• Journal of Mechanical Science and Technology
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• v.20 no.7
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• pp.1012-1018
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• 2006

Diagnosis and treatment using the conventional flexible endoscope in gastro-intestinal tract are very common since advanced and instrumented endoscopes allow diagnosis and treatment by introducing the human body through natural orifices. However, the operation of endoscope is very labor intensive work and gives patients some pains. As an alternative, therefore, the capsule endoscope is developed for the diagnosis of digestive organs. Although the capsule endoscope has conveniences for diagnosis, it is passively moved by the peristaltic waves of gastro-intestinal tract and thus has some limitations for doctor to get the image of the organ and to diagnose more thoroughly. As a solution of these problems, various locomotive mechanisms for capsule endoscopes are introduced. In our proposed mechanism, the capsule-type microrobot has synchronized multiple legs that are actuated by a linear actuator and two mobile cylinders inside of the capsule. For the feasibility test of the proposed microrobot, a series of in-vitro experiments using small intestine without incision were carried out. From the experimental results, our proposed microrobot can advance along the 3D curved and sloped path with the velocity of about $3.29\sim6.26mm/sec$ and $35.1\sim66.7%$ of theoretical velocity. Finally, the proposed locomotive mechanism can be not only applicable to micro capsule endoscopes but also effective to advance inside of gastro-intestinal tract.

• Journal of Preventive Medicine and Public Health
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• v.49 no.6
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• pp.343-348
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• 2016

Since noncommunicable diseases (NCDs) are generally controllable rather than curable, more emphasis is placed on prevention than on treatment. For the early detection of diseases, primary care physicians (PCPs), as well as general practitioners and family physicians, should interpret screening results accurately and provide screenees with appropriate information about prevention and treatment, including potential harms. The concept of quaternary prevention (QP), which was introduced by Jamoulle and Roland in 1995, has been applied to screening results. This article summarizes situations that PCPs encounter during screening tests according to the concept of QP, and suggests measures to face such situations. It is suggested that screening tests be customized to fit individual characteristics instead of being performed based on general guidelines. Since screening tests should not be carried out in some circumstances, further studies based on the concept of prevention levels proposed by Jamoulle and Roland are required for the development of strategies to prevent NCDs, including cancers. Thus, applying the concept of QP helps PCPs gain better insights into screening tests aimed at preventing NCDs and also helps improve the doctor-patient relationship by helping screenees understand medical uncertainties.

• Asian Pacific Journal of Cancer Prevention
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• v.14 no.11
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• pp.6445-6450
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• 2013

Background: Cervical cancer is the second most common cancer among women worldwide. Failure to prevent cervical cancer is partly due to non-participation in regular screening. It is important to plan and develop screening programs directed towards underscreened women. In order to identify the factors associated with underscreening for cervical cancer among women, this study examined Pap test participation and factors associated with not having a time-appropriate (within 3 years) Pap test among a representative sample of women in Ontario, Canada using Canadian Community Health Survey (CCHS) data. Materials and Methods: Univariate analyses, cross-tabulations, and logistic regression modeling were conducted using cross-sectional data from the 2007-2008 CCHS. Analyses were restricted to 13,549 sexually active women aged 18-69 years old living in Ontario, with no history of hysterectomy. Results: Almost 17% of women reported they had not had a time-appropriate Pap test. Not having a time-appropriate Pap test was associated with being 40-69 years old, single, having low education and income, not having a regular doctor, being of Asian (Chinese, South Asian, other Asian) cultural background, less than excellent health, and being a recent immigrant. Conclusions: Results indicate that disparities still exist in terms of who is participating in cervical cancer screening. It is crucial to develop and implement cervical cancer screening programs that not only target the general population, but also those who are less likely to obtain a Pap tests.

• Korean Journal of Clinical Pharmacy
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• v.26 no.1
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• pp.13-23
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• 2016

Background: South Korea is rapidly being an aging-society and the demand of long-term care insurance services for elderly patients is rising. In addition, because the elderly taking multiple medicines, the adherence is lowered and the adverse events are easily occurred. Therefore, many are interested in introducing the geriatric pharmacy specialist to manage this situation. Purpose: By applying a similar program such as the geriatric pharmacy specialist working in nursing home, we conducted this study to evaluate the potential contribution to both the health insurance services and financial savings for the elderly patients. Methods: We conducted a trial in an elderly nursing home to collaborate between doctor and pharmacist making a checklist for improving medication adherence and establish a consultation system. Also we applied a smart phone application in the pharmaceutical care processes. Results: Thereby completing the drug therapy related checklist apply to nursing facilities in South Korea. And we got a performance that improves medication adherence when used in the clinical practice settings. Conclusion: By introducing a training program of pharmacy care managers and geriatric professionals such as the United States and Japan, we revealed the elderly nursing home residents and vulnerable elderly people living alone were improved the medication adherence and it will contributed to the health and quality of life of the patients.

• International journal of advanced smart convergence
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• v.7 no.2
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• pp.127-134
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• 2018

This study found the digital divide of Korean elderly persons on the basis of the 2013-2017 survey data of the perception of media information adopters. The studied media were traditional ones, such as newspaper and TV. The media dependence of those in their 20s to 60s was compared and analyzed. As a result, regarding their dependence on newspaper, elderly persons in their 60s had 20.7% on average, 13.6% higher than the percentage (7.1%) of young persons. Regarding their dependence on TV, those in their 60s had 97.6% and those in their 20s had 63.7%, so that there was a wide gap of 33.9% on average. The smartphone penetration rate of those in their 60s was 61.3%(2015-2017) on average, which tended to rise. The elderly's dependence on traditional media featured Digital Divide which is found in the informatization process. Accordingly, in order to solve their digital divide, it is required to expand education in line with their knowledge level through remote online centers, develop inclusive ICT for convenience, and change philosophical policy paradigm in the dimension of quality of life.

• The Journal of the Korean dental association
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• v.54 no.12
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• pp.948-970
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• 2016

For three years, from 2014 to 2016, in dental history class, 263 3rd grade students, attending postgraduate dental school had reviewed current problems of the dentistry and dental care system by adopting historical thinking, in forms of essays, editorials, and papers, The purpose of this study is to know whether writing has educational benefits on students. Analysis of the writings and Student course evaluation showed that it is beneficial. All of the students agreed on submitting a qualitative study project instead of taking midterms on 2016. The approval ratio has increased over the years, on 2014 being 82%, on 2015 being 98%, on 2016 being 100%. For that reason, it is not an assertion to deduce that the students have experienced benefits while developing their genuine thoughts on the current status or problems, exploring what their role is, and what they will face. The chronological thinking had been used throughout the researches to identify what Dentistry and Dentist is. Dentistry have encompassed knowledges of natural sciences, humanities and other fields when needed to perfect itself. In doing so, Dentist achieved independence from doctor or other cooperatives. Research on Korean Dental care system has involved in historical thinking, including historical analysis, inquisition, and historical imagination, insight. etc. If the in-depth evaluation consisting of history and writing is sustained, it would be very effective teaching method.

• Journal of Korean Academy of Nursing Administration
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• v.18 no.2
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• pp.244-250
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• 2012

Purpose: The purpose of this study was to investigate the effect of a short message service intervention on adherence to maximal barrier precautions (MBP) and catheter-related blood stream infections. Method: The data were collected from March to September, 2008, at an 826-bed university-affiliated hospital in Daejeon. The study participants were 24 physicians who were inserting central catheters and 133 patients (control group 78 and intervention group 55) with central catheter insertions. The researcher sent the message (adherence to MBP and optimal recommendations) to each internal medicine doctor using the short message service (SMS) for cellular phones. Messages were sent monthly for 3 months. Data were analyzed by chi-square test and t-test using SPSS 12.0 windows program. Result: Adherence to maximal barrier precautions was significantly increased from 44.9% to 69.1% (p=.006) after the SMS intervention. But changes in the rate of CRBSI (catheter related blood stream infection) between the intervention group (1.89) and the control group (4.45) were not significant (p=.323). Conclusions: The results indicate that the SMS intervention is effective in increasing the adherence to maximal barrier precautions and the SMS intervention can be recommended for utilization in infection control nursing practice.

• Journal of Engineering Education Research
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• v.19 no.4
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• pp.24-34
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• 2016

There's been few research to study the effects of CAC(Computing Accreditation Committee) evaluation, since start of CAC accreditation 10 years ago. The purpose of this paper is to find what computer engineering graduates perceive the effects of CAC accreditation and to suggest how CAC accreditation process can be improved. The research findings through survey are followings; First, computer engineering graduates' undergraduate education satisfaction is not high enough(3.28). Second, the computer engineering graduates don't recognize CAC accreditation necessary. Third, graduates who work in company chose design courses as the most helpful, while graduates who study in graduate school pursuing further career in master or doctor program chose major subjects. Lastly, graduates from accredited program do not think their completion of accreditation program influence their employment. Strategic approaches to make higher effectiveness of CAC accreditation system are suggested. First, improvement of curriculum and instruction method in CAC accredited program is required to satisfy the needs of students and industry. Second, efforts to inform students of understandings and necessity of accreditation are highly recommended. Third, industrial sector needs to understand CAC accreditation and give graduates from accredited program more incentives. Lastly, government support like Seoul Accord Activation Project should last for a while.

• Journal of Korean society of Dental Hygiene
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• v.16 no.1
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• pp.19-25
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• 2016

Objectives: The purpose of the study is to investigate the relationship between the number of remaining teeth and depression in Korean adults. Methods: The subjects were the respondents of the Sixth Korea National Health and Nutrition Examination Survey(KNHANES). The questionnaire consisted of the general characteristics of the subjects, number of remaining teeth, and prevalence of depression. relationship of the prevalence of depression and the number of remaining teeth. The data were analyzed by chi-square test, t-test, and logistic regression using SPSS, and 95% confidence intervals were calculated. Results: There was a significant difference in number of remaining teeth and odds ratio(OR) was 1.940(95% confidence interval: 1.062-3.544). Statistically significant difference was not observed after adjusting for age and gender and OR was 1.515(95% confidence interval: 0.823-2.787). And Statistically significant difference was not observed after adjusting for age, gender and other variables. The OR was 1.399(95% confidence interval: 0.757-2.586). Conclusions: Depression in the adults was related to the number of remaining teeth. But there was no significant difference in the number of remaining teeth after adjusted for age, gender, and other factors.

• Journal of Korean Academy of Rural Health Nursing
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• v.1 no.1
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• pp.5-10
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• 2006

Purpose: This study was done to identify strategies for the reform of the primary health care delivery system in rural areas. Methods: Official documents on changes in the rural health care environment were reviewed along with previous articles on reform of the health care delivery system in rural areas. Results: The primary health care system in rural areas of South Korea has not been well developed by the government. The government has mainly invested in hardware like facilities and equipment but, not in software like the delivery system or personnel. Nowadays every country is confronted with an aging society, which means an increase in the prevalence of chronic disease. Thus they have again become interested in primary health care delivery system. Further, characteristics of the primary health care system have changed to be more comprehensive and to focus on chronic disease. The primary health care system in rural areas should have basic health care functions and a visiting medical officer(doctor) connected with basic health care. Conclusions: The primary health care delivery system is the best strategy when adjusted to the characteristic of the chronic diseases that are prevalent today. Cooperation of the central government and local government is important if these changes are to be realized.