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Developing national level high alert medication lists for acute care setting in Korea (국내 급성기 의료기관 고위험 의약품 목록 도출)

  • Han, Ji Min;Heo, Kyu-Nam;Lee, Ah Young;Min, Sang il;Kim, Hyun Jee;Baek, Jin-Hee;Rho, Juhyun;Kim, Sue In;Kim, Ji yeon;Lee, Haewon;Cho, Eunju;Ah, Young-Mi;Lee, Ju-Yeun
    • Korean Journal of Clinical Pharmacy
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    • v.32 no.2
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    • pp.116-124
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    • 2022
  • Background: High-alert medications (HAMs) are medications that bear a heightened risk of causing significant patient harm if used in error. To facilitate safe use of HAMs, identifying specific HAM lists for clinical setting is necessary. We aimed to develop the national level HAM list for acute care setting. Methods: We used three-step process. First, we compiled the pre-existing lists referring HAMs. Second, we analyzed medication related incidents reported from national patient safety incident report data and adverse events indicating medication errors from the Korea Adverse Event Reporting System (KAERS). We also surveyed the assistant staffs to support patient safety tasks and pharmacist in charge of medication safety in acute care hospital. From findings from analysis and survey results we created additional candidate list of HAMs. Third, we derived the final list for HAMs in acute care settings through expert panel surveys. Results: From pre-existing HAM list, preliminary list consisting of 42 medication class/ingredients was derived. Eight assistant staff to support patient safety tasks and 39 pharmacists in charge of medication safety responded to the survey. Additional 44 medication were listed from national patient safety incident report data, KAERS data and common medications involved in prescribing errors and dispensing errors from survey data. A list of mandatory and optional HAMs consisting of 10 and 6 medication classes, respectively, was developed by consensus of the expert group. Conclusion: We developed national level HAM list for Korean acute care setting from pre-existing lists, analyzing medication error data, survey and expert panel consensus.

A Study on Weight Loss Effect and Safety of Integrated Korean Medicine Treatment on Obese Patients in Local Clinics: A Restrospective Chart Review (한의원 진료환경에서 비만환자 대상 한의통합치료의 체중 감량 효과 및 안전성에 관한 연구: 후향적 차트 리뷰)

  • Ojin Kwon;Changsop Yang;Young Jin Kim;Won Hae Ku;Won Gu Lee;Ki Byung Kim;Kyung Hwan Jegal
    • Journal of Korean Medicine for Obesity Research
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    • v.22 no.2
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    • pp.125-135
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    • 2022
  • Objectives: A restrospective chart review were conducted to investigate the overall weight loss effect of the integrated Korean medicine treatment on obese patients (body mass index [BMI] ≥25 kg/m2) in Korean medicine clinic and analyze the difference in the effect according to lifestyle behaviors. Methods: The medical records of 43 obese patients were retrospectively analyzed including body weight, BMI, waist circumference, hip circumference, and body composition who received integrated Korean medicine treatment for 4 weeks at 24 Korean medicine clinics in Daejeon metropolitan city. All outcome measures were evaluated again 8 weeks after the end of treatment at week 12 for follow-up. EuroQol-5D (EQ-5D), the Korean version of the obesity-related quality of life scale (KOQOL) and patient's satisfaction were also evaluated. The analysis was divided according to the treatment period and observation period, and subgroup analysis was performed according to drinking and exercise habits. Results: Body weight, body fat, waist circumference, hip circumference, body fat were significantly reduced at week 4 and week 12. Theses weight reduction effects were significantly greater within treatment period (0 to 4 week) than observation period (4 to 12 week). Especially in the non-exercise group, the changes in body fat mass and body fat percent showed a significant difference between the treatment period and the observation period. KOQOL were also significantly improved at 12 week, but not in EQ-5D. No severe adverse events were observed. Conclusions: The integrated Korean medicine treatment could be effective to treat obesity including weight loss. It is necessary to prevent additional weight regain through regular exercise even after Korean medicine treatment.

Analysis of connectedness Between Energy Price, Tanker Freight Index, and Uncertainty (에너지 가격, 탱커운임지수, 불확실성 사이의 연계성 분석)

  • Kim, BuKwon;Yoon, Seong-Min
    • Journal of Korea Port Economic Association
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    • v.38 no.4
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    • pp.87-106
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    • 2022
  • Uncertainties in the energy market are increasing due to technology developments (shale revolution), trade wars, COVID-19, and the Russia-Ukraine war. Especially, since 2020, the risk of international trade in the energy market has increased significantly due to changes in the supply chain of transportation and due to prolonged demand reduction because of COVID-19 and the Russian-Ukraine war. Considering these points, this study analyzed connectedness between energy price, tanker index, and uncertainty to understand the connectedness between international trade in the energy market. Main results are summarized as follows. First, as a result of analyzing stable period and unstable period of the energy price model using the MS-VAR model, it was confirmed that both the crude oil market model and the natural gas market model had a higher probability of maintaining stable period than unstable period, increasing volatility by specific events. Second, looking at the results of the analysis of the connectedness between stable period and unstable period of the energy market, it was confirmed that in the case of total connectedness, connectedness between variables was increased in the unstable period compared to the stable period. In the case of the energy market stable period, considering the degree of connectedness, it was confirmed that the effect of the tanker freight index, which represents the demand-side factor, was significant. Third, unstable period of the natural gas market model increases rapidly compared to the crude oil market model, indicating that the volatility spillover effect of the natural gas market is greater when uncertainties affecting energy prices increase compared to the crude oil market.

Water Level Prediction on the Golok River Utilizing Machine Learning Technique to Evaluate Flood Situations

  • Pheeranat Dornpunya;Watanasak Supaking;Hanisah Musor;Oom Thaisawasdi;Wasukree Sae-tia;Theethut Khwankeerati;Watcharaporn Soyjumpa
    • Proceedings of the Korea Water Resources Association Conference
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    • 2023.05a
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    • pp.31-31
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    • 2023
  • During December 2022, the northeast monsoon, which dominates the south and the Gulf of Thailand, had significant rainfall that impacted the lower southern region, causing flash floods, landslides, blustery winds, and the river exceeding its bank. The Golok River, located in Narathiwat, divides the border between Thailand and Malaysia was also affected by rainfall. In flood management, instruments for measuring precipitation and water level have become important for assessing and forecasting the trend of situations and areas of risk. However, such regions are international borders, so the installed measuring telemetry system cannot measure the rainfall and water level of the entire area. This study aims to predict 72 hours of water level and evaluate the situation as information to support the government in making water management decisions, publicizing them to relevant agencies, and warning citizens during crisis events. This research is applied to machine learning (ML) for water level prediction of the Golok River, Lan Tu Bridge area, Sungai Golok Subdistrict, Su-ngai Golok District, Narathiwat Province, which is one of the major monitored rivers. The eXtreme Gradient Boosting (XGBoost) algorithm, a tree-based ensemble machine learning algorithm, was exploited to predict hourly water levels through the R programming language. Model training and testing were carried out utilizing observed hourly rainfall from the STH010 station and hourly water level data from the X.119A station between 2020 and 2022 as main prediction inputs. Furthermore, this model applies hourly spatial rainfall forecasting data from Weather Research and Forecasting and Regional Ocean Model System models (WRF-ROMs) provided by Hydro-Informatics Institute (HII) as input, allowing the model to predict the hourly water level in the Golok River. The evaluation of the predicted performances using the statistical performance metrics, delivering an R-square of 0.96 can validate the results as robust forecasting outcomes. The result shows that the predicted water level at the X.119A telemetry station (Golok River) is in a steady decline, which relates to the input data of predicted 72-hour rainfall from WRF-ROMs having decreased. In short, the relationship between input and result can be used to evaluate flood situations. Here, the data is contributed to the Operational support to the Special Water Resources Management Operation Center in Southern Thailand for flood preparedness and response to make intelligent decisions on water management during crisis occurrences, as well as to be prepared and prevent loss and harm to citizens.

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Differences in attributional bias and irrational gambling beliefs between gamblers and non-gamblers (귀인양식과 귀인편향, 비합리적 도박신념에서의 차이: 도박자와 비도박자의 비교)

  • Eun-A Park;Jonghan Yi
    • Korean Journal of Culture and Social Issue
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    • v.21 no.2
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    • pp.177-203
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    • 2015
  • The aims of this study were 1) to compare irrational gambling beliefs of gamblers and non-gamblers, 2) to investigate the role of cognitive error on winning probability thinking error, and 3) to examine the relationship between attributional bias and gambling behavior. A total of 248 subjects were recruited for this study. All subjects were classified into non-gamblers, social gamblers and pathological gamblers, and administered self-report questionnaires to measure irrational gambling beliefs, the probability inference error, the attriburional style, and the attributional bias. A pathological gambler group scored highest on irrational gambling beliefs, especially the overestimation of self-ability factor, and a social gambler group and a non-gambler group follow. All three groups scored higher on the magnification of gambling skills than the mean (4.0) of the scale. Pathological gamblers and social gamblers scored higher on the probability thinking error than non-gamblers. Pathological gamblers displayed higher external attribution, lower internal attribution in their daily life events and higher internal attribution in failure situation than social gamblers and non-gamblers. The results indicate that cognitive errors would be a factor that differentiates pathological gamblers from social gamblers and non-gamblers. In predicting gambling behaviors, overestimation of self-ability of irrational gambling beliefs, internal attribution in failure situation, external attribution in daily live event, and probability thinking error were identified as significant factors. It is concluded that a public education about common cognitive bias featured in gamblers might be important in prevention of pathological gambling behaviors.

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Exchange & Cooperation on Inter-Korean Performance Program, and Copyright Law Issues - Focused on Performance-Related Clauses in the North Korean Copyright Act - (남북한 공연프로그램 교류협력과 저작권법상의 문제 - 북한 저작권법상 공연관련 조항을 중심으로 -)

  • Lee, Chan-Do
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.1
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    • pp.11-24
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    • 2019
  • In this article, potential problems in the exchanges and collaboration of South and North Korean performance programs were reviewed focusing on the articles related to performances in the North Korean copyright law. In the North Korean copyright law, there were significant differences from the ordinary rules in the international society or lack of the rules. They are the problems on the bases and principles of North Korean copyright law, unacceptance of copyrightable works against their political system, equal and mutual benefit on the copyright of the South Korean copyrightable works, neighboring copyright and economic right, unlimited protection for moral right, unpreparedness of right protection for online copyrightable works, and so on. On the other hand, the available performance programs to exchange mutually between South and North in the short run include national operas, dramas, musicals, festival events, and so on. However, legal and systematic improvement plans are required on the different copyright rules between South and North to facilitate the exchanges and cooperation. Externally, collaborations are required in the international copyright stage such as collaborative agreements on various international copyright usages, and we should consider the global entrance of performance programs that contain national sentiment and develop mutual trusts through these.

Time Analysis on the Economic and Social Participation of the Elderly (노인의 경제활동과 사회참여에 대한 시간연구)

  • Hyun, Jae Eun;Kwon, Huck-ju
    • 한국정책학회보
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    • v.21 no.2
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    • pp.277-300
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    • 2012
  • This paper empirically analyses patterns of time allocation of the elderly, examining economic participation and volunteer work or social activities under the assumption that such activities have positive effects not only on the individuals and on the local communities but also on the society as a whole. As the result of descriptive analysis on the Korean Time Use Survey 1999, 2004 and 2009, the adults aged 60 to 64 years decrease time for paid work rapidly while increase time for passive leisure comparably slowly. In terms of time for active leisure, they devote less time to volunteer work and social activities, however, more time to self-centered activities such as education, cultural events, sport and fitness, and religious work. The overall pattern of decrease in time on economic or social participation for the elderly appeared be more significant in the birth cohorts of the early 1940s than those born in the late 1930s. The analysis implies that it is necessary for the government to encourage them to participate in community activities, either economic or social, with necessary policy responses. The result of the Tobit analysis on the dependent variables of each type of the 6 leisure activities demonstrated the self-centered active leisure time has increased over the last decaseds, whose pattern appeared to be more strengthened when the proportion of the elderly with higher education has increased.

Evaluation of Eco-friendliness for Tourist Complex Projects by EA-INDEX (EA-INDEX를 활용한 관광단지 개발사업의 친환경성 평가)

  • Seul-Ki Song;Jihyeon Park;Hyun-Jin Choi
    • Journal of Environmental Impact Assessment
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    • v.32 no.2
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    • pp.146-156
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    • 2023
  • Since the tourism complex development projects is promoted for areas with good natural environment and excellent landscapes, it has s significant environmental impact on the surrounding area. Therefore, this study investigated the current status and various environmental influences of tourist complex based on environmental impact assessment reports from 2012 to 2021. Based on the results of the current status analysis of the development projects, EA-INDEX for the tourism complex development projects was developed and applied to comprehensively and quantitatively analyze various environmental impacts. Through this, we investigated eco-friendliness of the development projects by year in the natural environment conservation sector, resource conservation sector, and living environment protection sector. As a result we found that the tourism complex development projects were carried out in a way that increases eco-friendliness over the past ten years, especially in in the natural environment conservation sector. On the other hand, in the case of resource conservation, it has been confirmed that eco-friendliness is decreasing, so it is necessary to make efforts to improve it when establishing new development plans in the future. It is expected that the result of this study will be useful for identifying the development trend and environmental impact of development projects. If an analysis is made that synthesizes information such as policy events and social issues related to development projects in the future, it is also expected that a broader explanation will be possible to identify trends in development projects using EA-INDEX.

Analysis of effects of drought on water quality using HSPF and QUAL-MEV (HSPF 및 QUAL-MEV를 이용한 가뭄이 수질에 미치는 영향 분석)

  • Lee, Sangung;Jo, Bugeon;Kim, Young Do;Lee, Joo-Heon
    • Journal of Korea Water Resources Association
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    • v.56 no.6
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    • pp.393-402
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    • 2023
  • Drought, which has been increasing in frequency and magnitude due to recent abnormal weather events, poses severe challenges in various sectors. To address this issue, it is important to develop technologies for drought monitoring, forecasting, and response in order to implement effective measures and safeguard the ecological health of aquatic systems during water scarcity caused by drought. This study aimed to predict water quality fluctuations during drought periods by integrating the watershed model HSPF and the water quality model QUAL-MEV. The researchers examined the SPI and RCP 4.5 scenarios, and analyzed water quality changes based on flow rates by simulating them using the HSPF and QUAL-MEV models. The study found a strong correlation between water flow and water quality during the low flow. However, the relationship between precipitation and water quality was deemed insignificant. Moreover, the flow rate and SPI6 exhibited different trends. It was observed that the relationship with the mid- to long-term drought index was not significant when predicting changes in water quality influenced by drought. Therefore, to accurately assess the impact of drought on water quality, it is necessary to employ a short-term drought index and develop an evaluation method that considers fluctuations in flow.

Research on factors influencing consumer trust in livestreaming e-commerce (라이브 스트리밍 전자 상거래에서 소비자 신뢰에 영향을 미치는 요인에 관한 연구)

  • Xiao yong Lyu;Jae-Yeon Sim
    • Industry Promotion Research
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    • v.8 no.3
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    • pp.181-199
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    • 2023
  • E-commerce is gradually upgrading from traditional text and image formats to short video and livestreaming formats. Livestreaming e-commerce enriches the content and forms of information dissemination and product display, enhances the consumer's shopping experience, and gradually becomes the mainstream new consumer scene. However, there are many negative phenomena in the development of livestreaming e-commerce, such as false propaganda, counterfeit goods, and various negative events, which seriously affect the level of consumer trust in livestreaming e-commerce. Trust is the core competitive factor of livestreaming e-commerce. Based on previous research on trust theory and combined with the characteristic elements of "people, goods, and scenes" of livestreaming e-commerce, this article constructs a trust model for livestreaming e-commerce, proposes hypotheses, and proves through empirical research that factors such as store characteristics, livestream host characteristics, brand image, product information, platform reputation, livestreaming situation, and trust tendency have a significant positive impact on consumer trust. Based on the research conclusions, this article provides insights and management suggestions, such as emphasizing the construction of store characteristic indicators, creating desirable livestream host characteristics, focusing on product brand building and selection, maintaining the display of product information, selecting suitable livestreaming platforms, and creating rich content for livestreaming situations.