• Journal of Gastric Cancer
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• v.24 no.2
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• pp.210-219
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• 2024

Purpose: The study aimed to investigate real-world surgical outcomes of minimally invasive surgery (MIS) for advanced gastric cancer using Korean Gastric Cancer Association (KGCA)-led nationwide data. Materials and Methods: A nationwide survey of patients who underwent surgical treatment for gastric cancer in 2019 was conducted by the KGCA. A total of 14,076 patients from 68 institutions underwent surgery, and 4,953 patients diagnosed with pathological stages IB-III gastric cancer were included. Among them, 1,689 patients who underwent MIS (MIS group) and 1,689 who underwent the open approach (open group) were matched using propensity score in a 1:1 ratio. Surgical outcomes were compared, and multivariate analysis was performed to identify the independent factors for overall morbidity. Results: The MIS group had a lower proportion of D2 lymphadenectomy, total omentectomy, and combined resection. However, the number of harvested lymph nodes was higher in the MIS group. Better surgical outcomes, including less blood loss and shorter hospital stay, were observed in the MIS group, and the overall morbidity rate was significantly lower in the MIS group (17.5% vs. 21.9%, P=0.001). The mortality rates did not differ significantly between the 2 groups. In the multivariate analysis, the minimally invasive approach was a significant protective factor against overall morbidity (odds ratio, 0.799; P=0.006). Conclusions: Based on the Korean nationwide data, MIS for stage IB-III gastric cancer had better short-term outcomes than the open approach, including lower rates of wound complications, intra-abdominal abscesses, and cardiac problems.

• Proceedings of the Korean Geotechical Society Conference
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• 2010.03a
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• pp.927-932
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• 2010

This study made a nationwide metropolitan region map on the basis of disaster vulnerability and administrative boundary, and based on it, it divided small-sized regions and constructed disaster history of each region. For the disaster vulnerability, the study wrote slope, aspect, curvature, wetness index, and drainage density, compared and analyzed regions with disaster and geomorphic elements to distinct the factor with high correlations, and based on it, it divided small-sized regions for forecasting and warning system of middle regions(Gangwon province, Chungchung province, and Jeolla province). Through the method, Gangwon region were divided into 4 small-sized regions, Chungchung into 5 small-sized regions, and Jeolla into 6 small-sized regions.

• School Mathematics
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• v.11 no.4
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• pp.547-565
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• 2009

This study presents the examination system, contents, and types of items in mathematics in the examination subjects at a nationwide level that are applied to examination materials for college entrance through analyzing such system, contents, and types of problems. Based on the results of this analysis, this study draws certain issues on the contents that are to be included in large-scale national examinations used for materials for college entrance, types of items which are able to appropriately present such content, and specific issues on the examination system in order to effectively perform the examination through proper configurations in all these issues. Thus, this study will provide some basis to determine the examination system in mathematics for the College Scholastic Ability Test according to future educational curriculum.

• Proceedings of the Microbiological Society of Korea Conference
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• 2003.05a
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• pp.80-81
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• 2003

• Journal of the Korean BIBLIA Society for library and Information Science
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• v.23 no.1
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• pp.153-178
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• 2012

This study covers the basic information of the small libraries nationwide, holding materials, facilities/equipment, human resources, budget, usage/users, and service etc. The survey is divided into 4 steps to produce accurate statistical data and analyze it. As a result, total 3,349 small libraries meet the criteria of the Library Act in 2010. Their holding materials, facilities/equipment, human resources, budget, usage, service program are lack of providing the knowledge information and reading culture service, which is defined in the Library Act. In particular, the majority of small libraries(80%) are in poor condition to operate library facilities/equipment, budget, and their operation. This study proposes some suggestions to overcome the poor condition and to make small libraries prosperous in the near future.

• Journal of Korean Medical Science
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• v.33 no.46
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• pp.290.1-290.11
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• 2018

Background: The role of antidepressants (ADs) in bipolar disorder is long-standing controversial issue in psychiatry. Many clinicians have used ADs as a treatment for bipolar depression, and the selection of therapeutic agents is very diverse and inconsistent. This study aimed to examine recent AD prescription patterns for patients with bipolar disorder in Korea, using the nationwide, population-based data. Methods: This study utilized the Korean nationwide, whole population-based registry data of the year 2010, 2011, and 2013. All prescription data of the ADs, antipsychotics, and mood stabilizers of the sampled patients diagnosed with bipolar disorder (n = 2,022 [in 2010]; 2,038 [in 2011]; 2,626 [in 2013]) were analyzed for each year. Results: Annual prescription rate of ADs was 27.3%-33.6% in bipolar disorder, which was gradually increasing over the 3-year period. The combination pattern of ADs and antipsychotic drugs tended to increase over 3 years. The proportion of females and the prevalence of comorbid anxiety disorder were significantly higher in AD user group in all three years. Among individual ADs, escitalopram was prescribed most frequently, and fluoxetine and bupropion were prescribed to the next many patients. The mean duration of bipolar depressive episodes was 135.90-152.53 days, of which ADs were prescribed for 115.60-121.98 days. Conclusion: Our results show prescription rate of ADs in bipolar disorder was maintained at substantial level and increased in recent 3 years. More empirical data and evidence are needed to establish practical treatment consensuses.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• v.20 no.3
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• pp.153-159
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• 2017

Purpose: Acid neutralization during chemical clearance is significantly prolonged in children with cystic fibrosis, compared to symptomatic children without cystic fibrosis. The absence of available reference values impeded identification of abnormal findings within individual patients with and without cystic fibrosis. The present study aimed to test the hypothesis that significantly more children with cystic fibrosis have acid neutralization durations during chemical clearance that fall outside the physiological range. Methods: Published reference value for acid neutralization duration during chemical clearance (determined using combined impedance/pH monitoring) was used to assess esophageal acid neutralization efficiency during chemical clearance in 16 children with cystic fibrosis (3 to < 18 years) and 16 age-matched children without cystic fibrosis. Results: Duration of acid neutralization during chemical clearance exceeded the upper end of the physiological range in 9 of 16 (56.3%) children with and in 3 of 16 (18.8%) children without cystic fibrosis (p=0.0412). The likelihood ratio for duration indicated that children with cystic fibrosis are 2.1-times more likely to have abnormal acid neutralization during chemical clearance, and children with abnormal acid neutralization during chemical clearance are 1.5-times more likely to have cystic fibrosis. Conclusion: Significantly more (but not all) children with cystic fibrosis have abnormally prolonged esophageal clearance of acid. Children with cystic fibrosis are more likely to have abnormal acid neutralization during chemical clearance. Additional studies involving larger sample sizes are needed to address the importance of genotype, esophageal motility, composition and volume of saliva, and gastric acidity on acid neutralization efficiency in cystic fibrosis children.

• Journal of the Korean Society of Marine Environment & Safety
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• v.16 no.3
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• pp.269-274
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• 2010

Present state of nationwide marine facilities reported to Minister of Land, Transport and Maritime Affairs{MLTM} in Korea for two years 2008 and 2009 was analyzed, and management plan was proposed in this study. As of the end of 2009, total number of nationwide marine facilities was reported to be 672 and to be scattered along the coasts all over the nation. 124 marine facilities reported to Masan regional maritime affairs and port office occupied 18.5% of total nationwide number. 69 marine facilities reported to Mokpo regional office and 69 marine facilities reported to Pohang regional office occupied 10.3%, respectively. 181 marine facilities reported to Busan and Masan regional offices occupied 26.9%, meaning that about a quarter of total nationwide marine facilities concentrated in Southeastern Sea of Korea centering around Busan and Masan. 320 oil and noxious liquid substances storage facilities occupied 47.6% of total nationwide number. 11 pollutant storage facilities occupied 1.6%. 178 ship construction, repair and scrap facilities occupied 26.5%. 7 cargo handling facilities occupied 1.0%. 12 waste storage facilities occupied 1.8%. none of marine facilities for tourism, housing and restaurant were reported. 88 water intake and outlet facilities occupied 13.1%. 37 fishing spots at play occupied 5.5%. 13 other marine facilities occupied 1.9%. 6 integrated marine science base facilities occupied 0.9% of total nationwide number. The guidance and the public relation for national report system of marine facilities, the improvement of national report system and management plan, the advancement and complement of national report affairs-handling guides, and the voluntary participation in national report system and the performance of duties by the owners of marine facilities were proposed for better management plan of marine facilities.

• Journal of Pharmacopuncture
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• v.27 no.2
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• pp.142-153
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• 2024

Objectives: This study aimed to analyze the educational needs of interns and residents in Korean medicine as the first step in developing an education program to improve their research competencies. Methods: A mixed-method design, incorporating both quantitative and qualitative data collection methods, was used to investigate the educational needs for research competencies among interns and residents working in Korean medicine hospitals nationwide. Data were collected through online surveys and online focus group discussions (FGDs), and processed using descriptive statistical analysis and thematic analysis. The study results were derived by integrating survey data and FGD outcomes. Results: In total, 209 interns and residents participated in the survey, and 11 individuals participated in two rounds of FGDs. The majority of participants felt a lack of systematic education in research and academic writing in postgraduate medical education and highlighted the need for nationally accessible education due to significant disparities in the educational environment across hospitals and specialties. The primary barrier to learning research and academic writing identified by learners was the lack of knowledge, leading to time constraints. Improving learners' research competencies, relationship building, autonomy, and motivation through a support system was deemed crucial. The study also identified diverse learner types and preferred educational topics, indicating a demand for learner-centered education and coaching. Conclusion: This study provides foundational data for designing and developing a program on education on research competencies for interns and residents in Korean medicine and suggests the need for initiatives to strengthen these competencies.

• Journal of Nutrition and Health
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• v.28 no.2
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• pp.152-161
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• 1995

The purpose of this study was to provide a baseline assessment and relationship of nutrition attitude and food habit among mothers of middle school students. Eighteen questions were developed to test nutrition attitude and food habit test was used to reflect dietary behavior. The questionnare was mailed to a representative sample of nationwide middle schools, and was asked to be answered by mothers of one class' students. Usable questionnares were recieved from 4,694 participants of 99 schools. The mean score of nutrition attitude was 65.9 out of minimum possible score 18 and maximum 90. Nutrition attitude was weaker in the areas of control and self-efficacy than in intention and outcome-expectation. The mean score of food habit was 38.6 out of minimum possible score 12 and maximum 60. Food habit was weaker in the areas of protein, vitamins & minerals and dietary fiber than in the other areas. Nutrition attitude and food habit scores were lower among rural, manually working, lower educated and low-income mothers. There was a significant correlation between nutrition attitude and food habit(r=0.37, p<0.001).