• Title/Summary/Keyword: Medical Device Management

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Effect of Inhaled Steroids on the Cortisol Concentration by Different Dosage or Delivery Method (흡입성 스테로이드 제제의 투여용량 및 방법이 기저 코르티솔농도에 미치는 영향)

  • Lee, Yong-Chul;Rhee, Yang-Keun
    • Tuberculosis and Respiratory Diseases
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    • v.42 no.6
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    • pp.888-899
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    • 1995
  • Background: Topical inhaled steroids, budesonide(Bu) and beclomethasone dipropionate (BOP), are now established as effective drugs in the management of chronic asthma. These drugs have high topical anti-inflammatory effect with low systemic activity. This study was performed to determine the effects of two inhaled corticosteroids, Bu and BOP, on the adrenocortical supression in 44 patients with bronchial asthma or chronic obstructive pulmonary disease. Methods: The adrenocortical function was assessed by measurement of serum cortisol concentration at 8 o'clock in morning and free cortisol in 24-hour urine collection at interval in 44 patients. No steroid was administered during the pretreatment period of 10 days and the final 6 days of the study. Each subject inhaled BOP or Bu, in daily doses of 800 or 1,600 micrograms for 12 days. The dose was delivered by metered dose inhaler (MDI) or diskhaler or large spacing device attached to MDI. Results: The levels of serum cortisol and 24-hour urinary free cortisol were decreased during the treatment period in patients inhaled Bu delivered by MDI in daily doses of 800 and 1,600 micrograms. In contrast, serum cortisol level was decreased on 6 and 12th day of treatment period in patients with BDP diskhaler in daily doses of 800 micrograms. In daily doses of 1,600 micrograms, the serum cortisol and 24hour urine free cortisol levels were decreased on 6, 9 and 12th day of treatment period in patients with BDP disk haler. The serum cortisol and 24-hour urinary free cortisol levels were not significantly decreased during the treatment period in patients inhaled Bu delivered by large spacing device attached to a MDI. Conclusion: These results showed that 1) the endogenous cortisol secretion was suppressed after inhalation of BDP and Bu in daily doses of 800 and 1,600micrograms, 2) Bu with MDI suppressed the adrenocortical function more than BDP with diskhaler, in daily doses of 1600 micrograms. and 3)large spacing device attached to a MDI might decrease the risk of suppression in the hypothalamic -pituitary- adrenal axis.

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Development of Wearable Physical Activity Monitoring System (웨어러블 신체 생체 활동 모니터링 시스템 개발)

  • Park, Eun-Ju;Park, Do-Young
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.11 no.1
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    • pp.34-39
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    • 2018
  • Along with the development of ICT technology, wearable devices of various sizes and shapes have been developed. In addition, performance and specifications are rebuilt with IOT fusion products so that they can connect with the current smartphone. This is one of the general-purpose technologies of the 4th industrial revolution, which is spot-lighted with technology that changes the quality and environment of our lives. Along with this, as new technology products combining health care technology increases, various functions are provided to users who need it. Wearable technology is ongoing trend of technology development. It also sells products developed as products in the form of smart watches. At present, various related products are made in various ways, and it is recommended to use the Arduino processor in accordance with the application. In this study, we developed wearable physical activity monitoring system using open source hardware based TinyDuino. TinyDuino is an ultra-compact Arduino compatible board made on the basis of Atmega process Board, and it can be programmed in open source integrated development environment(named Sketch). The physical activity monitoring system of the welfare body can be said to be a great advantage, as a smart u-Healthcare system that can perform daily health management.

A Study on People Count of Hospital Facilities Using Wi-Fi MAC (WiFi MAC을 이용한 병원시설 인원계수의 활용에 관한 연구)

  • Yun-Kyoo Ryoo
    • Journal of the Health Care and Life Science
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    • v.10 no.2
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    • pp.253-258
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    • 2022
  • It is a widely known fact that MAC addresses can be collected using Wi-Fi from mobile phones that people carry. However, since collecting and using MAC addresses without individual consent entails many legal problems, it was difficult to actively utilize them. In order to prevent invasion of privacy information due to unintentional exposure of these MAC addresses in recent years, the method of protecting privacy information by exposing a randomly generated virtual MAC address rather than the MAC address of the actual device is applied to all mobile devices. is becoming By exposing a randomly generated virtual MAC address on a device, it becomes impossible to identify and track an individual using the MAC address. However, the fact that various facts can be estimated through MAC Address collection is still valid. By expanding the application of Random MAC Address, the possibility of invasion of privacy information has been completely removed from the MAC address that has been raised in the past, so that it can be used more actively than in the past. In this paper, we propose a method for automatically collecting and analyzing statistical information of hospital visitors using MAC addresses. The collection of hospital visitors using MAC Address is a low cost and relatively accurate method, and the analysis of hospital visitors through steady collection can provide very objective and scientific evidence for hospital operation.

Design and Implementation of u-Healthcare System for u-Wellness (u-웰니스를 위한 u-헬스케어 시스템의 설계와 구현)

  • Seo, Hyunsoo;Ryu, Dae-Hyun;Choi, Taewan
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.11
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    • pp.5506-5511
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    • 2012
  • u-Wellness is widely applicable to individuals and medical service providers such as hospitals and it includes u-fitness and video health counselling services at the side of the provider and stress management, obesity management, and the amount of exercise at the side of the individual. In this paper, we design and implement a smart health care system which uses the authentication device to identify an individual and the user's smart phone. Our system records and manages the amount of exercise on the basis of the prescription of health care professionals through the exercise equipment and Wi-Fi communication. Therefore, our system helps user do optimized amount of exercise through the health care professional's prescription. And our system quantifies the results of the measurement of body fat measuring machines and experts to build the database and automatically schedule.

A Study of the Neonatal Care in the hospitals located in Pusan (부산광역시 소재 병원의 신생아간호 실태조사)

  • Kim, Young-Hae;Lee, Hwa-Za;Kim, Soon-Goo
    • Korean Parent-Child Health Journal
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    • v.6 no.1
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    • pp.31-45
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    • 2003
  • This study is designed to produce basic data on the nursing intervention between infants and mothers after discharge from hospitals. This research is carried by investigating the nursing intervention during their after-delivery staying in the hospitals located in Pusan. The object of this study includes the neonatal wards of 51 hospitals. Data collection was carried from the 3rd of September, 2001 to the 4th of October in the same year. Tools for measurement using in this research is the nursing checklist designed by these researchers. The data were analyzed by using SPSS and the output was produced in frequency and percentage considering general characteristics and nursing activities. On the course of investigation, it was revealed that the average number of items checked are as follows; total beds in one hospital came up to 360.1, the beds in each newborn infant ward came up to 36.1, in each ward the numbers of incubators came up to 9.2 and intensive care unit to 1.7. In each ward 8.4 nurses and 2.9 nurse aids were working at that time. In each hospital, secure of air way, physical examination, eye care, umbilical cord care, maintenance of body temperature, identification of infant, nutritive condition, safety and danger management, infection management, mother-infantile interaction, medical assistant to doctor, medication and discharge education were comparatively well done. But, in case of emotional, social and cognitive aspect of nursing activities through interactions between newborn infants and nurses as substitutes are not reached to the adequate level. In the end, this study hereby suggests that further investigation on the device to facilitate the interaction between newborn infant and nurse as a nursing intervention of high quality.

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An Anonymous Authentication Scheme for Health Information Push Service Based on Indoor Location in Hospital (병원 실내 위치기반 의료정보 푸쉬 서비스를 위한 익명 인증 스킴)

  • Ahn, Hae-Soon;Yoon, Eun-Jun;Nam, In-Gil
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.37 no.5C
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    • pp.410-419
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    • 2012
  • This paper proposes a secure and efficient anonymous authentication scheme for health information push service based on indoor location in hospital. The proposed scheme has the following benefits: (1)It is just based on a secure one-way hash function for avoiding complex computations for both health care operations users and health care centers. (2)It does not require sensitive verification table which may cause health care centers to become an attractive target for numerous attacks(e.g., insertion attacks and stolen-verifier attacks), (3)It provides higher security level (e.g., secure mutual authentication and key establishment, confidential communication, user's privacy, simple key management, and session key independence). As result, the proposed scheme is very suitable for various location-based medical information service environments using lightweight-device(e.g., smartphone) because of very low computation overload on the part of both health care operations users and health care centers.

Mutual Authentication Method for Hash Chain Based Sensors in IoT Environment (IoT 환경에서 해시 체인 기반 센서 상호 인증 기법)

  • Lee, Kwang-Hyoung;Lee, Jae-Seung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.11
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    • pp.303-309
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    • 2018
  • Internet of Things technology is an intelligent service that connects all objects to the Internet and interacts with them. It is a technology that can be used in various fields, such as device management, process management, monitoring of restricted areas for industrial systems, as well as for navigation in military theaters of operation. However, because all devices are connected to the Internet, various attacks using security vulnerabilities can cause a variety of damage, such as economic loss, personal information leaks, and risks to life from vulnerability attacks against medical services or for military purposes. Therefore, in this paper, a mutual authentication method and a key-generation and update system are applied by applying S/Key technology based on a hash chain in the communications process. A mutual authentication method is studied, which can cope with various security threats. The proposed protocol can be applied to inter-peer security communications, and we confirm it is robust against replay attacks and man-in-the-middle attacks, providing data integrity against well-known attacks in the IoT environment.

Self-Organizing Middleware Platform Based on Overlay Network for Real-Time Transmission of Mobile Patients Vital Signal Stream (이동 환자 생체신호의 실시간 전달을 위한 오버레이 네트워크 기반 자율군집형 미들웨어 플랫폼)

  • Kang, Ho-Young;Jeong, Seol-Young;Ahn, Cheol-Soo;Park, Yu-Jin;Kang, Soon-Ju
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.38C no.7
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    • pp.630-642
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    • 2013
  • To transmit vital signal stream of mobile patients remotely, it requires mobility of patient and watcher, sensing function of patient's abnormal symptom and self-organizing service binding of related computing resources. In the existing relative researches, the vital signal stream is transmitted as a centralized approach which exposure the single point of failure itself and incur data traffic to central server although it is localized service. Self-organizing middleware platform based on heterogenous overlay network is a middleware platform which can transmit real-time data from sensor device(including vital signal measure devices) to Smartphone, TV, PC and external system through overlay network applied self-organizing mechanism. It can transmit and save vital signal stream from sensor device autonomically without arbitration of management server and several receiving devices can simultaneously receive and display through interaction of nodes in real-time.

Conflict resolution and political tasks on the usage of beauty care devices by beauty artists (미용업종사자의 미용기기 사용에 대한 분쟁해결과 정책적 과제)

  • Kim, Ju-Ri
    • Journal of Arbitration Studies
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    • v.27 no.2
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    • pp.83-105
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    • 2017
  • In contemporary society interest in and consumption of beauty treatment are increasing, raising interest in health and beauty. However, beauty-related laws are becoming factors of hindrance of beauty development. Currently the Public Health Control Act plays a basic role in the beauty art business in Korea, However the contents are in discord with international laws and its definition is not clear. Therefore it is causing conflicts of different occupations and job associations which are similar to art business. Especially, because neither definitions nor policies on beauty care devices exist in the Public Health Control Act, beauty care devices using in foreign countries cannot be used in Korea due to classification as medical devices. Under this circumstance, therefore, beauty care device uses by beauty artists violate the law. The government has tried to solve these irrational regulations. Recently, the Small and Medium Business Administration announced 'the improvement plan of small business and young founders site regulation for public economy recovery' in a ministerial meeting on December 28, 2016. Regulations on policy preparation for skincare devices were inclusive in this announcement. It is the question whether the regulations will be executed or not. Even though beauty industrial competitiveness was presented in the 18th Presidential Council on National Competitiveness in 2009, it was not practiced. The proposal bills for beauty law improvement have been put forth several times since 2000 including an improvement plan for regulating beauty care devices. However, so far there have been no improvements. The damage on the regulation classifying beauty devices as medical devices is not only restricted to skincare. This develops beauty devices and the beauty industry which imports and exports beauty devices. When beauty devices are exported, complicated procedures are unavoidable and when beauty devices are imported, irrational problems like reregistration procedures and costs occur. The reason why an improvement plan has not gone into practice is the resistance of the dermatologists' association. Dermatologists tend to stand positively against harming public health by saying that beauty devices used by beauty artists cause people to suffer side effects. In contrast, anyone who has a licence to use beauty devices is able to use them in foreign countries. It is not only infringement of one's right as a beauty artist but also people's right to receive beauty care services. With this reason, Korean's current law under which beauty devices are ruled as medical devices should be revised with accordance to domestic surroundings. Therefore in order to advance and globalize the beauty industry, the support and cooperation of the Korean government and relevant associations is needed to legislate and revise the beauty devices laws. The relevant associations abandon regional self-centeredness and cooperate to define ranges, size and management of beauty devices for safe use. If no collaboration exists, an arbitration agency should be established to solve the problem.

New techniques for wound management: A systematic review of their role in the management of chronic wounds

  • Bekara, Farid;Vitse, Julian;Fluieraru, Sergiu;Masson, Raphael;De Runz, Antoine;Georgescu, Vera;Bressy, Guillaume;Labbe, Jean Louis;Chaput, Benoit;Herlin, Christian
    • Archives of Plastic Surgery
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    • v.45 no.2
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    • pp.102-110
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    • 2018
  • Debridement is a crucial component of wound management. Recent technologies such as hydrosurgery (Versajet), ultrasound therapy (the MIST therapy device), or plasma-mediated bipolar radio-frequency ablation therapy (Coblation) seem to represent interesting alternatives for wound debridement. The purpose of this systematic review was to describe, evaluate, and compare these three recently developed methods for the management of chronic wounds. In January 2016, an electronic database search was conducted of MEDLINE, PubMed Central, and Embase for articles concerning these three innovative methods for the management of chronic wounds. A total of 389 references were identified by our search strategy, and 15 articles were included. We extracted data regarding the number and age of patients, indications, operating time, number of procedures, costs, wound healing time, decrease in exudation, perioperative blood loss, bacterial load, and the occurrence of complications. The 15 articles included studies that involved 563 patients who underwent hydrosurgery (7 studies), ultrasound therapy (6 studies), or Coblation (2 studies). Six randomized controlled trials were included that compared the use of a scalpel or curette to hydrosurgery (2 studies) or ultrasound therapy (6 studies). Hydrosurgery, in addition to being a very precise and selective tool, allows significantly faster debridement. Ultrasound therapy provides a significant reduction of exudation, and improves the wound healing time. No comparative study dedicated to Coblation was identified. Despite the obvious clinical interest of the topic, our review of the current literature revealed a lack of prospective randomized studies comparing these devices with each other or with standard techniques, particularly for Coblation and hydrosurgery.