• 한국농공학회논문집
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• 제58권2호
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• pp.73-82
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• 2016

This study is about development of personal disaster shelters for minimization of the casualties caused by the landslide and steep slope collapse. The objectives of present research is the selection of disaster evacuation facilities utilizing FRP (Fiber Reinforced Plastic) material. For the proper assessment of FRP member, several layers by strength test and the three-dimensional numerical analysis of these FRR member was carried out. As a result, the personal disaster evacuation facility utilizing FRP materials, was found to be of a material that is able to protect the weak person at the time of the collapse of the landslides and steep slopes.

• 한국물환경학회지
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• 제31권6호
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• pp.693-699
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• 2015

It has been known that torrential rainfall events have been occurring worldwide due to climate change. The accelerated soil erosion has caused negative impacts on water quality and ecosystem of receiving waterbodies. Since soil security issues have been arising in various areas of the world, intensive interests have been given to topsoil management in Korea. Thus in this study, Web GIS-based computing system of physical, chemical, and biological topsoil quality indices were developed. In this study, five soil quality maps at national scale and top soil erosion potential were prepared for evaluation of soil quality based on soil erosion potential. For this system, the open source Web GIS engine, OpenGeo, was used as core engine of the system. With this system, decision makers or related personnel in areas of soil erosion Best Management Practices (BMPs) would be able to find the most appropriate soil erosion BMPs based on soil erosion potential and soil quality at the area of interest. The Web GIS system would be efficiently used in decision making processes because of ease-of-use interface and scientific data used in this system. This Web GIS system would be efficiently used because this system could provide scientific knowledge to decision makers or stakeholders. Currently various BMP database are being built to be used as a decision support system in topsoil management and topsoil quality areas.

• 보건행정학회지
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• 제26권4호
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• pp.373-381
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• 2016

Background: The purpose of this study is to evaluate the outcomes of clinical education program for nurses in regional public hospital, utilizing the Kirkpatrick's model. Methods: Kirkpatrik's 4-level model was applied to this study. Trainees were asked to fill out questionnaires in the middle and at the end of the program. Also administrators of excellent trainees were asked to fill out the questionnaires regarding nursing management performance after 1-2 months from the end of the training course. Results: All trainees had positive reactions to the clinical education program. Not only the results of individual level (satisfaction and achievement scores, academic achievement scores, practical application rate, and educational transition factors) but also the scores of organization level (nursing management performance scores) are improved. Conclusion: By showing a correlation between the effectiveness factors we need to verify the relationship between these factors in a future study. In addition, development of quantitative and qualitative performance indicators are needed. To establish a long-term education system, it is required to applying the excellent trainee's successful experiences.

• 한방재활의학과학회지
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• 제19권2호
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• pp.157-185
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• 2009

Objectives : The aim of this study is to suggest approach of oriental medical management and necessity by research of eastern and western medical literatures for Complex Regional Pain Syndrome(CRPS). Methods : We reviewed the clinical and experimental literatures of eastern and western concerned with CRPS which is related causation, signs and symptoms, diagnosis, etiology and management. Results : 1. CRPS is divided into type I and II by nerve injury. Two types of CRPS have been recognized: type I, corresponds to RSD and occurs without a definable nerve lesion, and type II, formerly called causalgia refers to cases where a definable nerve lesion is present. These conditions can be charaterized clinically by the sensory abnormalities, vascular abnormalities, oedema, sweating abnormalities, motor or trophic changes. 2. CRPS are well known to patients and physicians relatively, but the pathophysiology, causation and treatments are still unclear. 3. CRPS is needed to take the early diagnosis and multidisciplinary approach for significant effect. 4. CRPS can be regarded for obstruction syndrome of Ki and blood(痺證), blood stasis(瘀血), Wei symptom(痿證), numbness(痲木) in the oriental medical management of CRPS. Conclusions : Above the results, it is suggested that further studies and active approach of management of CRPS will be conducted precisely in oriental medicine.

• 보건행정학회지
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• 제28권1호
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• pp.15-22
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• 2018

Background: Health is affected by various local factors. This study aims to investigate the age-standardized mortality variation of Seoul as well as the characteristics of the factors related to the mortality variation. Methods: The Korea Community Health Survey data, Seoul Survey data, Seoul statistics, and e-regional indicators of the National Statistical Office were used. To investigate the basic boroughs standardized mortality variation in Seoul, external quotient, coefficient of variation (CV), and systematic component of variation (SCV) values were suggested; correlation analysis and multiple regression analysis were conducted to investigate the characteristics related to standardized mortality rate. Results: The highest and the lowest standardized mortality rate of Seoul by boroughs had as much as 1.4 times difference; a low level of variation was shown in CV by 8.2; and was shown in SCV by 79. As a result of the multiple regression analysis of the factors that affect standardized mortality variation, the higher the rate of householders with college or higher, the lower the standardized mortality rate, and the higher the high-risk drinking rate, the higher the standardized mortality rate. Of the two, the rate of householder with a degree equivalent or higher than college was shown to have the biggest impact, followed by high-risk drinking rate. Conclusion: We found a variation in age-standardized mortality rate of boroughs in Seoul. The results suggest that policy makers should take into account socioeconomic environmental characteristics of community in developing community-based health promotion rather than focusing on lifestyle changes of residents.

• 보건행정학회지
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• 제30권4호
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• pp.433-437
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• 2020

Cancer is a disease which has the huge burden in worldwide, and cancer is the number one cause of death in Korea. At this point, the new framework for cancer monitoring index is required for regional cancer monitoring. Especially, cancer survivors are the important target which is rapidly increasing recently, also cancer survivor's quality of care should be considered in the cancer monitoring index framework. To develop the Multidimensional Cancer Monitoring Index considering cancer survivor's quality of care, we took into account cancer continuum which including prevention, detection, diagnosis, treatment, survivorship, assessment of quality of care and monitoring cancer patient, and end-of life care for stage. For target, components of health care delivery system such as patient, family, provider, payer, and policy maker are included. Also, Donabedian model which is a framework for examining health services and evaluating quality of health care such as structure, process, and outcome is applied to contents. This new cancer monitoring framework which includes multidimensional components could help to develop regional cancer monitoring index, and to make national cancer management and prevention policy in the future.

• 보건행정학회지
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• 제31권1호
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• pp.91-99
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• 2021

Background: The Korean government introduced National Cancer Control Program and strengthening national health insurance coverage for cancer patients. Although many positive effects have been observed, there are also many concerns about cancer management such as patient concentration or time-to-treatment. Thus, we investigated the association between the time-to-treatment and survival of cancer patients, and compared regional differences by time trend. Methods: The data used in this study were national health insurance claims data that included patients diagnosed with lung cancer and received surgical treatment between 2005 and 2015. We conducted survival analysis with Cox proportional hazard model for the association between time-to-treatment and survival in lung cancer. Additionally, we compared the regional differences for time-to-treatment by time trend. Results: A total of 842 lung cancer patients were included, and 52.3% of lung cancer patients received surgical treatment within 30 days. Patients who received surgical treatment after 31 days had higher 5-year or 1-year mortality compared to treatment within 30 days (5-year: hazard ratio [HR], 1.566; 1-year: HR, 1.555; p<0.05). There were some regional differences for time-to-treatment, but it was generally reduced after 2010. Conclusion: Delayed surgical treatment after diagnosis can negatively affect patient outcomes in cancer treatment. To improve cancer control strategies, there are needed to analyze the healthcare delivery system for cancer care considering the severity and types of cancer.

• 정보관리학회지
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• 제29권3호
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• pp.79-97
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• 2012

본 연구는 우리나라 2개 국가도서관과 9개 지역대표도서관, 서울시립정독도서관을 대상으로 담당 사서들의 도서기호에 대한 인식 및 문제점을 조사하고 각 도서관에서 사용하고 있는 도서기호의 현황을 분석하여 도서기호에 대한 개선방안을 제시하였다. 도서기호의 가장 큰 문제점은 도서기호의 중복으로 인해 길어지는 도서기호의 길이로 나타났으며 도서기호 현황 분석을 통해 도서기호의 중복과 함께 직관성 부족이라는 문제점을 도출하였다. 이에 본 연구는 이용자 친화적이면서 간단하게 부여할 수 있는 저자명순과 연대순 방식을 조합한 새로운 도서기호법의 구성 요소를 제안하였다.

• 보건행정학회지
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• 제27권2호
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• pp.177-185
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• 2017

Background: The mental problems of the elderly are at issue as a serious social phenomenon. The purpose of this study is to identify risk factors affecting the mood disorders of the elderly. Methods: The subjects were 1,779,236 aged ${\geq}65$ and participated in health screening. Dependent variable was mood disorders. Independent variables were consisted of community level (regional deprivation index and healthcare resources) and individual level (sex, age, insurance type, disability, smoking, alcohol, physical activity, body mass index, and healthcare utilization). Multilevel logistic regression was performed. Results: At the individual level, women, employed insured, severely disabled people, heavy alcohol drinkers, high-intensity physical activity, body mass index, and patients who had chronic disease and severe disease were significantly associated with mood disorders. As the age has increased, it has let increase of mood disorders. At the community level, as the regional deprivation index has increased by 1, mood disorders has been increased by 1.005 times. The intra-class coefficient was 7.04%. Conclusion: We found individual and community level factors are associated with mood disorders. Systematic approach is essential to reduce mood disorders.

• 정보관리학회지
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• 제30권2호
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• pp.83-99
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• 2013

본 연구는 경기지역의 상호대차데이터를 분석하여 상호대차 장서의 지역 간 네트워크를 분석하여 보고자 하였다. 경기지역 공공도서관의 지역 간 상호대차 장서의 네트워크를 분석하여 장서의 이동이 어떻게 이루어지는가 파악함으로써 실무기반 데이터의 활용 방안을 모색해보았다. 이를 통하여 효율적 상호대차를 위하여 지역을 권역별로 나누어 상호대차를 실시한다면 더욱 원할한 상호대차가 이루어질 수 있음을 확인하였다.