• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제25권3호
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• pp.218-227
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• 2022

Purpose: To analyze the characteristics of pediatric inflammatory bowel disease (IBD) over the past three decades in Argentina and determine if there are differences between the first two decades and the past decade. Methods: We conducted a retrospective multicenter analytical study in children with IBD between 0 and 18 years of age diagnosed between 1987 and 2017 in three tertiary health centers in Argentina. The evaluation included clinical characterization, endoscopy, histology, and imaging data together with therapeutic strategies. The patients were divided into two groups: Group 1, diagnosed between 1987 and 2007, and Group 2, diagnosed between 2008 and 2017. Results: Of the 756 patients included, 409 (54%) had ulcerative colitis (UC), 250 (33%) had Crohn's disease (CD), and 97 (13%) had IBD-unclassified (IBD-U). The positive family history was 3.8%, which was more frequent among children under two years of age (6.7%). There were no significant differences in clinical presentation and extraintestinal manifestations between periods, with hepatic manifestations being the most frequent. In the last decade, we found an upward trend in CD, a downward trend in UC/IBD-U, even after adjustment for socioeconomic status, and a decrease of 50% in surgical treatments coinciding with the advent of biological therapy. Conclusion: This is the first multicenter cohort study in a Latin American country to describe clinical, endoscopic, and therapeutic data across the past 30-year period. Although CD was responsible for the overall increase in incidence, UC was still prevalent in this region.

• 한국정보통신학회논문지
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• 제18권1호
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• pp.149-154
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• 2014

품질은 양(Quantity) 이나 질(Quality)로 관찰하여 수치로 측정 할 수 있는 서비스 특성이다. QoS란 트래픽이 통신망에서 전달되면서 예측 가능하면서 동시에 최소한으로 보장되어야할 서비스 요구사항이다. 스마트 의료정보시스템 개발에는 스마트 환경에서 기능적 요구사항과 품질을 만족시켜야 할 목표가 존재한다. 스마트 의료정보시스템의 기능도메인은 Patient Module 도메인, 스마트 환경 도메인, RFID Tag와 리더기 간 동작 도메인, Homecare Station 도메인, Clinical Station 도메인으로 구성된다. 본 연구는 각 도메인에서 수행되는 유헬스 서비스 스마트 기능 품질만족도 평가 방법론을 제시한다. QoS 측정기준은 의료정보의 기능적 요구 사항과 품질 요구사항 별로 구분된다. 품질측정 파라메타는 기능적 요구사항 6개 항목과 20개 세부항목이며 품질 요구사항은 5개항목과 20개 세부항목으로 구성된다. 품질평가를 위해 본 연구는 한국형 스마트 의료 정보 품질평가 매트릭스로 2-factor 평가 방법을 제시한다. 본 연구의 전체적인 품질평가 프레임워크는 모든 스마트 의료정보시스템 개발 시 고려해야 할 의료정보 특유의 품질에 대한 기준을 체계화하고 품질평가 절차를 모델화 한 것이다.

• 한국학교수학회논문집
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• 제3권2호
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• pp.195-215
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• 2000

Illinois issues the following standard teaching certificates : Early Childhood (birth-grade 3), Elementary (grades K-9), High School (grades 6-12) Special (grade K-12), School Service Personnel, and Administrative. Any of the preceding certificates can be issued on a provisional (maximum of two fiscal years) basis to qualifying individuals. Other certificates issued are : Substitute, Provisional Vocational, Temporary Provisional Vocational, Part-Time Provisional, and General. To obtain an Early Childhood, Elementary, High School, or Special certificate in Illinois, you must either complete an approved teacher education program or be an experienced, licensed teacher seeking a subsequent certificate through transcript evaluation. You must meet all other requirements for the particular certificate you are seeking, For school Service Personnel and Administrative certificates you must have completed a state approved program before you may apply. The Standard Elementary Certificate, High School Certificate, and Special Certificate are valid for four years for teaching. These certificates may be issued to graduates with a bachelor's degree from a recognized college who have successfully completed the required certification examinations and who present certified evidence of having earned credits. All individuals receiving certificates must be of good character and in good health, and be at least 19 years of age and a citizen of the United States or legally present and authorized for employment.

• Parasites, Hosts and Diseases
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• 제51권3호
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• pp.319-325
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• 2013

This study describes the seasonal distribution of larvae, nymph, and adult life stages for 3 species of ixodid ticks collected by tick drag and sweep methods from various habitats in the Republic of Korea (ROK). Grasses less than 0.5 m in height, including herbaceous and crawling vegetation, and deciduous, conifer, and mixed forests with abundant leaf/needle litter were surveyed at United States (US) and ROK operated military training sites and privately owned lands near the demilitarized zone from April-October, 2004 and 2005. Haemaphysalis longicornis Neumann adults and nymphs were more frequently collected from April-August, while those of Haemaphysalis flava Neumann and Ixodes nipponensis Kitaoka and Saito were collected more frequently from April-July and again during October. H. longicornis was the most frequently collected tick in grass habitats (98.9%), while H. flava was more frequently collected in deciduous (60.2%) and conifer (57.4%) forest habitats. While more H. flava (54.1%) were collected in mixed forest habitats than H. longicornis (35.2%), the differences were not significant. I. nipponensis was more frequently collected from conifer (mean 8.8) compared to deciduous (3.2) and mixed (2.4) forests.

• 한국시뮬레이션학회논문지
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• 제17권4호
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• pp.153-158
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• 2008

SDR(Software Defined Radio)은 서로 다른 무선 전달 프로토콜간의 유동적 연동을 제공할 수 있는 솔루션이다. u-health 서비스 네트워크와 같은 여러가지 전달 프로토콜을 지원하는 센서노드들로 구성될 수 있는 다종 유비쿼터스 네트워크 환경에서, 특정 노드의 전달 프로토콜을 지원하는 AP(Access Point)로의 트래픽 집중이나, 특정 노드의 전달 프로토콜을 지원하는 AP에서의 장애 발생 또는 미설치로 인한 전달불능 등이 발생할 수 있다. 본 논문에서는 SDR 기능을 가진 노드와 혼잡 제어 기능을 가진 AP를 포함하는 다종 유비쿼터스 네트워크에서의 전달성능을 분석하기 위한 모델링 및 시뮬레이션에 대한 연구결과를 제시한다. 본 연구에서는 전달 프로토콜들의 구체적인 동작과정보다는 다종 전달 프로토콜로 구성된 네트워크에서의 유동적 연동성의 제공에 따른 전체 네트워크의 전달성능의 변화특성(dynamics)을 분석하기 위하여 DEVS(Discrete Event Systems Specification)방법론을 활용하였으며, DEVS형식론에 근거한 모델링과 DEVSim++시뮬레이션환경을 통한 분석결과를 제시하였다.

• 한국방송∙미디어공학회:학술대회논문집
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• 한국방송공학회 2014년도 하계학술대회
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• pp.221-222
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• 2014

병원이 가깝지 못해서 혹은 사정이 넉넉하지 못해서, 혹은 병원에 갈 상황이 되지 못해서 병원에 가지 못하는 많은 사람들을 위해서는 보다, 환자의 입장에서 편리한 방법으로 진료를 하거나, 혹은 자가 치료, 자가 진단을 할 수 있는 교육이 필요하다. 그와 같은 원격의료를 하기 위해서는 의료가 실시 되는 기기의 수용의도가 중요하다고 판단된다. 본 연구에서는 원격의료를 위한 사용자(환자) 수용의도를 높이기 위해 요인관계를 분석하기 위하여 실시하였다. 총 299명에 설문에 참여하였으며, 15세~20세: 58명, 30대:86명, 40대:96명, 50대:59명이 참석하였으며 기술수용모델을 적용하였다. 연구는 원격의료에 사용되어지는 것이 가능한 양방향서비스기기 -IPTV, PC, 스마트폰(패드포함)-을 대상으로 진행되었으며, 연령 및 성별에 따라 사용의도가 크게 차이가 남을 확인할 수 있었다. 또한 매체자체에 대한 사용의도가 원격의료 수용의도에 큰 영향을 줌을 확인할 수 있었다.

• International journal of advanced smart convergence
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• 제10권3호
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• pp.66-71
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• 2021

Recent healthcare environments have characteristics of expanding the scope of healthcare-impacting healthcare, complexity resulting from diversification of components, and accelerating the pace of change. Drugs are used for the prevention, mitigation, and treatment of diseases, so they can inevitably cause harm, while they have efficacy and effectiveness, which are key elements of health recovery. Therefore, many countries regulate permits for safe and effective medicines, and also designate essential drugs directly related to life as pay targets and guarantee health insurance. Especially Pharmacist relying on manpower for composition medicine is liable for mal-manufacture due to combination of toxic medical substances or other chemical usage. In this paper, we focus on using Kiosk and Optical Character Recognition (OCR) for automated pharmacy to level up medical service and create labor friendly environment for pharmacist themselves through maintenance of prescription data and automated manufacturing solution. Presentation of drug substances and precautions will lead to efficient drug prescription and prevent misuse of information while auto manufacturing system efficiently maintain labor force and raise patient satisfaction level by reduction of waiting time.

• 한국의료질향상학회지
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• 제28권2호
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• pp.2-13
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• 2022

Purpose:This study aimed to identify the effect of work interruption that influenced workload and perception of patient safety culture on ward nurses. Methods: Participants were 184 ward nurses, with more than 12 months of work experience, from two tertiary hospitals in S city. A descriptive correlational study design was used. Collected data were analyzed using descriptive statistics, t-test, ANOVA, Mann-Whitney U test, Kruskal-Wallis test, Pearson's correlation, and hierarchical multiple regression analysis via SPSS version 27.0. Results: The results showed that general wards nurses had a higher degree of work interruption (t=5.632, p<.001) and workload (t=3.603, p<.001) compared to comprehensive nursing care service wards nurses. More interruption in nursing work caused more burden on work (γ=.440, p<.001) and led to lesser perception of patient safety culture (γ=- .199, p=.007). Finally, the regression analysis showed that work interruption had a statistically significant relevance on nurses' workload (F=20.582, p<.001) and perception of patient safety culture (F=8.792, p<.001). Conclusion: To alleviate ward nurses' work interruption and decrease the negative effect on workload and perception of patient safety culture, it is necessary to mediate nurse staffing level and the number of assistants and utilize the environment.

• 한국학교보건학회지
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• 제16권1호
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• pp.81-90
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• 2003

This study was conducted to contribute to the basic data for decisions on environment policy improvement in health promotion for students in elementary, middle and high schools. This study was carried out to investigate the extent of indoor air pollution in elementary, middle and high schools in residential, traffic congestional and industrial areas. The concentrations of major indoor air pollutants(carbon monoxide, carbon dioxide, respiratory particulate, radon) and thermocircumstance (temperature, relative humidity, intensity of illumination) indices were observed from June to August 2000. As results of the survey, the mean values of thermocircumstance in school were $26.94{\pm}1.15^{\circ}C$ of temperature, $68.88{\pm}5.31%$ of humidity and $268.26{\pm}164.60$ Lux of intensity of illumination. The mean concentrations of carbon monoxide, carbon dioxide, respiratory particulate were $8.36{\pm}0.29\;ppm$, $547.66{\pm}175.58\;ppm$, $36.23{\pm}48.39\;{\mu}g/m3$, respectively. These values were lower than those of the indoor environmental standard on the first clause of Article 45 of public utilization service notified public hygiene of the Ministry of Health and Social Affairs. The mean concentration of radon was $20.07{\pm}17.95\;Bq/m3$. Which was below the U.S. EPA radon action level.

• 한국정보통신학회논문지
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• 제19권11호
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• pp.2683-2688
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• 2015

사물인터넷은 다양한 기술을 융 복합적으로 사용하여 사용자에게 편리하고 다양한 서비스를 제공한다. 그중 의료서비스 분야와의 융 복합이 주목을 받고 있다. 하지만 이런 사물인터넷의 등장 및 성장과 함께 의료서비스가 진화할수록 개인의료정보의 유출로 인한 보안문제는 더 심각해질 것이다. 특히 유헬스 의료기기 등은 개인의 건강정보를 주로 다루기 때문에 의료 정보 만큼의 높은 수준의 개인정보보호 및 보안이 요구된다. 따라서 헬스케어 산업에 사물인터넷의 도입은 의료정보보안이 전제 조건이 되어야 할 것이다. 본 연구에서는 사물인터넷의 보안동향과 의료분야의 개인정보 유출사례, 개인의료정보의 생명주기에 따른 의료정보보호 방안과 표준기술을 분석한다.