• Title/Summary/Keyword: medical expense

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The Efficacy and Safety of Platelet-Rich Plasma and Adipose-Derived Stem Cells: An Update

  • Choi, Jaehoon;Minn, Kyung Won;Chang, Hak
    • Archives of Plastic Surgery
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    • v.39 no.6
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    • pp.585-592
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    • 2012
  • During the past decade, many studies using platelet-rich plasma (PRP) or adipose-derived stem cells (ASCs) have been conducted in various medical fields, from cardiovascular research to applications for corneal diseases. Nonetheless, there are several limitations of practical applications of PRP and ASCs. Most reports of PRP are anecdotal and few include controls to determine the specific role of PRP. There is little consensus regarding PRP production and characterization. Some have reported the development of an antibody to bovine thrombin, which was the initiator of platelet activation. In the case of ASCs, good manufacturing practices are needed for the production of clinical-grade human stem cells, and in vitro expansion of ASCs requires approval of the Korea Food and Drug Administration, such that considerable expense and time are required. Additionally, some have reported that ASCs could have a potential risk of transformation to malignant cells. Therefore, the authors tried to investigate the latest research on the efficacy and safety of PRP and ASCs and report on the current state and regulation of these stem cell-based therapies.

Smart Services of the Bathroom Reflecting the Behavior Patterns of the Elderly (고령자 행위 패턴 기반 욕실의 지능형 서비스 패턴 개발)

  • Lee, HyunSoo;Jung, Ji Yea;Park, Sung Jun
    • Korean Institute of Interior Design Journal
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    • v.22 no.1
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    • pp.256-264
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    • 2013
  • A bathroom in house has been stressed not only as a space for physiology and hygiene but also leisure and healthcare. However, the bathroom is the most likely space where an elderly person can have an accident and it is uncomfortable space for them because of their deteriorating physical ability. So the purpose of this study is to help the elderly use their bathroom conveniently by providing smart service. Therefore, we carry out 18 smart service patterns that contain assistive devices and sensors for bathroom. Considering applicability and frequency, from among these service patterns, we suggest 4 service patterns. First is a fall prevention service. This service helps elderly use the bathroom safely at night. Second is a getting ready to go out service. This service helps the situation that elderly use the bathroom after getting up in the morning. Third is a security service in daily life especially before or after meals. And final is a service regarding personal hygiene service after returning home. This service helps to shower or bathe after return home. These services have positive influence in medical expense reductions, good health care and self-reliance of elderly.

MR ANGIOGRAPHY USING THE COMPOSITE [$90^{\circ}-{\tau}-180^{\circ}-2{\tau}-180^{\circ}-{\tau}$] SEQUENCE (복합 [$90^{\circ}-{\tau}-180^{\circ}-2{\tau}-180^{\circ}-{\tau}$ 시이퀸스를 이용한 핵자기 공명 혈관 조영술)

  • Kim, J.H.;Lee, K.D.;Jeon, H.H.;Cho, Z.H.
    • Proceedings of the KOSOMBE Conference
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    • v.1989 no.05
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    • pp.35-37
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    • 1989
  • A new MR angiography technique using a composite sequence for the suppression of static sample signals is proposed and verified with experiments. When the composite [$90^{\circ}-{\tau}-180^{\circ}-2{\tau}-180^{\circ}-{\tau}$] sequence is applied, the large signal from the static sample is sufficiently suppressed but the signal from fresh inflow sample of which amplitude. is observed without suppression. These properties are appropriate for angiographic applications. In this paper, a modified line scan method (Block line scan angiography) incorporated with the composite [$90^{\circ}-{\tau}-180^{\circ}-2{\tau}-180^{\circ}-{\tau}$] sequence is used to obtain flow-only images, i.e., angiograms. The block line scan method improves the resolution in the flow-direction at the expense of imaging time. With the composite sequence, there is no need for subtraction procedure as in the most conventional angiographic methods. Experimental results for a phantom and a normal volunteer with KAIS 2.0 Tesla MRI system are shown.

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A New Cross-Layer QoS-Provisioning Architecture in Wireless Multimedia Sensor Networks

  • Sohn, Kyungho;Kim, Young Yong;Saxena, Navrati
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.10 no.12
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    • pp.5286-5306
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    • 2016
  • Emerging applications in automation, medical imaging, traffic monitoring and surveillance need real-time data transmission over Wireless Sensor Networks (WSNs). Guaranteeing Quality of Service (QoS) for real-time traffic over WSNs creates new challenges. Rapid penetration of smart devices, standardization of Machine Type Communications (MTC) in next generation 5G wireless networks have added new dimensions in these challenges. In order to satisfy such precise QoS constraints, in this paper, we propose a new cross-layer QoS-provisioning strategy in Wireless Multimedia Sensor Networks (WMSNs). The network layer performs statistical estimation of sensory QoS parameters. Identifying QoS-routing problem with multiple objectives as NP-complete, it discovers near-optimal QoS-routes by using evolutionary genetic algorithms. Subsequently, the Medium Access Control (MAC) layer classifies the packets, automatically adapts the contention window, based on QoS requirements and transmits the data by using routing information obtained by the network layer. Performance analysis is carried out to get an estimate of the overall system. Through the simulation results, it is manifested that the proposed strategy is able to achieve better throughput and significant lower delay, at the expense of negligible energy consumption, in comparison to existing WMSN QoS protocols.

The Relationship between Hospital Specialization and Operational Performance: Focusing on Diseases of the Musculoskeletal System and Connective Tissue (병원의 전문화 전략과 운영성과 간의 관계: 근골격계 및 결합조직 질환을 중심으로)

  • Seo, Seul-Ki;Kim, Yang-Kyun
    • Korea Journal of Hospital Management
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    • v.25 no.3
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    • pp.53-66
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    • 2020
  • This study is aimed at investigated and compared the differences in the affect of hospital specialization according to hospital size using claims data of the Health Insurance and Review Assessment National Inpatient Sample in 2018 for diseases of the musculoskeletal system and connective tissue. To this end, we used multivariate hierarchical linear models(a.k.a., multi-level models) using two-tier data from 106,599 patients discharged after diseases of the musculoskeletal system and connective tissue from 734 hospitals. Multivariate results indicate that patients who were discharged with diseases of the musculoskeletal system and connective tissue from specialized hospitals with 200 beds or less stayed shorter and paid less inpatient charge than those who were discharged from less specialized hospitals. But for hospitals with 201-300 beds, no positive impact relationship was found between hospital specialization and operational performance. This finding may be limited evidence that the affect of a hospital's specialization strategy may vary depending on the size of the hospital. We discussed several managerial and health policy implications below.

AUTOGENOUS AURICULAR CARTILAGE GRAFT FOLLOWED BY DISCECTOMY OF THE TEMPOROMANDIBULAR JOINT (악관절원판 절제술 후 이개연골 이식)

  • Chung, Hoon;Sung, Choon-Su
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.15 no.2
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    • pp.81-91
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    • 1993
  • Arthrosis of the temporomandibular joint is defined as a disease of a joint with chief complaint of pain, clicking, limited jaw movements. Generally, most patients with the temporomandibular arthrosis can be treated conservatively with muscle relaxation therapy combined with mandibular repositioning prostheses, followed by occlusal equilibration, restorative dentistry and/or orthodontics, and many other forms of treatment. In case prior nonsurgical treatment proved to be ineffective or the disease is chronic and severe, surgical operation is recommended. For patients with arthrosis of the temporomandibular joint, only discectomy as therapeutic method of the surgical treatment should not be applied and the removed articular disc of the temporomandibular joint should be replaced. Allograft such as Proplast-Teflon, Silastic, etc have been used as replacements of removed articular disc. However, these allograft materials have caused complications such as inflammatory changes, foreign body reactions. As a result, a replacement material which is autogenous, space occupying, easy to harvest and less inflammatory change has been developed. Auricular cartilage with perichondrium satisfies many of these requirements. The apparent advantages of autogenous auricular cartilage as an interpositional graft after a discectomy are as follows, (1) the form of the external ear corresponds to joint morphology, (2) a graft of adequate size can be harvested, (3) the form of the external ear remains unchanged after surgery, (4) the graft can be obtained adjacent to the surgical site, (5) biologically acceptable material is used, (6) the additional expense of allogenic graft is avoided. Because we considered autogenous auricular cartilage as a good replacement material, removed articular disc has been replaced with fresh autogenous auricular cartilage in the case of three patients. The result of the treatment is favorable, and the cases being presented here.

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Factors affecting the hospital profitability (Focusing on the convergence of differences in financial performance of the surplus and deficit hospital) (종합병원의 수익성에 영향을 미치는 결정요인 (흑자, 적자병원의 재무성과에 대한 융복합적인 차이를 중심으로))

  • Lee, Jin-Woo;Park, Cho-Hee
    • Journal of Digital Convergence
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    • v.13 no.11
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    • pp.267-276
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    • 2015
  • This study divided hospital management performance as surplus and deficit, Liquidity, Growth, Turnover Ratios, Productivity, Operating Expense, Patient Care Performance and evaluate the relationship between profitability. In addition to providing a useful basis for seeking profitability and effective management measures based on the findings of the hospital has its purpose. The study period was 2013 to identify the hospital's financial performance as evaluation criteria, were selected for a total of 147 hospitals surveyed. In conclusion, the more profitable medical and hospital financial performance, results showed a higher rate. In addition to the factors affecting the profitability of the Salaries, Administrative Expenses, Material Costs was a major factor. To to enhance the future profitability of hospital care it is also important to increase revenue, but Salaries, the cost reduction-effective strategy for reducing Administrative Expenses may be required.

Mobile Remote Healthcare in Ubiquitous Computing Environments (유비쿼터스 환경에서 모바일을 이용한 원격 헬스케어)

  • Kang, Eun-Young;Im, Yong-Soon
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.8 no.6
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    • pp.55-61
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    • 2008
  • In this paper, we proposed a multi-agent based healthcare system (MAHS) which is the combination of medical sensor module and wireless communication technology. This MAHS provides wide services to mobile telemedicine, patient monitoring, emergency management, doctor's diagnosis and prescription, patients and doctors, information exchange between hospital workers in a long distance. Also, MAHS is connected to Body Area Network (BAN) and a doctor and hospital workers. In addition, we designed and implemented extended JADE based MAHS that reduces hospital server's burden. Agents gather, integrate, and deliver the collected patient's information from sensor, and provide presentation in healthcare environment. Proposed MAHS has advantage that can handle urgent situation in the far away area from hospital like Islands through PDA and mobile device. In addition, by monitoring condition of patient (old man) in a real time base, it shortens time and expense and supports medical service efficiently.

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Implementation ANY-PACS Using Web Module and DICOM Converter on the windows platform (윈도우 플랫폼 상에서 Web Module 과 Converter를 이용한 Any-PACS 구현)

  • Yoon, Min-Jong;Lee, Joon
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 1999.05a
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    • pp.93-98
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    • 1999
  • In recent years, medical procedures have become more complex, while financial pressures for shortened hospital stays and increased efficiency in patient care have increased. As a result, several shortcomings of present film-based systems for managing medical images have become apparent. Maintaining film space is labor intensive and consumes valuable space. Because only single copies of radiological examinations exist, they are prone to being lost or misplaced, thereby consuming additional valuable time and expense. In this paper, Any-PACS for image archiving, transmission, and viewing offers a solution to these problems. Proposed Any-PACS consists of mainly four parts such as Web Module, Client-Server Module, Internal Module, Acquisition Module. In addition, Any-PACS system includes DICOM Converter that Non-DICOM file format converts standard file format. In Client-Server Module case, Proposed system is combined both SCU(Service Class Use: Client) part and SCP(Service Class provider: Server)part therefore this system provides the high resolution image processing techniques based on windows platform. Because general PACS system is too expensive for Medium and Small hospitals to install and operate the full-PACS. Also, we constructed Web Module for database connection through the WWW.

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Design and Implementation of Web-Based MINI-PACS using the DICOM (DICOM을 이용한 웹 기반 MINI-PACS 설계 및 구현)

  • 지연상;이성주
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.4 no.5
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    • pp.1095-1104
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    • 2000
  • In recent years, medical procedures have become more complex, while financial pressures for shortened hospital stays and increased efficiency in patient care have increased. As a result, several shortcomings of present film-based systems for managing medical images have become apparent. Maintaining film space is labor intensive and consumes valuable space. Because only single copies of radiological examinations exist, they are prone to being lost or misplaced, thereby consuming additional valuable time and expense. In this paper, mini-PACS for image archiving, transmission, and viewing offers a solution to these problems. Proposed mini-PACS consists of mainly four parts such as web module, client-server module, internal module, acquisition module. In addition, mini-PACS system includes DICOM converter that non-DICOM file format converts standard file format. In client-server module case, proposed system is combined both SCU (service class user: client) part and SCP(service class provider: sewer)part therefore this system provides the high resolution image processing techniques based on windows platform. Because general PACS system is too expensive for medium and small hospitals to install and operate the full-PACS. Also, we constructed web module for database connection through the WWW.

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