• Safety and Health at Work
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• v.13 no.4
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• pp.482-486
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• 2022

Background: This study aimed to estimate the annual prevalence and incidence of urolithiasis stratified by work status based on a large nationwide sample. Methods: This study used data from the National Health Insurance Service-National Sample Cohort from 2002 to 2015. The prevalence and incidence of urolithiasis were estimated based on work status and gender stratification. The risk of urolithiasis among workers was calculated using age-standardized incidence ratio with stratification of work type. Results: The prevalence of urolithiasis was significantly higher in workers than in non-workers, especially men, during the follow-up period. The total estimated number of urolithiasis cases was 41,086 and the overall incidence of urolithiasis was 0.3%. The age-standardized incidence ratio of urolithiasis was significantly higher among the total workers (1.14; 95% confidence interval, 1.13-1.16), self-employed workers (1.08; 95% confidence interval, 1.06-1.11), and paid workers (1.19; 95% confidence interval, 1.17-1.21) than among the non-working population. Conclusions: Workers, especially paid workers and men, were vulnerable to urolithiasis. Further studies are required to investigate the effects of working conditions on urolithiasis.

• The Journal of the Convergence on Culture Technology
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• v.9 no.4
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• pp.617-623
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• 2023

Among the fire incidents in Korea over the past decade, building fires are the most common, and property and human casualties are the most common. However, the existing fire fighting system does not only inform the location of emergency exits and guide safe routes to help casualties evacuate smoothly. A system was proposed to help successful evacuation by distinguishing vertical and horizontal characteristics using spatial characteristics. In this study, an effective evacuation system was proposed by predicting fires using temperature detection sensors and smoke sensor values, and calculating the optimal evacuation path through the Dijkstra algorithm.

• Journal of the Korea Institute of Military Science and Technology
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• v.26 no.4
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• pp.313-323
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• 2023

The wearable robot system is designed to assist human skeletal and muscular systems for enhancing user's abilities in various fields, including medical, industrial, and military. The military has an expanding need for wearable robots with the integration of surveillance/control systems and advanced equipment in unstructured battlefield environments. However, there is a lack of research on the design and mechanism of wearable robots, especially for power assist systems. This study proposes a lightweight wearable robot system that provides comfortable wear and muscle support effects in various movements for soldiers performing high-strength and endurance missions. The Power assist mechanism is described and verified, and the tasks that require power assist are analyzed. This study explain the system including its driving mechanism, control system, and mechanical design. Finally, the performance of the robot is verified through experiments and evaluations, demonstrating its effectiveness in muscle support.

• Proceedings of the Korean Society of Computer Information Conference
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• 2022.01a
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• pp.109-112
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• 2022

메타버스란 가상, 초월을 뜻하는 Meta와 우주, 세계를 뜻하는 Universe의 합성어로 가상과 현실이 상호작용 하면서 사회·경제·문화 활동이 이루어지며 가치를 창출하는 세상을 말한다. 이러한 메타버스는 5G와 그래픽 기술의 발전과 함께 코로나 사태로 인한 비대면 생활이 계속되면서 디지털 네이티브 세대인 Z세대가 메타버스 플랫폼을 소통의 장으로 삼기 시작하면서 성장하고 있다. 메타버스 안에서 콘서트나 사인회를 하고, 가상 아이템을 판매하며 마케팅을 벌이는 등 다양한 산업에서 메타버스에 뛰어들고 있다. 점점 진화하고 있는 메타버스는 메타버스 내에서 유저들 간에 맺는 상호관계 활동이 큰 장점이지만, 이로 인해 개인정보 보호 문제나, 위치정보, 금융정보 문제 등의 다양한 문제가 발생할 수 있는 문제점을 가지고 있다. 이에 본 논문에서는 메타버스에서 발생할 수 있는 문제점과 그 대응 방안을 제시하였다.

• International Journal of Advanced Culture Technology
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• v.11 no.4
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• pp.154-162
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• 2023

The purpose of this study is to understand the effects of simulation-based practice education on critical thinking disposition, clinical performance ability, and self-confidence. Using the method of one-group pretest-posttest experimental research, this study selected total 70 nursing students (3^rd year) as research subjects. The final research subjects were total 63 students excluding seven people with insufficient responses. From March to April 2023, total eight sessions of simulation practice education (4 hours per session) were conducted once a week. In the effects of the program, the critical thinking disposition, clinical performance ability, and self-confidence were measured. Using the SPSS Window Version 25.0, the critical thinking disposition, clinical performance ability, and self-confidence were analyzed through the mean, standard deviation, and paired t-test. In the results of this study, the critical thinking disposition (t=-10.61, p<.001), clinical performance ability (t=-3.06, p=.003), and self-confidence (t=-15.97, p<.001) were statistically significant. In the results of analyzing the correlations of clinical performance ability, and self-confidence after the simulation practice education, the learning satisfaction showed significantly positive correlation with immersion (r= .647, p<.001). The results of this study verified the improvement of critical thinking disposition, clinical performance ability, and self-confidence of nursing students after the simulation-based practice education. Thus, it would be necessary to develop the educational contents for various subjects, and also to expansively apply the simulation practice education.

• Safety and Health at Work
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• v.15 no.1
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• pp.102-109
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• 2024

Background: In today's modern world, longer working hours, shift work, and working at night have become major causes of the disruption of our natural circadian rhythms. This study aimed to investigate the effects of the type of shift work (rotating vs. fixed day), duty period (on-duty vs. off-duty), and working period within each shift (nighttime vs. daytime) on the circadian rhythm characteristics of nurses who provide direct patient care. Methods: This cross-sectional study used a purposive sampling method. Cosinor analysis was applied to analyze the actigraphy data of nurses providing direct patient care for seven consecutive days. The linear mixed effects model was then used to determine any variances between shift type, duty period, and working period within each shift for the nurses. Results: The mesor value did not differ according to nurses' shift type, duty period, and working period within each shift. The amplitude was statistically higher in on-duty nurses and in daytime working hours. The acrophase was significantly delayed in nighttime working hours. As well as nurses in rotating shift had experience. Conclusion: Our findings revealed that the peak activity of nurses occurs significantly later at night while working and nurses working during nighttime hours may have a weaker or less distinct circadian rhythm. Thus, this study suggests that limits be placed on the number of rotating nighttime shifts for nurses.

• Journal of the Korea Institute of Military Science and Technology
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• v.27 no.2
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• pp.256-264
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• 2024

In the last 10 years, AI has made rapid progress, and image classification, in particular, are showing excellent performance based on deep learning. Nevertheless, due to the nature of deep learning represented by a black box, it is difficult to actually use it in critical decision-making situations such as national defense, autonomous driving, medical care, and finance due to the lack of explainability of judgement results. In order to overcome these limitations, in this study, a model description algorithm capable of local interpretation was applied to the inception network-derived AI to analyze what grounds they made when classifying national defense data. Specifically, we conduct a comparative analysis of explainability based on confidence values by performing LIME analysis from the Inception v2_resnet model and verify the similarity between human interpretations and LIME explanations. Furthermore, by comparing the LIME explanation results through the Top1 output results for Inception v3, Inception v2_resnet, and Xception models, we confirm the feasibility of comparing the efficiency and availability of deep learning networks using XAI.

• International Journal of Advanced Culture Technology
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• v.12 no.3
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• pp.165-169
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• 2024

The neck disc is a disease in which the nucleus of the cervical spine escapes between the cervical vertebrae and the intervertebral disc, pressing on the nerve, The neck disc has a high recurrence. If the neck disc is left untreated, the symptoms will worsen and cause inconvenience to life. Therefore, this study is to carry out a successful approach for non-pharmaceutical treatment of neck disc patients. The paper conducted a survey of 102 people who visited the orthopedics of a general hospital at K area from January 15 to March 28, 2024. Symptoms and changes in practice of neck disc were analyzed by t-test. The results of the research are as follows. Firstly, in the case of incorrect sitting posture, 74.5% of the case group was significantly higher than 33.3% of the control group((X²=3.79, p<.01). Secondly, neckache was significantly higher than the control group's average of 12.73 points, with an average of 39.86 points in the case group(t=3.14, p<.01). Thirdly, leg numbness tended to decrease from 7 days after non-drug application compared to before non-drug application. Therefore, the application of this non-drug management was found to be effective in relieving neck disk. The findings derived will contribute to providing valuable insights into the prevention and treatment of neck disc.

• International Journal of Advanced Culture Technology
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• v.12 no.3
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• pp.62-66
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• 2024

Uterine myoma is the most common disease in the gynecological field. The incidence of uterine fibroids is continuously increasing due to environmental problems. Therefore, this study is to investigate the factors affecting the marital satisfaction after hysterectomy in patients with uterine myoma. The paper conducted a survey of 62 patients who visited the general hospital in K area. The survey was conducted from February 5 to April 18, 2024. The difference between sexual life satisfaction and marital intimacy was analyzed by t-test. After ANOVA, Stepwise mulitple regression was performed on the variables affecting the intimacy and satisfaction of the couple's sex life. The results of this study are as follows. Firstly, couples' satisfaction with sex life was significantly higher than the average of 22.6 points for high school graduates, with an average of 31.8 points for college graduates or higher(F=4.96, p=.03). Secondly, the main variable affecting marital intimacy was sexual life satisfaction, which was 30.47% explanatory power. Next, monthly income and postoperative period were shown in order. Thirdly, when the above variables were added, 42.58% of the marital intimacy was explained. Therefore the results will contribute to improving marital satisfaction and quality of life after hysterectomy

• The Korean Society of Law and Medicine
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• v.17 no.1
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• pp.299-346
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• 2016

There were also various decisions made in medical area in 2015. In the case that an inmate in a sanatorium was injured due to the reason which can be attributable to the sanatorium and the social welfare foundation that operates the sanatorium request treatment of the patient, the court set the standard of fixation of a party in medical contract. In the case that the family of the patient who was declared brain dead required withdrawal of meaningless life sustaining treatment but the hospital rejected and continued the treatment, the court made a decision regarding chargeable fee for such treatment. When it comes to the eye brightening operation which received measure of suspension from the Ministry of Health and Welfare for the first time in February, 2011, because of uncertainty of its safety, the court did not accept the illegality of such operation itself, however, ordered compensation of the whole damage based on the violation of liability for explanation, which is the omission of explanation about the fact that the cost-effectiveness is not sure as it is still in clinical test stage. There were numerous cases that courts actively acknowledged malpractices; in the cases of paresis syndrome after back surgery, quite a few malpractices during the surgery were acknowledged by the court and in the case of nosocomial infection, hospital's negligence to cause such nosocomial infection was acknowledged by the court. There was a decision which acknowledged malpractice by distinguishing the duty of installation of emergency equipment according to the Emergency Medical Service Act and duty of emergency measure in emergency situations, and a decision which acknowledged negligence of a hospital if the hospital did not take appropriate measures, although it was a very rare disease. In connection with the scope of compensation for damage, there were decisions which comply with substantive truth such as; a court applied different labor ability loss rate as the labor ability loss rate decreased after result of reappraisal of physical ability in appeal compared to the one in the first trial, and a court acknowledged lower labor ability loss rate than the result of appraisal of physical ability considering the condition of a patient, etc. In the event of any damage caused by malpractice, in regard to whether there is a limitation on liability in fee charge after such medical malpractice, the court rejected the hospital's claim for setoff saying that if the hospital only continued treatments to cure the patient or prevent aggravation of disease, the hospital cannot charge Medical bills to the patient. In regard to the provision of the Medical Law that prohibit medical advertisement which was not reviewed preliminarily and punish the violation of such, a decision of unconstitutionality was made as it is a precensorship by an administrative agency as the deliberative bodies such as Korean Medical Association, etc. cannot be denied to be considered as administrative bodies. When it comes to the issue whether PRP treatment, which is commonly performed clinically, should be considered as legally determined uninsured treatment, the court made it clear that legally determined uninsured treatment should not be decided by theoretical possibility or actual implementation but should be acknowledged its medical safety and effectiveness and included in medical care or legally determined uninsured treatment. Moreover, court acknowledged the illegality of investigation method or process in the administrative litigation regarding evaluation of suitability of sanatorium, however, denied the compensation liability or restitution of unjust enrichment of the Health Insurance Review & Assessment Service and the National Health Insurance Corporation as the evaluation agents did not cause such violation intentionally or negligently. We hope there will be more decisions which are closer to substantive truth through clear legal principles in respect of variously arisen issues in the future.