• 대한한의학방제학회지
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• 제25권1호
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• pp.39-49
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• 2017

Objectives : The contents of the literature associated with the medical records were entered into the database. We want to find the structure and search methods for efficient utilization of the database. Methods : The contents were entered into the database using the 'Access 2014 of the MS'. The Query Sentences were created and utilized for a search. Results : We could find information about the prescriptions, medical records and patients by the herbs and symptom combinations using the single table named 'Integrated Knowledge' and queries. Integrated Knowledge is a table that gathered patient information, prescription information and symptom information together. Conclusions : If you store patient, prescription and symptom information on a single table, you could search and use the results by various combinations of the various elements included in the table. These results could help curing patients on the basis of evidence-based treatment at the clinics.

• 한국컴퓨터정보학회논문지
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• 제20권12호
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• pp.53-59
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• 2015

In this paper, we developed a Hospital Information System in which the business process is formalized and a wire/wireless integrated solution is used. This system consists of the administration office program, the medical office program, the ward management program and the rounds management program. The administration office program can enroll and accept patients, issue and reissue the RFID card. The medical office program inputs a medical examination and treatment, outputs a diagnosis, requests a hospitalization, retrieves the record of a medical examination and treatment, assigns the corresponding examination room to the accepted patients, and updates the number of an waiting patient and a patient number according to the examination room on real time. The ward management program handles hospitalizations and leaving hospital, a nurse's note, and an isolation ward monitoring. The rounds management program handles a medical examination and treatment, and a leaving hospital using PDA. This developed system can be built at low cost and increase the quality of the medical services highly by making it automated the medical administration automation. Also the small number of the medical staffs can manage the inpatients efficiently by using the monitoring functions.

• International Journal of Computer Science & Network Security
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• 제21권8호
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• pp.254-266
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• 2021

The Internet of Medical Things (IoMTs) are to be considered an investment and an improvement to respond effectively and efficiently to patient needs, as it reduces healthcare costs, provides the timely attendance of medical responses, and increases the quality of medical treatment. However, IoMT devices face exposure from several security threats that defer in function and thus can pose a significant risk to how private and safe a patient's data is. This document works as a comprehensive review of modern approaches to achieving security within the Internet of Things. Most of the papers cited here are used been carefully selected based on how recently it has been published. The paper highlights some common attacks on IoMTs. Also, highlighting the process by which secure authentication mechanisms can be achieved on IoMTs, we present several means to detect different attacks in IoMTs

• 정보보호학회논문지
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• 제22권4호
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• pp.913-921
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• 2012

유헬스케어 서비스의 급속한 발전과 보급에 힘입어 유헬스케어 서비스 기술은 많은 변화가 이루어지고 있다. 그러나 유헬스케어 서비스는 보안상의 문제로 인하여 사용자의 민감한 의료정보가 제3자에게 유출되고 사용자의 프라이버시가 사용자의 동의없이 침해되는 문제가 발생되고 있다. 본 논문에서는 유헬스케어 환경에서 사용되고 있는 환자의 프라이버시 정보에 안전하게 접근하기 위해서 병원관계자의 권한 및 접근 레벨에 따라 환자의 생체정보를 분산 접근하는 모델을 제안한다. 제안 모델은 환자의 생체정보의 접근을 제어하는 동시에 타임스탬프를 통해 DoS 공격 예방과 최신성을 유지한다. 또한, 제안 모델은 병원관계자를 중앙에서 서버가 통합 관리하는 동시에 병원마다 병원관계자의 권한 및 레벨에 따라 접근을 제어하기 때문에 환자의 프라이버시 침해 및 의료정보 유출을 예방한다.

• Restorative Dentistry and Endodontics
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• 제46권3호
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• pp.40.1-40.12
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• 2021

Objectives: The purpose of this study was to critically evaluate the quality, reliability and educational content of the information of vital pulp treatment videos available on YouTube. Materials and Methods: The keywords "pulpotomy" and "pulp capping" were searched on YouTube on 5th July 2020, until 60 English language videos of each search term with a duration shorter than 15 minutes were acquired. Video characteristics were recorded and Video Power Index (VPI) was calculated. Reliability and educational quality of videos were evaluated using the Modified DISCERN score, the Journal of American Medical Association (JAMA) benchmark criteria and Global Quality Scores (GQS). Videos were categorized by uploading source. Results: Regarding pulpotomy, 31.7% of the videos were uploaded by specialists and 68.3% were directed by non-specialists. In the case of pulp capping, the corresponding percentages were 45% and 55%, respectively. Videos uploaded by specialists had significantly higher modified DISCERN, JAMA and GQS scores compared to those uploaded by non-specialists. Endodontists tended to have the highest reliability and VPI scores. Conclusions: YouTube videos on vital pulp treatment contain low educational quality or incomplete information. Low popularity of dental pulp capping and pulpotomy videos may be attributed to the specialized nature of these procedures. As YouTube represents an important source for patient information about different health topics, reliable informative videos should be uploaded by specialized dental professionals.

• 한국식생활문화학회지
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• 제35권4호
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• pp.363-370
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• 2020

This study analyzed the health characteristics and comorbidity of adult men aged 40 years by dividing them into a control group of those without any disease related to fine dust and a patient group with one or more diseases related to fine dust in areas with high levels of fine dust pollution using the sixth and seventh Korea National Health and Nutrition Examination Survey (2013-2017). Among the general characteristics, the mean age of the patient group was significantly older than that of the control group (p<0.001), and in terms of the health-related characteristics, the frequency of breakfast consumption in the patient group was higher than in the control group (p<0.043). The body measurements were similar in the patient and control groups. Regarding the prevalence of comorbidity, the patient group showed a higher prevalence of hypertension, dyslipidemia, stroke, myocardial infarction, heart failure, and diabetes than the control group, but the differences were not statistically significant. On the other hand, the prevalence of other cancers (except stomach cancer, liver cancer, colorectal cancer, breast cancer, and cervical cancer) in the patient group was higher than in the control group (p<0.05). In terms of the clinical characteristics, the glycated hemoglobin levels in the patient group were significantly higher than in the control group (p<0.048). Information on nutrition and health in areas with frequent occurrences of fine dust was obtained through the study results, which can be used as basic data for measures of health and diet management against diseases that will increase in relation to fine dust.

• 간호행정학회지
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• 제3권2호
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• pp.123-136
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• 1997

The purpose of this study was to confirm the classification of nursing activity and to analyze the time of nursing workload in a new open hospital. The data were collected from 20 nurses working in 6 general nursing units by 4 trained observers. The tools used for this study were an observation recording sheet and a classification sheet of nursing activity. The classification sheet was constructed to be adaptable to each hospital system based on the instrument described in the literature. The results of the study are as follows : The direct nursing activities consisted of 6 sections, 33 subsections and the indirect nursing activities consisted of 14 sections, 53 subsections. The direct nursing activities included medication, measuring and observation, care of therapies, care of physical comfort, laboratory and treatment. The indirect nursing activities included preparation of medical utensils, collection of information and assessment, recording, phone communication, professional interaction related to patients, personal time, assigning work to staff, patient eaucation and training, interaction with lab, transfer of administration of utensils, checking physician's order, dietary service, management of pollution and contagion, guide direction. Nurses spent 127.6min for direct nursing activity during day duty. It was 24.5% of total nursing activity. Within that activity medication had the highest percentage of time(40.09%), followed by communication and education with patient(24.76%), measuring and observation (16.93%), laboratory and treatment (12.85%), care of therapies(3.21%) and care of physical comfort (2.16%). The time breakdown for indirect nursing activities is as follows ; the preparation of medical utensils 22.3%, collection of information and assessment 20.29%, recording 20.27%, phone communication 8.14%, professional interaction related to patients 7.33%, personal time 7.24%, with the remaining timeshared by staffing, patient education and training, interaction with lab, transfer of administration of utensils, checking physician's order, dietary service, management of pollution and contagion, guide direction. In the analysis of the relationships between the working time and the work allocation characters of the nurses(including nurse's experiences. nurse-patients ratio, nurse-rooms ratio, and character of nursing unit) ; There were no significant differences in direct-indirect nursing times between nurse's career years. There was significant difference in direct nursing time between assigned patient numbers. The nurses assigned larger number of patients spent significantly more time in direct nursing care than that of the smaller. On the other hand, there was no significant difference in indirect nursing workload between the assigned patient numbers. There were no significant differences in direct-indirect nursing time between an allocated patient's room numbers. There was significant difference in working time between working places. The nurse in the medical unit spent more time in direct nursing care than her counterpart in the surgical unit. However there was no difference in direct nursing time between two groups. The study results indicate that nurses spent less time in the direct nursing care than in the previous studies even though the hospital system has been modernized. On the other hand they spent much more time for the coordinating role within the interdisciplinary team and for the overlapping paperwork. Therefore it is recommended that patient oriented job description and more efficient usage of modernized utilities be made.

• 대한방사선기술학회지:방사선기술과학
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• 제21권1호
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• pp.52-58
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• 1998

We can and must improve the diagnostic images using available knowledge and technology. At the same time we must strive to reduce the patient's integral and entrance radiation dose. Reducing the integral dose to the patient during the radiologic procedure is a primary concern of the patient, especially the pediatric patient, the radiologist and the technologist. A 100cm focal film distance generally is used for most over-table radiography. The early x-ray tubes and screen film combinations required long exposures, which often resulted in motion artifacts. But nowaday, we have the generators and x-ray tubes that can deliver the energy necessary in a very short time and the receptors that can record the information just as rapidly. And, we performed this studies to evaluate the patient exposure dose and the image quality by increasing focal film distance in diagnostic radiography. There are many factors which affected to exposure factor, but we studied to verify of FFD increase, only. Effect of increasing the focal film distance to a 140 cm distance was tested as follows; 1. The focal film distances were set at 100, 120, and 140cm. 2. A 18cm acryl(tissue equivalent) phantom was placed on the table top. 3. An Capintec 192 electrometer with PM 05 ion chamber was placed at the entrance surface of the phantom, and exposure were made at each focal film distances. 4. The procedure was repeated in the same manner as above except the ion chamber was placed beneath the phantom at the film plane. 5. Exit exposure were normalize to 8mR for each portions of the experiment. Based on the success of the empirical measurements, a detailed mathematical analysis of the dose reduction was performed using the percent depth dose data. The results of this study can be summerized as followings ; 1) Increasing FFD from 100 cm to 140 cm, we would create a situation that would have a significant effect on the overall quality of radiograph and achive the 17.42% reduction of entrance dose and the 18.95% reduction of integral dose that the patient receives. 2) Thickness of Al step wedge for equal film density increased with the long distance. 3) Increasing FFD, Magnification of image was lowered. 4) Resolution of image also increased with the FFD. As the results described above, we strongly recommend using the long FFD to provide better information for our patients and profession in abdomen radiographic studies.

• 대한치과보철학회지
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• 제59권4호
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• pp.451-458
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• 2021

현재 치과치료의 다양한 분야에서 디지털 기술이 활용되고 있다. 특히 전치부 심미수복에 있어 기존의 전통적인 수복방식은 안모 정보를 담을 수 없고 환자가 치료 결과를 예상하기 어려운 반면 디지털 디자인을 통한 심미수복의 경우 보철물 디자인의 시각화 및 환자 피드백 반영의 용이성, 치료 결과에 대한 예지성을 얻기 쉽다. 본 증례는 전치부 외상 환자에게서 디지털 방식을 이용하여 예상되는 치료 결과를 환자가 치료 전 확인하고 피드백을 반영하여 진행하였다. 2D 디지털 스마일 디자인 방식은 환자의 안모 및 미소정보로 2차원 평면상에서 디자인이 이루어져 적용에 다소 제한되는 점이 있었으나 본 증례에서는 3차원 가상환자를 만들어 진행하였기에 디자인된 보철물에 대하여 다양한 각도에서 확인 및 수정이 가능하였다. 본 증례를 통하여 디지털 방식을 이용한 심미 수복시 환자 및 기공사와의 원활한 소통, 치료결과에 대한 높은 만족도를 얻어낼 수 있었다.

• 문화기술의 융합
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• 제4권2호
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• pp.53-60
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• 2018

본 연구는 18주간 임상실습을 경험한 간호학생들의 환자 개인정보보호 인식과 실천 정도를 확인하여 정보보호에 대한 관심을 불러일으키고 간호학생들을 위한 환자 개인정보보호 교육 프로그램 마련에 필요한 기반 자료를 제공하고자 시도되었다. 간호학과 4학년 학생 76명을 대상으로 조사한 결과, 환자 개인정보보호 인식 정도(4.62점/5점)가 실천 정도(3.84점/5점)에 비해 통계적으로 유의하게 높았다. 인식 정도와 실천 정도는 통계적으로 유의한 순상관관계가 있었다. 향후 일부 간호학생으로 제한되었던 대상자를 확대하여 간호학생의 환자 개인정보보호 인식과 실천에 영향을 주는 요인을 파악하기 위한 다학제간 융합연구가 필요하고, 간호학생들을 위한 환자 개인정보보호 교육 프로그램 개발과 적용이 필요하며. 환자 개인정보보호 인식과 실천을 향상시키기 위한 의료기관과 대학 측의 공동 방안 모색이 필요하다.