• Title/Summary/Keyword: Records System

검색결과 2,314건 처리시간 0.028초

A comparative study to measure the sagittal condylar inclination using mechanical articulator, virtual articulator and jaw tracking device

  • Liya Ma;Fei Liu;Jiansong Mei;Jiarui Chao;Zhenyu Wang;Jiefei Shen
    • The Journal of Advanced Prosthodontics
    • /
    • 제15권1호
    • /
    • pp.11-21
    • /
    • 2023
  • PURPOSE. To compare the sagittal condylar inclination (SCI) in dentate individuals measured by the different methods with mechanical articulator (MA), virtual articulator (VA), and a jaw tracking device (JTD) system. MATERIALS AND METHODS. A total of 22 healthy dentate participants were enrolled in this study. For MA workflow, the SCI was obtained by a semi-adjustable articulator with protrusive interocclusal records. The SCI was also set on a VA by aligning intraoral scan (IOS) with cone beam computed tomography (CBCT) and facial scan (FS), respectively. These virtual workflows were conducted in a dental design software, namely VAIOS-CBCT and VAIOS-FS. Meanwhile, a JTD system was also utilized to perform the measurement. Intraclass correlation was used to assess the repeatability within workflows. The bilateral SCI values were compared by Wilcoxon matched-pairs signed rank test for each workflow, and Kruskal-Wallis test and post hoc p-value Bonferroni correction were used to compare the differences among four workflows. The agreement of VAIOS-CBCT, VAIOS-FS, and JTD compared with MA was evaluated by Bland-Altman analysis. RESULTS. Intraclass correlation of the SCI revealed a high degree of repeatability for each workflow. There were no significant differences between the left and right sides (P > .05), except for VAIOS-CBCT (P = .028). Significant differences were not found between MA and VAIOS-FS (P > .05). Bland-Altman plots indicated VAIOS-CBCT, VAIOS-FS, and JTD were considered to substitute MA with high 95% limits of agreement. CONCLUSION. The workflow of VAIOS-FS provided an alternative approach to measure the SCI compared with MA.

개인형 이동수단별 헬멧 착용 유무가 두부 손상에 미치는 영향: 일개 권역응급의료센터에 교통사고로 내원한 환자를 대상으로 (The effect of wearing a helmet on head injury risks among personal mobility vehicle riders: A study of patients who visited a regional emergency medical center due to traffic accidents)

  • 안소연;김용준;심경율;이경열
    • 한국응급구조학회지
    • /
    • 제27권2호
    • /
    • pp.7-17
    • /
    • 2023
  • Purpose: This study aimed to identify the factors that contribute to head injuries among drivers of personal mobility devices and provide insights into safety perceptions. Methods: This retrospective study analyzed data of 221 trauma patients obtained from electronic medical records and the National Emergency Department Information System (NEDIS) over one year, from August 1, 2021, to July 31, 2022. The patients, all in their 20s and 30s, presented to a single emergency medical center following personal mobility device accidents (motorcycles, electric scooters, and bicycles). Results: Among motorcycle riders, 18.2% were not wearing helmets, while the percentage of e-scooter riders not wearing helmets was 87.5%. Wearing a helmet was associated with a 71.2% lower likelihood of head injuries (OR=0.288, CI=0.163 to 0.509, p=0.000). Of the personal mobility devices, motorcycles had a 0.431 times lower odds ratio for head injury compared to e-scooters (p=0.009), and there was no significant difference between e-scooters and bicycles (p=0.776). Conclusion: It is imperative to strengthen safety regulations by mandating helmet use for riders of personal mobility devices. A system to enhance driving enforcement for electric scooters, which are increasingly popular among young adults, should also be established.

의료기관 특수실 감염관리를 위한 비접촉 출입인증 관리 시스템 (Contactless Access Certification Management System for Infection Control in Special Rooms in Medical Institutions)

  • 이효승;최우진
    • 한국전자통신학회논문지
    • /
    • 제17권2호
    • /
    • pp.387-392
    • /
    • 2022
  • 2019년 의료법 시행규칙에 따라 감염관리가 필요한 시설(수술실, 분만실, 중환자실 등)에 대하여 출입기준을 준수함은 물론이며 출입자에 대한 입실, 퇴실, 연락처 등의 출입 사실에 대한 기록을 남겨 1년간 보존하도록 의료기관의 특수 실에 대한 출입기준이 개정되었다. 하지만, 현재까지도 이러한 내용에 대하여 수기로 작성을 하거나 오기 등의 이유로 불편함이 지속하고 있다. 이러한 이유로 본 연구에서는 IoT 장치와 UWB 기술을 활용하여 인가된 사용자에 대한 자동 개폐 및 출입 기록 저장 기능을 제공하는 시스템을 설계 구현하였고, 이를 통해 출입자의 편의와 시스템화된 출입통제가 가능할 수 있을 것으로 기대한다.

단자유도 해석모델을 활용한 응답스펙트럼과 지진취약도 곡선과의 관계에 대한 연구 (A Study on the Relationship between Response Spectrum and Seismic Fragility Using Single Degree of Freedom System)

  • 박상기;조정래;조창백;이진혁;김동찬
    • 한국지진공학회논문집
    • /
    • 제27권6호
    • /
    • pp.245-252
    • /
    • 2023
  • In general, the design response spectrum in seismic design codes is based on the mean-plus-one-standard deviation response spectrum to secure high safety. In this study, response spectrum analysis was performed using seismic wave records adopted in domestic horizontal design spectrum development studies, while three response spectra were calculated by combining the mean and standard deviation of the spectra. Seismic wave spectral matching generated seismic wave sets matching each response spectrum. Then, seismic fragility was performed by setting three damage levels using a single-degree-of-freedom system. A correlation analysis was performed using a comparative analysis of the change in the response spectrum and the seismic fragility concerning the three response spectra. Finally, in the case of the response spectrum considering the mean and standard deviation, like the design response spectrum, the earthquake load was relatively high, indicating that conservative design or high safety can be secured.

Tele-metering

  • Hearte, L.O.
    • 전기의세계
    • /
    • 제2권
    • /
    • pp.6-14
    • /
    • 1949
  • Telemetering may be described as the art of metering at a considerable distance those quantities which are ordinarily encountered in industry, and in the generation of electric power. It is in the production of electric power that telemetering is particularly important, for it permits the system operator, or load dispatcher, to have before him at all times a continuous graphic record of the power output of each individual generating station together with an automatically made continuous graphic record of the total system output. There desired individual graphic records may be obtained showing power flow in or out, on important tie lines, etc. Such arrangements have the very great advantage that loads may be assigned to each generating station so that the best over-all system economy may be obtained and the system operator at all times may see with his own eyes that loads scheduled are actually held at the various stations. Moreover, with such equipment, in the event of system or station trouble the load dispatcher can see exactly what station, or stations, are affected and to what extent, without having to get in touch with anyone by telephone. Decisions can, therefore, be quickly reached for rescheduling the load. One of the most accurate and reliable telemetering systems is based on the use of potentiometric circuits, the fundamentals of which are discussed below. A member of such telemetering systems have been installed for the Boston Edicon Co., Boston, Massachusetts, the Consolidated Edison Co. of New York City. The Public Service Gas & Electric Co. of Newark, new Jersey. The Philadelphia Electric Co. for Philadelphia, Pennsylvania, and the Pennsylvania Railroad Co. for their electrified zone between New York and Washington a distance of over 200 miles. The scale of the totalizing recorder for the New York area is 3,000,00 KW. That of the totalizing recorder for the Philadelphia area is 2,000,000 KW. The initial installation using this type of equipment described was placed in service for the Philadelphia Electric Co. in 1923. All of the original recording instruments are still in service, later instruments have been added to take care of additions to the power system and naturally these later recorders have incorporated in those refinements in design made since the earlier ones were manufactured. Many other installations of similar equipment have been made in the United States in various locations such as at St. Louis, on the West Coast, at Baltimore and in Washington, D.C. While the use of these basic potentiometric circuits involves the use of continuous metallic circuits of good insulation resistance and free of grounds, nevertheless, intermediate transmission links, involving and impulse method suitable for use on telephone Morse carrier channels is available. This same method may be employed on power line carrier systems and is also suitable for use on beam type microwave transmission. Many impulse type units are also used as a link in these potantiometric methods. For the sake of brevity a description is given only of these basic potentiometric circuits. If there is sufficient interest in Korea, a further paper can be given covering those impulse circuits also.

  • PDF

CT-Guided Percutaneous Transthoracic Needle Biopsy Using the Additional Laser Guidance System by a Pulmonologist with 2 Years of Experience in CT-Guided Percutaneous Transthoracic Needle Biopsy

  • Jeon, Min-Cheol;Kim, Ju Ock;Jung, Sung Soo;Park, Hee Sun;Lee, Jeong Eun;Moon, Jae Young;Chung, Chae Uk;Kang, Da Hyun;Park, Dong Il
    • Tuberculosis and Respiratory Diseases
    • /
    • 제81권4호
    • /
    • pp.330-338
    • /
    • 2018
  • Background: We developed an additional laser guidance system to improve the efficacy and safety of conventional computed tomography (CT)-guided percutaneous transthoracic needle biopsy (PTNB), and we conducted this study to evaluate the efficacy and safety of our system. Methods: We retrospectively analyzed the medical records of 244 patients who underwent CT-guided PTNB using our additional laser guidance system from July 1, 2015, to January 20, 2016. Results: There were nine false-negative results among the 238 total cases. The sensitivity, specificity, positive predictive value, negative predictive value, and diagnostic accuracy of our system for diagnosing malignancy were 94.4% (152/161), 100% (77/77), 100% (152/152), 89.5% (77/86), and 96.2% (229/238), respectively. The results of univariate analysis showed that the risk factors for a false-negative result were male sex (p=0.029), a final diagnosis of malignancy (p=0.033), a lesion in the lower lobe (p=0.035), shorter distance from the skin to the target lesion (p=0.003), and shorter distance from the pleura to the target lesion (p=0.006). The overall complication rate was 30.5% (74/243). Pneumothorax, hemoptysis, and hemothorax occurred in 21.8% (53/243), 9.1% (22/243), and 1.6% (4/243) of cases, respectively. Conclusion: The additional laser guidance system might be a highly economical and efficient method to improve the diagnostic efficacy and safety of conventional CT-guided PTNB even if performed by inexperienced pulmonologists.

주 5일제 시행 후 일 지역 응급실 환자 특성 변화 (Changes of Characteristics of Patients in Daily Regional Emergency Room after Execution of Five-day Workweek System)

  • 최길순;권혜란
    • 한국응급구조학회지
    • /
    • 제11권1호
    • /
    • pp.53-64
    • /
    • 2007
  • Purpose: Ths study aims to examine characteristics of patients using emergency room after execution of five-day workweek system by government and provide basic materials for operation of efficient emergency room. Methods: Data were collected tbrough medical records of patients visiting emergency room from July of 2004 to October of 2006 and they were analyzed with SPSSlPC 10.0. Conclusion : 1. The number of patients visiting emergency room was average 16.7 persons a day in 2004, 17.5 in 2005 and 18.6 in 2006 and it was found that it was increasing every year since the execution of five-day workweek system 2. Gender distribution of subjects using emergency room was higher in male than in female every year. 3. Means of transport to emergency room were mostly private car and others(public transport or on foot), but use of ambulance was increasing. 4. Residential areas of subjects were mostly 'Myeon area' in 2004~2005, but it was changed to residents at 'Eup area' in 2006. 5. Distribution of patients by medical departments was highest in internal medicine and surgery in 2004~2006 and rate of visiting pediatrics was increasing every year. 6. Time to stay at emergency room was most at 'below 30 min'. in 2004~2006, but cases of stay for 'more than 2 hours' were increasing every year. 7. On presence or absence of trauma in patients visiting emergency room, rate of visit to emergency room with 'no trauma' was higher and this result was increasing every year. 8. As a result of classifying severity of patients visiting emergency room, use rate of emergency room by 'non-emergency' patients was over 90% in 2004~2006 and such a phenomenon was deepened in 2006 compared to that in 2004. 9. Measures after emergency care of patients were most in case of 'discharge' in 2004~2006, but cases of admission to hospital after emergency care were increased every year. 10. According to use of emergency room by a day of the week, use on Sunday was most frequent in 2004~2006, but use on Friday the day before holiday was increasing. 11. According to distribution by age, use by those between '40~49' was most in 2004~2005, but use by those 'below 10' was most in 2006. 12. According to time to visit emergency room, using emergency room at "15:31~23:30 was most in 2004~2006, cases of visiting emergency room at day working hour were decreased every year and those at evening and night working hours were increased. Conclusion: In sum, it was found that characteristics of patients visiting emergency room and their actual status were changed after the execution of five-day workweek system and efforts to rearrange emergency medical system are required.

  • PDF

지형효과를 이용한 한반도에서 관측된 2011년 동일본 지진해일 선행파 수치모의 (Numerical Simulations of the 2011 Tohoku, Japan Tsunami Forerunner Observed in Korea using the Bathymetry Effect)

  • 이준환;박은희;박순천;이덕기;이종호
    • 한국해안·해양공학회논문집
    • /
    • 제28권5호
    • /
    • pp.265-276
    • /
    • 2016
  • 2011년 3월 11일에 발생한 2011년 동일본(도호쿠) 지진해일은 한반도에 도달하여 많은 조위관측소에 기록되었다. 북동쪽 조위관측소 관측 자료에서 기존의 수치모의로 예측한 지진해일 도달시각보다 매우 이른 시간에 지진해일이 관측되는 지진해일 선행파가 관측되었다. Murotani et al.(2015)는 지형효과가 일본 및 러시아에서 관측된 지진해일 선행파와 관련 있음을 밝혔다. 본 연구에서는 지형효과를 고려한 지진해일 수치모의를 통해 우리나라에서 관측된 지진해일 선행파를 재현하였다. 이를 통하여 2011년 동일본 대지진과 같이 완만한 경사의 단층에서 발생한 지진에 의한 지진해일의 경우 지형효과를 고려하는 것이 지진해일 예측에 중요함을 알 수 있었다. 그러나 수치모의에 지형효과를 고려하기 위해서는 추가적인 연산 시간이 소요되므로 지진해일 통보 시스템에 적용하기 위해서는 충분한 검토가 필요하다.

비인강암에서의 AJCC의 새로운 병기 분류법과 기존 병기 분류법의 비교 (Comparison of New AJCC Staging System with OId AJCC Staging System in Nasopharyngeal Carcinoma)

  • 홍세미;우홍균;박찬일
    • Radiation Oncology Journal
    • /
    • 제18권4호
    • /
    • pp.221-225
    • /
    • 2000
  • 목적 : 본 연구는 1997년에 개정된 비인강암에 대한 AJCC병기 분류법을 1992년의 분류법과 비교하여 새로운 병기 분류법의 신뢰성을 평가하고자 시행되었다. 재료 및 방법 : 1983년부터 1996년까지 서울대학교 병원 치료방사선과에 방사선 치료를 위해 내원한 185명의 조직학적으로 확진되고 원격전이의 증거가 없는 비인강암 환자들을 대상으로 하였다. 이들 환자들에 대하여 의무 기록과 전산화 단층촬영, 자기공명영상을 검토하여 1992년 병기 분류법과 1997년 병기 분류법에 따라 병기를 분류하였고 각 병기 분류법에 따라 생존율을 산출하였다. 결과 : 1992년 분류법과 1997년 분류법에 따른 5년 생존율은 병기 I에서 각각 100$\%$; 병기 II에서는 100$\%$ 와 68.8$\%$; 병기 III에서는 61.4$\%$ 와 63.8$\%$; 병기 IV에서는 61.1$\%$ 와 63.2$\%$ 였다. 각각의 분류법으로 산출한 5년 생존율은 각각의 병기분류법 내에서 병기에 따라 유의한 차이를 보였으나 양 분류법 간에는 병기 II를 제외하고는 통계학적인 차이는 없었다. 결론 : 새로운 비인강암의 AJCC 병기분류법은 이전의 1992년 분류법과 비교하여 신뢰할 수 있을 것으로 생각되나 더 많은 환자를 대상으로 임상적 연구가 진행되어야 할 것으로 생각된다.

  • PDF

DRG 지불제도 도입에 따른 의료보험청구 행태 변화 (Impacts of DRG Payment System on Behavior of Medical Insurance Claimants)

  • 강길원;박형근;김창엽;김용익;하범만
    • Journal of Preventive Medicine and Public Health
    • /
    • 제33권4호
    • /
    • pp.393-401
    • /
    • 2000
  • Objectives : To evaluate the impacts of the DRG payment system on the behavior of medical insurance claimants. Specifically, we evaluated the case-mix index, the numbers of diagnosis and procedure codes utilized, and the corresponding rate of diagnosis codes before, during and after implementation of the DRG payment system. Methods : In order to evaluate the case-mix index, the number of diagnosis and procedure codes utilized, we used medical insurance claim data from all medical facilities that participated in the DRG-based Prospective Payment Demonstration Program. This medical insurance claim data consisted of both pre-demonstration program data (fee-for-service, from November, 1998 to January, 1999) and post-demonstration program data (DRG-based Prospective Payment, from February, 1999 to April, 1999). And in order to evaluate the corresponding rate of diagnosis codes utilized, we reviewed 820 medical records from 20 medical institutes that were selected by random sampling methods. Results : The case-mix index rate decreased after the DRG-based Prospective Payment Demonstration Program was introduced. The average numbers of different claim diagnosis codes used decreased (new DRGs from 2.22 to 1.24, and previous DRGs from 1.69 to 1.21), as did the average number of claim procedure codes used (new DRGs from 3.02 to 2.16, and previous DRGs from 2.97 to 2.43). With respect to the time of participation in the program, the change in number of claim procedure codes was significant, but the change in number of claim diagnosis codes was not. The corresponding rate of claim diagnosis codes increased (from 57.5% to 82.6%), as did the exclusion rate of claim diagnosis codes (from 16.5% to 25.1%). Conclusions : After the implementation of the DRG payment system, the corresponding rate of insurance claim codes and the corresponding exclusion rate of claim diagnosis codes both increased, because the inducement system for entering the codes for claim review was changed.

  • PDF