• Title/Summary/Keyword: risk access

Search Result 389, Processing Time 0.03 seconds

Understanding of Fetal Surgery and Application to the Cleft Lip and Palate Patient (태수술에 대한 이해와 구순구개열 환자에서의 적용)

  • Kim, Soung-Min;Park, Jung-Min;Myoung, Hoon;Choi, Jin-Young;Lee, Jong-Ho;Choung, Pill-Hoon;Kim, Myung-Jin
    • Korean Journal of Cleft Lip And Palate
    • /
    • v.11 no.2
    • /
    • pp.49-58
    • /
    • 2008
  • The development of fetal surgery has led to promising options for many congenital malformations, such as congenital diaphragmatic hernia (CDH), obstructive uropathy, twin-to-twin transfusion syndrome (TTTS), and sacrococcygeal teratoma. However, preterm labor (PTL) and premature rupture of membranes continue to be uniquitous risks for both mother and fetus. To reduce maternal morbidity and the risk of prematurity, minimal access techniques were developed and are increasingly employed recently. Lift-threatening diseases as well as severely disabling but not life-threatening conditions are potentially amenable to treatment. Recently, improvement of video-endoscopic technology has boosted the development of operative techniques for feto-endoscopic surgery, which has been demonstrated to be less invasive than the open approach. Fetal surgery for repair of cleft lip and palate, a congenital anomaly which is not life threatening, is inappropriate until such time that the benefits are shown to outweigh the risks of both the procedure itself and preterm delivery. Further animal studies will be needed before intrauterine surgery for humans should be considered. For the better understanding of recent techniques and complications associated with fetal intervention of congenital facial defect patients, we reviewed recent related articles about the current knowledge and new perspectives of experimental fetal fetal surgery in the cleft lip and palate defects.

  • PDF

The Reliability of the Transconjunctival Approach for Orbital Exposure: Measurement of Positional Changes in the Lower Eyelid

  • Yoon, Sung Ho;Lee, Jin Hoon
    • Archives of Craniofacial Surgery
    • /
    • v.18 no.4
    • /
    • pp.249-254
    • /
    • 2017
  • Background: Lower eyelid incisions are widely used for the orbital approach in periorbital trauma and aesthetic surgery. In general, the subciliary approach is known to cause disposition of the lower eyelid by scarring the anterior lamella in some cases. On the other hand, many surgeons believe that a transconjunctival approach usually does not result in such complications and is a reliable method. We measured positional changes in the lower eyelid in blowout fracture repair since entropion is one of the most serious complications of the transconjunctival orbital approach. Methods: To measure the positional changes in the lower eyelids, we analyzed preoperative and postoperative photographs over various time intervals. In the analysis of the photographs, marginal reflex distance 2 ($MRD_2$) and eyelash angle were used as an index of eyelid position. Statistical analyses were performed to identify the significance in the positional changes. All patients underwent orbital reconstruction through a transconjunctival incision by a single plastic surgeon. Results: In 42 blowout fracture patients, there was no statistical significant difference in the MRD2 and eyelash angle. Furthermore, there were no clinical complications, such as infection, hematoma, bleeding, or implant protrusion, during the follow-up periods. Conclusion: The advantages of the transconjunctival approach for orbital access include minimal scarring and a lower risk of eyelid displacement compared with other approaches. Based on these results, we recommend the transconjunctival approach for orbital exposure as a safe and reliable method.

A Study on SQL Performance-Based IT Application Change Management Process to Prevent Failures of Online Transactions (온라인 거래 장애 방지를 위한 SQL 성능 기반 IT 응용프로그램 변경관리 프로세스 연구)

  • Kim, Jeong-Hwan;Ko, Moo-Seong;Lee, Kyung-Ho
    • Journal of the Korea Institute of Information Security & Cryptology
    • /
    • v.24 no.5
    • /
    • pp.817-838
    • /
    • 2014
  • Test environment on the company that handles a large amount of data such as telecommunications companies and financial institutions, may not always be the same as the production environment, which is caused by conversion of important columns about information and limitation of storage capacity due to the construction cost. Therefore, SQL performance degradation that occurs when the test and production environments are not the same, which is an important cause of connecting to the unexpected failures of online transactions, and it generates financial loss of business, customer complaints, a decrease in reliability. In studies related SQL performance, it has so far been conducted mainly studies of tuning associated with DBMS Optimizer, and it has not been addressed issues of this sector. Therefore, in this paper, I verify the validity about presentation of the advanced SQL Performance-based IT application change management process, in order to prevent failures of the online transactions associated with poor performance of SQL generated by differences in test and production environments.

The association between oral health and suicide attempts in Korean elderly : The 7th Korea National Health and Nutrition Examination Survey (7th KNHANES, 2016-2018) (노인의 구강건강과 자살시도와의 관련성 분석 : 제 7기(2016-2018년) 국민건강영양조사를 바탕으로)

  • Jung, Eun-Seo;Lee, Kyeong-Hee
    • Journal of Korean society of Dental Hygiene
    • /
    • v.20 no.3
    • /
    • pp.335-346
    • /
    • 2020
  • Objectives: This study investigated the association between oral health and suicide attempts in adults aged 65 years or older using the 7th Korea National Health and Examination Survey (KHANES, 2016-2018). Methods: Of the total 24,269 participants of the 7th KHANES (2016-2018), 1,488 adults aged 65 years or older who had an oral health examination were selected. Variations in suicide attempts with demographic characteristics and perceived oral health status were analyzed using the χ2 test, and the association between oral health and suicide attempts was analyzed using the logistic regression model. Results: The suicide attempt rate was higher among older adults with chewing (p<0.01) and speaking (p<0.05) difficulties. The odds ratio for a suicide attempt was 1.05 times higher among those with tooth loss (p<0.05). Conclusions: Our results showed that older adults with tooth loss had an increased risk of suicide. Thus, it is important to prevent tooth loss, in the first place, through proper oral health management. If tooth loss occurs, appropriate treatment should be prioritized to facilitate functional recovery. Finally, national support is required for older adults with limited access to dental care.

A Study on Performance Evaluation and Security Measures of U-IT Electrical Safety Integrated Management System's Module (U-IT 전기안전통합관리시스템의 모듈별 성능평가와 보안방법 연구)

  • Park, Dea-Woo;Choi, Choung-Moon;Kim, Eung-Sik
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
    • /
    • 2010.05a
    • /
    • pp.307-310
    • /
    • 2010
  • Ubiquitous society to build basic infrastructure in the power supply and power equipment safety is important. U-City in order to prevent the disaster of U-IT Power Equipment Performance Module and the security for the safety of the U-City is necessary. In this paper, the power unit of U-IT module, temperature sensor, humidity sensor, equipped with sensors arranged throughout the fire, and home distribution boards, Home Network Wall-Pad, Blocker, MPNP black boxes, arc detection, arc safety equipment, outlet of the modular performance evaluation and security measures will be studied. U-IT power devices and sensors to analyze the information conveyed by proactive risk and ensure safety, access control, authentication, security safeguards, such as U-IT integrated management system for electrical safety and strengthen the security, safety and security with a U-City will contribute to the construction and operation.

  • PDF

An Exploratory Study of the Effects of Mobile Phone Dependency on Maritime Safety

  • Davy, James G.;Noh, Chang-Kyun
    • Proceedings of the Korean Institute of Navigation and Port Research Conference
    • /
    • 2012.10a
    • /
    • pp.51-52
    • /
    • 2012
  • Safety at sea continues to be an important topic for research. The factors that contribute to safety issues are often complex and unclear. Lack of non-technical skills in such areas as communication, teamworking, situational awareness, decision making etc. are well documented as directly affecting safety in high risk work settings such as on board merchant vessels. Competence in non-technical skills can be affected by various habits and circumstances that influence a worker and result in either positive thinking and behaviour or negative thinking and behaviour. Negative thinking can cause stress, anger, frustration; loneliness etc. and this can possibly result in behaviour or actions that undermine the safety of crew and ship. Factors that may contribute to these negative thoughts and behaviours are many and varied and this paper will be looking at one aspect: mobile phone use. In the Republic of Korea, dependency on mobile phones is uniquely high. Maritime students are also susceptible to such dependency and this paper will demonstrate that the symptoms associated with mobile phone addiction and dependency, and in particular the symptoms of withdrawal, are important factors that need to be mitigated in order to improve safety at sea. Although the benefits of mobile phones are many it will be suggested that over-reliance, dependency or addiction can result in negative thinking or behaviour that may directly or indirectly contribute to the factors that cause incidents and accidents at sea. It will be suggested that the most appropriate method of dealing with this problem is twofold: firstly, through training at the educational level and secondly, by encouraging the shipping industry and government to invest more into providing seafarers with better access to the communication methods that they are used to on shore in order to improve work conditions.

  • PDF

A Design of Smart Banking System using Digital Signature based on Biometric Authentication (바이오인증 기반의 전자서명을 이용한 스마트 뱅킹 시스템 설계)

  • Kim, Jae-Woo;Park, Jeong-Hyo;Jun, Moon-Seog
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.16 no.9
    • /
    • pp.6282-6289
    • /
    • 2015
  • Today, there is an increasing number of cases in which certificate information is leak, and accordingly, electronic finance frauds are prevailing. As certificate and private key a file-based medium, are easily accessible and duplicated, they are vulnerable to information leaking crimes by cyber-attack using malignant codes such as pharming, phishing and smishing. Therefore, the use of security token and storage toke' has been encouraged as they are much safer medium, but the actual users are only minimal due to the reasons such as the risk of loss, high costs and so on. This thesis, in an effort to solve above-mentioned problems and to complement the shortcomings, proposes a system in which digital signature for Internet banking can be made with a simply bio-authentication process. In conclusion, it was found that the newly proposed system showed a better capability in handling financial transitions in terms of safety and convenience.

Intercropping in Rubber Plantation Ontology for a Decision Support System

  • Phoksawat, Kornkanok;Mahmuddin, Massudi;Ta'a, Azman
    • Journal of Information Science Theory and Practice
    • /
    • v.7 no.4
    • /
    • pp.56-64
    • /
    • 2019
  • Planting intercropping in rubber plantations is another alternative for generating more income for farmers. However, farmers still lack the knowledge of choosing plants. In addition, information for decision making comes from many sources and is knowledge accumulated by the expert. Therefore, this research aims to create a decision support system for growing rubber trees for individual farmers. It aims to get the highest income and the lowest cost by using semantic web technology so that farmers can access knowledge at all times and reduce the risk of growing crops, and also support the decision supporting system (DSS) to be more intelligent. The integrated intercropping ontology and rule are a part of the decision-making process for selecting plants that is suitable for individual rubber plots. A list of suitable plants is important for decision variables in the allocation of planting areas for each type of plant for multiple purposes. This article presents designing and developing the intercropping ontology for DSS which defines a class based on the principle of intercropping in rubber plantations. It is grouped according to the characteristics and condition of the area of the farmer as a concept of the rubber plantation. It consists of the age of rubber tree, spacing between rows of rubber trees, and water sources for use in agriculture and soil group, including slope, drainage, depth of soil, etc. The use of ontology for recommended plants suitable for individual farmers makes a contribution to the knowledge management field. Besides being useful in DSS by offering options with accuracy, it also reduces the complexity of the problem by reducing decision variables and condition variables in the multi-objective optimization model of DSS.

Health Impact Assessment of Free Immunization Program in Jinju City, Korea

  • Kim, Keon-Yeop;Jeon, So-Youn;Jeon, Man-Joong;Lee, Kwon-Ho;Lee, Sok-Goo;Kim, Dong-Jin;Kang, Eun-Jeong;Bae, Sang-Geun;Kim, Jin-Hee
    • Journal of Preventive Medicine and Public Health
    • /
    • v.45 no.4
    • /
    • pp.267-275
    • /
    • 2012
  • Objectives: This study was conducted to assess the potential health impacts and improve the quality of the free immunization program in Jinju City by maximizing the predicted positive health gains and minimizing the negative health risks. Methods: A steering committee was established in September 2010 to carry out the health impact assessment (HIA) and began the screening and scoping stages. In the appraisal stage, analysis of secondary data, a literature review, case studies, geographic information systems analysis, a questionnaire, and expert consultations were used. The results of the data collection and analyses were discussed during a workshop, after which recommendations were finalized in a written report. Results: Increased access to immunization, comprehensive services provided by physicians, the strengthened role of the public health center in increasing immunization rates and services, and the ripple effect to other neighboring communities were identified as potential positive impacts. On the other hand, the program might be inaccessible to rural regions with no private clinics where there are more at-risk children, vaccine management and quality control at the clinics may be poor, and vaccines may be misused. Recommendations to maximize health gains and minimize risks were separately developed for the public health center and private clinics. Conclusions: The HIA provided an opportunity for stakeholders to comprehensively overview the potential positive and negative impacts of the program before it was implemented. An HIA is a powerful tool that should be used when developing and implementing diverse health-related policies and programs in the community.

A Study on Improvement of Emergency Medical System for forestry accident (임업 사고 응급대응체계의 개선방안에 관한 연구)

  • Nam, Ki-Hun;Park, Young-Soo;Kim, Kwang-Il;Cho, Koo-Hyun;Lee, Eun-Jai;Baek, Seung-An
    • Journal of the Korean Society of Industry Convergence
    • /
    • v.22 no.6
    • /
    • pp.665-671
    • /
    • 2019
  • The estimated on-site accident rate in Forestry is relatively high. According to statistics of the accident, in the recent 5 years, from 2014 to 2018, forestry accidents have resulted in 98% of injuries and 87% of fatalities. Especially, there are significant geographical constraints to access to the scene in case of an accident. Even though the capacity of first aid capacity is notably emphasized its importance to minimize the scale of damages, the relevant employees have been educated only basic first aid, which is not considered circumstances or geographic limitations, by Occupation Safety and Health Acts. Therefore, the purpose of this study is to derive a direction for a forest emergency service system to increase forestry workers' survival and prevent secondary injury through securing 'Golden Time.' This study conducts analyzing relevant laws and regulations in domestic and international settings as well as looking at several concerned accident cases. The outcome of analysis presents an issue regarding the implementation of onsite first aid in forestry and existing risk factors depending on the working process. Finally, we suggest two ways to improve the forest emergency service that are 1) an appropriate curriculum and kit for forest first aid; and 2) a system for emergency transfer through sharing information between National Fire Agency (NFA) and emergency medical service center, and emergency and rescue mission using helicopter from NFA and Korea Forest Service.