• Title/Summary/Keyword: Risk Sharing

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The Effect of Traditional Korean Medicine for Chemotherapy-Induced Hand-Foot Syndrome in Cancer Patients: Review (항암 치료 후 발생한 수족증후군에 대한 한의학적 치료의 효과에 대한 고찰)

  • Kim, Eun-ji;Park, Chan-ran;Son, Chang-gue;Cho, Jung-hyo;Lee, Nam-hun
    • The Journal of Internal Korean Medicine
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    • v.42 no.3
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    • pp.340-350
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    • 2021
  • Objectives: Hand-foot syndrome (HFS) is a common adverse effect of chemotherapy in cancer patients. This review synthesizes research results to assess the effect of traditional Korean medicine (TKM) on HFS in cancer patients. Methods: Four databases (PubMed, The Cochrane Central Register of Controlled Trials, Research Information Sharing Service, China National Knowledge Infrastructure) were searched for randomized controlled trials (RCTs) to assess the effects of TKM on HFS. The effects and quality of RCTs were assessed with the Cochrane risk of bias (ROB) tool. Results: Six RCTs met our study criteria. In all six, TKM showed improvement in HFS symptoms as well as quality of life scores when compared to the control group. However, the methodological quality of RCTs was relatively low due to the unclear or high ROB. Conclusions: TKM would be helpful to patients with HFS after chemotherapy. To clarify the clinical efficacy of TKM, well-designed studies are required in the future.

OHDSI OMOP-CDM Database Security Weakness and Countermeasures (OHDSI OMOP-CDM 데이터베이스 보안 취약점 및 대응방안)

  • Lee, Kyung-Hwan;Jang, Seong-Yong
    • Journal of Information Technology Services
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    • v.21 no.4
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    • pp.63-74
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    • 2022
  • Globally researchers at medical institutions are actively sharing COHORT data of patients to develop vaccines and treatments to overcome the COVID-19 crisis. OMOP-CDM, a common data model that efficiently shares medical data research independently operated by individual medical institutions has patient personal information (e.g. PII, PHI). Although PII and PHI are managed and shared indistinguishably through de-identification or anonymization in medical institutions they could not be guaranteed at 100% by complete de-identification and anonymization. For this reason the security of the OMOP-CDM database is important but there is no detailed and specific OMOP-CDM security inspection tool so risk mitigation measures are being taken with a general security inspection tool. This study intends to study and present a model for implementing a tool to check the security vulnerability of OMOP-CDM by analyzing the security guidelines for the US database and security controls of the personal information protection of the NIST. Additionally it intends to verify the implementation feasibility by real field demonstration in an actual 3 hospitals environment. As a result of checking the security status of the test server and the CDM database of the three hospitals in operation, most of the database audit and encryption functions were found to be insufficient. Based on these inspection results it was applied to the optimization study of the complex and time-consuming CDM CSF developed in the "Development of Security Framework Required for CDM-based Distributed Research" task of the Korea Health Industry Promotion Agency. According to several recent newspaper articles, Ramsomware attacks on financially large hospitals are intensifying. Organizations that are currently operating or will operate CDM databases need to install database audits(proofing) and encryption (data protection) that are not provided by the OMOP-CDM database template to prevent attackers from compromising.

Effects of Chuna Manual Therapy after Hip Arthroplasty: A Systematic Review and Meta-Analysis of Randomized Controlled Trials (고관절 치환술 후 추나치료 효과: 체계적 문헌고찰 및 메타분석)

  • Lee, Eun-Byeol;Kim, Hyeon-Ji;Kim, Chae-Young;Ahn, Hee-Duk
    • Journal of Korean Medicine Rehabilitation
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    • v.32 no.2
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    • pp.95-103
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    • 2022
  • Objectives This study was conducted to assess the effect of chuna manual therapy after hip arthroplasty. Methods We searched across 9 electronic databases (PubMed, Cochrane Library, Wangfang data, China National Knowledge Infrastructure [CNKI], Oriental Medicine Advanced Searching Integrated System [OASIS], National Digital Science Library [NDSL], Korean Medical Database [KMBASE], Koreanstudies Information Service System [KISS], Research Information Sharing Service [RISS]) to find randomized controlled clinical trials for chuna manual therapy after hip arthroplasty. Results On inclusion criteria, 11 appropriate studies were included and analyzed. The deep vein thrombosis incidence of the chuna manual therapy group was statistically lower than the conventional treatment group (p=0.0002). Chuna manual therapy significantly improved the Harris hip score compared with conventional treatment (p<0.00001). Also, chuna manual therapy combined with herbal fumigation therapy significantly elevated the hip joint function score of Harris hip score compared with the conventional therapy group (p<0.00001). Conclusions The systematic review showed that chuna manual therapy had significant effects on hip arthroplasty. Nonetheless, considering the high risk of bias and geographic bias, further research with well-designed studies is required to support the effectiveness of chuna manual therapy.

A Systematic Review of Acupuncture Treatment for Thromboangiitis Obliterans (폐색성 혈전 혈관염의 침 치료에 대한 체계적 문헌고찰)

  • Choi, Ji Min;Jeon, Seok Hee;Lim, Yong Ha;Jung, Min Jae;Kim, Seon Jong
    • Journal of Korean Medicine Rehabilitation
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    • v.32 no.1
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    • pp.37-49
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    • 2022
  • Objectives The purpose of this study is to present evidence by analyzing the research trends in acupuncture treatment in the last 10 years for thromboangiitis obliterans. Methods Randomized controlled trials about acupuncture on thromboangiitis obliterans were searched China National Knowledge Infrastructure (CNKI), PubMed, EMBASE, Cochrane Library, Oriental Medicine Advanced Searching Integrated System (OASIS), ScienceON, Koreanstudies Information Service System (KISS) and Research Information Sharing Service (RISS) from January 1, 2011 to November 13, 2021. Only randomized controlled trials were selected and we assessed the risk of bias (RoB) according to the revised Cochrane RoB2 criteria. Results A total of 5 randomized controlled trials (RCTs) were selected in this review and all were conducted in China. A total of 326 participants were in 5 RCTs. SP10, ST36, GB34 was the most commonly used treatment point. There were four types of acupuncture used: manual acupuncture, embedding acupuncture, pharmacopuncture, electroacupuncture. The most commonly used indicator for evaluation was the total efficacy rate, and all five studies were significantly higher. Conclusions All selected studies showed the group treated with acupuncture treatments on thromboangiitis obliterans were statistically more effective than the control group. However, the number of studies is too small and the interpretation of the results is limited due to the inclusion of subjective evaluation. So more objective and systematic studies should be conducted continuously.

A Study on Korea's Countermeasures Through the Analysis of Cyberattack Cases in the Russia-Ukraine War (러시아-우크라이나 전쟁에서의 사이버공격 사례 분석을 통한 한국의 대응 방안에 관한 연구)

  • Lee, Hyungdong;Yoon, Joonhee;Lee, Doeggyu;Shin, Yongtae
    • KIPS Transactions on Computer and Communication Systems
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    • v.11 no.10
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    • pp.353-362
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    • 2022
  • The Russian-Ukraine war is accompanied by a military armed conflict and cyberattacks are in progress. As Russia designated Korea as an unfriendly country, there is an urgent need to prepare countermeasures as the risk of cyberattacks on Korea has also increased. Accordingly, impact of 19 cyberattack cases were analyzed by their type, and characteristics and implications were derived by examining them from five perspectives, including resource mobilization and technological progress. Through this, a total of seven measures were suggested as countermeasures for the Korean government, including strengthening multilateral cooperation with value-sharing countries, securing cyberattack capabilities and strengthening defense systems, and preparing plans to connect with foreign security companies. The results of this study can be used to establish the Korean government's cybersecurity policy.

A Study on Implementation of a Disaster Crisis Alert System based on National Disaster Management System

  • Hyong-Seop, Shim
    • Journal of the Korea Society of Computer and Information
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    • v.28 no.1
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    • pp.55-63
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    • 2023
  • In this paper, we propose a function and service of the Disaster Crisis Alert Management System that automatically analyzes the situation judgment criteria to issue a disaster crisis alert and a plan to operate in the National Disaster Management System(NDMS). In the event of a disaster, a crisis alert(interest-caution-alert-serious) is issued according to the crisis alert level. In order to automatically analyze and determine the crisis alert level, first, data collection, crisis alert level analysis, crisis alert level judgment, and disaster crisis alert management system that expresses the crisis alert level by spatial scale(province, city, district) were implemented. The crisis alert level was analyzed and expressed in two ways by applying the intelligent crisis alert level(determination of regional sensitivity, risk level, and crisis alert level) and the crisis alert standard of the crisis management manual(province-level standard setting). Second, standard metadata, linkage of situation information of target) and API standards for data provision are presented to jointly utilize data linkage and crisis alert data of the disaster and safety data sharing platform so that it can be operated within the NDMS.

A Study on Needs for JCRM with Pilot and Air Traffic Controllers (조종사와 항공교통관제사의 JCRM 필요성에 관한 연구)

  • Jin Yup Kim;Young-jin Cho
    • Journal of Advanced Navigation Technology
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    • v.27 no.3
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    • pp.247-254
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    • 2023
  • GAIN in the US explained in its Pilot/Controller Collaboration Initiatives report that "pilots and air traffic controllers talk to each other all day long, but they rarely communicate." The starting point for the study was the question of whether differences in flight safety perceptions and culture between pilots and air traffic controllers, or other factors, could lead to mutual misunderstandings of procedures and instructions. Digest with The many processes that must be solved within tight deadlines increase the likelihood of accidents through cascading risk factors such as James Reason's Swiss Cheese Theory. Despite the fact that the pilot-air traffic controller complex, which is the subject of flight, occupies a considerable part, there is no integrated management for safe operation between the two groups. Therefore, this research aims to achieve integrated management of safety and education for safe operation between pilots and air traffic controllers through JCRM..

Electroacupuncture for Lumbar Spinal Stenosis: A Systematic Review and Meta-Analysis (요추 척추관 협착증에 대한 전침 치료의 효과: 체계적 문헌고찰 및 메타분석)

  • Bok-Yeon Na;Woo-Seok Shon;Young-Jun Kim;Chang-Hoon Woo
    • Journal of Korean Medicine Rehabilitation
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    • v.33 no.3
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    • pp.67-78
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    • 2023
  • Objectives To evaluate the evidence supporting the efficacy and safety of electroacupuncture for lumbar spinal stenosis. Methods We searched eight electronic databases (PubMed, EMBASE, Cochrane Library, Chinese Academic Journals, Research Information Sharing Service, ScienceOn, KMBASE, DBpia) and related two journals up to March 2023. We included randomized controlled trials of testing electroacupuncture for lumbar spinal stenosis patients. The methodological quality of relevant randomized controlled trials assessed by the Cochrane risk of bias tool. Results Among 90 articles that were searched, seven randomized controlled trials involving 474 participants were finally selected in this systematic review. Electroacupuncture was more effective on lumbar spinal stenosis compared with other treatments including analgesics, acupuncture, bed rest and exercise therapy, but showed ambiguous effect compared with physical therapy. Most of the side effects and adverse reactions were reported as minor and temporary. Conclusions Electroacupuncture for lumbar spinal stenosis was more effective than analgesics, acupuncture, bed rest and exercise therapy. In terms of safety, it was limited because there are many papers that do not mention side effects and adverse reactions related to electroacupuncture. Additional studies are needed to determine the effect of electroacupuncture on lumbar spinal stenosis.

Definition, Scope, and Applications of Physiotherapy Biofeedback: Systematic Reviews (물리치료 바이오피드백의 정의 및 범위와 활용법: 체계적 문헌고찰 )

  • Jong-Seon Oh;Kyung-Jin Lee;Seong-Gil Kim
    • Journal of the Korean Society of Physical Medicine
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    • v.18 no.4
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    • pp.109-119
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    • 2023
  • PURPOSE: The definition and scope of biofeedback are broad and lack a clear framework. Therefore, efforts are needed to clearly understand the exact range and definition of biofeedback based on the research and development conducted to date. Thus, the purpose of this study was to arrive at the definition and scope of biofeedback through a literature review and analysis of its application methods. METHODS: This study is a systematic literature review conducted to understand the various types and effects of biofeedback. International databases such as Google Scholar and PubMed were used. Domestic databases utilized for keyword searches included the Research Information Sharing Service (RISS) and the National Digital Science Library (NDSL). Quality assessment of the selected studies in the selection process was done using the Cochrane risk of bias, and the research was analyzed according to the population, intervention, control, and outcomes (PICO) format. RESULTS: Studies conducted between 2019 and 2021 were selected, with 4 papers falling under physiological classifications and 7 under biomechanical classifications. The quality assessment results showed that random sequence generation, allocation concealment, performance bias, and reporting bias were unclear. Detection bias was moderate, and attrition bias and other biases were low. Out of the 11 papers, 9 dealt with physical function outcomes, 5 with daily life activities, and 3 with mental functions. CONCLUSION: Physiological biofeedback tended to influence psychological factors more than physical functions, while biomechanical biofeedback tended to have a positive impact on physical functions.

Privacy model for DTC genetic testing using fully homomorphic encryption (동형암호를 활용한 DTC유전자검사 프라이버시모델)

  • Hye-hyeon Jin;Chae-ry Kang;Seung-hyeon Lee;Gee-hee Yun;Kyoung-jin Kim
    • Convergence Security Journal
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    • v.24 no.2
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    • pp.133-140
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    • 2024
  • The spread of Direct-to-Consumer (DTC) genetic testing, where users request tests directly, has been increasing. With growing demand, certification systems have been implemented to grant testing qualifications to non-medical institutions, and the scope of tests has been expanded. However, unlike cases in less regulated foreign countries, disease-related tests are still excluded from the domestic regulations. The existing de-identification method does not adequately ensure the uniqueness and familial sharing of genomic information, limiting its practical utility. Therefore, this study proposes the application of fully homomorphic encryption in the analysis process to guarantee the usefulness of genomic information while minimizing the risk of leakage. Additionally, to safeguard the individual's right to self-determination, a privacy preservation model based on Opt-out is suggested. This aims to balance genomic information protection with maintainability of usability, ensuring the availability of information in line with the user's preferences.