• Title/Summary/Keyword: The Residency-General

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Do Radiology Residents Perform Well in Preliminary Reporting of Emergency MRIs of Spine?

  • Lee, Joon Woo;Lee, Guen Young;CHONG, Le Roy;Kang, Heung Sik
    • Investigative Magnetic Resonance Imaging
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    • v.22 no.1
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    • pp.10-17
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    • 2018
  • Purpose: To evaluate interpretation errors involving spine MRIs by residents in their second to fourth year of training, classified as minor, intermediate and major discrepancies, as well as the types of commonly discordant lesions with or without clinical significance. Materials and Methods: A staff radiologist evaluated both preliminary and final reports of 582 spine MRIs performed in the emergency room from March 2011 to February 2013, involving (1) the incidence of report discrepancy, classified as minor if there was sufficient description of the main MR findings without ancillary or incidental lesions not influencing the main diagnosis, treatment, or patients' clinical course; intermediate if the correct diagnosis was made with insufficient or inadequate explanation, potentially influencing treatment or clinical course; and major if the discrepancy affected the main diagnosis; and (2) the common causes of discrepancy. We analyzed the differences in the incidence of discrepancy with respect to the training years of residents, age and sex of patients. Results: Interpretation discrepancy occurred in 229 of the 582 cases (229/582, 39.3%), including 146 minor (146/582, 25.1%), 40 intermediate (40/582, 6.9%), and 43 major cases (43/582, 7.4%). The common causes of major discrepancy were: over-diagnosis of fracture (n = 10), missed cord lesion (n = 9), missed signal abnormalities associated with diffuse marrow (n = 5), and failure to provide differential diagnosis of focal abnormal marrow signal intensity (n = 5). No significant difference was found in the incidence of minor, intermediate, and major discrepancies according to the levels of residency, patients' age or sex. Conclusion: A 7.4% rate of major discrepancies was found in preliminary reporting of emergency MRIs of spine interpreted by radiology residents, probably related to a relative lack of clinical experience, indicating the need for additional training, especially involving spine trauma, spinal cord and bone marrow lesions.

Information Dissemination During the COVID-19 Pandemic in Bangladesh

  • Sayed, Abu;Haque, Md. Ziaul;Mahmud, Md. Rifat
    • Journal of Information Science Theory and Practice
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    • v.10 no.4
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    • pp.66-86
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    • 2022
  • The main aim of this study is to identify the role of information dissemination on urban and rural citizens of Bangladesh during the COVID-19 pandemic and the role of misinformation in this process. The study also aimed at finding appropriate counter misinformation strategies regarding COVID-19. An online questionnaire was prepared to collect the viewpoints of the urban and rural citizens of Bangladesh regarding dissemination of information during COVID-19, misinformation regarding COVID-19, and counter misinformation strategies. Along with demographic and general information, a five-point Likert scale was used to measure COVID-19 related misinformation beliefs and how to counter them. Chi square tests were used to determine the association between current residency, information sources, the importance of information dissemination, reactions after getting COVID related information, and evaluative steps after getting information and before disseminating it. Additionally, nonparametric Mann-Whitney U and Kruskal-Wallis tests were conducted to know the significance of difference in respondents' assessment on COVID-19 related misinformation in terms of their demographic characteristics. Cronbach's alpha score was obtained to see the reliability of the questionnaire items. The current study reveals that both urban and rural citizens of Bangladesh are influenced by information dissemination regarding COVID-19 and they have lower level of misinformation belief. The respondents have differences in misinformation belief by different demographic groups. Respondents' educational status, information literacy, sources of getting information, and evaluative steps after getting information have significant differences in misinformation belief. The study also noticed the support of respondents for countering misinformation strategies regarding COVID-19.

A Study on the Factors Determining Visits of Seoul Metropolitan Citizens to Forests: Focusing on the Visitors of Mt. Bukhan, Mt. Gwanak, Mt. Surak, and Mt. Dobong (수도권 거주자의 산림 방문수요 결정요인 분석 - 북한산, 관악산, 수락산, 도봉산 방문객을 중심으로)

  • Park, Jeong-Yeol;Kim, Tae-Hee;Kim, Sung-Yoon;Park, Dong-Gyun;Lee, Hee-Chan
    • Journal of Korean Society of Forest Science
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    • v.99 no.1
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    • pp.36-46
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    • 2010
  • The purpose of this research was to derive political suggestion to increase the demand for forest visit by analyzing the demand of forest visitors, focusing on the residents of Seoul and capital areas. The determinants of demand, which is the number of forest visit in a year, were analyzed by independent variables; six factors from factor analysis on selective attributes, demographic characteristics, and other variables related with the general matters when visiting a forest. As a result, among the independent variables, selective attribute (tourism resource factor), gender (male), and residency (Seoul) were found out to have positive(+) effect on demand for forest visit. However, other selective attribute (external factor of forestry), occupation (white-collar employee), and level of education (over college graduate) were found out to have negative(-) effect on demand for forest visit. Based on these results, implications for the expansion of demand for forest visits were derived.

Association of Knowledge, Attitude and Demographic Variables with Cervical Pap Smear Practice in Nepal

  • Ranabhat, Sabin;Tiwari, Mamta;Dhungana, Govinda;Shrestha, Reshmi
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.20
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    • pp.8905-8910
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    • 2014
  • Background: Coverage of cervical pap smear test in Nepal is below general global values. One of the reasons may be that cervical cancer prevention policy of Nepal has 'Visual Inspection of Cervix with Acetic Acid' as the only screening tool. The focus of present study was to find out association of demographic factors, knowledge and attitude regarding cervical Pap smear test with its practice by women in Nepal. Materials and Methods: This cross sectional analytical observational study was conducted between February 1, 2013 and April 30, 2013. Participants were interviewed with the help of a structured questionnaire. Chi square and multivariate logistic regression tests were used to detect associations of variables with pap smear practice. Results: Chi square test showed that practice was significantly associated with knowledge about pap smear test and cervical cancer, having favourable attitude towards the test, urban residency and 36-50 years age-group. Pap smear utilization was not associated with age-at-marriage, parity and age-at-first-child-birth. Multivariate logistic regression showed favorable attitude towards pap smear test as the only variable which significantly influenced pap smear practice (p= 0.006, OR: 2.4). Conclusions: Pap smear coverage has been found to be 15.7% which is lower than global average and that for developing countries. Health education programs which are effective not only in increasing knowledge about cervical cancer and pap smear test but also effective in positively changing attitude towards the test should be organized to increase pap smear coverage.

Educational policy and curriculums of Korean school mathematics in the late 19th and early 20th century (식민지 수학교육 정책과 19세기 말과 20세기 전반 한국수학 교육과정 연구)

  • Lee, Sang-Gu;Noh, Ji-Hwa;Song, Sung-Yell
    • Communications of Mathematical Education
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    • v.23 no.4
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    • pp.1093-1130
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    • 2009
  • The purpose of this study is to examine obstacles to progress for 20th century Korean mathematics. In 1945, shortly after Korea was liberated from Japan, there were no Korean mathematics Ph.D. holders, less than ten bachelor degree holders, and only one person with a master's degree in mathematics. We investigate the reasons for this. Korea has to overcome such an unforgiving condition and rebuild quality education programs in higher mathematics over the last several decades. These debilitating circumstances in higher mathematics were considerable obstacles in developing a higher level of mathematical research for the mainstream of 20th century world mathematics. We study policy and curriculums of Korean school mathematics in the late 19th and early 20th century, with some educational and socio-political background.

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"I'm healthy, I don't have pain"- health screening participation and its association with chronic pain in a low socioeconomic status Singaporean population

  • Wee, Liang En;Sin, David;Cher, Wen Qi;Li, Zong Chen;Tsang, Tammy;Shibli, Sabina;Koh, Gerald
    • The Korean Journal of Pain
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    • v.30 no.1
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    • pp.34-43
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    • 2017
  • Background: We sought to determine the association between chronic pain and participating in routine health screening in a low socioeconomic-status (SES) rental-flat community in Singapore. In Singapore, ${\geq}85%$ own homes; public rental flats are reserved for those with low-income. Methods: Chronic pain was defined as pain ${\geq}3$ months. From 2009-2014, residents aged 40-60 years in five public rental-flat enclaves were surveyed for chronic pain; participation in health screening was also measured. We compared them to residents staying in adjacent owner-occupied public housing. We also conducted a qualitative study to better understand the relationship between chronic pain and health screening participation amongst residents in these low-SES enclaves. Results: In the rental-flat population, chronic pain was associated with higher participation in screening for diabetes (aOR = 2.11, CI = 1.36-3.27, P < 0.001), dyslipidemia (aOR = 2.06, CI = 1.25-3.39, P = 0.005), colorectal cancer (aOR = 2.28, CI = 1.18-4.40, P = 0.014), cervical cancer (aOR = 2.65, CI = 1.34-5.23, P = 0.005) and breast cancer (aOR = 3.52, CI = 1.94-6.41, P < 0.001); this association was not present in the owner-occupied population. Three main themes emerged from our qualitative analysis of the link between chronic pain and screening participation: pain as an association of "major illness"; screening as a search for answers to pain; and labelling pain as an end in itself. Conclusions: Chronic pain was associated with higher cardiovascular and cancer screening participation in the low-SES population. In low-SES populations with limited access to pain management services, chronic pain issues may surface during routine health screening.

Nutritional and Health Status of Nurses, Medical Doctors and Factory Workers (근무시간이 불규칙한 사람들의 식생활태도 및 건강상태에 대한 조사 연구)

  • Kim, Hyun-Joung;Moon, Soo-Jae;Lee, Ki-Yull
    • Journal of Nutrition and Health
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    • v.13 no.3
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    • pp.126-133
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    • 1980
  • The purpose of this survey was to investigate the nutritional status of special working persons related to health status, nutrient intake and living environment. The survey was conducted on workers in 9 general hospitals and 2 factories from Nov. 24 in 1979 to Jan. 20 in 1980. Nurses, medical doctors on intership or residency, and factory workers were chosen as subjects because of their irregular working hours, i.e., they sometimes work during the day and. sometimes at night. The total number of subjects was 417 for nurses, for medical doctors was 91, and was 216 for factory workers, all together 724 subjects were investigated. The results obtained are summarized as follows: 1) Average nutrient intake of subjects per day. For nurses the caloric intake was 1743 Kcal. This was composed of carbohydrate 251g(57.6%), protein 81g (18.5%), and fat 46g (23.9%). Other nutrient intake, such as iron (16mg), thiamin (0.98mg), riboflavin (1mg) was lower than the recommended dietary allowance. For male medical doctors, the caloric intake was 2064 Kcal, This was composed of carbohydrate 288g (55.8%), protein 102g (19.8%) and fat 56g (24.4%). Other nutrient consumption, such as riboflavin (1.31mg) was lower than the recommended dietary allowance. For female medical doctors, the caloric intake was 1909 Kcal. This was composed of carbohydrate 156g(53.7%), protein 90g (18.9%) and fat 58g (27.4%). For male factory workers, caloric intake was 1699 Kcal. This was composed of carbohydrate 317g(74.5%), protein 64g (15.0%) and fat 20g(10.5%). Other nutrient intake, such as vitamin A (4765IU), ascorbic acid (46mg) and riboflavin (1.11mg) were lower than the recommended dietary allowance. For female factory workers, the caloric intake was 1630 Kcal. This was composed of carbohydrate 287g (70.5%), protein 65g (15.8%) and fat 25g (13.7%). Other nutrient consumption, such as iron (15mg), riboflavin (1.04mg), ascorbic acid (42mg), and vitamin A (4334IU) was lower than the recommended dietary allowance. The percentage of animal protein to total protein was 65.2% in nurses, 67.4% in male medical doctors, 64.9% in female medical doctors, 38.6% in male factory workers, and 45.6% in female factory workers. 2) The average Kaup's value of subjects was 1.9 in nurses, 2.2 in male mcdical doctors, 1.9 in female medical doctors, 2.0 in male factory workers, and 2.1 in female factory workers. 3) The health status of subjects according to their self diagnosed answer was as follows; The percentage of food health was 82. 7% in nurse, 82.7% in nurse, 83.5% in medical doctor, and 56% in factory workers. The remainder answered that they were in poor health.

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Communal Ontology of Landmarks for Urban Regional Navigation (도시 지역 이동을 위한 랜드마크의 공유 온톨로지 연구)

  • Hong, Il-Young
    • Journal of the Korean Geographical Society
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    • v.41 no.5 s.116
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    • pp.582-599
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    • 2006
  • Due to the growing popularity of mobile information technology, more people, especially in the general public, have access to computerized geospatial information systems for wayfinding tasks or urban navigation. One of the problems with the current services is that, whether the users are exploring or navigating, whether they are travelers who are totally new to a region or long-term residents who have a fair amount of regional knowledge, the same method is applied and the direction are given in the same way. However, spatial knowledge for a given urban region expands in proportion to residency. Urban navigation is highly dependent on cognitive mental images, which is developed through spatial experience and social communication. Thus, the wayfinding service for a regional community can be highly supported, using well-known regional places. This research is to develop the framework for urban navigation within a regional community. The concept of communal ontology is proposed to aid in urban regional navigation. The experimental work was implemented with case study to collect regional landmarks, develop the ontological model and represent it with formal structure. The final product of this study will provide the geographical information of a region to the other agent and be the fundamental information structure for cognitive urban regional navigation.

A Survey of the Adaptation and Preference for South Korean Food in North Korean Refugees (새터민들의 남한음식에 대한 수용과 선호도 조사)

  • Lee, Eun-Jung;Pei, Yong-Qin;Kim, Eun-Mi
    • Culinary science and hospitality research
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    • v.19 no.2
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    • pp.93-110
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    • 2013
  • The purpose of this study was to investigate the adaptation and preference for South Korean food among North Korean refugees. A survey was conducted on 220 North Korean refugees regarding general questions, adaptations, and preference on consuming dishes in South Korea. The results of the survey showed that the average difficulty degree scored with the adaptation to South Korean food was 3.06 points out of 5.00 points. The adaptation to Korean food was investigated as 'average' and some North Korean refugees had some difficulties in South Korean food. Some respondents described South Korean food as having very strong flavor that tastes more sweetened, seasoned, and spicy than North Korean food. The extended residency in South Korea allowed North Korean refugees to become more familiar with sweetened flavors. Most of them enjoy an oily and spicy taste more than South Koreans. North Korean refugees like Ssal bap, Naengmyeon, Doenjang-guk, Galbi-jjim, Bulgogi(beef, pork), Chaesobokkeum, Oi-saengchae, Chaeso-jeon, Baechu-kimchi, Saengsun-twigim, Soondae, pears, fruit juice, and spring water. North Korean refugees over the age of 30 years enjoy classic foods such as Japgokbap, Gimbap, Jumeokbap, Hwedeopbap, and Chobap. On the other hand, North Korean refugees less than 30 years old enjoy new foods like ramen and spaghetti.

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Demand Estimation for Art Museum using Travel Cost Method : A Case of National Museum of Modern and Contemporary Art (여행비용접근법을 적용한 미술관 방문수요함수 추정 : 국립현대미술관을 사례로)

  • Eom, Young-Sook;Kim, Jin-Ok;Park, In-Sun
    • Review of Culture and Economy
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    • v.19 no.2
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    • pp.29-50
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    • 2016
  • This paper is to apply an individual travel cost method(TCM) to estimate demand functions for cultural services enjoyed by visiting 3 branches of the National Museum of Modern and Contemporary Art located in the Seoul Metropolitan area. This paper extends the standard TCM by incorporating opportunity costs of leisure time and two different data generating process - 398 respondents from an on-site survey and 600 respondents from a general household survey. Negative binomial models reflecting the non-negative integer nature of visiting frequency with over-dispersed variance were best fitted for demand functions, in which residents of Seoul metropolitan area surveyed from on the site exhibited higher visitation demand for the national art museum. Price elasticity and income elasticity differed by respondents' residency. Price elasticity of long distance visitors (-0.21) was more inelastic from those of Seoul residents (-0.34 ~ -0.5). Moreover, regional residents outside of Seoul area seemed to consider that services from the national art museum is a normal good with income elasticity of 0.5, whereas the Seoul residents seemed to perceive it to be an inferior good with income elasticity of -0.05.