• 한국콘텐츠학회논문지
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• 제12권2호
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• pp.276-283
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• 2012

현행 행정검시제도는 몇 가지 문제점을 갖고 있다. 행정검시권자는 자치단체장이지만 실제로는 대부분 형사소송법상 변사체로 처리되어 검사의 지휘로 사법검시가 이루어지고 있다. 또한 검시대상이 분명하게 규정되어 있지 않아 제대로 죽음의 원인이 밝혀지지 않는 이른바 의문사의 문제도 사회적인 현안으로 자리하고 있다. 이 논문에서는 행정검시제도 개선방안으로 첫째 검시에 관한 통일적인 법률체계의 정비가 필요하며 둘째 검시대상을 명확히 함으로써 법의관은 법률에 규정된 사체에 대한 검시책임을 지며, 그 결과 범죄가능성이 있는 경우 수사기관에 통보할 의무를 부여하고, 셋째 수사기관도 검시가 필요한 사체에 대해 법의관에게 검시를 요구해야 한다. 넷째, 사망원인 조사에 전문성이 부족하면 정확성이 떨어지므로 의학적 전문지식이 있는 법의병리전문의 또는 법의관이 검시의 주체가 되어야 할 것이다. 이 논문에서는 우리나라의 행정검시제도의 한계와 문제를 극복하기 위해서 행정검시 개선방안을 소개했다.

• Journal of Korean Neurosurgical Society
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• 제60권4호
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• pp.441-447
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• 2017

Objective : Computed tomography (CT)-based method of three dimensional (3D) analysis ($MIMICS^{(R)}$, Materialise, Leuven, Belgium) is reported as very useful software for evaluation of OPLL, but its reliability and reproducibility are obscure. This study was conducted to evaluate the accuracy of $MIMICS^{(R)}$ system, and inter- and intra-observer reliability in the measurement of OPLL. Methods : Three neurosurgeons independently analyzed the randomly selected 10 OPLL cases with medical image processing software ($MIMICS^{(R)}$) which create 3D model with Digital Imaging and Communication in Medicine (DICOM) data from CT images after brief explanation was given to examiners before the image construction steps. To assess the reliability of inter- and intra-examiner intraclass correlation coefficient (ICC), 3 examiners measured 4 parameters (volume, length, width, and length) in 10 cases 2 times with 1-week interval. Results : The inter-examiner ICCs among 3 examiners were 0.996 (95% confidence interval [CI], 0.987-0.999) for volume measurement, 0.973 (95% CI, 0.907-0.978) for thickness, 0.969 (95% CI, 0.895-0.993) for width, and 0.995 (95% CI, 0.983-0.999) for length. The intra-examiner ICCs were 0.994 (range, 0.991-0.996) for volume, 0.996 (range, 0.944-0.998) for length, 0.930 (range, 0.873-0.947) for width, and 0.987 (range, 0.985-0.995) for length. Conclusion : The medical image processing software ($MIMICS^{(R)}$) provided detailed quantification OPLL volume with minimal error of inter- and intra-observer reliability in the measurement of OPLL.

• 대한수사과학회지
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• 제1권1호
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• pp.31-44
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• 2006

해마다 늘어만 가고 지능화되어 가는 성폭력 범죄에 의료인으로서 간호사의 역할이 매우 중요함에도 아직까지 한국에서는 실제적으로 간호사의 역할이 제한적이다. 현재 간호사는 상담소에서의 상담이나 학교나 지역사회에서의 성폭력 방지와 예방 교육을 하고 있으나 피해자 발생 초기 대응시 실제적이고도 즉각적인 도움은 주지 못하고 있는 실정이다. 미국 등 선진국에서는 전문적인 소양을 가진 성폭행 전문 간호사들을 교육하고 배양함으로써 증가하는 성폭행 피해자들에게 즉각적인 의학적 처치와 위기중재에 대한 전문적인 대응으로 성폭력에 대한 법적기소와 대응이 효과적으로 이루어지고 있는 추세이다. 이에 반해 현재 한국은 성폭행 피해자와 관련된 의료적 대처에 대한 관련 교육 기관이나 의료 기관이 없으며 의료기관내 간호사의 역할도 미비한 게 현실이며, 성폭력 담당 기관에서조차도 관련 교육을 받은 의료진에 의한 성폭력 피해자에 대한 초기 대응 및 증거수집 및 체계적인 증거 및 자료 확보가 이루어지지 않고 있는 실정이다. 따라서 하루 빨리 우리 실정에 맞는 영역을 설정, 교육과정을 개발하여 성폭행 전담 간호사의 양성이 필요하며, 각 성폭력 담당 기관에서도 전문적인 법의간호사에 의한 피해자 관리가 필요하다. 전문적, 체계적인 커리큘럼을 통해 양성된 간호사에게 각 부서의 인증 및 자격을 부여하여 성폭력 관련 기관에서 의무적 배치 등으로 효율적인 처치 및 간호제공을 할 수 있는 법률적 제도 보완 역시 절실하다. 또한 정부 및 의료기관과 사회단체들이 협력하여 효과적이고 공신력 있는 전문양성 기관을 마련하여 전문적이고 훈련된 성폭행 전담 법의간호사의 배출이 요구된다고 사료된다. 나아가 더욱 세분화된 양질의 의료 서비스를 위해 아동 및 청소년 상대 성폭력 전담 간호사의 도입 및 양성이 필요할 것이다.

• 의료법학
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• 제14권1호
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• pp.117-144
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• 2013

After several bills for the reasonable medical dispute resolution had been proposed for over twenty years, "Act on Remedy for Damage from Medical Accident and Medical Dispute Mediation" was eventually enacted on April 7, 2011 and came into effect from April 8, 2012. This study evaluates the achievements and results of the past year, suggesting the future improvements or tasks. The main issue of Act on Medical Dispute Mediation is Korea Medical Dispute Mediation and Arbitration Agency. Therefore, the success of the Act depends on the outcomes of Korea Medical Dispute Mediation and Arbitration Agency. Although the Act has been enforced for only one year, this paper examines the outcomes of the Agency with limited materials for its development. Korea Medical Dispute Mediation and Arbitration Agency was established for rapid, fair, and effective medical dispute resolution. Thus, the evaluation of the performances of the Agency is based on the 1) rapidness, 2) fairness, and 3) effectiveness of the dispute resolution. To sum up, the system earned positive evaluations as for the rapidness and fairness, but some problems were indicated with regard to the effectiveness. As the system of medical dispute mediation and arbitration in Korea has no parallel in the world, other countries show many interests in it. The rapid and fair medical dispute resolution is of benefit in both patients and medical institutes and decreases social costs. As the Act had a difficult passage through Parliament, it should be maintained and improved continuously.

• 대한전기학회:학술대회논문집
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• 대한전기학회 2007년도 심포지엄 논문집 정보 및 제어부문
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• pp.489-490
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• 2007

This paper is intended to trace and management of a medical specimen and its report in a hospital. To avoid missing and decaying specimen and to establish of order in the circulation of specimen, at the moment sampling, RFID tags for each are on examiner. And then, specimen is monitored easily, quickly and, correctly. We developed implementation LIS system has better CQI (Continuos Quality Improvement) using RFID and XML, ADO.net, ASP.net, C# 2.0. RFID technology replaces to an existing the bar-code system. Also for more convenience, we used a PDA-RFID module. The LIS system consists of main sorrel, SQL 2005, event display and analysis web page developed using asp.net 2.0 and sharing specimen data information using XML technology.

• 항공우주의학회지
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• 제28권3호
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• pp.52-55
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• 2018

The purpose of the aviation physical examination guideline is not only to determine the physical fitness of the aviation workers but also to treat the underlying diseases of the aviation employees effectively and to carry out the optimal aviation duties. As medical science advances, treatment guidelines for various diseases are rapidly changing, and aviation physical examination guidelines need to be revised accordingly. Therefore, it is necessary to analyze the change trends of the AME guideline around the world and appropriately reflect it according to the situation of Korea. It is also necessary to continue the training of AME who are required to carry out examinations and certificates by these revision guidelines. Therefore, it would be desirable to analyze the education system of the advanced countries including the US and introduce the advantages of these systems into Korean AME education curriculum. Primarily, with the development of the Internet, various online lectures have been developed recently. Therefore, we first aimed to look at the changes in the current AME guideline of the Federal Aviation Administration. Next, we aimed to discuss changes in the course of the AME refresher course. Finally, we would like to suggest some points to be improved by comparing these AME guidelines and educational programs with those of Korea.

• 임상간호연구
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• 제14권3호
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• pp.99-115
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• 2008

Purpose: The purpose for this study was to identify the present state of Clinical Nurses with Expanded Role (CNERs) and provide basic data to refine the roles of CNERs. In this study, CNREs refers to nurses who perform techniques traditionally done by doctors and use titles such as clinical nursing specialist, educator with consultation, research assistant, coordinator, physician assistant and special examiner. Method: This study was conducted from September 1 to November 12, 2007. Data from 684 nurses from 38 hospitals who responded to the questionnaire were analyzed with descriptive statistics using the SPSS 14.0 program. Results: The mean percentage of time spent was, for direct practice, 41.1%, for education and counseling, 22.8%, for consultation and coordination, 10.4%, for research, 6.8%, for administration, 8.9% and for other activities, 10.0%. The most frequently implemented CNERs, activities included consultation and education for patients and their families, counseling by telephone, history taking, physical examination, reading examination results, psychosocial assessment, managing treatment, input of prescriptions, and writing up patient records, Although not frequently performed, nurses in some fields carried out invasive procedures and prescribed medication and laboratory tests. Conclusion: Although the number of hospital CNERs are rapidly increasing, there is still confusion about the title and framework as well as standards. Furthermore, because some nurses are prescribing medication and laboratory tests as well as performing techniques not traditionally done by nurses, there is an absolute need for a legalized system and systematic education system for the safety of patients who are being cared by all CNERs.

• Imaging Science in Dentistry
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• 제52권1호
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• pp.43-51
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• 2022

Purpose: The aim of this study was to evaluate the reliability of the Vectra M3 (3D Imaging System; Canfield Scientific, Parsippany, NJ, USA) in detecting chin asymmetry, and to assess whether the automatic markerless tracking function is reliable compared to manually plotting landmarks. Materials and Methods: Twenty subjects (18 females and 2 males) with a mean age of 42.5±10.5 years were included. Three-dimensional image acquisition was carried out on all subjects with simulated chin deviation in 4 stages (1-4 mm). The images were analyzed by 2 independent observers through manually plotting landmarks and by Vectra software auto-tracking mode. Repeated-measures analysis of variance and the Tukey post-hoc test were performed to evaluate the differences in mean measurements between the 2 operators and the software for measuring chin deviation in 4 stages. The intraclass correlation coefficient (ICC) was calculated to estimate the intra- and inter-examiner reliability. Results: No significant difference was found between the accuracy of manually plotting landmarks between observers 1 and 2 and the auto-tracking mode (P=0.783 and P=0.999, respectively). The mean difference in detecting the degree of deviation according to the stage was <0.5 mm for all landmarks. Conclusion: The auto-tracking mode could be considered as reliable as manually plotted landmarks in detecting small chin deviations with the Vectra^® M3. The effect on the soft tissue when constructing a known dental movement yielded a small overestimation of the soft tissue movement compared to the dental movement (mean value<0.5 mm), which can be considered clinically non-significant.

• 대한안전경영과학회지
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• 제17권2호
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• pp.147-152
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• 2015

Through the inspector's real name to improve the quality of inspection is to show the design Radiological examination pursuant to the Ordinance of the Ministry of Health and Welfare for patient safety in the Image. However, the use of existing and in EMR, equipment within the handwriting input, the individual initial use has a problem. In this study, increasing the stability of the patient and the precise inspection, In order to increase the efficiency and convenience than the real-name system for quality control inspectors of medical equipment, Using the EMR and PACS developed and applied to evaluate the usefulness of automatic enrollment. Enter your information in the EMR, which was developed markers that inspectors use to compare the before and after images PACS satisfaction. Convenience than using traditional, consistency, the entry of the missing were higher as a statistically significant difference. A test strip automatic enrollment programs are developed in this study. You can increase the stability of the patient by checking the image to show the real tester, we expect the quality of care would be improved.

• 대한방사선기술학회지:방사선기술과학
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• 제38권4호
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• pp.389-394
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• 2015

의료영상 검사는 정보기술 및 의료장비의 발달로 인체의 해부학적 구조를 묘사하는 능력이 날로 발전하고 있다. 그러나 상지회전이 필요한 어깨관절 의료영상 검사에서는 인체구조의 복잡성으로 정확한 자세유지가 의료영상의 진단적 가치에 매우 중요하다. 자기공명검사의 경우 긴 검사시간과 고정된 자세가 필요해 검사자의 노력과 환자의 의지만으로 재현성 있는 검사가 불가능하다. 이에 상지회전과 정량적 각도가 가능한 보조기구를 개발하여 진단적 가치가있는 의료영상 검사를 하고자하였다. 본 연구는 선행 연구의 결과를 바탕으로 보조기구를 제작하였으며, 공학용 프로그램인 CATIA 프로그램으로 3차원 모델링을 설계하여, 3D프린터로 최종 완성된 보조기구를 제작하였다. 사용된 3D 프린터는 Stratasys Objet350 Connex 모델이며, 재질은 광경화성 수지를 사용하였다. 완성된 보조기구의 크기는 $120{\times}150{\times}190mm$이며, 손잡이부의 내경은 125.9 mm 로 디자인되었다. 보조기구는 총 4개의 부품으로 바디부(외부), 손잡이부(내부), 고정단자, 연결부로 구성되었으며 바디부와 손잡이부는 원활한 회전이 가능하도록 2.1 mm의 유격이 유지되도록 하였다. 손잡이부에는 360o 눈금선을 표시하여 환자마다 관찰에 필요한 회전각도를 기록할 수 있도록 하여 추적검사나 양쪽검사에 적용할 수 있도록 하였다.