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Improving Patient Safety and Control in Operating Room by Leveraging RFID Technology

  • Su, Chuan-Jun
    • Industrial Engineering and Management Systems
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    • 제8권1호
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    • pp.37-46
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    • 2009
  • Patient safety has become a growing concern in health care. The U.S. Institute of Medicine (IOM) report "To Err Is Human: Building a Safer Health System" in 1999 included estimations that medical error is the eighth leading cause of death in the United States and results in up to 100,000 deaths annually. However, many adverse events and errors occur in surgical practice. Within all kinds of surgical adverse events, wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events are the most devastating, unacceptable, and often result in litigation. Much literature claims that systems must be put in place to render it essentially impossible or at least extremely difficult for human error to cause harm to patients. Hence, this research aims to develop a prototype system based on active RFID that detects and prevents errors in the OR. To fully comprehend the operating room (OR) process, multiple rounds of on site discussions were conducted. IDEF0 models were subsequently constructed for identifying the opportunity of improvement and performing before-after analysis. Based on the analysis, the architecture of the proposed RFID-based OR system was developed. An on-site survey conducted subsequently for better understanding the hardware requirement will then be illustrated. Finally, an RFID-enhanced system based on both the proposed architecture and test results was developed for gaining better control and improving the safety level of the surgical operations.

토지이용 및 토지피복과 국지온도 간 관계 분석: 미시공간에서의 통합모델 구축을 중심으로 (Analyzing Relationship between the Local Temperature, Land Usage and Land Coverage: Focused on the Integrated Model in the Microspace)

  • 박유나;이건원;정윤남;김세용
    • KIEAE Journal
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    • 제14권5호
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    • pp.123-130
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    • 2014
  • In order for effective heat island reduction policies to be proposed, this research made use of the land usage and land coverage and Temperature of cities, Coordinate axis data within 500 meters of nationwide automatic weather stations (478 points) in order to analyze the correlation of summertime temperatures through multiple regression analysis. This research also developed a model and empirically analyzed the urban heat island reduction effect of factors that affect regional temperatures. Heat islands cause environment deterioration and therefore can harm citizens' health, and also affects the city's metabolism process. Thus in order to restrain regional temperature rises the conclusion was drawn that consideration to increase forest areas on part of land usage planning is needed. Appropriate policy measures to regulate traffic related factors are also needed to restrain regional temperature rises. In order for future heat island reduction this research proposes a way to set up more effective policies and urban sustainability improvement strategies, and is significant in that it makes use of detailed data such as land usage and land coverage, Temperature of cities, Coordinate axis in analyses.

HIFU: 현황 및 기술적 동향 (High Intensity Focused Ultrasound for Cancer Treatment: Current Agenda and the Latest Technology Trends)

  • 서종범
    • The Journal of the Acoustical Society of Korea
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    • 제29권2E호
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    • pp.55-63
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    • 2010
  • High Intensity Focused Ultrasound (HIFU) is a noninvasive surgical method mainly targeting deeply located cancer tissue. Ultrasound is generated from an extemally located transducer and the beam is focused at the target volume, so that selective damage can be achieved without harm to overlying or surrounding tissues. The mechanism for cell killing can be combination of thermal and cavitational damage. Although cavitation can be an effective means of tissue destruction, the possibility of massive hemorrhage and the unpredictable nature of cavitational events prevent clinical application of cavitation. Hence, thermal damage has been a main focus related to HIFU research. 2D phased array transducer systems allow electronic scanning of focus, multi-foci, and anti-focus with multi-foci, so that HIFU becomes more applicable in clinical use. Currently, lack of noninvasive monitoring means of HIFU is the main factor to limit clinical applications, but development in MRI and Ultrasound Imaging techniques may be able to provide solutions to overcome this problem. With the development of advanced focusing algorithm and monitoring means, complete noninvasive surgery is expected to be implemented in the near future.

Reflections on the US FDA's Warning on Direct-to-Consumer Genetic Testing

  • Yim, Seon-Hee;Chung, Yeun-Jun
    • Genomics & Informatics
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    • 제12권4호
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    • pp.151-155
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    • 2014
  • In November 2013, the US Food and Drug Administration (FDA) sent a warning letter to 23andMe, Inc. and ordered the company to discontinue marketing of the 23andMe Personal Genome Service (PGS) until it receives FDA marketing authorization for the device. The FDA considers the PGS as an unclassified medical device, which requires premarket approval or de novo classification. Opponents of the FDA's action expressed their concerns, saying that the FDA is overcautious and paternalistic, which violates consumers' rights and might stifle the consumer genomics field itself, and insisted that the agency should not restrict direct-to-consumer (DTC) genomic testing without empirical evidence of harm. Proponents support the agency's action as protection of consumers from potentially invalid and almost useless information. This action was also significant, since it reflected the FDA's attitude towards medical application of next-generation sequencing techniques. In this review, we followed up on the FDA-23andMe incident and evaluated the problems and prospects for DTC genetic testing.

Effects of Local Cooling on Heat Strain in the Hot Environment -On the Trunk Region-

  • Hwang, Kyoung-Sook;Choi, Jeong-Wha;Lee, Kyung-Suk
    • 한국환경보건학회지
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    • 제33권3호
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    • pp.211-216
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    • 2007
  • This study was to determine the effect of cooling part of the trunk without harm for the health. The results provide basic data for the development of clothing which could increase work efficiency and reduce body strain in hot environment. Eight males took part in the study. The experiment was conducted in a climate-chamber controlled with $37{\pm}1^{\circ}C,\;50{\pm}5%R.H$. The trunk was divided into six areas to be cooled: head, neck, chest, abdomen, the upper back, the lower back. According to preceding studies, permissible safety cooling limits of skin temperature, of each part of the trunk for four hours cooling were $25^{\circ}C$ on the head, $20^{\circ}C$ on the neck, $27^{\circ}C$ on the chest, $25^{\circ}C$ on the abdomen, $20^{\circ}C$ on the upper back, $20^{\circ}C$ on the lower back. So cooling temperatures of each region set up temperatures above mentioned. In conclusion, the head, the neck and the upper back cooling could reduce sweating amount, rectal temperature and heart rates and reduce the heat stress of workers exposing in the hot environment by decreased subjective sensations of heat and comfort. Thus, it was concluded that effectiveness of cooling among the trunk was best on the head and the neck.

풍수해보험에 대한 이론적 분석 (A Theoretical Study on Storm and Flood Insurance in Korea)

  • 김광호
    • KDI Journal of Economic Policy
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    • 제33권4호
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    • pp.119-142
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    • 2011
  • 본 연구는 풍수해보험사업이 도입 취지와는 달리 여러 문제점을 내포하고 있다는 문제의식하에 풍수해보험에 대한 개념적이고 이론적인 분석을 시도하였다. 우선 현재와 같이 재난지원금과 풍수해보험이 공존하는 상황은 풍수해보험 활성화에 장애로 작용할 것이므로, 풍수해보험을 확대하기 위해서는 재난지원금의 점차적 축소를 고려할 필요가 있다. 또한 풍수해보험의 기본취지 중 하나가 자율적 방재노력을 제고하는 것이나, 풍수해보험은 보험에 따른 도덕적 해이로 인해 오히려 그러한 노력을 저해할 가능성이 높다. 끝으로 현재의 손해방지비용 지원은 그 효과가 불확실하므로 보다 심도 있는 분석이 필요하다.

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한국 고등학생의 데이팅 폭력에 관한 연구 (Research on Dating Violence among Korean High School Students)

  • 박옥임;배영숙;김정숙
    • 한국지역사회생활과학회지
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    • 제16권2호
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    • pp.27-37
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    • 2005
  • The purpose of the research was to investigate the characteristics and related factors of dating violence. The subjects were 548 adolescents in high schools. The gathered information was analyzed by frequency, percent, 1-test, ANOVA, and correlation by using the SPSS 10.0 program. The results were as follows: (1) $58.6\%$ of respondents have had one or more dates with the other sex, so the association with the other sex is remarkably universal and natural. (2) In the case of physical violence, $18.5\%$ claimed that they have been injured in some ways, and $18.3\%$ said some kind of harm was done to them. (3) In terms of psychological violence, $32.8\%$ reported psychological damage and $35.6\%$ reported being harmed. (4) In terms of sexual violence, $20.8\%$ reported damage, while $18.2\%$ said they were harmed. (5) The relationship between physical, psychological and sexual violence has a significant relationship with the overall experience of violence. (6) When we looked at the social demographic factors, we found that boys rather than girls, and vocational school students rather than academic school students have more violent experiences.

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Two case studies on structural analysis of transmission towers under downburst

  • Yang, FengLi;Zhang, HongJie
    • Wind and Structures
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    • 제22권6호
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    • pp.685-701
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    • 2016
  • Downbursts are of great harm to transmission lines and many towers can even be destroyed. The downburst wind field model by Chen and Letchford was applied, and the wind loads of two typical transmission towers in inland areas and littoral areas were calculated separately. Spatial finite element models of the transmission towers were established by elastic beam and link elements. The wind loads as well as the dead loads of conductors and insulators were simplified and applied on the suspension points by concentrated form. Structural analysis on two typical transmission towers under normal wind and downburst was completed. The bearing characteristics and the failure modes of the transmission towers under downburst were determined. The failure state of tower members can be judged by the calculated stress ratios. It shows that stress states of the tower members were mainly controlled by 45 degree wind load. For the inland areas with low deign wind velocity, though the structural height is not in the highest wind velocity zone of downburst, the wind load under downburst is much higher than that under normal wind. The main members above the transverse separator of the legs will be firstly destroyed. For the littoral areas with high deign wind velocity, the wind load under downburst is lower than under normal wind. Transmission towers are not controlled by the wind loads from downbursts in design process.

왜 의학전문직업성 교육인가? (Why Medical Professionalism Education?)

  • 반덕진
    • 의학교육논단
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    • 제14권1호
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    • pp.1-6
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    • 2012
  • The idea that medicine itself imposes certain obligations upon the physician probably originated in Greece. It is Socrates in the fifth century BC who first discussed medical professionalism. Socrates said that no physician should seek the advantage of the physician but of the patient. For the physician was a ruler of bodies and not a money-maker. However, it is Hippocrates, the contemporary of Socrates and the Father of Medicine, who founded medical professionalism education and professional medical ethics. The professional spirit of Greek physicians is summed up in the magic phrase 'love of humanity.' In Epidemics I, Hippocrates expressed hope that physicians would help patients, or at least do them no harm. He also said, "Life is short; Art is long" in The Aphorisms. Here he described the reflective philosopher and the practiced physician. At once he sang the shortness of human life and the extent of the medical arts. Moreover, he made students swear by the gods that "I will keep pure and holy both my life and my art." The Oath can serve as a coherent starting point and organizing framework for medical professionalism education and professional medical ethics. We need to have an opportunity to employ this fascinating text in teaching medical professionalism and medical ethics. In this article, the author asserts that the Hippocratic Aphorism (Life is short; Art is long) and The Oath, the most famous work of the entire Hippocratic collection, should be used for medical professionalism education.

상·하수도 배관재의 토양환경에서의 부식표준시스템 개발 (The Development of Corrosion Standard System of Water and Wastewater in Soil Environment)

  • 박경동;신영진;이주영
    • 한국기계가공학회지
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    • 제5권4호
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    • pp.7-12
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    • 2006
  • Galvanized steel pipe, copper pipe and stainless steel pipe, which is being used in waterworks piping materials. In case of galvanized steel pipe, the precipitation of a product is being generated due to the pollution of the tap water, a white water phenomenon, and various corrosion reaction because a zinc ion is melted by tap water. And in case of a cupper pipe, many problems which is harm in sanitation appeared because of a inflow of harmfulness substance by a frequent accident of a water leakage. So, to prevent these problems, it is substituted for stainless steel pipe. However, those problems is still occurring because of badness of welding, a problem of a water leakage in connection part, and a increment of construction expenses. Therefore, this research has examined the laying period according to each piping thickness and a corrosion shape according to each laying depth after laying in various soils(sandy loam, loamy, clay loam, clay) using galvanized steel pipe, copper pipe, and stainless steel pipe. That is, we has studied the data which is necessary for a rational method of preserving the quality of water by examining the corrosion properties of piping materials in the soil environment which waterworks piping materials is being used.

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