• Title/Summary/Keyword: 환자의 접근

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A Secure Personal Health Record System for Handling of Emergency Situations (응급 상황 처리를 위한 안전한 개인건강기록 시스템)

  • Yi, Myung-Kyu;Hwang, Hee-Joung
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.16 no.5
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    • pp.117-123
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    • 2016
  • In recent years, Personal Health Record (PHR) has emerged as a patient-centric model of health information exchange. The Personal Health Record (PHR) owners enjoy the full right of accessing their records anywhere and anytime making storage and retrieval more efficient. Due to the sensitivity and confidential nature of the PHR, however, the PHR is maintained in a secure and private environment with the individual determining rights of access. In this paper, we propose a system which enables access to the user's PHR in the event of emergency. In emergency situation where the user is unconscious, the emergency staff can use the PHR information to request a emergency access to the PHR server based on the predefined rights of access for PHR. Under the proposed system, the PHR owner can specify a fine grain access control policy during emergency situations.

The case study of implementation for a limited hospital medical information system based on ACL-applied router (ACL이 적용된 라우터 기반의 제한된 병원 의료정보시스템의 구현 사례)

  • Yoon, Sung-Ja;Kim, No-Whan;Kang, Eun-Hong
    • The Journal of the Korea institute of electronic communication sciences
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    • v.11 no.10
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    • pp.1003-1008
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    • 2016
  • Recently hospitals have divided into many divisions, specialized the medical service, and shown organic cooperation, all to provide patients with various and high quality medical service. They have also showed improvement in information protection by introducing an information protection system to regulate the access to patients' medical and personal information. The purpose of this paper is to present a case study to implement of a limited hospital medical information system that can regulate the access to medical information. For this, a router-based virtual network applying an ACL(: Access Control List) to regulate access to information was made using a packet tracer.

Prompt Engineering Techniques for Enhancing Emotional Empathy with GPT-3.5: Focusing on the Improvement of Consoling Responses (GPT-3.5를 활용한 정서적 공감 증진을 위한 프롬프트 엔지니어링 기법: 위로 응답의 효과 개선을 중심으로)

  • Gyeong-Min Lee;Jin Lee;Min-Hyoek Na;Jae-Woong Eom;Daehwan Kim
    • Annual Conference of KIPS
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    • 2024.05a
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    • pp.873-874
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    • 2024
  • 본 논문은 GPT-3.5 모델을 활용하여 우울증 환자의 일기에 대한 정서적 공감과 위로의 질을 향상 하는 프롬프트 엔지니어링 기법을 제안하고 실험적으로 검증한다. 제안 방법은 GPT-3.5모델에게 감정에 섬세하게 반응하고 적절한 위로의 답변을 생성하는 3가지 접근 방식을 사용한다. 위로 방법 구체적 제시, 페르소나 부여 및 감정 호소 명령서 제시를 통해 감정 일기 응답을 개선한다. 실험 결과, 조언 중심의 기존 답변 대신 감정을 중심으로 공감하는 응답이 생성됨을 확인할 수 있었다. 이는 우울증 환자에 대한 인문학적 접근과 제안 프롬프트 엔지니어링 기법을 통합하여, 인공지능 모델의 정서적 공감 능력을 향상할 수 있다는 것을 실험적으로 검증하였다.

Case study: Seeking for an ultimate solution for Knee Osteoarthritis based on Evidence-based medicine research (임상사례 : 골관절염에 대한 최소한의 치료적 방법)

  • Jeon, Jea-Hyoung
    • Journal of Korean Physical Therapy Science
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    • v.11 no.1
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    • pp.36-42
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    • 2004
  • Evidence based physical therapy interventions for this patient was applied in 15 clinical sessions. Considering the patient's two main impairments, two physical therapy interventions were delivered with WOMAC index outcome measurement. From this case report, I observed that a combined physical therapy interventions consisting of manual therapy, therapeutic exercise, and TENS Unit in patients with knee osteoarthritis may result in decreased pain, stiffness and increased physical function.

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악안면동통환자의 진단과 치료

  • Kim, Yeong-Gu;Jeong, Seong-Chang
    • The Journal of the Korean dental association
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    • v.32 no.12 s.307
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    • pp.836-837
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    • 1994
  • 악관절질환 중 개구장애, 관절통 관절잡음을 주증상으로 하는 악관절증은 급격히 증가하는 추세에 있으며 이에 대한 치료개념과 접근방법도 다양해지고 있다.

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HIV양성통보 어떻게 해야 할까?

  • 이성진
    • RED RIBBON
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    • s.62
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    • pp.28-29
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    • 2005
  • 레드리본은 HIV감염인$\cdot$AIDS환자들을 직접 대면하는 보건요원, 의료진들이 그들을 이해하고 원활한 업무진행을 위해 꼭 필요한 여섯 가지를 시리즈로 게재할 예정이다. 이 코너는 상담 혹은 진료의 대상자인 감염인들의 목소리를 통해 어떤 식으로 그들의 문제를 접근해주었으면 효과적인지를 그들이 겪은 경험을 토대로 연중시리즈로 기획하였다.

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Psychosomatic Approach to Plastic Surgery (성형수술의 정신신체의학적 접근)

  • Hwang, Kun
    • Korean Journal of Psychosomatic Medicine
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    • v.7 no.1
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    • pp.3-9
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    • 1999
  • Abnormal external appearance may cause psychiatric trauma or problem in social adaption. The plastic surgeons should consider the patient's quality of life, and their roles are correcting psychiatric and emotional trauma as well as external appearance which help the patient adapting social life. Because the patients in plastic surgery have higher level of expectation for the result of their operation, it is necessary for the surgeons to explain precisely the procedure and possible complications precisely at preoperative meeting and to maintain the good doctor-patient relationship at postoperative follow-up period. In case if the patient dissatisfy the postoperative result, it is recommended to listen the second opinion from another plastic surgeon. If the patient still dissatisfy, then the patient should be consulted to psychiatrist.

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MAEMS : Modeling of Multi-Agent based Emergency Medical System (MAEMS : 멀티 에이전트 기반 응급 의료 시스템 모델링)

  • Noh, Seon-Taek;Lee, Keun-Sang;Moon, Suk-Jae;Eum, Yuong-Hyun;Jung, Kye-Dong;Choi, Young-Keun
    • Proceedings of the Korean Information Science Society Conference
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    • 2007.06d
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    • pp.453-457
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    • 2007
  • 응급환자의 생존 가능성은 응급의료체계가 얼마나 잘 갖추어져 있느냐에 따라 결정된다. 과거의 응급체계가 가장 빠른 시간에 환자의 이송함으로서 치료를 받게 하는데 초점을 두었다면 최근은 RFID등의 기술을 이용하여 환자의 상태를 빨리 파악하여 최적의 치료를 받을 수 있는 병원으로 이송할 수 있는 시스템 도입에 초점을 두고 있다. 따라서 응급 환자의 기본적인 정보를 수집한 후 최적의 병원 전 단계(pre-hospital phase)를 수립하기 위해서는 다양하고 이질적인 정보 자원들을 접근할 수 있어야 한다. 또한 응급환자의 기본적인 사고정보를 가지고 최적의 치료를 받을 수 있는 정책을 수립하기 위해 자율적으로 서로 커뮤니케이션을 할 수 있는 시스템이 필요하다. 본 논문에서는 멀티에이전트 기반의 응급 의료 시스템 모델링을 제시하고, 응급환자에 대한 최적의 병원 전 단계를 수립하기 위한 시퀀스를 설명한다.

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The Effect of Uncertainty and Fatigue Perceived by Patients with Systemic Lupus Erythematosus on Resilience (루푸스 환자가 지각하는 불확실성과 피로가 극복력에 미치는 영향)

  • Cho, OK-Hee;Lim, Jong-Mi
    • Journal of Digital Convergence
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    • v.19 no.11
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    • pp.615-623
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    • 2021
  • The purpose of this study was to identify the factors influencing resilience of patients with systemic lupus erythematosus. The subject(N=118) was a systemic lupus erythematosus patient who visited the E hospital in D city. The collected data were analyzed by descriptive statistics, t-tset, ANOVA, pearson correlation, and multiple regression. As a result of the study, impact domain of uncertainty, fatigue, self-management domain of uncertainty, trust in doctors domain of uncertainty significant effects on resilience. Based on this study, in order to improve the resilience of patients with systemic lupus erythematosus, a multifaceted approach is needed to reduce the uncertainty perceived by the patient and control fatigue. In addition, it is required to develop an effective nursing intervention program to enhance resilience reflecting influencing factors.

Embolectomy of Arteries of Extremities -Clinical analysis of 26 cases (사지동맥의 색전제거술 -26례의 분석-)

  • 강종렬;구본일
    • Journal of Chest Surgery
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    • v.30 no.2
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    • pp.172-178
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    • 1997
  • We present a etrospective analysis of arterial embolectomies performed at the Inje University Seoul Paik Hospital. During the period of March 1987 Feburary 1996 twenty-six patients underwent embolectomies, eighteen patients were male and eight patients were female, mean age of patients was 56.8 years. Rest pain was the chief complaint in 24 patients, the remaining two patients complained of long term history of claudication after recovery of acute symtoms. But only 10 patients had sensBrylmotor symtoms. Heart was the most common source of embolization and frequent predisposing factor of embolism was ischemic heart disease in 8 cases and valvular heart disease in 11 cases. The sites of embolization were upper extremities artery in 6 cases, saddle embolism in 2 cases, lower extremities artery in 18 cases and the most common site of embolism was femoral artery in 1 1 cases. Preoperative angiography was taken in the diagnosis and planning of the embolectomy in 1) patients while in the other patient p eoperative angiography was not taken. Only two cases were operated within the golden period of 6 hours and other cases were operated in more than 6 hours after embolization. In all patients, the Fogarty embolectomy catheter was used without bypass surgery via bachial ateriotomy in the embolism of upper extremities artery, bilateral groin approaches in the saddle embolism and transfemoral approach in the embolism of lower extremities artery. However 3 patients were re-operated via transpopliteal approach in the distal poplitiotibial embolism. Eighteen patients received perioperative anticoagulation therapy by heparin or fraxiparine and wafarin was used in 17 patients at the time of discharge and the indication of anticogulation was patients of valvular heat disease andfor atrial fibrillation, peripheral artery atherosclerosis and recurrent embolism. Postoperative results of the embolectomy were as follows: fouteen pateints had excellent results, five cases had symtom improvement after re-operation, B. K. amputation in 1 case who had severe atherosclerosis of lower extremities, recurrent embolism in 1 case and death in 2 cases the cause of death were acute renal failure and cerebral artery embolism, respectively. The complications of the embolectomy were reperfusion syndrome, pseudoaneurysm and intimal dissection in one case each. Conclusively the problems of embolism is delayed diagnosis and increasing number of old aged patient who had suffered from ischemic heart diease. Preoperative angiography was not always needed for embol ectomy. Selective anticoagulation therapy can decrease incidence of re-embolism. In the distal poplitiotibial embolism, embolectomy of tibial artery was difficult.

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