• The Journal of the Society of Stroke on Korean Medicine
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• v.23 no.1
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• pp.25-40
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• 2022

■Objectives This study aimed to collect and analyze clinical studies on the significance of acupuncture in the treatment of hypertension among Korean patients. ■Methods Among Korean patients with a blood pressure (BP) of 120 mmHg or higher and a diastolic BP of 80 mmHg or higher, those, treated with acupuncture only, were included. A literature search was conducted through 'Embase', 'Medline', 'Science and Technology Information Integration Service (NDSL)', 'Traditional Korean Knowledge Portal (OASIS)', 'PubMed', and 'Scopus'. The search keywords were (hypertension OR 'blood pressure') AND acupuncture. The papers, published before the day of the search (02. January 2022), were included in this study. ■Results Among the 12 selected papers, seven involved randomized controlled trial (RCT), four before-and-after studies, and one case series. The number of RCTs has increased yearly. The treatment methods used in the studies included needle acupuncture in eight studies, auricular acupuncture in two, pharmacopuncture in one, and si-acupuncture in one. The average numbers of patients enrolled in RCTs, before-and-after studies, and case series were 21.1, 30, and 23 respectively. Six studies were conducted on prehypertensive patients, two on stage 1 hypertension patients, and four on stage 2 hypertension patients. The involved acupoints have been reported to be ST36 in eight papers, LI11 in four papers, and PC6 in three papers. The treatment period lasted for < 1 week in eight studies and 8 weeks in four studies. Acupuncture successfully lowered blood pressure in nine out of 12 studies ■Conclusions Acupuncture is a viable alternative treatment option for prehypertensive patients, who are not taking medications. Additionally, it is also useful in further lowering the BP of patients with stage 1 and stage 2 hypertension in the short term. Large-scale and long-term studies on acupuncture for hypertension should be conducted.

• Journal of Korean Neurosurgical Society
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• v.65 no.5
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• pp.741-750
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• 2022

Objective : In March 2020, World Health Organization declared a global pandemic caused by a novel coronavirus (SARS-CoV-2). The disease caused by this virus is called COVID-19. Due to its high contagiousness, many changes have occurred in overall areas of our daily life including hospital use by patients. The aim of this study was to investigate the impact of COVID-19 on volume of spine surgery in South Korea using the National Health Insurance database and compare it with the volume of a homologous period before the pandemic. Methods : Data of related to spine surgery from January 2019 to April 2021 were obtained from the National Health Insurance and Health Insurance Review and Assessment Service database. Primary outcomes were total number of patients, rate of patients per 100000 population, and total number of procedures. The number of patients by hospital size was also analyzed. Results : COVID-19 outbreaks occurred in South Korea in March, August, and December of 2020. Compared to the previous year, the total number of patients who underwent spinal surgery showed a decrease for 2-3 months after the first and second outbreaks. However, it showed an increasing trend after the third outbreak. The same pattern was observed in terms of the ratio of the number of patients per 100000 population. Between 2019 and 2021, the mean number of spine surgeries per month tended to increase. Mean annual medical expenses increased over the years (p=0.001). When the number of spine surgeries was analyzed by hospital size, proportion of tertiary general hospital in 2021 increased compared to those in 2019 and 2020 (vs. 2019, p=0.012; vs. 2020, p=0.016). The proportion of general hospital was significantly decreased in 2020 compared to that in 2019 (p=0.037). Conclusion : After the COVID-19 outbreak, patients tended to postpone spinal surgery temporarily. The number of spinal surgeries decreased for 2-3 months after the first and second outbreaks. However, as the ability to respond to the COVID-19 pandemic at the hospital and society-wide level gradually increased, the number of spine surgeries did not decrease after the third outbreak in December 2020. In addition, the annual number of spine surgeries continued to increase. However, it should be noted that patients tend to be increasingly concentrated in tertiary hospitals for spinal surgery.

• Journal of Society of Preventive Korean Medicine
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• v.26 no.2
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• pp.55-67
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• 2022

Objectives : This study is aimed to survey Korean Medicine Doctors's perceptions in Korean Medicine Clinical Practice Guideline and Standard Korean Medicine Clinical Pathways for its spread(to increase utilization in clinical sites). Methods : The research population was set at 14,831 Korean medical institutions registered with the Health Insurance Review and Assessment Service for sampling representative of Korean Medicine Doctors, and the final 2,007 subjects were selected in consideration of the research period and budget. This survey was conducted based on a telephone survey, and in some cases, a fax or e-mail survey was also conducted together. Six questions were asked about the perception of 'Korean Medicine Clinical Practice Guideline and Standard Korean Medicine Clinical Pathways', and three questions about the characteristics of the respondent. Results : The rate of recognizing Korean Medicine Clinical Practice Guideline was 36.1%. Those who worked at Korean medicine hospitals, were under 39 years of age, and had less than 11-20 years of experience as an Korean medical doctor were more likely to be aware of it. Regarding the experience of using Korean Medicine Clinical Practice Guideline, the rate of 'not used in the past and not used now' was very high at 82.9%, but the intention to use it in the future was high at 60.7%. About the Korean Medicine Clinical Pathways, 79.9% of respondents answered that they did not know. 80.6% of respondents recognized the need for the development of clinical manuals such as Korean Medicine Clinical Practice Guideline and Standard Korean Medicine Clinical Pathways. Conclusion : Their low awareness of Korean Medicine Clinical Practice Guideline seems to affect its low utilization. Therefore, active education and public relations are required in the future.

• Journal of Internet Computing and Services
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• v.23 no.1
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• pp.31-38
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• 2022

An electrocardiogram(ECG) is a recoding of electrical signals of the heart's cyclic activity and an important body information for diagnosing myocardial rhythm. Large amount of information are generated continuously and a significant period of cumulative signal is required for the purpose of diagnosing a specific disease. Therefore, research on compression including clinically acceptable lossy technique has been developed to reduce the amount of information significantly. Recently, wearable smart heart monitoring devices that can transmit electrocardiogram(ECG) are being developed. The use of electrocardiogram, an important personal information for healthcare service, is rapidly increasing. However, devices generally have limited capability and power consumption for user convenience, and it is often difficult to apply the existing compression method directly. It is essential to develop techniques that can process and transmit a large volume of signals in limited resources. A method for compressing and transmitting the ECG signals efficiently by using the cumulative average (template) of the unit waveform is proposed in the paper. The ECG is coded lovelessly using template matching. It is analyzed that the proposed method is superior to the existing compression methods at high compression ratio, and its complexity is not relatively high. And it is also possible to apply compression methods to template matching values.

• Journal of the Korea institute for structural maintenance and inspection
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• v.26 no.6
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• pp.175-181
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• 2022

The condition of infrastructure deteriorates as the service life increases. Since most infrastructure in South Korea were intensively built during the period of economic growth, the proportion of outdated infrastructure is rapidly increasing now. Aging of such infrastructure can lead to safety accidents and even human casualties. To prevent these issues in advance, periodic and accurate inspection is essential. For this reason, the need for research to detect various types of damage using computer vision and deep learning is increasingly required in the field of remotely controlled or autonomous inspection. To this end, this study proposed a neural network structure that can detect concrete damage by classifying it into three types. In particular, the proposed neural network can detect them more accurately through a hierarchical learning technique. This neural network was trained with 2,026 damage images and tested with 508 damage images. As a result, we completed an algorithm with average mean intersection over union of 67.04% and F1 score of 52.65%. It is expected that the proposed damage detection algorithm could apply to accurate facility condition diagnosis in the near future.

• The Journal of the Convergence on Culture Technology
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• v.8 no.5
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• pp.515-524
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• 2022

The turnout system of the sleeper floating tracks (STEDEF) on urban transit is a Anti-vibration track composed of a wooden sleeper embedded in a concrete bed and a sleeper resilience pad under the sleeper. Therefore, deterioration and changes in spring stiffness of the sleeper resilience pad could be cause changes in sleeper support conditions. The damage amount of manganese crossings that occurred during the current service period of about 21 years was investigated to be about 17% of the total amount of crossings, and it was analyzed that the damage amount increased after 15 years of use (accumulated passing tonnage of about 550 million tons). In this study, parameter analysis (wheel position, sleeper support condition, and dynamic wheel load) was performed using a three-dimensional numerical model that simulated real manganese crossing and wheel profile, to analyze the damage type and cause of manganese crossing that occurred in the actual field. As a result of this study, when the voided sleeper occurred in the sleeper around the nose, the stress generated in the crossing nose exceeded the yield strength according to the dynamic wheel load considering the design track impact factor. In addition, the analysis results were evaluated to be in good agreement with the location of damage that occurred in the actual field. Therefore, in order to minimize the damage of the manganese crossing, it is necessary to keep the sleeper support condition around the nose part constant. In addition, by considering the uniformity of the boundary conditions under the sleepers, it was analyzed that it would be advantageous to to replace the sleeper resilience pad together when replacing the damaged manganese crossing.

• Journal of the Korean Society of Marine Environment & Safety
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• v.28 no.7
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• pp.1191-1200
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• 2022

The COVID-19 pandemic can be deemed one of the greatest hardships faced by mankind in the 21st century. All industries have been severely affected and workers are still experiencing deep difficulties due to the changed working and living environment. Seafarers have been recognized by the international community as key workers since the pandemic began. They are also working internationally to establish a Level Playing Field through the protection of their rights through the Seafarers' Employment Agreement and the implementation of international labour standards. However, despite the obligations under international conventions to be implemented by State parties and the recommendations by international organizations, the rights of seafarers under the Maritime Labour Convention were violated were violated and their occupational safety and health of seafarers were further threatened throughout the pandemic. This article analyzes the impact of the international shipping industry and the implementation of the Maritime Labour Convention based on each country's measures during the COVID-19 pandemic. Furthermore, the amendments of the Maritime Labour Convention adopted through the fourth Special Tripartite Committee were analyzed based on the conference documents and reports to comprehend the implied meaning. The adopted eight amendments to the Maritime Labour Convention are expected to positively affect the seafarers' rights, safety and health in the future, but the international community's efforts should continue because the issues of maximum working hours, maximum service period on board, and the repatriation of seafarers still remain unsettled.

• Journal of the Korea Society for Simulation
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• v.19 no.4
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• pp.139-149
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• 2010

Internet was designed for network scalability and best-effort service which makes all hosts connected to Internet to be vulnerable against attack. Many papers have been proposed about attack detection algorithms against the attack using IP spoofing and DoS/DDoS attack. Purpose of DoS/DDoS attack is achieved in short period after the attack begins. Therefore, DoS/DDoS attack should be detected as soon as possible. Attack detection algorithms using false alarm rates consist of the false negative rate and the false positive rate. Moreover, they are important metrics to evaluate the attack detections. In this paper, we analyze the performance of the attack detection algorithms using the impact of false negative rate and false positive rate variation to the normal traffic and the attack traffic by simulations. As the result of this, we find that the number of passed attack packets is in the proportion to the false negative rate and the number of passed normal packets is in the inverse proportion to the false positive rate. We also analyze the limits of attack detection due to the relation between the false negative rate and the false positive rate. Finally, we propose a solution to minimize the limits of attack detection algorithms by defining the network state using the ratio between the number of packets classified as attack packets and the number of packets classified as normal packets. We find the performance of attack detection algorithm is improved by passing the packets classified as attacks.

• Journal of the Daesoon Academy of Sciences
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• v.32
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• pp.109-136
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• 2019

The purpose of this study is to look at the concept of Gaebyeok as used by Kang Jeungsan (姜甑山) from a civilizational perspective. The combination of East Asian civilization during the period of Korea's port-opening and the subsequent inflow of Western powers with material civilization all at the forefront in the late Joseon Korea, served as the driving force for a new civilizational transition. Unlike the Chuk-sa Party and the Gae-hwa Party, modern Korean religions that emphasized Gaebyeok also responded to Western civilization and suggested a new view of civilization. Kang Jeung-san, resisting discrimination and oppression, presented a civilization built upon mutual beneficence while criticizing Western civilizations which centered on reason. Amid this process of the spread of modern Western civilization, Jeungsan declared the construction of a new civilization to the people who were negatively impacted by various social factions, such as class and gender discrimination, political corruption, exploitation via political corruption, and the inflow of Western powers. Jeungsanist Thought developed criticisms of materialism and human alienation, and this resulted in the claim of Gaebyeok. This was an expression of efforts to build a new civilization that aimed to harmonize, integrate, and thrive. The new civilization envisioned by Jeungsan was that of a society run according to mutual beneficence, and it can be summarized as a 'Civilization of Harmonious Union' that integrates philosophical thought and civilizational models of both East and West. This could also be referred to a 'Civilization of Public-commons and Harmony between Divine Beings and Human Beings (神人公共).' The life of Jeungsan was a life spent in the service of curing the world to save the lives of humanity. Since then, his 'movement of mutual beneficence' as observed in Mugeuk-do and Taegeuk-do were also efforts to build the new civilization envisioned by Jeungsan.

• KSCE Journal of Civil and Environmental Engineering Research
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• v.43 no.3
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• pp.397-411
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• 2023

The number of deteriorated bridges with a service period of more than 30 years has been rapidly increasing in Korea. Accordingly, the importance of advanced maintenance technologies through the predictions of age-induced deterioration degree, condition, and performance of bridges is more and more noticed. The prediction method of the safety grade of bridges was proposed in this study using the classification models of the Decision Tree and the Random Forest based on machine learning. As a result of analyzing these models for the 8,850 bridges located in national roads with various evaluation indexes such as confusion matrix, balanced accuracy, recall, ROC curve, and AUC, the Random Forest largely showed better predictive performance than that of the Decision Tree. In particular, random under-sampling in the Random Forest showed higher predictive performance than that of other sampling techniques for the C and D grade bridges, with the recall of 83.4%, which need more attention to maintenance because of the significant deterioration degree. The proposed model can be usefully applied to rapidly identify the safety grade and to establish an efficient and economical maintenance plan of bridges that have not recently been inspected.