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The way to achieve Universal Health Coverage: Focusing on the Historical and Cultural Context of Health Care Sector in Vietnam (보편적 건강보장을 향한 노정 : 베트남 보건의료 부문의 역사·문화적 맥락을 중심으로)

  • BEAK, Yong Hun
    • The Southeast Asian review
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    • v.28 no.1
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    • pp.173-218
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    • 2018
  • This study focuses on the healthcare sector in Vietnam which is promoting universal health insurance for the achievement of Universal Health Coverage (UHC) under Sustainable Development Goals (SDGs). The purpose of this study is to examine the characteristics of the reform process of the health care system and the law on health insurance through the historical and cultural contexts and its implications from the perspective of development. Based on the three dimensions of UHC - extension of protection for population, provision of various medical services, and financial protection, the current status of the Vietnam healthcare sector is summarized respectively as follows. First, according to the revised Health Insurance law which came into effect in 2015, the mandatory health insurance premiums are calculated based on household units. Second, there is a medical network that can provide preventive and healthcare services centered on primary health care facilities, for example commune health stations (trạm y $t{\hat{e}}$ $X{\tilde{a}}$). Third, out-of-pocket expenditure is still a large proportion although public spending has increased and private spending has decreased since the enforcement of the health insurance law and various schemes. Vietnam is currently striving towards a universal health care system. The development of institutions and systems should be designed in a way that is appropriate for the members of the society rather than efficiency. This article findings shed light on the role of social values, family culture, and informal institutions.

A Tale of Four Provinces: A Comparative Analysis of Provincial Governance in Vietnam (사성사색(四省四色)의 베트남 지방성(省) 거버넌스)

  • KIM, Yong Kyun
    • The Southeast Asian review
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    • v.28 no.4
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    • pp.115-159
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    • 2018
  • This paper situates 63 provinces of Vietnam on a two-dimensional governance space, according to their levels of both economic and political governance, and systematically explains the two-dimensional distribution of provincial governance. It presents three sets of explanatory factors: the amount of foreign direct investment (FDI) that each province has attracted, the combination of provincial urbanization and population density, and the North Central Coast region factor. Provinces that score high in both economic and political governance tend to have received a good amount of FDI and to be highly urbanized and densely populated whereas provinces that score low in both governance dimensions tend to have the opposite characteristics. Provinces that are high in economic governance but low in political governance are those that have received the greatest amount of FDI and tend to be highly urbanized yet relatively sparsely populated. Provinces that are high in political governance but low in economic governance are characterized by a relatively small amount of FDI, low urbanization, and high population density. Finally, provinces in the North Central Coast region tend to score very high in political governance.

The Type and Dimension of a Faculty-Student Interaction: Narrative study focused (대학생활에서 이루어지는 교수-학생 상호작용에 관한 유형 분석 연구: 내러티브 분석 중심)

  • Yih, BongsooK
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.12
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    • pp.300-309
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    • 2020
  • This study identified the types and dimensions of faculty-student interaction (FSI). A narrative methodology was applied within the qualitative research paradigm. Data was collected using individual in-depth interviews involving 10 students who had experiences of faculty-student interaction more than 6 times over the prior 6 semesters. Data was analyzed according to actors' perspectives, the motivation of actions, and actions toward goal achievement. Three major types of faculty-student interactions emerged from our analysis. First, the initiative interaction type reflects active characteristics of the narrator within FSI and is goal achievement-oriented. Second, the stereotyped interaction was characterized as a unified reaction to the FSI and not significantly related to self-development. Lastly, the reciprocal interaction reflected characteristics of narrators who had potential and flexibility for self-development in the circumstances involving support from professors. The results of this study indicate that faculty-student interaction does not represent the best way to support students for their successful school lives. Faculty needs professionality and sensitivity for student teaching, and students must exhibit curiosity and activeness in developing their knowledge. Positive outcomes from the FSI will be expected in supportive school environments.

The Analysis of Forest Fire Fuel Structure Through the Development of Crown Fuel Vertical Distribution Model: A Case Study on Managed and Unmanaged Stands of Pinus densiflora in the Gyeongbuk Province (수관연료 수직분포모델 개발을 통한 산불연료구조 분석: 경북지역의 소나무림 산림시업지와 비시업지를 대상으로)

  • Lee, Sun Joo;Kwon, Chun Geun;Kim, Sung Yong
    • Korean Journal of Agricultural and Forest Meteorology
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    • v.23 no.1
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    • pp.46-54
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    • 2021
  • This study compared and analyzed the effects of forest tending works on the vertical distribution of wildfire fuel loads on Pinus densiflora stands in Gyeongbuk province. The study sites were located in Youngju and Bonghwa in Pinus densiflora stands. A total of 10 sample trees were collected for the development of the crown fuel vertical distribution model. The 6th NFI (National Forest Inventory) selected a sample point that only extracted from managed and unmanaged stands of Pinus densiflora in the Gyeongbuk province. The fitness index (F.I.) of the two models developed was 0.984 to 0.989, with the estimated parameter showing statistical significance (P<0.05). A s a results, the vertical distribution of wildfire fuel loads range of unmanaged stands was from 1m to 11m with the largest distribution at point 5m at the tree height. On the other hand, the vertical distribution of wildfire fuel loads range of the managed stands was from 1m to 15m with the largest distribution at the point of 8m at the tree height. The canopy bulk density was 0.16kg/㎥ for the managed stands and 0.25kg/㎥ for the unmanaged stands, unmanaged stands were about 1.6 times more than managed stands. This result is expected to be available for simulation through the implementation of the 3D model as crown fuel was analyzed in three dimensions.

A Study on the Installation of a Sewage Separator Pipe inside an Existing Combined Sewer System for CSO Control (기존 합류식 하수관거에 CSO 제어를 위한 하수분리관의 설치에 관한 연구)

  • Guerra, Heidi B.;Kim, Youngchul
    • Journal of Wetlands Research
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    • v.23 no.1
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    • pp.85-93
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    • 2021
  • Sewage separation which often involves installing a new pipe to separate wastewater flow from stormwater runoff flow can be costly and depends highly on its feasibility in a site. To be able to develop a potentially more economical alternative that can also lessen major road traffic disturbance during this process, a different approach where a smaller sewage separator pipe is installed inside an existing combined sewer pipe was investigated. A small-scale of a box sewer and the proposed sewage separator pipe was constructed in the laboratory to observe and compare the deposition of solids and other solid-associated major pollutants at different flow rates. In addition, three-dimensional flow simulations considering five different scenarios were conducted using Ansys Fluent to observe the effect of the proposed sewage separator pipe to the hydraulic flow if installed inside the combined sewer pipe. Results revealed that the deposition of TSS, TCOD, TN, and TP were reduced by at least 60% when the wastewater was conveyed by the sewage separator pipe instead of the combined sewer pipe. Moreover, the flow simulations conducted showed that there was little to no major disturbance in hydraulic flow and velocity distribution when the sewage separator was installed inside a straight pipe and even at pipe transitions such as intersections, turns, and drop in elevation. Considering the pipe dimensions and the results of the study, the proposed approach can be promising in terms of reduction in pollutant deposition without a major effect on the hydraulic flow. Further investigation and cost-analysis should be done in the future to support these preliminary findings and help alleviate the problems caused by combined sewer overflows by introducing an alternative approach.

Narrative Imagination Applied to the God Jiutian Yingyuan Leisheng Puhua Tianzun: As Observed in the Narrative of Wen Zhong in Investiture of the Gods and of Kang Jeungsan in The Canonical Scripture (구천응원뇌성보화천존(九天應元雷聲普化天尊) 신격의 서사적 상상력 탐구 - 『봉신연의(封神演義)』의 문중(聞仲)과 『전경』의 강증산(姜甑山) 서사를 중심으로 -)

  • Yoo, Su-min
    • Journal of the Daesoon Academy of Sciences
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    • v.35
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    • pp.255-293
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    • 2020
  • This study examines the God, Jiutian Yingyuan Leisheng Puhua Tianzun (九天應元雷聲普化天尊, 'The Supreme God of the Ninth Heaven, Celestial Worthy of Universal Creation through His Thunderbolt, the Originator with Whom All Beings Resonate' in Daesoon Jinrihoe), in terms of narrative imagination, by investigating the narrative of Wen Zhong (聞仲) in Investiture of the Gods (Fengshenyanyi 封神演義) and the narrative of Kang Jeungsan (姜甑山) in The Canonical Scripture (Jeongyeong 典經). This examination occurs along three dimensions: Firstly, I look into the cultural contexts of the image of the Thunder God (雷神) in Gojoseon (古朝鮮) mythology and the Korean seondo (仙道) tradition both of which are reflected in the narrative of Wen Zhong. At the same time, I also argue that the cultural contexts examined above are able to be found in the narrative of Kang Jeungsan. Secondly, I consider the essential meaning of the concept of "deifying" (封神) in the narrative of Wen Zhong and its connection to "the resolution of grievances" (haewon 解冤) in the narrative of Kang Jeungsan. Thirdly, I consider the traits of embracing heterogeneous things (異類) in the religious group "Jiejiao" (截敎) that Wen Zhong belonged to in relation to the values of "mutual beneficence" (sangsaeng 相生) that Kang Jeungsan pursued. In this study's conclusion, I posit that the "mentalité" of Dong-yi (東夷) culture and tales including Yin (殷) is identifiable in narrative imagination applied to the God, Jiutian Yingyuan Leisheng Puhua Tianzun. This means that the nature of Jiutian Yingyuan Leisheng Puhua Tianzun is closely related to the tradition of Korean seondo and Korean Daoism.

Some Patterns of Confucian Literati's Daily Lives in the Joseon Dynasty Analyzed from a Perspective of Ritualization (조선시대 사족(士族) 일상생활의 유교적 의례화 양상)

  • Park, Jong-chun
    • Journal of the Daesoon Academy of Sciences
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    • v.39
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    • pp.175-214
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    • 2021
  • In the Joseon Dynasty, Confucian literati sacralized their daily lives through ritual practices across the three dimensions of time, place, and humanity. 1) In the dimension of time, they cultivated in their personal lives by accepting and thoroughly practicing the ethical principles of the Elementary Learning (『小學』). These practices of self-cultivation developed into ritualized practices of daily routine from the perspective of neo-Confucianism. 2) In the spatial dimension, local public schools (鄕校), local private academies (書院), and village private schools (書塾) were constructed as the symbolic places for disseminating Confucian norms through intensive seminar activities and collective learning sessions (講會). These places were also used for the pious recitations of selected Confucian proverbs that had been ritualized by Confucian literati. 3) In the dimension of humanity, pious consciousness, reinforced by the ritualized practice of periodic sacrifices or intensive reading, was subconsciously deepened and projected onto dreams individuals reported of their deceased fathers or teachers. According to the Confucian ritualization process, people were seen as being able to sanctify their daily lives by thoroughly internalizing and effectively realizing Confucian values.

Mechanical behavior and microstructural characterization of different zirconia polycrystals in different thicknesses

  • Arcila, Laura Viviana Calvache;Ramos, Nathalia de Carvalho;Campos, Tiago Moreira Bastos;Dapieve, Kiara Serafini;Valandro, Luiz Felipe;de Melo, Renata Marques;Bottino, Marco Antonio
    • The Journal of Advanced Prosthodontics
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    • v.13 no.6
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    • pp.385-395
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    • 2021
  • PURPOSE. To characterize the microstructure of three yttria partially stabilized zirconia ceramics and to compare their hardness, indentation fracture resistance (IFR), biaxial flexural strength (BFS), and fatigue flexural strength. MATERIALS AND METHODS. Disc-shaped specimens were obtained from 3Y-TZP (Vita YZ HT), 4Y-PSZ (Vita YZ ST) and 5Y-PSZ (Vita YZ XT), following the ISO 6872/2015 guidelines for BFS testing (final dimensions of 12 mm in diameter, 0.7 and 1.2 ± 0.1 mm in thicknesses). Energy-dispersive X-ray spectroscopy (EDX), X-ray diffraction (XRD) and scanning electron microscopy (SEM) analyses were performed, and mechanical properties were assessed by Vickers hardness, IFR, quasi-static BFS and fatigue tests. RESULTS. All ceramics showed similar chemical compositions, but mainly differed in the amount of yttria, which was higher as the amount of cubic phase in the diffractogram (5Y-PSZ > 4Y-PSZ > 3Y-TZP). The 4Y- and 5Y-PSZ specimens showed surface defects under SEM, while 3Y-TZP exhibited greater grain uniformity on the surface. 5Y-PSZ and 3Y-TZP presented the highest hardness values, while 3Y-TZP was higher than 4Y- and 5Y-PSZ with regard to the IFR. The 5Y-PSZ specimen (0.7 and 1.2 mm) showed the worst mechanical performance (fatigue BFS and cycles until failure), while 3Y-TZP and 4Y-PSZ presented statistically similar values, higher than 5Y-PSZ for both thicknesses (0.7 and 1.2 mm). Moreover, 3Y-TZP showed the highest (1.2 mm group) and the lowest (0.7 mm group) degradation percentage, and 5Y-PSZ had higher strength degradation than 4Y-PSZ group. CONCLUSION. Despite the microstructural differences, 4Y-PSZ and 3Y-TZP had similar fatigue behavior regardless of thickness. 5Y-PSZ had the lowest mechanical performance.

The Validation of Korean Student Career Construction Inventory: Focusing on emerging adulthood (한국판 학생 진로구성척도(Korean Student Career Construction Inventory)의 타당화 연구: 초기 성인기를 중심으로)

  • Pyo, Sohwi;Yang, Eunjoo
    • Korean Journal of School Psychology
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    • v.17 no.2
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    • pp.145-164
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    • 2020
  • This study aims to validate the Korean Student Career Construction Inventory, a translated measure of career adaptation responses, with Korean college students. In order to do so, this study examines the relevant factor structure, internal consistency, test-retest reliability, criterion-related validity and measurement invariance between Korean undergraduate and graduate students. An online survey was completed by 294 participants, including the questions from the translated Korean Student Career Construction Inventory, in addition to measures of career adaptability and vocational identity. One hundred twenty five among the initial participants were tested again in three months for the examination of test-retest reliability. The results supported the four-factor structure of 18 items suggested by the original measure, as well as measurement invariance. The internal consistency and test-retest reliability were adequate. The Korean Student Career Construction Inventory was positively correlated with career adaptability, unidimensional vocational identity, and the dimensions of exploration and commitment of multidimensional vocational identity, but negatively with the dimension of reconsideration. The findings indicate that the Korean Student Career Construction Inventory has psychometric properties similar to the original form and can be used for both undergraduate and graduate students.

Comparison of the Seawater-Sediment Environment and Habitat Properties with Variable Mud Shrimp Upogebia major Burrow Hole Density and Its Influence on Recruitment and Settlement in the Cheonsu Bay Tidal Flats (천수만 갯벌, 쏙(Upogebia major) 유입 및 정착 밀도에 따른 해수-퇴적물 환경과 서식지 특성 비교)

  • Jeon, Seung Ryul;Ong Giho;Koo, Jun-Ho;Park, Jong-Woo;Kim, Yu Cheol;Jeung, Hee-Do;Cho, Jae-Kwon
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.55 no.2
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    • pp.171-182
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    • 2022
  • The habitat degradation caused by large-scale reclamation leads to devastating impacts, such as fine sediment and mud shrimp Upogebia major settlement on Manila clam Ruditapes philippinarum aquaculture in the eastern Cheonsu Bay tidal flats, Republic of Korea. Despite these impacts, there is a lack of studies on the influence of fine sediments on tidal flats that constitute key mud shrimp habitats. This study provides information on the seawater-sediment environment and the influence of dissolved inorganic nitrogen (DIN) fluctuations depending on mud shrimp burrow hole density. Additionally, it discusses countermeasures for Manila clam habitat management. The results show that mean DIN effluxes in areas with a high-density of burrow holes were up to 4 times (0.12 mmol m-2 d-1) higher than those in sites of low-density (0.03 mmol m-2 d-1) within the Saho and Songhak-ri tidal flats. To manage interference within the competition zone of Songhak-ri tidal flat, it is important to utilize the settlements of spawning season in all three dimensions. Consequently, additional studies in other tidal flats are essential and research in zones where mud shrimps and juvenile clams coexist will help to determine the priorities in the efficient management of clam aquaculture.