• Korea Journal of Hospital Management
• /
• v.23 no.1
• /
• pp.1-15
• /
• 2018

Recently, the importance of emergency medical services has emerged, as rapid advances in urbanization and industrial development. Accordingly, the need for effective emergency medical services is increasing, and the evaluation of an emergengy medical services centers is conducted to meet these policy needs. The purpose of this study was to analyse the relationship between the structure and the process domain of the evaluation of an emergency medical services center based on the Donabedian's model and to verify the validity as an index of quality evaluation through the results. As a result of the analysis, there were some indicators that showed a different direction than expected, but generally there was a significant correlation between the structure and process domains of the evaluation of an emergency medical services center. This suggests that the process can be improved by improving the structure. In conclusion, as structure and process indicators in evaluation of an emergency medical services center show significant relationship, it can be evaluated as validity as a tool to measure the quality of emergency medical services.

• International journal of advanced smart convergence
• /
• v.13 no.1
• /
• pp.180-184
• /
• 2024

Since COVID-19, many foreign tourists have visited Korea for medical tourism. When statistical data were checked from 2022, after COVID-19, the number of foreign patients visiting Korea for two years was 24.8 million, an increase of 70.1% from 2020. It was confirmed that it has achieved a 50% level compared to 2019 (Statistics Office, 2023). Therefore, to create a development plan by linking medical tourism and wellness tourism, the purpose of this study is to find the link between medical tourism and wellness tourism as big data and present a development plan. In this research method, medical tourism, and wellness tourism for two years from 2022 to 2023 from the post-COVID period as big data are set as central keywords to compare text data to find common points. When analyzing wellness tourism and medical tourism, it was confirmed that most wellness tourism had a greater frequency than medical tourism. This confirmed that wellness tourism occupies a larger pie than medical tourism. As a result, when checking the word frequency, it was confirmed that wellness tourism and medical tourism share a lot as complex tourism products, and when checking 2-gram, to attract many medical tourists, it is necessary to combine medical tourism clusters and wellness tourism according to each other's characteristics among local governments.

• Proceedings of the KOSOMBE Conference
• /
• v.1995 no.05
• /
• pp.104-108
• /
• 1995

Von Mises stress and compliance distribution was evaluated using a finite element analysis on the anastomosis of an artery with length of 20mm, inner diameter of 4mm, thickness of 0.5mm and a PTFE graft with length of 5.7mm, Inner diameter of 2mm. thickness of 0.2mm. When anastomotic angle was taken as $45^{\circ}$ and inner pressure of $1330\;dyne/mm^2$ was applied inside the 2 conduits. From the analysis results were obtained as follows. (1)Artery diameter increased in both horizontal x and vertical y directions and the magnitude of that in x direction was bigger than in y direction. (2) The compliance was maximum on the anastomosis. especially on that with acute angle. This reduced approaching to the right or left end. (3) The equivalent stress was maximum on top in the y direction and winimum on the nodes around $110^{\circ}$ in circumferential direction from the top. (4) The equivalent stress was maximum in the vicinity of anastomosis with acute angle along the longitudinal direction of the artery. This trend was also observed along the PTFE graft.

• Korean Journal of Acupuncture
• /
• v.28 no.2
• /
• pp.1-11
• /
• 2011

Objectives : The aim of this study was to examine the effect acupuncture by needle manipulation at acupoints, SP3 HT7, on the blood pressure and renin and atrial natriuretic peptide(ANP) in plasma, cardiac hypertrophy in hypertensive rats induced by two kidney one clip (2K1C). Materials and Methods : The experiments were performed on twenty-five Sprague Dawley rats, 2K1C hypertension model was prepared by constricting the left renal artery with a sliver clip. Animals were divided into five groups, control, AC-1a and AC-2a(acupuncture at SP3 HT7 bilaterally and the needle was twirled and rotated forward with the thumb and forefinger of the right hand 6 times), AC-3a(acupuncture at SP3 HT7 bilaterally and the needle was inserted in the opposite direction(body direction) as the channel runs), AC-4a(acupuncture at SP3 HT7 bilaterally and the needle was inserted in the opposite direction(body direction) as the channel runs and the needle was twirled and rotated forward with the forefinger of the right hand 6 times). The treatments were started on the 4 week after inducing 2K1C, and they were performed two times a week for 3 weeks in rats. Results : The results are that The blood pressure was significantly decreased at 4 times in Acu-1a, The cardiac hypertrophy was significantly decrease in Acu-2a and Acu-3a. The activity of plasma renin was decreased in all groups without control and Acu-1a, and that of plasma ANP was decrease in Acu-2a and Acu-3a than control group. Conclusions : These results suggest that acupuncture on SP3 HT7 mostly cause significant changes on controlling renal hypertension induced by 2K1C in the rats.

• Korean Journal of Acupuncture
• /
• v.24 no.3
• /
• pp.165-177
• /
• 2007

Objectives : The purpose of this study was to examine effects of acupuncture by needle manipulation at $LR1{\cdot}Kl1$ on the blood pressure, plasma levels of ANP(atrial natriuretic peptide), renin and cardiomegalic index in hypertensive rat Induced by two kidney one clip(2K1C). Material and methods : The groups divided into 7 groups; Control, no treatment. Acu-1,acupuncture at $LR1{\cdot}Kl1$ bilaterally and the needle was twirled and rotated forward with the thumb of the right hand 6 times. Acu-2, acupuncture at $LR1{\cdot}Kl1$ bilaterally and the needle was twirled and rotated forward with the forefinger of the right hand 6 times. Acu-3, acupuncture at $LR1{\cdot}Kl1$ bilaterally and the needle was inserted in the opposite direction(body direction) as the channel runs, Acu-4, acupuncture at $LR1{\cdot}Kl1$ bilaterally, the needle was inserted in the opposite direction(body direction) as the channel runs and the needle was twirled and rotated forward with the forefinger of the right hand 6 times. The acupuncture executed 5times for 2 weeks. Results : Systolic blood pressure was decreased significantly in Acu-2, Acu-3 and Acu-4. Plasma renin was decreased significantly in Acu-2 and Acu-4. Plasma ANP was increased significantly in Acu-2, however was decreased significantly in Acu-4. Cardiac hypertrophy index was decreased significantly in Acu-1, Acu-2, Acu-3 and Acu-4. Conclusions : These results suggest that acupuncture by needle manipulation at $LR1{\cdot}Kl1$ is effective in hypertension by renal blood problem.

• The Journal of Korean Society for Radiation Therapy
• /
• v.24 no.2
• /
• pp.175-181
• /
• 2012

Purpose: This study aimed to analyze the influence of aquaplastic mask which is used for the radiotherapy for patients with head and neck cancer on patient positioning by analyzing the results of 2D/2D matching with the use of Exactrac 6D couch system. Materials and Methods: 2D/2D matching-based Image guidance was performed with the use of Exactrac 6D couch system on a total of 14 patients with head and neck cancer who received radiotherapy at this hospital in a period from June 2010 to June 2011. The adjusted 6D values obtained after the image guidance were classified into values related with patients and values not related with patients as to the correlation between the results. Results: In the analysis of the relation of each adjusted value to patients, the coefficient of determination ($R^2$) of longitudinal and pitch direction was 0.76, of longitudinal and yaw direction was 0.48, and of pitch and yaw direction was 0.42 although the coefficient of determination for above factors was 0.03 or less when the dependency of patients was excluded. Conclusion: It was demonstrated that intrinsic factors of aquaplastic mask had influence on the immobilization of patients by aquaplastic mask although various factors related with patients had influence on the immobilization of patients. It is believed that if these factors are adjusted, the treatment of patients with head and neck cancer can be more accurate.

• Journal of the Korean Society of Physical Medicine
• /
• v.18 no.2
• /
• pp.61-70
• /
• 2023

PURPOSE: This study evaluated an intrinsic foot strengthening exercise method for flat feet by comparing the effects of intrinsic exercises on a stable surface and intrinsic exercises on an unstable surface. METHODS: Twenty-four people with flat feet were divided into two groups. The control group performed short foot exercises and toe towel curl exercises on the stable support surface. The experimental group performed short foot exercises and toe towel curl exercises on an unstable support surface using Aerostep. The navicular drop test, and the static and dynamic balance were measured before and after the intervention. RESULTS: In the experimental and control groups, there was a significant difference in the navicular drop test and static balance before and after the intervention (p < .05). On the other hand, there was no significant difference between the two groups (p > .05). In the dynamic balance, the experimental group showed significant differences in all directions after the intervention (p < .05). The control group showed significant differences in the postero-lateral direction and posteromedial direction (p < .05). In particular, in the forward direction, the experimental group had a more significant change than the control group (p < .05). CONCLUSION: Intrinsic foot muscle strengthening exercises performed on unstable surfaces can be an effective clinical exercise method to improve the dynamic balance ability of people with flat feet.

• Journal of the Korea Institute of Information and Communication Engineering
• /
• v.21 no.4
• /
• pp.836-845
• /
• 2017

Due to the development of endoscopic technology, endoscopic diagnosis and procedures have been actively performed. However, due to the increase in colorectal cancer and the effect of government's early cancer screening project, the number of endoscopic diagnosis and procedures has increased, thus medical accidents such as perforation and bleeding are increasing. Therefore, efforts to reduce such medical accidents are needed. In this paper, we propose a method to provide the direction information of the endoscope and the force applied to the probe in real time. We also propose and evaluate an interpolated complementary filter considering the very slow movement of the endoscope probe. The proposed interpolated complementary filter showed 34.6% and 27.6% performance improvement. The expected user interface for applying the proposed method to the endoscopic system is also presented. This shows that the proposed method is applicable to endoscopy system.

• Journal of Korean Medical classics
• /
• v.31 no.2
• /
• pp.83-103
• /
• 2018

Objectives: The Qing Dynasty experienced a development in Yunqi even greater than in the Ming Dynasty. Popularization and universalization of Yunqi theory led to many books on the subject published, especially with weights on Warm Heat Disease and Pestilence, also giving birth to new Yunqi theories. A study into this development has a great significance in the study of the traditional medicine in Qing. Methods: The paper studies the Yunqi books published in the Qing dynasty to find out the unique characters of those books. To understand the direction which the Yunqi theory in the Qing period took, the paper also reviewed the positions of different groups, those who were favorable, those who compromised, and those who were unfavorable. Results: Four directions were taken by the study of Yunqi in the Qing period. First is the systemic study and composition of Neijing's chapter of Yunqi. This direction was taken by Liumaoxiu's NeiJingYunQiBingShi) and $N{\grave{e}}ijingyunqibiao$, Xuefuchen's Suwenyunqitushuo, Zhuenhua's Suwenyunqiqianshuo, an unknown person's Su wen yunqi chao, Weigeliu's Neijingqihuapian. The second direction is the study of Yunqi in relation with the Warm Heat Disease and Pestilence, which was taken by Mayin lin's Wuyunliuqiwenyifayuan, Lumaoxiu's Suwenyipianbìngshi, Litianchi's Shiyiwenbingqìyunzhengyan lun, and Wangxun's Cihangsanyuanfujifang. The third direction deals with a new Yunqi theory. The Fourthis the explanation of Yunqi in the form of Songs, which was taken by Wuqian's Yunqiyaojue, and Wengzao's Yunqiyaojue. Conclusions: Ludanchen published Yunqibian, and explained that Haizichouyinmaochen, which is the eclipse's south latitude, becomes Nanzheng, and Southern government, which is the eclipse's north latitude, becomes Northern government. Lumaoxiu revealed that the Liuqidasitian, founded by Wangpuzhuang, his great grandfather on the mother's side, is in alignment with the theory of Dashitian, used by Liushozhen, Lidongyuan, Zhudanxi, and Zhangjingyue. The representative figure in the favorable view of Yunqi in the Qing period is Wuyang, that of those who compromised is Fengzhaozhang, and that of opposition is Zhangzhuo.

• Progress in Medical Physics
• /
• v.13 no.3
• /
• pp.135-138
• /
• 2002

Fractionated stereotactic radiosurguy (FSRS) requires precise and reproducible patient set up. For these reasons non-invasive mask fixation methods have been used in Linac based FSRS. In this study, we measured and assessed the isocenter reproducibility using a commercial head mask fixation system based on thermoplastic materials. For the verification and the measurement of isocenter deviation a special acrylic brain phantom was designed. The designed phantom has 22 vertical rods and each rod has different lengths. At the end of the 8 rods, the monochromic film is attached and irradiated due to planned target position. Deviations of isocenter were measured separately for each direction. The mean deviation showed 0.4 mm in longitudinal direction, 0.1 mm in the lateral direction, 0.1 mm in the anterior-posterior direction of the treatment couch. The data demonstrates the high accuracy and reproducibility. This study reinforces previous literature published.