• Journal of Urban Science
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• v.8 no.1
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• pp.51-58
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• 2019

This study examines the determinants of emergency care utilization and equity of access to care in elderly Koreans. Based on the data from the 2014 Korea Health Panel Survey, descriptive and logistic regression analysis was performed. The sample for this study was 1,313 individuals who participated in interviews. Predisposing factors such as age, sex, and education were significant determinants of emergency care utilization. Differences in need do not fully account for the original differences observed between subgroups of older Koreans. Health status was important determinant of older Koreans using emergency care services. Spending medical expense did not ameliorate the subgroup differences in the use of emergency care services. Nonetheless, spending medical expense remains a particularly important predictor of emergency care utilization. Health care reforms in Korea should continue to concentrate on insuring effective universal emergency care, implying that all older Koreans with need receive effective coverage. Future study is also needed to understand the access barriers that may exist for the selected demographic subgroups, i.e., those over 75, women, less educated persons, and those with higher medical expense.

• Research in Community and Public Health Nursing
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• v.23 no.2
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• pp.165-178
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• 2012

Purpose: The aim of this study was to analyze the tasks of managers who were working in the Customized Visiting Health Services (CVHS) and to prioritize analyzed tasks according to performance frequency, perceived importance, and difficulty. Methods: Job analysis method by Hartley (1999) was used for task analysis and performance frequency, perceived importance, and difficulty were used for prioritize as criteria. A total of 85 managers in the CVHS of public health centers nationwide were recruited through e-mail and mail survey. Using SPSS/WIN 15.0, descriptive statistics, such as frequency distribution, means, median, and standard deviation, were conducted to examine each subject's general characteristics, the frequency, importance, and difficulty of the tasks as well as to prioritize the each task. Results: The job description of the managers revealed 12 duties, 35 tasks, and 104 task elements. Of the 85 managers, 84.8% were classified as nurses, 40.5% were home health care specialists, and 32.9% were social workers. Their coretasks were management of client cases, budget management, and management of work performance and quality assurance. Conclusion: Considering the analyzed managers' tasks and core tasks, we need to examine each manager's role precisely and provide various educational programs for improving overall manager competence.

• 한국IT서비스학회:학술대회논문집
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• 2006.05a
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• pp.282-289
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• 2006

의료기관의 정보화 수준이 높아짐에 따라 권한 없는 자의 정보 접근 및 유출, 진료정보 및 개인정보의 손실이나 파손, 환자 안전에 대한 위협 등 여러 가지 정보보호 리스크 요인이 대두되고 있다. 의료기관이 취급하고 있는 의료정보는 환자 개인을 식별할 수 있는 개인정보뿐만 아니라 개인의 사생활보호 차원에서 신중하게 취급해야 하는 매우 민감한 진료 정보를 포함하고 있으므로 정보보호의 중요성이 매우 크다고 볼 수 있다. 따라서 개인의료정보를 컴퓨터와 네트워크를 통해 처리하는 의료기관의 정보보호 수준 제고가 매우 중요하고 시급한 과제로 인식되고 있다. 본 연구에서는 의료기관 정보화의 진전과 원격의료/재택의료의 발전, 국가보건의료정보 인프라 구축, e-Health 및 유비쿼터스 건강관리 시대의 도래 등과 같은 중대한 의료정보 패러다임의 변화 속에서 정보보호의 이슈와 해결방안을 모색해 보았으며, 의료정보보호 수준제고를 위한 정책방향을 제시하였다. 개별 의료기관뿐만 아니라 국가 차원의 의료정보 인프라 구축 사업 추진 시에도 본 연구에서 제안한 의료정보 보호 수준제고 방안이 적용되어 정보화의 효율성과 정보보호가 균형을 이룰 수 있을 것으로 기대된다.

• Journal of Korean Academy of Psychiatric and Mental Health Nursing
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• v.27 no.4
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• pp.303-312
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• 2018

Purpose: The purpose of this study was to examine the effects of self-efficacy, health attitudes and healthy lifestyles on recovery of people with mental disorders in the community. Methods: Participants were 188 people with mental disorders receiving mental health services at community mental health welfare centers in the J province. The data were collected from May to June, 2018. Self-report questionnaires were used to measure general self-efficacy, health attitude scale, healthy lifestyles and recovery. Data were analyzed with descriptive statistics, independent t-test, one-way ANOVA with $Scheff{\acute{e}}$ test, Pearson's correlation coefficients, and stepwise regression using the SPSS/WIN 23.0 program. Results: Self-efficacy, health attitudes, and healthy lifestyle of people with mental disorders were significant factors, explained about 72% of the variance on recovery. Conclusion: These findings suggest that education programs and health promotion programs focused on healthy lifestyles, improving health attitudes, and self-efficacy should be developed for people with mental disorders to promote their recovery.

• Asian-Australasian Journal of Animal Sciences
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• v.28 no.8
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• pp.1133-1139
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• 2015

This study aimed to determine the effects of parenteral selenium (Se) and vitamin E supplementation on economic impact, milk yield, and some reproductive parameters in high-yield dairy cows in the dry period and in those at the beginning of lactation. At the beginning of the dry period, cows (n = 323) were randomly divided into three groups as follows: Treatment 1 (T1), Treatment 2 (T2), and Control (C). Cows in group T1 received this preparation 21 days before calving and on calving day, and cows in group T2 received it only on calving day. The cows in the control group did not receive this preparation. Supplementation with Se increased Se serum levels of cows treated at calving day (p<0.05). Differences in milk yield at all weeks and the electrical conductivity values at the 8th and 12th weeks were significant (p<0.05). Supplementation with Se and Vitamin E decreased the incidence of metritis, the number of services per conception and the service period, but had no effects on the incidence of retained fetal membrane. A partial budgeting analysis indicated that Se supplementation was economically profitable; cows in group T1 averaged 240.6$ per cow, those in group T2 averaged 224.6$ per cow. Supplementation with Se and Vitamin E has been found to increase serum Se levels, milk yield, and has positive effects on udder health by decreasing milk conductivity values and incidence of sub-clinical mastitis.

• Korean Journal of Microbiology
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• v.50 no.4
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• pp.285-295
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• 2014

This study was conducted to survey the epidemiological characteristics and the isolated strains for pathogenic E. coli which was the major causative organisms for food poisoning occurred at school food services in the Gyeonggi-do area during the past three years. We investigated 19 accidents of food-borne disease outbreaks by pathogenic E. coli at school food services from 2010 to 2012. Food-borne disease outbreaks by pathogenic E. coli were usually occurred at direct management type (18 accidents, 95%) and high schools. For the seasonal factors, 13 accidents (65%) were occurred in June to September, especially the end of August and September after the summer holidays. The first patients were occurred on Wednesday (7 accidents, 37%) and Thursday (7 accidents, 37%), and they were mainly reported on Thursday (7 accidents, 37%) and Friday (5 accidents, 26%). The exposure of risk was estimated in Monday (4 accidents, 21%), Tuesday (7 accidents, 37%) and Wednesday (4 accidents, 21%), and kimchi (5 accidents, 50%) was estimated as the food of the high risk responsible for the outbreaks. 98 isolates of pathogenic E. coli consisted of PEC (50%), ETEC (34%), EAEC (15%), and EHEC (1%). The antibiotic resistance of pathogenic E. coli showed in the descending order of ampicilline (40%), nalidixic acid (37%), trimethoprim/sulfamethoxazole (24%), and tetracycline (19%). The antibiotics of second and third generation cephalosporins, cabarpenem, aminoglycosides, and second generation quinolones had antimicrobial susceptibilities and cefalotin, ampicillin/sulbactam and chloramphenicol showed medium resistance at 29%, 25%, and 6% respectively, and 70% of isolates were resistant to more than one antibiotic. By the PFGE analysis, they were classified into nine major groups and 31 profiles with 57% pattern similarity. It was very difficult to find the correlation of antimicrobial susceptibilities and genotype in the small scale-food poisoning, but the similarity of antimicrobial resistance and PFGE patterns in the large scale-food poisoning enabled the outbreaks to estimate the same pathotype of E. coli derived from identical origins.

• Korean Journal of Fisheries and Aquatic Sciences
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• v.26 no.3
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• pp.205-213
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• 1993

The APHA-MPN procedure is the only officially accepted method for classifying shellfish growing areas in U. S. A. The method estimates the levels of fecal coliforms and E. coli, indicators of the sanitary quality of environmental waters. However, the MPN has several disadvantages requiring far more time, labor and expense for assay, as well as providing relatively poor precision. Several membrane filtration procedures have been developed to enumerate these indicators in waters. Of these, the mTEC technique has been shown to provide recoveries of fecal coliforms and E. coli comparable to those of the MPN method. In an abbreviated sanitary survey for Greenwich Bay in Rhode Island, U. S. A., classified as an approved shellfish growing area, the mTEC and conventional MPN methods were again compared for their recoveries of the indicator bacteria. It was found that the recoveries of fecal coliforms and E. coli provided by the mTEC technique are 1.08 and 1.27 times higher than those produced by MPN for water monitoring, respectively, and that the membrane filtration method appears to be a possible alternative to APHA-MPN.

• Health Policy and Management
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• v.19 no.3
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• pp.125-141
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• 2009

The purpose of this study was to examine the role of provider practice patterns in the difference in health expenditure between the two types of patients: Health Insurance and Medical Aid type 1. The study used the outpatient claim data for all Medicaid and health insurance patients of hypertension who received medical services from 8,454 primary care physicians during the first half of 2006. The data were stratified by patient's gender and age for the two groups of patients who received care from the same physician. The dependent variables were the differences in medical expenditure per case, patient days per case and medical expenditure per patient day between Medicaid patients and health insurance patients. Empirical results showed that physician characteristics, such as physicians under age 50, greater proportion of pediatric Medicaid patients, lower proportion of new Medicaid patients and the greater number of comorbidity of Medicaid patients are associated with the greater difference between the two types of patients (i.e., greater expenditure of Medicaid patients relative to health insurance patients). This study shows that factors associated with provider practice patterns need to be taken into account in Medicaid policy.

• Journal of environmental and Sanitary engineering
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• v.18 no.2
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• pp.42-51
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• 2003

Public awareness of air pollution problem has increased the need for real time air pollution information system about changes in air pollution level. The purpose of this study is to construct e-AIR, a user-friendly air pollution information system for urban air quality using GIS(geographic information system) technology for windows. GIS was ideally suited featuring a geographical characteristics(e.g., road, traffics, buildings) and very effectively used in mapping and symbolization for the distribution of the spatial/periodic pollution status(e.g., pie or column chart, graduated symbols) which can be effectively applied to a information system on the web-site. And a user interface, GUI(graphic user interface) was designed very diversely and simply enabled the users connect with e-AIR and obtain a useful information of air quality. A interpretive technique, air pollution health index(e.g., PSI, AEI) was used also which transforms complex data on measured atmospheric pollutant concentrations into a single number or set of numbers in order to make the data more understandable. Eventually the final-step of this study was to construct e-AIR based on Web GIS could be assessed anywhere if internet is available and offer a very useful information services of the air pollution to the public like a weather news.

• Journal of Internet Computing and Services
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• v.10 no.2
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• pp.29-40
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• 2009

The development of information technology such as the internet has brought about rapidly changes the old medical technology, e-Healthcare has been to raise social issue. The e-Healthcare which new turning point of paradigm in the medical information develops the medical policy in Korea and the technology, the prospective of reverse engineering in internet environment is incurring problems such as distribution of critical information and invasion and infringement of privacy, etc. In this research, we suggest the Role Based Access Control System, HPIP-e-Healthcare Privacy Information Protection, for solving above problem. The HPIP is composed 4 mechanisms such as Consolidate User Identity, Hospital Authorization, Medical Record Access Control, Patient Diagnosis and we are also prototyping the HPIP for feasible approach in the real computing environment.