• The Journal of the Korea institute of electronic communication sciences
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• v.13 no.4
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• pp.887-896
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• 2018

The purpose of this preliminary study was to investigate the effect of fall prevention program on the occurrence of falls in inpatients at general hospital. Before the intervention, we identified the occurrence of the rate of falls in I hospital at Incheon and 190 patients received rehabilitation treatment. The causes of falls were carelessness of caregivers and therapists, increased burden of therapists, and height of beds. After recognizing the problems, the authors developed a fall prevention program through the PDCA model. The fall prevention program consisted of a video of fall prevention education and education for the patients and caregivers, environmental improvement and education of therapists for two months. After intervention, 230 patients were subjected to be included as analysis of the incidence of falls included As a result, the fall incidence was reduced by 34.1~66.7% in the pain clinic and 21.3~40.8% in the exercise clinic / department of occupational therapy compared to the before intervention. These findings show that the fall prevention program has a positive effect on the fall of inpatients, and it can be used as a model for fall prevention.

• The Korean Society of Law and Medicine
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• v.24 no.4
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• pp.131-160
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• 2023

An amendment to Medical Law allowing permanent face-to-face treatment has been proposed in the 21st National Assembly, with five different bills introduced. However, each proposed amendment focuses on different aspects, and the issue is currently in a state of 'ongoing review' due to factors such as opposition from the medical profession and political considerations. However, from the perspective that the introduction of non-face-to-face treatment should be institutionalized and legislated prioritizing patient safety, certain directions are proposed. These include focusing on returning patients as the primary target, chronic diseases as the focal conditions, outpatient medical institutions as the implementing agencies, restricting non-face-to-face means primarily to video systems, and legally exempting healthcare professionals from responsibility for incidents beyond their control. The proposed directions also emphasize establishing the right to demand face-to-face treatment. It is suggested to legislate initial standards that ensure a minimum level of safety and gradually expand the scope of non-face-to-face treatment through future research, evaluation, and similar step-by-step approaches.

• Progress in Medical Physics
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• v.24 no.2
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• pp.85-91
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• 2013

At present, megavoltage computed tomography (MVCT) is the only method used to correct the position of tomotherapy patients. MVCT produces extra radiation, in addition to the radiation used for treatment, and repositioning also takes up much of the total treatment time. To address these issues, we suggest the use of a video image-guided setup (VIGS) system for correcting the position of tomotherapy patients. We developed an in-house program to correct the exact position of patients using two orthogonal images obtained from two video cameras installed at $90^{\circ}$ and fastened inside the tomotherapy gantry. The system is programmed to make automatic registration possible with the use of edge detection of the user-defined region of interest (ROI). A head-and-neck patient is then simulated using a humanoid phantom. After taking the computed tomography (CT) image, tomotherapy planning is performed. To mimic a clinical treatment course, we used an immobilization device to position the phantom on the tomotherapy couch and, using MVCT, corrected its position to match the one captured when the treatment was planned. Video images of the corrected position were used as reference images for the VIGS system. First, the position was repeatedly corrected 10 times using MVCT, and based on the saved reference video image, the patient position was then corrected 10 times using the VIGS method. Thereafter, the results of the two correction methods were compared. The results demonstrated that patient positioning using a video-imaging method ($41.7{\pm}11.2$ seconds) significantly reduces the overall time of the MVCT method ($420{\pm}6$ seconds) (p<0.05). However, there was no meaningful difference in accuracy between the two methods (x=0.11 mm, y=0.27 mm, z=0.58 mm, p>0.05). Because VIGS provides a more accurate result and reduces the required time, compared with the MVCT method, it is expected to manage the overall tomotherapy treatment process more efficiently.

• Korean Journal of Adult Nursing
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• v.23 no.1
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• pp.1-9
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• 2011

Purpose: To evaluate undergraduate nursing students' ability in clinical competence, critical thinking, and problem solving following enrollment in a clinical reasoning course. Methods: A clinical reasoning course utilizing a human patient simulator and scenarios was offered to 22 senior students at a College of Nursing in Seoul. Students' clinical competence was measured with a checklist of 15 items by analyzing students' performance recorded on video tapes for eight scenarios. Critical thinking disposition and problem solving were measured by a self-administered questionnaire before and after the course. Data were analyzed using descriptive statistics and Wilcoxon signed-rank test. Results: The high scored items of clinical competence were: 'obtain relevant subjective/objective data', 'interpret vital signs', 'communicate with healthcare providers', and 'utilize standard precautions including handwashing.' Students' critical thinking and problem solving scores following the course were increased with statistical significance. Conclusion: A clinical reasoning course utilizing a human patient simulator creates a realistic clinical environment for nursing students and provides the opportunity to obtain clinical competence, critical thinking, and problem solving skills.

• Journal of Korea Multimedia Society
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• v.23 no.11
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• pp.1388-1395
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• 2020

Daily monitoring of the heart rate can facilitate detection of heart-related diseases in their early stages. Therefore, providing an easy-to-use and noninvasive heart rate monitoring system has been a very popular research topic in the field of healthcare. One of good candidate methods is to use commonly available cameras and extract information that can help to estimate heart rate from a human face. Generally, such information can be retrieved using two different approaches: photoplethysmography (PPG) and ballistocardiography (BCG). PPG exploits slight color changes caused by blood volume variations during heartbeats; thus, it tends to be vulnerable to unstable lighting conditions. BCG exploits subtle head motions caused by pumped blood travelling through the carotid artery during heartbeats; thus, it is vulnerable to the voluntary head movements that are not related to heartbeats. Nevertheless, most related works use either to estimate the heart rate. In this paper, we propose to combine two approaches to be robust to challenging conditions. Specifically, we explore possible ways to combine raw signals obtained from two approaches and verify that the proposed combination shows better accuracies under challenging conditions, such as voluntary head movements and ambient lighting changes.

• Asian Journal for Public Opinion Research
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• v.8 no.3
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• pp.377-392
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• 2020

COVID-19 is considered the worst pandemic of the beginning of the 21^st century. Among the ASEAN countries, Indonesia has the second highest number of active cases and is ranked 23^th in the world in active cases as of August 14, 2020. The number of people becoming infected in Indonesia continues to grow along with fear and panic conditions that have negative impacts on Indonesian society. Therefore, efforts to deal with the conditions should be made. This study aims to explore the experience of patients with COVID-19 experiences during the treatment process. This study used literature and video clip analysis of 14 cases. Data were analyzed using content analysis. The results were presented in the following five themes (i) experience of receiving a diagnosis (I am shocked, how could I get infected?, suggestive thinking between dead or alive, and uncertainty of the test result), (ii) boredom during isolation, (iii) being stigmatized and discriminated against, (iv) self-reflection with God, and (v) social support from family members and healthcare workers. This study serves as an input to increase the chances of the recovery of the patients with COVID-19.

• Journal of Korean Academy of Nursing
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• v.39 no.2
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• pp.166-176
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• 2009

Purpose: The purpose of the study was to identify functional structure and patterns of dialogue sequence in conversations between elderly patients with dementia and nurses in a long-term care facility. Methods: Conversation analysis was used to analyze the data which were collected using video-camera to capture non-verbal as well as verbal behaviors. Data collection was done during February 2005. Results: Introduction, assessment, intervention, and closing phases were identified as functional structure. Essential parts of the conversation were the assessment and intervention phases. In the assessment phase three sequential patterns of nurse-initiated dialogue and four sequential patterns of patient-initiated dialogue were identified. Also four sequential patterns were identified in nurse-initiated and three in patient-initiated dialogues in the intervention phase. In general, "ask question", "advise", and "directive" were the most frequently used utterance by nurses in nurse-initiated dialogue, indicating nurses' domination of the conversation. At the same time, "ask back", "refute", "escape", or "false promise" were used often by nurses to discourage patients from talking when patients were raising questions or demanding. Conclusion: It is important for nurses to encourage patient-initiated dialogue to counterbalance nurse-dominated conversation which results from imbalance between nurses and patients in terms of knowledge and task in healthcare institutions for elders.

• The Journal of Korean Society for School & Community Health Education
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• v.18 no.2
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• pp.43-53
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• 2017

Objectives: The purpose of this study is to examine the relationship between sexually explicit video viewing and social support through the mass media and the sex openness of adolescents. Methods: This study used as the main data of 'Study on Measures against Sexualization of Juveniles through Mass Media in the Smart Age' conducted by 'National Youth Policy Institute' in 2014 nationwide. 3,176 of the 4,356 adolescents in Korea were selected as the final study subjects after excluding the 1,180 missing adjectives. Results: As a result, sex openness of male students was higher than that of female students. The higher the grade, the higher the sex openness, and the higher the stimulus, the higher the sex openness. The higher the imitation sharing, the higher the sex openness. The higher the human rights violation, the lower sex openness. Finally, the higher the social support, the higher the sex openness. Conclusions: In conclusion, strengthening the management of realistic media providers and emotional education rather than the unconditional regulation of mass media is expected to help prevent adverse effects on the sex openness of adolescents.

• Journal of Korean Academy of Nursing
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• v.51 no.5
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• pp.573-584
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• 2021

Purpose: This study aimed to develop an untact visit service based on an application that can be utilized in the pediatric intensive care unit (PICU) during COVID-19. Methods: This study adopted the double diamond process of service design comprising the discovery, defining, and development stages. Results: We developed an untact visit service based on an application that considered the child's status, schedule, photo, and video messages, and so on. Moreover, we derived a service flow regarding the required roles and the type of flow shown between each stakeholder. Conclusion: Considering the ongoing pandemic, the untact visit service is designed to increase rapport and participation of parents, share the child's information in real-time, and provide one-stop service without increasing healthcare providers' work. It will be a useful visit service that can be applied and evaluated in various hospital settings and the PICU.

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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• 2016.10a
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• pp.749-751
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• 2016

Due to the advent of virtual reality, the past communication method using images and video through the expansion into three-dimensional space has been provided more realistic and seamless interaction environment. Unlike reality, virtual reality is under a full human control and due to this benefit can be used as a substitute for reality therefore medicine and healthcare area has attracted attention in the prevention and treatment of dementia utilizing virtual reality. The research provided in this paper is aimed to design a virtual reality-based mild cognitive impairment prevention training system, focusing on the Symptoms of Alzheimer's precursor, mild cognitive impairment.