• 한국의료질향상학회지
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• 제12권2호
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• pp.113-123
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• 2006

Objective : This research is focused on understanding the current status of the Health Smart Card already in use in other advanced countries. This research will analyze the current status of the medical institutions Health Smart Card system adoption process and its effects, and provide a basis for future policy decisions for the effective adoption and diffusion of a Health Smart Card system, in the medical field, through the completed research and analysis. Method : This research surveys the domestic, and foreign, status of Health Smart Card usage. The research also presents up-to-date methodology for the evaluation of the effects of medical and health care technology. The research also conducts a survey of the domestic medical institutions that have implemented a Health Smart Card system, and then analyzes the results of the survey. Additionally, the research carried out a survey and analysis of medical institutions with no Health Smart Card system implemented, and considered the factors affecting the diffusion of Health Smart Card systems in considering an effective policy for the introduction and diffusion of such a system. Research Results : Through the study of the methodology of medical and health care information technology in advanced countries, the methodology for assessing Health Smart Card technology has been established, and focuses on 6 aspects. The study on the status of foreign implementation has shown a model for the Health Smart Card system. A survey was conducted on the current status of medical institutions with an implemented Health Smart Card system, and the survey results have been analyzed. Also, factors influencing the adoption of Health Smart Card systems have been analyzed through the survey on those medical institutions that have not implemented a Health Smart Card system. Conclusion : The government must provide institutional measures for sharing medical records by constructing an IT infrastructure at the national level to enable the adoption and diffusion of a Health Smart Card system. Such a network will make connections between medical institutions possible, thus making the diffusion of the Health Smart Card system nationwide. For the successful adoption and diffusion of a Health Smart Card system, a model system development, under a medical record sharing system, should be conducted. Additionally, a regional unit based model should be developed for the model project, as is done in advanced countries, along with the application of such results.

• 한국학교보건학회지
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• 제23권1호
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• pp.63-70
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• 2010

Purpose: To identify the need to reform in the crisis response of Health Teacher, School Nurse, in elementary school during epidemic outbreak of influenza H1N1. Methods: 139 elementary health teachers, school nurse, in seoul elementary school responded in the questionnaire, and we analysed by using frequency and percent, t-test, and paired t-test. Results: The Job status became 121% more 'during influenza H1N1 (flu) outbreak' than Job status of 'before outbreak'. The proportion of the flu-related duty among their daily workload was up to 77.5%. The administration-related workload of the flu-related duty was 30.8%. and students' health assessment including temperature measurement 18.7%. Furthermore, an impediment of usual daily work due to an increaed flu-related workload was 95.7%, and no alternative plan such as disposition of assistant labor force was 86.1%. Especially, an impediment of health education was 61.0%, so the major concern was the loss of health education. We compared average scores (a five-point Likert scale) of health teachers' work motivation, exhaustion, work relationship and Job management of 'during' with 'before' flu-outbreak. The difference range of 'during' minus 'before' work motivation score was from -0.4 points to -0.9; work exhaustion range from 1.8 to 1.9; the difficulty of relationship between students, school personnel, parents of students, and health teachers from 1.4 points to 1.3 points; and the consideration of changing Job, taking time off from the Job and retirement from 1.4 to 1.6 points. Conclusion: The health teachers had a heavy workload due to flu-outbreak. They also experienced the impediment of usual work implementation. However, there was a shortage of alternative plan such as disposition of an assistant labor force. Under their Job status like this, the health teachers' motivation score was decreased and work exhaustion was increased. Furthermore, they had a lot of relation difficulty with students and school personnel. Therefore, we suggested that in contrast to the usual Job status, there is a need to have a prepared response during school crisis like flu-outbreak such as improved response system in seoul metropolitan education office, simplification or dispersion of administrative work, and temporary call-center for simple inquiries or advices.

• Radiation Oncology Journal
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• 제30권3호
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• pp.132-139
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• 2012

Purpose: The purpose of this prospective multi-institutional study was to evaluate the nutritional status of patients undergoing radiotherapy (RT) for treatment of head and neck, lung, or gastrointestinal cancer. Materials and Methods: A total of 1,000 patients were enrolled in this study at seven different hospitals in Seoul, Korea between October 2009 and May 2010. The nutritional status of patients after receiving 3 weeks of RT was evaluated using subjective global assessment (SGA). The nutritional status of each patient was rated as well nourished (A), moderately malnourished (B), or severely malnourished (C). Results: The mean age of patients in this study was $59.4{\pm}11.9$ years, and the male to female ratio was 7:3. According to the SGA results, 60.8%, 34.5%, and 4.7% of patients were classified as A, B, or C, respectively. The following criteria were significantly associated with malnutrition (SGA B or C; p < 0.001): loss of subcutaneous fat or muscle wasting (odds ratio [OR], 11.473); increased metabolic demand/stress (OR, 8.688); ankle, sacral edema, or ascites (OR, 3.234); and weight loss ${\geq}5%$ (OR, 2.299). Conclusion: SGA was applied successfully to assess the nutritional status of most patients. The prevalence of malnutrition in a radiation oncology department was 39.2%. The results of this study serve as a basis for implementation of nutrition intervention to patients being treated at radiation oncology departments.

• 인터넷정보학회논문지
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• 제19권6호
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• pp.31-40
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• 2018

최근 IT 기술의 발전과 함께 클라우드 서비스, IoT 기술 및 모바일 애플리케이션을 통해 통합적인 u-헬스케어 환경기반의 의료정보시스템이 구축되고 있다. 이러한 의료정보시스템에서는 응급 처치나 치료를 목적으로 의료진에게 환자의 의료정보를 접근할 권한이 제공되어야 한다. 따라서 의료정보시스템에서 의료진이 담당하는 환자의 생체정보 및 개인 의료정보에 접근하기 위해서는 신뢰적이고 신속한 인증과정이 필요하다. 그러나 현재 시스템 환경에서는 의료진의 ID/PWD만을 이용하는 단순하고 정적인 사용자 인증기법으로 의료정보시스템을 접근하고 있다. 이러한 이유에서 본 논문에서는 환자가 응급상태조건을 고려한 다양한 인증 요소를 포함한 의료정보접근의 투명성을 제공하는 동적상황인증기법과 이를 지원하는 동적상황인증시스템을 제안하였다. 본 동적상황인증은 사용자 인증과 이동 단말기 인증을 결합한 인증으로, 기존의 사용자 인증 뿐 아니라 의료진이 사용하는 이동 단말기의 인증을 위해 환자의 응급상태, 의료진의 역할, 근무시간, 근무위치 등과 같은 다양한 인증요소 속성들을 사용하였다. 우리는 응급상태판별, 동적상황인증, 인증지원 DB 구축을 포함한 동적상황인증시스템을 설계 및 구현하였다. 마지막으로 제안한 동적상황인증시스템의 서비스 수행성 검증을 위해, 의료진으로 하여금 동적상황인증과정과 그 이후 담당환자에 대한 의료정보접근 허가와 함께 의료정보서버로부터 의료진 자신의 이동 단말기에 모바일 애플리케이션을 내려 받아 실행함으로써 의료정보의 인증 및 접근과정을 보였다.

• 예술인문사회 융합 멀티미디어 논문지
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• 제8권9호
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• pp.169-178
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• 2018

냉동기는 얼음을 만드는 기계이다. 이를 제조 및 판매하는 회사는 대부분 중소기업으로, 판매 후 사후 관리에 어려움을 겪고 있다. 사후관리의 어려움은 대부분 구매처의 불필요한 고객 서비스 요청에 기인하며, 이 요청은 결국 판매처와 구매처의 불필요한 비용 지출로 이어진다. 하지만 재정적으로 열악한 냉동기 제조 기업은 이 비용을 최대한 줄이고자 한다. 뿐만 아니라, 국외에 냉동기를 판매하고 싶어도 사후 관리 때문에 주저하고 있는 상황이다. 이러한 이유로 냉동기 제조업체는 직접 방문 없이 원격지에서 냉동기의 상태를 확인하고 적절한 조치를 취할 수 있는 시스템을 필요로 하고 있다. 따라서 본 논문에서는 원격지에서 냉동기의 상태를 모니터링하고 필요에 따라 제어할 수 있는 냉동기 원격 제어 및 운전 상태 모니터링 시스템을 구현하였다. 개발된 시스템을 통해, 냉동기 제조업체와 냉동기 구매업체는 냉동기의 상태를 빠르게 파악함으로써 즉각적으로 고장에 대응할 수 있다. 게다가, 판매 후 유지보수 및 관리를 효율적으로 할 수 있어 비용절감에 큰 효과가 있을 것으로 예상된다.

• 농촌지도와개발
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• 제2권2호
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• pp.163-173
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• 1995

Agricultural extension services in Korea has experienced various system changes and accomplishments. The biggest achievement of extension was rice self-suffiency in the 1970s and abundant vegetable and animal production in the 1980s. The emerging challenges of international competition and localization are contributing to significant changes such as the decentralization of activities and shared responsibilities between the central government and local governments. Change, while it threatens the status quo, is a challenge and an opportunity to review and revamp ensconced and often rigid structures. In this sense, it is time to start a new era in agricultural extension. The development of agricultural extension requires keen appraisals and cogent analysis based on the realities of each specific regional situation. In order to develop agricultural extension services, the various aspects, the synthetic identification of its environments, the clarification of the client, the program development, and the effective mechanisms between research and extension must be considered. Especially, agricultural extension systems should be flexible and adjust to changing environments and the farmers' needs.

• 한국철도학회:학술대회논문집
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• 한국철도학회 2011년도 정기총회 및 추계학술대회 논문집
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• pp.2015-2020
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• 2011

Key set the current non-urban rail power failure of equipment to operate the railway will generate a lot of problems. I know in advance the ideal of power equipment to prevent the failure to derive an efficient replacement cycle for the power equipment monitoring and diagnosis of the condition can become necessary to develop a system. In order to determine the status of the power plant during operation and behavior of the partial discharge current state data, regular monitoring and inspection requirements also stamp the basic current, voltage, temperature and humidity should be identified.

• 한국정보통신학회논문지
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• 제18권1호
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• pp.63-71
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• 2014

본 논문에서는 Active-Active 방식의 웹서버 이중화 방법에 관해 연구하였다. Rsync과 crontab을 이용하여 웹서버간에 주기적인 복사가 이루어지도록 하여 동일한 상태를 유지시켰다. 로드밸런싱서버가 웹서버를 교대로 실행하여 부하를 분산하고, 빠른 서비스가 제공되도록 하였다. 또한 임의의 웹서버에 장애가 발생하더라도 또 다른 웹서버에 의해 서비스가 계속 유지되도록 하였다.

• 대한기계학회논문집A
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• 제28권12호
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• pp.1950-1957
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• 2004

Analysis for structures composed of materials containing regularly spaced in-homogeneities is usually executed by using averaged material properties. In order to evaluate the effective properties, a unit cell is defined and loaded somehow, and its response is investigated. The imposed loading, however, should accord to the status of unit cells immersed in the macroscopic structure to secure the accuracy of the properties. In this study, mathematical description for the periodicity of the displacement field is derived and its direct implementation into FE models of unit cell is attempted. Conventional finite element code needs no modification, and only the boundary of unit cell should be constrained in a way that the periodicity is preserved. The proposed method is applicable to skew arrayed in-homogeneity problems. Homogenized in-plane elastic properties are evaluated for a few representative cases and the accuracy is examined.

• 대한전자공학회:학술대회논문집
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• 대한전자공학회 2005년도 추계종합학술대회
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• pp.525-528
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• 2005

Adaptive streaming algorithm for the realtime video decoder that can be dynamically adaptable to the network channel status or terminal environment is described and performance analyzed. An LMS filter is used to predict the bitrate and predicted bitrate is used to optimize based prediction filter is used to adapt and optimize the quality of the decoded pictures. The quality of the output pictures are about 48dB.