• 한국정보처리학회논문지
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• 제3권5호
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• pp.1046-1058
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• 1996

본 논문은 미래의 초고속 통신망의 환경에서 멀티미디어 기술을 이용하는 차세대 의료 진단 시스템을 구축하는 것이 목적이다. 이 시스템에서 원격지의 의사는 환자에 관한 정보의 MRK, CT, CR, Angio 같은 2차원 환부 의료 영상으로 부터 재 구성된 3차 원 의료 영상을 통신망을 통해 공유하며 공동 진단을 하게 된다. 이 진단화의 시스템 에서는 음성, 환자의 정보, 지시점(Hand Position), 3차원 의료 영상, 제어 데이터를 주고 받으며 진다회의를 제어한다. 3차원 의료 영상은 분석적 적분 계산을 이용한 광선 추적법에 의해 재구성 된다. 의료 데이터 베이스는 환자의 기본 정보, 의료 영상 정보, 사용자, 진단 결과 등으로 구성한다.

• Journal of information and communication convergence engineering
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• 제8권6호
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• pp.690-696
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• 2010

Web-based virtual collaboration is increasingly gaining popularity in almost every area in our society due to the fact that it can bridge the gap imposed by time and geographical constraints. However, in medical field, such collaboration has been less popular than other fields. Some of the reasons were timeliness, security, and preciseness of the information they are dealing with. In this paper, we are proposing a web-based distributed medical collaboration system called Virtual Collaboration System for Medicine (VCSM) for medical doctors that meet the needs. The proposed system consists of two parts - multimedia presentation and recordable virtual collaboration. The former supports synchronized multimedia presentation using Synchronous Multimedia Integration Language (SMIL.) It allows synchronization of the contents of a PowerPoint presentation file and a video file. The presentation may be provided to the participants before the discussion begins. Next, in the virtual collaboration stage, participants can use text along with associated symbols during the discussion over the presented medical images. The symbols such as arrows or polygons can be set or removed dynamically to represent areas of interest in digital images using so called layered architecture that separates image layer from annotation layer. XML files are used to record participants' opinions along with the symbols over some particular images

• 정보관리연구
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• 제32권2호
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• pp.26-39
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• 2001

효과적인 정보검색 도구로 활용되는 시소러스, 분류표 등의 통제어휘집들은 동일한 개념이나 의미를 표현하는데 서로 다른 어휘를 사용하고 있다. 이러한 동일 개념에 대한 용어 표현차이로 인한 정보의 검색 및 통합문제를 해결하기 위하여 미국국립의학도서관은 통합의학언어시스템(Unified Medical Language System : 이하 UMLS)을 개발하였다. UMLS 개발은 1986년부터 시작된 장기 프로젝트로서 2001년판 UMLS는 메타시소러스, 의미망, 전문가 사전의 세가지 요소로 구성되어 있다. 본고는 UMLS의 개발배경과 구성요소 및 PubMed, NLM Gateway에서의 적용사례에 대해 고찰하였다.

• 대한의용생체공학회:의공학회지
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• 제43권4호
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• pp.219-229
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• 2022

In this study, we propose a miniaturized micro-ceramic heater device. After screen-printing a silver paste between pre-sintered two aluminum oxide plates to integrate a heating circuit, the device was fabricated through a low-temperature sintering process. In order to configure the optimal heating circuit integration condition, the output current evaluation and heating test were performed according to the number of screen prints of the silver paste at various voltages. A silver paste-based heating circuit printed with a line width of 200 ㎛ and a thickness of 60 ㎛ was successfully integrated on a pre-sintered alumina substrate through a low-temperature sintering process. In the case of the 5 times printed device, the thermal response showed a response rate of 18.19 ℃/sec. To demonstrate feasibility of the proposed device in the medical field, such as bio-tissue suturing and hemostasis, a voltage was applied to pig tissue in the device to test tissue change due to heat generated from the device. These results show the possibility that the proposed small ceramic heater could be used in the medical field based on its excellent temperature response.

• Journal of Genetic Medicine
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• 제20권2호
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• pp.31-38
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• 2023

Rare diseases, even though defined as fewer than 20,000 in South Korea, with over 8,000 rare Mendelian disorders having been identified, they collectively impact 6-8% of the global population. Many of the rare diseases pose significant challenges to patients, patients' families, and the healthcare system. The diagnostic journey for rare disease patients is often lengthy and arduous, hampered by the genetic diversity and phenotypic complexity of these conditions. With the advent of next-generation sequencing technology and clinical implementation of exome sequencing (ES) and genome sequencing (GS), the diagnostic rate for rare diseases is 25-50% depending on the disease category. It is also allowing more rapid new gene-disease association discovery and equipping us to practice precision medicine by offering tailored medical management plans, early intervention, family planning options. However, a substantial number of patients remain undiagnosed, and it could be due to several factors. Some may not have genetic disorders. Some may have disease-causing variants that are not detectable or interpretable by ES and GS. It's also possible that some patient might have a disease-causing variant in a gene that hasn't yet been linked to a disease. For patients who remain undiagnosed, reanalysis of existing data has shown promises in providing new molecular diagnoses achieved by new gene-disease associations, new variant discovery, and variant reclassification, leading to a 5-10% increase in the diagnostic rate. More advanced approach such as long-read sequencing, transcriptome sequencing and integration of multi-omics data may provide potential values in uncovering elusive genetic causes.

• 웰빙융합연구
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• 제7권1호
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• pp.51-65
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• 2024

Purpose: This study is to propose the establishment and direction of a public health-medical cooperation system for rehabilitation medical services for people with physical and brain disabilities in Gangneung, Korea. Research design, data and methodology: The study focused on 30 individuals with these disabilities registered. Data was collected from December 20, 2021, to December 31, 2021, through structured surveys administered by researchers visiting disability-related facilities, utilizing convenience and random sampling methods. Descriptive statistics and cross-analysis were applied for analysis. Results: Specifically, among respondents with physical disabilities, a total of 20 needs were identified, with 'Visiting health services' (25.0%) and 'Oral health services' (20.0%) ranking highest. The survey results regarding visit-based rehabilitation services for disability support showed a high demand, emphasizing the necessity of service provision tailored to the needs of recipients, focusing on disability prevention, health management, and motor function recovery, rather than solely medical or therapeutic concepts. Conclusions: Gangwon National University Hospital, as the regional referral hospital in Gangwon, should collaborate with Gangwon Province Rehabilitation Hospital to provide prompt acute rehabilitation services. Moreover, cooperation and collaboration with Gangneung Asan Hospital, the tertiary hospital in the region, are essential to ensure continued acute and recovery phase rehabilitation therapy for a certain period in the Gangneung area.

• Journal of Medicine and Life Science
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• 제20권4호
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• pp.141-157
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• 2023

Stroke is a leading cause of disability and death. The condition requires prompt diagnosis and treatment. The quality of care provided to patients with stroke can vary depending on the availability of medical resources, which in turn, can affect prognosis. Recently, there has been growing interest in using machine learning (ML) to support stroke diagnosis and treatment decisions based on large medical data sets. Current ML applications in stroke care can be divided into two categories: analysis of neuroimaging data and clinical information-based predictive models. Using ML to analyze neuroimaging data can increase the efficiency and accuracy of diagnoses. Commercial software that uses ML algorithms is already being used in the medical field. Additionally, the accuracy of predictive ML models is improving with the integration of radiomics and clinical data. is expected to be important for improving the quality of care for patients with stroke.

• 한국인터넷방송통신학회논문지
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• 제13권6호
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• pp.255-262
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• 2013

다양한 병원 정보 시스템 환경에서 서로 다른 인터페이스 규격을 가지는 의료기기들을 통합하기 위한 의료기기 통합 게이트웨이(MG, Medical Gateway)는 하나의 장비로 여러 의료기기들을 인터페이스 할 수 있기 때문에 기존의 PC를 게이트웨이로 사용하는 환경에 비해 관리의 효율성과 비용적인 측면에서도 많은 이득을 제공하고 있다. 그러나 MG를 통해 여러 의료기기들을 통합 한다 하더라도 데이터를 EMR 시스템과 연동하기 위해서는 각 병원시스템과 DB 구성에 따라 개별적인 프로그램이나 추가적인 시스템 도입이 필요하게 된다. 본 논문에서는 이러한 MG와 EMR 시스템간의 연동을 위한 표준기반의 메시지 규격을 설계하고 설계된 메시지를 처리할 수 있는 서버를 구현한다. 본 논문에서 제안한 메시지 규격과 서버는 환경이 서로 다른 병원에서도 MG와의 데이터 교환이 용이하게 하여 디지털병원 수출 프로젝트와 같은 국내의 선진 병원 구축 기술과 IT 기술을 해외에 수출하는 국가적인 프로젝트에 기여할 수 있다.

• 대한전기학회논문지:시스템및제어부문D
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• 제54권5호
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• pp.315-323
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• 2005

The recent development of embodiment technology of the medical images makes most medical institutions introduce PACS in haste. However, while many older HIS and PACS systems are not yet capable of some of the integration, several new systems are moving rapidly in that direction. Typical PACS system architecture begins with the HIS since this is where the correct patient demographic information and in many cases the orders originate. So, PACS developed convenience of users and to satisfy user's demand because of financial limitations and administrator-oriented considerations in the process of development. Therefore, we have developed a CDA (Clinical Document Architecture) based PACS with HIS, by which we can search and refer to the patient's medical images and information with few restrictions of time and space for diagnosis and treatment. Target model of this research limited to 135 of hospital have 200 beds. We'll make more effort to develop the application which insures the better quality and information of medical images. Medical Image History manages the patient's image files and various medical informations like film chart in connection with time. This trial will contribute to the reduction of the financial loss caused by unnecessary devices and improve the quality in the medical services. The demand on the development of the program which refers to the medical data quickly and keeps them stable will be continued by the medical institute. This will satisfy the client's demand and improve the service to the patients in that the program will be modified from the standpoint of the users.

• 대한건축학회논문집:계획계
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• 제36권3호
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• pp.31-38
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• 2020

The purpose of this study is to compare between professionalism in medical field(doctor) and architectural design field(architect) in Korea through synchronic and diachronic analysis, with basic requirement of expertise and systemicity, attitude requirement of the publicness, and structural requirement of exclusiveness and autonomy. The medical professionalism adapted by Korean government in the early period of modernization evolved from Western's professional expertise is highly divided as economy grew and society changed. In comparison, architecture was divided into architecture, urbanism, landscape, and interior architecture. Additionally, architectural field was subdivided with architectural design, engineering, construction, structure, and facilities, but architectural design focused on generalized education and practice system. From the systematical point of view, architectural design field has changed profoundly from architectural engineering as 5 year undergraduate educational system was introduced with Korean architectural accreditation. The publicness is approved through health service in medical field and safety and the public domain in architectural design field, but in reality the professionals are viewed as economic interest groups. Hence, the professionalism in both fields is required to reinforce ideology and ethics, and to practice concrete measures for publicness. Compared with the unified organization of medical field, architectural design professionalism faces various difficulties in unifying the organization, such as internal competition caused by tightened architect's requirements, along with external problems from architectural design permission demands of construction companies. In medical and architectural design professionalism, with the appearance of consumerism and stricter governmental regulations, the autonomy is weakened. From the result of comparative analysis, Korean medical field became extremely subdivided and specialized in each department, therefore integration of each disease and establishment of centers are proposed as solutions. By contrast, the reinforcement of expertise in architectural design professionalism might be necessary to strengthen autonomy caused by governmental restriction, and to form architectural culture and secure public architecture.