• Korean Journal of Clinical Laboratory Science
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• v.52 no.2
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• pp.158-163
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• 2020

This study examines and presents reasonable improvement measures for the operation and revision of the relative value scoring system, and the basis for performance of a medical technologist. Seven hospitals were enrolled in the study, and included 5 resident laboratory medicine specialists and 53 medical technologists, giving a ratio of 10.6 technologists per laboratory medicine specialist. The average of professional manpower scores was 18, and the average of each medical institution's total score was 78. Ratings and additional rates were in the range 2~3%, and quality-added ratios were 2~3%, with no significance. Excluding pathological testing and assessing physiological functions, the average number of diagnostic tests for health insurance claims were 9,618,062, including 4,378,146 points for 5% of the total relative value scores. According to the DEA, the appropriate number of medical technologist is one person per 49,974 points of relative value. In conclusion, our study results indicate that it would be desirable to set the appropriate workforce for medical technologist to one person per 50,000 points of relative value. Our data could be used as a basis for enhancing productivity of the workforce and balancing health care resources.

• The Korean Journal of Air & Space Law and Policy
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• v.35 no.2
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• pp.197-224
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• 2020

This paper reviews and criticizes some issues as to the case of A and Others v. Finnair Oyj [2020] Case C-832/18 by examining EU Regulations and practical point of views. Under this case, the travellers brought an action against Finnair in light of the Air Passenger Regulation12, seeking compensation for both the first cancelled flight, and the delayed re-routed flight. Finnair had paid the first compensation, but refused to grant the second claim, arguing that the regulation did not set out that passengers were eligible for a second claim in those situations, and that the delay of the second flight was a consequence of 'extraordinary circumstances' under the regulation. The Court of Appeal in Helsinki has asked the CJEU whether an air passenger is entitled to a further compensation where a re-routed flight they have agreed to take is delayed, where both the original and rerouted flight are operated by the same air carrier. The CJEU held that the regulation does not in any way limit the rights of passengers where they find their flights being re-routed. As such, under earlier CJEU case law, the relevant travellers here were entitled to compensation for cancellation of the first flight and delay of the second flight. It also disagreed with Finnair's assessment that the technical failure in the re-routing flight was a matter of extraordinary circumstances.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.7
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• pp.168-175
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• 2020

Recently, there has been an increasing need to expand the supply of renewable energy as a solution to greenhouse gas emissions. Therefore, as a measure to promote domestic renewable energy investment and gradual expansion, this study analyzed the investment value of renewable energy projects utilizing the unoccupied spaces of public enterprise's facilities and presented a strategic decision-making framework to support efficient national land development and government measures. The NPV was estimated to be 286 million won if the expansion of the facility was not considered, but it is reasonable to postpone the expansion decision because the value of -130 million won was calculated if the expansion was considered. On the other hand, the real-option value was estimated to be 444 million won, taking SMP uncertainty, expansion, and abandonment options into account, and an additional value of 288 million won was calculated from an analysis of the expansion project using the existing NPV analysis.

• Asian Pacific Journal of Cancer Prevention
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• v.16 no.6
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• pp.2431-2440
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• 2015

Background: Registry data from four major public hospitals indicate trends in clinical care and survival from colorectal cancer over three decades, from 1980 to 2010. Materials and Methods: Kaplan-Meier productlimit estimates and Cox proportional hazards models were used to investigate disease-specific survival and multiple logistic regression analyses to explore first-round treatment trends. Results: Five-year survivals increased from 48% for 1980-1986 to 63% for 2005-2010 diagnoses. Survival increases applied to each ACPS stage (Australian Clinico-Pathological Stage), and particularly stage C (an increase from 38% to 68%). Risk of death from colorectal cancer halved (hazards ratio: 0.50 (0.45, 0.56)) over the study period after adjusting for age, sex, stage, differentiation, primary sub-site, health administrative region, and measures of socioeconomic status and geographic remoteness. Decreases in stage were not observed. Survivals did not vary by sex or place of residence, suggesting reasonable equity in service access and outcomes. Of staged cases, 91% were treated surgically with lower surgical rates for older ages and more advanced stage. Proportions of surgical cases having adjuvant therapy during primary courses of treatment increased for all stages and were highest for stage C (an increase from 5% in 1980-1986 to 63% for 2005-2010). Radiotherapy was more common for rectal than colonic cases. Proportions of rectal cases receiving radiotherapy increased, particularly for stage C where the increase was from 8% in 1980-1986 to 60% in 2005-2010. The percentage of stage C colorectal cases less than 70 years of age having systemic therapy as part of their first treatment round increased from 3% in 1980-1986 to 81% by 1995-2010. Based on survey data on uptake of adjuvant therapy among those offered this care, it is likely that all these younger patients were offered systemic treatment. Conclusions: We conclude that pronounced increases in survivals from colorectal cancer have occurred at major public hospitals in South Australia due to increases in stage-specific survivals. Use of adjuvant therapies has increased and the patterns of change accord with clinical guideline recommendations. Reasons for sub-optimal use of radiotherapy for rectal cases warrant further investigation, including the potential for limited rural access to impede uptake of treatments at metropolitan-based radiotherapy centres.

• Journal of Korean Physical Therapy Science
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• v.10 no.2
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• pp.42-52
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• 2003

An assessment of the subtalar joint in cerebral palsies can contribute to predict the function of ambulation in CP children. Ambulation is one of the most important function to guarantee the CP children independent life. This paper is to investigate some relationships between the function of standing and walling and the assessment of the subtalar joint in children with Cerebral palsy. And also to present the correlation between the ambulation and the Gross Motor Function Measures in children with cerebral palsy. Sixty-eight children with cerebral palsy were participated in this study. Evaluations of the subtalar pint parameters were performed by the goniometer and the angle finder, and the GMFM scores were measured by their teacher and researcher trained technically. A regression analysis was applied to figure out the relationship between the subtalar pint parameters(ROM and RCSP) and the function of standing and walking. A correlation analysis was employed to see how much the subtalar pint parameters could be predicted from GMFM scores in walling and standing. The results were as follows: 1) The significant differences were not observed between the total ROM, RCSP and the function of standing(F=8.065, p<.001) and walking(F=6.511, p<.001) in CP children. 2) The subtalar pint parameters(total ROM, RCSP) have the lower relevance to the function of standing and walling in CP children.(p>.05) 3) The total ROM and RCSP in both feet have the significant differences between the CP children and the normal children.(p<.001) 4) The GMFM scores were significantly correlated with the function of walling and standing in CP children.(r=247, p<.05) In this research, it is found that the significant relevance between the quantitative analysis of subtalar pint in children with cerebral palsy and the gross motor function of ambulation in standing and walling. However, it is difficult to predict the direct relationship of subtalar pint parameters and the function of ambulation, because subtalar pint scores and GMFM are only measured as quantities not qualities. Therefore, it is more reasonable to investigate the influence of subtalar pint parameters on ambulation in children with cerebral palsies, adding to the multifocal assessment of the children, rather than vice versa.

• Journal of Distribution Science
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• v.10 no.10
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• pp.25-33
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• 2012

Purpose - The Garak agricultural wholesale market ('Garak Market') plays a central role in the distribution of agricultural products in Korea and is important in connecting consumers with producers. However, problems regarding inefficiencies and the high-cost structure of the wholesale market's distribution/logistical system are being raised in relation to severe competition among retailers. Furthermore, the service needs of retailers and market users are not being fulfilled due to the inconsistency of the wholesale market's functions and facilities, thus reducing the competitiveness of the market. In this regard, innovative changes are being requested of the agricultural wholesale market according to changes in the agricultural product distribution environment. In particular, the lack of unloading facilities and the outdated unloading system of the wholesale market must be improved to enhance system efficiency. Research design, data, and methodology - This study observed the problems of the unloading system of the agricultural wholesale market in order to present relevant measures for improvement. The need for unloading auctions was also researched in this study. The survey of 70 forwarders belonging to the producing district distributor association of the Garak market was conducted by post. Additionally, 20 auction dealers and 59 shippers and transporters were individually interviewed. The survey on the need for unloading auctions used five-point Likert Scales. The statistical analysis was conducted with SPSS WIN 12.0 software. Results - First, the wholesale market must employ members of the unloading labor union to allow these employees to directly manage the unloading process. Second, it is crucial to revise regulations to ensure that the principal agent pays the unloading cost according to the standard unloading cost system. Third, the vehicle auction carried out for certain vegetable products must be converted to the unloaded auction system. According to the related interviews with the wholesale market's distribution agents, whereas shippers and transporters recognized the need for unloaded auctions, auction dealers tend to have a negative view of this system. Furthermore, the stated reasons in favor of unloaded cabbage, radish, and other vegetable auctions were prevention of constraint, creation of transparent trade conditions, and reduction of corrected seller tickets. Many of the respondents answered that the transport cost reduction rate in unloaded auctions must be below 20%. Fourth, the unloading system must be mechanized and a detailed, reasonable plan must be provided to settle the existing conflict with the unloading labor union. Conclusions - The proposals in this study are expected to play an important role in improving the cargo handling system of the wholesale agricultural product market in the future. Improving the system is expected to help shore up the competitiveness of the industry. If all the related bodies closely cooperate with each other and work harder, taking advantage of the synergies created by the facility modernization project, the Garak market will play a pivotal role in the distribution of agricultural products.

• The Journal of the Korea Contents Association
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• v.18 no.3
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• pp.172-182
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• 2018

This research suggests a solution to the problem of excessive shadow education in Korea as a way to compare the shadow education and income redistribution programs of advanced welfare states. The government has introduced a variety of measures to overcome the problem of excessive shadow education for a long time. However, the trend of increasing shadow education costs has not stopped. The excessive use of shadow education is definitely related to university entrance. But university entrance is not the only concern. In our country, the meaning of university is closely related to the standard of future life. Therefore, participation in shadow education is a reasonable choice by parents or students to ensure a stable future. The belief that the future life can be stabilized when you go to a prestigious university and the reality in the labor market, which reflects this belief, is the essential cause of excessive shadow education. Advanced welfare states such as Sweden and Germany provide hope for our nation. There are shadow education in these countries, too. However, the importance is not so great and its roles are not necessarily directly related to college entrance exams. For the income redistribution programs guarantee the life of all members of society at a certain level. The solution to the problem of excessive shadow education is not the admission system but the improvement of the income security system.

• Proceedings of the Korea Concrete Institute Conference
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• 2008.11a
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• pp.891-894
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• 2008

This study was performed to investigate how to design, where to construct, why to degrade, what plan to use systematically the underground structures such as underpass, underground passageways. About 50% of the underground structures are located on Seoul, Kyungi-Do. In design of the underground structures such as underpass, underground passageways, the required conditions are defined. And also in construction stage, the conditions of soil, required structure depth, site characteristics, reasonable construction method, are investigated. In the selection of details for underground structure, the items mainly considered, are the wall and column type, the sidewalk type, anchoring-system type, the water-proofing method, entranc shape. The reason and the adequate measures for the degradation of concrete structure are also investigated. The initial cracking properties due to the thermal characteristic are considered. The state of the art report on the new technologies are reviewed. The recent project for the systematically application to the underground structures is reviewed.

• The Journal of Pediatrics of Korean Medicine
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• v.28 no.4
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• pp.96-107
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• 2014

Objectives The purpose of this study is to understand what caregivers think advantageous and disadvantageous regarding Acupoint sticking Dog-days. Also, to know whether Acupoint sticking in Dog-days affect vital signs, and to investigate if occurrence of side effects are related to application duration, sweat, or compliance to precautionary measures. Methods Survey has been handed out to parents of the children who took Acupoint sticking in Dog-days. 10 days after the first dose was administered, survey was performed to examine any side effect occurrences, characteristics of sweat, duration of application, parents' thought about this therapy. Also, vital signs were checked before the first dose, and 10 days after to see any differences in vital signs in regards to this therapy. Results Preferable opinions about Acupoint sticking in Dog-days are 'convenient than herbal medications' (76.5%), 'less reluctance of child' (47.1%), 'reasonable price' (20.6%), 'good effectiveness' (17.6%), 'less side effect' (14.7%), 'no worry about agrochemicals or heavy metals uptake' (11.8%). Downsides were 'difficult to admit to hospital right on the Dog-days' (73.5%), 'no conspicuous effectiveness' (11.8%), 'expensive' (5.9%), 'reluctance of child' (2.9%). Vital sign differences were minimal when examined before and after Acupoint sticking in Dog-days. Side effects occurred 5 times in 34 cases, and they were erythema, itchiness, and hot sensation. There were no scars or blisters reported. All 5 cases were resolved without any interventions within 3 days. Conclusions Acupoint sticking in Dog-days doesn't affect vital signs. Severe side effect is rare, reported side effects were relatively mild, suggesting that it may be safe and well-tolerated. 'Convenience' (76.5%) is biggest advantage of Acupoint sticking in Dog-days and 'less reluctance of child' is also big advantage of Acupoint sticking in Dog-days. 'Difficulty to admit to hospital right on the Dog-days' (73.5%) is biggest disadvantage of Acupoint sticking in Dog-days.

• Journal of the Korea Organic Resources Recycling Association
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• v.12 no.2
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• pp.110-120
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• 2004

This research sought to analyze the food waste collection and transportation system in Korea's related public resource-making facilities, address related problems, and suggest a reasonable alternative measure. For the food waste sorting-out and discharging methods, apartments and similar housings use containers, and individual-style housings use 'quantity-proportional' bags. The sorting and discharging methods should be improved to boost the reuse of resource-made output. The analysis of collection and transportation costs by local governments indicates that they range from 30,000 won to 150,000 won per ton, varying greatly by characteristics of local governments, thus suggesting a need to establish costs calculation criteria to justify the costs. Charges imposed to each household were not greatly problematic in the case of quantity-proportional bags; however, in the case of apartments and similar housings, charges varied greatly, suggesting a need to impose differentiated charges calculated on the basis of collection and transportation costs according to regions. Many places used household-garbage collection vehicles to collect food waste, raising the possibility of causing complaints on leaching water and bad odors. Thus, exclusive food waste collection vehicles should be gradually introduced. Also, in certain places, vehicles should travel more than 20km to collect food waste, and in such cases, a cargo transferring system should be introduced to boost efficiency in carriage.