• 보건행정학회지
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• 제28권3호
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• pp.294-300
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• 2018

The development and management of epidemiology intelligence service (EIS) officer with more specialized competence to cope with and prepare for health threats, including pandemic of emerging and re-emerging infectious diseases, is a high priority policy issue in Korea. First of all, we need to establish the training goal of EIS officer. It is necessary to establish manpower training and management system with at least three tiers including quantitative and qualitative targets. Second, at least 50% of all EIS officer must secure a physician and secure expertise and competence for epidemic. Third, for the ultimate purpose of EIS officer, the establishment of a public health expert should expand the scope of epidemiologist's work to health and medical care, occupational environment, and various disasters. Fourth, it is essential to expand the epidemiologist training and education program to the level of advanced countries. Especially, the training course should be expanded at least twice of current times. Fifth, it is necessary to independently install and operate the 'EIS Officer Training Center' as a mid- and long-term goal. Stewardship and governance are secured with the organization, personnel, etc. that can fully manage the planning, management, and evaluation of the EIS system. In the future, it will be necessary to establish a systematic and phased operational base of education and training programs for EIS officer, and establish a sustainable implementation system for strategy development. In addition, it is urgent to revise the guidelines for training public health professionals and strengthening competencies, and for establishing professional educational institutions.

• 한국전문물리치료학회지
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• 제27권1호
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• pp.53-62
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• 2020

Background: Pregnancy-related low back pain (PLBP) has fewer systematic guidelines than pregnancy-related pelvic girdle pain, previous studies have not evaluated physical therapy for this ailment in Korea. Objects: We aimed to provide a detailed account of clinical decision making by Korean physiotherapists while treating PLBP. Methods: In total, 955 questionnaires were distributed mainly in places of continuing education held by the Korean Physical Therapy Association from April to July 2019. The same questionnaire was posted on a website used by physiotherapists. We collected subject information, a specific Vignette typically represent symptoms of PLBP, and responses to multiple questions about decision making, subjective recognition and interest level in the field of women's health physiotherapy (WHPT). Results: The overall response rate was 56% (n = 537); of these, responses to 520 questionnaires were analyzed. Most respondents chose various combinations of physical therapy methods. There were significant differences in subjective recognition levels of WHPT according to gender (p < 0.05), age (p < 0.01), education level (p < 0.01), and clinical experience (p < 0.05). There were significant differences in interest according to gender (p < 0.01) and education level (p < 0.01). With respect to the types of treatment, significant differences were noted in selective rates for "manual therapy", "pain control", and "supportive devices" based on gender. Manual therapy tended to be chosen more with increasing age and clinical experience. With increased education level, there were fewer choices for the use of pain control. Conclusion: This is the first data on how Korean physiotherapists manage PLBP patients using the vignette method. We were able to recognize the Korean physical therapist's decision on PLBP patients, and observed statistically significant correlations. This may aid in developing future research and education plans in the WHPT field.

• 한국콘텐츠학회논문지
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• 제19권7호
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• pp.13-21
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• 2019

사물인터넷(IoT) 제품 등의 보안이 허술해 각종 해킹 사고가 발생하고 있다. 보안위협을 막기 위해서는 기업이 먼저 보안수준이 높은 제품을 만들고 이용자도 안전한 제품을 선택하는 것이 무엇보다 중요하다. 이에 한국인터넷진흥원은 IoT제품 및 연동 모바일 앱의 보안을 시험하여 등급을 부과하고 있다. 보안인증서비스는 IoT 제품 및 연동 모바일 앱에 대해 일정 수준의 보안을 갖추었는지 시험하여 기준 충족 시 인증서를 발급해주는 서비스이다. IoT제품의 자율적 보안강화를 유도할 수 있고 국내 IoT기업 보안역량 강화 및 해외진출 활성화에 기여할 수 있으며, IoT제품에 대한 국민의 불안감 해소의 기대효과를 가질 수 있다. 본 연구에서는 IoT보안인증기준이 제시되어있지만 보다 강화해야 하는 평가 항목에 대한 중요도 우선순위를 도출하고자 한다. 이는 국내 사물인터넷기업 보안역량 강화 및 해외진출 활성화에 기여할 수 있는 가이드라인을 제시하는데 도움이 될 것이다.

• Steel and Composite Structures
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• 제30권4호
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• pp.393-403
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• 2019

Cold-formed steel (CFS) has a great potential to meet the global challenge of fast-track and durable construction. CFS members undergo large buckling instabilities due to their small wall thickness. CFS beams with corrugated webs have shown great resistance towards web buckling under flexure, when compared to the conventional I-sections. However, the magnitude of global imperfections significantly affects the performance of CFS members. This paper presents the first attempt made to experimentally study the effect of global imperfections on the structural efficiency of various strengthening schemes implemented in CFS beams with corrugated webs. Different strengthening schemes were adopted for two types of beams, one with large global imperfections and the other with small imperfections. Strength and stiffness characteristics of the beams were used to evaluate the structural efficiency of the various strengthening schemes adopted. Six tests were performed with simply supported end conditions, under four-point loading conditions. The load vs. mid-span displacement response, failure loads and modes of failure of the test specimens were investigated. The test results would compensate the lack of experimental data in this area of research and would help in developing numerical models for extensive studies for the development of necessary guidelines on the same. Strengthening schemes assisted in enhancing the member performance significantly, both in terms of strength and stiffness. Hence, providing an economic and time saving solution to such practical structural engineering problems.

• Safety and Health at Work
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• 제13권2호
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• pp.240-247
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• 2022

Background: Although insomnia and constipation are highly prevalent worldwide, studies examining a possible association between them are lacking. We examined the relationship between insomnia and constipation in shift workers who have a high prevalence of insomnia and other diseases. Methods: This study had a multicenter cross-sectional design and conducted using health examination data including self-reported questionnaires. In total, 12,879 and 4,650 shift workers were enrolled in Severance Hospital and Wonju Severance Hospital, respectively, during 2015-2017. Multivariate logistic regression models and subgroup analysis were performed in each center with the same protocol, using a common data model. Results: The mean age of the total population was 44.35 (standard deviation = 8.75); the proportion of males was 56.9%. Female sex, being underweight and non-smoker were strongly associated with an increased risk of constipation symptom (p < 0.001). Pooled odds ratios (ORs) were calculated using ORs of both centers with weights; there was a significant dose-response relationship (sub-threshold 1.76 [95% confidence interval [CI] 1.62-1.91]; moderate 2.28 [95% CI 2.01-2.60]; severe 4.15 [95% CI 3.18-5.41] in the final model, p for trend < 0.001). Subgroup analysis performed by stratifying sex and pooled ORs showed a similar trend to that of the entire group. Conclusion: We observed a strong correlation between insomnia and constipation in this population. Our findings may help in formulating guidelines and policies to improve quality of life in shift workers through the management of sleep quality and proper bowel function. This study is the first to report this relationship among people working in shifts.

• Journal of Yeungnam Medical Science
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• 제39권3호
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• pp.223-229
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• 2022

Background: The first large coronavirus disease 2019 (COVID-19) outbreak outside China occurred in Daegu. In response, we developed infection prevention measures for surgical patients during the outbreak at our hospital and retrospectively reviewed the outcomes of COVID-19-related surgical patients. Methods: We reviewed the medical records of 118 COVID-19-related surgical patients and monitored their clinical outcomes until March 31, 2021. We also interviewed healthcare workers who participated in their perioperative care at Kyungpook National University Chilgok Hospital. The perioperative management guidelines for COVID-19-related patients were prepared through multidisciplinary discussions, including the infection control department, surgical departments, and anesthesiology department before and during the COVID-19 outbreak. Results: One standard operating room was temporarily converted to a negative-pressure room by increasing the exhaust air volume, creating a relative pressure of -11.3 Pa. The healthcare workers were equipped with personal protective equipment according to the patient's classification of the risk of COVID-19 transmission. The 118 COVID-19-related patients underwent emergent surgery in the negative-pressure room, including three COVID-19-confirmed patients and five COVID-19-exposed patients. Conclusion: All surgeries of the COVID-19-related patients were performed without specific adverse events or perioperative COVID-19 transmission. Our experience setting up a negative-pressure operating room and conservative perioperative protocol to prevent COVID-19 transmission will help plan and execute infection control measures in the future.

• 대한통합의학회지
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• 제9권3호
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• pp.99-110
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• 2021

Purpose: The purpose of this study was to understand the experience and meaning of falls among care workers caring for the elderly. Methods: The participants comprised 10 care workers in Seoul and Gyeonggi Province, South Korea. The data collection period was from September to November 2020, and the data were obtained through individual in-depth interviews. The collected data were analyzed using the content analysis method of qualitative research. The main interview questions were as follows: First, in the event of a fall, "can you tell us about your experience and how you dealt with the fall?; second, "can you tell us about your role and the role of family members or the center that manages falls that occur outside of nursing visits.", third, "can you tell us about the difficulties in managing falls based on your experience?", and fourth, "how are falls that occur during nursing visits managed?" Results: As a result of analyzing the experiences of nursing care workers of falls while caring for elders in their homes, five main themes were derived. These were understanding the characteristics of the elderly at home, understanding possible emergency situations, providing caring services, minimizing physical harm, and delivering clear information. Conclusion: A significant finding of this study was that care workers who visit and provide care to elders at home confirmed the need for standard guidelines on appropriate responses in the event of a fall at home and the importance of managing emergencies arising from falls among elders at home. These results highlight the need for the development of emergency response education programs, such as programs on fall care among nurses and care workers who provide care to the elderly, and for enhanced understanding of the fall risk of elders who live at home.

• 대한한의학회지
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• 제43권4호
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• pp.33-51
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• 2022

Objectives: This study aimed to understand the current status of clinical practice patterns of Korean medicine in the treatment of degenerative arthritis of the hip and finger joints using web-based survey. Methods: An e-mail questionnaire survey was conducted with the Korean Medicine Doctor(K.M.D) registered in the Korean Medicine Association. The survey data were analyzed using Microsoft Excel. Results: Although the response rate of the survey was low, the characteristics of the respondents generally reflected the characteristics of the study population. A total of 35.2% of the respondents had heard of the guidelines; however, they did not use them for medical treatment. The reason as answered by 32.8% of the respondents was "not enough treatment time to check the manual and apply it." More than half (78.80%) answered that they were treating patients with both degenerative hip and finger arthritis; however, the average monthly number of first-time patients was ≤5. A total of 379 (60.9%) respondents answered that "acupuncture is very important," which was the only one that exceeded the majority compared to other treatments. As a result of the safety investigation, "Acupuncture, herbal medicine, cupping" were considered high in safety, while "Pharmacopuncture and Bee venom acupuncture" were considered low in safety. Conclusions: This survey helped to determine the current clinical practice patterns of Korean medicine treatments, further providing basic data for CPGs for degenerative arthritis of the hip and finger joints.

• 중환자간호학회지
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• 제16권3호
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• pp.1-10
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• 2023

Purpose : This study explores the professional status of Advanced Practice Nurses (APNs) in Korea, who, despite being legally certified, face instability in their professional standing, including their scope of practice and compensation. Method : The study uses Flexner's professional characteristics as a framework to analyze and project the future trajectory of Korean APNs. Results : First, to ensure social accountability, professional bodies need to establish uniform nursing policies related to job roles, and healthcare institutions must adhere to these policies. Second, nursing leaders should spearhead the creation of nursing knowledge essential for the profession's advancement, aiming to establish it as the foundation for nursing practice through a consensus process within the nursing community. Third, the curriculum for APNs should enhance the quantitative and qualitative aspects of practice in response to societal needs. Fourth, professional bodies should formulate consistent nursing policies based on a thorough analysis of the healthcare environment and legal considerations, and guide their implementation in clinical practice through a consensus process within the nursing community. Lastly, guidelines should be established for professional standards suitable for the Korean context. Conclusion : Based on this review, it is recommended that all APNs adhere to the professional standards set by their respective organizations, actively participate in personal quality improvement initiatives, and fulfill their duties and roles as members of these professional bodies. Furthermore, these organizations should devise practical strategies to solidify the APN system and should spearhead a systematic consensus process that garners the agreement of all members within the nursing community.

• 인터넷정보학회논문지
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• 제25권3호
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• pp.71-81
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• 2024

세계 공항 산업은 코로나19 팬데믹에 대응하여 방역과 여객 안전을 위한 4차 산업혁명 기술 기반 시스템을 적극적으로 도입하고 있고, 공항 인프라와 자원을 활용한 테스트베드 구축과 사전 검증이 활발히 이루어지고 있다. 최근 사례들을 분석해 보면 공항 이용객의 여행 패턴을 변화시키고 공항 서비스에 대한 요구도 다양화되고 있음에도 불구하고, 대부분의 테스트베드 구축 연구는 여전히 공급자 중심에 초점을 맞추고 있으며 작업의 우선순위 결정도 의사 결정권자의 주관적 판단에 의존하는 경향이 있다. 본 연구는 공항산업 혁신을 주도하는 최초 진출 기업(First Mover)으로 도약을 위한 실무적인 방안을 모색하기 위해 다양한 고객 서비스 요구와 변화를 반영한 서비스 관점의 테스트베드 구축을 위한 과제 선정과 우선순위를 도출하였다. 계층화 분석법 등을 활용한 연구 결과는 접근 교통 및 주차 서비스(29.2%), 보안 검색 서비스(23.4%), 출국 서비스(21.8%) 순으로 우선순위가 도출되었으며, 이러한 분석 결과는 공항 산업에서 테스트베드 구축의 혁신성이 중요한 요소임을 보여주고 있다. 특히, 스마트 주차와 UAM 교통 테스트베드 구축은 공항을 기술 혁신의 중심지로 강화시키는 데 도움이 될 뿐만 아니라 기업, 연구기관, 정부와의 협력을 촉진하며 새로운 기술과 서비스를 시험 및 개발할 수 있는 환경을 제공할 수 있는 토대가 될 수 있다. 본 연구를 통해 산출된 결과물과 시사점들은 국내·외 공항 실무자들이 테스트베드를 구축하고 전략을 수립하는 데 유용한 가이드라인이 될 수 있다.