• 대한한의학회지
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• 제45권1호
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• pp.17-43
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• 2024

Objectives: Underpinned by the context of a Korean traditional medicine cohort study on healthy aging, this research primarily aims to guide the selection of Clinical Outcome Assessments (COAs) for elderly healthy aging patient registry research, offering insights into the selection process; and secondly, to streamline the resource-intensive process of obtaining permissions for validated COAs, benefiting future traditional Korean medicine clinical researchers. Methods : In this study, we identified outcomes through a review of previous studies, followed by a process involving expert consultations to select the final outcomes. Subsequently, for the selected outcomes that were Clinical Outcome Assessments (COAs) developed tools, we searched in commercial databases to confirm the availability of Korean versions and the necessity of obtaining permissions. Finally, we obtained permissions for their utilization and, when needed, acquired the original instrument questionnaire through payment. Results: Through a literature review of existing observational studies, a total of 57 outcomes were selected, with 19 of them identified as COA instruments. Upon verifying usage permissions for these 19 instruments, it was found that 17 required author-specific permissions, and among these, 2 needed a purchase as they were commercially available. Conclusion: This study provides a detailed overview of outcome selection and permission acquisition for elderly patient registry research. It underscores the importance of Clinical Outcome Assessment (COA) tools and the rigorous approval process, aiming to enhance research reliability. Continuous verification of COA information is essential, and future research should explore Core Outcome Set (COS) development through consensus-building approaches like Delphi studies.

• Journal of Preventive Medicine and Public Health
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• 제28권3호
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• pp.690-705
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• 1995

Pulmonary function tests were conducted on 815 healthy primary school children (390 males and 425 female) in rural area using Collins Survey Spirometer (Warren E. Collins, Inc., U.S.A.) with X-Y Recorder. Respiratory symptoms(cough, sputum, sore throat, chest pain, chest tightness, dyspnea, coryza) were surveyed by the interviews. Multiple regression analysis and regression diagnostics were done for prediction equations of FVC, $FEV_1,\;PEFR\;and\;FEF_{25-75%}$. FVC, $FEV_1,\;PEFR\;and\;FEF_{25-75%}$ values in 3 groups of children classified by the number of symptom were compared each other through standard variable value. FVC, $FEV_1,\;PEFR\;and\;FEF_{25-75%}$ showed highly significant correlation with age, height and weight. Prediction equations for FVC, $FEV_1,\;PEER,\;FEF_{25-75%}$ are functions of height only in both male and female children aged between 6 and 12 years old. PEFR showed a significant difference related with the number of symptom in female. These results suggest that the PEFR is sensitive PFT parameter in this study.

• 대한한의학원전학회지
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• 제23권1호
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• pp.133-142
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• 2010

Preconditions for the separation of prescribing and dispensing medicinal herbs in Traditional Korean Medicine are classification of medicinal herbs for general public and special medical uses, establishment of national medicinal herb distribution company of governmental base, restriction in purchase of medicinal herbs for special medical use, partnership between doctors and pharmacists of Traditional Korean Medicine, and coverage of herbal medicine-based medication in national health insurance, etc. The number of Traditional Korean Medicine Pharmacists which was born during 'the herbal medicine conflict' initiated in 1993, goes over 1,000 and will increase by 120 annually. The number of Traditional Korean Medical Doctors is over 17,000 and increases by 850 annually. So in order to engage partnership between two groups, the government have to arrange the number of outputs of each group. Standardization and classification of diagnosis and diseases in Traditional Korean Medicine is a matter of course in the separation of prescribing and dispensing medicinal herbs. Related societies and academies need to do researches with governmental fund first. After these works, we can launch a task force team for implementation of process for the separation of prescribing and dispensing medicinal herbs in Traditional Korean Medicine properly. Entering the national health insurance system for full coverage of Korean Medicine care service will be essential for the patients. Implementation the separation of prescribing and dispensing medicinal herbs in Traditional Korean Medicine would be the core of health insurance coverage for medication.

• 한국인터넷방송통신학회논문지
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• 제9권4호
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• pp.9-15
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• 2009

최근에 노령화에 따른 질병의 증가와 핵가족화에 따른 사생활에 대한 보호욕구가 증가하면서 최근 u-Healthcare에 대한 관심이 높아지고 있다. 지금까지 우리는 개별 의료기관의 오프라인의 건강관리로 추후 진단, 치료가 이루어지는 시공간 제한적 의료서비스를 받아왔다. 앞으로는 모바일 의료단말기기를 통하여 자신의 건강관리를 실시간 온라인으로 개인성, 이동성, 실시간성, 맞춤형 의료서비스를 받을 수 있게 될 것이다. 그러므로, 본 본문에서는 PDA를 기반으로 노약자 및 환자를 신체 신호 측정기를 통해 건강상태를 체크한 뒤 병원 환자관리 시스템에 통보하여 위급 상황 발생이 발생하면 응급 처치를 하도록 하거나 측정 결과에 대한 진단 및 관련 정보를 제공하는 건강관리 모니터링 시스템을 설계하고 구현하였다.

• 대한예방한의학회지
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• 제28권1호
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• pp.69-87
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• 2024

Objectives : This study is to investigate the current National Health Insurance Database cohort studies related to complications of Parkinson's Disease (PD) and suggest the design of Korean medical epidemiological studies of PD. Methods : Nationwide longitudinal studies of PD patients in South Korea were collected through Pubmed and the Korea Citation Index (KCI). We selected cohort studies that used the National Health Insurance Database in Korea and targeted Parkinson's disease patients. Studies published before February 2024 were categorized according to study designs. We examined variables and covariates, enroll dates and matching methods. Results : Of a total of 536 studies, 18 studies met the inclusion criteria. All studies used the National Health Insurance (NHI) Research Database and among them, 5 used sample data and one senior database. Studies can be classified into two types. 11 cohort studies were comparing PD patients and non-PD patients. Another type was 4 PD patients cohort studies. Most studies used two diagnostic codes (G20 and V124) for inclusion criteria. Enroll periods were from 2002 to 2017, and follow-up periods were from 7 to 14 years. 16 studies considered age and sex as covariates. 15 studies used the propensity score matching method to increase the level of causality. There was only one study related to the Korean medical treatment. Conclusion : In future cohort studies on Korean medical treatment, more attempts should be made to reveal the effect of the treatments on PD patients by defining inclusion criteria for patient groups, covariates, exposure variables, and assessment indicators more operatively.

• 한국추진공학회:학술대회논문집
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• 한국추진공학회 2005년도 제24회 춘계학술대회논문집
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• pp.252-255
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• 2005

가스터빈 엔진은 작동시간이 축적됨에 따라 엔진 주요부품의 성능이 점차적으로 저하되며, 내부구성부품 사이에 결함이 발생하기도 한다. 이러한 엔진의 손상여부를 진단하기 위해 가스경로해석(GPA, Gas Path Analysis)이 사용되고 있다. 본 연구에서는 상용 프로그램에 의존하지 않고, 각 성능변수들과 측정 변수들과의 열역학적 민감도를 이용하여 엔진성능진단 코드를 개발하였으며, 스마트무인기용 터보축 엔진에 적용하여 엔진의 단일 성능 저하를 예측하여 보았다.

• 대한예방한의학회지
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• 제19권2호
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• pp.67-74
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• 2015

Objective : The aim of this study was to investigate fatigue-related factors including socio-demographic variables and life styles among workers in the automobile manufacturing industry. Method : The subjects were 22,937 individuals who had received health examination by Korean Medical doctors and responded to questionnaires for 8 months from March to November in 2011. The fatigue index was measured by heart rate variability (HRV) in an automobile manufacturing industry. A multivariate analysis with SPSS version 19.0 was used to examine the relationship between fatigue and other factors including ages, smoke consumption, drinking frequency, exercise frequency, occupational category, conjugal condition. Results : In comparison between normal and very bad level of fatigue, factors of ages, smoking, drinking, and exercise showed significant difference(p<0.05). In addition, when normal and bad fatigue were compared, ages, smoking, exercise also produced significant difference(p<0.05). Furthermore, in normal and good level of fatigue comparison, occupation and smoking yielded significant difference(p<0.05). Finally, in other comparisons between normal and very good fatigue, exercise, smoking and occupation revealed significant difference(p<0.05). Conclusion : The results of this study suggest that age increase affects fatigue negatively, whereas exercise and drinking of once or twice per a week can have positive correlations.

• 한국추진공학회:학술대회논문집
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• 한국추진공학회 2005년도 제25회 추계학술대회논문집
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• pp.289-292
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• 2005

가스터빈 엔진은 운용시간이 축적됨에 따라 압축기, 연소기, 터빈 등 엔진의 여러 핵심 구성요소의 성능이 저하하게 된다. 따라서, 가스터빈 엔진의 운용에 있어서 높은 신뢰성과 운용비용의 최소화는 엔진 제작자나 사용자 모두에게 있어 중요한 문제이다 본 연구에서는 상용 프로그램에 의존하지 않고, 각 성능 변수들과 측정 변수들과의 열역학적 민감도를 이용하여 엔진성능진단 코드를 개발하였으며, 터보축 엔진에 적용하여 엔진의 단일 성능 저하를 예측하였다.

• 한국소음진동공학회:학술대회논문집
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• 한국소음진동공학회 2012년도 춘계학술대회 논문집
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• pp.263-269
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• 2012

Condition-based maintenance (CBM) has been used as a useful concept for optimizing maintenance plan and decreasing maintenance cost in several kinds of plant sites. This study introduced an example that developed an integrated management system for maintenance parameters and hydraulic turbine of hydro-power plant in order to improve its maintenance system as applying CBM techinique. The integrated management system consists of three parts. One is a hardware part including PDA inspection system and several kind of precision measuring instruments. Another is a vibration monitoring system on hydraulic turbine. The other is a software part that takes charge of making hierarchy tree of maintenance parameters and their inspection route, managing accumulated database, assessing health condition of components, and supporting interface with other enterprise management system. The system has been installed at Chuncheon Hydro-power plant for test and demonstration. It is expected that the system can contribute database construction for diagnostics and prognostics on facility health condition and systematic accumulation of know-how on operation and maintenance of plant.

• 한국추진공학회지
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• 제10권3호
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• pp.82-89
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• 2006

최근 가스 터빈 엔진의 설계에 있어서 엔진 운용 및 정비에 소요되는 비용은 중요한 설계변수로 대두되었다. 이에 따라 엔진의 유지 및 보수가 조립상태에서 이루어져야 한다는 개념이 확대되고 있으나, 실제로 이것은 엔진의 상태를 정확히 예측할 수 있을 때에만 가능한 것이다. 따라서 본 연구에서는 항공기에 장착/운용 중인 각 성능요소들을 측정하고 분석하여 엔진 성능을 진단하는 가스경로해석과 퍼지로직을 적용한 엔진 성능진단 코드를 개발하였으며, 이를 스마트 무인기용 터보축 엔진에 적용하여 지상 정지 상태에서의 엔진의 단일 성능저하를 정량적으로 예측하였다.