• 농촌의학ㆍ지역보건
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• 제49권2호
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• pp.132-145
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• 2024

본 연구는 국내 의료기관 중심 보건의료·복지통합 서비스 활성 방안을 모색하기위하여 대구의료원 달구벌건강주치의사업, 삼척의료원 301 네트워크 사업, 부산의료원 3 for 1 사업 을 프로그램 논리모형을 적용하여 사례 비교하였다. 상황적 측면에서 세 사업 모두 보건의료·복지 서비스의 분절과 의료사각지대 문제를 해결하기 위해 고안되었으며, 투입 요소 중 인력은 모두 다학제 팀 구성 현황은 유사하였으나 구체적인 구성 분야, 채용 규모, 고용 형태, 에서는 기관별 차이가 있었다. 예산을 지원받는 재원 출처의 차이로 각 사업은 지역사회와 협력하고 지원하는 방식과 향후 방향성에서의 차별성도 확인할 수 있었다. 산출은 수혜대상자 수와 진료 건수에 차이가 있었으며, 투입인력 또는 운영비 대비실인원 수, 수혜대상 1인당 사업비 비교시 다른 결과를 확인하였다. 의료기관 중심의 보건의료·복지 통합제공체계의 설계 시 우선적으로 권고하는 상황은 안정적인 기금마련 기전을 확보하고 이에 합당한 대상자와 서비스 전달체계를 구축하라는 것이다. 또한, 의료기관 내 사례관리 전담기구로서 각 부문의 활동을 연계할 수 있도록 위탁이 아닌 전담부서 설치, 적정 규모의 채용, 안정적 고용 체계가 필요하며, 민·관 협력 및 경증부터 중증까지 제공할 수 있는 포괄적 제공체계 구축을 제안한다. 이를 통해 의료기관 중심보건의료복지 통합 서비스 제공 사업은 지역사회에서 풀리지 않는 난제였던 보건의료 서비스 강화와 촘촘한 연계를 가능하게 함으로 궁극적인 지역사회 건강안전망 역할 강화를 기대한다.

• 한국정보통신학회논문지
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• 제10권7호
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• pp.1229-1236
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• 2006

오늘날 원격강의와 고객서비스를 위한 응용시스템은 그룹 중심의 멀티캐스트 서비스에 대한 지원이 필수적이다. 이를 위해서 인터넷은 IP 멀티캐스트를 표준 프로토콜로 수용하고 있다 IP 멀티캐스트는 네트워크 복제 모델를 사용함으로서 호스트와 네트워크의 리소스를 효율적으로사용하는 반면 멸티캐스트 서비스를 지원하도록 인터넷의 구조를 확장해야 하고 공개된 IP주소를 그룹식별자로서 사용하기 때문에 보안에 취약하다. 이의 해결을 위해서 본 논문에서는 응용계층에서 트리거를 사용한 멀티캐스트 모델을 제안한다. 트리거 기반 멀티캐스트 모텔은 송신과 수신기능의 분리를 통해서 인터넷 서비스의 확장성과 보안성 그리고 서비스 품질을 보장하고 응용시스템의 신뢰성을 높여줄 수 있을 것으로 기대된다.

• Asian Journal of Innovation and Policy
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• 제9권1호
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• pp.79-94
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• 2020

This study reviews how an aging society can be connected to the urban-built environment, transportation system, infrastructure, and climate change topics from the perspective of policy and innovation in science and technology. Each topic was described with the aging society that we will encounter in the near future. Based on the expected discussions, we suggested how policy and technological innovations may interact with the new emerging society. Especially, digital transformation is expected to hyper-connect the aging society beyond physical barriers where numerous policies and innovations in science and technology shed light on the elderly population. We observe, however, that this cannot be achieved only by the government sector; rather, municipal governments and local communities, as well as private sectors, all together need to prepare for the new society of the aging population. Furthermore, an ideal approach is to accommodate multidisciplinary studies that can address the policy and technological innovations simultaneously and collectively. By doing so, we can minimize the negative impacts when an aging society approaches.

• 한국복합재료학회:학술대회논문집
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• 한국복합재료학회 2003년도 춘계학술발표대회 논문집
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• pp.139-142
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• 2003

As composite materials are gaining wide acceptance in aircraft structure, repair of damaged composite is becoming an important issue. The issues in composite repair include high cost, material interchangeability, water ingression, and structural integrity. To address these problems, researchers have studied on the composite repair in various aspects. In this paper, an Internet-based advisory service (called Repair Advisory Service, RAS) for composite repair is proposed to increase efficiency for repair process. In the RAS system the web browser is used as its user interface, which provides easy access to the service. The RAS server provides web-based tools for failure prediction, Structural Repair Manual (SRM), automated prepreg cutting process, material properties, inventory and knowledge base. The computer codes implemented for repair design estimate the tensile failure and shear failure of repaired structures. The prediction of failure is based on the maximum strain criterion for tensile failure while elastic-perfect plastic shear failure model is applied for interfacial failure. The OEM's SRM is provided in the PDF format for viewing and searching by web browsers instead of looking up paper version SRM. The knowledge base in this site offers a room to share and distribute ideas, memos, publications, or suggestions from the repair engineers. The fabrication tool of RAS reads repair geometry from engineers then generates a CNC toolpath to cut prepreg patches. The RAS service is open to public and available at http://nano.gsnu.ac.kr/. Broad feedback from field technicians and engineers is welcome to improve the usefulness of RAS.

• Asia pacific journal of information systems
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• 제8권2호
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• pp.1-18
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• 1998

As the management and preservation of the environment become an important social issue, information required to support environmental task is required. So, there is an increasing demand for environmental information and appropriate systems to manage it. The vast volume of environmental data is distributed in different knowledge domains and systems. Environmental data objects have the complex structure containing environmental quality data and attribute data. Environmental information systems must be able to address these properties. This research has aimed at constructing well-defined schema design of environmental data, and making system architecture that environmental data kept by authorities should be made available to the public user. There are 3 major components in environmental information systems architecture ; User interface, Catalog libraries, Communication Provider. Web browsers provide consistent and intuitive user interfaces on Internet. The communication provider is a collection of diverse CGI functions. The main roles of the CGIs are to build interfaces between the Web, databases. Catalog libraries is libraries of various matadata including administration matadata. Administration matadata support the environmental administration and the managerial aspects of environmental data rather than explain a database itself or its properties.

• Safety and Health at Work
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• 제8권1호
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• pp.1-10
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• 2017

Considerable effort has been made to address the issue of occupational health and environmental exposure to mercury. This review reports on the current literature of mercury exposure and health impacts on dental personnel. Citations were searched using four comprehensive electronic databases for articles published between 2002 and 2015. All original articles that evaluated an association between the use of dental amalgam and occupational mercury exposure in dental personnel were included. Fifteen publications from nine different countries met the selection criteria. The design and quality of the studies showed significant variation, particularly in the choice of biomarkers as an indicator of mercury exposure. In several countries, dental personnel had higher mercury levels in biological fluids and tissues than in control groups; some work practices increased mercury exposure but the exposure levels remained below recommended guidelines. Dental personnel reported more health conditions, often involving the central nervous system, than the control groups. Clinical symptoms reported by dental professionals may be associated with low-level, long-term exposure to occupational mercury, but may also be due to the effects of aging, occupational overuse, and stress. It is important that dental personnel, researchers, and educators continue to encourage and monitor good work practices by dental professionals.

• 대한의용생체공학회:의공학회지
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• 제27권1호
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• pp.14-21
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• 2006

As information technologies are developing, the improvement of the quality of life becomes worldwide issues. Especially, to improve the quality of life of a patient suffering intermittent diseases, in addition to the some portable equipments for measuring, analyzing, and notifying the status of the patients, methods of communication for seamless transmission of the measured data over to the remote site, such as an emergency center or a hospital, are required. In this paper, we address a seamless transmission of patient monitoring data such as ECG from a moving patient to a remote site, wherever the patient may be. We divide the whole environments into two wireless communication environments: an indoor one based on WLAN and an outdoor one based on CDMA cellular network in which the patient is assumed to move anywhere. We develop algorithms, implement them on a PDA-based hardware platform, and show some of the results for handover between the two environments in addition to the data transmission for each of the two environments.

• Journal of Medicine and Life Science
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• 제16권2호
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• pp.39-42
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• 2019

While the notified crude incidence rates(per 100,000 persons, CIR) of new tuberculosis between 2016 and 2017 decreased in nationwide and 16 provinces, except Jeju Province, Korea. The aim of this study was to compare CIRs of Jeju Province and nationwide by calendar years and age groups in order to interpret the increasing trend of CIR in Jeju Province. The data source was the Integrated Diseases and Health Control System of the Korea Centers for Disease Control and Prevention. The selection criteria were the notified new cases as tuberculosis, who had the address as Jeju Province at diagnosis, between 2011 and 2018. The 95% confidence interval of CIR was estimated based on Poisson distribution. There was not statistically significant difference of CIRs between Nationwide and Jeju Province of 2011 and 2018, except 2016. Especially the CIR of group aged over 65 years in Jeju Province, 2016 was significantly lower compared to Nationwide CIR. But, the CIR of group aged 30~50 between 2017 and 2018 showed significantly higher compared to Nationwide CIR. Based on the results, the fact of increasing CIR from 2016 to 2017 in Jeju Province might be interpreted as an introduction of new tuberculosis screening project rather than real increased CIRs.

• KSII Transactions on Internet and Information Systems (TIIS)
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• 제16권12호
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• pp.3991-4007
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• 2022

In the public healthcare, a computational system that can automatically and efficiently detect and classify falls from a video sequence has significant potential. With the advancement of deep learning, which can extract temporal and spatial information, has become more widespread. However, traditional 3D CNNs that usually adopt shallow networks cannot obtain higher recognition accuracy than deeper networks. Additionally, some experiences of neural network show that the problem of gradient explosions occurs with increasing the network layers. As a result, an enhanced three-dimensional ResNet-based method for fall detection (3D-ERes-FD) is proposed to directly extract spatio-temporal features to address these issues. In our method, a 50-layer 3D residual network is used to deepen the network for improving fall recognition accuracy. Furthermore, enhanced residual units with four convolutional layers are developed to efficiently reduce the number of parameters and increase the depth of the network. According to the experimental results, the proposed method outperformed several state-of-the-art methods.

• 지역사회간호학회지
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• 제33권2호
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• pp.139-152
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• 2022

Purpose: This study aims to describe and understand the meaning and nature of community health practitioners' coping with COVID-19. Methods: In-depth interviews were conducted with 12 community health practitioners from August to October 2021, to describe and understand the nature of their coping with COVID-19. The collected data were examined and described based on Colaizzi's phenomenological method. Results: 16 theme clusters and five categories were derived from the community health practitioners' experience of coping with COVID-19. The categories derived were: a war that began without notice, a variety of correspondence tasks assigned, struggling to fulfill given roles, correspondence tasks becoming more systematic, and a fight that has not yet ended. Conclusion: Community health practitioners handled various response tasks related to COVID-19, and faithfully fulfilled their professional roles while performing the primary task of medical care. Hence, attention is required on issues related to the establishment of the national emergency healthcare system and improvement of professional competence of community health practitioners even after the COVID-19 pandemic is over. Furthermore, it is necessary to make ceaseless efforts to address those issues and, in order to do so, social interest and institutional support are needed.