• The Korean journal of internal medicine
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• v.39 no.3
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• pp.469-476
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• 2024

Background/Aims: The reimbursement policy for cryptogenic stroke (CS) was expanded in November 2018 from recurrent strokes to the first stroke episode. No reports have demonstrated whether this policy change has affected trends in implantable loop recorder (ILR) utilization. Methods: We identified patients who received an ILR implant using the Korea Health Insurance Review and Assessment Service database between July 2016 and October 2021. Patients meeting all the following criteria were considered to have CS indication: 1) prior stroke history, 2) no previous history of atrial fibrillation or flutter (AF/AFL), and 3) no maintenance of oral anticoagulant for ≥4 weeks within a year before ILR implant. AF/AFL diagnosed within 3 years after ILR implant or before ILR removal was considered ILR-driven. Results: Among 3,056 patients, 1,001 (32.8%) had CS indications. The total ILR implant number gradually increased for both CS and non-CS indications and the number of CS indication significantly increased after implementing the expanded reimbursement policy. The detection rate for AF/AFL was 26.3% in CS patients over 3 years, which was significantly higher in patients implanted with an ILR within 2 months after stroke than those implanted later. Conclusions: The expanded coverage policy for CS had a significant impact on the number of ILR implantation for CS indication. The diagnostic yield of ILR for AF/AFL detection seems better when ILR is implanted within 2 months than later. Further investigation is needed to demonstrate other clinical benefits and the optimal ILR implantation timing.

• Journal of the Korea Institute of Information Security & Cryptology
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• v.34 no.4
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• pp.811-831
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• 2024

This paper has two main objectives. The primary objective is to conduct a comprehensive review of existing survey papers on the advantages, disadvantages, taxonomy, and technical vulnerabilities of cryptocurrency custody services. Additionally, we examined recent regulatory developments, the application of existing frameworks, conditions for performing custody services, and service providers' obligations. The secondary objective is to identify DeFi protocols in the regulatory 'grey area' and analyze their technical aspects and governance mechanisms. By synthesizing these findings, we propose guidelines for assessing DeFi decentralization and their potential for integration within the regulatory framework, providing insights for industry experts, regulators, and policymakers to balance industry needs with societal benefits.

• Journal of Radiation Protection and Research
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• v.49 no.3
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• pp.141-150
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• 2024

Background: Computed tomography (CT) scans in the Republic of Korea have spiked, reaching approximately 9 million examinations annually in 2017. CT provides significant medical benefits, but radiation exposure remains a concern. This study aims to analyze CT scans in Korea, as a basis study for radiation safety management. Materials and Methods: The raw data of total CT scans was obtained from the Health Insurance Review & Assessment Service and analyzed by CT scan type, patients' age and sex, and medical facility type. CT scans trends were analyzed considering the disease incidence. Results and Discussion: In 2017, CT scans accounted for 8,977,300. Usage per capita was 0.18 in males and 0.17 in females. CT scans increased with age until the 50- to 59-year-old groups, then decreased. CT scans were high in abdominal/pelvic (35%), chest (26%), and head (22%) regions due to higher disease rates. Head CT was most frequently used for infants and children. Abdominal/pelvic, chest, and spine CT were more frequent for older groups. The CT scans in the upper and lower extremities was high in child and juvenile groups. Chest and abdominal/pelvic CTs were higher in males, whereas spine, whole spine, and CT densitometry were higher in females. The proportion of CT scans of tertiary and general hospitals, hospitals, and clinics accounted for ≥80%, 13%, and 5%, respectively. Abdomen/pelvis, chest, and head/neck CTs were mostly conducted in tertiary and general hospitals, spine CT in hospitals and clinics, extremity CT in hospitals, and CT densitometry in clinics. Conclusion: The trend of CT scans varied based on the incidence rate for each patient's sex and age, and serious illness diagnosis by medical facility type. The results of this study provide data and guidance for evaluating the radiation exposure of the Korean population by CT and developing management policies for medical radiation safety.

• Journal of Trauma and Injury
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• v.37 no.3
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• pp.209-213
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• 2024

Purpose: Trauma patients are at an elevated risk of developing venous thromboembolism (VTE), with the subsequent mortality in patients requiring intensive care unit admission ranging from 25% to 38%. There remains significant variability in clinical practice related to VTE prophylaxis in trauma patients due to the frequent presence of contraindications impacting the timing and consistency of application. This study aimed to assess the effectiveness of the current practice of chemical VTE prophylaxis in trauma patients at a single Australian center. Methods: A prospective review was conducted on patients admitted to the ACT Trauma Service (Canberra, Australia) from July to November 2022. The included patients were 18 years or older, without a direct contraindication to anticoagulation, who received chemical VTE prophylaxis with low-molecular-weight heparin (enoxaparin) for at least three doses and underwent subsequent testing of anti-factor Xa (aFXa) levels. Results: During the study period, 187 patients were admitted, of whom 63 were included in the study. Of these, 47 patients achieved therapeutic levels of anticoagulation as determined by their aFXa levels, while 16 were subtherapeutic. The only statistically significant difference between the two groups was in weight, with patients in the subtherapeutic group weighing an average of 91.9 kg compared to 79.1 kg in the therapeutic group (P<0.05). Conclusions: A fixed-dose enoxaparin regimen was utilized, with limited individualization based on patient factors, such as injuries, comorbidities, and other biological factors. Sixteen patients (25%) had subtherapeutic VTE prophylaxis, as measured by aFXa levels. Higher weight was significantly correlated with inadequate VTE prophylaxis dosing. While age, sex, and smoking status might play important roles in clinical decision-making, weight-based dosing of low-molecular-weight heparin may be more effective in achieving adequate VTE prophylaxis.

• Industry Promotion Research
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• v.9 no.3
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• pp.175-183
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• 2024

The purpose of this study is to derive a UX that can help the use of fintech applications by senior users in their 60s or older, which has naturally increased with the increase in the elderly population. The study extracted five factors commonly considered important in fintech applications and was conducted based on a survey of general users and in-depth interviews with senior users. The research factors were extracted through a literature review into three general user experience research factors and two senior user experience research factors. After a survey targeting general users, in-depth interviews were conducted with senior users. As a result, we found notable differences in concerns about responsiveness and perceived usefulness between general and senior users. Based on the characteristics derived from the results of this study, we designed UX to help senior users use fintech applications.

• Information Systems Review
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• v.26 no.1
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• pp.119-149
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• 2024

This study investigates the antecedents and mechanisms influencing trust and behavioral intentions formation towards new AI chatbots, such as ChatGPT, as travel information searching services. Analyzing the roles of variables such as familiarity, novelty, personal innovativeness, information quality and perceived anthropomorphism, the research elucidates the impact of these factors on users' cognitive and affective trust, ultimately affecting their intention to adopt information and sustain the use of the AI chatbot. Results indicate that perceived familiarity and information quality positively influence both cognitive and affective trust, whereas perceived novelty contributes positively only to cognitive trust. Additionally, the personal innovativeness of new AI chatbot users was found to weaken the effect of familiarity on perceived trust, while the perceived level of anthropomorphism of the chatbot amplified the effects of novelty and familiarity on cognitive trust. These findings underscore the importance of considering factors such as familiarity, personal innovativeness, information quality and anthropomorphism in the design and implementation of AI chatbots, affecting trust and behavioral intention.

• Journal of the Health Care and Life Science
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• v.11 no.2
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• pp.351-360
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• 2023

2018 aged patient dataset (HIRA-APS), 33,821 patients admitted to long-term care hospitals were classified by major disease groups to identify the characteristics of medical use and provide effective policy data. First, it is necessary to operate specialized long-term care hospitals such as dementia, rehabilitation, hospice, and recovery specialization tailored to the characteristics of the patient's disease group. Second, the paralysis group, cerebrovascular disease group, and dementia group were the longest LOS and the cognitive impairment group is the longest by patient classification group, requiring medical demand and quality management for long-term patients. Third, the musculoskeletal disease group was the highest normal discharge, and support for the post-discharge home program is required in paralysis and cerebrovascular disease.

• The Journal of the Convergence on Culture Technology
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• v.10 no.5
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• pp.673-679
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• 2024

Recently, various contents set in the Josun Dynasty have emerged. However, there is a growing number of hanboks that do not preserve the basic original form of hanbok, such as hanboks that deviate significantly from the form of hanboks. Therefore, in this study, a system was created and implemented in the game to express various colors and patterns of hanbok using the DALL-E API in this game by examining the basic hanbok form of hanbok through literature review. However, despite the fact that the results are inconsistent depending on the quality of the Generative AI service and the limitations of not passing through the historical evidence of traditional hanbok experts, it is meaningful to present a system that uses the creativity of users to create a design that can enhance the aesthetics of traditional hanbok. In future research, we want to investigate users' preferences and develop a system that can create an image that fits them when clicking the interface.

• Journal of the Korea Society of Computer and Information
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• v.29 no.10
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• pp.11-19
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• 2024

Online and mobile reviews strongly influence consumer behavior, especially in the service industry, and play a key role in determining customer retention and revisit rates. Systematically analyzing the information in these reviews can effectively assess how they directly influence customers' purchase decisions. In this study, we applied the existing KNU sentiment dictionary to food and beverage (F&B) review data to build a customized sentiment lexicon using N-grams based on about 10,000 reviews. Comparing its performance with the existing dictionary, we found that the sentiment lexicon generated using the 1-gram, 2-gram, and 3-gram models had the highest accuracy, precision, recall, and F1 scores. These results can serve as a powerful business support tool for SMEs in the F&B and grocery shopping sector, also be used to predict customer demand for technology and policy.

• Journal of Rhinology
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• v.59 no.3
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• pp.292-300
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• 2021

Background: Chronic rhinosinusitis (CRS) and chronic otitis media (COM) share pathophysiological mechanisms such as bacterial infection, biofilm, and persistence of the obstruction state of ventilation routes. However, only a few studies have investigated the relationship between these two diseases nationwide and in the general population. The purpose of this study was to determine whether the incidence of COM in patients with CRS differed from that of a matched control from the national health screening cohort. Methods: Data from the Korean Health Insurance Review and Assessment Service-National Patient Samples were collected from 2002 to 2015. Participants who were treated ≥2 times and underwent head and neck computed tomography evaluation were selected. A 1:4 matched CRS group (n=8,057) and a control group (n=32,228) were selected. The control group included participants who were never treated with the ICD-10 code J32 from 2002 to 2015. The CRS group included CRS patients with/without nasal polyps. Results: The incidence of COM was significantly higher in the CRS group than in the control group. In a subgroup analysis, the incidence of COM in all age groups and in men and women was significantly higher in the CRS group than in the control group. More, CRS increased the risk of COM. Conclusions: A significant association was observed between CRS and COM. This indicates that CRS patients have a high risk of developing COM.