• Journal of Korean society of Dental Hygiene
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• v.20 no.3
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• pp.369-378
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• 2020

Objectives: The purpose of this study is to examine the correlation between the critical thinking disposition of dental hygienists and the variables associated with clinical decision making and job performance to analyze factors affecting job performance. Methods: A questionnaire survey was administered to 166 dental hygienists from June 24 to August 8, 2019. We analyzed results with t-test, Mann-Whitney U test, ANOVA, Pearson's correlation analysis and a multiple regression analysis using the SPSS Windows version 23.0(SPSS Inc. IL, USA). Results: Critical thinking disposition was the highest for open-mindedness and clinical decision making ranked highest for canvassing of objectives and values. Job performance ranked highest in terms of assist with dental treatment. Factors affecting dental hygienists' job performance were clinical decision making and critical thinking disposition(p<0.001, adj. R² =31.4). Conclusions: It is expected that this study will provide basic data for the development of programs to enhance the job performance of dental hygienists. Furthermore, it is necessary to actively support plans such as conducting seminars at dental institutions and providing educational participation opportunities.

• Journal of Korean Academy of Nursing
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• v.49 no.4
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• pp.411-422
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• 2019

Purpose: The purpose of this study was to adapt, modify, and validate the Nursing Anxiety and Self-Confidence with Clinical Decision-Making Scale ($NASC-CDM^{(c)}$) for Korean nursing students. Methods: Participants were 183 nursing students with clinical practice experience in two nursing colleges. The construct validity and reliability of the final Korean version of the $NASC-CDM^{(c)}$ were examined using exploratory and confirmatory factor analyses and testing of internal consistency reliability. For adaptation and modification, the instrument was translated from English to Korean. Expert review and a cross-sectional survey were used to test the instrument's validity. Results: The Korean version of the $NASC-CDM^{(c)}$ (KNASC-CDM) was composed of 23 items divided into four dimensions: (i) Listening fully and using resources to gather information; (ii) Using information to see the big picture; (iii) Knowing and acting; and (iv) Seeking information from clinical instructors. The instrument explained 60.1% of the total variance for self-confidence and 63.1% of the variance for anxiety; Cronbach's ${\alpha}$ was .93 for self-confidence and .95 for anxiety. Conclusion: The KNASC-CDM can be used to identify anxiety and self-confidence in nursing students' clinical decision-making in Korea. However, further research should be done to test this instrument, as it is classified differently from the original $NASC-CDM^{(c)}$ version.

• Journal of Biomedical Engineering Research
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• v.18 no.4
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• pp.381-388
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• 1997

In this paper, we present the design and implementation of the interbed network communication protocol, which links patient monitors, central stations, DB servers, and clinical workstations together in a patient monitoring system. We describe the requirements to be met thor real-time patient monitoring, propose 2 services Patient Locator Service(PL:7) and Remote Patient Monitoring Service( RPMS). PLS provides the information about how many patients are currently being monitored and where they are located, while RPMS allows the doctors to monitor their patients'vital sign in real-time. The messages for the services, their formats and exchange scheme are also presented with a whole picture of how they are implemented. We adopted the object-oriented programming paradigm in all the analysis and design processes. In the experiment performed in a real clinical setting, the services turned out to meet all the requirements needed for real-time patient monitoring.

• Proceedings of the Korean Information Science Society Conference
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• 2011.06c
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• pp.323-326
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• 2011

스마트기기가 많은 부분에서 쓰임에 따라 의료 부분에서 스마트기기용 앱이 사용 할 수 있게 되었다. 의료용 앱이라고 하여 이 앱을 사용함으로서 의료인은 진료에 도움이 될 수 있고, 일반인들은 자신의 건강을 관리 할 수 있게 되었다. 의료용 앱의 정의에 따라 스마트기기 부분 대하여 사용 될 수 있는 시스템이 있는데, 그것은 바로 CDSS이다. 임상 의사 결정 지원 시스템이라고 하며, 의료인들이 의료 결정을 할 때 도움을 주는 시스템이다. 이것은 HL7(Health Level 7) 표준이며, 국제 표준인 Arden Syntax로 표현 할 수 있다. 그리고 크게 3가지의 카테고리로 이루어져 있으며 각각 부분에서 의료 진료에 관한 내용을 표현한다. 또한 시스템간의 XML로 교환하여 사용 할 수 있다. 하지만 스마트기기는 그 자체의 기능과 성능으로 CDSS 서비스를 하기에는 많이 부족하다. 이 부족한 점은 모바일 클라우드를 사용한다면 의료용 앱의 완성도와 신뢰성이 더 높아 질 것이다. 의료인들이 이러한 의료용 앱을 사용함으로써 환자 진료에 많은 도움이 될 수 있을 것이다.

• Proceedings of the Korean Society of Computer Information Conference
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• 2020.07a
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• pp.617-618
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• 2020

우리나라의 지리적인 여건상 대륙과 연결되지 않기 때문에 해상운송에 절대적으로 의존하고 있다. 해상운송에 있어 항만시설의 확보가 필요하며 대외무역의존도가 높은 우리나라의 경우 더욱 중요한 역할을 한다. 항만시설은 장기적인 항만수요예측을 통해 대규모 인프라투자를 결정하며 단기적인 예측은 항만운영의 효율성을 개선하고 항만의 경쟁력을 제고하는데 기여하므로 예측의 정확성을 높이기 위해 많은 노력이 필요하다. 본 논문에서는 딥러닝 모델 중에 하나인 LSTM(Long Short Term Memory)을 적용하여 우리나라 주요항만의 컨테이너 물동량 단기예측을 수행하여 선행연구들에서 주류를 이뤘던 ARIMA류의 시계열모델과 비교하여 예측성능을 평가할 것이다. 본 논문은 학문적으로 항만수요예측에 관한 새로운 예측모델을 제시하였다는 측면에서 의미가 있으며 실무적으로 항만수요예측에 대한 정확성을 개선하여 항만투자의사결정에 과학적인 근거로서 활용이 가능할 것으로 기대된다.

• Journal of Dental Rehabilitation and Applied Science
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• v.36 no.4
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• pp.203-210
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• 2020

By facing the era of the 4th industrial revolution, personalized medical services for patients are expanding with the development of information and communications technology. With these changes, digital medical devices have begun to be used to support diagnosis, patient monitoring, and decision-making of diseases, and recently software medical devices for the purpose of preventing, managing, or treating disorders or diseases have become popular. The aim of this article is to understand the current concept and status of Software as a Medical Device (SaMD), which are actively being carried out in the United States, and to find out what fields can be applied in the future. In addition, it intends to find out the Korean domestic policy trends related to smart healthcare and find out the application of digital software as a medical devices that can be used in dental clinic to keep pace with the upcoming changes in the medical field.

• The Korean Society of Law and Medicine
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• v.24 no.4
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• pp.37-63
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• 2023

In medical litigation, there are various cases where a doctor's 'explanation' of a patient becomes problematic. Medical explanations and guidance are required from the doctor, starting from the beginning of diagnosis, through treatment processes such as surgery, when hospitalization is necessary for treatment, during hospitalization, upon discharge, and after discharge. Furthermore, notification from the doctor or medical institution may be requested regarding the economic costs that will be incurred due to medical treatment. South Korea's judiciary has been developing legal principles regarding such doctor's explanations by distinguishing between explanations for obtaining consent for medical treatment and medical explanations related to guidance on patient treatment methods, taking into account related laws such as the stage of treatment and the Medical Service Act. Additionally, the Constitutional Court recently ruled on the non-benefit cost notification system linked to the explanation of economic costs. However, holding a doctor accountable solely because the doctor's explanation was insufficient has aspects that do not correspond to the actual situation in clinical reality, and may have a reflexive disadvantage that results in a decline in legal rights. Therefore, the doctor's explanation needs to be examined from both perspectives: guaranteeing the patient's right to self-determination and protecting his or her right to decision.

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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• 2012.05a
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• pp.842-845
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• 2012

의료기기는 헬스케어 서비스를 위한 필수요소로 최근 의료와 관련된 스마트폰 애플리케이션의 증가와 함께 스마트폰과 연결되는 의료기기를 활용한 스마트 헬스케어가 대두되고 있다. 이러한 스마트 헬스케어는 현재 ISO/IEEE 11073 표준을 통해 의료기기와 게이트웨이를 연결하여 임상정보를 전송하고 게이트웨이는 HL7 CDA 표준 문서를 통해 전자 건강 기록 및 개인 건강 기록 시스템, 임상 워크플로우 및 임상 의사 결정 지원 시스템과 같은 유형의 의료 서비스 시스템과 연동하는 솔루션이다. ISO/IEEE 11073은 DIM(Domain Information Model)이라는 정보 모델을 기반으로 하며 HL7 v3인 CDA는 RIM(Reference Information Model)이 있기 때문에 상이한 인터페이스간의 매핑 매커니즘을 필요로 한다. 이에 본 논문에서는 스마트폰 환경에서 의료 응용 애플리케이션에서의 효율적인 의료기기 데이터 운용을 위해 RMIM(Refined Message Information Model) 기반의 IEEE 11073 DIM/HL7 v3 RIM 표준 인터페이스 변환 방법을 제안한다.

• Journal of Korean Academy of Nursing Administration
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• v.7 no.2
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• pp.301-314
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• 2001

The main purpose of this research is to describe comprehensively the processes of clinical decision making in novice critical care nurses through clinical experience. This research was an exploratory, longitudinal study using a fieldwork approach incorporating "think-aloud" method and in-depth interviews with the study participants. The study participants consisted of 5 novice nurses assigned to critical care units at a tertiary medical center located in Seoul, among a group of 27 novice nurses who started at the same period at this hospital. The data were collected from March 1999 to April 2000. The major findings of the study is that the novice nurses followed the analytic linear model of clinical decision making in the beginning, but were changed increasingly to follow the comprehensive, integrated model of clinical decision making. Through repeated experience that resulted in increasing repertoire of clinical schema and familiarity of task environments of clinical practice the novice nurses expanded their ability to arrive at comprehensive integration of information and to arrive at accurate and time-efficient decisions. Both the analytic, linear model mostly used at the beginning period and the comprehensive, integrated model that seems to be the mode significantly dependent upon experience seem to have strengths and weaknesses as decision making processes in clinical situations. Hence, it is imperative to develop an effective orientation and training program for novice nurses through the use of clinical preceptors. In addition, students should be exposed to the process of clinical decision making early in their nursing education through an appropriate clinical experiences and clinical assignments.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.18 no.4
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• pp.304-310
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• 2017

This study is a methodological research study that tests the validity and reliability of the NCRC (Nurse Clinical Reasoning Competence scale), an instrument developed by Liou and his colleagues as the basic data for enhancing the clinical reasoning competence of nurses, by translating it into Korean and checking the similarity of the sentence structure and meaning (between the two versions?). This study verified its validity and reliability by examining 166 nurses working in four tertiary hospitals located in Seoul and Busan. An analysis of the content validity by experts showed that all of the items have a content validity higher than CVI 0.8. From the exploratory and confirmatory factor analysis, it was found that the instrument includes a total of 15 items consisting of one factor. In addition, the correlation with the Korean version of the Nurse Clinical Reasoning Competence scale is confirmed to test the concurrent validity, by using a measurement tool of nurses' critical thinking dispositions and clinical decision-making abilities (correlation coefficient =.55-.64(p<.001) and Cronbach's ${\alpha}=.93$). Thus, the Korean version of the NCRC may be a useful instrument for evaluating the clinical reasoning competence of Korean nurses and providing the basic data for assessing their clinical reasoning competence and developing their promotion strategies.