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Analysis of Factors that will Ensure Effective Health Care Delivery System (효율적인 의료전달체계 확보를 위한 요인 분석)

  • Rhee, Hyun-Sill;Kim, Mi-Sun;Oh, Jin-Yong;Lee, Seung-Yoon;Jeong, Dong-Jin;Lee, Tae-Ro
    • Journal of Digital Convergence
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    • v.10 no.6
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    • pp.303-310
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    • 2012
  • In order to analyze factors that support effective health care delivery system, this study aimed to research general public's perception on the functions of medical institutions(based on the levels of treatment: primary care, secondary care, and tertiary care), choices of medical institution when contracted with an unfamiliar disease, and recognition of diseases based on their severities. We collected data using self-administered survey from 400 general public living in Seoul, S. Korea from April 25 to May 18, 2011. The analysis was conducted using frequency analysis, chi-square test, and t-test; we analyzed the data to see if there are differences based on gender, age, and level of education. The result of both recognition of functional differences of medical institutions and selection of medical institutions when contracted with unfamiliar diseases showed that there were no significant differences based on the gender; however there were significant differences when considering the age and education. Looking at the result of the knowledge of the disease classification based on its severity, there were significant differences in age, gender, and education. In order to provide sustainable and effective health care delivery system, utilization of primary care as well as education and promotion regarding the functional differences of medical institutions and classification of disease based on its severity need to be encouraged.

The Flora in Chungnyeongsan and Seorisan (경기도 축령산과 서리산 일대의 식물상)

  • 이유미;김성식;조동광;정승선
    • Korean Journal of Environment and Ecology
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    • v.16 no.1
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    • pp.104-123
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    • 2002
  • The flora survey on Chungnyeongsan and Seorisan was conducted 6 times from 1998 to 2000.817 taxa such as 112 families 415 genera 688 species 1 subspecies 116 varieties 12 forma were recorded. Dominant species in investigated areas was Quercus mongozica and some deciduous broad-leaved species, such as Quercus sp., Acer sp., Fraxinus sp., Carpinus sp., etc. were codominant species in these areas. Pinus koraiensis and Larix teptozepis plantations were also found in these areas. The 16 taxa of rare plants protected by Forestry Service were found in these areas and among them 10 taxa were new populations which had not been recorded in these areas. Discovery of Erunthis stellata, Aconitum koreanum, Paeonia japonica, Scopotia japonica and Acunthopanax senticosus populations indicate that these areas could be regarded as very important one in a biogeographical aspect. Endemic plants were listed 35 taxa and among them 22 taxa including Corydalis maculata, Ulmus macrocarpa, Scrophutaria horuiensis, Cirsium setidens, etc. were new one. Naturalized plants were listed 39 taxa and among them 30 taxa were new one. Lower naturalized index(NI) and higher urbanized index(UI) were recorded compared to those of neighbored areas. There were many kinds of threatening factors fur the plant resources in survey areas, so it is necessary to limit the number of visitors and to introduce the natural relaxation system.

An Interactive Approach to Categorize Questions on the Internet BBSs (인터넷 게시판 질문 분류를 위한 인터랙티브 접근방법에 관한 연구)

  • Jae-Kwang Lee;Seong-Ho Noh;Ok-Hyun Ryou
    • The Journal of Society for e-Business Studies
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    • v.8 no.3
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    • pp.177-195
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    • 2003
  • In a traditional customer support environment, mainly call centers or service centers are responsible for receiving inquiries from their customers via telephone calls. Due to the rapid growth of Internet with its widespread acceptance and accessibility, means of communication with customers in the traditional customer support center, such as telephones, letters, and direct-visiting, have been replaced by e-mails and bulletin board systems (BBSs) using the Internet constantly. BBSs are basically question and answer systems, they require some lead time to get answer from administrator. To reduce lead time, BBSs enable remote customers or users to log on and tap into a knowledge database that is generally formatted in the form of Frequently Asked Questions (FAQs) that provide answers and solutions to the common problems. And, many different types of the questions are mixed on the BBS. It is a burden to administrator. To build FAQs and to support BBS adminstrator, a supporting tool which is to categorize questions is helpful. In this research, we suggest an interactive question categorizing methodology which consists of steps to present question using keywords, identifying keywords' affinity, computing similarity among questions, and clustering questions. This methodology allows users to interact iteratively for clear manifestation of ambiguous questions. We also developed a prototype system, IQC (interactive question categorizer) and evaluated its performance using the comparison experiments with other systems. IQC is not a general purposed system, but it produces a good result in a given specific domain.

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COGNITIVE CHARACTERISTICS OF ADHD CHILDREN ASSESSED BY KEDI-WISC (주의력결핍과잉활동장애 아동의 인지적특성)

  • Shin, Min-Sup;Oh, Kyung-Ja;Hong, Kang-E
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.1 no.1
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    • pp.55-64
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    • 1990
  • The purpose of the present study is to investigate cognitive characteristics of ADHD children by comparing their performances on KEDI-WISC according to age and EEG variables. Subjects were 56 ADHD children who visited Seoul National University Children's Hospital during the period from January, 1988 to March, 1989. Group differences on age and EEG variables were tested by ANOVA, and Hierarchical Cluster Analysis was performed to investigate how ADHD children were classified based on their performances on KEDI-WISC. The results Indicated that ADHD children showed low scores on Coding, Digit Span, and Comprehension subtests, suggesting their attention deficits and impulsivity. ADHD children were clustered Into three groups based on only FSIQ. In post-hoc tests three groups showed different cognitive strengths and weaknesses on KEDI-WISC. Group differences on age were not significant, and abnormal EEG group showed lower PIQ than normal EEG group, suggesting the possibility that their attention deficits were related to neurological factors.

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Performance Evaluation and Suggestions Based on the 2013 Child Care Center Accreditation System (2013년도 어린이집 평가인증 운영체계 개선에 따른 성과평가와 개선안)

  • Jae, Kyung Sook
    • Korean Journal of Childcare and Education
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    • v.11 no.1
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    • pp.501-521
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    • 2015
  • This study aims to examine the effects of the main eight items amended in the 2013 child care center accreditation system and to provide suggestions. The participants in the study were 200 child care center teachers and staff; 150 professionals consisting of public officials in charge of child care, members for the accreditation committee, and inspectors at the site; and 144 parents. They participated in an on-line questionnaire survey conducted during the end of February, 2014. The survey questions regarding the eight changed items were the same to all the three participating groups, and three more questions were asked to child care center teachers and staff. The collected data were analyzed with frequencies and percentages to present general recognition level. For a group comparison, analysis of variance was first performed among 3 professional groups, all of which has the same size. When there was not a statistically significant difference among the three groups, the second analysis of variance was done among three groups of professionals including the three groups, teachers and staff, and parents. The results showed that there were differences in recognition among the groups regarding each changed item in the 2013 child care center accreditation system, but overall, the groups evaluated the main amendments positively and the changes were considered appropriate and necessary. However, it was found that in-depth reviews are needed of procedure unification to check the basics to require legal compliance; management of unaccredited centers such as valid period reduction and no accreditation, or limit for re-accreditation application; and the burdens of child care centers about surprise visits and notice of inspection dates in advance.

Comparison of Attitude Toward Antidepressants Between Medical and Surgical Group Outpatients in a Korean University Hospital (일 대학병원 내과계열 및 외과계열 외래 환자들의 항우울제에 대한 태도 및 인식에 대한 연구)

  • Lee, Sang-Soo;Seo, Jeok-Seok;Moon, Seok-Woo;Nam, Beom-Woo
    • Korean Journal of Psychosomatic Medicine
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    • v.16 no.1
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    • pp.52-58
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    • 2008
  • Objectives : Antidepressants are prescribed by not only psychiatrists but also general practitioners. However, patients' negative attitude and stigma against antidepressants are major obstacles to prescribe antidepressants in nonpsychiatric outpatient departments. We, therefore, examined patients' attitude toward antidepressant in medical and surgical group outpatient in Korea. Methods : Short item questionnaire was applied to medical group and surgical group outpatients who consented to this survey in a Korean university hospital. 100 medical and 100 surgical outpatients were surveyed. The questionnaire contained sociodemographic information, previous recognition of antidepressant, and general attitude toward attidepressants. Results : Of the 212 recipients, exclusive of erroneous and missing ones, we analyzed 200 recipients. 1) We found negative attitude toward antidepressants among both medical and surgical outpatients. 2) Medical group outpatients are answered more' antidepressants cause physically ill. 3) The persons who didn't take previously antidepressants showed more negative attitudes. 4) The most reason why they refuse to take antidepressants is concerns of side effects of antidepressants. Conclusion : There are highly negative attitude toward antidepressants between medical and surgical group outpatients. Study findings suggest the need for an active education on antidepressants to nonpsychiatric outpatients to maximize their therapeutic effect and compliance.

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A study on the experience of daily life and chronic disease management of elderly living alone : Focus group interview (독거노인의 일상생활 및 만성질환관리의 경험: 포커스그룹 인터뷰)

  • Lim, Hyo Nam;Lee, Byunglim;Cha, Tae-Hyun;Kim, Kwang-Hwan
    • Journal of the Korea Convergence Society
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    • v.9 no.4
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    • pp.111-118
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    • 2018
  • This study is a qualitative analysis that conducted a focus group interview to analyze the experiences of daily life of the elderly living alone and their chronic diseases management, and to explore the meaning, nature, and difficulties associated with. The subjects of this study were elder who lives alone without cognitive impairment and over 65-year-old. There were total 31 people and divided into 5 groups and they had 60 minutes interview. By this study, there were four themes of 'difficulties of daily life', 'suffering from chronic diseases', 'fear of the future', 'acceptance of life'. In conclusion, the elderly living alone felt difficulty in daily life due to physical aging and chronic illnesses, and they felt that they were accepting life at the same time while feeling the fear of the future situation. Therefore, in order to improve the life satisfaction and life quality of elderly people living alone, it is necessary to provide institutional devices that enable daily life such as meals and laundry to be maintained and to develop of an intervention program in order to maintain physical health. In addition, an intervention program should be developed to reduce the fear of future uncertainty and positively accommodate the life.

A Case Study of the Error of Paleontology Exhibition Datas in the Natural History Museums of Korea (한국 자연사박물관 내 고생물학 전시자료들의 오류발생에 관한 사례연구)

  • Ko, Ju Yeong
    • Journal of the Korean earth science society
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    • v.36 no.3
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    • pp.236-245
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    • 2015
  • This study investigated the errors in presenting paleontology exhibition data in 9 natural history museums for 2 years and two months from 15, Aug. 2013 to 25, March 2015. It was found that seven natural history museums presented 28 difference cases of data in error. The purpose of this study was to investigate why the errors occurred and how to prevent the errors from occurring and finally how to correct the errors earlier. For this purpose, this study review related literatures using conference proceedings, books, conducted a survey via natural history museums. Results suggested five ways to correct errors in the future. First, it is suggested that the authorities of the museum increase the number of curators and have specialists participate in excavation and maintenance, research, preparation of the exhibition data through a collaboration with universities and research institutes. Second, it is also suggested that the authorities establish the classification system to use in the exhibition process and secure a job for their maintenance specialists. Third, the authorities of museum should put an examination process in place as a system by inviting the external experts into the exhibition process and also establish a process of collecting errors identified by any museum visitors. Fourth, the authorities of museum should make an efforts to increase the participating rate of correcting errors through SNS, Docent, and educational programs among the community members and students. Fifth, they also should use mass media to show and present the research-proven figures of paleontological fossils, which hopefully helps resolve issues of the prior unchanging cultural inertia.

Knowledge and Attitudes towards Infant Oral Health, and Related Health Behavior among Parents (영유아 구강건강에 대한 부모의 지식, 태도 및 실천)

  • Cho, Haeryun
    • Child Health Nursing Research
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    • v.20 no.3
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    • pp.196-204
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    • 2014
  • Purpose: The purpose of this study was to examine levels of knowledge, attitude towards infant oral health, and related health behavior of parents. Methods: The sample consisted of 380 parents who were providing care for a child ranging in age from 11 to 16 months. Results: Participants obtained information on infant oral health via the internet, infant care books, and friends. While showing the correct attitude towards infant oral health, the parents were ill-informed regarding infant oral health and engaged in low levels of appropriate health behavior. There were statistically significant differences in infant oral health knowledge according to parents age, education, income, and age of infant. Attitude towards infant oral health was significantly different according to parents education and income. Also, there were significant differences in health behavior practice for infant oral health according to parents age, income, caregiver, and infant age. A significant positive relationship was found between knowledge and attitude to infant oral health. Conclusion: The results of this study indicate that for maintenance and improvement of infant oral health, the parents and caregivers of infants should be provided with information and specific methods for infant oral health care.

The Effect of Doctor's Payment Method on Patient's Medical Care Use: Revisit of the Patient's Asymmetric Information Problem (환자의 의료이용에 대한 의사의 지불방식의 효과: 재방문 환자의 비대칭적 정보의 문제)

  • Jo, Changik;Lim, Jae-Young
    • KDI Journal of Economic Policy
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    • v.33 no.1
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    • pp.125-148
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    • 2011
  • Although the patient's problem with access to health information has been improved due to rapidly developing information technologies, such as the internet, some patients still do not have enough ability to understand, interpret, and analyze the health information. Given this view on the patient's asymmetric information problem, if a doctor provides sufficient effort to help patients understand and interpret medical information, the efficiency of patient's medical care use could be improved. This paper shows firstly that the patient's inefficient use of medical care originates from his information problems, such as the misperception of the effectiveness of medical care and secondly suggests that if the doctor makes sufficient effort to correct patient's information problems, the inefficiency can be ameliorated. This paper also suggests the manipulation of a doctor's payment method can lead a doctor to provide optimal level of efforts which can in turn lead patients to use the optimal level of medical care. With an optimal level of effort, a doctor can more easily achieve a patient's compliance with the newly recommended amount of medical care.

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