'Unlicensed medical practice by a non-medical practitioner' often represented by surrogate surgery or so-called 'ghost surgery,' causes irreparable damage to life or body, and therefore calls for very strict and effective controls. The 'bill on installment of CCTVs in an operating room' to prevent unlicensed surrogate surgery has been discussed for a long time, but due to numerous issues and heated confrontations, it has been pending in the National Assembly. Nevertheless, it is expected that the bill will be discussed again in earnest in the National Assembly because surrogate surgery and factory-type cosmetic surgery, which has been performed mainly in the field of cosmetic surgery, has also been occurring in the field of therapeutic surgery. In general, an operating room is considered as being locked or closed, as well as disallowing implicit complicity among insiders. Hence, if the insiders conspire to commit or cover up an illegal act, or if a surgeon performs rapid cosmetic surgery and then leaves the recipient (or medical institution) so as to perform more operations for profit - even if it is legitimate practice - it may result in serious consequences in terms of the recovery of a patient. In this case, installation of CCTVs can be of great help in identifying an illegal act and assessing any occurrence of negligence. On the other hand, while the fundamental purpose of therapeutic surgery is to restore a patient's life or body - that is, lifesaving - installation of CCTVs may base the relationship between a surgeon and a patient on distrust and surveillance, so it may increase the number of requests for CCTV footage or lead to more disputes, as well as placing a burden on the surgeon when best results are not achieved for a patient. As a result, the surgeon may choose non-invasive treatment contrary to conscience instead of risky but necessary surgery, or he/she may have significant difficulty in determining the timing of surgery, which may limit the provision of effective surgical medical care. Then, in terms of the relationship between a surgeon and patient, and in the long run, there could be significant disadvantages for the public and patients if CCTV footage is allowed. In this paper, we review domestic and overseas cases and issues regarding installation of CCTVs in an operating room, and present various viewpoints and suggestions to promote legislation with minimized legal problems and side effects, thereby contributing to protection of the lives and health of the public, patients, and recipients of surgery.
Journal of Korean Tunnelling and Underground Space Association
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v.24
no.2
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pp.193-215
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2022
Recently, ground structures have reached saturation, and underground construction using underground structures such as tunnels has been in the spotlight as a way to solve increasing traffic difficulties and environmental problems. However, due to the increasing number of underground structures, close construction is inevitable for continuous underground development. When a new underground structure is constructed closely, stability may become weak due to the influence on the existing tunnel, which may cause collapse. Therefore, analyzing the stability of existing tunnels due to new structures is an essential consideration. In this study, the effect of excavating new tunnels under parallel tunnels on existing parallel tunnels was analyzed using numerical analysis. Using the Displacement Control Model (DCM), the volume loss generated during construction was simulated into three case (0.5%, 1.0%, and 1.5%). Based on the center of the pillar, the distance where the new tunnel is located was set to 5 m, 6 m, 7 m, 8 m, 9 m, and the space for each distance were set to 5 (0D1, 0.37D1, 0.75D1, 1.13D1, 1.5D1). In general, as the volume loss increased and the distance approached, the maximum displacement and angular displacement increased, and the strength/stress ratio to evaluate the stability of the pillar also decreased. As a result, when the distance between the new tunnel and the center of the pillar is 5 m, the space is 0D1, and the volume loss is 1.5%, the stability of the existing parallel tunnel is the weakest.
Lee, Jung Sup;Bang, Ji Wong;Lee, Jae Han;Jang, Hye Sook
Journal of Bio-Environment Control
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v.31
no.1
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pp.22-27
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2022
The attraction effects of light emitting diode (LED) trap to Spodoptera exigua and Spodoptera litura adults were evaluated in greenhouse and compared with those of no light trap, which is typical used in commercial trap. At this time, in order to attract these two species of moths, sex pheromone traps were installed at the top side according to the degree of tomato growth inside the tomato cultivation greenhouse around the LED trap. In addition, two types of light-emitting traps (420 nm, 470 nm) were installed in the greenhouse at 1/40 m2, respectively. Also two sex pheromone were installed inside of the greenhouse according to the height of the tomato plants. 10 days later, Blue-light trap(BLB, 470 nm wavelength) was 3.1-3.5 times more attractive than Violet-light trap(VLB, 420 nm wavelength) in S. exigua (105.6 ± 7.3) and S. litura (42.0 ± 3.1) respectively, whereas the no-light trap was little attractive to S. exigua (33.7 ± 2.8) and S. litura (12.0 ± 1.5). On the other hand, after the installation of the sex pheromone trap and the LED trap, there was no damage to S. litura (Fabricius) and S. exigua in the pesticide-free area, indicating a high possibility of control. At this time, the operating cost of the two types of LED traps was 80 won/m2 per unit area, and it was confirmed that both types of moths could be controlled. In addition, as a result of confirming the number of two types of moths caught in the sexual pheromone trap and two types of LED traps after 4 months, it was judged that eco-friendly control was possible as more than 373 moths/trap were attracted to the two types of moths.
Purpose: This study was undertaken to revise and update the Nutrition Quotient (NQ) for Korean adults, a tool used to evaluate dietary quality and behavior. Methods: The first 31 items of the measurable food behavior checklist were adopted based on considerations of the previous NQ checklist, recent literature reviews, national nutrition policies, and recommendations. A pilot survey was conducted on 100 adults aged 19 to 64 residing in Seoul and Gyeonggi Province from March to April 2021 using a provisional 26- item checklist. Pilot survey data were analyzed using factor analysis and frequency analysis to determine whether checklist items were well organized and responses to questions were well distributed, respectively. As a result, the number of items on the food behavior checklist was reduced to 23 for the nationwide survey, which was administered to 1,000 adults (470 men and 530 women) aged 19 to 64 from May to August 2021. The construct validity of the developed NQ (NQ-2021) was assessed using confirmatory factor analysis, linear structural relations. Results: Eighteen items in 3 categories, that is, balance (8 items), moderation (6 items), and practice (4 items), were finally included in NQ-2021 food behavior checklist. 'Balance' items addressed the intake frequencies of essential foods, 'moderation' items the frequencies of unhealthy food intakes or behaviors, and 'practice' items addressed eating behaviors. Items and categories were weighted using standardized path coefficients to calculate NQ-2021 scores. Conclusion: The updated NQ-2021 appears to be suitable for easily and quickly assessing the diet qualities and behaviors of Korean adults.
JUNG, MIN GYU;KIM, DONGSUNG;KANG, TEAWOOK;OH, JE HYEOK;SHIN, AYONG;OH, CHUL WOONG
The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
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v.27
no.2
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pp.103-125
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2022
This study aims to identify the community characteristics of meiofauna inhabiting the Yellow Sea continental shelf. To this end an annual survey was conducted considering the seasons from 2018 to 2020 at 13 stations with a depth of 18~90 m of the Yellow Sea located at latitudes 35, 36 and 37 degrees north latitude. The survey was conducted in three seasons of spring, summer, and autumn at 5 stations in October 2018, 9 stations in April 2019, and 6 stations in August 2020 was used to collect 3 repetitions at each station. The habitat density of meiobenthos in the surveyed area was in the range of 45~1029 inds./10 cm2, which was similar to the previous studies conducted in the Yellow Sea. The density of meiobenthos according to the seasons was 800±69 inds./10 cm2 in autumn, the highest, and the lowest at 260±48 inds./10 cm2 in summer. A total of 19 taxa appeared in meiobenthos, and the average value showed the number of nine taxa. Among the appearing taxa, the most dominant taxon was nematodes, accounting for 80.8% of the total density, followed by benthic copepods (8.8%) and benthic foraminifers (4.7%). As for the size distribution of medium benthic animals, the density of organisms corresponding to the size of 63~125 ㎛ was the highest, and 1~0.5 mm was the lowest. As for the vertical distribution in the sediments of medium benthic animals, the habitat density gradually decreased as the depth increased in the sediment surface layer. As a result of analysis of the N/C ratio, MPI, and ITD index using medium-sized benthic animals to identify the benthic environment, there were differences by season, but no values indicating pollution overall.
Lee, Jun Oh;Lee, Geun Dong;Kim, Hyeong Ryul;Kim, Dong Kwan;Park, Seung-Il;Cho, Jong Ho;Kim, Hong Kwan;Choi, Yong Soo;Kim, Jhingook;Shim, Young Mog;Park, Samina;Park, In Kyu;Kang, Chang Hyun;Kim, Young Tae;Park, Seong Yong;Lee, Chang Young;Lee, Jin Gu;Kim, Dae Joon;Paik, Hyo Chae;the Korean Association for Research on the Thymus,
Journal of Chest Surgery
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v.55
no.2
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pp.126-142
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2022
Background: Thymic epithelial tumors (TETs) are rare, and information regarding their surgical outcomes and prognostic factors has rapidly changed in the past few decades. We analyzed surgical treatment practices for TETs and outcomes in terms of overall survival (OS) and freedom from recurrence (FFR) during a 13-year period in Korea. Methods: In total, 1,298 patients with surgically resected TETs between 2000 and 2013 were enrolled retrospectively. OS and FFR were calculated using the Kaplan-Meier method and evaluated with the log-rank test. Prognostic factors for OS and FFR were analyzed with multivariable Cox regression. Results: A total of 1,098 patients were diagnosed with thymoma, and 200 patients were diagnosed with thymic carcinoma. Over the study period, the total number of patients with surgically treated TETs and the proportion of patients who underwent minimally invasive thymic surgery (MITS) increased annually. The 5-year and 10-year survival rates of surgically treated TETs were 91.0% and 82.1%, respectively. The 5-year and 10-year recurrence rates were 86.3% and 80.0%, respectively. The outcomes of surgically treated TETs improved over time. Multivariable Cox hazards analysis for OS, age, tumor size, and Masaoka-Koga stage were independent predictors of prognosis. The World Health Organization classification and tumor-node-metastasis (TNM) staging were also related to the prognosis of TETs. Conclusion: Surgical treatment of TETs achieved a good prognosis with a recent increase in MITS. The M-K stage was the most important prognostic factor for OS and FFR. The new TNM stage could also be an effective predictor of the outcomes of TETs.
This study was conducted to determine the changes in ginsenosides content according to additional UV-A, and UV-B LED irradiation before harvesting the ginseng sprouts. One-year-old ginseng seedlings (n=100) were transplanted in a tray containing a ginseng medium. The ginseng sprouts were grown for 37 days at a temperature of 20℃ (24h), a humidity of 70%, and an average light intensity of 80 µmol·m-2·s-1 (photoperiod; 24h) in a container-type plant factory. Ginseng sprouts were then transferred to a custom chamber equipped with UV-A (370 nm; 12.90 W·m-2) and UV-B (300 nm; 0.31 W·m-2) LEDs and treated for 3 days. Growth parameters and ginsenoside contents in shoot and root were conducted by harvesting on days 0 (control), 1, 2, and 3 of UV treatments, respectively. The growth parameters showed non-significant differences between the control and the UV treatments (wavelengths or the number of days). Ginsenoside contents of the shoot was highly improved by 186% in UV-A treatment compared to the control in 3 days of the treatment time. The ginsenoside contents of the roots was more improved in UV-A 1-day treatment and UV-B 3-day treatment, compared to the control by 171% and 160%, respectively. As a result of this experiment, it is thought that UV LED irradiation before harvesting can produce sprout ginseng with high ginsenoside contents in a plant factory.
Seo, Tae Cheol;Kim, Jin Hyun;Kim, Seung Yu;Cho, Myeong Whan;Choi, Man Kwon;Ryu, Hee Ryong;Shin, Hyun Ho;Lee, Choung Keun
Journal of Bio-Environment Control
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v.31
no.1
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pp.43-51
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2022
This study was conducted to investigate the effect of ventilation at high temperature on the control of powdery mildew, silverleaf whitefly two-spotted spider mite occurred at Korean melon cultivation greenhouse, and on leaf rolling and flowering of the plant in summer season. 'Alchanggul' grafted onto 'Hidden Power' rootstock was planted on soil bed with the distance of 40 cm. Three ventilation temperatures of 45℃, 40℃, and 35℃ as set points were compared. Ventilation treatment was done by control of side window operation from 18th June to 13th July when silverleaf whitefly, mite, and powdery mildew were occurred in all greenhouses. The temperature inside greenhouse was increased up to the set temperature point on sunny days and maintained for about 9 hours with high relative humidity at 45℃ condition. The differences of day maximum air temperature and day minimum RH were the highest at 45℃ treatment. After 11 days of treatments, the damage by powdery mildew and two-spotted spider mite was almost recovered at 45℃ treatment but not at 40 and 35℃. The population of silverleaf whitefly and two-spotted spider mite were significantly decreased at 45℃ treatment at 14 days after treatment, while powdery mildew symptom was not significantly decreased. Leaf rolling was observed at high temperature but not severe at 45℃ treatment. After 26 days of treatments, female flowers did not bloom at all at 45℃ treatment, and the number of male flowers was 1.2 among 15 nodes of newly grown shoots. As the result, it indicates that ventilation at the high temperature of 45℃ for about 2 to 3 weeks can be an applicable method to control above mentioned pests and disease, and to recover the vegetative growth of Korean melon by reducing flowering of the plant.
The survey of bird community characteristics was carried out four times on 2016 and 2017, respectively May and October to figure out effects of the manmade small ecosystem, Anseong. Twenty five species and 94 individuals were observed in the study area. The dominant species were Passer montanus 19.1%, Pica pica 12.8%, Cyanopica cyana 8.51%, Sinosuthora webbiana and Carduelis sinica ussuriensis respectively 7.45%, the diversity of the species was 2.787. With migration, the highest number and percentage to the lowest was residents 72.0%, summer visitors 20.0% and winter visitors 8.00%. Among 22 species which bred (check or possibility) in the manmade small ecology, Anseong, canopy (C) was 54.5%, hole (H) was 31.8%, bush (B) was 9.09% and ground (G) was 4.55% in their nesting guilds. In foraging guilds in breeding season was canopy (C) was 69.6%, bush (C) was 21.7%, water (W) and ground (G) was respectively 4.35%, and in non-breeding season, canopy was 64.0%, bush 24.0%, ground was 8.00% and water 4.00%. In the study site, the manmade habitats for birds were nest box and wetland (rain garden). In 7 nest box, Parus major was uesd 1 nest box as their breeding on 2016 and 2017, and Passer montanus was used 1 nest box on 2017. We assumed that sustainable rainwater supply may be important to attract many birds in rain garden, the manmade habitat for birds.Unfortunately, however, no birds used rain garden (wetland) as their habitats due to water shortage.
Climate change brought on by global warming increased the frequency of flood and drought on the Korean Peninsula, along with the casualties and physical damage resulting therefrom. Preparation and response to these water disasters requires national-level planning for water resource management. In addition, watershed-level management of water resources requires flow duration curves (FDC) derived from continuous data based on long-term observations. Traditionally, in water resource studies, physical rainfall-runoff models are widely used to generate duration curves. However, a number of recent studies explored the use of data-based deep learning techniques for runoff prediction. Physical models produce hydraulically and hydrologically reliable results. However, these models require a high level of understanding and may also take longer to operate. On the other hand, data-based deep-learning techniques offer the benefit if less input data requirement and shorter operation time. However, the relationship between input and output data is processed in a black box, making it impossible to consider hydraulic and hydrological characteristics. This study chose one from each category. For the physical model, this study calculated long-term data without missing data using parameter calibration of the Soil Water Assessment Tool (SWAT), a physical model tested for its applicability in Korea and other countries. The data was used as training data for the Long Short-Term Memory (LSTM) data-based deep learning technique. An anlysis of the time-series data fond that, during the calibration period (2017-18), the Nash-Sutcliffe Efficiency (NSE) and the determinanation coefficient for fit comparison were high at 0.04 and 0.03, respectively, indicating that the SWAT results are superior to the LSTM results. In addition, the annual time-series data from the models were sorted in the descending order, and the resulting flow duration curves were compared with the duration curves based on the observed flow, and the NSE for the SWAT and the LSTM models were 0.95 and 0.91, respectively, and the determination coefficients were 0.96 and 0.92, respectively. The findings indicate that both models yield good performance. Even though the LSTM requires improved simulation accuracy in the low flow sections, the LSTM appears to be widely applicable to calculating flow duration curves for large basins that require longer time for model development and operation due to vast data input, and non-measured basins with insufficient input data.
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