• Journal of Korean Neurosurgical Society
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• v.50 no.4
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• pp.357-362
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• 2011

Objective : To report our experience with pyogenic spondylitis treated with anterior radical debridement and insertion of a titanium mesh cage and to demonstrate the effectiveness and safety of the use of a titanium mesh cage in the surgical management of pyogenic spondylitis. Methods : We retrospectively analyzed the clinical characteristics of 19 patients who underwent surgical treatment in our department between January 2004 and December 2008. The average follow-up period was 11.16 months (range, 6-64 months). We evaluated risk factors, cultured organisms, lab data, clinical outcomes, and radiographic results. Surgical techniques for patients with pyogenic spondylitis were anterior radical debridement and reconstruction with titanium mesh cage insertion and screw fixation. All patients received intravenous antibiotics for at least 6 weeks postoperatively, and some patients received oral antibiotics. Results : The infections resolved in all of the patients as noted by normalization of their erythrocyte sedimentation rates and C-reactive protein levels. The mean pain score on a Visual Analog Scale was 7.8 (range, 4-10) before surgery and 2.4 (range, 1-5) after surgery. The Frankel grade was improved by one grade in seven patients. After surgery, the average difference of the angle was improved about $6.96^{\circ}$ in all patients. At the last follow-up, the mean loss of correction was $4.86^{\circ}$. Conclusion : Anterior radical debridement followed by the placement of instrumentation with a titanium mesh cage may be a safe and effective treatment for selected patients with pyogenic spondylitis. This surgical therapy does not lead to recurrent pyogenic spondylitis.

• Journal of Digital Convergence
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• v.12 no.7
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• pp.85-93
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• 2014

The Press related Energy including nuclear energy has social responsibility that it should pass the scientific factors to the right. It is essential to ensure the accuracy and fairness. The general public, such as press releases and information obtained through indirect communication affects social acceptance of nuclear power, which is used to determine the direction of energy policy, the most important factor to be taken into account. Recent rapid increase coverage of NPP lose in balance of nuclear power plants. In this study the qualitative interviews were performed with the workers who stand directly in obtaining information about nuclear related organizations. By E-mail and FGI the data were collected from the workers' perception about domestic nuclear news. They perceived the NPP news that the negative aspects of nuclear power plants were too much dealt in nuclear news coverage, and risk of NPP is only exaggerated and distorted, the lack of expertise knowledge on nuclear power and recognize that the cause was a lack of understanding. 'Nuclear mah' for the event were aware that should dig more thoroughly. The Journal of Digital Policy & Management.

• Journal of the Korea Safety Management & Science
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• v.16 no.3
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• pp.289-294
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• 2014

The purpose of this report is to discuss the obtained findings gathered from ultrasound screenings of the liver. After running diagnostic tests health, screens were then conducted to analyze and compare the gained results. This data was then charted and used to strengthen our theorized hypothesis. From January 2013 to June 2013 a recorded 2906 people over the age of 20 visited Health Promotion Centers in various areas throughout Daejeon. Of those 2906 participants 1789 underwent screenings for abdominal ultrasonography; these participants as well as their ultrasound results were used as the bases of our study. For the establishment of our baseline and the comparison of our results, we gathered case-controlled studies from various reputable sources. Both the control and the experimental groups were tested to measure the following liver enzymes (AST, ALT, r-GTP, ALP, and etc.). Kidney functions were measured as well enzymes such as BUN, Creatinine, and Uric Acids levels were analyzed and recorded to see if any relationships existed between the levels documented in the liver and those in the kidneys. It was shown that the two primary causes of fat build up within the liver were significantly connected to obesity BMI(OR=4.14) and waist circumference(OR=3.88).

• Health Policy and Management
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• v.24 no.1
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• pp.24-34
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• 2014

Background: Bankrupted households have recently been increased due to excessive medical expenditure in Korea. They have not been protected from economic risk when household's member has severe diseases that need a lot of money for treatment. Purpose of this study examines policy effect by comparing unmet needs' change of policy object households and non-object groups. Methods: We used Korea Health panel 2nd 4th data collected by Korea Institute for Health and Social Affairs and National Health Insurance Service. Analysis subjects were 381 households (pre-policy) and 393 households (post-policy) that had cancer and cardiovascular and cerebrovascular diseases. Since it was major concern that estimates benefit strengthening policy started by certain time, we setup comparing households which had diabetes, hypertension disease. Comparison subjects were 393,247 households, respectively and we evaluated policy effect using difference in difference (DID) model. Results: Although unmet needs of policy object households were higher than non-object groups, policy execution variable affected negative direction. But interaction-term which shows pure effect of policy was not statistically significant. We utilized multi-DID model to examine factors affecting unmet needs causes. Copayment assistance policy did not significantly affect households that responded to 'economic reason,' and 'no have time to visit' for unmet needs causes. Conclusion: The second copayment assistance policy did not significantly give positive effect to beneficiary households than non-beneficiary groups. When we consider that primary purpose of public insurance guarantee high medical expenditure occurred by unexpected events, it needs to deliberate on switch of benefit strengthening policy that can assist vulnerable people. Also, we suggest that government forward a policy covering non-reimbursable medical expenses as well as switch of benefit strengthening direction because benefit policy do not affect non-covered medical cost which accounts for quarter of total health expenditure.

• Journal of Distribution Research
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• v.16 no.5
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• pp.85-101
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• 2011

Just as traditional markets nationwide, traditional markets in Jeju area also face a crisis due to expansion of new distribution channel and price competitiveness of large distribution companies. There are various support programs currently being carried out to prevent all risk factors of the traditional markets as government policies. But, these programs have failed to bring a positive change due to lack of specialized products of the traditional market, lack of systematic marketing and customer management, lack of market vendors' consciousness reformation. The purpose of this study is to prepare political measures to promote the revitalization of traditional markets in Jeju area and overcome these limits. To achieve this, this study analyzed the conditions of traditional markets in Jeju area and presented the specialization of items and service for each traditional market, establishment of growth strategies in connection with tourist industry and reinforcement of marketing competitiveness as measures to create a synergy effect.

• Journal of Advanced Navigation Technology
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• v.18 no.4
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• pp.334-340
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• 2014

Recently, in an effort to decrease aviation accident worldwide, there has not been any significant decline of the aviation accident rate. Therefore, in the international society, it is more focused on removing risk factors based on data collected and analyzed, in order to improve the aviation safety. This paper introduces on the characteristic of ECCAIRS 5 which become the standard for the worldwide aviation safety reporting and data exchange system. Also, using domestic aviation accident data collected during last 10 years(from 2003 to 2012), we analyze the distribution of the aviation accidents/incidents, annual and monthly aviation accident rate, flight phase, and occurrence category according aircraft type(Fixed/Rotary wing). The analyzation regarding the tendency of aviation accident/serious incident will give the direction to approach the quantitative safety management.

• Journal of Nutrition and Health
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• v.49 no.3
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• pp.201-212
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• 2016

Purpose: Needs for reevaluation of food code standards and regulations for cooked foods produced in restaurants and institutional foodservice to minimize risk factors leading to foodborne outbreaks are on the rise. The purpose of the study was to propose updated standards for cooked foods of restaurants by testing whether or not experts agree to include them as a standard. Methods: Qualitative and quantitative research methods were applied via a survey by email and workshop hold for experts panel discussions. Results: Seven newly proposed standards were selected as follows: (1) sanitizing vegetables and fruits with no heating process after washing, (2) rapid cooling of cooked foods after heating process, (3) monitoring cooking temperatures, (4) minimum 2 hours holding after cooking for temperature control of safety (TCS) foods without temperature control, (5) banning practices for workers such as bare hands handling of ready-to-eat foods, (6) maintaining cleanliness of food contact surfaces for disposable products, and (7) cold holding standards for sushi. Conclusion: The proposed proposal can be utilized as control measures for preventing foodborne illness in restaurants. However, a feasibility study should be conducted to test whether they are applicable to the field of restaurant operation.

• Archives of Plastic Surgery
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• v.42 no.5
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• pp.532-543
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• 2015

Capsular contracture is the most common complication following implant based breast surgery and is one of the most common reasons for reoperation. Therefore, it is important to try and understand why this happens, and what can be done to reduce its incidence. A literature search using the MEDLINE database was conducted including search terms 'capsular contracture breast augmentation', 'capsular contracture pathogenesis', 'capsular contracture incidence', and 'capsular contracture management', which yielded 82 results which met inclusion criteria. Capsular contracture is caused by an excessive fibrotic reaction to a foreign body (the implant) and has an overall incidence of 10.6%. Risk factors that were identified included the use of smooth (vs. textured) implants, a subglandular (vs. submuscular) placement, use of a silicone (vs. saline) filled implant and previous radiotherapy to the breast. The standard management of capsular contracture is surgical via a capsulectomy or capsulotomy. Medical treatment using the off-label leukotriene receptor antagonist Zafirlukast has been reported to reduce severity and help prevent capsular contracture from forming, as has the use of acellular dermal matrices, botox and neopocket formation. However, nearly all therapeutic approaches are associated with a significant rate of recurrence. Capsular contracture is a multifactorial fibrotic process the precise cause of which is still unknown. The incidence of contracture developing is lower with the use of textured implants, submuscular placement and the use of polyurethane coated implants. Symptomatic capsular contracture is usually managed surgically, however recent research has focussed on preventing capsular contracture from occurring, or treating it with autologous fat transfer.

• Health Policy and Management
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• v.30 no.2
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• pp.199-210
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• 2020

Background: Based on the importance of ceasing smoking programs to control the regional disparity of smoking behavior in Korea, this study aims to reveal the variation of smoke rate and determinants of it for 229 provinces. An evaluation of the relative efficiency of the cease smoking program under the consideration of regional characteristics was followed. Methods: The main sources of data are the Korean Statistical Information Service and a national survey on the expenditure of public health centers. Multivariate regression is performed to figure the determinants of regional variation of smoking rate. Based on the result of the regression model, clustering analysis was conducted to group 229 regions by their characteristics. Three clusters were generated. Using data envelopment analysis (DEA), relative efficiency scores are calculated. Results from the pooled model which put 229 provinces in one model to score relative efficiency were compared with the cluster-separated model of each cluster. Results: First, the maximum variation of the smoking rate was 16.9%p. Second, sex ration, the proportion of the elder, and high risk drinking alcohol behavior have a significant role in the regional variation of smoking. Third, the population and proportion of the elder are the main variables for clustering. Fourth, dissimilarity on the results of relative efficiency was found between the pooled model and cluster-separated model, especially for cluster 2. Conclusion: This study figured regional variation of smoking rate and its determinants on the regional level. Unconformity of the DEA results between different models implies the issues on regional features when the regional evaluation performed especially on the programs of public health centers.

• Korean Journal of Construction Engineering and Management
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• v.5 no.4 s.20
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• pp.87-96
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• 2004

The construction duration in apartment construction is an important factor which affects project cost. Henceforth, the time shortening is essential to retrench project cost and project risk when there adopt Five-Day Workweek and introduce apartment sales after completion of construction. Therefore, the purpose of this study is to examine closely the affecting factors on the duration of framework which forms about $40\sim50\$ percent of total time in apartment construction by analyzing the schedule mechanism of typical floor and to show the reasonable time shortening methods by case study. The shown schedule mechanism and basic schedule table can utilize as a guideline in case of scheduling of framework in the existing construction method. Also, the shown time shortening methods by three case studies will guide the direction and process of time shortening while there need time shortening in many-sided projects.