• Asian Pacific Journal of Cancer Prevention
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• 제17권7호
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• pp.3489-3494
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• 2016

Background: A major problem with cervical cancer screening in countries which have no organized national screening program for cervical cancer is sub-optimal participation. Implementation of self-sampling method may increase the coverage. Objective: We determined the agreement of cytological diagnoses made on samples collected by women themselves (self-sampling) versus samples collected by physicians (Physician sampling). Materials and Methods: We invited women volunteers to undergo two procedures; cervical self-sampling using the Evalyn brush and physician sampling using a Cervex brush. The women were shown a video presentation on how to take their own cervical samples before the procedure. The samples taken by physicians were taken as per routine testing (Gold Standard). All samples were subjected to Thin Prep monolayer smears. The diagnoses made were according to the Bethesda classification. The results from these two sampling methods were analysed and compared. Results: A total of 367 women were recruited into the study, ranging from 22 to 65 years age. There was a significant good agreement of the cytological diagnoses made on the samples from the two sampling methods with the Kappa value of 0.568 (p=0.040). Using the cytological smears taken by physicians as the gold standard, the sensitivity of self-sampling was 71.9% (95% CI:70.9-72.8), the specificity was 86.6% (95% CI:85.7-87.5), the positive predictive value was 74.2% (95% CI:73.3-75.1) and the negative predictive value was 85.1% (95% CI: 84.2-86.0). Self-sampling smears (22.9%) allowed detection of micro-organisms better than physicians samples (18.5%). Conclusions: This study shows that samples taken by women themselves (self-sampling) and physicians have good diagnostic agreement. Self-sampling could be the method of choice in countries in which the coverage of women attending clinics for screening for cervical cancer is poor.

• 한국산림과학회지
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• 제97권1호
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• pp.113-117
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• 2008

본 연구는 2000년도에 산불이 발생한 강원도 삼척의 침엽수림 지역에서 피해목 처리 전과 후의 서식환경 및 설치류 개체군 특성 차이를 구명하기 위해 실시되었다. 피해목 제거 후 고사목과 수목잔존물의 수는 감소한 반면, 천이 단계의 진행으로 인해 하층 피도량 및 관목의 본수는 증가하였다. 전체 설치류 개체군 밀도, 흰넓적다리붉은쥐 및 대륙밭쥐의 개체군 밀도는 피해목 제거 후 감소하는 경향을 보인 반면, 등줄쥐의 개체군 밀도는 증가하였다. 피해목의 제거로 인한 서식환경의 변화는 설치류의 종 구성을 변화시켰으며, 특히 산림성 설치류에게는 부정적인 영향을 미치는 것으로 판단된다.

• Archives of Plastic Surgery
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• 제47권2호
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• pp.118-125
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• 2020

Since April 2015, post-mastectomy breast reconstruction has been covered by the Korean National Health Insurance Service (NHIS). The frequency of these procedures has increased very rapidly. We analyzed data obtained from the Big Data Hub of the Health Insurance Review and Assessment Service (HIRA) and determined annual changes in the number of breast reconstruction procedures and related trends in Korea. We evaluated the numbers of mastectomy and breast reconstruction procedures performed between April 2015 and December 2018 using data from the HIRA Big Data Hub. We determined annual changes in the numbers of total, autologous, and implant breast reconstructions after NHIS coverage commenced. Data were analyzed using Microsoft Excel. The post-mastectomy breast reconstruction rate increased from 19.4% in 2015 to 53.4% in 2018. In 2015, implant reconstruction was performed in 1,366 cases and autologous reconstruction in 905 (60.1% and 39.8%, respectively); these figures increased to 3,703 and 1,570 (70.2% and 29.7%, respectively) in 2018. Free tissue transfer and deep inferior epigastric perforator flap creation were the most common autologous reconstruction procedures. For implant-based reconstructions, the rates of directto-implant and tissue-expander breast reconstructions (first stage) were similar in 2018. This study summarizes breast reconstruction trends in Korea after NHIS coverage was expanded in 2015. A significant increase over time in the post-mastectomy breast reconstruction rate was evident, with a trend toward implant-based reconstruction. Analysis of data from the HIRA Big Data Hub can be used to predict breast reconstruction trends and convey precise information to patients and physicians.

• 해양환경안전학회지
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• 제17권2호
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• pp.137-142
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• 2011

지난 60년간 급속한 항만 개발로 인하여 다량의 해도가 여러 종류의 축척 및 구역으로 제작되어 인접구역이 효과적으로 연결되지 못하거나 과도한 중첩 구역이 발생하는 경우가 있으며 무리한 제분도의 사용으로 이용자에게 혼란 및 불편을 야기하고 있는 실정이다. 이 연구의 목적은 대한민국에서 간행되는 해도의 구역 및 축척별 분석을 통하여 새로운 해도구역 조정안을 제시하는데 있으며 이를 통해 항해 편의를 제공하는데 있다. 합리적인 해도구역 조정을 위하여 연구진이 전문가 의견법을 통하여 개정안을 마련한 후 이용자를 대상으로 한 설문조사 및 도선구역별 도선사 협회의 의견 수렴 등을 통하여 그 타당성을 검증받고 의견을 수렴하여 보완하였다. 연구의 결과로 현재 간행되고 있는 309장의 해도는 334장으로 변경되었다.

• 한국정보통신학회논문지
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• 제20권10호
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• pp.1881-1886
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• 2016

본 논문에서는 기지국의 도움없이 인접한 기기 간에 직접 통신을 수행하는 D2D 단말에서 발생한 데이터를 인접한 D2D 단말로 릴레이하는 환경을 가정하였다. 이러한 환경에서 데이터를 수신한 전체 단말의 수를 최대화하기 위하여 모든 데이터 수신 단말들이 자신의 전송 범위 내의 인접 단말들에게 데이터를 릴레이하는 Epidemic 라우팅을 고려하였다. 또한, 다양한 네트워크 환경을 고려하여 특정 지역에 다양한 밀도로 단말이 밀집되어 분포하는 상황에 대한 MATLAB 시뮬레이션을 수행하고, 이를 기반으로 D2D SD의 전송 범위와 이 데이터를 릴레이 하는 다른 D2D 단말들의 전송 범위를 파라미터로 설정하여 Epidemic 라우팅의 데이터 확산 성능에 대한 비교 분석을 수행하였다.

• 한국환경복원기술학회지
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• 제7권2호
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• pp.36-45
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• 2004

This study was conducted to formulate management guidelines for monumental old trees in Korea through analysis of growing environments. A total of 20 old trees designated as natural monuments in Seoul, Incheon, and Gyeonggi provinces were surveyed for biological characteristics, surrounding environments, root collar conditions, tree health, and soil characteristics. Relationships among root collar conditions, tree health, and soil characteristics were analyzed by correlation. The old solitary trees designated as natural monuments included Pinus bungeana(4 trees), Juniperus chinensis(3 trees), Ginkgo biloba(3 trees), Poncirus trifoliata(2 trees), Actinidia arguta, Wisteria floribunda, Thuja orientalis, Quercus variabilis, Sophora japonica, Fraxinus rhynchophylla, Zelkova serrata, and Pinus densiflora. The tree height ranged from 3.56 to 67m, and root collar diameter ranged from 1.01 to 15.2m. The monumental old trees were growing on the various sites ranging from gardens, historical sites, open agricultural fields, mountain hills, to near the ocean beaches and streams. The coverage of bald land ranged from 50 to 100%, and depth of filled soil around the root collar ranged from 0 to 50cm. Tree health was expressed as the amount of branch dieback, cavity development, detachment of cambial tissue, infliction by diseases and insects. The branch dieback ranged from 5 to 20%, cavity development ranged from 10 to 100$cm^3$, detachment of cambial tissue ranged from 5 to 45%, and infliction by diseases and insects ranged from 5 to 20%. Soil pH ranged from 5.9 to 8.3, organic matter contents from 12 to 56%, phosphorus contents from 104 to 618ppm, while soil compaction ranged from 7 to 28mm. Results of correlation analysis showed that coverage of bald land was the most serious factor to deteriorate the cavity development and detachment of cambial tissue. In addition, chemical properties of soils seemed to be related to the health of the trees.

• 한국환경복원기술학회지
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• 제15권1호
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• pp.133-140
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• 2012

The study of Arundinaria munsuensis Y. Lee to this day was limited to the field of morphological species classification since its first discovery at Jiri mountain in the late 1990s. This native plants, one of Korean endemic species found in Jiri Mt. necessitates further studies about its use as revegetation plants or groundcover plants in urban areas. This study was launched from this need followed by summaries of results below related to its usage. This targeted species is a native Korean species which its natural distribution on the subalpine zone has merit for the wide range of climatic adaptation. Also, the coverage rate reached 78.3% in three years mostly by rhizome growth with an expectation of full coverage in four years providing less maintenance needs after planting. The net price for the construction of pot seedling methods of this plants is relatively economical than other normal revegetation construction methods. For these reasons, drilling for the plants on cut and fill soil slopes driven from pot seedling adapts Arundinaria munsuensis Y. Lee as efficient revegetation plant. Total construction cost for pot seedling work($30cm{\times}30cm$) of Arundinaria munsuensis was approximately 21,000won which is in reasonable price range when compared to other revegetation construction methods of disturbed slopes. As a native Korean plant, Arundinaria munsuensis has wide range of climatic adaptation with less maintenance requirement after planting. This study may suggest a strong possibility of Arundinaria munsuensis as a pot planting material in sloped area.

• 한국환경복원기술학회지
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• 제15권1호
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• pp.107-117
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• 2012

We estimated the potential area roof greening in Gyeonggi-do that will mitigate the heat island effect. The estimation was based on building age, roof shape, and building use which were recorded in the building register from "Sewoomteo, the Building Administration System in the Ministry of Land, Transport and Maritime Affairs. The estimated potential roof greening area in Gyeonggi-do was approximately $102.5km^2$ assuming that the buildings for residence, public, education(school), office, shopping mall are appropriate for roof greening. The area occupied by apartment buildings over six-story was 76.3% of the potential roof greening area 10.2% for individual houses, 5.9% for under five-story apartment buildings, and 3.7% for school buildings. The result indicated that it is residential buildings that we need to pay attention for roof greening, especially high-rise buildings over six-story. Greening of the whole estimated area, $102.5km^2$, in Gyeonggi-do will result in the increase of green space per capita by $8.74m^2$. This is 1.65 times greater than the area of current urban parks, and 1.97 times greater than the total area of neighborhood parks, children's parks, and pocket parks. Greening of the estimated roof area will increase green coverage of urban area by twice, adding to current green coverage of the urban areas, 11.3%, in 10 major cities. In particular, the effect of roof greening would be remarkable in inceasing the green space of Anyang City, Gwangmyeong City, and Guri City where neighborhood park area falls short.

• Archives of Plastic Surgery
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• 제46권4호
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• pp.365-370
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• 2019

The syndrome of the trephined is a neurologic phenomenon that manifests as sudden decline in cognition, behavior, and sensorimotor function due to loss of intracranial domain. This scenario typically occurs in the setting of large craniectomy defects, resulting from trauma, infection, and/or oncologic extirpation. Cranioplasty has been shown to reverse these symptoms by normalizing cerebral hemodynamics and metabolism. However, successful reconstruction may be difficult in patients with complex and/or hostile calvarial defects. We present the case of a 48-year-old male with a large cranial bone defect, who failed autologous cranioplasty secondary to infection, and developed rapid neurologic deterioration leading to a near-vegetative state. Following debridement and antibiotic therapy, delayed cranioplasty was accomplished using a polyetheretherketone (PEEK) implant with free chimeric latissimus dorsi/serratus anterior myocutaneous flap transfer for vascularized resurfacing. Significant improvements in cognition and motor skill were noted in the early postoperative period. At 6-month follow-up, the patient had regained the ability to speak, ambulate and self-feed-correlating with evidence of cerebral/ventricular re-expansion on computed tomography. Based on our findings, we advocate delayed alloplastic implantation with total vascularized soft tissue coverage as a viable alternative for reconstructing extensive, hostile calvarial defects in patients with the syndrome of the trephined.

• 한국의료질향상학회지
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• 제28권1호
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• pp.2-13
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• 2022

Purpose: This study assessed the status of the Development and Utilization of critical pathways (CP) in South Korea. Methods: We surveyed 195 hospitals obtained on the Korean Hospital Association website. Data were collected using structured questionnaires for staff members in charge of CP management personnel in these hospitals. The questionnaire included CP developed by the institutions, the coverage rates and completion rates of CP in the current year, and management indicators related to CP. The questionnaire also included CP support systems and content within the institutions and questions regarding the advantages of CP utilization and obstacles associated with the CP development process. Results: Analysis of the responses from 70 hospitals (35.9% response rate) showed that a total of 1,370 CP sets were developed. The number of CP related to surgery departments was 365 (26.6%), and CP related to surgery and procedure was 1,093 (79.8%), respectively. The CP coverage rate was the most frequently used indicator to monitor the effect of CP (97.1%), followed by the completion rate (90.0%) and the length of stay in hospital (61.4%). CP managers reported that CP were highly useful for communication (3.39±0.493) and accurate information provision (3.39±0.491). The perception that CP violated doctors' autonomy in treatment was relatively low (2.87±0.645). Conclusion: It is necessary to establish an infrastructure in hospitals for CP. CP can facilitate communication and provide accurate information.