• Korean Journal of Radiology
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• v.24 no.5
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• pp.424-433
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• 2023

Objective: To assess the safety and efficacy of balloon dilatation under dual guidance using fluoroscopy and bronchoscopy for treating bronchial stenosis following lung transplantation (LT), and to elucidate the factors associated with patency after the procedure. Materials and Methods: From September, 2012, to April, 2021, 50 patients (mean age ± standard deviation, 54.4 ± 12.2 years) with bronchial stenosis among 361 recipients of LT were retrospectively analyzed. The safety of balloon dilatation was assessed by evaluating procedure-related complications. Efficacy was assessed by evaluating the technical success, primary patency, and secondary patency. Primary and secondary cumulative patency rates were calculated using the Kaplan-Meier method. The factors associated with patency after the procedure were evaluated using multivariable Cox hazard proportional regression analysis. Results: In total, 65 bronchi were treated with balloon dilatation in 50 patients. The total number of treatment sessions was 277 and the technical success rate was 99.3% (275/277 sessions). No major procedure-related complications were noted. During the mean follow-up period of 34.6 ± 30.8 months, primary patency was achieved in 12 of 65 bronchi (18.5%). However, the patency rate improved to 76.9% (50 of 65 bronchi) after repeated balloon dilatation (secondary patency). The 6-month, 1-year, 3-year, and 5-year secondary patency rates were 95.4%, 90.8%, 83.1%, and 78.5%, respectively. The presence of clinical symptoms was a significant prognostic factor associated with reduced primary patency (adjusted hazard ratio [HR], 0.465; 95% confidence interval [CI], 0.220-0.987). Early-stage treatment ≤ 6 months (adjusted HR, 3.588; 95% CI, 1.093-11.780) and prolonged balloon dilatation > 5 min (adjusted HR, 3.285; 95% CI, 1.018-10.598) were associated with significantly higher secondary patency. Conclusion: Repeated balloon dilatation was determined to be safe and effective for treating bronchial stenosis following LT. Early-stage treatment and prolonged balloon dilatation could significantly promote long-term patency.

• Korean Journal of Radiology
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• v.24 no.8
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• pp.729-738
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• 2023

Objective: When multiple surveillance mammograms are performed within an annual interval, the current guidance for oneyear follow-up to determine breast cancer status results in shared follow-up periods in which a single breast cancer diagnosis can be attributed to multiple preceding examinations, posing a challenge for standardized performance assessment. We assessed the impact of using follow-up periods that eliminate the artifactual inflation of second breast cancer diagnoses. Materials and Methods: We evaluated surveillance mammograms from 2007-2016 in women with treated breast cancer linked with tumor registry and pathology outcomes. Second breast cancers included ductal carcinoma in situ or invasive breast cancer diagnosed during one-year follow-up. The cancer detection rate, interval cancer rate, sensitivity, and specificity were compared using different follow-up periods: standard one-year follow-up per the American College of Radiology versus follow-up that was shortened at the next surveillance mammogram if less than one year (truncated follow-up). Performance measures were calculated overall and by indication (screening, evaluation for breast problem, and short interval follow-up). Results: Of 117971 surveillance mammograms, 20% (n = 23533) were followed by another surveillance mammogram within one year. Standard follow-up identified 1597 mammograms that were associated with second breast cancers. With truncated follow-up, the breast cancer status of 179 mammograms (11.2%) was revised, resulting in 1418 mammograms associated with unique second breast cancers. The interval cancer rate decreased with truncated versus standard follow-up (3.6 versus 4.9 per 1000 mammograms, respectively), with a difference (95% confidence interval [CI]) of -1.3 (-1.6, -1.1). The overall sensitivity increased to 70.4% from 63.7%, for the truncated versus standard follow-up, with a difference (95% CI) of 6.6% (5.6%, 7.7%). The specificity remained stable at 98.1%. Conclusion: Truncated follow-up, if less than one year to the next surveillance mammogram, enabled second breast cancers to be associated with a single preceding mammogram and resulted in more accurate estimates of diagnostic performance for national benchmarks.

• Journal of the Korea Society of Computer and Information
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• v.29 no.4
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• pp.115-123
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• 2024

In this paper, we propose a vibration notification system that combines navigation information and wearable bands to ensure safe driving for the transportation vulnerable. This system transmits navigation driving information to a linked application, converts it into a vibration signal, and provides notifications through a wearable band. Existing navigation systems focus on providing route guidance and location information, so the driver's concentration is dispersed, and safety and convenience are deteriorated, especially for those with mobility impairments, due to standard vision and delayed recognition of stimuli, resulting in an increasingly high traffic accident rate. To solve this problem, navigation driving information is converted into vibration signals through a linked application, and vibration notifications for events, left turns, right turns, and speeding are provided through a wearable band to ensure driver safety and convenience. In the future, we will use cameras and vehicle sensors to increase awareness of safety inside and outside the vehicle by adding a function that provides notifications with vibration and LED when the vehicle approaches or recognizes an object, and we will continue to conduct research to build a safer driving environment. plan.

• Information Systems Review
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• v.19 no.2
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• pp.115-136
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• 2017

Online communities have become substantial aspects of people's daily lives. However, only a few communities succeed and attract the majority of users, whereas the vast majority struggle for survival. When various communities coexist, important factors should be identified and examined to maintain attraction and achieve success. The concept of coexistence as been extensively explored in organizational ecology literature. However, given the similarities and differences between online communities and traditional organizations, the direct application of organizational theories to online contexts should be cautiously explored. In this study, we follow the roadmap proposed by Davis et al. (2007) in conducting agent-based modeling and simulation study to develop a novel theory based on the previous literature. In the case of two coexisting communities, we find that community size and participation costs can significantly affect the development of a community. A large community can attract a high number of active members who frequently log in. By contrast, low participation costs can encourage the reading and posting behaviors of members. We also observe the important influence of the distribution of interests on the topic trends of communities. A community composed of a population that focuses on only one topic can quickly converge on the topic regardless of whether the initial topic is broad or focused. This simulation model provides theoretical implications to literature and practical guidance to operators of online communities.

• Korean Journal of Radiology
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• v.20 no.8
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• pp.1300-1310
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• 2019

Objective: To measure the diagnostic accuracy of percutaneous transthoracic needle lung biopsies (PTNBs) on the basis of the intention-to-diagnose principle and identify risk factors for diagnostic failure of PTNBs in a multi-institutional setting. Materials and Methods: A total of 9384 initial PTNBs performed in 9239 patients (mean patient age, 65 years [range, 20-99 years]) from January 2010 to December 2014 were included. The accuracy, sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of PTNBs for diagnosis of malignancy were measured. The proportion of diagnostic failures was measured, and their risk factors were identified. Results: The overall accuracy, sensitivity, specificity, PPV, and NPV were 91.1% (95% confidence interval [CI], 90.6-91.7%), 92.5% (95% CI, 91.9-93.1%), 86.5% (95% CI, 85.0-87.9%), 99.2% (95% CI, 99.0-99.4%), and 84.3% (95% CI, 82.7-85.8%), respectively. The proportion of diagnostic failures was 8.9% (831 of 9384; 95% CI, 8.3-9.4%). The independent risk factors for diagnostic failures were lesions ≤ 1 cm in size (adjusted odds ratio [AOR], 1.86; 95% CI, 1.23-2.81), lesion size 1.1-2 cm (1.75; 1.45-2.11), subsolid lesions (1.81; 1.32-2.49), use of fine needle aspiration only (2.43; 1.80-3.28), final diagnosis of benign lesions (2.18; 1.84-2.58), and final diagnosis of lymphomas (10.66; 6.21-18.30). Use of cone-beam CT (AOR, 0.31; 95% CI, 0.13-0.75) and conventional CT-guidance (0.55; 0.32-0.94) reduced diagnostic failures. Conclusion: The accuracy of PTNB for diagnosis of malignancy was fairly high in our large-scale multi-institutional cohort. The identified risk factors for diagnostic failure may help reduce diagnostic failure and interpret the biopsy results.

• Journal of Advanced Navigation Technology
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• v.28 no.3
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• pp.254-261
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• 2024

Accurate guidance during landing and take-off is important, and instrument landing system (ILS) has been used for stability and verification. Regular inspections are conducted for stable operation, and there is research to perform inspection using drones in addition to ground vehicles and measurement aircraft. Using SDR and single board computer, which can receive wide frequency range, we designed a small system that receives and processes localizer signals through GNU Radio. To check signal processing characteristics through GNU Radio, we simulated with MATLAB Simulink and confirmed the theoretical values. Difference in depth of modulation (DDM) and approach angle can be calculated when the aircraft enters the runway. And GNU Radio implemented real-time signal processing wirelessly using transmission control protocol (TCP). This gives the results within the error of 0.5% when the aircraft entered the runway center line and 0.27% for the angle of 1° degree. Compared to the inspecting and maintaining ILS signals using aircraft or ground vehicles, it is possible to implement a receiving system using small SDR that can be mounted for drone.

• Korean Journal of Radiology
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• v.21 no.7
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• pp.859-868
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• 2020

Objective: To investigate the value of initial CT quantitative analysis of ground-glass opacity (GGO), consolidation, and total lesion volume and its relationship with clinical features for assessing the severity of coronavirus disease 2019 (COVID-19). Materials and Methods: A total of 84 patients with COVID-19 were retrospectively reviewed from January 23, 2020 to February 19, 2020. Patients were divided into two groups: severe group (n = 23) and non-severe group (n = 61). Clinical symptoms, laboratory data, and CT findings on admission were analyzed. CT quantitative parameters, including GGO, consolidation, total lesion score, percentage GGO, and percentage consolidation (both relative to total lesion volume) were calculated. Relationships between the CT findings and laboratory data were estimated. Finally, a discrimination model was established to assess the severity of COVID-19. Results: Patients in the severe group had higher baseline neutrophil percentage, increased high-sensitivity C-reactive protein (hs-CRP) and procalcitonin levels, and lower baseline lymphocyte count and lymphocyte percentage (p < 0.001). The severe group also had higher GGO score (p < 0.001), consolidation score (p < 0.001), total lesion score (p < 0.001), and percentage consolidation (p = 0.002), but had a lower percentage GGO (p = 0.008). These CT quantitative parameters were significantly correlated with laboratory inflammatory marker levels, including neutrophil percentage, lymphocyte count, lymphocyte percentage, hs-CRP level, and procalcitonin level (p < 0.05). The total lesion score demonstrated the best performance when the data cut-off was 8.2%. Furthermore, the area under the curve, sensitivity, and specificity were 93.8% (confidence interval [CI]: 86.8-100%), 91.3% (CI: 69.6-100%), and 91.8% (CI: 23.0-98.4%), respectively. Conclusion: CT quantitative parameters showed strong correlations with laboratory inflammatory markers, suggesting that CT quantitative analysis might be an effective and important method for assessing the severity of COVID-19, and may provide additional guidance for planning clinical treatment strategies.

• Clean Technology
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• v.30 no.1
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• pp.1-12
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• 2024

Nanoplastics (NP) exhibit distinct material properties compared to microplastics (MP), necessitating their separate recognition. Review of research outcomes and policy documents on NP reveals that most policy frameworks predominantly define MPs as solid synthetic polymer materials measuring 5 mm or less, but do not distinguish them from NP. However, recent revisions in regulations by the EU classify NPs as particles that range in size from 1 to 1,000 nm, as confirmed by some academic studies. Research on NPs often relies on experimental investigations centered around water systems, with a focus on high-concentration experimental conditions using spherical polystyrene-based NPs in behavior and impact studies. Notably, the environmental behavior characteristics of NP show differences in influence depending on the NP type, emphasizing the need for field simulation research. These challenges are mirrored in Korean society, so it is necessary to redefine NP to be distinct from MP in both research and policy. This study aimed to assess the current state of NP management globally and domestically and highlight policy considerations and issues in the existing response to NP. Upon comprehensive review, it becomes apparent that reaching an international agreement on MP faces methodological limitations, which could potentially burden efforts to precisely define NP size. Therefore, referencing the EU's recent regulatory revisions is crucial in domestic policy. Specific adjustments should commence from the MP concept through insights from the domestic industry, guidance from the academic community, and thorough discussions to ensure social acceptance.

• The Journal of the Convergence on Culture Technology
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• v.10 no.1
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• pp.25-34
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• 2024

The purpose of this study is to present the direction of career education by analyzing the meaning of the 3rd Five-Year Basic Plan for Career Education (2023-2027). The meaning of the 3rd Five-Year Basic Plan for Career Education (2023-2027) is: First, the 1st Comprehensive Career Education Plan (2010-2013) and the 2nd Five-Year Basic Plan for Career Education (2016-2020) It is most meaningful that the achievements and limitations of the program were analyzed and reflected in the 3rd 5-year basic plan for career education (2023-2027). Second, the career education presented in the 2022 revised curriculum is faithfully reflected. Third, the range of career education has not only increased, but also has been expanded in depth. Based on this, the direction of career education is presented. First, career education needs to be carried out throughout life. Second, it is necessary to respond sensitively to rapid social environment changes. Third, career education needs to be conducted in an organic relationship between government agencies. Career education policies need to be established and implemented from a holistic perspective of various government agencies such as industry, labor, and education.

• Journal of the Korean Society of Radiology
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• v.84 no.3
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• pp.705-712
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• 2023

Common femoral artery pseudoaneurysm is a potentially serious complication of peripheral angiography. There have been few prior reports of simultaneous pseudoaneurysm in both common femoral arteries after percutaneous access. Here we report the case of a 58-year-old male patient who presented with phlegmon or abscess a few days after bilateral femoral access, after which newly developed bilateral femoral pseudoaneurysm with wide neck was observed on CT angiography 2 months after infection treatment. Because the patient refused surgery for pseudoaneurysm, a stent-graft was inserted in the left side, and percutaneous thrombin injection under US guidance with balloon occlusion was performed for the right side. Most pseudoaneurysms occur immediately after the causative procedure. However, there have been some cases in which pseudoaneurysms may occur several weeks or months later; it is therefore necessary to check the risk factors and to carefully observe the hemostasis site.