• 한국게임학회 논문지
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• 제10권6호
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• pp.15-23
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• 2010

4-DAT는 일반적인 소프트웨어 개발 방법인 XP와 Scrum을 분석하는 도구이다. 본 논문에서는 3-DAT를 기반으로 모바일 게임 개발 환경에 맞는 새로운 팽가 방법을 제안한다. 4-DAT 평가 방법은 모바일 게임 개발에 있어서 평가 항목 및 불필요한 요소가 있기 때문에 3차원으로 최적화된 명가 방법을 적용하였다. 본 논문에서는 새롭게 정의한 3-DAT 기반의 팽가 방법을 위해 P. Abrahamsson, Boehm. B, R. Tumer의 이론을 기초로 하여 5항목, 20세부 기준의 개발 상황 연수를 정의하였다. 실험 방법은 4개월 동안 진행된 5개의 모바일 게임 개발 데이터를 기반으로 개발 상황 연수와 재구성된 3-DAT에 적용하였고, 구현한 시뮬레이터를 통해 3차원 그래프를 도출하였다. 실험 내용은 개발팀의 의존성, 편중성, 유연성에 대한 요소를 분석하였다. 실험 결과로 단기간의 모바일 게임 개발 시 의존성이 높고, 편중성이 낮으며, 유연성이 높을 때 위험성이 적은 개발을 완료 할 수 있음을 알 수 있었다.

• 지질공학
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• 제22권3호
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• pp.353-363
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• 2012

울릉도는 강도가 약한 화산암과 강도는 높으나 수직절리가 잘 발달하는 조면암질암으로 구성되어 있으며, 이러한 지질학적 특성으로 인해 낙석이 빈번하게 발생하고 있어 일주도로의 이용에 큰 위험요소로 작용하고 있다. 본 연구에서는 낙석 재해위험도가 높은 울릉도 북동부의 약 3 km 구간을 대상으로 3종류의 낙석재해 위험도 평가법을 이용하여 낙석재해 위험도 평가를 수행하고 재해도를 작성하였다. 사용된 평가표는 일본 도로방재 총점검에서 적용된 낙석위험도 조사표, 일본 고속도로조사회의 낙석위험도 평가표, 그리고 미국연방도로국의 RHRS (Rockfall Hazard Rating System)이다. 도로사면의 지형 지질학적 조건을 고려하여 27개 구간을 설정하여 평가한 결과, 20개 사면(약 74%)에서 낙석재해 위험도가 높음과 보통으로 평가되었다. 이러한 조사결과를 바탕으로 낙석재해 위험도를 작성하였다.

• 척추신경추나의학회지
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• 제14권2호
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• pp.15-28
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• 2019

Objectives : This study aimed to systematically and comprehensively review controlled clinical trials on the effectiveness and safety of Chuna Manual Therapy for stroke. Methods : By October 7, 2019, three core databases and three domestic databases were searched. Seven major academic journals on the related field were also hand-searched. Methodological quality of the included studies was evaluated using the Cochrane risk of bias tool. Meta-analysis was conducted and the quality of its evidence was assessed using the GRADE methodology. Results : Five articles met the eligibility criteria. The results of most of included studies were in favor of Chuna Manual Therapy. No study described any adverse events during or after the clinical trials. Meta-analysis of three eligible studies showed that the pre- and post-treatment scores on the Modified Barthel Index (mean difference 8.00, 95% confidence interval 0.26 to 15.74) and Berg Balance Scale (mean difference 3.57, 95% confidence interval 0.64 to 6.51) of the Chuna-treated group were significantly different, but only marginally higher than those of the non-treatment group. Thus, the level of evidence gathered from these studies was assessed to be low. Conclusions : Based on current available evidence, any confirmative conclusions cannot be made on the effectiveness and safety of Chuna Manual Therapy for stroke because of the small sample size, low methodological quality, presence of statistical heterogeneity, and missing safety information. More rigorously designed large-scale multi-center studies are needed to establish more specific and credible evidence to support or oppose the use of Chuna Manual Therapy for stroke.

• 대한한의학회지
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• 제38권3호
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• pp.13-29
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• 2017

Objectives: The objective of this review is to investigate the use of conventional Western medicine (WM) and complementary and alternative medicine (CAM) on leg cramps. Leg cramps are the occurrence of muscular spasm in the leg muscles which occur frequently in the elderly and are frequently observed in the clinical field. Methods: Relevant clinical studies were searched from five medical databases including PubMed, KISS, RISS, OASIS, and J-STAGE. Systematic review, clinical studies, and clinical practice guideline were included in this review. Results: In total, 27 clinical studies, 9 systematic review and meta-analysis, and 1 clinical practice guideline met the inclusion criteria. Included studies were classified and analyzed according to the type of intervention. Studies on quinine and magnesium have been most studied in WM and CAM, respectively. Although quinine shows some clinical effects on leg cramps, however, the risk of side effects are suggested. In addition, magnesium failed to improve the clinically significant effects in most studies. Five case reports using Oriental herbal medicine (OHM) were included and OHMs were effective in improving leg cramps without side effects, however, the quality of evidence was low. Clinical studies on other interventions were lacking. Conclusions: The results of this study indicate that there is no definite treatment standard for leg cramps until now, and there are limitations such as low level of evidence and side effects for each treatment. OHM can be an effective alternative to conventional intervention on leg cramps, therefore, related clinical studies are needed.

• Safety and Health at Work
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• 제12권2호
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• pp.147-153
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• 2021

Background: In this study, the association of work and demographic characteristics with different traffic offenses committed by food delivery riders in Greece was examined. Previous research has identified various factors related to risky driving however, there is a need for exploring the complex interrelationship of work-related factors underlying risky driving behavior. Materials and Methods: A 2-items uestionnaire was used exploring delivery riders demographic characteristics, terms of employment, issues of concern during work and type of traffic offenses committed. In total, uestionnaires were analyzed using logistic regression in order to identify characteristics independently associated with serious traffic offenses, namely, red-light running and helmet non-use. Results: The analysis showed that: (i) typical health and safety measures had no effect on serious traffic offenses, (ii) young age was related to both offenses however (iii) different sets of work conditions were associated with reports of red-light running (i.e. low work experience, use of personal vehicle for work, and payment by hour) and helmet non-use respectively (i.e. intense work pace, high tip income per day and low concern about vehicle condition). Conclusion: The above findings provide evidence that serious traffic offenses are manifestations of underlying conflict experienced by the riders between safety and various performance criteria. Each one of the two offenses is related to different rider profiles aiming to satisfy different goals, namely, those mainly trying to maximize profit non-helmet users and those, mostly inexperienced ones, trying to cope with work pressure red light runners. Potential regulatory measures to alleviate risky practices are discussed.

• Journal of Nutrition and Health
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• 제41권6호
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• pp.561-572
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• 2008

최근 우리나라는 어린이를 중심으로 급격한 식생활 변화(nutrition transition)를 겪고 있으며, 이로 인해 나트륨, 당류, 지방 및 포화지방산의 섭취 증가로 인한 질병 발생 위험이 높아질 것으로 우려되고 있다. 현재의 영양표시가 어린이들이 이해하기에 어려운 측면이 있어 건강에 좋은 식품의 섭취를 진작시키기 어려운 상황이다. 본 연구는 어린이들이 보다 건강에 좋은 식품을 선택하는 정보를 쉽게 제공하기 위하여 어린이 기호식품의 영양위해성분(당, 나트륨 및 지방류)의 함량에 따라 고, 중, 저로 표시하는 영양기준(안)을 설정하는데 목표를 두었다. 국내는 물론 제외국의 영양섭취기준, 영양표시를 위한 일일 영양소 기준치, 영양소함량강조 표시, 영국의 GDA(guideline daily amounts)와 신호등표시제, 식사지침 및 영양소섭취량 자료들을 검토 및 비교하였고, 제외국 어린이의 기호식품과 가공식품의 영양위해성분 영양기준 자료를 수집 및 평가하였다. 이를 바탕으로 하여 어린이 기호식품과 가공식품 중의 영양위해성분을 선정하고 고, 중, 저로 표시하는 영양기준 근거를 마련하였다. 또한 서울지역 11개 중학교와 10개 고등학교 내 판매식품 가공식품에 대한 현황 조사와 1,812명의 청소년을 대상으로 한 섭취실태 조사를 통해 다소비가공식품을 선정하였으며, 145개의 대표 가공식품을 본 연구에서 제안하는 영양기준안에 따라 분류하였다. 그 중 85개가 고지방식품으로 분류된 반면에 11개만이 고나트륨식품으로 분류되었다. 그러나 본 연구에서 제시한 영양기준안과 분량의 기준단위에 대한 타당성을 검증하기 위하여 더 많은 식품들에 대해 시뮬레이션 등의 검토가 필요하며, 산업체 등 이해당사자들의 의견 수렴 과정을 거쳐 현실적인 영양기준안으로 다듬어져야 할 것이다.

• 한국수자원학회논문집
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• 제48권3호
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• pp.149-158
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• 2015

비상방류시설은 안전한 댐 운영 및 유지관리를 위해서 절대적으로 필요한 시설임에도 불구하고 국내 댐의 경우 이를 고려한 설계가 이루어지지 않아 각 댐의 비상방류 대응 적정성을 판단하기 곤란한 상황이다. 특히 국내 댐의 경우 비상방류시설규모를 산정하는 기준이 일정치 않을 뿐만 아니라 대부분의 용수댐은 별도의 방류시설 조차도 없는 실정이다. 따라서 본 연구에서는 기존댐 방류시설 현황 분석, 국내외 비상방류시설 설계기준 등의 검토와 함께 국내 댐설계기준을 적용한 가상 댐체와 수어댐을 대상으로 수위에 따른 방류능 분석을 수행하였다. 또한 SEEP 프로그램 등을 활용, 수위저하 속도에 따른 제체의 사면 안정성을 검토함으로써 비상방류 시설의 적정규모 산정기준을 제시하고자 하였다. 이를 위하여 수리학적 해석을 통해 저류수심에 따른 제체에 작용하는 힘을 분석하였으며 수위저하 속도 변화에 따른 제체의 안정성을 검토하여 허용수위저하 속도 범위를 제시하였다. 수위 25% 저감은 하중을 50%까지 감소시켜 초기수위 저감이 중요한 것을 알 수 있었다. 가상 댐체는 물론 수어댐에 수위저하 속도 1 m/일을 적용하더라도 제체의 안전성은 보장됨을 확인하였다. 다만, 방류능과 방류 소요일수는 수위별 저류용량 등 저류지 특성과 밀접한 관계가 있어 초기대응을 위해서는 7~10일 이내에 저류수심의 25%를 먼저 방류시키고 나머지 방류량은 1~2개월 이내에 방류할 것을 제안하였다.

• Radiation Oncology Journal
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• 제32권3호
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• pp.187-197
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• 2014

Purpose: We aimed to analyze the treatment outcome and long-term toxicity of 70 Gy hypofractionated intensity-modulated radiotherapy (IMRT) for localized prostate cancer using a customized rectal balloon. Materials and Methods: We reviewed medical records of 86 prostate cancer patients who received curative radiotherapy between January 2004 and December 2011 at our institution. Patients were designated as low (12.8%), intermediate (20.9%), or high risk (66.3%). Thirty patients received a total dose of 70 Gy in 28 fractions over 5 weeks via IMRT (the Hypo-IMRT group); 56 received 70.2 Gy in 39 fractions over 7 weeks via 3-dimensional conformal radiotherapy (the CF-3DRT group, which served as a reference for comparison). A customized rectal balloon was placed in Hypo-IMRT group throughout the entire radiotherapy course. Androgen deprivation therapy was administered to 47 patients (Hypo-IMRT group, 17; CF-3DRT group, 30). Late genitourinary (GU) and gastrointestinal (GI) toxicity were evaluated according to the Radiation Therapy Oncology Group criteria. Results: The median follow-up period was 74.4 months (range, 18.8 to 125.9 months). The 5-year actuarial biochemical relapse-free survival rates for low-, intermediate-, and high-risk patients were 100%, 100%, and 88.5%, respectively, for the Hypo-IMRT group and 80%, 77.8%, and 63.6%, respectively, for the CF-3DRT group (p < 0.046). No patient presented with acute or late GU toxicity ${\geq}$grade 3. Late grade 3 GI toxicity occurred in 2 patients (3.6%) in the CF-3DRT group and 1 patient (3.3%) in the Hypo-IMRT group. Conclusion: Hypo-IMRT with a customized rectal balloon resulted in excellent biochemical control rates with minimal toxicity in localized prostate cancer patients.

• Nutrition Research and Practice
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• 제9권5호
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• pp.554-562
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• 2015

BACKGROUND/OBJECTIVES: The aim of this study was to examine differences in nutrient intake and food consumption by the presence of metabolic syndrome in Korean adults. SUBJECTS/METHODS: Study subjects in this cross-sectional study were recruited from four outpatient clinics in and near the Seoul metropolitan area of South Korea between 2006 and 2012. A total of 668 subjects (413 men and 255 women) aged ${\geq}30y$ were included in the final data analyses. For each subject, daily nutrient intake and food consumption were calculated using three days of dietary intake data obtained from a combination of 24-hour recalls and dietary records. To evaluate food consumption, mean number of servings consumed per day and percentages of recommended number of servings for six food groups were calculated. Metabolic syndrome was defined using the National Cholesterol Education Program Adult Treatment Panel III criteria. The general linear model was performed to examine differences in nutrient intake and food consumption by sex and the presence of metabolic syndrome after adjustment for potential confounding variables. RESULTS: Nutrient intake did not differ by the presence of metabolic syndrome in both men and women. Men with metabolic syndrome had lower consumption and percentage of the recommendation for fruits compared with those without metabolic syndrome (1.6 vs. 1.1 servings/day, P-value = 0.001; 63.5 vs. 49.5%, P-value = 0.013). Women with metabolic syndrome showed lower consumption and percentage of the recommendation for dairy foods than those without metabolic syndrome (0.8 vs. 0.5 servings/day, P-value = 0.001; 78.6 vs. 48.9%, P-value = 0.001). CONCLUSIONS: Low intakes of fruits and dairy foods might be associated with the risk of having metabolic syndrome among Korean adults. Dietary advice on increasing consumption of these foods is needed to prevent and attenuate the risk of metabolic syndrome.

• Journal of Yeungnam Medical Science
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• 제38권3호
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• pp.208-218
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• 2021

Background: Hemophagocytic lymphohistiocytosis (HLH) is a rare but severe, life-threatening inflammatory condition if untreated. We aimed to investigate the etiologies, outcomes, and risk factors for death in children and adults with HLH. Methods: The medical records of patients who met the HLH criteria of two regional university hospitals in Korea between January 2001 and December 2019 were retrospectively investigated. Results: Sixty patients with HLH (35 children and 25 adults) were included. The median age at diagnosis was 7.0 years (range, 0.1-83 years), and the median follow-up duration was 8.5 months (range, 0-204 months). Four patients had primary HLH, 48 patients had secondary HLH (20 infection-associated, 18 neoplasm-associated, and 10 autoimmune-associated HLH), and eight patients had HLH of unknown cause. Infection was the most common cause in children (14/35, 40.0%), whereas neoplasia was the most common cause in adults (13/25, 52.0%). Twenty-eight patients were treated with HLH-2004/94 immunochemotherapy. The 5-year overall survival (OS) rate for all HLH patients was 59.9%. The 5-year OS rates for patients with primary, infection-associated, neoplasm-associated, autoimmune-associated, and unknown cause HLH were 25.0%, 85.0%, 26.7%, 87.5%, and 62.5%, respectively. Using multivariate analysis, neoplasm-induced HLH (p=0.001) and a platelet count <50×10⁹/L (p=0.008) were identified as independent risk factors for poor prognosis in patients with HLH. Conclusion: Infection was the most common cause of HLH in children, while it was neoplasia in adults. The 5-year OS rate for all HLH patients was 59.9%. HLH caused by an underlying neoplasm or a low platelet count at the time of diagnosis were risk factors for poor prognosis.