• 제목/요약/키워드: risk-sharing

검색결과 298건 처리시간 0.028초

커뮤니티맵핑 어플리케이션 개발과 활용이 초·중생의 안전의식 고취에 끼치는 영향 (The Effect of Community Mapping Application Development and Application on the Safety Consciousness of Elementary and Middle Schools)

  • 권진석;이효정;신은혜;박소순
    • 한국재난정보학회 논문집
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    • 제15권3호
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    • pp.323-338
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    • 2019
  • 연구목적: 본 연구는 커뮤니티맵핑 어플리케이션을 통한 초 중생 안전역량 제고를 위한 교육 프로그램 제안을 목적으로 한다. 연구방법: 연구를 위해 쉽게 사용할 수 있는 커뮤니티맵핑 어플리케이션을 개발, 활용하여 초 중생 약 425명이 참여한 후 설문조사를 통해 안전역량 변화를 분석하였다. 연구결과: 커뮤니티맵핑 활동을 통해 초 중생의 실제 생활주변 위험요소를 도출할 수 있었고 활동 전 후 설문조사를 통해 참가자의 안전역량이 향상되었음을 알 수 있었다. 결론: 본 연구에서는 참여형 맵핑 툴과 유사한 기능을 포함하며 사용자의 편의성, 접근성, 확장성이 있는 커뮤니티맵핑 어플리케이션의 개발을 통해 어린이 안전교육의 하나의 콘텐츠로 활용하여 등록된 정보를 활용하고 초 중생의 안전역량 제고를 기대한다.

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

  • 김은지;박찬란;손창규;조정효;이남헌
    • 대한한방내과학회지
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    • 제42권3호
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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 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.

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

  • 이은별;김현지;김채영;안희덕
    • 한방재활의학과학회지
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    • 제32권2호
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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.

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

  • 최지민;전석희;임용하;정민재;김선종
    • 한방재활의학과학회지
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    • 제32권1호
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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.

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

  • 이형동;윤준희;이덕규;신용태
    • 정보처리학회논문지:컴퓨터 및 통신 시스템
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    • 제11권10호
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    • pp.353-362
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    • 2022
  • 러시아-우크라이나 전쟁이 군사적 무력 충돌과 함께 사이버공격이 진행되고 있다. 이번 전쟁과 관련하여 러시아가 한국을 비우호 국가로 지정함에 따라 한국에 대한 사이버공격의 위험성도 고조된 만큼 대응 방안 마련이 시급한 상황이다. 이에 따라 이번 전쟁에서 나타난 사이버공격 사례(19건)를 유형별로 영향을 분석하고, 자원 동원, 기술 진보 등 5가지 관점에서 고찰하여 특징과 시사점을 도출하였다. 이를 통해 한국 정부의 대응 방안으로, 가치공유 국가와의 다자협력 강화, 사이버공격 역량확보와 방어체계 강화, 해외 보안업체와의 연계 방안 마련 등 총 7가지를 제시하였다. 연구 결과는 한국 정부의 사이버안보 정책 수립에 활용될 수 있을 것이다.

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

  • Hyong-Seop, Shim
    • 한국컴퓨터정보학회논문지
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    • 제28권1호
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    • pp.55-63
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    • 2023
  • 본 논문에서는 재난 위기경보 발령을 하기 위해 상황판단 기준을 자동분석하는 재난위기경보관리시스템의 기능 및 서비스와 국가재난관리정보시스템(NDMS) 체계에서 운영하기 위한 방안을 제안한다. 재난 발생시 위험수준에 따라 위기경보(관심-주의-경계-심각)를 발령하고 있다. 위기경보 수준을 자동분석 판단하기 위해 첫째, 데이터 수집, 위기경보 수준 분석, 위기경보 수준 판단, 공간규모별(시도, 시군구) 위기경보 등급을 표출하는 재난위기경보관리시스템을 구현하였다. 위기경보 수준 판단은 지능형 위기경보 수준(지역민감도, 위험수준, 위기경보 등급 판단)과 위기관리 매뉴얼의 위기경보 기준(시도 단위 기준 표준 설정)을 적용하여 두 가지 방식으로 분석하여 표출한다. 둘째, 국가재난정보관리시스템내에서 운영할 수 있도록 재난안전데이터 공유 플랫폼의 데이터 연동과 위기경보 데이터를 공동활용하기 위해 표준 메타데이터(구성항목 정의), 상황정보 연계(대상 정의), 데이터 제공을 위한 openAPI 표준을 제시한다.

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

  • 김진엽;조영진
    • 한국항행학회논문지
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    • 제27권3호
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    • pp.247-254
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    • 2023
  • 미국의 가인(GAIN)은 Pilot/Controller Collaboration Initiatives 보고서에서 "조종사와 항공교통관제사는 하루 종일 서로 이야기하지만 거의 의사소통하지 않는다."라고 기술하였다. 조종사-항공교통관제사 간의 안전 운항에 대한 인식과 문화, 또는 다른 요인에서 오는 차이점이 절차와 지시에 대하여 서로 간의 오해가 있는가라는 의문이 연구의 시발점이 되었다. 촉박한 시간 내에 해결해야 하는 많은 과정은 James Reason의 Swiss Cheese Theory와 같이 연쇄적인 위험요인을 거쳐 사고를 유발할 가능성을 높인다. 비행의 주체가 되는 조종사-항공교통관제사 간의 복합 요소가 상당 부분 차지하고 있는데 불구하고 두 집단 간의 안전 운항을 위한 통합적인 관리는 이루어지고 있지 않다. 본 연구는 조종사-항공교통관제사 간의 안전 운항을 위한 안전 및 교육의 통합적인 관리를 JCRM을 통해서 이루고자 기술하였다.

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

  • 나복연;손우석;김영준;우창훈
    • 한방재활의학과학회지
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    • 제33권3호
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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.

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

  • 오종선;이경진;김성길
    • 대한물리의학회지
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    • 제18권4호
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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.