• Quality Improvement in Health Care
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• v.27 no.2
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• pp.18-29
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• 2021

Purpose: Patients with hematologic malignancy (HM) typically have a high mortality rate when their condition deteriorates. The chronic progressive course of the disease makes it difficult to assess the effect of intervention on acute events. We investigated the effectiveness of a rapid response team (RRT) on in-hospital mortality in patients with HM. Methods: We retrospectively analyzed the data of patients with HM who admitted to the medical intensive care unit between 2006 and 2015. Clinical outcomes before and after RRT implementation were evaluated. Results: A total of 228 patients in the pre-RRT period and 781 patients in the post-RRT period were included. The overall in-hospital mortality was 55.4%. Patients in the post-RRT period had improved survival; however, they required more vasopressor therapy, continuous renal replacement therapy, and extracorporeal membrane oxygenation. Multivariate analysis revealed that in-hospital mortality was associated with RRT activation (hazard ratio [HR], 0.634; 95% confidence interval [CI], 0.498-0.807; p < .001), neurological disease (HR, 2.007; 95% CI, 1.439-2.800; p < .001), sequential organ failure assessment score (HR, 1.085; 95% CI, 1.057-1.112; p < .001), need for continuous renal replacement therapy (HR, 1.608; 95% CI, 1.206-1.895; p< .001), mechanical ventilation (HR, 1.512; 95% CI, 1.206-1.895; p< .001), vasopressor (HR, 1.598; 95% CI, 1.105-2.311; p = .013), and extracorporeal membrane oxygenation (HR, 1.728; 95% CI, 1.105-2.311; p = .030). Conclusion: RRT activation may be associated with improved survival in patients with HM.

• Journal of Convergence for Information Technology
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• v.12 no.4
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• pp.219-230
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• 2022

This study aims to evaluate the effect of sleep duration on obesity in Korean adult using data from the 8th Korea National Health And Nutrition Examination Survey in 2019. The study subjects were 5,213, and we performed frequency analysis, descriptive statistics, and multivariate regression analysis using the SPSS Win 27.0 program. The average sleep duration of the subjects was 6.8 hours per day, and the average body mass index (BMI) was 23.9 kg/m². As a result of bivariate analysis of factors affecting sleep duration, age, education level, stress, depression, diabetes, hypertension, and arthritis were significantly associated with sleep duration. The body mass index (BMI) of the group with less than 6 hours of sleep duration was 24.4, which was higher than that of other groups, and there was a significant negative correlation between sleep duration and BMI (B=-0.247; 95% CI=-0.334~ -0.160). In conclusion, in order to prevent obesity in adults, various efforts from the country and local communities are needed to increase sleep duration.

• Journal of Korean Society of Occupational and Environmental Hygiene
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• v.32 no.2
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• pp.116-128
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• 2022

Objectives: The aim of this study was to examine the association of working posture with headache/eye strain in Korean waged workers. Methods: Data were collected from the 5th Korean Working Condition Survey. A total of 30,955 workers participated in this study. A four-items of working postures were measured using a 7-point Likert scale, and we categorized them into three groups ('normal', 'moderate', and 'severe') each 4 items. Headache/eye strain were measured using a self-administrative questionnaire ('yes' vs. 'no'). To examine the relationship between the total working postures score and headache/eye strain, we summed a 4-items of working postures. It was categorized into five groups according to the severity of exposures('normal', 'mild', 'moderate', 'severe', and 'very severe'). The multivariate logistic regression analysis was performed using the IBM SPSS(Ver. 25), and a p<.05 was considered significant. Results: The results show that 'fatiguing and painful posture' and 'posture repetitively using hands or arms' were associated with headache/eye strain after controlling for control variables. The total working posture score was positively associated with headache/eye strain. People with higher levels of the total working posture score were more likely to increase the risk of headache/eye strain compared to those of normal(OR: 1.844, 95% CI: 1.549~2.195 for 'mild'; OR: 2.564, 95% CI: 2.152~3.503 for 'moderate'; OR: 4.140, 95% CI: 3.432~4.994 for 'severe'; OR: 7.613, 95% CI: 5.625~10.304 for 'very severe') (p<.05 for trend). Conclusions: These results indicate that inappropriate working postures might play a crucial role in developing headache/eye strain. It is needed to improve the working environment, especially focusing on reducing inappropriate working posture at the organizational level.

• The Journal of the Korea Contents Association
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• v.22 no.6
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• pp.530-540
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• 2022

The aim of this study was to analyze the impacts of perceived economic instability on drinking frequency in the mist of exercising the strong social distancing in the early phase of COVID19 pandemic. The data were collected from 1,117 adults aged between 19 and 70 across the nation from May 13 to May 19 in 2020 by Embrain, an on-line research company. We used only 820(73.4%) out of 1,117 who answered that they had a drinking in 2020. Bi-variate analysis and multivariate multinomial logistic regression were performed using STATA16. Multinomial logistic regression results showed that the increase of employment instability was related to the increase of drinking frequency, whereas the increase of income instability was related to the decrease of drinking frequency. In sum, the impact of perceived economic instability during the early phase of pandemic may be presented as an increase or decrease of drinking frequency depending on the effect of employment instability and income instability.

• Korean Journal of Psychosomatic Medicine
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• v.30 no.1
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• pp.46-53
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• 2022

Objectives : This study aimed to assess the possible association of dental pain with suicidal ideation among adolescents by analysing data from the 2018 Korean Youth Risk Behavior Survey, a nationwide online survey. Methods : Of 62,823 adolescent middle and high school students in Korea, 60,040 participants were selected for analysis, after excluding cases with missing values. Participants were given a questionnaire about their self-evaluation of health including dental pain and suicidal ideation. Logistic regression analysis demonstrated the relationships between dental pain and suicidal ideation after controlling for potential confounding factors. Results : The proportion of Korean adolescents reporting suicidal ideation was 13.3%. The proportion of adolescents who experienced dental pain was 23.4%. Compared to adolescents who did not report dental pain, adolescents who reported experiencing dental pain were significantly more likely to experience suicidal ideation (OR=1.94, p<0.001). In two multivariate models, the relationships between dental pain and suicidal ideation (AOR=1.24, p<0.001) were statistically significant. Conclusions : Dental pain was associated with increased risk of suicidal ideation among Korean adolescents, even when controlling for sociodemographic factors and other health conditions. It is necessary to consider screening adolescent patients who present with dental pain for suicidal ideation.

• Applied Chemistry for Engineering
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• v.33 no.6
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• pp.563-573
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• 2022

This work aimed to develop a new equation for turbidity (Turb) simulation and prediction using statistical methods based on principal component analysis (PCA) and multiple linear regression (MLR). For this purpose, water samples were collected monthly over a five year period from Cheurfa dam, an important reservoir in Northwestern Algeria, and analyzed for 12 parameters, including temperature (T°), pH, electrical conductivity (EC), turbidity (Turb), dissolved oxygen (DO), ammonium (NH₄⁺), nitrate (NO₃^-), nitrite (NO₂^-), phosphate (PO₄^3-), total suspended solids (TSS), biochemical oxygen demand (BOD₅) and chemical oxygen demand (COD). The results revealed a strong mineralization of the water and low dissolved oxygen (DO) content during the summer period. High levels of TSS and Turb were recorded during rainy periods. In addition, water was charged with phosphate (PO₄^3-) in the whole period of study. The PCA results revealed ten factors, three of which were significant (eigenvalues >1) and explained 75.5% of the total variance. The F1 and F2 factors explained 36.5% and 26.7% of the total variance, respectively and indicated anthropogenic pollution of domestic agricultural and industrial origin. The MLR turbidity simulation model exhibited a high coefficient of determination (R² = 92.20%), indicating that 92.20% of the data variability can be explained by the model. TSS, DO, EC, NO₃^-, NO₂^-, and COD were the most significant contributing parameters (p values << 0.05) in turbidity prediction. The present study can help with decision-making on the management and monitoring of the water quality of the dam, which is the primary source of drinking water in this region.

• Education of Primary School Mathematics
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• v.24 no.3
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• pp.135-156
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• 2021

Achievement pressure and enthusiasm affecting mathematics academic achievement are constantly changing and affecting academic achievement. Therefore, a longitudinal study is needed to examine the influence of the change patterns of teachers' achievement pressure and enthusiasm on the change patterns of academic achievement. This study utilized student data from the 5th grade of elementary school (2013 year) to the third grade of middle school (2017 year) of the Korean Education Longitudinal Study 2013. The longitudinal change patterns of mathematics academic achievement were classified into similar subgroups and the influence of the longitudinal change patterns of the achievement pressure and enthusiasm of each group on the longitudinal change pattern of mathematics academic achievement and the path were compared and analyzed. As a result of the analysis, in all four subgroups with similar longitudinal changes in mathematics academic achievement, the teacher's achievement pressure showed little change from the fifth grade, while the teacher's enthusiasm continued to decline from the fifth grade. In addition, the influence of teachers' achievement pressure and enthusiasm perceived by students in each group on mathematics academic achievement was different. This suggests that in order to improve mathematics academic achievement, it is necessary to support teaching and learning reflecting the characteristics and dispositions of students.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.22 no.5
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• pp.475-481
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• 2021

This study was conducted to find out the degree of self-esteem, resilience, and subjective happiness of nursing college students and to establish strategies to improve their subjective happiness. The study subjects included 204 nursing students, and data was analyzed by frequency, percentage, t-test, and ANOVA analysis to determine self-esteem, resilience, and subjective happiness according to general characteristics. Pearson's correlation was used for correlation. Factors affecting subjective happiness were analyzed by multiple regression. Study results found that self-esteem and resilience had an effect on grade level and department satisfaction, and subjective happiness had an effect on department satisfaction. In addition, self-esteem was found to be correlated with resilience and subjective happiness, and resilience was found to be correlated with subjective happiness. As a result of multivariate regression analysis, grade and subject satisfaction were found to be important factors affecting the subjective happiness of nursing students. In conclusion, it is necessary to develop programs for each grade for the subjective happiness of nursing students, and it is necessary to make efforts to establish and apply strategies and plans for satisfaction with the department.

• Journal of Korean Society of Occupational and Environmental Hygiene
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• v.32 no.4
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• pp.287-301
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• 2022

Objectives: This study compared the characteristics of the work environment between agricultural and general workers and analyzed the effects of agricultural working characteristics on work-related health problems. Methods: The participants of this study were 2,347 agricultural workers and 48,042 general workers who were selected by applying standardized weights to the raw data of 50,538 respondents from the 6th Korean Working Condition Survey (KWCS). Variables applicable to both worker groups and related to exposure to hazardous risk factors in the working environment, working hours and intensity of work, health problems and work-related status, and satisfaction with the work environment were selected. Chi-square tests and independent sample t-tests were performed to evaluate the differences in the variables between the two groups. Multivariate logistic regression analysis was conducted to analyze the effects of work environment characteristics on work-related health problems. Results: Compared to general workers, agricultural workers were more exposed to hazardous environments, irregular work patterns such as working on Saturday/Sunday, and short repetitive tasks. They reported more work-related and general health problems, including back pain, upper extremity muscle pain, lower extremity muscle pain, and general fatigue. Agricultural workers showed lower satisfaction with their work environment than general workers. Factors affecting one or more work-related health problems included gender, working years, hazardous factors, irregular work pattern, working hours, and labor intensity. Conclusions: Our findings showed that agricultural workers were relatively more vulnerable to safety issues compared to other occupational groups. Therefore, it is necessary to establish standardized safety and health standards and strengthen systematic safety and health management policies and services for agriculture.

• Journal of Korean Society of Forest Science
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• v.111 no.4
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• pp.538-547
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• 2022

In this study, the population and community structure of Berchemia berchemiaefolia stands located at Mt. Naeyon (Gyeongbuk, Korea) were quantified, and multivariate analysis was done to determine the correlations between vegetation group types and environmental factors and to have reference data for the conservation and restoration of this species. In total, there were 164 B. berchemiaefolia trees in Mt. Naeyon. The average DBH of the trees was 24.5 cm, forming a normal distribution. It rarely appeared in an understory vegetation height of 3 m. About37.1% of the trees were branched. B. berchemiaefolia stands were classified into two groups: B. berchemiaefolia-Quercus serrata community and B. berchemiaefolia-Carpinus laxiflora community. Canopy gap, organic matter, exchangeable Ca, and cation exchange capacity were the major site characteristics affecting the distribution pattern of the stands. Currently, B. berchemiaefolia trees dominate in Mt. Naeyon, but depending on different habitat positions, the species was in a natural successional stage to C. laxiflora or C. cordata, which is a shade-tolerant species.