• 전자공학회논문지SC
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• 제46권6호
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• pp.44-49
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• 2009

EAS (electronic article surveillance) 시스템은 상품의 도난 방지를 위한 것으로 상품 판매 자동화 증가로 인해 사용이 급속히 늘어나고 있다. 이에 본 연구에서는 EAS 시스템의 전자기장 세기를 측정하였고, EAS 시스템이 pacemaker와 ICD에 미치는 영향에 대해 알아보았다. 일반 성인 심장 높이인 130cm에서 6.3 kHz와 14.25 kHz EAS 시스템의 게이트 안쪽의 왼쪽, 바깥쪽의 오른쪽과 가운데 위치에서 전자기장의 세기를 측정하였고, pacemaker와 ICD의 동작 여부를 관찰하였다. 측정 결과 전자기장의 세기는 EAS 시스템에 따라 큰 차이가 났는데 14.25 kHz를 사용하는 EAS 시스템이 가장 강했다. Pacemaker는 고정시 세 위치 모두에서 파형 변화가 관찰되었고, ICD는 이동시와 고정시한 위치에서만 noise reversion, 심실세동이 관찰되었으며, 모두 전자기장 세기가 가장 센 14.25 kHz의 EAS 시스템의 전자기장에 의해 발생하였다. 이에 현재 국내에서는 시행되고 있지 않은 전자기장 방출에 대한 안내문 부착과 이식형 의료기기 시술을 받은 환자의 접근에 대한 위험성 경고문 등의 조치가 필요하다.

• 한국치위생학회지
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• 제11권4호
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• pp.557-569
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• 2011

Objectives : Based on the system and control activity for the monitoring system made of components for infection control at dental hospitals and infection rate reporting, and the role of trained infection control staff, this study tried to understand approaches to the effective infection control program by surveying infection control at dental hospitals in Korea. Methods : The survey was conducted from December 14,2010 to January 31,2011 for 121 dental hospitals in Korea. For statistical analysis, PASW Statistic 18 was used. Results : And following conclusions were reached. 1. As for the infection control system at dental hospitals, 54.7% has an infection control committee, 58.7% infection control staff, 78.5% infection control rules, and 39.7% annual infection control plan and record. 2. As for surveillance indexes to report infection rates, 50.4% has the reporting system for staff's exposure to infectious disease and needle pricking. The average number of exposures to infectious disease was $0.28{\pm}2.23$ and that of needle pricking was $1.83{\pm}5.39$. 3. As for infection control indexes, it was reviewed whether infection control rules were implemented according to operation agents, general hospitals were more active in staff infection control, and hospitals annexed to a dental university or special legal entity were more active in microorganism control. As for use of personal protection gear, there was no significant difference among operation agents. More than 71% of operators and their assistants said they did not replace their masks between patients. 4. As for personnel indexes for effective infection control staff, most hospitals designated dental hygienists, which was followed by dental doctors (or doctors). Where their workload was reviewed, the ratio of other work such as treatment was relatively higher than that of infection control (n=71). Conclusions : These results show dental hospitals in Korea have a certain level of infection control system. As infection indexes are managed mainly for staff members, patient monitoring is needed, and trained and effective infection control staff should be designated. This study reviewed surveillance, infection control and personnel indexes. And further studies are needed in the future.

• Korean Journal of Radiology
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• 제22권4호
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• pp.559-567
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• 2021

Objective: To evaluate the impact of multiparametric magnetic resonance imaging (mpMRI) before confirmatory prostate biopsy in patients under active surveillance (AS). Materials and Methods: This retrospective study included 170 patients with Gleason grade 6 prostate cancer initially enrolled in an AS program between 2011 and 2019. Prostate mpMRI was performed using a 1.5 tesla (T) magnetic resonance imaging system with a 16-channel phased-array body coil. The protocol included T1-weighted, T2-weighted, diffusion-weighted, and dynamic contrast-enhanced imaging sequences. Uroradiology reports generated by a specialist were based on prostate imaging-reporting and data system (PI-RADS) version 2. Univariate and multivariate analyses were performed based on regression models. Results: The reclassification rate at confirmatory biopsy was higher in patients with suspicious lesions on mpMRI (PI-RADS score ≥ 3) (n = 47) than in patients with non-suspicious mpMRIs (n = 61) and who did not undergo mpMRIs (n = 62) (66%, 26.2%, and 24.2%, respectively; p < 0.001). On multivariate analysis, presence of a suspicious mpMRI finding (PI-RADS score ≥ 3) was associated (adjusted odds ratio: 4.72) with the risk of reclassification at confirmatory biopsy after adjusting for the main variables (age, prostate-specific antigen density, number of positive cores, number of previous biopsies, and clinical stage). Presence of a suspicious mpMRI finding (adjusted hazard ratio: 2.62) was also associated with the risk of progression to active treatment during the follow-up. Conclusion: Inclusion of mpMRI before the confirmatory biopsy is useful to stratify the risk of reclassification during the biopsy as well as to evaluate the risk of progression to active treatment during follow-up.

• 의학교육논단
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• 제17권2호
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• pp.78-87
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• 2015

Mongolia is suffering from the inadequate capacity of medical doctors due to a poor education and training system. The purpose of this article is to evaluate the effect of a clinical training program for capacity building of medical doctors in Mongolia, and to suggest an effective model for continuing professional development in developing countries. Based on the results of a needs assessment, Korean and Mongolian medical experts developed a clinical training program and trained the trainers on 32 topics regarding major clinical problems in 6 specialties, including cardiology, endocrinology, pediatrics, obstetrics and gynecology, neurology, and emergency medicine. Surveillance survey and pre/post-test were used on every topic to evaluate the satisfaction and achievement, respectively, of the trainees. Six months after the clinical training program, we interviewed a sample of medical professionals to evaluate the change and impact. A total of 612 (person-year) medical doctors participated in the training, and the average score for satisfaction was 7.69 out of 8. The average score of the pre-test was 46.9 out of 100, while the post-test was 82.4. After the training, the medical doctors were applying their new knowledge and skills to their practice, and using the materials as guidelines, which improved their practice and increased patient satisfaction. They also started their own training program and adopted new equipment at their hospitals. The satisfaction and achievement of the trainees were very high, and there was significant change in the medical practice, education system, and infrastructure after the training program. This training program can be an effective model for capacity building of medical doctors in developing countries.

• 융합정보논문지
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• 제11권11호
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• pp.143-150
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• 2021

산불감시를 위해 한반도 지역을 24시간 상시 감시하고 감시정보의 전파가 가능한 정지궤도위성 기반의 산불감시 위성체계 구축을 위한 내용을 소개하고, 산불감시 시스템의 구축과 다양한 활용 방안에 대해 기술한다. 위성 활용 산불감시 시스템을 구축하기 위해 문헌연구, 기술적 원리, 산불감시 수단, 위성 산불감시 시스템에 대해 기술하고, 결론을 도출하겠다. 위성 활용 산불감시 시스템은 적외선 탐지 광학센서를 탑재한 정지궤도 위성 1기와 위성에서 수신된 자료를 처리하여 감시정보를 전파하는 지상처리 소로 구성될 수 있다. 산불감시 위성은 우리나라 상공 정지궤도에 위치하며 하루 24시간 365일 상시 운용되어야 한다. 산불감시 기술은 적외선탐지 기술로서 산불 감시 등의 국가 공공 이익 분야와 국가 안보분야에 활용이 가능하다. 하루 24시간 상시 운용되어야 하며 이를 만족시키기 위해서는 정지궤도 위성 기반의 산불감시 위성 시스템의 구축이 효율적이라고 할 수 있겠다.

• Parasites, Hosts and Diseases
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• 제56권5호
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• pp.521-525
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• 2018

Rodents are well-known reservoirs and vectors of many emerging and re-emerging infectious diseases, but little is known about their role in zoonotic disease transmission in Bhutan. In this study, a cross-sectional investigation of zoonotic disease pathogens in rodents was performed in Chukha district, Bhutan, where a high incidence of scrub typhus and cases of acute undifferentiated febrile illness had been reported in people during the preceding 4-6 months. Twelve rodents were trapped alive using wire-mesh traps. Following euthanasia, liver and kidney tissues were removed and tested using PCR for Orientia tsutsugamushi and other bacterial and rickettsial pathogens causing bartonellosis, borreliosis, human monocytic ehrlichiosis, human granulocytic anaplasmosis, leptospirosis, and rickettsiosis. A phylogenetic analysis was performed on all rodent species captured and pathogens detected. Four out of the 12 rodents (33.3%) tested positive by PCR for zoonotic pathogens. Anaplasma phagocytophilum, Bartonella grahamii, and B. queenslandensis were identified for the first time in Bhutan. Leptospira interrogans was also detected for the first time from rodents in Bhutan. The findings demonstrate the presence of these zoonotic pathogens in rodents in Bhutan, which may pose a risk of disease transmission to humans.

• 한국항행학회논문지
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• 제21권1호
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• pp.50-57
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• 2017

최근 국내에서 추진된 항공 관련 안전필수시스템 기술 개발 사업들이 중도에 종료되거나 최종 단계에서 실용화되지 못하는 사례가 종종 발생했다. 사업실패의 원인은 여러 가지 요인이 있겠지만 본 연구에서는 불완전한 시험평가 절차에 주안점을 두고 관련 연구를 수행하였다. 일반적으로 안전필수시스템의 시험평가 프로세스는 시스템의 전 수명주기에 걸쳐 분포되고 단계별 연속성을 가져야 하며 시스템 설계 및 획득 전략의 성숙도에 따라 다양한 방법으로 실행될 수 있다. 본 논문의 목적은 국내 안전필수 항행시스템 개발 사업의 리스크를 줄이고 성공률을 높이기 위한 방안으로 국내외 시험평가 프로세스를 분석하여 새로운 전략을 제시하는 것이다. 먼저 안전필수시스템에 대한 검증 및 확인 기법에 대해 토의하고 선진기관의 시험평가 프로세스 및 절차와 국내 현황을 분석한 뒤 국내외 시험평가 프로세스를 비교함으로써 불완전한 시험평가 절차에 대한 보완책을 제시하였다.

• Asian Pacific Journal of Cancer Prevention
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• 제17권8호
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• pp.4131-4136
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• 2016

Background: The population in northeast Thailand continues to present with hepatobiliary abnormalities, particularly periductal fibrosis (PDF) which is the result of chronic infection with liver fluke (Opisthorchis viverini; OV) and may lead to the development of cholangiocarcinoma (CCA). Although the prevalence of OV infection has been decreased due to a liver fluke control program over decades, the prevalence of PDF remains high. This study aimed to investigate demographic factors associated with PDF risk based on ultrasonography (US) screening. Materials and Methods: This cross-sectional study is part of the Cholangiocarcinoma Screening and Care Program (CASCAP), a prospective cohort study. Multiple logistic regression was used for data analysis. Results: In 55,246 subjects, the overall prevalence of PDF was 33.0% (95%CI: 32.6 - 33.4). Males (33.9 %) were at higher risk for developing PDF than females (32.2 %) (ORcrude = 0.93; 95%CI: 0.89 - 0.96; p-value < 0.001). Factors associated with an increased PDF risk, in addition to OV infection, included old age (${\geq}70$ years) (ORadj = 1.28, 95% CI: 1.14 - 1.44, p < 0.001) and hepatitis B infection (ORadj = 1.31, 95% CI: 1.11 - 1.55, p = 0.001). In contrast, number of praziquantel treatments (> 2 times) (ORadj = 0.54, 95% CI: 0.47 - 0.63, p < 0.001) and diabetes mellitus (ORadj = 0.57, 95% CI: 0.49 - 0.65, p < 0.001) were significantly associated with a decreased PDF risk. Conclusions: Future US screening should closely examine older people and hepatitis B subjects for the purpose of PDF surveillance among high risk groups for CCA. However, the results of inverse associations require further investigation in order to confirm our findings.

• Journal of Preventive Medicine and Public Health
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• 제41권3호
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• pp.153-158
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• 2008

Objectives : This study describes a plan that was designed to prevent a measles outbreak that showed a changed outbreak pattern. This study is based on the epidemiological investigation of a measles outbreak in a preschool in Incheon, Korea, 2006. Methods : The subjects were 152 students at a preschool where a measles outbreak occurred. A questionnaire survey was conducted and serological testing for measles-specific IgM was preformed. Results : Of the fifteen confirmed, identified cases, eleven patients had been vaccinated with one dose, one patient had received two doses and three patients were unvaccinated. The three unvaccinated cases consisted of one 5-year-old child, one 3-year-old child and one 16-month-old infant. For the cases with one dose of the vaccination, there were 11 cases, which consisted of six 5-year-old children, two 4-year-old children, two 3-year-old children and one 2-year-old child. The case with two doses of the vaccination was one 4-year-old child. The attack rate of measles was 100% in the 0-dose group, 11.2% in the 1-dose group and 2.0% in the 2-dose group. The vaccine's efficacy was 88.8% in the 1-dose group and 98.0% in the 2-dose group. The vaccine effectiveness for the 2-dose group was higher than that of the 1-dose group. Conclusions : High coverage with a 2-dose vaccination should be maintained, and the vaccination should be given at the suitable time to prevent a measles outbreak with a changed outbreak pattern.

• 방송공학회논문지
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• 제23권6호
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• pp.939-946
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• 2018

본 논문에서는 전방위 영상을 활용하여 효과적으로 감시할 수 있는 뷰어 프로그램을 구현하였다. 프로그램은 크게 Normal mode, ROI(Region of Interest) mode, Tracking mode, Auto-rotation mode의 네 가지 모드로 구성되며, 각 모드에 대한 결과 영상을 동시에 표출하도록 구현하였다. Normal mode에서는 광각 영상을 구형 영상으로 렌더링하여 팬, 틸트, 줌이 가능하도록 하며, ROI mode는 보고 싶은 영역을 선택하면 해당 영역이 확장되어 표출된다. 그리고 Auto-rotation mode에서는, Tracking mode를 이용하여 객체 추적 시 객체가 구형 영상의 특정 영역을 이탈하는 경우를 방지하기 위해, 객체의 위치를 구형 영상의 회전각과 맵핑하여 회전함으로써 객체의 지속적인 추적이 가능하게 하였다. 복수의 모드를 동시에 처리하기 위한 병렬프로그래밍을 수행하여 연산 처리 속도를 개선하였으며, 이는 한정된 화각을 가진 종래의 카메라 기반 감시 시스템에 비해 동시에 다양한 각도를 볼 수 있다는 점에서 강점을 가진다.