• 제목/요약/키워드: ongoing risk assessment and support

검색결과 3건 처리시간 0.016초

피학대아동을 위한 서비스의 국가간 비교를 통한 한국적 함의 - 미국과 스웨덴을 중심으로 - (Services for Abused Children : Implications from a Comparative Case Study of Programs in the USA and Sweden)

  • 박명숙
    • 아동학회지
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    • 제27권5호
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    • pp.79-93
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    • 2006
  • Even though social intervention in child abuse has begun in Korean society, there are many problems in terms of basic principles of child welfare services. Focusing on the principle of family preservation in child welfare services, this comparative study reviewed services for abused children and their families in the USA and Sweden. Results indicated directions for effective services for abused children are comprehensive and should be provided by community resources. Comprehensive services and follow-up of reported cases should be managed by public agencies and community networks. Education curricula for professionals and inter-disciplinary collaboration should be organized. A most important task in the future is to set up firm laws and policies for effective services in Korean society.

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임무 기반의 무기체계 사이버보안 시험평가 적용 연구 (A study on the application of mission-based weapon system cybersecurity test and evaluation)

  • 김익재;강지원;신동규
    • 인터넷정보학회논문지
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    • 제22권6호
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    • pp.71-81
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    • 2021
  • 본 논문은 미국 등 선진국에서 적용하고 있는 무기체계 전 수명주기 동안에 사이버보안을 향상 시킬수 있는 방안에 대해 현재까지 진행되고 있는 연구에 대해 알아보고, 국내 무기체계 획득시의 제한사항을 분석하여 효과적인 보안평가 방안을 제시하였다. 국내 실정에 맞는 사이버보안 시험평가 방안에 임무 기반의 위험평가를 획득 전 단계에서 일관성있게 수행함으로써 주요 의사결정 조직에 주요한 정보를 적시에 제공하여 의사결정을 지원하고, 사이버보안 측면에서 식별된 취약점에 대해 보호대책을 검증할 수 있도록 교전규칙을 설정하여 모의침투를 수행하는 방안을 제안하였다. 또한 제안하는 사이버보안 시험평가 체계를 국내 무기체계 시험평가와 비교 평가를 수행하였다. 이를 통하여 지금까지 진행된 사이버보안 시험평가체계 연구에 임무 기반의 위험평가 요소를 접목하여 획득 사업간 적시에 위험을 식별하여 주요 의사결정을 지원하는 역량을 보완하였다.

Revascularization Strategies in Patients With ST-Segment Elevation Myocardial Infarction and Multivessel Disease: Is FFR-Guided Strategy Still Valuable?

  • Doosup Shin;Tae-Min Rhee;Seung Hun Lee ;Joo Myung Lee
    • Korean Circulation Journal
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    • 제52권4호
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    • pp.280-287
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    • 2022
  • Several studies have shown the benefit of complete revascularization (CR) over culprit-only percutaneous coronary intervention (PCI) in patients with ST-segment elevated myocardial infarction (STEMI) and multivessel disease (MVD). Nevertheless, optimal strategy to select targets for non-culprit PCI has not been clarified. In this paper, we critically discuss and compare the safety and efficacy of different strategies for CR in patients with STEMI and MVD using a Bayesian network meta-analysis including all previous randomized controlled trials (RCTs). In Bayesian network meta-analysis of 13 RCTs, culprit-only PCI was associated with higher risk of major adverse cardiac events (MACE), compared with angiography-guided or fractional flow reserve (FFR)-guided CR strategies. However, there was no significant difference between angiography-guided and FFR-guided CR strategies in the risk of MACE and its individual components including all-cause death, cardiac death, myocardial infarction (MI), and revascularization. These evidence support that both angiography-guided and FFR-guided complete revascularization strategies would be reasonable treatment option in patients with STEMI and MVD. If the non-culprit lesion is severe on visual assessment, angiography-guided PCI can be considered. If the non-culprit lesion is intermediate in severity or unclear based on visual assessment, FFR-guided strategy can be used as a reliable and objective tool, providing similar benefits with less stents compared with an angiography-guided strategy. Further RCT is needed to evaluate direct comparison between angiography-guided and FFR-guided CR strategies in patients with STEMI and MVD. Ongoing FRAME-AMI trial (NCT02715518) will provide more evidence regarding this issue.