• Title/Summary/Keyword: Remote medicine

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Changes of Afferent Transmission to the SI Cortex by Transient Co-Stimulation of Receptive Field Center and Outside in Anesthetized Rats

  • Yang, Yu-Mi;Lim, Sa-Bina;Won, Chung-Kil;Shin, Hyung-Cheul
    • The Korean Journal of Physiology and Pharmacology
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    • v.5 no.1
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    • pp.27-32
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    • 2001
  • We have characterized the aftereffects of impulse activities on the transmission of afferent sensory to the primary somatosensory (SI) cortex of the anesthetized rats (n=22). Following conditioning stimulation (CS, 10 sec, either 5 Hz or 200 Hz) to the receptive field (RF), quantitative determination of the changes of afferent sensory transmission was done by generating post-stimulus time histogram of unit response to the testing stimulation (TS, at 0.5 Hz) to the RF center (RFC) for 60 min. In one group of experiments, CS was delivered to the RF center (RFC). In another group of experiments, CSs were simultaneously given to both RFC and RF outside (RFO, either forepaw or hindpaw). CS of 5 Hz to RFC exerted irreversible facilitation of sensory transmissions evoked by TS. Simultaneous CSs of 5 Hz to RFC and hindpaw RFO exerted reversible suppression of afferent transmission. However, CSs of 5 Hz to RFC and forepaw RFO did not significantly altered afferent sensory transmission to SI cortex neurons. CS of 200 Hz to RFC exerted irreversible suppression of sensory transmissions up to 60 min of experimental period. Simultaneous CSs of 200 Hz to RFC and RFO did not significantly altered afferent sensory transmission to SI cortex neurons. The profiles of CS-induced modulation of afferent sensory transmission were significantly different between two CS conditions. Thus, this study suggests that activity-dependent modulation of afferent transmission from a RF center to the SI cortex may be significantly altered when remote body part was simultaneously activated.

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A Study on Telemedicine Service Issues (원격의료 서비스의 쟁점사항에 관한 연구)

  • Jung, Yong Gyu;Kim, Jang IL;Kwon, Jun Cheol;Choi, Young Jin
    • Journal of Service Research and Studies
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    • v.4 no.2
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    • pp.57-67
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    • 2014
  • Because telemedicine is also the medical care, it is limited by law to allow medical personnel only physician because there would cause a risk to health and hygiene. Since the work dealing with the life and honor the human body involving a small mistake, it may be difficult to recover the damages can be recovered even if the telemedicine. Therefore, systematically it is to allow remote medical care only proven national healthcare only clinical practice starting with basic medical medicine, and received training as a systematic study of the body and life of humans. The patient information could get far away in the distance to provide medical information and professional advice to the remote system, even if you can not be reached due to several issues such as the number of differences that occur in time. We Mentioned various opinions on regulatory issues and information gathered for the development of the medical industry in this respect.

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Bio-Signal Acquisition System Using Mobile Device (휴대용 개인 정보 단말기를 이용한 생체신호 획득 시스템)

  • Kim Hyung-Bae;Kwon Man-Jun;Cha Eun-Jong;Chun Myung-Geun
    • Journal of the Korean Institute of Intelligent Systems
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    • v.15 no.3
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    • pp.349-354
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    • 2005
  • In this paper, we propose a mobile telemedicine system that acquires more easily and analyzes individual's bio-signal using PDA. It is not easy for modern people who live busily, disabled patients, or old people to visit hospital. The major goal of this study is to implement the mobile telemedicine systems that the captured bio-signal from remote hospital or other medical treatment device is transmitted via Bluetooth module in ubiquitous environment, PDA with built-in Bluetooth module receives its data and displays on the screen in various form. By implemented systems, it is possible to compare current bio-signal with historical bio-signal and analyze bio-signal, and it is able to make a self diagnosis and it is available to be examined and treated remote diagnosis by sending stored bio-signal to a medical doctor.

Mapping Tool for Semantic Interoperability of Clinical Terms (임상용어의 의미적 상호운영성을 위한 매핑 도구)

  • Lee, In-Keun;Hong, Sung-Jung;Cho, Hune;Kim, Hwa-Sun
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.60 no.1
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    • pp.167-173
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    • 2011
  • Most of the terminologies used in medical domain is not intended to be applied directly in clinical setting but is developed to integrate the terms by defining the reference terminology or concept relations between the terms. Therefore, it is needed to develop the subsets of the terminology which classify categories properly for the purpose of use and extract and organize terms with high utility based on the classified categories in order to utilize the clinical terms conveniently as well as efficiently. Moreover, it is also necessary to develop and upgrade the terminology constantly to meet user's new demand by changing or correcting the system. This study has developed a mapping tool that allows accurate expression and interpretation of clinical terms used for medical records in electronic medical records system and can furthermore secure semantic interoperability among the terms used in the medical information model and generate common terms as well. The system is designed to execute both 1:1 and N:M mapping between the concepts of terms at a time and search for and compare various terms at a time, too. Also, in order to enhance work consistency and work reliability between the task performers, it allows work in parallel and the observation of work processes. Since it is developed with Java, it adds new terms in the form of plug-in to be used. It also reinforce database access security with Remote Method Invocation (RMI). This research still has tasks to be done such as complementing and refining and also establishing management procedures for registered data. However, it will be effectively used to reduce the time and expenses to generate terms in each of the medical institutions and improve the quality of medicine by providing consistent concepts and representative terms for the terminologies used for medical records and inducing proper selection of the terms according to their meaning.

Development of Collaborative Research and Experimental System (원격 공동연구 및 실험시스템 구축)

  • 서영호;권대현;호범석;황대준;홍원기
    • Proceedings of the Korean Society for Emotion and Sensibility Conference
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    • 1998.04a
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    • pp.287-292
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    • 1998
  • The purpose of the subjects described in this paper is to share the inforamation and utilize expensive equipmints and supercomputer at remote site ghrough the latist telecommunication and control technology without tempoual and spatial limitation. The major subjects areabstracted as two. One for developing computer supported cooperative works and experimintal systims which make it possible that researchers discuss about the result of collaborated research and exchange data. And the other for connecting the university, research institutes and industries in the country to information Highway applying developed systim. The gargeted filds of this project are Machinery Design, Chemistry and Chemical Engineering and wil be expanded to polymer Engineering, Medicine, Agricultural Chemicals.

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Postpolio Syndrome (소아마비후 증후군)

  • Lee, Dong Kuck
    • Annals of Clinical Neurophysiology
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    • v.5 no.2
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    • pp.202-209
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    • 2003
  • Postpolio syndrome (PPS) refers to a constellation of neuromuscular and orthopedic symptoms and signs that have been noted to occur in patients with remote antecedent poliomyelitis. It has been increasingly recognized that individuals recovering from acute poliomyelitis develop new symptoms, most commonly weakness, fatigue, and pain that develops decades after initial disease in the region previously affected. Associated symptoms may include dysphagia, respiratory insufficiency, new muscular atrophy, dysarthria, muscle cramps, fasciculations, sleep abnormalities, and cold intolerance. Although the concepts of PPS was first described in the late 1800s, it was not until nearly 100 years later that the concept of PPS was more widely recognized and defined. This was due largely to the polio epidemic of the 1940s and 1950s that left many survivors in the world. The virtual epidemic of PPS that occurred among these polio survivors in the 1980s and 1990s has served as a catalyst to attract medical attention to this syndrome.

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Indigenous Knowledge on the Utilization of Medicinal Plant Diversity in the Siwalik Region of Garhwal Himalaya, Uttarakhand

  • Gaur, R.D.;Sharma, Jyotsana
    • Journal of Forest and Environmental Science
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    • v.27 no.1
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    • pp.23-31
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    • 2011
  • Ever since the dawn of civilization, the ambient vegetation and the resources constituted major source of human existence for various substantial requirements. Our present knowledge on plant resources emerged from the traditional heritable knowledge descended from generation to generation. However, traditional knowledge pertaining to several aspects remained untapped from various remote localities or populations. Furthermore, with the present trends of excessive exploitation of natural resources and degradation of habitats, conservation and ecological management require coherence of traditional skills and modern approaches. Therefore, the present study is to record traditional plant based knowledge among the inhabitants of Siwalik region of Uttarakhand Himalaya. Extensive field survey was made for the collection of data on the medicinal aspects of plant species in the study area covering the parts of districts Pauri, Dehradun and Haridwar. During the course of study 130 plant species belonging to 65 families are reported, used as traditional medicine by the local inhabitants of this region.

Emerging Machine Learning in Wearable Healthcare Sensors

  • Gandha Satria Adi;Inkyu Park
    • Journal of Sensor Science and Technology
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    • v.32 no.6
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    • pp.378-385
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    • 2023
  • Human biosignals provide essential information for diagnosing diseases such as dementia and Parkinson's disease. Owing to the shortcomings of current clinical assessments, noninvasive solutions are required. Machine learning (ML) on wearable sensor data is a promising method for the real-time monitoring and early detection of abnormalities. ML facilitates disease identification, severity measurement, and remote rehabilitation by providing continuous feedback. In the context of wearable sensor technology, ML involves training on observed data for tasks such as classification and regression with applications in clinical metrics. Although supervised ML presents challenges in clinical settings, unsupervised learning, which focuses on tasks such as cluster identification and anomaly detection, has emerged as a useful alternative. This review examines and discusses a variety of ML algorithms such as Support Vector Machines (SVM), Random Forests (RF), Decision Trees (DT), Neural Networks (NN), and Deep Learning for the analysis of complex clinical data.

The Utility of Emergency Ultrasound for Diagnosing Wrist and Ankle Injuries (손목 관절과 발목 관절 손상 환자의 진단에 있어 응급 초음파의 유용성)

  • Lee, Sung Sil;Kim, Dong Un;Park, Deuk Hyun;Cho, Hyun Young;Ahn, Seung Jun;Kho, Chan Young;Shin, Tae Yong;Kim, Young Sik;Ha, Young Rock
    • Journal of Trauma and Injury
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    • v.20 no.2
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    • pp.130-137
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    • 2007
  • Purpose: Ultrasound is of proven accuracy in abdominal and thoracic trauma and may be useful for diagnosing extremity injury in situations where radiography is not available, such as disasters and military and space applications. However, the diagnosis of fractures is suggested by history and physical examination and is typically confirmed with radiography. As a alternative to radiography, we prospectively evaluated the utility of extremity ultrasound performed by trained residents of emergency medicine (EM) one patient with wrist and ankle extremity injuries. Methods: Initially, residents of EM performed physical examinations for fractures. The emergency ultrasound (EM US) was performed by trained residents, who used a portable ultrasound device with a 10- to 5-MHz linear transducer, on suspected patients before radiography examination. The results of emergency ultrasound and radiography and the final diagnosis were recorded, and correlation among them were determined by using Kappa s test Results: Thirty-nine patients were enrolled in our study. The average age was $36.6\;{\pm}\;19.3$ years. There were radius Fx. (n=21), radius-ulna Fx. (n=1), ulna Fx. (n=1), and contusion (n=2) injuries among the wrist injury and lat.-med. malleolar Fx. (n=13), lat. malleolar Fx. (n=6), and med. malleolar Fx. (n=3) injuries among the ankle injury. Comparing EM US with radiography, we found the sensitivity, specificity, positive predictive value, and negative predictive value of EM US for Fx. diagnosis to be 100%, 66.7%, 97.3%, 100% and those of radiography to be 97.2%, 100%, 100%, and 75%, respectively. Kappa s test for a correlation between the Fx. diagnosis of EM US and the final diagnosis of Fx was performed, and Kappa's value was 0.787 (P = 0.004).Conclusion: EM US for Fx. can be performed quickly and accurately by EM residents with excellent accuracy in remote locations such as disaster areas and in military and aerospace applications. EM US was as useful as radiography in our study and had a high correlation to the final diagnosis of Fx. Therefore, ultrasound should performed on patients with extremity injury to determine whether extremity evaluation should be added to the FAST (focused abdominal sonography trauma) examination.

Prevalence, Associated Risk Factors, and Phylogenetic Analysis of Toxocara vitulorum Infection in Yaks on the Qinghai Tibetan Plateau, China

  • Li, Kun;Lan, Yanfang;Luo, Houqiang;Zhang, Hui;Liu, Dongyu;Zhang, Lihong;Gui, Rui;Wang, Lei;Shahzad, Muhammad;Sizhu, Suolang;Li, Jiakui;Chamba, Yangzom
    • Parasites, Hosts and Diseases
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    • v.54 no.5
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    • pp.645-652
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    • 2016
  • Toxocara vitulorum has been rarely reported in yaks at high altitudes and remote areas of Sichuan Province of Tibetan Plateau of China. The current study was designed to investigate the prevalence, associated risk factors, and phylogenetic characteristics of T. vitulorum in yak calves on the Qinghai Tibetan plateau. Fecal samples were collected from 891 yak calves and were examined for the presence of T. vitulorum eggs by the McMaster technique. A multivariable logistic regression model was employed to explore variables potentially associated with exposure to T. vitulorum infection. T. vitulorum specimens were collected from the feces of yaks in Hongyuan of Sichuan Province, China. DNA was extracted from ascaris. After PCR amplification, the sequencing of ND1 gene was carried out and phylogenetic analyses was performed by MEGA 6.0 software. The results showed that 64 (20.1%; 95% CI 15.8-24.9%), 75 (17.2; 13.8-21.1), 29 (40.9; 29.3-53.2), and 5 (7.6; 2.5-16.8) yak calves were detected out to excrete T. vitulorum eggs in yak calve feces in Qinghai, Tibet, Sichuan, and Gansu, respectively. The present study revealed that high infection and mortality by T. vitulorum is wildly spread on the Qinghai Tibetan plateau, China by fecal examination. Geographical origin, ages, and fecal consistencies are the risk factors associated with T. vitulorum prevalence by logistic regression analysis. Molecular detection and phylogenetic analysis of ND1 gene of T. vitulorum indicated that T. vitulorum in the yak calves on the Qinghai Tibetan plateau are homologous to preveiously studies reported.