• Title/Summary/Keyword: medical direction system

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Effects of Knee Malalignment on Static and Dynamic Postural Stability

  • Chae, Yun-Won;Park, Ji-Won;Park, Seol
    • The Journal of Korean Physical Therapy
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    • v.27 no.1
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    • pp.7-11
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    • 2015
  • Purpose: This study was conducted in order to determine the effects of knee malalignment including genu varum, valgum, and recurvatum on static and dynamic postural stability. Methods: A total of 80 subjects were enrolled in this study. Subjects who showed over 3 cm in the distance between the knees were classified as the genu varum group, and subjects who showed over 3 cm in the distance between the ankles were classified as the genu valgum group. Subjects who showed over 1 cm in the distance between the patella and a table in prone position were classified as the genu recurvatum group. Static and dynamic stability were measured as overall, anterioposterior, and mediolateral balance index using a Biodex Balance System. Results: This study showed that knee alignment affected static and dynamic postural stability. In particular, there were significant differences in the mediolateral stability index among genu varum, valgum group, and the other groups, but no differences in overall and anteriolateral stability index. Significant differences in the anterioposterior stability index were observed between genu recurvatum and the other groups, however, there were no differences in overall and mediolateral stability index. Conclusion: The findings were that knee malalignment affects postural stability toward a specific direction. Treatment to improve postural stability for treatment of knee malalignment or to prevent falling or injuries is needed and postural stability toward a specific direction according to the knee alignment conditions should be considered.

A Study for Medical Precision Control Machine Using AX-12

  • Jo, Heung-Kuk
    • Journal of information and communication convergence engineering
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    • v.8 no.5
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    • pp.591-594
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    • 2010
  • Control devices perform various works for us in many areas. The device is being utilized for precision movement of certain object. In as much as control devices are activated by means of motors, motor control is important.[1][2] Generally, servo motors capable of precision control are more frequently used than DC motors. Use of 3 motors allows 3- way movement. Medical controllers for surgical operation require high precision. [3][4][5][6] AX-12, a servo motor can realize various types of movement. AX-12 can be easily manufactured in the form of a robotic arm and has features that MCU and its peripheral circuits are simple. For precision movement, 3 motors can be controlled by use of a single joystick and 2 buttons, with movement angles being adjusted by having preset values in the program changed.[7][8] By virtue of this study, we have realized small precision robotic arm system utilizing single joystick and 2 buttons. This system can control the robotic arm in the direction desired by the user. The system has been designed such that a joystick controls 2 motors with the remaining motor being controlled by a button. Single MCU is tasked with both control and movement.[9] We have shown precision robotic arm system in the Figure contained in the conclusion part and made reference to results of analysis in there. It has also been demonstrated that the system can be utilized in the industry.[8]

The Effect of Having Usual Source of Care on the Choice among Different Types of Medical Facilities (상용치료원 보유가 의료기관 종별 선택에 미치는 영향: 대형병원 환자집중현상 완화방안을 중심으로)

  • Kim, Doo Ri
    • Health Policy and Management
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    • v.26 no.3
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    • pp.195-206
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    • 2016
  • Background: Concentration of patients to large hospitals is serious problem in Korea. The purpose of this paper is to propose appropriate policy direction to relieve concentration of patients to large hospitals. It is focused on evaluation of the possibility of family doctor system as a policy alternative to relieve concentration of patients to large hospital by empirically analyzing the effect of usual source of care (USC) on large hospitals medical care use. Methods: Korea Health Panel conducted 2009, 2012, 2013 by KIHASA (Korea Institute for Health and Social Affairs) and NHIS (National Health Insurance Service) was used for analysis. For dependent variables, first, the ratio of the amount of using large hospital to total amount of using medical care, and second, the amount of using large hospital are estimated. Independent variables are having an USC and type of USC. Panel analysis was done with above variables. Results: Main results are as follows. First, having an USC increases using large hospital. Second, having a domestic clinic type USC decreases using large hospital and ratio of using large hospital. Third, the effect of domestic clinic type USC is greater in older group, less income group, worse health status group, not having private insurance group, and having chronic disease group. Conclusion: These results show that family doctor program can be a policy alternative to relieve concentration of patients to large hospital. Nonetheless, primary care system in Korea is unsatisfied. It is recommended to reinforce primary care system and family doctor system to relieve concentration of patients to large hospitals.

Development of Motion Recognition and Real-time Positioning Technology for Radiotherapy Patients Using Depth Camera and YOLOAddSeg Algorithm (뎁스카메라와 YOLOAddSeg 알고리즘을 이용한 방사선치료환자 미세동작인식 및 실시간 위치보정기술 개발)

  • Ki Yong Park;Gyu Ha Ryu
    • Journal of Biomedical Engineering Research
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    • v.44 no.2
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    • pp.125-138
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    • 2023
  • The development of AI systems for radiation therapy is important to improve the accuracy, effectiveness, and safety of cancer treatment. The current system has the disadvantage of monitoring patients using CCTV, which can cause errors and mistakes in the treatment process, which can lead to misalignment of radiation. Developed the PMRP system, an AI automation system that uses depth cameras to measure patient's fine movements, segment patient's body into parts, align Z values of depth cameras with Z values, and transmit measured feedback to positioning devices in real time, monitoring errors and treatments. The need for such a system began because the CCTV visual monitoring system could not detect fine movements, Z-direction movements, and body part movements, hindering improvement of radiation therapy performance and increasing the risk of side effects in normal tissues. This study could provide the development of a field of radiotherapy that lags in many parts of the world, along with the economic and social importance of developing an independent platform for radiotherapy devices. This study verified its effectiveness and efficiency with data through phantom experiments, and future studies aim to help improve treatment performance by improving the posture correction mechanism and correcting left and right up and down movements in real time.

Utilization of Computer System for Outpatient's Dispensing Affairs in Hospital Pharmacy (병원약국의 외래조제업무에 대한 컴퓨터의 이용)

  • Ro, Hwan-Seong
    • Journal of Pharmaceutical Investigation
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    • v.23 no.2
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    • pp.97-102
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    • 1993
  • Hospital pharmacy services are divided into dispensing affairs for inpatients and outpatients, pharmaceutical service, stock control, intravenous admixture service, drug information service, pharmacokinetic consultation service, education and research work, etc. But among those affairs, dispensing affair for outpatient is perceived as the most important work in Korea, because it is linked directly with hospital service for patients. Therefore, total computer system for dispensing area was adopted from opening point of hospital in 1989 in Asan Medical Center. Utilization of computer system for outpatient dispensing area is as follows; 1) Order communication system of prescription by Total Hospital Information System, 2) Automatic print-out system of direction for use by sticker connected with on-line net work, 3) Use of automatic tablet counting and packaging machines connected with on-line net work. Those computer system resulted in curtailment of pharmacy manpower and shortening of waiting-time for outpatient.

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The Study of RIA Development Direction using Suggestion System (제안제도를 활용한 RIA 발전 방향에 관한 연구)

  • Shin, Young-Kyun;Chun, Jun-Hong;Kim, Yeon-Ok;Lee, Seon-Ho;Kim, Seong-Ho;Yoo, Seon-Hee
    • The Korean Journal of Nuclear Medicine Technology
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    • v.15 no.1
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    • pp.106-112
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    • 2011
  • Purpose: Until now, the process was improved by the needs of experimenters personally. But recently, suggestion system in hospital has been activated in various ways. So the department of nuclear medicine laboratory is also aware of the need of operation improvement using suggestion system. It is intend to assist in the development by sharing excellent suggestion cases with other hospitals. Material & Method: A total of 124 suggestion cases from January 2007 to March 2010 were analyzed. Suggestion cases were divided into customer satisfaction, cost reduction, improved testing methods, equipment, environmental improvement, and computational system. Result: Suggestion cases of environmental improvement and computational system were accounted for 26.6% as 33 cases, respectively. Suggestion for customer satisfaction is 25.8% as 32 in a total of 124 cases. Conclusion: Activation of the awareness of operation improvement is induced by suggestion system. By securing system of operation improvement, employees' ideas can lead to the production and systematization. Furthermore, it enhances hospital competitiveness and promotes the development of the hospital.

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A Literature Review of Issues and Tasks by Period of Revision of Regulations Related to Convalescent Rehabilitation Wards in Japan: Focusing on Quality Evaluation

  • Lee, Minyoung;Jeon, Boyoung
    • The Journal of Korean Physical Therapy
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    • v.34 no.1
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    • pp.26-37
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    • 2022
  • Purpose: Japan established the convalescent rehabilitation wards, corresponding to Korea's rehabilitation medical institutions, in 2000 and developed it into the present system through continuous revisions. This study sought to analyze the issues and tasks faced by Japan segregated by the period of revision of convalescent rehabilitation ward-related medical fee regulations, through a literature review and further aimed to explore the direction of development of domestic rehabilitation medical institutions. Methods: Ten revisions of the medical fee regulations were classified into three stages based on quality evaluation: (1) the quantitative expansion stage (2000-2006); (2) quality evaluation introduction stage (2008-2014); and (3) quality evaluation maturity stage (2016-2020). Results: The following issues and tasks emerged: (1) For the quantitative expansion stage; insufficient rehabilitation within the ward, insufficient after-hour rehabilitation, insufficient connection with acute-stage hospitals and maintenance facilities, and the low ratio of specialists. (2) For the quality evaluation introduction stage; disparity in the manpower between institutions, the necessity of a 365-day rehabilitation system, avoidance of critical patients, and the problem that an increase in the amount of rehabilitation did not lead to a qualitative improvement. 3) For the quality evaluation maturity stage; cream-skimming issues in selecting patients, inappropriate evaluation of rehabilitation effects, and the necessity of follow-up measures after discharge. Conclusion: It is worth referring to the established regulations in Japan, and concurrently it is necessary to strengthen the evaluation of the structures, processes, and results when operating and evaluating rehabilitation medical institutions in Korea taking into account the side effects that could be identified in Japan.

A Study on Phase Velocity Correction of Motorized Wheelchair Based un Fuzzy Control (퍼지제어에 의한 전동 휠 체어의 경로속도 보정에 관한 연구)

  • Lee, Chang-Hun;Mun, Cheol-Hong;Hong, Seung-Hong
    • Journal of Biomedical Engineering Research
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    • v.13 no.4
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    • pp.331-338
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    • 1992
  • In this study, Fuzzy control algorithm to generate a change of rocomotion condition according to an outer environment is introduced on a motorized wheelchair control. An optimal control rule for conquesting the less of safety and system Inefficiency in the past are given to this motorized wheelchair. And dynamic analysis Is also adopted to it. Using those rules, a proportional control was possible when the vehicle changed Its moving direction. The proposed method which considers the relationship between a moving velocity and the command from the joystick shows better performance in the change of moving direction.

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A Study on Phase Velocity Correction of Motorized Wheelchair Based on Fuzzy Control (퍼지제어에 의한 전동 휠 체어의 경로속도 보정에 관한 연구)

  • Lee, C.H.;Lee, D.H.;Yang, S.J.;Hong, S.H.
    • Proceedings of the KOSOMBE Conference
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    • v.1992 no.11
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    • pp.71-76
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    • 1992
  • In this study, Fuzzy control algorithm to generate a change of rocomotion cordition according to an outer environment is introduced on a motorized wheelchair control. An optimal control rules for conquesting the less of safety and system inefficiency in the past are given to this motorized wheelchair. And dynamic analysis is also adopted to it. Using those rules, a proportional control was possible when the vehicle changed its moving direction. The proposed method which considers the relationship between a moving velocity and the command from the joystick shows better performance in the change of moving direction.

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Optimal Path Planning and Control of Omni-directional Autonomous Mobile Robot (전 방향 자율이동로봇의 최적 경로탐색 및 제어)

  • Hwang, Jong-Woo;Lee, Yong-Gu;Lee, Hyunk-Wan;Eom, Ki-Hwan
    • Proceedings of the IEEK Conference
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    • 2006.06a
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    • pp.945-946
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    • 2006
  • There are some difficulties to track an object with one-axis two-wheel drive method. When one-axis two-wheel drive robot wants to approach to the object, it should turn direction of the robot. At this time, direction of camera also would be changed. In this paper, we introduce omni-directional driving system that can move freely without turning the robot body, and propose the optimal approaching method.

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