• Title/Summary/Keyword: Ward Monitoring

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Healthcare and Emergency Response Service Platform Based on Android Smartphone

  • Choi, Hoan-Suk;Rhee, Woo-Seop
    • International Journal of Contents
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    • v.16 no.1
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    • pp.75-86
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    • 2020
  • As the elderly population is becoming an aging society, the elderly are experiencing many problems. Social security costs for the elderly are increasing and the un-linked social phenomenon is emerging. Thus, the social infrastructure and welfare system established in the past economic growth period are in danger of not functioning properly. People socially isolated or with chronic diseases among the elderly are exposed to various accidents. Thus, an active healthcare management service is imperative. Additionally, in the event of a dangerous situation, the system must have ways to notify guardians (family or medical personnel) regarding appropriate action. Thus, in this paper, we propose the smartphone-based healthcare and emergency response service platform. The proposed service platform aggregates movement of relevant data in real-time using a smartphone. Based on aggregated data, it will always recognize the user's movements and current state using the human motion recognition mechanism. Thus, the proposed service platform provides real-time status monitoring, activity reports, a health calendar, location-based hospital information, emergency situation detection, and cloud messaging server-based efficient notification to several subscribers such as family, guardians, and medical personnel. Through this service, users or guardians can augment the level of care for the elderly through the reports. Also, if an emergency situation is detected, the system immediately informs guardians so as to minimize the risk through immediate response.

Phenomenological Approach of Self Regulation Related to Health of patients with Adult Disease (성인병 환자들의 건강과 관련된 자기조절에 대한 현상학적 연구)

  • 김숙영
    • Journal of Korean Academy of Nursing
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    • v.25 no.3
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    • pp.562-580
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    • 1995
  • This research was an attempt to make it possible to provide nursing care and health education meet- ing the need not of care givers but of patients by identifying the nature of patients' self regulation experiences. The specific objective of this study was : 1) to explore self regulation experiences of patients with adult disease. The phenomenological approach in qualitative studies is used to serve this purpose. Colaizzi's method is used for the phenomenological analysis of the data in this study, which were collected from 25 patients hospitalized in the internal medical ward and oriental medical ward of a Seoul hospital, suffering from adult disease such as hypertension, arteriosclerosis and diabetes mellitus. The research was conducted over a period of March to September, 1994. The investigator conducted participated observations and in-depth unstructured interviews which were audiotaped under the permission of patients. The investigator read the data repeatedly to identify and categorize significant statements, formulating meanings, themes and theme clusters. The result is categorized as follows : Self regulation activities, their barriers and predisposing factors of a disease. Thirteen theme clusters of self regulation activities related to health identified were. “maintaining diet regimen”, “maintaining exercise regimen”, “maintaining medication regimen”, “maintaining oriental medical regimen”, “maintaining health monitoring regimen”, “maintaining self effort”, “maintaining religious life”, “maintaining social sup-port systems”, “maintaining peaceful mind”, “maintaining moderation in life”, “maintaining sincere attitude in life”, “maintaining natural life”, and “maintaining folk remedy” This findings confirm the fact that self regulation is complicatedly and diversely influenced by oriental medicine and folk remedy, and Korean traditional ideas melted in Confucianism, Buddhism, Taoism and Shamanism, and modern medical care and western culture. Seven theme clusters of self regulation barriers identified were : "lack of knowledge and self aware-ness", "lack of social supports", "lack of awareness of need in continuous regimen and treatment", "dissatisfaction with hospital and health care provider", "lack of self management ", "lack of will to combat illness", and "overconfidence in folk remedy" Four theme clusters of predisposing factors of a disease were : "cumulation of stressors", "fatalism", "careless life style", and "family history". In conclusion, this. study will prove helpful not only in understanding clients in light of our traditional culture but also in providing them with the kind of nursing care and health education satisfying their demands and particularly cultural needs.

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Patient Management to Improve the Efficiency of Infectious U-MAS System Design (전염성 환자관리의 효율성을 개선하기 위한 U-MAS 시스템 설계)

  • Shin, Yoon-Hwan;Shin, Ye-Ho;Ryu, Keun-Ho
    • Journal of the Korea Society of Computer and Information
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    • v.14 no.9
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    • pp.75-84
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    • 2009
  • In this paper, the EPC Network as the most important technologies in the field of applied technology research and special attention to the use of RFID to better manage the disease in infected U-MAS (U-Medical Administrative Services) system was designed. U-MAS system, the Center for Disease Control in the illness, depending on the type of isolate and treat infected patients, recovery, discharge, isolation wards and intensive italian to manage and increase efficiency, manual and use a simple computer program improve the qualify of the current level, using RFID tags to improve the management of the patient everything that a little more and be out of the isolation ward, if competent disease management districts, such as the location to respond more quickly to facilitate the purpose is to contribute to. First, EPC Network and related technology for mobile RFID systems and related technology research. U-MAS system design offers. If you take advantage of the proposed U-MAS system for monitoring infectious disease patients and patients in the isolation ward, when the unauthorized departure location to shorten the time it takes to improve the effectiveness of disease management and present the elected effects was.

A Front and Rear Vehicle Monitoring System Using Ultrasonic Sensors (초음파 센서를 이용한 차량 전.후방 감시 시스템)

  • Sim, Jong-Hwan;Choi, Hun;Jang, Si-Ung
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2012.05a
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    • pp.347-350
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    • 2012
  • The researches on driver assistance systems that can prevent an accident have been actively performed due to social issues of traffic accidents with development of vehicle industry in recent. It is required for researchers to develope systems which assist driver's perception and judgment when considering that over 70% of traffic accidents occur by drivers' carelessness and 75% of the total accidents occur at the speed of less 29km per hour. In this paper, we implemented a front and rear vehicle monitoring system that monitors distance in real-time from a vehicle to obstacles at the low-speed or back-ward driving. The implemented system consists of a high angle ultrasonic sensor with distance detection of 10m and 10-degree angle, a wide angle ultrasonic sensor with the detection distance of 3m and a 180-degree, and a ATmega128 chip of ATmel company.

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A Study on Environmental Monitoring of Fluorouracil and Decontamination Reagents (Fluorouracil의 환경감시 및 제거약제에 관한 연구)

  • Lee, Su-Gil;Lee, Nae-Woo
    • Journal of the Korean Society of Safety
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    • v.24 no.4
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    • pp.47-52
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    • 2009
  • This study has been to examine the occupational exposure levels of Fluorouracil (5-FU) in a hospital and to investigate the most effective cleaning reagent for control. Fluorouracil is one of the cytotoxic drugs which are therapeutic agents used to treat cancer. The health practitioners working in the cytotoxic work room and oncology ward areas are exposed to adverse health risks like cytogenetic and DNA damage from cytotoxic drugs exposure by frequent skin contact from contaminated surfaces. Four kinds of cleaning reagents has been examined to degrade the 5-FU. It was found that 5-FU was only degraded soon after the reaction in 0.5%(w/v) NaClO solution. Therefore, 0.5%(w/v) NaClO solution has been chosen to decompose any residues on the contamination surfaces. A substantial level of contamination was found on the surfaces of cytotoxic work room and oncology ward areas. The contamination ranges of the surfaces in cytotoxic work room and oncology ward areas were from 2.0 to $13.8{\mu}g/m^2$ and 5.39 to $11.53{\mu}g/m^2$ respectively. Consequently, regulation of the occupational exposure limit, procedure of special cleaning, and the use of personal protective equipment are recommended during the manipulation and administration of the drugs to avoid skin contamination from cytotoxic drugs like 5-FU.

Study on bubble detection sensor for safe sap and blood injection

  • Yun, Young Gi;Lee, Hoo Young;Park, Koo Rack
    • Journal of the Korea Society of Computer and Information
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    • v.22 no.9
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    • pp.149-154
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    • 2017
  • The infusion of fluid and blood is necessary in the ward, operating room, recovery room, neonatal room, etc. for nutrition and blood supply to the patient, but air bubbles generated during infusion of fluid and blood circulate along the artery or vein. Serious illnesses occur and there is also a risk of death. In this paper, we propose a medical bubble detection system, a bubble detection system, a bubble detection alarm system, and a communication method in order to develop a safer fluid and blood injection system in the existing system, which is detected by a medical staff monitoring system or an ultrasonic bubble detection sensor In this study, infrared rays are transmitted to a tube through a tube for injecting fluid or blood into a patient, infrared rays transmitted by an infrared ray emitting section are received, and the amount of light is measured in real time. Based on the data, we study how to detect and analyze the presence of bubbles in fluid and blood.

Biological Monitoring on the Absorption of Antineoplastic Drugs in Nursing Personnel (항암제 취급간호사의 항암제 체내흡수에 관한 조사)

  • 김봉임
    • Journal of Korean Academy of Nursing
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    • v.27 no.3
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    • pp.520-530
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    • 1997
  • Antineoplastic agents may exhibit effects not only in patients therapeutically exposed, but also in health workers who prepare and administer these drugs. This study was done to clarify whether nurses who handle anticancer drugs show signs of drug absorption. The experimental group was 14 nurses handling anticancer drugs at three medical wards of a hospital in J city ; the control group was 12 psychiatric nurses at the same hospital. The test materials were the nurses' 24hr urine specimens, which were concentrated by XAD-2 column chromatograpy. Tester strains were TA98(±S9mix), TA100(±S9 mix), TA1535(±S9 mix) and TA1537(±S9 mix) : the salmonella mammalian microsomal test (Ames test) was used for the urinary mutagenicity assay. The results are summarized as follow : 1. In qualitative analysis of the results, both experimental group and control group showed 15.4% urine toxicity. 2. The experimental group revealed significantly higher urinary mutagenicity both in the activation method test and non-activation method test of the tester strains TA98, TA100 and TA1535. In the case of TA1537, the two groups showed no difference in the non-activation method test, but the activation method revealed a difference. 3. In urinary mutagenicity of the experimental group by ward career, there was a significant difference between the group with more than 20 months experience and the group with less than 20 months on the tester strains TA98, TA100, and TA1537. No Significant difference was found between two groups by the tester strain TA1535.

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Pharmaceutical Care for Medication Safety in Critically Ill Neonates (신생아중환자의 안전한 약물사용을 위한 약료서비스)

  • An, Sook Hee
    • Korean Journal of Clinical Pharmacy
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    • v.30 no.3
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    • pp.143-148
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    • 2020
  • Objective: This study aimed to investigate pharmaceutical care for critically ill neonates and suggest targeted strategies compatible with the Korean health-system pharmacy. Methods: Articles that reported pharmacy practices for critically ill neonates were reviewed. Pharmaceutical care practices and roles of neonatal pharmacists were identified, and criteria were developed for neonates in need of specialized care by clinical pharmacists. Results: Neonatal pharmacists play many roles in the overall medication management pathway. For clinical decision support, multidisciplinary ward rounds, clinical pharmacokinetic services, and consultation for pharmacotherapy and nutrition support were conducted. Prevention and resolution of drug-related problems through review of medication charts contributed to medication safety. Pharmaceutical optimization of intravenous medication played an important role in safe and effective therapy. Information on the use of off-label medicine, recommended dosage and dosing schedules, and stability of intravenous medicine was provided to other health professionals. Most clinical practices for neonates in Korea included therapeutic drug monitoring and nutrition support services. Reduction in medication errors and adverse drug reactions, shortening the duration of weaning medicines, decreasing the use and cost of antimicrobials, and improvement in nutrition status were reported as the outcomes of pharmacist-led interventions. The essential criteria of pharmaceutical care, including for patients with potential high-risk factors for drug-related problems, was developed. Conclusion: Pharmaceutical care for critically ill neonates varies widely. Development and provision of standardized pharmaceutical care for Korean neonates and a stepwise strategy for the expansion of clinical pharmacy services are required.

Characteristics of Patients Undergoing Telemetry in the Cardiology Ward (심장내과 병동의 텔레메트리 적용 환자 특성)

  • Kim, Yoon-Seon;Choi, Hye Ran
    • Journal of Korean Critical Care Nursing
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    • v.7 no.2
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    • pp.14-23
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    • 2014
  • Purpose: The purpose of this study was to provide basic information to develop appropriate nursing guidelines for cardiac telemetry. Methods: This retrospective research was conducted to identify the current usage of cardiac telemetry and considered 1,000 patients hospitalized for telemetry. The collected data were analyzed using IBM (SPSS Statistics for Windows 21.0). Results: Four-hundred and ninety-two patients (49.2%) were diagnosed with arrhythmia and 209 (20.9%) with heart failure. Electrocardiogram (ECG) rhythm changes were detected via telemetry in 464 cases. Major arrhythmias were ventricular tachycardia (183, 39.4%) and bradycardia (99, 21.3%). Interventions after detecting arrhythmia were cardioversion (16, 3.4%), defibrillation (1, 0.2%), and cardiopulmonary cerebral resuscitation (5, 1.1%); other patients were treated conservatively with close observation (381, 82.1%). Conclusion: There was appropriate intervention in 46.4% of the considered cases with the detection of ECG changes before patient notification, which implied that cardiac telemetry could be considered for application to patients with hemodynamic instability. Clear standards and guidelines are required to determine who requires telemetry and when to end the telemetry monitoring.

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Using FHIR, ECG Automatic notification Research (FHIR를 이용한 심전도 자동 노티 연구)

  • Lee, Jean-hyoung;Park, Dae-woo
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2016.10a
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    • pp.344-346
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    • 2016
  • FHIR is a protocol that enables easy data exchange from the time the event occurred in health care settings as a standard for next-generation message exchange of HL7. Create a meaningful message from the ECG and medical equipment, and express the messages generated by standardized FHIR message it will be used in various medical institutions to ensure delivery to EMR, such as hospital information systems can query the results via a smartphone. In addition, it thought to be used in the future to expand SMART on FHIR, Cardiology, Cardiovascular Surgery ward in real-time remote monitoring.

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