• 보건의료산업학회지
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• 제8권4호
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• pp.121-130
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• 2014

To devise a plan to efficiently control and cope with musculoskeletal disorders, this study conducted a self-administered survey among dental hygienists working at dental clinics in Daegu. The data were collected from December 1, 2013 to February 28, 2014, and drew the following conclusions. For body posture for medical procedures, at lower levels in their careers, the hygienists' head and back were more bent; at higher levels in their careers, the their shoulders, body and hips were more bent; and at higher levels in their careers, their assistance posture in general was more bent. Hygienists with longer years of experience had more pain in the neck and the arms/elbows. Respondents engaged in medical treatment services were more likely to have pain in their arms/elbows, and those engaged in assisting in medical treatment and consulting and insurance services were more likely to have pain in their necks. It is necessary to recognize the seriousness of musculoskeletal disorders, provide specific education through supplementary training and relevant seminars, and avoid repetitive use of the same muscle or joint through environmental improvement of dental clinics, and personal efforts should be made to maintain good posture.

• 성인간호학회지
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• 제25권1호
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• pp.74-82
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• 2013

Purpose: The purpose of this study was to identify the fall risk factors and to evaluate the effectiveness of the Morse Fall Scale(MFS) as an assessment tool among hospitalized inpatients. Methods: The medical records of a total of 294 patients who admitted to hospital from January 1 to December 31, 2010 were reviewed. One hundred forth seven patients who had experienced fall were matched with 147 patients who have never experienced fall. The fall information was obtained from electronic medical records and fall reports. Results: There were significant differences in visual disturbances, pain, emotional disturbances, sleep disorder, urination problems and elimination disorder at admission between fallers and non-fallers. Patients who had higher MFS scores at admission were more likely to fall as compared to the patients with lower MFS scores. When falls did occur, these occurred within five days following admission, in the patient room, among patients with alert mental status, and among patients who were ambulant with some assistance. Conclusion: The findings of this study support the need of using risk assessment tool for predicting risk for falls. This finding can be used as a useful resource to develop nursing intervention strategies for fall prevention at the hospital.

• 대한간호학회지
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• 제42권2호
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• pp.149-160
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• 2012

Purpose: The purpose of this study was to explain the role transition process to nurse case managers (NCMs) for Medical-aid beneficiaries in Korea. Methods: Fourteen NCMs were interviewed regarding their experiences of becoming proficient in the new role of case manger. Data were analyzed through the application of grounded theory. Results: 'Taking root in a barren land' was the core category explaining the role transition process of NCMs. They engaged in four stages: launching, trial and error, proficiency, and wait-and-see stages. NCMs showed not only fear but also passion for case management practice. Despite their passion and effort, NCMs went through a period of trial and error. After becoming skilled, NCMs went through a stage of wait-and-see often because of job insecurity related to temporary position or few opportunities for promotion. Factors influencing NCMs' role transition process included their understanding of client characteristics, belief in case management, and support from their colleagues and families. Conclusion: NCMs experience many challenges in the process of becoming proficient NCMs. To help with their role transition, there is a need for education programs, preceptorship programs, research on their roles and functions, and regulation for securing NCMs' employment and career stability.

• 노동경제논집
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• 제24권2호
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• pp.163-196
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• 2001

이 논문은 지난 2년간의 생산적 복지정책을 비판적으로 평가한 후 '생산적'이라는 의미가 부각된 향후 정책과제를 제시한다. 김대중 정부는 '생산적' 의미가 결여된 전통적 복지정책을 현재 시행하고 있다. 필자는 생산적 복지를 추구하기 위해 현금지급의 전통적 복지보다는 일을 통한 복지 시행을 강조하였고, 사회적 안전망으로서의 사회보장체계는 개인의 자립능력을 지원하는 체계로 전환되어야 함을 제안하고 있다. 구체적으로 고용보험구좌제, 의료저축예금구좌제 도입, 국민연금의 소득대체율 하향조정, 퇴직금제 폐지 등이 이 논문에서 제안되었다. 마지막으로 교육 및 인간개발을 통한 복지의 정책방향을 제시하였다.

• 한국인공지능학회지
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• 제9권2호
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• pp.29-34
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• 2021

In this paper, for efficient parking control, in an Arduino environment, an intelligent parking control prototype was implemented to provide parking control and parking guidance information using HC-SR2O4 and RC522. The main elements of intelligent parking control are vehicle recognition sensors, parking control facilities, and integrated operating software. Whether the vehicle is parked on the parking surface may be confirmed through sensor or intelligent camera image analysis. Parking control equipment products include parking guidance and parking available display devices, vehicle number recognition cameras, and intelligent parking assistance systems. This paper applies and implements ultrasonic sensors and RFID concepts based on Arduino, recognizes registered vehicles, and displays empty spaces. When a vehicle enters a parking space to handle this function, the automatic parking management system distinguishes the registered vehicle from the external vehicle through the RC522 sensor. In addition, after checking whether the parking slot is empty, the HC-SR204 sensor is displayed through the LED so that the driver can visually check it. RFID is designed to check the parking status of the server in real time and provide the driver with optimal route service to the parking slot.

• Biomedical Engineering Letters
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• 제8권4호
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• pp.373-382
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• 2018

Since epileptic seizure is unpredictable and paroxysmal, an automatic system for seizure detecting could be of great significance and assistance to patients and medical staff. In this paper, a novel method is proposed for multichannel patient-specific seizure detection applying the earth mover's distance (EMD) in scalp EEG. Firstly, the wavelet decomposition is executed to the original EEGs with five scales, the scale 3, 4 and 5 are selected and transformed into histograms and afterwards the distances between histograms in pairs are computed applying the earth mover's distance as effective features. Then, the EMD features are sent to the classifier based on the Bayesian linear discriminant analysis (BLDA) for classification, and an efficient postprocessing procedure is applied to improve the detection system precision, finally. To evaluate the performance of the proposed method, the CHB-MIT scalp EEG database with 958 h EEG recordings from 23 epileptic patients is used and a relatively satisfactory detection rate is achieved with the average sensitivity of 95.65% and false detection rate of 0.68/h. The good performance of this algorithm indicates the potential application for seizure monitoring in clinical practice.

• 대한한의학원전학회지
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• 제36권1호
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• pp.45-78
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• 2023

Objectives : Based on the Zangfuyaoshibuzheng of Zhang Shanlei, this paper examines the tip/root division of the Zangfu, features of medicinal application according to deficiency/excess or cold/heat, and erroneous cases in the Zangfuxushibiaobenyongyaoshi of Zhang Jiegu. Methods : Categorization according to tip/root, cold/heat, deficiency/excess and respective medicinal applications in the Zangfuxushibiaobenyongyaoshi were organized, followed by thorough analysis based on the annotations in the Zangfuyaoshibuzheng. Results : First, in the treatment principle of the Zangfu diseases, each of their physiological function and pathological mechanism were analyzed so that the disease patterns are understood accurately and treated accordingly. Second, in categorizing treatment methods, terminology application was modified in overlapping or ambiguous cases so that they could be better distinguished. Third, medicinal categories that were designated to treat each Zangfu disease were explained well based on unique features. In cases where medicinals were falsely included, they were identified and corrected based on sound reasoning. Conclusions : The pattern diagnosis in the Zangfuyaoshibuzheng is clear, and medicinal application analysis is intelligible. As it thoroughly corrects and revises errors in Zhang Jiegu's theories, it could provide valuable assistance in selecting each medicinals when treating disease patterns of the Five Zang.

• International Journal of Computer Science & Network Security
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• 제23권7호
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• pp.171-185
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• 2023

The cardiovascular syndrome is the dominant reason for death and the number of deaths due to this syndrome has greatly increased recently. Regular cardiac monitoring is crucial in controlling heart parameters, particularly for initial examination and precautions. The quantity of cardiac patients is rising each day and it would increase the load of work for doctors/nurses in handling the patients' situation. Hence, it needed a solution that might benefit doctors/nurses in monitoring the improvement of the health condition of patients in real-time and likewise assure decreasing medical treatment expenses. Regular heart monitoring via wireless body area networks (WBANs) including implantable and wearable medical devices is contemplated as a life-changing technique for medical assistance. This article focuses on the latest development in wearable and implantable devices for cardiovascular monitoring. First, we go through the wearable devices for the electrocardiogram (ECG) monitoring. Then, we reviewed the implantable devices for Blood Pressure (BP) monitoring. Subsequently, the evaluation of leading wearable and implantable sensors for heart monitoring mentioned over the previous six years, the current article provides uncertain direction concerning the description of diagnostic effectiveness, thus intending on making discussion in the technical communal to permit aimed at the formation of well-designed techniques. The article is concluded by debating several technical issues in wearable and implantable technology and their possible potential solutions for conquering these challenges.

• 대한응급의학회지
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• 제29권6호
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• pp.585-594
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• 2018

Objective: This study was designed to report on the progress of the fire at Jecheon sports complex and to assess the adequacy of Disaster Medical Assistant Team (DMAT)'s activities in response to the fire disaster. Methods: We conducted a retrospective review based on camera recordings and medical records that were recorded at the disaster site for assessment of activities. We cooperated with firefighters, police officers, local hospital medical staffs and public health personnel in Jecheon in order to classify patients in the disaster field and to understand the patients' progress. Results: At 15:53, the first request for emergency rescue came to the 119 general emergency call center, and a request for DMAT activation came at 16:28. DMAT arrived at the site at 17:04 and remained active until the following day at 00:43. The total number of casualties was 60, including 27 minimal (Green) patients, 29 expectant (Black) patients, three delayed (Yellow) patients, and one immediate (Red) patient. There were 32 patients who received on-site care by DMAT. Two patients were transferred from a local hospital to Wonju Severance Christian Hospital for hyperbaric oxygen therapy. Conclusion: Twenty-nine victims were found in the sports complex building, and there were 31 mildly to moderately injured patients in this fire disaster. The main cause of death was thought to be smoke suffocation. Although DMAT was activated relatively quickly, it was not able to provide effective activity due to the late rescue and difficulty with fire suppression.

• Asian Pacific Journal of Cancer Prevention
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• 제13권6호
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• pp.2749-2752
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• 2012

Background: Breaking bad news to cancer patients is a delicate and challenging task for most doctors. Better understanding of patients' preferences in breaking bad news can guide doctors in performing this task. Objectives: This study aimed to describe the preferences of Malaysian cancer patients regarding the communication of bad news. Methodology: This was a cross-sectional study conducted in the Oncology clinic of a tertiary teaching hospital. Two hundred adult cancer patients were recruited via purposive quota sampling. They were required to complete the Malay language version of the Measure of Patients' Preferences (MPP-BM) with minimal researcher assistance. Their responses were analysed using descriptive statistics. Association between demographic characteristics and domain scores were tested using non-parametric statistical tests. Results: Nine items were rated by the patients as essential: "Doctor is honest about the severity of my condition", "Doctor describing my treatment options in detail", "Doctor telling me best treatment options", Doctor letting me know all of the different treatment options", "Doctor being up to date on research on my type of cancer", "Doctor telling me news directly", "Being given detailed info about results of medical tests", "Being told in person", and "Having doctor offer hope about my condition". All these items had median scores of 5/5 (IQR:4-5). The median scores for the three domains were: "Content and Facilitation" 74/85, "Emotional Support" 23/30 and "Structural and Informational Support" 31/40. Ethnicity was found to be significantly associated with scores for "Content and Facilitation" and "Emotional Support". Educational status was significantly associated with scores for "Structural and Informational Support". Conclusion: Malaysian cancer patients appreciate the ability of the doctor to provide adequate information using good communication skills during the process of breaking bad news. Provision of emotional support, structural support and informational support were also highly appreciated.