• Proceedings of the Korean Information Science Society Conference
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• 2003.10b
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• pp.760-762
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• 2003

HL7(Health Level 7)은 보건의료 분야에서 ANSI에서 승인한 SDO(Standards Developing Organization)들 중의 하나이다. 대부분의 SDO들은 약제. 의료 장비 이미지, 보험 처리 등과 같은 보건의료 분야에서의 표준을 만든다. HL7의 영역은 진료와 병원 행정적인 부분이다. HL7에서는 Version2.3, Version2.4, Version3.0 등을 포함해 Data Model. Arden Syntax, CCOW(Common Context Object Workgroup) CDA(Clinical Document Architecture) 등의 표준을 만들어 나간다. 본 논문에서는 이 표준들 중 CCOW에 대해 알아보고. 기존 Agent System에 좀 더 지능적이고 자율적인 CCOW 서비스를 제공하는 방안을 알아본다.

• Journal of Sensor Science and Technology
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• v.28 no.5
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• pp.289-293
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• 2019

This paper presents a remote patient monitoring system for diagnostic pure-tone audiometry. A pure-tone audiometer was developed for basic hearing screening; its performance was evaluated according to international standards in terms of linearity, accuracy, and total harmonic distortion. Pure-tone audiometry has a maximum hearing level of 104.9 dB HL that is comparable with other commercial products. The audiometer shows satisfactory linearity with a deviation of ${\pm}0.4dB$, an accuracy of ${\pm}0.025%$, and a total harmonic distortion (THD) of 0.21%. The remote patient monitoring systems include remote control devices based on wide area network (WAN) connections and an audiometer connected in series. Through experimentation, we successfully performed real-time diagnostic communication without delay in transferring audiometric data. This system is expected to supply domestic equipment in the audiometric market and to improve the quality of life of patients in non-clinical environments.

• Electronics and Telecommunications Trends
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• v.34 no.5
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• pp.113-126
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• 2019

Based on the accumulation of medical big data, advances in medical artificial intelligence technology facilitate the timely treatment of disease through the reading the medical images and the increase of prediction speed and accuracy of diagnoses. In addition, these advances are expected to spark significant innovations in reducing medical costs and improving care quality. There are already approximately 40 FDA approved products in the US, and more than 10 products with K-FDA approval in Korea. Medical applications and services based on artificial intelligence are expected to spread rapidly in the future. Furthermore, the evolution of medical artificial intelligence technology is expanding the boundaries or limits of various related issues such as reference standards and specifications, ethical and clinical validation issues, and the harmonization of international regulatory systems.

• The Journal of Pediatrics of Korean Medicine
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• v.33 no.3
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• pp.42-55
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• 2019

Objectives The purpose of this study is to figure out the tendency of the commonly-used-pattern-identification and treatment for Hyperhidrosis by reviewing Korean clinical studies. Methods 18 articles which were published from August, 2004 to December, 2018. were obtained from the National discovery for science leader (NDSL), Research information sharing service (RISS), and Oriental medicine advanced searching integrated system (OASIS) by using keyword 'hyperhidrosis'. Results The most commonly-used-pattern-identification were the patterns with 'Heart' and 'Spleen-stomach'. Hyungbangsabaek-san and Taeeumjowi-tang were the most frequently used herbal medicine. The most common acupoints was LI4. The most common method of assessment was VAS. Conclusions This study identifies the most common pattern identification and treatment for hyperhidrosis. Developing systematic standards of pattern identification and treatment can be possible with further studies.

• Clinical Endoscopy
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• v.56 no.3
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• pp.290-297
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• 2023

Endoscopic retrograde cholangiopancreatography (ERCP) is an invasive endoscopic technique that has many diagnostic and therapeutic implications. It is a procedure with small but significant life-threatening complications. To ensure the best possible care, minimize complications, and improve the quality of health care, a constant review of the performance of the operator using ideal benchmark standards is needed. Hence, quality indicators are necessary. The American and European Societies of Gastrointestinal Endoscopy have provided guidelines on quality measures for ERCP, which describe the skills to be developed and training to be implemented in performing quality ERCP. These guidelines have divided the indicators into pre-procedure, intraprocedural, and post-procedure measures. The focus of this article was to review the quality indicators of ERCP.

• Journal of dental hygiene science
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• v.17 no.2
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• pp.123-133
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• 2017

The aim of this study was to analyze in depth the standardized Clinical dental hygiene curriculum of the Fones School in the United States. We investigated the clinical dental hygiene curriculum in 2015~2016 including title, credit, hours, contents, goals, competencies, and evaluation. We obtained the course syllabus and data related to each subject, for each grade, from the professors and students at the university. The goals and competencies, of the clinical dental hygiene program, which were based on the goals of the Fones School and the mission of the University of Bridgeport, were developed in accordance with the dental hygienist practice standards proposed by the American Dental Hygienists Association. The curriculum consisted of theory to teach proper dental hygiene care procedures and incorporated practical exercises that modeled an actual clinical setting. The students had to document the procedures performed for each client/patient and improve their clinical competency through discussion with the professors. Dental hygiene care should be provided for children, adolescents, adults, elderly, and patients, which includes patients with moderate or severe periodontal status. Students were evaluated by a paper test or case study presentation and their clinical evaluation was based on their clinical competency. In particular, professors evaluated students on a rotational basis, so they could evaluate the level of achievement of clinical competency of all students and find ways to improve any weaknesses. Therefore, the current study suggested that clinical dental hygiene program in Korea could be improved if based on the curriculum of Fones School in the United States.

• The Korean Society of Law and Medicine
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• v.21 no.2
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• pp.163-207
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• 2020

Korea has been positioned as the leading country in the industry of clinical trials as the clinical trail of Korea has developed for the recent 10 years. Clinical trial has plays a significant role in the development of medicine and the increase of curability. However, it has inevitable risk as the purpose of the clinical trial is to prove the safety and effectiveness of new drugs. Therefore, the clinical trial should be controlled properly to protect the health of the subjects of clinical trial and to ensure that they exercise a right of self-determination. In this context, the fiduciary duties of doctors who conduct clinical trials is especially important. The Pharmaceutical Affairs Act and the relevant regulations define several duties of doctors who conduct clinical trials. In particular, the duty to protection of subjects and the duty to provide information constitute the main fiduciary duties to the subjects. Those are essentially similar to the fiduciary duties of doctors in usual treatment from the perspective of the values promoted by the law and the content of the law. Nonetheless, clinical trials put more emphasis on the duties to provide explanation than in usual treatment. Further research and study are required to establish the concrete standard for the duty of care. However, if the blind pursuit of higher standards for the duty of care or to pass the burden of proof to doctors may result in disrupting the development of clinical trials, limiting the accessibility of patients to new treatment and even violating the principle of sharing damage equally and properly. In addition to these duties, the laws of clinical trials define several duties of doctors. Any decision on whether the violation of the law constitutes the violation of the fiduciary duty and justifies the demand for compensation of damages should be based on whether relevant law aims to protect the safety and benefit of subjects, even if in an incidental way, the degree to which such violation breaches the values promoted by the law and the concrete of violation of benefit of law, the detailed acts of such violation. The legal interests of the subjects can be protected effectively by guaranteeing compliance with those duties and establishing judicial and administrative controls to ensure that the benefit of subjects are protected properly in individual cases.

• The Journal of Korean Obstetrics and Gynecology
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• v.26 no.4
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• pp.150-168
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• 2013

Purpose: The purpose of this study is to find out the patterns of teenage girls who is easy to suffer from dysmenorrhea with the Inbody test results by Sasang constitutions. Methods: The data from the 1681 participants were collected using a structured menstrual history questionnaire. Based on the survey responses, we had 97 adolescents with menstrual disorder as the test group and 97 adolescents without menstrual disorder as the control group. The clinical trials subjects were asked to respond to another questionnaire for identifying their constitutional types and undergo Inbody test. Results: The result of a comparison of the test and control groups showed that there' no relevance to the body fat mass and body fat percentage with menstrual irregularities. The lesser yang person with menstrual irregularities was no relevance to the body fat percentage. The greater yin person with menstrual irregularities was especially lacking in body fat mass and body fat percentage. The lesser yin person with menstrual irregularities was poor in body fat mass. Conclusions: As for study, female high school students with menstrual disorders have nothing to do with muscle mass. Body fats shortage could pose problems. According to the study, Taeumin female high school students usually needed to higher body fat than a general standard. It seems to be needed more body fat and weight than modern standards in period of poor sexuality for having a normal menorrhea especially Taeumin. It will take some continuing study that BMI standards should be changed or not on the Sasang constitutions.

• Child Health Nursing Research
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• v.17 no.4
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• pp.256-263
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• 2011

The purpose of the study was to evaluate the physical and psychological health status of North Korean defector children and identify associated factors. The participants in the study were 103 children ranging in age from 7 to 14 years old. Physical health status was evaluated through height and weight measurements as well as clinical laboratory results. Psychological health status was assessed using structured survey interviews. Data were analyzed utilizing Pearson correlation coefficients, t-test, ANOVA, and descriptive statistics. On arrival in South Korea, 19% of the children did not meet the child growth standards of South Koreans for height and 15% for weight. However, twelve weeks after, these percentages had decreased significantly. It found that 38.5% of children presented mild posttraumatic reaction and 40.4% presented moderate reaction. Scores for externalizing and internalizing behavior problems were $0.38{\pm}0.30$ and $0.59{\pm}0.36$ respectively. Posttraumatic reaction was higher in girls (t=0.41, p=.03), and boys showed higher externalizing problems (t=2.04, p=.04). Externalizing problems were correlated with gender and internalizing problems were associated with posttraumatic reactions and externalizing problems. The findings indicate that North Korean defector children need timely developmental assessments and tailored intervention programs to meet child growth standards need to be developed.

• Korean Journal of Oriental Medicine
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• v.14 no.3
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• pp.103-111
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• 2008

Recently, skin diagnosis has been suggested as a promising tool for discrimination of Sasang Constitution, reported by examining the skin characteristics such as thickness, stiffness, slip, and skin textures like wrinkles and furrows. However, the works had a limitation in that clinical decision on the skin characteristics was made by relying upon oriental medicine doctors' subjective sense of touch. In order to objectify the skin diagnosis and claim its efficacy on the discrimination of the Sasang Constitutions, it is necessary to demonstrate its discrimination capability by providing numerical values in terms of physical quantities obtained from measurements using today's sensors and equipment technologies, which motivated this work as a priliminary step towards objectification of skin diagnosis. The skin characteristics focused in this work is the slip property of the back-hand skin that has been exploited using the dynamic friction measurement system. First, curved geometric effects of the back-hand skin on the measured lateral/vertical force signals were estimated using the artificially designed silicon coated structures, which led to a suggestion on a quality controlled experimental design based upon a empirical analysis model. Second, the experimental design thus suggested has been applied to the measurement of dynamic friction coefficients for two healthy male subjects of Taeumin (TE) and Soyangin (SY), respectively. The result shows that the dynamic friction coefficient is less for the SY subject than for the TE subject around the area of the skin used for diagnosis by the oriental medicine doctor, implying the TE subject's skin is more slippery than the SE subject's that is consistent with the oriental medicine doctor's diagnosis. Hopefully, this work can provide guidelines for obtaining quality data in friction measurement to be collected for discussion on the efficacy of the skin diagnosis and its objectification through statistical analysis.