• Journal of Preventive Medicine and Public Health
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• v.37 no.3
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• pp.260-266
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• 2004

Objectives : To assess the impacts of implementing case payment system (CPS) to Medical Aid (MA) hemodialysis patients on the frequencies and expenditure of dialysis. Methods : Fifty-eight clinics and 35 tertiary care hospitals were identified as having a minimum of 10 hemodialysis patients for each of the MA and Medical Insurance (MI) programs, who received hemodialysis from the same dialysis facilities for both periods of July 2001 and July 2002. From these facilities, a total of 2,167 MA and 2,928 MI patients were identified as the study subjects. Using electronic claims data, the changes in the total number of monthly treatments and charges for outpatient hemodialysis treatments for each patient after the introduction of the CPS were compared between the MA and MI patients. Multiple regression analyses were performed to examine the independent impact of the CPS on the utilization and expenditure of dialysis treatments among the MA patients. Results : There was a significant decrease in the total charges for the hemodialysis treatments of the MA patients, 3.4% (p<0.05), whereas a significant increase was observed for the MI patients, 2.5% (p<0.05). For both the MA and MI patients, the frequency of the monthly hemodialysis treatments were significantly increased, 5.5 (from 12.1 to 12.7) and 7.8% (from 11.6 to 12.5), for the MA and MI patients, respectively. However, a multivariate regression analysis showed no significant difference in the changes in the total number of monthly hemodialysis treatments between the MA and MI patients after implementation of the CPS. Another regression model, regressing on the changes in the monthly claims of dialysis treatments, showed a significant negative coefficient for the MA ((=-70725, p<0.05). Conclusion : The significant decrease in the total charges for hemodialysis treatments among MA as compared to MI patients suggests that there was a cost reduction in the MA program following the introduction of the CPS.

• Korean Journal of Health Education and Promotion
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• v.32 no.1
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• pp.1-10
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• 2015

Objectives: This study evaluated the effects and relevant factors of community-based education and advocacy intervention on stroke awareness among the general population. Methods: The study enrolled 505 community-dwelling adults aged 19 years or older who completed a survey before and after a community-based intervention held between May 2014 and December 2014. Trained staff collected data about knowledge of five stroke warning signs, emergency response, golden window of time (${\leq}3h$), and demographics. Results: After the intervention, public awareness of all five stroke warning signs increased significantly from 26.5% to 33.9% (p=0.011). Public awareness of the golden window of time also increased significantly from 70.1% in April 2014 to 75.8% in December 2014 (p=0.040). In a multivariate logistic regression analysis, older age, higher education level, and exposure to stroke-related public service announcements or educational materials were significant predictors of knowledge of all five warning signs for stroke. Conclusions: Comprehensive community-based intervention is effective for improving public awareness of the warning signs of stroke and the golden window of time.

• Tuberculosis and Respiratory Diseases
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• v.63 no.1
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• pp.24-30
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• 2007

Background: Pleural effusion develops in approximately 40% of pneumonia patients. In 5-10% of these cases, it progresses to complicated parapneumonic effusion (CPPE) or empyema that requires drainage. The prognostic factors of CPPE and empyema remain to be clarified. We examined the treatment outcomes of CPPE and empyema and elucidating their prognostic factors. Methods: One hundred and fifteen patients with CPPE or empyema, who were diagnosed and treated in Kyungpook National University Hospital (Daegu, Korea) between September 2001 and December 2005, were retrospectively analyzed. All the data was acquired from their chart review, and regarding treatment results, the time to defervescence and the length of hospital stay were analyzed. Results: The treatment was successful in 101 patients with a success rate of 87.8%. Multivariate analysis showed the level of pleural fluid lactate dehydrogenase (LDH) to be a significant prognostic factor (odds ratio [OR] 7.37; 95% confidence interval [CI], 1.63 to 33.37; p=0.009). Pussy pleural fluid (r=0.236; p=0.01) and the frequency of urokinase use (r=0.257; p=0.01) correlated with the time to defervescence. However, there was no clinical factor that correlated with the length of hospital stay. Conclusion: The pleural fluid LDH level is a useful prognostic factor for monitoring treatment results of CPPE and empyema.

• The Journal of the Korean bone and joint tumor society
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• v.15 no.1
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• pp.26-33
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• 2009

Purpose: This study was performed to investigate the maspin gene expression from osteosarcoma and to determine whether its expression correlates with clinical course of the cancer. Materials and Methods: Between 2001 and 2006, 39 patients who were diagnosed and treated surgically for osteosarcoma were included in the present study. We estimated the maspin gene expression from osteosarcoma tissue samples using RT-PCR. And we examined the correlations between the maspin expression and clinical data (post-chemotherapeutic response, local relapse or metastases). Results: Maspin was over expressed in 21 cases of 39 osteosarcoma tissues. There were significant correlations between maspin expression and the response to neoadjuvant chemotherapy, distant metastases & metastasis-free survival. In multivariate analysis, maspin low-expression was significant risk factor for distant metastases. Also, there was significant difference in metastasis-free survivals between maspin hi- expression group ($69.0{\pm}10.5%$) and low-expression group ($25.4{\pm}13.0%$). Conclusion: The degree of maspin expression in osteosarcoma was significant risk factor for distant metastases and predictive factor for metastasis-free of overall survivals. Maspin may be a useful biologic marker in evaluating the prognosis in patients with osteosarcoma and could be used as a therapeutic target clinically.

• Journal of Environmental Science International
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• v.16 no.3
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• pp.357-367
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• 2007

Recently, eutrophication or lake and reservoir has become serious problem to man who want use that water for several purpose. In order to solve the eutrophication problem, the trophic state of that eutrophic lake and reservoir should be measured properly. For the purpose of this, various method to indicate the trophic state of lake and reservoir was developed by many researchers. This research was conducted to evaluate characteristics and eutrophication of water qualitymfor small scale reservoir in Kunsan. On-site investigation to 5 reservoirs and laboratory experiment were carried out during four seasons from November, 2003 to July, 2004. Twelve items measured field ana a laboratory. Measured data was analyzed to quantitative method by multivariate approach and eutrophication index. The result is summarized as following. 1) Showing the characteristics of water quality for reservoir in Kunsan, Okgu reservoir and Oknua reservoir was exceeded 4 grades of agricultural water standard in TP, TN and COD. This means that eutrophication was gone much, therefore, water-purity control of reservoir need. While, Mije reservoir that is used to Kunsan citizens' recreation was good in water quality. But, water quality exceeded 4 grades of agricultural Dater standard sometimes. 2) As a results of correlation analysis between variables of water qualify, Interrelation between variables which is connected with eutrophication was expressed good relationship as above 6.000 in correlation coefficients. The correlation coefficient(r) between COD and chlorophyll-a, total phosphorus and chlorophyll-a, total nitrogen and chlorophyll-a were 0.750, 0.720 and 0.600 respectively. Therefore, Change of water quality can grasp according to eutrophication progress degree. 3) If do evaluate to eutrophication by quantitative method which is proposed by OECD, US-EPA and Forsberg & Ryding, in the case of chlorophyll a, Okgu, Oknua and Daewi reservoir was eutrophic state and Mije and Geumgul reservoir was mesotrophic state. But, estimation by TN and TP showed highly eutrophic state (hypereutrophic) in all reservoirs. 4) If do evaluate by eutrophication index which is Carlson's TSI, revised carlson TSI and Walker's index, in the case of chlorophyll a, TSI values of Okgu, Oknua and Daewi reservoir is eutrophic state more than 50 and Mije and Geumgul reservoir was mesotrophic state as range of $40{\sim}50$ in TSI value. But, in the case of TP as nutrients, all reservoirs showed highly eutrophic state which was exceed to 70 in TSI value. According to above results, the water quality for small scale reservoirs in Kunsan is progressing by trophic state. therefore, for continuous use as agriculture water, we had better do establishment of management plan about water quality.

• Journal of Gastric Cancer
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• v.16 no.2
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• pp.105-110
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• 2016

Purpose: In the Adjuvant Chemoradiotherapy in Stomach Tumors (ARTIST) trial, we investigated whether chemoradiotherapy after D2 gastrectomy reduces the rate of recurrence. Recently, the ratio of metastatic lymph nodes to examined lymph nodes (N ratio) has been proposed as an independent prognostic factor in gastric cancer (GC). The aim of this study was to investigate the relationship between the metastatic N ratio and prognosis of GC after curative D2 surgery. Materials and Methods: We retrospectively reviewed the data of 458 ARTIST patients who underwent D2 gastrectomy followed by adjuvant chemotherapy (XP, n=228) or chemoradiotherapy (XPRT, n=230). The disease-free survival (DFS) rates of patients were used to evaluate the influence of N ratio on the treatment outcome. To achieve this, 4 different N ratio categories (0%, 1%~9%, 10%~25%, and >25%) were compared on the basis of their influence on the treatment outcome. Results: On multivariate analysis, the N ratio remained an independent prognostic factor for DFS. The hazard ratios (HRs) for the N ratio categories of 0%, 1%~9%, 10%~25%, and >25% were 1, 1.061, 1.202, and 3.571, respectively. In patients having N ratio >25%, the 5-year DFS rates were 55% and 28% for the XPRT and XP arms, respectively (HR, 0.527; 95% confidence interval, 0.307~0.904; P=0.020). Conclusions: In patients with curatively resected GC, the N ratio was independently associated with DFS. Although this finding warrants further investigation in future prospective studies, the benefit of chemoradiotherapy for D2 resected GC appears to be more beneficial in cancers having N ratios >25%.

• Journal of Veterinary Clinics
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• v.25 no.6
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• pp.482-487
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• 2008

This study was performed to investigate the ophthalmic findings of the Korean traditional 'Sapsaree' dogs, and to provide ophthalmic references. Five hundred forty-seven Sapsaree dogs were randomly chosen without any criteria preference. Ophthalmic examination was performed bilaterally using ocular equipments, including slit-lamp biomicroscope, tonometer, direct and indirect ophthalmoscope. The obtained data for ophthalmic findings were analysis by the multivariate linear regression model to identify effects of sex, age and hair coat type. For congenital conditions, the incidence of persistent pupillary membrane (PPM) was the most common defect and there was present 8.8 % whereas for acquired ophthalmic diseases, cataract was the most commonly observed (3.7 %) in Sapsaree dog. Other frequent ocular finding included persistent hyaloid vessel remnant (PHVR, 6.2 %) in congenital conditions, and postinflammatory retinal degeneration (PIRD, 3.1 %) and corneal dystrophy (2.4 %) in acquired ophthalmic diseases. Only one significant effect was age of the Sapsaree for PIRD (P=0.040). There are no any significant effect for sex and hair coat types. This study will provide useful guidelines to clinicians and breeders for the basic ophthalmic information on this breed.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.12 no.11
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• pp.4914-4923
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• 2011

This study aims to investigate the factors influencing job satisfaction to job stress of physician assistant(PA) nurses. This research design was a descriptive study. The subjects in this study were 104 PA nurses. Data were collected from September 1, 2010 to January 10, 2011, and analyzed by SPSS PASW statistics 18.0 program. The mean score of men on the job stress was 43.47(${\pm}13.77$), The mean score of women was 45.07(${\pm}9.78$). The mean score of job satisfaction was 2.72(${\pm}0.30$). There was no statistical difference between general characteristics and job satisfaction. There were statistical difference between unmarried subjects and organizing system(p<.05), inadequate compensation(p<.01). In the results of multivariate regression analysis, adjusted $R^2$ value was 0.567. The model fit was 56.7%. Job satisfaction was low in the insufficient job control and inadequate organizing system. It is hospital policies for the reduction of job stress(particularly, insufficient job control, and organizing system stress).

• Journal of vocational education research
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• v.37 no.4
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• pp.67-89
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• 2018

The purpose of this study is to analyze the role of career flexibility on employment status, career growth, and job satisfaction longitudinally. Demographic information(gender, age, parent's income level, and students' perceived financial states of family), vocational identity, employment status, career growth, and job satisfaction at 1, 2, and 3 years after the first data collection with a sample of 259(time 1), 229(time 2), 182(time 3) were collected respectively. Multivariate regression and logistic regression analysis were performed. Results showed that in-breadth career exploration positively predicted to employment status at time 1, 2, 3 consistently and career flexibility also positively predicted to employment status at time 2, 3. The longitudinal effect of career flexibility was found that the expectancy of career flexibility had shown to have stronger effect. In addition, career growth was influenced by in-depth career exploration at time 2, 3. On the other hand, no variables were related to job satisfaction in this study. Results of the current study provided the new insights for career education and limitation and future suggestions were discussed.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.19 no.11
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• pp.541-549
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• 2018

This paper deals with the braking dynamic behavior of diesel electric locomotive pulling domestic cargo and passenger vehicles. Friction coefficient, pneumatic pressure, and running resistance affecting the braking system were tested. For the friction coefficient, the Dynamo test was performed with reference to UIC 541-4. The results are analyzed by multivariate regression and the relationship between braking force and ititial velocity is presented. The pneumatic pressure were classified into service braking and emergency braking. In order to reflect the characteristics of the brake valve and piping, the pressure rising over time was measured in the vehicle. In order to reflect the external force acting on the vehicle, we carried out the test of EN 14067-4 and presented the second order polynomial formula on a running resistance. The running resistance test results were compared with other countries. The dynamic behavior of a diesel electric locomotive running on a straight flat track based on vehicle resources, friction coefficient, braking pressure, and running resistance is simulated using the time integration presented in EN 14531-1. The simulation results were compared and verified with the vehicle braking test results. The results of this study can be used to analyze the dynamic braking behavior of a train. Also, it is expected that various parameters affecting braking in vehicle design can be analyzed and used as basic data for braking performance improvement.