통합의료정보시스템의 구축에 관한 연구

홍현기 청주대학교 경영경제연구소 2016 경상논총 Vol.8 No.2

최근 의료서비스에 대한 소비자(환자)들의 지식과 경험이 쌓여 감에 따라, 고급화된 의료서비스에 대한 수요가 급격히 증가 하고 있다. 그러나 현재의 의료정보체계는 각각 독립적으로 운영되고 있어서, 고객에게 질 높은 의료서비스를 제공하는데 어려움이 있다. 본 논문에서는 의료서비스의 제공에 있어서 원활한 정보 제공이 가능하도록 현재 각각 독립적으로 구축되어 운영 중인 개별 의료정보시스템을 통합할 수 있는 통합된 의료정보시스템의 구축에 대한 프레임워크를 제안하고자 한다. 본 연구를 위해서 기존에 연구된 각각의 의료정보 데이터베이스를 분석하고, 이들의 통합된 정보체계를 구축하도록 노력한다. 통합의 대상이 되는 의료정보 데이터베이스는 우선 개인건강기록(Personal health record : PHR)과 의료기관에 보관되는 전자의무기록(Electronic Medical Record : EMR) 그리고 개인들이 일상생활 동안에 측정할 수 있는 생체 바이오기록 등이다. 이들 의료정보의 효율적인 통합을 통해서 구축되는 의료정보통합시스템은 환자에게 의료서비스를 제공할 때 적시에 필요한 의료정보가 활용될 수 있다. 결론적으로, 의료정보통합시스템을 통하여 원격진료(Telemedicine), 응급의료(Emergency Care) 그리고 일반 의료서비스의 시에 질 높은 그리고 고객 개개인에게 맞는 의료서비스가 가능한 의료서비스의 제공 기반이 마련되는 것이다.

콘크리트용 재료로써 광산 폐석의 활용 가능성에 관한 연구

류현기 忠州大學校 2007 한국교통대학교 논문집 Vol.42 No.-

The research examines usability of mine-waste of talc as concrete material from a viewpoint of recycling, and derives the following conclusion. The experiment on pulverizing method for fine and coarse aggregate showed that as for fine aggregate, certain particles need to be screened; coarse aggregate can be used as it is. Solid volume percentage for grain shape met the KS standard, and concrete shape slightly improved due to abrasion. As for potential usability as admixture, the performance demonstrated satisfying result for both fresh and hardened concrete at replacement ratio of 10%, and fineness of 3000㎠/g and 4000㎠/g, leading to an interim conclusion that the material is suitable to be used as admixture.

근골격계 질환에 있어 초음파 검사의 유용성

박기영,김현리,이성문 大韓再活醫學會 2000 Annals of Rehabilitation Medicine Vol.24 No.6

성인에서 후방 반척추에 의한 선천성 척추 후만증

박기영,이소영,김현리 大韓再活醫學會 1999 Annals of Rehabilitation Medicine Vol.23 No.6

대나무 섬유소를 이용한 섬유보강 콘크리트의 역학적 특성

류현기,권용주,신상용 忠州大學校 2009 한국교통대학교 논문집 Vol.44 No.-

This study is a experiment on the mechanical properties of concrete according to the fiber additional quantity of bamboo. The experiment and analysis results are as the following. The slump as a quality of the concrete not to harden showed to decrease more remarkably for a slump value than the plain according to the increment of cellulose additional rate. Air quantity showed to increase only in 0.2% fiber additional rate and to get out of KS allowable error of bad air content in 0.4% and 0.6%, and capacity mass by unit showed a reverse tendency against air quantity according to the change of cellulose additional quantity. Compression intensity as a quality of hardening concrete showed collectively a tendency to decrease in the remnant past days except only 0.6% at the standard past day 愀8 and the initial 3 days. Pulling intensity showed to increase more than the plain in all past days according to the change of fiber additional quantity of bamboo, and bending intensity also showed to be higher revelation intensity than the plain in the measurement result at the standard past day 28. In the result of length change rate, we can find the bigger the cellulose additional rate as a special quality increased, the more it decreased according to the pass of the past day.

신경회로망에서 뉴런간의 연결도를 이용한 4백 배치 문제 해결 알고리즘

현해진,김덕주,강부식,이기태,임재윤 濟州大學校 工科大學 産業技術硏究所 1993 産業技術硏究報告 Vol.4 No.-

In this paper we have proposed a method for solving a four-coloring problem using adjusted information transmission between adjacent neurons in neural networks. These algorithms are based on McCclloch-Pitts binary neuron model neural networks. If a map shares n regions, a 4×n neural array is used to color a map of n regions where each neuron as a processing element performs it. By programming these algorithm by a C-language in IBM PC 486 DX and adapting it to various examples, we have showed the ability of our system. If one neuron is selected among four neurons, the strength of order three neurons is wakened. So, by transmitting the information of selected neuron, adjacent neurons cannot share the same color.

활동혈압에 의한 Cicletanine의 강압효과 판정

정태기,김현대,류재춘,최석구,유원상 인제대학교 1993 仁濟醫學 Vol.14 No.4

Prostaglandin 합성을 촉진하는 새로운 강압약인 cicletanine의 강압효과를 진료실 혈압과 24시간 활동혈압으로 평가했을 때 상당한 차이를 보여 그 이유를 검토해 보았다. To evaluate antihypertensive effect of cicletanine with both clinic and ambulatory blood pressure monitoring, 10 male hypertensive patients were administered cicletanine, a new antihypertensive stimulating prostaglandin synthesis, in 100∼200 mg daily for 12 weeks. The following were the results. 1.Mean of clinic BP decreased from 161/98 mmHg to 153/98 mmHg. 2.Mean of ambulatory BP changed from 140/91 mmHg to 153/99 mmHg. 3.Side reactions were mild, namely indigestion and constipation. 4.Discrepancy between clinic and ambulatory BP were discussed. In conclusion cicletanine revealed slight antihypertensive effect with clinic blood pressure, but failed to confirm it with ambulatory blood pressure.

이탈리안 라이그래스의 성숙종자 유래 캘러스로부터 효율적인 식물체 재분화

우현숙,이상훈,이동기,김진수,원성혜,이병현 Plant molecular biology and biotechnology research 2004 Plant molecular biology and biotechnology research Vol.2004 No.-

As an initial step for future genetic manipulations to improve forage characteristics of Italian ryegrass (Lolium multiflorum Lam.), an efficient tissue culture system was established and the factors affecting plant regeneration were evaluated. MS medium containing 5 ㎎/L 2,4-D was optimal for embryogenic callus induction from mature seed and had a strong effect on successive plant regeneration. The plant regeneration frequency was observed at above 70% when embryogenic calli induced were transferred to N6 medium supplemented with 1 ㎎/L 2,4-D and 5 ㎎/L BA. Among several basic media tested, MS and M6 medium were optimal for callus induction and plant regeneration, respectively. Genotype was an important factor in plant regenerability. 'Jeanne' showed the highest regeneration frequency of 73%. A short tissue culture period and high-frequency regeneration system established in this study will be useful for molecular breeding of Italian ryegrass through genetic transformation.

'에너지와 환경' 단원 개발과 지도 탐색

모기수,김현재 仁川敎育大學校 科學敎育硏究所 1998 과학교육논총 Vol.10 No.-

In this study, the purpose is to develope and teach Energy and Environment unit which is under developed in the primary science education. This study was carries out as follows : 1) The contents of Energy and Environment unit are composed of the experience science which the student can easily acquire in every day life. 2) The individual or cooperative learning and holistic learning approach were taken as instructional methods. This study suggests that the energy and environment unit which can give not only children and confidence but also participate actually in the unit with interest and concern. Then, The new instructional methods oriented to children such as the individuals or cooperative learning and holistic learning approach should be applied to the modernization of open education in practical and effective method.

정신과 입원 환자에서 난폭 행동 예측 인자에 관한 연구

김기현,이성동,최용성 大韓神經精神醫學會 1999 신경정신의학 Vol.38 No.6

연구목적: 정신과 입원 환자에서 난폭 행동의 발생을 예측하는데 있어 초기 치료동맹과 정신병리의 유용성을 전향적인 연구 방법을 통해 평가함으로써 정신과 입원 환자의 난폭 행동을 예방하는데 기여하고자 하였다. 방 법: 1998년 1월 1일부터 1998년 11월 30일까지 성안드레아 정신병원에 입원한 환자(알코올 의존 및 행동 장애 환자는 배제함) 중에서 105명을 연구 대상으로 선택하였다. 입원 후 5일 이내에 대상 환자의 난폭 행동의 과거력, 초기 치료동맹 및 정신병리를 평가하였으며, 입원 기간 초기 2주 동안에 난폭 행동의 발생 여부를 추적 조사하였다. 난폭군(38명)과 비난폭군(67명)을 비교하여 사회 인구학적 변인, 난폭 행동의 과거력, 초기 치료동맹, 정신병리 등이 정신과 입원 환자의 난폭 행동을 예측하는데 유용한지를 평가하였다. 결 과: 1) 난폭 행동의 과거력이 있는 환자에서 입원 후 난폭 행동의 발생 빈도가 유의미하게 높았다. 2) 입원 후 초기 치료동맹이 약한 경우에는 입원 초기에 난폭 행동이 유의미하게 많이 나타 났다. 3) BPRS의 하위 척도 중에서 BPRS-철퇴-지체(withdrawal-retardation)의 점수가 낮고, BPRS-초조-흥분(agitation-excitement)과 BPRS-적개심-의심(hostile-suspicious)의 점수가 높을 수록 난폭 행동의 발생 빈도가 높았다. 4) 변인들을 통제하는 다중로짓분석 결과, 입원 전 난폭 행동의 과거력, 초기 치료동맹, BPRS-초조-흥분(agitation-excitement) 척도의 점수 등이 정신과 입원 환자에서 난폭 행동의 발생을 예측하는 인자로서 의미가 있었다. 결 론: 특정 정신병리와 초기 치료동맹이 입원 초기에 정신과 입원 환자의 난폭 행동을 예측하는데 유용하다고 생각된다. Objectives: The goal of this study was to predict the factors related to psychiatric inpatients` violence in a mental hospital. This was follow-up study to assess the psychopathology of patients and the quality of the initial therapeutic alliance between the patient and the therapist, as a predictor of the risk of violent behavior. Methods: The subjects were 105 psychiatric inpatients admitted to St. Andrews` Neuropsychiatric Hospital from January 1998 to November 1998, but alcohol dependent patients and conduct disorder patients were excluded. Within the first five hospital days, we rated past history of violence, patients` psychopathology using Brief Psychiatric Rating Scale and quality of initial therapeutic alliance. We also evaluated violent behaviors using Overt Aggression Scales during the two weeks before admission and during the two weeks of hospital stay and compared the 67 non-violent ingatients with 38 violent ingatients on the utility of socio-demographics variables, past history of violence, utility of the initial therapeutic alliance and psychopathology in evaluating the risk of violent behaviors. Multiple logistic analysis was conducted to analyze risk factors for violent behaviors. Results: 1) The violent inpatients significantly were more closely related with the previous history of violent behavior. 2) The weaker the initial therapeutic alliance were, the significantly higher violent behavior exhibited. 3) Violent behavior was related significantly with higher BPRS-agitation-excitement factor score and higher BPRS-hostile-suspicious factor score. Violent behavior also was related with lower BPRS-withdrawal-retardation factor score. 4) According to the multiple logistic analysis, the predictors of violent behavior were past history of violence and initial therapeutic alliance and BPRS-agitation-excitement factor. Conclusions: The results suggest that initial therapeutic alliance and the specific psychopathology ane useful in evaluating patients` risk for violence.