• Title/Summary/Keyword: 필수의료

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Health Promotion Practice, Standards and Activities Of Local Health Departments In the United States (미국 지방 보건소의 보건증진 사업과 표준 설정)

  • Jung H. Cho;Pat V. OConnor
    • Proceedings of The Korean Society of Health Promotion Conference
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    • 1999.07a
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    • pp.9-36
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    • 1999
  • 21C기를 맞이하면서 미국의 보건소가 당면한 과제는 시민들을 상해질병에서 보호하고 예방하는 것이다. 금세기 초 남녀 평균수명은 50세에 불과하였으나 후반에 이르러서는 남자 평균 수명 72세, 여자 79세로 늘어나게 되었는데 이것은 공중보건의 기여라고 볼 수 있다. 지난 10년 동안 미국의 보건의료정책은 격변기를 맞았으며 지역사회 병원들은 점차 보건소 활동분야인 예방사업에도 침투하고 있어서 지방보건소 활동과 경쟁하게 되었다. 이로 인하여 지방보건소는 지역사회에서 보다 광범위한 보건증진계획을 세워야 했고 동반자의 참여를 절실해하고 있다. 미국 의학연구소는 "공중보건의 장래" 라는 지침서를 발간하였고 10대 필수보건수칙이 지방보건소를 위하여 정해졌다. 이를 수행하기 위해선 지방보건소가 갖추어야 할 사항은 1) 건강 평가 2) 정책수립 3) 행정력 4) 건강증진 계획 5) 시민건강 보호대책 6) 질적 확인 체재수립 7) 직원교육 훈련 8) 지역사회 자발력 및 참여 고취 등이 있다. 보건교육 사업이란 그 과제와 재능과 개념 등이 다양해 이의 포괄적인 수용이 모색되어야하며, 그래서 이 논문은 건강증진 사업에 대한 "새 눈의 시야"와 같다고 볼 수 있다. "보건교육/보건증진" 이란 공중보건의 이론과 실제를 일체화하는데 있다고 볼 수 있다. 미국은 2010년 보건의료 정책수립에 "건강증진/ 보건교육" 역할을 문서화하였고, "보건교육/ 건강증진" 사업은 지역사회 안에서 체계화하여 "건강한 사회에 건강한 시민" 이라는 사회운동의 청사진으로 이어지고 있다. 이 논문은 콜로라도의 "건강한 사회에 건강한시민" 운동을 한 예로 들고 있으며 "보건교육/건강증진" 사업에 대한 표준 설정을 위하여 노스캐롤라이나주 지방보건소의 "보건교육/건강증진" 표준체제를 예로 들었다. 다음으로, 경제적인 효율면에서 볼 때 "보건교육/건강증진" 사업에는 단기 혹은 장기 투자가치가 있는가 하는 것이다. 새로 태어나는 미국 지방 보건소의 "보건교육/건강증진" 활동은 지역 시민 및 그 단체가 광범위하고도 자연 다발적으로 참여할 때만 성공할 수 있다고 결론 지울 수 있다.

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A Study on the Guideline in the Electrical and Mechanical Safety of the Wearable U-Health devices (착용형 유헬스 디바이스의 전기·기계적 안전성 가이드라인 개발 연구)

  • Hwang, I.H.;Kang, B.K.;Kim, D.K.;Yoo, S.K.;Cha, J.H.;Hur, C.H.;Park, K.J.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.4 no.1
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    • pp.1-8
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    • 2010
  • The combination of medical devices and IT convergence technology has made it possible to check health whenever and wherever people want. The recent development of various Ubiqutous Healthcare medical devices ensures the convenient measurements of health variations in daily lives and at home. However, considering that there is a growing prevalence of the devices and a great interest in the development of Ubiqutous Healthcare device, it is urgent to secure the stability and to establish performance evaluation. Therefore, it is needed to develop standard testing methods for the stability and the performance evaluation on before and after selling products. In this paper, I studied the standard testing method of both compulsory tests and performance evaluation which are for the electric stability evaluation on Ubiqutous Healthcare devices.

Improving the Performance of Blood Transfusion Management Division (수혈관리실의 역할 수행에 따른 개선 효과)

  • Ho-Keun CHOI;Kyung-Suk CHOI
    • Korean Journal of Clinical Laboratory Science
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    • v.55 no.1
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    • pp.65-70
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    • 2023
  • The effect of improvement by keeping the former as the priority was examined through an evaluation of the role of the blood transfusion management (BTM) division. This division manages the status of blood for transfusion, evaluates the adequacy of blood transfusion (EABT), monitors and responds to the occurrence of transfusion-related side effects, and performs other tasks necessary for BTM. Although the establishment and operation of the BTM division can lead to the efficient evaluation of transfusion adequacy, there are disadvantages in that it takes time for EABT and it is difficult for the staff in charge of the BTM division to evaluate the adequacy of all the blood. In the future, it is essential to introduce a BTM division and committee specific to Korean patients to implement safe and appropriate BTM in medical institutions, and to assist medical institutions in training their personnel.

The Development of Safety and Essential Performance Criteria for Lower Extremity Robotic Assisted Gait Training System (하지 로봇재활의료기기의 안전성 및 필수성능 평가 기준 개발)

  • Yong Wan Kang;Ji Yean Kwon
    • 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.

Design of Face with Mask Detection System in Thermal Images Using Deep Learning (딥러닝을 이용한 열영상 기반 마스크 검출 시스템 설계)

  • Yong Joong Kim;Byung Sang Choi;Ki Seop Lee;Kyung Kwon Jung
    • Convergence Security Journal
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    • v.22 no.2
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    • pp.21-26
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    • 2022
  • Wearing face masks is an effective measure to prevent COVID-19 infection. Infrared thermal image based temperature measurement and identity recognition system has been widely used in many large enterprises and universities in China, so it is totally necessary to research the face mask detection of thermal infrared imaging. Recently introduced MTCNN (Multi-task Cascaded Convolutional Networks)presents a conceptually simple, flexible, general framework for instance segmentation of objects. In this paper, we propose an algorithm for efficiently searching objects of images, while creating a segmentation of heat generation part for an instance which is a heating element in a heat sensed image acquired from a thermal infrared camera. This method called a mask MTCNN is an algorithm that extends MTCNN by adding a branch for predicting an object mask in parallel with an existing branch for recognition of a bounding box. It is easy to generalize the R-CNN to other tasks. In this paper, we proposed an infrared image detection algorithm based on R-CNN and detect heating elements which can not be distinguished by RGB images.

Segmentation and Visualization of Human Anatomy using Medical Imagery (의료영상을 이용한 인체장기의 분할 및 시각화)

  • Lee, Joon-Ku;Kim, Yang-Mo;Kim, Do-Yeon
    • The Journal of the Korea institute of electronic communication sciences
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    • v.8 no.1
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    • pp.191-197
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    • 2013
  • Conventional CT and MRI scans produce cross-section slices of body that are viewed sequentially by radiologists who must imagine or extrapolate from these views what the 3 dimensional anatomy should be. By using sophisticated algorithm and high performance computing, these cross-sections may be rendered as direct 3D representations of human anatomy. The 2D medical image analysis forced to use time-consuming, subjective, error-prone manual techniques, such as slice tracing and region painting, for extracting regions of interest. To overcome the drawbacks of 2D medical image analysis, combining with medical image processing, 3D visualization is essential for extracting anatomical structures and making measurements. We used the gray-level thresholding, region growing, contour following, deformable model to segment human organ and used the feature vectors from texture analysis to detect harmful cancer. We used the perspective projection and marching cube algorithm to render the surface from volumetric MR and CT image data. The 3D visualization of human anatomy and segmented human organ provides valuable benefits for radiation treatment planning, surgical planning, surgery simulation, image guided surgery and interventional imaging applications.

TaqMan probe real-time PCR for quantitative detection of bovine adenovirus type 1 during the manufacture of biologics and medical devices using bovine-derived raw materials (소유래 성분 원재료 사용 생물의약품과 의료기기 제조 공정에서 bovine adenovirus type 1 정량 검출을 위한 TaqMan probe real-time PCR)

  • Ko, Woon Young;Noh, Na Gyeong;Kim, In Seop
    • Korean Journal of Microbiology
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    • v.51 no.3
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    • pp.199-208
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    • 2015
  • Biologics and medical devices manufactured with bovine-derived raw materials have the risk of viral contamination. Therefore, viral validation study is essential to ensure the safety of the products. Bovine adenovirus type-1 (BAdV-1) is one of the common bovine viral pathogens. For quantitative detection of BAdV-1 during the manufacture of biologics and medical devices, a TaqMan probe real-time PCR method was developed. Specific primers and TaqMan probe for amplifying and detecting BAdV-1 DNA were designed. Specificity, limit of detection (LOD), and robustness of the method was validated according to international guideline on the validation of nucleic acid amplification tests for the pathogen detection. The sensitivity of the assay was found to be $7.44{\times}10^1\;TCID_{50}/ml$. The real-time PCR method was reproducible, very specific to BAdV-1, and robust. Moreover, the method was successfully applied to the validation of Chinese Hamster Ovary (CHO)-K1 cells artificially infected with BAdV-1, a commercial CHO master bank, and bovine type 1 collagen. The overall results indicate that this rapid, specific, sensitive, and robust assay can be reliably used for quantitative detection of BAdV-1 contamination during the manufacture of biologics and medical devices using bovine-derived raw materials.

A Study for Effects of Image Quality due to Scatter Ray produced by Increasing of Tube Voltage (관전압 증가에 기인한 산란선 발생의 화질 영향 연구)

  • Park, Ji-Koon;Jun, Je-Hoon;Yang, Sung-Woo;Kim, Kyo-Tae;Choi, Il-Hong;Kang, Sang-Sik
    • Journal of the Korean Society of Radiology
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    • v.11 no.7
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    • pp.663-669
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    • 2017
  • In diagnostic medical imaging, it is essential to reduce the scattered radiation for the high medical image quality and low patient dose. Therefore, in this study, the influence of the scattered radiation on medical images was analyzed as the tube voltage increases. For this purpose, ANSI chest phantom was used to measure the scattering ratio, and the scattering effect on the image quality was investigated by RMS evaluation, RSD and NPS analysis. It was found that the scattering ratio with increasing x-ray tube voltage gradually increased to 48.8% at 73 kV tube voltage and to 80.1% at 93 kV tube voltage. As a result of RMS analysis for evaluating the image quality, RMS value according to increase of tube voltage was increased, resulting in low image quality. Also, the NPS value at 2.5 lp/mm spatial frequency was increased by 20% when the tube voltage was increased by 93 kV compared to the tube voltage of 73 kV. From this study, it can be seen that the scattering radiation have a significant effect on the image quality according to the increase of x-ray tube voltage. The results of this study can be used as basic data for the improvement of medical imaging quality.

Quantitative Analysis of Effects for Quality Control on Medical Primary Class LCD Display Devices Based on AAPM TG18 Report (AAPM TG18에 의한 진단용 LCD 디스플레이 장치 정도관리 효과의 정량적 분석)

  • Jung Hai-Jo;Kim Hee-Joung
    • Progress in Medical Physics
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    • v.17 no.2
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    • pp.77-82
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    • 2006
  • The image display is an Important component of PACS and of medical digital imaging chain. Displayed image qualify is affected by the physical characteristics of display device, appropriate clinical settings and calibrations, and ambient lighting conditions. The performance of display systems is continuously degraded over time due to luminance deterioration and changes of clinical setting parameters. A routine QC is recommended because the performance of display systems is continuously degraded over time. Ten flat panel monochrome LCD display devices were included in the evaluation of the QC effect. The effect of QC on primary class LCD medical display devices for selected QC tests was evaluated by comparing the performances, luminance response, luminance dependencies, display resolution and display chromaticity in this study, of before and after the calibration procedures. The effects of the QC are significant to luminance response and luminance spatial dependencies test and the other side, are slight to the display resolution and display chromaticity test. A routine QC of display device is essential for the consistency of medical image display and presentation. The study of the QC effects of display devices will play an important role in practical QC procedures of display devices.

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Radiation Safety Consideration Regarding the Treatment which uses the Radioactive Substance (방사성물질을 이용한 치료의 안전관리 고찰)

  • Lim, Cheong-Hwan;Kim, Seung-Chul;Lee, Gui-Won
    • The Journal of the Korea Contents Association
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    • v.8 no.11
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    • pp.217-224
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    • 2008
  • Is trend that treatment that use isotope of radioactive substance increases from 1964 to now steadily. Bursting tube state solidified accordingly. But, do not establish treatment ward in presence at a sickbed by means that present regulation and system escape this as well as possession that exert negative impact in treatment action preferably is and is treating by radioactivity of small quantity, treatment air by that do not detain many sickers without equaling the institution although there is treatment ward keeps fair death anniversary and is in reservation stand-by status. To possess about 10 therapy rooms including existing sickroom in the institute of nuclear energy recently is looked but is waiting for an opportunity for treatment during suitableness time yet indeed even as that operate 57 radiation isotope therapy rooms all in about 28 hospitals in present domestic state is solveded. Therefore, radiation safety supervision by medical treatment action that treat as radioactive substance may need more active effort. Make mandatory to equipment that hospital which correspond to present the third medical examination and treatment must equip, or effort about more active system improvement may have to be about equipment that enforce this.