• 제목/요약/키워드: Health technology assessment

검색결과 831건 처리시간 0.032초

체대생의 응급처치 지식수준과 교육요구도 (The Knowledge and Health Education Need of Physical Education College Student about First Aid)

  • 이정은;조기형
    • 한국응급구조학회지
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    • 제12권2호
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    • pp.45-58
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    • 2008
  • This study examined the knowledge and health education about First Aid of Physical Education College Students. The survey had been done from September to November, 2007. Total subjects in this study were 193. The collected data were analyzed by SPSS. The results of the study were as follows : 1. Among total 193, 74.6% were male, 25.4% were female, 1st grade were 38.9%, 2nd grade were 61.1%. 58% of the subjects had not been trained first aid education. 2. For needs assessment about first aid education contents, the needs for first aid was high(2.36) of the lecture, and assessment of emergency situation(2.65) was high of the practice. Legal problems of first aid was low of the lecture and practice. 3. An average the knowledge score of the subjects was 55.1088(${\pm}19.09$) when the knowledge score of subjects converted 100 points. 4. There were significant difference in the knowledge of first aid according to subject's gender(t=2.907, p= .004), grade(t=-7.167, p= .000), and experience of first aid education(t=5.174, p= .000). These results will provide the base data for the development of first aid education program for physical education college students.

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가습기살균제 피해 신청자들의 인구학적 특성 및 노출평가 - 4-1차와 4-2차 신청자를 중심으로 - (Demographic Characteristics and Exposure Assessment for Applicants Who Have Been Injured by Humidifier Disinfectant - Focusing on 4-1 and 4-2 Applicants -)

  • 최윤형;류현수;윤정교;이슬아;곽정현;한보영;추연희;김판기;양원호
    • 한국환경보건학회지
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    • 제44권4호
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    • pp.301-314
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    • 2018
  • Objectives: The aim of this study was to introduce the overall progress of exposure assessment to humidifier disinfectant (HD); to present participants' demographic characteristics, exposure characteristics to humidifier disinfectant, and exposure classification; and furthermore to compare those characteristics between survivors and non-survivors. Methods: An assessment of environmental exposure to HD was conducted using modified HD-specific questionnaires that had been previously validated. We analyzed the data from 4,482 participants who had been potentially exposed to HD and had registered with the KEITI (Korea Environmental Industry & Technology Institute) from September 2016 to May 2018 (the fourth survey). Environmental exposure assessments were performed as follows: 1) contact with participants, 2) environmental exposure assessment though face-to-face interviews, 3) assessment review and coding, and 4) exposure rating. Results: Overall, survivors made up 77.1% (3,457 subjects) and non-survivors made up 22.9% (1,025 subjects). When compared with the survivors, non-survivors had a higher proportion of subjects aged >60 years and subjects who answered as suffering lung damage and having purchased HD because it is "Beneficial to health" (p<0.05). For the exposure characteristics compared to survivors, non-survivors had a higher proportion of cases of distance from humidifier to face being less that one meter and the spray direction being toward the face (p<0.05). Overall, respondents who used the "Oxy Ssak Ssak New Gaseupgi Dangbun", "Aekyung Gaseupgi Mate", "Homeplus Gaseupgi Chungjungje", and "E-Mart Gaseupgi Salgyunje" products made up 66.1, 12.3, 4.0, and 3.6%, respectively, and 72.5% of respondents used products with PHMG as the active chemical. When compared with survivors, non-survivors had a higher proportion of use of "Oxy Ssak Ssak New Gaseupgi Dangbun" but a lower proportion of use of products with CMIT/MIT, PGH, or PHMG as the active chemical. Conclusions: This study provided demographic characteristics and exposure assessment for applicants who have been injured by HD. In spite of the limitations of performing past exposure assessment through a questionnaire survey, such as recall bias, useful results may be obtained by comparing survivors with non-survivors. Further studies such as the exposure rating method and so on are necessary to assess past exposure to HD.

의료기기 발전과 신의료기술평가 규제혁신 (Advanced medical devices and regulatory innovations in new health technology assessments)

  • 이유경
    • 대한의사협회지
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    • 제61권12호
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    • pp.702-705
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    • 2018
  • Advances in technology lead to advances in medical devices, and these advances have the positive effect of creating opportunities for beneficial developments in healthcare, such as innovating traditional healthcare processes or expanding opportunities for diagnosing and treating diseases. Nonetheless, device developers, suppliers, users, insurers, and patients all face the challenge of balancing patient safety and health effectiveness with a reasonable profit. In Korea, the New Health Technology Assessment system aims to introduce safe and effective health technology, but this is only effective for the entry of devices onto the healthcare market. This system is not enough for creating a healthy ecosystem in which high-quality technologies and devices survive in the market and naturally exit from the market if not successful. The nation must not lag in the rapid development of medical devices, but the concomitant requirement for patient safety is like two rabbits moving in different directions. There is not enough time to resolve each source of uncertainty for both developers and users. The early adoption of health technologies, including medical devices, offers new opportunities for treatment and diagnosis, but also poses unexpected health risks. Thus, we need to design a plan to generate scientific evidence related to medical devices after they introduced into practice. Additionally, regarding the use of individual medical devices, we believe that the creation of a healthy ecosystem for medical devices by implementing medical device surveillance culture is a way to manage the opportunities and risks of the early introduction of innovative medical devices.

AIMS: AI based Mental Healthcare System

  • Ibrahim Alrashide;Hussain Alkhalifah;Abdul-Aziz Al-Momen;Ibrahim Alali;Ghazy Alshaikh;Atta-ur Rahman;Ashraf Saadeldeen;Khalid Aloup
    • International Journal of Computer Science & Network Security
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    • 제23권12호
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    • pp.225-234
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    • 2023
  • In this era of information and communication technology (ICT), tremendous improvements have been witnessed in our daily lives. The impact of these technologies is subjective and negative or positive. For instance, ICT has brought a lot of ease and versatility in our lifestyles, on the other hand, its excessive use brings around issues related to physical and mental health etc. In this study, we are bridging these both aspects by proposing the idea of AI based mental healthcare (AIMS). In this regard, we aim to provide a platform where the patient can register to the system and take consultancy by providing their assessment by means of a chatbot. The chatbot will send the gathered information to the machine learning block. The machine learning model is already trained and predicts whether the patient needs a treatment by classifying him/her based on the assessment. This information is provided to the mental health practitioner (doctor, psychologist, psychiatrist, or therapist) as clinical decision support. Eventually, the practitioner will provide his/her suggestions to the patient via the proposed system. Additionally, the proposed system prioritizes care, support, privacy, and patient autonomy, all while using a friendly chatbot interface. By using technology like natural language processing and machine learning, the system can predict a patient's condition and recommend the right professional for further help, including in-person appointments if necessary. This not only raises awareness about mental health but also makes it easier for patients to start therapy.

Diagnostic Value of Endorectal Ultrasound in Preoperative Assessment of Lymph Node Involvement in Colorectal Cancer: a Meta-analysis

  • Li, Li;Chen, Shi;Wang, Ke;Huang, Jiao;Liu, Li;Wei, Sheng;Gao, Hong-Yu
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권8호
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    • pp.3485-3491
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    • 2015
  • Background: Nodal invasion by colorectal cancer is a critical determinant in estimating patient survival and in choosing appropriate preoperative treatment. The present meta-analysis was designed to evaluate the diagnostic value of endorectal ultrasound (EUS) in preoperative assessment of lymph node involvement in colorectal cancer. Materials and Methods: We systematically searched PubMed, Web of Science, Embase, and China National Knowledge Infrastructure (CNKI) databases for relevant studies published on or before December 10th, 2014. The sensitivity, specificity, likelihood ratios, diagnostic odds ratio (DOR) and area under the summary receiver operating characteristics curve (AUC) were assessed to estimate the diagnostic value of EUS. Subgroup analysis and meta-regression were performed to explore heterogeneity across studies. Results: Thirty-three studies covering 3,016 subjects were included. The pooled sensitivity and specificity were 0.69 (95%CI: 0.63-0.75) and 0.77 (95%CI: 0.73-0.82), respectively. The positive and negative likelihood ratios were 3.09 (95%CI: 2.52-3.78) and 0.39 (95%CI: 0.32-0.48), respectively. The DOR was 7.84 (95%CI: 5.56-11.08), and AUC was 0.80 (95%CI: 0.77-0.84). Conclusions: This meta-analysis indicated that EUS has moderate diagnostic value in preoperative assessment of lymph node involvement in colorectal cancer. Further refinements in technology and diagnostic criteria are necessary to improve the diagnostic accuracy of EUS.

치의학 분야의 신의료기술 동향 분석 (Trend analysis of new health technology in dentistry)

  • 이종호;김민정;임다움;심보균;임영준;김수관;김만용;김봉주
    • 대한치과의사협회지
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    • 제55권7호
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    • pp.440-448
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    • 2017
  • Objectives : Currently, it is being reported that new health technology (HT) is introduced and spread throughout Korea at a very fast rate. However, the current status of new HT related to dentistry has not been known or studied. Therefore, this study aims to understand the present state and awareness on dentistry-related domestic new HT via surveys and research, and thus apply this as a reference to construct an effective new HT-related system in the field of dentistry. Methods : The assessment status of New Health Technology Assessment (nHTA) committee was searched on the website for any updates on new HT5). The cases were searched in the range between Jan 1 2012 and Jul 31 2016 by submission date and were analyzed by year, division of technology, progress and major operating practitioner. Among those, technologies utilized by dentists were additionally analyzed. The survey result was obtained by combining responses of 25 participants from the workshop for new HT application and 11 members of Korean Association of Oral and Maxillofacial Surgeons (KAOMS). The workshop was co-hosted by KAOMS and Clinical Translational Research Center for Dental Science (CTRC) under Seoul National University Dental Hospital (SNUDH). Results : Most of the respondents to the survey have heard of new health technology but were unaware of the application procedure. 'Safety and effectiveness' was selected the most for things to consider when introducing new HT, followed by 'scientific evidence of the technology.' For new dental HT status, submissions between 2012 and Jul 31 2016 were analyzed by major operating practitioner, including cases where there are multiple practitioners. Yet, only 19 cases (17 %) of dentists were reported. Among 385 cases approved by nHTA, only 2 cases included dentists. Conclusions : Active publicity by the government on new HT and its application procedure, and continued interest and research in the dental and medical community is likely to be required for the development of dentistry.

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식품 환경 오염 미세플라스틱의 인체 영향과 위해평가 동향 (Microplastics in foods: the hazardous characteristics and risk on human health)

  • 강미선;김현정
    • 식품과학과 산업
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    • 제54권1호
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    • pp.2-10
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    • 2021
  • Microplastics with a size of less than 5 mm have emerged as an important environmental and food safety issue, as they have been detected not only in marine but also in terrestrial ecosystem and drinking water. Although many studies have been conducted on the exposure of microplastics and the effects on human health, the lack of standardized experimental methods for microplastics has been reviewed as a major problem. In order to overcome this, European countries such as the Netherlands and Germany are conducting a project to develop detection methods for microplastics as well as to establish the risk assessment methodologies for microplastics. Being the microplastics suggested to have a substantially potential risk on human health, reliable risk assessments should be conducted considering the various sources of microplastics, chemical pollutants and biological factors. In addition, international standards and regulations should be applied.

현지 기술 조사활동을 통한 중국의 미병 정책 및 의료서비스 최신 동향 보고 (Current Trend of Mibyeong Health Policy and Service in China through Investigation Activity of Mibyeong Technology -Report of China Technology Research Group-)

  • 이재철;김동수;장은수
    • 대한예방한의학회지
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    • 제17권1호
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    • pp.137-147
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    • 2013
  • Objectives : This study aims to report current trend of Mibyeong health policy and service in China from interview of China Technology Research Group. Methods : China Technology Research Group visited Guanganmen hospital, Yanhuang Dongfang Company, Xinjingzhen health center, and Shanghai Shuguang hospital. With an interpreter, We had interviews about Mibyeong health service and policy trend, medical instrument, and research issue. Results :Mibyeong health service was performed based on KY3H system and collaboration with traditional Chinese medicine hospital. Mibyeong health service consists of diagnosis with nine constitutional type, health guide and preventive treatment. Community health center also provide Mibyeong health service, with cooperative treatment of traditional Chinese medicine and western medicine. China's Mibyeong health policy is established by Top-down decision, even though there is not enough evidence for providing health service to consumer. Through constitutional diagnosis, examinations, and treatment, huge data have been stacked; however, assessment and research based on these data are not processed well. Cooperative treatment of traditional Chinese medicine and western medicine is widely provided to patients, and their works are relatively well classified. Conclusions : China plays leading role in Mibyeong service and it seems to be developed more than Korea's. Further study is necessary to establish Mibyeong policy and health service in Korea.

우리나라 먹는물의 크립토스포리디움에 의한 건강위해도 평가 연구 (Health Risk Assessment of Cryptosporidium in Tap Water in Korea)

  • 이목영;박상정;조은주;박수정;한선희;권오상
    • 한국환경보건학회지
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    • 제39권1호
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    • pp.32-42
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    • 2013
  • Objectives: Cryptosporidium, a protozoan parasite, has been recognized as a frequent cause of waterborne disease due to its extremely strong resistance against chlorine disinfection. Although there has as yet been no report of a Cryptosporidium outbreak through drinking water in Korea, it is important to estimate the health risk of Cryptosporidium in water supply systems because of the various infection cases in human and domestic animals and frequent detection reports on their oocysts in water environments. Methods: This study evaluated the annual infection risk of Cryptosporidium in tap water using the quantitative microbial risk assessment technique. Exposure assessment was performed upon the results of a national survey on Cryptosporidium on the water sources of 97 large-scale water purification plants in Korea, water treatment efficacy, and daily unboiled tap water consumption. The estimates of the US Environmental Protection Agency on the mean likelihood of infection from ingesting one oocyst were applied for effect assessment. Results: Using probabilistic methods, mean annual infection risk of Cryptosporidiosis by the intake of tap water was estimated to fall within the range of $2.3{\times}10^{-4}$ to $1.0{\times}10^{-3}$ (median $5.7{\times}10^{-4}$). The risk in using river sources was predicted to be four times higher than with lake sources. With 0.5-log higher removal efficacy, the risk was estimated to be $1.8{\times}10^{-4}$, and could then be lowered by one-third. Conclusions: These estimations can be compared with acceptable risk and then used to determine the adequacy and priority of various drinking water quality strategies such as the establishment of new treatment technology.

Japanese Cancer Association Meeting UICC International Session - What is Cost-effectiveness in Cancer Treatment?

  • Akaza, Hideyuki;Kawahara, Norie;Roh, Jae Kyung;Inoue, Hajime;Park, Eun-Cheol;Lee, Kwang-Sig;Kim, Sukyeong;Hayre, Jasdeep;Naidoo, Bhash;Wilkinson, Thomas;Fukuda, Takashi;Jang, Woo Ick;Nogimori, Masafumi
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권1호
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    • pp.3-10
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    • 2014
  • The Japan National Committee for the Union for International Cancer Control (UICC) and UICC-Asia Regional Office (ARO) organized an international session as part of the official program of the 72nd Annual Meeting of the Japanese Cancer Association to discuss the topic "What is cost-effectiveness in cancer treatment?" Healthcare economics are an international concern and a key issue for the UICC. The presenters and participants discussed the question of how limited medical resources can be best used to support life, which is a question that applies to both developing and industrialized countries, given that cancer treatment is putting medical systems under increasing strain. The emergence of advanced yet hugely expensive drugs has prompted discussion on methodologies for Health Technology Assessment (HTA) that seek to quantify cost and effect. The session benefited from the participation of various stakeholders, including representatives of industry, government and academia and three speakers from the Republic of Korea, an Asian country where discussion on HTA methodologies is already advanced. In addition, the session was joined by a representative of National Institute for Health and Care Excellence (NICE) of the United Kingdom, which has pioneered the concept of cost-effectiveness in a medical context. The aim of the session was to advance and deepen understanding of the issue of cost-effectiveness as viewed from medical care systems in different regions.