• 제목/요약/키워드: multidisciplinary communication

검색결과 71건 처리시간 0.031초

노인 입원환자의 퇴원계획 프로그램 개발을 위한 퇴원 서비스 요구도 조사 (A Study on Discharge Service Needs for Discharge Planning Program Development to the Elderly at the Hospital)

  • 이선자;신은영;장숙랑
    • 한국보건간호학회지
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    • 제15권2호
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    • pp.376-386
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    • 2001
  • I. Background The problem of discharging patients from hospital have been well documented in the literature over the last 20 years. They included poor communication between hospital and community, inadequate notice of discharge, over-reliance on informal support and lack of statutory support, inattention to patients needs before leaving hospital, and wasted or duplicated visits by community nurses. Most patients discharged from hospital are able to return home with little or no support, while others will require a 'package of care' to support them back to good health. Patient with complex care needs, including the frail elderly and those with mental health problems, may require continuing care in special housing, residential, or nursing homes. With this population,effective discharge arrangement is needed and the study on this problem is urgent in Korea because the Medical Reform Project is on suspension of success. II. Results of the Study: 1. Discharge service needs assessed on 360 elderly patients who were hospitalized during the survey period at four university hospitals. Patients want to know the information on disease management after discharge. Follow-up telephone service is the most frequently checked service. 2. Multidisciplinary Discharge Planning is recommended at the hospital level to reduce the readmission and decrease the length of stay. 3. Further research is needed to validate and test the assumption of the solution which is developed in this research.

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DEVELOPMENT OF GOCI/COMS DATA PROCESSING SYSTEM

  • Ahn, Yu-Hwan;Shanmugam, Palanisamy;Han, Hee-Jeong;Ryu, Joo-Hyung
    • 대한원격탐사학회:학술대회논문집
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    • 대한원격탐사학회 2006년도 Proceedings of ISRS 2006 PORSEC Volume I
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    • pp.90-93
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    • 2006
  • The first Geostationary Ocean Color Imager (GOCI) onboard its Communication Ocean and Meteorological Satellite (COMS) is scheduled for launch in 2008. GOCI includes the eight visible-to-near-infrared (NIR) bands, 0.5km pixel resolution, and a coverage region of 2500 ${\times}$ 2500km centered at 36N and 130E. GOCI has had the scope of its objectives broadened to understand the role of the oceans and ocean productivity in the climate system, biogeochemical variables, geological and biological response to physical dynamics and to detect and monitor toxic algal blooms of notable extension through observations of ocean color. The special feature with GOCI is that like MODIS, MERIS and GLI, it will include the band triplets 660-680-745 for the measurements of sun-induced chlorophyll-a fluorescence signal from the ocean. The GOCI will provide SeaWiFS quality observations with frequencies of image acquisition 8 times during daytime and 2 times during nighttime. With all the above features, GOCI is considered to be a remote sensing tool with great potential to contribute to better understanding of coastal oceanic ecosystem dynamics and processes by addressing environmental features in a multidisciplinary way. To achieve the objectives of the GOCI mission, we develop the GOCI Data Processing System (GDPS) which integrates all necessary basic and advanced techniques to process the GOCI data and deliver the desired biological and geophysical products to its user community. Several useful ocean parameters estimated by in-water and other optical algorithms included in the GDPS will be used for monitoring the ocean environment of Korea and neighbouring countries and input into the models for climate change prediction.

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치과용 DICOM encoder와 viewer의 특성과 개발

  • 이승원;주성대;이석영;강승훈
    • 대한치과의사협회지
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    • 제43권1호통권428호
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    • pp.41-52
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    • 2005
  • Information Technology has extended its scope to the medical field as well as dental field. Like medical field, network ststem for dental field requires acquisition, storage, and display of images. However, unlike the medical field, the system to integrate several information including medical images has not been developed according to industrial standard for management of digital image for medical use, so called DICOM conformance. which makes the digital environment in dental field more and more difficult and expensive for this standardization and comfortable communication in LAN and WAN. To solve this problem, the DICOM encoder and server has to be developed because the DICOM file can be easily retrieved with patient's information from the DICOM server in the system as DICOM file has the standard specification to integrate the patient's information. The information including image and other discrete data can be easily integrated in DICOM file and can be used without any difficulty for precise diagnosis and for contribution to the decision making for each treatment protocol. Therefore, the system composed of DICOM encoder and server in dental practive for DICOM file must be developed with prudent consideration of the several strategic factors: I) Enhanced diagnostic capability through the integrated information of image and clinical data. ii) Clinician-friendly interface to simulate the systemic treatment procedure in clinical practice iii) Implementation of multidisciplinary treatment protocol The development of DICOM encoder and server based on these strategic considerations will provide paperless and filmless hospital environments by the seamless integration and management of patient's history, several clinical data and clinical images through image processing for quantitative analysis. The system also allows clinicians to provide more predictable dental care for the patients.

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취약계층 임산부·어머니·영유아 대상 방문건강관리서비스에 대한 통합적 문헌고찰 (An Integrative Review of Home Care Service for Pregnant Women, Mothers, Infants, and Toddlers in Vulnerable Group)

  • 김다솜;이인숙
    • 대한간호학회지
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    • 제47권5호
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    • pp.577-588
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    • 2017
  • Purpose: This study was intended to integrate the evidence of home care service intervention for mothers and children in vulnerable groups through an integrative literature review. Methods: We searched the MEDLINE (PubMED), EMBASE, Cochrane Central Register of Controlled Trials, CINAHL, DBpia databases. The quality of the articles was assessed by one doctoral researcher and verified by one professor of community health nursing who had participated in the systematic review of literature. A framework was developed to identify the intervention patterns in the selected papers and categorize various elements. The extracted intervention elements were grouped into potential themes, which were verified by assessors on whether they clearly reflected the interventions in the papers. Results: Among 878 searched papers, we selected 16 papers after excluding literature that does not satisfy the selection criteria and quality evaluation. The intervention elements of 16 selected papers were categorized into six themes. The extracted intervention elements were divided into the themes of Patient-specific/Situation-specific care planning and intervention, Emphasis on self care competency, Intense home visit by developmental milestone, Reinforcing and modeling mother-child attachment, Communication and interaction across the intervention, Linkage with community resource and multidisciplinary approach. Conclusion: As a result of the analysis of proper interventions of home care services for mothers and children in vulnerable groups, it was found that it is necessary to consider indispensable intervention elements that can standardize the quality of home care services, and conduct studies on developing intervention programs based on the elements.

간호대학생의 자기주장이 간호사와 의사의 협업에 대한 태도에 미치는 영향 (The Impacts of Assertiveness on Attitudes toward Nurse-Physician Collaboration in Nursing Students)

  • 이상민;류영호;김주현
    • 한국간호교육학회지
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    • 제24권4호
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    • pp.326-336
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    • 2018
  • Purpose: This study was conducted to identify the factors affecting nursing students' attitudes toward nurse-physician collaboration. Methods: The subjects were 200 nursing students from a college in K city, and the participants were recruited by posting a recruitment announcement. Data were collected from June 26 to 29, 2018 and analyzed using SPSS 22.0 and descriptive statistics, t-test, ANOVA, Sheff? test, Pearson's correlation coefficients, and hierarchical multiple regression. Results: Attitudes toward nurse-physician collaboration showed a statistically significant difference according to grade, the reflection of opinion within the family, and the number of the counselor in general characteristics. Assertiveness and attitudes toward nurse-physician collaboration showed weak positive correlation (r=.18, p=.011). In hierarchical multiple regression analysis, the most affecting factor was junior grade (${\beta}=.25$), followed by positive assertiveness (${\beta}=.18$) and the number of the counselor (${\beta}=.14$). These variables explained 12.0% of the total variance in attitudes towards nurse-physician collaboration. Conclusion: To create positive attitudes toward collaboration between nurses and physicians in nursing students, various educational programs related to assertiveness on communication skills need to be provided from the lower grades. Also, a multidisciplinary simulation program should be developed and applied to be able to experience the situation of nurses and physicians.

임상간호사의 성역할갈등, 회복탄력성, 간호조직문화가 간호업무성과에 미치는 영향 (Influence of gender role conflict, resilience, and nursing organizational culture on nursing work performance among clinical nurses)

  • 한지언;박남희;조정현
    • 한국간호교육학회지
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    • 제26권3호
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    • pp.248-258
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    • 2020
  • Purpose: The purpose of this study was to identify the factors influencing nursing work performance among clinical nurses in the hospital. Methods: This descriptive correlational study collected data from 122 clinical nurses who were working in three tertiary referral hospitals in Busan. The data were collected, using self-reported questionnaires, from September 2 to October 14, 2019. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and multiple regression using SPSS/WIN 25.0 program. Results: Nursing work performance was significantly associated with resilience, innovation oriented culture, relationship oriented culture, and hierarchy oriented culture. The factors significantly influencing nursing work performance of the participants included relationship oriented culture (β=.27, p=.015), hierarchy oriented culture (β=.25, p=.003), resilience (β=.19, p=.035), and total clinical career (β=.18, p=.030), which explained 27.3% of nursing work performance (F=8.59, p<.001). Conclusion: The results indicate that there is a need to improve communication skills among multidisciplinary team members and to harmonize hierarchical and relational cultures in order to enhance nursing work performance. In addition, this study suggests developing interventions for enhancing the resilience of clinical nurses.

리드믹, 음악생리학과 음악인의학, 행위예술과학을 중심으로 본 디지털 융복합 교육의 방향성 연구 (A Study on the Direction of Digital Convergence and Multidisciplinary Education based on Rhythmik, Music Physiology and Musicians' Medicine, Performance Science)

  • 엄희정;김희철;노경원
    • 한국정보통신학회논문지
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    • 제23권12호
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    • pp.1726-1733
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    • 2019
  • 움직임은 삶의 모든 것이며 음악은 우리의 전반적인 삶과 함께하고 있다. 움직임과 소리를 바탕으로 탄생한 예술은 기술과 밀접한 관계를 가지고 발전하며 시대를 반영해 왔으며 디지털 시대에 새로운 문화콘텐츠를 만들어가고 있다. 융합 예술과 교육에 있어 음악과 신체의 움직임이 접목되는 빈도에 비해 다양한 분야의 학문적 지식과 경험을 가진 전문가와 연구기관의 부재는 현실적 문제이다. 외국 대학의 선례를 통해 음악, 움직임을 구성하는 가장 기초적인 원리인 '리듬'을 연구하는 학문인 리드믹을 소개하고 함께 연구되는 분야인 음악생리학과 음악인의학 그리고 행위예술과학에 대해 살펴보며 국내 도입의 필요성을 제기한다. 격변하는 디지털 시대에 유일하게 '나 자신'이 주체가 되는 움직임을 생리학과 의학을 통해 체계적으로 인지하고 음악을 매개체로 과학적으로 움직이고 표현하는 연구 분야를 개척해 융합시대와 교육에 새로운 방향을 제시한다.

의사와 간호사의 환자안전교육 경험에 관한 포커스 그룹 연구 (Focus Group Study on Health Care Professionals' Experience of Patient Safety Education)

  • 박정윤;이유라;이의선;이재호
    • 한국의료질향상학회지
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    • 제26권2호
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    • pp.56-65
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    • 2020
  • Purpose:This study aims to understand and explore the subjective experiences of patient safety education among health care professionals in developing a patient safety curriculum in South Korea. Methods: A qualitative descriptive study was conducted through two focus group interviews in the period October-December 2018. Eleven participants who underwent patient safety education participated in each session. All interviews were recorded and transcribed as spoken, and qualitative content analysis was used to identify categories of discussion depicting participants' subjective experience with patient safety education. Results: A total of three categories and seven themes were identified out of 77 units of analysis. Topics were identified in the dimensions of a patient safety curriculum, as follows: (1) activities for patient safety; (2) principle of patient safety (five rights, ethics, patient participation) and patient participation; (3) leadership, teamwork, and communication; and (4) reporting and learning system for patient safety events. In the dimension of methods, (5) case and evidence-based education and (6) multidisciplinary and small group teaching were identified. Finally, in the dimension of the system, (7) policies for patient safety education were identified. Conclusion: Our findings indicate that patient safety education is a significant area for health care professionals. Health care professionals suggested that a systematic patient safety curriculum would improve their knowledge and attitude toward patient safety. Moreover, it enables them to better construct a safety environment in a hospital.

음성신호를 이용한 기계학습 기반 피로도 분류 모델 (Fatigue Classification Model Based On Machine Learning Using Speech Signals)

  • 이수화;권철홍
    • 문화기술의 융합
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    • 제8권6호
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    • pp.741-747
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    • 2022
  • 피로는 개인의 능력을 저하되게 하여 업무 수행을 어렵게 하며, 피로가 누적되면 집중력이 저하되어 안전사고를 초래할 가능성이 증가하게 된다. 피로에 대한 자각은 주관적이나, 실제 현장에서는 피로의 수준을 정량적으로 측정할 필요가 있다. 기존 연구에서 피로 수준은 다원적 피로 척도와 같은 주관적 평가에, 생체신호 분석 등의 객관적지표를 추가하여 전문가의 판단으로 측정하는 방식이 제안되었으나, 이러한 방법은 일상생활에서 실시간으로 피로도를 평가하기 어렵다. 본 논문은 현장에서 녹음한 음성 데이터를 이용하여 실시간으로 작업자의 피로 수준을 판정하는 피로도 분류 모델에 관한 연구이다. 현장에서 수집한 음성 데이터를 이용하여 로지스틱 분류, 서포트 벡터 머신, 랜덤 포레스트 등의 기계학습 모델을 학습시킨다. 성능을 평가한 결과, 정확도가 0.677 ~ 0.758로 우수한 성능을 보여주었고, 이 중에서 로지스틱 분류가 가장 우수한 성능을 나타냈다. 실험 결과로부터 음성신호를 이용하여 피로도를 분류하는 것이 가능하다는 것을 알 수 있다.

신약개발에서의 AI 기술 활용 현황과 미래 (Present Status and Future of AI-based Drug Discovery)

  • 정명희;권원현
    • 한국정보통신학회논문지
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    • 제25권12호
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    • pp.1797-1808
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    • 2021
  • 4차 산업혁명을 주도하는 기술 중 가장 핵심적인 기술로 꼽히고 있는 인공지능은 다양한 분야에 접목되면서 우리 사회 전반에 걸쳐 패러다임의 전환을 가져오고 있다. 바이오 분야 역시 예외는 아니어서 컴퓨터, 전기·전자, 기계 등 타 학문과 융합되면서 방대한 데이터 기반의 AI 기술을 도입하고 있다. 신약개발에서 AI 기술 도입은 신약개발의 효율성을 개선하고 효능 및 품질 향상을 가져올 수 있다. 신약개발은 다학제 분야가 접목된 융합 분야이고 개발 과정 단계별로 결과의 불확실성이 존재하고 있어 실용적 수준의 신약 개발을 위해서는 화학, 생물학, 독성학, 약동학 등 전문지식의 융합을 기반으로 하는 AI 기술 개발이 필요하다. 신약개발은 크게 주어진 질병에 대한 타겟 물질 발굴 및 검증, 히트 및 선도물질 발굴, 도출된 화합물에 대한 합성 가능성 및 효능 등에 대한 평가(Scoring)를 거쳐 최적의 신약 후보 물질을 발굴하고 마지막으로 전임상과 임상 과정의 단계를 거친다. 이때 AI 기술은 모든 단계에서 적용될 수 있고 단계마다 특화되어 적용될 수 있다. 본 논문에서는 신약개발을 위해 적용되고 있는 AI 기술 현황과 현재 기술의 한계를 살펴보고 향후 신약개발에서 AI 기술의 발전 방향을 고찰해 보고자 한다.