• 한국임상약학회지
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• 제31권3호
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• pp.237-246
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• 2021

Background: Pembrolizumab, an anti-cancer drug, is known to increase the activity of the immune system, leading to side effects called immune-related adverse events (irAE), including type 1 diabetes. This study analyzed the correlation between blood glucose level and pembrolizumab administration and investigated the covariates that affect those changes in cancer treatment. Methods: The information of 133 adult cancer patients was obtained from the electronic medical record (EMR) to identify the changes in random blood glucose (RBG) levels during the pembrolizumab treatment. Subjects were classified into subgroups according to their baseline RBG level, history of diabetes, and the use of steroids, and linear regression analysis was conducted. In addition, a secondary analysis was performed within the group of subjects having a strong correlation to glycemic change, which was based on the Pearson correlation coefficient being less than -0.7 or greater than +0.7. Univariate and multivariate logistic regressions were conducted to identify the risk factors to glycemic increase. Results: The RBG level tended to descend without significant differences in total patients during the administration period of pembrolizumab. Despite the insignificance, the logistic regression analysis presents that the odds ratios of baseline RBG less than 130 mg/dL, prophylactic steroid use, and higher dose of pembrolizumab per cycle (mg/kg/cycle) were greater than 1. Conclusions: Prophylactic administration of steroids and a higher dose of pembrolizumab per cycle may increase the blood glucose level as irAE in cancer patients with a strong tendency to glycemic change.

• Journal of Dental Anesthesia and Pain Medicine
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• 제19권4호
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• pp.227-233
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• 2019

Background: Dental anxiety in children is a major barrier in patient management. If dental anxiety in pediatric patients is assessed during the first visit, it will not only aid in management but also help to identify patients who are in need of special care to deal with their fear. Nowadays, children and adults are highly interested in multimedia and are closely associated with them. Children usually prefer motion pictures on electronic devices than still cartoons on paper. Therefore, this study was conducted to evaluate a newly designed scale, the animated emoji scale (AES), which uses motion emoticons/animojis to assess dental anxiety in children during their first dental visit, and compare it with the Venham picture test (VPT) and facial image scale (FIS). Methods: The study included 102 healthy children aged 4-14 years, whose dental anxiety was measured using AES, VPT, and FIS during their first dental visit, and their scale preference was recorded. Results: The mean anxiety scores measured using AES, FIS, and VPT, represented as $mean{\pm}SD$, were $1.78{\pm}1.19$, $1.93{\pm}1.23$, and $1.51{\pm}1.84$, respectively. There was significant difference in the mean anxiety scores between the three scales (Friedman test, P < 0.001). The Pearson's correlation test showed a very strong correlation (0.73) between AES and VPT, and a strong correlation between AES and FIS (0.88), and FIS and VPT (0.69), indicating good validity of AES. Maximum number of children (74.5%) preferred AES. Conclusion: The findings of this study suggest that the AES is a novel and child-friendly tool for assessing dental anxiety in children.

• Clinical and Experimental Reproductive Medicine
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• 제46권2호
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• pp.60-66
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• 2019

Objective: To compare black rice (Oryza sativa L) extract with three different staining methods for human sperm head assessment. Methods: Semen samples were collected from 34 volunteers. Four smears of each ejaculate were prepared for staining using the rapid Papanicolaou (PAP) stain, SpermBlue, DipQuick, and black rice extract. The percentage of defective sperm heads (mean${\pm}$standard deviation) was compared. Results: Black glutinous rice extract, a natural dye, was used instead of hematoxylin to stain the nuclei of the sperm heads. The percentage of defective sperm heads showed a significant difference between black rice extract and DipQuick (p= 0.000). In contrast, black rice extract and rapid PAP showed no statistically significant difference (p= 0.974). A strong correlation (r = 0.761) was found between the findings obtained using rapid PAP and black rice extract. In contrast, a weak correlation (r = 0.248) was obtained between DipQuick and black rice extract for the percentage of defective sperm heads. Conclusion: The results showed good agreement and a strong correlation between the rapid PAP and black rice extract stains. The advantages of black rice extract as a novel substitute for hematoxylin for nuclear staining include ease of preparation, local availability, and favorable nuclear staining properties. Further studies could also focus on comparing staining techniques in clinical samples.

• 한국동물생명공학회지
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• 제36권4호
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• pp.194-202
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• 2021

In this study the effect of vitamin C administration on pregnancy rates during summer heat stress in dairy cows was examined. A total of 80 Holstein-Friesian cows were divided into control and treatment groups (n = 40 each). Control group animals were given 10 mL isotonic normal saline, and treatment group, Vitamin C (4 mg/kg) on artificial insemination day (day 0) and 4^th, 8^th and 12^th day post insemination. Pregnancy diagnosis was performed on 30^th day post insemination by ultrasonography. Blood samples were randomly taken from 11 animals from each group. Serum P₄, GSH, MDA and plasma 8-OHdG levels were determined by using ELISA method. Results showed that 8-OHdG levels were lower in treatment group on day 4, 8 and 12 (p < 0.05) compared with the control group. Similarly, pregnancy rate was higher in treatment group (32.5%) than control (22.5%), respectively. However, MDA, P₄ and GSH levels were similar in both groups at 4^th, 8^th and 12^th day. A gradual increase in P₄, and MDA levels, and a strong positive correlation between 0, 4^th (r = 0.54), 4, 8^th (r = 0.59) and 8, 12^th (r = 0.51) day was found. Similarly, GSH levels also showed positive correlation at days 0, 4^th (r = 0.47) and 4, 8^th (r = 0.56). However, a strong negative correlation (r = -0.56) between MDA day 0, and GSH day 8 was found. In conclusion, vitamin C application during insemination period in postpartum cows increases pregnancy rate, and reduces oxidative stress metabolite 8-OHdG levels.

• 한국수자원학회:학술대회논문집
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• 한국수자원학회 2023년도 학술발표회
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• pp.374-374
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• 2023

Groundwater is the main source of water on which relies many countries in case of emergency, this is the case of Japan in 2011 after the great Sendai Earthquake. This important resource is found to be heavily influenced by human induced factors such as wetland area reduction. For groundwater sustainable management in perfect cohesion with wetland it is important to understand the relationship between both resources. Wetlands have a strong interaction with both groundwater and surface water, influencing catchment hydrology and water quality. Quantifying groundwater-wetland interactions can help better identify locations for wetlands restoration and/or protection. This study uses observation data from piezometers and wetland to study the qualitative and quantitative aspects of the correlation. Groundwater level, wetland area, chemical, organic and inorganic contaminants are the important parameters used. the results proved that few contaminants in the wetland are found in groundwater and in general the wetland quality does not affect that much groundwater quality. The strong linear relationship found between wetland water level and nearest groundwater level proved that, in term of quantity, groundwater and wetland are strongly correlated. While wetland becoming dry, groundwater level has dropped in the region about 0.52m. The area of wetland was found to be lightly correlated with groundwater level, proving that wetlands dry has contributed to groundwater level declining. This study has showed that whilst rainfall variability contributed to the decline and loss of wetlands, the impacts from landuse changes and groundwater extraction were likely to be significant contributors to the observed losses.

• 대한토목학회논문집
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• 제26권1D호
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• pp.203-209
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• 2006

SAR (Synthetic Aperture Radar) 는 긴 파장대의 전자기파를 사용하므로 날씨의 영향을 받지 않는다. 따라서 지구를 관측하는데 있어서 잇점을 갖고 있으므로 NASA는 SRTM (Shuttle Radar Topography Mission) 미션수행을 통해 지형정보를 획득하였다. 본 논문에서는 SRTM 데이터와 USGS의 NED (National Elevation Datasets) 데이터를 사용하였으며 두 데이터를 차분함으로써 식생수고도(vegetation height map)를 얻었다. 또한 차분값과 shape 파일에 포함된 식수년도의 비교를 통해 상관관계여부를 판단하고자 했다. 본 논문에서는 회귀분석을 통해 차분데이터와 식수년도 사이의 큰 상관관계가 존재함을 확인할 수 있었으며 결국 수령추정과 수령정보의 맵핑이 가능함을 보였다. 추가적으로 지역별 지형특성, 숲의 균일도 등에 의해 선형성이 영향을 받는지 관찰하였다. 결론적으로 본 논문에서는 차분영상으로부터 얻은 식생수령추정 모델이 지역의 기복의 영향을 받지만 여전히 높은 상관관계를 가지므로 충분히 유용할 수 있다는 것을 확인할 수 있었다.

• 한국전문물리치료학회지
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• 제30권4호
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• pp.306-313
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• 2023

Background: As social problems due to the acceleration of the aging era and the increase in the elderly population are becoming serious, virtual reality (VR)-based healthcare is emerging as an approach for preventing and managing health issues. Objects: This study used validity and reliability analyses to examine the clinical efficacy that is, the clinical value and usability of a novel VR cognitive evaluation system index that we developed. Methods: We developed a VR cognitive evaluation system based on motion recognition analysis evaluation for individuals aged 65 to 85. After conducting the Korean version of the Mini-Mental State Exam (K-MMSE) cognitive evaluation, the evaluation score was verified through correlation analysis in the VR cognitive evaluation system. To verify the construct validity of the two groups, the Global Deterioration Scale (GDS) grades were categorized into a normal cognitive group (GDS grade 1) and a cognitive impairment group (GDS grades 2 and 3). The data were measured twice to determine the reliability between the two measurements and assess the stability and clinical value of the evaluation system. Results: Our evaluation system had a high correlation of 0.85 with the widely used K-MMSE cognitive evaluation. The system had strong criterion-related validity at the 95% confidence interval. Compared to the average score of GDS grade 1 in the VR cognitive evaluation system, the average score of GDS grades 2 and 3 in the VR cognitive evaluation system was statistically significantly lower while also having strong construct validity at the 95% confidence interval. To measure the reliability of the VR cognitive evaluation system, tests-retests were conducted using the intraclass correlation coefficient (3,1), which equaled 0.923 and was statistically significant. Conclusion: The VR cognitive evaluation system we developed is a valid and reliable clinical tool to distinguish between normal cognitive status and mild cognitive impairment.

• Korean Journal of Radiology
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• 제21권4호
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• pp.450-461
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• 2020

Objective: We performed a meta-analysis to evaluate the agreement of cardiac computed tomography (CT) with cardiac magnetic resonance imaging (CMRI) in the assessment of right ventricle (RV) volume and functional parameters. Materials and Methods: PubMed, EMBASE, and Cochrane library were systematically searched for studies that compared CT with CMRI as the reference standard for measurement of the following RV parameters: end-diastolic volume (EDV), end-systolic volume (ESV), stroke volume (SV), or ejection fraction (EF). Meta-analytic methods were utilized to determine the pooled weighted bias, limits of agreement (LOA), and correlation coefficient (r) between CT and CMRI. Heterogeneity was also assessed. Subgroup analyses were performed based on the probable factors affecting measurement of RV volume: CT contrast protocol, number of CT slices, CT reconstruction interval, CT volumetry, and segmentation methods. Results: A total of 766 patients from 20 studies were included. Pooled bias and LOA were 3.1 mL (-5.7 to 11.8 mL), 3.6 mL (-4.0 to 11.2 mL), -0.4 mL (5.7 to 5.0 mL), and -1.8% (-5.7 to 2.2%) for EDV, ESV, SV, and EF, respectively. Pooled correlation coefficients were very strong for the RV parameters (r = 0.87-0.93). Heterogeneity was observed in the studies (I² > 50%, p < 0.1). In the subgroup analysis, an RV-dedicated contrast protocol, ≥ 64 CT slices, CT volumetry with the Simpson's method, and inclusion of the papillary muscle and trabeculation had a lower pooled bias and narrower LOA. Conclusion: Cardiac CT accurately measures RV volume and function, with an acceptable range of bias and LOA and strong correlation with CMRI findings. The RV-dedicated CT contrast protocol, ≥ 64 CT slices, and use of the same CT volumetry method as CMRI can improve agreement with CMRI.

• Korean Journal of Radiology
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• 제20권4호
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• pp.599-608
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• 2019

Objective: To evaluate the effectiveness of computed tomography (CT) Hounsfield unit histogram analysis (HUHA) in postoperative pancreatic fistula (PF) prediction. Materials and Methods: Fifty-four patients (33 males and 21 females; mean age, 65.6 years; age range, 37-89 years) who had undergone preoperative CT and pancreaticoduodenectomy were included in this retrospective study. Two radiologists measured mean CT Hounsfield unit (CTHU) values by drawing regions of interest (ROIs) at the level of the pancreaticojejunostomy site on preoperative pre-contrast images. The HUHA values were arbitrarily divided into three categories, comprising HUHA-A ≤ 0 HU, 0 HU < HUHA-B < 30 HU, and HUHA-C ≥ 30 HU. Each HUHA value within the ROI was calculated as a percentage of the entire area using commercial 3-dimensional analysis software. Pancreas texture was evaluated as soft or hard by manual palpation. Results: Fifteen patients (27.8%) had clinically relevant PFs. The PF group had significantly higher HUHA-A (p < 0.01) and significantly lower mean CTHU (p < 0.01) values than those of the non-PF group. The HUHA-A value had a moderately strong correlation with PF occurrence (r = 0.60, p < 0.01), whereas the mean CTHU had a weak negative correlation with PF occurrence (r = -0.27, p < 0.01). The HUHA-A and mean CTHU areas under the curve (AUCs) for predicting PF occurrence were 0.86 and 0.65, respectively, with significant difference (p < 0.01). The HUHA-A and mean CTHU AUCs for predicting pancreatic softness were 0.86 and 0.64, respectively, with significant difference (p < 0.01). Conclusion: The HUHA-A values on preoperative pre-contrast CT images demonstrate a strong correlation with PF occurrence.

• 한국해안·해양공학회논문집
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• 제20권3호
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• pp.300-309
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• 2008

지금까지 연구된 피복석의 부분안전계수는 각 확률변수가 독립이라고 가정하여 계산하였다. 하지만 피복석의 안정공식 중 van der Meer 공식에서 파형경사와 파고는 독립이 아니며 상관성을 가지고 있다. 본 연구에서는 이들의 상관성을 고려한 부분안전계수를 산정하였고 이를 상관성을 고려하지 않은 다른 연구자들의 결과와 비교하였다. 파고와 파형경사의 상관성은 주기의 변동성과 밀접한 관계가 있다. 주기의 변동성이 작아짐에 따라 파고와 파형경사의 상관성은 커지며, 상관성 고려 여부에 따른 계산 결과의 차이가 커진다. 따라서 주기의 변동성이 작은 지역에서는 상관성을 충분히 검토하여 부분안전계수를 산정해야 할 것이다.