• Title/Summary/Keyword: 의료 지도

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A satisfaction survey of toxicological laboratory: Survey of regional and local emergency medical centers (응급실로 내원하는 급성중독환자의 원인물질 분석을 위한 중독 분석실 이용 현황 및 이용 만족도 조사: 전국 권역 및 지역응급의료센터 설문조사)

  • Son, Dong Woo;Kang, Ji Hun;Kim, Yang Weon;Park, Chul Ho;Yoon, Yoo Sang;Ji, Jae Gu
    • Journal of The Korean Society of Clinical Toxicology
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    • v.19 no.2
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    • pp.110-126
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    • 2021
  • Purpose: The purpose of this study is to find out the current status of toxicology laboratory operated by six locations nationwide and to investigate the satisfaction of emergency medical professionals who working at local and regional emergency medical centers. Methods: This survey was conducted prospective. It was conducted on 665 emergency medical professionals working at regional and regional emergency medical centers across the South Korea. Among them, the analysis was conducted with data that 510 emergency medical professionals who respond to this survey. The questionnaire was conducted on an online basis for a month. To ensure statistical significance, consider a dropout rate of 10% based on a minimum response recovery rate of 70%. 506 people were selected for the survey. Results: According to a survey on the status of addiction analysis room usage, the average monthly usage of addiction test rooms among respondents were 406 cases.71.0 cases (17.4%) of toxicology laboratory in Seoul and 71 cases (17.4%) in Gwangju. 32 cases (7.8%), 118 cases (29.0%) requested by toxicology laboratory in Busan, and the toxicology laboratory in Daegu. Eighty two cases (20.1%), Daejeon area 25 cases (6.1%), Wonju area toxicology laboratory was 78 (19.6%). According to a survey on the satisfaction of the addiction analysis room,Seoul (4.9±2.71) and Gwangju (4.8±2.52) showed high satisfaction. Conclusion: Due to the limited operation time of the four addiction analysis rooms currently in operation, the satisfaction level of addiction analysis by emergency medical professionals in the area is low due to the delay until the result is notified.

Convergence study of mechanical properties and biocompatability of Ti Gr4 surface coated with HA using plasma spray for ossoeintegration (골융합 촉진을 위한 Ti Gr4의 HA 코팅에 대한 물리적 특성과 생체안정성에 대한 융합적 연구)

  • Hwang, Gab-Woon
    • Journal of the Korea Convergence Society
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    • v.12 no.12
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    • pp.145-151
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    • 2021
  • This study aimed to investigate the efficient conduct of HA coating on Ti Gr4 for the practical use of medical device. Ti Gr4 alloy specimens measuring 𝜱 25mm × 1mm were sprayed with hydroxyapatite using thermal spray according to ASTM F1185-88. The surface was evaluated at #120, #400, #1,000 sandpaper and barrel finishing. Each coating properties was analyzed using SEM, UTS 20,000psi cap. and in vitro cytotoxicity. Surface morphology consists of well molten particles with very little resolidified or unmolten areas. The average Ca/P ratio is 1.74 which is in good agreement with theoretical value of 1.67. The average roughness Ra is very representative of roughness of specimen. The coatings are dense and well adhered to the substrate. The average bond strength was 61.74 MPa with a standard deviation of 4.06 which indicates fairly reliable results for ASTM 633 type tests. Variations in results from jig design, epoxy used, crosshead speeds etc. in vitro cytotoxicity result had a Grade 3. The results of the study are expected to be helpful in osseointegration and plasma-spray HA coated Ti Gr4 are more satisfactory in HA coating thickness elevation which is preferable to any other system.

Evaluation of Image Quality for Compressed SENSE(CS) Method in Cerebrovascular MRI: Comparison with SENSE Method (뇌혈관자기공영영상에서 Compressed SENSE(CS) 기법에 대한 영상의 질 평가: SENSE 기법과 비교)

  • Goo, Eun-Hoe
    • Journal of the Korean Society of Radiology
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    • v.15 no.7
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    • pp.999-1005
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    • 2021
  • The object of this research is CS, which increases resolution while shortening inspection time, is applied to MRA to compare the quality of images for SENSE and CS techniques and to evaluate SNR and CNR to find out the optimal techniques and to provide them as clinical basic data based on this information. Data were analyzed on 32 patients who performed TOF MRA tests at a university hospital in Chung cheong-do (15 males, 17 females), ICA stenosis:10, M1 Aneurysm:10, and average age 53 ± 4.15). In the inspection, the inspection equipment was Ingenia CX 3.0T, Archieva 3.0T, and 32 channel head coil and 3D gradient echo as a method for equipment data. SNR and CNR of each image were measured by quantitative analysis, and the quality of the image was evaluated by dividing the observer's observation into 5 grades for qualitative evaluation. Imaging evaluation is described as being significant when the p-value is 0.05 or less when the paired T-test and Wilcoxon test are performed. Quantitative analysis of SNR and CNR in TOF MRA images Compared to the SENSE method, the CS method is a method measurement method (p <0.05). As an observer's evaluation, the sharpness of blood vessels: CS (4.45 ± 0.41), overall image quality: CS (4.77 ± 0.18), background suppression of images: CS (4.57 ± 0.18) all resulted in high CS technique (p = 0.000). In conclusion, the Compressed SENSE TOF MRA technique shows superior results when comparing and evaluating the SENSE and Compressed SENSE techniques in increased flow rate magnetic resonance angiography. The results are thought to be the clinical basis material in the 3D TOF MRA examination for brain disease.

Proposal of a Convolutional Neural Network Model for the Classification of Cardiomegaly in Chest X-ray Images (흉부 X-선 영상에서 심장비대증 분류를 위한 합성곱 신경망 모델 제안)

  • Kim, Min-Jeong;Kim, Jung-Hun
    • Journal of the Korean Society of Radiology
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    • v.15 no.5
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    • pp.613-620
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    • 2021
  • The purpose of this study is to propose a convolutional neural network model that can classify normal and abnormal(cardiomegaly) in chest X-ray images. The training data and test data used in this paper were used by acquiring chest X-ray images of patients diagnosed with normal and abnormal(cardiomegaly). Using the proposed deep learning model, we classified normal and abnormal(cardiomegaly) images and verified the classification performance. When using the proposed model, the classification accuracy of normal and abnormal(cardiomegaly) was 99.88%. Validation of classification performance using normal images as test data showed 95%, 100%, 90%, and 96% in accuracy, precision, recall, and F1 score. Validation of classification performance using abnormal(cardiomegaly) images as test data showed 95%, 92%, 100%, and 96% in accuracy, precision, recall, and F1 score. Our classification results show that the proposed convolutional neural network model shows very good performance in feature extraction and classification of chest X-ray images. The convolutional neural network model proposed in this paper is expected to show useful results for disease classification of chest X-ray images, and further study of CNN models are needed focusing on the features of medical images.

Detecting Adversarial Example Using Ensemble Method on Deep Neural Network (딥뉴럴네트워크에서의 적대적 샘플에 관한 앙상블 방어 연구)

  • Kwon, Hyun;Yoon, Joonhyeok;Kim, Junseob;Park, Sangjun;Kim, Yongchul
    • Convergence Security Journal
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    • v.21 no.2
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    • pp.57-66
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    • 2021
  • Deep neural networks (DNNs) provide excellent performance for image, speech, and pattern recognition. However, DNNs sometimes misrecognize certain adversarial examples. An adversarial example is a sample that adds optimized noise to the original data, which makes the DNN erroneously misclassified, although there is nothing wrong with the human eye. Therefore studies on defense against adversarial example attacks are required. In this paper, we have experimentally analyzed the success rate of detection for adversarial examples by adjusting various parameters. The performance of the ensemble defense method was analyzed using fast gradient sign method, DeepFool method, Carlini & Wanger method, which are adversarial example attack methods. Moreover, we used MNIST as experimental data and Tensorflow as a machine learning library. As an experimental method, we carried out performance analysis based on three adversarial example attack methods, threshold, number of models, and random noise. As a result, when there were 7 models and a threshold of 1, the detection rate for adversarial example is 98.3%, and the accuracy of 99.2% of the original sample is maintained.

Key Determinants of Dissatisfaction on COVID-19 Contact Tracing and Exposure Notification Apps (COVID-19 접촉추적과 노출알림 앱사용자의 항의 및 불만요인 탐색)

  • Leem, Byung-hak;Hong, Han-Kook
    • The Journal of the Korea Contents Association
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    • v.21 no.9
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    • pp.176-183
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    • 2021
  • Digital medical technology is very effective and at the same time faces the challenge of protecting privacy. However, for contact tracking and exposure notification apps in COVID-19 environment, there is always a trade-off between privacy measures and the effectiveness of the app's use. Today, many countries have developed and used contact tracking and exposure notification apps in various forms to prevent the spread of COVID-19, but the suspicion of digital surveillance (digital panopticon) is unavoidable. Therefore, this study aims to identify the factors of personal information infringement and dissatisfaction through text mining analysis by extracting user reviews of "Self-Quarantine Safety Protection" in Korea. As a result of the text mining analysis, we derived four groups, 'Address recognition error', 'Exit warning error', 'Access error', and 'App. program error'. Since 'Address recognition error' and 'Exit warning error' can give the app users a strong perception that they are keeping under surveillanc by the app, transparent management of personal information protection and consent procedures related to personal information collection are required. In addition, if the other two groups are not corrected immediately due to an error in an app function or a program bug, the complaints of users can be maximized and a protest against the monitor can be raised.

ICT Convergenced Cascade-type Incubator for mass production of microalgae (미세조류 대량생산을 위한 ICT 융합 계단식 연속 배양 장치)

  • Lee, Geon Woo;Lee, Yong Bok;Yoo, Yong Jin;Baek, Dong Hyun;Kim, Jin Woo;Kim, Ho Seob
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.5
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    • pp.379-386
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    • 2021
  • This study was undertaken to develop a cascade-type continuous culture system (CCCS) that combines both ICT and biotechnology (BT), for the mass production of microalgae. This system is capable of maintaining the essential culture conditions of pH, temperature, carbon dioxide, and illuminance control, which are key parameters for the growth of microalgae, and is economical for producing microalgae regardless of the season or location. It has the added advantage of providing stable and high productivity. In the current study, this system was applied to culture microalgae for 71 days, with subsequent analysis of the experimental data. The initial O.D. of the culture measured from incubator 1 was 0.006. On the 71st day of culture, the O.D.s obtained were 0.399 (incubator 1), 0.961 (incubator 2), 0.795 (incubator 3), and 0.438 (incubator 4), thereby confirming the establishment of continuous culture. Thus, we present a smart-farm based on ISMC (in-situ monitoring and control) for a mass culture method. We believe that this developed technology is suitable for commercialization, and has the potential to be applied to hydroponics-based cultivation of microalgae and cultivation of high-value-added medicinal plants as well as other plants used in functional foods, cosmetics, and medical materials.

Investigation of the Super-resolution Algorithm for the Prediction of Periodontal Disease in Dental X-ray Radiography (치주질환 예측을 위한 치과 X-선 영상에서의 초해상화 알고리즘 적용 가능성 연구)

  • Kim, Han-Na
    • Journal of the Korean Society of Radiology
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    • v.15 no.2
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    • pp.153-158
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    • 2021
  • X-ray image analysis is a very important field to improve the early diagnosis rate and prediction accuracy of periodontal disease. Research on the development and application of artificial intelligence-based algorithms to improve the quality of such dental X-ray images is being widely conducted worldwide. Thus, the aim of this study was to design a super-resolution algorithm for predicting periodontal disease and to evaluate its applicability in dental X-ray images. The super-resolution algorithm was constructed based on the convolution layer and ReLU, and an image obtained by up-sampling a low-resolution image by 2 times was used as an input data. Also, 1,500 dental X-ray data used for deep learning training were used. Quantitative evaluation of images used root mean square error and structural similarity, which are factors that can measure similarity through comparison of two images. In addition, the recently developed no-reference based natural image quality evaluator and blind/referenceless image spatial quality evaluator were additionally analyzed. According to the results, we confirmed that the average similarity and no-reference-based evaluation values were improved by 1.86 and 2.14 times, respectively, compared to the existing bicubic-based upsampling method when the proposed method was used. In conclusion, the super-resolution algorithm for predicting periodontal disease proved useful in dental X-ray images, and it is expected to be highly applicable in various fields in the future.

A Study on the Resolution Analysis of Digital X-ray Images with increasing Thickness of PMMA (조직 등가물질 두께 증가에 따른 디지털 엑스선 영상의 해상도 분석에 관한 연구)

  • Kim, Junwoo
    • Journal of the Korean Society of Radiology
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    • v.15 no.2
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    • pp.173-179
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    • 2021
  • Scattered x-ray generated by digital radiography systems also have the advantage of increasing signals, but ultimately detectability is reduced by decreasing resolution and increasing noise of x-ray images transmitted objects. An indirect method of measuring scattered x-ray in a modulation-transfer function (MTF) for evaluating resolution in a spatial-frequency domain can be considered as a drop in the MTF value corresponding to zero-frequency. In this study, polymethyl methacrylate (PMMA) was used as a patient tissue equivalent, and MTFs were obtained for various thicknesses to quantify the effect of scattered x-ray on resolution. X-ray image signals were observed to decrease by 35 ~ 83% with PMMA thickness increasing, which is determined by the absorption or scattering of x-rays in PMMA, resulting in reduced MTF and increased scatter fraction. The method to compensate for MTF degradation by PMMA resulted in the MTF inflation without considering the optical spreading generated by the indirect-conversion type detector. Data fitting or zero-padding are needed to compensate for MTF more reasonably on edge-spread function or line-spread function.

Current Status and Prospects for the Hemp Bioindustry (대마 생물산업의 현황과 전망)

  • Sohn, Ho-Yong;Kim, Mun-Nyeon;Kim, Young-Min
    • Journal of Life Science
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    • v.31 no.7
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    • pp.677-685
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    • 2021
  • Cannabis sativa L. belongs to the Cannabaceae family and is an annual herbaceous flowing plant. The plants can be classified into narcotic marijuana and nonnarcotic hemp. Different parts of C. sativa L. have been used as food, medicine, cosmetics, fiber and textile. However, the use of leaf, flower, and seed of C. sativa L was forbidden in Korea in January 1977 as a result of the Cannabis Control Act due to the narcotic properties. The plant's mature stems have limited uses for the production of fiber and sheets. Recently, various cannabinoids, terpenes and essential fatty acids were identified from C. sativa L., and their safety and useful bio-activities, such as neuroprotective, anti-inflammation, antithrombosis, antiepileptic, and antimicrobial activities, and the relief of pain, have been highlighted. Furthermore, the process of reduction of tetrahydrocannabinol, a representative narcotic compound, and the isolation of cannabidiol, a nonnarcotic active compound in C. sativa L., have been determined. These findings resulted in the legalization of C. sativa L. in Korea for medical use in December 2018 and the exclusion of C. sativa L. from the narcotic list of the UN Commission on Narcotics Drugs (UNCND) in December 2020. Therefore, developments of various high-value added products have commenced worldwide. Additionally, in 2021, the Korean government deregulated special zones based on hemp. In this study, the current status and the prospect of the hemp industry, as well as essential techniques for developing new hemp products, are provided for the activation of the Korea Green-Rush.