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Cost-Utility Analysis of Pegfilgrastim and Pegteograstim in Patients with Breast Cancer using Doxorubicin and Cyclophosphamide (Doxorubicin과 Cyclophosphamide를 투여받는 유방암 환자에서 Pegfilgrastim과 Pegteograstim의 비용-효용 분석)

  • Kwon, Su Ji;Geum, Min Jung;Kim, Jae Song;Son, Eun Sun;Kwon, Kyeng Hee
    • Journal of Korean Society of Health-System Pharmacists
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    • v.35 no.4
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    • pp.409-417
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    • 2018
  • Background : Febrile neutropenia (FN) is one of the side effects in the patients treated with chemotherapy, and the patients who have FN generally need immediate treatment with extended-spectrum antibiotics and hospitalization. Pegfilgrastim and pegteograstim, which are used for the prevention of FN as a granulocyte-colony stimulating factor (G-CSF), have been granted insurance coverage in the Republic of Korea for certain breast cancer patients using doxorubicin and cyclophosphamide (AC) from September 2016. Methods : The data of the patients with breast cancer using AC regimen and G-CSF were collected retrospectively. This study involves cost-utility analysis of pegfilgrastim and pegteograstim. In this study, we constructed a simple decision tree model for short-term observation and calculated quality-adjusted life year (QALY) and the direct medical costs from the medical provider's perspective. Results : From September 2016 to May 2017, 15 patients were treated with pegfilgrastim and 15 patients were treated with pegteograstim. As a result of dividing the average cost by QALY for each treatment group, it was observed that pegfilgrastim and pegteograstim were consumed 24,923,384 won and 22,808,336 won per 1QALY, respectively. Consequently, incremental cost effectiveness ratio (ICER) showed 2,115,048 won more per pegfilgrastim than pegteograstim per 1QALY, and the cost per 1QALY of both the drugs was lower than 30,500,000 won; the Koreans were willing to pay this amount. Conclusions : This study suggests that pegfilgrastim and pegteograstim can be used to improve the quality of life of breast cancer patients undergoing AC therapy. Among the two drugs, pegteograstim seems to be more cost-effective. However, since this study was conducted as a retrospective observation method on a small scale, it is associated with many limitations. Therefore, a long-term prospective cohort study is needed to supplement the present findings.

An Application and Educational Outcomes of e-PBL (e-Project-based Learning) to University Forest Education (대학 산림교육의 웹기반 프로젝트 학습법(e-PBL) 적용 사례와 학습성과)

  • Lee, Songhee;Lee, Jaeeun;Kang, Hoduck;Yoon, Tae Kyung
    • Journal of Korean Society of Forest Science
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    • v.110 no.2
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    • pp.266-279
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    • 2021
  • This study applied the e-PBL (e-Project-based learning) method for "Urban Forest Management" courses in the Department of Forest Science at S University to progress in university forest education. e-PBL effectively motivates self-directed learning, problem-solving, communication skills, and learners' responsibility by enabling them to choose, design, and perform their projects. Due to the COVID-19 pandemic in 2020, learners were encouraged to use online media to carry out projects and submit presentations for the campus forest. Learners' educational effects were subsequently investigated through a five-point Likert scale. This study discovered a positive effect on learners' motivation and interest (4.17) through e-PBL. Learners responded that e-PBL also helped their understanding regarding the subject (4.17). In addition, this study provided evidence that the e-PBL method was helpful in problem-solving (4.25), communication (4.33), and decision-making skills (4.21). According to learners' responses, there are positive indications that learners were satisfied with e-PBL. Learners responded that interactions and communications with team members could improve their understanding of the subject. Hence, there is scope for improving an efficient and successful e-PBL model suitable for university forest education by providing more efficient instructional time management, e-PBL method guidelines, and institutional support.

A Study on the Establishment of a Track for Entrepreneurship Convergence -Focusing on the Case of K University- (창업융합전공 트랙개설에 관한 연구 -K대학 사례를 중심으로-)

  • Im, Jin-Hyuk;Kwon, Hyuk
    • Journal of the Korea Convergence Society
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    • v.11 no.12
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    • pp.177-186
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    • 2020
  • Entrepreneurship education has been emphasized worldwide and the number of universities that open related subjects have been increasing. K University, located in Gyeonggi-do, was selected as one of the leading universities in entrepreneurship in 2014, and has continued to grow quantitatively by providing support and education related to entrepreneurship on and off campus. In addition, major issues in entrepreneurship education were derived by conducting written or face-to-face interviews and advisory meetings with instructors, field experts, and education demanders for environmental analysis. Based on this, three major tracks(venture start-up, entrepreneurship convergence, and social venture activation) were derived, and major competency and learning goals for each track were presented. On the other hand, in order for this study to be more effectively accepted, it is necessary to present the objectives of each track, the capabilities pursued, and the courses that help students' progress. Therefore, in the future research, it is necessary to design and present the goals for each track, the curriculum road map, and the detailed curriculum of the convergence major, and at the same time, research to match the appropriate teaching method for each newly opened subject will be required to increase educational effectiveness.

Development and Verification of a Simultaneous Analytical Method for Whole Blood Metals and Metalloids for Biomonitoring Programs (바이오모니터링 프로그램을 위한 혈중 금속류 동시분석법 개발 및 확인 평가)

  • Cha, Sangwon;Oh, Eunha;Oh, Selim;Han, Sang Beom;Im, Hosub
    • Journal of Environmental Health Sciences
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    • v.47 no.1
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    • pp.64-77
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    • 2021
  • Objective: Biological monitoring of trace elements in human blood samples has become an important indicator of the health environment. The purpose of this study was to detect and evaluate multiple metal items in blood samples based on ICP-MS, to perform comparative evaluation with the existing analysis method, and to develop and verify a new method. Methods: 100 μL of whole blood from 80 healthy subjects was used to analyze ten metals (Sb, tAs, Cd, Pb, Mn, Hg, Mo, Ni, Se, Tl) using ICP-MS. Verification of the analysis method included calculation of linearity, accuracy, precision and detection limits. In addition, a comparative test with the conventional graphite furnace atomic absorption spectroscopy (GF-AAS) method was performed. In the case of Pb, Cd, and Hg in whole blood, cross-analysis between Pb, Cd, and Hg analysis methods was performed to confirm the difference between the existing method and the new method (ICP-MS). Results: The coefficient of determination (R2) was 0.999 or higher in seven items and 0.995 or higher in three items. The Pb result showed that Pearson's correlation coefficient was very high at 0.983, and the intraclass correlation coefficient was 0.966. The Cd result showed that Pearson's correlation coefficient was 0.917 between the existing method and the new analysis concentration value. Its intraclass correlation coefficient was 0.960, and there was no significant difference between the two groups. Hg had a low correlation at 0.687, and the intraclass correlation coefficient was 0.761, which was lower than that of Pb and Cd. The intra-day and inter-day accuracy of Pd and Cd were satisfactory, but Hg did not meet the criteria for both accuracy and precision when compared with the conventional analysis method. Conclusion: This study can be meaningful in that it proposes a more efficient and feasible analysis method by verifying a blood heavy metal concentration experiment using multiple simultaneous analyses. All samples were processed and analyzed using the new ICP-MS. It was confirmed that the agreement between the two methods was very high, with the agreement between the current and new methods being 0.769 to 0.998. This study proposes an efficient simultaneous methodology capable of analyzing multiple elements with small samples. In the future, studies of various applications and the reliability of ICP-MS analysis methods are required, and research on the verification of accurate, precise, and continuous analysis methods is required.

A Study on the Application of GOCI to Analyzing Phytoplankton Community Distribution in the East Sea (동해에서 식물플랑크톤 군집 분포 분석을 위한 GOCI 활용 연구)

  • Choi, Jong-kuk;Noh, Jae Hoon;Brewin, Robert J.W.;Sun, Xuerong;Lee, Charity M.
    • Korean Journal of Remote Sensing
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    • v.36 no.6_1
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    • pp.1339-1348
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    • 2020
  • Phytoplankton controls marine ecosystems in terms of nutrients, photosynthetic rate, carbon cycle, etc. and the degree of its influence on the marine environment depends on their physical size. Many studies have been attempted to identify marine phytoplankton size classes using the remote sensing techniques. One of successful approach was the three-component model which estimates the chlorophyll concentrations of three phytoplankton size classes (micro-phytoplankton; >20 ㎛, nano-; 2-20 ㎛ and pico-; <2 ㎛) as a function of total chlorophyll. Here, we examined the applicability of Geostationary Ocean Colour Imager (GOCI) to the mapping of the phytoplankton size class distribution in the East Sea. A fit of the three-component model to a biomarker pigment dataset collected in the study area for some years including a large harmful algal bloom period has been carried out to derive size-fractioned chlorophyll concentration (CHL). The tuned three-component model was applied to the hourly GOCI images to identify the fractions of each phytoplankton size class for the entire CHL. Then, we investigated the distribution of phytoplankton community in terms of the size structure in the East Sea during the harmful Cochlodinium polykrikoides blooms in the summer of 2013.

The Power Converter Circuit Characteristics for 3 kW Wireless Power Transmission (3 kW 무선 전력전송을 위한 전력 변환기 회로 특성)

  • Hwang, Lark-Hoon;Na, Seung-kwon;Kim, Jin Sun;Kang, Jin-hee
    • Journal of Advanced Navigation Technology
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    • v.24 no.6
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    • pp.566-572
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    • 2020
  • In a wireless power transmitter, the characteristics and effects of wireless power transmission between two induction coils are investigated, and a power converter circuit and a battery charger/discharger circuit using wireless power transmission technology are proposed. The advantage of wireless power transmitters and wireless chargers is that, instead of the existing plug-in-mounted wired charger (OBC; on-board charger), the user can wirelessly charge the battery without connecting the power source when charging power to the battery. There is. In addition, the advantage of wireless charging can bring about an energy efficiency improvement effect by using the secondary side rectifier circuit and the receiving coil, but the large-capacity long-distance wireless charging method has a limitation on the transmission distance, so many studies are currently being conducted. The purpose of the study is to study the transmitter circuit and receiver circuit of a wireless power transmission device using a primary coil, a secondary coil, and a half bridge series resonance converter, which can transmit power of a non-contact type power transmitter. As a result, a new topology was applied to improve the power transmission distance of the wireless charging system, and through an experiment according to each distance, the maximum efficiency (95.8%) was confirmed at an output of 3 kW at an 8 cm transmission distance.

Study of MongoDB Architecture by Data Complexity for Big Data Analysis System (빅데이터 분석 시스템 구현을 위한 데이터 구조의 복잡성에 따른 MongoDB 환경 구성 연구)

  • Hyeopgeon Lee;Young-Woon Kim;Jin-Woo Lee;Seong Hyun Lee
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.16 no.5
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    • pp.354-361
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    • 2023
  • Big data analysis systems apply NoSQL databases like MongoDB to store, process, and analyze diverse forms of large-scale data. MongoDB offers scalability and fast data processing speeds through distributed processing and data replication, depending on its configuration. This paper investigates the suitable MongoDB environment configurations for implementing big data analysis systems. For performance evaluation, we configured both single-node and multi-node environments. In the multi-node setup, we expanded the number of data nodes from two to three and measured the performance in each environment. According to the analysis, the processing speeds for complex data structures with three or more dimensions are approximately 5.75% faster in the single-node environment compared to an environment with two data nodes. However, a setting with three data nodes processes data about 25.15% faster than the single-node environment. On the other hand, for simple one-dimensional data structures, the multi-node environment processes data approximately 28.63% faster than the single-node environment. Further research is needed to practically validate these findings with diverse data structures and large volumes of data.

An Influence of Intolerance of Uncertainty on Entrepreneurial Intention of College Students: Focused on Start-up Support System Perception (대학생의 불확실성에 대한 인내력 부족이 창업의지에 미치는 영향: 창업지원제도지각도를 매개로)

  • Ko, Sang Hee;Park, Woojin;Bae, Byung Yun
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.17 no.5
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    • pp.95-104
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    • 2022
  • This study aims to find out the influence of the intolerance of uncertainty on entrepreneurial intention by focusing on the start-up support system awareness. While most of existing studies focused on the positive psychological variables and individual environmental characteristics influencing on the entrepreneurial intention, this study has taken a look at the influence of the intolerance of uncertainty as the psychological variable to the entrepreneurial intention to negatively act on the entrepreneurial intention. As a result of the analysis, the intolerance of uncertainty under the control of entrepreneurship and gender is shown to have the negative (-) influence on the entrepreneurial intention and has high level of recognition on the start-up support system perception, and the start-up support system perception is confirmed to have positive (+) influence on the entrepreneurial intention. And, it also indicates that, with respect to the influence of the intolerance of uncertainty on the entrepreneurial intention, the start-up support system perception has the partial medium effect. Following this result of the study, it provides following indications: First the existing studies on the entrepreneurial intention had not covered the intolerance of uncertainty but it is confirmed as the psychological variable with negative influence on the entrepreneurial intention. Second, it is feasible for the preliminary start-up businesses may turn the fear on start-up failure into positive entrepreneurial intention with the start-up support system perception as the leading vehicle. And, third, based on the result, the government should enhance the start-up support system perception even more by seeking ways of efficient publicity to enable more preliminary start-up businesses to participate in diverse start-up support policies. Lastly, it discusses the limitations of this study as well as proposal for ensuing study plans.

Comparison of Effects of Sociocultural Attitudes toward Appearance, Appearance Satisfaction, and Peer Relationship on Self-esteem between Male and Female Middle School Students (남·녀 중학생의 외모에 대한 사회문화적 태도, 외모 만족도, 또래 관계가 자아존중감에 미치는 영향 비교)

  • Jong Sin Kim;Hyunju Park
    • Journal of the Korean Society of School Health
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    • v.37 no.1
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    • pp.22-32
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    • 2024
  • Purpose: The purpose of this study is to compare sociocultural attitudes toward appearance, appearance satisfaction, and peer relationships between male and female middle school students, and to compare the effects of these variables on self-esteem in students of different genders. Methods: Data were collected in August and September of 2023 and analyzed using SPSS 24.0. Data were collected from 289 male and 240 female students through a survey, and descriptive statistics, x2 test, t-test, Scheffé test, and multiple regression analysis were conducted. Results: Female students showed significantly higher scores for sociocultural attitudes toward appearance (3.06±0.77 vs. 2.82±0.74), significantly lower scores for appearance satisfaction (2.55±0.46 vs. 2.71±0.40), and significantly higher scores for peer relationships (3.46±0.69 vs. 3.00±0.78) than male students. Additionally, self-esteem was significantly lower in female students (2.84±0.59) than in male students (2.95±0.51). As a result of adjusting for weekly allowance, subjective academic achievement, family economic status, stress, and experience of sadness or despair, which were significant in the univariate analysis, self-esteem increased as appearance satisfaction (p for all <.001) and peer relationships increased in both male (p=.009) and female (p<.001) students. In addition, sociocultural attitudes toward appearance did not have a significant impact on self-esteem in both male and female students. Among general characteristics, weekly allowance, subjective academic achievement, and stress were found to have a significant effect on self-esteem in both genders. Relationships with parents had a significant effect on self-esteem only in male students, and experience of sadness or despair had a significant effect only in female students. Conclusion: In order to improve self-esteem in both boys and girls, appearance satisfaction and peer relationships should be improved. As boys with poor relationships with their parents and girls with high levels of sadness or despair are particularly likely to have low self-esteem, they are to be considered as a high-risk group.

Agrobacterium-mediated transformation produces transgenic oilseed rape with a high-yield trait (아그로박테리움 형질전환법을 이용한 수량증대 유채 식물체 개발)

  • Jong Bo Kim
    • Journal of Plant Biotechnology
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    • v.50
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    • pp.63-69
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    • 2023
  • This study includes the transformation of genes such as ORE7, the increase of gene expression, and the use of the bar gene as a selectable marker that shows herbicide resistance with Agrobacterium tumefaciens using hypocotyls from the oilseed rape "Youngsan" cultivar. To establish an Agrobacterium transformation system for the production of oilseed rape with a high-yield trait, infection time and co-cultivation period with Agrobacterium were tested. Therefore, when hypocotyls from the oilseed rape "Youngsan" cultivar were infected with Agrobacterium for 20 min and co-cultivated for 3 days, approximately 32-36 putatively transformed hypocotyls with shoots including roots survived from 100 inoculated hypocotyls after 4 weeks of transformation on a selection medium containing 20 mg/L of phosphinothricin (PPT) as a selectable agent. Additionally, a PCR assay was performed to confirm the insertion of target genes and showed the presence of the ORE7 gene as a high-yielding trait and the bar gene as a selectable marker. Treatment with 0.5% (v/v) Basta solution as a selectable agent for 6 days with leaves from transformed oilseed rape expressed the bar gene. Therefore, this study can contribute to the development of special oilseed rapes containing agriculturally useful traits such as herbicide resistance, drought tolerance, high yielding traits, and high oleic acid content.