• Title/Summary/Keyword: 환자 의료 정보

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A Research on the Total Emergency Room Time for Child Patients under 14 years suffering from External Injuries using Medical Information (의료정보를 활용한 14세 이하 외상환자 응급실 총 경유시간에 미치는 요인)

  • Jeon, Eun-Ju;Kim, Kwang-Hwan
    • Korea Journal of Hospital Management
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    • v.13 no.4
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    • pp.27-45
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    • 2008
  • This research focused on a total of 378 patients with external injuries under the age of 14 who visited the emergency center at a university hospital in Korea, during the months of January, April, August and November between January and December of 2007. In addition, the survey was conducted only on even number days and ranged across the whole year to reflect the impact of seasonal characteristics on the collected data. The research focused on determining the characteristics and inflicting cause of these patients with external injuries, analyzed the total time spent in the emergency room and obtained the following results. 1. When classifying the patients into different genders, the proportion of males (67.5%) was higher than that of females (32.5%). According to the different age groups, the highest ratio, at 61.1 %, was patients under the age of six. 2. Looking at the total number of minutes spent in the emergency room, the longest amount of time occurred during April with 162.7 minutes, followed by 121.9 minutes in January and 92.4 minutes in November. August had the shortest period of time spent in the emergency room, a significant statistical difference from the other periods of the year (p<0.001). 3. Regarding the amount of time required for each examination, patients required to provide a urine test spent an average of 204.7 minutes while those who did not spent 113.5 minutes on average. This is a 5% statistical difference among the two groups (p>0.05). 4. Looking at the five most commonly diagnosed problems in the emergency room, the total number of people with these top five commonly diagnosed illnesses comprised 55.6%, or 210 patients out of 378. 5. Utilizing the Decision Tree Model to estimate the total number of minutes required per visit, the first classifications were made using a chemical examination factor. People subject to chemical classification spent an average of 177.7 minutes, which was longer than the overall average of 115.2 minutes, and those exempt from chemical examination spent an average of 103.8 minutes, which was shorter than the average Conclusion; Effort to curtail the total time spent in emergency rooms is vital in guaranteeing efficient management of hospitals and providing medical services. The delay experienced by many comprehensive professional medical centers must be resolved through the establishment of effective delivery of medical services, increased supply of patient rooms and other policy oriented implementations. However, for now, this problem must be resolved by increasing the level of patient satisfaction and guaranteeing effective operation of patient rooms, which will significantly contribute to the general management and success of hospitals and institutions.

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A Preliminary Study on the Signifiant-Politics in the Case of 'Personalized Medicine' Discourse ('맞춤의학' 담론에서 발견되는 기표-정치(signifiant-politics)에 관한 연구)

  • Lee, June-Seok;Hyun, Jaehwan
    • Journal of Science and Technology Studies
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    • v.14 no.1
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    • pp.139-175
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    • 2014
  • For the past 20 years, expert groups and citizens in Korea have debated on the usefulness of personalized medicine. These debates were mainly focussed on the possibility of the promise - people mainly discussed whether it was a probable future or if it was just a hype. Following Hedgecoe and Tutton(2002) who argue that it is only a 'rhetorial device', we will analyze about 9,000 news media coverages that deal with personalized medicine. With these data, we will show that the same terminology of personalized medicine have been used very differently according to the time and people who use it. Our research will show that this term has both diachronic heterogeneity and synchronic equivocality. This has happened because of the innate lack that exists in our symbolic system. Policy and governance regarding new technology is important because they provide quilting point to those slippery term/signifiant. Also we would like to carefully suggest that we might be able to call this phenomena as signifiant-politics.

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Coated Tongue Region Extraction using the Fluorescence Response of the Tongue Coating by Ultraviolet Light Source (설태의 자외선 형광 반응을 이용한 설태 영역 추출)

  • Choi, Chang-Yur;Lee, Woo-Beom;Hong, You-Sik;Nam, Dong-Hyun;Lee, Sang-Suk
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.12 no.4
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    • pp.181-188
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    • 2012
  • An effective extraction method for extracting a coated tongue is proposed in this paper, which is used as the diagnostic criteria in the tongue diagnosis. Proposed method uses the fluorescence response characteristics of the coated tongue that is occurred by using the ultraviolet light. Specially, this method can solved the previous problems including the issue in the limits of the diagnosis environment and in the objectivity of the diagnosis results. In our method, original tongue image is acquired by using the ultraviolet light, and binarization is performed by thresholding a valley-points in the histogram that corresponds to the color difference of tongue body and tongue coating. Final view image is presented to the oriental doctor, after applying the canny-edge algorithm to the binary image, and edge image is added to the original image. In order to evaluate the performance of the our proposed method, after building a various tongue image, we compared the true region of coated tongue by the oriental doctor's hand with the extracted region by the our method. As a result, the proposed method showed the average 87.87% extraction ratio. The shape of the extracted coated tongue region showed also significantly higher similarity.

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.

Evaluation of Image Quality for Compressed SENSE(CS) Method in Cerebrovascular MRI: Comparison with SENSE Method (뇌혈관자기공영영상에서 Compressed SENSE(CS) 기법에 대한 영상의 질 평가: SENSE 기법과 비교)

  • Goo, Eun-Hoe
    • Journal of the Korean Society of Radiology
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    • v.15 no.7
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    • pp.999-1005
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    • 2021
  • The object of this research is CS, which increases resolution while shortening inspection time, is applied to MRA to compare the quality of images for SENSE and CS techniques and to evaluate SNR and CNR to find out the optimal techniques and to provide them as clinical basic data based on this information. Data were analyzed on 32 patients who performed TOF MRA tests at a university hospital in Chung cheong-do (15 males, 17 females), ICA stenosis:10, M1 Aneurysm:10, and average age 53 ± 4.15). In the inspection, the inspection equipment was Ingenia CX 3.0T, Archieva 3.0T, and 32 channel head coil and 3D gradient echo as a method for equipment data. SNR and CNR of each image were measured by quantitative analysis, and the quality of the image was evaluated by dividing the observer's observation into 5 grades for qualitative evaluation. Imaging evaluation is described as being significant when the p-value is 0.05 or less when the paired T-test and Wilcoxon test are performed. Quantitative analysis of SNR and CNR in TOF MRA images Compared to the SENSE method, the CS method is a method measurement method (p <0.05). As an observer's evaluation, the sharpness of blood vessels: CS (4.45 ± 0.41), overall image quality: CS (4.77 ± 0.18), background suppression of images: CS (4.57 ± 0.18) all resulted in high CS technique (p = 0.000). In conclusion, the Compressed SENSE TOF MRA technique shows superior results when comparing and evaluating the SENSE and Compressed SENSE techniques in increased flow rate magnetic resonance angiography. The results are thought to be the clinical basis material in the 3D TOF MRA examination for brain disease.

Detecting Adversarial Example Using Ensemble Method on Deep Neural Network (딥뉴럴네트워크에서의 적대적 샘플에 관한 앙상블 방어 연구)

  • Kwon, Hyun;Yoon, Joonhyeok;Kim, Junseob;Park, Sangjun;Kim, Yongchul
    • Convergence Security Journal
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    • v.21 no.2
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    • pp.57-66
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    • 2021
  • Deep neural networks (DNNs) provide excellent performance for image, speech, and pattern recognition. However, DNNs sometimes misrecognize certain adversarial examples. An adversarial example is a sample that adds optimized noise to the original data, which makes the DNN erroneously misclassified, although there is nothing wrong with the human eye. Therefore studies on defense against adversarial example attacks are required. In this paper, we have experimentally analyzed the success rate of detection for adversarial examples by adjusting various parameters. The performance of the ensemble defense method was analyzed using fast gradient sign method, DeepFool method, Carlini & Wanger method, which are adversarial example attack methods. Moreover, we used MNIST as experimental data and Tensorflow as a machine learning library. As an experimental method, we carried out performance analysis based on three adversarial example attack methods, threshold, number of models, and random noise. As a result, when there were 7 models and a threshold of 1, the detection rate for adversarial example is 98.3%, and the accuracy of 99.2% of the original sample is maintained.

The Evaluation of Dose Reduction and Quality of Images According to 80 kVp of Scan Mode Change in Pediatric Chest CT (소아 흉부 CT 검사에서 관전압 80 kVp 조건으로 스캔 모드별 방사선량 감소와 화질 평가)

  • Kim, Gu;Kim, Gyeong-Rip;Lee, Eun-Sook;Cho, Hee-Jung;Sung, Soon-Ki;Moon, Seul-ji-a;Kwak, Jong-Hyeok
    • The Journal of the Korea Contents Association
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    • v.19 no.8
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    • pp.284-292
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    • 2019
  • To evaluate the usefulness of pediatric chest CT scans by comparing the dose, examination time, and image quality by applying Helical mode, High-pitch mode, and Volume Axial mode to minimize the radiation exposure and obtain high diagnostic value. Revolution (GE Healthcare, Wisconsin USA) was used to divide PBU-70 phantom into Helical mode, High-pitch mode, and Volume Axial mode. After acquiring images, ROI is set for each image, heart, bone, lung, and back-ground air, and the average value is obtained by measuring CT number (HU) and noise (SD). SNR and CNR were measured and compared with DLP values provided directly by the equipment. Determining statistical significance Statistical analysis was performed using ONE-WAY-ANAOVA using SPSS 21.0. In this experiment, it was possible to inspect at a short time without deterioration of image quality with the lowest dose when using volume axial mode. Although the detector coverage of 16 cm is limited to all pediatric chest CT scans, it is recommended to be actively used in pediatric patients, and further study is needed to apply other test sites in volume axial mode.

Guidelines and Status of Hospital Library in Korea: for Patients and Carers (국내 병원도서관 관련 기준 및 현황)

  • Rhee, Hey Young
    • Journal of the Korean BIBLIA Society for library and Information Science
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    • v.29 no.4
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    • pp.179-202
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    • 2018
  • This study examined and analyzed the related study, Library Law, comparison of Korean Library Standards and IFLA guidelines and the status of domestic hospital library provision in order to grasp the regulations and status of domestic hospital library. As a result, the related study is very insufficient compared to overseas, and the Law and Standards for hospital libraries are not clearly and in detail in the Library Law. It is impossible to grasp the statistics and actual condition of the hospital library through the Yearbook of the Korean Library. The Korean Library Standards and IFLA guidelines also show differences in composition and key elements. According to the survey, 49 hospitals (1.3%), 8 hospitals (0.2%), 5 nursing hospitals (0.1%), 4 children's hospitals (0.1%), and 1 military hospital (0.0%) were among the 67 hospitals surveyed. Of the 49 general hospitals, 42 were advanced general hospitals, of which 17 were providing hospital libraries. The most urgent issue for providing hospital libraries is the revision of the Library Law and the Korean Library Standards, and the mandatory provision of hospital libraries, publicity through library magazines, and related research should be carried out.

Computed Tomography of the Left Atrium and Left Atrial Appendage: A Pictorial Essay on the Anatomy, Normal Variants, and Pathology (좌심방과 좌심방이의 전산화단층촬영 소견: 해부학, 정상변이 및 질환에 관한 임상화보 )

  • Minji Song; Sung Jin Kim;Hyun Jung Koo;Moon Young Kim;Jin Young Yoo
    • Journal of the Korean Society of Radiology
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    • v.81 no.2
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    • pp.272-289
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    • 2020
  • Current advances in CT techniques allow thorough evaluation of the beating heart. The strengths of cardiac CT relative to echocardiography and magnetic resonance imaging are its high availability in most institutions, rapid production of high-quality images, and outstanding delineation of the anatomy. For many normal variants and pathologic conditions, such as thrombi, masses, and congenital abnormalities of the left atrium, CT findings are sufficient to make a presumptive diagnosis. Assessments of the left atrium and left atrial appendage are particularly important for the management of atrial fibrillation, as various catheter-based procedures are aimed at the mechanical and electrical isolation of these structures. CT offers information crucial to a successful catheter-based procedure or surgery. Therefore, a comprehensive review of the geometry (shape, size, and relative position), along with various CT imaging features of pathologic states, should be provided in radiology reports to be of clinical value.

Analyze dosimetry with and without shielding when amplifying scattered rays (산란선 증폭시 차폐체 유무에 따른 선량 분석)

  • Chang Ho Cho;Jeong Lae Kim
    • The Journal of the Convergence on Culture Technology
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    • v.10 no.3
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    • pp.819-825
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    • 2024
  • The reason for recording dose data when using a diagnostic radiation source is to record and manage the dose to healthcare personnel and patients. The purpose of this study was to verify the difference in radiation dose when using diagnostic radiation generating devices and to inform users' awareness of dose reduction through measurement and analysis of dose in situations with and without shielding. The dose analysis of each equipment for two Korean C-arms and two German C-arms showed that the Korean FPD type C-arm had the highest dose value, followed by the German I.I type C-arm, German FPD type C-arm, Korean, and I.I type C-arm. The results of the dose analysis with and without shielding showed that the dose to the human phantom in a normal atmosphere increased by about 2 times due to scattered radiation, but the dose to the human phantom was reduced by about 5 times by wearing a shield (0.5mm/lead apron). More important than the management of radiation dose is the study of how to reduce exposure when using radiation, and since the radiation dose output from different equipment is different, it is necessary to provide dose information with and without shielding.