• The Journal of Korean Obstetrics and Gynecology
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• v.22 no.2
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• pp.209-221
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• 2009

목 적: 이 논문은 제왕절개 분만을 위한 척수마취로 인해 수술 중 또는 그 후에 발생할 수 있는 오심 및 구토에 대한 침관련 치료의 항구토 효과를 규명하기 위한 계통적 리뷰 논문이다. 방 법: 제왕절개 분만을 위한 척수마취로 인해 발생할 수 있는 오심 및 구토를 예방하기 위한 침관련 치료에 대한 randomized clinical trials(RCT's)를 검색하기 위해 2008년 3월까지 수록된 6개의 데이터베이스(MEDLINE, EMBASE, The Cochrane Library, CINAHL, AMED and PsycINFO)를 검색하였다. 논문의 선정 기준은 원저이며, 플라시보 대조군을 설정한 무작위 임상시험이고, 오심 또는 구토에 대한 결과가 실려 있는 것으로 하였다. 결 과: 총 5개의 논문을 선정하였으며 각 논문들의 연구방법은 일반적으로 좋은 편이었다. 5개의 논문들을 종합한 결과는 수술중 오심 발생률(OR=0.468, 95%CI:0.250 -0.876, P=0.018), 수술 후 오심 발생률(OR=0.616, 95%CI:0.042-0.942, P=0.026), 수술 후 구토 발생률(OR=0.640, 95%CI:0.432-0.948, P=0.026)이 침관련 치료군이 대조군에 비해서 통계적으로 의미있게 적었다. 결 론: 본 문헌 고찰을 통해 제왕절개 수술을 위해 시행한 척수 마취로 인해 수술중 또는 수술후 발생한 오심 및 구토에 대해 침관련 치료가 예방효과가 있음을 밝힐 수 있었다.

• The Journal of Korean Obstetrics and Gynecology
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• v.22 no.1
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• pp.148-160
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• 2009

Purpose: We intended to observe the correlations between Primary dysmenorrhea severity and Questionnaires for Blood Stasis Pattern. Methods: After initial approval by Kyung-Hee University Oriental Medical Hospital Institutional Review Board of Clinical Trials, volunteers for the clinical trial were recruited. We selected the 52 primary dysmenorrhea patients by the screening tests (clinical examination and inquiry). The severity of dysmenorrhea was evaluated by VAS (Visual Analog Scale), VRS (Verbal Rating Scale) & MVRS (Multidimensional Verbal Rating Scale). The severity of Blood Stasis was evaluated by Questionnaires for Blood Stasis Pattern. For statistics, we used Spearman's rho correlations, SPSS 13.0 for windows. Results: In case of VAS, though two items (眼瞼下靑紫, 便黑) of Questionnaires for Blood Stasis Pattern were correlated, total score & discriminant function score of Questionnaires for Blood Stasis Pattern were not correlated. In case of VRS, though two items (小腹痛, 夜間痛) of Questionnaires for Blood Stasis Pattern were correlated, total score & discriminant function score of Questionnaires for Blood Stasis Pattern were not correlated. In case of MVRS, though one items (久痺症) of Questionnaires for Blood Stasis Pattern were correlated, total score & discriminant function score of Questionnaires for Blood Stasis Pattern were not correlated. Conclusion: Though the results showed partial correlation of Primary dysmenorrhea severity and Questionnaires for Blood Stasis Pattern, we need further study after improvement and complementation of Questionnaires for Blood Stasis Pattern.

• Journal of Industrial Convergence
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• v.21 no.3
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• pp.57-64
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• 2023

As the technology advances and convergence progresses, companies are increasingly interested in the appropriability mechanism. Therefore in this study tried to understand the effectiveness of the appropriability mechanism of domestic IT companies. To this end, 7 appropriability mechanisms were finally derived and empirically analyzed from a review of previous studies and experts. As a result of the analysis, the importance of lead time advantage, patent, secrecy, complementary sales and service, design registered, complementary manufacturing, and learning curve effect was shown in the order of SW companies. HW companies, the importance of patent, secrecy, lead time advantage, design registered, complementary sales and service, learning curve effect, and complementary manufacturing were shown in the order of importance. Also patent, secrecy, and lead time advantage was selected as important factors. The results of in this study are expected to be used as useful guidelines on establishing an appropriability mechanism strategy in companies.

• Korean Journal of Clinical Pharmacy
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• v.32 no.1
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• pp.13-19
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• 2022

Background: The use of combination therapy and fixed-dose combination therapy is increasing for the treatment of type 2 diabetes. Sodium glucose cotransporter-2 inhibitor (SGLT2i) is a drug class used in combination with metformin. Methods: Type 2 diabetes patients on SGLT2i/metformin combination therapy were extracted from the 2019 Health Insurance Review & Assessment Service-National Patients Sample. On July 1, 2019, SGLT2i and metformin fixed-dose combination (SGLT2i/metformin FDC) and two-pill combination (TPC) groups were identified, and a chi-square test and multiple logistic regression were performed. Results: Of total 2,992 patients, 1,077 (36%) were prescribed SGLT2i/metformin FDC and 1,915 (64%) were prescribed TPC. We found that the most common comorbidities were in the order of dyslipidemia, gastrointestinal disease, and hypertension. Multiple logistic regression analysis showed that the use of SGLT2i/metformin FDC was lower than TPC in patients with diabetic neuropathy (OR=0.76, p=0.008). Clinic (OR=2.09, p<0.001) and general hospital (OR=1.40, p=0.019) showed higher tendency to prescribe SGLT2i/metformin FDC compared to tertiary hospital. The tendency of prescribing SGLT2i/metformin FDC was lower in Kyeonggi (OR=0.79, p=0.037), Gyeongsang (OR=0.77, p=0.025) and Chungcheong (OR=0.68, p=0.007) than Seoul. Conclusion: Factors related to the use of SGLT2i/metformin FDC in patients with type 2 diabetes were complication, medical institution and region. The tendency to prescribe SGLT2i/metformin FDC was relatively higher in clinics than in tertiary general hospitals and in Seoul than in other regions.

• Journal of Digital Convergence
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• v.20 no.1
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• pp.265-275
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• 2022

This study analyzes and categorizes the cases of military look's transitional design ideas in recent women's fashion collections, and derives characteristics. The research method is a theoretical review of military look and an analysis of fashion collection cases. The research results were classified into a total of six transformational design ideas. As a structural change in design, it is a decentralized type, a type of expansion and reduction, a change in the entire material, or a transition of some materials, and finally a type according to heterogeneous harmony and organic combination corresponding to styling. Finally, a total of three characteristics are the reconstruction of structural elements, the expansion of the metric of the second mix match, and the emotional fusion of styling. I hope that the study of the transformative type of idea of the new military look will be the driving force for creative design development and will be a basic study that can read the current status and changes of the times throughout fashion design.

• Korean Journal of Clinical Laboratory Science
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• v.54 no.1
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• pp.73-77
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• 2022

Blood products (BPs) can only be obtained through blood donation and hence represent a finite resource. BPs should therefore be used conservatively. However, BPs are being used indiscriminately without evidence. The purpose of this study was to evaluate the reasons for the use of BPs and their appropriateness. The investigation was carried out based on hemoglobin levels. Data were obtained from Nov 1, 2020, to Oct 31, 2021, from a hospital's OCS/EMR systems. The BPs were dispensed in 21,303 cases, and the number of hemoglobin levels >7.0 g/dL or higher among red blood cell drugs used by each treatment department was 1,173 (>7.0 g/dL). The misuse of blood transfusions is increasing social costs, with the adequacy of transfusion becoming increasingly important. Hence, each medical institution should review the transfusion guideline evaluation index, check the status of the release of BPs, and institute educational programs covering transfusion guidelines and continually evaluate their adequacy.

• Korean Journal of Clinical Pharmacy
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• v.32 no.1
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• pp.37-46
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• 2022

Background: Non-valvular atrial fibrillation (NVAF) is associated with ischemic stroke risk in the aging population. Observational studies have indicated beneficial effects of direct-acting oral anticoagulant (DOAC) against ischemic stroke compared to warfarin. This study aimed to investigate ischemic stroke incidence and bleeding risk in patients on DOAC therapy. Methods: Using the database of Korean Health Insurance Review and Assessment-Aged Patient Sample 2015, we conducted a retrospective cohort study. Study subjects with NVAF diagnosis and prescribed anticoagulants were enrolled. Propensity score (PS) matching by age, sex, comorbidities, and medications were used. The clinical outcomes were major adverse cerebro-cardiovascular events (MACCEs, ischemic stroke/systemic embolism, myocardial infarction, cardiac death) and bleeding events. A cox proportional hazard model analysis was performed to compare the outcomes with hazard ratio (HR) and 95% confidence interval (CI). Results: Total 4,773 elderly patients with NVAF were initially included. Four PS-matched groups including rivaroxaban vs. warfarin-only (n=1,079), dabigatran vs. warfarin-only (n=721), rivaroxaban vs. dabigatran (n=721), and switchers of warfarin to rivaroxaban vs. warfarin-only (n=287) were analyzed. Every group showed statistically similar results of MACCEs and bleeding events, except for the group of rivaroxaban vs. dabigatran. Rivaroxaban users showed higher risks of bleeding events than dabigatran users (HR 2.25, 95% CI 1.01-4.99). Conclusion: In the elderly patients with NVAF, efficacy and safety outcomes among oral anticoagulants including DOACs and warfarin were similar, while rivaroxaban are more likely to have higher bleeding risks than dabigatran. Further research using large size sample is needed.

• Environmental and Resource Economics Review
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• v.31 no.1
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• pp.31-50
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• 2022

This paper estimates the price of standard waste bags that satisfies the polluter pays principle. Unlike previous studies, this paper suggests a method that can find new equilibrium prices using a structural relationship between the demand and cost function for the wastes. To do this, we employ the fixed-point iteration. The main findings of this paper are as follows. Assuming that the polluter pays principle is achieved at the average cost for the waste treatment, the price need to be set at a level about 3.12 times higher than the current one. The estimation result using a structural model, however, shows that the price should be set at a level four times higher than the present. This results are because the quantities reduced of the wastes make the cost per quantity of wastes due to the fixed costs increase. If applying the estimated price to the demand function, the amount of discharge of waste generated nationwide can be reduced by 10%.

• Journal of the Korean GEO-environmental Society
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• v.23 no.4
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• pp.29-39
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• 2022

In order to solve the serious traffic congestion in seoul metropolitan city, large-scale underground space development such as underpasses, deep underground roads, and GTX (Great Train eXpress) is being carried out. In order to minimize the impact of the adjacent seoul metro line A pier foundation and stability due to the construction of the underground road in Seoul, earth retaining structures were reinforced and the foundation was reinforced as well. In this study, three-dimensional finite element mehtod analysis was performed to evaluate the effect on adjacent construction and to review the stability of the underpass excavation work. The reinforcement effect was quantitatively analyzed through numerical analysis. As a result of the analysis, compared to the result of performing the existing reinforcement when overlapping CIP and ground reinforcement grouting were performed, the displacement of the earth retaining structures was reduced by more than 50%, and stress of the foundation piles were also reduced by more than 45%. Based on the analysis of the numerical analysis results, it was confirmed that the displacement of the walls of earth retaining structures during adjacent construction should be strictly controlled.

• Environmental and Resource Economics Review
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• v.31 no.1
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• pp.51-83
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• 2022

Renewable Portfolio Standards (RPS), one of the most commonly adopted regulation for renewable energy expansion since 2012, has the obvious advantage of inducing competition in power generation source and alleviating the government's financial burden. However, the abuse of credit multipliers and the use of national Renewable Energy Credits (RECs) have resulted in the distortion of RPS as a quantitative control policy. Just as no face value 10 years ago can hold its real value, this paper highlights for the first time that 27.8% of total renewable obligations over the total RPS period were not actually met due to REC inflation and the consequent decline in the value of renewable energy generation. In addition, the distortion of face/real value of REC causes problems in interoperability with other government policies such as RE100 and Emission Trading System.