• Proceedings of the Korea Water Resources Association Conference
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• 2019.05a
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• pp.325-325
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• 2019

본 연구에서는 안동댐 유역을 대상으로 Soil and Water Assessment Tool(SWAT) 모형을 이용해 하천단면 특성을 고려하여 유량 및 수질(SS, TN, DO)을 모의하였다. 안동댐 유역 내 위치한 도산 및 안동댐 관측소의 실측 유량 자료를 이용하였으며, 낙본B 관측소의 수질 측정 자료를 이용하였다. 본 연구에서는 항공사진을 통해서 안동댐 유역 내 각각의 소유역에 대하여 평균 하천폭과 홍수터폭 자료를 구축하였으며, 이를 실측 자료로 가정하였다. 또한 하천단면 실측 자료를 기반으로 상류 유역 면적에 대한 하천폭 및 홍수터폭 회귀식을 개발하였다. 이렇게 개발된 회귀식을 통해 산정된 하천폭과 홍수터폭을 SWAT 모형에 적용하여 유량 및 수질 모의를 모의하였으며, 하천단면 특성을 고려하기 이전(Scenario 1, S1)과 이후(Scenario 2, S2)의 모의 결과를 비교하여 하천단면 특성 고려에 따른 모의 결과의 차이에 대하여 분석하였다. S1와 S2의 하천폭과 홍수터폭을 비교한 결과 S1이 하천폭과 홍수터폭을 과대 산정하는 것으로 나타났으며, S1의 유속은 S2보다 작게 나타났다. 유량 모의 결과와 실측 자료에 대한 $R^2$와 NSE를 산정한 결과 S1과 S2의 결과는 큰 차이를 나타내지 않았으나, S2가 S1에 비해 상대적으로 첨두유량을 높게 모의하는 경향이 나타났다. 유량 모의 결과와 달리 수질 모의 결과에서는 S1과 S2의 차이가 뚜렷하게 나타났다. SS, TN, DO 모의 결과 모두에서 S2가 S1보다 높은 모의 정확도를 나타내었다. 결론적으로 하천단면 특성이 유량 및 수질 모의 정확도에 영향을 주는 것으로 나타났으며, 특히 하천단면과 관련한 변수들은 수질 모의에 있어서 민감하게 영향을 주는 것으로 판단되었다. 하지만 본 연구는 단일 유역에 대해서만 진행되었기 때문에 연구 결과의 신뢰성을 확보하기 위해서는 본 연구의 연구대상 유역과 다른 유역 특성을 가진 유역들을 대상으로 본 연구의 결과에 대한 재검토가 필요하다.

• Proceedings of the Korea Water Resources Association Conference
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• 2018.05a
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• pp.491-491
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• 2018

본 연구는 포장모형(APEX, Agricultural Policy Environmental eXtender)과 유역모형(SWAT, Soil and Water Assessment Tool)을 연계하여 새만금 유역의 미래 수문 수질영향과 용수생산성을 분석하기 위한 기초연구이다. APEX 모형을 연계하기에 앞서 SWAT 모형을 이용하여 만경강 유역의 유출량, T-N, T-P를 모의하고 그 적용성을 평가하였다. 모의 기간은 2004년부터 2017년까지 총 14년이며, 기상, 유출량 그리고 월단위 수질 자료를 모형의 입력자료 및 보정을 위해 사용하였다. 매개변수 보정은 객관적 보정이 가능한 SWAT-CUP을 이용하여 최적화 하였으며, 매개변수 보정의 목적함수는 NSE(Nash-Sutcliffe Efficiency)로 평가하였다. 모형의 적용성 평가 결과, 보정기간의 연평균 유출량은 실측치 835mm, 모의치 677mm로 나타났고, R2는 0.64, RMSE는 3.87mm/day, NSE는 0.61, RMAE는 0.99로 나타났다. 검정기간의 연평균 유출량은 실측치 884mm, 모의치 702mm로 나타났고, R2는 0.67, RMSE는 2.92mm/day, NSE는 0.7, RMAE는 0.94로 나타났다. 유출량의 결과를 살펴보면 검정기간이 보정기간보다 모의결과가 더 나은 것으로 나타나며, 이는 실측자료의 일관성 차이로 판단된다. T-N과 T-P의 경우 매개변수만으론 보정의 한계가 있으며, 실측치와 근접하게 모의하기 위해서 만경강 본류에 영향을 끼칠 수 있는 외부유입량을 고려할 필요가 있다. 따라서 본 연구에서는 만경강 상류의 경천댐, 대아댐 그리고 용담댐으로 부터 유입되는 외부유입량 자료를 수집하여 SWAT의 입력자료로 구축하였으며, 대상유역 내 익산, 완주, 전주, 김제에 위치하고 있는 하수처리장, 축산폐수처리장, 분뇨처리시설, 산업폐수처리시설 그리고 농공단지처리시설 등 총 12곳에 대한 점오염원 데이터를 입력자료로 구축하여 만경강 상류 농업소유역의 수질영향을 평가하였다. 본 연구결과는 향후 미래 수문 수질 모의에 대한 기초자료로 제공될 것이며, 외부유입량을 고려한 만경강 유역의 용수생산성 분석을 통해 미래 농업수자원 관리계획 수립에 활용할 수 있을 것이다.

• Imaging Science in Dentistry
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• v.51 no.3
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• pp.223-235
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• 2021

Purpose: This study aimed to summarize the impact of neck and head radiation treatment on maxillofacial structures detected on panoramic radiographs. Materials and Methods: In this systematic review, the authors searched PubMed Central, Embase, Scopus, Cochrane Central Register of Controlled Trials, Web of Science, and Google Scholar for original research studies up to February 2020 that included the following Medical Subject Headings keywords: words related to "radiotherapy" and synonyms combined with keywords related to "panoramic radiography" and "oral diagnosis" and synonyms. Only original studies in English that investigated the maxillofacial effects of radiotherapy via panoramic radiographs were included. The quality of the selected manuscripts was evaluated by assessing the risk of bias using Cochrane's ROBINS-I tool for non-randomized studies. Results: Thirty-three studies were eligible and included in this review. The main objectives pertained to the assessment of the effects of radiation on maxillofacial structures, including bone architecture alterations, periodontal space widening, teeth development abnormalities, osteoradionecrosis, and implant bone loss. The number of participants evaluated ranged from 8 to 176. Conclusion: The interaction between ionizing radiation and maxillofacial structures results in hazard to the tissues involved, particularly the bone tissue, periosteum, connective tissue of the mucosa, and endothelium. Hard tissue changes due to radiation therapy can be detected on panoramic radiographs.

• The Journal of Internal Korean Medicine
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• v.42 no.4
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• pp.605-621
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• 2021

Objectives: The purpose of this review is to assess the efficacy and safety of Hwangryunhaedok-tang for type 2 diabetes without complications by systemic review and meta-analysis of randomized controlled trials (RCTs). Methods: We searched the following up to March 31. 2021: PubMed, EMBASE, The Cochrane Library, CNKI, CiNii, KISS, KMBASE, OASIS, ScienceON. Data extraction and assessment of Cochrane's risk of bias (RoB) tool were performed by two independent authors, and if there was disagreement between two researchers, it was resolved through the intervention of a third researcher. Results: A total of seven trials are included in this systemic review. The treatment group (Hwangryunhaedok-tang plus conventional treatment) showed more statistically significant effects than did the control group (conventional treatment only) in fasting plasma glucose level, 2-hour postprandial plasma glucose level, glycated hemoglobin A1c, fasting insulin level, and HOMA-IR. There was no significant difference between the treatment group (Hwangryunhaedok-tang alone) and the control group (metformin alone). Conclusion: Hwangryunhaedok-tang might have efficacy and safety in controlling blood sugar level and improving insulin-resistance. However, the number of studies included in the meta-analysis was insufficient, and the Hwangryunhaedok-tang used in the included studies was not standardized. Also, the quality of the involved studies was generally low. Therefore, further studies are needed to determine the efficacy and safety of Hwangryunhaedok-tang treatment for type 2 diabetes mellitus.

• Physical Therapy Rehabilitation Science
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• v.9 no.4
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• pp.261-268
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• 2020

Objective: This study was conducted to provide basic data on physical function improvement activities of elderly care facilities by identifying the degree of physical improvement activities of elderly caregivers. Design: Descriptive correlational study. Methods: The instrument of this study consisted of 12 questions on the general characteristics of the subject. For the assessment of improvement in physical function activities, the measuring tool used for the elderly consisted of a total of 20 questions. For data analysis, Pearson's correlation coefficient & Spearman's rho and multiple regression were used. Results: The higher the age of the subjects, the lower their educational background (r=-0.273, p<0.05), and the higher the probability of having a religion (r=-0.258, p<0.05), the more stable the employment type (r=-0.333, p<0.05). The higher the level of education, the higher the monthly income (r=0.187, p<0.01), and the shorter the career (r=-0.204, p<0.05). The more stable employment, the more unstable duty (r=-0.245, p<0.05), and the more unstable work, the higher the monthly income (r=-0.206, p<0.05) and the longer the career, the higher the monthly income (r=0.247, p<0.05). The more stable the employment, the more activities to improve physical function were found (r=0.341, p<0.05), and the more unstable the duty, the more activities to improve physical function were found (r=0.321, p<0.05), and the higher monthly income, the less physical function improvement activities (r=-0.196, p<0.05). Conclusions: It is necessary to provide regular services by a dedicated physical therapist for physical function improvement activities in order to improve the quality of life of the elderly in the future.

• Journal of Industrial Convergence
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• v.19 no.5
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• pp.79-90
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• 2021

This study aimed to review the literature on the effects of the meaning enhancement program for college students studied in Korea, and to analyze the content and formal characteristics and the meaning enhancement effects of the program for college students. The literature was collected for studies aimed at enhancing meaning of life in college students among research papers and dissertations published in Korea until May 2021. Six databases were used to conduct searches with 'logotherapy' in Korean and English OR "meaning therapy" OR "meaning of life" OR 'meaning'. Two independent researchers performed an assessment of bias risk and research quality using a standardized tool, with seven final selected papers. All seven meaning enhancement programs were effective in discovering the meaning of life among college students, and both single and merged interventions were found to be effective. In order to analyze the effect size of meaning enhancement programs for college students, randomized control experimental studies need to be conducted in the future.

• Proceedings of the Korea Water Resources Association Conference
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• 2018.05a
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• pp.52-52
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• 2018

목초지에서 비점오염원 유출특성은 가축밀도(stocking rate)와 방목형태(grazing management practice)에 기인하여 다르게 나타난다. 전통적인 방목형태는 한 대상지역에서 높은 가축밀도의 연속적인 방목(continuous grazing)을 취하는 것인데, 이 경우 토양압밀에 따른 강우의 침투량 감소, 가축의 배설물 축적 등으로 비점오염 유출량이 증가할 수 있으며, 식물의 재성장기간 부족으로 지속적인 방목지 운영이 어려울 수 있다. 순환방목(rotational grazing)은 이러한 연속적 방목 형태의 부정적인 영향을 개선하고자 대안으로 제시되었다. 방법은 구역을 나누고 초본식물의 생육상태를 고려하여 일정기간이 지나면 다른 구역으로 이동 시키며 방목하는 형태이다. 기존의 연구들은 단위 면적당 적정 가축밀도, 필드규모에서 방목형태에 따른 비점오염 유출특성에 초점을 두고 있으며, 결과들은 가축밀도의 영향보다는 방목형태에 의한 수문, 수질 영향이 더 크다고 지적하고 있다. 이에 본 연구에서는 이러한 가축밀도(Heavy vs Light) 및 방목형태(Continuous vs Rotational)가 유역의 비점오염 유출특성에 미치는 영향을 정량적으로 평가하고자, 미국 북텍사스 지역에 위치한 Clear Creek 유역을 대상으로 4개의 방목시나리오(heavy continuous[HC], light continuous[LC], multi-paddock[MP], no grazing)를 구성하고 Soil and Water Assessment Tool(SWAT) 모형에 적용하였다. SWAT 모형은 대상유역 내 4개의 방목지에서 측정한 토양수분 및 식물 바이오매스 자료, 유역 출구점에서 관측된 장기간의 수문 수질 자료를 이용하여 검증되었다. 연구결과는 순환방목(MP) 시나리오가 수질보호 및 토양침식 방지, 식생의 영양염류 흡수능력이 커지는 것과 같이 생태계서비스 기능의 개선 측면에서 최적의 방목형태(best grazing management)인 것으로 나타났으며, 이러한 결과는 가축밀도 보다는 방목형태에 기인한 것으로 필드와 유역스케일에서 동일한 결과를 보여주었다. 그러나 유역 내 목초지의 차지비율에 따라 순환방목 채택에 따른 비점오염 유출량의 감소효과는 다르게 나타나게 된다.

• Korean Journal of Acupuncture
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• v.38 no.2
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• pp.62-74
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• 2021

Objectives : The aim of this study is to analyze the effect of acupuncture and the details of acupuncture treatment methods on skin wrinkles. Methods : Search was conducted in Pubmed, KISS, and NDSL databases for acupuncture studies on skin wrinkles. The detailed therapeutic techniques of acupuncture used for skin wrinkles and the effect of acupuncture on skin wrinkle improvement were analyzed. Then, the study results using the same indicator were compared through meta-analysis in order to compare the effects of acupuncture with the control group. The quality of randomized controlled trials (RCTs) was assessed using the risk of bias (ROB) assessment tool (Ver. 1.0, Cochrane Collaboration). Results : A total of 10 RCTs and 19 case series were included in this study. The most frequently used therapeutic technique for skin wrinkle improvement was Microneedle therapy system (MTS, n=19), and they were mostly used with aesthetic solutions (13 out of 19 studies). Skin wrinkle related indexes were most commonly used to evaluate skin wrinkle improvement (n=14). Panax Ginseng pharmacopuncture showed the most remarkable effect in improving the range of skin wrinkles and the depth of skin wrinkles. MTS+epidermal growth factor improved the levels of skin hydration, skin elasticity, and variation of skin pigment the most. MTS+Endothelial precursor cell improved the number of skin melanin the most. Three RCTs included in the meta-analysis showed moderate ROB on average. Conclusions : Acupuncture treatment was effective in improving skin wrinkles. However, a precise study design using unified indicators and appropriate controls needs to be performed in further studies in order to establish more convincing evidence of the effectiveness of acupuncture for improving skin wrinkles.

• Women's Health Nursing
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• v.26 no.4
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• pp.285-299
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• 2020

Purpose: This systematic review aims to identify factors associated with risk-reducing salpingo-oophorectomy (RRSO), including the uptake rate and decision timing, among women at high risk for hereditary breast and ovarian cancer (HBOC). Methods: We found 4,935 relevant studies using MEDLINE, Embase, CINAHL, and PsycINFO on July 6, 2020. Two authors screened the articles and extracted data. Twenty-four studies met the inclusion criteria. Quality assessment of articles was conducted using the Risk of Bias for Nonrandomized Studies tool. Results: Five types of factors were identified (demographic factors, clinical factors, family history of cancer, psychological factors, and objective cancer risk). The specific significant factors were older age, having child(ren), being a BRCA1/2 carrier, mastectomy history, perceived risk for ovarian cancer, and perceived advantages of RRSO, whereas objective cancer risk was not significant. The uptake rate of RRSO was 23.4% to 87.2% (mean, 45.2%) among high-risk women for HBOC. The mean time to decide whether to undergo RRSO after BRCA testing was 4 to 34 months. Conclusion: RRSO decisions are affected by demographic, clinical, and psychological factors, rather than objective cancer risk. Nonetheless, women seeking RRSO should be offered information about objective cancer risk. Even though decision-making for RRSO is a complex and multifaceted process, the psychosocial factors that may influence decisions have not been comprehensively examined, including family attitudes toward RRSO, cultural norms, social values, and health care providers' attitudes.

• Imaging Science in Dentistry
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• v.52 no.2
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• pp.133-140
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• 2022

Purpose: The aim of this review was to systematically analyze the available literature on the correlation between the gray values (GVs) of cone-beam computed tomography (CBCT) and the Hounsfield units (HUs) of computed tomography (CT) for assessing bone mineral density. Materials and Methods: A literature search was carried out in PubMed, Cochrane Library, Google Scholar, Scopus, and LILACS for studies published through September 2021. In vitro, in vivo, and animal studies that analyzed the correlations GVs of CBCT and HUs of CT were included in this review. The review was prepared according to the PRISMA checklist for systematic reviews, and the risk of bias was assessed using the Quality Assessment of Diagnostic Accuracy Studies tool. A quantitative analysis was performed using a fixed-effects model. Results: The literature search identified a total of 5,955 studies, of which 14 studies were included for the qualitative analysis and 2 studies for the quantitative analysis. A positive correlation was observed between the GVs of CBCT and HUs of CT. Out of the 14 studies, 100% had low risks of bias for the domains of patient selection, index test, and reference standards, while 95% of studies had a low risk of bias for the domain of flow and timing. The fixed-effects meta-analysis performed for Pearson correlation coefficients between CBCT and CT showed a moderate positive correlation (r=0.669; 95% CI, 0.388 to 0.836; P<0.05). Conclusion: The available evidence showed a positive correlation between the GVs of CBCT and HUs of CT.