• Title/Summary/Keyword: 격리조치

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Unexpected Aggravation of COVID-19 After Recovery in Three Adolescents With Chronic Neurologic Conditions: A Case Series

  • Dayun Kang;Seung Ha Song;Bin Ahn;Bongjin Lee;Ki Wook Yun
    • Pediatric Infection and Vaccine
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    • v.29 no.3
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    • pp.147-154
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    • 2022
  • The clinical severity of coronavirus disease 2019 (COVID-19) in children is usually mild. Most of the affected patients completely recovered from COVID-19 before being released from approximately 7-day quarantine. However, children with comorbidities are at risk of more severe disease and adverse outcomes. We report three cases of COVID-19-affected adolescents with underlying chronic respiratory difficulty due to neurologic diseases who showed sudden clinical aggravations at the time of discharge, even after full clinical improvement. Patient 1 is a 17-year-old boy with Ullrich congenital muscular dystrophy who had cardiopulmonary arrest 9 days after the initial COVID-19 symptoms. Patient 2 is a 17-year-old girl with intracerebral hemorrhage with infarction in bed-ridden status who had cardiopulmonary arrest 11 days after the initial symptoms. Patient 3 is a 12-year-old boy with intraventricular hemorrhage with hydrocephalus in bed-ridden status who showed multiorgan failure 10 days after the initial symptoms. Remdesivir, dexamethasone, and empirical antibiotics were administered with mechanical ventilation and intensive unit care. Among the three patients, two (patients 1 and 3) were alive, and one (patient 2) expired. Clinicians caring for adolescents with chronic neurologic and/or pulmonary disease should keep in mind that these patients could have sudden deterioration after recovery from the acute phase of COVID-19 around or after the time of discharge.

Network Defense Mechanism Based on Isolated Networks (격리 네트워크를 활용한 네트워크 방어 기법)

  • Jung, Yongbum;Park, Minho
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.41 no.9
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    • pp.1103-1107
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    • 2016
  • Network assets have been protected from malware infection by checking the integrity of mobile devices through network access control systems, vaccines, or mobile device management. However, most of existing systems apply a uniform security policy to all users, and allow even infected mobile devices to log into the network inside for completion of the integrity checking, which makes it possible that the infected devices behave maliciously inside the network. Therefore, this paper proposes a network defense mechanism based on isolated networks. In the proposed mechanism, every mobile device go through the integrity check system implemented in an isolated network, and can get the network access only if it has been validated successfully.

Analysis and de lege ferenda of the Acts Related with Spread of MERS in Korea in the Year 2015 - Focused on the Controversial Clauses of Medical Service Act and Infectious Disease Control and Prevention Act - (중동호흡기증후군 2015년 사태와 관련된 의료법령의 분석과 입법론 - 「의료법」 및 「감염병의 예방 및 관리에 관한 법률」의 쟁점 조항을 중심으로 -)

  • Kim, Cheonsoo
    • The Korean Society of Law and Medicine
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    • v.16 no.2
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    • pp.197-225
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    • 2015
  • The presentation of this paper was triggered by the spread of MERS in Korea in the year 2015. The analysis of the present acts related with MERS is necessary in order to cope efficiently with any probable spread of such infectious diseases as MERS in future. The acts that should be analyzed in this paper include 'Medical Service Act' and 'Infectious Disease Control And Prevention Act' (hereafter, IDCAPA). At first the classification of the infectious diseases in IDCAPA should be referred to. The Act does not properly classify them because the scope of concept of each group of the infectious diseases overlaps each other. This overlap should be removed. The present system in IDCAPA is not proper for the efficient notification and reporting of the infectious disease patients. This is so in some viewpoints including the persons obligated to make the notification and reporting, the persons to whom they should notify and report such patients, and the process of notification and reporting. The efficient approach to the information related with the infectious disease is necessary for the rapid prevention of its spread. Cohort isolation and quarantine of the infectious patients and exposed contacts are the strongest and most efficient steps for the prevention of spread of the infectious diseases. One of the great problems related with such steps would be the conflict of powers or attributions, the likelihood of which is inevitable under the present system of IDCAPA. The IDCAPA distributed the power or attribution to take the steps to the three governments including the central government, the metropolitan government and the primary local government. The power should be concentrated in the central government, which could afford financially to compensate for the huge amount of damages caused likely by the steps. The power to take the steps would be actually just a useless thing for its holder without such financial capacity. The remedy for the victims by the fault of spreader should be approached to in the sense of national wealth. The general principle of tort law could not supply the victims with the sufficient remedy because the damages would be likely too huge for the wealth of such spreader to cope with. In future another parliamentary inspection could reveal another problems in the administration by the government of the MERS event in the year 2015. Any problem caused by defect in the legal system of the control and prevention of the infectious diseases should be taken into consideration when the legal system would be reformed in future.

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A Design Aspects of Historic Parks Preserving Buried Cultural Heritages - In the Case of Neunggok Prehistoric Remains Park, Ansan Singil Historic Park, Yongjuk Historic Park - (매장문화재 보존형 역사공원의 설계 양상 - 능곡선사유적공원, 안산신길역사공원, 용죽역사공원을 대상으로 -)

  • Kim, Ki-Uk;So, Hyun-Su
    • Journal of the Korean Institute of Traditional Landscape Architecture
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    • v.37 no.1
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    • pp.12-22
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    • 2019
  • This study derived the design aspects by carrying out the case study of Neunggok prehistoric remains park, Ansansingil historic park and Yongjuk historic park to which are taken measures to preserve undesignated cultural heritages after studying the related laws & regulations and the systems as the design conditions of historic park preserving buried cultural heritages. The results of the study are as follows. First, according to the laws & regulations related to the historical parks, the historic sites should be preserved and utilized at the same time and can have history-related facility spaces, squares, rest spaces, exercise spaces, education & culture space, and convenience spaces. Second, by the space organization and the circulation system emphasizing only the preservation of buried cultural heritages, the feature-preservation space and the functional space are separated and due to not accepting the usage behavior considering peripheral land use, the effectiveness of the historical park was low. Third, the passive feature-preservation methods such as the preservation of the exposed site in architectural methods, the reproduction of the dugout hut, and the planting Royal azaleas or displaying stone after covering up the location of the pit dwellings with soil and the usage mainly for viewing have weakened the identity of the historical park. Fourth, the fence preventing users' access interferes experiencing the features, and the vertical structure protecting the upper part of the exposed features has overwhelmed the landscape of the historical parks. Fifth, it was difficult to figure out the feature space only by the texts mainly on terminologies and the excavation photographs presented on the information signs which introduce the buried cultural heritages.

A Study on the Establishment of Business Continuity Management Systems of the Organization During a Pandemic Outbreak (Focusing on the finance correspond case) (유행병 발병 시 조직의 비즈니스연속성 관리체계 구축에 관한 연구(금융회사 사례 중심으로))

  • Kim, Dae Jin;Yang, Seung Weon;Choi, Deok Jae;Kim, Gi Won;Jang, Hyun Min;Kim, Dong Heon;Eun, Min Gyun
    • Journal of Korean Society of Disaster and Security
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    • v.9 no.2
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    • pp.93-101
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    • 2016
  • In recent years, epidemics have raged with a 6-7 years period such as SARS (2002), Swine Flu (2009), MERS (2015). When an epidemic arises, the first advice is the isolation of infected patients and disease areas. Because it appears after a certain incubation period, the peoples worked with Infected (infection cause) staff and the place are largely exposed to the epidemic Risk. If you have an epidemic in the workplace, even if you close it, the business plan should be ready to continue the safety and protection measures for employees and the organization's core business. In this study We present the corresponding measures to protect the safety of the employees and to continue the core business during a pandemic outbreak and the introduction of BCP mainly corresponding practices of financial companies.

Epidemics of Lower Respiratory Tract Infection that Occurred to Children at a Local Institute for Children's Adoption and Welfare (모 입양 기관에 수용 중인 영유아에서의 하기도 감염의 유행)

  • Yang, Mi Hwa;Park, Chan Sook;Yoon, So Young;Kim, Jae Youn;Ahn, Don Hee
    • Pediatric Infection and Vaccine
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    • v.9 no.2
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    • pp.201-207
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    • 2002
  • Purpose : We analyzed clinical features and causal viruses of acute lower respiratory tract infections(LRTIs) in order to improve the management of these infections. Methods : From end of April to early May 2001, amongst 30 children at a local institute for children's adoption and welfare, 13 were admitted to the hospital with the diagnostic impression of acute LRTIs. Nasopharyngeal aspirates were sent in Seoul National University Hospital for viral culture of respiratory syncytial virus(RSV), adenovirus, parainfluenza virus. Results : One or more viral agents were identified in 4 cases(30.7%) : were RSV(15.4%), adenovirus(7.7%), and a mix of these two viruses(7.7%). Initial symptoms were fever(69%), cough(100%), tachypnea(54%), chest retraction(69%), rale(85%) and wheezing(15%). Leukocytosis was noted in 23%, CRP increased more than 10 mg/L in 46%. Chest X-ray abnormalities were 69%. Conclusion : Although viruses were identified in 30.7%, further studies should be made for prevention and treatment of acute viral LRTIs.

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The Application of Island Biogeography and Habitat Fragmentation Theory to the Conservation of Protected Areas in Korea (우리나라 보호지역의 보존에 대한 도서생물지리학과 서식처 분획화 이론의 적용)

  • 김용식;마이클모운더
    • Korean Journal of Environment and Ecology
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    • v.6 no.1
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    • pp.12-24
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    • 1992
  • The application of island biogepgraphy and habitat fragmentation theory to protected area management in Korea is discussed. The accelerating destruction and degradation of natural habitats, with the associated erosion of biodiversity, demands and urgent response and a critical review of attitudes to protected area management. The flora of Korea will continue to change in both distribution and status in response to these man induced changes. The conservation and management of ecosystems, because of the variety of threats and the varying levels of biodiversity to be conserved, requires an integrated approach. Such an approach assesses the variety of threats, prevalent and potential, and responds with a strategy combining habitat, species and population management. The application of island biogeography, habitat fragmentation and edge effects theory to conservation strategies in Korea will assist in the understanding of the dynamic relationships between the isolation. degradation and fragmentation of surviving habitat patches. The application of such approaches is discussed with recommendations made for the adoption of an increasingly scientific approach to plant conservation based upon a knowledge of the conservation status and distribution characteristics of the Korean flora. Such data combined with demographic studies on topics such as Minimum Viable Population Size will allow an integrated approach to plant and habitat conservation to progress.

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Role of Korean Society of Pediatric Infectious Disease during the Middle East Respiratory Syndrome (MERS) Outbreak in Korea, 2015 (2015년 우리나라에서 발생한 중동호흡기증후군과 대한소아감염학회의 역할)

  • Kim, Kyung-Hyo
    • Pediatric Infection and Vaccine
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    • v.22 no.3
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    • pp.136-142
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    • 2015
  • The Korean Society of Pediatric Infectious Diseases (KSPID) has participated in the task force team consisting of government authorities as well as civil medical experts and facilities to block the spread of Middle East Respiratory Syndrome in 2015. KSPID posted the "Middle East Respiratory Syndrome (MERS) Pop-up" in the homepage of The Korean Pediatric Society and The Korean Society of Pediatric Infectious Diseases. KSPID also released the "Guidelines for testing for MERS in children and adolescents" and the "Instructions for the Operation of National Safe Hospital" for children and adolescents in a timely manner. Such actions were aimed to prevent unnecessary anxieties, studies and isolation of pediatric patients with respiratory symptoms and signs caused by other common microbial etiologies as being suspected for MERS patients. This strategy relieved the doctors and parents from unnecessary fear and prevented the loss of unnecessary health care costs, and has proven to be a well-judged guideline and management protocol as evaluated after the final end of MERS outbreak. KSPID and its members should support the presence of pediatric infectious disease (PID) specialists in every medium size hospitals in Korea by developing the need for consultation fees for PID consultation in the hospital based practice and promoting the potential for cost savings related to prevention of health care associated infections and optimal prescription of antimicrobial agents. KSPID and its members need to approach and develop a communication plan to political decision makers to demonstrate and convince them of the importance of a PID specialist service.

Key Determinants of Dissatisfaction on COVID-19 Contact Tracing and Exposure Notification Apps (COVID-19 접촉추적과 노출알림 앱사용자의 항의 및 불만요인 탐색)

  • Leem, Byung-hak;Hong, Han-Kook
    • The Journal of the Korea Contents Association
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    • v.21 no.9
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    • pp.176-183
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    • 2021
  • Digital medical technology is very effective and at the same time faces the challenge of protecting privacy. However, for contact tracking and exposure notification apps in COVID-19 environment, there is always a trade-off between privacy measures and the effectiveness of the app's use. Today, many countries have developed and used contact tracking and exposure notification apps in various forms to prevent the spread of COVID-19, but the suspicion of digital surveillance (digital panopticon) is unavoidable. Therefore, this study aims to identify the factors of personal information infringement and dissatisfaction through text mining analysis by extracting user reviews of "Self-Quarantine Safety Protection" in Korea. As a result of the text mining analysis, we derived four groups, 'Address recognition error', 'Exit warning error', 'Access error', and 'App. program error'. Since 'Address recognition error' and 'Exit warning error' can give the app users a strong perception that they are keeping under surveillanc by the app, transparent management of personal information protection and consent procedures related to personal information collection are required. In addition, if the other two groups are not corrected immediately due to an error in an app function or a program bug, the complaints of users can be maximized and a protest against the monitor can be raised.

Antibiotics-Resistant Bacteria Infection Prediction Based on Deep Learning (딥러닝 기반 항생제 내성균 감염 예측)

  • Oh, Sung-Woo;Lee, Hankil;Shin, Ji-Yeon;Lee, Jung-Hoon
    • The Journal of Society for e-Business Studies
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    • v.24 no.1
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    • pp.105-120
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    • 2019
  • The World Health Organization (WHO) and other government agencies aroundthe world have warned against antibiotic-resistant bacteria due to abuse of antibiotics and are strengthening their care and monitoring to prevent infection. However, it is highly necessary to develop an expeditious and accurate prediction and estimating method for preemptive measures. Because it takes several days to cultivate the infecting bacteria to identify the infection, quarantine and contact are not effective to prevent spread of infection. In this study, the disease diagnosis and antibiotic prescriptions included in Electronic Health Records were embedded through neural embedding model and matrix factorization, and deep learning based classification predictive model was proposed. The f1-score of the deep learning model increased from 0.525 to 0.617when embedding information on disease and antibiotics, which are the main causes of antibiotic resistance, added to the patient's basic information and hospital use information. And deep learning model outperformed the traditional machine hospital use information. And deep learning model outperformed the traditional machine learning models.As a result of analyzing the characteristics of antibiotic resistant patients, resistant patients were more likely to use antibiotics in J01 than nonresistant patients who were diagnosed with the same diseases and were prescribed 6.3 times more than DDD.