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Medical Care Utilization Status and Associated Factors with Extended Hospitalization of Psychiatric Patients in Korea (우리나라 정신질환자의 의료이용 현황과 장기입원 관련 요인)

  • Suh, Soo-Kyung;Kim, Yoon;Park, Jong-Ik;Lee, Myung-Soo;Jang, Hong-Suk;Lee, Sun-Young;Lee, Jin-Seok
    • Journal of Preventive Medicine and Public Health
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    • v.42 no.6
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    • pp.416-423
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    • 2009
  • Objectives : This study was performed to examine medical care utilization of psychiatric patients and to explore patients' characteristics associated with extended hospitalization. Methods : Data were extracted from information of Korean Health Insurance Review and Assessment Service. All data associated with admission and outpatient clinic visit were analysed by patient characteristics. We selected first psychiatric admission patients who diagnosed mental and behavioral disorders due to use of alcohol (main disease code: F10), schizophrenia and related disorders (F20-29) and mood disorders (F30~33) from January to June 2005. We analysed status of admission, mean length of stay, regular access to outpatient clinic and rates of extended hospitalization during 3 years. Bivariate and multivariate analyses were conducted to identify factors associated with extended hospitalization. Results : The number of psychiatric patients during the first six month of 2005 was 30,678. The mean length of stay was longest for schizophrenia and related disorders but shortest for mood disorders. Patients who experienced an extended hospitalization were 18.8% of total subjects. An extended hospitalization was more common in schizophrenia and related disorders than other diagnostic groups. The factors associated with the extended hospitalization were age, sex, diagnostic group, type of insurance and medical care utilization groups. Conclusions : The study indicates the problem of an extended hospitalization for psychiatric patients in Korea. It is suggested that variations in rates of extended hospitalization among medical care utilization group may need an active early intervention system in psychiatric treatment service. Particular attention needs to be devoted to planning and funding for reducing extended hospitalization.

A study on the improvement of import conditions for salmonid fish to reduce the possibility of entry of infectious salmon anaemia virus (전염성연어빈혈증(Infectious salmon anaemia) 바이러스의 국내 유입 가능성 저감을 위한 연어과 어류 수입조건 개선안)

  • Yu, Jinha
    • Journal of fish pathology
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    • v.34 no.1
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    • pp.81-98
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    • 2021
  • As Korea declared that the entire country is free from ISA (Infectious salmon anaemia) based on the OIE aquatic code in 2019, it is necessary to improve the import quarantine system that meets the level of ISA management in Korea. Currently, Korea imports Atlantic salmon and rainbow trout from countries which have history of ISA outbreak such as Norway and the United States, so there is a constant possibility that trade with these countries will bring ISAV (Infectious salmon anaemia virus) into Korea. Therefore, some amendments to the Aquatic Life Diseases Control Act (ALDCA) are needed to prevent the entry of ISAV into the Korea through international trade. The amendment to the ALDCA should contain a list of countries, zones or compartments that the Korean competent authority has allowed or banned imports of ISA-susceptible fish. In addition, the subordinate statutes or administrative rules of the ALDCA need to be revised so that on-site inspections/audit can be conducted for the evaluation of the ISA management system in exporting countries. After the revision of the subordinate statutes or administrative rules, it is necessary to strengthen the present import conditions in line with those that meet the level of ISA management in Korea. As for the strengthened import conditions, the competent authorities of exporting countries must export only salmonid fish produced in zones or compartments declared freedom of ISA to Korea, and must prove through lab-testing that ISAV should not be detected in the fish exporting to Korea. In addition, official veterinarians/fish health professionals of the exporting country should check the health status of the fish within 72 hours prior to export. Also, competent authorities of the exporting countries must attest that fish storage containers and water, ice and other equipment used for transportation should be cleaned and disinfected to avoid contamination with pathogens, including ISA. Therefore, the proposed measures presented here will further improve the current import condition for salmonid fish and assist decision-making on strategies to reduce the risk of ISA introduction into Korea. Also, it is expected to contribute to maintain the status of ISA-free country.

The Study for the Production of Rehmannia Glutinosa and the Import Movement and the Improving Methods of Distribution (국내 지황 생산 및 수입 동향과 유통 개선방안에 관한 연구)

  • Yeon Bok Kim;Kwang Jin Chang;Chang Ha Park;Sang Un Park
    • Journal of Practical Agriculture & Fisheries Research
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    • v.25 no.2
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    • pp.5-11
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    • 2023
  • Rehmannia glutinosa is a perennial herb belonging to the family Scrophulariaceae and is used in traditional oriental medicine. This study was carried out current status of breeding of R. glutinosa, its problems, and the matters to be improved were made. Based on the research data published so far, this study summarized the characteristics of breeds cultivated in Korea and compared and analyzed the status of cultivation area, production, import, and price changes for 15 years from 2008 to 2021. The cultivated area of R. glutinosa is gradually decreasing, and the amount of import is increasing and decreasing repeatedly. Amount of import has declined significantly. There was a lot of disinfection and disposal in the middle of import, and dried Jihwang and Sukjihwang were imported without distinction. R. glutinosa must be cultivated and supplied as a variety desired by the industry, cultivation techniques need to be taught to producers. In order to clearly identify the amount of import, import code of dried Jihwang and Sukjihwang must be classify. In addition, it is necessary to develop and supply harvesting agricultural machines for mechanization. For the stable income of producers, supply control through contract cultivation will ensure stable farm income.

Status of Herbal-drug-associated Adverse Drug Reactions Voluntarily Reported by EMR (1개 대학 한방병원에서 EMR을 통해 보고된 한약에 의한 약물유해반응의 현황)

  • Kwon, Yeong-Ju;Cho, Woo-Keun;Han, Chang-Ho
    • The Journal of Internal Korean Medicine
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    • v.33 no.4
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    • pp.485-497
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    • 2012
  • Objectives : The aim of this study was to systematically investigate herbal-drug-associated adverse drug reactions (herbal ADRs) reports submitted by a single oriental hospital and to analyze the general characteristics, causative agents, clinical manifestations, severity and types of herbal medicines which caused herbal ADRs. Methods : This study proceeded with IRB approval. The data on herbal ADR were collected prospectively from January 2008 to February 2012 by EMR of Dongguk University Ilsan Oriental Hospital. The World Health Organization (WHO)-Uppsala Monitoring Center (UMC) criteria was used to determinate causality for each herbal ADR. WHO-Adverse Reaction Terminology (WHO-ART) System Organ Class (SOC) code and WHO severity category were also used in this study. Results : A total of twenty eight cases were reported. Twenty two cases were assessed to have over possible relations with herbal medication. The gender ratio of these cases were 64.6 percent female and 36.4 percent male, demonstrating no statistical significance. Patients aged over 60 were 59.1%. Gastro-intestinal system was reported to be the most frequently affected organ (38.8%), and followed by psychiatric system (22.4%), and integumentary system (22.4%). The most common clinical symptom was headache (12.2%), followed by diarrhea (10.2%), and pruritus (10.2%). The severity of most cases was assessed to be mild (89.8%). The percentage of moderate ones was 10.2%, and there were no severe cases. Conclusions : Progressive study and further analysis on herbal ADRs are warranted for safety in the clinical use of herbal medicines.

Factors Affecting the Downward Mobility of Psychiatric Patients: A Korean Study of National Health Insurance Beneficiaries

  • Kim, Un-Na;Kim, Yeon-Yong;Lee, Jin-Seok
    • Journal of Preventive Medicine and Public Health
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    • v.49 no.1
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    • pp.53-60
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    • 2016
  • Objectives: The purpose of this study is to examine the magnitude of and the factors associated with the downward mobility of first-episode psychiatric patients. Methods: This study used the claims data from the Korean Health Insurance Review and Assessment Service. The study population included 19 293 first-episode psychiatric inpatients diagnosed with alcohol use disorder (International Classification of Diseases, 10th revision [ICD-10] code F10), schizophrenia and related disorders (ICD-10 codes F20-F29), and mood disorders (ICD-10 codes F30-F33) in the first half of 2005. This study included only National Health Insurance beneficiaries in 2005. The dependent variable was the occurrence of downward mobility, which was defined as a health insurance status change from National Health Insurance to Medical Aid. Logistic regression analysis was used to assess factors associated with downward drift of first-episode psychiatric patients. Results: About 10% of the study population who were National Health Insurance beneficiaries in 2005 became Medical Aid recipients in 2007. The logistic regression analysis showed that age, gender, primary diagnosis, type of hospital at first admission, regular use of outpatient clinic, and long-term hospitalization are significant predictors in determining downward drift in newly diagnosed psychiatric patients. Conclusions: This research showed that the downward mobility of psychiatric patients is affected by long-term hospitalization and medical care utilization. The findings suggest that early intensive intervention might reduce long-term hospitalization and the downward mobility of psychiatric patients.

UY Ursae Majoris: An A-Subtype W UMa System with a Very Large Fill-Out Factor and an Extreme Mass Ratio

  • Kim, Chun-Hwey;Song, Mi-Hwa;Park, Jang-Ho;Jeong, Min-Ji;Kim, Hye-Young;Han, Cheongho
    • Journal of Astronomy and Space Sciences
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    • v.36 no.4
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    • pp.265-281
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    • 2019
  • We present new BVRI light curves of UY UMa with no O'Connell effect and a flat bottom secondary eclipse. Light curve synthesis with the Wilson-Devinney code gives a new solution, which is quite different from the previous study: UY UMa is an A-subtype over-contact binary with a small mass ratio of q = 0.21, a high inclination of 81°.4, a small temperature difference of ΔT=18°, a large fill-out factor of f = 0.61, and a third light of approximately 10% of the total systemic light. The absolute dimensions were newly determined. Seventeen new times of minimum light have been calculated from our observations. The period study indicates that the orbital period has intricately varied in a secular period increase in which two cyclical terms with periods of 12y.0 and 46y.3 are superposed. The secular period increase was interpreted to be due to a conservative mass transfer of 2.68 × 10-8 M/yr from the less massive to the more massive star. The cyclical components are discussed in terms of double-light time contributions from two additional bound stars. The statistical relations of Yang & Qian (2015) among the physical parameters of 45 deep, low mass ratio contact binaries were revisited by using the physical parameters of UY UMa and 25 Kepler contact binaries provided by Şenavci et al. (2016).

Data Cleaning and Integration of Multi-year Dietary Survey in the Korea National Health and Nutrition Examination Survey (KNHANES) using Database Normalization Theory (데이터베이스 정규화 이론을 이용한 국민건강영양조사 중 다년도 식이조사 자료 정제 및 통합)

  • Kwon, Namji;Suh, Jihye;Lee, Hunjoo
    • Journal of Environmental Health Sciences
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    • v.43 no.4
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    • pp.298-306
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    • 2017
  • Objectives: Since 1998, the Korea National Health and Nutrition Examination Survey (KNHANES) has been conducted in order to investigate the health and nutritional status of Koreans. The food intake data of individuals in the KNHANES has also been utilized as source dataset for risk assessment of chemicals via food. To improve the reliability of intake estimation and prevent missing data for less-responded foods, the structure of integrated long-standing datasets is significant. However, it is difficult to merge multi-year survey datasets due to ineffective cleaning processes for handling extensive numbers of codes for each food item along with changes in dietary habits over time. Therefore, this study aims at 1) cleaning the process of abnormal data 2) generation of integrated long-standing raw data, and 3) contributing to the production of consistent dietary exposure factors. Methods: Codebooks, the guideline book, and raw intake data from KNHANES V and VI were used for analysis. The violation of the primary key constraint and the $1^{st}-3rd$ normal form in relational database theory were tested for the codebook and the structure of the raw data, respectively. Afterwards, the cleaning process was executed for the raw data by using these integrated codes. Results: Duplication of key records and abnormality in table structures were observed. However, after adjusting according to the suggested method above, the codes were corrected and integrated codes were newly created. Finally, we were able to clean the raw data provided by respondents to the KNHANES survey. Conclusion: The results of this study will contribute to the integration of the multi-year datasets and help improve the data production system by clarifying, testing, and verifying the primary key, integrity of the code, and primitive data structure according to the database normalization theory in the national health data.

A Study on Ubiquitous Convention using RFID (RFID를 활용한 유비쿼터스 컨벤션에 관한 연구)

  • Noh, Young;Byun, Jeung Woo
    • Journal of Korea Society of Digital Industry and Information Management
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    • v.5 no.3
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    • pp.175-184
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    • 2009
  • We are entering into a era of enterprise computing that is characterized by an emphasis on broadband convergence, knowledge s haring, and calm services. Some people refer to this as the "ubiquitous" computing because its focus is on a high degree of connectivity between a company and its customers, suppliers, and channel partners. Ubiquitous computing technology, "RF" stands for "radio frequency"; the "ID" means "identifer". The tag itself of a computer chip and an antenna. The shortest metaphor is that RFID is like a bar-code but is read with an electromagnetic field rather than by a laser beam. Much has already been written about the use of RFID. But there is no has written about the use of RFID in the convention industry. Therefore this study have specific objectives as follows. 1. To give details on the use of RFID in convention. 2. To introduces the key concepts behind RFID technology. 3. To identify advantage & disadvantage of RFID technology using a BEXCO CASE study. 4. To study on ubiquitous convention using RFID and effective operation methods such as entrance identification system, session management, machine management, CRM management, visitor management, and contents management. This results provide into the current status of ubiquitous computing technology in convention industries. Specific advantages by using ubiquitous computing technology(RFID) are one-stop differentiate service, wireless internet service, use of visitor management system, entrance by tag, and U-logistics. On other side, disadvantages are security, stabilization of RFID system, higher price of RFID tag, and commercial scale. Convention by using of RFID technology is currently at an early stage. Convention company as BEXCO need to have the capabilities to adapt, to customize, to commercialize, and to modify technology to suit our circumstances.

Case Study of Building Special-Purpose Simple Browser (단순 웹브라우저의 설계와 구현 사례)

  • 우원택
    • Journal of Korea Society of Industrial Information Systems
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    • v.7 no.3
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    • pp.43-53
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    • 2002
  • The purpose of this study is to build a special -purpose browser using the powerful Microsoft web browser control so that we will be able to code and create a special-purpose browser. For this development, some literature surveys were reviewed to understand how the web browser looks like and is operated. To create our own web browser, we have designed a sample case and coded in Visual Basic. The primary task of this job was accomplished mainly with a form. It is made up with a bunch of image controls, a status bar on the button, a picture box to contain the image buttons, the combo box, the command button, the menus, the statements shown in the following exhibits and tables of the main text respectively. After combining them all together, we have tested the form to see if it works properly.'rho program was also enhanced to have a special purpose feature that permits the filtering function. The result was somewhat successful. However, it had some limitations such as the simplicity of the programming structures and functions. Overall, this study was useful for understand a general outline of special-purpose web browser development.

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Development of Radio Interface Module for Status Monitoring of Industrial Automation Equipment (산업 자동화 장비의 상태감시를 위한 무선 인터페이스 모듈 개발)

  • Kang, Chul-Gyu;Jeon, Min-Ho;Oh, Chang-Heon
    • Journal of Advanced Navigation Technology
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    • v.14 no.4
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    • pp.545-552
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    • 2010
  • In this paper, we study on a radio multiple sensing interface module to accurately decide serious error sources that are happened by unexpectable problems in industrial fields, in addition, we study a reliability improvement scheme to guarantee the integrity of multiple sensing data. For multiple sensing interface module, communication drivers such as USART, TWI, ADC and GPIO-I2C are implemented. to improve the transmission reliability, reed-Solomon code is used. From the simulation result of this system in indoor environment, we confirm that the reliability of RS coded data is improved about 5 times than uncoded data. Moreover, we prove that multiple sensing interface module is suitable to diagnose error sources of industrial automaton equipment.