• Health Policy and Management
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• v.3 no.1
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• pp.1-24
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• 1993

This study is designed to find clues to make a plan for efficient hospital bed utilization. Author has tried to estimate the level of appropriateness and to find out factors affecting intra-hospital variation of inappropriate bed utilization using modified Appropriateness Evaluation Protocol of which criteria are based on service intensity and patients' conditions. Systematic random sampling was done from the population of inpatients during one month in on university hospital. Data were collected by concurrent and retrospective medical record review and analysed by multiple logistic regression. In medical services, 83.5% of admission reveals appropriate and the level of inappropriate admission shows significant differences by patients' residence, type of department admitted to, admission 개\ulcorner, and length of stay. In surgical services, 97.3% and 34.7% are appropriate in location and timing of surgery respectively. Inappropriate timing of surgery differs significantly depending on patients' age, type of department admitted to, admission route, and length of stay. Sixty two percent of hospital days shows appropriate and the level of inappropriateness show marked differences by patients'age, type of services, admission routes, part of the month, part of the stay, and length of stay. Inappropriate hospital days are due to inappropriate level of care, premature admission, improper scheduling of diagnostic or therapeutic procedures, and problems in scheduling surgery in sequence. In conclusion, substantially high proportion of inappropriate hospital bed utilization was confirmed. To reduce it, it is necessary to develop alternative services with which can replace inpatient services, and to introduce utilization management system which may include internal peer review.

• Animal Bioscience
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• v.36 no.4
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• pp.584-590
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• 2023

Objective: This research aimed to explore the changes in the observed abdominal sagging index (ASI) and reproductive performance of Roman male and female geese during the breeding period. Methods: The 339 six-month-old breeding geese (109 male; 230 female) were used in this study, in which five male and five female geese were slaughtered on a monthly basis to record the ASI. Results: The short diameter of the testes of the male goose when the female goose lays eggs and in the second, third, and fourth months was significantly wider than in the fifth months (19.0, 20.8, 21.4, and 19.6 vs 12.7 and 14.0 mm/bird; p = 0.0105). On the other hand, the testicular weight of the male goose in the second and third months after the female goose lays eggs was significantly higher than that in the second and fifth months after laying (0.33% and 0.37% vs 0.11% and 0.19%; p = 0.0212). During the exploring period, the length and weight of the fallopian tube, the weight of the ovary, the number of follicles in 2 to 3 cm, the number of follicles in 3 to 4 cm, the fallopian tube weight in the carcass weight percentage, and the ovary weight in the carcass weight percentage all demonstrated a significant curve response. Further, female ASI was positively correlated with reproductive tract length (r = 0.815; p<0.05) and egg production per female (r = 0.790; p<0.05). Conclusion: The ASI classification method is more objective and easy to distinguish. This scoring method has a high correlation with the number of eggs laid by each goose and the length of the reproductive tract, inferring that the goose observation could take advantage of ASI during egg-laying and can predict the reproductive system development during the laying period and determine when the breeding goose begins to lay eggs.

• Journal of Preventive Medicine and Public Health
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• v.42 no.2
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• pp.117-122
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• 2009

Objectives : We tried to evaluate the agreement of the Charlson comorbidity index values(CCI) obtained from different sources(medical records and National Health Insurance claims data) for gastric cancer patients. We also attempted to assess the prognostic value of these data for predicting 1-year mortality and length of the hospital stay(length of stay). Methods : Medical records of 284 gastric cancer patients were reviewed, and their National Health Insurance claims data and death certificates were also investigated. To evaluate agreement, the kappa coefficient was tested. Multiple logistic regression analysis and multiple linear regression analysis were performed to evaluate and compare the prognostic power for predicting 1 year mortality and length of stay. Results : The CCI values for each comorbid condition obtained from 2 different data sources appeared to poorly agree(kappa: 0.00-0.59). It was appeared that the CCI values based on both sources were not valid prognostic indicators of 1-year mortality. Only medical record-based CCI was a valid prognostic indicator of length of stay, even after adjustment of covariables($\beta$ = 0.112, 95% CI = [0.017-1.267]). Conclusions : There was a discrepancy between the data sources with regard to the value of CCI both for the prognostic power and its direction. Therefore, assuming that medical records are the gold standard for the source for CCI measurement, claims data is not an appropriate source for determining the CCI, at least for gastric cancer.

• Korean Journal of Ichthyology
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• v.26 no.3
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• pp.235-238
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• 2014

One specimen (619.0 mm in standard length) of Tentoriceps cristatus, belonging to the family Trichiuridae, was newly collected in the coastal waters of Jeju Island by the bottom trawl. This species was characterized by the following morphological traits: round dorsal profile of head (vs. straight for the similar species, Eupleurogrammus muticus); pelvic fin locating below the 12th dorsal fin ray (vs. 15th~17th); V, 131 dorsal fin rays; 11 pectoral fin rays; 1 pelvic fin ray changed to be a scale-like process; II anal fin rays (second one is changed to be a scale-like process). We suggest the Korean names, "Tu-gu-gal-chi-sok" and "Tu-gu-gal-chi" for the genus and species, respectively.

• Korean Journal of Ichthyology
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• v.29 no.3
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• pp.224-228
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• 2017

Two specimens of Ruvettus pretiosus (227.0 and 238.3 mm in standard length), belonging to the family Gempylidae, was firstly collected by using a gill net from the eastern coastal waters of Jejudo Island, Korea in November 2013. This species is characterized by having the following morphological traits: XV, 17~19+2 dorsal fin rays; II, 15~16+2 anal fin rays; belly keeled between pelvic fin and anus; body covered with cycloid scales, interspaced with rows of sharp bony tubercles. R. pretiosus can be easily distinguished from three Korean Snake mackerels (Thyrsitoides marleyi, Rexea prometheoides and Gempylus serpens) by having belly keeled between pelvic fin and anus, and cycloid scales covered the body and interspaced with rows of sharp bony tubercles. Based on morphological and molecular approaches, the specimens were identified as R. pretiosus. We propose new Korean names, "Gi-reum-chi-sok" and "Gi-reum-chi" for the genus and species, respectively.

• Parasites, Hosts and Diseases
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• v.51 no.4
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• pp.441-448
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• 2013

This study describes the first record of Bourgelatia diducta (Nematoda: Chabertiidae) from wild boars in the Republic of Korea (=South Korea). Gastrointestinal tracts of 87 Korean wild boars (Sus scrofa coreanus) hunted in mountains in the south-western part of South Korea between 2009 and 2012 were examined for their visceral helminths. B. diducta, as identified by morphological characteristics of the head and tail, were recovered from the large intestine of 47 (54%) wild boars. The average length of adult female worms was $11.3{\pm}0.872$ mm and the thickest part of the body measured $0.54{\pm}0.04$ mm in maximum width, while those of males were $9.8{\pm}0.72$ and $0.45{\pm}0.03$ mm, respectively. The characteristic J-shaped type II ovejector was observed in females, and the type II dorsal ray with 2 rami on each side of the median fissure was uniquely seen in males. The buccal capsule was small, relatively thin-walled, cylindrical, very short, and ring-shaped. The externodorsal ray arose from a common stem with the dorsal ray. The cervical groove was absent. The anterior extremity was equipped with 20-22 external corona radiata, 4 cephalic papillae and 2 lateral amphids around the mouth. The eggs were $66.0{\times}38.9{\mu}m$ in average size. By the present study, B. diducta (Nematoda: Chabertiidae) is recorded for the first time in South Korea. Additionally, morphological characteristics and identification keys provided in the present study will be helpful in the faunistic or taxonomic studies for strongylid nematodes related.

• Computers and Concrete
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• v.16 no.1
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• pp.49-65
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• 2015

It is hard to guarantee the strict synchronization of all the jacking-up points in the integral jacking of a large-span continuous box girder bridge. This paper took the Hengliaojing Bridge as background, which need jacking up as an object with 295m length and more than 10,000tons weight, adopted 3D software to calculate the unsynchronized jacking-up working conditions, and studied the relationships between the unsynchronized vertical difference and the girder's deformation behaviour. The aim is to verify the maximum value of the unsynchronized vertical difference, and guide the construction and ensure safety. The monitoring system with its contents is introduced corresponding to the analysis. The results of the deck relative elevations prove that it is difficult to avoid the deck torsional deformation for jacking different; especially the side span shows more deformations for its smaller stiffness. The maximum difference is smaller than the limited value with acceptable stresses in the sections. The jacking heights of the pier in each construction step are controlled regularly according to the design. The shifting of the whole bridge in longitudinal direction is smaller than in transverse direction. The several beginning steps are the key to adjust their support reactions. This study is one parts of the fundamental research for the code "Technical specification for bridge jacking-up and reposition of China". The whole synchronous jacking project of the main bridge set a world record by the World Record Association for the whole bridge jacking project with the longest span of the world.

• Korean Journal of Plant Taxonomy
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• v.42 no.4
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• pp.335-339
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• 2012

An unrecorded species, Carex benkei T. Shimizu, was found in Is. Jaewondo, Jaewon-ri, Imja-myeon, Sinan-gun, Jeollanam-do and Dongbaik-dongsan, Seonheul-ri, Jocheon-eup, Jeju-si, Is. Jeju-do, South Korea. C. benkei is closely related to C. transversa Boott and C. brownii Tuck., and C. benkei is distingushied from the pistillate scales length, excluding the awn, similar to the achene and the beak of the achene with an annular appendage. A new Korean name, 'Gin-Hwa-Sal-Sa-Cho', was given based on its long pistillate scales excluding the awn compared with Carex transversa Boott. We provide here its redescription, illustrations, photographs, and a key to species of the sect. Confertiflorae Franch. ex Ohwi.

• Korean Journal of Ichthyology
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• v.24 no.4
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• pp.302-305
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• 2012

Two specimens (332.0~377.6 mm in standard length) of Benthodesmus tenuis (G$\ddot{u}$nther), belonging to the family Trichiuridae, firstly collected in off Heuksan-do and Yeosu, Jeollanam-do by the bottom trawl. This species was characterized by the following morphological traits: 125~126 dorsal fin rays (vs. 144~155 for B. pacificus), I, 73 anal fin rays (vs. 91~101), interorbital region flat (vs. interorbital region with prominent crest for A. anzac), opercular black and caudal fin forked. We propose a new Korean name, "Se-jang-gal-chi-sok" and "Se-jang-gal-chi" for the genus and species, respectively.

• Korean Journal of Ichthyology
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• v.23 no.3
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• pp.242-245
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• 2011

This is the first report of Japonolaeops dentatus Amaoka, belonging to the family Bothidae, collected in Korea. Four specimens (152.9~174.7 mm in standard length) were caught in the coastal waters of Jeju Island by using the bottom trawl. This species was characterized by the following morphological traits: 115~120 dorsal fin rays, 96~98 anal fin rays, 105~106 pores in lateral line, upper jaw extending to below anterior margin of lower eye, and teeth presenting on both ocular and blind sides of the jaw. We propose a new Korean name, "Geom-eun-kko-ri-neop-chi-sok" and "Geom-eun-kko-ri-neop-chi" for the genus and species, respectively.