• 제목/요약/키워드: Korean dual medical system

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이동형 혈액가스분석기의 데이터 전송시스템 (Mobile-type blood gas analysis system for data transmission system)

  • 강성철;김기련;정동근;정도운;전계록
    • 한국정보통신학회:학술대회논문집
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    • 한국해양정보통신학회 2006년도 춘계종합학술대회
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    • pp.1027-1031
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    • 2006
  • 이동차량이나 선박 등 육, 해상에서 응급환자를 모니터링 할 때 이동이 가능한 혈액상태를 즉각 알 수 있는 이동이 가능한 소형 분석시스템이 요구되고 있다. 기존의 방식은 환자의 혈액을 채취하여 수 시간 경과 후 에야 그 결과를 알 수 있기에 촉각을 다투는 환자에게는 매우 위험한 상황까지 올 수가 있다. 본 연구에서는 수 시간 걸리는 분석시간을 $1\sim5$분 이내로 단축하여 빠른 응급조치를 할 수 있도록 하였으며 수집된 정보를 블루투스기반을 통하여 근거리의 PC로 모니터링이 가능하도록 구현하였다. 기존제품의 워밍업시간이 25분 정도 소요되는 것을 약 7분 정도로 개선되어 보다 빠른 초기측정이 가능하였으며 DUAL 히팅 방식을 채택하여 주변의 미세한 온도까지도 오차 없이 시스템이 가동될 수 있도록 하였으며, 수집된 정보를 자체시스템에서도 볼 수 있으며 근거리에 있는 PC와 무선통신이 가능하도록 하여 실시간 또는 필요시에 데이터를 전송하여 기존정보와 비교 분석하여 보다 빠른치료를 할 수 있도록 하여 병원의 환자 관리 전산화에 크게 기여 할 것으로 사료된다.

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The Retrospective Study of Advanced Cancer Patients Receiving Integrative Cancer Treatments in single Comprehensive and Integrative Medicine Hospital

  • Jeonghyun Joo;Songha Chon;Kicheul Sohn;Sanghun Lee
    • 대한한의학회지
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    • 제43권3호
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    • pp.16-26
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    • 2022
  • Objectives: Traditional Korean medicine (TKM) has been supplied as part of a national health care system in South Korea under a dual medical system, however it has been difficult to mix western medicine and TKM medical practices in existing hospitals. For the objective of innovative integration between them, Comprehensive and Integrative Medicine Hospital were founded in Daegu, South Korea. Here, we discussed the clinical outcomes of cancer patients who received integrative cancer treatment (ICT). Methods: A total of 678 patients previously diagnosed with cancer were retrospectively checked in our institution for 2 years. After applying inclusion/exclusion criteria, 573 patients were eligible for the final analysis. The overall survival (OS) of these patients in the aftercare period were determined. We looked at how clinical factors and treatments including chemotherapy, complementary and alternative medicine (CAM), and TKM affected the OS. Results: At the first visit, 212 subjects had no evidence of disease after tumor resection and 355 ones with advanced cancer, who receiving ICT including chemotherapy, CAM, and TKM showed better OS compared to the CAM including TKM or the best supportive care (median OS = 216, 78, and 46 days, respectively). The median OS was not reached in TKM only, even though the sample size was small (N=12). Even after adjusting for clinical factors associated to liver, renal, and hematologic manifestation, ICT still remained significant. Conclusions: We demonstrated that ICT might be beneficial for advanced cancer regardless of the performance status, liver and renal function, since it positively affected the OS.

핵의학 영상기기의 최근 진보 (Recent Advances in Nuclear Medicine Imaging Instrumentation)

  • 정진호;최용;홍기조;민병준;호위;강지훈
    • Nuclear Medicine and Molecular Imaging
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    • 제42권2호
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    • pp.98-111
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    • 2008
  • This review introduces advances in clinical and pre-clinical single photon emission computed tomography (SPECT) and positron emission tomography (PET) providing noninvasive functional images of biological processes. Development of new collimation techniques such as multi-pinhole and slit-slat collimators permits the improvement of system spatial resolution and sensitivity of SPECT. Application specific SPECT systems using smaller and compact solid-state detector have been customized for myocardial perfusion imaging with higher performance. Combined SPECT/CT providing improved diagnostic and functional capabilities has been introduced. Advances in PET and CT instrumentation have been incorporated in the PET/CT design that provide the metabolic information from PET superimposed on the anatomic information from CT. Improvements in the sensitivity of PET have achieved by the fully 3D acquisition with no septa and the extension of axial field-of-view. With the development of faster scintillation crystals and electronics, time-of-flight (TOF) PET is now commercially available allowing the increase in the signal-to-noise ratio by incorporation of TOF information into the PET reconstruction process. Hybrid PET/SPECT/CT systems has become commercially available for molecular imaging in small animal models. The pre-clinical systems have improved spatial resolution using depth-of-interaction measurement and new collimators. The recent works on solid state detector and dual modality nuclear medicine instrumentations incorporating MRI and optical imagers will also be discussed.

모 한방병원 내원 환자의 의료이용실태 (Health Care Utilization of Outpatients in the Oriental Hospital)

  • 김지용;김경호;김장현
    • 대한한의학회지
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    • 제21권4호
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    • pp.129-137
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    • 2000
  • Objectives: The aim of this study was to investigate the attitude toward the oriental hospital among 1,234 outpatients. Methods: A questionnaire about the general characteristics of patients, the decision-maker of use and the reason of choice or alteration was implemented. Results: The results of this survey as follows: Among outpatients 56.4 % were female in sex, 25.6 % were below 9 years of age; in educational level, 50.1 % were college graduates. Among outpatients, 33.6% chose the oriental hospital as their first choice and the rest were recommended by other persons. The recommenders were mostly relatives(73.9 %), female(73.4 %), young(30-39 years old, 40.1 %), high educational level (above the college, 54.9 %) people. 37.8 % among outpatients were secondary selection after the western medical clinic for the same symptom and sign. 7.0 % were the concomitant users of both therapies. 62.8 % among the concomitant users did not notify the western doctor about the dual therapies. The reasons they did not notify their Western doctors were 'be afraid of western doctor s bias' (42.6 %), 'no special reason' (29.6 %). Conclusions: The appropriate transfer system between oriental and western clinic must be constructed and the proper recognition about dual therapies will be needed among patients and doctors who practice both kinds of medicine.

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듀얼 스트리밍 기법을 활용한 실시간 스트리밍 시스템 (A Study on Real-time Streaming System Using the Dual-Streaming Technique)

  • 반태학;김응렬;양새동;김호성;정회경
    • 한국정보통신학회:학술대회논문집
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    • 한국정보통신학회 2015년도 추계학술대회
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    • pp.791-793
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    • 2015
  • 최근 들어 UCC(User Created Contents) 및 VoD(Video on Demand) 등 멀티미디어 컨텐츠들이 늘어나고, IP-TV, Smart TV, OHTV(Open Hybrid TV) 등 다양한 서비스가 멀티 플랫폼(Multi-platform) 환경에서 제공되면서, 서비스에 대한 QoS 문제가 대두되고 있다. 이 문제를 해결하기 위해 네트워크를 효율적으로 활용하고, 콘텐츠 품질을 향상하기 위한 시스템이 필요하다. 이에 본 논문에서는 네트워크의 채널 상태와 동적 자원 사용량에 따라 멀티미디어 데이터의 전송을 TCP와 UDP를 적응적으로 사용하는 듀얼 스트리밍 시스템에 대해 설계 및 분석 한다. 또한 기존 TCP와 UDP 하나의 프로토콜을 사용한 스트리밍 시스템과의 차이점 및 효율성에 대해 분석한다. 이는 재난 및 의료분의의 응급시스템, 유비쿼터스 분야에 활용될 것으로 사료된다.

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2중 적응제어방식에 의한 전치환 인공심장의 전부하에 민감한 심박출량 조절 (The Preload-Responsive Regulation of Cardiac Output in Total Artificial Heart Using Dual Adaptive Controller)

  • 이상훈;김인영;안혁;민병구
    • 대한의용생체공학회:의공학회지
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    • 제14권1호
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    • pp.41-50
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    • 1993
  • This paper proposes an adaptive technique for the cardiac output regulation of a pendulum type electromechanical TAH. This techinque, which consists of two RLSE's and two PASTC' 5, performs Its controllability over the TAIB so that the m(RAP) and m(LAP) values re- main close to their desired values under she assumption that the variation of m(RAP) and m (LAP) are dominated by the variation of C.0. and the difference between the left and right ventricular output, respectively. To evaluate the performance of the proposed control system, a simulation is performed by using a human model which contains physiologic, drug and treatment, artificial heart and noise models. As a result, dual adaptive controller showed that abnormal m(LAP) and m(RAP) could be recovered to the normal range within 10minute and maintained desired value in steady state. The operation of this controller prored to be robust in spite of the rapid variation of human status.

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듀얼 FDG 자동합성장치 개발 (Development of Dual FDG Auto Synthesis Module)

  • 정철기;이경진;허민구;장홍석;민영돈
    • 방사선산업학회지
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    • 제5권4호
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    • pp.313-316
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    • 2011
  • [$^{18}F$]FDG (2-[$^{18}F$] Fluoro-2-deoxy-D-Glucose), which is required Automated Synthetic Module for production, is most often used Radiopharmaceuticals in nuclear medicine. In this study, an Automated Synthesis Module was developed to produce FDG in two consecutive time when F-18 feds continuously by modifying a domestic FDG Automated Synthetic Module on structural geometry and control system. The results were showed that the Average Synthesis Yields on the developed Automated Synthetic Module were $45{\pm}3%$ (n=20), $50{\pm}3%$ (n=20) respectively. The Quality Control results, such as Radio TLC, Radiochemical purity, Gamma-counter, pH, LAL Test, Micro bacteria test, showed in same level with domestic [$^{18}F$]FDG Auto-Synthetic modules. Therefore, if some features were improved by considering the components life time and appearance, commercial sales can be expected because of low price and easy maintenance compared with foreign products.

한국의료패널 자료를 이용한 한.양방 의료의 보완 및 대체관계 분석 (Identifying Complementary and Substitute Relationships between Korean Medicine and Western Medicine using Korea Health Panel dataset)

  • 최병희;김동수;유왕근;윤영주;권영규;이상재;임병묵
    • 대한예방한의학회지
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    • 제17권3호
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    • pp.1-18
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    • 2013
  • Objectives: Korea has a dual medical system where traditional Korean Medicine (KM) and Western Medicine (WM) exist au equal terms with exclusive practice boundaries. The aim of this study was to identify complementary and substitute relationships between KM and WM in Korea. Methods: The data of 19,413 respondents were collected from the 2009 Korea Health Panel dataset. General characteristics and the medical utilization of respondents were analyzed descriptively. the Univariable Analysis was used to compare the factors that affected KM and WM utilization, and the Multivariable Analysis was applied to identify complementary or substitute relationships between the respondents' choices for KM and WM. The data were analyzed by the seven disease groups; diseases of nervous system, circulatory system, respiratory system, digestive system, skin and subcutaneous tissue, musculoskeletal system, and connective tissue, injury, poisoning and others. Results: 13.6% and 76.9% of respondents used KM and WM respectively last 12 mouths. 12.7% used both, and 0.9% used KM only. In overall, respondents who visited KM institutions used also WM. However, according to the analysis of choices of medical institutions, non-pharmacological KM treatment and WM has been used as a substitute for another in the diseases of the skin and subcutaneous tissue, diseases of the musculoskeletal system, and connective tissue, injury, poisoning and others. Conclusions: Despite some exceptional disease areas, Korean people use KM complementarily to WM, and this result can rationalize the recent Korean government policies encouraging the cooperation of KM and WM. This study can he used for the future policies development for KM service delivery.

중국의 중서의회통파에 대한 연구동향과 한국 한의계가 얻을 수 있는 교훈 (Research Trends on the 'Convergence of Chinese and Western Medicine' in China, and Lessons Learned)

  • 이충열
    • 한국의사학회지
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    • 제30권2호
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    • pp.13-31
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    • 2017
  • This study investigates research trends on the Convergence of Chinese and Western Medicine (中西醫匯通, CCWM), by first defining the concepts and the scope of this emerging field, identifying different types of convergence, and suggesting methods to evaluate the process. The author investigates the relationship of CCWM to the Self-Strengthening Movement and the doctrine of Zhongtixiyong (中體西用). Lessons that Korean Medicine (KM) can learn from this approachto help establish relationship between Korean and Western Medicine, are investigated. Proponents of CCWM suggest different types of convergence such as Zhongzhongcanxi (衷中參西), Zhongxizhezhong (中西折衷), and ZhongyiKexuehua (中醫科學化), to accommodate the change in the power dynamics between Chinese and Western medicines. The rigid dual medical system in Korea significantly hinders the potential for convergence. The current system is based on the relativistic model in which the scope of practice for the KM doctor and the Western Medicine doctor are mutually exclusive. Philosophically, the convergence of East-West medicine can be supported by pluralism and monism, while relativism sees it as impossible. A conservative pluralistic model might consider Bogu (補救) of Eastern Medicine, while a more progressive pluralistic model might build a New Medicine which combines the knowledge and techniques of Eastern and Western medicines. An example of monistic model is CAM (Complementary and Alternative Medicine), which aims to scientifically verify the efficacy and safety of the Eastern therapeutic practices and integrate them into Western medicine. This article proposes that as communication and fusion between medical disciplines are essential virtues of contemporary scholarly development, a change that enables the convergence of East-West medicine is needed.

MICS와 ISM 대역을 위한 인체 통신 중계용 안테나 설계 (Design of a WBAN Repeater Antenna for MICS and ISM Bands)

  • 이호주;권결;이순용;최재훈
    • 한국전자파학회논문지
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    • 제23권3호
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    • pp.314-319
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    • 2012
  • 본 논문에서는 MICS(Medical Implant Communication Service, 402~405 MHz)와 ISM(The Industrial, Scientific and Medical, 2.40~2.48 GHz) 대역에서 동작하는 인체 통신 중계용 안테나를 제안하고, 인체의 영향을 고려한 안테나 성능에 대한 분석을 하였다. 제안된 안테나는 loop 안테나와 영차 공진 안테나로 구성되어 있다. Loop 안테나는 ISM 대역에서 동작하며, MICS 대역에서의 동작은 loop 안테나와 영차 공진기의 용량성 결합에 의해 요구 성능을 만족할 수 있도록 구현하였다. 근거리장에 인체가 존재할 때 인체가 안테나에 미치는 영향을 분석하기 위하여 인체 팬텀을 이용하여 시뮬레이션과 측정을 하였다. 시뮬레이션 및 측정 결과, 제안된 안테나는 MICS와 ISM 대역에서 대역폭을 만족하였고, 측정된 이득값은 MICS 대역에서 -28.53 dBi, ISM 대역에서 3.85 dBi였다. 또한, 설계된 안테나의 이중 대역 특성은 인체 내 외부 간의 통신 중계 용도로 적절하다고 사료된다.