• Korean Journal of Biological Psychiatry
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• v.13 no.4
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• pp.234-243
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• 2006

Objectives : Several factors, such as biological markers, clinical correlates, and course of the depressive disorders with psychotic symptoms differ from those without psychotic symptoms. Therefore, specification of a treatment algorithm for depressive disorder with psychotic symptoms is legitimated. This article provides a systematic review of somatic treatments for depressive disorder with psychotic symptoms. Methods : According to the search strategy of the Clinical Research Center for Depression of Korean Health 21 R & D Project, first, PubMed and EMBASE were searched using terms with regard to the treatment of depressive disorders with psychotic symptoms(until July 2006). Reference lists of related reviews and studies were searched. In addition, relevant practice guidelines were searched using PubMed. All identified clinical literatures were reviewed and summarized in a narrative manner. Results : Treatment options, such as a combination of an antidepressant and an antipsychotic versus an antidepressant or an antipsychotic alone are summarized. In addition, issues regarding the electroconvulsive therapy( ECT), combination therapy, and maintenance treatment are discussed. Conclusion : In former times, the combination of an antidepressant and an antipsychotic or ECT were recommended as the first line treatment for depressive disorder with psychotic symptoms. Recently, however, there was a suggestion that there was no conclusive evidence that the combination of an antidepressant and an antipsychotic drug is more effective than an antidepressant alone. More evidence regarding the pharmacological treatment for depressive disorder with psychotic symptoms is needed.

• Journal of the Society of Cosmetic Scientists of Korea
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• v.30 no.3 s.47
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• pp.313-320
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• 2004

Human skin is continuously exposed to internal and external influences that may affect its condition and functioning. To maintain and improve skin condition, a wide variety of skin-care products is in the market. However, many of skin problems originate from internal causes, and the new insight into the relation between nutritional factors and skin is now receiving a great attention. Specific positive effects of nutrients or nutraceutical compounds on skin conditions may prove to be biologically relevant and may consequently allow for claims on products containing these compounds, resulting in the development of new functional food for optimal skin condition. In this review, these functions of nutrients and nutraceutical compounds in skin are summarized as providing a basis for the feasibility of the concept of functional foods for maintaining and improving skin condition.

• Journal of dental hygiene science
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• v.16 no.1
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• pp.18-25
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• 2016

The purpose of this study was to investigate a reliability and validity of the Korean version for measuring tool the job embeddedness of dental hygienists. The survey was modified and revised to fit into Korean culture. A survey was conducted with 274 dental hygienists in dental clinics. The data was used for the analysis of the study, using PASW Statistics 18.0 and IBM SPSS AMOS 7.0. The factor analysis showed that the job embeddedness of the dental hygienists was composed of three elements, namely 'organization fit', 'job connectivity', and 'personnel relationships'. The validity of the model examined by a confirmatory factor analysis satisfied most of the relevant requirements. All of the factors had the conceptual reliability and variant extracted index above the minimum requirements, ensuring reliability and concentrated validity. The Cronbach's alpha shows a good reliability. In conclusion, it was proven that dental hygienist's job embeddedness measurement tool has high validity and reliability. Further, this study could be used to improve dental hygienist's long term working, and the growth stage of dental clinic.

• The Journal of Korean Association of Computer Education
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• v.21 no.2
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• pp.11-19
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• 2018

The informatics computer teacher appointment examination is the only national test to measure the competence of educators in teaching students relevant informatics content. The purpose of this study is to provide suggestions and directions for improvement of the informatics computer teacher appointment exam. To this end, we collected appointment exam questions from 2002, when the informatics computer teacher appointment exam first started, to 2017. Based on evaluation areas and evaluation content factors of the indication subject of informatics computer, we built the analysis framework and criteria used in this study. The analysis took into account the revision of basic required courses and changes in the types of exam questions. We analyzed the percentage of points allotted to the subject matter compared to the total number of points, and also the trends of exam questions by school year. The results of the analysis are as follows: first, improvements should be made to avoid concentration in certain areas of the basic required courses of the informatics computer subject. Second, the discrepancy between the exam and the curriculum of basic required courses must be addressed to properly teach and evaluate preliminary teachers. It is significant that this study serves as a stepping stone in supplying highly competent teachers to the field through improving the informatics computer teacher appointment examination.

• Korean Journal of Community Nutrition
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• v.23 no.5
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• pp.397-410
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• 2018

Objectives: An association between dietary patterns and mental health in children has been suggested in a series of studies, yet detailed analyses of dietary patterns and their effects on ADHD (attention deficit hyperactivity disorder) are limited. Methods: We included 4569 children who had dietary intake data as part of the CHEER (Children's Health and Environmental Research) study conducted nationwide from 2005 to 2010. We assessed ADHD (Attention Deficit Hyperactivity Disorder) by the DuPaul's ADHD Rating Scales and dietary intake by a semi-quantitative food frequency questionnaire. Using intake data, we constructed five dietary patterns: "Plant foods & fish," "Sweets," "Meat & fish," "Fruits & dairy products," and "Wheat based." Results: The overall proportion of ADHD was 12.3%. Boys (17.8%) showed a higher rate of ADHD than girls (6.5%). The total intake of calories (85 kcal) and plant fat (2g) in the ADHD group was significantly higher than that of the normal group. ADHD was significantly negatively associated with dietary habits such as having breakfast and meal frequency, and positively associated with eating speed, unbalanced diet, overeating, and rice consumption. Regarding dietary patterns, the "Sweets" category was relevant to high ADHD risk (OR 1.59, 95% CI: 1.18, 2.15 for Q5 vs. Q1) in a linear relationship. An inverse, non-linear association was found between "Fruits & dairy products" and ADHD (OR 0.55, 95% CI: 0.39, 0.76 for Q4 vs. Q1). Conclusions: Our study confirms both positive and negative associations between diet and ADHD in elementary school age children. Moreover, linear or nonlinear associations between diet and ADHD draw attention to the possible threshold role of nutrients. Further studies may consider characteristics of diet in more detail to develop better intervention or management in terms of diet and health.

• Journal of the Computational Structural Engineering Institute of Korea
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• v.31 no.4
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• pp.183-190
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• 2018

This paper presents optimization of the main spar of Human-Powered Aircraft (HPA) wing. Mass minimization was attempted, while considering large torsional deformation of the beam. Sequential Quadratic Programming (SQP) method was adopted as a relevant tool to conduct structural optimization algorithm. An inner diameter and ply thicknesses of the main spar were selected as the design variables. The objective function includes factors such as mass minimization, constant tip bending displacement, and constant tip twist of the beam. For estimation of bending and torsional deformation, the geometrically exact beam model, which is appropriate for large deflection, was adopted. Properties of the cross sectional area which the geometrically exact beam model requires were obtained by Variational Asymptotic Beam Sectional Analysis (VABS), which is a cross sectional analysis program. As a result, maintaining tip bending displacement and tip twist within 1.45%, optimal design that accomplished 7.88% of the mass reduction was acquired. By the stress and strain recovery, structural integrity of the optimal design and validity of the present optimization procedure were authenticated.

• Journal of Radiation Protection and Research
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• v.33 no.2
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• pp.67-76
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• 2008

As the first comprehensive attempt at a national implementation, this study aims at assessing the external costs of major electricity generation technologies in Korea, particularly an evaluation of the impacts on human health resulting from exposures to atmospheric radiological emissions from nuclear power plants, and a monetary quantification of their damages. The methodology used for the assessment of the externalities of the selected fuel cycles has been developed by the International Atomic Energy Agency (IAEA), namely the SimPacts Model Package. The model is internationally recognized as a tool which can be applied to a wide range of fuels, different technologies and locations, for an externalities study. In this study, the relevant emissions are quantified first and then their impacts on human health are evaluated and compared. The study focused on all the nuclear power plants for the last 6 years ($2001{\sim}2006$) in Korea. With respect to nuclear power, the impact analysis only focuses on a power generation, however the front- and back-end nuclear fuel cycles are not included, namely uranium mining, conversion, enrichment, reprocessing, conditioning, etc., because these facilities are not present in Korea. The analysis results show that nuclear power in general, generates low external costs. The highest damage costs from the nuclear power plants among the 4 sites in Korea were estimated to be 3.9 mills/MWh, which is about 1/20th of the result for a similar case study conducted in the U.K., implemented through the ExternE project. This difference is largely due to the number of radionuclides included in the study and the amount of released radioactive emissions based on up-to-date information in Korea. In this study, the sensitivities of the major factors for nuclear power plants were also calculated. The analysis indicates that there was around a ${\pm}3%$ damage costs variation to a ${\pm}15%$ change of the reference population density and a ${\pm}1%$ damage cost variation to a $1{\sim}30$ meters change of the effective release height, respectively. These sensitive calculations show that there is only a minor difference when the reference costs are compared.

• Journal of Korea Water Resources Association
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• v.41 no.5
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• pp.517-525
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• 2008

Regional rainfall quantile depends on the identification of hydrologically homogeneous regions. Various variables relevant to precipitation can be used to form regions. Since the type and number of variables may lead to improve the efficiency of partitioning, it is important to select those precipitation related variables, which represent most of the information from all candidate variables. Multivariate analysis techniques can be used for this purpose. Procrustes analysis which can decrease the dimension of variables based on their correlations, are applied in this study. 42 rainfall related variables are decreased into 21 ones by Procrustes analysis. Factor analysis is applied to those selected variables and then 5 factors are extracted. Fuzzy-c means technique classifies 68 stations into 6 regions. As a result, the GEV distributions are fitted to 6 regions while the lognormal and generalized logistic distributions are fitted to 5 regions. For the comparison purpose with previous results, rainfall quantiles based on generalized logistic distribution are estimated by at-site frequency analysis, index flood method, and regional shape estimation method.

• Korean Journal of Health Education and Promotion
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• v.32 no.1
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• pp.1-10
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• 2015

Objectives: This study evaluated the effects and relevant factors of community-based education and advocacy intervention on stroke awareness among the general population. Methods: The study enrolled 505 community-dwelling adults aged 19 years or older who completed a survey before and after a community-based intervention held between May 2014 and December 2014. Trained staff collected data about knowledge of five stroke warning signs, emergency response, golden window of time (${\leq}3h$), and demographics. Results: After the intervention, public awareness of all five stroke warning signs increased significantly from 26.5% to 33.9% (p=0.011). Public awareness of the golden window of time also increased significantly from 70.1% in April 2014 to 75.8% in December 2014 (p=0.040). In a multivariate logistic regression analysis, older age, higher education level, and exposure to stroke-related public service announcements or educational materials were significant predictors of knowledge of all five warning signs for stroke. Conclusions: Comprehensive community-based intervention is effective for improving public awareness of the warning signs of stroke and the golden window of time.

• Quality Improvement in Health Care
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• v.5 no.1
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• pp.28-40
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• 1998

Background : Many patients have been frequently complaining that they have to spend couples of hours in hospital on visiting outpatient clinic. Among several steps, two major time consuming steps were waiting to see a doctor and/or waiting at pharmacy to get medicine. Therefore not only to provide the proper guidance for medication or counseling on health affairs but also to make waiting time short is very important for the better hospital services. The aim of this study is to validate several time-saving processes to reduce waiting time at outpatient pharmacy and its efficacy. Methods : We surveyed the time interval actually taken to receive medicine after issuing prescription by doctors, and analyzed the data on the bases of relevant or possible causative factors. Then following processes were given to reduce waiting time and resurveyed and compared both data to validate efficacy of those processes : 1. No work-off on Monday and Tuesday 2. Work hour shift to start 30 minutes earlier 3. Changeable work shift between outpatient pharmacy and ward pharmacy according to work load 4. Use of pre-made medicines prescribed more frequently by certain doctors at certain time 5. Cooperation with doctors to use set prescriptions. Results : Before the process, mean waiting time at pharmacy was 29.2 minutes and most time consuming period was from noon to 1 PM, 3 to 4 PM, 1 to 2 PM in order of frequency. Only 37.7 % of patients could get the medicine within 20 minutes. Three times of surveys after process showed mean waiting time at pharmacy were 18.1 minutes, 19.0 minutes, and 17.6 minutes, respectively. And 72.7 %, 81.3%, and 82.2% of patients could get the medicine within 20 minutes. Conclusion : The mean waiting time was markedly reduced with above mentioned processes which applied intradepartmently event hough with little cooperation from other department. Consequently, the complaints of patients were decreased with increasing the satisfaction degree. In conclusion, those suggestions were recommanded to improve the degree of satisfaction of patients.