• Health Policy and Management
• /
• v.27 no.4
• /
• pp.284-295
• /
• 2017

Background: The objectives of this study were to identify the reasons of quitting smoking, to determine the factors that make it difficult or helpful to maintain smoking cessation and to confirm the changes after the smoking cessation. Methods: This study was conducted an in-depth interview with people who participated in the smoking cessation treatment program. There were 10 participants and they were interviewed thoroughly for 14 times. Using the directed content analysis, we analyzed the transcript which was written by recording the interview and the researchers' note. Results: The results of this study are summarized as 'the experience while at the verge of smoking cessation and stepping over the verge of smoking cessation,' 'the changing experience due to smoking cessation,' and 'maintaining the changes through overcoming re-smoking.' The smoking cessation treatment program induced the smokers to quit smoking. Participants mentioned drinking alcohol was the major obstacle to maintain smoking cessation. Also, they noted that the money and the time that were already spent to quit smoking helped their smoking cessation as well as the social relations which helped to prevent re-smoking. Participants felt well-cared through the smoking cessation treatment program and that it helped them to maintain smoking cessation. Conclusion: Smoking cessation treatment program has a positive effect on the smoking cessation trial and maintenance. In order for smokers to overcome re-smoking, educations regarding drinking problem, formation of supportive social relationship, and the applications for smoking cessation will be beneficial.

• Computers and Concrete
• /
• v.20 no.3
• /
• pp.319-327
• /
• 2017

Studying the structural behavior of prestressed segmented girders is quite important due to the large use this type of solution in viaducts and bridges. Thus, this work presents a nonlinear three-dimensional structural analysis of an externally prestressed segmented concrete girder through the Finite Element Method (FEM), using a customized ANSYS platform, version 14.5. Aiming the minimization of the computational effort by using the lowest number of finite elements, a new viscoelastoplastic material model has been implemented for the structural concrete with the UPF customization tool of ANSYS, adding new subroutines, written in FORTRAN programming language, to the main program. This model takes into consideration the cracking of concrete in its formulation, being based on fib Model Code 2010, which uses Ottosen rupture surface as the rupture criterion. By implementing this new material model, it was possible to use the three-dimensional 20-node quadratic element SOLID186 to model the concrete. Upon validation of the model, an externally prestressed segmented box concrete girder that was originally lab tested by Aparicio et al. (2002) has been computationally simulated. In the discretization of the structure, in addition to element SOLID186 for the concrete, unidimensional element LINK180 has been used to model the prestressing tendons, as well as contact elements CONTA174 and TARGE170 to simulate the dry joints along the segmented girder. Stresses in the concrete and in the prestressing tendons are assessed, as well as joint openings and load versus deflection diagrams. A comparison between numerical and experimental data is also presented, showing a good agreement.

• Computers and Concrete
• /
• v.19 no.4
• /
• pp.347-356
• /
• 2017

ANSYS is a software well accepted by professionals and academics, since it provides a variety of finite elements, material constitutive models, and linear and nonlinear analysis of structures in general. For the concrete material, for instance, the software uses an elastoplastic model with the Willam-Warnke surface of rupture (1975). However, this model is only available for finite elements that do not offer the possibility of use of the element-embedded model for rebars, demanding a much larger amount of elements to discretize structures, making numerical solutions less efficient. This study is, therefore, about the development of a computational model using the Finite Element Method via ANSYS platform for nonlinear analysis of reinforced and prestressed concrete beams under plane stress states. The most significant advantage of this implementation is the possibility of using the element-embedded rebar model in ANSYS with its 2D eight-node quadratic element PLANE183 for discretization of the concrete together with element REINF263 for discretization of rebars, stirrups, and cables, making the solutions faster and more efficient. For representation of the constitutive equations of the steel and the concrete, a proposed model was implemented with the help of the UPF customization tool (User Programmable Features) of ANSYS, where new subroutines written in FORTRAN were attached to the main program. The numerical results are compared with experimental values available in the technical literature to validate the proposed model, with satisfactory results being found.

• Korea Journal of Hospital Management
• /
• v.22 no.2
• /
• pp.44-57
• /
• 2017

The objective of this study is to investigate financial integrity strategies for sustainable development of local public medical centers, and particularly focus on seeking ways to enhance its financial efficiency and publicness. The data which was collected from 33 local public medical centers was analyzed by Data Envelopment Analysis to measure its financial efficiency. Then, Matrix Analysis was used to examine the association of financial efficiency and publicness of local public medical centers with related factors. In the aspects of facilities and location, according to the results, the local public medical centers which have larger number of available hospital beds or located in bigger cities were examined to have higher degree of publicness. In the aspect of human resources, greater number of doctors made both financial efficiency and the degree of publicness decreased, whereas higher participation rate of educational program for doctors affects increasing its financial efficiency and publicness. Lastly, in the aspect of costs, higher labor, material, and administrative cost diminished financial efficiency, but enhanced the degree of publicness. Based on these results, this study concluded that enhancing the publicness of local public medical centers should be pursued by increasing the accessibility with better facilities and location, and also concurrently organizing rational expenditure structure with appropriate cost investment to the resources of local public medical centers. Also, it is necessary to enhance both financial efficiency and publicness simultaneously by improving the quality of health care services through the educational programs for medical staffs.

• Asian Pacific Journal of Cancer Prevention
• /
• v.16 no.15
• /
• pp.6521-6526
• /
• 2015

Background: This study aimed toanalyze the risk behavior for cervical cancer (CC) and the human papillomavirus (HPV) prevalence and resolution among women who received care through the private healthcare network of a municipality in southern Brazil. Materials and Methods: This descriptive and retrospective study was conducted with 25 women aged 20 to 59 years who received care through the private healthcare network and were treated at a specialty clinic in the period from January to December 2012 in a municipality in Northwest Parana, Southern Brazil. Data from medical records with cytological and HPV results were used. Following treatment, these women were followed-up and reassessed after 6 months. Data were statistically analyzed using the t-test and chi-squared test at a 5% significance level. Results: The mean age of the studied women was $27.8{\pm}7.75$ years old, and the majority were married, with paid employment and were non-smokers. The mean age at menarche was $13.0{\pm}0.50$ years old, and the mean age at first intercourse was $17.5{\pm}1.78$ years, with only 8.0% (2) initiating sexual activity at an age ${\leq}15$ years old. The majority had 1 to 2 children (60.0%), while 88.0% reported having had one sexual partner in their lifetime, and all the women were sexually active. A total of 68.0% used a hormonal contraceptive method. All the women had leukorrhea and pain and were infected by a single HPV type. Regarding the lesion grade, 80.0% showed high risk and 20.0% low risk. The most prevalent high-risk HPV strain was 16. Conclusions: These findings provide relevant information on HPV risk factors and infection, as well as the treatment and 6-month follow-up results, in economically and socially advantaged women with no traditional risk factors, corroborating previous reports that different risk factors may be described in different populations. Thus, this study reinforces the fact that even women without the traditional risk factors should undergo HPVmonitoring and assessment to determine the persistence of infection, promoting early diagnosis of the lesions presented and appropriate treatment to thus prevent the occurrence of CC.

• Journal of Korean Society of Rural Planning
• /
• v.19 no.2
• /
• pp.149-162
• /
• 2013

This study intended to suggest Voluntourism as a solution for alternative rural tourism for regional activation. Voluntourism is a form of alternative tourism on values of variety of tourism demand from pleasure to virtue. This study analyzed actual state of WWOOF(World-Wide Opportunities on Organic Farms) activities being operated in Korean rural village, one of representative of Voluntourism. Study aimed to explore the possibility of WWOOF activity as one of model of alternative rural tourism. We apply grounded theory method one of qualitative study methods for analysis of WWOOF Activities because WWOOF is still small activity in Korea. In result, we figure out the actual condition of WWOOF Korea activities as a vouluntourism through paradigm model of host and guest who had experience in WWOOF Korea. WWOOF activity is in its early stage so there many tasks. We suggested ideas for improving WWOOF activities to be one of new rural tourism business.

• Korean Journal of Agricultural Science
• /
• v.37 no.1
• /
• pp.37-43
• /
• 2010

This study carried out to develop barrier-free certification program in forest trail. It is done to provide the certification system presented about certification organized, certification standard and indexes, evaluation method and operation plan. In order to develop certification program in forest trail, detailed measurement index must be developed earlier based on an accessbility, a stability, a preservation and a walking continuity. The suitable forest trail for weak pedestrian was investigated that running slope should be 1/20(5%) maximum, cross slope cannot exceed 1/50(2%) maximum and clear tread width should be above of minimum 90cm. In addition, the trail type is designed as a mixed trail system which is a combination of the loop and the line form and its distance should be 225~675m. Finally, forest trail should be manage sustainably by having regular monitoring and evaluation.

• Journal of Biomedical Engineering Research
• /
• v.35 no.2
• /
• pp.14-18
• /
• 2014

This study is about e-Book program based on human-computer interaction(HCI) system for physically handicapped person. By acquiring background knowledge of HCI, we know that if we use vision-based interface we can replace current computer input devices by extracting any characteristic point and tracing it. We decided betweeneyes as a characteristic point by analyzing facial input image using webcam. But because of three-dimensional structure of glasses, the person who is wearing glasses wasn't suitable for tracing between-eyes. So we changed characteristic point to the bridge of the nose after detecting between-eyes. By using this technique, we could trace rotation of head in real-time regardless of glasses. To test this program's usefulness, we conducted an experiment to analyze the test result on actual application. Consequently, we got 96.5% rate of success for controlling e-Book under proper condition by analyzing the test result of 20 subjects.

• YAKHAK HOEJI
• /
• v.55 no.5
• /
• pp.391-397
• /
• 2011

KML001 reduced the proliferation of HCT116 cells in a concentration- and time-dependent manner without change of cell viability. Beclin-1 expression was significantly attenuated by KML001 (P<0.05), but no significant changes were observed in KML001-treated cells. The number of cells in G1 phase was increased 48 hr after KML001 treatment. Furthermore, a dramatic reduction in the frequency of beating and the number of embryoid bodies of the cells was noted after treatment. Taken together, KML001 suppresses the proliferation of HCT116 cells, which might be due to G1 phase arrest.

• Journal of the Korean Dietetic Association
• /
• v.8 no.4
• /
• pp.408-414
• /
• 2002

The purpose of this study was to develop the standardized manual for dietetic internship. The general information of the dietetic internship program in Korea was gathered and of dietetic internship(DI) in the USA was also surveyed. The existence of DI program manual, the number of intern and length of the dietetic internship program, and other general information were investigated. At first, the questionnaire was developed and mailed to 130 hospitals in Korea and the number of returned questionnaires was 42 showing participating rate of 28%. Second, telephone survey was carried out and the number of response was 40 out of 46 participating rate of 87%. The results of this study could be summarized as follow. 1. eneral informations of dietetic internship program in Korea; The hospital having a dietetic internship program was 31.7% and of them 14.6%(12 hospitals) have a manual developed by themselves. The number of dietetic intern per hospital was 2.0$\pm$ 1.4. The length of the program was from 3 to 12 months. Ten hospitals (38.5%) have a only food service program and 16 hospitals (62.5%) have both food service and clinical program. Seventy one percent (58 hospitals) of total hospital were willing to use the well developed standardized dietetic internship manual. 2. eneral information of Dietetic Internship Program in the USA; Two hundred fifty nine hospital had the dietetic internship program approved by ADA. The number of dietetic intern in each hospital was 10.6$\pm$ 6.3. The mean length of the program was 13.6$\pm$ 6.3 months. Twenty seven percent of institution have coordinated internship/masters degree program. The range of tuition for DI program was from 300 to 30,855(otherwise, interns were payed by the hospital in Korea). As a conclusion, the standardized dietetic internship program for the clinical dietitian as nutrition professionals to carry out their job at the hospitals should be developed. And the coordinated internship/masters degree program could be considered to improve the skill levels and job performances of clinical dietitian.