• 제목/요약/키워드: national health information infrastructure

검색결과 69건 처리시간 0.025초

연구단계와 분야에 따른 한의약 R&D 투자 동향 (The Recent Trend of R&D Investment in Korean Medicine by Research Steps and Fields)

  • 권수현;김동수;안미영;임병묵
    • 대한예방한의학회지
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    • 제21권2호
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    • pp.69-78
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    • 2017
  • Objectives : This study aims to analyze the public investment for Korean Medicine R&D to facilitate the future strategic planning. Methods : All government supported research projects for Korean Medicine that were invested in 2009, 2012, 2015 were searched in the NTIS (National Science & Technology Information Service) Database. Research budgets were analyzed by government departments, R&D agents, R&D steps, and research fields. CAGR (Compound Annual Growth Rate) was derived from each Korean Medicine research field. Differences of research budgets among research fields were tested using Chi square analysis. Results : A total of 891 projects supported in 2009, 2012, and 2015 was analyzed. The amount of research budgets has increased, from 49,839 million won in 2009 to 106,536 million won in 2015 showing 13.5% of CAGR. Ministry of Science, ICT, and Future Planning, and Ministry of Health and Welfare were the biggest sponsors in Korean Medicine R&D. Chi square analysis showed that, in this period, there were statistically significant differences of research budgets in Korean Medicine technology equipment field and infrastructure field. Conclusions : To diversify the Korean Medicine R&D, unequal research funding among government departments should be relieved, and virtuous cycle of Industry-University-Institute Collaboration in Korean Medicine need to be built.

Will CFD ever Replace Wind Tunnels for Building Wind Simulations?

  • Phillips, Duncan A.;Soligo, Michael J.
    • 국제초고층학회논문집
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    • 제8권2호
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    • pp.107-116
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    • 2019
  • The use of computational fluid dynamics (CFD) is becoming an increasingly popular means to model wind flows in and around buildings. The first published application of CFD to both indoor and outdoor building airflows was in the 1970's. Since then, CFD usage has expanded to include different aspects of building design. Wind tunnel testing (WTT) on buildings for wind loads goes back as far as 1908. Gustave Eiffel built a pair of wind tunnels in 1908 and 1912. Using these he published wind loads on an aircraft hangar in 1919 as cited in Hoerner (1965 - page 74). The second of these wind tunnels is still in use today for tests including building design ($Damljanovi{\acute{c}}$, 2012). The Empire State Building was tested in 1933 in smooth flow - see Baskaran (1993). The World Trade Center Twin Towers in New York City were wind tunnel tested in the mid-sixties for both wind loads, at Colorado State University (CSU) and the [US] National Physical Laboratory (NPL), as well as pedestrian level winds (PLW) at the University of Western Ontario (UWO) - Baskaran (1993). Since then, the understanding of the planetary boundary layer, recognition of the structures of turbulent wakes, instrumentation, methodologies and analysis have been continuously refined. There is a drive to replace WTT with computational methods, with the rationale that CFD is quicker, less expensive and gives more information and control to the architects. However, there is little information available to building owners and architects on the limitations of CFD for flows around buildings and communities. Hence building owners, developers, engineers and architects are not aware of the risks they incur by using CFD for different studies, traditionally conducted using wind tunnels. This paper will explain what needs to happen for CFD to replace wind tunnels. Ultimately, we anticipate the reader will come to the same conclusion that we have drawn: both WTT and CFD will continue to play important roles in building and infrastructure design. The most pressing challenge for the design and engineering community is to understand the strengths and limitations of each tool so that they can leverage and exploit the benefits that each offers while adhering to our moral and professional obligation to hold paramount the safety, health, and welfare of the public.

의사결정나무기법을 이용한 노인장기요양보험 등급결정모형 개발 (A Determining System for the Category of Need in Long-Term Care Insurance System using Decision Tree Model)

  • 한은정;곽민정;강임옥
    • 응용통계연구
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    • 제24권1호
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    • pp.145-159
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    • 2011
  • 노인장기요양보험은 2008년 7월에 시작된 이후 제도의 안정적 정착과 발전을 위해 여러 가지 면에서 보완해야할 부분이 많은 상태이다. 그 중에서도 장기요양급여의 진입장벽을 결정하는 등급결정모형을 지속적으로 보완하는 것이 가장 중요하다. 본 연구는 제도 시행 이후 급속히 변화하는 장기요양 시장의 현실을 등급결정모형에 반영하고자 제도 도입 이후의 자료를 활용하여 등급결정모형을 구축하여 현행 모형을 보완하고자 하였다. 등급결정모형을 개발하기 위해 데이터마이닝 기법 중 의사결정나무기법을 활용하였으며, 이것은 현행 모형과 비교가 용이하도록 하기 위한 것이다. 이 모형은 기능상태가 나쁜 사람일수록 장기요양서비스량이 많을 것이라는 가정을 전제로 하고 있으며 장기요양서비스량을 서비스 제공시간으로 보았다. 이 연구는 변화된 현실을 충분히 반영하기 위해 등급결정모형을 보완 하였다는 점에서 의의를 갖는다. 그러나 향후에도 서비스 인프라, 급여 이용자의 특성 등 계속 변화하는 환경을 반영하여 등급결정모형을 보완하고 발전시키는 것이 지속적으로 필요하다고 본다.

인공지능 기반 MMS를 활용한 자전거보행자겸용도로 서비스 수준 산정 (Artificial Intelligence Based LOS Determination for the Cyclists-Pedestrians Mixed Road Using Mobile Mapping System)

  • 이태영;도명식
    • 한국ITS학회 논문지
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    • 제22권3호
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    • pp.62-72
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    • 2023
  • 최근, 자전거도로 관련 시설 등의 모니터링과 관리 방안에 대한 중요성이 증가하고 있다. 그러나 자전거도로를 포함한 보행공간에 대한 이용자의 안전 및 편의성에 대한 모니터링과 평가에 대한 연구는 미흡한 실정이다. 본 연구에서는 모바일매핑시스템(Mobile Mapping System, MMS)을 활용하여 자전거보행자겸용도로의 상태 모니터링 데이터를 구축하고, 인공지능 기반객체인식 기법을 이용하여 보행자와 자전거 이용자들의 관점에서 겸용도로의 서비스 수준 산정방안을 제시하고자 한다. 본 연구를 통해 제시한 자전거보행자겸용도로의 모니터링과 서비스 수준 산정 방안은 향후 전기자전거와 개인형 이동수단(personal mobility, PM)의 증가에 대비한 보행공간의 정비와 재구조화(reconstruction) 등 계획과 관리에 기초 자료로 활용될 수 있을 것으로 기대된다.

건선의 동서의학적 연구 특징의 비교 (Comparison of Research Characteristics in Western, Chinese Traditional Medicine and Korean Medicine on Psoriasis)

  • 이선동;정세영;이승은
    • 대한한의학회지
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    • 제42권2호
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    • pp.72-81
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    • 2021
  • Objectives: We compared research characteristics of western medicine, Chinese medicine and Korean medicine on causes, mechanisms, types, treatments and prevention of psoriasis. Methods: For western medicine, "Psoriasis" was used as keyword on Pubmed, for Chinese medicine, "銀屑病" and "中医" on CNKI (China National Knowledge Infrastructure" and for Korean medicine, "건선" on OASIS. Keyword searches were done for papers and books published after 2010. For Chinese medicine, there were more in-depth searches done for "從血論 (血熱, 血瘀, 血燥)" and "陽虛症". Results: Western medicine puts an emphasis on the foci, and approaches it from molecular and genetic levels based on molecular biology; while it views psoriasis as a disease with multiple possible causes, it ultimately sees it as an inflammation that is immunity-mediated. Western medicine seeks to suppress cytokine in order to prevent and eliminate inflammation at each stage of treatment While they are effective short-term, psoriasis recurs shortly after. Chinese and Korean medicines categorize psoriasis as an internal comprehensive systemic diseases that encompasses the patient's physical and mental characteristics, and defines it as a disease that has many causes and mechanisms such as "血熱, 血瘀, 血燥" and "陽虛". They use herbal medicine, acupuncture, and lifestyle interventions to improve the overall health of the patient in addition to treating psoriasis. Treatments are effective, but it takes relatively longer to see results, and can recur. Conclusion: In order for more progress to happen on psoriasis treatment, each branch of medicine must exchange knowledge and information more frequently.

산후우울증에서 귀비탕(歸脾湯)의 임상효과에 대한 체계적 문헌 고찰 및 메타분석 (A Systematic Review and Meta-Analysis on the Effect of Guibi-tang for Postpartum Depression)

  • 강은솔;안영태;김효정;현지수;강진영;이윤재
    • 대한한방부인과학회지
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    • 제36권2호
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    • pp.55-68
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    • 2023
  • Objectives: The purpose of this study is to analyze the effectiveness of Guibi-tang that are used for postpartum depression. Methods: We searched on five databases [Korean studies Information Service (KISS), Oriental medicine advanced searching integrated system (OASIS), The Cochrane Library, PubMed, and China national knowledge infrastructure (CNKI)] with keywords for Postpartum depression (English, Korean, and Chinese) and evaluated the risk of bias. Meta-analysis was performed on the selected studies. Results: 8 potentially relevant articles were retrieved for further evaluation. There was evidence that Guibi-tang compared with Western medicine was significantly higher rate in total effect rate (RR 1.20, 95% CI 1.04, 1.39, p=0.01). Also, the combined therapeutic effects of Guibi-tang and Psychological intervention compared with Psychological intervention were statistically significant in total effect rate (RR 1.14, 95% CI 1.05, 1.24, p=0.002). And they showed improvement on scores of HAMD (Hamilton depression scale, HAMD) and SF-36 (36-Item short form health survey, SF-36). Conclusion: Guibi-tang appears to be more effective compared to Western medicine in the treatment of postpartum depression. The combination Guibi-tang and Psychological intervention was more effective than psychological intervention alone treated for postpartum depression. However, since unclear risk of bias, the result of this study should be considered carefully. Further clinical trials should be carried out in order to academical clinical progress regarding treatment of Postpartum Depression.

골다공증 유발 동물모델에서 녹용 추출물의 경구 투여 효과: 체계적 문헌고찰 및 메타분석 (The Effects of Oral Administration of Deer Antler Extracts on an Osteoporosis-induced Animal Model: A Systematic Review and Meta-analysis)

  • 이정민;김남훈;이은정
    • 한방재활의학과학회지
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    • 제32권2호
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    • pp.65-81
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    • 2022
  • Objectives This study aimed to assess the effects of oral administration of deer antler extracts on an osteoporosis-induced animal model. We analyzed the results of using deer antler single extracts on animal models with osteoporosis through a systematic review and meta-analysis. Methods We included osteoporosis studies in animal experiments that administrated deer antler extracts orally. We searched the following 13 databases without a language restriction: PubMed, EMBASE, Cochrane Library, Cumulative Index to Nursing and Allied Health Literature (CINAHL), China National Knowledge Infrastructure (CNKI), Wanfang, Korean Medical Database (KMbase), National Digital Science Library (NDSL), Korean Traditional Knowledge (Koreantk), Oriental Medicine Advanced Searching Integrated System (OASIS), Research Information Sharing Service (RISS), Korea Institute of Science and Technology Information (KISTI), and Koreanstudies Information Service System (KISS). We used Systematic Review Centre for Laboratory Animal Experimentation's risk of bias tool for assessing the methodological quality of the included studies. Results A total of 299 potentially relevant studies were searched and 11 were included for a systematic review. Nine studies used a single deer antler extract. A study compared the effects of single extracts of deer antler and antler glue, while another study compared the effects of three single extracts of deer antler, old antler, and antler glue. For evaluating the intervention effect, bone mineral density (BMD) was measured as the primary outcome, while the histomorphometric indicators of the bone and serum alkaline phosphatase and osteocalcin levels were used as the secondary outcome variables. On conducting a meta-analysis of studies on single deer antler extract, BMD was observed to be significantly increased compared to that in control group (standardized mean difference [SMD]=2.11; 95% confidence interval [CI]=1.58~2.65; Z=7.75; p<0.00001; I2=56%). As a result of meta-analysis, according to the concentration of deer antler, the group with high concentration showed statistically significantly higher BMD than the group with low concentration (SMD=1.28; 95% CI=0.74~1.82; Z=4.63; p<0.00001; I2=9%). Conclusions The research shows that the deer antler extracts have significant anti-osteoporotic effects on the osteoporosis-induced animal model. However the studies included in this research had a high methodological risk of bias. This indicates the requirement of considerable attention in the interpretation of the study results.

건설현장 작업자를 위한 3차원 시뮬레이션 바탕의 안전 교육전달 매체 개발 (Development of Safety Training Delivery Method Using 3D Simulation Technology for Construction Worker)

  • 안성진;박영준;박태환;김태희
    • 한국건축시공학회지
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    • 제15권6호
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    • pp.621-629
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    • 2015
  • 건설 산업에 있어 작업자 안전은 지속적으로 중요시 되고 있다. 안전교육의 수준제고를 안전교육 내용매체 개선을 통한 효율성 증진과 전달 매체 수준 향상에 의한 효과성 증진을 통해 이루어 질 수 있다. 본 연구에서는 선별된 공종별 안전재해유형 내용을 바탕으로 건설현장의 3차원 시뮬레이션의 안전교육 자료를 개발하였다. 안전교육 내용매체는 안전보건기술 지침과 미 산업안전보건청의 건설 산업 안전규정을 토대로 재해유형을 선별하였으며 교육 전달 매체로 3차원 시뮬레이션 기술을 이용하여 제공하였다. 제시된 교육 자료의 적절성을 평가하기위해 건설현장의 안전관리 전문가의 설문조사를 토대로 교육내용의 적절성을 확인하였으며 이를 바탕으로 한 3차원 시뮬레이션 바탕의 안전교육 방법을 현실성, 적합성, 능동성 및 흥미유발성에 대한 설문을 통하여 기존 재래식 안전교육보다 효과성이 있음을 확인하였다.

집속초음파 치료의 한의 임상 활용에 대한 고찰 (Clinical Application of Focused Ultrasound in Korean Medicine)

  • 최유민;이마음;허나연;이은희;최혁용;서형식;황의형;장인수
    • Korean Journal of Acupuncture
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    • 제40권3호
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    • pp.79-89
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    • 2023
  • Objectives : The purpose of this study is to investigate various application methods of focused ultrasound and apply them to clinical use in Korean medicine. Methods : Search was performed using the search engines of electronic databases, including PubMed, ScienceDirect, Cumulative Index to Nursing and Allied Health Literature (CINAHL), ScienceON, Oriental Medicine Advanced Searching Integrated System (OASIS), China National Knowledge Infrastructure (CNKI), Wanfang Data, Japan Science Technology Information Aggregator, Electronic (J-STAGE) and Citation Information by NII (CiNii), from inception to July 2023 without language limitation. Inclusion criteria were clinical studies including randomized controlled trials (RCTs), and animal experimental studies related with focused ultrasound treatments for acupoints or meridian sinews. Results : Total 17 papers, 7 for RCT, 6 for in vivo animal studies, and other experimental studies, were finally selected. Indications used in studies were shoulder pain, back pain, chronic back pain, and degenerative knee arthritis. In experimental studies, studies on animal models of hypoxic ischemic brain damage and hyperlipidemia were also conducted. As for the acupoints, LR3, LI4, and ST36 were used in clinical studies and, in animal experimental studies, GV20, KI1, and ST36 were used. As for the dose, 4 studies below 3 W/cm2 and 3 studies in the range of 0.625 to 5 W/cm2 in clinical studies, and all studies did not exceed 5 W/cm2. In animal experimental studies, 0.5 W/cm2, 2 W/cm2, 7.5 WW/cm2, 15 W/cm2, 10~20 W/cm2 were used. In all three studies describing the penetration depth during irradiation, it was less than 1 cm. Conclusions : We suggest that focused ultrasound is an appropriate treatment tool for stimulating the acupoints to transfer heat energy. Future studies with rigorous and well-designed RCTs for various diseases will be required to ascertain the focused ultrasound stimulate acupoints or meridian sinews.

신경근전기자극치료가 암 환자의 근육 손실에 미치는 영향: 체계적 문헌고찰 (Effects of Neuromuscular Electrical Stimulation on Muscle Wasting with Cancer Patient: A Systematic Review)

  • 박은수;김종희;김수담;김동현;이은정;오민석;유화승
    • 한방재활의학과학회지
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    • 제33권4호
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    • pp.15-29
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    • 2023
  • Objectives The purpose of this study is to systematically review the effects of Neuromuscular Electrical Stimulation treatment on muscle wasting in cancer patients. Methods Randomized controlled trials (RCTs) were searched from seven online databases (PubMed, Cochrane Library, EMBASE, China National Knowledge Infrastructure, Oriental Medicine Advanced Searching Integrated System, Korean studies Information Service System, Research Information Sharing Service. The selected RCTs were evaluated for methodological quality through the Cochrane RoB. Results A total of 126 articles were identified, and 4 randomized controlled trials were selected for systematic review. In one study, it was found that there were statistically significant improvements in the Health-Related Quality of Life (FACTH&N total score, p<0.001). Additionally, significant effects were observed in measurements that represented the size of the quadriceps muscle (cross-sectional area of Vastus lateralis and Rectus femoris, p=0.004), maximum muscle strength, the twitch response of resistance muscles, and voluntary activation (p<0.001). However, no significant differences were observed between the intervention and control groups in terms of quadriceps muscle strength in two other studies (p>0.05). Lastly, while one study showed no significant differences in muscle fiber characteristics between the two groups, it did report significant improvements in measurements related to mitochondria within muscle tissue and muscle strength in the intervention group (p<0.05). Conclusions Neuromuscular electrical stimulation can be a method used to improve muscle strength in muscle wasting of cancer patients, but it is difficult to see its effects as significant compared to other treatments.