• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제48권5호
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• pp.284-291
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• 2022

Objectives: This study aimed to analyze the clinicopathological prognostic factors affecting the survival of patients with oral squamous cell carcinoma (OSCC). Materials and Methods: A retrospective study was conducted on patients with OSCC who received treatment at the Oral Oncology Clinic of the National Cancer Center (NCC) from June 2001 to December 2020. The patients' sex, age, primary site, T stage, node metastasis, TNM staging, perineural invasion (PNI), lymphovascular invasion (LVI), differentiation, surgical resection margin, smoking, and drinking habits were investigated to analyze risk factors. For the univariate analysis, a Kaplan-Meier survival analysis and log-rank test were used. Additionally, for the multivariable analysis, a Cox proportional hazard model analysis was used. For both analyses, statistical significance was considered when P<0.05. Results: During the investigation period, 407 patients were received surgical treatment at the NCC. Their overall survival rate (OS) for five years was 70.7%, and the disease-free survival rate (DFS) was 60.6%. The multivariable analysis revealed that node metastasis, PNI, and differentiation were significantly associated with poor OS. For DFS, PNI and differentiation were associated with poor survival rates. Conclusion: In patients with OSCC, cervical node metastasis, PNI, and differentiation should be considered important prognostic factors for postoperative survival.

• Journal of Trauma and Injury
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• 제32권4호
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• pp.195-201
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• 2019

Purpose: This study was conducted to investigate the usefulness of a polyester urethane dural substitute (Neuro-Patch^®, B. Braun, Boulogne, France) as an anti-adhesion agent in subsequent cranioplasty by analyzing the use of Neuro-Patch^® during decompressive craniectomy in traumatic brain injury patients. Methods: We retrospectively analyzed patients with traumatic brain injury who underwent decompressive craniectomy followed by cranioplasty from January 2015 to December 2018. Patients were analyzed according to whether they received treatment with Neuro-Patch^® or not (Neuro-Patch^® group, n=71; control group, n=55). Patients' baseline characteristics were analyzed to identify factors that could affect cranioplasty results, including age, sex, hypertension, diabetes mellitus, use of antiplatelet agents or anticoagulant medication, the interval between craniectomy and cranioplasty, and the type of bone used in cranioplasty. The cranioplasty results were analyzed according to the following factors: operation time, blood loss, postoperative hospitalization period, surgical site infection, and revision surgery due to extra-axial hematoma. Results: No significant difference was found between the two groups regarding patients' baseline characteristics. For the cranioplasty procedures, the operation time (155 vs. 190 minutes, p=0.003), intraoperative blood loss (350 vs. 450 mL, p=0.012), and number of surgical site infections (4 vs. 11 cases, p=0.024) were significantly lower in the Neuro-Patch^® group than in the control group. Conclusions: The use of Neuro-Patch^® was associated with a shorter operation time, less blood loss, and a lower number of surgical site infections in subsequent cranioplasties. These results may provide a rationale for prospective studies investigating the efficacy of Neuro-Patch^®.

• 여성건강간호학회지
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• 제23권4호
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• pp.256-264
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• 2017

Purpose: The purpose of this study was to examine factors associated with behaviors of mothers that expose their infants to endocrine disruptors. The PROCEED model was used as a theoretical basis for the study. Methods: This correlational study included 120 mothers with infants between the ages of 1 month to 36 months. Participants were recruited through the maternal community web-site of mothers of infants in W city. Results: There was a significant negative correlation among experience of mothers who had participated in environmentally friendly activities, the health status of the infants perceived by the mother, and behaviors of mothers that exposed infants to endocrine disruptors. The factors based on PROCEED model explained 15.3% of the behaviors by mothers that exposed infants to endocrine disruptors. Conclusion: It is necessary to develop and provide educational programs that include detailed information on relationship of endocrine disruptors to children's health.

• 인간식물환경학회지
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• 제23권3호
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• pp.347-362
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• 2020

Background and objective: It is difficult to conclusively determine the exact cause of tree defects since multiple causes are involved such as climate change, plantation, tree quality and planting time, construction, planting base, drainage, sunshine conditions, maintenance, and microclimate. The data related to landscaping construction defects are scattered or fragmented by companies and years, but not managed systematically by the defect information management system. Most of the earlier studies associated with tree defects in apartment complexes suggested defect rates after examining tree defects in the completed construction site and proposed fragmentary and subjective conclusions about the causes of defects observed in trees with high defect rates. It is proposed to continue to conduct studies on the establishment and analysis of systematic databases to identify the exact causes of tree defects and measures to improve, and the need to accumulate systematic data in the construction process where many defects arises. This study was conducted to reduce the defects of trees planted in apartment complexes. Methods: Main factors related to tree defects were subdivided based on the results of literature review and a defect investigation at the completion site, and tree history management items were selected and subdivided during the construction stage. Results: The criteria for the preparation of subdivided items were obtained, and the tree history management checklist was written for the site under actual construction and a systematic database was established. Items that are categorized based to the causes of defects include the location of nurseries, date, tree quality, site conditions, planting techniques, microclimates, and maintenance. Conclusion: This study suggested tree history management items based on the tree defects that can be identified at the construction stage and applied them to the selected study site, which differentiates this study from earlier studies. It will be necessary to conduct a comprehensive and objective time series analysis on tree defects that occur over time by continuously monitoring and collecting data after construction.

• 대한지리학회지
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• 제28권1호
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• pp.16-39
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• 1993

본 연구는 우리나라 都市內 小規模 工業의 立地決定要因을 규명하기 위한 行態的 硏究의 일환으로, 부산시의 소규모 工業經營者들이 都市內部에 공장임지를 결정함에 있어서 실제로 고려하눈 立地要因이 무엇이며, 또한 그 요인은 기업특성, 경영자특성, 입지장소의 용도지역상 성격에 따라 차이가 있는가를 밝히는 데 목적이 있다. 이를 위해 부산시내 소규모 공업경영자들을 대상으로 설문지에 의한 면접조사를 실시하였다. 그 결과, 소규모 공업의 입지결정에 영향을 미치는 요인이 기업의 특성은 물론 경영자 및 용도지역의 특성에 따라 많은 차이가 있음을 확인하였다. 이는 도시내부의 비공업지역에 소규모 공장이 입지함에 있어서 토지를 비롯한 경제적 요인과 더불어 비경제적 요인이 상당한 영향을 미치고 있음은 입지정책에 시사하는 바가 크다고 볼 수 있다.

• Journal of Ecology and Environment
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• 제40권1호
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• pp.34-44
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• 2016

Background: Little is known about how chemical water quality is associated with ecological stream health in relation to landuse patterns in a watershed. We evaluated spatial characteristics of water quality characteristics and the ecological health of Dongjin-River basin, Korea in relation to regional landuse pattern. The ecological health was assessed by the multi-metric model of Index of Biological Integrity (IBI), and the water chemistry data were compared with values obtained from the health model. Results: Nutrient and organic matter pollution in Dongjin-River basin, Korea was influenced by land use pattern and the major point sources, so nutrients of TN and TP increased abruptly in Site 4 (Jeongeup Stream), which is directly influenced by wastewater treatment plants along with values of electric conductivity (EC), bacterial number, and sestonic chlorophyll-a. Similar results are shown in the downstream (S7) of Dongjin River. The degradation of chemical water quality in the downstream resulted in greater impairment of the ecological health, and these were also closely associated with the landuse pattern. Forest region had low nutrients (N, P), organic matter, and ionic content (as the EC), whereas urban and agricultural regions had opposite in the parameters. Linear regression analysis of the landuse (arable land; $A_L$) on chemicals indicated that values of $A_L$ had positive linear relations with TP ($R^2=0.643$, p < 0.01), TN ($R^2=0.502$, p < 0.05), BOD ($R^2=0.739$, p < 0.01), and suspended solids (SS; ($R^2=0.866$, p < 0.01), and a negative relation with TDN:TDP ratios ($R^2=0.719$, p < 0.01). Conclusions: Chemical factors were closely associated with land use pattern in the watershed, and these factors influenced the ecological health, based on the multimetric fish IBI model. Overall, the impairments of water chemistry and the ecological health in Dongjin-River basin were mainly attributes to point-sources and land-use patterns.

• 대한지역사회영양학회지
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• 제18권2호
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• pp.177-186
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• 2013

The purpose of this study was to investigate factors associated with Bone Mineral Density (BMD) in Korean postmenopausal women. The data from 2008-2010 Korean National Health and Nutrition Examination Survey (KNHANES) were used for data analysis. Subjects were 2,701 postmenopausal women aged ${\geq}50$ years. BMDs at whole body, total femur, femoral neck, and lumbar spine were measured by Dual-energy X-ray absorptiometry (DXA). Dietary data from 24-hour dietary recall and a food frequency questionnaire containing 63 food items were used. The proportions of osteopenia at total femur, femoral neck, and lumbar spine were 37.4%, 54.5%, and 45.4%, respectively. The proportions of osteoporosis at total femur, femoral neck, and lumbar spine were 6.2%, 25.6%, and 34.3%, respectively. Age, anthropometric index including height, weight, and Body Mass Index (BMI), parathyroid hormone, and physical activity were related to BMD, but the relationships were site specific. Total femur BMD was explained by age, weight, parathyroid hormone and intakes of carbohydrate and fruits. Femoral neck BMD was related to age, weight, parathyroid hormone and intakes of riboflavin and fruits. Lumbar spine BMD was associated with age, weight, milk and dairy products, calcium intake, and exercise. These results indicated that adequate intakes of milk and dairy products, fruits, carbohydrate, calcium, riboflavin and exercise as well as weight maintenance might play an important role in maintaining optimum bone health in Korean postmenopausal women.

• 한국산림과학회지
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• 제98권6호
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• pp.639-645
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• 2009

이 연구는 우리나라의 산악형 산림지대의 지형을 분류하기 위한 방안으로 TPI를 응용하기 위해 수행되었다. 이 방법을 적용하기 위해서는 지형특성에 적합한 기초분석단위로 scale factor들이 요구된다. 따라서 본 연구에서는 scale factor를 결정하기 위한 객관적으로 결정하기 위한 방안을 제시하였다. 즉, 산지의 기복 패턴를 반영하기 위한 scale factor를 결정하기 위해 음영기복도를 이용하여 제작된 지형성장곡선으로부터 기울기변화도 곡선을 작성하였다. 기울기변화도 곡선을 이용하여 기복의 변화량이 최대가 되는 지점을 찾고, 그 극대점에서의 grid 크기를 찾아 지형 분류를 위한 scale factor로 결정하였다. scale factor 결정 알고리즘의 적용성을 검토하기 위하여 지형특성이 다른 3곳의 산악지대에 대한 scale factor를 도출하고, 지형분류를 수행하였다. 이 방법에 따른 연구결과 scale factor는 지형기복이 심할수록 짧아지는 경향이 있음을 보여주었다. 또한 TPI를 이용하여 분류한 능선과 계곡의 수가 종단면도를 이용한 방법과 유사하게 나타났고, scale factor의 크기가 대상지역의 능선 간 평균거리와 일치하는 경향이 있음을 보여주었다.

• Asian Pacific Journal of Cancer Prevention
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• 제16권15호
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• pp.6575-6579
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• 2015

Background: Breast cancer (BC) is the most frequent malignancy among females and is a leading cause of death of middle-aged women. Herein, we evaluated baseline characteristics for BC patients and also compared these variables across ealry and late recurrence groups. Materials and Methods: Between 1995 to 2014, among female breast cancer patients referred to our oncology clinic, eighty-six were entered into our study. All had distant metastasis. Early recurrence was defined as initial recurrence within 5 years following curative surgery irrespective of site. Likewise, late recurrence was defined as initial recurrence after 5 years. No recurrence was defined for survivors to a complete minimum of 10 years follow-up. Significant prognostic factors associated with early or late recurrence were selected according to the Akaike Information Criterion. Results: The median follow-up was 9 years (range, 1-18 years). During follow-up period, 51 recurrences occurred (distant metastasis), 31 early and 20 late. According to the site of recurrence, there were 51 distant. In this follow-up period, 19 patients died. Compared with the early recurrence group, the no recurrence group had lower lymph node involvement and more p53 positive lesions but the late recurrence group had lower tumor size. In comparison to no recurrence, p53 (odds ratio [OR] 6.94, 95% CI 1.49-32.16) was a significant prognostic factor for early recurrence within 5 years. Conclusions: Tumor size, p53 and LN metastasis are the most important risk factors for distance recurrence especially in early recurrence and also between of them, p53 is significant prognostic factor for early recurrence.

• Journal of Korean Neurosurgical Society
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• 제50권5호
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• pp.434-440
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• 2011

Objective : The goals of surgical intervention for metastatic spinal cord compression (MSCC) are prolonging survival and improving quality of life. Non-ambulatory paraplegic patients, either at presentation or after treatment, have a much shorter life expectancy than ambulatory patients. We therefore analyzed prognostic factors for survival and postoperative ambulation in patients surgically treated for MSCC. Methods : We assessed 103 patients with surgically treated MSCC who presented with lower extremity weakness between January 2001 and December 2008. Factors prognostic for overall survival (OS) and postoperative ambulation, including surgical method, age, sex, primary tumor site, metastatic spinal site, surgical levels, Tokuhashi score, and treatment with chemo- or radiation therapy, were analyzed retrospectively. Results : Median OS was significantly longer in the postoperatively ambulatory group [11.0 months; 95% confidence interval (CI), 9.29-12.71 months] than in the non-ambulatory group (5.0 months; 95% CI, 1.80-8.20 months) ($p$=0.035). When we compared median OS in patients with high (9-11) and low (0-8) Tokuhashi scores, they were significantly longer in the former (15.0 months; 95% CI, 9.29-20.71 months vs. 9.0 months; 95% CI, 7.48-10.52 months; $p$=0.003). Multivariate logistic regression analysis showed that preoperative ambulation with or without aid [odds ratio (OR) 5.35; 95% CI 1.57-18.17; $p$=0.007] and hip flexion power greater than grade III (OR 6.23; 95% CI, 1.29-7.35; $p$=0.038) were prognostic of postoperative ambulation. Conclusion : We found that postoperative ambulation and preoperative high Tokuhashi score were significantly associated with longer patient survival. In addition, preoperative hip flexion power greater than grade III was critical for postoperative ambulation.