• Asian Pacific Journal of Cancer Prevention
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• 제15권21호
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• pp.9085-9091
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• 2014

Background: Epidemiology studies have shown an inconclusive relationship between phytoestrogen intake and ovarian cancer risk and there have been no relevant meta-analyses directly regarding this topic. The purpose of the present meta-analysis was therefore to investigate any association between phytoestrogen intake and ovarian cancer in detail. Materials and Methods: We conducted a search of PubMed, EMBASE, EBSCO, the Cochrane Library, CNKI and Chinese Biomedical Database (up to April 2014) using common keywords for studies that focused on phytoestrogen and ovarian cancer risk. Study-specific risk estimates (RRs) were pooled using fixed effect or random-effect models. Results: Ten epidemiologic studies were finally included in the meta-analysis. The total results indicated higher phytoestrogen intake was associated with a reduced ovarian cancer risk (RR, 0.70; 95%CI: 0.56-0.87). The association was similar in sensitivity analysis. Meta regression analysis demonstrated sources and possibly types and regions as heterogeneous factors. Subgroup analysis of types, sources and regions showed that isoflavones (RR: 0.63; 95%CI: 0.46, 0.86), soy foods (RR: 0.51; 95%CI: 0.39, 0.68) and an Asian diet (RR: 0.48; 95%CI: 0.37, 0.63) intake could reduce the incidence of ovarian cancer. Conclusions: Our findings show possible protection by phytoestrogens against ovarian cancer. We emphasize specific phytoestrogens from soy foods, but not all could reduce the risk. The habit of plentiful phytoestrogen intake by Asians is worthy to recommendation. However, we still need additional larger well designed observational studies to fully characterize underlying associations.

• 대한치과의사협회지
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• 제54권6호
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• pp.429-437
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• 2016

Objectives: Photodynamic therapy has been proven to promote additional clinical and microbiological benefits in the treatment of chronic periodontitis and aggressive periodontitis. The purpose of this study is to assess the effectiveness of the photodynamic therapy for patient with periodontitis. Methods: We searched the eight Korean databases and Ovid-MEDLINE, Ovid-EMBASE, Cochrane Library. Total 300 studies were searched and 13 studies were included in the final assessment. Each of the stages from literature search and extraction of data were carried out independently by 2 researchers. We used tools of Scottish Intercollegiate Guidelines Networks for assessment of the quality of studies. Results: The safety of the photodynamic therapy was assessed by bleeding. The effectiveness of the photodynamic therapy was assessed by the reduction of Probing pocket depth (PPD) and the gain of Clinical attachment level (CAL). The mean difference of PPD was 0.46(95% CI 0.09~0.82), (p=.01).). The mean difference of CAL was ?0.49(95% CI ?1.12~0.14), (p=.13). Conclusion: The additional use of $^{\circ}{\infty}$Antimicrobial Photodynamic Therapy for Periodontitis$^{\circ}{\pm}$ caused hemorrhage to similar extents to conventional treatment modalities, where scaling and root planing are solely performed, in patients with periodontitis who are expected to have a lower degree of treatment response to non-surgical or surgical periodontal therapies (implant or refractory periodontitis) and those where there is a concern for the possible occurrence of antimicrobial side effects or resistance. This indicates that there are no problems with its safety. But there were no consistent reports about the effects of the additional use of photodynamic therapy. This led to a decision that the safety and efficacy of the current technology deserve further studies (Recommendation rating of A, Classification of technology II-a).

• 대한본초학회지
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• 제33권1호
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• pp.9-15
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• 2018

Objectives : The root bark of Dictamnus dasycarpus has been frequently used to treat patients with skin diseases in Korea. Recently, wild root of D. dasycarpus are reported to induce liver injury. Methods : Traditional uses of D. dasycarpus for skin diseases were analysed bibliographically. In addition, reported cases were collected and analysed using pubmed and national digital library. Results : In taiwan, D. dasycarpus revealed to be one of major herbs for skin diseases and many researchers in worldwide had reported its dermatological efficacies. Reported cases related in liver injury described that hepatocellular or cholestatic liver injury were seen in patients eating wild root of D. dasycarpus. In addition, 6 cases in worldwide and 1 case in Korea showed that patients with drug induced liver injury (DILI) ingested not root bark of D. dasycarpus but prescriptions containing root bark of D. dasycarpus. These mean that wild root of D. dasycarpus (Bongsam or Bongwhangsam) was estimated to be closely related in DILI. Whereas, it was difficult to confirm direct correlation between root bark of D. dasycarpus used as herbal medicine by doctor of Korean medicine and DILI. Conclusions : these results imply that wild root of D. dasycarpus is closely related in DILI and strong recommendation not to take it without consultation by experts is needed. In addition, although there are no evidences of direct correlation between root bark of D. dasycarpus and DILI, doctor of Korean medicines should pay attention to use root bark of D. dasycarpus in their clinics.

• 정보관리학회지
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• 제39권3호
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• pp.311-336
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• 2022

본 연구는 도서관 정보서비스 환경에서 도서 이용자의 도서추천에 영향을 미치는 선호요인을 파악하기 위해 전 세계 도서 이용자의 참여로 이루어지는 사회적 목록 서비스인 Goodreads 리뷰 데이터를 대상으로 내용분석하였다. 이용자 선호의 내용을 보다 세부적인 관점에서 파악하기 위해 샘플 선정 과정에서 평점 그룹별, 도서별, 이용자별 하위 데이터 집합을 구성하였으며, 다양한 토픽을 고루 반영하기 위해 리뷰 텍스트의 토픽모델링 결과에 기반하여 층화 샘플링을 수행하였다. 그 결과, '내용', '캐릭터', '글쓰기', '읽기', '작가', '스토리', '형식'의 7개 범주에 속하는 총 90개 선호요인 관련 개념을 식별하는 한편, 평점에 따라 드러나는 일반적인 선호요인은 물론 호불호가 분명한 도서와 이용자에서 드러나는 선호요인의 양상을 파악하였다. 본 연구의 결과는 이용자 선호요인의 구체적 양상을 파악하여 향후 추천시스템 등에서 보다 정교한 추천에 기여할 수 있을 것으로 보인다.

• 한방재활의학과학회지
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• 제31권4호
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• pp.129-143
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• 2021

Objectives This study was aimed to evaluate clinical practice guidelines (CPGs) of traffic injuries, which has already been developed at domestic or outside of country, and to explore the Korean medical treatments included in the CPGs. Methods Twelve electronic databases (PubMed, Cochrane library, China National Knowledge Infrastructure [CNKI {Chinese Academic Journals, CAJ}], Research Information Sharing Service [RISS], Oriental Medicine Advanced Searching Integrated System [OASIS], KoreaMed, Korean Medical Guideline Information [KoMGI), National Guideline Clearinghouse [AHRQ], Core Outcome Measures in Effectiveness Trials Initiative Website [COMET], Turning Research into Practice [TRIP], The National Institute for Health and Care Excellence [NICE], and Medical Research Information Center [MedRIC]) up to July 2021 were searched. Only systematically developed CPGs for traffic injuries were selected and appraised. The appraisal was conducted by using Appraisal of Guidelines for Research & Evaluation (AGREE) II tool. Results Six CPGs were included and evaluated. All CPGs were appraised as highly recommended because they exceeded 60% in more than 4 among 6 domains of AGREE II, including domain of 'rigor of development', and 30% in the rest. Recommendations related to Korean medicine treatments such as on manual therapy related to Chuna were given in 6 CPGs, 4 for acupuncture, 1 for Qigong and 1 for Taping. Conclusions The 6 CPGs were developed up to now through a systematic development methodology and there were many recommendations for Korean medical treatments related to manual (Chuna) treatment, acupuncture and Qigong. However, the evidence for the side effects and risk factors of Korean medical treatments was scantly reflected in CPGs. Therefore, it is considered that balanced CPG with benefits and risks should be developed, covering Korean medical diagnosis, treatment and prognosis.

• 정보관리학회지
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• 제38권3호
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• pp.311-334
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• 2021

이 연구의 목적은 합리적인 장서관리정책 수립을 위한 이론적 근거와 계량화된 객관적 기준점 제시이다. 본 연구의 연구결과를 요약하면 다음과 같다. 스테디셀러는 정기간행물 형태의 학습서가 대부분이었다. 또한, 현대소설로서 스테디셀러는 특정 작가에 의존하는 현상을 확인할 수 있었다. 베스트셀러는 출판사와 저자의 영향을 받는 것으로 조사되었다. 특히 만화와 아동용 교재를 출판하는 출판사의 도서는 베스트셀러 선정에 상당부분 상관성을 갖고 있었다. 추천된 도서 한 권당 추천 도서의 대출 수 평균은 14,871권이었으며, 베스트셀러로 선정된 도서 한 권당 평균 대출 수는 53,531권이었다. 한편 대출데이터를 기준으로 약 80~82%의 도서가 전체 상위권 대출의 90%를 감당하고 있고, 약 27~29%의 도서가 전체 상위권 대출의 50%를 감당하고 있었다. 이는 일련의 파레토법칙이 공공도서관 대출패턴에서도 굳건히 적용될 수 있음을 보여주고 있다. 문학의 대출은 전체 대출에서 50.6%를 차지하였으며, 문학 중에서 한국문학작품이 전체 51.3%를 차지하였다. 자연과학은 다른 주제분야에 비해 상대적으로 작은 수의 문헌으로 더 많은 대출을 발생시키고 있었다.

• 한국방사선학회논문지
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• 제15권1호
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• pp.37-43
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• 2021

국내에는 다수의 원자력시설이 존재하며, 지리적으로 비핵화 대상국인 북한을 주변국으로 두고 있다. 변화하는 국제 정세에 따른 선제적 대응으로 대상시설에 대한 핵감식 데이터를 구축할 필요가 있다. 이를 위해 국내 원자력시설 및 핵연료 주기를 고려하여 핵물질 및 기타 방사성물질의 기원 또는 출처를 파악하는데 사용되는 표지물질을 제시하였다. 국내에서는 경수로 및 중수로를 운용하고 있으며 각각 핵연료로 농축 우라늄과 천연우라늄을 사용한다. 국내 선행핵연료주기에서 표지물질은 중수로형 원자력발전소의 연료인 천연우라늄과 우라늄 농축과정의 UF6으로 생각할 수 있다. 국내 후행핵연료주기는 재처리 과정을 제외된 비순환 주기를 채택하고 있어 주요 표지물질은 사용후핵연료가 된다. 해당 물질들에 대해 IAEA 문헌에서 권고하는 표지물질의 시그니처 중요도를 판단하고 조사 항목을 제시하였다. 향후 핵감식에서 핵물질 관리에 대한 무결성 입증과 국가 핵감식 역량을 높이기 위한 핵감식 라이브러리 구축을 위해 국내 원자력시설과 핵연료주기를 고려한 표지물질을 파악하고 해당물질 별 시그니처 데이터를 확보해야 할 것으로 생각된다.

• Korean Journal of Radiology
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• 제21권7호
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• pp.812-828
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• 2020

Objective: To provide an evidence-based guide for the MRI interpretation of complete tumor response after neoadjuvant chemoradiation therapy (CRT) for rectal cancer using visual assessment on T2-weighted imaging (T2) and diffusion-weighted imaging (DWI). Materials and Methods: PubMed MEDLINE, EMBASE, and Cochrane Library were searched on November 28, 2019 to identify articles on the following issues: 1) sensitivity and specificity of T2 or DWI for diagnosing pathologic complete response (pCR) and the criteria for MRI diagnosis; 2) MRI alone vs. MRI combined with other test(s) in sensitivity and specificity for pCR; and 3) tests to select patients for the watch-and-wait management. Eligible articles were selected according to meticulous criteria and were synthesized. Results: Of 1615 article candidates, 55 eligible articles (for all three issues combined) were identified. Combined T2 and DWI performed better than T2 alone, with a meta-analytic summary sensitivity of 0.62 (95% confidence interval [CI], 0.43-0.77; I² = 80.60) and summary specificity of 0.89 (95% CI, 0.80-0.94; I² = 92.61) for diagnosing pCR. The criteria for the complete response on T2 in most studies had the commonality of remarkable tumor decrease to the absence of mass-like or nodular intermediate signal, although somewhat varied, as follows: (near) normalization of the wall; regular, thin, hypointense scar in the luminal side with (near) normal-appearance or homogeneous intermediate signal in the underlying wall; and hypointense thickening of the wall. The criteria on DWI were the absence of a hyperintense signal at high b-value (≥ 800 sec/mm²) in most studies. The specific algorithm to combine T2 and DWI was obscure in half of the studies. MRI combined with endoscopy was the most utilized means to select patients for the watch-and-wait management despite a lack of strong evidence to guide and support a multi-test approach. Conclusion: This systematic review and meta-analysis provide an evidence-based practical guide for MRI assessment of complete tumor response after CRT for rectal cancer.

• Journal of Gastric Cancer
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• 제23권1호
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• pp.3-106
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• 2023

Gastric cancer is one of the most common cancers in Korea and the world. Since 2004, this is the 4th gastric cancer guideline published in Korea which is the revised version of previous evidence-based approach in 2018. Current guideline is a collaborative work of the interdisciplinary working group including experts in the field of gastric surgery, gastroenterology, endoscopy, medical oncology, abdominal radiology, pathology, nuclear medicine, radiation oncology and guideline development methodology. Total of 33 key questions were updated or proposed after a collaborative review by the working group and 40 statements were developed according to the systematic review using the MEDLINE, Embase, Cochrane Library and KoreaMed database. The level of evidence and the grading of recommendations were categorized according to the Grading of Recommendations, Assessment, Development and Evaluation proposition. Evidence level, benefit, harm, and clinical applicability was considered as the significant factors for recommendation. The working group reviewed recommendations and discussed for consensus. In the earlier part, general consideration discusses screening, diagnosis and staging of endoscopy, pathology, radiology, and nuclear medicine. Flowchart is depicted with statements which is supported by meta-analysis and references. Since clinical trial and systematic review was not suitable for postoperative oncologic and nutritional follow-up, working group agreed to conduct a nationwide survey investigating the clinical practice of all tertiary or general hospitals in Korea. The purpose of this survey was to provide baseline information on follow up. Herein we present a multidisciplinary-evidence based gastric cancer guideline.

• 지능정보연구
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• 제20권4호
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• pp.89-105
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• 2014

Web2.0의 등장과 함께 급속히 발전해온 온라인 포럼, 블로그, 트위터, 페이스북과 같은 소셜 미디어 서비스는 소비자와 소비자간의 의사소통을 넘어 이제 기업과 소비자 사이의 새로운 커뮤니케이션 매체로도 인식되고 있다. 때문에 기업뿐만 아니라 수많은 기관, 조직 등에서도 소셜미디어를 활용하여 소비자와 적극적인 의사소통을 전개하고 있으며, 나아가 소셜 미디어 콘텐츠에 담겨있는 소비자 고객들의 의견, 관심, 불만, 평판 등을 분석하고 이해하며 비즈니스에 적용하기 위해 이를 적극 분석하는 단계로 진화하고 있다. 이러한 연구의 한 분야로서 비정형 텍스트 콘텐츠와 같은 빅 데이터에서 저자의 감성이나 의견 등을 추출하는 오피니언 마이닝과 감성분석 기법이 소셜미디어 콘텐츠 분석에도 활발히 이용되고 있으며, 이미 여러 연구에서 이를 위한 방법론, 테크닉, 툴 등을 제시하고 있다. 그러나 아직 대량의 소셜미디어 데이터를 수집하여 언어처리를 거치고 의미를 해석하여 비즈니스 인사이트를 도출하는 전반의 과정을 제시한 연구가 많지 않으며, 그 결과를 의사결정자들이 쉽게 이해할 수 있는 시각화 기법으로 풀어내는 것 또한 드문 실정이다. 그러므로 본 연구에서는 소셜미디어 콘텐츠의 오피니언 마이닝을 위한 실무적인 분석방법을 제시하고 이를 통해 기업의사결정을 지원할 수 있는 시각화된 결과물을 제시하고자 하였다. 이를 위해 한국 인스턴트 식품 1위 기업의 대표 상품인 N-라면을 사례 연구의 대상으로 실제 블로그 데이터와 뉴스를 수집/분석하고 결과를 도출하였다. 또한 이런 과정에서 프리웨어 오픈 소스 R을 이용함으로써 비용부담 없이 어떤 조직에서도 적용할 수 있는 레퍼런스를 구현하였다. 그러므로 저자들은 본 연구의 분석방법과 결과물들이 식품산업뿐만 아니라 타 산업에서도 바로 적용 가능한 실용적 가이드와 참조자료가 될 것으로 기대한다.