• Quality Improvement in Health Care
• /
• v.15 no.2
• /
• pp.93-103
• /
• 2009

문제: 억제대 적용에 대한 구체적 적용 지침 없이 의례적으로 억제대를 사용함으로 인해 환자들의 신체적 또는 정신적 안전을 위협할 수 있다. 목적: 완전 진정 상태 이거나 근력이 약하여 발관 능력이 없는 환자에 대한 예방적 적용, 바빠서 환자를 볼 수 없는 경우, 간호사 본인의 판단이 없이 타인의 요구에 따르는 등의 불필요한 억제대 적용이 증가하는 원인을 파악하여 중환자실의 특수성에 맞는 억제대 적용 및 제거 지침을 마련하고자한다. 의료기관: 인천광역시에 소재한 의과대학 소속병원의 집중치료실 질 향상 활동: 불필요한 억제대 적용에 영향을 미치는 요인을 선정하여 개선활동 수행. 개선효과: 억제대 적용에 대한 중환자실 간호사에게 미치는 영향을 보면 태도 정도 p=0.09(p<0.1), 올바른 수행 능력은 p=0.005(p<0.05)로 통계적으로 유의한 것으로 나타났다. 지식 정도 p=0.172(p<0.05) 통계적으로 유의 하지는 않지만 모든 항목이 개선 활동 전 에 비해 2,3차 개선 활동 후에 향상 한 것으로 나타났다. 개선 활동 전에 8.1%였던 간호 기록, 0.7%였던 간호 중재, 0%였던 의사 처방율이 3차 개선 활동 후 3가지 모두 100% 달성되었다. 이는 억제대 적용율 감소 및 부적절한 억제대 적용율은 유의하게 감소 하였다. 교훈: 중환자실 간호사의 억제대 적용에 대한 태도, 지식, 올바른 간호 수행 능력은 지속적으로 재평가 되어지고, 교육내용은 좀 더 나은 간호 제공을 위하여 개발되어져야 할 것이다. 억제대 적용 기준과 제거 기준을 Check List 하여 객관성의 유지를 위한 개선 활동은 계속적으로 Feedback 되어야 할 것이다.

• Journal of the Korean Institute of Intelligent Systems
• /
• v.24 no.5
• /
• pp.542-547
• /
• 2014

This paper describes the medical and IT convergence system using a smart phone and a heuristic method for the measurement of the dripping speed of the liquid in a drip chamber, which can estimate the remaining time using pattern recognition and difference image from video frame information based on Android technology. The video frames were first made using a smartphone camera and we calculated the difference image between the n image and the (n-1) image and then changed into binary images using the threshold value. At this point, it is very important to find an optimal threshold value using heuristic method to recognize the dripping of the liquids. In addition, the user can adjust the dripping speed according to the doctor's prescription, exactly like watching the progress bar of a mobile application. The experiment results show that our method using video processing technique accurately measures the dripping speed for a wide range of speeds that are sufficient for ordinary practice.

• The Korean Society of Law and Medicine
• /
• v.20 no.3
• /
• pp.235-262
• /
• 2019

While traditionally threatening human infectious diseases are decreasing, chronic diseases such as cancer and diabetes, including cardiovascular diseases, are spreading rapidly. Reflecting the characteristics of chronic diseases that are difficult to treat, the management of risk factors and the preparation of health promotion policies corresponding to them have emerged as important concerns around the world. Providing so-called multi-sector approach such as health promotion and disease prevention policy and solution for community response, The value of primary care is once again highlighted in the changed medical environment. As the existing medical delivery system has become difficult to cope with the people's desire for rapid aging, disease paradigm change, and quality of life improvement, European Union countries have made various efforts to improve the quality of their primary medical system, which provides continuous, com- prehensive and coordinated management. This paper examines the current status and problems of the healthcare delivery system in Korea, draws implications from the European Union examples related to the strengthening of primary care, and discusses the plans for establishing a patient-centered future medical delivery system.

• The Journal of the Institute of Internet, Broadcasting and Communication
• /
• v.13 no.6
• /
• pp.37-45
• /
• 2013

In this paper proposes the latest network-assisted online telemedicine service to coincide with the point being discussed for health care providers to match patients, patients with personalized medical service support system. In order to design the system, to understand the requirements of the patient personalized medical support service system, the data were normalized and were designed architecture client server structure. Further, in order to implement the system that was designed to define the structure of server and client, ontology repository, we implement the system. In this paper, as a result of the test by creating a scenario and prerequisites for testing patient personalized medical service support system that is design and implementation, selecting a patient's condition, department of symptoms by the selected but it was confirmed that the inference is, inference medical institutions that fits department inferred one following upon the items medical patient has the required.

• Journal of Practical Engineering Education
• /
• v.15 no.3
• /
• pp.703-709
• /
• 2023

This study was conducted to investigate the association between hyperuricemia and the risk of hypertension in Korean adult women using data from the 2019 Korea National Health and Nutrition Examination Survey (KNHANES) 8th wave. Study subjects were 2,693 and descriptive analysis was used to investigate the general characteristics of the subjects. The effects of hyperuricemia on the risk of hypertension were evaluated using binomial logistic regression and it was shown that the risk of hypertension in the hyperuricemia group was higher than in the normal group (OR:1.94, p<.001), after adjusting socioeconomic factors (OR:1.81, p=.001) and even after additional adjustment for health behavioral factors, the risk of hypertension was high (OR:1.54, p=.019). Therefore, in order to prevent hypertension in adult women, it is necessary to develop programs and policies to effectively manage their uric acid levels.

• Journal of Preventive Medicine and Public Health
• /
• v.25 no.2 s.38
• /
• pp.115-126
• /
• 1992

To estimate the cancer mortality rates among Koreans, a mortality survey was carried out in the province of $Ky{\breve{o}}ngsangnam-do$. The study population are the beneficiaries of Korea Medical Insurance Corporation(KMIC), $Ky{\breve{o}}ngsangnam-do$ area, among which the 3,867 deaths occurred from January, 1989 to December, 1990, were reviewed to confirm the cancer deaths. These were based upon the death certificates and medical utilization records before dying which were available through the computerized databases on medical care utility of KMIC. The survey was conducted along three steps. At first, the death certificates were examined, as a second step medical utilization records were reviewed, and finally direct contacts to the family members of the deceased were done. As a result, 990 deaths were found due to cancer. Using them, age and sex specific cancer(all sites and several sites) mortality rates were estimated. Overall cancer mortality rate in the area was estimated 138.7 per 100,000 person-years in males, and 65.7 in females, respectively. And the orders of site-specific cancer mortality rates were the cancers of stomach, liver, lung, esophagus, and cancers of the hematopoietic system among males, In females, followed by gastric cancer, cancers of lung and liver are the 2nd and 3rd in rank, respectively and cancers of breast and uterine cervix are the 4th and the 5th in rank.

• The Journal of Korea Institute of Information, Electronics, and Communication Technology
• /
• v.8 no.6
• /
• pp.460-469
• /
• 2015

This study's aim is for reducing big data transfer time of IoT healthcare devices by modulating digital bits into Manchester code including zero-voltage idle as information for secondary compressed binary cluster's compartment after two step compression of compressing binary data into primary and secondary binary compressed clusters for each binary clusters having compression benefit of 1 bit or 2 bits. Also this study proposed that as department information of compressed binary clusters, inserting idle signal into Manchester code will have benefit of reducing transfer time in case of compressing binary cluster into secondary compressed binary cluster by 2 bits, because in spite of cost of 1 clock idle, another 1 bit benefit can play a role of reducing 1 clock transfer time. Idle signal is also never consecutive because the signal is for compartment information between two adjacent secondary compressed binary cluster. Voltage transition on basic rule of Manchester code is remaining while inserting idle signal, so DC balance can be guaranteed. This study's simulation result said that even compressed binary data by another compression algorithms could be transferred faster by as much as about 12.6 percents if using this method.

• Journal of the Korea Society of Computer and Information
• /
• v.25 no.5
• /
• pp.159-168
• /
• 2020

This study was designed to ask experienced nurses at local and regional emergency medical centers for their awareness of paramedics and for their opinions on a paramedic's proper duties in emergency medical centers. The questionnaire consisted of 61 questions in total, including general questions, questions about awareness of paramedics, and questions about the duties of paramedics in emergency medical centers. For data analysis, SPSS 21.0 was applied to conduct frequency and correlation analyses. Regarding the duties of paramedics in emergency medical centers, there were positive answers in 33 questions of the questionnaire. The need for paramedics who work for emergency medical centers and the importance of their duties in emergency medical centers were high in the questionnaire. In addition, there were positive answers to the questions about the need for the professionalism of paramedics and the nees for increasing the number of paramedics in emergency medical centers. There was no difference between the groups.

• Journal of Technology Innovation
• /
• v.28 no.4
• /
• pp.1-26
• /
• 2020

Due to the spread of Corona 19 around the world, Infectious Disease Medicine and New Medical Devices such as Diagnostic Agent are being rapidly developed and launched, and for the fast supply and demand of these, each country has eased import regulations or has implemented policies for fast approval(NIDS, 2020). On the other hand, New Developed Medical Devices that are not related to New Infectious Diseases, they are still entering the market through strict licensing and licensing regulations, such as delay and cancellation in the test inspection process, etc. Therefore, This Study specialized in the government-managed laws encountered when New Medical Devices enter the market, derive Factors influencing the Strength of Regulations, analyzes the Strength of Regulations, and proposes a Regulatory Response Framework. The Research Method was conducted by Literature Research, was applied by Failure Mode and Effects Analysis(FMEA) Method, Expert Interview(1st): Idea Collection, Expert Interview(2nd): Validation, and Priority through the Application Process of FMEA Method. A Method of Quantifying the Intensity of Regulation was proposed by multiplying the Impact of the Influencing Factors for each stage of regulation and the Burden Impact for each type of Regulatory Affairs to find the Importance of the Regulatory Factors and multiplying the Severity of the Regulatory Impact. The Implications are that major overseas countries and the Korean government are actively responding with Special Regulatory Policies and Mitigation Policies for fast licensing of New Developed Medical Devices in accordance with Corona 19. It is expected that the direction for improvement of regulations and measures to respond to regulations will be implemented so that a more proactive and preemptive response to the regulatory process of the licensing policy for New Devices can be achieved.

• Journal of the Korean Society of Radiology
• /
• v.17 no.6
• /
• pp.865-872
• /
• 2023

The purpose of this study was to analyze fabrics suitable for use as examination gowns to determine whether examination gowns affect imaging during anterior to posterior chest examinations(Chest AP) on a digital X-ray system. Examination gowns in use at five medical centers in Seoul were collected and included modal, tencel, cotton, and rayon fabrics. The selection of fabrics was based on studies that reported fabrics with good tactile, absorbent, stretchable, and wrinkle resistance. Phantoms of five hospital gowns and four fabrics, arranged in overlapping layers from one to eight, were created and examined on a digital X-ray system in both Chest AP examination. The images examined were subjected to a first-step profile analysis, a second-step signal intensity averaging analysis, and a third-step microscopic analysis. The results showed that all nine materials had an increasing impact on the image as the number of layers of fabric increased, with the modal fabric having the least impact on the image in the first, second, and third analyses. In conclusion, as the resolution of digital x-ray systems increases, the impact of examination clothing on the image will increase, and research to find suitable materials for examination clothing will continue to be necessary.