• Title/Summary/Keyword: Medical recording

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Common Practices in Clinical Electroencephalography (임상뇌파검사의 일반적인 관행)

  • Hyun, Soon-Chul;Kim, Dongyeop
    • Korean Journal of Clinical Laboratory Science
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    • v.53 no.4
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    • pp.296-308
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    • 2021
  • Electroencephalography (EEG) provides the most accurate and quickest diagnosis of epilepsy. It is also an important examination for the real-time evaluation of brain function and seizures, no matter where. In the field of epilepsy, it is appropriate for a clinical pathologist with considerable knowledge of EEG and clinical experience to perform the role of a Physician Assistant (PA). The electrode attachment method is based on the international 10-20 system. The EEG reading is mainly taken by longitudinal bipolar montage. However, a reading using only one montage may result in an error. Hence, two or more montages should be used for readings according to the clinical situation. In the EEG, electric potentials are seen as contour lines. The most important principle in EEG reading is under-reading, not over-reading. The higher the repetitions of the EEG recording, the greater the sensitivity of the reading. For a good reading, the EEG recording must be of good quality. So, the relationship between the neurologist and the EEG technician is very important. In the future, it is expected that the field of activities of the EEG technician with abundant EEG reading experience and clinical practical knowledge will be further expanded.

The Student Internship Experience (의과대학 학생인턴제의 운영 일례 연구)

  • Choi, Son-Hwan
    • Korean Medical Education Review
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    • v.17 no.1
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    • pp.26-32
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    • 2015
  • Recently, the student internship has been introduced in medical schools as a way of preparing students with training experience and medical knowledge by performing clinical practice. This study discusses student internship management and ways to operate the internship effectively. Catholic University of Daegu School of Medicine has set up a 6-week internship program for fourth-year undergraduate students. In most of the sections, students have shown their satisfaction, particularly when they have received appropriate feedback and attention from their professors. The students found that performing the evaluation and treatment of patients and individual chart recording were informative and helpful. However, they felt a lack of basic knowledge and clinical skills and had difficulty in understanding their roles and in time management. The success of an internship depends on the passion and interest that professors show for their students along with active support from the other faculty and thoughtful consideration of patients and all their friends and family members. In addition, with growing awareness of the need for the student internship, it is necessary that the school executive provide financial and administrative support to the faculty and staff, clarify roles and the work needed to perform the tasks, ensure substantiality of the individual program with professors or departments, provide enough preliminary courses, and monitor outcomes and reflection.

Vocal Exercise System Using Electroglottography (성문전도를 이용한 발성훈련 시스템)

  • Lee, Je-Hyun;Kim, Ji-Hye;Kang, Gu-Tae;Jung, Dong-Keun
    • Journal of Sensor Science and Technology
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    • v.22 no.2
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    • pp.156-161
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    • 2013
  • This study was aimed to implement the electroglottography (EGG) system for analyzing fundamental frequency of the phonation. EGG was recorded from the conductance between ring electrodes attached to the neck skin area near thyroid cartilage with high frequency carrier electric signals during vocalization, and voice signal was recorded with microphone simultaneously. EGG and voice signals were transmitted to the audio port in PC and recorded with stereo sound recording program. From the digitized data, several parameters such as pitch, jitter, shimmer, CQ and SQ were analyzed from the vowel sounds. For the voice training, sound fundamental frequency was displayed during the vocalization and singing a song using pitches analyzed from the EGG. The system implemented in this study could be used for vocal exercise.

Analysis of Nursing Records for Elderly Patients with Abdominal Pain in the Emergency Medical Center (응급의료센터에 내원한 복부통증 노인 환자에 대한 간호기록 분석)

  • Lee, Hyeo Ki;Kim, Jong Im
    • Journal of muscle and joint health
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    • v.26 no.1
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    • pp.27-34
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    • 2019
  • Purpose: This study was done to analyze nursing assessment and nursing care for pain in the electronic nursing records for the elderly patients with abdominal pain visiting the Emergency Medical Center. Methods: This study is a descriptive study based on nursing records from January to December 2015. A total of 1155 records for elderly patients with abdominal pain were gathered. Results: The mean age of elderly patients whose records were analyzed was 75.2 years. Analysis of nursing records regarding pain management showed that semi-urgent severity (93.7%), direct emergency room visits (58%), and 6.01 hours of emergency room stay (6.01 hours)were the most frequently documented characteristics of the elderly patients with pain complaints. Recording time of nursing assessment for abdominal patients was 1.01 hour; the average pain intensity was 3.97. The mostly used nursing intervention for abdominal pain was medication (65.1%). There was no record of non-pharmacological pain nursing interventions. Conclusion: The results of this study showed that improving knowledge and nursing practice for pain management is much of necessity. In particular, development of the non-pharmacological nursing interventions for pain is needed. Further research is also imperative to develop and evaluate record systems for pain management that can be used in the emergency room.

Deep Brain Stimulation of the Globus Pallidus in a 7-Year-Old Girl with DYT1 Generalized Dystonia

  • Jin, Seon Tak;Lee, Myung Ki;Ghang, Ju Young;Jeon, Seong Man
    • Journal of Korean Neurosurgical Society
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    • v.52 no.3
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    • pp.261-263
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    • 2012
  • The experience of pediatric deep brain stimulation (DBS) of the globus pallidus internus (GPi) in the treatment of early-onset DYT1 generalized dystonia is still limited. Here, we report the surgical experience of bilateral GPi-DBS under general anesthesia by using microelectrode recording in a 7-year-old girl with early-onset DYT1 generalized dystonia. Excellent improvement of her dystonia without neurological complications was achieved. This case report demonstrates that GPi-DBS is an effective and safe method for the treatment of medically refractory early-onset DYT1 generalized dystonia in children.

Detection of Neuronal Activity by Motion Encoding Gradients: A Snail Ganglia Study

  • Park, Tae-S.;Park, Ji-Ho;Cho, Min-H.;Lee, Soo-Y.
    • Journal of Biomedical Engineering Research
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    • v.28 no.1
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    • pp.24-28
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    • 2007
  • Presuming that firing neurons have motions inside the MRI magnet due to the interaction between the neuronal magnetic field and the main magnetic field, we applied motion encoding gradients to dissected snail ganglia to observe faster responding MRI signal than the BOLD signal. To activate the snail ganglia in synchronization with the MRI pulse sequence, we used electrical stimulation with the frequency of 30 Hz and the pulse width of 2s. To observe the fast responding signal, we used the volume selected MRI sequence. The magnetic resonance signal intensity, measured with 8 ms long motion encoding gradient with a 20mT/m gradient strength, decreased about $3.46{\pm}1.48%$ when the ganglia were activated by the electrical stimulation.

A Restructuring Method for Search Results of SNOMED CT Browser (SNOMED CT 브라우저에서 검색 결과의 재구성 기법)

  • Ryu, Wooseok
    • IEMEK Journal of Embedded Systems and Applications
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    • v.10 no.3
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    • pp.165-170
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    • 2015
  • SNOMED CT browser is a browsing tool for searching clinical terms in SNOMED CT which is a standard terminology set used worldwide. The search result view of previous browsers merely list up candidate terminologies. The problem is that most of users become confused about how to select an appropriate term from the list. This leads serious waste of medical recoding cost. This paper discusses characteristics of SNOMED CT dataset and proposes a novel design of enhanced result view by restructuring the results using relationships of SNOMED CT concepts. Using the proposed scheme, medical doctors or officers can select appropriate terms more efficiently and can reduce overall recording time.

Flap Monitoring by Infra-red Thermometer (적외선 고막 체온계를 이용한 피판감시)

  • Kirk, Insoo;Hong, Joon-Pio
    • Archives of Reconstructive Microsurgery
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    • v.13 no.1
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    • pp.82-85
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    • 2004
  • Flap monitoring is important for flap salvage. Although there are many methods to observe the flap, practical methods mostly used are subjective methods. Recording flap surface temperature is one of the objective methods of flap monitoring. We used an infra-red thermometer to simplify monitoring of the flap temperature. 60 groin flaps of SD rats are used in the experiment. Artificial arterial or venous insufficiency was made and the surface temperature was checked and compared with body temperature. In the results, the temperature of the arterial clamped flaps was lower than that of body and the mean difference was $0.3^{\circ}C$ after 20 minutes of clamping. In the vein-clamped flaps, the mean decrease was $0.4^{\circ}C$ after 30 minutes of clamping. The all difference of the temperature between the flaps and body was statistically significant. Our results suggest that flap monitoring by infra-red thermometer is simple, useful and helpful to evaluate the flap status.

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A Study on the Developement of Digital Polysomnograph System (디지탈 수면다원검사 시스템 개발)

  • Park, H.J.;Park, K.S.;Jeong, D.U.
    • Proceedings of the KOSOMBE Conference
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    • v.1996 no.05
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    • pp.10-13
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    • 1996
  • We have developed the digital polysomnograph system to enhance the manual sleep study. This system is composed of host PC and target board. The host computer is IBM-PC Pentium 133 MHz and the target board is PC31 (processor type: TMS320C31). These two Processors communicate with each other by dualport RAM. Target board acquire 16 channel sleep signals from the Polysomnographic system (GRASS model 78, USA) and digitize them. We used high resolution monitor$(1600{\times}1280)$ to simulate the paper-recording quality of polysomnographic signal. We also implemented the GUI based polysomnographic staging program on the windows environment. Clinicians can score the sleep stage, and edit and mark the event efficiently. Finally it can support making patient database.

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An Exploratory Study on the Acceptance Intention of Converged Healthcare Equipment Using Neuro-Tech (뉴로테크를 활용한 헬스케어 디바이스의 수용의도에 관한 연구)

  • Kang, Heekyung;Koh, Youngsam
    • Journal of Korea Multimedia Society
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    • v.24 no.1
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    • pp.134-145
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    • 2021
  • The purpose of this study is to explore the acceptance intent of groups of experts and users for converged medical equipment using NeuroTech. This healthcare equipment is applied with technology that simultaneously enhances body function and cognitive function. Interviews were conducted with groups of experts and users to investigate the acceptance of equipment. The interviews include health problems for the elderly, the need to develop medical equipment, and the effectiveness. After recording the collected historical data, we performed the data analysis in accordance with the procedures of the phenomenological analysis method. The total number of people interviewed was 27, 16 experts and 11 users. As a result of the interview, we derived seven topic groups for each of the 12 topic groups and user groups. The implications were derived based on the results.