• International Journal of Computer Science & Network Security
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• 제23권6호
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• pp.59-67
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• 2023

The healthcare industry continues to adopt and integrate smart technology in its operations, from medical devices to managing operations. However, the adoption curve has not been smooth, and the historical record of technology adoption in the Kingdom of Saudi Arabia reveals the existence of both known and unknown issues. This review paper is aimed to explain the influences and barriers present in the Saudi healthcare sector affecting IoT technology adoption. A comprehensive discussion of the literature illustrated that Vision 2030, the privatisation trend, transformation in disease patterns and ageing, issues in management and increasing public awareness are the key drivers that may influence the need for the medical Internet of Things (mIoT) in Saudi healthcare. However, based on the past trend, the introduction and adoption of mIoT will likely experience issues such as noncompliance from doctors and nurses due to negative beliefs, lack of knowledge and inadequate perception of effort requirements. Thus, in-depth research of the factors associated with mIoT technology adoption is suggested for a smooth transition.

• Journal of Preventive Medicine and Public Health
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• 제14권1호
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• pp.43-51
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• 1981

The objective of the study is to measure the changes in measles infection and measles vaccination rates for the past 10 years in a rural area, Kang Wha. The study population were the entire children who were born between 1971 and 1950 in three townships (Sunwon, Naegae, Buleun) in Kangwha County. Two interview surveys were carried out during the 10 years of period, one in 1977 and the other in 1981. The data were collected by Family Health Workers through interview with structured questionnaires. The diagnosis of measles was mainly based on histories, symptoms and sighs of the disease. If a mother had reported measles history of her child, a public physician reviewed and decided the final diagnosis of the reported case. A retrospective cohort observation was done in order to see the trends of measles infections and measles vaccinations. The major findings were as follows; 1. The 5 year prevalence rate of measles vaccinations was 51.3% between 1971 and 1975 and 71.9% between 1976 and 1980 respectively. The difference between two periods was statistically significant (P<0.05). The secular trend of measles vaccinations showed increasing tendency from 1971 to 1978 and since then kept maintained. 2. In the birth cohort analysis of measles vaccinations, the vaccination rates, in general, were higher in the later cohort groups than that of earlier cohort groups. 9. The 5-year experience rates for measles infections were 24.3% between 1971 and 1975 and 17.2% between 1976 and 1980 respectively. This difference was statistically significant(P<0.05). The secular trend of experience rates for measles infections showed decreasing tendency from 1971 to 1980 except an outbreak in 1976. 4. The birth cohort analysis of experience rates for measles infections showed that the rate was higher in the later cohort groups than that of the earlier cohort groups. This decreasing tendency was prominent between $1973{\sim}1974$ and $1976{\sim}1977$. 5. The distribution of age specific incidence rates for measles infections showed unimodal curve with the peak at the age of 12 to 18 months. This findings were same in both two surveys. 6. Seasonal variations of the measles infections showed two peaks, one major peak in March through May and the another minor peak in September through December. 7. The 5-year reduction rate for measles infections among those vaccinated was 90.4% between 1971 and 1975 and 88% between 1976 and 1980.

• 한국항해항만학회:학술대회논문집
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• 한국항해항만학회 2004년도 추계학술대회
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• pp.169-174
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• 2004

항만의 계획 및 개발단계에서 중요한 요소 중 하나는 항로의 설계이다. 수심이 확보되어 있는 수역이라면 항로의 설계에서 가장 핵심이 되는 요소는 항로의 배치와 항로폭의 결정이 될 것이다. 본 연구에서는 가변범퍼영역모델을 이용하여 항로를 설계하고 평가하는 것이다. 이 기법에서는 가변범퍼영역을 이용하여 선박의 주요치수, 선박점용이론, 선박의 속력, 선박지휘자의 조선기술과 경험 등을 고려할 수 있으며, 특히 선박에 작용하여 선박의 운동 및 조종특성에 영향을 미치는 모든 외력을 고려할 수 있다. 이를 위해 선박조종자의 선박제어와 외력 등에 의한 선박의 동적데이터를 분석하기 위해 전기능선박조종시뮬레이터를 이용하였다. 이 기법에서는 항로의 적정성과 안전성을 평가하기 위해 점용지수를 이용한다. 항로설계기법을 울산신항개발계획에 적용하였다. 이 계획에서는 항로의 폭은 전장의 1.5배, 만곡부의 곡률반경은 전장의 5.0배로 설계되었으며, 항로부근에는 SBM이 위치하고 있다. 대상선박에 대해서는 항로의 폭과 곡률반경이 적절하지만, 대각도 변침과 항로부근에 위치한 SBM에 의해 선박 조선상의 어려움이 야기되는 것으로 분석되었다.

• Tuberculosis and Respiratory Diseases
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• 제79권4호
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• pp.289-294
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• 2016

Background: The aim of our study was to evaluate the prognostic value of Charlson's weighted index of comorbidities (WIC) in patients with prolonged acute mechanical ventilation (PAMV, ventilator care ${\geq}96$ hours). Methods: We retrospectively enrolled 299 Korean PAMV patients who were admitted in a medical intensive care unit (ICU) of a university-affiliated tertiary care hospital between 2008 and 2013. Survivors were defined as patients who survived for 60 days after ICU admission. Results: The patients' mean age was $65.1{\pm}14.1$ years and 70.6% were male. The mean ICU and hospital length of stay was $21.9{\pm}19.7$ and $39.4{\pm}39.1$ days, respectively. In addition, the 60-day mortality rate after ICU admission was 35.5%. The mean WIC was $2.3{\pm}1.8$, with significant differences between nonsurvivors and survivors ($2.7{\pm}2.1$ vs. $2.1{\pm}1.7$, p<0.05). The area under the curve of receiver-operating-characteristics curve for WIC was 0.593 (95% confidence interval [CI], 0.523-0.661; p<0.05). Based on Kaplan-Meier curves of 60-day survival, WIC ${\geq}5$ had statistically lower survival than WIC <5 (logrank test, p<0.05). In a multivariate Cox proportional hazard model, WIC ${\geq}5$ was associated with poor prognosis (hazard ratio, 1.901; 95% CI, 1.140-3.171; p<0.05). The mortality rate of patients with WIC ${\geq}5$ was 54.2%. Conclusion: Our study showed a WIC score ${\geq}5$ might be helpful in predicting 60-day mortality in PAMV patients.

• 한국농림기상학회지
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• 제17권4호
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• pp.348-357
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• 2015

본 연구는 그간 우리나라에서 경제적인 가치를 인정 받아온 수종인 잣나무를 대상으로 잣나무의 현존 분포를 파악하고, RCP (Representative Concentration Pathway) 8.5 기후변화 시나리오와 생태적 지위 모형에 기반하여 향후 잣나무의 분포 변화를 예측하기 위해 수행되었다. 이를 위해 5년간의 NFI 자료에서 조사지점별 잣나무의 풍부도 자료를 추출하여 사용하였으며, 수종에 영향을 미치는 환경요인변수를 선정하기 위해 생태적 지위 모형 가운데 하나인 GARP (Genetic Algorithm for Rule-set Production)를 이용하였다. 총 27개의 환경요인변수에 대해 각각 모형을 구동하고 컨퓨전 매트릭스(Confusion Matrix) 기반 산출 통계량인 AUC (Area Under Curve)가 0.6 이상인 변수들을 선발하여 최종 잠재분포모형을 작성하였다. 그 결과 작성된 모형은 비교적 높은 적합도를 나타냈는데 잣나무는 현재 표고의 범위가 300m에서 1,200m 사이인 지역 및 남부에서 북부에 이르기까지 넓게 자리 잡고 있는 것으로 나타났다. 작성된 모형에 RCP 8.5 기후변화 시나리오를 적용한 결과, 잣나무는 2020년대부터 잠재분포역이 큰 폭으로 축소되며, 2090년대에는 우리나라 대부분의 지역이 잣나무의 생육에 불리할 것으로 예측되었다. 본 연구를 통해 기후변화가 잣나무 분포에 미치는 영향을 파악하고, 잣나무와 기후변화와의 상관성에 대한 이해를 높임으로써 향후 지역별 조림수종 선정 및 경제수종 교체 등의 조림적 관점에서 도움이 될 수 있을 것으로 판단된다.

• 생물정신의학
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• 제23권1호
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• pp.29-36
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• 2016

Objectives Firefighters and rescue workers are likely to be exposed to a variety of traumatic events; as such, they are vulnerable to the risk of post-traumatic stress disorder (PTSD). The psychometric properties of the Korean version of the PTSD Checklist (PCL), a widely used self-report screening tool for PTSD, were assessed in South Korean firefighters and rescue workers. Methods Data were collected via self-report questionnaires and semi-structured clinical interviews administered to 221 firefighters. Internal consistency, item-total correlation, one-week test-retest reliability, convergent validity, and divergent validity were examined. Content validity of the PCL was evaluated using factor analysis and receiver operating characteristic (ROC) analyses were used to estimate the optimal cutoff point and area under the curve. Results The PCL demonstrated excellent internal consistency (${\alpha}=0.97$), item-total correlation (r = 0.72-0.88), test-retest reliability (r = 0.95), and convergent and divergent validity. The total score of PCL was positively correlated with the number of traumatic events experienced (p < 0.001). Factor analysis revealed two theoretically congruent factors: re-experience/avoidance and numbing/hyperarousal. The optimal cutoff was 45 and the area under the ROC curve was 0.97. Conclusions The Korean version of the PCL may be a useful PTSD screening instrument for firefighters and rescue workers, further maximizing opportunities for accurate PTSD diagnosis and treatment.

• 한국신뢰성학회지:신뢰성응용연구
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• 제15권2호
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• pp.90-100
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• 2015

Reliability growth rate (or reliability growth curve slope) have the two cases of trend as a constant or changing one during the reliability growth testing. The changing case is very common situation. The reasons of reliability growth rate changing are that the failures to follow the NHPP (None-Homogeneous Poisson Process), and the solutions implemented during test to break out other problems or not to take out all of the root cause permanently. If the changing were big, the "Goodness of Fit (GOF)" of reliability growth curve to test data would be very low and then reduce the accuracy of assessing result with test data. In this research, we are using Duane model and AMSAA model for assessing test data and projecting the reliability level of complex and repairable system as like construction equipment and vehicle. In case of no changing in reliability growth rate, it is reasonable for reliability engineer to implement the original Duane model (1964) and Crow-AMSAA model (1975) for the assessment and projection activity. However, in case of reliability growth rate changing, it is necessary to find the method to increase the "GOF" of reliability growth curves to test data. To increase GOF of reliability growth curves, it is necessary to find the proper parameter calculation method of interesting reliability growth models that are applicable to the situation of reliability growth rate changing. Since the Duane and AMSAA models have a characteristic to get more strong influence from the initial test (or failure) data than the latest one, the both models have a limitation to contain the latest test data information that is more important and better to assess test data in view of accuracy, especially when the reliability growth rate changing. The main objective of this research is to find the parameter calculation method to reflect the latest test data in the case of reliability growth rate changing. According to my experience in vehicle and construction equipment developments over 18 years, over the 90% in the total development cases are with such changing during the developing test. The objective of this research was to develop the newly assessing method and the process for GOF level increasing in case of reliability growth rate changing that would contribute to achieve more accurate assessing and projecting result. We also developed the new evaluation method for GOF that are applicable to the both models as Duane and AMSAA, so it is possible to compare it between models and check the effectiveness of new parameter calculation methods in any interesting situation. These research results can reduce the decision error for development process and business control with the accurately assessing and projecting result.

• 한국항해항만학회지
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• 제29권1호
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• pp.9-15
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• 2005

항만의 계획 및 개발단계에서 중요한 요소 중 하나는 항로의 설계이다. 대부분의 경우 수심이 확보되어 있는 수역이라면 항로의 설계의 핵심은 항로의 배치와 항로폭의 결정이 될 것이다. 본 연구에서는 가변범퍼영역모델을 이용하여 항로를 설계하고 평가한다 이 모델은 선박의 주요명세, 선박점용이론, 선박의 속력, 선박지휘자의 조선기술과 경험을 항로설계에 반영할 수 있으며, 특히 선박의 운동 및 조종특성에 영향을 주는 외력을 정확하게 반영할 수 있다. 이를 위해 선박조종자의 선박제어와 외력 등에 의해 생성되는 선박의 동적데이터를 분석하기 위해 전기능선박조종시뮬레이터를 이용하였으며, 항로의 적정성과 안전성을 평가하기 위해 점용도와 점용지수를 정의한다. 개발된 항로설계기법을 울산신항개발계획에 적용하였다. 이 계획에서 항로의 폭은 전장의 1.5배 중심교각 57도인 만곡부의 곡률반경은 전장의 5.0배로 설계하였으며, 항로부근에는 SBM이 위치하고 있다. 모델의 적용결과 항로의 폭과 곡률반경은 적절하지만, 대각도 변침과 항로부근에 위치한 SBM에 의해 선박조선상의 어려움이 야기되는 것으로 분석되었다.

• 한국구조물진단유지관리공학회 논문집
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• 제21권1호
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• pp.49-58
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• 2017

일상적으로 우리가 매일 경험하는 눈, 비, 바람, 기온과 같은 현상을 날씨라고 하며, 일정한 지역에서 장기간에 걸쳐 나타나는 대기현상의 평균적인 상태를 기후라고 한다. 또한 기후가 평균적 상태에 비해 유의미하게 변동하는 것을 기후변화라고 한다. 콘크리트 구조물의 경우 외부 극한기후환경에 노출 될 경우 다양한 문제점들이 발생할 수 있다. 이러한 문제점들 중 최근 가장 문제가 되고 있는 폭우, 폭설과 같은 극한기후인자요소의 작용을 받아 발생 할 수 있는 동결융해에 대한 현상이다. 콘크리트의 경우 온도가 너무 낮거나 높다고 손상이 발생하는 것은 아니라 동결 융해를 반복적으로 받을 경우 심각한 내구성 저하를 나타나게 되며 실제 성능저하가 된 구조물의 경우 회복하기 힘들게 된다. 따라서 본 연구에서는 극심한 기후변화로 발생 되는 다양한 기후인자 요소 중 풍속-일조시간의 기후변화 양생조건에 대하여 양생 후 콘크리트 동결융해 실험을 접목시켜 상대동탄성계수를 측정하고 이를 바탕으로 성능중심평가 (Performance Based Evaluation (PBE))를 실시하고 대응책을 마련하고자 한다.

• 한국잠사곤충학회지
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• 제13권2호
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• pp.123-133
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• 1971

The author is the first man who tried to use an anesthetic on insect specially for silkworm in orde to evaluate the silkworm health and silk yielding ability and the obtained results are as followings. 1. The necessary ether vapor induction for narcosis on silkworms is varied by the glowth of the silkworm which the larger worm is, the longer induction is required. For instance, it was 2∼3 minutes for the worms of third day fifth instar silkworm in case use of ether anesthetic. 2. The longer anesthetic induction for silkworms, the longer recovery needs from anesthesia. In case five minutes ether vapor induction, silkworms recovered narcosis during in 5∼130 minutes which had varied very much by the health variation. 3. The ether induction caused silkworm to vomit digestive juice from a few per cent of the worms, but the chloroform induction showed majority of the worms to vomit the digestive juice out of mouth. So, the ether was found as better anesthetic for silkworms. 4. When ether induction last more than 20∼30 minutes, the recovered silkworms can eat mulberry, but when it gets more than three hours they can not eat mulberry. And when it last more than ten minutes, the silkworm may eat mulberry leaf, but they can not spinn cocoon properly. 5. In case five minutes ether induction for silkworms on third day fifth instar, the stronger variety is, the rallier recovered from narcosis. 6. The recovering duration from narcosis varies regarding with each worm health which shows Poisson′s distribution even in a same variety silkworm. 7. The female worms recover from narcosis earlier than male worms which means the female worm is stronger than male one. 8. The later recovered silkworm from narcosis spinned more rich cocoon silk and ended with smaller pupae weight. Such a tendency showed until at some recovery duration, then the silk yield droped down on the worms recovered in more longer duration. The author (Choe) had named such a relation curve as "Silk Yield Curve against Silkworm Health." 9. The silk yield or cocoon layer ratio had varied from 13 to 27% even in a same worm varity cocoon which showed serious variation and call attention carefulness for the duplication work of a variety silkworm eggs. 10. Not always the rich silk yielding worm is the best worm during the silkworm selection and it should be considered with the silkworm health evaluation. 11. At present situation, only specific breeding expert is allowed to join in the selection service because of need many years experience by use of visual observation, but the ether anesthesia method may help such an evaluation with more accuracy and easy way even for the people in fresh on the field. 12. The effect of the narcosis on the silkworm for the next generation or hybrid worm will be reported in next publication.