• 제목/요약/키워드: Health technology assessment

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u-헬스케어시스템의 정보보안 체계 확보를 위한 5단계 보안위험도 평가모델 설계 (A Study on Five Levels of Security Risk Assessment Model Design for Ensuring the u-Healthcare Information System)

  • 노시춘
    • 융합보안논문지
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    • 제13권4호
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    • pp.11-17
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    • 2013
  • 모든 u-헬스케어 시스템은 보안 취약점을 가지고 있다. 이 취약점은 로컬(local) 또는 네트워크(network) 상에서 잠재적인 위험이 된다. 의료정보 기술의 Smart 환경, Ad-hoc networking, 무선통신 환경은, u-헬스케어 보안 취약성을 증가시키는 주요 요인이다. u-헬스케어 의료정보시스템 도메인은 사용자단말 구간, 공중통신망 인프라구간, 네트워킹구간, 인트라넷구간으로 구분된다. 의료정보시스템 도메인별을 구분하여 취약점을 평가하는 이유는 도메인별로 취약점에 대한 대처방법이 다르기 때문이다. u-헬스케어시스템 5단계의 보안위험도 평가체계는 도메인별 보안취약성 진단체계를 설계하여 보안대책을 강구하기 위해 필요하다. 제안하는 모델을 사용할 경우 현재까지 막연하게 진행 되어온 USN 기반 의료정보네트워크 보안취약성 진단대책을 좀 더 체계적으로 수행할 수 있는 모형을 제공한다.

Manual Handling in Aged Care: Impact of Environment-related Interventions on Mobility

  • Coman, Robyn L.;Caponecchia, Carlo;McIntosh, Andrew S.
    • Safety and Health at Work
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    • 제9권4호
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    • pp.372-380
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    • 2018
  • The manual handling of people (MHP) is known to be associated with high incidence of musculoskeletal disorders for aged care staff. Environment-related MHP interventions, such as appropriate seated heights to aid sit-to-stand transfers, can reduce staff injury while improving the patient's mobility. Promoting patient mobility within the manual handling interaction is an endorsed MHP risk control intervention strategy. This article provides a narrative review of the types of MHP environmental controls that can improve mobility, as well as the extent to which these environmental controls are considered in MHP risk management and assessment tools. Although a range of possible environmental interventions exist, current tools only consider these in a limited manner. Development of an assessment tool that more comprehensively covers environmental strategies in MHP risk management could help reduce staff injury and improve resident mobility through auditing existing practices and guiding the design of new and refurbished aged care facilities.

A Rapid Review of the Use of Appropriate Technology in Global Health

  • Park, Jayoung;Shin, Heesu;Choi, Hee Joon;Heo, Jongho;Kim, Woong-Han
    • 적정기술학회지
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    • 제7권2호
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    • pp.235-247
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    • 2021
  • The need for appropriate technology in global health has expanded dramatically as the gap between industrialized and developing countries continues to expand. However, there is no collective knowledge of appropriate technology in global health. Thus, this study intends to provide light on the latest developments in the field of appropriate technology in global health and to speculate on future directions. A rapid review, or simplified technique, was used to systematically identify and summarize emerging papers. The search technique used the keywords "global health" and "appropriate technology." The total number of papers collected from PubMed and Scopus was 427, and 19 articles were thoroughly reviewed for the result section following the research. The study's conclusions included the following: 1) an assessment of appropriate technology adopted in developing countries; and 2) strategies for implementing appropriate technologies in global health. Additionally, we drew lessons and identified problems to serve as a useful guide for future research and development in appropriate technology. This review uncovered a small but valuable level of information about acceptable technology in global health.

철근 콘크리트 구조물의 내구성 평가를 위한 센서 (Sensors for Durability Assessment in Concrete Structures)

  • 하태현;배정효;이현구;하윤철
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 2007년도 Techno-Fair 및 추계학술대회 논문집 전기물성,응용부문
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    • pp.122-123
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    • 2007
  • Many extensive researches in the area of sensor's technology for durability assessment in concrete structures have increasingly been carried out in recent years. In this paper, the principles and use of various sensors involved in the health monitoring of concrete structures are described.

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가습기 살균제 건강영향 모니터링에서 환경노출조사의 역할 (The Role of Exposure Assessment of Humidifier Disinfectant (HD) in the Program to Monitor HD Associated Health Problems)

  • 박소영;박주현;이승희;장우성;김소연;박지훈;문은찬;이예성;김현일;김형철;박동욱
    • 한국환경보건학회지
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    • 제46권2호
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    • pp.224-231
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    • 2020
  • Objective: The objectives of this study are to update the information on the characteristics of humidifier disinfectant (HD) usage with HD associated health problems and to discuss the role of HD exposure assessment in the national program to monitor health problems in patients with HD associated diseases. Method: A total of 201 HD associated patients who registered to undergo clinical examination at Kangbuk Samsung Hospital was interviewed to acquire their responses regarding several HD use characteristics, including type of HD brands used, HD use duration, average daily HD use hours, and the volume of the room in which HD was used. The responses of the HD associated patients to HD use-related questions were compared between responses in the lung injury investigation and this study. Results: The responses of HD associated patients in this study were found to be different from those in the lunginjury investigation. In particular, some of the patients who had not answered in the lung-injury investigation were able to answer thanks to assistance from the investigator in this study. For their responses regarding the name of the most commonly used HD brand, the number of patients who did not answer (N=11) was reduced to eight in this study. Significant changes in the responses of study subjects to questions related to HD use were achieved through the interview in this study. Conclusion: This study found significant changes in the responses regarding HD use characteristics. HD exposure assessment should be included in the program in order to allow surveillance of HD associated health problems.

보건소 건강증진사업을 위한 데이터베이스 시스템 구축 - 고혈압과 갱년기 여성건강관리를 중심으로 - (A Study on the Development of a Database for a Health Care System - Focusing on Health Care Management for Hypertensive Patients and Middle-aged Women -)

  • 이혜자;김춘미;최정명
    • 지역사회간호학회지
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    • 제15권3호
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    • pp.365-375
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    • 2004
  • Purpose: This study intends to make a database for hypertensive patients and middle-aged women who are visiting the Yeojoo County Health Center. While building up the database, the study reviewed the current assessment tools used in the health center, developed appropriate health care programs, and designed a computerized health care system. Method: The modeling of a database for the system was constructed by MS-Access for DBMS (Database Management System) and Visual Basic. The system is to be used only in the health center by being designed as a client server method, making it possible for many public employees to be interconnected, and enables them to retrieve and search data from the database simultaneously. Results: The health management system systematically follows nursing processes including assessment, diagnosis, intervention and evaluation. Diagnosis. once it is done according to the self determined criteria, saves time and provides appropriate health information for the members. Also, the health education program was developed to follow up on the health status of the members on a continuous basis. Conclusion: Based on these results, it is required to evaluate health care programs provided for the members by using the database system and to develop more practical health care programs. It is also necessary to connect the system to other databases. which contain information about members.

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Ecological and human health risk from polychlorinated biphenyls and organochlorine pesticides in bivalves of Cheonsu Bay, Korea

  • Choi, Jin Young;Yang, Dong Beom;Hong, Gi Hoon;Kim, Kyoungrean;Shin, Kyung-Hoon
    • Environmental Engineering Research
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    • 제21권4호
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    • pp.373-383
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    • 2016
  • Cheonsu Bay, one of the most important in Korea as a coastal fishery is a semi-enclosed bay that is surrounded by large farmlands and industrial areas. This coastal environment has been affected by anthropogenic pollutants, such as polychlorinated biphenyls (PCBs) and organochlorine pesticides (OCPs). The objectives of this study were to investigate the distribution of PCBs and OCPs in sediment, Manila clams, and mussels from Cheonsu Bay; the accumulation pattern of these chemicals in these bivalves in relation to seasonal changes; and the ecological risk from sediments and the risk to the Korean population from the consumption of these bivalves. The levels of ${\Sigma}PCBs$, ${\Sigma}DDT$, and ${\Sigma}HCHs$ were 69.3-109, 40.3-49.3 and 6.25-17.8 ng/g lipid in Manila clams, and 70.6-159, 38.6-102 and 9.00-13.5 ng/g lipid in Mussels. Significant seasonal variations in PCBs and OCPs concentrations were observed in the two bivalves, suggesting that the accumulation of PCBs and OCPs in these species is related to their spawning times. The dietary intake of these two bivalves and the resulting lifetime cancer risk (LCR) and non-cancer risk were calculated for the human population. The consumption of these bivalves seemed to be safe in relation to human health with negligible LCR and non-cancer risk.

Development of pig welfare assessment protocol integrating animal-, environment-, and management-based measures

  • Renggaman, Anriansyah;Choi, Hong L;Sudiarto, Sartika IA;Alasaarela, Laura;Nam, Ok S
    • Journal of Animal Science and Technology
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    • 제57권1호
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    • pp.1.1-1.11
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    • 2015
  • Background: Due to increased interest in animal welfare, there is now a need for a comprehensive assessment protocol to be used in intensive pig farming systems. There are two current welfare assessment protocols for pigs: Welfare Quality$^{(R)}$ Assessment Protocols (applicable in the Europe Union), that mostly focuses on animal-based measures, and the Swine Welfare Assurance Program (applicable in the United States), that mostly focuses on management- and environment-based measures. In certain cases, however, animal-based measures might not be adequate for properly assessing pig welfare status. Similarly, welfare assessment that relies only on environment- and management-based measures might not represent the actual welfare status of pigs. Therefore, the objective of this paper was to develop a new welfare protocol by integrating animal-, environment-, and management-based measures. The background for selection of certain welfare criteria and modification of the scoring systems from existing welfare assessment protocols are described. Methods: The developed pig welfare assessment protocol consists of 17 criteria that are related to four main principles of welfare (good feeding, good housing, good health, and appropriate behavior). Good feeding, good housing, and good health were assessed using a 3-point scale: 0 (good welfare), 1 (moderate welfare), and 2 (poor welfare). In certain cases, only a 2-point scale was used: 0 (certain condition is present) or 2 (certain condition is absent). Appropriate behavior was assessed by scan sampling of positive and negative social behaviors based on qualitative behavior assessment and human-animal relationship tests. Results: Modification of the body condition score into a 3-point scale revealed pigs with a moderate body condition (score 1). Moreover, additional criteria such as feed quality confirmed that farms had moderate (score 1) or poor feed quality (score 2), especially those farms located in a high relative humidity region. Conclusions: The developed protocol can be utilized to assess welfare status in an intensive pig farming system. Although further improvements are still needed, this study is a first step in developing a pig welfare assessment protocol that combines animal-, environment-, and management-based measures.

구급대원을 대상으로 한 환자평가 교육 전·후 수행도의 비교 (Pre-post comparison Analysis of Patient assessment education for Emergency Medical Technicians(EMTs))

  • 이무상;이슬기;김기운
    • 한국산학기술학회논문지
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    • 제17권7호
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    • pp.211-219
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    • 2016
  • 본 연구는 119구급대원을 대상으로 환자평가 수행도에 대한 교육 전 후를 비교함으로써, 구급대원을 대상으로 한 적절한 교육방법 및 기초자료를 제시하기 위해 진행하였다. 전국 4개 시 도 119구급대원 26명을 대상으로 하였으며, 연구는 2015년 12월 14일부터 17일까지 시행하였다. 구급대원이 직접 모의환자를 대상으로 환자평가 및 보고를 시행하도록 하였고, 환자평가를 진행하는 동안 각각의 증상(두통, 가슴통증, 호흡곤란)에 대한 체크리스트(checklist)를 사용하여 교육 전 후를 평가하였다. 연구 결과는 중앙값(사분위값)으로 기술 분석하였고, 교육 전 환자평가 수행도는 100점 만점에 66점(54.00-80.25)이었으나 교육 후 88.5점(80.00-93.00)으로 유의한 상승을 보였다(p<0.001). 환자평가 수행도 중 가슴통증 증례 5개의 항목, 두통 증례 7개의 항목, 호흡곤란의 증례 9개의 항목에서 교육 후에 유의한 증가를 보였고, 환자와의 관계형성에서는 구급대원을 다시 만나고 싶은 정도의 평가점수가 유의한 상승을 보였다(p<0.01). 또한 환자상태 보고 적절성의 모든 평가항목은 교육 후 수행도가 유의하게 상승하였다(p<0.01). 본 연구의 결과는 시뮬레이션 실습에 의한 교육이 119구급대원들의 환자평가 수행도 개선에 필요하다는 것을 보여준다. 따라서 119구급대원에 대한 실질적이고 체계적인 환자평가 교육은 필요하며, 지속적이고 많은 교육의 기회가 주어져야 할 것이다.

Application of Toxicogenomic Technology for the Improvement of Risk Assessment

  • Hwang, Myung-Sil;Yoon, Eun-Kyung;Kim, Ja-Young;Son, Bo-Kyung;Jang, Dong-Deuk;Yoo, Tae-Moo
    • Molecular & Cellular Toxicology
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    • 제4권3호
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    • pp.260-266
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    • 2008
  • Recently, there has been scientific discussion on the utility of -omics techniques such as genomics, proteomics, and metabolomics within toxicological research and mechanism-based risk assessment. Toxicogenomics is a novel approach integrating the expression analysis of genes (genomic) or proteins (proteomic) with traditional toxicological methods. Since 1999, the toxicogenomic approach has been extensively applied for regulatory purposes in order to understand the potential toxic mechanisms that result from chemical compound exposures. Therefore, this article's purpose was to consider the utility of toxicogenomic profiles for improved risk assessment, explore the current limitations in applying toxicogenomics to regulation, and finally, to rationalize possible avenues to resolve some of the major challenges. Based on many recent works, the significant impact toxicogenomic techniques would have on human health risk assessment is better identification of toxicity pathways or mode-of-actions (MOAs). In addition, the application of toxicogenomics in risk assessment and regulation has proven to be cost effective in terms of screening unknown toxicants prior to more extensive and costly experimental evaluation. However, to maximize the utility of these techniques in regulation, researchers and regulators must resolve many parallel challenges with regard to data collection, integration, and interpretation. Furthermore, standard guidance has to be prepared for researchers and assessors on the scientifically appropriate use of toxicogenomic profiles in risk assessment. The National Institute of Toxicological Research (NITR) looks forward to an ongoing role as leader in addressing the challenges associated with the scientifically sound use of toxicogenomics data in risk assessment.