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Experiences of Unmet Healthcare Service Utilization in Rural Populations Using Primary Health Care Posts during the COVID-19: A Mixed Method Study Based on Andersen's Behavior Model (COVID-19 기간 동안 보건진료소를 이용하는 마을 주민의 미충족 보건의료서비스 이용 경험: 앤더슨 행동모델을 기반으로 한 혼합연구)

  • Ha, Yeongmi;Kim, Youngnam;Choi, Hyunkyoung;Yang, Seung-Kyoung;Ko, Young-Suk;Jung, Mira;Yi, Jee-Seon;Choi, Youngmi;Shin, Eun Ji;Kim, Younkyoung;Lee, Kowoon;Jung, Aeri;Jang, Ji Hui;Kim, Da Eun;Kim, Kyunghee;Shin, So Young;Park, Song Ran;Yim, Eun Shil
    • Journal of Korean Academy of Rural Health Nursing
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    • v.18 no.2
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    • pp.80-91
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    • 2023
  • Purpose: The purpose of the study quantitatively investigates the experience of unmet healthcare service utilization by rural populations in vulnerable areas during the COVID-19 pandemic based on Andersen's behavior model. At the same time, this study attempts to describe the experiences of unmet healthcare service utilization among participants in vulnerable rural areas by analyzing qualitative contents through open-ended question. Methods: Data were collected from October to November 2022 using Qualtrix, a web-based survey platform. A total of 863 participants completed an online survey. Quantitative data were analyzed using 𝑥2 test and logistic regression analysis. Qualitative data were analyzed using content analysis. Results: The factors affecting participants' unmet healthcare service utilization were type of residential area and underlying disease. The qualitative analysis identified; four categories and nine sub-categories. Conclusion: Based on these findings, it is necessary to develop a disaster nursing response model according to the type of residential areas and the number of people.

Developing and Utilizing of a Social Workers' Ethical Sensitivity Test(SWEST) (사회복지사 윤리적 민감성 검사도구(SWEST) 개발 및 활용에 관한 연구)

  • Choi, Myung-Min
    • Korean Journal of Social Welfare
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    • v.60 no.2
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    • pp.5-28
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    • 2008
  • This study tried to develop an test tool of social workers' ethical sensitivity(SWEST) on base of realization about the importance of ethical sensitivity of social worker who are required more ethicalities than the other professionals. Nevertheless, there has been no tool that can measure ethical sensitivity of social workers in our country up to now. Through analysis of existing ethical sensitivity tests in other professions, a paper and pencil method about unstructured question with cases including ethical issues and structured scoring system was chosen as an appropriate method for the SWEST. This study progressed in order : 1st collecting cases, 2nd composing cases, 3rd consulting cases, 4th pilot study, 5th making scoring standards, 6th determining case examples and scoring standards. With the result, the tool consists of 3 case examples with ethical issues : 1) self-determination and confidentiality, 2) equality and double relationship, 3) informed consent and conflict interest. And ethical sensitivities of social work major students and social workers were measured with the SWEST, to see practical utility of this test. The agreement degrees between two independent raters were above 90%. And respondent's ethical sensitivity displayed the most definite difference according to taking or not taking a course 'Social work values and ethics'. Through these results, it can be drawn that the SWEST is reliable and valid to test relevant differences in Korean social workers' ethical sensitivity. The SWEST is expected to activate studying, educating, and practicing ethics in social work.

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An Empirical Study of the Interrelationship Corporate Capability, Competitive Advantage and Business Performance in IT Enterprise (정보기술기업의 역량, 경쟁전략 및 성과의 관계)

  • Chung, Dong-Seop
    • Management & Information Systems Review
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    • v.29 no.4
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    • pp.287-304
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    • 2010
  • In spite of the variety of business environments around start-up firms, almost all existing studies on business strategy of new IT firms. The purpose of the present research is to examine the relationships of the corporate capability, competitive advantage and performance of IT enterprise. There was much research for IT enterprise in other lands, but there was a little in Korea. Through previous literature, we can't find differences between IT enterprise strategies and common corporation strategies. So this research treats new strategies of IT. This research is explanatory and three research questions. This research focuses on the determining factors(corporate capability, competitive advantage) and management performance of IT enterprise in Busan area. In order to test the established 3 hypothesis, several multi-variate analyses are used. Factor analysis is used to reduce the competitive advantage question to its underlying factors. Finally, multi-variate regression and analysis is used to determine whether performance differences The result of this study would be useful to practitioners on management and entrepreneurship. Finally, this study is expected to encourage entrepreneurs to create new possibility in IT enterprise and to assist more new operating business strategy.

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HER-2/neu Status: A Neglected Marker of Prognostication and Management of Breast Cancer Patients in India

  • Zubeda, Syeda;Kaipa, Prabhakar Rao;Shaik, Noor Ahmad;Mohiuddin, Mohammed Khaliq;Vaidya, Sireesha;Pavani, Boddana;Srinivasulu, Mukta;Latha, Manolla Madhavi;Hasan, Qurratulain
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.4
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    • pp.2231-2235
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    • 2013
  • Background: Categorizing breast tumors based on the ER, PR and HER/Neu 2 receptor status is necessary in order to predict outcome and assist in management of breast cancer. Herfe we assessed this question in South Indian patients. Materials and Methods: A total of 619 formalin fixed paraffin embedded breast tumor tissues were collected from pathology archives after receipt of ethical clearance. With the help of primary and secondary conjugated antibodies, expression status of ER, PR and HER2/neu was determined. All the experimental data were assessed for correlations with histopathological features of tumors and clinical presentation of the subjects. Results: In the present study, the ages ranged from 20-87 years with a mean of $50.0{\pm}12.q$ years, and majority of the tumors (84%) were of infiltrating duct cell carcinoma type. Assessment of ER, PR and Her-2/neu expression showed that 46% were triple negative. Interestingly, an inverse relation between ER, PR and HER-2/neu was apparent in 41.2% (p<0.0001) of the tumors, of which 24.5% (p<0.0001) were ER and PR co-negative but HER-2 positive. Conclusions: ER and PR positive tumors are less common (i.e<30%) compared to HER-2/neu positive tumors (i.e>50%) in Indian breast cancer patients, underlining the need for effective diagnostic screening and specific therapeutic managements in order to improve the survival rate of patients in low resource countries such as India.

Parameter estimations to improve urban planning area runoff prediction accuracy using Stormwater Management Model (SWMM) (SWMM을 이용한 도시계획지역 유출량 예측 정확도 향상을 위한 매개변수 산정)

  • Koo, Young Min;Seo, Dongil
    • Journal of Korea Water Resources Association
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    • v.50 no.5
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    • pp.303-313
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    • 2017
  • In environmental impact assessments for large urban development projects, the Korean government requires analysis of stormwater runoff before, during and after the projects. Though hydrological models are widely used to analyze and prepare for surface runoff during storm events, accuracy of the predicted results have been in question due to limited amount of field data for model calibrations. Intensive field measurements have been made for storm events between July 2015 and July 2016 at a sub-basin of the Gwanpyung-cheon, Daejeon, Republic of Korea using an automatic monitoring system and also additional manual measurements. Continuous precipitation and surface runoff data used for utilization of SWMM model to predict surface runoff during storm events with improved accuracy. The optimal values for Manning's roughness coefficient and values for depression storage were estimated for pervious and impervious surfaces using three representative infiltration methods; the Curve Number Methods, the Horton's Method and the Green-Ampt Methods. The results of the research is expected to be used more efficiently for urban development projects in Korea.

An Analysis of Elementary School Teachers' PCK about N÷0 (수÷0에 대한 초등교사의 PCK 분석)

  • Lim, Miin;Chang, Hyewon
    • Journal of Educational Research in Mathematics
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    • v.25 no.4
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    • pp.657-673
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    • 2015
  • In this study, we are interested in the teachers' MCK about '$N{\div}0$' and MPCK in relation to the proper ways to teach it. Even though '$N{\div}0$' is not on the current curriculum and textbooks of elementary school mathematics, a few students sometimes ask a question about it because the division of the form '$a{\div}b$' is dealt in whole number including 0. Teacher's obvious understanding and appropriate guidance based on students' levels can avoid students' error and have positive effects on their subsequent learning. Therefore, we developed an interview form to investigate teachers' MCK about '$N{\div}0$' and MPCK of the proper ways to teach it and carried out individual interviews with 30 elementary school teachers. The results of the analysis of these interviews reveal that some teachers do not have proper MCK about '$N{\div}0$' and many of them have no idea on how to teach their students who are asking about '$N{\div}0$'. Based on our discussion of the results, we suggest some didactical implications.

Impact of Personal Health Information Security Awareness on Convenience (개인의료정보보안인식이 편의성에 미치는 영향)

  • Park, Jung-Hong
    • The Journal of the Korea Contents Association
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    • v.17 no.6
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    • pp.600-612
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    • 2017
  • The purpose of the research is that how awareness of importance of personal medical data, laws regarding personal medical data and perception gap regarding information of medical data system may affect usage of hospital convenience between a regular patient who has experienced hospital service and medical professionals. Preceding research analysis was conducted previous on establishing research model; 150 questionnaires to a regular patient and 150 questionnaires for a medical professional, total of 300 questionnaires were gathered for conducting a question investigation. First of all, the research concluded that there are a regular perception differences between a regular patient and medical professional. Moreover, there are perception differences among the different gender, age, and area of residence. Furthermore, medical professionals tend to consider that convenience of hospital usage will be increased if user strengthens recognition of security of personal medical data. Results of hypothesis stress that higher awareness of exposure of personal medical data and medical information system affect decision making convenience for a better usage of hospital. On the other side, awareness of laws related with personal medical information security does not affect decision making convenience of hospital usage and transaction. The results of the research analyzes with proof that strengthening awareness of personal medical data security positively increase convenience of decision making and transactions in selection of provided medical service.

A Comparative Study of the Effect of University Students' Individualism on Entrepreneurial Orientation in Korea and China (한국과 중국 대학생의 개인주의가 기업가적 지향에 미치는 영향 비교 연구)

  • Ahn, Jinwon;Yoo, Daehyun
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.11 no.4
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    • pp.59-69
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    • 2016
  • The goal of this study is to compare entrepreneurial orientation of both countries' students and to compare the effect of individualism on developing entrepreneurial orientation of both countries. In order to achieve this goal, this study will conduct two analysis. Firstly, the comparative study on entrepreneurial orientation of both students will be implemented by conducting F-test and t-test. Secondly, the regression analysis between an independent variable - individualism - and dependent variables - innovativeness, internal locus of control, and entrepreneurial orientation - will be conducted in order to compare the effect of individualism on developing entrepreneurial orientation. Prior to implementation of two analysis, this study has implemented the survey to Korean and Chinese university students to estimate entrepreneurial orientation and a cultural variable to influence entrepreneurial orientation. The question of survey is divided into two parts - individual entrepreneurial orientation including internal locus of control and innovativeness and a cultural variable, individualism. As other precedent comparative studies of Chines and Korean potential entrepreneurship concluded, Chinese students have shown higher entrepreneurial orientation than Korean students. However, on the contrary to prior studies on cultural factors and entrepreneurship, only Chinese students' entrepreneurial orientation is influenced by individualism. Any dependent variables of Korean students were not affected by individualism variable.

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Anti-inflammatory Effect of Boswellia sacra (Franckincense) Essential Oil in a Mouse Model of Allergic Asthma (알러지성 천식 모델 생쥐에서 프랑킨센스 에센셜 오일의 염증 억제 효과)

  • Lee, Hye-Youn;Yun, Mi-Young;Kang, Sang-Mo
    • Microbiology and Biotechnology Letters
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    • v.36 no.4
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    • pp.343-352
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    • 2008
  • Frankincense, the gum resin derived from Boswellia species, is complex mixtures composed of about $5{\sim}9%$ highly aromatic essential oil, $65{\sim}85%$ alcohol-soluble resins, and the remaining water-soluble gums. The anti-inflammatory properties of frankincense, alcohole-soluble resins, are well-recognized, but the question of whether aromatic essential oil also plays a role in the allergic asthma remains unanswered. This study was performed to evaluate anti-inflammatory effects of Boswellia sacra essential oil (BSEO) on ovalbumin (OVA)-induced asthma mouse model. BALB/c mice after intraperitoneal OVA sensitization were challenged with intratracheal OVA. One experimental group was inhaled with 0.3% BSEO for the later 8 weeks. BALB/c mice were sensitized and challenged with OVA and developed airway eosinophilia, mucus hypersecretion, and airway hyperresponsiveness. In contrast, the BSEO treated mice had reduced a number of eosinophils among BALF cells, goblet cell hyperplasia, and airway hyperresponsiveness. Cytokine analysis of BALF revealed that BSEO caused an increase in Th1 cytokine (interferon-$\gamma$ (IFN-$\gamma$)) and a decrease in Th2 cytokines (interleukin-4 (IL-4), IL-5 and IL-13) levels. In addition, the OVA-specific serum IgE and eotaxin levels were also reduced. In mice inhaled BSEO, $CD4^+$, $CD3^+/CCR3^+$, and $B220^+/CD23^+$ mediastinal lymph nodes cells were also decreased. These results suggest that inhaled BSEO as a immunomodulator in Th1/Th2 mediated asthma may have therapeutic potential for the treatment in allergic airway inflammation by a simple, cost-effective way.

Analyzing Relationship between Road Traffic Flows and Noise Trend using Korea Highway Traffic Noise Model (KHTN을 이용한 교통류 특성과 교통소음추이 분석)

  • Choi, Yoon Hyuk;Kim, Cheol Hwan
    • Journal of Environmental Policy
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    • v.11 no.3
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    • pp.49-65
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    • 2012
  • Road traffic noise is closely related to road traffic environment, including traffic volumes by type and travel speed. In this study, we stated some issues and analyzed the relationships between road traffic noise and traffic flow characteristics. First, in attempt to find the answer to the question "When does the loudest traffic noise occur?" we reviewed the issue in the terms of traffic flow. As a result of analyzing level of service through Korea Highway Traffic Noise model, the actual maximum noise occurred in level of service D rather than level of service E, on the capacity state. It shows that maximum noise would be most likely to occur right before and after the peak hours. Second, this paper was looking for the method of a more easy and accurate traffic speed estimation to predict traffic noise. This paper proposed sketch planning techniques of speed-volume curve by level of service on Korea Highway Capacity Manual. As a result of trend line modeling, it was judged that quadratic form is a suitable function, and coefficient of determination ($R^2$) was higher than 0.96, respectively.

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