• Journal of Yeungnam Medical Science
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• 제41권4호
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• pp.288-295
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• 2024

Background: In patients with out-of-hospital cardiac arrest (OHCA), guidelines recommend advanced airway (AA) management at the advanced cardiovascular life support stage; however, the ideal timing remains controversial. Therefore, we evaluated the prognosis according to the timing of AA in patients with OHCA. Methods: We conducted a retrospective observational study of patients with OHCA at six major hospitals in Daegu Metropolitan City, South Korea, from August 2019 to June 2022. We compared groups with early and late AA and evaluated prognosis, including recovery of spontaneous circulation (ROSC), survival to discharge, and neurological evaluation, according to AA timing. Results: Of 2,087 patients with OHCA, 945 underwent early AA management and 1,142 underwent late AA management. The timing of AA management did not influence ROSC in the emergency department (5-6 minutes: adjusted odds ratio [aOR], 0.97; p=0.914; 7-9 minutes: aOR, 1.37; p=0.223; ≥10 minutes: aOR, 1.32; p=0.345). The timing of AA management also did not influence survival to discharge (5-6 minutes: aOR, 0.79; p=0.680; 7-9 minutes: aOR, 1.04; p=0.944; ≥10 minutes: aOR, 1.86; p=0.320) or good neurological outcomes (5-6 minutes: aOR, 1.72; p=0.512; 7-9 minutes: aOR, 0.48; p=0.471; ≥10 minutes: aOR, 0.96; p=0.892). Conclusion: AA timing in patients with OHCA was not associated with ROSC, survival to hospital discharge, or neurological outcomes.

• International Journal of Computer Science & Network Security
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• 제24권8호
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• pp.191-204
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• 2024

IOT has carried out important function in converting the traditional fitness care corporation. With developing call for in population, traditional healthcare structures have reached their outmost functionality in presenting sufficient and as plenty as mark offerings. The worldwide is handling devastating developing antique population disaster and the right want for assisted-dwelling environments is turning into inevitable for senior citizens. There furthermore a determination by means of the use of way of countrywide healthcare organizations to increase crucial manual for individualized, right blanketed care to prevent and manipulate excessive coronial situations. Many tech orientated packages related to Health Monitoring have been delivered these days as taking advantage of net boom everywhere on globe, manner to improvements in cellular and in IOT generation. Such as optimized indoor networks insurance, community shape, and fairly-low device fee performances, advanced tool reliability, low device energy consumption, and hundreds higher unusual common usual performance in network safety and privacy. Studies have highlighted fantastic advantages of integrating IOT with health care location and as era is improving the rate also cannot be that terrific of a problem. However, many challenges in this new paradigm shift notwithstanding the fact that exist, that need to be addressed. So the out most purpose of this research paper is 3 essential departments: First, evaluation of key elements that drove the adoption and boom of the Internet of factors based totally domestic some distance off monitoring; Second, present fashionable improvement of IOT in home a long manner off monitoring shape and key building gadgets; Third, communicate future very last effects and distinct guidelines of such type a long way off monitoring packages going ahead. Such Research is a wonderful manner in advance now not outstanding in IOT Terminology but in standard fitness care location.

• Imaging Science in Dentistry
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• 제54권3호
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• pp.232-239
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• 2024

Purpose: The use of artificial intelligence (AI) and deep learning algorithms in dentistry, especially for processing radiographic images, has markedly increased. However, detailed information remains limited regarding the accuracy of these algorithms in detecting mandibular fractures. Materials and Methods: This meta-analysis was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Specific keywords were generated regarding the accuracy of AI algorithms in detecting mandibular fractures on radiographic images. Then, the PubMed/Medline, Scopus, Embase, and Web of Science databases were searched. The Quality Assessment of Diagnostic Accuracy Studies 2 (QUADAS-2) tool was employed to evaluate potential bias in the selected studies. A pooled analysis of the relevant parameters was conducted using STATA version 17 (StataCorp, College Station, TX, USA), utilizing the metandi command. Results: Of the 49 studies reviewed, 5 met the inclusion criteria. All of the selected studies utilized convolutional neural network algorithms, albeit with varying backbone structures, and all evaluated panoramic radiography images. The pooled analysis yielded a sensitivity of 0.971 (95% confidence interval [CI]: 0.881-0.949), a specificity of 0.813 (95% CI: 0.797-0.824), and a diagnostic odds ratio of 7.109 (95% CI: 5.27-8.913). Conclusion: This review suggests that deep learning algorithms show potential for detecting mandibular fractures on panoramic radiography images. However, their effectiveness is currently limited by the small size and narrow scope of available datasets. Further research with larger and more diverse datasets is crucial to verify the accuracy of these tools in in practical dental settings.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제30권3호
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• pp.45-56
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• 2024

Purpose: It is important to note that the relative importance of risk factors should be identified to successfully complete the remodeling project of general hospital. Approached by analytic hierarchy process (AHP), the present study aimed to systematically evaluate the risk factors for remodeling of general hospital. Methods: The present work classified the risk factors of general hospital remodeling into four major categories including the requirements survey stage, planning and design stage, dismantling and construction stage, and maintenance stage. In addition, four sub-categories were derived from each major category factor. Furthermore, five major categories and four subcategories were selected to be considered from the perspectives of two stakeholders of contractor and constructor. The relative importance of the major and sub-categories factors was calculated using the AHP technique on the survey data collected from 49 respondents who participated in the survey study. Results: The results indicate that, the risk factor of requirements survey stage was found to be the most important risk factor to consider among the four major categories of factors. Also, insufficient preliminary investigation, design inconsistencies in architecture/mechanics/electricity, occurrence of safety accidents, and insufficient review of various equipment capacities and performances were found to have the highest priorities of each subcategory factor group included in the four major categories. From the perspective of contractor, the error in predicting the construction period was found to be the most important risk factor. The occurrence of safety accidents during construction was found to be the most important risk factor to be considered by constructor. Implications: The result of the current work should provide important insights and guidelines for the risk management activity that contributes to controlling the project time, cost, and scope required for general hospital remodeling.

• 대한방사선기술학회지:방사선기술과학
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• 제40권1호
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• pp.27-34
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• 2017

해외 각국에서 발표된 중재적 방사선 영역에서의 환자선량을 조사하였으며, 전국 23개 주요 병원에서 국내에서 많이 시행되는 13개의 주요 중재적 방사선 시술에 대한 환자선량을 DAP meter를 이용하여 측정하였으며, 시술별 피폭선량에 관한 8,415 건의 국내 자료를 확보하고, 각 주요 시술별로 참고 선량치를 제시하였다. 연구결과는 경동맥화학색전술 $237.7Gy{\cdot}cm^2$, 투석용 동정맥루 인터벤션시술 $17.3Gy{\cdot}cm^2$, 하지 혈관질환의 인터벤션시술 $114.1Gy{\cdot}cm^2$, 뇌혈관조영술 $188.5Gy{\cdot}cm^2$, 뇌동맥류 코일색전술 $383.5Gy{\cdot}cm^2$, 경피경간 담즙 배액술 $64.6Gy{\cdot}cm^2$, 담도 스텐트설치술 $64.6Gy{\cdot}cm^2$, 요로 폐색에 대한 신루설치술 $22.4Gy{\cdot}cm^2$, 다목적 중심정맥 카테터 삽입시술 $4.3Gy{\cdot}cm^2$, 항암제 주입 목적의 매몰형 중심정맥 카테터 삽입시술 $2.8Gy{\cdot}cm^2$, 혈액 투석 목적의 중심정맥 카테터 삽입시술 $4.4Gy{\cdot}cm^2$, 카테터를 이용한 배액시술 $17.1Gy{\cdot}cm^2$ 그리고 장기혈관색전술 $357.9Gy{\cdot}cm^2$이다. 본 연구를 통해 얻은 선량참고치는 방사선 인터벤션 시술에서 환자선량을 줄일 수 있는 최소한의 가이드라인으로 활용될 수 있을 것으로 생각되며, 참고선량치에 대한 연구는 장비의 발달과 시술방법, 재료의 발전으로 변화될 수 있음을 감안하고 선진국에서는 5년마다 시행되고 있음을 참고할 때, 향후 면적선량을 유효선량으로 변환할 수 있는 국내시술에 적합한 한국형 변환계수가 연구되어야 할 것으로 사료된다.

• 대한소아치과학회지
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• 제43권1호
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• pp.85-92
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• 2016

대한소아치과학회는 진정법 교육연구위원회를 설립하여 학회원들이 진정법을 시행함에 있어서 안전한 술식을 시행할 수 있도록 진정법 지침서를 개정하고 평생교육프로그램을 개발하게 하였다. 이에 2015년 종합학술대회 기간에 진정법 심포지움과 BLS교육을 시행하였으며, 이에 대한 학회원들의 만족도 평가를 시행하였다. 진정법연구교육위원회는 종합학술대회에 참가한 학회원들에게 배포할 설문지를 제작하여 심포지움에 참가한 학회원 중 설문에 응한 총 143명의 학회원들의 설문지를 분석하였으며, BLS코스에 참여한 23명의 학회원을 대상으로 설문지를 배포하여 이를 분석하였다. 심포지움과 BLS코스에 참석한 학회원들은 전반적인 질문에 대하여 높은 만족도를 보였으며, 진정법 교육연구위원회는 이번 설문지를 통하여 학회원들이 원하는 교육내용과 향후 교육프로그램 개발에 관한 중요한 정보를 얻을 수 있었다. 대한소아치과학회는 앞으로도 꾸준히 학회원들의 더 낳은 교육을 위하여 힘 쓸 것이며, 체계적인 교육프로그램 개발을 위하여 노력할 것이다.

• 콘크리트학회논문집
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• 제23권2호
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• pp.245-252
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• 2011

현재 한국에서는 연쇄 붕괴에 대한 설계지침이 적용되고 있지 않으며, 특히 무량판 구조의 연쇄 붕괴 저항 성능에 대한 연구는 초기단계라고 할 수 있다. 따라서 이 연구에서는 철근콘크리트 무량판 구조의 연쇄 붕괴 저항 성능을 평가하기위하여 3가지 해석법을 수행하였다. 선형 정적 해석을 통하여 GSA의 대체경로법에 의한 DCR 값의 차이를 비교하였고, 선형 동적 해석을 통하여 기둥 제거 이후의 수직 변위를 비교하였으며, 비선형 정적 해석을 통하여 최대 하중 계수를 판단하였다. 유효 보폭 모델과 판 유한 요소 해석 모델의 차이점을 분석하기 위하여 여러 변수들에 따라 유한 요소 해석이 수행되었다. 무량판 구조에서 실무에서 많이 사용되고 있는 유효 보폭으로 모델링하는 방법은 슬래브의 강성 기여도를 반영하고 있지 못해 연쇄 붕괴 성능 평가는 상세 유한 요소 해석이 적절할 것으로 판단된다. 여러 변수들을 종합 모서리 기둥(CC)을 제거할 경우가 가장 불리한 조건이고, 내부 기둥(IC)이 제거될 경우가 가장 유리한 조건으로 나타났다. 이 연구에서 제시된 무량판 구조의 연쇄 붕괴 저항 성능 결과로부터 향후 무량판 구조의 성능을 합리적으로 평가하는데 유용하게 활용될 수 있을 것으로 사료된다.

• 대한세포병리학회지
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• 제12권1호
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• pp.1-15
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• 2001

The Bethesda System (TBS) was first developed in 1988 for the need to enhance the communication of the cytopathologic findings to the referring physician in unambiguous diagnostic terms. The terminology used in this reporting system should reflect current understanding of the pathogenesis of cervical/vaginal disease so the framework of the reporting system should be flexible enough to accommodate advances in medicine including virology, molecular biology, and pathology. Three years after the Introduction of TBS, the second Bethesda workshop was held to set or amend diagnostic criteria for each categories of TBS. TBS 1991 is now widely used. The third Bethesda workshop, The Bethesda System 2001 Workshop, was held in National Cancer institute Bethesda, Maryland from April 30 to May 2, 2001. Again, the goals of this workshop were to promote effective communication and to clarify in reporting cervical cytopathology results to clinicians and to provide with the information to make appropriate decisions about diagnosis and treatment. Nine forum groups were made and there were Web-based bulletin board discussions between October, 2000 and the first week of April, 2001. On the basis of bulletin board comments and discussions, the forum moderators recommended revised terminologies in the Workshop. Hot discussions were followed after the presentation by forum moderators during the workshop. Terminologies confusing clinicians and providing no additional informations regarding patient management were deleted in the workshop to clarify the cervicovaginal cytology results. Any informations related to the patient management were encouraged to add. So 'Satisfactory for evaluation but limited by...' of 'Specimen Adequacy' catergory was deleted. Terminology of 'Unsatisfactory' was further specified as 'Specimen rejected' and 'Specimen processed and examined, but unsatisfactory'. Terminologies of 'Benign Cellular Change' and 'Within Normal Limits' were combined and terminology was changed to 'Negative for intraepithelial lesion or malignancy'. In General categorization, category 'Other' was newly inserted and the presence of 'Endometrial cells' in women over 40 years old can be checked. Although the category 'Benign Cellular Change' was deleted, the organisms or reactive changes of this category can be listed in the descriptive diagnoses. Terminologies of ASCUS and AGUS were changed to atypical squamous cell and atypical glandular cell, respectively. Diagnostic term of 'Adenocarcinoma in situ', which is highly reproducible with reliable diagnostic criteria, was newly Inserted. The category of hormonal evaluation was deleted. Criteria for liquid-based specimen were discussed. Reporting by computer-assisted cytology was discussed and terminology for automated review was newly inserted. This is not the final edition of Bethesda 2001. The final document can be prepared before the ASCCP meeting in which Consensus Guidelines for the Management on Cytology Abnormalities and Cervical Precursors will develop in September 2001.

• 인터넷정보학회논문지
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• 제16권6호
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• pp.97-107
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• 2015

최근까지 한국은 3년 연속 UN 발표 전자정부 세계 1위를 차지했다. 이에 버금하여, 한국의 정책수립과 비전에 따라 예산 집행규모는 꾸준히 성장해, 정보화사업의 대형 정보화 프로젝트 증가로 이어졌다. 특히 불특정 대다수 사용자들에게 영향을 미칠 수 있는 Mission Critical한 공공 인프라의 경우 다양하고 복잡해진 사용자들의 요구를 충족시킬 수 있는 새로운 기술이 적용된 고품질의 정보시스템 구축 필요성이 대두되고 있다. 이와 같은 대표적인 영역의 하나인 국방 정보체계에서는 첨단 기술을 적용하여 선진 군사역량을 구축하고, 효율적인 국방경영을 구현하는 핵심 역할을 수행하기 위해 네트워크 중심 국방 지식정보화를 국방정보화의 비전으로 제시하고 이에 따라 국방정보화 추진체계의 선진화 및 국방정보시스템의 고도화를 추진하고 있다. 본 연구에서는 Mission Critical한 공공 인프라의 대표격인 국방 분야 정보화사업의 시험평가와 관련된 새로운 품질지표를 고찰하였다. 먼저 관련 국제표준 및 가이드를 고찰하였고, 실제 시험평가 사례를 분석하였으며, 이를 확장하여 전자정부법(법률 제12346호, 2014. 1.28. 공표, 2014. 7.29. 시행)의 근거에 따라 현재 사용되고 있는 감리 점검 항목에 적용하였다. 제안하는 모델을 공공부문 중 국방 분야 정보화사업의 시험평가에 적용하였을 경우, 국방정보화 사업의 생산성에 미치는 영향을 분석한 결과, 국방정보화 사업의 신뢰성, 전문성, 안전성의 요소로 시험평가 생산성이 향상 될 수 있다는 가능성을 확인하였다.

• Toxicological Research
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• 제21권1호
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• pp.15-21
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• 2005

There is now a growing concern about the possible toxicity of heavy metals in cosmetics. Heavy metals can be used as cosmetic ingredients or may be present as low level impurities in some of the raw materials. Chromium derivatives are used as pigments in cosmetics. Chromium is essential and toxic trace elements. Chromium may cause skin allergy. However, the regulations related to cosmetic products give no limit values for Chromium. Hexavalent chromium is significantly more toxic than trivalent chromium. Hexavalent chromium may present a carcinogenic risk at high concentrations. Therefore, it is important to consider oxidation state of chromium when analyze chromium. The purpose of this study is to determine the concentrations of water-soluble trivalent and hexavalent chromium in samples of makeup products, and to assess the safety of cosmetics on the basis of animal sensitization tests using guinea pig. The present study of chromium in 48 makeup products of 12 manufacturers provides a basis for assessing safety of makeup products. Water-soluble hexavalent chromium was not detected in any product. Water-soluble trivalent chromium was detected in only 9 eye shadows out of 48 makeup products, and could not be quantified 3 out of 9 eye shadows. The highest level of water-soluble trivalent chromium was about 10 mg/kg in spite of 90,000 mg/kg of total chromium. The results of animal sensitization tests show that 200 mg/kg of trivalent chromium and 5 mg/kg of hexavalent chromium have no harmful effect. No cross-reaction among these metals was found. Accordingly, the concentrations of water-soluble chromium in makeup products seemed to be safe. The overall results indicate that chromium in cosmetics probably have no significant toxicological effects. However, It is necessary to set guidelines on the maximum permissible concentration of water-soluble chromium in cosmetics.