• Title/Summary/Keyword: Personal Medical Information

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Evolution of Large-Scale Filmless Full-PACS in Korea

  • Kim, Hee-Joung;Haijo Jung;Yoo, Hyung-Sik
    • Proceedings of the Korean Society of Medical Physics Conference
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    • 2002.09a
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    • pp.28-31
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    • 2002
  • Filmless full-PACS in korea has rapidly been growing, since government had supported collaborative PACS project between industry and university hospital in late of 1995. At the same time, a small company had started PACS business, while the Korea PACS society was being formed. In the beginning, PACS societies had focused on developing peripheral solutions such as DICOM gateway for image acquisition, x-ray film digitizer, and viewing software for research or management of personal image data, while Samsung Medical Center had started installing an imported partial PACS system which had recently upgraded with a new system. In similar time frame, a few hospitals had started developing and installing domestic large scale full-PACS system. Several years later, many hospitals have installed full-PACS system with national policy of reimbursement for PACS exams in November 1999. It is believed that Korea is the first country that adopted PACS reimbursement for filmless full-PACS as a national policy. Both experiences of full-PACS installation and national policy generated tremendous intellectual and technological expertise about PACS at all levels, clinical, hospital management, education, and industrial sectors. There are currently three types of PACS system which includes domestic, imported, and hybrid PACS system with imported solution for core system and domestic solution for peripheral system. There are more than 20 domestic PACS companies and they have now enough experiences so that they are capable of installing a truly full-PACS system for large-scale teaching hospitals. PACS societies in Korea understand how to design, implement, install, manage, sustain, and provide good services for large-scale full-PACS. PACS society has also strength for the highest integration technology of the Hospital Information. However, further understanding and timely implementation of continuously evolving international standard and integrated healthcare enterprise concepts may be necessary for international leading of PACS technologies for the future.

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A Study on the Motion Analysis of CPR on EMT Who Wearing PPE (4구급대원의 PPE(Personal Protective Equipment)착용 시 CPR 동작분석에 관한 연구)

  • Shin, Dong-min;Chung, Jae-han;Kim, Seung-yong;Hong, Eun-jung;Kim, Kyoung-yong;Han, Yong-taek
    • Journal of the Korean Society of Safety
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    • v.30 no.5
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    • pp.74-79
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    • 2015
  • The purpose of this study is to find out its effect on changes in the joint angle and the success rate of cardiopulmonary resuscitation by conducting cardiopulmonary resuscitation (CPR) when wearing and not wearing PPE (personal protective equipment) targeting 20 paramedics with more than 5 years of experience. The subjects carried out CPR in 30:2 for 4 minutes and collected images were digitized by Kwon3D XP Software Package(Version 4.0) and then data were obtained. Data, which were collected by analyzing the motion when starting in one cycle, when pressing to the maximum, in the final position (relaxed), were analyzed by using SPSS 18.0. In conclusion, during CPR, the angle of the both shoulder joints was not significant (p>.05) and the angle of the right elbow joint was reduced in all positions and was statistically significant (p<.05) and the angle of the left was significantly reduced in the maximum pressure posture and the final position (p>.05). In the case of the trunk, the angle increased statistically significantly at all stages (p<.01, p<.001). Also, during CPR, the average compression rate was significantly reduced after wearing PPE (p<.05) and average hand escape time by cycle increased statistically significantly (p<.05) but chest compression execution rate at the correct depth did not show any significant difference between the two groups (p>05).

Analysis of Perception of Equality of Opportunity among Young People in Korean Society (한국사회 청년층의 기회평등 인식 분석)

  • Soo-Ran Kwak;Mi-Ok Song
    • Journal of the Health Care and Life Science
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    • v.11 no.2
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    • pp.381-391
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    • 2023
  • This study analyzed the perception of equality of opportunity among young people in Korean society using data from the 1st, 2nd, and 4th supplementary surveys of the Korea Education and Employment Panel II (KEEP II). The direction of analysis is to explore whether family background and academic activities (career maturity, academic achievement) during high school, economic situation, social relationships, and level of personal competency during adolescence are linked to the perception of equal opportunity. The analysis method established a structural equation model with the perception of equality of opportunity as the final dependent variable and confirmed the causal relationship using the LISREL program. As a result of the analysis, it was confirmed that the factors affecting young people's perception of equality of opportunity are the economic situation at the time of youth and the level of personal competency. The results of the study confirm the awareness of equality of opportunity among young people entering Korean society, and are expected to be used as information needed to create a social foundation so that they can play a responsible role as members of society.

A Study on the Job Activities of the Emergency Nurses (응급실 근무 간호사의 업무분석)

  • 김광주;이향련;김귀분
    • Journal of Korean Academy of Nursing
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    • v.25 no.4
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    • pp.709-728
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    • 1995
  • The job related activities of sixty nine nurses, working in the emergency rooms of three university hospitals, were analyzed for six days according to preestablished checklist of nursing activities ; the frequency of these activities and the amount of time spent in each specific nursing activity. The established checklist was monitored every five minutes for the duration of the duty autu, thus producing 414 items of data. The data were not gathered on consecutive days but over the period of one month from May 6, 1994 to June 5, 1994. The following conclusions are derived from analysis of the data : 1. Twelve categories of nursing activities were obtained : The primary activity was communication related to the patient and all information pertaining to the patient. Other activities included maintaining the patient's record, observation and assessment of the patient, cooperation with other medical personnel, management of equipment and drugs, procedure and treatment, specimen collection, consultation and education for the patient, including drug management and personal hygiene and any other relevant education to the patient's condition. 2. The average frequency of categorized nursing activity can be classified as follows : communication related to patient was the highest at 17.6 times. The next was maintaining the patient's record at 17.3 times. The observation and assessment occurred 16.9 times. Consultation and education for patients and family, 8 times, medication, 5.7 times, and procedures and treatments, 6 times. 3. The average time required for each activity was as follows : 230.1 minutes (or maintaining the patient's record, 204.9 minutes for communication related to the patient, 199.2 minutes for observation and assessment, 71.2 minutes for medication, 66 minutes for consultation and education of the patient and family, and 51.8 minutes for procedures and treatment. 4. The most demanding nursing activity in the emergency room for the nurse was answering questions from the patient's family, maintaining communication between the medical staff, maintaining and reviewing the patient's charts, writing prescriptions and monitoring 1. V. infusion rates. 5. The most time consuming nursing activities for the emergency room nurse include maintaining and following the patient's charts, communication between the medical staff, answering questions from the patient's family, observation of the patient and relaying all of the appropriate patient information to the incoming nurses during a shift change. 6. The F-test was administered to measure the required time for the categorized nursing activities according to day, evening, and night-shift nurses. There were significant differences (p<.05) in specimen collection, observation and assessment, cooperation between medical staffs, personal hygiene, communication related to patient, education and re-search. Posterior multiple comparison test showed that specimen collection, cooperation between medical staffs and personal hygiene were mostly done by the evening-shift nurses. Also most observations and assessments were done by the night-shift nurses. Education and communication to patients were done by day-shift nurses. Thus there were significant difference between shifts for the main nursing activities. So there should considev a reallocation of the duty of nurses on each shift. 7. The F-test also indicated that there wes a similarity in time duration for procedures and treatments and for cooperation between medical staff and nurses in all three hospitals. However, the remaining categories of nursing activities also showed a significant difference between the three hospitals. This indicated that there were differences in each emergency room that influence time for each categorized nursing activities and this should be given more consideration. Recommendations : 1. A seasonal difference should be considered in the activities of nurses in the emergency room and a comparative analysis should be carried out to deter-mine seasonal differentiation. 2. A study on more objectively measurable nursing activities should be administered as well as one determining the subjective responds towards nursing activities in the emergency room.

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Group Key Management Protocol for Secure Social Network Service (안전한 소셜 네트워크 서비스를 위한 그룹키 관리 프로토콜)

  • Seo, Seung-Hyun;Cho, Tae-Nam
    • Journal of the Institute of Electronics Engineers of Korea CI
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    • v.48 no.3
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    • pp.18-26
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    • 2011
  • Social network services whose users increase rapidly is the online services that reflect social network. They are used for various purposes such as strategy of election, commercial advertisement and marketing, educational information sharing and exchange of medical knowledge and opinions. These services make users form social networks with other users who have common interests and expand their relationships by releasing their personal information and utilizing other users' social networks. However, the social network services based on open and sharing of information raise various security threats such as violation of privacy and phishing. In this paper, we propose a group key management scheme and protocols using key rings to protect communication of small groups in social network services.

Smart healthcare policy trends using IoT technology (IoT 기술을 활용한 스마트헬스케어 정책 동향)

  • Choi, Hun;Choi, YooJung
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2017.05a
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    • pp.215-216
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    • 2017
  • In recent years, the quality of our lives has been improved by providing services that utilize IoT(Internet of Things) technology in various fields. The information obtained through IoT technology provides a basis for actively providing services that people want. However, in the field of smart healthcare, there are a lot of restrictions due to legal regulations and policies due to the scope of handling not only personal information but also simple medical information. Therefore, this study examines the legal systems and policies in the field of smart healthcare and examines the direction of smart healthcare.

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Design and Implementation of Web-based Problem Management System for CT Radiological Technologist Education (CT 전문방사선사 교육을 위한 웹기반 문항관리 시스템의 설계 및 구현)

  • Shin Yong-Won;Koo Bong-Oh;Shim Choon-Bo
    • The Journal of the Korea Contents Association
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    • v.5 no.1
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    • pp.27-35
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    • 2005
  • Recently, despite of the rapid progress of information technology in the medical and health fields, the development and management of problem sets about medical and education contents related with radiological technologist has been still achieved by manual and offline method using document editor. In this study, the unique web-based problem management system is designed and implemented. That system can efficiently manage and present various kind of problem set about integrated education and personal license without time and space limitations in order to improve the efficiency of supplementary training and to obtain the professional license for CT radiological technologist. The proposed system is composed of administration module and user module. The former supports several functions such as problem creation, problem categorization, user management, and adjustment of leveled assessment. On the other hand, the latter functions examination applying , problem retrieval, personal score retrieval, and interpretation viewing, and so on. In addition, our system is expected as a useful and practical system which provides problem interpretation and analysis of score results after applying for the examination. It can elevate ability of learning and information interchange among them preparing for CT professional radiological technologist licensing examination

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Classification of Nursing Activities and Workload Analysis in a New Open Hospital (환자중심 간호업무 향상을 위한 간호업무 측정에 관한 연구)

  • Lee, Young-Shin;Kwon, Young-Mi
    • Journal of Korean Academy of Nursing Administration
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    • v.3 no.2
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    • pp.123-136
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    • 1997
  • The purpose of this study was to confirm the classification of nursing activity and to analyze the time of nursing workload in a new open hospital. The data were collected from 20 nurses working in 6 general nursing units by 4 trained observers. The tools used for this study were an observation recording sheet and a classification sheet of nursing activity. The classification sheet was constructed to be adaptable to each hospital system based on the instrument described in the literature. The results of the study are as follows : The direct nursing activities consisted of 6 sections, 33 subsections and the indirect nursing activities consisted of 14 sections, 53 subsections. The direct nursing activities included medication, measuring and observation, care of therapies, care of physical comfort, laboratory and treatment. The indirect nursing activities included preparation of medical utensils, collection of information and assessment, recording, phone communication, professional interaction related to patients, personal time, assigning work to staff, patient eaucation and training, interaction with lab, transfer of administration of utensils, checking physician's order, dietary service, management of pollution and contagion, guide direction. Nurses spent 127.6min for direct nursing activity during day duty. It was 24.5% of total nursing activity. Within that activity medication had the highest percentage of time(40.09%), followed by communication and education with patient(24.76%), measuring and observation (16.93%), laboratory and treatment (12.85%), care of therapies(3.21%) and care of physical comfort (2.16%). The time breakdown for indirect nursing activities is as follows ; the preparation of medical utensils 22.3%, collection of information and assessment 20.29%, recording 20.27%, phone communication 8.14%, professional interaction related to patients 7.33%, personal time 7.24%, with the remaining timeshared by staffing, patient education and training, interaction with lab, transfer of administration of utensils, checking physician's order, dietary service, management of pollution and contagion, guide direction. In the analysis of the relationships between the working time and the work allocation characters of the nurses(including nurse's experiences. nurse-patients ratio, nurse-rooms ratio, and character of nursing unit) ; There were no significant differences in direct-indirect nursing times between nurse's career years. There was significant difference in direct nursing time between assigned patient numbers. The nurses assigned larger number of patients spent significantly more time in direct nursing care than that of the smaller. On the other hand, there was no significant difference in indirect nursing workload between the assigned patient numbers. There were no significant differences in direct-indirect nursing time between an allocated patient's room numbers. There was significant difference in working time between working places. The nurse in the medical unit spent more time in direct nursing care than her counterpart in the surgical unit. However there was no difference in direct nursing time between two groups. The study results indicate that nurses spent less time in the direct nursing care than in the previous studies even though the hospital system has been modernized. On the other hand they spent much more time for the coordinating role within the interdisciplinary team and for the overlapping paperwork. Therefore it is recommended that patient oriented job description and more efficient usage of modernized utilities be made.

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119 Emergency Medical Technicians' Infection Control Education Status, Stress, and Needs related to Emerging Infectious Diseases

  • Dong-Min Shin;Byung-Jun Cho
    • Journal of the Korea Society of Computer and Information
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    • v.28 no.12
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    • pp.201-209
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    • 2023
  • This study investigated to provide basic data for infection control education on new infectious diseases by confirming the level of knowledge, training status, stress, and need for training on new infectious diseases for 119 emergency medical technicians (EMT). This data collection period was a total of 39 days from August 10 to September 18, 2022, and a total of 105 copies were collected. The analysis of this study used the SPSS 25.0 program. As a result of the study, among the 119 paramedics, the gender of the EMT was 54 men (51.4%) and 51 women (48.6%), with more men than women, with 47 people in their 20s (44.8%) and those in their 30s or older. There were 58 people (55.2%), most of whom were in their 30s or older. The highest total work experience was 3 to 5 years (37 people (35.2%)). In the pandemic situation, an attempt was made to check the education status of 119 paramedics on COVID-19 and the need for education on new infectious diseases. As a result of the study, the status of education on COVID-19 was insufficient. The demand for education on new infectious diseases was found to be high. Among 119 emergency responders who are frequently exposed to new infectious diseases, theoretical and practical training in personal protective equipment, stress, including theoretical training, is needed. A theoretical and practical education program on new infectious diseases and personal protective equipment should be developed as a subject for college students before becoming EMT.

A Study on Policy Improvement for Ensuring the Effectiveness of Suicide Prevention Law (「자살예방 및 생명존중 문화 조성을 위한 법률」의 실효성 확보를 위한 정책적 개선 방안 - 「개인정보보호법」과의 충돌문제 해결을 중심으로 -)

  • Kwon, Do-Hyun;Park, Jong-Ik;Ah, Yong-Min
    • The Korean Society of Law and Medicine
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    • v.20 no.2
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    • pp.261-285
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    • 2019
  • The essential policy of suicide prevention is to continuously manage and treat suicide attempted people through data base related to suicide retry rate and follow-up study report. In Korea, only few people are allowed to follow-up by the Personal Information Protection Act. As a result, the research participation rate and the service participation rate are rather low, so that the research participants is limited to a part of the suicide attempted people. Therefore, the policy proposals to be improved in the Ministry of Health and Welfare Act were examined comparatively in order to increase the practical utilization of the suicide prevention about Article 14 and Article 20 of the Suicide Prevention Act. As a criterion for policy improvement, measures for non-discrimination of information to be considered in terms of technical and ethical dimensions and non-profit research and medical information for medical purposes were suggested. In addition to the severity of the suicide, the suicide risk was assessed and the criteria for the objective assessment of the follow-up observation were considered in consideration of the severity of the suicide.