• Asian Spine Journal
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• 제12권6호
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• pp.987-991
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• 2018

Study Design: Cross sectional study. Purpose: To assess the quality of anterior cervical discectomy and fusion (ACDF) videos available on YouTube and identify factors associated with video quality. Overview of Literature: Patients commonly use the internet as a source of information regarding their surgeries. However, there is currently limited information regarding the quality of online videos about ACDF. Methods: A search was performed on YouTube using the phrase 'anterior cervical discectomy and fusion.' The Journal of the American Medical Association (JAMA), DISCERN, and Health on the Net (HON) systems were used to rate the first 50 videos obtained. Information about each video was collected, including number of views, duration since the video was posted, percentage positivity (defined as number of likes the video received, divided by the total number of likes or dislikes of that video), number of comments, and the author of the video. Relationships between video quality and these factors were investigated. Results: The average number of views for each video was 96,239. The most common videos were those published by surgeons and those containing patient testimonies. Overall, the video quality was poor, with mean scores of 1.78/5 using the DISCERN criteria, 1.63/4 using the JAMA criteria, and 1.96/8 using the HON criteria. Surgeon authors' videos scored higher than patient testimony videos when reviewed using the HON or JAMA systems. However, no other factors were found to be associated with video quality. Conclusions: The quality of ACDF videos on YouTube is low, with the majority of videos produced by unreliable sources. Therefore, these YouTube videos should not be recommended as patient education tools for ACDF.

• Journal of Preventive Medicine and Public Health
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• 제52권1호
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• pp.51-59
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• 2019

Objectives: The purpose of this study was to estimate the mediating effect of subjective unmet healthcare needs on poor health. The mediating effect of unmet needs on health outcomes was estimated. Methods: Cross-sectional research method was used to analyze Korea Health Panel data from 2011 to 2015, investigating the mediating effect for each annual dataset and lagged dependent variables. Results: The magnitude of the effect of low income on poor health and the mediating effect of unmet needs were estimated using age, sex, education level, employment status, healthcare insurance status, disability, and chronic disease as control variables and self-rated health as the dependent variable. The mediating effect of unmet needs due to financial reasons was between 14.7% to 32.9% of the total marginal effect, and 7.2% to 18.7% in lagged model. Conclusions: The fixed-effect logit model demonstrated that the existence of unmet needs raised the likelihood of poor self-rated health. However, only a small proportion of the effects of low income on health was mediated by unmet needs, and the results varied annually. Further studies are necessary to search for ways to explain the varying results in the Korea Health Panel data, as well as to consider a time series analysis of the mediating effect. The results of this study present the clear implication that even though it is crucial to address the unmet needs, but it is not enough to tackle the income related health inequalities.

• 의정연구
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• 제24권3호
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• pp.5-28
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• 2018

불과 5년 전 역대 최대의 지지로 그 영향력을 과시하던 한국 보수정당의 현재는 '몰락'이라는 표현이 무색하지 않을 정도로 극적이다. 도대체 왜 보수후보와 보수정당에 대한 지지는 불과 5년이라는 짧은 기간에 그토록 하락하였는가? 이 글은 한국 보수의 몰락을 보수성향의 유권자들과 보수후보 그리고 보수정당 사이의 정책입장과 태도인식에 있어서 괴리가 점차 강화된 결과, 보수성향의 유권자들이 정치적 참여에 소극적으로 변화한 까닭이라고 주장한다. 분석의 결과, 2016년 적극적인 정치참여자로 존재했던 보수성향의 유권자들은 탄핵 이후 스스로의 이념성향과 일치되는 정당과 후보에 대해 확신을 잃게 되었고 이러한 인식의 부조화는 이들의 정치적 의사결정을 어렵게 만들었을뿐 아니라 종국에는 정치참여에도 소극적인 집단으로 변모시켰다. 반면, 진보성향의 유권자들은 탄핵 이후 이념성향과 일치되는 정당과 후보에 대해 더욱 강하고 견고한 호감을 갖게 되어 손쉬운 정치적 의사결정을 할 수 있어 적극적으로 정치에 참여하고 있었다. 이러한 결과는 결국 스스로의 성향에 맞는 후보와 정당의 존재와 부재(不在)가 유권자들의 정치참여에 결정적인 동기이며 한국의 보수정당이 지금의 위기를 극복하기 위해 집중해야 할 지점임을 알려준다.

• 동남아시아연구
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• 제20권2호
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• pp.135-178
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• 2010

This study is to seek alternatives for regional governance related to transnational labor migration issues in Southeast Asia. This study examined the present situation and trends of labor migration in the region, reviewed involved transnational issues, and identified the current issues of governance to seek alternatives for regional governance. The increase in cross-border labor migration is no doubt a sign of growth and dynamism of the region and greater integration of their economies. But it also poses complex policy and management issues as well as transnational issues over such as unequal economic profits, illegal migration, human rights, and social security issues. In this reality, regional governance is a very important theme and the efforts to manage their migration inherently involve fundamental conflict and tension between related countries and regions. However, politics and governance of transnational migrant workers in Southeast Asia are still pursued at the national level. To resolve these issues, it is urgently required to secure not only collaboration between the parties concerned but also governance at the regional level. Findings of this study are: First, although labor migration has been a relatively long-time transnational issue, the history of addressing the issue at the regional governance is very short and still inceptive. Second, given its size, labor migration in Southeast Asia requires effective regional governance but no breakthrough was possible due to the conflict of interests between origin and destination countries and the conflict of logic between the labor market and the state. Third, the issue of labor migration is an important element for the formation of economic and socio-cultural communities the ASEAN countries have pursued. Fourth, it is urgently needed to seek alternatives for good and effective regional governance as a key to resolving these issues over migrant workers in Southeast Asia.

• 한국물환경학회지
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• 제37권3호
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• pp.204-216
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• 2021

It is important to understand the factors influencing the temporal and spatial variability of water quality in order to establish an effective customized management strategy for contaminated aquatic ecosystems. In this study, the spatial diversity of the 5-year (2015 - 2019) average total phosphorus (TP) concentration observed in 40 Total Maximum Daily Loads unit-basins in the Nakdong River watershed was analyzed using 50 predictive variables of watershed characteristics, climate characteristics, land use characteristics, and soil characteristics. Cross-correlation analysis, a two-stage exhaustive search approach, and Bayesian inference were applied to identify predictors that best matched the time-averaged TP. The predictors that were finally identified included watershed altitude, precipitation in fall, precipitation in winter, residential area, public facilities area, paddy field, soil available phosphate, soil magnesium, soil available silicic acid, and soil potassium. Among them, it was found that the most influential factors for the spatial difference of TP were watershed altitude in watershed characteristics, public facilities area in land use characteristics, and soil available silicic acid in soil characteristics. This means that artificial factors have a great influence on the spatial variability of TP. It is expected that the proposed statistical modeling approach can be applied to the identification of major factors affecting the spatial variability of the temporal average state of various water quality parameters.

• Journal of Animal Science and Technology
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• 제63권1호
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• pp.1-15
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• 2021

As a result of intensive breeding, litter size has considerably increased in pig production over the last three decades. This has resulted in an increase in farrowing complications. Prolonged farrowing will shorten the window for suckling colostrum and reduce the chances for high-quality colostrum intake. Studies also agree that increasing litter sizes concomitantly resulted in decreased piglet birth weight and increased within-litter birth weight variations. Birth weight, however, is one of the critical factors affecting the prognosis of colostrum intake, and piglet growth, welfare, and survival. Litters of uneven birth weight distribution will suffer and lead to increased piglet mortality before weaning. The proper management is key to handle the situation. Feeding strategies before farrowing, management routines during parturition (e.g., drying and moving piglets to the udder and cross-fostering) and feeding an energy source to piglets after birth may be beneficial management tools with large litters. Insulin-like growth factor 1 (IGF-1)-driven recovery from energy losses during lactation appears critical for supporting follicle development, the viability of oocytes and embryos, and, eventually, litter uniformity. This paper explores certain management routines for neonatal piglets that can lead to the optimization of their colostrum intake and thereby their survival in large litters. In addition, this paper reviews the evidence concerning nutritional factors, particularly lactation feeding that may reduce the loss of sow body reserves, affecting the growth of the next oocyte generation. In conclusion, decreasing birth weight and compromised immunity are subjects warranting investigation in the search for novel management tools. Furthermore, to increase litter uniformity, more focus should be placed on nutritional factors that affect IGF-1-driven follicle development before ovulation.

• 치위생과학회지
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• 제21권1호
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• pp.1-7
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• 2021

Background: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is transmitted primarily through droplets, and dental practitioners are at risk of occupational exposure to SARS-CoV-2 infection owing to direct contact with the patient's mouth, aerosols from dental procedures, and saliva. Wearing a mask is believed to be the best method of protection against infection, and a systematic literature review was conducted on whether the dental masks used in dentistry are effective in preventing Coronavirus Infectious Disease-19 (COVID-19). Methods: We used PubMed, Google Scholar, DBpia, NDSL, and KISS databases for this study. Of the 917 documents narrowed down by the search terms "Coronavirus, COVID-19, and dental," 83 documents were collected and studied. Ultimately, 42 of these papers were selected for analysis after considering duplication from the flow chart of the literature selection process. Results: While dental masks are often used when treating patients with unknown COVID-19 status, the Ministry of Food and Drug Safety stated that the use of dental masks is insufficient in preventing cross-transmission of COVID-19; instead, it was recommended that N95 masks, which correspond to KF94 masks, should be worn daily. On the other hand, wearing a dental mask and following precautions such as hand hygiene may not pose a significantly higher risk of infection than wearing an N95 mask when treating COVID-19 patients. Conclusion: There is an ongoing discussion regarding the use of dental masks when treating dental patients, and many argue that different types of masks should be selected according to the degree of infection and the individual's respiratory condition. By considering the safety and efficacy of dental masks in preventing infection, improvements can be made in the management of COVID-19 and dental-related infections.

• 한국수자원학회논문집
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• 제53권12호
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• pp.1211-1220
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• 2020

본 연구에서는 소형 X-밴드 이중편파 레이더의 수평반사도 (ZH), 차등반사도(ZDR), 교차상관계수(ρHV)의 RHI(range height indicator) 연직단면과 PPI (plan position indicator)의 고도각 경사거리(slant range) 빔의 프로파일 분석을 통하여 밝은 띠(bright band, BB)의 특성을 탐색하였다. 분석 결과, X-밴드 레이더의 이중편파 변수들을 이용하여 밝은 띠 영역을 명확히 탐지할 수 있었으며, 동시간대의 RHI 및 PPI 관측 자료를 이용한 이중적인 밝은 띠 영역을 탐색하여 그 결과가 일치함을 확인하였다. 이 결과를 토대로 현업에서 RHI 관측없이 PPI 볼륨관측만 수행하는 대형 강우레이더에도 본 연구의 PPI 고도각 경사거리에 의한 BB 탐색 방법을 적용함으로써 QPE (quantification of precipitation estimation)의 정확성을 향상시킬 수 있다.

• Archives of Plastic Surgery
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• 제49권5호
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• pp.614-616
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• 2022

As of November 2021, TikTok has one billion monthly active users and is recognized as the most engaging social media platform. TikTok has seen a surge in users and content creators, ranging from athletes to medical professionals. In the past year, content creators have utilized the app to advocate for social reforms, education, and other uses that were not previously considered. Breast cancer is the most commonly diagnosed cancer in women, with an expected 281,550 new cases of invasive breast cancer in 2021. As more individuals with breast cancer choose to undergo resection, the demand for autologous fat grafting in breast reconstruction has increased due to the natural look and feel of breast tissue. The purpose of this article is to analyze content related to breast reconstruction with fat grafting found on TikTok and recommend methods to improve patient education, care, and outcomes. We searched TikTok on November 1, 2021, for videos using the phrase "breast reconstruction with fat grafting." The top 200 videos retrieved from the TikTok search algorithm were analyzed, and all commentaries, duplicates, and nonrelevant videos were removed. Video characteristics were collected, and two independent reviewers generated a DISCERN score A total of 131 videos were included in the study. They were found to have a combined 1,871,980 likes, 41,113 comments, and 58,662 shares. The videos had an average DISCERN score of 2.16. Content creators had an overall low DISCERN score in items involving the use of references, disclosure of risks for not obtaining treatment, and support for shared decision-making. When stratified, the DISCERN score was higher for videos created by physicians (DISCERN average 2.48) than for videos created by nonphysicians (DISCERN average 1.99; p < 0.001).

• Journal of Plant Biotechnology
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• 제49권4호
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• pp.271-291
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• 2022

Pectin methylesterase (PME) plays an important role in vegetative and reproductive development and biotic/abiotic stress responses by regulating the degree of methyl-esterification of pectic polysaccharides in the plant cell wall. PMEs are encoded by a large multigene family in higher land plant genomes. In general, the expression of plant PME genes shows tissue- or cell-specific patterns and is induced by endogenous and exogenous stimuli. In this study, we identified PME multigene family members (CsPMEs) from the sweet orange genome and report detailed molecular characterization and expression profiling in different citrus tissues and two fruit developmental stages. We also discussed the possible functional roles of some CsPME genes by comparing them with the known functions of PMEs from other plant species. We identified 48 CsPME genes from the citrus genome. A phylogenetic tree analysis revealed that the identified CsPMEs were divided into two groups/types. Some CsPMEs showed very close phylogenetic relationships with the PMEs whose functions were formerly addressed in Arabidopsis, tomato, and maize. Expression profiling showed that some CsPME genes are highly or specifically expressed in the leaf, root, flower, or fruit. Based on the phylogenetic relationships and gene expression profiling results, we suggest that some CsPMEs could play functional roles in pollen development, pollen tube growth, cross incompatibility, root development, embryo/seed development, stomata movement, and biotic/abiotic stress responses. Our results shed light on the biological roles of individual CsPME isoforms and contribute to the search for genetic variations in citrus genetic resources.