• 한국산학기술학회논문지
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• 제22권5호
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• pp.151-161
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• 2021

본 연구는 지역보건의료계획 수립과정에서 시민들이 생각하는 건강문제와 보건 서비스 요구도를 정확히 파악하고 이를 대구광역시의 중장기 보건의료 종합계획 수립에 반영하고자 함을 목적으로 하였다. 시민참여단을 구성하여 2차례의 시민원탁회의를 실시하였으며, 시민원탁회의는 고객여정지도, DVDM (Definition, Value, Difficulty, Method) Map, 페르소나 기반 시나리오법을 통해 진행하였다. 시민들은 건강수준 향상을 위한 방안으로 보건 서비스 접근성 확대, 소생활권 중심 보건 서비스, 정신건강 서비스 확대, 건강 친화적 환경조성, 환경오염 개선, 사회적 건강개선을 제안하였으며, 건강 격차를 줄이는 방안으로는 건강 취약계층의 소통 향상 및 사회적 환경조성, 보건의료에 대한 접근성 향상, 쾌적한 물리적 공간, 사회적 역할 수행이 필요하다고 하였다. 본 연구 결과는 기존의 설문조사를 통한 주민요구도 조사와 달리 실제 주민들의 생각과 요구를 상세히 파악할 수 있었다는 점에서 의의가 있으며, 향후 지역보건사업의 기획과 수행과정에서 주민참여 수준의 단계를 평가하고, 보다 다양한 시민들의 의견을 적용할 수 있도록 주민참여 제도화 기반 수립을 위한 추가적인 연구가 필요할 것이다.

• 전자공학회논문지
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• 제53권7호
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• pp.3-8
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• 2016

자기적응 등화기의 최적화에 널리 사용되는 판정의거(decision-directed: DD) least mean square(LMS) 알고리즘의 수정된 형태를 제안하고, 수정된 형태가 기존 알고리즘의 초기 수렴 특성을 크게 개선함을 보인다. 기존 DD LMS는 등화기 출력과 그에 대한 양자화 값의 차이를 오차로 간주하고, 오차의 제곱을 비용 함수로 하여 등화기 계수에 대해 이를 최소화함으로써 등화기의 최적화를 달성한다. 이 오차 발생 방법은 이진 신호 또는 단일레벨 신호에 유용하나, 다치레벨 신호의 경우 등화기의 초기화에는 효과적이지 못하다. 수정된 DD LMS에서는 오차 발생을 수정하여 이 문제를 해결하였다. 다치레벨 신호를 대상으로 한 모의실험을 통해 심볼간 간섭에 의한 왜곡과 부가 잡음 하에서 수정된 DD LMS의 유용성과 성능을 검증하였다.

• 한국진공학회:학술대회논문집
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• 한국진공학회 2016년도 제50회 동계 정기학술대회 초록집
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• pp.397-397
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• 2016

Triboelectric nanogenerators (TENG) can produce power from ambient mechanical sources and have strong points of high output performance, light weight, low cost, and easy manufacturing process. It is expected that TENG can be utilized in the fields of wireless electronics and self-powered devices in the world which pays attention to healthcare and the IoT. In this work, we focus on scavenging ambient rotational energy by using a durably designed TENG. In previous studies regarding harvesting rotation mode energy, the devices were based on sliding mechanism and durability was not considered as a major issue. However friction by rotation causes reliability problems due to wear and tear. Therefore, in this study, we convert rotary motion to linear motion utilizing a cam by which we can then utilize contact-mode TENG and improve device reliability. In order to increase output performance, bumper springs were used below the TENG and the optimum value for the bumper spring constant was analyzed theoretically. Furthermore, the inserting a soft substrate was proposed and its effect on high output was determined to be due to an increase in the contact area. By increasing the number of cam noses, the output frequency was shown to increase linearly. For the purpose of maximum power transfer, the input impedance of the device was determined. Finally, to demonstrate the use of the C-TENG as a direct power source, it was installed on a commercial bicycle wheel and connected to 180 LEDs. In conclusion we present a rotational motion TENG energy scavenger system designed for enhanced durability and optimized output by appropriate choice of spring constants and substrate.

• 대한예방한의학회지
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• 제12권1호
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• pp.49-60
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• 2008

This study investigated the Oriental medicine knowledge and educational requirement of medical staff working in Oriental-Western collaborative medicine hospitals(except for Oriental and Western medicine doctors) based on the recognition that not only mutual understanding and cooperation between Oriental and Western medicine doctors but also the knowledge of Oriental medicine of medical support staff such as nurses, medical technologists, pharmacists and administrative staff are very important to promote Oriental-Western collaborative medical treatment. The study results are summarized as follows : First, it was found that the ratio of nurses who took Oriental medicine education was much higher than those of other groups. They took Oriental medicine education in the types of school curriculum (27.0%) and special lectures in workplace(20.4%). Second, many of the people who took Oriental medicine education were found to be not satisfied with the education in general - 32.7% of them answered the education content was "so so" and 48.4% of them answered "unsatisfactory." Third, the general necessity of Oriental medicine education was found to be an average of 3.60 out of 5, and the number was higher "after employment"(average=3.85) than "before employment"(average=3.04). Fourth, the study found that Oriental-Western collaborative medicine hospital staff are well aware of the necessity of the knowledge of Oriental medicine in the cases of communications between different occupational types, consultations with patients or their guardians, treatment and nursing and the establishment of the practice of specialized Oriental medicine institutes. Fifth, the levels of Oriental medicine knowledge showed a difference in average value according to the role range(p<0.000), and it was found that there is an interaction effect between occupation type and role range(p<0.015).

• 한국병원경영학회지
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• 제23권2호
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• pp.54-66
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• 2018

Purpose: This study was to figure out relationships of perceived Technology Readiness Index(TRI), usefulness, acceptance intension, and the recognition of substitute employment of medical personnel on the artificial intelligence (AI) and internet of things (IoT) among main technologies. Methodology: To achieve the purpose, this study utilized structured survey tools to conduct a questionnaire survey of nursing, administrative and medical technology professionals at six university hospitals in Korea metropolitan area. A PLS(Partial Least Square) Path analysis was utilized To analyze the material. Findings: In the relation with the technology readiness and perceived usefulness, it had a positive influence to the perceived usefulness when the optimism and innovativeness were higher and the discomfort was lower. In the relation with the technology readiness and acceptance intension, it showed a positive influence when the innovativeness was higher and the discomfort was lower. In the relation with the perceived usefulness and acceptance intension, it had a positive influence to the acceptance intension when the perceived usefulness was higher. In the relation with the acceptance intension and the recognition of substitute employment, it showed a positive influence to the recognition of substitute employment when the acceptance intension was higher. Practical Implications: Judging based on the above study results and reference reviews, it confirmed that it is necessary to prepare in the level of hospital organization in the $4^{th}$ Industrial Revolution. They should increase the efficiency of human resources through the technological factors or changes of employment types for the additional demands of human resources to handle increasing medical demands or induce to secure necessary abilities which are changing at the right time by performing the $4^{th}$ Industrial Revolution related re-training continuously to develop the value of existing human resources.

• 보건의료산업학회지
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• 제7권4호
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• pp.289-303
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• 2013

This study looks at priorities in managing public hospitals by figuring out categories needed to examine the quality of each hospital. In order to analyze priorities and relative importance of valuation indicator in Seoul municipal hospitals, surveys were sent via e-mail to medical professionals who have participated in evaluation of municipal hospitals. The analytic hierarchy process (AHP) was conducted using the Expert Choice 11.5 program. The results show that 'providing public service' is considered to be the most important category for all kinds of public hospitals, followed by 'improving the quality of medical care', 'hospital management and governance', and 'efficient hospital management'. The importance of 'hospital management and governance' and 'efficient hospital management' is different depending on the types of hospitals, but the importance of 'providing public service' and 'improving the quality of care' remains the same regardless of the types of hospitals. Based on these results, the study comes to a conclusion that public hospitals should place high value on certain categories and their management purposes should differ depending on their specific fields and characteristics. This study will help furthering discussions on the identity and roles of public hospitals.

• 대한의용생체공학회:의공학회지
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• 제27권5호
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• pp.274-281
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• 2006

In this paper, we propose a ubiquitous $SaO_2$ monitoring system for patients using oxygen therapy. For these patients, the ability to monitor oxygen saturation ubiquitously is very important fur accurate adjustment of ventilator's flow rate to match the patient's time-varying requirements with the shortest lag time possible. We have developed a portable device to measure $SaO_2$ and transmit it to hospital in real-time or in store-and-forward mode through the integration of $Bluetooth^{TM}$ technology and the code division multiple access (CDMA) cellular network. We also developed software for doctors to receive and manage the patients' $SaO_2$ information. Performance of the developed system was evaluated as acceptable by assessing the accuracy of the measured oxygen saturation value and the stability of communication network. Test results in real clinical setting demonstrate that our system is feasible for immediate use in home oxygen therapy.

• 한방안이비인후피부과학회지
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• 제30권4호
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• pp.97-103
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• 2017

Objectives : To identify whether pattern identification using nasal endoscopy for rhinitis can be applied as a tool for evaluating rhinitis in routine care setting, we performed a inter-rater reliability study on this pattern identification. Methods : Two Korean medicine doctors assessed 290 left/right nasal endoscopy photograph cases of rhinitis patients with pattern identification using nasal endoscopy. This pattern identification consist of four assessment items, nasal membrane color(pale/hyperemia), nasal membrane humidity(dryness/dampness), rhinorrhea(watery/yellow), and turbinate membrane edema(atrophic/edematous). Cohen's kappa statistic and Percentage agreement were used to evaluate the inter-rater reliability. Results : Inter-rater percentage agreement and Kappa coefficient for left nasal endoscopy photograph cases was from 'slight' to 'moderate'(% agreement: 40.00-67.59%/Kappa: 0.06-0.407). Only the agreement of 'rhinorrhea (watery/yellow)' item was moderate(% agreement: 67.59%/Kappa: 0.407). Inter-rater percentage agreement and Kappa coefficient for right nasal endoscopy photograph cases was also from 'slight' to 'moderate'(% agreement: 42.41-68.97%/Kappa: 0.109-0.465). Only the agreement of 'rhinorrhea(watery/yellow)' item was moderate(% agreement: 68.97%/Kappa: 0.465). Conclusions : It is necessary to resolve problems such as cut-off value setting, bipolar evaluation values(pale/hyperemia, dryness/dampness, watery/yellow, atrophic/edematous) and weighting items. Further rigorous studies that overcome the limitations of the current research are warranted.

• 한국컴퓨터정보학회논문지
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• 제25권6호
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• pp.65-72
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• 2020

오늘날 사물 인터넷은 우리에게 편의를 제공하기 위해 가정, 산업 현장 및 병원을 포함한 많은 장소에서 사용된다. 다양한 장치가 네트워크에 연결됨에 따라 많은 서비스들이 실시간 데이터 수집, 저장 및 분석을 통해 새로운 가치를 창출하고 있다. 이처럼 많은 분야에서 IoT 장치 내의 센서 및 통신 기능을 활용하는 서비스 및 애플리케이션을 개발하고 있다. 예시로 산업 분야에서 Samsung과 LG는 자사의 IoT 애플리케이션을 통해 가전과 IoT 기기를 연결하여 스마트 홈을 구축하는 서비스를 제공하며, 의료 및 건강 분야에서 Samsung과 Xioami와 같은 기업들은 피트니스 워치 및 앱을 통해 심전도를 확인하거나 운동량을 기록, 관리한다. 위 같은 사례에서 스마트 홈을 구축하는 서비스의 경우에 수집한 데이터를 통해 해당 가정의 생활 패턴이나 출퇴근 여부 등의 민감정보를 유출할 수 있다. 또한 의료 데이터로 사용하기 위해 측정한 데이터를 통해 개인 정보와 질병의 존재와 같은 민감정보를 유출할 수 있다. 따라서 이를 보호하기 위해 해당 논문이 제안하는 방법에 따라 데이터를 수집, 배포한다면 데이터를 제공하는 사용자의 개인 정보 보호에 위협을 막을 수 있다. 이를 해결하기 위해 최근에는 프라이버시 보호 데이터 처리에 차분 프라이버시(DP)가 채택되어왔다. 따라서 DP를 기반으로 스마트워치 플랫폼에서 건강 데이터를 안전하게 수집할 수 있는 방법을 제안하며, 이를 통해 위와 같이 다양한 분야에서 프라이버시를 보호하는 환경에서의 데이터 수집 및 배포를 가능케 할 수 있다.

• 한국융합학회논문지
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• 제10권8호
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• pp.53-58
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• 2019

최근 만성질환자 건강관리의 목적으로 혈압측정에 대한 접근성을 높이는 제품 연구가 지속적으로 이루어지고 있다. 기존 연구에서는 심전도(ECG)와 광전용전맥파(PPG)를 분석하여 수축기혈압과 이완기 혈압을 산출하는 방식을 사용하고 있다. 주 과제는 정확도와 재현성을 위한 분석 알고리즘 개발이다. 본 연구에서는 초소형 혈압측정장치를 개발하는 단계에서 장치의 크기를 줄이고 측정방법도 간단히 하는 동시에 알고리즘도 두 개의 PPG만을 이용하여 최고혈압(SBP)을 추출하고 이에 따른 최저혈압(DBP)을 구하고자 하였다. 이를 위해 두 개의 PPG에서 얻은 측정값과 SBP, DBP 관계를 통계적으로 추적하여 상호관계를 분석하였다. PPG의 차이 값인 DF_P는 SBP와 반비례 관계가 있으며, DBP와는 비례적 관계가 성립되어 알고리즘에 의해 혈압값을 유추할 수 있으며, SBP를 통해 DBP를 추적할 수 있다.