• 보건행정학회지
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• 제31권1호
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• pp.91-99
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• 2021

Background: The Korean government introduced National Cancer Control Program and strengthening national health insurance coverage for cancer patients. Although many positive effects have been observed, there are also many concerns about cancer management such as patient concentration or time-to-treatment. Thus, we investigated the association between the time-to-treatment and survival of cancer patients, and compared regional differences by time trend. Methods: The data used in this study were national health insurance claims data that included patients diagnosed with lung cancer and received surgical treatment between 2005 and 2015. We conducted survival analysis with Cox proportional hazard model for the association between time-to-treatment and survival in lung cancer. Additionally, we compared the regional differences for time-to-treatment by time trend. Results: A total of 842 lung cancer patients were included, and 52.3% of lung cancer patients received surgical treatment within 30 days. Patients who received surgical treatment after 31 days had higher 5-year or 1-year mortality compared to treatment within 30 days (5-year: hazard ratio [HR], 1.566; 1-year: HR, 1.555; p<0.05). There were some regional differences for time-to-treatment, but it was generally reduced after 2010. Conclusion: Delayed surgical treatment after diagnosis can negatively affect patient outcomes in cancer treatment. To improve cancer control strategies, there are needed to analyze the healthcare delivery system for cancer care considering the severity and types of cancer.

• 대한간호학회지
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• 제51권6호
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• pp.732-745
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• 2021

Purpose: This study aimed to assess combined effects of early oral feeding after Cesarean section (C/S) under regional anesthesia on bowel function, gastrointestinal complications and surgical recovery. Methods: A systematic literature search was conducted using KISS, RISS, PubMed, CINAHL, EMBASE, CENTRAL and Google Scholar to identify randomized clinical trials comparing early oral feeding (EOF) with delayed oral feeding (DOF) after C/S. Outcome variables were bowel function and gastrointestinal complications and surgical recovery. Effect size was calculated using weighted mean differences (WMDs) and relative risks (RRs), with 95% confidence intervals (CIs). Results: Seven studies involving 1,911 patients from 568 studies, 7 studies were included in meta-analysis. EOF was significantly associated with shorter time to recover bowel movement compared with DOF (WMD, - 2.50; CI, - 3.50~- 1.50). EOF was not associated with nausea (RR, 1.15; CI, 0.87~1.53) and vomiting (RR, 0.96; CI, 0.65~1.42), but lower incidence of abdominal distension (RR, 0.70; CI, 0.50~0.98). EOF was significantly associated with shorter time to discontinuation of intravenous fluids (WMD, - 8.88; 95% CI, - 16.65~- 1.11) and removal of urinary catheter (WMD, - 15.23; CI, - 25.62~- 4.85). Conclusion: This meta-analysis provides evidence that EOF after C/S under regional anesthesia not only accelerates return of bowel function and surgical recovery but also reduces gastrointestinal complications. These results suggest that EOF should be offered to women who have undergone C/S to improve the recovery experience and reduce overall medical costs.

• 대한불안의학회지
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• 제8권2호
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• pp.146-152
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• 2012

Objective : Individuals with anxiety disorders experience a wide range of time to seeking treatment (TST) as well as various comorbid mental disorders. The present study examined the TST in social anxiety disorder (SAD) and panic disorder. This study aimed to find out the influence of comorbid mental disorder on TST of anxiety disorder through the comparison of SAD and panic disorder. Methods : This study included 311 SAD and 378 panic disorder patients at the initial visit of psychiatric clinic. Contribution of clinical (number of comorbidity, comorbid type and onset age) and demographic (current age) factors to TST were investigated by multivariate analysis. Results : The median length of TST was 14.03 years in SAD and 2.26 years in panic disorder. In social anxiety disorder, fewer comorbidity, younger onset age, and older age were factors associated with delayed TST. In panic disorder, only younger onset age was associated with delayed TST. In both disorders, comorbid depressive disorder was associated with shorter TST. Conclusion : Our data provided the differences in illness behavior needing help based on comorbid mental disorders between SAD and panic disorder. In addition to comorbid disorder, factors affecting TST of anxiety disorder requires future investigation.

• 한국항행학회논문지
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• 제6권3호
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• pp.241-250
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• 2002

본 논문은 무선 멀티미디어용 OFDM시스템에 적용 할 수 있는 송신다이버시티 기술로 전송 효율 및 수신 성능을 최대로 하기 위한 방안을 제시한다. 제안된 방법은 MIMO채널에 적합한 시공간 부호기법으로 STTC(Space-Time Trellis Code)의 성능 분석을 위해 두 가지의 rms 지연확산, 즉 50nsec, 150nsec를 고려한 채널 추정에서 시 평균을 위한 파라미터 ${\alpha}$가 0.3, 1인 경우와 하나의 프레임 내에서 긴 훈련열 구간으로부터 추정된 채널 값을 해당 프레임에 적용한 경우의 성능을 비교 분석하였다. 실험결과 ${\alpha}$가 0.3인 경우가 긴 훈련 열만을 이용한 경우보다 BER이 $10^{-3}$에서 1.0dB의 SNR개선을 가져옴을 알 수 있었으며, 또한 시 평균을 위한 것이 그렇지 않은 경우보다 전반적인 성능 개선이 향상된다는 것을 확인하였다.

• Journal of Medicine and Life Science
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• 제19권3호
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• pp.109-115
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• 2022

During emergencies, the time from symptom onset to definitive treatment determines the final outcome. Therefore, the emergency medical service (EMS) system in Korea, aims to transfer patients requiring emergency care to appropriate medical facilities within 30 minutes. This is in an attempt to improve the chances of survival and reduce sequelae. We attempted to locate areas vulnerable to prehospital transportation and identify hot spots with high demand for emergency medical helicopters in Jeju, by using a grid-based geospatial analysis. This retrospective cross-sectional observational study employed EMS data of 119 ambulance run sheets spanning from January 1, 2010 to September 30, 2018 in Jeju. The location data of emergency patients was superimposed on the spatial analysis frame using the geographic information system (GIS). Subsequently, the locations of long-distance transfer and delayed transfers to the hospital were analyzed, to identify hot spots where the demand for helicopter emergency services would be high. Of the total analysis targets, 42.2% (20,288 people) took more than 30 minutes from reporting to 119 dispatchers to hospital transfer. As the transfer time interval increased, the patient occurrence time increased in the city of Jeju, increased in Seogwipo, and the ratio of patients/guardians to select a transfer hospital rose with significant differences. This study identified the characteristics related to time delays in prehospital transfer of emergency patients in Jeju, and the areas vulnerable to prehospital emergency care were derived and visualized through spatial analysis using the GIS.

• 정형스포츠물리치료학회지
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• 제14권2호
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• pp.55-64
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• 2018

Purpose : The purpose of this study was to investigate the effect of the sprinter and skater combined patterns on muscle contraction onset time and muscle activation of body stabilizing muscles. Method : Our study included young and healthy men in their 20s. The participants used the sprinter and skater combined patterns of the proprioceptive neuromuscular facilitation (PNF) methods to measure muscle activation and muscle contraction onset time of the trunk muscles. To measure muscle contraction onset time and muscle activation, electrodes were attached to the rectus abdominis (RA), external oblique (EO), internal oblique (IO), and erector spinalis (ES) regions. Significant differences were identified using a paired t-test and a one-way analysis of variance (ANOVA) analysis. Result : In the sprinter combined pattern, the muscle with the fastest onset time of contraction was the RES, and that with the slowest was the RRA (p<.001). In the skater combined pattern, the muscle with the fastest onset time of contraction was the LES, and that with the slowest was the LRA (p<.001). In the sprinter combined pattern, the REO and LIO presented medium muscle contraction onset times (p<.001). In the skater combined pattern, the LEO and RIO presented medium muscle contraction onset times (p<.001). Conclusions: Based on these results, these patterns could be used as exercise methods for the elderly with delayed proactive response speeds of the body stabilization methods due to imbalances in body stabilizing muscles or limbs movement.

• Clinics in Shoulder and Elbow
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• 제26권1호
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• pp.32-40
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• 2023

Background: The purpose of this study was to identify predictors of the time from initial presentation to total shoulder arthroplasty (TSA) in patients with primary glenohumeral osteoarthritis (OA) and rotator cuff (RTC) arthropathy who were conservatively managed with corticosteroid injections. Methods: We conducted a retrospective cohort study of patients who underwent TSA from 2010 to 2021. Kaplan-Meier survival analysis was used to estimate median time to TSA for primary OA and RTC arthropathy patients. The Cox proportional hazards model was used to identify significant predictors of time to TSA and to calculate hazard ratios (HRs) with 95% confidence intervals (CIs). Statistical significance was set at P<0.05. Results: The cohort included 160 patients with primary OA and 92 with RTC arthropathy. In the primary OA group, median time to TSA was 15 months. Significant predictors of shorter time to TSA were older age at presentation (HR, 1.02; 95% CI, 1.00-1.04; P=0.03) and presence of moderate or severe acromioclavicular joint arthritis (HR, 1.45; 95% CI, 1.05-2.01; P=0.03). In the RTC arthropathy group, median time to TSA was 14 months, and increased number of corticosteroid injections was associated with longer time to TSA (HR, 0.87; 95% CI, 0.80-0.95; P=0.003). Conclusions: There are distinct prognostic factors for progression to TSA between primary OA patients and RTC arthropathy patients managed with corticosteroid injections. Multiple corticosteroid injections are associated with delayed time to TSA in RTC arthropathy patients.

• 한국군사과학기술학회지
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• 제18권2호
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• pp.115-124
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• 2015

A methodology is proposed to estimate a trajectory of a flying target and its velocity using the time and frequency analysis of the acoustic signal. The measurement of sound emitted from a flying acoustic source with a microphone above a ground shall receive both direct and ground-reflected sound waves. For certain frequency contents, the destructive interference happens in received signal waveform reflected path lengths are in multiple integers of direct path length. This phenomenon is referred to as the acoustical mirror effect and it can be observed in a spectrogram plot. The spectrogram of acoustic measurement for a flying vehicle measurement shows several orders of destructive interference curves. The first or second order of curve is used to find the best approximate path by using nonlinear least-square method. Simulated acoustic signal is generated for the condition of known geometric of a sensor and a source in flight. The estimation based on cepstrogram analysis provides more accurate estimate than spectrogram.

• 한국세라믹학회지
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• 제18권4호
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• pp.237-246
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• 1981

The effects of impurities, included in the by-produced phosphogypsum from the dihydrate process, on the hydration of portland cement were studied. Six gypsums were adopted in this study; four different raw phosphogypsums from domestic fertilizer plants, a reprocessed phosphogypsum and a reagent grade pure gypsum. Cements with differing $SO_3$ content, were synthesized by grinding two different commercial clinkers and the above six gypsums together. The effects of the impurities were investigated by measuring the setting time, the non-evaporable water coatent, X-ray phase analysis of cement pastes and the compressive strength of cement mortar specimens. It was found that the soluble $P_2O_5$ known as one of injurious impurities on the hydration of portland cement, included in the demestic raw phosghoypsum cxneedigply by far the specified amounts of the Korean Industrial Standards (L9005), and retarded the setting time severely, thus the strength development of cement was delayed at the earlier stage of hydration.

• 설비공학논문집
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• 제11권1호
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• pp.38-47
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• 1999

An improved one-dimensional modeling of snow melting was obtained by considering both the effect of heat capacity and the decreasing influence of porosity. Using the improved model, the effects of initial snow temperature, initial snow density and the heat flux on the snow melting were investigated. It is found that the drainage starting time is delayed and the drainage rate becomes smaller with lower initial snow temperature. ResuIts also show that the drainage starts at the same time when an initial snow density is over a certain value. Melting efficiency increases linearly with an increasing initial snow temperature. With increasing the initial density of the snow and the amount of heat supplied, the melting efficiency increases, then converges to a constant value.