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      • KCI우수등재

        SBERT-PRO: 의도와 사건 탐지에 적합한 서술어 중심의 문장 임베딩 모델

        고동률,이재윤,이다희,손유리,김상민,장재은,김문형,박상현,김재은 한국정보과학회 2024 정보과학회논문지 Vol.51 No.2

        Intent detection is a crucial task in conversational systems for understanding user intentions. Additionally, event detection is vital for identifying important events within various texts, including news articles, social media posts, and reports. Among diverse approaches, the sentence embedding similarity-based method has been widely adopted to solve open-domain classification tasks. However, conventional embedding models tend to focus on specific keywords within a sentence and are not suitable for tasks that require a high-level semantic understanding of a sentence as opposed to a narrow focus on specific details within a sentence. This limitation becomes particularly evident in tasks such as intent detection, which requires a broader understanding of the intention of a sentence, and event detection, which requires an emphasis on actual events within a sentence. In this paper, we construct a training dataset suitable for intent and event detection using entity attribute information and entity relation information. Our approach is inspired by the significance of emphasizing the embedding of predicates, which unfold the content of a sentence, as opposed to focusing on entity attributes within a sentence. Furthermore, we suggest an adaptive learning strategy for the existing sentence embedding model and demonstrate that our proposed model, SBERT-PRO (PRedicate Oriented), outperforms conventional models.

      • KCI등재

        Effects of Paraquat Ban on Herbicide Poisoning-Related Mortality

        고동률,정성필,유제성,조수형,박용진,전병조,문정미,김현,김용환,김현진,이경우,최상천,박준석,박정수,김승환,서정열,박하영,김수진,강형구,홍대영,홍정화 연세대학교의과대학 2017 Yonsei medical journal Vol.58 No.4

        Purpose: In Korea, registration of paraquat-containing herbicides was canceled in November 2011, and sales thereof were completelybanned in November 2012. We evaluated the effect of the paraquat ban on the epidemiology and mortality of herbicide-inducedpoisoning. Materials and Methods: This retrospective study analyzed patients treated for herbicide poisoning at 17 emergency departments in South Korea between January 2010 and December 2014. The overall and paraquat mortality rates were compared pre- and post-ban. Factors associated with herbicide mortality were evaluated using logistic analysis. To determine if there were any changes in the mortality rates before and after the paraquat sales ban and the time point of any such significant changes in mortality, R software, version 3.0.3 (package, bcp) was used to perform a Bayesian change point analysis. Results: We enrolled 2257 patients treated for herbicide poisoning (paraquat=46.8%). The overall and paraquat poisoning mortalityrates were 40.6% and 73.0%, respectively. The decreased paraquat poisoning mortality rate (before, 75% vs. after, 67%, p=0.014) might be associated with increased intentionality. The multivariable logistic analysis revealed the paraquat ban as an independentpredictor that decreased herbicide poisoning mortality (p=0.035). There were two major change points in herbicide mortality rates, approximately 3 months after the initial paraquat ban and 1 year after complete sales ban. Conclusion: This study suggests that the paraquat ban decreased intentional herbicide ingestion and contributed to lowering herbicide poisoning-associated mortality. The change point analysis suggests a certain timeframe was required for the manifestationof regulatory measures outcomes.

      • KCI등재후보

        응급실 근무자의 외상 후 스트레스장애 유병률 및 발생 기여 요인

        고동률,김건배,이지환,Ko, Dong-Ryul,Kim, Gun-Bae,Lee, Ji-Hwan 한국의료질향상학회 2021 한국의료질향상학회지 Vol.27 No.1

        Purpose: This study was designed to investigate that the prevalence of Post-traumatic stress disorder (PTSD) and occupational environmental factors that contribute to the developing of PTSD in workers who worked in emergency room in Korea. Methods: This study is a multicenter cross-sectional study that was conducted in three emergency rooms. Data was collected by self-response method through questionnaire. The Impact Event Scale-Revised was used to screen the high-risk group of PTSD. Univariate and multivariate regression analysis was used to identify the factors associated with the developing of high-risk group of PTSD. Results: Total 211 subjects responded to the questionnaire. Of these, 170 subjects experienced psychological trauma event (PTE) in the working environment. And 60 subjects classified as high risk group of PTSD, so a prevalence of high risk group for PTSD was 28.4%. Factors related to the high risk group of PTSD were the frequency of psychological trauma events experienced over the past 1 year and the high score of QIDS-SR16. Conclusion: The prevalence of high risk group for PTSD among emergency room workers in Korea is very high. This may adversely affect the safety of patients, so early screening and intervention are necessary.

      • MC/DC 100% Test case를 활용한 Back-to-Back Testing

        고동률 ( Dong-ryul Ko ),유영민 ( Young-min You ),박인권 ( In-kuen Park ),한일영 ( Il-young Han ) 한국정보처리학회 2017 한국정보처리학회 학술대회논문집 Vol.24 No.2

        차량 내 전장부품이 증가하고, 차량 OEM(Original Equipment Manufacturing)이 다양한 차종을 생산 판매함에 따라 다양한 SW(software) 형상이 개발되고 있다. 따라서, 기존에 개발된 SW 형상 과 변경된 SW 형상 간에 기능 일치성 검증에 대한 필요성이 증가하고 있다. 두 가지 SW 형상 간에 기능 일치성 확인을 위한 테스팅 방법으로 Back-to-Back Testing 이 있는데, 이는 각 SW 형상에 동일한 입력값을 주입하고 동일한 출력값이 산출되는 지 확인하는 테스팅 방법이다. Back-to- Back Testing 수행 시 Test case 설계가 필요한데, Test case 의 분량과 테스팅 종료기준에 대해서 아직 확립이 되어 있지 않다. 이제 본 논문에서는 MC/DC(Modified Condition /Decision Coverage) 개념을 이용하여 Test case 분량과 테스팅 종료 기준에 대해서 제시하고, 이를 적용한 사례를 설명한다. 본 논문에서 제시한 Test case 설계 기준을 적용하면, 제한적인 테스팅 일정과 인력을 만족하고, 기능 일치를 확인할 수 있는 충분한 테스팅이 가능할 것으로 판단한다.

      • KCI등재

        Amatoxin 중독 환자에서 Silymarin, Penicillin, N-acetylcysteine의 효과 비교: 체계적 고찰

        최민우,고동률,공태영,좌민홍,유제성,정성필,Choi, Min Woo,Ko, Dong Ryul,Kong, Taeyoung,Choa, Min Hong,You, Je Sung,Chung, Sung Phil 대한임상독성학회 2018 대한임상독성학회지 Vol.16 No.1

        Purpose: This study was conducted to evaluate the clinical efficacy of pharmacologic treatment of amatoxin poisoning patients. Methods: Literature was accessed through PubMed, EMBASE, Cochrane library, KoreaMed, KISS and KMBASE. Studies relevant to human use of pharmacologic therapy including silymarin, penicillin and N-acetylcysteine (NAC) for amanita poisoning were included. Case reports, letters, editorials and papers with insufficient information were excluded. Comparison of clinical outcomes (especially mortality and liver transplantation rate) in each study was analyzed. Results: The final analysis included 13 retrospective studies. None of these studies showed direct comparisons of individual agents. Among 12 studies comparing silymarin vs penicillin, eight showed clinical superiority of silymarin. Among eight studies comparing silymarin with NAC, six showed clinical superiority of silymarin. Among seven studies of NAC vs penicillin, five showed clinical superiority of NAC. Conclusion: This systematic review suggested that clinical superiority of various pharmacological agents used to treat amatoxin poisoning is debatable. Nevertheless, the available evidence suggests it is reasonable to consider combinations of multiple agents for patients with amanita poisoning. Further studies are required to establish a treatment regimen for amanita poisoning.

      • KCI등재

        기도 내 이물 제거를 위한 카데바 모델에서 매킨토시 후두경과 GlideScope 비디오 후두경의 비교

        정현수,김윤준,고동률,이준영,제상모,정태녕,정성필 대한응급의학회 2010 大韓應急醫學會誌 Vol.21 No.6

        Purpose: The GlideScope video laryngoscope (GL) has been known to help inexperienced health care providers become able to manage even difficult airways. The purpose of this study was to compare foreign body removal efficacies between the Macintosh laryngoscope (ML) and the GL in a setting of airway obstruction. Methods: Participants were asked to remove the simulated foreign body (2×2 cm rice cake) from the supraglottic area of a freshly embalmed cadaver. This simulated a normal airway and a difficult airway with cervical spine immobilization. Participants performed the removal maneuver 4 times in random order using a Magill forceps with both the ML and the GL. We measured the time to removal (sec) and preference of the participant (5-point scale) and compared results according to the type of laryngoscope. Successful removal was defined as a removal time that was less than 120 sec. Results: Forty participants were enrolled in this simulation experiment. The success rate, time to removal and provider preference were not significantly different betweeh the two types of laryngoscope. In subgroup analysis for experienced providers, the time to removal was significantly shorter in the ML group than the GL group (14 vs 20 sec,p<0.05). The preference of experienced provider was also significantly higher for ML than GL. Conclusion: This study suggests that ML has comparable efficacy for foreign body removal to GL and is acceptable to experienced providers.

      • KCI등재

        아세트아미노펜 중독 환자에서 간독성 발생 예측인자들의 유용성

        김은영,정성필,고동률,공태영,유제성,좌민홍,김민정 대한임상독성학회 2018 대한임상독성학회지 Vol.16 No.2

        Purpose: The purpose of this study was to determine whether hepatotoxicity could be predicted early using biochemical markers in patients with acetaminophen (AAP) poisoning and to assess the usefulness of predictive factors for acute liver injury or hepatotoxicity. Methods: This study was a retrospective observational study involving a medical records review. The participants were patients who were admitted to the emergency department (ED) with AAP overdose at two hospitals over a 10- year period. Demographic data, age, time from ingestion to visit, initial AAP level, initial hepatic aminotransferases, and initial prothrombin time were recorded. Acute liver injury was defined as a peak serum ALT >50 U/L or double the admission value, and hepatotoxicity was defined as a peak ALT >1,000 U/L. Receiver operating characteristic curve analyses were performed to compare the prognostic performance among variables. Results: A total of 97 patients were admitted to the ED with AAP overdose, of whom 26 had acute liver injury and 6 had hepatotoxicity. Acute liver injury was associated with the time interval after taking the drug, and hepatotoxicity was associated with the initial PT and the ALT level. The scoring system proposed by the authors has a significant ability to predict both acute liver injury and hepatotoxicity. Conclusion: To predict the prognosis of AAP poisoning patients, the time interval after taking AAP was important, and initial prothrombin time and ALT level were useful tests. Also a scoring system combining variables may be useful.

      • KCI등재후보

        전자담배 용액의 피하 주사에 의한 급성 니코틴 중독 1례

        최지운,정성필,고동률,유제성 대한임상독성학회 2017 대한임상독성학회지 Vol.15 No.1

        Nicotine-poisoning related to the electronic cigarettes (e-cigarette) is increasing worldwide. Moreover, the American Association of Poison Control Centers has advised the public to use caution with e-cigarette devices and highly concentrated liquid nicotine after a surge in related poisonings. We report here the first case of nicotine poisoning from self-injected e-cigarette fluid in Korea. A 17-year-old male patient subcutaneously injected himself with 0.5 ml of nicotine solution for an electronic cigarette via the dorsum of his hand, after which he complained of nausea, vomiting, dizziness and dyspnea. His vital signs were within the normal range, but his mental status was drowsy. He was admitted for observation and the symptoms disappeared the following day. Sinus bradycardia with a rate of 45/min was observed on the third hospital day, but improved after 6 hours. He was discharged without complications.

      • KCI등재후보

        의과대학 학생에게 표준화 환자와의 의사 소통을 대형 강의로 가르친 효과

        조아라,김지훈,고동률,정현수,신용숙,김지혜,조준호 대한의료커뮤니케이션학회 2020 의료커뮤니케이션 Vol.15 No.1

        Background : Effective communication between doctors and patients is very important not only for diagnosis and treatment but also for building trust. Although teaching communication skills is very important in medical schools, there are limitations such as the number of students and the uncertainty of the patient population. Therefore, this study evaluates the effect of Fishbowl method to teach communication skills to medical students, which involves the medical students communicating with standardized patients in front of a large classroom and being observed by rest of the students. Methods : This study involves 10 weeks of educating 126 fourth grade medical students and graduates. During this period, total 8 classes were taken by subjects, where each class lasts 2 hours and is conducted by observing treatments of the standardized patients on 14 clinical topics by randomly selected medical students and giving feedback on the communication skills of the selected medical students. The educational effect was evaluated based on the scores of the clinical performance examination before and after the classes. Results : The scores assessed for medical history taking before and after the training are increased by 2.45 (p<0.001) and the scores for patient-doctor relationship is increased by 7.56 (p<0.001). Conclusions : It is expected to improve the communication skills of medical students by large scale lectures with standardized patients.

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