• Title/Summary/Keyword: Medical Access

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A Study on Product Empowerment of Medical Tourism Using Conjoint Analysis (컨조인트 분석을 이용한 의료관광 상품역량강화에 관한 연구)

  • Kim, Kyung Hoon;Yu, Jae Har;Lee, Chun Su
    • International Commerce and Information Review
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    • v.16 no.3
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    • pp.307-329
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    • 2014
  • Medical tourism involves patients intentionally leaving their home country to access non-emergency health care services abroad. Growth in the popularity of this practice has resulted in a significant amount of attention being given to it from researchers, policy-makers, and the media. Yet, there has been little effort to systematically synthesize what is known about the effects of this phenomenon and key choice factors. This study seeks to figure out, using conjoint analysis, what factors Chinese medical tourists place importance on maximizing utility when selecting their destination and propose selection attributes that can lure medical tourists to Korea. Results showed that, of destination attributes, medical technology competitiveness proved be the most important and of lower levels, international accreditation proved to have the highest utility. This article presents the findings of valuable insights to medical institutions, travel agencies and related firms in their marketing activities.

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Deep Vein Thrombosis Due to Hematoma as a Rare Complication after Femoral Arterial Catheterization

  • Kim, Minsoo;Lee, Jong-Young;Lee, Cheol Whan;Lee, Seung-Whan;Kang, Soo-Jin;Yoon, Yong Hoon;Om, Sang Yong;Kim, Young-Hak
    • Journal of Yeungnam Medical Science
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    • v.30 no.1
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    • pp.31-35
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    • 2013
  • Hematoma is quite a common complication of femoral arterial catheterization. However, to the best of our knowledge, there have been no previous studies regarding deep vein thrombosis (DVT) caused by compression of a vein due to a hematoma. We report a case of a hematoma developing after femoral arterial catheterization and causing extensive symptomatic DVT. A 59-year-old male was seen in our Emergency Department with right lower leg swelling 15 days after coronary stent implantation performed using right femoral artery access. Computed tomographic (CT) scanning revealed a large hematoma (45 mm in its longest diameter) compressing the common femoral vein and with DVT from the right external iliac vein to the popliteal vein. Due to the extensive DVT involvement, we decided to release the compressed common femoral vein by surgical evacuation of the large hematoma. However, even following evacuation of the hematoma, as the DVT did not resolve soon, further mechanical thrombectomy and catheter-directed thrombolysis were performed. Angiography then showed nearly resolved DVT, and the leg swelling was improved. The patient was discharged with the anticoagulation medication, warfarin.

Survival of Patients with Stomach Cancer and its Determinants in Kurdistan

  • Moradi, Ghobad;Karimi, Kohsar;Esmailnasab, Nader;Roshani, Daem
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.7
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    • pp.3243-3248
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    • 2016
  • Background: Stomach cancer is the fourth most common cancer and the second leading cause of death from cancer in the world. In Iran, this type of cancer has high rates of incidence and mortality. This study aimed to assess the survival rate of patients with stomach cancer and its determinants in Kurdistan, a province with one of the highest incidence rates of stomach cancer in the country. Materials and Methods: We studied a total of 202 patients with stomach cancer who were admitted to Tohid Hospital in Sanandaj from 2009 to 2013. Using Kaplan-Meier nonparametric methods the survival rate of patients was calculated in terms of different levels of age at diagnosis, gender, education, residential area, occupation, underweight, and clinical variables including tumor histology, site of tumor, disease stage, and type of treatment. In addition, we compared the survival rates using the log-rank test. Finally, Cox proportional hazards regression was applied using Stata 12 and R 3.1.0 software. The significance level was set at 0.05. Results: The mean age at diagnosis was $64.7{\pm}12.0$ years. The survival rate of patients with stomach cancer was 43.9% and 7% at the first and the fifth year after diagnosis, respectively. The results of log-rank test showed significant relationships between survival and age at diagnosis, education, disease stage, type of treatment, and degree of being underweight (P<0.05). Moreover, according to the results of Cox proportional hazards regression model, the variables of education, disease stage, and type of treatment were associated with patient survival (P<0.05). Conclusions: The survival rate of patients with stomach cancer is low and the prognosis is very poor. Given the poor prognosis of the patients, it is critical to find ways for early diagnosis and facilitating timely access to effective treatment methods.

Web Based Tele-Medicine System including Security Scheme (웹기반 원격진료시스템에서 암호화인증방식이 적용된 회원관리기법)

  • Kim, Seok-Soo
    • Convergence Security Journal
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    • v.5 no.1
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    • pp.19-27
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    • 2005
  • This paper presents the content regarding electronic medical examination chart and data processing for efficient medical examination and fast treatment by realizing remote medical examination system of mutual conversation type among 3 parties(patient, doctor, pharmacist) on internet base, and establishment of database enabled system integration for efficient data processing in both on-line and off-line mode by interconnecting ASP and SQL on IIS 4.0 web server, consultation between patient and doctor, medical examination on off-line mode, transmission of prescription sheet to the pharmacist designated by patient, preparation of medicine, semieternal storage of medical examination data owing to storage and check of medical examination data, more accurate medical examination and prescription using this medical examination data by patient and doctor, and so on. And, data processing between doctor and pharmacist is differently performed based on class such as general member and charge member, and service access right pursuant to this is endowed, so that certification of each member must follow by all means.

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Establishment and Management of an Educational Outcome Cohort at the Keimyung University School of Medicine (계명대학교 의과대학 교육성과 코호트의 구축과 운영 사례 )

  • Soongu Kim;Aehwa Lee;Garam Lee;Ilseon Hwang
    • Korean Medical Education Review
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    • v.25 no.2
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    • pp.109-113
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    • 2023
  • An educational outcome cohort has been established at Keimyung University School of Medicine to help make educational policy decisions and improve educational programs based on data. The purpose of the educational outcome cohort is to support educational policy decisions for achieving graduation outcomes smoothly and to accomplish the intended human resources development of the university through objective analyses and regular monitoring, providing continuous feedback. The data collected for the educational outcome cohort include the student identifications of freshmen, entrance exam scores, premedical and medical school grades, titles and forms of student academic research, the results of psychological testing, scholarship recipient lists, volunteer clubs, and so forth. The data are collected using an information utilization agreement approved by the Institutional Review Board, and the collected data are encrypted and stored on a dedicated computer for enhanced personal information security. Proposals to access and utilize the educational outcome cohort data must be discussed and approved by the Educational Outcome Cohort Committee, which decides on the scope and method of utilization. The collected and managed educational outcome cohort data have been used to develop comparative programs to improve students' competency and to support admission policy decisions through an analysis of the characteristics and performance of medical school students. The establishment and utilization of the educational outcome cohort will play an important role in determining the School of Medicine's educational policies and suggesting new directions for educational policies in the future.

A Protection System of Medical Information using Multiple Authentication (다중 인증 기술을 이용한 의료정보 보호시스템)

  • Kim, Jin-Mook;Hong, Seong-Sik
    • Convergence Security Journal
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    • v.14 no.7
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    • pp.3-8
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    • 2014
  • Recently, A utilization request of the U-Healthcare services are increasing rapidly. This is because the increase in smartphone users and ubiquitous computing technology was developed. Furthermore, the demand for access to and use of medical information systems is growing rapidly with a smartphone. This system have the advantage such as they can access from anywhere and anytime in the healthcare information system using their smartphone quickly and easily. But this system have various problems that are a privacy issue, the location disclosure issue, and the potential infringement of personal information. this problems are arise very explosive. Therefore, we propose a secure information security system that can solve the security problems in healthcare information systems for healthcare workers using smartphone. Our proposed system, doctors record, store, modify and manage patient medical information and this system would be safer than the existing healthcare information systems. The proposed system allows the doctor to perform further authentication by transmitting using SMS to GOTP message when they accessing medical information systems. So our proposed system can support to more secure system that can protect user individual information stealing and modify attack by two-factor authentication scheme. And this system can support confidentiality, integrity, location information blocking, personal information steal prevent using cryptography algorithm that is easy and fast.

Implementation of a Remote Bio-Equipment System for Smart Healthy Housing Properties

  • Han, Seung-Hoon
    • KIEAE Journal
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    • v.14 no.6
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    • pp.23-29
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    • 2014
  • It is essential to investigate the structure and the main characteristics of BSN (Bio-Sensor Network) platform in built smart healthcare environment while designing healthy housing facilities. For this study, WSN (Wireless Sensor Network) data transmission technologies have been employed with medical sensors, and optimal medical devices would provide various Web 2.0 services by connecting to the WiBro network. The BSN platform normally recognizes in surroundings of WBAN (Wireless Body Area Network) or WPAN (Wireless Personal Area Network), and it is possible to manage sensor nodes by utilizing SOAP (Simple Object Access Protocol) and REST (REpresentational State Transfer). In addition, the feature of SNMP (Simple Network Management Protocol) for mobile gateway is also included for being adapted to huge network structure. Finally, BSN platform will play a role as important clues for developing personal WSN service models for smart healthy housing properties.

The study on the dynamic characteristics of steel structure system for vibration estimation in hospital building (철골조 고층 병원건물의 진동예측을 위한 동적특성 및 설계인자에 관한 연구)

  • Jang, Kang-Seok;Kim, Young-Chan;Ahn, Sang-Kyung;Na, Woon
    • Proceedings of the Korean Society for Noise and Vibration Engineering Conference
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    • 2008.04a
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    • pp.458-461
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    • 2008
  • The primary objective of this study is to provide simple analytical tools to estimate dynamic characteristics of steel framed floor system in hospital building for vibration serviceability due to human activities, bogie, medical equipment. and so on. In order to evaluate the dynamic characteristics and vibration levels according to steel framed floor system, we had executed impact test and measurement on steel structure floor system in various hospital buildings. But perhaps most importantly, how to make the most of deduced design factor for design of hospital building. therefore we presented the access method such as the three-dimensional F.E. numerical analysis on the basis of the design drawing, and the properties of all floors for estimation of vibration level in hospital building.

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Fracture of an Implantable Central Catheter Due to Pinch Off Syndrome (Pinch off 증후군에 의한 피하매몰형 중심정맥도관의 절단)

  • Yun, Ju-Sik;Oh, Sang-Gi;Song, Sang-Yun
    • Journal of Chest Surgery
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    • v.41 no.4
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    • pp.504-507
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    • 2008
  • Implantable central venous catheters (Chemoport) are increasingly being used for vascular access, parenteral nutrition and administering chemotherapeutic agents. As with most invasive procedures, central venous catheterization is associated with numerous potential complications such as infection, thoromboembolism and occlusion. A rare but serous complication is the catheter fracture. We present here three cases of catheter fracture as a consequence of Pinch off syndrome, and we include a review of the relevant literature.

Anterior Cranial Fossa Dural Arteriovenous Fistulae Presenting as Subdural Hematoma

  • Choi, Hyuk-Jin;Cho, Chang-Won
    • Journal of Korean Neurosurgical Society
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    • v.47 no.2
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    • pp.155-157
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    • 2010
  • Anterior cranial fossa dural arteriovenous fistulae (DAVFs) are very rare and the bleeding rate is very high, especially in the presence of leptomeningeal draining vein and aneurysmal varix formation. A 85-year-old male patient presented with subdural hematoma (SDH). Magnetic resonance image (MRI) and transfemoral carotid angiography (TFCA) disclosed DAVF at the anterior cranial fossa with bilateral arterial feeders and leptomeningeal draining vein with varix formation. The lesion was treated by simple ligation of pial connecting vein using low frontal craniotomy. In comparison with DAVFs of the other sites, the anterior cranial fossa DAVF is difficult to manage by endovascular treatment due to not only the difficulty of transvenous access but the risk of visual impairment when using transarterial route. Surgical ligation of pial connecting vein is feasible and effective treatment.