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A RURAL HEALTH SERVICE MODEL FOR KOREA BASED OH A PRIMARY CARE NURSING SERVICE SYSTEM

  • Hong, Yeo-Shin
    • Journal of Korean Academy of Nursing
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    • v.11 no.2
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    • pp.5-8
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    • 1981
  • This study concerns itself with the development of a new model of comprehensive health service for rural communities of Korea. The study was conceived to resolve the problems of both underservice in rural communities and underutilization of valuable health manpower, namely the nurses, the disenchanted elite health personnel in Korea. On review of the current situation, the greatest deficiencies in the Korean health care system were found in the availability of primary care at the peripheries of md communities, in the dissemination of knowledge of disease prevention and health care, and in the induction of and guidance for active participation by the clientele in health maintenance at the personal, family and community level Abundant untapped health resources were identified that could be brough to bear upon the national effort to extend health services to every member of the Korean Population. Therefore, it was Postulated that the problem of underservice in rural communities of Korea can be structurcturally resolved by the effective mobilization and organization of untapped health resources, and that. a primary care Nursing Service System offers the best possibility for fulfillment of rural health service goals within the current health man-power situation. In order to identify appropriate strategies to combat the present difficulties in Korean rural health services and to utilize nurses and other health personnel in community-centered health programs, a search was made for examples of innovative service models throughout the world. An extensive literature survey and field visits to project sites both in Korea and in the United States were made. Experts in the field of world health, health service, planners, administrators, and medical and nursing practitioners in Korea, in the United States as well as visitors from other Asian countries were widely consulted. On the basis of information and inputs from these experts a new rural health service model has been constructed within the conceptual framework of community development, especially of the innovation diffusion Model. It is considered especially important that citizens in each community develop capacities for self-care with assistance and supports from available health professionals and participate in health service-related decisions that affect their own well-being. The proposed model is based upon the regionalization of health care planning utilizing a comprehensive Nursing Service System at the immediate delivery level The model features: (1) a health administration unit at each administrative level; (2) mechanisms for community participation; (3) a continuous source of primary health care at the local community level; (4) relative centralization of specialty care and provision of tertiary or super-specialty care only at major national metropolitan centers; and (5) a system for patient referral to the appropriate level of care. This model has been built around professional nurses as the key community health workers because their training is particularly suited and because large numbers of well-trained nurses are currently available and being trained. The special element in this model is a professional nurse-guided, self-care facilitating primary care Community Nursing Service System. This is supported by a Nursing Extension Service as a new training and support structure. (See attached diagrams). A broad spectrum of programs was proposed for the Community Nursing Service System. These were designed to establish a balance of activities between the clinic-centered individual care component and the field activity-centered educational and supportive component of health care services. Examples of possible program alternatives and proposed guidelines for health care in specific situations were presented, as well as the roles and functions of the key health personnel within the Community Nursing Service System. This Rural Health Service Model was proposed as a real alternative to the maldistributed, inequitable, uncoordinated solo-practice, physician-centered fee-for-service health care available to Koreans today.

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Estimation of Uranium Particle Concentration in the Korean Peninsula Caused by North Korea's Uranium Enrichment Facility (북한 우라늄 농축시설로 인한 한반도에서의 공기중 우라늄 입자 농도 예측)

  • Kwak, Sung-Woo;Kang, Han-Byeol;Shin, Jung-Ki;Lee, Junghyun
    • Journal of Radiation Protection and Research
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    • v.39 no.3
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    • pp.127-133
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    • 2014
  • North Korea's uranium enrichment facility is a matter of international concern. It is of particular alarming to South Korea with regard to the security and safety of the country. This situation requires continuous monitoring of the DPRK and emergency preparedness on the part of the ROK. To assess the detectability of an undeclared uranium enrichment plant in North Korea, uranium concentrations in the air at both a short and a long distance from the enrichment facility were estimated. $UF_6$ source terms were determined by using existing information on North Korean facility and data from the operation experience of enrichment plants from other countries. Using the calculated source terms, two atmospheric dispersion models (Gaussian Plume Model and HYSPLIT models) and meteorological data were used to estimate the uranium particle concentrations from the Yongbyon enrichment facility. A maximum uranium concentration and its location are dependent upon the meteorological conditions and the height of the UF6 release point. This study showed that the maximum uranium concentration around the enrichment facility was about $1.0{\times}10^{-7}g{\cdot}m^{-3}$. The location of the maximum concentration was within about 0.4 km of the facility. It has been assumed that the uranium sample of about a few micrograms (${\mu}g$) could be obtained; and that few micrograms of uranium can be easily measured with current measurement instruments. On the contrary, a uranium concentration at a distance of more than 100 kilometers from the enrichment facility was estimated to be about $1.0{\times}10^{-13}{\sim}1.0{\times}10^{-15}g{\cdot}m^{-3}$, which is less than back-ground level. Therefore, based on the results of our paper, an air sample taken within the vicinity of the Yongbyon enrichment facility could be used to determine as to whether or not North Korea is carrying out an undeclared nuclear program. However, the air samples taken at a longer distance of a few hundred kilometers would prove difficult in detecting a clandestine nuclear activities.

The Study on the satisfaction of educational services of technology transfer agents' registration (기술거래사 등록교육 서비스 만족도에 관한 연구)

  • Kim, Hye-Sun;Lee, Jae-Il
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.7 no.1
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    • pp.153-164
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    • 2012
  • Recently, as the one way of open Innovation management, Not a company's sole activity, but technology development and infrastructure buildup between companies for the synergistic effect of technological innovation, and technology transfer commercialization is needed. For a successful technology commercialization, it needs many experts like technology transfer agents, A technology transfer agent can be qualified with finishing its registration education course over 40 hours on the basis of the article 14 of law on the Promotion of Technology Transfer and the article 21 of the enforcement. After the 2010 revision of notice, the incorporated company, the Korea Technology Transfer agents has conducted the registration education. Until now, educations were conducted twice in January 2011 and November 2011. Accordingly, this study is necessary to improve the education service's quality and seek remedy through the in-depth evaluation of the present basic education service's quality. The results are as in the following. First, the service quality affect the satisfaction of the education service's quality positively. It is identified that the details of service quality of flexibility, reliability, responsiveness, conviction, and sympathy influence the education service satisfaction positively. Second, the education service satisfaction affects the attitude positively after completing the course. Third, service quality affects the attitude after completing the education course, Also it is identified that the details of service quality of flexibility, reliability, responsiveness, conviction, and sympathy influence the attitude after education completion. It is expected that this research may be used as the basic information for establishing education improvements and be helpful in establishing the technology transfer agents' registration education strategy. Through a continuous research, it is also expected that technology transfer markets are accelerated and qualified technology transfer agents are trained.

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Characterization and Formation Mechanisms of Clogging Materials in Groundwater Wells, Mt. Geumjeong Area, Busan, Korea (부산 금정산 일대 지하수공내 공막힘 물질의 특징과 형성원인)

  • Choo, Chang-Oh;Hamm, Se-Yeong;Lee, Jeong-Hwan;Lee, Chung-Mo;Choo, Youn-Woo;Han, Suk-Jong;Kim, Moo-Jin;Cho, Heuy-Nam
    • The Journal of Engineering Geology
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    • v.22 no.1
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    • pp.67-81
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    • 2012
  • The physical, chemical, and biological properties of clogging materials formed within groundwater wells in the Mt. Geumjeong area, Busan, Korea, were characterized. The particle size distribution (PSD) of clogging materials was measured by a laser analyzer. XRD, SEM, and TEM analyses were performed to obtain mineralogical information on the clogging materials, with an emphasis on identifying and characterizing the mineral species. In most cases, PSD data exhibited an near log-normal distribution; however, variations in frequency distribution were found in some intervals (bi-or trimodal distributions), raising the possibility that particles originated from several sources or were formed at different times. XRD data revealed that the clogging materials were mainly amorphous ironhydroxides such as goethite, ferrihydrite, and lapidocrocite, with lesser amounts of Fe, Mn, and Zn metals and silicates such as quartz, feldspar, micas, and smectite. Reddish brown material was amorphous hydrous ferriciron (HFO), and dark red and dark black materials were Fe, Mn-hydroxides. Greyish white and pale brown materials consisted of silicates. SEM observations indicated that the clogging materials were mainly HFO associated with iron bacteria such as Gallionella and Leptothrix, with small amounts of rock fragments. In TEM analysis, disseminated iron particles were commonly observed in the cell and sheath of iron bacteria, indicating that iron was precipitated in close association with the metabolism of bacterial activity. Rock-forming minerals such as quartz, feldspar, and micas were primarily derived from soils or granite aquifers, which are widely distributed in the study area. The results indicate the importance of elucidating the formation mechanisms of clogging materials to ensure sustainable well capacity.

Age Determination by Tooth Wear and Histological Analysis of Seasonal Variation of Breeding in the Big White-Toothed Shrew, Crocidura lasiura (우수리땃쥐 Crocidura lasiura의 치아 마모에 의한 연령결정과 번식의 계절적 변이의 조직학적 분석)

  • Jeong, Soon-Jeong;Yoon, Myung-Hee;Choi, Jung-Mi;Kim, Hyun-Dae;Lim, Do-Seon;Park, Jin-Ju;Choi, Baik-Dong;Jeong, Moon-Jin
    • Applied Microscopy
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    • v.40 no.1
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    • pp.37-45
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    • 2010
  • Captured wild specimens of the big white-toothed shrew, Crocidura lasiura were classified into three age classes by tooth wear and height of molars, and seasonal variations of breeding and reproductive organs were examined. Juveniles had not tooth wear in molars and height of the third molars were lower than the first and second molars, and had only non-breeding condition. Young adults had little tooth wear and the third molars reached to the first and second molars, and old adults had heavy tooth wear in molars, young adults and old adults had breeding or non-breeding condition according to the season. On the basis of histological examination, seasonal variations of breeding were confirmed that breeding condition of young and old adult males were continued from early February to early October although the breeding activity was the highest in April, that of females were continued from the end of March to October, males reached sexual maturity earlier than females. Whereas the breeding condition seems to cease for non-breeding season because of the deficiency of food resources, soil invertebrates. Young and old adult males of the breeding season had large testes with enlarged seminiferous tubules that were filled with numerous germ cells, and expanded caudal epididymides with a vast number of spermatozoa, and were more than 10.0 g in the body weight and 0.03 g in the testis and epididymis weight. The females of the breeding season were pregnant condition with 4~6 litters or had the Graafian follicles and the corpus lutea in the ovary, and were more than 9.6 g in the body weight.

Isolation and Purification of Antimicrobial Peptide from Hard-shelled Mussel, Mytilus coruscus (참담치(Mytilus coruscus) 유래 항균 펩타이드 분리 및 정제)

  • Oh, Ryunkyoung;Lee, Min Jeong;Kim, Young-Ok;Nam, Bo-Hye;Kong, Hee Jeong;Kim, Joo-Won;An, Cheul Min;Kim, Dong-Gyun
    • Journal of Life Science
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    • v.26 no.11
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    • pp.1259-1268
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    • 2016
  • In this study, we investigated antimicrobial peptide from the acidified muscle extract of Mytilus coruscus, which mostly inhabits China, Japan, and Korea, to develop a natural product-derived antibiotics substitution in terms of its abuse and restriction. Antimicrobial peptide was purified by $C_{18}$ reversed-phase high-performance liquid chromatography and was detected as having a molecular mass of 6,701 Da by MALDI-TOF/MS. The N-terminal amino acid sequence of the purified peak was obtained from edman degradation, and 20 identified residues shown 100% identity with the N-terminus region of sperm-specific protein and protamine-like PL-II/PL-IV precursor of Mytilus californianus. We also identified 60 open-reading frame (ORF) encoding amino acids with 183 bp of purified peptide based on the obtained amino acid residues. The amino acid sequence of ORF showed 100% and the nucleotide sequence revealed 97.2% identity with the protamine-like PL-II/PL-IV precursor of Mytilus californianus. Synthesized antimicrobial peptide showed antimicrobial activity against gram-positive bacteria, including Bacillus cereus (minimal effective concentration [MEC], $20.8{\mu}g/ml$), Bacillus subtilis (MEC, $0.2{\mu}g/ml$), Streptococcus mutans (MEC, $0.2{\mu}g/ml$), gram-negative bacteria including Pseudomonas aeruginosa (MEC, $5.7{\mu}g/ml$), Escherichia coli (MEC, $2.6{\mu}g/ml$) and fungi, Candida albicans (MEC, $56.3{\mu}g/ml$). In addition, synthesized peptide showed stable activities under heat and salt conditions against gram-positive and gram-negative bacteria, but was inhibited by salt against only C. albicans. With these results, isolated peptide from M. coruscus could be an alternative agent to antibiotics for defending against pathogenic microorganisms, and helpful information to understand the innate immune system of marine invertebrates.

Subclinical rickets in breastfed infants (모유 수유아에서의 무증상적 구루병)

  • Park, Sin Young;Park, Sung Woo;Kang, Sung Kil;Jun, Yong Hoon;Kim, Soon Ki;Son, Byong Kwan;Lee, Jee Eun
    • Clinical and Experimental Pediatrics
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    • v.50 no.12
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    • pp.1188-1193
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    • 2007
  • Purpose : The prevalence of rickets in the world is on the rise not only in developing but also in developed countries. In Korea, breastfeeding has increased. There have been few studies on the possible association of rickets with breastfeeding. The purpose of this study was to identify the development and the clinical presentation of subclinical rickets in breastfed infants. Methods : We investigated patients who were breastfed and had hypovitaminosis D in the blood from May 2006 to April 2007, and who were diagnosed with vitamin D deficient rickets from May 2003 to April 2006. We evaluated the results of blood tests, x-rays and other relevant information in the medical record. A questionnaire that included questions on the diet of patients, the mothers activity during pregnancy and place of residence was administered. Results : Twelve patients (66%: male, 34%: female) were enrolled in this study. There were eight in the asymptomatic and four in the symptomatic group. The median age for each group was 8 months (range 4-11 month) and 5.5 months (5-8 month). All patients in the symptomatic group were breastfed until diagnosed. In the asymptomatic group, they were breastfed for four to six months, and then weaned with only thin rice soup and vegetables. Nine patients had a vitamin D concentration below 20 ng/mL and three patients had levels between 20 and 29 ng/mL. Alkaline phosphatase (ALP) and parathyroid hormone (PTH) were elevated in both groups. There were statistically significant $25-OHD_3$ levels in the blood in both groups (P=0.008). Ten of the patients (83%) also had iron deficient anemia. Conclusion : Vitamin D deficiency and subclinical rickets has been identified in Korea. However, the prevalence of this disease has not been determined. The main limitation of this study was the small number of patients and the absence of a control group.

Changes of Physico-Chemical Properties of Tidal soils on Their Mafurities -II. Gwanghwal and Poseung Series (간척지(干拓地) 토양(土壤)의 숙성화(熟成化) 정도별(程度別) 이화학성(理化學性) 변화(變化) 연구 -II. 광활(廣活) 및 포승통(浦升統)에 관(關)하여)

  • Yoo, Chul-Hyun;Kim, Jong-Gu;Lee, Jong-Sik;Kang, Jong-Gook;So, Jae-Don;Park, Keon-Ho
    • Korean Journal of Soil Science and Fertilizer
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    • v.23 no.4
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    • pp.259-267
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    • 1990
  • This study was carried out by investigating the changes of physico-chemical and mechanical properties of Gwanghwal and Poseung series in order to obtain basic information on the soil improvement and management. 1. In Gwanghwal series, the content of salt in soil and ground water before rice transplanting at the 21st year after reclamation were 0.29 and 1.02 percent respectively, and the safty cultivation of paddy rice was possible after 33 years of reclamation in both soil series. 2. Clay contents. atterberg limits and clay activity according to the age of reclaimation showed negative correlation. but sand content and N-value were positive in them. 3. Cone index was lower than $3kg/cm^2$ for the first 5 years after reclaimation in both soil series, and the formation of hard pan were 33rd and 49th year after reclamation in Gwanghwal and Poseung series respectively, and its thickness was more in Poseung than in Gwanghwal series. 4. Shearing resistance decreased with the age of reclaimation in both soil series. and friction resistance increased in Gwanghwal than Poseung siries. 4. Shearig resistance decreased with the age of reclaimation in both soil series, and friction resistance increased in Gwanghwal than Poseung series. 5. Soil pH. available, $SiO_2$, $Mg^2$, $K^+$, $Na^+$ and C. E. C showed negative correlation. with the year cultivated paddy rice. but O. M. ava ilable $P_2O_5Ca^{2+}$ and T-N had positive one in both soil series. Contents of O. M and $Ca^{2+}$ and T-N had positive one in both soil series. Contents of O. M and $Ca^{2+}$ were high in Gwanghwal, but C. E. C. was in Poseung series.

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Development of 'Carbon Footprint' Concept and Its Utilization Prospects in the Agricultural and Forestry Sector ('탄소발자국' 개념의 발전 과정과 농림 부문에서의 활용 전망)

  • Choi, Sung-Won;Kim, Hakyoung;Kim, Joon
    • Korean Journal of Agricultural and Forest Meteorology
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    • v.17 no.4
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    • pp.358-383
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    • 2015
  • The concept of 'carbon footprint' has been developed as a means of quantifying the specific emissions of the greenhouse gases (GHGs) that cause global warming. Although there are still neither clear definitions of the term nor rules for units or the scope of its estimation, it is broadly accepted that the carbon footprint is the total amount of GHGs, expressed as $CO_2$ equivalents, emitted into the atmosphere directly or indirectly at all processes of the production by an individual or organization. According to the ISO/TS 14067, the carbon footprint of a product is calculated by multiplying the units of activity of processes that emit GHGs by emission factor of the processes, and by summing them up. Based on this, 'carbon labelling' system has been implemented in various ways over the world to provide consumers the opportunities of comparison and choice, and to encourage voluntary activities of producers to reduce GHG emissions. In the agricultural sector, as a judgment basis to help purchaser with ethical consumption, 'low-carbon agricultural and livestock products certification' system is expected to have more utilization value. In this process, the 'cradle to gate' approach (which excludes stages for usage and disposal) is mainly used to set the boundaries of the life cycle assessment for agricultural products. The estimation of carbon footprint for the entire agricultural and forestry sector should take both removals and emissions into account in the "National Greenhouse Gas Inventory Report". The carbon accumulation in the biomass of perennial trees in cropland should be considered also to reduce the total GHG emissions. In order to accomplish this, tower-based flux measurements can be used, which provide a direct quantification of $CO_2$ exchange during the entire life cycle. Carbon footprint information can be combined with other indicators to develop more holistic assessment indicators for sustainable agricultural and forestry ecosystems.

Growth Pattern of Red-tongued Viper Snake (Gloydius ussuriensis) Inhabiting Gapado, Jeju Island (가파도에 서식하는 쇠살모사의 성장 패턴)

  • Kim, Byoung Soo;Chang, Min-Ho;Oh, Hong Shik
    • Journal of Environmental Impact Assessment
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    • v.25 no.6
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    • pp.477-486
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    • 2016
  • We investigated the growth pattern of Red-tongued viper snakes (Gloydius ussuriensis), which were captured from the islet of the Jeju Island, Gapado between April, 2006 and November, 2009. The results indicated that there were some snakes that grew relatively fast, but most snakes either almost did not grow or grew around 10mm in snout-vent length during one year period. High growth rates was April and June. Since the growth rate of snakes is highly correlated with their foods, these results implied that the feeding activity of Red-tongued viper snakes is high during this period compared to other months. In female, difference in body condition between good-conditioned and bad-conditioned snakes became large as time elapsed from April to June. The body condition of the male Red-tongued viper snakes improved with the progression of time from April till June. Many of the Red-tongued viper snakes were captured between April and June, while they were rarely captured between July and September. Some of the Red-tongued viper snakes were captured during the autumn season. This tendency was because snakes were rarely active during hibernation and peak summer seasons. Thus, Red-tongued viper snakes are active between April and June and between September and November. They then go into hibernation as the temperature dropped in November. Furthermore, the limitation of the movement period of the Red-tongued viper snakes restricted their feeding activities while foods became scarce, which ultimately restricted their overall growth rate. The growth rate of the snakes decreased with age. The snout-vent length of the Red-tongued viper snakes and growth rate showed a negative correlation (r = -0.591), however, it was not statistically significant due to small sample size. The findings from this study could provide meaningful information in the further study of the life cycle of Red-tongued viper snakes.