• 제목/요약/키워드: Comprehensive Index

검색결과 577건 처리시간 0.028초

수면장애에 대한 인지행동 치료 효과에 대한 체계적 문헌 고찰 개관 (Effectiveness of Cognitive Behavioral Therapy for Sleep Disorder: An overview of Systematic Review)

  • 이장원;여진주;김경식;현민경
    • 대한한의학회지
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    • 제43권2호
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    • pp.75-91
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    • 2022
  • Objectives: The purpose of this overview was to summarize the evidence regarding the effectiveness of Cognitive Behavioral Therapy (CBT) for sleep disorders through systematic reviews (SRs) and meta-analyses (MAs). Methods: An overview of systematic review was conducted according to the study protocol (reviewregistry1320). A comprehensive literature search was performed using three databases (Pubmed, Cochrane Central Register of Controlled Trials, and Web of Science) and three Korean databases (KoreaMed, KMbase, and ScienceON). Final studies were selected by three authors according to inclusion and exclusion criteria, and data needed for analysis were extracted by a pre-planned extraction framework. Methodological quality of systematic review was assessed using the 'Assessment of multiple systematic reviews 2 (AMSTAR2)'. Results: Fourteen SRs and MAs were included, of which eleven SRs were performed MAs. Twelve studies studied insomnia among sleep disorders, and the rest are nightmares and sleep disturbances with PTSD. Ten studies reported the effect of CBT on sleep disorders measured by insomnia severity index (ISI) and sleep onset latency (SOL), and all reported a significant improvement effect. Eight studies reported the effect of CBT on sleep disorders measured by wake time after sleep onset (WASO), and seven studies reported a significant improvement effect. The methodological quality of the studies evaluated with AMSTAR 2 was mainly low or very low because of omission of protocol registration and excluded study list. Conclusions: Practical guidelines and studies show that CBT is effective for sleep disorders, but access to CBT needs to be improved.

LSTM 모델을 이용한 조각투자 상품의 가격 예측: 뮤직카우를 중심으로 (Price Prediction of Fractional Investment Products Using LSTM Algorithm: Focusing on Musicow)

  • 정현조;이재환;서지혜
    • 지능정보연구
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    • 제28권4호
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    • pp.81-94
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    • 2022
  • 최근 고액의 실물자산이나 채권을 분할하여 여러 투자자가 공동으로 투자하는 이른바 조각투자가 인기를 얻고 있다. 2016년 설립된 뮤직카우는 음원 유통에 따른 저작권료 참여 청구권을 조각투자할 수 있는 서비스를 세계 최초로 시작하였다. 본 연구에서는 딥러닝 알고리즘 중 하나인 LSTM 모델을 사용하여 뮤직카우에서 거래되는 저작권료 참여 청구권의 가격을 예측하는 연구를 진행하였다. 청구권의 이전 가격과 거래량, 저작권료와 같은 청구권과 관련된 변수 외에도, 음악저작권료 참여 청구권 시장 상황을 나타내는 종합 지표와 경제 상황을 반영하는 환율, 국고채 금리, 한국종합주가지수도 변수로 사용하였다. 연구 결과 상대적으로 거래량이 낮은 조각투자의 사례에서도 LSTM 모델이 거래가격을 잘 예측하는 것을 확인할 수 있었다.

한국판 목소리 자기조절 척도의 신뢰도 및 타당도 예비연구 (Validation of the Korean Voice Perceived Present Control Scale: A Pilot Study)

  • 이정민;정수연;김빛나;김한수
    • 대한후두음성언어의학회지
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    • 제33권2호
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    • pp.103-109
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    • 2022
  • Background and Objectives The Voice Perceived Present Control scale (VPPC) has been developed to provide better insight into patients' perceived control over their thoughts or behaviors related to voice disorders. The objective of the present study was to validate the Korean VPPC (K-VPPC) by evaluating its internal consistency and reliability. Materials and Method All items of the English VPPC were translated into Korean. Content validity was analyzed through three Delphi survey rounds by an expert panel (n=44) with active clinical and research experience in treating dysphonic patients. Twenty-three patients with a heterogeneous diagnosis of dysphonia and twenty-three gender-matched vocally normal controls (total n=46) were asked to complete the K-VPPC and the Korean Voice Handicap Index-10 (KVHI-10). Psychometric properties including internal consistency and reliability were evaluated to examine the appropriateness of cross-cultural use of K-VPPC. Results Cronbach's alpha coefficient of K-VPPC was 0.89 for dysphonic patients, indicating good internal consistency in clinical samples. Furthermore, patients with dysphonia scored significantly lower on the total score of K-VPPC and higher on voice handicap than the vocally normal controls. Spearman's correlation coefficients indicated an inverse and moderate association between the K-VPPC and all domains of KVHI-10 (Spearman's r=-0.44- -0.68). Conclusion The findings of the current study indicated that the K-VPPC is a valid and reliable tool for the assessment of perceived control in Korean patients with dysphonia. Therefore, the K-VPPC could be a useful and complementary tool for the comprehensive evaluation of dysphonia, thereby improving care in Korean patients with voice disorders.

소양댐 상류 유역 내 어류상의 시⋅공간 분포와 부유성 퇴적물 영향 (Spatio-temporal Distribution and Suspended Sediment Effects on Fish Flora in the Upper Basin of Soyang-Dam)

  • 유은진;안종호;이문환;전동진
    • 한국물환경학회지
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    • 제39권4호
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    • pp.329-342
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    • 2023
  • Turbid water and suspended sediment (SS) load are having negative consequences such as water quality degradation and ecological damage, thus necessitating the establishment of management guidelines to reduce their impact. The present work investigates the spatio-temporal distribution of fish species and the effects of turbid water from 2011-2016 in the upper reaches of Soyang-Dam. The family Cyprinidae is the largest population in the study area, among which Zacco platypus and Zacco koreanus are the dominant species. The diversity of species is relatively abundant in the upper watershed, while the seasonal effect on the population distribution remains unclear. Using two main common components of the empirical orthogonal function (EOF) analysis, the distribution characteristics of 27 species at five survey sites are revealed. Zacco koreanus is found to be predominant at the upstream A-Naerincheon, while Zacco platypus and Rhinogobius brunneus are found to be predominant at the upstream B-Bukcheon. Disturbance of an aquatic ecosystem has a relatively greater impact in the downstream, as-compared to the upper area-the high proportion of forest area is decreased whereas that of agricultural and urbanized areas is increased. The patterns of representative species are changed according to the mid- to long-term effects of turbid water and SS. Accordingly, the significant correlation between the SS load and fish distribution EOF analysis indicates that it should be considered as a potential alternative that can overcome the limitations of impact assessment on turbid water to the Fish Assessment Index (FAI). A comprehensive study examining the long-term effects of SS load to the fish ecosystems with a systematic statistical analysis of sufficiently accumulated data at the national level is needed as future research.

Analysis of the Effects of Investment Facilitation Levels on China's OFDI: Focusing on RCEP Member States

  • Yong-Jie Gui;Jin-Gu Kang;Yoon-Say Jeong
    • Journal of Korea Trade
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    • 제27권3호
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    • pp.161-178
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    • 2023
  • Purpose - purpose of this paper is to analyze the effects of the investment facilitation levels of 11 RCEP countries (excluding Myanmar, Brunei, and Laos due to lack of data) on China's outward foreign direct investments(OFDI) using balanced panel data from 2010 to 2019. Design/methodology - First, four investment facilitation measurement indicators (regulatory environment, infrastructure, financial market, ease of doing business) were selected,investment facilitation scores of the 11 countries were obtained using the principal component analysis, an investment gravity model was established with nine explanatory variables (investment facilitation level, market size, population, geographic distance, degree of opening, tax level, natural resources, whether the country is an APEC member or not, and whether a valid bilateral investment treaty with China has been concluded) were used to establish an investment gravity model, and regression analyses were conducted with OLS and system GMM. Findings - The results of the regression analyses showed that investment facilitation levels had the greatest effect on China's OFDI, all four first-level indicators had positive effects on China's OFDI, and among them, the institutional environment had the greatest effect. In addition, it was shown that explanatory variables such as market size, population, geographical distance, degree of openness, natural resources, and whether or not a valid bilateral investment treaty has been concluded would have positive effects on China's OFDI, while tax levels and APEC membership would impede China's OFDI to some extent. Originality/value - Since the Regional Comprehensive Economic Partnership (RCEPT) came into effect not long ago, there are not so many studies on the effects of investment facilitation levels of RCEP member states on China's OFDI, and the investment facilitation measurement index constructed in this paper is relatively systematic and scientific because it includes all the contents of investment facilitation related to the life cycle of company's foreign direct investments.

DB 보안의 문제점 개선을 위한 보안등급별 Masking 연구 (A Study on DB Security Problem Improvement of DB Masking by Security Grade)

  • 백종일;박대우
    • 한국컴퓨터정보학회논문지
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    • 제14권4호
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    • pp.101-109
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    • 2009
  • 오라클 DBMS의 8i버전에서는 암호화 모듈이 기본적으로 장착되어 있으나, 암호화 모듈은 성능저하가 야기되어 제한적으로 적용되고 있다. 본 논문에서는 인덱스검색, 객체관리 혼란, 암호화로 인한 심각한 DB성능 저하, 실시간 데이터 암호화 미지원 IP기반의 데이터 접근제어 미지원으로 인한 기술별로 DB 보안의 문제점을 분석한다. 그리고 DB 보안의 가용성을 향상시키기 위해 암호화기술의 대체수단인 DB Masking 기법을 활용한 종합적인 보안 프레임워크를 제안한다. 취약점 개선안으로 가상계정을 이용하여 보안등급별로 DB Masking 기준을 설정하고, 가상계정을 통한 사용자 인증과 SQL문의 사전, 사후 결재 및 무결성을 체크하고, 감사 로그로 수집하여 DB를 안전하게 관리 할 수 있는 방안으로 활용한다.

세종시 스마트시티 구상 및 수립 방안 (Planning and Establishment of Sejong City Smart City)

  • 박정수;정한민
    • 한국정보통신학회:학술대회논문집
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    • 한국정보통신학회 2021년도 추계학술대회
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    • pp.161-163
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    • 2021
  • 산업혁명 이후 일자리를 찾기 위해 수많은 사람이 도시로 모여들어, 현재 세계 인구 50% 이상이 도시에 살고 있다. 이러한 도시 집중화는 앞으로도 급속히 전개되어 2035년에는 75% 인구가 도시에 살 것으로 전망된다. 대도시는 점점 높아지는 인구 밀도로 인하여 환경 오염, 심각한 교통 체증, 지나치게 빠른 에너지 고갈 및 자연 생태계 파괴 등 부작용이 발생하면서 지속가능성이 떨어지고 있다. 또한, 높은 범죄율과 안전사고, 불평등과 양극화로 인한 일과 삶의 불균형, 지나치게 경쟁적인 교육 등으로 대도시 시민들의 행복 지수 역시 떨어지고 있다. 이러한 문제를 해결하기 위하여 공급자, 관리자 중심이 아닌 사용자와 시민 중심으로 설계, 운영, 관리되는 IT 기술 기반 미래형 도시 모델인 스마트시티가 탄생하게 되었다. 우리나라도 국가 중점 사업으로 스마트시티의 효율적인 건설 및 운영을 통해 도시 경쟁력을 향상하고 지속 가능한 발전을 촉진하려는 시도를 적극적으로 하고 있다. 이를 뒷받침하기 위해 본 연구는 국토종합계획 및 스마트도시 종합계획, 스마트시티 전략계획 등을 기반으로 세종시의 스마트도시서비스 기반 시설 등의 기본 방향 및 추진 전략을 검토하고, 관련 계획의 연관 관계를 조사하여 세종시 스마트시티 관련 사업 검토와 스마트도시 조성을 위한 추진 체계 및 정책을 제언하고자 한다.

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Utility of Subjective Global Nutritional Assessment Tool for the Assessment of Malnutrition in Pediatric Patients with Chronic Liver Disease

  • Anwesha Ray;Srikanta Basu;Praveen Kumar
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제26권6호
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    • pp.346-354
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    • 2023
  • Purpose: Approximately 30% of children with chronic liver disease (CLD) are malnourished. However, proper assessment of their nutritional status is difficult. The subjective global nutritional assessment (SGNA) is a comprehensive approach that uses nutrition-focused history and examination, followed by grading of malnourishment. We aimed to study the prevalence of malnutrition in children with CLD using the SGNA tool. Methods: This cross-sectional observational study included patients aged <18 years with CLD. Nutritional assessments were recorded using SGNA tool. Conventional anthropometric measurements were performed and corroborated with nutritional status using SGNA tool. Results: A total of 85 children with CLD and mean age of 62 months were enrolled in this study. The prevalence of malnourished children according to SGNA was 34%; 22% were moderately malnourished and 12% were severely malnourished. We found statistically significant differences in anthropometric parameters among the three groups. A moderate degree of agreement was found between SGNA and weight-for-age (W/A) (p=0.020), mid-upper arm circumference (MUAC) (p<0.001), and triceps skin-fold thickness (TSF)-for-age (p=0.029). Furthermore, a fair degree of agreement was found between height-for-age (H/A) (p=0.001) and weight-for-height (W/H) (p<0.001). The sensitivity of W/A for detecting malnutrition was 93%, H/A was 90%, MUAC was 86%, and TSF was 88%. The sensitivity was much lower for W/H and body mass index for age (55% for both). Conclusion: In our study, more than one-third of children with CLD were malnourished. Nutritional assessment using SGNA is a reliable method for evaluating nutritional status and is significantly correlated with common anthropometric measurements.

혼합 교통류의 적정 평가지표 기반 안전성 분석 (A Safety Analysis Based on Evaluation Indicators of Mixed Traffic Flow)

  • 이한빈;박신형;강민지
    • 한국ITS학회 논문지
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    • 제23권1호
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    • pp.42-60
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    • 2024
  • 본 연구는 자율주행 차량이 혼재된 교통류의 안전성 평가에 적합한 안전성 지표를 선정하여 차량 추종 조합별 안전성을 분석하였다. 고속도로 엇갈림구간은 기본구간에 비해 차로 변경이 빈번하여 상충 빈도가 높은 구간으로, 일반 차량과 자율주행 차량의 주행행태 차이로 인한 위험이 증가할 것으로 예상하여 고속도로 엇갈림구간을 분석구간으로 설정하였다. 미시적 교통 시뮬레이션인 VISSIM을 활용하여 분석을 수행하였으며, 혼합 교통류의 환경은 본선-연결로 형태의 엇갈림구간을 300, 600m의 길이로 구분하고, IDM을 활용하여 자율주행 차량의 주행행태를 구현하였다. 혼합 교통류 평가에 적합한 안전성 지표는 운전자가 체감하는 위험도와 유사하게 위험 수준을 나타내는 것을 기준으로 4개의 지표를 선정하였다. 선정된 4개 지표의 위험 기준을 넘는 차량 추종 궤적을 대상으로 안전성을 분석한 결과, 자율주행 차량이 자율주행 차량을 추종하는 상황이 가장 안전한 추종 쌍이며, 인간 운전자 차량이 자율주행 차량을 추종할 경우가 가장 위험한 추종 쌍인 것으로 나타났다.

Empowering Rural Housewives in Iran: Utilizing the Transtheoretical Model to Increase Physical Activity

  • Mahboobe Borhani;Zakieh Sadat Hosseini;Najme Shahabodin;Ali Mehri;Mohadese Kiani;Marzieh Abedi
    • Journal of Preventive Medicine and Public Health
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    • 제57권2호
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    • pp.167-175
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    • 2024
  • Objectives: Rural housewives are integral to household management and family care, yet their sedentary lifestyles present significant health risks. This study used the transtheoretical model (TTM) to investigate strategies that encourage and maintain regular exercise habits among rural housewives. Methods: A semi-experimental study was conducted in 2021 with 114 housewives aged 30 to 59 who attended rural health centers in Gorgan, Iran. Participants were randomly assigned to 1 of 2 groups. Data collection involved a validated questionnaire that gathered demographic information and constructs of the TTM. The intervention group participated in a comprehensive educational program, which included four 60-minute sessions. Data were collected again 6 months post-intervention and analyzed using descriptive and inferential statistics in SPSS version 21. Results: The study encompassed women with an average age of 39.75±6.05 years, the majority of whom had educational levels below a diploma, and over 90% were married. We observed strong correlations between the processes of change, self-efficacy, and decisional balance. At the outset, there were no significant differences in demographics or model structures between the 2 groups. However, 6 months post-intervention, the intervention group exhibited statistically significant differences in the mean scores of model structures, stages of change, and body mass index (p<0.05). Conclusions: This study highlights the importance of physical activity training for rural housewives. The findings suggest that the educational intervention, which utilized the TTM, significantly impacted the participants' model structures and their stages of change.