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Design and Implementation of a Ubiquitous Health Care System based on Sensor Network (센서네트워크에 기반한 유비쿼터스 헬스케어 시스템의 설계 및 구현)

  • Kim, Jeong-Won
    • The Journal of the Korea Contents Association
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    • v.8 no.1
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    • pp.143-151
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    • 2008
  • In this paper, we have implemented a ubiquitous healthcare system that can measure and check human's health in anytime and anywhere. The implemented prototype are composed of both front-end and back-end. The front-end have several groups: environment sensor group such as temperature, humidity, photo, voice sensor, health sensor group such as blood pressure, heart beat, electrocardiogram, spo2 sensor, gateway for wired/wireless communication, and RFID reader to identify personal. The back-end has a serial forwarder to propagate measurment results, monitor program, and medical information server The implemented sensor node constructs a sensor network using the Zigbee protocol and is ported the tinyOS. The data gathering base node is linux-based terminal that can transfer a sensed medial data through wireless LAN. And, the medical information server stores the processed medical data and can promptly notify the urgent status to the connected medical team. Through our experiments, we've confirmed the possibility of ubiquitous healthcare system based on sensor network using the Zigbee.

Comparisons of the Nursing Workforce with Japan, and the U.S. (한국, 미국, 일본의 간호인력 양성 및 활동 현황 비교)

  • You, Sunju
    • Journal of Digital Convergence
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    • v.11 no.6
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    • pp.275-287
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    • 2013
  • This study aims to derive implications on current problems in the nursing manpower management in Korea through the comparison with the nursing workforce and employmentrent in the United States and Japan. There are various issues in nursing policy, such as nursing shortage, quality of the nursing service, and the increased cost of management due to the high turnover rate of nursing staffs and it is urgent to seek various policy measures to resolve this. Although nursing shortage is a commom problem in the world, the U.S. and Japan were higher rate of employment than Korea in nursing staffs, which implicates the importance of the legislation of mandatory minimum staffing ratios, the establishment of policies such as the fees and charge policy and the nursing work environments. For quality nursing care and patient safety through the stable workforce of qualified nursing staffs, administrative mechanisms that support adequate nurse staffing and promote positive work conditions are needed, for which the improvement of legal system is required.

Evaluation of Internet Information on Childhood Fever Management (아동발열관리에 대한 인터넷 정보의 평가)

  • Jeong, Yong-Sun;Kim, Jin Sun
    • The Journal of the Korea Contents Association
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    • v.12 no.12
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    • pp.702-713
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    • 2012
  • The purpose of this study was to evaluate the quality of internet information about childhood fever and fever management. A total of 48 web sites with information about childhood fever and fever management in Korea were analyzed. Each web site was evaluated in terms of degree of the latest, creator, source, disclosure, and the accuracy of information. Accuracy of information was checked by comparison with published childhood fever management guidelines and current best evidences. The quality of internet information about fever and fever management was generally poor and not consistent. Moreover, it did not reflected current scientific evidences. It is important that parents should aware of these deficiencies and internet information can not substitute for consultation with health care professionals. Moreover, there was an urgent need to improve evidence-based fever management information on the internet.

A Limit of the Prohibition of Ar ticle Type Medical Advertisement (금지되는 기사성 의료광고의 한계)

  • Yoo, Hyun Jung
    • The Korean Society of Law and Medicine
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    • v.13 no.2
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    • pp.141-178
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    • 2012
  • Korea's medical law prohibited medical advertisements in principle and permitted them on an exceptional cases. However, the decision of the Constitutional Court of 20005. 10. 27. 20003 Heonga 3, it was changed to a negative system which allows advertisements in principle and restricted only exceptionally. Dramatic increase of medical advertisements was made after that and many argued more deregulation because there was actually heavy regulations. In particular, there is almost no actual regulation on the article type advertisement due to the reason of protection of the freedom of press, media and occupation. However, there may be an unjust result if a specific article or specialists' opinion is made using a newspaper, broadcasting or magazine as a form of article type advertisement to specific medical specialists or medical institution or medical treatment method that falsifies consumers or makes consumers confused by unjust medical expectations or reliability, that also deteriorates just competition and that causes the misrecognition of consumers. In fact, there were actual damages of article type advertisements on the eye whitening surgery not long after the transfer to a negative system of medical advertisements. Victims raised a medical proceeding against the doctor who carried out the surgery, but there is actually no systematic warranty except for the indemnity request. Thus, this case demonstrated a vulnerable result of a negative system. As such, it is problematic that there is no proper regulations defined in the current law and regulations because of the reason of the protection of the freedom of press, publication and occupation despite damages of such article type advertisements. Accordingly, it is urgent to apply the current prevention regulations on the article type advertisements strictly, and to set up specific regulations.

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Soil Environmental Policy in Netherlands (네덜란드의 토양환경정책)

  • 송창수
    • Journal of Korea Soil Environment Society
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    • v.2 no.2
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    • pp.3-8
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    • 1997
  • The basic aim of the current policy is to achieve and preserve a sustainable soil quality. This means that soil must retain all its functions for years to come. The Soil Protection Act lays down a statutory "duty of care", which means that soil contamination occurring during certain activities must be cleaned up by the person who cause it. The Soil Cleanup (Interim Measures) Act(1983) was repeated on 15 May 1994, and its provisions, together with some ammendments and additions, were assimilated into the Soil Protection Act. These cleanup regulations are intended to deal with "old cases" of soil contamination, i.e. cases that came to light before 1 January 1987, when the Soil Protection Act entered into force. The urgency for cleanups is dependent upon the actual exposure. In most cases actual exposure win be less than potential exposure (underlying C-values) because only a few exposure routes are present. Cleanup of sites where exposure exceeds maximum tolerable risk levels are considered urgent, and the actual risk level is used to prioritize the cleanup.oritize the cleanup.

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Morbidity, Disability and Death Rates of The Population Due to Malignant Neoplasms in Uralsk City in The Republic of Kazakhstan

  • Umarova, Gulmira;Mamyrbayev, Arstan;Bermagambetova, Saule;Baspakova, Akmaral;Satybaldieva, Umyt;Sabyrakhmetova, Valentina;Abilov, Talgar;Sultanova, Gulnar;Uraz, Raisa
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.12
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    • pp.5159-5164
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    • 2016
  • Objective: The dynamics of morbidity, disability and death rates due to malignant neoplasms in the population in Uralsk city of the Republic of Kazakhstan were studied for 2011-2015, with a focus on age and sex, as well as tumor location. Methods: Statistics for total morbidity, primary disability and mortality from cancer in the adult population of the city of Uralsk for 2011-2015 were calculated per 100 thousand. Estimation of morbidity was based on data from form - $N{\underline{o}}12$ ${\ll}$Report on the number of diseases registered in patients living in the area of health care organizations and patient population under medical observation". Evaluation of primary disability was based on form $N{\underline{o}}7$ ${\ll}$The distribution of newly recognized disabled by disease class, age, sex and disability groups" for 2011-2015 in Ural city and analysis of cancer was carried out using annual form 7 "Report on the sick, and diseases of malignant neoplasms". Result: The most common localizations of cancer were the trachea, bronchi, lungs, stomach and mammary glands. High death rates were noted for patients with cancer of the trachea, bronchi, lung, as compared to stomach and esophagus. Conclusion: The results of our investigation and data in the literature indicate that regional characteristics influence the impact of risk factors associated with cancer. An unfavorable environmental background contributes to ill health of urban populations, contributing to development of cancer. Moreover behavioral risk factors are very important, such as smoking, alcohol drinking, and an unhealthy diet. All these factors require urgent adoption of a package of measures for prevention, early detection and timely treatment. Detailed study of cancer is necessary to develop national programs and activities for prevention and control.

Radiotherapy for Brain Metastases in Southern Thailand: Workload, Treatment Pattern and Survival

  • Phungrassami, Temsak;Sriplung, Hutcha
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.4
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    • pp.1435-1442
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    • 2015
  • Purpose: To study the patient load, treatment pattern, survival outcome and its predictors in patients with brain metastases treated by radiotherapy. Materials and Methods: Data for patients with brain metastases treated by radiotherapy between 2003 and 2007 were collected from medical records, the hospital information system database, and a population-based tumor registry database until death or at least 5 years after treatment and retrospectively reviewed. Results: The number of treatments for brain metastases gradually increased from 48 in 2003 to 107 in 2007, with more than 70% from lung and breast cancers. The majority were treated with whole brain radiation of 30 Gy (3 Gy X 10 fractions) by cobalt-60 machine, using radiation alone. The overall median survival of the 418 patients was 3.9 months. Cohort analysis of relative survival after radiotherapy was as follows: 52% at 3 months, 18% at 1 year and 3% at 5 years in males; and 66% at 3 months, 26% at 1 year and 7% at 5 years in females. Multivariate analysis demonstrated that the patients treated with combined modalities had a better prognosis. Poor prognostic factors included primary cancer from the lung or gastrointestinal tract, emergency or urgent consultation, poor performance status (ECOG 3-4), and a hemoglobin level before treatment of less than 10 g/dl. Conclusions: This study identified an increasing trend of patient load with brain metastases. Possible over-treatment and under-treatment were demonstrated with a wide range of survival results. Practical prognostic scoring systems to assist in decision-making for optimal treatment of different patient groups is absolutely necessary; it is a key strategy for balancing good quality of care and patient load.

The Current State and Future Directions of Clinical Practicum for Adult Health Nursing at Four-year Nursing Colleges in Korea (4년제 간호대학 성인간호학 실습교육의 현황과 발전방향)

  • Kim, Nam-Cho;Lee, Hyang-Yeon;Kim, Boon-Han;Shin, Kyung-Rim
    • Korean Journal of Adult Nursing
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    • v.17 no.5
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    • pp.831-843
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    • 2005
  • Objective: The study was conducted by the Association of Korean College of Nursing in order to survey and analyze the current state of clinical practicum for adult health nursing at four-year nursing college in Korea and to suggest improvements in the contents and methods of clinical practicum and its future direction. Method: Data were collected using a survey by mail from July to November 2004 using a structured questionnaire on the general state of clinical practicum for adult health nursing. The questionnaires were sent to 53 nursing colleges throughout the country, and 47 recovered questionnaires were analyzed. Results: The number of credits for adult health nursing practicum was 7~10(average range), and various nursing fields were used in clinical practicum. The number of students per team was 5~6 at general wards and 3~4 at intensive care units. Students also experienced practicum during daytime and in the evening. Clinical practicum for adult health nursing was led by full-time professors and field practicum directors. In clinical practicum for adult health nursing, almost every college evaluated students' attitude, skills, leadership, etc. in various forms. Conclusions: It is urgent to develope a standardized evaluation tool for clinical practicum.

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Design and Implementation of a ubiquitous health care system (유비쿼터스 헬스 케어 시스템의 설계 및 구현)

  • Kim, Jeong-Won
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2007.10a
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    • pp.921-924
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    • 2007
  • In this paper, we have implemented a ubiquitous healthcare system that can measure and check human's health in anytime and anywhere. The implemented prototype are composed of both front-end and back-end. The front-end have several groups: environment sensor group such as temperature, humidity, photo, voice sensor, health sensor group such as blood pressure, heart beat, electrocardiogram, spo2 sensor, gateway for wired/wireless communication, and RFlD reader to identify personal. The back-end has a serial forwarder to propagate measurment results, monitor program, and medical information server. The implemented sensor node constructs a sensor network using the Zigbee protocol and is ported the TinyOS. The data gathering base node is linux-based terminal that can transfer a sensed medial data through wireless LAN. And, the medical information server stores the processed medical data and can promptly notify the urgent status to the connected medical team. Through our experiments, we've confirmed the possibility of ubiquitous healthcare system based on sensor network using the Zigbee.

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Improvement of Epidemiology Intelligence Service Officer Program for Preparedness and Response against Future Health Issues Included Communicable and Non-communicable Diseases in Korea (미래 보건문제 발생에 대응·대비를 위한 역학조사관제도 개선방안)

  • Lee, Moo-Sik
    • Health Policy and Management
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    • v.28 no.3
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    • pp.294-300
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    • 2018
  • The development and management of epidemiology intelligence service (EIS) officer with more specialized competence to cope with and prepare for health threats, including pandemic of emerging and re-emerging infectious diseases, is a high priority policy issue in Korea. First of all, we need to establish the training goal of EIS officer. It is necessary to establish manpower training and management system with at least three tiers including quantitative and qualitative targets. Second, at least 50% of all EIS officer must secure a physician and secure expertise and competence for epidemic. Third, for the ultimate purpose of EIS officer, the establishment of a public health expert should expand the scope of epidemiologist's work to health and medical care, occupational environment, and various disasters. Fourth, it is essential to expand the epidemiologist training and education program to the level of advanced countries. Especially, the training course should be expanded at least twice of current times. Fifth, it is necessary to independently install and operate the 'EIS Officer Training Center' as a mid- and long-term goal. Stewardship and governance are secured with the organization, personnel, etc. that can fully manage the planning, management, and evaluation of the EIS system. In the future, it will be necessary to establish a systematic and phased operational base of education and training programs for EIS officer, and establish a sustainable implementation system for strategy development. In addition, it is urgent to revise the guidelines for training public health professionals and strengthening competencies, and for establishing professional educational institutions.