• 디지털융복합연구
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• 제11권6호
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• pp.159-167
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• 2013

병원에서 Infusion Pump를 사용하여 환자에게 자동적으로 지속적이고 정밀하게 약물을 투여하는 것이 가능해졌다. 그러나 Infusion Pump를 부착한 환자가 이동하는 도중 응급 상황이 발생할 경우, 이에 대한 대처가 신속 정확하게 이루어지지 않고 있는 실정이다. 이러한 문제로 인하여 Infusion Pump를 통해 정맥 내로 투여되는 약물 양에 약간의 오차라도 생기면 환자에게 치명적일 수 있다. 따라서 본 연구에서는 무선 네트워크와 RFID 기술을 이용한 원격 Infusion Pump 모니터링 시스템을 제안하였다. 제안한 시스템은 Infusion Pump에 이상이 발생한 경우 Infusion Pump에 대한 상태 정보(고장 종류)와 환자의 위치 정보를 간호사 station에 자동으로 알려줌으로써 Infusion Pump를 사용하는 환자들에게 신속하고 정확한 의료 서비스를 제공할 수 있을 뿐만 아니라 Infusion Pump로 인한 의료사고를 사전에 예방할 수 있다.

• 한국병원경영학회지
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• 제7권2호
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• pp.37-51
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• 2002

It has been 2 years since the implementation of the separation of prescription and drug dispensing policy. This study analyzes the effects of the policy on the job contents and personnel structure of hospital pharmacy. The main purposes of the analysis are to determine if the policy has causes the increase of professional activities of pharmacists in hospital and to investigate whether the hospital pharmacy is equipped with enough manpower to provide high quality pharmaceutical service as intended by the policy. The level of professionality of pharmacists' activities is measured by the number of activities of direct involvement in inpatient care such as participation in patient rounding, medication consultation, the number of hospital committee the pharmacists involved and the number of continuous education pharmacists took. The adequacy of personnel structure to provide high quality pharmaceutical care is measured by the level of compliance to the governmental standard of hospital pharmacy personnel. In order to collect the data, surveys were performed for two periods: year 1999 (before the implementation of the policy) and year 2001 (after the implementation of the policy). The results show that the pharmacists' participation in inpatient rounding decreased and that the inpatient medication history management activities, operation of ward pharmacy, participation in hospital committee increased. In personnel structure, the average number of pharmacist per hospital decreased and the number of prescription processing per pharmacist increased. Based on the results this study concludes that the professional activities of hospital pharmacists has increased a little and there were structural changes in hospital pharmacy service activities to increase the professionalism in providing care. However, the pharmacy departments were understaffed hampering the strive to increase the provision of professional pharmaceutical service in hospitals.

• 한국통신학회논문지
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• 제39C권4호
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• pp.387-399
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• 2014

본 연구는 아프리카에서 사회경제 문제를 해결할 수 있는 인프라로 부상한 모바일을 통한 경제발전 전략을 제안한다. 이를 위해 빠르게 성장하고 있는 아프리카의 경제와 ICT 현황을 분석하고, 농업, 금융, 교육, 의료분야에서 활용되는 모바일 서비스 사례를 분석하고 경제발전 이론과 브로드밴드의 경제발전 기여 효과를 살펴보았다. 아프리카는 열악하고 비싼 유선 발전 단계를 뛰어넘어 모바일을 통해 정보화를 이루고, 이를 활용하여 ICT 기반의 압축적인 산업화를 이루는 발전 전략을 추진하는 것이 바람직하다. 아프리카의 모바일을 통한 도약발전을 위해 모바일 브로드밴드 인프라 구축, 저가 스마트폰 보급을 위한 정책, 정부주도의 모바일 콘텐츠 보급이 필요하다. 본 연구의 결과는 국내 ICT기업들의 아프리카 시장 진출에 대한 인사이트를 제공할 것이다.

• 한국조리학회지
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• 제22권8호
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• pp.172-181
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• 2016

This study evaluated the satisfaction and healthy eating index of nutrition-plus program providing nutritional supplements to pregnancy, lactating women, infant and children. This program was carried out at Public Healthcare Center, Seodaemun-gu in Seoul from February 2014 to June 2014. The subject selected among applicants for low income family financing of the government included 159 subjects. There was no statistically significant difference for degree of satisfaction with supplementary food by age, but the degree tends to get higher at lower age. Degree of satisfaction with supplementary food by the duration for participation was shown higher as the duration gets longer. For questions of 'Do you check nutrition label?' and 'Do you preserve food as described at food label?' in healthy eating index evaluation, the scores appeared higher at younger age group as they check the nutrition label more. Also as the duration for participation gets longer, the scores appeared higher which can be interpreted as effect of nutrition education from Nutrition-Plus. Frequency of having breakfast gets lower at higher age of subjects. And it gets higher as the duration for participation gets longer even though that there's no difference between '3 to 4 months' and '5 to 8 months' of the duration of participation. For evaluation of food security in recent 1 year, 86.8% of subjects responded 'Food sufficiency' and 'Enough but not always the kinds of food we want', and there is no difference by age and the duration of participation. As a result of this research, it is shown that the subjects of nutrition support project are relatively satisfied with the support. And healthy eating index gets improved as the duration of participation gets longer which can be considered as effect of nutrition education. It seems to be necessary to keep nutrition education as well as food support so to perform food life education on appropriate purchase and consumption of food.

• 한국직업건강간호학회지
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• 제17권2호
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• pp.126-137
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• 2008

Purpose : The purpose of this study was to investigate the difference in gender related to health status, occupational environment, occupational safety and health and hazardous chemicals use of migrant workers in Korea. Method: The survey was conducted in clinics that provided free healthcare services for migrant workers. Of the 413 respondents, 66.3% were males and 33.7% were females. Result: In the case of male migrant workers, many worker were not fluent in Korean, had illegal status in the country, and had moved jobs frequently. There were many cases in which migrant workers worked in small-scale enterprises and worked long hours. Job stress score was high for many workers and they dealt with heavy materials and risky machines. Many workers had not received proper occupational health and safety education and those that were previously injured had repeated injuries. Among the female migrant workers, many worker received low salary and shift work was common. Many worker complained of gastrointestinal and musculoskeletal illnesses and treated toxic substances. Conclusion: As a result, it will be necessary to focus on the strategies for decreasing occupational injuries from physical risk factors for males and from chemical risk factors for female migrant workers.

• 의료법학
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• 제12권2호
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• pp.295-316
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• 2011

If the medical staff privileges, which mean the eligibility to practice at open hospitals, are excluded in the United States, antitrust claims based on the violation of the Sherman Act have been raised a lot. The proliferation of these lawsuits in the United States, which are characterized as antitrust lawsuits, can be understandable situation. The reason is because doctors who don't belong to specific hospitals are seriously damaged, if the medical staff privileges are excluded and doctors cannot use facilities of open hospitals. In order to decide to allow the privileges of certain doctors, hospitals have to rely on peer review to maintain high quality of medical services, and it is not easy to find alternative of peer review in the professional areas like healthcare. However, there are possibilities that members of the peer review can abuse power to unfairly exclude privileges of potential competitors. In this sense, it is asserted in the U.S. antitrust lawsuits that the restraint of medical staff privilege can be the illegal restraint of trade in violation of section 1 of Sherman Act and can be monopolization or an attempt to monopoly by hospitals in violation of section 2 of Sherman Act. As Korea adopted open hospital system quite recently, there is still no case related with the exclusion of medical staff privileges. However, medical staff privilege system of Korea is not different from that of the United States in principle. Thus, the U.S. jurisprudence on the exclusion of medical staff privileges can be referred in the interpretation of "practice that interferes with or restricts the activities or contents of the business" based on Article 19.1.9 of Monopoly Regulation and Fair Trade Law of Korea.

• 보건행정학회지
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• 제24권4호
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• pp.367-379
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• 2014

Background: Over the last decade, medical tourism industry has grown in Korea. Especially the number of Mongolian medical tourists has increased rapidly. Therefore, the Mongolia is one of the targets for Korea medical tourism. The purpose of this study is to investigate the effects of destination image and expected attributes of medical services on Mongolian's intention to use Korean medical tourism service. Methods: This study empirically collected survey data from Mongolian lived in Mongolia. The study analyzed the data using a PLS model. Results: Our results are as follows. First, the country image didn't significantly have causal effects on expected medical service quality and perceived risk. Second, tourism image (e.g., entertainment, economic feasibility, and local convenience) has significantly causal effects on expected medical service quality and perceived risk. However, tourist site as tourism image didn't significantly have causal effects on expected medical service quality and perceived risk. Third, medical image made a statistically significant effect on expected medical service quality and perceived risk. Fourth, the expected medical service quality showed a significant effect on intention to use Korean medical tourism service. Fifth, the perceived risk of medical tourism showed a significant effect on the reliability of medical tourism, but didn't show a significant effect on the intention to use Korean medical tourism service. Finally, the reliability has a significant effect on the intention to use Korean medical tourism service. Conclusion: From our empirical results, this study concluded that as a strategy attracting Mongolian patients, it is more effective to strengthen Korean hospital image and tourism image than Korean country image.

• 인터넷정보학회논문지
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• 제13권5호
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• pp.1-8
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• 2012

본 논문에서는 수치적 데이터를 이용하여 규칙을 생성하는 시스템에 대해 순차적인 클러스터링 방법을 제안한다. 단일 클러스터링 기법은 방대하고 복잡한 공간 내에서는 원하는 결과를 얻지 못할 수 있다. 이런 문제점을 해결하기 위해 제안된 방법은 서로 다른 클러스터링 기법을 순차적으로 수행하여 장점들은 활용하고 단점들은 보안하는 형태를 제안하였다. Mountain 클러스터링과 Chen 클러스터링을 이용하여 non-parametric 공간에서 자율적으로 클러스터를 구성하였고, global 공간과 local 공간으로 역할을 분담하여 클러스터를 추정한다. 추정된 클러스터들은 신경회로망이나 퍼지 시스템과 같은 지능 시스템의 구조와 초기 파라미터 결정에 활용될 수 있으며, 확장하여 헬스케어와 의료 분야에서의 결정 제공 시스템의 학습에 도움을 줄 수 있다. 제안된 방법을 유용성을 시뮬레이션을 통해 보이고자 한다.

• 한국임상약학회지
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• 제28권1호
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• pp.1-9
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• 2018

Polypharmacy is increasing owing to an increase in the elderly population and multimorbidities associated with the increased risk of administration of potentially inappropriate medications (PIMs). The negative effects of polypharmacy on various health conditions and aspects, such as fall, fracture, mortality, cognitive function, and dementia, have been reported. The management of excess and inappropriate polypharmacy through proper interventions and local or national guidelines has been highlighted. The purpose of polypharmacy management is to appropriately prescribe medicines that are essential to treat diseases in patients and to avoid inappropriate polypharmacy, such as interactive or duplicate medicines under prescription and PIMs for specific diseases. Community pharmacists in Australia, the EU, USA, and Japan are collaborating with prescribers to review medications to ensure that the patients can be prescribed appropriate medications. The service cost is reimbursed by public or private insurers. A study in the United States has shown that even with medication review costs, the overall medication cost has reduced. In Korea, various projects such as Drug Utilization Review service and safe use of medicines have been conducted; however, no national guidelines or management measures have been established. It is necessary to implement a national long-term plan on polypharmacy management. Furthermore, a phased implementation plan is required. Shortly, active medication review services and education programs for healthcare professionals with the support of the government should be considered in Korea with reference to other countries in order to raise awareness of seriousness and risks of inappropriate polypharmacy.

• Asian Pacific Journal of Cancer Prevention
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• 제15권7호
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• pp.3279-3286
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• 2014

Background: Cancer is one of the leading causes of death in Korea. To reduce cancer incidence, the Korean National Cancer Center (KNCC) has been expanding its organized cancer screening program. In addition, there are opportunistic screening programs that can be chosen by individuals or their healthcare providers. The purpose of this study was to investigate factors associated with participation in organized and opportunistic cancer screening programs, with a particular focus on socioeconomic factors. Materials and Methods: We used data from the Korea National Health and Nutrition Examination Survey (KNHANES), a cross-sectional nationwide study conducted by the Korean Ministry of Health and Welfare from 2007 to 2011. The study included information from 9,708 men and 12,739 women aged 19 years or over. Multinomial logistic regression analysis was conducted, adjusting for age, year of data collection, residential region, current smoking status, current alcohol consumption status, exercise, marriage status, job status, perceived health status, stress level, BMI, limitation of activities, cancer history, health insurance type, and private insurance status, to investigate the association between education level, economic status, and cancer screening participation. Results: In terms of education level, disparities in attendance were observed only for the opportunistic screening program. In contrast, there was no association between education level and participation in organized screening. In terms of economic status, disparities in opportunistic screening participation were observed at all income levels, but disparities in organized screening participation were observed only at the highest income level. Conclusions: Our findings reveal that socioeconomic factors, including educational level and economic status, were not significantly associated with participation in organized cancer screening, except at the highest level of income.