• 제목/요약/키워드: Medical recording

검색결과 311건 처리시간 0.029초

Single Calcium Channels in Rat Superior Cervical Ganglion Neurons

  • Lee, Hye-Kyung;Keith S. Elmslie
    • 한국생물물리학회:학술대회논문집
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    • 한국생물물리학회 2002년도 제9회 학술 발표회 프로그램과 논문초록
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    • pp.38-38
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    • 2002
  • Whole-cell recordings from adult rat sympathetic neurons demonstrate that calcium current is comprised of at least three types, N, L '||'&'||' R. We are using cell-attached patch recording to identify the single calcium channels that underlie these macroscopic currents. Single channels were resolved the presence of 100 mM Ba$\^$2+/ and l${\mu}$M BayK 8644 over the voltage range -40 to $\^$+/50 mV.(omitted)

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직업성 안상해(眼傷害)에 관한 기술역학적 연구 (A Study on the Epidemiological Characteristics of Industrial Ocular Injuries)

  • 이원철;이강숙;맹광호;이승한;정상문
    • Journal of Preventive Medicine and Public Health
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    • 제21권1호
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    • pp.113-120
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    • 1988
  • A total of 181 cases of industrial ocular injuries hospitalized and treated at the St. Mary's Hospital, Seoul during the 5-year period was studied on their epidemiological characteristics. Of these patients 96.7% were males, and 43.6% were in twenties, 49.7% of the cases were injured on left eyes. There were no statistically significant differences in frequencies of study subjects by day of the week and month of the year. Most common injury hour were between 10- <12 AM(13.6%) and between 2- <4 PM(20%). Of the total 101 cases, 37.6% were working less than 6 months, and 73.7%, less than 2 years. Of the total, 42.3% were involved in machinary work and 13.9%, in construction work. According to the American National Standard Method of recording basic facts relating to the nature and occurrence of work injuries, 62%, among all source of injuries was metal item and the most common accident type was struck by flying objects(76.2%). Among 181 cases, only 2 cases were wearing protective equipment when the accidents occurred.

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의무 기록 분석을 통한 응급실 흉통 간호 기록지 개발 (Analysis of Medical Records and Development of Chest Pain Care Record in the Emergency Department)

  • 최귀윤;문영숙;홍은석
    • 성인간호학회지
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    • 제18권4호
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    • pp.533-542
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    • 2006
  • Purpose: The purposes of this study were to investigate medical records and to develop care records for management of patients with chest pain in the emergency department. Method: Retrospective review of the 42 medical chart of patients presented to the emergency department with chest pain were used. The collected data were analyzed with a frequency of items in the medical records. Results: In a frequency analysis of recorded items for doctors' chest pain assessment during history taking, the history/risk factors was the highest rank. The following ranks were 'commenced with when/timing, extra symptoms, place, nature, stay/radiate, alleviate/aggravate, intensity' in sequence. In a frequency of recorded items in nurse's progress notes according to nursing actions, the 'checking/monitoring' was the highest rank. The following ranks were 'performing, administering/injecting, referring/arranging, testing, preparing/catheterizing, teaching/informing' in sequence. Chest pain care records for the emergency department was designed, based upon data analysis and literature review. Conclusion: The designed records can be a rapid and effective approach tool for assessment and recording of patients with chest pain. Further research is necessary for evaluating the designed chest pain care records.

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"본초강목(本草綱目)"이 "광제비급(廣濟秘笈)"에 미친 영향 분석 - "향약단방치험(鄕藥單方治驗)"을 중심으로 - (A Study on "Compendium of Matria Medica(本草綱目)"'s Influence to "Secret Works of Universal Benefit(廣濟秘笈)" - Focused on Experience by Simple Formulae using Korean herbs -)

  • 오재근;윤창열
    • 대한한의학원전학회지
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    • 제22권3호
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    • pp.337-346
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    • 2009
  • "Secret Works of Universal Benefit" was compiled by Lee Gyeonghwa(李景華, 1721-?) in Choseon Dynasty. Experience by Simple Formulae using Korean herbs in Secret Works of Universal Benefit was recorded Hangul name[鄕名], main medicinal effect and how to use etc. of 50 Korean herbs[鄕藥] to give aid to country people who didn't have medical knowledge. Secret Works of Universal Benefit have passed on traditional Korean medicine as selecting 50 Korean herbs and recording Hangul name. Though most of Experience by Simple Formulae using Korean herbs[鄕藥單方治驗] was quoted "Compendium of Matria Medica", it reflected developing of Korean traditional herb science[本草學] as selecting herbs, arranging frequent symptoms, changing main effect of herbs, and adding clinical experiences.

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핵의학 종사자의 방사선 피폭에 따른 생체신호 변화 분석 (Analysis of Changed Bio-Signal to Radiation Exposure of Nuclear Medicine Worker)

  • 이훈재;이상복
    • Journal of Radiation Protection and Research
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    • 제32권1호
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    • pp.27-34
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    • 2007
  • 본 논문에서는 일반인과 상대적으로 방사선피폭이 많은 핵의학 종사자들의 생체신호를 측정하여 방사선 피폭에 따른 생체신호 변화 정도를 비교 평가하고자 하였다. 핵의학과 종사자와 타부서 종사자들의 생체신호를 비교평가 하기 위하여 핵의학 종사자는 충북대학교 병원 핵의학과 종사자를 타부서 종사자는 전남대학교 병원 CT설, 일반촬영실, 의무기록실, 접수실 그리고 일반 사무실 종사자들에게 실험을 실시하였다. 실험에 쓰인 계측 장비들은 방사선량 계측을 위하여 Arrow -Tech사(社)의 poket dosimeter를 사용하였고, 생체신호인 심박수, 혈압을 측정하기 위하여 GE Medical Systems사(社)의 TONOPORT V, Heat flux, Skin temperature, Energy expenditure을 측정하기 위하여 Body Media사(社)의 Armband 인 SenseWare 2000을 사용하였다. 실험 결과 다음과 같은 결론을 얻었다. 1) 일일 장소에 따른 개인별 피폭 선량은 핵의학과가 3.05 uSv를 기록하였고, CT실, 일반촬영실, 병원 의무기록실, 병원 접수실, 일반 사무실, 교원 등이 뒤를 이었다. 핵의학과가 다른 장소(핵의학과를 제외한 나머지)에 비해 약1.4배 선량이 많았다. 2) 방사선 누적선량이 Heat flux, Skin temperature, Energy expenditure와는 별다른 관계가 없는 것을 알 수 있었다. 3) Blood pressure 에서는 Systolic blood pressure와 Diastolic blood pressure 이 핵의학과 종사자, 일반사무직 종사자, 일반인이 고르게 나타났다. 방사선선량이 상대적으로 많은 곳에서 근무하는 핵의학 종사자와 다른 직종에 종사하는 사람의 혈압을 비교해 왔을 때 변화가 없었다. 이 같은 결과로 볼 때 방사선 피폭이 상대적으로 많은 핵의학종사자들의 방사선 피폭에 따른 유해는 없다는 것을 알 수 있었다.

A Trusted Sharing Model for Patient Records based on Permissioned Blockchain

  • Kim, Kyoung-jin;Hong, Seng-phil
    • 인터넷정보학회논문지
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    • 제18권6호
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    • pp.75-84
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    • 2017
  • As there has been growing interests in PHR-based personalized health management project, various institutions recently explore safe methods of recording personal medical and health information. In particular, innovative medical solution can be realized when medical researchers and medical service institutes can generally get access to patient data. As EMR data is extremely sensitive, there has been no progress in clinical information exchange. Moreover, patients cannot get access to their own health data and exchange it with researchers or service institutions. It can be operated in terms of technology, yet policy environment are affected by state laws as well as Privacy and Security Policy. Blockchain technology-independent, in transaction, and under test-is introduced in the medical industry in order to settle these problems. In other words, medical organizations can grant preliminary approval on patient information exchange by using the safely encrypted and distributed Blockchain ledger and can be managed independently and completely by individuals. More apparently, medical researchers can gain access to information, thereby contributing to the scientific advance in rare diseases or minor groups in the world. In this paper, we focused on how to manage personal medical information and its protective use and proposes medical treatment exchange system for patients based on a permissioned Blockchain network for the safe PHR operation. Trusted Model for Sharing Medical Data (TMSMD), that is proposed model, is based on exchanging information as patients rely on hospitals as well as among hospitals. And introduce medical treatment exchange system for patients based on a permissioned Blockchain network. This system is a model that encrypts and records patients' medical information by using this permissioned Blockchain and further enhances the security due to its restricted counterfeit. This provides service to share medical information uploaded on the permissioned Blockchain to approved users through role-based access control. In addition, this paper presents methods with smart contracts if medical institutions request patient information complying with domestic laws by using the distributed Blockchain ledger and eventually granting preliminary approval for sharing information. This service will provide an independent information transaction and the Blockchain technology under test will be adopted in the medical industry.

자율실습교육에서 스마트폰 동영상을 활용한 자가평가 학습법이 간호술기 수행능력, 자율실습만족도, 학습동기에 미치는 효과: 유치도뇨를 중심으로 (Effects of Self-evaluation using Smartphone Recording on Nursing Students' Competency in Nursing Skills, Satisfaction, and Learning Motivations: Focusing on Foley Catheterization)

  • 장은화;박수현
    • 기본간호학회지
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    • 제24권2호
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    • pp.118-127
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    • 2017
  • Purpose: The purpose of this study was to identify effects of self-evaluation using smartphone recording on competency in nursing skills, satisfaction and learning motivations in nursing students'. The setting was the open laboratory hours. Methods: A quasi-experimental pre/post-test design was conducted in September 2015. The participants were 82 sophomore nursing students from one University. The experimental group did self-evaluation by watching recorded video clips of their performance. The control group did not have any self-evaluation. The primary outcomes were scores from the foley catheterization checklist, scores from a student satisfaction tool, and scores from a learning motivation tool. Data were analyzed using ${\chi}^2$ test, Fisher's exact test, independent t-test, and paired t-test. Results: There was a significant higher mean score in levels of satisfaction by students in the experimental group compared to the control group (t=2.26, p=.027). In addition, improvement in communication skills by the experimental group was significantly higher than improvement in the control group (t=3.96, p<.001). Conclusion: Findings show that self-evaluation using smartphone recordings has positive effects on increasing both communication skills and satisfaction with practice during open laboratory hours. These results indicate that, self-evaluation using smartphone recording is useful as a supplement to traditional open laboratory education.

간호일지와 간호사의 면담자료에 나타난 간호활동 내용의 비교분석 (Comparison of Nursing Activities Reflected in Nursing Notes rind In-depth Interviews of Nurses in an Acute Hospital)

  • 송미순;김매자;박영숙;이은옥;하양숙;한경자;류세앙;강혜영;김경남
    • 대한간호학회지
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    • 제33권6호
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    • pp.802-811
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    • 2003
  • Purpose: The purpose of this study was to compare the nursing activities delineated by interview of nurses with those on nursing notes. Method: The participants of interview were 18 nurses working in medical and surgical units of a large hospital in Seoul. Each nurse was asked to choose one patient who demand most nursing care among her patients. The nurse was then interviewed to describe what her nursing activities for the patient was that day. The audio-taped interview was transcribed and the content was analyzed by researchers. Nursing notes of each nurses' patients were copied and the content analyzed by researchers. Finally, themes from the interview data and those from nursing notes were compared. Result: Activities related to emotional or psychological nursing, education for patient and families, and problem solving related to treatment or nursing procedure were most often omitted in nursing notes. Most of the documentation in nursing notes were related to physical condition of patients or physician's orders. Nurses described that they will do better recording if they were given less patient care responsibility, had better nursing knowledge, had better recording system, and received more training on nursing record. Conclusion: Nursing notes did not reflect nursing activities properly. Few independent nursing roles were documented in the nursing notes. Development of nursing education program and nursing record system is needed for improvement of nursing record.

질적간호 제공을 위한 간호업무 중요도에 관한 조사연구 (A Study on Degree of Importance in Nursing Activities for the Quality of Nursing)

  • 홍춘실;김종임
    • 대한간호학회지
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    • 제14권2호
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    • pp.19-27
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    • 1984
  • This study was carried out for the purpose of investigating the degree of importance in nursing activities for the quality of nursing, and was conducted with 72 nurses and 69 patients in Chungnam National University Hospital from January to April, 1984. The results are as follows; 1. The mean importants score in physical care activities of the patients (2.58) is higher than that of the nurses (2.48). There is not significant difference for the mean important score in physical care activities between the patients and nurses (t=0.637, df=139, p>0.05). 2. The mean important score in psychological aspects of activities of the patients (2.94) is higher than that of the nurses (2.44). There is a significant difference for the mean important score in psychological aspects of activities between the patients and nurses (t=2.338, df= 139, p<0.05). 3. The mean important score in observation, recording and implementing medical care activities of the nurses (2.98) is higher than that of the patients (2.79) There is not significant difference for the mean important score in observation, recording and Implementing medical care activities between the patients and nurses (t=1.329, df=139, p> 0.05) 4. The mean important score in nursing management activities of the nurses (2.63) is higher than that of the patients (2.57). There is not significant difference for the mean important score in nursing management activities between the patients and nurses (t=1.329, df=139, p>0.05). 5. A number of items in nursing activities considered most important by nurses (Mean important score of 3.0 or above) were 12 items. The most importants item was“shift and exchange of information concerning patient”. 6. A number of items in nursing activities considered most important by patients (mean important score of 3.0 or above) were 14 items. The most important item was“Explain about diagnostic test ahead of time”. 7. A number of items in nursing activities considered least important by nurses and patients(Mean important score less than 1.9) were 5 items and 2 items, respectively. The least important item by nurses was“plan some diversion or recreation for patient”, and the least important item by patients was“Give a bed shampoo”.

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세포내 기록법으로써 검출한 망막 신경원의 동적 특성 (Dynamic properties of the retinal neurons by using of the intracellular recording method)

  • 이성종;정창섭;배선호
    • 한국의학물리학회지:의학물리
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    • 제9권2호
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    • pp.95-104
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    • 1998
  • 세포내 기록법으로써 메기 망막의 제3열신경원에 대한 동적 특성을 관찰하였다. 메기(channel catfish; Ictalurus punctatus)로부터 안구를 적출한 다음 각막, 홍채, 수정체, 초자체 둥을 차례로 제거함으로써 반구형의 eyecup 표본을 만들었다. 이 표본에 Ringer 용액 또는 실험용액을 관류시키면서 빛자극을 가함에 따라 신경원에서 발생하는 전압변동을 유리 미세전극을 통하여 검출하고 amplifier로써 증폭한 후 penwriter를 이용하여 기록하였다. 빛자극원으로는 컴퓨터 모니터를 이용하였으며, 막대형 자극의 이동속도 및 두께를 조절함으로써 대상 신경원의 위치를 포착하고 방향선택성을 조사하였다. GABA$_{B}$ 수용체 작용제인 baclofen에 의해 제3열신경원의 일종인 ON-지속성 신경원에서 암막전압은 과분극되며 지속성 성분은 억제된 반면 일과성 성분은 증대되었으며, 또한 ON-OFF 일과성 신경원은 특정 방향의 자극에 대한 빛반응이 선택적으로 억제되는 방향선택성을 나타내었다.

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