• Title/Summary/Keyword: international cases

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Herbal Medicine Treatment for Cold Urticaria: A Systematic Review and Meta-Analysis (한랭 두드러기에 대한 한약 치료: 체계적 문헌 고찰 및 메타분석)

  • Hae-Na Kim;Jeong-Hwa Oh;Hwa-Jung Yoon
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.36 no.4
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    • pp.122-144
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    • 2023
  • Objectives : The purpose of this study is to evaluate the effects of herbal medicine treatment in patients with cold urticaria. Methods : We searched randomized controlled trials(RCTs) reporting the effects of herbal medicine for cold urticaria through domestic and international databases from their inception to September 2023. The results were summarized in tables. We assessed the risk of bias in included RCTs through Cochrane risk of bias tool and the data synthesis was conducted through RevMan version 5.4. Results : A total of 12 RCTs were included in this review and all trials compared herbal medicine alone treatment(treatment group) with western medicine alone treatment(control group). The total effective rate(TER) of treatment group was statistically higher than that of control group(RR: 1.49, 95% CI: 1.38 to 1.62, p<0.00001, I2=65%). On the other hand, when comparing except for 1 trial with different evaluation period, the TER of treatment group was statistically higher than that of control group and heterogeneity was very low(RR: 1.36, 95% CI: 1.26 to 1.47, p<0.00001, I2=0%). And when comparing 8 trials using the total symptom score(TSS) change index as an indicator of TER, the TER of treatment group was statistically higher than that of control group and heterogeneity was very low(RR: 1.38, 95% CI: 1.26 to 1.51, p<0.00001, I2=0%). The treatment group showed more statistically significant decrease compared to the control group in TSS(MD: -2.51, 95% CI: -2.63 to -2.40, p<0.00001, I2=99%). The relapse rate of treatment group was statistically lower than that of control group(RR: 0.19, 95% CI: 0.10 to 0.40, p<0.00001, I2=0%). Mild adverse events such as sleepiness, dizziness were reported in control group and gastric discomfort was reported in treatment group. In the risk of bias assessment, many cases were evaluated as 'Unclear risk'. Conclusions : This review found that herbal medicine alone treatment could more effective and safe than western medicine alone treatment for cold urticaria. But further well-designed researches are needed because of heterogeneity between trials and the quality of the included trials.

A Study on Variation of Economic Value of Overseas Carbon Reduction Projects with Risk Factors (해외 탄소저감 사업의 위험요소를 고려한 사업 경제성 변동 분석)

  • Park, Jongyul;Choa, Sunghoon
    • Korean Journal of Construction Engineering and Management
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    • v.24 no.6
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    • pp.45-52
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    • 2023
  • Recently, as climate change caused by greenhouse gases is intensifying, the international community has committed to reduce greenhouse gas emissions. The purpose of this study is to present the methodology and major considerations for investment judgment. Two actual cases of overseas projects were selected as study subjects. As an analysis method, the major risk factors were defined as a probability distribution, and the NPV was stochastically estimated using the Monte Carlo simulation method. In addition, assuming a policy change, the range of NPV change was analyzed. As a result, the average NPV of project A was lowered by 19%, and the probability of showing a negative NPV was 12.2%. The average value of project B was lowered by 12.5%. Considering the policy change, project A can obtain economic benefits only when it obtains 72.9% or more of the total amount of carbon credits generated, and project B is economically feasible when it acquires 49.5% or more. As a result, the average value of project A is lower than the net present value under basic assumptions, so caution is needed in investment decisions depending on changes in major risk factors. Additionally, considering policy changes, the carbon credit distribution ratio should be differentially applied depending on the project size, and this was presented as a specific figure.

NFT(Non-Fungible Token) Patent Trend Analysis using Topic Modeling

  • Sin-Nyum Choi;Woong Kim
    • Journal of the Korea Society of Computer and Information
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    • v.28 no.12
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    • pp.41-48
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    • 2023
  • In this paper, we propose an analysis of recent trends in the NFT (Non-Fungible Token) industry using topic modeling techniques, focusing on their universal application across various industrial fields. For this study, patent data was utilized to understand industry trends. We collected data on 371 domestic and 454 international NFT-related patents registered in the patent information search service KIPRIS from 2017, when the first NFT standard was introduced, to October 2023. In the preprocessing stage, stopwords and lemmas were removed, and only noun words were extracted. For the analysis, the top 50 words by frequency were listed, and their corresponding TF-IDF values were examined to derive key keywords of the industry trends. Next, Using the LDA algorithm, we identified four major latent topics within the patent data, both domestically and internationally. We analyzed these topics and presented our findings on NFT industry trends, underpinned by real-world industry cases. While previous review presented trends from an academic perspective using paper data, this study is significant as it provides practical trend information based on data rooted in field practice. It is expected to be a useful reference for professionals in the NFT industry for understanding market conditions and generating new items.

The Effects of Case-Based Learning (CBL) on Problem Solving Ability and Academic Self-efficacy in Nursing Students (사례기반학습을 적용한 수업이 간호대학생의 문제해결능력과 학업적 자기효능감에 미치는 효과)

  • Jin Hye Kyung;Yun Mi Jin
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.6
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    • pp.1143-1149
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    • 2023
  • The purpose of this study was to the effects of case-based learning (CBL) on problem solving ability and academic self-efficacy in nursing students and was a quasi-experimental study with a one-group pretest-posttest design. The subjects of this study were 121 grade 4 students, and the data collection period was from Aprill 24 to June 12, 2023. The research procedure was scenario development, preliminary investigation, application of case-based learning classes, and follow-up investigation, and the CBL was conducted for 2 weeks, 50 minutes per week. The general characteristics of the subjects were obtained by frequency, percentage, mean, and standard deviation and the effects of CBL on problem solving ability and academic self-efficacy was tested using a paired t-test. The results of this study showed that nursing students' problem solving ability (t=-5.70, p<.001) and academic self-efficacy (t=-3.25, p<.002) improved after applying CBL compared to before applying it. We suggest the use of case-based learning as a strategy to improve problem-solving skills and academic self-efficacy in nursing education. In the future, follow-up research is needed to verify the effectiveness by developing and applying step-by-step clinical cases at an appropriate level according to the learning content of nursing major subjects by grade.

The influence of Nursing Students' Attitudes Toward the Use of Corporal Punishment on Children and Recognition of Children's Right on the Intention to Report Child Abuse (간호대학생의 아동체벌에 대한 태도와 아동 권리인식이 아동학대 신고의도에 미치는 영향)

  • Lee Joo Yeon
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.6
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    • pp.347-354
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    • 2023
  • This study is a descriptive survey research aimed at examining the relationship between nursing college students' attitudes toward child corporal punishment, their Recognition of children's rights, and their intention to report child abuse. It also seeks to identify factors influencing the intention to report child abuse. Data were collected from April 1, 2023, to June 30, 2023, using a structured questionnaire administered to 194 nursing college students. Data analysis was conducted using IBM SPSS/WIN 26.0 software and included descriptive statistics, independent t-tests, ANOVA, Scheffe's test, Pearson's correlation coefficients, and Multiple Regression analysis. The research results showed a significant negative correlation between attitudes towards child corporal punishment and awareness of children's rights, and a positive correlation between awareness of children's rights and the intention to report child abuse. Attitudes towards child corporal punishment and the intention to report child abuse collectively explained 19% of the variance in the intention to report child abuse. Therefore, it is necessary to develop educational programs that allow prospective nurses, who have a legal obligation to report child abuse, to experience cases of child abuse, enhance their sensitivity to child abuse, and improve their intention to report child abuse.

Approaches to Applying Social Network Analysis to the Army's Information Sharing System: A Case Study (육군 정보공유체계에 사회관계망 분석을 적용하기 위한방안: 사례 연구)

  • GunWoo Park
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.5
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    • pp.597-603
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    • 2023
  • The paradigm of military operations has evolved from platform-centric warfare to network-centric warfare and further to information-centric warfare, driven by advancements in information technology. In recent years, with the development of cutting-edge technologies such as big data, artificial intelligence, and the Internet of Things (IoT), military operations are transitioning towards knowledge-centric warfare (KCW), based on artificial intelligence. Consequently, the military places significant emphasis on integrating advanced information and communication technologies (ICT) to establish reliable C4I (Command, Control, Communication, Computer, Intelligence) systems. This research emphasizes the need to apply data mining techniques to analyze and evaluate various aspects of C4I systems, including enhancing combat capabilities, optimizing utilization in network-based environments, efficiently distributing information flow, facilitating smooth communication, and effectively implementing knowledge sharing. Data mining serves as a fundamental technology in modern big data analysis, and this study utilizes it to analyze real-world cases and propose practical strategies to maximize the efficiency of military command and control systems. The research outcomes are expected to provide valuable insights into the performance of C4I systems and reinforce knowledge-centric warfare in contemporary military operations.

Effect of Stent Placement on Survival in Patients with Malignant Portal Vein Stenosis: A Propensity Score-Matched Study

  • Dong Jae Shim;Jong Woo Kim;Doyoung Kim;Gi-Young Ko;Dong Il Gwon;Ji Hoon Shin;Yun-Jung Yang
    • Korean Journal of Radiology
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    • v.23 no.1
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    • pp.68-76
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    • 2022
  • Objective: Percutaneous portal vein (PV) stent placement can be an effective treatment for symptoms associated with portal hypertension. This study aimed to evaluate the effect of PV stenting on the overall survival (OS) in patients with malignant PV stenosis. Materials and Methods: Two groups of patients with malignant PV stenosis were compared in this retrospective study involving two institutions. A total of 197 patients who underwent PV stenting between November 2016 and August 2019 were established as the stent group, whereas 29 patients with PV stenosis who were treated conservatively between July 2013 and October 2016 constituted the no-stent group. OS was compared between the two groups before and after propensity score matching (PSM). Risk factors associated with OS were evaluated using the Cox proportional hazards model. Procedure-associated adverse events were also evaluated. Results: The stent group finally included 100 patients (median age, 65 [interquartile range, 58-71] years; 64 male). The no-stent group included 22 patients (69 [61-75] years, 13 male). Stent placement was successful in 95% of attempted cases, and the 1- and 2-year stent occlusion-free survival rate was 56% (95% confidence interval, 45%-69%) and 44% (32%-60%), respectively. The median stent occlusion-free survival time was 176 (interquartile range, 70-440) days. OS was significantly longer in the stent group than in the no-stent group (median 294 vs. 87 days, p < 0.001 before PSM, p = 0.011 after PSM). The 1- and 3-year OS rates before PSM were 40% and 11%, respectively, in the stent group. The 1-year OS rate after PSM was 32% and 5% in the stent and no-stent groups, respectively. Anemia requiring transfusion (n = 2) and acute thrombosis necessitating re-stenting (n = 1) occurred in three patients in the stent group within 1 week. Conclusion: Percutaneous placement of a PV stent may be effective in improving OS in patients with malignant PV stenosis.

Is Diabetes a Contraindication to Lower Extremity Flap Reconstruction? An Analysis of Threatened Lower Extremities in the NSQIP Database (2010-2020)

  • Amy Chen;Shannon R. Garvey;Nimish Saxena;Valeria P. Bustos;Emmeline Jia;Monica Morgenstern;Asha D. Nanda;Arriyan S. Dowlatshahi;Ryan P. Cauley
    • Archives of Plastic Surgery
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    • v.51 no.2
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    • pp.234-250
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    • 2024
  • Background The impact of diabetes on complication rates following free flap (FF), pedicled flap (PF), and amputation (AMP) procedures on the lower extremity (LE) is examined. Methods Patients who underwent LE PF, FF, and AMP procedures were identified from the 2010 to 2020 American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP®) database using Current Procedural Terminology and International Classification of Diseases-9/10 codes, excluding cases for non-LE pathologies. The cohort was divided into diabetics and nondiabetics. Univariate and adjusted multivariable logistic regression analyses were performed. Results Among 38,998 patients undergoing LE procedures, 58% were diabetic. Among diabetics, 95% underwent AMP, 5% underwent PF, and <1% underwent FF. Across all procedure types, noninsulin-dependent (NIDDM) and insulin-dependent diabetes mellitus (IDDM) were associated with significantly greater all-cause complication rates compared with absence of diabetes, and IDDM was generally higher risk than NIDDM. Among diabetics, complication rates were not significantly different across procedure types (IDDM: p = 0.5969; NIDDM: p = 0.1902). On adjusted subgroup analysis by diabetic status, flap procedures were not associated with higher odds of complications compared with amputation for IDDM and NIDDM patients. Length of stay > 30 days was statistically associated with IDDM, particularly those undergoing FF (AMP: 5%, PF: 7%, FF: 14%, p = 0.0004). Conclusion Our study highlights the importance of preoperative diabetic optimization prior to LE procedures. For diabetic patients, there were few significant differences in complication rates across procedure type, suggesting that diabetic patients are not at higher risk of complications when attempting limb salvage instead of amputation.

Capabilities Required for Underground Facility Operations in Korean Megacities (한국 메가시티 지하시설 작전에 요구되는 능력)

  • Jun Hak Sim;Seung Jin Jo;Jun Woo Kim;Ji Woong Choi;Won Jun Choi;Sun Il Yang;Sang Hyuk Park
    • The Journal of the Convergence on Culture Technology
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    • v.10 no.2
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    • pp.267-272
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    • 2024
  • Recently, major advanced countries are fostering megacities through policy for reasons such as solving population problems, political and economic issues, and strengthening national competitiveness. The trend of change is accelerating. In Korea, following Seoul and Gyeonggi, mega city policies are being promoted in Busan, Ulsan, Gyeongnam, Daegu and Gyeongbuk, Gwangju and Jeonnam, and Daejeon, Sejong, South Chungcheong and North Chungcheong areas. Due to this urbanization phenomenon, military experts predict that the future battlefield environment will be space or a large city (mega city). From this perspective, Korea will not be able to effectively respond to the threats facing megacities if it does not prepare in advance. Therefore, underground facility operation capabilities optimized for the huge scale of the mega city and the characteristics of the underground operational environment are required. Against this background, the characteristics of the underground operational environment of mega cities and cases of preparation for underground facility operations in advanced military countries such as the United States and Israel were analyzed. Based on this, the capabilities required for underground facility operations suitable for the underground operational environment within Korean megacities are developed from an idea perspective to military organization and combat system, securing special equipment and materials to ensure combatant survival, developing small unit combat techniques, and establishing a training system. It was presented with priority given to.

Analysis of RSET According to Exit Installation Standards for the Exterior of a Food Manufacturing Plant Building (식품공장 건축물 바깥쪽으로의 출구 설치기준에 따른 RSET 분석)

  • Park, Ha-Soung;Lee, Jae-Wook;Kong, Ha-Sung
    • The Journal of the Convergence on Culture Technology
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    • v.10 no.2
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    • pp.201-208
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    • 2024
  • In this study, we investigated whether the evacuation time according to the exit installation standards specified in the building code during a food factory fire is compatible with the evacuation time based on the performance-based design specified by the fire department, in order to determine if evacuation safety is ensured. We used the Pathfinder program to confirm the evacuation time, and experimented with three scenarios for exit installation standards towards the outside of the building: 60m, 80m, and 100m. The target building in the experiment corresponded to the building code's exit installation standard of 100m from each dwelling. The experimental results showed tt in the cases of 80m and 100m, ASET exceeded RSET, indicating tt evacuation safety was not ensured, while in the case of 60m, evacuation safety was maintained. Through this study, it was confirmed tt even when the exit installation standards towards the outside of the building are met, evacuation safety may not be guaranteed.