• Title/Summary/Keyword: Regional Government

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Clinical Practice Guideline for Cardiac Rehabilitation in Korea

  • Kim, Chul;Sung, Jidong;Lee, Jong Hwa;Kim, Won-Seok;Lee, Goo Joo;Jee, Sungju;Jung, Il-Young;Rah, Ueon Woo;Kim, Byung Ok;Choi, Kyoung Hyo;Kwon, Bum Sun;Yoo, Seung Don;Bang, Heui Je;Shin, Hyung-Ik;Kim, Yong Wook;Jung, Heeyoune;Kim, Eung Ju;Lee, Jung Hwan;Jung, In Hyun;Jung, Jae-Seung;Lee, Jong-Young;Han, Jae-Young;Han, Eun Young;Won, Yu Hui;Han, Woosik;Baek, Sora;Joa, Kyung-Lim;Lee, Sook Joung;Kim, Ae Ryoung;Lee, So Young;Kim, Jihee;Choi, Hee Eun;Lee, Byeong-Ju;Kim, Soon
    • Journal of Chest Surgery
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    • v.52 no.4
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    • pp.248-329
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    • 2019
  • Background: Though clinical practice guidelines (CPGs) for cardiac rehabilitation (CR) are an effective and widely used treatment method worldwide, they are as yet not widely accepted in Korea. Given that cardiovascular disease is the second leading cause of death in Korea, it is urgent that CR programs be developed. In 2008, the Government of Korea implemented CR programs at 11 university hospitals as part of its Regional Cardio-Cerebrovascular Center Project, and 3 additional medical facilities will be added in 2019. In addition, owing to the promotion of CR nationwide and the introduction of CR insurance benefits, 40 medical institutions nationwide have begun CR programs even as a growing number of medical institutions are preparing to offer CR. The purpose of this research was to develop evidence-based CPGs to support CR implementation in Korea. Methods: This study is based on an analysis of CPGs elsewhere in the world, an extensive literature search, a systematic analysis of multiple randomized control trials, and a CPG management, development, and assessment committee comprised of 33 authors-primarily rehabilitation specialists, cardiologists, and thoracic surgeons in 21 university hospitals and 2 general hospitals. Twelve consultants, primarily rehabilitation, sports medicine, and preventive medicine specialists, CPG experts, nurses, physical therapists, clinical nutritionists, and library and information experts participated in the research and development of these CPGs. After the draft guidelines were developed, 3 rounds of public hearings were held with staff members from relevant academic societies and stakeholders, after which the guidelines were further reviewed and modified. Results: CR involves a more cost-effective use of healthcare resources relative to that of general treatments, and the exercise component of CR lowers cardiovascular mortality and readmission rates, regardless of the type of coronary heart disease and type and setting of CR. Conclusion: Individualized CR programs should be considered together with various factors, including differences in heart function and lifestyle, and doing so will boost participation and adherence with the CR program, ultimately meeting the final goals of the program, namely reducing the recurrence of myocardial infarction and mortality rates.

Homeland Security Management: A Critical Review of Civil Protection Mechanism in Korea (국가안전관리: 한국의 시민보호(위기재난관리) 체계에 관한 비판적 고찰)

  • Kim, Hak-Kyong
    • Korean Security Journal
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    • no.26
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    • pp.121-144
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    • 2011
  • The Framework Act on the Management of Disasters and Safety 2004(FAMDS) currently underpins Korean civil protection system, and under this FAMDS, Korean civil protection establishes a three-tiered government structure for dealing with crises and disasters: central government, provincial & metropolitan government, and local government tiers. In particular, the concept of Integrated Emergency Management(IEM) emphasizes that emergency response organizations should work and act together to respond to crises and disasters effectively, based on the coordination and cooperation model, not the command and control model. In tune with this trend, civil protection matters are, first, dealt with by local responders at the local level without direct involvement of central or federal government in the UK or USA. In other words, central government intervention is usually implemented in the UK and the USA, only when the scale or complexity of a civil protection issue is so vast, and thus requires a degree of central government coordination and support, resting on the severity and impact of the event. In contrast, it appears that civil protection mechanism in Korea has adopted a rigid centralized system within the command and control model, and for this reason, central government can easily interfere with regional or local command and control arrangements; there is a high level of central government decision-making remote from a local area. The principle of subsidiarity tends to be ignored. Under these circumstances, it is questionable whether such top-down arrangements of civil protection in Korea can manage uncertainty, unfamiliarity and unexpectedness in the age of Risk Society and Post-modern society, where interactive complexity is increasingly growing. In this context, the study argues that Korean civil protection system should move towards the decentralized model, based on coordination and cooperation between responding organizations, loosening the command and control structure, as with the UK or the USA emergency management arrangements. For this argument, the study basically explores mechanisms of civil protection arrangements in Korea under current legislation, and then finally attempts to make theoretical suggestions for the future of the Korean civil protection system.

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A study on the process of spatial reduction of cotton culture in Korea since 1945 (해방 이후 우리나라 면작농업 소멸의 지역적 전개과정)

  • ;Kim, Kihyuk
    • Journal of the Korean Geographical Society
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    • v.29 no.3
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    • pp.318-339
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    • 1994
  • U.S. had given large amount of cotton to Korea as food aid program since 1945. This cotton aid had negative impact on cotton culture in Korean agriculture. Korean government used counterparts funds (sale proceeds of food aid) not for investment to agriculture sector, but for military budgets. And food aid on program type had influenced general economic policies, which neglected agricultural sector too. Anti-agricultural policy which was helped by U.S. food aid, had caused cotton cultivator an economic loss. So this economic loss had made many farmers abandon cotton culture. But in our times, cotton is cultivated for the purpose of domestic consumption in a few rural villages. The purposes of this study are 1) to analyze the process of spatial reduction of cotton culture since 1945 in regional contexts in Korea, and 2) to identify the function and meaning of cotton culture which does not pay off in agricultural region. Materials for acreage of cotton culture are acquired through the agricultural statistical year book(1952-1989) and census. To clarify the meanings of cotton culture, field survey are conducted in a rural village which is identified as only one where cotton was cultivated in 1993. In these contexts, this study has come to the following conclusions. In the period of under the rule of Japanese Imperialism (1910-1945), G. arboreum, species of cotton which was traditionally cultivated since 1364, had been driven out. And G. hirustun species, which is suitable for the production of highly qualified textile, has been hierarchically diffused by policy. In these period, regional structure of Korean agriculture was reorganized for the provision with food to Japan. Crops leading this dependent spatial structure were rice and cotton. So agricultural region, specialized with cotton, were distributed in the hinterland of the area which is specialized with rice. U.S. cotton aid to Korea began in 1947. U.S. took an interest in agricultural export because of her domestic surplus of cotton. Cotton aid is one mechanism by which U.S government developed agricultural market in recipient countries, Specially in the exchange rates, up-valuation of won to the U.S. dollars made domestic cotton more expensive than cotton imported, Production cost of domestic cotton is higher than Government's purchasing price of cotton which was also more expensive than price of cotton imported. Korean farmer could not help abandoning the cultivation of cotton, and this gave rise to spatial reduction of cotton culture. Spatially, cotton culture was abandoned in early stage of reduction in regions where stand at a disadvantage climatically, and in next stage in regions where other up-land crops which paid off in urban market, eg, fruits, could be cultivated. In the stage of extinction, cotton was cultivated only in area where G. hirustun species was originated in Korean peninsula. This region is not only suitable climatically for cotton culture, but is far away from urban market. Use of cotton produced is not for spinning, but for fillings of comforter. The main purpose of cotton culture in rural village is not for cotton yields, but for increase of production of seasame, which is grown together with cotton as mixed crops. Cotton product are used for domestic consumption and sold out to gin house. Though cotton culture is not paid off, farmer wanted to cultivate continuously for the cultural purpose, and they wanted the cotton culture promotion policy with the goverment subsidy.

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A Study on improvement of traffic accident safety index for Uljugun, Ulsan (교통사고 안전지수 등급 향상방안 연구_울산광역시 울주군 중심으로)

  • Kim, Yong Moon;Kang, Seong Kyung;Lee, Young Jai
    • Journal of Korean Society of Disaster and Security
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    • v.10 no.2
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    • pp.7-19
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    • 2017
  • Recently, the incidence of disasters and safety incidents is increasing rapidly, and the interest and demands of the people are increasing. In particular, traffic accidents in Korea are decreasing due to the continuous efforts of the government and the local governments, but still higher than the OECD average. In response to such demands of the times, the 'Regional Safety Index', a numerical value that quantifies the level of safety of each local government, is being publicized every year to awaken public awareness. The Regional Safety Index covers seven categories of accidents (traffic accidents, crimes, suicide, infectious diseases, fire, safety accidents, and natural disasters) in local governments. But, this study focuses on the traffic accident area and analyzed. The target local government is Ulju county of Ulsan Metropolitan City. Based on the traffic accident statistical data of Ulju county, the analysis of the traffic accidents and vulnerable points were analyzed. Among them, 3 key improvement districts were selected and 15 vulnerable branches were selected for each key improvement district. Next, we prepared measures for improvement of each accident vulnerable site through analysis of geographic information through traffic data related to traffic accidents and interview with related organizations. In addition, the improvement measures are divided into the structural infrastructure improvement, the institutional improvement, and the traffic safety culture movement from the viewpoint of traffic accident prevention. Finally, the implications of this study are to clarify the duties and roles of the relevant departments in the municipality, based on the implementation schedule of the improvement projects for the prevention of traffic accidents and the budget plan. In addition, it is very important that the participating agencies involved in traffic accidents and the private sector participate in the project.

A Study on the Change of Identity and Agency of International Marriage Migrant Women Changing with the Social Positionality : A Case Study of Gumi (국제결혼이주여성의 정체성 및 주체성의 사회적 위치성에 따른 변화 -구미 지역의 국제결혼이주여성의 생애사 분석을 중심으로-)

  • Park, Shin-Kyu
    • Journal of the Korean association of regional geographers
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    • v.14 no.1
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    • pp.40-53
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    • 2008
  • A case study has been conducted on the changes in the identity and agency of international marriage migrant women who experienced a shift from a immigrant worker to a foreign spouse and a Korean citizen. The life histories of the eight female migrants living in Gumi area, a representative inland industrial complex in Korea, have been investigated by in-depth interview. The aim is to examine how the female migrants reconstruct and interpret their lives. The results reveal that the identy of a female migrant is flexible depending on her social positionality. The identities established from the past experiences in their native countries have been changed by their situations and conditions in Korea. The female immigrants recognize that their problems have been an important issue both in government policy and mass media. However, the female migrants express a strong revolt against the fact that they are considered as underclass victims or innocent people from underdeveloped countries. This implies their ambivalence toward international marriage that they selected subjectively. There is a finding to show a new possibility; the Transnational Marriage & Family Support Center supported by Government may provide a good ground for the female migrants to be a active group agent. The results illustrate that the international marriage migrant women could not be classified into a single group as wives. Called for are diverse researches reflecting the complex situations of migrant women.

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Recent Reform of Chinese University and Yanbian University (최근 중국의 대학교 개혁과 연변대학교의 개혁)

  • Shizhu, Jin;Xuefeng, Nan
    • Journal of the Korean association of regional geographers
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    • v.11 no.5
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    • pp.488-499
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    • 2005
  • The trends of Chinese and Yanbian University's reform were studied in this work. Although the history of Chinese modem university education is short, and all Chinese Universities experienced same social problems, however, development of each university was different. Especially after 90's, with applying socialism market economy theory, Chinese university education have changed a lot. Main conclusions were summarized as follows. First, to exert university's self-determination, University management system was changed. More and more rights and freedoms of operating university were given to universities which were originally controlled by central and local government. With that, universities were cheered to develop extensively based on its ability. Second, efforts to fit market economy were observed. It reflects in all aspects, such as systems of university financing, operating, admission and graduation of students. Third, professor competition system was adopted to promote professors enthusiasm. Forth, to survival in hot competition among universities, differentiation policy was applied. In brief, it could be said that rapid developments of Chinese university education have achieved recently. However, problems such as universities are still under supervision of central and local government: expand of university scale rather than education quality was focused on: limit of investment to university: lack of legal protection for finical supporting: lack of university democratization were still remain. It was expected that these problems will be solved in future university reforms.

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A Understanding of Approach to the Japanese Territory Education on Dokdo (일본의 독도 영토교육에 대한 다차원적 접근성 이해)

  • Park, Chul-Woong
    • Journal of the Korean association of regional geographers
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    • v.16 no.3
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    • pp.324-337
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    • 2010
  • We believe, 'Dokdo is clearly an inherent territory of Korea, in the light of geographical and historical facts', This paper aims to discuss Japanese multidimensional approach on the Issues of Dokdo(Takeshima) in the context of Territory Education. We considered the matter from various angles that supported by the ministry of Foreign affairs and the ministry of Education in national scale, as well as shimane prefecture government and municipality scale. Therefore, It is likely that the approach of territory education on Dokdo in Japan is variable and potential, and is temporary state of condensation, depends on Korea-Japan's political, economical, social, and international conditions. More studies of the new approach must be done for the new implications of Territory Education that embraces all meanings and events according to the disposition of neighbouring condition of Dokdo in world context, keeping out emotional and nationalist sympathies. The result of consideration in this paper are as follows. First, Territory Education in japan was focused on geography, history, Civil, Social Studies, compared with focusing on History in Korea. Second, It is centered on "korea is illegally occupying Dokdo, against which Japan has been consistently making strong protests" rather than simple historical approach. Thirdly, Their approaches seek to be succeeded the identity and importance of Territory Education to next generation rather than the present solving problem.

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River Basin based Region Reconstruction and it's Regulation Analysis: A Case of Gangwon Province (하천 유역권에 의한 권역구분과 권역별 규제지역 분석 - 강원도 지역을 대상으로 -)

  • Kim, Chang-Hwan;Bae, Sun-Hak
    • Journal of the Korean Association of Geographic Information Studies
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    • v.9 no.1
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    • pp.20-33
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    • 2006
  • Changing of industry structure and development of traffic and telecommunications requires a change of the knowledge about the space where the human beings reside. Step by step the world is being divided into specified utility blocks. Today there is a limit that only one local government can compete with another region in the world. This study provides decision support tools with the use of GIS on the regional level for regions competition. GIS establishes regions and analyzes their geographic environment data, which will help in local-government problem solving and provide framework data for similar regions to become the community. The wide-area GIS application can present an objective and rational basis for regulation of inefficient investments and excessive competition between adjacent regions. The study area is Gangwon-do. Considering specific features of Gangwon-do which preserved high-quality environment resources, river basins were taken as a basis among natural regional elements. The main object of analysis conducted were the facts relevant to environmental regulation. The Gangwon-do consists of three regions in this study: Yongdong region, North-Hangang region and South-Hangang region. The analysis of each region regulation cases showed the following: in Youngdong region the forests regulation rate is high, in North-Hangang region the military installations protection sector's rate as well as regulation rate for water resources protection is relatively high, in South-Hangang region the forest and water resources regulation rate is high. The percentage of forests and water regulation rate appeared to be rather high in Gangwon-do, which means that the value of forest and water resources there is very high.

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A Study on Greenhouse Gas Emissions Estimation based on Mileage Through Accumulation of Activity Databases (활동자료 구축을 통한 주행거리 기반의 온실가스 배출량산정방법에 관한 연구)

  • Bae, Bo Ram;Kim, Gyeong Seok
    • Journal of Korean Society of Transportation
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    • v.32 no.1
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    • pp.1-12
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    • 2014
  • The tier 3 methodology used in estimation of greenhouse gas emissions from road sectors is based on mileage data. However, such data can neither accurately represent the mileage of regional unit nor have sufficient integrated data reflecting the characteristics by region, vehicle type, fuel type and road type. Such estimation of greenhouse gas emissions is not reliable. Accordingly, the purpose of this study is, firstly to accumulate activity data based on distance traveled which enables us to accurately estimate the amount of green gas emitted by regional unit(emission point), and secondly, to develop a methodology for estimation of greenhouse gas emissions using these data. To do this, the study utilizes the mileage data of Korea Transportation Safety Authority(TS), statistics of registered motor vehicles, statistical yearbook of traffic volume from the Ministry of Land, Infrastructure and Transport(MLIT), the Korea Transport Database of the Korea Transport Institute(KOTI), and average road speed by local government. Methodology for estimation by local government level(emission point) is meaningful, because it reflects traffic pattern data including flow in and out and internal traffics. Finally, to verify the methodology presented in this study, it is applied to Seoul. Both greenhouse gas estimates, one by multiplying the average mileage and the number of registered vehicles and the other by multiplying traffic volume and road extension, are less than the amount estimated by the methodology presented in this study.

The Modem Transformation of Spatial Structure in the Changjiang Delta Region: 1978~2006 (장강삼각주지구(長江三角洲地區) 공간구조(空間構造)의 현대적(現代的) 변용(變容) : 1978~2006)

  • Ryu, Je-Hun
    • Journal of the Korean association of regional geographers
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    • v.17 no.1
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    • pp.1-16
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    • 2011
  • Today, the name of Changjiang (Yangtze) Delta Region is used to designate an economic region which consists of sixteen cities including Shanghai City. The region has achieved the highest rate of economic growth in the world as well as in China since China its opened its toward the world market. The aim of this study is to examine the modern transition of spatial structure in the region after the opening (1978) and the membership of WTO (2000). In the examination, the study divides the spatial structure into three aspects: industrialization, urbanization and economic integration. The outcome of examination suggests that spatial division of industry, horizontally and vertically, has not reached a satisfactory level even if it is still in progress. The study proposes that the intervention of government in the market and company activity has hindered the spatial division of industry including service sector between the cities, and thus the economic integration. It further suggests that the specialization of urban function has not entered into the maturing stage, with the shortage of mid-size cities that would mediate spatial-economically between the large-size cities and the small-size cities in the urban hierarchy.

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