• Pediatric Infection and Vaccine
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• v.17 no.1
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• pp.36-48
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• 2010

Purpose : In children on anticancer chemotherapy, bloodstream infections (BSIs) are a major cause of morbidity and mortality. We investigated febrile episodes and bloodstream infections in pediatric cancer patients to guide proper selection of empiric antibiotics for febrile pediatric hemato-oncologic patients. Methods : All febrile episodes treated in the division of hematology-oncology, the department of pediatrics, Hanyang University Hospital, between July 2005 and June 2008 were reviewed. Episodes with and without bloodstream infections were compared. Results : Forty cases (18.9%, 25 patients) of BSI occurred in 212 febrile episodes (63 patients). Thirty-seven cases (23.6%, 22 patients) of BSI occurred in 157 febrile episodes with neutropenia (54 patients). Microorganisms identified in BSI corresponded to 23 gram-positive bacteria (51.2%), 20 gram-negative bacteria (44.5%), and 2 fungi (4.4%). Rates of BSI between those who had received umbilical cord blood transplantation and those who had received transplantation from other source were significantly different (55.0% vs. 7.7%, P =0.001). No differences in mortality rate were observed among organisms in BSI patients. For febrile episodes the rate of BSI was higher among those with Chemoport than those with Hickman catheter (P =0.029) and gram-positive pathogens were more likely to be associated with Chemoport (P =0.001). Conclusion : The study showed the rate of BSI, distribution of pathogens with regard to neutropenia, transplantation, central venous catheters, and antimicrobial susceptibility of pathogens in order to help guide in the choice of optimal empiric antibiotics in pediatric febrile neutropenic hemato-oncologic patients.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.18 no.1
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• pp.406-416
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• 2017

The purpose of this study was to examine violence response, burnout, and job satisfaction according to violent episodes of emergency room workers. Methods : This Study was a descriptive survey design using convenience sampling. This study was exempt from needing an IRB approval. There were 167 emergency room workers, who agreed to participate in this study, and took a self-report questionnaire between July and August 2015. SPSS 21.0 version was used for descriptive analysis, frequency, percentage, mean, standard deviation, independent t-test, Pearson correlation coefficients, and multiple regression. The major findings of this study were as follows: 1) 84.4% of participant experienced violent episodes. The frequency of verbal violence was highest. Violent attackers were patients and guardians with drunken state. The time of violence episodes was usually during the night. Violent experience of doctors and nurses was very high. 2) There were significant differences in the emotional response according to violent episodes (t=2.528, p=0.12) 3) The correlation between \response and burnout was statistically significant, and indicates a high positive correlation (r=.616, p=<.001). The correlation between violence response and job satisfaction was statistically significant, indicating a negative correlation (r=-.512, p=<.001). There was a negative correlation between burnout and job satisfaction with statistical significance (r=-.568, p=<.001). 4) Significant factors influencing job satisfaction were emotional response to violence and burnout. Conclusion: The findings of this study provide basic information for the strategies of preventing violence, decreasing burnout, and improving job satisfaction by developing a violence management program.

• Journal of the Korean earth science society
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• v.28 no.1
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• pp.123-135
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• 2007

Five episodes of the large-scale transport of air pollutants in East Asia and its inflow into the Korean Peninsula have been analyzed through satellite and ground observations. These episodes include regionally polluted continental airmass, which is created by the pollutants produced in the cities and the industrial regions in China, to land on or pass through the Korean Peninsula by way of the Yellow Sea. The analysis of the NOAA satellite observation data made it possible to create images by combining 3 channels of visible and infrared ray ranges and also to identify the distribution and the transport of the air pollution mass over the Yellow Sea. The ground observation data of the air pollutants gathered in Chongwon were found highly valuable in verifying the information in comparison with ones from the satellite. Especially, regarding the episodes of large-scale transport of the air pollutants, the difference of concentration between $PM_{10}\;and\;PM_{2.5}$ was found small with the increase of $PM_{2.5}$ value. The concentration of $PM_{10}$ in the episode of yellows and, however, was found much higher than that of $PM_{2.5}$. In the episode of 27 January 2006, the inflow of the regionally polluted continental air mass into the central and southwestern region of the Korean Peninsula was observed sequentially in the various ground observatories as well as by the satellite. The north-northwest airflow dissipated the clouds over from Mt. Halla in Jeju Island up to far downwind, reduced air pollution, and created von $K\acute{a}rm\acute{a}n$ vortex.

• Journal of Environmental Science International
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• v.26 no.2
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• pp.183-200
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• 2017

The classification of airflow patterns during high ozone ($O_3$) and $PM_{10}$ episodes on Jeju Island in recent years (2009-2015), as well as their correlation with meteorological conditions according to classified airflow patterns were investigated in this study. The airflow patterns for $O_3$ and $PM_{10}$ were classified into four types (Types A-D) and three types (Types E-G), respectively, using the HYbrid Single-Particle Lagrangian Integrated Trajectory (HYSPLIT) model and synoptic weather charts. Type A was the most dominant airflow pattern for $O_3$ episodes, being characterized by the transport of airflows from urban and industrial areas in China with the highest frequency (about 69%, with a mean of 67 ppb). With regard to the $PM_{10}$ episodes, Type E was the most dominant airflow pattern, and was mostly associated with long distance transport from Asian dust source regions along northwesterly winds, having the highest frequency (about 92%, with a mean of $136{\mu}g/m^3$). The variations in the concentration of $O_3$ and $PM_{10}$ during the study period were clarified in correlation with two pollutant and meteorological variables; for example, the high (low) $O_3$ and $PM_{10}$ concentrations with high (low) air temperature and/or wind speed and vice versa for precipitation. The contribution of long-range transport to the observed $PM_{10}$ levels in urban sites for different airflow patterns (Types E-F), if estimated in comparison to the data from the Gosan background site, was found to account for approximately 87-93% (on average) of its input. The overall results of the present study suggest that the variations in $O_3$ and $PM_{10}$ concentrations on Jeju Island are mainly influenced by the transport effect, as well as the contribution of local emissions.

• Journal of Preventive Medicine and Public Health
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• v.28 no.1 s.49
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• pp.207-223
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• 1995

A new medical delivery system which regulated outpatient department(OPD) use from tertiary care hospitals was adopted in 1989. Under the new system, patients using tertiary care hospital OPD without referral slip from clinics or hospitals could not get any insurance benefit for the services received from the tertiary care hospital. This study was conducted to evaluate the Patient Referral System(PRS) with respect to health care expenditures and utilization. Two data sets were used in this study. One was monthly data set(from January 1986 to December 1992) from the Annual Report of Korea Medical Insurance Corporation(KMIC). The other was monthly joint data set composed of personal data of which 10% were selected randomly with their utilization data of KMIC from January 1988 to December 1992. The data were analyzed by time-series intervention model of SAS-ETS. The results of this study were as follows: 1. There was no statistically significant changes in per capita expenditures following PRS. 2. Utilization episodes per capita was increased statistically significantly after implementation of PRS. The use of clinics and hospitals increased significantly, whereas in tertiary care hospitals the use decreased significantly immediately after implementation of PRS and increased afterwards. 3. Follow-up visits per episode were decreased statistically significantly after implementation of PRS. The decrease of follow-up visits per episode were remarkable in clinics and hospitals, whereas in tertiary care hospitals it was increased significantly after implementation of PRS. 4. There was no statistically significant changes in prescribing days per episode following PRS. Futhermore, clinics and hospitals showed a statistically significant decrease in prescribing days per episode, whereas in tertiary care hospital it showed statistically significant increase after implementation of PRS. 5. Except high income class, the use of tertiary care hospitals showed statistically significant decrease after implementation of PRS. The degree of decrease in the use of tertiary care hospitals was inversely proportional to income. These results suggest that the PRS policy was not efficient because per capita expenditures did not decrease, and was not effective because utilization episodes per capita, follow-up visits per episode. and prescribing days per episode were not predictable and failed to show proper utilization. It was somewhat positive that utilization episodes per capita were decreased temporarily in tertiary care hospitals. And PRS policy was not appropriate because utilization episodes per capita was different among income groups. In conclusion, the PRS should be revised for initial goal attainment of cost containment and proper health care utilization.

• Journal of the Korean Society of School Health
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• v.9 no.2
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• pp.205-221
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• 1996

This study is designed to contribute to the intervention of adolescent domestic violence by understanding the experience of the victims, better. The data were collected through a series of interviews with 3 subjects singled out at each stage of research. With the permission of the subjects, the interviews were recorded and transcribed. The interviews lasted from two and a half to 8 hours. The data were analyzed in the framework of grounded theory as mapped out by Strauss & Corbin (1990). The major findings of this research are as follows : The core category was found to be the adaptation of "Jitnulim" or "Being suppressed". The sub-categories identified in the process of grounded data analysis were 'roughness', 'wildness', 'driving', 'challenging', 'being strapped', 'being pressed', 'erupting', 'being horrified', 'being hardened', 'being connected', 'being seen', 'being helpful', being led', 'sprouting', 'being off', 'being cast out', 'shaking off', 'getting out', 'covering-up', 'waiting', 'ruling', 'common placeness', 'overcoming', 'getting united', 'fa11ing behind', 'falling in', 'being mixed up', 'ruthlessness', 'estrangement', 'difficulty', 'being overwhelmed', 'feeling regreful', 'being pressed', 'hesitating', and 'shying off'. These categories were again grouped into 11 categories including 'threatening', 'straightjacketing', 'alliance', 'phenomenon', 'pattern of support', 'system of support', 'challenging', 'calming-down', 'being relieved', 'being hardened and entangled', 'being entangled'. The following four theses were confirmed on the basis of the repetitive relation: 1) If the episodes of violence are frequent and serious, with the resulting straightjacketing being stronger the victim's family relations are coherent and the subject's support pattern is highly mature. Concrete the responses to the straighjacketing resulted in a'calming-down' which gradually relieved. 2) If the episodes of violence were frequent and serious, with the resulting straightjacketing being strong the victim's family relations and incoherent and the subjects supporter is immature but strong the support type is superficial and the responses to the straightjacketing result in a bouncing-off which gets entangled with the passage of time. 3) If the episodes of the violence are frequent and serious, the straighljacketing is strong, but the family relations are and the subject's support system is mature and strong the responses to the straightjacketing result in a calming-down which gets partly relieved but partly entangled. 4) If the episodes of the violence are frequent and serious with the resulting straightiacketing being strong, the victim's family relations are incoherent, the subject's support system is immature, and the support type is immature the responses to the straightjacketing result in a 'bouncing-off' which gets entangled and partly hardened with time.

• Journal of Korean Academy of Nursing
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• v.28 no.1
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• pp.70-80
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• 1998

This study is designed to contribute to the nursing intervention of adolescent domestic violence victims by describing specifically what they go through and on this basis work out a grounded theory on the adolescent's experience in domestic violence. The data were analyzed in the framework of grounded theory as mapped out by Strauss & Corbin(1990). The major findings of this research are as follows : The core category was found to be the the adaptation of "Joyudeum" or “Straight jacketing”. The sub-categories identified in the process of grounded data analysis were 'menacing', 'being harassed', 'being pressed', 'being attacked', 'being strapped', 'being filled with anger'. 'getting angry', 'being oppressed', 'being strained', 'becoming hard', 'endurance', 'regulation', 'seriousness'. 'repitition'. 'being helpful', 'dependence', 'thinking oriented', 'blowing off', 'going astray', 'self-deprecating', 'shaking off', 'covering up', 'governing', 'being devoted', 'performing', 'being transformed'. 'bolting', 'being shaken', 'withdrawing', 'disliking', 'bitterness'. These categories were again grouped into 13 categories including 'threatening'. 'straight jacketing', 'tolerance', 'violence', 'supporter', 'supporting type', 'thinking oriented'. 'impulsive response', 'self-controlled', 'response', 'self-reliance', 'wandering', 'withdrawal' and pain'. Of these the five sub-categories 'being filled with anger'. 'getting angry', 'being oppressed', 'being strained', 'becoming hard' were grouped into a core category "straight jacketing". Those adolescents brought up in a violent family go through three stages of the adaptation of "straight Jacketing". that is, generation, response and adaptation. The following four theses were confirmed on the basis of repetitive relations : 1) If a subject's tolerance is strong, the episodes of the violence are frequent and serious, with the resulting straight jacketing being stronger but the subject's supporter is highly mature, the supporting type is concrete and the thinking oriented is wishful, the responses to the straight jacketing result in a self-control whose consequence is self-reliance with part of it resulted in withdrawal and pain. 2) If a subject's tolerance is weak, the episodes of the violence are frequent but not serious, with the resulting straight jacketing being weaker but the subject's supporter is immature, the supporting type is superficial and the thinking oriented is extemporary, the responses to the straight jacketing result in an impulsion whose consequence is wandering with part of it resulted in withdrawal and pain. 3) If a subject's tolerance is weak, the episodes of the violence are frequent and serious, the straight jacketing is strong, the subject's supporter is immature and the supporting type is superficial but the thinking oriented is wishful, the responses to the straight jacketing result in an impulsion whose consequence is withdrawal and pain with part of it resulted in wandering. 4) If a subject's tolerance is strong and the episodes of the violence are infrequent and not serious, the straight jacketing is weak, the subject's supporter is immature and the supporting type is superficial but the thinking oriented is wishful, the responses to the straight jacketing result in a self-control whose consequence is withdrawal and pain with part of it resulted in self-reliance.

• Journal of the Korean earth science society
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• v.23 no.5
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• pp.424-435
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• 2002

This study analyzes the surface ozone and meteorological data in Daegu for a period from 1997 to 1999. It also investigates the meteorological characteristics of high ozone episodes. For this study the high ozone episode has been defined as a daily maximum ozone concentration higher than 100ppb in at least one station among six air quality monitoring stations in Daegu, Korea. The frequency of episodes is 13 days. The frequency is the highest in May and September. The average value of daily maximum ozone concentration is 81.6ppb, and 8-hour average ozone concentration is 58.6ppb for the high episodes. This shows that ozone pollution is continuous and wide-ranging in Daegu. The daily maximum ozone concentration is positively correlated to solar radiation and daily maximum temperature, but negatively correlated to relative humidity, wind speed and cloud amount. The maximal correlation coefficient to solar radiation is 0.45. The differences between high ozone episode day's daily mean meteorological value and monthly mean value are +1.58hPa for sea level pressure, +3.45${\circ}$C for maximum temperature, -5.69% for relative humidity, -0.46ms$^{-1}$ for wind speed, -1.79 for cloud amount, and +3.97MJm$^{-2}$ for solar radiation, respectively. This shows that strong solar radiation, low wind speed and no precipitation between 0700${\sim}$1100LST are favorite conditions for high ozone episodes. It is related to the morning stagnant condition.

• Proceedings of the Korea Air Pollution Research Association Conference
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• 2008.10a
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• pp.284-286
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• 2008

• Proceedings of the Korea Air Pollution Research Association Conference
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• 2004.11a
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• pp.187-188
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• 2004