• Journal of Dental Anesthesia and Pain Medicine
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• 제20권5호
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• pp.325-329
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• 2020

Classic anesthetic techniques for the inferior alveolar nerve, lingual nerve, and long buccal nerve blockade are achieved by estimating the intended location for anesthetic deposition based on palpation, inspection, and subsequent correlation for oral anatomical structures. The present article utilizes computed tomography (CT) data to 3D print a guide for repeatable and accurate deposition of a local anesthetic at the ideal location. This technical report aims to anatomically define the ideal location for local anesthetic deposition. This process has the potential to reduce patient discomfort, risk of nerve damage, and failed mandibular anesthesia, as well as to reduce the total anesthetic dose. Lastly, as robotic-based interventions improve, this provides the initial framework for robot-guided regional anesthesia administration in the oral cavity.

• Industrial Engineering and Management Systems
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• 제16권1호
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• pp.92-102
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• 2017

In this paper, we consider a typical health care system via the help of Wireless Sensor Network (WSN) for wireless patient tracking. The wireless patient tracking module of this system performs localization out of samples of Received Signal Strength (RSS) variations and tracking through a Particle Filter (PF) for WSN assisted by multiple transmit-power information. We propose a modified PF, Kullback-Leibler Distance (KLD)-resampling PF, to ameliorate the effect of RSS variations by generating a sample set near the high-likelihood region for improving the wireless patient tracking. The key idea of this method is to approximate a discrete distribution with an upper bound error on the KLD for reducing both location error and the number of particles used. To determine this bound error, an optimal algorithm is proposed based on the maximum gap error between the proposal and Sampling Important Resampling (SIR) algorithms. By setting up these values, a number of simulations using the health care system's data sets which contains the real RSSI measurements to evaluate the location error in term of various power levels and density nodes for all methods. Finally, we point out the effect of different power levels vs. different density nodes for the wireless patient tracking.

• 한국산업정보학회논문지
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• 제19권3호
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• pp.57-66
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• 2014

본 논문은 RFID를 이용하여 환자, 의료진, 의약품을 관리하는 UHISRL(Ubiquitous Healthcare Information System based on Real Time Location)을 제안하였다. 제안하는 UHISRL은 환자의 건강상태를 모니터링하고, 그 결과를 스마트 폰과 태블릿 PC로 확인할 수 있다. 또한, 본 논문에서 설계된 ERHL(Extended Randomized Hash Lock) 인증 기법을 사용하여 재전송공격과 스푸핑 공격을 차단하였고, 환자의 프라이버시는 CP-ABE(Cipher Text - Attributed based Encryption)기법을 이용하여 UHISRL DB 접근을 속성에 따라 제한함으로써 보안을 강화시켰다. 특히, UHISRL는 만성질환자의 응급 상황을 실시간으로 모니터링 함으로써 불의의 사고를 방지할 수 있도록 하였다.

• 보건의료산업학회지
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• 제8권2호
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• pp.1-10
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• 2014

This study examined nonpatient revenues of university hospitals in korea. The data source for this study was 22 university hospitals over the period 2010-2012. In this study, patient revenues, patient expenses, operating profit, nonpatient revenues, total revenues, operating margin, normal profit to gross revenues, ratio of the nonpatient revenues in the total revenues were analysed by the annual and three-year average. The analysis of nonpatient revenue differences by hospital type, bed size, location, management performance was performed by T-test and oneway ANOVA. The results were as follows. First, nonpatient revenues of university hospitals were increased during the period 2010-2012. Second, nonpatient revenues according to hospital type, bed size, location in the university hospitals had significant difference. Third, hospital type was significantly associated with normal profit to gross revenues which was profitability index about nonpatient revenues. Based on these results, this study suggests implications to diversify for management performance in hospitals.

• Journal of Korean Neurosurgical Society
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• 제41권2호
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• pp.130-133
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• 2007

Neurenteric cysts are rare congenital lesions of the spine that are lined with endodermal epithelium. Their most common location is the cervico-dorsal region, and the mass usually lies ventral to the spinal cord. However the conus medullaris area location is an uncommon location. Neurenteric cysts are best treated by decompression and as near total excision of cyst membrane as possible. We report a case of a 7 year-old-girl with a neurenteric cyst in the conus medullaris. The patient had a history of meningitis and a gait disturbance. Magnetic resonance imaging [MRI] showed an intramedullary mass lesion in the conus medullaris with syringomyelia. There was no associated bone or soft-tissue anomaly. The mass was subtotally removed through a posterior approach. However 4 months later, meningeal irritation signs developed and MRI showed recurrence of the cyst. At the second operation, the cystic membrane was totally removed and the patient's neurological symptoms improved postoperatively. We reports a case of recurred neurenteric cyst occurred in unusual location with the review of literature.

• 대한방사선기술학회지:방사선기술과학
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• 제45권5호
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• pp.407-412
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• 2022

Cerebral aneurysm coil embolization has the advantages of accurate, low patient burden, and fast recovery time, but efforts are needed to reduce dose due to the burden of exposure radiation dose during interventional procedures. In this study, the area dose product(DAP/Gy·cm²) and fluoro time(min) according to the size of the aneurysm and the location of aneurysm were investigated according to insurance recognition regulations aneurysm classification cerebral aneurysm coil embolization. According to the research method, classification according to the size and location of the aneurysm is first, the size of the aneurysm is divided into less than 4mm, more than 4mm to less than 8mm, and more than 8mm, and second, the dose to the area based on the location site (DAP/Gy·cm²) and fluoro time(min) based on the location site were observed. As a result, the location of the cerebral aneurysm procedure was found to be the Paraclinoid site. During cerebral aneurysm coil embolization, the area dose was 107 Gy·cm² and fluoro time was 47.41 minutes, showing lower results than domestic studies, and when comparing the area dose product with foreign studies, the area dose product results were similar to that of Turkey and Saudi Arabia. It is expected that it can be used as an objective analysis indicator to establish diagnostic reference levels (DRLs) and patient radiation defense guidelines according to the size of cerebral aneurysm and location of cerebral aneurysm procedures during interventional procedures.

• 보건행정학회지
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• 제9권4호
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• pp.1-14
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• 1999

The purpose of this study was to estimate the magnitude of patient's actual cost-sharing for hospital services in the National Health Insurance which has been estimated with only a few hospitals or limited number of patients. Also we aimed at analysis of factors influencing the magnitude. Sources of analyzed data were two databases. 1997 medical benefits record of the National Federation of Medical Insurance and 1997 Statistics for Hospital Management from the Korea Institute of Health Services Management(KIHM). We merged two databases and related records for 224 hospitals. based on the identification details of each hospital. The average percent of patients' cost-sharing was 51.7% of total hospital revenues from the insurance. with 40.3% of revenue in inpatient and 67.4% in outpatient. respectively. The contributing hospital factors to the magnitude of cost-sharing were size of hospitals. teaching status. location. number of employed physicians. etc. Larger and university hospital. urban location. and with more physicians were positively correlated with higher level of cost-sharing. Additionally, the higher the expenses of inpatient's treatment was, the higher the size of patient's cost-sharing was. These findings suggest that present level of patients' cost-sharing is quitely high and it is urgent to reduce the patient's cost-sharing to the reasonable level. It would be necessary to extend the coverage of insurance benefits and to develop policies focusing on larger hospitals and inpatient services.

• Journal of Information Processing Systems
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• 제12권2호
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• pp.263-274
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• 2016

The exceptional development of electronic device technology, the miniaturization of mobile devices, and the development of telecommunication technology has made it possible to monitor human biometric data anywhere and anytime by using different types of wearable or embedded sensors. In daily life, mobile devices can collect wireless body area network (WBAN) data, and the co-collected location data is also important for disease analysis. In order to efficiently analyze WBAN data, including location information and support medical analysis services, we propose a geohash-based spatial index method for a location-aware WBAN data monitoring system on the NoSQL database system, which uses an R-tree-based global tree to organize the real-time location data of a patient and a B-tree-based local tree to manage historical data. This type of spatial index method is a support cloud-based location-aware WBAN data monitoring system. In order to evaluate the proposed method, we built a system that can support a JavaScript Object Notation (JSON) and Binary JSON (BSON) document data on mobile gateway devices. The proposed spatial index method can efficiently process location-based queries for medical signal monitoring. In order to evaluate our index method, we simulated a small system on MongoDB with our proposed index method, which is a document-based NoSQL database system, and evaluated its performance.

• 센서학회지
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• 제16권4호
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• pp.277-285
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• 2007

In this paper, we outline the research issues that we are pursuing towards building of location aware environments for mainly ubiquitous healthcare applications. Such location aware application can provide what is happening in this space. To locate an object, such as patient or elderly person, the active ceiling-mounted reference beacons were placed throughout the building. Reference beacons periodically publish location information on RF and ultrasonic signals to allow application running on mobile or static nodes to study and determine their physical location. Once object-carried passive listener receives the information, it subsequently determines it's location from reference beacons. The cost of the system was reduced while the accuracy in our experiments was fairly good and fine grained between 7 and 12 cm for location awareness in indoor environments by using only the sensor nodes and wireless sensor network technology. Passive architecture used here provides the security of the user privacy while at the server the privacy was secured by providing the authentication using Geopriv approach. This information from sensor nodes is further forwarded to base station where further computation is performed to determine the current position of object.

• Archives of Plastic Surgery
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• 제41권6호
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• pp.748-752
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• 2014

Background Gynecomastia is benign enlargement of breast tissue in males and is fairly common. Mastectomy not only helps in improving the shape of anterior chest, but can also improve the location of nipple. Therefore, a principle element of mastectomy design is defining the normal location of nipple based on major anatomical reference points. Here, the nipple location was compared for before and after gynecomastia surgery. In addition, the same was also compared between male patients undergoing gynecomastia surgery and control group of subjects without gynecomastia. Methods We retrospectively analyzed gynecomastia patients who underwent conventional subcutaneous mastectomy. Preoperative and postoperative anatomical landmark distances and chest circumferences were measured and compared to the same anthropometric data from 20 healthy adult male controls. Results Nipple locations were compared among 13 patients and 20 controls. The mean weight of resected breast tissue was 246 g, and overall patient satisfaction grade was 4.3 out of 5. In the patient group, the slopes for the height-distance from the sternal notch to the nipple and chest circumference-distance between the mid-line of the sternum and the nipple were 0.175 and 0.125 postoperatively, respectively. The slopes of the control group were 0.122 and 0.177, respectively; these differences were statistically significant (P<0.05). Conclusions Nipple positions were considerably lower in patients with gynecomastia than in control subjects. Subcutaneous mastectomy was associated with mild elevations, but postoperative locations were still lower compared to controls. Further efforts are needed to improve the location of postoperative nipple-areola complex in patients with gynecomastia.