• 대한한방내과학회지
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• 제42권3호
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• pp.340-350
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• 2021

Objectives: Hand-foot syndrome (HFS) is a common adverse effect of chemotherapy in cancer patients. This review synthesizes research results to assess the effect of traditional Korean medicine (TKM) on HFS in cancer patients. Methods: Four databases (PubMed, The Cochrane Central Register of Controlled Trials, Research Information Sharing Service, China National Knowledge Infrastructure) were searched for randomized controlled trials (RCTs) to assess the effects of TKM on HFS. The effects and quality of RCTs were assessed with the Cochrane risk of bias (ROB) tool. Results: Six RCTs met our study criteria. In all six, TKM showed improvement in HFS symptoms as well as quality of life scores when compared to the control group. However, the methodological quality of RCTs was relatively low due to the unclear or high ROB. Conclusions: TKM would be helpful to patients with HFS after chemotherapy. To clarify the clinical efficacy of TKM, well-designed studies are required in the future.

• 한국IT서비스학회지
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• 제21권4호
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• pp.63-74
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• 2022

Globally researchers at medical institutions are actively sharing COHORT data of patients to develop vaccines and treatments to overcome the COVID-19 crisis. OMOP-CDM, a common data model that efficiently shares medical data research independently operated by individual medical institutions has patient personal information (e.g. PII, PHI). Although PII and PHI are managed and shared indistinguishably through de-identification or anonymization in medical institutions they could not be guaranteed at 100% by complete de-identification and anonymization. For this reason the security of the OMOP-CDM database is important but there is no detailed and specific OMOP-CDM security inspection tool so risk mitigation measures are being taken with a general security inspection tool. This study intends to study and present a model for implementing a tool to check the security vulnerability of OMOP-CDM by analyzing the security guidelines for the US database and security controls of the personal information protection of the NIST. Additionally it intends to verify the implementation feasibility by real field demonstration in an actual 3 hospitals environment. As a result of checking the security status of the test server and the CDM database of the three hospitals in operation, most of the database audit and encryption functions were found to be insufficient. Based on these inspection results it was applied to the optimization study of the complex and time-consuming CDM CSF developed in the "Development of Security Framework Required for CDM-based Distributed Research" task of the Korea Health Industry Promotion Agency. According to several recent newspaper articles, Ramsomware attacks on financially large hospitals are intensifying. Organizations that are currently operating or will operate CDM databases need to install database audits(proofing) and encryption (data protection) that are not provided by the OMOP-CDM database template to prevent attackers from compromising.

• 한방재활의학과학회지
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• 제32권2호
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• pp.95-103
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• 2022

Objectives This study was conducted to assess the effect of chuna manual therapy after hip arthroplasty. Methods We searched across 9 electronic databases (PubMed, Cochrane Library, Wangfang data, China National Knowledge Infrastructure [CNKI], Oriental Medicine Advanced Searching Integrated System [OASIS], National Digital Science Library [NDSL], Korean Medical Database [KMBASE], Koreanstudies Information Service System [KISS], Research Information Sharing Service [RISS]) to find randomized controlled clinical trials for chuna manual therapy after hip arthroplasty. Results On inclusion criteria, 11 appropriate studies were included and analyzed. The deep vein thrombosis incidence of the chuna manual therapy group was statistically lower than the conventional treatment group (p=0.0002). Chuna manual therapy significantly improved the Harris hip score compared with conventional treatment (p<0.00001). Also, chuna manual therapy combined with herbal fumigation therapy significantly elevated the hip joint function score of Harris hip score compared with the conventional therapy group (p<0.00001). Conclusions The systematic review showed that chuna manual therapy had significant effects on hip arthroplasty. Nonetheless, considering the high risk of bias and geographic bias, further research with well-designed studies is required to support the effectiveness of chuna manual therapy.

• 한방재활의학과학회지
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• 제32권1호
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• pp.37-49
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• 2022

Objectives The purpose of this study is to present evidence by analyzing the research trends in acupuncture treatment in the last 10 years for thromboangiitis obliterans. Methods Randomized controlled trials about acupuncture on thromboangiitis obliterans were searched China National Knowledge Infrastructure (CNKI), PubMed, EMBASE, Cochrane Library, Oriental Medicine Advanced Searching Integrated System (OASIS), ScienceON, Koreanstudies Information Service System (KISS) and Research Information Sharing Service (RISS) from January 1, 2011 to November 13, 2021. Only randomized controlled trials were selected and we assessed the risk of bias (RoB) according to the revised Cochrane RoB2 criteria. Results A total of 5 randomized controlled trials (RCTs) were selected in this review and all were conducted in China. A total of 326 participants were in 5 RCTs. SP10, ST36, GB34 was the most commonly used treatment point. There were four types of acupuncture used: manual acupuncture, embedding acupuncture, pharmacopuncture, electroacupuncture. The most commonly used indicator for evaluation was the total efficacy rate, and all five studies were significantly higher. Conclusions All selected studies showed the group treated with acupuncture treatments on thromboangiitis obliterans were statistically more effective than the control group. However, the number of studies is too small and the interpretation of the results is limited due to the inclusion of subjective evaluation. So more objective and systematic studies should be conducted continuously.

• 정보처리학회논문지:컴퓨터 및 통신 시스템
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• 제11권10호
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• pp.353-362
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• 2022

러시아-우크라이나 전쟁이 군사적 무력 충돌과 함께 사이버공격이 진행되고 있다. 이번 전쟁과 관련하여 러시아가 한국을 비우호 국가로 지정함에 따라 한국에 대한 사이버공격의 위험성도 고조된 만큼 대응 방안 마련이 시급한 상황이다. 이에 따라 이번 전쟁에서 나타난 사이버공격 사례(19건)를 유형별로 영향을 분석하고, 자원 동원, 기술 진보 등 5가지 관점에서 고찰하여 특징과 시사점을 도출하였다. 이를 통해 한국 정부의 대응 방안으로, 가치공유 국가와의 다자협력 강화, 사이버공격 역량확보와 방어체계 강화, 해외 보안업체와의 연계 방안 마련 등 총 7가지를 제시하였다. 연구 결과는 한국 정부의 사이버안보 정책 수립에 활용될 수 있을 것이다.

• 한국컴퓨터정보학회논문지
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• 제28권1호
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• pp.55-63
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• 2023

본 논문에서는 재난 위기경보 발령을 하기 위해 상황판단 기준을 자동분석하는 재난위기경보관리시스템의 기능 및 서비스와 국가재난관리정보시스템(NDMS) 체계에서 운영하기 위한 방안을 제안한다. 재난 발생시 위험수준에 따라 위기경보(관심-주의-경계-심각)를 발령하고 있다. 위기경보 수준을 자동분석 판단하기 위해 첫째, 데이터 수집, 위기경보 수준 분석, 위기경보 수준 판단, 공간규모별(시도, 시군구) 위기경보 등급을 표출하는 재난위기경보관리시스템을 구현하였다. 위기경보 수준 판단은 지능형 위기경보 수준(지역민감도, 위험수준, 위기경보 등급 판단)과 위기관리 매뉴얼의 위기경보 기준(시도 단위 기준 표준 설정)을 적용하여 두 가지 방식으로 분석하여 표출한다. 둘째, 국가재난정보관리시스템내에서 운영할 수 있도록 재난안전데이터 공유 플랫폼의 데이터 연동과 위기경보 데이터를 공동활용하기 위해 표준 메타데이터(구성항목 정의), 상황정보 연계(대상 정의), 데이터 제공을 위한 openAPI 표준을 제시한다.

• 한국항행학회논문지
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• 제27권3호
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• pp.247-254
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• 2023

미국의 가인(GAIN)은 Pilot/Controller Collaboration Initiatives 보고서에서 "조종사와 항공교통관제사는 하루 종일 서로 이야기하지만 거의 의사소통하지 않는다."라고 기술하였다. 조종사-항공교통관제사 간의 안전 운항에 대한 인식과 문화, 또는 다른 요인에서 오는 차이점이 절차와 지시에 대하여 서로 간의 오해가 있는가라는 의문이 연구의 시발점이 되었다. 촉박한 시간 내에 해결해야 하는 많은 과정은 James Reason의 Swiss Cheese Theory와 같이 연쇄적인 위험요인을 거쳐 사고를 유발할 가능성을 높인다. 비행의 주체가 되는 조종사-항공교통관제사 간의 복합 요소가 상당 부분 차지하고 있는데 불구하고 두 집단 간의 안전 운항을 위한 통합적인 관리는 이루어지고 있지 않다. 본 연구는 조종사-항공교통관제사 간의 안전 운항을 위한 안전 및 교육의 통합적인 관리를 JCRM을 통해서 이루고자 기술하였다.

• 한방재활의학과학회지
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• 제33권3호
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• pp.67-78
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• 2023

Objectives To evaluate the evidence supporting the efficacy and safety of electroacupuncture for lumbar spinal stenosis. Methods We searched eight electronic databases (PubMed, EMBASE, Cochrane Library, Chinese Academic Journals, Research Information Sharing Service, ScienceOn, KMBASE, DBpia) and related two journals up to March 2023. We included randomized controlled trials of testing electroacupuncture for lumbar spinal stenosis patients. The methodological quality of relevant randomized controlled trials assessed by the Cochrane risk of bias tool. Results Among 90 articles that were searched, seven randomized controlled trials involving 474 participants were finally selected in this systematic review. Electroacupuncture was more effective on lumbar spinal stenosis compared with other treatments including analgesics, acupuncture, bed rest and exercise therapy, but showed ambiguous effect compared with physical therapy. Most of the side effects and adverse reactions were reported as minor and temporary. Conclusions Electroacupuncture for lumbar spinal stenosis was more effective than analgesics, acupuncture, bed rest and exercise therapy. In terms of safety, it was limited because there are many papers that do not mention side effects and adverse reactions related to electroacupuncture. Additional studies are needed to determine the effect of electroacupuncture on lumbar spinal stenosis.

• 대한물리의학회지
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• 제18권4호
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• pp.109-119
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• 2023

PURPOSE: The definition and scope of biofeedback are broad and lack a clear framework. Therefore, efforts are needed to clearly understand the exact range and definition of biofeedback based on the research and development conducted to date. Thus, the purpose of this study was to arrive at the definition and scope of biofeedback through a literature review and analysis of its application methods. METHODS: This study is a systematic literature review conducted to understand the various types and effects of biofeedback. International databases such as Google Scholar and PubMed were used. Domestic databases utilized for keyword searches included the Research Information Sharing Service (RISS) and the National Digital Science Library (NDSL). Quality assessment of the selected studies in the selection process was done using the Cochrane risk of bias, and the research was analyzed according to the population, intervention, control, and outcomes (PICO) format. RESULTS: Studies conducted between 2019 and 2021 were selected, with 4 papers falling under physiological classifications and 7 under biomechanical classifications. The quality assessment results showed that random sequence generation, allocation concealment, performance bias, and reporting bias were unclear. Detection bias was moderate, and attrition bias and other biases were low. Out of the 11 papers, 9 dealt with physical function outcomes, 5 with daily life activities, and 3 with mental functions. CONCLUSION: Physiological biofeedback tended to influence psychological factors more than physical functions, while biomechanical biofeedback tended to have a positive impact on physical functions.

• 융합보안논문지
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• 제24권2호
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• pp.133-140
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• 2024

이용자가 직접 유전체 검사를 의뢰하는 DTC(Direct-to-Consumer) 유전자검사가 확산되고 있다. 수요 확대에 따라 인증제도를 통한 비 의료기관에 검사자격을 부여하고, 검사항목을 확대하였다. 그러나 제약이 적은 국외 사례와 달리 국내 제도에서는 여전히 질병 검사항목은 제외한다. 기존의 비식별 방식은 유전체 정보의 고유성과 가족 공유성에도 영향을 미쳐 충분한 활용 가능성을 보장하지 못한다. 따라서 본 연구는 서비스 활성화 및 검사 항목 확대를 위한 방안으로 분석과정에 완전동형암호를 적용하여 유전체 정보의 유용성을 보장하되, 유출 우려를 최소화한다. 또한 정보주체의 자기결정권 보장을 위해 Opt-out을 기반한 프라이버시 보존 모델을 제안한다. 이는 유전체 정보보호와 활용 가능성 유지를 목표로 하며, 이용자의 의사를 반영한 정보의 활용 가능성을 보장한다.