• 한국산학기술학회논문지
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• 제22권2호
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• pp.418-426
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• 2021

이 연구는 방사선 발생장치 제조업체 종사자와 의료기관 종사자들 간의 방사선안전관리에 대한 인식을 알아보고 적극적인 대처능력과 안전수준을 향상시키는데 기초자료로 활용하기 위하여 연구조사하게 되었다. 방사선에 대한 지식, 태도 실천 점수는 성별, 연령, 결혼상태, 직종, 직위, 현 직장근무기간, 직장 총 근무기간, 방사선 관련 유사업무 유무, 매뉴얼 비치 여부, 방어 시설유지 여부, 방어 장비보유 수, 방사선 안전교육 여부, 특수건강검진 여부, 방사선 용어인지 여부와 관련이 있었으며, 특히 방사선 관련 직종에서 방사선사의 지식 점수가 가장 높았다(p<0.05). 방사선 안전관리는 방사선제조업체 종사자 및 의료기관 종사자 모두 방사선 노출에 적극적인 방어 노력이 필요하며방사선 안전관리를 위해서는 지침 준수, 주기적인 교육, 시설보강, 매뉴얼 작성, 특수 건강검진 등 제도적 장치가 필요하다.

• 디지털산업정보학회논문지
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• 제14권3호
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• pp.11-20
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• 2018

Smart devices refer to various devices and control equipment such as health care devices, imaging devices, motor devices and wearable devices that use wireless network communication (e.g., Wi-fi, Bluetooth, LTE). Commercial services using such devices are found in a wide range of fields, including home networks, health care and medical services, entertainment and toys. Studies on smart devices have also been actively undertaken by academia and industry alike, as the penetration rate of smartphones grew and the technological progress made with the fourth industrial revolution bring about great convenience for users. While services offered through smart devices come with convenience, there is also various security threats that can lead to financial loss or even a loss of life in the case of terrorist attacks. As attacks that are committed through smart devices tend to pick up where attacks based on wireless internet left off, more research is needed on related security topics. As such, this paper seeks to design an access control method for reinforced security for smart devices. After registering and authenticating the smart device from the user's smart phone and service provider, a safe communication protocol is designed. Then to secure the integrity and confidentiality of the communication data, a management process such as for device renewal or cancellation is designed. Safety and security of the existing systems against attacks are also evaluated. In doing so, an improved efficiency by approximately 44% compared to the encryption processing speed of the existing system was verified.

• 벤처창업연구
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• 제9권6호
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• pp.145-152
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• 2014

본 연구에서는 우리나라 의료기기 기업에서 이용 가능한 생체 저항 분석법의 유용성을 비만뿐만 아니라 심혈관질환의 위험성을 예측하고 관리 가능한지를 파악하기 위해 혈액검사와 비교하여 분석하였다. 특히 BIA 측정치 중 인체부위별 겉둘레와 지방두께와의 상관관계를 분석하였다. 본 연구에서는 우리나라 의료기기 산업에 있어 BIA의 활용과 진단을 기반으로 효율적인 관리와 평가를 위해 이용 가능하도록 제안하는데 목적이 있다.

• 정보관리학회지
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• 제33권2호
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• pp.103-133
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• 2016

최근 특허기술의 가치평가가 크게 강조되고 있으며, 특허의 피인용횟수는 특허기술 가치평가에 있어 중요한 척도이다. 본 연구에서는 국내 특허를 대상으로 피인용횟수에 영향을 주는 변수들을 도출하기 위하여 일반화 선형모형 회귀분석을 실시하였다. 총 12개의 변수를 형태적, 기술적 그리고 개념적 요인으로 분류하였고, 국내 의료기기 특허 14개의 분야에 적용하여 분석한 결과 출원인 국적, 출원인 유형, 발명자 수, 출원국가 수, IPC 수, 참고문헌 수, 서지결합도가 특허 피인용횟수에 유의미한 영향을 미치는 것으로 나타났다. 본 연구는 국내 실정에 적용 가능한 연구를 수행함으로써 국내 특허에 대한 인용분석 방법론에 있어서 실질적인 기초적 자료를 제공했다는데 의의가 있다.

• Tuberculosis and Respiratory Diseases
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• 제81권2호
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• pp.91-98
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• 2018

When it comes to the use in inhalers in the management of chronic obstructive pulmonary diseases, there are many options, considerations and challenges, which health care professionals need to address. Considerations for prescribing and dispensing, administering and following up, education, and adherence; all of these factors impact on treatment success and all are intrinsically linked to the device selected. This review brings together relevant evidence, real-life data and practice tools to assist health care professionals in making decisions about the use of inhalers in the management of chronic obstructive pulmonary diseases. It covers some of the key technical device issues to be considered, the evidence behind the role of inhalers in disease control, population studies which link behaviors and adherence to inhaler devices as well as practice advice on inhaler technique education and the advantages and disadvantages in selecting different inhaler devices. Finally, a list of key considerations to aid health care providers in successfully managing the use of inhaler devices are summarized.

• Journal of Korean Biological Nursing Science
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• 제20권4호
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• pp.228-235
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• 2018

Purpose: This study aimed to investigate the clinical alarm occurrence and management of nurses toward clinical alarms in the intensive care unit (ICU). Methods: This observational study was conducted with 40 patients and nurses cases in two ICUs of a university hospital. This study divided 24 hours into the unit of an hour and conducted two times of direct observation per unit hour for 48 hours targeting the medical devices applied to 40 patients. Data were analyzed using IBM SPSS Statistics 23. Results: On average, 3.8 units of medical devices were applied for each patient and the ranges of alarm settings were wide. During 48 hours, 184 cases of clinical alarm were occurred by four types of medical devices including physiological monitors, mechanical ventilators, infusion pumps, and continuous renal replacement therapy. Among them, false alarm was 110 cases (59.8%). As for the alarm management by ICU nurses, two-minute alarm mute took up most at 38.0% (70 cases), and no response was second most at 32.6% (60 cases). When valid alarm sounded, nurses showed no response at 43.2%. Conclusion: The findings suggest that a standard protocol for alarm management should be developed for Korean ICU settings. Based on the protocol, continuous training and education should be provided to nurses for appropriate alarm management.

• 한국응급구조학회지
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• 제25권2호
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• pp.169-186
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• 2021

Purpose: This study aimed to analyze the data from public information disclosure about pre-hospital advanced airway management and identify the problem by considering domestic laws and guidelines. Methods: Data were collected between 2017 and 2018 and analyzed using SPSS 25.0. Then, the problems of the analysis results based on the relevant laws and practical guidelines were reviewed. Results: The review of domestic laws and practice guidelines revealed that ambulance nurses can implement supraglottic airway device only under the following three conditions: ① smart advanced life support pilot project area, ② trained to insert I-Gel, and ③ member of a special ambulance. In total, 21,574 cases of advanced airway management (endotracheal intubation: 2,428, I-Gel: 18,502, LMA : 499, KING AIRWAY: 144) were reported. In many cases, advanced airway management was performed by ambulance nurses who did not meet the above conditions, which was in violation of laws and guidelines. In addition, the prognosis of intubated patients was not followed up. Conclusion: The Korea National Fire Agency must stop all unlicensed medical practice by untrained, uneducated, and uncertified nurses and demand quality control programs for intubated patients.

• 한국직업건강간호학회지
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• 제17권1호
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• pp.86-95
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• 2008

Purpose: The objectives for this study are to produce the comprehensive management indexes and find their application strategies for appropriate medical care in primary care clinics under workers' compensation insurance. Method: Data of this study was workers' compensation insurance medical fees claim's data from July 2006 to June 2007. Data were analyzed using SAS 9.1 version by applying descriptive statistics and Pearson's correlation. The indexes such as costliness index(CI), standard medical fee were calculated based on the fourth revision of korean classification of diseases(KCD-4.). Results: The CI, visiting index(VI), outliers index(OI), and medical review adjustment percentage were positively correlated in the both inpatient and outpatient medical fees in primary care clinics under workers' compensation insurance. The major medical specialities were neurological surgery, general medicine, general surgery, rehabitational medicine, and orthopedic surgery. The CIs were slightly high in rehabitational medicine among major medical specialities. The CIs were mostly high in diagnosis, test, anesthesia, and rehabitational assistive device fees among major medical specialities. The CIs were slightly high in Kwangju, Daegu, Daejeon, and Busan districts among district management centers of Korea Workers' Compensation and Welfare Service. Conclusions: We suggest the continuous development of appropriate disease classification system and medical care quality indicators to successfully take root the comprehensive management for appropriate medical care under workers' compensation.

• 대한의용생체공학회:의공학회지
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• 제41권1호
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• pp.35-41
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• 2020

In this study, we examined whether the systematic literature review method used in the field of evidence-based medicine could be used for post-market clinical evaluation of medical devices by modifying them to fit the regulatory perspective of medical devices in Korea. For this purpose, systematic literature review was modified and applied to conduct a clinical literature survey on the ophthalmic electrosurgical system(Trabectome^®, NeoMediX Corp) used for the treatment of glaucoma. A total of six documents were finally selected, and clinical safety and efficacy information on the indications of the ophthalmic electrosurgical system were effectively presented. In addition, general safety information and unexpected safety information could be distinguished through comparison with medical device adverse event reporting cases. The method used in this study is expected to be used in various ways throughout post-market medical device safety management system and for the purpose of regulation improvement, especially in the field of ophthalmic electrosurgical system.

• 디지털융복합연구
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• 제14권11호
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• pp.283-288
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• 2016

본 연구는 IoT기반의 의료정보 처리를 위한 시스템 및 네트워크 기술 구현에 관련한 것이다. 본 연구의 구성환경은 IoT의 기본구성으로 센서노드, 게이트웨이, 서버노드의 구성이다. 센서노드로서의 의료단말이 게이트웨이에 연결요청을 하면 서버에 미리 등록된 의료장치일 경우 서버는 등록을 허가한다. 착용형 의료장치는 주기적으로 센싱정보를 수집하여 서버에 전달하고 서버는 이를 시각화하거나 미래사용을 위해 저장한다. 본 논문에서는 이에 필요한 전체 절차와 알고리즘을 기술하였고 소프트웨어 구조를 제안하였다.