• Title/Summary/Keyword: Integrated health care system

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국내 전통산업 소상공인의 디지털 전환의도에 미치는 영향 (The Effects of Digital Transformation Intention of Small Traders in Domestic Traditional Industries)

  • 이동길;유연우
    • 산업경영시스템학회지
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    • 제40권4호
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    • pp.67-77
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    • 2017
  • With the advent of the fourth industrial revolution, the digital transformation craze has intensified in diverse industries, such as finance, automotive, health care and agriculture. However, relative to industry demand, there is only few domestic research on digital transformation of small traders and no one has implemented empirical study on this field at all. Thus, the study conducted an empirical study to measure the digital transformation intention of domestic small traders. In the early days of domestic business start-ups, we searched for factors affecting the digital conversion intention of small business owners and designed an integrated framework to explain the causal relationship between factors. This study not only expanded and refined the scope of related research but also suggested the direction of another research that was not presented in previous research. However, there are limitations in many ways as much as the initial stage of a specific field of small business owners. There are limitations in explaining the overall perception of Korean small business owners. Therefore, in future studies, it is necessary to study more deeply by presenting more specific and various variables. In addition, although the number of respondents was sufficient in the process of empirical analysis, it is considered that the respondents are not enough to universalize the research result as a traditional small business person who did not convert all digital. It is necessary to carry out a comparative analysis by dividing the two groups in more detail and more specifically in the future study. The result of this study can suggest the direction for accelerating small traders' digital transformation intention in terms of practical view, and provide useful references which can support the theoretical foundation for researchers who will perform future related research in terms of academic view.

Deep Learning Frameworks for Cervical Mobilization Based on Website Images

  • Choi, Wansuk;Heo, Seoyoon
    • 국제물리치료학회지
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    • 제12권1호
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    • pp.2261-2266
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    • 2021
  • Background: Deep learning related research works on website medical images have been actively conducted in the field of health care, however, articles related to the musculoskeletal system have been introduced insufficiently, deep learning-based studies on classifying orthopedic manual therapy images would also just be entered. Objectives: To create a deep learning model that categorizes cervical mobilization images and establish a web application to find out its clinical utility. Design: Research and development. Methods: Three types of cervical mobilization images (central posteroanterior (CPA) mobilization, unilateral posteroanterior (UPA) mobilization, and anteroposterior (AP) mobilization) were obtained using functions of 'Download All Images' and a web crawler. Unnecessary images were filtered from 'Auslogics Duplicate File Finder' to obtain the final 144 data (CPA=62, UPA=46, AP=36). Training classified into 3 classes was conducted in Teachable Machine. The next procedures, the trained model source was uploaded to the web application cloud integrated development environment (https://ide.goorm.io/) and the frame was built. The trained model was tested in three environments: Teachable Machine File Upload (TMFU), Teachable Machine Webcam (TMW), and Web Service webcam (WSW). Results: In three environments (TMFU, TMW, WSW), the accuracy of CPA mobilization images was 81-96%. The accuracy of the UPA mobilization image was 43~94%, and the accuracy deviation was greater than that of CPA. The accuracy of the AP mobilization image was 65-75%, and the deviation was not large compared to the other groups. In the three environments, the average accuracy of CPA was 92%, and the accuracy of UPA and AP was similar up to 70%. Conclusion: This study suggests that training of images of orthopedic manual therapy using machine learning open software is possible, and that web applications made using this training model can be used clinically.

Exploring preventive factors against insufficient antibody positivity rate for foot-and-mouth disease in pig farms in South Korea: a preliminary ecological study

  • Dongwoon Han;Byeongwoo Ahn;Kyung-Duk Min
    • Journal of Veterinary Science
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    • 제25권1호
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    • pp.13.1-13.9
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    • 2024
  • Background: Foot-and-mouth disease (FMD) is a highly contagious viral disease in livestock that has tremendous economic impact nationally. After multiple FMD outbreaks, the South Korean government implemented a vaccination policy for efficient disease control. However, during active surveillance by quarantine authorities, pig farms have reported an insufficient antibody positivity rate to FMD. Objective: In this study, the spatial and temporal trends of insufficiency among pig farms were analyzed, and the effect of the number of government veterinary officers was explored as a potential preventive factor. Methods: Various data were acquired, including national-level surveillance data for antibody insufficiency from the Korea Animal Health Integrated System, the number of veterinary officers, and the number of local pig farms. Temporal and geographical descriptive analyses were conducted to overview spatial and temporal trends. Additionally, logistic regression models were employed to investigate the association between the number of officers per pig farm with antibody insufficiency. Spatial cluster analysis was conducted to detect spatial clusters. Results: The results showed that the incidence of insufficiency tended to decrease in recent years (odds ratio [OR], 0.803; 95% confidence interval [95% CIs], 0.721-0.893), and regions with a higher density of governmental veterinary officers (OR, 0.942; 95% CIs, 0.918-0.965) were associated with a lower incidence. Conclusions: This study implies that previously conducted national interventions would be effective, and the quality of government-provided veterinary care could play an important role in addressing the insufficient positivity rate of antibodies.

건강과 삶의 질에 영향을 주는 요인에 대한 분석: 자기효능감, 사회적 지원 및 질병관리를 중심으로 (Factors influencing health and quality of life among allergy and asthma patients: With specific focus on self-efficacy, social support and health management)

  • 김의철;홍천수 ;이정권 ;박영신
    • 한국심리학회지 : 문화 및 사회문제
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    • 제11권2호
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    • pp.143-181
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    • 2005
  • 이 연구의 주된 관심은 건강과 삶의 질에 영향을 주는 요인들을 탐색하는데 있다. 신체적인 증상과 생리적인 기능 외에, 심리적인 기능과 인간관계가 건강 및 삶의 질에 미치는 영향을 분석하였다. 이 연구의 분석을 위해, 알레르기 비염과 천식 환자 70명을 대상으로 면접을 하였다. 연구자들이 제작한 반구조화된 질문지에서는 여섯 개 영역을 측정하였다 : 질병 발생의 원인, 심리적 특성, 질병의 관리, 신뢰, 사회적 지원, 신체증상과 삶의 질 지각. 상호작용모형 (Bandura, 1997; Kim & Park, 2005)을 기초로 분석한 결과들을 종합하여 건강회복과 질병악화의 순환과정에 대한 잠정적 모형을 제안하였다. 이 모형은 발병 단계, 대처 과정, 결과적 증상의 세 단계로 구성되었다. 첫째, 발병 단계에서는 개인요인과 환경요인이 포함되었다. 둘째, 대처과정에서는 세 측면이 다루어졌다. 환자의 심리적 기능과 관련된 특성으로는 자기효능감(자기조절 효능감, 주위사람도움 효능감, 환경통제 효능감, 어려움극복 효능감), 긍정적 성격과 목표의식, 스트레스, 대리적 통제가 포함되었다. 인간관계는 의미있는 주위 사람들로부터 받는 사회적 지원(재정적, 정서적, 정보적)과 신뢰(의사환자관계, 가족관계)가 포함되었다. 질병 관리 행동으로는 적절한 병원 진료, 의사처방 이행정도, 환경관리, 일상생활 관리가 포함되었다. 셋째, 결과적 증상으로 신체증상 및 삶의 질에 대한 주관적 지각이 포함되었다. 분석 결과와 제안된 모형에 토대하여 다음과 같은 몇 가지 논의가 있었다 : 생리적, 심리적, 관계적, 환경적 요인들이 상호작용하고 나아가서 건강과 삶의 질에 관련되어 있다는 점이다. 또한 자기효능감 가족으로부터의 사회적 지원, 의사에 대한 신뢰, 의료 복지를 위한 사회적 체제가 건강한 삶과 삶의 질을 증진시키는 핵심요인으로 확인되었다. 이러한 결과는 간학문적이고 토착적이며 문화심리적인 시각에서의 후속 연구가 필요함을 시사한다.

코로나19 시대 건강증진을 위한 노인체육 활성화 방안 (A Plan for Activating Elderly Sports to Promote Health in the COVID-19 Era)

  • 조경환
    • 한국엔터테인먼트산업학회논문지
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    • 제14권7호
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    • pp.141-160
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    • 2020
  • 본 연구는 장기화에 따른 코로나19의 세계적 대유행에 대비하고자 노년기의 건강증진을 위한 체육의 활성화 방안을 구체적으로 모색하는 데 목적이 있다. 아울러 문헌연구방법을 통해 노년기의 건강상태와 코로나19 관련 분석, 노년기의 건강증진 정책과 사업 제시, 그리고 코로나19 시대의 건강증진을 위한 노인 체육 활성화 방안을 제시하였다. 첫째, 국민체육진흥법과 노인복지법 및 관련 법 등의 개정 또는 전면 개정을 통해 노인건강을 위한 노인보건 및 노인체육의 발전적이고 융합적인 법 제정과 이에 따른 제도적인 장치 마련을 수립해야 할 것이다. 둘째, 한국판 뉴딜 종합계획에 착안하여 체육 분야 뉴딜 사업의 일환으로 노인들을 위한 디지털통합플랫폼을 구축하여 노년층에 맞는 시설-프로그램-정보-일자리 창출 등이 연계되도록 지원 시스템을 마련해야 할 것이다. 셋째, 노인복지 전문가를 육성한다. 대학에서의 노인체육 및 관련학과를 확대 개설하고 노인여가복지시설 등에 노인스포츠지도사를 의무적으로 배치해야 할 것이다. 넷째, 노년층을 위한 건강과 관련한 콘텐츠를 개발한다. 이는 가상현실(Virtual Reality: VR) 시뮬레이션을 통한 움직임을 조작하여 다양한 동작들을 수행함을 의미한다. 다섯째, 노인체육 및 관련 분야 연구개발에 투자를 확대한다. 이는 다학제간 통합적 협력연구를 통해 체계적이고 실용적인 건강한 노화 및 활기찬 노화 등에 대한 연구가 지속적으로 이루어져야 함을 의미한다. 여섯째, 국무총리실 산하에 노인관리청(노인건강청) 신설 운영을 촉구한다. 이는 전 생애적인 노인건강관리와 언텍트 및 뉴노멀 시대에 대응하는데 노인관리청 신설을 통해 노인의 건강증진 관련 기능 수행의 독립성을 보장하고 아울러 노년기의 건강증진, 일상생활 기능의 유지 및 재활, 사회적 적응, 장기요양의 문제 등을 모두 포함하여 종합적으로 운영이 되어야 한다.

진단용 X선 발생장치의 성능 측정 (Performance Measurement of Diagnostic X Ray System)

  • 유인규;임청환;이상호;이만구
    • 한국방사선학회논문지
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    • 제6권6호
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    • pp.447-454
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    • 2012
  • 본 연구는 진단용 X선 발생장치의 성능을 검사하기 위해 직선성(Linearity), 재현성(reproducibility) 및 반가층(Half Value Layer; HVL)을 실험하였다. 직선성(Linearity)은 설정된 조사조건으로 한 장비 당 4회씩 조사하여 측정된 선량을 기록하고 mR/mAs를 구하여 측정하였으며, 측정값이 0.1을 초과하면 직선성이 떨어지는 것을 알 수 있다. 재현성(Reproducibility)은 80kVp, 200mA, 20mAs와120kVp, 300mA, 8mAs의 조건으로 10회 조사하여 변동계수(CV) 공식에 대입하여 측정한 값이 0.05안에 포함되면 양호하게 나타나는 것을 알 수 있다. 반가층(Half Value Layer: HVL)은 filter가 없을 때 설정된 조건으로 3회 조사하여 측정한 후 부가필터용 반가층 물질로 사용하여 필터의 두께를 0, 1, 2, 4 mm로 바꾸어 가며 부가필터가 없을 때의 $\frac{1}{2}$이하인 측정값이 나올 때 까지 측정한다. 현재 본원에서 사용하는 진단용 X선 발생장치 5대를 대상으로 직선성, 재현성, 반가층을 측정한 결과 직선성은 1번 장비에서는 300mA~400mA, 5번 장비에서는 100mA~200mA 부근에서 양호하지 않았으며, 반가층 측정에서는 80kVp 측정치에서 1번 장비에서 검사기준을 만족하지 못하였다. 출력은 단상에 비해 삼상장치가 높게 나왔다. 실험을 통하여 밝혀진 결과를 토대로 정기적인 장비관리와 노후 된 장비의 교환 등이 이루어진다면 장비 사용의 효율성을 극대화 할 수 있으며, 방사선 피폭선량을 줄임과 동시에 영상의 화질을 향상시킬 수 있어 정확한 진단에 기여할 수 있을 것으로 사료된다.

독거노인의 사회안전망에 대한 활성화 방안 - 광양시 무선페이징시스템 대상자 중심으로 - (Activation plan of social safety network of the aged living alone - Focused on the aged using wireless paging system in Gwangyang-si -)

  • 이재민
    • 한국응급구조학회지
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    • 제13권3호
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    • pp.41-58
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    • 2009
  • Objective : The purpose of this study is to identify actual operations and issues of wireless paging system operation for the aged living alone as the end users of wireless paging system primarily in Gwangyang city, and thereby to explore possible advanced and integrated ways to promote social safety network for the aged. Methods : The survey tool used in this study was a structured questionnaire form consisting of question items. The researcher hereof conducted this survey by means of direct visit and interview during two seasons, i.e. from February to August, 2008 and from December 2008 to March 2009, respectively. Results : 1) For general demographic characteristics, it was found that 90.9% of all respondents were women and 61.2% of all respondents were at age 75 to 84. for health conditions, it was found that more than 90% of all respondents often took medicines due to their unhealthy body, and most of respondents suffered from musculoskeletal diseases 79.3% and circulatory diseases 61.6%. for walking capacity, it was found that 45.5% of all respondents used walking aids, and disable respondents (11.5% of all respondents) were represented primarily by those with physical disability (52.6% of disable respondents). for actual use of medical institutions, it was found 47.3% of all respondents relied on local clinics, since they preferred neighborhood hospitals or clinics they can trust for medical care. for social activities and supports, it was found that 43.6% respondents had 'needs for assistance at times' and 33.9% respondents have 'no need for assistance'. And it was found that the major difficulties in living alone at old age were represented primarily by health problems 37.8% and economic difficulties 33.5%. 2) For characteristics related to wireless paging system, it was found that 90.3% respondents used wireless paging system recommended by firemen, and 28.5% respondents used this system. and it was found that 59.6% respondents used this system once, and 85.2% respondents used it because of acute or chronic diseases. more than 90% respondents thought that they knew about wireless paging system and considered themselves safe, but 83.6% respondents didn't attach a remote control on their upper clothes, and even 49.1% respondents turned off the power of wireless paging system due to their concern about electricity bill and noise. 3) It was found that 83.6% respondents felt it necessary to use wireless paging system, and wireless paging users felt more satisfied with using the system than non-users, and 50.7% showed high satisfaction at certain psychological benefits like 'confidence in coping with critical situations' and 'a sense of relief'. In addition, it was found that some respondents who answered that 'they didn't turn off the paging system as they knew how it works' and those who answered that they knew 'how to use it' showed relatively high satisfaction. And some respondents who kept it well and felt it necessary also showed high satisfaction. 4) It was found that the level of satisfaction our respondents felt with using wireless paging system varied significantly availability($x^{2}$ = 12.759, p = .002), psychological advantages($x^{2}$ = 12.174, p = .002), knowledge about how to use system($x^{2}$ = 7.021, p = .016), power on/off($x^{2}$ = 13.221, p = .001), level of knowledge about system($x^{2}$ = 21.002, p = .000), maintenance($x^{2}$ = 9.871, p = .007) and level of necessity($x^{2}$ = 34.939, p = .000) on the statistical basis.

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뇌성마비 취학아동 어머니의 양육체험 (The Lived Experience of Mothers about Rearing of School Children With Cerebral palsy)

  • 백경선
    • Child Health Nursing Research
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    • 제7권4호
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    • pp.434-450
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    • 2001
  • This study is designed to understand the meaning and nature of raising children with cerebral palsy. It researches the experience of mothers of schoolchildren with cerebral palsy by the research method of hermeneutic phenomenology. The study was conducted from November 10, 1999 to December 20, 2000. When children with cerebral palsy usually show symptoms in the early stage of cerebral palsy, mothers do not take children to a doctor for diagnosis. And, most of mothers have a difficult time to accept the reality; they usually respond to the initial diagnosis with shock, reproach, and deny. When mothers start recognizing the reality, they consider that their children have cerebral palsy due to the their mismanagement during pregnancy, delivery, nursing, and initial treatment. They shelter their children from view and feel guilty that they cannot afford to try folk remedies for their children. As time passes, mothers face conflicts between families in diverse ways. Families put the blame on genetic effects. Mothers-in-law give their daughters-in-law a hard time, husbands shift the responsibility of raising children onto their wives, and trouble arises between families-in-law and mothers native families. When children grow up, it is physically difficult for mothers to take care their children. In addition, they suffer from all the troubles in family due to childrens handicap. Mothers try the diverse methods of bringing up children. However, they start getting tired of raising children as they experience failures and financial difficulties. Mothers feel collapsed recalling the ways of raising children. They feel anxiety, miserable, lonely, and worrying when they think how children would attend school, make friends, and live in the future. In this stage, mothers do their best to raise their children with hope. They tend to compare their children with others without handicap and spend money and time in attempting all the treatments. When mothers and children join the society at school, they find that the society does not understand disabled people, teachers show inconsiderate attitude, friends avoid them, and children hardly follow classes. Such experiences make mothers feel angry and frustrated. However, when children adapt to school, mothers see the possibility that children could accomplish schoolwork. They appreciate teachers help and others consideration. Mothers place appropriate expectations on their children and help them to prepare for the future. I would make following suggestions based on the results. 1. As a primary basic course of rehabilitation nursing intervention, solution-centered nursing intervention system should be developed. The intervention needs to be based on the understanding of mothers, who raise children with cerebral palsy, through in-depth interview. 2. Advance researches on the development of individual nursing intervention should be conducted. Individual nursing intervention needs to prevent and release actual pain focusing on mothers raising children with cerebral palsy. 3. Integrated curriculum that help children with cerebral palsy lead a normal school life with ordinary children should be developed. 4. Basic research on using of facilities and effective application of service volunteer to help children with cerebral palsy in school needs to be conducted.

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원격의료서비스 수용요인의 구조적 관계 실증연구 (Structural Relationships Among Factors to Adoption of Telehealth Service)

  • 김성수;류시원
    • Asia pacific journal of information systems
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    • 제21권3호
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    • pp.71-96
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    • 2011
  • Within the traditional medical delivery system, patients residing in medically vulnerable areas, those with body movement difficulties, and nursing facility residents have had limited access to good healthcare services. However, Information and Communication Technology (ICT) provides us with a convenient and useful means of overcoming distance and time constraints. ICT is integrated with biomedical science and technology in a way that offers a new high-quality medical service. As a result, rapid technological advancement is expected to play a pivotal role bringing about innovation in a wide range of medical service areas, such as medical management, testing, diagnosis, and treatment; offering new and improved healthcare services; and effecting dramatic changes in current medical services. The increase in aging population and chronic diseases has caused an increase in medical expenses. In response to the increasing demand for efficient healthcare services, a telehealth service based on ICT is being emphasized on a global level. Telehealth services have been implemented especially in pilot projects and system development and technological research. With the service about to be implemented in earnest, it is necessary to study its overall acceptance by consumers, which is expected to contribute to the development and activation of a variety of services. In this sense, the study aims at positively examining the structural relationship among the acceptance factors for telehealth services based on the Technology Acceptance Model (TAM). Data were collected by showing audiovisual material on telehealth services to online panels and requesting them to respond to a structured questionnaire sheet, which is known as the information acceleration method. Among the 1,165 adult respondents, 608 valid samples were finally chosen, while the remaining were excluded because of incomplete answers or allotted time overrun. In order to test the reliability and validity of the assessment scale items, we carried out reliability and factor analyses, and in order to explore the causal relation among potential variables, we conducted a structural equation modeling analysis using AMOS 7.0 and SPSS 17.0. The research outcomes are as follows. First, service quality, innovativeness of medical technology, and social influence were shown to affect perceived ease of use and perceived usefulness of the telehealth service, which was statistically significant, and the two factors had a positive impact on willingness to accept the telehealth service. In addition, social influence had a direct, significant effect on intention to use, which is paralleled by the TAM used in previous research on technology acceptance. This shows that the research model proposed in the study effectively explains the acceptance of the telehealth service. Second, the research model reveals that information privacy concerns had a insignificant impact on perceived ease of use of the telehealth service. From this, it can be gathered that the concerns over information protection and security are reduced further due to advancements in information technology compared to the initial period in the information technology industry, and thus the improvement in quality of medical services appeared to ensure that information privacy concerns did not act as a prohibiting factor in the acceptance of the telehealth service. Thus, if other factors have an enormous impact on ease of use and usefulness, concerns over these results in the initial period of technology acceptance may become irrelevant. However, it is clear that users' information privacy concerns, as other studies have revealed, is a major factor affecting technology acceptance. Thus, caution must be exercised while interpreting the result, and further study is required on the issue. Numerous information technologies with outstanding performance and innovativeness often attract few consumers. A revised bill for those urgently in need of telehealth services is about to be approved in the national assembly. As telemedicine is implemented between doctors and patients, a wide range of systems that will improve the quality of healthcare services will be designed. In this sense, the study on the consumer acceptance of telehealth services is meaningful and offers strong academic evidence. Based on the implications, it can be expected to contribute to the activation of telehealth services. Further study is needed to assess the acceptance factors for telehealth services, such as motivation to remain healthy, health care involvement, knowledge on health, and control of health-related behavior, in order to develop unique services according to the categorization of customers based on health factors. In addition, further study may focus on various theoretical cognitive behavior models other than the TAM, such as the health belief model.

유비쿼터스 컴퓨팅 환경을 위한 RFID/WSN 통합 관리 시스템에 관한 연구 (A Study on The RFID/WSN Integrated system for Ubiquitous Computing Environment)

  • 박용민;이준혁
    • 대한전자공학회논문지TC
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    • 제49권1호
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    • pp.31-46
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    • 2012
  • 유비쿼터스 컴퓨팅 환경을 구현하기 위해서 가장 핵심이 되는 기술은 USN(Ubiquitous Sensor Network)기술로써 RFID(Radio Frequency Identification)와 무선 센서 네트워크(Wireless Sensor Network WSN)를 이용한 다양한 센서 기술과 프로세서 집적 기술 그리고 무선 네트워크 기술을 이용해서 실제 물리적 환경 정보를 원격에서 손쉽게 수집하고 모니터링 하는 것을 가능하게 함으로써 기존 가상 공간의 IT 기술을 다양한 실제 환경에서 확대할 수 있도록 한다. 그러나 RFID와 WSN은 이러한 기술적 유사성과 상호 영향에도 불구하고 별 개의 연구로 인식되었으며 RFID와 WSN의 기술적인 융합에 대한 연구는 미비한 수준이다. 이러한 문제점을 인식한 EPCglobal에서는 국제 표준인 EPCglobal Network를 기반으로 RFID와 WSN 기술을 효율적으로 통합/연동할 수 있는 EPC 센서 네트워크(EPC Sensor Network)를 제안하였다. 제안된 EPC 센서 네트워크는 미들웨어에서 복합 이벤트 처리(Complex Event Processing) 기법을 이용하여 RFID와 WSN을 통해 발생되는 데이터를 단일 환경에서 통합하고, 발생된 이벤트를 EPCglobal Network를 기반으로 연동하는 기술이다. 하지만 이러한 EPC 센서 네트워크는 미들웨어에서 복합 이벤트를 검출하기 위해 복합 이벤트를 구성하는 모든 기본 이벤트가 발생하지 못하는 경우에도 계속적인 검사를 수행하기 때문에 연산 비용이 증가되는 문제점이 있다. 또한 센서 데이터의 표현을 위해 RFID 태그의 EPC를 기반으로 센서 데이터를 하나의 결합된 쌍으로 표현한다. 이것은 센서 데이터를 처리하는데 있어 반드시 EPC가 있어야 함을 의미한다. 즉, 센서 데이터만을 위한 관리 기능은 제공하지 못하는 문제점이 있다. 이러한 EPC 센서 네트워크의 문제점들을 해결하기 위하여 본 논문에서는 RFID/WSN 통합 관리 시스템을 제안한다. 제안하는 RFID/WSN 통합 관리 시스템은 첫 번째, RFID와 WSN 데이터를 인터넷 표준 프로토콜인 SIP(Session Initiation Protocol) 기반의 통합 관리 시스템을 제안하였다. 두 번째, 미들웨어에서 불필요한 복합 이벤트 검출 연산을 위하여 복합 이벤트의 최소 조건을 정의하고 조건을 만족하는 경우에만 복합 이벤트를 검출하는 알고리즘을 제안하였다. 제안하는 기법들의 성능을 평가하기 위하여 SIP 기반의 통합관리시스템을 구현하여 성능을 평가하였다.