• 제목/요약/키워드: de-institutions

검색결과 42건 처리시간 0.029초

국내외 비식별화 기술에 관한 검토 분석에 따른 개인건강의료정보 보호를 위한 국내 특화 비식별화 기술 제안에 관한 연구 (Research of Specific Domestic De-identification Technique for Protection of Personal Health Medical Information in Review & Analysis of Overseas and Domestic De-Identification Technique)

  • 이필우;인한진;김철중;여광수;송경택;유기근;백종일;김순석
    • 예술인문사회 융합 멀티미디어 논문지
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    • 제6권7호
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    • pp.9-16
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    • 2016
  • 국내외적으로 급변하는 인터넷 시대에 생활함에 따라 의료, 금융, 서비스 분야 등에서 대용량 정보가 이용된다. 이에 따라 병원, 기관 등 의료 기관에서의 시스템에서도 개인 정보의 유출 및 외부 침입으로 개인 정보 침해가 발생된다. 의료 기관의 개인건강의료정보의 정보보호 및 개인 프라이버시 보호를 위해 국내외 의료 기관에서는 국가별로 제시한 정책, 법령 기준에 따라 비식별화 처리 기술을 이용하고 있다. 기존 국내외 프라이버시 제도, 법령 등을 비교하여 국내에서 미흡했던 익명화와 가명화 기술 및 대상 데이터 항목에 대해 보다 발전되고 우수한 기술 및 대상을 도출하기 위해 비교 분석한다. 의료 개인정보에 대한 비식별화 처리 기술은 국외 기관인 미국 NIST 및 영국 ICO에서 제시한 국가정보보호를 위한 비식별화 기술에 비해 국내에서는 산학연의 각 기관 및 업체 등에서 자율적으로 비식별화 기술을 채용하고 있는 제약적인 상황이며 국내의 기술은 익명화 기술인 데이터 마스킹이나 삭제 기술의 수준이 되고 있는 실정이다. 국내 개인건강정보의 이용을 활성화하기 위해 재식별화 위험도를 줄인 비식별화 기술인 암호화와 확장성 퍼징 기술을 새롭게 제안하고자 한다.

복지권 관점에서 본 한국 장애인 거주시설의 개선방안 -자립과 돌봄 사이- (A Study on the Residential Institution for the Disabled in Korea based on Welfare Rights - between Self-Reliance and Caring -)

  • 유동철;김경미;김동기;신유리
    • 사회복지연구
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    • 제44권2호
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    • pp.409-436
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    • 2013
  • 본 연구는 장애인 거주시설의 성격을 규명하고 거주시설을 이용하는 장애인의 사회접 배제를 방지하기 위해 복지권과 돌봄의 윤리 관점에서 거주시설 개선 방안을 제안하는 것을 목적으로 한다. 우리나라 장애인 거주시설의 주요한 특성으로는 집단성, 격리성, 권력불평등성, 비선택성을 지적하였으며, 이를 위해서는 돌봄의 윤리와 복지권의 관점에서 보충성의 원칙, 정상화의 원칙, 신뢰의 원칙, 개별성의 원칙에 따라 거주시설이 운영되어야 함을 제시하였다. 또한 이를 실현하기 위한 정부의 과제로는 서비스신청권을 통한 일괄 조사, 시설의 소규모화와 지역사회 배치, 사례관리(개별지원)의 체계화, 서비스 제공과정의 구조화 등을 제시하였고, 시설운영자의 과제로서는 시설사회화의 노력 강화, 이용자 참여의 활성화를 제시하였다.

A Survey of Decentralized Finance(DeFi) based on Blockchain

  • Kim, Junsang;Kim, Seyong
    • 한국컴퓨터정보학회논문지
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    • 제26권3호
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    • pp.59-67
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    • 2021
  • 블록체인 기술은 2008년 나카모토 사토시라는 신원미상의 인물이 비트코인이라는 암호화폐를 제안하면서 시작되었다. 나카모토 사토시는 기존의 금융 시스템에 대한 불신을 가지고 있었고 은행과 같은 중개자 없이도 해킹이나 변조에 견고한 금융시스템을 블록체인 기술을 통해 구현하고자 했다. 사토시는 비트코인의 생성과, 거래의 위조를 방지하기 위한 기술로 블록체인을 제안하였고 이를 통해 화폐의 발행과 거래, 그리고 검증의 기능을 구현하였다. 이후 스마트 계약을 블록체인 상에서 구현할 수 있는 암호화폐인 이더리움이 개발되면서 예금, 대출, 보험, 파생상품 등 복잡한 계약이 필요한 금융상품을 암호화폐의 영역으로 끌어들일 수 있게 되었다. 또한 실물자산과 결합을 통해 금융 기관이 제공했던 상품을 대체할 수 있는 가능성도 확대해 나가고 있다. 이러한 애플리케이션들을 Decentralized Finance(DeFi)라고 정의한다. 본 논문은 전반적인 DeFi의 기술적 이해와 현재 운영되고 있는 어플리케이션의 소개를 위하여 작성되었다. 먼저 전반적인 DeFi를 구현하는 기술들과 생태계에 대해서 설명한 후 대표적인 DeFi 애플리케이션들을 특징별로 분류하여 설명한다.

Cervical Cancer Trends in Mexico: Incidence, Mortality and Research Output

  • Anaya-Ruiz, Maricruz;Vincent, Ana Karen;Perez-Santos, Martin
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권20호
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    • pp.8689-8692
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    • 2014
  • Purpose: To evaluate the recent incidence and mortality of and scientific research trends in cervical cancer in Mexican females. Materials and Methods: Data between 2000 and 2010 from the Department of Epidemiology of the Ministry of Health, and International Agency for Research on Cancer (IARC) of World Health Organization were analyzed, and age-standardized rates (ASRs) were calculated. In addition, scientific research data were retrieved from the Web of Science database from 2003 to 2012, using different terms related to cervical cancer. Results: The incidence rate decreased during last five years, while mortality rates showed an annual decrease of 4.93%. A total of 780 articles were retrieved, and the institutions with the majority of publications were National Autonomous University of Mexico (34.87%), Social Security Mexican Institute (16.02%), and National Institute of Cancerology (15%). The main types of research were treatment, diagnosis, and prevention. Conclusions: The above results show that incidence of cervical cancer decreased over time in Mexico during last five years; similarly, the downturn observed in mortality mainly reflects improved survival as a result of earlier diagnosis and cancer treatment. Also, this article demonstrates the usefulness of bibliometrics to address key evaluation questions and to establish priorities, define future areas of research, and develop cervical cancer control strategies in Mexico.

대리(de Facto) 정신보건 서비스체계의 이용에 영향을 미치는 요인에 관한 분석 (Factors Influencing Use of de Facto Mental Health Service Systems in Persons with Chronic Mental Illnesses)

  • 이선혜
    • 한국사회복지학
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    • 제42권
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    • pp.340-371
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    • 2000
  • The paradigm of care for persons with chronic mental illnesses has recently been shifted in Korea from institutionalization to community integration. Numerous changes in the service environment tend to target clients of mental health care organizations while a considerable proportion of people with similar clinical conditions have been institutionalized in various types of organizations whose auspices are other than mental health care. Under the current circumstances in which the subgroup of people, who tend to be socio-economically disadvantaged, has no viable alternative in the community to using such de facto mental health organizations, their chances of deinstitutionalization may decrease. This study thus aims at providing an increased understanding of the characteristics of the users and their service utilization, which in turn enables us to establish differentiated strategies within the current service context. In this study, a survey is conducted on the residential history of those with chronic mental illnesses both in the community and in institutions. Major characteristics of the users of de facto services are investigated along with the extent of their use of various existing mental and non-mental health services. Included is also an examination of the subjects' clinical and individual factors that may influence their use of de facto services. The study findings demonstrate relative disadvantages in deinstitutionalization in a subgroup of the population with chronic mental illnesses under the current mental health policies, and the author suggests intervening strategies specific to this population.

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O Valor Documental dos Balangandãs: Uma Análise Simbólica e Formal

  • Carmo, Sura Souza;Borges, Luiz C.
    • 이베로아메리카
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    • 제23권1호
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    • pp.79-111
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    • 2021
  • The purpose of this article is to present the potential of balangandãs as a documentary source for intersectional studies of gender and slavery, from the analysis of formal and symbolic aspects of the museum objects in the Museu Nacional Nacional (MHN) and Museu Carlos Costa Pinto (MCCP). Balangandãs are a type of creole jewelry, made in gold or silver and used in Brazil since the 18th century by black women - women who worked, especially in the commercialization of foodstuffs in large urban centers. They are described in printed sources and engravings, and preserved in some museum institutions. In the study, the meanings attributed to the object over the centuries are observed: jewelry, amulet, peculium, document, travel memory and heritage. As a result, the article seeks to highlight the objects as a historical and documentary source, verifying similarities between the pieces musealized at the MHN and at the MCCP, also emphasizing the documental power of the pieces produced today.

Infection status of intestinal parasites in children living in residential institutions in Metro Manila, the Philippines

  • Baldo, Eleonor-T.;Belizario, Vicente-Y.;De Leon, Winifreda-U.;Kong, Hyun-Hee;Chung, Dong-Il
    • Parasites, Hosts and Diseases
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    • 제42권2호
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    • pp.67-70
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    • 2004
  • A small scale survey was performed to know the infection status of intestinal parasite in children of the residential institutions and street communities in Metro Manila, Philippines. A total of 284 stool samples from 11 institutions and 3 street communities was examined by the formalin-ether concentration method. The scotch tape anal swab was adapted to 121 children to investigate the infection status of Enterovius vermicularis. It was found out that 62.0% of the children examined were positive for one or more intestinal parasites. Multiple infections were observed in 34.2% of the children. Among 172 children who gave detail information, the prevalence for Ascaris lumbricoides, Trichuris trichiura, and hookworm was 36.0%, 44.8%, and 7.0% respectively. Of the children examined, 47.7% were found to be harboring parasitic protozoans such as Entamoeba histolytica, Giardia lamblia, and Blastocystis hominis. The most prevalent of these protozoans was B. hominis with an infection rate of 40.7%. The prevalence of these infections among children living in institutions was relatively high. More efforts should be made to implement anthelminthic programs including bi-annual follow-up treatments.

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

  • 이경환;장성용
    • 한국IT서비스학회지
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    • 제21권4호
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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.

Environmental Contamination by Echinococcus granulosus sensu lato Eggs in Relation to Slaughterhouses in Urban and Rural Areas in Tunisia

  • Chaabane-Banaoues, Raja;Oudni-M'rad, Myriam;M'rad, Selim;Mezhoud, Habib;Babba, Hamouda
    • Parasites, Hosts and Diseases
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    • 제54권1호
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    • pp.113-118
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    • 2016
  • Hydatidosis has become a real concern for health care institutions and animal rearers in Tunisia. The Tunisian endemicity is aggravated by the growing number of dogs and the difficulty of getting rid of contaminated viscera because of the lack of equipment in most slaughterhouses. Therefore, microscopic and molecular tools were applied to evaluate the role of slaughterhouses in canine infection and Echinococcus granulosus sensu lato (s. l.) egg dissemination. Exposure risk to E. granulosus s. l. eggs in urban and rural areas was explored in order to implant preventive and adapted control strategies. Microscopic examinations detected taeniid eggs in 152 amongst 553 fecal samples. The copro-PCR demonstrated that 138 of 152 taeniid samples analyzed were positive for E. granulosus s. l. DNA. PCR-RFLP demonstrated that all isolated samples belonged to E. granulosus sensu stricto (s. s.). An important environmental contamination index (25.0%) by E. granulosus s. l. eggs was demonstrated. The average contamination index from the regions around slaughterhouses (23.3%; 95% CI: 17.7-28.9%) was in the same range as detected in areas located far from slaughterhouses (26.0%, 95% CI: 21.3-30.8%). Echinococcosis endemic areas were extended in both rural (29.9%, 95% CI: 24.8-34.9%) and urban locations (18.1%, 95% CI: 13.0-22.9%). The pathogen dissemination is related neither to the presence/absence of slaughterhouses nor to the location in urban or rural areas, but is probably influenced by human activities (home slaughtering) and behavior towards the infected viscera.

Occupational Hazards in Firefighting: Systematic Literature Review

  • Maria F. Cuenca-Lozano;Cesar O. Ramirez-Garcia
    • Safety and Health at Work
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    • 제14권1호
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    • pp.1-9
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    • 2023
  • Background: Firefighting involves exposure of firefighters to risks related to this activity, serious injuries, and occupational diseases are recorded. There are other consequences such as thermal and emotional stress. This systematic review is proposed in order to analyze the risks and consequences faced by these workers and thus provide elements to improve safety management systems in institutions. Method: A descriptive observational study of systematic literature review on the risks and consequences of exposure to firefighters' activity was proposed, and the information was analyzed and described based on the available data and according to the variables determined. Results: The studies showed data on mechanical, physical, chemical, psychosocial risks, workers' perception and resilience, and epidemiological data. Information related to firefighters' activity on falls and slips, exposure to noise, and high concentrations of carbon monoxide is detailed. In addition, the relationship between burnout, cognitive, and physical fatigue as adverse effects on health and performance is mentioned. Conclusions: Among the preventive measures, the use of personal protective equipment is suggested, incorporation in prevention programs of information on exposure to risk factors, as well as the implementation of models that can predict the perception of workers, additionally, the generation of management systems with safety climate models for fire departments.