• Title/Summary/Keyword: 의료이용률

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Monitoring System for the Elderly Living Alone Using the RaspberryPi Sensor (라즈베리파이 센서를 활용한 독거노인 모니터링 시스템)

  • Lee, Sung-Hoon;Lee, June-Yeop;Kim, Jung-Sook
    • Journal of Digital Contents Society
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    • v.18 no.8
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    • pp.1661-1669
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    • 2017
  • In 2017, Korea has reached 1.3 million elderly people living alone. The government is promoting the basic care service for the elderly by using care workers to check the security of the elderly living alone. However, due to lack of service personnel and service usage rate of elderly care workers, it is difficult to manage. To improve these environmental constraints, this study attempted to construct a monitoring system for elderly people living alone by using sensors such as temperature, humidity, motion detection, and gas leak detection. The sensor periodically collects the current status data of the elderly and sends them to the server, creates a real time graph based on the data, and monitors it through the web. In the monitoring process, when the sensor is out of the range of the specified value, it sends a warning text message to the guardian to inform the current situation, and is designed and implemented so as to support the safety life of the elderly living alone.

Indirect Load Identification for the Operational Load Analysis (동작중 작용부하 분석을 위한 간접적 부하규명)

  • Cho M. S.
    • Journal of Biomedical Engineering Research
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    • v.24 no.6 s.81
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    • pp.501-507
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    • 2003
  • Medical devices for helping the rehabilitation of the patients such as orthoses and prostheses should be designed to be strong enough. For the strength design, operational load should be identified first. Furthermore. medical devices are susceptible to dynamic load or shock frequently due to its characteristics. These type of the load may be identified by installing the sensors directly. However, it can modify the natural properties of the structures. Therefore, operational load should be identified indirectly from the system characteristics and responses such as vibrations. In this paper, the basic formulation of the indirect load identification is reviewed and the problems of conventional approach are checked. Then, the new approach based upon the principal component analysis is proposed and the validity of the proposed method is demonstrated using experiments.

X-ray Image Correction Model for Enhanced Foreign Body Detection in Metals (금속 내부의 이물질 검출 향상을 위한 X-ray 영상 보정 모델)

  • Kim, Won
    • Journal of the Korea Convergence Society
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    • v.10 no.10
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    • pp.15-21
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    • 2019
  • X-rays with shorter wavelengths than ultraviolet light have very good penetration power. It is convergence in industrial and medical fields has been used a lot. n particular, in the industrial field, various researches have been conducted on the detection of foregin body inside metal that can occur in the production process of products such as metal using x-ray, a non-destructive inspection device. Detectors are becoming increasingly popular for the popularization of DR (Digital Radiography) photography methods that digitally acquire X-ray video images. However, there are cases where foreign body detection is impossible depending on the sensor noise and sensitivity inside the detector. When producing a metal product, since the defective rate of the produced product may increase due to contamination of the foreign body, accurate detection is necessary. In this paper, we provide a correction model for X-ray images acquired in order to improve the efficiency of defect detection such as foreign body inside metal. When applied to defect detection in the production process of metal products through the proposed model, it is expected that the detection of product defects can be processed accurately and quickly.

A development of a multimodal patch-type probe for measuring blood flow and oxygen saturation in carotid artery (경동맥 혈류 속도 및 산소 포화도 측정을 위한 다중모드 패치형 프로브 개발)

  • Youn, Sangyeon;Lee, Kijoon;Kim, Jae Gwan;Hwang, Jae Youn
    • The Journal of the Acoustical Society of Korea
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    • v.38 no.4
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    • pp.443-449
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    • 2019
  • To protect the patient's internal organs when a patient with cardiovascular disease occurs, it is important to reduce the elapsed time by providing emergency medical services. Decisions for conducting cardiopulmonary resuscitation are mainly made using the carotid palpation method, which directs the pulse of the carotid artery, which can diagnose the patient's condition according to one's own subject and cause cerebral blood flow to be blocked by excessive pressure in the carotid due to the weaken cardiopulmonary function. In this study, we developed a multimodal patch-type probe based on multi-channel ultrasound Doppler pairs and oxygen saturation measurement modules which can monitor cardiopulmonary functions. From the in-vivo experiments, the developed probe can be utilized as a novel tool that can increase the survival rate of cardiovascular disease patients by objectively monitoring the cardiopulmonary function of the patient quantitatively and promptly in an emergency situation.

Effects of Hospital Characteristics on Employment Rate, Working Period and Retirement of Ward Nurses in Korea: A Retrospective Cohort Study Based on HIRAS Data (우리나라 병동 간호사의 병원 특성이 재직률, 근무기간 및 퇴직에 미치는 영향: 건강보험심사평가원(HIRAS)자료를 이용한 후향적 코호트 연구)

  • Seo, Hee-Jung;Kim, Gi Yon;Chang, Sei-Jin
    • Journal of Korean Academy of Nursing
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    • v.50 no.6
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    • pp.837-847
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    • 2020
  • Purpose: The purpose of this study was to investigate the effects of hospital characteristics on employment rate, working period, and retirement of ward nurses in Korea through a retrospective cohort study based on HIRAS data. Methods: Data were obtained from a report on medical care institutions of Health Insurance Review & Assessment Service (HIRAS). Data from 259,941 nurses who were working for a day or more from January 1, 2012, to December 31, 2016, at 2,942 medical care institutions were analyzed. Life table method analysis, Kaplan-Meier analysis, and Cox proportional hazard regression analysis were conducted. Results: The employment rates of 5 yeas and 10 years for the total sample were 38% and 28%, respectively. The estimated mean value of the working period was 3,642.7 days (SE: 17.4 days). Cox proportional hazard regression analyses revealed that nurses who were working at the general hospital/hospital, clinic, and nursing hospital were more likely to leave the hospital compared to those who were working at the 3rd general hospital. Nurses who were working at the medical institutions which were located in cities and countries, established by the private foundation, rated lower levels of nursing, and owned an insufficient number of beds, nurses and doctors were more likely to leave their workplace compared to those of the counterparts. Conclusion: This study indicates that hospital characteristics may play a significant role in retirement and working period of ward nurses in Korea. The improvement of hospital conditions to reduce ward nurses' retirement are needed.

Improvement of Dementia Service through an Analysis of Dementia Knowledge of Care-givers at Adult Day Service Center (노인주간보호센터 돌봄 종사자의 치매지식 분석을 통한 치매서비스 개선 방안)

  • Han, Jeong-Won
    • Journal of the Korea Convergence Society
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    • v.13 no.5
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    • pp.559-565
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    • 2022
  • As South Korea has become an aged society, the dementia rate has also been increasing. With the introduction of both de-institutionalization and community care in 2017, the importance of community-based care has increased. Perspectives on dementia have also been shifting from the medical model and social model to the person-centered model. This paper suggests ways to improve dementia service through analyzing the dementia knowledge of care-givers at ADS. The paper includes an FGI with the care-givers who have worked for more than 2 years. Based on such FGI, the paper draws sub-themes from 7 areas. Among the suggestions for improvement are: community-based service with daily routine practice, improving awareness of dementia for co-living, and person-centered service based on individuality and diverseness.

The Relationship between Obesity and Chronic Kidney Disease for Life care Promotion (라이프 케어 증진을 위한 비만과 만성 신장질환에 관한 연구)

  • Park, Bu-Yeon;Kim, Sung-Gil
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.4
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    • pp.363-368
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    • 2019
  • The aim of this study was to assess gender difference in the association of obesity and abdominal obesity and chronic kidney disease(CKD). The study subjects were Korean adults 20 years or older(n=9,409) who participated in the Korea National Health and Nutrition Examination Survey 2013-2014. In men, after adjusting for relevant variables, the Odds ratio(OR) of CKD[estimated glomerular filtration rate(eGFR) < 60ml/min/1.73m2] with a normal weight group[body mass index(BMI) < 23.0kg/m2], as a reference were significant for the obesity[BMI ≥ 25.0kg/m2, 1.83(95% CI, 1.20-2.80)], but abdominal obesity[waist measurement(WM) ≥ 90cm, 1.30(95% CI, 0.89-1.89)] group compared to the normal group(WM < 90cm) was not significant. However, in women, the OR of CKD with a normal group(WM < 80cm) as a reference were significant for the abdominal obesity[WM ≥ 80cm, 1.52(95% CI, 1.52-2.28)] group, but obesity group[1.37(95% CI, 0.89-2.11)] compared to the normal weight group was not significant. In conclusion, the obesity in Korean men and abdominal obesity in women were positively associated with CKD.

SCLC-Edge Detection Algorithm for Skin Cancer Classification (피부암 병변 분류를 위한 SCLC-Edge 검출 알고리즘)

  • June-Young Park;Chang-Min Kim;Roy C. Park
    • Journal of the Institute of Convergence Signal Processing
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    • v.23 no.4
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    • pp.256-263
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    • 2022
  • Skin cancer is one of the most common diseases in the world, and the incidence rate in Korea has increased by about 100% over the past five years. In the United States, more than 5 million people are diagnosed with skin cancer every year. Skin cancer mainly occurs when skin tissue is damaged for a long time due to exposure to ultraviolet rays. Melanoma, a malignant tumor of skin cancer, is similar in appearance to Atypical melanocytic nevus occurring on the skin, making it difficult for the general public to be aware of it unless secondary signs occur. In this paper, we propose a skin cancer lesion edge detection algorithm and a deep learning model, CRNN, which performs skin cancer lesion classification for early detection and classification of these skin cancers. As a result of the experiment, when using the contour detection algorithm proposed in this paper, the classification accuracy was the highest at 97%. For the Canny algorithm, 78% was shown, 55% for Sobel, and 46% for Laplacian.

Actual Condition of Quality Control of X-ray Imaging System in Primary Care Institution: focused on Gwangju Metropolitan City (1차 의료기관의 엑스선 발생장치 정도관리에 관한 현황조사:광주광역시 지역을 중심으로)

  • Dong, Kyung-Rae;Lee, Seun-Joo;Kweon, Dae-Cheol;Goo, Eun-Hoe;Jung, Jae-Eun;Lee, Kyu-Su
    • Journal of Radiation Protection and Research
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    • v.35 no.1
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    • pp.34-42
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    • 2010
  • With the expanded use of radiation in modern medical practices, the most important issue in regards to efforts to reduce individual exposure dose is quality assurance. Therefore in order to study the present condition of quality assurance, the Gwangju Metropolitan City area was divided into five districts each containing ten hospitals. Four experiments were conducted: a reproducibility experiment for kVp, mA, and examination time (sec) intensity of illumination; half-value layer (HVL) measurement; and beam perpendicularity test matching experiment. The tube voltage reproducibility experiment for all fifty hospitals resulted in a 95.33% passing rate and mA and examination time both resulted in a 77.0% passing rate. The passing rate for intensity of illumination was 86.0% and 52.0% for HVL, which was the lowest passing rate of all four factors. For the beam perpendicularity test matching experiment, generally the central flux is matched to within $1.5^{\circ}$. Of all fifty hospitals 30.0% were beyond $3^{\circ}$. The results of the survey showed that 58% responded that they knew about quality assurance cycle. All fifty respondents stated that they have not received any training in regards to quality assurance at their current place of employment. Although quality assurance is making relative progress, the most urgent issue is awareness of the importance of quality assurance. Therefore, the implementation of professional training focusing on safety management and accurate quality assurance of radiation will reduce the exposure to radiation for radiologists and patients and higher quality imaging using less dosage will also be possible.

The Knowledge, Attitude, and Utilization Experience of Community Health Practitioners on Complementary Therapies (보완요법에 대한 보건진료원의 지식, 태도와 활용 경험)

  • Hwang, Sung-Ho;Park, Jae-Yong;Han, Chang-Hyun
    • Journal of agricultural medicine and community health
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    • v.27 no.2
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    • pp.87-105
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    • 2002
  • In order to find out the knowledge, attitude, and experience of community health practitioners(CHP) on complementary therapy, 393 community health practitioners who provide primary health care service in Busan, Kyeongnam, and Daegu, Gyeongbuk regions were interviewed or surveyed by mail from February 1st to March 31st, 2002. In terms of interest of CHPs toward 11 different hinds of complementary therapy, the rate of interest for soojichim was the highest with 75.3%. Aroma therapy had the interest of 71.0% of the CHPs, oriental medicine had 67.4%, and massage had 67.4%. The interest for shiatsu was 64.6%, while homeopath had the lowest rate of interest of 18.1%. In terms of reliance on the treatment results, oriental medicine scored the highest with 92.6%, and soojichim, massage, and shiatsu followed with 85.5%, 83.7%, and 81.7% respectively. Homeopath had the lowest reliance of 18.1%. The 65.1% of the CHPs had the experience of recommending oriental medicine to patients. 50.4% indicated that they had recommended soojichim, and 44.8% had recommended massage before. Shiatsu and aromatherapy followed with 34.4% and Homeopath had the lowest rate of 2.80%. When CHPs were asked if they had received any training in complementary therapy, 33.1% indicated that they had studied soojichim and 13.2%stated that they had learned oriental medicine. Aromatherapy, massage, and shiatsu followed with 11.2%, 8.4%, and 5.6% respectively On the other hand, none of the CHPs had received training in homeopath. In terms of using complementary therapy during the past 5 years, 23.9% had been treated with oriental medicine, and 18.896 had received soojichim. 5.9% had received aromatherapy, 5.3% had used massage, and 5.1% had experience with shiatsu. None of the practitioners had used homeopath during the past 5 years. Significantly many number of practitioners indicated that they had excellent treatment results with all hinds of complementary therapy, and there were rare cares of side effects. When they were asked if they wanted complementary therapy to become part of the curriculum during re-training or training for public service personnels, 78100 wanted soojichim, 69.2% wanted oriental medicine, and 67.9% wanted aroma therapy. 63.9% wanted shiatsu to be included, and 63.1% wanted massage. When CHPs were asked if they wanted to use complementary therapy during primary health care, 63.6% wanted to use soojichim, 52.9% wanted massage, and 51.9% wanted to use aroma therapy. Oriental medicine also showed a high rate of 50.1%. On the other hand, only a small percentage wanted to use chiropractic or homeopath with 17.0% and 12,2% respectively. Among the CHPs, there were some who had administered complementary therapy during the past 5 years. 84% had administered soojichim, 4.6% had administered oriental medicine, and 2.5% had administered massage 2.5% of the CHPs answered that they had administered aromatherapy. However, none of them had administered apitherapy or homeopath. Most of patients showed positive responses, and the rate of side effect was very low. As shown in the above results, although CHPs have a high rate of interest, reliance, and experience in recommending complementary therapy, only a low percentage of them had received any training in complementary therapy. In addition, since there were little side effects when they received or administered complementary therapy, they hoped complementary therapy, which can be beneficial to health, to be introduced to the curriculum. Therefore, in order to provide community members with complementary therapy and the correct information regarding the selection of complementary therapy that could be beneficial to health, a policy of continuous interest and support is needed so that CHPs can he provided with a systemic and rational curriculum of complementary therapy.

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