• 제목/요약/키워드: Individual screening

검색결과 271건 처리시간 0.026초

Correlation Between Nitrogen Dioxide as an Air Pollution Indicator and Breast Cancer: a Systematic Review and Meta-Analysis

  • Keramatinia, Aliasghar;Hassanipour, Soheil;Nazarzadeh, Milad;Wurtz, Morten;Monfared, Ayad Bahadori;Khayyamzadeh, Maryam;Bidel, Zeinab;Mhrvar, Narges;Mosavi-Jarrahi, Alireza
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권1호
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    • pp.419-424
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    • 2016
  • Background: The aim of this systematic review was to study the relationship between exposure to nitrogen dioxide ($NO_2$) in the ambient air and breast cancer incidence. Materials and Methods: A systematic review was performed based on the MOOSE guideline for review of observational studies. We searched five online databases (PubMed, Science Direct, Google Scholar, EBSCO, and Scopus) from their conception to June 2014. A pooled estimate of the correlation between $NO_2$ exposure and breast cancer incidence was calculated using Pearson's correlation coefficient. Results: A total of 654 titles were retrieved in the initial search of the databases. Further refinement and screening of the retrieved studies produced a total of five studies from four countries. The studies included three ecological studies (aggregate level) and two individual based studies (one prospective cohort and the other one a case-control study). The ecological studies were pooled and the meta-analysis of correlation coefficient without z transformation showed a pooled estimate of r = 0.89 with 95% CI of 0.84 to 0.95. Using z transformation, the pooled r was 1.38 with 95%CI of 1.11 to 1.59. No significant heterogeneity between studies was observed. Following a sensitivity analysis and the removal of each study from pooled analysis we did not see any significant change in the pooled estimate. Conclusions: It was concluded that there is a tendency toward a weak association between exposure to $NO_2$ in ambient air and breast cancer at the individual level and a significant association at the aggregate level.

클라우드기반 u-헬스케어 시스템을 위한 보안 이슈 및 요구사항 분석 (Security issues and requirements for cloud-based u-Healthcare System)

  • 이영실;김태용;이훈재
    • 한국정보통신학회:학술대회논문집
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    • 한국정보통신학회 2014년도 춘계학술대회
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    • pp.299-302
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    • 2014
  • 디지털 기기 간 융합과 무선 통신 기술의 발전, 생체신호 측정 센서의 소형화, 종이나 수기로 관리되던 의료관련 정보를 디지털화한 전자의무기록(EMR, Electronic Medical Record) 구축 및 전자건강기록(EHR, Electronic Health Record)의 도입 등으로 인해 '언제 어디서나' 자신의 건강 상태를 모니터링하고 개인 맞춤 건강관리 서비스를 받을 수 있는 Ubiquitous Healthcare (u-헬스케어) 시대가 도래하였다. 또한 클라우드 컴퓨팅(Cloud computing) 기술의 등장은 u-헬스케어 서비스의 발전을 더욱 가속화시키고 있는 요인 중 하나이다. 그러나 이러한 u-헬스케어 서비스 활용 과정에서 개인의 정보가 악의적으로 사용될 경우 정확하고 신뢰성 있는 헬스케어 서비스를 제공받지 못할 뿐만 아니라 단순 건강 검진 및 치료의 수준을 넘어 크게는 개인의 생명과 직결되는 심각한 문제를 초래한다. 이에 본 논문에서는 클라우드 컴퓨팅 환경에서의 u-헬스케어 서비스와 관련된 다양한 보안 이슈를 분석하고 이를 토대로 안전한 보안 의료정보 공유 시스템 구축을 위한 보안 요구사항에 대하여 서술한다. 더불어 향후 국내 u-헬스케어 산업 활성화를 위한 발전방향에 대하여 논하고자 한다.

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The Korea Cohort Consortium: The Future of Pooling Cohort Studies

  • Lee, Sangjun;Ko, Kwang-Pil;Lee, Jung Eun;Kim, Inah;Jee, Sun Ha;Shin, Aesun;Kweon, Sun-Seog;Shin, Min-Ho;Park, Sangmin;Ryu, Seungho;Yang, Sun Young;Choi, Seung Ho;Kim, Jeongseon;Yi, Sang-Wook;Kang, Daehee;Yoo, Keun-Young;Park, Sue K.
    • Journal of Preventive Medicine and Public Health
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    • 제55권5호
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    • pp.464-474
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    • 2022
  • Objectives: We introduced the cohort studies included in the Korean Cohort Consortium (KCC), focusing on large-scale cohort studies established in Korea with a prolonged follow-up period. Moreover, we also provided projections of the follow-up and estimates of the sample size that would be necessary for big-data analyses based on pooling established cohort studies, including population-based genomic studies. Methods: We mainly focused on the characteristics of individual cohort studies from the KCC. We developed "PROFAN", a Shiny application for projecting the follow-up period to achieve a certain number of cases when pooling established cohort studies. As examples, we projected the follow-up periods for 5000 cases of gastric cancer, 2500 cases of prostate and breast cancer, and 500 cases of non-Hodgkin lymphoma. The sample sizes for sequencing-based analyses based on a 1:1 case-control study were also calculated. Results: The KCC consisted of 8 individual cohort studies, of which 3 were community-based and 5 were health screening-based cohorts. The population-based cohort studies were mainly organized by Korean government agencies and research institutes. The projected follow-up period was at least 10 years to achieve 5000 cases based on a cohort of 0.5 million participants. The mean of the minimum to maximum sample sizes for performing sequencing analyses was 5917-72 102. Conclusions: We propose an approach to establish a large-scale consortium based on the standardization and harmonization of existing cohort studies to obtain adequate statistical power with a sufficient sample size to analyze high-risk groups or rare cancer subtypes.

Measurement of Methane Production from Ruminants

  • Bhatta, Raghavendra;Enishi, Osamu;Kurihara, Mitsunori
    • Asian-Australasian Journal of Animal Sciences
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    • 제20권8호
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    • pp.1305-1318
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    • 2007
  • On a global scale agriculture and in particular enteric fermentation in ruminants is reported to produce about one fourth (21 to 25%) of the total anthropogenic emissions of methane ($CH_4$). Methane is produced during the anaerobic fermentation of hydrolyzed dietary carbohydrates in the rumen and represents an energy loss to the host besides contributing to emissions of greenhouse gases into the environment. However, there appears to be uncertainty in the $CH_4$ estimation from livestock due to the limited availability of data to document the variability at the farm level and also due to the significant impact of diet on the enteric $CH_4$ production. The methane mitigation strategies require robust prediction of emissions from rumen. There are many methods available which would be suitable for measuring $CH_4$ produced from the various stages of animal production. However, several factors need to be considered in order to select the most appropriate technique like the cost, level of accuracy required and the scale and design of the experiments to be undertaken. Selection of any technique depends on the accuracy as each one has its advantages and disadvantages. Screening of mitigation strategies may be evaluated using individual animal before large-scale trials on groups of animals are carried out. In this review various methods for the estimation of methane production from ruminants as well as for the determination of methane production potential of ruminant feeds are discussed. The advantages and disadvantages of the methods starting from respiration chamber, ventilated hood, facemask, sulphur hexafluoride ($SF_6$) tracer technique, prediction equations and meteorological methods to in vitro methods are detailed.

외상 후 스트레스 장애에 대한 한방정신요법 기반 심리치료 개발 및 예비적 임상시험 (Development of Korean Medical Psychotherapy and Preliminary Clinical Trial for Post Traumatic Stress Disorder)

  • 김진형;서주희;이고은;김남권;최성열;유영수;강형원
    • 동의신경정신과학회지
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    • 제26권1호
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    • pp.49-61
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    • 2015
  • Post traumatic stress disorder (PTSD) is an anxiety disorder that usually occurs after suffering from a psychological trauma that can not threatening events, which is one of the individual's subjective pain and their families and the larger society due to the chronic disease burden results. Treatment with a medication, as well as cognitive behavioral therapy (CBT), exposure therapy, prolonged exposure therapy (PE), eye-movement desensitizing, and reprocessing (EMDR) are preferentially performed, including psychotherapy. Korean medical psychotherapy consists of a wide range of manual therapy, but it does not have systematically screening limits. This study was developed by Korean medical psychotherapy program for PTSD, and it was carried out as a preliminary clinical trial for validity. The Korean medical psychotherapy program for PTSD consists of four stages as follows: building chapter of safety, flow and send, accept, and integration. Based on this preliminary clinical study of PTSD, seven patients were treated for 2 hours per week for 5 weeks. We report the meaningful results gained by observing the changes in IES-RK points, questionnaire on five-faceted mindfulness, quality of life, anxiety, depression, insomnia, hwabyung scale, HRV, and EEG, before and after the Korean medical psychotherapy program.

외국어학습능률 개선방안을 위한 학습자료 선별 시스템 구축에 관한 연구 (A study on developing a Learning material Screening system for improving foreign language learning efficiency)

  • 이재일;한정수
    • 융합정보논문지
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    • 제7권1호
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    • pp.87-92
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    • 2017
  • 본 논문은 오늘날의 외국어 학습환경의 변화에 따른 학습환경 개선 방안에 대한 실효성 있는 학습 시스템의 개발에 중점을 두고 있다. 현대 사회가 제공하는 다양한 외국어학습정보들 중에서 학습자 개인에게 특화된 학습정보와 콘텐츠만을 검색 및 추출하여 사용자 맞춤형 정보의 제공으로 학습 효율성을 증가시키는 효과를 가져 올 수 있다. 제안 시스템은 클라우드 기반의 빅데이터를 활용하여 사용자 맞춤형 학습정보를 제공하여 외국어 학습자에게 제공되는 정보의 활용성을 증대하는데 그 목적이 있다. 제안 시스템은 온라인과 오프라인 상의 다양한 학습정보 및 콘텐츠를 수집하여 클라우드에 저장하여 시공간적인 제약사항을 최소화하고 사용자의 개인정보, 수준, 관심사 등을 파악하여 사용자의 요구사항에 적합한 정보만을 추출하여 최적의 학습정보를 제공한다. 그 결과 사용자는 학습정보검색에 필요한 시간을 단축시킬 수 있고 수준에 맞는 학습정보만을 제공받음으로 인해서 학습의 효율성이 증가할 수 있을 것이다.

Cognitive abilities and speakers' adaptation of a new acoustic form: A case of a /o/-raising in Seoul Korean

  • Kong, Eun Jong;Kang, Jieun
    • 말소리와 음성과학
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    • 제10권3호
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    • pp.1-8
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    • 2018
  • The vowel /o/ in Seoul Korean has been undergoing a sound change by altering the acoustic weighting of F2 and F1. Studies documented that this on-going change redefined the nature of a /o/-/u/ contrast as F2 differences rather than as F1 differences. The current study examined two cognitive factors namely executive function capacity (EF) and autistic traits, in terms of their roles in explaining who in speech community would adapt new acoustic forms of the target vowels, and who would retain the old forms. The participants, 55 college students speaking Seoul Korean, produced /o/ and /u/ vowels in isolated words; and completed three EF tasks (Digit N-Back, Stroop, and Trail-Making Task), and an Autism screening questionnaire. The relationships between speakers' cognitive task scores and their utilizations of F1 and F2 were analyzed using a series of correlation tests. Results yielded a meaningful relationship in participants' EF scores interacting with gender. Among the females, speakers with higher EF scores were better at retaining F1, which is a less informative cue for females since they utilized F2 more than they did F1 in realizing /o/ and /u/. In contrast, better EF control among male speakers was associated with more use of the new cue (F2) where males still utilized F1 as much as F2 in the production of /o/ and /u/ vowels. Taken together, individual differences in acoustic realization can be explained by individuals' cognitive abilities, and their progress in the sound change further predicts that cognitive ability influences the utilization of acoustic information which is non-primary to the speaker.

초고주파 탐색기 신호처리부의 방열설계에 관한 연구 (A Study on the Thermal Design for A Signal Processor in the Micro-Wave Seeker)

  • 이원희;유영준;김호용
    • 한국항공우주학회지
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    • 제39권1호
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    • pp.76-83
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    • 2011
  • 본 논문에서는 초고주파 탐색기 신호처리부의 방열설계 과정을 연구하였다. 신호처리부는 고온환경조건과 초기고장배제시험 조건을 고려하여 설계되어져야 한다. 우선, 신호처리부의 열적 신뢰성 검증을 위하여 전산 열해석을 수행하였으며, 해석 결과를 바탕으로 열적으로 취약한 소자에 방열 블록을 적용하였다. 이 기술은 방열블록이 각각의 소자의 열 부하를 조절하기 때문에 효율적인 방열을 할 수 있게 된다. 다음으로 전산모델 결과와 실험 결과를 검증하였으며, 이를 통하여 신호처리부의 열적 신뢰성을 확인하였다. 또한 실험결과와 해석결과의 최대 온도차가 약 $2^{\circ}C$ 임을 알 수 있다.

인후두역류증의 진단에 있어서 후두내시경검사 소견 점수화의 유용성에 대한 재검증 (Revaluation of Reflux Finding Score(RFS) in Laryngopharyngeal Reflux(LPR))

  • 권기환;반재호;이경철
    • 대한후두음성언어의학회지
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    • 제15권2호
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    • pp.81-86
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    • 2004
  • Background and Objectives : In general, ambulatory 24-hour pH monitoring is considered the current gold standard for larynogopharyngeal reflux(LPR). There is no validated instrument whose purpose is to document the physical finding and severity of laryngopharyngeal reflux. The purposes of this study are to revaluate the validity and reliability of the reflux finding score(RFS) and to quantify laryngoscopic findings using reflux finding score. Material and Methods : Thirty-three LPR patients confirmed by dual-probe pH monitoring and thirty patients of control were selected. The RFS was documented for each patient with telescopic laryngoscopy before treatment. For test-retest intraobserver reliability assessment, a blinded laryngologists determined the RFS on two separate occasions. To evaluate interobserver reliability assessment, the RFS was determined by t재 different blinded laryngologists. Results : The mean age of the cohort with pH-documented LPR was 45.8 years and the mean RFS was 11.4. The mean age of cotrol subjects was 52 years and the mean RFS was 5.4. The mean RFS for laryngologist no. 1 was 10.8 at the initial screening and 10.9 at the repeat evaluation. The mean FRS for laryngologist no.2 was 11.1 at the intial test and 10.9 at the repeat evaluation. The correlation coefficient for interobserver variability was 0.93 and intraobserver variability was 0.94. Conclusion : The RFS demonstrates excellent inter-and introaobserver reproducibility and is helpful for quantifying laryngeal finding in LPR. We can be 95% certain that an individual with a RFS greater than 7 has LPR.

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Uncertainties in Risk Assessment

  • Hattis Dale;Froines John
    • 대한예방의학회:학술대회논문집
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    • 대한예방의학회 1994년도 교수 연수회(환경)
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    • pp.440-449
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    • 1994
  • Current risk assessment practices largely reflect the need for a consistent set of relatively rapid, first-cut procedures to assess 'plausible upper limits' of various risks. These practices have important roles to play in 1) screening candidate hazards for initial attention and 2) directing attention to cases where moderate-cost measures to control exposures are likely to be warranted, in the absence of further extensive (and expensive) data gathering and analysis. A problem with the current practices, however, is that they have led assessors to do a generally poor job of analyzing and expressing uncertainties, fostering 'One-Number Disease' (in which everything from one's social policy position on risk acceptance to one's technical judgment on the likelihood of different cancer dose-response relationships is rolled into a single quantity). At least for analyses that involve relatively important decisions for society (both relatively large potential health risks and relatively large potential economic costs or other disruptions), we can and should at least go one further step - and that is to assess and convey both a central tendency estimate of exposure and risk as well as our more conventional 'conservative' upper-confidence-limit values. To accomplish this, more sophisticated efforts are needed to appropriately represent the likely effects of various sources of uncertainty along the casual chain from the release of toxicants to the production of adverse effects. When the effects of individual sources of uncertainty are assessed (and any important interactions included), Monte Carlo simulation procedures can be used to produce an overall analysis of uncertainties and to highlight areas where uncertainties might be appreciably reduced by further study. Beyond the information yielded by such analyses for decision-making in a few important cases, the value of doing several exemplary risk assessments in. this way is that a set of benchmarks can be defined that will help calibrate the assumptions used in the larger number of risk assessments that must be done by 'default' procedures.

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