• Title/Summary/Keyword: Medical Direction

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Recent Research Trend and Future Direction in Dental Biomaterials (치과생체재료 연구의 현황과 전망)

  • 김철위;이용근
    • Journal of Biomedical Engineering Research
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    • v.20 no.3
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    • pp.251-264
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    • 1999
  • 현재의 치과생체재료학의 연구현황을 분석하고 새로운 천년의 연구방향을 전망하기 위한 본 글로는 지금까지 발표한 치과생체재료학 분야의 연구를 요약하고 향후 발전 방향을 예측한 여러 의견을 제시하고자하며 각 재료와 특성별로 앞으로의 연구방향을 설정하고자한다.

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A Study on Legal Liability and Efficient Planning for Alternative Dispute Resolution in Medical Disputes (의료분쟁의 법적책임과 ADR제도의 효율적 운영방안)

  • Nam, Seon-Mo
    • Journal of Arbitration Studies
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    • v.26 no.4
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    • pp.129-149
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    • 2016
  • Medical dispute means the dispute between the hospital and the patient due to a medical accident. In general, medical accidents must be in accordance with the terms that are used in the medical dispute adjustment method stated in Article 2 (definition). In relation to this, there is a need to discuss an efficient operation scheme for Alternative Dispute Resolution (ADR) in medical disputes. In addition, it is necessary to look at issues of civil liability and criminal liability. In particular, in the consumer dispute arbitration committee, there is a case to make a "decision not to adjust" in aggressive intervention in the process of conflict resolution. The medical staff, on the basis of its "decision," can use this as a proven material for civil and criminal cases. This is rather upon the determination of the consumer council as a typical side effect to defend the user's perspective. This is the "decision" as was expressed from an order, "not adjusted." It is also determined to be easy and clearly timely. In the medical litigation, it is requesting the burden of proof of a patient's cause-and-effect relationship with the doctors committing negligence and medical malpractice. This seems to require the promotion of legislation in the direction to reduce future cases. It is determined that the burden of proof of medical accidents must be improved. The institution receiving the medical accident should prevent a closure report. Further, it is necessary to limit the transition to a franchise point. In this paper, we understand the problems of the current medical dispute resolution system, trying to establish a medical dispute resolution system desirable through an efficient alternative. In addition, it wants help in the protection and realization in medical consumers' and patients' rights. The relevant authorities will take advantage of these measures. After all, this could contribute to the system for a smooth resolution of a medical dispute.

Development of Tomotherapy couch device capable of yaw-directional correction (Yaw방향의 보정이 가능한 Tomotherapy couch device의 개발)

  • Chae, Moon Ki;Kwon, Dong Yeol;Sun, Jong Lyool;Choi, Byung Ki
    • The Journal of Korean Society for Radiation Therapy
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    • v.30 no.1_2
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    • pp.139-151
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    • 2018
  • Objectives : A self-made "Tomotherapy couch device" capable of correcting the Yaw direction was fabricated and evaluated for its usefulness. Materials and Methods : "Tomotherapy couch device" capable of correcting the Yaw direction is made of rigid fibreboard with a flexural strength of $200kg/cm^2$. CBCT Image from Novalis Tx and Iso-Align Phantom from MED-TEC were used to evaluate the physical accuracy. The treatment plan was designed using Accuray $Precision^{TM}$ and In House Head and Phantom. Accuray $PrecisionART^{TM}$ and $Precision^{TM}$ was used to evaluate dose. Results : Evaluation results, the self-fabricated device accurately corrected the setup error, Target dose was within 95 %~107 % of all. In order to directly evaluate the OAR dose according to the Yaw change, the absolute dose was measured. As a result, when the error in the Yaw direction was $3^{\circ}$, the specific OAR showed a maximum difference of 18.4 %. Conclusion : "Tomotherapy couch device" capable of correcting the Yaw direction can be manufactured at a lower cost compared to the effect, and it can prevent the patient's MVCT image dose for re-imaging. Accurate radiation therapy without errors can be performed.

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Direction of Emergency Rescue Education Based on the Experience of New 119 Paramedics for National Health Promotion (국민건강증진을 위한 응급구조학 교육의 나아갈 방향 -신임 119구급대원의 출동경험을 바탕으로-)

  • Kim, Jung-Sun
    • Journal of Korea Entertainment Industry Association
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    • v.15 no.1
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    • pp.207-220
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    • 2021
  • The purpose of the study is to investigate the application and utility of emergency rescue education and derive limitations, improvements and development directions of university education based on the field experience of 119 emergency medical technician(EMT)s. The research subjects were six new 119 emergency medical technician(EMT)s within three years of starting their first-aid service in the field. After conducting in-depth narrative interviews, the analysis was performed using Colaizzi method. The 82 formulated meanings were derived from significant statements. From formulated meanings, 23 themes, 4 theme clusters, 2 categories were identified. The four theme clusters were 'The effectiveness of university education', 'The limitations of university education', 'The direction of improvement in educational methodology' and 'The direction of improvement in educational contents. University education has been helpful overall, but limitations are observed at the same time, suggesting that it should be developed through the improvement of educational methodologies (i.e. problem-based learning, field case review, education through role-playing, simulation education, strengthening skill ect.) and educational content (i.e. training tailored to the field, education focused on trauma or cardiac arrest, expansion of triage education in disaster management, reinforcement of education on-site safety, education on special patients, diverse guidance and faculty for different perspectives).

A New Method of Estimating Coronary Artery Diameter Using Direction Codes (방향코드를 이용한 관상동맥의 직경 측정 방법)

  • Jeon, Chun-Gi;Gang, Gwang-Nam;Lee, Tae-Won
    • Journal of Biomedical Engineering Research
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    • v.16 no.3
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    • pp.289-300
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    • 1995
  • The conventionally used method requires centerline of vessels to estimate the vessel diameter. Two methods of estimating the centerline of vessels are reported : One is manually observer-defined method. This potentially contributes to inter-and intra-observer variability. And the other is to auto- matically detect the centerline of vessels. But this is very complicated method. In this paper, we propose a new method of estimating vessel diameter using direction codes and position informs:ion without detecting centerline. Since this method detects the vessel boundary and direction code at d same time, it simplifies the procedure and reduces execution time in estimating the vessel diameter. Compared to a method that automatically estimates the vessel diAmeter uslng centerline, our method provides improved accuracy in image with poor contrast, branching or obstructed vessels. Also, this provides a good compression of boundary description, because each direction code element can be coded with 3 bits only, instead of the 4 bytes required for the storage of the coordinates of each border pixel. Our experiments demonstrate the usefulness of the technique using direction code for quantitative analysis of coronary angiography Experimental results Justify the validity of the proposed method.

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A Comparison of the Trunk Muscle Activity According to the Direction of Upper Extremity Lifting using Elastic Band (탄력밴드를 이용한 팔 들기 시 방향에 따른 몸통근육 활성도 비교)

  • Lee, Hyun-Ok;Bae, Won-Sik;Shin, Jae-Wook
    • Journal of the Korean Society of Physical Medicine
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    • v.11 no.2
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    • pp.25-31
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    • 2016
  • PURPOSE: The purpose of this study was to compare the trunk muscle activity according to the direction of upper extremity lifting using elastic band. METHODS: Thirty three healthy individuals participated in this study. Each subject performed upper extremity lifting using elastic band on two different directions (straight and diagonal). And then we compared the muscle activity of respective trunk muscles of both directions. In order to examine the muscle activity of trunk muscle, we used the electromyogram to measure peak and mean torque in shoulder 90 degree flexion with sitting position. Electromyographic activities were recorded from the external oblique, internal oblique, rectus abdominis, and erector spine muscles during upper extremity lifting. RESULTS: As a result, first, there was significant difference between two directions. The muscle activity of ipsilateral external oblique and contralateral internal oblique is significantly increased in both straight and diagonal directions (p<0.05). Second, the muscle activities of external oblique and internal oblique of both side showed significant difference in diagonal direction (p<0.05). Third, the muscle activity of erector spine of both side showed significant difference in straight direction (p<0.05). CONCLUSION: Through this study, it is important that implement diagonal direction exercise at sitting positions to help increasing muscle activity of ipsilateral external oblique and contralateral internal oblique on patients when activating the trunk muscle or stabilizing the trunk.

Effect of Direction of Gliding in Tibiofibular Joint on Angle of Active Ankle Dorsiflexion (정강종아리 관절의 활주 방향이 발목관절의 능동적 발등굽힘 각에 미치는 영향)

  • Koh, Eun-Kyung;Weon, Jong-Hyuck;Jung, Do-Young
    • Journal of the Korean Society of Physical Medicine
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    • v.9 no.4
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    • pp.439-445
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    • 2014
  • PURPOSE: This study was to investigate the effect of direction of gliding in the tibiofibular (TF) joint on angle of active ankle dorsiflexion (AADF). METHODS: Fifteen subjects with no medical history of lower extremities were recruited in this study. The digital dynamometer was used to maintain the same gliding force in each condition. The angle of AADF was measured by using the electronic goniometer. Subjects were instructed to perform the AADF in three trials during the each gliding in the TF joint by the examiner. The conditions were no gliding and four directions of gliding in the proximal (anterior-superior: A-S vs posterior-inferior: P-I) and distal (posterior-superior: P-S vs. anterior-inferior: A-I) TF joint. A repeated measured ANOVA was used to compare angle of the AADF in each TF joint. The paired-sample t tests with Bonferroni correction were used in order to Post hoc pair-wise comparisons. The significant level was set at 0.016 (0.05/3). RESULTS: In distal TF joint, the angle of AADF in the A-I direction of gliding was significantly lower than those in no gliding and P-S direction of gliding (p<0.01). In proximal TF joint, the angle of AADF was significantly lower than those in no gliding and A-S direction of gliding (p<0.01). Although there was no significant differences, angle of AADF were largest in the P-S direction of gliding among four conditions. CONCLUSION: These findings suggest that gliding technique of TF joint would be required to improve the angle of AADF in subjects with limitation of ankle dorsiflexion.

A Study on Relation Inbody, HRV, PTG and FSH, LH (Inbody, HRV, PTG와 FSH, LH의 연관성 연구)

  • Yu, Ju-Hee;Kang, Jong-Geun;Um, Yun-Kyung;Cho, Hye-Sook;Lee, In-Sun;Kim, Kyu-Kon;Kim, Jong-Won;Jeon, Soo-Hyung
    • The Journal of Korean Obstetrics and Gynecology
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    • v.21 no.1
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    • pp.242-256
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    • 2008
  • Purpose: The purpose of this study is to find out the relation of oriental medicine examination(Inbody, HRV, PTG) and FSH, LH. Methods: We have carried out clinical trials who volunteered for Sasang constitutional medicine and Oriental OB & GY, Oriental Medical hospital of Dong-Eui University from November 2005 to January 2006. Women of Volunteers were 129 persons. Because 7 persons didn't exam oriental examination so we analyzed the results statistically for 122 persons. Results: 1. Inbody & FSH, LH In the relation of FSH correlation with results of Waist-Hip Ratio, Visceral Fat Area was increased(+direction), in the relation of LH correlation with results of Edema, Visceral Fat Area was increased (+direction). 2.The fluents of HRV & FSH, LH In the relation of FSH, LH correlation with results of SDNN, RMS, TP, VLF, LF, HF was decreased (-direction). 3.The fluents of PTG & FSH, LH In the relation of FSH, LH correlation with results of the fluents of PTG was decreased (-direction), with results of b_a was increased (+direction), with results of d_a was decreased (-direction). Conclusion: From this study, Inbody and HRV and PTG are corelation with FSH, LH.

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Finite Element Analysis of the Artery and PTFE End-To-Side Anastomosis with 45${\circ}$ Anastomotic angle (45${\circ}$ 문합각을 가진 동맥과 PTFE 단측 문합의 유한요소해석)

  • Han, Geun-Jo;Kim, Hyeong-Tae;An, Seong-Chan;Sin, Jeong-Uk;Kim, Yeong-Ho
    • Journal of Biomedical Engineering Research
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    • v.18 no.3
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    • pp.253-259
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    • 1997
  • Von Mises stress and compliance distribution was evaluated using a finite element analysis on the anastomosis of an artery with length of 20mm(z direction, along the horizental artery), inner diameter of 4mm, thickness fo 0.5mm and a PTFE graft with length of 5.7mm, inner diameter of 2mm, thickness of 0.2mm when anastomotic angle was $45^{\circ}$ and inner pressure of 1330 dyne/mm2 was applied inside the 2 conduits. From the analysis results were obtained as follows. (1) Artery diameter increased in both horizontal x(along the length of artery) and vertical y(perpendicular to the length of artery)directions and the magnitude of that in x direction was bigger than that in y direction. (2) The compliance was maximum on the anastomosis, especially on that with acute angle. The reduction of compliance was observed from the anastomosis area to the either right or left end. (3) The equivalent stress was maximum on top in the y direction and minimum on the nodes apart $110^{\circ}$ in circumferential direction from the top. (4) The equivalent stress was maximum in t도 vicinity of anastomosis with acute angle along the longitudinal direction of the artery. This trend was also observed along the PTFE graft.

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