• Journal of dental hygiene science
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• v.12 no.6
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• pp.624-633
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• 2012

This study was executed to provide the basic data that can be helpful for a program aiming at the enhancement of life quality or establishment of policy related to public health by analyzing the importance of health state among the middle-aged adults when it came to the decision of life quality. For 160 adults who were older than 40 years old, a survey was conducted and the results were derived by using t-test, one way ANOVA, and multiple regression analysis. Followings are the outcome of the study. According to such results, it was known that the level of general life quality and oral health related life quality were shown to be different depending on symptoms of depression and xerostomia. Therefore, it suggests that prevention and early intervention of depression and xerostomia will make a great contribution to improve the life quality among the middle-aged adults.

• Journal of Korean Medical Science
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• v.33 no.43
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• pp.277.1-277.10
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• 2018

Background: To examine survival rates and renal function after partial nephrectomy (PN) and radical nephrectomy (RN) in patients with chronic kidney disease (CKD). Methods: We studied 4,332 patients who underwent PN or RN for pathological T1a-T2N0M0 renal cell carcinoma from 1988 to 2014. Patients were divided into two subgroups of CKD stage I-II and stage III. Kidney function, and survival outcomes were compared between groups. Results: We included 1,756 patients with CKD I-II and 276 patients with CKD III in the final pair-matched analysis. Kidney function was significantly better preserved in the PN than in the RN group among all patients. However, the beneficial effect of PN on kidney function gradually disappeared over time in CKD III patients. The 5-year overall survival (OS) rates after PN and RN differed in patients with CKD I-II disease (99.4% vs. 96.5%, respectively, P = 0.015). The 5-year OS rates after surgery were not affected by mode of nephrectomy in CKD III patients (97.8% vs. 93.5%, P = 0.103). The 5-year cancer-specific survival rates did not differ between treatment groups in all CKD stage. Cox hazard analysis showed that the operative method was a significant factor for OS in CKD I-II patients (hazard ratio [HR], 0.320; confidence interval [CI], 0.122-0.840; P = 0.021). However, PN was not beneficial in terms of OS in CKD III patients (HR, 0.395; CI, 0.086-1.172; P = 0.117). Conclusion: PN is associated with a higher OS rate and better kidney function in patients with preoperative CKD stage I and II, but not in those with CKD stage III.

• Journal of Legislation Research
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• no.44
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• pp.465-485
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• 2013

Mit dem Patientenrechtegesetz, das im $Fr{\ddot{u}}jahr$ 2013 in Kraft treten soll, $f{\ddot{u}}rt$ der Gesetzgeber eine jahrzehntelange Diskussion um die Rechte von Patientinnen und Patienten zu einem guten Ende. Demnach geht es darum, Transparenz ${\ddot{u}}ber$ die bereits heute bestehenden, umfangreichen Rechte der Patientinnen und Patienten herzustellen, die $tats{\ddot{a}}chliche$ Durchsetzung dieser Rechte zu verbessern, zugleich Patientinnen und Patienten im Sinne einer verbesserten Gesundheitsversorgung zu $sch{\ddot{u}}tzen$ und insbesondere im Fall eines Behandlungsfehlers $st{\ddot{a}}rker$ zu $unterst{\ddot{u}}tzen$. In Verfolgung dieser Zwecke $schl{\ddot{a}}gt$ die Bundesregierung ein Artikelgesetz vor, dessen wesentliche Teile das BGB und das Recht der sozialen Krankenversicherung betreffen. In das BGB soll ein neuer Abschnitt ${\ddot{u}}ber$ den "Behandlungsvertrag" $eingef{\ddot{u}}gt$ werden. Als Standort ist der ${\ddot{U}}bergang$ vom Dienstin das Werkvertragsrecht vorgesehen, der um die neu zu schaffenden Vorschriften der ${\S}{\S}$ 630 a bis 630 h BGB erweitert wird. Die acht Paragrafen enthalten im Kern eine Kodifikation der von der Rechtsprechung entwickelten $Grunds{\ddot{a}}tze$ zur Arzthaftung. Der Beitrag stellt die bisherige politische Diskussion des Patientenrechtegesetzes vor (II). Im Anschluss daran wird die einzige wesentliche Neuerung des Gesetzes $n{\ddot{a}}her$ untersucht und werden Regelungsziel und Grundkonzept der Kodifikation einer $Pr{\ddot{u}}fung$ unterzogen (III). $Schlie{\ss}lich$ werden einen politischen Ausblick auf die neuen Herausforderungen und die Bewertung der $gegenw{\ddot{a}}rtigen$ Lage und der erwarteten Entwicklung gezogen (IV).

• Journal of The Korean Society of Integrative Medicine
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• v.9 no.3
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• pp.165-173
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• 2021

Purpose : Myofascial decompression is frequently mentioned as a method applied to cupping. The purpose of this study is to evaluate and compare active range of motion (AROM), muscle strength, and functional movement by applying myofascial decompression to the hamstrings. Methods : This study evaluated AROM, muscle strength, and functional movement by applying active movement myofascial decompression and static myofascial decompression to the dominant leg, respectively, in a crossover design conducted with normal adults (n=21) in their average 20s enrolled at G University in G city, Gyeongsangbuk-do. Active movement myofascial decompression was implemented for five minutes at a rate of 100 bpm to make the beats in flexion and extension respectively. Static myofascial decompression was only performed for five minutes while at rest. All of these interventions were performed at a cupping depth of two mm. After a one-week washout period, static was applied again to compare the same dependent variables. Results : Regarding AROM and muscle strength, both groups showed significant differences in the before and after results (p<.05). However, in the Functional Reach Aspect and Single Leg Hop test, the active movement myofascial decompression group showed better results. There was no statistical difference between the Active movement myofascial decompression group and Static myofascial decompression group in any dependent variable (p<.05). Conclusion : As a result of this experiment, both active movement myofascial decompression and static myofascial decompression had a positive effect on dependent variable. Therefore this study is meaningful in that it is easier and simpler to see the effect on flexibility, muscle strength, and functional movement just by implementing movement myofascial decompression.

• Journal of Korean Philosophical Society
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• v.123
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• pp.441-465
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• 2012

In der Kritik der reinen Vernunft entfaltet sich die Lehre des $Selbstbewu{\ss}tseins$, die in sich die verschiedene Auffassungen ${\ddot{u}}ber$ das transzendentale Ich $enth{\ddot{a}}lt$. $Demgem{\ddot{a}}{\ss}$ ist das transzendentale Ich einerseits das Ich als reine $Selbstt{\ddot{a}}tigkeit$. Die Vorstellung des Ich $dr{\ddot{u}}ckt$ insofern als die intellektuelle Vorstellung ${\ddot{u}}ber$ die spontane Handlung des denkenden Ich die numerische Einheit oder die Einfachheit der verschiedenen Handlungen desselben aus. Aber andererseits ist das transzendentale Ich im $Selbstbewu{\ss}tsein$ das Ich als den Gegenstand ${\ddot{u}}berhaupt$. Das Ich als Gegenstand ${\ddot{u}}berhaupt$ ist gerade das Ich als Gegenstand des inneren Sinnes oder das empirische Ich ${\ddot{u}}berhaupt$. In diesem Sinne $dr{\ddot{u}}ckt$ das $Selbstbewu{\ss}tsein$ die unbestimmte Wahrnehmung ${\ddot{u}}berhaupt$, oder apprehensio simplex aus. Auf diese Weise $enth{\ddot{a}}lt$ das transzendentale Ich im Selbstbewusstsein in sich die doppelseitigen Momente. Das Ich im $Selbstbewu{\ss}tsein$ ist einerseits das Ich als das denkende Subjekt, $n{\ddot{a}}mlich$ das logische Ich, aber andererseits zugleich das Ich als das wharnehmende Subjekt, das psychologische Ich ${\ddot{u}}berhaupt$. Und diese doppelseitigen Momente des Ichs unterscheiden sich voneinander, aber zugleich auch $dr{\ddot{u}}cken$ in sich ein und dasselbe Ich aus. Dennoch ist das Problem der Einheit und Entzweiung des Ich im Selbstbewusstsein bleibt in der Kritik der reinen Vernunft als ein $unerkl{\ddot{a}}rbares$, $unaufl{\ddot{o}}sbares$ $R{\ddot{a}}tzel$. Eben mit diesem Problem setzt Kant sich im Opus potumum ernsthaft auseinander und $l{\ddot{o}}st$ dieses Problem durch eine neue Lehre des $Selbstbewu{\ss}tseins$ oder die Lehre der Selbstsezung auf.

• 한국노년학
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• v.38 no.1
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• pp.169-185
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• 2018

The purpose of this study examined the feasibility and efficacy of a senior center-based diabetes self-management program applying action research approach. The cyclical action research method was applied for this study: plan, act, evaluate, and reflect in delivering three waves of the intervention program. Three waves of a 12 weeks-length small group diabetes self-management program were offered during the period of 15 months in a senior center in Seoul. Planning of $2^{nd}$ and $3^{rd}$ wave program were based on reflection of $1^{st}$ and $2^{nd}$ program evaluation respectively. Among the 46 participants, 93.48% (N=43) completed the program. The quantitative evaluation showed statistically significant improvement in HbA1C(p<.001), fasting plasma glucose(p<.001), BMI(p=.016), waist circumference(p=.001), systolic blood pressure(p=.036), diabetes self-management behavior(p<.001) and health knowledge(p=.008). Qualitative data revealed that individual management was very helpful in empowering and adhering for own diabetes care for the participants. Participants reported high satisfaction towards the program with mean satisfaction score of 65.12. Application of the Diabetes Self-management program with action study strategy was successful in community setting for improving participants' subjective and objective outcomes. Action research method guides the practitioner to tailor the program to respond for the participants and field needs.

• The Journal of the Korea Contents Association
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• v.18 no.12
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• pp.639-645
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• 2018

The objective of this research was to compare the precision of scanning the digital abutment impression and gypsum model according to 3-dimensional superimposing different skills. There were made with the abutment impression and gypsum model of a maxillary 1st premolar, blue light scanner scanned to obtain the stereolithography (STL) file. After the same process was performed 10 more times without moving them on the scanner table about the abutment impression and gypsum model, respectively (n=11, per types). By superimposing the date of scanning the abutment impression and gypsum model used with no control and best-fit-alignment skills, 10 color-difference maps and root mean square (RMS) data were obtained. The independent t-test was performed to compare RMS data between the each other groups (${\alpha}=0.05$). In the scanning abutment impressions, $RMS{\pm}SD$ of no control, best-fit-alignment showed $6.86{\pm}0.94$, $5.04{\pm}0.24$. in the scanning gypsum model, $4.98{\pm}1.16$, $3.39{\pm}0.07$, all groups showed a significant difference (P<0.001). Trough the this study's result, not only best-fit-alignment but no control is used with digital dental computer-aided design/computer-aided manufacturing (CAD/CAM) research and clinical part.

• The Korean journal of internal medicine
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• v.33 no.6
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• pp.1224-1233
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• 2018

Background/Aims: The objective of this study was to determine the efficacy and safety of add-on therapy with certolizumab pegol (CZP) in active rheumatoid arthritis (RA) patients of a single ethnicity. Methods: In this 24-week, phase 3, randomized, double-blind, placebo-controlled trial, eligible patients (n = 127) were randomized 2:1 to subcutaneous CZP + methotrexate (MTX; 400 mg at week 0, 2, and 4 followed by 200 mg every 2 weeks) or placebo + MTX. Results: At week 24, the American College of Rheumatology criteria for 20% (ACR20) response rate was significantly greater with CZP + MTX than with placebo (66.7% vs. 27.5%, p < 0.001). Differences in ACR20 response rates for CZP vs. placebo were significant from week 1 (p < 0.05) and remained significant through week 24. The CZP group reported significant improvement in physical function and disability compared to the placebo group (p < 0.001) at week 24, as assessed by Korean Health Assessment Questionnaire-Disability Index (KHAQ-DI). Post hoc analysis indicated that the proportion of patients who had ACR70 responses, Disease Activity Score 28 (DAS28) low disease activity, and DAS28 remission at week 24 was greater in CZP + MTX-treated patients who achieved a decrease in DAS28 ${\geq}1.2$ (43.8%) at week 4 than in nonresponders. Among 18 (22.2%) and 14 patients (35.0%) in CZP and placebo groups who had latent tuberculosis (TB), none developed active TB. Most adverse events were mild or moderate. Conclusions: CZP treatment combined with MTX in active RA patients with moderate to severe disease activity and an inadequate response to MTX resulted in rapid onset of efficacy, which is associated with better clinical outcome at week 24 and has an acceptable safety profile, especially in an intermediate TB-burden population.

• Asian-Australasian Journal of Animal Sciences
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• v.32 no.3
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• pp.395-404
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• 2019

Objective: Wheat bran (WB) and rice bran (RB) are the agricultural by-products used as poultry feed in many developing countries. However, their use for poultry feed is limited due to high fiber and the presence of anti-nutritional substances (e.g. ${\beta}-glucans$). The objective of this study was to develop a method to improve the quality of those brans by reducing the fiber content. Methods: A two-step fermentation method was developed where the second fermentation of first fermented dry bran was carried out. Fermentation was performed at a controlled environment for 3 h and 6 h (n = 6). The composition of brans, buffer solution and rumen liquor was maintained in a ratio of 1:2:3, respectively. Brans were analyzed for dry matter, crude fiber (CF), acid detergent fiber (ADF), neutral detergent fiber (NDF), and acid detergent lignin (ADL) content. Celluloses and hemicelluloses were calculated from the difference of ADF-ADL and NDF-ADF, respectively. Samples were compared by two-factor analysis of variance followed by Tukey's multiple comparison tests (p<0.05). Results: CF %, ADF % and cellulose tended to decrease and NDF % and hemicellulose content was reduced significantly (p<0.05). After the 1st fermentation step, NDF decreased $10.7%{\pm}0.55%$ after 3 h vs $17.0%{\pm}0.78%$ after 6 h in case of WB. Whereas, these values were $2.3%{\pm}0.30%$ (3 h) and $7.5%{\pm}0.69%$ (6 h) in case of RB. However, after the 2nd fermentation step, the decrease in the NDF content amounted to $9.1%{\pm}0.72%$ (3 h), $17.4%{\pm}1.13%$ (6 h) and $9.3%{\pm}0.46%$ (3 h), $10.0%{\pm}0.68%$ (6 h) in WB and RB, respectively. Cellulose and hemicellulose content was reduced up to $15.6%{\pm}0.85%$ (WB), $15.8%{\pm}2.20%$ (RB) and $36.6%{\pm}2.42%$ (WB), $15.9%{\pm}3.53%$ (RB), respectively after 2nd fermentation of 6 h. Conclusion: Two-step fermentation process improved the quality of the brans for their use in poultry feed.

• Journal of the Korean Society of Urban Environment
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• v.18 no.4
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• pp.523-530
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• 2018

Kyoto Protocol, adopted in 1997, set the obligation to reduce $CO_2$, $CH_4$, $N_2O$, HFCs, PFCs, and $SF_6$ in developed countries during 1st promised period. $SF_6$ has been drawing a lot of attention since the Kyoto Protocol because once it is released into the atmosphere, it not only stays in the atmosphere for more than 3,200 years but also emits 22,800 times stronger global warming potential at the same concentrations as $CO_2$ if remains in the atmosphere for 100 years. This study introduces 12 methods for $SF_6$ of measuring trace. $SF_6$ of trace level in the atmosphere correctly, the measurement method was changed and as a result, when the back flush method was applied to the pre-concentration system that used low-temperature concentration and high-temperature desorption system, which used Carboxen-1000 adsorption trap, the effect was the best.