• Title/Summary/Keyword: Integrated medical service

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Validation study of integrated intubation tube with stylet(IITS) in tracheal intubation (기관내삽관에서 속심일체형 삽관튜브 용이성에 관한 연구)

  • Yun, Hyeong-Wan;Lee, Jae-Min;Jung, Ji-Yeon
    • The Korean Journal of Emergency Medical Services
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    • v.23 no.3
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    • pp.111-121
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    • 2019
  • Purpose: Difficult organs or locations or inadequate tube intubations can cause complications. There are some cases in which the tube location changes or the tube is removed due to processing inside the organ while installing the stylet or rapid stylet removal. Thus, this study aimed to evaluate and develop an integrated intubation tube with stylet (IITS) for easier intubation of organs in emergency cases and reduce complications caused by the stylet. Methods: This study used a "Laerdal Airway Management Trainer". For stylet intubation, procedure No. 14 of the national practical test protocol was followed, but the removal step was omitted. In this study, each emergency case was intubated with an IITS, in which the stylet was not inserted or removed separately even though it has the function of an organ intubation stylet. Results: The existing classic ET intubation method had a success rate of 100% and had an average intubation time of 21.75 seconds, The developed IITS method was also successful in all cases and had an average intubation time of 15.78 seconds. Conclusion: Application of an IITS is expected to reduce intubation time and decrease inappropriate depth and intubation failure due to stylet removal, therefore improving the efficiency of airway maintenance.

Design of Integrated Authentication Scheme for Safe Personal Information Management in a U-Health Environment (U-Health환경에서 안전한 개인정보 관리를 위한 통합 인증스키마 설계)

  • Min, So-Yeon;Jin, Byung-Wook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.6
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    • pp.3865-3871
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    • 2014
  • The U-health service provides medical services with patients anytime or anywhere and is defined as the service that combines information and communication technology with health and medical service. However, it causes some troubles, such as the disclosure of patients' medical information or data spills (personal information extrusion). Moreover, it has the weak point of the security threats associated with data based on existing wire-wireless systems because it conducts data transmission and reception through the network. Therefore, this paper suggests a safe personal information management system by designing integrated certification schema that will help compensate for the weaknesses of the U-health service. In the proposal, the protocols for user information, certification between medical institution and users, data communication encryption & decryption, and user information disuse were designed by applying the ID-Based Encryption, and analyzed such existing systems and PKI Based-based communication process, securely and safely.

A Study on the Structural Relationship among Service Quality, Service Value, Reputation, Emotional Response, Customer Satisfaction and Repurchase Intention : Focused on The Moderating Effect of Service Relationship in Healthcare Services (서비스품질, 서비스가치, 명성, 감정반응, 고객만족과 재이용의도의 구조적 관계 : 의료서비스에서 서비스관계의 조절효과를 중심으로)

  • Kim, Sung-Soo
    • Korean Management Science Review
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    • v.29 no.2
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    • pp.105-125
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    • 2012
  • As medical service industry is transformed into the market centered on consumers, medical service quality patients recognize is emphasized as the powerful means to ensure competitive advantage among hospitals in the fierce medical markets. Many researches have been done on the definition of medical service quality, developing a scale to measure it, patient satisfaction, hospital repurchase and oral transmission intention, but integrated studies have not been done sufficiently on the patient' cognitive emotional aspects. For these research purposes, based on service relation, service quality, physical surroundings, human services, corporate reputation, service value, emotional response, customer satisfaction and repurchase intention, this paper suggests a theoretical modeling composed of hypotheses on the relations of each theoretical variable. In addition, the moderating effect of service relationships is investigated based on the structural equation model.

Integrated Medical Information System Implementation for the u-Healthcare Service Environment (u-Healthcare 서비스 환경에서의 통합의료정보시스템 구축방안 연구)

  • Sok, Yun-Young;Kim, Seok-Hun
    • The Journal of the Korea Contents Association
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    • v.14 no.5
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    • pp.1-7
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    • 2014
  • Nowadays hospitals have been improving their job performances through informatization and also establishing an advanced, integrated medical information system through their manager's decision making support system in order to play roles as a hub hospital providing high quality medical services integrated with ICT technology. This study connects the OCS system and HIS system to the integrated medical information system to design an optimized, customized mobile health care and medical treatment environment and also investigates the systematic medical system that can perform patients' cure and medical treatment promptly and accurately in order to maximize convenience of treatment by inquiring into patients' information and information of medical treatment promptly.

Development of Medical Picture Archiving and Communication System (의료용 화상정보의 저장 및 전송 시스템 개발)

  • 이태수;백승권
    • Journal of Biomedical Engineering Research
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    • v.9 no.2
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    • pp.195-210
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    • 1988
  • We build up distributed database of medical picture and design and realize H/W & S/W of special image workstation. We build up high speed image transmission system for distributed database and retrieval of various medical pictures in w ard through image transmission system and realize integrated image diagnosis. This system improves medical service by speedy diagnosis and enables more precise diagnosis by integrated image diagnosis through distributed database. In economical view this system curtails huge cost of film processing and transmission, which make medical expense cheaf, because it does not use film. We built up PACS in pediatric hospital of Seoul National University Hopital and tested the system with various medical pictures and showed that speedy integrated image diagnosis is possible.

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Prioritization in the Policy of Integrated Medicine that Uses the Delphi Method and Analytic Hierarchy Process (델파이 기법과 AHP기법을 사용한 통합의료정책 우선순위 수립 연구)

  • Park, Youn Ok;Son, Chi Hyoung
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.29 no.1
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    • pp.66-71
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    • 2015
  • The purpose of the study is to establish priorities in integrated medicine policy. Delphi method was used in conducting a survey on integrated medicine specialists regarding the policies of integrated medicine and actions. For specialists in integrated medicine, total 17 persons selected included scholars who performed minimum one study on integrated medicine, medical staff who performing integrated medical service at institutions that implemented integrated medical care or those who were involved in creating or implementing policies on integrated medicine. The first Delphi-method survey conducted from Apr. 14 through 18, while the second survey was carried out from Apr. 21 through 25. To prioritize the policies based on the results of the mini Delphi-method survey, Analytic Hierarchy Process(AHP) was performed for 15 persons answered to mini Delphi-method from May 2 through 16, 2014. From the Delphi-method survey, four policies and 16 actions were obtained. AHP showed the first priority placed on 'Building the Infrastructure of Industrialization in the Integrative medicine' of the 4 policies and 'Developing new diagnostic and treatment instruments' was given the highest priority of the 16 actions. For implementation of integrated medicine policy, the 4 policies and the 16 actions found in this research require government support and should be urgently implemented according to its priority.

Effect of an Integral Care System: a Combination of Oriental and Western Care for Older Adults with Degenerative Arthritis (퇴행성 관절질환을 앓고 있는 노인환자를 위한 한방과 양방을 적용한 통합의료 서비스의 효과)

  • Lee, Ji-A;Ji, Eun-Sun
    • Journal of Korean Academy of Nursing
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    • v.41 no.1
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    • pp.18-25
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    • 2011
  • Purpose: This study was done to examine the effect of an integrated care service which included a combination of oriental and western care on health outcomes in elderly patients with degenerative arthritis. Methods: A prospective comparative design was used. Data were collected from May 1, 2008 to June 30, 2009 from 85 elderly patients with degenerative arthritis in the lower extremities who were followed in a hospital out-patient department for 8 weeks. The integrated care service group (n=36) received a combination of physical therapy, acupuncture, western medicines or herbal medicines, and the western care group (n=49) received physical therapy or western medicines. Functional independence, walking speed, rotation balance, pain intensity, service satisfaction and total medical costs for the two groups were compared at 8 weeks. Results: Functional independence (t=2.14, p=.036) and walking speed (t=2.51, p=.014) improved significantly in the integrated care group while pain intensity improved significantly in the western care group (t=3.35, p=.002). The integrated care group reported higher scores for service satisfaction (t=2.09, p=.041) and higher medical costs than the western care group (t=2.15, p=.035). Conclusion: The results suggest that integrated care services are effective modalities to improve mobility and quality of life for elders with degenerative arthritis.

The Trends and Application Prospects of Medical Information System on the Ubiquitous Environments (유비쿼터스 환경에서의 의료정보시스템 동향 및 응용의 전망)

  • Kim, Chang-Soo;Kim, Hwa-Gon
    • Journal of radiological science and technology
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    • v.28 no.3
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    • pp.193-201
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    • 2005
  • We are living in Ubiquitous society now. There is also trend of integration in medical field that is largely affected by outside environment. At this time, it is necessary to rightly understand the abstract, function, expected effect and management method of Integration Medical Information System(IMIS) to use this system effectively for solving many hospital information system problems and disadvantages. It is fact that large-sized hospitals are improving the quality of service for treatment of patients through building integrated Medical Information System. So it is necessary to change this individual system that is previously developed and used for treatment assistance, hospital affair or general management respectively to integrated management system, modify patient information or treatment information data to the data suitable for new system and build the integrated medical information system suitable for the hospital service with treatment data and integrated medical information. This paper suggested and designed abstract of integrated medical information system, the organization of system, the character of system and the plan and materialization of IMIS when building integrated medical information system. And the context of this paper is suggested trend of industry and solution of integration EMR, HIS, PACS. Therefore this paper is suggested development strategy, implemented integration medical information system.

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Development of an Electronically Controlled Knee-Type Prosthetic Leg with a 4-Bar Linkage Structure for Lower Limb Amputee (대퇴 절단 장애인을 위한 4절 링크 구조의 전자 제어식 무릎형 의족)

  • Ji-Woon Lee;Hyun-Soo Woo;Dong-Young Ahn;Min Jo;Hak Yi;Ki-Young Kim
    • The Journal of Korea Robotics Society
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    • v.19 no.2
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    • pp.159-168
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    • 2024
  • Lower limb amputees are increasing due to various reasons. It is difficult for lower limb amputees to walk without an assistive device such as a prosthetic leg. In this paper, an electronically controlled knee-type prosthetic leg with a 4-bar linkage structure for lower limb amputees was developed. The knee-type prosthetic leg has a 4-bar linkage structure and assists walking by using an integrated drive module. The torque is 90 Nm, the rotation speed is up to 120 deg, and it weight 1.9 kg, so it is lighter than a commercial prosthetic leg, so it can be used for a long time because there is less fatigue when walking. An integrated control board was developed by applying various sensors and microprocessor. The motor drive and encoder are built into the integrated drive module. The integrated control board and integrated drive module communicate using CAN. When a lower limb amputee wears a knee-type prosthetic leg and walks, it shows a shape similar to the swing phase graph of a normal people, and it is possible to walk naturally while walking.

Design integrated emergency center management system with mobile device (모바일 기기를 이용한 통합 응급의료센터 관리 시스템 설계)

  • baek, Sung-hyun;Jang, Jong-wook
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2012.10a
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    • pp.414-417
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    • 2012
  • Recently, there will be many changes that revised emergency medical service with prescribe specialist doctor emergency medical center duty. if emergency patients come emergency medical center, in the existing system, emergency patients receive treatment in order emergency room doctor and 1-2 resident and 3-4 resident and specialist doctor. in improved system, emergency patients receive treatment to emergency room doctor and duty specialist doctor. as a result, the procedure was. simplify. but appling such a system, there should be placed duty specialist doctor about all departments in hospital. So, all hospitals be difficult to place duty specialist doctor about all departments in hospital. In this paper, to use mobile device, there design integrated emergency center management system for revision of the emergency medical service to use emergency medical center service near the user's and specialist doctor service in hospital and the hospital's information service and Emergency room usage service.

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