• 한국정보통신학회:학술대회논문집
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• 한국정보통신학회 2018년도 추계학술대회
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• pp.58-61
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• 2018

현재의 한국의 의료 기술은 세계에서 인정받고 있을 만큼 최고의 수준이다. 그에 따라 여러 의사들은 다양한 장애나 질병에 대해 전문적인 지식을 가지고 더 좋은 방법으로 치료를 진행하고 있다. 이렇게 높아지는 의료 기술에 따라 시술이나 수술의 성공확률의 증대와 동시에 환자에게 높은 신뢰성을 제공할 수 있게 되었다. 시술이나 수술 이후에 있을 부작용을 줄이고 빠른 완치를 위해 행하는 재활치료도 의료의 일종이다. 하지만, 이 부분에서의 사정은 조금 다른 점이 있다. 재활에 관련된 기구, 동작 등 개발하려는 움직임은 있으나, 현재는 대부분을 외국에 의존하고 있다. 우리가 흔히 알고 있는 재활치료는 동작에 의한 형태가 주를 이룬다. 하지만, 환자의 증상이 어느 정도인지, 얼마만큼 나아졌는지 알아보는 것 또한 재활의 일종이며, 그 또한 의사가 판단하는 하에 그 지표를 마련하고 있는 실정이다. 본 논문에서는 음식물 삼킴 동작에 문제가 있는 것을 심각 정도에 따라 파악하는 VFSS 검사에 딥러닝을 활용하여 눈으로 보이는 지표를 마련해 프로그램을 개발하는 것을 연구해 보았다.

• 문화기술의 융합
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• 제2권2호
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• pp.45-49
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• 2016

해외 의료서비스 시장의 메가 트렌드는 글로벌 융합, 인접 분야와의 융합, ICT기술의 적극적 도입, 공공과 민간의 파트너십(Public Private Partnership)을 통한 혁신 4가지로 요약될 수 있다. 의료서비스는 더 이상 local industry가 아니며, Global Convergence 되어가고 있다. 선진국의 경우 소득 수준의 증가, 새로운 의학기술의 발전, 전문화된 의료서비스의 증가, 인구 고령화 등 의료 수요가 증가하면서 외국 의료진의 이주 증가하고 있으며, 지리적 근접성이나 비용에 상관없이 최고 의료기술에 대한 선택 증가하고 있다. 고품질이면서 상대적으로 가격이 낮은 외국 의료서비스에 대한 수요 증가하며 특히 미국 JCI등 국제적 병원인증 기준의 확산되고 있다. 병원 수출은 관련 기술을 더욱 더 효율적으로 융합해서 수출 할 수 있는 'ICT 융합병원' 수출 산업화의 길을 열었다고 평가되고 있다. 현재 국내의 병원은 이미 포화상태에 이르렀고, 국내병원들의 세계화가 필요한 시점임. 따라서 국가별로 전략을 달리하고, 기술 이전뿐만 아니라 건물마련, 의료장비 구매, 현지 의료인력(의사 및 간호사) 선발 및 교육훈련, 홍보마케팅 등 토탈 수출도 가능하다. 이에 공공성 유지와 해외 진출을 위해 현행 의료법이 전향적으로 개정될 필요가 있으며, 해외 의료서비스의 국내법 적용에 보다 신축성 있는 법적용과 더 나아가 적극적 정책지원이 필요하다.

• Parasites, Hosts and Diseases
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• 제54권3호
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• pp.335-338
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• 2016

The present study aimed to investigate the possible association of Toxoplasma gondii and Toxocara spp. infections with cryptogenic epilepsy in children. The study was carried out between June 2014 and March 2015. Total 90 children (40 with cryptogenic epilepsy, 30 with non-cryptogenic epilepsy, and 20 healthy control children) were evaluated to determine the anti-Toxocara and anti-T. gondii IgG seropositivity using ELISA kits. Epileptic cases were selected from those attending the pediatrics outpatient clinic of Benha University Hospital, Pediatrics Neurology Unit, and from Benha Specialized Hospital of children. The results showed that the level of anti-T. gondii IgG seropositivity was significantly higher among children with cryptogenic epilepsy (20%) than among children with non-cryptogenic children (0%). In healthy controls (10%), there was no association between toxocariasis seropositivity and cryptogenic epilepsy (only 5.7%; 4 out of 70 cases) among cases and 10% (2 out of 20) among controls. Among toxocariasis IgG positive cases, 3 (7.5%) were cryptogenic, and only 1 (3.3%) was non-cryptogenic. These statistically significant results support the association between T. gondii infection and cryptogenic epilepsy while deny this association with toxocariasis.

• 근관절건강학회지
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• 제27권2호
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• pp.103-111
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• 2020

Purpose: This study aimed to investigate the relationship between general hospital nurses' work environment, resilience, and intention to remain, as well as to identify the factors associated with nurses' intention to remain. Methods: Study participants were nurses at a general hospital in Jeollabuk-do, South Korea. Data collection was undertaken from July 6th to 20th, 2017, through questionnaire responses from 257 nurses. Descriptive statistics were employed for data analysis, including: independent t-test, one way ANOVA, Pearson's correlation coefficient, and multiple regression analysis using SPSS/WIN 22.0. Results: Nurses' work environment, resilience, and intention to remain were found to have a statistically significant correlation. Intention to remain showed statistically significant positive correlations with the nurse's work environment (r=.72, p<.001), resilience (r=.50, p<.001). Factors found to influence intention to remain were work environment, resilience, job satisfaction, and health status. Conclusion: The study findings support the development of a specialized program to strengthen nurses' intention to remain. During the program's formulation, it is necessary to improve nurses' work environment and find ways to bolster the resilience of individual nurses.

• 성인간호학회지
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• 제17권1호
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• pp.12-22
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• 2005

Purpose: The purpose of this study was to find out the quality of life and to identify the related characteristics for nursing care in pneumconiosis elderly patients. Methods: The subjects for this study were 206 elderly patients who received pneumoconiosis treatment in the two pneumoconiosis specialized hospitals located in Gangwondo, Korea. The instrument used for this study was Quality of Life Index Pulmonary version III. The data was collected from February 17 to March 10, 2003, and analyzed by t-test, ANOVA, Duncan test using SPSS. Results: The results of this study were as follows : 1. The highest frequency in chief complaints was dyspnea, 91 subjects(44.2%), and complications was tuberculosis, 88 subjects (42.7%). 2. The total mean score of the level of quality of life was $14.49{\pm}2.18$. 3. The score of quality of life showed higher in good family relationship group than the other after diagnosed pneumoconisis(F=5.486, P=0.001). 4. The comparison of quality of life was significant according to oxygen use(t=2.674, P=0.008), bronchodilators use(t=2.678, P=0.008), and prospect of future health status concerning pneumoconiosis(F=2.960, P=0.021). Conclusions: In conclusion, adequate nursing intervention as effective management of respiratory symptoms and improvement of family support will be needed to improve the quality of life in pneumoconiosis elderly patients.

• 대한안전경영과학회지
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• 제17권4호
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• pp.193-198
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• 2015

This study analyzed the total number of 19,636 patients and radiation technologists, 11,433 of male and 8,203 of female by examined body parts, age, types of detectors, the using contrast enhancement and working condition of the technologists, regular staffs or rotation-duty staffs, based on the K-DOS program distributed by FDA with the DLP value of diagnostic evaluation. The result shows that the effective radiation dose was 0.7mSv~41.7mSv for each region and male patients had more radiation exposure than females. And the amount of exposure was also affected by the types and the method of detectors. Furthermore, the regular staffs took the role of helping the patient to get reduced amount of radiation exposure than rotation duty-staffs. Computed tomography (CT) use has increased dramatically over the past several decades. In this reason, to support the patients and the workers' health in the field, the hospitals should apply specialized regular working radiation technologist system and manufacturing companies of those CTs should develop low medical radiation exposure devices.

• 보건교육건강증진학회지
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• 제26권4호
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• pp.117-127
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• 2009

Objectives: The primary objective of the study is to analyze the utilization patterns of provincial patients discharged from hospitals located in Seoul area. Methods: For the analysis, the study employed the nationwide data on 'Survey of Injured Patients Discharged from Hospitals' conducted by KCDC (Korea Centers for Disease Control and Prevention). The statistical methodology used in the measurement model is a logistic regression model. Results: The study has three major findings. First, compared to other disease groups, the discharged on both 'neoplasm(cancer)' and 'congenital malformation, deformity and chromosomal abnormalities' disease groups are more likely to utilize hospitals in Seoul area. Second, as for 'neoplasm(cancer)' disease group, patients with 'bones and articular cartilage' areas are more likely to utilize hospitals in Seoul area. Finally, Hospitals with more than 1,000 beds was primary factor in selecting Seoul-based hospitals by the discharged in provincial areas. Conclusion: In sum, the study showed that patients in provincial areas are more likely to utilize hospitals located in Seoul area regardless of the severity of their cases. Local authority, therefore, is required to monitor local hospitals on regular basis, as well as support them to establish specialized medical centers by providing human and physical resources.

• 보건교육건강증진학회지
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• 제29권4호
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• pp.39-56
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• 2012

Objectives: This paper aims to discuss the current situation of and future directions for health promotion practice(HPP) and research in private sectors in Korea. Methods: Publications and web-site information of public health organizations, WHO-Health Promoting Hospitals member institutes, health/medical academic societies, and professional unities were collected and reviewed. Activities of Korea Association of Health Promotion(KAHP) were described in detail considering its leading role in health examination and promotion field in Korea. Results: The most common HPPs in private sectors were health education and public health campaigns for the prevention and management of diseases. Tailored health promotion programs for lifestyle changes and longitudinal follow-ups were the routine process for managing high risk groups at KAHP. Health promotion research in private sectors have focused on identifying health problems and behavioral determinants, and planning, implementing and evaluating health promotion programs. The most serious issues in HPPs of the private sectors were limited budget and manpower along with a lack of public recognition and a system-level support. Conclusion: To promote HPPs and research in private sectors, a system for financial sustainability should be introduced. They also need scientific evidence from research. 'Borderline medicine', a discipline specialized in management of high risk borderline group, could lead HPPs to sustainable private practices.

• Healthcare Informatics Research
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• 제24권4호
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• pp.276-282
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• 2018

Objectives: Due to the uncontrolled increase of the mobile health applications and their scarce use by elderly for reason of absence credibility of measurements by lack scientific support, the aim of this study was to evaluate the differences between the biophysical measurements based on standard instrument against a mobile application using controlled experiments with elderly to propose an effective validation model of the developed apps. Methods: The subjects of the study (50 people) were elderly people who wanted to check their weight and cardiac status. For this purpose, two mobile applications were used to measure energy expenditure based on physical activity (Activ) and heart rate (SMCa) during controlled walking at specific speeds. Minute-by-minute measurements were recorded to evaluate the average error and the accuracy of the data acquired through confidence intervals by means of statistical analysis of the data. Results: The experimental results obtained by the Activ/SMCa apps showed a consistent statistical similarity with those obtained by specialized equipment with confidence intervals of 95%. All the subjects were advised and trained on the use of the applications, and the initial registration of data to characterize them served to significantly affect the perceived ease of use. Conclusions: This is the first model to validate a health-app with elderly people allowed to demonstrate the anthropometric and body movement differences of subjects with equal body mass index (BMI) but younger. Future studies should consider not only BMI data but also other variables, such as age and usability perception factors.

• 한국비블리아학회지
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• 제34권2호
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• pp.59-92
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• 2023

본 연구는 국내 의학도서관 이용자 서비스 향상을 위하여 의학사서의 교육프로그램 개선방안을 제시하기 위한 목적으로 수행되었다. 이를 위하여 의학사서 역할을 조사하여 교육영역을 항목화한 후 미국의 MLA와 한국의 KMLA 교육프로그램을 비교·분석하였다. 그 결과, 우리나라 의학사서 교육프로그램에 대한 개선점으로 첫째, 다양한 교육프로그램 유형, 교육영역, 교육내용, 전문 분야를 선정한 인증 프로그램의 확대, 관련 기관과의 협업 프로그램, KMLA 가치를 표방하는 교육프로그램 등이 요구된다. 둘째, 현행 교육영역 중 '연구지원서비스', '교육·교육설계·상담' 등에서 다양한 교육프로그램이 진행될 필요성이 있으며 특히, 전혀 교육이 이루어지고 있지 않은 '소비자건강정보서비스', '재난정보서비스' 제공이 필요하다. 또한 '의학 관련 분야 정보서비스' 교육을 위해서는 국내 의학사서 교육 커리큘럼에 관한 규정 제정이 선행되어야 할 필요성이 있다. 셋째, 대면 교육 참여가 어려운 사서를 위하여 온라인 교육내용 제공이 필요한데 이러한 경우에는 교육내용만 제공하고 의학사서점수 부여에는 차등을 두거나 점수를 부여하지 않는 방법 등을 제시하였다.