• 제목/요약/키워드: Risks

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Different DLCO Parameters as Predictors of Postoperative Pulmonary Complications in Mild Chronic Obstructive Pulmonary Disease Patients with Lung Cancer

  • Mil Hoo Kim;Joonseok Lee;Joung Woo Son;Beatrice Chia-Hui Shih;Woohyun Jeong;Jae Hyun Jeon;Kwhanmien Kim;Sanghoon Jheon;Sukki Cho
    • Journal of Chest Surgery
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    • v.57 no.5
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    • pp.460-466
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    • 2024
  • Background: Numerous studies have investigated methods of predicting postoperative pulmonary complications (PPCs) in lung cancer surgery, with chronic obstructive pulmonary disease (COPD) and low forced expiratory volume in 1 second (FEV1) being recognized as risk factors. However, predicting complications in COPD patients with preserved FEV1 poses challenges. This study considered various diffusing capacity of the lung for carbon monoxide (DLCO) parameters as predictors of pulmonary complication risks in mild COPD patients undergoing lung resection. Methods: From January 2011 to December 2019, 2,798 patients undergoing segmentectomy or lobectomy for non-small cell lung cancer (NSCLC) were evaluated. Focusing on 709 mild COPD patients, excluding no COPD and moderate/severe cases, 3 models incorporating DLCO, predicted postoperative DLCO (ppoDLCO), and DLCO divided by the alveolar volume (DLCO/VA) were created for logistic regression. The Akaike information criterion and Bayes information criterion were analyzed to assess model fit, with lower values considered more consistent with actual data. Results: Significantly higher proportions of men, current smokers, and patients who underwent an open approach were observed in the PPC group. In multivariable regression, male sex, an open approach, DLCO <80%, ppoDLCO <60%, and DLCO/VA <80% significantly influenced PPC occurrence. The model using DLCO/VA had the best fit. Conclusion: Different DLCO parameters can predict PPCs in mild COPD patients after lung resection for NSCLC. The assessment of these factors using a multivariable logistic regression model suggested DLCO/VA as the most valuable predictor.

The Impact of the Risks and Benefits of Unmanned Store Services on Customer Satisfaction through the Theory of Planned Behavior (무인 점포 서비스의 위험과 혜택이 계획된 행동 이론을 통해 고객 만족에 미치는 영향)

  • Noh Hyeyoung;Lee Sinbok
    • The Journal of the Convergence on Culture Technology
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    • v.10 no.5
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    • pp.631-643
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    • 2024
  • With the rapid advancement of digital technology, unmanned store services are on the rise, yet studies investigating their impact on customer satisfaction are scarce. This study aims to explore how unmanned store services affect customer satisfaction, focusing on the factors of risk and benefit. The methodology involved an online survey conducted from December 20 to December 30, 2023, targeting 260 customers who had used unmanned store self-service at least once, with 252 responses ultimately analyzed. The results reveal that the risk and benefit factors of unmanned store self-services complexly and diversely influence subjective norms and perceived control. Firstly, personal information breaches positively affected subjective norms, while overload and uncertainty had negative impacts. Secondly, while convenience negatively influenced subjective norms, playfulness and usefulness had positive effects. However, personal breaches and overload did not affect perceived control, whereas uncertainty did negatively. The findings of this study provide significant insights into how successful implementation and management of unmanned store self-services can regulate social expectations and control perception of customers, thereby enhancing customer satisfaction.

Legal Issues and Regulatory Discussions in Generative AI (생성형 AI의 법적 문제와 규제 논의 동향)

  • Kim, Beop-Yeon
    • Informatization Policy
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    • v.31 no.3
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    • pp.3-33
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    • 2024
  • This paper summarizes the legal problems and issues raised in relation to generative AI. In addition, we looked at what regulatory discussions individual countries or international organizations have in order to solve or respond to these issues or to minimize the risks posed by generative AI. Infringement of individual basic rights raised by generative AI, the emergence and control of new crimes, monopolization of specific markets and environmental issues are mainly discussed, and although there are some differences in the necessity and direction of regulation, most countries seem to have similar views. Regarding AI, the issues that are currently being raised have been discussed continuously from the beginning of its appearance. Although certain issues have been discussed relatively much, there are some differences between countries, and situations that require consideration of phenomena different from the past are emerging. It seems that regulations and policies are being refined according to the situation of individual countries. In a situation where various issues are rapidly emerging and changing, measures to minimize the risk of AI and to enjoy the utility and benefits of AI through the use of safe AI should be sought. It will be necessary to continuously identify and analyze international trends and reorganize AI-related regulations and detailed policies suitable for Korea.

Cupping Therapy for the Treatment of Migraine Headache: a systematic review and meta-analysis of clinical trials

  • Bushra Mohandes;Fatma Elsayed Ahmed Bayoumi;Aisha Abdulkarim AllahDiwaya;Maryam Salah Falah;Leen Hesham Alhamd;Razan Abid Alsawadi;Yipeng Sun;Aidi Ma;Idris Sula;Muhammad Candragupta Jihwaprani
    • Journal of Pharmacopuncture
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    • v.27 no.3
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    • pp.177-189
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    • 2024
  • Objectives: Cupping therapy is a widely used complementary medicine for the treatment of migraine headaches globally. However, conflicting evidence exists on its effectiveness. To evaluate the safety and efficacy of cupping therapy in treating migraine headache disorder. Methods: Seven databases were systematically searched: PubMed/MEDLINE, Clinicaltrials.gov, Cochrane CENTRAL, ScienceDirect, ProQuest, SinoMed, and the National Science and Technology Library. The primary endpoints are the treatment success and the pain intensity reduction. The secondary endpoints were adverse events (AEs) risk and improvement in quality of life (QoL), which was based on the Migraine Disability Scale (MIDAS). Subgroup analyses were performed based on the cupping techniques (wet and dry cupping) and adjunctive complementary treatments (i.e. acupuncture and/or collateral pricking). Results: Eighteen trials out of 348 records were included, pooling 1,446 participants (n = 797 received cupping therapy). Treatment success was significantly higher among those with cupping therapy (risk ratio [RR] [95% CI] = 1.83 [1.52-2.21]); with significant improvement observed only with wet cupping (RR [95% CI] = 1.88 [1.53-2.30]). The adjunctive complementary therapy did not achieve a greater amplitude of treatment success compared to cupping therapy alone. Furthermore, cupping therapy showed significant pain reduction compared to baseline (standardized mean difference [SMD] [95% CI] = 0.55 [0.39-0.70]) and achieved fewer risks of AEs (RR [95% CI] = 1.88 [1.53-2.30]). However, cupping did not improve the overall QoL (MIDAS SMD [95% CI] = -0.79 [-3.55-1.98]). Conclusion: Cupping therapy was an effective complementary modality to treat migraine headaches. However, it did not demonstrate improvement in QoL (PROSPERO: CRD42024514509).

A Methodology of XAI-Based Network Features Extraction for Rapid IoT Botnet Behavior Analysis (신속한 IoT 봇넷 행위분석을 위한 XAI 기반 네트워크 특징 추출 방법론)

  • Doyeon Kim;Chungil Cha;Kyuil Kim;Heeseok Kim;Jungsuk Song
    • Journal of the Korea Institute of Information Security & Cryptology
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    • v.34 no.5
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    • pp.1037-1046
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    • 2024
  • The widespread adoption of the Internet of Things (IoT) has enhanced efficiency and convenience across various fields, but it has also led to a surge in security threats. Among these, IoT botnets are particularly concerning as they can rapidly infect a large number of devices and launch various types of attacks, making them a significant security threat. In IoT environments where implementing security measures on individual devices is challenging, establishing a security monitoring system for real-time detection and response is essential to mitigate the risks posed by botnets. In the field of security monitoring, it is crucial not only to detect botnets but also to analyze their detailed behaviors to devise effective countermeasures. Security experts devote considerable effort to analyzing the payloads of detected threats to understand botnet behavior and develop appropriate responses. However, analyzing all threats manually is time-consuming and costly. To address this, our study proposes an XAI-based network feature extraction methodology to enhance the effectiveness of IoT botnet behavior analysis. This study proposes a practical security monitoring methodology for IoT botnet behavior analysis and response, consisting of three steps: 1) BPE and TF-IDF based payload feature extraction, 2) XAI-based feature importance analysis, and 3) visualization of decision rationale based on feature importance. This approach provides security experts with intuitive visual evidence of IoT attacks and reduces analysis time, contributing to faster decision-making and response strategy development in security monitoring.

Pulse wave velocity and ankle brachial index in normal adolescents (정상 청소년에서 맥파 속도와 발목 상완 동맥압 지수에 대한 연구)

  • Kim, Ji Hye;Gil, Tae Young;Lee, Hee Woo;Hong, Young Mi
    • Clinical and Experimental Pediatrics
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    • v.50 no.6
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    • pp.549-555
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    • 2007
  • Purpose : Pulse wave velocity (PWV) and ankle brachial index (ABI) are simple, non-invasive methods to assess arterial stiffness. These parameters are also known to be closely related to cardiovascular risk factors and diseases. The purposes of this study were to measure blood pressure, PWV, ABI in healthy Korean adolescents, set up their normal values and assess their correlations. Methods : Three hundred ninety two healthy adolescents (213 boys and 179 girls) underwent measurement of brachial ankle pulse wave velocity (baPWV), ABI, body mass index(BMI) and blood pressure from four extremities. Linear regression analysis was performed to reveal the correlations between PWV, ABI and independent variables. Results : Blood pressure and PWV were significantly higher in all extremities in males compared to females. Blood pressure of both brachial and ankle showed positive correlation with body weight, height, and BMI, whereas ABI showed no correlation with any of these indices. Conclusion : Blood pressure increases as body weight, height and BMI increases. PWV shows positive correlation with blood pressure. It will be helpful to predict the risks of cardiovascular diseases in adolescents.

The Content of Heavy Metals in Herbal Pills Used as General Processed Food and Risk Assessment of Heavy Metal Intakes (유통 환(丸)제품의 중금속 함량 및 위해성 평가)

  • Kim, Sung-Dan;Jung, Sun-Ok;Kim, Bog-Soon;Yun, Eun-Sun;Chang, Min-Su;Park, Young-Ae;Lee, Young-Chul;Chae, Young-Zoo;Kim, Min-Young
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.39 no.7
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    • pp.1038-1048
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    • 2010
  • The purpose of this study was to investigate some heavy metals (Pb, Cd, Cr, Cu, Hg) in 52 commercial herbal pills used as general processed food, to identify weekly heavy metal intakes from herbal pills and to evaluate their potential health risks. The samples were digested with a microwave and determinations of heavy metal residues were carried out by inductively coupled plasma mass spectrometry (ICP-MS) and mercury analyzer. The mean values of heavy metal contents for herbal pills used as general processed food were Pb 0.421 (0.032~1.630), Cd 0.157 (0.011~0.515), Cr 1.033 (0.112~9.933), Cu 6.923 (1.333~16.755), Hg 0.010 (0.001~0.088) mg/kg. Lead contents of herba and cadmium of algae, herba were high (ANOVA-test, p<0.05). Levels of cadmium concentrations exceeding WHO reference values (0.3 mg/kg) were observed in 10 samples (4 species). The significant correlation was observed between Pb and Cd (r=0.633, p<0.01). The weekly intakes of Pb, Cd, Cr, Cu, Hg from herbal pills were 1.112 (0.072~5.088), 1.614 (0.029~9.257), 3.000 (0.252~23.690), 0.182 (0.008~1.235), 0.220 (0.000~0.420)%, respectively, as compared with the Provisional Tolerable Weekly Intake (PTWI) established by Joint FAO/WHO Expert Committee for food safety evaluation. Our data suggest regulations limiting heavy metals in herbal pills used as general processed food.

Learning from the Licensing and Training Requirements of the USA Private Security Industry : focused on the Private Security Officer Employment Authorization Act & California System (미국의 민간경비 자격 및 교육훈련 제도에 관한 연구 - 민간경비원고용인가법(PSOEAA) 및 캘리포니아 주(州) 제도 중심으로 -)

  • Lee, Seong-Ki;Kim, Hak-Kyong
    • Korean Security Journal
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    • no.33
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    • pp.197-228
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    • 2012
  • The private security industry in Korea has rapidly proliferated. While the industry has grown quickly, though, private security officers have recently been implicated in incidents involving violence, demonstrating an urgent need for systematic reform and regulation of private security practices in Korea. Due to its quasi-public service character, the industry also risks losing the public's favor if it is not quickly disciplined and brought under legitimate government regulation: the industry needs professional standards for conduct and qualification for employment of security officers. This paper shares insights for the reform of the Korean private security industry through a study of the licensing and training requirements for private security businesses in the United States, mainly focusing on the Private Security Officer Employment Authorization Act (hereinafter the PSOEAA) and the California system. According to the PSOEAA, aspiring security officers shall submit to a criminal background check (a check of the applicants' criminal records). Applicants' criminal records should include not only felony convictions but also any other moral turpitude offenses (involving dishonesty, false statement, and information on pending cases). The PSOEAA also allows businesses to do background checks of their employees every twelve months, enabling the employers to make sure that their employees remain qualified for their security jobs during their employment. It also must be mentioned that the state of California, for effective management of its private security sector, has established a professional government authority, the Bureau of Security and Investigative Services, a tacit recognition that the private security industry needs to be thoroughly, professionally, and actively managed by a professional government authority. The American system provides a workable model for the Korean private security industry. First, this paper argues that the Korean private security industry should implement a more strict criminal background check system similar to that required by the PSOEAA. Second, it recommends that an independent professional government authority be established to oversee and enforce regulation of Korea's private security industry. Finally, this article suggests that education and training course be implemented to provide both diverse training as well as specialization and phasing.

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The Relationship between Insomnia and Somatization According to Types of Work of Firefighters (소방공무원의 직무유형에 따른 불면과 신체화증상과의 관계)

  • Yoon, Heesoo;Ju, Gawon;Lee, Sang Ick;Shin, Chul-Jin;Son, Jung-Woo;Kim, Siekyeong;Park, Hyemi;Lee, Jeong Hwan
    • Korean Journal of Psychosomatic Medicine
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    • v.28 no.1
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    • pp.42-52
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    • 2020
  • Objectives : Firefighters are always under stress due to their job environment, and they are likely to become psychologically vulnerable due to continuous exposure to traumatic events, which is a stressful situation that requires emergency standby at all times. The aims of this study were to examine mental health factors for each division of firefighters and to see the relationship between sleep and somatization symptoms among them. Methods : General characteristics and related inspections were conducted through self-reporting questionnaires for 1,264 firefighters working at Chungbuk fire stations. Several mental health factors were investigated by the Insomnia Severity Index, Severity of somatic symptoms, Impact of Event Scale, Perceived Stress Scale, Resilience Scale, Alcohol Dependent Screening Scale, and the Center for Epidemiologic Studies Depression Scale Depression Scale and Mini-International Neuropsychiatric Interview. Results : Among the mental health variables, the relationship between insomnia and somatization varies significantly depending on types of work. It was reported that the first aid team was significantly higher than the fire suppression and rescue team. Post-traumatic stress, depression and drinking also differ significantly depending on types of work. The first aid team reported more posttraumatic stress than the fire suppression team and more depressed mood than the rescue team. The administration part had more alcohol consumption than the fire suppression or first aid team. Resilience was significantly higher in the rescue team than the first aid team. No significant differences between the types of work about stress and suicide risks. Insomnia, stress, and post-traumatic stress were significant predictors of somatization among firefighters. Above all, insomnia was significant mental health variable affecting somatization. Conclusions : Various mental health factors were different according to the types of work in firefighters. The First aid team was more vulnerable to mental health variables such as insomnia and somatization than other divisions. Insomnia is the most important cause of somatization in firefighters, so it is recommended that they be treated for insomnia and to prepare institutional policies.

Allium hookeri Extract Improves Type 2 Diabetes Mellitus in C57BL/KSJ Db/db Obese Mouse via Regulation of Hepatic Lipogenesis and Glucose Metabolism (삼채 추출물의 인슐린 저항성 개선 효과 및 기전 탐색)

  • Kim, Ji-Soo;Heo, Jin-Sun;Choi, Jong-Won;Kim, Gun-Do;Sohn, Kie-Ho
    • Journal of Life Science
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    • v.25 no.10
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    • pp.1081-1090
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    • 2015
  • Diabetes has been one of major health risks in industrialized countries. Allium hookeri is a wild herb distributed in India and Myanmar. The root of the plant has been used as food and medicine in Southeast Asia. We investigated Allium hookeri extract improves type 2 diabetes mellitus in C57BL/KSJ db/db obese mouse. C57BL/KSJ db/db obese mouse arise out of Type 2 diabetes and we treated Allium hookeri methanol extract 400 mg/kg (AH 400), 800 mg/kg (AH 800), positive control group (thiazolidinedine;TZDs) were administered orally for 8weeks. AH treated group normalized lipid enzyme system (triglyceride, total cholesterol, HDL-cholesterol and LDL-cholesterol) and serum glucose, HbA1c and plasma insulin level. AH treated group recovered β-cell damage by hyperglycemia and fatty liver disease. AH treated group significantly up regulated expression of Peroxisome proliferator-activated receptor gamma (PPAR-γ), pyruvate dehydrogenase kinase4 (PDK4), Sterol regulatory element-binding protein 1c (SREBP 1) and fork head box O1 (FOX 01) proteins in C57BL/KSJ db/db obese mouse liver. And we found that AH treated group decreased hepatic malondialdehyde formation in C57BL/KSJ db/db obese mouse liver. These results indicate that Allium hookeri methanol extract might be a potential anti-diabetic agent and could be useful in the treatment of type 2 diabetes mellitus.