• Journal of agricultural medicine and community health
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• v.23 no.2
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• pp.243-250
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• 1998

This study was analyzed through the reports which published on the subject matter of Su Dong-Myun from 1994 to 1997 and the medical record of patient in Su-Dong Myun health subcenter. The result are as follow: 1. The number of population in Su-Dong Myun(study area) was 5,475 in 1994, 5,707 in 1995, 6,079 in 1996 and 6,253 in 1997. In composition rate of population, "65 and over" of age group only showed markedly increasing tendancy from 9.8% in l995 to 10.2% in 1997. However, the rest of all age group showed decreasing tendancy. 2. Annual utilization rate showed decreasing tendancy, such as 247 in 1994. 203 in 1995, 146 in 1996, and 140 in 1997 per 1000 population. But visiting time is increasing tendency, such as 3.1 in 1994, 2.8 in 1995. 2.4 in 1996 and 3.4 in 1997 per disease case. 3. Age specific annual utilization rate, all age showed decreasing tendancy in the age group of "0-14", "15-44" and "45-64", however showed increasing tendency in the age group of "65 and over" from 1994 to 1997. 4. The major disease were disease of Respiratory system. Gastrointestinal system. Musculoskeletal system and Connective tissue. Skin and Subcutaneous tissue and Circulatory system The disease of Musculoskeletal system and Connective tissue and Circulatory system are increasing.

• The Journal of the Convergence on Culture Technology
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• v.8 no.6
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• pp.515-522
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• 2022

This study analyzed the child protection system in Germany from a preventive perspective and attempts to find the applicable implications to Korea. The research method was analyzed in terms of legal, policy and professionalism. The result is as follows. First, Child and Youth Support Act in Germany stipulated a preventive support system to restore the function of the family. Second, according to the Civil Act, it was stipulated that the family court could intervene early. Third, the federal Child Protection Act stipulated community cooperation for thd child protection system. Fourth, the Youth Agency as the general authority made it possible to provide preventive support and intervention at the same time. Firth, qualification standards were specified in the Child and Youth Support Act. Child protection specialists are granted to public officials who have worked for more than three years. The implications are as follows. First, the child protection system, which operates as a child abuse reporting system, should be expanded to a preventive support system. Second, it is necessary to expand monitoring by establishing an early warning system between networks in order to establish a support system for potentially at-risk children. Third, local governments should support children and parents flexibly and comprehensively for dysfunction caused by difficulties at home. Fourth, it is necessary to enact the Child Protection System Cooperation Act for a network cooperation system.

• Journal of agricultural medicine and community health
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• v.7 no.1
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• pp.25-32
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• 1982

This paper is concerned with the attitude of the Guro inhabiants concerning medical care system in terms of the credibility of hospitals. The credibility may be consisted of three components : availability, friendliness, and expertness. These were considered as dependent variables. Independent variables were age/education/income/perception of differentiation. The questionnaire was administered to 127 stratified samples in Feb. 1982. The results were as follows : 1) The group whose age was above 50 years gave a favor for the medical care system in terms of credibility. This fact implied that cultural influence on the perception and attitude about medical care system was very crucial, and it was noticed that doctor-patient relationship have been changing. 2) The attitude of the inhabitants on the credibility was appeared generally as unfavorable and indifferent. 3) According to $X^2$-test, education, income, and perception of differentiation were identified as having statistically significant trelationships with friendliness factor.

• Smart Structures and Systems
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• v.22 no.2
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• pp.151-159
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• 2018

Maintenance activities are regarded as a key part of the repairable deteriorating system because they maintain the equipment in good condition. In practice, many maintenance policies are used in engineering fields to reduce unexpected failures and slow down the deterioration of the system. However, in traditional maintenance policies, maintenance activities have often been assumed to be performed at the same time interval, which may result in higher operational costs and more system failures. Thus, this study presents two non-periodic preventive maintenance (PM) policies for repairable deteriorating systems, employing the failure rate of the system as a conditional variable. In the proposed PM models, the failure rate of the system was restored via the failure rate reduction factors after imperfect PM activities. Operational costs were also considered, which increased along with the operating time of the system and the frequency of PM activities to reflect the deterioration process of the system. A numerical example was provided to illustrate the proposed PM policy. The results showed that PM activities performed at a low failure rate threshold slowed down the degradation of the system and thus extended the system lifetime. Moreover, when the operational cost was considered in the proposed maintenance scheme, the system replacement was more cost-effective than frequent PM activities in the severely degraded system.

• Perspectives in Nursing Science
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• v.7 no.1
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• pp.10-22
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• 2010

Purpose: Through a thorough examination of the CCSC (Community Comprehensive Support Center) system in Japan, this study suggests a scheme to provide community-based preventive health care services for the elderly in Korea. Methods: The study inquired into the applicability of the Japanese model by reviewing the data related to the CCSC project, aided by both in-depth interviews with staff in the field and consultations with specialists. Results: Rearrangement of the Visiting Health Management Project system is needed to manage the collective or individual visiting care management for frailty prevention of the elderly in communities. The delegated service system for preventive care in the community, including direct management by one of the public health centers, also needs to be reviewed and the application of stricter standards for the selection of the agency or corporation to run the delegated service is necessary. Long-Term Care Insurance, along with national and local grants, is to be considered as a financial resource for the community-based preventive health care model for the elderly. By making active use of education rooms at district offices, senior citizen centers in neighborhoods for the elderly with easy access can be created. The project needs to raise active supports from communities, develop programs which can be absorbed into particular local cultures, and promote the understanding of the preventive project in local communities. The preventive program should focus on first solving the problems of depression, seclusion, and lack of mobility of the elderly. Second, the program should instruct physical self-management for exercise-nutrition-dental maintenance, and third, the program should strengthen the cognitive abilities of the elderly. In addition, it is necessary to systematize and implement counter-plans of the family and community to protect the elderly who has mental and cognitive problems. Finally, by establishing a network of public health welfare resources based upon research on a community level, assessment and planning for the health of the elderly should be one with their family, and comprehensive consultation and recommendations should be provided to the family. Conclusion: Taking into consideration the experience Japan has had with respect to a similar project, it is appropriate to develop and implement a service system which would combine the Visiting Health Management Project system which has already been established and a preventive health care model for the elderly on a community level.

• Proceedings of the KSR Conference
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• 2011.05a
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• pp.1612-1617
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• 2011

Rolling stock needs many maintenance works because of its long service life. The maintenance of rolling stock has periodic preventive maintenance system. This periodic preventive maintenance system can't reflect the characteristics of every part. The condition-based maintenance system which reflects the functional condition of every part prevents breakdown and reduces maintenance cost. This study will analyze the records of every part by unreasonable examples of time-based preventive maintenance and reliability management activities, and discuss the necessity of maintenance system reflected the results.

• Journal of Preventive Medicine and Public Health
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• v.22 no.1 s.25
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• pp.57-64
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• 1989

A decision support system (DSS) was developed to support doctor's decision-making in diagnosing hearing loss. The final diagnosis encompassed 41 diseases with the problem of hearing loss. The system was developed by integrating model-oriented DSS technique and artificial intelligence technology. The system can be used as both diagnosis tool and teaching tool for medical students. Furthermore, the AI technology obtained from this study may also be used in developing DSS for hospital management.

• Proceedings of the Korean Reliability Society Conference
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• 2005.06a
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• pp.115-120
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• 2005

This paper introduces models for preventive maintenance policies and considers periodic preventive maintenance policy with minimal repair when the failure of system occurs. It is assumed that minimal repairs do not change the failure rate of the system. The failure rate under prevention maintenance received an effect by a previously prevention maintenance and the slope of failure rate increases the model where it considered. Also the start point of failure rate under prevention maintenance considers the degradation of system and that it increases quotient, it assumed. Per unit time it bought an expectation cost from under this prevention maintenance policy. We obtain the optimal period time and the number for the periodic preventive maintenance by using Nakagawa's Algorithm, which minimizes the expected cost rate per unit time. Finally, it suppose that the failure time of a system has a Weibull distribution as an example and we obtain an expected cost rate per unit time the optimal period time and the number when cost of replacement and cost of minimal repair change.

• Journal of Korean society of Dental Hygiene
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• v.20 no.5
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• pp.707-716
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• 2020

Objectives: This study aims to provide basic data for high-quality dental services. In addition, we will promote the operation of preventive dentistry that implements preventive measures. It was conducted to study the change of patient's treatment behavior and treatment cost due to the discontinuation of preventive dentistry in university dental hospitals. Methods: This study collected data using the integrated medical information system of the C University Dental Hospital. From September 1, 2017 to August 31, 2019, data were analyzed using frequency, percentage, mean, standard deviation, chi-square test using SPSS version 24.0 statistical program, and T-test. Results: There was a significant difference in the number of preventive dental treatment cases from 58.3% of preventive dental operation periods to 41.7% of preventive dental operation periods. As a result of comparing the medical expenses, the total medical expenses during the preventive dental operation period decreased from 521,308,872 won to 379,724,995 won during the discontinuation period, 141,583,877 won. The number of medical treatments by treatment behavior decreased 3,835 (28.4%) from a total of 13,520 preventive dental operation periods to 9,685. Conclusions: This study is meaningful as the first study to confirm the change in the treatment behavior and the change in the cost of treatment due to the discontinuation of the operation of preventive dentistry at university dental hospitals. In conclusion, it is thought that there is a possibility of the lack of accessibility and the limitation of professional preventive care due to the discontinuation of preventive dentistry.

• Journal of Korean Society for Quality Management
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• v.35 no.4
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• pp.140-146
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• 2007

In this paper, we consider a periodic imperfect preventive maintenance(PM) policy in which the system's failure rate after each PM remains unchanged. The system undergoes only minimal repairs at failures between PMs. Exact mathematical formula of the expected cost rate per unit time is derived. Optimal number of PMs and optimal maintenance period are derived by minimizing the expected cost rate per unit time. A numerical example is provided to illustrate the proposed approach under Weibull lifetime distribution.