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Using 2-mSv Appendiceal CT in Usual Practice for Adolescents and Young Adults: Willingness Survey of 579 Radiologists, Emergency Physicians, and Surgeons from 20 Hospitals

  • Hyuk Jung Kim;Kyoung Ho Lee;Min-Jeong Kim;Sung Bin Park;Yousun Ko;LOCAT Group
    • Korean Journal of Radiology
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    • v.21 no.1
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    • pp.68-76
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    • 2020
  • Objective: To survey care providers' willingness to use 2-mSv computed tomography (CT) in their usual practice for adolescents and young adults with suspected appendicitis. Materials and Methods: An ethical committee approved this prospective study. We introduced 2-mSv CT in 20 hospitals through a pragmatic clinical trial. At the final phase of the trial, we invited 698 potentially-involved care providers in the survey regarding their willingness to use 2-mSv CT. Multivariable logistic regression analyses were performed to identify factors associated with willingness. Nine months after the completion of the trial patient recruitment, we surveyed whether the hospitals were using 2-mSv CT in usual practice. Results: The analyses included responses from 579 participants (203 attendings and 376 trainees; 221 radiologists, 196 emergency physicians, and 162 surgeons). Regarding the willingness to immediately change their standard practice to 2-mSv CT, 158 (27.3%), 375 (64.8%), and 46 (7.9%) participants responded as "yes" (consistently), "partly" (selectively), and "no", respectively. Willingness varied considerably across the hospitals, but only slightly across the participants' departments or job titles. Willingness was significantly associated with attendings (p = 0.004), intention to maintain the dedicated appendiceal CT protocol (p < 0.001), belief in compelling evidence on the carcinogenic risk of conventional-dose CT radiation (p = 0.028), and hospitals having more than 1000 beds (p = 0.031). Fourteen of the 20 hospitals kept using 2-mSv appendiceal CT in usual practice after the trial. Conclusion: Despite the extensive efforts over the years of this clinical trial, many care providers were willing to use 2-mSv CT selectively or not willing to use.

The Meditating Effects of Public Employees Professionalism on the Relationship between Public Occupational Ethical Awareness and Organizational Commitment (공무원 직업윤리의식과 조직몰입의 관계에서 직업전문성의 매개효과)

  • Yang, So-Young;Kim, Nam-Sook
    • The Journal of the Korea Contents Association
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    • v.20 no.2
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    • pp.678-688
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    • 2020
  • Occupational ethical awareness is a system of norms and standards of behavior and an important component of professionalism that affects organizational performance and commitment. The purpose of this study is to examine the mediating effect of professionalism on the relationship between job ethics and organizational commitment of civil servants. A survey was conducted on 300 central government officials with more than one year of employment. 261 copies were used for the final analysis. The results are as follows. First, the vocational ethics of civil servants had a significant effect on professionalism. The higher the years of service, the higher the level of ethics. Second, the work ethic of public officials had a significant effect on organizational commitment. These results can be interpreted as the internal commitment of civil servants to the state of work ethic. Third, the mediating effect of professionalism was verified in the relationship between public morality and organizational commitment. Based on these results, the public ethics of public servants are the basis for accepting public values and goals. Vocational expertise with embedded codes of conduct and value systems influences organizational commitment. As a practical implication for improving the ethical ethics of public officials, education programs for improving ethical consciousness according to job titles and duties were provided, and the ethical ethical competence was presented.

Educational Need Assessment for Developing Curriculum for Field Epidemiology Specialist Training Program on Infectious Disease (전염병관리 전문요원 교육과정 개발을 위한 교육요구 사정)

  • 박노례;정인숙;김영택;정은경;전진호;송미숙;이인숙;조성일;천병철
    • Health Policy and Management
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    • v.12 no.2
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    • pp.76-91
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    • 2002
  • This study aimed to assess the educational need for management of communicable disease prior to developing curriculum for Field Epidemiology Specialist Training Program on Infectious Disease. We sent questionnaires(72 items) to two personnels who were related to communicable disease in each public health center through e-mai and 300 were returned(62.0% of response rate). The subject for education which showed the highest educational need was management(2.31 point), followed by immunization(2.30 point), and the lowest was surveillance(2.10 point). Generally, the educational need was higher in the aspect of attitude or practice than in that of knowledge. The subject which showed the differences in educational need by job titles were immunization(p<0.01), outbreak investigation(p<0.01), and case management and sanitation(p<0.01). There was negative correlation between communicable disease management-working duration and educational need. Considering this result, the curriculum should be focused on strengthening the ability for problem-solving especially in management and immunization.

Exploring the Suicide Phenomena in Korea Using News Big Data Analysis (뉴스 빅데이터를 활용한 한국의 자살현상 분석)

  • Lee, Jungeun;Lyu, Jiyoung
    • The Journal of the Korea Contents Association
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    • v.21 no.3
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    • pp.33-46
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    • 2021
  • Using news big data analysis, this study was aimed to examine the suicide phenomena in Korean society, and to evaluate whether suicide prevention policies reflect social phenomena appropriately. For this purpose, 9,142 news titles with suicide as the keyword were collected from eight central newspapers between 2000 to 2018. Nouns were extracted, and data was refined for network analysis. The total period was divided into 4 periods based on the 1st and 2nd suicide prevention policies, and the characteristics of suicide phenomena in each period were identified through the top 50 frequent main words and the clusters. As a result, period 1 (2000~2003) with 6 clusters (military, internet environment, economic problems, pessimism, school, corruption), period 2 (2004~2008) with 8 clusters (high social class, school, economic problems, suicide attempts, family issues, social problems, military, responsibilities), period 3 (2009~2013) with 6 clusters (school, family issues, suicide attempts, occupation, military, investigation), and period 4 (2014~2018) with 8 clusters (military, suicide insurance money, family issues, suicide attempts, occupation, job stress, celebrity, corruption) were identified. Study results suggested the characteristics of suicide phenomena in our society. Further, the appropriateness of the implementation of suicide prevention policies was discussed.

A Survey of Recommendation Intent for Small Business Tax Accounting Services (소규모 사업체의 세무회계서비스 추천 의향 조사)

  • Lee, Jaein;Kim, Sung-Hee
    • Science of Emotion and Sensibility
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    • v.25 no.2
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    • pp.71-78
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    • 2022
  • This study investigates the recommendation for tax accounting services used in many companies. In particular, it aims to create guidelines for small businesses with fewer than 100 employees, which are relatively difficult to manage in terms of cost or time. We surveyed 100 corporate officials on basic business information, such as the number of employees, job titles, and business type, as well as the type of tax accounting service, the recommended score for the service, the reason for the score, and other opinions related to tax accounting services. In particular, the recommendation score seeks to obtain more effective results by using the Net Promoter Score method, which is known to be more effective in understanding customer opinions than general customer satisfaction surveys. The survey revealed a Net Promoter Score for a recommendation of -33 points, lower than the general Net Promoter Score. It also indicated that tax accounting services need improvement. Specifically, the opinions of the respondents who gave a non-recommendation score were as follows: "Not inconvenient or comfortable," "It was just okay," "I don't know if it would be helpful," and "There is no differentiation and there are no special alternatives." We concluded that an improved service for raising recommendation scores was necessary. This survey focused on recommendations for companies with fewer than 100 employees; future studies should incorporate larger companies and more variables.

A Research on the Education, Knowledge and Management levels about Sanitation at Window Bakery in the Metropolitan Area (수도권 지역 윈도우 베이커리의 위생 교육, 위생 지식과 위생 관리 현황에 관한 연구)

  • Hwang, Yoon-Kyung;Woo, In-Ae;Lee, Hee-Tae
    • Culinary science and hospitality research
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    • v.18 no.4
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    • pp.148-165
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    • 2012
  • The purpose of this study is to investigate window bakery employees' knowledge levels and performance in food sanitation. The questionnaire consists of education, knowledge and management levels for food sanitation. A total of 300 copies of questionnaire were distributed to window bakery employees, and 295 copies were used for the study among them. In the knowledge analysis of food sanitation, it had the highest percentage of correct answers for 'Clip fingernails short and do not use nail polish,' but the lowest rank for 'Foodborne disease breaks out mainly in summer time.' In sanitary management performance, 'Clip fingernails short and do not use nail polish'(4.67) and 'Wash hands after using toilet'(4.67) items showed high scores, but 'Have and use hand washer'(3.12) showed the lowest score as a result of knowledge analysis. The sanitary knowledge by job title showed that the scores of general managers were generally lower than those of others. The employees who had working duration less than 1 year had a high score in sanitary knowledge levels. The more the education of sanitation, the better the knowledge of sanitation. In sanitary management performance levels, the scores were high in personal hygiene, ingredients & preparation hygiene, facility & workplace hygiene in order. The scores of sanitary management performance levels were low for the employees who had less than 1 year working duration. The employees who had no sanitary training showed the low knowledge and sanitary management practice levels(p<0.05). The analysis of each question about sanitary management performance levels by age, job titles, frequency of sanitary education, and checklists revealed that the employees who had no sanitary training or no checklist showed the low sanitary management performance levels overall.

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The Back Garden Structure and the Symbolism of Immortal World of Gangwon Provincial Office in Late Joseon Dynasty (조선후기 강원감영의 후원조영(造營)과 신선세계)

  • Lee, Sang Kyun
    • Korean Journal of Heritage: History & Science
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    • v.49 no.3
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    • pp.12-31
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    • 2016
  • Gangwon Provincial Office, which is Historical Landmark No. 439, existed from 1395 to 1895. It played a significant role of provincial administration. Gangwon Provincial Office was rebuilt in the $17^{th}$ Century when governors' additional job system began. It had 50 buildings and 670 sections. During the Japanese colonial era and the Korean War, most of the buildings were demolished, and in 2005 partially restored. Currently, after the old Wonju City Post Office was demolished, the back garden facilities of the Provincial Office are being restored. The back garden of Gangwon Provincial Office was completely destroyed when the Japanese army base at Wonju made it a playing field during the Japanese colonial era. After demolishing the old post office in the back garden, excavation and investigation were made. A pond and building relics were found, but they were too damaged to be restored. However, this thesis found that there were Bongraekak, Yeongjusa(Kwanpungkak), Cheyako, Joojeong Rainbow Bridge after studying literature and paintings. There were also Hwansunjeong and Bangjangdae outside the pond. The names of the back garden and how they were made are related to hsien. In the pond, they made 3 islands signifying Mt. Samshin(immortal world) in the legend and built pavilions on that. The pavilions of the back garden were named Bongrae, Yeongju, and Bangjang, and the titles of other pavilions also had the names of hsien. The back garden of Gangwon Provincial Office was made like an immortal world, befitting its role of governing Mt. Bongrae(Mt. Geumgang.) The governors of Gangwon Province often went to the back garden and enjoyed becoming a hsien. They regarded themselves as the owners of Bongrae, i.e., the immortal world. Gangwon Provincial Office has a unique historical significance because it implemented an immortal world, making use of the characteristic of Gangwon Province.

Developments of Local Festival Mobile Application and Data Analysis System Applying Beacon (비콘을 활용한 위치기반 지역축제 모바일 애플리케이션과 데이터 분석 시스템 개발)

  • Kim, Song I;Kim, Won Pyo;Jeong, Chul
    • Korea Science and Art Forum
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    • v.31
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    • pp.21-32
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    • 2017
  • Local festivals form the regional cultures and atmosphere of communication; they increase the demand of domestic tourism businesses and thus, have an important role in ripple effects (e.g. regional image improvement, tourist influx, job creation, regional contents development, and local product sales) and economic revitalization. IoT (Internet of Thing) technologies have been developed especially, beacon-one of the IoT services has been applied as plenty of types and forms both domestically and internationally. However, notwithstanding expansion of current digital mobile technologies, it still remains as difficult for the individual to track the information about all the local festivals and to fulfill the tourists' needs of enjoying festivals given the weak strategic approaches and advertisement activities. Furthermore, current festival-related mobile applications don't function well as delivering information and have numerous contents issues (e.g. ways of information delivery within the festival places, independent application usage for each festival, one time usage due to one time event). This research, based on the background mentioned above, aims to develop the local festival mobile application and data analysis system applying beacon technology. First of all, three algorithms were developed, namely, 'festival crowding algorithm', 'visitor stats algorithm', and 'customized information algorithm', and then beta test was followed with the developed application and data analysis system. As a result, they could form the database of visitors' types and behaviors, and provide functions and services, such as personalized information, waiting time for festival contents, and 'hot place' function. Besides, in Google Play store, they also got the titles given with more than 13,000 downloads within first three months and as the most exposed application related with festivals; and, thus, got credited with their marketability and excellence. This research follows this order: chapter 2 shows the literature review of local festival related with technology development, beacon service, and festival application. In Chapter 3, design plans and conditions are described of developing local festival mobile application and data analysis system with beacon. Chapter 4 evaluates the results of the beta performance test to verify applicability of the developed application and data analysis system, and lastly, chapter 5 explains the conclusion and suggests the future research.