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The Relationship between Cerebrovascular Mortality and Community Health Indicators in Gangwon-do (강원도의 뇌혈관질환 사망과 지역사회 건강 지표와 관련성)

  • Sim, Jeoung-Ha;Son, Mi-A
    • Journal of agricultural medicine and community health
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    • v.34 no.1
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    • pp.1-12
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    • 2009
  • Objectives: The aim of this study was to characterize the community health indicators affecting standardized mortality rate of cerebrovascular diseases(CVD) and to identify the relationship between CVD mortality and community health indicators in Gangwon-do. Methods: The community health indicators included material deprivation index, medical resource, rates of road pavement and local tax. CVD mortality and the material deprivation index were calculated in the registered death data and the 2000 census which were obtained from the Korean National Statistics Office. The community health indicators were measured using 2001 statistical year book of Ganwon-do. Data were analyzed by using Excel 2003, SAS 9.1. CVD mortality and material deprivation index were visualized by Arcview 9.1. Results: CVD mortality varied by region and sex in Gangwon-do. The highest CVD mortality in male and female were noted at Goseong-gun, the lowest CVD mortality in male was at Yangyang-gun as it of female at Pyeongchang-gun. In Taebaek city where material deprivation index was also the highest; in Pyeongchang-gun was the lowest. Also the higher material deprivation index in some regions was the higher CVD mortality was. CVD mortality was not related with community health indicators. Conclusions: The results showed the regional difference of mortality of CVD among counties and cities in Gangwon-do. It is recommended that other community health indicators besides material deprivation index, road pavement rate, medical resources and local tax affecting CVD mortality need to be considered to improve the preventive strategies.

The Polarization of Public Opinion and the Influential Factors on the Polarization between Pusan and Gwangju (지역과 세대 간 여론양극화와 그 영향요인에 관한 연구: 부산과 광주 지역을 대상으로)

  • Park, Sun-Hee;Han, Hye-Kyoung
    • Korean journal of communication and information
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    • v.39
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    • pp.178-223
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    • 2007
  • The polarization of public opinion by regionalism is one of biggest problems in Korean society. This study attempts to examine the polarization of public opinion between two typical cities representing regionalism and explore the factors influencing on the polarization. The results show that the polarization of public opinion is based on the perceived public opinion rather than the real public opinion. The polarization of public opinion is greater with regional issue than national issue. In general, citizens of Pusan have a conservative bias in estimating other Pusan citizens' opinion and a liberal bias in estimating Gwangju citizens' opinion, whereas citizens of Gwangju have a looking-glass perception in estimating other Gwangju citizens' opinion and a conservative bias in estimating Pusan citizens' opinion. There are no significant differences of the real public opinion and the perceived opinion across three generations. But within each generation, the tendency of public opinion polarization is found between regions and is not shown to change over generations. Regression analyses show that individual's opinion and region are highly predictable variables that explain the perceived public opinion and the perception bias such as false consensus and pluralistic ignorance.

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Geographical Interpretation of Korean Diaspora in Northeastern China: Its Migration and Spatial Diffusion (중국 조선족 디아스포라의 지리적 해석: 중국 동북3성 조선족 이주를 중심으로)

  • Choi, Jae-Heon;Kim, Sook-jin
    • Journal of the Korean Geographical Society
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    • v.51 no.1
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    • pp.167-184
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    • 2016
  • This paper investigates the migration process of Korean population in Northeastern China since the 19th century, focusing on the population distribution patterns in different time periods which reflect changes and diffusions of diaspora space. Korean migration into Northeastern China seemed to begin from the late 19th century, and can be classified into four different periods including cross-border refugee period (19th to 1910), political exile period(1911-1931), forced migration period(1932-1945), and economic-driven migration period(after 1946). The Korean migration into Northeastern China was closely related to paddy field rice farming by Korean migrants, which can be interpreted as a process of contagious diffusion starting from border area between Korea and China at the early stage. And then, process of hierarchical diffusion occurred along with urban centers on the railways from the 1930s. At the later stage, Korean migration has extended to coastal urban centers, other big cities in China and other countries including Korea since the 2000s. Recently, ethnic Korean communities in China have experienced changes from rural village based community to urban district based community as well as from single-nuclei ethnic structure around Northeastern China toward multi-nuclei ethnic structure extending to coastal urban areas in China.

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A Spatial Statistical Approach to Residential Differentiation (I): Developing a Spatial Separation Measure (거주지 분화에 대한 공간통계학적 접근 (I): 공간 분리성 측도의 개발)

  • Lee, Sang-Il
    • Journal of the Korean Geographical Society
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    • v.42 no.4
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    • pp.616-631
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    • 2007
  • Residential differentiation is an academic theme which has been given enormous attention in urban studies. This is due to the fact that residential segregation can be seen as one of the best indicators for socio-spatial dialectics occurring on urban space. Measuring how one population group is differentiated from the other group in terms of residential space has been a focal point in the residential segregation studies. The index of dissimilarity has been the most extensively used one. Despite its popularity, however, it has been accused of inability to capture the degree of spatial clustering that unevenly distributed population groups usually display. Further, the spatial indices of segregation which have been introduced to edify the problems of the index of dissimilarity also have some drawbacks: significance testing methods have never been provided; recent advances in spatial statistics have not been extensively exploited. Thus, the main purpose of the research is to devise a spatial separation measure which is expected to gauge not only how unevenly two population groups are distributed over urban space, but also how much the uneven distributions are spatially clustered (spatial dependence). The main results are as follows. First, a new measure is developed by integrating spatial association measures and spatial chi-square statistics. A significance testing method based on the generalized randomization test is also provided. Second, a case study of residential differentiation among groups by educational attainment in major Korean metropolitan cities clearly shows the applicability of the analytical framework presented in the paper.

A Study on the characteristics of Chinese medical care consumers and choice of medical care providers (중국 현지 의료소비자의 특성 및 의료기관 선택 연구)

  • Kim, Ji Man;Lee, Sang Gyu;Shin, Jaeyong;Song, Joo Young;Lee, Ye Seol;Kim, Tae Hyun
    • Korea Journal of Hospital Management
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    • v.23 no.1
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    • pp.78-86
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    • 2018
  • Purposes: This study identifies local Chinese consumers' standard for selecting medical care provider and their standard for choosing medical staff, as well as their expectations and concerns regarding Korean medical care providers. Methodology: A survey was conducted in China, to identify Chinese medical care consumers' standards for selecting a medical provider and the factors that influence their use of general hospitals. A total of 1,500 people across three cities, between the ages 18 and 60 participated in the survey. Moreover, a multiple logistic regression analysis was used to analyze the factors that affect Chinese medical care consumers' use of general hospitals. Findings: A total of 75.5 percent respondents chose general hospitals as their most frequently-used medical provider. Those who have health insurance, visit general hospitals as outpatients or are hospitalized more frequently than those who do not have a health insurance. Furthermore, those who have private insurance visit general hospitals as outpatients or are hospitalized more frequently than those who are not signed up for private insurance. Major standards for selecting a hospital included: the doctor's skills, word-of-mouth regarding the hospital, and distance to the hospital from the respondents' home. Standards for choosing medical personnel included word-of-mouth regarding the medical team, recommendations from family members or acquaintances, and medical team's notoriety. Friends and neighbors, family members, television and other media outlets were the channels for acquiring information on a hospital. It was found that Chinese people mostly visit the cardiovascular department of Korean hospitals for treatment. For using Korean hospitals in China, the majority of respondents answered that they were concerned about the cost. Practical Implications: Backed by highly skilled medical experts and cutting-edge technology, Korean medical care providers are attempting to enter China's medical care market. To succeed in China's medical care market, it is vital to conduct a clear and precise analysis.

A Study on the Application of the Korean Valuation Weights for EuroQoL-5 Dimension (EuroQoL-5 Dimension 한국 가중치 모형의 적용 연구)

  • Lee, Young-Hoon;Choi, Jin-Su;Rhee, Jung-Ae;Ryu, So-Yeon;Shin, Min-Ho;Kim, Jin-Hee
    • Korean Journal of Health Education and Promotion
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    • v.26 no.1
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    • pp.1-13
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    • 2009
  • Objectives: This study was conducted to estimate the health-related quality of life (HRQOL) using EuroQoL-5 Dimension (EQ-5D) and to identify its related factors among urban-dwelling adults. Methods: The data for this study were obtained from 1,134 subjects aged $20\sim91$, who participated in 'Survey on the health status and demand for health' in two cities of Korea (Dong-gu, Gwangju and Suncheon-si, Jeollanamdo). The HRQOL was measured using the EQ-5D instrument and EQ-5D index scores were calculated by two Korean valuation study model using time trade-off method. Results: The mean EQ-5D index scores for all subjects were $0.865{\pm}0.218$ (model A), and $0.921{\pm}0.170$ (model B). The EQ-5D index score was significantly different according to demographic and socioeconomic characteristics (gender, age, marital status, education, occupation, income, and health security system), self-rated health condition, health-related psychological assessments (enough sleep, fatigue rate, stress rate, and degree of satisfaction on the residence). The results of multiple linear regression showed that age, marital status, income, coverage of medical insurance, self-rated health condition, and fatigue rate were significantly related common statistical factors of HRQOL in two Korean valuation study model. Conclusion: Among the adults residing in urban environment, the HRQOL was significantly lower on the subjects with following conditions: higher age, being alone without a spouse as a result of death, divorce or separation, low income, medical aid program, poor self-rated health condition, and chronic fatigue. In order to improve the urban adults' quality of life, healthcare policy and health promotion program must be developed with considerations to factors related to the HRQOL.

Self-leadership, critical thinking disposition, satisfaction of clinical practice and clinical practice competency of nursing students (간호학생의 셀프리더십, 비판적 사고성향, 임상실습만족도 및 임상수행능력)

  • Park, Hyeon-Sook;Han, Ji-Young
    • Journal of the Korean Data and Information Science Society
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    • v.26 no.3
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    • pp.695-706
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    • 2015
  • The purpose of this study was to examine the relationship among self-leadership, critical thinking disposition, satisfaction of clinical practice and clinical practice competency of nursing students. Participants were 199 baccalaureate nursing students (3rd and 4th grades) in 2 cities. The data was collected by questionnaires and were analyzed with the SPSS/Win 21.0 program, using descriptive statistics, Pearson's correlation coefficient and multiple regression. Significant positive correlations were among self-leadership, critical thinking disposition, satisfaction of clinical practice and clinical practice competency. The regression model explained 30.4% of satisfaction of clinical practice. The significant predictors of satisfaction of clinical practice were clinical experience, satisfaction of major, self-leadership and critical thinking disposition. The regression model explained 23.7% of clinical practice competency. Health status, self-leadership and critical thinking disposition were factors influencing clinical practice competency. It should strengthen self-leadership and encourage critical thinking disposition to improve nursing students' satisfaction of clinical practice and clinical practice competency.

Methodology of Application to Air Quality Model to Evaluate the Results of the Enforcement Plan in Seoul Metropolitan Area (수도권 지역의 대기환경관리 시행계획 추진결과 평가를 위한 대기질 모델링 적용 방법)

  • Yoo, Chul;Lee, Dae-Gyun;Lee, Yong-Mi;Lee, Mi-Hyang;Hong, Ji-Hyung;Lee, Seok-Jo
    • Journal of Environmental Science International
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    • v.20 no.12
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    • pp.1647-1661
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    • 2011
  • The Government had devised legislation of Special Act and drew up guidelines for improving air quality in Seoul Metropolitan area. In 2007 local government of Seoul, Incheon and Gyeonggi conducted the results of application policy by reduced air pollutants emission for the first time. Although there was reduction of air pollutant emission in each local government, it was ineffective as expected using air pollution monitoring database. Therefore we worked out a way to prepare modeling input data using the results of enforcement plan. And we simulated surface $NO_2$ and PM10 before and after decrease in air pollutants emission and examine reduction effects of air pollution according to enforcement regulation except other influence, by using MM5-SMOKE-CMAQ system. Each local government calculated the amount of emission reduction under application policy, and we developed to prepare input data so as to apply to SMOKE system using emission reduction of enforcement plan. Distribution factor of emission reduction were classified into detailed source and fuel codes using code mapping method in order to allocate the decreased emission. The code mapping method also included a way to allocate spatial distribution by CAPSS distribution. According to predicted result using the reduction of NOx emission, $NO_2$ concentration was decreased from 19.1 ppb to 18.0 ppb in Seoul. In Gyeonggi and Incheon $NO^2$ concentrations were down to 0.65 ppb and 0.68 ppb after application of enforcement plan. PM10 concentration was reduced from 18.2 ${\mu}g/m^3$ to 17.5 ${\mu}g/m^3$ in Seoul. In Gyeonggi PM10 concentration was down to 0.51 ${\mu}g/m^3$ and in Incheon PM10 concentration was decreased about 0.47 ${\mu}g/m^3$ which was the lower concentration than any other cities.

Seasonal Change in the CO2 Fixation Rate and Water-Use Efficiency of Broad-leaved Tree Species on Jeju Island (제주지역 주요 활엽수의 대기 중 CO2 흡수율과 수분이용효율의 계절적 변화)

  • Oh, Soonja;Kim, Hyoun-Chol;Kang, Hee-Suk;Shin, Chang-Hoon;Koh, Seok Chan
    • Journal of Environmental Science International
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    • v.29 no.2
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    • pp.123-132
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    • 2020
  • Seasonal changes in the CO2 fixation rate and water-use efficiency in the leaves of six evergreen and two deciduous broad-leaved tree species on Jeju Island, Korea, were measured using a portable photosynthesis analyzer, to identify which species are most efficient in taking up CO2 from the air. The CO2 fixation rate was high in the deciduous species in spring and summer and decreased in fall, whereas it was high in the evergreen species in summer and fall and decreased in winter. The rate remained high in the deciduous tree Prunus yedoensis from spring to fall (> 7.1 μmol CO2/m2/s) and in two evergreen trees, Castanopsis cuspidata var. sieboldii and Cinnamomum camphora, in summer and fall (7.0 9.9 μmol CO2/㎡/s). Therefore, these tree species fix atmospheric CO2 effectively. The water-use efficiency was higher in evergreen species than in deciduous species regardless of the season. Exceptionally, it was high in the deciduous species Zelkova serrata in spring and summer (> 100 μmol CO2/mol H2O), suggesting that Z. serrata is a useful tree for dry conditions due to its tolerance of water stress. The regressions of the CO2 fixation rate versus the evaporation rate and stomatal conductance were linear and non-linear, respectively. This suggests that the stomatal activity of leaves plays an important part in CO2 fixation of plants. In conclusion, C. cuspidata var. sieboldii, C. camphora, and P. yedoensis should be planted along roads or in urban spaces for the greening of cities and mitigation of CO2 concentrations in the air.

A Study on the Management Situation and Development Plan in Private Bakery for Korean: Focused on the Bakery's Owner (국내 자영 제과점의 경영 실태 분석 및 발전 방안 연구)

  • Lee, Kwang Suck;Hwang, Yoon Kyung;Lee, Hee Tae;Ahn, Hye Lyung;Jung, Hyo Sun
    • Culinary science and hospitality research
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    • v.21 no.2
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    • pp.215-229
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    • 2015
  • The purpose of this study was to identify the management situation and development plan targeting private bakery owners who are doing business in major cities. For research, the questionnaire survey was conducted targeting 69 owners who are operating bakery at the point of data collection, and the data were analyzed using frequency analysis and paired-sample t-test using SPSS. The results of the study were as follows. Owners' baking career and management career were mostly more than 10 years. They are currently managing bakeries with at least 4 competing bakeries and point out franchise-type bakeries as major competitors. Also, they responded that the most important factor for strengthening competitive edge of shop was employees and that the enhancement in technology and employees with adequate techniques are important for improving sales. Also, the result of paired sample t-test revealed that the communication had the biggest difference between importance and satisfaction perceptions among taste, sanitation, service, price, product, location, and communication. Limitations and future research directions are also discussed.