• Korean Journal of Clinical Pharmacy
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• v.22 no.3
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• pp.239-250
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• 2012

In recent years, national health insurance(NHI) coverage had been expanded gradually for cancer as a severe disease requiring high level of medical expenditure, to reduce patient's financial burden. But, subjective burdens level for out-of-pocket(OOP) money expense are still considerable owing to high medical cost and decent numbers of services not covered by benefit plan. This study aimed to investigate OOP medical expenditures and identify factors influencing subjective financial burden in cancer patients. A 28-items questionnaire for self-reporting by responders was designed to satisfy study goal and finalized following by one pilot study and experts' verification process. Subjects were enrolled during July to October 2010 through regular meetings organized by five patient or patient-advocacy groups had acknowledged the study purpose. Subjects who aged 20 or more, have histories of cancer diagnosis and anticancer drug use, and voluntarily agreed to participate in this study were recruited. Total 107 subjects included in the analysis have cancer lesions in breast, colon, kidney, liver or stomach at the stages from I to IV. Approximately 73% of them has passed less than 5 years since cancer diagnosis. For the OOP medical expenditure regarding cancer, less 6 million won was in 31%, 6-15 million won in 35% and more than 15 million won in 28% of responders, and more than half responders(58%) felt financial burden subjectively. 63% of responders had subscribed commercial insurances, resulting in money receipts of more than 10 million won since cancer diagnoses in 76% of responders. Logistic regression results showed significant differences in subjective OOP financial burden level depending on gender, household income level, benefit type, commercial insurance money receipt degree, year cancer diagnosed, cancer lesion, therapy type, duration of anticancer drug use, drug listing in national formulary, total OOP medical expenditure and total OOP anticancer drug expense. They had mixed feelings both wishes to expand NHI coverage to reduce financial burden(70%) and no willingness to increase premium(59%). This result suggested that NHI might direct future strategies to reduce absolute total OOP medical cost and expand benefit plan coverage in higher burden groups in particular.

• Journal of the Korea Concrete Institute
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• v.20 no.3
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• pp.393-404
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• 2008

The approaches in many design codes for the estimation of the deflection of flexural reinforced concrete (RC) members utilize the concept of the effective moment of inertia which considers the reduction of flexural rigidity of RC beams after cracking. However, the effective moment of inertia in design codes are primarily based on the ratio of maximum moment and cracking moment of beam subjected to loading without proper consideration on many other possible influencing factors such as span length, member end condition, sectional size, loading geometry, materials, sectional properties, amount of cracks and its distribution, and etc. In this study, therefore, an experimental investigation was conducted to provide fundamental test data on the effective moment of inertia of RC beams for the evaluation of flexural deflection, and to develop a modified method on the estimation of the effective moment of inertia based on test results. 14 specimens were fabricated with the primary test parameters of concrete strength, cover thickness, reinforcement ratio, and bar diameters, and the effective moments of inertia obtained from the test results were compared with those by design codes, existing equations, and the modified equation proposed in this study. The proposed method considered the effect of the length of cracking region, reinforcement ratio, and the effective concrete area per bar on the effective moment of inertia, which estimated the effective moment of inertia more close to the test results compared to other approaches.

• The Journal of Korean Academy of Sensory Integration
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• v.10 no.1
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• pp.33-44
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• 2012

Objective : The aim of the study was to investigate the job satisfaction of occupational therapists(OTs) who work in sensory integration treatment setting, and to analysis for factors influencing the satisfaction. Methods : Data were obtained from 62 OTs who had registered Korean Academy of sensory integration through a survey. Results 1 : Job satisfaction according to general characters: OTs who were above 35 years old and take the treatment course for sensory integration felt the highest total job satisfaction. OTs who are above 35 years old and have clinical experience under 12 month felt the highest salary satisfaction. OTs who are under 25 years old felt the highest promotion satisfaction. Female OTs felt higher colleagues relationship satisfaction than male OTs. 2. Job satisfaction according to work environment: OTs who work with 5 to 10 colleagues and work at private clinic felt the highest total job satisfaction. OTs who spend time treating patients more than 45 hours per week and work at private clinic. OTs who work with 5 to 10 colleagues felt the highest promotion and institute satisfaction. OTs who work at the disabled children care center considered change their job more than others. Conclusions : To improve job satisfaction of OTs, we need to consider size of organization, type of institutes. And we have to define role and specialty of OTs who work in various sensory integration treatment setting.

• Journal of the Economic Geographical Society of Korea
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• v.11 no.4
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• pp.509-526
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• 2008

This paper aims to examine the evolutionary dynamics of the Korea's footwear industry by adopting evolutionary perspectives. To explain the evolutionary dynamics of an industry, evolutionary perspectives have paid a particular attention to exploring a variety of factors for influencing the evolution of the industry, such as the selection and imitation of the firm, the mechanism of firm's entry and exit, technological characteristics and innovation processes. The majority of existing research tend to explain that the decline of the Korea's footwear industry since 1990 was mostly due to the rapid rising of wage and the structural changes in labor-intensive industries. On the contrary, this paper attempts to explain the decline of the Korea's footwear industry, in terms of the path of selection and imitation, the dominant technological paradigm, regulatory frameworks and the meso trajectory of industry evolution. This paper concludes that the decline of the Korea's footwear industry since 1990 was appeared as a result of the evolutionary selection processes of the firms in order to adapt to changes in the environment of competition and the regime of market selection in the global footwear industry.

• Journal of Family Resource Management and Policy Review
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• v.13 no.3
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• pp.181-205
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• 2009

The purpose of this study is to investigate some Influencing factors related to the wealth perception and property increase of 519 women in Seoul. The research was conducted from the end of February 15 to the beginning of January 20, 2009. The figures obtained were analyzed by frequency, percentage, mean, x-test, t-test, F-test, chi-square, and Duncan's F-test with SPSS pc+ The major findings of who study are summarized as follows: l.There were significant differences between the wealth recognition (economic plan affirmative and negative perception of wealth) for women according to social and psychological variables; economic plans have a higher value for married women, older women, those who have followed a postgraduate university course, those with higher income and expenditure, higher life satisfaction, and high and middle satisfaction with their economic life. In particular, economic plans varied significantly according to expectation of wealth in old age, and future economic prospects in the middle group. 2. Increased wealth and economic according to social and psychological variables (marital status, age, education, income, expenditure, life satisfaction, satisfaction with economic life, expectation of wealth in old age, future economic prospects) were shown to be associated with the following methods of increasing property: use of savings banks (p<.001) showed a rate of deposit of 20%-40% (p<.001) saving and thrift was a practice (p<001) that was related to the cost of living; and education expenditure (p<.001) as a property preparation period was exhibited in women aged 25-30 (p<.001). 3. There were significant differences in the recognition of wealth according to strategies for increasing wealth. There were no significant differences between mean of property acquisition and point of expenditure or the property preparation period in the perception of wealth. The related variables in rate of deposits were under 20% according to economic plan and negative wealth perception. In contrast, in the middle and high group, the economic plan and negative wealth perception were 20%-40% in relation to the rate of deposits. Variables related to the action of saving and thrift and property acquisition were practiced in the low and middle group of affirmative wealth recognition and the high group of negative wealth perception. The high group for wealthrecognition and the low group for wealthnegation exhibited little savings, thrift, and property accumulation. Those variables which point an expenditure the cost of living were education expenditure in all groups of negative wealth perception. The women in the study practiced more soundness economic planning according to their increased wealth and economic strategy. This study suggests that women should have positive wealth perception in their lives.

• Journal of Gastric Cancer
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• v.2 no.2
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• pp.85-90
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• 2002

Purpose: Perforated gastric cancer (PGC) is rare and occurs in $1\∼4\%$ of all gastric cancers. Possible dissemination of tumor cells at the time of perforation of the gastric carcinoma has been a matter of concern. The intraoperative determination of what kind of operation should be done and how extensive the lymphnode dissection should be still remains controversial. The purpose of this study is to evaluate the factors influencing the survival and to determine the optimal treatment for PGC. Materials and Methods: A total of 42 patients were operated on for a perforated gastric carcinoma at Soonchunhyang University Chunan Hospital from 1983 to 2000. the age and the sexes of the patients, the location of perforation, the diameter of perforation, the histologic type of the tumor, the depth of wall invasion, the absence or presence of lymph node metastasis / distant metastasis, the stage of disease, the type of operation, and the outcomes were examined. Statistically significant differences were analyzed by using Fisher's exact test. Results: The stage distributions according to the UICC classification were 1 case of stage I, 6 cases of stage II, 17 cases of stage III, and 11 cases of stage IV. An emergency gastrectomy was done in 26 patients ($61.9\%$), with a 5-yr survival rate of $44\%$. The survival of patients was significantly influenced by the depth of wall invasion, the lymphnode metastasis, distant metastasis, the stage of disease, and the type of operation. Conclusions: an emergency gastrectomy is the treatment of choice for most patients with resectable PGC. Choosing more a optimistic surgical approach for potentially curative cases of PGC should be one way to increase the patient's survival rate.

• Korean Journal of Social Welfare
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• v.54
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• pp.245-272
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• 2003

Despite the importance of the program development activities and the necessity of the systematical investigation on the features of the program development activities in the social service agencies, it has been observed that recent social work studies have ignored an important study area of program development, including the activities of collecting data in the process of program development in social service agencies. Therefore, this study was undertaken to investigate salient features of the activities of collecting data for program development in the social welfare centers in Korea. A questionnaire was constructed with three parts, including a dependent variable and 6 independent variables, and 201 questionnaires were collected from 353 agencies during two months. As the result of the descriptive analyses, the five noticeable features were found, (1) the activities of collecting data for program development in the agencies are very active; (2) staff in his/her twenties are in charge of program development; (3) diverse data are collected in the process of program development (4) hard data are more collected than soft data in the process of program development; (5) the respondents are more despondent on knowledge learned from individual studies than knowledge learned from academic institutes. Multiple regressions were applied to analyze the relationship between independent variables and three kind of dependent variables - total feature of data collecting, collecting hard data, collecting soft data. The result showed that the total feature of data collecting was critically influenced by social workers' autonomy, openness, and knowledge learned from academic institutes, and workload. The activities of collecting hard data was influenced by the above variables, except social workers' workload, The activities of collecting soft data were influenced by the social workers' autonomy, openness, and knowledge learned from academic institutes, and workload. Major findings were discussed and several suggestions were made for future research and improvement of the program development in social welfare centers.

• Journal of Korean Ophthalmic Optics Society
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• v.20 no.1
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• pp.35-42
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• 2015

Purpose: The present study was aimed to compare the difference in adherence level of microorganisms according to contact lens materials and protein deposition and to evaluate disinfection efficacy of multipurpose solution. Methods: The evaluations of micro-organisms' adherence and disinfection efficacy of multi-purpose solution were conducted by employing the Part 2. Regimen Procedure for Disinfecting Regiments in the Disinfection Efficacy Testing under the "FDA Evaluation Criteria & Method". Results: Pseudomonas aeruginosa, Serratia marcescens, Candida albicans except Staphylococcus aureus adhered more on etafilcon A lens and disinfection efficacy of total 4 products investigated was almost perfect except Candida albicans. The 3 micro-organisms except Serratia marcescens adhered more to albumin-predeposited lens. Disinfection efficacy of multi-purpose solution was higher against the micro-organisms adhered to albumin-deposited lens than against the micro-organisms adhered to the lysozyme-deposited lens. Furthermore, disinfection efficacy of multi-purpose solution was different according to types of micro-organisms. Conclusions: It was revealed that the type of micro-organisms, the lens materials and type of absorbed tear protein affected the amount of adhered micro-organisms to contact lens and that adhesion of tear protein could induce the change of disinfection efficacy of multi-purpose solution. It suggest that the hygienic condition of contact lens can vary by these factors influencing on disinfection efficacy and the occurrence of adverse effect can be affected.

• KSCE Journal of Civil and Environmental Engineering Research
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• v.31 no.3B
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• pp.205-209
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• 2011

The low carrying capacity caused by the deposition in a sewer line is one of the main reason of the urban flood. Therefore, an efficient maintenance and management of the storm water drainage system is very important to prevent urban flood. In this research, the sediment transport characteristics through a pressure pipeline were examined with laboratory experiments. Bed-forms in a pipeline, sediment rates, roughness due to sediments were examined. Experimental system consists of flow circulation system with a pump and a sediment feeder at the upstream of the pipeline. Sediments were supplied into a 60 mm-diameter and 8 m-long pipe. Maximum flow rate is $30m^3/hr$, and the sediment feeding rate range is 5 g/s~19 g/s. Governing parameters and estimation equation for sediment transport rate were developed. The mean velocity (U), coefficient of viscosity (${\mu}$), unit width bed load ($q_b$), mean diameter of particle ($d_{50}$), unit weight of sediment in water (${\gamma}^{\prime}_s$) were adopted as the most influencing factors of sediment transport patterns. The prediction equation for sediment transport rate were developed with two dimensionless terms. These two dimensionless terms showed a linear relationship with high correlation coefficient.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• v.16 no.1
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• pp.34-40
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• 2013

Purpose: We investigated the positivity rate and the time period to the positive color change of the urease test in children and adults and assessed the correlation of the urease test to histopathologic findings. Methods: From 1995 to 2000, endoscopic biopsies of the antrum and body were collected from 811 children and 224 adults and subjected to urease tests and histopathology. Results: The positivity rate of the urease test was 49.4% for 0-4 years, 48.4% for 5-9 years, 47.3% for 10-15 years, and 62.5% for 20-29 years in the antrum. The positivity rate was 85.1% in 0-4 years, 82.3% in 5-9 years, 74.7% in 10-15 years, and 74.1% in 20-29 years for the body. In the antrum, the highest positivity rate was <1 hour for the group aged 10-29 years and 6-24 hours in the group <10 years old (p<0.0001). In the body, the highest positivity rate was <1 hour in adults and 6-24 hours in children (p<0.0001). The proportions of the positive reactions within 1 hour were similar for the antrum and the body. In the cases of more severe chronic gastritis, active gastritis, and Helicobacter pylori infiltration, a positive urease test reaction occurred more quickly (p<0.0001). Conclusion: There were significant differences in urease tests according to age and sampling site. The discrepancy between the antrum and the body was greater in younger children. These results might be related to the low density and patchy distribution of bacteria in children and in the body.