• Korean Circulation Journal
• /
• v.54 no.8
• /
• pp.454-465
• /
• 2024

Background and Objectives: The popliteal artery is generally regarded as a "no-stent zone." Limited data are available on the outcomes of drug-coated balloons (DCBs) for popliteal artery disease. This study aimed to evaluate the 12-month clinical outcomes among patients who received DCB treatment for atherosclerotic popliteal artery disease. Methods: This prospective, multicenter registry study enrolled 100 patients from 7 Korean endovascular centers who underwent endovascular therapy using IN.PACT DCB (Medtronic) for symptomatic atherosclerotic popliteal artery disease. The primary endpoint was 12-month clinical primary patency and the secondary endpoint was clinically driven target lesion revascularization (TLR)-free rate. Results: The mean age of the study cohort was 65.7±10.8 years, and 77% of enrolled patients were men. The mean lesion length was 93.7±53.7 mm, and total occlusions were present in 45% of patients. Technical success was achieved in all patients. Combined atherectomy was performed in 17% and provisional stenting was required in 11%. Out of the enrolled patients, 91 patients completed the 12-month follow-up. Clinical primary patency and TLR-free survival rates at 12 months were 76.0% and 87.2%, respectively. A multivariate Cox regression analysis identified female and longer lesion length as the significant independent predictors of loss of patency. Conclusions: DCB treatment yielded favorable 12-month clinical primary patency and TLR-free survival outcomes in patients with popliteal artery disease.

• Journal of Christian Education in Korea
• /
• v.76
• /
• pp.259-280
• /
• 2023

Purpose of study: This study aims to analyze the educational use of metaverses among pre-service nursing teachers at a university and explore the implications of designing and operating effective metaverse lessons. Research content and method: This study collected and analyzed data on the experiences and perceptions of 32 pre-nursing teachers enrolled in J University, a very small Christian-based university in Jeonju, Jeollabuk-do, Korea, who participated in a class using metaverses. And based on this, we analyzed the advantages, difficulties, and improvements of the class, differences from classes using Zoom, impressions of the class, and suggestions for effective classes. Conclusions and Suggestions: As a result of analyzing various aspects of perceptions and experiences of classes utilizing the metaverse, it was found that in order to conduct effective classes utilizing the metaverse, it is necessary to check the infrastructure for communication and devices before class, select a metaverse platform according to the goals and contents of the course, and build a space for educational activities. In addition, it was found that it is necessary to provide guidance on how to use the metaverse and conduct sufficient training before running classes with learner-centered teaching methods. In the future, it is expected that systematic research on the principles and teaching-learning models of classroom design using the metaverse will continue to be conducted.

• Annals of Occupational and Environmental Medicine
• /
• v.34
• /
• pp.30.1-30.13
• /
• 2022

Background: Although working hours have decreased in Korea, they are still high compared to that of other countries. In Korea, cardiovascular and cerebrovascular diseases (CCVDs) related to overwork in Korea continually occur, and the social burden from overwork is estimated to be high. This study investigated the amendment of regulations affecting the approval rate of occupational CCVDs. Methods: The change in approval rate of occupational CCVDs and related regulations were investigated using the Act and public notice on the standards for recognition of occupational CCVDs and the yearbooks of the Ministry of Employment and Labor. The CCVD mortality was estimated using data on the number of deaths according to the cause of death, the number of employed people, and resident registration population aged 15-64 years. The cumulative mortality of CCVDs was estimated using the Kaplan-Meier method. Results: Since the establishment of the standards for recognition in Korea in 1982, the scope of occupational diseases has been expanded to include intracerebral hemorrhage, subarachnoid hemorrhage, cerebral infarction, myocardial infarction, and aortic dissection. In 2013, the concept of working hours was introduced in chronic overwork. The approval rate of occupational CCVDs was 44.7% in 2006, which decreased to 12.9% in 2011. After the improvement of related regulations, the approval rate increased to 41.3% in 2018. From 2000 to 2017, the CCVD mortality of both the unemployed and employed tended to decrease, and their cumulative CCVD mortalities were 549.3 and 319.7 per 100,000 people, respectively. Conclusions: CCVDs are recognized as occupational diseases in Korea. The amendments to the standards for recognition, the introduction of the Occupational Disease Adjudication Committee, the principle of presumption, and the reduction of working hours have changed the approval rate of occupational CCVDs. A strategic approach is needed to further reduce the incidence of CCVDs.

• The Korean journal of internal medicine
• /
• v.39 no.2
• /
• pp.295-305
• /
• 2024

Background/Aims: The prognosis of patients with idiopathic pulmonary fibrosis (IPF) and respiratory failure requiring mechanical ventilation is poor. Therefore, mechanical ventilation is not recommended. Recently, outcomes of mechanical ventilation, including those for patients with IPF, have improved. The aim of this study was to investigate changes in the use of mechanical ventilation in patients with IPF and their outcomes over time. Methods: This retrospective, observational cohort study used data from the National Health Insurance Service database. Patients diagnosed with IPF between January 2011 and December 2019 who were placed on mechanical ventilation were included. We analyzed changes in the use of mechanical ventilation in patients with IPF and their mortality using the Cochran-Armitage trend test. Results: Between 2011 and 2019, 1,227 patients with IPF were placed on mechanical ventilation. The annual number of patients with IPF with and without mechanical ventilation increased over time. However, the ratio was relatively stable at approximately 3.5%. The overall hospital mortality rate was 69.4%. There was no improvement in annual hospital mortality rate. The overall 30-day mortality rate was 68.7%, which did not change significantly. The overall 90-day mortality rate was 85.3%. The annual 90-day mortality rate was decreased from 90.9% in 2011 to 83.1% in 2019 (p = 0.028). Conclusions: Despite improvements in intensive care and ventilator management, the prognosis of patients with IPF receiving mechanical ventilation has not improved significantly.

• Journal of the Korean Society for information Management
• /
• v.41 no.3
• /
• pp.331-358
• /
• 2024

In the rapid digital transformation era, kiosks have become a common element in daily life. However, their widespread deployment has introduced new challenges for socially marginalized groups, including individuals with disabilities and the elderly. This study aims to evaluate the usability of kiosks for individuals with low vision and propose improvement strategies. The study was conducted with eight low-vision university students from A University in Gyeongsangbuk-do and four non-disabled university students from Daegu. Usability was assessed through experiments involving a self-service certificate issuance kiosk and a fast-food restaurant kiosk, using Jakob Nielsen's five usability evaluation criteria: learnability, efficiency, memorability, error prevention, and satisfaction. The results revealed that individuals with low vision faced significant difficulties with small text size, low contrast, no physical buttons, and lack of screen zoom functionality. To address these issues, the study recommends enhancements such as increasing text size and contrast, incorporating physical buttons, adding zoom functionality, ensuring consistent UI design, and providing auditory feedback. This study provides foundational data for enhancing information accessibility for individuals with low vision. It offers critical insights into kiosk design and policy recommendations, thereby contributing to the mitigation of the digital divide.

• Journal of Korea Port Economic Association
• /
• v.39 no.4
• /
• pp.127-145
• /
• 2023

As the importance of strengthening port security is increasing, it is necessary to conduct a perceptual study on port facility users who pay for port security services first. This study aims to identify improvements in the port security function of Busan Port and contribute to the future development of port security in Korea. A total of 125 questionnaires were collected from port facility security fee collectors at Busan Port. Based on the collected data, exploratory factor analysis, traditional IPA, and modified IPA were conducted. In conclusion, first, the physical function of port security is the most important and should be continuously maintained and strengthened. Second, improving the professionalism of port security personnel is most urgent, and the port security education system needs to be improved. Finally, it is necessary to gradually develop the port security information service function in consideration of future development possibilities.

• Journal of Wetlands Research
• /
• v.26 no.3
• /
• pp.219-226
• /
• 2024

Payment for Ecosystem Services (PES) is emphasized to enhance ecosystem conservation and increase its ecological value. However, effective implementation of PES and policy execution requires insufficient ecosystem monitoring and research. Therefore, this study analyzed the effectiveness of PES implemented in Janghang Wetland to propose habitat management strategies. The study included monitoring migratory birds and analyzing key species' food sources. The dominant avian species observed in Janghang Wetland include Larus crassirostris, Anas platyrhynchos, Anser albifrons with their primary food sources analyzed as Gramineae plants such as Bromus japonicus, Elymus sibiricus, Brassicaceae plants such as Rorippa palustris. Furthermore, this study found that PES facilitates rice seed supply within Janghang Wetland, benefiting birds including Grus vipio, Anser fabalis, A. albifrons. To sustainable manage Janghang Wetland, improving food supply systems and exploring decentralized supply methods for G. vipio and Gooses (Anser fabalis, A. albifrons) are necessary. Additionally, managing boundaries between agricultural and developmental areas to improve ecological connectivity is essential. This study reaffirmed the ecological importance of Janghang Wetland as a crucial habitat for migratory species. The result will be significant as foundational data that can be used for future policy-making and support sustainable conservation efforts.

• Journal of Internet Computing and Services
• /
• v.25 no.4
• /
• pp.23-37
• /
• 2024

Digital twin is an M&S (Modeling and Simulation) technology designed to solve or optimize problems in the real world by replicating physical objects in the real world as virtual objects in the digital world and predicting phenomena that may occur in the future through simulation. Digital twins have been elaborately designed and utilized based on data collected to achieve specific purposes in large-scale environments such as cities and industrial facilities. In order to apply this digital twin technology to real life and expand it into user-customized service technology, practical but sensitive issues such as personal information protection and personalization of simulations must be resolved. To solve this problem, this paper proposes a federated learning-based accelerated client training method (FACTS) for personalized digital twins. The basic approach is to use a cluster-driven federated learning training procedure to protect personal information while simultaneously selecting a training model similar to the user and training it adaptively. As a result of experiments under various statistically heterogeneous conditions, FACTS was found to be superior to the existing FL method in terms of training speed and resource efficiency.

• Journal of the Society of Disaster Information
• /
• v.20 no.3
• /
• pp.601-608
• /
• 2024

Purpose: The purpose of this study is to predict the criminal patterns and risks of conflicts caused by inequality such as weakening regional ties and social exclusion caused by climate change and present basic policy data to solve them. Method: This study was mainly conducted through analysis of contents and cases through the use of media information such as the Internet and newspapers, and some literature research. Result: The crime patterns and characteristics of climate gentrification are as follows. First, rising sea levels caused by climate change will temporarily increase crimes related to real estate speculation. Second, social exclusion due to public service and environmental inequality will intensify, leading to terrorist crimes such as riots and hate crimes. Third, due to the weakening of regional ties, young people in poverty in the region will participate in organized violence crimes such as drugs and gangs or become crime victims. Conclusion: Therefore, it is necessary to prepare policy countermeasures through cooperation with institutions. In particular, it is necessary to explore ESG policy measures in police activities in consideration of environmental factors in the future.

• Journal of Industrial Convergence
• /
• v.22 no.9
• /
• pp.53-61
• /
• 2024

Purpose: This study is a comparative study conducted to examine the differences in attitudes toward COVID-19 prevention, self-leadership, and infection prevention behaviors among nursing students based on their experience in community volunteer related to infection disease prevention. Method: A total of 286 nursing students (146 in the experimental group and 140 in the control group) from 14 regions across the country were conveniently sampled from November 1 to 30, 2021, and the average difference in each variable according to participation in volunteer activities was analyzed using a t-test. Results: The comparison of differences based on participation in volunteer activities showed that the group with volunteer experience had a statistically significantly higher score in all variables: attitudes toward COVID-19 prevention (42.25±5.35 points) compared to those without experience (40.02±6.30 points)(p=.001), self-leadership (72.04±13.18 points) compared to those without experience (66.58±10.85 points)(p<.000), and infectious disease prevention behavior (44.31±7.62 points) compared to those without experience (39.38±7.20 points)(p<.000). Conclusion: This study provides practical and educational implications by suggesting a direction for educating nursing students who will need to provide actual care in future infectious disease outbreaks. These results suggest that nursing students could carry out volunteer service related infection diseases prevention through customized education and promotion programs for different target groups, which could be supported by school budgets, club activities, or incorporated into regular courses. Furthermore, it can be utilized as foundational data for the development of future nursing education programs