• 제목/요약/키워드: ICD

검색결과 253건 처리시간 0.027초

도난방지 시스템의 전자기장이 인공심장 박동기 등의 오동작에 미치는 영향 (Effects of EAS Systems on Pacemakers and ICDs Malfunction)

  • 심영우;김종정;양동인;이문형;김덕원
    • 전자공학회논문지SC
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    • 제46권6호
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    • pp.44-49
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    • 2009
  • EAS (electronic article surveillance) 시스템은 상품의 도난 방지를 위한 것으로 상품 판매 자동화 증가로 인해 사용이 급속히 늘어나고 있다. 이에 본 연구에서는 EAS 시스템의 전자기장 세기를 측정하였고, EAS 시스템이 pacemaker와 ICD에 미치는 영향에 대해 알아보았다. 일반 성인 심장 높이인 130cm에서 6.3 kHz와 14.25 kHz EAS 시스템의 게이트 안쪽의 왼쪽, 바깥쪽의 오른쪽과 가운데 위치에서 전자기장의 세기를 측정하였고, pacemaker와 ICD의 동작 여부를 관찰하였다. 측정 결과 전자기장의 세기는 EAS 시스템에 따라 큰 차이가 났는데 14.25 kHz를 사용하는 EAS 시스템이 가장 강했다. Pacemaker는 고정시 세 위치 모두에서 파형 변화가 관찰되었고, ICD는 이동시와 고정시한 위치에서만 noise reversion, 심실세동이 관찰되었으며, 모두 전자기장 세기가 가장 센 14.25 kHz의 EAS 시스템의 전자기장에 의해 발생하였다. 이에 현재 국내에서는 시행되고 있지 않은 전자기장 방출에 대한 안내문 부착과 이식형 의료기기 시술을 받은 환자의 접근에 대한 위험성 경고문 등의 조치가 필요하다.

이어폰 및 헤드폰의 정자기장이 인공심장 박동기 및 이식형 제세동기에 미치는 영향 (Effects of Static Magnetic Fields of Earphones and Headphones on Pacemakers and Implantable Cardioverter Defibrillators)

  • 정재원;최수범;박지수;김덕원
    • 대한의용생체공학회:의공학회지
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    • 제36권1호
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    • pp.31-36
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    • 2015
  • In this study, we evaluated the effects of static magnetic fields of earphones and headphones on pacemakers and implantable cardioverter defibrillators(ICDs). Five pacemakers and three ICDs were subjected to in-vitro test with three headphones which were an in-ear earphone, clip-on headphone, and closed-back headphone. Each implantable device was placed in close proximity(within 3 mm) to the ear-pad of each of the earphone and headphones for 3 min. As a result, no effects were observed on the pacemakers for the earphone and headphones during the test, but an effect was observed on one ICD for the clip-on and closed-back headphone during the test. When the ICD was placed in close proximity to the headphones, the ICD temporarily suspended functions of tachyarrhythmia detection and therapy. The effect was not observed in this study when the headphones were at least 2 cm from the ICD. Based on these findings, patients with ICDs should be advised to keep earphones and headphones at least 2 cm apart from their ICDs.

국내 화물 거점별 수요에 따른 공컨테이너 분배 및 재배치 연구 (Empty Container Distribution and reassignment problem due to demand of freight depot)

  • 박종원;신재영
    • 한국항해항만학회:학술대회논문집
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    • 한국항해항만학회 2009년도 추계학술대회
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    • pp.185-186
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    • 2009
  • 컨테이너 화물의 물동량이 증가함에 따라 공컨테이너의 처리 요구량도 함께 증가하여 왔으며 이에 따른 공컨테이너의 재배치 문제에 관한 연구가 꾸준히 이루어져 왔다. 하지만 컨테이너화물의 처리가 공컨테이너의 처리와 함께 이루어지지는 않는다. 더욱이 우리나라 같이 ICD(Inland Container Depot)와 ODCY(Off-Dock Container Yard) 와 같은 내륙 거점이 많은 환경에서는 그 거점에서 필요로 하는 공컨테이너의 수요에 따른 재배치 연구가 필요하나 이와 같은 연구는 많이 이루어지지는 않았다. 이 논문에서는 컨테이너 터미널과 ICD, ODCY와 같은 거점에서 필요로 하는 공컨테이너의 수요량에 따른 합리적인 재배치 모형을 수립하고 분석하도록 한다. 또한 과거와 동일하게 시행되고 있는 현재의 재배치 방식을 개선하여 비용 절감 효과를 높이는데 도움이 되도록 한다.

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Analysis of prescription frequency of herbs in traditional Korean medicine hospital using electronic medical records

  • Lee, Byung-Wook;Cho, Hyun-Woo;Hwang, Eui-Hyoung;Heo, In;Shin, Byung-Cheul;Hwang, Man-Suk
    • 대한한의학회지
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    • 제40권4호
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    • pp.29-40
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    • 2019
  • Objectives: To analyze the prescription frequency of various herbs as either individual or major herbs (in terms of dosage) and their usage patterns in the treatment of different diseases for standardization of traditional Korean medicine. Methods: We analyzed the prescription database of patients at the Pusan National University Korean Medicine Hospital from the date of establishment of the hospital to February 2013. The complete prescription data were extracted from the electronic medical records of patients, and the prescription frequencies of individual herbs, particularly, of major herbs, were analyzed in terms of gender, age, and international classification of diseases (ICD) code. Results: The prescription frequency of individual herbs based on age and gender showed a similar pattern. Herbal mixtures were also distributed in a similar manner. The use of some herbs differed according to age and gender (Table 1.). The herbs that were used at high frequencies for a given ICD code had similar usage patterns in different categories. However, some major herbs in the "Jun (King)" category were used uniquely for a given ICD code (Table 2.). There was significant difference between male and female on ICD code E and N, but the other ICD codes had small differences. The ratio of herbal medicine by gender showed different usage patterns in each gender. Conclusions: The findings of our study provide fundamental data that reflect the real clinical conditions in South Korea, and therefore, can contribute to the standardization of TKM.

한국 한의학 질병사인분류 체계에 관한 연구 (The research on the disease classifications of the traditional medicine in Korea)

  • 최선미;박경모;신민규;신현규
    • 대한예방한의학회지
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    • 제4권2호
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    • pp.93-107
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    • 2000
  • Korea follows the Korea standard classification of disease and causes of death according to the ICD(international classification of disease) Oriental medicine began to of officially follow the classification of disease for using the Korean classification of diseases in 1972. The classification of OM(oriental medicine) has changed in shape experiencing two amendments. The largest difficulty was to overcome the different names of diseases between OM and ICD. A one-to-one correspondence of the name of a disease between OM and ICD is impossible So in the primary stage one-to-one and one-to-many correspondence was made. During the first amendment the international disease names were re-classified on the oriental medicine disease name's basis and at the same time the classification of OM was corresponded on a one-to-one basis to the ICD . During the second amendment this changed to many-to-many correspondence . Analyzing the history of classification of OM during the first and second amendments, it was discovered that establishment of the standards of classification, the unification of oriental medical terms, and overcoming the difference of disease names between the OM and ICD is necessary Also th classification and standardazation of OM must not stop as a single round. It must go on for a long time. The hosts of this project Korean oriental medical society and AKOM(association of korean oriental medicine) need to build a independant department which will supervise the classification project and monitor any problems to come up. Also a route through which suggestions can be taken in and new solutions can be brought up needs to be secured and an atmosphere in which studies can take place about the basis of classifications needs to be developed.

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Identifying Adverse Events Using International Classification of Diseases, Tenth Revision Y Codes in Korea: A Cross-sectional Study

  • Ock, Minsu;Kim, Hwa Jung;Jeon, Bomin;Kim, Ye-Jee;Ryu, Hyun Mi;Lee, Moo-Song
    • Journal of Preventive Medicine and Public Health
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    • 제51권1호
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    • pp.15-22
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    • 2018
  • Objectives: The use of administrative data is an affordable alternative to conducting a difficult large-scale medical-record review to estimate the scale of adverse events. We identified adverse events from 2002 to 2013 on the national level in Korea, using International Classification of Diseases, tenth revision (ICD-10) Y codes. Methods: We used data from the National Health Insurance Service-National Sample Cohort (NHIS-NSC). We relied on medical treatment databases to extract information on ICD-10 Y codes from each participant in the NHIS-NSC. We classified adverse events in the ICD-10 Y codes into 6 types: those related to drugs, transfusions, and fluids; those related to vaccines and immunoglobulin; those related to surgery and procedures; those related to infections; those related to devices; and others. Results: Over 12 years, a total of 20 817 adverse events were identified using ICD-10 Y codes, and the estimated total adverse event rate was 0.20%. Between 2002 and 2013, the total number of such events increased by 131.3%, from 1366 in 2002 to 3159 in 2013. The total rate increased by 103.9%, from 0.17% in 2002 to 0.35% in 2013. Events related to drugs, transfusions, and fluids were the most common (19 446, 93.4%), followed by those related to surgery and procedures (1209, 5.8%) and those related to vaccines and immunoglobulin (72, 0.3%). Conclusions: Based on a comparison with the results of other studies, the total adverse event rate in this study was significantly underestimated. Improving coding practices for ICD-10 Y codes is necessary to precisely monitor the scale of adverse events in Korea.

ICD-10 분류로 살펴본 저단계 레이저 치료 임상 논문 고찰 (The Clinical Indication of Low-Level Laser Therapy Using ICD-10)

  • 한현진;강기완;강세영;김락형;장인수
    • 대한한방내과학회지
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    • 제36권4호
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    • pp.561-569
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    • 2015
  • Objectives The purpose of this study was to improve the knowledge of the low-level laser therapy (LLLT) field and to review research reports on LLLT to understand the current situation with respect to the clinical indication and current research trends.Methods A survey was carried out on the subject of low-level laser therapy to September 2012, using the PubMed search engine. Selected literature was checked by two reviewers and was classified according to the International Classification of Diseases 10th (ICD-10) over 10 years.Results We selected 469 studies in total, of which 142 were case reports, 118 were case-controlled trials, and 209 were randomized controlled trials of LLLT. According to the ICD-10 classification of diseases, the K code and M code being the most common, 399 studies have been published in the last 10 years. This shows that the study and clinical indications of low-level laser therapy have rapidly increased over the past 10 years.Conclusions Low-level laser therapy has been used most frequently with respect to dentistry and pain and musculoskeletal disorders. Recently, interest in and research into LLLT has increased for various diseases. With the establishment of standard conditions for low-level laser therapy, supported by aggressive clinical utilization and systematic clinical research, LLLT will be a very useful treatment and a useful alternative method in many medical fields.

국내 물류기업의 베트남 진출 비즈니스 모델과 시사점 - 베트남 북부 지역을 중심으로- (A Study on the Business Model and Implications of Korean Logistics Companies into Vietnam -The Case of Northern Vietnam-)

  • 정태원
    • 한국항만경제학회지
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    • 제35권4호
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    • pp.17-30
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    • 2019
  • 본 연구는 베트남 북부지역 하노이, 하이퐁 지역을 중심으로 최근 이루어지고 있는 국내물류기업들의 비즈니스 모델을 검토해보고 시사점을 제시하였다. 기 진출한 물류업체(선사, 물류업체, 현지업체 등)와의 협력을 통한 물류서비스를 제공하는 비즈니스 모델들을(연안운송, 물류센터 및 ICD 운송, 콜드체인, 국경통과, 항만개발 등) 소개하였다. 이 모델별 단기/중기로 나누어 파트너 쉽 방안을 제시하면 단기적 사업으로는 Warehouse, ICD, Trucking 사업 등을 들 수 있으며 기 진출한 우리나라업체들과의 협업이 가능하며 창고부문 투자 이외에 ICD와 트럭킹 사업은 로컬업체와 조인트 벤처 투자(로컬업체 51% 이상 투자)가 필요하다. 또한, 장기적으로는 연안운송, 국경간 운송, 트럭킹, Deep Sea 신항만 투자 등을 고려할 수 있으며 전부 현지파트너 쉽이 필요한 사업이어서 로컬 업체는 51% 이상의 투자지분이 요구된다.

동일 질환에 대한 상병분류기호의 의료기관별 변이에 관한 연구 (Individual Variations in the Code of the International Classification of Disease for Similar Outpatient Conditions among General Practitioners)

  • 문옥륜;김창엽;김명기
    • 보건행정학회지
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    • 제2권1호
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    • pp.66-79
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    • 1992
  • The code of the International Classification of Disease(ICD) is seriously questioned on its effectiveness in identifing an independent disease entity from similar conditions at general practitioner's offices. This study has attempted to show individual coding variations in ICD for similar ambulatory care conditions. It has been assumed that a following outpatient visit is regarded as the sane kind of visit owing to the same disease if a visit to the different source of care would be mad within an interval of less than two days. The 'D' health insurance association was selected for this analysis. The 'D' association had 153,298 members and made claims of 642,605 outpatient care in 1990. Out of the total outpatient claims, 8.6%(55,102 claims) were counted as the same disease which could meet the above assumption. Percent of conditions classified as the 10 leading causes of frequent visits which were matched accurately to the subsequent ICD diagnostic code found to be 15.8% on the average. The URI was noted for the highest concurrence rate of 20.4%. This proportion was even decreased to 11.6% on the case of chronic disease. Despite the fact that the assumption underlying the definition of the above same disease is rather rough and inappropriate, this study reveals that the code of ICD currently in use has weaknesses in seperating a certain independent disease from similar conditions at the outpatient setting. Thus, efforts need to be elaborated to meet the need of a new system of classification for conditions and diseases encountering at ambulatory care.

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A Study on the Introduction of Warehouse Type CY in Container Terminal

  • Kim, Hwan-Seong;Ryu, Ki-Suck;Kim, Sung-Hun;Hong, Su-Sik;Chu, Bong-Sung
    • 제어로봇시스템학회:학술대회논문집
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    • 제어로봇시스템학회 2001년도 ICCAS
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    • pp.74.4-74
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    • 2001
  • In this paper, we propose a row warehouse type container yard (WTCY) which deal with the excess of port´s container capacity in 2004 instead of using the Yangsan inland container depot (ICD) in Pusan container terminals. Because the off dock container yard (ODCY) which located in Pusan port around exceeds the port´s capacity in 2004, the Yansan ICD will be used for handling an overflowed amount of containers. But there are need an amount of extra expense includes social overhead capital (SOC) to transports containers to Yangsan ICD. To overcome this problem, a WTCY which can be handled the container in each floors is proposed. The proposed WTCY can be located in container terminal ...

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