• Journal of the Korean earth science society
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• v.42 no.5
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• pp.504-513
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• 2021

Different physical processes, according to the atmospheric boundary layer types, were used in the Local Data Assimilation and Prediction System (LDAPS) of the Unified Model (UM) used by the Korea Meteorological Administration (KMA). Therefore, it is important to verify the atmospheric boundary layer types in the numerical model to improve the accuracy of the models performance. In this study, the atmospheric boundary layer types were verified using observational data. To classify the atmospheric boundary layer types, summer intensive observation data from radiosonde, flux observation instruments, Doppler wind Light Detection and Ranging(LIDAR) and ceilometer were used. A total number of 201 observation data points were analyzed over the course 61 days from June 18 to August 17, 2019. The most frequent types of differences between LDAPS and observed data were type 1 in LDAPS and type 2 in observed(each 53 times). And type 3 difference was observed in LDAPS and type 5 and 6 were observed 24 and 15 times, respectively. It was because of the simulation performance of the Cloud Physics such as that associated with the simulation of decoupled stratocumulus and cumulus cloud. Therefore, to improve the numerical model, cloud physics aspects should be considered in the atmospheric boundary layer type classification.

• Journal of Chest Surgery
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• v.54 no.5
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• pp.377-382
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• 2021

Background: Subclavian vein (SV) catheterization is a method for the delivery of fluids, drugs, and blood products, venous blood sampling, and central vein pressure monitoring in cardiac surgery. Catheter occlusion is a serious complication of SV catheterization during cardiac surgery, especially after sternal retractor expansion. Methods: In this observational study, 303 patients who had successful right infraclavicular SV catheterization from September 2019 to April 2020 were enrolled to determine the incidence of catheter occlusion. After catheterization, the lumens of all catheters were checked for the ability to infuse and withdraw blood from the catheter before and after sternal retractor expansion. The patients' characteristics, cannulation approach, on-pump or off-pump technique, occlusion of the catheter and its lumens, and any associated complications were recorded. The data were analyzed using IBM SPSS ver. 22.0 (IBM Corp., Armonk, NY, USA). Results: Of the 303 patients studied, 205 were male (67.7%) and 98 were female (32.3%). Catheter occlusion occurred in 11 patients with on-pump cardiopulmonary bypass (CPB) (227 patients) and 4 patients with off-pump CPB (76 patients) (p=0.863). The incidence of catheter occlusion was 4.95% (15 of 303 patients) with no cases of simultaneous 3-lumen occlusion in a catheter. The most commonly occluded lumen was the distal lumen (57.92%). Simultaneous 2-lumen occlusion occurred in 4 patients. Catheter occlusion was found in 3 of 13 malpositioned catheters (23.07%). Conclusion: The current study showed that malpositioning of the catheter tip was a risk factor for catheter occlusion and that the distal lumen of a triple-lumen catheter was the most commonly occluded lumen.

• Knowledge Management Research
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• v.22 no.3
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• pp.173-199
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• 2021

As the use of smart devices such as smartphones and tablets has become common, the time to start using smart devices is getting earlier, such as using smart devices from the age of one. Also, the use of smart devices by infants and toddlers is continuously increasing. Smart devices have become convenient means of acquiring pleasure and knowledge, but the side effects of addiction and overdependence are becoming issues as much as the benefits of smart devices. This study pays attention to young children's overdependence on smart devices, and focuses on the aspects of parents' perception, control, and observational behavior about smart devices, which can have a profound effect on young children. This study examines how young children's overdependence on smart devices can consequently affect children's characteristics in terms of activity, emotional sensitivity, and social aspects. In particular, this study attempts to explore that the factors influencing children's overdependence on smart devices and the results can vary depending on the moderating variables (parents' control method for children's smart device use, supervision method, and type of contents mainly used). Based on the findings, this study can provide guidelines and implications for parents on how to effectively use smart devices for their young children.

• Journal of Physiology & Pathology in Korean Medicine
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• v.35 no.3
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• pp.104-116
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• 2021

In order to reduce the social and economic costs due to the increase in dementia patients, which is a representative senile disease in an aging society, it will be important to prevent dementia and to detect and treat early in high-risk groups. This study reported the results of treatment for the elderly with high risk of dementia and depression who received Korean medicine (KM) treatment in 9 KM clinics. Medical charts were surveyed on 116 patients with high risk of dementia and depression who received KM treatment at 9 KM clinics in Gangseo-gu from September 1, 2020 to December 31, 2020. The majority of the patients were female(76.72%), the average age was 71.66±7.18 years old, and the average education level was 8.96±3.91 years. The average treatment period was 61.47±10.30 days, the average number of treatments was 15.38±1.06 times, and both acupuncture and herbal medicine were administered. After receiving KM treatment, cognitive assessment scores such as MMSE-DS and MoCA-K, depression-related GDSSF-K score, dementia knowledge, attitude, and preventive behavior, blood debilitation scale, and GQOL-D score were improved compared to before. There was no specific adverse reaction except that one patient with elevated AST and ALT levels was observed. This study showed improvement in cognitive function, depression, dementia-related scale, and quality of life in high-risk groups for dementia and depression over 60 years old who received KM treatment. More systematic and large-scale planned clinical studies will be needed.

• Journal of The Korean Society of Clinical Toxicology
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• v.19 no.2
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• pp.72-82
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• 2021

Purpose: A high anion gap (AG) is known to be a significant risk factor for serious acid-base imbalances and death in acute poisoning cases. The strong ion difference (SID), or strong ion gap (SIG), has recently been used to predict in-hospital mortality or acute kidney injury (AKI) in patients with systemic inflammatory response syndrome. This study presents a comprehensive acid-base analysis in order to identify the predictive value of the SIG for disease severity in severe poisoning. Methods: A cross-sectional observational study was conducted on acute poisoning patients treated in the emergency intensive care unit (ICU) between December 2015 and November 2020. Initial serum electrolytes, base deficit (BD), AG, SIG, and laboratory parameters were concurrently measured upon hospital arrival and were subsequently used along with Stewart's approach to acid-base analysis to predict AKI development and in-hospital death. The area under the receiver operating characteristic curve (AUC) and logistic regression analysis were used as statistical tests. Results: Overall, 343 patients who were treated in the intensive care unit were enrolled. The initial levels of lactate, AG, and BD were significantly higher in the AKI group (n=62). Both effective SID [SIDe] (20.3 vs. 26.4 mEq/L, p<0.001) and SIG (20.2 vs. 16.5 mEq/L, p<0.001) were significantly higher in the AKI group; however, the AUC of serum SIDe was 0.842 (95% confidence interval [CI]=0.799-0.879). Serum SIDe had a higher predictive capacity for AKI than initial creatinine (AUC=0.796, 95% CI=0.749-0.837), BD (AUC=0.761, 95% CI=0.712-0.805), and AG (AUC=0.660, 95% CI=0.607-0.711). Multivariate logistic regression analyses revealed that diabetes, lactic acidosis, high SIG, and low SIDe were significant risk factors for in-hospital mortality. Conclusion: Initial SIDe and SIG were identified as useful predictors of AKI and in-hospital mortality in intoxicated patients who were critically ill. Further research is necessary to evaluate the physiological nature of the toxicant or unmeasured anions in such patients.

• Journal of Microbiology and Biotechnology
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• v.31 no.3
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• pp.380-386
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• 2021

The coronavirus disease 2019 (COVID-19) pandemic has become a public health emergency of global concern. In China, traditional Chinese medicine has been widely administered to COVID-19 patients without sufficient evidence. To evaluate the efficacy of Shenhuang Granule (SHG) for treating critically ill patients with COVID-19, we included in this study 118 patients who were admitted to the ICU of Tongji Hospital between January 28, 2020 and March 28, 2020. Among these patients, 33 (27.9%) received standard care plus SHG (treatment group) and 85 (72.1%) received standard care alone (control group). Enrolled patients had a median (IQR) age of 68 (57-75) years, and most (79 [67.1%]) were men. At end point of this study, 83 (70.3%) had died in ICU, 29 (24.5%) had been discharged from ICU, and 6 patients (5.2%) were still in ICU. Compared with control group, mortality was significantly lower in treatment group (45.4% vs. 80%, p < .001). Patients in treatment group were less likely to develop acute respiratory distress syndrome (ARDS) (12 [36.3%] vs. 54 [63.5%], p = 0.012) and cardiac injury (5 [15.1%] vs. 32 [37.6%], p = 0.026), and less likely to receive mechanical ventilation (22 [66.7%] vs. 72 [84.7%], p = 0.028) than those in control group. The median time from ICU admission to discharge was shorter in treatment group (32 [20-73] days vs. 76 [63-79] days, p = 0.0074). These findings suggest that SHG treatment as a complementary therapy might be effective for critically ill adults with COVID-19 and warrant further clinical trials.

• Annals of Surgical Treatment and Research
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• v.95 no.5
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• pp.286-296
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• 2018

Purpose: Sentinel lymph node (SLN) biopsy (SLNB) is widely accepted for staging of melanoma patients. It has been shown that clinico-pathological features such as Breslow thickness, ulceration, age, and sex are better predictors of relapse and survival than SLN status alone. The aims of this study were to evaluate the long-term (10-year) prognostic impact of SLNB and to determine predictive factors associated with SLN metastasis, relapse, and melanoma specific mortality (MSM). Methods: This was a prospective observational study on 289 consecutive patients with primary cutaneous melanoma who underwent SLNB from January 2000 to December 2007, and followed until January 2014, at an Italian academic hospital. Results: SLN was positive in 64 patients (22.1%). The median follow-up was 116 months (79-147 months). Tenyear disease-free survival and melanoma specific survival were poor in patients with positive SLN (58.7% and 66.4%, respectively). Only the increasing Breslow thickness resulted independently associated to an increased risk of SLN metastasis. Cox regression analysis showed that a Breslow thickness >2 mm was an independent predictor of relapse, and male sex and Breslow thickness >2 mm was a predictor of MSM. At 10 years, SLN metastasis was not significantly associated to either relapse or MSM. Conclusion: After the fifth year of follow-up, SLN metastasis is not an independent predictive factor of relapse or mortality which are mainly influenced by the characteristics of the primary tumor and of the patient. Patients with a Breslow thickness >2 mm regardless of the SLN status should be considered at high risk for 10-year relapse and mortality.

• Korean Journal of Agricultural and Forest Meteorology
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• v.20 no.4
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• pp.337-347
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• 2018

Weather causes much of the risk of agricultural activity. For efficient farming, we need to use weather information. Modern agriculture has been developed to create high added value through convergence with state-of-the-art Information and Communication Technology (ICT). This study deals with the quality control algorithms of weather monitoring equipment through Ubiquitous Sensor Network (USN) observational equipment for efficient cultivation of cabbage. Accurate weather observations are important. To achieve this goal, the Korea Meteorological Administration, for example, developed various quality control algorithms to determine regularity of the observation. The research data of this study were obtained from five USN stations, which were installed in Anbandegi and Gwinemi from 2015 to 2017. Quality control algorithms were developed for flat line check, temporal outliers check, time series consistency check and spatial outliers check. Finally, the quality control algorithms proposed in this study can also identify potential abnormal observations taking into account the temporal and spatial characteristics of weather data. It is expected to be useful for efficient management of highland cabbage production by providing quality-controlled weather data.

• (The) Research of the performance art and culture
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• no.36
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• pp.585-602
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• 2018

This article examines the academic world of Professor Sa jin-sil. This article is not a detailed and rigorous assessment of Prof. Sa's work. During my directly or indirectly meeting with Prof. Sa jin-sil, the writing was based on my experiences. This is why the theme of "participatory observation records" is attached. I was aware that this writing would become a customary and formal funeral speech. Because I thought Prof. Sa also did not want formal and customary writing. The initiation of the participatory observational records that I describe was the literature study of Prof. Sa. What I am about to say in the title of the table of "Known Performance and to Revalue." There I summarized my thoughts on what Prof. Sa contributed to the research of the literature study on traditional performance and my opinion of the justice of the assessment of her contributions. I have not recommitted again about contributions or achievements that have already been widely recognized. What I noticed here was what was to be revalued. I once again stressed the achievements that were not properly evaluated despite their importance and significance. In the ensuing discussion, I looked at Prof. Sa's entirely different academic side. I call the passage "an unexpected result against prejudice." The subjects covered were Prof. Sa's field-contextual studies. Prof. Sa is often referred to as a dramatical history or a traditional performing arts scholar who studies literature. Such an idea is so common that it is easy to overlook field-contextual research results, not literature-based. But I think this is prejudice. That is why the title of the table of contents has the words 'unexpected' and 'prejudice'. Here I actively emphasized and evaluated Professor Sa's achievements in field-contextual studies.

• Journal of the Korean earth science society
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• v.40 no.3
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• pp.300-312
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• 2019

The purpose of this study is to develop an astronomical observing education program that enables high school students to inquire the distance of astronomical bodies based on the research methods (observing open clusters and exploring collected big data) using small telescopes and DSLR cameras. After analyzing the 2015 revised science curriculum, we developed science club activity materials and teacher-student learning contents suitable for high school earth science education. A panel of six teachers and researchers of earth science education and astronomy, participated in developing the educational materials. The validity of the program was verified through establishing the agreement among the panels after in-depth discussions and clarifications. The program, developed with 10 lessons in total, showed high satisfactory content validity (CVI, .89) and conformity of school class (Likert's 5 point scales, 4.17). The feedback of the panels and the Delphi analysis continued to improve the quality of the program. The pilot testing result with high school students (N=9) showed that the students' satisfaction rate was high as 4.48. Using the astronomical observational education program of this study is expected to contribute in improving the convergence educational activity, interest, curiosity, and inquiry ability of students in the universe and the astronomical bodies.