• 한국산학기술학회논문지
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• 제20권11호
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• pp.324-334
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• 2019

본 연구는 일개 요양병원 입원 환자들의 의무기록 정보를 바탕으로 환자분류군에 따른 입원 환자 특성을 파악하고, 각 요인 간의 상관 관계를 분석하여 요양병원 환자분류 체계 개선에 필요한 기초 자료를 제공하고자 시행하였다. 연구 대상은 2016년 1월부터 12월까지 1년간 전북 지역 일개 요양병원에서 퇴원한 환자들의 의무기록 정보 총 213건으로 선정하였다. 재원일수와 상병 개수의 상관계수는 양의 상관 관계를 보여 환자가 가지고 있는 상병이 많을수록 재원일수가 길어지고 있음을 알 수 있었다. 이와 같은 연구 결과를 기반으로 환자분류군을 결정하는 환자평가표의 항목들을 실제로 환자에게 제공되는 의학적인 노력이 반영될 수 있도록 수정·보완하는 것이 필요하다. 또한 각 환자분류군별로 중점적으로 관리해야 할 문제점을 파악하여 각 분류군에 적합한 케어 서비스 체계를 수립하는 것이 효율적인 요양병원 운영을 위한 필수 요소이자 나아가 국가적 차원에서도 노인 인구의 건강을 관리하는 데 중요한 과제임을 알 수 있다.

• 한국간호교육학회지
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• 제24권4호
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• pp.358-366
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• 2018

Purpose: This purpose of this study was to identify the level of knowledge and attitude of patient safety and patient safety management activity (PSMA) and identify influencing factors of PSMA in nursing students. Methods: The participants were 210 fourth-year nursing students in C and G city. Data were collected with structured questionnaires from October 10 to November 10, 2017. Descriptive statistics, t-test, one way ANOVA, Pearson's correlation and multiple regression with SPSS 21.0 were used. Results: As a result, the level of knowledge of patient safety was 9.05, attitude of patient safety was 4.07, and PSMA was 4.22. The factors influencing PSMA were knowledge and attitude of patient safety. The regression model explained 77% of PSMA. Conclusion: Based on the results of this study, it is suggested that a systematic education program considering factors influencing the patient safety management activities of nursing students be developed.

• 패션비즈니스
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• 제8권1호
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• pp.61-75
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• 2004

This paper has the meaning to plan new design of patient's cloth focusing on its aesthetic aspect through surveying actual condition of use of patient's cloth and reflecting color or pattern that patient prefers to it. Substantial purpose of this paper is 1) to survey actual condition of patient's cloth on the basis of general hospital of downtown of Busan City, 2) to revise difficulty of patient's cloth and survey and analyze color and pattern that patient prefers and 3) to suggest new patient's cloth design using color and pattern that meets function that is not difficult for patient's activity and cure and stabilizes patient's mind on the basis of the result of analysis. The result of this paper is like follow. 1. Problem of current patient's cloth is that most hospital uses patient's cloth having white background and hospital logo of blue or green color and its length is too long so it requires adjustment of length of sleeves and pants 2. The result from analyzing preferred patient's cloth is that patient prefers patient's cloth classified by man and woman, one that its length of sleeves and pants are adjusted and one that there is no collar in its neckline. Regarding color, male patient prefers mild indigo color(5PB7/7) and mild green color (5G9/2) and female patient prefers bright purple color and bright scarlet color(5YR8/7). Regarding pattern, both of man and woman prefers natural pattern. 3. This paper planned total 6 kinds of patient's cloth (common patient's cloth: 2 kinds, male patient's cloth: 2 kinds and female patient's cloth: 2 kinds) through revising difficulty and using new color and pattern according to result of preference.

• 대한암한의학회지
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• 제25권1호
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• pp.1-9
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• 2020

Objective: The purpose of this study is to report improvement of symptoms after lobectomy of male breast cancer lung metastasis treated with Korean Medicine based Integrative Cancer Treatment (ICT). Methods: A male left breast cancer patient diagnosed with metastasis on lung at July 2019. After Video assisted thoracic surgery (VATS) left lower lobe (LLL) lobectomy and En bloc wedge resection the patient visited the Daejeon korean medicine hospital of Daejeon university East West Cancer Center (EWCC) to treat operation-site (op-site) pain, dysphagia, anorexia with Korean Medicine Treatment. The patient was treated with Korean Medicine based ICT for an approximately 20 days. The clinical outcomes were measured by National Cancer Institute Common Terminology Criteria for Adverse Event (NCI-CTCAE), Numeral rating scale (NRS) and Eastern Cooperative Oncology Group (ECOG). The safety of treatment was verified by blood tests. Results: After treatment, op-site pain was improved from NRS 9 to 6, dysphagia and anorexia were relieved from NRS 9 to 2. And ECOG score of the patient was improved from grade 2 to 1. Conclusion: This case study suggests that Korean Medicine based ICT may help to improve post operative sequelae in metastatic lung cancer patient.

• 한국시뮬레이션학회논문지
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• 제19권4호
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• pp.161-167
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• 2010

유-헬스케어(U-Healthcare)에서 이동 환자 상태에 대한 모니터링 기술은 필수적이다. 모니터링 기술에서는 이동 환자의 생체 정보가 동적 위치 정보와 함께 정해진 목적지 서버로 전송되어야 하는데 모니터링할 환자의 수가 증가하며 각 환자의 이동성이 불규칙함에 따라 적절한 부하균형 단계가 중간에 필요해진다. 토르소(Torus) 구조를 기반으로 한 이동 환자 상시 모니터링 시스템에서는 이를 반영하여 먼저 환자 생체 정보를 중간노드로 전송한 후 부하균형 기반의 우선순위 정책에 따라 목적지 서버로 연이어 전송된다. 본 논문에서는 계층적이며 객체지향적인 정형화 명세를 기반으로 하는 시스템 명세 기법을 사용하여 이러한 이동 환자 상시 모니터링 시스템의 전체 구조와 구성 노드들의 결합 관계를 정의한 후 각 요소의 기능을 유사코드로 설계함으로써 본 시스템이 효과적인 환자 정보 수집과 전송, 분배 및 판단에 효율적임을 시스템 명세 기법을 통하여 검증한다.

• 한국정보통신학회:학술대회논문집
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• 한국정보통신학회 2017년도 추계학술대회
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• pp.477-479
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• 2017

최근 발달된 의료 기술과 건강의 관심이 높아지면서 병의 예방과 치료가 발달하고, 이에 따라 고령화가 빠르게 진행되고 있다. 이러한 수명 연장과 고령화 속에서 진단 중심 의료 수요가 급증하고 있다. 본 논문에서는 센서를 통해 제어가 가능한 FPGA 기반 웨어러블 환자 체크 시스템을 제안한다. 기존 병원에서는 의사나 간호사가 일정 시간마다 일일이 환자를 방문하여 상태를 체크하였다. 하지만 본 논문에서는 환자 체크 시스템을 사용하여 환자 및 의사, 간호사가 원하는 시간대에 환자의 상태를 확인할 수 있다. 또한, 몸이 불편한 환자를 위해 기울기 센서를 이용하여 쉽게 제어가 가능하도록 구현하였다. 제안하는 FPGA 기반 하드웨어 구조는 확대 영상처리를 위한 알고리즘, 환자의 상태 영상출력을 위한 TFT-LCD Controller, CIS Controller 및 Memory Controller로 구성된다. Cyclone IV EP4CE115F29C7 FPGA 디바이스가 장착된 DE2-115 테스트 보드를 사용하여 구현 및 검증하였으며, 동작 주파수는 50MHz이다.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제27권3호
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• pp.27-37
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• 2021

Purpose: The purpose of this study is to compare the changes in hospital accreditation evaluations, the changes in hospital building design guidelines, and the development of design indicators for reducing medical accidents in the state-of-the-art healthcare providers. Methods: The changes and tools were carefully investigated and compared that had been taken place and used in the building certification standards, design guidelines, and patient safety design standards to reduce accidents in the United States and the United Kingdom. Results: First, medical accidents are recognized as multiple defense layers rather than personal ones, and a public reporting and learning system is created, reporting the accidents in question publicly and suggesting ways to improve them based on the data at a time. Second, for the accreditation institute that secures the service quality of medical institutions, detailed standards for patient safety are continuously updated with focus on clinical trials. The United States is in charge of the private sector, but on the other hand the United Kingdom is in charge of the public sector. Third, the design guidelines are provided as web-based tools that complement various guidelines for patient safety, and are improved and developed as well. Fourth, detailed approaches are continuously developed and provided to secure patient safety and reduce medical accidents through appropriate research, evidence-based design and strict evaluations. Implications: When medical institutions make efforts to strength patient safety methods through valid design standards, accidents are expected to decrease, whereby hospital finances are also to be improved. A higher level of medical quality service will sure be secured through comprehensive certification evaluation.

• Archives of Plastic Surgery
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• 제48권3호
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• pp.246-253
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• 2021

In order to provide a physiological solution for patients with breast cancer-related lymphedema (BCRL), the surgeon must understand where and how the pathology of lymphedema occurred. Based on each patient's pathology, the treatment plan should be carefully decided and individualized. At the authors' institution, the treatment plan is made individually based on each patient's symptoms and relative factors. Most early-stage patients first undergo decongestive therapy and then, depending on the efficacy of the treatment, a surgical approach is suggested. If the patient is indicated for surgery, all the points of lymphatic flow obstruction are carefully examined. Thus a BCRL patient can be considered for lymphaticovenous anastomosis (LVA), a lymph node flap, scar resection, or a combination thereof. LVA targets ectatic superficial collecting lymphatics, which are located within the deep fat layer, and preoperative mapping using ultrasonography is critical. If there is contracture on the axilla, axillary scar removal is indicated to relieve the vein pressure and allow better drainage. Furthermore, removing the scars and reconstructing the fat layer will allow a better chance for the lymphatics to regenerate. After complete removal of scar tissue, a regional fat flap or a superficial circumflex iliac artery perforator flap with lymph node transfer is performed. By deciding the surgical planning for BCRL based on each patient's pathophysiology, optimal outcomes can be achieved. Depending on each patient's pathophysiology, LVA, scar removal, vascularized lymph node transfer with a sufficient adipocutaneous flap, and simultaneous breast reconstruction should be planned.

• 한국응급구조학회지
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• 제28권1호
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• pp.97-112
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• 2024

Purpose: This study compared the relative importance of educational content, teaching methods, and evaluation methods in the patient assessment curricula of 119 emergency medical technicians (EMTs). Methods: First, we identified the educational content, training hours, and teaching and evaluation methods of the existing patient assessment curriculum based on the National Competency Standard learning module. Second, we surveyed 30 EMTs affiliated with 119 services using the Analytic Hierarchy Process (AHP) method. Subsequently, we compared the differences between the current curriculum and the AHP analysis results. Results: Currently in operation, the "Advanced EMT Course" comprises three learning modules: assessment of patient status, scene size-up and triage, and assessment using monitoring devices. Among these, content related to the assessment of patient status received the most allocated time and was deemed the most important according to the AHP survey results. Conversely, while less time was allocated to scene size and triage compared with assessment using monitoring devices, the former was assessed as more important than the latter in the AHP results. Furthermore, scenario-based team training and procedure-focused individual practice were evaluated as relatively important teaching methods, while practical examination using a checklist was deemed the most appropriate evaluation method for all learning content. Conclusion: To improve the patient assessment curriculum, we propose adjusting teaching hours and introducing new teaching and evaluation methods based on the results of relative importance. The proposed improvement plan will contribute to enhancing the competency of 119 EMTs.

• Genomics & Informatics
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• 제18권1호
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• pp.3.1-3.8
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• 2020

Patient-derived xenograft (PDX) mouse models are frequently used to test the drug efficacy in diverse types of cancer. They are known to recapitulate the patient characteristics faithfully, but a systematic survey with a large number of cases is yet missing in lung cancer. Here we report the comparison of genomic characters between mouse and patient tumor tissues in lung cancer based on exome sequencing data. We established PDX mouse models for 132 lung cancer patients and performed whole exome sequencing for trio samples of tumor-normal-xenograft tissues. Then we computed the somatic mutations and copy number variations, which were used to compare the PDX and patient tumor tissues. Genomic and histological conclusions for validity of PDX models agreed in most cases, but we observed eight (~7%) discordant cases. We further examined the changes in mutations and copy number alterations in PDX model production and passage processes, which highlighted the clonal evolution in PDX mouse models. Our study shows that the genomic characterization plays complementary roles to the histological examination in cancer studies utilizing PDX mouse models.