• Clinical and Experimental Vaccine Research
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• 제12권3호
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• pp.209-215
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• 2023

Purpose: The delay in acceptance or refusal to get vaccinated despite the availability of services is called vaccine hesitancy. The Global Polio Eradication Initiative in Pakistan faced consistent barriers preventing the eradication of the disease in the country. Similarly with the advent of the coronavirus disease 2019 (COVID-19) pandemic mass vaccination drives were initiated to a vaccine hesitant population. The aim of this study is to explore the prevalence and reasons for COVID-19 vaccine hesitancy in the Pakistani population. Materials and Methods: Cross-sectional study conducted during July to September 2021 using a snowball sampling technique targeting the adult population of Pakistan. The modified version of the vaccine hesitancy questionnaire related to the Strategic Advisory Group of Experts on Immunization Vaccine Hesitancy matrix was distributed online. Results: Out of 973 participants, 52.4% were immediately willing to take the vaccine and constituted the acceptance group whereas the remaining 47.6% who were still not sure formed the hesitant group. Support from leaders was found to be statistically significant for the difference between the hesitant and acceptance groups (p-value=0.027). Hesitant people were concerned about the effectiveness of the vaccine (60.9%) and potential side effects (57.9%) as it was not sufficiently tested prior to launch (44.7%). Age and education were significant factors affecting the acceptance of vaccination. The most trusted source of information regarding vaccination was health care workers (43.8%). Conclusion: A moderately high prevalence of vaccine hesitancy was reported in Pakistan. To overcome it, policymakers need to address the reasons for it. Leaders, celebrities, and healthcare workers can play an instrumental role in dispelling conspiracy theories regarding vaccines and making the vaccination drive a success.

• 한국안전학회지
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• 제39권1호
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• pp.55-61
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• 2024

In response to the COVID-19 pandemic, the logistics industry in Korea has rapidly been expanding, with offline demand concentrating on online platforms owing to the development of digital infrastructure. This has increased the workload of courier drivers considerably, along with labor intensity. A delivery driver died recently from overwork due to the continuous increase in delivery volume, which raises social concerns. Delivery drivers work long hours, (over 12 hours) and are greatly affected by weather conditions, such as snow, rain, heat waves, and cold waves. In addition, they lack a fixed workplace; perform atypical work handling workpieces of various sizes, weights, and shapes; and spend a large amount of time driving as part of their work. This work involves a high level of tension and requires attention and concentration. Despite the frequency of industrial accidents in the courier industry, studies on safety and health to quantitatively analyze and systematize the work of courier workers are very scarce. Therefore, to define the work process necessary for investigating the harmful factors in delivery service and the work analysis, this study conducted interviews and on-site surveys to analyze the unit work of the delivery service by targeting delivery workers. In other words, a framework of unit work for work analysis was presented to enable research and analysis by considering the aforementioned characteristics of the courier industry. The process was broadly divided into work, transport, storage, delay, and inspection. Work was divided into loading, sorting, unloading, and door subcategories, and transportation was divided into vehicle, cart, and walking subcategories as well as 10 small processes. Moreover, 22 unit works were again drawn by conducting field surveys and interviews. The risk of unit work derived from this study was ergonomically evaluated, and the ergonomic analysis revealed that uploading and transportation were the most dangerous. The results of this study could be used as basic data for preventing industrial accidents among courier workers, whose work has increased with the logistics volume and the development of the logistics industry.

• 대한한방내과학회지
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• 제44권6호
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• pp.1318-1326
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• 2023

Introduction: Pressure ulcers, often found in patients with mobility issues, particularly elderly patients, are increasing in prevalence. Their treatment is complex, with recovery more challenging in advanced stages, and certain factors can delay healing. Case Presentation: An 87-year-old male developed a grade IV pressure ulcer on his left greater trochanter following lumbar fractures and subsequent percutaneous vertebroplasty in 2021. Despite potential surgical recommendations, his treatment consisted of daily wet dressings, acupuncture from July 2021 to February 2022, and Gami-sipjeondaebo-tang beginning August 2021. The ulcer, initially measuring 6 cm×6 cm and showing a red wound without necrosis, healed completely and showed no signs of recurrence as of August 2023. Conclusion: A grade IV pressure ulcer was effectively treated using wet dressing, acupuncture, and Gami-sipjeondaebo-tang, demonstrating no recurrence over a 1.5-year period.

• Journal of Korean Biological Nursing Science
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• 제2권2호
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• pp.20-37
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• 2000

The purpose of this study was to investigate the relationships between the differentials in life styles and their effect on the epidermal facial tissue in order to provide a basis for health professionals so that they might better be able to maintain and promote healthy skin care and further delay the premature ageing of the epidermal facial tissue. The subjects consisted of 145 females of various ages who visited skin care room in cerming health promoting behaviors(Park In sook's Profile) and questions on their behavioral practices pertaining to personal skin care were used. The investigation also ess of the four parts of the epidermal facial tissue studied. All data collected wee entered into the SAS program and analyzed for frequency, percentages, the utilized Pusan. The study dates ranged from May 1, 1998 to May 30, 1998. The methods used for this investigation were a questionnaire survey consisting of general objective questions. The questions con a "skin analyzer" to measured levels of moisturizing hydrated, facial oils, and roughnmean, t-test, ANOVA, and Pearson Correlation Coefficients. The results of this study were as follows ; 1. Epidermal facial oil was at its highest levels in the chin area with additional decreasing levels in the forehead and nose regions. The least regions were those of the cheeks. The highest levels of hydration on the other hand started with the forehead followed by the area of the chin, the cheeks and the lowest level of epidermal facial hydration was in the region of the nose. 2. The average score of the performance in the health promoting behaviors variable was 139.51. The variables with the highest degree of the performance were rest and sleeping(35.71). The lowest degree was hiegenic life(23.44). 3. The relationship health promoting behaviors and epidermal condition was not correlated with oil, hydration and roughness of the skin surface. 4. Skin care behavioral characteristics related to epidermal condition were washing style and temperature of washing water. 5. General characteristics related to epidermal condition were occupation, education level, acne and melasma. In conclusion, this study showed that several factors were significant in the behavior of skin care. Clear knowledge of both internal and external factors which affect the epidermal condition will help women to pursue active and appropriate practices in their health behaviors and skin care.

• 대한전자공학회논문지SP
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• 제46권3호
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• pp.75-88
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• 2009

본 논문에서는 실시간 멀티미디어 스트림 서비스에서 발생하는 비디오 품질 저하 요인에 따른 비디오 품질 측정 방법을 제안한다. 비디오 품질 저하에는 대표적으로 비디오 압축과 네트워크의 상태에 의해 발생한다. 본 논문에서는 비디오 압축에 의하여 생기는 화질 저하를 측정하기 위하여 공간 도메인에서 블록킹 왜곡에 대한 정도를 측정하는 방법을 제안한다. 제안하는 블록 경계 강도는 $8{\times}8$ 블록 경계에서 픽셀간의 변화와 경계를 제외한 주변영역에서 픽셀 사이의 변화에 대한 비율로 나타내었다. 반면, 움직임이 부자연스러운 동영상은 지터 및 지연 요소와 같은 네트워크 전송능력의 악화로 인해 비디오 품질 저하가 나타난다. 본 논문에서 제안하는 시간적 저키니스는 연속된 프레임의 대응되는 픽셀간의 밝기 값 차이에 대한 평균과 현재 프레임과 이전 프레임의 재생시간 간격의 평균 및 분산을 이용하는 방법을 제안하였다. 또한, 본 논문에서는 비디오 압축에 의한 품질 측정 방법인 블록 경계 강도와 네트워크에 의한 품질 측정 방법인 시간적 저키니스를 통합하여 비디오의 종합적 품질을 평가하는 Perceptual Video Quality Metric (PVQM)을 제안한다. 제안한 알고리즘의 성능을 평가하기 위하여, 사람이 직접 비디오 품질을 평가하는 Difference of Mean Opinion Score (DMOS)와 제안한 알고리즘을 비교 평가하였다. 그 결과 제안한 PVQM의 결과와 인간 시각에 의하여 평가된 DMOS가 근사함을 확인하였다.

• 한국정보과학회논문지:컴퓨팅의 실제 및 레터
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• 제6권4호
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• pp.411-420
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• 2000

CDMA 이동 통신 시스템의 소프트 핸드오프의 성능에 잠재적으로 영향을 줄 수 있는 요소들은 핸드오프 관련 시스템 파라미터 (T_ADD, T_DROP, T_COMP, T_TDROP) 이외에도 가입자의 이동성, 서비스 지역, 기지국의 용량 등 여러 가지가 있다. 이동 통신에서 핸드오프가 차지하는 중요성으로 인하여, 여러 가지 핸드오프 방식이 제안되었고, 제안된 방식의 우수성을 시뮬레이션 프로그램을 수행하여 실험적으로 증명하기 위한 연구가 많이 행하여졌지만, 핸드오프 관련 시스템 파라미터, 가입자의 이동성과 환경, 기지국 용량 등을 어떻게 모델링하였느냐에 따라 시뮬레이션의 객관성과 신빙성이 달라진다. 본 논문은 이동국의 속도를 고려하여 소프트 핸드오프의 지연 시간을 제어하는 새로운 핸드오프 방식을 제안하고, 컴퓨터 시뮬레이션을 이용하여 이 방식과 기존 방식을 비교 분석한 연구에 관하여 논한다. 시뮬레이션 결과는 이동국의 속도 이외에도 이동 영역과 방향에 따라 핸드오프 방식의 성능이 현저하게 다르게 나타날 수 있다는 것을 보였다. 구체적으로, 본 논문에서 제안한 핸드오프 방식의 성능은 자유 이동을 하는 이동국의 경우에 기존 방식보다 우수하지만, 이동 영역과 방향이 제한된 이동을 하는 이동국의 경우에 기존방식과 차이가 없는 것으로 나타났다. 또한, 같은 핸드오프 방식이라도 서비스 지역을 2차원 공간으로 모델링하였느냐 아니면 3차원 공간으로 모델링하였느냐에 따라서 시뮬레이션 결과가 달랐다. 따라서, 핸드오프의 성능 분석 연구에서 이동국의 이동성 모델이 중요하며, 특히 이동 통신 시뮬레이션 연구에서 그 동안 무시되었던 이동국의 이동 영역과 방향성도 중요한 이동성의 특성으로서 고려되어야 할 것을 시사한다.

• 대한토목학회논문집
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• 제34권1호
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• pp.223-233
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• 2014

본 연구는 도로 교통전문가에 대한 개인속성 및 운전행태를 비롯한 회전교차로 주행경험에 따른 만족도에 영향을 미칠 것으로 예상되는 요인들을 분석하였다. 회전교차로의 주행환경 만족도 특성을 명확하게 규명하기 위해 주성분분석을 실시하여 구성요인을 추출하고 변수들을 3개의 요인으로 그룹화하였으며, 각 그룹을 만족요인속성, 운전행태속성, 개인속성으로 명명하였다. 변수들의 신뢰성과 타당성을 검증하기 위해 확인적 요인분석을 통하여 변수정제과정을 거친 후 회전교차로 주행성 인지와 만족요인속성을 내생잠재변수로, 개인속성과 운전행태속성을 외생잠재변수로 구조화한 회전교차로 주행환경 만족도 모형을 개발하였다. 모형 추정결과, 회전교차로 주행만족도는 차량지체 감소, 교통안전성 향상, 도로용량 증대, 도시미관 개선, 교통환경 개선, 심각사고 감소, 자전거 이용 편의 등 만족요인속성에 직접적인 영향을 받으며 성별, 연령, 운전시간, 운전경력 등 개인속성에 간접적인 영향을 받는 것으로 분석되었다. 교통법규 준수, 양보운전, 교통표지 준수, 끼어들기 운전 등 운전행태속성은 주행 만족도에 통계적으로 유의한 영향을 끼치지 못하였다. 그리고 AHP분석결과, 회전교차로 안전성 확보를 위해서는 기하구조의 회전반경과 운전자특성의 운전습관이 가장 중요한 요소로 선정되었다.

• Clinical and Experimental Pediatrics
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• 제56권1호
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• pp.26-31
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• 2013

Purpose: Lymphocyte subset recovery is an important factor that determines the success of hematopoietic stem cell transplantation (HSCT). Temporal differences in the recovery of lymphocyte subsets and the factors influencing this recovery are important variables that affect a patient's posttransplant immune reconstitution, and therefore require investigation. Methods: The time taken to achieve lymphocyte subset recovery and the factors influencing this recovery were investigated in 59 children who had undergone HSCT at the Department of Pediatrics, The Catholic University of Korea Seoul St. Mary's Hospital, and who had an uneventful follow-up period of at least 1 year. Analyses were carried out at 3 and 12 months post-transplant. An additional study was performed 1 month post-transplant to evaluate natural killer (NK) cell recovery. The impact of pre- and post-transplant variables, including diagnosis of Epstein-Barr virus (EBV) DNAemia posttransplant, on lymphocyte recovery was evaluated. Results: The lymphocyte subsets recovered in the following order: NK cells, cytotoxic T cells, B cells, and helper T cells. At 1 month post-transplant, acute graft-versus-host disease was found to contribute significantly to the delay of $CD16^+/56^+$ cell recovery. Younger patients showed delayed recovery of both $CD3^+/CD8^+$ and $CD19^+$ cells. EBV DNAemia had a deleterious impact on the recovery of both $CD3^+$ and $CD3^+/CD4^+$ lymphocytes at 1 year post-transplant. Conclusion: In our pediatric allogeneic HSCT cohort, helper T cells were the last subset to recover. Younger age and EBV DNAemia had a negative impact on the post-transplant recovery of T cells and B cells.

• Journal of Chest Surgery
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• 제29권1호
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• pp.14-23
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• 1996

Circulatory arrest under deep hypothermia is an important auxiliary means for cardiac surgery, especially useful in pediatric patients. However, its clinical safety, particularly with regard to the neurologic outcome after long duration of circulatory arrest, is still not established. This study is a review of the eight years'clinical experience of hypothermic circulatory arrest at the Seoul national University Children's Hospital. During an eight-year period from January 1986 through December 1993, a total of 589 consecutive cardiac operations were done using circulatory arrest under deep hypothermia. Among them, 434 consecutive patients, in whom the duration of arrest was 20 minutes or more, are the subject of this study. The duration of arrest ranged from 20 minutes to 82 minutes (mean = 38.7 minutes) under rectal temperature in the range from 12.5$^{\circ}C$ to 25.8$^{\circ}C$. Early neurologic abnormalities occurred in 47 patients : seizure attacks in 28 patients, motor paralyses with or w thout seizure in 12, blindness in 2, and no recovery of consciousness in 5 patients. The rate of incidence of early neurologic abnormalities was calculated at 15.7%. 25 patients showed late neuropsychologic sequelae, such as motor paralysis (9 patients), recurrent seizures (6), developmental delay (8), and definitely low intelligence (2). The rate of incidence of late neurologic sequelae was 8.5%, By statistical analysis, the following factors were identified as the risk factors for post-arrest neurologic abnormalities ; 1) long duration of circulatory arrest, 2) lower-than-ideal body weight, 3) preexisting neurological abnormalities, 4) associated non-cardiovascular congenital anouialies, and 5) low blood pressure during the early post-arrest period. It is concluded that circulatory arrest under deep hypothermia is a relatively safe means for pediatric cardiac surgery with acceptable risk. However, to warrant maximal safety, it is desirable to limit the duration of arrest to less th n 40 minutes. In addition, it is our contention that the early post-arrest period is a very critical period during which maintenance of adequate perfusion pressure in important for the neurologic outcome.

• 해양환경안전학회지
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• 제25권6호
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• pp.698-707
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• 2019

우리나라 영해 밖 EEZ내 침몰한 외국선박의 잔존유 제거작업이 국내 최초로 2019년 5월 이행되었다. 우리 관할수역이지만 기름 제거작업은 홍콩 선주 측 P&I 보험사와 계약을 맺은 일본업체가 수행하고 국내 업무 대행은 S법무법인과 J해운이 맡았다. 해당 선박은 총톤수 4,433톤의 일반화물선으로 2015년 4월 제주도 남동방 약 48마일 해상에서 침몰하였다. 침몰 후 기름 제거 작업 개시까지 만 4년이 넘는 기간이 소요되었지만 잔존유 제거작업은 단 22일 만에 끝났다. 대형선박이고 잔존유량이 많았던 Erika호나 Prestige호 등 외국사례 등과 비교하면 기름 제거 결정까지 긴 시간이 걸렸다. 그 원인을 파악하고자 해당선박 침몰 시부터 잔존유 제거까지 생산된 모든 문서 93건을 확보하여 분석하였다. 그 결과, 가장 우선적으로 이루어져야 할 행정적 절차 즉, 잔존유 제거에 대한 관할 행정기관의 의사결정이 지연되었음이 확인되었다. 관할청에서 긴 시간 동안 많은 검토를 하였지만 최종 결과는 초기방안과 별로 달라지지 않았다. 4년의 시간이 흐르는 동안 선내 잔존유 상당량이 유출되고 화물 전체가 유실되었다. 의사결정 지연에 영향을 미친 원인으로 관할청의 사고 관련 기본 사실이나 자료 확인 소홀부터 법률적, 기술적, 환경적 그리고 인적 측면 등 여러 문제점이 식별되었다. 연구 마지막에 식별된 문제점에 대한 개선안, 즉 의사결정 효율화 방안을 제시한다. 이 연구는 국내 최초 EEZ내 외국 침몰선박 잔존유 제거 사례를 고찰하여 향후 유사한 작업계획이나 정책수립 등에 도움이 될 것으로 기대한다.