• 대한소아치과학회지
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• 제43권3호
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• pp.284-291
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• 2016

본 연구는 이소맹출한 상악 제1대구치의 자율적 수정 가능성을 예측할 수 있는 진단적 기초를 제공하기 위하여 정상군과 가역성과 비가역성 이소맹출의 차이점을 비교 평가하고자 후향적으로 분석하였다. 상악 제1대구치와 인접치아 간의 장축과 교합평면간의 각도를 파노라마상에서 측정하였고, 제2유구치의 교합관계도 조사하였다. 이소맹출군과 정상군은 통계학적으로 유의한 차이를 보였지만(p < 0.05), 가역성과 비가역성 이소맹출군 간에는 통계학적으로 유의한 차이는 없었다(p > 0.05). 제2유구치와 제1대구치 그리고 제2대구치 치배 간의 각도는 정상군에 비해 이소맹출 군에서 작은 값을 보였으며, 근심 계단형이 이소맹출군에서 더 높은 빈도로 관찰되었다. 본 연구의 결과를 토대로 상악 제1대구치의 이소맹출은 상악 제1대구치와 제2대구치 치배의 각도와 관련이 있으며, 이소맹출한 상악 제1대구치는 상악 저성장의 3급 부정교합 환자에서 보다 빈번하게 나타나는 경향이 있는 것을 알 수 있었다.

• 한국안광학회지
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• 제21권3호
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• pp.243-251
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• 2016

목적: 본 연구는 양안시 고유수용감각검사(Maindot 검사)를 사용하여 평균 3년 동안의 추적관찰을 통한 간헐성 외사시의 시기능훈련 효과를 평가하는 것이다. 방법: 2005년에서 2009년의 기간동안 35명(남 18명, 여 17명)의 평균 연령 13.48(${\pm}2.45$)세의 교정시력 0.9 이상이고 조절기능이 정상이며, 양안단일시가 가능한 간헐성 외사시안을 대상으로 시기능 훈련 전, 후 그리고 3년간의 변화를 관찰하였다. 결과: 시기능 훈련 후, 변화된 편위량 및 폭주여력(복시점)값과 자각증상은 상관관계가 유의하지 않았다(p>0.05). 그러나 양안시 고유수용감각능력 변화에 따라 자각증상이 감소되는 상관관계를 나타내었다(p<0.001). 결론: 양안시 고유수용감각은 양안시 자각증상 예측 평가, 시기능 훈련 후 양안시 기능 예측 평가, 프리즘 처치와 같은 다양한 목적과 분야에 활용될 수 있을 것이다.

• 한국식품영양학회지
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• 제22권3호
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• pp.357-366
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• 2009

The principal objective of this study was to evaluate the association between plasma antioxidant levels and metabolic syndrome in male workers, and to provide basic information regarding the control and prevention of metabolic syndrome. We analyzed 163 male workers who had participated in annual medical examinations from January to December 2007. The subjects were classified into normal and metabolic syndrome groups according to the NCEP-ATP III criteria and the Asia-Pacific criteria for waist circumference. Anthropometric parameters, lifestyles, blood lipid profiles, and antioxidant levels were evaluated. As compared to the normal group, the metabolic syndrome group evidenced significantly higher plasma levels of $\alpha$- tocopherol(p<0.05) and retinol(p<0.05), but significantly lower plasma levels of lycopene(p<0.05) and $\beta$-carotene(p<0.05). This tendency was found to be predominantly attributable to increases in the number of metabolic syndrome components. In our simple regression analysis, higher plasma levels of $\alpha$-tocopherol($\beta$=0.001, p<0.01) and retinol($\beta$=0.021, p<0.001) were associated with significantly higher risks of metabolic syndrome, but lycopene($\beta$=-1.499, p<0.01) and $\beta$-carotene($\beta$=-0.048, p<0.01) were associated with significantly lower risks of metabolic syndrome. Retinol($\beta$=0.013, p<0.05) and $\beta$-carotene($beta$=-0.044, p<0.01) were associated significantly with metabolic syndrome, when adjusted for age and BMI. These data indicate that the plasma levels of $\alpha$-tocopherol, retinol, lycopene, and $\beta$-carotene are associated with metabolic syndrome. Specifically, low lycopene and $\beta$-carotene levels in the plasma appear to increase the risk of metabolic syndrome. Therefore, proper nutritional education programs for male workers are required to increase dietary intakes of antioxidant vitamins. Further studies will be necessary to determine whether antioxidant levels can be utilized as a predictive or a preventive factor.

• Asian Pacific Journal of Cancer Prevention
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• 제16권10호
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• pp.4297-4302
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• 2015

Background: To evaluate HPV testing by Hybrid Capture II (HCII) in conjunction with cytology in detecting the residual/recurrence disease after treatment of high-grade cervical intraepithelial neoplasia (CIN II-III) with loop electrosurgical excision procedure (LEEP). Materials and Methods: A retrospective review of 158 patients with histologically confirmed CIN II-III who underwent LEEP between January 2011 and October 2012 was conducted. Post-treatment control was scheduled at the 3rd, 6th, 12th and 18th month. All patients were followed up by Pap smear and HR-HPV genotype and viral load testing. Results: Pre-treatment, HR-HPV DNA, was detected in all specimens of the patients. At follow-up, 25 patients were diagnosed as the residual/recurrent disease during the FU visit, among whom, 16 patients with positive margin: 13 patients (52%) with HR-HPV DNA+/cytology+, 2 patients (8%) with HR-HPV DNA+/cytology-, 1 patient (4%) with cytology+/HR-HPV DNA-; 9 patients with clean margin - 5 patients (55.6%) with HR-HPV DNA+/cytology+; 2 patients (22.2%) with HRHPV DNA+/cytology-, 2 patients (22.2%) with cytology+/HR-HPV DNA-. None of them persisting HR-HPV DNA-/cytology-with positive or negative margin was identified as the residual/recurrent disease. The majority of residual/recurrent disease was detected at the 12th and 18th month FU, and there was almost no difference in the sensitivity and negative predictive value (NPV) between at the 3rd month and the 6th month FU visits. 14 residual/recurrence disease (14/46:30.4%) had pre-treatment high viral load (>5 000 RUL/PC) and 11 (11/112, 9.8%) with pre-treatment low viral load, P<0.05. Conclusions: (1) The persistence HR-HPV DNA is the root cause of the residual/recurrent disease for the women treated for high-grade CIN; the pre-treatment viral load and margin can be seen as the predictor. (2) The FU visit beginning at the 6th month post-treatment and lasting at least 24 months with the combination of cytology and HPV testing. (3) Patients with high pre-treatment HPV load, which is considered as one risk of developing the residual/recurrent disease, should be paid more attention (especially above 500RUL/PC) to by clinicians.

• Asian Pacific Journal of Cancer Prevention
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• 제17권7호
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• pp.3123-3129
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• 2016

Background: Cancer is the fourth leading cause of death in Sabah Malaysia with a reported age-standardized incidence rate was 104.9 per 100,000 in 2007. The incidence rate depends on non-mandatory notification in the registry. Under-reporting will provide the false picture of cancer control program effectiveness. The present study was to evaluate the performance of the cancer registry system in terms of representativeness, data quality, simplicity, acceptability and timeliness and provision of recommendations for improvement. Materials and Methods: The evaluation was conducted among key informants in the National Cancer Registry (NCR) and reporting facilities from Feb-May 2012 and was based on US CDC guidelines. Representativeness was assessed by matching cancer case in the Health Information System (HIS) and state pathology records with those in NCR. Data quality was measured through case finding and re-abstracting of medical records by independent auditors. The re-abstracting portion comprised 15 data items. Self-administered questionnaires were used to assess simplicity and acceptability. Timeliness was measured from date of diagnosis to date of notification received and data dissemination. Results: Of 4613 cancer cases reported in HIS, 83.3% were matched with cancer registry. In the state pathology centre, 99.8% was notified to registry. Duplication of notification was 3%. Data completeness calculated for 104 samples was 63.4%. Registrars perceived simplicity in coding diagnosis as moderate. Notification process was moderately acceptable. Median duration of interval 1 was 5.7 months. Conclusions: The performances of registry's attributes are fairly positive in terms of simplicity, case reporting sensitivity, and predictive value positive. It is moderately acceptable, data completeness and inflexible. The usefulness of registry is the area of concern to achieve registry objectives. Timeliness of reporting is within international standard, whereas timeliness to data dissemination was longer up to 4 years. Integration between existing HIS and national registration department will improve data quality.

• Asian Pacific Journal of Cancer Prevention
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• 제15권14호
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• pp.5691-5696
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• 2014

Background: Many clinical trials have been conducted to evaluate sorafenib for the treatment of advanced NSCLC, but the results for efficacy have been inconsistent. The aim of this study was to evaluate the efficacy and safety of sorafenib in patients with advanced NSCLC in more detail by meta-analysis. Methods: This meta-analysis of randomized controlled trials (RCTs) was performed after searching PubMed, EMBASE, ASCO Abstracts, ESMO Abstracts, and the proceedings of major conferences for relevant clinical trials. Two reviewers independently assessed the quality of the trials. Outcomes analysis were disease control rate (DCR), progression- free survival (PFS), overall survival (OS) with 95% confidence intervals (CI) and major toxicity. Subgroup analysis was conducted according to sorafenib monotherapy, in combination with chemotherapy or EGFR-TKI to investigate the preferred therapy strategy. Results: Results reported from 6 RCTs involving 2, 748 patients were included in the analysis. Compared to sorafenib-free group, SBT was not associated with higher DCR (RR 1.31 (0.96- 1.79), p=0.09), PFS (HR 0.82 (0.66-1.02), p=0.07) and OS (HR 1.01 (0.92-1.12), p=0.77). In terms of subgroup results, sorafenib monotherapy was associated with significant superior DCR and longer PFS, but failed to show advantage with regard to OS. Grade 3 or greater sorafenib-related adverse events included fatigue, hypertension, diarrhea, oral mucositis, rash and HFSR. Conclusions: SBT was revealed to yield no improvement in DCR, PFS and OS. However, sorafenib as monotherapy showed some activity in NSCLC. Further evaluation may be considered in subsets of patients who may benefit from this treatment. Sorafenib combined inhibition therapy should be limited unless the choice of platinum-doublet regimen, administration sequence or identification of predictive biomarkers are considered to receive better anti-tumor activity and prevention of resistance mechanisms.

• 한국습지학회지
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• 제22권2호
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• pp.106-112
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• 2020

습지는 수문, 환경, 생태학적으로 중요한 기능 및 역할을 하며, 특히 습지 내의 수위는 습지의 기능과 환경 등 다양한 분석을 위해 필수적인 자료이다. 그러나 습지는 수위자료를 측정하지 않는 미계측 지역이 많기 때문에, 수위 예측에 대한 연구는 매우 미흡한 실정이다. 따라서 본 연구에서는 습지의 수위를 예측하기 위해 다중회귀분석, 주성분회귀분석, 인공신경망, DNN을 활용하여 수위 예측모형을 개발하였다. 대상지역으로 경상남도 양산시에 위치한 금정산 산지습지를 선정하였고, 2017년 4월부터 2018년 7월까지의 수위 측정자료를 종속변수로 사용하였다. 수문자료와 기상자료를 독립변수로 사용하였다. 예측력 평가결과 최종 모형으로 선정된 DNN을 활용한 수위 예측모형의 예측력 평가결과 RMSE는 6.359, NRMSE는 18.91%로 비교적 산지습지의 수위를 잘 예측하는 것으로 나타났다. 본 연구결과를 활용한다면 기존의 미비하였던 미계측 지점의 수위를 활용한 습지유지 및 관리 기법 개발에 기초자료로 사용할 수 있을 것으로 판단된다.

• 한국산학기술학회논문지
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• 제18권12호
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• pp.581-588
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• 2017

본 연구는 기계 학습법 중 하나인 XGBoost를 이용하여 대사증후군을 인지하고 신체활동을 수행하는 집단을 예측하고자 2014년 7월부터 2015년 12월까지 시도되었다. 이에 2009-2013년 지역사회건강조사를 연구자료로 사용하였고 370,430명의 성인을 분석에 포함하였다. 본 연구의 종속변수는 대사증후군의 인지 및 신체활동 실천정도에 따른 단계로 3단계로 구분하였다:Stage 1(무인지, 무 신체활동), Stage 2(인지, 무 신체활동), and Stage 3(인지, 신체활동). 예측변수로는 5년간의 지역사회건강조사 중 공통으로 수집된 문항으로부터 161개의 특성을 선택하였다. 자료 분석을 위해 R program을 이용하여 XGBoost 알고리즘을 적용하였다. 분석 결과 정확도는 0.735 이었으며, 가장 영향을 미치는 10개의 특성은 나이, 교육수준, 체중조절시도 경험, EQ-5D 운동능력, 영양표시 확인, 개인 건강보험가입 유무, EQ-5D 일상활동, 금연광고경험 여부, 통증유무, 당뇨에 대한 보건기관의 교육 경험 순으로 확인되었다. 본 연구결과는 XGBoost가 보건의료빅데이터를 이용한 질병의 예방과 관리에 영향을 주는 요인을 확인하는데 유용한 도구임을 보여주었다. 또한, 본 연구를 통해 대사증후군에 취약한 계층을 확인하고 이를 위한 교육프로그램 개발에 도움을 줄 수 있을 것으로 보인다.

• 한국환경농학회지
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• 제36권4호
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• pp.293-298
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• 2017

BACKGROUND: Pyrethroids (PYRs) are a widely used insecticide in agriculture and household area. In mammals, PYRs such as deltamethrin is metabolized to 3-phenoxybenzoic acid (3-PBA) in liver that is mainly excreted in urine. This study is designed to single exposure of deltamethrin to rats in a dose-dependent manner and identify the correlation between deltamethrin exposure and its metabolite (3-PBA) in urine. METHODS AND RESULTS: Exposure levels of deltamethrin were control (0 mg/kg bw), low (0.0705 mg/kg bw), medium (0.705 mg/kg bw) and high (7.05 mg/kg bw) dose. Low concentration was derived by ussing Korea predictive operator exposure model (KoPOEM). Dermal exposure persisted for 6 h, and urine specimens were collected for 24 h. The urine matrix was removed after a series of procedures and 3-PBA was analyzed by gas chromatography/mass spectrometry. CONCLUSION: There was a strong correlation ($R^2=0.83$) between the amount of oral exposure to delta me thrin and urinary levelof3-PBAexcreted. In dermal exposure groups of deltamethrin except high-dose, also there was a good correlation between urinary 3-PBA and deltamethrin exposure, but not stronger than in oral deltamethrin exposure groups. Based on these results, therefore, the amount of 3-PBA in urine can be used as a good monitoring indicator that reflexing the exposure level of deltamethrin to human body.

• 한국물환경학회지
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• 제28권5호
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• pp.704-716
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• 2012

본 논문은 California의 South Lake Tahoe, 서울 뚝섬정수장 그리고 성남 복정정수장에서 2010년 2월에서 2012년 2월까지 수행된 파일럿 실험에 대한 분석결과를 기초로 작성되었다. 본 실험의 목적은 첫째, 한강을 원수로 하는 모래여과 처리수에 대한 오존 및 과산화수소(Peroxone)의 반응특성을 파악하고, 둘째는 AOP(고도산화공정)을 통해 맛 냄새 유발물질인 2-methylisoborneol(MIB)를 제거하기위한 경험적인 오존 및 과산화수소의 투입량을 결정하고자 하였다. 또한 셋째로, 처리공정이후 인체에 안전한 잔류오존농도로 감소시키기 위한 최적 투입량을 결정하고자 하였다. 본 실험은 계절의 기온변화에 따라 저수온 및 고수온의 조건하에서 실시간으로 수행되었다. 본 실험을 통해 오존의 분해속도는 온도와 pH에 영향을 받는 것으로 나타났으며, 이는 다른 연구결과와 일치한다. 원수로 모래여과수에 MIB를 40~50ng/L의 농도로 투입하였으며, 모든 경우에서 7ng/L 이하로 처리되었으며 대부분의 경우에서 검출(ND)되지 않았다. Peroxone은 MIB을 제거할 뿐아니라 오존을 단독으로 사용한 경우보다 오존+과산화수소 동시에 투입한 경우에 잔류오존농도가 더 낮았다. 저수온에서 상당량의 오존이 반응 및 분해를 통해 감소된다. 본 실험을 통해 "Pre-Conditioned" 과산화수소를 적용함으로써 초기 반응율을 향상시키고 잔류오존농도를 낮출 수 있었으며, 약품의 과투입 및 효율저하를 방지하는 과산화수소의 투입 위치 및 구성 그리고 투입방법을 제시하였다.