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Joowon Lee,Sooyoung Huh,Haesook Seo Ewha Womans University School of Medicine 2024 EMJ (Ewha medical journal) Vol.47 No.2
Objectives: During the COVID-19 pandemic, the first seasonal influenza epidemic was declared in the 37th week of 2022 in Korea and has continued through the winter of 2023–2024. However, this finding has not been observed in the United States and Europe. The present study aimed to determine whether the prolonged influenza epidemic in Korea from 2022 to 2023 was caused by using a different influenza epidemic threshold compared to the thresholds used in the United States and Europe. Methods: Korea, the United States, and Europe use different methods to set seasonal influenza epidemic thresholds. First, we calculated the influenza epidemic thresholds for influenza seasons using the different methods of those three regions. Using these epidemic thresholds, we then compared the duration of influenza epidemics for the most recent three influenza seasons. Results: The epidemic thresholds estimated by the Korean method were lower than those by the other methods, and the epidemic periods defined using the Korean threshold were estimated to be longer than those defined by the other regions’ thresholds. Conclusion: A low influenza epidemic threshold may have contributed to the prolonged influenza epidemic in Korea, which was declared in 2022 and has continued until late 2023. A more reliable epidemic threshold for seasonal influenza surveillance needs to be established in Korea.
Zero-Dynamics Attack on Homomorphically Encrypted Control System
Joowon Lee,Junsoo Kim,Hyungbo Shim 제어로봇시스템학회 2020 제어로봇시스템학회 국제학술대회 논문집 Vol.2020 No.10
Against recent cyber-attack strategies on networked control systems which commonly utilize information of control data, the notion of encrypted control system has been introduced, to protect private data in the network layer by encryption. However, even though the adversary cannot learn the information from the encrypted control signals or parameters, it is known that their values can be manipulated by the adversaries, based on homomorphic property of the cryptosystem. In this paper, we demonstrate that the injection of zero-dynamics attack is possible even for encrypted control systems. By injecting an attack signal, generated with knowledge of the plant model, directly on the encrypted controller output being transmitted to the actuator, we show that it disrupts the plant state while it is undetectable from the input and output of the controller. Simulation results are presented to demonstrate the effectiveness of the proposed attack.
End-of-Life Care of Hospitalized Children with Advanced Heart Disease
Joowon Lee,김기범,Mi Kyoung Song,Sang Yun Lee,Min-Sun Kim,Eun Jung Bae 대한의학회 2020 Journal of Korean medical science Vol.35 No.16
Background: Despite improvements in palliative care for critically ill children, the characteristics of end-of-life care for pediatric patients with advanced heart disease are not well-known. We investigated these characteristics among hospitalized children with advanced heart disease in a tertiary referral center in Korea. Methods: We retrospectively reviewed the records of 136 patients with advanced heart disease who died in our pediatric department from January 2006 through December 2013. Results: The median age of patients at death was 10.0 months (range 1 day–28.3 years). The median duration of the final hospitalization was 16.5 days (range 1–690 days). Most patients (94.1%) died in the intensive care unit and had received mechanical ventilation (89.7%) and inotropic agents (91.2%) within 24 hours of death. The parents of 74 patients (54.4%) had an end-of-life care discussion with their physician, and the length of stay of these patients in the intensive care unit and in hospital was longer. Of the 90 patients who had been hospitalized for 7 days or more, the parents of 54 patients (60%) had a documented end-of-life care discussion. The time interval from the end-of-life care discussion to death was 3 days or less for 25 patients. Conclusion: Children dying of advanced heart disease receive intensive treatment at the end of life. Discussions regarding end-of-life issues are often postponed until immediately prior to death. A pediatric palliative care program must be implemented to improve the quality of death in pediatric patients with heart disease.