• Journal of Korean Neurosurgical Society
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• 제62권5호
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• pp.526-535
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• 2019

Objective : While the risk of aneurysmal rebleeding induced by catheter cerebral angiography is a serious concern and can delay angiography for a few hours after a subarachnoid hemorrhage (SAH), current angiographic technology and techniques have been much improved. Therefore, this study investigated the risk of aneurysmal rebleeding when using a recent angiographic technique immediately after SAH. Methods : Patients with acute SAH underwent immediate catheter angiography on admission. A four-vessel examination was conducted using a biplane digital subtraction angiography (DSA) system that applied a low injection rate and small volume of a diluted contrast, along with appropriate control of hypertension. Intra-angiographic aneurysmal rebleeding was diagnosed in cases of extravasation of the contrast medium during angiography or increased intracranial bleeding evident in flat-panel detector computed tomography scans. Results : In-hospital recurrent hemorrhages before definitive treatment to obliterate the ruptured aneurysm occurred in 11 of 266 patients (4.1%). Following a univariate analysis, a multivariate analysis using a logistic regression analysis revealed that modified Fisher grade 4 was a statistically significant risk factor for an in-hospital recurrent hemorrhage (p=0.032). Cerebral angiography after SAH was performed on 88 patients ${\leq}3$ hours, 74 patients between 3-6 hours, and 104 patients >6 hours. None of the time intervals showed any cases of intra-angiographic rebleeding. Moreover, even though the DSA ${\leq}3$ hours group included more patients with a poor clinical grade and modified Fisher grade 4, no case of aneurysmal rebleeding occurred during erebral angiography. Conclusion : Despite the high risk of aneurysmal rebleeding within a few hours after SAH, emergency cerebral angiography after SAH can be acceptable without increasing the risk of intra-angiographic rebleeding when using current angiographic techniques and equipment.

• 한국지반환경공학회 논문집
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• 제20권2호
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• pp.5-18
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• 2019

본 연구에서는 경상북도 전체를 대상으로 공간분포형 습윤지수와 뿌리보강무한사면안정해석 이론을 활용한 광역적인 산사태 분석을 실시하였다. 해석을 수행하기 위해 수치지도와 정밀토양도, 임상도 등을 이용하여 지형 지질학적 매개변수를 추출하고 $10m{\times}10m$ 해상도의 공간분포형 데이터베이스를 구축하였으며, 공간분포형 습윤지수를 생성하기 위한 비 집수면적은 무한방향흐름기법을 적용하였다. 광역적인 산사태 위험도 평가를 위한 안전율은 4개 등급으로 구분하여 도시하였다. 위험도 평가결과, 산사태 위험지역은 봉화와 김천 등 실제 최근의 산사태 발생지역과 유사성을 갖는 것으로 나타났으며 특히 산지와 인접한 지역에 unstable 지역이 집중적으로 분포되어 있는 것으로 분석되었다. 또한 산사태 기록과 비교해본 결과, 본 해석모형이 합리적인 매개변수의 축적을 통해 광역적인 산사태 위험성을 평가하는 유효한 방법임을 확인할 수 있다.

• 대한간호학회지
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• 제53권4호
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• pp.371-384
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• 2023

Purpose: With an increase in the aging population, the number of patients with degenerative spinal diseases undergoing surgery has risen, as has the incidence of postoperative delirium. This study aimed to investigate the risk factors affecting postoperative delirium in older adults who had undergone spine surgery and to identify the associated biomarkers. Methods: This study is a prospective study. Data of 100 patients aged ≥ 70 years who underwent spinal surgery were analyzed. Demographic data, medical history, clinical characteristics, cognitive function, depression symptoms, functional status, frailty, and nutritional status were investigated to identify the risk factors for delirium. The Confusion Assessment Method, Delirium Rating Scale-R-98, and Nursing Delirium Scale were also used for diagnosing delirium. To discover the biomarkers, urine extracellular vesicles (EVs) were analyzed for tau, ubiquitin carboxy-terminal hydrolase L1 (UCH-L1), neurofilament light, and glial fibrillary acidic protein using digital immunoassay technology. Results: Nine patients were excluded, and data obtained from the remaining 91 were analyzed. Among them, 18 (19.8%) developed delirium. Differences were observed between participants with and without delirium in the contexts of a history of mental disorder and use of benzodiazepines (p = .005 and p = .026, respectively). Tau and UCH-L1-concentrations of urine EVs-were comparatively higher in participants with severe delirium than that in participants without delirium (p = .002 and p = .001, respectively). Conclusion: These findings can assist clinicians in accurately identifying the risk factors before surgery, classifying high-risk patients, and predicting and detecting delirium in older patients. Moreover, urine EV analysis revealed that postoperative delirium following spinal surgery is most likely associated with brain damage.

• Imaging Science in Dentistry
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• 제43권2호
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• pp.77-84
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• 2013

Purpose: This study aimed to provide comparative measurements of the effective dose from direct and indirect digital panoramic units according to phantoms and exposure parameters. Materials and Methods: Dose measurements were carried out using a head phantom representing an average man (175 cm tall, 73.5 kg male) and a limbless whole body phantom representing an average woman (155 cm tall, 50 kg female). Lithium fluoride thermoluminescent dosimeter (TLD) chips were used for the dosimeter. Two direct and 2 indirect digital panoramic units were evaluated in this study. Effective doses were derived using 2007 International Commission on Radiological Protection (ICRP) recommendations. Results: The effective doses of the 4 digital panoramic units ranged between $8.9{\mu}Sv$ and $37.8{\mu}Sv$. By using the head phantom, the effective doses from the direct digital panoramic units ($37.8{\mu}Sv$, $27.6{\mu}Sv$) were higher than those from the indirect units ($8.9{\mu}Sv$, $15.9{\mu}Sv$). The same panoramic unit showed the difference in effective doses according to the gender of the phantom, numbers and locations of TLDs, and kVp. Conclusion: To reasonably assess the radiation risk from various dental radiographic units, the effective doses should be obtained with the same numbers and locations of TLDs, and with standard hospital exposure. After that, it is necessary to survey the effective doses from various dental radiographic units according to the gender with the corresponding phantom.

• 대한인간공학회지
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• 제31권1호
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• pp.261-269
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• 2012

Objective: The aim of this study is to develop an analysis method to extract plausible types of errors when using a smart mobile in nuclear power plants. Background: Smart mobiles such as a smart-phone and a tablet computer(smart-pad) are to be introduced to the various industries. Nuclear power plant like APR1400 already adopted many up-to-date digital devices within its main control room. With this trend, various types of smart mobiles will be inevitably introduced to the nuclear field in the near future. However nuclear power plants(NPPs) should be managed considering a big risk as a result of the trend not only economically but also socially compared to the other industrial systems. It is formally required to make sure to reasonably prevent the all hazards due to the introduction of new technologies and devices before the application to the specific tasks in nuclear power plants. Method: We define interaction segments(IS) as a main architect of interaction description, and enumerate all plausible error segments(ES) for a part of design evaluation of digital devices. Results: We identify various types of interaction errors which are coped with reasonably by interaction design using smart mobiles. Conclusion: According to the application result of the proposed method, we conclude that the proposed method can be utilized to specify the requirements to the human error hazards in digital devices, and to conduct a human factors review during the design of digital devices. Application: The proposed method can be applied to predict the human errors of the tasks related to the digital devices; therefore we can ensure the safety to apply the digital devices to be introduced to NPPs.

• 디지털융복합연구
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• 제14권1호
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• pp.363-370
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• 2016

본 연구는 디지털기기 중독 위험군에 속하는 남자 중학생의 VDT증후군 자각증상 정도를 확인하고, 이에 영향을 미치는 요인을 파악하고자 하였다. 서술적 관계 조사연구로 디지털중독 위험군에 속하는 남자 중학생 169명을 대상으로 온라인 게임 중독, 스마트폰 사용 중독, VDT 증후군의 자각증상, 컴퓨터 사용 환경을 조사하였다. 결과적으로 디지털중독 위험군인 남자 중학생의 VDT 증후군 자각증상은 심리적 증상, 전신증상, 눈 증상, 근골격계 증상순으로 경험하는 것으로 분석되었다. 가장 다빈도 자각증상은 눈 관련 증상으로 눈의 피로감, 시력저하로 나타났다. VDT 증후군 자각증상의 영향요인은 스마트폰 사용 중독, 주중 컴퓨터 사용시간, 컴퓨터 사용 환경으로, 28.1%를 설명하였다. 본 연구는 디지털 중독에 대한 포괄적인 관점에서 건강문제를 탐색하고, 이에 영향을 미치는 요인을 예측해 보고자 시도된 연구로서 의의를 갖는다.

• 방송공학회논문지
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• 제26권4호
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• pp.356-367
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• 2021

최근 사물인터넷 및 인공지능 기술의 발전에 따라 제조, 스마트시티 등 다양한 분야에서 실시간으로 데이터를 수집하고 분석하여 현실세계 문제에 대한 최적화를 수행하는 연구 및 적용사례가 증가하고 있다. 대표적으로 현실세계를 디지털화한 가상세계와 양방향으로 실시간 동기화를 지원하는 디지털 트윈 기술이 주목받고 있다. 본 논문에서는 디지털 트윈을 정의하고 사물인터넷 국제표준인 oneM2M 기반의 IoT 플랫폼을 활용하여 현실사물과 가상세계의 예측결과를 실시간으로 연결하는 디지털 트윈 플랫폼의 프로토타입을 제안한다. 또한, 제안된 프로토타입을 적용하여 물체의 충돌을 사전에 예측하여 사고를 예방할 수 있는 응용서비스를 구현한다. 응용서비스에서는 사전 정의한 테스트 케이스 수행을 통해 제안한 디지털 트윈 프로토타입이 크레인의 동작을 사전 예측하여 충돌 위험을 감지하고 이를 기반으로 최적 제어를 수행할 수 있으며 실제 환경에 응용 가능함을 보였다.

• 한국정보통신학회:학술대회논문집
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• 한국정보통신학회 2022년도 춘계학술대회
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• pp.627-628
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• 2022

디지털 무역은 관련 산업 및 거래의 종류가 다양하고 범위도 넓어서 국제적으로 통용되는 명문화된 정의는 없으나, 일반적으로 기존 상품 중심의 전자상거래를 포함, '인터넷과 ICT 등 디지털 기술을 이용한 국가간 교역 활동(상품+서비스+Data) 전반'을 의미한다. 최근에는 4차 산업혁명으로 인한 IT 등 기술의 발전으로 디지털 무역에 혁신적인 변화가 발생하고 있고, 미국, EU, 일본 등 선진국들은 데이터 이동 자유화 등 디지털 무역 이슈를 디지털무역협정의 협상안건에 포함시키고 있다. 국경 간 데이터 이동 자유화에 대한 쟁점은 디지털 무역 활성화를 위해 데이터 이동의 자유가 필요하나, 정보 보안과 사생활 침해의 위험성도 증가한다는 것이다. 선진국들의 방향을 살펴보면, 미국은 규제 최소화, 유럽은 역내 단일시장화는 찬성하나 소극적 대외 개방, 중국은 규제를 통한 독자적 시장육성 입장을 치하고 있다. 따라서 국경간 데이터 이동 제한조치 강화 조치는 최근 국가별로 정책이 시행되고 있거나 조만간 국제적 합의가 예정되어 있는 이슈로 우리나라도 이에 대한 긴밀한 대응이 필요하다.

• 한국CDE학회논문집
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• 제9권2호
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• pp.148-157
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• 2004

Interactive simulators that simulate mechanical systems are being developed for the purpose of performance evaluation of product design, replacement of physical training, and entertainment game. Use of flight simulator is increasing to reduce risk and cost of physical training, and we need virtual environment which covers large area terrain. We need a method that can reduce development cost and construction time of virtual environment that simulate the real environment. There have been attempts to link GIS or remote sensing field with virtual reality. This paper examines a method that helps to construct virtual environment, and attempts to link geographic information with virtual reality. A construction method of virtual environment based on digital map and satellite image has been studied.

• 디지털산업정보학회논문지
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• 제12권3호
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• pp.111-123
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• 2016

Recently, mobile devices have been widely used. Therefore, the service users want that are not constrained by time and space. Among them, electronic payment services, mobile finance service is enjoying a tremendous popularity. The FinTech is the result of the fusion of finance and ICT(Information & Communication Technology). Security experts is pointed the FinTech security risk. New technology and Innovative FinTech services are even available, Insecure FinTech services is insignificant. In this paper we were surveyed market and product trends of FinTech and analyzed the threats about FinTech. Also, we analyzed the security considerations for FinTech using a questionnaire. As a result, users considers secure payment process and privacy. Therefore, we proposed security considerations for each vulnerability. So, we must be resolved of security technology and policy issues. If establishing a secure payment process and the unclear legal issue is resolved, FinTech service will provide a secure financial services to the user.