• The Korean journal of internal medicine
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• v.39 no.3
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• pp.501-512
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• 2024

Background/Aims: Optimal risk stratification based on simplified geriatric assessment to predict treatment-related toxicity and survival needs to be clarified in older patients with diffuse large B-cell lymphoma (DLBCL). Methods: This multicenter prospective cohort study enrolled newly diagnosed patients with DLBCL (≥ 65 yr) between September 2015 and April 2018. A simplified geriatric assessment was performed at baseline using Activities of Daily Living (ADL), Instrumental ADL (IADL), and Charlson's Comorbidity Index (CCI). The primary endpoint was event-free survival (EFS). Results: The study included 249 patients, the median age was 74 years (range, 65-88), and 125 (50.2%) were female. In multivariable Cox analysis, ADL, IADL, CCI, and age were independent factors for EFS; an integrated geriatric score was derived and the patients stratified into three geriatric categories: fit (n = 162, 65.1%), intermediate-fit (n = 25, 10.0%), and frail (n = 62, 24.9%). The established geriatric model was significantly associated with EFS (fit vs. intermediate-fit, HR 2.61, p < 0.001; fit vs. frail, HR 4.61, p < 0.001) and outperformed each covariate alone or in combination. In 87 intermediate-fit or frail patients, the relative doxorubicin dose intensity (RDDI) ≥ 62.4% was significantly associated with worse EFS (HR, 2.15, 95% CI 1.30-3.53, p = 0.002). It was related with a higher incidence of grade ≥ 3 symptomatic non-hematologic toxicities (63.2% vs. 27.8%, p < 0.001) and earlier treatment discontinuation (34.5% vs. 8.0%, p < 0.001) in patients with RDDI ≥ 62.4% than in those with RDDI < 62.4%. Conclusions: This model integrating simplified geriatric assessment can risk-stratify older patients with DLBCL and identify those who are highly vulnerable to standard dose-intensity chemoimmunotherapy.

• Convergence Security Journal
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• v.24 no.3
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• pp.165-171
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• 2024

Due to the IT convergence trend, many industrial domains are developing their own IoT services. With batteries and lightweight devices, IoT could expand into various fields including smart farms, smart environments, and smart energy. Many battery-powered IoT devices are passive in enforcing security techniques to maintain service time. This is because security technologies such as cryptographic operations consume a lot of power, so applying them reduces service maintenance time. This vulnerable IoT device security environment is not stable. In order to provide safe IoT services, security techniques considering battery power consumption are required. In this study, we propose an IoT device authentication technology that minimizes power consumption. The proposed technology is a device authentication function based on the Diffie-Hell man algorithm, and has the advantage that malicious attackers cannot masquerade the device even if salt is leaked during the transmission section. The battery power consumption of the authentication technology proposed in this study and the ID/PW-based authentication technology was compared. As a result, it was confirmed that the authentication technique proposed in this study consumes relatively little power. If the authentication technique proposed in this study is applied to IoT devices, it is expected that a safer IoT security environment can be secured.

• Journal of Platform Technology
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• v.12 no.1
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• pp.91-105
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• 2024

As the number of cases of applying IT systems to the existing isolated ICS (Industrial Control System) network environment continues to increase, security threats in the ICS environment have rapidly increased. Security threat scenarios help to design security strategies in cybersecurity training, including analysis, prediction, and response to cyberattacks. For successful cybersecurity training, research is needed to develop valid and reliable security threat scenarios for meaningful training. Therefore, this paper proposes a case-based security threat scenario development methodology for cybersecurity training in the ICS environment. To this end, we develop a methodology consisting of five steps based on analyzing actual cybersecurity incident cases targeting ICS. Threat techniques are standardized in the same form using objective data based on the MITER ATT&CK framework, and then a list of CVEs and CWEs corresponding to the threat technique is identified. Additionally, it analyzes and identifies vulnerable functions in programming used in CWE and ICS assets. Based on the data generated up to the previous stage, develop security threat scenarios for cybersecurity training for new ICS. As a result of verification through a comparative analysis between the proposed methodology and existing research confirmed that the proposed method was more effective than the existing method regarding scenario validity, appropriateness of evidence, and development of various scenarios.

• Knowledge Management Research
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• v.25 no.3
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• pp.121-143
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• 2024

The COVID-19 pandemic has affected various aspects of life, particularly affecting the learning, health, psychology, emotions, and daily routines of children and adolescents. The increasing number of counseling sessions related to depression and stress among this demographic highlights the urgent need for effective mental health management. This study investigates current mental care management services and proposes improvements by analyzing the mental health needs of Korean children and adolescents. From an evidence-based administrative perspective, the study examines the current status of emotional management, focusing on data from public institutions such as the Ministry of Education, the Ministry of Health and Welfare, and the Ministry of the Interior and Safety. We propose a three-phase service model: 1) data-driven emotional management services, 2) specialized services for vulnerable children and adolescents, and 3) mydata services for customized emotional management. Additionally, the study reviews relevant legal frameworks and issues, proposing directions for improvement to realize the proposed services. These services and legal considerations are expected to contribute to the effective implementation of emotional management policies for children and adolescents in the future.

• Journal of Chest Surgery
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• v.43 no.6
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• pp.681-686
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• 2010

Background: A chest computed-tomography has become more prevalent so that it is more common to detect small sized pulmonary nodules that have not been found in previous simple chest x-ray. If those detected nodules are undersized or located in pulmonary parenchyma, it is difficult to accomplish a biopsy since it is vulnerable to explore them either grossly or digitally. Thus, in our hospital, a thoracoscopic pulmonary wedge resection was performed after locating a lesion by means of hook wire with CT-guided. Material and Method: 31 patients (17 males and 14 female patients) from December in 2006 to June in 2010 became our subjects; their 34 pulmonary nodules were subjected to the thoracoscopic pulmonary wedge resection after locating a lesion by means of hook wire with CT-guided. Also we analyzed a possibility of hook wire dislocation, a frequency of conversion to open thoracotomy, time consumed to operation after location of a lesion, operation time, post operation complication, and histological diagnosis of the lesion. Result: 12 of 34 cases were ground glass lesion, whereas 22 cases of them were solitary pulmonary lesion. The median value of the lesion was 8mm in size (range: 3 to 23 mm), while the median value was 12.5 mm in depth (range: 1 to 34 mm). The median value of time consumed from location of the lesion to anesthetic induction was 86.5 minutes (41~473 minutes); furthermore the mean value of operation time was 103 minutes (25~345 minutes). Intrathoracic wire dislocation was found in one case, but a target lesion was successfully excised. Open thoracotomy was performed in four cases due to pleural adhesion. However, there was no case of conversion to open thoracotomy due to failure to detect a target lesion. In histological diagnosis, metastatic cancer were found in 15 cases, which were the most common, primary lung cancer were in 9 cases, non-specific inflammation were in 3 cases, tuberculosis inflammation were in 2 cases, lymph nodes were in 2 cases, active tuberculosis were in 1 case, atypical adenomatous hyperplasia was in 1 case and normal lung parenchymal finding was in 1 case, respectively. Conclusion: In our hospital, in order to accomplish a precise histological diagnosis of ground-glass lesion and pulmonary nodules in lung parenchyma, location of pulmonary nodules were exactly located with hook wire under chest computed-tomography, which was followed by lung biopsy. We concluded that this was an accurate, minimally invasive and valuable method to minimize the complications and increase of cost of medical service provided.

• Journal of the Korean Association of Geographic Information Studies
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• v.21 no.2
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• pp.1-23
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• 2018

This study aims to propose a way for evaluating thermal environment vulnerability associated with policy to improve thermal environment. For this purpose, a variety of indices concerning thermal vulnerability assessment and adaptation policies for climate change applied to 17 Korean cities were reviewed and examined. Finally, 15 indices associated with policies for improving thermal environment were selected. The selected indices for thermal vulnerability assessment were applied to Daegu Metropolitan City of South Korea as a case study. As results, 15 vulnerability maps based on the standardized indices were established, and a comprehensive map with four grades of thermal vulnerability were established for Daegu Metropolitan City. As results, the area with the highest rated area in the first-grade(most vulnerable to heat) was Dong-gu, followed by Dalseo-gu and Buk-gu, and the highest area ratio of the first-grade regions was Ansim-1-dong in Dong-gu. Based on the standardized indices, the causes of the thermal environment vulnerability of Ansim-1-dong were accounted for the number of basic livelihood security recipients, the number of cardiovascular disease deaths, heat index, and Earth's surface temperature. To improve the thermal environment vulnerability of Ansim-1-dong, active policy implementation is required in expansion and maintenance of heat wave shelters, establishment of database for the population with diseases susceptible to high temperature environments, expansion of shade areas and so on. This study shows the applicability of the vulnerability assessment method linked with the policies and is expected to contribute to the strategic and effective establishment of thermal environment policies in urban master district plans.

• Korean Journal of Environment and Ecology
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• v.30 no.1
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• pp.1-18
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• 2016

This study was carried out to investigate the flora of the western front (Paju-Yencheon Area) of the Civilian Control Zone. Vascular plants collected in these areas were a total of 558 taxa composing of 501 species, 3 subspecies, 48 varieties and 1 forma of 330 genera under 109 families This shows that 11% of the 4,880 vascular plant species that are known to exist in Korea is distributed in the western part of the DMZ. 1 taxa of endangered species designated by the Ministry of Environment was found: the Polygonatum stenophyllum Maxim in the edge of the military operation road from Taepung observatory to Imjin river. For the floristically specific ones of the Korean floristic zones, 3 taxa of the $5^{th}$ grade, 3 taxa of the $4^{th}$ grade, 13 taxa of the $3^{rd}$ grade, 13 taxa of the $2^{nd}$ grade and 22 taxa of the $1^{st}$ grade were found. For the endemic species of Korea, 4 taxa including Cirsium setidens (Dunn) Nakai were confirmed to be distributed mostly on the slope or the cutting area. Among the collected rare plants (11 taxa), there were 1 taxa of endangered species, 4 taxa of vulnerable species and 6 taxa of least concern species. Also, 51 taxa of naturalized plants were identified and 4 taxa of ecosystem disturbance organism designated by the Ministry of Environment were identified. The urbanization index and naturalization index for all species were estimated to be 15.89% and 9.14% respectively. Our survey is expected to be considered as primary data of biological diversity and ecological axis in the DMZ and the western part of the DMZ. According to the results of this study, it is thought to be necessary to establish policies for conservation and protection of the DMZ.

• Korean Journal of Environment and Ecology
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• v.30 no.1
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• pp.58-70
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• 2016

An investigation was carried out to study the diversity of aquatic insects, functional feeding groups (FFGs), habitat oriented groups (HOGs), and species-specific distribution in the Taean area in Korea from June to August, 2015. As a result, a total of 72 species belonging to 30 families and six orders were identified in all the investigated regions. Odonata (22 spp.: 30.56%) was the largest group in species richness followed by Coleoptera (21 spp.: 29.16%), Hemiptera (17 spp.: 23.61%) and Diptera (8 spp.: 11.11%) while for Ephemeroptera and Trichoptera, only two species (2.78%) were found. In addition, Plecoptera and Megaloptera inhabiting clean and flowing waters were not found. In the FFGs, predators (48 spp.: 66.67%) were relatively larger as represented by Odonata, Coleoptera, and Hemiptera, whereas shredders and scrapers were lower in proportion. The dominant groups of HOGs were swimmers (24 spp.: 33.33%), climbers (18 spp.: 25.0%), and sprawlers (12 spp.: 16.67%), which were characterized as aquatic insects community of island. Four species: Cybister lewisianus Sharp, Helophorus auriculatus Sharp, Agrypnia pagetana Curtis, Diplonychus esakii Miyamoto & Lee that are designated as Endangered, Near Threatened, and Vulnerable (Korean Red List) have been found to inhabitthe Taean area. Also, two species belonging to the exportable species group (Ceriagrion auranticum Fraser, Paracercion melanotum (Selys)) and one species belonging to the climate-sensitive biological indicator group (Ischnura elegans (Van der Linden)) were identified. In this study, four significant species including the Endangered are presented on the Korean distribution map based on the information in the national ecosystem survey accumulated for 7 years (2006-2012) by the Ministry of Environment.

• Korean Journal of Environmental Biology
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• v.35 no.3
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• pp.413-425
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• 2017

This manuscript describes the relationship between climate change and forest growth, forest species, carbon stocks, and tree mortality. 1) In the aspect of forest growth, the growth of major coniferous species, including Pinus densiflora, had a negative correlation with temperature. On the other hand, major deciduous oak species, including Quercus variabilis and Quercus mongolica, had a positive correlation with temperature. 2) When considered in the aspect of the forest species distribution, various models commonly showed a decrease in the distribution of coniferous species and an increase in oak species due to climate change in the medium to long term. 3) From the carbon stock perspective, there was a difference in the estimation according to the status of forest management. Most of Korean forests will mature to become over-matured forest after year 2030 and are estimated to produce approximately 410 million ton forest biomass until 2090 with the current cutting regulations for sustainable forest management announced by the Korean Forest Service. 4) In the forest mortality, the mortality rate of the major coniferous species showed a clear tendency to increase higher temperatures while it decreased for the oak species with no verification of statistical significance. Moreover, the mortality of the subalpine coniferous species was projected to progress rapidly. considering the overall impacts described above, there should be a management strategy for coniferous species that are relatively vulnerable to climate change. Moreover, a sustainable forest plan in the aspect of ecosystem services, carbon sequestration and storage, which is linked to global issues such as Sustainable Development Goals, ecosystem services and negative emission.

• Journal of Environmental Impact Assessment
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• v.26 no.4
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• pp.272-289
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• 2017

This study analyzed the status of the naturalized plants in islands in Jeollanamdo from an island biogeographic perspective. As a result of a floristic analysis at 47 inhabited islands and 194 uninhabited islands, 30 families and 134 species naturalized plants are reported. The most commonly occurring naturalized plant from 141 islands was Rumex crispus. The average number of naturalized plants by islands is 20.6 species (${\pm}14.22$) at the inhabited islands and 3.7 species (${\pm}3.89$) at the uninhabited islands. Presence of fifty nine naturalized species at Geumodo in Yeosu-si is the largest in number. The naturalization ratio, which is the ratio of naturalized plants to native plants, is 7.66% (${\pm}3.96$) in the inhabitable islands and 4.97% (${\pm}3.70$) in the uninhabitable islands. The naturalization ratio among islands of the West Sea in Jeollanam-do is 5.92% (${\pm}4.49$), and it is higher than 4.96% (${\pm}2.15$) in islands in the South Sea. Especially, the naturalization ratio at the inhabitable islands, i.e., 8.39% (${\pm}4.37$) at the islands of the West Sea is higher than 5.80% (${\pm}1.41$) at islands in the South Sea. The naturalization ratio of naturalized plants at the islands shows positive correlation with the size of the island (r=0.412, p<0.01), but the correlations with distance from the mainland and altitude above sea level are not significant. Eight ecosystem disturbing species designated by law are reported, and each species shows distinct distributional ranges. The regional differences in the number of naturalized plant species seem to be a result of the complex reflection of natural and human environmental factors, such as the degree of traffic between mainland and islands, degree of cultivation activities, along with the physical environmental differences. Since islands have limited habitats and resources, islands could be more vulnerable to the incoming species from outside, and environmental changes than mainland. Therefore, continuous monitoring and management against the naturalized plants in islands are needed.