• 한국정보통신학회:학술대회논문집
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• 한국정보통신학회 2021년도 추계학술대회
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• pp.439-441
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• 2021

매년 고령화 사회로 인해 욕창환자가 증가하고 있으며 COVID-19의 팬데믹 상황으로 간호인의 업무 부하로 욕창 관리의 중요성이 대두되고 있다. 욕창은 부동자세로 인해 궤양이 생기는 질병으로 간호인이 주기적으로 체위변경을 해줘야 하기에 간호 부담이 큰 질병이다. 이에 본 연구에서는 인공지능이 욕창 유발 위험을 검출하고 호발 현황을 실시간 모니터링 해줌으로써 간호인의 업무 부담을 줄일 수 있는 시스템을 제시한다. 본 시스템을 통하여 간호인의 욕창 간호의 어려움을 해소시켜 간호 업무의 증대할수 있을 것이다.

• 셀메드
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• 제13권12호
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• pp.45.1-45.5
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• 2023

Objective: A case report on the improvement of dementia by Ortho-Cellular Nutrition Therapy. Methods: A Korean woman in her 80s was suffering from dementia. Results: Dementia improved after being treated with OCNT. Conclusion: OCNT may help alleviate symptoms of dementia.

• 문화기술의 융합
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• 제9권1호
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• pp.619-625
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• 2023

본 논문에서는 다수의 체압 센서가 내장된 의료용 침대의 원격 케어에 관해 기술한다. 낙상은 환자의 안전을 심각하게 위협하고 건강을 해치는 요인중의 하나이다. 본 연구에서는 이를 극복하기 위해 새로운 침대가 개발하였다. 침대 시스템은 동작이 가능한 건반, 건반의 동작을 관리하는 건반 제어기, 체압을 측정하는 센서, 센서의 값을 송수신하는 센서 제어기, 이를 확인하여 알고리즘에 따라 자동 혹은 수동으로 동작하게 하는 메인 제어기, 이 모든 정보를 총괄하는 서버로 이루어져 있다. 침대 시스템은 센서를 통해 환자의 위치를 확인하여 환자가 낙상의 위험이 있다고 판단하게 되면 메인 제어기를 통해 무선으로 서버에 경고를 보내 간호인 혹은 간호사가 환자의 위험한 상태를 인지할 수 있도록 한다. 서버는 유무선 단말에서 송신된 상태 데이터를 전송받아 침대 시스템이 정상적으로 동작하고 있는지 모니터링할 수 있다. 건반의 제어기는 건반형 메커니즘을 구동하고 체압 센서가 연결된 욕창 예방 제어를 자동으로 행하여 환자의 압력이 가해지는 부위를 물리적으로 분리해 욕창을 예방한다. 메인 제어기는 환자의 침상 존재를 확인하여 서버에 전송한다. 결론적으로 제안된 시스템은 사용자의 상태를 스마트 모니터링하고 원격 케어를 행할 수 있게 된다.

• 가정∙방문간호학회지
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• 제25권1호
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• pp.67-77
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• 2018

Purpose: The purpose of this study was to compare the efficiency of general ward nurses in hospitals using Data Envelopment Analysis (DEA). Methods: Participants were 30 nurses working at a general ward. Input variables were labor cost and time of direct nursing. Output variables were prevention rate of medication error and bedsores, and patient satisfaction. These variables were extracted using literature review and CVI of an expert group. Data were collected from September 18 to October 7, 2017. Data were analyzed using EMS 3.1 program for DEA and descriptive statistics. Results: The average efficiency score of 30 nurses was 0.986, which was very high over all. In the super-efficiency analysis of 11 nurses, their efficiency ranged from 1.0 to 1.047. In addition, when the current output was fixed, the labor cost of nurses did not affect efficiency. Conclusion: This study attempted a new approach concerning performance evaluation of nurses using DEA. This method was useful during appraisal of nurses. We suggest that various input and output variables that were not considered in this study should be added to develop a integrative performance analysis model for nurses.

• 대한간호학회지
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• 제43권2호
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• pp.287-295
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• 2013

Purpose: The purpose of this study was to identify vancomycin-resistant enterococcus (VRE) colonization rate in patients admitted to the intensive care unit (ICU), associated risk factors and clinical outcomes for VRE colonization. Methods: Of the 7,703 patients admitted to the ICUs between January, 2008 and December, 2010, medical records of 554 VRE colonized and 503 uncolonized patients were reviewed retrospectively. To analyzed the impact of colonization on patients' clinical outcomes, 199 VRE colonized patients were matched with 199 uncolonized patients using a propensity score matching method. Results: During the study period, 567 (7.2%) of the 7,703 patients were colonized with VRE. Multivariate analysis identified the following independent risk factors for VRE colonization: use of antibiotics (odds ratio [OR]=3.33), having bedsores (OR=2.92), having invasive devices (OR=2.29), methicillin-resistant Staphylococcus aureus co-colonization (OR=1.84), and previous hospitalization (OR=1.74). VRE colonized patients were more likely to have infectious diseases than uncolonized patients. VRE colonization was associated with prolonged hospitalization and higher mortality. Conclusion: Strict infection control program including preemptive isolation for high-risk group may be helpful. Further research needs to be done to investigate the effects of active surveillance program on the incidence of colonization or infection with VRE in the ICU.

• 로봇학회논문지
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• 제15권3호
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• pp.269-276
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• 2020

As we become an aging society, the number of elderly patients continues to increase. Pressure sores that can easily occur in patients with trauma cause serious socio-economic problems. In general, prevention of bedsores through predicting the patient's posture is being developed. Developed method usually use artificial intelligence techniques to estimate the patient's posture by measured pressure images in the mattress. In this method, it has a problem the reduction of estimation accuracy when posture of patient is changed. Therefore, it is necessary to use the filter of pressure images in the position transition of patient. In this paper, we propose an algorithm to predict the patient's posture, and an algorithm to reduce the ambiguity that can occur in the patient's posture transition section. By obtaining stable data through this algorithm, learning/prediction stability of the neural network can be expected, and prediction performance is improved accordingly. Through experiments, the effectiveness of the algorithm was verified.

• 대한임베디드공학회논문지
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• 제17권1호
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• pp.1-7
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• 2022

The number of patients with many complications grows with the increase of aging population. As the elders and severely ill patients spend most of their time in bed, it leads to Pressure Injuries (PI) such as bedsores. Unfortunately, there is no method to automatically detect changes in patient's posture which leads to the need for a caregiver every set of times when the patient needs to be moved. Many studies are conducted to solve this inefficient problem. Yet, these studies require costly devices or use methods that disturb patient's sleeping environment. Those methods are mostly hard to implement in practice due to these reasons. We propose a method to detect posture using a three-axis acceleration sensor from the wrist band. We developed a wearable watch that measures sleep-related data. We analyzed 40 people's sleep data with a wearable module and watch to measure their postures such as supine, left-side, and right-side. Then, we compared the classified posture from the watch with the wearable module and achieved 90% accuracy. Therefore, we concluded that only by using the wearable watch, we can detect the sleeping position without any new equipment or system to diagnose the patients without discomfort during their daily lives.

• 한국산학기술학회논문지
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• 제20권6호
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• pp.402-409
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• 2019

치매 환자나 혼자 힘으로 전혀 움직이지 못하는 노인 환자는 간병 인력 부족으로 낙상 사고 및 욕창 발생 가능성이 매우 크다. 본 논문에서는 이러한 문제를 해결하기 위해 일정 주기마다 감지한 압력 세기를 기준으로 머리, 어깨, 엉덩이 등 주요 신체 부위를 판별하여 환자의 누운 자세를 판별할 수 있는 알고리즘을 제안한다. 신체적 특성에 무관하게 신체 부위 판별이 가능하도록 격자 구조로 압력 센서를 배치한 스마트 매트를 제작하였다. 스마트 매트는 $7{\times}7$ 배열 크기의 2개 모듈을 조합하여 구성하였다. 각 모듈은 모두 49개의 FSR-406 센서로 구성되며 독립적으로 압력을 감지한다. 각 모듈에 대해 필터를 사용한 누적 압력 합 등 압력 분포를 이용해 상체 또는 하체에 해당하는 신체 부위를 순차적으로 판별한다. 제안한 알고리즘은 머리, 어깨, 엉덩이 부위 등 계층-1에 속한 신체 부위간 포함 관계를 조사해 5가지 누운 자세를 판별할 수 있다.

• 한국인터넷방송통신학회논문지
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• 제21권2호
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• pp.89-95
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• 2021

욕창은 아직 해결되지 않은 인류의 난제이다. 본 연구에서는 건반형 의료용 침대를 개발하고 체압센서를 장착하여 욕창이 임계압력에 이르지 않도록 건반을 제어하는 방법을 제시한다. 이를 위해 4bar 링크를 이용한 건반형 매트리스를 개발하고 건반의 높낮이를 체압센서를 통해 임계압력 이내로 제어하는 방법을 사용한다. 압력x시간이 중요 요인인 욕창에서 건반을 승하강하며 시간제어만을 할 때는 신체의 불편감이 있으나, 제시한 방법을 사용하면 압력을 임계압력이내로 제어함으로서 편안한 상태에서 욕창을 예방하는 효과를 거둔다. 개발한 의료용 침대 시스템의 유효성과 타당성을 이론과 실험을 통해 검증하였다.

• 지역사회간호학회지
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• 제9권2호
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• pp.280-290
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• 1998

This study was carried out to idenify the health problems and needs of crippled persons in order to develop a community based rehabilitation service program through public health center. Information on health problems and needs were obtained from 120 crippled persons staying at home by questionaire and a measuring ADL. The results were summarized as follows 1. Among 120 subjects, male crippled (70.3%) outnumbered female crippled (29.7%). Many crippled persons belonged to the 40-49 age group (33.6%) while others were over 60 years (17.4%). There were 36.8% crippled persons with an elementary education, 26.5% had completed high school, 14.5% had completed middle school. 31% of the crippled persons were employed but most of them had unskilled jobs. 80% of the respondents replied that their monthly income was under 800,000 won. 2. The major causes of their handicap were due to acquired factors(92%) such as accidents, in fectious & communicable diseases and chronic diseases rather than congenital factors(8%). Crippled persons who belong to the first grade of disabilities were 14.8%, the second grade 35.7%, the third grade 21.7%, the forth grade 12.2%, the fifth grade 12.2% and the sixth grade 3.5%. 3. This study measured the degree of the ADL of crippled persons by a modified Barthel Index including 11 items. 73.5% of them were fully independent, 8.5% required minimal help, 2.7% required moderate help, 6.0% required substantial help and 9.4% were unable to perform task. In response to the 11 items of ADL, crippled persons required more help in stair climbing, ambulation and bathing than in other items. 4. In responding to concerning health problems, 10.3% of the subjects replied with incontinence, 8.5% malnutrition, 7.6% fecal incontinence and bedsores 2.6%. Chronic diseases which needs treatment were chronic pain(61.0 %), hypertension(16.5%) and diabetes(16.5%) 5. To the question of what type of rehabilitation services subjects required, chronic diseases management(52.1%) and physical therapy (41.2%) were the highest. The most important social welfare services subjects required were economics support (51.3%) and introductions to job opportunities(42%).