• Journal of Preventive Medicine and Public Health
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• v.34 no.3
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• pp.244-252
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• 2001

Objective : Health insurers and policy makers are increasingly examining the hospital mortality rate as an indicator of hospital quality and performance. To be meaningful, a risk-adjustment of the death rates must be implemented. This study reviewed 5 severity measurement methods and applied them to the same data set to determine whether judgments regarding the severity-adjusted hospital mortality rates were sensitive to the specific severity measure. Methods : The medical records of 584 patients who underwent coronary artery bypass graft surgery in 6 general hospitals during 1996 and 1997 were reviewed by trained nurses. The MedisGroups, Disease Staging, Computerized Severity Index, APACHE III and KDRG were used to quantify severity of the patients. The predictive probability of death was calculated for each patient in the sample from a multivariate logistic regression model including the severity score, age and sex to evaluate the hospitals' performance, the ratio of the observed number of deaths to the expected number for each hospital was calculated. Results : The overall in-hospital mortality rate was 7.0%, ranging from 2.7% to 15.7% depending on the particular hospital. After the severity adjustment, the mortality rates for each hospital showed little difference according to the severity measure. The 5 severity measurement methods varied in their statistical performance. All had a higher c statistic and $R^2$ than the model containing only age and sex. There was a little difference in the relative hospital performance evaluation by the severity measure. Conclusion : These results suggest that judgments regarding a hospital's performance based on severity adjusted mortality can be sensitive to the severity measurement method. Although the 5 severity measures regarding hospital performance concurred, more often than would be expected by chance, the assessment of an individual hospital mortality rates varied by the different severity measurement method used.

• Journal of Korean Society of Water and Wastewater
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• v.27 no.6
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• pp.731-741
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• 2013

CCTV inspection method has been used in Korea for more than 20 years, but there is no proper assessment system for sewer failure severity that considers the domestic circumstances. This study classified the defects caused by the overburden load of reinforced concrete sewer pipes depending on severity and developed defect code by analyzing the domestic CCTV inspection videos. The defect score was assigned to each defect code, and it was classified into 5 grades for the decision-making of repair and rehabilitation. The result of this study is expected to be useful for domestic CCTV inspectors to assess the sewer condition and helpful for managers to make a decision of repair and rehabilitation.

• Journal of the Korean Society for Railway
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• v.12 no.2
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• pp.260-266
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• 2009

The theory of risk is applied frequently in analysis of railway accidents. The aim of risk analysis is to search potential causes and contribution factors of accidents by checking the total system of construction field. This paper analyze a pattern and a cause of accident occupied in construction field, calculate risk index considering accident frequency and severity, and then provide the relative risk assessment. Based on this, this paper will provide the methodology of qualitative risk assessment guiding to reach a consistency of risk index with risk assessment.

• Journal of Digital Convergence
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• v.12 no.8
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• pp.101-112
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• 2014

In this study, a risk assessment method based on scenario for the product safety management in Korea has been developed and proposed. To this end, Korea's related regulations for product safety management should be analyzed first, and the risk assessment method necessary for the enforcement of the regulations is presented by itemizing the method into the case of general injury and toxic substances. The features of the method presented in this study are as follows: (i) It is a method based on the injury scenario which can occur during the use of product. (ii) It assesses a risk based on the probability of the scenario and the severity of injury. (iii) In the case of toxic substances, it assesses a risk considering the hazard of the toxic substances on the human body and the severity of injury. To determine the probability of the injury scenario, this study has decomposed the scenario into several configuration factors and estimates each factor's probability to calculate the whole scenario's probability. The results of risk assessment through the method of this study are presented and it is shown that the method can be applied to the product classification for the product safety management.

• Journal of the Architectural Institute of Korea Structure & Construction
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• v.36 no.3
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• pp.135-145
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• 2020

Recently, the disaster rate of the construction industry has increased with high-rise, and complexity of the building, unlike the decrease in the disaster rate in other industries. Although risk assessment is performed to reduce the occurrence of disasters, it is difficult to estimate the risks accurately due to activity in which no disaster has occurred, and inconsistencies in the level of details of work. In this study, in order to evaluate the risk of the major activity for the apartment construction work, the activity was identified by referring to the risk assessment model of construction industry type by the KOSHA. The construction work types and activities were consistently organized in level of work into nine work types and 82 activities were through experts consultation. Analyzing the disaster types that occurred during work through KOSHA disaster cases, calculating the probability of disaster occurrence according to the type of disaster, and combining the probability of disaster with the severity of disaster to estimate the risk assessment method was presented. Using the daily report of the construction site of the apartment, the results of a case study confirmed the validity of the risk calculation method presented in this study.

• Proceedings of the Korean Institute of Building Construction Conference
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• 2022.11a
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• pp.133-134
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• 2022

Recently, the criteria for assessing industrial accidents have been replaced by the mortality rate. It was found that the number of deaths from excavation work was the highest among construction machinery. The risk assessment is being conducted, however the industrial accident mortality rate has not decreased. Accordingly, this study aims to provide the basic for the create of a risk assessment model specialized in construction work at excavator. It provides absolute value from the risk model which is capable of delivery the probability of a disaster. In addition, we provide a relative risk model that compares the risk through scores between detailed works. The relative risk model is combined by likelihood and severity; the likelihood indicates the frequency of accidents and the severity indicates seriousness of fatal accidents. A variable that reflects the conditions of the construction site was added to the risk assessment model based on past disaster cases. And using the concepts of probability and average, the risk assessment process was quantified and used as an objective indicator. Therefore, the model is expected to reduce disasters by raising the awareness of disasters.

• Tuberculosis and Respiratory Diseases
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• v.69 no.6
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• pp.450-455
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• 2010

Background: High cortisol levels are frequently observed in patients with severe infections are of prognostic value in sepsis. The aim of this study was to evaluate the clinical usefulness of serum cortisol in assessment for the severity of community-acquired pneumonia (CAP). Methods: This study analyzed the results of 52 CAP subjects admitted in Changwon Fatima Hospital between July 2008 to May 2010. Total serum cortisol, infection markers such as C-reactive protein (CRP), procalcitonin (PCT) and CURB (Confusion, Uremia, Respiratory rate, Blood pressure)-65 were examined retrospectively. Results: In clinically unstable subjects on admission day 4, baseline serum cortisol, CURB-65, and CRP were elevated significantly compared to those of stable subjects. Area under curve (AUC) of cortisol, CRP, and CURB-65 from ROC curves were 0.847, 0.783, and 0.724 respectively. In the subjects with serum cortisol ${\geq}22.82{\mu}g/dL$, CRP, PCT, CURB-65 score, and mortality were significantly elevated. Conclusion: These findings suggest that measurement of serum cortisol in early stage may provide helpful information in the assessment of CAP severity.

• The Journal of Korean Obstetrics and Gynecology
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• v.25 no.4
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• pp.38-45
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• 2012

Purpose: The purpose of this study is to find the factors that can affect the assessment on severity of cold hypersensitivity on hands and feet by comparing the temperature distribution among the seasons, the scan time and the laboratory temperature. Methods: We compared the temperature distribution of the arms and legs, according to the season and scan time on the basis of the results of Digital Infrared Thermal Imaging(DITI) conducted on 178 women who visited the hospital in summer and winter. We evaluated the correlation between the laboratory temperature and temperature distribution of the arms and legs. Results: The temperature distribution of the arms and legs was significantly different between summer and winter. The temperature distribution of the arms and legs was not significantly different according to the scan time. There was no significant correlation between laboratory temperature and the temperature distribution of the arms and legs in summer and winter. Conclusions: The diagnostic criteria to assess the severity of cold hypersensitivity on hands and feet need to be changed according to the season. The scan time and the small variation($24^{\circ}C{\sim}27^{\circ}C$) of the laboratory temperature doesn't affect the assessment of severity of cold hypersensitivity.

• Korean Journal of Remote Sensing
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• v.35 no.4
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• pp.517-534
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• 2019

In abrupt fire disturbances, high quality images suitable for wildfire damage assessment can be difficult to acquire. Quantifying wildfire burn area and severity are essential measures for quick short-term disaster response and efficient long-term disaster restoration. Planetscope (PS) imagery offers 3 m spatial and daily temporal resolution, which can overcome the spatio-temporal resolution tradeoff of conventional satellites, albeit at the cost of spectral resolution. This study investigated the potential of augmenting PS imagery by integrating the spectral information from Sentinel-2 (S2) differenced Normalized Burn Ratio (dNBR) to PS differenced Normalized Difference Vegetation Index (dNDVI) using histogram matching,specifically for wildfire burn area and severity assessment of the Okgye wildfire which occurred on April 4th, 2019. Due to the difficulty in acquiring reference data, the results of the study were compared to the wildfire burn area reported by Ministry of the Interior and Safety. The burn area estimates from this study demonstrated that the histogram-matched (HM) PS dNDVI image produced more accurate burn area estimates and more descriptive burn severity intervals in contrast to conventional methods using S2. The HM PS dNDVI image returned an error of only 0.691% whereas the S2 dNDVI and dNBR images overestimated the wildfire burn area by 5.32% and 106%, respectively. These improvements using PS were largely due to the higher spatial resolution, allowing for the detection of sparsely distributed patches of land and narrow roads, which were indistinguishable using S2 dNBR. In addition, the integration of spectral information from S2 in the PS image resolved saturation effects in areas of low and high burn severity.

• Journal of the Korea Institute of Information Security & Cryptology
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• v.31 no.6
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• pp.1291-1307
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• 2021

State-sponsored cyberattacks have increased significantly and threaten national security in recent years. State-sponsored cyberattacks are often more sophisticated and destructive that attacks by individuals and private groups because of the concentration of manpower and resources. So major countries including the United States and the United Kingdom, as well as international organizations such as the EU and OECD, are recommending proportional response measures against cyberattacks. The Republic of Korea(ROK) is also trying to change its will to secure cyberattack deterrence and prepare active response through the 「National Cybersecurity Strategy 2019」. However, the ROK is not equipped with an adequate methodology to assess the severity of cyberattacks nor measures for proportional response to such attacks. In this paper, we propose a Cyber Attack Severity Assessment(CASA) methodology that can assess the scale and impact of damage to prepare external response threshold for cyberattacks at the government-level and to enable proportional responses when responding.