• 제목/요약/키워드: 의료 영역

Search Result 955, Processing Time 0.034 seconds

Technological Governance Regarding Life-Sustaining Technologies: The Limitations of RRI and Bioethics ("한국의 연명의료정책과 기술 거버넌스: 사회에 책임지는 기술혁신(RRI)의 적용 한계와 생명윤리")

  • Lee, June-Seok
    • 한국과학기술학회:학술대회논문집
    • /
    • 2015.12a
    • /
    • pp.247-278
    • /
    • 2015
  • Recently, as DNR prevails more and more in Korea, discussions regarding meaningless medical life-sustaining-treatment (LST) intensified. Some of the Supreme Court decisions are even discussed in mass media, causing public debates. These cases tell us that, as life-sustaining medical technologies are highly developed, more sociological and policy-related analyses are needed on them. Firstly, this study will review 40 previous studies that analyze recent discussions in Korea about LST. Secondly, this study also shows that in bioethical and policy-related perspectives, governance about LST calls for a new implications regarding thanatoethics and thanatopolitics. In this new theoretical framework, death with dignity (DwD) can be understood as a process of giving back the thanatopower to the subject who chooses his way of ending based on his sound and free will. Thirdly, some of the new LST or resuscitation technologies such as automated external defibrillators (AED) are developed in RRI framework. However, if subjects themselves choose not to apply those technologies on them, as in the case of DNR (do not resuscitate) vows, meaning of developing such technologies are to be questioned. But currently such questions regarding the limitations of RRI are seldom asked. I argue that in order to properly apply RRI framework on existing technology, we also need to consider these points.

  • PDF

Feature Extraction of Brain Structural Elements for Brain MR Images Mapping (뇌 MR 영상의 매핑을 위한 뇌 구성 요소의 특징 추출)

  • 채정숙;조경은;여인효;김준태;엄기현
    • Proceedings of the Korea Multimedia Society Conference
    • /
    • 2001.06a
    • /
    • pp.204-207
    • /
    • 2001
  • 뇌 MR 영상에서 질환을 자동적으로 진단하고 판별하는 작업은 정상인의 뇌 영상과의 비교를 통해서 가능하다. 정상인과의 뇌 영상 비교를 통하여 보다 정확하게 질병에 대한 근거를 제시할 수가 있기 때문에 이러한 접근 방법들이 여러 의료영상 연구 분야에서 시도되고 있다. 정상인의 뇌 영상과의 비교를 위해서는 우선적으로 해결되어야 하는 것이 현재의 대상 영상이 정상인 뇌의 어느 위치의 영상과 일치하는 지를 판별하는 문제이다. 따라서 본 연구는 이러한 뇌 매핑에 사용될 수 있는 특징들을 추출하기 위한 것으로, 뇌 매핑에 사용되는 특징들을 추출하기 위해서 뇌 MR 영상으로부터 대리영역, 뇌영역, 뇌척수액영역 그리고 눈영역을 분할한 후 이들의 윤곽선, 최소사각형과 각 영역들의 픽셀 정보들을 찾아낸다. 이는 추후 연구할 뇌 매핑을 위한 대분류에 사용될 수 있다.

  • PDF

Medical Image Data Compression Based on the Region Segmentation (영역분할을 기반으로 한 의료영상 데이타 압축)

  • 김진태;두경수
    • Journal of the Korea Institute of Information and Communication Engineering
    • /
    • v.3 no.3
    • /
    • pp.597-605
    • /
    • 1999
  • In this paper, we propose a cardioangiography sequence image coding scheme which use a subtraction between initial image and current frame inserted contrast dye. Stable regions are obtained by the multithreshold and meaningful region is extracted by the images with stable region. The image with meaningful region is classified into contour and texture information. Contour information is coded by contour coding. And texture information is approximated by two-dimensional polynomial function and each coefficients is coded. Experimental results confirm that the sequence of cardioangiography are well reconstructed at the low bit rate (0.02∼0.04 bpp) and high compression ratio.

  • PDF

A Study on the Punishment of Unlicensed Medical Practice -Focusing on Collaboration between Medical and Non-medical Personnel- (무면허 의료행위 처벌에 관한 고찰 -의료인과 비의료인의 협업관계를 중심으로-)

  • Yoon, Suh-Young
    • The Korean Society of Law and Medicine
    • /
    • v.23 no.3
    • /
    • pp.117-137
    • /
    • 2022
  • Today, the medical system is changing into a comprehensive health care system in which collaborative relationships between medical professionals and non-medical personnels in neighboring occupational areas. The current medical act brands such "collaboration" as unlicensed medical practice, and punishes non-medical personnel who acted in the risk management of doctors as well as doctors collaborated with non-medical personnel as unlicensed medical practice. In order to narrow the gap between the legal system that regulates unlicensed medical practices and the medical reality, it is necessary to overcome the structural limitations of dualistic, nationalistic, and identity-oriented regulation of unlicensed medical practices. The legal interests of unlicensed medical practice have a dual nature as a personal legal interest of "human life and body" as well as a national legal interest of "maintenance and protection of the nation's medical license system", and it should be noted that the criteria for judging the legal interests protected by the regulations of criminal punishment should be found in "personal legal interest theory." In addition, when determining which behavior is a medical practice and evaluating its risk, the dimension of behavior and measures should be considered in a fair manner without being biased against the subject (identity) of the action. In other words, judging unlicensed medical practice should depend on whether the risk of side effects that may result from the act is reasonably managed. Considering the prospect of therapeutic dialogue between medical professionals and patients, it would be desirable for medical law policies to move in a way that does not fundamentally block the possibility of collaboration among pluralistic medical personalities.

Segmentation and 3-Dimensional Reconstruction of Liver using MeVisLab (MeVisLab을 이용한 간 영역 분할 및 3차원 재구성)

  • Shin, Min-Jun;Kim, Do-Yeon
    • Journal of the Korea Institute of Information and Communication Engineering
    • /
    • v.16 no.8
    • /
    • pp.1765-1772
    • /
    • 2012
  • Success rate of transplantation of body organs improved due to development of medical equipment and diagnostic technology. In particular, a liver transplant due to liver dysfunction has increased. With the development of image processing and analysis to obtain the volume for liver transplantation have increased the accuracy and efficiency. In this thesis, we try to reconstruct the regions of the liver within three dimensional images using the mevislab tool, which is effective in quick comparison and analysis of various algorithms, and in expedient development of prototypes. Liver is divided by applying threshold values and region growing method to the original image, and by removing noise and unnecessary entities through morphology and region filling, and setting of areas of interest. It is deemed that high temporal efficiency, and presentation of diverse range of comparison and analysis module application methods through usage of MeVisLab would make contribution towards expanding of baseline of medical image processing researches.

Patient satisfaction and recommendation intention at spine and joint hospital (척추·관절 전문병원의 환자 만족도와 추천 의향)

  • Park, Young A;Lee, Jung A
    • Journal of Digital Convergence
    • /
    • v.19 no.2
    • /
    • pp.307-314
    • /
    • 2021
  • This study was to analyze the satisfaction and intention to recommend a hospital for spinal and joint patients. Using a structured questionnaire at a spinal and joint hospital in Seoul in 2019, and the relationship between demographic and social characteristics and patient satisfaction, factors influencing hospital satisfaction, and recommendation intention were analyzed. In outpatients, hospital satisfaction was higher in neatness and cleanliness of staff, kindness and facility environment comfort, and hospital satisfaction was low in questions related to waiting time. In inpatients, women's satisfaction was higher in the nursing and hospital environment areas. The correlation analysis between the satisfaction and the willing to recommend, there was a positive correlation. In the sub-analysis, hospital satisfaction was higher in the group that responded with respect and courtesy, listening, satisfaction of the nurse, hospital cleanliness and safety. This study is can be used to improve the quality of hospital care services in related hospitals.

Development of Shielding using Medical Radiological Contrast Media; Comparison Analysis of Barium Sulfate Iodine Shielding ability by Monte Carlo Simulation (의료방사선 조영제를 이용한 차폐체 개발; 몬테카를로 시뮬레이션을 통한 황산바륨과 요오드의 차폐능 비교분석)

  • Kim, Seon-Chil
    • Journal of the Korean Society of Radiology
    • /
    • v.11 no.5
    • /
    • pp.329-334
    • /
    • 2017
  • The purpose of this study is to estimating the possibility of manufacturing radiation shielding sheet by searching for environmentally friendly materials suitable for medical environment of medical radiation shielding. There are many tungsten products which are currently used as shielding materials in place of lead, but there are small problems in the mass production of lightweight shielding sheets due to economical efficiency. To solve these problems, a lightweight, environmentally friendly material with economical efficiency is required. In this study, Barium sulphate and Iodine were proposed. Both materials are already used as contrast medias in radiography, and it is predicted that the shielding effect will be sufficient in a certain region as a shielding material because of the characteristic of absorbing radiation. Therefore, in this study, we used a Monte Carlo simulation to simulate radiation shielding materials. When it is a contrast agent such as Barium sulfate and Iodine, the radiation absorption effect in the high energy region appears greatly, and the effectiveness of the two shielding substance in the energy region of the star with thickness of 120 kVp is also evaluated in the medical radiation imaging region. Simulated estimation results it was possible to estimate the effectiveness of shielding for all two substances. Iodine has higher shielding effect than barium sulfate, 0.05 mm thick appears great effect. Therefore, the Monte Carlo simulation confirms that iodine, which is a radiological contrast agent, is also usable as barium sulfate in the production of radiation shielding sheets.

Evaluation of the Shielding Effect of Polyvinyl Chloride (PVC) on Low-dose Blending Radiation Energy (폴리 염화 비닐(PVC)의 저선량 융합 방사선에너지에 대한 차폐 효과 평가)

  • Kim, Seon-Chil;Cho, Sung-Hyoun
    • Journal of the Korea Convergence Society
    • /
    • v.10 no.12
    • /
    • pp.129-134
    • /
    • 2019
  • PVC was chosen as a plastic product that can cope with lead, a radiation shielding material that is widely used in medical institutions. In addition to radiation shielding clothing, we want to evaluate whether it can be used as a medical device component and industrial shielding material in low dose areas. Commercial PVC has a density of 3.68 g/㎠ and can be positively expected sufficient shielding effect in certain radiation areas such as material flexibility and economy efficiency, and can be transformed into various forms and used as a lightweight shielding wall. The shielding performance was tested by adjusting the thickness of 5 sheets of 3mm PVC in the range of medical radiation used for clinical examination in medical institutions. Shielding performance against effective energy was evaluated based on tube radiation voltage of medical radiation. The thicker the PVC, the lower the tube voltage and the lower the effective energy, the greater the shielding effect. The shielding effect was 70% at 12mm thickness and 80kVp tube voltage. Therefore, the shielding effect of PVC material has a high dependence of thickness. In the future, continuous research is needed to make thin and light eco-friendly products while improving shielding performance.

Medical Convergence Analysis of Complaint about Medical Service in an Affiliated Hospital (일 상급종합병원 의료서비스 불만족 내용의 의료 융합적 분석)

  • Kim, Jung-Suk;Eom, Ae-Hyun;Yu, Moon-Sook
    • Journal of the Korea Convergence Society
    • /
    • v.7 no.5
    • /
    • pp.117-125
    • /
    • 2016
  • Implementation of patient feedback is considered as a critical part of effective and efficient management. This study is a retrospective survey after to ensure the medical convergence analysis of contents on customer dissatisfaction using medical services. The data were collected from dissatisfaction 319 case at a affiliated hospital. The result indicate that a repeat visit than the initial visit, outpatients were more dissatisfied than the inpatients. The type of dissatisfaction were more dissatisfied of the in communication and explanation of medical service, nursing service and procedure of administrative services. In the classification of disease the percentages of dissatisfaction in the digestive system and neoplasm were high in both groups(p<0.05). Based on the study to improve the quality of medical service. Prevent the recurrence of dissatisfaction and to establish a customer-oriented business strategy. Characterized by dissatisfaction factors and contents of each patient and should be structured to specific disease types of services through continuous medical convergence research.

Perception of Good Death, Knowledge and Perception of Hospice Palliative Care among The Nursing Graduates (간호학과 졸업예정자의 좋은 죽음에 대한 인식, 호스피스 완화의료 지식 및 인식)

  • Cho, Eun A
    • The Journal of the Korea Contents Association
    • /
    • v.18 no.12
    • /
    • pp.624-638
    • /
    • 2018
  • The purpose of this study was to determine the perception of good death, knowledge and perception hospice palliative care among the nursing graduates. The subjects of this study were 241 nursing students in 4th grade in 8 universities nationwide. The results showed that the perception of good death was positively correlated with perception of hospice palliative care and knowledge of hospice palliative care with perception of hospice palliative care. The perception of good death was 3.28 points. Knowledge of hospice palliative care was 9.24 points. Perception of hospice palliative care was 4.07 points. Based on the results of this study, it is necessary to improve the curriculum to improve knowledge and perception of good death and hospice palliative care, and to develop various teaching methods and programs such as role play, simulation, and discussion.