• Clinical and Experimental Pediatrics
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• 제57권10호
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• pp.434-439
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• 2014

Treatment outcomes of pediatric cancers have improved greatly with the development of improved treatment protocols, new drugs, and better supportive measures, resulting in overall survival rates greater than 70%. Survival rates are highest in acute lymphoblastic leukemia, reaching more than 90%, owing to risk-based treatment through multicenter clinical trials and protocols developed to prevent central nervous system relapse and testicular relapse in boys. New drugs including clofarabine and nelarabine are currently being evaluated in clinical trials, and other targeted agents are continuously being developed. Chimeric antigen receptor-modified T cells are now attracting interest for the treatment of recurrent or refractory disease. Stem cell transplantation is still the most effective treatment for pediatric acute myeloid leukemia (AML). However, in order to reduce treatment-related death after stem cell transplantation, there is need for improved treatments. New drugs and targeted agents are also needed for improved outcome of AML. Surgery and radiation therapy have been the mainstay for brain tumor treatment. However, chemotherapy is becoming more important for patients who are not eligible for radiotherapy owing to age. Stem cell transplant as a means of high dose chemotherapy and stem cell rescue is a new treatment modality and is often repeated for improved survival. Drugs such as temozolomide are new chemotherapeutic options. In order to achieve 100% cure in children with pediatric cancer, every possible treatment modality and effort should be considered.

• 임상간호연구
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• 제22권2호
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• pp.161-172
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• 2016

Purpose: The purpose of this study was to develop a nursing protocol for care of hospitalized foreign patients based on necessary nursing care and to evaluate content validity and practical applicability. Methods: A survey was conducted to identify the need for protocol development and to prioritize necessary content to be included in the protocol (N=110). A draft protocol was developed, and 7 experts and 115 nurses evaluated content validity and practical applicability of the protocol. Results: Results of the needs survey showed that all participants agreed there is a need for a protocol. Based on the survey results, a protocol was developed which included: regional culture and healthcare, admission/discharge care, surgical care, pain management, care in diagnostic testing, medication administration, and blood transfusion. Score on the experts' evaluation of content validity of the protocol was $3.66{\pm}0.28$. Practical applicability score was $3.61{\pm}0.29$ in the experts' group and $3.16{\pm}0.11$ in the nurses' group. Total score for validity of the overall content was $29.46{\pm}5.62$. Conclusion: The nursing protocol developed in this study for care of hospitalized foreign patients can contribute to improvement in quality of nursing care for these patients and can also be used as a teaching guideline to educate nurses.

• Journal of Chest Surgery
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• 제51권4호
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• pp.231-240
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• 2018

Background: Analyses of the efficacy and safety of transcatheter aortic valve replacement (TAVR) in most countries have been based on outcomes obtained in accordance with national practice guidelines and monitoring protocols. The purpose of this study is to share our experience regarding the process for establishing guidelines and monitoring protocols for the use of TAVR in Korea, in the hopes that it may be helpful to others undergoing a similar process in their own country. Methods: The Korean guidelines for TAVR were established on June 1, 2015 in through a tri-party agreement involving the Department of Health and Welfare, the Korean Society of Thoracic and Cardiovascular Surgery and the Korean Society of Cardiology. We agreed to monitor the guidelines transparently and to exchange opinions regarding amendments or continuation of its contents after 3 years of monitoring. Results: The monitoring meetings were not held as regularly as agreed, and monitoring was also made difficult by insufficient and incomplete data. Nevertheless, during the meetings, measures to improve the monitoring process were discussed, and accordingly, an agreement was made to continue the monitoring process, with the aim of completing data collection by 2018. Conclusion: Compliance with guidelines is critical for assessing the efficacy and safety of TAVR. Moreover, the TAVR monitoring process must be properly conducted for an accurate evaluation to be made. Any country planning to introduce TAVR may encounter difficulties with regards to the optimal initiation strategy and subsequent monitoring. Nevertheless, continued efforts should be made to persuade the government and the corresponding medical societies to facilitate the optimal application of TAVR.

• 한국응급구조학회지
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• 제5권1호
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• pp.7-14
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• 2001

The purposes of this study which was conducted by inquiring into some curricula for Emergency Medical Dispatchers(EMDs) are to introduce a curriculum into Korea and develop a textbook for training of the EMDs in Korea. The conclusions from this study were summarized as follows; (1) There are some professional demands in our Emergency Medical Dispatch field therefore, now it is necessary to set up an education system for the EMDs in Korea and give them a suitable name to this change. (2) Some historical turning points which are condensed from the developmental process in the USA. including "Medical Self Help" with no formal dispatch protocols, Medical Priority Dispatch System, Practice Standard, Dispatch Protocols will serve as a good reference for establishing and education system for the EMDs. (3) To effectively train the EMDs in Korea, we needed to be introduced to Emergency Medical Dispatch : National Standard of Curriculum from the U.S. Department of Transportation & the National Highway Traffic Safety Administration which is made up Basic Emergency Medical Concepts, Information Gatherin & Dispatch, Introduction to the Emergency Medical Dispatch Protocol Reference System(EMDPRS) & 32 Chief Complaint Types. (4) The introduced curriculum closely related to the medical director, the direct indirect medical control, the scope of practice in the USA, should be revised for the Emergency Medical Service System of Korea. But to reduce the developmental process & time, it is necessary to postpone the consideration on these factors until publishing a new textbook. (5) This study which gives the cornerstone about some developmental methods on textbook for EMDs will be helpful to build up an education system for EMDs such as Curriculum, EMD Certification, National Academy of Emergency Medical Dispatch to fit the Emergency Medical Service System of Korea in the future.

• 정보보호학회논문지
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• 제17권5호
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• pp.99-109
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• 2007

최근 Lee 등에 의해 비밀 정보 동기화에 기반한 RFID 인증 프로토콜이 제안되었다. 본 논문에서는 이 프로토콜이 공격자가 악의적인 랜덤 수를 전송함으로써 합법적인 태그로 리더를 속일 수 있는 스푸핑 공격(spoofing attack)에 취약함을 보이고자 한다. 또한 논문에서는 위장공격을 방어할 뿐만 아니라 RFID시스템에서 최근 이슈화되고 있는 backward untraceability는 물론 forward untraceability를 만족하는 인증 프로토콜을 제안하고자 한다. 특히 제안하는 프로토콜 II는 데이터베이스에서 동기화 된 태그를 인증하는데 필요한 연산량을 3회의 해쉬 연산(비동기화 된 태그의 경우 평균$[m/2]{\cdot}2+3$번, m은 태그 수)으로 줄일 수 있어 대형 RFID 시스템에 적합하다.

• 정보보호학회논문지
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• 제18권1호
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• pp.77-87
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• 2008

최근 유비쿼터스 분산 환경에 적합한 해쉬 기반의 효율적인 RFID 인증 프로토콜들이 제안되었다. 분산 환경에 적합하기 위해서는 고정된 ID를 사용하는 것을 일반적인 특징으로 하는데, 기존 방식들은 ID를 Back-end DB에서 검색하는데 시간이 많이 소요되거나 안전성 측면에서 몇 가지 취약점을 가지고 있다. 본 논문에서는 분산 환경에 적합하도록 고정 ID를 사용하면서 DB에서 ID 검색이 용이한 RFID 인증 프로토콜을 제안하고자 한다. 제안 프로토콜의 특징은 DB가 다음 세션의 ID 검색을 용이하게 하기 위해 이전 세션에서 미리 검색 정보를 저장하여 둔다는 점이다. 제안 프로토콜에서는 태그와 DB간의 비동기 현상이 일어나지 않을 경우, 태그와 DB가 각각 단 3번씩의 해쉬 연산만으로 상호 인증을 수행할 수 있다.

• 한국컴퓨터정보학회논문지
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• 제27권11호
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• pp.139-145
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• 2022

소비자들이 원하는 제품이 다양해지면서, 경쟁력 있는 제품을 생산하기 위해 자동화 장비의 종류가 다양해지고, 고도화 되어 가고 있다. 일반적으로 장비들은 운영자가 효율적으로 장비를 감시하고, 신속하게 조작할 수 있도록 사용자용 인터페이스 장치(HMI)를 내장하여 제작하고 있다. HMI 장치는 다양한 산업용 컨트롤러와 연결되기 때문에, 디자인하는 단계에서 다양한 컨트롤러의 통신 프로토콜 등의 요소를 이해하고 설정해야 한다. 비전문가들은 다양한 프로토콜 중 호환 가능한 항목을 선택하는데 어려움이 존재할 뿐만 아니라, 화면과 설정이 정적으로 할당되므로 하나의 기기에서 통합 운용하는데 한계가 존재한다. 본 논문에서는 모바일 장치를 사용하여, QR코드로 장비의 ID, 통신 프로토콜 등의 정보를 스캔하고, 산업용 컨트롤러에 접속하여 원격으로 표시된 장비 화면을 조작할 수 있는 모델을 제안한다. 제안 모델은 하나의 모바일 장치를 활용하여 다양한 자동화 장비의 통신 환경을 쉽게 설정하고, 감시 및 조작할 수 있어 자동화 장비의 점검 및 관리에 효율이 증대될 것으로 기대된다.

• 대한임베디드공학회논문지
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• 제7권6호
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• pp.291-300
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• 2012

This paper deals with the design and implementation of wireless sensor network protocol for smart power outlet system capable of fire detection, power monitoring, standby power cutoff, and home automation. The proposed protocol integrates both the CSMA and the TDMA protocols for low power consumption and good scalability. A prototype smart power outlet system employing the proposed protocol and a simple home automation network including the power outlet system have been implemented for evaluating the feasibility of the proposed protocol The result shows that the proposed protocol allows the power outlet system to be scalable with high power efficiency.

• Investigative Magnetic Resonance Imaging
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• 제25권4호
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• pp.281-292
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• 2021

Cranial-nerve disorders can be caused by a wide spectrum of diseases, including congenital, inflammatory, and tumorous diseases, and are often encountered in practice. However, the imaging of cranial-nerve disorders is challenging, and understanding the anatomical differences of each region is essential for conducting the best protocols and for detecting subtle changes in cranial nerves during magnetic resonance imaging (MRI) examinations. In this review we discuss which MRI techniques are best for observing normal and pathologic appearance, according to the different regions of the cranial nerves.

• Korean Journal of Radiology
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• 제23권6호
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• pp.649-663
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• 2022

The role of magnetic resonance imaging (MRI) in diplopia is to diagnose various diseases that occur along the neural pathway governing eye movement. However, the lesions are frequently small and subtle and are therefore difficult to detect on MRI. This article presents representative cases of diseases that cause diplopia. The purpose of this article was to 1) describe the anatomy of the neural pathway governing eye movement, 2) recommend optimal MRI targets and protocols for the diagnosis of diseases causing diplopia, 3) correlate MRI findings with misalignment of the eyes (i.e., strabismus), and 4) help familiarize the reader with the imaging diagnosis of diplopia.