• 제목/요약/키워드: Remote Care

검색결과 184건 처리시간 0.028초

인터넷 기반 교육 중재가 산욕기 어머니 건강에 미치는 영향에 대한 체계적 고찰 (Maternal Health Effects of Internet-Based Education Interventions during the Postpartum Period: A Systematic Review)

  • 채정미;김현경
    • 지역사회간호학회지
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    • 제32권1호
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    • pp.116-129
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    • 2021
  • Purpose: This study aimed to investigate the maternal health effects of internet-based education interventions on parturients during the postpartum period through a systematic review of randomized controlled trials. Methods: An electronic literature search of the Cochrane Library, CINAHL, EMBASE, Eric, PsycINFO, PubMed, RISS, and KISS databases was performed, using the combination of keywords such as 'parenthood education', '*natal education', '*birth intervention', 'internet-based intervention', 'randomized controlled trial'. The inclusion criteria were peer-reviewed papers in English regarding randomized controlled trials of internet-based postnatal education interventions. Educational interventions were delivered through any web, mobile, eHealth, mHealth, virtual reality, short message service, or social networking service platform. Quality appraisal was performed using the Risk of Bias 2 (RoB 2) for randomized controlled trials. Nine articles were yielded, and the intervention effects were analyzed. Results: Internet-based education interventions during the postpartum period affect maternal self-efficacy, postpartum depression, and successive breastfeeding; however, they do not affect maternal satisfaction and parenting confidence. Conclusion: This study demonstrated that internet-based education interventions affect maternal health status in terms of psychological, emotional, and physical wellness. Therefore, maternal health care professionals can utilize remote education using the internet or mobile-based interventions during the postpartum period.

산촌 중학교 보건교사의 코로나19 집단감염 발생 대응 사례 (A Case Report of the COVID-19 Outbreak Response by a Middle School Health Teacher in a Mountain Village)

  • 조아람
    • 한국농촌간호학회지
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    • 제16권2호
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    • pp.54-59
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    • 2021
  • Purpose: This study aimed to describe a school health teacher's experience working in a mountain village during the COVID-19 outbreak in 2021. Methods: The study used a case study method based on the school records and reports to the local office of education. Results: In T City, since the first COVID-19 case confirmed on March 8, 2020, as of May 17, 21, a total of 21 cases have occurred, including two third-year students of H Middle School. Since then, one additional case was confirmed on May 18, one more on May 25, and one more on May 27, resulting in a total of five confirmed cases. During this period, 42 students and 13 teachers were self-quarantined, all students and staff were tested for COVID-19 PCR, and students received remote classes. The role of school health teacher can be described through three categories: "collaborator", "care coordinator", and "educator". The school health teacher did a lot of work until the situation came to an end, successfully fulfilling these three roles. Conclusion: Some suggestions were made to prepare a more effective communicable disease response system suitable for public health infrastructure of non-urban area.

고령화 사회 원격 진료를 위한 확률론적 예측인공지능 연구 (Implementation of Probabilistic Predictive Artificial Intelligence for Remote Diagnosis in Aging Society)

  • 정재승;주현수
    • 공업화학전망
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    • 제23권6호
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    • pp.3-13
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    • 2020
  • 저출산 고령화 사회로의 진입은 대한민국뿐만 아니라 전 세계적으로 많은 사회 문제를 야기하고 있다. 그 중에서 고령 인구 증가로 인한 의료 수요 증가와 이를 뒷받침 할 의료인력 부족은 곧 다가올 사회문제이다. 4차 산업 혁명으로 인해 다양한 사회문제에 대한 혁신적인 해법들이 제시되고 있는데, 본 기고문에서는 다가올 고령화 사회에서 의료인력 부족 등에 의한 해결법으로 원격의료 지원을 위한 인공지능 활용을 다루고자 한다. 병 진단 및 예측을 위한 여러 가지 인공지능 알고리즘은 이미 많이 개발 되어 있으나, 일반적으로 딥러닝에 많이 쓰이는 인공신경망 구조인 합성곱 뉴럴네트워크(convolution neural network)나 기존 퍼셉트론(perceptron) 구조에서 벗어나 확률론적 인공신경망 중에 하나인 베이지안 뉴럴네트워크(Bayesian neural network)를 다루고자 한다. 그중에서 연산효율적이며 뉴로모픽 하드웨어로 구현 가능성이 높고 실제 진단 예측(diagnosis prediction) 문제 해결에 강점을 보이는 알고리즘으로써 naive Bayes classifer를 활용한 연구를 소개하고자 한다.

명장(明將) 남방위(藍芳威)의 조선 활동과 현존 문물 고찰

  • 박현규
    • 중국학논총
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    • 제72호
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    • pp.47-70
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    • 2021
  • In this paper, the focus was on the review of Ming General Nan Fangwei's activities during the Choson period and existing relevant historical artifacts & literacy works. Nan Fangwei's hometown was Jiangxi(江西) Changjiang(昌江; Jingdezhen景德鎭). Unfortunately, it has not been known where his descendants migrated later. During Jingdezhen Riot(景德鎭民亂), he went to serve as the head of the grass roots. After surrendering, he became a general in the Ming military base. During Jeongyujae War(丁酉再亂), he entered Chosun as a Youji general(遊擊) and participated in dozens of large and small battles. However, the defeat of Jungro-gun (中路軍) led him to a feud with the Ming's military authorities and to return him, which gave him a hard time to be forcibly dislodged to a remote region. Nan Fangwei established Namwon Guanwang Shrine(南原 關王廟). Since then, it has been preserved in Namwon Wangjeong-dong(王亭洞) through several reconstruction and reconstruction works. In addition, he took good care of people by strictly cracking down on their subordinates with high integrity and virtuous deeds at the military base. Being deeply touched by his morality and virtue, the people of Gongju(公州) established 'Youji general Nan Fangwei Jongdeokbi(〈遊擊將藍公種德碑〉)'. In addition, when he had his leisure time, he collected Korean Chinese poems from various figures and edited and published 'Chosun Poetry Collection(《朝鮮詩選全集》)', which he played a catalyst to promote high-quality Korean poems to Chinese literacy community.

Evolving the Cybersecurity of Clinical Photography in Plastic Surgery

  • Daisy L. Spoer;Alexandra Junn;John D. Bovill;Zoe K. Haffner;Andrew I. Abadeer;Stephen B. Baker
    • Archives of Plastic Surgery
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    • 제50권4호
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    • pp.443-444
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    • 2023
  • Point-of-care photography and photo sharing optimize patient outcomes and facilitate remote consultation imperative for resident surgeons. This literature review and external pilot survey study highlight the risks associated with current practices concerning patient privacy and biometric security. In a survey of 30 plastic surgeon residents and attendings, we found that the majority took photos of patients with their iPhones and shared them with colleagues via Apple iMessage. These findings corroborate previous reports and highlight a lack of physician user acceptance of secure photo-sharing platforms. Finally, we frame a successful example from the literature in the context of a postulated framework for institutional change. Prioritizing the privacy and safety of patients requires a strategic approach that preserves the ease and frequency of use of current practices.

웨어러블 디바이스를 이용한 반려동물 원격 모니터링 시스템 (A Remote-Monitoring System of Pets using a Wearable Device)

  • 정한조;이정훈;이지형;김세윤;정지원
    • 한국컴퓨터정보학회:학술대회논문집
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    • 한국컴퓨터정보학회 2020년도 제62차 하계학술대회논문집 28권2호
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    • pp.281-282
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    • 2020
  • 2019년 통계청의 보고에 의하면 1인 가구 수는 전체 가구 수 중 29.9퍼센트인 603만 9000가구로 600만 가구를 돌파하였고, 계속해서 상승 추세에 있다. 1인 가구 비율이 상승함에 따라 반려동물 사육 가정의 비율 또한 상승하고 있다. 본 논문에서는 반려동물을 사육하는 1인 가구를 위해 반려동물의 생체데이터, 활동량 등을 웨어러블 기기를 통해 측정하고, 센싱된 데이터를 원격으로 모니터링할 수 시스템을 제안한다. 아두이노를 이용하여 반려동물의 온도 등의 생체데이터와 활동량 체크를 위한 가속도 센서 데이터를 측정하고 와이파이 통신을 이용하여 데이터베이스 서버로 전송하는 기기를 구성하고, 센싱된 데이터를 사용자가 다운받아서 데이터를 분석, 모니터링할 수 있는 모바일 앱 인터페이스를 제공한다.

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연속 다중 이미지 기반 3D 생성 모델 보정 기술 개발 (Corrected 3D Reconstruction Based on Continuous Image Sets)

  • 김태연;조동식
    • 한국정보통신학회:학술대회논문집
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    • 한국정보통신학회 2022년도 추계학술대회
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    • pp.374-375
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    • 2022
  • 최근, 메타버스 서비스를 통해 시간적, 공간적 제약에서 벗어나 원격지와 의사 소통을 자연스럽게 진행하는데 많이 사용하고 있다. 이러한 메타버스 콘텐츠 제작을 위해서는 실제 공간의 데이터를 기반으로 3D 모델을 복원하고, 합성할 필요가 있다. 본 논문에서는 다수의 카메라를 이용한 연속된 이미지를 기반으로 3D 생성 복원 모델을 제작하고, 복원된 3D 모델을 보정할 수 있는 기법을 제시한다. 이를 위해 오프라인으로 다중 카메라 셋업을 수행하고, 여러 각도에서 얻어진 이미지를 통해 만들어진 3D 모델에 대해 오류를 분석한 뒤 이미지 프레임 간의 매칭 기법으로 보정을 수행 하였다. 본 논문에서 제시한 움직이는 3D 물체 복원 방법을 통해 문화, 관광, 의료 등 다양한 서비스 분야에 3D 복원 데이터를 활용할 수 있을 것으로 본다.

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Evolution of the Stethoscope: Advances with the Adoption of Machine Learning and Development of Wearable Devices

  • Yoonjoo Kim;YunKyong Hyon;Seong-Dae Woo;Sunju Lee;Song-I Lee;Taeyoung Ha;Chaeuk Chung
    • Tuberculosis and Respiratory Diseases
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    • 제86권4호
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    • pp.251-263
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    • 2023
  • The stethoscope has long been used for the examination of patients, but the importance of auscultation has declined due to its several limitations and the development of other diagnostic tools. However, auscultation is still recognized as a primary diagnostic device because it is non-invasive and provides valuable information in real-time. To supplement the limitations of existing stethoscopes, digital stethoscopes with machine learning (ML) algorithms have been developed. Thus, now we can record and share respiratory sounds and artificial intelligence (AI)-assisted auscultation using ML algorithms distinguishes the type of sounds. Recently, the demands for remote care and non-face-to-face treatment diseases requiring isolation such as coronavirus disease 2019 (COVID-19) infection increased. To address these problems, wireless and wearable stethoscopes are being developed with the advances in battery technology and integrated sensors. This review provides the history of the stethoscope and classification of respiratory sounds, describes ML algorithms, and introduces new auscultation methods based on AI-assisted analysis and wireless or wearable stethoscopes.

The Role and Necessity of Public Health Services in a Remote Area

  • Lee-Seung KWON
    • 웰빙융합연구
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    • 제6권4호
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    • pp.63-68
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    • 2023
  • Purpose: This study aims to investigate the national obligation of public health support for residents in medically vulnerable areas in Korea, and to propose a suitable model for public health institutions in this region. Research design, data, and methodology: A survey targeting residents was conducted from August 10 to August 17, 2021, with a sample size of 177 general citizens. The survey utilized a structured questionnaire administered online through Google, employing convenience random sampling. After an editing process to ensure data accuracy, the final dataset of 174 valid samples underwent encoding, coding, and cleaning using the IBM SPSS Statistics 22.0 program for analysis. Results: Health status revealed a moderate level, and 63.8% reported having chronic diseases, particularly prevalent among the elderly. External healthcare institutions were commonly utilized, with proximity and competence of doctors being primary reasons. Respondents expressed a need for improving the public health and medical system, emphasizing the establishment of a County Health Centre and expanding medical departments. Conclusions: In this region, the region's unique challenges, including education, employment, population decline, aging, and transportation, require multidimensional efforts and urgent intervention by public entities. Long-term strategies involve considering the establishment of a health and medical institute, adjusting health centre resources to local realities, and fostering a cooperative system for collaboration among residents and institutions.

디지털 융복합시대에 원격의료 규제 완화에 관한 쟁점 분석 (Issue Analysis on the Deregulation of Telemedicine in the Digital Convergence Era)

  • 김진숙;오수현
    • 디지털융복합연구
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    • 제18권12호
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    • pp.445-457
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    • 2020
  • 본 연구는 최근 정부가 시행하고 있는 원격의료에 대한 규제 완화로 인해 발생할 수 있는 다양한 쟁점들에 대해 분석하여 원격의료 정책 추진 시 선제적으로 준비해야 할 사항을 제안하고, 원격의료 규제 완화시 기본전제와 방향성에 대해 시사점을 제시하는 것이 연구목적이다. 최근 원격의료에 대한 규제 완화 정책 사례로는 강원도 규제자유특구 의사-환자 간 원격의료 허용, 코로나-19 사태에서 전화상담 및 처방 사례를 들 수 있다. 이러한 원격의료 규제 완화와 관련하여 발생할 수 있는 쟁점들은 크게 4가지로 안전성, 유효성, 보건의료와 경제산업 접근 차이, 법적 책임소재로 정리하였다. 본 연구에서는 선제적 준비사항으로 원격의료 시범사업과 대면진료 보완 수단 지원 강화, 원격 협진 활성화, 의료전달체계를 교란시키지 않는 정책 모형, 법적 정비를 제안하였다. 결론에서는 원격의료 규제 완화 추진시 기본 전제와 방향성에 대한 시사점으로 원격의료에 대한 쟁점들을 해결하기 위한 선제적 조치 수행, 원격의료 추진시 고려해야 할 제한조건 검토와 규정화, 의료공급자와의 긴밀한 소통과 협력 구조 마련을 제시하였다.