• 제목/요약/키워드: Pulse survey

검색결과 94건 처리시간 0.032초

근거중심의학에 기반한 한의치료기술 및 한방진단기기 개발을 위한 임상수요조사 (Clinical Demands for Evidence-based Medical Interventions and Diagnostic Technology in Oriental Medicine)

  • 김경철;박상욱;송경훈;박주연;홍상민;이해웅
    • 대한예방한의학회지
    • /
    • 제14권2호
    • /
    • pp.121-133
    • /
    • 2010
  • Objects : To establish directions to evidence-based medical interventions and diagnosis technology in oriental medicine, we did survey research among oriental medical doctors. Methods : Systematically-organized questionnaires were provided for survey. 105 Oriental medical doctors nationwide participated in the survey. We investigated diseases of their patients, differential diagnosis methods, frequently used medical interventions, needs for diagnosis devices, evidence-based clinical manuals, etc. Results : In oriental medical clinics, the most frequent patient class was patients with musculo-skeletal diseases. Oriental medical doctors assumed that the preparation of care solution for chronic life-style diseases was the most urgent. Dong-Eui-Bo-gam(東醫寶鑑) was the most frequently used reference for their herbal medication prescription. Fixed document for diagnosis and treatment were thought to be the most important in the developing evidence-based clinical manuals. Conclusions : Validity and reliability should be considered as very important in developing oriental diagnosis devices. Evidence-based clinical manuals are needed to build standardized document for diagnosis and treatment and to verify efficacy and safety of oriental medical diagnosis and treatment.

한방소아과 설문지 및 검사에 관한 임상현황연구 (Clinical Investigation of Survey and Test in Korean Oriental Pediatrics)

  • 황영준;김기봉;민상연;김장현
    • 대한한방소아과학회지
    • /
    • 제22권1호
    • /
    • pp.25-34
    • /
    • 2008
  • Objectives The purpose of this study is to investigate whether Korean oriental pediatrics hospitals are using their feedback surveys to improve their medical conditions. Methods We selected 24 oriental medicine university hospitals and sent surveys to investigate. 15 of those surveys were analyzed. Results The results were classified as follows; Only 9 of university hospital said that they are currently using their feedback surveys to improve their services. Question for asking the purpose of doing their feedback surveys, 58.3% of hospital responded to get some information for diagnosis, 25% of them said to see the progress of treatment of specific disease, and 16.7% answered for using their data to the further studies. The question about the reason why hospital were need to make these feedback surveys, 46.2% of them answered to apply better service, 38.4% of them said to post medical journal. The question for asking what do oriental medical hospitals check from feedback surveys, 40% of them said they check Ryodoraku, 33.3% was pulse diagnostic apparatus, EAV(Electro-puncture According to Voll) was 26.7%. The classification according to purpose of test resulted as follows; information for diagnosis was 48.1%, the progress of a disease was 37.3%. In addition oriental medical test there were blood test, radiological test, brain waves test, Hair Tissue Mineral Analysis(HTMA), ultrasonic test, body composition analysis. Conclusions Further clinical research is necessary for improvement of using the feedback survey effectively.

  • PDF

저서어자원량의 음향추정에 있어서 해저 데드존의 보정에 관한 연구 (Dead Zone Correction for Abundance Estimation of Demersal Fish by Acoustic Method)

  • 황두진
    • 수산해양기술연구
    • /
    • 제36권3호
    • /
    • pp.202-209
    • /
    • 2000
  • 저서어의 음향자원조사에 있어서 해저 데드존에 의한 어군량의 추정오차에 관하여 고찰하기 위하여, 북해도 분화만과 동중국해 에 서 행 한 음향자원조사의 에코적분데이터를 이용하여 그 정도를 알아보았다. 그리고 해저상의 에코파형의 형상으로부터, 어군분포 패턴을 고려하여 데드존 내에 어군이 존재할 경우 그 에코파형을 발산형, 평행형, 수렴형으로 정의한 데드존 보정법을 제안하고 이를 이용한 보정을 행하였다. 북해도 분화만 내에 회유하는 명태어군을 대상으로 데이터를 재평가한 결과 해저 직상의 1∼2m내의 SV가 2∼3dB, 자원량으로 약 2배 증가하였으며, 동중국해의 경우에 있어서는 해저 직상 1∼2m에 어군이 집중되어 분포하고 있는 경우 SV가 최대 17dB까지 증가하였으며, 이는 자원량으로 약 50배 증가한 것 과 같았다. 끝으로, 계량어군탐지기를 이용하여 저서어의 자원량을 추정할 경우에는 해저기준의 최적화와 정확한 해저기준을 이용한 적분구간 오프셋 설정의 최소화를 달성한 후에 해저의 에코에 마스크되어 있는 어군의 에코를 어떠한 방법을 통하여 보정하여, 지금까지 기술적 곤란으로 제약을 점차 줄여 나감으로서 저서어를 대상으로 한 음향자원 조사 방법이 좀 더 고도화하여, 실용화할 수 있도록 노력해야 할 것으로 생각된다.

  • PDF

일부 농촌지역 건강관리 실태에 관한 조사연구 (A Study on the Health Care Status In a Rural Area)

  • 인경선;한명화
    • 한국보건간호학회지
    • /
    • 제8권1호
    • /
    • pp.73-83
    • /
    • 1994
  • This study was conducted to investigate rural residents' health status and lifestyle before inputing the health promotion services in CHP post juridiction area. For the survey. questionaire survey was done during the period from September 1993 to October 1993. Questionare was composed 14 items of general characteristics and 12 items of health age. Respondents were 119 residents among 300 residents in a rural area. For the analysis. descriptive statistics were used by calculating frequencies. percentages and $x^2-test$ Were employed to test the differences and the statistical significance. The major results are as follows; 1. Characteristics of the objects: The sex $61.0\%$ of female. the age was $36.0\%$ of over the fifties. the educational background was $47.4\%$ of elementary graduation. the marital status was $94.9\%$ of married and the monthly income was $35.3\%$ of less than 600,000 won. 2. Health status of the objects; Hepatitis antibody was possessed only $6.2\%$. hypertension was $27.3\%$. pulse rate and disease status were. for the most part, normal. 3. Health care status of the objects: They didn't use $74.1\%$ of medical services for the two weeks and regular health check-up. 4. Health behavior of the objects: The diet was $78.1\%$ of intaking meats and fish below 4 times for 1 week, no smoking was $66.1\%$. drinking was $70.83\%$ below two and half times for 1 week, life satisfaction was $21.8\%$. stress management was $41.5\%$ and exercise for health was $25.2\%$. 5. Experience of common cold for 3 years was $46.2\%$. hypertention by sex was $8.7\%$ of males and $19.4\%$ of females and diabetus was $1.7\%$ 6. Helth behavior by educational background didn't do in low educational background. 7. Health age of the objects was $62.3\%$ of $+1\~+4$ than actual age.

  • PDF

한의 의료행위 급여 항목 확대 방안 모색을 위한 전자우편 설문조사 (An E-mail survey for expanding the basic benefit package of Korean medicine in Korean national health insurance)

  • 김미경;김가희;한창호
    • 대한한의학회지
    • /
    • 제39권3호
    • /
    • pp.51-60
    • /
    • 2018
  • Objectives: This study aimed to investigate the opinions of Korean medical doctors on how to elucidate possible remedial measures for expanding the health insurance benefits coverage item of Korean medicine (KM). Methods: An online survey was conducted to all members who had registered e-mail address in the association of Korean medicine from 1 to 17 November, 2016. Statistical analysis was performed and odds ratio with 95% confidence interval were calculated by each subgroup. Results: A total of 743 members answered the questions and the response rate was 4.1%. The priorities for expanding health insurance benefits were as follows: thermographic imaging, Sasang constitution typing test, and pulse wave among examinations; pharamacopuncture, embedding acupuncture, and acupotomy among procedures; Chuna manual therapy, manual therapy for meridian muscle, and Daoyin exercise therapy among manual therapies; low-frequency electrical therapy, traction, paraffin bath, and light therapy among physical therapies; and aromatherapy, enema therapy, and color therapy among activities of KM. Conclusions: It should be covered by the national health insurance (NHI) of KM that thermographic imaging, pharmacoacupuncture, Chuna manual therapy, low-frequency electrical therapy, aromatherapy as a top priority. We also suggest that basic medical tests, such as blood, urine, or imaging, should be included in the coverage of the NHI of KM. It is necessary to review the expertise and public opinions about the plans and priorities for the conversion of the desired medical services to be covered by the NHI.

여성 수족냉증 환자의 임상 특성에 관한 연구 (A Study of Clinical Characteristics of Female Patients with Cold Hypersensitivity on Hands and Feet)

  • 권정연;김영지;공경환;전찬용;고호연;고유미
    • 대한한의학회지
    • /
    • 제39권2호
    • /
    • pp.64-79
    • /
    • 2018
  • Objectives: This study was aimed to research clinical characteristics of female patients with cold hypersensitivity on the hands and feet compared with non-cold hypersensitivity group. Methods: 134 women patients were collected from 6 Korean medicine hospitals, and divided into 2 groups(cold hypersensitivity group and non-cold hypersensitivity group). This survey was composed of 19 questions related to clinical symptoms of cold hypersensitivity. Results: We found out the differences between 2 groups in 10 questions among 19 questions in the survey results. (Body Type, Energy, Digestibility, Skin Type, Facial Complexion, Chill, Dry Mouth and Thirst, Preference between Coolness and Warmth, Thickness of Tongue Fur, Floating and Sinking of Pulse) Conclusions: From these results, Patients with cold hypersensitivity on hands and feet have relative clinical characteristics as follows. They are relatively weak and lethargic. They have dry skin and look more pale. They feel chill easily and have dry mouth and thirst. They prefer warmth and have indigestion more. They had more various infirm and ill clinical characteristics compared with the other group from the view of Korean medicine.

인지 장애 진단·평가·분석을 위한 생체신호 장비 개발에 대한 수요조사: 한방신경정신과학회 회원들을 대상으로 (Survey for Needs of Bio-Signal Devices for the Diagnosis, Assessment, or Analysis of Neurocognitive Disorder in Korean Society of Oriental Neuropsychiatry)

  • 최유진;김지혜;김가혜;김재욱
    • 동의신경정신과학회지
    • /
    • 제31권2호
    • /
    • pp.89-99
    • /
    • 2020
  • Objectives: The purpose of this study was to identify the needs of bio-signal devices for the diagnosis, assessment, and analysis of neurocognitive disorder in Korean medicine (KM) hospitals and clinics. Methods: A questionnaire was developed to survey the current status of medical device use, and diagnosis and interventions for patients with cognitive disorders in KM hospitals and clinics. November 11~December 2, 2019, 114 responses (71.9% completed) were collected by internet-based questionnaires from the members of the Korean society of Oriental Neuropsychiatry. Results: The clinical requests were in the descending order of hematology analyzer, ultrasound imaging system, and electroencephalography among the 15 most commonly used devices of which research would support for their clinical usability. The biosignal-based devices showed the highest research demands for patients with mild cognitive impairment rather than more severe stages of cognitive impairment. Prevention rather than diagnosis, or several treatment regimens was the strongest clinical area of the KM for patients with neurodegenerative cognitive impairment. Many responded that five to 10 minutes of test duration and 20,000 won to 30,000 won of cost would be appropriated for a new device to be developed. Conclusions: There were strong demands for the development of bio-signal devices for neurocognitive disorders among the KM doctors. Specifically, it showed high needs for the technology that can be used in the prevention area of cognitive disorders. Additionally, new medical devices to assess cognitive functions and to obtain KM pattern-related information were the high needs.

Deacon 방정식 알고리즘을 적용한 풍속 측정 장치 개발 (The Development of the Wind Speed Measurement System using Deacon Equation Algorithm)

  • 김상만;문채주;정문선;박병주;이경성;박지예
    • 한국태양에너지학회:학술대회논문집
    • /
    • 한국태양에너지학회 2011년도 춘계학술발표대회 논문집
    • /
    • pp.213-216
    • /
    • 2011
  • The feasibility study must be conducted for construction of complex for generation of electric power such as items to get permission and grid connection etc. including wind resource to construct a complex for wind power generation. Since wind power can be used by converting only around 20~40% of energy coming in that kinetic energy of wind passes through blades and driving device into electric energy, when constructing a complex, the survey of wind resource takes up the most important part. Data logger used to measure this wind energy are expressed by calculating generally electromotive that is created from a sensor, variable-type, pulse-type signal to be proper for the actual value, and most data loggers have a type without considering geographical features. Besides, in the case of Met mast that is installed to survey the wind resource, since it is installed lower than the hub height of a wind power generator due to permission matters and the economic factors, the height of wind speed by utilizing Deacon equation is compensated to revise this. In this study, a device measuring wind speed was made by using algorithm that is possible to compensate the height of wind speed according to regional features and by applying Deacon equation, and the function of data storage through SD card or RS232 communication was added as well. Besides it's possible to check data more easily with a type of graph by using LCD touch screen for the convenience of users.

  • PDF

Preliminary Study on Rapid Measurement of Gross Alpha/Beta and 90Sr Activities in Surface Soil by Mobile ZnS(Ag)/PTV Array and Handheld PVT Rod with Gated Energy Channels

  • Lee, Chanki;Kim, Hee Reyoung
    • Journal of Radiation Protection and Research
    • /
    • 제46권4호
    • /
    • pp.194-203
    • /
    • 2021
  • Background: Surface soil radiation monitoring around nuclear facilities is important to classify and characterize the contaminated areas. A scanning and direct measurement technique can survey the sites rapidly before starting sampling analysis. Materials and Methods: Regarding this, we test and suggest a measurement technique for gross alpha/beta and 90Sr activities in surface soil based on a mobile ZnS(Ag)/PVT (polyvinyltoluene) array and a handheld PVT rod, respectively. To detect 90Sr selectively in soil mixed with naturally occurring radioactive materials, chosen energy channel counts from the multichannel analyzers were used instead of whole channel counts. Soil samples contaminated with exempt liquid 90Sr with 1 Bq·g-1, 3 Bq·g-1, and 10 Bq·g-1 were prepared and hardened by flocculation. Results and Discussion: The mobile ZnS(Ag)/PVT array could discriminate gross alpha, gross beta, and gamma radiation by the different pulse-shaped signal features of each sensor material. If the array is deployed on a vehicle, the scan minimum detectable concentration (MDC) range will be about 0.11-0.17 Bq·g-1 at 18 km·h-1 speed, highly sensitive to actual sites. The handheld PVT rod with 12 mm (Φ) × 20 mm (H) size can directly measure 90Sr selectively if channels on which energies are from 1,470 and 2,279 keV are gated, minimizing crossdetection of other radionuclides. These methods were verified by measuring soil samples fabricated with homogeneous 90Sr concentrations, showing static MDC of 2.16 Bq·g-1 at a measurement time of 300 seconds. Conclusion: Based on the results, comprehensive procedures using these detectors are suggested to optimize soil sites survey.

급성관상동맥증후군 환자의 병원 전 119구급의료서비스 실태 및 개선방안 -충북 제천.단양을 중심으로- (A Survey on Prehospital Emergency Medical Service for the Improvement of Acute Coronary Syndrome Assessments - Focus on the Jecheon.Danyans Area -)

  • 노상균
    • 한국화재소방학회논문지
    • /
    • 제22권3호
    • /
    • pp.293-299
    • /
    • 2008
  • 119 구급대를 이용하여 급성관상동맥증후군을 진단 받은 97명의 환자평가로는 혈압 27.8%, 호흡 23.7%, 맥박 33.0%를 측정하였고, 응급처치로는 산소공급 52.6%, 안정 12.4%, 심전도 체크 4.1%, Nitroglycerin(NTG) Aspirin 정맥로 확보 둥은 0%로 전체적인 수행율이 낮게 확인되어 급성관상동맥증후군 환자의 병원 전 처치가 제대로 이루어지지 못하고 있다. 따라서 구급대인의 질적 향상을 위해서 실무중심의 지속적인 교육, 교육 후에는 반드시 평가를 병행하여 적정수준 미달자에게는 재교육을 받도록 하는 등 구급대원의 자질을 강화시킬 수 있도록 내부적인 초안이 마련되어야 할 것이다.