• Title/Summary/Keyword: Valid Data

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Transhiatal Esophagectomy in Cardia and Esophageal Cancer (위분문부 및 식도암 환자에서 경열공 식도절제술)

  • Choi Dong-Hui;Jung Kyoung-Won;Kim Dong-Heon
    • Journal of Gastric Cancer
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    • v.5 no.1
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    • pp.1-9
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    • 2005
  • Purpose: The debate is still on-going as to whether a transthoracic esophagectomy (TTE) or a transhiatal esophagectomy(THE) is the proper treatment for patients with cardia and esophageal cancers. This study tries to demonstrate and assess the efficacy and the validity of both surgeries. Materials and Methods: In a retrospective study, data from 52 cases of patients with esophageal and/or cardia cancer who received a surgical operation during the last decade were analyzed. Results: A TTE was done in 20 cases and a THE in 32 cases. The average times for the operations were 558.0 min for a TTE and 451.7 min for a THE (P>0.05). The estimated blood loss was 1,825.0 ml in a TTE and 1459.4 ml in a THE (P>0.05). The amounts of transfusion during the operations were 3.9 units in a TTE and 2.6 units in a THE (P<0.05). Post-operative complications occurred in 15 cases of TTE and 23 cases of THE. The average length of stay in the hospital was 25.6 days for a TTE and 20.6 days for a THE. The 5-year survival rate was $10\%$ for TTE patients and $28\%$ for THE patients (P>0.05). Conclusion: For most factors, including morbidity and mortality, there was no statistically significant difference between a TTE and a THE. However, a THE is expected to be more convenient, leading to a shorter operative duration, a shorter post-operative hospitalization and lesser amounts of hemorrhage and transfusion. Hence, the THE may be a more valid or efficient surgical method for those patients with cardia and esophagus cancer who require a resection of the esophagus. (J Korean Gastric Cancer Assoc 2005;5:1-9)

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A Study on the Water Quality Management of Modular Revetment Structure installed Low-Maintenance Constructed Wetland (플랜터형 호안구조물을 설치한 저관리형 습지의 수질 제어 기작에 관한 연구)

  • Ham, Eun Kyung;Choi, Yun Eui;Kim, Min;Chon, Jinhyung
    • Journal of Wetlands Research
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    • v.17 no.2
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    • pp.184-192
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    • 2015
  • This study is a basic research for low maintenance constructed wetlands which can prevent water quality deterioration due to wetland soils. The purpose of this study is to analyze water quality control mechanisms of constructed wetland on the artificial ground which installed the modular revetment structure(MRS), a device that separates water and soil. This study was then conducted with two different wetland mesocosms (a treatment plot and a control). These mesocosms were monitored to analyze effects of water quality control of the MRS. A treatment plot was built, and separated into soil and water, by filling the MRS with the decomposed granite soil in the mesocosm made of rubber material. A control plot was built where the decomposed granite soils were exposed to water by leaving the soil on the bottom of the mesocosm made of rubber material. Water quality was then analyzed by using Kolmogorov-Smirnov Z examination which then showed that pH, BOD, SS, Chl-a, T-P, T-N had statistically valid difference between a container with the MRS and one without it. According to the analysis of the water quality, the temperature and the EC level came out similarly and both mesocosm showed same level on pH and DO. A treatment plot had higher levels of BOD, SS Chl-a, and T-P. A control plot's T-N value was little lower than that of the treatment plot. This study suggests method of constructed wetlands using the MRS prevents problems occurring in wetland soils: aridity of wetlands by soil erosion, eutrophication, and algal blooms due to nutrients released from wetland soil. These functions of constructed wetland with the MRS increase aesthetic, ecologic, social, and economic value of the wetland. Outcomes of this research will later enable more proficient way of stabilizing water quality and provide data for planning low maintenance constructed wetlands.

Development of NQ-E, Nutrition Quotient for Korean elderly: item selection and validation of factor structure (노인 대상 영양지수 개발 : 평가항목 선정과 구성 타당도 검증)

  • Chung, Min-Jae;Kwak, Tong-Kyung;Kim, Hye-Young;Kang, Myung-Hee;Lee, Jung-Sug;Chung, Hae Rang;Kwon, Sehyug;Hwang, Ji-Yun;Choi, Young-Sun
    • Journal of Nutrition and Health
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    • v.51 no.1
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    • pp.87-102
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    • 2018
  • Purpose: The purpose of this study was to develop a valid instrument for measuring the dietary quality and behaviors of Korean elderly. Methods: The development of the Nutrition Quotient for Elderly (NQ-E) was conducted in three steps: item generation, item reduction, and validation. The 41 items of the NQ-E checklist were derived from a systematic literature review, expert in-depth interviews, statistical analyses of the fifth Korean National Health and Nutrition Examination Survey data, and national nutrition policies and recommendations. Pearson's correlation was used to determine the level of agreement between the questionnaires and nutrient intake level, and 24 items were selected for a nationwide survey. A total of 1,000 nationwide elderly subjects completed the checklist questionnaire. The construct validity of the NQ-E was assessed using confirmatory factor analysis, LISREL. Results: The nineteen checklist items were used as final items for NQ-E. Checklist items were composed of four-factors: food behavior (6 items), balance (4 items), diversity (6 items), and moderation (3 items). The standardized path coefficients were used as the weights of the items. The NQ-E and four-factor scores were calculated according to the obtained weights of the questionnaire items. Conclusion: NQ-E would be a useful tool for assessing the food behavior and dietary quality of the elderly.

Validation of initial nutrition screening tool for hospitalized patients (입원 환자용 초기 영양검색도구의 타당도 검증)

  • Kim, Hye-Suk;Lee, Seonheui;Kim, Hyesook;Kwon, Oran
    • Journal of Nutrition and Health
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    • v.52 no.4
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    • pp.332-341
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    • 2019
  • Purpose: Poor nutrition in hospitalized patients is closely linked to an increased risk of infection, which can result in complications affecting mortality, as well as increased length of hospital stay and hospital costs. Therefore, adequate nutritional support is essential to manage the nutritional risk status of patients. Nutritional support needs to be preceded by nutrition screening, in which accuracy is crucial, particularly for the initial screening. To perform initial nutrition screening of hospitalized patients, we used the Catholic Kwandong University (CKU) Nutritional Risk Screening (CKUNRS) tool, originally developed at CKU Hospital. To validate CKUNRS against the Patient-Generated Subjective Global Assessment (PG-SGA) tool, which is considered the gold standard for nutritional risk screening, results from both tools were compared. Methods: Nutritional status was evaluated in 686 adult patients admitted to CKU Hospital from May 1 to July 31, 2018 using both CKUNRS and PG-SGA. Collected data were analyzed, and the results compared, to validate CKUNRS as a nutrition screening tool. Results: The comparison of CKUNRS and PG-SGA revealed that the prevalence of nutritional risk on admission was 15.6% (n = 107) with CKUNRS and 44.6% (n = 306) with PG-SGA. The sensitivity and specificity of CKUNRS to evaluate nutritional risk status were 98.7% (96.8 ~ 99.5) and 33.3% (28.1 ~ 39.0), respectively. Thus, the sensitivity was higher, but the specificity lower compared with PG-SGA. Cohen's kappa coefficient was 0.34, indicating valid agreement between the two tools. Conclusion: This study found concordance between CKUNRS and PG-SGA. However, the prevalence of nutritional risk in hospitalized patients was higher when determined by CKUNRS, compared with that by PG-SGA. Accordingly, CKUNRS needs further modification and improvement in terms of screening criteria to promote more effective nutritional support for patients who have been admitted for inpatient care.

A Proposal on the Improvement of Obstacle Limitation Surface and Aeronautical Study Method (장애물 제한표면과 항공학적 검토방법의 제도 개선에 관한 제언)

  • Kim, Hui-Yang;Jeon, Jong-Jin;Yu, Gwang-Eui
    • The Korean Journal of Air & Space Law and Policy
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    • v.34 no.1
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    • pp.159-201
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    • 2019
  • Along with Annex 14 Volume I establishment in 1951 and the set-up of restriction surface around the runway, aeronautical technique and navigation performance achieved dazzling growth, and the safety and precision of navigation greatly improved. However, restrictions on surrounding obstacles are still valid for safe operation of an aircraft. Standards and criteria for securing safety of aircraft operating around and on airport is stated in Annex 11 Air Traffic Services and Annex 14 Aerodrome etc. In particular, Annex 14 Volume I presents the criteria for limiting obstacles around an airport, such as natural obstacles such as trees, mountains and hills to prevent collisions between aircraft and ground obstacles, and artificial obstacles such as buildings and structures. On the other hand, Annex 14 Volume I, in the application of the obstacles limitation surfaces, apply the exception criteria, as it may not be possible to remove obstacles that violate the criteria if the aeronautical study determines that they do not impair the safety and regularity of aircraft operation. Aeronautical study has been applied and implemented in various countries including United States, Canada and Europe etc. accordingly, Korea established and amended some provisions of the Enforcement rules of the Aviation Act and established the Aeronautical study guidelines to approve exceptions. However, because ICAO does not provide specific guidelines on procedures and methods of Aeronautical study, countries conducting aeronautical study have established and applied their own procedures and methods. Reflecting this realistic situation, at the 12th World Navigation Conference and at the 38th General Assembly, the contracting States demanded a reexamination of the criteria for current obstacle limitation surfaces and methods of aeronautical study, and the ICAO dedicated a team of experts to prepare new standard. This study, in line with the movement of international change in obstacle limitation surface and aeronautical study, aims to compare and analyze current domestic and external standards on obstacle limitation and height limits, while looking at methods, procedure and systems for aeronautical study. In addition, expecting that aeronautical study will be used realistically and universally in assessing the impact of obstacles, we would recommend the institutional improvement of the aeronautical study along with the development of quantitative analysis methods using the navigation data in the current aeronautical study.

Relationship Between Perceived Health Status, Future Time Perspective, Health Promoting Behaviors and Quality of Life in the Elderly (노인들이 지각하는 건강상태, 미래전망, 건강증진, 삶의 질의 관계)

  • Yoon, Jung Sik;Ko, Dae Sun;Won, Young Shin
    • 한국노년학
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    • v.36 no.4
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    • pp.1191-1206
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    • 2016
  • The purpose of this study is to investigate the relationship between perceived health status, future time perspective(FTP), health promoting behaviors, and quality of life in the elderly. To this end, the survey was conducted through distributing questionnaires to the elderly people who lived in areas of Seoul or its adjacent satellite cities in their age of 60 or more in 2013. In total, 497 valid responses were collected. The data was analyzed by using a number of analysis methods including confirmatory factor analysis, reliability analysis, frequency analysis, correlation analysis, simple regression analysis, multiple regression analysis, SEM analysis. The findings are as follows. First, health status of the elderly has a significant influence on FTP. Second, health status the elderly has a significant influence on health promoting behavior. Among sub-factors of health status, subjective health status has a significant influence on spiritual growth, nutrition, physical activity, stress and interpersonal relation. Third, health status of the elderly has a significant influence on quality of life. Among sub-factors of health status, subjective health status has a significant influence on physical, social, emotional and economic quality of life. Fifth, FTP of the elderly has a significant influence on quality of life. FTP has a significant influence on physical, social, emotional economic quality of life among the elderly. Sixth, health promoting behavior among the elderly has a significant influence on quality of life. Among sub-factors of health promoting behavior, spiritual growth has a significant influence on physical, social, emotional and economic quality of life. Nutrition has a significant influence on social factor. Health responsibility has a significant influence on emotional quality of life. Physical activity has a significant influence on physical quality of life. Stress has a significant influence on physical, social and economic quality of life. Finally, interpersonal relation has a significant influence on physical and social quality of life.

Revisiting the trilemma of modern welfare states - Application of the fuzzy-set ideal type analysis - (복지국가 트릴레마 양상의 변화 - 퍼지셋 이상형 분석의 적용 -)

  • Shin, Dong-Myeon;Choi, Young Jun
    • 한국사회정책
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    • v.19 no.3
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    • pp.119-147
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    • 2012
  • This paper aims to explore whether the trilemma of welfare states has been a valid argument about the recent change of welfare states. Based on fuzzy-set ideal type analysis of data from seventeen OECD countries, it examines that welfare states have achieved three core policy objectives -income equality, employment growth and fiscal discipline- in the service economy during the period between 1981 and 2010. The evidence presented in this paper does not support the trilemma of the service economy where only two goals can be pursued successfully at one time, at a cost of the other remained goal. The trilemma has been effective only to the countries in liberal welfare regime where employment growth and fiscal discipline has been achieved at a cost of higher levels of income equality. However, conservative welfare-state regimes have experienced the deterioration of income equality and fiscal restraint after the mid 1980s and it seems that they have diverged into various models. In the countries of the social democratic welfare regime, the goals of equality and employment have been achieved simultaneously together with fiscal discipline since the early 2000s. While they are classified as the perfect model in the research, Southern European welfare states including Greece and Italy, classified as 'the crisis model', have not performed well in all the three aspects. On the evidence presented in this paper, it can be said that the trilemma of welfare states in the service economy is not effective to explain the policy goals of welfare state as well as the result of redistributive politics in the service economy.

Step-by-Step Growth Factors for Technology-Based Ventures: A Case Study of Advanced Nano Products Co. Ltd (기술기반 벤처기업의 단계별 성장요인: (주)나노신소재 사례 중심으로)

  • Jeong, Chanwoo;Lee, Wonil
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.16 no.6
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    • pp.85-105
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    • 2021
  • In this study, a case study was conducted on Advanced Nano Products Co.,Ltd, a company that was established in 2000 and has the core technology to produce and commercialize nano materials and ultrafine nano powders based on nano technology. Deviating from the general case study, a case study analysis frame was set based on the theory of technology management and industry-university cooperation theory, and cases were analyzed. In this case study, Advanced Nano Products Co.,Ltd. was analyzed from two analytical perspectives: the establishment of a Management Of Technology system within the company and the Industry-Academic Cooperation activity. Based on this theoretical-based analysis framework, company visit interviews and related data research and analysis were conducted. As a result of the study of the case company, it was possible to derive how the technology management and industry-university cooperation affect the growth stage of the company as follows. First, the strategic use of technology management is an important factor in strengthening the competitive advantage and core competencies of venture companies, and for survival and growth of startups in the early stages. Second, strategic use of technology management and patents and establishment of a patent management system are a part of business strategy and play a pivotal role in corporate performance. Third, the human and material infrastructure of universities affects the growth of companies in the early stage of start-up, and the high utilization of industry-university cooperation promotes the growth of companies. Fourth, continuous industry-academic cooperation activities in the growth and maturity stages of a company's growth stage are the basis for activating external exchanges and building networks. Lastly, technology management and industry-university cooperation were found to be growth factors for each growth stage of a company. In order for a company to develop continuously from the start-up to the growth and maturity stages, it is necessary to establish a technology management system from the beginning and promote strategic technology management activities. In addition, it can be said that it is important to carry out various industry-academic cooperation activities outside the company. As a result of the case analysis, it was found that Advanced Nano Products Co.,Ltd, which performed these two major activities well, overcame the crisis step by step and continued to grow until now. This study shows how the use of technology management and industry-academic cooperation creates value in each growth stage of technology-based venture companies. In addition, its active use will play a big role in the growth of other venture companies. The results of this case study can be a valid reference for growth research of technology start-up venture companies and related field application and utilization.

A Longitudinal Validation Study of the Korean Version of PCL-5(Post-traumatic Stress Disorder Checklist for DSM-5) (PCL-5(DSM-5 기준 외상 후 스트레스 장애 체크리스트) 한국판 종단 타당화 연구)

  • Lee, DongHun;Lee, DeokHee;Kim, SungHyun;Jung, DaSong
    • Korean Journal of Culture and Social Issue
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    • v.28 no.2
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    • pp.187-217
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    • 2022
  • The aim of this study is to examine the psychometric properties of the Korean version of the Post-traumatic Stress Disorder Checklist for DSM-5(PCL-5). For this purpose, online surveys were conducted for two times with a one year interval using the data from 1,077 Korean adults at time 1, and 563 Korean adults at time 2. First, from the result of the confirmatory factor analysis, comparing the model fit of the 1, 4, 6, and 7-factor model, the 4, 6, and 7-factor model showed a acceptable fit, and the best fit was seen in the order of the 7, 6, 4-factor model. Second, the internal consistency, omega coefficient, construct validity, average variance extracted, and test-retest reliability results were all satisfactory.. Third, a correlation analysis with the K-PC-PTSD-5 and the sub-factors of BSI-18 was conducted to check the validity of the Korean Version of PCL-5. As a result, a positive correlation was seen with both K-PC-PTSD-5 and BSI-18. Fourth, a hierarchical multiple regression was performed to examine whether the Korean Version of PCL-5 predicts future PTSD, depression, anxiety, and somatization. As a result, the Korean Version of PCL-5 measured at time 1 significantly predicted PTSD, depression, anxiety, and somatization symptoms at time 2. Fifth, by analyzing the ROC curve, the discriminant power of PCL-5 for screening PTSD symptom groups was confirmed, and the best cut-off score was suggested. As a result of the longitudinal validation of Korean version of PCL-5, it was found that this scale is a reliable and valid measure for Korean adults. By looking into the predictive validity of the scale, it was found that the Korean version of PCL-5 can predict not only PTSD symptoms but also PTSD-related symptoms such as depression, anxiety, and somatization. Also, this study differs from previous validation studies measuring PTSD symptoms in that it suggested a cut-off score to help differentiate PTSD symptom groups.

A Study on the Social Integration Model of Multicultural Families : Focusing on the Role of Local Social Capital and Social Enterprises (다문화가정의 사회통합모델에 관한 연구 : 지역사회자본과 사회적기업의 역할을 중심으로)

  • Oh, Jong-chul
    • Journal of Venture Innovation
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    • v.4 no.1
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    • pp.1-21
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    • 2021
  • Recently, as the number of foreigners residing in Korea has increased, Korea is preparing to enter a multicultural country. This study was conducted to present a social integration model for the purpose of solving the social problem of social integration of multicultural families. The purpose of this study is as follows. First, this study examines the role of local social capital for social integration by improving the quality of life of multicultural families and increasing their intention to participate in society. Second, the purpose of this study is to examine the effects of multicultural family members on the formation of local social capital, subjective quality of life and social participation intention, focusing on the role of social enterprises. To achieve the purpose of this study, members of multicultural families living in Seoul and Gyeonggi Province were selected as samples, and responses to local social capital, subjective quality of life, social participation intention and social identity were collected through structured questionnaires. A total of 363 valid questionnaires were tested for the relationship between variables through the structural equation model. The analysis result of this study is that first, human social capital and corporate social capital of members of multicultural families have a significant positive effect on subjective quality of life. Second, it was found that the corporate social capital and community social capital of members of multicultural families had a significant positive effect on the intention to participate in society. Third, it was found that the subjective quality of life of members of multicultural families did not significantly affect their intention to participate in society. Finally, it was found that social identity plays a partly controlling role when community capital of multicultural family members affects their intention to participate in society. Through this analysis result, it is expected that it will play a meaningful role as basic data for policy proposals for social integration of multicultural families.