• 제목/요약/키워드: 전문 의료인

검색결과 922건 처리시간 0.031초

고성능 HEVC 복호기를 위한 효과적인 In-loop Filter 하드웨어 설계 (The Hardware Design of Effective In-loop Filter for High Performance HEVC Decoder)

  • 박승용;조현표;박재하;강병익;류광기
    • 한국정보처리학회:학술대회논문집
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    • 한국정보처리학회 2013년도 추계학술발표대회
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    • pp.1506-1509
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    • 2013
  • 본 논문에서는 고성능 HEVC(High Efficiency Video Coding) 복호기 설계를 위한 효율적인 in-loop filter의 하드웨어 구조 설계에 대해 기술한다. in-loop filter는 deblocking filter와 SAO로 구성되며, 블록 단위 영상 압축 및 양자화 등에서 발생하는 정보의 손실을 보상하는 기술이다. 하지만 HEVC는 $64{\times}64$ 블록 크기까지 화소 단위 연산을 수행하기 때문에 높은 연산시간 및 연산량이 요구된다. 따라서 본 논문에서 제안하는 in-loop filter의 deblocking filter 모듈과 SAO 모듈은 최소 연산 단위인 $8{\times}8$ 블록 연산기로 구성하여 하드웨어 면적을 최소화하였다. 또한 SAO에서는 $8{\times}8$ 블록의 연산 결과를 내부레지스터에 저장하는 구조로 $64{\times}64$ 블록 크기를 지원하도록 설계하여 연산시간 및 연산량을 최소화 하였다. 제안하는 하드웨어 구조는 Verilog HDL로 설계하였으며, TSMC 칩 공정 180nm 셀 라이브러리로 합성한 결과 동작 주파수는 270MHz이고, 전체 게이트 수는 48.9k이다.

민간 권역 감염병 전문병원의 공간구성 및 동선에 관한 건축계획 연구 (A Study on the Architectural Planning of Spatial Composition and Circulation in Private Regional Infectious Disease Hospital)

  • 최광석;정다운;권순정
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제25권4호
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    • pp.81-91
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    • 2019
  • Purpose: Since infectious disease hospitals are premised on emergency operations, the operational efficiency of secured personnel, equipment, facilities, etc. is relatively low. In order to increase such normal operational efficiency, it is necessary to flexibly operate facilities and operations during normal and emergency times. The purpose of this study is to suggest the architectural planning method focusing on the space composition and circulation of the regional infectious disease hospital which can increase the operational efficiency in the private hospitals. Methods: Through literature review, functional requirements of infectious disease hospitals were identified, and related personnels inter-views and field surveys were conducted to understand the spatial composition and circulation requirements of infectious disease hospitals. Results: Through the complete separation between the negative pressure zone and the general zone, even when the negative pressure zone is completely closed, the general zone should be operated separately to achieve operational efficiency. In addition, the separation of the negative pressure zone and the general zone should simultaneously consider the optimal space configuration and movement for each function while the zone settings match in the floor plan of each department and the overall cross-sectional configuration of the hospital. Implications: Infectious disease hospitals intended to be installed in private hospitals should not apply excessive space just for safety reasons and should plan to ensure their operational efficiency.

노인전문병원의 공간구성과 부문별 면적배분에 관한 연구 (A Study of the Spatial Composition and Departmental Area Distribution in Geriatric Hospital)

  • 이현진;박재승
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제11권3호
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    • pp.19-30
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    • 2005
  • As the population of the elderly increases drastically year by year in Korea, the more welfare centers for them are greatly needed. There are, however, a small number of public geriatric hospitals currently available. And a limited number of private-founded geriatric centers are under construction throughout the country. And the systematic standards for the spacial composition and departmental area distribution for them are not satisfactorily set up yet. The analytical study of the space composition and area distribution of the hospitals in question shows that publicly-shared spaces, such as day-room and lobby, are much more useful for their communications than private spaces, such as shut-in living rooms. It also shows that in-yards or in-gardens which are located in the center of the wards are very helpful for their comfortable long-term hospitalization. The shared spaces are recommended to be in sight of and within earshot of their caretakers. In relation with out-patient departments, the programs for the local elderly residents, such as the day-care center and recreation facilities are recommended to be prepared for their physical care and emotional treatment at a time by municipal welfare centers rather than by private institutions. The analytic study carried out in terms of departmental area distributions reveals that the areas for the wards are generally wider and areas for out-patient/or diagnosis departments are relatively narrower than those in the general hospitals. These area distributions seem to have come from the considerations of their relatively long-term staying in the centers than general hospitals and their mental stability as well.

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서울시 어린이 전문병원 외래진료부의 공간구성방식과 대기공간의 치유환경 구축방안에 관한 연구 (A Study on the Spatial Organization Methods of O.P.D & the Construction of Healing Environment on O.P.D Waiting Area in Children's Hospital in Seoul Metropolis)

  • 김건형;박재승
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제16권3호
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    • pp.37-48
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    • 2010
  • This study analyzes the present condition of the elements of a healing environment of the waiting rooms in outpatient clinics of children' hospitals (3 hospitals in Seoul) so as to propose a design to build a healing environment within the children' hospital. And analyzing the importance, satisfaction and preference of the healing environment in the waiting rooms, this paper has come to the following conclusions: 1)The study shows that the space structure of outpatient clinics in children' hospitals are composed of 1 story or 2 stories and designed in a duplication design or a dispersed alcove design. 2)The waiting room of the SC Hospital, with an area of 66.56$m^2$, and the waiting room of the SU Hospital, with an area of 38.78$m^2$ received the highest score for its space. 3)As most patients visit the hospital with their guardian, the waiting room should also be someplace families can rest and share information with others. 4)It is essential to build an environment that eliminates stress elements that patients may come to face by minimizing noise and elements that obstruct the view for mental stability. 5)The results show that those who took part in the survey preferred the following, respectively, healing environment design for the waiting room in the outpatient clinic at children' hospital: Pleasantness>Easiness in finding one' destination>Artificial materials>Natural materials>Environment like that at home>Co-promotion spaces>Space that supports the patients'activities>Openness>Sociality>Safety/Security>Approachability and Privacy. The results also show that healing conditions respect these preferences.

노인전문요양시설 입소노인의 거실이용실태에 관한 조사연구 (A Study on the Residents' Behaviors in Living Area of Special Nursing Homes for the Elderly)

  • 안병영;조준영;양내원
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제14권1호
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    • pp.31-38
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    • 2008
  • Nursing Homes are different from other medical facilities, because they have a living space. And most of residents in a nursing home have dementia, therefore nursing homes are in control of outdoor activities for resident's safety and most of residents live in the living room at the daytime. The purpose of this study is analysis of spacial behaviors of residents in the living room, and reflection of the analysis into the architectural plan of nursing homes.There are two activities, individual activity and social interchange activity, in a living room and the role of a living room is semi-private space that includes both of them. Most numerous activities are watching TV and take a eat. Activities are different in accordance with the position at the living room. Individual activity and social interchange activity is same ratio in the middle and the ratio of social interchange activities are more than individuals in outside of living room. but alcove use of private.The types of living rooms are distinguished by combination of functions of livingroom, activity-room, and diningroom. The activity of use of residents have been shown different phases following the types of livingroom. The type of combination has been seen high rate of use and private activities and social communications are expressed evenly. The type of mixing has been seen low rae of use, but two activities, the above, are equal. The type of separation has been seen not only low rate of use, but also there has been only private activities.

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전문간호사의 업무 수행 빈도 및 의료인이 인식하는 업무 난이도와 중요도, 법제화 시 업무 위임 의향 (Job Performance of Advanced Practice Nurses, Perceived Difficulty and Importance, and Willingness to Legally Delegate Clinical Practices to Advanced Practice Nurses by Health Care Professionals)

  • 최앵자;최수정;김은숙;박주희;원선영
    • 임상간호연구
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    • 제26권2호
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    • pp.217-231
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    • 2020
  • Purpose: To identify the clinical role of Advanced Practice Nurses (APN), and evaluate how other medical personnel perceive their work(difficulty, importance). Methods: A questionnaire survey was performed with 277 health care providers (APN 52, nurses 88, and medical doctors 137 [professors 51, fellows 44, & residents 42]) in a single, tertiary hospital. The questionnaire was categorized into 6 domains (total 40 tasks): 6 tasks on identifying health issues (A); 3 tasks on prescribing and conducting diagnostic tests (D); 18 tasks on disease treatment (T); 4 tasks regarding prescribing medicine (M); 3 tasks regarding medical collaboration (C); 6 tasks regarding patient education (E). The survey measured the frequency, difficulty, and importance of APN's clinical tasks, and evaluated the willingness of authorizing clinical tasks to APN. Results: The most frequent tasks for APN were A domain, lowest were T domain. The scores for perceived job difficulty were lower than those for job importance in all groups. The proportion of willingness to legally delegate clinical practices to APN was higher in A and E domains, but lower in D and T domains. However, professors, who spent the most time with APN, showed a higher willingness to legally delegate clinical practice. The participants favored medical doctors as substitutes for tasks which were not legislated for delegated job performance. Conclusion: In this study identified clinical roles that medical doctors considered possible for legal delegation to APN were identified. The results can be used as evidence for the legalization of the practice of APN.

보건의료관련 학과 간 환자안전 교육 (Interprofessional Patient Safety Education for Undergraduate)

  • 하성민;김은정;신은희
    • 한국융합학회논문지
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    • 제10권2호
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    • pp.261-268
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    • 2019
  • 다학제적 교육은 여러 보건의료 관련 학과의 학생들에게 서로의 학문과 함께 서로의 직종에 관해 배울 수 있는 기회를 제공하며, 학생들의 졸업 후 관련 업무를 할 때 요구되는 협력 기술을 증진하고 개발할 수 있다. 보건의료 관련 학과 3학년 학생 가운데 연구 참여에 동의한 30명을 대상으로 매주 90분간의 강의와 그룹 토론을 포함하여 6 주간의 교육을 실시하였다. 교육 시작 전과 종료한 시점에서 환자안전에 대한 지식, 태도, 수행자신감을 평가하였으며, 타 학과에 대한 이해도 및 팀 협력에 대한 인터뷰를 시행하였다. 6주간의 다학제 간 환자안전 교육 프로그램과 관련하여 지식에는 변화가 없었지만 (p=>0.05), 태도와 자신감이 크게 향상되었고 (p=<0.05), 타 학과에 대한 이해와 다른 전문 직업과의 협력의 중요성을 깨달았음을 나타냈다. 국내에서 처음 실시한 다학제 간 환자 안전 교육은 학생들의 태도, 자신감 및 타 전문직업인 간의 팀워크에 긍정적인 영향을 나타냈다.

근막통증증후군 환자에게 통증점 체외충격파 치료가 경추의 가동 범위, 통증, 근육의 기계적 특성에 미치는 영향 (Effects of Extracorporeal Shock Wave Therapy in Pain Point on Range of Motion, Pain and Mechanical Muscle Properties in Myofascial Pain Syndrome)

  • 정구영;윤태림;이준희
    • 한국전문물리치료학회지
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    • 제28권1호
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    • pp.53-58
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    • 2021
  • Background: To evaluate whether extracorporeal shock wave therapy (ESWT) in the pain point is a more effective treatment than the trigger point for myofascial pain syndrome (MPS) of the upper trapezius. Objects: The purpose of this study was to compare the most effective areas when applying extracorporeal shock wave therapy. Methods: A total of 30 patients with MPS were randomly assigned to the trigger point in the ESWT (n = 15) and pain point ESWT (n = 15) groups. Interventions in both groups were performed in one session, i.e., 2,000 shocks with 1.5 bar intensity. Pain and function were assessed using the visual analog scale (VAS) and cervical range of motion (ROM) and based on mechanical muscle properties. Statistical analysis was performed using the repeated measures two-way analysis of variance to determine the significance probability between pre- and post-test. Results: Changes in mechanical muscle properties were not statistically significant between the two groups. However, VAS and cervical ROM showed statistically significant differences at pre- and post-intervention, regardless of the group (p < 0.05). Conclusion: Although no significant difference was observed in the intervention effect, applying an extracorporeal shock wave to the pain point rather than the pain trigger point should be considered in order to save time in effectively and accurately identifying the pain trigger point and site.

여성전문병원에서 이용자의 피난행태를 고려한 과밀화 공간 비교분석모델 연구 (A Comparative Analysis Model of Overcrowded Spaces Considering the Evacuation Behavior of Users in Women's Hospital)

  • 정채민;권지훈
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제28권1호
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    • pp.41-51
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    • 2022
  • Purpose: The purpose of this study is to compare variant analysis results regarding overcrowded spaces and suggest a space analysis model for women's hospitals at the outpatient clinic department, central treatment department, and inpatient ward considering evacuation capability of newborns unable to perform automotive evacuation, pregnant patients and maternal patients with limited mobility. Methods: Firstly, precedent studies on women's hospitals and evacuation in hospitals were reviewed. Secondly, the analysis conditions and necessary set values for simulation were designed after analyzing the design documents of the research target hospital. Thirdly, evacuation simulation was conducted by adjusting the variables related to the evacuation behavior of inpatients and newborns. Fourthly, based on the derived results, overcrowded spaces were compared and analyzed according to evacuation behavior. Result: The study results are as follows: (1) It is necessary to check the main escape routes for occupants and to expand and adjust the size of mainly used entrances. (2) It is necessary to widen the stairs' width to alleviate overcrowding caused by patients with non-autonomous walking. (3) Due to overcrowding of the main escape route, it is necessary to identify the bypass route and adjust the width of the corridor. (4) It is necessary to plan an evacuation route for newborns to escape from the main escape route for occupants. Implications: The study result is expected to be used as primary data for research that considers the evacuation behavior of newborns and pregnant women in women's hospitals.

감염병전문병원의 병동부 및 중환자부 영역 구성에 관한 연구 (A Study on the Zoning of Wards and Intensive Care Units (ICUs) in the Infectious Disease Hospital)

  • 이주랑;채철균
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제29권3호
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    • pp.17-28
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    • 2023
  • Purpose: This study aims to provide basic data for the future construction plans of the Infectious Disease Hospitals by analyzing the area composition and required room ratios in the wards and ICU of currently under-construction infectious disease hospitals. Methods: 3 Methods have been used in this paper. 1) This study conducted a literature review on major considerations and related guidelines for hospitals specializing in infectious diseases using existing data. 2) Based on the objects and activities of the hospital space, zones and areas were set for each department according to infection control. 3) Based on the established zones and areas, basic plan drawings of three hospitals specializing in infectious diseases currently under construction were collected and architectural drawing analysis was performed. Results: 1) Infectious Diseases Hospital must have a spatial organization that can accommodate patient isolation, infection control, efficiency of medical service, and changes. 2) Zones for infection control are divided into negative pressure and non-negative pressure zones based on airborne precaution isolation. It is divided into clean and contaminated zone according to class of cleanliness by Aseptic technique. Areas are classified by objects (patients, healthcare workers, supplies) and activities (access, medical treatment, support), and a system for organizing space is established based on this. 3) By analyzing the area composition of each departmental area, each required room, and each required space in the wards and intensive care units, it provides basic data for the spatial organization for architectural planning of the infectious disease hospital. Implication: It can be used as basic data when planning related facilities by analyzing the characteristics of the space plan of the required room according to the relationship between activities, movement lines, and operation plans based on user behavior.