• 사물인터넷융복합논문지
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• 제9권3호
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• pp.75-80
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• 2023

국내 의료취약지에서 공중보건의는 지역민의 일반의료는 물론 응급의료에서 큰 역할을 수행하고 있다. 그러나 공중보건의는 일반적으로 현장 경험이 부족하기 때문에 응급 환자에 대한 대처 능력이 부족하고, 의료장비를 효과적으로 다루지 못하는 것으로 나타났다. 본 연구는 공중보건의에게 필요한 의료장비에 대한 사용법을 스마트 글래스를 이용하여 원격교육으로 진행 후 교육의 효과를 확인하였다. 구체적으로 의료장비 활용 교육을 위해서 스마트 글래스는 리얼웨어를 사용하였으며, 신안군 10개의 섬 지역 공중보건의 10명을 대상으로 하였다. 교육 후 장비 활용 효과와 만족도 모두 3점 이상이었다. 따라서 스마트 글래스를 활용한 원격교육이 의료취약지의 공중보건의를 대상으로 유용하게 활용될 수 있다는 것을 확인하였다.

• 대한간호학회지
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• 제53권1호
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• pp.69-86
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• 2023

Purpose: This study aimed to evaluate the effects of digital health interventions on the psychotic symptoms among people with severe mental illness in the community. Methods: A systematic review and meta-analysis were conducted in accordance with the Cochrane Intervention Research Systematic Review Manual and PRISMA. A literature search was conducted of published randomized controlled trials (RCTs) for digital health interventions from January 2022 to April 2022. RevMan software 5.3 was used for quality assessment and meta-analysis. Results: A total 14 studies out of 9,864 studies were included in the review, and 13 were included in meta-analysis. The overall effect size of digital health interventions on psychotic symptoms was - 0.21 (95% CI = - 0.32 to - 0.10). Sub-analysis showed that the reduction of the psychotic symptoms was effective in the schizophrenia spectrum group (SMD = - 0.22; 95% CI = - 0.36 to - 0.09), web (SMD = - 0.41; 95% CI = - 0.82 to 0.01), virtual reality (SMD = - 0.33; 95% CI = - 0.56 to - 0.10), mobile (SMD = - 0.15; 95% CI = - 0.28 to - 0.03), intervention period of less than 3 months (SMD = - 0.23; 95% CI = - 0.35 to - 0.11), and non-treatment group (SMD = - 0.23; 95% CI = - 0.36 to - 0.11). Conclusion: These findings suggest that digital health interventions alleviate psychotic symptoms in patients with severe mental illnesses. However, well-designed digital health studies should be conducted in the future.

• 문화기술의 융합
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• 제8권3호
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• pp.385-392
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• 2022

본 연구의 목적은 의료취약지 특히 서남권 도서지역의 의료불평등 정도를 파악하고 개선점을 마련해 보고자 시도되었다. 연구방법으로는 '의료취약', '의료불평등', '도서지역' 등을 키워드로 하여 체계적 문헌고찰을 하여 14편을 분석하였으며, 또한 공공의료전달체계에 있는 의료인 9명에게 포커스그룹 혹은 심층 인터뷰(FGI)를 시행하여 현황 및 요구도를 파악하였다. 연구결과로는 서남권 특히 도서지역의 의료불평등을 확인할 수 있었으며, FGI통해 전문인력의 부족, 행정지원체계의 부족 등을 확인할 수 있었다. 연구의 결론으로 도서지역의 취약성을 개선하기 위한 적극적 행정적 지원은 물론 공공의료의 효율성이 높아 질 수 있는 현실적인 방안이 마련되어져야 함을 확인할 수 있었다.

• 한국엔터테인먼트산업학회논문지
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• 제13권8호
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• pp.335-343
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• 2019

건강한 삶은 인간이 추구하는 행복의 필수불가결한 요소이다. 식생활은 그 기반을 제공하는 것이며 가축의 건강은 사람의 건강에 직접적인 영향을 준다. 가축 질병을 정확하게 예측하고 관리하는 것은 지속가능한 가축의 생산을 보장하고 인간의 건강을 유지하는 데 기여한다. 사람의 경우 만병의 근원이 감기라면, 송아지의 경우 모든 질병의 원인을 제공하는 것은 설사병이다. 따라서 송아지의 설사병을 스마트 센서로 생체 데이터를 추출하고, 수집된 생체 데이터는 전처리 후에 의미 있는 정보로 사용한다. 축사의 환경 정보와 송아지 객체의 생화학·면역·감염원인체의 측정 정보를 온톨로지로 구축한다. 온톨로지는 논리적 추론 절차를 거쳐 송아지의 설사병을 예측할 수 있는 지식 베이스로 구축하였다. 송아지의 질병명, 원인, 발생 시기, 증상에 대해서 지식 기반으로 설사병을 예측한다. 가축의 일부 중에서 송아지를 모델한 지식 기반의 가축 원격 진료 질병 예측은 상위 온톨로지와 예측에 관한 도메인 온톨로지로 표현하여 그 결과로 치료, 예방법을 제시할 수 있다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제34권4호
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• pp.192-203
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• 2023

Digital therapeutics based on software, such as artificial intelligence, virtual reality, games, and smartphone applications, are in the spotlight as new therapeutic alternatives in child and adolescent psychiatry. It draws attention to overcoming conventional therapeutics' limitations, such as toxicity, cost, and accessibility, and encourages patients to participate in the treatment attractively. The growth potential of the digital therapeutics market for psychiatric disorders in children and adolescents in Korea and abroad has been highlighted. Clinical studies and Food and Drug Administration approvals for digital therapeutics have increased, and cases approved by the Ministry of Food and Drug Safety have emerged in Korea. As seen above, digital transformation in child and adolescent psychiatry will change treatment paradigms significantly. Therefore, as this new field has just begun to emerge, it is necessary to verify the effectiveness and scope of the application of digital therapeutics and consider preparing a compensation system and institutional arrangements. Accordingly, this study analyzed the development trends and application status of digital therapeutics in children and adolescents and presented limitations and development directions from the perspective of application in healthcare. Further, the study is expected to identify the utility and limitations of digital therapeutics for children and adolescents and establish effective application measures.

• 한국병원경영학회지
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• 제28권4호
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• pp.1-22
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• 2023

Purposes: The purpose of this study is to identify and analyze the factors that affect patients reusing non-face-to-face treatments at tertiary general hospitals. Methodology: We retrospectively analyzed a patient's reuse of non-face-to-face treatment from February 1, 2020, to December 31, 2021, at a tertiary general hospital in Seoul within one year of the first non-face-to-face treatment. A frequency analysis was conducted to identify the study subjects' demographic characteristics, treatment type characteristics, disease characteristics, and hospital use type characteristics. Also, across-analysis was conducted to verify the difference in non-face-to-face treatment reuse according to the characteristics a multiple logistic regression analysis was conducted to identify the factors affecting the reuse of non-face-to-face treatment by non-face-to-face treatment patients. Findings: The results of this study can be interpreted as indicating that the following groups are more likely tore use the non-face-to-face treatment: women, children, the elderly, Patients living far from the hospital, psychiatric patients, pediatric patients, medical benefits recipients, chronic patients, patients with mobility difficulties, and patients with high loyalty to hospitals. Practical Implications: When developing a non-face-to-face treatment system in the future, based on the results of this study, it is possible to target patients who prefer non-face-to-face treatment. And this study will be research material for vitalizing non-face-to-face treatment. In addition, the activation of the non-face-to-face treatment system will be an effective means for improving the quality of medical services and generating profits in hospitals in the future.

• Journal of Hospice and Palliative Care
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• 제27권1호
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• pp.1-10
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• 2024

This article underscores the importance of integrating comprehensive palliative care for noncancer patients who are undergoing hemodialysis, with an emphasis on the aging populations in Asian nations such as Taiwan, Japan, the Republic of Korea, and China. As the global demographic landscape shifts towards an aging society and healthcare continues to advance, a marked increase has been observed in patients undergoing hemodialysis who require palliative care. This necessitates an immediate paradigm shift to incorporate this care, addressing the intricate physical, psychosocial, and spiritual challenges faced by these individuals and their families. Numerous challenges impede the provision of effective palliative care, including difficulties in prognosis, delayed referrals, cultural misconceptions, lack of clinician confidence, and insufficient collaboration among healthcare professionals. The article proposes potential solutions, such as targeted training for clinicians, the use of telemedicine to facilitate shared decision-making, and the introduction of time-limited trials for dialysis to overcome these obstacles. The integration of palliative care into routine renal treatment and the promotion of transparent communication among healthcare professionals represent key strategies to enhance the quality of life and end-of-life care for people on hemodialysis. By embracing innovative strategies and fostering collaboration, healthcare providers can deliver more patient-centered, holistic care that meets the complex needs of seriously ill patients within an aging population undergoing hemodialysis.

• 대한한의학회지
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• 제45권1호
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• pp.100-113
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• 2024

Objectives: Following the global COVID-19 pandemic, with the escalation of remote medical care formalization in Korea, there is a pressing need for objective data in the Korean medicine field to respond to remote treatment medical care policies. This study aims to investigate the perceptions and acceptance of remote treatments among Korean Medicine Doctors (KMDs). Methods: After expert reviews and pilot testing, the 31-question survey covered participant characteristics, experiences, forms, intentions, and perceptions related to Remote Treatments. The survey was electronically distributed to members of the Association of Korean Medicine, and 662 clinical KMDs provided valid responses. Results: Among respondents, 76.1% engaged in remote treatments, utilizing various platforms. Those with experience in Remote Treatments showed a significantly higher willingness to continue participating during the institutionalization process (p<0.001). 49.7% of respondents stated that traditional Korean medicine is competitive in remote treatments, with the main reasons being the ability for regular management after herbal medication(26.1%) and increased patient satisfaction due to sufficient counseling compared to Western medicine(25.2%). Respondents preferred Remote Treatment conditions with a treatment time of less than 10 minutes(47.6%) and equivalent fees to in-person visits(45.6%). Regarding suitable intervention tools during Remote Treatment, respondents favored non-covered herbal prescriptions(39.0%), covered herbal granules(24.6%), and non-covered herbal granules(23.0%). Conclusion: This study investigated the perceptions and acceptance of KMDs regarding remote treatments. These findings provide valuable insights for policymakers aiming to establish effective policies for Remote Treatments suitable for the Korean medicine healthcare environment.

• 대한후두음성언어의학회지
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• 제14권2호
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• pp.110-116
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• 2003

Background and Objectives : Laryngeal cancer discrimination using voice signals is a non-invasive method that can carry out the examination rapidly and simply without giving discomfort to the patients. n appropriate analysis parameters and classifiers are developed, this method can be used effectively in various applications including telemedicine. This study examines voice analysis parameters used for laryngeal disease discrimination to help discriminate laryngeal diseases by voice signal analysis. The study also estimates the laryngeal cancer discrimination activity of the Gaussian mixture model (GMM) classifier based on the statistical modelling of voice analysis parameters. Materials and Methods : The Multi-dimensional voice program (MDVP) parameters, which have been widely used for the analysis of laryngeal cancer voice, sometimes fail to analyze the voice of a laryngeal cancer patient whose cycle is seriously damaged. Accordingly, it is necessary to develop a new method that enables an analysis of high reliability for the voice signals that cannot be analyzed by the MDVP. To conduct the experiments of laryngeal cancer discrimination, the authors used three types of voices collected at the Department of Otorhinorlaryngology, Pusan National University Hospital. 50 normal males voice data, 50 voices of males with benign laryngeal diseases and 105 voices of males laryngeal cancer. In addition, the experiment also included 11 voices data of males with laryngeal cancer that cannot be analyzed by the MDVP, Only monosyllabic vowel /a/ was used as voice data. Since there were only 11 voices of laryngeal cancer patients that cannot be analyzed by the MDVP, those voices were used only for discrimination. This study examined the linear predictive cepstral coefficients (LPCC) and the met-frequency cepstral coefficients (MFCC) that are the two major cepstrum analysis methods in the area of acoustic recognition. Results : The results showed that this met frequency scaling process was effective in acoustic recognition but not useful for laryngeal cancer discrimination. Accordingly, the linear frequency cepstral coefficients (LFCC) that excluded the met frequency scaling from the MFCC was introduced. The LFCC showed more excellent discrimination activity rather than the MFCC in predictability of laryngeal cancer. Conclusion : In conclusion, the parameters applied in this study could discriminate accurately even the terminal laryngeal cancer whose periodicity is disturbed. Also it is thought that future studies on various classification algorithms and parameters representing pathophysiology of vocal cords will make it possible to discriminate benign laryngeal diseases as well, in addition to laryngeal cancer.

• 대한전자공학회논문지TC
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• 제43권5호
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• pp.7-16
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• 2006

IPTV는 하나의 셋톱박스로 TV와 연결, DSL망이나 광가입자망(FTTH)나 광동축혼합망(HFC)을 통해 초고속인터넷 방송 데이터서비스 전자상거래 등을 제공하는 서비스를 말한다. 최근 IPTV에 대한 사회적 분위기가 무르익으면서 통신사업자들 사이에서는 더 이상 IPTV 투자계획을 미룰 수 없다는 절박함과 함께 네트워크 고도화 전략이 IPTV 서비스의 승부처로 부각되고 있다. 인터넷 IPTV 인터넷전화 등 트리플플레이서비스(TPS)를 제공하기 위해서는 광케이블을 이용한 FTTH 구축이 필수적이다. IPTV를 염두에 둔 통신사들의 네트워크 전략은 특히 현재의 초고속인터넷망 주류인 xDSL이나 케이블모뎀 망(HFC)이 광랜이나 광가입자망(FTTH) 등 100Mbps급으로 바뀌는 촉매제 역할을 할 것으로 예상된다. 대용량 멀티미디어, 즉 TV프로그램도 실시간으로 전송할 수 있는 초고속인터넷 가입자망의 진화에 따라 등장한 IPTV는 방송법상의 종합유선방송(케이블TV)과 사실상 동일한 서비스를 제공할 수 있다. IPTV는 케이블TV업계의 존립을 흔들 수 있는 위협적인 존재가 아닐 수 없다. 비즈니스 모델이 똑같기 때문입니다. 시장 정체에 빠진 유선 통신사업자는 케이블TV방송사(SO)에 대응해 초고속인터넷 시장을 지키기 위해서라도 반드시 방송부문의 협력이 필요한 상황이다. 분명한 것은 IPTV가 컨버전스 시대의 신규 서비스로, 소비자에게 다양한 서비스의 선택권을 제공해 국민의 편의를 높일 것이다. 이에 따른 통신 업체의 정부의 역할에 대하여 논의한다.