• Journal of Korean Neurosurgical Society
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• v.65 no.6
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• pp.801-815
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• 2022

Objective : To evaluate the stent apposition of a low-profile visualized intraluminal support (LVIS) device in distal internal carotid artery (ICA) aneurysms, examine its correlation with clinical and angiographic outcomes, and determine the predictive factors of ischemic adverse events (IAEs) related to stent-assisted coiling. Methods : We retrospectively analyzed a prospectively maintained database of 183 patients between January 2017 and February 2020. The carotid siphon from the cavernous ICA to the ICA terminus was divided into posterior, anterior, and superior bends. The anterior bends were categorized into angled (V) and non-angled (C, U, and S) types depending on the morphology and measured angles. Complete stent apposition (CSA) and incomplete stent apposition (ISA) were evaluated using unsubtracted angiography and flat-panel detector computed tomography. Dual antiplatelet therapy with aspirin 200 mg and clopidogrel 75 mg was administered. Clopidogrel resistance was defined as fewer responders (≥10%, <40%) and non-responders (<10%) based on the percent inhibition (%INH) of the VerifyNow system. These were counteracted by a dose escalation to 150 mg for fewer responders or substitution with cilostazol 200 mg for non-responders. IAEs included intraoperative in-stent thrombosis, transient ischemic attack, cerebral infarction, and delayed in-stent stenosis. A multivariate logistic regression analysis was used to determine the predictive factors for ISA and IAEs. Results : There were 33 ISAs (18.0%) and 27 IAEs (14.8%). The anterior bend angle was narrower in ISA (-4.16°±25.18°) than in CSA (23.52°±23.13°) (p<0.001). The V- and S-types were independently correlated with the ISA (p<0.001). However, treatment outcomes, including IAEs (15.3% vs. 12.1%), aneurysmal complete occlusion (91.3% vs. 88.6%), and recanalization (none of them), did not differ between CSA and ISA (p>0.05). The %INH of 27 IAEs (13.78%±14.78%) was significantly lower than that of 156 non-IAEs (26.82%±20.23%) (p<0.001). Non-responders to clopidogrel were the only significant predictive factor for IAEs (p=0.001). Conclusion : The angled and tortuous anatomical peculiarity of the carotid siphon caused ISA of the LVIS device; however, it did not affect clinical and angiographic outcomes, while the non-responders to clopidogrel affected the IAEs related to stent-assisted coiling.

• Journal of the Society of Naval Architects of Korea
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• v.59 no.4
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• pp.207-213
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• 2022

LNG CCS which is a special type of cargo hold operated at -163℃ for transporting liquefied LNG is composed of a primary barrier, plywood, insulation panel, secondary barrier, and mastic. Currently, glass fiber is used to reinforce polyurethane foam. In this paper, we evaluated the possibility of replacing glass fiber-reinforced polyurethane foam with basalt fiber-reinforced polyurethane foam. We conducted a thermal conductivity test to confirm thermal performance at room temperature. To evaluate the mechanical properties between basalt and glass-fiber-reinforced polyurethane foam which is fiber content of 5 wt% and 10 wt%, tensile and an impact test was performed repeatedly. All of the tests were performed at room temperature and cryogenic temperature(-163℃) in consideration of the temperature gradient in the LNG CCS. As a result of the thermal conductivity test, the insulating performance of glass fiber reinforced polyurethane foam and basalt fiber reinforced polyurethane foam presented similar results. The tensile test results represent that the strength of basalt fiber-reinforced polyurethane foam is superior to glass fiber at room temperature, and there is a clear difference. However, the strength is similar to each other at cryogenic temperatures. In the impact test, the strength of PUR-B5 is the highest, but in common, the strength decreases as the weight ratio of the two fibers increases. In conclusion, basalt fiber-reinforced polyurethane foam has sufficient potential to replace glass fiber-reinforced polyurethane foam.

• Journal of Korea Entertainment Industry Association
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• v.15 no.7
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• pp.169-180
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• 2021

The purpose of this study was to examine the effects of the activity constraints due to disability on subjective health status and daily life satisfaction among disabled, and mediating effects of subjective health status on the relationship between activity constraints due to disability and daily life satisfaction. For this purpose, the response data of 3,809 people who participated in the 5th year of the 2nd Wave of the Panel Survey of Employment for the Disabled (PSED) were used and analyzed. As a result, all sub-factors except for the degree of difficulties in hearing even when using hearing aids among activity constraints due to disability has a statistically significant negative effect on subjective health status, and all sub-factors has a significant negative effect on daily life satisfaction. And, subjective health status has a significant partial mediating effect on the relationship between all sub-factors except for the degree of difficulties in hearing even when using hearing aids among activity constraints due to disability and daily life satisfaction. Therefore, the level of activity constraint for the disabled should be reduced by providing systematic and differentiated customized rehabilitation programs that take into account the disability characteristics of the disabled, thereby improving the health level and social independence ability of the disabled. Furthermore, in order to improve the daily life satisfaction of the disabled, it is necessary to provide policy support such as the establishment of a community-based integrated support system for the disabled by linked rehabilitation program and health promotion program.

• Quality Improvement in Health Care
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• v.28 no.1
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• pp.45-54
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• 2022

Purpose: The study aims to identify the theme list and priority criteria of patient safety theme reports in South Korea. Methods: The survey was conducted twice, and the importance of each criterion and theme was measured on a nine-point scale using the Delphi technique by a panel of 19 patient safety experts. The criteria included severity, universality, preventability, and organizational-social impact. Descriptive statistics such as frequency, percentage, mean, standard deviation, median, and interval quartile range were used to analyze the data. Results: The parameters were assigned a weighted average of 35% for severity, 20% for universality, 30% for preventability, and 15% for organizational-social impact, respectively. The final top three rankings were surgery safety, blood transfusion safety, and medication safety. In addition to expert opinion, for the theme that is selected based on the priority ranking, one to five sub-topics can be derived from the theme based on the priority ranking, societal demands, or the yearly priority list of patient safety incidents. Conclusion: It is recommended that the official patient safety center distribute the report in the form of a summary that can be utilized nationwide at medical institutions, government institutions, and other places. Updates, as well as accumulated theme reports, will serve as the baseline data for the proposal of the system and for the policy designed to implement and improve institutions' safety practices as a standard of domestic patient safety practice guidelines.

• Journal of Environmental Health Sciences
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• v.49 no.3
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• pp.134-148
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• 2023

Background: The conducting of health effect surveys (HESs) in environmentally contaminated vulnerable areas (ECVAs) by the central and local governments has been increasing apace with the increase in demand for HESs since the Environmental Health Act was enacted in South Korea in 2008. Objectives: This study aimed to review the HESs of residents in ECVAs conducted in South Korea. Methods: An analysis was performed on 125 reports obtained from the Environment Digital Library, PRISM, and local government websites after selecting from 803 projects obtained as ECVAs from the Korea ON-Line E-Procurement System (1997~2021), National Institute Environment Research (2000~2021), and Korea Environmental Industry and Technology Institute (2009~2021). The reports were classified by background (residents' demand, HES, and more), research design (cross-sectional study, cohort, ecological study, and panel), pollution source (abandoned metal mine (AMM), industrial complex (IC), and more), and assessment method of exposure and health effects. The survey area was converted into administrative district codes for geographical mapping. Results: There were 37, 34, 18, and 10 cases associated with AMM, IC, waste incinerators, and coal-fired power plants, respectively. Most of the studies conducted were cross-sectional studies and ecological studies. The proportion of epidemiological investigations by residents' demand showed an increase from 0.0% to 8.9% for the central government while decreasing from 16.7% to 14.3% for local governments after 2008 compared to before 2008. HESs increased at both the central and local government levels since 2014. For the evaluation method, 365 environmental hazards, 319 health outcomes, and 302 biological markers were investigated, with the most commonly investigated items being metals, cancer, and blood metals. Conclusions: HESs of residents in ECVAs in South Korea have been continuously developed both quantitatively and qualitatively. Future improvements are expected, and systematic review and classification of the HESs is warranted.

• 한국노년학
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• v.31 no.1
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• pp.143-155
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• 2011

Disabled elderly faced with disability and the aged problems at the same time. So, this research creates two research questions and examines. First research question is how nine dimensions of daily life satisfaction according to gender difference. Second research question is how the factor of daily life satisfaction by gender difference. The data is sixty-five disabled elderly, 386 among Panel Survey of Employment for the Disabled(PSED, 2008). The methods of analysis for identifying research questions is t-test and multiple linear regression. The result of analysis on first research question, the gender difference six dimensions among nine dimensions of daily life satisfaction come out statistically significant. And The result of analysis on second research question, come out statistically significant, too. Socioeconomic status: the lower class, physical condition: bad health, chronic disease is or not, family and other people's social supports, disability: serious turn out to be factors in common. It has been suggested social policies from the results of studies that the provision of health support policy and program, enlarge assistance on daily life, support system on serious disabled elderly. On the other hand, analysis showed that distinctive factors between disabled elderly man and woman was age and education level. In other words, disabled elderly woman come out into the open that the more grow old, the less daily life satisfaction low, while disabled elderly man appeared higher daily life satisfaction in case of junior and senior high school graduate than uneducated.

• Korean Journal of Culture and Social Issue
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• v.24 no.1
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• pp.1-27
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• 2018

The purpose of this study was to identify the persistent and dynamic association between bullying and victimization. Gender differences in patterns of school bullying was hypothesized based on the literature. Analysis were based on waves 3-6 of the Korea Children and Youth Panel Survey, a nationally representative data of primary and secondary school students in South Korea (N = 1,881). Autoregressive cross-lagged model was employed to identify the reciprocal association between bullying and victimization in longitudinal data. As hypothesized, regardless of gender, lagged effects were statistically significant between each time points such that current bullying caused future bullying and current victimization led to future victimization. However, there was no cross-lagged effects of current victimization on future bullying nor current perpetration on future victimization for both male and female youth. Findings from this study may have implications for designing policies against school bulling. Not only is short-term intervention for handling immediate psycho-social maladjustment important, but so are long-term plans that prevent youth from falling into continued perpetration and victimization in the system of school bullying.

• Journal of Industrial Convergence
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• v.21 no.10
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• pp.167-180
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• 2023

The aim of this study is to explore the factors that influence the health care utilization of disabled workers who returned to their original workplace after an occupational accident. The study sample consisted of 457 workers who suffered from occupational accidents and were rated as disabled based on the data from the PSWCI in 2021. Data analysis was performed using a hierarchical multiple regression analysis with SPSS WIN 26.0. The study findings revealed that the number of outpatient visits was affected by factors such as daily wage payment, economic status, physical activity limitations, subjective health status, and chronic diseases. Moreover, health care expenditures were determined by factors such as having a caregiver for daily living, burn injuries, and physical activity limitations. Therefore, to increase the accessibility of health care utilization for disabled workers, the role of nurses in the workplace should be expanded, employers should include a health care utilization plan when developing a return-to-work plan, and research on the introduction of a paid sick leave system that allows workers to rest when they are sick is needed. It is also necessary to alleviate the economic burden by increasing the coverage of benefits for burn and rehabilitation treatments.

• Journal of Technology Innovation
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• v.31 no.3
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• pp.139-169
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• 2023

This study analyzes the effects of firms' technology innovation(patent applications) on employment(number of workers and proportion of high-skilled workers) and corporate performance(sales per worker), while considering the two-way causal relationships between these variables. We used the three-stage least squares(3SLS) estimation to examine system of equations in which the dependent variables affect each other with a two-year lag wherever relevant, and applied it to firm-level panel data of Korean manufacturers with 100 or more workers. Our data covered the period of 2005-2017. Exogenous variables, such as firms' managerial and other characteristics, were controlled as explanatory variables. The identification variables for each equation included firms' R&D intensity, labor cost per worker(or operation of firms' own R&D center), and investment on worker training. We find that firms' patent applications increased number of workers, proportion of high-skilled workers, and sales per worker; the causal relationships in the opposite direction were also significant. Evidently, firms' technology innovation is critical to the growth and quality improvement of employment as well as sustainable corporate growth.

• Journal of Korean Society of Forest Science
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• v.103 no.2
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• pp.159-164
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• 2014

The objective of this study was to establish an open-field experimental warming treatment and precipitation manipulation system to simulate climate change impact for Pinus densiflora seedlings based on a climate change scenario in Korea. Two-year-old seedlings were planted in a nursery in April, 2013. The air temperature of warmed plots (W) was set to increase by $3.0^{\circ}C$ compared to control plots (C) using infrared lamps from May, 2013. The three precipitation manipulation consisted of precipitation decrease using transparent panel (-30%; $P^-$), precipitation increase using pump and drip-irrigation (+30%; $P^+$) and precipitation control (0%; $P^0$). Initially, the air temperature was $2.2^{\circ}C$ higher in warmed plots than in control plots and later air temperature was maintained close to the target temperature of $3.0^{\circ}C$. The average soil temperature was $3.1^{\circ}C$ higher in warmed plots than in control plots. Also the average soil moisture content after the precipitation manipulation increased by 13.9% in $P^+W$ and decreased by 10.0% in $P^-W$ compared to $P^0W$, and increased by 23.7% in $P^+C$ and decreased by 7.6% in $P^-C$ compared to $P^0C$. It was confirmed that the open-field experimental warming and precipitation manipulation system was properly designed and operating.