• Journal of Korean Medicine for Obesity Research
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• v.20 no.2
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• pp.178-192
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• 2020

Objectives: The present study aimed to compare the impacts of cognitive behavioral therapy (CBT) and behavioral treatment (BT) on weight loss and psychological outcomes among patients with three different subtypes of obesity: simple obesity, obesity with binge eating disorder, and obesity with depression. Methods: Embase, PubMed, the Cochrane Central Register of Controlled Trials, Research Information Sharing Service, and Korean Studies Information Service System were systematically searched for randomized controlled trials conducted on or before May 2020, that used CBT to treat obesity. Methodological quality was assessed using Cochrane's risk of bias tool 2 and publication bias was evaluated through the funnel plot using the trim and fill method, Egger's test, and Begg and Mazumdar rank correlation test. A meta-analysis was conducted using a random-effects model and the standardized mean difference with 95% confidence interval (CI) was used to determine effect size. Results: Twenty-one randomized controlled trials with a total of 22 intervention arms and 2,590 patients were included. Our study results revealed that the effects of CBT, compared with BT, on weight loss distinctly differed across all patient subgroups. In the simple obesity group, CBT was more effective than BT (Hedges' g=0.138, CI=0.012~0.264); however, in the obesity with binge eating disorder group, BT was more effective than CBT (Hedges' g=-0.228, CI=-0.418~-0.038); in the obesity with depression group, the effect of CBT was not statistically different from that of BT (Hedges' g=0.276, CI=-0.307~0.859). Further studies with larger sample sizes are required to confirm the outcomes observed in this study. Conclusions: Our results indicated that the effects of CBT on obesity treatment vary based on patient subtype. Therefore, our findings suggest that CBT or BT should be selectively recommended as a treatment strategy for different obesity subtypes.

• Journal of Korea Entertainment Industry Association
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• v.14 no.8
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• pp.305-314
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• 2020

The purpose of this study was to provide basic information on regional senior welfare policy setting for the elderly in the metropolitan and nonmetropolitan areas and on the development of senior welfare programs on the basis of the data of the 2019 community health survey conducted by Korea Disease Control and Prevention Agency. The subjects in this study were 74,547 senior citizens who were at the ages of 65 and over as of 2019 and who were 17,423 from the metropolitan area and 57,124 from the nonmetropolitan areas. The collected data were analyzed by SPSS version 26.0. The findings of the study were as follows: As for the levels of happiness in the metropolitan area, happiness was better in the seniors who were aged 75 and up, who had spouses, whose income was larger and who engaged in economic activity. In the nonmetropolitan areas, happiness was better in the seniors who were aged 75 and up, who were better educated, who had spouses, whose income was larger and who engaged in economic activity. In terms of health behaviors and subjective health levels, more happiness was felt by the seniors who didn't smoke at present, who didn't suffer any subjective stress, who were at higher subjective health levels and higher subjective oral health levels and who had unmet health care needs, no matter whether they dwelled in the metropolitan or nonmetropolitan areas. In the nonmetropolitan areas, however, engaging in intensive physical activity and lower BMI were identified as the factors to affect happiness.

• Journal of the Korea Convergence Society
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• v.12 no.11
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• pp.81-90
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• 2021

There are various optimization problems in real world and research continues to solve them. An optimization problem is the problem of finding a combination of parameters that maximizes or minimizes the objective function. Harmony search is a population-based metaheuristic algorithm for solving optimization problems and it is designed to mimic the improvisation of jazz music. Harmony search has been actively applied to optimization problems in various fields such as civil engineering, computer science, energy, medical science, and water quality engineering. Harmony search has a simple working principle and it has the advantage of finding good solutions quickly in constrained optimization problems. Especially there are various application cases showing high accuracy with a low number of iterations by improving the solution through the empirical derivative. In this paper, we explain working principle of Harmony search and classify the leading research in recent 3 years, review them according to category, and suggest future research directions. The research is divided into review by field, algorithmic analysis and theory, and application to real world problems. Application to real world problems is classified according to the purpose of optimization and whether or not they are hybridized with other metaheuristic algorithms.

• The Journal of the Convergence on Culture Technology
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• v.9 no.5
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• pp.941-949
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• 2023

In this paper, the purpose of this qualitative research was to explore the communication experiences of nursing students during their clinical practice in the context of the COVID-19 pandemic among 4th grade nursing students. Data collection involved collecting reflective journals from 87 4th grade nursing college students who participated in clinical practice from December 19, 2022, to February 10, 2023. Participants were asked to freely write about their experiences following their clinical practice. The reflective journals were analyzed using Thematic Analysis by Braun & Clarke. In the context of the COVID-19 pandemic, the research findings have yielded 142 meaningful statements, 30 provisional themes, 9 sub-themes, and 4 central themes regarding the communication experiences of nursing college students during their clinical practice. The four central themes identified are as follows: "A mask that became a language barrier", "Broken Communication", "Fear that the quality of nursing care will decline", "Body and mind overcoming difficulties." In conclusion, this study has facilitated an understanding of the communication experiences of nursing college students during clinical practice in the context of the COVID-19 pandemic. Additionally, this research can serve as foundational information for improving ineffective communication due to the use of various medical equipment required in infectious disease situations and for developing practical strategies in nursing education under infectious disease conditions.

• The Journal of the Convergence on Culture Technology
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• v.10 no.4
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• pp.121-132
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• 2024

This study attempted to determine the effects of job stress, nursing problem-solving ability, nursing work performance, and job stress and nursing problem-solving ability on nursing work performance according to the MBTI type of nurses. The study subjects were 141 nurses working at a medical institution in G Province, and data collection was conducted from March 01 to March 31, 2024. The collected data were analyzed using correlation and multiple regression analysis. Among the psychological function types of MBTI, the SF type (sympathetic and friendly type) was the most common, and among the psychological temperament types, the SP type (sensuous and open type) was the most common. Nursing work performance had a negative correlation with job resource stress, a positive correlation with nursing problem-solving ability, and a positive correlation with problem recognition, information collection, planning ability, and evaluation. The variable that had a significant impact on nursing work performance was job resources, and problem recognition, a subfactor of nursing problem-solving ability, was found to be the best predictor of nursing work performance, followed by planning ability. The explanatory power was 17.8%. The results of this study are expected to be used as basic data to develop efficient nursing management guidelines by not only improving understanding of the personality of nurses but also investigating factors related to nurses' work performance. Through the development of programs and measures to improve nursing performance, it is necessary to revitalize programs, provide educational opportunities, and provide institutional support from hospital organizations to enable high-quality nursing care through skilled nursing work.

• Journal of the Korean Society of Radiology
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• v.18 no.5
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• pp.509-513
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• 2024

This study investigated the feasibility of applying the changes in electron dose distribution, observed in high-energy therapeutic radiation using magnetic fields, to low-energy diagnostic radiation. The diagnostic X-ray exposure conditions were set with a tube current of 200 mA, source-to-detector distance (SDD) of 100 cm, exposure time of 1.0 sec, and an irradiation field size of 20 × 20 cm². The tube voltage was varied from 70 to 100 kVp in 10 kVp increments. A 0.5 T permanent Nd magnet was used to create a magnetic field below the collimator. Measurements were repeated 20 times for each tube voltage, both with and without the magnetic field, and were compared using an independent-samples t-test. While slight differences of dose were observed at tube voltages of 70, 80, and 90 kVp, no statistically significant differences were found (p > .05). However, a significant difference was observed at 100 kVp (p = .048). Based on these findings, it is suggested that applying higher energy, longer exposure times, stronger magnetic fields, and high-performance detectors could potentially modify the electron dose distribution in diagnostic radiation. This could contribute to dose reduction for patients and improvement in the quality of medical imaging.

• Journal of The Korean Society of Grassland and Forage Science
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• v.30 no.1
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• pp.77-88
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• 2010

In order to ensure good animal health and performance, it is essential to produce forages with high feeding value and good hygienic quality. However, huge amounts of forages consumed by ruminants are contaminated with mold prior to harvest or during storage as hay, straw or silage. These mold can grow in forages only when nutrients are available, correct temperature exist, oxygen is present, and unbound water is available. Fungal 'species can be divided into two groups: field fungi and storage fungi. Field fungi invade the forages while the crop is still in the field, require high moisture conditions, and are such as species of Fusarium, Alternaria, Clodosporium, Diplodia, Gibberrella and Helminthosporium. Storage fungi invade forages during storage and need less moisture than field fungi. These such as species of Aspergillus and Penicillium usually do not occur any problem before harvest. Mold growth can spoil the nutritional aspects of the forages and also results in secondary metabolites that are highly toxic to animal, humans and plants. Moldy feeds are less palatable and may reduce dry matter intake. This, in turn, leads to a reduction of nutrition intake, reducing weight gains or milk production. Performance losses of 5 to 10 percent are typical with moldy feeds. Mycotoxins are toxic substances produced by fungi (molds) growing on crops in the field or storages. While greater than 400 mycotoxins have been chemically identified, the biological or veterinary medical impact of only several mycotoxins is known. Mycotoxins have attracted considerable attention as potential causes for poor performance and health disorders in domestic livestock. They can be carcinogenic, hepatotoxic, hematotoxic, immunosuppressive, estrogenic, or mutagenic. So, feeding moldy forages has adverse effects on animal health and milk consumers. Also, this author reported that rice straw hay was contaminated mycotoxigenic fungi such as Penicillium roqueforti and Fusarium culmorum in Korea. Therefore, it is an urgent need to develop an improved post harvest storage method to reduce nutrient loss and mycotoxin contamination of forages, which will have a positive impact on human health.

• Journal of agricultural medicine and community health
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• v.43 no.2
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• pp.63-73
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• 2018

Objectives: The purpose of this study was to review the disaster preparation and response programs and the status of disaster preparation in public health center. Methods: In depth interview was performed in September 2017 using 5 open questions to the persons who are in charge of disaster response services in 5 public health centers of different levels in Korea. The questions included general characteristics of public health center, disaster programs and future issues. The research hired a quality method. Results: In general, the persons in charge recognized the cooperative agency of local government in disaster management. There were no disaster preparation programs developed by the public health centers. Most of the preparation were passive activities such as emergency support, crisis management on communicable disease and quarantine, participation in biological disaster response training, and education etc. The persons in charge emphasized necessity of disaster preparation programs. Conclusions: Disaster preparation and responsiveness is an evolving issue in public health centers in Korea. Medical support system and communicable disease management system are being set up in the national level. A comprehensive system covering health management, nutritional support, mental health, environment management of shelter, and volunteers supports on public health center level needs to be developed along with a easy-to-follow manual.

• Journal of the Korean Society of Radiology
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• v.11 no.4
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• pp.221-225
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• 2017

To evaluate the performance of ultrasound imaging system, we investigated the change of spatial resolution according to changing sonic velocity change parameter provided by ultrasound equipment. Ultrasound phantom images were obtained using a 3.0 ~ 5.0 MHz convex transducer in an ultrasound diagnostic device used at a medical institution located at Iksan. N-365 multi-purpose ultrasound phantom was used to measure longitudinal distance measurement accuracy and longitudinal and transverse resolution. In the same manner, the sonic velocity of the ultrasound equipment was changed from 1580 m/sec to 1400 m/sec in six steps, and the full width at half maximum(FWHM) was measured using the image J program to determine whether the measured values were different. As a result, lateral resolution was measured from 1.91 mm to 5.3 mm according to the speed change, and the smallest FWHM was 1.91 mm at 1420 m/sec. The axial resolution was measured from 1.03 mm to 1.14 mm according to the speed change, and the smallest FWHM was 1.03 mm at 1400 m/sec. The slower the sound velocity of the ultrasound equipment, the shorter the length of longitudinal measurement.

• Journal of the Korea Society of Computer and Information
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• v.19 no.1
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• pp.141-148
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• 2014

As the quality of the medical treatment service provided by large hospitals grow, the number of patients utilizing the facilities is increasing dramatically. Various studies such as order communication system and treatment guidance system are under their process in order to shorten the waiting time for patients. However, the existing methods assign the treatments in successive order without recognizing the situation of each treatment, therefore increasing a patient's standby time at a hospital. This paper proposes a context-aware treatment guidance system, which recognizes the previously undermined estimated waiting time of each treatment for a patient and recommends a treatment with shorter estimated sojourn time first. This context-aware treatment guidance system provides detailed information of treatment services based on the recommended order of treatments to a patient's smartphone. By utilizing the context-aware treatment guidance system introduced in this paper, patients can reduce their standby time at hospitals to the minimum while hospitals can efficiently service more patients at the same amount of time. The proposed context-aware treatment guidance system proves to be outstanding in treatment order recommendation through comparisons to previously used methods.