• Title/Summary/Keyword: 관리의료

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Grid-based Medical Image Data Management using Web Services (웹 서비스를 이용한 그리드 기반의 의료 영상 데이터 관리)

  • Jae-Soon Kim;Bong-Hwan Lee
    • Proceedings of the Korea Information Processing Society Conference
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    • 2008.11a
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    • pp.1095-1098
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    • 2008
  • 최근 디지털 의료영상 자료들이 급격히 증가하고 의학과 임상에서 많은 병원과 기관 사이의 협업연구가 증가함에 따라 지리적으로 분산된 외부 기관과의 원격 데이터 공유 및 원격의 데이터 접근이 필요하게 되었다. 의료 장비 사이의 데이터 교환을 위한 DICOM은 외부 기관의 방화벽으로부터 의료 이미지 데이터 접근을 지원하는 보안 방법과 전송 속도 문제로 인해 협업 환경에 적합하지 않으며, 의료 이미지 데이터 관리 기능을 제공하지 못한다. 본 논문에서는 그리드 기반의 협업 환경을 제안하고 웹 서비스를 이용한 그리드 데이터 관리 기능을 구현하여 의료 분야의 PACS 통합과 의료 이미지 데이터 교환 문제를 해결하였다.

P2P DICOM System using Multiagent Systems Communicating with XML Encoded ACL (XML 기반 ACL로 통신하는 멀티에이전트 시스템을 이용한 P2P DICOM 시스템)

  • Kwon, Gi-Beom;Kim, Il-Kon
    • Journal of KIISE:Computing Practices and Letters
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    • v.8 no.5
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    • pp.598-606
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    • 2002
  • We suggest a distributed communication and management methodology using PC to PC Query multicasting strategy for efficient management of medical images produced by DICOM(Digital Imaging and Communications in Medicine) Modalities. It is absolutely necessary to reduce strict degradation of PACS system due to large sire of medical images and their very high transport rates. DICOM PC to PC Component is composed of a Service Manager to execute requested queries, a Communication Manager to take charge of file transmission, and a DICOM Manager to manage stored data and system behavior Each Manager itself is a component to search for requested file by interaction or to transmit the file to other PCs. Distributed management and transformation of medical information based on PC to PC Query multicasting methodology will enhance performance of central server and network capacity, reducing overload on both. We organize three major components for system operation. Each component is implemented as Agent. Communication between agents uses XML encoded Agent Communication Language.

Problems of the Act and Subordinate Statutes Related to the Regulation of Radiation Safety for Diagnosis (진단용 방사선 안전관리 법령의 문제점에 관한 연구)

  • Lim, Chang-Seon
    • The Korean Society of Law and Medicine
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    • v.23 no.2
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    • pp.97-118
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    • 2022
  • The use of diagnostic radiation in medical institutions is rapidly increasing. Accordingly, the collective effective dose is on the rise every year. Therefore, it is necessary to reduce the radiation exposure of the person undergoing the radiation examination as low as reasonably achievable. And we must establish a legal system to perform the safe management of radiation for diagnosis efficiently. In this way, I went over the problems of the Act and Subordinate Statutes regarding radiation safety management for diagnosis. As a result, the main contents are as follows. First, in the 「Medical Service Act」, there is no basis for the Safety Inspection Institute of Radiation and Radiation Exposure Measuring Institutes. And there are no provisions concerning delegation of administrative disposition. Therefore, it is necessary to secure legal justification by providing the basis for the Safety Inspection Institute of Radiation along with Radiation Exposure Measuring Institutes and the basis for administrative dispositions against these institutions in the 「Medical Service Act」. Second, the 「Rules on the Installation and Operation of Special Medical Equipment 」 should be integrated with the 「Rules on the Safety Management of Radiation Generators for Diagnostics」 to unify administrative procedures such as reporting for radiation special medical equipment for diagnosis. Third, in the case of violating the diagnostic radiation safety management standards in the 「Rules on the Safety Management of Radiation Generators for Diagnostics」, it is necessary to supplement the insufficient sanctions such as administrative disposition. Fourth, regulating diagnostic radiation and therapeutic radiation used in medical institutions with the dual legal system of the 「Medical Act」 and the 「Nuclear Safety Act」 is not efficient in the safety management of diagnostic radiation. Therefore, it is necessary to uniformly regulate diagnostic radiation and all medical radiation, including therapeutic radiation and nuclear medicine, in the 「Medical Service Act」 system.

Medical Dataset Management System for Multi-Center Clinical Research (다기관 임상연구를 위한 의료 데이터 셋 관리 시스템)

  • lee, Chung-Sub;Kim, Seung-Jin;Kim, Ji-Eon;No, Si-Hyeong;Kim, Tae-Hoon;Yoon, Kwon-Ha;Jeong, Chang-Won
    • Proceedings of the Korea Information Processing Society Conference
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    • 2020.05a
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    • pp.16-19
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    • 2020
  • 본 논문은 국제표준화인 OHDSI OMOP-CDM 의 확장으로 의료영상 표준기반의 R_CDM 으로 변환하고 그 데이터를 기반으로 다기관 임상연구를 위한 관리시스템에 대해 기술한다. 이를 위해 기존 공통데이터모델과 연계에 중점을 두어 DICOM 태그정보를 기반으로 의료영상 표준 모델의 스키마와 다기관 연구를 위한 Report 정보를 포함하여 모델링하였다. 이를 기반으로 머신러닝 기술개발을 위한 데이터 셋 생성과 관리를 위한 웹 기반 시스템 구조와 기능에 대해서 기술한다. 끝으로 구현된 시스템에서 제공하는 웹 서비스 수행 결과를 보인다.

Understanding of Changes to Hospice & Palliative Care Brought by the Enforcement of the Act on Hospice & Palliative Care and Dying Patient Determination of Life Sustaining Treatments (「호스피스·완화의료의 이용 및 임종과정에 있는 환자의 연명의료결정에 관한 법률」 시행에 따른 호스피스 완화의료의 변화에 대한 이해)

  • Chang, Yoon Jung
    • Journal of Hospice and Palliative Care
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    • v.20 no.3
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    • pp.173-176
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    • 2017
  • On Aug 4, 2017, the new legislation of 'Act on Hospice & Palliative Care and Patient Determination of Life Sustaining Treatments' was enforced. Compared with articles about the hospice & palliative care of 'National Cancer Act', it should be helpful to update the change points.

A XML-based Model for Integration of Distributed Clinical Information (XML 기반 분산 의료정보 통합 모델)

  • Kim, Jeong-Min;Choi, Jin-Young
    • Proceedings of the Korean Information Science Society Conference
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    • 2006.10c
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    • pp.160-165
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    • 2006
  • 질병을 예방하고 건강을 보호하기 위해서 개인의료정보를 지속적으로 관리하고, 관련 기관이 필요시 손쉽게 이용할 수 있어야 한다. 특히 서로 다른 기관으로부터 발생된 의료정보들을 통합, 관리할 필요가 있다. 이에 본 논문에서는 XML을 기반 기술로 이용하면서, XML만을 이용할 경우 XML 문서의 종류와 개수가 많아지면서 발생하는 문서관리상의 비효율성 문제를 해결하기 위하여 관계형 데이터베이스를 함께 이용한 의료정보 통합모델을 제안한다. 이를 통해 XML과 관계형 데이터베이스의 장점을 함께 이용하여 복잡하고 시간에 따라 변할 수 있는 의료정보를 구조적으로 표현하고, 유연하게 관리하며, 효율적으로 검색할 수 있으며, 향후 시스템 개발에 있어서도 확장성이 용이하다.

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성인병 뉴스 제311호

  • The Korea Association of Chronic Disease
    • The Korean Chronic Disease News
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    • no.311
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    • pp.1-18
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    • 2006
  • 경기도 평택시 송탄 보건소 김보섭 소장/만성질환 관리 중추적 단체 위상제고/“앞으로 국민연금 덜 받는다”/건강보험료 환급 사기‘주의’/전공의 보조수당 민간병원 확대/65세이상 60%에 월8만9천원 지급/“의료용 혈액이 부족하다”/남‘암’-여‘순환기’사망확률 높아/수면무호흡증, 남성 발기부전초래/독감백신 국내 생산기반 구축/정부 의약품 가격 정책‘위헌소송’/차별화 된 고품격 보건서비스 제공/보건소 의료기관 서비스 만족도‘1위’/초고령사회 대응, 본격 시동 걸었다/노인의료“의료적 접근 동반돼야”/겨울철 어르신 건강관리 수칙 발표/비영리 의료기관 M&A 근거 마련/병원 서비스산업 주요 육성방안/고령친화 모델지역 기본구상/

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A Qualitative Study on Public management of the Admission and Discharge of mental hospital (정신장애인의 정신의료기관 입·퇴원과 국가관리에 관한 질적 연구)

  • Lee, Yong-pyo;Chung, Hyun-ju
    • Korean Journal of Social Welfare Studies
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    • no.37
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    • pp.369-397
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    • 2008
  • The purpose of this study is to understand the context of mental hospital admission and discharge related with the stakeholder and to find out issues about public management on mental health disabilities. To this process, the more effecive alternative policies for mental health will be offered. As a research tool, the qualitative study was used, and the 6 case were analyzed. Through this study, we find 5 theme such as admission type occurred outside public management, uneffective public management in mental hospital treatment, long-term treatment mechanism occured in mental hospital, helplessness and role distortion of public follow-up system. According to the mental health law, mental hospital admission and discharge on mental health disabilities is to managed public system. But public management with mental health disabilities did not work on. In this results, we are find infringement on mental health disabilities. According to these findings, several suggestions are offered for better policies about admission and discharge procedures managed by public system.

Factors Influencing Nursing Students' Performance of Standard Precaution for Healthcare-Associated Infection Control (간호대학생의 의료관련감염관리를 위한 표준주의 수행도에 미치는 영향요인)

  • Yoon, Eun-Joo;Park, Young-Mi
    • Journal of Convergence for Information Technology
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    • v.8 no.5
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    • pp.19-27
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    • 2018
  • The goal of this study was to survey the degree of nursing students' knowledge of standard precaution, intention about performance, attitude toward performance, safety climate, performance of standard precaution and to identify factors influencing performance. A cross-sectional survey was implemented with samples of 296 nursing students. We collected the data from June 15 to 30, 2018 and analyzed by SPSS 21.0 program. There were significant correlation between intention about performance, attitude toward performance, safety climate and performance. The factors that affecting performance of standard precaution among nursing students are intention about performance and safety climate, which explained 20% of the variances. Therefore, It needs to develop an infection management education program and to prepare an safe nursing practice environments in hospitals for nursing students to improve their implementation of standard precautions for preventing clinical infection.

A Research on the Perception Level of Seafarer Related Organizations in Seafarer's Actual Health Care Conditions (선원유관단체의 선원 보건의료실태 인식도 조사)

  • Kim, Jae-Ho;Jeon, Yeong-Woo
    • Journal of Navigation and Port Research
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    • v.39 no.3
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    • pp.193-198
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    • 2015
  • This research was conducted to provide an improvement plan concerning medical treatment on board and medical health care conditions for seafarers. 139 persons from government agencies and seafarer related organizations, who could influence the government's seafarers healthcare policy-making, were asked to fill in the questionnaire prepared for this research about their perceptive views on actual condition of health and disease management for seafarers. The results of the survey on seafarer's health care management conditions(p<0.01), health care manage ability(p<0.01), current radio emergency medical service policy(p<0.01), usefulness of on board medicine chest and medical equipment(p<0.05), and the system of the onboard medical care persons show the difference of perception level among the seafarer related organizations. But generally, the rate of negative responses was high. And this research suggests that there is an urgent need to provide portable health measurement equipment on board, reenforce regular medical examination and establish the seafarer's health promotion center for telemedicine and healthcare management(p<0.01) in order to improve the onboard medical treatment support system for healthcare of seafarers.