• 한국엔터테인먼트산업학회논문지
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• 제13권6호
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• pp.203-210
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• 2019

본 연구는 국내 대학생을 대상으로 라이프케어를 위한 감각처리특성과 여가참여유형, 작업참여인식 그리고 삶의 질과의 상관관계에 대해 알아보고자 하였다. 대학생을 169명을 대상으로 2019년 2월부터 동년 3월까지 설문조사를 실시하였다. 감각처리는 청소년/성인 감각프로파일(Adolescent/Adult Sensory Profole)로, 여가참여유형은 여가활동 질문지로, 작업참여인식은 작업자가평가(Occupational Self Assessment)로, 삶의 질은 삶의 만족 척도(Satisfaction With Life Scale)로 평가하였다. 감각처리특성과 여가참여유형, 작업참여인식 및 삶의 만족 척도와의 관련성은 피어슨 상관분석을 사용하였다. 감각처리특성 중 등록저하와 스포츠, 감각찾기와 스포츠, 사교활동 및 관광 사이에 유의한 양의 상관관계가 나타났다. 그리고 작업참여인식에서 작업수행은 등록저하, 감각예민, 감각회피와 유의한 음의 상관관계를 나타냈다. 취미교양과 관람, 사교활동은 작업참여인식과 유의한 양의 상관관계를 보였다. 작업참여인식과 삶의 질은 양의 상관관계로 나타났다(p<.05, p<.01). 감각처리특성은 여가참여유형, 작업참여인식 그리고 삶의 질과 상관관계를 나타내었다. 앞으로의 연구에서는 감각처리특성에 기반한 여가활동, 작업참여 및 삶의 질을 향상시키는 평가도구개발이 이루어져야 할 것이다.

• 한국어류학회지
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• 제34권3호
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• pp.208-217
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• 2022

멸종위기어류 퉁사리 Liobagrus obesus를 대상으로 종 특이 프라이머 한 쌍과 프로브를 제작하여 하천수 시료에서 추출된 환경 DNA로부터 퉁사리를 검출할 수 있는 실시간 PCR 분석방법을 개발하고자 하였다. 퉁사리 종 특이 프라이머와 프로브는 미토콘드리아 DNA의 cytochrome b (cytb) 유전자 영역 내에서 국내에 서식하는 65종의 담수어류 간에 단일염기다형성 부위를 고려하여 비교한 후 제작하였다. 실시간 PCR 분석에서 제작한 프라이머 및 프로브는 국내에 서식하는 65종의 담수어류 gDNA를 이용한 특이성 검증 결과, 퉁사리 gDNA에서만 양성으로 나타나 높은 특이성을 보였다. 퉁사리 gDNA의 연속 희석 농도를 이용한 검출한계 분석에서는 0.2 pg까지 검출이 가능한 것으로 나타나 높은 감도를 보였다. 이후, 제작한 프라이머 및 프로브를 사용하여 금강 중·상류 유역의 8개 지점에서 확보한 하천수 시료를 대상으로 실시간 PCR 분석을 수행한 결과, 5개 지점에서 퉁사리의 cytb 유전자가 검출되었으며, 해당 검출 지점들은 현장 조사 당시에 퉁사리가 채집된 3개 지점을 모두 포함하였다. 따라서, 본 연구에서 개발한 퉁사리의 종 특이 프라이머와 프로브를 이용한 실시간 PCR 분석 방법은 하천수 채수로 확보한 환경 DNA로부터 퉁사리의 cytb 유전자를 검출할 수 있어 기존 서식지 모니터링과 더불어 잠재적인 신규 서식지 발굴에 활용될 수 있을 것으로 판단된다.

• 한국방사선학회논문지
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• 제17권6호
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• pp.801-808
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• 2023

소아 두부 CT 검사 시 방사선 피폭 최소화와 진단적 가치가 높은 영상을 확보하기 위하여 Volume Axial Mode, High Pitch Mode, Helical Mode 간 피폭 선량과 영상의 비교 분석을 통하여 Volume Axial Mode의 유용성을 평가하였다. 1세 미만의 소아 두부 CT Helical Mode, High Pitch Mode, Volume Axial Mode에서 70, 80, 100 kVp의 관전압에 따라 영상평가와 선량평가를 시행하였다. 영상평가는 각 영상에 ROI를 설정해 SNR과 CNR을 산출하여 영상평가를 진행하였으며 일원배치 분산분석(ONE-WAY ANOVA)을 사용하여 통계적 유의성을 평가하였고, 선량평가는 검사 후 장비에서 직접 제공하는 Dose Report에 표시되는 DLP값을 이용하여 비교 분석하였다. Volume Axial Mode를 사용하여 검사하였을 때, DLP 값은 전체적으로 낮게 나왔고, SNR과 CNR은 각각 ROI와 kVp별 차이를 가졌다. Volume Axial Mode가 다른 Scan Mode와 비교하여 영상의 질을 평가하였을 때, 그 차이 값이 균일하지 않아 특정 Mode가 우수하다고 볼 수 없었으나 선량 측면에서는 가장 피폭선량을 줄일 수 있었다. 또한 Volume Axial Mode의 짧은 스캔 시간과 Table의 이동 없이 제자리에서 검사 할 수 있는 점은 방사선 감수성이 높은 1세 미만 소아 CT검사에서 유용하게 적용된다.

• Journal of Korean Neurosurgical Society
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• 제66권6호
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• pp.681-689
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• 2023

Objective : Subarachnoid hemorrhage (SAH) is a condition characterized by bleeding in the subarachnoid space, often resulting from the rupture of a cerebral aneurysm. Delayed cerebral ischemia caused by vasospasm is a significant cause of mortality and morbidity in SAH patients, and inflammatory markers such as systemic inflammatory response index (SIRI), systemic inflammatory index (SII), neutrophil-to-lymphocyte ratio (NLR), and derived NLR (dNLR) have shown potential in predicting clinical vasospasm and outcomes in SAH patients. This article aims to investigate the relationship between inflammatory markers and cerebral vasospasm after aneurysmatic SAH (aSAH) and evaluate the predictive value of various indices, including SIRI, SII, NLR, and dNLR, in predicting clinical vasospasm. Methods : A retrospective analysis was performed on a cohort of 96 patients who met the inclusion criteria out of a total of 139 patients admitted Trakya University Hospital with a confirmed diagnosis of aSAH between January 2013 and December 2021. Diagnostic procedures, neurological examinations, and laboratory tests were performed to assess the patients' condition. The Student's t-test compared age variables, while the chi-square test compared categorical variables between the non-vasospasm (NVS) and vasospasm (VS) groups. Receiver operating characteristic (ROC) curve analyses were used to evaluate the diagnostic accuracy of laboratory parameters, calculating the area under the ROC curve, cut-off values, sensitivity, and specificity. A significance level of p<0.05 was considered statistically significant. Results : The study included 96 patients divided into two groups : NVS and VS. Various laboratory parameters, such as NLR, SII, and dNLR, were measured daily for 15 days, and statistically significant differences were found in NLR on 7 days, with specific cut-off values identified for each day. SII showed a significant difference on day 9, while dNLR had significant differences on days 2, 4, and 9. Graphs depicting the values of these markers for each day are provided. Conclusion : Neuroinflammatory biomarkers, when used alongside radiology and scoring scales, can aid in predicting prognosis, determining severity and treatment decisions for aSAH, and further studies with larger patient groups are needed to gain more insights.

• 보건행정학회지
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• 제33권4호
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• pp.450-456
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• 2023

Background: This study aims to develop a "Predictive Model for the Possibility of Collection Delinquent Health Insurance Contributions" for the National Health Insurance Service to enhance administrative efficiency in protecting and collecting contributions from livelihood-type defaulters. Additionally, it aims to establish customized collection management strategies based on individuals' ability to pay health insurance contributions. Methods: Firstly, to develop the "Predictive Model for the Possibility of Collection Delinquent Health Insurance Contributions," a series of processes including (1) analysis of defaulter characteristics, (2) model estimation and performance evaluation, and (3) model derivation will be conducted. Secondly, using the predictions from the model, individuals will be categorized into four types based on their payment ability and livelihood status, and collection strategies will be provided for each type. Results: Firstly, the regression equation of the prediction model is as follows: phat = exp (0.4729 + 0.0392 × gender + 0.00894 × age + 0.000563 × total income - 0.2849 × low-income type enrollee - 0.2271 × delinquency frequency + 0.9714 × delinquency action + 0.0851 × reduction) / [1 + exp (0.4729 + 0.0392 × gender + 0.00894 × age + 0.000563 × total income - 0.2849 × low-income type enrollee - 0.2271 × delinquency frequency + 0.9714 × delinquency action + 0.0851 × reduction)]. The prediction performance is an accuracy of 86.0%, sensitivity of 87.0%, and specificity of 84.8%. Secondly, individuals were categorized into four types based on livelihood status and payment ability. Particularly, the "support needed group," which comprises those with low payment ability and low-income type enrollee, suggests enhancing contribution relief and support policies. On the other hand, the "high-risk group," which comprises those without livelihood type and low payment ability, suggests implementing stricter default handling to improve collection rates. Conclusion: Upon examining the regression equation of the prediction model, it is evident that individuals with lower income levels and a history of past defaults have a lower probability of payment. This implies that defaults occur among those without the ability to bear the burden of health insurance contributions, leading to long-term defaults. Social insurance operates on the principles of mandatory participation and burden based on the ability to pay. Therefore, it is necessary to develop policies that consider individuals' ability to pay, such as transitioning livelihood-type defaulters to medical assistance or reducing insurance contribution burdens.

• Korean Journal of Radiology
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• 제22권6호
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• pp.959-969
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• 2021

Objective: This study aimed to evaluate the role of preoperative two-dimensional (2D) shear wave elastography (SWE) in assessing the stages of liver fibrosis in patients with suspected biliary atresia (BA) and compared its diagnostic performance with those of serum fibrosis biomarkers. Materials and Methods: This study was approved by the ethical committee, and written informed parental consent was obtained. Two hundred and sixteen patients were prospectively enrolled between January 2012 and October 2018. The 2D SWE measurements of 69 patients have been previously reported. 2D SWE measurements, serum fibrosis biomarkers, including fibrotic markers and biochemical test results, and liver histology parameters were obtained. 2D SWE values, serum biomarkers including, aspartate aminotransferase to platelet ratio index (APRi), and other serum fibrotic markers were correlated with the stages of liver fibrosis by METAVIR. Receiver operating characteristic (ROC) curves and area under the ROC (AUROC) curve analyses were used. Results: The correlation coefficient of 2D SWE value in correlation with the stages of liver fibrosis was 0.789 (p < 0.001). The cut-off values of 2D SWE were calculated as 9.1 kPa for F1, 11.6 kPa for F2, 13.0 kPa for F3, and 15.7 kPa for F4. The AUROCs of 2D SWE in the determination of the stages of liver fibrosis ranged from 0.869 to 0.941. The sensitivity and negative predictive value of 2D SWE in the diagnosis of ≥ F3 was 93.4% and 96.0%, respectively. The diagnostic performance of 2D SWE was superior to that of APRi and other serum fibrotic markers in predicting severe fibrosis and cirrhosis (all p < 0.005) and other serum biomarkers. Multivariate analysis showed that the 2D SWE value was the only statistically significant parameter for predicting liver fibrosis. Conclusion: 2D SWE is a more effective non-invasive tool for predicting the stage of liver fibrosis in patients with suspected BA, compared with serum fibrosis biomarkers.

• Korean Journal of Radiology
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• 제22권11호
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• pp.1764-1776
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• 2021

Objective: This study aimed to validate a deep learning-based fully automatic calcium scoring (coronary artery calcium [CAC]_auto) system using previously published cardiac computed tomography (CT) cohort data with the manually segmented coronary calcium scoring (CAC_hand) system as the reference standard. Materials and Methods: We developed the CAC_auto system using 100 co-registered, non-enhanced and contrast-enhanced CT scans. For the validation of the CAC_auto system, three previously published CT cohorts (n = 2985) were chosen to represent different clinical scenarios (i.e., 2647 asymptomatic, 220 symptomatic, 118 valve disease) and four CT models. The performance of the CAC_auto system in detecting coronary calcium was determined. The reliability of the system in measuring the Agatston score as compared with CAC_hand was also evaluated per vessel and per patient using intraclass correlation coefficients (ICCs) and Bland-Altman analysis. The agreement between CAC_auto and CAC_hand based on the cardiovascular risk stratification categories (Agatston score: 0, 1-10, 11-100, 101-400, > 400) was evaluated. Results: In 2985 patients, 6218 coronary calcium lesions were identified using CAC_hand. The per-lesion sensitivity and false-positive rate of the CAC_auto system in detecting coronary calcium were 93.3% (5800 of 6218) and 0.11 false-positive lesions per patient, respectively. The CAC_auto system, in measuring the Agatston score, yielded ICCs of 0.99 for all the vessels (left main 0.91, left anterior descending 0.99, left circumflex 0.96, right coronary 0.99). The limits of agreement between CAC_auto and CAC_hand were 1.6 ± 52.2. The linearly weighted kappa value for the Agatston score categorization was 0.94. The main causes of false-positive results were image noise (29.1%, 97/333 lesions), aortic wall calcification (25.5%, 85/333 lesions), and pericardial calcification (24.3%, 81/333 lesions). Conclusion: The atlas-based CAC_auto empowered by deep learning provided accurate calcium score measurement as compared with manual method and risk category classification, which could potentially streamline CAC imaging workflows.

• Korean Journal of Radiology
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• 제22권5호
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• pp.829-839
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• 2021

Objective: To compare the diagnostic performance of contrast-enhanced radial T1-weighted gradient-echo 3-tesla (3T) magnetic resonance imaging (MRI) and computed tomography (CT) for the detection of visceral pleural surface invasion (VPSI). Visceral pleural invasion by non-small-cell lung cancer (NSCLC) can be classified into two types: PL1 (without VPSI), invasion of the elastic layer of the visceral pleura without reaching the visceral pleural surface, and PL2 (with VPSI), full invasion of the visceral pleura. Materials and Methods: Thirty-three patients with pathologically confirmed VPSI by NSCLC were retrospectively reviewed. Multidetector CT and contrast-enhanced 3T MRI with a free-breathing radial three-dimensional fat-suppressed volumetric interpolated breath-hold examination (VIBE) pulse sequence were compared in terms of the length of contact, angle of mass margin, and arch distance-to-maximum tumor diameter ratio. Supplemental evaluation of the tumor-pleura interface (smooth versus irregular) could only be performed with MRI (not discernible on CT). Results: At the tumor-pleura interface, radial VIBE MRI revealed a smooth margin in 20 of 21 patients without VPSI and an irregular margin in 10 of 12 patients with VPSI, yielding an accuracy, sensitivity, specificity, positive predictive value, negative predictive value, and F-score for VPSI detection of 91%, 83%, 95%, 91%, 91%, and 87%, respectively. The McNemar test and receiver operating characteristics curve analysis revealed no significant differences between the diagnostic accuracies of CT and MRI for evaluating the contact length, angle of mass margin, or arch distance-to-maximum tumor diameter ratio as predictors of VPSI. Conclusion: The diagnostic performance of contrast-enhanced radial T1-weighted gradient-echo 3T MRI and CT were equal in terms of the contact length, angle of mass margin, and arch distance-to-maximum tumor diameter ratio. The advantage of MRI is its clear depiction of the tumor-pleura interface margin, facilitating VPSI detection.

• 한국결정성장학회지
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• 제34권2호
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• pp.73-77
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• 2024

스피넬계 산화물 중 (Ni_x, Mn_y, Co_3-x-y)O₄(NMC)는 부온도계수 온도센서 소재로 활용되어 전기자동차용 배터리 관리 시스템을 포함한 다양한 산업적 응용이 가능하다. 일반적으로 NMC는 Ni, Mn, Co 화합물 분말을 이용하여 고상반응법을 통해 제조되는데 이 중 소결 공정을 통한 치밀화 과정이 온도센서 소재의 온도에 따른 전기적 특성을 결정하는 중요한 인자로 알려져 있다. 본 연구에서는 NMC 펠렛을 고상반응법을 통해 제조하고 결정구조 및 미세구조를 관찰하였다. 또한, 소결 과정 동안의 치밀화 거동 분석을 위한 활성화 에너지를 도출하였다. 분석 결과에 따르면, NMC 펠렛의 상온 저항은 10.03 Kohm이었으며 센서민 감도인 B-value는 3601.8 K로 다양한 산업군에 온도센서로 적용이 가능할 것으로 기대된다. 또한, 치밀화를 위한 활성화 에너지는 273.3 ± 0.4kJ/mol로 도출되었으며, 이는 소결 과정의 열역학적 특성을 이해하는데 중요한 정보를 제공할 것으로 기대된다.

• 한국음향학회지
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• 제29권4호
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• pp.223-228
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• 2010

남해 진해만에서 주파수 17-40 KHz를 이용하여 수평 입사각 $82^{\circ}$에 대한 고주파 해저면 반사손실을 측정하였다. 측정된 해저면 반사손실은 주파수에 따라서 주기적인 변동성을 보였으며 이러한 특성은 이층 구조의 해저면을 가정한 레일리 반사 계수 모델을 사용하여 예측한 결과와 비교 분석되었다. 이층 구조 반사 계수 모델은 수층, 상부퇴적층, 그리고 하부 퇴적층으로 구분되며 총 9개의 입력 인자 (수층의 음속과 밀도, 상부 퇴적층의 음속, 밀도, 감쇠계수, 두께, 하부 퇴적층의 음속, 밀도, 감쇠계수)가 사용된다. 하부 퇴적층의 지음향 인자들은 코어로부터 측정된 평균 입도 크기로부터 유추되었으며 상부층의 음속, 밀도, 감쇠계수와 두께는 몬테카를로 방법을 이용하여 역추정되었다. 지음향 인자들의 민감도 조사로부터 다층구조 해저면에서 나타나는 반사계수의 종속성은 상부 퇴적층의 두께에 가장 민감하게 반응함을 확인하였다.