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뇌성마비 환자와 조력자의 협업 재활 운동을 위한 원격 운동 시스템 UX 디자인 연구
안수진 ( Sujin An ),유승헌 ( Seung Hun Yoo ) 디자인융복합학회 2024 디자인융복합연구 Vol.23 No.4
Rehabilitation exercises are emphasized for their importance in improving patients' physical abilities and quality of life. This is crucial for severe cerebral palsy patients requiring caregiver support due to the significant mutual mental and physical influence, necessitating consideration for both parties. However, services and systems catering to both are significantly lacking. This study aims to explore the UX design of a remote system for collaborative rehabilitation exercises for these patients and their caregivers, aiming to propose such a system. The research method involved understanding the characteristics of cerebral palsy patients and caregivers, the need for rehabilitation exercises, and the current state of existing remote rehabilitation systems. Secondly, a user survey and analysis were conducted to grasp the usage patterns of remote rehabilitation services and the characteristics and needs of users. Thirdly, based on the information from previous surveys, program elements were developed for specific UX design elements. Fourthly, user testing was conducted to differentiate between the existing and developed designs, with final verification results obtained through post-interviews. The developed design, informed by the research findings, scored higher in all aspects than the existing design. The outcomes of this study are expected to be utilized in developing future rehabilitation exercise services.
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Jung, Yong Jae,Jang, Sung Ho,Yeo, Sang Seok,Lee, Eunsil,Kim, Saeyoon,Lee, Dong Gyu,Kim, Han Sun,Son, Su Min S. Karger AG 2012 European neurology Vol.67 No.4
<P>Abstract</P><P><I>Objectives:</I> Using diffusion tensor imaging (DTI), we investigated the state of medial lemniscus (ML), corticospinal tract (CST), and posterior thalamic radiation (PTR), which were expected as probable reasons for clinical hemiplegia in pediatric patients, especially those who showed impaired fine motor control and proprioception, but no definite motor weakness or spasticity. <I>Methods:</I> We recruited 13 hemiplegic patients and 8 age-matched healthy control subjects. Fractional anisotropy (FA) and apparent diffusion coefficient (ADC) for the bilateral ML, CST, and PTR were calculated and compared between the affected hemisphere of the patient (AP), the unaffected hemisphere of the patient (UP), and the mean value of the bilateral hemispheres in control subjects (MC). <I>Results:</I> FA and ADC values for the CST and PTR did not differ significantly between the AP, UP, and MC subgroups (p > 0.05). However, the FA value for the ML in AP showed a significant decrease, compared with that in UP (p = 0.012) and MC (p = 0.047). DTT for the CST and PTR showed preserved integrity and ML in the UP also had continuity to the cortex; however, ML in AP showed disruption. <I>Conclusions:</I> Using DTI, we demonstrated that the ML lesion might be related to clinical hemiplegia in pediatric patients.</P><P>Copyright © 2012 S. Karger AG, Basel</P>
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이정선,서영현,유현정 대한의료법학회 2011 의료법학 Vol.12 No.1
Verdicts related to major medical litigation given by the Seoul Central District Court, the Seoul High Court and the Supreme Court in 2010 were analyzed. It’s shown that in cases of the medical negligence regarding the occurrence of neonatal cerebral palsy, the plaintiff claims were dismissed using criteria proposed by associations of Obstetrics and Gynecology and Pediatrics in US, and thereof the burden of plaintiffs to prove the medical negligence has increased. In addition, in case of that the expected survival period of infants gets longer, payments for treatment and nursing after survival period determined by judges are made and it was judged to compensate it as a periodical indemnity. In case for the explanation obligation the most frequently mentioned in the medical litigation, in addition to cases of invoking the existing theory of explanation obligation, verdicts to mention the instructions of theory regarding instruction explanation obligation and the possibility of compensation for damages on property are given. Particularly, in cases for a liability of reparation by exaggerating the effects and not disclosing the risks related to treatment with stem cells, even if the treatment not approved by Food and Drug Administration is in violation of the Pharmaceutical Affairs Law, it’s not illegal as violation in Pharmaceutical Affairs Law itself. But there is a certain verdict to present the possibility of an extension of the theory of explanation obligation by acknowledging the liability of reparation caused by illegal acts with no explanations of effects and risks of treatment with stem cell by doctors and pharmaceutical companies. In an incident in which a mental patient fell and died through the opened door of the roof at the hospital, a liability of reparation was acknowledged due to defects in structure installation management and this verdict drew an attention since the overall management responsibility about patients including structures was acknowledged to the hospital besides the obligations on medical practice. In case of the verdict without giving the opportunity to state the opinion with respect to the main legal issues, the responsibility of the court was emphasized since the court did not fulfill the explanation obligations. There were some cases in which payments for nursing and caring to a patient in vegetative state during the plastic surgery was admitted. However, in dental-related incidents, the proportion of cases in which plaintiff won was low since the difficulty of proving may be reflected. In the area of administrative litigation, unlike the existing position regarding arbitrary medical charge cover collected from patients in hospital, the verdict to admit the legitimacy of collection of medical treatment was given and attracted the attention of people. Verdict in which the expression related to medical advertisement was not exaggerated disposed the original verdict and pointed out the problem of excessive regulations on medical advertisement. The effort to analyze the trend of verdicts of court through reviewing the decisions and to organize should be continued, but the full decision should be disclosed as a base, and people and systems to enable the all time monitoring should be prepared.
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