• Asian Pacific Journal of Cancer Prevention
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• 제16권4호
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• pp.1415-1420
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• 2015

Background: We compared the health-promoting behavior of long-term cancer survivors with those of the general population to identify necessary behavioral interventions to reduce the health risk among cancer patients. Materials and Methods: We used data from the 2007 and 2012 Korea National Health and Nutrition Examination Surveys (KNHANES IV [2007~2009] and KNHANES V [2010~2012]) on smoking status, alcohol use, physical exercise, and disease screening. We compared long-term cancer survivors with members of the general population; the controls were matched by propensity score matching. A multiple logistic regression model was used to investigate the association between cancer status and health-promoting behavior. Results: Long-term cancer survivors had a lower risk of smoking than the general population controls (OR: 0.42, 95%CI: 0.25-0.71). In addition, the long-term cancer survivors had a lower risk of alcohol use than the general population controls (OR: 0.70, 95%CI: 0.50-0.98). However, in terms of physical exercise and disease screening, no statistically significant differences were detected (physical exercise OR: 1.01, 95%CI: 0.75-1.35; disease screening OR: 1.27, 95%CI: 0.93-1.74). All covariates were adjusted. Conclusions: The long-term cancer survivors had a much lower risk of smoking and alcohol use than the general population controls. However, almost no differences in physical exercise and screening for cancer recurrence or secondary disease were detected between the long-term cancer survivors and general population controls. To reduce the health risks and challenges facing long-term cancer survivors, interventions to encourage physical exercise and screening for cancer recurrence and secondary disease should be implemented.

• 한국콘텐츠학회논문지
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• 제20권8호
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• pp.350-358
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• 2020

본 연구는 인공지능에 대한 지식과 감정적 요인 그리고 수용의도 간의 관계에서 위험인식이 어떤 영향을 미치는지 그 과정을 살펴보고자 매개 및 조절효과를 실증 분석하였고, 인공지능의 수용성을 높일 수 있는 시사점을 제시하였다. 이를 위해 10대부터 40대까지 설문조사를 실시하여 1,969명의 유효 표본을 확보하였고, 분석방법으로는 매개회귀분석과 조절회귀분석을 활용하였다. 분석결과에 따르면, 첫째, 인공지능에 대한 지식과 감정은 인공지능 수용의도에 유의한 영향을 보였다. 둘째, 인공지능에 대한 감정과 수용의도의 관계에서 위험 인식은 부분매개효과 및 조절효과를 확인하였다. 셋째, 인공지능에 대한 지식과 수용의도의 관계에서 위험인식은 조절효과만 유의하게 나타났다. 종합적으로, 인공지능에 대한 감정이 부정적으로 형성될수록 개인이 느끼는 위험인식이 높아지게 되고, 높아진 위험인식은 인공지능의 수용의도를 낮출 수 있는 과정을 반영하고 있었다. 또한 인공지능에 대한 감정변수의 영향력이 지식변수보다 더욱 강한 영향을 미치고 있음을 확인하였고, 인공지능에 대한 위험인식이 낮은 집단일수록 인공지능에 대한 지식과 감정에 대한 영향력이 더욱 뚜렷하게 나타났다. 분석결과를 바탕으로 연구의 시사점과 향후 연구를 위한 제언을 논의하였고, 인공지능의 성공적인 사회적 안착을 위해 보다 다양하고 확장적인 연구들을 기대한다.

• 한국임상약학회지
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• 제32권1호
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• pp.20-26
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• 2022

Background and objective: The Seoul National University Bundang Hospital (SNUBH) implemented ward-based clinical pharmacy system with designated pharmacists in 10 general wards. Designated pharmacists conduct inpatient medication review, medication intervention, and medication consultation, and provide drug information for health care providers. This study aimed to evaluate the clinical pharmacy services and to examine the perception and expectations of health care providers on the services provided by the designated pharmacists in general wards. Methods: A survey was constructed to include questions on the health care providers' recognition, satisfaction, and perceived needs of designated pharmacists. We determined the frequency and type of interventions of ward pharmacist and their acceptance rate through a retrospective observational study using electronic medical records. Results: A total of 59 health care providers responded the questionnaire and 79.7% of the respondents reported moderate to high levels of satisfaction. Satisfaction with the services was positively associated with clinical interventions and nutrition support team (81.4%). Of 59 respondents, 88.1% agreed that preventing drug-related problems by designated pharmacists' activities were effective. The most common interventions included inadequate dosage (27.4%), omission and additional prescription (14.6%) and inadequate drug form (9.6%). The acceptance rate of intervention was 91.5%, and 151 potentially serious risks and 523 significant risks were prevented by the intervention. Conclusion: Positive results were confirmed in the awareness, satisfaction, and perceived needs of the health care providers for designated pharmacists. Expansion of the ward-based clinical pharmacy system with designated pharmacists to other wards may be considered.

• Journal of Yeungnam Medical Science
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• 제22권1호
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• pp.104-112
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• 2005

Because of location, a mediastinal mass may cause complications such as a major airway obstruction, a superior vena caval obstruction, and cardiac compression during general anesthesia. The patient's condition need to be assessed by several methods to predict the risks associated with general anesthesia. The authors took computed tomographs for a preoperative evaluation of two patients with an anterior mediastinal mass, and the risk of perioperative complications was predicted by measuring the tracheal area. The patients were managed according to the preoperative evaluation but severe ventilation impairments were encountered during anesthesia. In one patient, stable ventilation could not be maintained until spontaneous breathing appeared. The operation was cancelled and the patient was brought into the ICU. In the other patient, a tracheal tube was inserted deeper in an attempt to pass the narrowed tracheal portion due to mediastinal tumor compression resulting in improved ventilation.

• Journal of Chest Surgery
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• 제36권9호
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• pp.678-682
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• 2003

이차성 자연 기흉은 흉강경 수술의 좋은 적응증이다. 이 방법은 흔히 전신마취와 일측폐환기를 필요로 한다. 그러나 전신마취와 일측폐환기가 위험성이 큰 환자도 있다. 대상 및 방법: 1999년 9월부터 2001년 8월까지 15명의 고위험군 환자를 대상으로 경막외 마취하에 흉강경수술을 시행하였다. 결과: 15명이 성공적으로 흉강경 수술을 마쳤다. 술 후 누출 기간은 평균 4.3일이었고, 의미 있는 합병증은 없었으며 재발도 없었다. 결론: 흉강경 수술은 고위험인자를 가진 이차성 자연 기흉환자의 치료로 경막외 마취하에 안전하게 시행할 수 있다.

• Journal of Microbiology and Biotechnology
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• 제30권10호
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• pp.1443-1457
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• 2020

The emergence and spread of antimicrobial resistance in pathogenic bacteria of fish and shellfish have caused serious concerns in the aquaculture industry, owing to the potential health risks to humans and animals. Among these bacteria, Aeromonas salmonicida, which is one of the most important primary pathogens in salmonids, is responsible for significant economic losses in the global aquaculture industry, especially in salmonid farming because of its severe infectivity and acquisition of antimicrobial resistance. Therefore, interest in the use of alternative approaches to prevent and control A. salmonicida infections has increased in recent years, and several applications of bacteriophages (phages) have provided promising results. For several decades, A. salmonicida and phages infecting this fish pathogen have been thoroughly investigated in various research areas including aquaculture. The general overview of phage usage to control bacterial diseases in aquaculture, including the general advantages of this strategy, has been clearly described in previous reviews. Therefore, this review specifically focuses on providing insights into the phages infecting A. salmonicida, from basic research to biotechnological application in aquaculture, as well as recent advances in the study of A. salmonicida.

• 근관절건강학회지
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• 제21권3호
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• pp.246-254
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• 2014

Purpose: This study aims to provide baseline data on children's health care and household safety management in one region and to support implementation of customized visiting health care services for children. Methods: 51 children and their caregivers from socially vulnerable group and 69 children and their caregivers from general group are selected as research participants. Data were collected through home visiting survey by 10 professional nurses. Results: Children from socially vulnerable group are at higher risks of poor health care and safety accidents in households than general group. Rates of taking developmental screening tests, medical check-up remain considerably low in vulnerable social group. Regarding home safety, vulnerable children are more likely to be exposed to unsafe conditions. Conclusion: These results indicate that in order to promote health care and safety conditions for vulnerable children, it is necessary to implement customized visiting health care programs which actually can reach vulnerable households and meet their demands. These findings can be used as baseline data to develop customized visiting health care programs for children.

• 한국건설관리학회:학술대회논문집
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• 한국건설관리학회 2001년도 학술대회지
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• pp.65-72
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• 2001

최근 들어 건설환경이 더욱 복잡해지고 경쟁이 치열해짐에 따라 위험관리의 중요성이 더욱 부각되고 있다. 그러나 건설공사에 적용되는 대부분의 위험관리 기법들이 사업초기단계에서 위험분석에 집중되어 있어, 건설과정에서 공정관리, 원가관리 또는 품질관리처럼 일상적인 관리기법으로 개발되어 있지 않다. 본 논문에서는 건설공사에서 위험관리를 일상적인 관리기법으로 적용하기 위하여 위험허용도 중심의 위험대응 프로세스를 제안하고, VaR개념을 응용한 위험허용도 산정방법을 제시하고자 한다.

• Journal of information and communication convergence engineering
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• 제8권4호
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• pp.427-432
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• 2010

The fast-emerging of cloud computing technology today has sufficiently benefited its wide range of users from individuals to large organizations. It carries an attractive characteristic by renting myriad virtual storages, computing resources and platform for users to manipulate their data or utilize the processing resources conveniently over Internet without the need to know the exact underlying infrastructure which is resided remotely at cloud servers. However due to the loss of direct control over the systems/applications, users are concerned about the risks of cloud services if it is truly secured. In the literature, there are cases where attackers masquerade as cloud users, illegally access to their accounts, by stealing the static login password or breaking the poor authentication gate. In this paper, we propose a two-factor authentication framework to enforce cloud services' authentication process, which are Public Key Infrastructure (PKI) authentication and mobile out-of-band (OOB) authentication. We discuss the framework's security analysis in later session and conclude that it is robust to phishing and replay attacks, prohibiting fraud users from accessing to the cloud services.

• Journal of Korean Neurosurgical Society
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• 제62권3호
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• pp.296-301
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• 2019

An epileptic seizure is defined as the transient occurrence of signs and/or symptoms due to abnormally excessive or synchronous neuronal activity in the brain. The type of seizure is defined by the mode of onset and termination, clinical manifestation, and by the abnormal enhanced synchrony. If seizures recur, that state is defined as epilepsy. Antiepileptic drugs (AEDs) are the mainstay of treatment. Knowledge about initiating and maintaining adequate AEDs is beneficial for the clinician who treats children with epilepsy. This article will delineate the general principles for selecting, introducing, and discontinuing AEDs and outline guidelines for monitoring adverse effects. In general, AED therapy following a first unprovoked seizure in children is not recommended. However, treatment should be considered after a second seizure. In children and adolescents, if they are seizure-free for at least 2 years, attempts to withdraw medication/s should be made, taking into account the risks vs. benefits for the individual patient. The decision on when and what AED to use should be tailored according to the patient. For optimal treatment, the selection of adequate AEDs can be achieved by considering the precise definition of the patient's seizure and epilepsy syndrome. Continuous monitoring of both therapeutic and adverse effects is critical for successful treatment with AEDs.