• 제목/요약/키워드: Medical Application

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Development and Long Term Evaluation of a Critical Pathway for the Management of Microvascular Decompression

  • Lee, Jeong A;Kim, Jung Sook;Park, Kwan;Kong, Doo-Sik
    • Journal of Korean Academy of Nursing Administration
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    • v.20 no.1
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    • pp.117-127
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    • 2014
  • Purpose: In order to provide a systematic and standardized treatment course for MVD patients, a critical pathway (CP) program was developed and the results of its long term application were analyzed. Methods: This was a methodological study. The CP was established and applied to 75 (step I) and 1,216 (step II). Another group of 56 with similar features was used as a control group. Results: The application of CP turned out to be useful in many regards: the rate of hearing loss was reduced from 1.8% to 0% (step I) and 0.5% (step II), and low cranial nerve palsy was reduced from 1.8% to 1.3% and 0.7%, respectively. The length of hospitalization decreased by 2.56 days (25.2%) for step I and 3.05 days (30.0%) for step II. Days of ICU stay were reduced by 7.9% and 1.8%. The total cost per patient was reduced by 14.8% (step I). The cost per day was increased by 13.7% and 52.4%. An increase in the patient satisfaction index was noted, as shown in the ICU information guide (p=.002). Conclusion: The development and application of CP was found to improve the quality of medical treatment and the efficacy of hospital management in MVD patients. Well organized and efficient system and multidisciplinary teamwork are the key component of the successful application of CP.

Development of Mobile Application based on ICF(International Classification of Functioning, Disability and Health) for Provision of Assistive Devices for People with Disabilities (ICF를 활용한 효과적인 장애인 재활보조기기 신청 모바일 어플리케이션 개발)

  • Jung, Bong-Keun;Lee, Sung-A;Min, Se-Dong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.1
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    • pp.377-385
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    • 2014
  • This study is aimed to introduce the newly developed mobile application for effective provision of assistive devices for people with disabilities in South Korea. By combining of ICF code and ISO 9999 code, more effective way of searching user fit assistive device information and selecting appropriate assistive devices were possible. 10 people with visual impairment were recruited for an usability testing. For the data analysis, paired t-test were used and confidence interval was 95%. The result showed newly developed mobile application was more effective in comparison with on-line based assistive device information. The outcome of this study will enhance the provision of assistive devices for people with disabilities more effectively within better user understanding of their needs and compensate for their body function as well as environmental barriers.

Effects of Proton Beam Irradiation on Germination and Growth of Tobacco and Rice Plants (담배와 벼의 발아와 생장에 대한 Proton 빔조사의 영향)

  • Lyu Jae-Il;Sarantuya Gendaram;Chai Jong-Seo;Kim Jae-Hong;Yang Tae-Gun;Lee Min-Yong;Yang Deok-Chun;Bae Chang-Hyu
    • Korean Journal of Plant Resources
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    • v.18 no.3
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    • pp.462-469
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    • 2005
  • Effects of proton beam irradiation on seed germination and growth pattern of tobacco (Nicotiana tabacum L. cv. BY-4; N. plumbaginifolia) and rice (Oryasativa L.) plants were estimated to develop the efficient conditions of irradiation. Seed germination rate was decreased by increasing the proton beam the current and the beam irradiation time in both tobacco and rice seeds. The beam irradiation conditions showing $50\%$ germination were over 60 sec at 10 nA, approximately 5 sec at 100 nA and at 500 nA beam current in tobacco seeds. And the conditions of $50\%$ germination were 60 sec at 10 nA, and 100 nA and 30 sec at 500nA in rice (cv. Dongjin 1) seeds. The growth of irradiated plants was decreased, but significant difference in morphological changes was not observed by the proton beam treatment. The proton beam is able to use as a mutagen, but some of the factors including beam size and beam detector-system must be established for efficient usage of the beam.

Healthcare Application based on Radio Frequency (무선 통신 기반의 헬스케어 어플리케이션)

  • Seo, Jung-hee;Park, Hung-bog
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2009.05a
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    • pp.899-902
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    • 2009
  • As computer network and wireless technology continue to grow rapidly, a wide range of remote application has been applied to medical field such as remote medical consulting and remote patient monitoring. This research aims to design RF telecommunication-based healthcare application to collect and manage patient's physiological data, and describe the overall procedure of experiment. MySQL database is designed to record patient's physiological data including temperature, blood pressure and heart rate and save information about medical behaviors such as doctor's prescription for patients. Therefore, users approved by healthcare application can query patient's data and collected data can be used to reorganize data for clinical test. As a result, temperature and humidity of patient's room which must be checked frequently can be processed automatically through ubiquitous sensor network. The information entered from mobile phones or web is saved in database, ensuring systematical management through computer. Moreover, patient's family members can easily access hospital data, improving their experience with medical service.

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Induction of Apoptosis by a Combination of Paclitaxel and Carboplatin in the Presence of Hyperthermia

  • Huang, Tao;Gong, Wei-Hua;Li, Xiu-Cheng;Zou, Chun-Ping;Jiang, Guang-Jian;Li, Xu-Hui;Feng, Dian-Peng
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.1
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    • pp.81-85
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    • 2012
  • Purpose: To study enhancing effects of paclitaxel in the thermochemotherapy of osteosarcoma cell lines and related mechanisms. Materials and Methods: Paclitaxel and carboplatin were used alone or jointly on OS732 cell lines in the presence of hyperthermia. Inhibition of proliferation was measured by MTT assay and cellular changes were assessed with inverted phase contrast and fluorescence microscopy. Apoptosis was analyzed with flow cytometry (FCM) and Fas expression by immunocytochemistry. Results: At $43^{\circ}C$, one hour after the application of 10ug/ml paclitaxel and $5{\mu}g/ml$ carboplatin on OS732 cells jointly, the survival rate was 15.8% which was significantly lower than with $10{\mu}g/ml$ paclitaxel (45.8%) and $5{\mu}g/ml$ carboplatin (47.7%) respectively (P<0.01). Moreover, changes of morphology and apoptotic rates indicated that the apoptosis-inducing effect of combined application was also much enhanced, as evident also regarding Fas expression. Conclusion: Paclitaxel is conducive to thermochemotherapy of osteosarcoma cell lines, possibly accomplished by up-regulation of Fas expression with induction of apoptosis.

Implementation of a Medical Information Transmission Protocol Based on Mobile Wireless Communication (무선 이동통신 기술에 기반한 의료 정보 전송 프로토콜 구현)

  • 정희창;한민수
    • Journal of Biomedical Engineering Research
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    • v.19 no.1
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    • pp.19-24
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    • 1998
  • The main goal of this paper is to propose and to test a radio protocol based CSMA/CA (Carrier Sense Multiple Access with Collision Avoidance) for the purpose of enhancing the existing medical information system. The feature of the new medical information system, Medical Application Radio System(MARS), which operating in real time is the transmission of medical information in bi-direction between the hospital control office and patients mobile stations. MARS monitors patients linked to the network by radio and provides quick alarm, flexible documentation capabilities, asnd fast treatment for the analysis of collected medical data. The existing medical information system, radio telemetry system which transfers the message of patients to the CAP(Central Access Point) unit in one way at the speed of 9.6Kbps and operates a channel frequency bandwidth. To verify the Performance of the proposed system, we have performed the numerical analysis and have implemented a test system which consists of the 2.4Ghz radio transceiver and personal computer.

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Efficient Killing Effect of Osteosarcoma Cells by Cinobufacini and Cisplatin in Combination

  • Huang, Tao;Gong, Wei-Hua;Li, Xiu-Cheng;Zou, Chun-Ping;Jiang, Guang-Jian;Li, Xu-Hui;Qian, Hao
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.6
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    • pp.2847-2851
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    • 2012
  • Purpose: To study the killing effects on osteosarcoma cells of cinobufacini and cisplatin in combination and the related mechanisms so as to explore the chemotherapeutic method with integrated traditional Chinese and Western medicines. Methods: Cinobufacini and cisplatin were applied to OS732 cells singly or jointly and survival rates were measured by MTT assay. Changes in cellular shape were observed with inverted phase contrast and fluorescence microscopy and apoptosis rates were analyzed with flow cytometry (FCM). Immunocytochemistry were used to examine the Fas expression of OS732 cells. Results: The combination of cinobufacini and cisplatin had the effect of up-regulating Fas expression and inducing apoptosis. The survival rate of combined application of 100 ${\mu}g/ml$ cinobufacini and 1 ${\mu}g/ml$ cisplatin on OS-732 cells was significantly lower than with either of the agents alone (p<0.01). Changes in cellular shape and apoptotic rates also indicated the apoptosis-inducing effects of combined application were much enhanced. Conclusion: The combination of cinobufacini and cisplatin demonstrated strong killing effects on OS-732 cells which might be related to up-regulation of Fas expression.

A Clinical study carried out common acupuncture therapy and Bee-Venom Acupuncture on HNP of L-spine (봉독약침병행치료(峰毒藥鍼竝行治療)한 요추간판탈출증환자(腰椎間板脫出症患者)의 임상고찰(臨床考察))

  • Bae, Eun-Jeong;Cho, Hyun-Yeul;Jin, Jae-Do;Shin, Min-Kyu;Han, Sang-Gyun;Yang, Gi-Young;Hwang, Kyu-Jung;Shin, Young-Il;Lee, Hyun;Lee, Byung-Ryul
    • Journal of Acupuncture Research
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    • v.19 no.1
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    • pp.54-64
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    • 2002
  • Objective : The one of the main cause in back pain & sciatica is HNP of L-spine. This study is for taking data for the clinical application of Bee-Venom Acupuncture on HNP of L-spine. Methods : This clinical study was carried out 24 patients with HNP of L-spine, who had been admitted from March, 2001 to November, 2001. We devided the patients into two groups; One was an experimental group, treated by 2 methods-common acupuncture therapy and Bee-Venom Acupuncture. The other was an control group, treated only by common acupuncture therapy. Results and Conclusion : In an experimental group, there were 4 excellent cases (33.33%) and 5 good cases(41.67%). In an control group, there were 2 excellent cases (16.67%) and 5 good cases (41.67%). We thought that it needed to prove effects of Bee- Venom Acupuncture for efficient application by more clinical data from now.

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Applications and Effects of EdTech in Medical Education (의학교육에서의 에듀테크(EdTech)의 활용과 효과)

  • Hong, Hyeonmi;Kim, Youngjon
    • Korean Medical Education Review
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    • v.23 no.3
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    • pp.160-167
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    • 2021
  • Rapid developments in technology as part of the Fourth Industrial Revolution have created a demand for educational technology (EdTech) and a gradual transition from traditional teaching and learning to EdTech-assisted learning in medical education. EdTech is a portmanteau (blended word) combining the concepts of education and technology, and it refers to various attempts to solve education-related problems through information and communication technology. The aim of this study was to explore the use of key EdTech applications in medical education programs. A scoping review was conducted by searching three databases (PubMed, CINAHL, and Educational Sources) for articles published from 2000 to June 2021. Twenty-one studies were found that presented relevant descriptions of the effectiveness of EdTech in medical education programs. Studies on the application and effectiveness of EdTech were categorized as follows: (1) artificial intelligence with learner-adaptive evaluation and feedback, (2) augmented/virtual reality for improving learning participation and academic achievement through immersive learning, and (3) social media/social networking services with learner-directed knowledge generation, sharing, and dissemination in medical communities. Although this review reports the effectiveness of EdTech in various medical education programs, the number of studies and the validity of the identified research designs are insufficient to confirm the educational effects of EdTech. Future studies should utilize suitable research designs and examine the instructional objectives achievable by EdTech-based applications to strengthen the evidence base supporting the application of EdTech by medical educators and institutions.

The Development of Safety and Essential Performance Criteria for Lower Extremity Robotic Assisted Gait Training System (하지 로봇재활의료기기의 안전성 및 필수성능 평가 기준 개발)

  • Yong Wan Kang;Ji Yean Kwon
    • Journal of Biomedical Engineering Research
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    • v.44 no.3
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    • pp.190-203
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    • 2023
  • The purpose of this study is to provide basic data to ensure the safety and essential performance of a Lower Extremity robotic assisted gait training system and to provide advanced technology and technical basis to the industry handling the system. Based on IEC 60601-1:2012/AMD2:2020 (Medical Electrical Equipment - General requirements for basic safety and essential performance of medical electrical equipment), IEC 62366-1:2015/AMD1:2020 (Medical devices - Part 1: Application of usability engineering to medical devices) and EN ISO 14971:2019 (Medical devices - Application of risk management to medical devices), the requirements for ensuring the safety and essential performance of the Lower Extremity robotic assisted gait training system were derived. Through the Delphi survey method and scenario analysis, which reflects the opinions and knowledge of experts in the fields of development, testing and review of technical documents, and quality assurance of medical devices, validity and reliability were conducted and obtained results with adequate content validity ratio (CVR; 0.7≤) and excellent reliability (Cronbach's α; 0.9≤). As a result, it was confirmed that the reliability and validity of the risk management process to ensure the safety and essential performance of the Lower Extremity robotic assisted gait training system are required a model can be established to provide measures to reduce risks according to the level of risk exposure caused by usage.