• Journal of the Korean Institute of Rural Architecture
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• v.14 no.2
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• pp.59-66
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• 2012

The rate of the rural population over the age of 65 was increased from 14.7% in 2000 to 20.6% in 2010. The rate of elderly living alone in rural areas was increased from 9.2% to 13.3% for 10 years. Two million households over 40% of the elderly living alone nationwide are concentrated in rural areas. This paper investigates cases used as living space by interview and remodeling senior centers (village community center) for the elders living alone in rural areas. In Gimje two the nation's first senior centers were remodeled in 2006 (for both the village community center) and were begun to use these as group homes. Evaluation was a success. Since then, these were increased by approximately 20 centers per year by year and are currently 108 centers at the end of 2011. In Chungcheongnam-do, a pilot project has been begun for communal living by remodeling the senior center (for both the village community center) and elderly housing. Municipalities are similar in their business (is mostly). However, the interview results for each municipality are different. The success of the project depends on rules proposed by local governments and the development of programs with users to continuous financially support.

• Journal of the Korea Society of Computer and Information
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• v.24 no.5
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• pp.163-170
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• 2019

The purpose of this study is to examine the effects of discrimination abuser experiences and discrimination victim experiences on the human rights consciousness of children in community children, In order to understand the role of self-esteem as a mediating role between these two variables, And to find practical and policy implications. For this purpose, we selected 662 elementary school sixth graders who participated in the second panel of the community children's center, the third year (2016), as the sample and used the structural equation model validation method. As a result of this study: First, the experience of discrimination abuser against children in the community children's center has negative effects on self - esteem. Second, the self-esteem of children in the community children's center showed a statistically significant effect on human rights consciousness. Third, the experiences of child discrimination abuse and discrimination of local children's centers showed significant influence on children's consciousness of human rights through self - esteem. In conclusion, we proposed practical use measures to promote positive emotional development and human rights consciousness of children in community children's centers.

• Journal of Preventive Medicine and Public Health
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• v.36 no.4
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• pp.359-366
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• 2003

Objectives : This study was conducted to review the diffusion process and factors affecting the adoption of the Health Center Information System (HIS). Methods : Data were collected from POSDATA (private company), MOHW, other Ministries and local governments. To specify the date of adoption, supplementary information was collected from 40 health centers. The following three kinds of factors were analyzed. Internal factors included type, size, and innovativeness of health centers. Community factors were composed of population sire, economic status, and level of education. Organizational environmental factors consisted of information score of the municipalities, financial support of the from central government, and the neighborhoodness of innovator health centers. Results : All health centers in the metropolitan cities of Seoul, Gwangju and Jeju adopted the HIS. The laggards were those in the metropolitan cities of Busan (18.8%), Incheon (20.0%) and Daejun (20.0%), and cities with population more than 300,000 (54.8%) and counties with health center hospitals (47.1%). Financially supported rural health centers adopted the HIS more rapidly than those not supported. The factors identified as being statistically significant (p<0.05), from a univariate analysis by Kaplan-Meier method, were: (1) internal factors of the type, size and innovativeness of health centers; (2) community factors of population size and economic status; (3) organizational environmental factors of the central government financial support and the neighborhoodness of innovator health centers. A multivariate analysis, using a Cox proportional hazard method, proved the innovativeness of health centers, central government financial support and the neighborhoodness of innovator health centers, were statistically significant (p<0.05). Conclusions : The innovativeness of health centers, financial support from central government and the neighborhoodness of innovator health centers, rather than community factors related to regional socioeconomic status, affected ffe adoption of the HIS in health centers. Further in-depth studies, modifying the MOHW's strategy to propagate the HIS to the laggard health confers, are recommended.

• Journal of Hospice and Palliative Care
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• v.10 no.3
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• pp.128-136
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• 2007

Purpose: The purpose of this study is to investigate the current state of the home-based cancer patient management project of public health centers throughout the country. The results of the investigation is employed to identify obstacles to the execution of the program and, finally, to develop an efficient management program of home-based cancer patients. Methods: Data on the home-based cancer patient management project were collected and analyzed through visiting interviews or telephone interviews with 225 public health centers throughout the country for six months from July to December, 2006. Results: Obstacles to the present execution of the home-based cancer patient management project were identified. Some of them are : (1) patients' low trust in cancer patient management by local health centers, (2) absence of programs customized to local communities, (3) lack of personnel and vehicles for home-based cancer patient management, (4) lack of education program for personnel in charge of home-based cancer patient management, (5) problems in public health doctors, weak connection to private medical institutions, (6) absence of medical institutions and hospice facilities for cancer patients, and (7) non-standardized volunteer workers, so on. Considering all these problems, some effective management methods are proposed. The basic concept is to keep the autonomy and variety of the local helath centers. And based on this concept, three models of (1) public health center controlled model, (2) medical institutions and hospice facilities-entrusted model and (3) medical institutions and hospice facilities-cooperative model are developed. Conclusion: By adopting an adequate model among proposed three models, the public health centers are expected to achieve an efficient utilization of material resources and manpower. In addition, by inventing their own programs that are proper for the local societies, they can improve the home-based cancer patient management.

• Journal of Environmental Impact Assessment
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• v.33 no.4
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• pp.143-154
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• 2024

Heat waves caused by climate change are rapidly increasing health damage to vulnerable groups, and to prevent this, the national, regional, and local governments are establishing climate crisis adaptation policy. A representative climate crisis adaptation policy to reduce heat wave damage is to expand the number of cooling centers. Because it is highly effective in a short period of time, most metropolitan local governments, except Jeonbuk, include the project as an adaptation policy. However, the criteria for selecting a cooling centers are different depending on the budget and non-budget, so the utilization rate and effectiveness of the cooling centers are all different. Therefore, in this study, we developed logistic regression models that can predict and evaluate areas with a high probability of expanding cooling centers in order to implement adaptation policy in local governments. In Incheon Metropolitan City, which consists of various heat wave-vulnerable environments due to the coexistence of the old city and the new city, a logistic model was developed to predict areas where heat waves can be cooling centered by dividing it into Ganghwa·Ongjin-gun and other regions, taking into account socioeconomic and environmental differences. As a result of the study, the statistical model for the Ganghwa·Ogjin-gun region showed that the higher the ground surface temperature and the more and more the number of elderly people over 65 years old, the higher the possibility of location of cooling centers, and the prediction accuracy was about 80.93%. The developed logistic regression model can predict and evaluate areas with a high potential as cooling centers by considering regional environmental and social characteristics, and is expected to be used for priority selection and management when designating additional cooling centers in the future.

• Journal of Digital Convergence
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• v.19 no.4
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• pp.193-204
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• 2021

The purpose of this study was to examine the mediating effect of self-efficacy moderated by social support in the influence of local children's center cultural program commitment on career awareness and development of children and adolescents using Local Children Centers' Services. For this purpose, the questionnaires of local children's center cultural program commitment, career awareness and development, social support, and self-efficacy was conducted to 190 elementary school students in the 3rd grade and middle and high school in 22 children's centers in N city. The statistical packages were SPSS PC+ 25.0 and SPSS MACRO. The main results are as follows: First, cultural program commitment had positive correlation with self-efficacy, social support, career awareness and career development. Also, self-efficacy had a positive correlation with social support, career awareness and career development, and social support had a positive correlation with career awareness and career development. Second, the hypothesis model was supported that cultural program commitment positively affects career awareness mediated by self-efficacy moderated by social support. In other words, the more they participated and commited in cultural programs, the more self-efficacy increased leading to more career awareness. Also, the more social support was felt, the more the positive influence of cultural program commitment on self-efficacy increased. The hypothesis model was supported that cultural program commitment positively affects career development mediated by self-efficacy moderated by social support. In other words, the more they participated and commited in cultural programs, the more self-efficacy increased leading to more career development. Also, the more social support was felt, the more positive influence of cultural program commitment on self-efficacy increased. The limitation and future tasks were discussed.

• Journal of The Korea Institute of Healthcare Architecture
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• v.21 no.2
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• pp.55-65
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• 2015

Purpose: Korea is increasing in the demand for medical services due to rapid economic growth and population aging in modern society. Thus, the importance has been emphasized for the health promotion in the community and the publicity and substantiality of public health centers. However, the environment is insufficient, compared to required functions and developed services as a urban public health center. The purpose of this study is to analysis the plane type and area composition of public health centers in Busan and to identify the property of their spatial configuration Methods: Eight public health centers in Busan, were classified, which had been selected as a medical tourism city. Subsequently, space requirements were analyzed, facilities were typed, vertical, horizontal spaces were reviewed, and area ratios by business function were calculated. Results: A review of the property of spatial configuration and an analysis of the area ratio revealed the three findings. 1)The horizontal analysis found various types: a single type, a multi-type, a radial type, and a circular type, 2)The vertical analysis showed that since a care function (general practice), and a task function (maternal and child health) were concentrated in lower level spaces, the lobby and core were closed located for providing quick medical services. 3)The analysis of the area ratio in public health centers in terms of their function indicated that each public health center' programs had the greatest influence on the area. Implications: This study attempted to present spatial structural problems and improvements for city public health center by identifying their state and classify their functions and types and by calculating the ratio of their area configuration according to the spatial composition. It was thus aimed to presenting implications in establish public functions and roles by activating business through in connection with the number of municipalities in many ways, such as regional health. medical welfare, etc. to improve the health of local residents, and by providing differentiated programs in accordance with local characteristics.

• Journal of agricultural medicine and community health
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• v.47 no.4
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• pp.220-228
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• 2022

Objective: glucometer is one of POCT(point-of-care testing) devices used by EMS. Accurate measurement value is important for patient decision making. Quality control is necessary for this, but most EMS are still using glucometer without quality control it. Therefore, management status and quality control status of glucometers used by 119 paramedics waswere investigated. Methods: 6 and 8 of glucometers and blood glucose test strips were submitted from 4 safety centers in 2010 and 8 safety centers in 2012, respectively. Glucometers submitted by local safety centers were analyzed in 2010 and 2012. The control glucometer, which was well managed at A University Hospital, was assumed to be accurate for at blood glucose measurement. Glucose values of various quality control materials control solutions were measured and analyzed using linear regression and Pearson's correlation test. Error rates were obtained via error tolerance range required by the 2011 ISO(International Organization for Standardization) guideline. For statistics, Excel and MedCalC programs were used. Results: mong 14 safety centers in the region, 4 centers(28.5%) in 2010 and 8 centers(57.1%) in 2012 submitted 6 and 8 glucometers. In the first evaluation in 2010, 2 out of 6(33.3%) glucometers were untestable due to error, and 45 out of 6(66.683.3%) blood glucose test strips' validity were expired. In the second evaluation in 2012, 1 out of 8(13.5%) glucometers were untestable due to lack of battery, and 2 out of 8(25%) blood glucose test strips' validity were expired. All correlation coefficients were above 0.989 in 2010 and above 0.997 in 2012. Error rates were generally high when using expired blood glucose test strips. Conclusion: Among 119 paramedics' guideline, quantity and operation status of POCT devices are well managed, but quality control is not. Therefore, it is necessary to add management status and quality control status of POCT devices to the EMS' field work guideline.

• Design Convergence Study
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• v.15 no.3
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• pp.171-186
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• 2016

With the continuous rise of elderly population and rapid progression of aging in our society, greater emphasis is placed on the importance of local seniors welfare centers as representative service space that meets the diverse needs of local residents. In addition, there is a growing tendency among current users to seek high-quality service as their educational level, economic ability and lifestyle have changed for the better compared to past generations. Accordingly, this study analyzed the satisfaction of senior welfare centers according to life-style type of the elderly, using a lifestyle measurement tool which incorporates indicators of gerontographics. A survey was conducted with users of seven senior welfare centers located in Seoul. Analysis results are as follows: First, four types of lifestyle were derived through cluster analysis; independent activity type, protective activity type, active challenge type, and passive challenge type. Second, it was found that the overall satisfaction of seniors welfare centers by the life-style of the elderly is highest for the protective activity type followed by the passive challenge type, the active challenge type, and the independent activity type. Third, upon examining the effect of spatial characteristics of welfare centers on the satisfaction of elderly users by type of lifestyle, it was found that the independent activity type and the passive challenge type users are most influenced by intimacy, the protective activity type users by comfort, and the active challenge type users by convenience.

• Journal of the Korean association of regional geographers
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• v.22 no.3
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• pp.599-614
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• 2016

Urban centers have been recognized as problem regions so far. However, urban centers of metropolises take a new aspect in recent years as much as the negative influence of gentrification becomes a social issue. This paper analyzes the declining trend of urban centers in six metropolises - Seoul, Busan, Daegu, Incheon, Gwangju and Daejun from 1995 to 2010. As results of analysis, it is identified that the urban centers' shrinkage got moderated recently in the metropolises, even though their resurgence is not evident. Especially it is difficult to say longer that Jongro-Gu and Jung-Gu of Seoul are declining urban centers. Easing shrinkage is most outstanding in Jung-Gu, Daegu among local metropolises. Nevertheless, a serious obstacle such as high price of housing is in the process of obvious resurgence of urban center differently from the United States, Europe and Japan.