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A Trial for Development of Health Profile (KHP 1.0) to Measure the Self-Perceived Health Status of Korean (한국인의 자가평가 건강수준 측정도구(KHP 1.0) 개발)

  • Yang, Jin-Sun;Chun, Jin-Ho
    • Journal of Preventive Medicine and Public Health
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    • v.36 no.1
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    • pp.11-23
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    • 2003
  • Objectives : The 1990s has seen advances in the conceptualization of self-perceived health status which has important roles for individual health and the quality of life. Many types of standardized questionnaires have been developed with the current wide use of SF-36, NHP, andEuroQol. However, the outcomes of these tools may be different with regard to regional, cultural and emotional backgrounds. The purpose of this study was to trial the development of a Korean Health Profile (KHP 1.0) to measure the self-perceived health stati of Koreans. Methods : The KHP 1.0 was designed on the basis of the Medical Outcome Study Form 36 (SF-36), the Nottingham Health Profile (NHP), and the EuroQOL. It was composed of 9 scales; physical functioning, role limitation-physical, pain, general health, energy, social isolation, sleep, role limitation-emotional, and e-motional health. Self-reported chronic disease conditions, and the Zung's Self-Rating Depression Scale (SDS), were also checked for the evaluation of clinical validity. This study was conducted, from December 2000 to January 2001, on 800 middle-aged parents, with four high school students, with 100 retest sets being conducted two weeks later. From the 800 subjects there were 588 complete responses (effective response 73.5%). The reliability of the test-retest results, and the factor analysis on the validity of the KHP 1.0 components, were evaluated using the SPSS (ver 10.0) software. Results : The reliability of the KHP 1.0 was good with Cronbach's alpha (>0.6), test-retest correlation coefficients (>0.5), but with no significant differences from the paired t-test. From the psychometric validity tests, the 9 scales of the KHP 1.0 were divided into two components; physical and mental, and trimmed to the established model with 55% of the total variance, with the exception of role limitation-emotional. The clinical validity on the basis of the comparison for the four characteristic groups; healthy, physical conditions only, mental conditions only, and physical and mental conditions were also good. Conclusions : The KHP 1.0 appears to be a valid measurement tool of self-perceived health stati of Koreans, although there are limitations, i.e. sample size was too small, a limited number of middle-aged subjects, and it was based on unconfirmed diagnoses, etc. Therefore, further study is required to standardize the assessment.

Assessment of Radiation Dose Due to X-Ray Simple Series Examinations (X-선 단순 Series 촬영 시 피폭 선량 평가)

  • Gang, Eunbo;Hwang, Incheol;Shin, Woonjae
    • Journal of the Korean Society of Radiology
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    • v.8 no.2
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    • pp.81-88
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    • 2014
  • In diagnostic radiology, each part is examined through serial radiography in most cases of general radiography. However, the reality is that, as for diagnostic reference level, measured values have been set up only for AP projection of each part and lateral projection. In the clinical setting, cumulative dose is incurred by serial radiography of patients, and this can make comparison of diagnostic reference level and cumulative exposure dose impossible or can lead to underestimation of diagnostic reference level. In this study, measurement of cumulative dose of serial radiography of each part revealed that when converting entrance surface dose to effective dose in case it is included in the exposure field, cumulative dose measured from a maximum of 38.06% to a minimum of 0.23% of individual dose limitation of the public. Also, when converting entrance surface dose of each part that is not included in the exposure field into effective dose, it measured from a maximum of 5% to a minimum of 0.04% of individual dose limitation of the public. Results of this study show entrance surface dose substantially increases in serial radiography of each part. Therefore, it is deemed that hospitals need to establish diagnostic reference level specifically, and subdivision of radiography orders for patients is also required in order to reduce unnecessary inspections. Moreover, the need of accurate exposure field is emphasized in case of inspection of several parts.

Effects of Dissolved Oxygen Level on Avermectin $B_{1a}$ Production by Streptomyces avermitilis in Computer-Controlled Bioreactor Cultures

  • Song, Sung-Ki;Jeong, Yong-Seob;Kim, Pyeung-Hyeun;Chun, Gie-Taek
    • Journal of Microbiology and Biotechnology
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    • v.16 no.11
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    • pp.1690-1698
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    • 2006
  • In order to investigate the effect of dissolved oxygen (DO) level on AVM $B_{1a}$ production by a high yielding mutant of Streptomyces avermitilis, five sets of bioreactor cultures were performed under variously controlled DO levels. Using an online computer control system, the agitation speed and aeration rate were automatically controlled in an adaptive manner, responding timely to the oxygen requirement of the producer microorganism. In the two cultures of DO limitation, the onset of AVM $B_{1a}$ biosynthesis was observed to casually coincide with the fermentation time when oxygen-limited conditions were overcome by the producing microorganism. In contrast, this phenomenon did not occur in the parallel fermentations with DO levels controlled at around 30% and 40% throughout the entire fermentation period, showing an almost growth-associated mode of AVM $B_{1a}$ production: AVM $B_{1a}$ biosynthesis under the environments of high DO levels started much earlier than the corresponding oxygen-limited cultures, leading to a significant enhancement of AVM $B_{1a}$ production during the exponential stage. Consequently, approximately 6-fold and 9-fold increases in the final AVM $B_{1a}$ production were obtained in 30% and 40% DO-controlled fermentations, respectively, especially when compared with the culture of severe DO limitation (the culture with 0% DO level during the exponential phase). The production yield ($Y_{p/x}$), volumetric production rate (Qp), and specific production rate (${\bar{q}}_p$) of the 40% DO-controlled culture were observed to be 14%, 15%, and 15% higher, respectively, than those of the parallel cultures that were performed under an excessive agitation speed (350 rpm) and aeration rate (1 vvm) to maintain sufficiently high DO levels throughout the entire fermentation period. These results suggest that high shear damage of the high-yielding strain due to an excessive agitation speed is the primary reason for the reduction of the AVM $B_{1a}$ biosynthetic capability of the producer. As for the cell growth, exponential growth patterns during the initial 3 days were observed in the fermentations of sufficient DO levels, whereas almost linear patterns of cell growth were observed in the other two cultures of DO limitation during the identical period, resulting in apparently lower amounts of DCW. These results led us to conclude that maintenance of optimum DO levels, but not too high to cause potential shear damage on the producer, was crucial not only for the cell growth, but also for the enhanced production of AVM $B_{1a}$ by the filamentous mycelial cells of Streptomyces avermitilis.

Controlling Bacterial Regrowth Potential by the Limitation of Nutrients in Drinking Water (영양원의 제한에 의한 수돗물에서의 세균재증식능 억제)

  • Oh, Jung-Woo
    • Journal of Korean Society of Environmental Engineers
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    • v.27 no.4
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    • pp.431-437
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    • 2005
  • In this study, the profiles of the bacterial regrowth of indigenous bacteria in tap water and Pseudomonas fluorescence P17 were investigated for cases when carbon (glucose), and/or nitrogen ($NO_3^-$-N), and/or phosphorus ($PO_4^{3-}$-P) were added below sufficient nutrient concentration (SNC) and when carbon sources (glucose and acetate) and nitrogen sources ($NH_4^+$-N and $NO_3^-$-N) were added together. The bacterial regrowth was decreased with limitation of nutrients, and were lowered relatively in the sample, which plural nutrients were limited. In addition, phosphate might be the effective nutrient to control the bacterial regrowth in drinking water because the bacterial regrowth was significantly decreased by the limitation of phosphate. In contrast, the bacterial regrowth was retarded with increasing the concentration of $NO_3^-$-N. For simultaneously adding carbon(glucose or acetate) and nitrogen sources ($NH_4^+$-N and $NO_3^-$-N), the regrowth counts appeared highly in the condition, for both glucose and acetate. And, the regrowth was increased with increasing $NH_4^+$-N concentration as a nitrogen source.

Study of the Limitation Standards Setting of Sterilization Processing to Vagetable Juice Contain Barley Sprout (보리새싹 함유 녹즙의 살균공정 한계기준 설정에 관한 연구)

  • Bang, In-Hee;Joung, Mi-Yeun;Kwon, Sang-Chul
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.7
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    • pp.367-373
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    • 2016
  • This study was performed to set a limitation rule to the UV sterilization process for green vegetable juice containing barley sprouts. The main constituents of the green vegetable juice, viz. barley sprouts, organic Angelica keiskei, carrots, organic dandelion, kale, wild parsley, Angelica keiskei and cabbage, were provided by the CSJ company located in Jincheon, Chungbuk, from December 1st, 2015 to March 1st, 2016. Our manufacturing process followed the general manufacturing process of a general green vegetable juice manufacturer. Table 1 shows the mixing ratio for the green vegetable juice. This green vegetable juice includes 18% vegetable sprouts, 3% barley sprouts, 18% angelica utilis makino, 1% orange concentrate, 4% apple concentrate, 6% fructooligosaccharide, 10% vegetable fermentation juice, 0.4% lemon concentrate and 39.6% purified water. We conducted UV sterilization at levels 10, 8 and 5 with powers of 230W, 320W and 320W, respectively. The UV sterilization was conducted twice at 25Hz and then once at 40Hz. In the bacterial tests after sterilization, the number of bacteria in the dandelions decreased from $2.56{\times}10^8CFU/mL$ to $5.96{\times}10^3CFU/mL$. In addition, no food poisoning or coliform bacteria were detected. Thus, this study provides the information required for setting a limitation rule using bacteria tests in the UV sterilization process for green vegetable juice.

Asymmetricity of Optical Phase Conjugation in Optical Transmission Links with Dispersion Management (분산 제어가 적용된 광전송 링크에서 광 위상 공액의 비대칭성)

  • Lee, Seong-Real;Yim, Hwang-Bin
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.35 no.8A
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    • pp.801-809
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    • 2010
  • Limitation of optical phase conjugation for implementation of wideband and long-haul WDM transmission system is symmetric distribution of optical power and local dispersion with respect to optical phase conjugator (OPC). This limitation forces OPC to place at midway of total transmission length. This paper shows that the limitation of optical phase conjugation is overcame by applying optimal net residual dispersion (NRD) into transmission links based in inline dispersion management (DM). Optimal NRD related with OPC position is decided by combination of precompensation and postcompensation. It is confirmed that optimal NRD depends on launch power of WDM channels and system performance criterion as well as OPC position. That is, in case of 1 dB eye opening penaty (EOP) as a performance criterion for WDM channels with 0 dBm launch power, it is confirmed that OPC is allowed to place at anywhere of 1000 km by applying best NRD related with exact OPC position into transmission links. And, it is confirmed that, under 3 dB EOP criterioin for WDM channels with 3 dBm launch power, OPC is allowed to place at 350~700 km by applying NRD between 100 ps/nm and 200 ps/nm into transmission links, though that NRD value is not best combination of precompensation and postcompensation.

Acute Occlusal Change Following Acute Anterior Disc Displacement without Reduction: A Case Report (급성 비정복성 관절원판 변위에 따른 급성 교합변화의 증례)

  • Jung, Jae-Kwang;Hur, Yun-Kyung;Choi, Jae-Kap
    • Journal of Oral Medicine and Pain
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    • v.37 no.4
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    • pp.205-211
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    • 2012
  • A 35 year-old female presented with the complaint of sudden occurrence of bite change and concurrent opening limitation, as well as pain in the right temporomandibular joint (TMJ) during mouth opening. From her history it was revealed that she had simple clicking of right TMJ for several years before onset of these symptoms, and that the clicking sound subsided recently after development of opening limitation. On clinical examination, anterior open bite, midline shift of the mandible to right, and premature contacts on left posterior teeth were observed. Maximum mouth opening and lateral movement to left were also restricted. On magnetic resonance images, the right TMJ showed anterior disc displacement without reduction and the posterior joint space is greatly collapsed by retrusion of the condyle. It was thought that the sudden occurrence of occlusal change would be resulted from abrupt displacement of the mandible associated with development of the anterior disc displacement without reduction. The stabilization appliance traction therapy was performed initially for first 3 months along with physical and pharmacologic therapy. However, the anterior open bite and opening limitation didn't resolve and the position of mandible still remained altered. So the stabilization appliance was changed to intermaxillary traction device. Then the mandible returned progressively to normal position and the occlusion became more stable and comfortable. After 5 months of intermaxillary traction therapy, the anterior open bite was dissolved completely and the occlusion became stabilized satisfactorily along with recovery of normal mouth opening range. On post-treatment magnetic resonance image, remodeling of condylar head was observed.

A Study on the Reduction Effects of Information Search Cost in Electronic Commerce Application (전자상거래 활용에 따른 정보검색비용 절감효과에 관한 연구)

  • 조원길
    • The Journal of Information Technology
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    • v.2 no.2
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    • pp.199-215
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    • 1999
  • A quantitative analysis was conduct on the economic effect of electronic commerce according to the method of constructing the internet. As a consequence, it was information retrieval cost that had the most cost retrenchment effect in connecting the internet by telephone, which saved about 353,700 won. And it was found that the dedicated line to electronic commerce saved 420,600 won of information retrieval cost and a considerable amount of 319,900 won of brokerage expenses and physical distribution expenses. In terms of value, it was found that the telephone line reduced the time of order process by 8.25%, whereas the dedicated line did so by 9.41% and therefore saved more time than the telephone line. It was found that the dedicated line convenient to use had the higher effect by about 1.2%, respectively than the telephone line in terms of the effective construction of corporate image and the increase of potential buyers. In terms of business management, the intensification of corporate competitiveness improved by 10.00% in case of less than 10 times and by 11.53% in case of 50 to less than 50 times. And it was found that the effect of profit increase as the number of inquiries was large. That is, it was found that the effect of profit increase was 10.88% when the number of inquiries was less than 10 times but it increased to 14.00% in case of 50∼1ess than 100 times. The limitation of this study is that because the size of samples through mail, interview and E-mail was not large, its results have some limitation in applying them to every firm. That is, since the improvement effect of the intrafirm business method, unnecessary repeated manual paperwork and the use effect of being able to maintain the close relationship with to the parties to trades in the process of prompt receipt and delivery of documents are long-term and indirect effects, they have some limitation in that they can not be measured as coefficients but only as scales. Thus, firms using electronic commerce have difficulty enjoying a uniformly identical effect. Therefore, to revitalize electronic commerce, it is thought that government, the academic community and the business world all need to make much research into and sustained investment in electronic commerce.

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A Study on Factors Affecting Social Integration of Visually Impaired People in Korea (시각장애인의 지역사회통합 실태와 관련 요인)

  • Lee, Ik-Seop;Park, Soo-Kyeong;Kwak, Jee-Young
    • Korean Journal of Social Welfare
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    • v.54
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    • pp.149-176
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    • 2003
  • The purpose of this study is to examine the degree of community integration of visually impaired people who have the limitation of mobility in comparison with another disabled and to find factors affecting community integration. The data were obtained through telephone interview with visually impaired people. The final sample was consisted of 1,004 respondents. The data were analyzed using statistical techniques such as crosstabulation, t-test, and hierarchical regression. In this study, the factors affecting community integration was divided into four dimensions : the attribution to disability, physical functioning, psychology and social support system. The major findings of this study were as follows: First, the factors affecting community integration of visually impaired people were age, education, economic status, social support, information support and participation of rehabilitation service. Second, the factors affecting community integration of the low vision and the blind are the limitation of daily activities and social support. But the factors affecting community integration of the blind are participation of education for braille and that of the low vision are information support and participation of rehabilitation service. Finally, the person losing eyesight since school age were the more limitation of daily activities than the person losing eyesight in babyhood. The factors affect community integration of the former are social support, information support, participation of education for braille, and rehabilitation service. The current findings suggest that intervention and policy aimed at improving social support system and formal services such as education, rehabilitation services should be considered by rehabilitation professionals and policy makers.

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A Study on the Korea Distribution Promotion Policy and Adjustment Policy (국내 유통진흥정책과 유통조정정책에 대한 고찰)

  • Kim, Dae-Yun;Kwon, Sung-Ku
    • Journal of Distribution Science
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    • v.11 no.4
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    • pp.89-97
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    • 2013
  • Purpose - The purpose of this study is to systematically review the background of the Korean distribution promotion policy and distribution adjustment policies along with related regulations and policies. Research design, data, and methodology - Domestic distribution policy and relevant laws were examined through a review of existing research literature. The results of the development process of the domestic distribution policy, promotion policies, and adjustment policies are summarized below. Results - The results are summarized as follows. First, the purpose of the development of the domestic distribution promotion policy was to strengthen the competitiveness of the small and medium business industry through structural advancement of the small and medium industry. By expanding the managerial base for the small and medium industry, a new balance could be created in the national economy. There was a requirement for an early assistance policy for small and medium businesses as a base of these businesses in the distribution industry developed from their original model of catering to a traditional market of retail shops. Since 1996, there was a need for this early assistance policy due to the expansion and rapid growth of large scale stores causing a change in the consumption pattern for distribution markets and the decline of large enterprises. Second, the government supports small and medium business distribution through distribution promotion policies by supporting an organization promoting small business and supporting innovation in the distribution system. Third, in 1961 a business mediation system was established to protect small and medium industries. The Small and Medium Business Administration advises conglomerates to postpone acquisitions, restrain expansion of the business, or to reduce business scale if small businesses undergo an adverse effect such as decreasing demand because large companies are expanding into their areas. Fourth, the Distribution Adjustment Policy managed large-scale store regulation as follows: ① limitation on construction by urban planning ordinance, ② limitation on location based on traffic impact assessments, ③ regulation based on business guidelines by chiefs of autonomous bodies, ④ regulation on mandatory holidays and limitation of business hours. This large-scale store regulation is a policy introduced by authority to increase competitiveness of small and medium business distribution by the government. Conclusions - As discussed in this study, the distribution promotion policy and distribution adjustment policy are government distribution policies focused on the protection of the small and medium distribution businesses. This study is timely, since it was planned when the strengthening of the revisions of the Distribution Industry Development Act, aimed to protect small and medium retailers and merchants, was under discussion. The significance of this study is that it offers insights for the development of new policies in the future and an opportunity to consider the background of the distribution policy by the government.

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