• 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 Korea Academia-Industrial cooperation Society
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• v.22 no.5
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• pp.60-70
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• 2021

The purpose of this study was to promote an understanding of suicidal ideation and identify the factors that influence suicide ideation according to the life cycle of Korean adults. This study was a secondary analysis study using the Korea Health Panel 2016 data. Among adults over 19 years of age, 14,538 people with no missing values in suicidal ideation and influencing factors were classified into young adults (19-39 years old), middle-aged adults (40-64 years old), and the elderly (65 years or over). The data were analyzed by multiple logistic regression. The results showed that 2.9% (108 people) of young adults, 3.2% (181 people) of middle-aged adults, and 3.7% (80 people) of the elderly had suicide ideation over the past year. Factors influencing suicidal ideation by life cycle were anxiety, depression, drug use and quality of life for young adults, subjective health status, stress, anxiety, depression, drug use and quality of life for middle-aged adults. The factors affecting the elderly were body mass index, stress, anxiety, depression, and quality of life. Therefore, factors influencing suicidal ideation should be considered as a major factor for screening risk groups according to the life cycle, and differentiated intervention programs should be developed and provided to prevent and manage suicide in risk groups.

• Journal of Family Resource Management and Policy Review
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• v.26 no.2
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• pp.19-36
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• 2022

The purpose of this study was (a) to identify latent profiles among employed Korean mothers of third graders based on work-family conflict, work-family enrichment, work-parenting conflict, and work-parenting enrichment, (b) to examine the antecedents of profile membership at the individual, family, work, and community levels, and (c) to investigate the differences in the various psychological outcomes across the profiles. The sample of 451 married employed mothers was a subset of data from the 10th Wave of the Panel Study of Korean Children, which was collected in 2017 when the focal child was in the third grade. Our latent profile analysis suggested a three-profile model that comprised enriched (11.91%), moderate (47.85%), and mixed (40.24%) profiles. The significant antecedents of profile membership were subjective health status, the child's adjustment to school, working hours, the community's suitability for childrearing, and satisfaction with community service facilities. Regarding psychological outcomes, the levels of life satisfaction, marital satisfaction, and job satisfaction were higher in the following order: enriched, moderate, and mixed profiles. The levels of depressive symptoms were in the reverse order: mixed, moderate, and enriched profiles. This study contributes to a comprehensive understanding of the literature on work-family interactions by considering various predictors and outcomes at multiple levels.

• Korean journal of aerospace and environmental medicine
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• v.31 no.3
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• pp.77-81
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• 2021

Purpose: The United States of America have pre-migration screening program are mandated through legislation. The one of purpose of this program is to prevent the importation of certain communicable diseases. Examinations of migration applicants are performed by panel physicians who are licensed physicians in the countries of origin that have agreements with the government departments of the country of destination to undertake this activity. In recent decades, the number of US migrants has increased, however COVID-19 impacted this trend of international migrants. The Aim of this study is to examine trends of US applicants and outcomes of tuberculosis and sexual transmitted infections (STIs) screening in South Korean applicants for US visa. Methods: A total of 4,442 applicants participated in US visa health check-up in 2016 to 2020. Results: The numbers of applicant for US visa in males and females was 1,814 and 2,628. The positive results in tuberculosis and STIs screening was noted with 0.66% in nontuberculous mycobacteria (NTM), 0.03% in tuberculosis, 0.03% in gonorrhea, 0.08% in syphilis, and 0.74% in chlamydia. The age groups of 2 to 14 years showed higher positive rate (13.89%) in tuberculin skin test (TST) tests compared to the rate of interferon gamma release assay (IGRA) tests (0.44%, P<0.001). The positive ratio of NTM and abnormal chest X-ray (CXR) which required sputum tests among the applicants over 15 years old has trends to increase with age. The age groups of over 70 years showed high positive rate in NTM and abnormal CXR (4.10%, 20.51%). However, ages 15 to 49 years groups showed 0.00% to 0.30% in NTM and 1.08% to 3.91% in abnormal CXR. In the study population, the positive rates of STIs were 0.03%, 0.08%, and 0.74% in gonorrhea, syphilis, and chlamydia, respectively. Among the participants who underwent sputum smears and cultures were just 1 case of active tuberculosis (0.03%) and 25 cases of NTM infection (0.66%). Conclusion: This study found that rate of positivity in tuberculosis and STIs screening among South Korean applicants for US visa in 2016 to 2020. Regarding tuberculosis, the positivity of CXR among the aged 15 to 59 years applicants was lower than that among over 60 years old. Among 2 to 14 years, positivity of IGRA was very low. And IGRA test can reduce effort of further evaluation compared to TST test in South Korea, so IGRA test among young adults can be useful. High positive rates in STI among young adult could result in high active sexuality, especially chlamydia infection is most common. Therefore Chlamydia polymerase chain reaction should be considered formal protocol among the Korean applicant for US visa.

• Journal of the Korean Society of Marine Environment & Safety
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• v.28 no.7
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• pp.1259-1266
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• 2022

Recently, due to the specialization of structural design standards and evaluation methods, the classification rules are being integrated. A good example is the common international rules (CSR). However, detailed regulations are presented only for the cargo hold area where the longitudinal load is greatly applied, and no specific evaluation guidelines exist for the bow and stern structures. Structural design of the mentioned area is carried out depending on the design experience of the shipbuilder, and because no clear standard exists even in the classification, determining the root cause is difficult even if a structural damage problem occurs. In this study, an engineering-based solution was presented to identify the root cause of representative cases of buckling damage that occurs mainly in the stern. Buckling may occur at the panel wall owing to hull girder bending moment acting on the stern structure, and the plate thickness must be increased or vertical stiffeners must be added to increase the buckling rigidity. For structural strength verification based on finite element analysis modeling, reasonable solutions for load conditions, boundary conditions, modeling methods, and evaluation criteria were presented. This result is expected to be helpful in examining the structural strength of the stern part of similar carriers in the future.

• Korean Journal of Culture and Social Issue
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• v.21 no.2
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• pp.119-130
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• 2015

This study is aimed to analyse the causes and characteristics of suicide in jeonbuk region using psychological autopsy. Psychological autopsy is a technique to get comprehensive analysis on suicidal death by collecting data from interviewing suicide victim's family, relatives, and friends added with additional data of police report, hospital records, and suicide victim's lifetime records for objective evidence. For the data from 42 cases(male 24, female 18) of suicides that occurred between May 2013 and April 2014 with agreement for psychological autopsy, we analyzed a survey that recorded by interviewers who had a consultation based on half-structured psychological interview panel. As the result, out of 42 cases, 30(71%) had previous suicidal attempts and 21(50%) had a family history of suicides. Psychiatric disorders(38%) was the most common cause of suicide followed by interpersonal problems(31%). Among psychiatric problems, depressive disorder was the most common. many suicide victims had previously received psychiatric treatments but discontinued the therapy later on. The results showed that suicide is strongly related to mental disorders and psychiatric therapy should be continued until full recovery. Preventive efforts should focus on persons who have a history of previous suicidal attempts and have a family history of suicide. Implications of these findings are discussed and directions for future research are advanced.

• Journal of Korean Home Economics Education Association
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• v.34 no.4
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• pp.77-92
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• 2022

Recently, digital transformation in the financial industry has been accelerated, and it has become an important task to improve the level of utilization of Internet banking by elderly consumers, who are vulnerable to Internet use. Accordingly, this study analyzed 3,101 respondents in their 60s or older from the 11th year of the Media Panel Survey to identify demographic, experiential, and psychological factors that affect the self-efficacy of elderly consumers' usage of Internet banking. The main research findings are as follows. First, gender, education, occupation, and income were identified as demographic variables. Second, the Internet shopping experience was identified as an experiential factor. Also, concerns about information security, digital literacy, and high will for problem-solving were identified as psychological factors. Third, as a result of the moderating effect analysis on whether the experiential and psychological factors have different influences according to the group divided into the 60s and 70s, the effect on self-efficacy in the usage of the Internet was classified by age. The results of this study will be able to enrich the discussions related to the intention to utilize technology among elderly consumers by empirically revealing that there are characteristics that cause differences in financial behavior even within one group called the elderly.

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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• 2022.05a
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• pp.255-258
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• 2022

As environmental pollution continues, attention on renewable energy is on the constant rise in recent days. Although various kinds of renewable energy such as solar, wind power and biomass energy have been generated in Jeju, opening and analyzing cases on related data seem insufficient. Therefore, this study is being conducted to deduce the variables which have high relation with solar panel&s output and to understand machine learning methods that can be applied to solar power generation data by utilizing Kaggle platform, which is actively used by a number of scientists. Then, it is planned to propose a form of solar power generation dataset by researching machine learning methods that could be applied to the data. To be specific, analyzing solar power generation data with the Kaggle platform, this study will provide complements on gathering solar power data in Jeju. This study is anticipated to be utilized on data analysis for developing the solar power industry in Jeju. That is, this study is expected to reveal the room for improvement inherent in existing open datasets in Jeju, so that they could be constructed in a suitable form for machine learning for AI analytics. Through this process, a method to increase efficiency of solar power generation is anticipated to be prepared.

• The Korean Journal of Coaching Psychology
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• v.5 no.1
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• pp.85-102
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• 2021

The purpose of this study was to examine the effect of out-of-school adolescents' social stigma on smart-phone addiction through career disorders and depression. In the process that social stigma of adolescents outside of school affects smart-phone addiction, the mediating effect of career barriers and depression was verified. The subjects of this study were 318 subjects who participated in the 5th year survey of out-of-school youth panel by the Korea Youth Policy Institute. For data analysis, the correlations and mediating effects between major variables were verified. As a result of the study, first, all of the major variables were found to have statistically significant correlations. Second, the social stigma of out-of-school adolescents was found to have an effect on smart-phone addiction through career disorders and depression, confirming a double mediation. In addition, in the process in which out-of-school adolescents' social stigma affects smart-phone addiction, it was confirmed that career disorder and depression were respectively mediated, but social stigma did not have a significant effect on smart-phone addiction. Based on these results, prevention of smart-phone addiction among out-of-school adolescents and intervention methods and implications for youth coaching were presented.

• Journal of Veterinary Clinics
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• v.40 no.2
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• pp.130-134
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• 2023

A 12-year-old Standard Poodle presented with intermittent weakness and occasional dyspnea at the Veterinary Medicine Teaching Hospital of Kangwon National University. A grade of 4 out of 6 systolic murmur with an irregular tachycardic rhythm was auscultated on both sides of the chest. Systolic blood pressure was 140 mmHg. Panting was noticed in the hospital, but there was no crackle sound. Blood analysis revealed mild increases in liver panel levels (alanine aminotransferase 149 [reference interval, 19-70] U/L; and alkaline phosphatase, 185 [reference interval, 15-127] U/L) and severe increases in cardiac biomarker levels (n-terminal pro-brain natriuretic peptide, 4169 [reference interval, 50-900] pmol/L; and cardiac troponin I, 0.22 [reference interval, 0.03-0.12] ng/mL). On electrocardiography, irregularly irregular supraventricular tachycardic rhythm with an f-wave and no distinct p-wave was observed. Generalized cardiomegaly with an enlarged right atrium and left ventricle was confirmed on thoracic radiography. Moreover, hepatomegaly and an enlarged caudal vena cava were observed. Echocardiographic evaluation revealed a fibromuscular diaphragm in the right ventricle. Because of the obstructive lesion in the right ventricle, the right atrium and ventricle were enlarged (right atrial area index, 38.82 cm²/m² [reference interval, 4.2-10.2 cm²/m²]; right ventricle end-diastolic area index, 14.152 cm²/m² [reference interval, 4.9-10.92 cm²/m²]). Accordingly, the patient was diagnosed with double-chambered right ventricle (DCRV). Pimobendan, furosemide, enalapril, diltiazem, and S-adenosylmethionine (SAMe) were prescribed, and all symptoms were relieved. DCRV is a right-sided congenital heart defect resembling pulmonic valve stenosis. If symptoms are not severe, medical therapy can be facilitated without surgery or the balloon dilation.