• 제목/요약/키워드: Medical Application

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Smart Health Monitoring System (SHMS) An Enabling Technology for patient Care

  • Irfan Ali Kandhro;Asif Ali Wagan;Muhammad Abdul Aleem;Rasheeda Ali Hassan;Ali Abbas
    • International Journal of Computer Science & Network Security
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    • 제24권3호
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    • pp.43-52
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    • 2024
  • Health Monitoring System is a sophisticating technology and another way to the normal/regular management of the health of the patient. This Health Monitoring Mobile Application is a contribution from our side to the public and to the overall health industry in Pakistan. With the help of Health mobile application, the users will be able to store their medical records, prescriptions and retrieve them later. The users can store and keep track of their vital readings (heart rate, blood pressure, fasting glucose, random glucose). The mobile application also shows hospitals that are nearby in case the user wants to avail of any medical help. An important feature of the application is the symptoms-based disease prediction, the user selects the symptoms which he has and then the application will name certain diseases that match those symptoms based on relevant algorithms. The major advances and issues have been discussed, and as well as potential tasks to health monitoring will be identified and evaluated.

국문으로 개발된 기본심폐소생술 애플리케이션 정보의 정확성과 신뢰성 평가 (Accuracy and reliability evaluation of basic CPR application information developed in Korean)

  • 정은경;강지훈
    • 한국응급구조학회지
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    • 제23권3호
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    • pp.41-51
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    • 2019
  • Purpose: This dissertation is a descriptive research study analyzing the accuracy and reliability of the cardiopulmonary resuscitation (CPR) application developed in Korea. Methods: Two faculty members from the emergency medical services department and the emergency medicine department searched applications from July 1 to July 10, 2019 and selected a total of 13 applications. Twelve questions were assessed for information accuracy and three were assessed for reliability. In accordance with application types, the number and mean ± standard deviation were analyzed. The t-test was used to compare the accuracy of CPR information in accordance with information sources. Results: The results revealed the following errors: 7 cases (53.8%) identified the chest center lining from the nipple center-line as the chest pressure point; 5 cases (38.5%) did not provide information on the depth of 6 cm that should not be exceeded; and 4 cases (30.8%) did not provide advise to check respiration. When the CPR information sources were included, the information accuracy score was high; a significant difference was observed (p=.035). Conclusion: In the case of applications providing medical information regarding CPR, it is necessary to provide at least authoritarian, sources of information, and author transparency as well as continuous effort and attention.

MCU와 안드로이드를 이용한 뇌졸중 환자 재활운동시스템 (A Development of Stroke Rehabilitation System Using MCU&Android)

  • 한관희;정미나;김소연;왕창원;민세동
    • 한국컴퓨터정보학회:학술대회논문집
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    • 한국컴퓨터정보학회 2014년도 제49차 동계학술대회논문집 22권1호
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    • pp.143-144
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    • 2014
  • 본 논문에서는 뇌졸중 환자의 독립적인 재활운동이 가능할 수 있는 시스템을 제안한다. 뇌졸중은 뇌기능의 부분적 또는 전체적으로 급속히 발생한 장애가 상당 기간 이상 지속되는 상태를 의미한다. 이러한 뇌졸중은 상지 운동을 통해 대뇌 운동피질을 활성화하여 재활 할 수 있어, 의학 분야에서는 운동기구를 이용하여 뇌졸중 환자의 재활을 돕고 있다. 하지만 병원이 아닌 가정에서 운동을 하기에는 운동기구에 비용, 작업치료사의 부재와 같은 환경적인 측면으로 무리가 있다. 따라서 본 논문에서는 가정에서 환자가 독립적인 운동을 할 수 있게 MCU와 Android Application을 이용하여 의료진이 환자의 옆에 없더라도 운동이 가능하고 가이드를 제공하는 스마트한 재활운동기기를 개발하였다. 또한 기존의 재활운동기기는 단순히 운동만 할 수 있었다면, 본 연구에서는 Android Application에서 게임을 제공함으로써 보다 즐겁게 운동이 가능하여 재활의지 증가를 기대해볼 수 있다. 뿐만 아니라 환자의 운동 데이터가 실시간으로 저장되어 병원에서 의료진이 환자의 운동 상태를 파악할 수 있도록 구성함으로 써 향후 뇌졸중 환자의 재활연구분야에 도움이 될 것이라 생각한다.

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요통에 대한 휘담식 수기요법의 임상 적용 (Clinical application of Whidam's Su-Gi therapy to Low back pain)

  • 안훈모;장성진;강한주
    • 대한의료기공학회지
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    • 제21권1호
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    • pp.13-21
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    • 2022
  • Objective : This report aimed to provide an introduction to the clinical application of Whidam's Su-Gi therapy to low back pain. Methods : Whidam's Su-Gi therapy for low back pain consisted of manual therapy according to upward and downward evaluations. Upward evaluation items include SLR, hip joint LOM, legs raising together, raising knee and turning left and right, and waist raising. Downward evaluation items include spinal alignment in sitting position, shoulder part tension, and cervical part tension. After performing the manual therapy according to the evaluation at each stage, the pain and dysfunction are reevaluated to confirm the negative and proceed to the next step. Conclusions : The clinical application of Whidam's Su-Gi therapy to low back pain is a method of interpreting and approaching low back pain disease with the theory of attraction pathology according to the principle of ChoGi-therapy(調氣療法).

일 종합병원 중환자실의 억제대 적용 실태조사 (A Study on the Use of Physical Restraints in ICUs)

  • 조용애;김정숙;김나리;최희정;조정구;이희정;김령인;성영희
    • 성인간호학회지
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    • 제18권4호
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    • pp.543-552
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    • 2006
  • Purpose: The purpose of this descriptive study was to investigate the pattern of physical restraints used in ICUs and to identify influencing factors of application and removal of restraints. Method: The subjects of this study were 90 restrained patients out of 215 patients over 6 years old who were admitted to 6 ICUs in SMC during a 2 weeks period. The data was collected through a questionnaire of characteristics, guidelines and nursing care of restraint uses. The data were analyzed by non-parametric statistic with the use of the SAS program. Results: The restraints were applied to 31.4% of subjects. Mean time of physical restraint was $36.76{\pm}55.7$ hours. There were significant difference with mean time and frequency according to duty shift. GCS, restless behavior and discomfort factors, medical devices, and life sustaining devices had significant relation with application of restraints. In addition, the mean time of restraints used were related significantly with GCS, restless behavior, and discomfort factors. Conclusion: The used of restraints were dependent on mainly the nurses' decision. Thus ICU nurses have to develop the guidelines to applying restraints and removal of restraints in regard to patients rights and ethics. Continuous monitoring and evaluation of application of the restraints is essential in professional nursing.

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급성 뇌졸중 환자 대상 근거중심 간호 가이드라인 수용개작의 적용 평가 (Evaluation of Applications of Adaptation of the Evidence-Based Nursing Practice Guidelines Patients with Acute Stroke)

  • 송소이;조명숙;김지현;한윤경;양혜민
    • 기본간호학회지
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    • 제19권1호
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    • pp.87-97
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    • 2012
  • Purpose: This study was done to evaluate nursing guidelines for patients with acute stroke, developed by adapting the guidelines of Registered Nurses Association of Ontario, Canada to clinical settings on a large scale and evaluating the effectiveness as a research study. Method: The general characteristics of the 319 patients and the effectiveness of guideline application were evaluated in terms of structure, process, and outcome using questionnaires on the guidelines application with reference to the medical records of patients with acute stroke hospitalized on a ward of the stroke center of S General Hospital in Seoul. Results: Structures as a guidance system for assessment were consistent with the recommendations. With respect to the process of the guidelines, for items on nursing assessment, improved performance was found to be statistically significant. For outcomes of the guidelines, complications occurred in 8 patients (5.3%) prior to application of the guidelines and 11 patients (6.5%) after application of the guidelines, but this result was not statistically significant (p=.841). Conclusion: The results of the study indicate that for the effectiveness of the guidelines, accessibility to the guidelines and effectiveness of quality improvement need to be evaluated, in addition to complications of a stroke.

정신증상 자가평가를 위한 스마트폰 어플리케이션의 활용 (Use of Mobile Mental Health Application for Self-Assessment of Psychiatric Symptoms)

  • 우정희;이상준;김은지;박종일;양종철;박태원;정상근
    • 대한불안의학회지
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    • 제14권2호
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    • pp.135-141
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    • 2018
  • Objective : This study evaluated the role of smartphone application in the self-assessment of three psychiatric symptoms: stress, depression, and suicidal ideation. Methods : A total of 5,646 respondents were evaluated with three scales (Perceived Stress Scale, PSS, Center for Epidemiologic Study for Depression, CES-D, Scale for Suicidal Ideation, SSI) via smartphone application 'mindscan'. We analyzed the sociodemographic variables, the levels of three symptoms, and the association between the scores on all three scales. Results : The mean total scores of PSS, CES-D, and SSI were 24.86, 35.15, and 18.03, respectively. Women showed significantly higher scores on PSS, CES-D, and SSI when compared with men. Younger users showed a significantly higher score on all three scales when compared with older users. The scores on all three scales were higher than in other studies with off-line surveys. The PSS was positively correlated with CES-D (r=0.690), and with SSI (r=0.367). The CES-D was positively correlated with SSI (r=0.540). Conclusions : A smartphone application for mental health based on three scales (PSS, CES-D, and SSI) is a relatively useful screening tool compared with off-line general population surveys. The association between the three scales reflects the relationship between the three psychiatric symptoms observed in clinical practice.

소아 식욕부진의 한의표준임상경로 개발 및 시범 적용 연구 (A Study on the Development and Application of Korean Medical Critical Pathway of Childhood Anorexia)

  • 최서연;정윤경;방미란;장규태
    • 대한한방소아과학회지
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    • 제37권3호
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    • pp.1-16
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    • 2023
  • Objectives We aimed to investigate the effectiveness of the Korean medical critical pathway (CP) in treating childhood anorexia. Methods In total, 21 patients who met the criteria and agreed to provide information were assigned to the CP group, while 24 patients who met the criteria, agreed to provide information, but disagreed with CP application were assigned to the non-CP group. Demographic, clinical, and economic indices were compared between the two groups. Clinical indices before and after treatment were also compared between the two groups. Results In the CP group, height, weight, body mass index (BMI), BMI percentile, and food approach (FAP) increased significantly after treatment, and numeric rating scale (NRS) and food avoidance (FAV) scores decreased significantly. In the non-CP group, height, weight, weight percentile, BMI, BMI percentile, and FAP increased significantly, whereas NRS and FAV decreased significantly after treatment. Compared to the non-CP group, CP application increased FAP and decreased FAV, medical expenses per consultation, and the total treatment period. Conclusions The application of the Korean medical critical pathway for childhood anorexia is an effective cure system that decreases overall medical expenses with good-quality treatment by means of the standardization of medical practices.

Anti-apoptotic effect by Bcl-2 in UVB-irradiated keratinocytes.

  • Takahashi, Hidetoshi;Honma, Masaru;Ishida-Yamamoto, Akemi;Namikawa, Kazuhiko;Miwa, Akiko;Okado, Haruo;Kiyama, Hiroshi;Iizuka, Hajime
    • Journal of Photoscience
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    • 제9권2호
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    • pp.225-228
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    • 2002
  • Bcl-2 is a member of large bcl-2 family and protects cells from apoptosis. Using bcl-2-expressing adenovirus vector (Ad-bc1-2), we investigated the effect of bc1-2 on UVB-induced apoptosis. Adenovirus vector efficiently introduced bc1-2 gene in cultured normal mouse keratinocytes (NMK cells); almost all NMK cells (lx10$^{6}$ ) were transfected at Ixl0$^{8}$ PFU/ml. Bcl-2-transfected NMK cells were significantly resistant to UVB-induced apoptosis with the suppressive effect dependent on bcl-2-expression level. Following UVB irradiation caspase 8, 3, 9 activities were stimulated in NMK cells, while in bc1-2-transfected cells, only caspase 8, but not caspase 3 or 9 activities were stimulated. In order to investigate the effect of bc1-2 in vivo, topical application of Ad-bc1-2 on tape-stripped mouse skin was performed. Following the application, Bc1-2 was efficiently overexpressed in almost all viable keratinocytes. The expression was transient with the maximal expression of Bc1-2 at 1st day following the application of lxl0$^{9}$ PFU in 200ml. The introduced Bc1-2 remained at least for 6 days. UVB irradiation (1250 J/m$^2$) induced apoptosis within 12 h and the maximal effect was observed at 24 h in control mouse skin. Bc1-2-transfected mice skin were resistant to UVB-induced apoptosis. Topical application of empty adenovirus vector alone had no effect on Bc1-2 expression or UVB-induced apoptosis. These results indicate that adenovirus vector is an efficient gene delivery system into keratinocytes and that Bcl-2 is a potent inhibitor of UVB-induced apoptosis both in vitro and in vivo.

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전국 의료기관의 냉 요법 실무지침 및 임상간호사의 냉 요법 실무 현황 (Nursing Protocols of Cold Application in Different Medical Institutions in Korea)

  • 신용순
    • 임상간호연구
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    • 제21권3호
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    • pp.355-365
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    • 2015
  • Purpose: The purpose of this study was to evaluate nursing protocols for superficial cryotherapy in different medical institutions. Methods: The study was conducted with a cross-sectional descriptive design. The medical institutions including general hospitals, hospitals, and geriatric hospitals were randomly selected. A total of 435 nurses from 126 institutions completed a questionnaire. Data were collected from December 2014 to June 2015. Results: Forty-two institutions (39.5%) had nursing protocol for cryotherapy. The nurses reported that durations of cold application were 2 minutes to 5 hours. Frequently used cold therapy devices in order of frequency were frozen gel packs, ice packs, and frozen IV fluid bags. There were variances in the duration of cold application according to the types of institution ($x^2=7.78$, p=.020) and nursing units ($x^2=26.42$, p<.001). In addition, intervals of cold application were different according to the nursing units (x=12.23, p=.032). There were differences in cold application instruments by regional groups (x=70.38, p<.001). Most of the nurses (95.6%) responded that national nursing protocol for superficial cryotherapy were needed. Conclusion: There were difficulties in providing consistent nursing interventions because of the practical differences and absence of evidence-based guidelines for cryotherapy. The researchers recommend that basic studies with various instruments be conducted and proper nursing protocols be developed for cryotherapy.