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Clinical Characteristics and Prognostic Factors of Lung Cancer in Korea: A Pilot Study of Data from the Korean Nationwide Lung Cancer Registry

  • Kim, Ho Cheol;Jung, Chi Young;Cho, Deog Gon;Jeon, Jae Hyun;Lee, Jeong Eun;Ahn, Jin Seok;Kim, Seung Joon;Kim, Yeongdae;Kim, Young-Chul;Kim, Jung-Eun;Lee, Boram;Won, Young-Joo;Choi, Chang-Min
    • Tuberculosis and Respiratory Diseases
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    • v.82 no.2
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    • pp.118-125
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    • 2019
  • Background: Lung cancer is a leading cause of morbidity and mortality worldwide, and the incidence continues to rise. Although many prognostic factors have been identified, the clinical characteristics and outcomes in Korean lung cancer patients are not well defined. Methods: Of the 23,254 new lung cancer cases registered at the Korea Central Cancer Registry in 2013, total 489 patients from 19 hospitals were abstracted by the Korean Central Cancer Registry. The clinical data retrospectively analyzed, patients were followed up until December 2015. Results: The median age was 69 years (interquartile range, 60-74 years); 65.4% were male and 62.1% were ever-smokers. Cough was the most common initial symptom (33.5%); 13.1% of patients were asymptomatic. While squamous cell carcinoma was the most common subtype in male patients (37.2%), adenocarcinoma was the most frequent histological type in all patients (48.7%) and females (76.3%). The majority of patients received treatment (76.5%), which included surgery, radiation therapy, and chemotherapy. Older age (hazard ratio [HR], 1.037), lower body mass index (HR, 0.904), ever-smoker (HR, 2.003), small cell lung cancer (HR, 1.627), and distant metastasis (HR, 3.990) were independent predictors of mortality. Patients without symptoms (HR, 0.387) and without treatment (HR, 0.364) were associated with a favorable outcome in multivariate Cox analysis. Conclusion: Lung cancer in Korea occurs predominantly in elderly patients, with adenocarcinoma being the most frequent subtype. The prognosis was poorer in ever-smokers and older, malnourished, and untreated patients with advanced lung cancer.

Long-term Effects on Forest Biomass under Climate Change Scenarios Using LANDIS-II - A case study on Yoengdong-gun in Chungcheongbuk-do, Korea - (산림경관천이모델(LANDIS-II)를 이용한 기후변화 시나리오에 따른 산림의 생물량 장기변화 추정 연구 -충청북도 영동군 학산면 봉소리 일대 산림을 중심으로 -)

  • Choi, Young-Eun;Choi, Jae-Yong;Kim, Whee-Moon;Kim, Seoung-Yeal;Song, Won-Kyong
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.22 no.5
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    • pp.27-43
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    • 2019
  • This study applied the LANDIS-II model to the forest vegetation of the study area in Yeongdong-gun, Korea to identify climate effects on ecosystems of forest vegetation. The main purpose of the study is to examine the long-term changes in forest aboveground biomass(AGB) under three different climate change scenarios; The baseline climate scenario is to maintain the current climate condition; the RCP 4.5 scenario is a stabilization scenario to employ of technologies and strategies for reducing greenhouse gas emissions; the RCP 8.5 scenario is increasing greenhouse gas emissions over time representative with 936ppm of $CO_2$ concentration by 2100. The vegetation survey and tree-ring analysis were conducted to work out the initial vegetation maps and data for operation of the LANDIS model. Six types of forest vegetation communities were found including Quercus mongolica - Pinus densiflora community, Quercus mongolica community, Pinus densiflora community, Quercus variabilis-Quercus acutissima community, Larix leptolepis afforestation and Pinus koraiensis afforestation. As for changes in total AGB under three climate change scenarios, it was found that RCP 4.5 scenario featured the highest rate of increase in AGB whereas RCP 8.5 scenario yielded the lowest rate of increase. These results suggest that moderately elevated temperatures and $CO_2$ concentrations helped the biomass flourish as photosynthesis and water use efficiency increased, but huge increase in temperature ($above+4.0^{\circ}C$) has resulted in the increased respiration with increasing temperature. Consequently, Species productivity(Biomass) of trees decrease as the temperature is elevated drastically. It has been confirmed that the dominant species in all scenarios was Quercus mongolica. Like the trends shown in the changes of total AGB, it revealed the biggest increase in the AGB of Quercus mongolica under the RCP 4.5 scenario. AGB of Quercus mongolica and Quercus variabilis decreased in the RCP 4.5 and RCP 8.5 scenarios after 2050 but have much higher growth rates of the AGB starting from 2050 under the baseline scenario. Under all scenarios, the AGB of coniferous species was eventually perished in 2100. In particular they were extinguished in early stages of the RCP 4.5 and RCP 8.5 scenarios. This is because of natural selection of communities by successions and the failure to adapt to climate change. The results of the study could be expected to be effectively utilized to predict changes of the forest ecosystems due to climate change and to be used as basic data for establishing strategies for adaptation climate changes and the management plans for forest vegetation restoration in ecological restoration fields.

A Study on the traffic flow prediction through Catboost algorithm (Catboost 알고리즘을 통한 교통흐름 예측에 관한 연구)

  • Cheon, Min Jong;Choi, Hye Jin;Park, Ji Woong;Choi, HaYoung;Lee, Dong Hee;Lee, Ook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.3
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    • pp.58-64
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    • 2021
  • As the number of registered vehicles increases, traffic congestion will worsen worse, which may act as an inhibitory factor for urban social and economic development. Through accurate traffic flow prediction, various AI techniques have been used to prevent traffic congestion. This paper uses the data from a VDS (Vehicle Detection System) as input variables. This study predicted traffic flow in five levels (free flow, somewhat delayed, delayed, somewhat congested, and congested), rather than predicting traffic flow in two levels (free flow and congested). The Catboost model, which is a machine-learning algorithm, was used in this study. This model predicts traffic flow in five levels and compares and analyzes the accuracy of the prediction with other algorithms. In addition, the preprocessed model that went through RandomizedSerachCv and One-Hot Encoding was compared with the naive one. As a result, the Catboost model without any hyper-parameter showed the highest accuracy of 93%. Overall, the Catboost model analyzes and predicts a large number of categorical traffic data better than any other machine learning and deep learning models, and the initial set parameters are optimized for Catboost.

Efficacy and Safety of Autologous Stromal Vascular Fraction in the Treatment of Empty Nose Syndrome

  • Kim, Do-Youn;Hong, Hye Ran;Choi, Eun Wook;Yoon, Sang Won;Jang, Yong Ju
    • Clinical and Experimental Otorhinolaryngology
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    • v.11 no.4
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    • pp.281-287
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    • 2018
  • Objectives. Regenerative treatment using stem cells may serve as treatment option for empty nose syndrome (ENS), which is caused by the lack of turbinate tissue and deranged nervous system in the nasal cavity. We aimed to assess the efficacy and safety of the autologous stromal vascular fraction (SVF) in the treatment of ENS. Methods. In this prospective observational clinical study, we enrolled 10 ENS patients who volunteered to undergo treatment of ENS through the injection of autologous SVF. Data, including demographic data, pre- and postoperative Sino-Nasal Outcome Test-25 (SNOT-25) scores, overall patient satisfaction, and postoperative complications, were prospectively collected. Nasal secretion was assessed using the polyurethane foam absorption method, and the levels of biological markers were analyzed in both ENS group and control group using enzyme-linked immunosorbent assay. The SVF extracted from abdominal fat was diluted and injected into both inferior turbinates. Results. Among the 10 initial patients, one was excluded from the study. Subjective satisfaction was rated as "much improved" in two and "no change" in seven. Among the improved patients, the mean preinjection SNOT-25 score was 55.0 and the score at 6 months after injection was 19.5. However, the average SNOT-25 score of nine participants at 6 months after injection (mean${\pm}$standard deviation, $62.4{\pm}35.8$) did not differ significantly from the baseline SNOT-25 score ($70.1{\pm}24.7$, P>0.05, respectively). Among the various inflammatory markers assessed, the levels of interleukin $(IL)-1{\beta}$, IL-8, and calcitonin gene-related peptide were significantly higher in ENS patients. Compared with preinjection secretion level, the nasal secretions from SVF-treated patients showed decreased expressions of $IL-1{\beta}$ and IL-8 after injection. Conclusion. Although SVF treatment appears to decrease the inflammatory cytokine levels in the nasal mucosa, a single SVF injection was not effective in terms of symptom improvement and patient satisfaction. Further trials are needed to identify a more practical and useful regenerative treatment modality for patients with ENS.

Laboratory analysis of acute acetaminophen overdose patients in Emergency Medical Centers: including analysis of one toxicological laboratory data (응급의료센터에서 아세트아미노펜 과다복용 환자의 검사실 분석 현황: 일개 중독분석실 농도 분석자료 포함)

  • Kim, In Chan;Won, Sinae;Lee, Arum;Jung, Haeun;Lee, Jeongsun;Oh, Bum Jin
    • Journal of The Korean Society of Clinical Toxicology
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    • v.19 no.1
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    • pp.31-37
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    • 2021
  • Purpose: Acetaminophen (APAP) is a widely available drug responsible for a large part of drug-induced hepatotoxicity in developed countries. Although acetaminophen overdose cases in Korea are being continuously reported, there are no reports related to the level of this drug in the patient's blood or of laboratory analysis at emergency departments (ED). This study sought to analyze the acetaminophen overdose cases at a toxicological laboratory and to survey APAP analysis services offered at select EDs. Methods: We analyzed the demographic and analytic data at a toxicological laboratory run by the National Emergency Medical Center (NMC) in 2019-2020. We surveyed the APAP laboratory service in the 38 regional emergency medical centers (EMCs) and 68 local EMCs near the toxicological laboratory. Results: We studied 175 acute poisoning cases (112 women) with positive blood APAP results (mean age 47.0±24.1 years). Suicide attempts comprised 40.0% of the cases and 30.3% APAP overdose events. In the univariate analysis, we observed that patients were significantly younger, with fewer underlying medical diseases. There were a higher number of APAP overdose events, more favorable initial mental status, more toxic quantity intake in the above treatment line group (p<0.05), In multivariate analysis, the toxic amount intake was significantly more frequent in the above treatment line group (p<0.01). Hospital APAP analysis services were available in six EMCs (3/38 regional and 3/68 local). The hospital blood APAP level reporting intervals were shorter than outside-hospital laboratory services (p<0.01, regional 7.0±3.0 vs. 40.6±27.5, local 5.3±3.1 vs. 57.9±45.1 hours). The NMC toxicological laboratory reporting interval was shorter than the other outside-hospital laboratories (p<0.01, regional 5.7±0.6 vs. 50.2±22.7 local 7.5±3.0 vs. 70.5±41.5 hours). Conclusion: Over the treatment line group, toxic amount intake was significantly more frequent. Only six of 106 EMCs have their own APAP analysis service in their hospitals.

Analysis of changes in the risk of extinction in Haengjeong-ri unit villages using the local extinction index - A case study on Chungcheongnam-do - (지방소멸지수를 이용한 행정리 마을 소멸위험 변화 분석 - 충청남도를 대상으로 -)

  • Yun, Jeong-mi;Cho, Young-jae
    • Journal of Korean Society of Rural Planning
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    • v.27 no.1
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    • pp.103-116
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    • 2021
  • The purpose of this study is to analyze and diagnose the actual state of extinction risk in rural villages by analyzing time series population characteristics and extinction risk index of rural villages(Haengjeong-ri). As a research method, a time series analysis was performed on the 'population over 65' and the 'female population aged 20 to 39' related to the local extinction index. In addition, the disappearance of Haengjeong-ri village was analyzed using the existing local extinction index. For the study, Haengjeong-ri village-level GIS spatial data was constructed, and population attribute data in 2010, 2015, and 2020 were constructed. In order to derive implications, the change of the 'high risk of extinction 'village in the 2020 local extinction index, the distribution of the population of 'high risk of extinction' villages by three years, the population analysis of 'high risk of extinction' villages continuously from 2010 to 2020, and 'high risk of extinction' An analysis of the increase and decrease of the population of the village and the change of the local extinction index of Haengjeong-ri, where the city, county, and towns are located were analyzed. As a result of the analysis of this study, it was found that the number of villages with an aging of more than 50% increased by 2 to 3 times over 10 years. As a result of the analysis of the local extinction index, in 2010, the southwestern and central regions of South Chungcheongnam-do were high-risk extinction areas, but in 2020, all cities except Cheonan and Asan were converted to high risk extinction areas. Research has shown that Chungnam is facing a serious aging and village extinction crisis, and since the disappearance of villages gradually spreads, an initial response policy is needed. This result will be the same not only in Chungcheongnam-do but also in other rural villages. Therefore, in the case of rural villages, it is necessary to analyze and diagnose the Haengjeong-ri village unit, not the Eup-Myeon unit, and a response policy through diagnosis must be prepared urgently.

A Study on the Predictability of the Number of Days of Heat and Cold Damages by Growth Stages of Rice Using PNU CGCM-WRF Chain in South Korea (PNU CGCM-WRF Chain을 이용한 남한지역 벼의 생육단계별 고온해 및 저온해 발생일수에 대한 예측성 연구)

  • Kim, Young-Hyun;Choi, Myeong-Ju;Shim, Kyo-Moon;Hur, Jina;Jo, Sera;Ahn, Joong-Bae
    • Atmosphere
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    • v.31 no.5
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    • pp.577-592
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    • 2021
  • This study evaluates the predictability of the number of days of heat and cold damages by growth stages of rice in South Korea using the hindcast data (1986~2020) produced by Pusan National University Coupled General Circulation Model-Weather Research and Forecasting (PNU CGCM-WRF) model chain. The predictability is accessed in terms of Root Mean Square Error (RMSE), Normalized Standardized Deviations (NSD), Hit Rate (HR) and Heidke Skill Score (HSS). For the purpose, the model predictability to produce the daily maximum and minimum temperatures, which are the variables used to define heat and cold damages for rice, are evaluated first. The result shows that most of the predictions starting the initial conditions from January to May (01RUN to 05RUN) have reasonable predictability, although it varies to some extent depending on the month at which integration starts. In particular, the ensemble average of 01RUN to 05RUN with equal weighting (ENS) has more reasonable predictability (RMSE is in the range of 1.2~2.6℃ and NSD is about 1.0) than individual RUNs. Accordingly, the regional patterns and characteristics of the predicted damages for rice due to excessive high- and low-temperatures are well captured by the model chain when compared with observation, particularly in regions where the damages occur frequently, in spite that hindcasted data somewhat overestimate the damages in terms of number of occurrence days. In ENS, the HR and HSS for heat (cold) damages in rice is in the ranges of 0.44~0.84 and 0.05~0.13 (0.58~0.81 and -0.01~0.10) by growth stage. Overall, it is concluded that the PNU CGCM-WRF chain of 01RUN~05RUN and ENS has reasonable capability to predict the heat and cold damages for rice in South Korea.

A DID-Based Transaction Model that Guarantees the Reliability of Used Car Data (중고자동차 데이터의 신뢰성을 보장하는 DID기반 거래 모델)

  • Kim, Ho-Yoon;Han, Kun-Hee;Shin, Seung-Soo
    • Journal of Convergence for Information Technology
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    • v.12 no.4
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    • pp.103-110
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    • 2022
  • Online transactions are more familiar in various fields due to the development of the ICT and the increase in trading platforms. In particular, the amount of transactions is increasing due to the increase in used transaction platforms and users, and reliability is very important due to the nature of used transactions. Among them, the used car market is very active because automobiles are operated over a long period of time. However, used car transactions are a representative market to which information asymmetry is applied. In this paper presents a DID-based transaction model that guarantees reliability to solve problems with false advertisements and false sales in used car transactions. In the used car transaction model, sellers only register data issued by the issuing agency to prevent false sales at the time of initial sales registration. It is authenticated with DID Auth in the issuance process, it is safe from attacks such as sniping and middleman attacks. In the presented transaction model, integrity is verified with VP's Proof item to increase reliability and solve information asymmetry. Also, through direct transactions between buyers and sellers, there is no third-party intervention, which has the effect of reducing fees.

Risk assessment for norovirus foodborne illness by raw oyster (Ostreidae) consumption and economic burden in Korea

  • Yoo, Yoonjeong;Oh, Hyemin;Lee, Yewon;Sung, Miseon;Hwang, Jeongeun;Zhao, Ziwei;Park, Sunho;Choi, Changsun;Yoon, Yohan
    • Fisheries and Aquatic Sciences
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    • v.25 no.5
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    • pp.287-297
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    • 2022
  • The objective of this study was to evaluate the probability of norovirus foodborne illness by raw oyster consumption. One hundred fifty-six oyster samples were collected to examine the norovirus prevalence. The oyster samples were inoculated with murine norovirus and stored at 4℃-25℃. A plaque assay determined norovirus titers. The norovirus titers were fitted with the Baranyi model to calculate shoulder period (h) and death rate (Log PFU/g/h). These kinetic parameters were fitted to a polynomial model as a function of temperature. Distribution temperature and time were surveyed, and consumption data were surveyed. A dose-response model was also searched through literature. The simulation model was prepared with these data in @RISK to estimate the probability of norovirus foodborne. One sample of 156 samples was norovirus positive. Thus, the initial contamination level was estimated by the Beta distribution (2, 156), and the level was -5.3 Log PFU/g. The developed predictive models showed that the norovirus titers decreased in oysters under the storage conditions simulated with the Uniform distribution (0.325, 1.643) for time and the Pert distribution (10, 18, 25) for temperature. Consumption ratio of raw oyster was 0.98%, and average consumption amount was 1.82 g, calculated by the Pert distribution [Pert {1.8200, 1.8200, 335.30, Truncate (0, 236.8)}]. 1F1 hypergeometric dose-response model [1 - (1 + 2.55 × 10-3 × dose)-0.086] was appropriate to evaluate dose-response. The simulation showed that the probability of norovirus foodborne illness by raw oyster consumption was 5.90 × 10-10 per person per day. The annual socioeconomic cost of consuming raw oysters contaminated with norovirus was not very high.

Web-based Disaster Operating Picture to Support Decision-making (의사결정 지원을 위한 웹 기반 재난정보 표출 방안)

  • Kwon, Youngmok;Choi, Yoonjo;Jung, Hyuk;Song, Juil;Sohn, Hong-Gyoo
    • Korean Journal of Remote Sensing
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    • v.38 no.5_2
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    • pp.725-735
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    • 2022
  • Currently, disasters occurring in Korea are characterized by unpredictability and complexity. Due to these features, property damage and human casualties are increasing. Since the initial response process of these disasters is directly related to the scale and the spread of damage, optimal decision-making is essential, and information of the site must be obtained through timely applicable sensors. However, it is difficult to make appropriate decisions because indiscriminate information is collected rather than necessary information in the currently operated Disaster and Safety Situation Office. In order to improve the current situation, this study proposed a framework that quickly collects various disaster image information, extracts information required to support decision-making, and utilizes it. To this end, a web-based display system and a smartphone application were proposed. Data were collected close to real time, and various analysis results were shared. Moreover, the capability of supporting decision-making was reviewed based on images of actual disaster sites acquired through CCTV, smartphones, and UAVs. In addition to the reviewed capability, it is expected that effective disaster management can be contributed if institutional mitigation of the acquisition and sharing of disaster-related data can be achieved together.