• Archives of Plastic Surgery
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• v.46 no.3
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• pp.267-271
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• 2019

A 70-year-old man complained imbalance while walking, inability to perform ankle flexion, and could not stand on tip-toe 3 months after injury. The ankle looked swollen with loss of Achilles contour and obvious gait disturbance. Magnetic resonance imaging shows a 5-cm Achilles tendon gap. Subsequently, surgery was performed to solve the neglected Achilles tendon rupture. Patient was put under general anesthesia with a regional block. Using a nontourniquet technique, a reconstructive procedure was performed using a half-width autologous Achilles tendon graft, which was attached to the calcaneal prominence with wire in a double strand Bunnell fashion. As for the proximal stump, double core Bunnell/modified Kessler suturing was carried out to suture the graft to Achilles stump. To increase the vascularization, an ipsilateral gastrocnemius fascial flap with a distally based-pedicle was harvested to wrap around the tendon graft. At a 6-month follow-up, the patient was able to stand on tip-toe and had also regained a normal gait.

• Asian Journal of Innovation and Policy
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• v.12 no.1
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• pp.101-130
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• 2023

The increasing cost, and demand for, household energy has increased attention to the phenomena of energy burdens. Despite this increased attention, a lack of consensus remains in pinpointing the strongest predictors, and geographic differences, that exist within the energy ecosystem. This study addresses this gap by utilizing a series of dummy variable regressions across cities, suburbs, and rural areas within Erie County, New York-a county noted to have particularly high energy burdens. Specifically, three types of predictor sets were incorporated into the methodology: a set of socioeconomic variables, physical variables, and a combination of both variable sets. The results of this study suggest that cities tend to have the highest electricity burdens. Despite the aging infrastructure in Erie County, high energy burdens were driven primarily by socioeconomic factors such as housing cost burden and poverty status. Lastly, this study explores various planning and policy implications Erie County can utilize to reduce energy burdens. In turn, this study highlights the importance of focusing policy efforts on existing social service programs to provide support to the region's neediest households.

• International Commerce and Information Review
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• v.16 no.4
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• pp.263-280
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• 2014

The dynamics of global alliance networks can be analyzed in numerous ways. We have chosen to approach it in terms of alliance stability. Although increasing academic attention has been devoted to the alliance dynamics field, the majority of prior research has neither contributed to a coherent knowledge foundation(an academic gap) nor provided adequate answers to managerial questions(a managerial relevance gap). We respond to their call for research by developing an integrated process model that integrates various studies on alliance stability. The primary tasks were (1) to characterize and conceptualize the stability concept to fill the academic gap, and (2) to identify critical endogenous factors underlying alliance stability over the different developmental stages to fill the managerial gap. Knowledge acquired in this paper is also expected to offer alliance managers and practitioners some valuable implications as they strive for stable and successful collaborative relationships. As one of the basic arguments, stability has been viewed as a necessary condition for the achievement of collaborative objectives. When firms form, implement, adjust and evaluate their alliances, they should have the goal of stability in mind. At the same time, management should be in a position to determine the specific actions needed for stability at any given moment in the alliance's lifetime.

• Korean Journal of Social Welfare Studies
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• v.47 no.1
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• pp.57-92
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• 2016

The Correlations Between the Labour Market Structure and Poverty of the Regions The main objectives of this study are to make an investigation into the spatial characteristics of poverty and to analyze the effects of regional labour market structure. Most previous studies on poverty were more likely to examine internal factors like the characteristics of poor households or family structures than external factors in terms of the regional environments. In order to achieve these goals, this study used the Small Area Estimation designed to estimate the income of each household and then calculate the poverty rate of each local area in order to examine the spatial characteristics of poverty. The poverty distribution in Korea showed the local labour market structures effect on the region poverty rate. The Korean economy now exhibits a big gap between the haves and the have-nots and between urban areas and rural areas. The poverty rate of particular regions will increase and those in the areas will face deteriorated circumstances falling into poverty traps. This study reflects this stern reality and empirically proved the strong need for consideration of regional characteristics in conducting studies on poverty and related policy amendments.

• Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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• v.40 no.3
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• pp.159-168
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• 2022

Local governments should try to resolve the inequality of living SOC (Social Overhead Capital) and construct spatial information on the location of living SOCs and optimal locations. This study analyzed the accessibility, equity, and optimal location of the living SOC, considering the research needs related to the living SOC. The target facility is core living facilities(a public library, a park, a culture center, and a public daycare center). The analysis area is Suwon city in Gyeonggi province, and the base year of the analysis is 2020. The study calculated accessibility per population in a microscopic neighborhood living area(200m×200m). The Gini coefficient was used to identify the regional disparity in accessibility among Dong regions. The optimal location was explored with the Maximal Covering Location Problem theory. As a result, spatial accessibility of facilities except for public daycare centers revealed a large gap between regions. Areas with excellent accessibility also showed significant variations in the facilities. The regional disparity in living SOC was the largest in culture centers, followed by parks, public daycare centers, and public libraries. The optimal locations for public libraries, parks, and culture centers are concentrated in the old downtown, while those of public daycare centers are found throughout Suwon city. The results of this study are the crucial contents of spatial planning for SOC supply in local governments. Therefore, follow-up studies will be able to refer to the analysis structure and results of the study.

• Journal of Service Research and Studies
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• v.13 no.4
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• pp.113-130
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• 2023

This study is a single case study of the application of service design in a regional emergency medical centre of a senior general hospital, focusing on the experiences of patients and medical staff. It aims to measure and improve the experience of healthcare services using service design techniques and to verify their effectiveness. A qualitative case study centred on ethnography and design workshops was conducted to collect in-depth experience data from patients and medical staff. The study identified key experiential differences between patients and healthcare workers, with a particular focus on the challenges faced in emergency medical services. The qualitative data collected through patient and healthcare worker interviews and design thinking workshops were analysed and incorporated into the design in order to understand the complex dynamics of the regional emergency medical centre environment. The results of the study highlighted the need to improve communication, manage patient flow, and improve the environment in three main aspects of the current state of design reflecting the needs of patients and medical staff. By analysing the differences in the specific needs of the two groups of patients and medical staff, a design-led implementation process can be applied to improve the services of the regional emergency medical centre. This study highlights the role and importance of design in healthcare and provides an efficient way to bridge the gap between theoretical research and practical design implementation. This will contribute to creating a faster, more effective, and more satisfying healthcare experience. It is hoped that this will be a new opportunity to see service design as a key to a new innovation process for the satisfaction of both patients and medical staff.

• Journal of the Korean Regional Science Association
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• v.35 no.4
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• pp.47-60
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• 2019

The purpose of this study is to analyze gender gaps in wage and job satisfaction according to skill characteristics and gender composition in occupation type. Most of the previous studies dealing with gender gaps in wage and job satisfaction have limitations in using a model at a single level. To overcome these limitations, this study integrated the analysis of worker level and job level variables through the application of hierarchical linear model. For the empirical analysis, the 20th year of the Korea Labor Institute Panel Survey and Korea Network for Occupations and Workers data used, factor analysis was utilized to derive cognitive, technical and physical skills. According to the empirical results, female workers in the metropolitan area showed lower average wage and job satisfaction than male worker. these gender gaps were alleviated in occupations which requiring a high level of cognitive skill, while deepening in occupation with a high occupational segregation. The purpose of this study is to derive implications for the policy aimed at reducing the gender gap in the labor market by analyzing the relationship between gender gaps in wage and job satisfaction according to skill characteristics and gender composition rates of wage workers in the metropolitan area.

• Journal of Preventive Medicine and Public Health
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• v.39 no.3
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• pp.263-269
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• 2006

Objectives: As the number of people with disabilities is increasing and their needs for care are varied, the continuum and comprehensiveness of their rehabilitative care are getting more important. This study was performed to understand the utilization of rehabilitation services and requirements of care among the people with severe disabilities in Korea. Methods: We interviewed 578 disabled persons who had severe extremity and cerebral impairment in the urban and rural areas of Korea. The questionnaire included questions on their general characteristics, the type of disability, their physical function (ADL, IADL), their use of rehabilitation services after discharge and their requirements for rehabilitation care Results: Only 12.6% of people with disability in the community continuously used the available medical rehabilitation care. The associated factors for utilization of rehabilitation services were pain and admission for rehabilitative treatment in the acute phase. There was a great need for rehabilitation services in community and this varied according to gender, the socio-economic status, the functional status and the geographic region. The gap between utilization and need for rehabilitation services was largest in the economic support. The gap of primary health care was larger in the rural area than in the urban area. Conclusions: The needs for rehabilitation service were diverse according to the individual functional status, the regional characteristics and other general characteristics of people with disability. Strategies should be considered to eliminate the barriers to obtain rehabilitation services for the people with disability in the community.

• Journal of Digital Convergence
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• v.15 no.10
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• pp.387-397
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• 2017

The purpose of this study is to investigate the regional change of dental scaling experience by scaling insurance coverage in July, 2013. The data were used in the "Community Health Survey" of the 2012 and 2014. The results of the study are as follows; 1) The subjective oral health status and brushing of lunch was highest in Gangnam-gu in both 2012 and 2014(p<0.001). 2) Regular dental check-up was high in Gangnam-gu in both 2012 and 2014(p<0.001). 3) The Scaling experience rate increased in all three regions(p<0.001). 4) The socio-demographic characteristics and scaling experience were higher in 2012 and 2014(p<0.001). The scaling experience was higher when there were office workers and spouses(p<0.001). From the policy perspective, it seems necessary to take measures to reduce the gap in scaling experience rate due to differences in income and unequal medical environment.

• Journal of The Korean Association of Information Education
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• v.12 no.2
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• pp.163-171
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• 2008

To cope actively in the knowledge based society, we deepen a specialty territory and magnify this by applying Information Communications Technology(ICT) effectively. It needs the ability that it will be able to solve the problem from daily life effectively. Accordingly Ministry of Education & Resource Development of Korea make an effort for ICT application education. In spite of this effort, digital divide problem is serious socially and the computer subject is not adopted with formal subject from school. In this study, we analyzed the computer application ability gap and recognized the importance of computer education by analyzing the difference in computer application ability between the students who take a computer class and who do not take a class. Also by comparing the difference of computer application ability between the city and rural student, we tried to find a solution to reduce the regional disparity.