• Journal of Digital Convergence
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• v.20 no.5
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• pp.857-866
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• 2022

The current study is a meta analysis study to identify the factors related to infection management performance and the effect size according to the factors. Data collection was included from the data of KMBASE, RISS, KISS, DBpia, National Library of Korea, Pubmed, and EMBASE. R3.5.1 was used for the data analysis. A total of 22 factors were identified. The meta analysis showed the effect size as follows: gender(.16), age(.30), education(.32), beds(.28), needs of education in infection management(.44), participating in education of infection management(.25), recognition/knowledge in infection management(.70). Based on the findings, evidence based programs need to be provided to improve the infection management performance of health workers at Long-Term Care Hospitals.

• Journal of Chest Surgery
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• v.57 no.1
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• pp.53-61
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• 2024

Background: In the treatment of esophageal cancer, a gastric conduit is typically the first choice. However, when the stomach is not a viable option, the usual alternative is a colon conduit. This study compared the long-term surgical outcomes of gastric and colon conduits over the same interval and aimed to identify factors influencing the prognosis. Methods: A retrospective review was conducted of patients who underwent esophagectomy followed by reconstruction for primary esophageal cancer between January 2006 and December 2020. Results: The study included 1,545 patients, with a gastric conduit used for 1,429 (92.5%) and a colon conduit for 116 (7.5%). Using propensity-matched analysis, 116 patients were selected from each group for comparison. No significant difference was observed in longterm survival between the gastric and colon conduit groups, irrespective of anastomosis level and pathological stage. A higher proportion of patients in the colon conduit group experienced postoperative complications compared to the gastric conduit group (57.8% vs. 25%, p<0.001). Multivariable analysis revealed that age over 65 years, body mass index below 22.0 kg/m², neoadjuvant therapy, postoperative anastomotic leakage, and renal failure were risk factors for overall survival in patients with a colon conduit. Regarding conduit-related complications, cervical nastomosis was the only significant risk factor among those with a colon conduit. Conclusion: Despite the association of colon conduits with high morbidity rates relative to gastric conduits, the long-term outcomes of colon conduits were acceptable. More consideration should be given perioperatively to the use of a colon conduit, particularly in cases involving cervical anastomosis.

• Journal of the Korean Applied Science and Technology
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• v.41 no.2
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• pp.498-507
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• 2024

In the field of mental health care, long-term healing programs have gained widespread recognition for their effectiveness in promoting well-being. However, the efficacy of shorter-term interventions, such as 1-night 2-day programs, remains relatively understudied. The primary objective of this initiative is twofold: firstly, to enhance the overall well-being and resilience of participants, and secondly, to investigate the program's potential to ameliorate specific mental health indicators. These indicators include physical stress levels, autonomic nervous system health, brain activity, brain stress, and concentration. A 1-night 2-day mental health healing program was implemented for 560 civil servants from Jeollanam-do (mean age 47.87 yrs). The focus was on measuring changes through baseline assessments before participation and post-program assessments upon completion. Measurements included physical stress index, autonomic nervous system health, brain activity level, brain stress, and brain concentration. There was a significant decrease in physical stress, as well as a significant decrease in autonomic nervous system health (p<0.05). Although there was no significant difference in brain activity level, there was a tendency for brain activity level to stabilize in the high-frequency range. Additionally, a significant decrease in stress levels and an improvement in concentration were observed. Incorporating 1-night 2-day relaxation programs into our daily lives offers a holistic approach to caring for both our physical and mental health, providing essential moments of rejuvenation and self-care that contribute to overall well-being and fulfillment.

• Korean Journal of Health Education and Promotion
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• v.24 no.5
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• pp.69-85
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• 2007

Purpose: The purpose of this study is to clarify the traits of differences supposed as secular differences in physical growth between samples of children and youth in 1999 and 2005, and to identify the need of children and youth for health promotion. Methods: Two samples of different cohort were selected. The first one was consisted of 231 boys and 346 girls in 1999. And the other was consisted of 171 boys and 400 girls in 2005. Then the longitudinal growth distance data were collected from their cumulative health examination records. Results: The 2005 were larger in growth distances of stature, body weight, sitting height, and chest girth a at all ages from 6 to 16 in both boys and girls, so it could be concluded that a certain positive shift in growth process appeared in such a short duration. The 2005 were larger in growth velocity before peak age and also after peak age in body weight, but only in the term after peak age significant secular differences were found in stature for both sexes. As far as the growth distance concerned, the 2005 boys were ahead of the 1999 boys from 0.28-1.02 years and the 2005 girls from 0.32 to 0.81 years. In growth distance. Only in peak velocity, significant secular change was recognized in both sexes, any positive evidences of appearance of secular change were not found in peal age. In such derived physical indices as BMI, body weight index, sitting height index, and chest girth index, obvious evidences of secular change appearance were found.

• Korean Journal of Childcare and Education
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• v.8 no.6
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• pp.29-55
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• 2012

The main purpose of this study is to examine the relationship between infants' early adjustment and later adjustment in childcare centers and to analyze the mothers' adjustment support strategies. The subjects consisted of 244 infants from newborns to 36 months old and their mothers and childcare teachers of public childcare centers. The results of the study were as follows. First, there was a significant difference according to infants' age in mothers' adjustment support strategies. The more mothers use appropriate strategies for adjustment earlier in childcare centers, the better infants showed adjustment according to infants' age respectively. Second, there was a significant difference between the early adjustment(Time1) and the later adjustment(Time2) of infants. Third, mothers' adjustment support strategies affected on infants' later adjustment in childcare centers. These results show that appropriate mothers' adjustment support strategies were related to infants' adjustment by age longitudinally. The implications of these results indicate that developing adjustment programs including effective strategies for infants' mothers in childcare centers considering their demographic characteristics and specified needs is needed.

• The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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• v.26 no.3
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• pp.65-76
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• 2013

Objective : The purpose of this study is to report the effectiveness of a long-term Korean Medicine Treatment on 511 atopic dermatitis patients. Methods : Total 511 atopic dermatitis patients, who has visited oriental medical clinics from 2011.1.9 to 2012.1.31 and continued treatment 3 month to 9 month were analyzed by Objective SCORAD Index(OSI). Subanalysis of OSI were done according to gender, age, treatment period, and intensity. Results : 1. Male and female percent was 42.5:57.5. Age percent was 0 to 11:12 to 18:above 19=30:16.6:53 and 41.9% was steroid users. 2. OSI Improvement rate was significantly higher in women than men after 3 month of treatment, but not significant after 6, 9 month of treatment. 3. There was no improvement difference of OSI among the age. 4. OSI was significantly lower after 3, 6, 9 month of treatment. Average post-treatment score was lowest in 9 month treatment group. 5. 86.7% of total patients reported decrease in OSI score at the final visit. 6. 85.9% was severe, 13.5% was moderate, and 0.6% was mild by OSI intensity assessment at initial visit. The percent changed at final visit to 37% severe, 54.2% moderate, and 8.8% mild. 7. Patient diagnosed as OSI intensity severe at first visit, their average treatment period was 6.58 months and final improvement rate was 36.27%. Conclusion : A significant percent of Atopic dermatitis patients who were treated with Korean Medicine Treatment reported decrease in OSI. There was significant decrease in OSI before and after 3, 6, 9 month treatment. The difference increased with the treatment period.

• Journal of the Korea Concrete Institute
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• v.21 no.4
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• pp.449-455
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• 2009

The increase of industrial carbonic dioxide emissions has accelerated the carbonation of reinforced concrete structures, which drops off their durability. Although advanced countries have already taken safety control measures against the carbonation of RC structures, it is still difficult now to accurately predict the actual carbonation depth. Additionally, it requires much time and efforts. Recently, it is possible to get the data more rapidly through accelerated carbonation test with the $CO_2$ concentration of 100%. In this paper, the carbonation test results obtained by two test methods such as the normal carbonation test method and the accelerated carbonation test method, were compared to investigate the carbonation characteristics of fly ash concrete. The accelerated carbonation test on concrete specimens with the pre-curing age of 180 days was also carried out to examine the carbonation characteristics of fly ash concrete at long-term age. Consequently, fly ash concrete at early age was vulnerable to carbonation and however, its carbonation resistance at long-term ages was improved compared with OPC concrete.

• Advances in pediatric surgery
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• v.14 no.1
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• pp.67-74
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• 2008

The usefulness of totally implantable central venous port for long-term intravenous infusion is widely accepted in children. Usually the catheters are placed through the internal or external jugular vein. In case of jugular vein cut-down, two separate incisions are needed for catheter and port respectively. Patients also feel uncomfortable as the catheter run through the neck. However these disadvantages can be overcome by using the cephalic vein (CV). We reviewed our experiences on CV cut-down for totally implantable central venous port in children. From January 2002 to December 2006, 201 patients (M:F=127:74) underwent 218 central venous port insertions. Mean age at operation was 5.9 years (2 months - 19 years). Indications included chemotherapy (N=167), long-term intravenous antibiotics infusion (N=36), and total parenteral nutrition (N=15). CV was selected preferentially. The incision includes the deltopectoral triangle laterally, and both the CV cut-down and port insertion were achieved with a single incision. The number of insertion through external, internal jugular vein, and CV was 77, 66 and 75, respectively. The median age, height and body weight were higher in CV cut-down group. The youngest age for CV cut-down was 8 months, the shortest height was 69 cm and the smallest body weight was 5.9 kg. Of 118 trials of CV cut-down, cut-down was successful in 75 cases (63.6 %). CV was absent in 10 cases(8.4 %) and CV was sacrificed after catheter tip malposition in 10 cases (8.4 %). There was only one complication, in which the catheter was inserted into the minute branch of subclavian artery. The CV cut-down method for totally implantable central venous port was safe and feasible in selected groups of patients in children. In addition, preservation of jugular vein and a more favorable cosmetic effect are other benefits of CV cut-down.

• Journal of the Korea Convergence Society
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• v.12 no.5
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• pp.337-344
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• 2021

To determine the impact of long-term social distancing and isolation from COVID-19 on the area of adult occupational performance, targeting adults in their 20s to 60s distributed nationwide for 2 months from November 2020 to December 2020. A questionnaire based on the occupational therapy execution system was constructed and investigated. A total of 270 people responded to the questionnaire, and the survey method was an online questionnaire. As a result of the analysis, there were significant differences in both occupational performance and satisfaction before and after COVID-19 in 33 (75%) of 45 items in 9 areas of the occupational performance area. There were significant changes in performance and satisfaction by age group in all age groups in health management, social participation, leisure, and work. In particular, those in their twenties showed the greatest change in performance and satisfaction in the leisure domain, while those in their 30s and 60s showed the greatest change in both the performance and satisfaction in the leisure domain. Along with these changes, the survey subjects recognized that their occupational performance and satisfaction were lower than before COVID-19 was a problem and confirmed that they are willing to improve. As COVID-19 is still a pandemic, it is necessary to involve experts in each area and follow-up studies to improve the differences by occupational performance area and age, which have changed due to long-term social distancing and isolation.

• Economic Analysis
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• v.25 no.4
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• pp.58-108
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• 2019

This paper analyzes the determining factors in the unemployment rate among young people in their 20s by studying data from 30 OECD countries between 2000 and 2017. It identifies reasons why Korea has a higher youth unemployment rate than Japan, and assesses what implications Japan's youth unemployment measures could have on Korea. The study highlights the variables that have meaningful impacts on youth unemployment. They include the unemployment rate among the working-age population, the percentage of each age bracket in the overall population, the GDP growth rate, the percentage of wage laborers in each age group, the percentage of elderly people, and the percentage of part-time workers. This paper also finds that a decline in the youth population, especially among people in their 20s, does not help to address the issue of youth unemployment. Secondly, this paper explains the additional factors behind Korea's higher youth unemployment rates. One is Korea's disadvantageous employment environment, compared to that in Japan, in terms of wage earnings. Other factors include the existence of fewer decent corporate jobs than in Japan, and wide disparities in wages between large and small corporate jobs. Therefore, while making efforts to resolve long-term and structural problems, it is necessary to actively promote policy measures to solve short-term mismatch problems of youth employment by referring to Japanese policy examples.