• 제목/요약/키워드: Medical Activities

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의료기기 소프트웨어 위험관리를 위한 개발생명주기 기반 위험관리 요구사항 연관성 분석 (Development Life Cycle-Based Association Analysis of Requirements for Risk Management of Medical Device Software)

  • 김동엽;박예슬;이정원
    • 정보처리학회논문지:소프트웨어 및 데이터공학
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    • 제6권12호
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    • pp.543-548
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    • 2017
  • 최근에는 의료기기의 구성 요소 중 소프트웨어의 기능과 역할이 커지고, 의료기기 소프트웨어의 작동이 사용자의 생명과 안전에 직결되는 특성으로 인해 의료기기 소프트웨어의 안전성 보장에 대한 중요함은 더욱 강조되고 있다. 이를 위해 의료기기의 안전성을 효과적으로 보장할 수 있는 활동과 각각의 요구사항들을 제시하고 있는 여러 표준이 제정되었다. 표준들이 의료기기 소프트웨어의 안전성을 보장하기 위해 제시하는 활동으로는 크게 의료기기 소프트웨어의 개발생명주기와 위험관리 프로세스로 나뉜다. 이 두 활동은 개발 과정 중 동시에 진행되어야 하지만, 의료기기 소프트웨어 개발생명주기의 각 단계에서 수행되어야하는 위험관리 요구사항들은 분류되어있지 않다는 한계점이 있다. 이로 인해 개발자들은 의료기기 개발 중에 직접 표준들의 연관성을 분석하여 위험관리 활동을 수행해야한다. 따라서 본 논문에서는 의료기기 소프트웨어 개발생명주기와 위험관리 프로세스의 연관성을 분석하고, 위험관리 요구사항 항목들을 추출한다. 그리고 분석한 연관성을 토대로 추출된 위험관리 요구사항 항목을 개발생명주기에 대응시킴으로서, 의료기기 소프트웨어의 개발 중 효과적이고 체계적인 위험관리를 가능하게 한다.

『한방의약계(漢方醫藥界)』 제2호 '사진삽입(寫眞揷入)'에 소개된 한의사들 연구 (A Study on the Korean Medicine Doctors introduced in 'Photo Insert' of 『HanBangEuiYakGye』 No.2)

  • 김남일;국수호;정지훈
    • 한국의사학회지
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    • 제35권2호
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    • pp.89-99
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    • 2022
  • The figures listed under the title of 'Photo Insert' in 『HanBangEuiYakGye』 No.2 are all those who were engaged in East Asian medicine, but they can be divided into several groups depending on the areas in which they were more focused. First, he served as a royal physician at the end of the Joseon Dynasty, or was an oriental medical doctor with outstanding medical skills during the family service. Second, he is an East Asian medicine doctor who established a school for Korean medicine education or conducted various academic activities. Third, he is an East Asian medical doctor who worked hard to lead a group of East Asian medical doctors by organizing Korean medical doctors. Looking at the reality of the oppression of ethnic medicine committed by the Japanese colonial government, they continued to seek a way to live in national medicine, which played a major role in continuing the existence of Korean medicine without destroying it. In this paper, we analyzed the 13 Korean medical doctors introduced in the "Photo Insertion" and examined the activities of modern and contemporary East Asian medical doctors.

발암원과 부분간절제술 처리에 의한 백서 간 조직중 질소이용계 및 이물질 대사계 효소의 변화 (Effects of Carcinogens and Partial Hepatectomy on the Nitrogen Utilizing and the Xenobiotic Metabolizing Enzymes in the Hepatic Tissues of Rats)

  • 박상철;김응국;곽상준;이건욱;김수태
    • 한국환경성돌연변이발암원학회지
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    • 제8권1호
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    • pp.22-34
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    • 1988
  • The biochemical changes of the hepatic tissues, induced by the carcinogen treatment such as diethylnitrosamine and acetamidofluorene in combination with the partial hepatectomy after Solt and Farber, were determined for the characterization of the induction of the proliferative capacity and the environmental adaptability of the carcinogenic tissues during the malignant transformation process. For the study of the proliferative capacity of the tissues, the activities of the enzymes, related with the nitrogen trapping mechanism, such as glutamine synthetase and gamma-glutamyltranspeptidase, were monitroed, while the cintents of cytochrome P450's and their isozymic patterns as well as the activities of the glutathione S-transferase were determined in the function of time after the hepatocarcinogenic stimuli.

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『의림』과 『대한한의학회지』를 중심으로 살펴본 맹화섭의 학술활동 (A Study of the Korean Medical Doctor Maeng Hwa-seop's Bibliography based on the Journal of Uirim and the Journal of Korean Medicine)

  • 김남일;장재립;한창현
    • 한국의사학회지
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    • 제34권2호
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    • pp.97-108
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    • 2021
  • In this study, we examine Maeng Hwa-seop's academic activities, focusing on articles published in Uirim, JKM (Journal of Korean Medicine), and other branch journals which were affiliated with the Society of Korean Medicine. The present study charts and summarizes the papers published in the above journals. By organizing Maeng Hwa-seop's papers and making tables, we find that his research can be divided into four categories: symptoms and diseases, prescriptions, academic presentations, and translations of medical literatures. Based on this study, we hope that further researches about the academic activities of Maeng Hwa-seop can be conducted in the future.

갈란타민(Galantamine) 투여 후 순수 알츠하이머병 치매와 혼합성 치매 환자의 주의력, 일상생활능력 및 신경정신행동 증상에 대한 효과 평가 (Effects of Galantamine Treatment on Attention, Activities of Daily Living, and Neuropsychiatric Symptoms between the Patients with Pure Alzheimer's Disease and Mixed Dementia)

  • 강효신;윤지혜;안인숙;문유진;황태영;이영민;김혜란;김도관
    • 노인정신의학
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    • 제16권1호
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    • pp.24-30
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    • 2012
  • Objectives : The purpose of this study was to compare the efficacy of galantamine treatment, especially attention ability between patients with pure Alzheimer's disease (AD) and Mixed dementia (MD) during a 24-week trial. Methods : A total of 40 patients were recruited for this 24-week study. The effect of galantamine on attention was measured using Seoul Computerized NeuroCognitive Function Test (SCNT) and frontal functions test of Seoul Neuropsychological Screening Battery (SNSB). Patients'activities of daily living using the Seoul-Activities of Daily Living (S-ADL) and the Seoul-Instrumental Activities of Daily Living (S-IADL) ; behavioral symptoms using the Korean version Neuropsychiatric Inventory (K-NPI) were measured at baseline and 24-week. Results : 17 pure AD patients and 23 MD patients were analyzed in this study. Attention as measured by SCNT was not significantly different from baseline after 24 weeks of treatment in both groups. There was no significant difference between two groups in mean change from baseline in the SCNT, S-ADL, S-IADL and K-NPI scores at 24-week. Conclusion : Galantamine showed a therapeutic effect on cognition, activities of daily living, neuropsychiatric symptoms in pure AD and MD. Furthermore, Galantamine may specifically help to maintain attention and it may have positive effects on other cognitive and functional abilities.

질적간호 제공을 위한 간호업무 중요도에 관한 조사연구 (A Study on Degree of Importance in Nursing Activities for the Quality of Nursing)

  • 홍춘실;김종임
    • 대한간호학회지
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    • 제14권2호
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    • pp.19-27
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    • 1984
  • This study was carried out for the purpose of investigating the degree of importance in nursing activities for the quality of nursing, and was conducted with 72 nurses and 69 patients in Chungnam National University Hospital from January to April, 1984. The results are as follows; 1. The mean importants score in physical care activities of the patients (2.58) is higher than that of the nurses (2.48). There is not significant difference for the mean important score in physical care activities between the patients and nurses (t=0.637, df=139, p>0.05). 2. The mean important score in psychological aspects of activities of the patients (2.94) is higher than that of the nurses (2.44). There is a significant difference for the mean important score in psychological aspects of activities between the patients and nurses (t=2.338, df= 139, p<0.05). 3. The mean important score in observation, recording and implementing medical care activities of the nurses (2.98) is higher than that of the patients (2.79) There is not significant difference for the mean important score in observation, recording and Implementing medical care activities between the patients and nurses (t=1.329, df=139, p> 0.05) 4. The mean important score in nursing management activities of the nurses (2.63) is higher than that of the patients (2.57). There is not significant difference for the mean important score in nursing management activities between the patients and nurses (t=1.329, df=139, p>0.05). 5. A number of items in nursing activities considered most important by nurses (Mean important score of 3.0 or above) were 12 items. The most importants item was“shift and exchange of information concerning patient”. 6. A number of items in nursing activities considered most important by patients (mean important score of 3.0 or above) were 14 items. The most important item was“Explain about diagnostic test ahead of time”. 7. A number of items in nursing activities considered least important by nurses and patients(Mean important score less than 1.9) were 5 items and 2 items, respectively. The least important item by nurses was“plan some diversion or recreation for patient”, and the least important item by patients was“Give a bed shampoo”.

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A Study on Community Perceptions of Common Cancers, Determinants of Community Behaviour and Program Implementation in New Delhi, India

  • Seth, Tulika;Kotwal, Atul;Thakur, Rakesh Kumar;Ganguly, K.K.
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권6호
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    • pp.2781-2789
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    • 2012
  • Assessment of perceptions of the community, the determinants and development of their behavior regarding common malignancies, helps in establishing evidence-based activities for prevention and early diagnosis of cancer. However information on this important aspect is lacking in our country. Qualitative methods were here used to obtain information through in depth interviews and Focus Group Discussions (FGDs) with all categories of identified stakeholders. Most were unaware of the activities of the cancer control program. Even the providers were not fully conversant. All respondents mentioned lack of diagnostic and treatment facilities in government, primary and secondary level facilities. Perceptions of different categories of stakeholders regarding why many community members did not attend screening camps and other services reflect the determinants of community behavior, acting independently as well as in combination. The cancer control program was thought to be restricted only to some private facilities and overcrowded government tertiary care facilities where the visits were time consuming. Almost all the facilities were considered curative oriented. Issues of supervision, monitoring and feedback were inadequately addressed by providers who were inadequately trained in many program activities. The program lacked effective planning, coordination and appropriate implementation at the grass roots level in Delhi. Social mobilization was grossly inadequate, as most of the community members were unaware of the existence of the program. Misconceptions about the risk factors, signs and symptoms, diagnosis, and treatment were common amongst community members as well as many of the providers. Thus the national cancer control program in our country needs further community participation and social mobilization. Accessibility, availability, acceptability and affordability of various preventive, curative and rehabilitative activities, as well as intersectoral coordination, training, supervision and monitoring of program activities, all need to be addressed to ensure the success of this important public health program.

응급실 근무 간호사의 업무분석 (A Study on the Job Activities of the Emergency Nurses)

  • 김광주;이향련;김귀분
    • 대한간호학회지
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    • 제25권4호
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    • pp.709-728
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    • 1995
  • The job related activities of sixty nine nurses, working in the emergency rooms of three university hospitals, were analyzed for six days according to preestablished checklist of nursing activities ; the frequency of these activities and the amount of time spent in each specific nursing activity. The established checklist was monitored every five minutes for the duration of the duty autu, thus producing 414 items of data. The data were not gathered on consecutive days but over the period of one month from May 6, 1994 to June 5, 1994. The following conclusions are derived from analysis of the data : 1. Twelve categories of nursing activities were obtained : The primary activity was communication related to the patient and all information pertaining to the patient. Other activities included maintaining the patient's record, observation and assessment of the patient, cooperation with other medical personnel, management of equipment and drugs, procedure and treatment, specimen collection, consultation and education for the patient, including drug management and personal hygiene and any other relevant education to the patient's condition. 2. The average frequency of categorized nursing activity can be classified as follows : communication related to patient was the highest at 17.6 times. The next was maintaining the patient's record at 17.3 times. The observation and assessment occurred 16.9 times. Consultation and education for patients and family, 8 times, medication, 5.7 times, and procedures and treatments, 6 times. 3. The average time required for each activity was as follows : 230.1 minutes (or maintaining the patient's record, 204.9 minutes for communication related to the patient, 199.2 minutes for observation and assessment, 71.2 minutes for medication, 66 minutes for consultation and education of the patient and family, and 51.8 minutes for procedures and treatment. 4. The most demanding nursing activity in the emergency room for the nurse was answering questions from the patient's family, maintaining communication between the medical staff, maintaining and reviewing the patient's charts, writing prescriptions and monitoring 1. V. infusion rates. 5. The most time consuming nursing activities for the emergency room nurse include maintaining and following the patient's charts, communication between the medical staff, answering questions from the patient's family, observation of the patient and relaying all of the appropriate patient information to the incoming nurses during a shift change. 6. The F-test was administered to measure the required time for the categorized nursing activities according to day, evening, and night-shift nurses. There were significant differences (p<.05) in specimen collection, observation and assessment, cooperation between medical staffs, personal hygiene, communication related to patient, education and re-search. Posterior multiple comparison test showed that specimen collection, cooperation between medical staffs and personal hygiene were mostly done by the evening-shift nurses. Also most observations and assessments were done by the night-shift nurses. Education and communication to patients were done by day-shift nurses. Thus there were significant difference between shifts for the main nursing activities. So there should considev a reallocation of the duty of nurses on each shift. 7. The F-test also indicated that there wes a similarity in time duration for procedures and treatments and for cooperation between medical staff and nurses in all three hospitals. However, the remaining categories of nursing activities also showed a significant difference between the three hospitals. This indicated that there were differences in each emergency room that influence time for each categorized nursing activities and this should be given more consideration. Recommendations : 1. A seasonal difference should be considered in the activities of nurses in the emergency room and a comparative analysis should be carried out to deter-mine seasonal differentiation. 2. A study on more objectively measurable nursing activities should be administered as well as one determining the subjective responds towards nursing activities in the emergency room.

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