• 대한간호학회지
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• 제53권1호
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• pp.39-54
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• 2023

Purpose: This study aimed to investigate the nationwide intention to delegate clinical practice of medical specialists in accordance with the enactment of the scope of practice for advanced practice nurses (APNs). Methods: Data were collected from October to December 2021 using Google Surveys. In total, 147 medical specialists from 12 provinces responded to the survey. The survey questionnaire was categorized into four legislative draft duties, according to the scope of practice (a total of 41 tasks): Twenty-nine tasks on treatments, injects, etc., performed under the guidance of a physician and other activities necessary for medical treatment (treatment domain); two tasks on collaboration and coordination; six tasks on education, counseling, and quality improvement; four regarding other necessary tasks. Participants were asked whether they were willing to delegate the tasks to APN. Results: The intention to delegate tasks to APN was higher for non-invasive tasks such as blood sampling (97.3%) or simple dressing (96.6%). Invasive tasks such as endotracheal tube insertion (10.2%), sampling: bone marrow biopsy & aspiration (23.8%) showed low intention to delegate in the treatment domain. Participants who were older, male, and had more work careers with APN, showed a higher intention to delegate tasks. Conclusion: To prevent confusion in the clinical setting, a clear agreement on the scope of APN practice as APN delegated by physicians should be established. Based on this study, legal practices that APN can perform legally should be established.

• 대한예방한의학회지
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• 제27권3호
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• pp.13-24
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• 2023

Objective : This study was aimed to reassess the scope of practice for medical personnel based on laws. Method : The law specifying the scope of practice for medical personnel has been selected searching Korean Law Information Center(https://www.law.gov.kr). The result was categorized as 'examination, diagnosis, treatment, procedure, prescription, and others'. Results : The laws related to medical procedures were divided into three categories: diagnosis, treatments, and public health and others. In the field of diagnosis, traditional Korean medicine practitioners are generally allowed to play a role. However, some laws specify that only medical doctors can be the primary authorities for diagnosing infectious diseases. In the area of treatments, particularly in emergency medical situations, only medical doctors or nurses are typically mentioned. There are debates in the field of public health and other areas concerning issues such as vaccination, disability diagnosis, and the qualifications for health center directors. A reevaluation is also needed for the Occupational Safety and Health Act, where only medical doctors are set as the personnel standard for workers' health examinations. Conclusion : To safeguard and promote the health of the citizens, there is a need for a clear definition of the licensure and scope of practice for healthcare professionals. Consistent interpretation of conflicting provisions among various laws and clear criteria for the term 'physician' in legal contexts are essential.

• 대한원격탐사학회지
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• 제38권6_4호
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• pp.1901-1910
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• 2022

뉴스페이스(new space) 시대가 도래함에 따라 국내 KOMPSAT-3·3A 위성영상과 해외 위성영상과의 글로벌 융합활용 기술확보가 대두되고 있다. 일반적으로 다중센서 위성영상은 취득 당시의 다양한 외부요소로 인해 영상 간 상대적인 기하오차(relative geometric error)가 발생하며, 이로 인해 위성영상 산출물의 품질이 저하된다. 따라서 본 연구에서는 KOMPSAT-3·3A 위성영상과 해외 위성영상 간 존재하는 상대기하오차를 최소화하기 위한 정밀영상정합(fine-image registration) 방법론을 제안한다. KOMPSAT-3·3A 위성영상과 해외 위성영상 간 중첩영역을 선정한 후 두 영상 간 공간해상도를 통일한다. 이어서, 특징 및 영역 기반 정합기법을 결합한 형태의 하이브리드(hybrid) 정합기법을 이용하여 정합점(tie-point)을 추출한다. 그리고 피라미드(pyramid) 영상 기반의 반복적 정합을 수행하여 정밀영상정합을 수행한다. KOMPSAT-3·3A 위성영상과 Sentinel-2A 및 PlanetScope 영상을 이용하여 제안기법의 정확도 및 성능을 평가하였다. 그 결과, Sentienl-2A 영상 기준 평균 Root Mean Square Error (RMSE) 1.2 pixels, PlanetScope 영상 기준 평균 RMSE 3.59 pixels의 정확도가 도출되었다. 이를 통해 제안기법을 이용하여 효과적으로 정밀영상정합을 수행할 수 있을 것으로 사료된다.

• KIEAE Journal
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• 제3권3호
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• pp.59-66
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• 2003

From an sustainable perspective, one unique characteristic of Open Housing is its ability to individualize variable elements (infill) from the permanent elements (support) in accordance with the residents' needs. Such environment-friendly elements of Open Housing can contribute to increasing the life span of the building, reducing the scope of reconstruction, and minimizing the amount of disposed building materials during demolition. The purpose of this research is to analyze the flexibility concept from a typological perspective, so that the concept of open housing can be better understood and its development can be promoted. The main method of this study was content analysis. Based on literature review of flexibility concept in a typological approach, a primary categories were established to describe the flexibility concept such as time for flexibility, scope, and the degree of openness. Subsequently each criterion was elaborated as follows: planning, supply, and utility in the time stage; internal and external flexibility in its scope; and fixed, semi-free, and free flexibility in its openness degree. This research exposes the lack of comprehensive knowledge of Open Housing caused by rather uniform features of previous studies. This research establishes and promotes a systematic approach for a more holistic meaning of Open Housing. This approach should contribute to the proper utilization and further development of sustainable housing.

• 한국응급구조학회지
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• 제22권3호
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• pp.77-90
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• 2018

Purpose: This study aimed to assess and improve the work scope of emergency medical technicians (EMT)-paramedics in emergency medical centers. Methods: Data were collected from February 1 to 14, 2018. The questionnaire comprised a total of 56 questions: eight general questions, six questions about the recognition of EMT-paramedics in emergency medical centers, and 42 questions about their work. Data were analyzed via frequency and correlation analysis using SPSS version 18.0. Results: Regarding the work of EMTs in emergency medical centers, positive opinions were found in 23 items, negative opinions in 4 items, and both positive and negative opinions in 9 items. Regarding the questions about the necessity, work importance, professionalism, and the need for an increase4 in EMR-paramedics, depending on respondents' career, there was no statistically significant difference between the group of beginners and the group comprising beginners and that of experienced workers (p>.200). Conclusion: The expert survey revealed that the work performance of EMT-paramedics in regional emergency medical centers was trusted and showed positive results of improvement and expansion.

• 한국산업정보학회논문지
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• 제27권3호
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• pp.127-144
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• 2022

본 논문에서 기업의 내외부 경영환경요인이 관리회계시스템 특성에 미치는 영향에 대해 분석하였다. 기업의 외부 경영환경요인으로 환경불확실성과 시장에서의 경쟁, 내부 경영환경요인으로 경영전략, 조직구조, 첨단 제조기술을 하위요인으로 구성하였고, 관리회계시스템 특성은 정보의 범위, 적시성, 통합성, 결합성 하위요인으로 구성하였다. 연구 결과를 요약하면 기업의 환경요인 중 환경불확실성이 관리회계시스템의 정보의 범위, 통합성, 결합성에 상대적으로 중요한 영향요인임을 확인하였고 적시성은 조직구조가 가장 영향을 주는 요인으로 나타났다. 다만, 시장에서의 경쟁은 관리회계시스템 특성에 영향을 미치지 못하는 것으로 나타났다.

• 대한원격탐사학회지
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• 제38권6_2호
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• pp.1623-1631
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• 2022

유출유는 해양 생태계에 큰 위협이 되므로 피해 최소화를 위해 신속한 현황정보파악이 필요하다. 위성원격탐사는 항공기에 비해 광역적 모니터링이 가능하기 때문에 시공간적 범위에서 장점을 가진다. 최근에는 딥러닝 영상인식 기술의 발전으로 인해 딥러닝을 활용한 유출유 탐지의 필요성이 대두되고 있으나, 기존의 Synthetic Aperture Radar (SAR) 영상 위주의 유출유 탐지와는 달리 고해상도 광학영상에 딥러닝 기법을 적용하는 경우는 많지 않았다. 이에, 본 연구에서는 PlanetScope 위성의 광학영상을 활용하여 유출유 레이블을 제작하고, 이를 기반으로 DeepLabV3+모델을 활용하여 유출유 탐지 모델을 구축하였으며, 암맹평가에서 정확도 0.885, 정밀도 0.888, 재현율 0.886, F1점수 0.883, 평균 교집합 대 합집합 비율(Mean Intersection over Union, mIOU) 0.793 등의 상당히 높은 정확도를 나타냈다.

• 한국응급구조학회지
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• 제7권1호
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• pp.55-64
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• 2003

The purposes of this study which was conducted by applying three projection formulae to the data from admission quota for paramedic of the Ministry of Education & Human Resources Development the number of ambulances the number of emergency medical centers of the Ministry of Health & Welfare and rate of successful candidates of annual report of the National Health Personnel Licensing Examination Board were to find out demand and supply of paramedic from 2002 to 2045 and to expand scope of practice of paramedic in Korea. The conclusions from this study were summarized as follows; (1) The simple formulae derived from the projection formula of the Economic Planning Board were applied under the present Emergency Medical Services Act including qualifying over 3-years experienced EMT-Basic for paramedic examinee, stationing paramedic or EMT-Basic or physician or nurse per ambulance, stationing paramedic or EMT-Basic per emergency medical center and under the amended Emergency Medical Services Act including qualifying only paramedic graduate for paramedic examinee, stationing 4.5 paramedics per ambulance, stationing 10 to 2 paramedics per emergency medical center. (2) It was estimated that on the American basis of 5.6 EMTs per 10,000 in 1996, the number of paramedics under the present act will reach the basis before 2020, the number of paramedics under the amended act will reach the basis about 2040. (3) It was estimated that on the basis of 22,000 paramedics demanded from the number of ambulances, the number of emergency medical centers in 2001, the number of paramedics under the present act will reach the basis before 2015, the number of paramedics under the amended act will reach the basis about 2030. (4) There was relationship between requirements for emergency medical centers scope of practice of paramedic in the act and demand-supply of paramedic, this necessitates surveys, studies, amendment of the act, legalization for expanded scope of practice of paramedic including EMD, instructor, teacher of safety. (5) This study which includes only expanded scope of practice of paramedic and projection for paramedic in the act needs complementary studies such as decision-making process in health manpower policy and so on.

• 한국패류학회지
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• 제27권3호
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• pp.205-211
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• 2011

This study presents physiological rates of oxygen consumption, ammonia excretion, feeding rates, O/N ratio and assimilation efficiency of the blood cockle, Scapharca subcrenata, determined from specimens collected in Yeoja bay on the south coast of Korea. Physiological parameters were measured monthly under static, laboratory controlled conditions with ambient conditions, and measurements were performed seasonally in order to estimate scope for growth and its probable sources of variation. Oxygen consumption and ammonia excretion rates have been increased as temperature increased with the highest value of August, 2008. Feeding rate was the highest during April whereas the lowest was during August which is a period of gametogenesis with minimum biomass of phytoplankton around sampling area. Assimilation efficiency was not significantly different seasonally and O/N ratio decreased during July to August. The scope for growth was negative during high temperature months(July to August), reflecting the high temperature and low feeding rate, and had its highest positive values during spring and autumn. Data on the physiological parameters and scope for growth of Scapharca subcrenata obtained in this study will be used to assess the carrying capacity for blood cockle cultivation.

• KSII Transactions on Internet and Information Systems (TIIS)
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• 제16권6호
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• pp.2074-2093
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• 2022

RSA is known as one of the best techniques for securing secret information across an unsecured network. The private key which is one of private parameters is the aim for attackers. However, it is exceedingly impossible to derive this value without disclosing all unknown parameters. In fact, many methods to recover the private key were proposed, the performance of each algorithm is acceptable for the different cases. For example, Wiener's attack is extremely efficient when the private key is very small. On the other hand, Fermat's factoring can quickly break RSA when the difference between two large prime factors of the modulus is relatively small. In general, if all private parameters are not disclosed, attackers will be able to confirm that the private key is unquestionably inside the scope [3, n - 2], where n is the modulus. However, this scope has already been reduced by increasing the greatest lower bound to [d_il, n - 2], where d_il ≥ 3. The aim of this paper is to decrease the least upper bound to narrow the scope that the private key will remain within this boundary. After finishing the proposed method, the new scope of the private key can be allocated as [d_il, d_ir], where d_ir ≤ n - 2. In fact, if the private key is extremely close to the new greatest lower bound, it can be retrieved quickly by performing a brute force attack, in which d_ir is decreased until it is equal to the private key. The experimental results indicate that the proposed method is extremely effective when the difference between prime factors is close to each other and one of two following requirement holds: the first condition is that the multiplier of Euler totient function is very close to the public key's small value whereas the second condition is that the public key should be large whenever the multiplier is far enough.