• Korean Medical Education Review
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• v.25 no.2
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• pp.139-158
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• 2023

Defining a competent doctor is important for educating and training doctors. However, competency frameworks have rarely been validated during the process of their development in Korea. The purpose of this study was to validate the patient-centered doctor's competency framework, which had been developed by our expert working group (EWG). Two rounds of Delphi questionnaire surveys were conducted among a panel of experts on medicine and medical education. The panel members were provided with six core competencies, 17 sub-competencies, and 53 enabling competencies, and were asked to rate the importance of these competencies on a 5-point Likert scale. Between April and July 2021, a total of 28 experts completed both rounds. The data of the Delphi study were analyzed for the mean, standard deviation, median, inter-rater agreement (IRA), and content validity ratio (CVR). A CVR >0.36 and IRA ≥0.75 were deemed to indicate validity and agreement. This study found that five enabling competencies were not valid, and agreement was not reached for three sub-competencies and two enabling competencies. In consideration of CVR and the individual opinions of panel members at each session, the final competencies were extracted through consensus meetings of the EWG. The competencies were modified into six core competencies, 16 sub-competencies, and 47 enabling competencies. This study is meaningful in that it proposes patient-centered doctor's competencies enabling the development of residents' milestone competencies, an assessment system, and educational programs.

• Journal of the Korea Institute of Building Construction
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• v.23 no.4
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• pp.337-348
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• 2023

The central objective of this study is to curtail the leakage of mortar or cement paste, often resultant of ill-constructed formwork, by implementing thixotropy in the formulation of high-fluidity, standard-strength concrete. When such concrete is utilized in smaller scale construction projects, instances of formwork gaps due to suboptimal construction precision may lead to significant leakage of mortar and paste, a problem not typically encountered with traditional slump-flow concrete. In this investigation, Polyvinyl Alcohol(PVA) and borax are incorporated into the concrete mixture to induce thixotropy. The experimental design includes varying methodologies for integrating PVA and borax, while assessing alterations in diverse concrete performances, including thixotropy and leakage reduction potential that simulates formwork gap conditions. Under the experimental conditions defined within this study, it was found that replacing, rather than merely adding PVA and borax, aids in averting water addition via suspensions. This approach yielded promising results in terms of concrete properties and proved efficacious in stemming leakage in concrete possessing sufficient thixotropy. Notably, when a 6% PVA suspension was substituted, a significant reduction in leakage was observed. Consequently, it is projected that construction quality can be ensured, even with lower precision formwork, by applying thixotropy to concrete through the use of PVA and borax.

• Analytical Science and Technology
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• v.21 no.6
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• pp.443-458
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• 2008

Brominated flame retardants (BFRs) are chemical compounds that inhibit the combustion of organic materials by scavenging free radicals that would otherwise encourage the spread of flames. These compounds are found in a wide variety of materials including paints, plastics, textiles, furniture and electronics. Mounting evidence, however, suggests that the non-reactive BFRs can easily leach into the environment and pose significant environmental and health concerns. PBDDs/PBDFs are often formed in the process of manufacturing brominated flame retardants and from the combustion of waste products containing flame retardants BFR. Therefore, this paper describes the general characteristics, management status, residual concentration in environments and analytical method.

• Korean Journal of Ichthyology
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• v.35 no.2
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• pp.121-128
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• 2023

Two specimens of Polymetme elongata (Phosichthyidae; Polymetme) were collected by a bottom trawl from both the southern coastal waters of Jejudo Island in October 2016 (70.65 mm SL) and Yellow Sea, Korea in August 2022 (54.04 mm SL). They are an elongated body with large mouth, 11 dorsal fin rays, 10 pectoral fin rays, 7 pelvic fin rays, 30~32 anal fin rays, 1 adipose fin, 18 gill rakers, 44 vertebrae, 1 preorbital photophore, 1~2 ventrolateral rows of photophores on body, 1 paired photophores in symphysis of lower jaw, 9 branchiostegal rays, 2 rows of 8 phorophores between pelvic fin origin and anal fin origin, and 1 row of 23 photophores thereafter. At the origin of anal fin, the second photophore is more higher than third photophore and the first photophore is most lowest. Our specimens differ from the other species of the same genus by the ratio of the head length to the standard length (1/5) and the gill rakers (18), absolutely. As this species is the first record of the family Phosichthyidae, genus Polymetme, and P. elongata in Korean waters, we suggest their new Korean names, "Gin-ael-tung-i-gwa", "Gin-ael-tung-i-sog", and "Gin-ael-tung-i", respectively.

• 한국노년학
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• v.30 no.4
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• pp.1095-1106
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• 2010

The purpose of this study was to develop a Abdominal Obesity Elderly(AOE) Health Status Scale to assess self rated health level. The subjects of this study were total 255(pretest 56, test 199) elderly over 65year. The data were collected between June to August, 2009. The method of this study as follow: items generation, test of validity and reliability, 5 panels of experts reviewed the preliminary questionnaire and then data were collected from elderly. Factor analysis, Cronbach's alpha, mean, standard deviation were analyzed the data by SPSS-Win 12.0 program. Results of factor analysis, 5 factors with a total of 16 items extracted that were Social level(Social participation 6 items, Physical Activity 2 items), Physical level(Disease Perception 4 items, Physical Index 2 items), Psychological level(Emotional Support 2 items). The reliability of the AOE health status scale was .868(Conbach's α). In the factor analysis Conbach's α correlations for the 5 factors ranged from .806 to .577. Therefore, Content validity, construct validity, reliability of the AOE health status scale were established. The AOE health status scale is a reliable and valid instrument which abdominal obesity elderly health status can be assessed.

• Journal of Food Hygiene and Safety
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• v.38 no.6
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• pp.409-419
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• 2023

Okadaic acid (OA) group toxins, including OA and its analogs, such as dinophysis toxins (DTXs), have been reported to cause diarrheal shellfish poisoning (DSP). These toxins are primarily produced by dinoflagellates and are accumulated in bivalves. Recently, the presence of Dinophysis sp., a causative alga of DSP, has been reported along the coasts of Korea, posing a potential risk of contamination to domestic seafood and exerting an impact on both the production and consumption of marine products. Accordingly, the European Food Safety Authority (EFSA) and the World Health Organization (WHO) have established standards for the permissible levels of OA group toxins in marine products for safety management. Additionally, in line with international initiatives, the domestic inclusion and regulation of DTX2 among the substances falling under the purview of management outlined by the 2022 diarrheal shellfish toxin standard have been implemented. In this study, we reviewed the physicochemical properties of OA group toxins, their various exposure routes (such as acute toxicity, genotoxicity, reproductive and developmental toxicity), and the relative toxicity factors associated with these toxins. We also performed a comparative assessment of the methods employed for toxin analysis across different countries. Furthermore, we aimed to conduct a broad review of human exposure cases and assess the international guideline for risk management of OA group toxins.

• Journal of Navigation and Port Research
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• v.46 no.6
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• pp.483-490
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• 2022

Floating LiDAR is a system that provides a new paradigm for wind condition observation, which is essential when creating an offshore wind farm. As it can save time and money, minimize environmental impact, and even reduce backlash from local communities, it is emerging as the industry standard. However, the design and verification of a stable platform is very important, as disturbance factors caused by fluctuations of the buoy affect the reliability of observation data. In Korea, due to the nation's late entry into the technology, a number of foreign equipment manufacturers are dominating the domestic market. The west coast of Korea is a shallow sea environment with a very large tidal difference, so strong currents repeatedly appear depending on the region, and waves of strong energy that differ by season are formed. This paper conducted a study examining buoys suitable for LiDAR operation in the waters of Korea, which have such complex environmental characteristics. In this paper, we will introduce examples of optimized design and verification of ship-type buoys, which were applied first, and derive important concepts that will serve as the basis for the development of various platforms in the future.

• Journal of the Korean Institute of Gas
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• v.27 no.4
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• pp.12-18
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• 2023

The effective evacuation strategy according to the accident scenario is crucial to minimize human casualties in the event of toxic gas leak accidents. In this study, the effect of the direction of a building and the location of an industrial complex on the increase in indoor concentration and outdoor diffusion was examined under the same leakage conditions, and effective evacuation criteria were established. In addition, the guidelines for building directions were suggested when constructing buildings that would mitigate human damage caused by chemical accidents. Three scenarios where buildings faced the front, side, and rear of the leakage direction were investigated through CFD simulations. The results revealed that when the building faced the industrial complex, both indoor and outdoor average gas concentrations increased significantly, reaching up to 120 times higher than the other two orientations. Moreover, the indoor space was filled with toxic gas substances more than twice in the same time due to the rapid increase of indoor concentration rate. In cases where the building's windows were positioned at the front, toxic gas stagnation occurred around the building due to pressure differences and reduced flow velocities. Based on our findings, the implementation of these guidelines will contribute to safeguarding residents by minimizing exposure to toxic gas during chemical accidents.

• Land and Housing Review
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• v.15 no.1
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• pp.167-177
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• 2024

This study aimed to assess the efficacy of an adsorption process in removing organic matter and micropollutant residuals. After a full-scale water circulation system, the adsorption process was considered a post-treatment step. The system, treating anthropogenically impacted surface waters, comprises a hydro-cyclone, coagulation, flocculation, and dissolved air flotation unit. While the system generally maintained stable and satisfactory effluent quality standards over months, it did not meet the highest standard for organic matter (as determined by chemical oxygen demands). Adsorption experiments utilized two granular activated carbon types, GAC 830 and GCN 830, derived from coal and coconut-shell feedstocks, respectively. The assessment encompassed organic materials along with two notable micropollutants: acetaminophen (APAP) and acid orange 7 (AO7). Adsorption kinetics and isotherm experiments were conducted to determine adsorption rates and maximum adsorption amounts. The quantitative findings derived from pseudo-second-order kinetics and Langmuir isotherm models suggest the effectiveness of the adsorption process. The findings of this study propose the potential of employing the adsorption process as a post-treatment to enhance the treatment of contaminants that are not satisfactorily treated by conventional water circulation systems. This enhancement is crucial for ensuring the sustainability of urban water cycles.

• Korean Journal of Radiology
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• v.22 no.11
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• pp.1886-1893
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• 2021

Objective: To assess the feasibility of quantitatively assessing pancreatic steatosis using magnetic resonance imaging (MRI) and its correlation with obesity and metabolic risk factors in pediatric patients. Materials and Methods: Pediatric patients (≤ 18 years) who underwent liver fat quantification MRI between January 2016 and June 2019 were retrospectively included and divided into the obesity and control groups. Pancreatic proton density fat fraction (P-PDFF) was measured as the average value for three circular regions of interest (ROIs) drawn in the pancreatic head, body, and tail. Age, weight, laboratory results, and mean liver MRI values including liver PDFF (L-PDFF), stiffness on MR elastography, and T2^* values were assessed for their correlation with P-PDFF using linear regression analysis. The associations between P-PDFF and metabolic risk factors, including obesity, hypertension, diabetes mellitus (DM), and dyslipidemia, were assessed using logistic regression analysis. Results: A total of 172 patients (male:female = 125:47; mean ± standard deviation [SD], 13.2 ± 3.1 years) were included. The mean P-PDFF was significantly higher in the obesity group than in the control group (mean ± SD, 4.2 ± 2.5% vs. 3.4 ± 2.4%; p = 0.037). L-PDFF and liver stiffness values showed no significant correlation with P-PDFF (p = 0.235 and p = 0.567, respectively). P-PDFF was significantly associated with obesity (odds ratio 1.146, 95% confidence interval 1.006-1.307, p = 0.041), but there was no significant association with hypertension, DM, and dyslipidemia. Conclusion: MRI can be used to quantitatively measure pancreatic steatosis in children. P-PDFF is significantly associated with obesity in pediatric patients.