• Journal of Korean Society of Water and Wastewater
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• v.22 no.5
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• pp.511-516
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• 2008

Since 1989, Advanced drinking water treatment processes began to build in Korea, especially the water treatment plants around the Nak-dong river stream due to sequential pollutant accidents. Moreover, Advanced drinking water treatment processes, ozone and GAC, are again to be built in water treatment plants around Han-river stream to control taste and odor, micro pollutants. However, there are still a lot of discussion to decide the processes to apply for advanced treatment. Thus there are still need to understand clearly on the cost evaluation of each advanced treatment processes. The cost evaluation was accomplished based on the data of six water treatment plants which are currently being either operating or constructing. Exceptionally, PAC(Powdered Activated Carbon) process was evaluated with cost estimation from construction company. The capital cost per unit volume of ozone process was significantly decreased as the treatment capacity increased. The capital cost was in the order of GAC, ozone and GAC. The operation cost decreased in the order of PAC, GAC and ozone. The total cost considering present value shows that ozone process covers 84% of ozone and GAC process for $30,000m^3/d$ capacity while it covers less than 35% for over 140 thousands $m^3/d$ capacity. Comparing GAC only, and ozone/GAC process, ozone/GAC process is more cost effective for high capacity water treatment plant.

• Journal of Trauma and Injury
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• v.28 no.4
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• pp.284-291
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• 2015

The aim of this study is to present a nonoperative treatment for abdominal injuries in patients with multiple traumas and to discuss the role of metropolitan tertiary hospital, non-regional trauma centers. We collected data from patients with multiple traumas including abdominal injuries from 2009 to 2014. Patient characteristics, associated injuries, short-term outcomes and departments that managed the patients overall were analyzed. Based on treatment modalities for abdominal injury, patients were divided into two groups: the operative treatment group and the nonoperative treatment group. We compared differences in patient characteristics, injury mechanisms, initial vital signs, detailed injury types, lengths of hospital and ICU stays. Of the 167 patients with multiple traumas, abdominal injuries were found in 57 patients. The injury mechanism for 44 patients (77.2%) was traffic accidents, and associated extra-abdominal injuries were shown in 45 patients (78.9%). The mean lengths of hospital and ICU stays for the 57 patients were 36.4 days and 8.3 days, respectively. The in-hospital mortality rate was 8.8%. Ten patients (17.5%) were treated operatively, and 47 patients (82.5%) were treated nonoperatively. Among the 47 patients in the nonoperative treatment group, 17 patients received embolization, and 3 patients underwent a percutaneous drainage procedure. Operative treatments were used more in patients with injuries to the pancreas and bowel. No patient required additional surgery or died due to the failure of nonoperative treatment. No differences in the clinical characteristics except for the detailed injury type were observed between the two groups. In appropriately selected patients with multiple traumas including abdominal injuries, nonoperative treatment is a safe and feasible. For rapid and accurate managements of these patients, well-trained trauma surgeons who can manage problems with the various systems in the human body and who can decide whether nonoperative treatment is appropriate or not are required.

• Tuberculosis and Respiratory Diseases
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• v.83 no.1
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• pp.20-30
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• 2020

Tuberculosis (TB) remains a threat to public health and is the leading cause of death globally. Isoniazid (INH) is an important first-line agent for the treatment of TB considering its early bactericidal activity. Resistance to INH is now the most common type of resistance. Resistance to INH reduces the probability of treatment success and increases the risk of acquiring resistance to other first-line drugs such as rifampicin (RIF), thereby increasing the risk of multidrug-resistant-TB. Studies in the 1970s and 1980s showed high success rates for INH-resistant TB cases receiving regimens comprised of first-line drugs. However, recent data have indicated that INH-resistant TB patients treated with only firs-tline drugs have poor outcomes. Fortunately, based on recent systematic meta-analyses, the World Health Organization published consolidated guidelines on drug-resistant TB in 2019. Their key recommendations are treatment with RIF-ethambutol (EMB)-pyrazinamide (PZA)-levofloxacin (LFX) for 6 months and no addition of injectable agents to the treatment regimen. The guidelines also emphasize the importance of excluding resistance to RIF before starting RIF-EMB-PZA-LFX regimen. Additionally, when the diagnosis of INH-resistant TB is confirmed long after starting the first-line TB treatment, the clinician must decide whether to start a 6-month course of RIF-EMB-PZA-LFX based on the patient's condition. However, these recommendations are based on observational studies, not randomized controlled trials, and are thus conditional and based on low certainty of the effect estimates. Therefore, further work is needed to optimize the treatment of INH-resistant TB.

• Restorative Dentistry and Endodontics
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• v.49 no.1
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• pp.8.1-8.12
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• 2024

Objectives: The purpose of this study was to evaluate the effect of Dental Practicality Index (DPI) training using an online video on the treatment planning decisions and confidence level of dental undergraduates (DUs). Materials and Methods: Ninety-four DUs were shown 15 clinical case scenarios and asked to decide on treatment plans based on 4 treatment options. The most appropriate treatment plan had been decided by a consensus panel of experienced dentists. DUs then underwent DPI training using an online video. In a post-DPI-training test, DUs were shown the same clinical case scenarios and asked to assign the best treatment option. After 6 weeks, DUs were retested to assess their knowledge retention. In all 3 tests, DUs completed the confidence level scale questionnaire. Data were analyzed using the related-samples Wilcoxon signed rank test and the independent-samples Mann-Whitney U test with the level of significance set at p < 0.05. Results: DPI training significantly improved the mean scores of the DUs from 7.53 in the pre-DPI-training test to 9.01 in the post-DPI-training test (p < 0.001). After 6 weeks, the mean scores decreased marginally to 8.87 in the retention test (p = 0.563). DPI training increased their confidence level from 5.68 pre-DPI training to 7.09 post-DPI training. Conclusions: Training DUs using DPI with an online video improved their decision-making and confidence level in treatment planning.

• Journal of Korean Society of Water and Wastewater
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• v.19 no.5
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• pp.565-571
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• 2005

The method to decide media sphericity on the filter has been investigated. The sphericity, the ratio of the surface area of an equal volume sphere to the real surface area of the particles, is one of major physical characters of media affecting the bed expansion during backwash. The media in each treatment plant may have different sphericity, and the sphericity of the media in the filter may be changed as backwashing has been conducted regularly for a long time. Media from twelve water treatment plants under KOWACO have been collected and selected to insure various and practical sphericities. The sphericity of each media has been calculated by using well known equations. For example, Kozeny equation, Dahmarajah equation and so on. The experiment results have indicated that the sphericity of each water treatment plant is different. Although the sphericity values measured by different methods were turned out to be diverse values, the order in the magnitude seemed to be the same. The sphericity values of sand media were in the range of 0.71-0.82 and those of anthracite were placed between 0.49 and 0.56 by the Dharmarajah equation.

• Journal of Korean Orthopaedic Sports Medicine
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• v.9 no.2
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• pp.114-120
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• 2010

Anterior tibial diaphyseal stress fracture have a propensity for delayed union or nonunion and have risk of complete fracture after minor trauma. So, careful evaluation and optimal management are mandatory to succeed in treatment. It is also important to decide the point of time of return to full activity. We report experience of treatment for complete fracture of the delayed union of anterior tibial diaphyseal stress fracture as an athletic injury.

• Korean Journal of Artificial Intelligence
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• v.6 no.2
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• pp.11-15
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• 2018

Breast cancer is one of the leading causes of cancer related death among women. So prediction of overall survival status is important into decided in adjuvant treatment. Deep belief network is a kind of artificial intelligence (AI). We intended to construct prediction model by deep belief network using associated clinicopathologic factors. 103881 cases were found in the Korean Breast Cancer Registry. After preprocessing of data, a total of 15733 cases were enrolled in this study. The median follow-up period was 82.4 months. In univariate analysis for overall survival (OS), the patients with advanced AJCC stage showed relatively high HR (HR=1.216 95% CI: 0.011-289.331, p=0.001). Based on results of univariate and multivariate analysis, input variables for learning model included 17 variables associated with overall survival rate. output was presented in one of two states: event or cencored. Individual sensitivity of training set and test set for predicting overall survival status were 89.6% and 91.2% respectively. And specificity of that were 49.4% and 48.9% respectively. So the accuracy of our study for predicting overall survival status was 82.78%. Prediction model based on Deep belief network appears to be effective in predicting overall survival status and, in particular, is expected to be applicable to decide on adjuvant treatment after surgical treatment.

• Journal of Acupuncture Research
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• v.24 no.1
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• pp.99-110
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• 2007

Objectives : This study was performed to evaluate a recent status of acupunctural treatment in pediatric practice. Methods: 660,893 children, who visited HAMSOA oriental clinic from January 2004 to December 2005 was screened to decide the number treated with acupuncture, the diagnosis and the type of acupuncture. In addition, the questionnaire for clinician about acupuncture therapy was performed and analysed to understand their applications. Results: The number treated with acupuncture was 69,797, 10.56%. Classified with ages, 3 months and below was 729 (1.7%), 1 year - 3 months was 5,035 (11.80%), 2 year - 1 year was 6,875 (16.10%), 3 year - 2 year was 5,540 (12.98%), 6 year - 3 year was 12.636 (31.94%) and 6 year and above was 10,876 (25.48%). The most frequent diagnosis taken acupuncture was atopic dermatitis (14.93%) and the next was rhinitis (13.80%). The most frequent type of acupuncture was laser acupuncture. The clinicians answered questionnaire agreed that acupuncture therapy is effective for pediatric disease treatment and fear about acupuncture of young patients was the most important obstacle. Conclusion : The acupuncture therapy in pediatric practice is not so frequent treatment but in increasing stage. Futhermore, in-depth research about acupuncture therapy in pediatrics is demanded.

• Journal of Korean Society of Water and Wastewater
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• v.30 no.3
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• pp.225-231
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• 2016

Peak load rate(i.e., maximum daily flow/average daily flow) has not been considered for industrial water demand planning in Korea to date, while area unit method based on average daily flow has been applied to decide capacity of industrial water treatment plants(WTPs). Designers of industrial WTPs has assumed that peak load would not exist if operation rate of factories in industrial sites were close to 100%. However, peak load rates were calculated as 1.10~2.53 based on daily water flow from 2009 to 2014 for 9 industrial WTPs which have been operated more than 9 years(9-38 years). Furthermore, average operation rates of 9 industrial WTPs was less than 70% which means current area unit method has tendency to overestimate water demand. Therefore, it is not reasonable to consider peak load for the calculation of water demand under current area unit method application to prevent overestimation. However, for the precise future industrial water demand calculation more precise data gathering for average daily flow and consideration of peak load rate are recommended.

• Journal of Korean Society on Water Environment
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• v.30 no.5
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• pp.524-531
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• 2014

Korea has been trying to manage water quality of rivers and lakes in many ways. Ministry of Environment is making continuous efforts of operation control improvement such as strengthening effluent standards in sewage treatment plants and expanding Tele-Monitoring System (TMS). However, evaluation method for operations of sewage treatment plants and establishment system of effluent standards are inadequate. The objective of this study is to evaluate for operations of sewage treatment plants using statistics technique such as frequency analysis, percentile, normal distribution analysis. We used the effluent data (BOD, COD, SS) collected at 299 plants in 2012. The values were very low by comparison with standards. The Data followed a normal distribution. We think that distribution characteristics are closely related with effluent standards, especially T-P and BOD. Statistics technique attempted in this study can be used to evaluate for operations of sewage treatment plants and assess the appropriateness of effluent standards based on TBEL(Technology-based effluent limitation). And, this technique can be used to figure out the overall level of plants, the status of each plant and the favorable treatment process for each item (BOD, COD etc.). Data acquired through this method can be used to improve facilities and operation techniques and decide on a sewerage policy.