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id stringlengths 12 12	format stringclasses 2 values	title_ko stringlengths 0 811 ⌀	title_en stringlengths 0 1.26k ⌀	journal dict	authors listlengths 0 15	abstract_ko stringlengths 0 4k ⌀	keywords stringclasses 157 values	citation_count stringclasses 5 values	doi stringlengths 0 127 ⌀	file_source stringlengths 23 23
ART003298744	oai_dc	해양기반 킬웹 구축을 위한 광해역 수중감시체계 발전 방향	Development Directions for a Wide-area Underwater Surveillance System to Build a Maritime-based Kill Web	{ "journal_name": "한국해군과학기술학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "박영빈(해군대학); 손종락(해군대학)" ]	본 연구는 한반도 주변 수중 안보위협에 대응하기 위해광해역 수중감시체계의 발전방향을 제시하였다. 이를위해 해군기술기획서 상의수중분야 로드맵을 토대로핵심기술을 확인하고, 한반도에 적용하기 위한 해역별수중감시체계 구성 및 운용방안을 제시하였으며, 합동전투발전요소 측면에서 균형적인 발전방향을제시하였다. 광해역 수중감시체계의 발전은 해양기반킬웹 구축에 초석이자, 다영역전장을 주도하는핵심전력이 될 것이다.	군사학	null	http://dx.doi.org/10.31818/JKNST.2025.12.8.4.704	kci_detailed_023461.xml
ART003298780	oai_dc	암모니아 가스 농도 예측을 위한 딥러닝 활용 검토	A Study on Deep Learning Approaches for Predicting Ammonia Gas Concentration	{ "journal_name": "한국해군과학기술학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "전민규(해군사관학교); 윤성환(국립한국해양대학교)" ]	최근 산·학·연·군 협력은 국방 혁신을 진전시키고자하며, 해군은 미래 전장을 위한 신기술을 모색하고 있다. 탈탄소를 위한 대체 연료인 암모니아(NH3)는 선상에서독성을 나타내며 발화 위험이 높다. 본 연구에서는SD-LBC를 이용한 TDLAS를 사용하여 암모니아 농도를측정한다. 5개의 선택된 흡수 파장에 1D-CNN을적용하여 시계열 데이터로부터 농도 분류를평가하였다.	군사학	null	http://dx.doi.org/10.31818/JKNST.2025.12.8.4.888	kci_detailed_023461.xml
ART003298753	oai_dc	머신러닝을 활용한 배터리 열폭주 전조 이상 탐지 기법	Machine Learning-based Method for Detecting Thermal Runaway Precursors in Batteries	{ "journal_name": "한국해군과학기술학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "안원기(한화시스템); 박성순(한화 시스템)" ]	본 연구는 리튬이온 배터리의 정상 운전 로그를기반으로 LSTM Autoencoder를 학습하고, 열폭주 전조구간을 합성하여 테스트 데이터로 활용하였다. 모델은재구성 오차(MSE)를 통해 비정상 패턴을 조기에탐지하였으며, 해군 운용 환경에서의 배터리 안전성확보를 위한 조기 경고 시스템으로의 적용 가능성을확인하였다.	군사학	null	http://dx.doi.org/10.31818/JKNST.2025.12.8.4.760	kci_detailed_023461.xml
ART003298739	oai_dc	시나리오 기반 레이다 설계안에 따른 효과도 분석 방법	Measure of Effectiveness Analysis Method According to Scenario-based Radar Design Conditions	{ "journal_name": "한국해군과학기술학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "박명훈(LIG넥스원(주)); 전우중(LIG넥스원(주)); 김현승(LIG넥스원); 현철(LIG 넥스원); 정동민(LIG넥스원); 장재덕(LIG넥스원)" ]	본 연구는 레이다 체계의 운용 효과를 정량적으로평가하기 위한 MOE(measure of effectiveness) 기반분석 방법을 제안한다. 제안된 방법은 레이다의 주요성능 지표를 효용 함수로 정규화하고, 임무 목적에 따른가중치를 적용하여 종합 효과도를 산출하는 절차로구성된다. 세 가지 레이다 설계안과 네 가지 운용시나리오를 적용한 사례 분석을 통해, 임무 환경 변화에따라 각 설계안의 효과도가 상이하게 평가됨을확인하였다. 분석 결과는 단일 성능 항목의 절대적우수성보다 운용 목적에 적합한 성능 조합이 레이다효과도를 결정짓는 주요 요인임을 시사한다. 본 연구의방법론은 체계 설계 단계에서의 성능 균형 검토와 운용개념 수립을 위한 정량적 의사결정 도구로 활용될 수있다.	군사학	null	http://dx.doi.org/10.31818/JKNST.2025.12.8.4.674	kci_detailed_023461.xml
ART003298749	oai_dc	해상 기반 군 운용환경에서 양자기술 적용 방안 및 발전 방향	Strategies for Applying QKD and WDM-based Quantum Technologies in Maritime Operations	{ "journal_name": "한국해군과학기술학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "서형식(고려대학교); 허준(고려대학교)" ]	해상 운용환경은 다층 통신망과 가변 채널로 인해 기존암호만으로는 장기적 보안성과 운용 유연성을 확보하기어렵다. 본 연구는 위성, 지상, 함정망의 3계층 구조를전제로, QKD의 CV/DV 역할 분담, WDM 기반 양자-고전공존 전송 구조, AI-quantum 결합을 통한 의사결정보강을 통합적으로 제안한다. 특히 파장 배치와가드밴드 등 WDM 운용 설계를 강조하고, 3단계 전력화로드맵(실증, 표준화, 운용 체계화)을 제시한다. 종합하면, 제안한 접근은 망 교체 없이 보안과의사결정의 심도를 점진적으로 강화하는 실용적 경로를제공한다.	군사학	null	http://dx.doi.org/10.31818/JKNST.2025.12.8.4.738	kci_detailed_023461.xml
ART003298757	oai_dc	무인기 상호 운용성 확보를 위한 비행체 특정 모듈 SDK 아키텍처 설계 및 구현	Design and Implementation of a Vehicle Specific Module SDK Architecture for UAV Interoperability	{ "journal_name": "한국해군과학기술학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "이도언(한화시스템); 김영곤(한화시스템)" ]	현대 무인항공기(UAV) 시스템의 발전과 다양화로 인해, 비표준 플랫폼을 표준 운용체계(STANAG 4586 등)에연동하기 위한 상호 운용성 확보가 중요한요구사항으로 대두되고 있다. 본 논문에서는 다양한비행체 환경에 적용 가능한 비행체 특정 모듈(vehicle specific module)을 SDK(software development kit) 형태로 설계하고 구현한 사례를 제시한다. 제안된SDK는 시스템 관리, 프로토콜 변환, 메시지 시스템, 원격디스플레이의 네 가지 도메인으로 구성되며, 표준메시지와 비행체 고유 메시지 간의 변환, 데이터 링크제어, 메시지 검증 등의 기능을 제공한다. 본 시스템은Linux 기반의 i.MX8 임베디드 플랫폼 및 PC 환경에서구현되었으며, 비행 모의 모델과 UCS 연동 시험을 통해기능적 타당성을 검증하였다.	군사학	null	http://dx.doi.org/10.31818/JKNST.2025.12.8.4.785	kci_detailed_023461.xml
ART003298710	oai_dc	국산화 MMIC를 적용한 Ku 대역 소형 레이다용 주파수 합성기	Frequency Synthesizer for Ku-band Compact RADAR with Domestically developed MMIC	{ "journal_name": "한국해군과학기술학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "강호진(LIG넥스원(주)); 신민정(LIG넥스원(주)); 이만희(LIG넥스원); 김홍락(LIG 넥스원(주)); 박진성(국방과학연구소)" ]	본 논문에서는 국산화 개발된 MMIC를 적용하여Ku 대역 소형 레이다용 주파수합성기를 설계, 제작 및측정을 진행하였다. 주파수합성기는 레이다 시스템에필요한 주파수 및 파형을 생성하는 역할을 한다. 국내국산화 개발된 MMIC를 적용하여 소형 레이다 시스템에적용 가능성을 확인하였다. 제안된 주파수합성기는Ku 대역 ± ○○○ MHz 출력 주파수에서 출력전력7.2 dBm - 9.4 dBm, 불요파 특성 -50 dBc, 1 kHz 오프셋주파수에서 위상잡음 -76 dBc/Hz를 달성하였다.	군사학	null	http://dx.doi.org/10.31818/JKNST.2025.12.8.4.608	kci_detailed_023461.xml
ART003298754	oai_dc	교전 수준의 능동 소나 잔향음 모의 방안 연구	A Study on Simulation Methods for Active Sonar Reverberation in Engagement Level Conditions: A Modeling and Analysis Approach	{ "journal_name": "한국해군과학기술학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "유승기(LIG넥스원); 오선택(LIG넥스원); 정동민(LIG넥스원); 장재덕(LIG넥스원); 최지웅(한양대학교 ERICA 국방지능정보융합공학부)" ]	본 논문에서는 교전 수준의 해군용 M&S 체계에서 능동소나 운용 시 발생하는 잔향음을 효과적으로 모의하기위한 방안을 제안한다. 잔향음 발생 기작을 기반으로개략적인 모의가 가능하며 다양한 해양 환경 변수를고려 하여 잔향음 준위를 정량적으로 계산할 수 있도록하였다. 제안한 방안의 신뢰성 확인을 위해 계산 결과를공학급 정밀 모델 결과와 비교하였다. 제안된 방안은실시간 또는 그 이상의 연산속도를 요구하는 M&S 체계에 적용할 수 있도록 고려되었으며, 이를 통해전술적 의사결정 지원 및 소나 체계의 운용의 효과분석에 기여할 수 있을 것으로 기대된다.	군사학	null	http://dx.doi.org/10.31818/JKNST.2025.12.8.4.767	kci_detailed_023461.xml
ART003298771	oai_dc	RTOS PLC 로그 데이터 암호화 및 역재생 시스템 설계	Design of an Encryption-based Log Data Replay System for RTOS-based PLC	{ "journal_name": "한국해군과학기술학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "이수진(KTE 기술연구소); 김의현(KTE기술연구소); 김주헌(KTE기술연구소); 남수민(KTE기술연구소)" ]	본 논문에서는 RTOS 기반 PLC 로그 데이터를 안전하게관리하고 재생하기 위한 암호화 기반 로그 처리시스템을 설계, 구현하였다. 제안된 시스템은 FTP 서버에서 수집한 로그를 암호화해 데이터베이스에저장하고, 복호화를 통해 HMI에서 실시간으로재생한다. 또한 PyQt5 기반 GUI를 통해 태그 단위모니터링을 구현, 운전 상태와 제어 동작을 직관적으로분석할 수 있도록 하였다.	군사학	null	http://dx.doi.org/10.31818/JKNST.2025.12.8.4.810	kci_detailed_023461.xml
ART003298748	oai_dc	통합체계지원에서의 품질관리 정량적 평가 지표 개발	Development of Quantitative Evaluation Indicator for Quality Management in Integrated Product Support	{ "journal_name": "한국해군과학기술학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "서양우(LIG넥스원); 김성범(LIG넥스원); 박유빈(LIG넥스원); 안지수(LIG넥스원 PGM IPS연구소)" ]	공급자가 제공하는 제품 및 서비스가 일정한 기준을불만족하는 경우 반드시 조치 활동이 수반되는품질관리 프로세스가 실행되어야 한다. 이에 따라, 본논문에서는 제품/산출물의 대한 품질 평가를 반영할 수있는 정량적 평가지표를 개발하였다. 우선, 9가지체크리스트 항목별로 각각의 평가항목을 세분화하였다. 이 후, 세분화한 평가항목에 대한 정량 평가지표인만족도를 설정하였다. 이 때, 만족도는 만족(S), 보통(N), 불만족(D) 3가지로 구분하여 평가점수를 부여하였으며, 품질통제점별로 정량 평가 점수가 80점 미만이면, 보완후 재수행하는 절차를 수행하도록 하였다. 본 논문의정량 평가가 가능한 품질관리시스템을 적용하면, 객관성 및 신뢰성이 확보된 품질관리가 가능하다.	군사학	null	http://dx.doi.org/10.31818/JKNST.2025.12.8.4.732	kci_detailed_023461.xml
ART003298755	oai_dc	AI-CGF를 활용한 해군 전술훈련체계 혁신방안 연구	A Study on Innovation of Naval Tactical Training Systems by Applying AI-CGF	{ "journal_name": "한국해군과학기술학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "유호휘(해군본부); 최명섭(해군); 이우석(해군); 이주영(한남대학교)" ]	본 연구는 인공지능 기반 컴퓨터 생성 가상군을활용하여 해군 전술훈련체계의 혁신 방안을 제시한다. 기존 전술훈련장의 한계인 고정화된 시나리오, 교관의존성, 무인 전력 반영 부족, 데이터 활용 미비 등을분석하였다. 이를 극복하기 위해 AI-CGF 기술, 유무인복합체계, 디지털 트윈, 시뮬레이션 기반 의사결정지원을 통합한 차세대 훈련체계를 제안하였다. 이는동적 시나리오 생성, 지능형 적군 구현, 데이터 기반전술분석 및 교리 발전을 가능하게 하여 훈련 현실성과효율성을 향상시키고, 미래 해군 전술 훈련 개념을선도할 수 있는 기여점을 갖는다.	군사학	null	http://dx.doi.org/10.31818/JKNST.2025.12.8.4.773	kci_detailed_023461.xml
ART003298745	oai_dc	세분 선박 원격탐사 이미지 분류를 위한 엣지 강화 컨볼루션 신경망 학습	Edge-enhanced CNN Training for Fine-grained Ship Classification in Remote Sensing	{ "journal_name": "한국해군과학기술학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "박창주(해군사관학교)" ]	Fine-grained ship remote sensing image classification is essential for maritime survei lance and defense. However, CNN-based fine-grained classification often struggle from subtle inter-class differences, low resolution, and limited data. This study proposes a framework that enhances CNN learning using edge-enhanced images generated through the holistica ly-nested edge detection (HED) algorithm. Applied to ResNet-50, DenseNet-121, and EfficientNet-B0, proposed framework improved classification accuracy over models trained on original images. The results demonstrate that edge-based learning effectively enhances ship classification accuracy with limited datasets.	군사학	null	http://dx.doi.org/10.31818/JKNST.2025.12.8.4.710	kci_detailed_023461.xml
ART003298743	oai_dc	해군 주요 기항지에서의 PID 제어 기반 플로팅 도크의 실용성 평가	Evaluation of the Practical Feasibility of a PID-controlled Floating Dock at Major Naval Bases	{ "journal_name": "한국해군과학기술학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "박승정(해군사관학교); 송시연(해군사관학교); 이제욱(해군사관학교); 전민규(해군사관학교)" ]	본 연구는 해군 함정의 정비 효율성 향상을 위해 고정식드라이 도크를 대체할 수 있는 플로팅 도크의 적용가능성을 검토하였다. 진해, 부산, 제주, 동해 해역의해상 데이터를 이용해 PID 제어 기반 밸러스트 자동제어시스템이 적용된 플로팅 도크의 롤 복원 특성을수치해석하였다. 시뮬레이션은 1자유도 롤 방정식과JONSWAP 파랑모델을 사용하였으며, 유의파고(Hs)와첨두주기(Tp)는 기상청 2024년 부이 데이터를활용하였다.	군사학	null	http://dx.doi.org/10.31818/JKNST.2025.12.8.4.699	kci_detailed_023461.xml
ART003298778	oai_dc	동해 중규모 와류장에서의 글라이더 관측 기반 소나 성능 : 3kHz 주파수에서의 HMS와 VDS 계절 비교	Glider-resolved Sonar Performance in Mesoscale Eddy Fields of the East Sea: Seasonal Comparison of HMS and VDS at 3 kHz	{ "journal_name": "한국해군과학기술학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "임규창(경북대학교 경북해양과학연구소); 박종진(경북대학교)" ]	본 연구는 38°N 글라이더 단면으로부터 구축한범위-의존 음속장(RD-SSP)을 이용해 동해의 계절성과중규모 소용돌이가 소나 탐지성능에 미치는 영향을정량화하였다. 전파손실(TL), ∆TL, 신호초과(SE)를산출하고, 누적/최대 탐지거리를 평가함으로써, RD는전선 및 소용돌이에서 RI 대비 TL을 유의하게감소시키고, 여름의 얇은 혼합층과 차등 성층에서VDS가 HMS보다 연속/최대 탐지거리가 크게 증가함을확인하였다. 이로부터 관측기반 RD 음향장과 VDS의운용적 중요성과 평균장(Munk/HYCOM) 의존 추정의한계를 보완한다.	군사학	null	http://dx.doi.org/10.31818/JKNST.2025.12.8.4.872	kci_detailed_023461.xml
ART003298735	oai_dc	해양기반 3축 체계 고도화 방안에 관한 연구 : 핵잠재력 보유 시 고도화 방안을 중심으로	A Study on the Enhancement of the Maritime-based Three-axis System: Focusing on Development Options Under a Nuclear Latency Framework	{ "journal_name": "한국해군과학기술학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "김승호(해군대학); 손종락(해군대학)" ]	본 연구는 북핵위협에 대응하기 위해 해양기반 3축체계고도화 방안을 핵잠재력 보유 시 고도화 방안을중심으로 제시하였다. 핵잠재력 보유 시 여러 무기체계중 현실적이고 전략적 가치가 높은 원자력 추진잠수함에 대한 도입 필요성, 타국 운용사례, 기술수준분석, 원자력 추진 잠수함 확보 방향을 제시하였다. 합동전투발전요소 측면에서 제시한 해군이 수행해야 할과제는 원자력 추진 잠수함 확보를 위해 해군이 중심이되어 지속적인 노력을 기울여야 할 것이다.	군사학	null	http://dx.doi.org/10.31818/JKNST.2025.12.8.4.647	kci_detailed_023461.xml
ART003298736	oai_dc	군 항공기용 임베디드 시스템 기반의 효율적 데이터 저장기법 설계	Efficient Data Storage Algorithm Design Based on Embedded System for Military Avionics	{ "journal_name": "한국해군과학기술학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "김신영(한화시스템); 장우림(한화시스템); 조현철(한화시스템 항공연구센터)" ]	본 논문에서는 군 항공기용 임베디드 시스템에서다주기 데이터를 효율적으로 저장하기 위한 프레임기반 데이터 저장 기법을 제안한다. 항공전자 시스템은고신뢰성, 실시간성, 정확한 시간 동기화가필수적이며,전자전통제장치(EWS/EWC)와 같은생존체계에서 다양한 주기의 데이터가 복합적으로발생한다. 본 연구는 50 Hz 주기의 실시간 운영체제환경에서 데이터의 주기성과 시작 시점을 최적화하여데이터 중복과 저장 지연을 최소화하는 스케줄링테이블 기반 알고리즘을 설계하였다. 제안된 기법은20 KB 단위의 데이터 묶음을 물리적 저장소에효율적으로 저장함으로써 CPU 사용률 감소와 저장시간 단축을 달성하였다.	군사학	null	http://dx.doi.org/10.31818/JKNST.2025.12.8.4.653	kci_detailed_023461.xml
ART003298804	oai_dc	Mitigating indoor overheating caused by commercial refrigerators: an experimental and simulation-based evaluation of a passive heat management dissipation approach	Mitigating indoor overheating caused by commercial refrigerators: an experimental and simulation-based evaluation of a passive heat management dissipation approach	{ "journal_name": "대한설비공학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "Aaron Gerlinger(Faculty of Architecture and Design, Stuttgart Technical University of Applied Sciences (HFT Stuttgart)); Jan Cremers(Faculty of Architecture and Design, Stuttgart Technical University of Applied Sciences (HFT Stuttgart)); Uli Jakob(Faculty of Architecture and Design, Stuttgart Technical University ...	The increasing demand for space cooling poses a major challenge to energy systems and buildings, both residential and commercial applications. Cost-effective and easily deployable solutions are widely needed to tackle this challenge. Heat emitted to the indoor from equipment is critical, particularly cooling units such as refrigerators and freezers. The impact of heat rejected from refrigerators on the indoor climate of small shops and supermarkets have been widely overlooked. This study presents and investigates an innovative and low-tech solution to control the heat dissipation of indoor cooling units, leading to increased comfort and reduced cooling demand. The solution, designed to be installed as a retrofit measure, controls the exhaust air ducting. Thus, it does not provide cooling, but manages the waste heat from refrigerators. This study includes the monitoring of an actual kiosk in Stuttgart, Germany, to meter refrigerators’ power consumption, a lab-scale prototype testing to prove the methodology of the solution and additionally dynamic thermal simulations via TRNSYS18 for different climates to analyze the performance and impact of the novel solution. The prototype showed the effectiveness of the control strategy during the lab-testing. The simulation results for Stuttgart show that controlled heat dissipation can reduce overheating degree hours by up to 97%, resulting in a potential cooling demand reduction of up to 83%. Overall, the findings reveal an underutilized potential in existing appliances to contribute to energy-efficient building operation and lay the groundwork for future research into optimization, control strategies, and broader application of such hybrid concepts.	기계공학	null	http://dx.doi.org/10.1007/s44189-026-00100-x	kci_detailed_023461.xml
ART003298858	oai_dc	대사이상지방간질환 환자에서 비침습적 검사를 이용한 간세포암종 위험도 기반 감시 전략	Non-invasive Risk-based Surveillance Strategy for Hepatocellular Carcinoma in Patients with Metabolic Dysfunction-associated Steatotic Liver Disease	{ "journal_name": "대한소화기학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "한지원(가톨릭대학교 의과대학 서울성모병원 소화기내과)" ]		내과학	null		kci_detailed_023461.xml
ART003298845	oai_dc	현재 치료용 로봇 내시경 플랫폼의 현황	Current Status of Robotic Therapeutic Endoscopic Platforms	{ "journal_name": "대한소화기학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "김상현(고려대학교 의과대학 안암병원 소화기내과)" ]	Advances in gastrointestinal endoscopy have expanded its role from diagnosis to definitive therapy, leading to a paradigm shift in the management of gastrointestinal diseases. As therapeutic endoscopic procedures become increasingly complex, there is a growing demand for enhanced precision, stability, and control beyond the capabilities of conventional endoscopes. In response, various robotic endoscopic platforms have been developed to improve visualization, dexterity, and procedural safety, particularly for technically demanding interventions such as endoscopic submucosal dissection (ESD). Robotic therapeutic endoscopy systems can be broadly categorized into multitasking robotic platforms and robotic add-on platforms. Multitasking platforms enable bimanual manipulation, triangulation, and effective tissue traction but are often limited by high cost, system complexity, and workflow constraints. In contrast, robotic add-on platforms are designed to integrate with conventional endoscopes, offering improved maneuverability and traction with minimal disruption to clinical practice. Recent preclinical and early clinical studies, including first-in-human and randomized pilot trials, have demonstrated the feasibility and safety of robotic-assisted ESD, with potential benefits in procedural efficiency, learning curve reduction, and operator workload. Despite ongoing challenges related to cost-effectiveness, device integration, and widespread commercialization, robotic endoscopy represents a promising therapeutic platform. Continued technological refinement and accumulation of clinical evidence are expected to further define its role in advancing precision, standardization, and accessibility in therapeutic gastrointestinal endoscopy.	내과학	null		kci_detailed_023461.xml
ART003298844	oai_dc	내시경 인공지능의 임상 적용: 인간-인공지능 상호작용 관점에서	Clinical Implementation of Artificial Intelligence in Endoscopy: A Human-Artificial Intelligence Interaction Perspective	{ "journal_name": "대한소화기학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "공은정(한림대학교 의과대학 내과학교실); 방창석(한림대학교 간소화기센터)" ]	Artificial intelligence (AI) for gastrointestinal endoscopy has shown remarkable performance in detecting and characterizing lesions. A randomized controlled trial reported that AI significantly reduced the miss rates for gastric neoplasms, but real-world implementation studies have shown inconsistent results. This discrepancy cannot be explained solely by technical limitations. Regardless of the AI capabilities, the visualization quality and systematic inspection remain fundamental prerequisites, and traditional apprenticeship training cannot be replaced by technology. This review examines AI implementation in endoscopy from a human- AI interaction perspective. Two cognitive phenomena are relevant: ‘automation neglect,’ where experienced endoscopists dismiss AI recommendations due to overconfidence or distrust, and ‘automation bias,’ where users over-rely on AI outputs, potentially missing unhighlighted lesions. Recent evidence raises concerns regarding deskilling, with studies showing decreased diagnostic performance after exposure to AI. A systematic analysis of 52 human-AI teaming studies showed that none achieved ideal complementarity, and collaboration sometimes decreased accuracy compared to humans alone. AI effectiveness varies according to operator expertise. High-performing endoscopists gain minimal benefit, while those with intermediate experience show the greatest improvement. Nevertheless, excessive false-positive alerts can negate benefits. Strategies to address these challenges include explainable AI, human-centered design, structured education, trust calibration, and expertise-tailored AI systems. Maintaining human expertise remains paramount. AI is a powerful tool, but clinicians must remain the final decision maker. Periodic AI-free practice may be necessary to preserve clinical competence.	내과학	null		kci_detailed_023461.xml
ART003298853	oai_dc	증상이 없는 평균 위험군 수검자에 대한 대장종양 선별 검사를 위한 분변기반 SDC2 메칠화 검사에 대한 연구	Stool DNA-based SDC2 Methylation Test for the Screening of Colorectal Neoplasia in an Asymptomatic, Average-Risk Population	{ "journal_name": "대한소화기학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "최형일(강동경희대학교병원 내과); 차재명(강동경희대학교병원 내과, 경희대학교 의과대학 내과); 김영상(CHA 의과학대학교 분당차병원 가정의학과); 조대현(성균관대학교 의과대학 삼성창원병원 내과); 박한주(유성선병원 가정의학과); 나수영(가톨릭대학교 의과대학 인천성모병원 내과); 김지혜(연세대학교 의료원 세브란스 체크업 건강증진센터); 김현건(순천향대학교 의과대학 내과); 박영진(동아대학교 의과대학 동아대학교병원 가정의학과); 권혜정(일신기독병원 내과); 김경옥(영남대학교 의과대학 내과학교실); 이건호(대구가톨릭대학교병원 가정의학과); 이유진(계명대학교 의과대...	Background/Aims: Programmatic screening for colorectal cancer (CRC) could maximize the impact of screening in the average-risk population, but the diagnostic performance of a stool DNA-based Syndecan-2 methylation (meSDC2) test has only been reported in case-control studies or high-risk populations. This study examined the performance of a stool DNA-based meSDC2 test for CRC in an average-risk population from a real-world setting. Methods: This retrospective, multicenter study included consecutive asymptomatic, average-risk individuals for CRC who completed a meSDC2 stool test at 18 hospitals. The clinical performance of the meSDC2 stool test, including the positive rate, adherence to confirmatory colonoscopy, and the positive predictive value (PPV) for colorectal neoplasia (CRN), was assessed. Results: Over 54 months, 4,910 individuals completed the meSDC2 stool test, with 249 (5.1%) testing positive. The colonoscopy compliance rate after a positive test was 61.0% (n=152). Among 121 individuals with available colonoscopy data, the PPV for any CRN, advanced neoplasia, and CRC were 39.7%, 12.4%, and 2.5%, respectively. Colonoscopy after a positive meSDC2 test ensured a high-quality examination, as reflected by the 100% cecal intubation rate, 97.5% adequate preparation quality, and an average withdrawal time of 11.2 min. Among those with a positive meSDC2 test, a family history of CRC was a significant predictor of any CRN (p=0.029) and advanced neoplasia (p=0.003). Conclusions: A stool DNA-based meSDC2 test in average-risk individuals for CRC revealed a high PPV for any CRN in a real-world setting, highlighting its potential as a screening modality in programmatic CRC screening.	내과학	null		kci_detailed_023461.xml
ART003298842	oai_dc	만성췌장염의 내시경적 치료	Endoscopic Management of Chronic Pancreatitis	{ "journal_name": "대한소화기학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "신동우(한림대학교 의과대학 한림대학교 성심병원 소화기내과)" ]	Chronic pancreatitis (CP) is a progressive fibroinflammatory disease characterized by pancreatic ductal obstruction, calcification, and fibrosis, leading to chronic pain and exocrine or endocrine insufficiency. Endoscopic management plays a central role in selected patients with painful obstructive CP, providing ductal decompression and drainage while avoiding the morbidity of surgery. Endoscopic retrograde cholangiopancreatography with pancreatic sphincterotomy, stenting, and stone extraction is the mainstay of therapy. Extracorporeal shock wave lithotripsy or pancreatoscopy-guided lithotripsy is recommended for radiopaque or large main pancreatic duct stones, whereas a single large-caliber plastic stent has been suggested for dominant ductal strictures. An endoscopic ultrasound guided celiac plexus block may be considered in patients with refractory pain unresponsive to medical or endoscopic therapy, even though its effect is usually transient. Endoscopic drainage is preferred over surgical or percutaneous approaches for uncomplicated pancreatic pseudocysts. A multidisciplinary approach involving endoscopists, surgeons, and pain specialists is essential, and early surgical consultation should be considered when endoscopic therapy fails or when complete ductal clearance is unlikely. This review summarizes current evidence and international guideline recommendations on the role of endoscopy in the management of chronic pancreatitis.	내과학	null		kci_detailed_023461.xml
ART003298855	oai_dc	Isolated Neurofibroma of the Gallbladder and Common Bile Duct Mimicking Malignancy: A Rare Case Report and Review of Literature	Isolated Neurofibroma of the Gallbladder and Common Bile Duct Mimicking Malignancy: A Rare Case Report and Review of Literature	{ "journal_name": "대한소화기학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "Niket Harsh(Department of Transplant Surgery, Johns Hopkins School of Medicine); Pritesh Kumar N(Department of Gastrointestinal Surgery, Govind Ballabh Pant Institute of Post Graduate Medical Education and Research); Aravinda PS(Department of Gastrointestinal Surgery, Govind Ballabh Pant Institute of Post Graduate...	Isolated neurofibromas of the gallbladder (GB) and common bile duct (CBD) are exceptionally rare benign tumors, often mimicking malignancies and posing diagnostic challenges. This paper reports the unique case of a 32-year-old male presenting with right upper quadrant pain, jaundice, and clay-colored stools. Imaging revealed a septate GB with mural thickening, a gallstone, and distal CBD annular thickening, indicating a dual malignancy (GB carcinoma and cholangiocarcinoma). A hepato-pancreatic-duodenectomy was performed because of a suspected malignancy. The histopathology examination unexpectedly revealed spindle cell lesions positive for S100 and neurofilament protein, confirming a primary neurofibroma of the GB and CBD. This first reported case of simultaneous dual-site involvement highlights the diagnostic difficulty because of malignancy mimicry, advocating for intraoperative frozen sections to guide surgical management and avoid overtreatment.	내과학	null		kci_detailed_023461.xml
ART003298850	oai_dc	위암에서 근치적 위절제술 후 추적 소실(Follow-up Loss): 발생률, 관련 요인 및 생존에 미치는 영향	Follow-up Loss After Curative Gastrectomy for Gastric Cancer: Incidence, Contributing Factors, and Survival Impact	{ "journal_name": "대한소화기학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "김태한(분당서울대학교병원 외과, 창원경상국립대학교병원 외과); 박지호(경상국립대학교병원 외과, 경상국립대학교 의과대학 외과학교실); 정상호(창원경상국립대학교병원 외과, 경상국립대학교 의과대학 외과학교실); 김동환(경상국립대학교병원 외과, 경상국립대학교 의과대학 외과학교실); 김영혜(창원경상국립대학교병원 외과, 경상국립대학교 의과대학 외과학교실); 김한길(경상국립대학교병원 외과, 경상국립대학교 의과대학 외과학교실); 조진규(경상국립대학교병원 외과, 경상국립대학교 의과대학 외과학교실); 김재명(경상국립대학교병원 외과, 경상국립대학교 의과대학 외과학교실); 곽승진...	Background/Aims: This study examined the incidence, causes, and survival outcomes of follow-up loss (FUL) after a gastrectomy for gastric cancer. Methods: Patients who underwent a curative gastrectomy between January 2016 and May 2019 at a regional tertiary hospital were divided into two groups based on their follow-up (FU) adherence. Patients who maintained a regular FU throughout the five-year period were classified as the FU group, and those who failed to attend their scheduled visits for more than 12 consecutive months were grouped as the FUL group. Telephone interviews were conducted to identify the reasons for FU discontinuation and survival status. The sociodemographic and clinical variables were compared, and the independent predictors and survival outcomes were compared. Results: Among the 435 patients, 137 (31.5%) were in the FUL group, and contact was successful in 131 patients (95.6%). The leading cause of FUL was death from non-gastric cancer causes (40.1%). Independent predictors of FUL were older age (hazard ratio [HR]=1.044, p<0.001), lower body mass index (BMI, HR=0.927, p=0.015), absence of familial support (HR=2.666, p=0.005), and total gastrectomy (HR=1.660, p=0.012). The BMI lost significance in sensitivity analysis (p=0.293). The overall survival (OS) was lower in the FUL group (p=0.0370), particularly for the stage I patients (p=0.046). The independent predictors of OS were FUL (HR=2.148, p=0.006) and pathologic stage (p<0.001). Conclusions: FUL after a gastrectomy was associated with older age, absence of familial support, total gastrectomy, and was related to a poorer OS, particularly in stage I patients.	내과학	null		kci_detailed_023461.xml
ART003298857	oai_dc	과증식성 용종으로 오인된 조기 위암	Early Gastric Cancer Misdiagnosed as a Hyperplastic Polyp	{ "journal_name": "대한소화기학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "강선형(충남대학교 의과대학 내과학교실)" ]		내과학	null		kci_detailed_023461.xml
ART003298860	oai_dc	호산구성 식도염의 진단 및 치료에 관한 ACG 임상진료지침	ACG Clinical Guideline: Diagnosis and Management of Eosinophilic Esophagitis	{ "journal_name": "대한소화기학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "한지희(경상국립대학교 의과대학 창원경상국립대학교병원 내과, 경상국립대학교 건강과학연구원, 경상국립대학교 의과대학 경상국립대학교병원 내과); 차라리(경상국립대학교 의과대학 창원경상국립대학교병원 내과, 경상국립대학교 건강과학연구원, 경상국립대학교 의과대학 경상국립대학교병원 내과)" ]		내과학	null		kci_detailed_023461.xml
ART003298847	oai_dc	자기 제어 캡슐내시경을 이용한 상부위장관 검사	Magnetically Controlled Capsule Endoscopy for Upper Gastrointestinal Examination Dong Jun	{ "journal_name": "대한소화기학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "오동준(동국대학교 의과대학 동국대학교 일산병원 소화기내과); 임윤정(동국대학교 의과대학 동국대학교 일산병원 소화기내과)" ]	Esophagogastroduodenoscopy (EGD) is the standard diagnostic modality for upper gastrointestinal (UGI) diseases, but its invasive nature and the risk of sedation-related adverse events limit its applicability in certain patients. Magnetically controlled capsule endoscopy (MCE) is a promising noninvasive alternative, enabling precise active locomotion and complete visualization of the gastric mucosa through external magnetic control. MCE systems have evolved into hand-held and robotic systems, with clinical studies showing diagnostic performance comparable to EGD, along with generally better patient tolerance. Recent studies have shown that a single MCE examination can simultaneously evaluate the UGI tract and small bowel. Advances such as three-dimensional imaging and artificial intelligence have improved diagnostic accuracy and workflow efficiency. Although cost-effectiveness remains a challenge in Korea’s healthcare environment, MCE provides a meaningful alternative for patients who are unsuitable for sedated EGD or who prefer a noninvasive modality. With the ongoing technological advances, MCE is expected to evolve into an autonomous, “One-stop pan-enteric endoscopy” platform in the near future.	내과학	null		kci_detailed_023461.xml
ART003298899	oai_dc	Seismic performance of prestressed girder bridges considering soil-pile-structure interaction and isolation systems	Seismic performance of prestressed girder bridges considering soil-pile-structure interaction and isolation systems	{ "journal_name": "국제구조공학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "Erdal Öner(Bayburt University); Ayşe N. Aydoğan(Bayburt University); Muhammet Yurdakul(Karadeniz Technical University); Mustafa Ergün(Bayburt University); Musa Artar(Bayburt University)" ]	This article presents a comprehensive numerical study to determine the seismic performance of the Kirazlıyalı Çenesuyu Bridge, currently in service in Kocaeli, Türkiye, under both seismically isolated and non-isolated conditions, considering different soil types. The study holds great importance due to Kocaeli’s status as one of Türkiye’s most developed industrial regions, its location in a high-seismic-risk area, and its complex geological structure. The Kirazlıyalı Çenesuyu Bridge is a structure consisting of simply supported prestressed girders, commonly used in highway transportation networks. Designed as a twin bridge, the structure is 134 meters in length and 20 meters in width. Currently, the bridge is not equipped with seismic isolators; instead, its superstructure rests on elastomeric bearings over abutments and piers. Within the scope of this study, the bridge was retrofitted with Single Curved Friction Pendulum (SCFP) seismic isolators. These SCFP isolators were specifically designed in accordance with the Turkey Building Earthquake Code (TBEC-2019) standards for two distinct soil classes: ZA (hard rock) and ZC (very dense sand and gravel). The soil-pile interaction was simulated using single-parameter Winkler spring models in both horizontal and vertical directions. The Finite Element Model (FEM) of the bridge was developed in SAP2000 software, and analyses were conducted on this platform. The seismic performance of the bridge was assessed through nonlinear dynamic time history analyses using real earthquake ground motion records from the Imperial Valley, Kocaeli, and Kahramanmaraş (Pazarcık) earthquakes under various scenarios. The seismic responses of the bridge were examined in terms of base shear forces, lateral displacements of the pile, shear forces at the pier, bending moments at the pier, deck accelerations, and the hysteresis curves of the isolator. The study results demonstrate significant improvements in the seismic behavior of the bridge when equipped with the seismic isolation system. Furthermore, these improvements are shown to be directly influenced by the interaction of the structure-pile-soil system, as well as the compatibility between the frequency characteristics of this system and the frequency content of the imposed earthquake. The numerical data supporting these results are presented in the relevant sections through tables and graphs.	토목공학	null		kci_detailed_023461.xml
ART003298898	oai_dc	Stability analysis of pre-twisted sinusoidal enclosed curved sandwich beams on elastic supports under thermal gradient	Stability analysis of pre-twisted sinusoidal enclosed curved sandwich beams on elastic supports under thermal gradient	{ "journal_name": "국제구조공학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "Niraj Kumar Singh(VSSUT); Kumar Pradhan(VSSUT); Madhusmita Pradhan(VSSUT); Rashmita Parida(OUTR); Prasanta Kumar Pradhan(VSSUT); Pusparaj Dash(VSSUT)" ]	This study investigates the dynamic and static stability of a sinusoidal enclosed sandwich beam with a pre-twist, resting on a Pasternak foundation, under axial harmonic loads with minor initial curvature and a temperature gradient. The beam is also analyzed with an attached mass and viscoelastic end supports. To improve the static and dynamic buckling loads and stability regions, a viscoelastic layer is incorporated as the core and as an additional shear layer atop the Pasternak foundation, with elastic layers enveloping the viscoelastic core for enhanced system stability. The equations of motion are derived using Hamilton’s energy principle and Galerkin’s method. A parametric study is conducted to evaluate the influence of various factors, including beam geometry, foundation stiffness, pre-twist angle, curvature, tip mass and position, and the loss factor of end supports, on critical dynamic loads and stability zones. The impact of these parameters on static critical loads is also examined. The study finds that proper tuning of the pre-twist angle, foundation stiffness, additional elastic layers, and end supports can significantly reduce unstable regions and increase both static and dynamic critical loads, thereby making the beam less susceptible to axial harmonic loading. The results are illustrated with detailed graphical representations. The objective of this work is to model and analyze the stability of an enclosed sinusoidal pre-twisted sandwich beam on a Pasternak foundation under combined thermal and mechanical loading. The novelty lies in simultaneously incorporating the enclosure effect, sinusoidal geometry, viscoelastic layers, Pasternak foundation and temperature gradient in a single analytical framework not previously reported.	토목공학	null		kci_detailed_023461.xml
ART003298896	oai_dc	Hybrid random forest-based models for estimating punching shear strength of flat slabs	Hybrid random forest-based models for estimating punching shear strength of flat slabs	{ "journal_name": "국제구조공학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "Mosbeh R. Kaloop(Incheon National University); Furquan Ahmad(National Institute of Technology Patna); Pijush Samui(National Institute of Technology Patna); Jong Wan Hu(Incheon National University); Mohamed Rezaik(Appout ITs); Basem S. Abdelwahed(Mansoura University)" ]	Punching shear failure in reinforced concrete (RC) slabs is a brittle and critical phenomenon; therefore, reliable prediction of punching shear strength (PSS) is essential for safe design. Conventional design code equations (e.g., ACI and EC2) often involve simplified assumptions that may not fully capture the nonlinear interactions among geometric, material, and reinforcement parameters, especially in complex loading scenarios. To address this limitation, this study develops a novel hybrid machine-learning paradigm for accurate PSS estimation. The approach integrates the Random Forest (RF) algorithm with three advanced meta-heuristic optimization techniques: the dragonfly algorithm (DA), sparrow search algorithm (SSA), and whale optimization algorithm (WOA), to enhance RF hyperparameter tuning and predictive accuracy. A comprehensive dataset containing eight influential parameters was used to construct two modelling cases that account for variations in slab cross-sectional characteristics. The hybrid RF-DA and RF-SSA models achieved the highest predictive performance, reaching a correlation coefficient of 0.98 during the testing phase, outperforming conventional RF, SVR, ELM, and code-based predictions. Sensitivity analysis revealed that slab and column geometry, as well as concrete strength, exert the strongest influence on PSS. This study introduces a novel integration of Random Forest with DA, SSA, and WOA for PSS prediction, enabling the superior modeling of complex, nonlinear structural behavior. The hybrid framework provides a reliable, datadriven alternative to traditional code equations, with the RF-DA model demonstrating exceptional potential for broader application in concrete strength prediction and structural design optimization.	토목공학	null		kci_detailed_023461.xml
ART003298895	oai_dc	Wear analysis of fork-ear plates in hanger connectors of longspan suspension bridge and its effect on bearing capacity	Wear analysis of fork-ear plates in hanger connectors of longspan suspension bridge and its effect on bearing capacity	{ "journal_name": "국제구조공학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "Xiaopeng Wang(Chang’an University); Song Xing(Highway Construction Co. Ltd.); Yongjun Zhou(Chang’an University); Peiyuan Hou(Chang’an University); Yangming Xu(Highway Construction Co. Ltd.)" ]	The hanger connectors are crucial components that connect the hangers to the stiffening girders. During operation, the back-twist effect of the hangers can lead to wear between the fork-ear plates of the connectors and the ear plates of the stiffening girder. To quantitatively identify the wear depth of fork-ear plates, the axial forces and the back-twist torque of the hanger are firstly calculated. Then, the longitudinal relative angle of the hanger connector is analyzed. Finally, the wear depth of the fork-ear plates is obtained by the Archard model. The results indicate that: when the design twist angle of the hanger is (3±0.5)°, the wear depth of the fork-ear plate within the first month is 0.0246-0.0267 mm and the average wear depth is 0.0256 mm. After 120 months, the wear depth is 0.2308-0.2931 mm and the average wear depth is 0.2630 mm. The thickness loss is about 0.6%, and the bearing capacity loss is about 2.09%. The wear depth increases with the increase of the twist angle and axial force of the hanger, but the rate of increase continuously decreases. As the wear depth increases, the effect of wear on its bearing capacity should be fully considered.	토목공학	null		kci_detailed_023461.xml
ART003298894	oai_dc	A grading evaluation for transverse interlayer gaps in CRTS III slab tracks based on multivariate indicators	A grading evaluation for transverse interlayer gaps in CRTS III slab tracks based on multivariate indicators	{ "journal_name": "국제구조공학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "Xuanran Fu(Southwest Jiaotong University); Jianping Wei(Southwest Jiaotong University); Linfeng Xue(Southwest Jiaotong University); Xiaolin Song(Southwest Jiaotong University)" ]	Transverse interlayer gaps in CRTS III slab tracks impair performance and pose significant risks to train safety. It is therefore essential that a reliable evaluation method be established and that targeted maintenance strategies be developed based on defect severity. However, existing classification criteria are often empirical and inconsistent. Numerous and non-uniform evaluation indicators are used, leading to inconsistent grade assessments that hinder effective maintenance decisions. To address this issue, twenty-one potential indicators and their respective limit values were first selected from existing standards for vehicle and track dynamic performance. Subsequently, a dynamic finite element model of the coupled vehicle-track-subgrade system was developed. Through a sensitivity analysis conducted with this model, three indicators—vertical rail displacement, vertical track slab displacement, and tensile stress of the track slab—were identified as the most suitable for damage classification. The effects of gap size and train speed on these key indicators were then systematically analyzed. Based on this analysis, quantitative size limits were established in accordance with a proposed three-grade damage classification principle. To precisely define the control boundaries for each classification grade, fitted function expressions were also developed. Ultimately, this study provides a framework for the maintenance of high-speed railway infrastructure, contributing to improved decision-making and long-term track stability.	토목공학	null		kci_detailed_023461.xml
ART003298897	oai_dc	Influence of paper waste sludge ash and coconut fibers on the self-healing performance of bacteria-grouted lightweight aggregate concrete	Influence of paper waste sludge ash and coconut fibers on the self-healing performance of bacteria-grouted lightweight aggregate concrete	{ "journal_name": "국제구조공학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "Vadivel Jayanthi(Alagappa Chettiar Government College of Engineering and Technology); Sundaresan Srividhya(Kangeyam Institute of Technology); Pitchaipillai Neelamegam(SRM Valliammai Engineering College); Ramaiah Prakash(Alagappa Chettiar Government College of Engineering and Technology)" ]	This study investigates the synergistic effect of bacterial strains, paper sludge ash (PSA), and coconut fibres (CF) on the mechanical performance, durability, and self-healing capacity of lightweight aggregate concrete. A novel bacterial-grouted system was developed by partially replacing cement with 15% PSA, reinforcing the matrix with 0.5% CF, and incorporating Bacillus subtilis to induce microbial-induced calcium carbonate precipitation (MICP). The results demonstrated that the combined mix (CC+PSA+CF+BS) exhibited superior strength development, achieving up to 21.6% higher compressive strength and 35% greater impact energy than control concrete at 90 days. Enhanced UPV values confirmed the densification of the microstructure, while Cantabro loss reductions indicated improved abrasion resistance. The findings highlight that microbial precipitation, pozzolanic reactivity, and fibre bridging collectively improve crack resistance and long-term durability. This hybrid approach establishes an environmentally sustainable, high-performance concrete composite suitable for structural applications exposed to dynamic and abrasive environments.	토목공학	null		kci_detailed_023461.xml
ART003298865	oai_dc	태권도지도자의 일-삶의 균형과 번아웃 그리고 직무열의의 구조적 관계	The Structural Relationship between Work–Life Balance, Burnout, and Job Engagement among Taekwondo Coaches	{ "journal_name": "대한무도학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "박새롬(조선대학교); 김현륜(우석대학교)" ]	이 연구의 목적은 태권도 지도자를 대상으로 일-삶의 균형과 번아웃 그리고 직무열의의 구조적 관계를 규명하는 데 있었다. 연구의 목적을 달성하기 위해 전라도 권역에 있는 태권도 지도자 288명을 대상으로 자료를 수집한 후 분석을 진행했다. 측정도구의 타당도와 신뢰도를 확인하기 위해 확인적 요인분석을 실시했다. 그리고 기술통계, 상관관계분석, 구조방정식모형을 이용한 분석을 진행했다. 이를 통해 첫째, 태권도 지도자의 일-삶의 균형은 번아웃에 부(-)적인 영향을 미쳤다. 둘째, 일-삶의 균형은 직무열의에정(+)적인 영향을 미쳤다. 셋째, 번아웃은 직무열의에 부(-)적인 영향을 미쳤다. 적절한 일과 삶의 균형은수련생과 태권도 도장에 중요한 시사점을 제공한다. 이들의 조화로운 업무 균형은 결국 태권도장의 질적수준 향상을 위한 시도라는 것을 지각할 필요가 있다.	체육	null	http://dx.doi.org/10.35277/kama.2025.27.4.105	kci_detailed_023461.xml
ART003298852	oai_dc	Predicting Treatment Response in Female Adolescents With Non-Suicidal Self-Injury Using Neurophysiological Biomarkers and Machine Learning	Predicting Treatment Response in Female Adolescents With Non-Suicidal Self-Injury Using Neurophysiological Biomarkers and Machine Learning	{ "journal_name": "대한신경정신의학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "Seng Yoon Kim(Department of Psychiatry, Daegu Catholic University School of Medicine, Daegu, Republic of Korea); Jun Won Kim(Department of Psychiatry, Daegu Catholic University School of Medicine, Daegu, Republic of Korea)" ]	ObjectiveThis study investigated whether quantitative electroencephalography (qEEG) features, combined with clinical data, could predict treatment outcomes in female adolescents with non-suicidal self-injury (NSSI).MethodsWe analyzed clinical and EEG data from 104 female adolescent inpatients with repetitive NSSI. Resting-state EEG was recorded, and various brain activity patterns across frequency bands were extracted. Clinical outcomes were assessed using pre- and postadmission scores on the Health of the Nation Outcome Scales (HoNOS), Clinical Global Impression-Severity (CGI-S), World Health Organization Disability Assessment Schedule (WHODAS), and Global Assessment of Functioning (GAF). Machine learning models were trained to predict outcomes using EEG and medication data. Model performance was evaluated using cross-validation, and feature importance was interpreted using SHapley Additive exPlanations (SHAP) analysis.ResultsAll predictive models demonstrated excellent predictive performance (R2≥0.96, mean squared error [MSE] as low as 0.02). The HoNOS model showed the highest performance (R2=0.99, MSE=0.32), followed by the WHODAS (R2=0.98, MSE=1.32), GAF (R2=0.97, MSE=0.76), and CGI-S (R2=0.96, MSE=0.02) models. Key qEEG predictors included relative low-beta power at Pz, absolute theta power at Fp1, and the delta-to-beta ratio at Cz. Pre-admission clinical severity, particularly CGI-S and HoNOS, also significantly contributed to prediction accuracy.ConclusionOur findings suggest that qEEG features, combined with machine learning, can effectively predict treatment response in adolescents with NSSI, supporting their use as neurophysiological biomarkers for individualized care.	정신과학	null	http://dx.doi.org/10.30773/pi.2025.0256	kci_detailed_023461.xml
ART003298870	oai_dc	Violence Against Physicians by Patients With Schizophrenia: A Forensic Psychiatric Case Series	Violence Against Physicians by Patients With Schizophrenia: A Forensic Psychiatric Case Series	{ "journal_name": "대한신경정신의학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "MyungJe Sung(Institute of Forensic Psychiatry Research, National Forensic Hospital, Gongju, Republic of Korea); DeYon Kim(Institute of Forensic Psychiatry Research, National Forensic Hospital, Gongju, Republic of Korea); Hyemi Park(Institute of Forensic Psychiatry Research, National Forensic Hospital, Gongju, Repu...		정신과학	null	http://dx.doi.org/10.30773/pi.2025.0263	kci_detailed_023461.xml
ART003298843	oai_dc	Development of the Instrumental Activities of Daily Living Scale-Ability and Actual Performance: A New Measure for People With Schizophrenia	Development of the Instrumental Activities of Daily Living Scale-Ability and Actual Performance: A New Measure for People With Schizophrenia	{ "journal_name": "대한신경정신의학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "En-Chi Chiu(Department of Long-Term Care, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan); Shu-Chun Lee(Department of Occupational Therapy, Taipei City Psychiatric Center, Taipei City Hospital, Taipei, Taiwan)" ]	Objective The study was to develop the instrumental activities of daily living scale-ability and actual performance (IADL-AA) to assess the ability and actual performance constructs of instrumental activities of daily living (IADL).Methods Eight experts reviewed the items of the IADL-AA. Additionally, 30 and 266 people with schizophrenia participated in cognitive interviews and validation analysis, respectively. Expert consultations and cognitive interviews were conducted to examine face validity and content validity, respectively. Construct validity was evaluated through Rasch analysis to ensure unidimensionality. Convergent validity was investigated using Pearson’s r, discriminative validity was examined through floor and ceiling effects, and internal consistency was assessed using Cronbach’s alpha (α).Results The IADL-AA comprised 23 items showing the unidimensionality of each domain. The infit and outfit mean squares were 0.76–1.21 and 0.68–1.40, respectively. A moderate correlation was observed between ability and actual performance domains (r=0.63). No floor or ceiling effects were found for the two domains (0.0%–6.0% and 1.5%–3.0%, respectively). Cronbach’s α of the two domains was 0.83–0.90.Conclusion The IADL-AA demonstrates satisfactory psychometric properties, including face validity, content validity, construct validity, convergent validity, discriminative validity, and internal consistency. This measure can effectively identify the capacity and degree of independence of IADL function in people with schizophrenia.	정신과학	null	http://dx.doi.org/10.30773/pi.2025.0111	kci_detailed_023461.xml
ART003298841	oai_dc	Digital Monitoring of Micro- and Macro-Movement Regularity in Psychiatric Inpatients With Depression	Digital Monitoring of Micro- and Macro-Movement Regularity in Psychiatric Inpatients With Depression	{ "journal_name": "대한신경정신의학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "Jaewook Shin(Department of Medicine, CHA University School of Medicine, Seongnam, Republic of Korea); JungSun Lee(Department of Psychiatry, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea); Sung Woo Joo(Department of Psychiatry, Asan Medical Center, University of Ulsan Colleg...	Objective Depression involves mood-related behavioral changes typically monitored through subjective reports, which are limited by recall bias and low temporal resolution. Digital mental health tools offer objective, continuous monitoring, but prior studies have focused on outpatients subject to environmental variability. In this preliminary feasibility study, we examined psychiatric inpatients in a controlled setting to assess associations between behavioral regularity and depression severity, highlighting the clinical potential of digital phenotyping.Methods Thirty-five adults from a closed psychiatric ward were recruited, and data from 10 inpatients with ≥7 days of valid monitoring were analyzed. Depression severity was assessed weekly using the Hamilton Depression Rating Scale (HAMD) and Dysfunctional Self-focus Attributes Scale, yielding 18 samples. Hourly accelerometer and location data from wearable devices and ward sensors were processed to generate digital phenotypes—interdaily stability (IS), intradaily variability (IV), ratio of IS to IV (ISV), entropy (EN), and normalized entropy (NE)—segmented into daytime and nighttime. Linear mixed models assessed group differences, and correlation and multiple regression examined associations with depression.Results Patients with asymptomatic/mild depression showed significantly higher IS_day and ISV_day, and lower EN_night, and NE_night (all p<0.05). These four features correlated with HAMD after false discovery rate (all p<0.05) correction. A regression model including IS_day and NE_night explained 60.6% of HAMD variance (p<0.05).Conclusion Digital monitoring provides an objective and continuous method to assess depression severity. By capturing macro- and micro-level movement regularity across day and night in an inpatient environment, this approach offers practical relevance for psychiatric care. However, results should be considered preliminary due to the limited sample size.	정신과학	null	http://dx.doi.org/10.30773/pi.2025.0130	kci_detailed_023461.xml
ART003298863	oai_dc	Association of Everyday Discrimination With Drug Use During the COVID-19 Pandemic in the All of Us Research Program	Association of Everyday Discrimination With Drug Use During the COVID-19 Pandemic in the All of Us Research Program	{ "journal_name": "대한신경정신의학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "Jiseung Kang(Mass General Brigham Department of Anesthesiology, Massachusetts General Hospital, Boston, MA, USA); Hyeon Jin Kim(Center for Digital Health, Medical Science Research Institute, Kyung Hee University College of Medicine, Seoul, Republic of Korea); Arianna R. S. Lark(Mass General Brigham Department of A...	Objective Recognizing discrimination as a significant public health risk during the coronavirus disease 2019 (COVID-19) pandemic, which coincided with increased drug use and heightened awareness of structural disparities in the United States, we investigated its association with the odds of drug use in a large and diverse cohort from the All of Us Research Program.Methods In this cross-sectional study, data from 68,976 participants completed the COVID-19 participant experiences (COPE) survey. We applied logistic regression models with propensity score-based overlap weighting to examine associations between everyday discrimination and drug use. Self-reported everyday discrimination score and drug use were the primary exposure and outcome measures, respectively.Results Of the 67,662 COPE respondents (mean [standard deviation] age, 57.5 [15.9] years; female sex at birth, 43,658 [64.5%]), we identified 15,493 participants with no reported discrimination and 15,493 participants with reported discrimination, after overlap weighting. The odds of drug use in those who reported discrimination was 1.38 (95% confidence interval, 1.32–1.43), with a dose-dependent association based on discrimination score. Participants who experienced discrimination had significantly higher odds of using drugs and this association was particularly pronounced in those under 40 years of age, those assigned female sex at birth, current smokers, individuals undergoing chemotherapy or immunotherapy, and those experiencing unemployment or COVID-19/flu-like symptoms.Conclusion This relationship was observed across various types of drugs and different reasons for discrimination, and it was particularly pronounced in specific subgroups. These findings provide critical evidence for developing targeted preventive interventions; however, further longitudinal studies for causality are warranted.	정신과학	null	http://dx.doi.org/10.30773/pi.2025.0234	kci_detailed_023461.xml
ART003298866	oai_dc	Effects of Loneliness and Subjective Well-Being on Depression in Female Adolescents: A Longitudinal Moderated Mediation Model of the Parental Relationship	Effects of Loneliness and Subjective Well-Being on Depression in Female Adolescents: A Longitudinal Moderated Mediation Model of the Parental Relationship	{ "journal_name": "대한신경정신의학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "Haemi Choi(Department of Psychiatry, Eunpyeong St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea); Jeongeun Lee(Department of Psychiatry, Eunpyeong St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea); Eunjoo Kim(De...	Objective Adolescent depressive symptoms are increasingly recognized as a global concern for youth mental health. Female adolescents consistently report higher levels of depressive symptoms than their male counterparts, yet the psychological mechanisms underlying depressive symptoms remain insufficiently understood. Our longitudinal study examined the relationship between loneliness and depressive symptoms in female adolescents and investigated the mediating effect of subjective well-being (SWB) and the moderating influence of the parental relationship.Methods Data were drawn from the Korean Study of Adolescent Health, a longitudinal study on adolescent mental health. The sample included 104 female high school students (mean age=15.33 years) who completed self-report surveys at three time points between April 2022 and July 2023. Measures assessed loneliness, SWB, depressive symptoms, and relationships with mothers and fathers. Mediation and moderated mediation analyses were conducted using SPSS PROCESS (Models 4 and 14), controlling for age, socioeconomic status, and baseline depressive symptoms.Results Mediation analyses indicated that SWB fully mediated the longitudinal association between loneliness and depressive symptoms. Loneliness predicted lower SWB, which subsequently predicted more depressive symptoms. Moderated mediation analysis revealed that maternal, but not paternal, relationship quality significantly moderated the SWB-depressive symptoms link. The indirect effect was significant only among adolescents reporting stronger maternal relationships.Conclusion These findings underscore the importance of SWB in the link between loneliness and depressive symptoms among female adolescents and highlight the protective role of a positive maternal relationship. The results have implications for targeted prevention and intervention strategies to enhance emotional well-being in female adolescents.	정신과학	null	http://dx.doi.org/10.30773/pi.2025.0297	kci_detailed_023461.xml
ART003298848	oai_dc	Risk of Psychiatric Morbidity in People Living With Human Immunodeficiency Virus: A Population-Based Cohort Study	Risk of Psychiatric Morbidity in People Living With Human Immunodeficiency Virus: A Population-Based Cohort Study	{ "journal_name": "대한신경정신의학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "Tak Kyu Oh(Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital, Seongnam, Republic of Korea); Kyoung-Ho Song(Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Republic of Korea); Eunjeong Heo(Department of Pharmacy, Seoul National Universi...	Objective The incidence of psychiatric illnesses might be higher in individuals people living with human immunodeficiency virus (PLWH) than in individuals without human immunodeficiency virus (HIV). We aimed to investigate whether PLWH had different risks of psychiatric morbidities in comparison to non-HIV-infected individuals.Methods This study included all PLWH in South Korea between January 1, 2017 and December 31, 2017. The control group, which had never been diagnosed with HIV, was selected using a 1:10 stratified random sampling technique, considering age and sex. The endpoint of this study was new diagnosis of psychiatric morbidities which were diagnosed from January 1, 2018 to December 31, 2022.Results After conducting a 1:5 propensity score (PS) matching process, the final analysis comprised a group of 17,815 PLWH and 78,021 control subjects. In the PS-matched cohort, the incidence rate of psychiatric morbidity in PLWH was 5,677.7 per 100,000 per year, whereas that in the controls was 4,926.3 per 100,000 per year. In Cox regression in the PS-matched cohort, PLWH showed 17% (hazard ratio, 1.17; 95% confidence interval, 1.14–1.21; p<0.001) higher risk of psychiatric morbidity than controls. Specifically, PLWH showed higher risk of depression, mania, bipolar disorder, insomnia disorder, substance use disorder, and schizophrenia compared to controls.Conclusion PLWH had a greater likelihood of experiencing psychiatric morbidities compared to those without HIV in South Korea. Our research findings indicate the importance of public health policy in addressing the declining mental health of individuals living with HIV.	정신과학	null	http://dx.doi.org/10.30773/pi.2025.0074	kci_detailed_023461.xml
ART003298868	oai_dc	Health and Family Factors Predicting Suicidal Ideation Among Middle-Aged Korean Adults: An Explainable Machine Learning Approach	Health and Family Factors Predicting Suicidal Ideation Among Middle-Aged Korean Adults: An Explainable Machine Learning Approach	{ "journal_name": "대한신경정신의학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "Hyeon-gyeong Jo(Department of Health Care Sciences, Graduate School, and Transdisciplinary Major in Learning Health Systems, Korea University, Seoul, Republic of Korea); Hae-Young Kim(Department of Health Care Sciences, Graduate School, and Transdisciplinary Major in Learning Health Systems, Korea University, Seou...	Objective Research specifically targeting suicidal ideation (SI) in middle-aged populations remains limited. This study aimed to predict future and concurrent SI in middle-aged Korean adults by applying four machine learning (ML) models to a nationally representative longitudinal dataset.Methods We analyzed data from 8,992 individuals aged 40–64 years who participated in the Korea Welfare Panel Study from the 7th (2011) to the 18th (2022) waves. Four ML algorithms were employed to develop the predictive models. The SHapley Additive exPlanations method was applied to enhance explainability.Results Approximately half of the participants’ mean age was 49.3±8.2 years (range, 40–64 years) and 52.2% were male. The average annual SI rate between 2011 and 2022 was 2.8%±1.2%. Predictive performance for future SI was satisfactory, with area under the receiver operating characteristic curve (AUC) values of up to 0.806 (logistic regression, LR). Predictions for concurrent SI demonstrated AUC values of up to 0.907 (LR). Key predictors of future SI included subjective health status, satisfaction with family and spousal relationships, housing environment, and educational attainment. Concurrent SI was strongly associated with immediate stressors such as family violence and income dissatisfaction.Conclusion The ML models demonstrated good-to-excellent predictive performance for SI. These findings emphasize the importance of health, family, and socioeconomic factors, alongside mental health indicators in the prevention of SI among middle-aged adults. Building on these findings, tailored intervention strategies that comprehensively address multidimensional risk factors are essential for effective SI prevention.	정신과학	null	http://dx.doi.org/10.30773/pi.2025.0182	kci_detailed_023461.xml
ART003298859	oai_dc	Development and Effectiveness of Humanities-Based Cognitive Behavior Therapy for Adolescents With Problematic Gaming Behavior	Development and Effectiveness of Humanities-Based Cognitive Behavior Therapy for Adolescents With Problematic Gaming Behavior	{ "journal_name": "대한신경정신의학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "Yeji Park(Department of Psychiatry, College of Medicine, Chung-Ang University, Seoul, Republic of Korea); Ji-Ae Choi(Department of Creative Writing, College of Arts, Chung-Ang University, Seoul, Republic of Korea); Doug Hyun Han(Department of Psychiatry, College of Medicine, Chung-Ang University, Seoul, Republic o...	ObjectiveThis study evaluated the effectiveness of a humanities-based cognitive behavioral therapy (CBT) program for adolescents aged 11–15 years exhibiting symptoms of problematic gaming, focusing on its impact on depression, anxiety, attention-deficit/hyperactivity disorder (ADHD), and Internet gaming disorder (IGD).MethodsElementary and middle school students with IGD symptoms were recruited and divided into a humanities-based CBT group (20 students) and a control group receiving supportive therapy (21 students). Participants’ IGD symptoms and levels of depression, anxiety, and ADHD before and after the intervention were compared and evaluated.ResultsVerifying the effectiveness of the developed humanities treatment program showed a significant decrease in clinical scale scores indicating anxiety, ADHD, and IGD. In particular, the differences in IGD and anxiety scores between the intervention and control groups were significant, demonstrating the effectiveness of the humanities-based CBT program. Positive correlations were found between the pre–post scores for depression and IGD and between anxiety, depression, and IGD following the humanities-based intervention.ConclusionIn this study, experts in various fields developed a humanities-based CBT program for adolescents with problematic gaming behavior and verified its effectiveness, demonstrating that programs utilizing the humanities and writing can positively affect symptoms of IGD, anxiety, depression, and ADHD in adolescents. These findings indicate the need to verify the effectiveness of humanities-based therapy programs for adolescents in more diverse regions and age groups.	정신과학	null	http://dx.doi.org/10.30773/pi.2025.0166	kci_detailed_023461.xml
ART003298840	oai_dc	The Role and Effectiveness of Remote Mental Health Interventions in Disaster Response: A Narrative Review	The Role and Effectiveness of Remote Mental Health Interventions in Disaster Response: A Narrative Review	{ "journal_name": "대한신경정신의학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "Ah Rah Lee(Department of Psychiatry, Kyung Hee University College of Medicine, Kyung Hee University Hospital, Seoul, Republic of Korea); Sung Moon Choi(Department of Psychiatry, Kyung Hee University College of Medicine, Kyung Hee University Hospital, Seoul, Republic of Korea); Myungjae Baik(Department of Psychiatr...	Objective Disasters such as pandemics and natural catastrophes cause significant psychological distress, increasing the risk of depression, anxiety, and post-traumatic stress disorder (PTSD). This review aimed to evaluate the effectiveness of remote mental health interventions, such as telepsychiatry, online cognitive behavioral therapy (CBT), mobile applications, and artificial intelligence (AI)-based tools, during disasters.Methods A comprehensive literature search was conducted using international databases (PubMed, EMBASE, PsycINFO, Web of Science, Scopus, CINAHL) and Korean domestic databases (KISS, RISS, DBpia, KMbase, KoreaMed). Studies published between January 2010 and February 2025 were screened following the PRISMA 2020 guidelines. Two board-certified psychiatrists independently reviewed titles, abstracts, and full texts. Peer-reviewed articles and relevant grey literature, including government manuals and expert guidelines, were included.Results A total of 147 studies were synthesized, including randomized controlled trials, meta-analyses, observational studies, and policy documents. Evidence showed that remote interventions effectively reduced symptoms of depression, anxiety, and PTSD. Online CBT was beneficial for mild to moderate distress; mobile apps facilitated psychoeducation and symptom tracking; and telepsychiatry ensured care continuity, especially in underserved areas. AI tools showed promise in screening and triage but require better clinical integration. Effectiveness was highest when interventions were implemented early, integrated within stepped-care models, and guided by trained professionals.Conclusion Remote mental health interventions are practical and effective tools for bridging mental health care gaps during disasters. To ensure sustainability, these interventions should be integrated into national disaster mental health frameworks, accompanied by adequate funding, clinician training, legal safeguards, and cultural adaptation.	정신과학	null	http://dx.doi.org/10.30773/pi.2025.0276	kci_detailed_023461.xml
ART003298851	oai_dc	National Trends in the Prevalence of Suicide Attempts Among Adolescents by Self-Perceived Weight, 2005–2023: A Nationwide Representative Study in South Korea	National Trends in the Prevalence of Suicide Attempts Among Adolescents by Self-Perceived Weight, 2005–2023: A Nationwide Representative Study in South Korea	{ "journal_name": "대한신경정신의학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "Jinyoung Jeong(Center for Digital Health, Medical Science Research Institute, Kyung Hee University Medical Center, Kyung Hee University College of Medicine, Seoul, Republic of Korea); Hyunjee Kim(Center for Digital Health, Medical Science Research Institute, Kyung Hee University Medical Center, Kyung Hee Universit...	ObjectiveSuicide is a leading cause of death among adolescents, and despite the need to distinguish between suicidal consideration and suicide attempts, research focused on suicide attempts remains insufficient. Therefore, this study aims to investigate the influence of self-perceived weight on suicide attempts.MethodsThis study utilized data from the Korea Youth Risk Behavior Web-based Survey for its analysis from 2005 to 2023, including a total of 1,156,728 participants. This study utilized various analytical methods to examine the influence of self-perceived weight on suicide attempts. We estimated weighted prevalence and used linear regression to assess temporal trend β coefficients and their differences (βdiff) with 95% confidence intervals (CIs), and survey-weighted logistic regression to estimate weighted odds ratios (wORs) and 95% CIs for the association between self-perceived weight and suicide attempts.ResultsA comparison of suicide attempts based on self-perceived weight suggested that individuals who perceived themselves as overweight (weighted prevalence, 3.97% [95% CI, 3.89 to 4.04]) had the highest rate of suicide attempts, followed by those who perceived themselves as underweight (3.36% [95% CI, 3.28 to 3.44]), while those who perceived themselves as having a normal weight (3.20% [95% CI, 3.14 to 3.27]) had the lowest rate. Additionally, females (underweight: 4.47% [95% CI, 4.32 to 4.62]; normal weight: 3.91% [95% CI, 3.81 to 4.01]; overweight: 5.23% [5.11 to 5.35]) experienced more suicide attempts than males (underweight: 2.73% [95% CI, 2.65 to 2.82]; normal weight: 2.43% [95% CI, 2.35 to 2.51]; overweight: 2.60% [95% CI, 2.52 to 2.69]).ConclusionFindings from the present study suggest that self-perceived weight was associated with suicide attempts and interaction analyses indicated a potential sex-based difference in the impact of body image distortion. Therefore, this study suggests the introduction of programs and campaigns aimed at correcting distorted self-perceived weight.	정신과학	null	http://dx.doi.org/10.30773/pi.2025.0216	kci_detailed_023461.xml
ART003298839	oai_dc	Optimizing Treatment: Case Series of a Time-Efficient Accelerated Intermittent Theta Burst Stimulation Protocol for Depression and Call for a Protocol Consensus in Clinical Trials	Optimizing Treatment: Case Series of a Time-Efficient Accelerated Intermittent Theta Burst Stimulation Protocol for Depression and Call for a Protocol Consensus in Clinical Trials	{ "journal_name": "대한신경정신의학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "Doğukan Koçyiğit(Department of Psychiatry, Hacettepe University, School of Medicine, Ankara, Türkiye); İrem Kübra Nur Canpolat(Department of Psychiatry, Hacettepe University, School of Medicine, Ankara, Türkiye); Șeref Can Gürel(Department of Psychiatry, Hacettepe University, School of Medicine, Ankara, Türkiye)" ...		정신과학	null	http://dx.doi.org/10.30773/pi.2024.0215	kci_detailed_023461.xml
ART003298861	oai_dc	Managing Bipolar Disorder With Aripiprazole Once Monthly: From Symptom Stabilization to Functional Recovery	Managing Bipolar Disorder With Aripiprazole Once Monthly: From Symptom Stabilization to Functional Recovery	{ "journal_name": "대한신경정신의학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "Hye Ryun Yang(Department of Psychiatry, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea); Sra Jung(Department of Psychiatry, CHA University Ilsan CHA Hospital, Goyang, Republic of Korea); Jiwan Moon(Department of Psychiatry, Kangbuk Samsung Hospital, Sungkyunkwan Univ...	ObjectiveMedication adherence is crucial for long-term outcomes in bipolar disorder. Despite the rising use of aripiprazole, a longacting injectable for bipolar disorder, once monthly to improve adherence and manage side effects, research on its effects in South Korean patients with bipolar disorder is limited.MethodsIn this non-interventional, retrospective study, medical records were used to analyze aripiprazole once monthly treatment from its initiation in routine clinical settings. The data were collected at 1, 3, 6, 9, and 12 months. Functional level and symptom severity were measured using the Global Assessment of Functioning (GAF), Clinical Global Impression–Bipolar–Severity (CGI-BP-S), Young Mania Rating Scale (YMRS), Korean version of the Montgomery–Åsberg Depression Rating Scale (K-MADRS), and Hamilton Anxiety Rating Scale (HAM-A). Additionally, the dosages and number of pills of mood stabilizers and antipsychotics, and the total number of medications, were recorded.ResultsAmong 24 patients with bipolar disorder, significant functional improvement and symptom relief were observed over 1 year, with a significant reduction in total pill count and dosages of mood stabilizers and antipsychotics. Specifically, the GAF score increased by 25.7% (p=0.001), while CGI-BP-S, YMRS, K-MADRS, and HAM-A scores decreased by 24.4% (p=0.001), 81.2% (p=0.001), 36.2% (p=0.002), and 36.1% (p=0.003), respectively. Six patients reported side effects such as akathisia, tremors, weight gain, and headache, but no severe adverse effects were noted.ConclusionThis study showed significant improvement in functional outcomes and mood symptoms with monthly aripiprazole treatment in bipolar disorder. Mood stabilizer and antipsychotic dosages were also reduced. The results highlight the proactive role of longacting injectable antipsychotics in enhancing functioning, symptoms, and quality of life in bipolar disorder.	정신과학	null	http://dx.doi.org/10.30773/pi.2025.0247	kci_detailed_023461.xml
ART003298862	oai_dc	Psychometric Properties of the Mixed State Severity Index for Patients With Mood Disorder	Psychometric Properties of the Mixed State Severity Index for Patients With Mood Disorder	{ "journal_name": "대한신경정신의학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "Woojae Myung(Department of Neuropsychiatry, Seoul National University Bundang Hospital, Seongnam, Republic of Korea); Hyeona Yu(Department of Neuropsychiatry, Seoul National University Bundang Hospital, Seongnam, Republic of Korea); Hyo Shin Kang(Department of Psychology, Kyungpook National University, Daegu, Repu...	Objective This study aimed to develop a reliable and valid Mixed State Severity Index (MSSI) to assess mood instability in patients with mood disorders and determine cutoff scores.Methods Twenty-one items were selected based on Koukopoulos’ criteria for mixed depressive episode, historically referred to as agitated depression, and Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision mixed features criteria. The MSSI was administered to 242 patients (major depressive disorder [n=92], bipolar disorder [BD] I [n=78], and BD II [n=72]) and 726 controls.Results The MSSI demonstrated high internal consistency (α=0.78–0.90). Exploratory factor analysis revealed a stable four-factor structure. Based on receiver operating characteristic analysis, optimal cutoff scores were identified to distinguish mood disorder groups from controls, ranging from 19.5 to 27.5 depending on diagnosis.Conclusion The MSSI is a reliable and valid instrument for assessing the severity of mixed features in patients with mood disorders. The established cutoff scores enhance its clinical utility, providing robust diagnosis and treatment planning support.	정신과학	null	http://dx.doi.org/10.30773/pi.2025.0201	kci_detailed_023461.xml
ART003298846	oai_dc	Risk of Psychiatric Disorders Following Carpal Tunnel Syndrome: A Nationwide Cohort Study	Risk of Psychiatric Disorders Following Carpal Tunnel Syndrome: A Nationwide Cohort Study	{ "journal_name": "대한신경정신의학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "Youngoh Bae(Department of Neurosurgery, Korean Armed Forces Capital Hospital, Seongnam, Republic of Korea); Chaeyoon Kang(Sungkyunkwan University School of Medicine, Seoul, Republic of Korea); Hohyun Jung(Department of Statistics, Sungshin Women’s University, Seoul, Republic of Korea); Seung Won Lee(Department of ...	Objective Despite the suspected link between carpal tunnel syndrome (CTS)—a common neuropathy—and psychiatric issues, long-term evidence, especially in Asia, remains scarce. This study investigated the long-term incidence of depression, anxiety, somatoform, and sleep disorders after CTS diagnosis in a South Korean nationwide cohort.Methods Using the Korean National Health Insurance Service cohort (2002–2013), newly diagnosed CTS patients (2004–2013) were identified following a 2-year washout period. Each CTS patient was propensity score-matched 1:10 with non-CTS controls based on demographics and health status. Cox proportional hazards regression yielded adjusted hazard ratios (aHRs) for incident depressive, anxiety, somatoform, and sleep disorders over up to 10 years of follow-up.Results Compared to controls, CTS patients had significantly elevated risks for all outcomes: depressive disorders (aHR, 1.59; 95% confidence interval [CI], 1.45–1.74), anxiety disorders (aHR, 1.41; 95% CI, 1.31–1.52), somatoform disorders (aHR, 1.38; 95% CI, 1.23–1.55), and sleep disorders (aHR, 1.36; 95% CI, 1.25–1.49). Risk was notably higher in individuals aged <60 years for all disorders. Males showed higher risks for depression, anxiety, and sleep disorders, while females had a slightly higher risk for somatoform disorders.Conclusion This comprehensive, longitudinal study indicated that CTS is associated with an increased long-term risk of psychiatric disorders. The findings emphasize comprehensive management strategies that integrate mental health screening and interventions tailored to age and sex among patients with CTS.	정신과학	null	http://dx.doi.org/10.30773/pi.2025.0155	kci_detailed_023461.xml
ART003298854	oai_dc	Subjective Health Perception Moderates the Antidepressant Effects of Home-Based Transcranial Direct Current Stimulation in Perinatal Women: A Real-World Observational Study	Subjective Health Perception Moderates the Antidepressant Effects of Home-Based Transcranial Direct Current Stimulation in Perinatal Women: A Real-World Observational Study	{ "journal_name": "대한신경정신의학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "Sra Jung(Department of Psychiatry, CHA Ilsan Medical Center, CHA University School of Medicine, Goyang, Republic of Korea); Hyejin Won(Department of Psychiatry, CHA Ilsan Medical Center, CHA University School of Medicine, Goyang, Republic of Korea); Soojin Back(Department of Psychiatry, CHA Ilsan Medical Center, C...	ObjectivePerinatal depression often remains undertreated due to concerns about antidepressant exposure during fertility treatment, pregnancy, or breastfeeding. Non-pharmacological, home-based interventions such as transcranial direct current stimulation (tDCS) present a promising alternative; however, real-world evidence in perinatal populations remains limited.MethodsThis prospective observational study included 38 women who received infertility, pregnancy, or postpartum treatment at four hospitals in South Korea. Participants self-administered anodal tDCS targeting the left dorsolateral prefrontal cortex for 20–28 sessions over 4 weeks. Depressive symptoms were assessed using the Center for Epidemiologic Studies Depression Scale (CES-D) at baseline and weeks 2, 4, and 8. Subjective health perception was measured at baseline using a 5-point Likert scale.ResultsTime had a significant effect on depressive symptoms (Wald χ2=90.75, p<0.001), with the largest reduction observed during the first 2 weeks. The CES-D scores remained significantly lower than baseline at week 8, 4 weeks after treatment ended. Subjective health perception was significantly associated with baseline depression severity (Wald χ2=26.41, p<0.001), and its interaction with time was also significant (Wald χ2=320.18, p<0.001). Participants with poorer perceived health (scores 4–5) experienced greater depressive symptom reductions than those with more favorable perceptions (scores 1–2).ConclusionHome-based tDCS was feasible and associated with clinically meaningful improvement in depressive symptoms among perinatal women. Those who initially perceived their health more negatively showed greater response, suggesting subjective health perception may serve as a useful moderator and potential marker to inform personalized treatment strategies.	정신과학	null	http://dx.doi.org/10.30773/pi.2025.0259	kci_detailed_023461.xml
ART003298856	oai_dc	Association of Psychiatric Disorder Comorbidities With Global and Orbital Ablative Surgeries: A Real-World Retrospective Cohort Study	Association of Psychiatric Disorder Comorbidities With Global and Orbital Ablative Surgeries: A Real-World Retrospective Cohort Study	{ "journal_name": "대한신경정신의학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "Sra Jung(Department of Psychiatry, Cha University Ilsan Medical Center, Goyang, Republic of Korea); Sung Joon Cho(Department of Psychiatry, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea); Jisang Han(Department of Ophthalmology, Kangbuk Samsung Hospital, Sungkyunkwan...	Objective To assess the incidence and risk of psychiatric disorders, including depression, anxiety, and trauma-related disorders, in individuals who underwent globe and orbital ablative surgeries compared to a matched control group.Methods This retrospective cohort study used Korean National Health Insurance Service data. The cohort included 338,767 individuals, with 16,545 in the surgery group (orbital exenteration, enucleation, or evisceration, 2003–2021) and 322,222 matched controls. After exclusions, 12,965 patients were matched with 251,445 controls via propensity score matching. The cumulative incidence and risk of psychiatric disorders, including depression (F32.x, F34.0, F34.1), anxiety (F40.x, F41.x), and trauma-related disorders (F43.x), over three years post-surgery. Kaplan-Meier analysis assessed cumulative incidence, while Cox proportional hazards regression estimated adjusted hazard ratios (HRs) and 95% confidence intervals (CIs).Results A total of 264,410 individuals (mean age, 54.4 years; 63.3% man) were included. The surgery group had significantly higher cumulative incidence of psychiatric disorders (log-rank p<0.001). The incidence rate ratio was 1.63 (95% CI, 1.52–1.75). Risk was greatest in younger individuals (incidence rate ratio, 2.15; 95% CI, 1.75–2.64) and men (1.77 vs. 1.48 in women). Higher comorbidities were associated with lower risk (HR: 0.91 in men, 0.90 in women), as was higher socioeconomic status (HR: 0.76 in men, 0.68 in women).Conclusion Globe and orbital ablative surgeries were associated with significantly increased psychiatric risk, particularly in younger men. Higher comorbidities and socioeconomic status appeared to mitigate this risk. Integrated mental health support should be considered in postoperative care.	정신과학	null	http://dx.doi.org/10.30773/pi.2025.0280	kci_detailed_023461.xml
ART003298867	oai_dc	Effectiveness of Acceptance and Commitment Therapy on Obsessive Beliefs Among Patients With Obsessive-Compulsive Disorder	Effectiveness of Acceptance and Commitment Therapy on Obsessive Beliefs Among Patients With Obsessive-Compulsive Disorder	{ "journal_name": "대한신경정신의학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "Sang Won Lee(Department of Psychiatry, School of Medicine, Kyungpook National University, Daegu, Republic of Korea); Mina Choi(Institute of Biomedical Engineering Research, Kyungpook National University, Daegu, Republic of Korea); Seung Jae Lee(Department of Psychiatry, School of Medicine, Kyungpook National Unive...	Objective Both acceptance and commitment therapy (ACT) and metacognitive therapy (MCT) for obsessive-compulsive disorder (OCD) target metacognition. In this context, ACT’s therapeutic effects on OCD are presumably reflected in the Obsessive Belief Questionnaire (OBQ), which incorporates significant metacognitive factors. However, most studies have investigated ACT’s effects on OCD symptoms rather than on obsessive beliefs.Methods This study examined the relationship between ACT process measures—Acceptance and Action Questionnaire-II (AAQ-II) and Cognitive Fusion Questionnaire (CFQ)—and the OBQ following an 8-week group-format ACT (GACT) intervention among patients with OCD (GACT group, n=37; wait-list control group, n=42).Results Significant reductions were observed in AAQ-II, CFQ, and OBQ scores after treatment. Changes in AAQ-II and CFQ (particularly in the former) were significantly associated with changes in the OBQ total and subscale scores. These measures accounted for 26% and 12% of the variance in the OBQ total score and OCD symptom scores, respectively. Among OBQ subscales, changes in AAQ-II and CFQ best accounted for the variance of perfectionism and intolerance of uncertainty (OBQ-PU), followed by importance and control of thoughts (OBQ-ICT).Conclusion Improvements in ACT process measures through GACT were more strongly linked to obsessive beliefs than to OCD symptoms, highlighting the role of obsessive beliefs—particularly OBQ-PU and OBQ-ICT—in ACT’s effectiveness for OCD.	정신과학	null	http://dx.doi.org/10.30773/pi.2025.0265	kci_detailed_023461.xml
ART003298864	oai_dc	Robot-Based Cognitive Intervention Effects on Brain Function and Cognition in Patients With Mild Alzheimer’s Disease Dementia	Robot-Based Cognitive Intervention Effects on Brain Function and Cognition in Patients With Mild Alzheimer’s Disease Dementia	{ "journal_name": "대한신경정신의학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "Bori R. Kim(Department of Neurology, Ewha Womans University Mokdong Hospital, Ewha Womans University College of Medicine, Seoul, Republic of Korea); Sooin Moon(Department of Artificial Intelligence Convergence, Ewha Womans University College of Artificial Intelligence, Seoul, Republic of Korea); Seungwon Chung(Dep...	Objective Cognitive interventions (CIs) are recognized for enhancing cognition and mitigating cognitive decline in dementia patients. Our study assessed the effects of a 12-week, home-based, robot-assisted CI on cognition and brain function in patients with mild Alzheimer’s disease (AD) dementia.Methods In this single-blind randomized controlled trial, 51 patients with mild AD dementia were assigned to either a robot-assisted CI group (n=27) or a waitlist control group (n=24). The CI was conducted for 60 minutes per day over 12 weeks. The primary outcome was brain function, measured by resting-state electroencephalogram (EEG) using a 19-channel wireless EEG device and the secondary outcome was cognitive function, measured using the Cambridge Neuropsychological Test Automated Battery. No significant baseline demographic or clinical differences were observed between the groups. Eighteen participants in the robot group and 19 in the control group completed the study.Results EEG analysis revealed a decrease in theta band activity in the mid-frontal area for the robot group, while the control group exhibited an increase in this area. In addition, the robot group showed significant cognitive improvements in working memory, visual association memory, and reaction time after the 12-week CIs.Conclusion These findings suggest that robot-assisted CIs may be associated with enhanced cognitive and brain function in patients with mild AD dementia.	정신과학	null	http://dx.doi.org/10.30773/pi.2025.0193	kci_detailed_023461.xml
ART003298869	oai_dc	Effects of Duration of Untreated Illness on Suicidal Ideation Among Patients With Panic Disorder	Effects of Duration of Untreated Illness on Suicidal Ideation Among Patients With Panic Disorder	{ "journal_name": "대한신경정신의학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "Ji Eun Kim(Department of Family Environment and Welfare, Chonnam National University, Gwangju, Republic of Korea); Ji-Yoon Ham(Department of Psychiatry, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam, Republic of Korea); Yerin Bae(Department of Social Welfare, Chonnam National University, ...	Objective Patients with panic disorder (PD) are approximately four times more likely than the general population to exhibit suicidal ideation (SI) and suicide attempts. Although prolonged duration of untreated illness (DUI) is a known risk factor for adverse outcomes in mood disorders, its impact on suicidality among patients with PD has not been well established. This study investigated whether prolonged DUI is associated with heightened SI among patients with PD, considering sociodemographic and clinical factors.Methods A total of 804 patients with PD were recruited. DUI was defined as the time between symptom onset and the initiation of psychiatric treatment. Clinical assessments included the Scale for Suicide Ideation (SSI), Beck Depression Inventory-II (BDI-II), and Panic Disorder Severity Scale. Sociodemographic and clinical predictors of SI were examined using independent t-tests, Pearson’s correlations, and multiple regression analysis.Results In patients with PD, the mean DUI was 41.56 months. Longer DUI was positively correlated with higher SSI total scores, along with greater depression severity. Gender women, unmarried status, and elevated BDI-II scores were significantly predicted higher SSI total scores. In the multiple regression model, prolonged DUI remained an independent predictor of SSI (B=0.116, p=0.012) after adjusting for other variables.Conclusion These findings indicate that delayed treatment contributes to increased suicidality in PD, beyond demographic and depressive risk factors. Therefore, early detection and timely intervention using treatment strategies that enhance awareness, improve the accessibility of psychiatric services, and provide social support may reduce DUI and mitigate suicide risk among patients with PD.	정신과학	null	http://dx.doi.org/10.30773/pi.2025.0318	kci_detailed_023461.xml
ART003298813	oai_dc	Recent advances in catechol‑based polymer binders for batteries	Recent advances in catechol‑based polymer binders for batteries	{ "journal_name": "한국고분자학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "백명진(울산과학기술원); 박진태(울산과학기술원); 이동욱(울산과학기술원)" ]	Polymer binders constitute less than 3% of the cell’s weight but play a critical role in the battery’s performance in variousbatteries. This review summarizes recent research on traditional and mussel-inspired catechol binders. Notably, catecholbinders exhibit excellent adhesion to active materials, catalysts, and current collectors, enhancing the electrode stability ofthe batteries. Through recent research findings, this review highlights the potential of new catechol binders for various typesof batteries and suggests future research directions.	고분자공학	null	http://dx.doi.org/10.1007/s13233-025-00454-y	kci_detailed_023461.xml
ART003298815	oai_dc	Phloretin‑loaded sodium alginate/chitosan/graphene oxide‑based self‑healing foam dressing: experimental and network pharmacological evaluation	Phloretin‑loaded sodium alginate/chitosan/graphene oxide‑based self‑healing foam dressing: experimental and network pharmacological evaluation	{ "journal_name": "한국고분자학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "Kumar Anand(Birla Institute of Technology); Apurva Singh(Birla Institute of Technology); Neelima Sharma(Birla Institute of Technology)" ]	This study presents the development and comprehensive evaluation of a phloretin-loaded graphene oxide-infused selfhealingfoam dressing for enhanced wound healing. Phloretin (PHL), a polyphenolic compound known for its antioxidant,anti-inflammatory and antibacterial properties was encapsulated with β-cyclodextrin (PHL-β-CYD) to improve its aqueoussolubility and stability. This inclusion complex (IC) was characterized using FTIR, XRD, FESEM, TGA, and DTA to confirmits structural integration, changes in crystallinity, and thermal behavior. Foam dressings were fabricated using an optimizedblend of chitosan and sodium alginate, with graphene oxide as a self-healing agent. The PHL-β-CYD inclusion complexwas incorporated into the foam matrix at varying concentrations of F1 (0.25%), F2 (0.5%), and F3 (1%), and evaluated forswelling behavior, in vitro drug release, self-healing, hemocompatibility, blood coagulation, and antibacterial and antiinflammatorypotential. Among the formulations, FD-2 (0.5% PHL-β-CYD) was selected for further evaluation based on itsoptimal swelling behavior and sustained in vitro release profile. Drug release kinetics indicated sustained and pH-responsivebehavior, while hemolysis and coagulation assays confirmed excellent biocompatibility and pro-coagulant properties. Antiinflammatoryactivity was validated through BSA and egg albumin denaturation assays. In vitro cytotoxicity was conductedusing fibroblast L929 cell lines and in vivo wound-healing efficacy were evaluated using an excision wound model in mice,with histopathological analysis confirming enhanced epithelialization and collagen deposition in treated group. Along withthat, a network pharmacological approach was employed to identify the overlapping molecular targets between phloretin andwound-associated genes. Protein–protein interaction analysis, and GO-KEGG pathway enrichment, highlighted key biologicalprocesses and molecular pathways, particularly those involved in inflammation and tissue regeneration. In conclusion,the results validate the therapeutic potential of the developed PHL-loaded foam dressing as a multifunctional dressing forwound management and skin tissue repair.	고분자공학	null	http://dx.doi.org/10.1007/s13233-025-00453-z	kci_detailed_023461.xml
ART003298816	oai_dc	Photothermal alginate hydrogels bearing polyaniline nanoparticles prepared via a film dispersion process	Photothermal alginate hydrogels bearing polyaniline nanoparticles prepared via a film dispersion process	{ "journal_name": "한국고분자학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "Kun Tian(Chung-Ang University); Arbanah binti Muhammad(Universiti Teknologi MARA, Pasir Gudang Campus); 김광덕(중앙대학교); 민경선(중앙대학교); 노정원(중앙대학교); 박주현(중앙대학교)" ]	Hydrogels with photothermal properties were developed using polyaniline nanoparticles for potential applications in photothermaltherapy and cosmetics. Polyaniline, a cost-effective, photothermal conjugated polymer, was modified with octylside chains to enable to produce an aqueous nanoparticle dispersion by assembling with an amphiphile via a film dispersionprocess. In comparison to pristine polyaniline dissolved in water, polyaniline nanoparticles presented improved photostabilityand bathochromic shift in their absorption spectra due to conjugated backbones protected in nanoparticles, which shield theconjugated backbones from the polar aqueous environment. Alginate hydrogels were successfully fabricated by mixing thewater dispersed conjugated polymer nanoparticles with a sodium alginate solution, followed by calcium ion crosslinking. Compared with sodium alginate hydrogels without nanoparticles, the obtained hydrogels showed significantly improvedmechanical and photothermal properties due to the contributions of polyaniline nanoparticles as both a nanofiller and aphotothermal agent. The enhanced stability and sustained photothermal performance are critical features for applicationsrequiring prolonged activity under oxidative stress, such as photothermal-mediated therapies.	고분자공학	null	http://dx.doi.org/10.1007/s13233-025-00463-x	kci_detailed_023461.xml
ART003298817	oai_dc	Influence of selenophene substitution in BDT‑based copolymers on molecular packing and charge transport	Influence of selenophene substitution in BDT‑based copolymers on molecular packing and charge transport	{ "journal_name": "한국고분자학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "박창우(경북대학교); Muhamad Kiki Afindia Joenata(Gyeongsang National University); 박종광(경상국립대학교); 권순기(경상국립대학교); 차효정(경북대학교); 김윤희(경상국립대학교)" ]	We report the design and synthesis of two new donor–acceptor copolymers, PBDTT–TPD and PBDTSe–TPD, incorporatingN-alkylthieno[3,4-c]pyrrole-4,6-dione (TPD) as the electron-acceptor unit benzo[1,2-b:4,5-b′]dithiophene (BDT) derivativesincorporating thiophene and selenophene as the electron-donor unit, respectively. To investigate the impact of substitutingsulfur with selenium in the BDT core, we performed comprehensive structural, optical, and electrical characterizations. Compared to PBDTT–TPD, the selenophene-containing PBDTSe–TPD polymer exhibits a narrower optical bandgap, broaderand red-shifted absorption spectra, and enhanced intermolecular interactions. As a result, the organic field-effect transistors(OFETs) fabricated with these polymers show hole mobilities of 0.0058 cm2/V·s or PBDTT–TPD and 0.021 cm2/V·s forPBDTSe–TPD. These results demonstrate that the strong quinoidal character and lower aromaticity of selenophene contributeto improved molecular packing and charge transport properties, highlighting its potential for high-performance organicelectronic materials.	고분자공학	null	http://dx.doi.org/10.1007/s13233-025-00457-9	kci_detailed_023461.xml
ART003298819	oai_dc	Accurate thermal conductivity evaluation of liquid crystalline epoxies by transient plane source method	Accurate thermal conductivity evaluation of liquid crystalline epoxies by transient plane source method	{ "journal_name": "한국고분자학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "주연하(건국대학교); 홍영기(건국대학교); 전광우(건국대학교); 우예원(건국대학교); 이무호(삼성전자); 김인(삼성전자(주)); 이인수(삼성전자); 고문주(건국대학교)" ]	Accurate evaluation of thermal conductivity in polymeric materials is crucial for the development of advanced thermalmanagement systems in electronics. In this study, a total of five epoxy resins imine-based epoxy (IEP), azine-based epoxy(AEP), ketone-based epoxy (KEP), double imine-based epoxy (DIEP), and acetylene-based epoxy (ACEP) were synthesized. The thermal conductivity of the cured materials under various conditions was then evaluated using the transient planesource (TPS) method. Their liquid crystalline (LC) behavior was confirmed by differential scanning calorimetry (DSC) andpolarized optical microscopy (POM), revealing nematic and smectic phases for azine-based epoxies (AEP) and imine-basedepoxies (IEP), respectively. Determination of the optimal curing agent and curing temperature was achieved by analyzing theexothermic peaks obtained from dynamic DSC scans of various epoxy resin–curing agent combinations. The curing agentwhose exothermic behavior overlapped with the LC temperature range of the epoxy resin was selected to prepare the curedmaterials. To ensure reliability, the thermal conductivity value was determined using the stabilized region of the residualgraph from the TPS measurement, where the deviation of the temperature difference was at a minimum. When cured in theLC state, the thermal conductivity values were 0.36 W/m·K for IEP/diaminodiphenylmethane (DDM) and 0.35 W/m·K forAEP/DDM.	고분자공학	null	http://dx.doi.org/10.1007/s13233-025-00458-8	kci_detailed_023461.xml
ART003298818	oai_dc	Electrochemical performance and economic evaluation of hierarchical LiFePO4 cathodes synthesized by a microwave‑assisted hydrothermal method	Electrochemical performance and economic evaluation of hierarchical LiFePO4 cathodes synthesized by a microwave‑assisted hydrothermal method	{ "journal_name": "한국고분자학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "우미혜(전북대학교); 주영찬(전북대학교); 강영구(한국화학연구원)" ]	This study investigates the synthesis and optimization of hierarchical lithium iron phosphate (LiFePO4) cathode materialsusing a microwave-assisted hydrothermal method, aiming to enhance electrochemical performance while maintainingeconomic feasibility. We systematically examined the effects of polyvinylpyrrolidone (PVP) concentration, precursor molarratios, and various carbon sources for in-situ carbon coating. An optimal PVP concentration was found as 25 wt% to promotewell-defined hierarchical micro/nano structures. Citric acid served as both a chelating agent and carbon source, significantlyinfluencing particle assembly and performance. A dual-carbon-source approach (citric acid + sucrose) improved morphologyand electrochemical characteristics, with an optimal sucrose content of 15 wt%. Techno-economic analysis based on the costto-capacity ratio (CCR) revealed that the most cost-effective and high-performing condition was Li:Fe:P = 3:1:2 with a citricacid content 1.2 times the Fe molar ratio (CA1.2), achieving initial capacities of ~ 150 mAh g−1 at 0.1C and ~ 100 mAh g−1at 1C. Additional carbon source such as glucose showed performance improvements but no linear benefits with increasingcontent, indicating the presence of optimal levels. These findings provide practical guidelines for developing commerciallyviable LiFePO4cathodes by balancing electrochemical efficiency and material cost.	고분자공학	null	http://dx.doi.org/10.1007/s13233-025-00459-7	kci_detailed_023461.xml
ART003298820	oai_dc	Fabrication of silica‑modified PVA‑based hybrid hydrogels with embedded calcium ions for CO2 mineralization	Fabrication of silica‑modified PVA‑based hybrid hydrogels with embedded calcium ions for CO2 mineralization	{ "journal_name": "한국고분자학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "Christabel Twanani Mboweni(충남대학교); 정찬희(충남대학교); 박태희(충남대학교); 진형민(충남대학교); 방준환(한국지질자원연구원); 이택승(충남대학교)" ]	To address the challenge of carbon dioxide accumulation in confined environments, a poly(vinyl alcohol) (PVA)-based,organic–inorganic hybrid hydrogel system was developed for CO2capture via mineralization. A PVA-based hydrogel functionalizedwith tetraethyl orthosilicate (TEOS) and impregnated with CaCl2was fabricated for efficient CO2capture underhumid indoor conditions. The hydrogel exhibited tunable porosity, high elasticity, and mechanical integrity, attributed tothe synergistic effects of physical freeze–thaw crosslinking and TEOS-mediated covalent bonding. The presence of Caions within the hydrogel enabled effective CO2mineralization under humid conditions, leading to the formation of CaCO3polymorphs, as confirmed by SEM, XRD, and FT-IR analyses. Thermogravimetric analysis demonstrated that the hydrogelcould accommodate over 35 wt% CaCO3,indicating its substantial CO2uptake capacity of more than 15 wt%. This strategydemonstrates the potential of PVA-based hybrid hydrogels as functional platforms for carbon dioxide capture in confinedspaces, combining physical robustness with ion-mediated CO3sequestration.	고분자공학	null	http://dx.doi.org/10.1007/s13233-025-00455-x	kci_detailed_023461.xml
ART003298821	oai_dc	Solvent engineering and vacuum annealing synergy for efficient ambient inkjet‑printed PHOLEDs	Solvent engineering and vacuum annealing synergy for efficient ambient inkjet‑printed PHOLEDs	{ "journal_name": "한국고분자학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "Sagnik Chowdhury(Jeonbuk National University); 고금진(전북대학교); Vinayak Vitthal Satale(Jeonbuk National University); Weiyang Zhou(Jeonbuk National University); 강재욱(전북대학교)" ]	High-boiling solvents are essential for inkjet-printed phosphorescent organic light emitting diodes (PHOLED), but their lowvapor pressure leaves residual molecules that form dipolar sites, inducing polaron formation and quenching triplet emission. To overcome this, we introduced a vacuum-assisted annealing (VAA) strategy that removes > 80% of ethyl p-toluateand > 75% of 3-ethylbiphenyl from Ir(mppy)3-doped green PHOLED films. Efficient solvent removal was confirmed by massspectroscopy, and photoluminescence decay indicated an extended triplet lifetime. Moreover, nanoscale surface analysis andabsorption spectroscopy verified that VAA preserves film uniformity, smoothness, and the electronic structure of the Ir(III)complex. As a result, VAA-treated PHOLEDs achieved an external quantum efficiency (EQE) of 6.4%, a 75% improvementover spin-coated references. Under fully ambient inkjet-printing, devices also reached 4.4% EQE, representing a 30% gaincompared to untreated films. This study demonstrates that residual solvent removal is the key bottleneck in printed PHOLEDsand establishes VAA as a simple, polymer-compatible strategy to enhance device performance under ambient, large-areaprocessing conditions.	고분자공학	null	http://dx.doi.org/10.1007/s13233-025-00460-0	kci_detailed_023461.xml
ART003298822	oai_dc	Asymmetric bouncing of compound drop on the inner surfaces of cylinders featuring a single circumferential ridge	Asymmetric bouncing of compound drop on the inner surfaces of cylinders featuring a single circumferential ridge	{ "journal_name": "한국고분자학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "윤성찬(한국교통대학교)" ]	This study explores the asymmetric bouncing dynamics of a binary drop with viscosity contrast on the inner surfaces ofcylinders decorated with a circumferential ridge. The drop consists of a low-viscosity water phase and a high-viscosity glycerin–water mixture, forming an internal interface oriented perpendicular to the ridge. Using Volume of Fluid simulations,this study analyzes the effects of surface curvature, viscosity ratio, and Weber number on retraction behavior and separationof the low-viscosity component. Two distinct retraction modes are identified: bi-directional retraction, in which the filmretracts symmetrically in both axial and azimuthal directions, and uni-directional retraction, dominated by axial collapse. A regime map reveals that separation occurs above a critical threshold, accompanied by a transition from bi-directional touni-directional retraction. The dimensionless residence time of the low-viscosity phase follows distinct scaling laws for eachretraction mode. Theoretical predictions based on retraction dynamics are consistent with simulation results and provide aclear interpretation of the underlying mechanisms. These findings demonstrate that both geometric confinement and viscositycontrast play critical roles in dictating asymmetric momentum redistribution and drop separation, offering a frameworkfor the design of hybrid-fluid systems for selective liquid handling.	고분자공학	null	http://dx.doi.org/10.1007/s13233-025-00464-w	kci_detailed_023461.xml
ART003298823	oai_dc	Nanoporous, anti-fouling active polymer coating for water filtration membrane prepared by amphiphilic block copolymer/water-soluble homopolymer blends	Nanoporous, anti-fouling active polymer coating for water filtration membrane prepared by amphiphilic block copolymer/water-soluble homopolymer blends	{ "journal_name": "한국고분자학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "신현도(충남대학교); 김동현(충남대학교); 박인영(충남대학교); 박현(충남대학교); 양성윤(충남대학교)" ]	Biofouling significantly limits the long-term performance of porous membranes in biomedical and filtration systems. Inthis study, active polymer coatings were fabricated on alumina membranes using ternary blends of an amphiphilic blockcopolymer, poly(ethylene)-b-poly(ethylene oxide) (PE-b-PEO), and a water-soluble homopolymer, poly(acrylic acid)(PAA). During film formation, the hydrophilic PEO blocks interacted with PAA, while the hydrophobic PE blocks formedthe continuous matrix of the coating. After removing PAA from the blend, nanopores were generated and PEO chainswere exposed on the membrane surface, resulting in a hydrophilic and nanoporous structure. The modified membranesexhibited enhanced water permeability and strong resistance to cell adhesion compared to unmodified alumina membranes. The amphiphilic composition also provided good mechanical stability and maintained wettability during continuous operation. These results indicate that the polymer-coated membranes can effectively decrease fouling while preserving structuralintegrity. The proposed coating strategy provides a practical route for developing durable and hydrophilic polymer membranesapplicable to microfiltration and biomedical systems requiring long-term antifouling performance.	고분자공학	null	http://dx.doi.org/10.1007/s13233-025-00477-5	kci_detailed_023461.xml
ART003298814	oai_dc	Recent advances in hydrogels for adsorption and electrochemical detection of heavy metals	Recent advances in hydrogels for adsorption and electrochemical detection of heavy metals	{ "journal_name": "한국고분자학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "Khurram Shahzad(Institute, Korea Atomic Energy Research); Rabiya Irshad(University of South Bohemia in Ceské Budejovice); Abrar Hussain(Korea Atomic Energy Research Institute); Syed Kumail Hussain Naqvi(Jeonbuk National University); 아민 사디아(전북대학교); 박상현(한국원자력연구원)" ]	With the advancement of modern industry and rising living standards, environmental pollution has become an increasinglyserious and widespread concern. In response, hydrogels have emerged as promising multifunctional materials to mitigatepollution due to their high porosity, tunable structure, hydrophilicity, and capacity to incorporate diverse functional groups,which enable both effective adsorption of pollutants and real-time detection through electrochemical sensing. Furthermore,their responsiveness to external stimuli, coupled with notable mechanical robustness and intrinsic self-healing behavior,positions them as versatile candidates for diverse environmental applications. This review outlines recent progress and keyinnovations in hydrogel-based materials for heavy metal adsorption while also addressing their integration into electrochemicaldetection systems. In addition, it briefly discusses hydrogel-based electrochemical sensors for detecting emergingcontaminants, such as pesticides, dyes, and microplastics. Moreover, the emerging role of machine learning in guiding therational design, intelligent development, and performance optimization of hydrogel-based systems is highlighted. The reviewconcludes by discussing current limitations and outlining future research directions for their sustainable implementation inreal-world technologies.	고분자공학	null	http://dx.doi.org/10.1007/s13233-025-00461-z	kci_detailed_023461.xml
ART003298872	oai_dc	The effects of hypoxia inducible factor-1α in myeloid cells and a high-salt diet in a mouse model of orthodontic tooth movement	The effects of hypoxia inducible factor-1α in myeloid cells and a high-salt diet in a mouse model of orthodontic tooth movement	{ "journal_name": "대한치과교정학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "Valentin Jüngel(Department of Orthodontics, University Hospital Regensburg, Regensburg, Germany); Eva Paddenberg-Schubert(Department of Orthodontics, University Hospital Regensburg, Regensburg, Germany); Kathrin Renner(Department of Otorhinolaryngology, University Hospital Regensburg, Regensburg, Germany); Anna Da...	Objective: Force application during orthodontic tooth movement (OTM) promotes oxygen depletion and bone remodeling. Deficiency of hypoxia inducible factor-1α (HIF1α ) in myeloid cells accelerates OTM. Low-oxygen and high-salt conditions can stabilize HIF1α in myeloid cells. This study aimed to determine whether myeloid HIF1α levels influence OTM under low- and high-salt diets in mice. Methods: Mice with and without HIF1α expression in myeloid cells received a low-salt (< 0.03% NaCl, tap water) or an high-salt (4% NaCl, saline) diet for two weeks. One week after the start of the diet, an elastic band was inserted between the first and second molars. The expression of inflammatory and bone remodeling genes, bone density, and extent of OTM were determined. Results: Myeloid Hif1α expression did not modify high-saltinduced expression of the inflammatory genes interleukin-1β and interleukin-6. Myeloid-derived Hif1α and dietary salt levels did not significantly modify osteoblast responses to OTM. High-salt conditions and myeloid Hif1α deletion increased osteoclast numbers and expression of osteoclast-specific genes. This was paralleled by reduced bone density, which ultimately led to increased OTM. Conclusions: A high-salt diet and the absence of HIF1α both lead to increased OTM. In the tested OTM model, exposure to high-salt conditions was largely independent of myeloid cell-derived HIF1α.	치의학	null		kci_detailed_023461.xml
ART003298873	oai_dc	Comparison of skeletal and dentoalveolar effects of tooth-and-bone-borne and bone-borne miniscrew-assisted rapid palatal expansion in young adults	Comparison of skeletal and dentoalveolar effects of tooth-and-bone-borne and bone-borne miniscrew-assisted rapid palatal expansion in young adults	{ "journal_name": "대한치과교정학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "Seungmin Ryu(Department of Orthodontics, Yonsei University College of Dentistry, Seoul, Korea); Eun-Hack Andrew Choi(Department of Orthodontics, Institute of Craniofacial Deformity, Yonsei University College of Dentistry, Seoul, Korea); Jing Liu(Department of Orthodontics, Institute of Craniofacial Deformity, Yons...	Objective: To investigate the frequency of mid-palatal suture separation with tooth-and-bone-borne (TBB) and bone-borne (BB) miniscrew-assisted rapid palatal expansion and to compare their skeletal and dentoalveolar effects in young adults. Methods: This retrospective study included 34 patients (14 male and 20 female) who underwent palatal expansion divided into two groups: TBB group (n = 15; mean age, 22.3 years) and BB group (n = 19; mean age, 21.7 years). Cone-beam computed tomography images were acquired before treatment (T0) and after a 3-month consolidation period (T1). The primary outcomes were the frequency of mid-palatal suture separation (%) and skeletal and dentoalveolar changes after expansion. The secondary outcome was the dental expansion ratio (%). Results: Mid-palatal suture separation was observed in 73.3% (11/15) and 73.7% (14/19) of patients in the TBB and BB groups, respectively. Both groups showed comparable increases in skeletal measurements. However, the TBB group demonstrated greater dentoalveolar expansion than the BB group. In addition, the TBB group exhibited greater dental inclination and a greater reduction in the buccal alveolar bone thickness than the BB group. Furthermore, the dental expansion ratio was significantly higher in the TBB group (65.0%) than in the BB group (35.7%, P < 0.001). Conclusions: Both TBB and BB achieved successful mid-palatal suture separation in young adults, with success rates of 73.3% and 73.7%, respectively. Moreover, skeletal expansion outcomes were comparable between the groups. However, dental expansion was greater in the TBB group than in the BB group, with a greater increase in dental inclination.	치의학	null		kci_detailed_023461.xml
ART003298874	oai_dc	Assessment of zygomatico-maxillary suture fusion across skeletal maturation stages from preadolescence to young adulthood	Assessment of zygomatico-maxillary suture fusion across skeletal maturation stages from preadolescence to young adulthood	{ "journal_name": "대한치과교정학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "Soo-Min Son(Department of Orthodontics, School of Dentistry, Seoul National University, Seoul, Korea); Sungmi Jeon(Division of Pediatric Plastic Surgery, Seoul National University Children’s Hospital, Seoul, Korea); Sungmin Cha(Department of Orthodontics, School of Dentistry, Seoul National University, Seoul, Kore...	Objective: To characterize the zygomatico-maxillary suture fusion (ZMSF) from preadolescence to young adulthood. Methods: A total of 573 subjects (283 males, 290 females; age, 6–18 years) were divided into 26 groups based on sex and age. Three-dimensional computed tomography images were reconstructed and oriented using ON3D software. The cervical vertebrae maturation index (CVMI) and ZMSF stages were identified using 6-stage and 5-stage scoring systems, respectively. The distributions of CVMI stage and ZMSF stage in each group were statistically analyzed. Results: Females exhibited earlier appearance and a narrower range of onset (CVMI stage-2, ZMSF stage-2), middle (CVMI stage-4, ZMSF stage-3), and completion (CVMI stage-6, ZMSF stage-5), indicating faster skeletal maturation compared to males. Both males and females showed strong positive correlations between age and CVMI stage, between age and ZMSF stage, and between CVMI stage and ZMSF stage (all P < 0.001). The mean ages at ZMSF stage-3 and stage-4 (11.9–14.7 years for males, 9.7–12.6 years for females) may indicate the peak of pubertal growth. Regression equations for ZMSF stage (y), age (a), and CVMI stage (b) were y = –0.508 + (0.169 × a) + (0.509 × b) + (–0.006 × ab) for males and y = –1.227 + (0.285 × a) + (0.804 × b) + (–0.034 × ab) for females. Multivariable ordinal logistic regression analyses indicated that increases in age and progress in CVMI stage were associated with more advanced ZMSF stage, suggesting that ZMSF follows the general skeletal maturation curve. Conclusions: The ZMSF stages showed strong correlations with age and progression of the CVMI stage.	치의학	null		kci_detailed_023461.xml
ART003298875	oai_dc	Upper lip elevation in autonomous maximal smile: A three-dimensional facial imaging study	Upper lip elevation in autonomous maximal smile: A three-dimensional facial imaging study	{ "journal_name": "대한치과교정학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "Ruiting Ren(State Key Laboratory of Oral Diseases, National Center for Stomatology, National Clinical Research Center for Oral Diseases, Department of Orthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, China); Xu Zhang(State Key Laboratory of Oral Diseases, National Center for Stomatolo...	Objective: Three-dimensional (3D) facial images of autonomous maximal smile (AMS) hold unique value for generating orthodontic virtual patients. This study aimed to investigate upper lip elevation (ULE) in AMS using 3D facial images. Methods: A total of 212 Chinese participants with average dental and gingival display in AMS were enrolled and categorized into four groups: male adults (MAdu), female adults (FAdu), male adolescents (MA), and female adolescents (FA). Three-dimensional facial images were taken to measure upper lip length (ULL), philtrum length (PL), and upper vermilion height (UVH) at repose, and to measure upper lip length in AMS (ULL@AMS), ULE, and upper lip elevation ratio (ULER) in AMS. Cephalometric measurements were performed to assess maxillary incisor exposure (U1–Stms) and upper lip thickness (Sn-thickness, Ls-thickness, and Stms-thickness). Statistical analyses were conducted using analysis of variance and Pearson’s chi-square tests. Results: MAdu exhibited a significantly longer resting ULL (23.42 ± 2.23 mm) compared with FAdu (22.43 ± 1.83 mm), primarily due to their longer philtrum. ULL@AMS was 18.27 ± 2.20 mm in MAdu and 16.85 ± 2.36 mm in FAdu (P < 0.05); ULE was 5.15 ± 2.26 mm in MAdu and 5.58 ± 1.90 mm in FAdu (P > 0.05); ULER was 0.22 ± 0.09 in MAdu and 0.25 ± 0.08 in FAdu (P < 0.05). Both ULE and ULER were positively correlated with resting ULL and negatively correlated with Lsthickness. Conclusions: ULL, ULL@AMS and ULE in AMS were precisely measured using 3D imaging across different sex and age groups, offering preliminary normative references for related orthodontic treatment and esthetic procedures.	치의학	null		kci_detailed_023461.xml
ART003298876	oai_dc	Comparative evaluation of ChatGPT, Gemini, and Grok in clinical decision-making and general knowledge assessment for impacted maxillary canines	Comparative evaluation of ChatGPT, Gemini, and Grok in clinical decision-making and general knowledge assessment for impacted maxillary canines	{ "journal_name": "대한치과교정학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "Genta Agani Sabah(Department of Orthodontics, Izmir Tinaztepe University, Izmir, Türkiye); Mehmet Gümüş Kanmaz(Department of Periodontology, Izmir Tinaztepe University, Izmir, Türkiye)" ]	Objective: This study aimed to compare extraction versus orthodontic eruption decisions for impacted maxillary canines made by three artificial intelligencebased chatbots (ChatGPT, Gemini, and Grok) with those made by orthodontist raters, and to evaluate the overall accuracy of these artificial intelligencegenerated recommendations. Methods: Thirty-three patients with impacted maxillary canines were selected, and standardized case scenarios incorporating key diagnostic parameters were presented to the three chatbots. Their treatment decisions were recorded and compared with orthodontists’ consensus decisions. Additionally, 10 general queries regarding impacted maxillary canines were submitted to the chatbots. The responses were rated by three orthodontists using a modified 5-point Global Quality Score. Results: The chatbots and orthodontists showed moderate agreement regarding treatment decisions (κ = 0.411–0.524, P < 0.05). Gemini produced significantly more discordant responses, frequently over-recommending orthodontic eruptions (P = 0.002), whereas Grok and ChatGPT received significantly higher scores than Gemini in the case-based scenarios (P < 0.001). Grok outperformed both ChatGPT and Gemini for general queries (P = 0.006). Conclusions: While Gemini showed lower clinical alignment with orthodontists for treatment decisions regarding impacted canines, ChatGPT and Grok demonstrated moderate agreement with orthodontists and produced relatively accurate responses. These findings highlight the potential of chatbots as supportive tools for orthodontic decisionmaking. However, their use requires careful supervision to avoid the risks associated with inaccurate or misleading recommendations.	치의학	null		kci_detailed_023461.xml
ART003298877	oai_dc	Dental Crowding Categorization Network (DCC-Net): Explainable deep learning system for automatic categorization of dental crowding on intraoral photographs	Dental Crowding Categorization Network (DCC-Net): Explainable deep learning system for automatic categorization of dental crowding on intraoral photographs	{ "journal_name": "대한치과교정학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "Raokaijuan Wang(Department of Orthodontics, Chongqing University Three Gorges Hospital, Chongqing, China); Yangjie Deng(Chengdu Boltzmann Intelligence Technology Co., Ltd., Chengdu, China); Fangyuan Cheng(Chengdu Boltzmann Intelligence Technology Co., Ltd., Chengdu, China); Jiayu Zhang(Chengdu Boltzmann Intelligen...	Objective: Since categorization of dental crowding is a crucial parameter in orthodontic diagnosis and tooth-extraction decisions, we aimed to develop an automatic system to categorize crowding levels on intraoral photographs without space analysis. Methods: The Dental Crowding Categorization Network (DCC-Net), consisting of segmentation, extraction, and categorization modules, was proposed and optimized by extracting regions of interest and crown centroids. A multicenter dataset including 1,351 maxillary and 1,253 mandibular intraoral photographs was divided in an 8:2 ratio for model training and internal testing, and an additional 100 photographs were collected for external testing. The ground truth was obtained through measurements by experienced orthodontists using intraoral scanning data. The accuracy, precision, recall, and F1- score of the categorization module were calculated, and heatmaps were obtained for model interpretation. Furthermore, a clinical evaluation was performed to compare the diagnostic accuracy of junior orthodontists with and without the assistance of DCC-Net. Results: For the maxilla, the categorization accuracy, precision, recall, and F1-score were 0.7232, 0.7447, 0.6793, and 0.6962, respectively, whereas the corresponding values for categorization in the mandible were 0.7352, 0.7506, 0.6723, and 0.7019, respectively. The heatmaps indicated that DCC-Net could identify the dental arches and regions showing malocclusion. In the clinical evaluation, the diagnostic accuracy of junior orthodontists improved with DCC-Net’s assistance, increasing by 9.18% for the maxilla and 12.75% for the mandible. Conclusions: DCC-Net achieved accurate categorization of dental crowding on intraoral photographs. Its rapid predictions may offer insights for guiding tooth extraction in orthodontic treatment, providing valuable reference data for inexperienced orthodontists and improving doctor–patient communication.	치의학	null		kci_detailed_023461.xml
ART003298878	oai_dc	Incisor extrusion with or without molar intrusion for the correction of anterior open bite with clear aligners and comparison of outcomes with fixed appliances incorporating temporary anchorage devices: A systematic review and meta-analysis	Incisor extrusion with or without molar intrusion for the correction of anterior open bite with clear aligners and comparison of outcomes with fixed appliances incorporating temporary anchorage devices: A systematic review and meta-analysis	{ "journal_name": "대한치과교정학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "Thanit Charoenrat(Department of Orthodontics, Chulalongkorn University, Bangkok, Thailand); Phuntin Uengkajornkul(Department of Orthodontics, Chulalongkorn University, Bangkok, Thailand); Chidsanu Changsiripun(Department of Orthodontics, Chulalongkorn University, Bangkok, Thailand)" ]	Objective: This study aimed (1) to compare the effects of clear aligner treatment (CAT) and fixed appliances incorporating temporary anchorage devices (FATADs) on overbite and the vertical position of anterior and posterior teeth in open bite patients; (2) to assess the impact of CAT on increasing overbite and vertical tooth movement; and (3) to evaluate post-treatment stability. Methods: Electronic searches of Medline, Scopus, Cochrane Central, Embase, and the Virtual Health Library network portal, and manual searches were conducted up to April 2025. Human studies evaluating CAT for open bite correction and reporting pre- and post-treatment overbite (primary outcome) and vertical incisor and molar positions (secondary outcomes), with or without comparison to FATADs, were included. Study quality was assessed using design-appropriate tools. Results: Of 1,610 identified studies, 10 met the inclusion criteria (four non-randomized controlled trials and six before-and-after studies). CAT increased overbite by 2.77 mm, mainly through upper (0.87 mm) and lower (1.06 mm) incisor extrusion, without significant molar intrusion. Compared with CAT, FATADs achieved greater overbite correction and upper molar intrusion (1.64 mm and 1.88 mm, respectively). CAT showed greater lower incisor extrusion (2.35 mm), with no significant difference in upper incisor position. During retention, CAT maintained stability, with no significant changes in overbite (0.02 mm) or vertical tooth positions. Conclusions: CAT effectively increases overbite mainly through incisor extrusion but is less effective than FATADs for open bite correction via molar intrusion. The vertical position of the teeth remained stable during the retention period.	치의학	null		kci_detailed_023461.xml
ART003298882	oai_dc	Atherosclerosis Progression in Native Coronaries After Coronary Artery Bypass Grafting: A State-of-the-Art Review	Atherosclerosis Progression in Native Coronaries After Coronary Artery Bypass Grafting: A State-of-the-Art Review	{ "journal_name": "한국지질동맥경화학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "Taha Hesham Salah El-Din(Department of Cardiovascular Medicine, Kasr Al-Ainy Faculty of Medicine, Cairo University, Cairo, Egypt.); Younis Omar(Department of Cardiology, National Heart Institute, Giza, Egypt.); Mamdouh Mirna(Department of Cardiovascular Medicine, Kasr Al-Ainy Faculty of Medicine, Cairo University,...	Coronary artery bypass grafting (CABG) is the standard-of-care surgical treatment for patients with advanced coronary artery disease, particularly those with triple-vessel or left main coronary artery involvement. Over the years, refinements in surgical technique have led to higher success rates and improved outcomes. However, the rapid progression of atherosclerosis in native coronary arteries following CABG remains a persistent concern. Although several studies have documented this phenomenon, the exact pathophysiological processes involved are not yet fully understood. Additionally, the options for further treatment in these patients continue to pose challenges for physicians. In this review, we discuss various studies that have evaluated this phenomenon and its clinical implications, along with the proposed underlying mechanisms. Potential strategies for managing atherosclerosis following CABG are also explored.	내과학	null	http://dx.doi.org/10.12997/jla.2026.15.1.57	kci_detailed_023461.xml
ART003298892	oai_dc	Corrigendum: Investigation of the Influence of Lipoprotein(a) and Oxidized Lipoprotein(a) on Plasminogen Activation and Fibrinolysis	Corrigendum: Investigation of the Influence of Lipoprotein(a) and Oxidized Lipoprotein(a) on Plasminogen Activation and Fibrinolysis	{ "journal_name": "한국지질동맥경화학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "Yao Matthew(College of Arts and Sciences, Vanderbilt University, Nashville, TN, USA.Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.); Dickeson S. Kent(Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.); Dhanabalan Karthik(Department of Medicine, Van...		내과학	null	http://dx.doi.org/10.12997/jla.2026.15.1.193	kci_detailed_023461.xml
ART003298891	oai_dc	Hypercholesterolemia Successfully Treated With Two Different PCSK9 Inhibitors in a Patient With Glycogen Storage Disease IXd: Phosphorylase Kinase Deficiency	Hypercholesterolemia Successfully Treated With Two Different PCSK9 Inhibitors in a Patient With Glycogen Storage Disease IXd: Phosphorylase Kinase Deficiency	{ "journal_name": "한국지질동맥경화학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "Huynh Tiffany(Department of Pharmacy, Camp Springs Medical Center, Temple Hills, MD, USA.); Nguyen Hien(Department of Internal Medicine, Camp Springs Medical Center, Temple Hills, MD, USA.); Nguyen Michelle(Department of Pharmacy, Camp Springs Medical Center, Temple Hills, MD, USA.)" ]	Objective This case report describes a novel use of proprotein convertase subtilisin-kexin type 9 (PCSK9) inhibitors in a patient whose glycogen storage disease (GSD) was unmasked by statin therapy. Evidence-based guidelines for the management of hyperlipidemia in patients with concurrent neuromuscular disorders (NMD) remain limited. Methods We report the case of a 46-year-old man with hyperlipidemia, treated with simvastatin, who presented with 2 days of thigh pain without weakness or dark urine. He was diagnosed with statin-associated muscle symptoms. On further interview, the patient recalled experiencing thigh muscle soreness decades earlier while in the military, at which time his creatine phosphokinase (CPK) ranged between 1,200 and 3,000 U/L. He admitted not disclosing this history or a prior muscle biopsy. Results Muscle biopsy and electromyography/nerve conduction velocity studies were followed by whole-exome sequencing, which demonstrated hemizygosity for c.2369+1 G>T, a pathogenic variant in the PHKA1 gene, consistent with GSD IXd. He was subsequently treated with 2 PCSK9 inhibitors (first evolocumab, then alirocumab). A comprehensive literature review identified only 2 previously reported cases of GSD treated with alirocumab. Conclusion Even if not volunteered, a history of muscle symptoms should be actively sought before initiating statins, with baseline CPK measurement if indicated. As statins are increasingly prescribed, additional cases of GSD may be unmasked, underscoring the need to define optimal therapy for hyperlipidemia in NMD, including GSD. We propose a specific role for PCSK9 inhibitors in patients with statin intolerance and GSD IXd, which has not been previously reported.	내과학	null	http://dx.doi.org/10.12997/jla.2026.15.1.183	kci_detailed_023461.xml
ART003298884	oai_dc	The Relationship Between Low-Density Lipoprotein Cholesterol Levels and Cardiovascular Risk in Koreans With and Without Diabetes	The Relationship Between Low-Density Lipoprotein Cholesterol Levels and Cardiovascular Risk in Koreans With and Without Diabetes	{ "journal_name": "한국지질동맥경화학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "Heo Ji Hye(Division of Endocrinology and Metabolism, Department of Internal Medicine, Hallym University Sacred Heart Hospital, Anyang, Korea.); Go Taehwa(Department of Precision Medicine); Kang Dae Ryong(Department of Precision Medicine, Wonju College of Medicine, Yonsei University, Wonju, Korea.)" ]	Objective The association between low-density lipoprotein cholesterol (LDL-C) levels and cardiovascular disease (CVD) is well-established. However, data on LDL-C thresholds specific to certain populations for assessing CVD risk, particularly among individuals without diabetes, remain limited. This study investigated the association between LDL-C levels and CVD risk in Koreans, comparing individuals with and without diabetes, and evaluated the differential impact of statin therapy. Methods A nationwide cohort study was conducted using data from 4,668,406 individuals without prior CVD. Participants were categorized into 6 LDL-C groups: <70, 70–99, 100–129, 130–159, 160–189, and ≥190 mg/dL. Multivariable Cox proportional hazards models were used to estimate hazard ratios (HRs) for CVD outcomes, adjusting for demographic, clinical, and lifestyle factors. Results During a median follow-up period of 6 years, 67,935 CVD events occurred. LDL-C levels ≥100 mg/dL were significantly associated with increased CVD risk regardless of diabetes status, with progressively higher HRs in elevated LDL-C categories. Among statin users, CVD risk increased significantly from LDL-C levels ≥130 mg/dL in individuals without diabetes, whereas risk rose starting from LDL-C ≥100 mg/dL in individuals with diabetes. Conclusion Our study demonstrates that individuals without diabetes require strict LDL-C control to levels below 100 mg/dL, similar to the control recommended for those with diabetes. Moreover, the cardiovascular risk associated with LDL-C in statin-treated individuals differs based on diabetes status. These findings highlight the importance of individualized LDL-C management strategies that account for glycemic status.	내과학	null	http://dx.doi.org/10.12997/jla.2026.15.1.88	kci_detailed_023461.xml
ART003298885	oai_dc	Associations of Changes in Metabolic Syndrome Status and Risk Factor Count With Incident Cardiovascular Events Among Cancer Survivors	Associations of Changes in Metabolic Syndrome Status and Risk Factor Count With Incident Cardiovascular Events Among Cancer Survivors	{ "journal_name": "한국지질동맥경화학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "Lee Jaeyong(Department of Preventive Medicine, Yonsei University College of Medicine, Seoul, Korea.); Lee Hyeok-Hee(Department of Preventive Medicine, Yonsei University College of Medicine, Seoul, Korea.Institute for Innovation in Digital Healthcare, Yonsei University, Seoul, Korea.); Kim Eun-Jin(Department of Pre...	Abstract Objective This study investigated the associations of changes in metabolic syndrome status and the number of metabolic syndrome risk factors after cancer diagnosis with the incidence of cardiovascular disease (CVD) events among cancer survivors. Methods Using nationwide health screening data, we identified 344,681 individuals diagnosed with cancer at age ≥19 years from 2012 to 2017, who survived for at least 3 years without CVD events. Participants were classified according to their metabolic syndrome status and risk factor count both before and after cancer diagnosis. A CVD event was defined as a composite of myocardial infarction, stroke, or cardiovascular death. Results During a median follow-up period of 5.0 years after surviving cancer for 3 years, 7,529 CVD events occurred. The cumulative incidence of CVD was highest among participants with persistent metabolic syndrome. Compared to participants consistently free of metabolic syndrome, the multivariable-adjusted hazard ratios (HRs) for CVD were 1.21 (95% confidence interval [CI], 1.13–1.30) for newly developed metabolic syndrome, 1.19 (95% CI, 1.10–1.27) for recovered metabolic syndrome, and 1.37 (95% CI, 1.30–1.45) for persistent metabolic syndrome. Participants who recovered from metabolic syndrome exhibited a lower risk compared to those with persistent metabolic syndrome (HR, 0.86; 95% CI, 0.80–0.93). Each +1 increase in risk factor count after cancer diagnosis was associated with increased CVD risk (HR, 1.09; 95% CI, 1.07–1.11). Conclusion Changes in metabolic syndrome status and metabolic syndrome risk factor count after cancer diagnosis were significantly associated with CVD risk among cancer survivors.	내과학	null	http://dx.doi.org/10.12997/jla.2026.15.1.98	kci_detailed_023461.xml
ART003298888	oai_dc	Association Between Lipid-Lowering Drug Use and Sarcopenia: Analysis of the Korea National Health and Nutrition Examination Survey	Association Between Lipid-Lowering Drug Use and Sarcopenia: Analysis of the Korea National Health and Nutrition Examination Survey	{ "journal_name": "한국지질동맥경화학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "Shin Ah-Reum(Department of Internal Medicine, The Bone Union Orthopedics Clinic, Daegu, Korea.); Park Keun-Gyu(Department of Internal Medicine, Kyungpook National University, School of Medicine, Daegu, Korea.); Kim Sung-Woo(Department of Internal Medicine, Catholic University of Daegu, School of Medicine, Daegu, K...	Objective Lipid-lowering drugs are known to cause various muscle-related side effects; however, it remains unclear whether their use contributes to reduced muscle mass and sarcopenia. This study aimed to evaluate the association between the use of lipid-lowering drugs and both muscle mass and the prevalence of sarcopenia. Methods We conducted a cross-sectional analysis using data from 18,668 adults aged ≥20 years from the Korea National Health and Nutrition Examination Survey 2008–2011. Sarcopenia was defined based on appendicular skeletal muscle mass (ASM), measured using dual-energy X-ray absorptiometry. The association between hyperlipidemia medication and the prevalence of sarcopenia was estimated using complex samples logistic regression. Results Patients with hyperlipidemia exhibited lower ASM/wt than those without hyperlipidemia. After adjusting for potential confounders, including current lipid profiles, ASM/wt did not differ significantly between the general population and hyperlipidemic patients not receiving medication. However, individuals taking lipid-lowering drugs demonstrated significantly lower ASM/wt. This trend was mirrored in sarcopenia prevalence, with odds ratios of 2.89 (95% confidence interval [CI], 1.95–4.28) in men and 1.68 (95% CI, 1.26–2.24) in women (p<0.01 for both). Notably, only participants on lipid-lowering drugs showed a progressive decline in ASM/wt and an increased risk of sarcopenia with longer duration of hyperlipidemia. Conclusion These results suggest that the use of lipid-lowering drugs may contribute to a decrease in muscle mass and a higher risk of sarcopenia. However, the generalizability of these results is limited, and further longitudinal studies are required to confirm the association.	내과학	null	http://dx.doi.org/10.12997/jla.2026.15.1.151	kci_detailed_023461.xml
ART003298883	oai_dc	Olezarsen and Beyond: Emerging Targeted Treatments for Familial Chylomicronemia Syndrome and Related Triglyceride Disorders	Olezarsen and Beyond: Emerging Targeted Treatments for Familial Chylomicronemia Syndrome and Related Triglyceride Disorders	{ "journal_name": "한국지질동맥경화학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "N Meghashree(Department of Pharmacy Practice, Bapuji Pharmacy College, Davangere, India.); C B Kushal(Department of Pharmacy Practice, Bapuji Pharmacy College, Davangere, India.); D R Shivaraj(Department of Pharmacy Practice, Akshaya Institute of Pharmacy, Tumkur, India.)" ]	In familial chylomicronemia syndrome (FCS), a rare lipid disorder, triglycerides rise to extremely high levels because of the inability to utilize lipoprotein lipase (LPL) for fat metabolism. Traditional triglyceride-lowering medications are ineffective, leaving patients dependent on strict low-fat diets. This review examines emerging non-LPL-based therapies for FCS. This narrative review assessed therapeutic strategies targeting key regulators of triglyceride metabolism, including apolipoprotein C-III (APOC3) and angiopoietin-like protein 3 (ANGPTL3), in both animal and human studies. Investigational approaches included monoclonal antibodies, RNA-based therapies, gene therapy modalities, genome editing platforms, and plasmapheresis. Olezarsen effectively lowers triglycerides with greater safety than older options. Other agents, such as ANGPTL3 inhibitors and RNA interference therapies, also reduce lipids and provide additional treatment options. Gene therapy and clustered regularly interspaced short palindromic repeats (CRISPR)-associated protein 9 approaches are expected to become available in the near future, while plasmapheresis remains an intervention for acute pancreatitis. Innovative therapies targeting APOC3, ANGPTL3, or liver-specific genes are transforming the management of FCS. These advances not only address this rare disorder but also offer insights into treating triglyceride-related cardiovascular risk and lipid abnormalities. Although some uncertainties remain, the outlook for FCS therapy appears highly promising.	내과학	null	http://dx.doi.org/10.12997/jla.2026.15.1.72	kci_detailed_023461.xml
ART003298886	oai_dc	Associations of Dietary Intake With Cardiovascular Diseases, Blood Pressure, and Lipid Profile in the Korean Population: An Updated Systematic Review and Meta-Analysis	Associations of Dietary Intake With Cardiovascular Diseases, Blood Pressure, and Lipid Profile in the Korean Population: An Updated Systematic Review and Meta-Analysis	{ "journal_name": "한국지질동맥경화학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "Kim Jeongseon(Department of Cancer AI and Digital Health, Graduate School of Cancer Science and Policy, National Cancer Center, Goyang, Korea.); Gunathilake Madhawa(Department of Cancer AI and Digital Health, Graduate School of Cancer Science and Policy, National Cancer Center, Goyang, Korea.); Hoang Tung(Departme...	Objective This systematic review and meta-analysis of observational studies aimed to update the evidence regarding the association between dietary factors and cardiovascular disease (CVD) and related outcomes in the Korean population. Methods In total, 151 studies were included: 62 from a previous study and 89 identified through an updated search in PubMed and Embase. A random-effects model was applied to analyze pooled relative risks (RRs) and their 95% confidence intervals (CIs) for the consumption of 19 food items, 5 macronutrients, 14 micronutrients, 18 dietary indices, and 2 dietary patterns. Results Overall, higher fruit intake was associated with a lower risk of elevated blood pressure (BP)/hypertension (RR, 0.74; 95% CI, 0.65-0.84) and elevated/high triglycerides (TG) (RR, 0.82; 95% CI, 0.71–0.95). Higher vegetable intake was associated with a lower risk of elevated/high TG (RR, 0.92; 95% CI, 0.87–0.97). Inverse associations were observed between higher milk and dairy consumption and elevated BP/hypertension (RR, 0.89; 95% CI, 0.83–0.95), elevated/high TG (RR, 0.82; 95% CI, 0.76–0.89), and lower high-density lipoprotein cholesterol (HDL-C) levels (RR, 0.82; 95% CI, 0.75–0.89). Coffee consumption was inversely associated with the risk of CVD (RR, 0.80; 95% CI, 0.67–0.95) and elevated/high TG (RR, 0.84; 95% CI, 0.79–0.89). Consumption of sugar-sweetened beverages was positively associated with an increased risk of elevated BP/hypertension (RR, 1.21; 95% CI, 1.09–1.33) and elevated/high TG (RR, 1.20; 95% CI, 1.03–1.41). Conclusion This study suggests that higher intake of fruits, vegetables, milk and dairy, and coffee may confer potential benefits for CVD and its associated risk factors, such as BP and lipid profiles. In contrast, sugar-sweetened beverages appear detrimental to cardiovascular health.	내과학	null	http://dx.doi.org/10.12997/jla.2026.15.1.111	kci_detailed_023461.xml
ART003298879	oai_dc	A Position Paper on Lipoprotein(a) From the Lipoprotein(a) Task Force of the Korean Society of Lipid and Atherosclerosis: Current Evidence, Clinical Applications, and Future Directions	A Position Paper on Lipoprotein(a) From the Lipoprotein(a) Task Force of the Korean Society of Lipid and Atherosclerosis: Current Evidence, Clinical Applications, and Future Directions	{ "journal_name": "한국지질동맥경화학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "Jang Youngwoo(Division of Cardiology, Department of Internal Medicine, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Korea.); Lee Jang Hoon(Department of Internal Medicine, Kyungpook National University Hospital, School of Medicine, Kyungpook National University, Daegu, Kore...	Lipoprotein(a) [Lp(a)] is a genetically determined risk factor for atherosclerotic cardiovascular disease (ASCVD) and calcific aortic valve stenosis (CAVS), with plasma levels largely unaffected by lifestyle modification or conventional lipid-lowering therapy. Although international guidelines increasingly recognize Lp(a) as a risk-enhancing factor, in many Asian populations thresholds for high Lp(a) and treatment strategies remain undefined. This Korean position paper, developed by the Lp(a) Task Force of the Korean Society of Lipid and Atherosclerosis, presents an evidence-based summary of the pathophysiology, clinical relevance, and therapeutic landscape surrounding Lp(a), with a focus on Korean-specific data. It reviews the genetic architecture of Lp(a), ethnic variability in concentrations, and its mechanistic roles in inflammation, thrombosis, and calcification. Based on large Korean cohorts, a 3-tiered classification is proposed of normal (<30 mg/dL), borderline high (30–49 mg/dL), and high (≥50 mg/dL), harmonizing global thresholds with local data. The document also highlights the limitations of current Lp(a) assays in Korea, and calls for standardized, isoform-insensitive testing. Novel therapeutics, including antisense oligonucleotides, small interfering RNAs, and small molecular inhibitors, have shown promising Lp(a)-lowering effects, with multiple phase 3 trials currently ongoing, or in planning. Given the unmet clinical need, the paper recommends incorporating Lp(a) into cardiovascular risk assessment, and calls for Korean-specific longitudinal studies, national screening strategies, and participation in clinical trials. These efforts will help clarify Lp(a)-associated risk in Korean patients and guide the adoption of future targeted therapies.	내과학	null	http://dx.doi.org/10.12997/jla.2026.15.1.2	kci_detailed_023461.xml
ART003298881	oai_dc	The Role of Galectin-3 in Atherosclerosis and Its Cardiovascular Complications: An Update	The Role of Galectin-3 in Atherosclerosis and Its Cardiovascular Complications: An Update	{ "journal_name": "한국지질동맥경화학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "Colombo Pedro Bortoleto(Barão de Mauá University Center, Ribeirão Preto, São Paulo, Brazil.); Camargo João Victor Silveira(Barão de Mauá University Center, Ribeirão Preto, São Paulo, Brazil.); Campo Vanessa Leiria(Barão de Mauá University Center, Ribeirão Preto, São Paulo, Brazil.Glycovam-Supera Technology Park, R...	Atherosclerosis is a primary cause of vascular disease worldwide, resulting in diverse clinical manifestations that contribute to significant morbidity and mortality. It is widely recognized as a multifactorial condition involving both metabolic and oxidative mechanisms. The initiation of atherosclerotic plaques arises from endothelial injury caused by excess lipid-carrying lipoproteins, which trigger an exaggerated pro-inflammatory response. This response is mediated by proteins such as galectin-3 (Gal-3), secreted by monocytes and macrophages, which stimulate and accelerate plaque formation. Because of its largely asymptomatic progression, atherosclerosis remains difficult to diagnose. In recent years, clinical and preclinical research on Gal-3 has expanded considerably, revealing elevated Gal-3 levels in patients with atheroma. Moreover, preclinical studies demonstrate that Gal-3 inhibition or gene suppression can effectively attenuate the development of atherosclerosis. These findings highlight the involvement of monocytes, macrophages, foam cells, and Gal-3 in the initiation and progression of the disease. Consequently, Gal-3 has emerged as a promising biomarker for endothelial dysfunction and other cardiovascular conditions. This review therefore summarizes current evidence on the role of Gal-3 in the pathogenesis, clinical features, diagnosis, treatment, and prognosis of atherosclerosis, while also encouraging discussion of Gal-3 as a potential therapeutic strategy.	내과학	null	http://dx.doi.org/10.12997/jla.2026.15.1.48	kci_detailed_023461.xml
ART003298871	oai_dc	Deep Appreciation to Our Reviewers in the Past Year 2025	Deep Appreciation to Our Reviewers in the Past Year 2025	{ "journal_name": "한국지질동맥경화학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "Heo Ji Hye(Division of Endocrinology and Metabolism, Department of Internal Medicine, Hallym University Sacred Heart Hospital, Anyang, Korea.); Jeong In-Kyung(Division of Endocrinology and Metabolism, Department of Internal Medicine, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicin...		내과학	null	http://dx.doi.org/10.12997/jla.2026.15.1.1	kci_detailed_023461.xml
ART003298887	oai_dc	Prevalence of Statin Intolerance in a Primary Care Portuguese Population: A Retrospective Cohort Study	Prevalence of Statin Intolerance in a Primary Care Portuguese Population: A Retrospective Cohort Study	{ "journal_name": "한국지질동맥경화학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "Gavina Cristina(Cardiology Department, Hospital Pedro Hispano, Matosinhos, Portugal.Department of Medicine, Faculty of Medicine of University of Porto, Porto, Portugal.UnIC, Faculty of Medicine, University of Porto, Porto, Portugal.); Araújo Francisco(Department of Internal Medicine, Hospital Lusíadas, Lisbon, Por...	Objective We estimated the prevalence of statin intolerance (SI) in a Portuguese primary care population, applying the CLEAR Outcomes trial inclusion criteria. Methods This retrospective study analyzed electronic health records (EHRs) from the Local Health Unit of Matosinhos, Portugal (from system launch through December 2023). The study included both men and women (postmenopausal, surgically sterile, or using birth control) aged 18–85 years, with a history of atherosclerotic cardiovascular disease (ASCVD) or at high/very-high ASCVD risk, and a low-density lipoprotein cholesterol (LDL-C) level ≥100 mg/dL while receiving lipid-lowering therapies. The index date was defined as the date when each patient met all eligibility criteria. SI (the prescription of ≥2 statins at any dose, or 1 statin at any dose in patients unwilling to try a second statin) was identified through free-text search. Univariate logistic regression analyses were performed. Results In total, 12,393 patients were eligible for inclusion. SI was observed in 9.6% (n=1,195) of patients, who in December 2023 had a median (1st to 3rd quartiles) age of 73 years (68–78 years) and a median LDL-C of 100 mg/dL (76–129 mg/dL). Most patients were male (55.2%), had ≥3 comorbidities (78.2%), and 42.1% were prescribed a moderate-intensity statin. Individuals aged ≥70 years had a higher likelihood of SI (odds ratio [OR], 1.3; 95% confidence interval [CI], 1.1–1.4). Women showed a non-significantly higher likelihood of SI (OR, 1.1; 95% CI, 0.9–1.2). Conclusion The prevalence of SI observed in this study is consistent with existing literature and is particularly elevated in older individuals. These findings highlight the need to prioritize alternative therapies for dyslipidemia in this population.	내과학	null	http://dx.doi.org/10.12997/jla.2026.15.1.138	kci_detailed_023461.xml
ART003298889	oai_dc	Hypertriglyceridemia in Type 2 Diabetes Is Associated With T Regulatory Cell Dysfunction	Hypertriglyceridemia in Type 2 Diabetes Is Associated With T Regulatory Cell Dysfunction	{ "journal_name": "한국지질동맥경화학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "Raj Karthik(Department of Biochemistry, University College of Medical Sciences and GTB Hospital, Delhi, India.); Garg Seema(Department of Biochemistry, University College of Medical Sciences and GTB Hospital, Delhi, India.); Mehndiratta Mohit(Department of Biochemistry, University College of Medical Sciences and G...	Abstract Objective Hypertriglyceridemia (HTG), often but not always coexists with type 2 diabetes mellitus (T2DM). Both independently increase the risk of vascular complications, with inflammation serving as the underlying pathology. T-regulatory (Treg) cells, identified as CD4+CD25+forkheadbox-P3(FoxP3)+ cells, mitigate inflammation through secretion of interleukin(IL) 10. We investigated markers of Treg cell function in patients of T2DM with and without HTG. Methods Patients with T2DM were divided into 2 groups: T2DM with normal triglyceride (TG) levels (n=30), designated as (DNT) and T2DM with HTG (n=30) designated as (DHTg). Expression of the FOXP3 and IL-10 genes were evaluated using quantitative polymerase chain reaction. Serum soluble CD25 (sCD25) levels were measured by enzyme-linked immunosorbent assay. Results FOXP3 and IL-10 expressions were reduced in DHTg group. Serum sCD25 levels were significantly higher in the DHTg group (p=0.04). FOXP3 and IL-10 expressions correlated positively in both groups. FOXP3 and IL-10 expression were reduced in both DHTg-normal body mass index (NW) and DHTg-overweight and obese (OwO) compared with respective DNT subgroups, although difference was smaller among OwO groups. Conclusion Reduced expression of FOXP3 and IL-10 indicates compromised Treg function in patients with T2DM and HTG. This impairment may contribute to inflammatory stress, thereby increasing the risk of atherosclerosis. Elevated serum sCD25 levels may represent an additional link between TG and immune imbalance. Obesity also appears to influence Treg function, though its precise role remains uncertain. Aggressive management of HTG in T2DM is warranted. Furthermore, Tregs may represent an attractive therapeutic target for mitigating risk of complications.	내과학	null	http://dx.doi.org/10.12997/jla.2026.15.1.161	kci_detailed_023461.xml
ART003298880	oai_dc	Selected Genes Associated With CVD-Related Diseases, Pathways, and Nutrigenetics	Selected Genes Associated With CVD-Related Diseases, Pathways, and Nutrigenetics	{ "journal_name": "한국지질동맥경화학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "Tasdemir Seyma Sehadet(Department of Nutrition and Dietetics, Bitlis Eren University, Bitlis, Turkey.Department of Nutrition and Dietetics, Gazi University, Ankara, Turkey.); Akbulut Gamze(Department of Nutrition and Dietetics, Kent University, Istanbul, Turkey.)" ]	Any dysfunction or obstruction in blood circulation can lead to the development of cardiovascular disease (CVD), which is multifactorial but primarily caused by atherosclerosis. Nutrition is considered as the most significant modifiable environmental factor, with a direct influence on cardiovascular risk mediated by triggering inflammation, oxidative stress, and various physiological, molecular, and biological changes. Despite these well-established mechanisms, targeting nutrition has not led to the expected reduction in CVD mortality rates. This discrepancy is thought to be due to interindividual variability in genetic factors that modulate responses to nutritional interventions. Genetic variants can interact with specific nutrients and dietary components, influencing their effects on cardiovascular health. Advances in nutrigenetics and nutrigenomics which explore nutrient-gene interactions, have led to the development of the concept of personalized nutrition. This approach aims to prevent CVD and other diseases by tailoring dietary treatments to individual genotypes identified through genetic polymorphisms. It is suggested that life expectancy and sustainable healthy living can be enhanced by aligning dietary treatments with specific genetic profiles associated with CVD. Therefore, this review discusses genes linked to CVD and explores how gene-driven differences in dietary responses affect cardiovascular health outcomes.	내과학	null	http://dx.doi.org/10.12997/jla.2026.15.1.26	kci_detailed_023461.xml
ART003298890	oai_dc	Tigloylgomisin P Inhibits Endothelial Inflammation by Regulating the NF-κB and Smad1/5/9 Pathways	Tigloylgomisin P Inhibits Endothelial Inflammation by Regulating the NF-κB and Smad1/5/9 Pathways	{ "journal_name": "한국지질동맥경화학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "Shin Minjeong(Department of Medical Biotechnology, Inje University, Gimhae, Korea.); Ku Junhyeon(Department of Medical Biotechnology, Inje University, Gimhae, Korea.); Immanuel Jenita(Department of Medical Biotechnology, Inje University, Gimhae, Korea.); Kwon Nayeong(Department of Medical Biotechnology, Inje Unive...	Objective Vascular inflammation contributes to the development of many chronic human diseases. Inflammatory stimuli such as interleukin (IL)-1β or disturbed blood flow trigger endothelial activation, thereby promoting leukocyte recruitment and transmigration through inflammatory signaling pathways. This study aimed to identify novel compounds capable of blocking vascular inflammation, with potential therapeutic applications in vascular inflammatory diseases such as atherosclerosis. Methods A natural compound library was screened to identify drug candidates that inhibit IL-1β-induced endothelial inflammation. The anti-inflammatory effects of tigloylgomisin P, one of the hit compounds, were examined in bovine aortic endothelial cells stimulated with IL-1β or oscillatory (disturbed) flow. Endothelial inflammation was assessed by measuring nuclear factor kappa-light-chain-enhancer of activated B cells (NF-κB) phosphorylation and nuclear translocation, monocyte adhesion to endothelial monolayers, and Smad1/5/9 phosphorylation in vitro. Vascular inflammation in vivo was evaluated in aortas of apolipoprotein E (ApoE) knockout mice treated with tigloylgomisin P using immunohistochemistry. Results Tigloylgomisin P suppressed IL-1β-induced NF-κB activation and reduced monocyte adhesion. In addition, it inhibited oscillatory shear stress-induced endothelial inflammation mediated by NF-κB activation and Smad1/5/9 phosphorylation. In ApoE knockout mice, administration of tigloylgomisin P decreased inflammatory marker expression in the atheroprone inner curvature of aortic arches. Conclusion These findings suggest that tigloylgomisin P may represent a potential therapeutic agent for vascular inflammatory diseases such as atherosclerosis.	내과학	null	http://dx.doi.org/10.12997/jla.2026.15.1.173	kci_detailed_023461.xml
ART003298922	oai_dc	ARDL-ECM 모형을 활용한 서민금융 정책대출 상품시장의 비금융 서비스 효과 분석	Analyzing the Effects of Financial Education, Consulting, and Digital PlatformServices for Low-Credit Borrowers on the Equilibrium of the Inclusive FinanceMarket Using the ARDL–ECM	{ "journal_name": "사단법인 한국재무행정학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "이종석(국립금오공과대학교)" ]	본 연구는 서민금융진흥원의 저신용자 대상 금융교육·컨설팅과 디지털 플랫폼 등 비금융적 서비스가 서민금융 정책 대출에 미치는 효과를 미소금융과 근로자 햇살론의 월별 데이터를 활용하여 ARDL–ECM 모형과 동적 이벤트 스터디 기법을 적용하여 분석하였다. 분석 결과, 금융교육·컨설팅은 두 상품 모두에서 대출 건수를 유의하게 감소시켰으나 총대출 금액에는 유의한 영향이 없었다. 이는 금융문해력 제고와 컨설팅이 차주의 신중성을 높이는 필터링 기능을 수행하지만 전체 신용공급 규모를 위축시키지는 않으며, 만성적인 초과 수요의 존재를 강력하게 시사한다. 한편, 자영업자 대상 대출건수가 줄어드는 것은 자활 측면에서는 우려스러운 면이 있다. 디지털 플랫폼 「서민금융 잇다」는 대출 건수와 금액 모두에 즉각적 효과가 나타나지 않아 UI 및 서비스 품질 개선의 필요성을 시사한다. 본 연구는 저신용자 대상 비금융 지원정책의 효과는 금융 관점 외 자활 관점에서도 함께 분석될 필요가 있으며, 정책효과 제고를 위해 플랫폼의 지능화가 필요하다는 점도 제언한다.	행정학	null		kci_detailed_023461.xml
ART003298924	oai_dc	기후적응 예산의 공간적 분포와 확산에 관한 연구	Spatial Patterns and Policy Diffusion of Climate Adaptation Budgeting	{ "journal_name": "사단법인 한국재무행정학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "김은지(국립군산대학교)" ]	본 연구는 서울시 25개 자치구의 냉방·난방 복지예산을 기후적응 예산으로 규정하고, 2016–2023년 패널자료를 바탕으로 그 공간적 분포와 정책확산 구조를 실증적으로 분석하였다. 고정효과 및 공간패널모형 추정 결과, 냉방예산은 저소득 한부모가구 등 사회적 취약계층 규모와 사회복지지출 수준, 그리고 정치적 성향에 따라 확대되며, 인접 자치구의 정책결정에 영향을 받는 확산 메커니즘이 유의하게 확인되었다. 반면 난방예산은 고령인구와 재정자립도 등 구조적 요인에 의해 안정적으로 결정되고, 인접 지역의 재정여건에 의한 간접적 파급효과가 일부 나타났다. 이러한 결과는 냉방은 가시성이 높고 비교와 경쟁이 활발한 “신흥 기후복지 정책”의 속성을 갖는 반면, 난방은 제도화된 복지로서 정착된 정책 영역임을 시사한다. 이를 바탕으로 지역 간 형평성을 고려한 기후적응 재정 운영과 광역 차원의 표준화·조정 필요성을 제언한다.	행정학	null		kci_detailed_023462.xml
ART003298919	oai_dc	Challenges and Alternatives in Budgetary ‘Transferred Use’ and ‘Re-appropriation’	Challenges and Alternatives in Budgetary ‘Transferred Use’ and ‘Re-appropriation’	{ "journal_name": "사단법인 한국재무행정학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "정성호(한국재정정보원)" ]	This study examines the legal and institutional constraints and alternative approaches related to ‘transferred use’ (legislative subjects) and ‘re-appropriation’ (administrative subjects) within South Korea’s program budget system. It proposes integrating key fiscal terms—division, group, program, and sub-program—into the National Finance Act (NFA) to streamline budget classifications and reduce confusion. The study emphasizes the distinct roles of the National Assembly (NA) and the Ministry of Economy and Finance (MOEF) in the budget review process, whereby the NA reviews budget classifications at or above the program level (such as divisions, groups, and programs), while the MOEF manages allocations below the program level. Furthermore, the paper suggests revising the NFA to accommodate cross-agency projects and national priorities, ensuring that budgeting and deliberation align with the program-level structure. These changes aim to clarify authority, enhance transparency, and improve the overall efficiency of fiscal management.	행정학	null		kci_detailed_023462.xml
ART003298900	oai_dc	부실채권이 재무금융에 미치는 영향분석 및공적 자산관리회사(AMC)의 역할 강화 필요성	The Impact of Non-Performing Loans on Financial Stability and the Need to Strengthen the Role of Public Asset Management Companies (AMCs)	{ "journal_name": "사단법인 한국재무행정학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "이강산(한국자산관리공사)" ]	금융회사의 대출 연체율 상승, 부실채권 증가 등으로 금융회사의 재무건전성이 악화되고 재무금융 리스크 요인으로 작용하고 있다. 따라서, 본 연구는 부실채권 시장, 부실채권이 재무금융에 미치는 영향, 국내외 공적 자산관리회사(AMC)의 부실채권 정리 사례분석 등을 통해 재무금융 정책을 위한 시사점을 연구하고자 한다. KAMCO는 ’97년 외환위기 시기에 111.6조원 규모 부실채권을 매입하고 효율적인 정리를 통해 47.0조원을 회수했다. KAMCO는 신속한 부실채권의 매입ㆍ정리를 통해 금융회사 등의 재무건전성을 개선하고 유동성을 지원하여 금융시장 안정화에 기여했다. 또한, ’08년 금융위기 시기에 11.4조원 규모 부실채권을 매입하고 PF부실이 금융권으로 확산되는 것을 예방하며 효율적 정리를 통해 6.6조원을 회수했다. 미국 RTC는 정부 주도로 설립되어 약 4,025억 달러의 부실자산을 관리하고, 747개의 부실금융기관을 정리하여 금융시스템 안정화에 기여했다. RTC는 민관 공동 투자, 자산유동화증권 발행 등 효율적인 자산 운영을 통해 부동산 시장의 침체를 예방했다. 공적 AMC의 역할 강화를 통해 부실채권 정리에 보다 신속히 대응하고 재무금융 충격을 완화시킬 수 있다. 향후 공적 AMC의 역할 강화, 민관 공동 투자 확대를 위한 세제 혜택, 규제 완화 등 관련 논의가 필요하다.	행정학	null		kci_detailed_023462.xml
ART003298903	oai_dc	비용절감 중심에서 생산성 향상으로:새로운 원가관리 정책(목표비용관리제)의 개발과 효과	From Cost Reduction to Productivity Enhancement: Development and Effectiveness of a New Cost Management Policy (Target Costing)	{ "journal_name": "사단법인 한국재무행정학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "윤신웅(한국수력원자력(주))" ]	본 연구는 전력그룹사의 재무건전성 악화라는 구조적 문제에 대응하여, 비용 절감 중심의 기존 원가관리 접근에서 벗어나 생산성 향상 중심으로 관점을 전환한 새로운 원가관리 정책의 개발과 운영 성과를 분석한다. 국제 에너지 가격 변동과 전기요금 규제 구조 속에서 전력그룹사는 장기간 재무적 제약을 받아 왔으며, 기존의 고강도 원가절감 방식만으로는 한계에 직면하였다. 이에 본 연구는 발전량 확대를 통한 매출 증대를 핵심으로 하는 목표비용관리제를 설계·도입하였다. 본 제도는 단위당 목표비용을 기준으로 발전소별 목표를 설정하고 이를 내부 평가와 연계하는 방식으로 운영되었다. 그 결과 원전 이용률과 발전량이 증가하는 성과를 확인하였으며, 본 사례는 공공기관 원가관리 정책이 비용 절감 중심에서 생산성 중심으로 전환될 필요성을 시사한다.	행정학	null		kci_detailed_023462.xml
ART003298923	oai_dc	Systemic Risk 시대, 소방안전교부세 운용 딜레마에 관한 주관성 연구: Musgrave(1959) 재정 3기능(자원 배분, 소득 재분배, 경제안정)의 재해석을 중심으로	A Q-Methodological Study on the Management of the Fire Safety Grant Tax in the Era of Systemic Risk: Focusing on the Reinterpretation of Musgrave’s Three Functions	{ "journal_name": "사단법인 한국재무행정학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "백승창(부산진소방서); 이동규(동아대학교)" ]	본 연구는 Systemic Risk 시대를 배경으로 소방안전교부세 활용을 둘러싼 정책 딜레마를 분석하였다. Musgrave(1959)의 재정 3기능을 임계기능 보호·연쇄실패 차단·장기 복원력 축적의 원칙으로 재구성하고, 부산소방본부 12개 소방서 예산담당자 전원을 대상으로 Q방법론을 적용하여 주관성을 유형화하였다. 그 결과 ‘원칙 기반 성과관리자’, ‘데이터 기반 참여적 합리주의자’, ‘현장 자율 기반의 적응 실용가’라는 세 유형이 도출되었으며, 모두 장기적 위험 감축을 중시하고 단기 가시성 위주의 성과주의를 배격하는 전문가 규범을 공유하는 것으로 나타났다. 이는 Systemic Risk 담론과 재정 이론을 재난 재무행정 집행 현실과 연결하고, 사업 특성에 따라 계획의 안정성·참여의 정당성·현장의 민첩성을 조합하는 맞춤형 거버넌스 설계 필요성을 제기한다. 아울러 집행 주체의 주관성을 중심에 둔 본 연구는 후속 비교 연구와 양적 확장 연구의 기초 자료를 제공한다는 점에서 의의가 있다.	행정학	null		kci_detailed_023462.xml
ART003298921	oai_dc	의료비 통제 정책의 효과: OECD 15개국 분석	Effects of Health Care Cost-Containment Policies: Evidence from 15 OECD Countries	{ "journal_name": "사단법인 한국재무행정학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "김우현(서울시립대학교)" ]	보건의료 재정의 대규모 적자가 현실화될 경우, 효과적인 의료비 지출 통제 정책 수립은 필수적이다. 이 연구는 15개 OECD 회원국의 2004~2019년 1인당 의료비(총 의료비, 입원·외래·약제비) 패널 자료를 구축하고, 각국의 의료비 지출 통제 정책을 유형화하여 정책 효과를 추정했다. 분석 결과, 문헌에서 제기되어 온 의료 지출의 수렴 현상은 지출 통제 정책에 의해 유의하게 설명되지 않았다. 한편, 유형화된 정책군 중 의료 수요 억제 정책군은 1인당 총 의료비와 입원비·약제비 증가세를 통계적으로 유의하게 억제하는 것으로 추정되었다. 반면, 예산 상한 설정, 거버넌스 개편 등 공공관리 및 조정 정책군의 효과는 통계적으로 유의하지 않았다. 이러한 분석 결과는 부작용을 최소화하면서 의료 수요를 적절히 조절하는 정책군이 향후 의료비 지출 관리를 위한 핵심 정책 과제임을 시사한다.	행정학	null		kci_detailed_023462.xml
ART003298901	oai_dc	국가 예산에서의 공기업 정부배당의 역할: 인천국제공항공사를 중심으로	The Role of Government Dividends from State-Owned Enterprises in the National Budget: Focusing on Incheon International Airport Corporation	{ "journal_name": "사단법인 한국재무행정학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "김석(인천국제공항공사)" ]	본 연구는 인천국제공항공사의 정부배당 수준을 확인하기 위해 정부출자기관, 민간기업, 해외공항 기업과 비교 분석하였다. 주요 분석 결과는 다음과 같다. 정부출자기관은 정부의 강력한 배당정책에 영향을 받고 있는 것으로 확인된다. 또한 인천국제공항공사의 정부배당은 타 정부출자기관과 비교해도 배당성향 및 배당금액 모두 높은 수준으로 확인되며 정부 세수 수입에도 크게 기여를 하고 있는 것으로 나타났다. 유가증권시장에 상장된 민간기업과 비교결과 정부출자기관의 배당성향은 낮지 않은 수준인 것으로 판단된다. 대규모 투자사업을 진행한 홍콩공항청과 비교를 통해 인천국제공항공사는 대규모 사업을 진행하는 중에도 배당을 지급하였으나, 홍콩공항청은 대규모 사업의 해당기간에 배당을 하지 않은 차이점이 나타났다. 이러한 모습을 통해 동일한 업종에서도 정부정책 등에 따라 배당 여부가 달라짐을 확인할 수 있었다.	행정학	null		kci_detailed_023462.xml
ART003298920	oai_dc	Insights into Advancing Climate Finance Effectiveness:Analyzing Determinants of Heatwave Budgeting	Insights into Advancing Climate Finance Effectiveness:Analyzing Determinants of Heatwave Budgeting	{ "journal_name": "사단법인 한국재무행정학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "심혜영(그린피스)" ]	While climate finance has increasingly focused on mitigation strategies such as greenhouse gas reduction, little attention has been paid to short-term and localized disasters like heatwaves. Heatwave-related budgets are typically embedded across departments, including welfare and safety, and rarely analyzed as independent fiscal categories, highlighting a critical policy and academic gap. Climate finance serves as a critical framework for mobilizing and allocating the necessary resources to address and mitigate the impacts of climate-related disasters effectively. Climate change is intensifying the frequency, severity, and duration of heatwaves, making short-term, behavioral responses increasingly inadequate. To address this growing threat, budgeting as a long-term and systematic adaptation measure is imperative. This study analyzes heatwave budgets across 228 local governments in South Korea (2016–2023), focusing on urban development factors such as population density, land use, and infrastructure, while controlling for political, financial, and socioeconomic variables. Using Panel Generalized Least Squares (GLS) to address heteroscedasticity and autocorrelation, the analysis reveals two critical findings. First, non-financial factors outweigh financial considerations in determining heatwave budgets. Local governments with financial constraints often allocate higher budgets for heatwave responses compared to urban governments. This highlights the importance of governance capacity, public demand, and urban planning priorities in driving resource allocation, suggesting that financial limitations are not a decisive barrier to effective heatwave adaptation. Second, metropolitan status is a stronger predictor of heatwave budget allocations than municipal classification. Metropolitan governments allocate more resources and exhibit stronger correlations with urban development factors, including population density, infrastructure, and land use. This underscores the critical role of urban development dynamics in shaping climate adaptation strategies, as they provide clearer indicators of vulnerability and resource needs than traditional administrative divisions. These findings emphasize the need to shift from administrative boundaries to urban development characteristics as the basis for climate resilience planning. By prioritizing urbanization factors, policymakers can design more tailored, effective strategies for addressing the growing threat of heatwaves under climate change.	행정학	null		kci_detailed_023462.xml
ART003298902	oai_dc	한국조폐공사의 사업전환과 디지털 혁신	Business Transformation and Digital Innovation of KOMSCO	{ "journal_name": "사단법인 한국재무행정학회", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "조기돈(한국조폐공사)" ]	한국조폐공사는 1951년 창립 이래 74년간 대한민국의 화폐 제조와 보안인쇄를 담당해온 공공기관이다. 그러나 디지털 경제로의 급속한 전환은 전통 조폐산업에 근본적 위기를 초래했다. 2023년 기준 국내 현금 사용 비중은 10%로 급감했으며, 중앙은행 디지털화폐(CBDC) 도입 가속화로 실물 화폐 수요는 지속적으로 감소하고 있다. 본 보고서는 이러한 환경 변화 속에서 한국조폐공사가 추진해온 사업전환 전략과 성과를 분석한다. 공사는 ‘業의 진화(Evolution of Business)’라는 개념으로 사업전환을 체계화했다. 1단계 본원적 전통사업(1951~2000년대 초)에서 화폐제조 역량을 축적하고, 2단계 제조기반 다변화 사업(2000년대 초~2019년)에서 위변조 방지기술을 보안인쇄와 특수압인으로 확장했으며, 3단계 디지털 ICT사업(2019년~현재)에서 블록체인 기반 디지털 서비스로 진화했다. 특히 모바일 지역사랑상품권(전국 82개 지자체, 연 6조원 규모)과 통합 온누리상품권(1,000만 이용자, 연 5.5조원 거래), 세계 최초 블록체인 기반 분산ID(DID) 모바일 신분증 서비스는 공사의 성공적 전환을 보여주는 대표 사례다. 2024년 16대 신규사업 추진을 통해 공사는 개척형 사업 투자비율을 42.7%에서 50%로 확대하고 있다. 비록 전통 제조사업의 수익성 한계와 디지털 자산 도입 등 도전과제가 남아있으나, 74년간 축적한 세계 최고 수준의 위변조방지 기술과 국가 중요시설 운영 노하우, 공공기관으로서의 신뢰도는 디지털 신원인증과 결제 서비스 시장에서 결정적 경쟁우위를 제공한다. 한국조폐공사의 사업전환은 전통 제조 공공기관이 디지털 시대에 능동적으로 대응하며 국민에게 새로운 가치를 창출하는 혁신 사례로서, 향후 유사 기관의 전환 전략 수립에 중요한 참고가 될 것이다.	행정학	null		kci_detailed_023462.xml
ART003298911	oai_dc	예비 초등교사의 관찰에 대한 인식과 관찰 경험 탐색	Exploring the Pre-service Elementary Teachers‘ Perception and Experiences of Observations	{ "journal_name": "과학교육연구소", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "정도준(춘천교육대학교); 김민정(부산대학교)" ]	이 연구에서는 예비 초등교사의 관찰에 대한 인식과 관찰 경험을 탐색하고자 하였다. 이를 위하여 초등교사 양성기관에 재학 중인 예비 초등교사를 대상으로 관찰 경험에 관한 설문조사를 실시하였으며, 이를 귀납적으로 분석하였다. 예비 초등교사의 관찰에 대한 인식은 일상적 행위로서의 관찰, 해석적 행위로서의 관찰, 탐구적 행위로서의 관찰, 인식적 기준으로서의 관찰로 범주화되었다. 예비 초등교사의 응답을 분석한 결과, 이들은 관찰을 설명하기 위해 ‘대상’, ‘사물’, ‘특징’, ‘살펴보다’, ‘생각하다’ 등의 키워드를 주로 사용하고 있었다. 또한, 예비 초등교사는 관찰을 일상적 행위 및 해석적 행위로서 인식하는 경우가 많았으며, 이에 따라 관찰을 주로 구체적이고 직접적인 행동, 즉 대상을 보고 특징을 분석하거나 변화를 기록하는 활동으로 설명하고 있었다. 예비 초등교사의 관찰 경험 또한 일상적 관찰에 집중되어 있었고, 해석적 경험이나 탐구적 경험은 과학 수업 맥락에서 나타나는 경우가 많았다. 이러한 결과를 바탕으로 예비 초등교사의 관찰에 대한 인식이 교사 양성과정에서 어떻게 형성되고 확장되어야 하는지에 관한 교육적 시사점을 제언하였다.	교육학	null	http://dx.doi.org/10.21796/jse.2025.49.3.342	kci_detailed_023462.xml
ART003298904	oai_dc	기후변화 글쓰기에 나타난 중학생의 과학적 의사소통 능력 고찰	A Study on the Scientific Communication Ability of Middle School Students Presented in Climate Change Writing	{ "journal_name": "과학교육연구소", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "김형미(제주대학교); 강경희(제주대학교)" ]	이 연구는 중학생의 기후변화 글쓰기에 나타난 핵심 과학 역량 중 과학적 의사소통 능력을 분석하는 것이다. 이를 위해 중학교 과학동아리 학생 28명을 대상으로 세 차례의 기후변화 글쓰기 활동을 실시하였다. 이 프로그램은 기후변화와 물새의 위기를 주제로 한 포스터 제작, 전 지구적 기후위기에 대응하는 4컷 만화 그리기, 탄소중립 실천을 위한 사진 공모 등으로 구성되었다. 산출물(포스터, 만화, 시, 사진)과 수행에서 도출된 글쓰기를 자료 인식·분석, 증거 해석, 규칙 적용이라는 과학지식 구성의 맥락에서 분류·분석하였다. 분석 결과 첫 번째 글쓰기에서는 학생들이 자료 인식·분석 단계에서 감성적 표현을 활용하여 주어진 문제 상황에 공감하였으며, 탐구 결과를 바탕으로 제작한 포스터는 물새가 직면한 현실의 심각성과 위험성을 부각하고 의사소통의 범위를 학교에서 광장으로 확장하는 경향을 보였다. 이후 제작된 4컷 만화와 시·사진 또한 다양한 표현 방식을 통해 과학지식에 근거한 사실·현상·원인에 대한 과학적 설명과 주장을 효과적으로 소통·공유하는 능력을 보여주었다. 과학지식과 개념, 과학적 소양을 토대로 한 다양한 표현 방식의 활용은 주어진 문제 상황에서 과학적 사실을 넘어 현상에 공감하고 이를 확산시키는 과정을 통해 과학적 의사소통 능력을 향상시키는 효과적인 접근으로 판단된다.	교육학	null	http://dx.doi.org/10.21796/jse.2025.49.3.235	kci_detailed_023462.xml
ART003298905	oai_dc	초등학교 수학 교과서에 제시된 기둥과 뿔의 높이 정의 구조 분석	A Structural Study of Height Concepts in Solid Figures in Elementary Mathematics Textbooks	{ "journal_name": "과학교육연구소", "publisher": null, "pub_year": null, "pub_month": null, "volume": null, "issue": null }	[ "강홍재(진주교육대학교); 이지은(서울영일초등학교); 정상태(경남축동초등학교)" ]	이 연구는 초등 기하 교육에서 수학적 정의가 지니는 인지적 측면과 교수학적 함의를 탐구하는 데 목적이 있다. 이를 위해 교과서에 제시된 표현을 분석하여, 정의가 단순한 언어적 명칭을 넘어 수학적 이해를 형성하는 개념적 틀로 기능함을 밝히고자 하였다. 특히 반 힐레의 기하적 사고 이론과 공간 감각에 관한 선행연구를 이론적 기반으로 삼아, 학생의 발달 수준에 부합하는 방식으로 정의를 제시하는 것이 지니는 중요성을 강조한다. 이러한 관점에서 ‘높이’와 ‘밑변’과 같은 용어가 구조적 명확성 없이 사용되는 교과서 표현의 비일관성을 비판하며, 그 결과 공간 추론이 충분히 촉진되지 못하고 있음을 지적한다. 나아가 교과서의 비교 분석을 통해 시각적 직관에 기반한 정의가 관계적 사고와 논리적 사고로의 전이를 저해할 수 있음을 드러낸다. 이에 따라 정의는 구조적 이해와 개념적 일반화를 지원하도록 설계될 필요가 있음을 제안한다. 또한 이 연구는 정의 문장에서의 언어적 복잡성이 수행하는 역할에도 주목하여, 지나치게 복잡한 문장 표현이 학습자의 개념 접근을 방해할 수 있음을 보여준다. 이러한 분석 결과를 토대로, 이 연구는 인지적으로 접근 가능하고 구조적으로 일관되며 교수학적으로 효과적인 정의를 구성하기 위한 일련의 설계 원리를 제안한다. 이러한 원리는 직관적 인식과 형식적 수학 추론 간의 간극을 완화함으로써, 초등 수학 학습에서 보다 심층적인 개념적 참여를 촉진하는 데 기여할 것이다.	교육학	null	http://dx.doi.org/10.21796/jse.2025.49.3.248	kci_detailed_023462.xml

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