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A study on the state of customized visiting oral health programs (맞춤형 방문구강보건사업 현황조사)

  • Jung, Jae-Yeon
    • Journal of Korean society of Dental Hygiene
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    • v.9 no.4
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    • pp.606-619
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    • 2009
  • Objectives : This study was to examine the state of customized visiting oral health programs in a bid to help facilitate the unified operation of the programs and the development of required guidelines. Methods : The subjects in this study were 49 dental hygienists who were professionals responsible for customized visiting health care programs across the nation. Results : 1. Regarding the form of employment of the dental hygienists were investigated many contract and daily workers. 2. As to the possession of equipment necessary for visiting oral health programs, denture cleaners(12.2%) were most widely possessed in some regions, followed by mobile scalers(10.2%) and mobile suctions(8.2%). In terms of expendable devices and materials, dental mirrors, pincettes and explorers were the most widely possessed dental checkup devices, and the most widely possessed oral hygiene supplies were toothbrushes, interdental brushes and denture cleaners. Those devices and materials were in more possession than the other types of devices and materials. The most widely possessed equipment for educational purpose was laptop computers, followed by beam projectors and screens. The most widely possessed teaching materials were dentiform, followed by CD-ROMs. 3. Those whom they visited the most for oral health care service were elderly people, followed by the disabled and patients with chronic diseases. The dental hygienists who went out to visit those people outnumbered the others who stayed at public health centers. Concerning the types of visiting oral health care service, the most prevalent service provided to the elderly included denture cleaning/management, oral massage and preventive treatment against dental caries. The most dominant service provided to the disabled involved education of the oral health care act, preventive treatment against dental caries and toothbrushing by professionals. The most common service offered to patients with chronic diseases was education of the oral health care act and oral health education. The dental hygienists paid a visit to a mean of 5.8 households a day. The average weekly number of households cared by the dental hygienists was 27.3. It took a mean of 37.1 minutes for them to take care of each household. 4. As for satisfaction level with the implementation of the visiting oral health programs, they expressed the greatest satisfaction at teamwork with professionals($3.56{\pm}0.94$), followed by the professionalism of their work($3.21{\pm}0.94$) and workload($3.08{\pm}0.94$). Their satisfaction level with the work conditions required for creative job performance($2.75{\pm}0.98$) and partnership with other institutions($2.64{\pm}1.03$) was below 3.0. In regard to the impact of their characteristics, marital status made a statistically significant difference to satisfaction level with workload. The unmarried dental hygienists were more pleased with their workload than the married ones(p<0.05). 5. As to needs for education for professionalism improvement, they asked for education about visiting oral health care skills the most, followed by education about oral health care for patients with chronic diseases, education of planning/evaluation and education of oral health care for the disabled. Conclusions : The top priority for the vitalization of the programs was the procurement of budget, followed by the procurement of equipment and educational media and the procurement of human resources.

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Operation Status of Chinese Security Service Industry and Institutional Settlement Methods (중국 보안서비스산업의 운영실태 및 제도정착 방안)

  • Lee, Sangchul
    • Journal of the Society of Disaster Information
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    • v.10 no.4
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    • pp.536-547
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    • 2014
  • With the changing safety services and social order systems accompanied by the economic development and changing public security environment since the Chinese economic reform, the security service industry in China is growing daily and related problems are increasing. For the Chinese security service market to be activated, the monopoly of security services by the public security agencies must be removed. In addition, the research and development, expansion, and applications of safety and crime prevention technologies regarding the safety and protection of exhibition, sales, culture, sports, commerce activities, combinations of safety technologies and crime prevention processes, the provision of relevant technical operations, and the expansion of security service areas are required. Furthermore, the administration rights, property rights, and business management rights of security companies must be separated, the security headquarters must be integrated and coordinated for optimization of various resources solely by market needs, and their rights and affiliation relations must be clear. Besides, the competitiveness of security companies in the security service market must be enhanced by unifying the business management, and optimizing and sharing their resources. The security service ordinances of China that have been implemented now must be applied realistically, methods to activate the true market economy for security services must be researched, and various ordinances related to security services must be realigned in line with the characteristics of security services. Finally, for the mutual cooperation system between public and private security services, the public security agencies must acknowledge the importance of private security services and the status of security service providers in crime prevention and social order maintenance. They must establish partnership relations with each other beyond the unilateral direction and management system for security services and drive with positive attitudes the security service industry which is still in its infancy.

Study on Korean Medicine Personal Health Record Platform (한의 개인건강기록 플랫폼 구축에 관한 연구)

  • Seo, Jin Soon;Kim, An Na;Kim, Sang Hyun;Lee, Seung Ho;Nam, Bo Ryeong;Lee, Myung Ku;Jang, Hyun Chul
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.30 no.6
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    • pp.458-465
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    • 2016
  • The information relating to the health of person has been increasing. The information is such as medical information and personal health record and the information collected by utilization and dissemination of mobile devices. Therefore, the interest and demand for systems that can integrate and manage the Personal Health Record(PHR) is increasing. Quantity and quality of information that is collected from the patient can have a major impact on the diagnosis and treatment of Korean Medicine(KM) in clinical practice. Because closely observe the usual clinical symptoms of patients to utilize the treatment. But if the interview when memories are not sure of the correct answer does not get much easier to find exactly the symptoms. So when recording original symptom(素證) and daily subjective symptom can be helpful for care. Therefore, the personal health care services that can record and manage and own is necessary based on KM. In this paper, we propose Korean Medicine Personal Health Record Platform(KM PHR Platform). We have selected the significant symptoms that mean to the personal records from symptom information required for diagnosis in KM. And classifying and scoring as the symptoms were used as personal health care indicators. And significant symptoms were easily configure a screen that can be recorded. simple operation is recorded as a symptom. It was designed to reflect these functions. So KM PHR Platform helps to Personal health care. Doctor may be able to help in the diagnosis and prognosis observation by reference to shared symptom. We look forward to a variety of health services based on KM using a symptom, a medical record, personal health device information.

Changes of Characteristics of Patients in Daily Regional Emergency Room after Execution of Five-day Workweek System (주 5일제 시행 후 일 지역 응급실 환자 특성 변화)

  • Choi, Gil-Soon;Kwon, Hay-Rran
    • The Korean Journal of Emergency Medical Services
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    • v.11 no.1
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    • pp.53-64
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    • 2007
  • Purpose: Ths study aims to examine characteristics of patients using emergency room after execution of five-day workweek system by government and provide basic materials for operation of efficient emergency room. Methods: Data were collected tbrough medical records of patients visiting emergency room from July of 2004 to October of 2006 and they were analyzed with SPSSlPC 10.0. Conclusion : 1. The number of patients visiting emergency room was average 16.7 persons a day in 2004, 17.5 in 2005 and 18.6 in 2006 and it was found that it was increasing every year since the execution of five-day workweek system 2. Gender distribution of subjects using emergency room was higher in male than in female every year. 3. Means of transport to emergency room were mostly private car and others(public transport or on foot), but use of ambulance was increasing. 4. Residential areas of subjects were mostly 'Myeon area' in 2004~2005, but it was changed to residents at 'Eup area' in 2006. 5. Distribution of patients by medical departments was highest in internal medicine and surgery in 2004~2006 and rate of visiting pediatrics was increasing every year. 6. Time to stay at emergency room was most at 'below 30 min'. in 2004~2006, but cases of stay for 'more than 2 hours' were increasing every year. 7. On presence or absence of trauma in patients visiting emergency room, rate of visit to emergency room with 'no trauma' was higher and this result was increasing every year. 8. As a result of classifying severity of patients visiting emergency room, use rate of emergency room by 'non-emergency' patients was over 90% in 2004~2006 and such a phenomenon was deepened in 2006 compared to that in 2004. 9. Measures after emergency care of patients were most in case of 'discharge' in 2004~2006, but cases of admission to hospital after emergency care were increased every year. 10. According to use of emergency room by a day of the week, use on Sunday was most frequent in 2004~2006, but use on Friday the day before holiday was increasing. 11. According to distribution by age, use by those between '40~49' was most in 2004~2005, but use by those 'below 10' was most in 2006. 12. According to time to visit emergency room, using emergency room at "15:31~23:30 was most in 2004~2006, cases of visiting emergency room at day working hour were decreased every year and those at evening and night working hours were increased. Conclusion: In sum, it was found that characteristics of patients visiting emergency room and their actual status were changed after the execution of five-day workweek system and efforts to rearrange emergency medical system are required.

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A Mathematical Model for Estimating Proper Taxi Fleet Size : Focusing on Pyeong-Taek City Case Study (택시총량산정을 위한 수리모형의 개발 : 평택시를 중심으로)

  • Kim, Suk Hee;Choi, Keechoo;Choi, Doo Sun
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.31 no.5D
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    • pp.633-639
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    • 2011
  • To estimate a proper fleet size of taxi, a daily archived tachograph was analyzed for both corporate taxi and owner-driver taxi. Mathematical model to estimate a desirable number of taxi was developed using city's characteristics of Pyeong-taek city case. This model could be used as coefficient of determination of city's characteristics model(revised R square) was 0.970. a total amount of taxi number in the future for the city of Pyeong-taek. As a result, the model produced a proper fleet size of Pyeong-taek city in the future as 1,794 taxis by 2014, which was higher in number by 214 taxis, compared to 2009. Also, the model of the service rate, considering operation condition, was used to analyze a total number of taxies. As a result, the model showed a total number of taxis as 1,224 taxis by 2014, which is lower in number by 356 taxies, compared to 2009. It is desirable to use both city's characteristics model and the service rate model to estimate a total number of taxis in conclusion. As a result of adopting average value from two model, the model produced a total supply plan of Pyeong-taek city as 1,509 taxis by 2014, which is smaller than in number by 71 taxis, compared to 2009.

Semiweekly Variation of Spring Population of a Mixotrophic Ciliate Myrionecta rubra (=Mesodinium rubrum) in Keum River Estuary, Korea (춘계 금강 하구에서 혼합영양 섬모류인 Myrionecta rubra (=Mesodinium rubrum) 개체군의 단주기 변동)

  • Yih, Won-Ho;Myung, Geum-Og;Kim, Hyung-Seop;Jeong, Hae-Jin
    • ALGAE
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    • v.20 no.3
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    • pp.207-216
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    • 2005
  • Myrionecta rubra, a mixotrophic ciliate, is a cosmopolitan red tide species which is commonly found in neritic and estuarine waters. M. rubra had long been listed as an “nculturable protist”until 2 different laboratory strains were finally established in 2 research groups at the beginning of this century, enabling us to perform initiative investigation into various aspect of the live M. rubra strains (Gustafson et al. 2000; Yih et al. 2004b; Johnson and Stoecker 2005). Field sampling was carried out on high tide at 2 fixed stations around Kunsan Inner Harbor (St.1 near the Estuarine Weir and St.2 off Kunsan Ferry Station) every other day for 4 months from mid-February 2004 to understand detailed figure of the recurrent spring blooms of M. rubra following the onset of the water gates operation of the Keum River Estuarine Weir on August 1994. With its maximum abundance of 272 cells mL$^{-1}$ in St.1, fluctuation pattern of the M. rubra population at the 2 stations was strikingly similar. Notable growth of M. rubra population started on late April, to cause M. rubra red tides during one month from mid-May in which “xceptionally low salinity days”without its red tide were intermittently inserted. High abundance of M. rubra over 50 cells mL$^{-1}$ was recorded at samples with their water temperature and salinity higher than 15${^{\circ}C}$ and 4.0 psu, respectively. During pre-bloom period when salinity fluctuation is moderate and the water temperature is cooler than 15°C, Skeletonema costatum, a chain-forming centric diatom, was most dominant. Cyanobacterial species such as Aphanizomenon flos-aquae and Phormidium sp. replaced other dominant phytoplankters on the days with “xceptionally low salinity”even during the main blooming period of M. rubra. To summarize, M. rubra could form spring blooms in Keum River Estuary when the level of salinity fluctuation was more severe than that for the dominant diatom Skeletonema costatum and milder than that for the predominance by freshwater cyanobacteria. Therefore, optimal control of the scale and frequency of freshwater discharges might lead us to partially modify the fluctuation pattern of M. rubra populations as well as the period of spring blooms by M. rubra in Keum River Estuary. Sampling time interval of 2 days for the present study or daily sampling was concluded to be minimally required for the detailed exploration into the spring blooms by M. rubra populations in estuaries with weirs like Keum River Estuary.

Study on Computational Fluid Dynamics(CFD) Simulation for De-NOx in the incinerator at Taebaek city (태백시 소각로 내 NOx 제거를 위한 전산유체역학(CFD) simulation 연구)

  • Kim, Ji-Hyun;Park, Young-Koo
    • Journal of the Korean Applied Science and Technology
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    • v.30 no.2
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    • pp.320-332
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    • 2013
  • The feed air to MSW incinerator influences on the residence time of combustion gas, removal of unburnt ash and exiting gas temperature. Thus the secondary air volume could present sufficient residence time which can maintain the exiting temperature over $850^{\circ}C$. The secondary air also relates directly with the turbulence in the inside of combustion chamber, which finally provide the stable combustion condition. The present study designed a modern incinerator for a field scale, and evaluation of the potential amount of primary air based on the daily combustible quantity. From the evaluated primary air volume, the secondary air flow rate could be estimated, and its dynamic behavior was verified. In addition, the obtained air volume enables to find an optimum operation condition of the combustion. As a result of the CFD simulation, the air ratio 75 : 25 between primary and secondary air amount was optimum ratio than design criteria 72 : 28. And the flow velocity ratio of front-back of secondary air jet nozzle was found excellent at 1 : 3. In addition, the result of applied to the plant, the removal efficiency of NOx and CO generation would concentration of CO.

The Effect of Environment-friendly Certifications on Agricultural Producer Organizations (친환경·GAP·HACCP이 농업 생산자조직에 미치는 영향)

  • Kim, Chang-Hwan;Park, Seong-Ho
    • Journal of Distribution Science
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    • v.13 no.6
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    • pp.97-104
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    • 2015
  • Purpose - The distribution of agricultural products is changing due to recent shifts in environmental free trade. Specifically, the competitiveness of domestic agricultural products has weakened as a result of the Korea-China Financial Trade Agreement. Agricultural producers are faced with increasing difficulties and organized production centers are growing in importance daily. To overcome this crisis, agricultural producer organizations are vying for environment-friendly agricultural certifications, Good Agriculture Practices (GAP) and Hazard Analysis and Critical Control Point (HACCP). In particular, as consumer demand for higher safety grows, farmers are increasing their certification rates. Therefore, this certification system is expected to help strengthen the competitiveness of agricultural producer organizations. Research design/data/methodology - Organized production centers are classified by certification. A survey was conducted with 91 organizations using factor analysis and logistic regression analysis for the examination. The factor analysis results are as follows. Raw material procurement, education·specialization, marketing, joint business, organizing ability, business management, effectiveness, certification, and larger organizations were classified as the nine types of factors. These factors affect the organized production centers and are used in the logistic regression analysis. The purpose of such research and analysis is to suggest a direction for future production center policies. Results - The basic statistical results are as follows: analysis of the producer organizations of 91 sites, average number of members per site of 1,624, and average sales of 25,961 million won. Additionally, the average income per farmer is 175 million won, and the pooling system rate is 53.5%. The factor analysis results are as follows. Factor 1 consists of contract cultivation, ongoing shipment, selection subdivision, traceability, and major retailer management. Factor 2 consists of manual cultivation, specialty selection, education program, and R&D. Factor 3 consists of advertising, various dealers, various sales strategies, and a unified sales counter. Factor 4 consists of agricultural materials co-purchase, policy support, co-shipment, and incentives. Factor 5 consists of the co-selection and pooling system. Factor 6 consists of co-branding and operating by the organization's article. Factor 7 consists of the buy-sell ratio and rate of operation of the agriculture promotion center. Factor 8 consists of bargaining power in volume and participation rate of farmer certification. Factor 9 consists of increasing new subscribers. The logistic regression analysis results are as follows. Considering the results by type of certification, the environment-friendly agricultural certification type and the GAP certification type have a (+) influence. GAP and HACCP certification types affecting the education·specialization factor have a (+) influence. Considering the results for each type of certification, the environment-friendly agricultural certification types on the effectiveness factor have (-) influence; the HACCP certification types on the organizing ability and effectiveness factor have a (-) influence. Conclusions - Agricultural producer organizations should develop plans as follows: The organizations need to secure education for agricultural production; increase the pooling system ratio for sustainable organizational development; and, finally, expand the number of agricultural producer organizations.

Environmental Character and Catch Fluctuation of Set Net Ground in the Coastal Water of Hanlim in Cheju Island III. Environmental Character and Catch Fluctuation (제주도 한림 연안 정치망 어장의 환경특성과 어획량 변동에 관한 연구 III. 어획량변동과 환경요인)

  • KIM Jun-Teck;JEONG Dong-Gun;RHO Hong-Kil
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.32 no.1
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    • pp.105-111
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    • 1999
  • To investigate the relationships between ocean environmental characteristics and thechange of the catch, we analyzed various environmental factors such as mean temperature, salinity, current vectors, lunar day and wind vectors from 1995 to 1996 and the catch fluctuation of Hanlim set net from 1994 to 1996. The results are as follow ; 1) The proportion of fishes caught in Hanlim set net is highest for horse mackere1 ($69.2\%$) and is followed by common mackerel ($18.4\%$), hair tail ($5.6\%$), squid ($2.7\%$) and rabbit fish ($1.4\%$) in order. Two peaks in the monthly catch appeared in June and October in the operation period of May- December. 2) The flow direction was northward in flood time and southeastward in ebb time around the Hanlim set net. Thus, the vortical mixing of sea water was active and continued for more than 3 hours. In addition, mean daily temperature was low due to the presence of middle and bottom water in offshore. Increase in salinity or high salinity of sea water provides a favorable condition for catches of fishes. Catches in the first quarter and the last quarter of the moon were larger than that in full moon and the last of the month. In particular, when south or southeasterly wind velocity reaches about 3$\~$6.5 m/s, the possibility of catches increases.

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Feasibility of Co-Digestion of Sewage Sludge, Swine Waste, and Food Waste Leachate (하수슬러지, 돈분뇨, 음식물쓰레기 탈리액 병합소화 타당성 평가)

  • Kim, Sang-Hyoun;Ju, Hyun-Jun
    • Journal of the Korea Organic Resources Recycling Association
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    • v.20 no.1
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    • pp.61-70
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    • 2012
  • Feasibility of co-digestion was investigated by a series of anaerobic batch experiments using sewage sludge, swine waste, and food waste leachate as substrates. The organic solid wastes were collected from M city, where the daily productions of sewage sludge, swine waste, and food waste leachate were 178 ton/d, 150 ton/d, and 8 ton/d, respectively. Both swine waste and food waste leachate showed superior methane yields, methane productivities, and organic pollutant removal efficiencies compared to sewage sludge. Co-digestion of the total amounts of organic solid wastes would enhance methane production by 5.60 times $(530\;m^{3}\;CH_{4}/d\;{\rightarrow}\;2,968\;m^{3}\;CH_{4}/d)$. However, it also increase the amount of digestate by 1.88 times with 3.79 to 4.92 times higher pollutants (chemical oxygen demands total nitrogen, and total phosphorus) loading rates. Co-digestion of organic solid wastes is a valid strategy to enhance the performance of an anaerobic sludge digester and the energy independence of a wastewater treatment plant. Anyhow,the increment of digestate with higher pollutant loading would need a careful counterplan in the operation of the main stream of the treatment plant.