• Title/Summary/Keyword: Factors of Non-Use

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Prevalence and Risk Factors of Vancomycin-Resistant Enterococci (VRE) Colonization in Neonates (신생아에서 Vancomycin 내성 장구균의 감시 및 위험인자 분석)

  • Lee, Hwa Yun;Kim, Gi Hwan;Choi, Jin Su;Kim, Sun Hee;Choi, Young Youn;Hwang, Tai Ju
    • Clinical and Experimental Pediatrics
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    • v.48 no.9
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    • pp.946-952
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    • 2005
  • Purpose : Vancomycin-resistant enterococci(VRE) are now nosocomial pathogens in Korea. But little is known about the prevalence of stool colonization with VRE in neonates in Korea. So we studied the prevalence and risk factors of VRE colonization in the Neonatal Intensive Care Unit(NICU). Methods : From January 2000 to December 2004, the medical records of 294 neonates(127 cases of VRE group and 167 cases of non-VRE group, according to the results of stool culture) were reviewed retrospectively. We studied the annual prevalence of VRE and risk factors of VRE colonization in neonates. Results : From 2000 to 2003, the prevalence rate of VRE in NICU increased. After preventing VRE transmission, the prevalence rate of VRE has decreased. Conclusion : VRE colonization increased recently. Risk factors of VRE colonization were prematurity, lower birth weight, longer hospitalization and use of vancomycin or 3rd generation cephalosporin, compared with the non-VRE group. To prevent VRE transmission among newborns, aggressive infection control strategies by NICU staffs must be implemented immediately for all babies.

Correlation Analysis of between Patient and Equipment Factors and Radiation Dose in Chest Low Dose and Abdominal Non-contrast CT (흉부 저선량 및 복부 비조영 CT 검사에서 환자 및 장비 인자와 선량과의 상관관계 분석)

  • Shim, Jina;Lee, Youngjin
    • Journal of the Korean Society of Radiology
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    • v.15 no.2
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    • pp.117-123
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    • 2021
  • This paper is to establish a basis for a dose reduction strategy by confirming correlations with the factors that may affect the radiation dose based on the dose records in low-dose chest CT and abdominal non-contrast CT. In order to find out the causes of unnecessary exposure, the correlation between seven factors (age, gender, height, weight, BMI, patient status [inpatient and outpatient], and use of dose modulation) and CT dose were identified. Logistic regression was used as the statistical analysis for correlation verification. In the low dose chest CT, as the higher values of height and BMI and dose modulation off were associated with lowering the risk exceeding Diagnostic Reference Levels(DRL) (odds ration<1, p<0.05). However, as woman compared to man and the higher values of weight were associated with highering the risk exceeding DRL (odds ration>1, p<0.05). In the abdomen CT, as dose modulation off were associated with lowering the risk exceeding DRL (odds ration<1, p<0.05). Therefore It is necessary to conduct research on the relationship between various factors affecting radiation exposure and patient radiation dose for reducing the dose.

Remote Sensing Information Models for Sediment and Soil

  • Ma, Ainai
    • Proceedings of the KSRS Conference
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    • 2002.10a
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    • pp.739-744
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    • 2002
  • Recently we have discovered that sediments should be separated from lithosphere, and soil should be separated from biosphere, both sediment and soil will be mixed sediments-soil-sphere (Seso-sphere), which is using particulate mechanics to be solved. Erosion and sediment both are moving by particulate matter with water or wind. But ancient sediments will be erosion same to soil. Nowadays, real soil has already reduced much more. Many places have only remained sediments that have ploughed artificial farming layer. Thus it means sediments-soil-sphere. This paper discusses sediments-soil-sphere erosion modeling. In fact sediments-soil-sphere erosion is including water erosion, wind erosion, melt-water erosion, gravitational water erosion, and mixed erosion. We have established geographical remote sensing information modeling (RSIM) for different erosion that was using remote sensing digital images with geographical ground truth water stations and meteorological observatories data by remote sensing digital images processing and geographical information system (GIS). All of those RSIM will be a geographical multidimensional gray non-linear equation using mathematics equation (non-dimension analysis) and mathematics statistics. The mixed erosion equation is more complex that is a geographical polynomial gray non-linear equation that must use time-space fuzzy condition equations to be solved. RSIM is digital image modeling that has separated physical factors and geographical parameters. There are a lot of geographical analogous criterions that are non-dimensional factor groups. The geographical RSIM could be automatic to change them analogous criterions to be fixed difference scale maps. For example, if smaller scale maps (1:1000 000) that then will be one or two analogous criterions and if larger scale map (1:10 000) that then will be four or five analogous criterions. And the geographical parameters that are including coefficient and indexes will change too with images. The geographical RSIM has higher precision more than mathematics modeling even mathematical equation or mathematical statistics modeling.

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A UCP-based Model to Estimate the Software Development Cost (소프트웨어 개발 비용을 추정하기 위한 사용사례 점수 기반 모델)

  • Park, Ju-Seok;Chong, Ki-Won
    • The KIPS Transactions:PartD
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    • v.11D no.1
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    • pp.163-172
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    • 2004
  • In the software development project applying object-oriented development methodology, the research on the UCP(Use Case Point) as a method to estimate development effort is being carried on. The existing research proposes the linear model calculating the development effort that multiplies an invariant on AUCP(Adjusted Use Case Point) which applied technical and environmental factors. However, the statistical model that estimates the development effort using AUCP and UUCP(Unadjusted Use Case Point) is not being studied. The irrelevant relationship of the linear regression model, whose development period is increasing tremendously as the software size increases, is confirmed. Moreover, during the UCP calculating process, there can be errors in FP by applying the TCF(Technical Complexity Factor) and EF(Environmental Factor). This paper presents a non-linear regression model, that does not consider the TCF and EF, and that estimate the development effort from UUCP directly by utilizing the exponential function. An exponential function is selected among the linear, logarithm, polynomial, power, and exponential model via statistical evaluations of the models mentioned above.

Study on the Factors Affecting the Intention to Use Real-time Video Conferencing Using Extended Technology Acceptance Model (확장된 기술수용모델을 적용한 실시간 화상강의 이용의도에 영향을 미치는 요인 연구)

  • Lee, Jang-Suk;Yang, Seoung-Hyun;Song, Byoung-Weon
    • The Journal of the Korea Contents Association
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    • v.21 no.1
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    • pp.292-310
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    • 2021
  • The influence of COVID 19 has a direct impact on the education field. In the situation where non-face-to-face classes are inevitably required, interest in the learning satisfaction and intention to use real-time video conferencing is increasing. This study analyzed the effects of learner-teacher interaction, social presence, availability, self-efficacy and academic engagement as video conferencing characteristics and learner's characteristics on perceived usefulness, perceived ease of use, learning satisfaction and intention to use video conferencing. The results of this study showed that learner-teacher interaction, availability, and self-efficacy had a positive effect on perceived ease of use, and all variables except availability had a positive effect on perceived usefulness. Also, perceived usefulness and ease of use were factors that increased learning satisfaction and video conferencing use intention, and learning satisfaction was identified as variables that increased video conferencing use intention. This study has significance in that it provided various theoretical and practical implications for real-time video conferencing which will be used in many educational fields in the future through empirical analysis.

Awareness and Use of Complementary and Alternative Medicine in Korean Lung Cancer Patients

  • Choi, Joon Young;Ji, Wonjun;Choi, Chang-Min;Chung, Chaeuk;Noh, Jae Myoung;Park, Cheol-Kyu;Oh, In-Jae;Yoon, Hong In;Kim, Hyeong Ryul;Kim, Ho Young;Yeo, Chang Dong;Jang, Seung Hun;Public Relation Committee of the Korean Association for Lung Cancer
    • Tuberculosis and Respiratory Diseases
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    • v.84 no.2
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    • pp.105-114
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    • 2021
  • Background: Complementary and alternative medicine (CAM) has been used frequently, and its use continues to increase in lung cancer patients, despite insufficient scientific of its efficacy. To investigate this situation, we analyzed the current awareness and use of CAM in Korean lung-cancer patients. Methods: This prospective survey-based study was performed at seven medical centers in South Korea between August and October 2019. The survey assessed general patient characteristics and the awareness and use of CAM. We analyzed differences in the clinical parameters of patients aware and not aware of CAM and of CAM non-users and users. Results: Of the 434 patients included in this study, 68.8% responded that they were aware of CAM and 30.9% said they had experienced it. In univariate analysis, the patients aware of CAM were younger with poor performance status, had advanced-stage lung cancer, received more systemic therapy, and received concurrent chemoradiation therapy (CCRT). By multiple logistic regression, younger age, poor performance status, advanced stage, and prior CCRT were identified as independent risk factors for CAM awareness. There were no significant differences in the general characteristics and cancer-associated clinical parameters of CAM non-users and users. Conclusion: Specific clinical parameters were associated with patients' awareness of CAM, although there were no significantly different characteristics between CAM users and non-users.

Trends in Survival of Childhood Cancers in a University Hospital, Northeast Thailand, 1993-2012

  • Wongmeerit, Phunnipit;Suwanrungruang, Krittika;Jetsrisuparb, Arunee;Komvilaisak, Patcharee;Wiangnon, Surapon
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.7
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    • pp.3515-3519
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    • 2016
  • Background: In Thailand, a national treatment protocol for childhood leukemia and lymphoma (LL) was implemented in 2006. Access to treatment has also improved with the National Health Security system. Since these innovations, survival of childhood LL has not been fully described. Materials and Methods: Trends and survival of children under 15 with childhood cancers diagnosed between 1993 and 2012 were investigated using the hospital-based data from the Khon Kaen Cancer Registry, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Thailand. Childhood cancers were classified into 12 diagnostic groups, according to the ICCC based on the histology of the cancer. Survival rates were described by period, depending on the treatment protocol. For leukemias and lymphomas, survival was assessed for 3 periods (1993-99, 2000-5, 2006-12) while for solid tumors it was for 2 periods (before and after 2000). The impacts of sex, age, use of the national protocol, and catchment area on leukemia and lymphoma were evaluated. Overall survival was calculated using the Kaplan-Meier method while the Cox proportional hazard model was used for multivariate analysis. Trends were calculated using the R program. Results: A total of 2,343 childhood cancer cases were included. Survival for acute lymphoblastic leukemia (ALL) from 1993-9, 2000-5, and 2006-12 improved significantly (43.7%, 64.6%, and 69.9%). This was to a lesser extent true for acute non-lymphoblastic leukemia (ANLL) (28.1%, 42.0%, and 42.2%). Survival of non-Hodgkin lymphoma (NHL) also improved significantly (44%, 65.5%, and 86.8%) but not for Hodgkin disease (HD) (30.1%, 66.1%, and 70.6%). According to multivariate analysis, significant risk factors associated with poor survival in the ALL group were age under 1 and over 10 years, while not using the national protocol had hazard ratios (HR) of 1.6, 1.3, and 2.3 respectively. In NHL, only non-use of national protocols was a risk factor (HR 3.9). In ANLL and HD, none of the factors influenced survival. Survival of solid tumors (liver tumors, retinoblastomas) were significantly increased compared to after and before 2000 while survival for CNS tumors, neuroblastoma and bone tumors was not changed. Conclusions: The survival of childhood cancer in Thailand has markedly improved. Since implementation of national protocols, this is particularly the case for ALL and NHL. These results may be generalizable for the whole country.

Factors Affecting the Choice of Medical Care Use by the Poor (저소득층의 의료 이용과 욕구 미충족에 영향을 미치는 요인)

  • Kim, Jin-gu
    • Korean Journal of Social Welfare Studies
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    • no.37
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    • pp.5-33
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    • 2008
  • This study examines the use of medical care by the poor through analysing KNHANES III databases, and the focus of the study is on under-satisfaction of medical needs and the impact of the medicare system. The results of analysis are summerized as follows; the poor had generally suffered from poor health condition, and did not have economic resoure to satisfy the medical needs. But, the beneficiaries of the medicare used much more medical care than non-poor. The result of logistic regression suggest that the medicare affected significantly on increase of uses. Consquently, the medicare system effectively made up the lack of economic resoure of the poor. However, the Medicare did not sufficient to satisfy all the medical needs of the poor. Over 20% of the poor had experinced the abandonment of meical care uses, "the lack of econmic resource" was most important reason. The result of logistic regression suggest that all the poor such as Medicare I and Medicare II beneficiaries, and near-poor class had much more probabilities of giving up the use of medical care than non-poor. It is necessary to raise up the benefit level of the current medicare system such as the reduction of non-secured medical cost, the alleviation of user's burden etc.

Relationship Between Oral Contraceptive Use and Periodontal Disease in Korean Women (제4기 국민건강영양조사 자료에 근거한 한국 여성의 경구피임약 복용과 치주질환의 관련성)

  • Kim, Ki-Rim;Noh, Hie-Jin
    • Journal of Digital Convergence
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    • v.11 no.12
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    • pp.569-576
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    • 2013
  • This study aims to evaluate the influence of oral contraceptive(OC) on periodontal disease. Research data was used the results derived from the Fourth Korean National Health and Nutrition Examination Survey(KNHANES), and 1,101 Korean women, aged 19 to 50 years with non-pregnant and premenopausal, were selected. The chi-square test and logistic regression analysis were performed to identify the relationship between OC use and periodontal disease, according to factors of demographic and socioeconomic, oral health behavior, OC use period, and periodontal status. In the results, OC use was statistically related with age, marital status and smoking. No significant differences were found in between the gingival condition and current OC use. The prevalence of periodontal disease increased with age, but did not have significant correlations with period of OC usage, smoking and oral health behavior. Final analysis was indicated that OC use is not associated with periodontal disease, regardless of adjustment for confounding variables.

Examination of Potential Unplanned Land Use in Asan City with a Spatial Analysis Method (아산시 국지적 난개발 발생 가능지역 탐색 방안 실증연구)

  • Lee, Gyoungju;Im, Jun-Hong
    • Land and Housing Review
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    • v.13 no.3
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    • pp.69-81
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    • 2022
  • Unplanned land use, that is, unplanned development, causes various negative externalities. In the past, Korea has experienced significant socio-economic costs due to reckless development centered on the boundary between urban and non-urban areas.. Unplanned land use can be viewed as a result of the interaction of various factors.. Therefore, it is difficult to develop in areas where unplanned land use occurs intensively. It is necessary to strengthen legal and institutional measures so that negative externalities do not persis. In this study, we present a spatial analysis methodology to effectively find spatial clusters where unplanned land use is concentrated. By demonstrating and applying this to individual development activities that occurred in Asan City, we examine the usefulness of information to support decision making when establishing mid-to-long-term growth management strategies at the local government level.