• International Journal of Fuzzy Logic and Intelligent Systems
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• 제15권3호
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• pp.180-185
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• 2015

Digital infrared thermal imaging is a non-invasive adjunctive diagnostic technique that allows an examiner to visualize and quantify changes in skin surface temperature. The asymmetry of temperature differences between the diseased and the contralateral healthy body parts can be automatically analyzed and has been studied in many areas of medical science. In this paper, we propose a method for intelligent automatic asymmetry detection based on a K-means analysis and a YCbCr color model. The implemented software successfully visualizes an asymmetric distribution of colors with respect to the patients’ health status.

• Journal of Preventive Medicine and Public Health
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• 제29권4호
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• pp.877-897
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• 1996

In recent years, the Korean Medical Association has undertaken the feat of establishing the Korean Standard Terminology of Medical Procedures with the dedicated help of 32 medical academic societies. However, because the project is being conducted by several different circles, it has yet to see a clear system of classification. This thesis, therefore, proposes the three principles of scientific properties, usefulness and ideology as the basis for classification system and has developed the Classification System of Medical Procedures in Korea upon their foundation. The methodology and organization of this thesis as follows. First, by adopting scientific classification system of Feinstein(1988), an analysis of the classification systems of the medical procedures in the United States, Japan, Taiwan, WHO was carried out to reveal the framework and the basic principles in each system. Second, the direction of classification system has been constructed by applying the normative principle of medical field in order to show the future direction of the medical field and realize its ideology. Third, a finalized framework for the classification system will be presented as based on the direction of classification system. Of the three basis principles mentioned above, the analysis on the principles of usefulness was left out of this thesis due to the difficulty of establishing specific standards of analysis. The results of the study are as follows. The overall structure of the thesis is aimed at showing the 'Prevention-Therapy-Rehabilitation' quality of comprehensive health care and consists of six chapters; I. Prevention and Health Promotion II. Evaluation and Management III. Diagnostic Procedures IV. Endoscopy V. Therapeutic Procedures VI. Rehabilitation Chapter three Diagnostic Procedures is divided into four parts : Functional Diagnosis, Visual Diagnosis, Pathological Diagnosis, Biopsy and Sampling. Chapter five Therapeutic Procedures is divided into Psychiatry, Non-Invasive Therapy, Invasive Therapy, Anaesthesia and Radiation Oncology. Of these sub-divisions, Functional Diagnosis, Biopsy and Sampling, Endoscopy and Invasive Therapy employs the anatomical system of classification. On the other hand, Visual Diagnosis, Pathological Diagnosis, Anesthesia and Diagnostic Radiology, namely those divisions in which there is little or no overlapping in services with other divisions, used the classification system of its own division. The classification system introduced in this thesis can be further supplemented through the use of the cluster analysis by incorporating the advice and assistance of other specialists.

• 대한화장품학회지
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• 제46권3호
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• pp.307-317
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• 2020

피부 표피의 장벽 구조는 신체 내부의 수분 손실을 방지하고 외부의 이물질의 침입을 막는데 핵심적인 구조이고 각질세포와 세포간 지질로 구성된다. 이 때, 피부 장벽의 세포간 지질은 orthorhombic 구조로 패킹되어있을 때 가장 강한 구조를 가지고 있다. 그러나 다양한 외부 원인에 의해 손상되어 hexagonal 구조로 변화한다. 이런 물리적인 구조의 변화는 FT-IR을 이용하여 지질의 CH₂-CH₂ scissoring band의 시그널은 분석하여 비 침습적으로 분석 가능하다. 본 연구에서는 SDS를 Porcine skin에 처리하여 피부 장벽 손상모델을 구축하고 FT-IR signal을 분석하여 패킹구조의 변화 정도를 수치화 하였다. 이후 화장품 제형의 처리에 따라서 손상 모델의 장벽 회복 여부를 판단하였다. 이를 통하여 기존의 피부 장벽의 수분 증발량을 분석하는 간접적인 측정 방식을 보완할 수 있다. 또한, 피부 장벽 구조의 물리적인 변화를 직접적이고 효율적으로 분석하는 방식으로 활용 가능하여 다양한 소재의 기능 규명과 제형의 검증에 사용될 수 있다.

• Asian Pacific Journal of Cancer Prevention
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• 제17권3호
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• pp.1077-1082
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• 2016

Background: The three standard biomarkers used in breast cancer are the estrogen receptor (ER), progesterone receptor (PR) and human epidermal growth factor receptor 2 (HER2). The Ki-67 index, a proliferative marker, has been shown to be associated with a poorer outcome, and despite absence of standardization of pathological assessment, is widely used for therapy decision making. We aim to study the role of the Ki-67 index in a group of Asian women with breast cancer. Materials and Methods: A total of 450 women newly diagnosed with Stage 1 to 3 invasive breast cancer in a single centre from July 2013 to Dec 2014 were included in this study. Univariable and multivariable logistic regression was used to determine the association between Ki-67 (positive defined as 14% and above) and age, ethnicity, grade, mitotic index, ER, PR, HER2, lymph node status and size. All analyses were performed using SPSS Version 22. Results: In univariable analysis, Ki -67 index was associated with younger age, higher grade, ER and PR negativity, HER2 positivity, high mitotic index and positive lymph nodes. However on multivariable analysis only tumour size, grade, PR and HER2 remained significant. Out of 102 stage 1 patients who had ER positive/PR positive/HER2 negative tumours and non-grade 3, only 5 (4.9%) had a positive Ki-67 index and may have been offered chemotherapy. However, it is interesting to note that none of these patients received chemotherapy. Conclusions: Information on Ki67 would have potentially changed management in an insignificant proportion of patients with stage 1 breast cancer.

• Korean Journal of Radiology
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• 제25권3호
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• pp.301-313
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• 2024

Objective: The current body of evidence lacks clarity regarding the comparative efficacy and safety of radiofrequency ablation (RFA) and microwave ablation (MWA) as minimally invasive treatments for benign thyroid nodules. The primary objective of this study is to clarify these concerns. Materials and Methods: A comprehensive search was conducted using the Cochrane Library, Scopus, Europe PMC, and Medline databases until October 10th, 2023, using a combination of relevant keywords. This study incorporated literature that compared RFA and MWA for benign thyroid nodules. The primary outcome was the volume reduction ratio (VRR) from baseline to follow-up. Secondary outcomes were symptom score, cosmetic score, ablation time, major complications rate, hemorrhage, hoarseness, skin burn, cough, and sympathetic nerve injury. We used Risk of Bias in Non-randomized Studies - of Interventions (ROBINS-I) tool to assess the risk of bias in the included studies. We employed random effects models to analyze the standardized mean difference (SMD) and odds ratio for the presentation of outcomes. Results: Nine studies with 2707 nodules were included. The results of our meta-analysis indicated similar efficacy between RFA and MWA in terms of VRR during the 1 (SMD 0.06; 95% confidence interval [CI]: -0.13 to 0.26; P = 0.52) and 3 (SMD 0.11; 95% CI: -0.03 to 0.25; P = 0.12) months of follow-up. VRR was significantly higher in RFA than in MWA at the 6 (SMD 0.25; 95% CI: 0.06-0.43; P = 0.008) and 12 month of follow-up (SMD 0.38; 95% CI: 0.17 to 0.59; P < 0.001). There were no significant differences between RFA and MWA in symptom scores, cosmetic scores, or the incidence of complications, including hemorrhage, hoarseness, skin burn, cough, and sympathetic nerve injury. Conclusion: RFA showed a higher VRR than MWA at 6 and 12-month follow-ups, with a comparable safety profile.

• Asian Pacific Journal of Cancer Prevention
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• 제13권10호
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• pp.5033-5036
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• 2012

Objective: To study the relationship between expression of $p57^{KIP2}$ and prognosis and other clinicopathological parameters in invasive breast cancers. Methods: We assessed the expression of $p57^{KIP2}$ in 89 cases of invasive breast cancer and 20 cases of normal breast tissue by immunohistochemical methods and analyzed the results with SPSS software (ver. 16.0). Result: The positive expression rates of $p57^{KIP2}$ protein in the invasive breast cancers and surrounding normal tissue were 30.3% (27/89) and 65% (13/20), respectively. Cases with no $p57^{KIP2}$ expression exhibited a significantly higher post-operative distant metastasis rate than those with $p57^{KIP2}$ expression (37.9% vs. 14.8%; P = 0.01). DFS analysis showed that $p57^{KIP2}$-/C-erbB-2+ tumors also exhibited a significantly higher post-operative distant metastasis rate than the other groups (66.7% vs. 29.2%; P = 0.007), as did $p57^{KIP2}$-/p53+ tumors (64.3% vs. 22.7%; P = 0.001). Survival analysis revealed that $p57^{KIP2}$ was associated with breast cancer-specific survival overall (P = 0.045, log-rank test). Subgroup analysis demonstrated that individuals with $p57^{KIP2}$-/C-erbB-2+tumors experienced significantly worse post-operative survival than those with $p57^{KIP2}$-/C-erbB-2- or other tumors (P = 0.006, log-rank test). $p57^{KIP2}$-/p53+ tumors were associated with significantly worse post-operative survival than $p57^{KIP2}$-/p53- or other tumors (P = 0.001, log-rank test). Cox regression analysis showed that $p57^{KIP2}$ was a non-independent prognostic factor for breast cancer (P = 0.303). Conclusions: $p57^{KIP2}$ is expressed at low levels in invasive breast cancer and is associated with better overall survival rate and disease-free survival in breast cancer patients, but it was a non-independent prognostic factor for breast cancer. Thus, the connection between $p57^{KIP2}$/p53 and $p57^{KIP2}$/C-erbB-2 may provide biomarkers for breast cancer.

• 생태와환경
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• 제54권4호
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• pp.327-333
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• 2021

외래식물이 새로운 환경에 성공적으로 정착할 수 있는 이유를 설명하는 주된 두 개의 가설은, 외래식물이 새로 정착할 지역 군집 구성원들과 충분히 달라 경쟁을 피할 수 있기 때문이라는 것, 그리고 이미 적응하고 있는 그 지역 군집의 구성원과 유사하여 새로운 환경에 잘 적응할 수 있기 때문이라는 것이다. 본 연구는 낙동강변에 인위적으로 조성된 습지공원지역을 대상으로 외래(귀화) 초본식물과 자생 초본식물의 기능 형질을 조사하여 상호 비교 분석하여 앞의 두 가설 중 어느 가설이 맞는지 확인하고자 하였다. 식물 잎 형질 중, 잎 면적, 잎 면적비, 잎 두께, 잎 건조 중량, 잎 질소량, 잎 탄소량을 이용하여 분석한 결과, 외래(귀화)식물과 자생식물이 서로 구분되었고, 이는 외래(귀화)식물이 자생식물보다 잎 질소량이 높기 때문인 것으로 생각되었다. 높은 잎 질소량은 높은 광합성률과 연관되고 이는 효과적인 자원 이용 및 빠른 생장과 관련있음을 고려할 때, 본 연구지역에 정착한 외래식물 역시 이러한 기능적 특징을 가지고 있는 것으로 생각되었다. 본 연구 결과는 앞의 두 가설 중 외래식물과 자생식물의 기능적 차이가 외래식물 정착 성공을 결정한다는 가설을 지지하는 것으로 보인다.

• 전기학회논문지
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• 제64권2호
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• pp.304-309
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• 2015

Applicable range of Photoplethysmography (PPG) becomes wider as a non-invasive physiological measurement technique. However, PPG waveform is easy to be distorted by ambient light or vascular variation from temperature changes. Especially, irregular variation of PPG waveform caused by ambient temperature not only severely distorts the PPG, but also leads miss interpretation in clinical applications. Therefore, the investigation of between temperature and PPG waveform is quite important in using PPG. The purpose of this research is to quantify the PPG waveform characteristic and to investigate the waveform variation following the temperature change on measuring site. To quantify the fluctuation of PPG waveform, we use two techniques; detrended fluctuation analysis (DFA) and AC/DC analysis of PPG. We record PPG under temperature stress, which applied by medical use heat pack ($40^{\circ}C$) and ice pack ($0^{\circ}C$). Ten participants were applied to the experiment, and the result was evaluated to approve the temperature effect with statistical method, Wilcoxon signed rank test. The result shows that the AC component (p<0.05) and perfusion index DFS scale exponent (p<0.01) of PPG have the significance to temperature stress except for a DC component of PPG.

• 세라미스트
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• 제22권1호
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• pp.70-81
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• 2019

Breath analysis is rapidly evolving as a non-invasive disease recognition and diagnosis method. Metal oxide gas sensors are one of the most ideal platforms for realizing portable, hand-held breath analysis devices in the near future. This paper reviewed the recent developments in metal oxide gas sensors detecting exhaled biomarker gases such as nitric oxides, acetone, ammonia, hydrogen sulfide, and hydrocarbons. Emphasis was placed on strategies to tailor sensing materials/films capable of highly selective and sensitive detection of biomarker gases with negligible cross-response to ethanol, the major interfering breath gas. Specific examples were given to highlight the validity of the strategies, which include optimization of sensing temperature, doping additives, utilizing acid-base interaction, loading catalysts, and controlling gas reforming reaction. In addition, we briefly discussed the design and optimization method of gas sensor arrays for implementing the simultaneous assessment of multiple diseases. Breath analysis using high-performance metal oxide gas sensors/arrays will open new roads for point-of-care diagnosis of diseases such as asthma, diabetes, kidney dysfunction, halitosis, and lung cancer.

• Transactions on Electrical and Electronic Materials
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• 제13권3호
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• pp.139-143
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• 2012

Optical emission spectroscopy (OES) is often used for real-time analysis of the plasma processes. OES has been suggested as a primary plasma process monitoring tool. It has the advantage of non-invasive in-situ monitoring capability but selecting the proper wavelengths for the analysis of OES data generally relies on empirically established methods. In this paper, we propose a practical method for the selection of OES wavelength peaks for the analysis of plasma etch process and this is done by investigating reactants and by-product gas species that reside in the plasma etch chamber. Wavelength selection criteria are based on the standard deviation and correlation coefficients. Moreover, chemical actinometry is employed for the normalization of the selected wavelengths. We also present the importance of chemical actinometry of OES data for quantitative analysis of plasma. Then, the suggested OES peak selection method is employed.. This method is used to find out the reason behind abnormal etching of PR erosion during a series of $SiO_2$ etch processes using the same recipe. From the experimental verification, we convinced that OES is not only capable for real-time detection of abnormal plasma process but it is also useful for the analysis of suspicious plasma behavior.