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      • KCI등재

        Validation of Cancer Diagnosis Based on the National Health Insurance Service Database versus the National Cancer Registry Database in Korea

        양민수,박민애,백종환,이경현,신지혜,김규웅,서화정,김영애 대한암학회 2022 Cancer Research and Treatment Vol.54 No.2

        Purpose This study aimed to assess the feasibility of operational definitions of cancer patients in conducting cancer-related studies using the claims data from the National Health Insurance Service (NHIS). Materials and Methods Cancer incidence data were obtained from the Korean Central Cancer Registry, the NHIS primary diagnosis, and from the rare and intractable disease (RID) registration program. Results The operational definition with higher sensitivity for cancer patient verification was different by cancer type. Using primary diagnosis, the lowest sensitivity was found in colorectal cancer (91.5%; 95% confidence interval [CI], 91.7 to 92.0) and the highest sensitivity was found in breast cancer (97.9%; 95% CI, 97.8 to 98.0). With RID, sensitivity was the lowest in liver cancer (91.9%; 95% CI, 91.7 to 92.0) and highest in breast cancer (98.1%; 95% CI, 98.0 to 98.2). In terms of the difference in the date of diagnosis in the cancer registration data, > 80% of the patients showed a < 31-day difference from the RID definition. Conclusion Based on the NHIS data, the operational definition of cancer incidence is more accurate when using the RID registration program claims compared to using the primary diagnosis despite the relatively lower concordance by cancer type requires additional definitions such as treatment. PurposeThis study aimed to assess the feasibility of operational definitions of cancer patients in conducting cancer-related studies using the claims data from the National Health Insurance Service (NHIS). Materials and MethodsCancer incidence data were obtained from the Korean Central Cancer Registry, the NHIS primary diagnosis, and from the rare and intractable disease (RID) registration program.ResultsThe operational definition with higher sensitivity for cancer patient verification was different by cancer type. Using primary diagnosis, the lowest sensitivity was found in colorectal cancer (91.5%; 95% confidence interval [CI], 91.7 to 92.0) and the highest sensitivity was found in breast cancer (97.9%; 95% CI, 97.8 to 98.0). With RID, sensitivity was the lowest in liver cancer (91.9%; 95% CI, 91.7 to 92.0) and highest in breast cancer (98.1%; 95% CI, 98.0 to 98.2). In terms of the difference in the date of diagnosis in the cancer registration data, > 80% of the patients showed a < 31-day difference from the RID definition. ConclusionBased on the NHIS data, the operational definition of cancer incidence is more accurate when using the RID registration program claims compared to using the primary diagnosis despite the relatively lower concordance by cancer type requires additional definitions such as treatment.

      • KCI등재

        전악수복환자에서 Shilla system을 이용한 교합평면 재구성 증례

        양민수,방몽숙,박상원,임현필,윤귀덕,양홍서,Yang, Min-Soo,Vang, Mong-Sook,Park, Sang-Won,Lim, Hyun-Phil,Yun, Kwi-Dug,Yang, Hong-So 대한치과보철학회 2013 대한치과보철학회지 Vol.51 No.1

        교합평면은 시상면적인 치열궁 형태를 나타내는 것으로, 악구강계를 구성하는 요소의 하나인 교합을 형태적으로 구성한다. 본 증례에서는 생체의 정중 시상면에 대한 수평, 측방좌표를 교합기상에 재현하여 상하악 치아 및 결손부 치조제에 대한 좌우 동적인 위치관계 얻기 위해 Shilla system (Hamans, Tokyo, Japan)을 이용하여 교합평면을 재구성 하였다. 본 증례의 환자는 41세의 남자 환자로 상악 전치부 10본금속-도재 고정성국소의치 파절 및 탈락과 전반적인 치료를 주소로 내원하였다. 임상 검사, 방사선 검사, 모형분석을 통해 임플란트 식립을 동반한 완전구강회복술을 하기로 결정하였다. Gothic Arch device (Centrofix; AmannGirrbach GmbH, Germany)를 이용하여 악간관계를 채득하고 마운팅 후, Shilla system을 이용하여 기존 교합평면을 평가, 분석하여 진단 납형을 제작하였다. 이를 토대로 방사선 스텐트를 제작하여 임플란트 식립하였고, 진단 납형을 이용하여 임시수복물을 제작하였다. 임시 수복물의 형태 및 교합 양식을 재현하기 위해 맞춤 전방유도판을 제작하고, 교차 마운팅을 시행하였으며 최종 수복물은 지르코니아 코핑을 이용한 완전 도재관으로 제작하였다. 이상과 같이 전악수복환자에서 진단과 치료 과정에서 Shilla system을 이용하여 적절한 심미적, 기능적 수복 결과를 얻을 수 있었다. Occlusal plane is a sagittal expression of dental arch form, and it composes the shape of occlusion, which is one of the most important elements of Maxillo-oral system. In this case, vertical, horizontal coordinates of bionic-median-sagittal plane was produced in articulator, and to achieve relation of left and right position of upper, lower teeth and deficits in alveola, Shilla system was used to reconstruct occlusal plane. In this case, a 41 year-old male patient visited for fracture of 10 unit metal-ceramic fixed partial denture of upper anterior teeth and for overall treatment. Clinical, radiographical, model examination was held, full mouth rehabilitation was achieved by placing dental implant. Maxillo-oral relation was recorded using Gothic arch Tracer complex and were mounted. And for the next step, we estimated original occlusal plane using Shilla system. After analysis we produced diagnosis wax pattern. On the basis of this, radiography stent was manufactured and dental implant was placed, and temporary prosthesis was made by using diagnosis wax pattern. Cross mounting and anterior guiding table were performed in order to reproduce temporary restoration morphology and bite pattern, followed by final restoration made of all ceramic crown with zirconia coping. As stated above, appropriately esthetic and functional results can be seen in using Shilla system in diagnosis and treatment procedure of full mouth rehabilitation patient.

      • KCI등재

        영어 학습에서 단어 사용빈도에 따른 단어 속 영어 자음 인지

        양민수 ( Min-soo Yang ),주미란 ( Meeran Joo ),이영림 ( Young-lim Lee ) 한국외국어대학교 외국어교육연구소 2021 외국어교육연구 Vol.35 No.2

        본 연구는 단어의 지각에 영향을 미치는 요인 중 하나인 단어의 빈도가 단어 내의 자음 인지에 영향을 미치는지 알아보고자 하였다. 본 연구의 실험을 위해 한 단어의 쌍으로 유사발음 자극을 사용하였다. 총 36명의 참가자들에게 단어의 빈도 (고빈도 & 저빈도), 빈도가 다른 단어의 제시 순서 (고빈도-저빈도 순서 & 저빈도-고빈도 순서), 자음 쌍의 종류 (r/l, p/f, b/v), 자음의 위치 (단어의 처음과 중간)에 따라 단어를 제시하였다. 원래의 단어 또는 유사 발음 단어를 들려주고 보여지는 단어와 같은지 또는 다른지 반응하도록 하였다. 실험 결과, 참가자들이 고빈도 단어 후 저빈도 단어를 수행한 경우 저빈도 단어의 자음을 더 잘 인지했고 저빈도 단어 후 고빈도 단어를 수행한 경우엔 고빈도 단어의 자음을 더 잘 인지했다. 또한 자음의 쌍과 자음의 위치에 따라서도 다른 결과가 나타났다. 이러한 결과는 단어 빈도뿐만 아니라 단어의 제시 순서가 자음 인지에 영향을 미쳤다고 볼 수 있다. 따라서 자음 발음의 지각 및 생성과 관련된 영어 학습에서 학습 순서가 효과적인지 추후 연구할 필요가 필요함을 시사한다. The purpose of this study was to investigate whether frequency of words which has an effect on perception of words also played a role in recognition of phonetic consonants in words. In this study, we created pseudo-pronunciation words and used for the task of the experiment. A total of 36 participants were presented written words differentiated with the frequency of words (high & low), order of presentation (high frequency-low frequency order & low frequency-high frequency order), consonant pairs (r/l, p/f, b/v), and location of consonants (onset & medial). They were listened to the correct or pseud-pronunciation word and asked to respond to correct or incorrect. The results showed that participants recognized low frequency words more accurately when those were followed by high frequency words and high frequency words more accurately when those were followed by low frequency words. The recognition of consonants was also depended on consonant pairs and locations. The results showed that frequency of words interacted with order of presentation had an effect on recognition of phonetic consonants. Thus, this study suggests that further investigation whether order of learning is effective on English learning of perception and production of phonetic consonants.

      • KCI등재

        Brachytherapy utilization rate and effect on survival in cervical cancer patients in Korea

        김영애,양민수,박민애,최민지,김소영,김연주 대한부인종양학회 2021 Journal of Gynecologic Oncology Vol.32 No.6

        Objective: External beam radiation therapy (EBRT) with concurrent chemotherapy followed by intracavitary brachytherapy is the standard treatment in locally advanced cervical cancer. This study examined the brachytherapy utilization rate and evaluated the effect of brachytherapy on survival in cervical cancer patients in Korea. Methods: In this study, data from the Korea Central Cancer Registry and Korean National Health Insurance Service and data on mortality from Statistics Korea were linked and used. Patients with other cancers, distant metastasis at diagnosis, or unknown stage or who underwent hysterectomy were excluded. A total of 12,721 cervical cancer patients were analyzed in this study. Results: The brachytherapy utilization rate (%) was calculated as the proportion of patients who received brachytherapy among those who received curative EBRT. The brachytherapy utilization rate decreased from 84% in 2005 to 78% in 2013 (p<0.001). Brachytherapy utilization rates varied by region, ranging from 72% to 100% except for in Jeju Island, where the rate was 56%. The brachytherapy utilization rate was lower in patients older than 80 years; patients with localized disease, non-squamous cell carcinoma, or Charlson comorbidity index 3 or more; patients diagnosed after 2010; patients from certain regions; patients receiving medical aid; and patients who underwent gynecologic procedures. Multivariable Cox regression analysis showed that brachytherapy when added to curative EBRT was independently associated with better cancer-specific survival (CSS) and overall survival (OS) than curative EBRT only. Conclusion: The brachytherapy utilization rate decreased from 2005 to 2013 and varied by region in Korea. Brachytherapy use is independently associated with significantly higher CSS and OS in cervical cancer.

      • 전기화학적 합성방법이 폴리아닐린의 도핑레벨에 미치는 영향

        김은옥,김재훈,양민수 水原大學校 2016 論文集 Vol.30 No.-

        The polyaniline films doped with HCl were grown on indium tin oxide by potentiodynamic and potentiostatic polymerization methods. To study the influence of the deposition method on the doping level of the films, Fourier transform infrared/ATR, ultraviolet-visible, and Raman spectroscopy were used. Polyaniline deposited potentiodynamically showed higher doping level as well as oxidation state than the deposited potentiostatically.

      • 모바일에서 압축분할과 다중 클라우드 스토리지 저장을 통한 보안 향상기법 연구

        신형섭 ( Hyung-sup Shin ),양민수 ( Min-su Yang ),송양의 ( Yang-eui Song ) 한국정보처리학회 2012 한국정보처리학회 학술대회논문집 Vol.19 No.2

        모바일 디바이스의 사용이 활발해지면서 사용자들은 PC에서 사용하는 서비스를 모바일 디바이스로 사용하려고 한다. 모바일 디바이스는 PC에 비해 자원이 한정적이며, 이러한 문제를 클라우드 서비스를 통해 해결하고 있다. 특히 모바일 디바이스의 제한된 저장 공간을 클라우드 스토리지를 이용함으로서 저장공간에 대한 제한성을 해결한다. 하지만 중앙 집중형태로 저장되는 클라우드 스토리지의 보안문제는 아직도 현재 진행형이며, 네트워크상에 다양한 공격 위협으로부터 노출되어 있다. 본 연구에서 모바일 디바이스에서 클라우드 스토리지로 데이터를 저장 할 때 보안을 향상시킬 방법을 제안하고 일반 전송서버와 시간을 비교하였으며 실험을 통해 안정된 성능을 입증하였다.

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