• Title/Summary/Keyword: digital healthcare

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Medical Information Management Scheme of Healthcare Service Patient through 2-way Access Control (2-way 접근제어를 통한 헬스케어 서비스 환자의 의료 정보 관리 기법)

  • Jeong, Yoon-Su
    • Journal of Digital Convergence
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    • v.14 no.7
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    • pp.185-191
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    • 2016
  • Recently, various medical services are provided with the advance of IT. However, there is a problem that a third party would exploit medical information when the information is sent and received through wired or wireless connection. In this paper, a patient information management scheme using group index information for the third party not to illegally exploit a patient's medical information without his consent is proposed. This proposed scheme creates index information in each hierarchical level to be used with access information so that not only medical staff can have access to patient's medical information hierarchically but also it can manage access level in groups. The scheme aims to enable the medical staff to minimize the time spent to analyze the type of disease and to prescribe for it so that they can improve patients' satisfaction. Plus, the scheme aims to improve work efficiency by minimizing the medical staff's workload according to the authority to access patients' medical information.

Training dropout Intention and Related Factors of Residents (전공의의 수련포기 의도와 영향요인)

  • Oh, Su-Hyun;Kim, Jin-Suk
    • Journal of Digital Convergence
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    • v.19 no.8
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    • pp.257-264
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    • 2021
  • Resident training is the process of training specialists with excellent competency. This study analyzed the intention of resident's training dropout and influencing factors by utilizing the results of a survey on the training and working environment of the residents conducted in April 2017. According to a multivariate logistic regression analysis of 1,748 residents, 340(19.5%) answered 'yes', 518(29.6%) 'normal', 890(50.9%) 'no'. Factors related to the dropout of training by residents were found to be whether the hospital was affiliated with a enterprise, training year, training hours, appropriate educational supervision and adequate of the training process. For a desirable Resident education and training, it is necessary to normalize of the resident's working environment, develop of a substantial training program, provide fair and systematic evaluation, and financial support.

Comparison of Cross-sectional Areas using Computerized Tomography of the Cervical Muscles between Straight Neck Patients and Normal Participants during Cranio-cervical Flexion Exercise (컴퓨터 단층촬영을 통한 깊은목굽힘운동 수행 시 일자목 환자와 정상인에게 나타나는 목근육의 단면적 비교)

  • Park, Joo-Hee;Lim, One-Bin
    • Journal of the Korean Society of Physical Medicine
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    • v.16 no.3
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    • pp.81-87
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    • 2021
  • PURPOSE: This study compared the cross-sectional areas (CSA) of the cervical muscles of straight neck patients and normal participants during a craniocervical flexion exercise (CCFE) using computerized tomography (CT) to investigate the effects of CCFE on the cervical curve. METHODS: Eighteen subjects were recruited for this study. Nine subjects were allocated to the straight neck group (subjects with pain and a cervical lordosis angle of less than 20°); the remainder formed the control group (subjects with a cervical lordosis angle greater than 20°). The CSA of the subjects' neck flexors (longus colli, longus capitis, and sternocleidomastoid) were measured by CT during rest and CCFE in the supine position, and the range of motion (ROM) of neck flexion was measured using a C-ROM instrument in a sitting. RESULTS: The straight neck group had a significantly smaller CSA of the longus colli, longus capitis, and sternocleidomastoid than the control group (p < .05). Both the straight neck and control groups showed statistically significant increases in the CSA of the neck flexors during CCFE compared to that at rest (p < .05). In addition, the straight neck group showed a significantly smaller ROM of neck flexion than the control group (p < .05). CONCLUSION: The results of this study provide more concrete evidence for therapists by demonstrating that CCFE improves the neck function by strengthening the neck flexors and increasing the neck stability for straight neck patients. Therefore, it is necessary to perform CCFE and neck extension exercises to rehabilitate straight neck patients.

Lifelog Analysis and Future using Artificial Intelligence in Healthcare (헬스케어에서 인공지능을 활용한 라이프로그 분석과 미래)

  • Park, Minseo
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.2
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    • pp.1-6
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    • 2022
  • Lifelog is a digital record of an individual collected from various digital sensors, and includes activity amount, sleep information, weight change, body mass, muscle mass, fat mass, etc. Recently, as wearable devices have become common, a lot of high-quality lifelog data is being produced. Lifelog data shows the state of an individual's body, and can be used not only for individual health care, but also for causes and treatment of diseases. However, at present, AI/ML-based correlation analysis and personalization are not reflected. It is only at the level of presenting simple records or fragmentary statistics. Therefore, in this paper, the correlation/relationship between lifelog data and disease, and AI/ML technology inside lifelog data are examined, and furthermore, a lifelog data analysis process based on AI/ML is proposed. The analysis process is demonstrated with the data collected in the actual Galaxy Watch. Finally, we propose a future convergence service roadmap including lifelog data, diet, health information, and disease information.

The Relationship Between Hip Abductor and Pelvic Drop During Lateral Step Down in the Elderly

  • Lee, Young-kwon;Jung, Sung-hoon;Yoo, Hwa-ik;Kwon, Oh-yun
    • Physical Therapy Korea
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    • v.29 no.4
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    • pp.249-254
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    • 2022
  • Background: The lateral step down (LSD) is a form of stair negotiation used by the elderly because it requires less movement of the lower extremity. Although it is necessary to study the amount of pelvic drop and the strength of a hip abductor during LSD for intervention, limited studies have investigated the relationship between the amount of pelvic drop and strength of a hip abductor during LSD in elderly people. Objects: This study aimed to determine the relationship between the amount of pelvic drop on an unsupported leg and the strength of the hip abductor during LSD in the elderly. Methods: Thirty elderly people (male: 17, female: 13) were recruited. Subjects performed the LSD task, and the evaluator measured and the amount of pelvic drop on an unsupported side. Also, the isometric strength of the hip abductor was measured in a supine position. Results: We found significant relationships between the strength of the hip abductor and the amount of pelvic drop (r = -0.386). The average hip abductor strength normalized by body weight was 1.06 N/kg (max: 1.99, min: 0.52) and the average contralateral pelvic drop (CPD) angle was 4.16° (max: 15.3, min: 0). Conclusion: Our results indicated that the strength of the hip abductor had a moderate correlation with the CPD during a LSD in the elderly. Hip abductor weakness could translate into altered movement of the pelvis.

Pilot Test of Electrocardiogram Measurement Method for Conductive Textiles Electrode Position in Bed Condition (침대 형태에서 기능성 직물 전도성 전극 위치에 대한 심전도 측정 방법의 Pilot Test)

  • Jun won, Choi;Lina A., Asante;Chang Hyun, Song;Halim, Chung;Han Sung, Kim
    • Journal of Biomedical Engineering Research
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    • v.44 no.1
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    • pp.80-84
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    • 2023
  • Electrodes are one of the types of biosensors capable of measuring bio signals, such as electrocardiogram (ECG) and electromyogram (EMG) signals. These electrodes are used in various fields and offer the advantage of being able to measure ECG signals without the need for skin attachment, compared to Ag/AgCl electrodes. The purpose of this study was to evaluate the efficacy of conductive textile electrodes in collecting ECG signals in a bed-like environment. Three adult participants were involved, and a total of 30 minutes of ECG signals were collected for each participant. The collected ECG signals were analyzed to determine the heart rate, normLF and a comparison was made between the conductive textile electrodes and Ag/AgCl electrodes. As a result, the change in heart rate and normLF could be observed, and in particular, the difference between the two electrodes decreased. This study confirmed that conductive textile electrodes can effectively collect ECG signals in a bed-like environment. It is hoped that this research will lead to the development of a system that can detect various sleep-related diseases through the use of these electrodes.

Observation of Muscle Activity and Muscle Fatigue During Isotonic Exercise at a Constant Face Using Metronome (메트로놈을 사용한 일정한 페이스의 등장성 운동시 근활성도 및 근육 피로도 관찰)

  • Jun won Choi;Chang hyun Song;Jong min Kim;Woon Mo Jung;Won Gyeong Kim;Han Sung Kim
    • Journal of Biomedical Engineering Research
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    • v.44 no.4
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    • pp.284-292
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    • 2023
  • This study attempted to observe muscle activity and muscle fatigue among isotonic exercise of Biceps Brachii and Deltoidus Medius, which correspond to upper limb muscles, using metronome. For the experiment, 13 adult men participated to evaluate biosignals (ECG, EMG). For quantitative evaluation, 1RM and MVIC test were carried out and a constant pace isotonic excise session was conducted. Five sets of exercise were performed, and each set proceeded to the failure point while the speed condition (30bpm) was assigned. As a result of the experiment, muscle activity in both muscles was significantly reduced in fifth set compared to first set. Muscle fatigue has been confirmed to occur at a significant level within the set, but there was only a significant difference in both muscles in the first and second sets between sets. This is similar to the results of previous studies that gives the same rest time(2min), but further research is needed to see if the conditions for the number of repetitions are affected. Based on the recent increase of interest in muscle strength exercise, this study was conducted to observe the results by varying the conditions of common exercise.

Hip Muscle Strength and Ratio Differences in Delivery Workers With and Without Iliotibial Band Syndrome

  • Eun-su Lee;Ui-jae Hwang;Hwa-ik Yoo;Il-kyu Ahn;Oh-yun Kwon
    • Physical Therapy Korea
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    • v.30 no.1
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    • pp.15-22
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    • 2023
  • Background: Delivery workers repeatedly get in and out of trucks and walk or run to deliver packages during work. Iliotibial band syndrome (ITBS) is a well-known non-traumatic overuse injury of the lateral side of the knee caused by frequent knee flexion and extension. Hip muscle strength is among the factors that prevent lower extremity injuries. Although many studies have examined the relationship between ITBS and hip muscle strengths, there was no study comparing hip muscle strength and ratio between delivery workers with and without ITBS. Objects: This study aimed to compare hip muscle strength and hip internal/external rotator and adductor/abductor strength ratios between delivery workers with and without ITBS. Methods: Fourteen delivery workers with ITBS matched inclusion criteria in the present study among 20 participants. Because total sample size was required 28 subjects by G*power program (ver. 3.1.9.4; University of Trier), 14 delivery workers without ITBS were recruited. Hip muscle strengths were measured in a side-lying position using a Smart KEMA pulling sensor (KOREATECH Co. Ltd.). An independent t-test was used to compare hip muscle strengths and hip internal/external rotator and hip adductor/abductor strength ratios between delivery workers with and without ITBS. Results: The adductor/abductor strength ratio was significantly greater in delivery workers without ITBS than in those with ITBS (p < 0.05). The strengths of the hip abductor, hip adductor, hip internal rotator, hip external rotator, and the ratio of internal/external rotator strengths were not significantly different between the delivery workers with and without ITBS (p > 0.05). Conclusion: This study's findings showed that delivery workers with ITBS had significantly lesser adductor/abductor strength ratio, while the strengths of the hip abductor and adductor muscles did not differ significantly. These results suggest that adductor/abductor strength ratio should be considered when evaluating and treating ITBS in delivery workers.

Comparative Effects of Novel Modified Sleeper and Cross-body Stretching on Scapular Anterior Tilting and Shoulder Internal Rotation in Subjects With Anterior Tilted Scapular and Shoulder Internal Rotation Deficits

  • Yeonghun Han;Chung-hwi Yi;Woochol Joseph Choi;Oh-yun Kwon
    • Physical Therapy Korea
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    • v.30 no.1
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    • pp.59-67
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    • 2023
  • Background: Posterior capsule tightness (PCT), commonly seen in overhead athletes, is a soft tissue adaptation that is also noted in non-throwers. PCT is associated with scapular and humeral kinematic alterations, significant restriction of shoulder internal rotation (IR) range of motion (ROM), and significant scapular anterior tilting. Sleeper and cross-body stretches (CBS) are suggested for PCT and IR deficits, and have been modified since introduction. A novel modified sleeper stretch (NMSS) was designed in this study to prevent the risk of anterior translation of the humeral head. Though the effects of posterior shoulder stretching exercise have been widely studies, to the best of our knowledge, no previous studies have investigated the effectiveness of posterior shoulder exercises in decreasing scapular anterior tilting. Objects: To compare the immediate effects of two posterior shoulder stretching exercises (NMSS and CBS) on scapular anterior tilting and shoulder IR ROM. Methods: Thirty-two subjects with anteriorly tilted scapula and IR deficits [mean age: 24.3 ± 2.5 years; 15 males and 17 females] participated in this study. Subjects were randomly assigned to either the NMSS or CBS groups. Scapular anterior tilting (at rest and at shoulder 60° active IR) and shoulder IR ROM were measured before and immediately after intervention. Results: Scapular anterior tilting significantly decreased, while the shoulder IR ROM significantly increased in both groups. However, there was no significant group-by-time interaction effect or significant difference between the groups. Conclusion: Both stretching exercises were effective in restoring shoulder IR ROM and decreasing scapular anterior tilting.

Effect of culture-promoting ingredients (CPI-107) on the culture of Mycobacterium tuberculosis (결핵균 배양에 대한 배양촉진물질(CPI-107)의 효과)

  • Seung Cheol Kim;Sezim Monoldorova;Bo-Young Jeon
    • Korean Journal of Veterinary Service
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    • v.46 no.1
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    • pp.29-34
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    • 2023
  • Mycobacterium tuberculosis complex (M. tuberculosis complex) is a causative agent of contagious chronic disease in a wide range of mammalian hosts, mainly cattle, goat, pigs, wildlife, and humans. The definite diagnosis of tuberculosis is made based on culture of M. tuberculosis, but it takes a long time. In the present study, we analyzed whether the detection time of M. tuberculosis could be reduced when cultured in the medium containing the culture-promoting ingredients-107 (CPI-107) using the BacT/Alert 3D system, an automatic culture system. The time to detection (TTD) tended to decrease as the added concentration of CPI-107 increase. In the case of low numbers of M. tuberculosis, it decreased by 21.0% at 1.2 mg/mL of CPI-107 and by 15.9% in the case of high numbers of M. tuberculosis. In the culture using clinically isolated M. tuberculosis strains, the shortening of the culture time by CPI was more evident. In conclusion, the detection time of M. tuberculosis was shortened in the medium added with CPI-107, and this could be used for isolation, culture and drug susceptibility test of M. tuberculosis.