• Title/Summary/Keyword: Home monitoring

Search Result 503, Processing Time 0.024 seconds

Effects on Glycemic Control by Continuous Self Monitoring of Blood Glucose in Diabetic Patients (당뇨병환자의 지속적 자가 혈당관리에 따른 혈당조절의 효과)

  • Jang, Gyeong-Wha;Kwon, Myung-Soon
    • Journal of Home Health Care Nursing
    • /
    • v.17 no.2
    • /
    • pp.104-111
    • /
    • 2010
  • Purpose: To evaluate the effects of continuous self monitoring of blood glucose (SMBG) on glycemic control in diabetic patients. Methods: Among the diabetic patients who visited the department of internal medicine in H hospital from April 1 to October 27 2008, 76 patients were divided into the experimental group (n=39) and control group (n=36). The experimental group was required to measure blood glucose levels at least twice every other day using SMBG; their compliance was aided by weekly telephone reminders for 3 months after discharge. Glycated hemoglobin, fasting blood sugar and postprandial 2 hours glucose level, triglyceride and high density lipoprotein were measured before and after the study. Results: Baseline characteristics were not different between the experimental and control groups. Three months later, there was a significant difference in postprandial glucose between the two groups (t=-2.042, p=.045). Conclusion: There was significant improvement of glycemic control after the use of continuous SMBG, suggesting its value in strict glycemic control and the merit of an aggressive education program.

  • PDF

The Effect of Case Management for Clients with Hypertension.DM Registered in Customized Home Visiting Health Care Services (일 지역 맞춤형 방문건강관리사업의 고혈압.당뇨병 사례관리 효과분석)

  • Park, Jeong-Sook;Oh, Yun-Jung
    • Journal of Korean Public Health Nursing
    • /
    • v.24 no.1
    • /
    • pp.135-150
    • /
    • 2010
  • Purpose: To analyze the effects of customized home visiting health services on the health and health behaviors of clients with hypertension (n=107) and diabetes mellitus (DM: n=67). Methods: A one group pre and post-test research design was used. The subjects were registered in a customized 8-week, interventional, home visiting health services available in Daegu. Data was collected from November 17, 2008 to January 23, 2009. Analyses involved descriptive statistics, $x^2$ test and paired t-test. Result: Hypertension control rate was improved 25.2% and DM control rate was improved 3.0%. There were significantly beneficial hypertension-related differences in BP, health belief, health knowledge and health behaviors including performance of 10 min of moderate exercise, diet, BP monitoring and medication. Significantly beneficial DM-related changes included glucose, health belief, health knowledge and health behaviors including performance of 10 min of moderate exercise and glucose monitoring. But there were no significant hypertension-related differences in health belief (barrier) and health behavior including drinking and exercise length/frequency. Also, no significant DM-related differences were evident in health belief (barrier) and health behaviors including drinking, smoking, exercise length/frequency, diet and medication. Conclusion: Customized home visiting health service can provide effective, but not complete. Whether these benefits are maintained in the longer term is unknown.

Development of Non-contact Home Monitoring System for Infant Respiration to Prevent SIDS (영아 돌연사 방지를 위한 비접촉 방식의 가정용 영아 호흡 감시 시스템 개발)

  • Heo, Il-Kang;Myoung, Hyoun-Seok;Lee, Kyoung-Joung
    • Journal of Biomedical Engineering Research
    • /
    • v.36 no.2
    • /
    • pp.48-53
    • /
    • 2015
  • Sudden infant death syndrome(SIDS) continues to be general cause of infant death. Also, apnea is supposed to be one of the main risk factor of SIDS. Therefore, Infant's respiratory monitoring and real-time apnea detection is very important to prevent SIDS. In this study, we proposed a non-contact home monitoring system for infant's respiration using Doppler radar in order to prevent SIDS. The respiration data were acquired from a commercialized baby simulator(Simbaby$^{TM}$) using a Doppler radar. To evaluate a performance of the proposed system, the simulator was placed in a supine and prone position and the chest belt was used simultaneously as a reference signal. As a result, correlation coefficients between respiration rates of Doppler radar and the chest belt in each position were 0.95(p < 0.001) and 0.98(p < 0.001), respectively. The averages of difference were $-0.29{\pm}5.21(mean{\pm}1.96{\cdot}$ standard deviation) in supine and $-0.12{\pm}3.05$ in prone from Bland-Altman analysis. The results indicated an excellent performance in detecting apnea with a sensitivity of 100% and a positive predictive value of 100% in each posture respectively. These results demonstrated that a proposed Doppler radar system is suitable for non-contact respiratory monitoring in order to prevent SIDS of infant.

The Impacts of Social and Cultural Capital on the Academic Achievement of Children in Out-of-Home Care (가정외보호아동의 사회적 자본과 문화적 자본이 학업성취에 미치는 영향)

  • Kang, Hyun-Ah;Woo, Seok-Jin;Kang, Hyun-Ju
    • Journal of the Korean Home Economics Association
    • /
    • v.50 no.5
    • /
    • pp.25-38
    • /
    • 2012
  • Drawing on social and cultural capital theory, the study investigates the influences of social capital and cultural capital on the academic achievement of children in out-of-home care. We collected data from 494 children living in out-of-home services, including institutional care facilities, foster care homes, and group homes. To analyze the collected data, a multiple regression analysis method was used. In addition, the IV (instrumental-variables) estimation was utilized to rule out the possibility of reverse causality. The level of children's social capital was measured through children's relationships with parents and friends, parental monitoring, etc. The level of children's cultural capital was measured by their cultural activities, such as going to museums, and playing musical instruments. Children's personal characteristics and placement history in out-of-home services were used as control variables. We found that among personal characteristic variables, self-esteem, depression and anxiety, and delinquency affected the academic achievement of the children. Cultural capital, but not social capital, positively affected the level of academic achievement of the children. Based on the study results, implications for child welfare practice were discussed.

A Development of Wrist type Monitoring System for Smart Home Healthcare (스마트홈의 헬스케어를 위한 손목형 생체신호 감시 장치 개발)

  • Lee, Gun-Ki;Lee, Ju-Won;Jeong, Won-Geun;Lee, Han-Wook;Jang, Jun-Young
    • Journal of the Korea Institute of Information and Communication Engineering
    • /
    • v.10 no.12
    • /
    • pp.2349-2354
    • /
    • 2006
  • Due to technological developments and the joint effect of both new social and economic needs and constraints, telemedicine is expanding rapidly through a variety of applications. Especially, owing to the rapid aging of society and increasing the wish for well being life, we take interest in health care services for people with special needs who wish to remain independent and living in their own home. We have focused on tole-monitoring to real-time medical signal and environment factor which is an influence on medical signal. We monitor the six signal(medical signal and environment factor), and transmit that signal to computer on bluetooth network. We get the information after using the some digital signal processing system, and display that information on the real-time monitoring system. We developed the measurer as portable type in older to non-restrained monitor.

Outcomes of Home Monitoring after Palliative Cardiac Surgery in Infants with Congenital Heart Disease (선천성 심질환으로 고식적 수술을 시행 받은 영아의 홈모니터링의 성과)

  • Kim, Sang Wha;Uhm, Ju-Yeon;Im, Yu Mi;Yun, Tae-Jin;Park, Jeong-Jun;Park, Chun Soo
    • Journal of Korean Academy of Nursing
    • /
    • v.44 no.2
    • /
    • pp.228-236
    • /
    • 2014
  • Purpose: Common conditions, such as dehydration or respiratory infection can aggravate hypoxia and are associated with interstage mortality in infants who have undergone palliative surgery for congenital heart diseases. This study was done to evaluate the efficacy of a home monitoring program (HMP) in decreasing infant mortality. Methods: Since its inception in May 2010, all infants who have undergone palliative surgery have been enrolled in HMP. This study was a prospective observational study and infant outcomes during HMP were compared with those of previous comparison groups. Parents were trained to measure oxygen saturation, body weight and feeding volume and to contact the hospital through the hotline for emergency situations. Telephone counseling was conducted by clinical nurse specialists every week post discharge. Results: Forty-one infants were enrolled in HMP. Nine hundred telephone counseling sessions were conducted. Seventy-three infants required telephone triage with the most common conditions being gastrointestinal (50.7%) and respiratory symptoms (32.9%). With HMP intervention, interstage mortality decreased from 18.6% (8/43) to 9.8% (4/41) (${\chi}^2$=1.15, p=.283). Conclusion: Results indicate that active measures and treatments using the HMP decrease mortality rates, however further investigation is required to identify various factors that contribute to hemodynamic complications during the interstage period.

Need Assessment for Smartphone-Based Cardiac Telerehabilitation

  • Kim, Ji-Su;Yun, Doeun;Kim, Hyun Joo;Ryu, Ho-Youl;Oh, Jaewon;Kang, Seok-Min
    • Healthcare Informatics Research
    • /
    • v.24 no.4
    • /
    • pp.283-291
    • /
    • 2018
  • Objectives: To identify the current status of smartphone usage and to describe the needs for smartphone-based cardiac telerehabilitation of cardiac patients. Methods: In 2016, a questionnaire survey was conducted in a supervised ambulatory cardiac rehabilitation (CR) program in a university affiliated hospital with the participation of heart failure or heart transplantation patients who were smartphone users. The questionnaire included questions regarding smartphone usage, demands for smartphone-based disease education, and home health monitoring systems. Results were described and analyzed according to principal diagnosis. Results: Ninety-six patients (66% male; mean age, $5{\pm}11$ years), including 56 heart failure and 40 heart transplantation patients, completed the survey (completion rate, 95%). The median daily smartphone usage time was 120 minutes (interquartile range, 60-300), and the most frequently used smartphone function was text messaging (61.5%). Of the patients, 26% stated that they searched for health-related information using their smartphones more than 1 time per week. The major source of health-related information was Internet browsing (50.0%), and the least sought source was the hospital's website (3.1%). Patients with heart failure expressed significantly higher needs for disease education on treatment plan, home health monitoring of blood pressure, and body weight (${\chi}^2=5.79$, 6.27, 4.50, p < 0.05). Heart transplantation patients expressed a significant need for home health monitoring of body temperature (${\chi}^2=5.25$, p < 0.05). Conclusions: Heart failure and heart transplantation patients show high usage of and interest in mobile health technology. A smartphone-based cardiac telerehabilitation program should be developed based on high demand areas and modified to suit to each principal diagnosis.

Home monitoring system based on sound event detection for the hard-of-hearing (청각장애인을 위한 사운드 이벤트 검출 기반 홈 모니터링 시스템)

  • Kim, Gee Yeun;Shin, Seung-Su;Kim, Hyoung-Gook
    • The Journal of the Acoustical Society of Korea
    • /
    • v.38 no.4
    • /
    • pp.427-432
    • /
    • 2019
  • In this paper, we propose a home monitoring system using sound event detection based on a bidirectional gated recurrent neural network for the hard-of-hearing. First, in the proposed system, packet loss concealment is used to recover a lost signal captured through wireless sensor networks, and reliable channels are selected using multi-channel cross correlation coefficient for effective sound event detection. The detected sound event is converted into the text and haptic signal through a harmonic/percussive sound source separation method to be provided to hearing impaired people. Experimental results show that the performance of the proposed sound event detection method is superior to the conventional methods and the sound can be expressed into detailed haptic signal using the source separation.

Framework of Health Recommender System for COVID-19 Self-assessment and Treatments: A Case Study in Malaysia

  • Othman, Mahfudzah;Zain, Nurzaid Muhd;Paidi, Zulfikri;Pauzi, Faizul Amir
    • International Journal of Computer Science & Network Security
    • /
    • v.21 no.1
    • /
    • pp.12-18
    • /
    • 2021
  • This paper proposes a framework for the development of the health recommender system, designed to cater COVID-19 symptoms' self-assessment and monitoring as well as to provide recommendations for self-care and medical treatments. The aim is to provide an online platform for Patient Under Investigation (PUI) and close contacts with positive COVID-19 cases in Malaysia who are under home quarantine to perform daily self-assessment in order to monitor their own symptoms' development. To achieve this, three main phases of research methods have been conducted where interviews have been done to thirty former COVID-19 patients in order to investigate the symptoms and practices conducted by the Malaysia Ministry of Health (MOH) in assessing and monitoring COVID-19 patients who were under home quarantine. From the interviews, an algorithm using user-based collaborative filtering technique with Pearson correlation coefficient similarity measure is designed to cater the self-assessment and symptoms monitoring as well as providing recommendations for self-care treatments as well as medical interventions if the symptoms worsen during the 14-days quarantine. The proposed framework will involve the development of the health recommender system for COVID-19 self-assessment and treatments using the progressive web application method with cloud database and PHP codes.

Design and Implementation Testbed of Home Network based PLC (PLC 기반의 홈 네트워크 테스트베드 설졔 및 구현)

  • Kim, Hyeock-Jin;Han, Kuy-Ban;Jean, Byoung-Chan
    • Journal of the Korea Computer Industry Society
    • /
    • v.10 no.4
    • /
    • pp.143-150
    • /
    • 2009
  • Remote control service, monitoring, gear service of information electronic appliance, various services of security service and so on of Home network that is by link of Ubiquitous environment are offered. These services need verification process through priority test to use and are changed. If test using actuality information electronic device for test, much expenses and time may be invested. Home network test bed offers softness of research using control model and simulator, in this paper, Wish to design and embody home network test bed to do environment construction of home network and test of application service. Because use istent power line just as it is without necessity to establish circuit in addition by solution of home network testbed, expense costs to be less and establishment used easy PLC. Also, propriated Wireless sensor network that use Zigbee by solution of home network testbed. Appliance check and monitor square do by Home Auto that know embodied, and embodied by Home Gateway that interlink terminals of Home Auto and out of.

  • PDF