보건소 표준 업무 분류체계 개발

홍남수(Nam-Soo Hong),이주형(Ju-Hyung Lee),김창훈(Chang-Hoon Kim),홍지영(Jee Yong Hong),권근상(Keun-Sang Kwon) 한국보건교육건강증진학회 2019 보건교육건강증진학회지 Vol.36 No.4

오픈 홈 IoT 환경에서 사용자 인증 및 API 접근을 위한 JWT 적용에 관한 연구

홍남수 ( Namsu Hong ),오창현 ( Changhyun Oh ),전문석 ( Moon-seog Jun ) 한국정보처리학회 2016 한국정보처리학회 학술대회논문집 Vol.23 No.2

최근 IT 기술의 발전으로 다양한 IoT 기기들이 등장하고 있다. 이러한 IoT 기기들에 접근하기 위해 사용자는 인증을 하는 과정을 거쳐야 한다. 하지만 IoT 기기들이 서로 다른 인증시스템을 가지고 있고 각각의 기기들을 통합적으로 관리하기 위해 일반적으로 IoT 게이트웨이를 이용하여 통합된 인증 시스템을 구축하여 사용하고 있다. 하지만 기존 IoT 게이트웨이의 경우 접근 시마다 사용자 계정으로 로그인해야하는 불편함과 세션 연결의 취약점이 존재한다. 따라서 본 논문에서는 IoT 게이트웨이에서 개선된 사용자 인증 및 API 접근을 위한 JWT를 제안한다.

해시 알고리즘의 안전성 동향

홍남수 ( Namsu Hong ),강정호 ( Jungho Kang ),전문석 ( Moon-soeg Jun ) 한국정보처리학회 2017 한국정보처리학회 학술대회논문집 Vol.24 No.1

해시 함수는 데이터의 위변조를 확인하기 위해 사용하는 일방향 함수로, 현재 많은 기술 및 논문에서 해시 함수를 사용하고 있다. 대표적인 해시 함수에는 MD와 SHA가 있으며 다양한 버전을 가지고 있다. 본 논문에서는 해시 알고리즘들의 안전성과 관련된 동향과 취약점을 파악하고 향후 방향성을 알아보고자 한다.

무인항공기 환경에서 별추적 카메라 기반 드론 운용 기법 연구

홍남수 ( Nam-su Hong ),이재승 ( Jae-seung Lee ),강정호 ( Jung-ho Gang ),전문석 ( Moon-soeg Jun ) 한국정보처리학회 2016 한국정보처리학회 학술대회논문집 Vol.23 No.1

최근 무인항공기 기술이 발달함에 따라, 군사, 교통, 농업 등 드론의 활용분야가 다양해지고 있다. 하지만 드론이 다양한 분야에 활용되고 있음에도 불구하고, 아직까지 다양한 취약점에 노출되어 다양한 피해를 야기 시키고 있다. 실제 현재 활용되는 드론의 경우 대부분 위치를 찾고 보정하기 위해 GPS가 활용되고 있지만, GPS의 경우 GPS스푸핑, GPS재밍 등 다양한 취약점에 노출되고 있으며, GPS 취약점에 기반 하여 드론의 추락 및 권한 획득 등의 다양한 사건사고가 발생하였다. 따라서 본 논문에서는 현재 GPS를 사용하는 드론들의 보안 사례와 취약성을 분석하고 이를 해결하기 위한 방안으로 별추적 카메라 기반 드론 운용 기법을 제안한다.

주민참여 건강사업의 성과와 과제: 경상북도 건강마을 조성사업 참여 주민의 경험

홍남수 ( Nam-soo Hong ),김건엽 ( Keon-yeop Kim ),이경수 ( Kyeong-soo Lee ),김미한 ( Mi-han Kim ),김은휘 ( Eun-hwi Kim ),박민아 ( Min-ah Park ),이수진 ( Su-jin Lee ),김지민 ( Ji-min Kim ) 한국보건정보통계학회(구 한국보건통계학회) 2020 보건정보통계학회지 Vol.45 No.2

Objectives: This study aims to evaluate the effectiveness and challenges of a community-based residents-led participatory health project. Methods: This qualitative study was analyzes three Focus Group Interviews of 19 health coordinators among residents who participated in the resident-led health project. Results: Participants recognized that the community health awareness and strength of the residents were restored and strengthened by the project, the physical living environment was improved, and health conditions and behaviors were improved. Future tasks derived from the implementation of this project include expanding and strengthening community participation, and strengthening public health centers’ role and functions for resident-led community health program. Conclusions: Although the health promotion project led by residents in Gyeongsangbuk-do Province, South Korea was successful, there are many challenges to overcome in the future, such as strengthening community participation and improving the capacity of public health centers. Various approaches are needed to assess the health and social outcomes of community involvement in health.

비전형적인 부위에 발생한 사면발이증 2예

이호표,백승철,조백기,이정기,홍남수 ( Ho Pyo Lee,Seung Churl Paik,Baik Kee Cho,Jung Gee Lee,Nam Soo Hong ) 대한피부과학회 1997 대한피부과학회지 Vol.35 No.3

The pubic louse, Pthirus pubis is a blood-sucking ectoparasite adapted to hold onto pubic, axillary and body hairs. It is usually confined to the pubic and inguinal region. However, it may also rarely involve the scalp and eyelashes. We report two cases of phthiriasis occurring on unusual sites, the first case occurring on the scalp of a 5 month-old male infant, and the second case on the eyelashes of a 49-year-old fe- male. (Kor J Dermatol 1997;35(3): 579-583)

항암화학요법을 받는 혈액종양환자의 치료목적에 따른 지지적 간호요구도

김수연 ( Soo-yeon Kim ),홍남수 ( Nam-soo Hong ),배상근 ( Sang-geun Bae ) 한국보건정보통계학회(구 한국보건통계학회) 2017 보건정보통계학회지 Vol.42 No.2

Objectives: This study was performed to investigate the supportive care needs in accordance with therapeutic purposes of blood cancer patients. Methods: The study was conducted among 100 subjects treated as hematologic malignancies during 2016 in Daegu. The questionnaires included various disease-specific characteristics including Supportive Care Needs Survey-long form 59. We analyzed data using descriptive statistics, t-test, ANOVA and ANCOVA. Results: Of 6 domains in Supportive care needs survey (SCNS), the psychological domain showed the highest score followed by the patient care and support domain and the physical and daily living domain. The supportive care needs had a significant relationship with therapeutic purposes of blood cancer patients. The health system and information domain of supportive care needs was the highest in the patients who had been taking remission induction chemotherapy, while psychological domain was the highest in those who had been taking chemotherapy about consolidation therapy or relapse, and physical and daily living domain was the highest in the patients who had been taking chemotherapy before bone marrow transplantation. Conclusions: The patients with hematologic malignancy showed a distinct difference of supportive care needs depending on their therapeutic purposes. Patients` supportive care needs with hematologic malignancy should be assessed and used to provide patient-centered care.

신장장애인의 자살생각 관련요인

이은미 ( Eun-mi Lee ),홍남수 ( Nam-soo Hong ),이수진 ( Su-jin Lee ) 한국보건정보통계학회(구 한국보건통계학회) 2018 보건정보통계학회지 Vol.43 No.3

Objectives: Increase of chronic diseases due to development of modern society has resulted in increased rate of disability, showing increase of 115,000 kidney patients during recent 3 years. Kidney disease requires constant treatment and management and therefore, suicidal ideation has been on the rise together with increased rate of disability. Accordingly this study has examined factors related to suicidal ideation of the kidney patients. Methods: The data analysis has been carried out using the 2014 Census for Disabled carried out by the Korea Institute for Health and Social Affairs. This study has analyzed suicidal ideation of the 205 kidney patients having kidney disorders depending on demographic sociology factors, disease-related factors and mental health-related factors using SPSS 23.0 for Window. Results: Influence factors on suicidal ideation of the kidney patients using logistic regression analysis showed low suicidal ideation of the kidney patients in cases of living with spouse, having a job, no kidney dialysis, having good subjective health evaluation, no depression, satisfaction on family relation, number of friends and the current life. Conclusions: It suggest that it is required to select high-risk groups of suicide and depression based on results of this study and provide them with aggressive support and social intervention to prevent them from falling into risk of attempting suicide.

상병 · 수술별 진료비 정보공개에 대한 의료소비자와 공급자의 견해

감신(Kam, Sin),홍남수(Hong, Nam-Soo),이경수(Lee, Kyeong-Soo),이중정(Lee, Jung-Jeong),황태윤(Hwang, Tae-Yoon),김건엽(Kim, Keon-Yeop),류동희(Ryu, Dong-Hee),이선화(Lee, Seon-Hwa),두영택(Doo, Young-Taek),서강석(Seo, Kang-Suk) 비판과 대안을 위한 사회복지학회 2016 비판사회정책 Vol.- No.51

이 연구는 소비자에게 실질적인 도움을 줄 수 있는 상병 · 수술별 비급여를 포함한 진료비 정보공개체계 구축의 필요성이 제기되고 있는 상황에서 진료비 정보공개에 대한 의료소비자와 공급자의 견해를 파악하여 공개의 필요성과 방법, 항목 등 구체적인 정보공개 관리체계 개발을 위한 자료로 활용하는 것을 목적으로 수행되었다. 의료소비자의 인식과 견해를 확인하기 위하여 전국의 일반시민 500명을 대상으로 전화설문조사를 시행하였고, 대구시의 3개 시민단체 활동가를 대상으로 인터뷰와 서면조사를 진행하였다. 의료공급자의 의견은 병의원경영 관련자(의사) 인터뷰를 통해서 확인하였다. 일반인을 대상으로 한 전화설문조사 결과 응답자의 85.1%가 비급여를 포함한 진료비 정보제공에 대해서 필요하다고 응답하였으며, 공개해야 할 우선순위 질환은 암, 치과질환, 뇌혈관질환 순이었다. 시민단체 활동가들은 의료기관별 진료비 공개를 제도화해야 하고, 진료비 공개는 궁극적으로 의료기관 경영의 투명성과 합리성을 제고하고 의료서비스 질을 개선하는 계기로 작용할 것이라고 하였다. 반면에 의료공급자는 의료소비자가 진료비를 제대로 이해하기 어려운 상황에서 진료비 공개는 의료소비자의 공급자에 대한 불신을 키우는 결과를 초래할 것이며, 의료서비스의 하향평준화, 특정병원 환자쏠림 등 부정적인 영향이 클 것이라고 생각하였다. 의료소비자의 알권리를 충족시키고 의료기관 선택에 도움이 되며, 병원 이용 전에 진료비를 예측 가능하게 하고 이용 후에 진료비 내역의 적정성에 대한 올바른 판단을 위해서는 비급여를 포함한 진료비를 공개하는 것이 바람직하겠지만 진료비 공개제도에 따른 파급효과, 부작용에 대한 충분한 논의와 검토를 거친 후에 진료비 정보공개의 구체적인 방안을 마련해야 할 것이다. Objective: The purpose of this study was to investigate opinions of consumers and providers on an establishment of a public access system to medical costs including payment for uncovered services which would help consumers make wiser decisions on medical service utilization. The study results are expected to be used as fundamental data for specifying contents and determining means to go on public regarding the system. Method: A total of 500 general population underwent telephone interviews. Document investigations as well as in-person interviews were conducted for three activists from civil organizations. The opinions of physicians on an establishment of a public access system to medical cost were also examined. Results: The telephone survey results revealed 85.1% of respondents agreed on the necessity of the information access system. Cancers, odontopathies, and cerebrovascular diseases were selected as ones whose total medical costs should be revealed with priority. The civil organization activists addressed that an establishment of a legal policy enforcing each medical facility to reveal their total medical costs is required, and it would, therefore, be an opportunity to examine transparency and rationality of hospital managements and to improve service quality. The medical service providers, on the other hands, worried that the information access system would deteriorate the relationship in between consumers and physicians since medical consumers are not capable of fully understanding provided information regarding medical costs due to difficult medical terms and lack of related knowledge. Moreover, they also mentioned that the system would have negative influences on the market by causing problems such as downward equalization of medical services and patient- flock to certain hospitals. Conclusion: It is required to reveal information regarding total medical costs including out-of-pocket expenses since it would satisfy consumers" right to know and help them to make right decisions when choosing hospitals and to predict medical costs in advance. They could also make appropriate judgements about medical costs afterwards. However, as pointed out by the physicians, there could be unexpected negative effects regarding the system. Therefore, relevant investigations and sufficient discussions with involved must precede the system establishment.

비전문건강조언자를 활용한 암검진 독려사업의 효과

장지현 ( Ji Hyun Chang ),홍남수 ( Nam Soo Hong ),감신 ( Sin Kam ),김건엽 ( Keon Yeop Kim ),이원기 ( Won Kee Lee ),김기수 ( Ki Su Kim ),배상근 ( Sang Geun Bae ) 한국보건정보통계학회 2016 보건정보통계학회지 Vol.41 No.1

Objectives: To evaluate effects of an intervention using lay health advisors on promoting cancer screening and to develop effective strategies and health services. Methods: The number of subjects included in the final analysis was 188. Of those, 72 were applied to health services provided by public health centers (control group) and 116 composed the experimental group. They were selected from residents of Daegu and Gyeonsangbuk-do aged older than 40 years. We designed a questionnaire applying Trans-theoretical Model and Health Belief Model in order to determine the subjects’ intentions to participate in the national cancer screening program. Any thought changes occurred after the interventions were compared with the intial responses. For statistical analysis, paired t-test, ANCOVA and multiple logistic regression analyses were conducted. Results: After the intervention using lay health advisors, knowledge about cancer screening and its benefits were improved and self-efficacy increased with statistical significance. Moreover, barriers to cancer screening decreased. Compared to application of health services provided by public health centers, encouraging cancer screening by lay health advisors was 1.64 times more likely to generate forward stage movement in cancer screening, but there was no statistical significance. Conclusions: Even though, effects of the intervention using lay health advisors on promoting cancer screening were not clearly determined, it is a precedent study for emphasizing application of community resources and participation of residents in promoting cancer screening. Further studies are required to specify effects of the intervention.