• 사물인터넷융복합논문지
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• 제9권3호
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• pp.75-80
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• 2023

국내 의료취약지에서 공중보건의는 지역민의 일반의료는 물론 응급의료에서 큰 역할을 수행하고 있다. 그러나 공중보건의는 일반적으로 현장 경험이 부족하기 때문에 응급 환자에 대한 대처 능력이 부족하고, 의료장비를 효과적으로 다루지 못하는 것으로 나타났다. 본 연구는 공중보건의에게 필요한 의료장비에 대한 사용법을 스마트 글래스를 이용하여 원격교육으로 진행 후 교육의 효과를 확인하였다. 구체적으로 의료장비 활용 교육을 위해서 스마트 글래스는 리얼웨어를 사용하였으며, 신안군 10개의 섬 지역 공중보건의 10명을 대상으로 하였다. 교육 후 장비 활용 효과와 만족도 모두 3점 이상이었다. 따라서 스마트 글래스를 활용한 원격교육이 의료취약지의 공중보건의를 대상으로 유용하게 활용될 수 있다는 것을 확인하였다.

• 한국임상보건과학회지
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• 제2권1호
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• pp.59-71
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• 2014

Purpose. Medical tourism is recently becoming a new industry with great growth potential. The South Korean government is shifting medical tourism from simple cultural tourism to a high value-added industry with a new paradigm. Methods. The government has been providing positive support and marketing policies since the introduction of the article concerning foreign patient attraction to the medical law in 2009, and various types of medical institutions around the country has participated actively in medical tourism by themselves or in cooperation of government bodies and made increasingly greater performance. Results. This study obtained the following results. The medical institutions in Korea have been making efforts to see more development and profitability in diverse ways, including medical tourism for foreign patients and the advance of the Korean medical institutions into foreign markets. However, many local governing bodies and medical institutions participating in medical tourism around the country have primarily focused on examination and treatment on the basis of foreign patients' visit to South Korea and rarely built a medical network with other countries directly for medical tourism. This study presents a case of building a local medical network and a network for international medical tourism successfully on the basis of the local medical association, CMP, which has been formed naturally in Busan. The success factors for CMP included 1) enthusiasm of the official in charge; 2) the medical level, the service level, and open-mindedness of participant medical institutions; 3) cost efficiency due to executive office management with no costs, no conflicts, and constant partnership; 4) security of non-competitive expertise for participants; 5) local factors of CMP; 6) participation of good agencies; 7) reinforcement of participation networks; and 8) post facto management and local doctor management. Conclusions. Its positive effects included patient introduction and greater profitability on an internal basis as well as construction of the collaboration system with the institutions related to medical tourism and confidence. However, there are some limitations: it is still difficult to predict performance due to the short period of their activities, and it is necessary to continue to observe their constant activities since a single medical association was involved.

• 한국문헌정보학회지
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• 제47권2호
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• pp.265-291
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• 2013

건강 및 의료, 그리고 웰빙에 대한 관심의 증가로 이와 관련된 정보원의 이용률, 특히 인터넷상의 건강정보원의 이용률이 급증해 왔다. 또한 공공도서관에서의 건강 및 의료관련 참고질문 건수도 지속적으로 증가하고 있는 가운데, 공공도서관사서는 이러한 유형의 참고서비스를 수행하는데 많은 한계를 느끼고 있다. 이에 본 연구에서는 공공도서관, 의학도서관, 의료기관, 건강 및 의료관련 커뮤니티, 기타 의료정보서비스를 제공하는 모든 관련기관들이 협력하여 건강정보서비스를 제공하는 CHI서비스 활성화를 위한 협력네트워크시스템 구축모형을 제안하였다. 협력모형의 핵심 요소에 해당되는 것으로 협력의 주체, 협력대상 정보원, 협력의 내용, 건강정보원 사이트의 운영, 협력센터의 운영과 역할, 그리고 상업기관과의 협력방향까지 구체적으로 제시하고 있다.

• 대한예방한의학회지
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• 제14권2호
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• pp.43-56
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• 2010

Objectives : This study aimed to investigate the attitude of healthcare consumers toward the East-West Collaborative Medical Practices(hereafter EWCMP). Method : The participants were 245 healthcare consumers who visited outpatient clinic of an university hospital, and attended at an emergency rescue educational program held by an emergency medical center, Busan. Data were collected by interviewing or self-reporting with questionnaires and analyzed with descriptive statistics and $X^2$ test with SPSS win 14.0. Results : 53.1 percent of 245 participants has heard, 13.9 percent has ever used, and 82.4 percent wanted to use EWCMP in the future. For participants who has used EWCMP, the decision to use it was made by themselves(58.8%), 26.5% of them was satisfied with EWCMP, and 79.4% showed the intention to introduce EWCMP to others. The use of EWCMP was significantly different by gender($X^2$=4.702, p=0.030) and having job or not($X^2$=14.305, p<0.001). Preferred type of EWCMP was to use both medical and Korean medical treatment at the same time(42.4%). Musculoskeletal disease(51.0%) and circulatory disease(51.0%) were expected to be the most effective when the EWCMP applied to them. Utilization of EWCMP was expected to be effective in disease treatment(88.2%), diagnosis(83.3%), and prevention(75.1%), and to increase medical cost(66.1%). Intention to use of EWCMP was not significantly different by demographic characteristics. Conclusion : Considering low proportion of utilization of and positive attitude toward the EWCMP among general populations, it is needed to introduce or advertise EWCMP to them.

• Journal of mucopolysaccharidosis and rare diseases
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• 제4권1호
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• pp.14-20
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• 2018

Mucopolysaccharidoses (MPSs) are a group of rare inherited metabolic disorders caused by specific lysosomal enzyme deficiencies leading to the sequential degradation of glycosaminoglycans, causing substrate accumulation in various cells and tissues and progressive multiple organ dysfunction. The rare disease medical care team at Mackay Memorial Hospital in Taiwan has been dedicated to the study of MPSs for more than 20 years. Since 1999, more than 50 academic papers focusing on MPSs have been published in international medical journals. Topics of research include the following items regarding MPSs: incidence, natural history, clinical manifestations, gene mutation characteristics, cardiac function, bone mineral density, sleep studies, pulmonary function tests, hearing assessments, percutaneous endoscopic gastrostomy, anesthetic experience, imaging analysis, special biochemical tests, laboratory diagnostics, global expert consensus conferences, prenatal diagnosis, new drug clinical trials, newborn screening, and treatment outcomes. Of these published academic research papers, more than half were cross-domain, cross-industry, and international studies with results in cooperation with experts from European, American and other Asian countries. A cross-specialty collaboration platform was established based on high-risk population screening criteria with the acronym "BECARE" (Bone and joints, Eyes, Cardiac and central nervous system, Abdomen and appearance, Respiratory system, and Ear, nose, and throat involvement). Through this platform, orthopedic surgeons, rheumatologists, ophthalmologists, cardiologists, rehabilitation physicians, gastroenterologists, otorhinolaryngologists, and medical geneticists have been educated with regards to awareness of suspected cases of MPSs patients to allow for a further confirmative diagnosis of MPSs. Because of the progressive nature of the disease, an early diagnosis and early multidisciplinary therapeutic interventions including surgery, rehabilitation programs, symptom-based treatments, hematopoietic stem cell transplantation, and enzyme replacement therapy, are very important.

• 대한예방한의학회지
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• 제22권2호
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• pp.25-32
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• 2018

Objectives : This study was conducted to investigate the frequent diseases among the people who had been treated by collaborative treatment of Korean medicine and Western medicine, and to compare their medical use behaviors before and after the collaborative first-stage pilot project between Korean medicine and Western medicine. Methods : 4,467 patients were identified as the patients who are participated in the collaborative first-stage pilot project between Korean medicine and Western medicine during the period between July 15, 2016 and March 31 2017. We used 28,480 records of Korean national health insurance claim data from January 1 2016 to March 31 2017 to analyzed present condition of cooperative medical usage. Also we conducted a paired t test to compare the percentage of collaborative treatment days before and after the pilot project period. Results : We found that the most frequent diseases treated in the pilot project were the diseases of musculoskeletal and nervous system and then 10 major diseases such as H, K, J, C (D), N, L, E, A, H and F disease codes in order. Also it was confirmed that 14 major and 53 medium diseases are included from more than 90% of total patients. As a result of high frequency of medical treatment in Western medicine or Korean medicine is "administration of Korean medicine", which is same as before and within the pilot project. The ratio of utilizing both Western and Korean medical care for the same disease on the same day by both general patients and patients in KCD-7 disease code group C, G, I, M and S had been increased significantly. Conclusions : The pilot project might change the behavior of utilizing the medical care service by increasing the ratio of collaborative treatment of Western medicine and Korean medicine for the same disease on the same day.

• 중환자간호학회지
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• 제11권1호
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• pp.15-27
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• 2018

Purpose : This study was intended to investigate the frequency of job performance of the Korean professional medical support staffs (PMSS). Method : The data of 1,666 PMSS from 36 hospitals and over 500 beds were analyzed. The participants were divided into 5 groups: advanced practice nurses (APN), clinical nurse experts, physician assistants (PA), coordinators, and others. Results : Among the 5 main domains of job performance, advanced clinical practice has the highest frequency (111.36 d/y), followed by consultation/collaboration (75.66 d/y), education/counseling (53.54 d/y), leadership (23.90 d/y), and research (19.14 d/y). There was a significant difference in the frequency of job performance between the 5 groups of participants. The invasive activities were more frequent in the PA group. In the education and counseling domain, APNs had a higher level of job frequency than others (p < .001). In the research and leadership domains, APNs and coordinators had more prominent performance frequency than other groups (p < .01). However, there are some ambiguities in the job performance of the 5 groups depending on institutional characteristics. Conclusion : To establish the scope of work of PMSS, organizational and individual efforts are needed to promote and expand the leadership and research domains. To resolve the ambiguities of PMSS' roles, it is necessary to reorganize their titles.

• 한국콘텐츠학회논문지
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• 제9권6호
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• pp.275-288
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• 2009

본 연구는 응급의료정보센터 직원의 직무인식 및 만족도를 조사하여 직원들의 직무만족을 향상시키고, 나아가 응급의료정보센터의 발전에 대한 긍정적인 제안을 위하여 조사되었다. 본 연구의 결과 직원들은 응급환자의 안내 및 상담업무를 가장 중요하고, 잘 수행하고 있다고 응답하였다. 또한 이송중인 응급환자에 대한 응급처치의 지도 및 이송병원의 안내 업무의 난이도가 높다고 조사되었다. 근무 시 업무에 대한 사명감과 직무 만족도는 보통 이상인 편이나, 전체적인 근무조건, 급여만족도는 만족하지 않게 나타났다. 환자 상담시 모두 스트레스를 느끼고 있었고, 특히 환자를 직접 볼 수 없는 상태에서 제한된 정보로 응급실 내원이나 지속관찰 등을 결정해야 하는 면과 근무인력부족에서 스트레스가 많았다. 또한 정보센터의 위상에 대해서는 정보센터의 정체성에 대해 문제가 크다고 생각하고 있었고, 그로 인해 행정기관과 응급의료기관, 119 구급대와의 응급처치지도, 이송정보 제공 및 병원안내와 같은 유기적인 업무 협조체계를 구축하는 것이 어렵다고 느끼고 있었다.

• Archives of Plastic Surgery
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• 제48권3호
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• pp.310-322
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• 2021

The incidence of extremity amputation is estimated at about 200,000 cases annually. Over 25% of patients suffer from terminal neuroma or phantom limb pain (TNPLP), resulting in pain, inability to wear a prosthetic device, and lost work. Once TNPLP develops, there is no definitive cure. Therefore, there has been an emerging focus on TNPLP prevention. We examined the current literature on TNPLP prevention in patients undergoing extremity amputation. A literature review was performed using Ovid Medline, Cochrane Collaboration Library, and Google Scholar to identify all original studies that addressed surgical prophylaxis against TNPLP. The search was conducted using both Medical Subject Headings and free-text using the terms "phantom limb pain," "amputation neuroma," and "surgical prevention of amputation neuroma." Fifteen studies met the inclusion criteria, including six prospective trials, two comprehensive literature reviews, four retrospective chart reviews, and three case series/technique reviews. Five techniques were identified, and each was incorporated into a targetbased classification system. A small but growing body of literature exists regarding the surgical prevention of TNPLP. Targeted muscle reinnervation (TMR), a form of physiologic target reassignment, has the greatest momentum in the academic surgical community, with multiple recent prospective studies demonstrating superior prevention of TNPLP. Neurorrhaphy and transposition with implantation are supported by less robust evidence, but merit future study as alternatives to TMR.

• 한국간담췌외과학회지
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• 제27권3호
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• pp.277-286
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• 2023

Backgrounds/Aims: To study histopathological changes in gall bladder mucosa in cholelithiasis patients, and analyse their relation to the number and size of gallstones. These findings were evaluated in the context of age distribution of the study population. Methods: One hundred cases of cholecystectomy were part of the study, which was conducted in collaboration with the pathology department. The time period of the study was January 2020 to June 2021. Results: Maximum cases had multiple stones (69.0%), while one third cases (31.0%) had solitary stones. While initial univariate analysis showed age (odds ratio [OR], 6.882; p = 0.043), gallstone number (OR, 9.1; p = 0.050), gallstone size (OR, 17.111; p = 0.013), and duration of symptom (OR, 34.125; p = 0.001) to be significant risk factors associated with gallbladder carcinoma, multivariate analysis found none of these variables to be significant. However, conditional multivariate analysis for the duration of symptom (p = 0.008; OR, 21.118) yielded significant p-value. With histopathological diagnoses, 5% of cases had gallbladder cancer. Conclusions: This study shed light on the rising incidence of cholelithiasis in the young population and the high rate of gallbladder carcinoma in Punjab, India. Although gall stone characteristics (size, number) and patient age appeared to be significant risk factors when their individual relation with gallbladder carcinoma was studied, multivariate analysis, could not prove that. Conditional multivariate analysis showed the duration of symptom to be the only significant risk factor associated with gallbladder carcinoma. Further research with larger sample size is needed to study the rising incidence of gallbladder carcinoma, and the risk factors associated with it.