• 제목/요약/키워드: personal monitoring

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유전상담의 제도적인 고찰 (Genetic counseling in Korean health care system)

  • 김현주
    • Journal of Genetic Medicine
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    • 제4권1호
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    • pp.1-5
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    • 2007
  • Unprecedented amount of genetic information being generated from the result of Human Genome Project (HGP) and advances in genetic research is already forcing changes in the paradigm of health and disease. The ultimate goal of genetic medicine is to use genetic information and technology to develop new ways of treatment or even prevention of the disease on an individual level for 'personalized medicine'. Genetics is play ing an increasingly important role in the diagnosis, monitoring and management of common multifactorial diseases in addition to rare single-gene disorders. While wide range of genetic testing have provided benefits to patients and family, uncertainties surrounding test interpretation, the current lack of available medical options for the diseases, and risks for discrimination and social stigmatization may remain to be resolved. However an increasing number of genetic tests are becoming commercially available, including direct to consumer genetic testing, yet public is often unaw are of their clinical and social implications. The personal nature of information generated by a genetic test, its power to affect major life decisions and family members, and its potential misuse raise important ethical considerations. Therefore appropriate genetic counseling is needed for patient to be informed with the benefits, limitations and risks of genetic tests, prior to informed consent for the tests. Physician also should be familiar with the legal and ethical issues involved in genetic testing to tell patients how w ell a particular genetic risk factor relates with likelihood of disease, and be able to provide appropriate genetic counseling. Genetic counseling become a mandatory requirement as global standard for many genetic testing such as prenatal diagnosis, presymtomatic DNA diagnostic tests and cancer susceptibility gene test for familial cancer syndrome. In oder to meet the challenge of genetic medicine of 21 century in korean health care system, professional education program and certification board for medical genetics specialist including non-MD genetic counselors should be addressed by medical society and regulatory policy of national health insurance reimbursement for genetic counseling to be in place to promote the implementation of clinical genetic service including genetic counseling for proper genetic testing.

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Recent Development of Rapid and Automation Technology for Food Microbiological Examination

  • Hiroshi Kurata
    • 한국식품위생안전성학회:학술대회논문집
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    • 한국식품위생안전성학회 1996년도 제11회 학술대회 및 정기총회 - 식품의 위생 안전성에 관한 최근 연구 동향
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    • pp.33-33
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    • 1996
  • Interests in the field of rapid methods and automation in microbiology have been growing steadily on an international scale in recent years. International meetings concerned this problem have been held in elsewhere in the world countries since the past twenty years. But, unfortunately in the field of microbial examination in food hygiene, this problem have not yet been developed so much as in the field of clinical microbiology. Today, I would like to introduce you here present aspects of rapid and automation technologies, those which are manly carrying in milk and meats industries. My illustration will be given recent improved technologies using automatic apparatus and instruments along with process of microbial count procedure. Recent direct microbiological counting system (ChemeScan \ulcorner) as real time ultrasensitive analysis created by Cheminex Ltd., France is now most evolutional instrument to provide direct microbial counts, down to one cell, within 30 minutes. The results from these evaluations how a good correlation between the ChemScan system and the standard plate count method. This system will be successful application for not only in the field of pharmacology but also food microbiology. In addition, current identification of microbes by sophisticated instruments suitable for food microbiology, one of which Biology is manual system (BIOLOG\ulcorner), provides reference-level capability at a modes price. For the manual system, the color reactions in the microplate are read by eye and manually keyed into personal computer. Species identification appears on the computer screen within seconds, along with biotype patterns, a list of closely related species, and other useful statistics. In present this is useful application for microbial ecology and epidemiological survey. RiboPrinter system newly produced by DuPont is now focusing among microbiologists in the world, and is one of the biggest microbial characterization system using a DNA-based approach. The technology analyzer is bacterial culture for its genetic fingerprint or riboprint pattern. Finally Bio-cellTracer system for automatic measurement of fungal growth and Fukitori-Maseter, a Surface Hygiene Monitoring Kit by using swabe procedure in food processing environment are briefly illustrated in this presentation.

정보통신기술(Information & Communication Technology)을활용한 모바일 기반 정신건강개입의 현황과 한계 (Current State and Limit of Mobile-Based Mental Health Intervention Using Information & Communication Technology)

  • 이상민;김승준;임우영;백종우
    • 정신신체의학
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    • 제24권1호
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    • pp.61-65
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    • 2016
  • 다양한 정보통신기술(Information & Communication Technology, ICT)들이 정신건강 영역에서 성공적으로 활용되고 있다. 특히 모바일 애플리케이션은 효과적인 ICT 중 하나이며, 스마트폰이 널리 보급된 이후 여러 앱들이 개발되고 있다. 모바일 기반 정신건강 개입은 치료 접근성 향상, 실시간 모니터링을 통한 증상 및 일상 활동의 손쉬운 확인과 같은 여러 장점이 있다. 치료 경과에서의 더 나은 추적 관찰, 개별화된 피드백과 향상된 이동성으로 인하여 환자들의 순응도를 향상시킬 수도 있다. 하지만 정신건강과 관련된 모바일 기술에는 전기통신 오류, 데이터 안전성 문제, 개인 정보 유출 같은 기술적인 애로사항들이 제한점으로 존재한다. 따라서 기술의 개발과 제공 과정에서 이에 대한 충분한 고려가 필요하다. 무엇보다도 정신건강 전문가들이 근거에 기반을 둔 경험들을 결합하고, 양질의 임상적 수준을 보장하면서 개발과정에 적극적으로 참여해야 할 것이다.

페인트 제조 작업자의 6가 크롬 및 실리카 노출평가와 호흡보호구 밀착도 검사 사례 (Case study of Hexavalent Chromium and Silica Exposure Assessment and Respiratory Fit-test for Paint Manufacturing Worker)

  • 이현석;김부욱
    • 한국산업보건학회지
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    • 제31권4호
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    • pp.295-303
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    • 2021
  • Objective: Paint manufacturing industry workers are exposed to various lung cancer carcinogenic substances including hexavalent chromium and crystalline silica. Studies have been conducted on lung cancer in Paint manufacturing industry workers and the concentration of hexavalent chromium in paint industry; however, the concentration of crystalline silica and hexavalent chromium and cases of lung cancer in a single Paint factory has never been reported in Korea. Methods: To determine whether the cancer was related to his work environment, we assessed the level of exposure to carcinogens during pouring and mixing talc and pigment. In addition, a mask fit test was performed for the worker. Results: Analysis of talc and silica bulk powder materials showed that crystalline silica (quartz) was 5% in talc and 100% in silica. The green and yellow pigments contained 87% and 92% of lead chromate, respectively. Our quantitative analysis of pigment powder samples showed that the hexavalent chromium contents quantified in the green and yellow pigment samples were 87% and 92%, respectively. In order to estimate his exposure level of hexavalent chromium, we measured a personal exposure level of hexavalent chromium for a worker in accordance with the National Institute for Occupational Safety and Health #7605 method. The results showed that the worker was exposed to the high level of hexavalent chromium (0.033 mg m-3). In addition, the talc powder also contained 5% quartz, and the worker's exposure level to respirable quartz exceeded OEL. As a result of the respiratory protection fit test for workers, the overall Fit Factor was '15' when wearing a second-grade mask and '25' when wearing a first-grade mask, significantly lower than the US Occupational Safety and Health Agency (OSHA) pass value of "100". Conclusion: Workers who pouring and mixing powder materials such as talc or colored pigments in paint manufacturing company may be exposed to high concentrations of carcinogenic substances. These findings indicate that it is necessary to local ventilation system inspection, safety and health education for employers and workers, and periodically monitoring and manage the working environment.

How Much Does My Work Affect My Health? The Relationships between Working Conditions and Health in an Italian Survey

  • Ronchetti, Matteo;Russo, Simone;Di Tecco, Cristina;Iavicoli, Sergio
    • Safety and Health at Work
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    • 제12권3호
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    • pp.370-376
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    • 2021
  • Backround: Working condition surveys are widely recognized as useful tools for monitoring the quality of working life and the improvements introduced by health and safety policy frameworks at the European and national level. The Italian Workers' Compensation Authority carried out a national survey (Insula) to investigate the employer's perceptions related to working conditions and their impact on health. Methods: The present study is based on the data collected from the Italian survey on health and safety at work (INSULA) conducted on a representative sample of the Italian workforce (n = 8,000). This focuses on the relationship between psychosocial risk factors and self-reported health using a set of logistic and linear regression models. Results: Working conditions such as managerial support, job satisfaction, and role act as protective factors on mental and physical health. On the contrary, workers' risk perceptions related to personal exposure to occupational safety and health risks, concern about health conditions, and work-related stress risk exposure determine a poorer state of health. Conclusions: This study highlights the link between working conditions and self-report health, and this aims to provide a contribution in the field of health at work. Findings show that working conditions must be object of specific preventive measures to improve the workers' health and well-being.

사물인터넷 환경에서 시니어클럽 시장형 노인일자리사업의 고객관계관리(CRM)가 경영성과에 미치는 영향 (The Effects of Customer Relationship Management on the Management Performance of Senior Club Market-type Senior Jobs in Internet Environment)

  • 이진열;윤기혁
    • 사물인터넷융복합논문지
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    • 제7권3호
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    • pp.39-46
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    • 2021
  • 본 연구에서는 시니어클럽 시장형 노인일자리사업의 고객관계관리(CRM)가 경영성과에 어떤 영향을 미치는지에 대해 실증 분석하고자 하였다. 이를 통해 시니어클럽 시장형 노인일자리사업의 경제적 소득 창출을 위한 기초자료 제공이 본 연구의 목적이다. 본 연구결과 첫째, 인구사회학적 특성에 따른 경영성과 차이 검증 결과 연령과 학력, 월평균 소득에서 차이가 있는 것으로 나타났다. 둘째, 시니어클럽 시장형 노인일자리사업의 접촉서비스와 커뮤니케이션이 경영성과에 정적인 영향을 미치는 것으로 나타났다. 본 연구결과를 바탕으로 다음과 같이 제언하였다. 첫째, 소비자의 개인적 특성 등을 반영한 데이터베이스(DB) 구축과 함께 빅테이터, 인공지능 분석을 활용해야 한다. 둘째, 유튜브, ZOOM 등 사물인터넷 환경을 활용한 교육과 함께 고객 모니터링을 통해 수집된 정보를 바탕으로 의사소통에 대한 관리를 강화해야 한다.

유연한 모델 기반의 얼굴 영역 검출 방법 (A Flexible Model-Based Face Region Detection Method)

  • 장석우
    • 한국산학기술학회논문지
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    • 제22권5호
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    • pp.251-256
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    • 2021
  • 일반적인 카메라와 다르게 초당 매우 많은 개수의 프레임을 캡처할 수 있는 기능을 가진 고속의 카메라는 그동안 제한적이었던 일부의 영상 처리 기술들의 고도화를 가능하게 할 수 있다. 본 논문에서는 입력되는 초고속의 컬러 영상으로부터 잡음을 제거한 다음, 잡음이 제거된 영상으로부터 사람의 얼굴 영역을 검출하는 방법을 제시한다. 본 논문에서는 우선 입력되는 초고속의 영상 안에 포함된 잡음 화소들을 양방향의 필터를 적용하여 효과적으로 제거한다. 그런 다음, 레티나 얼굴 모델을 사용하여 잡음이 제거된 영상으로부터 사람의 개인 정보를 대표적으로 나타내는 얼굴 영역을 강인하게 검출한다. 실험 결과에서는 본 논문에서 제시한 알고리즘이 입력되는 컬러 영상으로부터 잡음을 제거한 다음, 생성된 모델을 사용하여 사람의 얼굴 영역을 강인하게 검출한다는 것을 보여준다. 본 논문에서 제시된 모델 기반의 얼굴 영역검출 방법은 실내외 건물의 모니터링, 출입문 개폐 관리, 그리고 모바일 생체 인증과 같은 영상처리 및 패턴 인식과 관련된 실제적인 많은 응용 분야의 기초 기술로 사용될 것으로 예상된다.

IoT 환경에서 해시 체인 기반 센서 상호 인증 기법 (Mutual Authentication Method for Hash Chain Based Sensors in IoT Environment)

  • 이광형;이재승
    • 한국산학기술학회논문지
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    • 제19권11호
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    • pp.303-309
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    • 2018
  • 사물인터넷 기술은 모든 사물을 인터넷에 연결하고 상호 작용하는 지능형 서비스로 군사지역의 탐색 목적은 물론 산업시스템에서의 디바이스 관리, 공정 관리, 비인가 지역의 모니터링 등 다양한 분야에 활용 가능한 기술이다. 하지만, 모든 기기들이 인터넷에 연결됨에 따라, 보안 취약점을 이용하는 다양한 공격으로 경제적 손실이나 개인정보 유출 등 다양한 피해를 발생 시키고 있으며, 추후 의료 서비스나 군사적 목적의 취약점 공격을 이용할 경우 인명 피해까지 발생할 수 있다. 따라서, 제안하는 논문에서는 통신 과정에서 해시체인 기반의 S/Key기술을 적용하여 디바이스간 상호인증과 키 생성과 갱신 등의 시스템을 도입함으로서 다양한 보안위협에 대응할 수 있는 상호인증 방법에 대해 연구 하였다. 제안하는 프로토콜은 이기종간 보안 통신에 적용 가능하며, IoT 환경에서 잘 알려진 공격인 재사용 공격, 중간자 공격, 데이터 무결성 등에 안전함을 확인할 수 있었다.

액체 생검(Liquid Biopsy): 위암 및 헬리코박터 감염증에서 적응과 전망 (Liquid Biopsy: Current Status and Future Perspective in Gastric Cancer and Helicobacter Infection)

  • 강은아;한영민;박종민;유인경;홍성표;함기백
    • 대한상부위장관⦁헬리코박터학회지
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    • 제18권3호
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    • pp.150-156
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    • 2018
  • Precision medicine stands for 4Ps - precise, preventive, participatory, and personal; in which "precision" is important because the current modern medicine starts from "trial and error," and "one does not fit all". Current targeted therapies for cancer have changed treatment approaches and led the precision medicine; however, clinical use of liquid biopsy, using blood or other liquid specimens to characterize circulating tumor cells (CTC) or tumor genes instead of biopsies of tumor tissues, still awaits availability of more information regarding non-invasive cancer detection and characterization, prediction of treatment response, monitoring the disease course and relapse possibilities, identification of mechanisms of drug resistance, and newer pathogenesis. In this review, we will introduce the basic concept of CTC, circulating cell free DNA, and exosomes and their possible application for gastric cancer relevant with Helicobacter pylori infection.

Digital Epidemiology: Use of Digital Data Collected for Non-epidemiological Purposes in Epidemiological Studies

  • Park, Hyeoun-Ae;Jung, Hyesil;On, Jeongah;Park, Seul Ki;Kang, Hannah
    • Healthcare Informatics Research
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    • 제24권4호
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    • pp.253-262
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    • 2018
  • Objectives: We reviewed digital epidemiological studies to characterize how researchers are using digital data by topic domain, study purpose, data source, and analytic method. Methods: We reviewed research articles published within the last decade that used digital data to answer epidemiological research questions. Data were abstracted from these articles using a data collection tool that we developed. Finally, we summarized the characteristics of the digital epidemiological studies. Results: We identified six main topic domains: infectious diseases (58.7%), non-communicable diseases (29.4%), mental health and substance use (8.3%), general population behavior (4.6%), environmental, dietary, and lifestyle (4.6%), and vital status (0.9%). We identified four categories for the study purpose: description (22.9%), exploration (34.9%), explanation (27.5%), and prediction and control (14.7%). We identified eight categories for the data sources: web search query (52.3%), social media posts (31.2%), web portal posts (11.9%), webpage access logs (7.3%), images (7.3%), mobile phone network data (1.8%), global positioning system data (1.8%), and others (2.8%). Of these, 50.5% used correlation analyses, 41.3% regression analyses, 25.6% machine learning, and 19.3% descriptive analyses. Conclusions: Digital data collected for non-epidemiological purposes are being used to study health phenomena in a variety of topic domains. Digital epidemiology requires access to large datasets and advanced analytics. Ensuring open access is clearly at odds with the desire to have as little personal data as possible in these large datasets to protect privacy. Establishment of data cooperatives with restricted access may be a solution to this dilemma.