• 한국산학기술학회논문지
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• 제19권7호
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• pp.453-462
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• 2018

본 연구는 부모의 나트륨 섭취량과 청소년 자녀의 나트륨 섭취량이 일치하는지에 대해 파악하고, 청소년 자녀의 나트륨 섭취량에 영향을 미치는 요인을 파악하고자 하며, 그 결과에 따라 가정에서의 나트륨 섭취량을 조절할 수 있는 방안을 제시하는 것에 목적이 있다. 2015년 국민건강영양조사 자료에서 연구대상자를 영양섭취량 중에서도 나트륨 섭취량이 측정된 만 7세에서 만 18세까지의 초등학생, 중학생, 고등학생을 추출하고, 결측값을 제외하여 최종분석대상자는 405명이었다. 그리고 청소년 ID에 아버지 ID와 어머니 ID로 데이터를 매칭하여 생성하였다. 연구결과 청소년은 여자 청소년보단 남자 청소년이 ${\beta}=-.187$, 청소년의 연령이 높을수록 ${\beta}=.192$, 외식빈도가 많을수록 ${\beta}=.153$, 나트륨 섭취량이 높아졌다. 그리고 아버지보다는 어머니의 연령이 높을수록 ${\beta}=.171$, 나트륨 섭취량이 높을수록 ${\beta}=.136$으로 청소년의 나트륨 섭취량이 높았다. 이 점은 우리나라는 어머니가 주로 식사준비를 하는 경우가 많기 때문이다. 그러나 한편으로는 맞벌이 부부의 증가로 부모가 자녀의 질적인 식사를 고려하지 못하게 되어 자녀의 식사를 외식에 의존하는 경우도 적지 않을 것으로 예측되어 그러한 관점에서의 실태조사가 추후 필요하다.

• Asian Pacific Journal of Cancer Prevention
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• 제15권3호
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• pp.1327-1331
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• 2014

Background: Electrical impedance tomography (EIT) is a new non-invasive, mobile screening method which does not use ionizing radiation to the human breast; allows conducting quantitative assessment of the images besides the visual interpretation. The aim of this study was to correlate the quantitative assessment and visual interpretation of breast electrical impedance tomographs and associated factors. Materials and Methods: One hundred and fifty mammography patients above 40 years and undergoing EIT were chosen using convenient sampling. Visual interpretation of the images was carried out by a radiologist with minimum of three years experience using the breast imaging - electrical impedance (BI-EIM) classification for detection of abnormalities. A set of thirty blinded EIT images were reinterpreted to determine the intra-rater reliability using kappa. Quantitative assessment was by comparison of the breast average electric conductivity with the norm and correlations with visual interpretation of the images were determined using Chi-square. One-way ANOVA was used to compare the mean electrical conductivity between groups and t-test was used for comparisons with pre-existing Caucasians statistics. Independent t-tests were applied to compare the mean electrical conductivity of women with factors like exogenous hormone use and family history of breast cancer. Results: The mean electrical conductivity of Malaysian women was significantly lower than that of Caucasians (p<0.05). Quantitative assessment of electrical impedance tomography was significantly related with visual interpretation of images of the breast (p<0.05). Conclusions: Quantitative assessment of electrical impedance tomography images was significantly related with visual interpretation.

• 지역사회간호학회지
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• 제29권3호
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• pp.371-381
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• 2018

Purpose: The purpose of this study is to identify the mediating effects of self-esteem between social comparison orientation and social network service (SNS) addiction in university students. Methods: Descriptive cross-sectional survey design was employed. The data were statistically analyzed by using the descriptive and inferential statistics. Sobel test and Bootstrap method, and Kappa squared mediation effect size measure were used to identify the mediator's significance. A convenience sample of 195 subjects was recruited from two universities in Korea. Results: The mean age of the subjects was $22.58{\pm}1.81$. The subjects showed relatively high levels of SNS addiction with a mean score of $14.33{\pm}4.80$. The overall model significantly explained 37.0% of variances in the subjects' SNS addiction after controlling gender, age, grade, major, period of SNS using, time spent on SNS per day, and times accessed SNS per day. Of the predictors, time spent on SNS per day, social comparison orientation, and self-esteem were significantly associated with SNS addiction. Self-esteem was the mediator between social comparison orientation and SNS addiction. Conclusion: When developing strategies for preventing SNS addiction, interventions for reducing time spent on SNS per day, not having upward social comparison orientation, and improving the self-esteem should be considered. These findings might provide a theoretical basis for developing effective strategies for preventing SNS addiction in university students.

• The Journal of Korean Physical Therapy
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• 제22권4호
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• pp.29-33
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• 2010

Purpose: The purpose of this study was to assess and compare the reliability of the Modified Tardieu Scale (MTS) with the Modified Ashworth Scale (MAS) in patients with hemiplegia. Methods: Two experienced physical therapists examined twenty six patients (17 male and 9 female) with an age range of 19-83 years (mean=51.9 SD=15.2). They assessed the elbow flexor/extensor muscle spasticity in the affected side. Interand intra-rater reliability of the MAS and the MTS were calculated using kappa statistics. Intraclass correlation coefficient (ICC) was calculated to determine the inter- and intra-rater reliability of the angle of muscle reactions (R2-R1). Results: The intra-rater reliability of the MAS (K=0.39-0.55) and MTS (K=0.33-0.55) was fair to moderate. The inter-rater reliability was significantly higheras measured with MTS (K=0.54-0.66) in comparison with MAS (K=0.52). Intra-rater reliability of R2-R1 was moderate to almost perfect (ICC=0.52-0.86), and inter-rater reliability was substantial (ICC=0.74-0.76). Conclusion: The MTS provides higher inter-rater reliability compared with the MAS in hemiplegia patient analysis, but intra-rater reliability of both scales was not significantly different. Thus further research is needed to examine not only reliability, but also validity of these measurement systems.

• 대한두개안면성형외과학회지
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• 제19권1호
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• pp.3-12
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• 2018

Background: Millard's rotation-advancement repair, which is used by many surgeons, can make a natural philtral column, but most surgeons use a modification of the rotation-advancement flap. The purpose of this article is to introduce a modification utilized by the authors and to provide detailed surgical procedure. Methods: We retrospectively reviewed 82 patients' medical records and presented surgical technique and outcomes. The main features of the authors' strategy are emphasizing horizontal length of the lip, orbicularis oris muscle duplication for improving the definition of the philtral column, overcorrection of domal portion than the non-cleft side in order to compensate for the recurrence during growth. Two judges rated two times the appearance of the patients' nose and lip using Asher-McDade aesthetic index. Intra- and interobserver reliabilities were determined using Cohen's kappa statistics. Results: All patients recovered eventually after surgery; however, two patients have a minor complications (wound infection in one patient, wound disruption due to trauma in the other patient). The improvement of the aesthetic results can be achieved with this modified Millard technique. Total mean scores of the Asher-McDade index was 2.08, fair to good appearance. The intraobserver reliabilities were substantial to almost perfect agreement and the interobserver reliabilities were moderate to almost perfect agreement. Conclusion: We modified Millard method for repair of complete unilateral cleft lip. The surgical outcomes were favorable in long-term follow-up. We hope our technique will serve as a guide for those new to the procedure.

• 한국경제지리학회지
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• 제16권3호
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• pp.458-471
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• 2013

본 논문은 토지 이용 변화를 예측하는 계량 모형의 정확도 평가에 필수적인 통계량인 성능 지수를 심도 있게 이해하는 것을 목적으로 한다. 이 통계량은 기존의 토지 이용 변화 연구에서 소개된 예측 모형의 정확도를 평가하는 다른 통계량들 (예: 카파 통계량)의 단점을 보완하여 만들어진 것이나, 이 또한 계량 모형의 예측력을 명확하게 평가하고 해석하기에는 제한적이다. 본 논문에서는 성능 지수의 보다 명확한 해석을 위해서 결과물의 공간해상도를 고정해야 함을 밝히고, 그 특정 공간해상도를 "성능 해상도"라 정의한다. 성능 해상도는 예측오류가 현격하게 줄어들면서 계량모형의 예측력이 증가하는 시점의 공간해상도를 일컫는다. 따라서 토지 이용 변화 예측 모형의 예측력을 정확하게 평가하기 위해 두 통계량, 즉 성능 지수와 성능 해상도를 함께 이용할 것을 제안한다.

• Asian Pacific Journal of Cancer Prevention
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• 제13권7호
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• pp.3213-3218
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• 2012

When patients with advanced breast cancer (ABC) are treated with neoadjuvant chemotherapy (NACT), efficacy is monitored by the extent of tumor shrinkage. Since their publication in 1981, World Health Organization (WHO) guidelines have been widely practiced in clinical trials and oncologic practice, for standardized tumor response evaluation. With advances in cancer treatment and tumor imaging, a simpler criterion based on one-dimensional rather than bi-dimensional (WHO) tumor measurement, named Response Evaluation Criteria in Solid Tumors (RECIST) was introduced in 2000. Both approaches have four response categories: complete response, partial response, stable disease and progressive disease (PD). Bi-dimensional measurement data of 151 patients with ABC were analysed with WHO and RECIST criteria to compare their response categories and inter criteria reproducibility by Kappa statistics. There was 94% concordance and 9/151 patients were recategorized with RECIST including 6/12 PD cases. RECIST therefore under-estimates and delays diagnosis of PD. This is undesirable because it may delay or negate switch over to alternate therapy. Analysis was repeated with a new criteria named RECIST-Breast (RECIST-B), with a lower threshold for PD (${\geq}10%$ rather than ${\geq}20%$ increase of RECIST). This showed higher concordance of 97% with WHO criteria and re-categorization of only 4/151 patients (1/12 PD cases). RECIST-B criteria therefore have advantages of both ease of measurement and calculations combined with excellent concordance with WHO criteria, providing a practical clinical tool for response evaluation and offering good comparison with past and current clinical trials of NACT using WHO guidelines.

• Asian Pacific Journal of Cancer Prevention
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• 제17권4호
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• pp.2177-2183
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• 2016

Background: To evaluate the predictive role of a risk of malignancy index in discriminating between benign and malignant adnexal masses preoperatively. Materials and Methods: A total of 408 patients with adnexal masses managed surgically between January 2010 and February 2014 were included. The risk of malignancy indices (RMI) 1, 2, 3 and 4 were calculated using findings for ultrasonography, menopausal status, and CA125 levels. Histopathologic results were the end point. ROC analysis was used for the sensitivity and the specificity of the models. Results: Some 37.6 % of the cases were malignant in the postmenopausal group while 7.9 % were malignant in the premenopausal group. Pelvic pain was the most common complaint, and the majority of the cases were diagnosed at stage 3. The RMI 1, 2, 3 and 4 yielded percentage sensitivities of 76.1, 79.1, 76.1 and 76.1 and specificities of 91.5, 89.1, 90.6, 88.6, respectively. RMI 1 was the most reliable test in the general population according to AUC levels and Kappa statistics. From ROC analysis results of post/premenopausal women, the RMI 1 (cut off: 200) yielded sensitivities of 84.0/60.9 and specificities of 87.7/92.5. With RMI 2 they were 88.6/60.9 and 80.0/91.0, with RMI 3 84.0/60.9 and 87.7/91.8, and with RMI 4 (cut off:400) 81.8/47.8 and 83.6 /44.0. Although test performance of RMI methods were good in a general population and postmenopausal women, the RMI inter-agreement validity was only moderate or fair in premenopausal women. Conclusions: Our study confirms the effectiveness of RMI algorithms in postmenopausal women. However, more sensitive tests are needed for premenopausal women.

• Imaging Science in Dentistry
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• 제44권1호
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• pp.7-13
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• 2014

Purpose: This study was performed to evaluate the prevalence of all types and subtypes of dental anomalies among 7- to 35-year-old patients by using panoramic radiographs. Materials and Methods: This cross-sectional study was conducted on 1649 people in Hamadan City, in 2012-2013. The prevalence of four types and 12 subtypes of dental anomalies was evaluated by two observers separately by using panoramic radiography. Dental anomalies were divided into four types: (a) shape (including fusion, taurodontism, and dens invagination); (b) number (including hypodontia, oligodontia, and hyperdontia); (c) structure (including amelogenesis imperfecta, dentinogenesis imperfecta, and dentin dysplasia); and (d) position (including displacement, impaction, and dilacerations). Results: The reliability between the two observers was 79.56% according to the Kappa statistics. The prevalence of dental anomalies diagnosed by panoramic radiographs was 29%. Anomalies of position and number were the most common types of abnormalities, and anomalies of shape and structure were the least in both genders. Anomalies of impaction (44.76%), dilacerations (21.11%), hypodontia (15.88%), taurodontism (9.29%), and hyperdontia (6.76%) were the most common subtypes of dental anomalies. The anomalies of shape and number were more common in the age groups of 7-12 years and 13-15 years, respectively, while the anomalies of structure and position were more common among the other age groups. Conclusion: Anomalies of tooth position were the most common type of dental anomalies, and structure anomalies were the least in this Iranian population. The frequency and type of dental anomalies vary within and between populations, confirming the role of racial factors in the prevalence of dental anomalies.

• 대한지리학회지
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• 제45권2호
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• pp.275-292
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• 2010

이 연구는 위성영상 자료(1972~2008년)를 이용하여 인위적인 환경변화에 따른 태안반도 간석지의 토지피복 변화를 시계열분석하고, 그 변화 패턴을 고찰하고자 하였다. 선분류 후비교법을 이용한 시기별 토지피복 변화를 분석한 결과, 1972년에서 2008년 사이에 태안반도 간석지의 토지피복은 갯벌에서 습지, 습지에서 논으로의 변화가 발생하였다. 세부적인 토지피복 변화 패턴을 분석하기 위해 변형된 선분류 후비교법을 이용하여 각각의 영상을 분석한 결과 태안반도 간석지는 갯벌 $\rightarrow$ 습지 호수 및 염전 $\rightarrow$ 나대지 $\rightarrow$ 논 $\rightarrow$ 나대지로 변하였음을 분석할 수 있었다. 선분류 후비교법의 적용을 위해서는 각 영상의 정확한 분류가 반드시 요구되는데, 분류된 영상의 전체정확도는 평균 95.33%로 나타났고, 카파값은 평균 0.941로 나타났다.