• 한국방사선학회논문지
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• 제11권4호
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• pp.247-252
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• 2017

조영제의 혈관외유출을 한번이라도 경험한 방사선사들은 혈관외유출의 발생에 대한 두려움으로 검사하는 동안 정신적 고통을 수반하게 된다. 환자의 경우 심한 신체적, 정신적 고통과 의료진 및 의료에 대한 불신을 갖게 되므로 미연에 예방할 수 있는 방안의 마련이 무엇보다 필요하다. 따라서 본 연구에서는 조영제 주입 시 압력인 PSI를 낮추어 혈관외유출을 예방하고자 하며 그 방안으로 자동주입기와 환자의 정맥주사바늘에 연결되는 Y자 형태의 연결관(connecting tube)의 직경에 따른 조영제 주입 시 PSI의 변화를 비교 분석하고자 하였다. Y형태의 연결관 직경이 약 2 mm 정도인 A제품의 경우 전체 평균 연령의 PSI는 98.5, 표준편차 9.72로 나타났다. 연결관 직경 약 3 mm 정도인 B제품의 경우 전체 연령의 평균 PSI는 62.0, 표준편차 8.59로 나타났다. 이것은 직경이 더 넓은 B제품의 경우 A제품과 비교했을 때 평균압력이 37.05% 감소한 결과이다.

• 대한간호학회지
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• 제25권2호
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• pp.222-243
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• 1995

The purpose of this study was to present basic data in the nursing practice for the management of living kidney donor by understanding the nature and meaning of kidney donors, experiences. The research subjects were 11 living kidney donors who had donated from Mar 1991 to Feb. 1994 and discharged from the 3 hospitals in Pusan. Data has been collected by Intensive interview with donors. The data analysis has made by phenomenological method of Van Kaam for understanding the phenomenon and meaning of their experiences. The experiences of kidney donors were analyzed into the 4 situations, that is,'motivation of kidney donor', 'decision time to make kidney donation', 'pre-opperation','after donation'. The descriptive expression and common elements were drawn from original data of each situation on the basis of subjects' own words. From each situation, the com-mon elements of kidney donors' experiences were integrated, summarized and described as follows 1. Motivation of kidney donation They wanted to donate their kidney because of empathy of pain on the groung of love to the recipient and with exppectation of successful kidney transplant or as a solution of economic difficulty. 2. Experiences in deciding to make kidney do-nation In deciding to make kidney donation, donors had love toward the recipients. But they experienced conflict too. 3. Experiences before being operated on donated kidney In experiences from deciding to make kidney do nation to preoperation, donors had love toward the recipients. But they also felt anxiety or dissatisfaction. Therefore, they controlled their mind by their faith, support of medical staff or support of society. And they experienced regret for the sociological cognition or financial apprehension. 4. Experiences after kidney donation After kidney donation, donors experienced satis-faction and accompplishment in spite of mental and physical discomfortness, while they felt sense of loss / disappointment, repentance, regret, and apprehension of progress toward their condition. Thus, kidney donors donated their kidney on the ground of empathy and love to the recipient and with expectation of successful kidney transplant. But during the process of kidney donation, they ex perienced conflict, love, anxiety, regret, apprehension of economy. And after donation, they felt sense of satisfaction and accomplishment, while they felt sense of discomfortness, loss / disappointment, re-gret, repentance, or apprehension of progress toward their condition. This result contribute to nurses' role not only for the management of living kidney donors but also for the management of cadaver donors' family.

• 대한지역사회영양학회지
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• 제3권1호
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• pp.76-93
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• 1998

Three hundred sixty-two(male 131, female 231) elderly aged over 65 in Chungb- uk area were interviewed to determine the disease states and drug usage patterns. The prebalence of disease was 78% and women reported more chronic diseases(83%) than men(71%). Elderly who live with spouse and have an occupation have a lower rate of disease. Average number of diseases of the elderly was $1.8\pm{1.1}$, and women$(2.1\pm{1.3)}$ have significantly higher average number of diseases than that of men$(1.4\pm{0.7)}$. Also the elderly in urban areas$(2.1\pm{1.4)}$ have significantly higher number of diseases than that of the elderly in rural areas$(1.6\pm{0.9)}$. Arthritis, hypertension, cardiovascular and gastric diseases were the most frequently listed chronic diseases in order for both men and women. Anemia and fracture of bone were relatively higher in women than in men. Particularly, the arthritis of the urban elderly have a rate of 1.5 times higher than that of the rural elderly. Fifty-two percent of the elderly were currently using drugs ; among drug users 71.2% used prescription drugs and 20.5% used nonprescription drugs. The average number taken per person was 2.1$\pm$1.4 and there was no sex or age difference. However, the elderly in rural areas $(2.7\pm{1.7)}$ consumed a significantly higher number of drugs than those in urban areas$(1.7\pm{0.7)}$. The average number of prescripti- on drugs taken was 2.0$\pm$1.4 while the average of nonprescription drugs taken was $(1.3\pm{0.6)}$. Analgesics and antihypertensive drugs were most commonly used. Vitamin and analgesics were the most frequently used self-prescribed drugs. It was noted that potential adverse drug interaction by concominant drug consumption for arthritis and antihypensive drug, abuse of digestants and antiacid without treatment of the underlying disease, and misuse of quick-acting bowel medications were problematic for the elderly. In addition drugs used for the elderly have some adverse effect on the digestive system. The types and composition of drugs used by the elderly were identified and presented. Medication compliance was poor and 13.5% reported adverse reactions such as edema, heartburn, nausea, and difficulty with eating. Seventeen percent of the elderly obtained drugs arranged by those other than medical staff. Also, even among those elderly who obtained drugs prescribed by a doctor, 69.1% of subjects had not receive instruction about potential adverse reactions. These results suggest that nutritional problems related to drug usage might exist and so dietitians, either individually or as members of health teams, need to have a better understanding of drug-nutrient interaction and closer supervision, and drug information/education service should therefore be provided to prevent or minimize adverse drug reaction in elderly users of medication.

• 대한치과보철학회지
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• 제46권1호
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• pp.83-91
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• 2008

문제제기 : 2007년 4월 '노인장기요양보험법'이 국회를 통과하였고 노인수발행위에 치과의사의 참여가 확정되어 2008년 7월부터 법이 시행되면서, 고령화가 급속이 진행되고 있는 한국사회에서 치과분야가 담당해야 할 역할은 커질 수밖에 없다. 목적 : 본 논문은 한국의 두 노인시설에 대한 설문조사를 바탕으로 일본의 노인요양보험법과 비교를 통해 앞으로 시행되는 노인장기요양법의 구강위생서비스의 역할 및 방향을 수립하는데 기여하고자 한다. 연구재료 및 방법 : 2005년 한국의 두 노인요양시설에서 책임 있는 직무자 또는 실제 간호의 내용을 파악하고 있는 분을 대상으로 15개 항목의 설문조사를 시행하였다. 결과 : 두 시설 모두 각각의 특징을 살려 매우 기능을 잘 하고 있었으나, 구강위생 및 이에 대한 직원의 인지도는 낮았으며 정기적인 진료나 관리는 소홀했다. 고찰 : 일본에서는 2000년 노인요양보험이 도입 후 체계화된 방법론을 기초로 시행되고 있다. 현재 '노인장기요양' 법안에 치과의사 참여가 보장된 것과 관련하여 앞으로 치과의사의 적극적인 참여가 필요하고, 시설 및 재택 방문 진료가 가능하도록 하는 법정비용을 통해 치과분야의 진료영역을 넓힐 수 있는 움직임이 필요하다고 볼 수 있다.

• 지역사회간호학회지
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• 제10권2호
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• pp.455-466
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• 1999

Western missionary nurses practiced in Korea from 1891. and the first trial to begin missionary public health nursing service in 1909 could not put into practice for short of nursing staff and budget. The main focus of missionary medical practice was not in public health program but in the management of missionary hospitals. A few of missionary western R.N. tried district nursing in 1910s. but their activities were personal and focused on the rescue of poor and sick patients. In 1917 the North American Methodist Church dispatched R.N. Elizabeth S. Roberts to begin district nursing in Korea. Roberts began maternal and child district nursing service. Her service was focused on teaching the method of bringing up children. bathing service, and home visiting for delivery. She could not but stop district-nursing service in 1918 to serve for a hospital in Siberia. The North American Methodist Church dispatched a few of R.N. to Korea in early 1920s and the missionary public health nursing of Korea could be activated. R.N. E. T. Rosenberger began public health nursing program in Seoul with Korean graduate nurse, Shin-gwang Han, and missionary M.D. Hall. Their public health nursing program was focused on maternal and childcare. They did home visiting in the morning, and served at a well baby clinic in the afternoon. The first baby competition began in 1925. and contributed to the teaching the method of bringing up children. They expanded public health nursing activity to school health nursing and milk station. Their public health nursing program was such a success that In 1929 Severance hospital. Eastgate Hospital. Taehwa Social Evangelistic center organized Seoul Child Health Union. Maren P. Bording, another missionary R.N. and midwife dispatched by the North American Methodist Church began public health nursing program at Kongjoo in 1924. Her program was focused on the maternal and childcare and close to that of Seoul. She started the first milk station in Korea in 1926. As she was a midwife and could get M. D. license in Korea, her program was more focused on maternal care than that of Seoul. The first day nursery school in Korea and the first graduate course for public health nursing in Korea began at Kongjoo in 1930. As the city of Choongcheongnam Province moved from Kongjoo to Daejeon in 1932, missionary public health nursing service in Kongjoo extended to Daejeon. There were lots of public health nursing program in Korea in 1920s and 1930s by missionary western nurses and Korean nurses. There were 13 missionary public health-nursing center in Korea in 1932. But in the late 1930s. Japan extended colonial war and drove out western missionaries. The missionary service in Korea was daunted. and the missionary public health nursing service could not but shrink.

• 지역사회간호학회지
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• 제7권1호
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• pp.154-169
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• 1996

Parish nursing is a community health nursing role developed in 1983 by Lutheran chaplain Granger Westberg. An increasing emphasis on holistic care, personal reseponsibility for a healthy lifestyle, and changes in healthcare delivery systems have undoubtedly facilitated the establishment and nurturance of an innovative nursing role in the community. Parish nurses are functioning in a variety of church congregations of various denominations. The parish nurse is a educator, a personal health counselor, a coordinator of volunteers. The parish nurses helps people relate to the complexed medical care system and assists people to integrate faith and health. The autors conducted a study on pastor's expectations from parish nurses. Results of this study will be useful to those instrumental in planning, initiating, supporting, and evaluating a parish nurses program The research was done on 130 pastors in Taegue and Kyong Sang Buck Do, of various ages ranging from their 20's to 60's: and pastoring churches of various sizes, ranging from under 100 to over 300 members. 94.6% agreed that they needed a parish nurse on their staff; and 86.2% said they wanted to start a parish nurse program in their churches if certain basic conditions were met. The pastors responded that some would hire the nurses on a full-time basis(22.3%), a part -time basis (37.7%) or use volunteer nurses (40%). The pastors said they would expect the following from a parish nurse: health counselling (80.0%) regular health check-ups (78.5%) health care for the elderly (78.5%) health information and education (72.3%) hospice care (72.3%) visiting sick church members at home (69.2%) arranging and training volunteers to help the seek (59.2%) health care for expectant mothers (50.0%) introducing and taking people to health care facilities (46.2%) The pastors were surveyed about specific areas of health education they would want the parish nurse to teach(for example, high blood pressure and heart disease prevention and management(76.2%) ; stress management(74.6%); and diabetes prevention and management(73.8%). The pastors were surveyed about specific areas of health counselling they would expect the parish nurse to do (for example, drug abuse, (73.1), alcohol abuse(64.6%), marriage conflict(60.0%), recovery after the loss of a loved one(56.9%), and women's conflict with parents-in-law(53.8%). The pastors were surveyed about types of things they would want included in regular health check-ups, what they would want a parish nurse to do on home visits, and what they would want included in home care for the elderly. They were also surveyed on what kind of spiritual care they would like parish nurses to give. Most (90.7%) wanted their parish, parishioners to be involved in the parish nurses program as volunteers, and in a variety of ways(such as visiting sick in their homes(68.5%) and helping with housework(63.1%) and taking sick people to health facilities(60%). Parish nurses role, activities, and boundaries of practice should be continuously monitored and refined and a 'case manager' should be conceptualized as an additional or all-encompassing role. An initial parish / community needs and readiness assessment should be done prior to establishing a program to detemine if the congregation is ready, willing, and able to support such a position for at least a 2 to 3 year period.

• 한국통신학회논문지
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• 제36권3B호
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• pp.275-286
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• 2011

21세기 의료서비스 패러다임이 사후 치료에서 사전 예방 및 관리 중심으로 바뀜에 따라 M2M 기반의 U-헬스케어 응용 서비스가 점차로 중요 해지고 있다. M2M 기반의 U-헬스케어 응용 서비스는 휴대단말에 장착된 센서를 통해 생체 정보를 측정하여, 원격지에 있는 의료진이 만성 질환자 혹은 일반인의 건강 상태를 실시간에 관리가 가능 하도록 한다. 본 논문에서는 국제 표준 기반의 M2M을 위한 U-헬스케어 응용 서비스 기반 IEEE 11073/HL7 변환게이트웨이 구조를 설계 및 구현 하였다. 구체적으로, 생체 신호 측정을 위한 에이전트 장치와 처리를 위한 매니저 장치간의 생체 정보 교환을 위한 ISO/IEEE 11073 표준과 다양한 보건의료 정보시스템 간의 데이터 교환을 위한 ANSI HL7 간 프로토콜 변환 게이트웨이를 설계 및 구현 하였다. 최종적으로 제안된 구조의 기능 검증을 위해, 개발된 게이트웨이를 사용하여 생체신호측정 센서 (ECG, SpO2)를 활용하여 측정, 수집 및 처리하는 M2M을 위한 U-헬스케어 응용 서비스 가반 IEEE/HL7 변환게이트웨이를 개발하였다.

• Journal of Preventive Medicine and Public Health
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• 제38권4호
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• pp.425-430
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• 2005

Objectives : To investigate the prevalence of Clonorchis Sinensis infestation and to determine the associated risk factors among a population in a part of the rural area of Gyeongsangnam-do, Korea, which is an area known to have a high mortality from liver cancer and a high infection of C. sinensis. Methods : The study populat ion consisted of those people who have lived in rural areas and who were over 40 years old. This study was performed in 5 areas during the period from 1999 to 200 3. Informed consents were obtained from the 2,381 study participants, and these people were interviewed about their life style habits with using the structured questionnaire that was administered by trained staff members. The subjects underwent blood sampling and their stool specimens were examined by using the Formalin-ether sedimentation technique. Results : Among the study subjects (N=2,381), the positivity for C. sinensis in the stool was 34.4% (95% CI=36.3-42.5); it was 39.4% (95% CI=36.3-42.5) in the males and 30.9% (95% CI=28.5-33.3) in the females . The positivity for C. sinensis was associated with current alcohol drinking (odds ratio=1.8, 95% CI: 1.5-2.1) and raw fish consumption (odds ratio 1.2, 95% CI: 0.9-1.6). Conclusion : The present study confirmed the high prevalence of C. sinensis in the study subjects. It is necessary to establish consistent medical management and education programs for the treatment and prevention of C. sinensis infestation in the rural inhabitants of Korea.

• 문화기술의 융합
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• 제6권4호
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• pp.789-795
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• 2020

전 세계적으로 유행하는 코로나19로 인해 많은 사망자가 보고되고 있다. 코로나19의 추가 확산을 막기 위해서는 의심 환자에 대해 신속하고 정확한 영상판독을 한 후, 적절한 조치를 취해야 한다. 이를 위해 본 논문은 환자의 감염 여부를 의료진에게 제공해 영상판독을 보조할 수 있는 딥 러닝 기반 코로나19 흉부 X선 판독 기법을 소개한다. 우선 판독모델을 학습하기 위해서는 충분한 데이터셋이 확보되어야 하는데, 현재 제공하는 코로나19 오픈 데이터셋은 학습의 정확도를 보장하기에 그 영상 데이터 수가 충분하지 않다. 따라서 누적 적대적 생성 신경망(StackGAN++)을 사용해 인공지능 학습 성능을 저하하는 영상 데이터 수적 불균형 문제를 해결하였다. 다음으로 판독모델 개발을 위해 증강된 데이터셋을 사용하여 DenseNet 기반 분류모델 학습을 진행하였다. 해당 분류모델은 정상 흉부 X선과 코로나 19 흉부 X선 영상을 이진 분류하는 모델로, 실제 영상 데이터 일부를 테스트데이터로 사용하여 모델의 성능을 평가하였다. 마지막으로 설명 가능한 인공지능(eXplainable AI, XAI) 중 하나인 Grad-CAM을 사용해 입력 영상의 질환유무를 판단하는 근거를 제시하여 모델의 신뢰성을 확보하였다.

• 디지털융복합연구
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• 제13권4호
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• pp.227-233
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• 2015

최근 IT 기술의 발전과 함께 의료 기술 또한 급격하게 발전하게 되어 헬스케어 서비스를 제공받는 환자의 정보(의료정보, 질병정보 등)가 의료 서비스에서 다양하게 사용되고 있다. 그러나, 환자의 질병정보가 헬스케어 서비스에서 다양하게 사용되면서 환자 치료 방법에 대한 복잡성과 불확실성 또한 증가하여 병원은 환자 치료에 대한 의사결정이 더욱 어려워지고 있다. 본 논문에서는 헬스케어 서비스를 제공받는 환자의 치료를 효율적으로 처리하기 위해서 환자질병정보를 빅 데이터로 관리 할 수 있도록 효율성을 고려한 다기준의사결정벙법 중 하나인 퍼지 AHP를 사용한 헬스케어 환자의 효율적인 빅 데이터 관리 기법을 제안한다. 제안 기법은 환자의 질병정보들 간의 상관관계를 통해 치료기준들 간의 쌍대비교 척도를 삼각퍼지화하여 환자의 현실적 치료 방법을 찾도록 하는 것을 목적으로 한다. 제안 기법은 쌍대비교를 통해 질병 치료들간 퍼지이론의 삼각퍼지수를 적용하여 상대적인 중요도를 산출 한 후 치료 방밥에 대한 효율성을 구한다. 또한 제안 기법은 환자의 질병치료를 결정하기 위한 방법들을 계층화하여 삼각퍼지수를 이용한 쌍대비교 행렬을 구현한 후 질병치료기준별 대안에 대한 중요도를 계산하여 각 치료별 효율성을 분석하여 최종 질병치료 방법을 선택하기 때문에 기존 질병치료 방법보다 판단 및 치료의 애매함과 부정확성 상태를 5.8% 개선하고 있다.