• Journal of Preventive Medicine and Public Health
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• v.37 no.1
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• pp.26-36
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• 2004

Objective : To examine the association between hospital procedure volume and treatment outcomes following allogeneic bone marrow transplantation (allo-BMT). Methods : Out of 1,050 patients who received allo-BMTs between 1998 and 2000 in 21 Korean hospitals, 752 with first allo-BMT and complete data were included in this study. Study subjects were divided into the following three groups according to cumulative hospital experience of all-BMTs during the study period: low (<30 cases), medium (30-49) and high ($\geq$50 cases) volume. Patient outcome was defined as early survival at day 100 and one-year survival. Multiple logistic regression analyses were performed to examine the association between hospital experience and survival at day 100 and one year. Results : When the low volume group was defined as the reference group, the adjusted relative risks (RR) of survival at day 100 for the high volume group were 2.46(95% CI, 1.13-5.36) for all patients, 2.61(1.04-6.57) for those with leukemia, and 2.20(0.47-10.32) for those with aplastic anemia. For one-year survival, adjusted RR for the high volume group were 2.52(1.40-4.51) for all patients, 1.99 (1.01-3.93) for leukemia, and 6.50(1.57-26.80) for aplastic anemia. None of the RR for the medium volume group was statistically significant. Patient factors showing significant relationship with survival were donor-recipient relation, human leukocyte antigen matching status, time from diagnosis to transplant, and disease stage. Conclusions : The study results suggest that the cumulative experience of hospitals in providing allo-BMT is positively associated with patient survival.

• Imaging Science in Dentistry
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• v.32 no.1
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• pp.49-53
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• 2002

Orofacial pain can be caused by intracranial disorders or can be musculoskeletal, vascular, internal derangemental, and neurologic in origin. The neurologic pain is derived from structural and functional disorders of nerve, and the trigeminal neuralgia is the typical manifestation. Trigeminal neuralgia is known from centuries ago, and is one of the most common pains in human. We present our experience with three patients who have trigeminal neuralgia. The first case is a 50-year-old female who had no specific evidence radiographically. Second is a 50-year-old male with microvascular compression on right trigeminal nerve. The third case is a 60-year-old female who had a neoplasm in cerebellopontine angle with associated mass effect.

• Journal of Korean society of Dental Hygiene
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• v.13 no.1
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• pp.21-29
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• 2013

Objectives : The purpose of this study was to examine the participation attitude of students toward pre-clinical practicums, their satisfaction with the practicums and related stress, and to investigate the influential factors for their participation attitude to practicums. Methods : The subjects in this study were three different groups of students who took pre-clinical practicums at different times. One group of students who entered college in 2008 took a practicum in December, 2009, and another group of students who entered college in 2009 took a practicum in June, 2010. The third group of students who entered college in 2010 took a practicum in June, 2011. Results : 1. As for participation attitude, the students who completed a practicum before they underwent field training in the second semester of their sophomore year got a higher mark of 3.44(p<0.05). 2 Concerning the operation of practicum, they felt a lot of stress when they took a practicum before they underwent field training in the first semester of their sophomore year and when they had no dental experience(p<0.001). 3. Regarding satisfaction with practicum, they scored higher when they took a practicum before they underwent field training in the second semester of their sophomore year(p<0.05). And the students who were more gratified with dental experience expressed better satisfaction(p<0.001). 4. As to the influential factors for the participation attitude of the students, those who were more satisfied with the content of practicum, the operation of practicum and evaluation took a more positive participation attitude(p<0.001). More stress about the operation of practicum and more stress about evaluation exerted a greater negative influence on participation attitude(p<0.05). Conclusions : Given the findings of the study, a pre-clinical practicum should be offered before field training is provided in the second semester of the sophomore year in order to ensure the efficiency of education, and a wide variety of information should be offered so that students could gain dental experience before they take a practicum.

• The Journal of Korean Physical Therapy
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• v.22 no.6
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• pp.35-42
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• 2010

Purpose: To investigate the rater reliability of a Pediatric Balance Scale (PBS) for children with cerebral palsy, and to investigate possible differences among raters according to their clinical work experience and testing experience. Methods: Study participants included 18 children with spastic cerebral palsy who could walk. They were instructed by pediatric physical therapists, two of whom had ten years of clinical work experience and two who had less than one year of experience. The children's ability to achieve physical balance was videotaped for PBS items. The raters watched the tapes and evaluated each child twice. Rater reliability was analyzed using the intraclass correlation coefficient (ICC). Differences between experienced and novice raters were analyzed using a paired t-test. The statistical significance level was set to 0.05. Results: The total PBS scores averaged 45.78~48.00 and 45.72~47.67 for first and second tests. Intra-rater reliability was very high (ICC=0.89~0.99), and the repeated measurement coincidence was high (p>0.05). Inter-rater reliability was high (ICC=0.83~0.84), but there was a bit of a difference in the coincidence (p<0.05). The experienced raters' reliability and coincidence were higher than those of the novices, and there were differences in reliance and coincidence between experienced and novice raters (p<0.05). Conclusion: Inter-rater and intra-rater reliability is very high. However, rater reliability showed defferences depending on clinical work experience and testing experience. When testing pediatric patients with the PBS, the rater's clinical experience and test experience may affect the test results.

• Journal of the Korean Society for Library and Information Science
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• v.10
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• pp.3-37
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• 1983

1. Library practice education in Korea is in the form of field experience, that is, Practicum, which is one type of field experience. 2. The practicum is a short-term work experience guided by the academic institutions. (2 to 6 weeks of full time employment in a library, or one to two semesters of approximately 10 to 12 hours weekly) 3. Field work is largely accepted as a required subject. 4. Field work is usually carried out during the first semester of senior year. (or of sophomore year in junior college) 5. Libraries in other universities (or in other institutions) can beused for a student's field work. But the current tendency is to use his or her own university's library. 6. Most universities give one credit for 2 weeks' field work. 7. The method of evaluation is strict: A or 'excellent' (above 90), B or 'good' (above 80), C or 'fair' (above 70), D or 'bad' (above 60). 8. The expense of field work is usually included in the tuition fees. However, some think that an additional fees should be collected in the case of special practice. 9. Respondents to my survey say that the field experience is necessary so that professional librarians can connect theory and practice. 10. They also indicate that there are some problems in library practice education: administrative difficulties in the department chairman's office, the burden on professors in the library being used, and the limited number of libraries in which the field work is practicable. 11. The Department of Library Science is responsible primarily for providing faculty supervision over the students, and secondarily for the preparation of evaluation cards and field work reports. 12. Most of the faculty respondents use evaluation cards for the field work, some of which serve as grade sheets, some as field work diaries, and some as field work reports.

• Journal of Korean Public Health Nursing
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• v.33 no.3
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• pp.420-432
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• 2019

Purpose: This study examined the relationships among disaster nursing knowledge, disaster preparedness attitudes, and disaster nursing competency among nursing students by identifying the predictors of disaster nursing competency. Methods: The study participants were 306 nursing students in the nursing departments of 3 universities located in G City and J Province. The data was analyzed using descriptive statistics, t-test, analysis of variance, the Pearson correlation coefficient, and multiple regression analysis. Results: The participants' scores for disaster nursing knowledge, disaster preparedness attitudes, and disaster nursing competency were 5.41±1.68, 4.29±0.46, and 2.84±0.78, respectively. Disaster nursing knowledge, disaster preparedness attitudes, and disaster nursing competency exhibited positive correlations. The factors influencing disaster nursing competency among nursing students included disaster nursing knowledge, disaster preparedness attitudes, year level, disaster training experience, first-aid training experience, disaster area experience, medical service experience, and disaster severity awareness. These variables explained 17% of the variance in disaster nursing competency. Conclusion: Disaster nursing knowledge and disaster preparedness attitudes was positively related to disaster nursing competency. The findings of this study indicate that it is important to develop and apply education programs aimed at increasing disaster nursing knowledge and enhancing disaster preparedness attitudes among nursing students to improve nursing students' disaster nursing competency.

• Proceedings of the Korean Nuclear Society Conference
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• 2002.05a
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• pp.319.2-319
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• 2002

removal from operation of power units of nuclear stations in the various counties last decade the usual phenomenon. Good practice on a successful conclusion from operation of power units in Japan. USA is turned out. Germany, Russia and other countries. The features inherent in the Chernobyl atomic power station make this process especial, unique.

• Journal of Chest Surgery
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• v.21 no.4
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• pp.700-705
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• 1988

A case of congenital tricuspid stenosis in 24 year old male patient is presented. The lesion was successfully corrected with prosthetic valve replacement and closure of atrial and ventricular septal defects. Especially, this is the first reported case of successful large prosthetic valve replacement to a small annulus in tricuspid valve.

• The Korean Journal of Emergency Medical Services
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• v.14 no.2
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• pp.41-55
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• 2010

Objective : This study is designed to present the direction and the necessity of education on the biomedical ethics the establish desirable ethical view of paramedic students by understanding on the consciousness of students of department of emergency medical technology on biomedical ethics on euthanasia. Method : Data were collected from on 335 students of department of emergency medical technology in 4-year-college located in districts of Chungcheong-do, from March 4 to April 22, 2010. The questionnaire consisted of total 29 items, i.e., 11 items of general characteristics, 11 items of characteristics related to biomedical ethics and 7 items of consciousness on euthanasia. Result : In general characteristics, the first grade showed the most dense distribution of 37.3%, the second grade was 20.0%, the third grade was 20.9% and the fourth grade was 21.8%. In the consciousness of biomedical ethics on euthanasia, the third and the fourth grades showed a higher ratio(${\chi}^2$ = 136.327, p= .000), in comparison with the first and the second grades, the higher year they were, the higher degree of consciousness they had. The consciousness on each item of euthanasia showed significant differences in grade (F = 8.203, p= .000), experience of clinical practice or none (t = 3.731, p= .000), experience of biomedical ethics education or none (t = 1.997, p = .047) and degree of consciousness on DNR (F = 8.240, p = .000) regarding 'CPR shall not be required in any cases if a patient wants DNR', in experience of biomedical ethics education or none (t = 2.452, p= .015) and degree of consciousness on DNR (F = 2.725, p = .044) regarding if a patient refuses all treatments, the patient's opinion shall be respected', and in degree of consciousness on DNR (F = 2.858, p = . 037) regarding 'after determination of DNR, if the family wants a positive treatment, it shall follow the family's request'. Conclusion : It seemed that the differences in consciousness according to grade and experience of clinical practice were influenced by experiences to treat patients in personally. Moreover, it showed that the higher grade they are, the more experience of education they have, the experiences of education had influences on the consciousness. Development of educational programs is required in order to supply accurate knowledge on biomedical ethics for euthanasia to lower-grade students the to let them establish ethical views properly, and in order to correct wrong knowledge and to establish ethical views while supplying knowledge on biomedical ethics for euthanasia to higher-grade students.

• Archives of Plastic Surgery
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• v.50 no.4
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• pp.415-421
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• 2023

The revision of the Korea Organ Transplantation Act (KOTA) in 2018 included hand/arm among the organs that can be transplanted. The first hand transplantation since the revision of KOTA took place in January 2021. A 62-year-old male patient experienced hand amputation on July 13, 2018, by a catapult injury. The patient first visited our institute 3 months after the injury. After serial interviews and an overall evaluation, the patient was registered on the hand transplantation waiting list in January 2020. On January 9, 2021, the patient underwent hand transplantation at the right distal forearm level. The total operation time was 17 hours 15 minutes, and the cold ischemic time was 4 hours 9 minutes. Postoperative immunosuppression was administered based on the protocol used for kidney transplantation. Two acute rejection episodes occurred, on postoperative days 33 and 41. Both rejection episodes were reversible with rescue therapy of a higher tacrolimus trough level, steroid pulse therapy, and topical immunosuppressants. Controlled passive range of motion exercise was started on postoperative day 10. Dynamic splint was applied on postoperative day 18. At 1 year, graft maintenance and functional improvement were satisfactory, and the patient showed a Disabilities of Arm, Shoulder and Hand score of 25.8. We successfully performed the first hand transplantation surgery under the KOTA amendment. It came from the organic and effective cooperation of plastic, orthopaedic, and transplantation departments and we believe it will guarantee the future ongoing success.