• Nutrition Research and Practice
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• 제9권4호
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• pp.400-403
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• 2015

BACKGROUND/OBJECTIVES: By the year 2050, thirty-eight percent of the Korean population will be over the age of 65. Health care costs for Koreans over age 65 reached 15.4 trillion Korean won in 2011, accounting for a third of the total health care costs for the population. Chronic degenerative diseases, including coronary heart disease (CHD), drive long-term health care costs at an alarming annual rate. In the elderly population, loss of independence is one of the main reasons for this increase in health care costs. Korean heath policies place a high priority on the prevention of CHD because it is a major cause of morbidity and mortality. SUBJECTS/METHODS: This evidence-based study aims to the estimate potential health care cost savings resulting from the daily intake of omega-3 fatty acid supplementation. Potential cost savings associated with a reduced risk of CHD and the medical costs potentially avoided through risk reduction, including hospitalizations and physician services, were estimated using a Congressional Budget Office cost accounting methodology. RESULTS: The estimate of the seven-year (2005-2011) net savings in medical costs resulting from a reduction in the incidence of CHD among the elderly population through the daily use of omega-3 fatty acids was approximately 210 billion Korean won. Approximately 92,997 hospitalizations due to CHD could be avoided over the seven years. CONCLUSIONS: Our findings suggest that omega-3 supplementation in older individuals may yield substantial cost-savings by reducing the risk of CHD. It should be noted that additional health and cost benefits need to be revisited and re-evaluated as more is known about possible data sources or as new data become available.

• 한국건설관리학회논문집
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• 제14권1호
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• pp.63-70
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• 2013

주택재개발사업에서 수익성 예측은 성공적인 사업의 수행을 위한 중요한 요소이기 때문에 수익성 예측을 소홀히 할 경우 많은 그에 따른 리스크가 커지게 된다. 그러나 현행 주택재개발사업은 사업이 많이 진행된 시점에서 수익성을 분석하기 때문에, 수익성이 없는 것으로 판단될 경우 그에 따른 큰 손실을 감수해야 한다. 이로 인해 현재 사업이 중단되거나 지연됨에 따라 경제적인 손실을 보는 사업장이 늘어나고 있으며, 그에 따른 이해관계자간 갈등이 심화되고 있다. 주택재개발사업 시 이러한 사회적 갈등과 경제적 손실을 줄이기 위해서는 사업추진여부를 결정하기 위한 적절한 수익성 예측 방법의 개발이 필요하며, 더불어 적절한 시기에 적용할 수 있는 프로세스의 제시가 요구된다. 본 연구는 사업 초기단계인 기획단계에서 수익성을 예측할 수 있는 방법을 제시하여, 합리적이고 타당한 의사결정의 지원을 위한 것으로 본 연구모델의 적용 시 사업 초기단계에 사업 수행 여부의 결정이 가능하도록 하여, 부적절한 사업의 무리한 진행으로 인한 경제적인 손실과 그에 따른 이해관계자간의 갈등을 줄일 수 있을 것으로 판단된다.

• 대한인간공학회지
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• 제29권2호
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• pp.225-239
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• 2010

A high prevalence of farmer's work-related musculo-skeletal disorders (MSDs) have been reported in precedent studies. Risk factors - physical, chemical, biological, ergonomic risk factor etc. - in farm-work were identified by previous studies. To prevent farmers from exposing to them and reduce, Agricultural Safety Technology were introduced and used on farm. The purpose of this study is to review and summarize the agricultural safety technology on farm in Korea. According to strategy principles, this technology is classified as four criteria - workload reduction by reducing awkward posture, workload reduction by using manual material handling aids, Comfort improvement by protecting worker from hot, cold environment and work efficiency improvement by workplace redesign and cultivation modification. This technology includes transporting tools, working cloth, personal protective equipment, and pesticide-proof Clothing. Anthropometric study of Korean farmers was also carried out to support the development of equipment and clothes. In long terms, it needs to precaution activity from risk factors by using cultivation modification and working improvement. Although working condition gets better and workload reduce by this technology, it required customized safety technology in each crops - rice cultivation, horticulture and livestock farming. And farmers should use the assistive technology and participate voluntarily in ergonomic intervention program.

• 한국식품위생안전성학회지
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• 제27권1호
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• pp.1-17
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• 2012

T-2 toxin and HT-2 toxin, belong to type A trichothecences, are the most toxic mycotoxins among the trichothecene family. These mycotoxins are commonly found in cereals such as maize, wheat, barley, oats and rice, and their occurrence in food can be of concern. This review investigated the current trends of patents and researches on T-2 toxin and HT-2 toxin pertaining to natural occurrence, toxicity, metabolism, risk assessment, analytical and screening methods, and reduction/detoxification techniques. As compared with other $Fusarium$ mycotoxins, there are limited data for natural occurrence and risk assessment, and regulatory limit and official analytical methods on T-2 toxin and HT-2 toxin in domestic and foreign countries. In particular, selective deacetylation at the C3 and/or C4 positions of T-2 toxin by carboxyesterase present in foods was reported to cause the disappearance of T-2 and the extremely high HT-2 recoveries. Currently, regulatory limits for T-2 and HT-2 are under discussion in EU. For enforcement purposes it is essential to have available precise and reliable analytical methods applicable at the regulatory levels for the T-2 toxin and HT-2 toxin and relevant commodities. In addition, a further study on natural occurrence, risk assessment and reduction/detoxification techniques will be recommended.

• 보건교육건강증진학회지
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• 제30권5호
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• pp.201-210
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• 2013

Objectives: The public relies on the news media to understand health risks. To examine the surveillance function of Korean health journalism, this study compared the rank-order of the 10 most frequently diagnosed cancers with that of the 10 cancers most frequently covered by three major Korean newspapers. Methods: News stories published between 1999 and 2010 by the Chosun-Ilbo, Joong-Ang-Ilbo, and Dong-A-Ilbo were examined. Data on cancer incidence were collected using the epidemiological data published by a governmental public health institution. To compare the level of the crude rates and the amount of news coverage, rank-order correlation tests and regression analyses were employed. Results: A reduction in the rank-ordered correlation coefficient was observed despite an increase in the overall number of cancer news stories released. The significance of the correlation disappeared after 2006. The big difference of the rank order between the crude rate and the amount of news coverage was observed in the cancer of breast, uteri, thyroid, and gallbladder/biliary. Finally, the three newspapers did not follow the amount change in stomach, lung, liver, and uterine cervix cancer. The four cancers' rank orders of crude rate were lowering, signifying a reduction of the comparative dangerousness of the four cancers. Conclusions: The news media's customization of news content and the negative bias in journalism are suggested as possible influences on the news media's inaccurate representation of cancer risk.

• 한국항만경제학회지
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• 제25권1호
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• pp.29-46
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• 2009

전문가 및 항만관련기관에서도 57%가 동의하고 있고, 북빈대체부두 물양장 건설로 인해 물양장에 입출항하는 선박의 통항로를 확보하여 주기 위해, 동삼안벽 전면 수역 쪽의 O-2 정박지 220m 정도를 축소 폐지하는 것이 요구된다. 이것은 결국 북빈대체부두 물양장을 통항하는 소형선 때문에 O-2 정박지 주변의 통항 혼잡과 통항안전위험의 증가를 초래할 것이다. 따라서 북항 내 정박지 중 최대의 이용률(70% 이상)을 보이고 있는 O-2 정박지의 원래의 수용규모를 유지하고, 중앙부두 정박지의 폐쇄와 북항내 증가하고 있는 수요를 수용하기 위해 내항 방파제 전면 수역 쪽으로 250m 정도를 확대하여야 한다. 이와 같이 O-2 정박지를 축소 및 확대하여 운영하는데 따르는 자연환경, 수심, 주변 안벽 접안선박 통항지장여부, 북항 주항로 통항선박과의 안전성 문제는 발생하지 않는 것으로 판단된다. 결론적으로 O-2 정박지를 축소 및 확대하여 운영하는 것은 O-2 정박지 주변의 통항혼잡을 줄이고, 통항안전성을 높이는 결과를 초래할 것이고, 더 나아가 O-2 정박지의 운영 효율성을 높일 것이다.

• Journal of Cerebrovascular and Endovascular Neurosurgery
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• 제25권1호
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• pp.28-35
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• 2023

Objective: The purpose of this study was to evaluate the effectiveness of middle meningeal artery embolization (MMAE) in elderly high-risk patients with symptomatic chronic subdural hematoma (CSDH) in terms of reduction in hematoma volume and recurrence rate. Methods: We retrospectively reviewed data prospectively collected from nine patients who underwent 13 MMAE for CSDH between June 2017 and May 2022. The volume of the subdural hematoma was measured using a computer-aided volumetric analysis program. Hematoma volume changes during the follow-up period were analyzed and clinical outcomes were evaluated. Results: The mean follow-up period was 160 days (range, 46-311 days). All procedures were technically successful and there were no procedure-related complications. Of the 13 MMAE, 84% (11 out of 13 hemispheres) showed mean 88% of reduction on follow-up volumetric study with eight cases of complete resolution. There was one refractory case with MMAE which had been performed multiple burr-hole trephinations, for which treatment was completed by craniotomy and meticulous resection of multiple pseudomembranes. There was no recurrent case during the follow-up period, except for refractory case. Conclusions: MMAE for CSDH in selected high-risk elderly patients and relapsed patients might be effective. Despite the small cohort, our findings showed a high rate of complete resolution with no complications. Further prospective randomized trials are warranted to evaluate its usefulness as a primary treatment option for CSDH.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제23권3호
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• pp.270-276
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• 2001

The treatment of mandibular subcondylar fractures is a matter of controversy. The majority of mandibular subcondylar fracture are treated by closed reduction, but the displaced or dislocated mandibular subcondylar fractures may be treated by open reduction. The characteristics of open reduction are the anatomical reduction, the functional restoration, the rapid function, the maintenance of vertical ramus dimension, the better appearance and the less resultant TMJ problem etc. When an open reduction is considered, the wire, miniplate, lag screw and Kirschner wire are available with internal fixation. Of these, Kirschner wire is a simple method relatively and correct positioning of the wire achieves rigid fixation. But many open reduction methods for mandibular subcondylar fractures require extraoral approach. The extraoral approach has some problems, the facial scar and the risk of facial nerve injury. On the other hand, the intraoral approach eliminates the potency of the facial scar and the facial nerve injury, but is difficult to access the operation site. Since the intraoral approach was first described by Silverman (1925), the intraoral approach to the mandibular condyle has been developed with modifications. The purpose of this article is to describe the intraoral technique with the Kirschner wire on mandibular subcondylar fractures. Conclusion : The intraoral reduction with Kirschner wire on mandubular subcondylar fractures avoids the facial scar and facial nerve injury and is simple method to the extraoral approach. And it has minimal morbidity and better esthetics.

• 한국방사선학회논문지
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• 제16권6호
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• pp.709-718
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• 2022

본 연구의 목적은 토모테라피 방사선치료에서 고밀도 알루미늄, 티타늄, 강철 금속 삽입물에 대한 단층촬영(CT)을 평가하고 자 하였다. 다양한 밀도의 원통형 막대를 포함한 금속 삽입물과 함께 원통형 토모팬텀을 이용하여 영상을 얻었다. 총 세 가지의 CT 영상에 대해 평균 CT 값(number)와 표준 편차를 구하고, 치료계획 선량평가도 수행하였다. 고밀도 금속 삽입물이 CT값과 변화가 가장 컸다. 타겟에 대한 선량평가(적합성 지수, CI)에서 반복적 금속 인공물 감소 알고리즘(iMAR)이 적용된 영상이 그렇지 않은 영상에 비해 약 20% 좋았으나 유의한 차이는 없었다. iMAR은 표적 및 장기의 묘사에 도움을 주고 토모테라피를 이용한 3차원 입체조형 방사선치료기술(3D-CRT)에서 불확실성을 줄이는 데 도움이 될 것으로 사료된다.

• Restorative Dentistry and Endodontics
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• 제48권4호
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• pp.37.1-37.17
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• 2023

This study aimed to compare the disinfectant ability of chlorhexidine (CHX) gel and sodium hypochlorite (NaOCl). Systematic searches were conducted from inception until December 8th, 2022 (MEDLINE/PubMed, Cochrane Library, Web of Science, Scopus, Embase, and Grey Literature databases). Only randomized clinical trials were included. The revised Cochrane risk of bias tools for randomized trials were used to assess the quality of studies. Meta-analyses were performed. The overall quality of evidence was assessed through the Grading of Recommendations Assessment, Development, and Evaluation tool. Six studies were included. Five had a low risk of bias and 1 had some concerns. Three studies assessed bacterial reduction. Two were included in the meta-analysis for bacterial reduction (mean difference, 75.03 [confidence interval, CI, -271.15, 421.22], p = 0.67; I² = 74%); and 3 in the meta-analysis for cultivable bacteria after chemomechanical preparation (odds ratio, 1.03 [CI, 0.20, 5.31], P = 0.98; I² = 49%). Five studies assessed endotoxin reduction. Three were included in a meta-analysis (mean difference, 20.59 [CI, -36.41, 77.59], p = 0.48; I² = 74%). There seems to be no difference in the disinfectant ability of CHX gel and NaOCl, but further research is necessary.