Check heart sounds via E-mail
Check heart sounds via E-mail

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Can reply within two minutes

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By Yngve Vogt | Published Computerworld Norway                    dated on August 28th 2002



The North of Norway, as the first in the country, has taken into use technology that makes it possible to check heart sounds through e-mail.

±¹°¡ ÃÖÃÊ·Î ºÏ ³ë¸£¿þÀÌ¿¡¼­´Â ½ÉÀâÀ½À» Æ÷ÇÔÇÑ ½ÉÀåÀ½À» À̸ÞÀÏ·Î º¸³» üũ¸¦ ¹ÞÀ» ¼ö ÀÖ´Â ±â¼úÀ» »ç¿ëÇÏ°í ÀÖ´Ù.



The Children Heart Disease Association is unconditionally positive.

¶ÇÇÑ ¾Æµ¿½ÉÀ庴Çùȸ¿¡¼­´Â ÀÌ¿¡ ´ëÇØ ¹«Á¶°Ç ±àÁ¤ÀûÀÌ´Ù.



Every year GPs discover several hundred children with suspicious heart sounds. Only a few of these cases are an indication of a serious condition.

¸Å³â °³¾÷ÀǵéÀº º´À¸·Î ÃßÁ¤µÇ´Â ½ÉÀå¼Ò¸®µéÀ» °¡Áø ¼ö¹é¸íÀÇ ¾î¸°À̵éÀ» ¹ß°ßÇÑ´Ù. °Ô´Ù°¡ ¸î¸î ÄÉÀ̽º´Â ¸Å¿ì ½É°¢ÇÑ »óÅÂÀÓÀ» ³ªÅ¸³½´Ù.



Previously children had to travel to Tromso for outpatient examination at the University Hospital for Dr Lauritz Bredrup Dahl at UNN Northern Norway (UNN).

ÀÌÀüÀÇ ¾î¸°ÀÌ È¯ÀÚµéÀº ´ëÇк´¿øÀÇ ¿Ü·¡È¯ÀÚ °ËÁøÀ» À§ÇØ ¿©ÇàÀ» ÇØ ¿Ô´Ù.



The wait time could be several months. Today telemedicine has arrived in the rural districts.

°ËÁøÀ» ¹Þ±â À§ÇØ ±â´Ù¸®´Â ½Ã°£Àº ¸î °³¿ù °¡·® µÇ¾ú´Ù. ¿À´Ã³¯ ÅÚ·¹¸Þµð½ÅÀº ³óÃÌÁö¿ª ±îÁöµµ Á¤ÂøÈ­ µÇ¾ú´Ù.



Local GPs can send heart sounds via e-mail for analysis by cardiologist Dr Lauritz Bredrup Dahl at UNN. Áö¿ªÀÇ °³¾÷ÀǵéÀº UNNÀÇ ½ÉÀåÀü¹®°¡ÀÎ Dr. Dahl ·ÎºÎÅÍ ½ÉÀåÀ½ÀÇ ºÐ¼®À» À§ÇØ À̸ÞÀÏÀ» ÅëÇØ ½ÉÀåÀ½À» Àü´ÞÇÒ ¼ö ÀÖ´Ù.



A reply is ready within a day or two. The new technology is built upon Electronic Stethoscope system. ÀÀ´äÀº ´ë°³ ÇÏ·ç¿¡¼­ ÀÌƲ³»·Î ÁغñµÇ¸ç, ÀÌ »õ·Î¿î ±â¼úÀº ÀüÀÚûÁø½Ã½ºÅÛ¿¡ ÀÇÇØ ÀÌ·ç¾î Áø´Ù.



The sound is digitised and stored in sound files. These are then sent as normal attachments to an e-mail explains Dr. Dahl.

±× º¸³»Áø ¼Ò¸®´Â µðÁöÅРó¸®µÇ¾î ¼Ò¸®·Î ÀúÀåµÈ´Ù. ÀÌ·± °ÍµéÀº Æò¹üÇÏ°Ô Ã·ºÎÆÄÀÏ·Î ºÙ¿©¼­ À̸ÞÀÏ·Î º¸³¾ ¼ö ÀÖ´Ù°í Dr. DahlÀº ¼³¸íÇÑ´Ù.



Dr Dahl, together with colleagues from the Norwegian Centre for Telemedicine, has for a number of years researched whether this type of examination offers the same security of diagnosis as classical doctor examinations.

Dr DahlÀº ¿ø°ÝÁø·á ³ë¸£¿þÀÌ ¼¾ÅÍÀÇ µ¿·á¿Í ÇÔ²² Á¤Åë ÀÇ»çÀÇ ½ÇÇèÀ¸·Î¼­ ÀÌ·¯ÇÑ ¹æ¹ýÀÇ ¿¬±¸°¡ Áø·áÇϴµ¥ µ¿ÀÏÇÑ ¾ÈÀüÀ» Á¦°øÇÏ´ÂÁö ¾î¶²Áö ¼ö³â°£ ¿¬±¸¸¦ ÇØ¿Ô´Ù.



In order to check this, a CD was compiled with a range of different heart sounds and four heart specialists were asked to analyse the content.

ÀÌ°ÍÀ» ÆÇ´ÜÇϱâ À§Çؼ­, ´Ù¸¥ ½ÉÀåÀ½µéÀÌ ÆíÁýµÈ CD¿Í ÀÌ ³»¿ëÀ» ºÐ¼®Çϱâ À§ÇÑ ½ÉÀåÀü¹®ÀÇ 4¸íÀÌ ¿äûµÇ¾ú´Ù.



Diagnostic accuracy was 90%. ¡°This is no worse than in reality. The specialist¡¯s accuracy was so good that we have proven that it is possible to use this method¡± continues Dahl. The research results will be published in a medical research journal during the autumn, however the results were presented to The Children Heart Disease Association in the middle of August.

ºÐ¼® Á¤È®µµ´Â 90% ¿´´Ù. ¡°ÀÌ°ÍÀº »ç½Çº¸´Ù´Â ´õ ³ª»ÚÁö ¾ÊÀºµ¥, ¿ì¸®°¡ ÀÌ·± ¹æ¹ýÀ» »ç¿ëÇؼ­ ÇÏ´Â °ÍÀÌ °¡´ÉÇÏ´Ù´Â °ÍÀ» Áõ¸íÇÒ ¸¸Å­ ½ÉÀåÀü¹®ÀÇÀÇ Á¤È®µµ´Â ³Ê¹« ÁÁ¾Ò´Ù.¡± °í Dr. DahlÀº °è¼Ó ¼³¸íÇß´Ù. ÀÌ ¿¬±¸°á°ú´Â Medical Research Jourmal °¡À»È£¿¡ ½Ç·ÁÁö°Ô µÉ °ÍÀ̳ª, °á°ú´Â 8¿ù Áß¼ø°æ ¾î¸°ÀÌ ½ÉÀ庴Çùȸ¿¡ Á¦Ã⠵ǾîÁ³´Ù.



To minutes is enough ¸îºÐÀ̸é ÃæºÐÇØ¡¦¡¦.



¡°On average I need 2 minutes to analyse the heart sounds. So the social economic savings are high. Parents do not need to take leave from their job, which saves lost workdays. They also save on travel, which can be expensive.¡± explains Prof. Dahl.

½ÉÀå¼Ò¸®¸¦ ºÐ¼®Çϴµ¥ Æò±Õ 2ºÐÀÌ ÇÊ¿äÇÏ´Ù.  ±×·¡¼­, °æÁ¦ÀûÀ¸·Îµµ À¯¿ëÇÏ´Ù. ºÎ¸ðµéÀº ȸ»ç¿¡¼­ ¶°³ªÁö ¾Ê¾Æµµ µÇ°í, ÀÒ¾î¹ö¸° ÀÛ¾÷ÀÏÀ» ±¸ÇÒ ÇÊ¿äµµ ¾ø´Ù. ±×µéÀº ¶ÇÇÑ ¿©ÇàÀ» ¶°³¯ ¼öµµ ÀÖ´Ù.¡±°í Dahl ±³¼ö´Â ¼³¸íÇÑ´Ù.



¡°Our attitude is unconditionally positive. This will prove an enormous relief for the families. Given our geography, children, with their family, have to travel great distances to the larger hospitals in order to check out suspicions of a heart condition.¡± says Deputy Chairman Marthe Jistad of The Children Heart Disease Association.

¡°¿ì¸®´Â ¹«Á¶°Ç ±àÁ¤ÀûÀÔ´Ï´Ù. ÀÌ°ÍÀº °¡Á¤¿¡ ¾öû³­ °æ°¨ÇýÅÃÀ» ÀÔÁõÇÒ °ÍÀÔ´Ï´Ù. Áö¸®Àû »óȲÀ¸·Î º¸¸é, ±×µéÀÇ °¡Á·°ú ¾ÆÀ̵éÀº ÀǽÉÀÌ °¡´Â ½ÉÀå »óŸ¦ üũÇϱâ À§ÇØ Å«º´¿øÀÌ ÀÖ´Â °÷±îÁö ¾öû³­ °Å¸®¸¦ ¿©ÇàÇÏ¿©¾ß¸¸ ÇÑ´Ù.¡± °í ¾î¸°À̽ÉÀåÇùȸÀå ´ë¸®¿ªÀÎ Marthe Jistad´Â ¸»ÇÑ´Ù.



In order to make use of the system GPs need to use a stethoscope system and a signal processing program. The program is fully integrated with Doris, a tele-medical multi-media tool that is used by the majority of doctors in Northern Norway.

ÀÌ·± ½Ã½ºÅÛÀ» »ç¿ëÇϱâ À§Çؼ± ÀϹݰ³¾÷ÀǵéÀº ½ÉÀå ½Ã±×³Î ºÐ¼® ÇÁ·Î±×·¥°ú ÀüÀÚûÁø½Ã½ºÅÛÀÌ ÇÊ¿äÇÏ´Ù. ÀÌ ÇÁ·Î±×·¥Àº ºÏ³ë¸£¿þÀÌÀÇ Àǻ翬ÇÕ¿¡ ÀÇÇØ »ç¿ëµÇ´Â ¿ø°ÝÁø·á¿ë ¸ÖƼ¹Ìµð¾îÅøÀÎ Doris·Î ÅëÇյǾî Áø´Ù.



Doris, was originally developed by the National Centre for Telemedicine, but was passed on to Well Diagnostics three years ago. For skin disorders and a number of other sicknesses, doctors have already for some time sent pictures to various experts via e-mail.

Doris´Â ¿ø°Ý ÀǷḦ À§ÇÑ ±¹¸³ ¼¾ÅÍ¿¡ ÀÇÇØ ¿ø·¡ °³¹ßµÈ Doris´Â 3³â³â Àü¿¡ ÁÁÀº Áø´Ü¹ýÀ¸·Î Åë°ú µÇ¾úÁö¸¸, ÇǺΠ¹«Áú¼­¿Í ¸¹Àº ´Ù¸¥ º´µéÀÇ ºÐ¼®À» À§ÇØ, ÀÇ»çµéÀº ÀÌ¹Ì À̸ÞÀÏ·Î ´Ù¾çÇÑ Àü¹®°¡µé¿¡°Ô ±×¸²µéÀ» º¸³»´Â °ÍµéÀ» Çß´Ù.



...Continued



Check heart sounds via E-mail



Project Manager Didrik Widding of Well Diagnostics is of the opinion that heart analysis via e-mail is social economic. ¡°Yes - are you crazy? In northern Norway distances are large. It is difficult travelling with sick children. Parents must accompany the children. They lose wages. Normally one has to stay over in a hotel before getting a flight home again. He tells us that e-mail heart analysis has been under trials for a couple of years. This is now in regular clinical use at 50 installations throughout northern Norway.¡±

ÁÁÀº Áø´Ü¹ýµéÀÇ ÇÁ·ÎÁ§Æ® ¸Å´ÏÀú Didrik WiddingÀº À̸ÞÀÏÀ» ÅëÇØ ½ÉÀåÀ» ºÐ¼®ÇÏ´Â ÀÇ°ßÀÌ »çȸÀûÀ¸·Î °æÁ¦ÀûÀÌ´Ù°í ÇÑ´Ù. ºÏ³ë¸£¿þÀÌÀÇ °Å¸®°¡ ¸Ö¾î¼­, ¾ÆǾÆÀ̵éÀ» µ¥¸®°í ¿©ÇàÇϱâ´Â ½±Áö ¾Ê´Ù. ºÎ¸ðµéÀ» ¾ÆÀ̵éÀ» µ¿¹ÝÇؾ߸¸ Çϴµ¥. ±×µéÀ» ¸¹Àº µ·À» ÇãºñÇØ¾ß ÇÏ°í, Åë»ó ÁýÀ¸·Î ´Ù½Ã ¿À±â Àü±îÁö È£ÅÚ¿¡¼­ Áö³»¾ß ÇÑ´Ù.  ±×´Â À̸ÞÀÏ·Î ½ÉÀåÀ» ºÐ¼®Çϴµ¥ ¸î ³âÀÇ Áغñ±â°£ÀÌ ÀÖ¾ú´Ù°í ¿ì¸®¿¡°Ô À̾߱â Çß´Ù. ÀÌ°ÍÀÌ Áö±ÝÀº ºÏ³ë¸£¿þÀÌ Àüü¿¡ 50°³¸¦ ¼³Ä¡µÆ´Âµ¥ ±ÔÄ¢ÀûÀ¸·Î ÀÓ»ó¿¡ »ç¿ëÇÏ°í ÀÖ´Ù.

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