• Journal of Korean Neurosurgical Society
• /
• v.61 no.5
• /
• pp.608-617
• /
• 2018

Objective : This study aimed to investigate the rates, types, and risk factors of surgical site infection (SSI) following spinal surgery using data from a Korean SSI surveillance system that included diagnoses made by surgeons. Methods : This was a prospective observational study of patients who underwent spinal surgeries at 42 hospitals in South Korea from January 2017 to December 2017. The procedures included spinal fusion, laminectomy, discectomy, and corpectomy. Univariate and multivariate logistic regression analyses were performed. Results : Of the 3080 cases included, 30 showed infection, and the overall SSI rate was 1.0% (an incidence of 1.2% in spinal fusion and 0.6% in laminectomy). Deep incisional infections were the most common type of SSIs (46.7%). Gram-positive bacteria caused 80% of the infections, and coagulase-negative staphylococci, including Staphylococcus epidermidis, accounted for 58% of the gram-positive bacteria. A longer preoperative hospital stay was significantly associated with the incidence of SSI after both spinal fusion and laminectomy (p=0.013, p<0.001). A combined operation also was associated with SSI after laminectomy (p=0.032). Conclusion : An SSI surveillance system is important for the accurate analysis of SSI. The incidence of SSI after spinal surgery assessed by a national surveillance system was 1.0%. Additional data collection will be needed in future studies to analyze SSI in spinal surgery.

• Journal of Korean Neurosurgical Society
• /
• v.61 no.5
• /
• pp.645-652
• /
• 2018

Objective : This study aimed to investigate the rates, types, and risk factors of surgical site infection (SSI) following intracranial neurosurgical procedures evaluated by a Korean SSI surveillance system. Methods : This was a prospective observational study of patients who underwent neurosurgical procedures at 29 hospitals in South Korea from January 2017 to June 2017. The procedures included craniectomy, craniotomy, cranioplasty, burr hole, and ventriculoperitoneal shunt. Univariate and multivariate logistic regression analyses were performed. Results : Of the 1576 cases included, 30 showed infection, for an overall SSI rate of 1.9%. Organ/space infection was the most common, found in 21 out of the 30 cases (70%). Staphylococcus aureus was the most common (41%) of all bacteria, and Serratia marcescens (12%) was the most common among gram-negative bacteria. In univariate analyses, the p-values for age, preoperative hospital stay duration, and over T-hour were <0.2. In a multivariate analysis of these variables, only preoperative hospital stay was significantly associated with the incidence of SSI (p<0.001), whereas age and over T-hour showed a tendency to increase the risk of SSI (p=0.09 and 0.06). Conclusion : Surveillance systems play important roles in the accurate analysis of SSI. The incidence of SSI after neurosurgical procedures assessed by a national surveillance system was 1.9%. Future studies will provide clinically useful results for SSI when data are accumulated.

• Asian Pacific Journal of Cancer Prevention
• /
• v.14 no.3
• /
• pp.1623-1627
• /
• 2013

Cholangiocarcinoma (CCA) is a major health problem and cause of death among people in Northeastern Thailand. In this prospective study 171 patients newly diagnosed with CCA by physicians in 5 tertiary hospitals in four provinces of northeastern of Thailand between February and July 2011 were followed up to January 2012. The outcome was survival time from diagnosis to death. A total of 758.4 person-months of follow-up were available. The mortality rate was 16.9 per 100 person-months (95%CI: 14.1-20.1). The median survival time among CCA patients was 4.3 months (95%CI: 3.3-5.1). Cox's proportional hazard model was used to study the independent effects of factors affecting survival time among patients. Statistically significant factors included advanced stage at diagnosis (HR: 2.5, 95%CI: 1.7-3.8), presentation with jaundice (HR: 1.7, 95%CI: 1.1-2.4) or ascites (HR: 2.8, 95%CI: 1.8-4.4), and positive serum carcinoembryonic antigen (HR: 2.3, 95%CI: 1.2-4.3). Patients who had received standard treatment had a better prognosis that those who did not (HR: 0.5, 95%CI: 0.3-0.7).

• Journal of Agricultural Extension & Community Development
• /
• v.23 no.4
• /
• pp.471-481
• /
• 2016

The purposes of this study were to analyze the long-term trends for the outlook for job development in the forestry sector and to identify supply and demand on job markets. Due to the results of the studies of the forest area would be focused on area of forest therapy and guide, forest biomass research, researcher on prevention & control of forest pests, technician for forest protection, expert in forest disaster prevention, investigating of overseas tree species, and similarly the qualification items should be given more in trees and or bio-energy producer, forest saver and preventer, forest therapist and guide, tree pesticide doctor, forestry job regulator, etc. The main implication of the study result is that the reason of climate changes, environment pollutions and green-energy productivity would push the conditions of job market trend in forest workforce area.

• Journal of Korean Critical Care Nursing
• /
• v.12 no.1
• /
• pp.94-108
• /
• 2019

Purpose : Heart failure (HF) is considered an important medical burden with rehospitalization and mortality. Anemia is a major risk factor associated with the severity of HF. To improve the understanding of the impact of anemia in the population with HF, we explored the prevalence of anemia, its guidelines, relationship between anemia and mortality or rehospitalization, and limitation of reviewed papers of various populations with HF. Method: We used Whittemore and Knafl's integrative review methodology (2005), and thirty research papers were analyzed. PubMed, CINAHL, Cochrane, PsychInfo, Embase, Web of Science were searched for papers published between January 1960-June 2018. Results: Anemia in individuals with HF was primarily defined using the World Health Organization guideline. The prevalence of anemia in patients with HF varied from 9% to 56.7%. Moreover, such a condition significantly increases the prevalence of mortality or rehospitalization in patients with HF. The analyzed majority were non-prospective cohort study including secondary data analysis. Conclusion: Anemia in individuals with HF is a significant risk factor of mortality and rehospitalization. Prospective cohort studies should be designed to identify the optimal value for screening anemia and the impact of anemia on rehospitalization and mortality among HF patients.

• Journal of the Korea Society of Computer and Information
• /
• v.24 no.1
• /
• pp.151-158
• /
• 2019

This study aimed to analyze the research trend related on obesity in physical education in Korea through the keyword network analysis and to establish a basic database for effective design of prospective studies. To achieve it the study crawled co-occured keywords with 'obesity' and 'physical education' from RISS and analyzed the list from 1990 to 2018. They include 25 journal papers and 38 dissertations. The results are as follows. First, recent 30 years 63 papers published in Korea with 'Obesity' and 'Physical Education', and there were 144 related keywords. Second, analyzing journals which have 'Obesity' and 'Physical Education', co-occured keywords in 4 centrality were 24 keywords(student, Korea, prevention, effect, level, body, activation, actual condition, lesson, child, investigation, participation, book, cause, activity, normal, degree, nutrition, physical strength, weight, elementary, light, inquiry, health), and 37 keyword occurred in top 30. Lastly, by CONCOR analysis the result could be divided into 2 clusters. One consists of the object of obesity and its invervention, and the other consists of negative keywords of obesity and its preliminery dimenstion. Through the result, this study showed the research trend which involves the concept of obesity in physical education in Korea. Through the result, prospective obesity research in physical education in Korea would be promoted.

• Asia-Pacific Journal of Business
• /
• v.11 no.2
• /
• pp.99-118
• /
• 2020

Purpose - The purpose of this study analyzes the effect of emotional intelligence on entrepreneurship mediated by personal creativity, and an effective. Design/methodology/approach - A questionnaire was administered to approximately 141 students. Collected data were analyzed using SPSS 26.0 and AMOS statistical package. Findings - First, emotional intelligence had a positive effect on personal creativity. Second, Personal creativity was found to have a partial mediating effect on the relationship between emotional intelligence and entrepreneurship. Specifically, personal creativity mediated the relationship between emotional expression intelligence and entrepreneurship, but did not mediate the relationship between entrepreneurship and the facilitation of cognitive intelligence. Lastly, prospective entrepreneur's emotional intelligence is seen to have a positive effect on entrepreneurship, and personal creativity plays a role in mediating between emotional intelligence and entrepreneurship. Therefore, supplementary measures are needed to place more importance on emotional intelligence in entrepreneurship education related to starting a business, which had not been appropriately addressed until now. Research implications or Originality - The implications of this study are that policies are needed to develop entrepreneurship skills in those who are interested in starting a business, and that follow-up studies on entrepreneurship are needed.

• International Journal of Internet, Broadcasting and Communication
• /
• v.15 no.2
• /
• pp.102-111
• /
• 2023

We would like to find out how restaurant start-up education affects restaurant start-ups. Recently, as low barriers to entry and endemics are approaching, more and more people want to start a restaurant business. However, while the market size of restaurant start-ups increases due to the high youth unemployment rate and changes in the social population structure, the probability of failure of start-ups is increasing due to the high competition rate. Therefore, this study aims to examine whether restaurant start-up education affects restaurant start-ups through entrepreneurship. This study conducted a survey on prospective start-ups. After that, demographic analysis and multiple regression analysis were performed using the SPSS 23.0 program. As a result, it was found that entrepreneurship had an effect on restaurant start-ups. However, in future studies, more research is needed on the direction of improving and developing restaurant start-up education.

• Journal of Oriental Neuropsychiatry
• /
• v.26 no.3
• /
• pp.251-266
• /
• 2015

Objectives: The purpose of this study is to investigate the research about using tuina therapy for depression and to determine its efficacy. Methods: All relevant articles were searched in the China National Knowledge Infrastructure using the terms 'tuina' and 'depression'. Results: Forty-one studies were selected, 34 randomized controlled trials (RCTs) and 7 prospective studies. The Chinese Classification of Mental Disorders and Hamilton Depression Rating Scale were used most frequently as diagnostic criteria and an assessment tool, respectively. Conduction exercise therapy was used in all studies; in contrast, Zheng Xing exercise therapy was used in only 1 study of depression patients with neck vertebrae disease. In 9 RCTs that showed scores of more than 2 points on a modified Jadad scale, tuina therapy had significant antidepressant efficacy compared with conventional treatment. However, more high-quality studies are required. Conclusions: Tuina therapy has a valid therapeutic effect on depression according to studies published in China; if evidence accumulates from high-quality studies, it can be considered a non-pharmacologic treatment for depression in Korean medicine, as well.

• Journal of Digestive Cancer Research
• /
• v.5 no.1
• /
• pp.32-36
• /
• 2017

In unresectable stage IV colorectal cancer, the role of palliative surgery is not defined clearly. The palliative surgery can be categorized into two surgeries; first, palliative primary tumor resection; second, palliative metastatectomy. Several retrospective studies reported initial palliative systemic chemotherapy in unresectable stage IV colorectal cancer did not increase primary tumor related complications such as obstruction, perforation and hemorrhage, so they insisted that primary tumor resection in asymptomatic stage IV colorectal cancer should be preserved. However, in terms of overall survival and cancer-specific or progression-free survival, several retrospective studies, especially using population-based big data, reported favored survivals in palliative primary tumor resection group. And also several studies reported that palliative metastatectomy such as liver resection without resection of lung metastasis showed better overall survivals. But those results from those studies came from retrospective studies and are likely to be affected by selection bias. Prospective randomized studies are needed to define the benefit of palliative primary tumor resection and metastatectomy in unresectable stage IV colorectal cancer. However, based on the updated evidences, the dogma that palliative primary tumor resection should be preserved in asymptomatic unresectable stage IV colorectal cancer should be questioned.