• Korean Journal of Bronchoesophagology
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• v.17 no.1
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• pp.5-8
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• 2011

The proliferation of new technologies has significantly enhanced the diagnostic capabilities of flexible bronchoscopy compared with traditional methods. Narrow band imaging (NBI), an optical technique in which filtered light enhances superficial neoplasms based on their neoangiogenic patterns, was developed to screen for central intraepithelial moderate or severe dysplasia, carcinoma in situ (CIS), and microinvasive neoplasia in patients at risk for lung cancer. Because angiogenesis occurs preferentially in dysplastic and neoplastic lesions, NBI may identify early dysplastic lesions better than white light bronchoscopy (WLB) currently in use. NBI bronchoscopy can be used not only to detect precancerous lesions, but also to screen for cancerous lesions. We prospectively evaluated 101 patients with suspected lung cancer between July 2009 and June 2010. All were previously scheduled for flexible bronchoscopy CT scans. Abnormal NBI was defined by Shibuya's descriptors (tortuous, dotted, or spiral and screw patterns). Biopsies of 132 lesions in 92 patients showed that 78 lesions (59.1%) were malignant and 54 (40.9%) were benign. The diagnostic sensitivity of bronchoscopy in detecting malignancy was 96.2% (75/78). When assorted by lesion pattern, the sensitivity and specificity of NBI bronchoscopy in detecting malignancies were 69.2% (54/78) and 96.3% (52/54), respectively, for the spiral and screw pattern and 14.1% (11/78) and 96.3% (52/54), respectively, for the dotted pattern. Unexpectedly, additional cancerous lesions were detected in five patients (2 dotted and 3 spiral and screw). As a screening tool for malignant lesions, NBI bronchoscopy should assess combinations of all three lesion. The dotted and spiral and screw patterns may be helpful in determining which lesions should be biopsied. NBI bronchoscopy may be useful not only for the diagnosis of early-stage lung cancer but also for more accurate local staging of lung cancer.

• Journal of Digital Convergence
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• v.16 no.10
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• pp.27-37
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• 2018

The purpose of this study is figure out secondary education undergraduates' communication patterns and perceptions of use in KAKAOTALK, one of the most frequently used Social Network Service(SNS). The mixed method research was conducted of survey about 86 students and in-depth interview 10 of them. The chief implication of research showed that it has been firstly functioning them to sustain public and private network and to be an universal tool of expression their opinion, idea, themselves, however, they still regard face-to-face communication important. Secondly, they think that KAKAOTALK is a part of their everyday lives and regarded a communication space to freely express themselves and to adjust and manage their image. Thirdly, they psychologically solved their loneliness and were encouraged, moreover, the contents of communication were different according to usd of public or private team chat room. It needs a follow-up study comparatively to analyze other generation's cognitive psychological values in SNS and to suggest digital culture literacy guideline.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.14 no.1
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• pp.62-71
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• 2007

Purpose: This study was done to compare sleep patterns, factors of sleep disturbance and sleep enhancement behaviors between sleep disturbance and non-sleep disturbance elderly patients. Method: The participants were 117 patients over 65 years old who were hospitalized at 5 general hospitals in Seoul. There were 83 patients in the good sleeper group and 34 in the poor sleeper group. The survey questionnaires included questions on general characteristics, sleep patterns, sleep disturbing factors, and sleep enhancement behaviors of the patients. Results: For sleep patterns and environmental factors of sleep disturbance, the poor sleepers was significantly higher than that of the good sleepers. Significant differences between good sleepers and poor sleepers were also found on the following variables: Environmental factors of sleep disturbance -'Sound of other patient's or care-giver's', 'Discomfort of bed, linen, pillow and patient's gown', 'Light in the room', 'Emergency situations', 'Temperature of patients rooms too hot or too cold'. The significant physical factor of sleep disturbance was 'Hard to breath even without moving' and for sleep enhancement behaviors: 'Use of ear plugs or eye covers' Conclusion: Consequently it is necessary to develop positive and differentiated programs for sleep enhancement for the inactive and poor sleeper among the elderly patients.

• Journal of Korean Medical Science
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• v.33 no.44
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• pp.276.1-276.10
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• 2018

Background: The National Health Insurance Service (NHIS) established a healthcare claim database for all Korean citizens. This study aimed to analyze the NHIS data and investigate the patterns of breast cancer treatments. Methods: We constructed a retrospective female breast cancer cohort by analyzing annual incident cases. The annual number of newly diagnosed female breast cancer was compared between the NHIS data and Korea National Cancer Incidence Database (KNCIDB). The annual treatment patterns including surgery, chemotherapy, radiation therapy, endocrine therapy and targeted therapy were analyzed. Results: A total of 148,322 women with newly diagnosed invasive breast cancer during 2006-2014 was identified. The numbers of newly diagnosed invasive breast cancer cases were similar between the NHIS data and KNCIDB, which demonstrated a strong correlation (r = 0.995; P < 0.001). The age distribution of the breast cancer cases in the NHIS data and KNCIDB also showed a strong correlation (r = 1.000; P < 0.001). About 85% of newly diagnosed breast cancer patients underwent operations. Although the proportions of chemotherapy use have not changed during 2006-2014, the total number of chemotherapy prescriptions sharply increased during this period. The proportions of radiotherapy and anti-hormonal therapy increased. Among the anti-hormonal agents, tamoxifen was the most frequently prescribed medication, and letrozole was the most preferred endocrine treatment in patients aged ${\geq}50$ years. Conclusion: Along with the increased breast cancer incidence in Korea, the frequencies of breast cancer treatments have increased. The NHIS data can be a feasible data source for future research.

• Journal of the Korean Society of Safety
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• v.34 no.5
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• pp.7-14
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• 2019

The type III vessel, which is used to store high-pressure hydrogen gas, is made by wrapping the vessel's liner with carbon fiber composite materials for strength performance and lightening. The liner seals the internal gas and the composite resists the internal pressure. The properties of the fiber composite material depends on the angle and thickness of the fiber. Thus, engineers should consider these various design variables. However, it significantly increases the design cost due to the trial and error under designing based on experience or experiments. And, for aluminum liners, fatigue loads due to using and charging could give a huge impact on the performance of the structure. However, fatigue failure does not necessarily occur in the position under the highest load in use. Therefore, for hydrogen storage vessel, fatigue evaluation according to design patterns is essential because stress distribution varies depend on composite layer patterns. This study performed an optimization analysis and evaluated a high-pressure hydrogen storage vessel to minimize these trial and error and improve the reliability of the structure, while simultaneously conducting fatigue assessment of all patterns derived from the optimization analysis process. The results of this study are thought to be useful in the strength improvement and life design of composite reinforced high-pressure storage vessels.

• Korean Journal of Childcare and Education
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• v.17 no.3
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• pp.65-87
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• 2021

Objective: This study aimed to examine the effects of maternal monitoring, shared activities with children, maternal education-oriented behavior, and allowing children to own smart-phones on smart media usage patterns based on smart-phone usage time and purposes among elementary school children. Methods: The participants were 1,315 second-grade elementary school children from the 9th wave of PSKC. Latent profile analysis and the three-step estimation approach were used to examine the determinants of the latent profile and the effects of maternal parenting on the profile. Results: Four latent profiles were identified: 'High-level usage & Entertaining oriented,' 'Moderate-level usage & Social/entertaining oriented,' 'Moderate-level usage & Learning oriented,' and 'Low-level usage.' Additionally, results showed that each profile can be predicted by maternal monitoring, education-oriented behavior, and permitting children to own smart-phones. Conclusion/Implications: Our outcomes suggested that it would be necessary to understand the smart media usage patterns of elementary school children, considering both the amount of time spent with smart media and purposes of uses. Further, it is helpful for mothers to monitor children's daily activities, support their educational activities, and take the role of gatekeeper for smart media as a way of appropriate guidance for their children's use of smart media.

• Journal of Sport and Applied Science
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• v.7 no.2
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• pp.1-12
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• 2023

Purpose: The purpose of this study was to investigate the possibility of modified swing to prevent shoulder injury by analyzing differences in the muscle activation patterns of upper limb by the swing method in wheelchair badminton players. Research design, data, and methodology: 10 wheelchair badminton players participated in the experiment as subjects and performed 10 high clears and 10 smashes in both traditional and modified swing methods toward a shuttlecock hung at the height of racket impact point. For each trial, activation patterns of biceps brachii, triceps brachii, anterior deltoid, and posterior deltoid were measured from the upper limb participating in the swing from which the duration, peak, and root mean square (RMS) of electromyography (EMG) activities from swing initiation to shuttle impact were calculated. The maximum swing velocity of the smash and the distance of the high clear were also measured with both methods to compare differences in the swing velocity and shuttle hit distance. Results: Differences in the EMG peak and RMS of the anterior deltoid by swing methods were shown to differ by the skill type, being higher in the traditional swing method than the modified during only the high clear. The EMG peak and RMS, and the duration of the posterior deltoid were higher and longer with the traditional swing method than the modified during both the smash and high clear. The intensities of the biceps brachii and triceps brachii activities measured during the smash and high clear were higher in the traditional swing method than the modified, and the biceps brachii and triceps activity durations during the high clear were shorter in the modified swing method than the traditional. The maximum swing velocity of the smash was faster with the traditional swing method than the modified, while the distance of the high clear did not differ significantly. Conclusions: These results suggest that the modified swing can be an effective performance method for preventing shoulder injuries without undue loss of impact power in wheelchair badminton players by reducing excessive loads imposed on the shoulder and allowing the optimal use of the elbow extension.

• Journal of Forest and Environmental Science
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• v.33 no.4
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• pp.305-314
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• 2017

This study aimed to predict changes in forest area using a probability density function, in order to promote effective forest management in the area north of the civilian control line (known as the Minbuk area) in Korea. Time series analysis (2010 and 2016) of forest area using land cover maps and accessibility expressed by distance covariates (distance from buildings, roads, and civilian control line) was applied to a probability density function. In order to estimate the probability density function, mean and variance were calculated using three methods: area weight (AW), area rate weight (ARW), and sample area change rate weight (SRW). Forest area increases in regions with lower accessibility (i.e., greater distance) from buildings and roads, but no relationship with accessibility from the civilian control line was found. Estimation of forest area change using different distance covariates shows that SRW using distance from buildings provides the most accurate estimation, with around 0.98-fold difference from actual forest area change, and performs well in a Chi-Square test. Furthermore, estimation of forest area until 2028 using SRW and distance from buildings most closely replicates patterns of actual forest area changes, suggesting that estimation of future change could be possible using this method. The method allows investigation of the current status of land cover in the Minbuk area, as well as predictions of future changes in forest area that could be utilized in forest management planning and policymaking in the northern area.

• Journal of the Korean Society for Library and Information Science
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• v.57 no.1
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• pp.5-21
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• 2023

The purpose of this study is to analyze how library visitors use spaces in the library and to make suggestions for improving library use environments. Library use patterns were analyzed by tracking the users' smartphone WiFi. A library located in Seoul, Korea was selected and detectors were installed in the library. The suggestions from the results analyzing data collected between September, 2016 and December, 2016 were as followed. 27.17% of library visitors used a space in the library. Among them, 28.69% used the lobby to return their checked-out materials. Therefore, the library is recommended to install a device in the area in which users are easy to return their items. Additionally, since the spatial relationship between cultural program room and book shelves was low, those programs might be improved by providing library materials related with them.

• Physical Therapy Korea
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• v.30 no.3
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• pp.211-220
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• 2023

Background: Smartphone addiction has emerged as a significant social problem. Numerous studies have indicated the association between smartphone use and discomfort in the musculoskeletal system of the upper extremities. Objects: This cross-sectional survey aimed to compare the characteristics of musculoskeletal pain in the neck, trunk, and upper limbs between individuals with smartphone addiction and those without addiction. Methods: We collected a total of 326 healthy individuals' data from China and Korea who had owned and used smartphones for more than 5 years between 20-50s through an online questionnaire consisting of 84 questions in four major sections. The first part contained basic information on the participant's personal characteristics and smartphones. The second part contained questions about smartphone use and posture. The third part was the smartphone addiction. The fourth part was to investigate musculoskeletal pain in various upper body parts. Results: Smartphone addiction has a weak negative correlation with age (r = -0.20, p < 0.01) and a weak positive correlation with the hours of smartphone use (r = 0.376, p < 0.01). Frequent musculoskeletal pain symptoms related to smartphone use were observed in the neck, shoulder, lower back, and wrists. The hours of smartphone use was slightly positively associated with the prevalence of musculoskeletal pain in the shoulder (r = 0.162, p < 0.05) and lower back (r = 0.125, p < 0.05). The prevalence of musculoskeletal pain in the neck (χ² = 3.993, p < 0.05), shoulder (χ² = 6.465, p < 0.05), and wrist (χ² = 4.645, p < 0.05) was significantly higher among females than males. Conclusion: The results suggest that smartphone addiction should be recognized as a dual concern encompassing both physical health and psychosocial aspects. Furthermore, healthcare professionals, including physicians and physical therapists, should consider clients' smartphone usage patterns when assessing and treating with musculoskeletal pain.