• Safety and Health at Work
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• v.6 no.1
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• pp.35-38
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• 2015

Background: Organizational changes that involve healthcare hospital departments and care services of health districts, and ongoing technological innovations and developments in society increasingly expose healthcare workers (HCWs) to work-related stress (WRS). Minimizing occupational exposure to stress requires effective risk stress assessment and management programs. Methods: The authors conducted an integrated analysis of stress sentinel indicators, an integrated analysis of objective stress factors of occupational context and content areas, and an integrated analysis between nurses and physicians of hospital departments and care services of health districts in accordance with a multidimensional validated tool developed in Italy by the National Network for the Prevention of Work-Related Psychosocial Disorders. The purpose of this retrospective observational study was to detect and analyze in different work settings the level of WRS resulting from organizational changes implemented by hospital healthcare departments and care services of health districts in a sample of their employees. Results: The findings of the study showed that hospital HCWs seemed to incur a medium level risk of WRS that was principally the result of work context factors. The implementation of improvement interventions focused on team development, safety training programs, and adopting an ethics code for HCWs, and it effectively and significantly reduced the level of WRS risk in the workplace. Conclusion: In this study HCW resulted to be exposed to occupational stress factors susceptible to reduction. Stress management programs aimed to improve work context factors associated with occupational stress are required to minimize the impact of WRS on workers.

• Radiation Oncology Journal
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• v.37 no.1
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• pp.51-59
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• 2019

Purpose: We evaluated failure pattern and treatment outcomes of observational approach on regional lymph node (LN) in cutaneous melanoma of extremities and sought to find clinico-pathologic factors related to LN metastases. Material and Methods: We retrospectively reviewed 73 patients with cutaneous melanoma of extremities between 2005 and 2016. If preoperative 18-F-fluorodeoxyglucose (FDG)-positron emission tomography/computed tomography (PET/CT) findings were non-specific for regional LNs, surgical resection of primary tumors with adequate margins was performed without sentinel lymph node biopsy (SLNB) and/or complete lymph node dissection (CLND), irrespective of tumor thickness or size. In patients with suspicious or positive findings on PET/CT or CT, SLNB followed by CLND or CLND was performed at the discretion of the surgeon. We defined LN dissection (LND) as SLNB and/or CLND. Results: With a median follow-up of 38 months (range, 6 to 138 months), the dominant pattern of failure was regional failure (17 of total 23 events, 74%) in the observation group (n = 56). Pathologic LN metastases were significant factor for poor regional failure-free survival (hazard ration [HR] = 3.21; 95% confidence interval [CI], 1.03-10.33; p = 0.044) and overall survival (HR = 3.62; 95% CI, 1.02-12.94; p = 0.047) in multivariate analysis. In subgroup analysis for cN0 patients according to the preoperative PET/CT findings, LND group showed the better trend of LRFFS (log rank test, p = 0.192) and RFFS (p = 0.310), although which is not statistically significant. Conclusion: Observational approach on regional LNs on the basis of the PET/CT in patients with cutaneous melanoma of extremities showed the dominant regional failure pattern compared to upfront LND approach. To reveal regional lymph node status, SLND for cN0 patients may of importance in managing cutaneous melanoma patients.

• IMMUNE NETWORK
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• v.14 no.3
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• pp.128-137
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• 2014

Respiratory viruses can induce acute respiratory disease. Clinical symptoms and manifestations are dependent on interactions between the virus and host immune system. Dendritic cells (DCs), along with alveolar macrophages, constitute the first line of sentinel cells in the innate immune response against respiratory viral infection. DCs play an essential role in regulating the immune response by bridging innate and adaptive immunity. In the steady state, lung DCs can be subdivided into $CD103^+$ conventional DCs (cDCs), $CD11b^+$ cDCs, and plasmacytoid DCs (pDCs). In the inflammatory state, like a respiratory viral infection, monocyte-derived DCs (moDCs) are recruited to the lung. In inflammatory lung, discrimination between moDCs and $CD11b^+$ DCs in the inflamed lung has been a critical challenge in understanding their role in the antiviral response. In particular, $CD103^+$ cDCs migrate from the intraepithelial base to the draining mediastinal lymph nodes to primarily induce the $CD8^+$ T cell response against the invading virus. Lymphoid $CD8{\alpha}^+$ cDCs, which have a developmental relationship with $CD103^+$ cDCs, also play an important role in viral antigen presentation. Moreover, pDCs have been reported to promote an antiviral response by inducing type I interferon production rather than adaptive immunity. However, the role of these cells in respiratory infections remains unclear. These different DC subsets have functional specialization against respiratory viral infection. Under certain viral infection, contextually controlling the balance of these specialized DC subsets is important for an effective immune response and maintenance of homeostasis.

• Animal cells and systems
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• v.16 no.4
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• pp.329-336
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• 2012

This study evaluated ecological health, using various biomarkers and bioindicators, of pale chub (Zacco platypus) as a sentinel species, in Daejeon Stream, South Korea, during AprilMay 2011. The biomarkers and bioindicators were compared among three sites of control: Reference ($C_z$), transition ($T_z$), and the urban zones ($U_z$); and the 7-Ethoxyresorufin-O-deethylase (EROD) activity, DNA damage, acetylcholinesterase (AChE) activity, and vitellogenin (VTG) concentrations were more significantly increased in the $U_z$ than in the $C_z$. Also, physiological markers such as condition factor, liver somatic index, visceral somatic index, and gonad somatic index were significantly increased in the $U_z$ than in the $C_z$. For the health assessments, three categorized parameters of blood chemistry, molecular biomarkers, and physiological bioindicators were standardized and calculated as a star-plot, representing values of Integrated Health Response (IHR). Values of IHR had more significant (P<0.05) increases in the $U_z$ than any other zones, indicating an impairment of ecological health by organic matter, nutrients (N, P), and toxic chemicals. This study is based on low levels of biological organization approach of molecular and physiological biomarkers and bioindicators, so further study of high-levels of biological organization approach such as community and population is required for overall range of health assessments. The approach of IHR values, however, may be useful in providing early warning of future impacts on ecological health.

• Environmental Analysis Health and Toxicology
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• v.25 no.3
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• pp.241-251
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• 2010

Crucian carp (Carassius auratus) has been used as the sentinel species for POPs (Persistent Organic Pollutants) monitoring in aquatic environment. However, there is little information for dioxin toxicity and especially, early life stage toxicity in crucian carp have been never carried out. In this study, we investigated several toxic effects for 2,3,7,8-tetrachlorodibenzo-p-dioxin (2,3,7,8-TCDD) in fertilized egg obtained by natural fertilization from crucian carp. The embryos at 3 h post-fertilization (hpf) were treated with 0.039, 0.156, 0.625, and 2.5 (${\mu}g/L$) TCDD by waterborne exposure for 60 minutes and changed with fresh water 2 times per day. Fertilized eggs started hatching at 51 hpf and TCDD exposed embryo showed decrease of hatching rate in a dose-dependent manner at 75 hpf. Pericardial edema was continuously observed in larvae exposed to TCDD from hatching start time (51 hpf), followed by the onset of mortality. In addition, AhR-related gene, CYP1A was clearly increased by TCDD in a dose dependent manner. These results indicated that fertilized eggs obtained from crucian carp have the TCDD related gene regulation and a distinct TCDD developmental toxicity syndrome by TCDD exposure. Therefore, we suggested that early life stage test in crucian carp could be used as test methods on dioxins toxicity.

• Korean Journal of Clinical Oncology
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• v.14 no.2
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• pp.135-141
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• 2018

Purpose: Axillary lymph node dissection (ALND) and sentinel lymph node biopsy (SLNB) are important for staging of patients with node-positive breast cancer. However, these can be avoided in select micrometastatic diseases, preventing postoperative complications. The present study evaluated the ability of axillary lymph node maximum standardized uptake value (SUVmax) on positron emission tomography-computed tomography (PET-CT) to predict axillary metastasis of breast cancer. Methods: The records of invasive breast cancer patients who underwent pretreatment (surgery and/or chemotherapy) PET-CT between January 2006 and December 2014 were reviewed. ALNs were preoperatively evaluated by PET-CT. Lymph nodes were dissected by SLNB or ALND. SUVmax was measured in both the axillary lymph node and primary tumor. Student t-test and chi-square test were used to analyze sensitivity and specificity. Receiver operating characteristic (ROC) and area under the ROC curve (AUC) analyses were performed. Results: SUV-tumor (SUV-T) and SUV-lymph node (SUV-LN) were significantly higher in the triple-negative breast cancer (TNBC) group than in other groups (SUV-T: 5.99, P<0.01; SUV-LN: 1.29, P=0.014). The sensitivity (0.881) and accuracy (0.804) for initial ALN staging were higher in fine needle aspiration+PET-CT than in other methods. For PET-CT alone, the subtype with the highest sensitivity (0.870) and negative predictive value (0.917) was TNBC. The AUC for SUV-LN was greatest in TNBC (0.797). Conclusion: The characteristics of SUV-T and SUV-LN differed according to immunohistochemistry subtype. Compared to other subtypes, the true positivity of axillary metastasis on PET-CT was highest in TNBC. These findings could help tailor management for therapeutic and diagnostic purposes.

• Korean Journal of Remote Sensing
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• v.35 no.4
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• pp.617-623
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• 2019

Numerous water disasters have recently occurred all over the world, including South Korea, due to global climate change in recent years. As water-related disasters occur extensively and their sites are difficult for people to access, it is necessary to monitor them using satellites. The Ministry of Environment and K-water plan to launch the next-generation medium satellite No. 5 (water resource/water disaster satellite) equipped with C-band synthetic aperture radar (SAR) in 2025. C-band SAR has the advantage of being able to observe water resources twice a day at a high resolution both day and night, regardless of weather conditions. Currently, RADARSAT-2 and Sentinel-1 equipped with C-band SAR achieve the purpose of their launch and are used in various environmental fields such as forest structure detection and coastline change monitoring, as well as for unique purposes including the detection of flooding, drought and soil moisture change, utilizing the advantages of SAR. As such, this study aimed to analyze the characteristics of the next-generation medium satellite No. 5 and its application in environmental fields. Our findings showed that it can be used to improve the degree of precision of existing environmental spatial information such as the classification accuracy of land cover map in environmental field works. It also enables us to observe forests and water resources in North Korea that are difficult to access geographically. It is ultimately expected that this will enable the monitoring of the whole Korean Peninsula in various environmental fields, and help in relevant responses and policy supports.

• Entomological Research
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• v.48 no.6
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• pp.522-532
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• 2018

As the vector-borne diseases rapidly increased due to climate change, we investigated the incidence of flavivirus occurrence among female mosquito species in urban and rural study sites in Daegu and Gunwi, South Korea using Realtime PCR. We collected more individuals and more species of mosquito in 2016 than in 2015. In 2015, we recorded a total of 22,033 mosquitoes (Trap Index, 224.8) representing 10 species from 5 genera, whereas in 2016, a total of 27,137 mosquitoes (Trap Index, 278.7) representing 13 species from 6 genera were collected. The number of mosquitoes in 2016 was higher in all study sites, except in the migratory bird habitats where the number decreased. Of the 14 species collected over the two years, Aedes vexans nipponii and Anopheles spp. were dominant in the cowsheds in rural farmland; Culex pipiens complex, in urban residential areas; and, Anopheles spp. and Cu. pipiens complex in migratory bird habitats caught in a black light trap. Cu. pipiens complex and Ae. albopictus in urban parks and Ae. albopictus and Armigeres subalbatus in migratory bird habitats were the dominant species caught in BG-sentinel traps. We found that the number of mosquitoes was highest during July-September. We analyzed 1,725 pools to detect flavivirus, where Chaoyang virus was detected among Ae. vexans niponii collected from cowsheds in rural farmland in 2016. The increased number of mosquitoes recorded in 2016 was mainly due to increased temperatures in the study areas, and reflected the change in study sites.

• KSII Transactions on Internet and Information Systems (TIIS)
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• v.16 no.2
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• pp.565-586
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• 2022

Cloud storage's elastic expansibility not only provides flexible services for data owners to store their data remotely, but also reduces storage operation and management costs of their data sharing. The data outsourced remotely in the storage space of cloud service provider also brings data security concerns about data integrity. Data integrity verification has become an important technology for detecting the integrity of remote shared data. However, users without data access rights to verify the data integrity will cause unnecessary overhead to data owner and cloud service provider. Especially malicious users who constantly launch data integrity verification will greatly waste service resources. Since data owner is a consumer purchasing cloud services, he needs to bear both the cost of data storage and that of data verification. This paper proposes a verification control algorithm in data integrity verification for remotely outsourced data. It designs an attribute-based encryption verification control algorithm for multiple verifiers. Moreover, data owner and cloud service provider construct a common access structure together and generate a verification sentinel to verify the authority of verifiers according to the access structure. Finally, since cloud service provider cannot know the access structure and the sentry generation operation, it can only authenticate verifiers with satisfying access policy to verify the data integrity for the corresponding outsourced data. Theoretical analysis and experimental results show that the proposed algorithm achieves fine-grained access control to multiple verifiers for the data integrity verification.

• Korean Journal of Remote Sensing
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• v.38 no.6_3
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• pp.1861-1869
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• 2022

Recent climate change can increase the frequency and damage of wildfires worldwide. It can also lead to the deterioration of the forest ecosystem and increase casualties and economic loss. Satellite-based indices for forest damage can facilitate an objective and rapid examination of burned areas and help analyze inaccessible places like North Korea. In this letter, we conducted a detection of burned areas in North Korea using the traditional Normalized Burn Ratio (NBR), the Normalized Difference Vegetation Index (NDVI) to represent vegetation vitality, and the Fire Burn Index (FBI) and Forest Withering Index (FWI) that were recently developed. Also, we suggested a strategy for the satellite-based detection of burned areas in the Korean Peninsula as a result of comparing the four indices. Future work requires the examination of small-size wildfires and the applicability of deep learning technologies.