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A Study on the Causes of Child Loss through Behavioral Analysis of Customers Accompanied with Children in Urban Entertainment Centers (복합상업시설에서의 아동 동반 고객 행태분석을 통한 미아 발생원인 고찰)

  • Choi, Jaepil;Choi, Soyoung;Yoo, Saewon;Han, Gyu Bin
    • Journal of the Architectural Institute of Korea Planning & Design
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    • v.36 no.1
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    • pp.49-60
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    • 2020
  • Although the number of child loss in commercial facilities has been growing recently, the prevention method for child loss are still lacking in the environmental aspect. This research examines the causes of lost child in behavioral aspects in order to develop a guideline to prevent child loss in U.E.C. The observational study on the behaviors of guardians and children was conducted in the U.E.C that is visited by many customers accompanied with children. Then the results of the observational study were marked on the behavioral maps. After analyzing the behavioral maps, the causes of child loss were determined by classifying into behaviors by age and behaviors by functional space. As a result, when guardian is unable to pay attention to child by doing something else such as making a purchase, or an inquiry, child may lose guardian by going towards the interesting factors or playing around. Moreover, if the spaces related to children are located at the node with high pedestrian density and open structure or the environment that is hard for the guardians to watch over their children, it will be easy for guardians to be inattentive to their children, and get separated from each other.

Association between High Sensitivity C-Reactive Protein and Metabolic Syndrome in South Korea: A Gender-Specific Analysis (우리나라 성인의 고감도 C-반응성 단백과 대사증후군의 관련성: 성별 분석)

  • Shin, Eunyoung;Lee, Yongjae;Kim, Taehyun;Jung, Keum Ji;Chung, Woojin
    • Health Policy and Management
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    • v.31 no.2
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    • pp.158-172
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    • 2021
  • Background: Metabolic syndrome has been known as a risk of cardiovascular disease. Meanwhile, high sensitivity C-reactive protein (hs-CRP) is used as a predictor of cardiovascular disease. In this paper, we aimed to investigate the association between hs-CRP and metabolic syndrome. Method: A total of 7,633 were chosen as the study population from the 7th Korea National Health and Nutrition Examination Survey dataset (2016-2017). Our dependent variable was whether an individual had metabolic syndrome or not, and the independent variable of interest was hs-CRP which was categorized into three groups. The chi-square tests and hierarchical logistic regression analyses reflecting survey characteristics were conducted. All analyses were stratified by gender. Results: According to the adjusted model with all covariates, compared to individuals having the low risk of hs-CRP, those having its average risk were more likely to have metabolic syndrome in men (odds ratio [OR], 1.41; 95% confidence interval [CI], 1.12-1.76) and women (OR, 1.69; 95% CI, 1.33-2.16). Individuals having the high risk was not significantly different in men; however, they were more likely to have metabolic syndrome in women (OR, 2.03; 95% CI, 1.28-3.23). Conclusion: In an upcoming aging society, it is important to reduce the risk of metabolic syndrome to improve population health. This study suggests that hs-CRP may be used as a marker of the risk of metabolic syndrome in a gender-specific way, thereby contributing to enhancing awareness of the risk of metabolic syndrome among the general public.

The Long-term Efficacy of Domiciliary Noninvasive Positive-Pressure Ventilation in Chronic Obstructive Pulmonary Disease: A Meta-Analysis of Randomized Controlled Trials

  • Park, So Young;Yoo, Kwang Ha;Park, Yong Bum;Rhee, Chin Kook;Park, Jinkyeong;Park, Hye Yun;Hwang, Yong Il;Park, Dong Ah;Sim, Yun Su
    • Tuberculosis and Respiratory Diseases
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    • v.85 no.1
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    • pp.47-55
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    • 2022
  • Background: We evaluated the long-term effects of domiciliary noninvasive positive-pressure ventilation (NIPPV) used to treat patients with chronic obstructive pulmonary disease (COPD). Methods: Databases were searched to identify randomized controlled trials of COPD with NIPPV for longer than 1 year. Mortality rates were the primary outcome in this meta-analysis. The eight trials included in this study comprised data from 913 patients. Results: The mortality rates for the NIPPV and control groups were 29% (118/414) and 36% (151/419), suggesting a statistically significant difference (risk ratio [RR], 0.79; 95% confidence interval [CI], 0.65-0.95). Mortality rates were reduced with NIPPV in four trials that included stable COPD patients. There was no difference in admission, acute exacerbation and quality of life between the NIPPV and control groups. There was no significant difference in withdrawal rates between the two groups (RR, 0.99; 95% CI, 0.72-1.36; p=0.94). Conclusion: Maintaining long-term nocturnal NIPPV for more than 1 year, especially in patients with stable COPD, decreased the mortality rate, without increasing the withdrawal rate compared with long-term oxygen treatment.

Adjustment for Multimorbidity in Estimations of the Burden of Diseases Using Korean NHIS Data

  • Shin, Yoonhee;Choi, Eun Jeong;Park, Bomi;Lee, Hye Ah;Lee, Eun-Kyung;Park, Hyesook
    • Journal of Preventive Medicine and Public Health
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    • v.55 no.1
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    • pp.28-36
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    • 2022
  • The current multimorbidity correction method in the Global Burden of Disease studies assumes the independent occurrence of diseases. Those studies use Monte-Carlo simulations to adjust for the presence of multiple disease conditions for all diseases. The present study investigated whether the above-mentioned assumption is reasonable based on the prevalence confirmed from actual data. This study compared multimorbidity-adjusted years of lived with disability (YLD) obtained by Monte-Carlo simulations and multimorbidity-adjusted YLD using multimorbidity prevalence derived from National Health Insurance Service data. The 5 most common diseases by sex and age groups were selected as diseases of interest. No significant differences were found between YLD estimations made using actual data and Monte-Carlo simulations, even though assumptions about the independent occurrence of diseases should be carefully applied. The prevalence was not well reflected according to disease characteristics in those under the age of 30, among whom there was a difference in YLD between the 2 methods. Therefore, when calculating the burden of diseases for Koreans over the age of 30, it is possible to calculate the YLD with correction for multimorbidity through Monte-Carlo simulation, but care should be taken with under-30s. It is useful to apply the efficiency and suitability of calibration for multiplicative methods using Monte-Carlo simulations in research on the domestic disease burden, especially in adults in their 30s and older. Further research should be carried out on multimorbidity correction methodology according to the characteristics of multiple diseases by sex and age.

Interorganizational Networks for Smoking Prevention and Cessation: A Blockmodeling Approach (지역사회 기관 간 금연사업 네트워크 모델: 블록모델링을 중심으로)

  • Park, Eun-Jun;Kim, Hyeongsu;Lee, Kun Sei;Cho, Junghee;Kim, Jin Hyeong;Jeong, Ho Jin;Lee, Ji An
    • Journal of Korean Academy of Nursing
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    • v.52 no.2
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    • pp.202-213
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    • 2022
  • Purpose: This study examined characteristics and patterns of interorganizational networks for smoking prevention and cessation in Korea. Methods: We surveyed two community health centers, ninety-five hospitals or clinics, ninety- two pharmacies, and sixty-five health welfare organizations in two districts of Seoul in 2020. Data on the organizations' characteristics of smoking cessation and interorganizational activities for information sharing, client referral, and program collaboration were collected and analyzed using network statistics and blockmodeling. Results: Network size was in the order of information sharing, client referral, and program collaboration networks. Network patterns for interorganizational activities on information sharing, client referral, and program collaboration among four organizations were similar between the two districts. Community health centers provided information and received clients from a majority of the organizations. Their interactions were not unidirectional but mutual with other organizations. Pharmacies were involved in information sharing with health welfare organizations and client referrals to hospitals or clinics. Health welfare organizations were primarily connected with the community health centers for client referrals and program collaboration. Conclusion: A community health center is the lead agency in interorganizational activities for smoking prevention and cessation. However, hospitals or clinics, pharmacies, and health welfare organizations also participate in interorganizational networks for smoking prevention and cessation with diverse roles. This study would be evidence for developing future interorganizational networks for smoking prevention and cessation.

A Modified Digital Elevation Modeling for Stormwater Management Planning in Segmentalized Micro-catchment Areas

  • Lee, Eun-seok
    • Journal of People, Plants, and Environment
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    • v.24 no.1
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    • pp.39-51
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    • 2021
  • Background and objective: Urban topology can be characterized as impervious, which changes the hydrologic features of an area, increasing surface water flow during local heavy rain events. The pluvial flooding is also influenced by the vertical structures of the urban area. This study suggested a modified digital elevation model (DEM) to identify changes in urban hydrological conditions and segmentalized urban micro catchment areas using a geographical information system (GIS). Methods: This study suggests using a modified DEM creation process based on Rolling Ball Method concepts along with a GIS program. This method proposes adding realized urban vertical data to normal DEM data and simulating hydrological analyses based on RBM concepts. The most important aspect is the combination of the DEM with polygon data, which includes urban vertical data in three datasets: the contour polyline, the locations of buildings and roads, and the elevation point data from the DEM. DEM without vertical data (DCA) were compared with the DEM including vertical data (VCA) to analyze catchment areas in Shin-wol district, Seoul, Korea. Results: The DCA had 136 catchments, and the area of each catchment ranged from 3,406 m2 to 423,449 m2. The VCA had 2,963 catchments, with the area of each ranging from 50 m2 to 16,209 m2. The most important finding is that in the overlapped VCA; the boundary of areas directly affected by flooding and the direction of surface water flow could be identified. Flooding data from September 21, 2010 and July 27, 2011 in the Shin-wol district were applied as ground reference data. The finding is that in the overlapped VCA; the boundary of areas directly affected by flooding and the direction of surface water flow could be identified. Conclusion: The analysis of the area vulnerable to surface water flooding (SWF) was more accurately determined using the VCA than using the DCA.

An Experimental Study on the Estimation of Transfer Length of Strand in the Prestressed Hollow Core Slab (프리스트레스트 중공 슬래브 강연선의 전달길이 평가에 대한 실험적 연구)

  • Jung-Soo, Lee;Jong-Hyun, Ryu;Seung-Hee, Kwon;Jin-Kook, Kim
    • Journal of the Korean Recycled Construction Resources Institute
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    • v.10 no.4
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    • pp.395-401
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    • 2022
  • In this study, the transfer length of strand was measured for three types of HCS member(H200, H320, and H400) manufactured by the pretension method. Strain gauges were attached in longitudinal direction at regular intervals on the sides of the HCS members, and the strain was measured during the cutting process of HCS. The stain at the cutting point was zero, and gradually increases in the central direction of the member, converging to a constant value after passing the transfer length. In the case of H200 members in which the strands were arranged one by one, the transfer lengths were formed within the range of the design equation (up to 762 mm). The transfer length of the H320 member and the H400 member, in which three strands were arranged, was higher than the design range (850 mm or more).

Effects of heat-treated acumen, halloysitum rubrum and os sepiae in experimentally induced stomach ulcer in rats (흰쥐의 실험적 위궤양에 대한 고백반, 적석지, 해표초의 효과)

  • LEE, Rae Kyong;YUN, Hyo In;PARK, Seung Chun;PARK, Jong Il;CHO, Myung-Haing
    • Biomolecules & Therapeutics
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    • v.5 no.3
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    • pp.246-252
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    • 1997
  • This study was performed to evaluate antiulcer effects of traditional folk medicines such as heat-treated acumen, halloysitum rubrum and os sepiae against stomach ulcer induced by acetic acid in Sprague-Dawley rats. Various pharmacological parameters were utilized to compare the antiulcer effects of aforementioned drugs based on the size of ulcer lesion, pepsin activity, free and total acidity, gastric secretory volume, and 5-HT (hydxoytrytamine) content. All folk medicines and ranitidine as control drus were shown to decrease ulcer lesion size after 5-day treatments, with the order of halloysitum rubrum, os sepiae, heat-treated acumen and ranitidine. All treated drugs except os sepiae inhibited the gastric volume as compared with that in the control group. Ranitidine most significantly inhibited the gastric volume. All the experimented drugs in this study lowered the gastric acidity. Halloysitum rubrum decreased it most remarkably, followed by ranitidine, os sepiae and heat-treated alumen after 5-day treatments. All used drugs alleviated the pepsin activity as compared with the control group, os sepiae being the highest then halloysitum rubrum, heat-treated alumen and ranitidine in turn. Heat-treated alumen and halloysitum rubrum showed mucin production to the great extent, and ranitidine had slight increasing effect thereon. At the end of observation period, all drugs except ranitidine increased 5-HT contents as compared to the normal group. From the above results, we could confirm the folk medicines such as heat-treated alumen, halloysitum rubrum and os sepiae have not only remarkable antiulcer effects but also preventing effects for the stomach ulcer recurrence, which suggest the experimented folk medicines could be developed as new antiulcer agents.

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Comparison of Effects of Taping Methods on Menstrual Pain, Menstrual Symptoms, and Body Temperature in Women of Reproductive Age (테이핑 기법에 따른 가임기 여성의 월경통, 월경 증상 및 체온에 미치는 영향 비교)

  • Eun-jin Lee;Jae-myoung Park;Tae-sung In;Kyoung-sim Jung
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.29 no.2
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    • pp.31-38
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    • 2023
  • Background: The aim of this study was to compare the effects of taping techniques on menstrual pain, body temperature, and menstrual symptoms in women of reproductive age. Methods: This study targeted 40 female students enrolled at G university with menstrual pain rated above 5 on the visual analog scale (VAS). The participants were randomly assigned to four groups: the Kinesio taping, spiral taping, non-steroidal anti-inflammatory drug, and control groups. The intervention was applied one day after the onset of menstruation, and menstrual pain, menstrual symptoms, and body temperature were measured before the intervention and 24 hours after the intervention application. We measured menstrual pain using the VAS. Additionally, we evaluated menstrual symptoms using the menstruation symptom scale and measured body temperature of the abdomen and feet using digital infrared thermal imaging. Results: After the intervention, all three experimental groups showed significant improvement in menstrual pain and menstrual symptoms compared to the control group, and there was no significant difference among the three groups. After applying Kinesio taping, there was a slight decrease in the temperature difference between the abdomen and feet, but no statistically significant difference was observed. Conclusion: The results of this study demonstrated that kisesio and spiral taping have similar effects as with anti-inflammatory medication in relieving menstrual pain and menstrual symptoms. Taping can be considered as an effective method to replace medications in order to alleviate menstrual pain.

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An Analysis of John Bowlby's Mourning Stages in Family Art Therapy as a Way to Help the Family Mourning Process

  • Seon Ah Yang;Sung Hee An;Cho Hee Kim;Min-Sun Kim
    • Journal of Hospice and Palliative Care
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    • v.26 no.2
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    • pp.27-41
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    • 2023
  • Purpose: Pediatric palliative care is a rapidly developing multidisciplinary approach that supports children with life-limiting conditions and their families. However, there is limited evidence on how to effectively support bereaved parents and siblings. The purpose of this study is to explore the therapeutic impact of art therapy for bereaved families, in accordance with John Bowlby's four-stage theory of mourning. Methods: This single-case study employed the consensual qualitative research method. Art therapy records of bereaved families were reviewed individually, and records from one case were selected. Verbal statements made during the art therapy sessions and photocopies of the artworks were analyzed to understand the mourning process of the family. Results: A total of 113 statements and 12 artworks from 19 art therapy sessions were analyzed. As the art therapy progressed, each family member exhibited a pattern of engaging in more positive and healthy conversations in daily life, demonstrating the final stage of mourning: reorganization and recovery. The family dynamics also revealed that they reconstructed their inner world and redefined the meaning of loss, which is the final stage of mourning. The art therapy provided a safe environment for the family, allowing them to fulfill their wishes and regain the strength needed for recovery. Conclusion: This study suggests that art therapy supports bereaved families in alleviating their psychological difficulties, engaging in a healthy mourning process, and functioning as members of society. Further research is needed to better understand the effect of art therapy as a bereavement support tool in pediatric palliative care.