• Journal of Korean Society of Rural Planning
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• v.11 no.2 s.27
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• pp.9-19
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• 2005

The purpose of this study is to analyze the potential soil loss and hazard zone by the Revised Universal Soil Loss Equation(RUSLE) for preservation and management of land resources which is the base of ecosystem, and to grasp the relationship between RUSLE factors in the Nakdong River Basin. All thematic maps used in RUSLE are constructed through GIS and spatial analysis method derived from digital topographic maps, detailed soil maps, land-cover maps, and mean annual precipitation of 30 years collected respectively from National Geographic Information Institute, National Institute of Agricultural Science and Technology, and Ministry of Environment. The slope length of LS-factor that takes much times by the study area's wideness was calculated automatically through AML(Arc Macro Language) program developed by Van Remortel et al.(2001, 2003). The results are as follows; First, according to the soil loss estimation by the RUSLE, it shows that approximately 82% of the study area have relatively lower possibility of soil loss which is the 1 ton/ha in annual soil loss. While, 9.4% ($2,228km^2$) needed intensive and continuous management for soil loss. Because the amount of their annual soil loss was greater than 10 ton/ha that is optimum level suggested by Morgan(1995). For these areas, the author believe that a new approach which can minimize environmental impacts from soil loss through improvement of cultivation process and buffer forest zone should be applied. Second, according to the relationship between the RUSLE factors, topographical(LS-factor) and cover management(C-factor) conditions have a lot of influence on soil loss in case of the Nakdong River Basin. However, because of RUSLE factor's influence that affect to soil loss might be different based on the variety of spatial hierarchy and extent, it is necessary to analyze and evaluate factor's relationship in terms of spatial hierarchy and extent through field observations and further studies.

• Journal of the Korean Dietetic Association
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• v.7 no.3
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• pp.217-226
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• 2001

It is important to supply adequate nutrition to critically ill patients, whose gastrointestinal system is properly functioning, through the enteral tube feeding if oral intake is impossible. In this study we investigated the changes in nutritional status with enteral tube feeding according to the volume required. We investigated the volume ordered according to the patient's requirements, volume infused according to the volume ordered in 41 enteral tube feeding patients in intensive care unit from Jannuary to July, 2000. Body weight, serum albumin level, and total lymphocyte count were evaluated to assess nutritional status. The mean fasting period was 5 days before the enteral feeding and patients whose fasting period over 3 days were 51%. The mean enteral tube feeding period was 29 days and method of feeding was nasogastric, bolus feeding 6 times per day. The volume ordered was 69.7% of the patients' recommended calorie and volume infused was 86.6% of their volume prescribed. Accordingly, the volume infused was estimated 61.7% of their volume required. Only 44.6% of their reqiured volume was infused within 3 days after enteral tube feeding was started. It took 16 days in average to meet the patients' recommended calorie; 56% of subjects still did not fully met their requirements by the end point. Among the impeding factors in supplying enteral tube feeding, factors related to the number of feeding were high residual volume in stomach, vomiting, gastrointestinal bleeding, abdominal distension and surgery. Factors related to the acctual infused volume were diarrhea, gastrointestinal bleeding, abdominal distension, airway management and tube reinsertion. Significant correlations were shown between the volume infused and changes in both the patients' weight and serum albumin level. Deviding the subjects into two groups by their infused volume, less than 70% and more than that, we compared the two to come up with a significant difference in their serum albumin level, -0.23 vs 0.21, and their body weight, -4.52 vs 0.12. In enteral tube feeding, the volume delivered in sufficient to the pateints' energy requirement can affect their nutriitional status in critically ill patient; adequate nutritional management plan is essential. It is necessary to make every effort to educate clinical staff and to set up a unified management program to prescribe adequate ammount of energy for the patient's nutritional requirement.

• Journal of Korean Academy of Nursing
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• v.44 no.2
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• pp.219-227
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• 2014

Purpose: To assess whether the Modified Early Warning Score (MEWS) predicts the need for intensive care unit (ICU) transfer for patients with severe sepsis or septic shock admitted to general wards. Methods: A retrospective chart review of 100 general ward patients with severe sepsis or septic shock was implemented. Clinical information and MEWS according to point of time between ICU group and general ward group were reviewed. Data were analyzed using multivariate logistic regression and the area under the receiver operating characteristic curves with SPSS/WIN 18.0 program. Results: Thirty-eight ICU patients and sixty-two general ward patients were included. In multivariate logistic regression, MEWS (odds ratio [OR] 2.02, 95% confidence interval [CI] 1.43-2.85), lactic acid (OR 1.83, 95% CI 1.22-2.73) and diastolic blood pressure (OR 0.89, 95% CI 0.80-1.00) were predictive of ICU transfer. The sensitivity and the specificity of MEWS used with cut-off value of six were 89.5% and 67.7% for ICU transfer. Conclusion: MEWS is an effective predictor of ICU transfer. A clinical algorithm could be created to respond to high MEWS and intervene with appropriate changes in clinical management.

• Journal of Korean Society of Rural Planning
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• v.24 no.1
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• pp.11-19
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• 2018

The purpose of this study was to analyze the participant's perception of importance and performance of rural tourism network products that are linked with local resources, and propose the implications on the development direction of such products. The focus is on helping rural tourism network products acquire competencies that will help them evolve their business and differentiate themselves. To reach these objectives, a survey was designed through theoretical research on the motive of rural tourism and on agritourism networks. The survey was carried out on visitors to rural communities that produce rural tourism network products from November, 2015, to January, 2016 using 165 copies of a questionnaire after distributing 175 copies. The first quadrant continue and sustain', an area of high importance and high performance, included trial program components, stress reduction, getting away from daily routines, gaining new experiences, comfort, experiencing rural culture, travel expenses, and making memories with family. The second quadrant 'requires intensive improvement', an area of high importance but low performance, included having diverse trial programs, refreshment, experiencing agriculture, and education of children. Therefore, continuous interest is required for the area of 'maintenance' just as it is for activating educational farms in rural communities and a more fundamental improvement in the operation should be made for the area of 'intensive management'.

• Nutrition Research and Practice
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• v.15 no.1
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• pp.38-53
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• 2021

BACKGROUND/OBJECTIVES: Abdominal obesity is associated with metabolic disorders, and, in recent years, its prevalence in Korea has continuously increased. The change of lifestyle, particularly diet, is critical for the reduction of abdominal obesity. This study evaluated the effectiveness of an intervention focused on dietary self-efficacy and behaviors on the improvement of abdominal obesity. SUBJECTS/METHODS: Abdominally obese adults with additional cardiovascular risk factors were recruited through 16 medical facilities in South Korea from the year 2013 to 2014. The participants were randomly divided into 2 groups: an intensive intervention group (IG) that received a multi-component intervention to reduce abdominal obesity, by mainly focusing on dietary attitude and dietary behavior change, and a minimal information intervention group (MG) that received a brief explanation of health status and a simple recommendation for a lifestyle change. The interventions were provided for 6 mon, and health examinations were conducted at baseline, 3-, 6-, and 12-mon follow-ups. A path analysis was conducted to identify the process governing the changes in abdominal obesity. RESULTS: The IG showed an improvement in self-efficacy for eating control and diet quality at 6-mon follow-up. Abdominal obesity improved in both groups. Waist circumference was observed to be decreased through the path of "improved self-efficacy for eating control in food availability-eating restriction-improved dietary quality" in IG. Most changes in follow-ups were not significantly different between two groups. CONCLUSIONS: The intensive program targeting the modification of dietary behavior influenced management of abdominal obesity, and the effect occurred through a step-by-step process of change in attitude and behavior. Generally, improvements were also seen in the MG, which supports the necessity of regular health check-ups and brief consultation. The results can be used for further development and implementation of more successful interventions.

• Health Policy and Management
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• v.20 no.2
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• pp.128-143
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• 2010

Objectives : This study aims to estimate the oral antihyperglycemic medications adherence among ambulatory care with adult type 2 diabetes patients and to identify factors affecting the medication adherence in Korea. Methods : This study used the Korean National Health Insurance Database. Study population was 40,082 patients who were 20 years of age or older and first diagnosed with type 2 diabetes (ICD-10: E11) in 2004. The patients were followed up for two years in order to measure adherence with oral antihyperglycemic medications. The level of medication adherence was measured by the medication possession ratio (MPR). Results : The average MPR in the study population was 49.5%. The appropriate adherence rate (MPR$\geq$80%) was 29.4% and showed variation according to the characteristics of individual patients. Multiple logistic regression analysis revealed that the odds of appropriate adherence increased with female (OR:1.21, CI:1.14-1.27), older age, increasing ambulatory care visits, health insurance (OR:1.53, CI:1.33-1.76), decreasing ambulatory care providers, using a specialized general hospital as their main attending medical institution (OR:10.08, CI:8.96-11.33), having co-morbidity, using polytherapy (OR:1.07, CI:1.01-1.13). Conclusions : The medications adherence for patient with type 2 diabetes is low in Korea, and shows variation according to the characteristics of patients. For proper management of diabetes, health care policy is expected to be enacted to improve medications adherence continuously. In particular, more intensive management is needed for patients with low medications adherence. Also, health care policy makers need to develop the program to induce health care utilization by a patient to be more concentrated with the same provider.

• Korean Journal of Occupational Health Nursing
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• v.28 no.4
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• pp.262-270
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• 2019

Purpose: This study aims to provide preliminary data for weight management, and prevention and management of cardiovascular and cerebrovascular diseases. We examined the effect of changes in the weight of workers at a manufacturing company over three years on their metabolic syndrome and metabolic syndrome diagnosis components. Methods: Necessary data were collected from the questionnaire and the results of the Korean National Health Screening of 2015 and 2017, which included 228 workers at a manufacturing company in G region. The collected data were analyzed using the SPSS/WIN 23.0 program. ANCOVA was used to examine the differences in the metabolic syndrome diagnosis components according to weight change. In addition, multiple logistic regression analysis was used to obtain the odds ratios of metabolic syndrome and metabolic syndrome analysis component, based on the weight changes in the normal weight group and the obesity group. Results: Waist measure, systolic blood pressure, and blood pressure were found to have significant effects based on participants' weight change over three years. These factors increased with a larger increase in weight at a statistically significant level. This study analyzed the weight changes of the normal weight group and the obesity group considering the data from the National Health Screening of 2015, and found that the risk of metabolic syndrome increased at a statistically significant level as body weight increased; thus, the obesity group showed a higher risk in this regard. It was also found that waist measure, fasting blood sugar, and high-density low cholesterol increased at a statistically significant level as body weight increased. Conclusion: Health administrators need to recognize the importance of workers' weight management, select an intensive management group based on a time series analysis of weight changes, and develop and implement programs to manage the metabolic syndrome diagnosis components.

• Journal of the Korea Society of Computer and Information
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• v.14 no.9
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• pp.75-84
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• 2009

In this paper, the EPC Network as the most important technologies in the field of applied technology research and special attention to the use of RFID to better manage the disease in infected U-MAS (U-Medical Administrative Services) system was designed. U-MAS system, the Center for Disease Control in the illness, depending on the type of isolate and treat infected patients, recovery, discharge, isolation wards and intensive italian to manage and increase efficiency, manual and use a simple computer program improve the qualify of the current level, using RFID tags to improve the management of the patient everything that a little more and be out of the isolation ward, if competent disease management districts, such as the location to respond more quickly to facilitate the purpose is to contribute to. First, EPC Network and related technology for mobile RFID systems and related technology research. U-MAS system design offers. If you take advantage of the proposed U-MAS system for monitoring infectious disease patients and patients in the isolation ward, when the unauthorized departure location to shorten the time it takes to improve the effectiveness of disease management and present the elected effects was.

• Korean Journal of Environment and Ecology
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• v.25 no.4
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• pp.614-620
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• 2011

The purpose of this study was to provide basic data for developing the practical park management. For this, satisfaction degree, satisfaction factors and estimated model by satisfaction variables of visitors analyzed through a questionnaire survey in Naejangsan National Park, Korea. In the evaluation of the satisfaction, variables of 'Lack of public facility'. 'Lack of use program', 'Lack of facility to stay' 'Charge of user fee, parking fee' and 'Exorbitant pay' at Naejangsan park office and 'Charge of user fee, parking fee', 'Lack of use program' and 'Lack of facility to stay' at Baekam park office was more unsatisfied than any other variable. Satisfaction factors by Factor Analysis were loaded with 'Facility management' at Naejangsan park office(34.3%) and 'user management' at Baekam park office(45.6%) by the highest contribution degree. In estimated model of satisfaction by Multiple Regression Analysis showed in order of 'damage of trail', 'Lack of commercial facility', and 'Littering problem' at Naejangsan park office and 'damage of cultural and historic resource', 'Lack of commercial facility', 'Touting' at Baekam park office. So, Naejangsan National Park needed intensive management policy and institutional apparatus for facility management and user education.

• Journal of the Korean Operations Research and Management Science Society
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• v.17 no.1
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• pp.117-117
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• 1992

Pubilc utility industries including the electric utility industry are facing a new stream of privatization com-petition with the private sector and deregulation. The necewssity to solve now and in the future power supply and demand problems has been increasing through the sophisticated generation expansion plan(GEP) approach con-sidering not only KEPCo's supply-side resources but also outside resources such as non-utility generation(NUG) demand-side management (DSM). Under the environmental situation in the current electric utility industry a new approach is needed to acquire multiple resources competitively. This study presents the development of a modified electric generation expansion analysis system(EGEAS) model with avoided cost based on the existing EGEAS model which is a dynamic program to develope an optimal generation expansion plan for the electric utility. We are trying to find optimal GEP in Korea's case using our modified model and observe the difference for the level of reliabilities such as the reserve margin(RM) loss of load probability(LOLP) and expected unserved energy percent(EUEP) between the existing EGEAS model and our model. In addition we are trying to calculate avoided cost for NUG resources which is a criterion to evaluate herem and test possibility of connection calculation of avoided cost with GEP implementation using our modified model. The results of our case study are as follows. First we were able to find that the generation expansion plan and reliability measures were largely influenced by capacity size and loading status of NUG resources, Second we were able to find that avoided cost which are criteria to evaluate NUG resources could be calculated by using our modified EGEAS model with avoided cost. We also note that avoided costs were calculated by our model in connection with generation expansion plans.