• Journal of Korean Neurosurgical Society
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• 제60권6호
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• pp.710-716
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• 2017

Objective : Among pediatric injury, brain injury is a leading cause of death and disability. To improve outcomes, many developed countries built neurotrauma databank (NTDB) system but there was not established nationwide coverage NTDB until 2009 and there have been few studies on pediatric traumatic head injury (THI) patients in Korea. Therefore, we analyzed epidemiology and outcome from the big data of pediatric THI. Methods : We collected data on pediatric patients from 23 university hospitals including 9 regional trauma centers from 2010 to 2014 and analyzed their clinical factors (sex, age, initial Glasgow coma scale, cause and mechanism of head injury, presence of surgery). Results : Among all the 2617 THI patients, total number of pediatric patients was 256. The average age of the subjects was 9.07 (standard deviation${\pm}6.3$) years old. The male-to female ratio was 1.87 to 1 and male dominance increases with age. The most common cause for trauma were falls and traffic accidents. Age (p=0.007), surgery (p<0.001), mechanism of trauma (p=0.016), subdural hemorrhage (SDH) (p<0.001), diffuse axonal injury (DAI) (p<0.001) were statistically significant associated with severe brain injury. Conclusion : Falls were the most common cause of trauma, and age, surgery, mechanism of trauma, SDH, DAI increased with injury severity. There is a critical need for effective fall and traffic accidents prevention strategies for children, and we should give attention to these predicting factors for more effective care.

• 한국환경복원기술학회지
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• 제15권6호
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• pp.79-89
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• 2012

This study was compared to the differences in the habitat, species composition and community structure of revegetation and nature area in Korea. Plant number in plot of revegetation and nature area was 10.3 and 15.0 taxa, respectively, and coverage was 90.6 and 88.1%, respectively. Revegetation and nature area was very heterogeneous, due to low similarity index (0.38) and less common plants. Festuca arundinacea frequency (56.7%) was highest in revegetation area, and Oplismenus undulatifolius frequency (66.7%) was highest in nature area. Plant appearing of revegetation and nature area was 111 and 136 taxa, respectively. Herb appearing of revegetation and nature areas was 93 (83.3%) and 72 (52.9%) taxa, respectively, tree was 18 (16.2%) and 64 (47.1%) taxa, respectively. Plant communities of revegetation area was classified into Lespedeza bicolor, Indigofera amblyantha, Alnus sibirica, Festuca arundinacea, Eragrostis curvula, Miscanthus sinensis, Humulus japonicus, Setaria faberii, Rudbeckia bicolor, Pueraria lobata community. Plant communities of nature area was classified into Pinus densiflora, Quercus aliena, Quercus acutissima, Quercus variabilis, Quercus serrata, Castanea crenata, Pinus rigida, Robinia pseudoacacia, Populus tomentiglandulosa, Phyllostachys bambusoides community. Habitat, species composition and community structure of revegetation and nature area showed a large difference.

• Asian Pacific Journal of Cancer Prevention
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• 제14권5호
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• pp.3237-3241
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• 2013

Background: Under-ascertainment and over-ascertainment are common phenomena in surveillance and registry systems of health-related events. Capture-recapture is one of the methods which is applied to determine the sensitivity of surveillance or registry systems to recognize cancer cases. This study aimed to estimate the number of cancers using data available both in the Cancer Registry Center of Northwestern Iran and in the Population-based Cancer Registry Center of Iran. Material and Methods: The studied population consisted of all cancerous cases in the northwest of Iran from 2008 to 2010. All data were extracted from two resources and entered into Microsoft Excel software. After removing common and repeat cases the data were statistically analyzed using a capture-recapture studies' specific software "CARE 1.4". Estimations were calculated by Chapman and Petersen methods with the approximate confidence interval of 95%. Results: From 2008 to 2010, the number of all cancer cases was estimated to be 21,652 (CI 95%: 19,863-22,101). Sensitivity rate of all cancer cases was 83.9% and that of Population-based Cancer Registry Center of Iran was 52%. It was 93.1% considering both resources. Conclusion: Using two resources and the capture-recapture method rather than a single resource may be a more reliable method to estimate the number of cancer cases.

• 대한약침학회지
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• 제24권3호
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• pp.122-137
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• 2021

Objectives: In South Korea, traffic accident victims can be treated under automobile insurance coverage. Korean medicine (KM) clinics have reported the largest number of automobile insurance fee claims among medical institutions. This study investigated the status of the KM automobile insurance system in a single KM clinic. Methods: We retrospectively surveyed the medical charts of 342 traffic accident patients treated at the Jisung KM clinic between January 2009 and June 2017. Results: Most of the patients were men and in their 30s. The most common method of locating the clinic was an internet search. The most common traffic accident type was collision between vehicles (83.63%), with 70.76% of patients visiting during the most acute phase. The major disease codes included S434, M4836, F072, S0600, and S3350. The most frequent treatment period was within 1 month of the accident, and most patients received 10 or fewer treatments. The mean treatment duration and number of treatments were 37.68 ± 45.11 days and 11.68 ± 10.63 treatments, respectively. The initial pain numerical rating scale (NRS), 7.32 ± 0.96, decreased to 3.57 ± 1.40 at the end of treatment, with a symptom improvement score of 1.87 ± 0.60. Regarding sex, age, disease duration, location at the time of the accident, presence of additional and psychological symptoms, and chuna, there were statistically significant differences in treatment duration and number of treatments. A higher number of treatments and the longer treatment duration was associated with a higher initial NRS, lower post-treatment NRS, and better improvement score. Since the introduction of traffic accident (TA) pharmacopuncture, the rate of use of a single type of pharmacopuncture increased; however, no significant differences in treatment duration and number, NRS before and after treatment, and improvement score were observed between treatment groups before and after TA pharmacopuncture. No adverse reactions were observed for any treatment. Conclusion: This study confirmed the previous findings of a high treatment effect of KM under automobile insurance. We also observed significant correlations based on a detailed medical status, which may explain the increasing use of KM in the automobile insurance system. Additional multi-center studies in different regions are needed.

• 한국산학기술학회논문지
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• 제20권6호
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• pp.541-547
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• 2019

최근 자동화 되는 해킹 및 분석 기술의 발전으로 인하여 수많은 소프트웨어 보안 취약점이 빠르게 발표되고 있다. 대표적인 취약점 데이터베이스인 NVD(National Vulnerability Database)에는 2010년부터 2015년까지 보안 취약점(CVE: Common Vulnerability Enumeration) 약 8만 건이 등록되었으며, 최근에도 점차 증가하고 있는 추세이다. 보안 취약점은 빠른 속도로 증가하고 있는 반면, 보안 취약점을 분석하고 대응하는 방법은 전문가의 수동 분석에 의존하고 있어 대응 속도가 느리다. 이런 문제점을 해결하기 위해 자동화된 방법으로 보안 취약점을 탐색하고, 패치하여 악의적인 공격자에게 공격 기회를 줄 수 있는 보안 취약점을 사전에 대응 할 수 있는 기술이 필요하다. 본 논문에서는 복잡도 분석을 통해 취약점 탐색 대상 바이너리의 특징을 추출하고, 특징에 적합한 취약점 탐색 전략을 선정하여 취약점을 자동으로 탐색하는 기술을 제안한다. 제안 기술은 AFL, ANGR, Driller 도구와 비교 검증 하였으며 코드 커버리지는 약 6% 향상, 크래시 개수는 약 2.4배 증가, 크래시 발생율 약 11% 향상 효과를 볼 수 있었다.

• 대한이식학회지
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• 제31권4호
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• pp.193-199
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• 2017

Background: Although there more than 1,000 liver transplantations (LTs) are performed in Korea annually, their immense cost remains a great hurdle. Hence, in an attempt to reduce the medical costs of LT, a program was initiated at a public hospital affiliated with the Seoul National University Hospital. Methods: A total of 11 LTs have been successfully executed since the first LT performed at Seoul Metropolitan Government Seoul National University Boramae Medical Center in July 2011 through December 2014. Results: Nine patients (81.8%) were male and two (18.2%) were female. The mean age of patients was 53.4±11.4 years. Hepatitis B virus-related liver disease (n=6, 54.5%) was the most common causative disease, followed by alcoholic liver disease (ALD) (n=4, 36.4%). The actuarial 3-year survival rate was 90.9%. The median total medical cost of LTs was US $41,583 (calculated from operation to discharge), but only $11,860 was actually charged for patients with health insurance coverage. One female patient who had undergone deceased donor LT for alcoholic liver cirrhosis died during follow-up. This patient was non-compliant with the medical instructions after discharge, and finally expired due to septic shock at 10 months post-LT. Conclusions: In the public hospital, LT was successfully performed at a much lower cost. However, LT guidelines and peritransplant management protocols for patients with ALD must be established before escalating LT at public hospitals since ALD with poor compliance is one of the most common causes of complications at public hospitals.

• 대한예방한의학회지
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• 제17권2호
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• pp.29-46
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• 2013

A survey conducted on 1,103 patients or caretakers visited Korean medical clinics and hospitals between August 25, 2011 to September 30, 2011 by the Ministry of Health and Welfares and Korea Institute for Health and Social Affairs was analyzed and obtained following results: 1. For sociodemographic distribution, female(813) outnumbered male(290) patients with majority of patients ranging from 30s to 60s. Married patients(793) outnumbered unwed(150) patients and 65.0% with higher than high school education. Statistical significance was seen in gender, age, marital status, and education level but no significant difference for status of employment, income level, and types of insurance between the clinics and hospitals. (P<0.05). 45.1% had less than \2,000,000 in monthly salary and most of coverage was provided by either regional or work insurance. 2. 67.9% of the patients rated health conditions to be better than average and 32.1% listed as poor. People in good health showed tendency to visit Korean medical facilities. Musculo-skeletal conditions such as arthritis, ankle sprain, lumbago, muscular injury, and frozen shoulder were common conditions, followed by gastric disorders, common cold and herbal tonics. No significant difference was observed between the clinics and hospitals for above conditions, but significance was seen in atopic dermatitis, stroke, and sequela from traffic accidents (P<0.05). 3. Ten most common conditions addressed at Korean medical facilities were lumbago, arthritis, muscular injury, back sprain, gastric disorders, ankle sprain, common cold, herbal tonics, frozen shoulder and stroke. Major treatment modalities rendered were herbal medicine, herbal supplements, acupuncture and moxibustion, cupping, tuina, and Korean midical physical therapy. No significant difference existed between the clinics and hospitals. 4. All modalities showed at least 85% effectiveness. No statistical significant difference between the clinics and hospitals except for herbal decoction. (P=0.0452) 5. 88.3% of responses showed treatment satisfaction with significant difference between the clinics and hospitals (P=0.002). The occurrence of side effects was at 2%, mostly corning from treating digestive, skin, kidney disorders and neurological issues. No significant difference was observed between the clinics and hospitals. From the above results, the typical population visiting Korean medical facilities can be summarized as being middle aged female with relatively higher education and moderately low income. The health condition is generally good and the purpose of visit is to receive traditional treatments of acupuncture, herbal medicine, and physical therapy. Treatment efficacy and satisfaction were high with no significant differences between the clinics and hospitals.

• Asian Pacific Journal of Cancer Prevention
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• 제14권6호
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• pp.3581-3585
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• 2013

Background: Accurate statistics on the cancer burden are essential, both for purposes of research and for setting priorities in healthcare management. So that in vast countries with partial registration coverage, such as Iran, local data are more useful. We here estimated the incidence, prevalence and mortality time trend of four major cancer site, lung, stomach, breast and prostate, over the period 2001-2010 and provided short-range projections to 2015 in Isfahan. Materials and Methods: Estimates were derived by applying the mortality-incidence analysis method, a back-calculation approach to estimate and project incidence, prevalence and mortality of chronic degenerative disease, starting from knowledge of mortality and relative survival information. Results: Age adjusted incidence, mortality and prevalence rates in Isfahan exhibited a clear upward trend for all four sites during the period 2001-2015, with marked increasees in prostate and breast predicted for the future. Difference in incidence trends between males and females might be attributable to the difference in risk factors specific to certain cancer sites, with smoking being the main risk factor. Conclusions: In this study, males and females displayed an increasing pattern for incidence and mortality rate over the entire study period until 2015. This information can be used as basis for planning healthcare management and allocating recourses in public health.

• KSII Transactions on Internet and Information Systems (TIIS)
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• 제12권6호
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• pp.2581-2594
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• 2018

The microcell terrain is the most common wireless network terrain in our life. In order to solve wireless network optimization of weak coverage in the microcell terrain, improve call quality and reduce the cost of the premise, power amplifiers in base stations should be adjusted according to user volume. In this paper, characteristics of microcell topography are obtained after analysis. According to the topography characteristics of different microcells, changes in the number of users at different times have been estimated, meanwhile, the number of scatter users are also obtained by monitoring the PCCPCH RSCP and other parameters. Then B-Spline interpolation method has been applied to scatter users to obtain the continuous relationship between the number of users and time. On this basis, power amplification can be chosen according to changes in the number of users. The methods adopted by this paper are also applied in the engineering practice, sampling and interpolation are used to obtain the number of users at all times, so that the power amplification can be adjusted by the number of users in a microcell. Such a method is able to optimize wireless network and achieve a goal of expanding the area of base stations, reduce call drop rate and increase capacity.

• Journal of Ecology and Environment
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• 제31권3호
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• pp.225-232
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• 2008

To find out the status and characteristics of exotic plants in the Gwangreung Forest, a representative forest ecosystem in central Korea, we surveyed the species composition, coverage, and habitat illuminance of exotic plant species in a set of quadrats established along roads and trails in and around the Gwangreung Forest and buffer zone areas, In 1932, only five species of exotic plants were found along paths and roads in the Gwangreung Forest. However, the number of species in the forest has dramatically increased since 2000, when Ambrosia artemisiifolia L. and A. trifida L. were first recorded, and in 2007, 38 species of exotic plants were recorded. Among the 11 families, 23 genera and 25 species of exotic plants recorded in the quadrats, Compositae was the most common family (11 species), and perennial herbs, 42%, were the most frequently occurring life type, followed by annual herbs (31%) and biennial herbs (19%). Plants of North American origin comprised 48% of exotic species identified in our surveys. Exotics were found most frequently in quadrats along roads in the forest, followed by the buffer zones and hiking trails. The number of species and individuals of exotic plants decreased as we moved deeper into the forest, but Aster pilosus Willd. and Erigeron annuus (L.) Pers. were identified along hiking trails in the interior, and appeared to be capable of spreading further and more rapidly into the forest than other species.