Spinal Cord Injury Fact Sheet in Korea

Han-Kyoul KIM,Ja-Ho Leigh,Yoonjeong Choi,Jong Hwa Lee,Moon Suk Bang 대한재활의학회 2023 Annals of Rehabilitation Medicine Vol.47 No.1

Spinal cord injury (SCI) has been recognized as a medically complex and life-disrupting condition. As the aging of the population accelerates, the trend of SCI has changed. This review aimed to provide comprehensive statistics and recent epidemiological changes in SCI and rehabilitation in Korea. All three insurance databases (National Health Insurance Service [NHIS], automobile insurance [AUI], and industrial accident compensation insurance [IACI]) were considered. These nationwide databases provide data on the current trends in term of incidence, etiology, and rehabilitation of SCI. Traumatic spinal cord injury (TSCI) was more frequent among the elderly in the NHIS compared to working age individuals in the AUI and IACI. In all three trauma-related insurance databases, male with TSCI outnumbered female. TSCI incidence per year was approximately 17 times higher among males than females, on average, in IACI. In all three insurances, the cervical level of TSCI was the most frequent. Although the ratio of SCI patients receiving rehabilitation treatment at primary and secondary hospitals increased for nine years, the increase in training on activities of daily living (ADL training) was found to be relatively small. This review provides a broader and comprehensive understanding of the incidence, etiology, and rehabilitation treatment of SCI in Korea.

Thickness Dependence of Spin-orbit Field in Ferromagnetic Semiconductor GaMnAs films

Kyoul Han,Kyung Jae Lee,Kyung-Mo Kim,Sanghoon Lee,Xinyu Liu,Margaret Dobrowolska,Jacek K. Furdyna 한국자기학회 2022 한국자기학회 학술연구발표회 논문개요집 Vol.32 No.2

Field-free spin orbit torque magnetization switching in composition graded GaMnAsP

Hyunjin Kim,Kyung Jae Lee,Kyoul Han,Sanghoon Lee,Xinyu Liu,Margaret Dobrowolska,Jacek K. Furdyna 한국자기학회 2022 한국자기학회 학술연구발표회 논문개요집 Vol.32 No.2

Comparison of Trends in the Incidence of Traumatic Spinal Cord Injury in Daily Life, Automobile Accidents, and Industrial Accidents: A National Multi-Insurance Study in Korea

Choi Yoonjeong,Kim Young-Eun,Leigh Ja-Ho,Lee Ye Seol,Kim Han-Kyoul,Yi You Gyoung,Lee Jinyoung,Lee Min-Yong,Lee Gangpyo,신형익,방문석 대한의학회 2023 Journal of Korean medical science Vol.38 No.7

Background: To examine the incidence of traumatic spinal cord injury (TSCI) from all etiologies, we measured and compared the incidence of TSCI from three national or quasinational databases in South Korea, namely, the National Health Insurance Service (NHIS), automobile insurance (AUI), and Industrial Accident Compensation Insurance (IACI). Methods: We reviewed patients with TSCI reported in the NHIS database between 2009 and 2018, and in the AUI and IACI databases between 2014 and 2018. TSCI patients were defined as those first admitted to the hospital with a diagnosis of TSCI according to the International Classification of Diseases (10th revision) criteria. Age-adjusted incidence was calculated using direct standardization using the 2005 South Korean population or the 2000 US population as the standard population. The annual percentage changes (APC) of TSCI incidence were calculated. The Cochrane–Armitage trend test was performed according to the injured body region. Results: In the NHIS database, age-adjusted TSCI incidence using the Korean standard population increased significantly from 2009 to 2018 (from 33.73 per million in 2009 to 38.14 per million in 2018, APC = 1.2%, P = 0.014). Contrarily, age-adjusted incidence in the AUI database significantly decreased from 13.88 per million in 2014 to 11.57 per million in 2018 (APC = – 5.1%, P = 0.009). In the IACI database, the age-adjusted incidence showed no significant difference, while crude incidence showed a significant increase (from 22.02 per million in 2014 to 28.92 per million in 2018, APC = 6.1%, P = 0.038). According to the age group, all the three databases showed high incidences of TSCI in those in their 60s and 70s or older. Among those in their 70s or older, the incidence of TSCI increased dramatically in the NHIS and IACI databases, while no significant trend was found in AUI database. In 2018, the number of TSCI patients was the highest among those over 70 years of age in the NHIS, whereas among those in their 50s were the highest in both AUI and IACI. The proportion of patients with cervical spinal cord injury was the most common in all these databases. Conclusions: The differences in trends in the incidence of TSCI may be due to the different etiologies and different characteristics of subjects depending on insurance type. These results imply the need for tailored medical strategies for the different injury mechanisms represented by three national insurance services in South Korea.

Microstructural investigation of phases and pinning properties in MBa₂Cu₃O_7−<i>x</i> (M?=?Y and/or Gd) coated conductors produced by scale-up facilitie

Jin, Hye-Jin,Moon, Han-Kyoul,Yoon, Seokhyun,Jo, William,Kim, Kunsu,Kim, Miyoung,Ko, Rock-Kil,Jo, Young-Sik,Ha, Dong-Woo IOP 2016 Superconductor science & technology Vol.29 No.3

<P>To expedite the commercialization of coated conductors, a robust stacking architecture of the wires must be developed and the performance of the critical currents improved. More importantly, the manufacturability, or large-scale delivery, and the capability of sustaining production at a high rate must be considered. The products of three companies, American Superconductor, Superpower Inc., and SuNAM Co., Ltd, were selected because these companies have announced commercial-grade production lines and delivered a significant amounts of wires to the open market that meet the standards demanded by power devices. X-ray diffraction patterns were used to verify the structural properties and the phase formation in the wires, and transmission electron microscopy with energy dispersive spectroscopy was used to investigate the microstructure and composition of the conductors. In addition, Raman scattering spectroscopy was used for the analysis of the phase formation and for the elucidation of secondary phases in the superconducting layers. The field dependence of the critical current was also studied to compare the transport characteristics under relatively low and medium magnetic field at 77 K and 60 K. Pinning forces were obtained from the field dependence of transport properties and pinning characteristics were investigated. The theoretical and experimental analyses were combined together using the Dew-Hughes formula to extract the scaling exponents and estimate the irreversibility lines of the fields. The results showed that the three conductors possess pinning mechanisms that originate from core pinning with a surface pinning geometry. It is remarkable that the wires discussed in this paper exhibit very similar pinning characteristics even though they have different characteristics in terms of chemical composition, microstructure, stacking architectures, and distribution of parasitic phases.</P>

암 환자 재원일별 진료비 발생 양상에 미치는 결정요인

김한결,이경숙,김용하,김광환,Kim, Han-Kyoul,Lee, Kyoung-Sook,Kim, Yong-Ha,Kim, Kwang-Hwan 한국융합학회 2011 한국융합학회논문지 Vol.2 No.4

본 연구는 암질환에 대한 치료방법과 그들의 재원일수, 진료비 사이의 상관관계를 규명하여 해당 암환자에 대한 합리적 관리방안을 제언하고자 하였다. 조사대상은 2010년 1월 1일부터 2010년 6월 30일까지 6개월 동안 국내 K 대학병원의 입원환자 중 유방암과 자궁암 환자 가정의학과 환자 144명을 대상으로 하였다. 분석결과 연령별로는 40~49세군이 34.0%로 가장 높게 나타났고, 입원경로를 보면, 응급 97.9%, 외래 2.1%로 외래보다 응급이 월등히 높을 분포를 보였다. 유방암 환자의 성분행렬은 보면, 주성분은 2개의 축으로 구성되었다. 제 1성분과 관련된 요인으로는 연령을 제외한 모든 변수간에 상관성으로 나타났다. 이상과 같은 결과 진료방법이 비슷하거나 유사한 종류 및 질환들은 DRG 도입도 필요할 것으로 사료된다. This Study is to propose the resonable management for cancer patients by identifying correlation among the treatment, their length of hospital stay and medical charges. Research subjbject is 144 patient that breast cancer, uterine cancer and Family Medical patients of inpatients in K University Hospital in Korea during six month, from January 1, 2010 to June 30, 2010. The analysis shows that the emergecy is superior range thag outpatient because each of them has 97.9%, 2.1% by looking at the path to admission. And the age of 40-49 is the higest group by age. When matrix components of breast cancer patients, principal component is composed of two axes. Factors associated with the first component appeared correlations between all variables without the age. Following results, this study is considered similar types of disease or treatments are need to introduce the DRG.

손상감시를 위한 핵심데이터 선정과 보완

임준규,김한결,이현실,Lim, Joon-Kyu,Kim, Han Kyoul,Rhee, Hyun-Sill 한국디지털정책학회 2020 디지털융복합연구 Vol.18 No.9

손상부담은 우리사회에서 매우 심각한 것으로 널리 인식되고 있다. 그럼에도 불구하고 손상감시에 필요한 데이터가 충분하지 않다. 이 연구의 목적은 손상감시를 위해 핵심 데이터를 선택하고 보완하는 것이다. 이를 위해 본 연구에서는 통계품질 6가지 차원에 따라 '사망원인통계', '건강보험통계', '퇴원손상조사'에 대한 품질평가보고서 등의 문헌을 분석 하였다. 분석결과는 '사망원인통계'와 '건강보험통계'가 손상감시를 위한 핵심데이터로서 유용성이 있다는 것이다. 그러나 '건강보험통계'에는 손상외인에 대한 데이터가 부족하다는 단점이 있다. 단점을 보완하기 위해, 본 연구에서는 국민건강보험 의료비 청구 시 의료기관이 손상외인을 의무적으로 신고하도록 하는 제도를 제안한다. 이 제도의 결과로서 우리는 '손상 피라미드 구축', '국민연금과의 데이터 연계', '손상 데이터의 시의성 향상'을 기대할 수 있다. 그리고 이 제도 실현을 위한 후속 연구를 기대한다. The burden of injury is widely considered to be very severe in our society. Nonetheless, we don't have enough data for injury surveillance. The objective of this research is to select and supplement CORE DATA for injury surveillance. For this purpose, this study had analyzed the literature such as the Quality Assessment Report about 'Causes of Death Statistics', 'Health Insurance Statistics' and 'Hospital Discharge Injury Surveillance' according to the six dimension of Statistics Quality. The analysis result is that 'Cause of Death Statistics' and 'Health Insurance Statistics' have the usefulness as the CORE DATA for injury surveillance. But there is a significant shortcoming in the Health Insurance Statistics, which is that there is a lack of the data about the external causes of injury. For supplementing the defect, this study proposes the system that the medical institutions should obligatorily report the external causes of injury when claim National Health Insurance Medical Care Expenses. As the results of this system, we can expect 'Establishing of Injury pyramid', 'Data Connecting with the National Pension' and 'Improving the Promptness of Injury Data'. And we expect the follow-up study for the realization of this system.