• Title/Summary/Keyword: implementation of medical

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2-D OCT image implementation using low coherence SLD (Low coherence 특성의 SLD를 이용한 2차원 OCT 영상 구현)

  • 정태호;박양하;오상기;김용평
    • Proceedings of the Optical Society of Korea Conference
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    • 2003.02a
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    • pp.290-291
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    • 2003
  • Optical Coherence Tomography is a new medical dianostic imaging technology which can perform micron resolution cross-sectional or tomograpic imaging in biological tissue. In this paper, we analyze OCT system. And we have 2-dimensional OCT image implementation using low coherence SLD.

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Investigating the Impact of Establishing Integrated Management Systems on Accidents and Safety Performance Indices: A Case Study

  • Laal, Fereydoon;Pouyakian, Mostafa;Madvari, Rohollah F.;Khoshakhlagh, Amir H.;Halvani, Gholam H.
    • Safety and Health at Work
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    • v.10 no.1
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    • pp.54-60
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    • 2019
  • Background: Increasing the establishment of integrated management systems (IMSs) is done with the purpose of leaving traditional management methods and replacing them with modern management methods. Thus, the present study sought to analyze the events and investigate the impact of IMS on health and safety performance indices in an Iranian combined cycle power plants. Methods: This case study was conducted in 2012 in all units of the Yazd Combined Cycle Power Plant on accident victims before and after the implementation of IMS. For data analysis and prediction of indices after the implementation of IMS, descriptive statistics and Kolmogorov-Smirnov test, Chi-square, linear regression, and Cubic tests were conducted using SPSS software. Results: The number of people employed in the power plant in an 8-year period (2004-2011) was 1,189, and 287 cases of work-related accidents were recorded. The highest accident frequency rate and accident severity rate were in 2004 (32.65) and 2008 (209), respectively. Safe T-score reached to below -3 during 2010-2011. In addition, given the regression results, the relation between all predictor variables with outcomes was significant (p < 0.05), except for the variable $X^1$ belonging to the accident severity rate index. Conclusion: The implementation of safety programs especially that of IMS and its annual audits has had a significant impact on reducing accident indices and improving safety within the study period. Accordingly, health and safety management systems are appropriate tools for reducing accident rate, and the use of regression models and accident indices is also a suitable way for monitoring safety performance.

Effect of Preoperative Nasal Retainer on Nasal Growth in Patients with Bilateral Incomplete Cleft Lip: A 3-Year Follow-Up Study

  • Kim, Young Chul;Jeong, Woo Shik;Oh, Tae Suk;Choi, Jong Woo;Koh, Kyung S.
    • Archives of Plastic Surgery
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    • v.44 no.5
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    • pp.400-406
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    • 2017
  • Background The purpose of this study was to evaluate changes in nasal growth after the implementation of a preoperative nasal retainer in patients with bilateral incomplete cleft lip. Methods Twenty-six infants with bilateral incomplete cleft lip and cleft palate were included in the study. A preoperative nasal retainer was applied in 5 patients from the time of birth to 2.6-3.5 months before primary cheiloplasty. Twenty-one patients who were treated without a preoperative nasal retainer were placed in the control group. Standard frontal, basal, and lateral view photographs were taken 3 weeks before cheiloplasty, immediately after cheiloplasty, and at the 1- and 3-year postoperative follow-up visits. The columella and nasal growth ratio and nasolabial angle were indirectly measured using photographic anthropometry. Results The ratio of columella length to nasal tip protrusion significantly increased after the implementation of a preoperative nasal retainer compared to the control group for up to 3 years postoperatively (P<0.01 for all time points). The ratios of nasal width to facial width, nasal width to intercanthal distance, columellar width to nasal width, and the nasolabial angle, for the two groups were not significantly different at any time point. Conclusions Implementation of a preoperative nasal retainer provided significant advantages for achieving columellar elongation for up to 3 years postoperatively. It is a simple, reasonable option for correcting nostril shape, preventing deformities, and guiding development of facial structures.

Design and Implementation of IIR Multiple Notch Filter with Modified Pole-Zero Placement Algorithm

  • Yimman, Surapun;Hinjit, Watcharapong;Ussawongaraya, Weerasak;Thoopluang, Payao;Dejhan, Kobchai
    • 제어로봇시스템학회:학술대회논문집
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    • 2003.10a
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    • pp.65-68
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    • 2003
  • This paper presents a design and construction of IIR multiple notch filter by modifying the pole-zero placement with least square estimation to find the appropriate gain and pole positions for the filter within a unit circle in z-plane. The appropriated gain and pole position will render the controllable unit gain of filter magnitude. Algorithm design and system simulation are performed on MATLAB while the actual implementation is done on the TMS320C31 digital signal processing board.

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Instructional Design for Systems Thinking Education in Health Systems Science (의료시스템과학에서의 시스템사고 교육을 위한 교수설계)

  • Sejin Kim;Sangmi T Lee;Danbi Lee;Bo Young Yoon
    • Korean Medical Education Review
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    • v.25 no.3
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    • pp.212-228
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    • 2023
  • Systems thinking, a linking domain of health systems science (HSS), is an approach that investigates specific problems from a holistic perspective. It supports improving patients' health, fulfilling their health needs, and anticipating issues that threaten patient safety within the healthcare system. It also helps solve problems through critical thinking and ref lection. This study aimed to develop an curriculum on systems thinking, explore the effectiveness of the course, and investigate the applicability of HSS education at individual universities. In this study, the ADDIE (Analysis, Design, Development, Implementation, and Evaluation) model was utilized to design, develop, implement, and evaluate an elective course on systems thinking. In the design process, learning outcomes and goals were developed, and educational content, teaching-learning methods, and student evaluation methods were linked. In the development process, class materials and evaluation materials were prepared. In the implementation process, the course was implemented, and the evaluation process analyzed the results of learning performance and curriculum assessments. The evaluation found the following results. First, the students in the study realized the importance of systems thinking and experienced the need for systems thinking through non-medical and medical situations. Second, the students were very satisfied with the learning activities in the course (mean=4.84), and the results of the self-competence evaluation, conducted before and after the course, also showed a significant improvement. This study confirmed the effectiveness of the elective course, and its results can serve as a reference for developing an HSS curriculum.

A Critical Analysis of the Perspectives on Health Care Reform in Korea (의료개혁 논의의 비교분석)

  • 조병희
    • Korean Journal of Health Education and Promotion
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    • v.15 no.2
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    • pp.217-233
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    • 1998
  • This paper analyzed four different perspectives on health care reform in Korea in terms of the basic values, formulated problems and reform plans, implementation methods, and supporting groups. The medical security plan was insisted by social security specialists and social activists focusing on the integration of medical insurance coops in order to enhancing equity and right of the people. However, its perspective was limited to promoting security instead of reforming health care system. The government proposed the health care reform plans in 1994 and in 1997, focusing on promoting efficiency by remedying many problems in health care delivery system. However, its implementation was not successful due to the lack of organizational and financial supporters. Recently, two opposite proposals were issued. The market reform plan paid attention to revitalizing the market function to promoting efficiency by allowing hospitals to treat private patients instead of applying the medical insurance regulation. The government reform plan focused on intensifying governmental planning and intervention in the health care sector in order to removing inefficiency and promoting equity with the supports of social activists and labor unions. Finally, this paper proposed an alternative plan to promote harmonious social relationship between actors in the health care system.

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An Action Convergence Research to Improve Evaluation Index of Pneumonia Adequacy in Regional Public Hospital (지역거점 공공병원의 폐렴 적정성 평가 지표 개선을 위한 융복합 실행연구)

  • Eun Young Choi;Yoen-Im Park;Seung-Ju, Kang;Ja-Ok Kim
    • Journal of Digital Convergence
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    • v.21 no.1
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    • pp.19-27
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    • 2023
  • This is an implementation study towards the development of a strategy to improve the pneumonia adequacy evaluation index of regional public hospital and to confirm its effectiveness. One physician, eight nurses, one computer room staff, and one nursing professor working at a regional base public hospital located in N city participated in this study from March to October 2021. An implementation study was conducted based on the conceptual model of Zuber-Skerritt & Fletcher. The stages of planning, implementation, evaluation, and reflection were operated in two cycles, and the effectiveness was evaluated in the second and third quarters. Compared to the pneumonia adequacy evaluation index in 2019, all indicators reached 100% of the standard target in 2021. The results of this study therefore infer that to provide higher quality medical services in the future, it is necessary to apply medical quality improvement activities through practical research under multidisciplinary participation and cooperation and to review the applicability of clinical sites.

An Analysis of Effects of Differential Coinsurance Policy and Utilization of Outpatients Care by Types of Medical Institutions (종별 의료기관 외래 경증질환 약제비 본인부담 차등정책 효과분석)

  • Park, Yoon-Sung;Kim, Jin Suk
    • Health Policy and Management
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    • v.27 no.2
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    • pp.128-138
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    • 2017
  • Background: The purpose of this study is to analyze the effects of differential coinsurance policy on prescription drug coverage of outpatients by types of medical institutions. Methods: In this study, we used a sample cohort database of the National Health Insurance Service and frequency analysis and marginal logistic regression model using generalized estimating equation were used for statistical analysis. Results: The summary on the major research is followed. First, about 16% of patients who used only tertiary or general hospital due to 52 ambulatory care sensitive conditions before policy implementation moved to hospitals and clinics. However, about 57% of them still use tertiary or general hospital. Second, the factors influencing the utilization of hospitals and clinics after the implementation of the policy were gender, age, and income level. As a result, the policy is effective to reduce the medical use of outpatient mental patients in tertiary or general hospital, but the effect is not significant. Conclusion: Therefore, in order to achieve the purpose of the policy for establishing the health care delivery system, it is necessary to adjust the co-payment so as to feel the burden on the co-payment when the outpatient for 52 ambulatory care sensitive conditions is used at the tertiary or general hospital.

The Implementation of Bio-signal Measuring System Based on Mobile Terminal (모바일 단말기 기반의 생체신호 측정 시스템 구현)

  • Oh, Seong-Jun;Kim, Woong-Sik
    • Journal of the Institute of Electronics Engineers of Korea CI
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    • v.45 no.6
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    • pp.1-10
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    • 2008
  • Health medical service is passes with u-Healthcare and it promote health medical service environment change to the citizen center in the hospital center, and all methods of diagnosis, treatment, after management are forecasted in prevention because a balance develops. It is necessary for an u-Healthcare terminal is devoted to becoming an ubiquitous terminal of consciousness when in where and the following technology to result in implementation. Information communication equipment and an appliance technical data transfer technology Precision and how mobile gateway implementation, Bluetooth wireless appliance function is various with mobile communication and radio communication network and an appliance function are necessary. therefore, in this paper, we did a study on the implementation of bio signal measuring system for the u-healthcare based on mobile.

A Study on Implementation of System Improvement for Medical Information Processing (의료정보처리를 위한 시스템 개선에 관한 연구)

  • Yoo, Jinho
    • Journal of Digital Convergence
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    • v.14 no.11
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    • pp.283-288
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    • 2016
  • This research is to study IoT based implementation of system and network for medical information processing. This paper's configuration environment consists of sensor node, gateway and server node as a basic IoT architecture. Medical terminal as a sensor node asks connect request to his server, and the server accepts the request if the medical device is already registered. Wearable medical device sends its collected sensing data to server, and server processes the received data for data visualization or saves them for usage in the future. This paper describes overall processes and their algorithms and suggests their software processing architecture.