• Title/Summary/Keyword: Case finding

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Medical Characteristics of the Elderly Pedestrian Inpatient in Traffic Accident (노인 보행자 운수사고 입원환자의 의료적 특성연구)

  • Park, Hye-Seon;Kim, Sang-Mi
    • Journal of Digital Convergence
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    • v.17 no.12
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    • pp.345-352
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    • 2019
  • This study aims to analyze the factors affecting the length of stay in elderly pediatric inpatients in traffic accidents. We used Korean National Hospital Discharge In-depth Injury data on the discharged from 2012 to 2016. Statistically significant factors affecting the length of stay are admission route, Charlson Comorbidity Index(CCI), injury parts, operation, results, hospital area, and beds for hospitals. The length of stay was shorter in the case of the admission route of the outpatient department than the emergency room, the results were not improved or death rather than improved, and the bed size was 500-999 beds or over 1000 beds rather than 100-299 beds. However, the length of stay was longer in the case of CCI score was 1-2 or over 3 rather than 0, injury parts were other parts rather than head/neck, when the operation was yes, and when the hospital area was a province, metropolitan rather than Seoul. This study intends to understand the medical characteristics of inpatient to prevent pedestrian traffic accidents in accordance with the population aging. Based on this finding, we wish to be used as the basic data for the establishment of policies to effectively manage traffic safety and medical resources in consideration of the characteristics of the elderly people.

A Case of Intracranial Tuberculoma and Optic Disc Tuberculoma Suspected by Miliary Tuberculosis (속립성 결핵에서 발생된 것으로 사료된 두개내 및 시신경 유두부의 결핵성 육이종 1예)

  • Lim, Byung-Hun;Jeon, Kyeong-Hong;Cho, Yong-Kyun;Hang, Ki-Eun;Kim, Ki-Tack;Lim, Si-Young;Kim, Byeung-Ik;Lee, Sang-Jong;Lee, Byeung-Ro
    • Tuberculosis and Respiratory Diseases
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    • v.43 no.2
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    • pp.236-242
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    • 1996
  • Intracranial tuberculoma results from hematogenous spread of pulmonary, intestinal or urogenital tuberculosis. However, it might be caused by pulmonary tuberculosis, mainly. Clinically, symptoms of intracranial tuberculoma are headache and seizure, its symptoms are simillar to intracranial tumor. A 25-year-old-unmarried shopgirl was visited to this hospital because of headache, dizziness and visual disturbance for couple weeks in Sep. 1995. She had been treated with anti-tuberculosis agents of miliary tuberculosis during past nine months period. Brain MRI revealed intracranial tuberculoma and brain edema but not involved optic nerve. Ophthalmic examination revealed severe papilledema and splinter hemorrhage with bitemporal hemianopsis and central scotoma. This finding was strongly suggested of optic disc tuberculoma. Her symptoms became much better following repeated retrobulbar steroid injection with continuous anti-tuberculosis agents. We report a interesting case with intracranial tuberculoma and optic disc tuberculoma associated by miliary tuberculosis during anti-tuberculous treatment.

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MULTIPLE ANKYLOSIS ON MAXILLARY AND MANDIBULAR PRIMARY MOLARS WITHOUT PERMANENT SUCCESSOR (계승치의 결손을 동반한 상, 하악 유구치의 다발성 유착에 대한 증례보고)

  • Jung, Hwi-Hoon;Choi, Hyung-Jun;Kim, Seong-Oh;Choi, Byung-Jai;Lee, Jae-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.32 no.3
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    • pp.403-408
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    • 2005
  • Ankylosis is defined as a fusion of cementum or dentine with alveolar bone. Due to the loss of the periodontal ligament on the ankylotic area, the tooth is incapable of continued eruption and hence is unable to follow the normal vertical development of the neighboring teeth and alveolar process. A 6-year-old female was referred to the Dept. of Pediatric Dentistry for ankylosis of primary molars and congenital missing of permanent premolars on both jaws. She had neither specific past medical history nor trauma and infection history in oral and maxillofacial region. Radiographic finding is that the maxillary primary molars were the early onset of ankylosis and had fast root resorption rate. However the mandibular primary molars were ankylosed later and being resorbed slower than maxillary primary molars. The object of treating this case is to maintain the proper alveolar bone growth and retention of deciduous molars. The point of managing this case is as follows: Proper treatment (observation, restoration, or extraction) should be established after thorough consideration of the time of onset, the root resorption rate, progression of infraocclusion and the development of alveolar bone support. We should consider the timing of extraction of the ankylosed teeth without problem of neighbouring alveolar bone growth and tilting of adjacent teeth in the view of growth spurt. Early diagnosis is important to avoid many of the complications with infraoccluded primary molars.

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Nepotism or Networking?: The Effectiveness of Social Networks in the Labor Market ('연줄'인가, '연결'인가?: 인적 네트워크의 노동시장 효과 분석)

  • KIM, Young Chul
    • KDI Journal of Economic Policy
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    • v.34 no.3
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    • pp.133-186
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    • 2012
  • This paper analyzes the effectiveness of social networks in finding jobs and estimates the value of job search network using the Korean Laber and Income Panel Study (KLIPS) dataset and utilizing the Difference-in-Difference Propensity Score Matching (PSM) methodology (Heckman et al., 1997). While the wide use of social networks in the Korean labor market is often perceived as 'nepotism,' this study confirms that social networks, by serving as an effective information transmitter between job search and recruitment, make a significant contribution to improving the adequacy of job matching in the domestic labor market. In order to verify the effectiveness of using social networks for getting jobs, this study looks into the cases of labor turnover using social networks and also not using it. In the aspect of individual satisfaction improvement relating to workplace and job duties, both cases of turnover turn out to experience an increased satisfaction by 2~3 points (on a 100-score scale). Meanwhile, as for the educational and technical adequacy improvement, no positive effects are found in the case of turnover without social networks, whereas the educational and technical adequacy improvement turns out to increase by 2.13 and 2.52 points, respectively, in the case of turnover using social networks. The effect of income increase through turnover using social networks registered 40,074 Korean won per month (as of 2010), which can be considered as the result from the improved educational and technical adequacy. Of all things being considered, the value of job search network per wage worker in the Korean society is estimated to be 18.72 million won in terms of life-cycle wage improvement, and 758.2 scores in terms of the improvement of working life satisfaction. Provided that the cash value of satisfaction score 1 is equivalent to 'n' times 10,000 won, the aggregate value of job search network is estimated to be 18.72+7.582n million won, which means the total amount of costs that a wage worker in the Korean society willingly pays to maintain and manage job networks for lifetime.

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Analysis on the Damage Status by Diagnostical Methodology for the Improvement Landscape on the Supyo-bridge at Chunggae-stream (청계천 수표교(水標橋)의 경관 향상을 위한 진단학적(診斷學的) 훼손상태 분석)

  • An, Jin-Sung;Choi, Ah-Hyun;Kim, Yu-Il
    • Journal of the Korean Institute of Traditional Landscape Architecture
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    • v.28 no.3
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    • pp.105-113
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    • 2010
  • This study is for the preservation plan of the tradition space which is performed by the damage status analysis through performing the value assessment. Especially, it is an experimental study for finding the process and methods by analyzing the major element for the value assessment of the selected object's damage status through the expert group who are systematized in their interest to conserve the traditional structure in traditional space. For that purpose, this study should be performed by the fundamental understanding of the physical property of the Supyo-bridge and the condition of the selected site's environment. Meanwhile, this study has been done that 'map of the damage status distribution' for making records of damage status of the Supyo-bridge on the property utilized field measurement adapted by photogrammetry and assessment guidelines, which are for investigation on damage status of objects that are standardized 'Raccomandazioni Normal' which could be said construction culture assets management guidelines of Italian government. As the result of investigation, damage status of each part in the Supyo-bridge was mostly composed of damage by sediment and corrosion and in case of 9 damage types including corrosion, in consideration of physical and chemical properties and distribution status of those elements, it is made an judgement that is not working as a threatened factor regarding security of the Supyo-bridge. On the contrary, for the improvement landscape, in case of 'Thermoclastism' phenomenon observed in 'upper floor', 'Myungae stone' and 'bridge pier' is that when taking it into consideration that is widely distributed concentrated on the bridge pier, surface reinforcement job along with elimination of damage part will be judged to be requested for earliest treatment.

A Case of Membranoproliferative Glomerulonephritis Type II(Dense-Deposit Disease) (막증식성 사구체신염 제 II 형(Dense-Deposit Disease) 1례)

  • Lee Suk-Jin;Moon Jae-Hoon;Kang Mi-Seon;Song Min-Seob;Chung Woo-Yeong
    • Childhood Kidney Diseases
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    • v.7 no.2
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    • pp.204-210
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    • 2003
  • Membranoproliferative glomerulonephritis type II(MPGN II), also called dense deposit disease, was first described by Berger and Galle in 1963. The diagnosis of MPGN II is based on electron-microscopic finding of an intensely electron-dense substance which replaces the lamina densa of the glomerular basement membrane. Although the etiology and pathogenesis of MPGN II are unknown, it frequently progresses to end-stage renal failure. Typically in MPGN II, hypocomplementemia due to activation of the alternative complement pathway is present. In addition, the association of MPGN II with partial lipodystrophy and complement abnormalities is well documented. The relationship between these associated features and the patient's renal functional outcome is not clear. With respect to the therapy for MPGN II, an alternate-day prednisolone regimen was shown to be effective. Various treatment modalities, including immunosuppression with corticosteroids, cytotoxic drugs and cyclosporin A, anticoagulants and antiplatelet therapies are used, either alone or in combination, with varying degrees of success. The purpose of this paper is to present a case of MPGN II from a 7 years old girl with paroxysmal supraventricular tachycardia(PSVT).

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A Case Study of the Mobile Giving Platforms Based on Construal Level Theory: Focused on Bigwalk and Tree Planet (해석수준 이론에 기반한 모바일 기부 플랫폼 사례연구: 빅워크와 트리플래닛을 대상으로)

  • Kim, Minji;Min, Byounga;Shin, Hyeonsik;Hwang, Seongwook;Lee, Inseong;Kim, Jinwoo
    • Information Systems Review
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    • v.17 no.3
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    • pp.135-157
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    • 2015
  • Mobile giving platform is a new type of giving platform which offers donation service through mobile application. Mobile giving platform has developed differently from offline giving platform in the way that induces continuous donation. The purpose of this study is to investigate why mobile giving platform has adopted different strategy, and how it leads to continuous contribution. We conducted a case study with two successful mobile giving platforms; Bigwalk and Tree Planet. The analysis of the strategy is based on the construal level theory which explains the relationship between psychological distance and construal level. The result shows that the users' psychological distance toward giving platform has decreased with the environmental change, offline to mobile. Consequently the mobile giving platform offers services which form low level of construal for encouraging continuous participation. This finding suggests the importance of offering suitable construal level in services, and design guideline for mobile giving platforms.

An Analysis on the Contents Related to Health in the Three Major Monthly Women's Magazine (3개 주요 월간 여성잡지에 나타난 건강관련 기사 내용분석 (1997년 3월-1998년 2월 중심으로))

  • Yoo, Eun-Kwang;Lee, Seong-Eun;Kim, Myoung-Hee
    • Women's Health Nursing
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    • v.4 no.3
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    • pp.309-321
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    • 1998
  • The purpose of this study was to analyze the contents related to health in the three major monthly women's magazine that was printed from March, 1997 to February, 1998. The unit of analysis was the section of health, living life, and reaing child. The total number of related story of health was 317. The analysis was done according to the target, health management, topics and the informer by using frequency and number. The findings are as follows : 1. The contents were categorized by target people. The number of items for women was 113(35.6%), child(17.4%), family(15.5), husband(4.7%) and others(26.8%). Others were the contents that are impossible to classify. 2. The number of items of contents by health management was the related to health maintenance and promotion 120(47.8%), health care when they were deviated from health 26(10.3%), and those of both attributes 105(41.8%). 3. The number of items of contents by topics was the related to the occurrence, prevention and treatment of various kinds of disease 41(12..9%), diet 37(11.7%), academic information 11.3%, women's disease 10.4%, the effect of foods 6.0%, child's growth & development and child care 5.75, various kinds of therapy for health care 5.7%, sexual life 5.4% and exercise 4.7%. 4. The number of items of contents by informer was medical doctor 215(49%), lay person's case report or report of a struggle against a disease 12.3%, relevant organization of a related story(eg. family therapy research institute, physical therapist's or teacher's) 11.2%, and the contents of existing books or lecture 8.9%. Among those contents, only the one case from nurse or Korean nurses association as informer was founded, which is related to "skinship child care." In conclusion, this finding showed that women's magazine took a role as a important resource providing informations of health to women. it provides a challenge to the health professionals to have concerns on women's needs, and the content, source, and accuracy of the health related information and take part in the process producing information through such as screening and examining so as to give accurate information to women. Then women's magazine can take a role as a major resource for maintaining and promoting women's health. Finally, nurses's, who are professional health care providers, important and active role as informers toward the lay persons, especially for the women who are non-professional care givers at the family unit should be stressed. More active and continual monitoring and analyzing the contents related health in the mass media including magazine and Internet network in detail, and participating in establishing the system of adequate and precise information for women and lay persons from the nursing profession are required absolutely.

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Labor Transition and Exclusion of Unprivileged Female Breadwinners (저소득 여성가구주의 노동이행과 배제)

  • Kim, Jeung-Hyun
    • Korean Journal of Family Social Work
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    • no.43
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    • pp.61-85
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    • 2014
  • The aim of this study is to examine how labour transition of female householders is proceeded, and to identify mechanisms that cause them to be excluded from labor market. For this, thirteen lone mothers who have had labor experience in the market, while raising children were interviewed. This qualitative case study was proceeded by way of participants' interviews and questionnaires. Finding shows, impoverished lone mothers were horizontally moving incessantly on second labor market. As poverty worsens by years, poor lone mothers tend to be more dependant on the government's support and to transit downward to work-poor labor market. The unprivileged women were excluded from multi-dimentions: market structure, social relations and gender norms. The sex-segmental and human capital-oriented market has excluded women who gave up their career for caring. Female breadwinners were frequently excluded from social relations and opportunities for labor due to their stigma. sometimes they were self-excluded from the market for they had to care for their children. In conclusion, suggestions are given to enhance qualities of lone mother's lives and help them exit from poverty. It is necessary to implement positive labor policy with labor flexibility and stability and to practice socialization of care as care support system is very important for maintaining their jobs. Above all, social awareness of gender role must be changed.

An Analysis of Maritime E-commerce Transportation between Korea and China (대중국 전자상거래 해상운송 기종점 분석)

  • Shin, Sung-Ho;Jung, Hyun-Jae;Lee, Dong-Hyon
    • Journal of Korea Port Economic Association
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    • v.34 no.3
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    • pp.93-112
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    • 2018
  • The purpose of this study is to analyze the flow of e-commerce freight transported by maritime transportation for China and to identify the characteristics of cargo by region/item for finding the ways to promote e-commerce export to China. Thus, this study analyzed the e-commerce export and import data on cargo moved via maritime transportation between Korea and China from 2015 to 1Q18, using Origin-Destination(OD) analysis and visualization techniques. The results indicated that the largest number of Chinese e-commerce cargoes were imported at Incheon Port, which has a clearance facility for e-commerce cargo. In the case of Pyeongtaek Port, e-commerce cargo imported from China has transported to Incheon Customs again, causing the inefficiency through the customs clearance process. Unlike the case of e-commerce imports where the final destination is distributed nationwide, e-commerce products exported to China through maritime transportation were found to be mainly confined to Seoul and Gyeonggi provinces, where freight forwarding companies and forwarders are concentrated. In addition, unlike e-commerce import cargoes, e-commerce items exported through maritime transportation were mainly confined to clothing and cosmetics, and export volume was also less than imports. This study provides some possible strategies to increase the volume of freight and to attract export products as follows: i) to diversify products exported to China through e-commerce transshipment, ii) to diversify export items by building the cold chain in e-commerce transport with China.