• Journal of agricultural medicine and community health
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• v.27 no.1
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• pp.155-164
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• 2002

Hypertension is the most frequent disease of chronic circulatory diseases and major intermediate cause or risk of the cerebrovascular disease which is a leading cause of death in Korea. Therefore, management of hypertension is an important issue in Korean healthcare. Especially, therapeutic compliance of hypertensives is very important because the hypertensive patients should receive anti-hypertensive treatment as long as the condition exists. However, many patients drop out of treatment, which is a major problem that needs to be solved through a hypertension control program. This study was carried out to provide basic data and counter measule for the hypertension control program in the community which aimed to keep the patients receiving treatment continuously. In order to investigate compliance of hypertensive patients during three months follow-up and the rate of control of hypertension, the data were collected during February, 2001, by reviewing medical records of 295 hypertensive patients who had been registered to Gunnam-myeon health subcenter before November, 2000. The author also study the dropout reasons by interviewing 58 patients among 68 dropout patients. The results were as follows: 1. Among the 295 subjects, 108(36.6%) were male and 187(63.4%) were female. Statistically, female hypertensives had a higher mean age than male(64.6 vs 66.3, p<0.05). 2. The 54.9% of the patients took anti-hypertensive medicine continuously for the past three months. And 19.3% had drug intermittently, and 25.8% dropped out of treatment. 3. Among several variables, such as sex, age, health insurance, the time taken from a patient's village to the health subcenter, only the last one was found to be significantly related to therapeutic compliance in the contingency table analysis. 4. The dropout reasons by multiple response were as follows, 'no symptom or no problem' (23.9%), 'change to other hospitals'(19.4%), 'geographical barrier'(17.9%), 'change to a neighborhood drugstore' (14.9%), 'immobility'(7.5%), 'economic barrier'(6.0%), 'unsatisfactory services of the health subcenter'(4.4%). 5. The mean blood pressure of 295 subjects was $144.9{\pm}12.9/86.88{\pm}8.6mmHg$. 6. The 32.5% of the subjects were controlled below 140/90mmHg. Conclusions: In order to improve the low rates of treatment and control of hypertension in rural hypertensives, a more active and systematic hypertension control program, including out-reaching follow-up management, is required in rural area. Especially, for health education of hypertensive patients, emphasis should placed on correcting wrong attitude toward hypertension.

• Journal of Energy Engineering
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• v.18 no.4
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• pp.221-229
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• 2009

This study develops the optimized operation program which enables effective and economic operation between individual and connected branch offices by analyzing the current status and influential indicators of district heating companies' capital branch offices. Accordingly, the study examines the efficiency of optimized operation program. In doing so, this study has diagnosed and analyzed various factors, such as boilers, pumps, and relevant tags (temperature, pressure, fuel amount) through investigation of individual branch offices, and finally succeeded in developing wide-ranging data base by factor covering one-year time period. Additionally, after running the optimized operation program, different branch offices, optimum preference has turned out "incinerator receiving heat from KEPCO>CHP >PLBs>PLBw." Meantime, except the connected offices, there has been no big difference between actual and optimum operation program in branch offices. Meanwhile, the integrated optimum operation program has made it possible the most optimal result only via the connecting supply and demand heat without changing received Heat from KEPCO which is the same as total productive heat. The result has showed that the reduction percentage per day is 2.45~6.80%, and the reduction cost per day is 22,727~60,077 thousand won given the randomly selected sample days. In particular, winter time shows the highest demand with the largest reduction cost whereas summer time illustrates the lowest demand with the smallest reduction cost. Given this result, reduction cost per year compared to actual heat production cost for one year theoretically would be 84 hundred million won. Also, the economic effect showed that the reduction cost percentage per year is more than 2.74% on heat production cost per year for all capital branch offices.