• The Korean Journal of Pain
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• 제34권3호
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• pp.322-331
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• 2021

Background: The present study employed National Health Insurance Data to explore complex regional pain syndrome (CRPS) updated epidemiology in a Korean context. Methods: A CRPS cohort for the period 2009-2016 was created based on Korean Standard Classification of Diseases codes alongside the national registry. The general CRPS incidence rate and the yearly incidence rate trend for every CRPS type were respectively the primary and secondary outcomes. Among the analyzed risk factors were age, sex, region, and hospital level for the yearly trend of the incidence rate for every CRPS. Statistical analysis was performed via the chi-square test and the linear and logistic linear regression tests. Results: Over the research period, the number of registered patients was 122,210. The general CRPS incidence rate was 15.83 per 100,000, with 19.5 for type 1 and 12.1 for type 2. The condition exhibited a declining trend according to its overall occurrence, particularly in the case of type 2 (P < 0.001). On the other hand, registration was more pervasive among type 1 compared to type 2 patients (61.7% vs. 38.3%), while both types affected female individuals to a greater extent. Regarding age, individuals older than 60 years of age were associated with the highest prevalence in both types, regardless of sex (P < 0.001). Conclusions: CRPS displayed an overall incidence of 15.83 per 100,000 in Korea and a declining trend for every age group which showed a negative association with the aging shift phenomenon.

• 한국식품위생안전성학회지
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• 제36권6호
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• pp.455-473
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• 2021

이 총설에서는 해양 연체동물 내 독소 분석을 하는 연구자들의 이해를 돕기 위하여, 국내에서 생산되거나 유통되는 수산물 중 해양 생물독소에 오염될 수 있는 이매패류와 복족류 종들의 공식 명칭과 생태학적 특성을 소개하였다. 또한 대표적인 생물군의 해부도를 통한 각 기관들의 위치와 공식적인 명칭을 알리고자 하였다. 향후 해양생물독소 분석 관련 식품공전, 학술논문 및 보고서에 실험생물의 정확한 종명과 분석 기관의 명칭에 대한 통일 및 규격화가 필요하다.

• Nuclear Engineering and Technology
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• 제54권2호
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• pp.523-531
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• 2022

In order to study the sensitivity and the uncertainty of the Moroccan research reactor TRIGA Mark II, a model of this reactor has been developed in our ERSN laboratory for use with the N-Particle MCNP Monte Carlo transport codes (version 6). In this article, the sensitivities of the effective multiplication factor of this reactor are evaluated using the ENDF/B-VII.0, ENDF/B-VII.1 and JENDL-4.0 libraries and in 44 energy groups, for the cross sections of the fuel (U-235 and U-238) and the moderator (H-1 and O-16). However, the quantification of the uncertainty of the nuclear data is performed using the nuclear code NJOY99 for the generation and processing of covariance matrices. On the one hand, the highest uncertainty deviations, calculated using the ENDFB-VII.1 and JENDL4.0 evaluations, are 2275, 386 and 330 pcm respectively for the reactions U₂₃₅(n, f), $ U_{235}(n\bar{\nu})$ and H₁(n, γ). On the other hand, these differences are very small for the neutron reactions of O-16 and U-238. Regarding the neutron spectra, in CT-mid plane, they are very close for the three evaluations (ENDF/B-VII.0, ENDF/B-VII.1 and JENDL-4.0). These spectra present two peaks (thermal and fission) around the energies 0.05 eV and 1 MeV.

• Journal of Preventive Medicine and Public Health
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• 제55권1호
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• pp.19-27
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• 2022

This study estimated the direct and indirect socioeconomic costs of 238 diseases and 22 injuries from a social perspective in Korea from 2007 to 2015. The socioeconomic cost of each disease group was calculated based on the Korean Standard Disease Classification System. Direct costs were estimated using health insurance claims data provided by the National Health Insurance Service. The numbers of outpatients and inpatients with the main diagnostic codes for each disease were selected as a proxy indicator for estimating patients' medical use behavior by disease. The economic burden of disease from 2007 to 2015 showed an approximately 20% increase in total costs. From 2007 to 2015, communicable diseases (including infectious, maternal, pediatric, and nutritional diseases) accounted for 8.9-12.2% of the socioeconomic burden, while non-infectious diseases accounted for 65.7-70.7% and injuries accounted for 19.1-22.8%. The top 5 diseases in terms of the socioeconomic burden were self-harm (which took the top spot for 8 years), followed by cirrhosis of the liver, liver cancer, ischemic heart disease, and upper respiratory infections in 2007. Since 2010, the economic burden of conditions such as low back pain, falls, and acute bronchitis has been included in this ranking. This study expanded the scope of calculating the burden of disease at the national level by calculating the burden of disease in Koreans by gender and disease. These findings can be used as indicators of health equality and as useful data for establishing community-centered (or customized) health promotion policies, projects, and national health policy goals.

• 한국의류산업학회지
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• 제24권1호
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• pp.117-126
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• 2022

This study aims to analyze the sizing information of women's ready-to-wear pants as indicated on online retail websites and to suggest better sizing communication that can assist customers in making successful apparel size selections. We gathered size specifications and size reference information for basic straight pants from 34 online apparel retail websites. Although the Korean standard recommends labeling the body dimension-based sizing code and specification, most websites preferred to use various types of sizing codes. Body measurements were only used by a few websites, and garment dimension descriptions were the most common method to indicate product size. Many websites provided size reference information through customer review boards and fit model images, however, there was insufficient body size information to allow customers to infer the fit of their body type. When using the size guidance tools, the major data input points were stature and weight measurements. However, the waist measurements of pants sizes guided only by stature and weight values revealed inconsistent ease allowance for corresponding body size populations, especially in the overweight group. Based on our findings, we propose a more effective method of communicating the size information of pants online. We expect that this will contribute to the efficiency of online apparel product display and build a better shopping environment that satisfies both sellers and consumers.

• Wind and Structures
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• 제36권4호
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• pp.277-292
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• 2023

Low-rise structures are generally immersed within the roughness layer of the atmospheric boundary layer flows and represent the largest class of the structures for which wind loads for design are being obtained from the wind standards codes of distinct nations. For low-rise buildings, wind loads are one of the decisive loads when designing a roof. For the case of cylindrical roof structures, the information related to wind pressure coefficient is limited to a single span only. In contrast, for multi-span roofs, the information is not available. In this research, the numerical simulation has been done using ANSYS CFX to determine wind pressure distribution on the roof of low-rise cylindrical structures arranged in rectangular plan with variable spacing in accordance with building width (B=0.2 m) i.e., zero, 0.5B, B, 1.5B and 2B subjected to different wind incidence angles varying from 0° to 90° having the interval of 15°. The wind pressure (P) and pressure coefficients (C_pe) are varying with respect to wind incidence angle and variable spacing. The results of present numerical investigation or wind induced pressure are presented in the form of pressure contours generated by Ansys CFD Post for isolated as well as variable spacing model of cylindrical roofs. It was noted that the effect of wind shielding was reducing on the roofs by increasing spacing between the buildings. The variation pf Coefficient of wind pressure (C_pe) for all the roofs have been presented individually in the form of graphs with respect to angle of attacks of wind (AoA) and variable spacing. The critical outcomes of the present study will be so much beneficial to structural design engineers during the analysis and designing of low-rise buildings with cylindrical roofs in an isolated as well as group formation.

• 한국분무공학회지
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• 제29권3호
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• pp.105-111
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• 2024

Although the classic Kelvin-Helmholtz model of aerodynamically driven jet breakup(primary breakup) has been widely employed in engine CFD codes for the last three decades, the model is not generally predictive. This lack of predictive capability points to the likelihood of an incorrect physical basis for the model formulation. As such, there have been more recent spray-model development efforts that incorporate additional sources of jet instability and breakup, including nozzle-generated turbulence and cavitation but predictive capabilities have remained elusive. Meanwhile, it should be noted that modern combustors increasingly operate under low-temperature combustion(LTC) conditions, where ambient densities and aerodynamic forces are much lower than under classical operating conditions. Therefore, further consideration of physical model formulation is needed. The previous literature introduced a new primary atomization modeling approach premised on experimental measurements by the Faeth group, which demonstrate that breakup is governed by nozzle-generated turbulence under low ambient density conditions. In this new modeling approach, termed the KH-Faeth model, two different primary breakup models are combined to allow the hybrid breakup modeling approach, i.e. Kelvin- Helmholtz instability breakup mechanism and turbulence-induced breakup are competed via dominant breakup rate evaluation. In the current work, we implement this hybrid KH-Faeth model within the open-source CFD framework OpenFOAM and validate the model against detailed drop sizing measurements stemming from collaborative experiments between Georgia Tech and Argonne National Laboratory.

• 한국임상약학회지
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• 제34권3호
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• pp.194-201
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• 2024

Background: Asthma is a chronic inflammatory airway disease associated with systemic inflammation and increased prevalence of various comorbid conditions. This study investigates the prevalence of non-respiratory comorbidities among adult asthma patients in South Korea, aiming to elucidate potential correlations and impacts of asthma on overall health, thereby affecting patients' quality of life and healthcare systems. Methods: This retrospective cohort study utilized the National Health Insurance Service data (HIRA-NPS-2020) and included adults diagnosed with asthma. Non-respiratory diseases were identified using the Korean Standard Disease Classification (KCD-8) codes, with exclusions applied for other respiratory conditions. The prevalence of comorbidities was analyzed and compared between asthma and non-asthma patients, adjusting for confounders such as age, gender, and insurance status through inverse probability treatment weighting (IPTW). Results: The analysis revealed that asthma patients exhibit significantly higher rates of cardiovascular diseases, metabolic disorders, gastrointestinal conditions, and mental health issues compared to the control group. Notably, conditions such as heart failure, gastroesophageal reflux disease, and anxiety were more prevalent, with odds ratios (OR) ranging from 1.18 to 3.90. These results demonstrate a substantial burden of comorbidities associated with asthma, indicating a broad impact on health beyond the respiratory system. Conclusion: The findings highlight the systemic nature of asthma and the interconnectedness of inflammatory processes across different organ systems. This comprehensive analysis confirms previous research linking asthma with an increased risk of various non-respiratory diseases, providing insights into the multifaceted impact of asthma on patient health.

• 대한소아치과학회지
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• 제43권4호
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• pp.382-390
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• 2016

청소년기에는 초기 우식 병소를 진단 기준에 포함시키는 것이 더 유리하기에 본 연구에서는 WHO basic methods 와 ICDAS-II 점수를 활용하여 13세와 16세 청소년의 우식 상태를 조사하였다. 전체 우식경험영구치지수는 3.71, 우식영구치지수는 1.94이었으며 16세에서 13세보다 높았다. 군별로는 대구치, 소구치, 전치의 순으로 우식경험영구치지수와 우식영구치 지수가 높았다. 전체 치아의 ICDAS-II code 0은 77.46%이었으며, 후방치열로 갈수록 우식치아의 수가 증가하였다. 전치와 소구치의 우식은 모두 법랑질에 국한되었다. ICDAS-II 점수는 초기우식병소 발견에 용이하여 우식관리의 예방적 접근이 가능한 방법이다.

• 대한지역사회영양학회지
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• 제7권6호
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• pp.852-862
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• 2002

The purposes of this study were 1) to review the Medical Nutrition Therapy (MNT) Act of the United States, 2) to introduce the efforts of the American Dietetic Association (ADA) to expand the Medicare coverage for MNT and 3) to provide information about the reimbursement under Medicare Part B for the cost of MNT. The MNT Act defined MNT services as “the nutritional diagnostic, therapeutic, and counseling services provided by a Registered Dietitian or nutritional professional for the purpose of managing diabetes or renal diseases”. Also, the MNT Act defined “conditions for coverage of MNT”, “limitations on coverage of MNT”, and “qualifications of MNT service provider”. To expand the coverage of Medicare to include MNT, the ADA realized the need for development of a protocol for MNT, as well as studies to evaluate the effectiveness and cost-effectiveness of the MNT protocol developed. Therefore, the ADA supported the studies to develop a strong database of scientific investigations of nutritional services. Furthermore, the ADA needed credible data that could be used by Policy makers, so the ADA contracted with the Lewin Group to if out the study to gather the additional data needed to strengthen the ADA's position. In the report of the Lewin Group, which was entitled, “The Cost of Covering Medical Nutrition Therapy under Medicare : 1998 through 2004”, it was concluded, that if coverage for MNT in the Part B portion of Medicare had begun in 1998, by 2004, approximately $ 2.3 billion would have been saved through reduced hospital spending under Part A of Medicare ($ 1.2 billion) and reduced physician visits under Part B ($ 1.1 billion) Effective January 1 2002, the US Congress extended Medicare coverage to include MNT to beneficiaries with diabetes or renal diseases. The Centers for Medicare and Medicaid Services (CMS) established the duration and frequency for the MNT based on published reports or generally accepted protocols (for example, protocols suggested by the ADA). The number of hours covered by Medicare is 3 hours for the initial MNT and 2 hours for a follow-up MM. In 2002, a Medicare coverage policy was made to define the Physician's Current Procedural Terminology (CPT) codes 97802, 97803, and 97804 for MNT.