• Radiation Oncology Journal
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• 제12권2호
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• pp.253-262
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• 1994

The patterns of the conventional radiation treatment fields and their shielding blocks are analysed to determine the optimal dimension of the MultiLeaf Collimator (MLC) which is considered as an essential tool for conformal therapy. Total 1109 radiation fields from 303 patients (203 from Asan Medical center, 50 from Baek Hosp and 50 from Hanyang Univ. Hosp.) were analysed for this study. Weighted case selection treatment site (from The Korean Society of Therapeutic Radiology 1993). Ninety one percent of total fields have shielding blocks. Y axis is defined as leaf movement direction and it is assumed that MLC is installed on the cranial-caudal direction. The length of X axis were distributed from 4cm to 40cm (less than 21cm for $95\%$ of cases), and Y axis from 5cm to 38cm (less than 22cm for $95\%$ of cases). The shielding blocks extended to less than 6cm from center of the field for $95\%$ of the cases. Start length for ninety five percent of block is less than 10cm for X axis and 11cm for Y axis. Seventy six percent of shielding blocks could be placed by either X or Y axis direction, $7.9\%$ only by Y axis, $5.1\%$ only by X axis and It is reasonable to install MLC for Y direction. Ninety five percent of patients can be treated with coplanar rotation therapy without changing the collimator angle. Eleven percent of cases of cases were impossible to replace with MLC. Futher study of shielding technique is needed for $11\%$ impossible cases. The treatment field dimension of MLC should be larger than $21cm{\times}22cm$. The MLC should be designed as a pair of 21 leaves with 1cm wide for an acceptable resolution and 17cm long to enable the leaf to overtravel at least 6cm from the treatment field center.

• 한국융합학회논문지
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• 제10권11호
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• pp.463-470
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• 2019

의료용 대마의 소비 프로세스가 복잡해 환자 중심의 서비스 제공이 필요한 시점이다. 본 연구는 사용자 중심의 소비 프로세스 방향성 연구를 위해 의료용 대마의 소비 과정을 세 단계와 다섯 개의 절차로 정의하고 의료용 대마 구매 경험이 있는 사용자 인터뷰를 통해 소비 여정 지도를 작성하여 소비 과정에서 발생하는 페인 포인트를 발견하였다. 그 후 미국과 캐나다의 사례연구를 바탕으로 국내에 적용 가능한 시나리오를 시행범위에 따라 세 가지를 제시하였다. 의료용 대마 소비자의 경험에 기반한 사용자 중심의 연구라는 점에 의의가 있으며 향후 소비 프로세스 개선 시 참고 자료로 활용되길 기대한다.

• Journal of East Asia Management
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• 제3권2호
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• pp.21-41
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• 2022

This study aims to analyze the characteristics of the management situation of the Korea Railroad Corporation(KORAIL) through the management innovation process of the KORAIL and to suggest its implications for military application. Despite stable demand, the railway passenger industry had the limitation of not being able to abolish deficit routes due to public service obligations. In addition, the launch of the Suseo High-Speed Line has introduced a competitive system, posing a threat to corporate management. KORAIL wanted to overcome this crisis by innovating its management through the utilization of big data, improvement of the freight business, decentralization of demand, the introduction of tourism railroads, and development of station influence areas. By utilizing big data, KORAIL was able to optimize the railway fare system while reducing fixed costs spent on railway maintenance. It also drastically reduced the station of cargo and created a base station to pursue economies of scale. On the other hand, the existing exclusive station system was abolished to solve the chronic saturation of the downtown area, and the railway demand was moved to Gwangmyeong Station and Suwon Station to optimize the passenger supply. In particular, it developed a new business model called the tourism railway by developing the mountain Byeokjin Line, which was a chronic deficit line, and sought to improve liquidity through the development of the station influence area. Such a process of innovation at KORAIL suggests an appropriate direction in seeking ways to innovate the military medical institutions. First of all, the necessity of improving organizational immersion through the development of a personnel structure suitable for the compulsory organization, while expanding the facilities of the division and corps, and reducing the time required for medical treatment and waiting through the establishment of a data-based medical system was suggested. Next, it was also discussed to integrate the National Health Medical College, which received accreditation as a medical facility through the designation of advanced general hospitals and is ultimately under discussion with the Medical Institution. Through this, we hope that the military medical institutions, which are facing various challenges, will overcome existing limitations and be re-lighted as innovative institution that provides comprehensive public health services.

• 정보과학회지
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• 제26권4호
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• pp.49-54
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• 2008

• 대한방사선기술학회지:방사선기술과학
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• 제18권1호
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• pp.37-42
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• 1995

• Journal of Preventive Medicine and Public Health
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• 제29권4호
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• pp.877-897
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• 1996

In recent years, the Korean Medical Association has undertaken the feat of establishing the Korean Standard Terminology of Medical Procedures with the dedicated help of 32 medical academic societies. However, because the project is being conducted by several different circles, it has yet to see a clear system of classification. This thesis, therefore, proposes the three principles of scientific properties, usefulness and ideology as the basis for classification system and has developed the Classification System of Medical Procedures in Korea upon their foundation. The methodology and organization of this thesis as follows. First, by adopting scientific classification system of Feinstein(1988), an analysis of the classification systems of the medical procedures in the United States, Japan, Taiwan, WHO was carried out to reveal the framework and the basic principles in each system. Second, the direction of classification system has been constructed by applying the normative principle of medical field in order to show the future direction of the medical field and realize its ideology. Third, a finalized framework for the classification system will be presented as based on the direction of classification system. Of the three basis principles mentioned above, the analysis on the principles of usefulness was left out of this thesis due to the difficulty of establishing specific standards of analysis. The results of the study are as follows. The overall structure of the thesis is aimed at showing the 'Prevention-Therapy-Rehabilitation' quality of comprehensive health care and consists of six chapters; I. Prevention and Health Promotion II. Evaluation and Management III. Diagnostic Procedures IV. Endoscopy V. Therapeutic Procedures VI. Rehabilitation Chapter three Diagnostic Procedures is divided into four parts : Functional Diagnosis, Visual Diagnosis, Pathological Diagnosis, Biopsy and Sampling. Chapter five Therapeutic Procedures is divided into Psychiatry, Non-Invasive Therapy, Invasive Therapy, Anaesthesia and Radiation Oncology. Of these sub-divisions, Functional Diagnosis, Biopsy and Sampling, Endoscopy and Invasive Therapy employs the anatomical system of classification. On the other hand, Visual Diagnosis, Pathological Diagnosis, Anesthesia and Diagnostic Radiology, namely those divisions in which there is little or no overlapping in services with other divisions, used the classification system of its own division. The classification system introduced in this thesis can be further supplemented through the use of the cluster analysis by incorporating the advice and assistance of other specialists.

• 한국병원경영학회지
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• 제8권2호
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• pp.111-129
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• 2003

This study discusses the direction of legislation to strengthen the legal protection of medical records privacy in information age. The legislation trends on privacy protection of medical records in European Union and United States are analysed and the current law and regulation of Korea on medical records are compared. The issues discussed include the ownership of medical records, the patient's right of access to medical records, medical information publication for other than treatment or insurance processing use, confidentiality responsibility of provider organizations, medical information management in provider organizations, penalty for the unlawful use of patient information. This study concludes that the patients' right on medical record and provider organization's responsibility in processing patient information should be strengthened in order to protect patients' privacy and to conform to the international standard on medical record protection in the information age.

• 한국응급구조학회지
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• 제15권1호
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• pp.37-46
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• 2011

Purpose : This study is equivalence experiment performed to test practice effects between experimental group from both left and right direction of mannequin and control group having practice from only right direction in cardiopulmonary resuscitation education. Methods : Subject of the research were total 71 elementary and middle school teachers in J province who had not experience to have cardiopulmonary resuscitation. They were divided into experimental group of 35 participants who practiced cardiopulmonary resuscitation from both right and left direction of mannequin on Dec. 27, 2009 and control group of 36 participants who performed cardiopulmonary resuscitation from only right direction of mannequin on Dec. 28, 2009. Collected data were analyzed by SPSS/PC+(version 14.0). Results : 1. There was no statistically significant difference by sex among general characteristics of the subjects. 2. According to the quality of chest compression performed from the right direction of mannequin, experimental group showed better results in proper depth (time), insufficient depth (time), too lowered compression position (time) and inexact position (time) than control group(p<.05). In the quality of chest compression from the left side of mannequin, experimental group performed better results in proper depth (time), insufficient depth (time), inexact compression position (time) and mean chest compression depth(mm) than control group(p<.05) and also in more left-centered compression position (time) than control group(p<.001). 3. The quality of chest compression by experimental group, the right side of mannequin was superior in proper depth (time) to the left side of mannequin (p<.001) and showed better results in insufficient depth (time) and chest compression/recoil rate (p<.05). According to the quality of chest compression by control group, the right side of mannequin showed superior results in proper depth (time), insufficient depth (time), too left-centered compression position (time) and mean chest compression depth (mm) (p<.05) to the left side of mannequin. Conclusion : The group having practice from both right and left sides of mannequin was superior in the quality of chest compression to the group having practice from only right side of mannequin. How to practice cardiopulmonary resuscitation from both right and left sides of mannequin can be recommended and practice from left side of mannequin is also useful.

• 대한의용생체공학회:의공학회지
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• 제18권3호
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• pp.243-251
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• 1997

본 연구에서는 유체보상 경사자장 기법(flow-compensation-gradient of gradient-moment nulling method)을 이용하지 않은 Tailored RF를 이용한 TRFGE(tailored rf gradient echo) 영상에는 유체유입효과(in-flow effect)가 나타나지 않지만 절편(slice)내에서 판독경사자장(reading gradient)과 같은 방향으로 흐르는 유체는 신호가 강조가 됨을 이론과 실험으로 보였다. 절편 내에서 판독경사자장과 같은 방향으로 흐르는 유체의 신호가 TRFGE 영상에서 강조되는 이유를 이론적으로 설명하였으며 이 이론을 뒷받침 할 실험을 위해 유체 모형을 제작하였다. 원통 모양의 물 모형 중앙으로 유체 관을 통해 식염수(saline)가 주자장(B$B_0$)와 평행인 z 축 방향으로 흐를 수 있도록 하였다. 유체가 흐를 때와 흐르지 않을 때 CGE(conventional gradient echo) 영상과 TRFGE 영사을 얻어 각각 비교하였다. 유체 유입효과를 관찰하기 위해서는 횡단면(axial)의 영상을 얻었고 절편 내에서 판독경사자장과 같은 방향으로 흐르는 유체의 영상신호를 관찰하기 위해서 시상면(sagittal) 영상을 얻었다.

• 한국의학물리학회지:의학물리
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• 제7권1호
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• pp.53-64
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• 1996

목적 : 별모양무늬를 이용하여 원격 방사선치료기의 회전축의 정확성을 평가할 때 방사선의 진행방향을 고려해야 하는 이론적 근거와 방법을 개발하고, 방사선의 진행방향이 기록되지 않는 경우 길이 방향의 비대칭 조사면을 이용하여 흉내내는 방법을 개발하는 것이다. 방법 : 갠트리 회전축의 기계적 정확성을 평가하기 위해 방사선의 진행방향을 고려하였다. 좁은 조사면에 의해 별모양무늬를 만들어 회전축이라고 어림되는 교점에서 l0cm 떨어진 위치의 측방선량분포를 필름농도계로 측정하여 선축의 좌표를 구하고 하나의 선축에 있는 한 쌍의 좌표를 이용하여 선축의 식을 구한다. 선축과 일치하는 방사선 진행방향의 단위벡터 equation omitted를 구하고 가정된 회전축의 좌표에서 각 선축으로 향하는 벡터 equation omitted와 equation omitted의 벡터곱 equation omitted$\times$equation omitted을 구하여 평균을 취하고 평균에 대한 벡터곱의 최소자승법을 적용하여 회전축의 좌표를 구한다. 그 때 벡터곱의 최대치의 절대값이 구하는 회전축의 정확도이다. 방사선의 진행방향을 고려할 수 없는 콜리메이터와 치료대에 대해서는 진행방향에 대응하는 것으로 긴 방향이 비대칭인 조사면을 이용하였다. 결과 : 동일한 별모양 무늬에 대해 방사선의 진행방향을 고려할 때 회전축의 기계적 정확성이 진행방향을 무시할 때와 다르게 평가되었다. 결론 : 별모양 무늬를 이용하여 원격치료기의 기계적 정확성을 평가할 때는 방사선의 진행방향을 고려하거나 흉내내어 정량적으로 평가해야 한다.