• Archives of Plastic Surgery
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• v.45 no.6
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• pp.525-533
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• 2018

Background Patients with ectropion experience devastating symptoms. Therefore, the prevention and management of this condition are of utmost importance. To treat ectropion, it is important to perform medial and lateral canthopexy in an effective way. In this study, we propose a comprehensive algorithm for the prevention and management of ectropion based on a new classification of ectropion according to its signs and causes. Methods Canthopexy was performed in 68 cases according to the proposed algorithm, which starts with a categorization of the types of ectropion and ends with the recommended operative technique. To assess the results, we reviewed clinical preoperative and postoperative photographs. To evaluate improvements in patients' symptoms, we conducted a survey with responses scored on a Likert scale. Results None of the patients had scleral show postoperatively. The average patient satisfaction score was satisfied or higher for all symptoms, and the most improved symptom was aesthetic appearance. No major complications were reported. Conclusions For the comprehensive management of ectropion, it is crucial to consider both treatment and prevention. Through the simple surgical algorithm proposed in this study, both medically acceptable results and high levels of patient satisfaction were achieved without significant postoperative complications. We recommend using this algorithm for the comprehensive management of ectropion.

• Journal of The Korea Institute of Healthcare Architecture
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• v.25 no.4
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• pp.71-79
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• 2019

Purpose: The manoeuvring space at doors must be secured for users of walking aids, wheelchair users, stroller users, luggage carriers, etc., so clear criteria must be established. The korean standards for the manoeuvring space at doors need to be improved to present clear criteria depending on the type of entrance and the direction of opening and closing. Method: Korean standard, International Standard(ISO 21542, 2011), German Standard(DIN 18040-1, 2010), Austrian Standard(OENORM B 1600, 2017) and Swiss Standard(Norm SIA 500, 2009) were investigated and analyzed. A comprehensive improvement of the criteria for the manoeuvring space at doors is proposed. Results: The manoeuvring space at doors, which is essential for the disabled to use the door, shall be installed with a comprehensive consideration of the width of doors, the Circulation space, the direction of access, and the method of opening and closing of the door. Korean standards, such as the width of doors, the Circulation space, and the manoeuvring space at doors, are different from international and international standards, which require improvement of standards. The criteria for the manoeuvring space at doors shall be clearly improved so as not to be misinterpreted during the installation of doors and the BF-certification. Implication: The criteria for the installation of doors shall be presented as a comprehensive alternative through continued study of details. In addition, improvements in standards that reflect changes in international standards should be made.

• The Journal of Internal Korean Medicine
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• v.26 no.2
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• pp.489-497
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• 2005

Conversion disorder lacks temperamental grounds and is a type of somatoform disorder that includes alteration or loss of physical functions implicated in physical deficit suggestive psychological conflict. There is high incidence of return of conversion disorder and difficulty in producing exact approaches of cure and apparent effects of remedy with symptomatic treatment alone because of its complex clinical symptoms. The approach of Oriental Medicine in treatment of conversion disorder is to apprehend relative symptoms from the syndrome combined with several annexational symptoms centering around sequential symptoms. Thereupon, author made a Ganyanghwapung comprehensive diagnosis was conducted using Oriental Medicine measures by differential diagnostic methods in psychosomatic patients whose cases are diagnosed as conversion disorder. Then, Cheonmagudeungeum Gagambang was prescribed for them and it brought on satisfactory effects from the first or second treatment. There have been many cases reporting the application of Oriental Medicine treatment to conversion disorder to date and outcomes have also been favorable. Results of this study likewise suggest that this Oriental Medicine treatment for conversion disorder is effective.

• Journal of the Korean Society of Environmental Restoration Technology
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• v.11 no.2
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• pp.19-27
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• 2008

Ecosystem fragmentation by human intervention breaks down the biosphere habitat. Wildlife corridors connect biosphere habitats to maintain ecosystem continuity and provide animals with connecting routes. In Korea, there are 17 existing wildlife corridors on highways (as of December, 2006. Korea Freeway Corporation). There are 24 highway routes, 2,923km of highway(as of December, 2004. Korea Freeway Corporation). However, wildlife corridors are not enough and roadkill increases every year, so we need to construct additional wildlife corridors on highways. This study proposes a new approach to the location of wildlife corridors on highways, using a comprehensive analysis method for main location elements, and applies it to a study area. First, it examines traditional approaches to location of wildlife corridors through literature review and field study to analyze the present conditions of existing wildlife corridors. Then, it developes a comprehensive analysis method for the location of wildlife corridors. (1) Field investigation : investigate planting, water bodies and so on. (2) Roadkill analysis : roadkill counts, locations, time, and so on. (3) Monitoring : animal traces were surveyed and sensor cameras were installed to determine target species. (4) Simulation for animal movement : most probable wildlife dispersal was simulated by a computer software. (5) A new comprehensive approach overlays all analysis on a map and determines the location of proposed new wildlife corridors. In conclusion, it proposes an over-bridge type wildlife corridor in Dalnaenae Hill (413-414km from Busan) and an underpass type near the entrance to Gwanhyun temple way (415-416km from Busan). This new approach based on roadkill data, computer simulation of wildlife dispersal, monitoring of animals, and site analysis, may contribute to better location of wildlife corridors on highways.

• Journal of the Korean Regional Science Association
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• v.32 no.1
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• pp.51-66
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• 2016

This study examines a degree of city decline and confirms a existence of inertia in the city decline process, and shows how to set the policy directions of cities as its situation. With understanding these things, we are carefully able to anticipate the future direction of cities'growth or decline. This study analyzes cross-tabulations with the comprehensive decline index, and the demographic-social index, industrial-economical index, physical-environmental index to compose the comprehensive decline index in during 2005~2010. We can confirm the existence of complexity and inertia of city decline. Some cities are likely to have adhesion of decline, and these cities should convert planning tools and concept of past growth era to new one to be used in changed environment in new era. Redefining a perspective for city decline, proper managing a change of physical environment from city decline, and flexible thinking would be requested as countermeasures with adjusting spatial policy framework.

• Proceedings of KOSOMES biannual meeting
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• 2006.11a
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• pp.169-174
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• 2006

A distinctive difference of hydrocarbon in crude oil and petroleum products exists. Depending on the origin where it comes from, crude oil shows its own unique pattern which is different from petroleum products containing characteristics according to their operating process and production period. A process of mixing behavior in a tank containing residual amounts of oil draws its own pattern when analysis is conducted. The analytical process described above is named oil fingerprint method. This study investigates an effectiveness of the method for comparing data sets produced by conventional gas chromatography with mass spectrometer (GC/MS) and comprehensive two-dimensional gas chromatography (GC X GC) which is known as powerful new technology for chemical analysis.

• Asian Pacific Journal of Cancer Prevention
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• v.15 no.12
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• pp.4815-4821
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• 2014

Background: This study aimed to examine the relationship between respiratory health of Malaysian adolescents with secondhand smoke (SHS) exposure and smoke-free legislation (SFL) implementation. Materials and Methods: A total of 898 students from 21 schools across comprehensive- and partial-SFL states were recruited. SHS exposures and respiratory symptoms were assessed via questionnaire. Prenatal and postnatal SHS exposure information was obtained from parental-completed questionnaire. Results: The prevalence of respiratory symptoms was: 11.9% ever wheeze, 5.6% current wheeze, 22.3% exercise-induced wheeze, 12.4% nocturnal cough, and 13.1% self-reported asthma. SHS exposure was most frequently reported in restaurants. Hierarchical logistic regression indicates living in a comprehensive-SFL state was not associated with a lower risk of reporting asthma symptoms. SHS exposure in public transport was linked to increased risk for wheeze (Adjusted Odds Ratio (AOR) 16.6; 95%confidence interval (CI), 2.69-101.7) and current wheezing (AOR 24.6; 95%CI, 3.53-171.8). Conclusions: Adolescents continue to be exposed to SHS in a range of public venues in both comprehensive- and partial-SFL states. Respiratory symptoms are common among those reporting SHS exposure on public transportation. Non-compliance with SFL appears to be frequent in many venues across Malaysia and enforcement should be given priority in order to reduce exposure.

• Asian Pacific Journal of Cancer Prevention
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• v.14 no.12
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• pp.7221-7227
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• 2013

Background: Fascin, an actin-bundling protein forming actin bundles including filopodia and stress fibers, is overexpressed in multiple human epithelial cancers including esophageal squamous cell carcinoma (ESCC). Previously we conducted a microarray experiment to analyze fascin knockdown by RNAi in ESCC. Method: In this study, the differentially expressed genes from mRNA expression profilomg of fascin knockdown were analyzed by multiple bioinformatics methods for a comprehensive understanding of the role of fascin. Results: Gene Ontology enrichment found terms associated with cytoskeleton organization, including cell adhesion, actin filament binding and actin cytoskeleton, which might be related to fascin function. Except GO categories, the differentially expressed genes were annotated by 45 functional categories from the Functional Annotation Chart of DAVID. Subpathway analysis showed thirty-nine pathways were disturbed by the differentially expressed genes, providing more detailed information than traditional pathway enrichment analysis. Two subpathways derivated from regulation of the actin cytoskeleton were shown. Promoter analysis results indicated distinguishing sequence patterns and transcription factors in response to the co-expression of downregulated or upregulated differentially expressed genes. MNB1A, c-ETS, GATA2 and Prrx2 potentially regulate the transcription of the downregulated gene set, while Arnt-Ahr, ZNF42, Ubx and TCF11-MafG might co-regulate the upregulated genes. Conclusions: This multiple bioinformatic analysis helps provide a comprehensive understanding of the roles of fascin after its knockdown in ESCC.

• Asian Pacific Journal of Cancer Prevention
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• v.14 no.12
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• pp.7359-7366
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• 2013

Objective: To assess the effects of perioperative comprehensive supportive care interventions on outcome of Chinese esophageal cancer patients in a prospective study. Methods: 60 patients with primary esophageal carcinoma were randomized into an intervention group (IG, n=31) and a control group (CG, n=29). The Chinese version of symptom checklist-90 (SCL-90) was adopted to assess their psychological status. The interventions, including health education, psychological support, stress management, coping strategies and behavior training, were carried out in 3 phases (preoperative, postoperative I and postoperative II), and psychological effects were thereafter evaluated accordingly before surgery, and 1 week, 4 weeks and 24 weeks post-surgery. Medical costs were estimated at discharge. Survival of patients was estimated each year post-surgery. General health status and satisfaction-with-hospital were surveyed by a follow-up questionnaire 4 years post-surgery. Results: All the subjects demonstrated higher scores in the preoperative phase than the normal range of Chinese population concerning 7 psychological domains including somatization, obsessive-compulsive, depression, anxiety, hostility, phobic anxiety and paranoid ideation. Although no significant difference was observed between the two groups at admission, the scores of IG, which tended to decrease at a faster rate, were generally lower than those of CG at weeks 1, 4 and 24 post-surgery. The length of hospital stay and medical costs of IG were significantly less than those of CG and satisfaction-with-hospital was better. However, there was no significant difference in 4-year survival or health status between two groups. Conclusions: Appropriate perioperative comprehensive supportive care interventions help to improve the psychological state of Chinese patients with esophageal carcinoma, to reduce health care costs and to promote satisfaction of patients and their families with hospital.

• The Journal of the Korea Contents Association
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• v.16 no.11
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• pp.731-741
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• 2016

It has become five years since comprehensive programming licenses were rendered in Korea. Allocating a lion's share of their air time on live news and news commentaries, those channels have established a unique live production system or a broadcasting system which is heavily live production-oriented, to be exact. The live commentaries are filled with a mixture of news flashes, conventional news commentaries, and debates. Those channels get their news and commentary programs made through subsidiaries' where production directors and studio staffs belong. They, being very sensitive about viewer rating, tend to be aggressive about reruns of highly rated programs and they do not even seem to care when the regular programs actually went out. This kind of reckless strategy to pursue a higher viewer rating could limit not only new programming attempts but also exposure diversity.