The telemedicine is emerging as a new way of medical practice. It will provide more cooperative activity between hospitals and more comfortable access for disabled patients home. We developed a telemedicine system which is aimed to be run on the broadband-intergrated services digital network (B-ISDN). The multimedia database is adjusted to those information about patients that is directly relevant to a doctor's diagnosis. The user interface is designed to help doctors to communicate easily. The key elements of telemedicine systems were designed for user friendly interface and We implemented the pilot system to confirm the usefulness of the system.
Diagnosis ; Humans ; Multimedia ; Telemedicine*

OBJECTIVE: The advancement of computing capabilities and increase of available network bandwidths have resulted in an emergency telemedicine services which can provide high quality medical services. However, existing telemedicine systems mainly have offered a one to one communication configuration instead of a multi-connection configuration. Therefore, we suggested a hybrid multimedia telemedicine system to support the multi-patients services in wired and wireless (heterogeneous) network environments. METHODS: We designed the hybrid multimedia telemedicine system consisting of 4 sub-systems, a patient system, a doctor system, a emergency monitoring system, and a multi-control server system. The patient system could deliver multimedia data of a patient to the emergency monitoring system or to the doctor system according to link configuration. The link configuration was decided as 'Flowing', or 'By-passing' in accordance the connection type of patient systems or doctor systems. At this time, as the multi-control server system considers the hybrid network, it monitored the patient's multimedia data and the state of emergency telemedicine services. RESULTS: The hybrid multimedia telemedicine system including the multi-control server system performed the best communication configuration over heterogeneous networks. This system achieved high quality emergency telemedicine services through dynamic wired and wireless networks at real-time. CONCLUSION: This study represented a hybrid multimedia telemedicine system over heterogeneous networks in emergency cases. We expected that the designed system could provide not only the high quality services, tele-diagnosis and tele-consultation, but also the effective emergency telemedicine services to multi-patients in the heterogeneous network environments.
Emergencies ; Humans ; Multimedia* ; Telemedicine*

The purposes of this study were to: a) develop the quality assessment tool of Web-based Instruction (WBI) for nutrition education, b) evaluate the operated WBI (NutriZone) by this tool, and c) do the feasibility study about quality assessment tool for WBI by establishing the instruction and operating strategies. The developed quality assessment tool of WBI for nutrition education was divided into three categories of instructional design, contents and support & operation. And a total of forty items were measured by Likert 5 point scale, computed as one point per item, and amounted to forty points in all. As a result of evaluation, NutriZone got 21.79 out of 40 points and fulfillment rate of 54.5%. The IPA (Importance-Performance Analysis) was applied to establish the instruction and operating strategies, and nine items characterized as attractiveness, multimedia, and learner-initiative were in 'Doing Great, Keep It Up', and so it was regarded as program designed with concern in WBI's characteristics unlike the conventional face-to-face education. But twelve items such as 'Errors on switch to other screens are few.', 'Ready correction leads to be out of systemic error.', 'Highlight marks and moving pictures were used in sign of importance.' and etc. that got high importance and low performance needed to be focused in instructional strategy.
Education* ; Feasibility Studies ; Multimedia

No abstract available.
Education* ; Multimedia* ; Neck*

Several tests have been used for assessing color vision but most of them are nonspecific, expensive, complicated or too time consuming to perform. We have developed a new computerized color vision test named Seohan computerized 85-hue test[SCHT/85]that has many advantages compared to Farnsworth Munsell[FM]100-hue test.SCHT/85 has 85 color caps which can be displayed based on a model of FM 100-hue test using Multimedia toolbook 4.0.Selected color caps in the lower random area can be moved and inserted to the upper result area by a mouse.At the end of the test, error scores and ring graph can be displayed in monitor and can be also printed out. Total 15 subjects performed with SCHT/85 and FM 100-hue test twice who have been showed 10 normal and 5 abnormal color vision reported with other color vision tests and the results of two tests were analysed to compare the total error scores[TES]and reproducibility. All ten normal subjects showed lower TES in SCHT/85 than FM 100-hue test and the mean TES were 31.5 and 43.6 with SCHT/85 and FM 100-hue test.The coefficients of variation [CV]were 4.3%and 22.7%with SCHT/85 and FM 100-hue test.The two tests were highly correlated[r=0.92].Five abnormal subjects showed higher TES in SCHT/85 than FM 100-hue test and the mean TES were 169.8 and 157.3 with SCHT/85 and FM 100-hue test.The coefficients of variation were 9.1%and 21.2%with SCHT/85 and FM 100-hue test.These two tests were also highly correlated[r=0.965]. In conclusion, SCHT/85 which was newly developed by authors is a highly useful test for color vision.
Color Vision* ; Multimedia ; Pilot Projects*

The aim of this study was to develop and evaluate a web-based learning program with multimedia ECG monitoring for clinical nurses. For this, we compared the self-directed, web-based learning method with the traditional lecture method. A quasiexperimental, nonequivalent control group pretest-posttest design was used, the data from 32 nurses(17 for experimental group and 15 for control group) were collected from October 1 to November 30, 2001, and analysed by SPSS program with x2 test, ttest, ANCOVA. The results were as follows : 1) There was significant improvement in the score on learning achievement of the experimental group compared with that of the control group(t=-2.739, p=.010). 2) There was no significant difference between the groups in learning motivation(t=-.054, p=.4785). In conclusion, it is suggested that a higher learning achievement was achieved in self-directed, web-based learning than in the traditional classroom style learning. There was also evidence that two educational styles had same effect in creating motivation. We propose to utilize a self-directed, web-based leaning method as a means to continue life-long education for nurses on a rotational duty system.
Education ; Electrocardiography* ; Learning* ; Motivation ; Multimedia*

University hospital environment requires well-structured database of discharge summary information, which is of convenient use for patient management and clinical research. The present study employed multimedia computer techniques to design a database system with application programs along with the standardized patient management flow. The usefulness of the present development was verified by practical application into the clinical environment in the Urology Department of our University Hospital. This database system included multimedia information items in various forms of image, voice, picture, graph, and chart as well as conventional text and numeric, which enabled integrated presentation of the discharge summary data of university hospital. It demonstrated a way of convenient and practical data supply for clinical diagnosis and management of patients.
Diagnosis ; Humans ; Multimedia ; Urology ; Voice

University hospital environment requires well-structured database of discharge summary information, which is of convenient use for patient management and clinical research. The present study employed multimedia computer techniques to design a database system with application programs along with the standardized patient management flow. The usefulness of the present development was verified by practical application into the clinical environment in the Urology Department of our University Hospital. This database system included multimedia information items in various forms of image, voice, picture, graph, and chart as well as conventional text and numeric, which enabled integrated presentation of the discharge summary data of university hospital. It demonstrated a way of convenient and practical data supply for clinical diagnosis and management of patients.
Diagnosis ; Humans ; Multimedia ; Urology ; Voice

This study aimed to develop and implement a progressive e-learning teaching method in the teaching of human anatomy. For analysis of the effect of new teaching methods, we made a survey of user satisfaction, content difficulty, and course management. The e-learning content was developed by the authors and implemented to class, practice, and tests, for 16 weeks. The survey was conducted on sophomores of nursing science (NS, n=42) and sports science (SS, n=26), at Kangwon National University. These two groups of students filled out a questionnaire related to effectiveness of e-learning content and tool in learning human anatomy. The results were compared between two groups. The majority of the students were satisfied with the content, difficulty level, and management of the e-learning course. Through the board of virtual classroom, all of the students played positive manners in communication and activity. Students pointed out 'reinforcement of multimedia data', 'improvement of technical service' and 'addition of broad information' as the most notable improvements of content. Therefore, we conclude that an e-learning course for undergraduate nursing science and sports science students can provide an effective learning model.
Humans ; Learning ; Multimedia ; Surveys and Questionnaires ; Sports ; Teaching

Recently world wide web is popular and the role of homepage is getting important. So the number of homepages about medicine or medical institute is increasing among homepages made in Korea, but the homepages are made by the specialist - homepage developer - not by medical personnel. Homepage specialists can promise the specialty, quality of the homepage itself, but medical personnels in the institute are better and ideal in the practical, economical aspect and in the content of information. Authors made homepage of Hallym medical center and its hospitals from September first, 1996 to December 31, 1996 only by their own work. The characteristics of this homepage are various structure and forms of 6 hospitals under the proper homogeneity, easy link or connectivity among 6 hospitals and central institute, and getting faster speed by proper restriction of large multimedia data considering present basal structure of internet. The targets of this homepage are medical personnels, students, patients, members of this institute and public. In the future foreigners are considered as targets. In conclusion, homepage of medical institute can be made somewhat effectively an d economically by its own medical personnels without the aid of homepage specialist and this first trial can be popular and participation of medical personnels to this work will be increased.
Emigrants and Immigrants ; Humans ; Internet ; Korea ; Multimedia ; Specialization