Exercise Rehabilitation Program Development for the General Public

김선칠,이영익 한국운동재활학회 2011 JER Vol.7 No.1

Analysis of Radiation Fusion Shielding Performance of Ytterbium Oxide, a Radiation Impermeable Substance

김선칠,Kim, Seon-Chil Korea Convergence Society 2021 한국융합학회논문지 Vol.12 No.4

의료기관의 방사선 차폐체의 차폐물질이 친환경소재로 변화되면서 기존 납의 일반된 차폐특성보다 차폐물질의 특성에 따른 방사선 방어가 중요한 요소로 대두되고 있다. 납과 유사한 차폐물질로 대표적인 텡스텐과 황산바륨은 친환경 소재로 시트나, 섬유 형태로 제작되어 사용되고 있다. 이테르븀은 치과 방사선영역에서 불투과성 물질로 불소화합물로 사용되었으며, 에너지대별 차폐특성과 기존 친환경소재의 차폐특성과 비교하여 x-선 차폐영역에서 차폐성능을 평가하고자 한다. 동일한 공정과 조건하에 세 종류의 차폐시트를 제작하여 실험하였으며, 의료방사선 영역에서 텅스텐과 약 5 % 차폐성능 차이가 나타났으며, 황산바륨보다 우수한 차폐성능을 보였다. 차폐시트의 단면 구조에서는 인자의 배열이 일정하지 못하는 큰 단점을 보였다. 따라서 산화이테르븀은 의료방사선 차폐물질로 충분한 가능성을 보였으며, 입자배열 구조와 입자크기 조절로 차폐성능을 향상시킬 수 있을 것으로 사료된다. While the shielding substances of radiation shields in medical institutions are beginning to be replaced by environmentally friendly materials, radiation protection according to the shielding properties of environmentally friendly substances is becoming an important factor rather than the existing lead shielding properties. Tungsten and barium sulfate are representative shielding materials similar to lead, and are made in sheets or fiber form with eco-friendly materials. Ytterbium is an impermeable material used as a fluorine compound in the dental radiation field. This study aims to evaluate the shielding performance in the x-ray shielding area by comparing the shielding properties of ytterbium by energy band and that of existing eco-friendly materials. When three types of shielding sheets were fabricated and tested under the same process conditions, the shielding performance of the medical radiation area was about 5 % difference from tungsten. Furthermore, shielding performance was superior to barium sulfate. In the cross-sectional structure of the shielding sheet, there was a disadvantage that the arrangement of particles was not uniform. Ytterbium oxide showed sufficient potential as a medical radiation shielding material, and it is thought that it can improve the shielding performance by controlling the particle arrangement structure and particle size.

Comparative analysis of complex factors affecting the accuracy of injection volume of remote fluid monitoring system

김선칠 한국융합학회 2022 한국융합학회논문지 Vol.13 No.3

Recently, the prevalence of remotely managed patient care systems in medical institutions is increasing due to COVID-19. In particular, in the case of fluid monitoring, hospitals are considering introducing it as a system that can reduce patient safety and nurses' work. There are two products under development: a load cell method that measures weight and a method that detects drops of sap by infrared sensing. Although each product has differences in operation principle, sensor type, size, usage, and price, medical institutions are highly interested in the accuracy of the data obtained.In this study, two prototypes with different sensor methods were manufactured and the total amount of infusion per hour was measured to test the accuracy, which is the core of the infusion monitoring device. In addition, when there was an external movement, the change in the measured value of the sap was tested to evaluate the accuracy according to the measurement method. As a result of the experiment, there was a difference of less than 5% in the measurement value error of the two devices, and the load cell method showed a difference in the low-capacity measurement value and the infrared method in the high-capacity measurement value. As a result of this experiment, there was little difference in accuracy according to the sensor method of the infusion monitoring device, and it is considered that there is no problem in accuracy when used in a medical institution.

임상 의료장비 인터페이스를 이용한 검사실 전산화 구현 : I. ABGA(Arterial Blood Gas Analyser)를 중심으로

김선칠,권덕문,Kim, Sun-Chil,Kwon, Deok-Moon 대한디지털의료영상학회 2006 대한디지털의료영상학회논문지 Vol.8 No.1

Hospitals these days are trying to introduce the a practice has recently been generalized in the test or diagnosis process, where test results and images from different test labs are interlinked together. This process is identical to that of physical aspect in EMR process, which computerizes the paper results within the hospital. One of the prerequisites for the process of computerizing test results is the interface between clinical test devices in the test labs. However, due to the variety of prescription inputs, disparity of test result papers, complexity of job in test labs and diversify of interfaces among the different devices, interconnection with the hospital information system is a complicated job. A universal control of clinical test devices which have independent communication protocols has become possible by connecting them with an interface workstation. As for the patients, waiting time for test has been reduced, and, thanks to the synchronized result retrieval system, it has become possible to check the test results on the very day of the test. As a result, the length of hospitalization has been reduced, too. In terms of workflow, as the transfer of charts and transfer of result papers are separated, the embarrassing job of collecting result papers has disappeared. As patients' test appointment and the results processing can be made on-line, extra work for doctors have disappeared. And, thanks to the computerization of test results information management, the job of statistical processing has become convenient.

The Effects of Computerized Gaming Program on Cognition in Children with Mental Retardation: A Case Study

김선칠,허주영,신화경,김병일 대한물리치료학회 2018 대한물리치료학회지 Vol.30 No.5

Purpose: The purpose of this study was to analysis of effectiveness between cognitive function assessment scores and gaming cognitive rehabilitation system in children with intellectual impairment. Methods: Five children (male=5, age=10.00±0.80) with intellectual impairment participated in this study and were randomly assigned to the experiment that played (received) gaming cognitive rehabilitation system (Neuroworld). The children were applied 2 times a week for 30 minutes during 3 months. The children were assessed K-WSIC-VI (Korean-Wechsler intelligence scale for children-fourth edition) and recorded that gained score in gaming cognitive rehabilitation system before and after intervention. K-WSIC-VI contained five primary index scores: verbal comprehension index, visual spatial index, fluid reasoning index, working memory index, and processing speed index. Gaming cognitive rehabilitation system scoring was composed visual recall, target recall, sequence recall, selective attention, continuous attention, and exploration. Results: In the intelligence quotient (IQ) of K-WSIC-VI, there were significant increased in all children. The visual recall item was highest effective in all children. However, sequential recall showed the lowest improvement in all children. The performance speed of selective attention item was decreased, this means that children’s skills have improved. Also, their ability to explore has improved significantly. Conclusion: In conclusion, gaming cognitive rehabilitation system was significant effectiveness in cognitive function in some categories for children with intellectual impairment. However, the visual recall and performance speed don’t represent of all cognitive function. Therefore, further studies will need to verify by applying more subject and longer duration.

F/S시스템과 DR시스템의 화질과 피폭선량 비교에 관한 검토

김선칠,정재은 대한방사선과학회(구 대한방사선기술학회) 2003 방사선기술과학 Vol.26 No.3

방사선과에 도입된 새로운 디지털 의료 영상 시스템은 많은 변화를 요구하고 있다. 기존의 F/S 시스템에서 부족하거나, 예측하지 못하는 일부분을 대체로 만족하는 수준에 이르렀다. 하지만, 영상의 질과 환자의 피폭선량에서는 아직도 구체적인 자료가 제시되지 않고 있는 것이 현실이다. 이에 본 연구는 기존 F/S 시스템의 의료영상과 디지털 의료 영상을 비교하는데 있어서 환자의 피폭선량의 관점에서 실험을 하였으며, 실험결과 값을 이용하여 보다 우수한 환자 서비스 개선을 위한 DR 시스템의 영상의 질과 피폭선량의 측면에서 자료를 제시하고자 연구하였다. Currently, many hospitals are hastening to introduce digital radiography systems. This is a direct result of the intentions to improve medical services and to digitalize radiology information systems, and is also leading to the improvement of medical imaging technology. Throughout F/S system's long history, many people have researched the image quality and dosage concerning these systems, and as a result, huge improvements in the dosage of patients were possible. Similarly, I believe that DR systems need the same kind of effort. Of course, decreases in dosage that ignore image quality are unthinkable. The results of experiments conducted by five hospitals during a period of 3 months brought to us the conclusions listed below. 1. Based on the comparison and analysis of the exposure control of F/S systems and DR systems, DR systems generally showed higher exposure control for parts of the phantom that became thicker, and the exposure control improved rapidly as the thickness increased. 2. DR systems still proved to be somewhat deficient in resolution measurements compared to existing F/S systems. The image processing part of DR systems contributed much to these result. 3. Under conditions used clinically, the dosage measurements of DR systems were generally higher regardless of region. 4. According to the evaluation of image quality, DR systems showed a higher degree of satisfaction as the thickness of the region became thinner. As mentioned above and based on the mutual relationship experiments between the dosage and image quality of F/S systems and DR systems, research to increase the satisfaction of DR systems must be considered.

PACS 와 임상검사정보의 연동으로 인한 의사결정시스템; 크레아틴 수치정보전송으로 인한 조영제 부작용 예방

김선칠,조훈,Kim, Sean-Chil,Cho, Hune 대한디지털의료영상학회 2007 대한디지털의료영상학회논문지 Vol.9 No.1

This study applies in case of operating an exam using by the contrast order or inputting an order of a contrast media the exam of Radiology Department. It is developed for helping decision making as regards a process of an exam from reading the creatinine value automatically linked with Laboratory Information System. It can be confirmed by real-time information; therefore, the creditability of the information is able to be improved. We will create the base for Patient Monitoring System with the data from the side effect of the creatinine value and allergies. Decision Support System minimize the inconvenience and the riskiness of the given contrast medium for CT tests. We would like to improve medical services by providing a standard circumstance where patients are able to run tests safely and comfortably.

로드셀과 자이로센서를 융합한 수액 감지 시스템 설계 및 오차 검증

김선칠 한국융합학회 2021 한국융합학회논문지 Vol.12 No.1

의료기관에서 사용되는 수액 모니터링 시스템은 원격으로 환자에게 투입된 수액량과 투여의 종료시점 정보를 제공하기 위해서 개발되었다. 수액 투입량을 측정하기 위해서는 수액 내부에서 외부로 나가는 정량을 무게로 혹은 유량 을 측정센서로 측정할 수 있다. 여기에 적용되는 장치의 기준은 정확성, 경계성이다. 또한 소형으로 환자에게 수액 설치 시 사용에 용이해야 한다. 의료기관에서는 측정값의 정확도가 높아야 하며, 경제적으로 저가의 장치를 요구하고 있다. 본 연구에서는 저가의 소형 무게 중심 로드셀 센서를 적용하였으며, 측정값의 정확도를 위해 자이로센서와 융합하여 외부 움직임에 의한 아트펙트를 줄이는 알고리즘을 적용하였다. 그 결과 측정의 오차를 줄일 수 있어 수액 모니터링 측정값의 정확도를 향상시키는 효과를 확인하였다. The intravenous injection monitoring system used by medical institutions was developed to remotely provide patients with the amount of intravenous injected and the termination point of the injection. In order to measure the amount of intravenous injection input, the weight or flow rate of the level going out from the inside to outside of the intravenous injection can be observed with a measuring sensor. The criteria for devices that apply herein are accuracy and vigilance. In addition, it is compact and should be easy to use when installing intravenous injection on patients. In medical institutions, the accuracy of the measured values must be high, and economically inexpensive devices are required. In this study, low-cost small-weight-centered load cell sensors were applied, and algorithms were applied to reduce the artefact by external movement by converging with gyro sensors for accuracy of measurements. As a result, it was possible to reduce the error of measurement, thereby improving the accuracy of the intravenous injection monitoring measurement value.

Comparative Evaluation of Shielding Performance according to the Characteristics of Eco-friendly Shielding Material Tungsten

김선칠,Kim, Seon-Chil Korea Convergence Society 2021 한국융합학회논문지 Vol.12 No.10

Radiation shields used in medical institutions mainly use lead to manufacture products and fitments. Although lead has excellent processability and economic efficiency, its use is being reduced due to environmental issues when it is disposed of. In addition, when used for a long time, there is a limit to using it as a shielding film, shielding wall, medical device parts, etc. due to cracking and sagging due to gravity. To solve this problem, copper, tin, etc. are used, but tungsten is mostly used because there is a difficulty in the manufacturing process to control the shielding performance. However, it is difficult to compare with other shielding materials because the characteristics according to the type of tungsten are not well presented. Therefore, in this study, a medical radiation shielding sheet was manufactured in the same process using pure tungsten, tungsten carbide, and tungsten oxide, and the particle composition and shielding performance of the sheet cross-section were compared.As a result of comparison, it was found that the shielding performance was excellent in the order of pure tungsten, tungsten carbide, and tungsten oxide. 본 의료기관에서 사용되는 방사선 차폐체는 주로 납을 활용하여 제품과 부속품을 제작한다. 납은 가공성과 경제성이 우수하지만 폐기 시 환경 문제로 인해 사용량을 줄이고 있으며, 오랫동안 사용했을 시 크랙 현상과 중력에 의한 처짐 현상으로 인해 차폐막, 차폐벽, 의료기기 부픔 등으로 장기간 사용하기에는 한계가 있다. 이러한 문제점을 해결하기 위해 구리, 주석 등을 사용하지만, 아직 차폐성능을 제어하기에는 제작 공정에 어려움이 있어 대부분 텅스텐을 많이 사용하고 있다. 그러나 아직 텅스텐의 종류에 따른 특성이 잘 제시되지 못해 다른 차폐재와의 비교가 어렵다. 따라서 본 연구에서는 순수 텅스텐, 탄화텅스텐, 산화 텅스텐을 이용하여 동일한 공정으로 의료방사선 차폐시트를 제작하여 시트 단면의 입자 구성과 차폐성능을 비교하였다. 비교 결과 순수 텅스텐, 탄화텅스텐, 산화 텅스텐 순으로 차폐성능이 우수한 것으로 나타났다.

개인별 인솔의 족궁 지지가 신체 균형능력에 미치는 영향

김선칠,배진우,장지필,Kim, Seon-Chil,Bae, Jin-Woo,Jang, Ji-Pil 대한디지털의료영상학회 2014 대한디지털의료영상학회논문지 Vol.16 No.1

The body to achieve an interaction that are connected to each other. Foot of which plays an important role in motor activity. Insole that has been recently used, have a dynamic functional elements. In particular, support of Arch plays a very important role in terms of a motor function of the human body as a whole. It is possible to predict the proper support Arch with insole, the overall structure of the body there can affect the balance. In this study, by applying the insole which supports the Longitudinal arch and Transverse arch, you are trying to assess the interaction of balance and the body's ability. To target the 20 there is no problem in the sense of balance, college student, and changes were observed by measuring the Center of Position area and distance through the Biorescue device worn before and after led by Arch support. As a result, I showed improved results significantly discount rate after wearing in the Center of Position area and distance to assess the balance ability. Therefore, the correction insole function is to support the Longitudinal arch and Transverse arch to an important role in the foot. It may be that it has a functional element for improving the balance of the function of preventing collapse of the arch during walking, to disperse the weight of the entire foot, us reduce fatigue in the end.