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Current Trends in the Treatment of Osteochondral Lesion of the Talus: Analysis of the Korean Foot and Ankle Society (KFAS) Member Survey (거골 골연골병변 치료 동향: 대한족부족관절학회 회원 설문조사 분석)

  • Cho, Byung-Ki;Cho, Jaeho;Young, Ki Won;Lee, Dong Yeon;Bae, Su-Young;The Academic Committee of Korean Foot and Ankle Society,
    • Journal of Korean Foot and Ankle Society
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    • v.25 no.4
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    • pp.149-156
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    • 2021
  • Purpose: Given the lack of definite evidence-based guidelines in clinical practice, there may be a wide variation in treatment protocols for osteochondral lesions of the talus (OLT). Based on the Korean Foot and Ankle Society (KFAS) member survey, this study aimed to report the current trends in the management of OLT. Materials and Methods: A web-based questionnaire containing 30 questions was sent to all KFAS members in September 2021. The questions were mainly related to clinical experience and preferences in diagnosis, conservative, and surgical treatments for patients with OLT. Answers with a prevalence of ≥50% of respondents were considered a tendency. Results: Sixty-two (11.3%) of the 550 surgeons queried responded to the survey. The responses to 9 (30.0%) of the total of 30 questions established a tendency. Answers exhibiting a tendency were as follows; additional diagnostic tools except for plain radiograph (magnetic resonance imaging), most common conservative treatment method (oral medication, rest), most important radiological factor in decision making for surgical treatment and method (size of the lesion, ankle instability, loose bodies), most important patient factors in decision making for surgical treatment and method (age, activity or occupation), infrequently requiring posterior arthroscopy (less than 3%), most common revision surgery for failed bone marrow stimulation procedure (osteochondral autograft transplantation [OAT]), not requiring additional procedure for donor site in OAT, the main reason for unsatisfactory result after OAT (persistent pain without radiological abnormality), no generalization of autologous chondrocyte implantation or chondrogenesis using stem cells. Conclusion: This study presents updated information on current trends in the management of OLT in Korea. Both consensus and variations in the approach to patients with OLT were revealed through this survey. Since recent biologic efforts to regenerate cartilage have been unsuccessful, further studies to identify clinical evidence would be needed.

Comparison of Safety Culture Awareness between Client and Subcontractors' Employees according to the Experience of Accidents and Near Misses (사고와 아차사고 경험에 따른 원청과 협력업체 근로자 간 안전문화 인식 비교)

  • Kim, Dong Yeol;Park, Jae Hee
    • Journal of the Korean Society of Safety
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    • v.37 no.2
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    • pp.28-34
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    • 2022
  • This study analyzes the impact that accidents and near misses have on clients' and contractors' awareness of safety culture. Due to the unique characteristic of employment structure in Korea, the occurrence of accidents differs by company size, which has relevant implications for the establishment of safety culture. Attention has been drawn to the importance of the management of accidents and near misses, with safety awareness acting as a core factor. A positive effect on the prevention of accidents could be achieved by noting the difference in safety awareness between clients and contractors and suggesting an associated suitable safety management system. In support of this study, a survey was distributed to workers in the automobile manufacturing industry (May-August 2020), and data from a total of 574 workers was collected and analyzed, including 399 clients' worksers and 175 contractors' workers. The questionnaire addressed participants' experiences of accidents and near misses as well as 50 items from the Nordic Occupational Safety Climate Questionnaire. Analysis of the responses was conducted using the methods of frequency analysis, Fisher's exact test, t-test, correlation analysis, and regression analysis. The results demonstrated that clients had more experiences with accidents and near misses compared to contractors. Additional differences between clients and contractors were noted in terms of the safety culture factors of learning, communication, and trust. A correlation was observed between the experience of accidents and safety justice management: for clients and contractors who experienced accidents, safety justice management was 9.4 times higher. Furthermore, clients' and contractors' awareness of employees' commitment to safety was determined to be 28.5 times higher in those who had experienced near misses This study concludes that, in order to improve accident prevention through the management of accidents and near misses, clients must focus on overseeing safety justice management and aspects of safety culture factors, while contractors must focus efforts on managing employees' commitment to safety. In further applications, this study could provide baseline data for health and safety activities in terms of the safety culture of clients and contractors. Further study on the establishment of safety culture as related to employment structure is proposed for future research.

Safety Assessment of the Level of Safety Culture of National Critical Infrastructure Expressway Operating Organizations (국가핵심기반 고속도로 운영기관의 안전문화 수준진단에 관한 소고)

  • Seo, Jeong-soo;Cheung, Chong-soo
    • Journal of the Society of Disaster Information
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    • v.18 no.3
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    • pp.636-645
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    • 2022
  • Purpose: This study intends to suggest alternatives for improving the level of safety culture by measuring/analyzing safety culture targeting employees of national core-based highway operating organizations. Method: Using the 'Safety Awareness Level Diagnosis Tool' of the Korea Occupational Safety and Health Agency, 16 sub-factor measurement tools reflecting 4 safety culture areas and 4 safety culture activities were evaluated for a total of 144 items. were surveyed/analyzed by online questionnaire. Result: As for the results by safety culture area, "safe operation" was the highest, and "safe communication" was the lowest. As for the results of each safety culture activity, "safe execution (D)", which evaluates whether the plan was implemented, was high. The lowest level of safety culture is "Safety Improvement (A)" Conclusion: When establishing a company's safety and health management measures, the most important aspect of management is the level of safety culture. The ultimate goal is to improve the level of safety culture. In this study, it was possible to confirm the safety culture level of the national core-based expressway operating institution. In the future, we intend to conduct a study on how safety culture affects business continuity management system (BCMS).

User Experience (UX) Analysis of Advertising Platform Mobile Applications for Culture and Arts Content: Critical case study based on the UX Honeycomb model (문화예술 광고 플랫폼 앱의 사용자 경험(UX) 연구: 허니콤 모델을 통한 비판적 사례분석)

  • An, Hye-Jin;Lee, Seung-Ha
    • The Journal of the Korea Contents Association
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    • v.22 no.9
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    • pp.1-18
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    • 2022
  • This study critically analyzed the user experience (UX) of mobile applications, focusing on the advertising platforms of mobile applications for culture and arts content. This study aims to examine the direction for growth of the related mobile applications and propose alternative approaches to improve usability. In this study, a mobile app named 'Moviepre' was selected, and a heuristic evaluation was performed for in-depth exploration. For the selected case, the UX Honeycomb model was reconstructed to analyze useful, usable, desirable, findable, accessible, and credible elements of the case. First, since the users' preference for the price factor did not show a significant correlation with the usefulness of the content and the interface, it is necessary to make sure that the mobile application has unique values to gain a competitive advantage in the market. Second, by adopting customer path stages for analysis, the result indicated that users continuously interact with the service from the first moment they are aware of the mobile application. Third, if the user feels uncomfortable, it is likely that these factors hinder the establishment of a long-term relationship between the users and the mobile application. Finally, brand identity should be clearly established, and brand image strategy needs to be developed to satisfy users' expectations that high-quality culture and arts content will be available through the mobile application.

The Structural Relationship among the Usefulness, Ease of Use, Intention to Use, and Learning Utilization of Smart Learning Devices Recognized by College Students (전문대학생이 인식한 스마트 학습기기의 유용성, 용이성, 사용의도 및 학습 활용의 구조적 관계)

  • Kim, Dae-Myung
    • The Journal of the Korea Contents Association
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    • v.22 no.9
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    • pp.667-677
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    • 2022
  • The purpose of this study is to analyze the structural relationship among the usefulness, ease of use, use intention, and learning utilization of smart learning devices recognized by college students. In order to achieve this, the following problems were addressed: first, how do college students' recognition of ease and usefulness of smart learning devices? second, how do college students' recognition of ease and learning utilization? third, what mediating effects od use of smart learning devices and learning utilization? As for the research method, a survey of 350 students who participated in smart learning was conducted to conduct a home review, confirmatory factor analysis, and bootsrapping for structural equation estimation and mediating analysis. As a result of the analysis on this, first, it was found that the usefulness and ease of smart learning devices recognized by college students had an effect on the intention of use. Second, it was found that the perception of the usefulness and ease of smart devices perceived by college students had an effect on the use of smart learning device learning. Third, it was found that the intention to use smart devices perceived by college students mediated the relationship between usefulness and learning utilization, and it was found that it mediated the relationship between ease and learning utilization. The implications are that instructors can recognize and utilize the intention of using smart learning devices properly by allowing college students to recognize the usefulness and ease of using smart learning devices in the classroom, thereby increasing the learning utilization of smart learning devices in class. In addition, efforts are needed to enable college students to recognize the usefulness of smart devices and to expand the use of learning.

Evaluation on the Potential of 18 Species of Indoor Plants to Reduce Particulate Matter

  • Jeong, Na Ra;Kim, Kwang Jin;Yoon, Ji Hye;Han, Seung Won;You, Soojin
    • Journal of People, Plants, and Environment
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    • v.23 no.6
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    • pp.637-646
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    • 2020
  • Background and objective: The main objective of this study is to measure the amount of particulate matter (PM) reduction under different characteristics of leaves in 18 different species of indoor plants. Methods: First, a particular amount of PM was added to the glass chambers (0.9×0.86×1.3 m) containing the indoor plant (height = 40 ± 20 cm), and the PM concentration were measured at 2-hour intervals. The experiment with the same conditions was conducted in the empty chamber as the control plot. Results: The range of PM reduction per unit leaf area of 18 species of experimental plants was 3.3-286.2 ㎍·m-2 leaf, total leaf area was 1,123-4,270 cm2, and leaf thickness was 0.14-0.80 mm and leaf size 2.27-234.47 cm2. As time passed, the concentration of PM decreased more in the chamber with plants than in the empty chamber. Among the 18 indoor plants, the ones with the greatest reduction in PM2.5 in 2 hours and 4 hours of exposure to PM2.5 were Pachira aquatica and Dieffenbachia amoena. As the exposure time of PM increased, the efficiency of reducing PM2.5 was higher in plants with medium-sized leaves than plants with large or small leaves. The effect of reducing PM2.5 was higher in linear leaves than round or lobed leaves. Plants with high total leaf area did not have advantage in reducing PM because the leaves were relatively small and there were many overlapping parts between leaves. In the correlation between leaf characteristics and PM 2.5 reductions, all leaf area and leaf thickness showed a negative and leaf size showed a positive correlation with PM reduction. Conclusion: The PM reduction effect of plants with medium-sized leaves and long linear leaves was relatively high. Moreover, plants with a large total leaf area without overlapping leaves will have advantaged in reducing PM. Plants are effective in reducing PM, and leaf characteristics are an important factor that affects PM reduction.

Major Factors Influencing Landslide Occurrence along a Forest Road Determined Using Structural Equation Model Analysis and Logistic Regression Analysis (구조방정식과 로지스틱 회귀분석을 이용한 임도비탈면 산사태의 주요 영향인자 선정)

  • Kim, Hyeong-Sin;Moon, Seong-Woo;Seo, Yong-Seok
    • The Journal of Engineering Geology
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    • v.32 no.4
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    • pp.585-596
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    • 2022
  • This study determined major factors influencing landslide occurrence along a forest road near Sangsan village, Sancheok-myeon, Chungju-si, Chungcheongbuk-do, South Korea. Within a 2 km radius of the study area, landslides occur intensively during periods of heavy rainfall (August 2020). This makes study of the area advantageous, as it allows examination of the influence of only geological and tomographic factors while excluding the effects of rainfall and vegetation. Data for 82 locations (37 experiencing landslides and 45 not) were obtained from geological surveys, laboratory tests, and geo-spatial analysis. After some data preprocessing (e.g., error filtering, minimum-maximum normalization, and multicollinearity), structural equation model (SEM) and logistic regression (LR) analyses were conducted. These showed the regolith thickness, porosity, and saturated unit weight to be the factors most influential of landslide risk in the study area. The sums of the influence magnitudes of these factors are 71% in SEM and 83% in LR.

An Analysis of Factors Affecting the Amount of Long-term Repair Allowance Used and the Amount of General Repair Cost Used in Apartment Houses : Focused on the Bidding Construction Cost of Apartment Houses in Busan (공동주택의 장기수선충당금 사용액과 일반보수비 사용액에 영향을 미치는 요인 분석 : 부산시 공동주택의 입찰공사비를 대상으로)

  • Lee, Chan-Ho
    • Journal of Industrial Convergence
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    • v.20 no.5
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    • pp.1-9
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    • 2022
  • Today, apartment houses account for a very high proportion of the types of residence. This study analyzed the difference between the bidding construction cost using the long-term repair allowance and using the general repair cost, and analyzed the difference of factors affecting the amount of use of these two items. For this purpose, related data on apartment housing complexes located in seven representative districts of Busan from 2017 to 2021 were collected and analyzed from the apartment housing management information system. As a result of statistical analysis, the type of bidding variable had the greatest negative(-) effect on the bidding construction cost, and the next factor that affected was different between the amount of long-term repair allowance used and general repair cost used. In addition, there was a difference in statistical significance in the type of bidding by construction year for the number of bidding works between the case of using the long-term repair allowance and the case of using the general repair cost. The results of this analysis will help to find ways to reduce bidding construction costs. However, it is expected to find additional meaning by including more detailed variables such as technical ability.

The Current Status and Needs Analysis of Interprofessional Education in Korean Medical Colleges (한국 의과대학·의학전문대학원의 전문직 간 교육 현황과 요구 분석)

  • Park, Kwi Hwa;Yu, Ji Hye;Yoon, Bo Young;Lee, Dong Hyeon;Lee, Seung Hee;Choi, Jai-jeong;Park, Kyung Hye
    • Korean Medical Education Review
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    • v.24 no.2
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    • pp.141-155
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    • 2022
  • The purpose of this study was to investigate the current status of interprofessional education (IPE) and the efforts required to promote, popularize, and implement it in Korea. The IPE status of 40 medical colleges was investigated using a survey with questions regarding the details of IPE, the future plans and necessary support required, and the reasons for not implementing IPE. Thirty-two medical colleges responded, of which 10 are implementing or have implemented IPE. Most of these colleges started IPE in 2018, and the duration of IPE was less than 9 hours. All medical colleges held classes with nursing students. As for the type of IPE, there were independent courses for IPE, one-time special lectures, or partial sessions in one course. Lectures, discussions and presentations, role playing, and high-fidelity simulations were mainly used as educational methods. The support and interest of the dean was the most important facilitating factor. No medical colleges were currently preparing to implement IPE, four colleges had planned IPE but failed to implement it, and 16 had no plans for IPE at all. All medical colleges cited scheduling or cooperation with other majors as the most significant barrier. All the colleges listed their requirements for educational materials, cases, guidelines, and teaching and learning methods for IPE from external institutions. To activate IPE, it is necessary to create an appropriate atmosphere and conditions for developing IPE competencies and a model suitable for the domestic situation. External medical education support organizations should distribute IPE development guidelines and educational materials, form a network between medical colleges with IPE experience, and make efforts to promote the importance of IPE.

Long-term Surgical Outcomes in Oligometastatic Non-small Cell Lung Cancer: A Single-Center Study

  • Seungmo Yoo;Won Chul Cho;Geun Dong Lee;Sehoon Choi;Hyeong Ryul Kim;Yong-Hee Kim;Dong Kwan Kim;Seung-Il Park;Jae Kwang Yun
    • Journal of Chest Surgery
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    • v.56 no.1
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    • pp.25-32
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    • 2023
  • Background: We reviewed the clinical outcomes of patients with oligometastatic (OM) non-small cell lung cancer (NSCLC) who received multimodal therapy including lung surgery. Methods: We retrospectively analyzed 117 patients with OM NSCLC who underwent complete resection of the primary tumor from 2014 to 2017. Results: The median follow-up duration was 2.91 years (95% confidence interval, 1.48-5.84 years). The patients included 73 men (62.4%), and 76 patients (64.9%) were under the age of 65 years. Based on histology, 97 adenocarcinomas and 14 squamous cell carcinomas were included. Biomarker analysis revealed that 53 patients tested positive for epidermal growth factor receptor, anaplastic lymphoma kinase, or ROS1 mutations, while 36 patients tested negative. Metastases were detected in the brain in 74 patients, the adrenal glands in 12 patients, bone in 5 patients, vertebrae in 4 patients, and other locations in 12 patients. Radiation therapy for organ metastasis was performed in 81 patients and surgical resection in 27 patients. The 1-year overall survival (OS) rate in these patients was 82.8%, and the 3- and 5-year OS rates were 52.6% and 37.2%, respectively. Patients with positive biomarker test results had 1-, 3-, and 5-year OS rates of 98%, 64%, and 42.7%, respectively. These patients had better OS than those with negative biomarker test results (p=0.031). Patients aged ≤65 years and those with pT1-2 cancers also showed better survival (both p=0.008). Conclusion: Surgical resection of primary lung cancer is a viable treatment option for selected patients with OM NSCLC in the context of multimodal therapy.