• Korean Journal of Psychosomatic Medicine
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• v.27 no.1
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• pp.35-41
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• 2019

Objectives : Although delirium is a common complication among patients hospitalized in intensive care units(ICUs), little is known about the roles that diagnostic and therapeutic procedures play in its development. This study investigates the procedure-related risk factors of delirium in ICU patients. Methods : All the consecutive patients admitted to the ICU between June 2016 and May 2017 were routinely evaluated for delirium by psychiatrists. In total, 1156 patients met the inclusion criteria and were retrospectively analyzed. A multiple logistic regression analysis was conducted to investigate independent risk factors of delirium development while adjusting for other characteristics. Results : The age, Acute Physiology and Chronic Health Evaluation (APACHE II) score, proportion of patients who had undergone an operation, and proportion of patients who were foley catheterized, mechanically ventilated, and physically restrained were higher in the delirium group. The multiple logistic regression analysis confirmed that the use of restraint was an independent risk factor of delirium (odds ratio : 10.006 ; 95% confidence interval : 6.120-16.360 ; p<0.001). The patient factors independently associated with delirium were an advanced age and a higher APACHE II score. The incidence of delirium was 15.3%. Conclusions : There is a high prevalence of delirium influenced by potentially harmful procedures in patients in ICU settings. The use of physical restraint had the strongest association with the development of delirium. These findings advocate the need to target procedure-related risk factors such as the use of restraints as preventive intervention measures for ICU delirium.

• Korean Journal of Ichthyology
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• v.30 no.2
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• pp.100-106
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• 2018

The distribution aspect and extinction threat evaluation of the endangered species, Rhodeus pseudosericeus were investigated from 2012 to 2017 in Korea for the subject of this study. The number of appearance sites in the past literature of available and identified R. pseudosericeus was 26. During the study period, the samples of R. pseudosericeus were collected in 44 sites (Hangang River 35 sites, Sapgyocheon Stream 4 sites, Daecheoncheon Stream 5 sites) among the noted 214 sampling stations investigated. Among these, the newly appearance streams were Ilricheon Stream, Samsancheon Stream, Bangyecheon Stream and Hanpocheon Stream in the Hangang River. In addition, the habitats and populations in the upper Seomgang River (Hoengseong Dam), lower Heukcheon Stream, Muhancheon Stream and Daecheoncheon Stream decreased due to dam construction, river work, water pollution, and the spread of the exotic species Micropterus salmoides. The main habitat of R. pseudosericeus was the middle-upper stream of clean water with slow water velocity, sand-pebble bottoms and lots of aquatic plants. Given this evidence as noted for the 30.2% reduction in occupancy within 10 years, due to the qualitative decline of habitat, the overfishing risk of ornamental fish and the spread of M. salmoides, in this case R. pseudosericeus is considered to be Vulnerable (VU A2cde) based on the IUCN Red List categories and criteria.

• Quality Improvement in Health Care
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• v.4 no.1
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• pp.36-49
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• 1997

Background : Hypertension is one of the most important risk factors of the cerebrovascular accident and coronary artery disease which are the major causes of mortality in Korea. In Korea, the quality of care provided by office-based physicians has not been evaluated formally. The purpose of this study is to assess the quality of hypertension management of office-based physicians. Method : Self-administered questionnaires were mailed to the office-based physicians with the speciality of internal medicine, general surgery, family medicine, and general practitioners. Among 2,045 physicians, 981 doctors(48.0%) replied the questionnaires. Contents of questionnaires were based on the recommendation from the JNC-V report(the Fifth Report of the Joint National Committee on Detection, Evaluation, and Treatment of High Blood Pressure), and included the criteria of diagnosis, treatment, follow-up interval, and other characteristics of physicians(age, sex, type of speciality, and location of practice). Results : Eighty four percent of the office-based physicians made diagnosis of hypertension with less than 3 times of blood pressure measurements. The performance rate of required examination for hypertensives was very low in most items. Rate of fundoscopic examination is the lowest one among them(5.9%). The performance rate of laboratory examination was also low in most items. Internists tended to order more frequent laboratory examinations than any other type of physicians. Only 11.4% of the physicians did appropriate treatments for the mild hypertension case. The antihypertensives selected by the physicians as a first line drug were in the order of beta blocker(26.4%), calcium channel blocker(23.4%), diuretics(23.1%), ACE inhibitors(14.3%). The visit interval for established hypertensives was very short. Proportion of physicians with follow-up interval longer than 4 weeks was only 4.3%. Conclusions : The overall quality of hypertension management of office-based physicians in Korea is very problematic in many aspects. So further investigations to find out the reasons of low quality arid quality of care should be initiated.

• Journal of Preventive Medicine and Public Health
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• v.47 no.1
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• pp.18-26
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• 2014

The purpose of this study was to establish food ingestion factors needed to assess exposure to contaminants through food ingestion. The study reclassified the raw data of the Korean National Health and Nutrition Examination Survey in 2001 into 12 subcategories including grain products, meat products, fish and shellfish, and vegetables for international comparability of exposure evaluation. The criteria for food intake calculation were unified according to the characteristics of food groups, and recommended values for food ingestion factors were calculated through moisture correction and recategorization of cooked, processed, and mixed foods for each group. The average intake rate for grain and grain products was 6.25 g/kg-d per capita and the men's intake rate was approximately 8% higher than that of the women. The average intake rate of meat and meat products was 1.62 g/kg-d per capita and the men's intake rate was 30% higher than that of the women, on average. The average intake rate of fish and shellfish was 1.53 g/kg-d per capita, and the age groups of 1 to 2 and 3 to 6 recorded higher capita intake rates than other age groups, 2.62 g/kg-d and 2.25 g/kg-d, respectively. The average intake rate of vegetables was 6.47 g/kg-d per capita, with the age group of 1 to 2 recording the highest per capita intake rate of 9.79 g/kg-d and that of 13 to 19 recording the lowest mean. The study also offers recommended values for food ingestion factors of other food groups by gender, age, and region. The food ingestion exposure factors will need future updates in consideration of ongoing changes in food consumption behavior.

• International Journal of Highway Engineering
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• v.18 no.6
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• pp.87-96
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• 2016

OBJECTIVES : A fog generated field test was conducted to analyze the relationship between different sizes of variable speed limit signs and the legibility distance under various fog density conditions. By using this study, appropriate sizes of signs can be selected depending on the density of fog. METHODS : An actual tunnel was selected as the area for this test, as other places cannot maintain the fog condition because of rapid air current. A total 121 subjects were recruited for this test, which took place over the course of four days. The test on the first day was conducted under normal weather conditions for comparison. Visibility-distance detecting sensor was used to measure the visibility distance due to the fog density time, simultaneously with the evaluation of legibility distance by subjects. RESULTS : The test results show the relationship between the different sizes of signs and the legibility distance corresponding to the visibility distance due to both non-fog and fog generated conditions. According to the technical test results, appreciable amount of reduction in legibility distance due to fog was resulted in all sizes of signs. Moreover, the legibility distance is reduced proportionately with the decrease in the visibility distance due to fog. CONCLUSIONS : The results of this study can be used to select appropriate sizes of valuable speed signs under fog conditions. Hence, drivers can expect to have more room to respond to adverse weather conditions, thereby reducing the risk of accidents.

• International Journal of Highway Engineering
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• v.18 no.6
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• pp.77-85
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• 2016

OBJECTIVES : A fog generated field test was conducted to analyze the relationship between the luminance of variable speed-limit signs and the legibility distance under various fog density conditions. By using this study, appropriate luminance values can be selected depending on the density of fog. METHODS : An actual tunnel was selected as the area to conduct the test, as other places cannot maintain the fog condition because of rapid air current. Ninety-two subjects were recruited for this test, which took place during the course of three days. Visibility-distance detecting sensor was used to measure the visibility distance due to the fog density time, simultaneously with the evaluation of legibility distance by subjects. RESULTS : The test results show the relationship between luminance values and the legibility distance corresponding to the visibility distance due to fog. According to the technical test results, lower luminance value such as $7000cd/m^2$ corresponds to less legibility distance compared to higher values such as $20000cd/m^2$ or $40000cd/m^2$. However, the amount of difference between $20000cd/m^2$ and $40000cd/m^2$ is negligible in our test. CONCLUSIONS : The results of this study can be used to select appropriate luminance of valuable speed signs under fog conditions. Hence, drivers can expect to have more room to respond to adverse weather conditions, thereby reducing the risk of accidents.

• Safety and Health at Work
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• v.7 no.4
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• pp.322-325
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• 2016

Background: Musculoskeletal disorders (MSDs) are a common problem among carpet weavers. This study was undertaken to introduce affecting personal and occupational factors in developing the number of MSDs among carpet weavers. Methods: A cross-sectional study was performed among 862 weavers in seven towns with regard to workhouse location in urban or rural regions. Data were collected by using questionnaires that contain personal, workplace, and information tools and the modified Nordic MSDs questionnaire. Statistical analysis was performed by applying Poisson and negative binomial mixed models using a full Bayesian hierarchical approach. The deviance information criterion was used for comparison between models and model selection. Results: The majority of weavers (72%) were female and carpet weaving was the main job of 85.2% of workers. The negative binomial mixed model with lowest deviance information criterion was selected as the best model. The criteria showed the convergence of chains. Based on 95% Bayesian credible interval, the main job and weaving type variables statistically affected the number of MSDs, but variables age, sex, weaving comb, work experience, and carpet weaving looms were not significant. Conclusion: According to the results of this study, it can be concluded that occupational factors are associated with the number of MSDs developing among carpet weavers. Thus, using standard tools and decreasing hours of work per day can reduce frequency of MSDs among carpet weavers.

• Journal of the Korea Institute of Information Security & Cryptology
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• v.27 no.1
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• pp.147-162
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• 2017

With the advent of various services and devices in the change of IT environment, increasing the complexity of the data, and increasing scale of IT, Many organizations are experiencing the difficulty of analyzing and processing with a large amounts of data for security situations awareness. Therefore, propose the enhancement of security situational awareness through visualization in order to solve the problems of slow response and security situational awareness in organizational risk management. In this paper, we selected the evaluation factors and alternatives for effective visualization by considering user type, situational awareness step, and information visualization attributes through various studies on visualization. And established AHP layer model. Based on this, by using the AHP method for solving the problem of multi-criteria decision making, by calculating the factors for effectively visualizing and the importance of alternative by factor, try to propose a visualization method that can improve the effectiveness of the security situational awareness according to the purpose of visualization and the type of user.

• The Journal of Pediatrics of Korean Medicine
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• v.31 no.4
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• pp.19-30
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• 2017

Objectives The study was conducted to evaluate the acupuncture treatment for burns by reviewing international randomized controlled studies and case controlled studies. Methods In the review, ten academic literature archives; NDSL, OASIS, PubMed, Cochrane library, CNKI, WANFANG, CINAHL, J-STAGE, CiNii, and EMBASE were used as the main databases to search for the randomized controlled trials or the case controlled trials about acupuncture treatment of burns using the keywords "burns AND acupuncture", "burn AND acupuncture", and "scald AND acupuncture". Results Initially, a total of 852 studies were founded except duplicate studies. 801 studies were excluded after screening of title and abstract. After reviewing 51 papers, a total of four randomized controlled trials and two case controlled trials were selected. These studies were analyzed by year, subjects, treatment intervention, evaluation criteria, treatment effect, adverse events, and 'Risk of Bias' assessment for randomized studies and non-randomized studies. From the six papers out of 51 papers those were reviewed, patients with burns were divided into two groups. The experimental group received acupuncture treatment, while the control group did not. The results of the completed studies have shown that the experimental group receiving acupuncture treatment demonstrated significant improvement compared to the control group, and there was no serious adverse events. Conclusions According to some of the studies, acupuncture in burn treatment is worth to try. However, additional well-designed randomized controlled studies will be required to justify the effectiveness of acupuncture treatment of burns.

• The Journal of Internal Korean Medicine
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• v.39 no.3
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• pp.338-349
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• 2018

Objective: The purpose of this study is to investigate recent clinical studies on the effects of acupuncture on dementia. Method: We searched RCTs (randomized controlled trials) using the database PubMed (2000-2018). Clinical RCT studies of acupuncture used to treat dementia in humans were included. Nine randomized controlled trials were included. Results: Various acupoints such as Baihui (GV20), Sishencong (EX-HN1), Fengchi (GB20), and Shenting (GV24) were used to treat symptoms. The studies reported a decrease in evaluation criteria, such as the Mini Mental State Examination (MMSE) and activities of daily living (ADL), for measuring cognitive ability. The acupuncture process, the results for outcome measure, and the effectiveness of studies were analyzed. We then assessed "risk of bias." Conclusions: Through this review, we found that acupuncture is applicable for the treatment of dementia. This can be used for future study.