• Journal of Korean Neurosurgical Society
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• 제65권2호
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• pp.255-268
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• 2022

Objective : Chronic subdural hematoma (CSDH) is a common disease in neurosurgical departments, but optimal perioperative management guidelines have not yet been established. We aimed to assess the current clinical management and outcomes for CSDH patients and identify prognostic factors for CSDH recurrence. Methods : We enrolled a total of 293 consecutive patients with CSDH who underwent burr hole craniostomy at seven institutions in 2018. Clinical and surgery-related characteristics and surgical outcomes were analyzed. The cohort included 208 men and 85 women. Results : The median patient age was 75 years. Antithrombotic agents were prescribed to 105 patients. History of head trauma was identified in 59% of patients. Two hundred twenty-seven of 293 patients (77.5%) had unilateral hematoma and 46.1% had a homogenous hematoma type. About 70% of patients underwent surgery under general anesthesia, and 74.7% underwent a single burr hole craniostomy surgery. Recurrence requiring surgery was observed in 17 of 293 patients (5.8%), with a median of 32 days to recurrence. The postoperative complication rate was 4.1%. In multivariate analysis, factors associated with CSDH recurrence were separated hematoma type (odds ratio, 3.906; p=0.017) and patient who underwent surgery under general anesthesia had less recurrence (odds ratio, 0.277; p=0.017). Conclusion : This is the first retrospective multicenter generalized cohort pilot study in the Republic of Korea as a first step towards the development of Korean clinical practice guidelines for CSDH. The type of hematoma and anesthesia was associated with CSDH recurrence. Although the detailed surgical method differs depending on the institution, the surgical treatment of CSDH was effective. Further studies may establish appropriate management guidelines to minimize CSDH recurrence.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제31권4호
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• pp.185-192
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• 2020

Objectives: Our study aimed to analyze the demographic and clinical characteristics of children and adolescents during their first visit to psychiatric outpatient departments for the management of suicidal ideation and behavior, and to compare the changes before and in 2012 or later. Methods: This multicenter study was conducted at five university hospitals in a metropolitan area in South Korea. Medical records of patients aged 6-18 years were retrospectively reviewed from January 2009 to December 2016. Patients were analyzed by classifying them into suicidal and non-suicidal groups based on their visit to the hospital for management of suicidal ideation or suicide attempt and other mental problems, respectively. Results: There were differences in the year of visit, diagnosis, education level, and referral sources between patients in the suicidal and non-suicidal groups. Multiple regression analysis was conducted based on the sex, education level, referral by school, and diagnosis of depression in patients in the suicidal group, which revealed significant association. Conclusion: Suicide-related problems were significantly associated with the sex, education level, referral by school, and a diagnosis of depression in the patients. A well-connected referral system would be necessary for professional mental health management of high-risk children and adolescents.

• 한국치위생학회지
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• 제12권6호
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• pp.1241-1249
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• 2012

Objectives : The purpose of this study was to examine the satisfaction level of dental hygiene students with their major and clinical practice in an effort to have a good understanding of dental hygiene students. The subjects in this study were 226 juniors who were selected from among dental hygiene students at four different colleges located in Busan and South Gyeongnam Province. Methods : The collected data were analyzed by the SPSS WIN 15.0. Statistical data on frequency and percentage were obtained to figure out the general characteristics of the students. To grasp their satisfaction level with clinical practice and major, another statistical data on mean and standard deviation were obtained, and t-test and one-way ANOVA were carried out and correlation analysis and multiple regression analysis. Results : As for the relationship between general characteristics and satisfaction with clinical practice, their collective average was 3.29. The dental hygiene students who were more satisfied with their major expressed higher satisfaction with the practicums, the content of practice and clinical practice. In relation to the impact of the satisfaction of the dental hygiene students with major on their satisfaction with clinical practice, the students who were more satisfied with social awareness and with the courses expressed better satisfaction with clinical practice. Conclusions : Given the findings of the study, the departments of dental hygiene that nurture professionals should carefully consider how to raise the satisfaction of students with the courses that affect the improvement of satisfaction with major and clinical practice.

• 한국실내디자인학회논문집
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• 제22권6호
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• pp.173-180
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• 2013

As a way to raise the brand value of each area and activate local industries, public design projects have been competitively made. Meanwhile, public design has the characteristics of having an uncertain number of users, people with different interests, and management of the design by an administrative organization. Such characteristics may be obstacles to the results of public design and finally can cause many problems in a project's results. However, although most local governments have executed public design projects, systematic research for them and organized execution of the projects has been insufficient. For successful realization, proper organization, and consistent public design, research on a strategic design process is needed. Therefore, this study investigated the current status of public design projects to understand problems in the design process and solve them. The results are presented as follows: First, the design process for public spaces has a dual structure including a specialized process of design development in its execution and management and the execution process in the planning state is unsatisfactory and the process of designer selection is not consistent. Second, as a result of investigating the current status of the design process for public spaces, it was deduced that as most of the projects have been subjectively and temporarily managed by wholly charged organizations without specialized consultation or investigation with different related departments, there have been diverse problems in securing design quality. Third, as a result of analysing the specific execution processes carefully, it was suggested that problems in the process can be solved by decisions through consultation and discussion. As well supportive consultation systems should be used actively.

• 마케팅과학연구
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• 제8권
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• pp.403-427
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• 2001

본 연구는 다양한 소매업태 중에서 고품격 차별화 경영으로 고급 소매업으로서 부동의 자리를 유지하고 있는 국내 백화점 사업부문 중 부산지역에 위치한 백화점의 소비자 특성에 대한 분석을 통하여 급격한 경쟁환경의 변화와 소비자 변화에 대응하고자 하는 목적에서 이루어졌다. 이를 위해 현대백화점 고객을 대상으로 첫째, 고객의 백화점 이용 실태, 둘째, 주요 경쟁 점 대비 현대 백화점 부산접의 경쟁력, 셋째, 경쟁환경 변화가 현대백화점 부산접에 미치는 영향 등을 통해 부산지역 백화점의 소비자 특성을 파악하였다. 이러한 연구는 백화점 소비자 특성에 대한 이해를 도움으로써 백화점의 마케팅과 판촉전략 수립을 위한 기초자료로 사용될 수 있으며 백화점과 타 소매업태들과의 경쟁에 대한 전략적 시사점을 제공해 줄 수 있을 것으로 여겨진다.

• 한국실내디자인학회논문집
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• 제13권1호
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• pp.3-10
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• 2004

The subject on presentation technique is the class which helps to develop the capability of sensual and creative acts to the students who major in interior design. It helps to understand plasticity and space through the theory of the light and the object, and to develop the capability which realizes one's idea to the actual and visual formations. It also enable the students to explain their designs to the customers by studying the technique which transfers 2D diagram to 3D presentation. Because of these objectives of the class, the departments which major in interior design in Korea consider the class on presentation technique as one of the mun subjects in basic curriculum. However, most of the textbooks related to the presentation technique published in Korea are in the lack of original characteristics for the field of domestic interior design since they refer to or employ the contents of architectural field by directly translating foreign articles. In addition, most of the classes on the presentation technique are taught not by professors but by lecturers so that the class objectives may be varied by their standards for the class. Therefore, it is not easy for each department to set up the one's own characteristics in the field of presentation technique. This study is to analyze the problems in the subjects of presentation technique by investigating the current situations for the subjects on presentation technique in domestic colleges and by surveying the personnels engaged in the field of domestic interior design. Also, the study has the objective to propose the development plan of educational program for the presentation technique in order to enable the student to effectively work in real business.

• 한국병원경영학회지
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• 제21권2호
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• pp.1-12
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• 2016

This study examines academic research trends and the change of patterns by analyzing researches related to hospital management registered in Korea Citation Index(KCI) from 2010 to 2014 and offers basic information for interests and future research demands in the field of hospital management As research subjects, a total of 694 published articles were selected. It's to analyze them by dividing into research topics, methods and author's characteristics, and to present them by classifying the period into 2010-2011, 2012-2013, 3rd quarter of 2014 since there was no significant difference in the result between adjacent years. As a result, Korean Journal of Hospital Management has accounted for the highest published rate year after year. In the research topic analysis, it showed a decreasing trend in these research topics as medical marketing and patient satisfaction which became the biggest issue in 2010-2011 significantly were lower in 2014, but an increasing trend in job satisfaction, job stress, labor administration and workforce productivity. The most frequently cited keywords were hospital employees, job satisfaction, organizational commitment, job stress, turnover intention. According to the research method analysis, the survey was the most popular method for data collection. However, Interview and medical records as data sources showed a decline trend. As analysis methods, multivariate analysis of quantitative methods was most used. Finally, as a result of analyzing main author's characteristics, the ratio of the authors belonging to health administration and nursing departments of the academic world increased gradually. In the regional distribution, organizations in Seoul are most common, those in Daegu Gyeongbuk areas, foreign organizations showed a tendency to decrease. This is the first study to examine the annual trend on hospital management-related research issues among articles published in domestic journal and we found qualitative and quantitative advances in hospital management research filed.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제25권1호
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• pp.7-16
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• 2019

Purpose: Analysis on the spatial configuration characteristics of dental department in medical center through examining outpatient department of medical center is necessary for the development of architectural planning of the dental healthcare system in Korea. This study has been performed to provide data for the planning of hospital architecture. Methods: Literature review of dental healthcare system and investigation on current status of dental department in medical center have been conducted. The plan and spatial configuration of seven medical centers in Seoul area have been analyzed. Results: The result of this study can be summarized in four points. The first one is that the clinical dental spaces are classified by dental school's dental hospital, dental department in medical center, dental hospital, private dental clinic, and public dental healthcare center in Korea. The second one is that the dental department in medical center is a result from medical law regulation and it is specified and subdivided with dental specialist system. The third one is that the types of the dental department in medical center are divided into independent type or comprehensive type according to the relationship with main outpatient department. The fourth one is that the spatial configuration of dental department in medical center is planned with 5-7 specialized departments and they are allocated in the dental department. Implications: In addition to the spatial configuration of dental department in medical center, it is necessary to analyze the other factors like circulation, relationship with other facilities in medical center to develop the dental healthcare system.

• 대한임상독성학회지
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• 제16권2호
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• pp.116-123
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• 2018

Purpose: The social environment of easy access to medicines and arbitrary personal decisions leading to overdose aggravate unintentional medicine poisoning. This study aimed to investigate the characteristics of patients who visited emergency departments with unintentional medicine poisoning and reasons for poisoning based on age group. Methods: We retrospectively collected patients who experienced unintentional medicine poisoning based on data from the national injury surveillance system between 2013 and 2016. Subjects were classified into three groups based on age (0-14 years, 15-64 years, and ${\geq}65\;years$). We identified sex, insurance, time of poisoning, place, alcohol co-ingestion, hospitalization, death, and reason for poisoning in each age group. Results: A total of 27,472 patients visited an emergency department with poisoning during the study period; 1,958 patients who experienced unintentional poisoning were enrolled in this study. Respiratory medicine was the most frequent medicine in those younger than 15 years of age, and sedatives and antipsychotic drugs were the most common in patients older than 15 years of age. In total, 35.1% of patients older than 65 years were hospitalized. The most common reasons for poisoning were careless storage of medicine in those younger than 15 years of age and overdose due to arbitrary decisions in those older than 15 years of age. Conclusion: Unintentional medicine poisoning has distinct characteristics based on age group, and strategies to prevent poisoning should be approached differently based on age.

• Child Health Nursing Research
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• 제16권4호
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• pp.277-286
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• 2010

Purpose: The purpose of this study was to provide descriptive data about the characteristics of pediatric patients and nursing interventions in Regional Emergency Medical Centers (REMC). Methods: A retrospective design was used to examine the medical records of 4,310 children. The clinical data and nursing terminologies of REMC were analyzed using the Nursing Intervention Classification (NIC). Results: Male toddlers dominated the sample. The mean age of the children was 3.51 yr. In more than half of the visits, patients arrived between from 7 a.m. to 3 p.m., on a weekday. There were only 189 ambulance transports to REMC, (4.4% of visits). The most frequent injuries were due to falls (28.0%) and contusions (27.3%), but the most common reasons for visits were non-injury (73.4%): fever, cough/shortness of breath, seizures, and abdominal pain. Of the 4,310 visits, 27.8% spent 6-24 hours in the REMC, while 33% resulted in hospital admission and 2.1% in transfer to another hospital. Of the 17,929 nursing interventions, 17,909 elements (99.9%) were classified under NIC. All the listed NIC interventions, however, were not reflected in the level of practice demonstrated by REMC nurses. Conclusion: These results can enhance the understanding of pediatric emergency nursing interventions and can make NIC more applicable.