• The Journal of Korean Medicine
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• v.37 no.1
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• pp.41-52
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• 2016

Objectives: There are no studies which have investigated the health related quality of life(HRQOL) about stroke patients according to the medical care utilization behavior by longitudinal analysis. The purpose of this study is to analyze the quality of life(QOL) and quality adjusted life years(QALYs) of stroke patients of western and combined treatment group by longitudinal analysis. Methods: A retrospective cohort study was conducted among 37 new patients who initiated diagnosis with stroke in 2009 from Korea Health Panel Data. We analyzed the HRQOL of stroke patients and calculated the QALYs after medical use initiation for up to 3 years according to the medical care utilization behavior. Results: Overall, the quality of life of stroke patients was lowered somewhat from 0.8431 to 0.7864 in 2009~2012. Western treatment group was appeared slightly declined in from 0.8527 to 0.8231 and combined treatment group was shown to be falling from 0.8173 to 0.6875. The QALYs of total patients were calculated 2.3654 and western treatment group were 2.4436, combined treatment group were 2.1542 during the 4 year period. The difference of QALYs between two groups was 0.2894 QALYs. Conclusions: Although there was a small difference in QALYs of the two groups, it is not certain that the difference is come from medical care utilization behavior. Further studies should be needed to confirm the relation of the medical care utilization behavior and quality of life by considering severity of the stroke.

• Transactions of the Korean Society of Automotive Engineers
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• v.25 no.1
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• pp.51-59
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• 2017

In 2014, there were approximately 4,762 fatalities on Korean roads. The fatality rate has decreased by 6.5 %, as compared to that of the previous year. The pedestrian-vehicle fatalities (1,795) have also decreased by 6 % over the previous year. However, the percentage of the pedestrian fatalities has increased from 37.9 % to 38.7 % during the same period. This is why further research is required, even though the KNCAP pedestrian safety assessment and KMVSS for pedestrian protection currently exist. This paper studied the Upper Legform to Bonnet Leading Edge Test at the front of the vehicles, which has not been introduced yet in Korea. The test method and procedure of the new BLE test in the Euro NCAP test protocol have been reviewed, and the physical tests on SUV and sedan with different bonnet leading edge heights have also been conducted and reviewed. In addition, the test results and characteristics have been analyzed via comparison with the former BLE test and each vehicle type.

• Journal of Chest Surgery
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• v.49 no.3
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• pp.171-176
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• 2016

Background: A previous percutaneous coronary intervention (PCI) may affect the outcomes of patients who undergo coronary artery bypass grafting (CABG). The objective of this study was to compare the early in-hospital postoperative outcomes between patients who underwent CABG with or without previous PCI. Methods: The present study included 160 patients who underwent isolated elective on-pump CABG at the department of cardiothoracic surgery, Minia University Hospital from January 2010 to December 2014. Patients who previously underwent PCI (n=38) were compared to patients who did not (n=122). Preoperative, operative, and early in-hospital postoperative data were analyzed. The end points of the study were in-hospital mortality and postoperative major adverse events. Results: Non-significant differences were found between the study groups regarding preoperative demographic data, risk factors, left ventricular ejection fraction, New York Heart Association class, EuroSCORE, the presence of left main disease, reoperation for bleeding, postoperative acute myocardial infarction, a neurological deficit, need for renal dialysis, hospital stay, and in-hospital mortality. The average time from PCI to CABG was $13.9{\pm}5.4$ years. The previous PCI group exhibited a significantly larger proportion of patients who experienced in-hospital major adverse events (15.8% vs. 2.5%, p=0.002). On multivariate analysis, only previous PCI was found to be a significant predictor of major adverse events (odds ratio, 0.16; 95% confidence interval, 0.03 to 0.71; p=0.01). Conclusion: Previous PCI was found to have a significant effect on the incidence of early major adverse events after CABG. Further large-scale and long-term studies are recommended.

• Journal of Acupuncture Research
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• v.35 no.3
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• pp.120-128
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• 2018

Background: Adhesive capsulitis (AC) is a common condition that includes shoulder pain and limited movement. Despite more than 100 years of AC treatment, the most efficacious treatment remains unclear. The aim of this study was to evaluate the feasibility of a randomized controlled trial (RCT) using acupuncture for AC. Methods: Thirty participants with AC were randomly assigned to acupuncture (A) or sham acupuncture (SA) groups. The participants received 15 acupuncture sessions over 6 weeks, and follow-up occurred for an additional 4 weeks thereafter. The primary clinical outcome was the numeric rating scale (NRS) for shoulder pain 6 weeks from the baseline. Secondary outcomes included range of motion (ROM) in the shoulder, the shoulder pain and disability index (SPADI), the EuroQol-5 dimensions (EQ-5D), the Pittsburgh sleep quality index (PSQI), and the patient global impression of change (PGIC). Results: Thirty participants were enrolled out of 37 screened individuals. Recruitment was conducted between August 2014 until May 2015. A total of 28 participants (93%) completed the 6-week intervention, and 26 participants (87%) completed the study. NRS, ROM, SPADI, EQ-5D, PSQI, and PGIC scores improved in both the experimental group and the sham group after 6 weeks, but the difference between the groups was not statistically significant. Adverse events were reported by 12 participants, although these events were not associated with acupuncture. Conclusion: A future RCT for AC may be feasible with some modifications to the recruitment plan and the secondary outcome measurement methods.

• The Journal of The Korea Institute of Intelligent Transport Systems
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• v.16 no.2
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• pp.161-170
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• 2017

The balise is a device for the railroad signal control systems, which is installed between both rail. The balise sends fixed or variable data, named telegram, to the train with wireless method. The telegram includes the position information, the movable distance under the signal status, the gradient, the speed, the temporary speed limit, etc. This research is on a design of the DBPL encoder for the balise. Normally the DBPL encoder for the balise is with the ASIC or FPGA technology. In this research, the DBPL encoder is designed with commercial low power operable micro-controller. The firmware(logic level encode) and the SPI Bus function block(physical level output) of the micro-controller are used for the DBPL encode. Under the european standard, the required working speed of the DBPL encoder is 564.48Kbps. The DBPL encoder of this research is tested under the speed of 564.48Kbps, and it worked properly.

• Korean Journal of Health Education and Promotion
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• v.27 no.4
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• pp.51-59
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• 2010

Objectives: This study was designed to understand the association between the perceived social support and the quality of life among cancer patients. Methods: Questionnaire survey was conducted from July 10 to August 14 in 2008 among inpatients and outpatients visited Gangwon Cancer Center. Survey was done for 429 patients who were diagnosed as cancer longer than two years and 232 patients responded. We used Multidimensional Scale of Perceived Social Support(MSPSS) and Euro Quality of Life-5 Dimension(EQ-5D). Results: Prevalence of problem in Quality of life among cancer patients were as follows; 28.6% in mobility, 26.0% in pain or discomfort, 24.8% in anxiety or depression, 22.7% in usual activity, and 15.7% in self-care. Cancer patients with higher social support had significantly higher Quality of Life. Also more severe stage had significantly lower Quality of Life. Conclusion: Education, income, stage, and social support seemed influential to Quality of Life among cancer patients. Programs are necessary to promote social support for Quality of Life especially for cancer patients diagnosed as higher stage. Counseling and supporting can be useful not only for patients but also for families.

• Journal of Korean Medicine Rehabilitation
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• v.28 no.1
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• pp.175-184
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• 2018

The purpose of this study is to report the effectiveness of complex Korean Medicine treatment for anterior cruciate ligament (ACL) injuries with meniscus tear. Four patients were treated with complex Korean Medicine by acupuncture, pharmacopuncture and herbal medication. We evaluated the improvement of knee pain and function by Numeric Rating Scale (NRS), Western Ontario and McMaster Universities Arthritis Index (WOMAC Index), EuroQol-5 Dimension Index (EQ-5D Index). After treatment, we found that knee pain was reduced and joint function was improved by NRS and WOMAC index in all cases. In the evaluation of health-related quality of life through EQ-5D index, there was no significant difference in patients with degenerative knee osteoarthritis and severe meniscal injury. This results show that complex Korean Medicine may be an effective option for ACL injuries with meniscus tear. Further clinical studies are needed to clarify the effect of Korean Medicine therapy on ACL injuries with meniscus tear.

• Journal of Preventive Medicine and Public Health
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• v.37 no.4
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• pp.353-358
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• 2004

Objective : To determine the quality of life and cost consequences for deaf adults who received a cochlear implant. Methods : The data from 11 patients, post-lingual deaf adults who received cochlear implants from 1990 to 2002, underwent cost-utility analysis. The average age of the participants was 49.6 years. The main outcomes were direct cost per quality-adjusted life-year (QALY) using the visual analog scale (VAS), health utility index (HUI), EuroQol (EQ-5D), and quality well-being (QWB), with costs and utilities being discounted 3% annually. Results : Recipients had an average of 5.6 years of implant use. Mean VAS scores increased by 0.33, from 0.27 before implantation to 0.60 at survey. HUI scores increased by 0.36, from 0.29 to 0.65, EQ-5D scores increased by 0.26, from 0.52 to 0.78, and QWB scores increased by 0.16, from 0.45 to 0.61. Discounted direct costs were $22,320, yielding $19,223/QALY using VAS, $17,387/QALY using HUI, $24,604/QALY using EQ-5D, and $40,474/QALY using QWB. Cost-utility ratios using VAS, HUI, and EQ-5D were all below $25,000 per QALY, except using QWB. Conclusion : Cochlear implants in post-lingual deaf adult have a positive effect on quality of life at reasonable direct costs and appear to produce a net saving to society.

• Transactions of the Korean Society of Automotive Engineers
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• v.13 no.2
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• pp.52-57
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• 2005

The increasing automobiles continue to cause air-pollution problem s worse than ever. In fact, many automobile research are involved in how to reduce exhaust emissions effectively specially in $NO_X$ and PM to comply with stringent emission standards, Euro V. This research emphasized on the development of continuous regeneration DPF technology which was one of promising removing technology of particulate matters because of its comparability and high applicability. In addition, this research discussed on some design points of view through correlation study by com paring the experimental data with computational results by the introduction of commercial codes such as CFD-ACE+ and KIVA-3V. The numerical simulation on the performance of continuous regeneration DPF apparatus and corresponding emission characteristics has been predicted well enough and verified with experimental results. The pressure and average temperatures are decreased to about 2.6% and 1.4% respectively under a full engine load condition mainly due to back pressures raised by diesel particulate filter. Pressure, temperature and heat releasing rates tend to decrease specially at higher engine load, but they are not affected at lower engine load regions.

• Fire Science and Engineering
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• v.34 no.4
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• pp.87-95
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• 2020

This study evaluates the safety of an asylum through a fire simulation of building Type traditional markets. We derive the building's indoor temperature, use the observed variation in temperature gradient to calculate the temperature of the main structure, and finally compares the time required to attain the limit temperature of the structure its time of escape. To ensure improved security of the asylum, the government has proposed a fire-resistance improvement plan for the major structural parts of buildings are not safe with thickness of 0.01 m and 0.035 m. F.ire-resistance reinforcement for small - and medium-sized vehicles is more than 0.025 m, in thickness; moreover safety can be ensured for medium and large-sized vehicles fire using fire resistant reinforcement of over 0.035 m. Accordingly, in order to ensure the safety of an asylum, fire-resistant reinforcement measures may be considered.