• Title/Summary/Keyword: Medical Device Management

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Design of a Personal-Led Health Data Management Framework Based on Distributed Ledger (분산 원장 기반의 개인 주도적 건강 데이터 관리 프레임워크 설계)

  • Moon, Junho;Kim, Dongsoo
    • The Journal of Society for e-Business Studies
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    • v.24 no.3
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    • pp.73-86
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    • 2019
  • After the 4th industrial revolution, the healthcare industry is striving to find new business models through new technologies. Among them, blockchain technology is one of the technologies that have great interest in the healthcare industry. Most providers of personal health record systems have difficulty in securing marketability due to various problems. Therefore, they try to integrate blockchain technology to develop new systems and gain marketability. However, blockchain has limitations in solving the problems of the personal health record system. In this study, we have designed a personalized health data management framework that enables information subjects to acquire full ownership rights of individual's health data, based on distributed ledger technology. For the framework design, we refer to the structure of R3 Corda. It was designed with a different network structure than the existing blockchain systems so that the node can be operated on the personal user's mobile device. This allows information subjects to directly store and manage their own data and share data with authorized network members. Through the proposed system, the information utilization of the healthcare industry can be improved and the public health promotion and medical technology development can be realized.

A Study on the Evaluation of Radiation Safety in Opened-Ceiling-Facilities for Radiography Testing (천장 개방형 RT 사용시설의 방사선 안전성 평가 연구)

  • Sung-Hoe, Heo;Won-Seok, Park;Seung-Uk, Heo;Byung-In, Min
    • Journal of the Korean Society of Radiology
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    • v.16 no.6
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    • pp.741-749
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    • 2022
  • Radiography-Testing that verify the quality of welding structures without destruction are overwhelmingly used in industries, but many safety precautions are required as radiation is used. The workers for Radiography-Testing perform the inspection by moving the Iridium-192 radiation source embedded in the transport container of the gamma-ray irradiator within or outside the facility. The general facility is completely blocked about radiation from the outside with thick concrete, but if it is difficult for worker to handle object of inspection, facilities ceiling can be opened. A general facility may be constructed using a theoretical dose evaluation method because all exterior facilities are blocked, but if the ceiling is open, it is not appropriate to evaluate radiation safety with a simple theoretical calculation method due to the skyshine effect. Therefore, in this study, the radiation safety of the facility was evaluated in the actual field through an ion chamber survey-meter and an accumulated dose-meter called as OSLD, and the actual evaluation environment was modeled and evaluated using the Monte Carlo simulation code as FLUKA. According to the direction of the irradiation, the radiation dose at the facility boundary was difficult to meet the standards set by the regulatory authority, and radiation safety could be secured through additional methods. In addition, it was confirmed that the simulation results using the Iridium-192 source were valid evaluation with the actual measured results.

Evaluate the implementation of Volumetric Modulated Arc Therapy QA in the radiation therapy treatment according to Various factors by using the Portal Dosimetry (용적변조회전 방사선치료에서 Portal Dosimetry를 이용한 선량평가의 재현성 분석)

  • Kim, Se Hyeon;Bae, Sun Myung;Seo, Dong Rin;Kang, Tae Young;Baek, Geum Mun
    • The Journal of Korean Society for Radiation Therapy
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    • v.27 no.2
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    • pp.167-174
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    • 2015
  • Purpose : The pre-treatment QA using Portal dosimetry for Volumetric Arc Therapy To analyze whether maintaining the reproducibility depending on various factors. Materials and Methods : Test was used for TrueBeam STx$^{TM}$ (Ver.1.5, Varian, USA). Varian Eclipse Treatment planning system(TPS) was used for planning with total of seven patients include head and neck cancer, lung cancer, prostate cancer, and cervical cancer was established for a Portal dosimetry QA plan. In order to measure these plans, Portal Dosimetry application (Ver.10) (Varian) and Portal Vision aS1000 Imager was used. Each Points of QA was determined by dividing, before and after morning treatment, and the after afternoon treatment ended (after 4 hours). Calibration of EPID(Dark field correction, Flood field correction, Dose normalization) was implemented before Every QA measure points. MLC initialize was implemented after each QA points and QA was retried. Also before QA measurements, Beam Ouput at the each of QA points was measured using the Water Phantom and Ionization chamber(IBA dosimetry, Germany). Results : The mean values of the Gamma pass rate(GPR, 3%, 3mm) for every patients between morning, afternoon and evening was 97.3%, 96.1%, 95.4% and the patient's showing maximum difference was 95.7%, 94.2% 93.7%. The mean value of GPR before and after EPID calibration were 95.94%, 96.01%. The mean value of Beam Output were 100.45%, 100.46%, 100.59% at each QA points. The mean value of GPR before and after MLC initialization were 95.83%, 96.40%. Conclusion : Maintain the reproducibility of the Portal Dosimetry as a VMAT QA tool required management of the various factors that can affect the dosimetry.

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A Job Analysis on Oral Health Education Task in Dental Hospitals and Clinics (치과 병·의원에서의 구강보건교육업무에 대한 직무분석)

  • Ji, Min-Gyeong;Park, Young-Nam
    • The Journal of the Korea institute of electronic communication sciences
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    • v.7 no.5
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    • pp.1235-1243
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    • 2012
  • This study was attempted in order to offer basic data for performing systematic and desirable task through improving job by surveying the actual condition and the task weight in dental hygienists. As a result of analyzing daily task weight in subjects of this study, the ratio of medical-cure cooperation task was indicated to be highest with 35.45%. It was indicated to be in order of periodontal therapy service with 21.54%, of administration & management task with 16.08%, of oral health education task with 15.88%, and of preventive treatment service with 11.23%. As for kind-based utilization ratio of the oral health education contents and oral health education data, a toothbrushing education method by subject was indicated most highly with 3.70 points. It was indicated to be in order of usage on oral hygiene device with 3.51 points, of educational method on regular check-up with 3.26 points, of educational method of preventing dental disease with 3.13 points, and of educational method on diet control with 1.39 points. Jaw-plate model was indicated to be used the most with 38.0%. It was indicated to be in order of orally explaining with 23.9% and of camera inside the mouth with 12.2%. Thus, establishment of a system is considered to be necessary in order to promote quality of oral health education for patients in the future by performing diverse programs with high utilization value in addition to a steady interest.

Study on the Improvement of Relevant Legislative System for Activating Research Equipment Industry (연구장비산업 활성화를 위한 관련 법제 개선방안에 대한 연구)

  • Baek, Woonil;Han, Gapun
    • The Journal of Society for e-Business Studies
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    • v.25 no.2
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    • pp.127-146
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    • 2020
  • Overseas advanced countries are aware of the importance of research equipment and are providing a lot of policy support to revitalize the research equipment industry. However, Korea does not have any law to support policies or related projects to revitalize the research equipment industry. Therefore, there is an urgent need for legislation to support policies and projects for revitalizing research equipment industry. It is considered necessary to establish a separate special law for revitalizing the research equipment industry so that it can gain competitiveness in the global market of the research equipment industry. As we have seen, the necessary articles in the relevant laws should be specified so that various promotion policies can be developed to foster the research equipment industry. In order to promote the development of research equipment industry, there are three essential items to be specified in the law. First is research and development support, second is infrastructure development, and third is business incubation. The following contents should be included in each contents. First of all, "research and development support" includes research and envelopment project promotion and support policy items, research equipment development trends and investment trends, joint research between industry, academia, And research and development support for fusion, hybrid and commercialization. Next, the items to be included in "infrastructure development" should include the establishment of research equipment clusters, related support items, training of professional manpower, and research equipment development base area and institutions. Finally, the items that should be included in "business incubation." include support matters for the development of excellent companies (priority purchase system, etc.), matters related to technology transfer and marketing, matters concerning the protection of intellectual property, And matters for promoting overseas expansion.

Design and Implementation of IEEE 11073/HL7 Translation Gateway Based on U-Healthcare Application Service for M2M (M2M을 위한 U-헬스케어 응용 서비스 기반 IEEE 11073/HL7 변환 게이트웨이 설계 및 구현)

  • Chun, Seung-Man;Nah, Jae-Wook;Park, Jong-Tae
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.36 no.3B
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    • pp.275-286
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    • 2011
  • As the 21st century paradigm of healthcare service changes from post-therapeutic treatment to disease prevention and management in advance, the M2M-based u-healthcare application service is increasingly important. M2M-based u-healthcare application service uses mobile handsets equipped with sensors to measure vital information, and the medical staff in remote locations can manage the health of the patient or the public in real time. In this paper, IEEE/HL7 translation gateway, utilizing the gateway based on M2M u-healthcare application service structure, which is based on international standards, has been designed and implemented. Specifically, the gateway between ISO/IEEE 11073 standards and ANSI HL7 has been developed. The former defines the protocol for the exchange of information between the agent device and the manger devices for measuring and handling biological signal, and the latter defines the application layer protocol for the exchange of various healthcare information systems. Finally, in order to demonstrate the functionality of the proposed architecture, the M2M-based U-healthcare application service based on IEEE/HL7 translation gateway, utilizing the gateway, has been developed which can measure, collect and process a variety of vital signs such as ECG or SpO2.

Research on Safety and Quality Regulatory Policy for Assistive Products (보조기기 안전·품질관리 방안 연구)

  • Kim, Hye-Won;Kim, Dong-A;Seo, Won-San;Kim, Jang-Hwan;Ko, Myeong Han;Son, Byung-Chang;Yi, JinBok
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.12
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    • pp.805-813
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    • 2018
  • The research was conducted with the purpose of providing effective safety and quality control system for assistive products for handicapped those are used extensively. Assistive products couldn't be classified independently due to collision with the act of medical device and lack in legal basis. The issues about safety and quality have been solved by other legal frames on a case by case basis. We couldn't find any abroad case of independent safety and quality control policy. For the practical solution, this article suggested hybrid classification system mixed with existing policies. Each classified branches are allocated to the appropriate policy of safety and quality control so those are ease of understanding and prospect. And also a delicacy process was suggested not to leave off any assistive products. Through these suggests of the improvement it is expected that blind areas of safety and quality control for assistive products for handicapped could be solved and identity of assistive products could be established to provide product safety for handicapped and boost relevant industries.

Implementing an Adaptive Neuro-Fuzzy Model for Emotion Prediction Based on Heart Rate Variability(HRV) (심박변이도를 이용한 적응적 뉴로 퍼지 감정예측 모형에 관한 연구)

  • Park, Sung Soo;Lee, Kun Chang
    • Journal of Digital Convergence
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    • v.17 no.1
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    • pp.239-247
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    • 2019
  • An accurate prediction of emotion is a very important issue for the sake of patient-centered medical device development and emotion-related psychology fields. Although there have been many studies on emotion prediction, no studies have applied the heart rate variability and neuro-fuzzy approach to emotion prediction. We propose ANFEP(Adaptive Neuro Fuzzy System for Emotion Prediction) HRV. The ANFEP bases its core functions on an ANFIS(Adaptive Neuro-Fuzzy Inference System) which integrates neural networks with fuzzy systems as a vehicle for training predictive models. To prove the proposed model, 50 participants were invited to join the experiment and Heart rate variability was obtained and used to input the ANFEP model. The ANFEP model with STDRR and RMSSD as inputs and two membership functions per input variable showed the best results. The result out of applying the ANFEP to the HRV metrics proved to be significantly robust when compared with benchmarking methods like linear regression, support vector regression, neural network, and random forest. The results show that reliable prediction of emotion is possible with less input and it is necessary to develop a more accurate and reliable emotion recognition system.

Radioactive Concentrations in Chemical Fertilizers

  • Gwang-Ho Kim;Jae-Hwan Cho
    • Journal of Radiation Protection and Research
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    • v.47 no.4
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    • pp.195-203
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    • 2022
  • Background: The aim of the present study was to determine radioactive concentrations in fertilizers known to contain essential nutrients. Results of this study could be used as basic data to monitor the impact of chemical fertilizers on the environment and public health. Nitrogen fertilizers, calcium fertilizers, sulfur fertilizers, phosphate acid fertilizers, and potassium chloride fertilizers were used in this study. Materials and Methods: Five chemical fertilizers were pulverized, placed in polyethylene containers, and weighed. The time to measure each specimen was set to be 3,600 seconds for a scintillator-based gamma-ray spectroscopy system. Concentration of gamma radionuclide was analyzed based on obtained spectra. At the end of the measurement, the spectrum file was stored and used to calculate radioactive concentrations using a gamma-ray spectrometer software. Results and Discussion: In the nitrogen fertilizer, 3.49 ± 5.71 Bq/kg of 137Cs, 34.43 ± 7.61 Bq/kg of 134Cs, and 569.16 ± 91.15 of 40K were detected whereas 131I was not detected. In the calcium fertilizer, 5.74 ± 4.40 Bq/kg of 137Cs (the highest concentration among all fertilizers), 22.37 ± 5.39 Bq/kg of 134Cs, and 433.67 ± 64.24 Bq/kg of 40K were detected whereas 131I was not detected. In the sulfur fertilizer, 347.31 ± 55.73 Bq/kg of 40K, 19.42 ± 4.53 Bq/kg of 134Cs, 2.21 ± 3.49 of 137Cs, and 0.04 ± 0.22 Bq/Kg of 131I were detected. In the phosphoric acid fertilizer, 70,007.34 ± 844.18 Bq/kg of 40K (the highest concentration among all fertilizers) and 46.07 ± 70.40 Bq/kg of 134Cs were detected whereas neither 137Cs nor 131I was detected. In the potassium chloride fertilizer, 12,827.92 ± 1542.19 Bq/kg of 40K was and 94.76 ± 128.79 Bq/kg of 134Cs were detected whereas neither 137Cs nor 131I was detected. The present study examined inorganic fertilizers produced by a single manufacturer. There might be different results according to the country and area from which fertilizers are imported. Further studies about inorganic fertilizers in more detail are needed to create measures to reduce 40K. Conclusion: Measures are needed to reduce radiation exposure to 40K contained in fertilizers including phosphoric acid and potassium chloride fertilizers.

A Study of Health Condion and Shift Service of the Nurse in (종합병원 간호사의 교대근무와 건강상태에 관한 연구)

  • Kim, Soon-Ok
    • Journal of Korean Academy of Nursing Administration
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    • v.3 no.1
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    • pp.119-133
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    • 1997
  • Continuing shift service of clinical nurses can be not only the cause of occupational dissatisfaction by being connected with the change of circadian rhythm and the burden of duties to be applicable to such changes. But also of inviting the lowering of nursing quality by being affected to the resignation of the nurses as the threat to the health of the nurses. This study has selected 500 nurses at random under non-probability sampling who have been serving by shift in 7 general hospitals which have over 400 sickbeds for the purpose of cross-sectional survey design from Sep. 7 through 20, 1996. Standardized modification of the CMI has been used which was designed for Koreans with Cornell Medical Index developed by Broadman and his fellow workers as the study device. The structure of the device was composed of 35 questions on physical appeal(Chronbach's ${\alpha}=8507$) and 22 questions of mental appeal(Cronbach's ${\alpha}=.8166$ totalling 57 questions. The collected data has been computerrized by using SPSS. General character, present symptom, perceived symptom and others are sought by practical number and percentage, and the health condition comparison followed by general characters was conducted by t-test and ANOVA. The post test was by Duncan's test by the level of p<.05. 1) The items of the answer that they have the physical symptom presently by 50% or over of the nurses were as "Do you often have spells of severe dizziness", "Are your eyes often red or inflamed", "Does press or pain in the head often make like miserable", "Are your ankles often badly swollen", "Do pains in the back make it hard for you to keep up with your work". 2) The items of the answer by over 50% of the nurses as the mental symptom at present were "do you fell bad when criticized?", "Do you get angry when everything is against your will?", "do you get angry when ordered to do this and that?", "do you feel uneasy by such a trifle thing?", "do you tremble or are you freightened by sudden sound?". The mental and physical symptoms which have appeared presently in connection with the shift service have been agreed with each other. But the physical condition has been worse than the mental one. 3) In the physical health conditions followed by demosociological character, there were the significant differences by sex, religion and place of residence(p<.05), and in the mental health conditions, there were the significant differences by age, marital status, residence place and the required time for attending hospital(p<.05). 4) There was significant difference by the degree of satisfaction about the duty in both the physical and mental health conditions. In short, the higher the degree of duty satisfaction, the better the health conditions. 5) There were the significant difference according to the times of night duty and whether they take the drug or not or the kinds of the drugs in the physical health conditions related with the characters of night shift. Mental health conditions in the night shift case showed significant differences according to their taking drug or not or the kinds of the drugs(p<.05). I can confirm that the nurses have been affected continuously by the shift service mentally and physically. The maintenance of the physical and mental health of the nurses and its promotion are very important problem to guarantee the quality nursing in the performance of the nursing service continuously and effectively, so the hospital should make every effort to improve the duty conditions by finding out the causes affecting to their health. In the nursing management viewpoint, I think that elevating the satisfaction degree about the duty would be a great help to the promotion of physical and mental health conditions. But what is most important is that the nurses themselves should take care of themselves in maintaining the good conditions in their service in the hospital.

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