• Title/Summary/Keyword: HARM

검색결과 834건 처리시간 0.112초

일개 도 지역 자살 시도 환자에 대한 병원전 단계 분석 (The pre-hospital analysis of patients with suicide attempts in Gangwon-do)

  • 김기환;조준휘;문중범;박찬우;신명철;김가을;이준석;박윤수;옥택근
    • 대한응급의학회지
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    • 제29권6호
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    • pp.687-698
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    • 2018
  • Objective: This study examined the characteristics of suicidal attempters, including pre-hospital patients and those who visited the emergency department. Methods: Suicidal attempters who had been reported to the 119 call center were selected between July 2015 and June 2016. Sex, age, place, methods of suicidal attempt, season, time, and suicide success rate were reviewed in the fire center records. Results: A total 961 suicide attempters were enrolled. Among them, 53.6% were males who had an approximately 2.6 times higher mortality than that of females (9.2%). The most preferred place to commit suicide was the home in both sexes (68.0% in male, 82.8% in female) and the most preferred methods was drug intoxication, particularly pesticide. The method with the highest mortality was hanging and the lowest was self-harm. The season of the highest mortality was spring. The success of suicide and the time variation were similar. Most of the un-transferred patients also selected fatal suicide attempts compared to transfer patients. Conclusion: Unlike previous studies, this study includes information on un-transferred patients. Overall, the probability of death was highest as more than 50 years men chose hanging as a method, which had an influence on the un-transferred patients group.

조류인플루엔자 재난대응훈련 시뮬레이션 기술연구 (A Study on the Simulation and Analysis of the Emergency Response Training for Highly Pathogenic Avian Influenza)

  • 강민식
    • 한국전자통신학회논문지
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    • 제14권1호
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    • pp.19-26
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    • 2019
  • 전 세계적으로 가상현실(VR)의 이슈화를 따라 많은 분야에서 가상현실(VR) 기술을 접목하여 새로운 콘텐츠를 개발하고 있다. 가상현실은 가상의 공간에서도 인간이 가진 감각을 그대로 인지할 수 있도록 해주는 기술이며, 이는 현실적인 공간의 제약을 받지 않고 가상의 공간에서 사용자가 직접 체험 할 수 있다는 점에서 차세대 기술로 주목 받고 있다. 가상현실기술은 게임, 의학, 교육 등 다양한 분야에서 활용되고 있으며 특히 가상현실을 활용한 시뮬레이션이 주목받고 있다. 가상현실을 활용한 시뮬레이션도 운동, 교육, 재난 모의 훈련 등 다양한 분야에서 응용되고 활용되고 있지만 바이러스 전염에 의한 질병에 관한 연구는 미미한 실정이다. 본 연구에서는 조류인플루엔자 재난 대응 훈련 시뮬레이션에 대한 기술검토 및 분석연구를 진행하였다. 우리나라에서 해마다 발생하고 있는 조류인플로엔자는 매년 되풀이되지만, 정작 막아줄 수 있는 해결책이나 예방법은 아직 부족한 실정이다. 조류인플루엔자는 사회적으로 큰 파장을 일으키고 경제적으로 막대한 피해를 가져올 수 있다. 조류인플루엔자나 구제역과 같은 가축전염병은 농가에 미치는 피해 범위가 크기 때문에 사전 예방이 중요하다. 따라서 본 연구에서는 제시하는 조류인플루엔자 재난 대응 시뮬레이션을 통해 예방 할 수 있는 콘텐츠를 제시하고 분석하였다.

데이터 마이닝 기법을 이용한 소규모 악성코드 탐지에 관한 연구 (A Study on Detection of Small Size Malicious Code using Data Mining Method)

  • 이택현;국광호
    • 융합보안논문지
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    • 제19권1호
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    • pp.11-17
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    • 2019
  • 최근 인터넷 기술을 악용하는 행위로 인하여 경제적, 정신적 피해가 증가하고 있다. 특히, 신규로 제작되거나 변형된 악성코드는 기존의 정보보호 체계를 우회하여 사이버 보안 위협의 기본 수단으로 활용되고 있다. 이를 억제하기 위한 다양한 연구가 진행되었지만, 실제 악성코드의 많은 비중을 차지하는 소규모 실행 파일에 대한 연구는 미진한 편이다. 본 연구에서는 기존에 알려진 소규모 실행 파일의 특징을 데이터마이닝 기법으로 분석하여 알려지지 않은 악성코드 탐지에 활용할 수 있는 모델을 제안한다. 데이터 마이닝 분석 기법에는 나이브베이지안, SVM, 의사결정나무, 랜덤포레스트, 인공신경망 등 다양하게 수행하였으며, 바이러스토탈의 악성코드 검출 수준에 따라서 개별적으로 정확도를 비교하였다. 결과적으로 분석 파일 34,646개에 대하여 80% 이상의 분류 정확도를 검증하였다.

Cloninger의 이론을 활용한 사상체질 생리심리 지표 연구 (Universal index for Sasang typology using Cloninger's biopsychological theory)

  • 채한;전은상;임수혜;이수진
    • 사상체질의학회지
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    • 제31권3호
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    • pp.34-47
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    • 2019
  • Introduction Cloninger's Novelty-Seeking (NS) and Harm-Avoidance (HA) were found to be the biopsychological characteristic of Sasang typology, and the So-Yang type has high NS and low HA however the So-Eum type as contrary. The purpose of this study was to show the clinical usefulness of these measures as objective clinical index of Sasang typology in foreign countries lacking validated measures. Methods The Sasang type of 103 university students was diagnosed using Questionnaire for Sasang Constitution Classification (QSCC) II and clinical specialist, and biopsychological and physical features with NS, HA, Sasang Personality Questionnaire (SPQ) and BMI. These measures were normalized to make a noble index of 'NS(100-HA)', and the correlation among these were examined with Pearson's correlation. The differences of biopsychological and physical features between Sasang type groups were attested with ANCOVA, and the comparison of clinical usefulness of SPQ and NS(100-HA) were examined with discriminant analysis. Results SPQ and BMI were clinically useful for Sasang typology as shown in previous studies, and the substitution of SPQ with normalized NS(100-HA) was found acceptable. The NS(100-HA) is significantly correlated with SPQ (r=0.466, p<0.01), however not with BMI (r=0.079, ns). The SPQ and NS(100-HA) scores were found to be distinctive between Sasang type groups, and these were found to predict Sasang type of participants with similar correctness. Discussion and Conclusion The current study reviewed the theoretical backgrounds and confirmed the clinical usefulness of Cloninger's biopsychological theory in Sasang typology. These might provide foundations for integrative medicine and cross-cultural biopsychology of the East and West.

병역판정검사를 위해 일 대학병원 정신건강의학과에 내원한 환자들의 초기 부적응 스키마와 관련 인지 기능 특성 (Characteristics of Early Maladaptive Schemas and Associated Cognitive Functions in Visitors to the Psychiatric Department in a University Hospital for Military Designation Process)

  • 정연재;이승재
    • 대한불안의학회지
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    • 제15권2호
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    • pp.68-76
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    • 2019
  • Objective : The goal of this study was to investigate the characteristics of early maladaptive schemas (EMSs), and associated neurocognitive functions as seen in visitors for military designation process. Methods : This retrospective study included 111 males aged 18 to 24 years among three groups: 41 visitors for military designation process (VMD), 21 patients with obsessive-compulsive disorder (OCD), and 49 healthy subjects. We collected the results of the Young Schema Questionnaire, Symptom Checklist-90-Revised, three neurocognitive tests as well as their clinicodemographic data. We analyzed the differences in EMSs between these three groups, and the correlations among the identified EMSs and neurocognitive performances within the VMD group. Results : Compared with both the OCD and healthy groups, the evaluation of the VMD group showed significantly higher scores in mistrust/abuse (F=6.4, p=0.002), vulnerability to harm (F=6.6, p<0.0001) and negativity/pessimism schema (F=7.3, p<0.0001), even when controlling for depression scores and levels of education. These three schemas also exhibited significant negative correlations with the score of Stroop test with r ranging from -0.34 to -0.44. Conclusion : These findings suggest that people who are likely to have difficulties adjusting to living in a military life may have psychological vulnerabilities related to certain EMSs. Further studies are warranted to test the clinical potentials of these findings, such as a treatment target and a predictor factor.

대화시스템 미지원 도메인 검출에 관한 조사 (Survey on Out-Of-Domain Detection for Dialog Systems)

  • 정영섭;김영민
    • 융합정보논문지
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    • 제9권9호
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    • pp.1-12
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    • 2019
  • 대화시스템은 인간과 컴퓨터 사이의 새로운 의사소통 수단으로 떠오르고 있다. 대화시스템은 인간의 음성을 입력으로 취하여, 적절한 음성 답변 또는 서비스를 제공하게 된다. 아마존 에코, 네이버 웨이브 등과 같은 대화시스템 제품들이 등장하고 있음에도 불구하고, 이 대화시스템들은 공통적으로 미지원 도메인을 제대로 처리하지 못한다는 문제점을 안고 있다. 이와 관련한 몇몇 연구들이 있었지만, 이 문제를 풀기 위한 더욱 많은 연구가 진행될 필요가 있다. 이 논문에서는, 미지원 도메인 검출과 관련한 기존 연구들에 대하여 3가지 관점, 즉 데이터, 자질, 방법에 대한 관점으로 요약한 정보를 제공한다. 데이터셋이 부족하다는 점으로 인해 타 연구분야에 비해 적은 연구가 수행되어왔으므로, 앞으로 가장 시급한 연구 주제는 대화시스템의 미지원 도메인 검출을 위한 공개용 데이터셋을 구축하고 배포하는 것이다.

화목 연료 난방설비의 화재 위험 감소 방안에 관한 이론적 연구 (Study on the effective response method to reduce fire risk of wood fuel heating system)

  • 박경진;이봉우;이근출;남기훈
    • 한국산업융합학회 논문집
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    • 제22권2호
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    • pp.163-171
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    • 2019
  • Recently, rural housing in urban areas has been increasing due to the improvement of income level. With the increase of the construction of the power house, the installation of the heating system using the harmonious fuel for the purpose of heating and the beauty of the room is increasing rapidly. In addition to the increasing use of firewood heating equipment, the incidence of fire is also increasing. Analysis of the National Fire Data System of the Fire Department The result of the analysis of the National Fire Data System Many parts of the fire are incinerated by the accumulation of tar due to the incompleteness of periodic cleaning inside the cylinder. The distance between the fire extinguisher and the combustible materials such as ceiling, Resulting in fire. In addition, it was found that much of the fire of the firewood heating system in the time zone occurs during the sleeping and resting time and there is not enough time for the residents to cope. This, in turn, causes serious harm to the lives and property of the users of the pyrotechnic heating system. Therefore, in this study, domestic and foreign standards and laws related to fuel oil heating facilities were analyzed and 12 cases of fire accidents were analyzed. Through the revision of the fire prevention and firefighting facilities installation and maintenance law, the installation standards of the alarm and fire extinguishing facilities were presented.

Performance of passive and active MTMDs in seismic response of Ahvaz cable-stayed bridge

  • Zahrai, Seyed Mehdi;Froozanfar, Mohammad
    • Smart Structures and Systems
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    • 제23권5호
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    • pp.449-466
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    • 2019
  • Cable-stayed bridges are attractive due to their beauty, reducing material consumption, less harm to the environment and so on, in comparison with other kinds of bridges. As a massive structure with long period and low damping (0.3 to 2%) under many dynamic loads, these bridges are susceptible to fatigue, serviceability disorder, damage or even collapse. Tuned Mass Damper (TMD) is a suitable controlling system to reduce the vibrations and prevent the threats in such bridges. In this paper, Multi Tuned Mass Damper (MTMD) system is added to the Ahvaz cable stayed Bridge in Iran, to reduce its seismic vibrations. First, the bridge is modeled in SAP2000 followed with result verification. Dead and live loads and the moving loads have been assigned to the bridge. Then the finite element model is developed in OpenSees, with the goal of running a nonlinear time-history analysis. Three far-field and three near-field earthquake records are imposed to the model after scaling to the PGA of 0.25 g, 0.4 g, 0.55 g and 0.7 g. Two MTMD systems, passive and active, with the number of TMDs from 1 to 8, are placed in specific points of the main span of bridge, adding a total mass ratio of 1 to 10% to the bridge. The parameters of the TMDs are optimized using Genetic Algorithm (GA). Also, the optimum force for active control is achieved by Fuzzy Logic Control (FLC). The results showed that the maximum displacement of the center of the bridge main span reduced 33% and 48% respectively by adding passive and active MTMD systems. The RMS of displacement reduced 37% and 47%, the velocity 36% and 42% and also the base shear in pylons, 27% and 47%, respectively by adding passive and active systems, in the best cases.

Introduction of bacterial and viral pathogens from imported ornamental finfish in South Korea

  • Choi, Hee Jae;Hur, Jun Wook;Cho, Jae Bum;Park, Kwan Ha;Jung, Hye Jin;Kang, Yue Jai
    • Fisheries and Aquatic Sciences
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    • 제22권2호
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    • pp.5.1-5.9
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    • 2019
  • Background: Live fish import may lead to the unintended introduction of pathogens. We examined the monthly distribution of microbial pathogens in ornamental finfish imported into South Korea over a 6-month period. Results: Vibrio alginolyticus was detected in one lemon damsel in June and July; V. vulnificus was detected in one lemon damsel, one caerulean damsel, and one pearl-spot chromis and one ocellaris clownfish in July, April, and May, respectively; Photobacterium damselae was detected in one ocellaris clownfish and one caerulean damsel in June and July, respectively; V. anguillarum was detected in one pearl-spot chromis in February; V. harveyi was detected in one ocellaris clownfish and two mandarin fish in February and April, respectively; Yersinia ruckeri was detected in a pearlscale goldfish group in June and July and in two colored carp groups in July; and Lactococcus garvieae was detected in a lemon damsel group and a sutchi catfish group in July and May, respectively. European catfish virus, the only viral pathogen detected, was found in two sutchi catfish groups in May. Conclusion: This study is the first to identify pathogenic species and the presence or absence of pathogens (non-quarantine diseases) in imported ornamental finfish. These results demonstrate that various pathogens with the potential to harm indigenous fish populations can accompany ornamental finfish imported into South Korea.

대법원 판례로 살펴본 무면허 한방의료행위의 법리 (The Legal Aspect of Supreme Court Cases on the Unlicensed Medical Practice of Korean Medicine)

  • 이해웅
    • 대한예방한의학회지
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    • 제23권1호
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    • pp.15-26
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    • 2019
  • Background and Aim : Health care and cosmetics as well as quality of life is now a matter of concern and many categories of complementary and alternative medicine fall into the territory of the medical practice of Korean medicine. Accordingly, penalties are being taken for unlicensed medical practices of Korean medicine in so called complementary and alternative medicine area. There is a possibility of violating the law for the public part because it is not clearly stipulated in the law as to what is a licensed medical practice. Materials and Method : The significance of the Medical Service Act and the Act on Special Measures for the Control of Public Health Crimes were reviewed, and the related supreme court cases were discussed upon the legal aspect of processing the unlicensed medical practice of Korean medicine. The legal information was provided from the National Law Information Center of the Ministry of Government Legislation, and the information websites of the Supreme Court and the Constitutional Court. Results : The concept of medical practice, which is essential in judging the case of unlicensed medical practice, is 'prevention and treatment of diseases through diagnosis, examination, prescribing, medication, or surgical procedures based on medical expertise', and the 'acts that may result in harm and injury of health unless performed by a medical person'. With respect to the medical practice of Korean medicine, the concept includes 'prevention and treatment of diseases using the principle of traditional Korean Medicine'. Conclusions : The concept of medical practice should be clearly stipulated in the law for the control over the unlicensed medical practices of Korean medicine. And it is important to move from the current concept of medical person-oriented medical practice emerging from the national system of healthcare control, to a concept that can accept the era of health managing-oriented medical environment and the co-governance of the healthcare providers and consumers for the future.