• Title/Summary/Keyword: 환자의 접근

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Effect of Home-Visit Occupational Therapy on Community Dwelling Stroke Survivors: A Case Study (지역사회 거주 뇌졸중 환자의 가정방문 작업치료 효과: 사례 연구)

  • Jeong, Eun-Hwa
    • Therapeutic Science for Rehabilitation
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    • v.9 no.2
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    • pp.87-98
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    • 2020
  • Objective : The purpose of this study was to verify the effectiveness of home-visit occupational therapy in stroke patients. Methods : Two patients with stroke who applied for home-based occupational therapy services at a health center in Seoul were enrolled. The home-visit occupational therapy program evaluates the subject's daily living, task performance, cognitive, and emotional functions, sets occupational therapy goals and plans interventions based on a client-centered approach. Occupational therapy programs consisted of 12 sessions based on the client's major problems. Results : COPM scores improved in both cases, there was an improvement in COPM scores, and in Case 2 there were improvements in MBI and K-MMSE scores. There was also an improvement in KGDS scores in Case 1. Conclusion : Home-visit occupational therapy was found to be effective in improving daily activities, cognition, and mental function of stroke patients. During home and community integration, continuous and continuous rehabilitation services need to be activated from institutional rehabilitation to community-based rehabilitation. Active home-visit occupational therapy is needed to promote physical, cognitive, mental and social access in stroke patients discharged from hospitals.

A study on the optimization of referring method about medical images using MIH(Medical Image History) (MIH(Medical Image History)을 이용한 의료영상조회의 최적화 연구)

  • Kim, Sun-Chil;Kim, Jung-Min
    • Journal of radiological science and technology
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    • v.25 no.2
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    • pp.57-64
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    • 2002
  • The recent development of embodiment technology of the medical images makes most medical institutions introduce PACS(Picture Archiving and Communication System) in haste. However lots of PACS solutions, currently developed and distributed, haven't been able to serve the convenience of users and to satisfy user's demand because of economic limitations and administrator-oriented considerations in the process of development. So we have developed MIH(Medical Image History), by which we can search and refer to the patient's medical images and information with few restrictions of time and space for diagnosis and treatment. This program will contribute to the improvement in the medical environment and meet the clients' need. We'll make more effort to develop the application which insures the better quality of medical images. MIH manages the patient's image files and medical records like film chart in connection with time. This trial will contribute to the reduction of the economical loss caused by unnecessary references and improve the quality in the medical services. The demand on the development or the program which refers to the medical +ata quickly and keeps them stable will be continued by the medical institute. This will satisfy the client's demand and improve the service to the patients in that tile program will be modified from the standpoint of the users. MIH is trying to keep user-oriented policy and to apply the benefit of the analog system to the digital environment. It is necessary to lead the public to the better understanding that the systematic management and referring of the medical images is as important as the quality of the images.

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A Node2Vec-Based Gene Expression Image Representation Method for Effectively Predicting Cancer Prognosis (암 예후를 효과적으로 예측하기 위한 Node2Vec 기반의 유전자 발현량 이미지 표현기법)

  • Choi, Jonghwan;Park, Sanghyun
    • KIPS Transactions on Software and Data Engineering
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    • v.8 no.10
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    • pp.397-402
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    • 2019
  • Accurately predicting cancer prognosis to provide appropriate treatment strategies for patients is one of the critical challenges in bioinformatics. Many researches have suggested machine learning models to predict patients' outcomes based on their gene expression data. Gene expression data is high-dimensional numerical data containing about 17,000 genes, so traditional researches used feature selection or dimensionality reduction approaches to elevate the performance of prognostic prediction models. These approaches, however, have an issue of making it difficult for the predictive models to grasp any biological interaction between the selected genes because feature selection and model training stages are performed independently. In this paper, we propose a novel two-dimensional image formatting approach for gene expression data to achieve feature selection and prognostic prediction effectively. Node2Vec is exploited to integrate biological interaction network and gene expression data and a convolutional neural network learns the integrated two-dimensional gene expression image data and predicts cancer prognosis. We evaluated our proposed model through double cross-validation and confirmed superior prognostic prediction accuracy to traditional machine learning models based on raw gene expression data. As our proposed approach is able to improve prediction models without loss of information caused by feature selection steps, we expect this will contribute to development of personalized medicine.

The Knowledge and Confidence in Performance on Patient Safety among Health-Related Majors : Convergent Approach (보건계열 학생의 환자안전 지식 및 수행 자신감 : 융복합적 접근)

  • Lee, Mi Hyang;Park, Jung Hee;Bae, Seok Hwan
    • Journal of Digital Convergence
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    • v.17 no.1
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    • pp.219-227
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    • 2019
  • The purpose of this study was to investigate the knowledge on patient safety and performance confidence for the subject of health-related major students. Participants were 349 Health-related majors. Data were analyzed using SPSS 21.0. According to the study results, correct answer rate for patients' knowledge on safety was 65.7% in average. Average point of performance confidence was $7.11{\pm}1.74$. Considering in terms of question, patient identification was high, while effective communication was shown to be low. Patient identification, communication, surgery procedure, fall, patient's safety accident report as the lower domain for patients' knowledge on safety and performance confidence had a positive correlation, while knowledge and infection management, facility environment had a negative correlation for health-related major students, development of patients' safety education program is needed to enhance importance of patients' safety before clinical practice and to allow implementation of safe clinical practice.

Design and Implementation of Tele Auscultation Medicine Smart-Healthcare System based on Digital Stethoscope (디지털청진기 기반의 원격청진진료 스마트-헬스케어 시스템 설계 및 구현)

  • Kim, Heung-Ki;Jung, Jung-Il;Cho, Jin-Soo
    • Journal of the Institute of Electronics Engineers of Korea CI
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    • v.48 no.6
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    • pp.62-70
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    • 2011
  • Smart-healthcare service is a health medical service which aims to provide an active consumer-directed service for both wellness and preventative health management upon the basis of rapid diffuse of smartphone which has been occurring recently. On this, this paper suggests a tele auscultation medicine smart-healthcare system based on digital stethoscope which is able through the use of the smart phone which is easy to approach anywhere. The suggested system consists of the digital stethoscope for patient's self auscultation and smart phone, the PC for doctor's examination, and the web server to connect those devices. A telemedicine can be performed between a doctor and a patient by the program which exchanges examine data and auscultation data among the devices. To sum up, by the system suggested in this paper, an easily and conveniently usable health medical service on an everyday basis could be provided without spatial and temporal limits.

Endovascular Treatment of a Systemic-to-Pulmonary Artery Fistula: A Case Report (체-폐동맥루의 혈관 내 치료: 증례 보고)

  • Eunbyul Lee;Dong Jae Shim;Doyoung Kim;Jung Whee Lee
    • Journal of the Korean Society of Radiology
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    • v.82 no.3
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    • pp.682-687
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    • 2021
  • Systemic-to-pulmonary artery fistulas are rare. This condition may be congenital, post-traumatic, or post-inflammatory and can cause infection, hemorrhage, or pulmonary hypertension. Here, we report a case of an intercostal-to-pulmonary artery fistula, incidentally detected during the evaluation of dyspnea in a 67-year-old female. Retrograde transcatheter coil embolization in a dilated draining pulmonary artery was initially attempted. However, another draining pulmonary artery developed after 5 months. The intercostal arteries or systemic feeders were successfully embolized through a transarterial access. At the 10-month follow-up, the abnormally dilated vessels had regressed, and dyspnea had improved. Sequential or simultaneous retro- and antegrade transcatheter embolization may successfully treat pleural arterio-arterial fistulas.

An Anaysis of current Facilities for the Physically Disabled in Hospital (지체장애인의 접근을 고려한 종합병원 장애인편의시설의 실태분석에 관한 연구)

  • Lee, Kyoo-Il;Ryu, Soo-Hyun
    • Journal of the Korea Convergence Society
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    • v.6 no.1
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    • pp.35-41
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    • 2015
  • This study mostly concentrates on the ease of access to the hospital for the physically handicapped and investigated the condition of facilities for disabled of 59 hospitals in Seoul. For investigation, this research developed tool based on Korean disability law. An improvement plan which will deal with the safety and accessibility for the physically handicapped and for patients are as follows. 1) Safe passage should be designed continuously from entrance to the parking lot. 2) Obstacles on the safe passage should be removed and widen the pathways.

A Real-Time Monitoring System for the Portable Insulin Pumps Using ZigBee (ZigBee 모듈을 이용한 휴대용 인슐린 펌프의 실시간 모니터링 시스템)

  • Lee, Soo-Yong;Kim, Ji-Hong;Kim, Yong-Hyun;Im, Hwa-Suk;Oh, Myung-Keun;Hong, Yun-Sik
    • Proceedings of the Korean Information Science Society Conference
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    • 2007.06d
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    • pp.157-162
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    • 2007
  • 최근 홈 네트워크 및 유비쿼터스 컴퓨팅에 대한 일반인들의 관심이 크게 증가하면서, 10m 내외의 단거리에서 사용되는 개인 무선 네트워킹 솔루션인 무선 PAN 기술이 주목받고 있다. 본 논문에서는 이러한 무선 PAN 기술 중 저속, 저가, 저전력의 무선통신 기술인 ZigBee 이용해 당뇨병 환자들을 위한 실시간 모니터링 시스템을 구현하였다. 즉, 휴대용 인슐린 펌프에 ZigBee 통신이 가능한 모듈을 장착함으로써, 인슐린 펌프에 내장된 환자의 혈당치, 인슐린 투입량 등과 같은 중요 데이터를 별도의 조작 없이 유선 클라이언트에 실시간 전송할 수 있게 된 것이다. 한편, 유선 클라이언트에 저장된 환자의 정보는 서버에 즉시 전송되며, 담당 주치의의 모니터링이 가능하도록 웹 접근성을 부여하였다. 이를 통해 환자들이 보다 안전하고 편리하게 휴대용 인슐린 펌프를 사용할 수 있도록 하였다.

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Study of Radiological Approach to Treat a Chronic Constipation (만성변비환자의 방사선학적 접근방법에 관한 고찰)

  • Yoon, Seok-Hwan
    • Journal of radiological science and technology
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    • v.27 no.3
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    • pp.5-12
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    • 2004
  • I. Introduction : The constipation is one of the common gastrointestinal symptoms seen in the clinical practice. When people come to the clinic complaining of the constipation, it is generally one of the cases of infrequent, painful or difficult evacuation as well as the hardened feces and unsatisfactory evacuation sense. Since the constipation is heavily influenced by dietary habit as well as the social and medical environment, the diagnostic radiology is useful to establish the objective and standardized definition in consideration of those various factors before diagnosis and treatment of the constipation patient. This paper describes the study of such diagnosis. II. Main Subject : Testing of CTT (colon transit time) is key study of the colon performance. CTT is very helpful in classifying the pathologic physiological types and defining the treatment plan for the chronic constipation. The study methods include using the radipaque marker, multiple marker technique and scintigraphic measurement. The defecography is the functional radiologic examination a that provides not only the anatomical information of anorectal but also performance of the pelvic floor and rectal change during evacuation. Study of dynamic movement of the anorectal during evacuation is helpful for diagnosis and treatment planning as well as follow-up testing for the constipation patient. One of the issues essential for the case history is the thorough observation of whether the patient shows the psychic psychological symptoms such as the behavior disorder or emotional disturbance. In that case, the decision must be made whether or which type of medication is needed for such psychiatric problem. III. Conclusion : The main causes of the constipation are insufficient intake of fiber or liquid. The key objective of such tests is to check etiology of the constipation. In general, the radiological examination does not provde the colon or anorectal performance information. It is envisaged that this study will provide the information to decide the testing and treatment plans and predict the prognosis of the patient by classifying the pathologic physiological types.

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Risk Factors for Mortality in Community-Acquired Pneumonia Patients Admitted to a Referral Hospital (지역사회획득폐렴으로 대학 병원에 입원한 성인의 사망률과 관련된 위험인자)

  • Lee, Young Woo;Jung, Jae Woo;Song, Ju Han;Jeon, Eun Ju;Choi, Jae Cheol;Shin, Jong Wook;Kim, Jae Yeol;Park, In Won;Choo, Byoung Whui
    • Tuberculosis and Respiratory Diseases
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    • v.61 no.4
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    • pp.347-355
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    • 2006
  • Background: Pneumonia is the most common cause of death among infectious diseases with community-acquired pneumonia being the sixth leading cause of death in the USA. In Korea, several studies have evaluated the prognosis of community-acquired pneumonia with a limited number of patients and risk factors. This study, evaluated all the possible risk factors (including the pneumonia severity index; PSI) in for the community-acquired pneumonia patients admitted to a referral hospital. Methods: The medical records of patients admitted to the Chung-Aug University Yongsan Hospital between January 2002 and January 2005 for community-acquired pneumonia were reviewed retrospectively. The demographic data, comorbidity, radiographic findings and laboratory results which might influence the prognosis of pneumonia were analyzed. Results: Among 179 patients admitted for community-acquired pneumonia, 29 patients died (mortality 16%). The risk factors for mortality in the comorbidity category were congestive heart failure and a myocardial infarction. The laboratory data, showed that albumin, LDH, total cholesterol, HDL, PT, aPTT, hemoglobin and blood urea nitrogen (BUN) were related to the prognosis. For the pneumonia severity index, the mortality rate increased in a step-wise manner from class I through class V. Conclusions: Comorbidities such as congestive heart failure and myocardial infarction as well as the albumin, LDH, total cholesterol, HDL cholestreol, prothrombin time, activated partial thrombotin time, hemoglobin and blood urea nitrogen(BUN) are important risk factors for mortality in patients with community-acquired pneumonia. PSI is a valuable index for evaluating the prognosis of community-acquired pneumonia.