• Title/Summary/Keyword: Medical Guidance

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A study on the Applicability of Software International Standards for SaMD's Cybersecurity Regulation (SaMD의 사이버보안 규제에 대한 소프트웨어 국제표준의 적용 가능성에 대한 연구)

  • Lee Young Kim;Youngjoo Chung;Gyu Ha Ryu;Baek Hwan Cho
    • Journal of Information Technology Services
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    • v.22 no.4
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    • pp.21-35
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    • 2023
  • Software as Medical Devices (SaMD) is a growing category of medical devices that are composed of software to perform one or more medical purposes. SaMD is less likely to cause physical harm compared to conventional medical devices, particularly medical electrical equipments, and may be more vulnerable to privacy issues. This difference was acknowledged and resulted in introducing new regulation guidance specifically for cybersecurity of SaMD. It guides stakeholders of SaMD what to consider in what context in terms of cybersecurity. This study examines the current guidance of how cybersecurity is considered for SaMD by analyzing current medical device standards, then suggest which concept or details beyond current medical device standards may be applicable through analysis of international standards documents published for software in general.

Research on Job Recognition and Satisfaction of Medical Experts in Emergency Medical Information Center (응급의료정보센터 직원의 직무인식 및 만족도에 대한 연구)

  • Jang, Hyo-Kang;Lim, Jung-Do;Lee, Yong-Chul
    • The Journal of the Korea Contents Association
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    • v.9 no.6
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    • pp.275-288
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    • 2009
  • The research has been investigated to enhance job recognition and satisfaction in Emergency medical information center and to induce some positive suggestions to develop emergency medical information centers in Korea. As a result, the findings found that the tasks which the experts felt are most easily ones are the guidance, counseling, and advice of a patient, while the most difficult tasks are the advice on the first-aid treatment and the guidance of the hospitals. The research has found the findings that most employees feel that they perform their jobs quite well including the guidance and consultation of first-aide patients. They also feel that they are under stress in consulting patients, and in making decisions to visit emergency centers and to observe the patients in limited information without seeing patients in person. They are concerned about the identity of emergency information centers, feeling that it is difficult to construct smoothly the collaboration of such agencies as the administrative, emergency medical centers, 119 resue teams to treat first aide treatments, to provide transportation information, and hospital guidance.

Development Trends and Use Cases of Medical Service Robots: Focused on Logistics, Guidance, and Drug Processing Robots (의료서비스 로봇의 개발 동향 및 활용 사례: 물류, 안내, 약제처리 로봇을 중심으로)

  • Kim, Seon Hee;Cho, Yong Jin
    • Journal of Digital Convergence
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    • v.19 no.2
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    • pp.523-529
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    • 2021
  • Medical service robots are variously defined and classified by researchers and related government departments, but surgical robots and rehabilitation robots are commonly included in medical service robots, and except for these, the robots are classified as other medical service robots. In this study, domestic and foreign development trends and use cases were considered, focusing on logistics, guidance, and drug processing robots among other medical service robots. Logistics and guidance robots were developed quite a lot in Korea and completed a pilot project, or are being commercialized in hospitals, and exported. However, although the drug prcocessing robots was developed in Korea, the robot being use in the hospital was an imported. In order to expand and activate the robot market, systematic follow-up studies such as demand prediction studies are needed.

Image Guided Radiation Therapy

  • Ui-Jung Hwang;Byong Jun Min;Meyoung Kim;Ki-Hwan Kim
    • Progress in Medical Physics
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    • v.33 no.4
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    • pp.37-52
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    • 2022
  • Over the past decades, radiation therapy combined with imaging modalities that ensure optimal image guidance has revolutionized cancer treatment. The two major purposes of using imaging modalities in radiotherapy are to clearly delineate the target prior to treatment and set up the patient during radiation delivery. Image guidance secures target position prior to and during the treatment. High quality images provide an accurate definition of the treatment target and the possibility to reduce the treatment margin of the target volume, further lowering radiation toxicity and improving the quality of life of cancer patients. In this review, the various types of image guidance modalities used in radiation therapy are distinguished into ionized (kilovoltage and megavoltage image) and nonionized imaging (magnetic resonance image, ultrasound, surface imaging, and radiofrequency). The functional aspects, advantages, and limitation of imaging using these modalities are described as a subsection of each category. This review only focuses on the technological viewpoint of these modalities and any clinical aspects are omitted. Image guidance is essential, and its importance is rapidly increasing in modern radiotherapy. The most important aspect of using image guidance in clinical settings is to monitor the performance of image quality, which must be checked during the periodic quality assurance process.

Problems and Developing Directions of the Legal System Related to Laboratory medical testing (검체검사 관련 법제도의 문제점 및 발전방향)

  • Hwang, Yoo-Sung;Jeong, Jeong-Ile
    • The Korean Society of Law and Medicine
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    • v.9 no.2
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    • pp.209-229
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    • 2008
  • When we are totalizing the lawsrelated to the medical, as the Laboratory medical testing is a kind of the medical act, it is the regulation that the medical technologist can analyze the specimen using in vitro diagnostic devices and diagnosticdrugs under the guidance of doctor or dentist from a corresponding medical institution and can report through verification and interpretation. However, in real medical fields, 'the guidance of doctor' is seriously in-sufficient or even the person who is not the medical technologist is executing. Furthermore the cases that produce inspection results with devices or reagents which are not validated nor approved have been frequently occurred. The result of Laboratory medical testing derived from this procedure can become the important information for the disease control of a country, and also can be decisive to the definite diagnosis and the prognostic monitoring about the patient disease. In spite of its significant medical act to be applicable to an unique proof with the related expert appraisal result in the medical mal-practice lawsuit, our reality in which the quality control is not properly working due by the costs and the labor shortage related to the Laboratory medical testing is quietly in bad condition. Even from now, the government should recognize the significance of the Laboratory medical testing and must achieve more strict administrative management as well as the law maintenance.

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The Effect of Career Identity on Career Preparation Behavior in College Students of Emergency Medical Technology (응급구조(학)과 대학생의 진로정체감이 진로준비행동에 미치는 영향)

  • Park, Daesung
    • Journal of Digital Convergence
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    • v.15 no.12
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    • pp.359-367
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    • 2017
  • This study aims to identify the factors that have effects on career preparation behaviors in college students studying Emergency Medical Technology and provide basic data for career guidance, career counselling and development of employment guidance programs. The subjects of the study were 450 who were randomly selected and conveniently sampled from the Departments of Emergency Medical Technology located in J Province, G Province, B and G Metropolitan Cities. The survey lasted from August 7th, 2017 to 9th of the same month after agreement on the survey was obtained from the targets and they were interviewed with the use of an organized questionnaire. 420 copies of the data collected were analysed with the use of SPSS ver. 14.0 for Window. As a result, it was discovered that career identity had a statistically significant positive effect on career preparation behaviors. Therefore, to facilitate preparation behaviors, they should be taught to have career identity, be motivated and supported to do more active career preparation behaviors.

The Career Counseling Program in Medical Schools outside Korea (외국 의과대학에서의 진로탐색 및 진로지도 프로그램)

  • Chung, Eun-Kyung
    • Korean Medical Education Review
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    • v.15 no.2
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    • pp.82-86
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    • 2013
  • Medical students can choose to pursue any of a large number of specialties. This diversity reflects exciting opportunities, yet it also present significant challenges, such as providing medical students with adequate resources and guidance to help them to make informed career decisions. Additionally, because the medical internship will be abolished in the near future, many Korean medical schools have recently focused on implementing a career planning and advising program. This paper describes the Careers in Medicine (CiM) program offered by the Association of American Medical Colleges as a framework for other schools to adopt or adapt as they consider the best ways to address the career counseling needs of their own students. CiM is a comprehensive career planning program that provides students with the skills, information, and resources to choose a specialty and residency program that meets their career goals. CiM follows a four-year, four-step career planning process including self-understanding, exploring a variety of medical careers, and finally choosing a specialty. The CiM program has been evaluated as successful because of widespread participation and positive feedback from medical students. The information in this study can be used to develop a formal career advising program throughout the four years of medical school.

Guidance of Nerve Stimulator and Ultrasound for Transforaminal Epidural Steroid Injection in Lumbosacral Radicular Pain : A Single Institution Experience in Vietnam

  • Viet-Thang Le;Chi Hue Nguyen;Phuoc Trong Do;Anh Minh Nguyen;Khoi Hong Vo
    • Journal of Korean Neurosurgical Society
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    • v.67 no.2
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    • pp.194-201
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    • 2024
  • Objective : This study aimed to evaluate the clinical feasibility of the combination of ultrasound and nerve stimulator guidance in transforaminal epidural steroid injections (TESIs) to manage lumbosacral chronic radicular pain. Methods : Using the combination of nerve stimulator and ultrasound guidance, TESIs were performed in 125 segments of 78 patients who presented with chronic lumbar radicular pain. Demographic characteristics and surgical outcomes were recorded on admission, pre-procedural and post-procedural for 1-week, 1-month, 3-month, and 6-month follow-ups. The result was measured using the Numeric rating scale (NRS) and Oswestry disability index (ODI). Results : Patients who received TESIs showed significant improvements on two evaluation tools (NRS, ODI), compared to that before procedure (p<0.001). No significant complications were observed for 6 months' follow-up. Conclusion : The result suggests that a combination of ultrasound and nerve stimulator guidance in transforaminal epidural injections is safe, reliable and effective for short-term management of lumbar disc herniation. It is a promising technique and has shown good results in providing intermediate pain relief.

Analysis of 119 emergency medical service patient transfer according to demographic and emergency medical system factors (인구학적 요인 및 응급의료시스템 요인에 따른 119구급 서비스 이송 분석 연구)

  • Min-Hee Kim;Jun-Dong Moon
    • The Korean Journal of Emergency Medical Services
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    • v.28 no.1
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    • pp.63-76
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    • 2024
  • Purpose: To analyze trends related to demography and EMS and to provide supporting data for the appropriate deployment of EMS providers. Methods: In this cross-sectional study, data on patients transported by 119 EMS, demographics, and EMS factors were collected using the Korean Statistical Information Service (KOSIS) and the National Fire Agency annual report from 2017 to 2021. Results: During the study period, the total number of patients and those with severe disorders transported via 119 EMS showed an increasing trend. The total fertility rate and population during the same period tended to decrease, and the population density and number of households increased; however, there was a disparity between regions. The main demographic factors affecting the number of patients transported were population density and total fertility rate, while the main EMS factors were the number of ambulances and provision of emergency medical information services(hospital guidance, pharmacy information, and first aid guidance). Conclusion: From the perspective of EMS providers' force deployment, it is necessary to consider population density, population, number of households, total fertility rate, and number of emergency medical institutions and to strengthen the role of diverting the use of 119 EMS by minor patients by providing emergency medical information.

Distal biceps tendon injection

  • van der Vis, Jacqueline;Janssen, Stein J.;Bleys, Ronald L.A.W.;Eygendaal, Denise;van den Bekerom, Michel P.J.
    • Clinics in Shoulder and Elbow
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    • v.24 no.2
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    • pp.93-97
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    • 2021
  • Background: Injection therapy around the distal biceps tendon insertion is challenging. This therapy may be indicated in patients with a partial distal biceps tendon tear, bicipitoradial bursitis and tendinopathy. The primary goal of this study was to determine the accuracy of manually performed injections without ultrasound guidance around the biceps tendon. Methods: Seven upper limb specialists, two general orthopedic specialists, and three orthopedic surgical residents manually injected a cadaver elbow with acrylic dye using an anterior and a lateral infiltration approach. After infiltration the cadaveric elbows were dissected to determine the location of the acrylic dye. Results: In total, 79% of the injections were localized near the biceps tendon. Of these injections, 20% were localized on the radius near the bicipitoradial bursa. In total, 53% of the performed infiltrations were injected by anterior and 47% by lateral approaches. Of the injections near the distal biceps (79%), 47% were injected by an anterior and 53% by a lateral approach. Of the injections on the radius (20%), 33% were injected by anterior and 67% by lateral approach. Of the inaccurate injections (21%), 75% were injected anterior and 25% lateral. Conclusions: Manual infiltration without ultrasound guidance for distal biceps pathology lacks accuracy. We therefore recommend ultrasound guidance for more accurate infiltration.