• Title/Summary/Keyword: Essential medical service

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Cystatin C for managing diuretic-induced kidney dysfunction in MMVD dogs

  • Donghyun Han;Jae Hyeon Cho;Chung Hui Kim
    • Korean Journal of Veterinary Service
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    • v.46 no.3
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    • pp.181-192
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    • 2023
  • Cystatin C, a low-molecular-weight protein synthesized by cells, is being explored as a valuable biomarker for assessing renal function in veterinary medicine. Although the relationship between cystatin C and heart disease remains unclear, some studies suggest a possible association. This retrospective case-control study aimed to investigate the role of cystatin C as a biomarker for heart disease and its correlation with diuretic use in veterinary clinical practice. A total of 39 dogs were included in this study, comprising 9 control dogs without a predisposition to heart disease and 30 dogs in the study group diagnosed with heart disease. Among the 30 dogs with heart disease, 18 exhibited symptoms indicative of heart failure. Results showed significantly higher cystatin C levels in the heart disease group compared to the control group (P<0.05). However, no significant differences were observed among different stages of heart disease severity in the control group. Furthermore, cystatin-C showed statistically positive correlations with BUN (r=0.478, P<0.01), creatinine (r=0.506, P<0.01), and furosemide (r=0.338, P<0.05). Diuretics are essential for managing congestive heart failure, and the observed associations between cystatin C and furosemide suggest potential impacts of diuretic use on renal function in dogs with heart failure. Monitoring renal function markers, such as cystatin C, can aid in predicting and managing potential renal complications, ultimately improving the overall health and quality of life of dogs with heart disease.

A Study on the Factors Affecting Relationship Retention in Medical Service - Focus on Customers' Self-Determination - (의료서비스 고객의 관계지속에 영향을 미치는 요인에 대한 연구 - 고객관점의 자기결정성을 중심으로 -)

  • Suh, Munshik
    • Management & Information Systems Review
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    • v.33 no.3
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    • pp.35-57
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    • 2014
  • Relationship marketing has been dealt with as an effective strategy for customer loyalty in prior research. It seems to be essential that organizations should make efforts to develop successful relationship between the organizations and the customers. However, a customers' voluntary efforts are also needed to strengthen the relationship meaningfully. Relationships are built on the foundations of mutuality. In other words, customers' efforts are necessary for relationship development, as well as an organization's efforts. Hereby, the role of customers for the development of a relationship with an organization has been overlooked in previous research so far. This study applied the Self-Determination Theory (SDT) to explain the role of customer motivation in developing customer relationship. Thus, the author chose customers who have experienced medical service recently as survey participants. Then, this paper verified the path relationships between self-determination factors (autonomy, perceived competence, relatedness) and relational factors(shared responsibility, commitment, relationship retention). It suggested that role of customers is inevitable in developing the relationship. In conclusion, this research has several implications on relationship marketing. For service providers, they should understand that the customer's perceived self-determination can improve tangible and intangible performance in relationship development.

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General Radiography Imaging Usage and Effective Dose of Inpatients: Based on Data from Inpatients in 2018 (입원환자 일반촬영 이용량 및 피폭선량: 2018년 입원환자데이터)

  • Jong-Won Gil
    • Journal of radiological science and technology
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    • v.47 no.2
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    • pp.107-116
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    • 2024
  • In this study, we analyzed the use of general radiography imaging and effective dose in inpatients. Our aim is to help reduce national medical radiation exposure doses and develop rational health-care financial policies. The effective dose for each general radiography was calculated using the ALARA-GR program for 53 types (total: 260 codes) general radiography codes selected from 'National Health Insurance Care Benefit Cost'. The usage of general radiography was analyzed in the 2018 inpatient patient data of the Health Insurance Review and Assessment Service, and the effective dose for each general radiography was analyzed. 89.00% of inpatients undergo general radiography imaging at least once, with an average of 12.63 scans per person and an effective dose of 1.00 mSv. Those who received support from Medical Aid showed a higher value compared to those who were insured by National Health Insurance, with 17.39 cases and 1.43 mSv (p<.001). Chest had the highest usage rate at 23.12% for general radiography imaging, while L-spine had the highest effective dose at 24.53%. It is estimated that 420 inpatients patients undergo 121 to 820 general radiography imaging procedures per year, and 233 inpatients are estimated to have an annual effective dose of >20.00~58.25 mSv. Rational use of health-care finances and the practice of medical radiation safety management are essential for the well-being of individuals, the enhancement of quality of life, and the improvement of health-care quality.

A Study on the Feasibility of IoT and AI-based elderly care system application

  • KANG, Minsoo;KIM, Baek Seob;SEO, Jin Won;KIM, Kyu Ho
    • Korean Journal of Artificial Intelligence
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    • v.9 no.2
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    • pp.15-21
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    • 2021
  • This paper conducted a feasibility study by applying an Internet of Things and Artificial intelligence-based management system for the elderly living alone in an aging society. The number of single-person families over the age of 50 is expected to increase, and problems such as health, safety, and loneliness may occur due to aging. Therefore, by establishing an IoT-based care system for the elderly living alone, a stable service was developed through securing a rapid response system for the elderly living alone and automatically reporting 119. The participants of the demonstration test were subjects under the jurisdiction of the "Seongnam Senior Complex," and the data collection rate between the IoT sensor and the emergency safety gateway was high. During the demonstration period, as a result of evaluating the satisfaction of the IoT-based care system for the elderly living alone, 90 points were achieved. We are currently in the COVID-19 situation. Therefore, the number of elderly living alone is continuously increasing, and the number of people who cannot benefit from care services will continue to occur. Also, even if the COVID-19 situation is over, the epidemic will happen again. So the care system is essential. The elderly care system developed in this way will provide safety management services based on artificial intelligence-based activity pattern analysis, improving the quality of in-house safety services.

A Study on the Sensor Node Based Wireless Network Communication System for Efficient EEG Transmission (효율적인 EEG 전송을 위한 센서노드기반의 무선통신시스템에 관한 연구)

  • Jo, Jun-Mo
    • The Journal of the Korea institute of electronic communication sciences
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    • v.8 no.5
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    • pp.791-796
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    • 2013
  • Advent of the brain wave health care system is considered as an important issues in the industrial and research area in these days. It is necessary to detect EEG signals in real-time in order to support the medical emergency service for the epileptic or brain infarct patients. Since the efficient network support is an essential factor for the system, several topologies using sensor node based wireless body area network is suggested and simulated in this paper. Finally the Opnet simulation result is evaluated for the efficient topology of the body area network.

Improvement of a sensor unit for wrist blood pressure monitor (손목형 혈압계의 센서부 개선에 대한 연구)

  • Koo, Sang-Jun;Kwon, Jang-Wan;Park, Yong-Man;Ayuznara, Odgerel;Kim, Hie-Sik
    • Proceedings of the KIEE Conference
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    • 2007.04a
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    • pp.380-382
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    • 2007
  • As the society changes more to the aging society in future, many healthcare product are developed and distributed more on the market. The digital wrist band tye blood pressure device for home use are popular already in the market. It is useful for checking blood pressure level at home and control of hypertension. Especially. It is very essential home device to check the health condition of blood circulation disease. Nowadays many product types are available. But the measurement accuracy of blood pressure is not enough compared to the mechanical type. It needs to be upgraded to assure the precise health data enough to use in the hospital. The structure, feature and output signal of capacitor type pressure sensors are analyzed. An improved design fa capacitor sensor is suggested. It shows more precise health data after use on a wrist band type health unit. They can be applied for remote u-health medical service.

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Application of GIS Technology for Developing Emergency Management System on High-Speed Lines

  • Kim, Sang-Ahm;Hong, Seon-Ho;Wang, Jong-Bae
    • Journal of the Korean Society for Railway
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    • v.6 no.3
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    • pp.156-162
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    • 2003
  • Due to almost all tracks of new Kyoungbu high-speed lines(HSL) consisting of bridges and tunnels, HSR operational safety management is very important factor for passenger safety and preventing catastrophic event. Especially, it is important to approach the scene of the accident and assist in saving lives as soon as possible under emergency conditions. Therefore it is essential to prepare access methods and available resources in advance in order to support emergency correspodances promptly and effectively. This paper persents an application of geographical information system(GIS) for developing emergency management system as well as batabase system on tracks and facilities, electric/communication equipment and safety equipment required to support emergencies. The on-site information on the proximity of HSL is expressed on the numerical map, which can be helpful to call external supports such as medical service, local authorities, police offices, fire brigades, and etc. for the emergency situations.

Telemedicine Cooperation Experience of Nurses Working in Remote Areas (의료취약지 근무 간호인력의 원격협진 수행 경험)

  • Chin, Young Ran;Kim, Hyun
    • Journal of Korean Academy of Rural Health Nursing
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    • v.17 no.2
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    • pp.43-49
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    • 2022
  • Purpose: This study was conducted to explore the telemedicine cooperation experience of nurses working in remote areas. Methods: A focus group interviews were used to collect data. All interviews were recorded and transcribed. Content analysis was used to analyze the data. Results: The three main categories and seven sub-categories of telemedicine cooperation experience that emerged are 1) requirement of education on remote support service, 2) consideration of the recipients of medical support services and the characteristics of the area, and 3) difficulties in conducting telemedicine cooperation. Conclusion: As a result of the study, legal protection should be given priority, and it is necessary to select an area where remote cooperation is essential, to discover subjects, and to reduce the burden of work and division of manpower and duties.

Modified Orbitozygomatic Approach without Orbital Roof Removal for Middle Fossa Lesions

  • Lopez-Elizalde, Ramiro;Robledo-Moreno, Edgar;O'Shea-Cuevas, Gabriel;Matute-Villasenor, Esmeralda;Campero, Alvaro;Godinez-Rubi, Marisol
    • Journal of Korean Neurosurgical Society
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    • v.61 no.3
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    • pp.407-414
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    • 2018
  • Objective : The purpose of the present study was to describe an OrBitoZygomatic (OBZ) surgical variant that implies the drilling of the orbital roof and lateral wall of the orbit without orbitotomy. Methods : Design : cross-sectional study. Between January 2010 and December 2014, 18 patients with middle fossa lesions underwent the previously mentioned OBZ surgical variant. Gender, age, histopathological diagnosis, complications, and percentage of resection were registered. The detailed surgical technique is described. Results : Of the 18 cases listed in the study, nine were males and nine females. Seventeen cases (94.5%) were diagnosed as primary tumoral lesions, one case (5.5%) presented with metastasis of a carcinoma, and an additional one had a fibrous dysplasia. Age ranged between 27 and 73 years. Early complications were developed in four cases, but all of these were completely resolved. None developed enophthalmos. Conclusion : The present study illustrates a novel surgical OBZ approach that allows for the performance of a simpler and faster procedure with fewer complications, and without increasing surgical time or cerebral manipulation, for reaching lesions of the middle fossa. Thorough knowledge of the anatomy and surgical technique is essential for successful completion of the procedure.

Perception of Dental Personnel and Dental Technicians on Interprofessional Collaboration - Focus on Dental Technicians - (치과 의료 인력과 치과기공사의 업무협력에 대한 인식 - 치과기공사 중심으로 -)

  • Kim, Jung-Suk;Lee, Hye-Eun
    • Journal of Technologic Dentistry
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    • v.36 no.2
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    • pp.119-128
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    • 2014
  • Purpose: This study has been carried out to help to enhance the measures of interprofessional collaboration between Dental personnel and dental technicians, and between dental technicians themselves through the analysis of recognition of interprofessional collaboration between dental technicians. Methods: The subjects in this study were 130 dental technicians who were self-written questionnaire. The results were analyzed by SPSS 12.0. The collected data was analyzed by frequency and Correlation. Results: As a result of examining the correlation analysis of each question to explore the factors that affect interprofessional collaboration recognition of dental technicians, the group which received criticism from dental personnel showed negative (-) correlation in the interprofessional collaboration recognition (p<0.05). The following groups showed positive (+) correlations in the recognition of interprofessional collaboration : the group who replied that they can utilize information on the patients associated with the prosthesis production (p<0.01); the group who thinks that they are sharing common goals (P<0.01); and the group who replied that Dental personnel are familiar with patients (p<0.01). The following groups also showed higher positive (+) correlations in the recognition of interprofessional collaboration : the group who replied that they frequently discuss patient's information with Dental personnel (p<0.01); the group who thinks they have mutual confidence in one another (p<0.01); the group who thinks that cooperation among their colleagues in dental technique laboratories are being done well (p<0.01); and the group that has high job satisfaction (p<0.01). Conclusion: Effective communication and team work between human resources for providing medical service of the facility are essential for safe and high-quality medical service to patients. Further, such elements are directly connected to efficiency of the entire team. The reliability between dental technician and Dental personnel for cooperation should not be neglected therefore continuous interests in inter-cooperative partnership is required.