• Title/Summary/Keyword: Medical Service Network

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호스피스 전달체계 모형

  • Choe, Hwa-Suk
    • Korean Journal of Hospice Care
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    • v.1 no.1
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    • pp.46-69
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    • 2001
  • Hospice Care is the best way to care for terminally ill patients and their family members. However most of them can not receive the appropriate hospice service because the Korean health delivery system is mainly be focussed on acutly ill patients. This study was carried out to clarify the situation of hospice in Korea and to develop a hospice care delivery system model which is appropriate in the Korean context. The theoretical framework of this study that hospice care delivery system is composed of hospice resources with personnel, facilities, etc., government and non-government hospice organization, hospice finances, hospice management and hospice delivery, was taken from the Health Delivery System of WHO(1984). Data was obtained through data analysis of litreature, interview, questionairs, visiting and Delphi Technique, from October 1998 to April 1999 involving 56 hospices, 1 hospice research center, 3 non-government hospice organizations, 20 experts who have had hospice experience for more than 3 years(mean is 9 years and 5 months) and officials or members of 3 non-government hospice organizations. There are 61 hospices in Korea. Even though hospice personnel have tried to study and to provide qualified hospice serices, there is nor any formal hospice linkage or network in Korea. This is the result of this survey made to clarify the situation of Korean hospice. Results of the study by Delphi Technique were as follows: 1.Hospice Resources: Key hospice personnel were found to be hospice coordinator, doctor, nurse, clergy, social worker, volunteers. Necessary qualifications for all personnel was that they conditions were resulted as have good health, receive hospice education and have communication skills. Education for hospice personnel is divided into (i)basic training and (ii)special education, e.g. palliative medicine course for hospice specialist or palliative care course in master degree for hospice nurse specialist. Hospice facilities could be developed by adding a living room, a space for family members, a prayer room, a church, an interview room, a kitchen, a dining room, a bath facility, a hall for music, art or work therapy, volunteers' room, garden, etc. to hospital facilities. 2.Hospice Organization: Whilst there are three non-government hospice organizations active at present, in the near future an hospice officer in the Health&Welfare Ministry plus a government Hospice body are necessary. However a non-government council to further integrate hospice development is also strongly recommended. 3.Hospice Finances: A New insurance standards, I.e. the charge for hospice care services, public information and tax reduction for donations were found suggested as methods to rise the hospice budget. 4.Hospice Management: Two divisions of hospice management/care were considered to be necessary in future. The role of the hospice officer in the Health & Welfare Ministry would be quality control of hospice teams and facilities involved/associated with hospice insurance standards. New non-government integrating councils role supporting the development of hospice care, not insurance covered. 5.Hospice delivery: Linkage&networking between hospice facilities and first, second, third level medical institutions are needed in order to provide varied and continous hospice care. Hospice Acts need to be established within the limits of medical law with regards to standards for professional staff members, educational programs, etc. The results of this study could be utilizes towards the development to two hospice care delivery system models, A and B. Model A is based on the hospital, especially the hospice unit, because in this setting is more easily available the new medical insurance for hospice care. Therefore a hospice team is organized in the hospital and may operate in the hospice unit and in the home hospice care service. After Model A is set up and operating, Model B will be the next stage, in which medical insurance cover will be extended to home hospice care service. This model(B) is also based on the hospital, but the focus of the hospital hospice unit will be moved to home hospice care which is connected by local physicians, national public health centers, community parties as like churches or volunteer groups. Model B will contribute to the care of terminally ill patients and their family members and also assist hospital administrators in cost-effectiveness.

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Design and Implementation of IoT Chatting Service Based on Indoor Location (실내 위치기반 사물인터넷 채팅 서비스 설계 및 구현)

  • Lee, Sunghee;Jeong, Seol Young;Kang, Soon Ju;Lee, Woo Jin
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.39C no.10
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    • pp.920-929
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    • 2014
  • Recently, embedded system which demand is explosively increasing in the fields of communication, traffic, medical and industry facilities, expands to cyber physical system (CPS) which monitors and controls the networked embedded systems. In addition, internet of things(IoT) technology using wearable devices such as Google Glass, Samsung Galaxy Gear and Sony Smart Watch are gaining attention. In this situation, Samsung Smart Home and LG Home Chat are released one after another. However, since these services can be available only between smart phones and home appliances, there is a disadvantage that information cannot be passed to other terminals without commercial global messaging server. In this paper, to solve above issues, we propose the structure of an indoor location network based on unit space, which prevents the information of the devices or each individual person from leaking to outside and can selectively communicate to all existent terminals in the network using IoT chatting. Also, it is possible to control general devices and prevent external leakage of private information.

The Performance Evaluation and Analysis of Next Generation Wireless LAN with OFDM (OFDM을 적용한 차세대 무선 LAN의 성능 평가 및 분석)

  • Han, Kyung-Su;Youn, Hee-Sang
    • Journal of Advanced Navigation Technology
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    • v.6 no.1
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    • pp.37-43
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    • 2002
  • This paper describes the performance evaluation and analysis of Wireless Local Area Network (W-LAN) in the 5 GHz ISM-band in compliance with IEEE 802.11a. At present, most W-LAN products are based on 2.4 GHz band, but low speed (11Mbps) has the limitation to serve systems demanding high-speed data transmission. To solve this problem, it is necessary to design next generation W-LAN system with 54Mbps in the 5GHz. It is sure that implementation of next generation W-LAN will bring competitive advantages. In particular, it will support telecommunications for high-speed mobile environments as well as for fixed places such as a school zone, a lecture room, a hospital and other premises. A few simulation methods are applied to more accurate and reliable performance analysis of next generation W-LAN. To verify if continuous data service is supported for a high-speed mobile notebook, multi-path fading channels between wireless Access Point (AP) and wireless Network Interface Card (NIC) are modeled. In addition, low interference is analyzed via convolutional codes and Orthogonal Frequency-Division Multiplexing (OFDM). Also, to obtain reliable Bit Error Rate (BER), a single tap Least Mean Square (LMS) equalizer is applied. Given the above simulation, next generation W-LAN is an ideal solution for continuous data transmission in high-speed mobile environments.

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Demographic Characteristics and Health Problems of Low Income Children in Underserved Area (취약지역 빈곤아동의 인구.보건학적 특성 분석)

  • Kim, Hye-Kyeong;Lee, Yun-Hee;Moon, Sun-Young;Kwon, Eun-Joo
    • Korean Journal of Health Education and Promotion
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    • v.24 no.4
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    • pp.65-85
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    • 2007
  • Objectives: The purpose of this study was to identify the major health problems of poor children, and to provide basic information for developing health care program for low income children in underserved area. Methods: Health data were collected through medical examination(KAHP Social Welfare Service) and analysed for 3,081 poor children in 106 local children's centers nationwide. Results: 1. The mean height and weight of poor children were lower than those of nonpoor children. The differences were increased by age. 2. The rate of relative low weight was higher in poor children than in nonpoor children. On the contrary, The obesity rate was higher in nonpoor children than in poor children. 3. Poor children were more likely to have vision problem, anemia, high blood pressure, and oral health problems than nonpoor children. 4. The Health problems of children were the most serious in single father family. Conclusion: In order to improve children's health status, health promotion program for poor children should be developed and implemented. Health promotion program should include activities including regular health examination, home visiting, nutrition support, managed health care, health counseling and education. And the community support network was suggested for the efficacy of the program, including home, school and community.

Real-Time Vital Sign Information System Implementation uisng TMO(Time-Triggered and Message-Triggered Object) (시간구동 및 메시지 구동 객체를 이용한 실시간 생체정보 시스템 구현)

  • Kim, Chun-Suk;Kim, Gwang-Jun;Jo, Ui-Ju
    • The Journal of the Korea institute of electronic communication sciences
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    • v.5 no.6
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    • pp.678-685
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    • 2010
  • One of the computer application fields which started showing noticeable new growth trends in recent years is the real time communication distributed computing application field. Object-oriented(OO) real time(RT) distributed computing is a form of real-time distributed computing realized with a distributed computer system structured in the form of an object network. In this paper, we describes the application environment as the patient monitor telemedicine system with TMO structure. Vital sign information web viewer systems is also the standard protocol for medical image and transfer. In order to embrace new technologies as telemedicine service, it is important to develope the standard protocol between different systems in the hospital, as well as the communication with external hospital systems. We implemented integration patient monitor telemedicine system between vital sign web viewer systems and hospital information systems.

Smart Jewelry System for Health Management based on IoT (사물인터넷 기반 건강관리 스마트 주얼리 시스템)

  • Kang, Yun-Jeong;Yin, Li;Choi, DongOun
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.20 no.8
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    • pp.1494-1502
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    • 2016
  • With the increasing availability of medical sensors and Internet of Things(IoT) devices for personal use, considering the interaction with users, it is planned to add intelligent function design to the fashionable jewelry, and develop composite multi-function intelligent jewelry through sensors identification. By means of IoT technology, while possessing communication function of intelligent jewelry, the function of intelligent jewelry can be expanded to the linkage network. In order to rapidly manage the mass data produced by intelligent jewelry sensors based on IoT, an intelligent jewelry system for health management is designed and an ontology model of intelligent jewelry system based on IoT is worked out. After the state of the services through the smart phone application is shown. The application provides a personalized service to the user and to determine the risk to show the guide lines according to the disease.

Design of An Fair Non-Repudiation Protocol Using Digital Signature Recorder (전자서명 기록기를 이용한 공정한 부인방지 프로토콜의 설계)

  • Lee, Yong-Joon;Oh, Hae-Seok
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.29 no.9C
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    • pp.1345-1351
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    • 2004
  • Due to the overwhelming importance the Internet gained nowadays, more and more sophisticated security services are requested. However many applications such as Internet Banking, Home Trading System, Electronic Medical Recede, electronic commerce, etc. are related to non-repudiation. Non-repudiation services are one of these new security requirements. ill comparison to other security issues, such as privacy or authenticity of communications, non-repudiation has not been studied intensively. Informally, we say that a protocol is fair if at the end of the protocol execution either originator receives a non-repudiation of receipt evidence and recipient receives a non-repudiation of origin evidence or none of them receives any valid evidence. The most non-repudiation protocols rely on a trusted third party(TIP) that has to intervene during each protocols run. the TIP may create a communication bottleneck. ill this paper, we suggest the digital signature recorder that guarantees fairness logically and supplies minimal network bottleneck to be composed verification server physically.

Evaluation Study of Home Health Care Program Operated in G Public Health Center (인천광역시 일 보건소 대도시 방문보건사업의 평가 연구)

  • Kim, Myung-Soon;Kim, Young-Sook
    • Research in Community and Public Health Nursing
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    • v.15 no.4
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    • pp.539-550
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    • 2004
  • Purpose: The purpose of this study was to evaluate the achievements of the project, and also to find out its strengths and weaknesses. Method: This evaluative study employed system theory and analytic techniques by using criteria which were relevance, appropriateness, adequacy, progress, effectiveness and satisfaction for input, process, output, and outcome of program. Study subjects were participants in the home health care program implemented in G public health center in Inchon metropolitan city in 2003. Results: Input factors including recruitment personnel, and support organization development were not adequately met for the program. However. the goal and objectives of the project were really appropriate for the community needs as well as government's policy. For the Process evaluation, home health care record form and computer data base had not progressed as scheduled, but overall program activities were finished on time. However, cooperation between organizations in the health center during service activity were not supportive. Managerial ability of program charged personnel about coordination and integration of team members was not affirmative. Output and outcome evaluation showed that people improved self care ability were 221 (17.5%). and 71 (5.62%) of subjects were moved into category of possible self-care. Client's satisfaction for this project showed a high degree. Conclusions: Based on the above results support organization and staff personnel for this program should be developed. Also, a community network of resources should be established and case management services should be focused continuously in community based home health care.

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HIV Knowledge and Attitude and Its Related Factors of Cambodian Adolescents (캄보디아 청소년의 HIV 지식 및 태도와 영향요인)

  • Pahn, Jihyon;Yang, Youngran;Lewis, Frances M.
    • Journal of Convergence for Information Technology
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    • v.10 no.8
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    • pp.108-119
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    • 2020
  • This describes the level of knowledge and attitudes about HIV and their related factors among Cambodian adolescents. A cross-sectional design was used to examine the knowledge and attitude of 463 Cambodian high school students using HIV-KQ-18 (HIV-Knowledge Questionnaire-18) and HIV/AIDS Behavior Surveillance Survey Index (measuring attitude about HIV). The majority of the adolescents had a relatively low level of overall HIV knowledge (6.70 ± 3.66 (range: 0-16)) and held a very negative attitude (1.92 ± 0.87 points (range: 0-4)) toward the disease. Using multiple regression analysis, being male (β = 0.28, p < 0.001) and using YouTube as a social network service (β = 0.33, p = 0.035) were found to be independent factors associated with higher level of HIV knowledge. Study findings suggest the importance of informing policymakers and school nurses about the need to develop a and require a culturally sensitive specific health education program on HIV for Cambodian adolescents.

Analysis of Correlation Between Radiation Information Sources and Major Selection Satisfaction : Focused on Radiologic Science Students in Korea and the United States (방사선 정보원과 전공 선택 만족도의 상관관계 분석 : 한·미 방사선학과 대학생들 중심으로)

  • Seoung, Youl-Hun
    • Journal of the Korean Society of Radiology
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    • v.13 no.6
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    • pp.865-872
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    • 2019
  • The purpose of this study was to analyze the correlation between radiation information sources and major selection satisfaction in radiologic science students of Korean and American. The subjects of this study were first-grade and second-grade at one university in Chungbuk, Korea and one university in Texas, USA. The survey study investigated from May 7, 2019 to May 28, 2019. As a result, first, these college students in both countries used the internet the most as them, but the percentage of information collected through textbooks was significantly higher among American college students. Second, Korean college students had a higher level of reliability in information sources than American college students in the order of internet, newspapers, and social network service (SNS), except government prints. Third, American college students had significantly higher satisfaction in major selection than Korean college students. Fourth, Korean college students were helped to select majors through various information sources, especially, the correlation coefficient between SNS was significantly higher.