• The Journal of the Korea Contents Association
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• v.22 no.7
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• pp.652-662
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• 2022

Currently, in the field of spinal surgery around the world, various new technologies have been rapidly developed and applied to patients. The author believes that it is necessary to discuss whether these new technologies are being fully reviewed for efficacy and safety before being applied to patients. To consider this issue, the author analyzed the basic research data and clinical application process of the intradiscal electrothermal therapy, which was developed as a new technology for discogenic pain disease in the 2000s and has been widely used worldwide. As a result, it was found that this procedure has been performed on patients in a state where there is insufficient base research on efficacy and safety. The author judges that this case reveals an essential problem related to the clinical operation of new medical technologies in the field of spine surgery. Therefore, the author believes that in order to minimize the side effects that new medical technology in the field of spinal surgery may have on patients, more full-fledged basic research and higher clinical acceptance standards should be established.

• Journal of Biomedical Engineering Research
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• v.44 no.3
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• pp.190-203
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• 2023

The purpose of this study is to provide basic data to ensure the safety and essential performance of a Lower Extremity robotic assisted gait training system and to provide advanced technology and technical basis to the industry handling the system. Based on IEC 60601-1:2012/AMD2:2020 (Medical Electrical Equipment - General requirements for basic safety and essential performance of medical electrical equipment), IEC 62366-1:2015/AMD1:2020 (Medical devices - Part 1: Application of usability engineering to medical devices) and EN ISO 14971:2019 (Medical devices - Application of risk management to medical devices), the requirements for ensuring the safety and essential performance of the Lower Extremity robotic assisted gait training system were derived. Through the Delphi survey method and scenario analysis, which reflects the opinions and knowledge of experts in the fields of development, testing and review of technical documents, and quality assurance of medical devices, validity and reliability were conducted and obtained results with adequate content validity ratio (CVR; 0.7≤) and excellent reliability (Cronbach's α; 0.9≤). As a result, it was confirmed that the reliability and validity of the risk management process to ensure the safety and essential performance of the Lower Extremity robotic assisted gait training system are required a model can be established to provide measures to reduce risks according to the level of risk exposure caused by usage.

• Quality Improvement in Health Care
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• v.28 no.2
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• pp.14-29
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• 2022

Purpose:In order to improve the quality of cardiac rehabilitation, it is important to examine the experiences of the patients and how they feel about each part of the process. We used a qualitative research methodology to conduct an in-depth review of the experiences of patients who participated in cardiac rehabilitation. Methods: According to semi-structured guidelines, in-depth interviews were conducted with a total of five patients undergoing cardiac rehabilitation. Results: A total of 232 codes was derived; these codes were split into 4 categories and 10 subcategories. Although the patients were apprehensive about the diagnosis of heart disease, it also gave them a chance to reflect on their health behaviors of the past. In addition, they began to appreciate their families and support networks more as the disease progressed. The participants did not know about cardiac rehabilitation until the medical staff recommended it, but they participated in the program with the expectation that they could become healthier. The participants felt that they became more physically and mentally healthy while undergoing cardiac rehabilitation. Rehabilitation served as an opportunity to improve other health behaviors as well. However, they emphasized that it is necessary to continuously maintain improved health behavior, find an exercise method that is suitable for one's physical ability and not monotonous, and prepare a plan to reduce the time and economic burden of cardiac rehabilitation. Conclusion: The participants' positive experiences confirmed in this study will be used as evidence for the expansion of cardiac rehabilitation programs.

• Health Policy and Management
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• v.33 no.1
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• pp.40-54
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• 2023

Background: Based on the increase in the needs for convalescent rehabilitation medical services in Korea, this study aims to calculate the needs for rehabilitation services and examine its determinants for 229 regions. Methods: Claim data from the Health Insurance Review and Assessment Service were used to estimate patients who need to receive rehabilitation services, and data from various sources were also used for analysis. The number of cases and incidence rates of hospitalization related to convalescent rehabilitation were calculated to estimate the needs for services by region, and the results were visualized via a map. Multivariate regression and fixed effects regression using panel data were performed to identify the determinants of regional variation of the incidence rate. Results: First, the incidence rate of rural areas such as Jeolla-do, Gyeongsang-do, and Chungcheong-do was higher than urban areas (metropolitan cities). Second, the population, proportion of the elder, medical aid recipients, financial independence, traffic deaths, smoking, diabetes rate, and medical infrastructure correlated significantly with the incidence rate. Third, 'rho' values which mean the fraction of variance due to individual terms in panel data regression models were 0.965 and 0.976, respectively. Conclusion: The incidence rate of hospitalizations was correlated with most independent variables in this study and there is a gap between urban and rural areas. These regional disparities are fixed in our society. An improved regional convalescent rehabilitation system is suggested to cover the entire area including rural areas with a high rate of aging.

• Journal of the Health Care and Life Science
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• v.11 no.2
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• pp.465-470
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• 2023

This study aims to understand marine therapy through an overall review of the marine therapy industry and provide basic data for policy establishment on marine therapy based on this. Talasotherapy refers to the medical use of marine climate, seawater, marine mud, algae, sand and other marine extracts, which are beneficial components of the ocean for preventive and therapeutic purposes. Centers in Taean, Goseong, Uljin, and other marine healing pilot projects should be well combined with programs within rehabilitation clinics so that local tourism and marine healing programs can be combined, and how well the existing marine infrastructure is established is a very important factor. Establish legal and institutional foundations, inter-ministerial and central-local cooperative governance by reorganizing laws and regulations related to marine healing and establishing a cooperative system between ministries and regions. It is necessary to expand the function of the marine therapy R&D project to play a role as a marine therapy center for each coastal region.

• The Korean Society of Law and Medicine
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• v.24 no.2
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• pp.147-196
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• 2023

Advances in brain science have made it possible to stimulate the brain to treat brain disorder or to connect directly between the neuron activity and an external devices. Non-invasive neurotechnologies already exist, but invasive neurotechnologies can provide more precise stimulation or measure brainwaves more precisely. Nowadays deep brain stimulation (DBS) is recognized as an accepted treatment for Parkinson's disease and essential tremor. In addition DBS has shown a certain positive effect in patients with Alzheimer's disease and depression. Brain-computer interfaces (BCI) are in the clinical stage but help patients in vegetative state can communicate or support rehabilitation for nerve-damaged people. The issue is that the people who need these invasive neurotechnologies are those whose capacity to consent is impaired or who are unable to communicate due to disease or nerve damage, while DBS and BCI operations are highly invasive and require informed consent of patients. Especially in areas where neurotechnology is still in clinical trials, the risks are greater and the benefits are uncertain, so more explanation should be provided to let patients make an informed decision. If the patient is under guardianship, the guardian is able to substitute for the patient's consent, if necessary with the authorization of court. If the patient is not under guardianship and the patient's capacity to consent is impaired or he is unable to express the consent, korean healthcare institution tend to rely on the patient's near relative guardian(de facto guardian) to give consent. But the concept of a de facto guardian is not provided by our civil law system. In the long run, it would be more appropriate to provide that a patient's spouse or next of kin may be authorized to give consent for the patient, if he or she is neither under guardianship nor appointed enduring power of attorney. If the patient was not properly informed of the risks involved in the neurosurgery, he or she may be entitled to compensation of intangible damages. If there is a causal relation between the malpractice and the side effects, the patient may also be able to recover damages for those side effects. In addition, both BCI and DBS involve the implantation of electrodes or microchips in the brain, which are controlled by an external devices. Since implantable medical devices are subject to product liability laws, the patient may be able to sue the manufacturer for damages if the defect caused the adverse effects. Recently, Korea's medical device regulation mandated liability insurance system for implantable medical devices to strengthen consumer protection.

• The Journal of the Korea institute of electronic communication sciences
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• v.7 no.5
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• pp.1189-1195
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• 2012

This study investigated the situations and satisfaction of home-based occupational therapy service for children under eighteen residing in Suncheon and Gwangyang. Arithmetic statistics were conducted by dividing the general facts of home-based occupational therapy service, the kinds of service used in home-based therapy, the satisfaction of home-based occupational therapy service, facts helpful for children, and facts helpful for parents or home. As a result, the most common source of home-based occupational therapy information was the association for children with disabilities and its satisfaction was high. This study will provide basic materials to build up systematic, stable, and continuous rehabilitation therapy support projects by the government.

• Journal of Korean Physical Therapy Science
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• v.2 no.2
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• pp.563-568
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• 1995

The purpose of study was to analyze and clarify the new facts which might help the patients with low back pain be rehabilitated by giving MRE(medical rehabilitation educations) for DLH(Daily Living Habit) based on body types. The outcome of examining hypothesis is as following. 1. The 1st hypothesis : It has been proved that the patients of experimental group which received the DLH will recovery and rehabilitate to social lives much faster than those of non-experimental group(p<.001). 2. The 2nd hypothesis : It has been proved that those of experimental group have much more changes in bodies and body types than those of non-experimental group(p<.001). 3. The 3rd hypothesis : It has been proved that those of experimental group will be better at self-care of back pain and satisfied with it much more than those of non-experimental group(p<.001). In above results, DLHE(daily living habit education) based on body types can be recommended to be a desirable education for low back patients who need a long-care. As it is more subdivided and specialized than the existing MHE, the effects of therapeutic self -care involving spinal manipulation are expected to be higher.

• Proceedings of the Korea Contents Association Conference
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• 2015.05a
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• pp.233-234
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• 2015

사회 고령화에 따라 노화와 동반하여 나타나는 퇴행성 질환의 정복을 통한 삶의 질 확보가 시급한 것으로 나타났다. 특히, 노인성 척추 질환은 매년 국민의료 부담 및 경제 손실을 큰 폭으로 증가시키고 있으며, 이 질환은 개별 환자에 최적화된 척추의 수술 및 재활 치료를 요구한다. 최근 노령화 사회가 급속히 진행되면서 일반인들은 다양한 기관에서 제공하는 의학정보 서비스를 통해 많은 의학정보를 활용하고 있다. 하지만, 기존 의학정보 서비스들을 통해 다양하고 풍부한 정보를 얻기 위해서는 많은 시간과 노력을 투자해야 하며, 일부 서비스는 일반인들이 이해하기 어려운 정보를 서비스하기도 한다. 그래서 본 논문에서는 한국과학기술정보연구원에서 구축한 e-Spine을 기반으로 사용자 수준별 척추 질환 정보 온톨로지를 구축하고, 이를 기반으로 PC, Tablet PC, Mobile Phone에서 활용 가능한 교육 시스템을 개발했다. 마지막으로 본 논문에서 개발한 척추 질환 교육 시스템은 일반인들에게는 좀 더 쉬운 정보 제공을 목적으로, 전공의들에게는 좀 더 풍부한 정보 제공을 목적으로 활용됨으로써, 차후 노인성 척추 질환 대응 서비스의 하나로 자리매김 할 것으로 기대한다.

• Journal of the Korean Academy of Clinical Electrophysiology
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• v.2 no.2
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• pp.61-76
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• 2004

This research tries to find out the methods to enhance the rehabilitation ability of Cerebro Vascular Accident(CVA) patients and their family members. For this purpose, the authors identify the factors that may affect the medical rehabilitation process as well as the rehabilitation itself. Furthermore, the current status of the rehabilitation ability and the desires of CVA patients and their family members are surveyed in this research. The results of this research are as follows: Firstly, the surveyed CVA patients, most of whom are over fifties in the age, have cerebral infection and hemorrhage in a numerical order. The survey showed that the larger cities they live in, the more CVA occur to them. Secondly, the survey for the treatment cost demonstrated that the lower are their living level and their education level, the more pressure is put on the CVA patients and their family. The statistical data proved this conclusion is reasonable. Thirdly, as for the safisfaction for the rehabilitation treatment, the statistical survey showed that it is directly proportional to their financial income. Moreover, those who have lower income generally want the rehabilitation services from a public health center. On the other hand, those who have higher income want the home therapy services.