• Title/Summary/Keyword: planned change

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Lifestyle modifications in an adolescent dormi­tory: a clinical trial

  • Abu-Kishk, Ibrahim;Alumot-Yehoshua, Michal;Reisler, Gadi;Efrati, Shai;Kozer, Eran;Doenyas-Barak, Keren;Feldon, Michal;Dagan, Zahi;Reifen, Rami;Berkovitch, Matitiahu
    • Clinical and Experimental Pediatrics
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    • v.57 no.12
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    • pp.520-525
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    • 2014
  • Purpose: Childhood obesity is an increasing public health issue worldwide. We examined dietary patterns among adolescents in a dormitory school, identified obese adolescents and tried to intervene to improve food habits and physical activity. Methods: We conducted an experimental prospective longitudinal study based on 36 obese (body mass index $[BMI]{\geq}95th$ percentile) adolescents (aged 12-18 years) compared with controls (healthy children: normal age-appropriate BMI ($BMI{\leq}85th$ percentile). Six months' intervention included lifestyle-modification counseling (once a week by a clinical dietician), and an exercise regimen twice a week, 60 minutes each time, instructed by a professional pediatric trainer). Both groups underwent baseline measurements at the beginning of the study and 6 months later (arterial stiffness, blood pressure, pulse, weight and height, hemoglobin, creatinine, liver enzymes, highly sensitive C-reactive protein and complete lipid profile). Results: Twenty-one participants completed the study. Low compliance from participants, school staff and parents was observed (participation in planned meetings; 71%-83%). BMI significantly decreased from $32.46{\pm}3.93kg/m^2$ to $30.32{\pm}3.4kg/m^2$ (P=0.002) in the study group. Arterial stiffness was not significantly different between the 2 groups and did not change significantly after 6 months' intervention (P=0.494). No significant changes in CRP and lipid profile were observed after the intervention. Conclusion: Making lifestyle modifications among adolescents in a dormitory school is a complex task. Active intervention indeed ameliorates BMI parameters. However, in order to maximize the beneficial effects, a multidisciplinary well-trained team is needed, with emphasis on integrating parents and the school environment.

Estimation of greenhouse gas emissions from the landfill sector with the application of the 2006 IPCC guidelines and the change factors analysis (2006 IPCC 가이드라인 적용에 따른 폐기물 매립 부문의 온실가스 배출량 산정 및 변화 요인 분석)

  • Kim, Ran-Hui;Park, Jin-Kyu;Song, Sang-Hoon;Park, Ok-Yun;Lee, Nam-Hoon
    • Journal of the Korea Organic Resources Recycling Association
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    • v.28 no.1
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    • pp.37-51
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    • 2020
  • Following the Paris Agreement adopted at the end of 2015, global stock-taking has been planned to be carried out on a 5-year basis from 2023, and it is mandatory to report on national GHG inventory and progress toward achieving greenhouse gas reduction targets. To prepare for this, it is important to improve the reliability of estimation of the greenhouse gas emission, identify the characteristics of each greenhouse gas emission source, and manage the amount of emissions. As such, this study compared and analyzed the amount of emissions from the landfill sector using the 2000 GPG, the 2006 IPCC Guidelines, and the 2019 Refinement estimation method. As a result, in comparison to 2016, there were 2,287 Gg CO2_eq. in scenario 1, 1,870 Gg CO2_eq. in scenario 2-1, 10,886 Gg CO2_eq. in scenario 2-2, 10,629 Gg CO2_eq. in scenario 2-3, and 12,468 Gg CO2_eq. in scenario 3. Thus, when the 2006 IPCC Guidelines were applied with respect to 2000 GPG, it was revealed that greenhouse gas emissions have increased. Such difference in the emission changes was due to the changes in the calculation method and the emission factor values applied. Therefore, it is urgent to develop national-specific values of the emission factor based on characteristics of greenhouse gas emission in Korea.

Effect of emergency bell on door to ECG time in walk-in patients presented to emergency department with chest pain (흉통을 주소로 응급실에 내원한 환자에서 심전도 촬영 소요 시간에 대한 응급벨 제도의 효과)

  • Kim, Min-Woo;Oh, Sang-Hoon;Park, Kyu-Nam;Lee, Jung-Min;Lee, Young-Mee;Kim, Han-Joon;Kim, Soo-Hyun;Kang, Dong-Jae
    • Quality Improvement in Health Care
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    • v.20 no.1
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    • pp.12-24
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    • 2014
  • Objectives: The aim of this study was to explore whether emergency bell could shorten door to electrocardiograms (ECG) time in chest pain patients presenting to emergency department (ED) by self-transport. Methods: This was a planned 6-month before-and-after interventional study design. We set up the emergency bell in walk-in patients' waiting room. Prior to the change, patients were triaged before an ECG was obtained. In new process, as soon as patient with chest pain push the emergency bell, emergency physicians examined patient and prioritized performing ECG. We analyzed door to electrocardiograms (DTE) times for patients with chest pain and ST segment elevation myocardial infarction (STEMI) patients between two periods. Results: During the enrollment period, a total of 63 patients called emergency bell. The median DTE time was 6 min (interquartile range: 3.0 - 9.0) and 82.5% received an ECG within 10 minutes, and only three patients were STEMI. DTE time in patient with chest pain was not different between two periods (p=0.980). Before intervention period, 15 walk-in patients admitted in ED for STEMI and 53.8% of STEMI patients received an ECG within 10 minutes. After intervention period, total 19 walk-in patients admitted in ED for STEMI. Of these, 89.5% met the time requirement. Conclusion: Because a small portion of patients with chest pain activated the emergency bell, new strategy for promotion of emergency bell must be needed.

Treatment Strategies for Primary Central Nervous System Lymphoma (원발성 중추신경계 림프종의 치료전략)

  • Kim, Il-Man;Lee, Chang Young;Son, Eun Ik;Kim, Dong Won;Yim, Man Bin;Kim, Sang Pyo
    • Journal of Korean Neurosurgical Society
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    • v.30 no.3
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    • pp.334-341
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    • 2001
  • Objective : We have currently changed treatment strategies to methotrexate(MTX)-based preirradiation chemotherapy with subsequent planned radiation for the initial therapy of primary central nervous system lymphoma (PCNSL). The aim of this study was to evaluate the results of treating PCNSL with chemotherapy plus radiotherapy (CRT) or radiotherapy(RT) alone. Method and Material : This study involved 10 females and 3 males patients with a mean age of 54.2 years. All patients underwent surgery, open(8 cases) or stereotactic biopsy(5 cases) for histological diagnosis. Eleven tumors were diffuse large B-cell lymphomas. Tumor volume change in the follow-up images and survival time were evaluated in patients treated with CRT and RT alone. In the beginning, two patients received ProMACE-Cytabom chemotherapeutic regimen, but did not complete the course and died of progressive tumor 8 and 9 months after diagnosis, respectively. One patient died at 6 months before chemotherapy. These three were excluded from the survival analysis. Five patients(RT group) completed full courses of cranial irradiation with or without boost. For the current combined modality treatment, high-dose MTXbased chemotherapy(systemic and intrathecal MTX, IV vincristine, and oral procarbazine) followed by whole brain irrdiation to 45Gy to tumor was introduced in 5 patients of CRT group. Result : A complete response was achieved in three of five who received RT only and in all of five who received CRT. All patients in CRT groups are in disease free status at a mean 23 months following therapy. The RT group patients refused any additional salvage therapy at tumor relapse and survived at mean 20 months from diagnosis. The Karnofsky performance status improved in eight of ten patients with treatment. The treatment toxicity included leukoencephalopathy in RT group and severe leukopenia, transient hepatitis, avascular necrosis of femoral head, hearing loss, and amenorrhea in CRT group, respectively. Conclusion : The combined modality therapy of MTX-based chemotherapy plus radiotherapy for PCNSL may enhance tumor response and improve patient survival. The patients who received CRT should be carefully followed up because of the higher risk of treatment-induced late neurotoxicity.

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A Quantitative Analysis on PLoS ONE Articles Published by Authors Affiliated with Korean Institutions (PLoS ONE 학술지 게재 국내 기관 소속 연구자 논문의 계량적 분석)

  • Shim, Wonsik;An, Byoung-Goon;Park, Seong-Eun;Kim, Hyun Soo
    • Journal of the Korean Society for information Management
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    • v.37 no.2
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    • pp.47-69
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    • 2020
  • This research provides a quantitative analysis on research articles published in PLoS ONE, a multidisciplinary open access journal, by authors affiliated with Korean institutions. Korean authors published more than 6,500 research ariticles in the mega journal between 2006 and 2019. Korea is ranked the top 11th place in terms of article publishing in the journal. Most articles by Korean authors are concentrated in the biomedical fields. In recent years, the overall production of PLoS ONE has decreased as authors migrated to competing mega journals such as Scientific Reports and BMJ Open. The change might have been affected in part by the delay in the review period and the dropping impact factor score. The open access share of the Korean PLoS ONE authors of more than 10 articles hovers around 30%. However, there is a significant variation among researchers reaching up to 50% discrepancies. Among altmetrics provided by PLoS ONE, the saves are highly correlated with the views and the citations. On the contrary, the shares show low correlation with other use metrics. A follow up, survey questionnarie based research involving researchers who have published in PLoS ONE is planned in order to investigate author motivation and experience in the review process.

Analysis of Changes in the Population Potential of the Neighboring Areas of Sejong City Using the Accessibility Model (Accessibility 모델을 활용한 세종시 인접 지역의 인구잠재력 변화 분석)

  • Kim, Ho-Yong;Yun, Jeong-Mi
    • Journal of the Korean Association of Geographic Information Studies
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    • v.17 no.4
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    • pp.167-178
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    • 2014
  • As large-scale housing sites are being developed rapidly in Sejong City, which was launched in 2012 for resolving the adverse effects of overconcentration in the capital area, promoting balanced development of the country, and reinforcing national competitiveness, changes in spatial structure are expected in the surrounding areas. For setting the directions of urban planning, it is essential to understand changes in spatial structure. This study purposed to measure changes in the spatial structure of neighboring areas resulting from the construction of Sejong City by approaching from the aspect of spatial interaction. In the analysis, we calculated population potential for future spatial interaction using the accessibility model, and interpreted quantitatively and qualitatively the outcomes of spatial interaction among neighboring areas before and after the construction of Sejong City using population potential as an indicator. According to the results of the analysis, the impact range of the population potential of the subject areas had been shrinking continuously since 1995, and in 2013 population potential dispersed as the population concentrated on and around Cheonan City. Although Sejong City, as a new area of population potential, was not found to play the role of a pivotal point for the surrounding areas, it is probably because the analysis was made just after people began to move to Sejong City. Accordingly, along with the effort of Sejong City to reach the planned population, it is necessary to keep monitoring changes in related factors and changes in the spatial structure of the surrounding cities resulting from the growth of population.

Analyzing Effects on Improving Infrastructures for the Development of Maritime Tourism Combined Fishing Ports - Focusing on ports in Gijang, Busan - (해양관광 복합형어항 개발에 따른 인프라정비의 파급효과 분석 - 부산시 기장지역 어항을 중심으로-)

  • Kim, Gyeong-Su
    • Journal of the Korean Association of Geographic Information Studies
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    • v.10 no.1
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    • pp.146-157
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    • 2007
  • Fishing villages have rich potential on account of serving as a base of fishing activities with various maritime ecosystem, culture and maritime resources as well. The object of the study is ports located in Gijang, Busan and it presents the overall development direction in ports within this area. Through systematic and well-planned developing small-sized ports, this research analyzes regional economic implications by improving settlement conditions for fishing villagers scattered around this area taking the ports' natural traits into consideration. The research correlates regional input output analysis by fishing port arrangement project with connection between inter-industries and inter-regions according to the model of input-output analysis and attempts to systematically analyze regional economic structure with the economic implication divided into production, employment and income, influenced upon by the change of political exogenous variable.

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A Study of the Fluctuation factors and Model of Daily Visitors of National Park (국립공원의 이용자수 변동요인 및 추정모형에 관한 연구)

  • 안성노
    • Journal of the Korean Institute of Landscape Architecture
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    • v.17 no.2
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    • pp.27-39
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    • 1989
  • The purpose of this study is to prove the factors affecting the fluctuation of daily visitors in five mountainous national park(Kayasan, kyeryongsan, Naejangsan, Soraksan, Songnisan), and to analyze the relationship between these factors and daily visitors in Korea. "Three Factors and Nine Categories"(Aoki, K. & Aoki, Y. : 1974, 1979) has been applied to this study, and statistical analysis method was carried out by computer program SAS and SPSS. The number of daily visitors is calculated based on the data of "Daily entrance ticket sale report" by administration office in each national park. The scope of time period is during the last 5years(1982∼1986: 1825days) and the results were as follows: 1) There were significant differences in the number of daily visitors of each national park among months, days of a week and weather-the same as the previous study of urban park case. But it wold be better for their category classification to be adjusted according to the fluctuation pattern of each national park. 2) The peak of monthly visitors comes in May(Kayasan, Soraksan, Songnisan) or October(Kyeryongsan, Naejangsan). These months are specified as group tour season. On the basis of monthly fluctuation pattern, Each national park were classified into seasonal type, that is, kayasan, Soraksan were proved to be three-season type(Spring, Summer, Autumn), Songnisan to be two-season type(Spring, Autumn), and Naejangsan to be one-season type(Autumn). 3) The weekly pattern differs from three category (weekday, weekend, holiday: Eom, Choi 1986) in the case of urban park study. And there is no significant difference in daily fluctuation pattern by weather (fine, cloudy and rainy day), but significant difference between snowy and the others. This result is due to the characteristics of visitors, which is, the major visits of national park are planned in a advance of the tour, therefore it is difficult to change the plan by the weather. 4) the result of correlation analysis showed that the most influential factor on national park use in Kayasan, Naejangsan, Soraksan and Songnisan is ′Monthly characters (M)′, on the contrary ′Day of week(D)′ in Kyeryongsan only. From the result, The more parks are resource-based, the more ′Monthly characters′-factor is supposed to affect the number of daily visitors rather than ′Day of the week′-factor. This means that kayasan, naejangsan, Sorakson and Songnisan are classified into resource-based type, but on the other hand Kyeryongsan should be classified into intermediate type.

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The Effect of the Demand Forecast on the Energy Mix in the National Electricity Supply and Demand Planning (전력수급계획 수립시 수요예측이 전원혼합에 미치는 영향)

  • Kang, Kyoung-Uk;Ko, Bong-Jin;Chung, Bum-Jin
    • Journal of Energy Engineering
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    • v.18 no.2
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    • pp.114-124
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    • 2009
  • The Ministry of Knowledge and Economy (MKE) establishes the Basic Plan for Long-Term Electricity Supply and Demand(BPE) biannually, a governmental plan for the stable electricity supply. This study investigated the effects of the electric demand forecast on the energy mix. A simplified simulation model was developed, which replaces the WASP program developed by the KPX and verified by comparing both results. Three different electric demand scenarios were devised based upon the 2005 electric demand forecast: Proper, 5 % higher, and 5% lower. The simplified model calculates the energy mix for each scenario of the year 2005. Then it calculates the energy mix for the proper electric demand forecast of the year 2007 using the energy mixes of the three scenarios as the initial conditions, so that it reveals the effect of electric demand forecast of the previous BPE on the energy mix of the next BPE. As the proper electric demand forecasts of the year 2005 and 2007 are the same, there is no change in the previous and the next BPEs. However when the electric demand forecasts were 5% higher in the previous BPE and proper in the next BPE, some of the planned power plant construction in the previous BPE had to be canceled. Similarly, when the electric demand forecasts were 5% lower in the previous BPE and proper in the next BPE, power plant construction should be urgently increased to meet the increased electric demand. As expected the LNG power plants were affected as their construction periods are shorter than coal fired or nuclear power plants. This study concludes that the electric demand forecast is very important and that it has the risk of long term energy mix.

Full mouth rehabilitation in a severe worn dentition with vertical dimension gaining: A case report (마모가 심한 환자에서 수직 고경 증가를 동반하여 수복한 증례)

  • Kim, Ji-Sun;Lee, Ji-Hyoun;Jhin, Min-Ju
    • The Journal of Korean Academy of Prosthodontics
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    • v.54 no.2
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    • pp.132-139
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    • 2016
  • The progressive attrition of teeth is a normal process by aging. However, excessive tooth wear with decreased vertical dimension of occlusion and collapse of occlusal plane may cause pathologic pulpal condition, occlusal disharmony, functional disorders and esthetic problems. The change of vertical dimension is required in case that there is no sufficient clearance for restoration or in case that the occlusal relationship is modified. For gaining the vertical dimension, a careful diagnosis is essential prior to starting the restoration treatment. After evaluating adaptation of neuromuscular system of patient during provisional phase, the final restorations can be fabricated. In this case, a 78 year old male with severely worn down dentition was treated. To improve the esthetic appearance and to achieve the ideal occlusal relationship, the full mouth rehabilitation with minimal increase of vertical dimension is planned and diagnostic wax-up was performed at the increased vertical dimension. After evaluation of provisional restorations for 12 weeks, final restorations were fabricated and routine clinical assessments were made. After 1 year, the restorations with newly established occlusal scheme are well maintained without significant complications and esthetically and functionally satisfactory results were obtained.