• 전자공학회논문지
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• 제52권11호
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• pp.87-104
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• 2015

최근 지능화된 사물들이 연결되는 네트워크를 통해 사람과 사물, 사물과 사물 간에 상호 소통하고 상황인식 기반의 지식이 결합되어 인공지능 서비스를 제공하는 사물인터넷 (IoT : Internet of Things) 환경이 급속도로 발전하고 있다. 이러한 사물인터넷의 발전과 더불어 C-ITS (Cooperative Intelligent Transport System) 환경에서 고속으로 이동하는 차량이 기존의 노변 인프라 외에 주행 중인 다른 차량까지 교통 인프라에 포함하여 차선 및 번호판 인식, 전방 사고 및 도로 공사 감지 등 쌍방향 정보 공유를 통해 효율적인 도로 주행을 함으로써 운전자에게 편리성과 안전성을 높여주고 나아가 교통 효율성을 높이고자 하는 연구가 활발히 진행되고 있다. 본 논문에서는 C-ITS 환경에서 고속도로 주행 시 버스전용 차선 인식 후 교통 인프라와 연계하여 버스전용 차선 내 주행차량의 주행 가능 여부를 판단하고 이에 따른 후속 조치에 관한 연구를 진행하였다. 버스전용차선 인식을 통해 버스전용 차로의 위치를 파악한 후 후속 차량의 정면 전방 및 측면 전방 차량의 번호판 인식을 진행하고 향후 교통 인프라로 하여금 인지하게 하는 방법에 관한 학습과 해당 실험결과를 제시하였다.

• Journal of Trauma and Injury
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• 제28권2호
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• pp.60-66
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• 2015

Purpose: Cultivator accidents are frequent and often lead to abdomino-perineal organ injury and, if severe, to death. This study presents the clinical characteristics, outcomes, and factors associated with mortality in patients who sustained an abdomino-perineal organ injury in cultivator accidents. Methods: We retrospectively analyzed the records of 53 patients who visited the emergency department of a tertiary hospital with abdomino-perineal organ injuries caused in cultivator accidents from April 2005 to March 2010. Results: All 53 patients had visited other medical institutions before visiting our hospital. Their mean age was $64.0{\pm}11.1$ (range, 20-80) years and 32 (60.4%) patients were 65 or older. The male-to-female ratio was 46:7. The chief complaint was abdominal pain (38 cases, 71.7%). The 53 patients included 41 cultivator operators (77.4%), 11 passengers (20.8%), and 1 passerby (1.9%). The causes of the injuries included a direct impact of the handlebar in 20 cases (37.7%), a rollover in 21 cases (39.6%), a fall in 10 cases (18.9%), and a wheel in two cases (3.8%). Several of the 53 patients had injuries to multiple abdomino-perineal organs, and the injured organs included the liver (23 cases, 26.4%), spleen (16 cases, 18.4%), pancreas (7 cases, 8.0%), small bowel (7 cases, 8.0%), mesentery (6 cases, 6.9%), adrenal gland (5 cases, 5.8%), and other organs. According to the abbreviated injury scale (AIS) dictionary, a thoracic injury was the most frequent co-injury (33 of 53 cases, 62.3%). Abdomino-perineal surgery was performed in 31 cases (58.8%) and angio-embolization was performed for six liver and two kidney injuries. Thirteen patients died (24.5%); all were males. The Injury Severity Scale (ISS) was lower in the survivors ($17.8{\pm}8.5$ vs. $27.0{\pm}16.0$; p=0.010). Conclusion: With the aging of agricultural workers, safety education programs should be implemented. Furthermore, the patient transfer system in agricultural areas must be improved.

• 한국가족복지학
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• 제53호
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• pp.79-115
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• 2016

본 연구는 남한 사회에서 탈북여성들이 경험하는 차별과 낙인을 역사적 배경과 연관된 '종족화된 낙인(ethnicized stigma)'의 관점에서 살펴보고 북한이탈주민의 남한사회 적응을 위한 사회복지실천 방안을 모색하는데 목적이 있다. 이를 위해 탈북여성 8명, 전문가 4명(2명은 탈북여성)을 심층 면접하였다. 연구결과, 참여자들은 언어와 의사표현 등 소통의 어려움과 내국인으로의 불인정을 경험하였으며, 이로 인해 종족 정체성(ethnic identity)의 혼란을 겪는 것으로 나타났다. 주요 원인으로 북한이탈주민에 대한 선(先)경험과 잘못된 정보의 일반화, 오랜 분단의 역사와 공간적 거리감에서 초래된 종족성(ethnicity)의 부인 등이 작용하는 것으로 나타났다. 탈북여성들은 부정적 인식과 차별로 인한 부정적 정서와 외로움을 해소하고 적응하기 위해 그들만의 공동체를 구축하였으며, 이것은 정서적 도구적 지지 기능을 하는 것으로 나타났다. 그러나 공동체 내 구성원간의 갈등, 후원금과 자원배분의 문제, 공동체 경험의 부재, 북한체제에서 겪은 불신과 호상비판의 일상, 신변노출의 문제, 자유와 인권에 대한 몰이해 등으로 갈등과 해체의 위기를 경험하였다. 결론에서는 이와 같은 연구결과를 바탕으로 북한이탈주민의 공동체를 지속적으로 유지하면서 남북한 교류를 위한 모임과 프로그램을 확대할 필요성을 제언하였다.

• 대한의사협회지
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• 제61권12호
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• pp.765-775
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• 2018

With growing interest in novel digital healthcare devices, such as artificial intelligence (AI) software for medical diagnosis and prediction, and their potential impacts on healthcare, discussions have taken place regarding the regulatory approval, coverage, and clinical implementation of these devices. Despite their potential, 'digital exceptionalism' (i.e., skipping the rigorous clinical validation of such digital tools) is creating significant concerns for patients and healthcare stakeholders. This white paper presents the positions of the Korean Society of Radiology, a leader in medical imaging and digital medicine, on the clinical validation, regulatory approval, coverage decisions, and clinical implementation of novel digital healthcare devices, especially AI software for medical diagnosis and prediction, and explains the scientific principles underlying those positions. Mere regulatory approval by the Food and Drug Administration of Korea, the United States, or other countries should be distinguished from coverage decisions and widespread clinical implementation, as regulatory approval only indicates that a digital tool is allowed for use in patients, not that the device is beneficial or recommended for patient care. Coverage or widespread clinical adoption of AI software tools should require a thorough clinical validation of safety, high accuracy proven by robust external validation, documented benefits for patient outcomes, and cost-effectiveness. The Korean Society of Radiology puts patients first when considering novel digital healthcare tools, and as an impartial professional organization that follows scientific principles and evidence, strives to provide correct information to the public, make reasonable policy suggestions, and build collaborative partnerships with industry and government for the good of our patients.

• 응용통계연구
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• 제31권6호
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• pp.677-692
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• 2018

최근 2017년 우리나라 합계출산율은 1.05명로 2005년 1.08명 수준으로 회귀하는 현상을 보이고 있다. 1.05명은 인구대체선(2.1명), 안전선(1.5명)과도 거리가 먼 초저출산 수준이고 마치 초저출산 덫에 빠질 우려가 있다. 이에 합계출산율의 합리적인 예측과 이를 통한 출산정책에 유용한 자료를 제공하는 것은 그 어느 때 보다도 중요하다. 그 동안 다양한 통계적 방법으로 합계출산율 추이를 예측하였는데, 데이터 완비성이 높고 품질이 좋은 경우 모형 접근인 모수적 방법, 데이터 추이가 단절되거나 변동이 심한 경우 평활과 가중치를 적용한 비모수적 방법, 데이터 부족과 품질 등으로 선진국의 출산율 3단계 전이현상을 참고하여 이들의 사전분포를 활용하는 베이지안 방법 등이 적용되어 왔다. 본 연구는 최근 변동이 심한 우리나라 출산율에 모수, 비모수, 그리고 베이지안 방법을 적용하여 추정과 예측을 실시하고 도출된 결과 비교를 통해 적합성과 타당성 측면에서 어떤 방법이 합리적인지 모색하고자 한다. 분석결과 합계출산율 예측값 순위는 통계청 합계출산율이 가장 높고, 베이지안, 모수, 비모수 순으로 나타났다. 2017년 TFR 1.05명 수준을 감안할 때 모수, 비모수모형으로 도출된 합계출산율 예측값이 합리적이다. 또한 출산율 자료완비성이 높고 품질이 우수할 경우 계산 효율성과 적합도 관점에서 모수적 추정과 예측 접근 방법이 타 방법보다 우수한 것으로 도출되었다.

• 대한한의학회지
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• 제40권1호
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• pp.153-173
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• 2019

Objectives: This study aimed to ascertain what should be considered in the "Guideline for Clinical Trials with Herbal Medicinal Products for Lung Cancer" by analyzing the existing guidelines and clinical trials. Methods: The committee searched guidelines and clinical trials about herbal medicine for lung cancer. The searched trials were analyzed in terms of inclusion and exclusion of participants, intervention, comparator, outcomes and trial design. Then, we compared the results of our analysis with the guidelines to identify the issues we will have to consider when making the "Guideline for Clinical Trials with Herbal Medicinal Products for Lung Cancer". Several guidelines for anti-tumor agents and clinical trials with herbal medicine were searched on the national institution homepage. The search terms were as follows: 'lung neoplasm', 'herbal medicine', 'Medicine, Korean traditional', 'Medicine, Chinese Traditional' etc. Results: There was no guideline for clinical trial with herbal medicine for lung cancer. In addition, 7 articles were searched through database searching. All the participants had non-small cell lung cancer. The type of intervention was decoction. Comparators included conventional treatments such as chemotherapy. The outcome measurements used in the studies were quality of life, tumor response, and survival duration, etc. Safety was evaluated by recording adverse events and blood test. Conclusions: Findings were made by reviewing existing guidelines and comparing them with clinical trials for lung cancer and herbal medicinal products. These results will be utilized in the development of "Guideline for Clinical Trials with Herbal Medicinal Products for Lung Cancer".

• 대한신경집중치료학회지
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• 제11권2호
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• pp.93-101
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• 2018

Background: At most centers, general anesthesia (GA) has been preferred for endovascular treatment (EVT) of ruptured intracranial aneurysms (RIAs). In this study, we analyzed procedural results, clinical outcomes, and follow-up angiographic findings for patients undergoing EVT for RIA under local anesthesia (LA) with conscious sedation (CS). Methods: We retrospectively evaluated 308 consecutive patients who underwent EVT for RIAs at a single institution between June 2009 and February 2017. EVT under LA with CS was considered for all patients with aneurysmal subarachnoid hemorrhage, regardless of Hunt and Hess (HH) scale score. Results: EVT was performed for 320 aneurysms in 308 patients with subarachnoid hemorrhages. The mean patient age was $55.5{\pm}12.6$ years. Moderate (III) and poor (IV, V) HH grades were observed in 75 (24.4%) and 77 patients (25%), respectively. Complete occlusion immediately after EVT was achieved for 270 (84.4%) of 320 aneurysms. Thromboembolic complications and intraprocedural ruptures occurred in 25 (7.8%) and 14 cases (4.3%), respectively. The morbidity rate at discharge (as defined by a modified Rankin scale score of 3 or greater) was 27.3% (84/308), while the mortality rate was 11.7% (36/308). Follow-up angiographic results were available for 210 (68.1%) of 308 patients. Recanalization was observed in 64 (29.3%) of 218 aneurysms in 210 patients. Conclusion: Based on our experience, EVT for RIAs under LA with CS was feasible, regardless of the clinical grade of the subarachnoid hemorrhage. Complication rates and follow-up angiographic results were also comparable to those observed when GA was used to perform the procedure.

• 재활치료과학
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• 제10권2호
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• pp.141-150
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• 2021

목적 : 본 연구는 뇌졸중 환자에게 Cognitive Orientation to daily Occupational Performance(CO-OP) 중재법을 적용하여 작업수행의 질, 상지기능 및 실행기능에 영향을 주는지 확인하고자 하였다. 연구방법 : 연구대상은 재활치료를 받고 있는 입원, 외래 환자 중 발병한지 3개월 이상된 뇌졸중 환자 5명이었다. 연구는 단일집단 사전-사후 평가로 설계되었다. 중재는 1일 1회 30분간 주 5회로 총 20회기를 적용하였다. 중재활동은 환자가 선정한 중요도는 높지만 만족도와 수행도는 낮은 활동을 선정하여 진행하였다. 평가도구로는 수행의 질을 평가하는 Performance Quality Rating Scale(PQRS)과 Canadian Occupational Performance Measure(COPM), 실행기능을 알아보기 위한 Executive Function Performance Test for Koreans(EFPT-K), 상지기능을 알아보기 위한 Motor Activity Log(MAL)를 사용하였다. 중재 전·후를 비교할 수 있는 통계방법으로는 비모수 검정인 Wilcoxon's signed rank test를 사용하였다. 통계학적 유의수준은 p<0.05로 하였다. 결과 : 상지기능은 모든 항목에서 유의미한 변화를 나타냈으며 실행기능은 시작하기 항목을 제외한 준비하기, 순서정하기, 판단과 안전, 종결하기 전 항목에서 유의미한 변화를 나타냈다. 또한, 작업수행도 유의미한 차이를 보였다. 결론 : 만성 뇌졸중 환자를 중심으로 20회기의 CO-OP 중재를 통해 상지기능, 실행기능, 작업수행을 향상시켰다. 뇌졸중 환자의 작업수행뿐 아니라 세부적인 작업 요소 향상에 긍정적인 영향을 도출하였다.

• 한방재활의학과학회지
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• 제32권3호
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• pp.131-140
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• 2022

Objectives This study aimed to investigate whether the concurrent use of conventional and herbal medications affects liver and kidney function, by examining blood test data. Methods We retrospectively reviewed the electronic medical records of 590 inpatients with musculoskeletal diseases between 2013 and 2017. We investigated cases of drug-induced liver injury (DILI) according to the Roussel Uclaf Causality Assessment Method criteria and cases of drug-induced kidney injury (DIKI) based on the Kidney Disease Improving Global Outcomes definition. Results One case (0.17%) of DILI and one case (0.17%) of DIKI were identified. Significant improvements in serum laboratory data were observed after the concurrent use of both types of medications (p<0.05). The kappa coefficients ranged from 0.26 to 0.72, indicating that the values after the concurrent use of conventional and herbal medications showed a fair similarity to the baseline values of the patients. The linear regression test showed that female sex and high body mass index (BMI) were risk factors for an increase in the serum blood levels of liver function parameters. Conclusions The concurrent use of conventional and herbal medications for musculoskeletal disorders is relatively safe; however, clinicians should exercise caution when prescribing these medications to female patients and patients with a high BMI because of their potential effect on hepatic function.

• 대한한방내과학회지
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• 제43권4호
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• pp.656-679
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• 2022

Objectives: The aims of this study were to evaluate the fidelity of stroke stage reporting, the timeliness of the outcome measures, and the use of the core outcome set. Methods: We searched the literature using 6 domestic databases. We selected studies that used Korean medicine interventions and targeted stroke patients with motor sequelae. We examined whether the included studies reported the stroke stage and whether they used the outcome measures in the appropriate period based on the recommendations of the "Stroke Evidence Database to Guide Effectiveness". We also confirmed the use of the essential assessment tools suggested by the core outcome set. Results: Overall, 77 studies were finally selected, with 16 (21%), 55 (71%), and 6 (8%) published on the acute, subacute, and chronic phases, respectively. Only 11 of the studies directly mentioned the stroke stage. The most commonly used assessments were the National Institutes of Health Stroke Scale, Modified Barthel Index, and Manual Muscle Testing. Only 5 studies failed to apply the stage-related outcome measures at the recommended period. The outcome variables used inadequately were the National Institutes of Health Stroke Scale, Functional Ambulation Categories, 36-Item Short Form Health Survey, and Mini-Mental State Examination. Among the core outcome set items, some studies used liver and renal function tests, but no herbal medicine safety reporting was conducted. Conclusions: In future studies, we propose to ensure accurate reporting of the stroke stage with reliable outcome measures to deliver better clinical and research outcomes. Furthermore, in future clinical studies on stroke, a standard protocol that reflects the core outcome set should be developed.