• Archives of Plastic Surgery
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• v.48 no.6
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• pp.607-613
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• 2021

Background Breast reconstruction using an extended latissimus dorsi (eLD) flap can supplement more volume than reconstruction using various local flaps after partial mastectomy, and it is a valuable surgical method since the reconstruction area is not limited. However, when performing reconstruction, the surgeon should consider latissimus dorsi (LD) volume reduction due to postoperative chemotherapy (POCTx) and postoperative radiotherapy (PORTx). To evaluate the effect of POCTx and PORTx on LD volume reduction, the effects of each therapy-both separately and jointly-need to be demonstrated. The present study quantified LD volume reduction in patients who underwent POCTx and PORTx after receiving breast-conserving surgery (BCS) with an eLD flap. Methods This study included 48 patients who received immediate breast reconstruction using an eLD flap from January 2013 to March 2017, had chest computed tomography (CT) 7-10 days after surgery and 10-14 months after radiotherapy completion, and were observed for more than 3 years postoperatively. One surgeon performed the breast reconstruction procedures, and measurements of breast volume were obtained from axial CT views, using a picture archiving and communication system. A P-value <0.05 was the threshold for statistical significance. Results The average volume reduction of LD at 10-14 months after completing POCTx and PORTx was 64.5% (range, 42.8%-81.4%) in comparison to the volume measured 7-10 days after surgery. This change was statistically significant (P<0.05). Conclusions Based on the findings of this study, when harvesting an eLD flap, surgeons should anticipate an average LD volume reduction of 64.5% if chemotherapy and radiotherapy are scheduled after BCS with an eLD flap.

• Therapeutic Science for Rehabilitation
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• v.11 no.1
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• pp.35-47
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• 2022

Objective : In this study, we conducted a questionnaire survey of occupational therapists to examine their perceptions on and willingness to provide telerehabilitation dementia prevention education. Methods : From March 13 to 19, 2021, a questionnaire survey targeting occupational therapists in Busan, Ulsan, and Gyeongnam was conducted. 100 questionnaires were distributed but only 70 were collected. The collected data were subjected to frequency analysis and descriptive statistics using the statistical program SPSS version 23.0. Results : The average scores by region were as follows. The average compatibility score was highest at 3.92 score, intention to providing education, doctors 3.89 score, community-centric rehabilitation awareness 3.81 score, cost saving 3.78 score, perceiver usefulness 3.75 score, accessibility 3.62 score, the quality of telerehabilitation service was in order of 3.49 score. Conclusion : All items asking whether occupational therapists participate in community-centered rehabilitation and non-face-to-face dementia prevention education programs showed high scores, indicating the willingness to participate actively. In the future, in addition to follow-up research on the implementation of telerehabilitation dementia prevention education, measures for improving accessibility within the local and national government should be discussed.

• KSCE Journal of Civil and Environmental Engineering Research
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• v.29 no.5B
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• pp.419-427
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• 2009

In existing studies about benefit of water quality improvement using WTP, the object of survey is described pre-policy water quality as "current water quality" and improved (post-policy) water quality as "boatable, fishable and swimmable". Multiply WTP by the number of households of basin is total benefit. The existing studies are not benefit of a specific water resource business but benefit of a policy on unsubstantial water resource business. Because of a lack of objectivity and oversimplification, it is difficult for survey respondents to understand an object of survey. The purpose of this study is to evaluate a benefit estimation methodology for raw water quality improvement in water resource development business. After conducting a survey of WTP of 1,000 housewives who is using water service in the National Capital region, the relational expression of water quality improvement (BOD) and WTP is derived by using statistical analysis of the survey. As a case study, the stream water quality improvement benefit of Song Li Won multipurpose dam was evaluated, which is planned to be built at the local secondary stream section on Nae Sung stream in Nak-Dong River system. As a result of study, annual average benefit evaluation is 5,980 million won on the average annual planned discharge, 8,663 million won on the planned discharge during the period except for wet season (July to October), 11,905 million won on the planned discharge during water quality declining period and 14,502 million won on the planned discharge during water quality declining period respectively. By using the relational expression of BOD-WTP, it is easy to estimate the benefit without regard for water quality.

• The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
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• v.13 no.4
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• pp.342-347
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• 2008

Mortality and growth rate of the soft coral, Dendronephthya gigantea, from Jejudo Island on the southern coast of Korea were investigated from February 2003 to October 2004 using SCUBA diving. 48 individuals with variable sizes of D. gigantea of the depth of 15m were tagged with flagging tapes and plastic films, and then monitored with two month intervals. The average mortality of two-month term for the study period was 50.4%, with the peak of 84.6% during the summer storms in August - October 2003. About the size class mortality, individuals of size class I(${\leq}$10 cm) showed the highest mortality, followed by size class III(>20 cm) and size class II(10 cm-20 cm). Growth rate did not show a seasonal pattern. For growth in length, individuals of D. gigantea grew about 3cm in average for two-month period, with a maximum growth of 6.4 cm which occurred in August - October 2003. For growth in diameter, individuals grew about 0.3 cm for 2 month term, with a maximum of 1.4cm in April - June 2004. Individuals of size class I usually grew faster than those of larger size classes. D. gigantea population in Jejudo Island was strongly affected by summer storms, which was due to annual event of summer typhoon. Never the less, it appears that the local population can be maintained by fast growth of the juvenile stage and active recruitment to compensate the high mortality caused by the summer disturbance.

• Annals of Occupational and Environmental Medicine
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• v.34
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• pp.7.1-7.10
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• 2022

Background: Occupational skin diseases are skin conditions that occur or worsen in relation to work and known to be the second most common type of occupational disease affecting individuals in the United States. In Korea, epidemiological reports related to occupational skin diseases are rare. But, no cases of occupational contact dermatitis caused by welding and grinding work have been reported previously. Case presentation: Nine male workers working in the production department for liquefied natural gas (LNG) ships in Ulsan complained of erythematous papules/patches and itching in various areas of the body after welding and grinding work. The work environment monitoring report revealed that the amount of nickel dust exceeded the time weighted average (TWA) and poor local ventilation status. Based on the symptoms and the overall results of surveys, several tests, and work environment monitoring report, the 2 workers who had positive patch-test reactions to nickel were diagnosed with nickel dust-induced allergic contact dermatitis. The other 7 workers were diagnosed that there was a high probability that they had nickel dust-induced irritant contact dermatitis. The 2 workers who had nickel dust-induced allergic contact dermatitis were recommended to switch their jobs. Conclusions: Nickel is one of the most common cause of allergic contact dermatitis. In this case, the dust was assumed to be created by welding work with a high nickel content new welding rod and subsequent grinding work, and the concentration of this dust exceeded the time weighted average. Thus, it is thought that the nickel dust may have caused contact dermatitis through continuous contact with the workers' exposed skin in a poorly ventilated space. Currently, several domestic shipbuilding companies are manufacturing LNG tankers using a new construction method. Consequently, it is highly likely that similar cases will occur in the future, which makes this case report meaningful.

• Journal of agricultural medicine and community health
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• v.8 no.1
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• pp.44-65
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• 1983

As a part of the epidemiological studies of clonorchiasis, this study was conducted to evaluate the current endemicity and the natural transition of the Clonorchis infection in Gimhae Gun and delta area a high endemic area in Korea in recent years, prior to the introduction of praziquantel which will eventually influence the status of the prevalence. The data obtained in this study in 1983 were evaluated for natural transition of the infection in comparison with those obtained 16 years ago in 1967 by the author(Kim, 1974). The areas of investigation, villages and schools surveyed, methods and techniques used in this study were the same as in 1967, except for the contents of the questionnaire for raw freshwater fish consumption by the local inhabitants. 1) The prevalence rate of clonorchiasis in the general population of the villages was 48.1% on the average out of a total of 484 persons examined. The average of those of the riverside-delta area was 65.2% and 43.0% in the inland area. Among the schoolchildren, the prevalence rate was 8.2% on the average out of a total of 1,423 examined. By area, the prevalence rate was 10.8% in the riverside delta area and 2.8% in the inland area. By sex, difference in the prevalence was seen only in the inhabitants of the inland area showing 52.4% in the male and 33.5% in the female. 2) In the natural transition of the infection, the prevalence rate among the inhabitants has decreased from 68.8% in 1967 to 48.1% in 1983, and in the schoolchildren from 56.4% in 1967 to 8.2% in 1983. The reduction rate was higher in the riverside-delta area than in the inland area. 3) In the prevalence rate by age, 11.9% was first seen in the 5-9 age group and the rate gradually increased up to 75.0% in the 50-59 age group. By sex, the rate was higher in the male than in the female in the 20-29 age group and over. 4) In the natural transition of the prevalence rate by age, the reduction rate of the infection during the past 16 years was greater in the younger age groups up to the 40-49 age group and reached the same level in the age group 50-59. Reduction was seen again in the age group over 60s. By sex, the reduction rate was greater in the female than in the male in the 20-29 age group and over. By area, the reduction rate was greater in the riverside delta area than in the inland area, particularly in the young age groups. 5) In the intensity of the infection among the cases, the mean egg out-put per mg feces per infected cases(EPmg) in the inhabitants was 6.3. EPmg of those of the river-side-delta area was 15.4 and that of the in-land was 2.8. On the other hand, in the schoolchildren, EPmg was 3.2, and no difference was seen between the two areas, the river-side-delta area and the inland area. 6) In the transition of the intensity of the infection by area, EPmg among the inhabitants inexplically increased from 7.8 in 1967 to 15.4 in 1983. This was probably caused by uneven specimen collection in the process of sampling the population. EPmg of the inhabitants in the inland area and those of the schoolchildren of both riverside delta and inland areas showed a similar decrease in the past 16 years. 7) The intensity of the infection by age showed a relatively low level in the 20-29 age group and below, and EPmg 5.1-9.5 was seen in the 30-39 age group and over. Sex, Epmg was 5.8 in the male and 4.7 the female. By in 8) In the transition of the intensity of the infection, EPmg decreased from 6.2 in 1967 to 5.4 in 1983. By age, in contrast to the figures of 1967 in which EPmg gradually increased with some fluctuation from 1.1 in the 0-4 age group to peak 10.5 in the 50-59 age group, in 1983 lower intensity of the infection was seen in the age group from 10-14 to 20-29 with the EPmg range of 0.6-2.7. 9) In the distribution of the clonorchiasis cases by the range of EPmg value, 43.2% of the cases were in 0.1 0.9 and 34.6% in 1.0-4.9. As a whole by cumulative percent, 44.6% of them were under 0.9 as light infection and 86.1% of them under 9.9 up to moderate infection. By sex, no difference was seen in Epmg. 10) In the transition of the distribution by the range of Epmg, the cases were distributed up to the range 80.0-99.9 in 1967 and to 60.0-79.9 in 1983. By cumulative percent, in the range of 0.1-0.9 and less, light infection, 34.3% of them were distributed in 1967 and 44.6% in 1983 with about 10% increase. In the range of 5.0-9.9 and less, up to moderate infection, 83.2% in 1967 and 86.1% in 1983 of the cases were seen, respectively. 11) The practice of raw freshwater fish consumption among the inhabitants seems to have decreased in recent years. Those who admitted to raw freshwater fish consumption in the last two years among the infected inhabitants were 59.3%, although 86.8% of them professed to have experience with raw freshwater fish consumption. 31.7% of those who have had experience of the raw freshwater fish consumption denied any further consumption in recent years. From an interview of 543 school-children, 24.1% of them admitted to an experience of raw freshwater fish consumption. However, those who have practised in the past two years comprized 17.9%. Those who denied raw freshwater fish consumption in recent years among those who had such experience were 26.0% out of 131 interviewed. The rate of raw freshwater fish consumption in both inhabitants and schoolchildren were higher in the male than in the female. On the contrary, the rate of those who did not practise in recent years among those who had experience of raw freshwater fish consumption was higher in the female than in the male. 12) The major reason for the reduction of raw freshwater fish consumption among the local inhabitants was the risk of the fluke infection. However, it has become apparent that such change of taste has resulted from water pollution impact which has affected throughout the areas of the freshwater systems in this locality since last several years. 13) In animal survey, Clonorchis infection was seen in 14.8% of 88 dogs examined and 3.7% of 27 house rats examined. It was noted that populations of dogs and cats have increased in the villages surveyed. Although the prevalence rate was lower in the present survey than those of 1967, the significance of the animals as the reservoir host has not changed. 14) Prevalence rate of Clonorchis infection by cercariae in the first intermediate host, Parafossarulus manchouricus, was 0.6% out of 517 snails examined. The infection rate was lower in comparison with 2.3% out of 2,124 examined in 1967. Moreover, sharp decreases in number and distribution of the intermediate host snails in many watershed areas of the huge freshwater systems in this locality seemed to reduce transmission of Clonorchis in connection with the intermediate host stage of its life cycle. 15) Clonorchis infection in the second intermediate fish hosts was relatively low. The mean number of Clonorchis metacercaria per fish in Pseudorasbora parva was 517 in 1983, whereas it was 1943 in 1968 through 1969. Environmental water pollution has also caused the decreased fish population density in these areas, and this has also apparently affected to the practice of raw freshwater fish consumption among the local inhabitants. 16) In conclusion, endemicity of Clonorchis infection in Gimhae Gum and delta area of the Nagdong River has sharply decreased during the past 16 years. The major cause of the regressive transition of the infection was the water pollution of the land water systems of this locality. The pollution has upset the ecosystems comprizing of the intermediate hosts of Clonorchis in many areas, and also affected to a significant extent to the discontinuance of the local inhabitants for raw freshwater fish consumption.

• The Journal of Engineering Geology
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• v.19 no.2
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• pp.235-250
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• 2009

Environmental elements such as B, Br, and Sr in groundwater from Bukahn-myeon, Yeongcheon, Gyeongbuk Province, were investigated in order to know their origin with emphasis on hydrochemistry. pH ranges from 7.37 to 8.39. B content is 0.41${\sim}$4.62 mg/L with an average 1.74 mg/L and Br content is 0${\sim}$3.24 mg/L with an average 2.22 mg/L, and Sr content is 0.93${\sim}$8.64 mg/L with an average 2.76 mg/L. The water types plotted by the Piper diagram are different but mostly $Ca-HCO_3$. Some constituents contributing to EC are Na, $SO_4$, Cl with high determinative coefficients($R^2$) of 0.85, 0.70, 0.90, respectively. The coefficients($R^2$) of Cl to Na, K, $SO_4$ are 0.54, 0.68, 0.53, respectively. It should be noted that there are high cocfficients($R^2$) of B-Sr and $Sr-SO_4$ with 0.65, 0.64, respectively. The Cl/Br ratios are 5.21${\sim}$30.70 due to significant depletion of Cl. The $SO_4/Cl$ ratios are 1.32${\sim}$27.24 with an average of 5.92, ascribed to abundant introduction of $SO_4$ or significant depletion of Cl. Chemical speciation calculated shows that B exists mostly as $H_3BO_3$ with less $H_2BO^-_3$ and Br exists as only $Br^-$. Sr exists mostly as $Sr^2$ with less $SO_4$. Saturation index represents that goundwater is supersaturated with respect to barite, kaolinite, illite, K-mica, and smectite while it is slightly undersaturated with respect to silica, gypsum, anhydrite, talc, chrysotile, feldspar, kaolinite, illite, K-mica, and smectite. The saturation index of celestine is -2.23${\sim}$-0.13 indicating more Sr can be incorporated into groundwater. Groundwater is still much undersaturated to halite. It is likely that the origin of S and Sr was related to the Yucheon volcanic rocks. Br might be originated from the local geological features with introduction of anthropogenic matters.

• KSCE Journal of Civil and Environmental Engineering Research
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• v.37 no.3
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• pp.593-601
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• 2017

With the rapid industrial development and national economic advance since 1970, the national income of Korea has sharply increased. As a result, issues regarding city expansion, urban concentration, increase in the number of registered motor vehicles, and increase in traffic have caused transportation issues such as traffic congestion and problems with parking. Especially, enforcement ordinances and rules have been established on installation and management of parking lots to solve problems with parking which are raised as social problems such as conflict with neighbors but the flexible calculation of legal parking space has the limitations because of the diversity and complex functionality of purposes of facilities. Accordingly, this study attempted to supplement such demerit of the parking space demand forecast method based on the legally required number of parking spaces and average unit requirement in the parking space supply. This study estimated the required number of parking spaces by analyzing existing literature, collecting field research data, and analyzing the factors that have an impact on the parking demand. Also, it compared the required number of parking spaces based on the average unit requirement as well as the required number of parking spaces by the forecast model based on the cumulative number of motor vehicles parked. The result was that the required number of parking space based on average unit requirement was less than the cumulative number of motor vehicles parked by 9.99%. Meanwhile, the required number of parking spaces by the forecast model was more than the cumulative number of motor vehicles parked by 4.37%. Therefore, it is believed that the parking space forecast model is more efficient than the others in estimating there quired parking space. The parking space forecast model of this study consider different environmental factors to enable practical parking demand forecast considering the local characteristics and thus supply the parking space in an efficient way.

• Journal of the Korean Geographical Society
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• v.28 no.2
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• pp.112-122
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• 1993

Since more than 50${\%}$ of annual precipitation in Korea falls during Changma, the rainy season of early summer, and Late Changma, the rainy season of late summer, forcasting the onset days Changmas, and the amount related rainfalls would be necessary not only for agriculture but also for flood-control. In this study the authors attempted to build a prediction model for the forecast of the onset date of Changmas. The onset data of each Changma was derived out of daily rainfall data of 47 stations for 30 years(1961~1990) and weather maps over East Asia. Each station represent any of the 47 districts of local forecast under the Korea Meteorological Administration. The average onset dates of Changma during the period was from 21 through 26 June. The dates show a tendency to be delayed in El Ni${\~{n}}o years while they come earlier than the average in La Nina years. In 1982, the year of El Ni${\~{n}}o, the date was 9 Julu, two weeks late compared with the average. The relation of sea surface temperature(SST) over Pacific and Northern hemispheric 500mb height to the Changma onset dates was analyzed for the prediction model by polynomial regression. The onset date of Changma over Korea was correlated with SST in May(SST${_(5)}{^\circ}$C) of the district (8${^\circ}$~12${^\circ}S, 136${^\circ}~148${^\circ}W)of equatirial middle Pacific and the 500mb height in March (MB${_(3)}$"\;"m)over the district of the notrhern Hudson Bay. The relation between this two elements can be expressed by the regression: Onset=5.888SST${_5}"\;"+"\;"0.047MB${_(3)}$"\;"-251.241. This equation explains 77${\%}$ of variances at the 0.01${\%}$ singificance level. The onset dates of Late Changma come in accordance with the degeneration of the Subtro-pical High over northern Pacific. They were 18 August in average for the period showing positive correlation(r=0.71) with SST in May(SST)${_(i5)}{^\circ}$C) over district of IndiaN Ocean near west coast of Australia (24${^\circ}$~32${^\circ}$S, 104${^\circ}$~112${^\circ}$E), but negativ e with SST in May(SST${_(p5)}{^\circ}$ over district (12${^\circ}$~20${^\circ}$S,"\;"136${^\circ}$~148${^\circ}$W)of equatorial mid Pacific (r=-0.70) and with the 500mb height over district of northwestern Siberia (r=-0.62). The prediction model for Late Changma can be expressed by the regression: Onset=706.314-0.080 MB-3.972SST${_(p5)}+3.896 SST${_(i5)}, which explains 64${\%}$ of variances at the 0.01${\%}$ singificance level.

• Nutritional Sciences
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• v.4 no.2
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• pp.91-97
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• 2001

The purpose of this study was to assess the nutritional status of Korean workers with occupational exposure to lead by estimating nutrients and flood intakes so that we can eventually establish the dietary guidelines to be recommended for the lead workers. Food consumption survey was conducted by a 24-hr recall method with 135 lead workers and 50 non-exposed controls. Food intake data were convened into nutrients intake using computer aided nutritional analysis program. Mean daily energy intake and percentage of recommended daily allowance (RDA) of male lead workers were 2138 local and 87% of RDA while those of control were estimated as 2234 kcal and 91% of RDA. Mean daily intakes of nutrients of male lead workers were 78 g (111% RDA) for protein 502 mg (71% RDA) for calcium, 11.7 mg (97% RDA) for iron, 665 $\mu$g R.E (95% RDA) for vitamin A, 1.39 mg (108% RDA) for thiamin, 1.14 mg (77% RDA) for riboflavin, 15 mg N.E (92% RDA) for niacin and 66 mg (94% RDA) for vitamin C. On average, male lead workers showed significantly lower protein, calcium, iron, sodium, potassium, niacin and vitamin C intakes than control group while cholesterol intake of the male lead workers was significantly higher than that of control group. Intakes of calcium of male lead workers were Less than 75% RDA meaning that nutritional intake of calcium of male lead workers was insufficient and could possibly result in nutritional deficient. Some food groups such as milk, meat and fish must be strongly suggested to improve nutritional status of lead workers. Continuing nutrition monitoring and appropriate nutrition intervention for lead workers most be conducted further.