• Journal of the Korea Convergence Society
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• v.10 no.2
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• pp.57-66
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• 2019

The purpose of this study was to identify the risk factors of breast disease by checking the difference in lifestyle and the natural estrogen-containing food intake. The subjects were women who visited the J-City Women's Hospital between the ages of 20 and 60 (disease=85, non disease=93) and to avoid the demographic factors that might affect lifestyle, and to ensure the homogeneity of the two groups, (${\pm}5$ years old) were randomly expressed. The logistic regression analysis was performed to examine the influence of variables on breast disease. The probability of receiving a diagnosis of breast disease increased by 3.04 times, the probability of receiving a diagnosis of breast disease was 4.76 times higher than that of others such as brown rice grains, and the hobby life of stress relieving methods The probability of being classified as breast disease was 2.38 times. People who have experience of artificial abortion, those who enjoy white rice, and those who do not enjoy hobbies are more likely to be diagnosed with breast disease. The breast disease prevention and education program and the education program for the general public reflecting this characteristic will be necessary.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.19 no.11
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• pp.635-644
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• 2018

This descriptive study examined the practical nursing guidelines for the prevention of pressure injuries (PI) in operating rooms and their application. Method: Four general hospitals and three specialized hospitals located in Seoul, Incheon, and Gyeonggido province were selected through an online randomization program and nurses at these hospitals who participated in operations and had at least six months work experience were surveyed. Data were collected from January to April 2018 through a survey distributed to 150 nurses, 129 of whom returned the survey (86% recovery rate). The results showed that 43 nurses provided PI prevention care for patients in a lateral position (33.3%), 37 for patients in a supine position (28.7%), and 36 for patients in a prone position (27.9%). Gel was most widely used as the supporting surface material (102 nurses; 79.1%), followed by sponge (62 nurses; 48.1%), and cotton (47 nurses; 36.4%). Skin was often inspected twice, before and after the use of a supporting surface (90nurses; 69.8%), but no designated tool was used to determine the risk of PI developing (76 nurses; 58.9%). Additionally, the patient's position during surgery (83 nurses; 64.3%) and the length of the operation (i.e., more than two hours, in this case) (49 nurses; 38.0%) were determining factors for whether to use a supporting surface. The operating room nurses used the gel, sponge, and cotton as the supporting surfaces for the prevention of PI and confirmed that the cutoff operation time for the use of a supporting surface was more than 2 hours.

• 한국노년학
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• v.37 no.3
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• pp.583-600
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• 2017

The purpose of this study is to explore qualitatively what kind of coping strategy the Korean older adults use when they are depressed and why. Participants were users, older than 60, of an elderly welfare center in Seoul, and answers of 34 respondents who experienced depression were included in the analysis. The collected data were analyzed through content analysis. The results of the analysis showed that strategies to cope with depression used by participants were composed of 6 domains and 11 sub-domains: health behavior (medical approach / exercise and diet), family and social contact (social interaction / going out and going on a trip / communication with family), Religious activities (Religious activities), lifelong education (hobbies / educational activities), productive activities (labor), health risk behaviors (drinking and gambling / resignation). The depression coping strategies of the older adults and their characteristics are as follows. First, older adults used diverse problem-focused coping strategies to cope with depression. Second, older adults considered various coping strategies together and used them simultaneously. Third, the facility space for older adults functions as a shelter. Fourth, although there were cases where medical approach was used, the intention to reuse was very low. Through this study, the following suggestions were made to help older adults cope with depression more successfully. First, access to various coping strategies should be promoted. Second, more places where older adults can spend their time comfortably need to be provided. Third, resistance to mental health care should be resolved.

• 재활복지
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• v.22 no.2
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• pp.53-82
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• 2018

The purpose of this study was to understand the experience of persons with developmental disabilities participating in the Personalized Support Services. For case study, we conducted in-depth interviews with the persons with developmental disabilities and with the active supporters for them who were using the community welfare centers for the disabled. Through this, we have come up with three core categories: 'coming out into the community', 'experimenting with various choices in life', and 'living a subjective life'. This suggests the followings; First, it can be seen that persons with developmental disabilities who have limited communication and self-determination should be allowed to participate in the service through the participation process, and active support for the parties is needed in the process. Second, it is necessary to plan and support for them, centering on the parties, away from institution-centered services. Third, sufficient budget support should be provided for the self-determination, selection and control of the parties. Fourth, we should be able to enjoy everyday life by participating together in the local community, and change the perception of local residents to participate in the community. Fifth, continuous support is needed rather than temporary support. Finally it will be needed for us to listen to the voices of both parties and to represent their rights with all our efforts.

• Journal of Korean Society of Rural Planning
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• v.24 no.4
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• pp.147-155
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• 2018

The purpose of this study was to identify vulnerable area of emergency medical care. In the existing method, the emergency medical vulnerable area is set as an area that can not reach the emergency room within 30 minutes. In this study, we set up an area that can not reach within 30 minutes including the accessibility of 119 emergency center. To accomplish this, we obtained information on emergency room and 119 emergency center through Open API and constructed road network using digital map to perform accessibility analysis. As a result, 509 emergency room are located nationwide, 78.0% of them are concentrated in the region, 1,820 emergency center are located, and 61.0% of them are located in rural areas. The average access time from the center of the village to the emergency room was analyzed as 15.3 minutes, and the average access time considering the 119 emergency center was 21.8 minutes, 6.5 minutes more. As a result of considering the accessibility of 119 emergency center, vulnerable areas increased by 2.5 times, vulnerable population increased by 2.0 times, and calculating emergency medical care vulnerable areas, which account for more than 30% of the urban unit population, it was analyzed that it increased from 17 to 34 cities As a further study, it will be necessary to continuously monitor and research the real-time traffic information, medical personnel, medical field, and ambulance information to reflect the reality and to diagnose emergency medical care in the future.

• Fire Science and Engineering
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• v.33 no.1
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• pp.121-129
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• 2019

In Korea, life safety assessment through simulation are mandatory in performance-based design. Generally, there are three types of methods for simulation-based life safety assessments: the non-coupling method that compares available safe egress time (ASET) and required safe egress time (RSET) at a specific point through conducting fire and assessment simulations independently; the semi-coupling method that compares fire and evacuation simulation results by overlaying the result screens; and the coupling method that compares the results of fire effect simulation to an evacuation simulation. Of these methods, all designers in South Korea have used the only non-coupling method. In the non-coupling method, it is important to determine the location of a specific point to compare ASET and RSET. However, without any defined regulation, setting the location is determined based on the designer's experience and knowledge. The number of specific locations and the locations themselves differ with each designer, which can produce contrasting results in a life safety assessment. Therefore, this study conducted a life safety assessment based on the three methods (non-coupling, semi-coupling and coupling) and compared each of the results. Furthermore this study suggests a improvement way in particular for the computer simulation.

• Journal of the Society of Disaster Information
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• v.14 no.4
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• pp.387-398
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• 2018

Purpose: The purpose of this study is to promote the disaster safety village establishment project that fits the characteristics of rural areas by investigating and analyzing the operation cases of contents with regard to disaster safety villages in Korea and Japan. Method: The contents of project related to disaster safety villages in Korea and Japan were classified into resident participation contents, structured contents and unstructured contents, for examining the characteristics of such contents through investigation and analysis, and the contents (draft) of disaster safety village that fitted the characteristics of rural areas were presented. Result: The contents of resident participation include basic safety education, CPR education, life experience training of evacuation shelter, evacuation training, concurrent training of farming activity and disaster activity and creating a village safety map in connection with competent authorities. The enactment of an act and an ordinance for the establishment of disaster safety village, expert dispatch system, storm and flood insurance system and funding system to raise the fund for establishing a village were presented as unstructured contents. In addition, the production of self supporting evacuation shelter, wireless evacuation announcement system, disaster prevention system for a river, emergency evacuation sign, village safety map sign and the establishment of disaster prevention park were presented as structured contents. Conclusion: The unstructured contents are the establishment of foundation for preparing laws and institutions and the structured contents should be installed by utilizing eco-friendly methods in consideration of the environments of rural areas along with securing the safety. Moreover, resident participation should utilize the contents by considering various items such as age, characteristics and environments of residents in rural villages.

• Asia-Pacific Journal of Business Venturing and Entrepreneurship
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• v.16 no.2
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• pp.35-49
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• 2021

The purpose of this study is by using the Grounded Theory method to examine the process of starting a business in an online shopping mall for young self-employed people with experience in using Company N's Partner Square (Gwangju), a startup infrastructure institution. In this study, in-depth interview survey data were used, and theoretical sampling method was used in the selection of study participants. After proceeding in the order of open coding, axis coding, and selective coding suggested by Strauss & Corbin, it was analyzed with a paradigm model. The main research results are as follows. First, even when parents were unaware about online shopping malls or had a negative mindset about it, but they had a positive mindset about their children's start-ups, it was found that their children tended to start online shopping mall businesses. However, if parents had a negative mindset about online shopping malls and about their children's start-up, then the child could not start an online shopping mall business. Second, it was found that the ability to use online shopping malls is important as a condition for entrepreneurship and achievement in online shopping malls for young people. In particular, Partner Square (Gwangju) was found to increase the ability to use online shopping malls and positively influence startups in online shopping malls. Third, it was found that young people have increased their self-esteem, discovering opportunities, and reinforcing their creativity, in addition to simply increasing their sales after starting the online shopping mall.

• Journal of agricultural medicine and community health
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• v.45 no.4
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• pp.183-193
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• 2020

Objectives: As an ecological study, this study was performed to identify the community-level variation of health related quality-of-life (HRQOL), and to explore the factors that explain the variation, using 2017 Korean Community Health Survey (KCHS) data. Methods: Community health indicators of KCHS, which are correlated with the EQ-5D index of Si-gun-gu districts, were selected as independent variables. Multiple linear regression model was used to derive factors that explain regional variations in the EQ-5D index. Results: The EQ-5D index variation in 229 districts nationwide was 1.1 times for extremal quotient (EQ) and 1.0 for coefficient of variance (CV). The Si-gun-gu districts with the EQ-5D index in the lower 25% were more distributed in the province (27.7%) than in the metropolitan area (20.3%). As a result of multiple linear regression analysis, the depressed mood experience rate, perceived stress rate, suicide ideation rate, and physician diagnosed arthritis rate were derived as major factors of the variation. Conclusions: In order to reduce the gap in HRQOL between the districts, the priority of local health policies should be placed on the above factors including psychosocial factors.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• v.24 no.4
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• pp.357-365
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• 2021

Purpose: A change in diagnosis from ulcerative colitis (UC) to Crohn's disease (CD) has been reported in pediatric inflammatory bowel disease; however, only a few clinical characteristics and predictors of this diagnostic change have been reported. We aimed to describe the clinical characteristics of patients with UC who underwent a change in diagnosis to CD and identify variables associated with the change. Methods: The medical records of pediatric patients with UC who were followed up at the National Center for Child Health and Development between 2006 and 2019 were retrospectively reviewed. Clinical data on disease phenotype, laboratory parameters, endoscopic findings, and treatment of patients whose diagnosis changed to CD (cCD) were compared to those of patients whose diagnosis remained UC (rUC). Results: Among the 111 patients initially diagnosed with UC, 11 (9.9%) patients were subsequently diagnosed with CD during follow-up. There was no significant difference between the cCD and rUC groups in terms of sex, age at initial diagnosis, and the extent and severity of disease at initial diagnosis. Albumin and hemoglobin levels were significantly lower in the cCD group than in the rUC group. The proportion of patients who required biologics was significantly higher in the cCD group than in the rUC group (p<0.05). Conclusion: Approximately 10% children initially diagnosed with UC were subsequently diagnosed with CD. Hypoalbuminemia and anemia at initial diagnosis and use of biologics could be predictors of this diagnostic change.