• Title/Summary/Keyword: medical law

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Computational Study on the Hemodynamic Behaviors of the Human Cardiovascular System with an Acute Arteriovenous Fistula (급성 동정맥루를 포함하는 인체 심혈관계의 혈류역학적 거동에 관한 수치 해석적 연구)

  • 변수영;손정락;심은보;노승탁
    • Journal of Biomedical Engineering Research
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    • v.24 no.4
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    • pp.329-337
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    • 2003
  • Blood in congenital or acquired AY fistula(arteriovenous fistula) flows from arteries directly to veins. detouring peripheral micro-circulation. This makes a great effect on the hemodynamics of human cardiovascular system. In this study, a computational method using lumped parameter mode) was proposed to simulate the cardiovascular hemodynamics of patients with acute AV fistula The cardiovascular system model with a fistula compartment in left lower limb was built using 17 standard lumped compartments. Using fourth order Runge-Kutta method. we solved numerically the unsteady linear set of the ordinary differential equations resulting from application of Kirchhoff's law to the lumped parameter hemodynamic model. The baroreceptor reflex system was implemented to explain the auto-regulation effect of the cardiovascular system with acute AV fistula.

Using Huff Model for Predicting the Potential Chiness Retail Market

  • Su, Shuai;Youn, Myoung-Kil
    • Asian Journal of Business Environment
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    • v.1 no.1
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    • pp.9-12
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    • 2011
  • This study aimed to predict retail sales of local markets in Jinan city of China with the Huff model. Using the Huff Model, we examined whether the predicted retail sales of local markets may be different in Jinan, China, from the department stores, supermarkets, shopping centers/shopping malls, and home appliance stores. The probability that a customer shops at location depends upon the store size and the travel time factors calculated by the Huff Model. We found that the predictedretail sales of shopping malls have a greater value than others. People who live in a mid-sized city may have easier access to any stores within the city boundary than people in metropolitan areas. Therefore, people in a mid-sized city are more sensitive to store size, because a bigger store size means greater opportunities, incentivizing consumers to travel further to competing stores after passing by nearer, smaller stores. This study has some limitations. First, the data is somewhat restricted in that the subject stores do not represent all of the stores in Jinan. Second, we cannot compare the estimated market share of the stores and the actual sales data. It is further suggested in this study that more databases be developed throughout such East Asian countries as Korea and Japan and that a different parameter λ value in the Huff Model be utilized for mid-sized cities.

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Lower cellular metabolic power can be an explanation for obesity trend in Tae-Eum type: hypothesis and clinical observation

  • Shim, Eun Bo;Leem, Chae Hun;Kim, Joong Jae;Kim, Jong Yeol
    • Integrative Medicine Research
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    • v.6 no.3
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    • pp.254-259
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    • 2017
  • Background: Those classified as Tae-Eum (TE)-type people in Sasang constitutional medicine (SCM) are prone to obesity. Although extensive clinical observations have confirmed this tendency, the underlying physiological mechanisms are unknown. Here, we propose a novel hypothesis using integrative physiology to explain this phenomenon. Methods: Hypoactive lung function in the TE type indicates that respiration is attenuated at the cellular level - specifically, mitochondrial oxygen consumption. Because a functional reduction in cellular energy metabolism is suggestive of intrinsic hypoactivity in the consumption (or production) of metabolic energy, we reasoned that this tendency can readily cause weight gain via an increase in anabolism. Thus, this relationship can be derived from the graph of cellular metabolic power plotted against body weight. We analyzed the clinical data of 548 individuals to test this hypothesis. Results: The statistical analysis revealed that the cellular metabolic rate was lower in TEtype individuals and that their percentage of obesity (body mass index >25) was significantly higher compared to other constitutional groups. Conclusion: Lower cellular metabolic power can be an explanation for the obesity trend in TE type people.

Frequency and time of actual duties of some dental hygienists (일부지역 치과위생사의 실제 업무의 빈도와 소요시간)

  • Hwang, Soo-Jeong;Han, Yang-Keum
    • Journal of Korean Academy of Dental Administration
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    • v.7 no.1
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    • pp.10-20
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    • 2019
  • Korean dental hygienists perform more tasks in dental clinics than are described in the law. The purpose of this study was to investigate the actual work of Korean dental hygienists in dental clinics using an observational study design. Two dental hygienists observed and recorded the work performed in 1 day from the time of commencement to the time of leaving work by 18 dental hygienists working in the dental clinic in a single area. Data management, prevention of infection, counseling, calculus removal, radiography, assistance of fixed orthodontic treatment, assistance of fixed prosthetic treatment, and preparation for implant surgery were recorded. Among the tasks that take more than 1 min, the most time-consuming tasks were document management, infection control, consultation, calculus removal, preparation for implant surgery, assistance of orthodontic treatment, and assistance of fixed prosthetic treatment. Korean dental hygienists are performing various tasks, such as infection control, dental hospital/clinic management, oral disease prevention, and dental treatment assistants.

Hyperledger Fabric and Asymmetric Key Encryption for Health Information Management Server (하이퍼레저 패브릭과 비대칭키 암호화 기술을 결합한 건강정보 관리서버)

  • Han, Hyegyeong;Hwang, Heejoung
    • Journal of Korea Multimedia Society
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    • v.25 no.7
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    • pp.922-931
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    • 2022
  • Recently, the need for health information management platforms has been increasing for efficient medical and IT technology research. However, health information is requiring security management by law. When permissioned blockchain technology is used to manage health information, the integrity is provided because only the authenticated users participate in bock generation. However, if the blockchain server is attacked, it is difficult to provide security because user authentication, block generation, and block verification are all performed on the blockchain server. In this paper, therefore, we propose a Health Information Management Server, which uses a permissioned blockchain algorithm and asymmetric cryptography. Health information is managed as a blockchain transaction to maintain the integrity, and the actual data are encrypted with an asymmetric key. Since using a private key kept in the institute local environment, the data confidentiality is maintained, even if the server is attacked. 1,000 transactions were requested, as a result, it was found that the server's average response time was 6,140ms, and the average turnaround time of bock generation was 368ms, which were excellent compared to those of conventional technology. This paper is that a model was proposed to overcome the limitations of permissioned blockchains.

Factors Influencing Depression among Married Vietnamese Immigrant Women: Using Data from the 2018 National Survey of Multicultural Families (베트남 결혼이주여성의 우울감 영향요인: 2018년 전국다문화가족실태조사를 중심으로)

  • Lee, Ga Eon;Jun, Hye Jung
    • Journal of Korean Public Health Nursing
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    • v.36 no.3
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    • pp.375-388
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    • 2022
  • Purpose: The purpose of this study was to identify the factors influencing depression among married Vietnamese immigrant women living in Korea. Methods: This study was a retrospective review of the dataset from the Korean 2018 National Multicultural Family Survey. The data were analyzed using the Rao-Scott x2 test and multiple logistic regression using complex samples analysis. Results: The proportion of married Vietnamese immigrant women subjects in Korea who experienced depression was 27.7%. The factors affecting depression were age, length of stay in Korea, living area, economic status, difficulties in using medical care, difficulties faced during their stay in Korea and Korean language skills relationship with spouse and parents-in-law marital conflicts, cultural differences, their experience of social discrimination, life satisfaction, and meeting with friends from their homeland. Conclusion: The findings in this study indicate that the prevention of depression in married immigrant women in Korea could be aided by acculturation programs that deal with the relationships with their spouses and social supports.

A Survey of Satisfaction of Physical Therapy Course according to Teaching Ways after COVID-19

  • Lee, Han Do;Lee, Ji Hong;Kwon, Hyeok Gyu
    • The Journal of Korean Physical Therapy
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    • v.34 no.4
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    • pp.135-139
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    • 2022
  • Purpose: We investigated the satisfaction of physical therapy course according to teaching ways after COVID-19. Methods: 336 students in major of physical therapy were recruited in this study. Based on the classification of subjects in the national examination, the questionnaire was divided into 6 subjects in the basic field of physical therapy, 2 subjects in the field of physical therapy diagnostic evaluation, 8 subjects in the field of physical therapy intervention, and 3 subjects in other fields. The Likert scale was used. Results: In the basic field of physical therapy, all subjects were shown the high score of the satisfactory in face-to-face classes except for the public health and medical law compared to the non-face-to-face classes and mixed classes. Regarding the field of physical therapy diagnostic evaluation, the principle of diagnostic evaluation was shown the high score of the satisfactory in face-to-face classes compared to the non-face-to-face classes and mixed classes. In the field of physical therapy intervention, all subjects were shown the high score of the satisfactory in face-to-face classes compared to the non-face-to-face classes and mixed classes. Conclusion: We found that the face-to-face classes in most of subjects was shown the high score of satisfactory. We believed that our results can be used as basic data for physical therapy major learning methods.

Static and stress analyses of bi-directional FG porous plate using unified higher order kinematics theories

  • Mohamed, Salwa;Assie, Amr E.;Mohamed, Nazira;Eltaher, Mohamed A.
    • Steel and Composite Structures
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    • v.45 no.3
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    • pp.305-330
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    • 2022
  • This article aims to investigate the static deflection and stress analysis of bi-directional functionally graded porous plate (BDFGPP) modeled by unified higher order kinematic theories to include the shear stress effects, which not be considered before. Different shear functions are described according to higher order models that satisfy the zero-shear influence at the top and bottom surfaces, and hence refrain from the need of shear correction factor. The material properties are graded through two spatial directions (i.e., thickness and length directions) according to the power law distribution. The porosities and voids inside the material constituent are described by different cosine functions. Hamilton's principle is implemented to derive the governing equilibrium equation of bi-directional FG porous plate structures. An efficient numerical differential integral quadrature method (DIQM) is exploited to solve the coupled variable coefficients partial differential equations of equilibrium. Problem validation and verification have been proven with previous prestigious work. Numerical results are illustrated to present the significant impacts of kinematic shear relations, gradation indices through thickness and length, porosity type, and boundary conditions on the static deflection and stress distribution of BDFGP plate. The proposed model is efficient in design and analysis of many applications used in nuclear, mechanical, aerospace, naval, dental, and medical fields.

A study on the space composition and area planning of neonatal intensive care unit through the case of regional neonatal intensive care centers (신생아 집중치료 지역센터 사례를 통해 본 신생아 집중치료실(NICU) 공간 구성 및 면적 계획에 관한 연구)

  • Lee, Kee hwan;Park, Seo won
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.30 no.1
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    • pp.7-17
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    • 2024
  • Purpose: This study is to present basic data and standards for calculating the space composition and area required when planning a neonatal intensive care unit. Methods: Review domestic and foreign facility standards and regulations related to the current neonatal intensive care unit, select a regional neonatal intensive care center designated by the Ministry of Health and Welfare as a case hospital, and organize a space program for the construction plan of the neonatal intensive care unit through analysis of characteristics such as facility size and function composition. Results and Implications: The size, facility area, and detailed room composition characteristics of the neonatal intensive care unit in Korea were confirmed, and essential rooms and appropriate areas were derived when planning the construction of the neonatal intensive care unit. Korea's legal facility standards related to neonatal intensive care units are lower than the actual hospital status and overseas standards, and the facility standards of the medical law need to be improved.

Biomechanics of stabbing knife attack for trauma surgeons in Korea: a narrative review

  • Kun Hwang;Chan Yong Park
    • Journal of Trauma and Injury
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    • v.37 no.1
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    • pp.1-5
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    • 2024
  • The aim of this paper was to review the biomechanics of knife injuries, including those that occur during stabbing rampages. In knife stab attacks, axial force and energy were found to be 1,885 N and 69 J, respectively. The mean velocity of a stabbing motion has been reported to range from 5 to 10 m/sec, with knife motions occurring between 0.62 and 1.07 seconds. This speed appears to surpass the defensive capabilities of unarmed, ordinarily trained law enforcement officers. Therefore, it is advisable to maintain a minimum distance of more than an arm's length from an individual visibly armed with a knife. In training for knife defense, particularly in preparation for close-quarter knife attacks, this timing should be kept in mind. Self-inflicted stab wounds exhibited a higher proportion of wounds to the neck and abdomen than assault wounds. Injuries from assault wounds presented a higher Injury Severity Score, but more procedures were performed on self-inflicted stab wounds. Wound characteristics are not different between nonsuicidal self-injury and suicidal self-wrist cutting injuries. Consequently, trauma surgeons cannot determine a patient's suicidal intent based solely on the characteristics of the wound. In Korea, percent of usage of lethal weapon is increasing. In violence as well as murders, the most frequently used weapon is knife. In the crimes using knife, 4.8% of victims are killed. Therefore, the provision of prehospital care by an emergency medical technician is crucial.