• Asian Pacific Journal of Cancer Prevention
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• 제16권8호
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• pp.3527-3531
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• 2015

Background: Serbia is one of the countries with highest incidence and mortality rates for cervical cancer in Central and South Eastern Europe. Introducing a risk index could provide a powerful means for targeting groups at high likelihood of having an abnormal cervical smear and increase efficiency of screening. The aim of the present study was to create and assess validity ofa index for prediction of an abnormal Pap test result. Materials and Methods: The study population was drawn from patients attending Departments for Women's Health in two primary health care centers in Serbia. Out of 525 respondents 350 were randomly selected and data obtained from them were used as the index creation dataset. Data obtained from the remaining 175 were used as an index validation data set. Results: Age at first intercourse under 18, more than 4 sexual partners, history of STD and multiparity were attributed statistical weights 16, 15, 14 and 13, respectively. The distribution of index scores in index-creation data set showed that most respondents had a score 0 (54.9%). In the index-creation dataset mean index score was 10.3 (SD-13.8), and in the validation dataset the mean was 9.1 (SD=13.2). Conclusions: The advantage of such scoring system is that it is simple, consisting of only four elements, so it could be applied to identify women with high risk for cervical cancer that would be referred for further examination.

• International Journal of Contents
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• 제12권2호
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• pp.58-65
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• 2016

This paper describes design and development of a system that supports continuous creation of hazard maps by local residents in their daily life. We made an interview survey to design our system in a model traditional town in Saga, Japan. The results show that in spite of continuous efforts, many practical problems remain and residents feel unsafe. Based on these results, we designed and developed a unique ICT-based support system which contributes to community-based disaster prevention/reduction. The continuous resident participation and posting design are core concept for our sustainable community-based approach. Our system continues to support making a hazard map by integrating the community-based hazard information. Local residents register information about the spot (disaster types, a risk level, a photograph, comments, positional information) that can be dangerous in case of disaster. We have evaluated the usefulness and possibilities of our prototype system implemented as an iOS application.

• 한국안전학회지
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• 제35권6호
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• pp.1-8
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• 2020

In recent years, hydrogen has received much attention as an alternative energy source to fossil fuels. In order to ensure safety from the increasing number of hydrogen refueling stations, prevention methods have been required. In this regard, this study suggested an approach to reduce the risk of hydrogen refueling station by increasing Safety Integrity Level (SIL) for a Steam Methane Reformer (SMR) in On-Site Hydrogen Refueling Station. The worst scenario in the SMR was selected by HAZOP and the required SIL for the worst scenario was identified by LOPA. To verify the required SIL, the PFDavg.(1/RRF) of Safety Instrumented System (SIS) in SMR was calculated by using realistic failure rate data of SIS. Next, several conditions were tested by varying the sensor redundancy and proof test interval reduction and their effects on risk reduction factor were investigated. Consequently, an improved condition, which were the redundancy of two-out-of-three and the proof test interval of twelve months, achieved the tolerable risk resulting in the magnitude of risk reduction factor ten times greater than that of the baseline condition.

• Childhood Kidney Diseases
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• 제19권2호
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• pp.71-78
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• 2015

The incidence of acute kidney injury (AKI) in critically ill pediatric patients has been reported as increasing to 25 %, depending on population characteristics. The etiology of AKI has changed over the last 10-20 years from primary renal disease to the renal conditions associated with systemic illness. The AKI in pediatric population is associated with increased mortality and morbidity, and prevention is needed to reduce the consequence of AKI. It is known that the most important risk factors for AKI in critically ill pediatric patients are clinical conditions to be associated with decreased renal blood flow, direct renal injury, and illness severity. Renal hypoperfusion leads to neurohormonal activation including renin-angiotensin-aldosterone system, sympathetic nervous system, antidiuretic hormone, and prostaglandins. Prolonged renal hypoperfusion can result in acute tubular necrosis. The direct renal injury can be predisposed under the condition of renal hypoperfusion, and appropriate treatment of volume depletion is important to prevent AKI. The preventable causes of AKI include contrast-induced nephropathy, hemodynamic instability, inappropriate mediation use, and multiple nephrotoxic insults. Given the evidence of preventable factors for AKI, several actions such as the use of protocol for prevention of contrast-induced nephropathy, appropriate treatment of volume depletion, vigorous treatment of sepsis, avoidance of combinations of nephrotoxic medications, and monitoring of levels of drugs should be recommended.

• 한국재난정보학회 논문집
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• 제19권2호
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• pp.432-438
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• 2023

연구목적: 생활안전 예방서비스 앱에서 신고되는 이미지를 AI를 사용하여 실시간으로 위험 카테고리를 자동으로 분류하여 사용자에게 편리한 위험신고를 가능하게 하는 것을 목적으로 한다. 연구방법: 인터넷으로 상호연결되는 생활안전 예방서비스 플랫폼, 생활안전 예방서비스 앱, AI 모델 서빙 서버와 sftp 서버로 구성되는 시스템을 통하여 신고된 생활안전 이미지를 실시간으로 자동분류하며, 이때 사용되는 AI모델 생성을 위한 AI 학습 알고리즘도 개발하였다. 연구결과: 이미지를 실시간으로 AI 처리하여 자동으로 분류할 수 있게 되어, 신고자가 생활안전 관련 사항을 보다 편리하게 신고할 수 있게 되었다. 결론: 본 논문에서 제시하는 AI 이미지 자동분류 시스템은 90% 이상의 분류 정확도로 신고 이미지를 실시간으로 자동분류하여 신고자가 간편하게 생활안전 관련 이미지를 신고할 수 있게 되었으며 향후 생활안전 예방서비스 앱의 사용자의 증가에 따라 더욱 빠르고 정확한 AI 모델 개발 및 시스템 처리용량 향상이 필요하다.

• Human Ecology Research
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• 제61권2호
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• pp.263-280
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• 2023

This study examined four ecological systems, namely individual, family, school, and media environments. A series of moderator analyses were conducted to examine variations in effect size estimates across the study characteristics. The current study estimated that the effect size results were gleaned from 360 primary studies, including 90 journal articles and 270 thesis/dissertations, published between 2011 and 2022. The current meta-analysis results supported the ecological framework. That is, the impact of each ecological system on the development of positive and negative peer relationships varies depending on age groups and protective-risk factors. Specifically, for positive peer relationships, the largest effect size of the protective factor was found at the individual level for young and school- aged children, but at the school level for adolescents. Regarding the risk factors for positive peer relationships, the media was the ecological system with the strongest effect size for both young children and adolescents, while the individual-level demonstrating the strongest effect for school-aged children. Results from this meta-analysis allow us to identify some vital intervention areas in terms of healthy peer-relationship development, which should be of considerable interest to the educators and policymakers who are responsible for assessing and intervening with at-risk young children, school-aged children, and adolescents. From a practical standpoint, the current meta-analysis results are expected to contribute to developing effective prevention initiatives by targeting specific protective and risk factors for peer relationship development on the ecological system level.

• Pediatric Infection and Vaccine
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• 제31권1호
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• pp.102-112
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• 2024

목적: 우리나라 강원도 내 어린이집, 유치원, 초중고(공교육) 교육시설과 사교육시설을 포함한 교육시설 관련 COVID-19 감염병 집단사례의 역학적 특성과 위험요인을 파악하고자 한다. 방법: 연구기간은 2020년 12월 10일부터 2021년 9월 23일까지 질병관리청 질병보건통합관리시스템에 신고된 강원도 내 코로나19 확진자 5,318명 중 교육시설 관련 집단감염으로 분류된 19개의 교육시설 관련 확진자 407명을 대상으로 조사하였다. 결과: 교육시설 관련 확진자는 19개의 교육시설 총 407명으로 19세 이하는 204명(50.1%) 이었다. 선행 전파자는 가족이 155명(38.1%), 교사125명(30.7%)이었다. 이차감염자가 확진자로부터 노출된 장소는 집이 139명(34.2%)으로 가장 높았다. 총 19개 집단에서 9개 집단의 근원 환자(추정)는 교사로 확인되었다. 교사가 선행 감염원인 경우의 평균 발병률(2.4%)이 학생이 근원 환자(추정)인 집단의 평균 발병률(1.5%)보다 높았다. 또한 교육시설 내 위험도 종합평가 점수가 높은 사교육시설에서 발병률과 2차 발병률이 높았다. 결론: 본 연구에서 교육시설보다는 가정에서의 전파가 더 큰 것이 확인되었고, 교육시설 내 위험도 종합평가점수가 높은 교육시설에서는 교내 발병률이 가정내 발병률보다 높았고, 공교육 시설보다 사교육시설의 위험도 점수가 높은 곳이 많았으며, 교사들이 근원 환자(추정)인 사례가 많았다. 이러한 결과를 근거로 학생들과 더불어 교사들의 방역 수칙 이행에 대한 감시의 강화가 필요하겠다. 또한 지속적인 교육 당국의 모니터링을 통해 감염병 범유행 상황에서 감염으로부터 안전한 환경에서 교육이 이행될 수 있도록 지속적으로 노력해야 할 필요가 있다.

• Asian Pacific Journal of Cancer Prevention
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• 제15권9호
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• pp.4067-4070
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• 2014

Background: The Chinese Hui ethnic group has diverse origins, including Arab, Persian, Central Asian, and Mongol. The standardized mortality rate of gastric cancer in the Hui population is higher than the overall Chinese population. In this study, we investigated whether COX-2-765G>C polymorphism, an extensively studied polymorphism, contributes to gastric cancer and its precursor lesions (GPL) in the Chinese Hui ethnic group. Materials and Methods: COX-2-765G>C polymorphism was determined by pyrosequencing in 100 gastric cancer cases, 102 gastric cancerand its precursor lesions cases and 105 controls. Data were statistically analyzed using Chi-square tests and logistic regression models. Results: Among the Chinese Hui ethnic group COX-2-765 C allele carriers were at increased risk for gastric cancer (OR=1.977, 95%CI=1.104-3.541). We also found an interaction between COX-2 -765 C carriers and Helicobacter pylori infection and eating pickled vegetables. Conclusions: Our findings suggest a multi-step process of gene-environment interaction contributes to gastric carcinogenesis.

• 한국화재소방학회논문지
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• 제18권4호
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• pp.78-85
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• 2004

본 연구에서 Clean Room 재해사례를 분석하였고, Factory Mutual Property Loss Prevention Data Sheets(FM), Industrial Risk Insurers(IRI), NFPA Code 등의 Clean Room 설계 주요 방화기준에 대하여 비교 분석을 하였다. 그리고 화재시뮬레이션을 통한 위험성 평가를 통해서 화재 시 공조설비의 작동으로 인한 연기산란 현상으로 Clean Room 내의 피해규모가 상상을 초월하는 결과를 얻을 수 있었으며, 또한 스프링클러설비의 작동으로 열온도가 더 낮아지고, 연기의 확산속도를 더 줄여줄 수 있는 것으로 분석되었다. 따라서, Clean Room내의 화재 시 화재감지기에 의해 공조설비를 정지시키고, 스프링클러설비를 설치하는 것이 안전성을 확보하는데 중요한 요소임을 유추하였다. 그러므로 본 연구에서 Clean Room 에 대한 안전성을 확보하는데 기여하고자 한다.

• Journal of Yeungnam Medical Science
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• 제39권4호
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• pp.314-321
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• 2022

Background: In this study, the degree of anxiety, depression, and stress caused by coronavirus disease 2019 (COVID-19) was identified, as well as the need for psychological prevention measures among medical students in the Daegu region that was designated the first special disaster area due to the spread of COVID-19. Methods: The subjects of this study were 318 medical students in Daegu who voluntarily participated in an online test using the Hospital Anxiety and Depression Scale and Impact of Event Scale-Revised Korean version. As a result of the test, risk students received immediate telephone counseling, and the effect of this telephone counseling was analyzed. Results: There were no differences in depression, anxiety, or stress according to gender and grade. As a result of immediate telephone counseling for risk students, significant differences were found in depression, anxiety, and stress, and the counseling was found to be effective. Conclusion: For medical students who are easily exposed to stress, the importance of psychological prevention measures and effectiveness of non-face-to-face counseling should be recognized. In the field of medical education, we must do our best to build a system that can be used immediately at the appropriate time for these programs.