• Title/Summary/Keyword: Medical information system

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The Effect of X-ray Tube Potential on the Image Quality of Digital Chest Radiography with an Amorphus Silicon Flat Panel Detectors (비정질 평판형 측정기를 이용한 디지털 흉부 방사선 영상에서의 효과적인 관전압 선택)

  • Kim, Jung-Min;Im, Eun-Kyung
    • Journal of radiological science and technology
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    • v.28 no.4
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    • pp.273-277
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    • 2005
  • The rapid development in digital acquisition technology in radiography has not been accompanied by information regarding optimum radiolographic technique for use with an amorphus silicon flat panel detector. The purpose of our study was to compared image quality and radiation dose of an amorphus silicon flat panel detectors for digital chest radiography. All examinations were performed by using an amorphus silicon flat panel detector. Chest radiographs of an chest phantom were obtained with peak kilovoltage values of $60{\sim}150kVp$. Published data on the effect of x-ray beam energy on image quality and patient dose when using an amorphus silicon flat panel detector. It is important that radiographers are aware of optimum kVp selection for an amorphus silicon flat panel detector system, particularly for the commonly performed chest examination.

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Development of High Entropy Alloy Film using Magnetron Sputtering

  • Kim, Young Seok;Lim, Ki Seong;Kim, Ki Buem
    • Proceedings of the Korean Institute of Surface Engineering Conference
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    • 2018.06a
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    • pp.129-129
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    • 2018
  • Hard coating application is effective way of cutting tool for hard-to-machine materials such as Inconel, Ti and composite materials focused on high-tech industries which are widely employed in aerospace, automobile and the medical device industry also Information Technology. In cutting tool for hard-to-machine materials, high hardness is one of necessary condition along with high temperature stability and wear resistance. In recent years, high-entropy alloys (HEAs) which consist of five or more principal elements having an equi-atomic percentage were reported by Yeh. The main features of novel HEAs reveal thermodynamically stable, high strength, corrosion resistance and wear resistance by four characteristic features called high entropy, sluggish diffusion, several-lattice distortion and cocktail effect. It can be possible to significantly extend the field of application such as cutting tool for difficult-to-machine materials in extreme conditions. Base on this understanding, surface coatings using HEAs more recently have been developed with considerable interest due to their useful properties such as high hardness and phase transformation stability of high temperature. In present study, the nanocomposite coating layers with high hardness on WC substrate are investigated using high entropy alloy target made a powder metallurgy. Among the many surface coating methods, reactive magnetron sputtering is considered to be a proper process because of homogeneity of microstructure, improvement of productivity and simplicity of independent control for several critical deposition parameters. The N2 is applied to reactive gas to make nitride system with transition metals which is much harder than only alloy systems. The acceleration voltage from 100W to 300W is controlled by direct current power with various deposition times. The coating layers are systemically investigated by structural identification (XRD), evaluation of microstructure (FE-SEM, TEM) and mechanical properties (Nano-indenter).

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A Study on the Online-based one-stop private health insurance claims (온라인 기반 원스톱 실손의료보험료 청구에 관한 연구)

  • Lee, Kyounghak;Kang, Min-Soo;Lee, Jae-Yeul
    • Journal of Digital Convergence
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    • v.14 no.4
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    • pp.231-237
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    • 2016
  • The private health insurance covers areas that are not covered by the national health insurance to reinforce insurance guarantee. Realistically, however, many people renunciate small sum insurance claims because the inconvenient claim procedures require a certificate from the hospital for resubmission to the insurance company, which is very time consuming. Therefore, One-stop insurance payout claiming system that is capable of one stop processing of the issuance of e-page safer technology-based certification to claiming of insurance payout by utilizing authorized electronic address (#-mail) through the utilization of private information concealment technology and identification certification technology for the convenience of the subscribers and the simplification of operation was developed.

Review of Clinical Research of Korean Medicine on Postpartum Pelvic Organ Prolapse (산후 골반장기탈출증에 대한 한의학적 임상 연구 동향)

  • Park, Nam-Gyeong;Hwang, Young-Sik;Kim, Gyu-Tae;Park, Seung-Hyeok;Lee, Jin-Moo;Lee, Chang-Hoon;Jang, Jun-Bock;Hwang, Deok-Sang
    • The Journal of Korean Obstetrics and Gynecology
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    • v.33 no.4
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    • pp.93-112
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    • 2020
  • Objectives: The purpose of this study is to review the clinical research trends of postpartum pelvic organ prolapse and to recognize the efficacy of Korean medicine intervention. Methods: Based on seven domestic and foreign databases, including Research Information Sharing Service (RISS), Oriental Medicine Advanced Searching Integrated System (OASIS), Journal of Korean Obstetric and Gynecology, Cochrane Library Central, Pubmed, China National Knowledge Infrastructure (CNKI) and WangFang Med Online, we analyzed the clinical trials using Korean medicine intervention, which included acupuncture and herbal medicine. Data retrieval was carried out on May 18 to 20, 2020, and a total of 13 papers were included. Results: All papers were published in China and it contains nine randomized controlled trials, three clinical trials, and one case. The most frequently used intervention was herbal medicine, and Bupleuri Radix, Cimicifugae Rhizoma were used. The treatment group treated by Korean medicine intervention was more effective than the control group. Also, there were no significant side effects of Korean medicine. Conclusion: This study shows that Korean medicine can be effective and safe medical alternatives or options for pelvic organ prolapse patients. However, to laying the foundation of clinical guidelines and applying it to the real-world clinical scene, further follow-up research is needed.

Feasibility of Dacryoscintigraphy in Normal Dogs (정상 개에서 누비공신티그라피의 적용)

  • Cho, Young-Kwon;Lee, Ki-Chang
    • Journal of Veterinary Clinics
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    • v.27 no.5
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    • pp.559-564
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    • 2010
  • The purpose of this study was to evaluate the value of dacryoscintigraphy with Tc-99 m Pertechnetate, which is useful in functional nasolacrimal duct obstruction diagnosis in human medical science, by applying it to normal dogs. Dacryoscintigraphy was performed on six clinically healthy beagle dogs to confirm normal passage of their lacrimal ducts. The scintigraphic images of both lacrimal system were obtained at 5 min, 10 min, and 20 min after Tc-99 m Pertechnetate administration, respectively. If lacrimal duct does not come into view within 20 min, delayed images at 30min, 45min and 60 min were gained. After drawing ROI of left and right canaliculus, lacrimal sac, and nasolacrimal duct acquired after dacryoscintigraphy, we measured each counting rate and developed a counting rate table for each time interval. Of the total of 12 places, 10 (83.3%) showed patency within 20 min, and 11 (91.6%) showed patency within 30 min. In one dog, a functional obstruction of right lacrimal canal was observed. Dacryoscintigraphy could provide useful information about functional and anatomical lacrimal duct obstruction in veterinary medicine as well as in clinical research.

Falls in the General Hospital Inpatients: Incidence, Associated Factors (일개 종합병원 입원환자의 낙상 실태 및 관련 요인)

  • Yang, Hwa-Mi;Chun, Byung-Chul
    • Quality Improvement in Health Care
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    • v.15 no.2
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    • pp.107-120
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    • 2009
  • Background : To estimate fall incidence rate and associated factors in inpatients from a general hospital. Method : The data were collected from 104 fall incident reports developed by the patient safety committee in a general hospital in Seoul from 01 January 2007 to 31 December 2008. Information included general characteristics of patients, factors related to fall, types, places, circumstances and outcomes of fall. Result : The incidence rate of fall, which was 4.4 per 1,000 total discharged patients and 0.5 per 1,000 patient-days, was much lower than that of several hospitals in the United States. The difference may reflect the different incidence reporting system of each hospital. Fall-prone patients were, in general, $$\geq_-$$65 years of age, had an alert mental status, were ambulatory with some assistance, and were dependent on and ambulatory device. High incidence of falls was associated with patients with circulatory disease. The majority of fall events usually occurred in bed or at the bedside in the patient's room, and occurred more often during the night than during the day or evening. Risk factors of fall were use of drugs (antihypertensive or neuropsychiatric drugs) and environmental factors (e.g., overly high bed height, surrounding objects, inadequate fitness shoes and slippery floor). Physical injury occurred in 43.3% of fall events, which typically required diagnosis of injury and treatment such as suturing. Risk factors for repeated falls were use of a neuropsychiatric drug (odds ratio=13.9) and gait disturbance (odds ratio=91.2). Risk factors for fall-related injury were alert mental status (odds ratio=3.3 times more likely to fall than those who were drowsy or in a stupor) and general weakness(odds ratio=3.3 times more likely to fall than those who were not generally weak). Conclusion : Medical and nursing staff should be aware of the fall risk factors of hospitalized patients and should intensively pursue preventative strategies. Development of fall prevention education based on these results is recommended.

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A Comparative Analysis of Practical Test Methods for National Technical Qualification and Course-based National Technical Qualification License for Esthetician (국가 기술자격 미용사(피부) 검정형과 과정평가형 실기시험 평가방법의 비교 분석)

  • Kim, Na-Young;Kim, Jung-Won
    • Journal of Convergence for Information Technology
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    • v.10 no.7
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    • pp.240-248
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    • 2020
  • This study compares and analyzes the tasks and evaluation methods of national technically qualified Skin Esthetic through systematic literature review of prior studies on qualification tests for Skin Esthetic qualification and process evaluation types that have been reorganized based on NCS. The national technical qualification is based on the ability to work through memorization-oriented theoretical tests and simple repetition of functions, and the Qualified qualification is relatively short in the period of test execution, and the reliability of its internal evaluation at the enforcement agency continues to be reduced. In the future, national technical qualification require innovation in the qualification system to reflect skilled demand at industrial sites, and course-based qualification for require supplementation and improvement of education and training courses so that they can learn skilled skills at the site.

3D Head Modeling using Depth Sensor

  • Song, Eungyeol;Choi, Jaesung;Jeon, Taejae;Lee, Sangyoun
    • Journal of International Society for Simulation Surgery
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    • v.2 no.1
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    • pp.13-16
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    • 2015
  • Purpose We conducted a study on the reconstruction of the head's shape in 3D using the ToF depth sensor. A time-of-flight camera (ToF camera) is a range imaging camera system that resolves distance based on the known speed of light, measuring the time-of-flight of a light signal between the camera and the subject for each point of the image. The above method is the safest way of measuring the head shape of plagiocephaly patients in 3D. The texture, appearance and size of the head were reconstructed from the measured data and we used the SDF method for a precise reconstruction. Materials and Methods To generate a precise model, mesh was generated by using Marching cube and SDF. Results The ground truth was determined by measuring 10 people of experiment participants for 3 times repetitively and the created 3D model of the same part from this experiment was measured as well. Measurement of actual head circumference and the reconstructed model were made according to the layer 3 standard and measurement errors were also calculated. As a result, we were able to gain exact results with an average error of 0.9 cm, standard deviation of 0.9, min: 0.2 and max: 1.4. Conclusion The suggested method was able to complete the 3D model by minimizing errors. This model is very effective in terms of quantitative and objective evaluation. However, measurement range somewhat lacks 3D information for the manufacture of protective helmets, as measurements were made according to the layer 3 standard. As a result, measurement range will need to be widened to facilitate production of more precise and perfectively protective helmets by conducting scans on all head circumferences in the future.

Continuity of Care in Chronic Diseases: A Concept Analysis by Literature Review

  • Hu, Jingjing;Wang, Yuexia;Li, Xiaoxi
    • Journal of Korean Academy of Nursing
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    • v.50 no.4
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    • pp.513-522
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    • 2020
  • Purpose: This study aimed to utilize concept analysis to obtain a better understanding of the concept of "continuity of care" in chronic diseases. Methods: The concept of continuity of care was analyzed using the Walker and Avant method. Covering literature in English from 1930 to 2018, the data sources included CINAHL Complete, Academic Search Complete, MEDLINE, PsyARTICLES, Health Source: Nursing/Academic Edition, Google Scholar, Science Direct, and the Cochrane Library. Results: A comprehensive definition of concept of continuity of care was developed based on a systematic search and synthesis. The key defining attributes were identified as (a) care over time, (b) the relationship between an individual patient and a care team, (c) information transfer, (d) coordination, and (e) meeting changing needs. The antecedents of continuity of care were having a chronic disease, inexperienced with disease management, a poorly coordinated healthcare system, and medical care limitations. The consequences of continuity of care were decreasing hospital admissions, reducing costs, reducing emergency room visits, improving the quality of life, improving patient satisfaction, and delivering good healthcare. Conclusion: The thorough concept analysis provides insight into the nature of "continuity of care" in chronic diseases and also helps ground the concept in healthcare.

Geometric Features Detection of 3D Teeth Models using Approximate Curvatures (근사 곡률을 이용한 3차원 치아 모델의 기하학적 특징 검출)

  • Jang, Jin-Ho;Yoo, Kwan-Hee
    • The KIPS Transactions:PartA
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    • v.10A no.2
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    • pp.149-156
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    • 2003
  • In the latest medical world, the attempt of reconstructing anatomical human body system using computer graphics technology awakes people's interests. Actually, this trial has been made in dentistry too. There are a lot of practicable technology fields using computer graphics in dentistry For example, 3D visualization and measurement of dental data, detection of implant location, surface reconstruction for restoring artificial teeth in prostheses and relocation of teeth in orthodontics can be applied. In this paper, we propose methods for definitely detecting the geometric features of teeth such as cusp, ridge, fissure and pit, which have been used as most important characteristics in dental applications. The proposed methods are based on the approximate curvatures that are measured on a 3D tooth model made by scanning an impression. We also give examples of the geometric features detected by using the proposed methods. Comparing to other traditional methods visually, the methods are very useful in detecting more accurate geometric features.