• 제목/요약/키워드: Health service research

검색결과 2,918건 처리시간 0.039초

Dose Effect of Phytosanitary Irradiation on the Postharvest Quality of Cut Flowers

  • Kwon, Song;Kwon, Hye Jin;Ryu, Ju Hyun;Kim, Yu Ri
    • 인간식물환경학회지
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    • 제23권2호
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    • pp.171-178
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    • 2020
  • The present study was conducted to determine the effects of electron beam irradiation on the postharvest quality of cut flowers. Cut flowers were irradiated with electron beam at 100, 200, 400, 600, 800, 1,000, and 2,000 Gy with a 10 MeV linear electron beam accelerator to evaluate their irradiation tolerance. Postharvest quality was determined by monitoring fresh weight loss, flower longevity, flower diameter, flowering rate, visual quality of flowers and leaves, and chlorophyll content. Cut flowers showed a radiation-induced damage with increasing the irradiation dose. Flower longevity and fresh weight of cut flowers decreased when the irradiation dose was increased. Flower bud opening was also inhibited in a dose-dependent manner. The effective irradiation doses for 10% reduction of postharvest quality (ED10) values were 144.4, 451.6, and 841.2 Gy in the 'Medusa' lily, 'Montezuma' carnation, and 'Rosina White' eustoma, respectively. Although tolerance of cut flowers to electron beam irradiation vary according to species, cultivars, or maturity stage conditions, it is conceivable that 'Montezuma' carnation and 'Rosina White' eustoma could be tolerated and maintained overall postharvest quality up to 400 Gy, the generic irradiation dose approved by the Animal and Plant Health Inspection Service (APHIS) and the International Plant Protection Convention (IPPC) for postharvest phytosanitary treatments.

Secure SLA Management Using Smart Contracts for SDN-Enabled WSN

  • Emre Karakoc;Celal Ceken
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • 제17권11호
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    • pp.3003-3029
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    • 2023
  • The rapid evolution of the IoT has paved the way for new opportunities in smart city domains, including e-health, smart homes, and precision agriculture. However, this proliferation of services demands effective SLAs between customers and service providers, especially for critical services. Difficulties arise in maintaining the integrity of such agreements, especially in vulnerable wireless environments. This study proposes a novel SLA management model that uses an SDN-Enabled WSN consisting of wireless nodes to interact with smart contracts in a straightforward manner. The proposed model ensures the persistence of network metrics and SLA provisions through smart contracts, eliminating the need for intermediaries to audit payment and compensation procedures. The reliability and verifiability of the data prevents doubts from the contracting parties. To meet the high-performance requirements of the blockchain in the proposed model, low-cost algorithms have been developed for implementing blockchain technology in wireless sensor networks with low-energy and low-capacity nodes. Furthermore, a cryptographic signature control code is generated by wireless nodes using the in-memory private key and the dynamic random key from the smart contract at runtime to prevent tampering with data transmitted over the network. This control code enables the verification of end-to-end data signatures. The efficient generation of dynamic keys at runtime is ensured by the flexible and high-performance infrastructure of the SDN architecture.

경항통 및 경추 추간판 탈출증의 한의진료 임상현황조사를 위한 웹기반 설문조사 (A Web-based Survey for Assessment of Korean Medical Treatment Clinical Practice Patterns for Neck Pain and Cervical Intervertebral Disc Displacement)

  • 서창용;이윤재;김미령;배영현;김호선;김노현;양규진;이기범;하인혁
    • Journal of Acupuncture Research
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    • 제33권4호
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    • pp.65-72
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    • 2016
  • Objectives : While neck pain is highly prevalent in Korea, studies examining its Korean medical treatment are currently lacking. The aim of this study was to assess current Korean medical treatment practice patterns for neck pain. Methods : A preliminary questionnaire was developed to investigate current practice patterns of neck pain and cervical intervertebral disc displacement (IDD) treatment, and underwent further revision through external review. The final questionnaire was distributed as a web-based survey to 18,289 potential respondents by email. Results : The response rate was 3.34 %. Most participants replied that they received multiple Korean medicine interventions for neck pain treatment consisting of such methods as acupuncture, wet cupping, interferential current therapy and electroacupuncture. A total of 378 respondents acknowledged that diagnostic testing was needed for neck pain treatment. The most commonly used Korean Standard Classification of Diseases (KCD) principal diagnosis code for neck pain was M542, and for cervical IDD was M501. Conclusion : This survey study helps determine current practice patterns of neck pain, and recognizes the need for use of diagnostic devices in neck pain treatment. These results are further anticipated to provide basic data for clinical practice guidelines (CPGs) and future studies using Korean National Health Insurance and Health Insurance Review & Assessment Service data.

텍스트 마이닝을 활용한 노인장기요양보험에서의 작업치료: 2007-2018년 (Occupational Therapy in Long-Term Care Insurance For the Elderly Using Text Mining)

  • 조민석;백순형;박엄지;박수희
    • 고령자・치매작업치료학회지
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    • 제12권2호
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    • pp.67-74
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    • 2018
  • 목적 본 연구의 목적은 텍스트 마이닝이라는 빅데이터 분석 기법 중 하나를 활용하여 노인장기요양보험에서 작업치료의 역할을 정량적으로 분석하는 것이다. 연구방법 신문기사 분석을 위해 2007~208년까지 기간 설정 후 "노인장기요양보험+작업치료"를 주제어로 수집하였다. Textom이라는 웹 크롤링(Web Crawling)을 활용해 국내 검색엔진 네이버에서 <네이버뉴스>의 데이터베이스를 활용하였다. 수집결과 노인장기요양보험+작업치료 검색에서 510편의 뉴스 데이터의 기사제목과 원문을 수집한 후 연도별 기사 빈도, 핵심어분석을 시행하였다. 연구결과 연도별 기사 발행 빈도를 살펴보면 2015년과 2017년 발행한 기사 수가 70편(13.7%)으로 가장 많았고, 핵심어 분석 상위 10개의 용어는 '치매'(344)가 가장 많았으며, 작업과 핵심어의 관례를 알아보면, 치매, 치료, 병원, 건강, 서비스, 재활, 시설, 제도, 등급, 어르신, 전문, 급여, 공단, 국민이 관련이 있는 것으로 나타났다. 결론 본 연구에서는 텍스트 마이닝 기법을 통해 11년간의 노인장기요양보험의 언론 보도 동향을 토대로 관련 핵심 키워드에서 치매와 재활에 대해 사회적 요구와 작업치료사의 역할을 보다 객관적으로 확인하였다는 점에서 의의가 있다. 이 결과를 바탕으로 다음 연구에서는 연도에 따른 다양한 분석방법을 통해 연구방법론을 보완하여야 할 것이다.

체지방 감소에 대한 털부처꽃 추출물의 효과: 무작위배정, 이중눈가림, 대조군 비교 인체적용시험 프로토콜 (Effect of Lythrum salicaria Extract on Body Fat Reduction: A Protocol for a Randomized, Double-Blinded, Placebo-Controlled Clinical Trial)

  • 박혜진;허인;박예진;안효진;신수;차윤엽
    • 한방비만학회지
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    • 제24권1호
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    • pp.87-93
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    • 2024
  • Objectives: Obesity is a globally prevalent public health issue. Hence, there is a need for the development of safer and more effective anti-obesity drugs. Lythrum salicaria, a traditional medicinal herb used for centuries, has been reported to improve lipid metabolism and fat accumulation. It also has a low toxicity profile. Therefore, its potential as a functional ingredient in health functional foods needs to be evaluated. Methods: In this randomized, double-blind, placebo-controlled clinical trial, 90 participants will be randomly assigned to either the experimental or control group. Each subject will orally receive L. salicaria extract (1,350 mg/day) (500 mg L. salicaria+850 mg lactose as vehicle) or lactose (1,350 mg/day) as a hard capsule formula for 84 days (12 weeks). The primary outcome will be body fat mass (kg), which will be assessed using dual-energy x-ray absorptiometry (DXA) (performed only at visits 2 and 4). Secondary outcomes include body mass index, body weight, waist-to-hip ratio, body fat percentage (%) measured using DXA, lean body mass (kg) measured using DXA (assessed only at visits 2 and 4), lipids (total cholesterol, triglyceride, high-density lipoprotein cholesterol, and calculated low-density lipoprotein cholesterol), free fatty acid, high sensitivity C-reactive protein, adiponectin, and leptin. Conclusions: This protocol will be implemented after approval of Institutional Review Board of Pusan National University Korean Medicine Hospital (approval number: PNUKHIRB-2022-08-002) and registration with the Korean National Clinical Research Information Service (CRIS) (CRIS-KCT0008060). The results of this trial will provide potential of L. salicaria as a new anti-obesity functional food with fat-reducing effects and low toxicity.

하구 순환 유지 여부에 따른 하구 주요 생물 군집별 다양성 특성 연구: 열린하구와 닫힌하구에서의 γ-, α- 및 β-다양성 비교 (Comparative Analysis of Diversity Characteristics (γ-, α-, and β-diversity) of Biological Communities in the Korean Peninsula Estuaries)

  • 오혜지;장민호;김정희;김용재;임성호;원두희;문정숙;권순현;장광현
    • 생태와환경
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    • 제55권1호
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    • pp.84-98
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    • 2022
  • 하구 생태계는 담수와 해수의 혼합으로 형성되는 전이수역(transitional waters)이라는 특이성을 가지며, 염분 및 영양염 농도와 같은 수질 환경이 서로 다른 다양한 서식처를 구성하고 있어 생물 다양성 측면에서 매우 중요하게 여겨진다. 하구 순환은 수질은 물론 하상과 같은 물리학적 환경의 구배(gradient)를 유발하여 최종적으로 생물 군집 조성에 영향을 주는 주요 기작으로, 순환이 단절될 경우 기수역 형성을 저해하고 생물의 이동을 차단하게 되어 생물상의 공간 분포, 즉 다양성에 영향을 미치게 된다. 본 연구에서는 하구 수생태계 건강성 평가 대상 지점 중 상류부터 하류까지 공간 구배에 따른 생물 다양성 평가가 가능한 복수 지점들로 구성된 하구를 선별하여 부착돌말류, 저서성 대형무척추동물 및 어류 군집을 대상으로 α-, γ- 및 β-다양성을 산출, 그 경향을 파악하여 열린하구와 닫힌하구 간 비교를 통해 하구 순환 유지·단절에 따른 하구 구간 내 종 다양성 변동 경향을 파악하였다. 그 결과, 모든 분류군에서 하구를 포함한 하천 구간 전체의 종 다양성을 나타내는 γ-다양성이 닫힌하구와 비교했을 때 열린하구에서 평균적으로 높은 경향이 나타났으며, 구간 내 지점 간 종 다양성 변동을 의미하는 β-다양성의 경우, 저서생물에서만 열린·닫힌하구 간 차이가 비교적 뚜렷하게 나타나 하구 순환 단절이 하구 구간 내 지점들 간 저서생물 종 조성 및 풍부도의 공간적 이질성(heterogeneity)을 감소시키는 요인으로 작용한 것으로 판단된다. 수질 환경 구배에 따른 각 생물 군집의 하구 구간 내 지점별 α-다양성 및 β-다양성에 기여하는 정도(LCBD, LCBDt, LCBDn)의 반응을 파악하고자 상관관계 분석을 실시한 결과, 열린하구 대비 닫힌하구에서 대체로 보다 높은 상관계수(r)가 분석되었으며 두 하구 유형에서 보여지는 상관관계가 상반되는 경향을 보였으나, 대부분 r 값이 ±0.4 이하로 지점별 다양성 지수와 환경 요인 간에는 뚜렷한 상관성은 나타나지 않았다. 향후 생물 기능군(functional group), 생활사와 같은 군집별 특성을 고려하여 다양성에 영향을 줄 수 있는 서식처 환경요인(예: 유속, 하상)들과의 추가적인 관계 분석을 통해 하구 순환 유지 여부에 따른 생물 군집의 반응을 이해한다면 생물 다양성 관리에 활용 가능할 것으로 판단된다. 한편, 본 연구에서는 분석 대상 하구의 생물 다양성 현황을 바탕으로 형산강 및 교성천 하구에서 부착돌말류, 발안천 하구에서 저서생물, 교청선, 불갑천 및 판교천(서천) 하구에서 어류 군집의 γ- 및 β-다양성이 낮게 나타나는 것을 파악하였으며, 이러한 현황 파악은 지속적으로 하구 수생태 모니터링을 수행하는데 있어 생물 다양성 측면에서 건강성 유지를 위한 하구 생태계 관리에 중요한 자료로 활용될 수 있도록 하였다.

The effect of clinical performance on the survival estimates of direct restorations

  • Kim, Kyou-Li;NamGung, Cheol;Cho, Byeong-Hoon
    • Restorative Dentistry and Endodontics
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    • 제38권1호
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    • pp.11-20
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    • 2013
  • Objectives: In most retrospective studies, the clinical performance of restorations had not been considered in survival analysis. This study investigated the effect of including the clinically unacceptable cases according to modified United States Public Health Service (USPHS) criteria into the failed data on the survival analysis of direct restorations as to the longevity and prognostic variables. Materials and Methods: Nine hundred and sixty-seven direct restorations were evaluated. The data of 204 retreated restorations were collected from the records, and clinical performance of 763 restorations in function was evaluated according to modified USPHS criteria by two observers. The longevity and prognostic variables of the restorations were compared with a factor of involving clinically unacceptable cases into the failures using Kaplan-Meier survival analysis and Cox proportional hazard model. Results: The median survival times of amalgam, composite resin and glass ionomer were 11.8, 11.0 and 6.8 years, respectively. Glass ionomer showed significantly lower longevity than composite resin and amalgam. When clinically unacceptable restorations were included into the failure, the median survival times of them decreased to 8.9, 9.7 and 6.4 years, respectively. Conclusions: After considering the clinical performance, composite resin was the only material that showed a difference in the longevity (p < 0.05) and the significantly higher relative risk of student group than professor group disappeared in operator groups. Even in the design of retrospective study, clinical evaluation needs to be included.

Pilot Study of Application Status for the Improvement of Weather Information in the Korean Peninsula: Focus on Extreme Heat Watch and Warnings

  • Park, Jong-Kil;Jung, Woo-Sik;Oh, Jina;Kim, Eun-Byul;Choi, Su-Jin
    • Asian Journal of Atmospheric Environment
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    • 제8권3호
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    • pp.140-153
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    • 2014
  • The extreme heat watch and warnings (EHWW) which is constructed as a part of the climate change adaptation took effect in the summer of 2008, but active response actions failed to be taken because of low perception among citizens. Therefore, a survey investigation targeting citizens residing in Busan and the Gyeongnam province was conducted in order to know the perception regarding EHWW issued by the Korea Meteorological Administration, to identify the main media through which information is acquired, and to propose an improvement measures which may enhance the usefulness and the degree of satisfaction of weather information. The results are as follows; The perception regarding EHWW was not very high as it remained at 59.8% in terms of percentile. Although the statistical significance was not fulfilled in the categories of gender or occupation, significant differences did exist among age groups. The main medium through which citizens acquired information regarding EHWW was the television, which was followed in order by the internet, acquaintances, short message service (SMS), radio, newspapers, the 131 weather hotline, and other media. The usefulness of EHWW was somewhat high (67.2%), and female students were found to utilize the information to a higher degree than male students. The statistics on the level of satisfaction regarding the weather information (65.4%) revealed that most respondents were satisfied. Housewives, professional, and the elder age groups exhibited great satisfaction, leading to the conclusions that the level of perception and interest regarding to the special weather reports (SWR) have an impact on satisfaction of SWR.

Validity and Reliability of a Dish-based, Semi-quantitative Food Frequency Questionnaire for Korean Diet and Cancer Research

  • Park, Min-Kyung;Noh, Hwa-Young;Song, Na-Yeun;Paik, Hee-Young;Park, So-Hee;Joung, Hyo-Jee;Song, Won-O;Kim, Jeong-Seon
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권2호
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    • pp.545-552
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    • 2012
  • This study evaluated the validity and reliability of applying a newly developed dish-based, semi-quantitative food frequency questionnaire (FFQ) for Korean diet and cancer research. The subjects in the present study were 288 Korean adults over 30 years of age who had completed two FFQs and four 3-day diet records (DRs) from May 2008 to February 2009. Student's t-tests, Chi-square tests, and Spearman's rank correlation coefficients were used to estimate and compare intakes from different dietary assessment tools. Agreement in quintiles was calculated to validate agreement between the results of the second FFQ (FFQ-2) conducted in February 2009 and the DRs. Median Spearman's correlation coefficients between the intake of nutrients and foods assessed by the FFQ-1 and FFQ-2 were 0.59 and 0.57, respectively, and the coefficients between the intake of nutrients and foods assessed by the FFQ-2 and the DRs were 0.31 and 0.29, respectively. The quintile classifications of same or adjacent quintile for intake of nutrients and foods were 64% and 65%, respectively. Misclassification into opposite quintiles occurred in less than 5% for all dietary factors. Thus this newly-developed, Korean dish-based FFQ demonstrated moderate correspondence with the four 3-day DRs. Its reliability and validity are comparable to those reported in other studies.

원전 코호트 연구의 적정 대상규모와 검정력 추정 (Power Estimation and Follow-Up Period Evaluation in Korea Radiation Effect and Epidemiology Cohort Study)

  • 조인성;송민교;최윤희;이충민;안윤옥
    • Journal of Preventive Medicine and Public Health
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    • 제43권6호
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    • pp.543-548
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    • 2010
  • Objectives: The objective of this study was to calculate sample size and power in an ongoing cohort, Korea radiation effect and epidemiology cohort (KREEC). Method: Sample size calculation was performed using PASS 2002 based on Cox regression and Poisson regression models. Person-year was calculated by using data from '1993-1997 Total cancer incidence by sex and age, Seoul' and Korean statistical informative service. Results: With the assumption of relative risk=1.3, exposure:non-exposure=1:2 and power=0.8, sample size calculation was 405 events based on a Cox regression model. When the relative risk was assumed to be 1.5 then number of events was 170. Based on a Poisson regression model, relative risk=1.3, exposure:non-exposure=1:2 and power=0.8 rendered 385 events. Relative risk of 1.5 resulted in a total of 157 events. We calculated person-years (PY) with event numbers and cancer incidence rate in the nonexposure group. Based on a Cox regression model, with relative risk=1.3, exposure:non-exposure=1:2 and power=0.8, 136 245PY was needed to secure the power. In a Poisson regression model, with relative risk=1.3, exposure:non-exposure=1:2 and power=0.8, person-year needed was 129517PY. A total of 1939 cases were identified in KREEC until December 2007. Conclusions: A retrospective power calculation in an ongoing study might be biased by the data. Prospective power calculation should be carried out based on various assumptions prior to the study.