• The Korean Journal of Pain
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• 제36권1호
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• pp.137-246
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• 2023

Background: To investigate the relationship between cutaneous allodynia (CA) and kinesiophobia, gastrointestinal system (GIS) symptom severity, physical activity, and disability, and to determine whether CA, pain, and disability were influencing factors for kinesiophobia, GIS symptoms, and physical activity in individuals with migraine. Methods: The study included 144 individuals with migraine. CA, kinesiophobia, GIS symptoms, physical activity level, and migraine-related disability were evaluated with the Allodynia Symptom Checklist, the Tampa Kinesiophobia Scale (TKS), the Gastrointestinal Symptom Rating Scale (GSRS), the International Physical Activity Questionnaire-7, and the Migraine Disability Assessment Scale (MIDAS), respectively. Results: The CA severity was only associated with TKS (r = 0.515; P < 0.001), GSRS-total (r = 0.336; P < 0.001), GSRS-abdominal pain (r = 0.323; P < 0.001), GSRS-indigestion (r = 0.257; P = 0.002), GSRS-constipation (r = 0.371; P < 0.001), and MIDAS scores (r = 0.178; P = 0.033). Attack frequency (P = 0.015), attack duration (P = 0.035) and presence of CA (P < 0.001) were risk factors for kinesiophobia. Attack frequency (P = 0.027) and presence of CA (P = 0.004) were risk factors for GIS symptoms. Conclusions: There was a relationship between the CA and kinesiophobia, GIS symptoms, and disability. CA and attack frequency were found to be risk factors for kinesiophobia and GIS symptoms. Migraine patients with CA should be assessed in terms of kinesiophobia, GIS, and disability. Lifestyle changes such as exercise and dietary changes and/or pharmacological treatment options for CA may increase success in migraine management.

• Journal of Periodontal and Implant Science
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• 제53권2호
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• pp.135-144
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• 2023

Purpose: The aim of this study was to investigate the risk of periodontitis according to current smoking status based on the number of cigarettes smoked per day (CPD) and the Fagerström Test for Nicotine Dependence (FTND). Methods: All enrolled patients were diagnosed and classified according to the new periodontal classification scheme, and current smoking status was investigated via a self-reported questionnaire. The correlation between smoking status (CPD and FTND) and periodontitis risk (severity of periodontitis and tooth loss due to periodontal reasons) was statistically assessed using Spearman correlation coefficients. Moreover, partial correlation analyses between smoking and periodontal status were performed after adjusting for age, sex, and diabetes mellitus. Results: Overall, data from 74 men and 16 women (mean age: 48.1±10.8 years) were evaluated. The mean number of missing teeth, CPD, and FTND score were 3.5±5.2, 24.6±15.5, and 3.5±2, respectively. CPD and the FTND were significantly positively correlated with each other (r=0.741, P<0.001). CPD and the FTND were also significantly correlated with the severity of periodontitis (CPD: r=0.457, P<0.05 and FTND: r=0.326, P<0.05) and the number of missing teeth due to periodontal reasons (CPD: r=0.525, P<0.05 and FTND: r=0.480, P<0.05), respectively. Conclusions: Within the limitations of this study, both CPD and the FTND were significantly correlated with the severity of periodontitis and the number of periodontally compromised extracted teeth.

• 한국수자원학회논문집
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• 제49권3호
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• pp.217-225
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• 2016

가뭄은 지속기간과 심도의 두 가지 변량으로 특징지어지는 수문사상이므로 가뭄 지속기간과 심도를 동시에 고려하는 이변량 가뭄빈도해석이 요구된다. 그러나 이변량 결합 확률분포는 3차원의 분포형태를 나타내어 실무에서 분석과 활용이 불편하다는 단점이 있다. 이를 보완하기 위해 본 연구에서는 코플라 함수를 활용하여 이변량 결합 확률분포함수를 추정한 후, 지속기간별 조건부 확률분포함수를 산정하였고, 비초과확률에 따른 임계심도를 결정하였다. 과거 극심했던 가뭄사상들을 바탕으로 95% 비초과확률에 해당하는 임계심도를 갖는 극한 가뭄사상에 대하여 수문학적 위험도를 산정하였다. 10개월 지속기간을 가지는 가뭄사상의 경우, 가뭄위험도가 가장 높은 지역은 광주, 인제, 울진으로 전국 평균에 비해 1.3-2.0배 높은 가뭄발생확률을 나타내었다. 또한, 남부지역이 중부와 북부지역보다 더 높은 가뭄 취약성을 갖는다는 것을 확인하였다.

• 조명전기설비학회논문지
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• 제23권2호
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• pp.148-153
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• 2009

FMECA는 전력설비의 기능, 고장 모드, 고장 원인 및 고장의 파급 효과 등을 분석하고 각 고장 모드가 시스템의 기능 유지에 영향을 미치는 정도인 심각도(Severity)와 고장 발생의 빈도의 정도인 치명도(Criticality)를 평가하여 치명도 매트릭스(Criticality Matrix)를 구성함으로써 높은 위험성을 갖는 고장 모드를 판별하고 효과적인 시스템 구성을 위한 참고 자료를 제공한다[4-5]. 대부분의 경우, 고장 모드의 두 지수는 미리 정해진 기준에 따라 전문가들의 정성적인 평가에 의해 결정된다. 따라서 본 논문에서는 두 지수들에 대한 다양한 전문가의 의견을 종합하여 결론을 도출하기 위한 방법론으로 기존의 Linear Opinion Pool에 퍼지이론을 결합하는 방식을 제안하였다. 또한 기존의 치명도 매트릭스 방식으로 위험도를 판별하던 방식의 한계를 인식하고 운영자의 관심에 따라 두 지수를 종합적으로 평가하기 위해 퍼지 FMECA 전문가 시스템을 구성하였다.[7-8]. 사례연구에서는 대표적인 전력 설비에 대한 적용 예를 나타내었다.

• 대한토목학회논문집
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• 제30권6B호
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• pp.561-569
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• 2010

본 연구에서는 현재 및 미래 기후에서의 가뭄심도-영향면적-지속기간 곡선의 비교를 통하여 극한 가뭄 사상에 대한 기후변화의 영향을 살펴보았다. 가뭄심도-영향면적-지속기간 곡선은 극한 호우사상을 특성화하기 위한 일반적으로 적용되는 우량깊이-영향면적-지속기간 곡선에서 우량깊이를 가뭄심도를 대표할 수 있는 적절한 지수로 대체함으로써 가뭄사상을 분석할 수 있는 도구를 제공한다. 미래 월 강수량 시계열은 $27km{\times}27km$의 공간적인 해상도를 가지는 기상청 지역기후모형으로부터 획득되었으며, 가뭄심도는 표준강수지수를 이용하여 산출하였다. 분석 결과, 농업가뭄에 대한 위험성은 특히 단기간의 지속기간의 경우에 현재보다 심화될 수 있는 것으로 분석되었으며, 수문학적 가뭄의 경우는 가뭄지속기간에 상관없이 모두 현재보다는 미래에 가뭄심도가 더 깊어질 가능성이 있는 것으로 예측되었다. 이에 따라 현재의 수자원 공급 시스템에 대한 기후변화 취약성 평가가 시급함을 제시하고 있다.

• Journal of Yeungnam Medical Science
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• 제41권1호
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• pp.39-44
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• 2024

Background: Medication-related osteonecrosis of the jaw (MRONJ) is a significant concern, particularly among patients taking bisphosphonates (BPs), denosumab, and selective estrogen receptor modulators (SERMs) for osteoporosis. Despite the known risks, large-scale cohort studies examining the incidence and severity of MRONJ are lacking. We aimed to ascertain the incidence and risk of MRONJ among these patients, whom we stratified by age groups, medication types, and duration of use. Methods: We utilized data from the National Health Insurance Service's sample cohort database, focusing on patients aged 40 years and above diagnosed with osteoporosis. The patients were divided into three groups: those prescribed BPs only, those prescribed SERMs only, and those prescribed both. Results: The overall incidence rate of MRONJ was 0.17%. A significantly higher incidence rate was observed among those taking osteoporosis medications, particularly among females with a relative risk of 4.99 (95% confidence interval, 3.21-7.74). The SERM group also had an incidence rate comparable to that of the BP group. Severity was assessed based on the invasiveness of the treatment methods, with 71.3% undergoing invasive treatment in the medication group. Conclusion: This study provides valuable insights into the incidence and severity of MRONJ among a large cohort of patients with osteoporosis. It underscores the need for comprehensive guidance on MRONJ risks across different medication groups and sets the stage for future research focusing on specific populations and treatment outcomes.

• Tuberculosis and Respiratory Diseases
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• 제61권4호
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• pp.347-355
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• 2006

배 경: 지속적인 노력에도 지역사회폐렴에 의한 사망률은 증가하고 있으며 서구에서는 이에 대한 적절한 접근 및 예후 평가를 위해 예후 인자들을 확인하려 하였고 종합적인 접근을 위해 Pneumonia Severity Index(PSI) 등의 지표를 개발하였다. 하지만 국내에서는 단순 지표들만을 이용한 연구에 그치고 있어 PSI를 이용하여 폐렴으로 입원한 환자의 예후에 종합적인 접근을 할 수 있는지 확인하고자 하였다. 방 법: 2002년 1월부터 2005년 1월까지 지역사회폐렴으로 입원한 179명의 환자들을 대상으로 생존군/사망군 그리고 일반병실 입원환자/중환자실 입원 환자 사이를 비교하였으며, 각 군에 대해 Pneumonia Severity Index를 분석하였다. 결 과: 사망군과 생존군 사이에는 평균 수축기 혈압, 평균 이완기 혈압, 평균 맥박수, 평균 호흡수, 평균 체온, albumin, LDH, total cholesterol, HDL, PT, aPTT, hemoglobin, blood urea nitrogen(BUN)에서 유의한 차이가 있었다. (p<0.05) 일반병실과 중환자실 입원환자 사이에는 평균 맥박수, pH, $pCO_2$, $pO_2$, $SaO_2$, 혈청 총 단백질, 알부민, 혈청 총 칼슘, LDH, 총 콜레스테롤, HDL, PT, aPTT, hemoglobin, blood urea nitrogen(BUN)에서 유의한 차이가 있었다. (p<0.05) Pneumonia Severity Index의 경우 class I에서 사망률이 가장 낮고 class가 증가할수록 사망률이 증가하였으며 class V에서 사망률이 가장 높았다. 결 론: 다양한 지표들을 이용하여 지역사회폐렴으로 입원한 환자들을 평가할 수 있으나, Pneumonia Severity Index(PSI)를 이용하여 종합적인 접근을 할 수 있으며 이를 국내 환자에게 유용하게 이용할 수 있을 것으로 본다.

• 한국산학기술학회논문지
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• 제20권11호
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• pp.510-519
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• 2019

공동주택 설계 및 시공단계에서 다양한 하자를 사전에 예방하기 위하여 다양한 방안이 모색됨에도 불구하고, 완공 이후 다양한 하자들이 지속적으로 발생하고 있다. 이러한 공동주택 하자를 최소화하기 위해서는 하자 위험에 대한 패턴을 확인할 필요가 있다. 이러한 관점에서 본 연구에서는 공동주택 공종/하자보수보증기간/하자위치/하자유형을 고려한 하자분류체계를 설정하고, 세부적인 하자위험을 분석하였다. 이를 위하여 본 논문에서는 공동주택 하자분쟁사례 133건, 약 15,056개의 하자데이터를 토대로 분석을 실시하였다. 주요 분석결과를 살펴보면, 첫째, 공용부의 RC 공사와 관련된 주요 하자는 균열이며, 균열과 연계되어 있는 누수 및 표면불량 등도 하자위험이 높은 것으로 확인되었다. 둘째, 다양한 자재가 활용되고, 복합적인 공종이 이루어지는 마감공사의 특성에 따라 상대적으로 하자위험이 높은 것으로 나타났다. 셋째, 지하주차장에 대한 방수공사의 경우 오시공이나 미시공과 같이 재시공이 필요한 하자들의 위험도가 상대적으로 높은 것으로 확인되었다. 이를 토대로 본 연구에서는 발생위험이 높은 하자들을 LFHS, LFLS, HFLS 영역으로 구분하여 시공단계, 입주 전단계, 유지관리단계 등에서의 하자대응방안을 모색하였다.

• Journal of Trauma and Injury
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• 제36권3호
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• pp.187-195
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• 2023

Purpose: This study aimed to determine the risk factors associated with the severity of fall-related injuries among patients who suffered a fall from similar heights and analyze differences in injury sites according to intentionality and injury severity. Methods: The Emergency Department-based Injury In-depth Surveillance (EDIIS) data collected between 2019 and 2020 were used in this retrospective study. Patients with fall-related injuries who fell from a height of ≥6 and <9 m were included. Patients were categorized into the severe and mild/moderate groups according to their excessive mortality ratio-adjusted Injury Severity Score (EMRISS) and the intention and non-intention groups. Injury-related and outcome-related factors were compared between the groups. Results: In total, 33,046 patients sustained fall-related injuries. Among them, 543 were enrolled for analysis. A total of 256 and 287 patients were included in the severe and mild/moderate groups, respectively, and 93 and 450 patients were included in the intention and non-intention groups, respectively. The median age was 50 years (range, 39-60 years) and 45 years (range, 27-56 years) in the severe and mild/moderate groups, respectively (P<0.001). In multivariable analysis, higher height (odds ratio [OR] 1.638; 95% confidence interval [Cl], 1.279-2.098) and accompanying foot injury (OR, 0.466; 95% CI, 0.263-0.828) were independently associated with injury severity (EMR-ISS ≥25) and intentionality of fall (OR, 0.722; 95% CI, 0.418-1.248) was not associated with injury severity. The incidence of forearm injuries was four (4.3%) and 58 cases (12.9%, P=0.018) and that of foot injuries was 20 (21.5%) and 54 cases (12.0%, P=0.015) in the intention versus non-intention groups, respectively. Conclusions: Among patients who fell from a similar height, age, and fall height were associated with severe fall-related injuries. Intentionality was not related to injury severity, and patients with foot injury were less likely to experience serious injuries. Injuries in the lower and upper extremities were more common in intentional and unintentional falls, respectively.

• Asia pacific journal of information systems
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• 제18권4호
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• pp.1-26
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• 2008

Rapid progress of information technology and widespread use of the personal computers have brought various conveniences in our life. But this also provoked a series of problems such as hacking, malicious programs, illegal exposure of personal information etc. Information security threats are becoming more and more serious due to enhanced connectivity of information systems. Nevertheless, users are not much aware of the severity of the problems. Using appropriate password is supposed to bring out security effects such as preventing misuses and banning illegal users. The purpose of this research is to empirically analyze a research model which includes a series of factors influencing the effectiveness of passwords. The research model incorporates the concept of risk based on information systems risk analysis framework as the core element affecting the selection of passwords by users. The perceived risk is a main factor that influences user's attitude on password security, security awareness, and intention of security behavior. To validate the research model this study relied on questionnaire survey targeted on evening class MBA students. The data was analyzed by AMOS 7.0 which is one of popular tools based on covariance-based structural equation modeling. According to the results of this study, while threat is not related to the risk, information assets and vulnerability are related to the user's awareness of risk. The relationships between the risk, users security awareness, password selection and security effectiveness are all significant. Password exposure may lead to intrusion by hackers, data exposure and destruction. The insignificant relationship between security threat and perceived risk can be explained by user's indetermination of risk exposed due to weak passwords. In other words, information systems users do not consider password exposure as a severe security threat as well as indirect loss caused by inappropriate password. Another plausible explanation is that severity of threat perceived by users may be influenced by individual difference of risk propensity. This study confirms that security vulnerability is positively related to security risk which in turn increases risk of information loss. As the security risk increases so does user's security awareness. Security policies also have positive impact on security awareness. Higher security awareness leads to selection of safer passwords. If users are aware of responsibility of security problems and how to respond to password exposure and to solve security problems of computers, users choose better passwords. All these antecedents influence the effectiveness of passwords. Several implications can be derived from this study. First, this study empirically investigated the effect of user's security awareness on security effectiveness from a point of view based on good password selection practice. Second, information security risk analysis framework is used as a core element of the research model in this study. Risk analysis framework has been used very widely in practice, but very few studies incorporated the framework in the research model and empirically investigated. Third, the research model proposed in this study also focuses on impact of security awareness of information systems users on effectiveness of password from cognitive aspect of information systems users.