• Investigative Magnetic Resonance Imaging
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• v.26 no.2
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• pp.83-95
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• 2022

The purpose of this study was to establish and provide guidelines for the standardized acquisition and interpretation of diffusion-weighted magnetic resonance imaging (DW-MRI) to improve the image quality and reduce the variability of the results interpretation. The standardized protocol includes the use of high-resolution DW-MRI with advanced techniques and post-processing. The aim of the protocol is to increase the effectiveness of the medical image information exchange involved in the construction, activation, and exchange of clinical information for healthcare use. An organized interpretation form could make DW-MRIs' interpretation easier and more familiar. Herein, the authors briefly review the basic principles, optimized image acquisition, standardized interpretation guidelines, false negative and false positive cases of DW-MRI, and provide a standard interpretation form and examples of various cases to help users become more familiar with the DW-MRI.

• Journal of Environmental Science International
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• v.26 no.5
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• pp.639-649
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• 2017

Measurements of polychlorinated biphenyls (PCBs) were taken in surface sediments inside Seogwipo and Hallim Harbors of Jeju Island, Korea, to evaluate their distribution. These harbors typically have heavy ship traffic. The samples were collected three times (in June, October, and December, 2013). PCB concentrations in sediments from Seogwipo Harbor were higher than in those from Hallim Harbor, but both levels were very low, compared with those in other parts of the world. Sedimentary PCB levels had a strong correlation with organic carbon and fine granule mud content. PCB concentration values in the examined surface sediments were much lower than Sediment Quality Guidelines (SQGs) such as ER-L (Effect Rrange-Low), TEL (Threshold Effects Level) and ISQG (Interim Sediment Quality Guideline)-low value applied in countries, such as USA, Canada, and Australia. This suggests that the PCBs did not have significant biological effects on benthic organisms in the marine environment.

• Archives of Plastic Surgery
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• v.38 no.4
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• pp.539-542
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• 2011

Purpose: Despite the increasing number of patients with HIV (human immunodeficiency virus) infection, surgical experience with these patients remains limited in aesthetic and reconstructive surgery. The authors performed breast reconsruction with free TRAM (Transverse Rectus Abdominis Muculocutaneous) flap in HIV infected patient firstly in Korea. Methods: A 53-years-old female with HIV positive underwent delayed breast reconstruction with free TRAM flap and 6 months lateral nipple reconstruction was performed. All procedures were performed according to the HIV infection control guidelines provided by the Korea Centers for Disease Control and Prevention. Results: There were no complications such as infection, hematoma and flap loss and symmetry of breast was achieved. Conclusion: When the operation is performed in line with the guidelines of HIV infection control, breast reconstruction with free flap is possible and can obtain successful results.

• Journal of Korean Medicine Rehabilitation
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• v.27 no.4
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• pp.131-145
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• 2017

Objectives The purpose of this study is to understand current status of Korean Medicine treatment practice patterns for traffic injuries by web-based survey. Methods The structured questionnaire was distributed by a web based survey to 1,630 potential respondents by email from December 19th in 2016 to February 13th in 2017. All data were statistically analysed. Results The response rate was 79.4%. According to the analysis of the outcome of the survey, 88.0% of the participants felt necessity of the development of Korean medicine clinical practice guidelines (CPGs) for traffic injuries. Survey results showed cognitive degree about Korean Medicine CPGs' necessity, individual Korean medicine treatments and requirement for extending insurance coverage for patients with traffic injuries. Conclusions This survey study helps to determine current clinical practice patterns of Korea medicine treatments for traffic injuries. These results further anticipate to provide basic data for CPGs for traffic injuries.

• The Journal of Churna Manual Medicine for Spine and Nerves
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• v.16 no.1
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• pp.73-89
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• 2021

Objectives We conducted an online survey to understand the current status of Korean Medicine clinical practice related to carpal tunnel syndrome (CTS) to develop the CTS Korean Medicine Clinical Practice Guidelines (CPG). Methods A thoroughly reviewed questionnaire was distributed by e-mail to 21,719 Korean Medicine doctors between March 26 and April 30, 2021. All raw data were arranged and analyzed systematically. Results The response rate among the doctors was 4%. Of the respondents, 82.1% responded that it is necessary to develop the CTS Korean Medicine CPG. We also obtained data related to the specific diagnosis, treatment, and prognosis management methods used at various treatment sites for patients with CTS. Conclusions This online survey will be helpful in developing the CTS CPG, which will contribute to the standardization of guidelines and improvements in the reliability of Korean Medicine. Our findings will provide valuable data and resources for future clinical studies on CTS.

• 한국임상약학회:학술대회논문집
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• 2007.12a
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• pp.198-198
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• 2007

• Journal of Food Hygiene and Safety
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• v.23 no.1
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• pp.19-25
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• 2008

We analyze the HACCP Prerequisites of National Veterinary Research and Quarantine Service (NVRQS), Korea Food and Drug Administration(KFDA), and US Food Safety and Inspection Service (FSIS) and recommend contents and ranges to be complemented and used for the preparation of guidelines. We used the HACCP Notice of the Processing Livestock Act, the HACCP Application Manual for Livestock Processing Plants, the HACCP Notice of the Food Sanitation Act, US GPO 9 CFR and 21 CFR, US FSIS Directive 11,000.1, and HACCP-based Inspection reference guide of Consumer Services, North Carolina Department of Agriculture. The Prerequisites of NVRQS and KFDA are composed of 66 and 84 items respectively, without detailed guidelines for their application. This may decisively affect the application in the field and the evaluation activities. Water supplies, washing and disinfection monitoring tools, and examining and correcting plan are required to be improved. If the standards of compliance of each Prerequisite item as well as performance guidelines are given, the application and evaluation will be performed more effectively. The evaluation items should be associated with Prerequisite operations such as non-compliance complement, self-evaluation, and record keeping. Hazards found during official inspection should be promptly controlled not to contaminate the work places and processing items. As the HACCP is expected to spread from farms to tables, the standardized Prerequisite program among the official governments should be prepared.

• Journal of Korean Clinical Nursing Research
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• v.17 no.3
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• pp.307-318
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• 2011

Purpose: This study was to identify topics for evidence-based clinical nursing practice guidelines in Korea. Methods: Data were collected from 330 staff nurses from 10 general hospitals and 53 nurses in charge of nursing education in 110 hospitals with over 500 beds. Using open questions, the nurses identified activities which could not be verified, which lacked consistency among nurses, clinical units and/or hospitals, which were not based on the up-to-date knowledge and which needed reform. The data were analysed by content analysis using a qualitative methodology. Results: Collected data consisted of 1882 clinical topics, which were classified into 50 topics, 207 mid-categories, and 456 sub-categories. The most frequent topics in order of frequency were medications, central line management, intravenous injections, urinary catheterization, perioperative nursing care, skin tests, pressure ulcer care, blood transfusions, laboratory examination-culture, respiratory care which were performed routinely in clinical setting by staff nurses. Conclusion: The research findings indicate the urgent need to develop evidence-based clinical nursing practice guidelines related to these research findings. Further research is needed to identify topics related to health promotion, and symptom/management of health problem.

• Journal of the Korean Society of Environmental Restoration Technology
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• v.26 no.3
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• pp.43-55
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• 2023

The railway project is an essential green transportation tool that is considered suitable for the domestic and foreign policy direction of carbon neutrality, but there are some limitations, such as damaging important carbon absorption sources during construction. This study analyzed the environmental impact assessment related to carbon absorption sources of greenhouse gas evaluation items conducted during the railway project, and limitations and implications were derived. The analysis of environmental impact assessment guidelines related to railway projects and carbon absorption sources dealt with prediction and reduction methods related to carbon absorption sources, but guidelines, including environmentally friendly railway construction guidelines, lacked descriptions. Since the greenhouse gas environmental impact assessment, 83 railway project environmental impact assessments have been reviewed, but in some cases, carbon absorption-related predictions have not been implemented, or carbon absorption-related reduction measures have been insufficient. In addition, there were cases where there was a limit to calculating emissions and reduction or where the reduction value was insignificant compared to emissions. In order to supplement the environmental impact assessment in the field of carbon absorption sources related to railway construction projects, alternatives such as quantitative emission and low reduction calculation, review of the no net loss system using the total environmental resource system, and linkage with climate change impact assessment are needed.

• Journal of Soil and Groundwater Environment
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• v.28 no.6
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• pp.33-44
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• 2023

A risk assessment on the heavy metals including arsenic (As), cupper (Cu), lead (Pb), and zinc (Zn) was investigated by setting exposure routes in agricultural fields. Moreover, the factors requiring improvement in risk assessment were also discussed through a review of the dermal absorption slope factor (SF_abs) and total amount of suspended particles (TSP) in the current risk assessment guidelines. Assessment results show that the total cancer risk (TCR) of As through crop and soil ingestion was 1.51E-03 in adults and 6.37E-4 in children, which indicated a carcinogenic risk (exceeding 1E-05). On the other side, the harzard index (HI) was 3.37 in adults and 1.41 in children, which was evaluated as having a non-carcinogenic risk (>1). The carcinogenic purification targets for As were calculated to be 6.84 mg/kg in adults and 6.86 mg/kg in children, while the non-carcinogenic purification targets were calculated to be 13.43 mg/kg for adults and 22.54 mg/kg for children. When applying SF_abs 61 of the current guidelines, it appears that there is a carcinogenic risk even though the As exposure concentration is below the area of concern 1 standard (25 mg/kg), which suggestes that additional research on this factor is required for the risk assessment. In order to apply the measured suspended particle concentration to risk assessment, TSP should be derived from PM10 using an appropriate correlation equation. As a result, it is suggested to improve the risk assessment guidelines so that the mesured PM10 value measured in the field can be used directly.