• 제목/요약/키워드: Medical Integration

검색결과 516건 처리시간 0.03초

한양방결합요법에 의한 자가면역성 만성 활동성 간염, 고빌리루빈혈증 1례 보고 (A case of chronic autoimmnune hepatitis, Jaundice by integration treatment of korean traditional medicine and western medicine)

  • 양주노;최승훈;안규석;심범상
    • 대한암한의학회지
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    • 제10권1호
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    • pp.99-106
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    • 2005
  • Objective: This study was done to treat autoimmune chronic active heaptitis Jaundice patient. Method: I analyzed the medical records of a case of autoimmune chronic active hepatitis Jaundice who had been treated with korean traditional medicines from 1 December 2003 through 6 July 2004. Result: Following the korean traditional medicine method, during taking medicine the hematological markers (aspartate transferase(AST), alanine aminotranferase(ALT), Total bilirubin(T.bili)) were effectively controled.

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지속 가능한 보건의료의 혁신 방향 (Direction of Healthcare Reform for Sustainability)

  • 박은철
    • 보건행정학회지
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    • 제29권4호
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    • pp.379-381
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    • 2019
  • Korea's healthcare is in great danger of sustainability. In 2020, the baby boomer will begin to be older, and there is no promise that the total fertility rate of 1.0 or less will rebound, and Korea's economic growth rate is predicted to be less than 2%. Together with these phenomena, Plan for Benefit Expansion in Nation Health Insurance (Moon Jae-in Care) will seriously threaten the sustainability of health insurance finance. In addition, health care in Korea has many problems: excessive medical utilization, rapidly increasing elderly medical costs, concentrating patients into big hospitals, low healthcare personnel but many healthcare facilities and equipment, bad quality of primary and mental care, and fast-growing health expenditure. For sustainability, healthcare of Korea should be reformed. The direction of the reform is people-centered and integrated healthcare in the community which is composed of empowering and engaging people, strengthening governance and accountability, reorienting the model of care, coordinating services, and creating an enabling environment.

A Study on the Performance Improvement of MLP Model for Kodály Hand Sign Scale Recognition

  • Na Gyeom YANG;Dong Kun CHUNG
    • 한국인공지능학회지
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    • 제12권3호
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    • pp.33-39
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    • 2024
  • In this paper, we explore the application of Kodaly hand signs in enhancing children's music education, performances, and auditory assistance technologies. This research focuses on improving the recognition rate of Multilayer Perceptron (MLP) models in identifying Kodaly hand sign scales through the integration of Artificial Neural Networks (ANN). We developed an enhanced MLP model by augmenting it with additional parameters and optimizing the number of hidden layers, aiming to substantially increase the model's accuracy and efficiency. The augmented model demonstrated a significant improvement in recognizing complex hand sign sequences, achieving a higher accuracy compared to previous methods. These advancements suggest that our approach can greatly benefit music education and the development of auditory assistance technologies by providing more reliable and precise recognition of Kodaly hand signs. This study confirms the potential of parameter augmentation and hidden layers optimization in refining the capabilities of neural network models for practical applications.

대한감각통합치료학회 역량기반 중재과정 교육커리큘럼 개발연구 (A Study on the Development of a Competency-Based Intervention Course Curriculum of the Korean Academy of Sensory Integration)

  • 남궁영;김경미;김미선;이지영
    • 대한감각통합치료학회지
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    • 제17권3호
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    • pp.26-45
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    • 2019
  • 목적 : 본 연구의 목적은 작업치료사가 감각통합 중재를 실행하는데 필요한 역량을 기반으로 중재 과정 교육 커리큘럼 개발하고, 중재과정 실시 및 교육만족도 확인을 통하여 대한감각통합치료학회의 역량기반 중재 교육과정을 제시하는데 있다. 연구방법 : 본 연구는 대한감각통합치료학회의 2019년 중재과정에 참여한 작업치료사 9명과 강사 3명을 대상으로 하였다. 중재과정의 교육목표 설정은 참여자 설문조사 방법을 통하여 교육요구 분석방법을 사용하였다. 중재과정의 역량기반 교육 프로그램 초안 및 교육 방법은 강사회의를 통하여 결정하였다. 중재교육과정은 실행계획에 따라 5일간 실시하였으며, 교육 만족도와 각 역량지표에 대한 중재과정 전후의 수행도 변화를 조사하였다. 결과 : 교육목표는 교육요구 분석 결과를 반영하여 '감각통합중재의 임상추론 과정을 학습 하고 적용한다'와 '감각통합중재 원칙을 적용하여 중재한다'로 하였다. 역량기반 중재과정 교육커리큘럼은 교육목표에 따라 Data driven decision making process 및 Ayres Sensory Integration에 관한 강의, 워크샵, 토의, 그리고 사례 중재 등으로 구성하여 총 42시간 교육을 실시하였다. 중재과정 참여자의 교육 만족도는 평균 4.48±0.73이었고, 수퍼바이저의 교육 만족도는 평균 3.92±0.71이었다. 두 집단 모두에서 Data driven decision making process 강의와 중재 목표 수립 강의의 만족도가 가장 높았고, 그룹 활동 및 토의에 대한 만족도가 가장 낮았다. 중재과정 전후, 역량모델의 전문가 역량군에 포함된 분석기술 역량의 두 가지 행동지표가 수행도에서 유의미한 변화를 보였다. 결론 : 본 연구는 교육 개발에 필요한 체계적 과정을 거쳐 교육요구 조사, 교육 커리큘럼 개발과 실시, 교육 만족도 조사를 실행하였다는 점에서 의의가 있다. 대한감각통합치료학회 내의 다른 교육커리큘럼 개발 시 기초자료로 사용될 수 있을 것으로 생각된다.

헬스케어 정보 수집을 위한 병원간 데이터 통합 모델 설계 (Design of data integration model between hospitals for healthcare information collection)

  • 정윤수;한군희
    • 한국융합학회논문지
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    • 제9권6호
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    • pp.1-7
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    • 2018
  • 최근 IT 기술이 발달함에 따라 병원에서 사용되고 있는 의료 장비도 고사양의 성능을 요구하고 있다. 그러나, 사용자는 사용자의 상황에 따라 서로 다른 병원을 내원하기 때문에, 병원에서 진료 받은 의료 정보가 병원마다 분산되어 있다. 본 논문에서는 서로 다른 병원에 내원한 사용자의 헬스케어 정보 수집을 위해서 병원에 저장되어 있는 사용자의 헬스케어 정보를 효율적으로 통합하기 위한 모델을 제안한다. 제안모델은 사용자 중심의 헬스케어 정보 수집을 위해서 개인 웨어러블 장치로부터 수집된 사용자의 헬스케어 정보를 서로 동기화한다. 또한, 제안 모델은 헬스케어 서비스 센터와 데이터 공유를 원활하게 수행하기 위해서 클라우드 환경에 존재하는 데이터베이스에서 사용자의 헬스케어 정보와 관련된 무결성 및 유효성 검사를 수행한다. 특히, 제안모델은 모바일 플랫폼으로부터 수집된 사용자의 헬스케어 정보를 원활하게 관리하기 위해서 트리기반의 데이터 처리를 수행할 수 있도록 하였다.

Agent를 기반으로 한 지능형 호출 시스템 (An Intelligent Call Center based on Agent)

  • 이동규;한경숙
    • 한국정보과학회논문지:컴퓨팅의 실제 및 레터
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    • 제7권5호
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    • pp.522-538
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    • 2001
  • 본 논문은 현재 개발중인 웹 기반의 실시간 중환자 관찰 시스템의 부 시스템인 호출 시스템을 소개한다. Computer Telephony Integration (CTI) 기술을 바탕으로 한, 이 호출 시스템은 환자 상태의 변화와 상황에 따라 가장 적합한 통신 매체를 찾아서 담당 의료진과 환자 보호자를 효율적이고 자동적으로 연락하는 것을 목적으로 한다. 메시지의 긴급성, 연락 시점, 연락 대상자에게 가능한 통신 매체 등에 따라 호출 상황이 매우 복잡할 수 있는데, 불확실성 추론 방법 중의 하나인 Dempster-Shafer 이론을 이용하여 가장 적합한 통신 매체를 결정함으로써, 메시지 전달의 신속성과 안정성을 높이고자 하였다. 또한, 에이전트 기술을 이용하여 사용자의 간섭 없이 호출 작업이 이루어지도록 하였다. 개별적인 통신매체를 이용하지 않고도, 하나의 통합된 환경에서 적합한 매체를 결정하여 호출하는 본 시스템은 중환자실 의료진의 연락 업무를 경감하고 나아가 의료 서비스의 질을 향상하는 효과가 있다고 하겠다.

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클라우드 컴퓨팅에서 의료 정보 처리를 위한 센서 데이터 통합에 대한 연구 (The Study of Sensor Data Integration for Medical Information Processing in a Cloud Computing)

  • 황치곤;윤창표
    • 한국정보통신학회:학술대회논문집
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    • 한국정보통신학회 2015년도 추계학술대회
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    • pp.285-287
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    • 2015
  • 최근 센서와 이동 통신 기기의 발전은 의료 및 관련 분야에 많은 가능성을 제공하고 있다. 그러나 이에 발생하는 데이터는 메타데이터, 규격, 단위 등에서 일치하기는 어렵다. 여러 규격의 센서에서 발생하는 데이터를 효율적으로 이용하기 위해 통합은 필요하다. 이에 따라 우리는 본 논문에서는 기존 센서와 신규 센서에서 발생하는 데이터를 통합할 수 있는 방안으로 온톨로지를 이용하는 방법을 제안하고자 한다. 온톨로지는 기본 항목과 센서의 항목을 매핑하고, 추가적으로 타입과 구조적 차이에 대한 부분도 포함한다. 매핑은 메타데이터 간의 매핑과 데이터 간의 매핑으로 구분한다. 이러한 방법으로 생성된 표준 항목이 서비스 간 데이터 교환의 형식이 됨으로써 센서 발생하는 이질적 문제를 해결할 수 있다.

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조선 침구(鍼灸)의 지향에 대한 소고(小考) (A Study on the Mind of Joseon's Acupuncture and Moxibustion Technology)

  • 전종욱
    • 대한한의학원전학회지
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    • 제32권3호
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    • pp.59-71
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    • 2019
  • Objectives : This paper looks at the history of East Asian acupuncture and moxibustion in the context of the general orientations of craft and art. It is understood that acupuncture and moxibustion was the ultimate integration of reason and craft in which text and experience mutually influenced each other throughout its development. In Joseon, the pursuit of integration between the body and the order of the Heaven and Earth was particularly prominent. Methods : As in the words of Zhunagzi(莊子), the state in which something that deeply touches the mind manifests in the hands has been understood as the ultimate state in modern and ancient art. Starting here, I examined the possibility that Korean acupuncture and art has evolved from such foundations step by step. Major acupuncture and moxibustion texts were examined historically, starting with "Shenyingjing(神應經)", leading to "Junggan-Shenyingjing (重刊神應經)", "Chimgu-Gyeongheombang(鍼灸經驗方)", "Chijongjinam(治腫指南)", "Chijongjinam-Joseonchambon治腫指南朝鮮?本", "Chimgutaegilpyeonjip(鍼灸擇日編集)", "Chimgu-Myeonggam(鍼灸明鑑)". Introductions and main contents of the texts were analyzed and presented appropriately. Results : East Asian acupuncture and moxibustion has developed based on the study of pathways that correspond to Shen, of the accordance and harmony between body and the order of Heaven and Earth together with theoretical refinement, technical development, and acceptance of new discoveries. In the perspective of craft, this was motivated by artistic passions such as '得於心 應於手' and '醫者意也'. In the case of refined acupuncture methods, due to their difficulty in education and transmission there has been some fluctuation. Conclusions : Korea, China, and Japan share a largely similar philosophical and cultural basis. Reason and craft, text and experience mutually influenced each other while the core of refined acupuncture was widely shared. However, a certain bifurcation point could be detected.

한방의료의 이용행태 및 이용결정요인 분석 - 일부 대도시 지역주민을 중심으로 - (Utilization Patterns and Determinants of Oriental Medical Services : Focused on the Residents of Taegu City)

  • 유왕근;류경아
    • 대한예방한의학회지
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    • 제4권2호
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    • pp.1-24
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    • 2000
  • This study was conducted to examine utilization patterns and determinants of oriental medical services. Data were collected from 545 residents in Taegu city The results of this study are summarized as follows 1) 37.8% of subjects used oriental medical services in the past year. Especially, the female, the ages of 50 and 60 over, the single. low-educated. high-income class, white-collar class, medical insured tended to use more oriental medical services than another groups. 2) 46.7% of users of oriental medical services reported that number of visits in the past year was 2 - 5 times 37 1% of them was 1 times, and 4.5% over 10 times. 3) According to the reasons to choose the oriental medical facilities, most was 'on their own judgement'(48.8%) and 'by the advice of relatives and friends'(42.0%) Regarding to the objectives of using oriental medicine, 68.3% was 'treatment', 31.7% 'health counselling and promotion'. And among diseases of users, diseases of musculo-skeletal system was the highest(54.5%). 4) 57.9% of oriental medical services users had experience of utilizing western medicine on the same diseases. Among peoples with experiencing western medicine on the same diseases. 54.4% received oriental medical services 'in addition to western medicine', 45.6%'in place of western medicine 'And 41.2% of using both services reported that they had difficulty in deciding to choose the type of services -oriental medical services or western medicine-for their diseases. 37.3% of them answered that 'providing relevant information' was the most desirable measure to solve this problem, 27.3% 'establishment of effective referral system between oriental and western medical facilities '23.6% 'cooperative medical treatment systems in the same facilities', 11.8%'integration of oriental medicine into western medicine 5) According to the satisfaction level with each items of oriental medical services, the respondents had positive views on efficacy, kindness, and side-effects. They, however, had negative view on the cost of oriental medical services. 6) In regarding to the priority of improvement of oriental medical system,'expansion of insurance benefit package 'ranked first. 'expansion of insurance benefit Package 'ranked second, 'improvement of scientific methods and diagnostic technique 'third, and 'safety of herbal medicine' fourth in order. 7) The significant factors influencing the utilization of oriental medical services were kindness of oriental medical practitioners, efficacy , travel time, age To be brief, utilization rate of oriental medical services in urban area generally tends to be high. There, however, have been various barriers to limit oriental medical services, such as incomplete benefit package of oriental medical insurance and lack of coordination and referral system between oriental and western medical services, lack of scientific diagnostic procedures, high price etc . For the development of oriental medical services, Much attention to remove these limiting factors should be placed. In addition, kindness of oriental medical practitioners , which is expected to be more important factor in the consumer - focused health care environment than ever, should be kept high consistently. Since this study was conducted for specific residents of an urban city. further research including more sampling in different urban areas should be required to generalize the results of the study.

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외상 후 스트레스 장애에 대한 한방정신요법 기반 심리치료 개발 및 예비적 임상시험 (Development of Korean Medical Psychotherapy and Preliminary Clinical Trial for Post Traumatic Stress Disorder)

  • 김진형;서주희;이고은;김남권;최성열;유영수;강형원
    • 동의신경정신과학회지
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    • 제26권1호
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    • pp.49-61
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    • 2015
  • Post traumatic stress disorder (PTSD) is an anxiety disorder that usually occurs after suffering from a psychological trauma that can not threatening events, which is one of the individual's subjective pain and their families and the larger society due to the chronic disease burden results. Treatment with a medication, as well as cognitive behavioral therapy (CBT), exposure therapy, prolonged exposure therapy (PE), eye-movement desensitizing, and reprocessing (EMDR) are preferentially performed, including psychotherapy. Korean medical psychotherapy consists of a wide range of manual therapy, but it does not have systematically screening limits. This study was developed by Korean medical psychotherapy program for PTSD, and it was carried out as a preliminary clinical trial for validity. The Korean medical psychotherapy program for PTSD consists of four stages as follows: building chapter of safety, flow and send, accept, and integration. Based on this preliminary clinical study of PTSD, seven patients were treated for 2 hours per week for 5 weeks. We report the meaningful results gained by observing the changes in IES-RK points, questionnaire on five-faceted mindfulness, quality of life, anxiety, depression, insomnia, hwabyung scale, HRV, and EEG, before and after the Korean medical psychotherapy program.