• 제목/요약/키워드: Medical Access

검색결과 866건 처리시간 0.033초

Multi-Agent Systems: Effective Approach for Cancer Care Information Management

  • Mohammadzadeh, Niloofar;Safdari, Reza;Rahimi, Azin
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권12호
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    • pp.7757-7759
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    • 2013
  • Physicians, in order to study the causes of cancer, detect cancer earlier, prevent or determine the effectiveness of treatment, and specify the reasons for the treatment ineffectiveness, need to access accurate, comprehensive, and timely cancer data. The cancer care environment has become more complex because of the need for coordination and communication among health care professionals with different skills in a variety of roles and the existence of large amounts of data with various formats. The goals of health care systems in such a complex environment are correct health data management, providing appropriate information needs of users to enhance the integrity and quality of health care, timely access to accurate information and reducing medical errors. These roles in new systems with use of agents efficiently perform well. Because of the potential capability of agent systems to solve complex and dynamic health problems, health care system, in order to gain full advantage of E- health, steps must be taken to make use of this technology. Multi-agent systems have effective roles in health service quality improvement especially in telemedicine, emergency situations and management of chronic diseases such as cancer. In the design and implementation of agent based systems, planning items such as information confidentiality and privacy, architecture, communication standards, ethical and legal aspects, identification opportunities and barriers should be considered. It should be noted that usage of agent systems only with a technical view is associated with many problems such as lack of user acceptance. The aim of this commentary is to survey applications, opportunities and barriers of this new artificial intelligence tool for cancer care information as an approach to improve cancer care management.

웹소켓을 이용한 병원 접수시스템 개선에 관한 연구 (An Improvement of Hospital Reception System using Web Socket)

  • 손만근;박기성;공용해
    • 한국컴퓨터정보학회논문지
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    • 제20권1호
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    • pp.185-195
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    • 2015
  • 병원에서 특정 시각 대에 집중하는 외래환자 접수상황을 효과적으로 해당 진료과에 전달하는 기술적 방식이 기존의 병원 접수시스템에 부재하다. 따라서 모든 진료과는 접수상황을 알기위해서 병원접수 데이터베이스 전체를 반복적으로 순차탐색하게 되고 이는 병원정보시스템 성능저하의 큰 요인이 된다. 따라서 본 논문에서는 이러한 병원 접수시스템의 효율 향상을 위해 웹소켓을 이용한 주키전송 일괄처리시스템과 접수정보전송에 의한 실시간시스템을 개발하였다. 주키전송 일괄처리시스템은 기존의 순차탐색시스템에 비해 데이터베이스 조회속도를 크게 단축하였을뿐만 아니라 접수환자 수에 무관한 빠른 조회속도를 유지하였다. 또한, 접수정보전송 실시간시스템은 데이터베이스를 조회하지 않고도 기존의 요청/응답 접수시스템의 대기환자 갱신시간을 효과적으로 줄일 수 있었다.

의료급여 과다이용자의 중재방법별 접근횟수에 따른 사례관리 효과 (Effectiveness of Medical Aid Case Management in Excessive Healthcare User by Interventions based on the Number of Accesss)

  • 송명경;조정현;김순옥
    • 디지털융복합연구
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    • 제15권7호
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    • pp.259-269
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    • 2017
  • 본 연구는 의료급여 사례관리의 중재방법별 접근횟수에 따른 효과를 분석함으로써 의료급여 사례관리 중재의 발전을 모색하고자 하였으며, 2010년 3개의 시 군 구에서 고위험군 564명을 대상으로 실시된 사례관리 이차자료 분석연구이다. 중재방법별 접근횟수에 따른 사례관리 전 후 점수는 방문의 경우 자가건강관리능력과 합리적 의료이용에서 유의한 차이를 보였고, 전화는 자가건강관리능력에서, 우편은 건강 삶의 질, 자가건강관리능력, 합리적 의료이용에서 유의한 차이가 있었다. 중재방법별 접근횟수에 따른 의료이용은 방문과 우편이 총급여일수에서 유의한 차이를 보였다. 중재방법별 접근횟수와 사례관리 점수 간의 상관관계에서는 방문이 자가건강관리능력과 음의 관계를, 전화는 합리적 의료이용, 우편은 사례관리 점수 전 영역, 내소는 건강 삶의 질 영역과 양의 관계로 나타났다. 중재방법별 접근횟수와 의료이용 간의 상관관계에서 방문과 자원연계는 총 급여일수와 음의 관계가 있는 것으로 나타났다. 의료급여 과다이용 수급자의 건강 삶의 질 향상과 적정의료이용을 도모하기 위해서는 사례관리 중재방법별 효율적인 접근횟수를 고려하여 사례관리를 실시하는 것이 필요하다.

보육기 성능 평가를 위한 다접점 온도측정기의 설계 (Design of Multiple Temperature Measurement Device for Performance Evaluation of Incubator)

  • 김원기;김남현;허재만;유선국
    • 대한의용생체공학회:학술대회논문집
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    • 대한의용생체공학회 1991년도 춘계학술대회
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    • pp.86-88
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    • 1991
  • A micro-computer based system has been designed to evaluate the performance of infant incubators. The measurement system used a hybrid of analog electronics for amplification, integration and switches and micro-computer for data storage, data display, and control of relay. This approach has been applied to measure the warm-up time, temperature stability, temperature change due to open/close of door and portholes, and temperature distribution on the mattress. The micro-computer provides on-line access of multi-point temperature data.

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The Obturator Guiding Technique in Percutaneous Endoscopic Lumbar Discectomy

  • Han, In-Ho;Choi, Byung-Kwan;Cho, Won-Ho;Nam, Kyoung-Hyup
    • Journal of Korean Neurosurgical Society
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    • 제51권3호
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    • pp.182-186
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    • 2012
  • In conventional percutaneous disc surgery, introducing instruments into disc space starts by inserting a guide needle into the triangular working zone. However, landing the guide needle tip on the annular window is a challenging step in endoscopic discectomy. Surgeons tend to repeat the needling procedure to reach an optimal position on the annular target. Obturator guiding technique is a modification of standard endoscopic lumbar discectomy, in which, obturator is used to access triangular working zone instead of a guide needle. Obturator guiding technique provides more vivid feedback and easy manipulation. This technique decreases the steps of inserting instruments and takes safer route from the peritoneum.

고속 하향 패킷 접속 통신을 이용한 응급 의료 정보 전송 시스템 구축에 관한 연구 (Research for a Emergency Medical Information Transmission System using High-Speed Downlink Packet Access)

  • 정진;유재영;김응석
    • 대한전자공학회:학술대회논문집
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    • 대한전자공학회 2008년도 하계종합학술대회
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    • pp.131-132
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    • 2008
  • It is necessary to develop a high-speed wireless transmission system, which is able to send medical informations to the emergency medical center during emergency patient transportation. In this research, a system which transmits patient’s vital signs and a real-time audio/video contents of the event has been designed, developed, and the suitability of the system has been verified. Test results indicate that the system is capable of transmitting vital signal data, including 17 numeric data, 12 waveforms and 113 events, reading the affected part by forwarding a $320{\times}240$ pixel image at 2fps. Also, the full-duplex voice transmission of the system at 8bit/64kbps is enough to make stable communication between emergency medical technicians and hospital professionals possible. After numerous hours of driving, the packet loss of patient vital signs is 0.013%.

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Hepatic Lymphoma Representing Iso-Signal Intensity on Hepatobiliary Phase, in Gd-EOB-DTPA-Enhanced MRI: Case Report

  • Ahn, Tae-Ran;Kim, Yeo-Eun;Park, Chul-Hi;Jung, Eun-Ah
    • Investigative Magnetic Resonance Imaging
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    • 제19권3호
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    • pp.200-204
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    • 2015
  • Image findings of hepatic lymphoma have been reported as variable, ranging from single or multiple small nodules to diffuse infiltrative patterns. On MRI, most hepatic lymphomas show T1 low signal intensity, T2 high signal intensity. Dynamic imaging reveals a hypointense appearance in the arterial phase, followed by delayed enhancement in the portal venous and transitional phase. In the hepatobiliary phase using a hepatocyte-specific contrast agent (which have recently aided in increasing the access to the focal liver lesions), hepatic lymphoma is known to exhibit low signal intensity. We report a case of hepatic lymphoma, which shows iso-signal intensity on hepatobiliary phase, using gadoxetic acid (Gd-EOB-DTPA).

강수량 기반 지하 터널 진입 위험도 판단 시스템 (Access Risk Evaluation System for Underground Tunnels Based on Precipitation Amount)

  • 최원빈;임시훈;장다빈;김상대
    • 한국정보처리학회:학술대회논문집
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    • 한국정보처리학회 2023년도 추계학술발표대회
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    • pp.134-135
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    • 2023
  • 수재해의 증가로 인한 지하차도 침수 사고가 빈번히 발생하고 있다. 지하차도 침수 사고를 예방하기 위한 여러 대비책들이 있지만, 예방적 관점에서 볼 때 사람이 직접 모니터링 하는 방법 이외에는 적절한 예방책이 되지 못한다. 이러한 문제를 해결하기 위해 강수량에 따른 지하차도 진입 여부 시스템을 제안한다. 강수량과 배수량의 차이를 통해 침수 위험도를 판단하여 진입 여부를 파악 후 운전자에게 정보를 전달해 사고를 예방할 수 있다.

Treatment for subarachnoid hemorrhage due to ruptured posterior cerebral arterial dolichoectasia with aortic arch anomaly

  • Yeong-Il Yun;Chul-Hoon Chang;Jong-Hun Kim;Young-Jin Jung
    • Journal of Cerebrovascular and Endovascular Neurosurgery
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    • 제25권1호
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    • pp.69-74
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    • 2023
  • Subarachnoid hemorrhage (SAH) due to ruptured posterior cerebral artery (PCA) intracranial arterial dolichoectasia (IADE) is very rare. As these lesions are difficult to treat microsurgically, neurointervention is preferred because the dolichoectatic artery does not have a clear neck, and the surgical field of view was deep seated with the SAH. However, in some cases, neurointervention is difficult due to anatomical variation of the blood vessel to access the lesion. In this case, a 30-year-old male patient presented with a ruptured PCA IADE and an aortic arch anomaly. Aortic arch anomalies render it difficult to reach the ruptured PCA IADE via endovascular treatment. The orifice of the vertebral artery (VA) was different from the usual cases, so it was difficult to find the entrance. After only finding the VA and arriving at the lesion along the VA, trapping was performed. Herein, we report the PCA IADE with aortic arch anomaly endovascular treatment methods and results.

의안(醫案)의 데이터베이스 구조화 연구 - 시수도명의 의안을 중심으로 - (A study on the database structure of medical records - Focusing on Yakazudōmei's medical records -)

  • 김성원;김기욱;이병욱
    • 대한한의학방제학회지
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    • 제25권1호
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    • pp.39-49
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    • 2017
  • Objectives : The contents of the literature associated with the medical records were entered into the database. We want to find the structure and search methods for efficient utilization of the database. Methods : The contents were entered into the database using the 'Access 2014 of the MS'. The Query Sentences were created and utilized for a search. Results : We could find information about the prescriptions, medical records and patients by the herbs and symptom combinations using the single table named 'Integrated Knowledge' and queries. Integrated Knowledge is a table that gathered patient information, prescription information and symptom information together. Conclusions : If you store patient, prescription and symptom information on a single table, you could search and use the results by various combinations of the various elements included in the table. These results could help curing patients on the basis of evidence-based treatment at the clinics.