• Title/Summary/Keyword: Patient Flow

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Functional disposable use flow tube converting the respiratory air flow rate into averaged dynamic pressure (호흡기류를 동압력으로 변환하는 기능성 일회용 호흡관)

  • Kim, Kyung-Ah;Kim, Hyun-Shik;Lee, Tae-Soo;Cha, Eun-Jong
    • Journal of Sensor Science and Technology
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    • v.11 no.3
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    • pp.125-131
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    • 2002
  • Respiratory air flow rate is necessarily measured for the pulmonary function evaluation. The currently used devices are exposed to the problems of measurement reliability and cross-patient infection. The present study introduced a new technique which converted the bidirectional air flow rate into averaged dynamic pressure based on the famous Bernoulli's energy conservation principle. Single use plastic sensing element was assembled within the flow tube(mouth piece) made of paper, which was named "functional single use flow tube". Experiment demonstrated only ${\pm}1.5%$ relative error in the standard 3L volume measurement procedure well within the error limit suggested by the American Thoracic Society(ATS). Disposable use design completely eliminated cross-patient infection. The present device is best useful and safe for clinical respiratory air flow measurement such as spirometry.

Implementation of Non-Invasive Pressurized Cerebral Perfusion Platform (가압식 비침습적 대뇌 혈류 증가 장치의 구현)

  • Lee, Jean;Yu, Hyung-gon;Kim, Young-kil
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.21 no.9
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    • pp.1752-1760
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    • 2017
  • One of the treatments and preventions of strokes such as ischemic stroke is to increase cerebral blood flow. This aims to minimize the size of the stroke by increasing the quantity of blood to the cerebral region circuitously. Several ways to increase cerebral blood flow are a therapy though drugs and through surgery. However these invasive method giving a burden to the patient, the problem of inducing a number of complications were noted. In this thesis, we propose a non-invasive brain flow enhancer to complement the disadvantages of such invasive treatment methods. To compensate for the shortcomings of the existing devices, the patient's blood pressure is accurately measured and the blood pressure is applied to the extremities, thereby increasing blood flow to the femoral region to produce blood clotting treatments. Although somewhat inadequate blood flow increases compared to conventional devices, blood flow can be significantly increased, which can be selectively.

A Simulation Model of a Outpatient Scheduling System (외래환자의 예약제도 개선을 위한 시뮬레이션 모형)

  • Chun, Ki-Hong;Chae, Young-Moon
    • Journal of Preventive Medicine and Public Health
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    • v.19 no.1 s.19
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    • pp.56-64
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    • 1986
  • This paper describes a GPSS-based, multi-server queueing model that was developed to simulate the patient flow, and to analyze the effectiveness of the patient scheduling system under various conditions. Unpredictable and unacceptably long waits to receive the service at the outpatient department of a general hospital necessitated the study. Arrival and service time distribution needed for the simulation model were generated from actual arrival and service patterns observed during the peak hours. The simulation results show that a change in patient scheduling system (i.e. time interval between appointments, starting time. and the number of physicians) from a current system would significantly reduce the patient wait time. This study provides the hospital administrator with an analysis of patient scheduling system under several conditions, and will be used to plan future scheduling system and staffing. Studies such as this can demonstrate the value of simulation in providing information for use in future planning.

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Changes in The Pressure-Flow Control Characteristics of Shunt Valves Under Brain Pressure Pulsation (뇌압 펄스하에서 션트밸브의 압력-유량제어 특성곡선의 변화)

  • Hong Yisong;Lee Chong-Sun;Jang Jongyun
    • Proceedings of the KSME Conference
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    • 2002.08a
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    • pp.699-702
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    • 2002
  • Shunt valves implanted in the subcutaneous tissue of brain to treat patient with hydrocephalus were numerically simulated to investigate influence of pressure pulsation on their flow control characteristics. Shunt valves are subjected to pressure variation since ventricles enclosing the brain are under pressure pulsation rather than uniform pressure due to blood pressure variation. We modeled flow orifice through shunt valve and imposed pulsating pressure and valve diaphragm movement to compute flow through the valve. The results of our study indicated that flow rate increased by $40{\%}$ by introducing pressure pulsation and diaphragm movement on the shunt valve. Our results demonstrate the pressure-flow control characteristics of shunt valves unplanted above human brain may be quite different from the characteristics obtained by syringe pump test with uniform pressure and no diaphragm movement.

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The Effect of Jeongcheonhwadam-tang on Peak Expiratory Flow in Chronic Pulmonary Disease Patient with Dyspnea (호흡곤란을 동반한 만성호흡기질환 환자에서 정천화담탕이 최고호기유속에 미치는 영향(影響))

  • Heo, Tae-Yool;Im, Jae-Hyung;Park, Dong-Il
    • The Journal of Internal Korean Medicine
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    • v.26 no.4
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    • pp.875-880
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    • 2005
  • Object : Dyspnea is a one of the common symptom in pulmonary disease. Jungchunghwadam-tang was used to treat chronic pulmonary disease patients with dyspnea. Thus in this study we evaluate the effect of Jungchunghwadam-tang on dyspnea. Methods : In this study, ten chronic pulmonary disease patients were treated with Jungchunghwadam-tang. Peak expiratory flow were obtained by peak flow meter. Result : After the treatment, peak expiratory flow was increased significantly compared with before treatment. Percentage of predict peak expiratory flow was also increased significantly compared with before treatment. Conclusion : The result of this study demonstrate that Jungchunghwadam-tang taken for dyspnea on chronic pulmonary disease are effective. Further investigation in well designed follow up study is needed.

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Development of Impedance Plethysmograph and Measurement of Digital Blood Flow (임피던스 혈류량측정기의 개발 및 손가락 혈류량의 측정)

  • 김덕원;송철규
    • Journal of Biomedical Engineering Research
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    • v.12 no.1
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    • pp.23-28
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    • 1991
  • In this study electrical impedance plethysmograph was developed and each ten digital blood flow was measured for eight nomal males and a patient tvith digital arterial reconstruction surgery. Blood flow of the digit with surgery was approximately fourty percent compared to that of the other normal digit. For the normal subjects, right - handed subjects generally have larger blood flow in right fingers than that in left fingers while it was reverse for the left - handed subjects. The relative average magnitude of the digltal blood flow Is the third, first, second, fourth, and fifth digit in descending order for the left and rich hand, respectively. Blood flow of the fifth digit for all subjec!s except one was the smallest among the five digits.

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Development of the Flow Control Regulator for Patient Controlled Analgesia (환자통증조절장치(PCA)의 유량제어조절기 개발)

  • Kim, S.Y.;Song, S.J.;Seo, H.B.
    • Transactions of The Korea Fluid Power Systems Society
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    • v.7 no.4
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    • pp.39-43
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    • 2010
  • The flow regulators we widely use have some disadvantages. They have a constant flow within each regulator and an inaccuracy with extruding capillary. In this study, we have developed a new type of regulator which was made up of two different capillary tubes overlapped each other. The developed regulator can vary and control the amount of flow. The design parameters of the developed regulator are obtained by using the analytical software. We have proved that the developed regulator can control flow properly through making a trial product and experiment.

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Survey for Patient Satisfaction Rate & Patient Leading System Development through RFID and OCS Worklist Program Connection (RFID와 Worklist 중심의 OCS 프로그램 접목을 통한 환자유도시스템 개발과 환자만족도 조사)

  • Ji, Yeon-Sang;Dong, Kyung-Rae;Kim, Chang-Bok
    • The Journal of the Korea Contents Association
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    • v.9 no.5
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    • pp.197-205
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    • 2009
  • With the introduction of the computer, convenience at work may have increased but flexibility decreased along with a tendency for humans to become secondary to computers with regards to work schedules. As it exists, from entering the department of radiology to completion of imaging requires a great deal of time and difficulties in understanding the imaging process adds to patient dissatisfaction. Since clinics use RFID bars to track patient locations at comprehensive medical testing centers, departments of radiology may apply RFID and Worklist at the core of the OCS system in order to increase work efficiency and improve work flow. As a result of developing an RFID and Worklist centered OCS program, there was a vast improvement in patient satisfaction and work flow. Theses results are the basis of an RFID system that in the future may be connected to PACS and other systems with an intergrated Worklist. There is a need to realize a plan the can offer ubiquity to hospital work.

Early Spontaneous Recanalization of Sigmoid Sinus Thrombosis Following a Closed Head Injury in a Pediatric Patient : A Case Report and Review of Literature

  • Yun, Jung-Ho;Ko, Jung Ho;Lee, Mee Jeong
    • Journal of Korean Neurosurgical Society
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    • v.58 no.2
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    • pp.150-154
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    • 2015
  • Cerebral venous sinus thrombosis (CVST) following a closed head injury in pediatric patients is a rare condition, and an early spontaneous recanalization of this condition is extremely rare. A 10-year-old boy was admitted with a mild, intermittent headache and nausea five days after a bicycle accident. The brain computed tomography showed an epidural hematoma at the right occipital area with pneumocephalus due to a fracture of the occipital skull bone. The brain magnetic resonance imaging and the magnetic resonance venography demonstrated a flow signal loss from the right sigmoid sinus to the right jugular vein. The diagnosis was sigmoid sinus thrombosis, so close observations were selected as a treatment for the patient because of his gradually improving symptoms; however, he complained of vomiting 14 days the after conservative treatment. The patient was readmitted for a further examination of his symptoms. The laboratory and the gastroenterological examinations were normal. Due to concern regarding the worsening of the sigmoid sinus thrombosis, the brain magnetic resonance venography was rechecked and it revealed the recanalization of the venous flow in the sigmoid sinus and in the jugular vein.

A Comprehensive Study on Patient Flow Improvement Solutions and Their Implementation Strategies in an Outpatient System (대형 병원 외래 시스템의 환자 흐름 개선방안의 적용 전략에 관한 연구)

  • Lee, Young-Woo;Lee, Tae-Sik
    • IE interfaces
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    • v.23 no.1
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    • pp.1-11
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    • 2010
  • There are various ways to manage the patient flow of the hospital outpatient system. However, it is difficult to apply many implementation solutions to the real outpatient system at once. Because first, the expected effects of each different solution are very much depend on the real situation of the system and applied other solutions, and second, owing to the limited resources, each solution should be implemented according to the priority. In order to overcome these difficulties, this paper focuses on proposing the comprehensive subset of implementation solutions, which is one of the most effective among various kinds of subsets, and verifying the effects of it. The comprehensive subset of solutions is derived from conducting design of experiments and simulation which determine the optimum set of different solutions and analyze the particular interactions and priority order among them. This implementation strategy can solve the difficulties of applying different kinds of various solutions to the hospital outpatient system.