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Medical Clinics' quality Management of X-ray Units in Gyeongbuk Area (경북 지역 의원급의 X선 발생장치 정도관리 실태)

  • Park, Jeong-Kyu
    • The Journal of the Korea Contents Association
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    • v.10 no.9
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    • pp.267-275
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    • 2010
  • Quality management of an x-ray unit drastically differs according to the type of establishment of medical institutions. Many primary medical institutions have it, but they do not pay much attention to quality management. In the study, Gyeongbuk area has been divided into four zones from January 4, 2010 to September 3, 2010, and four places were designated by city. Among medical institutions located at a total of 16 sites, the target was 8 places with X-ray emission equipment 10 years or more in use as well as 8 places with X-ray emission equipment less than 10 years in use. The 5 essential items of quality control were tested. In the test that checked for equipment it was found that sites with X-ray emission equipment 10 years or more in use didn't have ground connection (6.25%) while all of them passed the current leak test. In the exposure dose reproducibility test 4 sites with X-ray emission equipment 10 years or more in use (25%) and 1 site with X-ray emission equipment less than 10 years in use didn't pass the test. In the KVp accuracy test 5 sites with X-ray emission equipment 10 years or more in use (31.25%) and 2 sites with X-ray emission equipment less than 10 years in use (12.5%) didn't pass the test. In the tube current and tube current amount test 3 sites with X-ray emission equipment 10 years or more in use (18.75%) and 1 site with less than 10 years in use (6.25%) didn't pass the test. According to the findings of the present research, quality control at medical institutions with X-ray equipment 10 years or more in use was poorer than medical institutions with X-ray equipment less than 10 years in use. In this regard, administrative and technical measures need to be taken as soon as possible. In addition, owners of medical clinics or unit managers need to raise awareness, and it is necessary to revise a regular test cycle every year or every two years if they have old equipment or if the equipment is not used on a frequent basis. And it is also important to provide regular educational programs for quality management.

Analysis on the Differences of the Occupation Values Towards the Individual Characteristics of the Students Majoring in Sports at Junior Colleges (전문대학 체육전공자의 개인특성에 따른 직업가치관 차이 분석)

  • Song, Kang-Young;Lee, Tae-Yong
    • The Journal of the Korea Contents Association
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    • v.9 no.11
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    • pp.399-406
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    • 2009
  • This research target students who are majoring in sports at junior colleges and it purpose lies in analyzing the differences in the perspectives towards sports related occupations following the individual characteristics of the students. First, when it comes to the difference of the interest in an organization, sophomore shows more difference than freshman and students who are more than 23 years old shows more difference than students who are 21 or 22 years old. Second, when it comes to the difference in economic incomes, sophomore shows more difference than freshman and students who are more than 23 years old shows more difference than students who are 19 or 20 years old. Third, when it comes to the difference in societal status, sophomore shows more difference than freshman. Fourth, when it comes to the difference in the sense of pride towards one's occupation, male students shows more difference than female students, freshman shows more difference than sophomore and students who are more than 23 years old shows more difference than students who are 21 or 22 years old and 19 or 20 years old. Fifth, when it comes to the difference in preference, male students shows more difference than female students. Sixth, when it comes to the rise of social position, there is no difference in sex, school year or age.

Characteristics and Causes of Musculoskeletal Disorders for Employees Aged 50 Years or Older (50세 이상 고령근로자의 근골격계질환 발생특성 및 원인에 관한 연구)

  • Park, Ki-Hyuk;Jeong, Byung-Yong
    • Journal of the Ergonomics Society of Korea
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    • v.28 no.4
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    • pp.139-145
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    • 2009
  • This study concerned with the characteristics and causes of musculoskeletal disorders (MSDs) for employees aged 50 years or older. In order to do this, based on 8,011 accident analysis reports, we analyzed the differences of characteristics between groups under 50 years and 50 years or more in terms of gender, occupation, duration of employment, part of body, industry, size of business and work-related factors. Results show that the distributions of the injuries aged 50 years or older are statistically different from those of the injuries under 50 years. Also, older employees have high relationship between repetition, or contact stress/vibration and upper extremity MSDs. These findings can be used to develop more effective MSD prevention programs for older employees.

Analysis of Flooding Variation and Flood Inundation According to Increasing Rainfall (강우량 증가에 따른 홍수량 변동 및 홍수범람 분석)

  • Kang, Bo-Seong;Yang, Sung-Kee;Jung, Woo-Yeol
    • Journal of Environmental Science International
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    • v.24 no.4
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    • pp.415-424
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    • 2015
  • As global warming has accelerated to weather in recent years, and The frequent floods are creating heavy rains and typhoons followed by considerable damage in Jeju. This study estimated design flood discharges and flood stage in Jeju, considering climate change in connection with RCP scenario, the 5th IPCC Report recently published. It also analyzed the period which might be subject to the risk of flooding in downstream of Oedo Stream. As a result, it has analyzed that there might be a risk of flooding when there were 80 years or more rainfall events in 35 years that rainfall would have increased by 10%, 69 years that 100 years or more heavy rain and rainfall would have increased by 20%, and 104 years that 100 years or more heavy rain and rainfall would have increased by 20%. It is expected that this study results of rainfall increasing trend caused by climate change will be helpful to minimize the damage of floods which will secure the future of Jeju.

An analytic Study on Elementary School Students Number of increasing and decreasing Trends in first Satellite Cities (1기 신도시 초등학교별 학생수 증감 추세 분석에 관한 연구)

  • Yoon, Yong-Gi
    • The Journal of Sustainable Design and Educational Environment Research
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    • v.14 no.3
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    • pp.28-37
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    • 2015
  • Despite the sharp decline of students in our country it has been a surge in new school needs. First, 88 elementary schools survey results, 80 percent plunge and students, and the school was very serious caused by an empty classroom. Second, Students period leading to utilization peaks were consuming on average 5.7 years. Third, Period average reception rate with more than 90% is 5.7 years, more than 80% is 9.1 years, more than 70% was 12.3 years, 60% or more was 14.6 years, 50% or more is 16.6 years, at least 40% is 18.4, 30 % to 18.9 years, 20% or more was found to take is 20.5 years. Therefore, separated by urban and rural areas, urban areas are re-city redevelopment, renovation areas, separated by the old downtown areas and large-scale land development district, Newtown areas such as the restructuring of the school establishment or enlargement of a building and renovation, before relocation, consolidation the overall review will be made.

Regular Physical Exercise and Falling in Middle-Aged and Elderly Population: Results from Korean Longitudinal Study of Ageing

  • Jeong, Sueon;Lee, Hyeon Ji;Kim, Jae-Hyun
    • Health Policy and Management
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    • v.32 no.1
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    • pp.21-28
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    • 2022
  • Background: To investigate the association between regular physical exercise and falling experience for 2 years and fear of falling (FOF) in Korean middle-aged and elderly population. Methods: Data from the Korean Longitudinal Study on Aging was used and 3,871 participants who exercised regularly were included at 2006 and follow-up until 2018. An analysis was performed to investigate the association between exercise (exercise time per week and duration) and falls (experience over past 2 years and FOF) using the generalized estimating equation model. Results: Compared to those who exercised more than 5 hours a week (reference group), those who exercised less than 3 hours were more likely to experience falls and FOF (odds ratio [OR], 1.334; 95% confidence interval [CI], 1.059-1.682; OR, 1.218; 95% CI, 1.119-1.326, respectively). Compared to the group who exercised for more than 5 years, those who exercised for less than 1 year were more likely to experience FOF (OR, 1.310; 95% CI, 1.162-1.478). Conclusion: This study showed that there was a negative relationship between physical exercise time and falling experience and FOF in Korean 45 years or more community-dwelling adults. Based on these results, physical activity can be expected to have a positive effect on fall prevention, which implies the need for policy and research on long-term physical activity programs.

The Effects of Service Characteristics of Maritime Telemedicine on Seafarer's Satisfaction and Loyalty (해양원격의료의 서비스 특성이 선원만족도 및 충성도에 미치는 영향)

  • Lee, Chang-Min;Choi, Byung-Kwan
    • Journal of Navigation and Port Research
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    • v.42 no.6
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    • pp.406-414
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    • 2018
  • The objective of this study was to analyze the effect of characteristics of maritime telemedicine (service quality, recognition or not of service, health counselling service experience or not) on seafarer's satisfaction, and also analyze the effect of seafarer's satisfaction on loyalty. This study's data was collected from the Research Report of Survey of telemedicine service subjects in 2017 conducted in the maritime telemedicine pilot project. However, only 103 seafarers who received maritime telemedicine (Tele-Monitering) services were analyzed statistically. The main results of this study were as follows. ⅰ) Better service quality led to higher levels of satisfaction, ii) High levels of seafarer's satisfaction led to high levels of loyalty, iii) Seafarers whose age is under 50 than 30 years old are less satisfied, ⅳ) In total boarding career, Seafarers with more than 5 years but less than 10 years were more satisfied than seafarers with less than 5 years, ⅴ) Seafarers with more than 10 years but less than 15 years were more satisfied than seafarers with less than 5 years, ⅵ) Seafarers with more than 15 years but less than 20 years were more satisfied than seafarers with less than 5 years, ⅶ) Also, Seafarers in excess of 20 years were more satisfied than seafarers with less than 5 years, In conclusion, ⅰ) Better service quality led to higher levels of satisfaction and loyalty. Accordingly, the improvement of service quality is not only an important factor in improving satisfaction and loyalty, but also plays an important role in forming a positive image of maritime telemedicine. ⅱ) Seafarers with younger age and lower overall total boarding career were more satisfied. It is believed that the seafarer who are willing to use telemedicine and who are willing to refer to others are young.

Clinical Characteristics of Adolescents Hospitalized Through Emergency Room for Intentional Self-Harm or Suicide Attempts

  • Yoon, Tae Yeon;Lee, Hyun Sook;Son, Jung-Woo;Kim, Sang Mi;Lee, Je Jung
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.33 no.3
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    • pp.59-66
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    • 2022
  • Objectives: This study aimed to investigate the clinical characteristics of adolescents hospitalized through the emergency room for intentional self-harm or suicide attempts. Methods: This retrospective study used data from the Korean National Hospital Discharge In-depth Injury Survey conducted between 2006 and 2018 for individuals aged 10-24 years. The clinical characteristics of the patients were analyzed and compared across sex and age groups using the Rao-Scott chi-square tests and multiple logistic regression analysis for complex survey data. Results: The most common psychiatric diagnosis was mood disorder (22.0%), and more female patients were diagnosed with it than male patients (p=0.010). The 19-24 years age group was diagnosed with mood disorder the most compared to other younger groups (p=0.012). Male patients used lethal methods more than female patients (p=0.008), and the 19-24 years age group used more drug poisoning and cutting or piercing (p<0.001) for intentional self-harm or suicide attempts than younger groups. Conclusion: Adolescents hospitalized for intentional self-harm or suicide attempts showed significant differences in clinical characteristics across sex and age groups. These findings suggest that measures for preventing self-harm or suicide attempts need to be differentiated according to the sex and age of adolescents.

Trajectories of Marital Satisfaction of Married Couples From Childbirth to 5 Years Postpartum: The Panel Study of Korea Children 2008-2012 (한국 아동패널 2008-2012 자료를 활용한 자녀 출산 후 5년간의 부부의 결혼만족도 변화궤적)

  • Kim, Yeon Ha
    • Korean Journal of Child Studies
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    • v.37 no.4
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    • pp.47-56
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    • 2016
  • Objective: This study aimed to explore marital satisfaction changes of married couples from childbirth to 5 years postpartum using the data from the Panel Study of Korean Children 2008-2012. Methods: A total of 2,072 coupes were followed longitudinally during the first 5 years after childbirth. Their repeatedly measured marital satisfaction were analyzed with growth modeling analyses. Results: Husbands and wives had different marital satisfaction trajectories regarding the rate of change and initial marital satisfaction scores. Further, the facets of postpartum marital satisfactions change varied depending on the couples' first, second, and third (or more) birth(s). Conclusion: In general, Korean married couples' marital satisfaction has a decreasing tendency after childbirth. Fathers' marital satisfaction is generally higher but more rapidly decreases compared to mothers' marital satisfaction. Also, couples after first child birth experience a faster decline of marital satisfaction compared to couples after second or third (or more) birth(s).

Repeat Colonoscopy Every 10 Years or Single Colonoscopy for Colorectal Neoplasm Screening in Average-risk Chinese: A Cost-effectiveness Analysis

  • Wang, Zhen-Hua;Gao, Qin-Yan;Fang, Jing-Yuan
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.5
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    • pp.1761-1766
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    • 2012
  • Background: The appropriate interval between negative colonoscopy screenings is uncertain, but the numbers of advanced neoplasms 10 years after a negative result are generally low. We aimed to evaluate the cost-effectiveness of colorectal neoplasm screening and management based on repeat screening colonoscopy every 10 years or single colonoscopy, compared with no screening in the general population. Methods and materials: A state-transition Markov model simulated 100,000 individuals aged 50-80 years accepting repeat screening colonoscopy every 10 years or single colonoscopy, offered to every subject. Colorectal adenomas found during colonoscopy were removed by polypectomy, and the subjects were followed with surveillance every three years. For subjects with a normal result, colonoscopy was resumed within ten years in the repeat screening strategy. In single screening strategy, screening process was terminated. Direct costs such as screening tests, cancer treatment and costs of complications were included. Indirect costs were excluded from the model. The incremental cost-effectiveness ratio was used to evaluate the cost-effectiveness of the different screening strategies. Results: Assuming a first-time compliance rate of 90%, repeat screening colonoscopy and single colonoscopy can reduce the incidence of colorectal cancer by 65.8% and 67.2% respectively. The incremental cost-effectiveness ratio for single colonoscopy (49 Renminbi Yuan [RMB]) was much lower than that for repeat screening colonoscopy (474 RMB). Single colonoscopy was a more cost-effective strategy, which was not sensitive to the compliance rate of colonoscopy and the cost of advanced colorectal cancer. Conclusion: Single colonoscopy is suggested to be the more cost-effective strategy for screening and management of colorectal neoplasms and may be recommended in China clinical practice.