• Title/Summary/Keyword: Nationwide Study

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Verification of the Korean Version of the Dental Fear Survey

  • Kim, Ah-Hyeon;Ahn, Eun-Suk;An, So-Youn
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.19 no.6
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    • pp.361-367
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    • 2019
  • Background: Although studies on dental fear in relation to sex and age have been conducted, there have been few nationwide studies particularly on the youth sector. In addition, no validity and reliability verifications have been implemented for new research groups on the Korean version of the Dental Fear Survey (K-DFS). Therefore, this study aimed to apply the K-DFS developed in a previous study on Korean youth to draw conclusions on dental fear among the youth. Methods: This study used the K-DFS, a Korean translation of Kleinknecht's Dental Fear Survey for elementary school, middle school, and high school students. This study selected 2,161 young people of various ages as participants and increased the validity of the research results by expanding nationwide the scope of the study area. Results: Differences in fear levels according to sex were higher in boys fear behavior scores than in girls' regarding dental treatment (P < 0.05). Students with dental fear had higher scores on items associated with dental treatment and fear of dental stimuli compared with students without dental fear (P < 0.05). Differences were observed among the three groups (P < 0.05). However, the results of logistic regression analysis showed no statistically significant differences for dental visits based on sex, grade, and other subcomponents (P > 0.05). Conclusion: By verifying the validity of the newly developed K-DFS, this research confirmed its utility as a dental fear questionnaire. Therefore, there can be no objection that the grounds for criticism have been established according to conventional wisdom. In the future, however, developing and studying the limits of K-DFS that overcome the factors of dental fear, especially pain, will help reduce dental fear in adolescents.

Current Research Status of National Health Insurance Database Studies in Korea Related to Parkinson's Disease and Future Research Proposals for Integrative Therapies (국민건강보험공단 청구자료를 활용한 파킨슨병과 관련된 코호트 연구 디자인 분석 및 향후 한의중재 관련 파킨슨 후향적 코호트 연구를 위한 제언)

  • Ye-Chae Hwang;Jungtae Leem
    • Journal of Society of Preventive Korean Medicine
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    • v.28 no.1
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    • pp.69-87
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    • 2024
  • Objectives : This study is to investigate the current National Health Insurance Database cohort studies related to complications of Parkinson's Disease (PD) and suggest the design of Korean medical epidemiological studies of PD. Methods : Nationwide longitudinal studies of PD patients in South Korea were collected through Pubmed and the Korea Citation Index (KCI). We selected cohort studies that used the National Health Insurance Database in Korea and targeted Parkinson's disease patients. Studies published before February 2024 were categorized according to study designs. We examined variables and covariates, enroll dates and matching methods. Results : Of a total of 536 studies, 18 studies met the inclusion criteria. All studies used the National Health Insurance (NHI) Research Database and among them, 5 used sample data and one senior database. Studies can be classified into two types. 11 cohort studies were comparing PD patients and non-PD patients. Another type was 4 PD patients cohort studies. Most studies used two diagnostic codes (G20 and V124) for inclusion criteria. Enroll periods were from 2002 to 2017, and follow-up periods were from 7 to 14 years. 16 studies considered age and sex as covariates. 15 studies used the propensity score matching method to increase the level of causality. There was only one study related to the Korean medical treatment. Conclusion : In future cohort studies on Korean medical treatment, more attempts should be made to reveal the effect of the treatments on PD patients by defining inclusion criteria for patient groups, covariates, exposure variables, and assessment indicators more operatively.

Statistics of Poison Exposure in Korea (국내중독현황)

  • Hwang Jung-Yun;Ko Jae-Ook
    • Journal of The Korean Society of Clinical Toxicology
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    • v.1 no.1
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    • pp.59-64
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    • 2003
  • Objective: This study was conducted for the nationwide statistical survey of poison exposure to provide the rationale for establishing and developing the poison control center (PCC) in Korea. Design: Study group for Korea PCC in National Medical Center reviewed the medical literature on poison exposure of Korea from death reports of National Statistical Office (NSO), the toxic exposure statistics from the report of National Health Insurance Corporation (NHIC), and poison related data from 119 ambulance services (FD) for the purpose of obtaining the poison and its related data. We also conducted questionnaire from the expert who work in emergency medicine department at the designated 320 emergency medical centers in Korea for the preparedness and acknowledgement about necessity of PCC and their need for that. Results: We reviewed the reliable data from the death report of NSO, poison exposure data from NHIC, and running report from FD. Poisoning death occured at home ($36.7\%$) and hospital ($46.3\%$). Poisoning are more common in rural area than the city area. Patients were seen more frequently in the local clinics than in any hospital. The drugs ($45.7\%$) and pesticide ($18.1\%$) are common poison. Common place to poison exposure were residential area ($39.9\%$), industry ($9\%$). mass residential area ($7\%$). and farm ($6\%$). The education level were primary school ($33.2\%$), high school ($23.7\%$), and middle schol ($21.3\%$) in order. We have to provide the poison guideline for lay public to understand easily, and for medical experts. The medical facilities need to be invested and have more interest for toxicology. All medical staff who work in the designated emergency medical center want PCC to establish. They want to have poison information from hospital ($91.3\%$), regional poison information center ($45.0\%$), regional poison control center ($52.5\%$), nationwide poison information center ($48.8\%$), nationwide poison control center ($46.25\%$), as a role of poison control center. They also want that pcc have poison epidemiologic study and statstics, training program for the experts, registration of rare case of posion on website, reflection of policies to activities for antidote production etc., speedy consultation system for poison analysis, public education, establishment of both regional and national pee, etc. Conclusion: Poison center must be established to provide poison information for all the public and medical experitise, focusing rural area and private clinic, to detoxify, to reduce the cost, time, morbity, and mortality through the whole country.

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Characteristics of poisoning patients visiting emergency departments before and after the COVID-19 pandemic (코로나바이러스감염증-19 대유행 전, 후의 응급실로 내원한 중독 환자의 특성)

  • Seung Jae Kee;Yongil Cho;Hyunggoo Kang;Tae Ho Lim;Jaehoon Oh;Byuk Sung Ko;Juncheol Lee
    • Journal of The Korean Society of Clinical Toxicology
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    • v.20 no.2
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    • pp.66-74
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    • 2022
  • Purpose: This study investigates the characteristics and prognosis of acute poisoning patients visiting nationwide emergency departments before and after the Coronavirus disease 2019 (COVID-19) pandemic. Data were obtained from the National Emergency Department Information System (NEDIS). Methods: This nationwide retrospective observational study included acute poisoning patients who visited the emergency departments between February 1 to December 31, 2020, which has been determined as the pandemic period. The same periods in 2018 and 2019 were designated as the control periods. The primary outcome assessed was the length of stay in emergency departments (EDLOS). The secondary outcomes examined were intensive care unit admission rate and in-hospital mortality rate before and after the pandemic. A subgroup analysis was performed for inpatients and intentional poisoning patients. Results: A total of 163,560 patients were included in the study. During the pandemic, the proportion of women increased from 50.0% in 2018 and 50.3% in 2019 to 52.5% in 2020. Patients aged 20-29 years increased from 13.4% in 2018 and 13.9% in 2019 to 16.6% in 2020. A rise in cases of intentional poisoning was also noted - from 33.9% in 2018 and 34.0% in 2019 to 38.4% in 2020. Evaluating the hospitalized poisoned patients revealed that the EDLOS increased from 3.8 hours in 2018 and 3.7 hours in 2019 to 4.2 hours in 2020. ICU admissions were also markedly increased (2018, 48.2%; 2019, 51.8%; 2020, 53.2%) among hospitalized patients. Conclusion: The COVID-19 pandemic has changed the epidemiology, clinical characteristics, and prognosis of acute poisoning patients visiting nationwide emergency departments in Korea. The proportion of young adults, women, and intentional poisoning patients has increased after the COVID-19 pandemic. Prolonged length of stay at the emergency department and an increased rate of intensive care unit admissions were determined in hospitalized acute poisoning patients.

A Study of Improvement for Public Records Management Act: Based on KS X ISO 15489 ("공공기록물 관리에 관한 법률" 개선 방향에 관한 연구: KS X ISO 15489 표준에 입각하여)

  • Jeong, Ki-Ae;Kim, You-Seung
    • Journal of the Korean Society for information Management
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    • v.26 no.1
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    • pp.231-257
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    • 2009
  • In South Korea the records management system nationwide has been developed based on 'the Act on public agencies' records management' which was first enacted in 1999. Furthermore, 'the Act on public records management 2006' has shifted a paradigm of records management to the digital records world. In this context, the records management standard, KS X ISO 15489 has a profound significance. Based on the principle of that there should not be any conflict between nationwide records management laws and standard, this study explores a meaning of the standard and discusses contradictive elements between the laws and standard. On the basis of the main contents of the standard's five categories, the study analyzes the laws in comparison with the standard. As a result, the study provides remedies for the current records management law and discusses a prospect of records management strategies in the 21st Century.

A Comparative Study on the Transport Policies for the Railway-centered Transport Network (철도중심교통체계로의 개편을 위한 교통정책비교분석 연구)

  • Bhang, Youn-Keun;Oh, Suk-Mun
    • Proceedings of the KSR Conference
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    • 2011.05a
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    • pp.796-811
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    • 2011
  • Authors analysized transport policies of the European countries about the intermodal transport since 2002 and urban transport to add new ones to the Korean transport policies for the railway-oriented transport network. Now the Ministry of Korean transport tries to invest more than before in the railway to increase the speed of the conventional lines and to construct high speed lines. The Ministry also try to integrate ticketing and payment of urban public transport with a smart card nationwide.

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Neonatal seizures in Korea, 1983-2009 (국내 신생아 경련에 대한 보고)

  • Suh, Eun Sook
    • Clinical and Experimental Pediatrics
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    • v.52 no.9
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    • pp.957-963
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    • 2009
  • Neonatal seizures are the most common and distinctive clinical sign of prenatal and/or neonatal brain disorders. Newborn infants with seizures are at risk of mortality and survivors at risk for neurologic impairment, developmental delay, and subsequent epilepsy. Fifteen reports on neonatal seizures in Korea from 1983 to 2009 were analyzed. A total of 731 neonatal seizure cases were reported. Day of seizure onset, etiology, type of seizures, electroencephalogram findings, and outcomes were analyzed. It is necessary to establish a basic report for a future nationwide study of neonatal seizures.

A Study on Responsible Strategy as North-East Asian Economical Base in Korean Ports Management (동북아 경제중심지로서의 우리나라 항만의 대응 전략)

  • 남금식
    • Journal of Korea Port Economic Association
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    • v.19 no.1
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    • pp.189-206
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    • 2003
  • This Paper deals with the development of Incheon International Airports and Pusan and Kwangyang Ports as Hub Ports in order to systemize nationwide logistics networks. Now, Korea has core competences in terms of social overhead capital, telecommunication, information technologies, all fields of manufacturing plants, and the other infra-structure. As the environments of North-East Asian countries changes dynamically, at least we should keep up with the situations which require to meet the globalized level of international logistics services in Pusan and Kwangyang Ports to be a competitive Hub Ports in this region.

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A Study on Ports Development Policies in Korea (우리나라 항만개발정책방향에 관한 연구)

  • 김병윤
    • Journal of Korea Port Economic Association
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    • v.19 no.1
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    • pp.207-221
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    • 2003
  • Now we are faced on the national policy to aim at the nationwide logistics center in North-East Asia. To come true, Korean ports developments policies are better off going towards integrated governmental supportive system build-up, activated infra-structures, back-yard developments, legal and institutional system, international co-ordination networks system, customer-oriented port management system like one-stop services, and multi-variate financing resources. Above all, Related governmental institutions strongly have self-confidences and devotional efforts to make them all implemented not losing own way.

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A Study on Responsible Strategy as North-East Asian Economical Base in Korean Ports Management (동북아 경제중심지로서의 우리나라 항만의 대응 전략)

  • 남금식
    • Proceedings of the Korea Port Economic Association Conference
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    • 2003.07a
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    • pp.325-342
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    • 2003
  • This Paper deals with the development of Incheon International Airports and Pusan and Kwangyang Ports as Hub Ports in order to systemize nationwide logistics networks. Now, Korea has core competences in terms of social overhead capital, telecommunication, information technologies, all fields of manufacturing plants, and the other infra-structure. As the environments of North-East Asian countries changes dynamically, at least we should keep up with the situations which require to meet the globalized level of international logistics services in Pusan and KwangYang Ports to be a competitive Hub Ports in this region.

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