• 한국인터넷방송통신학회논문지
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• 제10권2호
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• pp.167-172
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• 2010

최근 병원에서는 전반적으로 의료정보시스템의 전산화가 진행되고 있으며, 시스템 간에 효율적인 정보 교환을 위하여 HL7, DICOM 등의 의료 표준이 존재한다. 그러나 병원별로 이질적으로 구축된 시스템으로 인해 환자의 의료정보의 데이터 구조가 다르므로 서로 다른 병원 간에 정보를 공유하기 어렵다. 본 논문에서는 XML을 기반으로 하여 다양한 의료정보를 단일 구조로 결합하고, 병원마다 독립적으로 관리되고 있는 의료정보시스템을 일괄적으로 관리하는 통합의료정보 시스템을 제안하였다. 따라서 제안 시스템은 타 병원의 내부 시스템에 따라 별도의 구조를 고려하지 않는 효과적인 정보 공유가 가능하다. 이로 인하여 의료기관들은 환자들에게 시간과 비용의 절감과 함께 정확한 진료를 제공할 수 있게 된다.

• 임상간호연구
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• 제19권1호
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• pp.20-32
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• 2013

Purpose: To present necessary data for improvement in communications between health professionals in as characterized by nurses' communications. Methods: This study was a descriptive survey research design with a survey of 1,510 registered nurses working in general hospitals (of at least 1,900 beds) in Seoul. A questionnaire on communication in the ICU, nurse-physician and nurse-nurse, was used. Data were collected from January 9 to 20, 2012, and the response rate was 85.0%. Results: Cronbach ${\alpha}$ values ranged from .75 to .89, except for .59 for accuracy (nurse-physician), with .89 overall. The highest mean score was for perception for timeliness [$3.83{\pm}.57$], followed by shift communication (nurse-nurse) [$3.64{\pm}.66$], openness (nurse-nurse) [$3.64{\pm}.65$], accuracy (nurse-nurse) [$3.14{\pm}.61$], openness (nurse-physician) [$2.90{\pm}.75$], understanding (nurse-physician) [$2.82{\pm}.65$], and accuracy (nurse-physician) [$2.70{\pm}.59$]. Subscales of openness, understanding, and shift communication were strongly associated with communication satisfaction. The general characteristics of nurses with different perceptions of communications included age, clinical experience, work pattern, and department. Conclusion: Proactive activities to improve accuracy, openness and mutual understanding between physicians and nurses are required for patient safety. Further studies are also needed to reassess communications and evaluate the relationship between patient outcomes and nurses' job satisfaction after application of strategies to improve communications.

• 대한한의학원전학회지
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• 제25권2호
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• pp.125-139
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• 2012

Objective : This study began with a recognition of the increase in internal disorders caused by functional impairment of the Spleen-Stomach(脾胃) due to modern dietary culture and environment. Method : Way of studying is select and analysis sentences which is include 'Stomach-Yin(胃陰)', 'Stomach-Jin(胃津)', 'Spleen-Stomach-Yin(脾胃陰)', 'Stomach-Yang(胃陽)', 'Spleen-Stomach-Yang (脾胃陽)' in Imjeungjinamuian(臨證指南醫案), and organize relevant paper. Result & Conclusion : In the history of the Spleen-Stomach Theory(脾胃學說), the theoretical mainstream was focused on On-yang(溫養), which was supplemented with methods of sweeten-cool-moisturize(甘凉濡潤) and communication-descent(通降法) by Ye, Tianshi(葉天士). Ye, Tianshi followed the academic theory of Li, Dongyuan(李東垣), putting emphasis on Stomach-gi(胃氣), along with some unique developments of his own. He specifically argued that the Spleen and Stomach be treated separately, and while accepting the methods of Li Dong-yuan in Spleen treatment, asserted that the Stomach-Yin be treated with medicinals with sweet/plain and sweet/cool/moist(甘平與甘凉濡潤) characteristics, and Stomach-Yang be kept firmly, as to prevent obstruction and reflux, by means of medicinals that communicate the Yang softly(通陽柔劑). As a result, the Yin-Yang(陰陽), Dryness-Dampness(燥濕) and Cold-Heat(寒熱) balance of the Yin-Jang (陰臟), Spleen and the Yang-Bu(陽腑), Stomach, the Stomach-Yin and Stomach-Yang was achieved both theoretically and in treatment by means of both communication and supplementation, adding accuracy to clinical application of the Spleen-Stomach Theory.

• 한국전자통신학회논문지
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• 제10권12호
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• pp.1403-1410
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• 2015

본 연구에서는 병원정보시스템에서 분야별로 발생하는 의료 빅데이터 자료를 활용하여 가치있는 의료정보를 생성하고 활용할 수 있는 방안을 마련하고자 한다. 본 연구의 결과는 첫 번째, 의료정보시스템의 진료정보와 각종 검사장비 및 의료영상장비와 연동된 PACS의 발생자료를 통합하고 의료 빅데이터를 분석하여 새로운 의료정보를 생성한다. 이렇게 생성된 의료정보는 감염병 및 질병 예방과 질병의 치료를 위한 다양한 건강정보를 생성하게 된다. 두 번째, 환자의 접수내역과 수납내역 그리고 청구내역들을 통합하여 축적해온 의료 빅데이터를 분석하여 다양한 수익통계정보를 생성한다. 이렇게 생성된 수익통계정보는 의료기관의 운영과 수익분석에 활용하기 위한 다양한 경영정보를 생성하게 된다. 이와 같이 병원정보시스템에서 발생하는 의료정보와 공공기관의 의료정보 그리고 개인건강기록의 자료들이 통합이 되면 의료자료를 활용한 가치있는 보건의료정보를 창출하게 된다.

• Journal of Magnetics
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• 제12권2호
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• pp.89-92
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• 2007

The authors propose a magnetic actuator for use as a navigation system for capsule endoscopes. The actuator is composed of a capsule dummy, a permanent magnet inside the capsule, and an external spiral structure. The device rotates and propels wirelessly when exposed to an external rotational magnetic field. In this study we measured the effect of the spiral shape on the velocity and thrust force properties. According to our experimental results, the actuator obtained a maximum velocity and thrust force when the spiral angle was set at 45 degrees, the number of spirals was set at 4, and the spiral-height was set at 1-mmf. We also conducted a motion test in the large intestine of a pig placed on a 30 degrees slope. The actuator passed through a 700 mm length of the intestine in about 300 s. The device also managed to travel up and down the 30 degrees slope with no difficulty whatsoever. Our results demonstrate the great potential of this actuator for use as a navigation system for capsule endoscopes.

• 한국간호교육학회지
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• 제27권2호
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• pp.163-174
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• 2021

Purpose: This study aims to identify factors influencing the stigma communication concerning HIV (Human Immunodeficiency Virus)/AIDS (Acquired Immune Deficiency Syndrome) patients between health and medical college students. Methods: In this descriptive study, the participants were 158 college students from a certain university. Data were collected from September 18 to September 30, 2018. Self-reported questionnaires were used to measure AIDS-related knowledge, homosexual awareness, fear of HIV/AIDS patients and stigma communication. The collected data were analyzed with descriptive statistics, an independent t-test, one way analysis of variance, Pearson's correlation and a stepwise multiple regression analysis using the SPSS 23.0 program. Results: The factors influencing the stigma communication between health and medical college students were a fear of HIV/AIDS patients (β=.47, p<.001) and homosexual awareness (β=-.15, p=.040), which together explained 28.0% of the variance in the model. Conclusion: The study findings suggest that an education program for health and medical college students should be developed. Additionally, when designing the education program, it is recommended that the contents for inducing attitude changes should include affective areas as well as knowledge-oriented contents. The study suggests that it is necessary to provide a systematic education program to decrease the stigma for HIV/AIDS patients before health care providers enter clinical practice.

• 한국원자력학회:학술대회논문집
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• 한국원자력학회 2005년도 춘계학술발표회
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• pp.1046-1047
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• 2005

• 한국산업정보학회논문지
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• 제11권4호
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• pp.1-9
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• 2006

병원에서의 전반적인 의료 정보서비스는 유비쿼터스 환경으로 전환되고 있다. 유비쿼터스 환경에서의 의료정보서비스를 하기 위해서는 기본적으로 DICOM파일을 볼 수 있는 뷰어와 의료정보를 제공해주는 서버와의 네트워킹이 가능하도록 하여야 한다. 제안한 기법을 적용하기 위해, 본 논문은 우선 모바일 단말기 환경에서 서버와 클라이언트로 형태의 네트워크를 구현하였다. 둘째, 유비쿼터스 환경에 맞추어 PDA를 이용하여 무선통신이 가능하도록 PDA에 DICOM 뷰어를 구현다. 셋째, 환자 정보를 효과적으로 적용시키기 위해 MIPS는 RFID 시스템을 이용하였다. 특히, MIPS는 기존의 텍스트 기반 통신과는 달리 영상정보 기반의 통신의 가능성을 보여주었다.

• Child Health Nursing Research
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• 제22권2호
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• pp.107-116
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• 2016

Purpose: Involvement of families in rounds is one strategy to implement patient- and family-centered care to help families get clear information about their child, and be actively involved in decision making. The purpose of this paper was to identify the major concepts of family-centered rounds for hospitalized children. Methods: We searched five electronic databases for relevant articles and used Whittemore and Knafl's integrative review methods to synthesize the literature. Articles published between June 2003 and January 2016 were reviewed and through full text screening 24 peer-reviewed articles were found that met the selection criteria for this review. Results: Through in-depth discussion and investigation of the relevant literature, four overarching components emerged: (a) cognition of parents and medical staff, (b) effective communication, (c) collaboration of family and medical staff, (d) coaching of medical staff. Conclusion: For successful family-centered rounds positive cognition is important. Appropriate communication skills and consideration of multi-cultural family can lead to effective communication. Offering consistent and transparent information is important for collaboration between family and medical staff. Prior education on family-centered rounds is also important. Four major components have been identified as basic standards for implementing family-centered rounds for hospitalized children.

• KSII Transactions on Internet and Information Systems (TIIS)
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• 제18권7호
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• pp.1706-1725
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• 2024

The unique U-shaped structure of U-Net network makes it achieve good performance in image segmentation. This network is a lightweight network with a small number of parameters for small image segmentation datasets. However, when the medical image to be segmented contains a lot of detailed information, the segmentation results cannot fully meet the actual requirements. In order to achieve higher accuracy of medical image segmentation, a novel improved U-Net network architecture called multi-scale encoder-decoder U-Net+ (MEDU-Net+) is proposed in this paper. We design the GoogLeNet for achieving more information at the encoder of the proposed MEDU-Net+, and present the multi-scale feature extraction for fusing semantic information of different scales in the encoder and decoder. Meanwhile, we also introduce the layer-by-layer skip connection to connect the information of each layer, so that there is no need to encode the last layer and return the information. The proposed MEDU-Net+ divides the unknown depth network into each part of deconvolution layer to replace the direct connection of the encoder and decoder in U-Net. In addition, a new combined loss function is proposed to extract more edge information by combining the advantages of the generalized dice and the focal loss functions. Finally, we validate our proposed MEDU-Net+ MEDU-Net+ and other classic medical image segmentation networks on three medical image datasets. The experimental results show that our proposed MEDU-Net+ has prominent superior performance compared with other medical image segmentation networks.