• 한국의료질향상학회지
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• 제25권1호
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• pp.43-51
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• 2019

Purpose: The time lag between the decision to initiate continuous renal replacement therapy (CRRT) and its actual initiation remains a major barrier in our intensive care units. We developed a CRRT pop-up chart on EMR for managing CRRT machines. Methods: This study measured time interval between the decision to prepare the CRRT machine and the actual use of the machine before and after using a CRRT pop-up chart. This study conducted a questionnaire of the medical staff to assess the changes in the quality of CRRT preparation. Results: A total of 95 patients on CRRT is analyzed. The time to find an available CRRT machine is decreased by 24.6%. The time to move a CRRT machine to the patient's bedside is decreased by 55.8%. Medical surveys of 44 nurses gave the following results. 1) The time to apprehend machines for 1 to 3 minutes is improved from 29.5% to 81.8%, and the time to apprehend machines over 3 minutes is decreased from 70.5% to 18.2%. 2) The number (6-all) of known machine locations is improved from 22.7% to 63.4%. 3) Interruption of a nurse's work due to telephone calls asking for the possession of movable CRRT equipment also is improved. Scores of 1-4 are improved from 15.9% to 41%. Scores of 5-7 are reduced from 52% to 15.9%. Conclusions: CRRT pop-up chart is shortened the time lag of CRRT machine preparation, reduced the nurse's phone workload and helped to improve the quality of CRRT care.

• 대한한의학회지
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• 제30권1호
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• pp.40-50
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• 2009

Objectives: The clinical document forms, a format for collecting clinical data, is the most fundamental object of standardization. Doctors must have a mutual understanding of the clinical chart. Methods: Clinical document forms were developed by investigating existing conditions in hospitals and conducting demand surveys, doing literature research, and seeking expert advice for the improvement of version 1.0. In addition, an organization of a network of 19 Oriental medical doctors and nurses, 190 patients, and users of collected and assessed data was formed to come up with version 2.0. Results: The overall format was divided into different portions that the patient, nurse, and doctor must fill out, respectively. The patient's section consists of demographic data, lifestyle details, history, and symptoms. The data to be supplied by the nurse include the patient's vital signs and anthropometric parameters. As for the doctors, they are to supply data regarding the patient's palpitation, the detailed symptoms of the patient's head, ophthalmological and otorhinolaryngological symptoms (mouth), respiration, circulatory organ and chest conditions, digestive-organ conditions (thirst), neuropsychiatric conditions, reproductive system, musculoskeletal system, skin (depilation), etc. Conclusions: Common clinical chart development is the prior question to Traditional Korean Medicine standardization. A web-based clinical document format should be developed to support diagnosis and treatment, and furthermore EMR (electronic medical record system) and EHR (electronic health record) developed. Clinical information could be shared through a network of medical institutions and be useful Traditional Korean Medicine for evidence-based medicine.

• 한국인터넷방송통신학회논문지
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• 제18권3호
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• pp.93-100
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• 2018

전자 침은 환자의 신체 상태 및 치료 상태를 동시에 분석함으로써 환자를 침술 기법으로 치료할 수 있는 장점이 있다. 본 논문에서는 다중 패드에 내장 된 전자 바늘 알고리즘을 제안하고 개발 하였다. 특별히, 환자의 건강 상태에 맞는 최적의 전자침 강도 자동 계산, 감지 패드 및 DSP 시스템을 사용한 전자침 제어 알고리즘을 구현 하였다. 뿐만 아니라, 본 논문에서는 환자의 개인 생체신호 정보를 수신 할 수 있는 SW 및 HW 시제품을 개발하여서, WEB 기반에서 멀티 ARRAY형 전지침 시술을 받을 수 있는 SW 및 HW 시제품을 개발 하였다.

• 한방안이비인후피부과학회지
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• 제30권2호
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• pp.19-37
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• 2017

Objectives : The study designed to analyze annual, seasonal tendency of outpatients in ophthalmology & otolaryngology & dermatology clinic of Korean Medical hospital from 2012 to 2016. Methods : We investigated annual, seasonal population-social characteristics such as sex or age, departmental characteristics such as ophthalmology, otolaryngology, dermatology, many others, main diagnosis, cost characteristics of treatment period and frequency of treatment those who were received treatment as outpatients in Dunsan Korean Medical Hospital ophthalmology & otolaryngology & dermatology clinic from March 2012 to March 2016. The data was obtained from EMR chart, and statistical analysis was performed using SPSS 19.0. Results : We analyzed population-social characteristics, utilization of new patients in the year, in the season, and we obtained various results. Conclusions : In the analysis of annual, seasonal utilization patterns that outpatients offered in ophthalmology & otolaryngology & dermatology clinic of Korean Medical hospital from 2012 to 2016, the report draws 3 different conclusions.

• 대한한의학방제학회지
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• 제30권4호
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• pp.233-240
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• 2022

Objectives : This study aims to propose a processing method for dosage units of medicinal materials and the database schema to manage formula data in Korean medicine ontology. Methods : All dosage units of medicinal materials are collected from the seven textbooks that contain formula data of Korea medicine ontology. Dosages are converted to Arabic numerals and units that are frequently used are converted to representative units. Database schema is designed for processing and managing the formulas and medicinal materials with dosage units. Results : Seven representative units are selected out of 77 units. They will be used in the addition or subtraction of medicinal materials in a formula support system. The remaining units will be made available for references. Conclusions : EMR or chart programs used in clinical hospitals contain formula data that is already standardized. However, the formula data in Korean medicine literature and textbook is not refined, so it is necessary to process the dosages and units of medicinal materials to use in the formula support system. This result is a processing method to utilize the formula data of Korean medicine textbooks and it will be implemented this method in the established formula support system in the future.

• 한국정보통신학회:학술대회논문집
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• 한국정보통신학회 2014년도 춘계학술대회
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• pp.299-302
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• 2014

디지털 기기 간 융합과 무선 통신 기술의 발전, 생체신호 측정 센서의 소형화, 종이나 수기로 관리되던 의료관련 정보를 디지털화한 전자의무기록(EMR, Electronic Medical Record) 구축 및 전자건강기록(EHR, Electronic Health Record)의 도입 등으로 인해 '언제 어디서나' 자신의 건강 상태를 모니터링하고 개인 맞춤 건강관리 서비스를 받을 수 있는 Ubiquitous Healthcare (u-헬스케어) 시대가 도래하였다. 또한 클라우드 컴퓨팅(Cloud computing) 기술의 등장은 u-헬스케어 서비스의 발전을 더욱 가속화시키고 있는 요인 중 하나이다. 그러나 이러한 u-헬스케어 서비스 활용 과정에서 개인의 정보가 악의적으로 사용될 경우 정확하고 신뢰성 있는 헬스케어 서비스를 제공받지 못할 뿐만 아니라 단순 건강 검진 및 치료의 수준을 넘어 크게는 개인의 생명과 직결되는 심각한 문제를 초래한다. 이에 본 논문에서는 클라우드 컴퓨팅 환경에서의 u-헬스케어 서비스와 관련된 다양한 보안 이슈를 분석하고 이를 토대로 안전한 보안 의료정보 공유 시스템 구축을 위한 보안 요구사항에 대하여 서술한다. 더불어 향후 국내 u-헬스케어 산업 활성화를 위한 발전방향에 대하여 논하고자 한다.

• Journal of Acupuncture Research
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• 제33권2호
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• pp.61-76
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• 2016

Objectives : This study was designed to clarify population-social characteristics that influence the utilization patterns of hospitalized patients in a traditional korean hospital, thereby providing clinical data which would help further improvements of traditional korean medical service in particular the Acupuncture and Moxibustion. Methods : We investigated population-social characteristics and annual utilization patterns of all patients who were hospitalized for more than 24 hours in a Korean Medical Hospital from January 2005 to December 2014. The obtained data were recorded in the EMR chart and statistical analysis was performed using SPSS 21.0. Additionally, data from the patients admitted to the department of Acupuncture and Moxibustion were analyzed separately. Results : 1. All inpatients had a significant annual difference in age, gender, hospitalized department, and disease code annually but not in re-hospitalization number. Inpatients of the department of Acupuncture and Moxibustion also varied in their age, gender, and disease code annually, but not in re-hospitalization number. 2. Pearson correlation analysis on all inpatients showed that the mean days of hospital treatments had a negative correlation with all variables except medical care insurance. Total cost, cost per day per person and recuperation cost had a positive correlation with all variables except medical care insurance. There was no meaningful relationship between nonrecuperation cost and the variables. 3. Stepwise multiple regression analysis on all inpatients showed that the mean days of hospital treatments had a negative correlation with all variables except automobile insurance. The total hospitalization costs had a positive correlation with both general insurance and medical care insurance. Cost per day per person and recuperation cost had a positive correlation with the females. There was no meaningful relationship between non-recuperation cost and the variables. 4. Pearson correlation analysis on inpatients of the department of Acupuncture and Moxibustion inpatients showed that the mean days of hospital treatments had a positive correlation with all variables except general insurance and automobile insurance. Total cost and recuperation cost had a positive correlation with all variables except medical care insurance, and cost per day per person had a positive correlation with females and general insurance. There was no meaningful relationship between non-recuperation cost and the variables. 5. Stepwise multiple regression analysis on inpatients of the department of Acupuncture and Moxibustion inpatients, the mean days of hospital treatments, total cost, cost per day per person and recuperation cost had a positive correlation with general insurance. There was no meaningful relationship between non-recuperation cost and the variables. Conclusion : Population-social characteristics of inpatients annually varies, and the change influences the utilization pattern.