• 대한임상약리학회:학술대회논문집
• /
• 1994.12a
• /
• pp.33-34
• /
• 1994

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.15 no.5
• /
• pp.3037-3045
• /
• 2014

For this study, we developed and applied the integrated nursing practice program preceded role-play related to clinical communication situation to 115 nursing students and compared their communication ability, clinical competence and problem solving process scores between before and after the program. Integrated nursing practice program is composed of 6 role-play scenarios related to clinical communication situation, 3 role-play scenarios related to clinical situation and 3 core nursing skill practices. This program was conducted 4 hours a week for 8 weeks. Data were collected using self-report questionnaire before and after the program from March to June, 2013 and analyzed using descriptive analysis and t-test with SPSS/WIN 19.0. There were significant increase in communication ability, clinical competence and problem solving process scores after the program. These results indicate that this program is effective nursing practice education method. Therefore, this program would be used for other students.

• The Journal of the Korea Contents Association
• /
• v.22 no.7
• /
• pp.652-662
• /
• 2022

Currently, in the field of spinal surgery around the world, various new technologies have been rapidly developed and applied to patients. The author believes that it is necessary to discuss whether these new technologies are being fully reviewed for efficacy and safety before being applied to patients. To consider this issue, the author analyzed the basic research data and clinical application process of the intradiscal electrothermal therapy, which was developed as a new technology for discogenic pain disease in the 2000s and has been widely used worldwide. As a result, it was found that this procedure has been performed on patients in a state where there is insufficient base research on efficacy and safety. The author judges that this case reveals an essential problem related to the clinical operation of new medical technologies in the field of spine surgery. Therefore, the author believes that in order to minimize the side effects that new medical technology in the field of spinal surgery may have on patients, more full-fledged basic research and higher clinical acceptance standards should be established.

• Proceedings of the Korea Contents Association Conference
• /
• 2017.05a
• /
• pp.107-108
• /
• 2017

3차원 위상대조도 기법의 단점인 긴 검사시간으로 인해 임상적 유용성이 떨어진다. 본 논문은 시간매개변수인 병렬영상기법(Grappa) 변경에 따른 혈류정보의 정량적 평가를 통해 차이점을 알아보고 임상적 활용정도를 평가하였다. 자체 제작한 혈류팬텀을 통해 실험하였으며, Grappa을 5번 변경하여 실험하였다. 연구결과, Grappa를 적용하지 않았을 경우 혈류속도는 평균 9.42로 총 4단계를 적용한 혈류속도 차이율은 각각(1.4, 1.5, 0.4, 1.5%)이었으며 flow와 WSS도 각각(1.4, 1.6, 0.8, 25%), (2.1, 1.4, 1.1, 0.8%)이었다. 통계적으로도 유의하지 않아 Grappa를 적용하지 않은 검사법과 혈류정보가 동일하였다.(P>0.05) 긴 검사 시간으로 인해 임상적 활용이 떨어지는 짧은 검사시간을 요하는 소아환자나 중등도 환자 또는 폐쇄공포증 환자에게 시간을 단축한 3차원 위상대조도 기법을 사용하여 단점을 보완한다면 임상적 활용가치가 높아질 것이라 사료된다.

• Proceedings of the Korea Information Processing Society Conference
• /
• 2017.11a
• /
• pp.753-756
• /
• 2017

의료기기는 사람의 생명과 직접적으로 연관되어 있기 때문에 다른 분야의 기기보다 안전성에 대한 검증이 필수적이다. 의료 분야에서는 안전성 검증을 위해 기기의 허가 심사 조건으로서 소수의 피험자를 대상으로 수행되는 임상 시험이 존재한다. 그러나 임상 시험의 경우 의료기기를 직접 사람에게 적용하여 검증을 진행하기 때문에, 인체에 미칠 위해성을 고려하여 전임상 시험을 수행하고 있다. 하지만 전임상 시험은 동물이나 가상의 물체를 대상으로 수행하여 실제 사람에 대한 적용이 아니기 때문에, 임상 시험에 비해 검증에 대한 효력을 갖지 못한다. 따라서 본 연구에서는 피험자의 안전을 보장할 수 있고, 임상 빅데이터에 축적된 실제 환자의 사례를 활용한 신뢰성 있는 검증 방안을 제안하고자 한다. 그러나 현재 식품의약품안전처에서 제공되고 있는 의료기기 품목군은 개발하고자 하는 의료기기의 임상 빅데이터 기반 검증 가능성을 식별하기 어렵다. 그러므로 본 논문에서는 의료기기에 대한 다양한 특성 분석을 통해 임상 빅데이터 기반 검증 가능성을 식별하기 위한 프로세스를 제안한다. 제안하는 프로세스에서는 의료기기의 검증에 요구되는 데이터의 식별을 통해 임상 빅데이터를 이용한 테스트 데이터 수집 및 이를 활용한 신뢰성 높은 검증을 가능케 한다.

• Communications for Statistical Applications and Methods
• /
• v.5 no.3
• /
• pp.777-792
• /
• 1998

병원의 임상연구실험에서 종종 환자들의 치료에 따른 병세의 호전상태를 여러단계로 분류하여 상이한 치료방법에 대한 치료효과간의 차이론 알고자 하는 경우가 있다. 이와 같이 다중상태의 생존자료를 분석하기 위해서 본 논문에서는 semi-Markov 모형에 Cox 회귀모형을 적용하여 회귀계수와 기저생존함수를 추정하고 이를 바탕으로 반응확률함수를 추정하였다. 그리고 본 논문의 결과를 실제 임상실험에서 얻어진 자료에 적용하여 분석하였다.

• The Journal of the Acoustical Society of Korea
• /
• v.38 no.4
• /
• pp.476-484
• /
• 2019

Photoacoustic imaging is a hybrid real-time imaging technique that combines high optical contrast and ultrasonic resolution. It has primarily been utilized in pre-clinical research and has evolved into clinical practice. In this paper, we review photoacosutic imaging for detection of primary canccer and metastatis and its limitation in translation from pre-clinical to clinical application.

• The Journal of the Korea Contents Association
• /
• v.13 no.4
• /
• pp.281-289
• /
• 2013

As the number of clinical trials conducted in Korea increases, the need of the Electronic Data Capture (EDC) system for effective clinical data management is also increased. Recently, the Korea Food and Drug Association published 'Guideline for the Electronic Clinical Trial Data Management and Processing' and it would be the foundation for establishing regulation of electronic clinical data management. In this research, we conducted the survey regarding adoption rate of EDC system in clinical trials in hospitals, Contract Research Organizations (CRO), and pharmaceutical companies. And the perceived importance and the ease of application for the Guideline were investigated. The adoption rates of EDC system was 77.6% but it mostly applied to less than five trials. Also EDC system was mostly used in phase I and phase II trials and the utilization rate of CRO was the highest. The perceived importance for the Guideline was high among all three organizations but, in case of the perceived ease of its application, CRO was the highest. Also, the perceived importance of the clinical data standard was high and the standard for data collection was mostly required. However, the comprehension for the global standard of the electronic data was relatively low, so that education is required. This result would be the foundation to increase the electronic clinical trials and develop proper regulation and principles for clinical data standards in Korea.

• Journal of the Korean Institute of Intelligent Systems
• /
• v.20 no.1
• /
• pp.66-75
• /
• 2010

With the advances in ubiquitous service infrastructure, healthcare services have drawn attention as one of promising application domains. In ubiquitous healthcare services, patients or care-givers as well as medical personnel are asked to play their roles and, in addition, the information system is supposed to have active roles. In medicine, clinical protocols have been developed and put into practice in order to reduce treatment variances and assure the service quality. In the same token, clinical protocols on ubiquitous service practices are need to be developed which takes into account both the clinical details and the ubiquitous service functionality. This paper introduces a clinical protocol modeling methodology which pays attention to participants and their tasks including contextual information. The proposed method has been successfully applied to a real application domain, OAB(overactive bladder) syndrome patient care to see how it builds a clinical protocol.

• Progress in Medical Physics
• /
• v.15 no.3
• /
• pp.167-172
• /
• 2004

A Siemens HD-270 MLC$^{TM}$, a virtual-micro MLC, allows to the application of a smooth field edge method due to the finite leaf-width of MLC. This technique was implemented into a Pinnacle planning system in order to evaluate the dose distributions during the planning stage. The necessary dosimetric aspects, such as undulation and effective penumbra, were investigated with variations in the resolutions of a virtual-micro MLC and field edge angle. The positional accuracy of the couch movement was also assessed for clinical implementation. The overhead time for planning and treatment was confirmed as negligible.e.