• Title/Summary/Keyword: 환자구성모델

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A Study on the Changes of Blood Pressure Measurement Factors Before and After Heart Treatment (심장 치료 전후의 혈압 측정 인자의 변화에 관한 연구)

  • Choi, Wonsuk
    • Journal of the Institute of Convergence Signal Processing
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    • v.22 no.2
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    • pp.51-56
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    • 2021
  • The brachial systolic blood pressure and pulse pressure are the predictors of cardiovascular disease in individuals over 50 years of age. As the stiffness increases, the reflex amplitude and pressure in the late systole increase, resulting in an increase in left ventricular load and myocardial oxygen demand. Therefore, it is necessary to study how stiffness affects blood pressure. In this study, the blood pressure pulse waves were measured before and after taking the drug, and the blood pressure pulse wave was measured before and after myocardial heart transplantation in patients with heart failure. The correlation between R, L, and C components of the Windkessel model was estimated by increasing blood pressure. As a result of modeling the parameters of the Windkessel model using the curve fitting method, the increase in blood pressure and decrease in systolic rise time were due to the increase in the L component in the RLC Windkessel model. Among the various mechanical characteristics of blood vessels, the most important parameter affecting high BP waveform is the inertance.

A Goodness of Fit and Validity Study of the Korean Radiological Technologists' Core Job Com petency Model (방사선사 핵심 직무역량 모델의 적합성 및 타당성 검증)

  • Lim, Chang-Seon;Cho, A Ra;Hur, Yera;Choi, Seong-Youl
    • Journal of radiological science and technology
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    • v.40 no.3
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    • pp.469-484
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    • 2017
  • Radiological Technologists deals with the life of a person which means professional competency is essential for the job. Nevertheless, there have been no studies in Korea that identified the job competence of radiologists. In order to define the core job competencies of Korean radiologists and to present the factor models, 147 questionnaires on job competency of radiology were analyzed using 'PASW Statistics Version 18.0' and 'AMOS Version 18.0'. The valid model consisted of five core job competencies ('Patient management', 'Health and safety', 'Operation of equipment', 'Procedures and management') and 17 sub - competencies. As a result of the factor analysis, the RMSEA value was 0.1 and the CFI, and TLI values were close to 0.9 in the measurement model of the five core job competencies. The validity analysis showed that the mean variance extraction was 0.5 or more and the conceptual reliability value was 0.7 or more, And there was a high correlation between subordinate competencies included in each subordinate competencies. The results of this study are expected to provide specific information necessary for the training and management of human resources centered on competence by clearly showing the job competence required for radiologists in Korea's health environment.

The study of Data Logging Model Development for ICT Instruction in elementary school (초등학교 ICT 활용 교육을 위한 데이터 로깅 모델 개발에 관한 연구)

  • Lee, Gil-Kyung;Hong, Myung-Hui
    • Proceedings of the Korea Information Processing Society Conference
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    • 2007.05a
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    • pp.1410-1413
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    • 2007
  • 현재 초등학교에서 실시되고 있는 ICT(Information & Communication Technology) 교육은 ICT 소양교육과 ICT 활용교육으로 구분되어 실시되고 있다. ICT 소양교육은 컴퓨터 과학을 기반으로 하여 정보기술과 통신 기술에 대한 기본적인 소양교육으로 그 내용을 구성하고 있다. 현재 초고속 통신망의 발달과 컴퓨터 사용으로 인하여 소양교육에 대한 학업 성취도는 매우 향상되어 가고 있는 실정이다. 따라서 앞으로의 ICT 교육은 활용 교육에 더 많은 노력을 기울여 전 교과에 걸쳐 정보 통신 기술을 활용하여 교육의 내용뿐만 아니라 교육의 방법 등에서 많은 변화의 필요성이 증대되고 있다. ICT 활용교육에서 컴퓨터를 활용하기 위해서는 실생활에서 습득하거나 측정된 데이터를 컴퓨터에 입력하는 과정, 데이터 로깅(data logging), 으로부터 시작 한다. 최근의 유비쿼터스 컴퓨팅 환경에서 데이터가 발생한 곳에서 즉시 받아들이고 또한 결과가 필요한 곳에서 즉시 정보를 제공하여 주는 컴퓨팅 환경을 구성하는 것이 매우 중요 하다고 본다. 이에 본 연구에서는 유비쿼터스 컴퓨팅의 기본 개념 중 하나인 실시간 데이터 로깅 기법을 응용하여 초등학교에서 ICT 활용 학습 활동 시 발생되는 각종 원시 데이터들을 컴퓨터로 가져오는 데이터로깅 모델을 제안하고, 초등학교 과학과를 중심으로 교육과정의 실험 요소들을 분석하여 이를 개발된 모델에 적용하였다. 데이터 로깅 모델 적용 결과, 손쉽게 해당 원시 데이터를 수집할 수 있었고 데이터의 처리 및 분석을 간편하게 수행하여 정확한 실험 데이터를 바탕으로 실험 결과에 대한 토의, 토론에 더욱 많은 시간을 할애할 수 있었으며 학교에서의 ICT 활용 교육의 새로운 모델을 제시하였다.다.ovoids에서도 각각의 점들에 대한 선량을 측정하였다. SAS와 SSAS의 직장에 미치는 선량차이는 실제 임상에서의 관심 점들과 가장 가까운 25 mm(R2)와 30 mm(R3)거리에서 각각 8.0% 6.0%였고 SAS와 FWAS의 직장에 미치는 선량차이는 25 mm(R2) 와 30 mm(R3)거리에서 각각 25.0% 23.0%로 나타났다. SAS와 SSAS의 방광에 미치는 선량차이는 20 m(Bl)와 30 mm(B2)거리에서 각각 8.0% 3.0%였고 SAS와 FWAS의 방광에 미치는 선량차이는 20 mm(Bl)와 30 mm(B2)거리에서 각각 23.0%, 17.0%로 나타났다. SAS를 SSAS나 FWAS로 대체하였을 때 직장에 미치는 선량은 SSAS는 최대 8.0 %, FWAS는 최대 26.0 %까지 감소되고 방광에 미치는 선량은 SSAS는 최대 8.0 % FWAS는 최대 23.0%까지 감소됨을 알 수 있었고 FWAS가 SSAS 보다 차폐효과가 더 좋은 것으로 나타났으며 이 두 종류의 shielded applicator set는 부인암의 근접치료시 직장과 방광으로 가는 선량을 감소시켜 환자치료의 최적화를 이룰 수 있을 것으로 생각된다.)한 항균(抗菌) 효과(效果)를 나타내었다. 이상(以上)의 결과(結果)로 보아 선방활명음(仙方活命飮)의 항균(抗菌) 효능(效能)은 군약(君藥)인 대황(大黃)의 성분(成分) 중(中)의 하나인 stilbene 계열(系列)의 화합물(化合物)인 Rhapontigenin과 Rhaponticin의 작용(作用)에 의(依)한 것이며, 이는 한의학(韓醫學) 방제(方劑) 원리(原理)인 군신좌사(君臣佐使) 이론(理論)에서 군약(君藥)이 주증(主症)에 주(主)로 작용(作用)하는 약물(藥物)이라는 것을 밝혀주는 것

Effects of Holistic Hospice Nursing Intervention Program on Self Esteem and Spiritual Well-being for Inpatients of Hospice Palliative Care Unit (전인적 호스피스 간호중재 프로그램이 호스피스완화의료병동 입원 환자의 자아존중감과 영적안녕에 미치는 효과)

  • Choi, Sung-Eun;Kang, Eun-Sil
    • Journal of Hospice and Palliative Care
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    • v.12 no.4
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    • pp.209-219
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    • 2009
  • Purpose: This study was to testify the effects on self esteem and spiritual well-being of holistic hospice nursing intervention program ("Rainbow program") for inpatients of hospice palliative care unit. This was designed as a preliminary experimental study with one-group pre-post test. Methods: A total of 27 patients who were over 18 years old, and admitted in hospice palliative care unit of S hospital in P city, submitted informed consent for this study, participated in holistic hospice nursing intervention program(total 10 sessions and 1,200 minutes for 2 weeks) from April 6, 2004 to April 20, 2005. To test the effects of this intervention, Self Esteem Questionnaire (SEQ) and Spiritual Well-being Questionnaire were used. The collected data were analyzed by Paired t-test with SPSS/WIN 12.0 program. Results: (1) Hypothesis No. 1 "The experimental group which received Rainbow program will have a higher degree of self esteem than before" was supported (t=11.554, P<0.001). (2) Hypothesis No. 2 "The experimental group which received Rainbow program will have a higher degree of spiritual well-being than before" was also supported (t=6.387, P<0.001). Conclusion: This Holistic Hospice Nursing Intervention Program was effective in increasing self-esteem and spiritual well-being of patients in hospice palliative care unit. Therefore, it can actively be used and also applied to hospice palliative care practice, research, and education as a useful model of interdisciplinary team approach by hospice professionals.

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Designing Mutual Cooperation Security Model for IP Spoofing Attacks about Medical Cluster Basis Big Data Environment (의료클러스터 기반의 빅 데이터 환경에 대한 IP Spoofing 공격 발생시 상호협력 보안 모델 설계)

  • An, Chang Ho;Baek, Hyun Chul;Seo, Yeong Geon;Jeong, Won Chang;Park, Jae Heung
    • Convergence Security Journal
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    • v.16 no.7
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    • pp.21-29
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    • 2016
  • Our society is currently exposed to environment of various information that is exchanged real time through networks. Especially regarding medical policy, the government rushes to practice remote medical treatment to improve the quality of medical services for citizens. The remote medical practice requires establishment of medical information based on big data for customized treatment regardless of where patients are. This study suggests establishment of regional medical cluster along with defense and protection cooperation models that in case service availability is harmed, and attacks occur, the attacks can be detected, and proper measures can be taken. For this, the study suggested forming networks with nationwide local government hospitals as regional virtual medical cluster bases by the same medical information system. The study also designed a mutual cooperation security model that can real time cope with IP Spoofing attack that can occur in the medical cluster and DDoS attacks accordingly, so that the limit that sole system and sole security policy have can be overcome.

Ubiquitous healthcare model based on context recognition (상황인식에 기반한 유비쿼터스 헬스케어 모델)

  • Kim, Jeong-Won
    • Journal of the Korea Society of Computer and Information
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    • v.15 no.9
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    • pp.129-136
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    • 2010
  • With mobile computing, wireless sensor network and sensor technologies, ubiquitous computing services are being realized and could satisfy the feasibility of ubiquitous healthcare to everyone. This u-Healthcare service can improve life quality of human since medical service can be provided to anyone, anytime, and anywhere. To confirm the vision of u-Healthcare service, we've implemented a healthcare system for heart disease patient which is composed of two components. Front-end collects various signals such as temperature, blood pressure, SpO2, and electrocardiogram, etc. As a backend, medical information server accumulates sensing data and performs back-end processing. To simply transfer these sensing values to a medical team may be too trivial. So, we've designed a model based on context awareness for more improved medical service which is based on artificial neural network. Through rigid experiments, we could confirm that the proposed system can provide improved medical service.

Blood Flow Simulation in Bifurcated Geometry of Abdominal and Iliac Arteries Based on CT Images (CT영상에 기반한 복부대동맥과 장골동맥 분기관 모델의 혈류유동 해석)

  • Hong Y. S.;Kim M. C.;Kang H. M.;Lee C. S.;Kim C. J.;Lee J. M.;Kim D. S.;Lee K.
    • Journal of Biomedical Engineering Research
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    • v.25 no.6
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    • pp.497-503
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    • 2004
  • Numerical simulation of blood flow has been conducted based on real vessel geometries generated front DICOM medical images of abdominal and iliac bifurcated arteries of a healthy man. A program was developed to read cross sectional images of the three dimensional arteries and smoothly extract boundary coordinates of vessels. Commercial programs were employed for mesh generation and flow simulation. Pressures, velocities, and flow distributions were found to lie within normal physiological ranges. Peak velocity measured in the iliac artery by ultrasound was 20% smaller than that obtained by simulation. The trend of velocity variation in a cardiac cycle was fairly similar between the simulation and the ultrasonic measurements. Simulation based on real vessel geometry of individual patient provides information on pressure, velocity, and its distribution in the diseased arteries or arteries to be surgically treated. The results of simulation may help surgeons to better understand hemodynamic status and surgical need of the patient by revealing variation of the hemodynamic parameters. Futhermore, they may serve as basic data for surgical treatment of arteries. This research is expected to develop to a program in the future that early diagnose atherosclerosis by showing distribution of a hemodynamic index closely related to atherosclerosis in arteries.

A Method to Manage Faults in SOA using Autonomic Computing (자율 컴퓨팅을 적용한 SOA 서비스 결함 관리 기법)

  • Cheun, Du-Wan;Lee, Jae-Yoo;La, Hyun-Jung;Kim, Soo-Dong
    • Journal of KIISE:Software and Applications
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    • v.35 no.12
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    • pp.716-730
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    • 2008
  • In Service-Oriented Architecture (SOA), service providers develop and deploy reusable services on the repositories, and service consumers utilize blackbox form of services through their interfaces. Services are also highly evolvable and often heterogeneous. Due to these characteristics of the service, it is hard to manage the faults if faults occur on the services. Autonomic Computing (AC) is a way of designing systems which can manage themselves without direct human intervention. Applying the key disciplines of AC to service management is appealing since key technical issues for service management can be effectively resolved by AC. In this paper, we present a theoretical model, Symptom-Cause-Actuator (SCA), to enable autonomous service fault management in SOA. We derive SCA model from our rigorous observation on how physicians treat patients. In this paper, we first define a five-phase computing model and meta-model of SCA. And, we define a schema of SCA profile, which contains instances of symptoms, causes, actuators and their dependency values in a machine readable form. Then, we present detailed algorithms for the five phases that are used to manage faults the services. To show the applicability of our approach, we demonstrate the result of our case study for the domain of 'Flight Ticket Management Services'.

The Effect of Leisure Activity, Based on the Model of Human Occupation, on Leisure Satisfaction, Activities of Daily Living and Rehabilitation Motivation in Elderly Patients: Implications for occupational therapy (여가활동을 통한 작업치료가 노인 환자의 여가 만족도, 일상생활활동 수행 능력, 재활 동기에 미치는 영향)

  • Baik, Jisoo;Yang, Yeong-Ae;Shin, Yong-Il
    • 한국노년학
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    • v.39 no.2
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    • pp.285-304
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    • 2019
  • The purpose of this study was to investigate the effects of leisure-based occupational therapy on leisure satisfaction, activities of daily living, and rehabilitation motivation in elderly patients with chronic diseases. In the study, Subjects were assigned to either the control or experimental group. The experimental group consisted of 10 and the control group of 14 patients. The experimental group receive a Leisure-based occupational therapy intervention, and the control group receive a conventional occupational therapy intervention. Leisure satisfaction, activities of daily living, and rehabilitation motivation were measured to Canadian occupational performance measure(COPM), Korean Activities of Daily Living(K-ADL·K-IADL), and Patient Questionnaire of Rehabilitation Motivation(PAREMO). Evaluation scores were compared before and after intervention to determine whether or not there were differences over time. And we examined the correlation between the variables. The results of this study were as follows: 1) The leisure-based occupational therapy has a significant effect on leisure satisfaction and rehabilitation motivation(p<.01). 2) The conventional occupational therapy has a significant effect on activities of daily living(p<.01). 3) There was a significant correlation between ADL and IADL(p<.01). 4) There was a significant correlation between leisure satisfaction and Rehabilitation Motivation(p<.01). Implications for occupational therapy include that we must offer appropriate approach with considering the interests and value of patients to them. And proposing studies to demonstrate the efficacy of occupational therapy approaches.

A Basic Study on the Design of the Flexible Keel in the Energy-Storage Prosthetic Foot for the Improvement of the Walking Performance of the Below Knee Amputees (하지 절단환자의 보행 능력 향상을 위한 에너지 저장형 의족의 유연 용골 설계를 위한 기초연구)

  • 장태성;이정주;윤용산;임정옥
    • Journal of Biomedical Engineering Research
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    • v.19 no.5
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    • pp.519-530
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    • 1998
  • In this paper, the basic study on the design of the flexible keel of the energy-storage prosthetic foot was performed in order to Improve the walking performance and Increase the activities of the below knee amputees. Based on the analysis of the anthropometric data and the normal gait on two dimensional sagittal plane available In the literature, we presented a model of the basic structure of the flexible keel of the prosthetic foot. The model of the basic structure was composed of the simple beams, and linear rotational spring and damper. Laminated carbon fiber-reinforced composites were selected as the material of the basic structure model of the flexible keel In order to apply the high strength and light weight materials to the basic structure of the flexible keel of the prosthetic foot. The recoverable strain energy In response to the change of beam shape was calculated bur the finite element analysis and it was suggested that the change of beam shape could be the design variable in flexible keel design. The simulation process was systematically designed by using orthogonal array table in order to design the flexible keel structure which could store the more recoverable strain energy. finite element analysis was carried but according to the design of simulations by using the finite element program ABAQUS and the flexible keel structure of the energy-storage prosthetic foot was obtained from the analysis of variance(ANOVA). The dynamic simulation model of the prosthetic walking using the flexible keel structure was made and the dynamic analysis was carried but during one walk cycle. Based on the above results, an effective design process was presented for the development of the prosthetic fool system.

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