• 한국멀티미디어학회논문지
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• 제20권8호
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• pp.1439-1446
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• 2017

Steady exercise or walking exercise is helpful for the treatment of chronic diseases or cancers. In this paper, I presented a smart poster to enable the patients to exercise while moving between the smart posters, dynamically, in order to provide better exercise effect to them. It can be a new form of exercise prescription that combines exercise with walking using smart posters. The personalized exercise prescription is downloaded from the management server in real time when the patient approaches, and induces the patient's exercise and walking. In addition, the smart poster helps patient to move to other posters in order to induce more walking exercise. To achieve this, I proposed a transfer protocol that autonomously exchanges session information between smart posters in this paper. Moreover, the smart poster based on Raspberry was implemented to verify validity of this protocol, and an experiment was conducted to measure the request and response time between smart posters in the implemented environment. In the experiment, when the other poster sent the message requesting the exercise session 100 times and received the response message, the 95 percentage of received messages had the response time within 0.05 seconds.

• 기본간호학회지
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• 제7권1호
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• pp.122-136
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• 2000

Stroke patient needs rehabilitation after receiving an acute treatment in a hospital. When stroke patient gets involved in an early discharge program, home care nurse plays a pivotal role to make them to gain a full strength and to come back to his/her prior life before he/she is sick. In spite of the importance of home care nursing intervention protocol for home care nurses to perform home care nursing autonomously, home care nursing intervention protocol for stroke patient is rarely developed. Therefore this study was conducted to develop home care nursing protocol that is applicable for stroke patients in home care nursing area. 41 home care nursing charts for stroke patients registered in home care nursing agencies from December 1st 1994 to August 31st 1999 at Y hospitals in Seoul and Won-Ju city were analyzed. 44 home care nurses who were having over three years' experience on stroke patients were participated in this study as a user validity validation group. The results of this study are as follows. 1. 28 nursing diagnoses were selected on the basis of evaluation of nursing diagnoses of stroke patients presented in a previous literature and case studies on home care nursing. 2. 17 nursing diagnoses were classified through the frequency analysis of home care nursing charts for 41 stroke patients who had received home care nursing. The order of sequence was like these: impaired skin integrity, risk for infection, nutritional deficit, impaired physical mobility, constipation, knowledge deficit, ineffective airway clearance, anxiety in family members, risk for aspiration, self care deficit, altered urinary elimination, ineffective individual coping, social isolation, risk for injury, self-esteem disturbance, impaired verbal communication, fatigue of family caregiver. 3. Based on validation on expert and user validities, 44 nursing interventions which were above ICV=.80 were chosen. 4. Nursing intervention protocols which showed above ICV=.90 were developed and were like these; pressure ulcer care, position change, preventive care for circulatory dysfunction, tube care : catheter, vital sign monitor, constipation/impaction management, artificial airway management, suction of airway secretion, environmental management : safety, and fall prevention.

• 한국정보통신학회논문지
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• 제13권3호
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• pp.546-555
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• 2009

HL7은 병원정보 시스템에서 사용되는 정보와 관련된 표준화된 프로토콜이다. 생체 정보 웹 뷰어 시스템 또한 의료 영상 및 전송에 대해 표준화된 프로토콜이다. 본 논문에서는 ICU(Intensive Care Unit)에 설치된 Central Monitor에서 확인할 수 있는 환자의 생체 정보들을 웹상에서 실시간 확인할 수 있는 시스템 구성을 제안하기 위하여 생체정보 수신 모듈과 웹 뷰어 시스템을 구성하였다. 생체정보 수신 모듈은 Central Monitor로부터 수신할 수 있는 Raw Data 형태의 환자의 생체 정보를 생체 정보 웹 뷰어 시스템에서 사용가능 한 데이터로 분석할 수 있도록 설계가 이루어져 있다. 웹 뷰어 시스템은 환자 생체 정보에 대한 실시간성과 생체 정보에 대한 데이터의 연속성을 부여하여 베드 사이트의 환자에게서 발생된 모든 생체정보에 의해 환자 관리를 데이터 베이스를 이용하여 전산화함으로써 환자의 광범위한 자료 검색이 이루어지므로 획기적인 원격 진료로 활용이 가능하다. 또한 적절한 생체 정보데이터의 교환과 정보 관리의 수정을 통해 병원정보 시스템은 모든 병원 관계자의 보다나은 업무처리를 향상시킬 수 있다.

• 한국전자통신학회논문지
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• 제2권4호
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• pp.244-249
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• 2007

HL7은 병원정보 시스템에서 사용되는 정보와 관련된 표준화된 프로토콜이다. Central Monitor로부터 전송되어진 환자의 생체정보 Raw Data가 HIS의 데이터 수신 모듈을 통해 사용가능한 데이터로 재구성될 수 있도록 설계가 이루어져 있다. 환자 생체정보에 대한 실시간성과 생체정보에 대한 생체정보 데이터의 연속성을 부여함으로서 베드 사이트의 환자에게서 발생된 모든 생체정보에 의해 환자 관리가 이루어진다. 또한 보다 많은 검사장비의 데이터를 데이터베이스를 이용하여 전산화함으로서 해당 환자의 광범위한 자료 검색이 이루어지므로 획기적인 원격진료로 활용이 가능하다.

• 디지털융복합연구
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• 제12권7호
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• pp.279-284
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• 2014

최근 m-헬스케어는 응급상황이 발생할 경우, 환자의 정보가 제 3자에게 쉽게 노출되어 악용될 수 있는 문제가 있다. 본 논문에서는 m-헬스케어의 응급상황 환경에서 환자의 정보를 이용하여 환자의 프라이버시 노출을 최소화하기 위한 속성 기반의 환자 접근 제어 프로토콜을 제안한다. 제안 프로토콜은 환자의 민감한 정보를 제 3자에게 노출시키지 않도록 환자의 민감한 정보를 개인 건강 정보에 포함하여 병원관계자와 환자가 생성한 랜덤수로 해쉬한 서명키로 암호화한다. 또한 제 3자로부터 환자 정보가 불법적으로 악용되는 것을 예방하기 위해서 환자와 병원관계자 사이의 동기화를 유지함으로써 개인 건강 정보의 유출을 예방한다.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제46권5호
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• pp.358-360
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• 2020

The management of odontogenic keratocysts (OKC) remains a hotly debated topic in oral and maxillofacial surgery. Despite numerous studies and systematic reviews on treatment options, there is a lack of consensus and no accepted protocol on the management of OKC. Hence, the aim of this study was to briefly summarize all large systematic reviews in the literature on the management of OKC and formulate an evidence-based management protocol. Data from five large systematic reviews were combined to calculate the mean recurrence rate for each technique. Decompression followed by enucleation along with adjuvant methods such as application of Carnoy's solution and peripheral ostectomy can result in very low recurrence and is an acceptable first line treatment. The surgical approach should be determined by lesion size, patient age, proximity to vital structures, accessibility, soft tissue/cortical perforation, and if the lesion is recurrent.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제45권4호
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• pp.207-214
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• 2019

Objectives: Medically compromised patients often fear required dental surgical procedures that can increase the risk of medical emergency when combined with reduced tolerance for stress. A stress reduction protocol (SRP) helps doctors minimize treatment-related stress and improves patient management with minimum complications. Diabetes and co-morbid hypertension carry 4-fold risk of aggravation of cardiovascular emergencies and 7.2-fold risk of mortality. Diabetic neuropathy can result in difficult diagnosis of myocardial infarction and reduces chances of surviving a myocardial infarction compared with a non-diabetic person. The aim of the study was to assess the feasibility of a protocol for management of patients having both diabetes and hypertension who required minor oral surgery to minimize the rate of cardiovascular emergencies. Materials and Methods: A prospective study was conducted in 140 patients having both diabetes and hypertension who required minor oral surgical procedures. A systematic approachable protocol was designed for management of such patients. Results: Among 140 patients, 6 patients (4.3%) had cardiovascular complications, while 3 patients (1 with syncope and 2 with hypertension) did not require any intervention other than observation. Two patients were managed with aspirin and nitroglycerin, and 1 patient had possible myocardial infarction (overall incidence 0.7%) with chest pain, S-T segment elevation on electrocardiogram, and troponin level of 0.60 ng/mL. Conclusion: The proposed protocol helps to improve management of patients having both diabetes and hypertension. We recommend that patients with uncontrolled diabetes and uncontrolled hypertension and/or patients having history of cardiovascular complication should be treated in a medical facility with a readily available cardiology unit. This facilitates prompt response to emergency and instant implementation of treatment, helping to reduce morbidity and mortality.

• ETRI Journal
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• 제36권5호
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• pp.730-740
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• 2014

The rapid increase in the number of patients with chronic diseases is an important public healthcare issue in many countries, which accelerates many studies on a healthcare system that can, whenever and wherever, extract and process patient data. A patient with a chronic disease conducts self-management in an out-of-hospital environment, particularly in an at-home environment, so it is important to provide integrated and personalized healthcare services for effective care. To help provide effective care for chronic disease patients, we propose a service flow and a new cloud-based personalized healthcare system architecture supporting both at-home and at-hospital environments. The system considers the different characteristics of at-hospital and at-home environments, and it provides various chronic disease care services. A prototype implementation and a predicted cost model are provided to show the effectiveness of the system. The proposed personalized healthcare system can support cost-effective disease care in an at-hospital environment and personalized self-management of chronic disease in an at-home environment.

• 디지털융복합연구
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• 제12권4호
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• pp.259-264
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• 2014

최근 센서 기술의 발달로 인하여 체내삽입장치를 부착한 환자가 언제, 어디서나 의료 서비스를 받을 수 있는 환경으로 변화하고 있다. 그러나, 체내삽입장치를 부착한 환자의 생체정보가 병원관계자(의사, 간호사, 약사 등)에게 전달할 때, 환자의 정보가 제 3자에게 쉽게 노출되어 악용될 수 있는 문제점이 발생되고 있다. 본 논문에서는 제3자가 환자로 위장하여 병원관계자로부터 환자 정보를 쉽게 획득할 수 없도록 유헬스케어 서비스 센터로부터 환자의 위임장을 병원관계자가 전달받는 위임장 기반의 서명 인증 프로토콜을 제안한다. 제안 프로토콜은 환자의 민감한 정보를 제 3자에게 노출시키지 않도록 환자의 민감한 정보를 유헬스케어 서비스 센터와 환자가 생성한 랜덤수로 해쉬한 서명키로 환자의 민감한 정보를 암호화한다. 또한 제 3자로부터 환자 정보가 불법적으로 악용되는 것을 예방하기 위해서 환자와 병원관계자 사이의 동기화를 유지함으로써 환자의 생체 정보 유출을 예방할 수 있다.

• Nutrition Research and Practice
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• 제8권1호
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• pp.103-111
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• 2014

This study aims to determine the effect of a trained dedicated dietitian on clinical outcomes among Lebanese hemodialysis (HD) patients: and thus demonstrate a viable developing country model. This paper describes the study protocol and baseline data. The study was a multicenter randomized controlled trial with parallel-group design involving 12 HD units: assigned to cluster A (n = 6) or B (n = 6). A total of 570 patients met the inclusion criteria. Patients in cluster A were randomly assigned as per dialysis shift to the following: Dedicated Dietitian (DD) (n = 133) and Existing Practice (EP) (n = 138) protocols. Cluster B patients (n = 299) received Trained Hospital Dietitian (THD) protocol. Dietitians of the DD and THD groups were trained by the research team on Kidney Disease Outcomes Quality Initiative nutrition guidelines. DD protocol included: individualized nutrition education for 2 hours/month/HD patient for 6 months focusing on renal osteodystrophy and using the Trans-theoretical theory for behavioral change. EP protocol included nutrition education given to patients by hospital dietitians who were blinded to the study. The THD protocol included nutrition education to patients given by hospital dietitian as per the training received but within hospital responsibilities, with no set educational protocol or tools. Baseline data revealed that 40% of patients were hyperphosphatemics (> 5.5 mg/dl) with low dietary adherence and knowledge of dietary P restriction in addition to inadequate daily protein intake ($58.86%{\pm}33.87%$ of needs) yet adequate dietary P intake ($795.52{\pm}366.94$ mg/day). Quality of life (QOL) ranged from 48-75% of full health. Baseline differences between the 3 groups revealed significant differences in serum P, malnutrition status, adherence to diet and P chelators and in 2 factors of the QOL: physical and social functioning. The data show room for improvement in the nutritional status of the patients. The NEMO trial may be able to demonstrate a better nutritional management of HD patients.