• The Journal of Korean Medicine
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• v.15 no.2 s.28
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• pp.28-39
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• 1994

Clinical studies were made on 79 cases with thalamic hemorrhage diagnosed by computed tomographic scan and only localized on the thalamic area, were admitted to the Kyung San University Taegu Oriental Medical Hospital from August 1990 to March 1994. The age and sex distribution, sites of hematoma, recurrence rate, incidence of hypertension, inducing factor, prodromal syndroms, symptoms and neurologic signs on admission, relationship between the hospital course and many factors affecting the prognosis such as age, side of hematoma, level of consciousness, volume of the hematoma. ventricular hemorrhage were analysed. The results were summarized as follows; 1. The most prevalent age group was above 60 years of age with 50-59 years, 70-79 years, 40-49 years and 80-89 years of age in the order of frequency. Male to female ratio was 1:1.55. 2. The ratio of left hematoma to the right was 1.32:1. The recurrence rate of cerebrovascular accident was 17.7% 3. The incidence of hypertension was 69.6% and inducing factors of thalamic hemorrhage in the order of frequency were physical work(29.1%), drinking or eating(13.9%), walking(12.7%) and rest(12.7%), The prodromal syndroms were numbness of extremities(5.1%), headache(2.5%), fatigue(2.5%), dizziness(1.3%), insomnia(1.3%), but prodromal syndrom was not found in 89.9% of thalamic hemorrhage. 4. The symptoms and neurologic signs on admission in the order of frequency were motor disturbance(98.7%), dysarthria(82.3%), positive Babinski sign(78.5%), headache(69.6%), dizziness(62.0%). hemisensory deficit(48.1%). nausea or vomiting(39.2%), absent or sluggish light reflex(35.4%), changes of consciousness (35.4%), dysphagia (20.3%), voiding difficulty.(13.9%), facial palsy(6.3%), aphasia(3.8%), seizure(38%), 6th N. palsy(3.8%) and small pupil(1.3%). 5. The rate of improvement was found almost equally in the 4th, 5th and 6th decades, but it was shown with dramatic decrease in the over 7th decades. The hospital course had no relationship with the side of hematoma but the level of consciousness had influence upon the prognosis. 6, The small hematoma had better outcome than large in the volume of hematoma under 15cc, but volume of the hematoma had no influence upon the prognosis because the rate of improvement was 75.0% in the volume of hematoma over 15cc. The hospital course had no relationship with ventricular hemorrhage.

• Journal of Environmental Impact Assessment
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• v.29 no.3
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• pp.230-238
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• 2020

This study inferred the ecology of habitat use of the wild boars (Sus scrofa) in Yeongwol Hanbando wetland through DNA analysis using non-invasive samples of hairs. From November 2018 to May 2019, hair samples were collected from rubbing trees and hairtraps within the Hanbando wetland (2.772 ㎢). We extracted DNA from the hair samples and conducted PCR to verify the species and identify sex of the individuals. In addition we analysed 6 microsatellite markers to identify individuals and genetic relationship among the pairs of individuals. A total of 16 boar hairs were sampled, which turned out to be from 10 individual (7 females and 3 males) boars. We found that 9 pairs, out of 45 possible pairs, were most likely to be relatives. The result from kinship data and the location of the sampled hairs suggest that wild boars in this area live as family groups that consist of a mother and her offspring, which is consistent with known habits of wild boars. It is needed to include more samples and microsatellite markers for better precise estimation of kinship among the boar individuals.

• Journal of Preventive Medicine and Public Health
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• v.30 no.4 s.59
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• pp.729-740
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• 1997

To determine the relationship between hypertension and nutrient intake cross-sectional study were performed in a rural area. Adult resident over 30-year-old age were measured blood pressure and body mass index(BMI), and interviewed about food in-take for the previous 24 hours. 250 men and 297 women participated the survey. Significant correlation was showen in men between mean systolic blood pressure and protein density. Significant correlation with mean diastolic blood pressure was showen on protein density, protein energy(%), calcium density and energy-adjusted protein in men. We analysed risk factor for hypertension adjust the effect of age, BMI, sex and family history by multiple logistic regression. Protein density(odds ratio=3.18), fat density(odds ratio=1.94) and energy-adjusted protein(odds ratio=1.01) intake were positively associated with hypertension but sodium density(odds ratio=0.73) was showen to have inverse relationship.

• Journal of Korean Neurosurgical Society
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• v.62 no.6
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• pp.643-648
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• 2019

Objective : Shunt-dependent hydrocephalus (SdHCP) is a well-known complication of aneurysmal subarachnoid hemorrhage (SAH). The risk factors for SdHCP have been widely investigated, but few risk scoring systems have been established to predict SdHCP. This study was performed to investigate the risk factors for SdHCP and devise a risk scoring system for use before aneurysm obliteration. Methods : We reviewed the data of 301 consecutive patients who underwent aneurysm obliteration following SAH from September 2007 to December 2016. The exclusion criteria for this study were previous aneurysm obliteration, previous major cerebral infarction, the presence of a cavum septum pellucidum, a midline shift of >10 mm on initial computed tomography (CT), and in-hospital mortality. We finally recruited 254 patients and analyzed the following data according to the presence or absence of SdHCP : age, sex, history of hypertension and diabetes mellitus, Hunt-Hess grade, Fisher grade, aneurysm size and location, type of treatment, bicaudate index on initial CT, intraventricular hemorrhage, cerebrospinal fluid drainage, vasospasm, and modified Rankin scale score at discharge. Results : In the multivariate analysis, acute HCP (bicaudate index of ${\geq}0.2$) (odds ratio [OR], 6.749; 95% confidence interval [CI], 2.843-16.021; p=0.000), Fisher grade of 4 (OR, 4.108; 95% CI, 1.044-16.169; p=0.043), and an age of ${\geq}50years$ (OR, 3.938; 95% CI, 1.375-11.275; p=0.011) were significantly associated with the occurrence of SdHCP. The risk scoring system using above parameters of acute HCP, Fisher grade, and age (AFA score) assigned 1 point to each (total score of 0-3 points). SdHCP occurred in 4.3% of patients with a score of 0, 8.5% with a score of 1, 25.5% with a score of 2, and 61.7% with a score of 3 (p=0.000). In the receiver operating characteristic curve analysis, the area under the curve (AUC) for the risk scoring system was 0.820 (p=0.080; 95% CI, 0.750-0.890). In the internal validation of the risk scoring system, the score reliably predicted SdHCP (AUC, 0.895; p=0.000; 95% CI, 0.847-0.943). Conclusion : Our results suggest that the herein-described AFA score is a useful tool for predicting SdHCP before aneurysm obliteration. Prospective validation is needed.

• Journal of dental hygiene science
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• v.12 no.2
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• pp.103-108
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• 2012

A study was designed to evaluate the level of moral development in 450 pre-dental professionals of 2 educational institution in Jeollabukdo, Ik san city. Data were collected through self-reported questionnaires from October 2010. The Korean version of the DIT(Defining Issues Test) was adopted to evaluate level of moral development with the score of P(%) and stage. The data were analyzed by descriptive statistics, t-test, one-way ANOVA and Pearson's correlation coefficient. The mean scores of P(%) was 43.10 in dental students and 41.21 in dental hygiene students(p=0.190). The score of stage 5A was highest which was followed by S3, S4, S6, S5B, S2. The score of stage 5B and 6 revealed sigificant difference by groups. The score of stage 6 revealed significant difference by sex in dental students(p=0.003). In dental hygiene students, it's significant difference by religion(S5B, p=0.044), birth order(S2, p=0.027) and growth area(S4, p=0.015). As for the correlations between moral development and the score of the stage, the score of P(%) was negatively correlated with the scores of stage 2, 3, 4 and 5B. On the other hand, the score of P(%) was positively correlated with the scores of stage 5A and 6. In conclusion, for enhancing dental students' moral development it is necessary a systemic ethics education and program development in curriculum.

• Physical Therapy Korea
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• v.11 no.3
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• pp.71-84
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• 2004

This study analyzes the factors involving clinical practice which have an influence on the satisfaction of students majoring in physical therapy at colleges or universities located in the Pusan and Kyungnam area. We investigated using a self-reporting method 305 students receiving a grade point average between 2.0 and 4.0 and who had finished their clinical practice. We also investigated the characteristics of clinical settings which make up the clinical practice, the general characteristics of the students involved and the characteristics of a clinical teaching method performed by physical therapists versus a teaching method by a professor of a university. The number of students divided according to educational background are as follows: 149 people (48.9% of the total group) were 4 year students, 156 people were 3 year students (51.1% of the total group). Sixty-nine students' or 22.6% of the group were men while women consisted of 236 persons or 77.4% of the group. Four year students had a longer clinical practice period than that of the 3 year students (p<.05). An average satisfaction score of students with their clinical practice was 3.84. The satisfaction scores showed no significant difference between genders, educational backgrounds, and grades. (p>.05). There were no significant differences in the satisfaction score of students with their clinical practice was 3.84. The satisfaction scores showed no significant difference between genders, educational backgrounds, and grades. (p>.05). There were no significant differences in the satisfaction scores regarding the student management system among varying gender or educational backgrounds between the 3 year and 4 year programs. The average satisfaction score with the environment of the physical therapy room was 3.35. And there were no significant differences in the physical therapy room satisfaction score based on sex or educational system (p>.05). The most influential factor of determining clinical practice satisfaction was a student management system of the clinical practice (p<.01). The next most influential factors were the clinical practice period (p<.05), size of facilities (p<.01) and relationship with physical therapists (p<.01) ($R^2$=.554).

• Research in Community and Public Health Nursing
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• v.7 no.2
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• pp.183-202
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• 1996

This study was designed out to develop a home health care service for nurses working in community care services. This study investigates actual conditions at welfare institutions related to health needs the demands of clients, and the state of home health care services we hope that this study will improve upon the current service system. In Korea home health care services are still developing and only new becoming a part of the health care supply system. The data was collected by recording the client home nursing assessments modified to the situation of UTMB home health agency. In this study 107 clients were selected for home care who needed care for physical and mental deficits. The study lasted from March to November of 1995 at one of the welfare service institutions in Chunchon city. The results show that those who most frequently needed care services were over 50 years old with a health deficit of 80.3%, followed by sex as women who needed care at 59.8%. 50.5% of the clients had very little education. 99.1% of the clients live with their family, and a medical diagnostic analysis reveals that 73.9% of the 5 year period of illnesses were the following : 38.8% - muscular -skeleton system disorder, 24.4% - hypertension and stroke, 25.7% sole disease of arthritis. For behavioral conditions 43.3% of the patients were without care services, 56.6% of the patients were taking treatment that 73.5% of those were taking medication. The most main complaint of patients were 22.4% of pain in the extremities, next were 16.8% of a limitation of body activities, 15.0% was lumbo-sacralgia. According to the investigator who was a senior student nurse, the following suggestions were made: 32.7% for curative medical services, 29.9% for physical exercise, 19.6% for emotional support. Consultation nursing services consisted of 67.2% for physical therapy, 11.2% for the maintaining healing, 9.4% for counseling. The patients at home, required assistance most frequently for muscular-skeleton problems under the category of physical systems (33.3%). But, on the other hand, 49.5% of the patients required care givers at home, 28.2% had a knowledge deficit, 21.0% had malnutrition, 18.4% had bad impaired communication. The character of health problems were devided into chronic disease(67.0%), accidents(I3.1%), and general disease(15.9%). 86% of the disabled client had an impairment of the physical system. Eating (86.9%) , Toileting(77.6%), and personal care showed much the same of ADL condition, the level and range of achievement of mobility, the most frequently self performed was 81.3% only in a room size area, and 40.2% were completely dependent when going out. Although there were a large number of home care services in th community at these welfare institutions, many clients needed a variety of curative services. As policy changes have gathered momentum, responsibility for the development of a more suitable program was demanded by the clients from the community.

• The Journal of the Korea Contents Association
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• v.16 no.10
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• pp.492-502
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• 2016

This study examined the effects of parenting stress on the quality of life in parents of children with disability, and moderating effects of welfare service perception in the process. This study conducted a survey to 327 parents who rear such children in Chungnam, Chungbuk and Daejeon provinces. This study utilized SPSS 18.0 for analysis, and the main results of this study were as follows. First, the level of parenting stress is shown higher level in parents who rear the children with developmental disabilities. The level of welfare service perception and quality of life is shown higher level in parents who rear the children with physical disabilities. Second, common influential factors of life quality were parenting stress, welfare service perception, sex of parents, disability degree and residential area. For parents who rear the children with developmental disabilities, education level of parents and for parents who rear the children with physical disabilities, age of Children show to be influential. Third, welfare service perception is shown to be statistically significant so that moderating effects is found in the relationship between the parenting stress and quality of life. Based on such empirical analysis results, this study suggested concrete and comprehensive working strategies to improve quality of life in parents of children with disabilities.

• Journal of the Korean Society of School Health
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• v.4 no.1
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• pp.116-125
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• 1991

The purposes of this study are to identify the degree of exercise intent and behavior and to determine factors influencing exercise and behavior in middle school students. The subjects for this study were 658 middle school students in Chonbuk area. The data were obtained by questionaire for the period from Nov. 1 to Dec. 20, 1990. The instrument used for the study were included 6 existing scales and 2 scales developed by the researcher for this study. They are: 1) The exercise intent scale to assess the exercise plan even when they had no longer physical education. 2) The current exercise behavior to measure of exercise frequency for 1 week. 3) The scale to measure the level of self -esteem. 4) The scale to measure the level of knowledge about exercise. 5) The scale to measure the level of the perceived ability to make commitment. 6) The scale to measure the level of the perceived benifit of exercise. 7) The scale to measure the level of the perceived athletic ability. 8) The scale to measure the level of the attitude toward physical education. The data were analyzed using frequency, percentage, one way ANOVA, Pearson Coeffecients Correlation and stepwise multiple regression. The following; results were obtained. 1. Exercise intent level was in the intermediate range(mean on five point scale of 3.66, with 1 = definitely no). 2. The current exercise behavior level was relatively low(mean=1.77, with l=less than once per week and 4 = 4 or more times per week). 3. Self -esteem levels were in the intermediate range(mean on five point scale of 2.96, a mean of 5.0 indicate highest level of self-esteem.) 4. The levels of perceived ability to make commitments were in the intermediate range(mean=3.05, with 5.0 as most able). 5. The levels of perceived exercise as benificial were relatively high(mean=3.72, with 5.0 as most benificial). 6. Knowledge levels about exercise were realatively high(mean=3.97, with 5.0 as most knowledgeable). 7. The levels of perceived athletic ability were in intermediate range(mean=3.01, with 5.0 as highest score). 8. The levels of attitudes toward physical education were in the intermediate range(mean=3.29, with 5.0 as most favorable). 9. Among the general characteristic variables, sex, interest sports activities were related to the difference of exercise intent levels. 10. Of the predictor variables analyzed, self - esteem, perceived benifit of exercise, perceived athletic ability, knowledge about exercise and attitude about physical education correlated significantly and positively with exercise intent. Correlations of predictors with current exercise behavior were similiar to exercise intent, exept knowledge about exercise. 11. The stepwise multiple regression analysis shows findings as follows: 1) The most important factor to explain the difference of exercise intent was current exercise behavior. 2) The most improtant factor to explain the difference of current exercise behavior was perceived athletic ability.

• Journal of Korean Neurosurgical Society
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• v.62 no.4
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• pp.442-449
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• 2019

Objective : Bone mineral density (BMD) is an important consideration during fusion surgery. Although dual X-ray absorptiometry is considered as the gold standard for assessing BMD, quantitative computed tomography (QCT) provides more accurate data in spine osteoporosis. However, QCT has the disadvantage of additional radiation hazard and cost. The present study was to demonstrate the utility of artificial intelligence and machine learning algorithm for assessing osteoporosis using Hounsfield units (HU) of preoperative lumbar CT coupling with data of QCT. Methods : We reviewed 70 patients undergoing both QCT and conventional lumbar CT for spine surgery. The T-scores of 198 lumbar vertebra was assessed in QCT and the HU of vertebral body at the same level were measured in conventional CT by the picture archiving and communication system (PACS) system. A multiple regression algorithm was applied to predict the T-score using three independent variables (age, sex, and HU of vertebral body on conventional CT) coupling with T-score of QCT. Next, a logistic regression algorithm was applied to predict osteoporotic or non-osteoporotic vertebra. The Tensor flow and Python were used as the machine learning tools. The Tensor flow user interface developed in our institute was used for easy code generation. Results : The predictive model with multiple regression algorithm estimated similar T-scores with data of QCT. HU demonstrates the similar results as QCT without the discordance in only one non-osteoporotic vertebra that indicated osteoporosis. From the training set, the predictive model classified the lumbar vertebra into two groups (osteoporotic vs. non-osteoporotic spine) with 88.0% accuracy. In a test set of 40 vertebrae, classification accuracy was 92.5% when the learning rate was 0.0001 (precision, 0.939; recall, 0.969; F1 score, 0.954; area under the curve, 0.900). Conclusion : This study is a simple machine learning model applicable in the spine research field. The machine learning model can predict the T-score and osteoporotic vertebrae solely by measuring the HU of conventional CT, and this would help spine surgeons not to under-estimate the osteoporotic spine preoperatively. If applied to a bigger data set, we believe the predictive accuracy of our model will further increase. We propose that machine learning is an important modality of the medical research field.