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Primary Health Care and Desirable Policy Directions in Korea (1차보건의료와 바람직한 정책방향)

  • 박형종;김공현
    • Health Policy and Management
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    • v.1 no.1
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    • pp.95-108
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    • 1991
  • The World Health Organization and its member states, in 1978, declared that primary health care is a key to attain the goal of Health for All by the goal of Health for All by the yeas 2000. As a member state of WHO, the Republic of Korea has participated in the declaration of ALMA-ATA and committed to put national efforts for devedoping and implementing primary health care approach with the spirit and content of this Declaration. Since 1978, to translate the spirit of the Declaration into realization, Korean goverment has developed a new category of health manpower such as Community Health Practitioners serving people living in remote rural areas and Village Health Workers serving voluntarily their own village, strengthened the function of Health Centers and Health Subcenters through their reorientation and improved the infrastructure by their new construction or renovation. While primary health care is viewed as an essential health care in Korea, there are some circles who follow a narrow definition in referring to the health care at the periphey of a health system, which is erroneous. Considering the PHC is accepted as the best alternative approach to health care to solve problems that modern health systems are facing, we propose the followings as desirable health policy directions that modern health systems are facing, we propose the followings as desirable health policy directions which might translate the persopective into action at the national level after reviewing past and current PHC approach in Korea : 1. To improve the equity through the reduction of gaps between those who have access to health care and those who have not. 2. To reinforce multisectoral approach and intersectoral coordination through the re- establishment of the National Health Council or establishment of equivalent organization at the central level. 3. To stengthen community participation through lacal people's empowerment by leadership training, changing planning process from the top-down approach to bottom-up and giving the priority to human resources rater than technology, 4. To reinforce the Ministries of Health and Social Affairs through upgrading its role and function to Coordinate Ministries which involve human welfare policies, and creating a Division which is in charge of PHC in the Ministry.

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A Study on the Risk Factors at the Broadcasting Production Site (방송 제작 특성에 기반한 유해위험요인 분석)

  • Nam, Yun Kyung;Jin, Sangeun;Lee, Jong-Bin;Kim, Kyungwoo;Na, Minoh
    • Journal of the Korean Society of Safety
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    • v.35 no.2
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    • pp.67-75
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    • 2020
  • Due to various industrial accident that occur to the staff in the broadcasting production sites, the issue of safety at the broadcast production site is becoming a social issue. Nevertheless, not many researches have been carried out on the actual conditions of the staff's production environment and its safety issues. Therefore, the purpose of this study was to prepare a countermeasure based on engineering knowledge by analyzing working environment to improve the poor working environment of staff. First, this study analyzed statistical data of industrial accidents over the past five years to find out the current status of disasters at broadcasting production sites. As a result, the intensity of the accident was not weak in that the loss days was more than one month in 85% of accident. In addition, the type of accident was high in the fall/trip accidents. Second, this study visited 10 broadcasting production sites for risk assessment. By analyzing the characteristics of the working environment and 104 questionnaires, we predicted the types of accidents that can occur in the broadcasting production site. As a result, accident types such as fall, collision, and trip were relatively high, similar to the characteristics of construction site. Third, it was possible to quantify the scale of the risk in the broadcasting production, and as a result, the quantity of temporary structure and accident risk were proportional. In other words, this study analyzes broadcasting work environment and defines risk factors based on safety engineering knowledge. Finally, this study suggested a guideline to improve the safety of the broadcasting production site.

A Numerical study on Spring-back Phenomenon of a Rebar for Manufacture (철근 공장가공화를 위한 철근 스프링 백에 대한 수치적 연구)

  • Choi, Chang-Hwan;Kim, Jin-Ho;Lee, Sung-Kyu
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.8
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    • pp.3638-3643
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    • 2013
  • These days, workers in a construction site conduct a rebar bending process with a machine. This bending process has some problems such as long processing time and bad quality of the rebar. In order to manufacture a rebar having precision and machinability, we should study on Spring-back phenomenon. This phenomenon affects a shape of rebar after unloading due to restoration ability of material and it is influenced by bending angle, bending radius and a rebar diameter. The change of spring-back ratio according to the change of the parameters are analyzed by FEM. Consequently, Spring-back increases around $0.1^{\circ}$ as bending angle increases $10^{\circ}$. and it also increases around $0.6^{\circ}$ as diameter of rebar increases from ${\varphi}$ 10mm to ${\varphi}$ 16mm. while we can confirm that it decreases around $0.2^{\circ}$ as bending angle increases $10^{\circ}$.

Determinants of Secondary Traumatic Stress among Public Social Welfare Specialists (사회복지전담공무원의 이차적 외상스트레스 결정 요인)

  • Yang, Jung-Bin;Kim, Doe-Yoon;Ryu, Soon-Ok;Kim, Ja-Young
    • The Journal of the Korea Contents Association
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    • v.15 no.11
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    • pp.115-125
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    • 2015
  • This study was to identify major risk factors associated with secondary traumatic stress in a sample of 654 public social welfare specialists. Findings indicated that 69.0% of the subjects experienced secondary traumatic stress, and 36.9% of them were in a high-risk group. Multiple regression analysis showed that the risk of the secondary traumatic stress was associated with gender, work hours, physical violence and threats from clients, coping strategies, and vocational self-efficacy. Based on these results, several interventions for preventing the incidence of secondary traumatic stress among public social welfare specialists are suggested as the follows: construction of secure job environment, development of educational programs for improving vocational self-efficacy and coping skills, and implementation of mental health screening system on a regular basis to prevent the outbreak of mental disease among the workers.

Damages of minarets during Erciş and Edremit Earthquakes, 2011 in Turkey

  • Bayraktar, Alemdar;Altunisik, Ahmet Can;Muvafik, Murat
    • Smart Structures and Systems
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    • v.14 no.3
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    • pp.479-499
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    • 2014
  • This paper illustrates the damages of reinforced concrete and masonry minarets during October 23 (Erciş) and November 9 (Edremit), 2011 Van earthquakes in Turkey. Erciş and Edremit are townships located 90km and 18km from Van city center in Turkey, respectively. Ground accelerations and response spectrums for these earthquakes are given in this paper. A total of 63 reinforced concrete and masonry minarets are heavily damaged or collapsed in the city center and villages nearby after both earthquakes. Because of the fact that there is no Turkish standard and specification directly related to design of minarets, nearly all of the constructions are carried out by workers using only their own technical knowledge. So, all of the non-engineering reinforced concrete and masonry minarets completely collapsed or damaged heavily. From the study, it is seen that the damages are due to several reasons such as site effect, location, and length of the fault, reduction in cross section and formation of the discontinuity, use of plain reinforcement steel, use of concrete with insufficient strength, existence of short lap splices and incorrect end hook angle, larger mass and stiffness concentrations on some region, longitudinal reinforcements discontinuity, cracks at the cylindrical body, and damage of spire and end ornament. In addition to these reasons, the two earthquakes hit the minarets within seventeen days, causing progressive damage. So, the existing design and construction practices should be improved to provide sufficient earthquake performance. Also, it is recommended that there should be a safe distance between the minaret and surrounding structures to reduce the loose of life after earthquake.

A Qualitative Case Study on the Development of Network as Communities of Practice in Welfare Network of S District in Seoul, Korea (실천공동체로서의 네트워크 발달에 대한 질적 사례연구 : 서울시 S구 재가복지연합회 사례를 중심으로)

  • Kim, Young-Sook;Lim, Hyo-Yeon
    • Korean Journal of Social Welfare
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    • v.62 no.3
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    • pp.299-321
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    • 2010
  • The purpose of this study was to analyze the development of social welfare network. The qualitative case study method was utilized from a communities of practice perspective. Depth interviews were conducted among 10 social workers of community welfare agencies who have practiced network activities. Data were analyzed with constant-comparative methods(Strauss and Corbin(1990)). The result are the followings; In incubation stage, the core theme was "collaboration for surmount overcoming difficulties from the bottom". In intergration stage, "acquirement of normative value basement" was emerged. "Reinforcement of solidarity" and "reconfirmation of identity" were drawn as core themes in muturation stage. There were core themes "construction of original image" and "shifting from private connection to public connection" in maintenance stage. Lastly stage a care theme of "qualitative transition" was emerged in transformation.

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IEEE 802.15.4 Ad-Hoc Wireless Sensor Network Routing Method Applying EtherCAT Communication Method (EtherCAT 통신방식을 응용한 IEEE 802.15.4 Ad-Hoc 무선 센서 네트워크 라우팅 방식)

  • Park, Jeong-Hyeon;Seo, Chang-Jun
    • Journal of IKEEE
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    • v.22 no.2
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    • pp.289-301
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    • 2018
  • IIoT, the IoT technology applied to the industrial field, is being used as a monitoring technology for increasing in production rate and safety of workers. However, monitoring through the construction of IIoT network using Ethernet and RS485 in production lines where dozens to hundreds of machine tools are manufacturing components, have difficulties of infrastructure cost and network flexibility and fluidity. Therefore, in this paper, using IEEE 802.15.4 standard WSN device to construct a Ad-Hoc WSN in the production line. In addition, the transmission period and order of the sensor nodes are set by applying the EtherCAT communication method in which the payload frames are shared by all the sensor nodes. From this, we have overcome the problem of reliability decline and real-time issue due to the packet collision of wireless network and confirmed that it is a wireless network routing method that can be used in the actual industrial field.

Routinization of Producing Multicultural News and Cultural Politics of Gatekeeping (다문화 뉴스 제작 관행과 게이트키핑의 문화정치학)

  • Joo, Jaewon
    • The Journal of the Korea Contents Association
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    • v.14 no.10
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    • pp.472-485
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    • 2014
  • This study focuses on the news making system of the prime time news of PSB in Korean society, where the presence of ethnic minorities is increasing rapidly. Although the World Wide Web has become one of the most attractive media over the last decade, Korean PSB, Korean Broadcasting System (KBS), still remains the most popular and influential medium. Therefore, the process of analyzing news making system of ethnic minorities in Korean society represented in Korean PSB as a social construction is meaningful in that it provides an important key to understand the cultural and political background and characteristics of society. For this purpose, the article tries to understand news making process when producing news related to ethnic minorities in the Korean society such as migrant workers, married migrant women and mixed-heritage children of multicultural families by interview with ten reporters in KBS. As a result, most KBS reporters had stereotypes towards multiculturalism and migrants and news reports relating to ethnic minorities are usually produced routinely, using a set of rules that have become part of KBS culture.

Machine Vision based Quality Management System for Tele-operated Concrete Surface Grinding Machine (원격조종 콘크리트 표면절삭 장비를 위한 머신비전 기반 품질관리 시스템)

  • Kim, Jeonghwan;Phi, Seung Woo;Seo, Jongwon
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.33 no.4
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    • pp.1683-1691
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    • 2013
  • Concrete surface grinding is frequently used for flatness of concrete surface, concrete pavement rehabilitation, and adhesiveness in pavement construction. The procedure is, however, labor intensive and has a hazardous work condition. Also, the productivity and the quality of concrete surface grinding highly depend on the skills of worker. Thus, the development of remote controlled concrete surface grinding equipment is necessary to prevent the environmental pollution and to protect the workers from hazardous work condition. However, it is difficult to evaluate the grinded surface objectively in a remote controlled system. Also, The machine vision system developed in this study takes the images of grinded surface with the network camera for image processing. Then, by representing the quality test results to the integrated program of the remote control station, the quality control system is constructed. The machine vision algorithm means the image processing algorithm of grinded concrete surface and this paper presents the objective quality control standard of grinded concrete surface through the application of the suggested algorithm.

Consumer Impairment and Its Improvement on Longterm Care Insurance Service : Focused on the Current Conditions and the Analysis of Counseling Cases in Korea and Japan (노인장기요양보험 서비스에 관한 소비자피해와 개선방안 : 한일 서비스이용현황 및 상담사례 분석을 중심으로)

  • Lee, Hyun-Jin
    • Journal of Families and Better Life
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    • v.28 no.1
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    • pp.51-67
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    • 2010
  • This study looked into the current conditions in Korean and Japanese care management for the elderly, cases of consumer counseling in these countries, and the supporting institutions for Japanese users regarding the use of care management for the elderly. The number of recipients of care management for the elderly in both Korea and Japan is growing every year, and more Japanese users receive various services compared to Korean users. The results of an analysis on consumer counseling regarding the use of Korean and Japanese care management revealed, two types of complaints: counseling for the improvement of the institution and complaints related to the procurement of service. Regarding the insurance system, the complaints were mostly related to affirmation of a rating and the burden incurred by cost-sharing. Regarding the use of service, such key impairment cases were related to in-service medical accidents, illegal acts including caregiver contract violations and forced retirement, careless service by workers, and human rights violations of the elderly. Japan has developed governmental and, related-administrative and business services as well as a local governmental system to redress customer impairment issues as this pertains to service for better quality care management. In addition, they have enlarged the locally closed service, provided exact information about the services offered, and improved service appraisal techniques. The Japanese cases will serve as a good reference to improve the Korean system. In particular, the construction of a system that reduces customer losses and the availability of more counseling information are urgently required to improve the system in terms of customer experiences when they seek care management.