• 인터넷정보학회논문지
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• 제11권5호
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• pp.59-70
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• 2010

고도화된 의료 서비스 발전으로 인해 유비쿼터스 헬스 케어(Ubiquitous Healthcare)의 실현이 가속화되고 있다. 이러한 배경에 따라 헬스 케어 서비스 모델이 제시되고 있고, 여러 가지 환경과 조건에 따라 그에 부합한 다양한 헬스 케어 서비스 모델이 연구되고 있다. 이에 발맞춰 세계 의료 시장은 서양 의학의 절대 우위시대를 벗어나 자연 친화적인 전통 의학이 각광 받는 시대로 재편되고 있다. 하지만 이러한 세계 의료 시장의 추세에도 불구하고 국내의 U-Healthcare 시장은 전통 의학에 적합한 서비스 모델이 부족한 실정이다. 이로 인해 국내의 전통 의학인 한방 분야에서 효율적으로 운영이 가능한 한방 U-Healthcare 서비스 모델의 제시가 요구되는 실정이다. 따라서 본 논문은 한방 분야에 효율적으로 적용 가능한 헬스케어 서비스 모델로, 퍼지 룰 기반 방법을 적용한 CDSS 처리에 의해 환자의 한방 측정 데이터를 분석하고 이를 효과적으로 진단할 수 있는 방법을 제안하였다. 분석결과 한방 분야에서는 제안 모델이 기존 양방 모델에 비해 보다 적합하고 장기간 운영 시 양방에 비해 높은 효과가 있다는 것을 알 수 있었다. 향후 연구방향으로 제안 모델의 부족한 부분인 데이터 표준 및 보안에 대해서 추가적인 연구가 필요할 것으로 사료된다.

• 한국정보처리학회:학술대회논문집
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• 한국정보처리학회 2010년도 춘계학술발표대회
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• pp.702-705
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• 2010

요즘 현대인들의 최우선 관심사라고도 할 수 있는 '웰빙(Well-Being)'과 다가올 '고령사회'를 대비하여 유무선 네트워킹 기술을 활용하여 "언제 어디서나" 이용 가능한 건강관리 및 의료서비스가 필요하다. u-Healthcare 시스템을 이용하여 개인의 건강상태를 실시간으로 모니터링하고 치료나 관리가 필요한 적절한 시점에 자동으로 조치를 취하기 때문에 개인은 최상의 건강상태를 유지할 수 있고 편리한 한방 의료서비스를 제공받을 수 있다. 본 논문에서는 심전도(ECG), 혈압, 맥박 등의 생체신호 측정센서를 이용한 센서네트워크 기반 u-Healthcare 시스템을 설계하고 구현하였다. 센서노드에서 게이트웨이를 경유한 생체신호는 healthcare센터로 전송되며, 질환별 건강관리 표준 프로그램을 통하여 생체신호를 분석하고 예측된 병증에 관련된 운동요법, 식이요법, 한방요법 등의 정보를 환자에게 피드백하여 건강관리를 할 수 있게 하였다.

• 한국IT서비스학회지
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• 제11권sup호
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• pp.89-101
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• 2012

This paper presents development of a management system for the health and diseases of the elderly. This study aimed to the promotion of the u-healthcare industry and to the increase in its competitive power by developing and expanding a system for managing the health and diseases of the elderly, in cooperation with u-healthcare companies. The study is underway through the following four substudies. In the first substudy titled development of the bio-signal collection and analysis technology using smart media, a technology that supports the collection of bio-signals in the elderly using portable terminals. In the second substudy titled development of the patient-specific healthcare platform expansion and enhancement technology, a technology is being developed for making medical decisions and taking measures based on the results of the processing of the collected bio-signals. In the third substudy titled development of the N-screen based healthcare contents open service technology, a technology is being developed to provide information on health, diseases, and medicine to platforms. In the fourth substudy titled development of the oriental medicine diagnosis and analysis technology for senile diseases. This study is expected to help ensure an excellent workforce and new technologies in the healthcare sector using smart phones, and to help reduce medical expenses by improving the health of citizens.

• Journal of Acupuncture Research
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• 제27권6호
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• pp.115-122
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• 2010

Objectives : The purpose of this study was to propose the utilization plan of Ryodoraku in the U-health care systems. Methods : Computerized literature searches were performed for Ryodoraku related articles using the following databases: KISS, RISS, DBPIA, NDSL from 1990 to Oct 2010. Search terms were '양도락' or 'Ryodoraku' or 'U-health'. Due to Ryodoraku coming from Japan, additional literature review(articles published by 2008) on Japanese journal of Ryodoraku medicine was done for compensation. Results : 1. Introduction of U-health : As rapid progress of population aging and strong interest in health, the demand for the traditional Korean medical service is increasing. Until now healthcare service has provided post treatment by face-to-face manner. But according to related researches, proactive treatment is resulted to be more effective for preventing diseases. Particularly, the existing healthcare services have limitations in preventing and managing chronic geriatric degenrative diseases such as metabolic syndrome, CVA, coronary heart diseases, parkinson's diseases, degenerative joint disease, spondylosis, etc., because the cause of the above is complex and even related to life habit. As the advent of ubiquitous technology, patients with the chronic geriatric degenrative diseases can improve life habit such as poor eating habits and physical inactivity without the constraints of time and space through u-healthcare service. Therefor, lots of researches for u-healthcare service focus on providing the personalized healthcare service for preventing and managing that. To cope with this situations, The concept of u-healthcare service should be adopted in the traditional korean medicine and diagnostic devices suitable for it should be also devised and developed based on traditonal korean medine. 2. Review of existing Ryodoraku related articles for applying to U-health : articles investigating feasibility applying Ryodoraku to meridian diagnosis and raising problems of it, articles providing recent research trends of Ryodoraku, Ryodoraku related articles considering usefulness for U-health, and articles confirming the repeatability and reproducity of Ryodoraku were included. Based on the review of the above Ryodoraku related articles, several application of Ryodoraku in the U-health care system. Conclusions : To make preparations for the increasing need of traditional Korean medicine due to rising morbidity rate of chronic geriatric degenerative diseases, it is necessary to appropriately apply Ryodoraku to the U-health care system. The application of Ryodoraku is as follows. 1. To use Ryodoraku additionally to the established diagnostic device of metabolic syndrome, CVA, coronary heart diseases, parkinson's diseases, degenerative joint disease, spondylosis. 2. To apply Ryodoraku to the symptoms or diseases having a tendency to be diagnosed by correlation between the affected meridian and the lesion such as headache, nuchal pain, shoulder pain, low back pain, sciatica, HNP, etc. 3. To secure the repeatability and reproducity of Ryodoraku. 4. To devise and develop Ryodoraku appliance in order to overcome the known drawbacks and to improve error of measurement.

• 가정∙방문간호학회지
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• 제15권2호
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• pp.67-74
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• 2008

Purpose: We analyzed the need for home care services and awareness of U-healthcare in nurses of the Catholic Parish Home Care Center to link the ubiquitous health care system and the home care. Methods: We recruited 46 nurses from a home care center in the catholic parish of the C medical center from April 4th to June 8th, 2007. Results: The highest needs were 'assessment and diagnosis of the problem', 'management of hypertension & diabetes patients', 'counseling of the patient', and 'counseling of major caregiver and family problems'. Therapeutic nursing showed the highest needs in bedsore care. Nurses want hospital medical records available through the ubiquitous health care system. Conclusion: Home care services are supported from the agency, with high needs in assessing and diagnosing the problem, counseling, and managing of hypertension & diabetes patients. Education and public relations efforts on the U-healthcare system should improve system awareness.

• Korean Journal of Acupuncture
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• 제30권3호
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• pp.193-200
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• 2013

Objectives : This study is to examine the effects of moxibustion at Junggeuk(CV3), Singwol(CV8) on women's urinary incontinence and quality of life. The study is a research based on the non-equivalent control group pretest-posttest design. Methods : The subjects of the study were 45 women who were using either of 2 health clinics located in Ulsan. They were sampled in accordance with predetermined standards and then divided into the experimental and control groups, respectively consisting of 22 and 23 members. In treating those women through moxibustion, this researcher applied 2 sheets of 'shingigu' to each of the women on 40 min, per time basis. This experiment was conducted 6 times in total for 2 weeks on every two day basis. Data from all of the measurements were statistically processed and analyzed using SPSS/WIN 12.0. Demographic characteristics of the subjects were examined and indicated in frequency and percentage. The homogeneity test of the two groups was conducted using $x^2$-test, Fisher's exact test, t-test and Mann-Whitney U Test. Hypotheses set for the study were verified through t-test and Mann-Whitney U Test. Results : The experimental group who take moxibustion will be lower in the severeness of urinary incontinence than the control group who do not was supported(p<0.001). 2. The experimental group who take moxibustion will be higher in score for life quality than the control group who do not was supported(U=42.00, p<0.001). Conclusions : These findings suggest that moxibustion can be an effective intervention for women having urinary incontinence because it treats the symptom with no adverse effect and it is non-invasive and easily applicable.

• 전자공학회논문지SC
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• 제45권6호
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• pp.123-131
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• 2008

한의학에서 혀의 상태는 인체 내부의 생리적 병리적 변화와 같은 건강 상태를 진단하는 중요한 지표로 활용된다. 혀의 상태를 진단하는 방법(설진)은 편리할 뿐 아니라 비침습적이므로, 한의학에서 널리 활용되고 있다. 하지만, 설진은 광원이나 환자의 자세, 의사의 건강 조건과 같은 검사 환경에 따라 많은 영향을 받는다. 객관적이고 표준화된 진단을 위한 자동 설진 시스템을 개발하기 위하여 촬영된 얼굴 영상으로부터 혀를 영역분할하고 설태를 분류하는 것은 필수적이지만 혀와 입술, 입 근처의 피부색이 서로 유사하므로 쉽지 않은 일이다. 제안된 방법은 전처리 과정과 영역분할, 혀의 구조로부터 발생하는 음영 영역의 지역 최소값 위치 검색, 지역 최소값의 교정, 컬러의 차이를 최대로 하는 위치를 찾는 컬러 경계면 탐색, 척의 기하적인 특성에 일치하는 경계면 선택, 경계면 평활화로 구성되어 있으며, 여기서 전처리 과정은 계산량의 감소를 위한 부 표본화, 히스토그램 평활화, 경계면 강화를 수행한다. 이러한 시스템적인 과정을 거치면, 영역분할된 혀를 획득할 수 있게 된다. 제안된 방법으로 분할된 영역은 초과적으로 혀가 아닌 영역을 제외해 낼 뿐 아니라 정확한 진단을 위해 중요한 정보를 제공함을 한의사의 진단 유효도 평가점수를 통해 확인할 수 있었다. 제안된 방법은 진단의 객관화와 표준화에 기여할 뿐만 아니라 u-Healthcare 시스템에도 활용 가능하다.

• 한국한의학연구원논문집
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• 제17권2호
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• pp.115-120
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• 2011

Objectives : The purpose of this study is to develop an apparatus which can take a facial image by self-operated capturing technique. The user can obtain one's facial image immediately after adjusting facial tilt and focusing distance. The system has been designed for classifying Sasang typology based on facial image. Methods : The system is composed of a Webcam, one-way glass mirror and mini LCD. The Webcam takes a facial image which is displayed on the mini LCD. Then the user can see and adjust to the right position in the real time through the image mirror-reflected from the mini LCD. The optical sensor is used to estimate the proper focusing distance. To verify the performance of the system, 11 characteristic points on the facial image are used and compared with high performance DSLR camera(D700) by applying the coefficient of variance and Bland-Altman Plot. Results : The developed system and D700 show enough agreement with the small coefficient of variance to analyse constitutional types with a facial im mage. However, the result of Bland-Altman plot shows that the width parameters have distortions owing to short focusing distance. Conclusions : The system is expected to be utilized on u-healthcare services for home environment after improving the distortion in the width parameters.

• 대한한의진단학회지
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• 제17권2호
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• pp.77-89
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• 2013

Objectives Tongue diagnosis is an important diagnostic method in traditional Eastern medicine, and it has a high potential to be used in the future healthcare because of easy, quick, and non-contact measuring features. Recently, research and development efforts on computerized tongue diagnosis systems (CTDS) have been active that led to the technical advancements in the field of photographing techniques, image extraction and classification algorithms. In this study, we analyzed the trends in the CTDS patents. Using the WIPS search engine (www.wipsglobal.com), quantitative and qualitative patent analyses were performed through Korea, China, Japan, U.S.A and Europe. Methods For a systematic search and data analysis, we defined patent categories based on the application area and technical details. By applying thus-obtained categorical key words, we obtained 360 relevant patents on photographing techniques, image extraction and classification algorithms for the purpose of diagnosis or security. Results As a result, companies related to image acquisition, medical imaging and mobile devices and research groups of universities in East Asia were major patent applicants. In all the five countries, the number of patents have been increasing since 1980. In particular, technology related to color correction and image segmentation were most actively patented categories, and expected to continue a high application rate.

• 한국한의학연구원논문집
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• 제14권3호
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• pp.89-95
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• 2008

A tongue shows physiological and clinicopathological changes of inner organs. Visual inspection of a tongue is not only convenient but also non-invasive. To develop an automat ic tongue diagnosis system for an objective and standardized diagnosis, the separation of the tongue are a from a facial image and the detection of coatings, spots and cracks are inevitable but difficult since the colors of a tongue, lips, and skin in a mouth as well as those of tongue furs and body are similar. The propose d method includes preprocessing with down-sampling and edge enhancement, over-segmentation, detecting positions with a local minimum over shading from the structure of a tongue, and correcting local minima or detecting edge with color difference. The proposed method produces the region of a segmented tongue, and then decomposes the color components of the region into hue, saturation and brightness, resulting in classifying the regions of tongue furs(coatings) into kinds of coatings and substance and segmenting them. Spots are detected by using local maxima and the variation of saturation, and cracks are searched by using local minima and the directivity of dark areas in brightness. The results illustrate the segmented region with effective information, excluding a non-tongue region and also give us accurate discrimination of coatings and the precise detection of spots and cracks. It can be used to make an objective and standardized diagnosis for an u-Healthcare system as well as a home care system.