• Journal of Acupuncture Research
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• 제33권4호
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• pp.65-72
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• 2016

Objectives : While neck pain is highly prevalent in Korea, studies examining its Korean medical treatment are currently lacking. The aim of this study was to assess current Korean medical treatment practice patterns for neck pain. Methods : A preliminary questionnaire was developed to investigate current practice patterns of neck pain and cervical intervertebral disc displacement (IDD) treatment, and underwent further revision through external review. The final questionnaire was distributed as a web-based survey to 18,289 potential respondents by email. Results : The response rate was 3.34 %. Most participants replied that they received multiple Korean medicine interventions for neck pain treatment consisting of such methods as acupuncture, wet cupping, interferential current therapy and electroacupuncture. A total of 378 respondents acknowledged that diagnostic testing was needed for neck pain treatment. The most commonly used Korean Standard Classification of Diseases (KCD) principal diagnosis code for neck pain was M542, and for cervical IDD was M501. Conclusion : This survey study helps determine current practice patterns of neck pain, and recognizes the need for use of diagnostic devices in neck pain treatment. These results are further anticipated to provide basic data for clinical practice guidelines (CPGs) and future studies using Korean National Health Insurance and Health Insurance Review & Assessment Service data.

• Journal of Preventive Medicine and Public Health
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• 제42권6호
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• pp.416-423
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• 2009

Objectives : This study was performed to examine medical care utilization of psychiatric patients and to explore patients' characteristics associated with extended hospitalization. Methods : Data were extracted from information of Korean Health Insurance Review and Assessment Service. All data associated with admission and outpatient clinic visit were analysed by patient characteristics. We selected first psychiatric admission patients who diagnosed mental and behavioral disorders due to use of alcohol (main disease code: F10), schizophrenia and related disorders (F20-29) and mood disorders (F30~33) from January to June 2005. We analysed status of admission, mean length of stay, regular access to outpatient clinic and rates of extended hospitalization during 3 years. Bivariate and multivariate analyses were conducted to identify factors associated with extended hospitalization. Results : The number of psychiatric patients during the first six month of 2005 was 30,678. The mean length of stay was longest for schizophrenia and related disorders but shortest for mood disorders. Patients who experienced an extended hospitalization were 18.8% of total subjects. An extended hospitalization was more common in schizophrenia and related disorders than other diagnostic groups. The factors associated with the extended hospitalization were age, sex, diagnostic group, type of insurance and medical care utilization groups. Conclusions : The study indicates the problem of an extended hospitalization for psychiatric patients in Korea. It is suggested that variations in rates of extended hospitalization among medical care utilization group may need an active early intervention system in psychiatric treatment service. Particular attention needs to be devoted to planning and funding for reducing extended hospitalization.

• 정보처리학회논문지D
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• 제12D권5호
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• pp.797-806
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• 2005

미국 국방성에서 주관한 시뮬레이션 표준인 HLA(High Level Architecture)의 목적은 시뮬레이션 소프트웨어들 사이의 상호 호환을 용이하게 하고 그들 구성 요소들의 재사용을 촉진하는데 있다. 산업 현장에는 HLA가 시뮬레이션 표준이 되기 이전에 개발된 많은 시뮬레이션 소프트웨어들이 있다. 레거시 시뮬레이션들을 HLA를 사용한 패더레이션으로의 통합은 M&S(Modeling 고 Simulation) 영역에서 중요한 연구 주제이다. 원자력과 우주항공 같은 임무 완수가 중요한 산업의 레거시 시뮬레이션 소프트웨어들은 일반적으로 Fortran 언어를 사용한다. 하지만 HLA가 Fortran 언어를 지원하고 있지 않기 때문에 그들의 재사용은 쉽지 않다. 본 논문은 레거시 시뮬레이션 소프트웨어의 변경을 최소화하면서 HLA 패더레이션으로 이전을 용이하게 하는 통합 방법을 제시한다. 패더레이션에 참여하는 각 패더레이트는 실행 시간에 생성되는 공유메모리를 통하여 통신하는 분리된 실행을 갖는다. 발행과 접수를·위한 두 가지 유형의 공유메모리 블록이 사용된다 레거시 시뮬레이션 소프트웨어에서 사용되는 전역변수 선언 블록은 발행과 접수를 위하여 분할되고 HLA FOM 설계를 위하여 객체 및 상호작용 클래스로 사상된다. 제안된 방법을 검증하기 위하여 플랜트 설계에 사용되고 있는 레거시 원자력 시뮬레이션 코드의 HLA 통합을 시도하였고 통합 결과를 관측하기 위하여 FMT(Federation Management Tool)를 사용하였다. FMT가 표시하는 진단정보는 본 연구가 제안하는 방법이 성공적이고 효과적으로 HLA 통합에 사용될 수 있음을 보였다.

• 대한소아치과학회지
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• 제46권3호
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• pp.265-273
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• 2019

이 연구는 레진침투법(resin infiltration, RI)을 적용하기 적합한 초기 유아기 우식증 병소를 동정하는데 있어 레이저 형광법(laser fluorescence, LF)의 활용 가능성을 평가하기 위해 수행되었다. 인접면 우식을 가진 20개의 자연 탈락 유구치를 이용, 중심와를 지나도록 협설로 절단하여 근원심 치면을 별개의 시편으로 간주하였다. ICDAS code 1과 2에 해당하는 시편 27개를 선별하였고 LF값을 측정하였다. 현미경 평가를 위해 RI 시행 시 이중 염색을 병행하였고, 절편을 제작하였다. 현미경 영상으로부터 병소깊이(최대 탈회깊이, $LD_{max}$), 최대 침투깊이($PD_{max}$), 평균 레진 침투율(Penetration rate, PR)을 측정하고, 상관분석을 시행하였다. LF값은 PR과 양의 상관관계를 보였으나 $LD_{max}$ 및 $PD_{max}$와는 유의성을 보이지 않았다. 얕은 법랑질 우식군을 제외하고, 깊은 법랑질 우식군과 상아질 우식군에서는 LF값과 PR 간에 유의한 상관관계가 확인되었다. 활동성 우식은 RI를 적용할 경우 침투율이 높고, LF 값이 보다 높게 측정될 수 있다. 진행 정도가 유사한 우식병소의 활성도를 평가하고자 할 경우, 레이저 형광법이 유용할 것으로 사료되었다.

• Nuclear Engineering and Technology
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• 제52권3호
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• pp.568-574
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• 2020

The feasibility of the particle-in-cell (PIC) method is assessed to simulate the non-collective phenomena like non-collective Thomson scattering (TS). The non-collective TS in the laser-plasma interaction, which is related to the single-particle behavior, is simulated through a 2D relativistic PIC code (XOOPIC). For this simulation, a non-collective TS is emitted from a 50-50 DT plasma with electron density and temperature of n_e = 3.00 × 10¹³ cm^-3 and T_e = 1000 eV, typical for the edge plasma at ITER measured by ETS system, respectively. The wavelength, intensity, and FWHM of the laser applied in the ETS system are λ_i,0 = 1.064 × 10^-4 cm, I_i = 2.24 × 10¹⁷ erg=s·㎠, and 12.00 ns, respectively. The electron density and temperature predicted by the PIC simulation, obtained from the TS scattered wave, are n_e,TS = 2.91 × 10¹³ cm^-3 and T_e,TS = 1089 eV, respectively, which are in accordance with the input values of the simulated plasma. The obtained results indicate that the ambiguities rising due to the contradiction between the PIC statistical collective mechanism caused by the super-particle concept and the non-collective nature of TS are resolved. The ability and validity to use PIC method to study the non-collective regimes are verified.

• 대한족부족관절학회지
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• 제15권3호
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• pp.165-169
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• 2011

Purpose: The objective of this study was to analyze diabetic foot patients' direct service costs until the cure of the disease. Materials Methods: The subjects of this study were randomly sampled 60 patients who had been treated for diabetic foot at one of two tertiary hospitals and cured of the disease during from January 2008 to December 2009, and whose diagnostic code was E11.5 or E14.5. Data were collected from medical records and direct service costs were analyzed using data on the payments of individual service charges. Direct service costs spent at other medical institutions for the same disease were excluded. Collected data were analyzed using descriptive statistics. Results: The subjects' mean hospital stay was 29 days, and mean period until cure was 132 days. The inpatient cost per patient was 10,844,648 won, outpatient cost was 715,751 won, and home care services cost was 641,854 won, so total direct service cost per patient was 11,913,419 won. The total direct service cost in patients who had their foot amputated was 12,769,822 won, 1.3 times higher than without amputation, who had vascular intervention was 16,219,477 won, 1.9 times higher than non-vascular intervention, who had both infection and artery occlusion was 17,522,435 won, 2.0 times higher than either infection or artery occlusion. Conclusion: In diabetic foot patients, the direct service cost was highest as 17,522,435 won in patients accompanied with both infection and occlusion of lower extremity artery.

• 한국임상약학회지
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• 제26권3호
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• pp.238-244
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• 2016

Background: Mupirocin, a topical antimicrobial agent has been used for patients with methicillin-resistant Staphylococcus aureus and recently mupirocin resistance was issued in some studies. The objective of this study was to analyze prescription patterns of topical mupirocin, to evaluate appropriateness of prescriptions in the ambulatory setting, and to compare frequency of mupirocin usage in South Korea with that in United States. Methods: Topical mupirocin prescription patterns (the number of prescription and a prescription period), and appropriateness of prescription (including a prescription rate over 10 days, a repeat prescription rate within 30 days and a prescription rate within labeled indications) were analyzed using the 2012 Health Insurance and Review and Assessment service-National Patient Sample dataset of South Korea. The National Ambulatory Medical Care Survey dataset was used to quantify topical mupirocin prescription in United States for comparison. Results: In South Korea, the prescriptions rate for use over 10 days was 3%, the repeat prescription rate within 30 days was 8.87% and the prescription proportion within labeled indications was 33.84%. The most frequent diagnostic code was nonbacterial infection. The prescription rate per 1000 population of topical mupirocin in South Korea was calculated to be 46.07, whereas in United States was calculated to be 13.10. Conclusion: Topical mupirocin has been used frequently and inappropriately, so further studies are required to investigate the rationale behind such prescribing mupirocin patterns.

• Asian Pacific Journal of Cancer Prevention
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• 제14권5호
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• pp.2783-2787
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• 2013

To assess the risk of cancer incidence after medical radiation exposure for coronary artery disease (CAD), a retrospective cohort study was conducted based on Taiwan's National Health Insurance Research Database (NHIRD). Patients with CAD were identified according to the International Classification of Diseases code, 9th Revision, Clinical Modification (ICD-9-CM), and their records of medical radiation procedures were collected from 1997 to 2010. A total of 18,697 subjects with radiation exposure from cardiac imaging or therapeutic procedures for CAD were enrolled, and 19,109 subjects receiving cardiac diagnostic procedures without radiation were adopted as the control group. The distributions of age and gender were similar between the two populations. Cancer risks were evaluated by age-adjusted incidence rate ratio (aIRR) and association with cumulative exposure were further evaluated with relative risks by Poisson regression analysis. A total of 954 and 885 subjects with various types of cancers in both cohorts after following up for over 10 years were found, with incidences of 409.8 and 388.0 per 100,000 person-years, respectively. The risk of breast cancer (aIRR=1.85, 95% confidence interval: 1.14-3.00) was significantly elevated in the exposed female subjects, but no significant cancer risk was found in the exposed males. In addition, cancer risks of the breast and lung were increased with the exposure level. The study suggests that radiation exposure from cardiac imaging or therapeutic procedures for CAD may be associated with the increased risk of breast and lung cancers in CAD patients.

• 동의생리병리학회지
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• 제30권2호
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• pp.124-130
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• 2016

The aim of this study was to suggest the future direction of diagnostic and evaluative pattern identification questionnaire (PIQ) by reviewing the state of development and utilization of PIQ according to Korean classification of disease-U (KCD-U). We surveyed the database of OASIS, NDSL, KISS, DBPIA, and Pub-med to know the kinds of developed and developing PIQ of Korean medicine. We used 'Pattern Identification' and 'Questionnaire' to find suitable papers. The inclusion criteria met 47 cases. The number of PIQ before 2000yrs, between 2001 to 2005, 2006-2010, 2011-2015 were 2, 5, 18, 22cases. The number of PIQ belonged to the disease of Korean medicine, the pathological symptom of korean medicine, the Sasang constitutional pattern identification and etc according to KCD-U were 20(42.6%), 8(17%), 9(19.1%) and 10(21.3%). Twenties among forty seven PIQ were validated, and the rest of them were not validated. The distribution of the numbers of PIQ were significantly different according to KCD-U (p=0.003). The direction of Utilization of PIQ was 36 questionnaires in diagnosing PI, 14 cases in evaluating health state, 4cases in evaluating effects of a treatment and 8 ones in diagnosing Sasang constitutional types. This study reveals the status on validated and non-validated PIQ of Korean medicine and suggests the basic information for the direction of developing PIQ in the future.

• 한국구조물진단유지관리공학회 논문집
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• 제17권6호
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• pp.70-76
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• 2013

본 연구에서는 강거더 연속교에 대해 국내외 설계기준에 규정되어 있는 활하중으로 인한 충격계수를 실험을 통해 검증하였다. 대부분의 도로교의 설계기준에서는 도로교의 경우 충격계수를 약 0.3 정도의 값으로 규정하고 있으나, 연속교의 경우에는 명확한 규정 및 명시가 없는 상황이다. 그러므로 단순교에 적용되는 충격계수를 연속교에 동일하게 적용하는 것이 일반적이다. 이 연구에서는 현장실험을 통해 연속교의 충격계수가 단순교에 적용되는 경우와 같이 사용될 수 있는지를 검증하였다. 현장실험 결과 얻어진 충격계수는 2차선 교량에서 1대의 만재트럭이 통과했을 경우 가장 하중이 많이 작용한 거더에서 0.2 이내의 충격계수가 계측되었으며, 2개의 차선을 통시에 만재트럭이 통과한 경우 그 충격계수는 0.05 이내의 값을 얻었다.