• 제목/요약/키워드: Remote medicine

검색결과 226건 처리시간 0.023초

Transmembrane Protein 166 Expression in Esophageal Squamous Cell Carcinoma in Xinjiang, China

  • Sun, Wei;Ma, Xiu-Min;Bai, Jing-Ping;Zhang, Guo-Qing;Zhu, Yue-Jie;Ma, Hai-Mei;Guo, Hui;Chen, Ying-Yu;Ding, Jian-Bing
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권8호
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    • pp.3713-3716
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    • 2012
  • Objective: Transmembrane protein 166 (TMEM166) expression in esophageal squamous cell carcinoma (ESCC) and remote normal esophageal tissues was examined to assess any role in tumour biology. Methods: TMEM166 mRNA expression in 36 cases with ESCC (36 tumour samples, 36 remote normal esophageal tissue samples) was detected by RT-PCR. TMEM166 protein expression was analysed in paraffin-embedded tissue samples from the same cases by immunohistochemistry. Results: Semi-quantitative analysis showed TMEM166 mRNA expression in ESCCs to be significantly lower than in remote normal esophageal tissues ($0.759{\pm}0.713$ vs. $2.622{\pm}1.690$, P=0.014). TMEM166 protein expression was also significantly reduced (69.4% vs. 94.4%, P<0.01). Conclusion: TMEM166 mRNA and protein expression demonstrated significant reduction in ESCCs compared with remote esophageal tissues, albeit with no correlation with tumour size, differentiation, stage, and lymph node metastasis, suggesting a role in regulating autophagic and apoptotic processes in the ESCC.

도서 산간 지역 주민의 심폐소생술교육 희망에 대한 영향 요인 분석 (Factors Influencing the Willingness to Receive a Cardiopulmonary Resuscitation Education in Korean Remote Places)

  • 강경희;임정수
    • 농촌의학ㆍ지역보건
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    • 제33권3호
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    • pp.346-355
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    • 2008
  • - Abstract - Objectives: The purpose of this study is to describe and analyze the characteristics of which laypersons want the cardiopulmonary resuscitation(CPR) education. Methods: Based on a health survey(n=913) of 5 remote places in Korea, tests of the differences between the group that wants the CPR education(n=416) and the group that doesn't(n=497), and a logistic regression analysis of two groups was performed on socio-economic status and health-medical conditions. Results: Even the participation rate of the CPR education in Korea is only 5.8%, which is extremely lower than other developed countries, there are statistically significant differences between the group that wants the CPR and the group that doesn't on gender(p=0.001), age(p=0.000), education level(p=0.000), economic status(p=0.007), and CPR education taken(p=0.000), and health status(p=0.042). Furthermore, age(OR=1.599, p=0.002), age(OR=0.964, p=0.000), economic status(OR=0.804, p=0.028), and CPR education taken(OR=2.072, p=0.026) are statistically significant factors on the willingness to receive the CPR education. Conclusions: This study indicates that there is considerable variation in socio-economic status and health-medical conditions associated with the willingness to receive the CPR education. In remote places. certain subgroups of laypersons such as high-risk patients and family members need targeted outreach programs in CPR education.

휠체어에서 호흡수와 심박수 측정 및 이벤트 전송 (Event Transmission of Respiratory rate and Heart rate Measured on Wheelchair)

  • 한동균;김종명;홍주현;차은종;이태수
    • 대한의용생체공학회:의공학회지
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    • 제29권6호
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    • pp.443-450
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    • 2008
  • The purpose of this study is to measure both ECG and BCG(Ballistocariograph) signal of a subject on moving or resting wheelchair and detect the heart rate and respiratory rate and transmit an event message to remote server on emergent situation. To acquire ECG and BCG data, amplifier circuits were composed to be suitable for their characteristics. The output signals were converted to digital data and stored in bio-signal archiving media(SD card). CDMA module was used to transmit the event data on ECG electrode detachment and the received data was monitored by the developed C# application program. 5 volunteers participated in the experiment to evaluate the validity of the developed device. When the event occurs in each subject, 48 Kbyte data, stored for 32 seconds from that point, was transmitted to remote server through CDMA cellular phone network correctly. The received data of ECG, BCG, and 3-axial acceleration could be archived in server and the heart rate and respiratory rate could be measured and analyzed. The developed device in this study could acquire the ECG and BCG data of subjects on wheelchair simultaneously and measure their heart rate and respiratory rate. In addition, event data was verified to be transmitted to remote server without any errors.

Remote Cerebellar Hemorrhage Complicated after Supratentorial Surgery: Retrospective Study with Review of Articles

  • Park, Jae-Suk;Hwang, Jeong-Hyun;Park, Jae-Chan;Hamm, In-Suk;Park, Yeun-Mook
    • Journal of Korean Neurosurgical Society
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    • 제46권2호
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    • pp.136-143
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    • 2009
  • Objective: Remote cerebellar hemorrhage (RCH) is one of the rare complications occurring after supratentorial surgery, and its pathomechanism is poorly understood. We report 10 cases of RCH from our institution and review 154 cases from a database in order to delineate incidence, common presentation, risk factors, and outcomes of this complication. In addition, the means of prevention are discussed. Methods: We reviewed the medical records of 10 patients who experienced RCH after undergoing supratentorial surgery at our institution between 2001 and 2008. A database search in Medline revealed 154 cases of RCH in the English literature. Characteristic features were analyzed and compared. Results: There were 10 cases of RCH among 3307 supratentorial surgery cases, indicating a 0.3% incidence. All patients had characteristic imaging features of RCH, namely a streaky bleeding pattern in the superior folia of the cerebellum. Seven patients had a history of preoperative hypertension. Four cases were related to cerebral aneurysms, and other four developed after the removal of brain tumors. Cerebrospinal fluid (CSF) drainage apparatuses were installed postoperatively in all cases. Outcomes according to modified Rankin scale (mRS) were good in 7 patients, with 1 fatal case. Conclusion: RCH is a rare complication after supratentorial surgery, and the exact etiology still remains uncertain. Hypertension and perioperative loss of CSF seem positively correlated with RCH, but no single risk factor is totally responsible. Patients with RCH should be closely observed to improve their prognosis.

IoT 기반의 비전 및 원격제어 소형 이동 로봇 시스템 (Iot Based Vision and Remote Control a Compact Mobile Robot System)

  • 전윤채;최혜리;윤기철;김광기
    • 한국멀티미디어학회논문지
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    • 제24권2호
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    • pp.267-273
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    • 2021
  • Recently, the small-size mobile robots with remote-control are rapidly growth which market of mobile is increased in the world. Especially, the smart-phones are widely used for interface device in the small size of a mobile robot. The research goal is control system design which is applied to miniaturization of a mobile robot using smart-phone and it can be confirmed performance for designed system. Meanwhile, the fabrication of mini-mobile robot can also be remote-control operation through the WIFI performance of a smart-phone. The smart-phone is used to remote-control for robot operation which control data transmit to robot via the WIFI network. To drive the robot, we can observe by the smart-phone screen and it can easily adjust the robot drive condition and direction by smart-phone button. Consequentially, there was no malfunction and images were printed out well. However, in drive, because of blind spot, robot was bumped into obstacle. Therefore, the additional test is necessary to sensor for blind spot which sensor can be equipment to mobile robot. In addition, the experiment with robot object recognition is needed.

Remote handling systems for the ISAC and ARIEL high-power fission and spallation ISOL target facilities at TRIUMF

  • Minor, Grant;Kapalka, Jason;Fisher, Chad;Paley, William;Chen, Kevin;Kinakin, Maxim;Earle, Isaac;Moss, Bevan;Bricault, Pierre;Gottberg, Alexander
    • Nuclear Engineering and Technology
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    • 제53권4호
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    • pp.1378-1389
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    • 2021
  • TRIUMF, Canada's particle accelerator centre, is constructing a new high-power ISOL (Isotope Separation On-Line) facility called ARIEL (Advanced Rare IsotopE Laboratory). Thick porous targets will be bombarded with up to 48 kW of 480 MeV protons from TRIUMF's cyclotron, or up to 100 kW of 30 MeV electrons from a new e-linac, to produce short-lived radioisotopes for a variety of applications, including nuclear astrophysics, fundamental nuclear structure and nuclear medicine. For efficient release of radioisotopes, the targets are heated to temperatures approaching 2000 ℃, and are exposed to GSv/h level radiation fields resulting from intended fissions and spallations. Due to these conditions, the operational life for each target is only about five weeks, calling for frequent remote target exchanges to limit downtime. A few days after irradiation, the targets have a residual radiation field producing a dose rate on the order of 10 Sv/h at 1 m, requiring several years of decay prior to shipment to a national disposal facility. TRIUMF is installing new remote handling infrastructure dedicated to ARIEL, including hot cells and a remote handling crane. The system design applies learnings from multiple existing facilities, including CERN-ISOLDE, GANIL-SPIRAL II as well as TRIUMF's ISAC (Isotope Separator and ACcelerator).

원격 품질 보증 시스템을 사용한 세기변조 방사선치료의 예비 모니터링 결과 (A Pilot Study for the Remote Monitoring of IMRT Using a Head and Neck Phantom)

  • 한영이;신은혁;임천일;강세권;박성호;라정은;서태석;윤명근;이세병;주상규;안용찬
    • Radiation Oncology Journal
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    • 제25권4호
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    • pp.249-260
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    • 2007
  • 목적: 국내에서 시행되고 있는 세기변조 방사선 치료(IMRT)의 품질 향상을 위하여, 우편으로 시행하는 원격 품질보증 시스템을 개발하고, 이 시스템의 정확성 확인에 이어서, 국내 의료기관에서 타당성을 검증한다. 대상 및 방법: 원격 품질 보증 시스템은 두경부 팬톰과 IMRT의 치료계획 지침을 포함하는 사용자 설명서로 구성되어 있다. 두경부 용 팬톰은 내부에 CT영상에서 분별이 가능한 모사 치료표적(target)과 3개의 위험장기(좌, 우 이하선, 척추)를 포함하고 있으며, 각 모사 장기의 중심에서 열형광 소자(TLD)를 삽입하여 흡수 선량을 측정하도록 구성되어있다. 또한 2차원상의 선량분포를 확인 가능하도록 Gafchromic@EBT 필름을 2개의 평면에 삽입하도록 고안하였다. 고안된 팬톰과 사용자 설명서를 국내의 4개 기관에 보내어, 팬톰에 대한 IMRT치료계획을 수행하고 치료를 시행하였다. 치료계획 시 예측된 치료표적과 위험장기 내의 각 TLD에서 예측되는 절대 선량과 TLD의 측정값을 비교하였고, 횡단면에서 면의 중심을 지나는 2개의 직교하는 수평선과 수직선상에서 예측되는 상대적인 선량분포 값과 실제 측정값을 비교하였다. 결 과: 치료 표적에서의 선량측정 값은 모두 치료계획시의 예측값과 3% 오차 안에서 일치하였으나(평균오차, 1.5%), 좌우 이하선에 해당하는 위험장기에서는 최소 3.3%최대 19.8%의 차이를 보였다. 척추에 해당하는 위험장기에서의 오차의 범위는 $0.7{\sim}1.4%$였다. 2차원 선량분포는 3개 기관에 대한 자료를 분석하였는데, 직선상에서 예측 값과 5%이상의 차이를 보이는 비율이 수평선에서는 $7{\sim}27%$, 수직선상에서는 $7{\sim}14%$였다. 결 론: 본 연구에서 개발한 IMRT치료의 원격 품질보증 시스템과 사용자 설명서는 국내 시행이 가능한 상태로 판단된다. 그러나, 시행 시에 치료표적에서의 오차는 크지 않을 것으로 예상이 되지만, 위험장기에서의 오차는 클 것으로 예상되며, 이에 대한 방안이 마련돼야 할 것이며, 또한 임상의 중요성과 연관해 의미 있는 2차원 선량분포의 기준 마련이 요구된다.

Secure Transmission for Interactive Three-Dimensional Visualization System

  • Yun, H.Y.;Yoo, Sun Kook
    • Journal of International Society for Simulation Surgery
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    • 제4권1호
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    • pp.17-20
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    • 2017
  • Purpose Interactive 3D visualization system through remote data transmission over heterogeneous network is growing due to the improvement of internet based real time streaming technology. Materials and Methods The current internet's IP layer has several weaknesses against IP spoofing or IP sniffing type of network attacks since it was developed for reliable packet exchange. In order to compensate the security issues with normal IP layer, we designed a remote medical visualization system, based on Virtual Private Network. Results Particularly in hospital, if there are many surgeons that need to receive the streaming information, too much load on the gateway can results in deficit of processing power and cause the delay. Conclusion End to end security through the network method would be required.

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

  • 전경자;나백주
    • 한국농촌간호학회지
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    • 제2권2호
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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.

긴급제언 - 원격감시제어시스템의(SCADA) 기술현황과 도시가스산업에서의 발전방안 (The Current technology state of "Supervisory Control And Data Acquisition System(SCADA)" and development plan in the city-gas industry)

  • 최인환
    • 기술사
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    • 제43권3호
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    • pp.28-33
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    • 2010
  • The related industrial technologies are also being developed in medicine, education, the military, transportation, process management, security management and information technology industries due to a rapid progress in telecommunications technology. The supervisory remote control system is based upon telecommunications technology. The supervisory remote control systems are used in various ways such as city gas, water supply and drainage, environment, power, communication and device control fields. The supervisory remort control system became a solution with complex systems and important technologies in electricity, city gas filed that require safety management skills. The supervisory remote control system as a special technology has a lot of practical applications. In this paper, Let me examine the present status of remort control system applications and present development plans and alternatives in city-gas industrial technology.

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