• Korean Medical Education Review
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• v.24 no.2
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• pp.156-171
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• 2022

The purpose of this study was to establish a model for constructing longitudinal data for medical school, and to structure cohort and longitudinal data using data from Yonsei University College of Medicine (YUCM) according to the established input-environment-output (I-E-O) model. The study was conducted according to the following procedure. First, the data that YUCM has collected was reviewed through data analysis and interviews with the person in charge of each questionnaire. Second, the opinions of experts on the validity of the I-E-O model were collected through the first expert consultation, and as a result, a model was established for each stage of medical education based on the I-E-O model. Finally, in order to further materialize and refine the previously established model for each stage of medical education, secondary expert consultation was conducted. As a result, the survey areas and time period for collecting longitudinal data were organized according to the model for each stage of medical education, and an example of the YUCM cohort constructed according to the established model for each stage of medical education was presented. The results derived from this study constitute a basic step toward building data from universities in longitudinal form, and if longitudinal data are actually constructed through this method, they could be used as an important basis for determining major policies or reorganizing the curricula of universities. These research results have implications in terms of the management and utilization of existing survey data, the composition of cohorts, and longitudinal studies for many medical schools that are conducting surveys in various areas targeting students, such as lecture evaluation and satisfaction surveys.

• Journal of Korean Clinical Nursing Research
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• v.28 no.2
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• pp.167-176
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• 2022

Purpose: Driveline infection (DLI) is one of the major adverse events of Left Ventricular Assist Device (LVAD). The purpose of this study was to explore the incidence of DLI according to the driveline dressing methods. Methods: This study was a retrospective cohort study that investigated the medical records of 75 patients who implanted LVAD from January 2015 to December 2020 at a hospital in Seoul, Korea. Traditionally, sandwich dressing method was applied until October 2019, after which newly winded dressing method was adopted for driveline dressing to LVAD patients. The outcome variables were compared between sandwich dressing method applied group (n=41) and winded dressing method applied group (n=34). The follow-up period for DLI was 1 year. Results: When compared participants' characteristics, there was no difference between the two groups, except the type of LVAD device. The incidence of DLI was 17.1% in sandwich dressing group, while no infection was found in winded dressing group (p=.011). Conclusion: Although there were difference in the LVAD devices, it is considered that winded dressing contributed to the reduction of DLI. Further research on standardized dressing methods was required for DLI prevention in Korea.

• Research in Community and Public Health Nursing
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• v.18 no.4
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• pp.513-522
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• 2007

Purpose: The purpose of this study was to gain knowledge of successful aging for the Korean elderly and to identify the effects of an intervention program on the change of the knowledge Method: Data were collected from 134 elders from 3 schools for the elderly in H City. The Successful Aging Scale was used to collect data and modified CDSMP was applied as the intervention. Descriptive statistics, t-test, ANOVA and ANCOVA were used. Results : The total score of the knowledge of successful aging among the elderly cohort was 2.44 out of 3, and the scores of the factors making up old age were 2.66 for the success of children, 2.63 for self-control, 2.56 for self-efficacy, and 2.05 for happy marriage. Life satisfaction from the success of children and self-control were strongly correlated(r=0.7036, p=0.000). Conclusion: The self-management program brought positive changes to the knowledge of successful aging through the self-control parameter, and although it could not change the degree of knowledge of the overall successful aging among the elderly cohort, the program represents the first Korean nursing intervention focused on self-management techniques needed for successful aging.

• The Korean Journal of Applied Statistics
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• v.28 no.2
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• pp.335-342
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• 2015

Joint hierarchical generalized linear models proposed by Molas et al. (2013) extend the simple longitudinal model into multiple models fitted jointly. It can easily handle the correlation of multivariate longitudinal data. In this paper, we apply this method to analyze KoGES cohort dataset. Fixed unknown parameters, random effects and variance components are estimated based on a standard framework of h-likelihood theory. Furthermore, based on the conditional Akaike information criterion the correlated covariance structure of random-effect model is selected rather than an independent structure.

• Journal of Korean Critical Care Nursing
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• v.12 no.1
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• pp.94-108
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• 2019

Purpose : Heart failure (HF) is considered an important medical burden with rehospitalization and mortality. Anemia is a major risk factor associated with the severity of HF. To improve the understanding of the impact of anemia in the population with HF, we explored the prevalence of anemia, its guidelines, relationship between anemia and mortality or rehospitalization, and limitation of reviewed papers of various populations with HF. Method: We used Whittemore and Knafl's integrative review methodology (2005), and thirty research papers were analyzed. PubMed, CINAHL, Cochrane, PsychInfo, Embase, Web of Science were searched for papers published between January 1960-June 2018. Results: Anemia in individuals with HF was primarily defined using the World Health Organization guideline. The prevalence of anemia in patients with HF varied from 9% to 56.7%. Moreover, such a condition significantly increases the prevalence of mortality or rehospitalization in patients with HF. The analyzed majority were non-prospective cohort study including secondary data analysis. Conclusion: Anemia in individuals with HF is a significant risk factor of mortality and rehospitalization. Prospective cohort studies should be designed to identify the optimal value for screening anemia and the impact of anemia on rehospitalization and mortality among HF patients.

• Physical Therapy Rehabilitation Science
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• v.11 no.4
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• pp.502-508
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• 2022

Objective: Contralateral seventh cervical nerve transfer (contralateral C7 transfer) is a newly attempted method to restore upper extremity motor function in the patients with spastic arm paralysis. The aim of this study was to investigate the effects of contralateral C7 transfer on upper extremity motor function in the patients with spastic hemiplegia after stroke. Design: A retrospective cohort study. Methods: Thirty-four patients with spastic hemiplegia after stroke was investigated. All patients registered between January 2020 and February 2021. The subjects were assessed on upper extremity motor function, cognition, and spasticity before and after contralateral C7 transfer. The upper extremity motor function was measured using the Fugl-Meyer upper extremity scale and box & block test. The cognition and spasticity were assessed by Korean version mini mental state examination (K-MMSE) and modified Ashworth scale from baseline to 8 weeks after the surgery. Results: The Fugl-Meyer upper extremity scale and modified Ashworth scale were significantly improved after contralateral C7 transfer (p<0.05). However, box & block test and K-MMSE were no significant changes after the surgery (p>0.05). Conclusions: This study suggested that the contralateral C7 transfer was a feasible and practical approach to improve upper extremity motor function in the patients with spastic hemiplegia after stroke, but further study is required to identify the long-term effects after the contralateral C7 transfer.

• 한국사회정책
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• v.23 no.2
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• pp.173-200
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• 2016

This study has two objectives. First, this study examines subjective well-being among elders that operationalize life satisfaction and aging anxiety, guided by life-course perspective. Second, it examines the relationship between subjective well-being and age-friendly environment factor structure among age-cohort groups. This study employs the stratified sampling method from 4,000 Seoul citizens. Main findings from the multivariate regression analyses include: (1) as age increases, aging anxiety levels appeared to be higher, while decreasing the life satisfaction. (2) a substantially larger variance of life satisfaction and aging anxiety was accounted for by demographic variables and age-friendly environments across age-cohort groups. (3) the influence of age-friendly environment factors such as neighborhood problems, accessibility to social activities, social services and parks on subjective well-being was different across age-cohort groups. This study discusses the policy and practical implications of the results.

• Journal of the Institute of Electronics Engineers of Korea SP
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• v.39 no.3
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• pp.88-98
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• 2002

The multilayer perceptron (MLP) has several advantages against other pattern recognition methods, and is expected to be used as the learning and recognizing speakers of speaker verification system. But because of the low learning speed of the error backpropagation (EBP) algorithm that is used for the MLP learning, the MLP learning requires considerable time. Because the speaker verification system must provide verification services just after a speaker's enrollment, it is required to solve the problem. So, this paper tries to make short of time required to enroll speakers with the MLP based speaker verification system, using the method of improving the EBP learning speed and the method of reducing background speakers which adopts the cohort speakers method from the existing speaker verification.

• The Korean Journal of Applied Statistics
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• v.33 no.3
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• pp.239-256
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• 2020

Health is an important issue due to increased life expectancy. As a result, the demand for industry and services associated with individual health, health-related programs and services will be facilitated by a method to evaluate and classify the health level of an individual based on various factors. This study suggests a methodology to measure and score an individual health level. A credit scoring model was introduced to implement the categorization of variables, construct a prediction model, and to score individual health level. Cohort DB provided by National Health Insurance Service was used to illustrate overall procedures. It is expected that the suggested model can be utilized in designing and managing health care services as well as other health-related programs.

• Proceedings of the Acoustical Society of Korea Conference
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• 1998.08a
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• pp.328-335
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• 1998

한국통신의 음성인식 시스템에서 사용하는 기본 음소의 효율적인 설정을 위하여 음소인식률을 구하고 유사하게 인식되는 음소들의 집합인 cohort set을 구하여, 인식률을 최대로 하는 기본음소 집합을 찾는 방법이다. 실험 방식은 기본음소 59개로부터 시작하여 음소를1개씩 줄여가면서 최대 음소 인식률이 나오도록 하였다. 실험 결과 최고 성능을 나타내는 기본 음소 set을 구할 수 있었다.