• 제목/요약/키워드: Clinical information

검색결과 3,960건 처리시간 0.039초

Controlled Inquiry Rates of Clinical Interviews in Telehomecare

  • Moskowitz, Samuel E.
    • 제어로봇시스템학회:학술대회논문집
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    • 제어로봇시스템학회 2003년도 ICCAS
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    • pp.1945-1950
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    • 2003
  • Conceived to acquire personal information for an electronic medical record, the clinical interview contains probing questions. The number and type of inquiries are assumed to fulfill medical protocols, and therefore are deemed essential for treatment - but the rate can and should be controlled. High rates of inquiry merely intimidate the patient and affect replies. The purpose of this paper is to mathematically formulate permissible rates of clinical interviews held during telehomecare virtual visits and designed to avoid patient anxiety. Mental stress is derived as a function of the weight of importance assigned by the patient, virtual visit duration, and the rate of questioning in the direction of greater sensitivity. Two operations are of interest: Collecting and recording information by the provider, and maintaining synchrony of questions and answers by the patient. The Lorentz transformation yields the patient’s view of the operational rates. Conservation of information momentum is postulated and applied before and after replies are recorded. It is shown that the weight of importance designated by the patient to collecting and recording personal information is driven by a singularity that depends on the rate of questioning. The findings should serve as a guideline in interviewer training programs.

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계속 진료를 위한 외래환자 Clinical Summary 시스템 설계 (Outpatient Clinical Summary System Design for Continuity of Care)

  • 이효정;송진태;김일곤;조훈;곽연식
    • 한국정보과학회:학술대회논문집
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    • 한국정보과학회 2005년도 가을 학술발표논문집 Vol.32 No.2 (1)
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    • pp.859-861
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    • 2005
  • 의료 환경이 점차 변화함에 따라 효율적인 건강관리와 의료사고를 룰이기 위한 새로운 병원정보시스템의 개발이 활발히 이루어지고 있다. 이에 본 논문에서는 지속적인 건강관리와 의료정보 공유를 위한 외래환자 Clinical Summary 시스템을 제안하였다. 환자진료에 필요한 core data set을 XML기반의 구조적 문서로 정의하고 이를 웹 서비스(Web Services)를 통해 여러 의료기관에서 활용할 수 있도록 함으로써 진료의 계속성을 높일 수 있도록 설계하였다.

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HL7 버전 3 기반의 투약관리시스템을 위한 임상문서구조의 생성 (Health Level 7 Version 3 based Generating Clinical Document Architecture for Medication Administration System)

  • 김근희;조수미;이은주;김화선;조훈
    • 한국멀티미디어학회논문지
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    • 제11권3호
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    • pp.386-397
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    • 2008
  • 본 연구는 HL7 버전 3의 객체지향 분석 및 개발 방법론인 HL7 개발 프레임워크(HDF)를 이용하여 투약관리의 임상문서구조의 개발을 통해 임상활동의 표준화 데이터 모델을 구현하는 것을 제안한다. 투약관리는 의료현장에서 임상전문가가 행하는 가장 중요한 업무이다. 표준화 된 데이터 모델 및 구조화된 병원정보시스템은 근거기반 임상 활동을 이루기 위해 상당히 중요한 과제이다. 임상문서구조를 생성하기 위해서 HDF와 제공된 도구들을 사용하였다. 본 연구자들은 투약관리활동에서 HDF의 각 단계의 다이어그램을 생성할 수 있었다. 그 결과, 임상 활동 중 하나인 투약관리에 대한 표준화 정보모델을 생성하였다. 이 모델은 보건의료정보시스템을 모델링하기 위한 정보통신개발자들에게 국제 표준방법론을 이해하기 위한 기본적 개념모델이 될 것이다.

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맥진기 컨텐츠 개발을 위한 통합 데이터베이스 설계 및 구축 (Design and Construction of Integrated Database for Contents Development of Pulse Analysis System)

  • 소지호;전영주
    • 한국인터넷방송통신학회논문지
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    • 제17권5호
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    • pp.137-142
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    • 2017
  • 인구의 고령화와 의료서비스 수요의 증가로 한의학의 이론을 기초로 한 의료기기 개발이 증가하고 있다. 개발한 의료기기의 임상적 유효성 확보를 위한 다양한 임상시험들이 수행되고 있으며, 이 과정에서 다양하게 수집되는 정보들의 체계적인 관리의 중요성이 증가하고 있다. 본 논문에서는 한의학의 대표적인 진단 방법인 맥진을 기기화 한 맥진기를 이용하여 임상시험을 진행하는데 있어 환자의 의학적 정보, 맥진기의 측정 정보들을 체계적으로 관리할 수 있는 데이터베이스를 설계하고 구축하였다. 구축된 데이터베이스는 임상시험에 대한 다양한 정보 및 측정된 정보의 질관리를 통해 기존 알고리즘 검증 또는 새로운 알고리즘 개발 시 효율적인 대응이 가능하고, 임상 데이터의 통제 측면에서도 여러 장점들을 가지고 있다. 본 연구의 결과는 이종의 맥진기나 다른 생체신호 측정기와의 정보 공유가 가능한 통합 데이터베이스 관리 시스템 구축을 위한 한의 의료기기 데이터 표준안 구성에 기여할 수 있을 것이다.

The Korean Pharmacogenomic Database at NIFDS: 2008 Update

  • Kang, T.S.;Woo, S.W.;Park, H.J.;Han, S.Y.;Park, M.H.;Chung, M.W.
    • Genomics & Informatics
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    • 제7권3호
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    • pp.163-167
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    • 2009
  • Since its first release in 2007, the National Institute of Food and Drug Safety Evaluation (NIFDS) has provided pharmacogenomic and comparative information specific to Koreans to allow regulatory reviewers and researchers to adapt their working practices to pharmacogenomics. The highlights of this year's additions include "Drug Information", "Gene Information" and "Pharmacogenomic information in the drug labels" sections. These new additions provide information on 737 genes, 719 drugs and pharmacogenomic data of the labels or relabels of 253 approved drugs as of November 2008. The latest version of the Korean Pharmacogenomic Database (KPD, release 2.0) has expanded significantly since its previous release. More SNP and haplotype information has been added to the database with the latest version of the KPD containing approximately four times as many SNPs and haplotypes than the previous version (719 vs. 152, and 30 vs. 7 respectively). Through the "SNP" and "Haplotype" sections, the KPD provides unique Korean SNP and haplotype information as well as comparative information of other populations (Japanese, Chinese, European, African) to offer a range of pharmacogenomic data that can help reviewers and the public understand pharmacogenomic information. The quality and quantity of information in the KPD has also been improved considerably. This data can be found at: http://www.nitr.go.kr/nitr/contents/m134700/view.do/.

응급구조(학)과 학생들의 환자 개인정보보호에 대한 인식 및 태도 (Recognition and attitude of paramedic students regarding patient privacy protection)

  • 신요한;김정선;김보균
    • 한국응급구조학회지
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    • 제25권2호
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    • pp.113-128
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    • 2021
  • Purpose: This study sought to analyze perceptions and attitudes regarding patient personal information protection according to the general characteristics of paramedic students and their clinical practice experience. Methods: A total of 215 paramedic students from G university in I metropolitan city and D university in G do were surveyed. Frequency analysis, percentage analysis, and one-way distribution analysis were conducted using the software SPSS version 23.0. Results: First, recognition regarding the operation of laws and systems related to medical law and personal information protection was high among students who had no clinical practice experience, and there were no differences with regard to students' general characteristics. Second, the level of recognition regarding patient personal information protection and exposure did not differ depending on students' general characteristics and clinical practice experience. Conclusion: Based on the results of this study, students' recognition and attitude should be improved by carrying out continuous education on patient personal information protection. Furthermore, more specialized and systematic training related to patient personal information protection should be conducted to nurture appropriately trained paramedic students.

간호대학생의 간호정보활용역량이 문제해결능력, 자기주도적 학습능력 및 임상수행능력에 미치는 영향에 대한 융합적 연구 (Convergence Study of Influence of Nursing Information Literacy Competency on Problem Solving Ability, Self-Directed Learning Ability and Clinical Performance Ability in Nursing Students)

  • 조민정;구미옥
    • 한국융합학회논문지
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    • 제9권12호
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    • pp.495-507
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    • 2018
  • 본 연구는 간호대학생의 간호정보활용역량과 문제해결능력, 자기주도적 학습능력, 임상수행능력의 인과관계에 대한 경로모형을 구축하고 검증하기 위해 시도되었다. 간호학과 4학년에 재학 중인 208명을 대상으로 설문지를 이용하여 2018년 6월 4일부터 6월 18일까지 자료를 수집하였다. 연구결과 간호대학생의 간호정보활용역량은 문제해결능력(${\gamma}=.70$, p<.001)), 자기주도적 학습능력(${\gamma}=.53$, p<.001)에 유의한 직접효과를 나타내고, 임상수행능력에 유의한 직접(${\gamma}=.31$, p<.001) 및 간접효과(${\gamma}=.31$, p=.007)를 나타냈다. 이들 변수들의 임상수행능력에 대한 설명력은 46.2%였다. 따라서 간호대학생의 문제해결능력, 자기주도적 학습능력 및 임상수행능력을 향상시키기 위해서는 간호정보활용역량을 강화시킬 수 있는 교육프로그램 개발을 권장한다.

병동용 의학 정보 전송 시스템 개발에 관한 연구 (A Study on the development of medical information transmission system for clinical ward)

  • 김보연;박광석;한만청;조한익;김종효;민병구
    • 대한의용생체공학회:학술대회논문집
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    • 대한의용생체공학회 1993년도 춘계학술대회
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    • pp.125-128
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    • 1993
  • We have developed MITS(Medical Information Transmission System) that captures, stores and manages the digitalized medical images and transmit them via LAN, and also have developed DSCW(Dedicated System for Clinical Ward) that enables to review the medical images and clinical laboratory test results transmitted via LAN at clinical ward. They were implemented on the 386 platforms, and interconnected via 10 Mbps LAN between department of radiology and clinical ward.

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Exploring the Use of Information Technology in Dietetics Practice among Clinical Dietitians

  • Wong Karine;Ham Sunny;Forsythe Hazel W.
    • Journal of Community Nutrition
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    • 제7권3호
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    • pp.149-155
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    • 2005
  • This exploratory study investigated the software programs utilized by clinical dietitians and their perceptions on the use of information technology. The study focused on the use of specialized software for dietetics, general software for any office use and the Internet. A self-administered survey was used to collect data from clinical dietitians identified in the Kentucky Dietetic Association Directory 2003-2004. The survey was conducted in March through April, 2004. A total of 22 responses were collected, which yielded a response rate of $68\%$. Findings suggest that computer use has become a routine for optimal clinical practice ; major specialized software programs are used for nutrition assessment, nutrition analysis and menu development. Use of specialized software appears to be unassociated with dietitians' age and years of experience ; however, the associations are indicated between use of specialized software and education level as well as their specialty ; word processing and spreadsheet are the major general software used. Internet is used mainly for information search and communication. Respondents perceived that overall work efficiency and productivity significantly increased with computer use. The complexity of software is the major barrier encountered so training is the most needed support by the department. Strategic promotion on the use of specialized software should be targeted to the management team of the hospitals/facilities.

사상체질 임상자료 기반 의사결정나무 생성 알고리즘 비교 (Comparison among Algorithms for Decision Tree based on Sasang Constitutional Clinical Data)

  • 진희정;이수경;이시우
    • 한국한의학연구원논문집
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    • 제17권2호
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    • pp.121-127
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    • 2011
  • Objectives : In the clinical field, it is important to understand the factors that have effects on a certain disease or symptom. For this, many researchers apply Data Mining method to the clinical data that they have collected. One of the efficient methods for Data Mining is decision tree induction. Many researchers have studied to find the best split criteria of decision tree; however, various split criteria coexist. Methods : In this paper, we applied several split criteria(Information Gain, Gini Index, Chi-Square) to Sasang constitutional clinical information and compared each decision tree in order to find optimal split criteria. Results & Conclusion : We found BMI and body measurement factors are important factors to Sasang constitution by analyzing produced decision trees with different split measures. And the decision tree using information gain had the highest accuracy. However, the decision tree that produced highest accuracy is changed depending on given data. So, researcher have to try to find proper split criteria for given data by understanding attribute of the given data.