• Title/Summary/Keyword: Consultation time

Search Result 244, Processing Time 0.032 seconds

Severity Predictors of Elderly Poisoning Patients Admitted to an Emergency Medical Center (일개 응급의료센터에 내원한 노인 중독 환자의 중증도 예측인자)

  • Park, Chang Yong;Cha, Kyung Man;So, Byung Hak;Jeong, Won Jung
    • Journal of The Korean Society of Clinical Toxicology
    • /
    • v.17 no.2
    • /
    • pp.94-101
    • /
    • 2019
  • Purpose: This study examined the clinical characteristics of severe elderly poisoning patients to determine the factors that can prevent them. Methods: Data were collected from patients over 65 years of age presenting to the emergency center with poisoning from 2013 to 2018. Their medical records were analyzed retrospectively, and patients with a poisoning severity score of three or more were defined as the severe poisoning group. The risk factors were evaluated by univariate and multivariate analysis. Results: This study analyzed 292 patients, of whom 37 (12.7%) belonged to the severe poisoning group. The severe poisoning group showed a significantly higher association with pesticide poisoning and intentional suicide attempts. Loneliness and somatization were the cause of the suicidal ideas. No significant differences in age, sex, drinking, ingestion time, poisonous materials other than pesticides, and neuropsychological consultation were observed between the two groups. Conclusion: The severe elderly poisoning patients were the result of intentional poisoning for suicide. Loneliness and somatization were the most influential causes of suicidal poisoning. Therefore, psychiatric screening and frequent medical treatment for elderly people are required to prevent severe poisoning in elderly patients.

A Scoping Review of Components of Physician-induced Demand for Designing a Conceptual Framework

  • Mohammadshahi, Marita;Yazdani, Shahrooz;Olyaeemanesh, Alireza;Sari, Ali Akbari;Yaseri, Mehdi;Sefiddashti, Sara Emamgholipour
    • Journal of Preventive Medicine and Public Health
    • /
    • v.52 no.2
    • /
    • pp.72-81
    • /
    • 2019
  • Objectives: The current study presents a new conceptual framework for physician-induced demand that comprises several influential components and their interactions. Methods: This framework was developed on the basis of the conceptual model proposed by Labelle. To identify the components that influenced induced demand and their interactions, a scoping review was conducted (from January 1980 to January 2017). Additionally, an expert panel was formed to formulate and expand the framework. Results: The developed framework comprises 2 main sets of components. First, the supply side includes 9 components: physicians' incentive for pecuniary profit or meeting their target income, physicians' current income, the physician/population ratio, service price (tariff), payment method, consultation time, type of employment of physicians, observable characteristics of the physician, and type and size of the hospital. Second, the demand side includes 3 components: patients' observable characteristics, patients' non-clinical characteristics, and insurance coverage. Conclusions: A conceptual framework that can clearly describe interactions between the components that influence induced demand is a critical step in providing a scientific basis for understanding physicians' behavior, particularly in the field of health economics.

SIEM OWASP-ZAP and ANGRY-IP Vulnerability Analysis Module and Interlocking (SIEM과 OWASP-ZAP및ANGRY-IP취약점분석모듈과 연동구현)

  • Yoon, Jong Moon
    • Convergence Security Journal
    • /
    • v.19 no.2
    • /
    • pp.83-89
    • /
    • 2019
  • In accordance with information security compliance and security regulations, there is a need to develop regular and real-time concepts for cyber-infringement attacks against network system vulnerabilities in branch and periodic forms. Vulnerability Analysis Analysis It is judged that it will be a countermeasure against new hacking attack in case of concept validation by interworking with TOOL. Vulnerability check module is standardized in event attribute management and ease of operation. Opening in terms of global sharing of vulnerability data, owasp zap / Angry ip Etc. were investigated in the SIEM system with interlocking design implementation method. As a result, it was proved that the inspection events were monitored and transmitted to the SIEM console by the vulnerability module of web and network target. In consideration of this, ESM And SIEM system In this paper, we propose a new vulnerability analysis method based on the existing information security consultation and the results of applying this study. Refer to the integrated interrelationship analysis and reference Vulnerability target Goal Hacking It is judged to be a new active concept against invasion attack.

A Study on the Design of Bridge Model Community Learning Center(CLC) (브릿지 모델 지역학습센터(르완다) 설계 모형 연구)

  • Chung, Jae-Yong;Park, Hoon
    • Journal of the Architectural Institute of Korea Planning & Design
    • /
    • v.34 no.1
    • /
    • pp.83-94
    • /
    • 2018
  • UNESCO has continued to work in Africa, especially in the six southern sub-Saharan countries, and Asia, where international cooperation is needed. The CLC (Rwanda Community Learning Center) covered in this study aims to create a regional learning center in Rwanda and to recover local communities and provide learning environment. During the course of this study, we conducted field trips for actual planning and reviewed the current state of educational and cultural facilities that recently opened and are operated, and found implications. In consultation with the Rwandan Educational Commission, the site for CLC was decided, the building was designed, and the construction is about to start. The results of this study are as follows. First, in addition to the efforts of the activists in the village, which can be considered the smallest unit of a local community, the approach for establishing an architectural space and active education and community environment can be evaluated as a result of experimental efforts. Second, we can pay attention to the attempts to realize local communities. The bridge business is based on the multi-purposes such as early childhood education, technical education for adults, and community restoration of local residents and it reflects space and program plans for this purposes. It also reflects detailed plans such as differentiating the flow planning depending on users' time of use. Third, we can explain the characteristics of architectural planning considering local characteristics such as active use of local materials. Due to the characteristics of a developing country, there were significant considerations on maintenance, and to this end, the plan included plans for the environment and use of materials that are easily maintained. In addition, the participation of local residents in the process of establishment was suggested as a possibility to serve an educational role.

A study on the cardiopulmonary resuscitation by the emergency medical dispatcher (구급상황관리사에 의한 심폐소생술 안내 실태 연구)

  • Kim, Chang Seong;Pi, Hye Young;Lee, Seul Ki;Lee, Hyun Beum
    • The Korean Journal of Emergency Medical Services
    • /
    • v.25 no.1
    • /
    • pp.223-234
    • /
    • 2021
  • Purpose: The purpose of the study is to check up the status of 119 emergency control centers usage. Therefore, the status of use of 119 emergency control centers and the incidence of pre-hospital cardiac arrest patients were investigated. Methods: The emergency activity daily reports and first aid diaries of 119 emergency control centers from January to December 2018 were reviewed. For more accurate status analysis, Among the first aid guidance received in the emergency rescue standard system, the cardiopulmonary resuscitation guide log was reviewed. Results: In 2018, the total usage of the 119 emergency control centers was 1,358,356 calls, hospital guidance werethe most commom (n=629,676, 46.4%), followed by first aid (n=428,027, 31.5%), disease consultation (n=170,238, 12.5%), medical oversight (n=111,188, 8.2%), and interhospital transfer (n=5,052, 0.4%). Regarding the user number per 1,000 persons, Jeju was the greatest at 48.0, whereas Changwon was the lowest at 13.0. A total number of dispatcher-assisted cardiopulmonary resuscitation was 12.181. The time from report to chest compression were 156.2±80.8 seconds for those with previous cardiopulmonary resuscitation training and 168.0±79.3 seconds for those without such training (p<.05). Conclusion: The ratio of first aid instructions, including dispatcher-assisted cardiopulmonary resuscitation, among total usage of the 119 emergency control centers increased. Therefore, additional efforts are required to improve the quality and expertise of information provided through the 119 emergency control centers.

Analysis of the financial products for supporting financing of small and medium-sized construction companies (중소건설기업의 자금조달 지원을 위한 금융상품 분석)

  • Lee, Chijoo
    • Korean Journal of Construction Engineering and Management
    • /
    • v.23 no.4
    • /
    • pp.36-46
    • /
    • 2022
  • It takes a relatively long time for construction companies that lack the ability to finance to adapt to construction policy in the construction industry. However, financial institutions rarely provide financial products to construction companies, particularly small and medium-sized construction companies, because their security capacity and credit rating are low. This study investigates the financial products needed for small and medium construction companies to adapt to policy changes. The demand of small and medium construction companies for financial products is analyzed by experts' advise and survey. And, when the investigated financial products for the construction industry are introduced, the legal systems in need of revision are analyzed. Based on the analyzed demand and the number of legal systems needing revision, the priority for the introduction of financial products to the construction industry is analyzed. Among the financial products investigated, the priority of "Expert consultation, such as accountant, tax accountant, lawyer, etc." is the highest. In future studies, the criteria and method of financial product development for high-priority financial products could be researched.

CNN-based Online Sign Language Translation Counseling System (CNN기반의 온라인 수어통역 상담 시스템에 관한 연구)

  • Park, Won-Cheol;Park, Koo-Rack
    • Journal of Convergence for Information Technology
    • /
    • v.11 no.5
    • /
    • pp.17-22
    • /
    • 2021
  • It is difficult for the hearing impaired to use the counseling service without sign language interpretation. Due to the shortage of sign language interpreters, it takes a lot of time to connect to sign language interpreters, or there are many cases where the connection is not available. Therefore, in this paper, we propose a system that captures sign language as an image using OpenCV and CNN (Convolutional Neural Network), recognizes sign language motion, and converts the meaning of sign language into textual data and provides it to users. The counselor can conduct counseling by reading the stored sign language translation counseling contents. Consultation is possible without a professional sign language interpreter, reducing the burden of waiting for a sign language interpreter. If the proposed system is applied to counseling services for the hearing impaired, it is expected to improve the effectiveness of counseling and promote academic research on counseling for the hearing impaired in the future.

Analysis of Factors Affecting Acceptance Attitude of AI Chatbot Consulting Service: Focused on Service Value Mediating Effect (인공지능 챗봇 서비스의 수용태도에 미치는 영향요인 분석 : 서비스 가치 매개효과 중심으로)

  • Kim, Yoon-Gyung
    • The Journal of the Korea Contents Association
    • /
    • v.22 no.2
    • /
    • pp.255-269
    • /
    • 2022
  • In this study, it was necessary to examine consumer acceptance attitudes from an in-depth and multifaceted perspective at a time when the need for chatbot services in various industrial fields is increasing and being activated in earnest. Accordingly, this study conducted a structural equation model to examine not only the structural relationship between ease, usefulness, and playfulness among the main functions of chatbot services and their acceptance attitudes, but also whether there is a mediating effect of service value in the relationship. As a result of the main study of this study, it was identified that the relationship between the ease, usefulness, and playfulness factors, which are the main functional sub-factors of the chatbot service, and their acceptance attitude and service value had a statistically static influence relationship. Based on these research results, the main research conclusions suggest that when companies in various fields provide chatbot services in the future, it is necessary to clearly determine the influencing factors that can affect the chatbot service acceptance attitude and provide these services. Through this, it is expected that the AI chatbot service will strengthen communication with consumers and establish itself as a customized and personalized counseling service.

Research on Developing a Conversational AI Callbot Solution for Medical Counselling

  • Won Ro LEE;Jeong Hyon CHOI;Min Soo KANG
    • Korean Journal of Artificial Intelligence
    • /
    • v.11 no.4
    • /
    • pp.9-13
    • /
    • 2023
  • In this study, we explored the potential of integrating interactive AI callbot technology into the medical consultation domain as part of a broader service development initiative. Aimed at enhancing patient satisfaction, the AI callbot was designed to efficiently address queries from hospitals' primary users, especially the elderly and those using phone services. By incorporating an AI-driven callbot into the hospital's customer service center, routine tasks such as appointment modifications and cancellations were efficiently managed by the AI Callbot Agent. On the other hand, tasks requiring more detailed attention or specialization were addressed by Human Agents, ensuring a balanced and collaborative approach. The deep learning model for voice recognition for this study was based on the Transformer model and fine-tuned to fit the medical field using a pre-trained model. Existing recording files were converted into learning data to perform SSL(self-supervised learning) Model was implemented. The ANN (Artificial neural network) neural network model was used to analyze voice signals and interpret them as text, and after actual application, the intent was enriched through reinforcement learning to continuously improve accuracy. In the case of TTS(Text To Speech), the Transformer model was applied to Text Analysis, Acoustic model, and Vocoder, and Google's Natural Language API was applied to recognize intent. As the research progresses, there are challenges to solve, such as interconnection issues between various EMR providers, problems with doctor's time slots, problems with two or more hospital appointments, and problems with patient use. However, there are specialized problems that are easy to make reservations. Implementation of the callbot service in hospitals appears to be applicable immediately.

A Study on the Activity of Health Management in Small Scale Industries (소규모 사업장 보건관리 지도내용 분석)

  • Kim Myung Soon;Lee Myung Sook;Kim Hyun Li;Cho Yoo Hyang
    • Journal of Korean Public Health Nursing
    • /
    • v.12 no.2
    • /
    • pp.12-26
    • /
    • 1998
  • The occupational health problems are the major issue in the modern industrial society. Especially the small scale industries have many hazardous factors and not any occupational health programs in itself. Fortunately. the government-funded subsidiary program was developed and carried out in the past six years in our country. The purposes of this study were to find out the actual condition of the occupational health personnel's accomplishments for the government-funded subsidiary program for small scale industries and to provide basic data for setting up more developed subsidiary occupational health program. Data were collected through 6 kinds of service records review. These service records were written by 3 occupational health personnels were attached to the one subject center of KIHA. were undertaken during March to December, 1997. at 95 small scale industries which were applied the government-funded subsidiary occupational health program. Results were as follows 1. Concerning 95 small scale industries showed characteristics of a typical small scale industry. 2. A doctor visited in industries total 190 times per year, average 19 industries per month, twice per year and industry. A hygienist visited in industries total 378 times per year, average 38 industries per month, four times per year and industry. A nurse visited in industries total 477 times per year. average 47 industries per month, 5 times per year and industry. 3. 3 occupational health personnels accomplished total 3,869 items. A doctor accomplished total 539 items per year, each time 3 items In an industry. A hygienist accomplished total 1.581 items per year, each time 4 items in an industry. A nurse accomplished total 1.749 items per year, each time 4 items in an industry. 4. The major contents of doctor's accomplishment were 'health consultation for suspicious worker with general & occupational disease', 'a check of the workplace & special health education', 'guidance of special medical examination in the second half of year', etc. The major contents of hygienist's accomplishment were 'pretest & guidance of planning for evaluation of working environment'. 'evaluation for ventilating facilities & suporting self inspection', 'guidance of MSDS recording & chemicals management', etc. The major contents of nurse's accamplishment were 'health counseling of general & special medical examination results'. 'health education of preventing occupational disease & health disorder'. 'guidance of subsidiary program planning', 'selecting & guidance of health monitor', etc. It was concluded that the occupaional health personnels implemented the subsidiary program according to the order of health management guide. The current health management guide of subsidiary occupational health program in which the fixed contents, visiting number & periods is not desirable. That guide is left the characteristics of small scale industries out of consideration. It is suggested that occupational health management guide should be developed according to the general & environmental characteristics of each small scale industry, and on the other hand, the more specific guide for each occupational health personnel should be developed.

  • PDF