• Title/Summary/Keyword: medical direction system

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A Basic Study on the Fall Direction Recognition System Using Smart phone (스마트폰을 이용한 낙상 방향 검출 시스템의 기초 연구)

  • Na, Ye-Ji;Lee, Sang-Jun;Wang, Chang-Won;Jeong, Hwa-Young;Ho, Jong-Gab;Min, Se-Dong
    • Proceedings of the Korea Information Processing Society Conference
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    • 2015.10a
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    • pp.1384-1387
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    • 2015
  • 고령화 사회로 진입하면서 노인들은 노화과정에 의한 보행능력의 감소 및 근력 약화와 같은 신체적 변화로 인해 잦은 낙상을 경험한다. 이에 따라 낙상 사고를 감지하는 연구가 활발히 진행되고 있다. 낙상은 사전 예방도 중요하지만 사고 발생 후의 신속한 대처도 중요하다. 낙상을 감지하고 의료진에게 즉시 낙상정보를 제공하여 후속적 조치를 취하는 것은 사고 후 대처의 핵심이다. 본 논문에서는 스마트폰 환경에서 사용자의 낙상 후 방향을 판별하기 위해 두 가지 센서 데이터의 특정 값들을 추출하였으며, 이에 5 가지 기계학습 알고리즘을 적용하였다. 사용자는 스마트폰을 착용한 상태로 전후좌우 4 방향 낙상 실험을 진행하며 스마트폰 내에 내장된 3 축 가속도 센서와 3 축 자이로 센서값을 측정한다. 피험자 11 명을 대상으로 낙상 실험 결과, 5 가지의 분류기 중 k-NN에서 98.6%의 인식률을 나타내었다. 뽑아낸 특징 값과 분류 알고리즘은 낙상의 방향 검출에 유용한 것으로 판단된다.

Comparison of knowledge level of triage in 119 EMTs (119 구급대원의 중증도 분류 지식 정도 및 교육 전·후 비교)

  • Lee, Hyo-Ju;Cho, Keun-Ja
    • The Korean Journal of Emergency Medical Services
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    • v.18 no.1
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    • pp.43-54
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    • 2014
  • Purpose : The purpose of this study was to provide appropriate direction for triage education by investigating the knowledge level of triage in 119 EMTs before and after the triage education. Methods : The questionnaire was filled out by newly assigned 33 EMTs in the fire service academy in I metropolitan city from November 1, 2013. The data were analyzed using SPSS WIN 21.0 program. Results : The lowest knowledge level by 119 triage was the potential emergency related question, but that by case-based triage was the semi-emergency related questions. The knowledge score by case-based triage before education was 51.14 points. This was lower than knowledge score by 119 triage, that is, 75.70 points. After education, the knowledge level by 119 triage was significantly improved(p =.000). However, there was no significant difference in the knowledge level by case-based triage(p =.236). Conclusion : It is necessary to provide systematic and periodic education and training for 119 EMTs toward triage to improve triage accuracy and efficient circulation of the emergency medical service system. Especially, it is very important to provide case-based triage education for field application.

On-line Quality Assurance of Linear Accelerator with Electronic Portal Imaging System (전자포탈영상장치(EPID)를 이용한 선형가속기의 기하학적 QC/QA System)

  • Lee, Seok;Jang, Hye-Sook;Choi, Eun-Kyung;Kwon, Soo-Il;Lee, Byung-Yong
    • Progress in Medical Physics
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    • v.9 no.3
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    • pp.127-136
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    • 1998
  • On-line geometrical quality assurance system has been developed using electronic portal imaging system(OQuE). EPID system is networked into Pentium PC in order to transmit the acquisited images to analysis PC. Geometrical QA parameters, including light-radiation field congruence, collimator rotation axis, and gantry rotation axis can be easily analyzed with the help of graphic user interface(GUI) software. Equipped with the EPID (Portal Vision, Varian, USA), geometrical quality assurance of a linear accelerator (CL/2100/CD, Varian, USA), which is networked into OQuE, was performed to evaluate this system. Light-radiation field congruence tests by center of gravity analysis shows 0.2~0.3mm differences for various field sizes. Collimator (or Gantry) rotation axis for various angles could be obtained by superposing 4 shots of angles. The radius of collimator rotation axis is measured to 0.2mm for upper jaw collimator, and 0.1mm for lower jaw. Acquisited images for various gantry angles were rotated according to the gantry angle and actual center of image point obtained from collimator axis test. The rotated images are superpositioned and analyzed as the same method as collimator rotation axis. The radius of gantry rotation axis is calculated 0.3mm for anterior/posterior direction (gantry 0$^{\circ}$ and 170$^{\circ}$) and 0.7mm for right/left direction(gantry 90$^{\circ}$ and 260$^{\circ}$). Image acquisition for data analysis is faster than conventional method and the results turn out to be excellent for the development goal and accurate within a milimeter range. The OQuE system is proven to be a good tool for the geometrical quality assurance of linear accelerator using EPID.

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The Implications of the Case of Medical Education in North America on Korean Medicine Education (북미 의학교육 사례가 한의학 교육에 주는 시사점)

  • Hong, Jiseong;Kang, Yeonseok
    • The Journal of Korean Medical History
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    • v.31 no.2
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    • pp.91-101
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    • 2018
  • Over the past 100 years, since the establishment of the modern medical education system in the early 1900s, the results of extensive field research and practice in North American medical schools and professional education have led the flow of medical education around the world. In this study, the direction of medical education in North America over the past 100 years were examined through major literature review, leading to implications and suggestions for Korean medicine education. The "Medical Education in the United States and Canada" published by the Carnegie Educational Foundation in 1910, which is considered to have laid the foundation for modern health care education, was reviewed. Next, "Educating physician: A Call for Reform of Medical School and Residency", published in 2010, which is known to have proposed a future-oriented goal for the training of medical professionals has been analyzed. The results of this study are as follows: 1) Acquisition and utilization of biomedical knowledge which is the basis of clinical competence, is a basic competency that should be provided to future medical professionals. 2) Beyond education to cultivate clinical competence of individuals directly affecting the medical treatment, various professionalism education programs that capture the specificity of Korean Medicine doctors should be established and strengthened.

A Design of Locomotion System of a Mobile Robot for the Blind Guidance (시각 장애자를 위한 이동 로봇의 주행 시스템 설계)

  • Kim, Byung-Soo;Chang, Won-Suk;Hong, Seung-Hong
    • Journal of Biomedical Engineering Research
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    • v.8 no.1
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    • pp.49-56
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    • 1987
  • This paper designed LOCOMOTION SYSTEM of a mobile robot for the blind guidance and LOCOMOTION COMMAND SYSTEM that gave the moving path to the locomotion system. This system analyzed COMMAND and calculated the speed and direction of the robot. And during locomotion it measured wheel's rotation number for the position and speed control. Also, this system was considered about the 110 interface with host computer and the locomotion method for the blind. In the locomotion experiment the standard speed of robot was 0.4m/sec and the locomotion error was below 5%

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Developement of Efficient Algorithm to Eliminate Aliasing of Ultrasonic Pulsed Wave Doppler Signal (초음파 Pulsed Wave 도플러 신호의 Aliasing 제거를 위한 효율적인 알고리즘 개발)

  • Kim, G.D.;Hwang, J.S.;Ahn, Y.B.;Song, T.K.
    • Proceedings of the KOSOMBE Conference
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    • v.1998 no.11
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    • pp.213-214
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    • 1998
  • The important role of the ultrasonic Doppler system in the modem clinical medicine is to provide the clinical information of the vascular system. The ultrasonic pulsed wave(PW) Doppler system, a kind of the ultrasound Doppler system, is more available than the ultrasonic continuous wave(CW) Doppler system because it can evaluate the velocity and the direction of blood flow as well as the depth of vessel. However, the ultrasonic PW Doppler system has the disadvantage that the range of evaluating velocity of blood flow is limited(Nyquist limit). In order to solve this limit, we propose the algorithm for eliminating this aliasing in this paper. In addition, we propose the efficient signal processing algorithm.

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Verification of Periodical Calibration for Iso-center Positions using Quality Assurance System for Irradiation Equipment Position Established at PMRC

  • Yasuoka, Kiyoshi;Ishikawa, Satoko
    • Proceedings of the Korean Society of Medical Physics Conference
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    • 2002.09a
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    • pp.192-194
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    • 2002
  • We present the results on the calibration of iso-center positions using the quality assurance system established at PMRC for determination of center position in X-ray and proton irradiation fields. Details on the system are presented in another presentation in this session. The equipment in the system is mounted on a patient treatment bed in each proton exposure room, G1 or G2. A center of a stainless ball on the equipment is set at a cross of laser markers located around the iso-center and fixed on the room and on the snout in the gantry. A proton beam or an X-ray beam is exposed onto the ball through a brass collimator of 100 mm ${\times}$ 100 mm and projected onto the imaging plate set at I cm behind the ball. On the axis perpendicular to the thrust axis of the gantry on the imaging plate, a distance between a center of the collimator image and a center of the ball image varies as a cosine function of gantry angles unless the ball is set on the iso-center. An amplitude of the cosine curve shows the distance between the ball and the iso-center, an offset the offset of the collimator, and a phase shift at a zero crossing point the ball direction viewed from the iso-center. We present the relation among the iso-center position, the laser maker position, and the center of proton and X-ray irradiation fields. Its stability and its reproducibility are discussed.

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A Study on Improvement of Emergency Medical System for forestry accident (임업 사고 응급대응체계의 개선방안에 관한 연구)

  • Nam, Ki-Hun;Park, Young-Soo;Kim, Kwang-Il;Cho, Koo-Hyun;Lee, Eun-Jai;Baek, Seung-An
    • Journal of the Korean Society of Industry Convergence
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    • v.22 no.6
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    • pp.665-671
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    • 2019
  • The estimated on-site accident rate in Forestry is relatively high. According to statistics of the accident, in the recent 5 years, from 2014 to 2018, forestry accidents have resulted in 98% of injuries and 87% of fatalities. Especially, there are significant geographical constraints to access to the scene in case of an accident. Even though the capacity of first aid capacity is notably emphasized its importance to minimize the scale of damages, the relevant employees have been educated only basic first aid, which is not considered circumstances or geographic limitations, by Occupation Safety and Health Acts. Therefore, the purpose of this study is to derive a direction for a forest emergency service system to increase forestry workers' survival and prevent secondary injury through securing 'Golden Time.' This study conducts analyzing relevant laws and regulations in domestic and international settings as well as looking at several concerned accident cases. The outcome of analysis presents an issue regarding the implementation of onsite first aid in forestry and existing risk factors depending on the working process. Finally, we suggest two ways to improve the forest emergency service that are 1) an appropriate curriculum and kit for forest first aid; and 2) a system for emergency transfer through sharing information between National Fire Agency (NFA) and emergency medical service center, and emergency and rescue mission using helicopter from NFA and Korea Forest Service.

Prospective Supply and Demand of Medical Technologists in Korea through 2030 (임상병리사 인력의 수급전망과 정책방향)

  • Oh, Youngho
    • Korean Journal of Clinical Laboratory Science
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    • v.50 no.4
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    • pp.511-524
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    • 2018
  • The purpose of this study is to provide policy recommendations for manpower planning by forecasting the supply and demand of Medical Technologists. Supply was estimated using an in-and-out movement method with a demographic method based on a baseline projection model. Demand was projected according to a demand-based method using the number of clinico-pathologic examinations taken for Medical Technologists. Over- or undersupply of Medical Technologists will depend on the productivity scenario and assumptions and ultimately on governmental policy direction. In other words, whether the production of Medical Technologists is higher or lower than the current level depends on the government policy to consider insurance finances. In this study, we assessed 'productivity scenario 3' based on the productivity as of 2012, when the government's policy direction was not considered. Based on the demand scenario using the ARIMA model, the supply of Medical Technologists is expected to be excessive. This oversupply accounts for less than 10% of the total and therefore should not be a big problem. However, given that the employment rate of Medical Technologists is 60%, it is necessary to consider policies to utilize the unemployed. These measures should expand the employment opportunities for the unemployed. To this end, it is necessary to strengthen the functions of laboratories in the public health center, to increase the quota of Medical Technologists, to assure their status, to establish a permanent inspection system for outpatient patients, and to expand the export of Medical Technologists overseas.

The Positions and Personnel of the Naeui System in the Late Joseon Dynasty (조선후기 내의원 의관의 직임과 인사)

  • PARK Hun-pyeong
    • The Journal of Korean Medical History
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    • v.35 no.1
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    • pp.45-57
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    • 2022
  • This paper examines the positions and personnel of the Naeui system in the late Joseon Dynasty. First, the regulations of the Naeui system were investigated through the literature related to Naeuiwon. Next, the operation of the regulations, changes in the system, and causes were analyzed through the Seungjeongwon Diary (承政院日記). We discovered: 1) Naeuiwon's medical bureaucracy originally did not have a fixed number of positions, but gradually came into being with a quota regulation. Uiyagdongcham-ui (議藥同參醫) and Naechim-ui (內鍼醫) did not have a quota, but was initially set at 10 people, then expanded to 12 people. Originally, the royal physician had no fixed number, and in 1864 the first quota was 7 people. 2) 'Gyeom-eoui' and 'gachanaeui' served to expand Naeui's quota. After the mid-17th century, 'Gyeom-eoui' expanded the quota of royal physicians to secure a position for the medical bureaucracy of Naeuiwon. 'Gachanae' after King Jeongjo serves to add to the quota while obeying the provisions of the law. 3) The customary promotion of Naeuiwon's medical bureaucracy expanded and became stricter after the mid-19th century, during which special promotions became more frequent than in previous periods. As for the provision of appointment to the 6th class after 30 months, Uiyagdongcham-ui was established in 1686 and Naechim-ui was established in 1718, increasing the chance for customary promotion. In the case of Naeui, the regulation for the Secretary General to raise the degree of official rank has been strengthened since the Cheoljong era. However, special promotions were frequent in the mid-19th century because the number of high-ranking officers increased compared to the previous period. In conclusion, the Naeui system in the late Joseon Dynasty changed in the direction of strengthening their own privileges. The Naeuiwon's quota was increased and promotion was guaranteed through the system and customs. Since the mid-18th century, there have been some regulatory restrictions, but the framework has not changed. This is confirmed not only in the regulations of the documents related to the Naeuiwon, but also in the Seungjeongwon Diary. Naeuiwon's medical bureaucracy enjoyed superiority in promotion and status compared to other forms of technical bureaucracy.