and the hull structure to reduce the dynamic vibrating characteristics of the onboard engine body and coupled effect on ship structures. Without considering a natural frequency of coupled main engine and ship hull structures, installation of top bracings can deteriorate the vibration problems. In this study, a resonant response of engine and global ship structures with and without top bracings was evaluated using a global vibration analysis by finite element models (FEM). The resonant response from global vibration analysis (FEM) is compared with a measured resonant response during sea trials. The results showed that the top bracing controls a natural frequency of engine and coupled hull structure to avoid a critical vibration. In addition to the evaluation of resonant response, guideline for installation of top bracings on specific type engine (MAN B&W 6S70MC engines) of suezmax tankers is suggested.
이현성,이종수,이승재,박효일,심정원,고일향 인제대학교 1989 仁濟醫學 Vol.10 No.4
전형적인 뇌종양으로서의 임상증후를 나타내며, 전이성 뇌종양 또는 기생충성 혹은 비특이성 뇌육아종과 감별하기 어려웠던 환자가 매우 드물게 발생하는 뇌효모균성 육아종(Cryptococcal granuloma)으로 확진되어, 이를 치험한 증례를 보고한다. The nonmycelial yeast Cryptococcus neoformans causes opportunistic infections in man, Involvement of the central nervous system is common at the time of diagnosis, usually in form of meningitis, meningoencephalitis or granulomas. But solid granulomas are unusual. One case of intracerebral crpytococcal granuloma is reported. The diagnosis and the treatment of intracerebral mass lesion due to cryptococcal infection are discussed.
이현성,이종수,이승재,박효일 인제대학교 1989 仁濟醫學 Vol.10 No.4
두개강내 종괴병소를 가진 6례의 환자에서, 최근 새로이 고안 변형한 수술 방법인 뇌정위적 접근법으로 국소마취하에 2∼4cm 정도 직경의 작은 개두술로써 병소 주변의 정상 뇌조직의 손상을 최소화하면서 종양성병변을 성공적으로 완벽하게 적출할 수 있었다. 이러한 새로운 술식은 전신마취에 의한 위험 부담률을 줄이고 수술 범위의 축소, 병소에의 안전하고 정확한 접근, 병소 주변의 정상 뇌조직 손상의 최소화, 수술 시간의 단축, 수술 후 이병률의 예방과 배제 등 현행의 전신마취하의 고전적 종양 적출술과 비교하여 현저하게 많은 장점을 확인시켜 주었고 유의한 결과를 나타내었다. Here is the presentation of the newly modified surgical method for complete extirpation of the intracrnial mass lesion with minimal surgical extension and minimal damage to perilesional normal brain. This proedures were done under the small scalp incision and small craniotomy, and we were able to extirpate intracranial mass lesion under local anesthesia, which was aided by stereotatic approach for exact localization. The authors have tried 6cases of the intracranial mass lesion by this method using a BRW stereotatic device, and got significant advantages comparing to the traditional craniotomy under general anesthesia.