• Title/Summary/Keyword: medical direction system

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Study of the Prior Review System about Medical Advertising on the Existing Laws

  • Kim, Woon-Shin;Joung, Soon-Hyoung
    • Journal of the Korea Society of Computer and Information
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    • v.21 no.6
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    • pp.97-106
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    • 2016
  • This study tries to seek the is the realistic improvements and legislative measures about current medical advertising which was in the Court on 12 May 2015 by presenting and discussion the understanding, problems and its alternative direction of pre-deliberation on the existing law which is the decision on the constitutionality of health care advertising regulated health care advertising General commercial advertising has the right which have to be protected as the terms of the protection of know and freedom of expression and advertiser's there are sure to be in a value to be protected. Medical advertising is also a person in addition to the absolute value that includes both Due to the particularity of medical advertising in terms of life and the right to health Until now, this has been the target of strong regulations are changing the policy of gradual deregulation in our country, including the country. Medical advertising on the current medical law had been to be checked by pre-deliberation of the executive power. However, due to unconstitutional, in the circumstances which a false hype is flooding and increasing, it has been realized that the fair competition of medical community, life and health rights of the people are threatened by in reverse. In this regard, the abolition of the pre-deliberation system of medical advertising can be welcomed by abolition of the old system which is the legal and institutional censorship. Since its abolition, the alternative policy direction is insufficient also it is not clear. Therefore we need to study this. Therefore, in this paper, we try to find general theoretical background and problem of pre-deliberation system of medical advertising. Also, as trying to find feasibility or ambiguity of regulation and issues about medical advertising on medical law, we argued the provision of special measures of the medical advertising for introduction of integrated medical advertising deliberation committee which can ensure the independence and autonomy, strengthening of the monitoring on the internet advertising, legal resolving through amendments, strengthening of penalties, and establish special measures of medical advertising for the medical privatization and demand for the foreign medical tourist, etc. Empirical study about practical regulatory measures of medical advertising which converged the various opinions of consumer groups, government and academia, and medical community, and we expect hope to see the more realistic alternative provision.

Inversion of Spread-Direction and Alternate Neighborhood System for Cellular Automata-Based Image Segmentation Framework

  • Lee, Kyungjae;Lee, Junhyeop;Hwang, Sangwon;Lee, Sangyoun
    • Journal of International Society for Simulation Surgery
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    • v.4 no.1
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    • pp.21-23
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    • 2017
  • Purpose In this paper, we proposed alternate neighborhood system and reverse spread-direction approach for accurate and fast cellular automata-based image segmentation method. Materials and Methods On the basis of a simple but effective interactive image segmentation technique based on a cellular automaton, we propose an efficient algorithm by using Moore and designed neighborhood system alternately and reversing the direction of the reference pixels for spreading out to the surrounding pixels. Results In our experiments, the GrabCut database were used for evaluation. According to our experimental results, the proposed method allows cellular automata-based image segmentation method to faster while maintaining the segmentation quality. Conclusion Our results proved that proposed method improved accuracy and reduced computation time, and also could be applied to a large range of applications.

Influence of Aquaplastic Mask Immobilization on Patient Positioning in Head & Neck Radiotherapy (두경부암 방사선 치료 시 Aquaplastic Mask가 환자 고정에 미치는 영향)

  • Lee, Ho-Yeon;Bae, Sun-Myung;Kim, Jin-San;Kang, Tae-Young;Kwak, Jung-Won;Back, Geum-Mun
    • The Journal of Korean Society for Radiation Therapy
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    • v.24 no.2
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    • pp.175-181
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    • 2012
  • Purpose: This study aimed to analyze the influence of aquaplastic mask which is used for the radiotherapy for patients with head and neck cancer on patient positioning by analyzing the results of 2D/2D matching with the use of Exactrac 6D couch system. Materials and Methods: 2D/2D matching-based Image guidance was performed with the use of Exactrac 6D couch system on a total of 14 patients with head and neck cancer who received radiotherapy at this hospital in a period from June 2010 to June 2011. The adjusted 6D values obtained after the image guidance were classified into values related with patients and values not related with patients as to the correlation between the results. Results: In the analysis of the relation of each adjusted value to patients, the coefficient of determination ($R^2$) of longitudinal and pitch direction was 0.76, of longitudinal and yaw direction was 0.48, and of pitch and yaw direction was 0.42 although the coefficient of determination for above factors was 0.03 or less when the dependency of patients was excluded. Conclusion: It was demonstrated that intrinsic factors of aquaplastic mask had influence on the immobilization of patients by aquaplastic mask although various factors related with patients had influence on the immobilization of patients. It is believed that if these factors are adjusted, the treatment of patients with head and neck cancer can be more accurate.

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A Study on the Scope of Practice of Nurses in the Prehospital Emergency Medical Service System (병원 전 응급의료체계에서 간호사의 업무범위에 대한 소고(小考))

  • Bae, Hyuna
    • The Korean Society of Law and Medicine
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    • v.20 no.2
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    • pp.141-171
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    • 2019
  • Nurses are medical personnels under the Medical Service Act and perform medical practice such as medical assistance at medical institutions. The nurse, a medical personnel, provides emergency medical service to emergency patients in the pre-hospital emergency medical system as a 119 rescuer based on the Act on 119 Rescue and Emergency Medical Services. The scope of practice of nurses is comprehensively defined in the Medical Service Act and specified through precedents. In contrast, The scope of work of emergency medical technician is listed in detail. It is understood that nurses in the pre-hospital emergency medical service system have a wider scope of practice than emergency medical technician. In particular, the scope of practice of nurses as emergency medical personnel in the pre-hospital emergency medical system should be interpreted differently within the medical institution, considering the urgency of the patient, being transferred to the emergency medical institution, and the specificity of medical direction through tele-communication.

A study on the Transmutation among Six-channels in Shanghanlun (『상한론(傷寒論)』 육경병(六經病) 전변(傳變)에 관한 연구(硏究))

  • Lee, Sang-Hyup;Kim, Hoon
    • Journal of Korean Medical classics
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    • v.28 no.3
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    • pp.27-43
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    • 2015
  • Objectives : Zhang Zhong-jing's Shanghanlun is based on Six-channels system to classified a disease. This paper is planning to describe the Transmutation among Six-channels system. Six-channels change not fixed in either direction and each is relative to each other. Methods : I will try to describe the Transmutation among Six channels system, through the letter of the Shanghanlun. First, I will find letters related to a disease transmission. Second, It will be described through the analysis of the past medical scientists. Results : Six-Meridian Pattern is the categorization of syndromes according to the theory of the six meridians, applied to the diagnosis of acute febrile diseases at different stages, but also useful for the pattern syndrome differentiation of other diseases. Transmutation among Six channels system is not fixed in a certain order and it each affects one another. Conclusions : We can see that Zhong-jing's medical treatment from syndrome differentiation is associated with a Mutual transmission(相互傳變).

Standing Issues and Policy Tasks of the Korean Dental Community - The direction of reforming the country's health insurance system (치과의료계의 현안과 정책과제 - 건강보험제도의 현안과 발전방향 모색)

  • Lee, Soo-Ku
    • The Journal of the Korean dental association
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    • v.48 no.1
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    • pp.6-11
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    • 2010
  • Amid the rapid transitions in both local and international markets, the Korean dental industry is facing more challenges than at any time in its history. This paper tried to address some of the key issues faced by the industry as well as the policy issues and I direction of implementation that the Korean Dental Association (KDA) is expected to tackle. First, the direction of reforming the country's health insurance system was examined with emphasis on the expected changes in and improvement of the fee-for-service reimbursement system (FFSRS) and medical reimbursement system (MRS). With FFSRS, the most urgent issue would be ameliorating the current lop-sided, unreasonable reimbursement system that prevents suppliers from voicing their opinions. To help achieve that goal, the limited authority and responsibility of the president of National Health Insurance Corporation (NHIC) as one of the contract-making parties must be clarified. In addition, the functions of NHIC's Health Insurance Finance Committee must be restricted; at the same time, the panel organization of the Health Insurance Policy Review Committee needs to be reformed to embrace greater democracy. As with MRS, the government is considering a block budget bill to help promote efficiency in employing and managing the health insurance fund. Policymakers must understand that the implementation of such proposal could exacerbate an already dire situation. Improving MRS requires meeting the following preconditions: (a) the structurally vicious cycle of small charge-small salary needs to be resolved, and a certain percentage of fee raise must be guaranteed on a yearly basis to help adjust the fee system to a more realistic level; (b) the supply-and-demand balance in producing health care professionals must be improved including the prevention of oversupply of doctors, nurses, etc., and; (c) institutional strategies must be provided to enhance the quality of medical care and ensure academic advancement in health care disciplines.

Current Issues and Future Considerations in Undergraduate Medical Education from the Perspective of the Korean Medical Doctor Development System (우리나라 의사양성체제의 관점에서 본 의과대학 교육의 문제점과 개선방향)

  • Han, Jae Jin
    • Korean Medical Education Review
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    • v.20 no.2
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    • pp.72-77
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    • 2018
  • Observation of the current Korean medical education and training system shows that certain negative traits of unchangeable solidification engraft themselves so deeply into the overarching system that they are now hampering the state of the national health welfare. Focusing only on undergraduate medical education, we can point out some glaring side-effects that should be of concern to any stakeholder. For instance, a graduate can legally begin his career as an independent practitioner immediately after passing the licensing exam and return to the old stuck school-year system of 2-year-premedical and 4-year-medical programs where outcome-based and integrated curricula are incomplete and unsatisfactory. In terms of learning opportunities, the balance between patient care and public health, as well as that between in-hospital highly specialized practice and community-based general practice, has worsened. Every stakeholder should be aware of these considerations in order to obtain the insight to forge a new direction. Moreover, our medical schools must prepare our students to take on the global roles of patient care within the Fourth Industrial Revolution, health advocacy for the imminent super-aged society, and education and research in the bio-health industry, by building and applying the concept of academic medicine. We will need to invest more resources, including educational specialists, into the current undergraduate medical education system in order to produce proper outcomes, smart curriculum, innovative methods of teaching and learning, and valid and reliable monitoring and evaluation. The improved quality of undergraduate medical education is the starting point for the success of the national system for public health and medical care as a whole, and therefore its urgency and significance should be emphasized to the public. The medical society should go beyond fixing what is broken and usher in a new era of cooperation and collaboration that invites other health professionals, governmental partners, law-makers, opinion leaders, and the general public in its steps toward the future.

Study on Dual Medical System of Traditional Chinese Medicine and Western Medicine in Taiwan (대만 중.서의 의료이원화 현황에 관한 연구 - 면허제도 및 교육제도 확립을 중심으로 -)

  • Kim, Dong Su;Choi, Byung Hee;Lee, Hyun Ji;Kwon, Soo Hyun;Kwon, Young Kyu
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.28 no.1
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    • pp.9-15
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    • 2014
  • Recently, interest in traditional medicine has increased steadily. Nations having traditional medicine system have been attempting to change it institutionally for the purpose of public application boost in use of traditional medicine. But there are not too many countries which have established the modern system of education and licensing system for traditional medicine with it maintained as a part of a national health care system. The best known examples of nations utilizing traditional medicine are the People's Republic of China, Republic of Korea, Japan, and Taiwan. These countries follow different patterns in the relationship with western medicine according to different social and historical backgrounds. Taiwan has dual medical system as Korean. In this study, we looked through history and the current state of affairs of national health care system in Taiwan, and also found out the licensing system, the educational system, and the curriculum in several universities. thoroughly. Furthermore, we looked into the direction of the policy of Taiwanese health care system which has been becoming an integrated medical system between traditional Chinese medicine and western medicine. With findings based on this study, we deduced implications of a future policy line about the integrated medical system in Korea to minimize conflicts between the concerned parties.

Isocenter Reproducibility with Mask Fixation System in Stereotactic Radiosurgery (정위 마스크 시스템을 사용한 방사선수술시 회전중심점의 재현성)

  • 이동준;손문준;이기택;최찬영;황금철;황충진
    • Progress in Medical Physics
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    • v.13 no.3
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    • pp.135-138
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    • 2002
  • Fractionated stereotactic radiosurguy (FSRS) requires precise and reproducible patient set up. For these reasons non-invasive mask fixation methods have been used in Linac based FSRS. In this study, we measured and assessed the isocenter reproducibility using a commercial head mask fixation system based on thermoplastic materials. For the verification and the measurement of isocenter deviation a special acrylic brain phantom was designed. The designed phantom has 22 vertical rods and each rod has different lengths. At the end of the 8 rods, the monochromic film is attached and irradiated due to planned target position. Deviations of isocenter were measured separately for each direction. The mean deviation showed 0.4 mm in longitudinal direction, 0.1 mm in the lateral direction, 0.1 mm in the anterior-posterior direction of the treatment couch. The data demonstrates the high accuracy and reproducibility. This study reinforces previous literature published.

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Implementation of a Medical Information Transmission Protocol Based on Mobile Wireless Communication (무선 이동통신 기술에 기반한 의료 정보 전송 프로토콜 구현)

  • 정희창;한민수
    • Journal of Biomedical Engineering Research
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    • v.19 no.1
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    • pp.19-24
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    • 1998
  • The main goal of this paper is to propose and to test a radio protocol based CSMA/CA (Carrier Sense Multiple Access with Collision Avoidance) for the purpose of enhancing the existing medical information system. The feature of the new medical information system, Medical Application Radio System(MARS), which operating in real time is the transmission of medical information in bi-direction between the hospital control office and patients mobile stations. MARS monitors patients linked to the network by radio and provides quick alarm, flexible documentation capabilities, asnd fast treatment for the analysis of collected medical data. The existing medical information system, radio telemetry system which transfers the message of patients to the CAP(Central Access Point) unit in one way at the speed of 9.6Kbps and operates a channel frequency bandwidth. To verify the Performance of the proposed system, we have performed the numerical analysis and have implemented a test system which consists of the 2.4Ghz radio transceiver and personal computer.

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