• Journal of Veterinary Clinics
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• v.34 no.2
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• pp.140-145
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• 2017

The goal of this study was to investigate risk factors associated with porcine reproductive and respiratory syndrome (PRRS) in pig farms in the Republic of Korea using logistic regression and a multilevel model. A cross-sectional study was applied to 305 pig farms with a questionnaire-based interview by veterinarians between March 2014 and February 2015. The questionnaire comprised eight categories: proximity to neighbors, disinfection, visitors, vehicles, insecticides, wild animals, gilts, and feeding. In total, 61 questions in eight categories related to pig farm biosecurity were investigated. Farms were classified as PRRS stable or unstable based on the results of an antibody test and PCR. For univariate analysis, keeping production records with computers (OR = 0.283, 95% CI = 0.056 - 1.425), accredited farm with no use of antibiotics (OR = 0.412, 95% CI = 0.134 - 1.269), reviewing health record of semen prior to purchasing (OR = 0.492, 95% CI = 0.152 - 1.589), complete isolation of runt pigs (OR = 0.264, 95% CI = 0.084 - 0.829), compulsory registering for visitors (OR = 0.424, 95% CI = 0.111 - 1.612), keeping records of insecticide history (OR = 0.406, 95% CI = 0.089 - 1.846), routine on-farm monitoring by veterinarians (OR = 0.314, 95% CI = 0.069 - 1.423), and use of on-farm checklist for biosecurity monitoring (OR = 0.313, 95% CI = 0.063 - 1.553) were found to decrease the probability of PRRS infection. Multivariate and multilevel analysis revealed only two factors, complete isolation of runt pigs (OR = 0.165, 95% CI = 0.045 - 0.602 and OR = 0.208, 95% CI = 0.055 - 0.782) and compulsory registering for visitors (OR = 0.106, 95% CI = 0.017 - 0.655 and OR = 0.119, 95% CI = 0.017 - 0.809) were found to decrease the probability of PRRS infection. The intracluster correlation coefficient of a province for multilevel model was 0.05. The results of this study might facilitate biosecurity measures for individual farms to reduce the probability of PRRS infection.

• The Korean Society of Law and Medicine
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• v.13 no.1
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• pp.359-395
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• 2012

In a broad term, health and medical data means all patient information that has been generated or circulated in government health and medical policies, such as medical research and public health, and all sorts of health and medical fields as well as patients' personal data, referred as medical data (filled out as medical record forms) by medical institutions. The kinds of health and medical data in medical records are prescribed by Articles on required medical data and the terms of recordkeeping in the Enforcement Decree of the Medical Service Act. As EMR, OCS, LIS, telemedicine and u-health emerges, sharing and protecting digital health and medical data is at issue in these days. At medical institutions, health and medical data, such as medical records, is classified as "sensitive information" and thus is protected strictly. However, due to the circulative property of information, health and medical data can be public as well as being private. The legal grounds of health and medical data as such are based on the right to informational self-determination, which is one of the fundamental rights derived from the Constitution. In there, patients' rights to refuse the collection of information, to control recordkeeping (to demand access, correction or deletion) and to control using and sharing of information are rooted. In any processing of health and medical data, such as generating, recording, storing, using or disposing, privacy can be violated in many ways, including the leakage, forgery, falsification or abuse of information. That is why laws, such as the Medical Service Act and the Personal Data Protection Law, and the Guideline for Protection of Personal Data at Medical Institutions (by the Ministry of Health and Welfare) provide for technical, physical, administrative and legal safeguards on those who handle personal data (health and medical information-processing personnel and medical institutions). The Personal Data Protection Law provides for the collection, use and sharing of personal data, and the regulation thereon, the disposal of information, the means of receiving consent, and the regulation of processing of personal data. On the contrary, health and medical data can be inspected or delivered of the copies, based on the principle of restriction on fundamental rights prescribed by the Constitution. For instance, Article 21(Access to Record) of the Medical Service Act, and the Personal Data Protection Law prescribe self-disclosure, the release of information by family members or by laws, the exchange of medical data due to patient transfer, the secondary use of medical data, such as medical research, and the release of information and the release of information required by the Personal Data Protection Law.

• Neonatal Medicine
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• v.18 no.2
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• pp.359-364
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• 2011

Purpose: Aplasia cutis congenita (ACC) is a rare condition characterized by a localized absence of skin, and it can be associated with other congenital anomalies. This study was done to evaluate clinical course and outcome of ACC in neonates. Methods: Based on the medical records, we retrospectively reviewed 8 neonates diagnosed with ACC at Cheil General Hospital and Women's Health Care Center, Kwandong university College of Medicine from January 2004 to December 2010. We classified ACC by Frieden's classification and analyzed the patient's demographic data, clinical course and outcome. Results: Among 8 patients with ACC, 5 patients were classified to group 1; scalp ACC without anomalies and 3 patients to group 7; ACC localized to extremities without blistering. Defect size was from 0.3 cm to 1.5 cm, limited in the superficial skin or subcutaneous tissue without associated anomalies. Defects were healed under conservative treatment with mild scar formation within four months. Conclusion: ACC could be diagnosed easily through physical examination in neonates. All cases showed good clinical outcome without surgical treatment. However because of small numbers and small sized defects of cases, further study including lesions of large size is needed.

• Journal of the Korean association of regional geographers
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• v.1 no.1
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• pp.45-60
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• 1995

The purpose of this study is to classify the Korean precipitation regions on the basis of the characteristics of extratropical cyclonic precipitation. From now on, extratropical cyclone is called cyclone in short. By using factor analysis and Ward method in cluster analysis, precipitation regions on the basis of the characteristics of cyclonic precipitation are classified The principal data used in this study are daily precipitation records obtained from 60 weather stations of the Korea Meteorological Service during the ten years($1981{\sim}1990$), and weather charts published by the Japan Meteorological Agency. The results obtained in this study are summarized as follows: (1) In the factor analysis using 43 variables which have relation to the extratropical cyclonic precipitations, They are seven factors whose eigenvalues are above 1.0. This explains 86 percent of total amount. The first factor explains the characteristics of precipitation in the middle-west area and its contribution degree has the highest 10.9 percent. (2) According to the cluster analysis method of Ward, extratropical cyclonic precipitation regions are classified seven macro regions(such as Kyungki and North Youngseo, Youngdong and Ullungdo, Hoseo and South Youngseo, Honam and Northwest Chejudo, Southeast Chejudo, North Youngnam, and South Youngnam), 22 meso regions. (3) The characteristics of precipitation regions have relations to the path of cyclone, the direction of air inflow and the strike of mountain ranges. As the conclusion, the Central China Low brings much precipitation in the southern coast and southern area of Korea as moving to the northeastward. The North China Low moves eastward and brings much precipitation in the western area of the Taeback mountain ranges. The probability of extratropical cyclonic precipitation is the lowest in the inland of Yeongnam and the eastern coastal areas which belong to the rain shadow region. Namely, The seasonal and spatial characteristics of precipitation are closely associated with the path of cyclone and the direction of air inflow according to its passage, and the strike of mountain ranges.

• Journal of Trauma and Injury
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• v.19 no.1
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• pp.47-53
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• 2006

Purpose: Recently, the American Heart Association recommended that routine cervical spine protection in submerged patients was not necessary, except in high-energy injury situations. However, until now, this recommendation has few supportive studies and literatures. This retrospective study was performed to demonstrate the risk of cervical spine injury in patients who had been submerged in a river. Methods: Seventy-nine submerged patients who visited St. Mary's Hospital between January 2000 and December 2005 were included in this retrospective study. We investigated and analyzed the victim's age, sex, activity on submersion, mental status and level of severity at admission, prognosis at discharge, associated injuries, and risk group by using the medical records and cervical spine lateral images. According to the activity on submersion, victims were classified into three groups: high risk, low risk, and unknown risk. The reports of radiologic studies were classified into unstable fracture, stable fracture, sprain, degenerative change, and normal. Results: The patients' mean age was 36.8 yrs, and 54% were males. Of the 79 patients, adult and adolescent populations (80%) were dominant. Jumping from a high bridge (48%) was the most common activity on submersion and accounted for 52% of the high-risk group. The Glasgow coma scale at admission and the cerebral performance scale at discharge showed bimodal patterns. The results of the radiologic studies showed one stable fracture, one suspicious stable fracture, and 18 sprains. The incidence of cervical spine fracture in submerged patients was 2.5% in our study. The incidence of cervical spine injury was higher in the high-risk group than it was in the low-risk group, especially in the jumping-from-high-bridge subgroup; however this observation was not statistically significant. No other factors had any significant effect on the incidence of cervical spine injury. Conclusion: Our study showed that even submerged patients in the high risk group had a low incidence of cervical spine fracture and that the prognosis of a patient did not seem to be influenced by the cervical spine fracture itself.

• Journal of the Korean Institute of Rural Architecture
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• v.16 no.1
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• pp.119-127
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• 2014

This study suggests institutional and methodological approaches for preservation of South Korea's registered cultural properties of modern architecture. The suggested approaches are as follows. First, in order to improve the current registration and preservation system for cultural properties, we need to employ both structure-based classification and style-based classification. Registration criteria for modern architecture properties need to include more detailed classification in terms of their structure: brick structure, steel concrete structure and post lintel structure. In terms of construction style, the properties need to be further classified into the western style, the traditional style and the Korean-western eclectic style. In addition, protection of registered cultural properties need to be achieved through legislation of a protection system. Second, while the current system sets out six methods for preservation of registered cultural properties of modern architecture, more specific preservation methods types and plans need to be continuously introduced. In particular, as for the method of partial preservation, the method needs to be further classified based on the usage of the relevant structure so as to allow for more diverse options. First, the 'Preservation by Interior Alteration' needs to be added to the category, where the exterior is preserved as it is and the interior is preserved through alteration. Also needs to be added the preservation method where the interior space is preserved as it is and the exterior space is altered, in case the finishing materials of the exterior has deteriorated. Third, if the records on registered cultural properties of modern architecture are to provide the functions of legal evidences regarding management of architectural cultural properties, sources of knowledge required for policy making and implementation and past management record for the future, each phase needs to be closely connected in an organic manner, and we need to establish a management system and plan that go beyond the relevant organizations. Fourth, in order to preserve South Korea's registered cultural properties of modern architecture in its original state, it is imperative to prepare separate criteria for registration of technicians with expertise on modern architecture, and train experts and technicians on modern architecture, which is distinguished from the traditional architecture.

• Korean Journal of Head & Neck Oncology
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• v.21 no.2
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• pp.115-120
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• 2005

Background and Objectives: Minor salivary gland tumors vary in their primary sites, histopathology and biological behavior. Therefore, various factors are considered in selecting the treatment modality and predicting the prognosis. We performed this study for the purpose of getting further understanding and more supporting ideas for the diagnosis and treatment of minor salivary gland tumor. Materials and Methods: A retrospective analysis of the patients with 52 cases of minor salivary gland tumor who were treated at the Hanyang University Hospital from 1996 to 2003 was performed. We analyzed demography, symptoms, histopathology, treatment and outcomes by the review of medical records. Results: Among 52 cases of minor salivary gland tumor, 46% were classified as benign and 54% were classified as malignant tumors. The most common benign tumor was pleomorphic adenoma. Adenoid cystic carcinoma(15/28) was the most common in malignant tumors. Eight patients were males and sixteen patients were females in benign tumors and 10 patients were males and 18 patients were females in malignant tumors. The most common site of benign tumor was the palate(17/22), whereas malignant tumors were most common in the nasal cavity and paranasal sinus(9/28). Asymptomatic mass was the most common symptom. According to the criteria given by the AJCC on staging, stage III and IV(21/28) were more common than stage I and 11(7/28). All benign tumors were treated with simple excision and had no recurrence. In malignant tumors, 25 patients underwent radical excisional operation and 13 patients of them had postoperative radiation therapy. Three of them were treated with additional chemotherapy. In whom treated with radical operation, 9 patients had recurrence. Three were recurred at the primary site with neck node metastasis, 3 were recurred at the primary site with lung metastasis, 1 was recurred at the primary site with neck node and lung metastasis, 1 was recurred only at neck node. Conclusion: In minor salivary gland tumor, malignant was more common than benign. Malignant tumor originated from minor salivary gland were more frequently diagnosed at advanced stage with high recurrence rate and distant metastasis. Early detection of the disease is needed to improve the prognosis of the patients with malignant tumors of the minor salivary glands.

• The Journal of Korean Medicine
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• v.16 no.2 s.30
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• pp.44-61
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• 1995

Arranging 63 kinds of separate volumes and papers published on Oriental medicine, I could get the result as follows. 1. The herbs for internal application used commonly in vitiligo are 155 kinds totally. The herbs for external application are 67 kinds. The herbs for external and internal both application examined into 23 sorts. 2. Herbs for weakness syndrome in vitiligo are 49 kinds. Another type, excess syndrome is 105 sorts, the'latter is roughly twice as many as the former. 3. It is as follows that the results of study in relations to kinds, factors, and medical treatments of herbs about vitiligo in and out of the country with the division of former times to 1900, 1901 to 1980, 1981 to 1990, and 1991 to the latest day. In comparative study of inner and outer of thc country about factors and medical treatments of vitiligo in chronicle classification, its factors in the internal documents are classified by outside factors. Although there arc the differences of factors by each epoch, however, the factors of vitiligo according to external documents are blood stasis(血熱), deficiency of um of the liver and kidneys(肝腎陰虛), deficiency of blood(血虛), excess of exhaustion(勞倦過多) etc. Moreover, the medical treatment is more diverse and the differences by each epoch as to the medical treatment is also put down more saliantiy than in internal documents. 4. In comparison with herbs in experimental and no experimental documents, herbs applied for weakness syndromes in experimental method are 40 kinds totally. The herbs in no experimental methods are 35 kinds. The herbs used by experimental method are 65 kinds. The common herbs for excess syndrome by no experimental method are 78 kinds. We can see comparable difference from kinds of herbs used by experimental method. In brief, there are the differences classified by each epoch in Oriental medicine for treatment. Especially one of the most important feature, the frequency in use of weakness syndrome herbs has increased more than that of excess syndrome herbs. In external documents (china) and experimental study, generally the differences of common herbs and factors have disappeared through many experimentsitudy. The classification of its factors have been fractionalized clinically. Besides, in Western medicine and Orienal medicine, vitiligo tends to be prescribed not to simple skin disease but a mental and physical disease, a whole body and an internal disease.

• Journal of Radiation Protection and Research
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• v.30 no.4
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• pp.175-183
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• 2005

Dose distribution of Korean radiation workers classified by occupational categories was analyzed. Statistics of the occupational radiation exposure(ORE) in 2002 of the radiation workers in diagnostic and dental radiology were obtained from the Korea Food and Drug Agency(KFDA) who maintains the database for individual radiation dose records. Corresponding statistics for the rest of radiation workers were obtained by processing the individual annual doses provided by the Korea Radioisotope Association(KRIA) after deletion of individual information. The ORE distribution was classified in term of 28 occupational categories, annual individual dose levels, age groups and gender of 52733 radiation workers as of the year of 2002. The total collective dose was 66.4 man-Sv and resulting average individual ORE was 1.26 mSv. Around 80% of the workers were exposed to minimal doses less than 1.2 mSv. However, it appeared that the recorded doses exceeded 20 mSv for 43 workers in the industrial radiography and for 147 workers in the field of radiology. Particularly, recorded doses of 23 workers in radiology exceeded the annual dose limits of 50 mSv, which is extraordinary when the working environment is considered. It is uncertain whether those doses are real or caused by careless placing of dosimeters in the imaging rooms while the X-ray units are in operation. No one in the workforce of 16 operating nuclear power plant units was exposed over 20 mSv in 2002. Number of workers was the largest in their 30's of age and the mean individual dose was the highest in their 20's. Women were around 20% of the radiation workers and their average dose was around one half of that of man workers.

• The Research Journal of the Costume Culture
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• v.6 no.3
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• pp.185-200
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• 1998

The eldest son of the crown prince is very important social status next to the crown prince deciding fundamentals of a state in Chosun dynasty which laying stress royal authority. Accordingly, Chakbong(冊封) of the eldest son of the crown prince has been done independently like as Chakrei(冊禮) of the crown prince. The existig record of Chakrei(冊禮) of the eldest son of the crown prince. The existing record of Charkrei(冊禮) of the eldest son of the crown prince are Hyunjongwangseon(顯宗王世孫), Euisoseson(懿昭世孫), Youngjowangseson(英祖王世孫), Hungjongwangseson(憲宗王世孫) of 4 books for Chakreidogameuigue(冊禮都監儀軌) being preserved in Kyujangkak(奎章閣). The transition of classified clothes are stated on Wangse sonchakreidogameuiguebanchado(王世孫冊禮都監儀軌班次圖) for Chakrei(冊禮) of the eldest son of the crown prince. Its details are as below. Finally, there is no changes in constitution of the costume of the eldest son of the crown prince Chakrei(冊禮) called as Ssanggodong(雙童髮)·Gongjungchak(空頂 )·Ojangbok(五章服) on documentary records depsitefo no explanation of Banchado(班次圖). Secondly, The classified clothes of the eldes sion of the crown prince Hcakreibanchado(冊禮班次圖) are on . We have acknowledged that Kwanmo(冠帽) of Dangbukwanwon(堂部官院) has been changed from Heugrib(黑笠) to Samo(紗帽) since Youngjowangseson(英祖王世孫), Euibok(衣服) from Chungpo(靑袍) to Nokdanryung(綠團領), the costume of Euijangsu(儀仗手) from Chunggun(靑巾) to Whangchorib(黃草笠) and changed again to Hongpimoja(紅皮帽子), Chungeui(靑衣) changed to Hongeui(紅衣). Also we know that Kwanmo(冠帽) of Kyogun(轎軍) has been changed to Pimoja(皮帽子) with high top, Chungeui(靑衣) changed to Hongeui(紅衣). The costume of Byulgam(別監) has been changed from Nokgun(綠巾) to Jogun( 巾), Nokpo(綠袍) changed to Pimoja(皮帽子) with high top, Chungeui(靑衣) changed to Hongeui(紅衣). The costume of Byulgam(別監) has been changed from Nokgun(綠巾) to Jogun( 巾), Nokpo(綠袍) changed to Hongpo(紅袍), that of Suri(書吏) changed from Chungeui(靑衣) to Huekeui(黑衣). Accordingly, the transition of costume color to red stands for the briliance. Thirdly, regarding the constitution of the eldest son of the crown prince Chakrei(冊禮), that of Euisoseson(懿昭世孫) & Youngjowangseson(英祖王世孫) are same for Unggolta(態骨朶), Youngjagi(令字旗), Keumdungja(金 子), Eundungja(銀 子), Mojul( 節), Jaksun(雀扇), Chungkae(靑蓋), Chungyangsol(靑陽率). In case of Hunjongseson(懿昭世孫), Baktakgi(白澤旗) is added. On Youngjowangseson(英祖王世孫), Chungilsol(靑日率) and Kiringi(麒麟旗) are added. However, we know that the constitution of the eldestson of the crown prince Hunjong(憲宗) Chakrei(冊禮) is quite different that of previous constitution. i.e. : Hongae(紅蓋), Baktakgi(白澤旗), Samkaggi(三角旗), Kagdangi(角端旗), Byukbonggi(碧鳳旗), Jujakgi(朱雀旗), Kuemdungja(金 子), Eundungja(銀 子), Eunribgwa(銀立瓜), Kuemhwanggwa(金 瓜), Eunhwhanggwa(銀 瓜), Kuemwolbu(金鉞斧), Bongsun(鳳扇), Huegkae(黑蓋). Also the kinds of Eujanggi(儀仗旗) are various which are similar to the constitution of The Crown Prince(世子) Chakrei(冊禮).