• Journal of Korean Foot and Ankle Society
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• v.17 no.1
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• pp.23-27
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• 2013

Purpose: The optimal management for ankle fracture in elderly patients remains controversial. This study was undertaken to review the results of surgical treatment of ankle fracture in the elderly and to compare with other studies. Materials and Methods: The participants in this study were 33 patients over the age of 65(average 71.5 years) who underwent surgical treatment of ankle fracture from January 2004 to December 2011. The study was a retrospective review of outcomes after open reduction and internal fixation (ORIF) of ankle fractures. To measure the clinical outcomes, we assessed postoperative complications, the pre- and post-operative mobility status, fracture union status, the time of fracture union and the AOFAS (American Orthopaedic Foot and Ankle Society) Ankle-Hindfoot scale. The level of patient satisfaction was also identified. Results: Delayed wound healing occurred in three patients(9.1%) but their wounds healed with repeated dressings without additional surgical treatment. Malunion occurred in one patient(3%). One patient(3%) had postoperative infection but healed with antibiotic treatment. 24 patients(96%) returned to preoperative mobility status. VAS score was lower than 2 in all patients. Bone union occurred with the 3.8 months (average months) after the surgery in all patients. Average AOFAS score was 87.4 and these were similar results as other studies of young patients. All patients were satisfied with surgical outcomes according to interviews. Conclusion: Surgical treatment of ankle fractures in the elderly can carry a significant risk of delayed wound healing and infection but incidence is relatively low. Internal fixation of ankle fractures in the elderly can be undertaken safely and the majority of patients can expect good outcome.

• Quality Improvement in Health Care
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• v.10 no.1
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• pp.28-41
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• 2003

Background : Because unplanned readmissions to intensive care unit(ICU)might be related with undesirable patient outcomes, we investigated the pattern of and reason for unplanned ICU readmission to provide baseline data for reducing unplanned returns to ICU. Methods : The subjects included all patients who readmitted to ICU during the same hospitalization at a tertiary referral hospital between January 1st and June 30th 2002. Quality improvement(QI) nurse collected the data through medical records and a medical director reviewed the data collected. Results : 1) The average unplanned ICU readmission rate was 5.6%(gastroenterology 14.6%, pediatrics 12.7%, pulmonology 11.9%, neurosurgery 6.3%, general surgery 5.3%, chest surgery 3.9%, and cardiology 3.3%). 2) Among the unplanned readmissions, more than 50% of cases were from patients older than 60 years, and the main categories of diagnose at hospital admission were neurologic disease(29.9%) and cardiovascular disease(27.6%). 3) Of unplanned ICU readmissions, 41.8% had recurrence of the initial problems, 44.8% had occurrence of new problems. And 9.7% required post-operative care after unplanned operations. 4) The most common cause responsible for unplanned ICU readmission were respiratory problem(38.3%) and cardiovascular problem(14.3%). 5) About 40% of unplanned ICU readmission occurred within 3 days after ICU discharge. 6) Average length of stay of the readmitted patients to ICUs were much longer than that of non-readmitted patients. 7) Hospital mortality rate was much higher for unplanned ICU readmitted patients(23.6%) than for non-readmitted patients(1.5%) (P<0.001). Conclusions : This study showed that the unplanned ICU readmitted patients had poor outcomes(high morality and increased length of stay). In addition study results suggest that more attention should be paid to patients in ICU with poor respiratory function or elderly patients, and careful clinical decisions are required at discharged from ICU to general ward.

• Journal of The Korean Society of Integrative Medicine
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• v.3 no.1
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• pp.91-103
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• 2015

Purpose: The purpose of this study was to investigate the effects of home exercise program and exercise program of round shoulder adjustments on the level of trapezius muscle activity and attention capacity for middle school students. Method: The participants in this study were composed of 21 middle school students. We made the students lie on the floor in prone position, then measured the height of their acromion from the floor. We chose participants for our study whose measurement values were over 2.5cm. We divided them into two groups, one is for the experimental group, and the other is for the control group. The experimental group exercised three days a week for 6 weeks, including home training, and the control group didn't exercise. We used EMG to measure the trapezius muscle's activity and used a Stroop test for the measurement of the students' attention capacity. Results: The results of our study are as follows. There was no significant difference between the experimental group and the control group. However, there was a significant difference within the experimental group when comparing pre and post training results for Trapezius muscle activity and attention capacity. Conclusion: We found that correcting round shoulder symptom increases the Trapezius muscle activity and students' attention capacity. Future experiments should investigate with systemical management. Also, we need to increase the frequency of the exercise and participants.

• Journal of Nuclear Fuel Cycle and Waste Technology(JNFCWT)
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• v.14 no.4
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• pp.385-410
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• 2016

The disposal facility in Gyeongju is planning to dispose of 800,000 packages of low- and intermediate- level radioactive waste. This facility will be developed as a complex disposal facility that has various types of disposal facilities and accompanying management. In this study, based on the comprehensive development plan of the disposal facility, a preliminary post-closure safety assessment is performed to predict the phase development of the total capacity for the 800,000 packages to be disposed of at the site. The results for each scenario meet the performance target of the disposal facility. The assessment revealed that there is a significant impact of the inventory of intermediate-level radionuclide waste on the safety evaluation. Due to this finding, we introduce a disposal limit value for intermediate-level radioactive waste. With stepwise development of safety case, this development plan will increase the safety of disposal facilities by reducing uncertainties within the future development of the underground silo disposal facilities.

• Journal of Embryo Transfer
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• v.16 no.1
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• pp.7-14
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• 2001

The aims of these study were to diagnose early pregnancy and reproductive disorders by using progesterone concentration and ultrasonography. The measurement of blood progesterone (P$_4$) concentration was conducted to diagnose pregnancy and to detect corpus luteum (CL) or evaluate disorder of CLs. As a result, the incidence rates of reproductive disorders were as follows : SH and EED (41.9%), inacitve ovaries (32.6%), follicullar cyst (9.3%), PCL (7.0%), endometritis (4.7%), pyometra (2.3%) and luteal cyst (2.3%). 61 Cows having P$_4$concentration 1.0 ng/ml(at the insemination) were increased to 1.0 ng/ml $\geq$ 6day after insemination. 50 cows among 61 cows were diagnosed pregnant. 8 cows among 13 HanWoos having P$_4$concentration 1.0 ng/ml at the insemination and 1.0 ng/mnl 6 day after insemination had non-ovulatory estrus and the others had P$_4$concentration 1.0 ng/ml at the insemination and 1.0 ng/ml $\geq$ 6 day after insemination, which was the error of estrus detection. All 13 cows were diagnosed non-pregnant. 47 cows diagnosed pregnant after insemination of P$_4$concentration 3.0 ng/ml were examined by ultrasonography at 30 day post-insemination. As a result, 41 cows were diagnosed pregnant (87.2%) but 14 cows having P$_4$concentration 3.0 ng/ml at 21 day after insemination was diagnosed to non-pregnancy. Calving intervals by surveying 100 cows were as follows 11~12 months (20%), 12~13 months (36%), 13~14 months (19%), 14 months $\geq$ (25%), respectively. In conclusion, hormone and ultrasonography help to detect reproductive disorders exactly and diagnose early pregnancy. This study suggest that diagnosis of early pregnancy and reproductive disorder by blood P$_4$concentration and ultrasonography improve reproduction management of HanWoo.

• Korean Security Journal
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• no.17
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• pp.143-155
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• 2008

Purpose of this study is to analyze actual perception of security business of security workers centering on employees working within building and to improve accomplishment of works for security workers. For this, first, activities of security workers are discussed. Second, perception of employees of companies for the necessity of security workers, non-necessity of security workers, qualification requirements of security workers for improving business recognition were established as a framework of the study. Changes for recognition of security works in modern life are a little falling behind compared to unstopping economic development and diversifying job classifications. Even at present, expression of security works is still regarded as manager of facilities or apartments in the past. In other words, it is recognized as a simple change of title and names from apartment guard to security workers. Security works in the modern job classification is settling down as a professional field of facility management and as a part of various controls such as protection and security and its field is also expanding. It is a professional job with the purpose to analyze and prevent diverse criminal actions occurring in the society and also to introduce alternative measures with the role to prevent accidents to be occurred in variety in advance instead of simple working format taking a fixed guard post. Area of security works for the purpose of maximizing necessity of security works shall have equipped with deployment of professional security workers, consideration of business satisfaction of security workers, prevention education for rapidly changing safety accidents, and substantiality in the field. We expect to have more sophisticated area of security works with ceaseless efforts and with instillation of recognition of professionalism by security workers themselves.

• Journal of Korea Water Resources Association
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• v.49 no.8
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• pp.657-671
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• 2016

It is expected that water resources will be changed spatially and temporally due to the global climate change. The quantitative assessment of change in water availability and appropriate water resources management measures are needed for corresponding adaptation. However, there are large uncertainties in climate change impact assessment on water resources. For this reason, development of technology to evaluate the uncertainties quantitatively is required. The objectives of this study are to develop the climate change uncertainty assessment method and to apply it. The 5 RCMs (HadGEM3-RA, RegCM4, MM5, WRF, and RSM), 5 statistical post-processing methods (SPP) and 2 hydrological models (HYM) were applied for evaluation. The results of the uncertainty analysis showed that the RCM was the largest sources of uncertainty in Spring, Summer, Autumn (29.3~68.9%), the hydrological model was the largest source of uncertainty in Winter (46.5%). This method can be possible to analyze the changes in the total uncertainty according to the specific RCM, SPP, HYM model. And then it is expected to provide the method to reduce the total uncertainty.

• Journal of Chest Surgery
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• v.40 no.10
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• pp.685-690
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• 2007

Background: In the past, radiotherapy was the gold standard for the treatment of upper esophageal cancer, but the long-term follow-up was disappointing. There is still ongoing debate on the surgical management of these patients. This study was undertaker to update our experience with upper esophageal carcinoma and to evaluate the effectiveness of surgery. Material and Method: From May 1995 to December 2005, 147 patients with esophageal cancer underwent surgery at our hospital. They were divided into two groups: one group consisted of 23 patients with upper esophageal (cervical and upper thoracic) cancer and another group consisted of 424 patients with lower esophageal (middle thoracic, lower thoracic and abdominal) cancer. We evaluated the effectiveness of surgical treatment between the 2 groups by measuring the rate of complete surgical resection, the postoperative complications, the postoperative mortality, tumor recurrence, the average life expectancy and the long-term survival. Result: On comparing both groups, there was no significant difference in the distribution of the pathological stage and no significant difference in the percentage of performing complete surgical resection. The percentage of post-operative complications was 39.1% (9 out of 23 patients) in the upper esophageal cancer group, and this was significantly higher than 16.9% (21 out of 124 patients) in the lower esophageal cancer group (p<0.05). However, there was no significant statistical difference between the groups for the percentages of postoperative mortality, tumor recurrence or the postoperative average life expectancy. Conclusion: There was no significant difference in operative mortality or surgical effectiveness between the 2 groups. Therefore, we thought that surgical treatment is also effective for treating upper esophageal cancer, but further investigation with large patient populations will be required.

• Journal of Environmental Impact Assessment
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• v.27 no.3
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• pp.241-250
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• 2018

Recently, negative effects on human health such as disease caused by harmful environment have been dealt with seriously. In particular, studies on the effect of radon exposure, which is known as a primary carcinogen in lung cancer due to radioactive materials, have been actively studied. In Korea, since January 1, 2018, radon measurement is mandatory when building a new apartment, so it is necessary to measure the radon concentration and submit it to the local government and it should be posted where residents can see it. Radon has only recommended standards for multi-use facilities, but now it has decided to set recommendation standards for private homes. Therefore, it should now be possible to manage the radon in the environmental impact assessment phase as well as in the Post-environmental Impact Assessment. It should be possible to share health information such as the radon concentration and the risk of radon, and participation of health experts in the environmental impact assessment stage is required. Soil, air quality, hygiene and aerial items should be improved to take into account the effects of radon on human health during the environmental impact assessment process. If the level value of conncentration of radon shows above the recommended level, then alternative measures should be prepared and mitigation measures should be prepared as well.

• Journal of Families and Better Life
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• v.26 no.3
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• pp.131-147
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• 2008

The main purpose of this study is to examine the effects of the fathering practice on children's sociality. The subjects of this research are 569 (grade 6) students who are from 4 elementary schools, and 511 (grade 3) students who are from 4 other middle schools in Seoul and Gyeonggi province. The data was collected using two kinds of questionnaires: Canfield's (1995) Fathering Practice Scale and Urn Guy-Sung's (1999) Children's Sociality Scale. The data was analyzed by frequency, mean, standard deviation, percentage, Cronbach's alpha, t-test, one-way ANOVA, Scheffe's post hoc test, and hierarchical regression. The major results of this research are summarized as follows: First, there were differences in children's sociality according to children's and fathers' perceptions of the fathering practices. I classified 1080 students into 4 groups by mean${\pm}$1/2standard deviation of the children's and fathers' perceptions of the fathering practices. The results showed that children's sociality tends to be higher when the children's perceptions of the fathering practice are at a high level (Group 1 and Group 2), compared to when the fathers' perceptions of the fathering practice are at a high level (Group 3 and Group 4). Second, hierarchical regression was divided into two models so as to know how the effects were different from the children's and fathers' perceptions of the fathering practice on children's sociality. In the first model, only the fathers' variables were inputted and fathers' perceptions on fathering practice has significant effects on children's sociality. In the second model, both the children and fathers' variables were inputted into analysis. The fathers' perceptions of the fathering practice were not influenced, but children's perceptions of the fathering practice had great effects on children's sociality. Third, as the result of hierarchical regression with age, mid-childhood has significant effects on children's perceptions of the fathering practice on children's sociality. In addition, early adolescence is an important variable in the effects of the fathers' perceptions of the fathering practice on children's sociality. As a result the fathers' perceptions of the fathering practice are important and influential variables on children's sociality. In the result of this study fathering practice is necessary in children's development.