• 산경연구논집
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• 제15권7호
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• pp.11-18
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• 2024

Purpose: The current research has investigated the question of how wellness tourism can be optimized to serve the diverse needs of its participants better while ensuring sustainable and inclusive growth. It will help design and implement better health and tourism policies to improve health and tourism policies to improve societies and economies. Research design, data and methodology: This research adopts a systematic literature review approach in collecting and synthesizing previous research works contained in the study to develop the result discussed in the next section. This review adheres to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist. Results: The findings of this research have indicated total of four brief suggestions to answer the research question, such as (1) Integration of Health and Wellness Programs in Mainstream Tourism, (2) Economic Revitalization of Rural and Underdeveloped Areas, (3) Enhancement of Public Health through Preventive Wellness, (4) Promotion of Sustainable Tourism Practices. Conclusions: Finally, this research concludes that incorporating health and wellness programs into mainstream tourism is a strategic focal area in hospitality practice. By raising the stakes in, for example, physical activities, beauty treatments, healthy meals, and mental health sessions, old-fashioned hotels or resorts can broaden their client base.

• Clinics in Shoulder and Elbow
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• 제26권4호
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• pp.423-437
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• 2023

Background: Radiofrequency has seen an increase in use in orthopedics including cartilage lesion debridement in the hip and knee as well as many applications in arthroscopic shoulder surgery. The purpose of this systematic review is to evaluate the safety and usage of radiofrequency in the shoulder. Methods: This systematic review was registered with PROSPERO (international registry) and followed the preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) guidelines. Embase and PubMed were searched using: "shoulder," "rotator cuff," "biceps," "acromion" AND "monopolar," "bipolar," "ablation," "coblation," and "radiofrequency ablation." The title and abstract review were performed independently. Any discrepancies were addressed through open discussion. Results: A total of 63 studies were included. Radiofrequency is currently utilized in impingement syndrome, fracture fixation, instability, nerve injury, adhesive capsulitis, postoperative stiffness, and rotator cuff disease. Adverse events, namely superficial burns, are limited to case reports and case series, with higher-level evidence demonstrating safe use when used below the temperature threshold. Bipolar radiofrequency may decrease operative time and decrease the cost per case. Conclusions: Shoulder radiofrequency has a wide scope of application in various shoulder pathologies. Shoulder radiofrequency is safe; however, requires practitioners to be cognizant of the potential for thermal burn injuries. Bipolar radiofrequency may represent a more efficacious and economic treatment modality. Safety precautions have been executed by institutions to cut down patient complications from shoulder radiofrequency. Future research is required to determine what measures can be taken to further minimize the risk of thermal burns.

• Journal of Digestive Cancer Research
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• 제11권2호
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• pp.61-65
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• 2023

Globally, esophageal cancer is the seventh most common cancer, and the male-to-female ratio in esophageal adenocarcinoma (EAC) is significantly imbalanced at 4:1 to 8:1. Obesity, reflux, and smoking are known risk factors for this sex difference; however, fully explaining this remains challenging. Studies have investigated the link between exogenous sex hormones and esophageal cancer occurrence. A meta-analysis revealed a lower risk of EAC in female who had undergone hormone replacement therapy. Androgen-deprivation therapy in patients with prostate cancer was associated with a decreased risk of EAC. Tissue-based studies have reported varied results regarding the relationship between estrogen receptor expression and survival in female patients with esophageal squamous cell carcinoma (ESCC). Circulating hormone studies have suggested that higher testosterone and luteinizing hormone levels decreased EAC risk in men, and free testosterone was inversely correlated in female with ESCC. However, a high androgen-estrogen ratio in male patients with EAC was linked to increased odds of EAC. Sex hormones influence carcinogenesis, affecting cell proliferation, differentiation, metabolism, inflammation, and cell death. The studies were limited by the small sample size and varying hormone measurement methods; thus, future studies with definitive conclusions on the association between esophageal cancer and sex hormones are warranted.

• 대한한방내과학회지
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• 제44권4호
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• pp.726-740
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• 2023

목적: 이 연구의 목적은 불면증에 대한 한방 족욕요법의 연구 동향을 검토하는 것이다. 방법: 관련 연구의 수집을 위해 CNKI에서 검색을 수행하여, 2023년 8월 29일까지 발표된 연구를 검토하였다. 불면증 환자를 대상으로 한방 족욕요법과 수면제를 비교한 무작위 대조군 임상시험 만을 분석에 포함하였다. 포함된 연구들의 방법론적 질은 Cochrane risk-of-bias assessment tool을 사용하여 평가하였다. 메타분석의 결과는 위험비(risk ratios, RRs)와 평균차(mean differences, MDs) 및 그 95% 신뢰구간(confidence intervals, CIs)으로 제시되었다. 결과: 총 11편의 무작위 대조군 임상시험이 포함되었다. 분석 결과, 한방 족욕요법은 벤조디아제핀계 약물과 비교하여 유의하게 더 높은 총유효율(RR, 1.25; 95% CI, 1.15 to 1.36; I²=25%)과 개선된 피츠버그 수면의 질 지수(Pittsburgh Sleep Quality Index, PSQI) 총 점수(MD, -3.10; 95% CI, -4.24 to -1.95; I²=73%)를 보였다. 또한, 벤조디아제핀계 약물에 한방 족욕요법을 병용한 경우, 벤조디아제핀계 약물을 단독으로 사용한 것과 비교하여 유의하게 더 높은 총유효율(RR, 1.15; 95% CI, 1.04 to 1.27; I²=0%)과 개선된 PSQI 총 점수(MD, -2.23; 95% CI, -4.09 to -0.38; I²=80%)을 보였다. 네트워크 분석을 통해 한방 족욕요법에 포함된 약재를 분석하고 시각화한 결과, 4개의 클러스터가 발견되었으며, 핵심 약재는 야교등과 산조인이었다. 포함된 연구들의 방법론적 질은 전반적으로 낮았다. 결론: 이 연구는 불면증 개선에 있어서 단독요법 또는 병행치료로서의 한방 족욕요법이 효과적이라는 제한된 수준의 근거를 보여준다. 이 연구의 발견은 향후 한국에서 시행할 한방 족욕요법 연구의 기초자료로 활용될 수 있을 것이다.

• 동서간호학연구지
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• 제26권2호
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• pp.118-129
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• 2020

Purpose: The purpose of this study was to analyze the topic trend of domestic simulation nursing education research using text network analysis(TNA). Methods: This study was conducted in four steps. TNA was performed using the NetMiner (version 4.4.1) program. Firstly, 245 articles from 4 databases (RISS, KCI, KISS, DBpia) published from 2008 to 2018, were collected. Secondly, keyword-forms were unified and representative words were selected. Thirdly, co-occurrence matrices of keywords with a frequency of 2 or higher were generated. Finally, social network-related measures-indices of degree centrality and betweenness centrality-were obtained. The topic trend over time was visualized as a sociogram and presented. Results: 178 author keywords were extracted. Keywords with high degree centrality were "Nursing student", "Clinical competency", "Knowledge", "Critical thinking", "Communication", and "Problem-solving ability." Keywords with high betweenness centrality were "CPR", "Knowledge", "Attitude", "Self-efficacy", "Performance ability", and "Nurse." Over time, the topic trends on simulation nursing education have diversified. For example, topics such as "Neonatal nursing", "Obstetric nursing", "Pediatric nursing", "Blood transfusion", "Community visit nursing", and "Core basic nursing skill" appeared. The core-topics that emerged only recently (2017-2018) were "High-fidelity", "Heart arrest", "Clinical judgment", "Reflection", "Core basic nursing skill." Conclusion: Although simulation nursing education research has been increasing, it is necessary to continue studies on integrated simulation learning designs based on various nursing settings. Additionally, in simulation nursing education, research is required not only on learner-centered educational outcomes, but also factors that influence educational outcomes from the perspective of the instructors.

• 자원환경지질
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• 제43권5호
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• pp.523-528
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• 2010

미국발 금융위기 여파로 세계경제가 침체되변서 LME의 base metal 가격이 2008년 4/4, 분기 급락하였으나, 2009년 1-7월 거시경제 회복신호와 함께 base metal 가격이 다시 상승세를 보였다. Base meta1 상승 배경에는 미국 기업들의 개선된 실적 발표로 산업생산 및 제조업지수가 개선된 것 미달러화 약세로 인한 원자재 가격 상승, 그리고 무엇보다도 세계 금융 위기 속에도 경제성장을 위한 중국의 원자재 수요 증가가 주요 원인으로 꼽힌다. 이에 본 논문에서는 base metal 가격상승에 주요 base metal소비국의 수요가 영향을 주었는지를 중국 및 주요국 경제성장률을 가지고 회귀분석 하였다. 분석결과 중국의 경제 성장만이 LME시장의 base metal 가격상승에 영향을 주는 것으로 나타났다. 하지만 이런 결과에도 불구하고, 그동안 중국 상품의 주요 소비시장이었던 미국, 유럽 동 선진국들 경제의 본격적인 회복 없이 중국경제만으로 base metal 가격 상승랠리가 지속될지 여부를 보고자 한다.

• Asian Pacific Journal of Cancer Prevention
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• 제15권16호
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• pp.6643-6647
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• 2014

The breast and the thyroid are hormone responsive organs that are closely related with changes of endocrine function and glandular disease. An association between thyroid disorders and breast cancer (BC) risk has been suggested, although the results are inconclusive. The purpose of the present study was to summarize evidence supporting a relationship between BC and the level of thyroid hormones and antibodies. The MEDLINE and EMBASE electronic databases were searched for studies published between 2000 and 2014. The pooled effects were presented as weighted mean differences (WMD) with 95% confidence intervals (CI) using fixed or random effect models. We summarized the results of 8 cross-sectional studies with 4, 189 participants. The overall pooled results showed that the levels of $FT_3$ and $FT_4$ were significantly increased in patients with BC (WMD=1.592 pmol/l; 95% CI: 0.15-3.033 and WMD=0.461 ng/dl; 95% CI: 0.015-0.906; p=0.043). The TPOAb level in patients with BC was higher than that in the control group (WMD=81.4 IU/ml; 95% CI: 78.7-84.0; p=0.000). The overall pooled results of the TgAb with random effects analyses showed that the TgAb level was significantly increased in patients with BC (WMD=101.3 IU/ml; 95% CI: 48.7-153.9; p=0.000). The present results indicated that the serum levels of $FT_3$, TPOAb and TgAb are significantly higher in patients with breast cancer than in healthy controls.

• Archives of Plastic Surgery
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• 제47권6호
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• pp.535-541
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• 2020

The keystone design perforator island flap can be utilized in the repair of trunk defects. A systematic review was carried out to identify the complication rates of the use of this flap to treat such defects. The MEDLINE, Embase, Cochrane Library, and PubMed Central databases were searched for articles published between January 2003 and December 2018 that reported the use of keystone design perforator island flaps in the repair of trunk defects. Study selection was conducted in alignment with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. Eight articles involving a total of 54 flaps satisfied the inclusion criteria. The most frequently reported cause of trunk defects was oncologic resection (64.4%). The overall complication rate was 35.2%, and complications included infection (11.1%), wound dehiscence (7.4%), delayed healing (7.4%), and partial flap loss (1.9%). The keystone design perforator island flap is associated with a high success rate and low technical complexity. Despite minor complications, keystone design flaps could be a preferred choice for trunk reconstruction.

• 한국축산식품학회지
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• 제21권4호
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• pp.383-388
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• 2001

본 연구는 국내산 프로폴리스의 화학적 특성을 조사하기 위하여 실시하였다. 위한 기초 자료를 얻고자 실시하였다. 예천과 영월 프로폴리스의 수분, 조단백질, 조지방, 화분, 그리고 탄수화물의 함량은 각각 3.25와 3.97, 9.82와 7.04, 48.25와 50.7, 3.91과 5.89, 그리고 34.77과 32.4%였다. 미네랄에서 Se은 검출이 되지 않았으며, P, Ca 및 Cu은 영월 프로폴리스가 184.15, 128.32, 1.77ppm으로 가장 높았으며, 예천산은 1130.6ppm, 그리고 영월산은 1049.1ppm이었다. 지방산 중 linoleic acid와 linolenic acid는 예천 프로폴리스가 47.6 및 70.0mg/100g이었으며, 영월 프로폴리스는 37.3과 47.0mg/100g이었다.

• Journal of the Korean Wood Science and Technology
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• 제33권6호통권134호
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• pp.71-78
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• 2005

임산바이오매스 자원 이용의 일환으로 율추(栗皺) 열수추출물의 디에틸에테르 가용부 및 초산에틸 가용부로부터 칼럼크로마토그래피 등을 이용하여 3종의 물질을 단리하여 화학구조를 동정한 결과, 3,5-dihydroxybenzoic acid, 3,4,5-trihydroxybenzoic acid 그리고 (+)-catechin을 확인하였다. 이들 단리화합물의 항산화활성을 DPPH 라디칼 전자공여능(EDA)으로 측정한 결과, 10 ppm에서 화합물 3,4,5-trihydroxybenzoic acid (gallic acid)와 (+)-catechin은 대조구인 ascorbic acid와 $\alpha$-tocopherol 보다 높게 나타났고, 특히 화합물 gallic acid는 ascorbic acid보다 약 21배, $\alpha$-tocopherol보다 약 6배 높게 나타났으며 화합물 catechin보다 약 2.7배 높게 나타났다.