• Title/Summary/Keyword: medical direction methods

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Improvement Strategies for Prehospital Medical Direction in Korea (병원전 의료지도 개선방안)

  • Uhm, Tai-Hwan
    • The Korean Journal of Emergency Medical Services
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    • v.11 no.3
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    • pp.111-118
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    • 2007
  • Purpose : It was to present strategies on activation of prehospital medical direction in Korea. Methods : This study was conducted by analysing some papers on prehospital medical direction and statistical data from the National Emergency Management Agency. Results : There was no active application of medical direction methods such as Priority Dispatch System, Pre-Arrival Instructions, System Status Management and no data on prehospital medical direction. To estimate direct medical control on emergency patients who were sorted by EMTs in 2006 was only 2.5%. Conclusion : To improve prehospital medical direction, it needed to applicate data collecting & using system and in-direct & direct medical control by medical doctor.

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How Many Doctors and Paramedics Does Fire Service Need for Medical Direction in Korea? (소방 구급활동에 필요한 지도의사와 1급응급구조사의 수는?)

  • Uhm, Tai-Hwan;Yoou, Soon-Kyu
    • The Korean Journal of Emergency Medical Services
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    • v.12 no.2
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    • pp.37-43
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    • 2008
  • Purpose : It was to improve medical direction system through presenting need of doctor and paramedic in Korean Fire Service. Methods : This study was conducted by applying demand coefficients(4 for doctor, 3 or 4.5 for paramedic) to some data on medical director, paramedic, ambulance from National Emergency Management Agency. Results : Number of medical director & paramedic were 4 & 1,217. Number of necessary doctor for medical direction was 64 or 28(in case of direct medical direction) & 16 or 7(in case of indirect medical direction). Number of necessary paramedic for direct medical direction was 492(in case of 35% ALS ambulance) & 1,062(in case of 50% ALS ambulance). Conclusions : To improve quality & efficiency of medical direction brought up need of amendment of the Emergency Medical Services Act to apply indirect medical control such as standing orders, protocol, case review.

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Comparison of Fractional Anisotropy Values of Corticospinal Tract and Corpus Callosum between 6- and 25-Direction Diffusion Tensor Images in Normal Subjects

  • Lee, Jeong-Hyun;Lee, Sun-Young;Kim, Hyun-Jeong;Park, Choong-Gon;Lee, Deok-Hee;Lee, Ho-Kyu;Kim, Sang-Joon;Suh, Dae-Chul
    • Proceedings of the KSMRM Conference
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    • 2003.10a
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    • pp.20-20
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    • 2003
  • Purpose: To investigate the difference of fractional anisotropy (FA) values between 6- and 25-direction diffusion tensor images (DTI) in normal adult brain. Materials and Methods: DTI was peformed in 28 normal subjects (15 subjects with 6-direction, 13 subjects with 25-direction) in a 1.5 T MR system. DTI was done with SE-EPI sequence with TR/TE/NEX 10000/84/1, 5mm slice thickness and b=1000 s/mm2. FA values were measured from 8 different anatomical locations which included both cerebral peduncles, both posterior limbs of the internal capsules, both corona radiata, genu and splenium of the corpus callosum. Statistical difference of FA was tested between 6-and 25-direction DTI.

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Microfocus X-ray CT Analysis of Shrinking Direction in Resin Composite.

  • Inai, N.;Katahira, N.;Hashimoto, K.;Tagami, J.;Hirakimoto, A.;Marshall, S.J.;Marshall. G.W.
    • Proceedings of the KACD Conference
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    • 2001.11a
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    • pp.559.1-559
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    • 2001
  • The aim of the study was to determine the direction and the rate of polymerization shrinkage of light-cured resin composite. Materials and Methods: A microfocus x-ray CT(computed tomography) instrument (SMX-255CT, Shimadzu Co., Kyoto, Japan) was used to analyze and characterize the pre-and post-gel phases. A microfocus x-ray tube was used to enable a focus dimension of 4 microns.(omitted)

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A Survey of the Students' Attitude towards The Education of Oriental Medical Classics and History in The College of Oriental Medicine (원전의사학 교육에 대한 한의과대학 학부생의 의식조사 연구)

  • Baik, You-Sang;Kim, Nam-Il
    • Journal of Korean Medical classics
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    • v.23 no.3
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    • pp.111-125
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    • 2010
  • Objective: For the purpose to establish direction, goal and methods, basic attitude survey of students in The College of Oriental Medicine is necessary. Methods: For 356 students in three years of College of Oriental Medicine, survey about difficulty, preference between two methods of memorization and comprehension, direction and effectiveness of education, connectivity and overlap between related subjects, and teaching methods, is carried out and data is analyzed by subjects. Results: 1. In Chinese Literature, the survey shows that difficulty is $6.25{\pm}1.415$, contribution to read and understand is $7.23{\pm}1.801$, contribution to understand Human Nature and Gi Idea in Oriental Philosophy is $5.42{\pm}2.071$, and preference for comprehension is $6.25{\pm}2.387$. 2. In Medical Chinese Literature, the survey shows that difficulty is $5.98{\pm}1.655$, awareness about direction of education is $6.14{\pm}1.917$, overlap with subject of Oriental Medical Classics is $5.98{\pm}1.712$. 3. In Oriental Medical Classics, the survey shows that difficulty is $6.85{\pm}1.598$, preference for comprehension is $6.88{\pm}2.554$, connectivity with historical background is $5.07{\pm}1.989$, contribution of Chinese Literature is $7.27{\pm}1.882$, contribution of Medical Chinese Literature is $7.23{\pm}1.802$, connectivity with clinical area is $3.59{\pm}1.973$, preference for article-based teaching method is $6.35{\pm}2.693$, necessity to modern analysis of Oriental Medical Classics is $7.77{\pm}1.907$. 4. In Oriental Medical History, the survey shows that difficulty is $5.39{\pm}1,615$, feeling quantity of subject is $5.87{\pm}1.521$, connectivity with Oriental Medical Classics is $4.94{\pm}2.027$. Conclusion: The more comprehensive methods must be used than memorization, and modern analysis of Oriental Medical Classics have to be connected with clinical area. In addition, more close connection between Oriental Medical Classics and History is necessary, and new diverse method of education must be developed.

Present development direction through Softcopy's convenience and problem. (Softcopy의 유용성과 문제점의 고찰을 통한 발전방향 제시)

  • Park Yung Heui;Lee Dong Yung;Lee Kwang Hyun;Lee Hyun Bok;Cho Nam Su
    • Journal of The Korean Radiological Technologist Association
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    • v.28 no.1
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    • pp.167-177
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    • 2002
  • Purpose : Wish to aid in the several hospitals presenting Softcopy's development direction. Materials and Methods : Do question to 16 hospital person in charges who was doing Softcopy and recognized about company possession present condition and Softcopy'

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Awareness and direction of paramedics work and image in hospitals - Focusing on paramedics and nurses in the emergency room - (의료기관의 1급 응급구조사 이미지와 업무에 대한 인식과 방향 - 응급실 내 1급 응급구조사와 간호사를 중심으로 -)

  • Jung, Sang-Woo;Kang, Kyung-Hee
    • The Korean Journal of Emergency Medical Services
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    • v.20 no.2
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    • pp.81-97
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    • 2016
  • Purpose: This study aimed to investigate the awareness and direction of paramedics work and image in hospitals. Methods: From April 16 to May 5, 2015, data were collected through structured questionnaires from 45 paramedics and 81 nurses working in emergency medical institutions. The data were analyzed using SPSS version 18.0. Results: The work of paramedics is evaluated to be highly worthy at the in-hospital level rather than at the injury first-aid treatment level. It appears that paramedics are often forced to do what their hospitals tell them to do concerning matters related to conflicts with them and nurses. Paramedics stated that they experienced greater mental stress than those engaging in other professions, a finding similar to those of other studies. There was no statistically significant difference in opinions between the two groups about a desirable direction for the development of first-aid services at hospitals. More than two thirds of the respondents said that paramedics should be given the right to enter acting check for patients. Conclusion: Paramedics work is shown to differ in the opinions of paramedics themselves and nurses. Paramedics need for reform is associated with expanding the work of the law.

Development and Application of Porous Superelastic TiNi Materials for Medical Implants

  • Gjunter, V.E.
    • Proceedings of the Korean Powder Metallurgy Institute Conference
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    • 1998.10b
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    • pp.7-7
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    • 1998
  • Research activities of Russian Medical Engineering Center and Institute of Medical Materials of Shape Memory Alloys and Implants are presented as follows: ${\bullet}$ The direction of elaboration of porous shape memory alloys for medicine. ${\bullet}$ Medical and technical requirements and physical and mechanical criteria of porous shape memory implants elaboration. ${\bullet}$ Basic laws of heat-, stress- and strain-induced changes of mechanical properties, shape memory effect and superelasticity in porous TiNi-based alloys. ${\bullet}$ Methods of regulation of shape memory effect parameters in porous alloys and methods for controlling the regulation-induced changes of physical and mechanical properties. ${\bullet}$ Original technologies of elaboration of porous alloys In various fields of medicine. ${\bullet}$ Arrangement of serial production of shape memory porous implants and examples of their medical use.

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Effect of applying resistance in various directions on lower extremity muscle activity and balance during squat exercise

  • Song, Jung-Eun;Choi, Ho-Suk;Shin, Won-Seob
    • Physical Therapy Rehabilitation Science
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    • v.8 no.2
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    • pp.61-66
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    • 2019
  • Objective: The purpose of this study was to investigate the effects of resistance applied in various directions on lower extremity muscle activity and balance during squat exercise performance. Design: Cross-sectional study. Methods: Forty-one adults (19 males and 22 females) agreed to the study purpose and procedures. All subjects randomly performed squat exercises with an intensity of overcoming 10% of body weight resistance pulled forward, backward and general squats with $60^{\circ}$ of knee joint flexion. Electromyography was used to measure muscle activity of the vastus medialis oblique (VMO), rectus femoris (RF), vastus lateralis oblique (VLO), biceps femoris (BF), and semitendinosus (ST) muscles. The Wii Balance Board was used to assess balance during the three-method squat operation. Each operation was measured three times for 10 seconds. Results: There were significant differences in muscle activities of the VMO, RF, VLO, ST and balance ability with the application of three directions of resistance (p<0.05). Post hoc comparisons revealed that squats performed with resistance pulled in the backward direction resulted in higher VMO, RF and VLO activity than with the resistance placed in a pulled forward direction (p<0.05). In the ST, resistance applied in the pulled forward direction showed greater muscle activity compared to the pulled backward direction (p<0.05). With balance, squats performed with resistance pulled in the forward direction showed greater muscle activity than with resistance applied in the pulled backward direction and during general squat performance (p<0.05). Conclusions: In this study, squat exercises performed with resistance applied in the direction of pulling backwards was found to be the most effective in improving quadriceps muscle strength and balance. It is effective to provide resistance that is placed in the forward when it is difficult to perform a general squat due to weakness of the quadriceps.

Adopting and Implementation of Decision Tree Classification Method for Image Interpolation (이미지 보간을 위한 의사결정나무 분류 기법의 적용 및 구현)

  • Kim, Donghyung
    • Journal of Korea Society of Digital Industry and Information Management
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    • v.16 no.1
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    • pp.55-65
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    • 2020
  • With the development of display hardware, image interpolation techniques have been used in various fields such as image zooming and medical imaging. Traditional image interpolation methods, such as bi-linear interpolation, bi-cubic interpolation and edge direction-based interpolation, perform interpolation in the spatial domain. Recently, interpolation techniques in the discrete cosine transform or wavelet domain are also proposed. Using these various existing interpolation methods and machine learning, we propose decision tree classification-based image interpolation methods. In other words, this paper is about the method of adaptively applying various existing interpolation methods, not the interpolation method itself. To obtain the decision model, we used Weka's J48 library with the C4.5 decision tree algorithm. The proposed method first constructs attribute set and select classes that means interpolation methods for classification model. And after training, interpolation is performed using different interpolation methods according to attributes characteristics. Simulation results show that the proposed method yields reasonable performance.