• PNF and Movement
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• 제13권4호
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• pp.181-188
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• 2015

Purpose: This study aimed to examine the effects of proprioceptive neuromuscular facilitation (PNF) lower extremity patterns combined with elastic bands applied to stroke patients diagnosed with hemiplegia through self-training using the non-paralyzed side approach and the paralyzed side approach, and to investigate the differences in the effects. Methods: Nine chronic stroke patients who were being treated not more than twice a week at H, K, R, and C hospitals located in Gangwon-do, performed self-training for 16 minutes, two times per day for four weeks between August and October 2015. The subjects' balance ability was measured using the Tetrax stability index, the weight distribution index, the Berg Balance Scale (BBS), and the Timed Up and Go (TUG) test before the experiment and four weeks later. Among the statistical methods, paired t-tests were conducted for intra-group comparison of the measurements taken before and after the experiment, and independent t-tests were conducted for inter-group comparison of the ex post facto values. The statistical significance level was set to 0.05. Results: When the lower extremity patterns were applied to the non-paralyzed side group and the paralyzed side group, significant intra-group differences were observed for the Tetrax stability index, the weight distribution index, the Berg Balance Scale (BBS), and Timed Up and Go (TUG) tests (p<0.05); however, the inter-group comparisons showed no significant differences. Conclusion: The non-paralyzed side approach was found to be easy for patients to participate in and it also affected the patients' paralyzed side. Although the paralyzed side approach produced good exercise effects in a short period of time, it could result in adverse effects, such as a decrease in motivation and self-confidence. Therefore, these approaches are considered to be more effective when they are selectively applied depending on the purpose of the intervention and the degree of a patients' participation.

• 한국해양학회지:바다
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• 제26권4호
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• pp.291-306
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• 2021

Coupled Climate Model Inter-comparison Project Phase 6에 참여한 21개의 모형들의 기후변화 시나리오 실험 결과로부터 북서태평양 해면수온과 쿠로시오의 미래변화를 분석하였다. 해면수온 상승의 공간적인 특징은 쿠로시오의 공간적인 분포와 유속의 변화와 관련된 것으로 파악되었다. 북태평양에서 아열대 순환계와 아한대 순환계의 경계를 따라 흐르는 쿠로시오 확장역의 위치 변화와 지구온난화에 따른 대규모 대기순환과의 관계를 알아보기 위해 21개 모형 중 9개의 모형들의 기후변화 실험별로 zero-바람회전응력이 나타나는 위도를 비교하였다. 온실기체의 증가로 대기복사강제력이 커짐에 따라 zero-바람회전응력이 나타나는 위도가 북상하는 것을 확인하였으며, 이는 관측에서 나타난 zero-바람회전응력이 나타나는 위도가 북상하는 추세와 일치하는 결과이다. 이러한 결과는 지구온난화로 인해 해들리순환이 북쪽으로 확장함에 따라 한반도가 속한 중위도의 온난화가 가속될 수 있음을 나타낸다. 대한해협을 통해 동해로 유입되는 대마난류의 수송량과 온도 또한 대기복사강제력이 커짐에 따라 증가하였다.

• Journal of Korean Neurosurgical Society
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• 제59권6호
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• pp.577-583
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• 2016

Objective : The inter-rater reliability of the modified Knosp's classification was measured before the analysis. The clinical validity of the parasellar extension grading system was evaluated by investigating the extents of resection and complication rates among the grades in the endoscopic endonasal transsphenoidal surgery (EETS) for pituitary adenomas. Methods : From November 2008 to August 2015, of the 286 patients who underwent EETS by the senior author, 208 were pituitary adenoma cases (146 non-functioning pituitary adenomas, 10 adrenocorticotropic hormone-secreting adenomas, 31 growth hormone-secreting adenomas, 17 prolactin-secreting adenomas, and 4 thyroid-stimulating hormone-secreting adenomas; 23 microadenomas, 174 macroadenomas, and 11 giant adenomas). Two neurosurgeons and a neuroradiologist independently measured the degree of parasellar extension on the preoperative sellar MRI according to the modified Knosp's classification. Inter-rater reliability was statistically assessed by measuring the intraclass correlation coefficient. The extents of resection were evaluated by comparison of the pre- and post-operative MR images; the neurovascular complications were assessed by reviewing the patients' medical records. The extent of resection was measured in each parasellar extension grade; thereafter, their statistical differences were calculated. Results : The intraclass correlation coefficient value of reliability across the three raters amounted to 0.862. The gross total removal (GTR) rates achieved in each grade were 70.0, 69.8, 62.9, 21.4, 37.5, and 4.3% in Grades 0, 1, 2, 3A, 3B, and 4, respectively. A significant difference in the extent of resection was observed only between Grades 2 and 3A. In addition, significantly higher complication rates were observed in the groups above Grade 3A. Conclusion : Although the modified Knosp's classification system appears to be complex, its inter-rater reliability proves to be excellent. Regarding the clinical validity of the parasellar extension grading system, Grades 3A, 3B, and 4 have a negative predictive value for the GTR rate, with higher complication rates.

• 지역연구
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• 제36권1호
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• pp.17-36
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• 2020

이 연구는 역량 접근법을 기반으로 수도권-비수도권 간 삶의 질 격차의 측면에서 사회적 약자 계층과전체 인구 사이에 차이가 있는지를 비교하는 것을 목적으로 한다. 이를 위해 소득, 주거, 건강, 사회관계 등 역량의 9개 차원을 측정할 수 있는 지표를 선정하여 사회적 약자 계층과 전체 인구에 대해 각각 지표 값을 산출하고, 이를 표준화한 후 윌콕슨 부호순위 검정과 SUR 모형을 이용하여 비교 분석하였다. 그 결과 사회적 약자 대 전체 인구 사이에는 수도권-비수도권 격차에서 유의미한 차이가 있으며, 그 차이는 비수도권의 사회적 약자에게 가장 불리한 방향으로 대체로 일관되게 나타남을 확인하였다. 또한 전체 인구 평균의 관점에서 보면 수도권-비수도권 격차는 크지 않지만, 사회적 약자의 관점에서 보면 지역 격차는 아직도 상당한 수준임을 보여준다. 이러한 결과는 전체 인구의 평균에 대한 분석에 기초한 '평균적' 지역정책이 갖는 한계를 보여주고, 지역문제 분석에서 나타날 수 있는 생태학적 오류를 보여주는 의의를 갖는다.

• 한국약용작물학회지
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• 제26권3호
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• pp.220-226
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• 2018

Background: Atractylodes japonica Koidz. and Atractylodes macrocephala Koidz. belong to the family (Asteraceae). Their rhizomes, called white Atractylodes rhizomes, are used in traditional medicine. To address some issues with their cultivation, we recently developed eight hybrid cultivars by interspecific hybridization of A. japonica and A. macrocephala. This study was conducted to screen the hybrid cultivars that have high amounts of active ingredients and yield ability. Methods and Results: Experiments were conducted using the eight hybrid cultivars and A. macrocephala (control cultivar) in the experimental field of the department of Herbal Crop Research located in Eumseong, South Korea. We investigated the growth characteristics of the aerial and underground parts. Among the cultivars, 'Sanwon' had the highest rhizome dry weight (53.8 g/plant), followed by 'Dachul' (50.0 g/plant). In addition, the content of atractylenolide I, II, III and total active ingredients were investigated using high-performance liquid chromatography. Compared with A. macrocephala, most of the inter-specific hybrid cultivars had a higher content of active ingredients and yield ability. Conclusions: Through study, we established the superior quality of Atractylodes inter-specific hybrid cultivars. In particularly, it was found that 'Dachul' may be grown as a superior cultivar, with high amount of active ingredients as well as yield ability.

• 한국정보통신학회논문지
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• 제15권10호
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• pp.2113-2120
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• 2011

본 논문에서는 셀 경계지역 사용자의 스펙트럼 효율성 향상을 위하여 3GPP LTE-A (Long-Term Evolution-Advanced) 시스템에서 논의되는 셀 간 협력 전송기법 중 하나인 CoMP (Coordinated Multi-Point) 시스템을 소개하고, 성능 검증을 위해 시스템 레벨 시뮬레이터를 개발한다. 셀 간 협력 전송 시 시스템의 성능 개선 정도를 확인하기 위하여 기존 이동통신 시스템 중 가장 높은 성능을 보이는 3GPP LTE-A 시스템을 참조 시스템으로 선정하여 성능 비교를 수행한다. CoMP 시스템 레벨 시뮬레이션은 널리 사용되고 있는 OPNET을 기반으로 하는데, 셀 간 협력 전송 시스템 설계를 바탕으로 CU (Central Unit), CeNB (CoMP eNodeB), UE (User Equipment), MIMO (Multiple-Input Multiple-Output) 채널 모델 등의 모듈을 구현한다. WINNER 무선 채널 모델 및 ITU (International Telecommunication Union) 네트워크 모델 환경을 통하여 하위 5%의 스펙트럼 효율성을 가지는 셀 가장자리 사용자의 성능을 검증할 때, 3GPP LTE-A 참조 시스템 대비 제안한 CoMP 시스템의 용량이 약 2.5배 정도 증가하였음을 보인다.

• 에너지공학
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• 제24권1호
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• pp.104-113
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• 2015

본 논문에서는 연도별로 정유 부문의 경제적 파급효과를 비교분석하고자 한다. 한국은행에서 발표한 1990년부터 2012년도까지의 산업연관표를 이용하였다. 산업연관분석 분석모형 중 수요유도형 모형을 적용하되, 정유 부문을 외생화하여 분석함으로써 자기부문에 대한 효과와 타 부문에 대한 효과를 구분하였다. 정유 부문의 생산유발효과, 부가가치 유발효과, 취업유발효과를 정량화하고 연도별 추이를 살펴본 결과, 생산유발효과의 경우 1993년도부터 2008년까지 감소추세를 보이다가, 2009년도부터 2012년까지 일정한 수준(1.1912, 2012년 기준)을 유지하는 것으로 분석되었다. 그리고 부가가치 유발효과의 경우 1990년에서 1998년까지는 상승추세를 보이다가, 1998년 이후로 는 꾸준히 하락하는 것으로 나타났다(0.1174, 2012년 기준). 취업유발효과는 1990년부터 2008년까지 꾸준히 감소추세를 보이다가, 2010년부터 1.300(명/10억원) 이하의 수준에서 유지하고 있다. 이러한 분석결과는 과거와 비교하여 현시점의 국내 석유 산업을 객관적으로 평가할 수 있다는 점에서 의미가 있으며, 이러한 정량적 정보는 향후 석유산업에 대한 각종 경제적 파급효과를 예측하는데 유용하게 활용될 수 있다.

• Korean Journal of Radiology
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• 제19권6호
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• pp.1066-1076
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• 2018

Objective: The reliability of size measurements of liver metastases from neuroendocrine tumors (NETs) on contrast-enhanced computed tomography (CT) phases made by different readers may be hampered due to transient, variable rim enhancement in arterial phase (AP) or portal venous phase (PVP) images. We aimed to assess the reliability of tumor size measurements in pre- and post-contrast scans. Materials and Methods: The study coordinator selected target lesions according to Response Evaluation Criteria in Solid Tumors 1.1 guidelines in 44 consecutive patients with pathologically confirmed NET liver metastases. Two blinded readers measured the longest diameters of target lesions on pre-contrast, AP, and PVP images twice with a 4-week interval. Inter- and intra-observer agreements were evaluated using Bland-Altman plots and 95% limit of agreement (LOA) calculations. Results: Of the 79 target lesions (approximate mean size of 3 cm), 45 showed rim enhancement. Inter-observer agreement assessed based on LOA was highest in pre-contrast CT images (-6.1-5.7 mm), followed by PVP (-7.9-7.1 mm) and AP (-8.5-7.4 mm) images. Intra-observer agreement showed the same trend: -2.8-2.9 mm and -2.9-2.9 mm for readers 1 and 2, respectively, on pre-contrast CT, -2.8-2.9 mm and -3.0-3.2 mm, respectively, on PVP, and -3.2-4.2 mm and -3.4-3.2 mm, respectively, on AP images. Mean tumor diameters differed significantly among the phases in the following increasing order: pre-contrast CT, PVP, and AP images. Conclusion: There was better inter- and intra-observer agreement in size measurements of NET liver metastases on pre-contrast scans than on AP and PVP scans. Pre-contrast CT may be the optimal for measuring NET liver metastases if its accuracy is proven.

• Korean Journal of Radiology
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• 제25권6호
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• pp.575-588
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• 2024

Objective: Differentiating intracranial aneurysms from normal variants using CT angiography (CTA) or MR angiography (MRA) poses significant challenges. This study aimed to evaluate the efficacy of proton-density MRA (PD-MRA) compared to high-resolution time-of-flight MRA (HR-MRA) in diagnosing aneurysms among patients with indeterminate findings on conventional CTA or MRA. Materials and Methods: In this retrospective analysis, we included patients who underwent both PD-MRA and HR-MRA from August 2020 to July 2022 to assess lesions deemed indeterminate on prior conventional CTA or MRA examinations. Three experienced neuroradiologists independently reviewed the lesions using HR-MRA and PD-MRA with reconstructed voxel sizes of 0.25³ mm³ or 0.2³ mm³, respectively. A neurointerventionist established the gold standard with digital subtraction angiography. We compared the performance of HR-MRA, PD-MRA (0.25³-mm³ voxel), and PD-MRA (0.2³-mm³ voxel) in diagnosing aneurysms, both per lesion and per patient. The Fleiss kappa statistic was used to calculate inter-reader agreement. Results: The study involved 109 patients (average age 57.4 ± 11.0 years; male:female ratio, 11:98) with 141 indeterminate lesions. Of these, 78 lesions (55.3%) in 69 patients were confirmed as aneurysms by the reference standard. PD-MRA (0.25³-mm³ voxel) exhibited significantly higher per-lesion diagnostic performance compared to HR-MRA across all three readers: sensitivity ranged from 87.2%-91.0% versus 66.7%-70.5%; specificity from 93.7%-96.8% versus 58.7%-68.3%; and accuracy from 90.8%-92.9% versus 63.8%-69.5% (P ≤ 0.003). Furthermore, PD-MRA (0.25³-mm³ voxel) demonstrated significantly superior per-patient specificity and accuracy compared to HR-MRA across all evaluators (P ≤ 0.013). The diagnostic accuracy of PD-MRA (0.2³-mm³ voxel) surpassed that of HR-MRA and was comparable to PD-MRA (0.25³-mm³ voxel). The kappa values for inter-reader agreements were significantly higher in PD-MRA (0.820-0.938) than in HR-MRA (0.447-0.510). Conclusion: PD-MRA outperformed HR-MRA in diagnostic accuracy and demonstrated almost perfect inter-reader consistency in identifying intracranial aneurysms among patients with lesions initially indeterminate on CTA or MRA.

• 가정과삶의질연구
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• 제22권2호
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• pp.97-107
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• 2004

The purposes of this study were compare the leisure attitudes, leisure activities, and leisure constraint among three different generations - teenagers, adults, and elderly adults. Data were obtained from a Questionnaire completed by both male and female lived metropolitan, and aged over 13. Using the factor analysis, this study classified the types of leisure attitudes. The leisure attitude was divided to 4 factors - reducing stress, self-realization, family activity, and surplus time. In order to compare the attitudes, activities, and constraints of leisure among three different generations, ANOVA was used The findings of this study are as follows: First, there were significant differences between teenager group and the others. The teenagers (n=107) recognized the leisure as a mechanism of reducing stress, or as just surplus time. They liked sports, computer games, travels, and reading books, but were not likely to like leisure activities shared with family members. Their leisure constraints were significantly larger than those of the other groups. Teenagers' constraints of time, money, and skills could be leisure barriers. Second, adults group (n=123) attached importance to the family leisure activities. They liked to spend time with their family members, but they seemed to be relatively passive in most types of leisure activities. They like to read newspapers and magazines, and to participate in religious activities. Third, elderly adults' (n=86) purpose of leisure activities was to improve the health condition, and to develop relationships with their friends. They liked sports such as swimming and aerobic dance, travels, religious activities and community service activities. Their good health condition and economic resources could decrease the leisure constraints.