• 한국치위생학회지
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• 제13권6호
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• pp.1041-1046
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• 2013

Objectives : The purpose of the study is to investigate the significant(SiC) index of the 12 year old children's permanent teeth caries experience. A total of 428 children aged 12 years old were recruited from metropolitan city(215 children) and rural area(213 children) in this study. SiC index was obtained from DMFT index. Data were analyzed by gender, region, and DMFT. Methods : DMFT index and Sic index were analyzed and compared by pit and sealant fissure treatment, dental caries, gender, and areas. A total of 428 children aged 12 years old were recruited from metropolitan city(215 children) and rural area(213 children) in this study. Results : Boy students(6.73) tended to have a higher SiC index than girl students(7.84). There were significant differences(p<0.05). DMFT index in urban area was 2.59, and that in rural area was 3.35. In SiC index, rural children showed a higher index(7.77) than urban children(6.72).There existed a significance between DMFT index and SiC index(p<0.05). Conclusions : It is important to educate and to develop the oral disease prevention program for the high risk group children. This study showed the relationship between DMFT index and SiC index in 12 year old children in urban and rural areas.

• 해양환경안전학회지
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• 제19권4호
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• pp.375-381
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• 2013

해상교통환경의 위험도를 평가하기 위해서는 위험도를 구성하고 있는 위험요소들을 명확히 식별하고, 식별된 위험요소들을 평가할 수 있는 기준을 마련하여야 한다. 한편 이러한 각 위험요소들의 위험수준의 합으로 전체 위험도를 나타낼 수 있으므로, 각 위험요소가 전체 위험도에서 차지하는 비중인 상대적 중요도가 분석되어야 한다. 본 연구는 선행연구에서 국내 외 해상교통환경 위험도 평가모델들의 검토를 통하여 제시된 국내 해상교통환경의 위험도를 구성하는 20가지 위험요소와 평가기준 및 해상교통전문가 집단에 의한 설문조사를 통하여 계층분석적 의사결정법으로 분석한 각 위험요소의 상대적 중요도를 바탕으로, 국내 목포항 및 그 진입수로에 대한 해상교통환경의 위험도를 평가하였다. 목포항 및 그 진입수로는 비교평가를 위하여 총 4개의 해역으로 구분하여 분석하였으며, 분석결과 위험요소 해수운동 복잡성 예인선 도선사 선박교통관제 등에서 위험수준이 높게 나타난 정등해 항로의 위험도가 가장 높게 평가되었다. 이러한 평가결과는 동일한 해역에서 본 연구와는 다른 정성적 혹은 정량적 위험도 분석기법을 이용한 연구들의 평가결과와 대체로 일치하였다.

• 한국콘텐츠학회논문지
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• 제20권11호
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• pp.603-614
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• 2020

본 연구는 기혼여성들의 SNS중독경향성에 대한 잠재프로파일을 분류하고, 잠재계층을 분류하는데 있어서 연령, 성인애착, 소외 두려움에 대한 외적동기, 결혼만족도의 영향력을 검증하는 데 목적이 있다. 연구대상자는 SNS를 사용하고 있는 기혼여성으로, 온라인 설문 조사를 통해 진행하였으며 총 300명의 자료가 분석에 사용 되었다. 분석 결과, 기혼여성들의 SNS중독 경향성에 대한 잠재프로파일은 3개의 집단으로 분류되었다. 3개의 집단은 '고위험군', '잠재위험군', '저위험군'으로 세 가지 하위 영역(집착 및 금단, 과잉소통과 몰입, 과도한 소비)에서 모두 점수가 높았던 '고위험군'은 전체의 24.51%를 차지하였고, 하위 영역들에서 중간 정도의 점수를 보이는 '잠재위험군'은 44.33%로 그 비율이 가장 높았다. 잠재계층 분류에 있어서 연령을 제외한 다른 모든 변인이 유의미한 영향력을 지니는 것으로 나타났다. 본 연구는 기혼여성의 SNS중독경향에 특성에 따른 집단을 구분하며 집단별 특성에 따른 상담과 교육에 방향에 대한 시사점을 제공하였으며, 이후 기혼여성의 SNS중독경향에 대한 표준화된 도구개발 등을 통해 다양한 연구 확대가 필요함에 대해 논의하였다.

• Parasites, Hosts and Diseases
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• 제56권1호
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• pp.33-39
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• 2018

Intestinal parasitic infections remain a major public health problem in many parts of Thailand, particularly in rural areas. This study aimed to determine the prevalence of intestinal parasitic infections and associated risk factors among the people living in Huai Sai sub-district, Bang Khla district, Chachoengsao Province, central Thailand. A cross-sectional survey was carried out from June 2017 to August 2017 which included a total of 224 participants. Stool samples were examined using a simple direct smear and formalin ethyl acetate concentration technique. Association between risk factors and intestinal parasitic infections was assessed using multivariate logistic regression analysis. The overall prevalence of intestinal parasitic infections was 16.1%. Soil-transmitted helminth infections (14.3%) were more common than protozoan infections (1.8%). The most common intestinal parasites were hookworms (6.7%) followed by Strongyloides stercoralis, (5.0%), Ascaris lumbricoides (1.3%) and Trichuris trichiura (1.3%). Entamoeba histolytica/dispar (1.0%), Giardia intestinalis (0.4%), and Blastocystis hominis (0.4%) were the protozoans identified. A high prevalence of infections was found in male participants of ${\geq}40years$ who raised dogs in the households and did not wear boots while working fields. Multivariate analysis showed a significant association of intestinal parasitic infections with gender with the adjusted odds ratio (OR) of 2.4 and 95% confidence interval (CI) of 1.1-5.2 (P=0.020). The results showed a high prevalence of soil-transmitted helminth infections among adults in rural communities which were particularly apparent regarding the skin-penetrating species of nematodes. A greater focus on intervention is required by improving sanitation and personal hygiene to prevent the spread of intestinal parasitic infections.

• Journal of Trauma and Injury
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• 제35권1호
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• pp.25-33
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• 2022

Purpose: The scoring system for traumatic liver injury (SSTLI) was developed in 2015 to predict mortality in patients with polytraumatic liver injury. This study aimed to validate the SSTLI as a prognostic factor in patients with polytrauma and liver injury through a generalized estimating equation analysis. Methods: The medical records of 521 patients with traumatic liver injury from January 2015 to December 2019 were reviewed. The primary outcome variable was in-hospital mortality. All the risk factors were analyzed using multivariate logistic regression analysis. The SSTLI has five clinical measures (age, Injury Severity Score, serum total bilirubin level, prothrombin time, and creatinine level) chosen based on their predictive power. Each measure is scored as 0-1 (age and Injury Severity Score) or 0-3 (serum total bilirubin level, prothrombin time, and creatinine level). The SSTLI score corresponds to the total points for each item (0-11 points). Results: The areas under the curve of the SSTLI to predict mortality on post-traumatic days 0, 1, 3, and 5 were 0.736, 0.783, 0.830, and 0.824, respectively. A very good to excellent positive correlation was observed between the probability of mortality and the SSTLI score (γ=0.997, P<0.001). A value of 5 points was used as the threshold to distinguish low-risk (<5) from high-risk (≥5) patients. Multivariate analysis using the generalized estimating equation in the logistic regression model indicated that the SSTLI score was an independent predictor of mortality (odds ratio, 1.027; 95% confidence interval, 1.018-1.036; P<0.001). Conclusions: The SSTLI was verified to predict mortality in patients with polytrauma and liver injury. A score of ≥5 on the SSTLI indicated a high-risk of post-traumatic mortality.

• 대기
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• 제31권1호
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• pp.85-100
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• 2021

The necessity of accurate high-resolution meteorological forecasts becomes increasing in socio-economical applications and disaster risk management. The Korea Meteorological Administration Post-Processing (KMAPP) system has been operated to provide high-resolution meteorological forecasts of 100 m over the South Korea region. This study evaluates and improves the KMAPP performance in simulating wind speeds over complex terrain areas using the ICE-POP 2018 field campaign measurements. The mountainous measurements give a unique opportunity to evaluate the operational wind speed forecasts over the complex terrain area. The one-month wintertime forecasts revealed that the operational Local Data Assimilation and Prediction System (LDAPS) has systematic errors over the complex mountainous area, especially in deep valley areas, due to the orographic smoothing effect. The KMAPP reproduced the orographic height variation over the complex terrain area but failed to reduce the wind speed forecast errors of the LDAPS model. It even showed unreasonable values (~0.1 m s-1) for deep valley sites due to topographic overcorrection. The model's static parameters have been revised and applied to the KMAPP-Wind system, developed newly in this study, to represent the local topographic characteristics better over the region. Besides, sensitivity tests were conducted to investigate the effects of the model's physical correction methods. The KMAPP-Wind system showed better performance in predicting near-surface wind speed during the ICE-POP period than the original KMAPP version, reducing the forecast error by 21.2%. It suggests that a realistic representation of the topographic parameters is a prerequisite for the physical downscaling of near-ground wind speed over complex terrain areas.

• Journal of Korean Neurosurgical Society
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• 제64권3호
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• pp.418-426
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• 2021

Objective : A role of diffusion-weighted imaging (DWI) in the diagnosis of cerebral venous thrombosis (CVT) is not well-understood. This study evaluates the effectiveness of DWI in the diagnosis of CVT. Methods : Literature search was conducted in electronic databases for the identification of studies which reported the outcomes of patients subjected to DWI for CVT diagnosis. Random-effects meta-analyses were performed to achieve overall estimates of important diagnostic efficiency indices including hyperintense signal rate, the sensitivity and specificity of DWI in diagnosing CVT, and the apparent diffusion coefficient (ADC) of DWI signal areas and surrounding tissue. Results : Nineteen studies (443 patients with 856 CVTs; age 40 years [95% confidence interval (CI), 33 to 43]; 28% males [95% CI, 18 to 38]; symptom onset to DWI time 4.6 days [95% CI, 2.3 to 6.9]) were included. Hyperintense signals on DWI were detected in 40% (95% CI, 26 to 55) of the cases. The sensitivity of DWI for detecting CVT was 22% (95% CI, 11 to 34) but specificity was 98% (95% CI, 95 to 100). ADC values were quite heterogenous in DWI signal areas. However, generally the ADC values were lower in DWI signal areas than in surrounding normal areas (mean difference-0.33×10-3 ㎟/s [95% CI, -0.44 to -0.23]; p<0.00001). Conclusion : DWI has a low sensitivity in detecting CVT and thus has a high risk of missing many CVT cases. However, because of its high specificity, it may have supporting and exploratory roles in CVT diagnosis.

• 한국환경보건학회지
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• 제34권2호
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• pp.153-160
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• 2008

Personal noise exposure was assessed in railroad operators working in 40 operation units including the Gyeongbu line, Honam line, and Janghang line between 2004 and 2006. 8-hour TWA were assessed based on the MOL (Ministry of Labor) guideline on noise evaluation, and 17% of these measurements exceeded 85 dBA while 70% were over 80 dBA. When the ACGIH TLV is adopted, 40% of measurements were over TLV (85 dBA). The noise exposure risk of railroad operators was higher for diesel locomotive operation and longer operational distances; in addition, the risk was higher for passenger car operation compared to freight car driving. Given that in Korea, over the past 30 years diesel locomotives have provided most of the railway's motive power and that hearing protective equipment is not likely to be used by workers during operation, railroad operators are at a high risk of noise-induced hearing loss. The result of audiometric test among 568 railroad operators showed that 32.6% of those tested had a hearing threshold shift of more than 40 dB. In conclusion, this study calls for more fundamental measures including noise control countermeasures within the operation areas, development of equipment that generates less noise and adopting limitation on the operation distance for a work shift.

• 기본간호학회지
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• 제17권2호
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• pp.249-258
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• 2010

Purpose: To develop an e-learning blood-borne infection control program and to evaluate the effects of the program on risk perception, knowledge, preventive health behaviors related to blood-borne infections, and satisfaction with the program by nursing student. Methods: The program was developed through the processes of analysis, design, development, implementation, and evaluation. The pre-experimental research design involved a one group pretest-posttest design. The setting was two universities located in Daejeon, Korea. Results: Using the program that was designed and developed, results for the total score of risk perception, knowledge, and preventive health behaviors in the post-test application were significantly higher than in the pre-test application (p<.05). Relevance and usefulness of the information received the highest ratings, while the system's design were demonstrated to have the lowest ratings. Those areas requiring correction were modified accordingly. Conclusions: Application of an e-learning blood-borne infection control program is effective, and can be expanded to other student nurses who also have a high risk of blood-borne infections.

• Radiation Oncology Journal
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• 제38권2호
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• pp.93-98
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• 2020

Purpose: Due to COVID 19 pandemic, the treatment of cancer patients has become a dilemma for every oncologist. Cancer patients are at an increased risk of immunosuppression and have a higher risk to acquire any infection. There are individual experiences from some centers regarding the management of cancer patients during such a crisis. So we have developed our institutional strategy to balance between COVID and cancer management. Materials and Methods: Radiation Oncology departmental meeting was held to prepare a consensus document on Radiotherapy schedules and department functioning during this pandemic. Results: Strategies were taken in form of following areas were steps need to be taken to decrease risk of infection, categorise treatment on the basis of priority, radiotherapy schedules modification, academic meetings and management of COVID positive patient/personnel in Radiation Oncology department. Conclusion: We hope to strike the balance in overcoming both the battles and emerge as winners. Stringent long term follow up will be done for assessing the response or any unforeseen treatment related sequelae.