• The Journal of the Korea Contents Association
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• v.16 no.3
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• pp.22-32
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• 2016

As the number of aged population rapidly goes up, the cases of stroke and the related medical expenses continuously increase. The purpose of this study is to investigate the mortality of stroke patients based on CCI(Charlson Comorbidity Index) by utilizing the Korea National Hospital Discharge Injury Survey, analyzing the factors associated with the mortality of stroke patients. We analyzed 21,494 cases which are classified as the death of strokes aged over 20 years by using the Korea National Hospital Discharge Injury Survey between the year 2005 and 2010. In order to find out the mortality based on CCI and status of comorbidity, we used the technical statistics. We performed a logistic regression analysis to examine the reasons for the mortality of the strokes. We found that the independent variables for the influence of the mortality of strokes include age, type of insurance, residence urban size, size of hospital beds, the location of hospital, admission route, physical therapy, brain surgery, type of stroke, and CCI. This indicates that the effective monitoring on the age, types of stroke, comorbidity is needed. In addition to this, more medical support toward medicaid patients are needed, too. We believe that these results will be used positively for the evaluation of the stroke patients, providing the basic materials for the further research on the establishment of the health-related policy.

• Journal of the Korean Institute of Landscape Architecture
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• v.36 no.6
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• pp.22-33
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• 2009

This study was undertaken to provide a basis for planning trail standards, providing rights of movement, improvement of health and the experience of nature for at-risk walkers for application to the Umyen Park site. This study researched related laws, manuals, scholastic writing and the established site, a raku-raku mountain trail in Osata, Japan. By referencing these results and similar standards, a conceptual trail plan for at-risk walkers was created. The plan suggests five points -- accessibility, convenience, social aspects, economic efficiency, and environmentally-friendliness -- and referenced an evaluation of outdoor living environments for the elderly. The planning standards are comprised of four steps that are ranked in order and are related to the selection of location, trail structure, route patterns, and equipment. Plans for trails catering to at-risk walkers in Umyen Park were then based on these standards. As a result, it was found that the mountain has both a high elevation and abundant natural resource, both of which must be taken into account during planning. This study is valuable because it is one of the first studies of trail plans for at-risk walkers made in mountainous urban parte. Subsequent research can use the standards of this study for further evaluation while future modifications must reflect changing needs and details.

• The Journal of Pediatrics of Korean Medicine
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• v.13 no.2
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• pp.187-224
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• 1999

Background: In recent years, pediatric chronic sinusitis patients who don't respond with antibiotics are increasing, but there are a few reports on the herbal medicine therapy treating pediatric chronic sinusitis, so this report was studied. Objective: To demonstrate the effect of herbal medicine therapy in the chronic sinusitis before and after treatment using computed tomograpy (CT) and plain radiograpy. Materials and methods: Ninty patients (45 mail and 45 femail) treated in our hospital between February 1998 and August 1999 were studied. Ages ranged from 3 to 13 years (mean age :6.5 years). Sixty two patients had a underlyiing family history (allergy or sinusitis of parents or brothers), In the past history, 68 patients had asthma, allergy of milk, atopic dermatitis, bronchiollitis and irritable bowel syndrom. Illness period was from 10 days to 96 months (mean period:12.4 month). Duration of treatment were from 25 days to 200days (mean:96 days). To ascertain the efficacy of treatment, CT in the 42 and plain radiopgrapy in the 48 patients were checked out. In the CT, three images were obtained 2cm interval on the coronal and axial plan. CT findings of the chronic sinusitis were analyzed for mucoperiostal thickening before and after treatment using 4 grades;(normal, mild, moderate, severe). Normal was defined as below 3mm thickening of mucoperiosteum; mild was 3-5mm thickening; moderate was 5mm-1cm thickening; severe was above 1cm thickening. Plain radiograpy using Water's view provided maxillary sinus, anterior ethmoid sinus, frontal sinus. Normal was defined as simillar to density between sinus and oronasal cavity; mild was defined as generally increased density with no significant mucoperiosteal thickning; moderate was partial mucosal thickening without bony hypertropy; severe was total haziness with mucoperiosteal thickening. Gamihyunggyeyungyo-tang was administered mainly. Gamigwaghyangjeungki-san, Gamizwakwi-eum and Gamihyangso-san were administered for through oral route additional symptoms Results: Of the 90 patients, 84 patients showed complete recovery (93%), 4 patients showed no significant interval change(4%) and 2 patients were aggrevated (2%). Sixty patients were severe(67%) and 26 patients were moderate (29%), 4 patients were mild(4%) The duration of treatment was varied with patient conditions (91 days in average); severe were 101.7 days, moderate were 70 days and mild were 63 days. Fifty three patients with maxillary and ethmoid sinusitis were 114 days, 35 patients with maxillary sinusitis only were 71.5 days. Fifty eight patients with both maxillary sinusitis were 94.6 days, 26 patients with either maxillary sinusitis were 65 days. The symtoms of chronic sinusitis were nasal obstruction(75%), cough(69%), purulunt or mucosal discharge(62%), lymphoid follicle(54%), postnasal dripping(49%), headache(23%) and nose bleeding(22%). Conclusion: We know that herbal medicine therapy is the effective treatment of pediatric chronic sinusitis using plain radiograpy and CT. The duration of treatment may be significant assosiation with the location and degree of chronic sinusitis.

• Journal of Trauma and Injury
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• v.27 no.4
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• pp.170-177
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• 2014

Purpose: The first regional trauma center selected in Korea was the Gachon University Gil hospital regional trauma center; expectation on its role has been high because of its location in the Seoul metropolitan region. To determine if those expectations are being met, we analyzed the patients visiting the center and their treatment experiences for the past 3 years in order to propose a standard for the operation of a trauma center. Methods: The visiting route, visiting methods, performance of emergency surgery, the ward and the length of stay, the injury mechanism, the injury severity score (ISS), the department that managed the surgery, and the cause of death were analyzed for 367 patients visiting the center from its establishment in June 2011 through December 2013. Results: The mean age of the patients was 47 years (285 male and 82 female patients). A total of 187 patients directly visited the center whereas 180 were transferred to the center. Traffic accidents comprised the majority of injury mechanisms, and 178 patients underwent emergency surgery. The mean length of stay per patient was 11 days for those in the ICU and 27 days for those in a general ward. These patients occupied 4 beds in the ICU and 10 beds in the general ward per day. A total of 1.21 surgeries were performed per patient, and the mean number of surgeries performed per day was 0.49. The mean ISS was 15.91, and 183 patients (50%) had an ISS of ${\geq}16$. Thirty-one patients died; they had a mean ISS of 28.42. The most frequent cause of death was multi-organ failure. The mean number of treatment consultations during a patient's stay was 6.32. Forty-five patients (13%) were discharged from the center, and 291 (79%) were transferred to another hospital. Conclusion: A systematic approach to establishing a treatment model for trauma patients, including injury mechanism, multidisciplinary treatment, and trauma surgeon intervention, is required for treating trauma patients.

• Journal of Digital Convergence
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• v.13 no.2
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• pp.215-225
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• 2015

This study was conducted to develop a severity-adjusted LOS(Length of Stay) model for knee replacement patients and identify factors that can influence the LOS by using the Korean National Hospital Discharge in-depth Injury Survey data. The comorbidity scoring systems and data-mining methods were used to design a severity-adjusted LOS model which covered 4,102 knee replacement patients. In this study, a decision tree model using CCS comorbidity scoring index was chosen for the final model that produced superior results. Factors such as presence of arthritis, patient sex and admission route etc. influenced patient length of stay. And there was a statistically significant difference between real LOS and adjusted LOS resulted from health-insurance type, bed size, and hospital location. Therefore the policy alternative on excessive medical utilization is needed to reduce variation in length of hospital stay in patients who undergo knee replacement.

• Journal of Korean Tunnelling and Underground Space Association
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• v.19 no.2
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• pp.319-333
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• 2017

The construction of long sub-sea tunnel does not provide the favorable condition for the installation of ventilation system to be used during construction due to the constrained construction space. For the ventilation system required during construction, the artificial island where ventilation shaft is located is constructed at some location along the sub-sea tunnel route, which requires a high construction cost. Therefore, it is intended, as much as possible technically, to minimize the construction of artificial island. However, this requires a longer distance between ventilation shafts, there-by causing increased air leakage at the ventilation duct connection points due to the higher fan pressure being required to deliver ventilation air. Previously the air leakage was studied as an important issue. In this study experiments were carried out to develop the improved duct connection method considering various conditions such as, tunnel length, etc. Additionally, its performance results with leakage rates are shown and compared to the "S" class leakage rate of SIA. As a result, the new duct coupling type of improved method is analyzed as applicable to such a 30 km long tunnel with the leakage rate of $1.46mm^2/m^2$, which is better performance than SIA leakage rates.

• Journal of the Korean Institute of Landscape Architecture
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• v.45 no.6
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• pp.160-170
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• 2017

As a monumental building in the form of an arch, an archway has the characteristics of praise and honor. More and more historic, cultural and social connotations are given during the development of history. Four archways that are located on the middle route of the Red Gate Palace in the Mount Tai Scenic Area were chosen for research. Based on a literature review and field investigation with a visual analysis method, the physical attributes, spatial scale, perceptions and functions of the archways were discussed. The results were as follows: The archways in the research area are all made of stone. According to building location, they are classified into two types: Cultural archway and temple archway. Regarding functions, they are divided into symbolic archway, memorial archway and portal archway. From the point of view of form and scale, the Confucius Boarding Archway enjoys a higher standard than the other three. This reflects the importance of Confucian culture on Mount Tai. Regarding spatial scale, the archway becomes the focus in a restrictive linear space by an object-to-object and person-to-object comparison. Visitor experience of crossing the archways is strongly enhanced as it acts as entrance and exit, and it has the function of guiding sight since the arrangement of the archways further extend the line of sight. Couplets and inscriptions on the archways increase a sense of expectation for visitors on their way to the top of Mount Tai.

• Journal of the Korean Institute of Navigation
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• v.24 no.1
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• pp.1-12
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• 2000

The ships over the certain navigation area or her length are required to carry charts under the relevant laws. Charts are indispensible to the ships and fishing vessel, because their crew should know the water depth and location of obstacle in order to avoid danger in the navigation and fishing area. But it was found that many ships do not carry proper charts onboard according to the research marine accidents files of marine accident inquiry agency, and questionnaire survey. Consequently, many ships run aground on the coast and port. This study examined the present status of the coastal ship and the fishing vessels, and explained some problems in the aspect of the covering area, the place, the number of the selling agent and adjoining chart, as well as the geographical and traffic density, the crew on board the ship's characteristics, and so on. In this study we propose the way to solve the problem. firstly, the category of the fishing vessel which should carry the chart on bard under the related laws are required to be lowered to 10 gross tons. Besides a ship inspector should examine if the charts covering the area where to navigate even when the temporary inspection is done are carried on board property. Secondly, the inspection body or the controlling office of ship's entry and departure should check throughly whether the ships concerned carry the chart on board. Thirdly the fishing vessels should used the fishing charts, and the body concerned should train the offices about how to use chart, especiany the difference between Tokyo datum and WGS-84 datum. Fourthly the customized chart such as an atlas like a map, a calenda-type chart, a small chart, as a coated chart needs to be publish for the safety of small ship and fishing vessel. Fifthly, it is advisable to draw a recommended course in the route where the coastal navigate mainly and in the narrow channel, The adjoining area should be improved, as well as the qualify of the chart paper. Sixthly, publication of additional new chart in the southern part of East Sea, the eastern part of South Sea, the western part of South Sea and middle part of Yellow Sea near Incheon port should be thought over. Seventhly, the number of chart selling agent should be increased for the sake of purchaser in proportion to the number of port, and small correction of charts in selling agent must be carried out completely.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.1
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• pp.577-583
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• 2020

This study analyzed the effect of career preparation behavior of female college graduates on their job satisfaction. The results of this study are as follows: First, the relationship between job satisfaction and career preparation behavior and a regression analysis of job satisfaction were all examined. This study used the original data from the Korea Employment Information Service for '2012 College Graduates' Occupation Route Survey'. The subjects of this study were 1,569 women in the science and engineering fields (649 engineering graduates, and 920 science graduates). The data was analyzed by frequency analysis, independent sample t tests, correlation analysis, and hierarchical multiple regression analysis using SPSS WIN 19.0. As a result, women with 4 years of college have higher job stability and job satisfaction than college students, but the reasons for major selection, university type, college location, and department. The results of this study are as follows. First, the effect of the variables on career satisfaction and job satisfaction was not statistically significant. This suggests that the type of college does not have a significant effect on job satisfaction if the university systematically prepares people for a career and the university suits a person's aptitude.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.7 no.2
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• pp.246-250
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• 2006

The objective of this research was to investigate the way information is used by pedestrians in underground space. Furthermore, we wanted to know how pedestrians utilize information from signage of signs by pedestrians. Thus, we conducted an investigation on the pedestrians' walking behavior in Fukuoka City, Tenjin underground shopping centers, and 1) checked routes taken by the subjects; and 2) categorized the signs that were observed, the pedestrians' movement patterns, the way information from signage isused by the pedestrians, the signs' locations, the relationship between the spaces, the heights of the signs and the types of signs offering directions. The results showed that there is a need to solve certain problems related to the locations of the signs and the walking behaviors of the subjects. To solve the problems exhibited by the subjects' walking behaviors, we came up with a variety of guidance information that could be used. The contents of the guidance information differ depending on the specified heights for the placement of signs and the information used depending on the location. The results also showed that the continuity between places needs to be shown more effectively by the guidance system, and that too many signs are positioned in places where the frequency of use is low.