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한국 의료제도와 유전상담 서비스의 구축 (Genetic Counseling in Korean Health Care System)

  • 김현주
    • Journal of Genetic Medicine
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    • 제8권2호
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    • pp.89-99
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    • 2011
  • 유전상담이 왜 국내 의료 현장에서는 필요한 의료서비스로 제공되고 잇지 않은 지에 대한 문제점과 해결책을 모색하고자 미국과 일본에서 유전상담이 필요한 유전 의료 서비스의 일환으로 정착되는 배경과 과정을 비교 고찰하였다. 동시에 국내 유전의료서비스의 현황과 유전상담 서비스 제공에 있어서 장애가 되는 요인들을 고찰하였다. 미국의 경우에는 1970년대 초에 산전 진단이 보편화되면서 유전상담의 수요가 늘게 되어 새로운 직종의 전문 유전상담사를 양성하게 되는 계기가 되었으며, 현재 29개의 양성과정의 교육을 통해서 3,000명에 가까운 전문유전상담사가 배출되어 임상유전 의료팀의 일원으로 임상유전학 전문의의 감독 하에 유전상담을 제공하고 있으며, 21세기 유전의료시대에 요구되는 생명유전정보관리를 위해서 유전상담의 필요성과 그 역할이 확대되고 있다. 일본에서는 정부주도하에 HGP 유전체 연구사업 이후 21세기 유전의료시대의 도래를 준비하는 밀레니엄 프로젝트 차원에서 <유전의료시스템의 구축과 운영> 및 <유전 카운슬링 체제의 구축>을 위한 대규모의 연구단을 구성하여 임상유전 전문의의 제도화와 본격적인 임상유전 전문 분야의 서비스가 의료기관에 개설되는 동시에 비의사를 위한 인정 유전카운슬러의 양성과 자격에 대한 연구를 거쳐서 2003년 7개의 대학원에서 유전상담사 양성 과정이 인정되어 2012년까지 110명의 유전카운슬러 배출을 목표로 현재 100명이 넘는 유전상담사가 인증되었다. 사회적 의료 수요에 부응하는 의학유전 유관학회와 교육기관의 전문가 그룹이 선도한 미국의 유전상담사 양성 프로그램과 정부 주도 하의 시대적 의료 변화에 부응하는 연구에 전문가들의 참여로 체계적인 유전상담 프로그램개발을 정착시킨 일본의 경우, 모두 비의사 유전상담사에 의한 유전상담 서비스에 대한 보험급여 등의 제도적인 보완 없이 선행되었다는 점은 우리에게 시사하는 점이 크다고 본다. 한국의료 현장에서 유전상담 서비스가 시도되지 않는 주 장애요소로는 유전상담에 대한 이해 부족과 무관심, 국내 의료 제도 하에서 의사의 진료 수가가 너무 낮아서 그 결과 외래에서 한 환자의 진료에 할애할 수 있는 시간은 10분을 초가 할 수 없는데, 유전상담 서비스는 장시간이 소요되기 때문이다(최소30분이상). 또한, 건강보험 급여제도에서 '유전상담'을 필요한 의료 행위로 인정하지 않고 있어서 아직 code 조차 생성되어 있지 않기 때문이다. 또한, 무엇보다도 근본적인 요인으로 유전상담 서비스를 제공할 수 있는 임상유전 전문의가 절대 부족하고, 최근까지도 국내 의과대학 교육 curriculum에 유전상담을 실제적으로 이해하고 습득할 기회가 없었기 때문에 일반 의료인에게는 유전상담에 대한 이해 부족과 무관심 등이 유전상담 서비스의 걸림돌로 파악되었다. 그러나, 대한의학유전학회에서 2007년 전문가들을 대상으로 실시한 유전상담과 전문 유전상담사 수요에 대한 전국 조사 연구에서 유전의료 현장과 연구 부분에서 유전상담과 전문 유전상담사가 매우 필요하다는 것이 확인되었다. 또한, 정부는 희귀난치성질환센터 Help Line의 유전질환 정보 제공을 통해서 유전상담을 받을 것을 권고하고 있지만, 실제로 의료 현장에서는 유전상담이 제공되고 있지 않기 때문에, 한국근육장애인협회, 저신장장애인협회, 코헴회등, 유전성환자들로 구성된 국내 자조회 등에서는 유전상담의 필요성을 제기하며, 서비스를 요구해오고 있다. 최근 한국희귀질환재단에서 유전성 희귀질환 환자와 가족들에게 유전상담 교육 강좌를 제공한 후 설문조사에 응한 283명의 81%가 이전에 유전상담에 대해서 접해 본 적이 없었고, 96%에서 유전상담이 희귀난치성질환 환자에게 도움이 될 것이라고 응답했다. 한편, 2009년 실시한 국내 실정에 맞는 유전상담사 양성을 위한 교육 프로그램과 교육기관의 인정 및 전문 자격 인증제도 수립에 대한 연구에서 관련 업무 전문 종사자 총 117명(의사52명, 전문 연구원30명, 간호대학 교수 26명 포함) 중 설문조사에 응한 88%가 대한의학유전학회에서 주관하고 유전상담위원회를 구성하여 교육 프로그램 개발과 인증제도를 구체화 할 것을 촉구하였다. 전문 인력의 양성을 위한 교육 수련 및 인증 프로그램을 개발하고 수행하는 것은 전문학회의 역할인 동시에 "사회적책임"이라고 생각한다. 새로운 분야(신기술)의 전문 임상 인력을 양성하는 데는 시간이 걸리기 때문에(유전상담사의경우, 2년의 대학원 과정과1년의clerkship, 임상수련과정 등으로 적어도 3년) 대한의학유전학회에서는 전문 유전상담사 양성을 위한 선 교육, 후 제도적 보완을 추진하는 것이 바람직한 방향이다. UNESCO에서는 이미 1995년 Report에서 유전상담은 유전자 검사의 보급이 증가하고 있는(21세기 유전의료시대) 의료현장에서 가장 빠르게 성장하고 있는 전문 분야로서 유전정보와 기법을 환자 진료에 연결하는 것을 돕는다고 하였다. 유전상담은 21세기 post-genome의 맞춤의료시대에서 그 역할과 적응범위가 확대되어가는 유전의료서비스의 일환이라는 것을 국내 의료계와 정부 의료 정책 부서에서 인지할 필요가 있다. 특히, 국내 저진료 수가의 의료정책 제도 하에서는 의사가 환자를 위해 충분한 진료시간을 확보하기 힘든데, 비의사전문유전상담사를유전의료팀의일원으로 유전상담에 참여하게 함으로써 환자와 가족들에게 정확한 유전정보에 대한 충분한 이해를 통해서 맞춤 유전 의료 서비스를 원활하고 효율적으로 제공하는데 도움이 될 것이다. 이를 위해서는 국내에서도 종합적인 유전의료 서비스의 구축 사업의 일환으로 유전상담 서비스 공급을 위한 전문 인력(유전상담사포함) 수급에 대한 지원 사업과 유전상담에 대한 건강보험 급여 인정 등 제도적인 뒷받침이 필요하다.

불균형 데이터 집합의 분류를 위한 하이브리드 SVM 모델 (A Hybrid SVM Classifier for Imbalanced Data Sets)

  • 이재식;권종구
    • 지능정보연구
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    • 제19권2호
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    • pp.125-140
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    • 2013
  • 어떤 클래스에 속한 레코드의 개수가 다른 클래스들에 속한 레코드의 개수보다 매우 많은 경우에, 이 데이터 집합을 '불균형 데이터 집합'이라고 한다. 데이터 분류에 사용되는 많은 기법들은 이러한 불균형 데이터에 대해서 저조한 성능을 보인다. 어떤 기법의 성능을 평가할 때에 적중률뿐만 아니라, 민감도와 특이도도 함께 측정하여야 한다. 고객의 이탈을 예측하는 문제에서 '유지' 레코드가 다수 클래스를 차지하고, '이탈' 레코드는 소수 클래스를 차지한다. 민감도는 실제로 '유지'인 레코드를 '유지'로 예측하는 비율이고, 특이도는 실제로 '이탈'인 레코드를 '이탈'로 예측하는 비율이다. 많은 데이터 마이닝 기법들이 불균형 데이터에 대해서 저조한 성능을 보이는 것은 바로 소수 클래스의 적중률인 특이도가 낮기 때문이다. 불균형 데이터 집합에 대처하는 과거 연구 중에는 소수 클래스를 Oversampling하여 균형 데이터 집합을 생성한 후에 데이터 마이닝 기법을 적용한 연구들이 있다. 이렇게 균형 데이터 집합을 생성하여 예측을 수행하면, 특이도는 다소 향상시킬 수 있으나 그 대신 민감도가 하락하게 된다. 본 연구에서는 민감도는 유지하면서 특이도를 향상시키는 모델을 개발하였다. 개발된 모델은 Support Vector Machine (SVM), 인공신경망(ANN) 그리고 의사결정나무 기법 등으로 구성된 하이브리드 모델로서, Hybrid SVM Model이라고 명명하였다. 구축과정 및 예측과정은 다음과 같다. 원래의 불균형 데이터 집합으로 SVM_I Model과 ANN_I Model을 구축한다. 불균형 데이터 집합으로부터 Oversampling을 하여 균형 데이터 집합을 생성하고, 이것으로 SVM_B Model을 구축한다. SVM_I Model은 민감도에서 우수하고, SVM_B Model은 특이도에서 우수하다. 입력 레코드에 대해서 SVM_I와 SVM_B가 동일한 예측치를 도출하면 그것을 최종 해로 결정한다. SVM_I와 SVM_B가 상이한 예측치를 도출한 레코드에 대해서는 ANN과 의사결정나무의 도움으로 판별 과정을 거쳐서 최종 해를 결정한다. 상이한 예측치를 도출한 레코드에 대해서는, ANN_I의 출력값을 입력속성으로, 실제 이탈 여부를 목표 속성으로 설정하여 의사결정나무 모델을 구축한다. 그 결과 다음과 같은 2개의 판별규칙을 얻었다. 'IF ANN_I output value < 0.285, THEN Final Solution = Retention' 그리고 'IF ANN_I output value ${\geq}0.285$, THEN Final Solution = Churn'이다. 제시되어 있는 규칙의 Threshold 값인 0.285는 본 연구에서 사용한 데이터에 최적화되어 도출된 값이다. 본 연구에서 제시하는 것은 Hybrid SVM Model의 구조이지 특정한 Threshold 값이 아니기 때문에 이 Threshold 값은 대상 데이터에 따라서 얼마든지 변할 수 있다. Hybrid SVM Model의 성능을 UCI Machine Learning Repository에서 제공하는 Churn 데이터 집합을 사용하여 평가하였다. Hybrid SVM Model의 적중률은 91.08%로서 SVM_I Model이나 SVM_B Model의 적중률보다 높았다. Hybrid SVM Model의 민감도는 95.02%이었고, 특이도는 69.24%이었다. SVM_I Model의 민감도는 94.65%이었고, SVM_B Model의 특이도는 67.00%이었다. 그러므로 본 연구에서 개발한 Hybrid SVM Model이 SVM_I Model의 민감도 수준은 유지하면서 SVM_B Model의 특이도보다는 향상된 성능을 보였다.

카테고리 연관 규칙 마이닝을 활용한 추천 정확도 향상 기법 (A Study on the Improvement of Recommendation Accuracy by Using Category Association Rule Mining)

  • 이동원
    • 지능정보연구
    • /
    • 제26권2호
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    • pp.27-42
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    • 2020
  • 인터넷이라는 가상 공간을 활용함으로써 물리적 공간의 제약을 갖는 오프라인 쇼핑의 한계를 넘어선 온라인 쇼핑은 다양한 기호를 가진 소비자를 만족시킬 수 있는 수많은 상품을 진열할 수 있게 되었다. 그러나, 이는 역설적으로 소비자가 구매의사결정 과정에서 너무 많은 대안을 비교 평가해야 하는 어려움을 겪게 함으로써 오히려 상품 선택을 방해하는 원인이 되기도 한다. 이런 부작용을 해소하기 위한 노력으로서, 연관 상품 추천은 수많은 상품을 다루는 온라인 상거래에서 소비자의 구매의사결정 과정 중 정보탐색 및 대안평가에 소요되는 시간과 노력을 줄여주고 이탈을 방지하며 판매자의 매출 증대에 기여할 수 있다. 연관 상품 추천에 사용되는 연관 규칙 마이닝 기법은 통계적 방법을 통해 주문과 같은 거래 데이터로부터 서로 연관성 높은 상품을 효과적으로 발견할 수 있다. 하지만, 이 기법은 거래 건수를 기반으로 하므로, 잠재적으로 판매 가능성이 높을지라도 충분한 거래 건수가 확보되지 못한 상품은 추천 목록에서 누락될 수 있다. 이렇게 추천 시 제외된 상품은 소비자에게 구매될 수 있는 충분한 기회를 확보하지 못할 수 있으며, 또 다시 다른 상품에 비해 상대적으로 낮은 추천 기회를 얻는 악순환을 겪을 수도 있다. 본 연구는 구매의사결정이 결국 상품이 지닌 속성에 대한 사용자의 평가를 기반으로 한다는 점에 착안하여, 추천 시 상품의 속성을 반영하면 소비자가 특정 상품을 선택할 확률을 좀더 정확하게 예측할 수 있다는 점을 추천 시스템에 반영하기 위한 목적으로 수행되었다. 즉, 어떤 상품 페이지를 방문한 소비자는 그 상품이 지닌 속성들에 어느 정도 관심을 보인 것이며 추천 시스템은 이런 속성들을 기반으로 연관성을 지닌 상품을 더 정교하게 찾을 수 있다는 것이다. 상품의 주요 속성의 하나로서, 카테고리는 두 상품 간에 아직 드러나지 않은 잠재적인 연관성을 찾기에 적합한 대상이 될 수 있다고 판단하였다. 본 연구는 연관 상품 추천에 상품 간의 연관성뿐만 아니라 카테고리 간의 연관성을 추가로 반영함으로써 추천의 정확도를 높일 수 있는 예측모형을 개발하였고, 온라인 쇼핑몰로부터 수집된 주문 데이터를 활용하여 이루어진 실험은 기존 모형에 비해 추천 성능이 개선됨을 보였다. 실무적인 관점에서 볼 때, 본 연구는 소비자의 구매 만족도를 향상시키고 판매자의 매출을 증가시키는 데에 기여할 수 있을 것으로 기대된다.

외식업체에서 제공하는 잠재적 위험 식품의 미생물적 품질향상을 위한 중점관리점 관리방안 (Management of Critical Control Points to Improve Microbiological Quality of Potentially Hazardous Foods Prepared by Restaurant Operations)

  • 전혜연;최정화;곽동경
    • 한국식품조리과학회지
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    • 제30권6호
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    • pp.774-784
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    • 2014
  • 연구는 외식업체에서 제공하고 있는 식단 중에 PHF(Potentially Hazardous Foods)메뉴를 Screening하여, 미생물적 품질을 향상시킬 수 있는 중점관리기준의 관리방안을 제시하고자 하는 목적으로 연구가 진행되었다. 1. 실온에 방치되어 있던 시금치나물은 미생물 증식이 가능한 위험 온도 범위인 $24.2{\pm}1.0^{\circ}C$에 20시간정도 장시간 노출되었으며, Solberg M 등(1990)이 제시한 원재료의 미생물적 안전기준치에 대해 $6.36{\pm}0.5{\log}\;CFU/g$, $4.59{\pm}0.1{\log}\;CFU/g$로 기준치를 모두 초과하였다. 또한 영국 PHLS(Gilbert RJ 등 2000)의 장내세균 기준치에 따르면 $4.46{\pm}0.1{\log}\;CFU/g$로 만족스럽지 못한 수준으로 나타났으며, 황색포도상구균도 기준치를 초과하였다. 반면에 냉장보관($4.9^{\circ}C$)을 했던 시금치나물은 일반세균 $2.86{\pm}0.5{\log}\;CFU/g$으로 그 외의 모든 미생물 검사에서 기준치 아래의 수치로 나타났다. 2. 양상추의 원재료의 표준평판균수는 $4.66{\pm}0.4{\log}\;CFU/g$에서 세척만 했을 때 $3.12{\pm}0.6{\log}\;CFU/g$, 소독 후 세척을 했을 때 $2.23{\pm}0.3{\log}\;CFU/g$로 100 ppm에서 5분 침지한 양상추가 미생물오염도가 낮게 측정되었으며, 대장균군수와 황색포도상구균, 장내세균수 모두 소독 후 세척했을 경우가 낮은 미생물수치를 보였다. 또한 토마토는 원재료의 표준평판균수가 $3.08{\pm}0.4{\log}\;CFU/g$였는데, 소독 후 세척과정을 거친 토마토가 $0.72{\pm}0.7{\log}\;CFU/g$로, 세척만 한 토마토의 표준평판균수 $2.10{\pm}0.3{\log}\;CFU/g$보다 현저히 낮은 수치를 보였다. 소독과정을 거친 토마토의 대장균군수와 황색포도상구균수가 역시 낮은 수치를 보였으며, 장내세균의 경우는 소독 후 세척과정을 거친 토마토에서는 균이 전혀 발견되지 않았다. 단체급식에서 여러 번의 세척만으로 다량의 생채소 품질을 위생적 상태로 만드는 것은 매우 힘든 일이며 따라서 가열조리를 거치지 않는 생채소 음식의 전처리에는 반드시 소독과정이 포함되어야 한다. 3. Screening을 통해 원재료의 특성상 미생물오염도가 높게 나타났던, 세척하기 까다로운 베이비채소, 라디치오, 부추를 선정하여 염소수 100 ppm에 5분 소독, 100 ppm에 10분 소독을 시행하여 미생물적 품질향상에 기여할 수 있는지를 알아보고자 하였다. 라디치오는 표준평판균수가 원재료 $6.02{\pm}0.5{\log}\;CFU/g$, 5분 소독 후 $4.10{\pm}0.6{\log}\;CFU/g$, 10분 소독 후 $2.58{\pm}0.3{\log}\;CFU/g$로 원재료에서 높은 수치를 보였지만, 10분 소독 후에는 현저히 낮은 수치를 보였다. 또한 베이비채소의 원재료의 표준평판균수는 $5.76{\pm}0.1{\log}\;CFU/g$이고, 5분 소독 후 $5.14{\pm}0.1{\log}\;CFU/g$, 10분 소독 후 $4.27{\pm}0.6{\log}\;CFU/g$로 나타났으며, 부추의 원재료 표준평판수는 $6.83{\pm}0.5{\log}\;CFU/g$, 5분 소독 후는 $5.30{\pm}0.3{\log}\;CFU/g$, 10분 소독 후는 $4.18{\pm}0.5{\log}\;CFU/g$로 라디치오에 비해서는 10분 소독 후에도 높은 수치를 나타냈지만, 소독시간이 경과함에 따라 낮은 미생물의 수치를 보였다. 대장균군, 황색포도상구균, 장내 세균 역시 소독시간이 경과함에 따라, 낮은 미생물수치를 보였다. 따라서, 소독이 까다로운 채소류는 소독시간의 연장이 필요함을 말해준다. 4. Screening을 통해 양념장을 주재료와 섞은 후, 미생물의 수치가 증가하는 결과를 토대로 양념장에 대해 조사한 결과, 연구의 대상이 되었던 외식업체에서 양념류에 대한 소독과정이 전혀 이루어지지 않고 있는 것을 확인하였다. 이에 소독과정을 거친 양념류와 식초를 첨가한 양념장(A)과 관리가 이루어지고 있지 않았던 양념장(B)을 비교분석하였다. 봄동겉절이와 미나리겉절이의 미생물품질결과를 보면, 양념장A는 양념장B에 비해서 1 {\log} 이상의 미생물 수치가 감소한 것으로 나타났다. 또한 소독과정을 거치고 식초를 첨가한 양념장A의 경우, Solberg M (1990)와 영국 PHLS (Gilbert RJ 등 2000)의 기준치이하로 나타났으며, 오염도가 높았던 부재료, 양념류 소독관리의 중요성을 시사하고 있다. 5. 비가열처리 공정은 가열단계가 없고, 후처리 공정은 이후에 가열단계가 없기 때문에 조리종사원의 손에 의한 교차오염 등이 발생하기 쉬우므로 이 시점의 통제 및 관리가 요구된다. 조리도구의 소독 전(B)과 소독 후(A)의 미생물 수치를 비교분석 결과, B군에 비해 A군 즉 소독을 시행한 후로는 조리도구에서 미생물 검출 수치가 모두 감소한 것을 알 수 있다. 또한 B군의 조리도구의 경우는 모두 기준치이상의 높은 수치를 보였지만, A군의 조리도구의 경우는 만족할만한 수준으로 나타났다. 따라서 식품뿐만 아니라 작업환경 위생관리에 만전을 기해야 하며 소독의 수행이 무엇보다 중요한 것으로 나타났다.

빅데이터와 딥러닝을 활용한 동물 감염병 확산 차단 (Animal Infectious Diseases Prevention through Big Data and Deep Learning)

  • 김성현;최준기;김재석;장아름;이재호;차경진;이상원
    • 지능정보연구
    • /
    • 제24권4호
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    • pp.137-154
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    • 2018
  • 조류인플루엔자와 구제역 같은 동물감염병은 거의 매년 발생하며 국가에 막대한 경제적 사회적 손실을 일으키고 있다. 이를 예방하기 위해서 그간 방역당국은 다양한 인적, 물적 노력을 기울였지만 감염병은 지속적으로 발생해 왔다. 최근 빅데이터와 딥러닝 기술을 활용하여 감염병의 예측모델을 개발하고자 하는 시도가 시작되고 있지만, 실제로 활용가능한 모델구축 연구와 사례보고는 활발히 진행되고 있지 않은 실정이다. KT와 과학기술정보통신부는 2014년부터 국가 R&D사업의 일환으로 축산관련 차량의 이동경로를 분석하여 예측하는 빅데이터 사업을 수행하고 있다. 동물감염병 예방을 위하여 연구진은 최초에는 차량이동 데이터를 활용한 회귀분석모델을 기반으로 한 예측모델을 개발하였다. 이후에는 기계학습을 활용하여 좀 더 정확한 예측 모델을 구성하였다. 특히, 2017년 예측모델에서는 시설물에 대한 확산 위험도를 추가하였고 모델링의 하이퍼 파라미터를 다양하게 고려하여 모델의 성능을 높였다. 정오분류표와 ROC 커브를 확인한 결과, 기계 학습 모델보다 2017년 구성된 모형이 우수함을 확인 할 수 있었다. 또한 2017에는 결과에 대한 설명을 추가하여 방역당국의 의사결정을 돕고 이해관계자를 설득할 수 있는 근거를 확보하였다. 본 연구는 빅데이터를 활용하여 동물감염병예방시스템을 구축한 사례연구로 모델주요변수값, 이에따른 실제예측성능결과, 그리고 상세하게 기술된 시스템구축 프로세스는 향후 감염병예방 영역의 지속적인 빅데이터활용 및 분석 모델 개발에 기여할 수 있을 것이다. 또한 본 연구에서 구축한 시스템을 통해 보다 사전적이고 효과적인 방역을 할 수 있을 것으로 기대한다.

ICT 인프라 이상탐지를 위한 조건부 멀티모달 오토인코더에 관한 연구 (A Study of Anomaly Detection for ICT Infrastructure using Conditional Multimodal Autoencoder)

  • 신병진;이종훈;한상진;박충식
    • 지능정보연구
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    • 제27권3호
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    • pp.57-73
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    • 2021
  • ICT 인프라의 이상탐지를 통한 유지보수와 장애 예방이 중요해지고 있다. 장애 예방을 위해서 이상탐지에 대한 관심이 높아지고 있으며, 지금까지의 다양한 이상탐지 기법 중 최근 연구들에서는 딥러닝을 활용하고 있으며 오토인코더를 활용한 모델을 제안하고 있다. 이는 오토인코더가 다차원 다변량에 대해서도 효과적으로 처리가 가능하다는 것이다. 한편 학습 시에는 많은 컴퓨터 자원이 소모되지만 추론과정에서는 연산을 빠르게 수행할 수 있어 실시간 스트리밍 서비스가 가능하다. 본 연구에서는 기존 연구들과 달리 오토인코더에 2가지 요소를 가미하여 이상탐지의 성능을 높이고자 하였다. 먼저 다차원 데이터가 가지고 있는 속성별 특징을 최대한 부각하여 활용하기 위해 멀티모달 개념을 적용한 멀티모달 오토인코더를 적용하였다. CPU, Memory, network 등 서로 연관이 있는 지표들을 묶어 5개의 모달로 구성하여 학습 성능을 높이고자 하였다. 또한, 시계열 데이터의 특징을 데이터의 차원을 늘리지 않고 효과적으로 학습하기 위하여 조건부 오토인코더(conditional autoencoder) 구조를 활용하는 조건부 멀티모달 오토인코더(Conditional Multimodal Autoencoder, CMAE)를 제안하였다. 제안한 CAME 모델은 비교 실험을 통해 검증했으며, 기존 연구들에서 많이 활용된 오토인코더와 비교하여 AUC, Accuracy, Precision, Recall, F1-score의 성능 평가를 진행한 결과 유니모달 오토인코더(UAE)와 멀티모달 오토인코더(Multimodal Autoencoder, MAE)의 성능을 상회하는 결과를 얻어 이상탐지에 있어 효과적이라는 것을 확인하였다.

인공지능을 활용한 경관 지각반응 예측모델 개발 가능성 기초연구 - 머신러닝 기법을 중심으로 - (Basic Research on the Possibility of Developing a Landscape Perceptual Response Prediction Model Using Artificial Intelligence - Focusing on Machine Learning Techniques -)

  • 김진표;서주환
    • 한국조경학회지
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    • 제51권3호
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    • pp.70-82
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    • 2023
  • 최근 IT 기술과 데이터의 범람으로 생활 전반적인 부분의 패러다임이 전환되고 있다. 이러한 기술의 발전과 변화는 학술영역에도 영향을 미치고 있다. 학문적 교류와 연계를 통해 연구주제나 연구 방법의 개선이 이루어지고 있다. 특히, 데이터 기반의 연구 방법이 다양한 학문분야에서 진행되고 있으며 조경학에서도 지속적인 연구가 필요한 시점이다. 따라서 본 연구에서는 이러한 시대적 상황을 반영하여 인공지능의 한 분야인 머신러닝을 활용한 경관 선호 평가 및 예측모델의 개발 가능성을 알아보는 것을 목표로 한다. 본 연구의 목표를 달성하기 위하여 경관 분야에 머신러닝 기법을 적용하여 경관 선호 평가 및 예측 모델을 구축하고, 구축된 모형의 모의정도를 검증하였다. 이를 위해 본 연구에서는 최근 신재생에너지 사업으로 주목받는 풍력발전시설 경관 이미지를 연구대상으로 선정하였다. 분석을 위하여 풍력발전시설 경관 이미지를 웹크롤링 기법을 활용하여 수집하고 분석 테이터셋을 구축하였다. 우수한 성능의 예측모델 도출을 위하여 머신러닝 분석에 활용되는 University of Ljubljana의 프로그램인 오렌지 버전 3.33을 활용하였다. 또, 머신러닝 학습데이터의 평가기준을 통합한 모델과 평가기준 별도 모델 구조를 활용하였으며, 머신러닝 분류모델에 적합한 kNN. SVM, Random Forest, Logistic Regression, Neural Network 알고리즘을 사용해 모델을 생성하였다. 생성된 모델을 성능 평가를 실시하여 본 연구에 가장 적합한 예측모델을 도출하였다. 본 연구에서 도출된 예측모델은 경관의 유형에 따른 분류, 경관과 대상의 시거리에 따른 분류, 선호에 따른 분류 등 3가지 평가기준을 별도로 평가 후 종합해 예측하여 결과를 도출하였다. 연구 결과 경관 유형에 따른 평가 기준 정확도 0.986, 시거리에 따른 평가 기준 정확도 0.973, 선호에 따른 평가 기준 정확도 0.952에 달하는 높은 정확도를 가진 예측모델을 개발하였으며, 평가데이터 예측 결과를 통한 검증과정을 보아도 모델의 성능 치를 상회하는 성과를 도출했음을 알 수 있다. 경관 관련 연구에서 머신러닝을 활용한 예측모델 개발 가능성을 알아본 실험적 시도로 이미지 데이터의 수집 및 정제를 통해 데이터 세트를 구축하여 높은 성능의 예측모델이 생성 가능하며, 이후 경관 관련 연구 분야에 활용될 수 있다는 가능성을 확인할 수 있었다. 본 연구의 결과와 시사점, 한계점을 반영한다면 풍력발전시설의 경관뿐만 아니라 자연경관이나 문화경관 등 다양한 형태의 경관 예측모델 개발이 가능할 것으로 생각되며, 경관 유형에 따라 이미지를 분류하는 모델의 연구를 통해 데이터 분류의 시간을 단축하거나 머신러닝을 활용한 경관예측 인자분석을 통해 경관계획 요소의 중요도 분석 등의 주제에 맞는 연구 방법을 탐색하고 적용하여 후속 연구를 진행한다면 조경학 분야에서도 머신러닝 기법을 보다 유용하고 가치 있게 활용할 수 있을 것으로 생각된다.

Sensory Information Processing

  • Yoshimoto, Chiyoshi
    • 대한의용생체공학회:의공학회지
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    • 제6권2호
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    • pp.1-8
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    • 1985
  • The wall shear stress in the vicinity of end-to end anastomoses under steady flow conditions was measured using a flush-mounted hot-film anemometer(FMHFA) probe. The experimental measurements were in good agreement with numerical results except in flow with low Reynolds numbers. The wall shear stress increased proximal to the anastomosis in flow from the Penrose tubing (simulating an artery) to the PTFE: graft. In flow from the PTFE graft to the Penrose tubing, low wall shear stress was observed distal to the anastomosis. Abnormal distributions of wall shear stress in the vicinity of the anastomosis, resulting from the compliance mismatch between the graft and the host artery, might be an important factor of ANFH formation and the graft failure. The present study suggests a correlation between regions of the low wall shear stress and the development of anastomotic neointimal fibrous hyperplasia(ANPH) in end-to-end anastomoses. 30523 T00401030523 ^x Air pressure decay(APD) rate and ultrafiltration rate(UFR) tests were performed on new and saline rinsed dialyzers as well as those roused in patients several times. C-DAK 4000 (Cordis Dow) and CF IS-11 (Baxter Travenol) reused dialyzers obtained from the dialysis clinic were used in the present study. The new dialyzers exhibited a relatively flat APD, whereas saline rinsed and reused dialyzers showed considerable amount of decay. C-DAH dialyzers had a larger APD(11.70$\pm$1.32mmHg/min)compared to CF dialyzers(4.32$\pm$0.55mmHg/min)(p<0.05). However, there was no observable difference in the UFR between the two dialyzers. Neither APD nor UFR showed any significant increase with an increasing number of reuses for up to more than 20reuses. A substantial number of failures observed in APD(larger than 20mmHe/min)on the reused dialyzers(2 out of 40 CP and S out 26 C-DAK) were attributed to the Possible damage on the fibers. The CF 15-11 HFDs which failed APD test did not show changes in the UFR compared to normal dialyzers indicating that APD is a more sensitive test than UFR test to evaluate the integrity of the fibers. 30527 T00401030527 ^x For quantitative measurement of reflected light from a clinical diagnostic strip, a prototype old reflectance photometer was designed. The strip loader and cassette were made to obtain more accurate reflectance parameters. The strip was illuminated at 45˚c through optical fiber and the intensity of reflected light was determined at rectanguLat angle using a photodiode. The kubelka-munk coefficient and reflection optical density were determined ar four different wavelengths(500, 550, 570 and 610nm) for blood glucose strip. For higher concentration than 300mg/41 about glucose, a saturation state of abforbance was observed at 500, 550 and 570nm. The correlation between glucose concentration and parameters was the best at 610nm. 30535 T00401030535 ^x Radiation-induced fibrosarcoma tumors were grown on the flanks of C3H mice. The mice were divided into two groups. One group was injected with Photofrin II, intravenously (2.5mg/kg body weight). The other group received no Photofrin II. Mice from both groups were irradialed for approximately 15 minutes at 100, 300, or 500 mW/cm2 with the argon (488nm/514.5 nm), dye(628nm) and gold vapor (pulsed 628 nm) laser light. A photosensitizer behaved as an added absorber. Under our experimental conditions, the presence of Photolfrin II increased surface temperature by at least 40% and the temperature rise due to 300 mW/cm2 irradiation exceeded values for hyperthermia. Light and temperature distributions with depth were estimated by a computer model. The model demonstrated the influence of wavelength on the thermal process and proved to be a valuable tool to investigate internal temperature rise. 30536 T00401030536 ^x We investigated the structural geometry of thirty-eight Korean femurs. The purpose of this study is to identify major geometrical differences between Korean femurs 3nd others that we believe belong to Caucasians so that we would be able to get insights into the femoral component design that fits Asians including Koreans. We utilized computerized tomography (CT) images of femurs extracted from cadavers. The CT images were transformed into bitmap data by using a film scanner, and then analyzed by using a commercially available software called Image v.1.0 and a Macintosh IIci computer.The resulting data were compared with already published data. The major results show that the geometry of the Korean femurs is significantly different from that of Caucasians: (1) the anteversion angle and the canal flare index are greater by the amount of approximately 8˚ and 0.5, respectively, (2) the shape of the isthmus cross section is more round, and (3) the distance between the teaser trochanter and the proximal border of the isthmus is shelter by about 15 mm. The results suggested that the femoral component suitable for Asians should be different from the currently-used components designed and manufactured mostly by European or American companies. 30537 T00401030537 ^x It is well known that nonlinear propagation characteristics of the wave in the tissue may give very useful information for the medical diagnoisis. In this paper, a new method to detect nonlinear propagation characteristics of the internal vibration in the tissue for the low frequency mechanical vibration by using bispectral analysis is proposed. In the method, low frequency vibration of f0( = 100Hz) is applied on the surface of the object, and the waveform of the internal vibration x (t) is measured from Doppler frequency modulation of silmultaneously transmitted probing ultrasonic waves. Then, the bispectra of the signal x (t) at the frequencies (f0, f0) and (f0, 2f0) are calculated to estimate the nonlinear propagation characteristics as their magnitude ratio, w here since bispectrum is free from the gaussian additive noise we can get the value with high S/N. Basic experimental system is constructed by using 3.0 MHz probing ultrasonic waves and the several experiments are carried out for some phantoms. Results show the superiority of the proposed method to the conventional method using power spectrum and also its usefulness for the tissue characterization. 30541 T00401030541 ^x This paper describes the implementation of a computerized radial pulse diagnosis by aids of a clinical expert. On this base, we composed of the radial pulse diagnosis system in korean traditional medicine. The system composed of a radial pulse wave detection system and a radial pulse diagnosis system. With a detection system, we detected Inyoung and Cheongu radial pulse wave and processed it. Then, we have got the characteristic parameters of radial pulse wave and also quantified that according to the method of Inyoung-Cheongu Comparison Radial Pulse Diagnosis. We defined the jugement standard of radial pulse diagnosis system and then we confirmed the possibility for realization of automatic radial pulse diagnosis in korean traditional medicine. 30545 T00401030545 ^x Microspheres are expected to be applied to biomedical areas such as solid-phase immunoassays, drug delivery systems, immunomagnetic cell separation. To synthesize microspheres for biomedical application, "two stage shot growth method" was developed. The uniformity ratio of synthesized microspheres was always smaller than 1.05. And the surface charge density (or the number of ionizable functional groups) of the microspheres synthesized by "two stage shot growth method" was 6~13 times higher than that of the microspheres synthesized by conventional seeded batch copolymerization. As a previous step for biomedical application, adsorption experiments of bovine albumin on microspheres were carried out under various conditions. The maximum adsorbed amount was obtained in the neighborhood of pH 4.5. Isoelectric point of bovine albumin is pH 5.0, so experimental result shows that it shifted to acid area. The adsorption isotherm was obtained, the plateau region was always reached at 2.Og/L (bulk concentration of bovine albumin).The effect of the kind and the amount of surface functional group was also examined. 30575 T00401030575 ^x A medical image workstation was developed using multimedia technique. The system based on PC-486DX was designed to acquire medical images produced by medical imaging instruments and related audio information, that is, doctors' reporting results. Input information was processed and analyzed, then the results were presented in the form of graph and animation. All the informations of the system were hierarchically related with the image as the apex. Processing and analysis algorithms were implemented so that the diagnostic accuracy could be improved. The diagnosed information can be transferred for patient diagnosis through LAN(local area network). 30592 T00401030592 ^x In the conventional infrared imaging system, complex infrared lens systems are usually used for directing collimated narrow infrared beams into the high speed 2-dimensional optic scanner. In this paper, a simple reflective infrared optic system with a 2-dimensional optic scanner is proposed for the realization of medical infrared thermography system. It has been experimentally proven that the intfrared thermography system composed of the proposed optic system has the temperature resolution of 0.1˚c under the spatial resolution of lmrad, the image matrix size of 256 X 240, and tile imaging time of 4 seconds. 30593 T00401030593 ^x In this paper, MIIS (Medical Image Information System) has been designed and implemented using INGRES RDBMS, which is based on a client/server architecture. The implemented system allows users to register and retrieve patient information, medical images and diagnostic reports. It also provides the function to display these information on workstation windows simultaneously by using the designed menu-driven graphic user interface. The medical image compression/decompression techniques are implemented and integrated into the medical image database system for the efficient data storage and the fast access through the network. 30594 T00401030594 ^x In this paper, computerized BEAM was implemented for the space domain analysis of EEG. Trans-formation from temporal summation to two-dimensional mappings is formed by 4 nearest point inter-polaton method. Methods of representation of BEAM are two. One is dot density method which classify brain electrical potential 9 levels by dot density of gray levels and the other is colour method which classify brain electrical 12 levels by red-green colours. In this BEAM, instantaneous change and average energy distribution over any arbitrary time interval of brain electrical activity could be observed and analyzed easily. In the frequency domain, the distribution of energy spectrum of a special band can easily be distinguished normality and abnormality. 30608 T00401030608 ^x Laboratory information system (LIS) is a key tool to manage laboratory data in clinical pathology. Our department has developed an information system for routine hematology using down-sized computer system. We have used an IBM 486 compatible PC with 16MB main memory, 210 MB hard disk drive, 9 RS-232C port and 24 pin dot printer. The operating system and database management system were SCO UNIX and SCO foxbase, respectively. For program development, we used Xbase language provided by SCO foxbase. The C language was used for interface purpose. To make the system use friendly, pull-down menu was used. The system connected to our hospital information system via application program interface (API), so the information related to patient and request details is automatically transmitted to our computer. Our system interfaced with fwd complete blood count analyzers(Sysmex NE-8000 and Coulter STKS) for unidirectional data tansmission from analyzer to computer. The authors suggests that this system based on down-sized computer could provide a progressive approach to total LIS based on local area network, and the implemented system could serve as a model for other hospital's LIS for routine hematology. 30609 T00401030609 ^x To develop an artificial bone substitute that is gradually degraded and replaced by the regenerated natural bone, the authors designed a composite that is consisted of calcium phosphate and collagen. To use as the structural matrix of the composite, collagen was purified from human umbilical cord. The obtained collagen was treated by pepsin to remove telopeptides, and finally, the immune-free atelocollagen was produced: The cross linked atelocollagen was highly resistant to the collagenase induced collagenolysis. The cross linked collagen demonstrated an improved tensile strength. 30618 T00401030618 ^x This paper is a study on the design of adptive filter for QRS complex detection. We propose a simple adaptive algorithm to increase capability of noise cancelation in QRS complex detection with two stage adaptive filter. At the first stage, background noise is removed and at the next stage, only spectrum of QRS complex components is passed. Two adaptive filters can afford to keep track of the changes of both noise and QRS complex. Each adaptive filter consists of prediction error filter and FIR filter The impulse response of FIR filter uses coefficients of prediction error filter. The detection rates for 105 and 108 of MIT/BIH data base were 99.3% and 97.4% respectively. 30619 T00401030619 ^x To develop an artificial bone substitute that is gradually degraded and replaced by the regenerated natural bone, the authors designed and produced a composite that is consisted of calcium phosphate and collagen. Human umbilical cord origin pepsin treated type I atelocollagen was used as the structural matrix, by which sintered or non-sintered carbonate apatite was encapsulated to form an inorganic-organic composite. With cross linking atelocollagen by UV ray irradiation, the resistance to both compressive and tensile strength was increased. Collagen degradation by the collagenase induced collagenolysis was also decreased. 30620 T00401030620 ^x We have developed a monoleaflet polymer valve as an inexpensive and viable alternative, especially for short-term use in the ventricular assist device or total artificial heart. The frame and leaflet of the polymer valve were made from polyurethane, To evaluate the hemodynamic performance of the polymer valve a comparative study of flow dynamics past a polymer valve and a St. Jude Medical prosthetic valve under physiological pulsatile flow conditions in vitro was made. Comparisons between the valves were made on the transvalvular pressure drop, regurgitation volume and maximum valve opening area. The polymer valve showed smaller regurgitation volume and transvalvular pressure drop compared to the mechanical valve at higher heart rate. The results showed that the functional characteristics of the polymer valve compared favorably with those of the mechanical valve at higher heart rate. 30621 T00401030621 ^x Explosive evaporative removal process of biological tissue by absorption of a CW laser has been simulated by using gelatin and a multimode Nd:YAG laser. Because the point of maximun temperature of laser-irradiated gelatin exists below the surface due to surface cooling, evaporation at the boiling temperature is made explosively from below the surface. The important parameters of this process are the conduction loss to laser power absorption (defined as the conduction-to-laser power parameter, Nk), the convection heat transfer at the surface to conduction loss (defined as Bi), dimensionless extinction coefficient (defined as Br.), and dimensionless irradiation time (defined as Fo). Dependence of Fo on Nk and Bi has been observed by experiment, and the results have been compared with the numerical results obtained by solving a 2-dimensional conduction equation. Fo and explosion depth (from the surface to the point of maximun temperature) are increased when Nk and Bi are increased.To find out the minimum laser power for explosive evaporative removal process, steady state analysis has been also made. The limit of Nk to induce evaporative removal, which is proportional to the inverse of the laser power, has been obtained. 30622 T00401030622 ^x N1 and N2 gross neural action potentials were measured from the round window of the guinea pig cochlea at the onset of the acoustic stimuli. N1-N2 audiograms were made by means of regulating stimulant intensities in order to produce constant N1-N2 potentials as criteria for different input tone pip frequencies. The lowest threshold was measured with an input tone pip I5 dB SPL in intensity and 12 KHz in frequency when the animal was in normal physiological condition. The procedure of experimental measurements is explained in detail. This experimental approach is very useful for the investigation of the Cochlear function. Both noN1inear and active functions of the Cochlea can be monitored by N1-N2 audiograms. 30623 T00401030623 ^x In electrical impedance tomography(EIT), we use boundary current and voltage measurements toprovide the information about the cross-sectional distribution of electrical impedance or resistivity. One of the major problems in EIT has been the inaccessibility of internal voltage or current data in finding the internal impedance values. We propose a new image reconstruction method using internal current density data measured by NMR. We obtained a two-dimensional current density distribution within a phantom by processing the real and imaginary MR images from a 4.77 NMR machine. We implemented a resistivity mage reconstruction algorithm using the finite element method and sensitivity matrix. We presented computer simulation results of the mage reconstruction algorithm and furture direction of the research. 30624 T00401030624 ^x A new method of digital image analysis technique for discrimination of cancer cell was presented in this paper. The object image was the Thyroid eland cells image that was diagnosed as normal and abnormal (two types of abnormal: follicular neoplastic cell, and papillary neoplastic cell), respectively. By using the proposed region segmentation algorithm, the cells were segmented into nucleus. The 16 feature parameters were used to calculate the features of each nucleus. A9 a consequence of using dominant feature parameters method proposed in this paper, discrimination rate of 91.11% was obtained for Thyroid Gland cells. 30625 T00401030625 ^x An electrical stimulator was designed to induce locomotion for paraplegic patients caused by central nervous system injury. Optimal stimulus parameters, which can minimize muscle fatigue and can achieve effective muscle contraction were determined in slow and fast muscles in Sprague-Dawley rats. Stimulus patterns of our stimulator were designed to simulate electromyographic activity monitored during locomotion of normal subjects. Muscle types of the lower extremity were classified according to their mechanical property of contraction, which are slow muscle (msoleus m.) and fast muscle (medial gastrocneminus m., rectus femoris m., vastus lateralis m.). Optimal parameters of electrical stimulation for slow muscles were 20 Hz, 0.2 ms square pulse. For fast muscle, 40 Hz, 0.3 ms square pulse was optimal to produce repeated contraction. Higher stimulus intensity was required when synergistic muscles were stimulated simultaneously than when they were stimulated individually. Electrical stimulation for each muscle was designed to generate bipedal locomotion, so that individual muscles alternate contraction and relaxation to simulate stance and swing phases. Portable electrical stimulator with 16 channels built in microprocessor was constructed and applied to paraplegic patients due to lumbar cord injury. The electrical stimulator restored partially gait function in paraplegic patients. 30626 T00401030626 ^x Two-Dimensional modelling of the Cochlear biomechanics is presented in this paper. The Laplace partial differential equation which represents the fluid mechanics of the Cochlea has been transformed into two-dimensional electrical transmission line. The procedure of this transformation is explained in detail. The comparison between one and two dimensional models is also presented. This electrical modelling of the basilar membrane (BM) is clearly useful for the next approach to the further. Development of active elements which are essential in the producing of the sharp tuning of the BM. This paper shows that two-dimension model is qualitatively better than one-dimensional model both in amplitude and phase responses of the BM displacement. The present model is only for frequency response. However because the model is electrical, the two-dimensional transmission line model can be extended to time response without any difficult. 30627 T00401030627 ^x A method has been proposed for the fully automatic detection of left ventricular endocardial boundary in 2D short axis echocardiogram using geometric model. The procedure has the following three distinct stages. First, the initial center is estimated by the initial center estimation algorithm which is applied to decimated image. Second, the center estimation algorithm is applied to original image and then best-fit elliptic model estimation is processed. Third, best-fit boundary is detected by the cost function which is based on the best-fit elliptic model. The proposed method shows effective result without manual intervention by a human operator. 30628 T00401030628 ^x The intelligent trajectory control method that controls moving direction and average velocity for a prosthetic arm is proposed by pattern recognition and force estimations using EMG signals. Also, we propose the real time trajectory planning method which generates continuous accelleration paths using 3 stage linear filters to minimize the impact to human body induced by arm motions and to reduce the muscle fatigue. We use combination of MLP and fuzzy filter for pattern recognition to estimate the direction of a muscle and Hogan's method for the force estimation. EMG signals are acquired by using a amputation simulator and 2 dimensional joystick motion. The simulation results of proposed prosthetic arm control system using the EMf signals show that the arm is effectively followed the desired trajectory depended on estimated force and direction of muscle movements. 30638 T00401030638 ^x A new neural network architecture for the recognition of patterns from images is proposed, which is partially based on the results of physiological studies. The proposed network is composed of multi-layers and the nerve cells in each layer are connected by spatial filters which approximate receptive fields in optic nerve fields. In the proposed method, patterns recognition for complicated images is carried out using global features as well as local features such as lines and end-points. A new generating method of matched filers representing global features is proposed in this network. 30659 T00401030659 ^x An implementation scheme of the magnetic nerve stimulator using a switching mode power supply is proposed. By using a switching mode power supply rather than a conventional linear power supply for charging high voltage capacitors, the weight and size of the magnetic nerve stimulator can be considerably reduced. Maximum output voltage of the developed magnetic nerve stimulator using the switching mode power supply is 3, 000 volts and switching time is about 100 msec. Experimental results or human nerve stimulations using the developed stimulator are presented. 30768 T00401030768 ^x In this paper, we describe the design methodology and specifications of the developed module-based bedside monitors for patient monitoring. The bedside monitor consists of a main unit and module cases with various parameter modules. The main unit includes a 12.1" TFT color LCD, a main CPU board, and peripherals such as a module controller, Ethernet LAN card, video card, rotate/push button controller, etc. The main unit can connect at maximum three module cases each of which can accommodate up to 7 parameter modules. They include the modules for electrocardiograph, respiration, invasive blood pressure, noninvasive blood pressure, temperature, and SpO2 with Plethysmograph.SpO2 with Plethysmograph.

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High Resolution HC$_3$N Observations toward the Central Region of Sagittarius B2

  • H.S-Ching;Oh, M.ishi;M.Morimoto
    • 한국우주과학회:학술대회논문집(한국우주과학회보)
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    • 한국우주과학회 1993년도 한국우주과학회보 제2권2호
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    • pp.17-17
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    • 1993
  • The wall shear stress in the vicinity of end-to end anastomoses under steady flow conditions was measured using a flush-mounted hot-film anemometer(FMHFA) probe. The experimental measurements were in good agreement with numerical results except in flow with low Reynolds numbers. The wall shear stress increased proximal to the anastomosis in flow from the Penrose tubing (simulating an artery) to the PTFE: graft. In flow from the PTFE graft to the Penrose tubing, low wall shear stress was observed distal to the anastomosis. Abnormal distributions of wall shear stress in the vicinity of the anastomosis, resulting from the compliance mismatch between the graft and the host artery, might be an important factor of ANFH formation and the graft failure. The present study suggests a correlation between regions of the low wall shear stress and the development of anastomotic neointimal fibrous hyperplasia(ANPH) in end-to-end anastomoses. 30523 T00401030523 ^x Air pressure decay(APD) rate and ultrafiltration rate(UFR) tests were performed on new and saline rinsed dialyzers as well as those roused in patients several times. C-DAK 4000 (Cordis Dow) and CF IS-11 (Baxter Travenol) reused dialyzers obtained from the dialysis clinic were used in the present study. The new dialyzers exhibited a relatively flat APD, whereas saline rinsed and reused dialyzers showed considerable amount of decay. C-DAH dialyzers had a larger APD(11.70${\pm}$1.32mmHg/min)compared to CF dialyzers(4.32${\pm}$0.55mmHg/min)(p<0.05). However, there was no observable difference in the UFR between the two dialyzers. Neither APD nor UFR showed any significant increase with an increasing number of reuses for up to more than 20reuses. A substantial number of failures observed in APD(larger than 20mmHe/min)on the reused dialyzers(2 out of 40 CP and S out 26 C-DAK) were attributed to the Possible damage on the fibers. The CF 15-11 HFDs which failed APD test did not show changes in the UFR compared to normal dialyzers indicating that APD is a more sensitive test than UFR test to evaluate the integrity of the fibers. 30527 T00401030527 ^x For quantitative measurement of reflected light from a clinical diagnostic strip, a prototype old reflectance photometer was designed. The strip loader and cassette were made to obtain more accurate reflectance parameters. The strip was illuminated at 45˚c through optical fiber and the intensity of reflected light was determined at rectanguLat angle using a photodiode. The kubelka-munk coefficient and reflection optical density were determined ar four different wavelengths(500,550,570 and 610nm) for blood glucose strip. For higher concentration than 300mg/41 about glucose, a saturation state of abforbance was observed at 500,550 and 570nm. The correlation between glucose concentration and parameters was the best at 610nm. 30535 T00401030535 ^x Radiation-induced fibrosarcoma tumors were grown on the flanks of C3H mice. The mice were divided into two groups. One group was injected with Photofrin II, intravenously (2.5mg/kg body weight). The other group received no Photofrin II. Mice from both groups were irradialed for approximately 15 minutes at 100,300, or 500 mW/cm2 with the argon (488nm/514.5 nm), dye(628nm) and gold vapor (pulsed 628 nm) laser light. A photosensitizer behaved as an added absorber. Under our experimental conditions, the presence of Photolfrin II increased surface temperature by at least 40% and the temperature rise due to 300 mW/cm2 irradiation exceeded values for hyperthermia. Light and temperature distributions with depth were estimated by a computer model. The model demonstrated the influence of wavelength on the thermal process and proved to be a valuable tool to investigate internal temperature rise. 30536 T00401030536 ^x We investigated the structural geometry of thirty-eight Korean femurs. The purpose of this study is to identify major geometrical differences between Korean femurs 3nd others that we believe belong to Caucasians so that we would be able to get insights into the femoral component design that fits Asians including Koreans. We utilized computerized tomography (CT) images of femurs extracted from cadavers. The CT images were transformed into bitmap data by using a film scanner, and then analyzed by using a commercially available software called Image v.1.0 and a Macintosh IIci computer.The resulting data were compared with already published data. The major results show that the geometry of the Korean femurs is significantly different from that of Caucasians: (1) the anteversion angle and the canal flare index are greater by the amount of approximately 8˚ and 0.5, respectively, (2) the shape of the isthmus cross section is more round, and (3) the distance between the teaser trochanter and the proximal border of the isthmus is shelter by about 15 mm. The results suggested that the femoral component suitable for Asians should be different from the currently-used components designed and manufactured mostly by European or American companies. 30537 T00401030537 ^x It is well known that nonlinear propagation characteristics of the wave in the tissue may give very useful information for the medical diagnoisis. In this paper, a new method to detect nonlinear propagation characteristics of the internal vibration in the tissue for the low frequency mechanical vibration by using bispectral analysis is proposed. In the method, low frequency vibration of f0( = 100Hz) is applied on the surface of the object, and the waveform of the internal vibration x (t) is measured from Doppler frequency modulation of silmultaneously transmitted probing ultrasonic waves. Then, the bispectra of the signal x (t) at the frequencies (f0, f0) and (f0, 2f0) are calculated to estimate the nonlinear propagation characteristics as their magnitude ratio, w here since bispectrum is free from the gaussian additive noise we can get the value with high S/N. Basic experimental system is constructed by using 3.0 MHz probing ultrasonic waves and the several experiments are carried out for some phantoms. Results show the superiority of the proposed method to the conventional method using power spectrum and also its usefulness for the tissue characterization. 30541 T00401030541 ^x This paper describes the implementation of a computerized radial pulse diagnosis by aids of a clinical expert. On this base, we composed of the radial pulse diagnosis system in korean traditional medicine. The system composed of a radial pulse wave detection system and a radial pulse diagnosis system. With a detection system, we detected Inyoung and Cheongu radial pulse wave and processed it. Then, we have got the characteristic parameters of radial pulse wave and also quantified that according to the method of Inyoung-Cheongu Comparison Radial Pulse Diagnosis. We defined the jugement standard of radial pulse diagnosis system and then we confirmed the possibility for realization of automatic radial pulse diagnosis in korean traditional medicine. 30545 T00401030545 ^x Microspheres are expected to be applied to biomedical areas such as solid-phase immunoassays, drug delivery systems, immunomagnetic cell separation. To synthesize microspheres for biomedical application, "two stage shot growth method" was developed. The uniformity ratio of synthesized microspheres was always smaller than 1.05. And the surface charge density (or the number of ionizable functional groups) of the microspheres synthesized by "two stage shot growth method" was 6~13 times higher than that of the microspheres synthesized by conventional seeded batch copolymerization. As a previous step for biomedical application, adsorption experiments of bovine albumin on microspheres were carried out under various conditions. The maximum adsorbed amount was obtained in the neighborhood of pH 4.5. Isoelectric point of bovine albumin is pH 5.0, so experimental result shows that it shifted to acid area. The adsorption isotherm was obtained, the plateau region was always reached at 2.Og/L (bulk concentration of bovine albumin).The effect of the kind and the amount of surface functional group was also examined. 30575 T00401030575 ^x A medical image workstation was developed using multimedia technique. The system based on PC-486DX was designed to acquire medical images produced by medical imaging instruments and related audio information, that is, doctors' reporting results. Input information was processed and analyzed, then the results were presented in the form of graph and animation. All the informations of the system were hierarchically related with the image as the apex. Processing and analysis algorithms were implemented so that the diagnostic accuracy could be improved. The diagnosed information can be transferred for patient diagnosis through LAN(local area network). 30592 T00401030592 ^x In the conventional infrared imaging system, complex infrared lens systems are usually used for directing collimated narrow infrared beams into the high speed 2-dimensional optic scanner. In this paper, a simple reflective infrared optic system with a 2-dimensional optic scanner is proposed for the realization of medical infrared thermography system. It has been experimentally proven that the intfrared thermography system composed of the proposed optic system has the temperature resolution of 0.1˚c under the spatial resolution of lmrad, the image matrix size of 256 X 240, and tile imaging time of 4 seconds. 30593 T00401030593 ^x In this paper, MIIS (Medical Image Information System) has been designed and implemented using INGRES RDBMS, which is based on a client/server architecture. The implemented system allows users to register and retrieve patient information, medical images and diagnostic reports. It also provides the function to display these information on workstation windows simultaneously by using the designed menu-driven graphic user interface. The medical image compression/decompression techniques are implemented and integrated into the medical image database system for the efficient data storage and the fast access through the network. 30594 T00401030594 ^x In this paper, computerized BEAM was implemented for the space domain analysis of EEG. Trans-formation from temporal summation to two-dimensional mappings is formed by 4 nearest point inter-polaton method. Methods of representation of BEAM are two. One is dot density method which classify brain electrical potential 9 levels by dot density of gray levels and the other is colour method which classify brain electrical 12 levels by red-green colours. In this BEAM, instantaneous change and average energy distribution over any arbitrary time interval of brain electrical activity could be observed and analyzed easily. In the frequency domain, the distribution of energy spectrum of a special band can easily be distinguished normality and abnormality. 30608 T00401030608 ^x Laboratory information system (LIS) is a key tool to manage laboratory data in clinical pathology. Our department has developed an information system for routine hematology using down-sized computer system. We have used an IBM 486 compatible PC with 16MB main memory, 210 MB hard disk drive, 9 RS-232C port and 24 pin dot printer. The operating system and database management system were SCO UNIX and SCO foxbase, respectively. For program development, we used Xbase language provided by SCO foxbase. The C language was used for interface purpose. To make the system use friendly, pull-down menu was used. The system connected to our hospital information system via application program interface (API), so the information related to patient and request details is automatically transmitted to our computer. Our system interfaced with fwd complete blood count analyzers(Sysmex NE-8000 and Coulter STKS) for unidirectional data tansmission from analyzer to computer. The authors suggests that this system based on down-sized computer could provide a progressive approach to total LIS based on local area network, and the implemented system could serve as a model for other hospital's LIS for routine hematology. 30609 T00401030609 ^x To develop an artificial bone substitute that is gradually degraded and replaced by the regenerated natural bone, the authors designed a composite that is consisted of calcium phosphate and collagen. To use as the structural matrix of the composite, collagen was purified from human umbilical cord. The obtained collagen was treated by pepsin to remove telopeptides, and finally, the immune-free atelocollagen was produced: The cross linked atelocollagen was highly resistant to the collagenase induced collagenolysis. The cross linked collagen demonstrated an improved tensile strength. 30618 T00401030618 ^x This paper is a study on the design of adptive filter for QRS complex detection. We propose a simple adaptive algorithm to increase capability of noise cancelation in QRS complex detection with two stage adaptive filter. At the first stage, background noise is removed and at the next stage, only spectrum of QRS complex components is passed. Two adaptive filters can afford to keep track of the changes of both noise and QRS complex. Each adaptive filter consists of prediction error filter and FIR filter The impulse response of FIR filter uses coefficients of prediction error filter. The detection rates for 105 and 108 of MIT/BIH data base were 99.3% and 97.4% respectively. 30619 T00401030619 ^x To develop an artificial bone substitute that is gradually degraded and replaced by the regenerated natural bone, the authors designed and produced a composite that is consisted of calcium phosphate and collagen. Human umbilical cord origin pepsin treated type I atelocollagen was used as the structural matrix, by which sintered or non-sintered carbonate apatite was encapsulated to form an inorganic-organic composite. With cross linking atelocollagen by UV ray irradiation, the resistance to both compressive and tensile strength was increased. Collagen degradation by the collagenase induced collagenolysis was also decreased. 30620 T00401030620 ^x We have developed a monoleaflet polymer valve as an inexpensive and viable alternative, especially for short-term use in the ventricular assist device or total artificial heart. The frame and leaflet of the polymer valve were made from polyurethane, To evaluate the hemodynamic performance of the polymer valve a comparative study of flow dynamics past a polymer valve and a St. Jude Medical prosthetic valve under physiological pulsatile flow conditions in vitro was made. Comparisons between the valves were made on the transvalvular pressure drop, regurgitation volume and maximum valve opening area. The polymer valve showed smaller regurgitation volume and transvalvular pressure drop compared to the mechanical valve at higher heart rate. The results showed that the functional characteristics of the polymer valve compared favorably with those of the mechanical valve at higher heart rate. 30621 T00401030621 ^x Explosive evaporative removal process of biological tissue by absorption of a CW laser has been simulated by using gelatin and a multimode Nd:YAG laser. Because the point of maximun temperature of laser-irradiated gelatin exists below the surface due to surface cooling, evaporation at the boiling temperature is made explosively from below the surface. The important parameters of this process are the conduction loss to laser power absorption (defined as the conduction-to-laser power parameter, Nk), the convection heat transfer at the surface to conduction loss (defined as Bi), dimensionless extinction coefficient (defined as Br.), and dimensionless irradiation time (defined as Fo). Dependence of Fo on Nk and Bi has been observed by experiment, and the results have been compared with the numerical results obtained by solving a 2-dimensional conduction equation. Fo and explosion depth (from the surface to the point of maximun temperature) are increased when Nk and Bi are increased.To find out the minimum laser power for explosive evaporative removal process, steady state analysis has been also made. The limit of Nk to induce evaporative removal, which is proportional to the inverse of the laser power, has been obtained. 30622 T00401030622 ^x N1 and N2 gross neural action potentials were measured from the round window of the guinea pig cochlea at the onset of the acoustic stimuli. N1-N2 audiograms were made by means of regulating stimulant intensities in order to produce constant N1-N2 potentials as criteria for different input tone pip frequencies. The lowest threshold was measured with an input tone pip I5 dB SPL in intensity and 12 KHz in frequency when the animal was in normal physiological condition. The procedure of experimental measurements is explained in detail. This experimental approach is very useful for the investigation of the Cochlear function. Both noN1inear and active functions of the Cochlea can be monitored by N1-N2 audiograms. 30623 T00401030623 ^x In electrical impedance tomography(EIT), we use boundary current and voltage measurements toprovide the information about the cross-sectional distribution of electrical impedance or resistivity. One of the major problems in EIT has been the inaccessibility of internal voltage or current data in finding the internal impedance values. We propose a new image reconstruction method using internal current density data measured by NMR. We obtained a two-dimensional current density distribution within a phantom by processing the real and imaginary MR images from a 4.77 NMR machine. We implemented a resistivity mage reconstruction algorithm using the finite element method and sensitivity matrix. We presented computer simulation results of the mage reconstruction algorithm and furture direction of the research. 30624 T00401030624 ^x A new method of digital image analysis technique for discrimination of cancer cell was presented in this paper. The object image was the Thyroid eland cells image that was diagnosed as normal and abnormal (two types of abnormal: follicular neoplastic cell, and papillary neoplastic cell), respectively. By using the proposed region segmentation algorithm, the cells were segmented into nucleus. The 16 feature parameters were used to calculate the features of each nucleus. A9 a consequence of using dominant feature parameters method proposed in this paper, discrimination rate of 91.11% was obtained for Thyroid Gland cells. 30625 T00401030625 ^x An electrical stimulator was designed to induce locomotion for paraplegic patients caused by central nervous system injury. Optimal stimulus parameters, which can minimize muscle fatigue and can achieve effective muscle contraction were determined in slow and fast muscles in Sprague-Dawley rats. Stimulus patterns of our stimulator were designed to simulate electromyographic activity monitored during locomotion of normal subjects. Muscle types of the lower extremity were classified according to their mechanical property of contraction, which are slow muscle (msoleus m.) and fast muscle (medial gastrocneminus m., rectus femoris m., vastus lateralis m.). Optimal parameters of electrical stimulation for slow muscles were 20 Hz, 0.2 ms square pulse. For fast muscle, 40 Hz, 0.3 ms square pulse was optimal to produce repeated contraction. Higher stimulus intensity was required when synergistic muscles were stimulated simultaneously than when they were stimulated individually. Electrical stimulation for each muscle was designed to generate bipedal locomotion, so that individual muscles alternate contraction and relaxation to simulate stance and swing phases. Portable electrical stimulator with 16 channels built in microprocessor was constructed and applied to paraplegic patients due to lumbar cord injury. The electrical stimulator restored partially gait function in paraplegic patients. 30626 T00401030626 ^x Two-Dimensional modelling of the Cochlear biomechanics is presented in this paper. The Laplace partial differential equation which represents the fluid mechanics of the Cochlea has been transformed into two-dimensional electrical transmission line. The procedure of this transformation is explained in detail. The comparison between one and two dimensional models is also presented. This electrical modelling of the basilar membrane (BM) is clearly useful for the next approach to the further. Development of active elements which are essential in the producing of the sharp tuning of the BM. This paper shows that two-dimension model is qualitatively better than one-dimensional model both in amplitude and phase responses of the BM displacement. The present model is only for frequency response. However because the model is electrical, the two-dimensional transmission line model can be extended to time response without any difficult. 30627 T00401030627 ^x A method has been proposed for the fully automatic detection of left ventricular endocardial boundary in 2D short axis echocardiogram using geometric model. The procedure has the following three distinct stages. First, the initial center is estimated by the initial center estimation algorithm which is applied to decimated image. Second, the center estimation algorithm is applied to original image and then best-fit elliptic model estimation is processed. Third, best-fit boundary is detected by the cost function which is based on the best-fit elliptic model. The proposed method shows effective result without manual intervention by a human operator. 30628 T00401030628 ^x The intelligent trajectory control method that controls moving direction and average velocity for a prosthetic arm is proposed by pattern recognition and force estimations using EMG signals. Also, we propose the real time trajectory planning method which generates continuous accelleration paths using 3 stage linear filters to minimize the impact to human body induced by arm motions and to reduce the muscle fatigue. We use combination of MLP and fuzzy filter for pattern recognition to estimate the direction of a muscle and Hogan's method for the force estimation. EMG signals are acquired by using a amputation simulator and 2 dimensional joystick motion. The simulation results of proposed prosthetic arm control system using the EMf signals show that the arm is effectively followed the desired trajectory depended on estimated force and direction of muscle movements. 30638 T00401030638 ^x A new neural network architecture for the recognition of patterns from images is proposed, which is partially based on the results of physiological studies. The proposed network is composed of multi-layers and the nerve cells in each layer are connected by spatial filters which approximate receptive fields in optic nerve fields. In the proposed method, patterns recognition for complicated images is carried out using global features as well as local features such as lines and end-points. A new generating method of matched filers representing global features is proposed in this network. 30659 T00401030659 ^x An implementation scheme of the magnetic nerve stimulator using a switching mode power supply is proposed. By using a switching mode power supply rather than a conventional linear power supply for charging high voltage capacitors, the weight and size of the magnetic nerve stimulator can be considerably reduced. Maximum output voltage of the developed magnetic nerve stimulator using the switching mode power supply is 3,000 volts and switching time is about 100 msec. Experimental results or human nerve stimulations using the developed stimulator are presented. 30768 T00401030768 ^x In this paper, we describe the design methodology and specifications of the developed module-based bedside monitors for patient monitoring. The bedside monitor consists of a main unit and module cases with various parameter modules. The main unit includes a 12.1" TFT color LCD, a main CPU board, and peripherals such as a module controller, Ethernet LAN card, video card, rotate/push button controller, etc. The main unit can connect at maximum three module cases each of which can accommodate up to 7 parameter modules. They include the modules for electrocardiograph, respiration, invasive blood pressure, noninvasive blood pressure, temperature, and SpO2 with Plethysmograph.

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새로운 결제서비스의 성공요인: 다중사례연구 (Critical Success Factor of Noble Payment System: Multiple Case Studies)

  • 박아름;이경전
    • 지능정보연구
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    • 제20권4호
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    • pp.59-87
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    • 2014
  • 결제서비스에 대한 기존의 연구는 결제서비스의 채택요인 또는 지속적인 사용에 영향을 미치는 요인 등 행동이론을 중심으로 진행되어 왔다. 이러한 요인들이 미치는 영향에 대한 결과는 결제서비스의 종류에 따라 또는 연구 지역에 따라 상이하게 나타나고 있다. 본 연구는 결제 서비스의 종류나 문화등의 변수에 관계없이 새로운 결제 서비스가 성공할 수 있는 일반적인 요인이 무엇인지에 대한 의문에서 시작하게 되었다. 기존 연구에서 중요한 영향을 미친다고 제시한 채택요인들은 실제 결제사례의 결과에 비추어 보면 기존 연구에서 주장한 바와 일치하지 않는 경우를 볼 수 있다. 이러한 이론과 현실사이의 괴리를 발견하고 새로운 결제서비스가 성공하기 위한 근본적이고 결정적인 요인이 무엇인지에 대해 제시하고 사례연구를 통해 가설을 입증하고자 하는 것이 본 연구의 목적이다. 따라서 본 연구는 새로운 결제서비스가 성공하기 위해서는 기존 결제서비스의 비고객에게 이들이 결제할 수 있는 수단을 제공함으로써 새로운 결제 시장을 창출해야 함을 주장한다. 이를 위해 성공한 결제사례인 신용카드, 휴대폰 소액결제, PayPal, Square을 채택하였으며, 기존 결제서비스의 비고객을 3개의 계층으로 분류하여 분석하였다. 그리고 새로운 결제서비스가 어떠한 계층을 타겟으로 하였으며 이들에게 어떠한 결제수단을 제공하여 새로운 시장을 창출하였는지 제시한다. 사례 분석 결과, 성공 사례 모두 본 연구의 가설을 지지하는 것으로 나타났다. 따라서 새로운 결제서비스는 결국 기존의 결제수단으로 거래를 할 수 없었던 이들이 결제를 할 수 있도록 함으로써 성공할 수 있다는 가설을 입증하였다. 모바일 결제서비스가 아직 대중화되지 못한 원인을 본 가설에 비추어 분석해 보면 보면, 기존의 결제 인프라를 이용할 수 있는 바코드, QR코드 기반의 모바일 결제 서비스뿐만 아니라 NFC, BLE, 음파 등의 새로운 기술이 적용된 모바일 결제 서비스가 출시되는 등 새로운 시도가 계속되고 있다. 또한 모바일 월렛은 사용자들이 소지하고 있는 카드정보를 스마트폰에 저장하여 지갑 없이도 결제가 가능하며, 쿠폰 제공, 적립카드 관리, 신분증을 저장하는 등의 다양한 부가적인 기능을 제공하고 있어 성공할 것이라는 전망이 대두되고 있다. 하지만 이러한 서비스들은 본 연구 관점에서 보자면 기존 결제서비스의 비고객이(기존 결제수단을 이용할 수 없었던 사용자) 거래할 수 있는 새로운 결제 수단을 제공해 주지 못하고 있기 때문에 결국 초기사용자에게만 채택될 뿐 대중화되는데 한계가 있을 것으로 예상된다. 반면, 새로운 모바일 결제서비스의 성공사례 중 하나인 PaybyPhone은 기존 코인주차 결제서비스의 비고객인 현금 미소지 고객에게 스마트폰을 이용한 새로운 결제수단을 제공함으로써 새로운 주차 결제 시장을 창출하였으며 현재 미국뿐만 아니라 유럽시장까지 진출하는 등 급성장하고 있다. 결론적으로, 많은 이해관계자들이 모바일 결제시장을 선점하기 위해 다양한 형태의 모바일 결제 서비스를 출시하고 있지만 캐즘을 뛰어넘어 주류 시장에 성공적으로 정착할 수 있느냐는 결국 기존 결제서비스의 비고객군에게 그들이 필요로 하는 새로운 결제수단을 제공하는지의 여부에 달려있다고 볼 수 있다. 따라서 모바일 결제 서비스의 기획자나 매니저들은 서비스 기획 시 기존 결제서비스의 비고객군은 누구인가? 그들은 어떠한 결제수단을 원하는가?를 먼저 고려해야 한다. 본 연구는 새로운 결제서비스가 성공하는데 미치는 요인에 대한 가설을 검증하기 위해 4개의 성공사례를 선택하였으며 각 사례에 동일한 가설을 검증하는 '반복연구논리'를 적용하였다. 본 가설을 더욱 공고히 하기 위해 사례연구방법론에서 제시하고 있는 경쟁가설을 포함한 후속 사례연구가 진행되어야 할 것이다.