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Strategy for Countermeasures the NK's Nuclear Issue Using Offset Strategy and the 4th Industrial Revolution Technologies (상쇄전략과 4차 산업혁명 기술혁신을 적용한 북핵 대응방안)

  • Park, Jae-wan
    • Korea and Global Affairs
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    • v.3 no.1
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    • pp.77-106
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    • 2019
  • The purpose of this paper is to propose measures to respond to NK's nuclear threat by applying the concept of offset strategy in the US and the fourth industrial revolution technology innovation. Through this study, the concept, technology, and organization were examined to find measures to counter the NK's nuclear threat. The concept was to review the US offset strategy and consider the strategy of paralyzing the enemy's center as an operational concept. And the technologies that can support the 4th Industrial revolution and the 3rd US offset strategy. The organization analyzed the implications for the reform of the National Defense Reform 2.0 and the reorganization of the acquisition of the US DoD. Through the US offset strategy review, it is necessary to reconcile the strategic concepts of Korea and the US, and the interoperability of technologies and the cooperation fields of the ROK-US alliance. In addition, it is necessary to strengthen the capability of responding to NK's nuclear threat in connection with the 4th Industrial Revolution and the National Defense Reform 2.0 promotion. It is necessary to develop the concept of operational performance applying the new paradigm for the NK's nuclear issue and to apply advanced science and technology. And that it is necessary to organize effectively in conjunction with the National Defense Reform 2.0.

Detection of Contralateral Breast Cancer Using Diffusion-Weighted Magnetic Resonance Imaging in Women with Newly Diagnosed Breast Cancer: Comparison with Combined Mammography and Whole-Breast Ultrasound

  • Su Min Ha;Jung Min Chang;Su Hyun Lee;Eun Sil Kim;Soo-Yeon Kim;Yeon Soo Kim;Nariya Cho;Woo Kyung Moon
    • Korean Journal of Radiology
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    • v.22 no.6
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    • pp.867-879
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    • 2021
  • Objective: To compare the screening performance of diffusion-weighted (DW) MRI and combined mammography and ultrasound (US) in detecting clinically occult contralateral breast cancer in women with newly diagnosed breast cancer. Materials and Methods: Between January 2017 and July 2018, 1148 women (mean age ± standard deviation, 53.2 ± 10.8 years) with unilateral breast cancer and no clinical abnormalities in the contralateral breast underwent 3T MRI, digital mammography, and radiologist-performed whole-breast US. In this retrospective study, three radiologists independently and blindly reviewed all DW MR images (b = 1000 s/mm2 and apparent diffusion coefficient map) of the contralateral breast and assigned a Breast Imaging Reporting and Data System category. For combined mammography and US evaluation, prospectively assessed results were used. Using histopathology or 1-year follow-up as the reference standard, cancer detection rate and the patient percentage with cancers detected among all women recommended for tissue diagnosis (positive predictive value; PPV2) were compared. Results: Of the 30 cases of clinically occult contralateral cancers (13 invasive and 17 ductal carcinoma in situ [DCIS]), DW MRI detected 23 (76.7%) cases (11 invasive and 12 DCIS), whereas combined mammography and US detected 12 (40.0%, five invasive and seven DCIS) cases. All cancers detected by combined mammography and US, except two DCIS cases, were detected by DW MRI. The cancer detection rate of DW MRI (2.0%; 95% confidence interval [CI]: 1.3%, 3.0%) was higher than that of combined mammography and US (1.0%; 95% CI: 0.5%, 1.8%; p = 0.009). DW MRI showed higher PPV2 (42.1%; 95% CI: 26.3%, 59.2%) than combined mammography and US (18.5%; 95% CI: 9.9%, 30.0%; p = 0.001). Conclusion: In women with newly diagnosed breast cancer, DW MRI detected significantly more contralateral breast cancers with fewer biopsy recommendations than combined mammography and US.

A Comparison of Consumption Structures of Korean Japanese and US Households for Setting Consumption Standards of Korean Households (한.일.미가계의 소비구조 비교를 통한 한국가계의 소비표준 설정 방향)

  • 성영애
    • Journal of Families and Better Life
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    • v.16 no.3
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    • pp.155-168
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    • 1998
  • This study analyzed consumption structures of Korean households of 1991, 1993 and 1995 and compared them to those of Japan and US for setting consumption standards. The study also investigated if consumption structures of Korean and Japanese households are different according to their incomes and age of heads. It was found that the shares of the expenditures for food away home personal transportaton and education to total expenditures had been dramatically increased. It was also found that those shares were greater than those o Japanese and US households especially for younger households and households with highest income level.

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Neuroimaging of Germinal Matrix and Intraventricular Hemorrhage in Premature Infants

  • Sun Kyoung You
    • Journal of Korean Neurosurgical Society
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    • v.66 no.3
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    • pp.239-246
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    • 2023
  • Germinal matrix and intraventricular hemorrhage (GM-IVH) are the major causes of intracranial hemorrhage in premature infants. Cranial ultrasound (cUS) is the imaging modality of choice for diagnosing and classifying GM-IVH. Magnetic resonance imaging (MRI), usually performed at term-equivalent age, is more sensitive than cUS in identifying hemorrhage in the brain. Post-hemorrhagic ventricular dilatation is a significant complication of GM-IVH and correlates with adverse neurodevelopmental outcomes. In this review, we discuss the various imaging findings of GM-IVH in premature infants, focusing on the role of cUS and MRI.

Factors that influence the oral health status between Korean adults living in Korea and the US (재미 한국인과 우리나라 성인의 구강건강상태에 영향을 미치는 요인에 관한 연구)

  • Kim, Youn-Hwa
    • Journal of Korean society of Dental Hygiene
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    • v.13 no.4
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    • pp.597-604
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    • 2013
  • Objectives : The purpose of the study is to compare and investigate oral health status between Korean adults living in Korea and the US. Methods : Subjects were 1,785 persons including 399 Korean adults living in Virginia, US and those from the second year 2011 of the 5th National Health and Nutrition Survey. Darta were analyzed using SPSS 12.0 for frequency analysis, t-test, one-way ANOVA, and post-hoc Tukey. Results : 1. In general characteristics, adult living in Korea revealed higher DT and DMFT than those in the US. 2. In oral health status, adult living in Korea revealed higher DT and DMFT than those in the US. 3. The variables affecting oral health status in Korean adults in the US were age, private health insurance and number of tooth brushing. 4. The variables affecting oral health status in adults in Korea included gender, age, private health insurance, smoking, drinking, use of secondary oral hygienic products and number of tooth brushing. Conclusions : It is necessary to emphasize the importance of oral health care and to establish the oral health education in dental care agencies.

METHODS TO IMPROVE UTILIZATION OF RICE STRAW II. EFFECTS OF DIFFERENT LEVELS OF FEEDING ON INTAKE AND DIGESTIBILITY OF UNTREATED AND UREA AMMONIA TREATED RICE STRAW

  • Badurdeen, A.L.;Ibrahim, M.N.M.;Schiere, J.B.
    • Asian-Australasian Journal of Animal Sciences
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    • v.7 no.2
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    • pp.165-169
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    • 1994
  • Forty cross bred ($168\;{\pm}\;28\;kg$) bull calves were offered either untreated (US) or urea ammonia treated (TS) rice straw at five levels of feeding, namely; 60, 80, 100, 120 140% of ad libitum. Ad libitum level for each animal was estimated over a period of one month, which was followed by a preliminary period of 21 days and a collection period of 15 days. The maximum organic matter intake (OMI-kg/100 kg BW) were 2.08 and 3.35 for US and TS, respectively and urea treatment increased the maximum OMI by 61% than for US. In order to reach maximum intake the amount feed refusal should be 25% for US, but with TS maximum intake was not reached even when the amount of feed refused was 39% of that consumed. The OMD of US significantly decreased with increase in OMI, whereas with TS the decrease was not significant. The inability of animals to select between stems and leaves particularly in TS might be one of the reasons for its constant digestibility. Considering the substantial increases in intake and the negative effect on digestibility of US, further trials are warranted, as well as studies to determine the practical implications.

Content Analysis of On-Line Consumer Information for Elderly - Comparison between the US and Korea Apparel E-tailing Sites - (노년층 의류 소비자를 위한 온라인 소비자 정보에 대한 분석 - 한국과 미국의 웹사이트의 비교연구 -)

  • Hong, Kyung-Hee;Choo, Ho-Jung
    • The Research Journal of the Costume Culture
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    • v.16 no.3
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    • pp.559-573
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    • 2008
  • Internet apparel businesses are required to provide various kinds of consumer information which includes both product information and customer service information. "New Age Elderly" who become an aged man in 21th century are familiar with internet and other high technological tools from their life time experience with technological development and ready to enjoy the convenience the technology offers. As a preliminary step to develop internet consumer information model for elderly consumers, this study examines the US and Korea apparel e-tailing sites targeting elderly consumers. Ten Korean sites and nine US sites were selected and compared for their provision of consumer information in terms of contents, ease to access, and the completeness of the information. Results of data analysis indicate that elderly market in Korea is not yet clearly defined compared to the US. In Korea, elderly consumer market is considered as a part of middle-aged market, and there was no unique target marketing efforts observed. Korean sites are better than the US's sites in terms of shopping information, while the US sites offer detailed information about the company, and customer service information. In both countries, fashion related information is lacking and failing to satisfy fashion conscious elderly consumers. Managerial implications were discussed.

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Incidence of High Grade Squamous Intraepithelial Lesions in Patients with Atypical Squamous Cells of Undetermined Significance Papanicolaou Smears at Naresuan University Hospital

  • Heng, Suttichai;Sirichaisutdhikorn, Daranee
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.5
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    • pp.2411-2414
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    • 2016
  • Purpose: To determine the incidence of high-grade cervical intraepithelial neoplasia (CIN2-3) among patients with atypical squamous cells of undetermined significance (ASC-US) Papanicolaou (Pap) smears. Materials and Methods: One-hundred and eighty-seven patients with ASC-US Pap smears who underwent colposcopy with histological study were enrolled between September 2007 and August 2015. Patient factors (including age, parity, current pills used, HIV status, age at first sexual intercourse and number of sexual partners) were obtained. Logistic regression analysis was used to evaluate clinical factors associated with CIN2-3. Results: CIN was diagnosed in 92 of 187 women (49.2%). Sixty-one of these (32.6%) had CIN1 and 31 (16.6%) had CIN2-3. There was no woman who had invasive cancer. There was no correlation of high-grade CIN with factors in this study including age, parity, current pills used, HIV status, age at first sexual intercourse and number of sexual partners. Conclusions: Data from this study showed no invasive cervical cancer was found in patients with ASC-US. There was no patient factor associated with high grade intraepithelial neoplasia in patients with ASC-US Pap smears.

The Reliability of Thickness Measurement of the Deep Fiber of the Lumbar Multifidus Using Ultrasonography

  • Jung, Doh-Heon;Kim, Su-Jung;Yi, Chung-Hwi;Cynn, Heon-Seock;Choi, Houng-Sik
    • Physical Therapy Korea
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    • v.17 no.4
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    • pp.49-54
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    • 2010
  • The reliability of the thickness measurement of the lumbar multifidus (LMD using real-time ultrasonography (US) was determined in only the superficial fiber of the lumbar multifidus (SM). However, previous studies have not examined the reliability of the deep fiber of the LM (DM). The purpose of this study was to determine the intrarater and the interrater reliability of the thickness measurements of DM using US. Eleven heathy males participated in the study. The thickness of the DM was measured with an US in the prone position. Reliability was examined using intraclass correlation coefficients (ICC), standard error of the measurement (SEM), and the Bland and Altman plot. ICC(3,1) was used to calculate the interrater reliability of the thickness measurement of DM using the values from both the first and second test sessions. Additionally, ICC(3,1) was used to calculate the intrarater reliability of the measurements over two days using the measurements obtained in test session 1 and lest session 2. The results of this study were as follows: 1) the ICC(3,1) value for interrater reliability was .94 in the first test session, and .93 in the second test session. 2) the ICC(3,1) values for intrarater reliability of the measurements over two days was .90 in both the first examiner and the second examiner. The interrater reliability and interrater reliability of the DM measurements, obtained via the US protocol used in this research was excellent. Therefore, we conclude that the thickness measurement of the DM obtaioned from the US protocol used in this research would be useful for clinician assessment of the thickness of the DM.

Analysis of Uropathogens of Febrile Urinary Tract Infection in Infant and Relationship with Vesicoureteral Reflux

  • Kim, Kyung Hwan;Seo, Seung Hee;Lee, Sang Don;Chung, Jae Min
    • Urogenital Tract Infection
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    • v.13 no.3
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    • pp.58-65
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    • 2018
  • Purpose: This study aimed to investigate the relationship between uropathogens of infants with febrile urinary tract infection (UTI) and vesicoureteral reflux (VUR). Materials and Methods: We analyzed 308 infants hospitalized for febrile UTI between January 2010 and December 2015, and assessed the voiding cystourethrography (VCUG). The medical records, including clinical symptoms, laboratory findings, urinalysis, urine culture tests, ultrasound (US), dimercaptosuccinic acid scan, and VCUG, were retrospectively obtained. The incidences of VUR and high-grade VURs (III, IV, and V) were analyzed in 4 groups categorized by uropathogens and renal US findings. Results: The mean age of 308 infants was $3.29{\pm}2.18months$. The male-to-female ratio was 3.46:1. In urine culture tests, 267 infants (86.69%) showed single bacterial uropathogen; Escherichia coli in 241 infants (78.25%) and non-E. coli uropathogens in 26 infants (8.44%). Multiple distinctive microorganisms were identified as causative uropathogens in 41 infants (13.31%). Abnormal findings of US and VCUG were identified in 216 and 64 patients, respectively. In 308 infants, the incidences of VUR and high-grade VUR were not different among the 4 groups. In 239 male infants, the incidences of high-grade VUR were higher in patients with non-E. coli single or multiple uropathogen and with abnormal US findings (p=0.042). Conclusions: In male infants with non-E. coli uropathogen or multiple uropathogens and with abnormal US findings at febrile UTI, there was an increased chance of finding high-grade VURs on subsequent VCUG tests.