• Journal of Preventive Medicine and Public Health
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• v.52 no.6
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• pp.355-365
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• 2019

Objectives: In rural areas of Korea, where public transportation infrastructure is lacking and alternative systems are poor, the elderly experience inconveniences in using healthcare, although their need is high. This study aimed to analyze the association between the convenience of transportation and unmet healthcare needs among the rural elderly. Methods: The data used were collected in the 2016 Community Health Survey among rural elderly individuals aged 65 or older. Dependent variable was the unmet healthcare needs, explanatory variable was the convenience of transportation. The elderly were divided into 3 groups: with no driver in the household, with a driver, and the elderly individual was the driver (the self-driving group). Covariates were classified into predisposing, enabling, and need factors. They included gender, age, education, income, economic activity, household type, motor ability, subjective health level, number of chronic diseases, anxiety/depression, and pain/discomfort. The data were analyzed using logistic regression and stratification. Results: A significant association was found between the convenience of transportation and unmet healthcare needs. When examined unadjusted odds ratio of the group with a driver in the household, using the group with no driver as a reference, was 0.61 (95% confidence interval [CI], 0.54 to 0.68), while that of the self-driving group was 0.34 (95% CI, 0.30 to 0.38). The odds ratios adjusted for all factors were 0.69 (95% CI, 0.59 to 0.80) and 0.79 (95% CI, 0.67 to 0.91). Conclusions: We confirmed a significant association between inconvenient transportation and unmet healthcare needs among the rural elderly even after adjustment for existing known factors. This implies that policies aimed at improving healthcare accessibility must consider the means of transportation available.

• Journal of The Korean Society of Integrative Medicine
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• v.7 no.1
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• pp.81-88
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• 2019

Purpose : The purpose of this study was to examine if there is any correlation between pelvic tilt angle and trunk motion and trunk extensor during trunk forward flexion and to measure trunk motion, onset time of trunk motion, and onset time of trunk extensor activation. Methods : The subjects of this study were 42 healthy adults. The subjects had no back pain due to neurological disease and no experience of back surgery. After pelvic tilt angle was measured, each trunk forward flexion was performed three times. Trunk motion and onset time of trunk motion were measured using Myomotion. Four sensors were used, with one located at the upper thoracic (below $C_7$), the lower thoracic ($T_{12}-L_1$), the sacrum ($S_1$), and at the center of the anterior femur. Onset time of trunk extensors (spinalis, longissimus, gluteus medius, gluteus maximus, biceps femoris, and gastrocnemius) activation was measured using a wireless surface EMG. The EMG amplitude was normalized by using the reference voluntary contraction (RVC). The statistical significance of the results were evaluated using Pearson's correlation test. Results : The correlation between pelvic tilt angle and lumbar motion, onset time of pelvis motion, and onset time of gluteus medius activation was statistically significant in a positive direction (p<.05). The correlation between pelvic tilt angle with pelvis motion, onset time of lumbar motion, and onset time of longissimus activation showed a statistically significant negative correlation (p<.05). Conclusion : The study results provide a significant contribution to our understanding of the lumbar load at the initial stage of trunk flexion. Therefore, it may be possible to provide basic data for evaluation and treatment, such as orthodontic treatment for alignment of the spine and back pain. In addition, it is necessary to focus on normal exercise pattern reeducation as well as pelvic correction during exercise in daily life or in industrial fields.

• Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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• v.36 no.6
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• pp.515-523
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• 2018

In order to obtain consistent change detection result for multi-temporal satellite images, preprocessing must be performed. In particular, the preprocessing related to the spectral values can be performed by the radiometric normalization, and relative radiometric normalization is generally utilized. However, most relative radiometric normalization methods assume a linear relationship between the two images, and nonlinear spectral characteristics such as phenological differences are not considered. Therefore, this study proposes a relative radiometric normalization which assumes nonlinear relationships that can perform compositive normalization of radiometric and phenological characteristics. The proposed method selects the subject and reference images, and then extracts the radiometric control set samples through the no-change method. In addition, spectral indexes as well as pixel values are extracted in order to consider sufficient information, and modeling of nonlinear relationships is performed through multilayer perceptron. Finally, the proposed method is compared with the conventional relative radiometric normalization methods, which shows that the proposed method is visually and quantitatively superior.

• Nuclear Engineering and Technology
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• v.51 no.4
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• pp.1091-1097
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• 2019

After the Fukushima accident in 2011, there has been increased public concern about radioactive contamination of water resources through fallout in neighboring countries. However, there is still no available initial response system that can promptly detect radionuclides. The purpose of this research is to develop the most efficient gamma spectrometer to monitor radionuclides in an aquatic environment. We chose a thallium-doped sodium iodide (NaI(Tl)) scintillator readout with a silicon photo multiplier (SiPM) due to its compactness and low operating voltage. Three types of a scintillation detector were tested. One was composed of a scintillator and a photomultiplier tube (PMT) as a reference; another system consisted of a scintillator and an array of SiPMs with a light guide; and the other was a scintillator directly coupled with an array of SiPMs. Among the SiPM-based detectors, the direct coupling system showed the best energy resolution at all energy peaks. It achieved 9.76% energy resolution for a 662 keV gamma ray. Through additional experiments and a simulation, we proved that the light guide degraded energy resolution with increasing statistical uncertainty. The results indicated that the SiPM-based scintillation detector with no light guide is the most efficient design for monitoring radionuclides in an aquatic environment.

• Journal of Korean Society of Occupational and Environmental Hygiene
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• v.29 no.1
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• pp.13-20
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• 2019

Objective: This study was performed to propose a domestic occupational exposure limit(OEL) following a health hazard assessment, calculation of a non-carcinogenicity reference concentration worker($RfC_{worker}$) value, and examination of international agencies' exposure limits. It also recommends legal management within the Occupational Safety and Health Act for PHMG-Phosphate(CAS No. 89697-78-9), It is a humidifier disinfectant that generated many lung injuries. Methods: We have investigated the recommendation or guidelines of foreign OEL for PHMG-Phosphate and the actual state of legal management in Korea. To examine the procedures and methods for recommendation OEL. Toxicological hazard and health hazard classifications were examined and a non-carcinogenicity $RfC_{worker}$ value was calculated for PHMG-Phosphate. An OEL and the necessity of legal management were recommended as well. Results and Conclusions: The OEL for PHMG-Phosphate is recommended to be $0.01mg/m^3$. The recommended OEL is close to 10 times the RfCworker value of $0.000833mg/m^3$ calculated from the chemical dose-response hazard assessment, which is a 2017 study. The CMIT/MIT(3:1) mixture, which was a social issue as a humidifier disinfectant substance, was also exposed to the same ratio in March 2018, establish the OEL. It is recommended to establish OEL for PHMG-Phosphate to prevent worker health hazards and for chemical safety management.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• v.45 no.2
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• pp.51-67
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• 2019

As dental implant surgery and bone grafts were widely operated in Korean dentist, many bone substitutes are commercially available, currently. For commercially used in Korea, all bone substitutes are firstly evaluated by the Ministry of Health and Welfare (MOHW) for safety and efficacy of the product. After being priced, classified, and registration by the Health Insurance Review and Assessment Service (HIRA), the post-application management is obligatory for the manufacturer (or representative importer) to receive a certificate of Good Manufacturing Practice by Ministry of Food and Drug Safety. Currently, bone substitutes are broadly classified into C group (bone union and fracture fixation), T group (human tissue), L group (general and dental material) and non-insurance material group in MOHW notification No. 2018-248. Among them, bone substitutes classified as dental materials (L7) are divided as xenograft and alloplastic bone graft. The purpose of this paper is to analyze alloplastic bone substitutes of 37 products in MOHW notification No. 2018-248 and to evaluate the reference level based on the ISI Web of Knowledge, PubMed, EMBASE (1980-2019), Cochrane Database, and Google Scholar using the criteria of registered or trademarked product name.

• Journal of Periodontal and Implant Science
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• v.51 no.5
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• pp.298-315
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• 2021

Purpose: Peri-implantitis therapy and implant maintenance are fundamental practices to enhance the longevity of zirconia implants. However, the use of physical decontamination methods, including hand instruments, polishing devices, ultrasonic scalers, and laser systems, might damage the implant surfaces. The aim of this systematic review was to evaluate the effects of physical decontamination methods on zirconia implant surfaces. Methods: A systematic search was conducted using 5 electronic databases: Ovid MEDLINE, PubMed, Scopus, Web of Science, and Cochrane. Hand searching of the OpenGrey database, reference lists, and 6 selected dental journals was also performed to identify relevant studies satisfying the eligibility criteria. Results: Overall, 1049 unique studies were identified, of which 11 studies were deemed suitable for final review. Air-abrasive devices with glycine powder, prophylaxis cups, and ultrasonic scalers with non-metal tips were found to cause minimal to no damage to implantgrade zirconia surfaces. However, hand instruments and ultrasonic scalers with metal tips have the potential to cause major damage to zirconia surfaces. In terms of laser systems, diode lasers appear to be the most promising, as no surface alterations were reported following their use. Conclusion: Air-abrasive devices and prophylaxis cups are safe for zirconia implant decontamination due to preservation of the implant surface integrity. In contrast, hand instruments and ultrasonic scalers with metal tips should be used with caution. Recommendations for the use of laser systems could not be fully established due to significant heterogeneity among included studies, but diode lasers may be the best-suited system. Further research-specifically, randomised controlled trials-would further confirm the effects of physical decontamination methods in a clinical setting.

• Journal of the Korea institute for structural maintenance and inspection
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• v.24 no.5
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• pp.27-36
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• 2020

The purpose of this paper is to study on the applicability of the standard design response spectrum from the response spectrum analysis method, mainly applied to pile mooring facilities. To this end, after performing the ProShake 1-dimensional site response considering various geological conditions, the current standard design response spectrum was compared, and the ground-pile model in time history and two-dimensional site response analysis using Abaqus were performed to analyze the dynamic behavior of the ground-pile and to examine the selection method of the reference surface of the response spectrum on the installed slope, respectively. As a result, it was confirmed that no problems were found in the applicability of the current standard design response spectrum and no improvements are needed as well when considering the characteristics of the ground-pile dynamic behavior and the slope of the pile mooring facility.

• Korean Journal of Veterinary Service
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• v.44 no.1
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• pp.15-19
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• 2021

Senecavirus A (SVA), previously known as Seneca Valley virus, can cause vesicular disease and neonatal losses in pigs that is clinically indistinguishable from foot-and-mouth disease virus (FMDV). After the first case report in Canada in 2007, it had been restrictively identified in North America including United States. But, since 2015, SVA emerged outside North America in Brazil, and also in several the Asian countries including China, Thailand, and Vietnam. Considering the SVA occurrence in neighboring countries, there has been a high risk that Korea can be introduced at any time. In particular, it is very important in terms of differential diagnosis in the suspected case of vesicular diseases in countries where FMD is occurring. So far, several different molecular detection methods for SVV have been published but not validated as the reference method, yet. In this study, seven different molecular methods for detecting SVA were evaluated. Among them, the method by Flowler et al, (2017) targeted to 3D gene region with the highest sensitivity and no cross reaction with other vesicular disease agents including FMDV, VSV and SVD, was selected and applied further to antigen surveillance of SVA. A total of 245 samples of 157 pigs from 61 farms submitted for animal disease diagnose nationwide during 2018 were tested all negative. In 2018, no sign of SVA occurrence have been confirmed in Korea, but the results of the surveillance for SVA needs to be continued and accumulated at a high risk of SVA in neighboring countries.

• Journal of the Korean earth science society
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• v.43 no.2
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• pp.253-264
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• 2022

The effect of decreased human activity on the urban heat island intensity (UHII) was analyzed using the observed temperature data of six sites (including one reference area) in Daejeon Metropolitan City from February to May of 2019 to 2021. Depending on the observation site, UHII decreased by approximately 20% in 2020 and 2021 compared to 2019 before COVID-19. The decrease in human activity increased UHII at night and decreased it during the daytime. Consequently, UHII diurnal amplitude increased by approximately 20% in 2020 and 2021 compared to 2019, irrespective of location. The decrease in UHII did not appear to be significantly correlated with natural factors such as wind speed and social distancing steps. In contrast, UHII was correlated with social distancing and significantly reduced air pollutants after COVID-19, with the most significant correlation observed for NO₂.