• 대한간호학회지
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• 제50권6호
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• pp.837-847
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• 2020

Purpose: The purpose of this study was to investigate the effects of hospital characteristics on employment rate, working period, and retirement of ward nurses in Korea through a retrospective cohort study based on HIRAS data. Methods: Data were obtained from a report on medical care institutions of Health Insurance Review & Assessment Service (HIRAS). Data from 259,941 nurses who were working for a day or more from January 1, 2012, to December 31, 2016, at 2,942 medical care institutions were analyzed. Life table method analysis, Kaplan-Meier analysis, and Cox proportional hazard regression analysis were conducted. Results: The employment rates of 5 yeas and 10 years for the total sample were 38% and 28%, respectively. The estimated mean value of the working period was 3,642.7 days (SE: 17.4 days). Cox proportional hazard regression analyses revealed that nurses who were working at the general hospital/hospital, clinic, and nursing hospital were more likely to leave the hospital compared to those who were working at the 3rd general hospital. Nurses who were working at the medical institutions which were located in cities and countries, established by the private foundation, rated lower levels of nursing, and owned an insufficient number of beds, nurses and doctors were more likely to leave their workplace compared to those of the counterparts. Conclusion: This study indicates that hospital characteristics may play a significant role in retirement and working period of ward nurses in Korea. The improvement of hospital conditions to reduce ward nurses' retirement are needed.

• 보건행정학회지
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• 제30권4호
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• pp.522-530
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• 2020

Background: In 2008, Korea implemented a new type of social insurance known as "long-term care insurance". We examined the association between ownership of long-term care facilities and the incidence of pressure ulcers after the implementation of "long-term care insurance". This study is a population-based retrospective cohort study from 2006 to 2013. Methods: We used medical claims data from the Korean National Health Insurance Corporate Elderly Cohort Database from 2006 to 2013. These data comprise a nationally representative sample. To avoid confounders, only patients admitted to one long-term care facility and who stayed for >70% of the follow-up time were included; as a result, 3,107 individuals were enrolled. The main independent variable was the operating entity of the long-term care facility (local government, corporate bodies, and private for-profit owners), and the dependent variable was the 1-year incidence of pressure-ulcers. Survival analysis (Cox proportional hazard model) was used as an analysis method. Results: Compared to patients admitted to local government long-term care facilities, patients admitted to private long-term care facilities had a significantly higher 1-year risk of pressure ulcers (hazard ratio [HR], 1.94; 95% confidence interval [CI], 1.29-2.91); the risk was especially high among patients who were cognitively dependent (HR, 2.34; 95% CI, 1.25-4.37). Conclusion: Patients admitted to private for-profit long-term care facilities were more likely to have pressure ulcers compared to those in local government and corporate body long-term care facilities. Appropriate assessment tools and publicly available information, as well as more restricted legal requirements, are needed to improve the care quality and outcomes of patients in long-term care facilities.

• 한국수산과학회지
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• 제55권5호
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• pp.721-729
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• 2022

We investigated the ecological characteristics and biomass of white croaker Pennahia argentata population in the South Sea of Korea using catch data from Danish seins fishery and biological data from 2018 to 2020. Survival rate (S), which was estimated using Pauly method (1984) was 0.361 per year, and the instantaneous coefficient of total mortality (Z) was 1.019 per year. The instantaneous coefficient of natural mortality (M) and that of fishing mortality (F) were estimated as 0.351 and 0.668 per year, respectively. At first capture, age was estimated to be 1.19 years and length at this age was 18.7cm. The annual biomass was estimated with a biomass-based cohort analysis using annual catch data between 1997-2020 in Korean water. The biomass of the white croaker declined sharply from 4,000 tons in 1999 to the lowest level of approximately 1,000 tons in 2004. Post 2004, the biomass started to increase gradually and reached approximately 7,000 tons. The amount of resources was 35.7%, 34.8%, and 16.5% at age one, two, and three years, respectively, and 86.9% of all captured white croaker individuals belonged to the age group of 1-3 years.

• 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.

• International journal of advanced smart convergence
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• 제11권4호
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• pp.206-215
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• 2022

For a long time, traditional culture has been regarded as one of the sources of the inspiration, method and language of Chinese writing. In this article, we studied the medium- and long-term impact of a traditional Chinese culture seminar attended by college students on the output of creative writing. The seminar included traditional Chinese philosophy, history, literature, art, etc. It spanned three years (22 months) and held lectures lasting for approximately two hours once a week. The subjects of the prospective cohort study included 130 first-year college students who participated in the seminar and 130 controls. From September 2016 to June 2018, 72 lectures were held. We measured the creative writing output from the first lecture (September 2016) to December 2021 (64 months in total), including novels, essays, poems, and plays. Two indicators, the total number of words (TNW) and the quality of yield (QY), were evaluated by a 15-member panel. Although the TNW and QY of the participants and their controls were similar before the seminar, we found that the participants have higher TNW and QY than the controls after participating in the seminar. The difference in TNW became significant after month 51 (p<0.05), and the difference in QY became significant after month 46 (p<0.05). After these dates, the differences stabilized. In addition, text analysis indicates that by month 64, traditional cultural elements in the works of the participating group had a higher frequency (p<0.001). The research shows that the traditional culture seminar not only enhanced the yield of college students' creative writing but also improved the quality of their work. The traditional cultural elements enriched the works of the seminar participants.

• 한국수산과학회지
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• 제57권1호
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• pp.69-78
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• 2024

We have proposed a method for estimating the size-dependent mortality (M) of short-lived semelparous cephalopod species. To estimate the size-dependent mortality of a winter cohort of the common squid Todarodes pacificus, a commercially important cephalopod species in the North Pacific, we used the data and results of previous studies. On the basis of the bigger-is-better the steady-state hypothesis, we derived a theoretical mortality curve by assuming M as an inverse function of mantle length (ML). The derived constant for size-specific instantaneous mortality (q), assuming an embryonic survival rate of 86.6%, was 0.413 day^-1 mm in ML. Estimates of life-stage-specific M ranged from 0.0280 to 0.435 day^-1 for paralarvae, 0.00278 to 0.0269 day^-1 for juveniles, 0.00197 to 0.00275 day^-1 for pre-spawning adults, and 0.0913 to 0.0920 day^-1 for post-spawning adults. Sensitivity analyses showed that the derived size-dependent M did not significantly change with varying embryonic survival rates, from 48%, the lowest reported value, to 100%. Additionally, comparison of the length frequencies derived from our simulations with those derived from catch data did not show a significant difference, suggesting that our approach and procedures are reliable for stock assessment and management of the common squid.

• 한국음향학회지
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• 제18권3호
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• pp.3-9
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• 1999

본 논문에서는 독립단어 음성인식 시스템을 위하여 반음소(anti-phone) 모델링을 이용한 인식 거절(rejection)기능에 대해 기술한다. 음성인식 거절 기능은 음성인식기를 제작할 ？ 정해놓은 인식대상 단어 이외의 단어가 입력되었을 때 그 단어가 인식할 수 없는 단어임을 알려주는 기능이다. 음성인식 거절기능을 구하는 방식은 핵심어 검출(keyword spotting)방식과 발화검증(utterance verification)방식으로 구분된다. 핵심어 검출 방식은 인식 대상 단어 외의 단어를 별도로 모델링하여 하나의 인식대상 단어처럼 사용하는 방식이고, 발화검증 방식은 각 음소마다 그와 유사한 anti-model을 작성한 후 정상적인 음소 모델과 anti-model과의 유사도를 비교하여 결정하는 방식이다. 본 연구에서는 독립단어 음성인식 시스템에 적용될 수 있는 발화 검증 방식에 의해 음성인식 거절 기능을 구현하였다. 특히 유사도를 결정함에 있어서 산술평균, 기하평균, 조화평균을 사용하고 각각을 비교하여, 기하평균을 사용하는 방식이 우수한 성능을 보임을 알 수 있었다. 음성의 신뢰도(confidence score)를 정규화하기 위해서 Sigmoid 함수를 사용하는데 이 함수의 가중치(weight) 상수의 변화에 대해 인식률을 비교함으로써 가장 적절한 가중치 상수값을 결정하였다. 그리고 유사음소집합(cohort set)에 대한 실험에서는 유사음소집합의 크기가 클수록 더 좋은 성능을 보이는 결과를 얻었다. 음성인식 테스트 결과에서는 신뢰도 임계치 값을 구하고 이 값을 사용하여 인식률을 계산하였으며, 거절의 오류까지 포함된 음성인식률은 약 76%였다. 이 연구결과는 현재 한국통신에서 시험 서비스 중인 음성인식 증권정보 안내 시스템에 적용될 예정이다.

• 응용통계연구
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• 제30권2호
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• pp.233-241
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• 2017

구간 중도 절단 자료는 관측 연구에서 종종 발생되는 생존 자료의 한 유형으로 관심 있는 사건 발생 시간을 정확하게 관측할 수 없는 대신에 이를 포함한 두 관측 시점으로 구성된다. 본 연구의 목적은 경쟁 위험이 구간 중도 절단 자료에서 발생될 경우, 두 그룹의 누적 발생 함수를 비교하기 위한 검정 통계량을 제시하는 것이다. 특히 본 연구에서는 다중 대체 방법을 통해 생성된 자료를 이용하여 검정력과 유의 수준을 구하고자 한다. 모의실험을 통해 제안한 방법이 다양한 경우에서 적절한 결과를 보이는지 검토하였으며 실제 자료 분석의 예로 남녀 그룹의 HIV 발생 함수의 차이를 비교하기 위해 제안한 방법을 적용하였다.

• 한국지리정보학회지
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• 제26권4호
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• pp.97-115
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• 2023

최근 저출산, 고령화 등 인구의 구조가 급격히 변화하고 있고 인구 분포의 불균등성이 확대되고 있는 시점에서 인구 추정 방식의 변화가 요구되고 있으며 소지역 단위에서 보다 정확한 추정이 요구되고 있다. 본 연구는 이러한 인구 추정 방식 변화 요구에 대응하기 위해 부산광역시를 대상으로 해석가능한 기계학습 방법을 적용하여 500m 격자 단위에서 2040년 인구를 추정하는 것을 목적으로 하고 있다. 해석가능한 기계학습의 방법과 코호트 요인법을 각각 적용하여 격자별 인구추정 결과를 비교해본 결과, 기계학습 방법이 인구 구조 변동에 영향을 미칠 가능성이 있는 여러 변수의 조합 반영이 가능하여 보다 낮은 오차를 도출함으로써 소지역과 같이 인구 변화폭이 큰 지역의 추정에 있어 적용력이 높음을 확인하였다. 인구감소시대에 과대추정된 인구 값은 도시계획에서 투자의 비효율성과 특정 부문에 대한 과잉 투자에 따른 타 부문에서의 질적 저하와 같은 문제를 일으킬 가능성이 높으며, 과소추정된 인구 값 역시 도시의 축소를 가속화시켜 삶의 질을 저하시키는 문제를 초래하므로 적절한 인구 추정 방법과 대안을 마련해야 할 필요가 있을 것으로 판단된다.

• 응용통계연구
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• 제8권2호
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• pp.133-145
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• 1995

고장원인이 여럿인 수리불가능한 제품에 대하여 사용환경에서 얻어진 고장데이터와 추적조사에 의해 얻어진 설명변수에 관한 데이터를 이용하여 제품의 고장원인별 수명분포를 추정한 배도선 등(1995)의 연구를 수리가능한 제품의 경우로 확장하였다. 수명분포의 모수와 설명변수가 대수선형 관계일 때 비동질성 포아송과정을 이용하여 의사우도함수를 유도하고, 고장원인별 수명이 와이블 분포를 따를 때의 의사 최우추정량과 점근분산을 구하였다. 추적조사 방법으로는 보증기간동안 고장이 발생하지 않은 제품의 일정비율을 추적조사하는 경우와 총 시험제품의 일정비율을 랜덤하게 선택하고 이들 중에서 보증기간동안 한번도 고장이 발생하지 않은 제품에 대해서만 추적조사하는 경우를 고려하였다.