• 제목/요약/키워드: Secondary Disease

검색결과 907건 처리시간 0.026초

비밀 분산 기법을 이용한 강건한 디퍼렌셜 프라이버시 개선 방안에 관한 연구 (Study on Robust Differential Privacy Using Secret Sharing Scheme)

  • 김철중;여광수;김순석
    • 예술인문사회 융합 멀티미디어 논문지
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    • 제7권2호
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    • pp.311-319
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    • 2017
  • 최근 대용량 의료정보의 이차적인 활용에 대한 관심과 함께 의료정보 내의 개인정보에 대한 프라이버시 침해 문제에 대한 관심 또한 대두되고 있다. 대용량 의료정보의 경우 질병 연구, 예방 등 다양한 분야에서 활용될 수 있는 매우 유용한 정보이다. 이러한 대용량 의료정보의 경우 환자, 의료인 등에 대한 개인정보를 포함하고 있기 때문에 개인정보보호법과 같은 프라이버시 관련 법률에 저촉되어 활용에 많은 제한이 존재한다. 현재까지 k-익명성, l-다양성, 디퍼렌셜 프라이버시 등 의료정보 내의 개인정보를 보호하면서 대용량 의료정보의 이차적인 활용을 가능하게 하는 다양한 방법들이 개발되어 활용되어오고 있다. 본 논문에서는 지금까지 개발된 다양한 방법들 중 디퍼렌셜 프라이버시의 처리 절차에 대해 알아보고 라플라스 노이즈를 사용하는 디퍼렌셜 프라이버시가 가지고 있는 문제점들에 대해 알아본다. 또한 AES와 같은 대칭키 암호화 알고리즘과 Shamir의 비밀 분산 기법을 이용하여 이에 대한 해결책을 새롭게 제안한다.

Teachers' Negative Attitudes and Limited Health Literacy Levels as Risks for Low Awareness of Epilepsy in Turkey

  • Gulay Yilmazel
    • Journal of Preventive Medicine and Public Health
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    • 제56권6호
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    • pp.573-582
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    • 2023
  • Objectives: For students with epilepsy, schools are a critical environment for managing the disease properly. This study examined awareness of epilepsy, attitudes toward epilepsy, and health literacy among school teachers in Turkey. Methods: This study was conducted in a city in Turkey with 1408 public school teachers from June 2021 to September 2021. Results: The median scores of the scales were 5, 29, and 32 for epilepsy awareness, epilepsy attitudes, and health literacy, respectively. Epilepsy awareness was higher in women, and epilepsy attitudes were more positive in women than men (p<0.05). While epilepsy awareness was higher in primary school teachers, epilepsy attitudes were more positive in secondary school teachers (p<0.05). Epilepsy awareness was lower in secondary school teachers (odds ratio [OR], 1.27; p<0.05), those who did not have an individual with epilepsy in their family/social environment (OR, 1.57; p<0.001), those who did not have a student with epilepsy in their class (OR, 1.45; p<0.05), and in those who had not witnessed an epilepsy seizure (OR,1.19; p<0.05). Compared to those with positive attitudes regarding epilepsy, epilepsy awareness was 1.36 times lower in those with negative attitudes (p<0.001). Epilepsy awareness was 1.92 times lower in those with limited health literacy than those with adequate health literacy (p<0.001). Conclusions: In this study, low epilepsy awareness, negative epilepsy attitudes, and limited health literacy were common among teachers. The findings from this study suggest that panels, workshops, and health training on epilepsy should be organized for school teachers and included at regular intervals in certified first-aid practices.

지역사회 거주 노인의 COVID-19 관련 염려와 우울이 손 씻기 수행도에 미치는 영향: 2020년 지역사회건강조사 (Impact of COVID-19-related concerns and depression on handwashing practice among community-dwelling older adults: a secondary analysis of the 2020 Korea Community Health Survey)

  • 최수영;이정재;이문주;박정윤;윤용택;송효정
    • Journal of Korean Biological Nursing Science
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    • 제26권1호
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    • pp.41-48
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    • 2024
  • Purpose: This study investigated hand-washing practice among community-dwelling older adults during the coronavirus disease 2019 (COVID-19) pandemic and aimed to identify the impact of COVID-19-related concerns and depression on hand-washing practice. Methods: This was a secondary analysis of data extracted from the 2020 Community Health Survey. The primary data were collected through self-reporting from August 10 to September 8, 2020 in a cross-sectional study. The subjects comprised of 1,350 adults aged 65 or older living in Jeju Province who participated in the 2020 Community Health Survey. Results: The factors affecting hand-washing practice among older adults were male older adults (β = -.18, p < .001), age (β = -.07, p = .001), no education (β = -.20, p < .001) and elementary, middle, and high school graduation (β = -.15, p < .001) compared to a college or higher education, poor health perception (β = -.13, p < .001), COVID-19-related concerns (β = .08, p = .005), and depression (β = -.07, p = .001). To summarize, the factors negatively affecting hand-washing practice included male gender, lower education level, poor health perception, and depression. In contrast, factors positively associated with hand-washing practice included COVID-19-related concerns. Conclusion: These findings show the importance of considering these multifaceted determinants when designing targeted interventions and educational programs to promote hand-washing among older adults. Additionally, based on the relationship between hand-washing practice and COVID-19-related concerns and depression, interventions that can alleviate mental problems along with providing proper education are required.

랜덤 포레스트 모델을 활용한 국내 청소년 성경험 영향요인 분석 연구: 2019~2021년 청소년건강행태조사 데이터 (Factors Influencing Sexual Experiences in Adolescents Using a Random Forest Model: Secondary Data Analysis of the 2019~2021 Korea Youth Risk Behavior Web-based Survey Data)

  • 양윤석;권주원;양영란
    • 대한간호학회지
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    • 제54권2호
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    • pp.193-210
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    • 2024
  • Purpose: The objective of this study was to develop a predictive model for the sexual experiences of adolescents using the random forest method and to identify the "variable importance." Methods: The study utilized data from the 2019 to 2021 Korea Youth Risk Behavior Web-based Survey, which included 86,595 man and 80,504 woman participants. The number of independent variables stood at 44. SPSS was used to conduct Rao-Scott χ2 tests and complex sample t-tests. Modeling was performed using the random forest algorithm in Python. Performance evaluation of each model included assessments of precision, recall, F1-score, receiver operating characteristics curve, and area under the curve calculations derived from the confusion matrix. Results: The prevalence of sexual experiences initially decreased during the COVID-19 pandemic, but later increased. "Variable importance" for predicting sexual experiences, ranked in the top six, included week and weekday sedentary time and internet usage time, followed by ease of cigarette purchase, age at first alcohol consumption, smoking initiation, breakfast consumption, and difficulty purchasing alcohol. Conclusion: Education and support programs for promoting adolescent sexual health, based on the top-ranking important variables, should be integrated with health behavior intervention programs addressing internet usage, smoking, and alcohol consumption. We recommend active utilization of the random forest analysis method to develop high-performance predictive models for effective disease prevention, treatment, and nursing care.

Do age, gender, and subjective health-related factors influence health-related life satisfaction in people with disabilities who are physically active?: a secondary analysis

  • Hyunseok Cho;Sukhee Ahn
    • 여성건강간호학회지
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    • 제30권1호
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    • pp.56-66
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    • 2024
  • Purpose: This study explored the factors influencing the health-related life satisfaction of people with disabilities who engaged in physical activity, by age and gender. Methods: A secondary analysis was conducted of the 2020 Third Disability and Life Dynamics Panel (2021). The participants were 2,796 people who performed regular physical activity at least once a week. The variables selected were disability-related factors (degree of disability, multiple disabilities, and type of disability), sociodemographic factors (age, gender, living alone, and mean monthly family income), and health-related factors (amount of physical activity, self-esteem, depression, chronic disease, subjective health, and health-related life satisfaction). Descriptive statistics, the chi-square test, the t-test, two-way analysis of variance, and multiple regression analysis were conducted. Results: In total, 58.0% of participants were male, and 42.0% were female. For age groups, 14.4% were children/adolescents (0-19 years), 42.6% were adults (20-59 years), and 43.0% were seniors (≥60 years). The mean score for health-related life satisfaction was 5.0±2.15 out of 10. Adults and seniors whose level of physical activity met or exceeded recommendations had higher subjective health. Moreover, men had better subjective health than women in seniors. Health-related life satisfaction was higher among those who had higher self-esteem, were not depressed, did not have chronic diseases, and had better subjective health. Conclusion: Gender significantly influenced health-related life satisfaction in children/ adolescents and seniors. Disability-related factors were significant in adults, and health-related factors were significant in all age groups. Therefore, these factors should be considered when designing interventions to promote subjective health and health-related life satisfaction of people with disabilities.

불임증(不姙症) 환자(患者)의 통계적(統計的) 고찰(考察);서울대학교병원(大學校病院) 불임상담실(不姙相談室) 1872 예(例)의 분석(分析) (An Analysis of Infertility Patients)

  • 장윤석;이진용;문신용;김정구;최승헌;임용택
    • Clinical and Experimental Reproductive Medicine
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    • 제12권1호
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    • pp.47-70
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    • 1985
  • This study was presented of the 1,872 cases of infertile couples who visited and examined at the sterility clinic of Department of Obstetrics & Gynecology, Seoul National University Hospital from Sept., 1980 to Dec., 1983. Age, duration of infertility, past medical history, and other general factors were analyzed, and the factors responsible for infertility were classified and discussed. Mode of treatment, outcome of pregnancy, pregnancy rate responsible for each factor were also presented. The results were as follows: 1) The infertility was primary in 1,128, or 60.3% and secondary in 744, or 39.7%. 2) The age between 26 and 30 years of age comprised about one half of the total patients. 3) The duration of infertility between 1 and 4 years comprised about three quarters of the total patients, and the mean duration was 3.8 years. 4) The most common medical history in primary infertility was tuberculous disease, and that in secondary infertility was history of previous laparotomy. 5) About two thirds of antecedent pregnancies were abortion. 6) The major etiologic factor of infertility were male factor in 12.3%, tubal factor in 38.8%, ovulatory failure in 25.4%, uterine factor in 8.8%, cervical factor in 5.2%, peritoneal factor in 9.5%, and no demonstrable cause in 11.3%. 7) The types of male factor were azoospermia in 61.6%, oligospermia in 25.8%, low motility in 11.6%, and other abnormality in 1.0%. 8) The types of ovulatory failure were ovarian failure in 7.4%, hypothalamo-pituitary failure in 8.1 %, hypothalamo-pituitary dysfunction (including Polycystic ovarian syndrome) in 30.2%, and hyperprolactinemia in 22.4%. 9) The types of uterine factor were endometrial tuberculosis in 27.5%, uterine synechia in 33.8%, uterine anomaly in 19.7%, myoma and polyp in 9.1 %, and luteal phase defect in 9.9%. 10) The types of peritoneal factor were pelvic adhesion in 80.9% and endometriosis in 19.6%. 11) Surgeries were done in 408 patients, and they were salpingolysis, lysis of extraadnexal adhesion, salpingostomy, fimbrioplasty, ovarian wedge resection for polycystic ovarian disease, tubo-tubal anastomosis, and tubo-uterine implantation in orders. 12) 243 pregnancies were achieved during the infertility work-up, of which livebirth was 46.5%, ectopic pregnancy was 7.4%, spontaneous abortion was 7.8%, and on-going pregnancy or lost to follow-up was 36.2%. 13) Pregnancy rates in various factors were male factor in 18.7%, ovulatory factor in 31.7%, tubal factor in 24.2%, uterine factor in 34.6%, cervical factor in 19.0%, peritoneal factor in 29.0%, combined factors in 10.5%, and unexplained infertility in 37.1%. Pregnancy rate in whole patients was 25.2%.

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식물근권에서 분리한 Pseudomonas fluorescens strain EP103에 의한 고추역병억제 (Endophytic bacterium Pseudomonas fluorescens strain EP103 was effective against Phytophthora capsici causing blight in chili pepper)

  • 김택수;스와나리더타;이세원;박경석
    • 농약과학회지
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    • 제18권4호
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    • pp.422-428
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    • 2014
  • 딸기 근권에서 분리한 내생균 중 고추역병균 방제 및 고추생육촉진 효과가 우수한 균주를 선발하였다. Pseudomonas fluorescen EP103으로 명명된 내생균주는 다른 내생균주와 비교하여 식물의 뿌리 길이와 생체 중이 크게 증가하였다. 고추역병에 대한 온실검정에서 EP103처리는 방제가 78.7%을 나타냈으며 항균력 실험결과 고추역병균을 직접 억제하지는 않았다. EP103이 처리된 고추에서는 PR1, PR10등의 병저항성 유전자가 발현되었으며 EP103의 PCR분석 결과 피올테오린, 파이로니트린, 하이드로젠 싸이아나이드, 오르화미드 등의 유용유전자를 함유하고 있음이 밝혀졌다. 따라서 본 균주는 고추역병의 생물 방제용으로 활용할 가치가 있는 것으로 판단된다.

간흡충 충체의 부위별 항원성에 대한 면역조직화학적 연구 (Immunohistochemical study on the antigenicity of each organ structure of Clonorchis sinensis)

  • Jin Kim;Jong-Yil Chai;Weon-Gyu Kho;Kyu-Hyuk Cho;Soon-Hyung Lee
    • Parasites, Hosts and Diseases
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    • 제29권1호
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    • pp.21-30
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    • 1991
  • 간흡충의 충체 부위별 항원성을 알아보고자 면역조직화차적 방법을 이용하여 간흡충의 소화기관, 생식기관, 배설기관, 흡반, 표피 등의 염색강도를 비교 관찰하였다. 간흡충 실험 감염 후 2~8주 된 토끼에서 담관 내 충체를 포함하는 간 조직을 얻어 중성 포르말린 용액에 고정하고 파라핀으로 포매한 다음 4 $\mu\textrm{m}$두께로 잘라 항원으로 이용하였다. 항-간흡충 항체(1차 항체)는 실험 감염 10주 된 고양이 혈청을 희석하여 사용하였고 peroBidaseconjugated goat anti-cat IgG를 2차 항체로 하여 간접 면역효소 염색을 시행하였다. 가장 적합한 1차 항체의 희석 농도는 1 : 1,000~1 : 2,000, 2차 항체의 희석 농도는 1 : 1,000이었다. 충체의 장 상피세포, 장 내용물 및 배설낭은 1차 항체 희석 농도 1 : 1,000~1 : 2,000에서 강한 양성 반응을 보인 반면, 자궁 및 일부 자궁 내 충란, 난관선, 웅성 생식기관 등은 1차 항체 회석 농도 1 : 1,000에서 미약한 양성 반응을 나타내었다. 한편, 흡반, 표피, 표피하 세포, 충체 실질 등은 1차 항체 회석 농도 1 : 1,000에서도 음성 반응을 나타내었다. 이상의 결과를 종합하면, 간흡충 감염시 숙주의 항체 반응은 충체의 소화-분비 기관에서 유래된 이른바 분비-배설 항원에 의해 가자 강력하게 유발되는 것으로 추측된다.

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Role of Adjunctive Tranexamic Acid in Facilitating Resolution of Chronic Subdural Hematoma after Surgery

  • Kiyoon Yang;Kyung Hwan Kim;Han-Joo Lee;Eun-Oh Jeong;Hyon-Jo Kwon;Seon-Hwan Kim
    • Journal of Korean Neurosurgical Society
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    • 제66권4호
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    • pp.446-455
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    • 2023
  • Objective : Chronic subdural hematoma (CSDH) is a common neurosurgical disease and generally treated with burr-hole surgery alone. Tranexamic acid (TXA) is an antifibrinolytic agent that potentially reduces recurrence rates and the residual hematoma volume. However, the role of postoperative TXA medication remains unclear to date. This study aimed to verify the effectiveness of adjunctive TXA in the view of early hematoma resolution. Methods : Between January 2018 and September 2021, patients with CSDH who underwent burr-hole trephination in a single tertiary institute were reviewed. The study population was divided into three groups, TXA, non-TXA, and antithrombotics (AT) groups, according to the medical history of cardio-cerebrovascular disease and TXA administration. The primary endpoint was CSDH recurrence, defined as re-appearance or re-accumulation of CSDH requiring neurosurgical interventions. The secondary outcome was CSDH resolution, defined as complete or near-complete resorption of the CSDH. The CSDH resolution time and serial changes of hematoma thickness were also investigated. Results : A total of 240 patients was included in the analysis consisting of 185 male and 55 female, with a median age of 74 years. During the median imaging follow-up period of 75 days, 222 patients were reached to the primary or secondary endpoint. TXA was administered as an adjunctive therapy in 41 patients (TXA group, 16.9%) while 114 patients were included in the non-TXA group (47.9%) and 85 were in the AT group. The recurrence rate was the lowest in the TXA group (2.4%), followed by non-TXA (7.0%) and AT (8.2%) groups. However, there was no statistical significance due to the small number of patients with recurrence. CSDH resolution was achieved in 206 patients, and the median estimated time to resolution was significantly faster in the TXA group (p<0.001). Adjunctive TXA administration was a significant positive factor for achieving CSDH resolution (p<0.001). The hematoma thickness was comparable among the three groups at the initial time and after surgery. However, CSDH thickness in the TXA group decreased abruptly in a month and showed a significant difference from that in the other groups (p<0.001). There was no TXA-related adverse event. Conclusion : The adjunctive use of TXA after CSDH surgery significantly facilitated the resorption of residual CSDH and resulted in the early CSDH resolution. Adjunctive TXA may be an effective treatment option to reduce recurrence by enhancing CSDH resolution in the selective patients.

골연골종(증)에서 발생한 속발성 연골육종 (Secondary Chondrosarcoma Arising from Osteochondroma(tosis))

  • 조현민;이승구;강용구;정양국;이안희;박정미;박원종
    • 대한골관절종양학회지
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    • 제16권1호
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    • pp.21-26
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    • 2010
  • 목적: 발생 빈도가 드문 골연골종(증)에서 기인한 속발성 연골육종의 임상적, 방사선학적, 조직병리학적 소견과 더불어 수술적 치료의 결과를 알아보기 위하여 본 연구를 시행하였다. 대상 및 방법: 1992년 1월 1일부터 2004년 12월 31일까지 골연골종(증)에서 발생한 속발성 연골육종에 대해 수술적 치료를 받은 14명을 대상으로 환자들의 임상기록, 단순 방사선 및 전산화 단층촬영/자기공명영상, 병리조직 슬라이드를 후향적으로 조사하였다. 남성 9명, 여성 5명이었으며, 평균 나이는 34세(14-75세)였다. 평균 추시 기간은 54개월이었다. 결과: 모든 환자에서 소아기나 사춘기 전, 후부터 종괴를 가지고 있었으며, 방사선학적 소견은 종양의 표면이 불규칙하거나 경계가 불분명하거나, 분산된 무기질 침착 소견을 동반한 골파괴 음영 및 점상 석회화를 동반한 연부조직 종괴가 관찰되었다. 자기공명영상소견은 상기 방사선학적 소견을 반영하는 불균등신호 강도(inhomogeneous signal)의 불규칙한 경계를 지닌 종괴가 보이며, 연골모(cartilage cap)의 두께가 2예를 제외하고는 모두 1 cm 이상으로 두꺼웠다. 수술적 치료는 10명에서 광범위절제술, 3명에서 변연절제술 그리고 1명에서 절단술을 시행하였다. 결론: 골연골종(증)에서 드물기는 하나 속발성 연골육종이 발생할 수 있으므로, 임상적, 방사선학적 그리고 조직병리학적 소견을 종합적으로 이해하고 주의 깊게 추시 관찰 하여, 조기에 광범위 절제술을 시행할 경우 좋은 치료결과를 기대할 수 있을 것으로 사료된다.