• 디지털산업정보학회논문지
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• 제6권4호
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• pp.57-65
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• 2010

Application of WBAN technology in medical field facilitates the prevention of diseases by collecting the vital signs remotely. It also enables to prevent the accidental emergency situation in advance plus long-tem monitoring of patients with chronic diseases such as heart diseases, hypertension, or the elderly and infirm. For emergency patients, major vital signal information collected by the 'Sensing' should have the top priority and such information should be transferred as promptly as possible without competition. In addition, when an emergency occurs to a patient, a priority mechanism is necessitated for a urgent message to get through to the final destination. However, LR-WPAN IEEE 802.15.4 technology does not consider such emergency message handling features. To deal with aforementioned issues, the IEEE 802.15.4 super frame protocol structure has been designed for stable transfer of emergency information in WBAN environment in this study, and alternation to super frame structures have been made, allowing GTS(Guaranteed Time Slot) can be used first at CFP (Contention Free Period) by reserving the resources in advance and prioritize the emergency signals. NS-2 has been utilized for the performance test and analysis.

• 대한장애인치과학회지
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• 제4권1호
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• pp.17-20
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• 2008

비정상적인 교상을 예방하기 위한 정확한 protocol은 존재하지 않는다. 하지만 전치부를 발치하는 등의 침습적인 방법을 사용하기 이전에 soft mouth guard를 사용하는 등의 보존적인 방법을 먼저 고려하는 것도 좋은 방법이라 생각되며, 보다 양호한 결과를 얻기 위해서는 관계되는 전문가들과의 협진이 필요 할 것으로 사료된다.

• 스마트미디어저널
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• 제3권1호
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• pp.28-32
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• 2014

It is practical nowadays to automate data recording in order to prevent loss and tampering of records. There are existing technologies that satisfy this needs and one of them is wireless sensor networks (WSN). Wireless body sensor networks (WBSN) are wireless networks and information-processing systems which are deployed to monitor medical condition of patients. In terms of performance, WBSNs are restricted by energy, and communication between nodes. In this paper, we focused in improving the performance of communication to achieve less energy consumption and to save power. The main idea of this paper is to prioritize nodes that exhibit a sudden change of vital signs that could put the patient at risk. Cluster head is the main focus of this study in order to be effective; its main role is to check the sent data of the patient that exceeds threshold then transfer to the sink node. The proposed scheme implemented added a time-based protocol to sleep/wakeup mechanism for the sensor nodes. We seek to achieve a low energy consumption and significant throughput in this study.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제44권4호
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• pp.143-150
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• 2018

The number of geriatric patients seeking dental service is ever-rising because of increased life expectancy, also with problem of increased chronic medical conditions. One of them are patients on anti-thrombotic medication. Bleeding complication after minor oral surgery by anti-thrombotic agents is of concerns to dentists on dental management of these patients. Risk and benefit of the anti-thrombotic agents must be weighed before initiating dental procedures, which should be established as a treatment guideline. Purpose of the paper is to optimize the management of the dental patients on antithrombotic medication via standardization of treatment protocol of such a patient.

• 대한두개안면성형외과학회지
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• 제22권3호
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• pp.141-147
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• 2021

Background: Arteriovenous malformation (AVM) which is a high-blood-flow lesion with connections between arteries and veins without an intervening capillary bed, is difficult to manage. The ear is the second most common site of extracranial AVM. However, studies regarding the management of this condition remain lacking. The purpose of this study was to share managing experiences in our center and to investigate the treatment effect through a retrospective analysis of cases. Methods: Among 265 patients with AVM treated in our vascular anomalies center between January 2008 and January 2021, 10 patients with auricular AVM were included in the study to investigate the lesion distribution, clinical stage, and treatment methods by performing a retrospective evaluation. Results: Among 10 patients, five patients had AVMs distributed in the upper half of the ear, one patient in the lower half of the ear, and four patients in whole ear, respectively. Seven patients had Schobinger stage II, and three had stage III. One patient received surgical treatment only, four patients received sclerotherapy only, and five patients received both surgical treatment and sclerotherapy. The posttreatment status was checked as controlled in two patients, improved in seven patients, persistent in one patient. There were no worsening patients. Conclusion: Auricular AVM is a disease that is difficult to manage by one specific department, thus requiring a collaborative management effort from multidisciplinary team.

• 성인간호학회지
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• 제24권1호
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• pp.20-30
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• 2012

Purpose: This study was to explore the gap between awareness and performance toward evidence-based pain management in older adults for the purpose of establishing baseline data for evidence-based pain management protocol development and dissemination. Methods: The subjects were 290 staff nurses from three general hospitals. Self administered questionnaires were used to collect the data and the results of the study were analyzed with descriptive statistics, t-test, ANOVA and Pearson's correlation. Results: There were statistically significant differences between awareness and performance in pain assessment (t=17.31, $p$ <.001), patient and family education (t=17.33, $p$ <.001), pharmacologic management (t=12.99, $p$ <.001), non pharmacological management (t=16.28, p<.001), and evaluation of effectiveness (t=11.70, $p$ <.001). There were also statistically significant differences in awareness and performance according to the workplace, knowledge, and usual performance. Conclusion: The study showed that the hospital nurses' performance about evidence-based pain management in older adults was lower than their awareness level thus indicating significant gaps between evidence and actual practice. To ensure effective pain care, the factors contributing to these gaps need to be analyzed to identify the barriers. In addition, the evidence-based pain management guideline suitable for various clinical settings needs to be developed and disseminated.

• 기본간호학회지
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• 제18권1호
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• pp.116-129
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• 2011

Purpose: The purpose of this study was to develop a computer decision making support system that enables nurses to utilize the computer in selecting the best decision for pain management for patients with dementia institutionalized in nursing homes. Methods: To formulate the protocol for the management of patients' pain, the researcher analyzed content of interviews with 30 nurses in three nursing homes and an expert group. A decision support computer program was formalized based on existing protocols. To evaluate the effectiveness and applicability of the system, analysis of data on patient pain management and nurse satisfaction with the system were done after the formalized decision support computer program was complete. Results: The decision support computer program for pain management for institutionalized patients with dementia was finalized after adjustments following the evaluation. Nurse satisfaction with the program was moderate. It also provided opportunity to reassess thinking about pain and pain management. Conclusions: The results indicate that this program provides nurses with useful knowledge for pain management in institutionalized patients with dementia and aids in decision making in nursing practice in nursing home.

• 한국인터넷방송통신학회논문지
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• 제9권6호
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• pp.201-210
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• 2009

유비쿼터스 환경이라는 새로운 개념의 네트워크 환경이 등장하면서 인간을 중심으로 한 서비스에 대한 연구는 최고점을 향하고 있다. 이러한 유비쿼터스 서비스 기술 중 헬스케어와 관련된 서비스는 현재의 사회적 환경과 매우 밀접한 관계가 있다. 본 논문에서는 사회적 고령화와 유비쿼터스 기반의 IT 환경의 변화에 따라 필수적인 응용 서비스 중 헬스케어에 대한 연구를 핵심응용 기술로 규정하고 이와 관련된 연구를 수행하였다. 또한 기존의 헬스케어를 위한 연구를 분석하고 요구사항을 도출함으로서 유비쿼터스에 핵심적으로 적용 될 수 있는 헬스케어 서비스를 제안하였다. 특히, 기존의 헬스케어 서비스에서 고려되지 않았던 특수한 중환자들만을 위한 관리 프로토콜을 제안하고자 한다. 제안된 방식은 RFID 태그 기반으로 병원 시스템의 전체적인 데이터베이스 정보를 구성하고 환자의 상태를 지속적으로 모니터링하며, 실시간으로 처리하는 시스템으로 구성된다.

• 핵의학기술
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• 제12권3호
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• pp.147-156
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• 2008

목적 : 방사성옥소 치료팀에서 이루어지고 있는 모든 행위가 나름대로의 원칙과 규정이 있으므로 단일화 된 모델은 적절한 최적화가 아닐 것으로 생각되나 통일성 있는 기준제시에 접근하고자 함이다. 실험재료 및 방법 : 2007년 11월 5일부터 11월 17일까지 29개 병원을 대상으로 핵의학 담당자에게 설문조사하였다. 설문조사의 내용은 환자에 대한 진료부문, 환자관리, 검사 부문, 폐기물관리, 안전관리 등 5개의 카테고리로 정하였으며 질문에 대한 응답내용을 선택하는 방식으로 조사하였다. 결과 : 2007년 10월 기준으로 전체 30개 병원에서 58개의 병실을 운영하고 있었으며 치료계획에 따른 검사 및 일정관리는 약간의 차이가 있었다. 환자에 대한 교육부문은 의사 및 간호사가 주로 담당하였으며 교육에 대한 환자의 만족도는 높은 것으로 평가되었다. 폐기물 관련 자료와 정기적으로 실시되고 있는 정기 감사로 인하여 각 병원별 폐기물 관리 수행은 원만히 이루어지고 있는 것으로 나타났다. 환자 및 작업종사자들에 대한 안전관리는 원자력법에 근거하여 잘 수행되고 있었으며 치료병실에 대한 오염관리에 대해서 대부분 병원에서 철저하게 수행하고 있는 것으로 나타났다. 결론 : 항목별 자료 수집내용을 충분히 검토하여 현실성 있는 설문조사를 통해 구체적인 표준안이 제시되었어야 하나 그러지 못한 부족함이 많다. 그럼에도 불구하고 본 조사에 대해 임상의 활용도 가치를 응답자 중 70.9%로 비교적 높이 평가해 주심에 감사를 표한다. 향후 본 자료를 토대로 각 항목별 세부사항에 대한 조사와 연구가 필요할 것으로 본다.

• 대한족부족관절학회지
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• 제26권3호
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• pp.118-122
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• 2022

Although total ankle arthroplasty (TAA) has increased considerably in the past ten years, reflecting improvements in implant design and survivorship, the clinical outcomes have been less satisfactory than total hip or total knee arthroplasties. Several issues under debate include postoperative management and rehabilitation in TAA. Especially, there is no consensus or evidence for the most appropriate postoperative management and rehabilitation for patients undergoing TAA. This study was therefore undertaken to suggest appropriate postoperative management and rehabilitation in TAA, after reviewing published articles and focusing on the following topics: prehabilitation, hospital stay, immobilization type and duration, weight-bearing management, pharmacological treatment, and adopted rehabilitation protocols. In previous studies, the postoperative management and rehabilitation proposed depended on the surgeon's preference, the patient's characteristics, and the associated surgical procedures performed after TAA. Nonetheless, our research indicates the best approach is to include a prehabilitation program, immobilization in the early postoperative stage (2~4 weeks), range of motion exercise with partial weight-bearing ambulation, followed by full weight-bearing ambulation after six weeks. Further studies are required to develop a standardized rehabilitation protocol and improve the overall quality of care after TAA.