• Korean Journal of Radiology
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• v.22 no.7
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• pp.1203-1212
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• 2021

Objective: To investigate the diagnostic accuracy and complications of cone-beam CT-guided percutaneous transthoracic needle biopsy (PTNB) of juxtaphrenic lesions and identify the risk factors for diagnostic failure and complications. Materials and Methods: In total, 336 PTNB procedures for lung lesions (mean size ± standard deviation [SD], 4.3 ± 2.3 cm) abutting the diaphragm in 326 patients (189 male and 137 female; mean age ± SD, 65.2 ± 11.4 years) performed between January 2010 and December 2014 were included. The accuracy, sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of the PTNB procedures for the diagnosis of malignancy were measured based on the intention-to-diagnose principle. The risk factors for diagnostic failures and complications were evaluated using logistic regression analysis. Results: The accuracy, sensitivity, specificity, PPV, and NPV were 92.7% (293/316), 91.3% (219/240), 91.4% (74/81), 96.9% (219/226), and 77.9% (74/95), respectively. There were 23 diagnostic failures (7.3%), and lesion sizes ≤ 2 cm (p = 0.045) were the only significant risk factors for diagnostic failure. Complications occurred in 98 cases (29.2%), including 89 cases of pneumothorax (26.5%) and 7 cases of hemoptysis (2.1%). The multivariable analysis showed that old age (> 65 years) (p = 0.002), lesion size of ≤ 2 cm (p = 0.003), emphysema (p = 0.006), and distance from the pleura to the target lesion (> 2 cm) (p = 0.010) were significant risk factors for complications. Conclusion: The diagnostic accuracy of cone-beam CT-guided PTNB of juxtaphrenic lesions for malignancy was fairly high, and the target lesion size was the only significant predictor of diagnostic failure. Complications of cone-beam CT-guided PTNB of juxtaphrenic lesions occurred at a reasonable rate.

• Journal of Society of Preventive Korean Medicine
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• v.6 no.2
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• pp.66-85
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• 2002

Traditional herbal medicine is used extensively among the Korean populations, and other Asian countries employ similar therapies as well In recent years, extensive focus was laid on adulteration of the herbal medicine with heavy metals. This may be mainly due to a soil contamination by an environmental pollution. The objective of this study is to identify the contents of various heavy metals in the blood from OhJeokSan-Decoction (OD) treated-rats. For this study, 13 kinds of metals including essential and heavy metals, i.e. Al, As, Cd, Co, Cr, Cu, Fe, Hg, Mn, Ni, Pb, Se and Zn were analyzed by a slight modification of EPA methods and the following results are obtained. ; 1. There is no significant difference between the OD-treated groups and control group in liver, kidney, bone, brain, weight, food intake. 2. The amount of each metal analyzed in the liver are as follows; Al ; $0.235{\sim}4.215mg／kg$, As ; $0.103{\sim}0.461mg／kg$, Cd ; $0.005{\sim}0.010mg／kg$, Co ; $0.017{\sim}0.046mg／kg$, Cr ; $0.137{\sim}0.403mg／kg$, Cu ; $1.736{\sim}4.827mg／kg$, Fe ; $54.472{\sim}381.447mg／kg$, Hg ; not detected, Mn ; $1.159{\sim}2.803mg／kg$, Ni ; $0.007{\sim}0.095mg／kg$, Pb ; not detected, Se ; $0.682{\sim}1.887mg／kg$, Zn ; $10.213{\sim}26.119mg／kg$, by groups, respectively. In control and other experimental group, several metal (Co, Cu, Mn, Zn, As, Cr) has a significant difference, but in experimental I and other experimental II, III, IV, V groups, there are no significant difference. 3. The amount of each metal analyzed in the kidney are as follows; Al ; $1.712{\sim}31.230mg／kg$, As ; $0.062{\sim}0.439mg／kg$, Cd ; $0.010{\sim}0.062mg／kg$, Co ; $0.000{\sim}0.101mg／kg$, Cr ; $0.125{\sim}0.636mg／kg$, Cu ; $3.385{\sim}12.502mg／kg$, Fe ; $41.148{\sim}99.709mg／kg$, Hg ; $0.000{\sim}0.270mg／kg$, Mn ; $0.433{\sim}2.301mg／kg$, Ni ; $0.000{\sim}0.221mg／kg$, Pb ; $0.000{\sim}0.584mg／kg$, Se ; $0.540{\sim}1.600mg／kg$, Zn ; $8.775{\sim}17.060mg／kg$, by groups, respectively. The concentration of Cu, Se, Cr, and Hg are variated significantly in control and other experimental group, and Cu, Se, Cd, Cr are variated significantly in experimental I and other experimental II, III, IV, V groups. 4. The amount of each metal analyzed in the bone(tibia and fibula) are as follows; Al ; $9.557{\sim}119.464mg／kg$, As ; $0.139{\sim}12.250mg／kg$, Cd ; $0.000{\sim}0.295mg／kg$, Co ; $0.022{\sim}0.243mg／kg$, Cr ; $0.239{\sim}1.999mg／kg$, Cu ; $0.000{\sim}2.291mg／kg$, Fe ; $240.249{\sim}841.956mg／kg$, Hg ; $0.000{\sim}0.983mg／kg$, Mn ; $0.214{\sim}7.353mg／kg$, Ni ; $5.473{\sim}11.453mg／kg$, Pb ; $0.000{\sim}8.502mg／kg$, Se ; $0.000{\sim}3.005mg／kg$, Zn ; $61.158{\sim}195.038mg／kg$, by groups, respectively. The concentration of Se, Cd are variated significantly in control and other experimental groups, and Se is variated significantly in experimental I and other experimental II, III, IV, V groups. 5. Exceptionally several metal concentration is increased or decreased. but there is no significant harmful difference of metal concentration in the liver, kidney and bone, from the OD-treated-rats compared to those of the control group even if higher dosage($1{\sim}8$ times dosage of person) of OD was administered. Thus, it is expected that the herbal decoction in the traditional herbal medicine would not lay any burden on the body and the heavy metal toxins would not affect our physiological system. However, other kinds of herbal treatment, such as i.v. and i.p. should be considered in terms of metal toxicity in the body since the level of certain metal.

• Journal of Korean Foot and Ankle Society
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• v.22 no.2
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• pp.68-73
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• 2018

Purpose: This study compared the clinical outcomes of open repair, percutaneous repair, and minimal incision repair by Achillon in ruptured Achilles tendon. Materials and Methods: The outcomes of 12 patients with open repair (group 1), 8 patients with percutaneous repair (group 2), and 10 patients with minimal incision repair by Achillon (group 3) from February 2013 to March 2016 were analyzed retrospectively. The postoperative clinical evaluations were done by the American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot score, Arner-Linholm scale, mid-calf circumference difference, one-leg heel raise difference, visual analogue scale (VAS) for postoperative scarring, time to return to work, and complications. Results: No significant difference in the AOFAS ankle-hindfoot score, Arner-Linholm scale, and time to return to work was observed among three groups (p=0.968, 0.509, and 0.585). The mean differences in the mid-calf circumference in groups 1, 2, and 3 were 1.09, 0.73, and 0.58, respectively; groups 2 and 3 were significantly higher than group 1 (p=0.002). In addition, the mean VAS scores for postoperative scarring in groups 1, 2, and 3 were 7.0, 9.1, and 9.1, respectively; groups 2 and 3 were significantly higher than group 1 (p=0.001). The mean differences in one-leg heel raising in groups 1, 2, and 3 were 2.03, 1.91, and 1.33, respectively; group 3 was significantly higher than groups 1 and 2 (p=0.010). The complications encountered were one case of deep infection in group 1 and one case of sural nerve hypoesthesia in group 2. Conclusion: Minimal incision repair by Achillon is recommended as an effective surgical treatment for Achilles tendon rupture because it minimizes the risk of complications, leads to an improved tendon strength and healing, and achieves cosmetic satisfaction.

• Journal of the Korean Wood Science and Technology
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• v.45 no.6
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• pp.836-845
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• 2017

Gravimetric method is usually used to evaluate air-dry density, which is governing physical or mechanical properties of wood. Although it had high evaluation accuracy, the method is time consuming process. Thus, this study was conducted to estimate air-dry density of wood with high accuracy by using polychromatic X-ray and digital detector as alternative of gravimetric method. To quantify polychromatic X-ray projection for evaluating air-dry density, Lambert-Beer's law with the integral value of probability function was used. The integral value was used as weighting factor in the law, and it was determined by conducting simple test at various penetration depths and tube voltage. Mass attenuation coefficient (MAC) of wood also calculated by investigating polychromatic X-ray projection according to species, penetration depth and tube voltage. The species had not an effect on change of MAC. Finally, an air-dry density of wood was estimated by applying the integral value, MAC and Lambert-Beer's law to polychromatic X-ray projection. As an example, the relation of the integral value (${\alpha}$) according to penetration depth (t, cm) at tube voltage of 35 kV was ${\alpha}=-0.00091t{\times}0.0184$ while the regression of the MAC (${\mu}$, $cm^2/g$) was ${\mu}=0.5414{\exp}(-0.0734t)$. When calculation of root mean squared error (RMSE) was performed to check the estimation accuracy, RMSE at 35, 45 and 55 kV was 0.010, 0.013 and $0.009g/cm^3$, respectively. However, partial RMSE in relation to air-dry density was varied according to tube voltage. The partial RMSE below air-dry density of $0.41g/cm^3$ was $0.008g/cm^3$ when tube voltage of 35 kV was used. Meanwhile, the partial RMSE above air-dry density of $0.41g/cm^3$ decreased as tube voltage increased. It was conclude that the accuracy of estimation with polychromatic X-ray and digital detector was quite high if the integral value and MAC of wood were determined precisely or a condition of examination was chosen properly. It was seemed that the estimation of air-dry density by using polychromatic X-ray system can supplant the gravimetric method.

• Journal of Dental Rehabilitation and Applied Science
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• v.25 no.4
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• pp.437-444
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• 2009

The purpose of this study was to evaluate the physical properties of different automixing resin cements and the shear bond strength on dentin. For this study, two self-adhesive automixing resin cement(Rely-X Unicem(3M ESPE, St. Paul, USA), Embrace resin cement(Pulpdent, Oakland, USA)) and one chemical polymerizing resin cement(Resiment Ready-Mix(J.L.Blosser Inc., Liberty Missouri, USA)) were used. To evaluate the physical properties, compressive strength, diametral tensile strength and flexural strength were measured. The specimens were fabricated using Teflon mould according to manufacturers' instructions and stored for 24 hours in an atmosphere of 100% humidity. To evaluate the shear bond strength on dentin, each cements were adhered to buccal dentinal surface of extracted human lower molars in 2mm diameter. Physical properties and shear bond strengths were measured using universal testing machine(Z010, Zwick GmbH, Ulm, Germany) at a crosshead speed of 0.5mm/min. The physical properties and shear bond strength of different automixing resin cements were statistically analyzed and compared between groups using One-way ANOVA test and Schffe post-hoc test at the 95% level of confidence. The result shows that chemical polymerizing automixing resin cement represents the relatively higher physical properties and shear bond strength than self-adhesive automixing resin cements.

• Safety and Health at Work
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• v.14 no.4
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• pp.451-456
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• 2023

Background: We conducted a case-control study to identify high-risk occupations and exposure to occupational hazards for acute myeloid leukemia (AML). Methods: When patients with AML admitted to the Department of Hematology in the study hospital for the first time are referred to the Department of Occupational and Environmental Medicine, data on occupation are collected by investigators to evaluate work-relatedness. Community-based controls were recruited through an online survey agency, and four controls per case were matched. Occupational information was estimated using structured questionnaires covering 27 specific occupations and 32 exposure agents. Conditional logistic regression analysis was performed by pairing cases and controls. Results: In the analysis of the risk of AML according to occupational classification, a significant association was found in paint manufacturing or painting work (OR = 2.22, 95% CI: 1.03-4.81) and aircrew (OR = 6.00, 95% CI: 1.00-35.91) in males, and in pesticide industry (OR = 6.89, 95% CI: 1.69-28.07) and cokes and steel industry (OR = 2.00, 95% CI: 1.18-22.06) in ≥60 years old. Moreover, the risk of AML increased significantly as the cumulative exposure to thinners increased. In the analyses stratified by sex and age, the association between pesticide exposure and AML was significant in males (OR = 3.28, 95% CI: 1.10-9.77) and in ≥60 years old (OR = 6.22, 95% CI: 1.48-26.08). Conclusion: This case-control study identified high-risk occupational groups in the Republic of Korea including paint manufacturers and painters, aircrew, and those who are occupationally exposed to pesticides or paint thinners.

• Journal of Advanced Technology Convergence
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• v.3 no.1
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• pp.1-11
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• 2024

This study was a descriptive research study conducted to determine how nursing students' good death awareness and nursing attitudes toward dying patients affect their empathy. The subjects of the study were 155 nursing students, and data were collected using an online survey method. Data analysis was performed using descriptive statistics, independent t-test, one-way ANOVA, and multiple regression using the IBM SPSS Statistics 26. Higher attitude toward care of dying (B=.312) had a statistically significant positive effect on empathy capacity (p<.010). The variables that affected nursing students' empathy capacity were end-of-life experiences of relatives (𝛽=.226) and attitude toward care of dying (𝛽=.220). The regression model was statistically significant (F=6.968, p<.001), explained 10.4% of empathy. This study is expected to be used as basic data for the development of programs to strengthen the empathy capacity of nursing students in the future.

• Tuberculosis and Respiratory Diseases
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• v.53 no.4
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• pp.379-388
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• 2002

Background : Although patients with stage IV non-small cell lung cancer are known to have a poor prognosis, the prognostic factors for survival have not been well evaluated. Such factors may be different from those for overall survival. This study was performed to analyze the prognostic factors for survuval and the variation of survival according to metastatic organ, in patients with stage IV non-small cell lung cancer. Materials and Methods : From January 1997 to December 2000, 151 patients with confirmed stage IV non-small cell lung cancer were enrolled into this study retrospectively. The clinical and laboratory data were analyzed using univareate Kaplan-Meied and Multivariate Cox regression models. Results : On univariate analysis, age, performance status, serum albumin level, weight loss, forced expiratory volume in one second (FEV1), systemic chemotherapy, the number of metastatic organs and serum lactate dehydrogenase (LDH) level were significant factors (p<0.05). In multivariate analysis, important factors for survival were ECOG performance (relative risk of death [RR]: 2.709), systemic chemotherapy (RR: 1.944), serum LDH level (RR: 1.819) and FEV1 (RR: 1.774) (p<0.05), Metastasis to the brain and liver was also a significant factor on univariate analysis). The presence of single lung metastasis was associated with better survival than that of other metastatic organs (p=0.000). Conclusion : We confirmed that performance status and systemic chemotherapy were independent prognostic factors, as has been recognized. The survival of stage IV non-small cell lung cancer patients was different according to the metastatic organs. Among the metastatic sites, only patients with metastasis to the lung showed bettrer survival than that of other sites, while metastasis of the brain or liver was associated with worse survival than that of other sites.

• Journal of the Korean Wood Science and Technology
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• v.10 no.3
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• pp.68-87
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• 1982

In Korea, this is the situation at moment that the total demand of timber in 1972 is more than 5 million cubic meters. On the other hand, however, the available domestic supply of timber at the same year is only about, 1 million cubic meters. A great unbalancing between demand and supply of timber has been prevailing. To solve this hard problem, it has been necessitiated to build up the forest stocks as early as possible with fast grown species such as poplar. Under circumstances, poplar plantations which have been carryed on government and private have reached to large area of 116,603 hectors from 1962 up to date. It has now be come a principal timber resources in this country, and required the basic study on various properties of wood for it's proper utilization, since it has not been made of any systematic study on the properties of Populus grown in Korea. In order to investigate the properties such as anatomical, physical and mechanical properties of nine different species (P. euramericana Guiner I-214. P. euramericana Guiner I-476, P. deltoides Marsh, P. nigra var. italica (Muchk) Koeme, P. alba L.,P. alba $\times$ glandulosa P. maximowiczii Henry, P. koreana Rehder, P. davidiana Dode) of poplar for their proper use and development of new ways of grading processing and quality improving, this study has been made by the Forest Research Institute.

• Journal of the Korean Wood Science and Technology
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• v.10 no.3
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• pp.96-108
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• 1982

Pinus is one of the most important species supplying domestic industrial timbers such as constitutional lumber, pulpwood, and mine props. It occupies nearly 50 percent of the total forest resources in Korea. With above conception, to develop this forest resources and to obtain the basic data on the reasonable and effective utilization of Pinus, this study was carried out. Five species (P. koraiensis S. et Z., P. densiflora S. et Z., P. thunbergii Parlat, P. densiflara far erecta, P. rigida Miller) grown in Kwangnoong experimental forest stand, Chungcheongnam-Do, and Gangwon-Do regions were selected as sample trees. Anatomical, physical, mechanical and chemical properties of them were investigated.