• Journal of Chest Surgery
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• v.57 no.4
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• pp.351-359
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• 2024

Background: Major pulmonary resection after neoadjuvant concurrent chemoradiation therapy (nCCRT) is associated with a substantial risk of postoperative complications. This study investigated postoperative complications and associated risk factors to facilitate the selection of suitable surgical candidates following nCCRT in stage IIIA-N2 non-small cell lung cancer (NSCLC). Methods: We conducted a retrospective analysis of patients diagnosed with clinical stage IIIA-N2 NSCLC who underwent surgical resection following nCCRT between 1997 and 2013. Perioperative characteristics and clinical factors associated with morbidity and mortality were analyzed using univariable and multivariable logistic regression. Results: A total of 574 patients underwent major lung resection after induction CCRT. Thirty-day and 90-day postoperative mortality occurred in 8 patients (1.4%) and 41 patients (7.1%), respectively. Acute respiratory distress syndrome (n=6, 4.5%) was the primary cause of in-hospital mortality. Morbidity occurred in 199 patients (34.7%). Multivariable analysis identified significant predictors of morbidity, including patient age exceeding 70 years (odds ratio [OR], 1.8; p=0.04), low body mass index (OR, 2.6; p=0.02), and pneumonectomy (OR, 1.8; p=0.03). Patient age over 70 years (OR, 1.8; p=0.02) and pneumonectomy (OR, 3.26; p<0.01) were independent predictors of mortality in the multivariable analysis. Conclusion: In conclusion, the surgical outcomes following nCCRT are less favorable for individuals aged over 70 years or those undergoing pneumonectomy. Special attention is warranted for these patients due to their heightened risks of respiratory complications. In high-risk patients, such as elderly patients with decreased lung function, alternative treatment options like definitive CCRT should be considered instead of surgical resection.

• Journal of the Korea institute for structural maintenance and inspection
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• v.10 no.5
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• pp.179-186
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• 2006

In this study, Multi-Layer Perceptron(MLP) among models of Artificial Neural Network(ANN) is used for the development of a model that evaluates the bending capacities of reinforced concrete beams strengthened by FRP Rebar. And the data of the existing researches are used for materials of ANN model. As the independent variables of input layer, main components of bending capacities, width, effective depth, compressive strength, reinforcing ratio of FRP, balanced steel ratio of FRP are used. And the moment performance measured in the experiment is used as the dependent variable of output layer. The developed model of ANN could be applied by GFRP, CFRP and AFRP Rebar and the model is verified by using the documents of other previous researchers. As the result of the ANN model presumption, comparatively precise presumption values are achieved to presume its bending capacities at the model of ANN(0.05), while observing remarkable errors in the model of ANN(0.1). From the verification of the ANN model, it is identified that the presumption values comparatively correspond to the given data ones of the experiment. In addition, from the Sensitivity Analysis of evaluation variables of bending performance, effective depth has the highest influence, followed by steel ratio of FRP, balanced steel ratio, compressive strength and width in order.

• Korean Circulation Journal
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• v.52 no.6
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• pp.444-454
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• 2022

Background and Objectives: The aim of this study was to demonstrate the efficacy and safety of treatment with drug-coated balloon (DCB) in a large real-world population. Methods: Patients treated with DCBs were included in a multicenter observational registry that enrolled patients from 18 hospitals in Korea between January 2009 and December 2017. The primary outcome was target lesion failure (TLF) defined as a composite of cardiovascular death, target vessel myocardial infarction, and clinically indicated target lesion revascularization at 12 months. Results: The study included 2,509 patients with 2,666 DCB-treated coronary artery lesions (1,688 [63.3%] with in-stent restenosis [ISR] lesions vs. 978 [36.7%] with de novo lesions). The mean age with standard deviation was 65.7±11.3 years; 65.7% of the patients were men. At 12 months, the primary outcome, TLF, occurred in 179 (6.7%), 151 (8.9%), 28 (2.9%) patients among the total, ISR, and de novo lesion populations, respectively. A history of hypertension, diabetes, acute coronary syndrome, previous coronary artery bypass graft, reduced left ventricular ejection fraction, B2C lesion and ISR lesion were independent predictors of 12 months TLF in the overall study population. Conclusions: This large multicenter DCB registry study revealed the favorable clinical outcome of DCB treatment in real-world practice in patient with ISR lesion as well as small de novo coronary lesion.

• Annals of Occupational and Environmental Medicine
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• v.34
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• pp.23.1-23.14
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• 2022

Background: The musculoskeletal disease (MSD) burden is an important health problem among Korean fishers. We aimed to investigate the indicators of the prevalence of MSD and contributions of significant indicators to MSD in Korean fishers. Methods: This cross-section study included 927 fishers (male, 371; female, 556) aged 40 to 79 years who were enrolled from 3 fishery safety and health centers. The outcome variable was one-year prevalence of MSD in 5 body parts (the neck, shoulder, hand, back, and knee). Independent variables were sex, age, educational attainment, household income, job classification, employment xlink:type, hazardous working environment (cold, heat, and noise), ergonomic risk by the 5 body parts, anxiety disorder, depression, hypertension, diabetes, and hyperlipidemia. The adjusted odds ratio of MSDs by the 5 body parts were calculated using multiple logistic regression analysis. We computed the population attributable fraction (PAF) for each indicators of MSDs using binary regression models. Results: The one-year prevalence of MSD in the neck, shoulder, hand, back, and knee was 7.8%, 17.8%, 7.8%, 27.2%, and 16.2% in males vs. 16.4%, 28.1%, 23.0%, 38.7%, and 30.0% in females, respectively. The ergonomic risk PAF according to the body parts ranged from 22.8%-59.6% in males and 22.8%-50.3% in female. Mental diseases showed a significant PAF for all body parts only among female (PAF 9.1%-21.4%). Cold exposure showed a significant PAF for the neck, shoulder, and hand MSD only among female (25.6%-26.8%). Age was not a significant indicator except for the knee MSD among female. Conclusions: Ergonomic risk contributed majorly as indicators of MSDs in both sexes of fishers. Mental disease and cold exposure were indicators of MSDs only among female fishers. This information may be important for determining priority risk groups for the prevention of work-related MSD among Korean fishers.

• The Korean journal of internal medicine
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• v.39 no.3
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• pp.501-512
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• 2024

Background/Aims: Optimal risk stratification based on simplified geriatric assessment to predict treatment-related toxicity and survival needs to be clarified in older patients with diffuse large B-cell lymphoma (DLBCL). Methods: This multicenter prospective cohort study enrolled newly diagnosed patients with DLBCL (≥ 65 yr) between September 2015 and April 2018. A simplified geriatric assessment was performed at baseline using Activities of Daily Living (ADL), Instrumental ADL (IADL), and Charlson's Comorbidity Index (CCI). The primary endpoint was event-free survival (EFS). Results: The study included 249 patients, the median age was 74 years (range, 65-88), and 125 (50.2%) were female. In multivariable Cox analysis, ADL, IADL, CCI, and age were independent factors for EFS; an integrated geriatric score was derived and the patients stratified into three geriatric categories: fit (n = 162, 65.1%), intermediate-fit (n = 25, 10.0%), and frail (n = 62, 24.9%). The established geriatric model was significantly associated with EFS (fit vs. intermediate-fit, HR 2.61, p < 0.001; fit vs. frail, HR 4.61, p < 0.001) and outperformed each covariate alone or in combination. In 87 intermediate-fit or frail patients, the relative doxorubicin dose intensity (RDDI) ≥ 62.4% was significantly associated with worse EFS (HR, 2.15, 95% CI 1.30-3.53, p = 0.002). It was related with a higher incidence of grade ≥ 3 symptomatic non-hematologic toxicities (63.2% vs. 27.8%, p < 0.001) and earlier treatment discontinuation (34.5% vs. 8.0%, p < 0.001) in patients with RDDI ≥ 62.4% than in those with RDDI < 62.4%. Conclusions: This model integrating simplified geriatric assessment can risk-stratify older patients with DLBCL and identify those who are highly vulnerable to standard dose-intensity chemoimmunotherapy.

• Korean Journal of Fisheries and Aquatic Sciences
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• v.57 no.4
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• pp.429-437
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• 2024

This study aimed to develop and commercialize abalone Haliotis discus hannai marinated in seasoned soy sauce (AM-S) for the elderly by adjusting its texture (hardness) and strengthening its nutritional components. The number of pounding cycles [X₁, 2-14 times] and heating time in a retort [X₂, 5-19 min] were selected as independent variables, and hardness (Y₁) and overall acceptance (Y₂) were selected as dependent variables. The optimal conditions for X₁ and X₂ were 12 pounding cycles and heating in a retort for 17 min, respectively. The hardness values 209.2×10³ N/m² for the third method and 259.1×10³ N/m² for the first method. The nutritional value was 13.1 g/100 g crude protein and vitamins A, D, and C were not detected. The mineral content was 33.2 mg/100 g calcium and 258.7 mg/100 g potassium. Organisms from the coliform group and Escherichia coli were not detected. Therefore, AM-S for the elderly was classified as a hardness- and nutrient-controlled product based on the standards and specifications of senior-friendly foods provided in the MFDS and classified as the first step of senior-friendly foods according to the standards and specifications of senior-friendly foods provided in the KS.

• Korean Circulation Journal
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• v.54 no.9
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• pp.565-576
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• 2024

Background and Objectives: The K-ELUVIA study aimed to investigate the clinical effectiveness and safety of Eluvia^TM, a polymer-coated, paclitaxel-eluting stent, for femoropopliteal artery disease using data from a prospective Korean multicenter registry. Methods: A total of 105 patients with femoropopliteal artery disease who received endovascular treatment (EVT) with Eluvia^TM stents at 7 Korean sites were enrolled in a prospective cohort and followed for 2 years. The primary endpoint was the 2-year clinical patency. The secondary endpoint was 2-year freedom from clinically driven target lesion revascularization (TLR). Results: Mean patient age was 68.2±10.4 years, and most patients (82.7%) were male. Mean lesion length was 168.3±117.6 mm. Chronic total occlusion was found in 57.7% of patients. Trans-Atlantic Inter-Society Consensus for the Management of Peripheral Arterial Disease (TASC II) type C or D lesions were present in 46.1% of patients. Procedural success was achieved in 99.0% of patients. The clinical patency rate was 84.4% at 1 year after EVT and 76.3% at 2 years post-EVT. The freedom from TLR rate was 89.1% at 1 year after EVT and 79.1% at 2 years post-EVT. Chronic total occlusion (hazard ratio [HR], 3.53; 95% confidence interval [CI], 1.08-11.67; p=0.039) and smaller mean stent diameter (HR, 0.40; 95% CI, 0.16-0.98; p=0.044) were identified as independent predictors of loss of clinical patency at 2 years. Conclusions: The K-ELUVIA study demonstrated favorable 2-year clinical effectiveness and safety outcomes of Eluvia stent for femoropopliteal artery lesions in real-world practice.

• Journal of Korean Home Economics Education Association
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• v.36 no.2
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• pp.51-63
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• 2024

The purpose of this study was to examine the relationships among parental perception of home-based fine motor experiences in early childhood, home environment, and frequency of fine motor activities, and to investigate a mediating role of home environment in the process of parental perception influencing early childhood's frequency of fine motor activities. The data from 214 five-year-old children and their parents from six early childhood education centers in Gyeonggi province were collected and analyzed. The data were processed using IBM SPSS Statistics 23 and analyzed with descriptive statistics, independent samples t-tests, correlation analysis, multiple regression analysis, and bootstrapping analysis. The major findings were as follows: First, gender differences in parental perception, home environment, and frequency of fine motor activities existed in that values across all three variables were higher for girls than for boys. Second, parental perception, home environment and frequency of fine motor activities were positively correlated. Third, partial mediating effects of home environment on the relation between parental perception and the frequency of fine motor activities were found. These findings show an existence of gender differences in early childhood's fine motor activities. This research also affirms the significance of increasing the frequency of fine motor activities by enhancing parental perceptions for balanced motor development of boys and girls, and establishing a home environment conducive to fine motor activities at any time and in any location.

• Journal of the Korean Applied Science and Technology
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• v.41 no.3
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• pp.721-732
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• 2024

This study is a descriptive research to determine the mediating effect of Positive Psychological Capital on the relationship between Job Stress and Retention Intention among nurses working at blood centers in the metropolitan area. Data were collected from 167 nurses using a structured questionnaire between May 2021 and April 2022, and analyzed by SPSS ver.25. General characteristics were analyzed through frequency, percentage, mean, and standard deviation. The relationship between Job Stress and Retention Intention was analyzed using independent samples t-test, ANOVA, and Pearson's correlation. Hypotheses were tested using hierarchical multiple regression analysis and PROCESS macro model 4. The results substantiated the hypotheses: Hypothesis 1 proposed that higher Retention Intention and Positive Psychological Capital were associated with lower Job Stress. Hypothesis 2 suggested that Positive Psychological Capital significantly partially mediates the relationship between Retention Intention and Job Stress. To promote Retention Intention among blood center nurses, it is crucial to implement human resource management systems aimed at alleviating Job Stress and enhancing Positive Psychological Capital. Specifically, enhancing Positive Psychological Capital within blood centers is particularly significant. This study contributes empirical evidence necessary for efficient personnel management and competency enhancement programs to reduce Job Stress, thereby enhancing the quality of nursing care among blood center nurses. Furthermore, it is recommended to develop intervention programs for Positive Psychological Capital to enhance Retention Intention and reduce Job Stress among blood center nurses.

• Journal of the Korea Organic Resources Recycling Association
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• v.32 no.3
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• pp.19-29
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• 2024

Total organic carbon (TOC) represents the total amount of organic carbon contained in water and is a key water quality parameter used, along with biochemical oxygen demand (BOD) and chemical oxygen demand (COD), to quantify the amount of organic matter in water. In this study, a model to predict TOC was developed using XGBoost (XGB), a representative ensemble machine learning algorithm. Independent variables for model construction included water temperature, pH, electrical conductivity, dissolved oxygen concentration, BOD, COD, suspended solids, total nitrogen, total phosphorus, and discharge. To quantitatively analyze the impact of various water quality parameters used in model construction, the feature importance of input variables was calculated. Based on the results of feature importance analysis, items with low importance were sequentially excluded to observe changes in model performance. When built by sequentially excluding items with low importance, the performance of the model showed a root mean squared error-observation standard deviation ratio (RSR) range of 0.53 to 0.55. The model that applied all input variables showed the best performance with an RSR value of 0.53. To enhance the model's field applicability, models using relatively easily measurable parameters were also built, and the performance changes were analyzed. The results showed that a model constructed using only the relatively easily measurable parameters of water temperature, electrical conductivity, pH, dissolved oxygen concentration, and suspended solids had an RSR of 0.72. This indicates that stable performance can be achieved using relatively easily measurable field water quality parameters.