• Title/Summary/Keyword: Remote Care

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Evaluation of a Smart After-Care Program for Patients with Lung Cancer: A Prospective, Single-Arm Pilot Study

  • Yang, Hee Chul;Chung, Seung Hyun;Yoo, Ji Sung;Park, Boram;Kim, Moon Soo;Lee, Jong Mog
    • Journal of Chest Surgery
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    • v.55 no.2
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    • pp.108-117
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    • 2022
  • Background: The efficacy of telemedicine among cancer survivors is uncertain. The Smart After-Care Program (SAP), which is an interactive, smartphone-based remote health monitoring system, was developed to help patients manage their health after leaving the hospital. This study was designed to evaluate the efficacy of our remote health care program for lung cancer patients. Methods: We enrolled 50 patients with lung cancer. Self-monitoring devices were supplied to all patients, who were instructed to enter their daily vital signs and subjective symptoms to the Smart After-Care app. The app also provided information about rehabilitation exercises and a healthy diet for lung cancer patients. All patients received health counseling via telephone once a week and visited an outpatient clinic during weeks 6 and 12 to assess satisfaction with the SAP and changes in quality of life and physical performance. Results: Overall satisfaction with the SAP was very high (very good, 61.9%; good, 26.2%). In the multivariate analysis to identify factors affecting satisfaction, the distance between the patient's residence and the hospital was the only significant independent factor (p=0.013). Quality of life improved along all functional scales (p<0.05). Muscle strength significantly improved in the lower limbs (p=0.012). Two-minute walk distance also significantly improved (p=0.028). Conclusion: This study demonstrated that the SAP was acceptable for and supportive of patients with reduced pulmonary function after lung cancer treatment. The SAP was found to be particularly useful for patients living far from the hospital.

Internet of Things for in Home Health based Monitoring System: Modern Advances, Challenges and Future Directions

  • Omer Iqbal;Tayyeba Iftakhar;Saleem Zubair Ahmad
    • International Journal of Computer Science & Network Security
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    • v.24 no.8
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    • pp.191-204
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    • 2024
  • IOT has carried out important function in converting the traditional fitness care corporation. With developing call for in population, traditional healthcare structures have reached their outmost functionality in presenting sufficient and as plenty as mark offerings. The worldwide is handling devastating developing antique population disaster and the right want for assisted-dwelling environments is turning into inevitable for senior citizens. There furthermore a determination by means of the use of way of countrywide healthcare organizations to increase crucial manual for individualized, right blanketed care to prevent and manipulate excessive coronial situations. Many tech orientated packages related to Health Monitoring have been delivered these days as taking advantage of net boom everywhere on globe, manner to improvements in cellular and in IOT generation. Such as optimized indoor networks insurance, community shape, and fairly-low device fee performances, advanced tool reliability, low device energy consumption, and hundreds higher unusual common usual performance in network safety and privacy. Studies have highlighted fantastic advantages of integrating IOT with health care location and as era is improving the rate also cannot be that terrific of a problem. However, many challenges in this new paradigm shift notwithstanding the fact that exist, that need to be addressed. So the out most purpose of this research paper is 3 essential departments: First, evaluation of key elements that drove the adoption and boom of the Internet of factors based totally domestic some distance off monitoring; Second, present fashionable improvement of IOT in home a long manner off monitoring shape and key building gadgets; Third, communicate future very last effects and distinct guidelines of such type a long way off monitoring packages going ahead. Such Research is a wonderful manner in advance now not outstanding in IOT Terminology but in standard fitness care location.

Remote Care Using Medical Bed System Equipped With Body Pressure Sensors (체압 센서를 이용한 의료용 침대의 원격 케어)

  • Jaehyeok Jeung;Sanghyun Bok;Junhee Lim;Bokyung Oh;Youngdae Lee
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.1
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    • pp.619-625
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    • 2023
  • In this paper, the remote care of medical beds with multiple body pressure sensors is described. Falling is one of the factors that seriously threaten the safety of patients and harm their health. In this study, a new bed was developed to overcome this. The bed system consists of a keyboard that can operate, a keyboard controller that manages the movement of the keyboard, a sensor that measures body pressure, a sensor controller that transmits and receives sensor values, a main controller that checks it and operates automatically or manually according to the algorithm, and a server that oversees all these information. The bed system checks the patient's location through a sensor and wirelessly alerts the server through the main controller when the patient determines that there is a risk of falling, so that the nurse or nurse can recognize the patient's dangerous condition. The server may receive state data transmitted from the wired/wireless terminal to monitor whether the bed system is operating normally. The controller of the keyboard operates a keyboard-type mechanism and automatically controls the prevention of bedsores connected by body pressure sensors to physically separate the area to which the patient's pressure is applied to prevent bedsores. The main controller checks the presence of the patient's bed and transmits it to the server. In conclusion, the proposed system can smart monitor the user's state and perform remote care.

Ubiquitous Radioactivity Care System (유비쿼터스 방사성 CARE 시스템에 관한 보고서)

  • Jung, Chang-Duk;Park, Chan-Hyuk;Hwang, Sun-Il
    • 한국IT서비스학회:학술대회논문집
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    • 2009.05a
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    • pp.409-414
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    • 2009
  • I have not seen each of the existing technology, RFID/USN technology combined with the wireless communication channel for the state of nuclear safety in real-time remote monitoring and operation system technology CARE existing radioactive accident information collected by the nuclear power and nuclear power status, 10-20 second intervals to monitor the safety network (SIDS), and nuclear power plants located on the site within 40 ㎞ radius around the 13~15 of the wind speed from the automatic weather network weather information such as rainfall and temperature every 10 minutes to collect as automatic weather network (REMDAS), Evaluation of atmospheric radiation and radiation of the bomb radiation impact assessment system to calculate the goodness (FADAS) and thicken the radiation-related information consists of real-time web technology to collect, the last robot on behalf of the human will to manage the nuclear power plant accident of the technology to prevent the concrete from the following narrative about to have.

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Challenges in Public Health Programs for People Living in Rural and Remote Areas (농촌지역 공공보건기관의 보건사업 기능개편 방안)

  • June, Kyung-Ja;Na, Baek-Ju
    • Journal of Korean Academy of Rural Health Nursing
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    • v.2 no.2
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    • pp.145-152
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    • 2007
  • Purpose: The purpose of this study was to suggest new directions for public health programs in rural and remote areas. Method: For this purpose, a literature review was done including articles, research reports, and master theses and doctoral dissertations. Results: Public health programs in rural remote areas were found to be very insufficient in terms of professional personnel and program diversity. Especially, there is a lack of adequate manpower and infra-structure in the public health sub-centers at the township and sub county level. Although community health practitioners at the village level are providing public health service beyond medical care, their coverage rate is very low. Conclusion: The results suggest a need to strengthen the function of public health sub-centers to provide comprehensive public health service based on the life-cycle approach. For this new change, legal and political support must be developed.

A Discriminant Analysis Study on Selection of Delivery Place and Delivery Attendants in Korean Rural Remote Area (판별분석 기법을 이용한 농촌지역 산모의 분만장소 및 분만 개조자 선정에 관한 연구)

  • 한경애
    • Journal of Korean Academy of Nursing
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    • v.16 no.2
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    • pp.44-52
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    • 1986
  • Maternal and child health(MCH) status is considered as an important indicator of the level of health and civilization of a community and a country. MCH services for the rural population in the remote ar deserves priority by the government, since more than half(52.9%) of the delivery was occured at home and almost half (45.5%) of the delivery was assited by family members or neighbors. The purpose of the study was to analyse the health fare behavior related to pregnancy and delivery, which can be contributed maternal health care policy mating for the rural people. Specifically, it was intended to analyze the variables which affect the health care behavior in selecting birth places and birth attendants. This study utilized the data which had been already collected for an experimental study on primary health program model in Korean rural communities, funded by the USAID. 184 sample households with women who had delivered a baby during March 1982 to February 1983 were selected. Discriminant Analysis was employed for statistical analysis by utilizing SPSS computer package program. Birth places and birth attendants were considered as dependent variables. Among 12 independent variables in 5 groups considered, 7 independent variables were found statistically significant to affect the selection of birth place. Significant variables by the order of importance are mother's age, order of baby, number of prenatal care, accessibility of emergency medical care, coverage of medical insurance, mother's membership in community organization and husband's educational level. The degree of correct classification of the grouped cases by employing a discriminant . analysis was significantly improved to 78.2% in comparison to Cmax(56%) and Cpro(51%). Policy implications for each significant variable were discussed to improve the maternal and child health. in Korean ruralarea.

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Implementation of Low-Power Ubiquitous Health System based on Real-Time Embedded Linux using ZigBee wireless communication (ZigBee를 이용한 실시간 임베디드 리눅스 기반의 저전력형 U-Health 시스템 구현)

  • Kwon, Jong-Won;Ayurzana, Odgerel;Park, Yong-Man;Koo, Sang-Jun;Kim, Hie-Sik
    • Proceedings of the KIEE Conference
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    • 2007.04a
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    • pp.436-438
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    • 2007
  • As the sensors and communication technology get advance, the remote health diagnosis for patients and senior persons at home are possible now without visiting doctors in hospitals. A low-power ubiquitous health check device was developed adapting Real-Time Embedded Linux is developed. This ubiquitous device is consisted of three sensors. The wrist type health checking terminal acquires periodically the health data by using a blood pressure sensor, a pulse sensor and a body temperature sensor. It transmits the health data to the access point located at the home center through the ZigBee wireless communication modem. This health data collector or access point device sends the data again to the main server operated in a hospital or health care organization. The health server control continuously the input data and sends an alarm signal to the assigned. doctor and responsible persons using cellular SMS when any dangerous events occur. This wrist type health check device has an embedded linux OS using Intel PAX255 MPU. The developed U-Health system is applicable for checking patients health in remote at home. And their family or related persons in remote site can check the patients health status at any time. They can be assured by receiving SMS record and alarm of emergency case which is transmitted from the health server.

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Lessons from the Development of Rural Health Nursing in Australia, Canada, and the United States (외국의 농촌간호에 관한 고찰 - 호주, 캐나다, 미국을 중심으로-)

  • June, Kyung-Ja;Park, Ji-Yeon
    • Journal of Korean Academy of Rural Health Nursing
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    • v.4 no.1
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    • pp.51-57
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    • 2009
  • Purpose: This study was done to learn from the development of rural health nursing in developed countries. Method: A literature search was done using keywords such as "rural and nursing" or "rural and health" from the database CHINAL and website of institutions related to rural health and nursing. Results: In Australia, the type of rural health institution was categorized according to the population size and nursing service was done differently according to area. It is unique to Canada to have the Canadian Association of Rural and Remote Nursing, which published the survey report "the Nature of Nursing Practice in Rural and Remote Canada". In the U.S., the role of nurse practitioners in rural communities was relatively well developed and a diverse nursing care model was demonstrated. To improve health care access in rural communities, financial and political support by the governments has been part of long-term plans in the three countries. Conclusion: It is very informative to identity the difference and similarity in rural health nursing in three developed countries. For the future development of Korean rural nursing, suggestion can be made in terms of research, education and policy development.

Cancer Care Management through a Mobile Phone Health Approach: Key Considerations

  • Mohammadzadeh, Niloofar;Safdari, Reza;Rahimi, Azin
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.9
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    • pp.4961-4964
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    • 2013
  • Greater use of mobile phone devices seems inevitable because the health industry and cancer care are facing challenges such as resource constraints, rising care costs, the need for immediate access to healthcare data of types such as audio video texts for early detection and treatment of patients and increasing remote aids in telemedicine. Physicians, in order to study the causes of cancer, detect cancer earlier, act in prevention measures, determine the effectiveness of treatment and specify the reasons for the treatment ineffectiveness, need to access accurate, comprehensive and timely cancer data. Mobile devices provide opportunities and can play an important role in consulting, diagnosis, treatment, and quick access to health information. There easy carriage make them perfect tools for healthcare providers in cancer care management. Key factors in cancer care management systems through a mobile phone health approach must be considered such as human resources, confidentiality and privacy, legal and ethical issues, appropriate ICT and provider infrastructure and costs in general aspects and interoperability, human relationships, types of mobile devices and telecommunication related points in specific aspects. The successful implementation of mobile-based systems in cancer care management will constantly face many challenges. Hence, in applying mobile cancer care, involvement of users and considering their needs in all phases of project, providing adequate bandwidth, preparation of standard tools that provide maximum mobility and flexibility for users, decreasing obstacles to interrupt network communications, and using suitable communication protocols are essential. It is obvious that identifying and reducing barriers and strengthening the positive points will have a significant role in appropriate planning and promoting the achievements of mobile cancer care systems. The aim of this article is to explain key points which should be considered in designing appropriate mobile health systems in cancer care as an approach for improving cancer care management.

Problems and Reconsideration of the Concept of Public Health Care (Public Health and Medical Services) in South Korea (한국 내 공공보건의료 개념의 문제점과 재설정)

  • Sung, Jong Ho;Kim, Jung Ha
    • Korean Medical Education Review
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    • v.24 no.1
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    • pp.3-9
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    • 2022
  • The concept of "public health care (public health and medical services)" as discussed in South Korea is used in an unclear sense, with a meaning unlike the terminology used worldwide. The terms "public health care (public health and medical services)" and "health care (health and medical services)" have the same legal definition in Korea. Globally, "public health care (public health and medical services)" refers to medical services provided to the public that are operated as publicly funded resources, but in Korea, this term is confined to limited medical services prescribed by the government. The following considerations regarding "public health care (public health and medical services)" in Korea are proposed: All medical services performed by the state, regional governments, health care institutions, or health care workers to protect and promote the health of the people should be clearly established as "public health care (public health and medical services)" by definition. The financial burden borne by the state through national health insurance should be increased to an appropriate level to clarify the state's responsibility. Improving public health is an urgent priority in Korea, and this goal can be achieved by improving regional public health through systematic relationships between the state and regional governments, establishing a Ministry of Health, and efficiently allocating public health doctors who are important for providing regional medical care in rural and remote areas. It will be possible to actively deal with infectious diseases at the national level through establishment of a Ministry of Disease Control and Prevention.