• 한국환경생태학회지
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• 제34권5호
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• pp.446-453
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• 2020

본 연구에서는 태백산국립공원 주요 탐방로 입구에 설치된 탐방객 자동 계수기 데이터를 이용하여 탐방로별 일간 탐방객수에 영향을 미치는 요인을 분석하고, 이를 바탕으로 탐방로를 유형화하였다. 일일 탐방객수를 종속변수로 다중회귀분석 실시한 결과, 개천절이나 눈축제 등 행사는 모든 탐방로의 탐방객수에 영향을 미쳐, 태백산국립공원의 일일 탐방객수를 결정하는 가장 큰 요인인 것으로 분석되었다. 3일 이상 휴일이 연속되는 연휴와 일반 공휴일도 대부분의 탐방로의 일일 탐방객수에 영향을 미쳤다. 강수량은 비산행 목적의 탐방객이 많은 탐방로의 탐방객수에는 부(-)의 영향을 미쳤으나, 산행 목적의 탐방객이 많은 탐방로의 탐방객수에는 유의미한 영향을 미치지 않아, 산행 목적 탐방객들은 날씨가 궂더라도 산행을 강행하는 것으로 나타났다. 기온은 산행 목적의 탐방객이 많은 탐방로의 탐방객수에는 정(+)의 영향을 미쳤으나, 눈축제가 열리는 당골광장 인근의 탐방로의 탐방객수에는 부(-)의 영향을 미쳐, 눈축제의 영향권인지 여부가 탐방로 관리에 결정적 요인이었다. K-mean clustering을 이용하여 18개 탐방로를 유형 분류한 결과, 태백산국립공원의 탐방로는 눈축제에 영향을 받는 유형(유형 1)과, 가까운 거리에 볼거리가 많아 비산행 탐방객이 많은 유형(유형 2), 그리고 산행을 목적으로 온 탐방객들이 대부분인 유형(유형 3)의 3개 유형을 분류할 수 있었다. 탐방로 유형별 탐방객 행태와 불법 행위 유형이 다르므로, 유형별 특성에 맞춰 탐방로 관리방안을 마련하여야 할 것이다.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제46권1호
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• pp.78-83
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• 2020

Objectives: The discontinuation of bisphosphonate (BP) treatment before tooth extraction may induce medication-related osteonecrosis of the jaw (MRONJ). Whether the long-term discontinuation of BP treatment before tooth extraction affects the risk of developing MRONJ after tooth extraction or whether extended drug holidays induce systemic side effects remains unclear. The present study assessed the incidence of MRONJ among patients who underwent tooth extraction and did not discontinue BP therapy prior to the procedure. Materials and Methods: Patients were classified according to whether or not they discontinued BP therapy before tooth extraction. Differences in the incidence of MRONJ after tooth extraction were compared between the two groups using the chi-squared test. Results: The BP-continuation (BPC) and BP-discontinuation (BPDC) groups included 179 and 286 patients, respectively. One patient in the BPC group and no patients in the BPDC group developed MRONJ (P=0.385). The patients in the BPDC group stopped receiving BP therapy at a mean of 39.0±35.5 months prior to tooth extraction. Conclusion: The possibility of pre-existing MRONJ in the extraction area must be considered during the extraction procedure. Routine discontinuation of BP medications for several months before the extraction procedure should be carefully considered, as evidence of its efficacy in reducing the development of post-extraction MRONJ is limited.

• 복식
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• 제64권5호
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• pp.154-167
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• 2014

This study explored culture adaptive attitudes and donning practices of traditional dress among Chinese marriage immigrant women. Quantitative research was conducted on Korea-Chinese multicultural families. Participants were 291 married women in Seoul and Gyeonggi Province. The data was analyzed using frequency analysis, factor analysis, t-test and correlation analysis. The findings are as follows: First, positive relationship was found between Hanbok acceptance attitudes and Qipao transmission attitudes. The level of Qipao transmission attitudes was higher than Hanbok acceptance attitudes especially in the part of knowledge. Han Chinese showed stronger Qipao transmission attitudes than Korean Chinese. Immigrants without Korean nationality had stronger Qipao transmission attitudes. Higher education group and higher income group showed higher level both on Hanbok acceptance attitudes and Qipao transmission attitudes. Second, more than 50% of Chinese marriage immigrant women wore Hanbok once or twice per a year. On the other hand, only 24% of them wore Qipao. This result shows that there exists a gap in the Qipao transmission attitudes and donning practices. 44% of women wore both Hanbok and Qipao in their own wedding ceremony, 32% wore only Hanbok, and 19% wore only Qipao. 64% of women had an experience of wearing Hanbok on special days such as traditional holidays or family affairs, whereas only 29% had worn Qipao.

• Journal of Korean Neurosurgical Society
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• 제64권1호
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• pp.51-59
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• 2021

Objective : Several studies have reported inconsistent findings among countries on whether off-hour hospital presentation is associated with worse outcome in patients with acute stroke. However, its association is yet not clear and has not been thoroughly studied in Korea. We assessed nationwide administrative data to verify off-hour effect in different subtypes of acute stroke in Korea. Methods : We respectively analyzed the nationwide administrative data of National Emergency Department Information System in Korea; 7144 of ischemic stroke (IS), 2424 of intracerebral hemorrhage (ICH), and 1482 of subarachnoid hemorrhage (SAH), respectively. "Off-hour hospital presentation" was defined as weekends, holidays, and any times except 8:00 AM to 6:00 PM on weekdays. The primary outcome measure was in-hospital mortality in different subtypes of acute stroke. We adjusted for covariates to influence the primary outcome using binary logistic regression model and Cox's proportional hazard model. Results : In subjects with IS, off-hour hospital presentation was associated with unfavorable outcome (24.6% off hours vs. 20.9% working hours, p<0.001) and in-hospital mortality (5.3% off hours vs. 3.9% working hours, p=0.004), even after adjustment for compounding variables (hazard ratio [HR], 1.244; 95% confidence interval [CI], 1.106-1.400; HR, 1.402; 95% CI, 1.124-1.747, respectively). Off-hours had significantly more elderly ≥65 years (35.4% off hours vs. 32.1% working hours, p=0.029) and significantly more frequent intensive care unit admission (32.5% off hours vs. 29.9% working hours, p=0.017) than working hours. However, off-hour hospital presentation was not related to poor short-term outcome in subjects with ICH and SAH. Conclusion : This study indicates that off-hour hospital presentation may lead to poor short-term morbidity and mortality in patients with IS, but not in patients with ICH and SAH in Korea. Excessive death seems to be ascribed to old age or the higher severity of medical conditions apart from that of stroke during off hours.

• 한국생활과학회지
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• 제19권4호
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• pp.733-744
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• 2010

This study investigated the working conditions and job satisfaction of school cafeteria, according to their employment type in Chonbuk, South Korea. Self-administered questionnaires were collected from 401 elementary, middle, and high school cafeteria employees. The data showed significant differences between regular and irregular employees. These factors were: previous work experience (p<.001), type of school (p<.001), the style of foodservice at a school (p<.001), the type of foodservice system (p<.05), and the number of meals served each day (p<.001). The working conditions for regular and irregular employees were significantly different with regard to several factors: these were union membership (p<.01), how they were paid (p<.05), their total working hours (p<.01), and difficulty of using their holidays (p<.01). Approximately 80.5% of the subjects were dissatisfied with the working conditions after the introduction of countermeasures for irregular employees. Results indicated that the average employee job satisfaction level was 2.53, but that there were not significant difference in the level of job satisfaction when comparing regular and irregular employees. The item employees were most satisfied with was having responsibility over meals for young students (3.37). They were least satisfied with their salary (2.00). An interesting issue for future study would be to determine the factors that could improve job satisfaction whilst satisfying the employees' needs which in turn would improve the quality of foodservice.

• 한국건축시공학회지
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• 제18권6호
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• pp.603-609
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• 2018

우리나라의 경제성장 수준에 비하여 삶의 질 수준은 낮은 것으로 알려져 있다. 특히, 건축공사 현장관리자들은 건설업의 특성상 이른 출근시간과 적은 휴일로 인하여 타 직종과 비교하였을 때 삶의 질 수준이 낮은 것으로 나타났다. 본 연구는 건축공사 현장관리자의 워라밸 향상에 대한 요구사항을 분석하는 것을 목적으로 하였다. 이를 위해 설문조사를 통해 현장관리자의 근로실태와 워라밸을 분석하였다. 연구 결과, 건축공사 현장관리자들의 근로시간은 길고, 여가시간은 짧은 것으로 나타났다. 워라밸 향상에 대한 요구사항은 여가시간, 근로시간, 임금, 직업안정성 순으로 높게 나타났다. 집단별 요구사항의 차이는 '과장, 차장' 직급에서 근로시간 단축에 대한 요구가 가장 높게 나타났고, '부장 이상' 에서 가장 낮게 나타났다. 본 연구결과는 건설현장관리자들의 워라밸 향상을 위한 정부나 건설회사의 정책방향 설정을 위한 기초자료로 활용될 수 있을 것으로 기대된다.

• 임상간호연구
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• 제27권2호
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• pp.165-178
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• 2021

Purpose: To analyze nurses' shift work according to the government guidelines for night work and their perceptions of their work schedules. Methods: The study sample included 487 nurses who provided information on their schedules, including the normal working hours of each shift, and overtime per shift during September 2020. Nurses' perceptions were measured in terms of satisfaction, appropriateness for work-life balance, and fairness to their work schedule. Results: One-third of the respondents worked more than 40 hours per week. The average overtime hour was 1.14 hours per shift. Unsocial hours (8 pm to 6 am on weekdays, midnight to midnight on weekends and public holidays) accounted for 56.4% of all working hours. During their last night shift, on average, nurses worked 9.62 hours and had a break of 39 minutes, although 20.5% reported no break. Sixty-eight percent of nurses had at least one between-shift break shorter than 48 hours after a consecutive night shifts. Fifty-seven percent were satisfied with their schedule. One-third perceived their schedule as appropriate for work-life balance, and two-thirds perceived that days off on weekends and nights were fairly distributed within the unit. Working and overtime hours had an inverse relationship with all three aspects of nurses' perceptions. A higher proportion of unsocial hours and having no breaks during the night shift were associated with lower perceptions of fairness. Conclusion: Reducing working hours, ensuring breaks during night shifts, and increasing rewards for unsocial hours are required to improve nurses' perceptions and reduce turnover due to shift work.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제27권4호
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• pp.246-257
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• 2024

Purpose: Administering early parenteral amino acids to very low birth weight (VLBW) premature infants (birth body weight [BBW]<1,500 g) is challenging due to factors such as holidays, cost, and access to sterile compounding facilities. Using advance-prepared parenteral nutrition (PN) may address this issue and should be evaluated for its safety and potential benefits. Methods: We extracted data from medical records collected between July 2015 and August 2019. VLBW infants received PN for at least seven days and were split into two groups: the traditional group (n=30), which initially received a glucose solution and then PN on workdays, and the pre-preparation group (n=16), which received advance-prepared PN immediately upon admission to the neonatal intensive care unit. Results: The median BBWs of the traditional and pre-preparation groups were 1,180.0 vs. 1,210.0 g. In the initial two days, the pre-preparation group had a significantly higher amino acid intake (2.23 and 2.24 g/kg/d) than the traditional group (0 and 1.78 g/kg/d). The pre-preparation group exhibited greater head circumference growth ratio relative to birth (7th day: 1.21% vs. -3.57%, p=0.014; 21st day: 7.71% vs. 3.31%, p=0.017). No significant differences in metabolic tolerance were observed. Conclusion: Advanced preparation of PN can be safely implemented in VLBW preterm infants, offering advantages such as early, higher amino acid intake and improved head circumference growth within the first 21 days post-birth. This strategy may serve as a viable alternative in settings where immediate provision of sterile compounding facilities is challenging.

• 한국지구과학회지
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• 제42권3호
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• pp.278-295
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• 2021

2020년 중국의 COVID-19 폐쇄는 한국의 풍상측에 위치한 중국의 대기오염 배출량을 감소시켰다. 몽골 북부로부터 중국 동부를 거쳐 한반도에 이르는 지역에서는 2020년 1~2월에 기온 아노말리가 양(+)으로 온난하였고, 2020년 1월에는 동서류 아노말리가 음(-)으로 정체적인 특징을 보였다. 2019년 12월~2020년 3월에 한국 중부 서쪽의 석모리와 파도리에서 중국 배출량 감소의 영향에 따라 PM10, NO₂, O₃ 농도 변동이 나타났다. 파도리에서 PM10, O₃ 월평균 농도와 최근 4년의 월평균 농도의 비는 2019년 12월과 비교하여 중국의 COVID-19 폐쇄 이후인 2020년 1~3월에 각각 0.7~4.7%, 9.2~22.8%로 감소하였다. 2020년 1월 중국의 춘절 기간에는 석모리와 파도리에서 PM10, NO₂, O₃ 농도가 최근 4년의 춘절 기간과 마찬가지로 감소하였다. 그러나 2020년 1월 평균 농도가 최근 4년 1월과 비교하여 감소한 것은 중국 춘절 전후의 기간에도 배출량이 감소하였던 것과 관련 있다. 2020년 1~3월 석모리의 PM10, NO₂, O₃ 농도의 비(${\bar{O}_s$/M)는 각각 70.8~89.7%, 70.5~87.1%, 72.5~97.1%이었고, 파도리에서도 각각 79.6~93.5%, 67.7~84.9%, 83.7~94.6%로 추정 월평균(M)보다 월평균(${\bar{O}_s$)이 감소하였다. 2020년 1월에 몽골 북부로부터 중국 동부와 한반도에 이르는 지역의 온난화로 인한 광화학 반응으로 최근 4년과 비교하여 AOD가 높게 나타났으나 2020년 3월에는 풍상측인 중국에서 2차 에어로졸을 생성하는 전구물질 배출 감소로 최근 4년과 비교하여 낮은 AOD 분포를 보였던 것으로 분석되었다.

• Journal of Trauma and Injury
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• 제25권4호
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• pp.152-158
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• 2012

Purpose: To understand the epidemiology of head trauma and the utilization of brain CT in Korea, we analyzed a national sampling data set, the National Patient Sample obtained from the Health Insurance Review and Assessment Service. Methods: We retrospectively collected and analyzed demographic and clinical data on enrolled patients from the National Patient Sample based on medical claims data for 2009. The data included patient's age, sex, treatment date, diagnosis codes, procedure codes related with CT, holiday or night consultation fee, and fee for emergency management services. Results: In 2009, the estimated population with head trauma was 819,059(1.8%), and the rate of brain CT utilization was 22.4%. Children ages 5 to 15 were the most commonly injured group(22.8%), but had the lowest brain CT utilization(16.5%). The mean age of the estimated population with head trauma was $34.9{\pm}0.5years$ old, and male patients accounted for 60.5% of that population. Intracranial injury was found in 8.6% of all head traumas, and the rate of intracranial injury in children was lower than it was in adults(4.1% vs. 10.9%, p<0.001). Twenty- three percent of patients with head trauma visited the emergency department (ED). More patients with head trauma visited medical facilities in the daytime on weekdays(66.5% vs. 33.5%, p<0.001), but head CT was performed more frequently at night or on weekends/holidays(16.1% vs. 34.7%, p<0.001) There is low incidence of head trauma in the winter in children (p<0.001). In the multivariate logistic regression analysis, patients who were adults, female, or ED visitors were more likely to undergo brain CT (odds ratio (OR): 1.65, 95% confidence interval (CI): 1.47-1.84; OR: 1.40, 95% CI: 1.27-1.54; OR: 7.80, 95% CI: 6.91-8.80, respectively). Conclusion: In this study, we analyzed the national epidemiologic trend for head trauma, and the pattern of utilization of brain CT.