• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제47권4호
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• pp.291-314
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• 2021

Squamous cell carcinoma (SCC) of the retromolar trigone (RMT) is a rare but potentially fatal disease that carries a poor prognosis due to its unique anatomic position. RMT SCCs tend to spread to vital nearby structures, including the tonsillar pillar, masticatory muscles, and underlying mandibular bone, even in their early stages, and aggressive treatment is often warranted. This systematic review appraises and qualitatively analyzes all available literature regarding the survival outcomes and prognosis of RMT SCC. Four databases were searched to identify all eligible articles published since January 1980. Of the 1,248 studies, a total of 15 studies representing 4,838 cases met the inclusion criteria. The evaluated patients had a high rate of advanced tumor stage (T3 or T4: 61.4%), lymph node metastasis (38.8%), and mandibular bone invasion (24%) at the time of diagnosis. Aggressive surgical treatments such as lip-splitting (92%), segmental mandibulectomy (61.1%), radical neck dissection (44.1%), and reconstruction using free flaps (49.5%) was undertaken for 92% of the pooled patient population. The mean rates for local, regional, and systemic recurrence were 23.40%, 8.40%, and 8.50%, respectively. The mean 5-year overall survival rate was 38.90%. Osteonecrosis was noted in 11.6% of the 328 patients who received radiotherapy. In conclusion, RMT SCC is generally associated with high recurrence, low survival, and high postoperative complication rates. Early diagnosis and aggressive treatment are thus warranted. However, significant methodological problems hamper current knowledge. Future studies of this topic that use randomized or cohort designs are thus needed.

• 지역연구
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• 제38권1호
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• pp.33-44
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• 2022

최근 지방의 인구감소 위기가 점차 심화하면서 지방분권을 확대해야 한다는 목소리가 점차 커지고 있다. 현 정부에서도 '재정분권 추진', '「지방이양일괄법」제정' 등을 통해 분권을 위한 여러 노력을 기울이고 있지만 분권이 오히려 국토 불균형을 악화시킬 수 있다는 우려를 담은 연구도 나오고 있다. 이들 연구는 분권에 앞서 지역 간 격차를 줄이는 선제 조치가 필요함을 강조한다. 지역의 위기를 극복하기 위한 분권 논의와 관련하여 본 연구에서는 우리나라보다 먼저 지방분권을 추진했던 일본의 사례를 살펴보았다. 일본의 지방분권은 국가적 경제위기 속에서 중앙정부의 재정부담을 줄일 목적으로 추진되었다는 점에서 우리나라와는 맥락이 다르다. 하지만 분권 추진 과정에서 행정구역 개편을 통한 공간구조의 재편을 매우 중요하게 고려하였다는 점은 우리가 주목할 만하다. 본 연구는 일본의 분권추진 과정에서 나타난 행정구역 개편 노력을 비판적으로 고찰하고, 일본 사례가 우리나라 분권 논의에 주는 시사점을 도출하였다.

• Proceedings of the National Institute of Ecology of the Republic of Korea
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• 제3권3호
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• pp.139-148
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• 2022

Saxifraga hirculus is classified as a vulnerable plant species in Europe, and it is confined to base-rich flushes in the British uplands. However, a lack of available information about its conservation status hampers the development of adaptive strategies for its in-situ conservation, especially with respect to grazing. To assess the effectiveness of sheep grazing in maintaining viable populations of S. hirculus, we compared the community dynamics of the vegetation in a base-rich flush over 44 years in two plots: one sheep-grazed under business-as-usual sheep grazing densities and the other fenced to exclude grazing. The plots were established in 1972, and the abundances of all vascular plants, bryophytes, and litter were measured at six intervals until 2016. Our results showed that although the presence of S. hirculus was maintained in both plots over the 44 years, it declined and reached a minimum between 1995 and 2010, when it was close to extinction. Since 2013, Saxifraga has recovered only slightly. Interestingly, the S. hirculus response appeared to be independent of grazing treatment, but it mirrored wider changes in the vegetation composition and structure within the flush over the 44 years. These changes are similar to others reported in broader uplands that have been attributed to a combination of reduced nitrogen and sulfur deposition and global warming. Thus, the simple adaptive management approach of "just managing" sheep grazing appeared ineffectual for preserving the S. hirculus population. S. hirculus showed signs of recovery at the end of the study period within this base-rich flush.

• 보건행정학회지
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• 제32권2호
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• pp.205-215
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• 2022

Background: The purpose of this study is to identify the factors infecting the medical care utilization from a new perspective by newly classifying the categories of administrative districts using the urban decline index and medical vulnerability index as indicators. Methods: This study targeted 150,940 people who used medical services using the 2015 cohort database (DB), 2010-2015 urban regeneration analysis index DB, and 2014-2015 public health and medical statistics DB. The decline of the region was classified using the urban decline index typed using k-means clustering and the medical vulnerability index typed using the quantile score calculation. Regression analysis was performed 3 times with medical expenditure, length of stay, and the number of outpatient visits as dependent variables. Results: There were 37 stable region (47.4%), 29 health vulnerable region (37.2%), and 12 decline region (15.4%). The health vulnerable region had lower medical expenditure, fewer outpatient visits, and a higher length of stay than the stable region. The decline region was all higher than the stable region but had no significant effect. Conclusion: The factors that cause the health disparity between regions are not only factors related to individual health behavior but also environmental factors of the local community. Therefore, there is a need for a systematic alternative that properly considers the resources within the community and reflects the characteristics of the population.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제25권6호
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• pp.489-499
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• 2022

Purpose: The survival rate of pediatric patients undergoing liver transplantation has increased considerably. Despite this, the period after transplantation is still complex and poses several challenges to the recipient's family, which is responsible for care management. Recently, more attention has been paid to the impact of this complex procedure on the quality of life of caregivers. Hence, this study is aimed at assessing the quality of life of caregivers of patients who have undergone liver transplantation and the aspects that influence it. Methods: This was an observational and cross-sectional study. From November 2020 to January 2021, short-form-36 questionnaires and additional questions were given to the main caregivers of children and adolescents who underwent pediatric liver transplantation. Results: Thirty-eight questionnaires were completed and the results revealed a lower quality of life in comparison to Brazilian standards, primarily in the mental domains (41.8±14.1 vs. 51.1±2.8; p<0.001). It did not show a significant association with socioeconomic or transplant-related factors, but it did show a negative impact on parents' perception of the child's health. Parents who reported worse health status for their children had a lower mental quality of life (44.1±13.8 vs. 33.3±12.6; p<0.05). Conclusion: The caregivers of transplanted children have a lower quality of life than those of the local population. Psychological assistance should be routinely provided to parents for long-term follow-up to mitigate potential negative effects on the transplanted child's care.

• International Journal of Internet, Broadcasting and Communication
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• 제15권1호
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• pp.275-280
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• 2023

Currently, the cumulative number of confirmed cases from the coronavirus in Korea is 30.17 million, and the cumulative number of deaths also reaches 33,444 (as of January 31, 2023). Therefore, this study aims to conduct an empirical analysis on the establishment of quarantine systems in major domestic cities as it is necessary to analyze the influencing factors of COVID-19 and discuss policy directions necessary to establish an effective quarantine system in the future. Among them, 16 cities in Korea with a relatively weak quarantine infrastructure were compared with the interrelationship between "number of upper-level hospitals", "number of urban populations", "number of infected", and "number of deaths", and ultimately the results of quarantine for each local government. In conclusion, the average population of 16 cities is 0.792 million, and the average number of infected people is 0.458 million, and the average cumulative infection rate is 57.8%. Seven cities exceed the average cumulative infection rate: Suwon (61.6%), Yongin (59.1%), Seongnam (61.8%), Hwaseong (65.6%), Anyang (60.7%), Cheonan (62.9%), and Jeonju (62.9%). In addition, despite the establishment of excellent treatment facilities in the city (ave=0.0129), the ratio of "accumulated deaths" (ave=0.11%) was high in Changwon (0.12%/0.0193), Ansan (0.12%/0.0138), Cheongju (0.11%/0.0174), and the ratio of "accumulative deaths" was low (0.09%) despite the construction of relatively poor treatment facilities. Through the results of this study, we expect a paradigm shift in the infectious disease management system in major cities in Korea after post-COVID-19.

• Journal of the Korean Wood Science and Technology
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• 제31권2호
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• pp.52-57
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• 2003

본 연구에서는 목조 고건축물의 하나인 향교를 대상으로 곤충류의 활동이 활발한 시기인 2001년 3월부터 9월에 걸쳐 외부 기둥 표면이나 이미 발생한 탈출공 내부 및 주변에 붙어 있는 곤충을 채집하여 분류, 동정하였고, 이들의 목조 고건축물 가해충 여부를 고찰하였다. 채집된 곤충은 딱정벌레목(Coleoptera) 10종, 벌목(Hymenoptera) 15종, 노린재목 (Hemiptera) 6종, 파리목(Ditera) 4종, 그리고 집게벌레목(Demaptera) 1종으로 동정되었다. 이 중 포획종과 개체수가 가장 많은 딱정벌레목과 벌목의 대부분은 구기가 저작형이며 강대한 턱을 가지고 있어 목조 건축물에 상당한 피해를 줄 것으로 생각된다. 앞으로 채집된 곤충 중 어떤 종류가 목재 가해 충류인지와 가해충류로 최종 확인된 충류의 계속적인 연구가 필요하다고 사료된다.

• 한국수산과학회지
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• 제56권2호
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• pp.196-203
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• 2023

We investigated the nutritional characteristics and antioxidant effects of sea mustard Undaria pinnatifida fractions from Gultongmeori in Taejongdae, Youngdo, Busan. Based on dry weight, the moisture, crude protein, crude lipid, crude ash, and crude fiber contents were 34.98%, 11.55%, 0.43%, 17.82%, and 3.45%, respectively. To evaluate the antioxidant effect, we used radical scavenging (DPPH and ABTS), reactive oxygen species (ROS) production measurement, and DNA oxidation assays. Total flavonoid and phenol contents were higher in the n-hexane fraction than in other fractions. The n-hexane fraction was more effective at scavenging free radicals than other fractions as assessed using DPPH and ABTS assays (P<0.05). The ROS production assay showed that all sea mustard fractions decreased H₂O₂ induced cellular ROS production compared to that seen in the control (P<0.05); however, the n-hexane fraction reduced cellular ROS production to a greater extent than the other fractions. Furthermore, the n-hexane fraction from Gultongmeori significantly inhibited genomic DNA oxidation. These results indicate that the antioxidant effect of sea mustard is associated with its high flavonoid and phenol content. This study proposes that processed food products supplemented with sea mustard can be developed as functional foods to promote health in the local population.

• 한국안전학회지
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• 제38권2호
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• pp.87-95
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• 2023

On October 29, 2022, a very large number of people gathered in Itaewondong, Yongsan-gu, Seoul, Korea for a Halloween festival, and as crowds pushed through narrow alleys, 159 deaths and 195 injuries occurred, making it the largest crushing incident in Korea. There have been a number of stampede deaths where crowds gathered at large-scale festivals, event venues, and stadiums, both at home and abroad. When the density increases, the physical contact between bodies becomes very strong, and crowd turbulence occurs when the force of the crowd is suddenly added from one body to another; thus, the force is amplified and causes the crowd to behave like a mass of fluid. When crowd turbulence occurs, people cannot control themselves and are pushed into he crowd. To prevent a stampede accident, investigation and management of areas expected to be crowded and congested must be systematically conducted, and related ministries and local governments are planning to establish a crowd management system to prepare safety management measures to prevent accidents involving multiple crowds. In this study, based on national data, a continuous digital topographic map is modeled in 3D to analyze the risk of crowding and present a plan for selecting high-risk walking routes. Areas with a high risk of crowding are selected in advance based on various data (numerical data, floating population, and regional data) in a realistic and feasible way, and the analysis is based on the visible results from 3D modeling of the risk area. The study demonstrates that it is possible to prepare measures to prevent cluster accidents that can reflect the characteristics of the region.

• 한국수자원학회:학술대회논문집
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• 한국수자원학회 2022년도 학술발표회
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• pp.294-294
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• 2022

In 2013, the Asian Development Bank classified the Philippines among the countries facing high food security risks. Evidence has suggested that climate change has affected agricultural productivity, and the effect of extreme climatic events notably drought has worsened each year. This had resulted in serious hydrological repercussions by limiting the timely water availability for the agriculture sector. Laguna is the 3^rd most populated province in the country, and it serves as one of the food baskets that feed the region and nearby provinces. In addition to climate change, population growth, rapid industrialization, and urban encroachment are also straining the delicate balance between water demand and supply. Studies have projected that the province will experience less rainfall and an increase in temperature, which could simultaneously affect water availability and crop yield. Hence, understanding the composite threat of climate change for crop yield and water consumption is imperative to devise mitigation plans and judicious use of water resources. The water footprint concept elaborates the water used per unit of crop yield production and it can approximate the dual impacts of climate change on water and agricultural production. In this study, the water footprint (WF) of six main crops produced in Laguna were estimated during 2010-2020 by following the methodology proposed by the Water Footprint Network. The result of this work gives importance to WF studies in a local setting which can be used as a comparison between different provinces as well as a piece of vital information to guide policy makers to adopt plans for crop-related use of water and food security in the Philippines.