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A study on the productivity of physicians operating clinic in Kyeongsangnamdo (경상남도(慶尙南道) 개원의(開院醫)의 진료생산성(診療生産性)에 관한 조사연구(調査硏究))

  • Kim, J.H.;Jeong, K.W.;Chun, J.H.;Lee, C.U.;Pae, K.T.;Kim, K.H.;Shin, H.R.;Park, H.J.
    • Journal of Preventive Medicine and Public Health
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    • v.24 no.2 s.34
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    • pp.171-180
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    • 1991
  • Productivity analysis of physician is one of essential factors for the optimal health manpower planning. Among 690 physicians operating clinic and registered on the Kyeongsangnamdo Medical Association, 623 physicians were studied with a structural questionaire from April 1 to May 31, 1990. This study covers the general characteristics and productivity of physicians and attempts to find relevant determinants of their productivity through stepwise multiple regression analysis based on collected data. The mar results were as follows. First, physicians were more prevalent $35{\sim}44$ group (30.2%) in age, male (95.8%) in sex, specialist (76.5%) in specialization,'city (78.0%) in geographical location. Age group of 35-54 and specialist were mere prevalent in cities than in counties, while age group of 25-44 and 55 over and general practitioner in counties (p<0.001). Second, daily outpatients load of all physician were 77.1 persons on average. Age group of $35{\sim}44$ had the most outpatient load (90.3 persons) among all age group, $6{\sim}10$ years group (94.2 persons) in years of duration of practice, 11 hours per day group (83.4 persons) in working hours per day. Specialists had more outpatient load (82.6 persons) than general practitioners (61.1 persons) and physicians in cities had more (80.2 persons) than physicians in counties (66.3 persons). Daily average outpatient load of physicians were significantly different by their age, speciality, number of assistants and years of practice (p<0.001) and working location (p<0.05), but not significantly different by working hours per day of physician (p>0.1). Third, the productivity of physicians operating clinic were significantly affected by the three factors-number of assistants of physician, age of physician and duration of practice at the current clinic. Age of physician had negative regression coefficient.

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Pyrolysis and Combustion Characteristics of an Pinus densiflora for the Protection of Forest Resources (산림자원 보호를 위한 적송의 열분해 및 연소 특성 연구)

  • Park, Jin-Mo;Kim, Seung-Soo
    • Applied Chemistry for Engineering
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    • v.21 no.6
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    • pp.664-669
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    • 2010
  • The forest area of domestic is 6370304 ha, which covers 70% of the whole country, and especially Gangwon-do is remarkably larger than other Province. A thick forest of the country has the most basic component among other natural environments as well as it has invaluable worth to human being such as scientific research and educational value. However due to the breakout of forest fire since 1990s, the loss of trees, destruction of natural environment and ecology, economic damage have been occurring and its scale also has become larger. The causes of becoming larger in scale are resulted from forest components which mainly consist of needle leaf trees, wide leaf trees, fallen leaves, herbaceous plants so that it has been a direct cause for forest fire. However, few research on combustion and pyrolysis characteristics has been done in domestic and abroad. The study on the combustion and pyrolysis for Pinus densiflora which are typical needle leaf trees has been tried using TGA. Pinus desiflora started to being ignited at around $162^{\circ}C$ and pyrolysis was done at around $197^{\circ}C$. Differential method was applied to calculate activation energy and frequency factor according to the variation of conversion. Activation energy in pyrolysis was increased from 79 kJ/mol to 487 kJ/mol with increasing conversion and average activation energy was 195 kJ/mol. The activation energy in combustion was decreased from 148 kJ/mol to 133 kJ/mol.

Design of a SQUID Sensor Array Measuring the Tangential Field Components in Magnetocardiogram (심자도용 접선성분자장 측정방식 스퀴드 센서열 설계)

  • Kim K.;Lee Y. H;Kwon H;Kim J. M;Kim I. S;Park Y. K;Lee K. W
    • Progress in Superconductivity
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    • v.6 no.1
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    • pp.56-63
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    • 2004
  • We consider design factors for a SQUID sensor array to construct a 52-channel magnetocardiogram (MCG) system that can be used to measure tangential components of the cardiac magnetic fields. Nowadays, full-size multichannel MCG systems, which cover the whole signal area of a heart, are developed to improve the clinical analysis with high accuracy and to provide patients with comfort in the course of measurement. To design the full-size MCG system, we have to make a compromise between cost and performance. The cost is involved with the number of sensors, the number of the electronics, the size of a cooling dewar, the consumption of refrigerants for maintenance, and etc. The performance is the capability of covering the whole heart volume at once and of localizing current sources with a small error. In this study, we design the cost-effective arrangement of sensors for MCG by considering an adequate sensor interval and the confidence region of a tolerable localization error, which covers the heart. In order to fit the detector array on the cylindrical dewar economically, we removed the detectors that were located at the corners of the array square. Through simulations using the confidence region method, we verified that our design of the detector array was good enough to obtain whole information from the heart at a time. A result of the simulation also suggested that tangential-component MCG measurement could localize deeper current dipoles than normal-component MCG measurement with the same confidence volume; therefore, we conclude that measurement of the tangential component is more suitable to an MCG system than measurement of the normal component.

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Korean Epithelial Ovarian Cancer Study (Ko-EVE): Protocols and Interim Report

  • Ma, Seung Hyun;Kim, Byoung-Gie;Choi, Ji-Yeob;Kim, Tae-Joong;Kim, Yong-Man;Kim, Jae Weon;Kang, Sokbom;Kang, Daehee;Yoo, Keun-Young;Park, Sue K.
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.8
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    • pp.3731-3740
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    • 2012
  • Background: There have been few studies of Asian ovarian cancer and benign tumors. The primary aim of this paper was to report the protocol of the Ko-EVE study to examine epidemiological and molecular factors for ovarian cancer and benign neoplasms and to ascertain the major risk factors for ovarian cancer control in Korea. Methods: This case-control study covers incident epithelial ovarian cancers and benign neoplasms, four major centers participating in enrolling incident cases and 3 hospitals enrolling healthy controls among health examinees. Standardized questionnaires were administered by trained interviewers, including sections on socio-demographics characteristics, past medical history, medication usage, family history, lifetime consumption of alcohol and tobacco, diet, physical activity, and reproductive factors for women. Various biological specimens were collected in the biorepository according to the standardized protocol. Annual follow-up for cancer cases and follow-up at the 1st year for benign tumor cases are performing to evaluate treatment effect and progression. Passive follow to see long-term survival will be conducting using record linkage with national data. Results: The total number recruited in 2010-2011 was 246 epithelial ovarian cancer cases, 362 benign epithelial tumors and 345 controls. We are planning to collect subjects for at least 1,500 sets of ovarian cancer, 2,000 benign tumors and 1,500 controls till 2018. Conclusions: The Ko-EVE will provide unique and important data to probe the etiology and natural history of Korean epithelial ovarian cancer. It will be continued by genomic and proteomic epidemiological analyses and future intervention studies for the prevention of ovarian cancer among Koreans.

Evaluation of the KASI Detector Performance Test System Using an Andor iKon M CCD Camera

  • Yu, Young Sam;Kim, Jinsol;Park, Chan;Jeong, Woong-Seob;Kim, Minjin;Choi, Seonghwan;Park, Sung-Joon
    • Journal of Astronomy and Space Sciences
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    • v.35 no.3
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    • pp.201-210
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    • 2018
  • The characterization of detectors installed in space- and ground-based instruments is important to evaluate the system performance. We report the development of a detector performance test system for astronomical applications using the Andor iKon M CCD camera. The performance test system consists of a light source, monochromator, integrating sphere, and power meters. We adopted the Czerny-Tuner monochromator with three ruled gratings and one mirror, which covers a spectral range of 200-9,000 nm with a spectral resolution of ~1 nm in the visible region. Various detector characteristics, such as the quantum efficiency, sensitivity, and noise, can be measured in wide wavelength ranges from the visible to mid-infrared regions. We evaluated the Korea Astronomy and Space Science Institute (KASI) detector performance test system by using the performance verification of the Andor iKon-M CCD camera. The test procedure includes measurements of the conversion gain ($2.86e^-/ADU$), full well capacity ($130K\;e^-$), nonlinearity, and pixel defects. We also estimated the read noise, dark current, and quantum efficiency as a function of the temperature. The lowest measured read noise is $12e^-$. The dark current at 223 K was determined to be $7e^-/s/pix$ and its doubling temperature is $5.3^{\circ}C{\pm}0.2^{\circ}C$ at an activation energy of 0.6 eV. The maximum quantum efficiency at 223 K was estimated to be $93%{\pm}2%$. We proved that the quantum efficiency is sensitive to the operating temperature. It varies up to 5 % in the visible region, while the variation increases to 30 % in the near-infrared region. Based on the comparison of our results with the test report by the vendor, we conclude that our performance test results are consistent with those from the vendor considering the test environment. We also confirmed that the KASI detector performance test system is reliable and our measurement method and analysis are accurate.

A study on wearing practice and improvement of personal protective equipment for participant handling livestock carcass infected with virulent avian infectious agents (가금류 악성 전염병 감염축 처리자의 보호 장비 착용실태 조사 및 개선에 관한 연구)

  • Lee, Hyeyeoun;Lim, Ui-Hyoung;Kim, Jong Won;Kim, Won-Il;Kang, A-Rum;Lim, Chae Woong;Hong, Chul Un;Han, Jihyeon;Kang, Seog-Jin;Kim, Bumseok
    • Korean Journal of Veterinary Service
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    • v.38 no.4
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    • pp.241-248
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    • 2015
  • This study was aimed to investigate factors that affected the status of wearing personal protective equipment (PPE) for handling poultry carcasses with potential exposure to virulent avian infectious agents. A large outbreak of high pathogenic avian influenza (HPAI) occurred in South Korea in 2014. Many public officers participated for euthanizing and handling livestock carcass. However, several safety issues with using PPE were revealed. Therefore, a questionnaire survey was conducted for 340 people who participated euthanasia and carcass disposal in the place where HPAI mainly occurred in 2014. It was found that 31.8% of the respondents had ever taken off their protective equipment during operations because of its inconvenience. The most inconvenient PPE was goggles (54.6%), followed by mask (20.2%), latex gloves (11.6%), shoe covers (5.9%) and protective clothing (5.3%). The main complaints about this individual PPE was unclear sight, damp emitted toward eye, sweating, tearing easily and sweating, respectively. Considering such problems of PPE, new possible directions for improvement of gloves and goggles were suggested. With newly developed rubber coating fabric gloves and conventionally using latex and fabric gloves, H3N2 influenza virus transmission experiment was conducted. Rubber coating fabric gloves showed similar efficiency for blocking virus transmission with latex laboratory gloves and were not easily torn by sharp claws of chicken. In addition, air flow control safety eyewear was suggested to minimize moisture formation. The air flow control system efficiently suppressed moisture formation inside the goggles. Therefore our study will provide more specific directions about new PPE development for safety protection of actual wearers.

Roles of Cancer Registries in Enhancing Oncology Drug Access in the Asia-Pacific Region

  • Soon, Swee-Sung;Lim, Hwee-Yong;Lopes, Gilberto;Ahn, Jeonghoon;Hu, Min;Ibrahim, Hishamshah Mohd;Jha, Anand;Ko, Bor-Sheng;Lee, Pak Wai;MacDonell, Diana;Sirachainan, Ekaphop;Wee, Hwee-Lin
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.4
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    • pp.2159-2165
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    • 2013
  • Cancer registries help to establish and maintain cancer incidence reporting system, serve as a resource for investigation of cancer and its causes, and provide information for planning and evaluation of preventive and control programs. However, their wider role in directly enhancing oncology drug access has not been fully explored. We examined the value of cancer registries in oncology drug access in the Asia-Pacific region on three levels: (1) specific registry variable types; (2) macroscopic strategies on the national level; and (3) a regional cancer registry network. Using literature search and proceedings from an expert forum, this paper covers recent cancer registry developments in eight economies in the Asia-Pacific region - Australia, China, Hong Kong, Malaysia, Singapore, South Korea, Taiwan, and Thailand - and the ways they can contribute to oncology drug access. Specific registry variables relating to demographics, tumor characteristics, initial treatment plans, prognostic markers, risk factors, and mortality help to anticipate drug needs, identify high-priority research area and design access programs. On a national level, linking registry data with clinical, drug safety, financial, or drug utilization databases allows analyses of associations between utilization and outcomes. Concurrent efforts should also be channeled into developing and implementing data integrity and stewardship policies, and providing clear avenues to make data available. Less mature registry systems can employ modeling techniques and ad-hoc surveys while increasing coverage. Beyond local settings, a cancer registry network for the Asia-Pacific region would offer cross-learning and research opportunities that can exert leverage through the experiences and capabilities of a highly diverse region.

Evaluation of Accuracy Improvement of SWAT Model for the Yongdam-Dam Watershed based on Multi-Point Hydrological Observations (용담댐유역의 다지점 유량관측 자료 이용에 따른 SWAT 모형의 정확도 향상성 평가)

  • SHIN, Hyung-Jin;PARK, Min-Ji;LEE, Ji-Won;HWANG, Eui-Ho;KANG, Seok-Man;CHAE, Hyo-Sok
    • Journal of the Korean Association of Geographic Information Studies
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    • v.21 no.3
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    • pp.104-118
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    • 2018
  • This study is to evaluate the accuracy improvement of the model using SWAT(Soil and Water Assessment Tool) model and multi - point hydrological observation data. The watershed is located in the Yongdam Dam($930.4km^2$), the Donghyang($165.5km^2$), the Chuncheon($290.9km^2$), the Juchun($57.8km^2$) and the Seokjeong($80.5km^2$). The watershed covers 70.0 % forest. In order to improve the accuracy of the model, precipitation data were used from two weather stations(Jangsu, Geumsan) and 16 AWS stations daily precipitation data(2003~2011) managed by KMA, MLIT, and K-water. Based on the reliable data of the Yongam test basin in 2003~2011, the runoff of single point (Yongdam dam) and multi-point (Donghyang, Chuncheon, Jucheon, Seokjeong). Simulation results show that the $R^2$ of the single subwatershed (Donghyang, Chuncheon, Jucheon, Seokjeong) is single point(0.84) and multipoint(0.88). For model efficiency coefficient of Nash-Sutcliffe at single point(0.45) and multipoint(0.70).

Design and Fabrication of a Field Mill for Ground-Level Electric Field Measurement (대지전계 측정을 위한 필드밀의 설계 및 제작)

  • Kil, Gyung-Suk;Song, Jae-Yong;Kim, Il-Kwon;Kwon, Jang-Woo;Ahn, Chang-Hwan;Lee, Young-Keun
    • Journal of the Korean Institute of Illuminating and Electrical Installation Engineers
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    • v.21 no.1
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    • pp.52-59
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    • 2007
  • A field mill capable of measuring the magnitude and polarity of electric fields at the ground level was studied to apply to a lightning warning system as a sensor. We designed and fabricated a planar-shutter type field mill with a rotating-vanes. A calibration of the field mill was performed in a vertically symmetrical arrangement which consists of two equal size parallel round plates to form a homogeneous electrical fields. The sensitivity of the field mill was adjusted at 0.5[V/kV/m], and this covers a ranges from 200[V/m] to 20[kV/m]. After the calibration experiment, the field mill was installed on the roof of a building to measure the changes of electric field intensity caused by thunderclouds. During the period from July 1. 2006 to July 15. 2006, the electric field intensity was recorded a ranges of $+2[kV/m]{\sim}-6[kV/m]$ depending on generation, extinction and movement of thunderclouds. From the actual test on the ground it is confirmed that the field mill has a good performance necessary for the measurement of DC electric fields.

High-Resolution (3.5kHz) Echo Characters of the Northern South Shetland Continental Margin and the South Scotia Sea, Antarctica (남극 남쉐틀랜드 북부 대륙주변부 및 남스코시아해 지역의 고해상(3.5 kHz)음향 특성)

  • Lee, Sang-Hoon;Jin, Young-Keun;Kim, Kyu-Jung;Nam, Sang-Heon;Kim, Yea-Dong
    • Ocean and Polar Research
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    • v.25 no.4
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    • pp.557-567
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    • 2003
  • High-resolution (3.5 kHz) subbottom profiles were analyzed in order to reveal sedimentation pattern of late Quaternary in the northern South Shetland continental margin and the South Scotia Sea, Antarctica. On the basis of clarity, continuity and geometry of surface and subbottom echoes together with seafloor topography, high-resolution echo characters are classified into eight echo types which represent rock basements (echo type III-1), coarse-grained subglacial till or moraine (echo type I-1), slides/slumps (echo type IV), debris-flow deposits (echo types II-3 and III-2), and bottom-current deposits (echo types I-2, II-1 and II-2). Subglacial till or moraine (echo type I-1) is mostly present in the lower continental shelf and upper continental slope of the northern South Shetland continental margin, which changes downslope to slides/slumps (echo type IV) and debris-flow deposits (echo types II-3 and III-2) in the middle to lower continental slope. This distribution suggests that the continental slopes of the northern South Shetland continental margin were mostly affected by downslope gravitational processes. Further downslope, bottom-current sediments (echo type I-2) deposited by the southwestward flowing Antarctic Deep Water (ADW) occur at the South Shetland Trench, reflecting an Interaction between mass flows and bottom currents in the area. In contrast to the northern South Shetland continental margin, the South Scotia Sea is dominated by bottom-current deposits (echo types II-1 and II-2), indicating that the sedimentation was mostly controlled by the westward flowing ADW. Flow intensity of the ADW has increased in the relative topographic highs, forming thin covers of coarse-grained contourites (echo type II-1), whereas it has decreased in the relative topographic lows, depositing thick, fine-grained contourites (echo type II-2). The poor development of wave geometry in the fine-grained bottom-current deposits (echo type II-2) is suggestive of the unsteady nature of the ADW flow.