• Journal of Chest Surgery
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• v.29 no.10
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• pp.1102-1110
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• 1996

Between Oct. 1985 and July 1995, 230 patients underwent mitral valve replacement. There were 77 men and 153 women whose mean age was 35.7 years, range 9 to 62 The concomitant operations were 40 aortic valve replacements(17.4%), 25 tricuspid annuloplasties(10.4%), 8 aortic valve replacements & tricuspid annuloplasties(3.5%), 2 tricuspid valve replacements(0.9%) and others, We used 139 mechanical (76 51. Jude medical, 33 CarboMedics, 30 Sorin) and 91 tissue 386 Carpentier-Edwards, 5 lonescu-Shiley) valves. The early postoperative complications occurred in 28 cases. There were 8 low cardiac output syndrome, 5 pleural effusion, 3 significant arrhythmia, 2 cardiac rupture and others. There were 6 early hospital deaths (2.6%) due to low cardiac output syndrome(2), arrhythmia(2) and ventricul r rupture(2). The cuAmulative notal follow-up period was 764. 4 patient-years with a mean of 4).9 months. The long term follow-up information was available for 212 patients(94.6%). There were 21 cases of valve-related complications. Prosthetic valve failure(10), anti-coagulation related bleeding (5), prosthetic valve endocarditis (4), and thromboembolism (2) occurred at rates of 1.3, 0.7, 0.5, and 0.3%Ipt-yr respectively. Late death occurred In 5 cases (0.7%/pt-yr) associated with prosthetic valve endocarditis (2), heart failure (2) and anti-coagulation related bleeding (1). There was no difference in the rate of freedom from prosthetic valve failure between the mechanical and tissue valve group at 6 years (100%), but there was significant difference at 9 years between the tissue (34.4%) and mechanical valve (100%) group (p=0.032). Actuarial survival rates were 98. 8% in tissue valve. 9).7% in mechanical valve group and 96.6% in total patients at 9 years.

• Management & Information Systems Review
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• v.37 no.1
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• pp.123-138
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• 2018

In this paper, we use panel dataset from Korean linked worker-firm to analyse the effects of the workforce age structure on the productivity or labor costs. We measure 'labor productivity' as added value per capita, 'cost of labor' as labor cost per capita and estimate a dynamic panel model to study the effects of the workforce age structure on the productivity or labor costs. Empirical analysis results show that the workforce age structure is positively related to productivity and labor costs, but only up to the aged of 35-39. That is, we find that an increase in the proportion of younger workers or elder workers rather than the aged 35-39 has a negative effect on productivity and labor cost. In particular, the difference between the estimation coefficient of productivity and labor cost when the share of workers aged 50 or older is increased instead of the aged 35-39 is higher than the difference between the estimation coefficient of productivity and labor cost when the share of workers aged 30 or younger is increased instead of the aged 35-39. Our results exhibit that it is reasonable for firms to worry about declining productivity of elderly workers, whereas firms already used older workers efficiently, such as by adjusting their labor costs.

• Journal of dental hygiene science
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• v.9 no.1
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• pp.35-41
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• 2009

In previously study, many researchers have showed the infection control level and the knowledge of dental hygienists about dental infection control. But, they not tried to research the reason why hygienists don't keep to the infection control regulation closely. Therefore, this study was intended to highlight the affect factor that the infection control regulation keep in all dental hospitals well. The respondents in this research were the dental hygienists who worked in Incheon or Gyeonggi areas between June 16 and July 5, 2008 and who attended a complementary training program conducted by the Seoul Branch of Korean Dental Hygienists Association in April 2008. A total of 191 questionnaires were distributed to them, and the collected data was analyzed using SPSS WIN 12.0. Cross-tabulation analysis($X^2$), which significance level was 0.05, was applied to the data in order to verify the statistical significance of the survey method. According to replied, the reason why they don't used gloves were an unconvinced (38.9%), don't use by dentist (29.6%) and much expensive (9.3%). The gloves supplied a hygienist were proper in most case, 94.8%, but short in hospital, 12.0%. In order to take a good infection control they needed to change the conscious of dentist (66.5%), and the will of dentist is most important to do good infection control (37.2%). Subsequently, the will of dentist is the most important factor in infection control area and must be changed their mind on the infection control.

• Journal of dental hygiene science
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• v.9 no.1
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• pp.69-74
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• 2009

The purpose of this study is to investigate the actual attitude of the major newspapers and broadcastings about public health policy during last $17^{th}$ presidential election and $18^{th}$ election for a member of the National Assembly and apply it to the study of procedure of making decision of policy as a fundamental data. Two researchers surveyed and analyzed all articles from three broadcasting stations, KBS, MBC, and SBS, and from four newspaper companies, Donga, Jungang, Chosun, and Hangyoreh. Among the major articles, the articles related to policies are ranked in last (10.8%). And among the reported 284 articles related to the policies, the social section (75 articles, 26.4%) and the economic section (73 articles, 25.7%) took part of over 50% of all. However, the articles related to public health policy took part of only 9.9% (28 articles). Among the articles of public health policy, the articles related to the cost of the medical service were ranked in the first (39.3%). Therefore, to solve the problems of the major public health policy, it needs effort to develop the public health policy and use the media to realize the developed policies.

• Korean Journal of Social Welfare
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• v.59 no.3
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• pp.75-97
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• 2007

The purpose of this article is to explore French 'minima sociaux', focusing its scheme, benefit determination rule and its level appreciation. First, on the its structure domain, French 'minima sociaux' presents the plural system in which there is eight categorical benefits and one general benefit. Il is the representation of the intention to guarantee minimum income for the dead zone people out of the social insurance application and also a historical product in different period, by different logic of benefits implementation. Second, comparing nine benefits based on the benefit determination rule, level of benefits for the poor without work ability is higher than one for the poor with work ability. Il represents one polarized perception toward for the poor according to have or not its work ability. Third, comparing level of 'minima sociaux' with relative poverty line, the level of the most 'minima sociaux' is placed under the poverty line. Nevertheless, it must not forget that 'minima sociaux' plays its role as the fundamental alternative for poverty alleviation, but not the only alternative. Fourth and finally, comparing with minimum income guarantee(SMIC in french), level of RMI benefit is estimated merely on the 50% of SMIC. We can consider that it is the result of the interaction of the complex factors, as the limited role of the state toward the minimum income guarantee for the RMI beneficiary and the intervention the logic of status instead of the logic of need, etc..

• KDI Journal of Economic Policy
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• v.34 no.1
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• pp.169-197
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• 2012

It is often argued that the parental leave should be extended in order to help employees achieve the balance of work and family life. However, one should be careful in designing the parental leave since there is a tradeoff between the continuity of employment after childbearing and the depreciation of human capital due to the time off the work. The paper investigates whether the parental leave payment introduced in Korea in 2001 helped women's take-up of the leave and employment after giving birth. The results are as follows. First, the increase in the payment indeed raised the female take-up of the leave. Second, women returned to labor market less often after giving birth in the short run, but the size of the effect tends to decrease in the long run. However, the negative effect on returning to the same workplace after the birth remains significant in the long run. Lastly, there is no evidence that the share of women of childbearing age at workplace changed due to the increase in the parental leave payment. Although there is a limitation in that the analysis is based only on the employment covered by the Employment Insurance, these findings imply that the increase in the parental leave payment may not be an effective policy tool for promoting female labor market participation. On the other hand, it should be noted that it is necessary to pay attention to child development as well as female employment as an objective in order to make an overall judgement on the parental leave policy.

• Journal of Agricultural Extension & Community Development
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• v.21 no.4
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• pp.1007-1028
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• 2014

This study aimed to explore the direction of development of agricultural safety and health system in Korea based on experience on Farmers' Occupational Health Services (FOHS) of Finland. In Finland additional and specialized Occupational Health Services (OHS) for self-employed farmers were developed and have been conducted by municipal primary health care centers with cooperation of National Centre for Agricultural Health (NCAH) of Finnish Institute of Occupational Health, Social Insurance Institute (SII) and Farmers' Social Insurance Institution (FSII). Based on the study, in order to activate the FOHS in Korea, the analysis results could suggest the development of four prerequisites. Firstly, center for farmers' safety and health like NCAH, which conducts surveillance on health and safety status, standardization of intervention contents and epidemiological research is needed in national institution. Secondly, development of evaluation tools with lower cost and difficulty like walk-through survey for checking status of systems of safety in the farms is needed. Thirdly, farmers' occupational health insurance which will be initiated on near future should be connected to preventive intervention programs like FOHS. Lastly, training and qualification of more local occupational health experts and units is needed.

• Korea Journal of Hospital Management
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• v.23 no.3
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• pp.28-38
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• 2018

Purpose: To evaluate the medical expenditures for prostate cancer patients, including out-of-pocket costs, and compared the costs between androgen deprivation therapy and radical prostatectomy treatment. Methodology: This study combined clinical data from 357 prostate cancer patients from the Smart Prostate Cancer Database and the medical expenditure data from the claims and cost databases. We used the independent two-sample t-tests to compare androgen deprivation therapy and radical prostatectomy. Multivariable logistic regression analysis was conducted to identify determining factors for androgen deprivation therapy and radical prostatectomy treatments. Findings: The medical costs of androgen deprivation therapy treatment were much lower than radical prostatectomy treatment at the one year and remained lower until the fourth-year. However, after four years, the accumulated medical expenditures of androgen deprivation therapy become significantly higher than radical prostatectomy treatment. Patients with a higher cancer stage and older age had higher chances of being treated using androgen deprivation therapy treatment than radical prostatectomy treatment. Practical Implications: Our results show that early detection of cancer reduces the treatment cost for both patients and insurance payers. It also demonstrates that cost comparisons should be conducted over long periods of time in order to most accurately assess the costs.

• Korean Journal of Construction Engineering and Management
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• v.16 no.1
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• pp.15-23
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• 2015

In the construction industry, risk management has gained constant attention as the factor not only to evaluate global competitiveness of the country but also to secure competitiveness of public institutions and private companies. For effective construction risk management, the specific work process improvement that can be employed in the field in terms of risk management of the entire corporation such as financial, insurance and safety management is necessary. To manage construction risks, what is important is the step to identifying inherent risks in the construction project. The identification of risks will be followed by the step to seeking ways to establish and manage strategies responding to the risks. This study suggests ways and processes to make a checkslit to identify risks through case studies. To that end, the focus will be placed on working process improvement of risk identification among stages to manage construction risks such as risk identification and analyses, planning to respond to risks, risk monitoring and management. The case study checklists show that setting up the system to classify risks by stage is helpful to figure out causes of risks to reduce or eliminate risk factors. The checklist making process that considers features of the project is expected to contribute to successful completion of the project by enabling effective risk identification and systematic risk management.

• Journal of the korean academy of Pediatric Dentistry
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• v.47 no.4
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• pp.359-367
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• 2020

The aim of this study was to identify the association between candidiasis and early childhood caries and to investigate whether the experience of candidiasis or oral candidiasis before age 1 can be considered as a risk factor for early childhood caries. The database used in this study was provided by Health Insurance Review and Assessment Service. Medical records of children born from January 2010 to December 2012 were obtained, and those without dental records were excluded. Subjects were divided into several groups based on the experience of candidiasis or oral candidiasis before age 6: candidiasis group and non-candidiasis group; oral candidiasis group and non-oral candidiasis group. Another categorization was done according to the experience of candidiasis or oral candidiasis before age 1. The incidence rate of early childhood caries in each group were compared. The prevalence of dental caries in children who have been diagnosed with candidiasis or oral candidiasis before age 6 was significantly different from those who have not experienced candidiasis. Similarly, children who have suffered from candidiasis or oral candidiasis before age 1 had significantly different incidence of caries from the children without candidiasis experience.