• 여가학연구
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• 제6권3호
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• pp.39-56
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• 2009

국가 간 경쟁의 주체가 국가에서 도시를 중심으로 하는 지역으로 변화함에 따라 지역경쟁력이 국가경쟁력의 근원으로, 지역차원의 조직이 국가 간 핵심 경쟁 단위로 부상하고 있다. 이에 본 연구에서는 한국의 75개 광역·기초시를 대상으로 하는 IPS 도시경쟁력 평가 모델을 통해 도시의 경쟁력을 구체화하고, 특히, 춘천시의 현재와 미래경쟁력 평가결과를 바탕으로 춘천시의 경쟁력 강화전략을 2010년 춘천시에서 개최되는 World Leisure Congress와 World Leisure Game 행사가 춘천시에 미치는 효과를 중심으로 검토하였다. 이러한 논의는 도시의 현재경쟁력뿐만 아니라 미래경쟁력까지 포괄하여 검토함으로써 도시의 경쟁력 강화에 대한 시각의 포괄성을 제시함은 물론, 도시의 여건 및 정책의 문제점을 진단하는 준거로 삼을 수 있으며 이에 대한 문제해결과 함께 보다 발전적인 도시전략 수립을 위한 척도가 된다는 점에서 의의가 있다.

• Journal of Digestive Cancer Research
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• 제4권2호
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• pp.51-57
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• 2016

The epidemiology of pancreatic neuroendocrine neoplasms (PNENs) in Asia has been clarified through epidemiological studies, including one conducted in Japan, and subsequently another in South Korea. As endoscopic ultrasonography (EUS) has become more widely accessible, endoscopic ultrasound-fine needle aspiration (EUS-FNA) has been performed in pancreatic tumors for which the clinical course was only monitored previously. This has enabled accurate diagnosis of pancreatic tumors based on the 2010 WHO classification; as a result, the number of patients with an accurate diagnosis has increased. Although surgery has been the standard therapy for PNENs, new treatment options have become available in Japan for the treatment of advanced or inoperable PNENs; of particular note is the recent introduction of molecular target drugs (such as everolimus and sunitinib) and streptozocin. Treatment for progressive PNENs needs to be selected for each patient with consideration of the performance status, degree of tumor differentiation, tumor mass, and proliferation rate. Somatostatin receptor (SSTR)-2 is expressed in many patients with neuroendocrine tumor. Somatostatin receptor scintigraphy (SRS), which can visualize SSTR-2 expression, has been approved in Japan. The SRS will be a useful diagnostic tool for locating neuroendocrine neoplasms, detecting distant metastasis, and evaluating therapy outcomes. In this manuscript, we review the latest diagnostic methods and treatments for PNENs.

• 한국작물학회:학술대회논문집
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• 한국작물학회 2022년도 추계학술대회
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• pp.75-75
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• 2022

Traditional agriculture mostly focused on activity in the field, but current agriculture faces problems such as reduction of agricultural inputs, labor shortage and so on. Accordingly, traditional agricultural experiments generally considered the simple treatment effects, but current agricultural experiments need to consider the several and complicate treatment effects. To analyze such several and complicate treatment effects, data collection has the first priority. Remote sensing is a quite effective tool to collect information in agriculture, and recent easier availability of UAVs (Unmanned Aerial Vehicles) enhances the effectiveness. LAI (Leaf Area Index) is one of the most important information for evaluating the condition of crop growth. In this study, we utilized UAV with multispectral camera to evaluate plant-based LAI of sweetcorn in a small-scale field experiment and discussed the feasibility of a new experimental design to analyze the several and complicate treatment effects. The plant-based SR measured by UAV showed the highest correlation coefficient with LAI measured by a canopy analyzer in 2018 and 2019. Application of linear mix model showed that plant-based SR data had higher detection power due to its huge number of data although SR was inferior to evaluate LAI than the canopy analyzer. The distribution of plant-based data also statistically revealed the border effect in treatment plots in the traditional experimental design. These results suggest that remote sensing with UAVs has the advantage even in a small-scale experimental plot and has a possibility to provide a new experimental design if combined with various analytical applications such as plant size, shape, and color.

• Journal of Trauma and Injury
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• 제36권3호
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• pp.231-241
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• 2023

Purpose: Overtriage and undertriage rates are critical metrics in trauma, influenced by both trauma team activation (TTA) criteria and compliance with these criteria. Analysis of undertriaged patients at a level I trauma center revealed suboptimal compliance with existing criteria. This study assessed triage patterns after implementing compliance-focused process interventions. Methods: A physician-driven, free-text alert system was modified to a nonphysician, hospital dispatcher-guided system. The latter employed dropdown menus to maximize compliance with criteria. The preintervention period included patients who presented between May 12, 2020, and December 31, 2020. The postintervention period incorporated patients who presented from May 12, 2021, through December 31, 2021. We evaluated appropriate triage, overtriage, and undertriage using the Standardized Trauma Assessment Tool. Statistical analyses were conducted with an α level of 0.05. Results: The new system was associated with improved compliance with existing TTA criteria (from 70.3% to 79.3%, P=0.023) and decreased undertriage (from 6.0% to 3.2%, P=0.002) at the expense of increasing overtriage (from 46.6% to 57.4%, P<0.001), ultimately decreasing the appropriate triage rate (from 78.4% to 74.6%, P=0.007). Conclusions: This study assessed a workflow change designed to improve compliance with TTA criteria. Improved compliance decreased undertriage to below the target threshold of 5%, albeit at the expense of increased overtriage. The decrease in appropriate triage despite compliance improvements suggests that the current criteria at this institution are not adequately tailored to optimally balance the minimization of undertriage and overtriage. This finding underscores the importance of improved compliance in evaluating the efficacy of TTA criteria.

• Smart Structures and Systems
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• 제32권3호
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• pp.153-166
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• 2023

Health monitoring of civil infrastructures, in particular, old bridges that are still in service, has become more than necessary, given the risk that a possible degradation or failure of these infrastructures can induce on the safety of users in addition to the resulting commercial and economic impact. Bridge integrity assessment has attracted significant research efforts over the past forty years with the aim of developing new damage identification methods applicable to real structures. The bridge of Ouled Mimoun (Tlemcen, Algeria) is one of the oldest railway structure in the country. It was built in 1889. This bridge, which is too low with respect to the level of the road, has suffered multiple shocks from various machines that caused considerable damage to its central part. The present work aims to analyze the stability of this bridge by identifying damages and evaluating the damage rate in different parts of the structure on the basis of a finite element model. The applied method is based on an inverse analysis of the normal stress responses that were calculated from the corresponding recorded strains, during the passage of a real train, by means of a set of strain gauges placed on certain elements of the bridge. The results obtained from the inverse analysis made it possible to successfully locate areas that were really damaged and to estimate the damage rate. These results were also used to detect an excessive rigidity in certain elements due to the presence of plates, which were neglected in the numerical reference model. In the case of the continuous bridge monitoring, this developed method will be a very powerful tool as a smart health monitoring system, allowing engineers to take in time decisions in the event of bridge damage.

• 한국전자통신학회논문지
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• 제19권2호
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• pp.409-416
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• 2024

빠른 고속 데이터 신호 처리 및 논리 연산을 위한 부동 소수점 연산 요구 사항이 확대됨에 따라 부동 소수점 연산 장치의 속도는 시스템 작동에 영향을 미치는 핵심 요소이다. 본 논문에서는 다양한 부동소수점 곱셈기 방식의 성능 특성을 연구하고, 캐리와 합의 형태로 부분 곱을 압축한 다음, 최종 결과를 얻기 위해 캐리 미리 보기 가산기를 사용한다. Intel Quartus II CAD 툴을 이용하여 Verilog HDL로 부동소수점 곱셈기를 기술하고 성능 평가를 하였다. 설계된 부동소수점 곱셈기는 면적, 속도 및 전력 소비에 대해 분석 및 비교하였다. 월러스 트리를 사용한 수정 부스 인코딩 방식의 FMAX는 33.96Mhz로 부스 인코딩보다 2.04배, 수정 부스 인코딩보다 1.62배, 월러스 트리를 사용한 부스 인코딩보다 1.04배 빠르다. 또한, 수정 부스 인코딩에 비해 월러스 트리를 이용한 수정 부스 인코딩 방식의 면적은 24.88% 감소하고, 전력소모도 2.5% 감소하였다.

• KSII Transactions on Internet and Information Systems (TIIS)
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• 제18권4호
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• pp.922-937
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• 2024

Maritime activities are on the rise, there is a growing demand for high-quality communication services that can cover larger areas. However, the transmission of high data rates to maritime users is challenging due to path loss from land base stations, which limits the transmission power. To overcome this challenge, researchers have been exploring the use of buoys in a marine environment as relays for communication technology. This paper proposes a simulation-based approach to investigate the impact of various beamwidths on communication performance when using a buoy as a relay. The objective is to determine the optimal beamwidth that yields the highest data rate for the target location. The approach is based on an offshore wave model where the direction of the buoy changes according to the height of the wave. The study investigates the performance of the relay in the downlink situation using receive beamforming, and the capacity at the user in the three-hop situation is verified using an amplify-and-forward (AF) relay that uses transmit beamforming to the user. The simulation results suggest that the beamwidth of the relay should be adjusted according to the wave conditions to optimize the data rate and relay position that satisfies a data rate superior to the direct path to the target position. Using a buoy as a relay can be a promising solution for enhancing maritime communications, and the simulation-based approach proposed in this paper can provide insights into how to optimize beamwidth for effective communication system design and implementation. In conclusion, the study results suggest that the use of buoys as relays for maritime communication is a feasible solution for expanding coverage and enhancing communication quality. The proposed simulation-based approach provides a useful tool for identifying relay beamwidths for achieving higher data rates in different wave conditions. These findings have significant implications for the design and deployment of communication systems in maritime environments.

• 대한영상의학회지
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• 제82권4호
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• pp.1000-1004
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• 2021

경피적 흉부 생검은 폐 병변을 병리학적으로 진단하는 데 있어서 필수적인 최소 침습 시술이다. 매우 드물기는 하지만 흉막과 흉벽에 종양의 파종이 경피적 흉부 생검의 합병증으로 생길 수 있다. 유방은 흉곽의 앞쪽에 위치하기 때문에 경피적 흉부 생검 시 흉곽의 앞쪽에서 접근할 때 바늘이 유방을 지나는 것을 피할 수 없는 경우가 있다. 이에 저자들은 유방의 만져지는 종괴로 내원한 51세 여성에서 경피적 흉부 생검 경로를 따라 생긴 전이성 폐 법랑모세포종의 파종을 경험하였기에 영상 소견과 함께 증례 보고한다.

• Korean Journal of Radiology
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• 제23권7호
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• pp.697-719
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• 2022

Gadoxetate magnetic resonance imaging (MRI) is widely used in clinical practice for liver imaging. For optimal use, we must understand both its advantages and limitations. This article is the outcome of an online advisory board meeting and subsequent discussions by a multidisciplinary group of experts on liver diseases across the Asia-Pacific region, first held on September 28, 2020. Here, we review the technical considerations for the use of gadoxetate, its current role in the management of patients with hepatocellular carcinoma (HCC), and its relevance in consensus guidelines for HCC imaging diagnosis. In the latter part of this review, we examine recent evidence evaluating the impact of gadoxetate on clinical outcomes on a continuum from diagnosis to treatment decision-making and follow-up. In conclusion, we outline the potential future roles of gadoxetate MRI based on an evolving understanding of the clinical utility of this contrast agent in the management of patients at risk of, or with, HCC.

• Korean Journal of Radiology
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• 제20권4호
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• pp.649-661
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• 2019

Objective: To systematically review the evaluation of the diagnostic accuracy of pre-treatment apparent diffusion coefficient (ADC) and change in ADC during the intra- or post-treatment period, for the prediction of locoregional failure in patients with head and neck squamous cell carcinoma (HNSCC). Materials and Methods: Ovid-MEDLINE and Embase databases were searched up to September 8, 2018, for studies on the use of diffusion-weighted magnetic resonance imaging for the prediction of locoregional treatment response in patients with HNSCC treated with chemoradiation or radiation therapy. Risk of bias was assessed by using the Quality Assessment Tool for Diagnostic Accuracy Studies-2. Results: Twelve studies were included in the systematic review, and diagnostic accuracy assessment was performed using seven studies. High pre-treatment ADC showed inconsistent results with the tendency for locoregional failure, whereas all studies evaluating changes in ADC showed consistent results of a lower rise in ADC in patients with locoregional failure compared to those with locoregional control. The sensitivities and specificities of pre-treatment ADC and change in ADC for predicting locoregional failure were relatively high (range: 50-100% and 79-96%, 75-100% and 69-95%, respectively). Meta-analytic pooling was not performed due to the apparent heterogeneity in these values. Conclusion: High pre-treatment ADC and low rise in early intra-treatment or post-treatment ADC with chemoradiation, could be indicators of locoregional failure in patients with HNSCC. However, as the studies are few, heterogeneous, and at high risk for bias, the sensitivity and specificity of these parameters for predicting the treatment response are yet to be determined.