• Korean Journal of Radiology
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• v.22 no.5
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• pp.706-713
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• 2021

Objective: To evaluate the impact of surgical simulation training using a three-dimensional (3D)-printed model of tetralogy of Fallot (TOF) on surgical skill development. Materials and Methods: A life-size congenital heart disease model was printed using a Stratasys Object500 Connex2 printer from preoperative electrocardiography-gated CT scans of a 6-month-old patient with TOF with complex pulmonary stenosis. Eleven cardiothoracic surgeons independently evaluated the suitability of four 3D-printed models using composite Tango 27, 40, 50, and 60 in terms of palpation, resistance, extensibility, gap, cut-through ability, and reusability of. Among these, Tango 27 was selected as the final model. Six attendees (two junior cardiothoracic surgery residents, two senior residents, and two clinical fellows) independently performed simulation surgeries three times each. Surgical proficiency was evaluated by an experienced cardiothoracic surgeon on a 1-10 scale for each of the 10 surgical procedures. The times required for each surgical procedure were also measured. Results: In the simulation surgeries, six surgeons required a median of 34.4 (range 32.5-43.5) and 21.4 (17.9-192.7) minutes to apply the ventricular septal defect (VSD) and right ventricular outflow tract (RVOT) patches, respectively, on their first simulation surgery. These times had significantly reduced to 17.3 (16.2-29.5) and 13.6 (10.3-30.0) minutes, respectively, in the third simulation surgery (p = 0.03 and p = 0.01, respectively). The decreases in the median patch appliance time among the six surgeons were 16.2 (range 13.6-17.7) and 8.0 (1.8-170.3) minutes for the VSD and RVOT patches, respectively. Summing the scores for the 10 procedures showed that the attendees scored an average of 28.58 ± 7.89 points on the first simulation surgery and improved their average score to 67.33 ± 15.10 on the third simulation surgery (p = 0.008). Conclusion: Inexperienced cardiothoracic surgeons improved their performance in terms of surgical proficiency and operation time during the experience of three simulation surgeries using a 3D-printed TOF model using Tango 27 composite.

• International Journal of Highway Engineering
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• v.9 no.1 s.31
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• pp.57-67
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• 2007

Many researches have recently discussed about the film thickness as a good substitute or supplement for VMA or other volumetric criteria in the design procedure. Some researchers have not only proposed the specific number for the recommended film thickness, but also introduced the new calculation procedures or concepts. Each model (index model and the virtual model) has its own advantages and disadvantages in terms of the ability to account for the volumetric properties of the mixture. In this paper, the modified virtual model was proposed to combine advantages from both models. However, it cannot be disregarded the way to determine the appropriate particle shape factors for different sources and sizes of aggregates. In order to evaluate the different calculation methods, mixtures with two aggregate sources and eight gradations were designed based on the dominant aggregate size range (DASR) porosity concept. Superpave indirect tensile test (IDT) and asphalt pavement analyzer (AEA) test were used to describe the performance of mixtures. Test results indicated that the virtual model, which is the same to the modified virtual model for sphere 1:1 case, is better than the conventional standard model to define the range of the film thickness to have better performance of asphalt mixtures.

• The Journal of Industrial Distribution & Business
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• v.11 no.7
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• pp.29-40
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• 2020

Purpose: In modern society, many urban problems are occurring, such as aging, hollowing out old city centers and polarization within cities. In this study, we intend to apply big data and machine learning methodologies to predict depression symptoms in the elderly population early on, thus contributing to solving the problem of elderly depression. Research design, data and methodology: Machine learning techniques used random forest and analyzed the correlation between CES-D10 and other variables, which are widely used worldwide, to estimate important variables. Dependent variables were set up as two variables that distinguish normal/depression from moderate/severe depression, and a total of 106 independent variables were included, including subjective health conditions, cognitive abilities, and daily life quality surveys, as well as the objective characteristics of the elderly as well as the subjective health, health, employment, household background, income, consumption, assets, subjective expectations, and quality of life surveys. Results: Studies have shown that satisfaction with residential areas and quality of life and cognitive ability scores have important effects in classifying elderly depression, satisfaction with living quality and economic conditions, and number of outpatient care in living areas and clinics have been important variables. In addition, the results of a random forest performance evaluation, the accuracy of classification model that classify whether elderly depression or not was 86.3%, the sensitivity 79.5%, and the specificity 93.3%. And the accuracy of classification model the degree of elderly depression was 86.1%, sensitivity 93.9% and specificity 74.7%. Conclusions: In this study, the important variables of the estimated predictive model were identified using the random forest technique and the study was conducted with a focus on the predictive performance itself. Although there are limitations in research, such as the lack of clear criteria for the classification of depression levels and the failure to reflect variables other than KLoSA data, it is expected that if additional variables are secured in the future and high-performance predictive models are estimated and utilized through various machine learning techniques, it will be able to consider ways to improve the quality of life of senior citizens through early detection of depression and thus help them make public policy decisions.

• Journal of Korea Water Resources Association
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• v.36 no.2
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• pp.285-300
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• 2003

An event-based, kinematic, infiltration-excess, and distributed rainfall-runoff model using weather radar and Geographic Information System(GIS) was developed to acknowledge and account lot the spatial variability and uncertainty of several parameters relevant to storm surface runoff and surface flow The developed model is compatible with raster GIS and spatially and temporally varied rainfall data. To calibrate the model, Monte Carlo simulation and a likelihood measure are utilized; allowing for a range of possible system responses from the calibrated model. Using rain gauge adjusted radar-rainfall estimates, the developed model was applied and evaluated to a limited number of historical events for the Ralston Creek and Goldsmith Gulch basins within the Denver Urban Drainage and Flood Control District (UDFCD) that contain mixed land use classifications. While based on a limited number of Monte Carlo simulations and considered flood events, Nash and Sutcliffe efficiency score ranges of -0.19∼0.95 / -0.75∼0.81 were obtained from the calibrated models for the Ralston Creek and Goldsmith Gulch basins, based on a comparison of observed and simulated hydrographs. For the Ralston Creek and Goldsmith Gulch basins, Nash and Sutcliffe efficiency scores of 0.88/0.10, 0.14/0.71, and 0.99/0.95 for runoff volume, peak discharge, and time to peak, respectively, were obtained from the model.

• Journal of Korea Water Resources Association
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• v.32 no.4
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• pp.457-467
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• 1999

No complete methods for estimating soil loss, included by rain storms, from a small watershed are available yet, and the best recommended method is to use measured data from the watershed. When no measured data is available from the watershed, empirical models for estimating the soil loss, such as the Universal Soil Loss Equation(USLE), is well recommended in practice. For using this equation, it is necessary to estimated the rainfall erosivity, commonly expressed as R, of the watershed. In this study, first we collected data of the probable rainfalls with the return periods of 2, 5, 10, 20, 30, 50, 80, 100, 200, and 500-yr and with the duration hours of 0.5, 1, 2, 3, 6, 12, and 24-hr. Using this data, we calculated the design values for R for the return period of 24-hr at each major rainfall-measuring station nationwide. Then we constructed the iso-erodent map of Korea for each return period of the 24-hr design storm. This study shows that the 24-hr duration iso-erodent map of the 5-yr return period is very similar to the annual average iso-erodent map of Korea. This study also shows that the 24-hr duration R-values of a certain return period can be estimated by multiplying certain parameters, obtained from this study, to the 24-hr duration R-values for the 5-yr return period or the annual average R-values. Finally, the R-values of the design storm with the 24-hr return period obtained from this study can be used for designing the settling basins at small watersheds.

• Korean Journal of Psychosomatic Medicine
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• v.6 no.1
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• pp.13-21
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• 1998

The purpose of the study was to examine nonpsychiatric physicians' attitudes toward psychiatry. 129 physicians responded to the questionnaire regarding attitudes toward psychiatry. A majority were favorable about psychiatric education, psychiatric consultation, psychoanalysis, students' choice of psychiatry as a career, and psychiatrists. Staff were more positive toward psychiatry than residents, and senior staff were more positive about psychiatry than junior staff. Overall, however, no significant differences were found in attitudes toward psychiatry between nonsurgical physicians and surgeons, although staff or residents in nonsurgical departments were more favorable about some aspects of psychiatry than staff or residents in surgical departments. The physicians with more interest in psychiatry as a career in the past were more likely to to be positive about psychiatry as a comprehensive science and a rapidly expanding field of medicine. Physicians with older age were more likely to be positive about status and efficacy of psychiatry, role and functioning of psychiatrists than those with. younger age. The results suggest that previous interest in psychiatry, age and clinical experience favorably influenced physicians' attitude toward psychiatry. In addition, development of models for psychiatric education will be needed to enhance physicians' attitude toward psychiatry.

• Journal of Environmental Health Sciences
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• v.45 no.1
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• pp.30-41
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• 2019

Objectives: The effects of particulate matter and ozone on health are being reported in a number of studies. These effects are likely to be stronger on the elderly population, but studies in this regard are scarce. The purpose of this study was to examine the effects of particulate matter ${\leq}2.5{\mu}m$ and ozone on the acute health status of the elderly population. Methods: In order to analyze the health status of the elderly population, the NHIS-Senior Cohort data was used. In this study of people 60 years or older in Seoul, the number of outpatient visits and ER visits between 2002 and 2013 were calculated. Each disorder and the lag effect were analyzed separately. Particulate matter and ozone were analyzed using both the single exposure model and the adjusted multi-exposure model. Results: In the single exposure analysis with PM2.5 as the exposure variable, with each increase of $10{\mu}g/m^3$, the number of outpatient visits increased by 1.0081 times, vascular disease 1.0065 times, chronic pulmonary disease 1.0086 times, and diabetes 1.0055 times. In the multi-exposure model adjusting for ozone, the number of outpatient visits increased by 1.0066 times. There was a one-day lag effect and 1.0066 times increase between PM2.5 and ER visits in the multi-exposure model and 1.0057 times when adjusted for ozone (p value <0.10). There was a one-day lag effect in all multi-exposure models with ozone as the main variable, and when the particulate matter was adjusted, there was a one-day delay and 1.0143 times increase in ER visits. Conclusions: In our study, an increase in the number of outpatient and ER visits in the elderly population in accordance with the increase in PM2.5 and ozone was found. The association found in our study could also produce a socioeconomic burden. Future studies need to be performed in regards to younger populations and other air pollutants.

• Journal of Digital Convergence
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• v.19 no.3
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• pp.401-414
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• 2021

The purpose of this study was to examine the associations of Korean older adults' use of Social Network Service (SNS) and text messages with frequency of contact with 1) non-coresident adult children, 2) siblings and relatives, or 3) friends, neighbors, and acquaintances. Data were drawn from the 2017 Survey of Living Conditions and Welfare Needs of Korean Older Persons 65+ (N=8,392), and older adults were categorized into 4 groups depending on their familiarity with use of SNS and text messages. Ordinary Least Squares regression models were estimated for analyses. Results revealed that older users of both types of communication media reported frequent exchanges of calls, text messages, etc. with both family and friends. However, using SNS and text messages was consistently related to more face-to-face contact with non-family members. To conclude, older adults' familiarity with communication media could be key to exchanges of emotional and instrumental support with informal social network members and quality of life in the community. Overall, our results highlight the importance of information communication education targeting older adults for continued involvement with their informal social network members.

• Journal of Korea Water Resources Association
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• v.55 no.3
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• pp.245-255
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• 2022

Evaluating the qualitative the qualitative process of water resources by using various indicators, as one of the most prevalent methods for optimal managing of water bodies, is necessary for having one regular plan for protection of water quality. In this study, zoning maps were developed on a yearly basis by collecting and reviewing the process, validating, and performing statistical tests on qualitative parameters҆ data of the Iranian aquifers from 1995 to 2020 using Geographic Information System (GIS), and based on Inverse Distance Weighting (IDW), Radial Basic Function (RBF), and Global Polynomial Interpolation (GPI) methods and Kriging and Co-Kriging techniques in three types including simple, ordinary, and universal. Then, minimum uncertainty and zoning error in addition to proximity for ASE and RMSE amount, was selected as the optimum model. Afterwards, the selected model was zoned by using Scholar and Wilcox. General evaluation of groundwater situation of Iran, revealed that 59.70 and 39.86% of the resources are classified into the class of unsuitable for agricultural and drinking purposes, respectively indicating the crisis of groundwater quality in Iran. Finally, for validating the extracted results, spatial changes in water quality were evaluated using the Groundwater Quality Index (GWQI), indicating high sensitivity of aquifers to small quantitative changes in water level in addition to severe shortage of groundwater reserves in Iran.

• Journal of Preventive Medicine and Public Health
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• v.56 no.5
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• pp.467-474
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• 2023

Objectives: Diabetes mellitus (DM) is a serious public health issue that places a heavy financial, social, and health-related burden on individuals, families, and healthcare systems. Self-reported health-related quality of life (HRQoL) is extensively used for monitoring the general population's health conditions and measuring the effectiveness of interventions. Therefore, this study investigated HRQoL and associated factors among patients with type 2 DM at a primary healthcare center in Indonesia. Methods: A cross-sectional study was conducted in Klaten District, Central Java, Indonesia, from May 2019 to July 2019. In total, 260 patients with DM registered with National Health Insurance were interviewed. HRQoL was measured with the EuroQol Group's validated Bahasa Indonesia version of the EuroQoL 5-Dimension 5-Level (EQ-5D-5L) with the Indonesian value set. Multivariate regression models were used to identify factors influencing HRQoL. Results: Data from 24 patients were excluded due to incomplete information. Most participants were men (60.6%), were aged above 50 years (91.5%), had less than a senior high school education (75.0%), and were unemployed (85.6%). The most frequent health problems were reported for the pain/discomfort dimension (64.0%) followed by anxiety (28.4%), mobility (17.8%), usual activities (10.6%), and self-care (6.8%). The average EuroQoL 5-Dimension (EQ-5D) index score was 0.86 (95% confidence interval [CI], 0.83 to 0.88). In the multivariate ordinal regression model, a higher education level (coefficient, 0.08; 95% CI, 0.02 to 0.14) was a significant predictor of the EQ-5D-5L utility score. Conclusions: Patients with diabetes had poorer EQ-5D-5L utility values than the general population. DM patients experienced pain/discomfort and anxiety. There was a substantial positive relationship between education level and HRQoL.