• 제목/요약/키워드: Library Use

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월경전증후군에 대한 침 치료의 효과 : 체계적 문헌고찰과 메타분석 (Acupuncture for Premenstrual Syndrome: A Systematic Review and Meta-analysis)

  • 김안나;김영은;이은희;손미주
    • 대한한방부인과학회지
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    • 제36권3호
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    • pp.154-172
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    • 2023
  • Objectives: This study aimed to assess the clinical evidence supporting the use of acupuncture (AC) for premenstrual syndrome (PMS). Methods: We searched randomized controlled trials (RCTs) that used AC for PMS in 9 databases (PubMed, EMBASE, Cochrane Library, CINAHL, CNKI, CiNii, SCIENCE ON, KoreaMed, OASIS) from their inception to July 2022. Results: We identified 1,168 studies, of which 15 RCTs met the inclusion criteria. The risk of bias in the included studies was relatively unclear or high. Meta-analysis of 3 RCTs showed that the AC group had a significantly higher effective rate than the Medroxyprogesterone group (RR 1.48, 95% CI (1.23, 1.78), p<0.0001). Meta-analysis of 2 RCTs showed that there was no statistically significant difference between the AC group and the Sham AC group in the effective rate (RR 4.72, 95% CI (0.88, 25.36), p=0.07). In a review of individual studies, the AC group was more effective than the control group in terms of the effective rate, symptom scale, quality of life, adverse events, and recurrence rate. Conclusions: The AC group was more effective than general treatments groups such as sham AC, western medicine, and dietary supplements, and there were no serious adverse events. However, the evidence on the effectiveness and safety of acupuncture for PMS was inconclusive due to the small number of included studies and low quality. Therefore, systematic reviews based on more rigorously designed randomized clinical trials are needed in the future to properly evaluate the effect of AC on PMS.

클라우드 환경에서 Log4J 취약점 분석을 통한 공격 탐지 기술 (Attack Detection Technology through Log4J Vulnerability Analysis in Cloud Environments)

  • 변정연;이상희;유채연;박원형
    • 한국정보통신학회:학술대회논문집
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    • 한국정보통신학회 2022년도 춘계학술대회
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    • pp.557-559
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    • 2022
  • 오픈소스의 사용으로 개발 환경이 편리해지고 유지보수가 보다 용이해진 장점이 있지만 보안적인 측면에서 볼 때 취약점에 노출되기 쉽다는 한계점이 존재한다. 이와 관련하여 최근에는 아파치에서 매우 광범위하게 사용되고 있는 오픈소스 로깅 라이브러리인 LOG4J 취약점이 발견되었다. 현재 이 취약점의 위험도는 '최고' 수준이며 개발자들도 이와 같은 문제점을 인지하지 못한 채 많은 시스템에 사용하고 있어 향후 LOG4J 취약점으로 인한 해킹 사고가 지속적으로 발생할 우려가 있다. 본 논문에서는 클라우드 환경에서 LOG4J 취약점에 대해서 자세하게 분석하고, 보안관제시스템에서 보다 신속하고 정확하게 취약점을 탐지할 수 있는 SNORT 탐지 정책 기술을 제안한다. 이를 통해 향후 보안 관련 입문자, 보안 담당자 그리고 기업들이 LOG4J 취약점 사태에 대비하여 효율적인 모니터링 운영과 신속하고 능동적인 대처가 가능해질 것으로 기대 한다.

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이혈요법이 근골격계 통증에 미치는 효과: 체계적 문헌 고찰 및 메타분석 (Effect of Auriculotherapy on Musculoskeletal Pain: A Systematic Review and Meta-Analysis)

  • 최선엽;김여주;김봄이
    • 대한간호학회지
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    • 제52권1호
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    • pp.4-23
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    • 2022
  • Purpose: The aim of this study was to evaluate the effect of auriculotherapy on musculoskeletal pain in adults. Methods: A total of 885 studies were retrieved from nine databases (PubMed, Scopus, CINAHL, Web of Science, Ovid Medline, Cochrane Library, RISS, KMbase, and KISS). Sixteen studies were selected for meta-analysis, which satisfied the inclusion criteria and the evaluation of risk of bias. Demographic data, auriculotherapy types, intervention characteristics, auricular points, and outcomes related to pain (subjective pain scale, and amount of analgesic) were extracted from all included studies. The effect size of auriculotherapy was analyzed through comprehensive meta analysis 3.0, and the presence of publication bias was analyzed through a funnel plot and Egger's regression. Results: The results of the meta-analysis (n = 16) revealed that the auriculotherapy was significantly superior to the control group on present pain in adults (Hedges' g = - 0.35, 95% Confidence Interval [CI] = - 0.55~- 0.15). According to the results of subgroup analysis, the effect size of auricular acupuncture therapy (Hedges' g = 0.45, 95% CI = - 0.75~- 0.15) was higher than the auricular acupuncture (Hedges' g = 0.27, 95% CI = - 0.53~0.00): the longer the intervention period, the greater the effect size. Conclusion: In this study, auriculotherapy demonstrates a significant reduction in musculoskeletal pain in adults. Therefore, it is necessary to refine the curriculum to include auriculotherapy as a nursing intervention to relieve musculoskeletal pain in adults and encourage its use in clinical settings.

DSM 진단 기준을 이용한 ADHD 진단 전문가시스템 구현 (Implementation on ADHD Diagnostic Expert System based on DSM Diagnostic Criteria)

  • 황주비;이강희
    • 예술인문사회 융합 멀티미디어 논문지
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    • 제7권11호
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    • pp.515-524
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    • 2017
  • 본 논문에서는 ADHD 진단을 해주는 전문가시스템을 설계 및 구현한다. DSM-IV-TR을 이용하여 ADHD 진단기준을 연령대에 따라 단어를 바꾸어 구체화한다. 이 진단지를 가지고 오브젝트와 해당 값을 설정하고 규칙을 생성한다. 그리고 'ADHD 진단 시스템 엔진'과 '사용자 질의응답 프로그램'으로 구성된 진단시스템을 설계한다. 'ADHD 진단 시스템 엔진'은 규칙 기반 추론 엔진으로 Prolog 언어로 구현하여, INPUT을 '사용자 질의응답 프로그램'으로부터 받는다. INPUT에 의해 규칙은 ADHD 진단기준을 기반으로 점화되며 진단결과를 추론해서 OUTPUT을 다시 '사용자 질의응답 프로그램'으로 보낸다. '사용자 질의응답 프로그램'은 Python 언어로 구현하여 사용자와의 대화를 처리하는 인터페이스 역할을 한다. 'ADHD 진단 시스템 엔진'과 '사용자 질의응답 프로그램'의 중간다리 역할을 Pyswip 라이브러리를 통해서 수행한다. 결과적으로 ADHD 진단 전문가시스템을 통해 진단비용 절감과 간편한 이용으로 치료계획에 도움을 주고자한다.

Sole Proprietorship Business Succession in Malaysia: A Perspective of Civil and Islamic Law

  • HAMDAN, Afifah;NOR MUHAMAD, Nasrul Hisyam;KAMARUDIN, Mohd Khairy;SAMAT@DARAWI, Abdul Basit;AB RAHIM, Nik Mohd Zaim;MOHAMAD NORZILAN, Nur Izzati
    • The Journal of Asian Finance, Economics and Business
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    • 제9권3호
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    • pp.285-293
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    • 2022
  • Issues relating to business inheritance are a primary focus for business owners. Business inheritance is critical to ensuring that the business can be managed by the next generation and family members can benefit from the earnings and revenues. Therefore, preliminary planning must be done while the business owner is still alive by selecting the appropriate business inheritance mechanism for Muslims in Malaysia. The mechanisms of business inheritance, notably faraid, hibah, amanah, and hibah amanah will be examined in this paper from both a civil and Islamic perspective. By reviewing written journals and previous research, this research utilizes the library method. According to this study, business succession can be carried out by naming a beneficiary as a partner in the company or by completing the ownership transfer process while the owner is still living. In the other situation, it can be done by anyone among the heirs agreeing to re-register the business as usual. Meanwhile, there are four main instruments in Islamic law that can be used: faraid, hibah, amanah, and commercial hibah. According to this study, each instrument has a different impact on business succession. Entrepreneurs should use these instruments in their firm succession planning.

Cryopreservation of mesenchymal stem cells derived from dental pulp: a systematic review

  • Sabrina Moreira Paes;Yasmine Mendes Pupo;Bruno Cavalini Cavenago;Thiago Fonseca-Silva;Carolina Carvalho de Oliveira Santos
    • Restorative Dentistry and Endodontics
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    • 제46권2호
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    • pp.26.1-26.15
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    • 2021
  • Objectives: The aim of the present systematic review was to investigate the cryopreservation process of dental pulp mesenchymal stromal cells and whether cryopreservation is effective in promoting cell viability and recovery. Materials and Methods: This systematic review was developed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement and the research question was determined using the population, exposure, comparison, and outcomes strategy. Electronic searches were conducted in the PubMed, Cochrane Library, Science Direct, LILACS, and SciELO databases and in the gray literature (dissertations and thesis databases and Google Scholar) for relevant articles published up to March 2019. Clinical trial studies performed with dental pulp of human permanent or primary teeth, containing concrete information regarding the cryopreservation stages, and with cryopreservation performed for a period of at least 1 week were included in this study. Results: The search strategy resulted in the retrieval of 185 publications. After the application of the eligibility criteria, 21 articles were selected for a qualitative analysis. Conclusions: The cryopreservation process must be carried out in 6 stages: tooth disinfection, pulp extraction, cell isolation, cell proliferation, cryopreservation, and thawing. In addition, it can be inferred that the use of dimethyl sulfoxide, programmable freezing, and storage in liquid nitrogen are associated with a high rate of cell viability after thawing and a high rate of cell proliferation in both primary and permanent teeth.

시각장애인을 위한 보행 안내 스마트 안경 플랫폼 설계 (Design of Smart Glasses Platform walking guide for the visually impaired)

  • 이재범;장종욱;장성진
    • 한국정보통신학회:학술대회논문집
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    • 한국정보통신학회 2021년도 추계학술대회
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    • pp.320-322
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    • 2021
  • 세계적으로 고령 인구가 증가함에 따라 시각장애인의 비율 역시 증가하고 있으며, 여전히 안전상에 문제, 안내정보 부족 등 시각장애인이 외부 활동을 하는 데에 있어서 많은 제약이 존재한다. 이를 해결하기 위해 광학 문자 인식(OCR) 기능이 탑재된 스마트 안경 등 스마트 기기에 관한 연구가 활발히 진행되고 있다. 본 논문에서는 전방에 장애물을 인식해 음성으로 정보를 알려주고, 목적지까지 길을 안내해주는 시스템을 제안한다. 딥러닝 객체 인식 모델인 Yolo를 이용하여 계단, 라바 콘과 같은 위험요소를 장애물로 인식하고 음성으로 정보를 전달해주며, 길 찾기 API와 음성인식, TTS 라이브러리를 사용하여 입력한 목적지까지 음성으로 길 안내를 해줌으로써 시각장애인의 외부 활동 범위가 확대되는 효과를 기대할 수 있다.

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중환자실 환자의 수면에 영향을 미치는 요인: 체계적 고찰 (Influencing factors for Sleep Disturbance in the Intensive Care Unit Patients: A Systematic Review)

  • 조영신;정선애
    • 중환자간호학회지
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    • 제16권2호
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    • pp.1-14
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    • 2023
  • Purpose : Sleep disturbances in patients in the intensive care unit (ICU) are related to health problems after discharge. Therefore, active prevention and management are required. Hence, identification of the factors that affect sleep in patients who are critically ill is necessary. Methods : The PubMed, Cochrane Library, CINAHL, EMBASE, and Web of Science databases were searched. Selection criteria were observational and experimental studies that assessed sleep as an outcome, included adult patients admitted to the ICU, and published between November 2015 and April 2022. Results : A total of 21,136 articles were identified through search engines and manual searches, and 42 articles were selected. From these, 22 influencing factors and 11 interventions were identified. Individual factors included disease severity, age, pain, delirium, comorbidities, alcohol consumption, sex, sleep disturbance before hospitalization, chronic obstructive pulmonary disease (COPD), cardiovascular disease, and high diastolic blood pressure (DBP), low hemoglobin (Hb), and low respiratory rate (RR). Environmental factors included light level, noise level, and temperature. Furthermore, treatment-related factors included use of sedatives, melatonin administration, sleep management guidelines, ventilator application, nursing treatment, and length of ICU stay. Regarding sleep interventions, massage, eye mask and earplugs, quiet time and multicomponent protocols, aromatherapy, acupressure, sounds of the sea, adaptive intervention, circulation lighting, and single occupation in a room were identified. Conclusion : Based on these results, we propose the development and application of various interventions to improve sleep quality in patients who are critically ill.

사용자 경험과 서비스 평가의 변화에 관한 연구 - 넷플릭스 앱 리뷰 토픽 모델링을 통해 (A study of changes in user experience and service evaluation - Topic modeling of Netflix app reviews)

  • 유선영;노미진;김양석;한무명초
    • 스마트미디어저널
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    • 제12권6호
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    • pp.27-34
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    • 2023
  • 코로나19로 인해 넷플릭스 사용량이 증가하면서 사용자들의 넷플릭스 서비스 경험도 함께 증가하였다. 이에 본 연구는 코로나19 대유행 전후 넷플릭스 사용자 경험과 서비스 변화를 살펴보기 위하여, 넷플릭스 리뷰 데이터를 기반으로 토픽 모델링 분석을 수행하고자 한다. Google Play Scraper 라이브러리를 사용하여 구글 플레이 스토어 내의 넷플릭스 앱 리뷰 데이터를 수집하여, 코로나19 대유행 전후 앱 리뷰 기반의 토픽 모델링을 활용하여 키워드 차이를 살펴보았다. 분석 결과 넷플릭스 앱 기능, 넷플릭스 콘텐츠, 넷플릭스 서비스 이용, 넷플릭스 총평이라는 4가지 토픽으로 나타났다. 사용자 경험이 증가한 코로나19 대유행 이후 사용자들은 더 다양하고 세부적인 키워드를 사용하여 리뷰를 작성하는 경향을 보였다. 본 연구는 넷플릭스 리뷰 데이터를 활용하여 사용자들의 의견을 분석하여 코로나19 대유행 전·후 넷플릭스 서비스의 사용자 경험 변화를 보여주므로, 향후 치열한 OTT 서비스 시장에서의 경쟁력 강화를 위한 가이드 라인으로 활용할 수 있을 것이다.

Deep proximal margin rebuilding with direct esthetic restorations: a systematic review of marginal adaptation and bond strength

  • Hoda S. Ismail;Ashraf I. Ali;Rabab El. Mehesen;Jelena Juloski;Franklin Garcia-Godoy;Salah H. Mahmoud
    • Restorative Dentistry and Endodontics
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    • 제47권2호
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    • pp.15.1-15.18
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    • 2022
  • This review aimed to characterize the effect of direct restorative material types and adhesive protocols on marginal adaptation and the bond strength of the interface between the material and the proximal dentin/cementum. An electronic search of 3 databases (the National Library of Medicine [MEDLINE/PubMed], Scopus, and ScienceDirect) was conducted. Studies were included if they evaluated marginal adaptation or bond strength tests for proximal restorations under the cementoenamel junction. Only 16 studies met the inclusion criteria and were included in this review. These studies presented a high degree of heterogeneity in terms of the materials used and the methodologies and evaluation criteria of each test; therefore, only a descriptive analysis could be conducted. The included studies were individually evaluated for the risk of bias following predetermined criteria. To summarize the results of the included studies, the type of restorative material affected the test results, whereas the use of different adhesive protocols had an insignificant effect on the results. It could be concluded that various categories of resin-based composites could be a suitable choice for clinicians to elevate proximal dentin/cementum margins, rather than the open sandwich technique with resin-modified glass ionomers. Despite challenges in bonding to proximal dentin/cementum margins, different adhesive protocols provided comparable outcomes.