• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.3
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• pp.429-437
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• 2019

This study was a descriptive study to investigate the factors influencing on attitude toward withdrawal of life-sustaining treatment of nursing students' consciousness of biomedical ethics, good death recognition and meaning of life. The subjects of this study were 293 nursing students attending college at P city. Data were collected for two weeks from May 1, 2018 to May 11, 2018. The statistical method was performed with SPSS WIN 22.0 using a complex sampling analysis, pearson's correlation coefficients, and a multiple regression analysis. The result of this study was significant positive correlation between attitude toward withdrawal of life-sustaining treatment and consciousness of biomedical ethics(r=.266, p<.001), good death recognition(r=.373, p<.001), meaning of life(r=.122, p=.037). The meaning of life was significant positive correlation consciousness of biomedical ethics(r=.294, p<.001), good death recognition(r=.230, p<.001). The good death recognition was significant positive correlation consciousness of biomedical ethics(r=.306, p<.001). Factors Influencing on the attitude toward withdrawal of life-sustaining treatment was good death recognition(${\beta}=.32$, p<.001) and consciousness of biomedical ethics(${\beta}=.16$, p=.004). These factors explained about 16% of the variance. Therefore it is necessary to develop an educational program to positively raise the attitude of consciousness of biomedical ethics and good death recognition.

• Proceedings of the Korean Information Science Society Conference
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• 2001.10b
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• pp.403-405
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• 2001

한정된 대역폭의 통신망에서 다른 매체에 비해 자료량이 많은 화상의 압축은 중요한 문제로 떠올랐다. 대표적인 영상 압축방법으로 MPEG 시리즈와 H.26x 시리즈가 있다. 그중 H.263은 화상회의 표준안인 H.323와 최근 진행중인 차세대 이동통신이라 일컬어지는 IMT-2000에서 영상압축방법중의 하나로 채택되었다. 또한 현대에 이르러 Desktop상에서의 영상회의구축은 더 이상 불가능한 일이 아니며, 또 하나의 영상회의 활용분야로 급속히 떠오르고 있다. 이는 internet의 보급과 함께 internet방송, 다대다 화상회의, 원격 의료 진료 등, 수없이 많은 분야에 활용될 수 있는 계기가 마련되었다. 이에 본 논문에서는 H.261과 H.263, 그리고 H.263 version 2의 Desktop상에서의 실제적인 구현 및 비교를 기술한다.

• Proceedings of the Korea Multimedia Society Conference
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• 2004.05a
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• pp.271-274
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• 2004

영상정합을 통한 의료영상 분석방법들 중 동일환자에 대한 선형적 다중모달리티 정합이 널리 이용되고 있다. 그러나 실제적으로 여러 종류의 환자영상 취득이 어렵거나 해부학적 영상정보가 손실되는 경우가 적지 않다 본 논문에서는 표준 형상을 가지는 정상인 해부학적 뇌영상에 대한 환자 기능적 뇌영상의 정합방법을 제안한다. 먼저 두 영상간 모멘트 정보 매칭 및 초기선형 변환을 수행하고, 3차원 B zier 함수 기반 free-form 변형기법을 이용한 비선형 정합을 수행하여 정합 영상간 형상 차이를 최소화한다 제안방법은 환자 기능영상의 해부학적 분석 뿐 아니라 시술전-시술중 영상정합을 통한 영상유도시술에도 확장 적용될 수 있다.

• Journal of Information Technology Services
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• v.22 no.4
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• pp.21-35
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• 2023

Software as Medical Devices (SaMD) is a growing category of medical devices that are composed of software to perform one or more medical purposes. SaMD is less likely to cause physical harm compared to conventional medical devices, particularly medical electrical equipments, and may be more vulnerable to privacy issues. This difference was acknowledged and resulted in introducing new regulation guidance specifically for cybersecurity of SaMD. It guides stakeholders of SaMD what to consider in what context in terms of cybersecurity. This study examines the current guidance of how cybersecurity is considered for SaMD by analyzing current medical device standards, then suggest which concept or details beyond current medical device standards may be applicable through analysis of international standards documents published for software in general.

• Journal of Korea Multimedia Society
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• v.11 no.3
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• pp.386-397
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• 2008

This study proposes the actualization of a standard data model for activities through the development of clinical document architecture for medication administration using the health level 7 development frameworks(HDF) process based on object oriented analysis and development method of health level 7 V 3. Medication administration is the most common activity performed by clinical professionals at healthcare settings. A standardized information model and structured hospital information system are necessary to achieve evidence-based clinical activities. We had used HDF and various tools(Rose tree, RMIM designer, V3 generator) to create the clinical document architecture(CDA). This allowed us to illustrate each step of the HDF in the administration of medication. This study generated a information model of the medication administration process, which is one clinical activity. It should become a fundamental conceptual model for understanding international standard methodology by information technology(IT) developers with the objective of modeling healthcare information systems.

• Journal of the Institute of Electronics Engineers of Korea CI
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• v.38 no.4
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• pp.39-49
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• 2001

Application of information system to hospital would bring innovative improvement on efficiency of business management and provide high quality services toward patients as well as the retrenchment of operating funds. PACS(Picture Archiving and Communication System) including X-ray film that manages the medical image information effectively, has drawn considerable attention to essential structural elements to the sophisticated information system for hospital. PACS system should be connected to the network after making a form of standard medical image file from different style of image information obtained from various medical instruments. In this paper, to solve this problem, we construct Mini-PACS that converts the form of Non-DICOM file to the form of standard file by designing the DICOM converter. This system is designed to be managed under Web environment. Comparing with the existed Mini-PACSs, consisting of the client and server module, our system is designed and implemented with integration of these functions in order to be strongly combine strongly between system.

• The Korean Society of Law and Medicine
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• v.18 no.1
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• pp.237-264
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• 2017

With the onset of the Human Genome Project, social concerns about 'genetic information discrimination' have been raised, but the problem has not yet been highlighted in Korea. However, non-medical institutions' genetic testing which is related to disease prevention could be partially allowed under the revised "Bioethics and Safety Act" from June 30, 2016. In the case of one domestic insurance company, DTC genetic testing was provided for the new customer of cancer insurance as a complimentary service, which made the social changes related to the recognition of the genetic testing. At a time when precision medicine is becoming a new standard for medical care, discipline on genetic information discrimination has become a problem that can not be delayed anymore. Article 46 and 67 of the Bioethics Act stipulate the prohibition of discrimination on grounds of genetic information and penalties for its violation. However, these broad principles alone can not solve the problems in specific genetic information utilization areas such as insurance and employment. The United States, Canada, the United Kingdom, and Germany have different regulations that prohibit genetic information based discrimination. In the United States, Genetic Information Non-Discrimination Act takes a form that adds to the existing law about the prohibition of genetic information discrimination. In addition, the range of genetic information includes the results of genetic tests of individuals and their families, including "family history". Canada has recently enacted legislation in 2017, expanding coverage to general transactions of goods or services in addition to insurance and employment. The United Kingdom deals only with 'predictive genetic testing results of individuals'. In the case of insurance, the UK government and Association of British Insurers (ABI) agree to abide by a policy framework ('Concordat') for cooperation that provides that insurers' use of genetic information is transparent, fair and subject to regular reviews; and remain committed to the voluntary Moratorium on insurers' use of predictive genetic test results until 1 November 2019, and a review of the Concordat in 2016. In the case of employment, The ICO's 'Employment Practices Code (2011)' is used as a guideline. In Germany, Human Genetic Examination Act(Gesetz ${\ddot{u}}ber$ genetische Untersuchungen bei Menschen) stipulates a principle ban on the demand for genetic testing and the submission of results in employment and insurance. The evaluation of the effectiveness of regulatory framework, as well as the form and scope of the discipline is different from country to country. In light of this, it would be desirable for the issue of genetic information discrimination in Korea to be addressed based on the review of related regulations, the participation of experts, and the cooperation of stakeholders.

• Proceedings of the KOSOMBE Conference
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• v.1998 no.11
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• pp.253-254
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• 1998

The standardization of the dental chart proposed to computerization of the dental hospital information. To objective standardization, we gathered the dental chart from four university hospital(seoul, yonsei, kyunghee, pusan) and held a conference with dental physicians. From gathered charts, we classified the common and non-common items. We proposed the standardization to choose the most of the common items and necessary non-common things. The proposed chart include those items and the new things which the dental physicians want. After this paper, we will hold a conference with more dental physicians about more data to make more useful proposal.

• Journal of Korea Multimedia Society
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• v.17 no.5
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• pp.640-653
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• 2014

Recently medical consumers pursue high leveled quality of life through active promotion, prevention, management activity of health as the importance of health during home life is emerged to meet the aging society and chronic diseases. In addition, people are directed to the m-Health for managing yourself their health by using smartphone and various personal health devices, if necessary transmits health data to the physician himself. In the previous studies, m-Health Application were developed and applied in the real clinical environment by adopting the medical information standards was rarely conducted. Therefore, in this study, the m-Health application platform was developed. Developed application was communicate with IEEE 11073 standard protocol using the Bluetooth Health Device Profile in personal health device via smart phone to process blood pressure information, and it converted to HL7 V2.6 ORU_R01 message for send to remote medical server. In addition, we tested the interoperability and safety of the developed application for 23 inpatient and 17 outpatient at D University Hospital. As a result, the blood pressure information has been transmitted without error.

• Journal of Internet Computing and Services
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• v.16 no.3
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• pp.1-11
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• 2015

WBAN(Wireless Body Area Network) operating around the human body aims at medical and non-medical service at the same time. and it is the short-range communication technology requiring low-power, various data rate and high reliability. Various studies is performing for IEEE 802.15.4, because IEEE 802.15.4 can provide high compatibility for operate WBAN among communication standard satisfiable these requirements. Meanwhile, in the case of coexisting many IEEE 802.15.4-based WBAN, signal interference and collision are the main cause that is decreasing data reliability. but IEEE 802.15.4 Standard does not consider about coexistence of many networks. so it needs improvement. In this paper, To solve about this problem, identify coexistence problem of IEEE 802.15.4-based WBAN by preliminary experiments. and propose a scheme to mitigate the reliability decrease at multiple coexistence WBAN. The proposed scheme can be classified in two steps. The first step is avoidance to collision on the CFP through improving data transmission. The second step is mitigation collision through converting channel access method. Proposed scheme is verified the performance by performing comparison experiment with Standard-based WBAN.