• Land and Housing Review
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• v.12 no.3
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• pp.39-50
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• 2021

This research aims to provide guidelines with the appropriate type of smart bus stop to reduce the concentration of fine dust. To this end, we divided smart bus stops into two types: closed and open bus stops. The estimated reduction effect was compared and analysed by measuring the estimated PM₁₀ and the estimated PM_2.5 at five locations inside and outside a smart bus stop located in Gangnam gu, Seoul. The effect of reducing the amount of the fine dust concentration in external space was insignificant for both types of bus stops. The different effect of reducing the concentration of the amount between in internal space was relatively significant: the fine dust concentration was 26.0 ㎍/m³ for PM₁₀ and 20.2 ㎍/m³ for PM_2.5 at open-type bus stops; whilst was 2.4 ㎍/m³ for PM₁₀ and 1.8 ㎍/m³ for PM_2.5 at closed type bus stops. Based on the findings, a closed type bus stop is recommended when considering the cost of reducing fine dust. In addition, due to the ineffectiveness of reducing the amount of fine dust from the outside of the bus stop, additional provision of smart bus stops is required particularly in locations where demand exceeds the capacity of the inside. A clear definition of smart bus stop and it's minimum standard should also be considered.

• Journal of Neurogastroenterology and Motility
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• v.24 no.4
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• pp.603-613
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• 2018

Background/Aims Functional dyspepsia (FD) is one of the most common gastrointestinal disorders, and FD imposes social and economic burden worldwide. The aim of this study is to identify the prevalence and risk factors of FD in health check-up population in tertiary centers in Korea. Methods A nationwide multicenter prospective study was performed at 9 tertiary healthcare centers in Korea between September 2016 and June 2017. A total of 2525 subjects were investigated based on endoscopic findings and questionnaires with the Rome III criteria, and Helicobacter pylori serology (IgG). Results A total of 1714 subjects without organic disease were enrolled. The mean (${\pm}SD$) age was 51.5 (${\pm}12.7$) years, and 917 patients (53.5%) were female. The proportion of H. pylori seropositivity was 51.0% (874/1714). The prevalence of FD was 10.3% (176/1714), and the subtypes of postprandial distress syndrome alone, epigastric pain syndrome alone, and postprandial distress syndromeepigastric pain syndrome overlap were 4.8%, 3.0%, and 2.5%, respectively. Multivariate analysis showed that female gender (OR, 1.58; 95% CI, 1.14-2.21) and education below college level (OR, 1.45; 95% CI, 1.01-2.07) were related to FD. Multivariate analysis based on age 60 showed female gender as a significant (OR, 2.90; 95% CI, 1.06-7.94) factor in the group ${\geq}60$ years. Conclusions The prevalence of FD was 10.3% in the health check-up population in Korea. Female sex and education below college level were risk factors for FD. Female sex is a risk factor for FD in old age, underscoring the need for close attention in this age group.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.19 no.11
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• pp.721-729
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• 2018

As is the case with South Korea, if the authority for decision making on curricula is concentrated on the state level, the perspective of the understanding on the curricula could be said to be essential. And, such an understanding on the curricula can be important not only to the theorist of curricula but also the teachers in educational institutions. Also, there have been a number of studies to examine the awareness of the teachers on education reform. However, the studies on the resistance factor was mainly focused on the relationships with traits of individuals, covering factors such as their habits, maturity, character, and age, etc. But, it was difficult to find consistency in the results of these studies. Therefore, in this study, the researcher selected the teachers as the key factor of the execution of the curricula and examined the awareness of the teachers on education resistance and the negative views thereupon in the relationship between the knowledge, attitude, skills, and education execution, with a view to find another meaning. The subjects of this study were selected among the teachers in middle or high schools located in Gangnam, Songpa, and Joonggu districts of Seoul. The survey was conducted online with 15 institutions over three weeks from April 13 to 30, 2018. The data gathered were analyzed using SPSS 20.0 and AMOS 20.0, in order to validate the hypotheses through frequency analysis, confidence analysis, factor analysis, structural equation model, and sobel-test. The result of the analyses showed that the factors that affected execution of curricula were the skill system, knowledge system, and attitude of the teachers, in that order, with a positively significant influence. And, significant differences were identified between the factors depending on high or low resistance among teachers.

• Tuberculosis and Respiratory Diseases
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• v.82 no.3
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• pp.242-250
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• 2019

Background: Data on noninvasive ventilation (NIV) use in intensive care units (ICUs) are very limited in South Korea. Methods: A prospective observational study was performed in 20 ICUs of university-affiliated hospitals from June 2017 to February 2018. Adult patients (age>18 years) who were admitted to the ICU and received NIV treatment for acute respiratory failure were included. Results: A total of 156 patients treated with NIV were enrolled (mean age, $71.9{\pm}11.6years$). The most common indications for NIV were acute hypercapnic respiratory failure (AHRF, n=89) and post-extubation respiratory failure (n=44). The main device for NIV was an invasive mechanical ventilator with an NIV module (61.5%), and the majority of patients (87.2%) used an oronasal mask. After the exclusion of 32 do-not-resuscitate patients, NIV success rate was 68.5% (85/124); ICU and hospital mortality rates were 8.9% and 15.3%, respectively. However, the success rate was lower in patients with de novo respiratory failure (27.3%) compared to that of patients with AHRF (72.8%) or post-extubation respiratory failure (75.0%). In multivariate analysis, immunocompromised state, de novo respiratory failure, post-NIV (2 hours) respiratory rate, NIV mode (i.e., non-pressure support ventilation mode), and the change of NIV device were significantly associated with a lower success rate of NIV. Conclusion: AHRF and post-extubation respiratory failure were the most common indications for NIV in Korean ICUs. Overall NIV success was achieved in 68.5% of patients, with the lowest rate in patients with de novo respiratory failure.

• 한국노년학
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• v.37 no.2
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• pp.293-308
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• 2017

This study aims to examine Life Managers for Elderly People Living Alone (LMEPLAs) in Seoul regarding their traumatic experience and the status of their posttraumatic stress disorder and also how they are coping with it in order to find out ways to improve it. As a study method, we investigated LMEPLAs in Seoul through a self-administered survey regarding whether they had faced any traumatic experience, types of their traumatic experience, diagnosis on posttraumatic stress, and the status of their coping with traumatic experience. According to the study results, 186 respondents (37.57%) have been found to indicate either partial or complete posttraumatic stress symptoms, but the status of their coping with it is very poor. The followings are the results of our discussion. First, it is needed to find out life managers suffering from posttraumatic stress disorder and build up a system to manage them consistently. Second, it is necessary to vitalize education about traumatic experience and posttraumatic stress management. Third, it is urgently needed to build up a system to support life managers who have faced any traumatic experience or been diagnosed to have posttraumatic stress disorder. Fourth, it is demanded to cultivate and arrange experts equipped with specialized knowledge and technique. Fifth, it is needed for them to build a network with medical institutes to receive a prompt diagnosis and specialized treatment.

• 재활복지
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• v.20 no.3
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• pp.179-193
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• 2016

Chin Tuck Against Resistance Exercise(CTARE) and Shaker exercise is used to common for strengthening of suprahyoid muscle. No previous studies was compare of two exercises for patients with dyaphagia. This study investigated the effects of CTARE and Shaker exercise on suprahyoid, sternocleidomastoid muscle activity in stroke older patients with dysphagia. Ten stroke patients with dyaphagia voluntarily participated in this study. All subjects was performed in the order in the CTARE (isometric, isokinetic), Shaker (isometric, isokinetic), and repeated each ten trials. After CTARE was performed, subjects took a 5 min wash out period to minimize muscle fatigue. Activity of suprahyoid and sternocleidomastoid muscle during two training was analyzed using surface electromyography(sEMG). Wilcoxon signed rank test was used to assess differecences for muscles activity between the effects of the CTAR and Shaker exercise within group. CTARE and Shaker exercise showed no significant difference activity in suprahyoid muscle(p > .05). CTARE showed significantly lower muscle activity in sternocleidomastoid muscle than Shaker exercise(p < .05). CTARE in stroke older patients with dysphagia may be a effective intervention to improve swallowing function than Shaker exercise.

• Journal of the Korean Association of Geographic Information Studies
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• v.22 no.1
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• pp.78-92
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• 2019

This study aims to evaluate the efficiency in the provision of employment services for the middle-aged by using spatial analysis in GIS. Based on location information of employment service institutions, we find service areas of the institutions and calculate regional rates of duplication and exclusion in terms of spatial coverage of the employment services. Taking into account potential demand for employment services, the regions with high priority in the provision of the services are identified. Among the regions, those with high exclusion rate of the services are designated as the regions of insufficient service level. Results indicate that Namyangju-si is a representative region of insufficient employment service level. To improve efficiency in the provision of employment services, we suggest to relocate employment service institutions that have been located in a region of high duplication rate such as Siheung-si, Danwon-gu, Gangnam-gu, Songpa-gu into the locality of Namyangju-si.

• The Korean journal of internal medicine
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• v.33 no.6
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• pp.1224-1233
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• 2018

Background/Aims: The objective of this study was to determine the efficacy and safety of add-on therapy with certolizumab pegol (CZP) in active rheumatoid arthritis (RA) patients of a single ethnicity. Methods: In this 24-week, phase 3, randomized, double-blind, placebo-controlled trial, eligible patients (n = 127) were randomized 2:1 to subcutaneous CZP + methotrexate (MTX; 400 mg at week 0, 2, and 4 followed by 200 mg every 2 weeks) or placebo + MTX. Results: At week 24, the American College of Rheumatology criteria for 20% (ACR20) response rate was significantly greater with CZP + MTX than with placebo (66.7% vs. 27.5%, p < 0.001). Differences in ACR20 response rates for CZP vs. placebo were significant from week 1 (p < 0.05) and remained significant through week 24. The CZP group reported significant improvement in physical function and disability compared to the placebo group (p < 0.001) at week 24, as assessed by Korean Health Assessment Questionnaire-Disability Index (KHAQ-DI). Post hoc analysis indicated that the proportion of patients who had ACR70 responses, Disease Activity Score 28 (DAS28) low disease activity, and DAS28 remission at week 24 was greater in CZP + MTX-treated patients who achieved a decrease in DAS28 ${\geq}1.2$ (43.8%) at week 4 than in nonresponders. Among 18 (22.2%) and 14 patients (35.0%) in CZP and placebo groups who had latent tuberculosis (TB), none developed active TB. Most adverse events were mild or moderate. Conclusions: CZP treatment combined with MTX in active RA patients with moderate to severe disease activity and an inadequate response to MTX resulted in rapid onset of efficacy, which is associated with better clinical outcome at week 24 and has an acceptable safety profile, especially in an intermediate TB-burden population.

• Journal of Breast Disease
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• v.6 no.2
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• pp.60-72
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• 2018

Purpose: According to American Society of Clinical Oncology/College of American Pathologists guidelines, breast cancer is human epidermal growth factor receptor 2 (HER2) positive if there is HER2 protein overexpression at a 3+ level on immunohistochemistry (IHC 3+) or gene amplification (more than six copies per nucleus) on fluorescence in situ hybridization (FISH+). However, there have been few reports on whether outcomes differ based on diagnosis by these two techniques. In this study, we compared outcomes based on the two methods in patients with HER2-positive breast cancer. Methods: This study was a retrospective analysis of HER2-positive breast cancer in 18,304 patients, including 14,652 IHC 3+ patients and 3,652 FISH+ patients from the Korean Breast Cancer Society Registry. We compared breast cancer-specific survival and overall survival based on IHC 3+ and FISH+ status with or without trastuzumab. Results: Breast cancer-specific survival was significantly different between the IHC 3+ and FISH+ groups, with 5-year cumulative survival rates of 95.0% for IHC 3+ and 98.5% for FISH+ patients who did not receive trastuzumab (p=0.001) in Kaplan-Meier methods. However, there were no significant differences in breast cancer-specific survival and overall survival between IHC 3+ and FISH+ groups regardless of trastuzumab treatment in Cox proportional hazards models. Conclusion: The survival outcomes were not affected by the different two diagnostic methods of HER2-positive breast cancer. Further research to evaluate differences in prognosis and other characteristics according to the diagnostic methods of HER2 positivity is needed in the future.

• Journal of the Economic Geographical Society of Korea
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• v.21 no.4
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• pp.321-334
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• 2018

There are many factors that cause uneven regional developments in the country and one of main factors is outflow of regional income or products. The purpose of this study is to analyze regional production runoff by comparing GRDP and GRNI in basic local governments level. In this study, GRNI of basic local governments are estimated by local income tax data, The results of the study are as follows. Firstly, GRNI is more concentrated than GRDP. The analysis of Moran I showed that the spatial autocor-relation of GRNI is more distinct than that of GRDP. Local Moran I analysis shows that spatial hot spots and cold spots are more apparent in GRNI than GRDP. Secondly, the outflows of GRDP into a small number of regions are apparent. In about 80% of basic local governments, the net outflows of GRDP occur. The large net outflow regions are cities where manufacturing industry has developed and in the 20 lowest net outflow rate regions, 70-80% of GRDP outflows. The large net inflow regions are metropolitan area in Seoul and large local cities. Seocho-gu, Yongsan-gu, and Gangnam-gu in Seoul have a large net inflows and net inflow rates are over 90% of GRDP.