• Earthquakes and Structures
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• 제25권1호
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• pp.69-78
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• 2023

Life-cycle performance analysis of a reinforced concrete box section bridge was generated. Moreover, Monte Carlo simulation with important sampling (IS) was used to simulate the bridge material and load uncertainties. The bridge deterioration model was generated with the basic probabilistic principles and updated according to the measurement data. A genetic algorithm (GA) with the response surface model (RSM) was used to determine the deterioration rate. The importance of health monitoring systems to sustain the bridge to give services economically and reliably and the advantages of fiber-optic sensors for SHM applications were discussed in detail. This study showed that the most effective loss of strength in reinforced concrete box section bridges is corrosion of the reinforcements. Due to reinforcement corrosion, the use of the bridge, which was examined, could not meet the desired strength performance in 25 years, and the need for reinforcement. In addition, it has been determined that long-term health monitoring systems are an essential approach for bridges to provide safe and economical service. Moreover the use of fiber optic sensors has many advantages because of the ability of the sensors to be resistant to environmental conditions and to make sensitive measurements.

• 한국콘텐츠학회논문지
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• 제16권11호
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• pp.83-90
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• 2016

본 논문에서는 저전력 통신 기술인 IEEE 802.15.4 MAC (Media Access Control) 프로토콜에서 지원하는 Collision Free Period(CFP)에서의 전송 성능 분석을 수행한다. 분석을 위해 CFP의 서비스 타겟인 주기적 트래픽을 고려하고 Quality of Service 요구사항에 따라 MAC 계층에 전달되는 패킷전달 형태를 batch와 non-batch로 구분하여 throughput, delay, energy 측면에서 성능을 분석한다. 도출된 분석 결과를 토대로 Pedometer, ECG, EMG와 같이 주기적인 트래픽을 생성하는 헬스케어 애플리케이션에 대해 Collision Avoidance Period(CAP)에서의 전송과 성능 비교를 수행한다. 성능 평가를 통해 헬스케어와 같이 주기적이며 time-critical 트래픽을 생성하는 애플리케이션은 CFP 전송이 에너지 효율적이며 대역폭 요구 사항이 큰 애플리케이션에서는 CAP 대비 최대 46%의 에너지가 절감됨을 확인하였다.

• 비파괴검사학회지
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• 제23권5호
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• pp.445-454
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• 2003

구조건전성 모니터링은 복합재 구조물이 운용되는 단계에서뿐만 아니라 설계 및 제작단계에서도 중요한 관심사가 되고 있다. 과도한 하중이나 저속충격은 모재균열이나 층간분리와 같은 복합재 파손의 원인이 될 수 있으며 이러한 손상은 구조물의 하중지지성능을 저하시키게 된다. 지능형 복합재 구조물에서의 구조건전성 모니터링기술의 개발은 항공기와 길은 복합재 구조물의 안전성 향상에 도움이 될 수 있다 본 연구에서는 압전세라믹 센서 및 광섬유 센서를 복합재 구조물의 건전성 모니터링에 적용하였으며 파손신호의 특징파악 틴 충격위치 검출을 위한 신호처리 방법을 제안하였다.

• 디지털융복합연구
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• 제15권11호
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• pp.471-484
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• 2017

본 연구는 의료소비자의 건강관련 심리요인(건강 의식, 의사-환자 커뮤니케이션 효능감) 및 건강관련 행위적 특성(대형 종합병원 선호, 스마트 기기 건강앱 이용 정도)이 원격의료서비스에 대한 기대 편익 인식(이용 편의성, 의료의 질향상, 의료서비스 비용 절감)에 어떠한 영향을 미치는지를 탐색했다. 2016년 1월 만 19세 이상 60세 미만 성인을 대상으로 실시한 온라인 설문조사 응답(N = 927)을 이용하여 다중 회귀 분석한 결과, 건강 의식은 세 가지 기대 편익 인식 모두에 정적인 영향을 미치는 것으로 나타났다(모든 p < .05). 의사-환자 커뮤니케이션 효능감은 이용 편의성(${\beta}=.107$, p < .01)과 의료서비스 질 향상 인식(${\beta}=.086$, p < .05)에 정적인 영향력을 보였으며 스마트 기기 건강앱 이용 정도 또한 의료의 질 향상(${\beta}=.081$, p < .05)과 비용 절감 인식(${\beta}=.067$, p < .05)에 정적인 영향을 미쳤다. 이와 더불어 성별과 지역이 이러한 관계를 일부 조절하는 것으로 나타났다. 원격의료에 대한 공중의 인식을 소비심리, 미디어 및 보건학의 융복합적 관점에서 탐색한 본 연구는 향후 의료소비자 대상 원격의료 관련 홍보 및 교육 전략에 대한 실무적 함의를 제공한다.

• 대한간호학회지
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• 제39권4호
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• pp.574-583
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• 2009

Purpose: This paper analyzed alternative methods of calculating the conversion factor for nurse-midwife's delivery services in the national health insurance and estimated the optimal reimbursement level for the services. Methods: A cost accounting model and Sustainable Growth Rate (SGR) model were developed to estimate the conversion factor of Resource-Based Relative Value Scale (RBRVS) for nurse-midwife's services, depending on the scope of revenue considered in financial analysis. The data and sources from the government and the financial statements from nurse-midwife clinics were used in analysis. Results: The cost accounting model and SGR model showed a 17.6-37.9% increase and 19.0-23.6% increase, respectively, in nurse-midwife fee for delivery services in the national health insurance. The SGR model measured an overall trend of medical expenditures rather than an individual financial status of nurse-midwife clinics, and the cost analysis properly estimated the level of reimbursement for nurse-midwife's services. Conclusion: Normal vaginal delivery in nurse-midwife clinics is considered cost-effective in terms of insurance financing. Upon a declining share of health expenditures on midwife clinics, designing a reimbursement strategy for midwife's services could be an opportunity as well as a challenge when it comes to efficient resource allocation.

• Smart Structures and Systems
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• 제6권3호
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• pp.309-333
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• 2010

Civil infrastructure, in both its construction and maintenance, represents the largest societal investment in this country, outside of the health care industry. Despite being the lifeline of US commerce, civil infrastructure has scarcely benefited from the latest sensor technological advances. Our future should focus on harnessing these technologies to enhance the robustness, longevity and economic viability of this vast, societal investment, in light of inherent uncertainties and their exposure to service and even extreme loadings. One of the principal means of insuring the robustness and longevity of infrastructure is to strategically deploy smart sensors in them. Therefore, the objective is to develop novel, durable, smart sensors that are especially applicable to major infrastructure and the facilities to validate their reliability and long-term functionality. In some cases, this implies the development of new sensing elements themselves, while in other cases involves innovative packaging and use of existing sensor technologies. In either case, a parallel focus will be the integration and networking of these smart sensing elements for reliable data acquisition, transmission, and fusion, within a decision-making framework targeting efficient management and maintenance of infrastructure systems. In this paper, prudent and viable sensor and health monitoring technologies have been developed and used in several large structural systems. Discussion will also include several practical bridge health monitoring applications including their design, construction, and operation of the systems.

• 한국정보통신학회:학술대회논문집
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• 한국정보통신학회 2014년도 추계학술대회
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• pp.699-700
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• 2014

The use of Radio Frequency Identification technology (RFID) in medical context enables not only drug identification, but also a rapid and precise identification of patients, physicians, nurses or any other healthcare giver. The combination of RFID tag identification with structured and secured Internet of Things (IoT) solutions enables ubiquitous and easy access to medical related records, while providing control and security to all interactions. This paper defines a basic security architecture, easily deployable on mobile platforms, which would allow to establish and manage a medication prescription service in mobility context making use of electronic Personal Health Records. This security architecture is aimed to be used with a mobile e-health application (m-health) through a simple and intuitive interface, supported by RFID technology. This architecture, able to support secured and authenticated interactions, will enable an easy deployment of m-health applications. The special case of drug administration and ubiquitous medication control system, along with the corresponding Internet of Things context, is presented.

• International Journal of Computer Science & Network Security
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• 제23권7호
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• pp.219-230
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• 2023

Wireless Body Area Networks (WBANs) have made it easier for healthcare workers and patients to monitor patients' status continuously in real time. WBANs have complex and diverse network structures; thus, management and control can be challenging. Therefore, considering emerging Software-defined networks (SDN) with WBANs is a promising technology since SDN implements a new network management and design approach. The SDN concept is used in this study to create more adaptable and dynamic network architectures for WBANs. The study focuses on comparing the performance of two SDN controllers, POX and Ryu, using Mininet, an open-source simulation tool, to construct network topologies. The performance of the controllers is evaluated based on bandwidth, throughput, and round-trip time metrics for networks using an OpenFlow switch with sixteen nodes and a controller for each topology. The study finds that the choice of network controller can significantly impact network performance and suggests that monitoring network performance indicators is crucial for optimizing network performance. The project provides valuable insights into the performance of SDN-based WBANs using POX and Ryu controllers and highlights the importance of selecting the appropriate network controller for a given network architecture.

• Asian Pacific Journal of Cancer Prevention
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• 제14권12호
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• pp.7757-7759
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• 2013

Physicians, in order to study the causes of cancer, detect cancer earlier, prevent or determine the effectiveness of treatment, and specify the reasons for the treatment ineffectiveness, need to access accurate, comprehensive, and timely cancer data. The cancer care environment has become more complex because of the need for coordination and communication among health care professionals with different skills in a variety of roles and the existence of large amounts of data with various formats. The goals of health care systems in such a complex environment are correct health data management, providing appropriate information needs of users to enhance the integrity and quality of health care, timely access to accurate information and reducing medical errors. These roles in new systems with use of agents efficiently perform well. Because of the potential capability of agent systems to solve complex and dynamic health problems, health care system, in order to gain full advantage of E- health, steps must be taken to make use of this technology. Multi-agent systems have effective roles in health service quality improvement especially in telemedicine, emergency situations and management of chronic diseases such as cancer. In the design and implementation of agent based systems, planning items such as information confidentiality and privacy, architecture, communication standards, ethical and legal aspects, identification opportunities and barriers should be considered. It should be noted that usage of agent systems only with a technical view is associated with many problems such as lack of user acceptance. The aim of this commentary is to survey applications, opportunities and barriers of this new artificial intelligence tool for cancer care information as an approach to improve cancer care management.

• 한국의료질향상학회지
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• 제9권1호
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• pp.34-51
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• 2002

Background : The purpose for this study is to develop a critical pathway of bullectomy for spontaneous pneumothorax patients. Methods : For this study a conceptual framework of critical pathway was developed through a review of the literature including five critical pathways which are currently being used in USA, and opinions of the critical pathway development team members at Y university hospital. In order to identify the service contents required by these patients and to draw up a preliminary critical pathway, 33 cases of medical records of patients who had received bullectomy for spontaneous pneumothorax between September, 2000 to August, 2001 at the Respiratory Center of Y university hospital in Seoul was analyzed. Results : In order to test the clinical validity of the preliminary critical pathway, it was applied to ten patients who had received bullectomy for spontaneous pneumothorax from October, 2001 to December, 2001. The average discharge day was 4.89th post operation day, six patients discharged on the fourth post operation day which was the expected day, one patients discharged one day earlier than the expected day, one patient discharged three days later than the expected day, and one patient discharged six days later than the expected day. There were variances between the critical pathway and the actual practice. The variances came from tests, medications, and treatments. One item that showed variance in clinical applications was complemented, and three items were decided not to be corrected for the final determination of the critical pathway. Conclusion : This critical pathway is applicable to the care of patients with bullectomy for spontaneous pneumothorax, but it needs more clinical applications to grasp varied variances.