• Title/Summary/Keyword: Nationwide study

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Early Surgical Site Infection Following Tissue Expander Breast Reconstruction with or without Acellular Dermal Matrix: National Benchmarking Using National Surgical Quality Improvement Program

  • Winocour, Sebastian;Martinez-Jorge, Jorys;Habermann, Elizabeth;Thomsen, Kristine;Lemaine, Valerie
    • Archives of Plastic Surgery
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    • v.42 no.2
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    • pp.194-200
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    • 2015
  • Background Surgical site infections (SSIs) result in significant patient morbidity following immediate tissue expander breast reconstruction (ITEBR). This study determined a single institution's 30-day SSI rate and benchmarked it against that among national institutions participating in the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP). Methods Women who underwent ITEBR with/without acellular dermal matrix (ADM) were identified using the ACS-NSQIP database between 2005 and 2011. Patient characteristics associated with the 30-day SSI rate were determined, and differences in rates between our institution and the national database were assessed. Results 12,163 patients underwent ITEBR, including 263 at our institution. SSIs occurred in 416 (3.4%) patients nationwide excluding our institution, with lower rates observed at our institution (1.9%). Nationwide, SSIs were significantly more common in ITEBR patients with ADM (4.5%) compared to non-ADM patients (3.2%, P=0.005), and this trend was observed at our institution (2.1% vs. 1.6%, P=1.00). A multivariable analysis of all institutions identified age ${\geq}50$ years (odds ratio [OR], 1.4; confidence interval [CI], 1.1-1.7), body mass index ${\geq}30kg/m^2$ vs. < $25kg/m^2$ (OR, 3.4; CI, 2.6-4.5), and operative time >4.25 hours (OR, 1.9; CI, 1.5-2.4) as risk factors for SSIs. Our institutional SSI rate was lower than the nationwide rate (OR, 0.4; CI, 0.2-1.1), although this difference was not statistically significant (P=0.07). Conclusions The 30-day SSI rate at our institution in patients who underwent ITEBR was lower than the nation. SSIs occurred more frequently in procedures involving ADM both nationally and at our institution.

Estimation of a Nationwide Statistics of Hernia Operation Applying Data Mining Technique to the National Health Insurance Database (데이터마이닝 기법을 이용한 건강보험공단의 수술 통계량 근사치 추정 -허니아 수술을 중심으로-)

  • Kang, Sung-Hong;Seo, Seok-Kyung;Yang, Yeong-Ja;Lee, Ae-Kyung;Bae, Jong-Myon
    • Journal of Preventive Medicine and Public Health
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    • v.39 no.5
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    • pp.433-437
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    • 2006
  • Objectives: The aim of this study is to develop a methodology for estimating a nationwide statistic for hernia operations with using the claim database of the Korea Health Insurance Cooperation (KHIC). Methods: According to the insurance claim procedures, the claim database was divided into the electronic data interchange database (EDI_DB) and the sheet database (Paper_DB). Although the EDI_DB has operation and management codes showing the facts and kinds of operations, the Paper_DB doesn't. Using the hernia matched management code in the EDI_DB, the cases of hernia surgery were extracted. For drawing the potential cases from the Paper_DB, which doesn't have the code, the predictive model was developed using the data mining technique called SEMMA. The claim sheets of the cases that showed a predictive probability of an operation over the threshold, as was decided by the ROC curve, were identified in order to get the positive predictive value as an index of usefulness for the predictive model. Results: Of the claim databases in 2004, 14,386 cases had hernia related management codes with using the EDI system. For fitting the models with applying the data mining technique, logistic regression was chosen rather than the neural network method or the decision tree method. From the Paper_DB, 1,019 cases were extracted as potential cases. Direct review of the sheets of the extracted cases showed that the positive predictive value was 95.3%. Conclusions: The results suggested that applying the data mining technique to the claim database in the KHIC for estimating the nationwide surgical statistics would be useful from the aspect of execution and cost-effectiveness.

A Measurement and Comparative Analysis for Test Items Related to Informatics of High School Students in Korea and Japan (한·일 고등학생 대상으로 '정보' 관련 문항을 통한 수준 측정 및 비교 분석)

  • Noh, HyunA;Lee, WonGyu
    • The Journal of Korean Association of Computer Education
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    • v.19 no.6
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    • pp.1-14
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    • 2016
  • As the importance of informatics education has been accentuated all around the world, Japan is considering adopting 'informatics' as a subject in the university entrance examination from 2020. Under these circumstances, Informatics university entrance research group in Japan has annually conducted an 'informatics' nationwide mock test since 2013 to prepare for the time when 'informatics' is adopted as a subject in the university entrance exam and has accumulated the data which help understand the informatics education level of high school students and its trend. This study thus provided the Korean high school students with the questions which are the same as those from the informatics nationwide mock tests conducted in Japan so far in order to identify the education level of informatics among Korean and Japanese students. Overall mean scores and mean scores in each subject of Korean and Japanese students in the 2015 informatics nationwide mock tests were compared and analyzed and the gender analysis was conducted. These results will be expected to suggest the direction for the future informatics education such as adopting 'informatics' as a subject in the university entrance exam in order to be a compulsory subject in the high school curriculum that can ensure the required skills in society.

Prevalence of rotavirus genotypes in South Korea in 1989-2009: implications for a nationwide rotavirus vaccine program

  • Than, Van Thai;Kim, Wonyong
    • Clinical and Experimental Pediatrics
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    • v.56 no.11
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    • pp.465-473
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    • 2013
  • The epidemiology of human group A rotavirus was analyzed by examining genotypic data acquired from 1989 to 2009 in South Korea. This information was derived from all the available published articles on rotavirus studies in South Korea, retrieved from both the PubMed and KoreaMed databases. Four common G types (G1, G2, G3, and G4) and three common P types (P[8], P[4], and P[6]) accounted for approximately 93% and 99% of the rotavirus reports, respectively. The G9 type was frequently detected after 2000, and because of this prevalence, it is considered to be the fifth most important G type rotavirus after the G1-G4 genotypes. Less common G types of the virus such as G12, G11, and G10 were detected in some geographic settings, and it is important to consider the context of these subtypes and their epidemiological significance. The P[9] virus genotype was observed in the study and has been discussed in many other studies; however, the P[3], P[10] and P[25] genotypes were rarely detected in the epidemiological research. In general, the distributions of the G and P genotypes showed temporal and geographical fluctuations, and a nationwide rotavirus vaccine program that targeted these genotypes demonstrated effectiveness in protecting against the circulating rotavirus strains. However, further analysis is needed to determine the true long-term effectiveness of these vaccines; the analysis should also consider the unexpected effects of vaccinations, such as vaccineinduced diseases, herd immunity, and changes in host susceptibilities.

A Survey on the Nationwide Customers' Usage of Kimchi Consumption (국내 소비자들의 김치 소비 실태 연구)

  • Kim, Ju-Hyeon;Yoon, Hei-Ryeo
    • The Korean Journal of Food And Nutrition
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    • v.25 no.2
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    • pp.299-307
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    • 2012
  • In this study, Kimchi usage was examined by nationwide consumers. 1,000 consumers between 20~60 years olds from 15 cities/province based on an administrative district participated in this questionnaire, which were one-on one interviews from September 23th to October 14th, 2009. 76.1% of the customers prepared Kimchi by them self, 26.9% customers received Kimchi from relatives and, 13.1% purchase Kimchi from the market. In addition, the rate of preparing Kimchi by themselves increased with age(p<0.05). 4~6 cabbage heads(34.5%) was the most preferred quantity for preparing Kimchi at a time, which was followed by more than 10 heads(25.2%) and 2~3 heads(22.9%). Chinese cabbage Kimchi was the most preferred type for purchase. 49.1% of customers purchased Kimchi at the supermarket and warehouse market and the origin of the ingredients, taste and-, price of Kimchi were considered important factors. The satisfactory scores of selling Kimchi were variety 3.60, taste 3.11, freshness of main ingredient 3.10, hygiene 2.86, -appropriate salt usage 2.99 and-, the origin of ingredients 2.94. There were significant difference between gender in taste and hygiene of selling Kimchi (p<0.05). In conclusion, to provide more appropriate Kimchi based on changes in Kimchi usage and consumption patterns at home and in the community, new types of Kimchi should be developed.

Distribution and synchronized massive flowering of Sasa borealis in the forests of Korean National Parks

  • Cho, Soyeon;Kim, Youngjin;Choung, Yeonsook
    • Journal of Ecology and Environment
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    • v.42 no.4
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    • pp.308-316
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    • 2018
  • Background: Genus Sasa, dwarf bamboos, are considered to be species that lower biodiversity in the temperate forests of East Asia. Although they have a long interval, they, the monocarpic species, have a unique characteristic of large-scale synchronized flowering. Therefore, once they have flowered and then declined, it may be an opportunity for suppressed surrounding species. A previous study reported that Sasa borealis showed specialized flowering nationwide with a peak in 2015. However, this was based on data from a social network service and field survey at Mt. Jeombong. Therefore, we investigated S. borealis in the forests of five national parks in order to determine whether this rare synchronized flowering occurred nationwide, as well as its spatial distribution. Results: We found a total of 436 patches under the closed canopy of Quercus mongolica-dominated deciduous forests in the surveyed transects from the five national parks. Of these patches, 75% occupied a whole slope area, resulting in an enormous area. The patch area tended to be larger in the southern parks. Half (219 patches) of the patches flowered massively. Among them, 76% bloomed in 2015, which was consistent with the results of the previous report. The flowering rate varied from park to park with that of Mt. Seorak being the highest. The culms of the flowering patches were significantly taller (F = 93.640, p < 0.000) and thicker (F = 61.172, p < 0.000). Following the event, the culms of the flowering patches declined, providing a good opportunity for the suppressed plant species. The concurrent massive flowering of the mature patches was believed to be triggered by some stress such as a spring drought. Conclusion: We confirmed that the rare synchronized flowering of S. borealis occurred with a peak in 2015 nationwide. In addition, we explored that S. borealis not only monopolized an enormous area, but also dominated the floors of the late-successional Q. mongolica-dominated deciduous forests. This presents a major problem for Korean forests. As it declined simultaneously after flowering, there are both possibilities of forest regeneration or resettlement of S. borealis by massively produced seeds.

Epidemiological Aspects of Imported Exotic Malaria Cases in the Republic of Korea and Japan, 2015~2017

  • Lee, Myeong-Jin;Lee, Won-Chang;Kwon, Young Hwan
    • Korean journal of aerospace and environmental medicine
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    • v.29 no.3
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    • pp.96-100
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    • 2019
  • The present study analyzed all of exotic malaria (EM) cases reported in the Republic of Korea (Korea) and Japan from 2015 to 2017 to assess the trends of incidence overtime to review the risk factors for travelers visiting malaria-endemic countries. We investigated 162 cases of EM in Korea with a cumulative incidence rate (CIR) of 0.105 per 100,000 populations nationwide and the CIR of the oversea travelers was 0.238 per 100,000 travelers, respectively. During the same period in Japan, 152 cases of EM in nationwide with a CIR of 0.041 and in the oversea travelers with a CIR of 0.297 were observed. When compared, the CIR of EM in nationwide was much higher than that in Japan (P<0.01), but a CIR of imported by travelers in Korea was lower than that in Japan (P<0.01).

Analysis of Nationwide Soil Chemical Trait for the Application of Standard Nitrogen Level in Rice Cultivation

  • Jinseok Lee;Jong-Seo Choi;Shingu Kang;Dae-Woo Lee;Woonho Yang
    • Proceedings of the Korean Society of Crop Science Conference
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    • 2022.10a
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    • pp.121-121
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    • 2022
  • When 7 kg·10a-1, which is less than the nitrogen standard application amount of 9 kg·10a-1, is applied, the protein content is lowered and the palatibility is improved. In order to examine the applicability of nitrogen fertilization of 7 kg·10a-1 nationwide, soil samples were collected from 240 paddy fields in 8 provinces in 2021, and the organic matter content, effective phosphoric acid, and effective silicic acid were analyzed for each sample. As a result of one-way ANOVA analysis between samples collected for each province, there was no significant difference in the content of organic matter, effective phosphoric acid, and effective silicic acid except for some provinces. The contents of organic matter was higher than the appropriate level(25 ~ 30 g·kg-1) except for Gyeongsangbuk-do, the effective phosphoric acid was higher than the appropriate level(80~120 mg·kg-1) in all provinces, and the effective silicic acid was lower than the appropriate level(157 ~ 180 mg·kg-1) except for Gyeonggi-do, Jeollanam-do and Gyeongsangnam-do. As a result of analyzing the recommended fertilization amount based on the nitrogen application amount of 7 kg·10a-1, 68.3% ofthe 240 samples were able to give nitrogen fertilizer less than 7.5 kg·10a-1, and the rest had to be given more than that to satisfy the standard fertilization amount. As a result of this study, 68.3% of rice paddies nationwide can be cultivated with a standard fertilization amount of 7 kg·10a-1, however it was thought that continuous nutrient management would be required for other paddies.

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Characteristics of the Actual use of Agricultural Groundwater (농업용 지하수의 실제 이용량 특성)

  • Song, Sung-Ho;Myoung, Woo-Ho;Lee, Gyu-Sang
    • Journal of Soil and Groundwater Environment
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    • v.22 no.5
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    • pp.13-22
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    • 2017
  • Accurate assessment of agricultural groundwater usage is an essential task to cope with drought that occurs irregularly in time and location. In this study, the agricultural groundwater usage was calculated in nationwide public wells (1,386 bedrock wells) during 5-year period (2010-2014) by using electric power consumption and well specification data. National average of agricultural groundwater usage per each well was estimated as $66.2m^3/day$, corresponding to 21.6% of total permitted volume of groundwater in each well. Chungcheong Nam-do had the highest usage with 38-55.6%. The value increased to 58.1% when the total permitted volume was based upon the supply standard against drought, and the value reached 100% in Chungcheong Nam-do. In Ganghwa distirct that suffered from severe drought in recent years, the average groundwater usage was 61.4%. In 2014, when the drought was the most severe with 45% precipitation of the average annual rainfall, the nationwide usage was turned out to be 25.6%, indicating about 4% higher than average agricultural groundwater usage 21.6%. Therefore, the quantitative assessment of groundwater usage in this study signifies that adequate use of groundwater is crucial to cope with agricultural drought.

Parental satisfaction with pediatric emergency care: a nationwide, cross-sectional survey in Korea

  • Jang, Hye Young;Kwak, Young Ho;Park, Ju Ok;Kim, Do Kyun;Lee, Jin Hee
    • Clinical and Experimental Pediatrics
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    • v.58 no.12
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    • pp.466-471
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    • 2015
  • Purpose: This study attempted to examine parental satisfaction with pediatric emergency care (PEC) in Korea and investigate the features influencing overall satisfaction. Methods: A nationwide, cross-sectional survey was conducted among parents who had taken their children to an Emergency Department (ED) in the three years prior to the study. A 21-item, structured questionnaire was administered to the parents through a web-based system. Participants' satisfaction levels and the strength of the association between PEC components and overall satisfaction were rated using a 7-point Likert scale. Results: In total, 1,000 parents participated in the survey, of which 402 (40.2%) stated that they were generally satisfied with the delivered PEC. Female participants, mothers, and parents with low-acuity patients were more likely to be dissatisfied with the delivered PEC. Although the ED environment was the lowest level of satisfaction, it did not significantly influence the respondents' overall levels of satisfaction. The most influential factors in terms of overall satisfaction were "nurses' professionalism" and "doctors' attitude and proper explanation". Conclusion: Parents' overall level of satisfaction with PEC is relatively low and is closely related to factors associated with ED personnel.