• Archives of Plastic Surgery
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• v.38 no.5
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• pp.711-714
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• 2011

Purpose: Angiosarcoma is a rare malignant neoplasm of endothelial type cells that line vessel walls. It tends to occur in aged male and the prognosis of angiosarcoma is very poor because of frequent local recurrence and early metastasis. The treatment regimen is yet to be established from its rare occurrence but the wide excision in early stage is known to be the most effective. The authors report two cases of near totally excised angiosarcoma with more than a safety margin of 5 cm. Methods: The two subjects were aged male patients, one of the two was diagnosed with angiosarcoma from our institution confirmed by the biopsy. The other one went through the wide excision with a safety margin of 2 cm and split-thickness skin graft but local recurrence was observed. The two patients underwent near total excision with more than a safety margin of 5 cm, leaving only the periosteum. After confirming that the angiosarcoma had not infiltrated the excision margin, reconstruction with split-thickness skin graft was performed. Results: Based on 6 months and 24 months post-surgery assessment, no local recurrence or remote metastasis in the lungs, liver, bones, and lymph nodes at the neck, where remote metastasis is common, was reported by the two subjects who underwent near total excision with a safety margin of 5 cm. Conclusion: Angiosarcoma has very poor prognosis from its frequent recurrence and metastasis. To enhance the survival rate of angiosarcoma patients, early diagnosis, timely surgical treatment, and radiotherapy after surgery are critical. In addition, authors suggest that it is necessary to further study the efficacy of wide excision using a wider safety margin as much as possible, and to apply this to more cases.

• Korea Journal of Hospital Management
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• v.27 no.2
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• pp.34-43
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• 2022

Objective: Telemedicine service is gaining importance in remote military areas. This study aimed to explore the mediating effect of user satisfaction on the association between military telemedicine service's quality and customer loyalty. Methods: The research data comprised the results of a satisfaction survey on 1,116 military telemedicine satisfaction surveys conducted from November 1 to November 31, 2021. T-tests and ANOVA were analyzed to confirm the difference in satisfaction and loyalty according to the general characteristics of the study subjects. User satisfaction, customer loyalty, and mediating effects were analyzed using multiple linear regression analysis. Results: Among the study subjects, 458 were affiliated with the Army, 68 with the Navy, and 36 with the Air Force. Among the quality of telemedicine service, tangibility, reliability, and empathy affected user satisfaction while reliability and empathy affected customer loyalty. Since the standardized coefficient beta of empathy was 0.150 (P=0.018), it was confirmed that it significantly affected customer loyalty by mediating user satisfaction. Conclusion: The telemedicine service's quality affects users' satisfaction and customer loyalty. Moreover, there was the mediating effect of user satisfaction on the association between telemedicine service and customer loyalty. Therefore, the reliability and reliability of the current telemedicine service can be improved through the replacement of outdated equipment and performance improvement, expansion of medicines in telemedicine units, and improvement of medical services through periodic CS education to increase the customers' satisfaction and loyalty.

• Asian Pacific Journal of Cancer Prevention
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• v.14 no.1
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• pp.547-552
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• 2013

To investigate patient, cancer and treatment characteristics in females with breast cancer from more remote areas of Australia, to better understand reasons for their poorer outcomes, bi-variable and multivariable analyses were undertaken using the National Breast Cancer Audit database of the Society of Breast Surgeons of Australia and New Zealand. Results indicated that patients from more remote areas were more likely to be of lower socio-economic status and be treated in earlier diagnostic epochs and at inner regional and remote rather than major city centres. They were also more likely to be treated by low case load surgeons, although this finding was only of marginal statistical significance in multivariable analysis (p=0.074). Patients from more remote areas were less likely than those from major cities to be treated by breast conserving surgery, as opposed to mastectomy, and less likely to have adjuvant radiotherapy when having breast conserving surgery. They had a higher rate of adjuvant chemotherapy. Further monitoring will be important to determine whether breast conserving surgery and adjuvant radiotherapy utilization increase in rural patients following the introduction of regional cancer centres recently funded to improve service access in these areas.

• Journal of the Korea Convergence Society
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• v.13 no.4
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• pp.137-145
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• 2022

The usability evaluation of the remote fluid monitoring device, which was introduced to reduce the work of nurses and increase the efficiency, was performed due to the expansion of the non-face-to-face medical system. Remote fluid monitoring is a fusion of various technologies such as fluid measurement and analysis, error correction technology, and transmission technology. The range of use by users, the information they want to obtain, and the control device, etc. are wide, and the factors that evaluate the product are also diverse. Therefore, it is difficult to improve the product through evaluation. In this study, a quantitative index was developed to help improve the product for commercialization by conducting 20 usability evaluations in three areas of product stability, operability, and satisfaction with the remote sap monitoring system device. It was performed through infrared and load cell-type sap monitoring devices. In terms of stability, there was a difference in installation work such as fixing the pole of the device, and high satisfaction was shown for operability and accuracy. In terms of product satisfaction, the satisfaction of load cell devices was generally high.

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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• 2022.05a
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• pp.571-572
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• 2022

Recently, VR/AR(virtual reality/augmented reality) contents have actively increased, and various services related to VR/AR allow users to experience remote places. Also, Metaverse technologies based on VR/AR generally used to provide content in virtual spaces. In this paper, we present a technique for synthesizing virtual humans after capturing a 360-degree panorama of a remote environment, and analyze the remote environment to identify the location where it can be captured without error, and apply a method of synthesizing virtual humans. According to this paper, it is possible to provide various captured spaces such as industrial plants, medical facilities, and schools as remote communication media.

• Progress in Medical Physics
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• v.5 no.1
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• pp.67-74
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• 1994

Dose distribution of point source represents an inverse square law as the distance, Difference of measurement value and calculation value according to moving distance of radiation source show very large error in dose calculation of Brachytherapy. Therefore, in RALS of high dose rate, dose calculation have an important effect in treatment of uterine cervix cancer and recurrent rate. In this paper, authors measured moving distance of radiation source carrying out RALS. And we measured Rectum dose compared with calculationdose.

• Journal of Internet Computing and Services
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• v.9 no.4
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• pp.143-156
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• 2008

Grid-based PACS can provide an advanced medical information services such as remote image file transfer, collaboration, remote diagnosis, and virtual hospital. In this paper, we have implemented Grid-PACS which guarantees both storage safety and extendability for virtual large scale storage system. The experimental results showed that the virtual storage system provided more efficient and faster data transfer than the conventional PACS. The proposed Grid data management system can be utilized to improve the effectiveness of the PACS data management and transmission between medical institutions.

• The Journal of Korea Institute of Information, Electronics, and Communication Technology
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• v.10 no.3
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• pp.232-241
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• 2017

This study was carried out to design the stable elements of the aerial work machinery used in the orchard and farmland which had been conducted in the previous research. A hydraulic lifting lift has been developed to work safely at irregular and inclined locations using an auto leveling system and a horizontal sensor. The development of a centralized controller including remote control has been carried out in order to control the elevated work platform. Through the developed module, we carried out on-site test run to check whether the control is stable in the elevation workbench. Through the structural analysis of the elevation workbench, the maximum load and the equal load amount that the worker can safely work on the workbench are presented.

• Journal of Biomedical Engineering Research
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• v.44 no.2
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• pp.99-108
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• 2023

According to the COVID-19, development of various medical software based on IoT(Internet of Things) was accelerated. Especially, interest in a central software system that can remotely monitor and control ventilators is increasing to solve problems related to the continuous increase in severe COVID-19 patients. Since medical device software is closely related to human life, this study aims to develop central monitoring system that can remotely monitor and control multiple ventilators in compliance with medical device software development standards and to verify performance of system. In addition, to ensure the safety and reliability of this central monitoring system, this study also specifies risk management requirements that can identify hazardous situations and evaluate potential hazards and confirms the implementation of cybersecurity to protect against potential cyber threats, which can have serious consequences for patient safety. As a result, we obtained medical device software manufacturing certificates from MFDS(Ministry of Food and Drug Safety) through technical documents about performance verification, risk management and cybersecurity application.

• Proceedings of the KOSOMBE Conference
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• v.1996 no.05
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• pp.147-150
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• 1996

We are developing a teleconference system based on 3D medical image. The system consists in three sub-systems : conference operating system, medical image processing system and database management system. It makes it possible efficient computer-supported coorperative work among remote multi-located hospitals. In this paper, we present functions of each subsystem that have implemented until now.