• 제목/요약/키워드: medical support system

검색결과 881건 처리시간 0.027초

'멸종위기에 처한 야생 동식물의 국제거래에 관한 협약'의 상어류 등재가 한국 수산업에 끼칠 영향과 대응 전략 (Estimation of the Impact of the Inclusion of Sharks in the Appendices of the 'Convention on International Trade in Endangered Species of Wild Fauna and Flora (CITES)' on Korean Fisheries and Recommendations of the Domestic Measures on the Trade of the Listed Shark Species)

  • 손호선;안두해;김두남;이성일;박겸준
    • 수산해양교육연구
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    • 제26권6호
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    • pp.1278-1295
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    • 2014
  • The Sixteenth Meeting of the Conferences of Parties of the Convention on International Trade in Endangered Species of Wild Fauna and Flora (CITES), which was held in March 2013 in Bangkok, Thailand, listed five shark species and one genus, and uplisted one sawfish species. All new species listings will be come into force of the eighteen months delay, on the fourteenth of September, 2014. The purpose of the delay is to support the preparation of the domestic measures on shark trade by the parties, as there has been no previous experience in trading the commercially exploited aquatic species in the CITES. The CITES Secretary-General has visited several potential shark trade countries to encourage and facilitate the implementation of the new CITES listings. The newly listed sharks have been caught as a target or non-target species by Korean distant water fisheries and introduced into Korea. So the establishment or change of the domestic laws, regulations, and measures for the implementation of the new CITES species must be prepared before the effective entry date. This paper is prepared to assess the effects of the trade of the CITES listed shark species, and to suggest effective government service measures for the management of Korean distant water fisheries. The Ministry of Environment (MOE) is the general Management Authority of the CITES, and the Ministry of Food and Drug Safety (MFDS) is in charge of the medical trade of CITES listed species in Korea. By law, all imported medicines and medical materials must be inspected by the MFDS during the customs examination; this kind of authority sharing is reasonable and effective way of providing government service. Similarly, the designation of new CITES Management Authority for the trade of commercially exploited aquatic CITES species is critical and the Ministry of Oceans and Fisheries (MOF), which is now in charge of the trade of fisheries products, is the most appropriate governing body for this purpose in Korea. The revision of the National Plan of Action for Conservation and Management of Sharks, initially submitted to the Food and Agriculture Organization (FAO) of the United Nations in 2011 as a practical guideline for shark conservation in all Korean fisheries, could be a effective measure to achieve unification of conservation of endangered species and sustainable use of fisheries stocks. The proper CITES measures for the trade of listed species, such as the establishment of the documenting system for Non-detriment Findings, domestic measures suitable for the "Introduction from the Sea" clause, species specific Harmonized System Codes for the customs service, and an effective shark catch data reporting system should be in place prior to the fourteenth of September 2014.

Primary somatosensory cortex and periaqueductal gray functional connectivity as a marker of the dysfunction of the descending pain modulatory system in fibromyalgia

  • Matheus Soldatelli;Alvaro de Oliveira Franco;Felipe Picon;Juliana Avila Duarte;Ricardo Scherer;Janete Bandeira;Maxciel Zortea;Iraci Lucena da Silva Torres;Felipe Fregni;Wolnei Caumo
    • The Korean Journal of Pain
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    • 제36권1호
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    • pp.113-127
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    • 2023
  • Background: Resting-state functional connectivity (rs-FC) may aid in understanding the link between painmodulating brain regions and the descending pain modulatory system (DPMS) in fibromyalgia (FM). This study investigated whether the differences in rs-FC of the primary somatosensory cortex in responders and non-responders to the conditioned pain modulation test (CPM-test) are related to pain, sleep quality, central sensitization, and the impact of FM on quality of life. Methods: This cross-sectional study included 33 females with FM. rs-FC was assessed by functional magnetic resonance imaging. Change in the numerical pain scale during the CPM-test assessed the DPMS function. Subjects were classified either as non-responders (i.e., DPMS dysfunction, n = 13) or responders (n = 20) to CPM-test. A generalized linear model (GLM) and a receiver operating characteristic (ROC) curve analysis were performed to check the accuracy of the rs-FC to differentiate each group. Results: Non-responders showed a decreased rs-FC between the left somatosensory cortex (S1) and the periaqueductal gray (PAG) (P < 0.001). The GLM analysis revealed that the S1-PAG rs-FC in the left-brain hemisphere was positively correlated with a central sensitization symptom and negatively correlated with sleep quality and pain scores. ROC curve analysis showed that left S1-PAG rs-FC offers a sensitivity and specificity of 85% or higher (area under the curve, 0.78, 95% confidence interval, 0.63-0.94) to discriminate who does/does not respond to the CPM-test. Conclusions: These results support using the rs-FC patterns in the left S1-PAG as a marker for predicting CPM-test response, which may aid in treatment individualization in FM patients.

수출지원기반활용사업에서 디자인 서비스의 성과에 관한 연구 (A Study on the Performance of Design Services in the Export Voucher)

  • 이성수;안진호;김인준
    • 서비스연구
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    • 제10권2호
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    • pp.31-42
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    • 2020
  • 본 연구는 수출기반활용사업 중에서 디자인서비스 분야의 성과에 관한 연구이다. 특히, 참여기업 관점에서 디자인서비스의 이용실태와 이에 따른 문제점을 파악하여, 관련 사업에서 디자인서비스 분야에 있어서 성공적 지원방안 마련을 위한 기초 자료 제공을 목적으로 한다. 본 연구는 기록자료(archival records)를 활용하여 디자인서비스의 정확한 성과를 측정할 수 있도록 정량적 설문(survey) 조사를 설계하였고, 설문은 총 3차례 발송을 통하여 참여기업은 135개사에서 응답하였다. 연구결과에서 디자인서비스의 유의미한 성과는 의료/바이오/헬스케어, 전기/전자제품 등 국가 주력산업군의 수출에서 디자인 역할이 중요하다는 것을 알 수 있었다. 또한, 매출액 차이와는 상관없이 모든 참여기업들이 디자인서비스를 이용하고 있다는 것을 알 수 있었다. 특히, 디자인서비스 효과는 참여기업들의 96 %가 가장 효과적이었던 서비스라고 답변하였다. 결과적으로 수출지원기반활용사업에 있어서 디자인서비스의 중요성을 입증하였고, 향후 수출지원기반활용사업의 디자인서비스의 발전방향으로서 관리 시스템 도입의 중요성을 제언하였다.

질적 간호제공을 위한 간호단위 시범 운영 효과에 관한 임상적 연구 (A Clinical Study for Promoting Quality Nusing Care in a University Hospital)

  • 이애주;김선한;성영희;유순애;권인각;정연이;남혜경;권은정
    • 대한간호
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    • 제32권5호
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    • pp.66-77
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    • 1994
  • The purpose of this study was to develop a new nursing unit which can meet changing health care needs, enhance patients' satisfaction and nurses' job satisfaction, and finally guarantee quality nursing care with present manpower. For this, one medical unit was selected as a unit for quality care. And one medical unit which is similar in staffing and patients' characteristics was selected as a control unit. To assess present problems and identify the remedies to the problems a hospital-wide survey and a workshop were performed. According to the survey results, educational programs and improvement of the facilities and equipment supply system, managereal support for interdepartmental cooperation and intensification of bed-side nursing care were adopted as main principles for operating model unit, This model unit was operated for 3 months from Sep. 1, 1992 to Nov. 30, 1992. To evaluate the effectiveness of the model unit, derect/indirect nursing care hours, patients' satisfaction to nursing care, nurses' job satisfaction, and quality care index were measured. Direct/indirect nursing care hours were compared with that of the control unit, and patients' and nurses' satisfaction and quality care index were measured before and after operating model unit and compared with each other. The results of the study were as follows; 1. In the model unit mean direct nursing care hours per cach shift was 146.88 minutes and indirect nursing care hours was 354.72 minutes. The ratio of the direct nursing care hour to indirect nursing hour was 29.6 ; 70.4 and that of the control unit was 26.9 : 73.1. Direct nursing care hour in model unit was longer than that of the control unit. But, the difference was not significant. In subcategories of direct nursing care, the time spent in mobility and exercise, conservation of body temperature, hygiene, and communication and health education were longer than that of the con" trol unit. 2. Indirect nursing care hour in model unit was shorter than that of the control unit. But, the difference was not significant. In subcategories of indirect nursing care, the time spent in drug management and ward arrangement was shorter than that of the control unit. 3. Patients' satisfaction to nursing care was increased significantly after operating the model unit (T=-3.48, P=-0.002) and satisfaction to subcategories of physical comfort measure, psychological cate, and unit management components were significantly higher than before. 4. In the model unit, nurses' total job satisfaction was increased significantly after operating the model unit(Z=2.1004, P=.0357) and satisfaction to subcategory of satisfaction to administration was significantly higher than before (Z=-2.0732, P=.0382). 5. After operating the model unit, quality care index was increased from 89 to 93. With this results, it can be summarized that all the measures tried for quality care, such as educational programs, managereal support for interdepartmental cooperation, and improvement of the equipment and facility provision resulted in partial increase in direct nursing care hours, nurses satisfaction to their job and patients' satisfaction to nursing care. In can be postulated that managereal support and motivation without proper staff supplementation is not enough for increasing direct nursing care hours. And for the enhancement of the level in clinical nursing, and staff supplement must be considered sincerely and the measures for reducing indirect nursing care hours, such as computerization of nursing care activities, improvement of facilities and equipment and facilities supply system, must be instituted in addition.

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COTS 하드웨어 컴포넌트 기반 임베디드 소프트웨어 신뢰성 모델링 (Embedded Software Reliability Modeling with COTS Hardware Components)

  • 구태완;백종문
    • 한국정보과학회논문지:소프트웨어및응용
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    • 제36권8호
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    • pp.607-615
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    • 2009
  • 최근 IT 산업은 국방, 항공, 자동차, 의료와 같은 전통 산업분야와 서로 융합하는 추세이다. 그러므로 시스템의 하드웨어를 주로 담당하는 임베디드 소프트웨어는 높은 신뢰성, 가용성, 유지보수성이 보장되어야 한다. 이를 위해 최근 COTS (Commercial Off The Shelf) 하드웨어 컴포넌트 기반 임베디드 소프트웨어를 개발하는 추세이다. 그러나 이러한 개발방법에는 일반적 소프트웨어 결함 외에 하드웨어와의 상호작용에 기인하는 결함이 추가적으로 발생할 수 있다. 이를 연동결함(Linkage Fault)라고 정의한다. 이는 발생 빈도가 낮음에도 불구하고 전체 시스템의 중단을 야기할 정도로 위험하다. 본 논문에서는 COTS 하드웨어 컴포넌트 기반 임베디드 소프트웨어 개발 시 이러한 연동결함의 발생을 고려한 신뢰성 모델을 제안한다. 또한 제안된 모델의 타당성을 분석하기 위해 베이지안 분석과 마코프 체인 몬테카를로 방법으로 계산한 베이즈 요인을 이용한다. 끝으로 IT 융합 분야의 실제 데이터를 활용하여 제안된 모델의 이론적 결과를 뒷받침한다.

뇌졸중 환자 보호자의 SF-8을 이용한 신체건강관련 삶의 질 융복합적 연구 (A Convergent Study of the Physical Related Quality of Life Using SF-8 of Stroke Patient's Caregiver)

  • 김영란;김영일;김민정
    • 한국융합학회논문지
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    • 제8권12호
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    • pp.119-127
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    • 2017
  • 본 연구는 청주시와 대전광역시에 소재한 7개의 종합병원에서 뇌졸중으로 진단받은 입원환자의 보호자 226명을 대상으로 부양부담감 및 우울감과 신체건강관련 삶의 질을 융복합적으로 파악하고자 조사하였다. 삶의 질은 HRQoL의 단축형인 SF-8을 이용하였다. 다중회귀분석 결과, 환자의 일상생활 의존도가 가장 많은 영향을 주었다. 이러한 결과로 볼 때 뇌졸중 환자 보호자의 신체건강관련 삶의 질을 높이기 위해서는 노인 장기 요양 보험제도 및 간병인 제도와 보건복지부에서 실시하고 있는 보호자 없는 병실을 확대 운영하여 보호자의 간병시간을 줄이고, 질환에 대한 교육과 가족지지모임을 통해 회복에 대한 기대를 높일 필요가 있다.

임상간호 가치관에 관한 일 조사연구 (Study on Value Conceptions in fundamentals of Nursing)

  • 한윤복;김영매
    • 대한간호학회지
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    • 제3권1호
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    • pp.97-104
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    • 1972
  • This study was designed to investigate differences in some aspects of value conceptions in fundamentals of nursing functions between nursing service personnel and nurse-educators. The purpose of the study was to identify the difference of value conceptions between the hospital nurses and school instructors, to contribute as a reference in strengthening the educational program in establishing nay hinder professional growth. The questionaries of this study were focused in the following aspects: 1) establishment of nursing service management system, 2) strengthening of the professionalization of nursing service, 3) hindrance in accomplishment of independent nursing functions, 4) communication skills in nurse-patient relationship, 5) activities directly related to nursing care planning, 6) communication skills in nurse-doctor relationship, 7) attitude towards taking responsibilities for patient- centered nursing approach, and 8) nursing educational approach towards preparation of professional competence in practicing independent nursing functions. 265 graduate nurses from 14 general hospitals and 88 nursing instructors from 18 schools, collegiate and diploma, were sampled. The main findings of the study were as follows; 1. Both groups responded highly in the lack of public recognition of nursing profession and hospital administrators support in establishment of nursing service management system. Further investigation is needed to define some relationship between the intrinsic and extrinsic factors which might give influence to the professional development. 2. while hospital nursing personnel responded on environmental pressure such as a heavy nursing load as the factor giving hindrance to independent nursing functions, the nurse educators responded highly on lack of nursing competence of individual nurses. An emphasis should be placed on the development of nursing interaction through professional education. If the professional model is not well established, nursing function will be limited to medical assistance. 3. 3. The patient-centered approach for nurse-patient communication had given positive respond for both group, tut lacks in team concept in problem solving process. There exist a social distance between nurses and other professional co-workers in the hospital hierarchy. 4. It was indicated that, as an intrinsic factor in the development of nursing service and nursing education, building up a philosophical basis is an utmost importance. This question is opened for further and extensive study to clarify whether existence of philosophical absence or philosophical stasis in nursing profession hinders the development.

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한약재 품질 관리에 관한 연구 (Studies on the Administration of the Quality of Herbal Medicine)

  • 최선미;정희진;윤유식;이미영;최환수;성현제
    • 대한한의학회지
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    • 제21권3호
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    • pp.99-112
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    • 2000
  • Objective: This study was conducted to suggest a proper administration system of the quality of herbal medicine. Methods: Related literature was carefully inspected and discussions among specialists in the field of herbal medicine's growth, production, circulation and administration were conducted. Results: 1. The administration of herbal medicine's quality should be done in each stage of its circulation; growing stage, harvesting stage, importing stage, production stage, quality examination stage, wrapping stage, circulating stage, and administration stage. 2. A safety standard should be established for items, parts and origins of each medicinal herb. A standard for the identification of forged products and objective standards for quality discrimination should also be established. 3. A national system for the training of herbal medicine quality administration personnel and herbal medicine discrimination personnel should be established. A data base of standardized product specimens should be established and a pharmacopoeia of herbal medicine should be published as a standard of quality administration in herbal medicine. 4. Research into the following preliminary areas should be conducted to investigate quality adminstration of herbal medicine: research related to herbal medicine's raw materials and herbal medicinal drugs; quality estimation of raw materials and drugs; quality administration in oriental medical hospitals; herbal medicine administration law; herbal medicine administration organization; herbal medicinal pharmacology; and policy-related research for the quality improvement of domestically grown medicinal herbs. Conclusion: For the proper administration of herbal medicine's quality, governmental support and intensive research among specialists should be done for the supply of good quality medicinal herbs and the improvement of the efficacy of herbal medicine.

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한방 공공보건사업의 운영실태와 정책과제 (Current Status and Policy Recommendations of Oriental Public Health Programs)

  • 장동민
    • 대한예방한의학회지
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    • 제11권2호
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    • pp.101-112
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    • 2007
  • Oriental public health programs have been introduced for the purpose of providing comprehensive oriental health care services to community people including vulnerable classes, increasing the accessibility of oriental medicine and the public benefit, and further more elevating the health promotion and the quality of life of community people. Promoting these programs since 2002 in earnest, it is evaluated that it has made a lot of performances. In the other side, it showed many problems and policy issues also. This study is accomplished to analyze the problems made since the system was introduced and until now, 2007, and with this analysis, to examine policy issues and the reasonable recommendations for its development Major problems are as follows. First, fundamental notions and identity of oriental public health programs are not positioned accurately. Second, the infra-structure construction for effective propulsion of business is insufficient. Third, it is short of the capacity for program implementation of oriental public health doctors, related manpower, and health centers. Fourth, oriental health promotion programs that can fulfill the various health needs of community people are deficient. Fifth, active aid of the government and the oriental medical world as well as legal and systematical support for oriental public health programs is insufficient. As a result, to solve the problems and induce the successful settlement of the program, the policy recommendations such as (i) the fundamental notions of the program and establishment of approach strategies, (ii) reinforcement of the foundation of the program implementation, (iii) capacity enhancement of the manpower of the program implementation, and (iv) effective building of supportive system of the program are presented.

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퍼지 논리 기반의 건강관리용 팔목 밴드 개발 (Development Of Fuzzy Logic Based Wristband For Healthcare)

  • 황희수
    • 한국산학기술학회논문지
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    • 제18권5호
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    • pp.86-92
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    • 2017
  • 고령화 인구 증가에 따른 만성질환자, 노약자 및 독거인의 일상생활에서 위험하거나 불안정한 건강 상태를 관리할 수 있는 요구가 커지고 있다. 최근 무선 통신 기술의 발달로 특정한 장소에 구애받지 않고 언제 어디서나 개인의 건강 상태를 감시할 수 있는 장치가 주목 받고 있다. 본 논문은 생체 신호로 심박수와 체온을 주기적으로 측정하고 밴드 착용자의 나이와 측정된 생체 신호를 토대로 건강관리가 필요함을 알리는 팔목형 건강관리용 밴드를 개발하는 것이 목적이다. 나이, 체온 및 심박수 사이의 정상 범위 관계는 비선형이고 측정된 생체 신호는 오차를 포함 부정확하기 때문에 생체 신호 기반의 건강관리 판정에는 부정확하고 애매한 정보의 처리가 필요하다. 본 논문은 이런 문제를 해결하기 위해 부정확하고 애매한 정보를 처리하는데 적합한 퍼지 논리 기반의 건강관리 판정 시스템을 밴드에 구현한다. 밴드에 연동해 동작하는 건강관리 앱(Apps)도 함께 개발된다. 앱은 측정 데이터를 저장, 관리하며 밴드에서 건강관리가 필요한 신호가 감지되면 앱에 사전 등록된 보호자 또는 간병인에게 해당 정보를 전송한다.