• 정신신체의학
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• 제29권2호
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• pp.199-206
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• 2021

Objectives : This study aimed to compare the characteristics of suicide attempts among Korean patients with mixed and non-mixed depression. Methods : Patients who visited the emergency room due to a suicide attempt and participated in the Korean Cohort for the Model Predicting a Suicide and Suicide-related Behavior study were included. Using the Montgomery-Asberg Depression Rating Scale (MADRS) and Young Mania Rating Scale (YMRS), 111 patients were classified into the mixed depression (n=46) and non-mixed depression groups (n=65). The Koukopoulos Mixed Depression Rating Scale (KMDRS) score was calculated using the MADRS and YMRS scores. Suicide attempt characteristics were evaluated using the Columbia Suicidal Severity Rating Scale (C-SSRS) and Suicide Intent Scale (SIS). Results : In the mixed depression group, the reason item among the ideation intensity score of the C-SSRS was higher, and the deterrent item score was lower. Scores on the timing and suicide note items of the SIS were higher, and scores for overt communication items were lower in the mixed depression group. The KMDRS score was positively correlated with the C-SSRS ideation intensity and total SIS score. After adjusting for additional variables, the KMDRS scores had a significant effect on the C-SSRS ideation intensity and total SIS scores. Conclusions : The mixed depression group showed a difference in the intensity of suicidal ideation and suicidal intention compared to those in the non-mixed depression group. The overall suicidal ideation intensity and suicidal intention increased according to the degree of mixed depression.

• Journal of Yeungnam Medical Science
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• 제39권4호
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• pp.294-299
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• 2022

Background: Medical therapy is the standard treatment for uncomplicated acute type B aortic dissection (ATBAD), but there is little evidence of the need for intensive care unit (ICU) management. Therefore, we aimed to investigate the effects of ICU treatment on uncomplicated ATBAD. Methods: We retrospectively studied patients with uncomplicated ATBAD who were medically treated between January 2010 and July 2020. Patients were divided into short-term ICU stay (SIS) and long-term ICU stay (LIS) groups, according to a 48-hour cutoff of ICU stay duration. The incidence of pneumonia and delirium, rate of aortic events, hospital mortality, and survival rate were compared. Results: Fifty-five patients were treated for uncomplicated ATBAD (n=29 for SIS and n=26 for LIS). The incidence of pneumonia (3.6% vs. 7.7%) and delirium (14.3% vs. 34.6%) was higher in the LIS group than in the SIS group, but the differences were not statistically significant. The survival rates at 1, 3, and 5 years were not different between the two groups (SIS: 96.4%, 92.2%, and 75.5% vs. LIS: 96.2%, 88.0%, and 54.2%, respectively; p=0.102). Multivariate Cox regression analysis for aortic events showed that using a calcium channel blocker lowered the risk of aortic events. Conclusion: Long-term ICU treatment is unlikely to be necessary for the treatment of uncomplicated ATBAD. Active use of antihypertensive agents, such as calcium channel blockers, may be needed during the follow-up period.

• Journal of Acupuncture Research
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• 제39권3호
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• pp.213-221
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• 2022

Background: This study investigated the clinical effectiveness of Korean medicine (KM) treatment for shoulder impingement syndrome (SIS). Methods: There were 61 patients who were diagnosed with SIS in the Jaseng hospital network of KM (7 hospitals located in Korea: Gangnam, Daejeon, Bucheon, Haeundae, Bundang, Ulsan, and Gwangju) between January 1^st, 2015 and December 31^st, 2020 who were retrospectively reviewed. The patients were grouped according to complications, intake of analgesics, duration of illness preadmission, and treatment. Treatments consisted of herbal medicine, acupuncture, cupping, Chuna, pharmacopuncture, bee venom pharmacopuncture, medicinal steaming, Daoyin exercises, and physical therapy. By comparing the Numeric Rating Scale (NRS), Shoulder Pain and Disability Index, and European Quality of Life 5-Dimensions questionnaire scores, the effectiveness of integrated KM treatment was evaluated. Results: There were 14 males and 47 females. For inpatients diagnosed with SIS, the mean NRS score decreased from 5.78 ± 1.33 to 3.40 ± 1.43 (p < 0.001). The mean Shoulder Pain and Disability Index score decreased from 53.87 ± 14.76 to 38.56 ± 18.87 (p < 0.001), and the mean European Quality of Life 5-Dimensions questionnaire increased from 0.67 ± 0.13 to 0.76 ± 0.09 (p < 0.001) after KM treatment. Medicinal steaming (0.398; p < 0.001), acupuncture (0.290), cupping (0.288), bee venom pharmacopuncture (0.282), and Daoyin exercises (0.262; p < 0.05) had a positive correlation with improved changes in the NRS score. Conclusion: Conclusion: Treatment with integrated KM treatment improved the pain, range of motion, shoulder function, and quality of life of patients with SIS.

• 보험의학회지
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• 제28권1_2호
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• pp.31-35
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• 2009

Background : Many of internists have been working for insurance industry. Insurance medicine is use of medical knowledge for insurance industry. There is social role of insurance medicine in terms of soundness of insurance administration. Recently social role of internists also have been being watched. Although theme of insurance medicine is medical risk selection, insurance claims administration also needs medical experts'opinion. There are not any corroborative study of medical consulting for insurance claims. Among insurance industry, someone called this medical review of insurance claims as 'medical claims review'. Aim : To investigate usefulness of medical review of insurance claims. Design : Questionnaire survey with claim staffs in one of insurance claim adjustment company in Korea. Methods : 265 claim staffs were divided into 4 groups and conducted survey using a questionnaire of 20 questions. Utility score, job satisfaction score, and difficult factors of claims administration were measured. Results : Utility score and job satisfaction score are highest in medical claims review group. The most difficult in claim administration to claim staffs was demonstrated to medical knowledge. Conclusion : Medical review of insurance claims is proved to be worthy. Document-based consulting method, namely medical claims review, is more useful than telephone-based simple query among claim staffs...Subjects of the medical claims review are medical record and it's principle is independent medical examination with evidence-based approach, it also has role of protecting fraud of insurance claims. Two main question types of medical claims review are verification and advice.

• 대한물리의학회지
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• 제6권3호
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• pp.341-351
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• 2011

Purpose : The purpose of this study was to determine the initial effects of deltoid inhibition taping to Pain, Function, Strength, ROM in shoulder impingement syndrome (SIS). Methods : This study is 28 patients(male 16, female 12) with shoulder impingement syndrome(SIS).The experimental group received deltoid inhibition taping and the control group had sham taping. Outcome variables measured degree of pain, disability, strength, and range of motion at pre-post intervention. The changes between pre-post interventions are analyzed by a repeated measure ANOVA test. Results : Pain and disability index significantly decreased (p<.05), and the rate of change in pain and disability level of the experimental group increased significantly more than control group (p<.05). Strength and range of motion significantly increased (p<.05), but the rate of change of the two groups showed no significant difference (p>.05). Conclusion : These results suggest that deltoid inhibition taping was initial effective in decreasing pain and disability in SIS patients.

• 한국원자력학회:학술대회논문집
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• 한국원자력학회 1996년도 추계학술발표회논문집(1)
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• pp.395-400
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• 1996

Scoping analyses for the Safety Injection System (SIS) configuration for Korean Next Generation Reactor (KNGR) are peformed in this study. The KNGR SIS consists of four mechanically separated hydraulic trains. Each hydraulic train consisting of a High Pressure Safety Injection (HPSI) pump and a Safety Injection Tank (SIT) is connected to the Direct Vessel Injection (DVI) nozzle located above the elevation of cold leg and thus injects water into the upper portion of reactor vessel annulus. Also, the KNGR is going to adopt the advanced design feature of passive fluidic device which will be installed in the discharge line of SIT to allow more effective use of borated water during the transient of large break LOCA. To determine the feasible configuration and capacity of SIT and HPSI pump with the elimination of the Low Pressure Safety Injection (LPSI) pump for KNGR, licensing design basis evaluations are performed for the limiting large break LOCA. The study shows that the DVI injection with the fluidic device SIT enhances the SIS performance by allowing more effective use of borated water for an extended period of time during the large break LOCA.

• 자원환경지질
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• 제30권5호
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• pp.493-498
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• 1997

The purpose of this study is to develop geostatistical model for evaluating the abundance of deep-sea manganese nodule. The abundance data used in this study were obtained from the KODOS (Korea Deep Ocean Study) area. The variation of nodule abundance was very high within short distance, while sampling methods was very limited. As the distribution of nodule abundance showed non-gaussian, indicator simulation method was used instead of conditional simulation method and/or ordinary kriging. The abundance data were encoded into a series of indicators with 6 cutoff values. They were used to estimate the conditional probability distribution function (cpdf) of the nodule abundance at any unsampled location. The standardized indicator variogram models were obtained according to variogram analysis. This SIS method had the advantage over other traditional techniques such as the turning bands method and ordinary kriging. The estimating values by indicator conditional simulation near high abundance area were more detailed than by ordinary kriging and indicator kriging. They also showed better spatial characteristics of distribution of nodule abundance.

• 전자공학회논문지A
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• 제33A권6호
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• pp.81-89
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• 1996

Quantum RF impedance of SIS (superconductor insulator superconductor) junction has been analyzed by using through on tucker's quantum mixer theory in the frequency range form 80 GHz to 120 GHz. The embedding impedance of waveguide-type mixer mount and its equivalent circuit have been evaluated. From these evaluated results, the impedance matching efficiency between mixer mount embedding impedance and mixer port impedance of upper-side band and IF which were determined by augmented admittance matrix with given backshort position has been discussed in detail. It is found that the mixer with fixed backshort mount ahs a impedance matching efficiency about 80% at each port of mixer within 85GHz to 115GHz, which implys a conversion los of mixer would be good enough to be operated such a wide band frequency range. Therefore, the theoretical evaluated results show that our method can be used ot design the mixer mount without any mechanical tuning elements such a backshort or an E-plane tunners for wide band operation.

• 한국지구과학회지
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• 제32권5호
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• pp.461-473
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• 2011

In this paper, trends of the widely used stability indices (SIs) and environmental parameters (EPs) were examined by using the 30-year routine rawinsonde data observed in three upper air observatories (Osan, Gwangju and Pohang) over South Korea. To take into account of the contribution of water vapor to a parcel density, we applied the virtual temperature correction in calculating the SIs and EPs. The trends of SIs and EPs indicated significant increases of temperature and moisture contents, especially at the low-to-mid troposphere during the last 10 years. The warming trend in the lower troposphere shows about 3 times greater than that of the global average (+0.10- $+0.20^{\circ}C$/10 years), whereas the cooling trend of lower stratosphere demonstrates a similar trend with the global average (-0.33- $-0.60^{\circ}C$/10 years). The vertical stability is clearly reduced due to the unsymmetrical change of atmospheric elements. The unstabilizing trend with the increased moisture contents gradually changed the atmospheric environment in South Korea into the conditions favorable for the occurrence of severe weather or intensifications of such events. These trends are consistent with the recent observations, which showed clear increase in the intensity and frequency of heavy rainfalls.

• Journal of Preventive Medicine and Public Health
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• 제24권4호
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• pp.473-484
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• 1991

Hospitals have been very susceptable to changes in external environment. Accordingly, they have been experiencing great financial difficulty due to low insurance rates and increasing competition. As a remedy, hospitals have attempted to use computer in a strategic manner. Such system is called strategic information system(SIS), and order communication system(OCS ) is an example of SIS in hospital setting. While OCS has known to be effective in reducing waiting time for outpatients, many hospitals are reluctant to introduce this system mainly because there are no real data or methods for justifying the cost of the system. Cost-benefit analysis has been traditionally used for such purpose, but this method deals with limited portion of benefits and therefore not very useful for analyzing the economic feasibility of SIS. In this paper, information economics tools which expand cost with value was used to analyze the economic feasibility of OCS. To assist the analysis, financial simulation model was developed using simulation package, called IFPS(Interactive Financial Planning System).