• Journal of Korean Academy of Nursing
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• v.38 no.6
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• pp.822-830
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• 2008

Purpose: The purpose of this study was to analyze effects of a community-based case management program for clients with hypertension living in the community. Methods: The research design was a one group pre and post-test design with 30 participants with hypertension who agreed to participate in the 8-12 week case management program provided by case managers from the National Health Insurance Corporation in 2002. Data were collected three times, before and after the case management services, and 6 months later. Outcomes included changes in blood pressure, knowledge of hypertension and daily life practices, including alcohol consumption, smoking, exercise, and medication adherence. Results: Repeated-measures ANOVA and post-hoc tests of means revealed significant differences before and after service for systolic blood pressure, daily life practices (monitoring body weight and BP, low salt and cholesterol and high vegetable diet, and stress-relief practices), and exercise. The goal for medication adherence was attained after service. Significant improvements from baseline to 6 months after service were observed in measures of salt and vegetables in diet. There were no significant differences on hypertension knowledge, alcohol consumption or smoking behavior between before service and after, and at 6 months. Conclusion: The findings provide preliminary evidence that case management intervention can have positive outcomes on BP control, daily life practices, exercise, and medication adherence for clients with hypertension. However, additional interventions are needed to sustain long-term effects.

• Korean Journal of Adult Nursing
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• v.16 no.4
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• pp.556-565
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• 2004

Purpose: According to Lazarus & Folkman (1984), appraising a stressor as a threat is associated with negative psychological and physical adjustment, whereas appraising a stressor as a challenge is positive psychological and physical adjustment. This study examined how cognitive appraisal of PTCA(heart disease threat and treatment appraisal) related to the cardiac risk reduction behaviors(smoking cessation, low salt and low cholesterol diet, regular exercise and stress management) 6 weeks following discharge. Method: Data were collected from 50 subjects with successful primary PTCA. Result: Heart disease threat was negative related to treatment appraisal (r=-0.240, p=0.046). Psychological well-being was negative related to heart disease threat (r=-0.317, p=0.012) and positive related to treatment appraisal(r=0.402, p=0.002). The cardiac risk reduction behaviors score was negative related to heart disease threat(r= -0.296, p=0.018) and positive related to treatment appraisal(r=-0.291, p=0.020). Conclusion: More negative appraisal was related to lower the cardiac risk reduction behaviors score. But more positive appraisal was related to higher the cardiac risk reduction behaviors score. So, there is a need to develop the cognitive-behavioral intevention that increase the coping strategy to replace with positive appraisal.

• Proceedings of the Korean Society of Crop Science Conference
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• 2017.06a
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• pp.316-316
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• 2017

The objective of this study is to estimate quantitatively soil salinity and soil loss at upland soils in agriculture land region in Saemangeum reclaimed land on the south Korea coasts. Soil loss and soil salinity are the most critical problem at reclaimed tidal saline soil in Korea. The several thematic maps of research area such as land cover map, topographic and soil maps, together with tabular precipitation data used for soil erosion and soil salinity calculation. Meteorological data were measured directly as air temperature, wind speed, solar radiation, and precipitation. The experiment was conducted 2% sloped lysimeter ($5.0m{\times}20.0m$) with 14 treatments and it were separated by low salinity division (LSD) and high salinity division (HSD) install. The cation content in ground water increased during time course, but in the case of land surface water the content was variable, and $K^+$ was lower than that of $Na^+$ and $Mg^{2+}$. At the LSD under rainproof condition, the salinity was directly proportional to soil water content, but at the HSD the tendency was no reversed. In condition of rainproof, the amount of soil salinity was higher at the HSD than at the LSD. Positive correlation was obtained between the soil water content and available phosphorous content at the rainfall division, but there was no significance at the surface soil of the rainproof division. Sodium adsorption ratio and anion contents in soil were repressed in the order of vinyl-mulching > non-mulching > bare field. According to the result of analyzing soil loss, soil loss occurred in a vinyl-mulching, a non-mulching and a bare field in size order, and also approximately 11.2 ton/ha soil loss happened on the reclaimed land area. The average soil loss amount by the unit area takes place in a non-mulching and bare field a lot. Our results indicate that soluble salt control and soil erosion are critical at reclaimed tidal saline soil and the results can provide some useful information for deciding management plans to reduce soil loss and salt damage for stable crop production and diverse utilization or cultivation could be one of the management options to alleviate salt damage at reclaimed tidal saline soil in Korea.

• Korea Journal of Hospital Management
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• v.27 no.1
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• pp.43-57
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• 2022

Background: Avoidable mortality rate has been widely used as an indicator of the quality of health care and the degree of inequality in health levels. The purpose of this study was to identify the factors affecting the avoidable mortality rate in the region. Methods: The data was MDIS(Microdata Integrated Service) Causes of Death Statistics, and the analysis period was from 2010 to 2019. Panel analysis was performed to identify the influencing factors on the avoidable mortality rate. Findings: Result showed that the current smoking rate had a significant positive effects on the avoidable mortality rate of both men and women. And the smoking cessation trial rate, low salt diet rate, weight control trial rate, annual vaccination rate had a significant negative effect. In the social environment, the divorce rate had a significant positive effect. In the economy environment, financial independence and social welfare budget rate had a significant negative effect. In the physical environment, the factory area rate had a significant positive effect. Practical Implication: Practical implication in order to lower the local avoidable mortality rate, various social determinants of health as well as health care resources should be considered together.

• The Korean Journal of Food And Nutrition
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• v.28 no.3
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• pp.335-342
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• 2015

We conducted a study on mukeun (long-term fermented) kimchi ripened over one year in an attempt to develop an alternative salt and improve the quality of low-salt kimchi. However, few studies have focused on mukeun kimchi that has been fermented for a short time in different salinity conditions. Therefore, the aim of this study was to investigate the physicochemical characteristics that occur during the fermentation of mukeun kimchi samples produced with different conditions of salinity and fermentation temperature. Kimchi samples were produced at 3 different salinity levels: 1.6%, 2.4%, and 3.2%. Previous studies revealed that the optimum fermentation time at pH 4.1 was 128 hours at $18^{\circ}C$ and 417 hours at $12^{\circ}C$; furthermore, the samples were stored for 12 weeks under the condition of $-1^{\circ}C$ after fermentation. Total cell increased on week 0 of storage and decreased according to the storage period. Total cell was the highest at 3.2% salinity and had a high value at $18^{\circ}C$ temperature during the storage period. Based on the physiochemical results, mukeun kimchi at a salinity of 3.2% can be fermented for a short time, and low-salt kimchi at a salinity of 1.6% and fermented at $18^{\circ}C$, is similar to mukeun kimchi at 2.4% salinity.

• Journal of the Korean association of regional geographers
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• v.7 no.2
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• pp.82-96
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• 2001

The purpose of this study is to investigate the wise use and the management of intertidal environment. For tills purpose, we selected the Kanghwa island mudflat which is one of the most important intertidal region in Korea peninsula. The main research method is surface sediment and several map analysis. The results are as follows. (1) The study area is worldwide coastal wetland in view of ecology and geomorphology. But most of the salt marsh has been reclaimed since Japanese colonial period, the study area is mainly composed of mudflat. (2) The mean tidal regime of study area is 7.3m. From this tidal regime, the study area is subdivided into four distinct areas: the high intertidal area the middle intertidal area the low intertidal area and the shallow sea area terrestrial area near mudflat. (3) The mean particle size of surface sediment is sand 41.5%, silt 47.3%, clay 11.2%. This particle size pattern indicates the ecological characteristics of surface sediment of the study area. The proportion of clay is increasing to the open sea. (5) The pursuit of the wise use and the management must be implemented by the consideration of not only ecologic and sedimentary characteristics but also of the eco-tour site plan. And the entire use and management subject is different in each area.

• Korean Journal of Health Education and Promotion
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• v.15 no.2
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• pp.23-42
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• 1998

The purpose of this study is to show that, before registration of chronic degenerative diseases and enforcing management system in health centers, the management of hypertension could achieved comprehensively and continuously by knowing the realities of drug-taking and its related factors those who are being cared for in health centers. For one year, a questionnaire about drug-taking realities of hypertensive patient was distributed at 8 health centers in Taegu from March 24. 1997 to April 24. 1997. The questionnaires were then collected and analysed. The results are as follows: Of 691 patients, 77.4% of patient were taking medicine regularly every day. The reasons why patients weren't taking medicine every day was as follows: the blood pressure became normal(34%, the highest of the group), patients forgot(28.2%), it was difficult to buy the medicine(15.4%), there was no effect even though the patient took medicine continuously. The experience of medical treatment outside of health centers was 28.9%. The types and percentages of alternative medicine are herbs (50.5%), health food(24.5%), folk remedy(13.7%). Among them, 44.6% of patients didn't know if the medicine was effective. Medical treatment places excluding health centers was pharmacies(63.5%-the highest rate). In simple analysis, the older one was the more regularly one took the medicine, but there was no statistical relations. Of health activities, patients eating low-salt diet showed that they took the medicine regularly. Nonsmoking patients and those who experienced drug side-effect and those who doubted doctor's prescriptions and instructions showed that they took alternative, excluding modem medicine. Anti-hypertensive drug medication status according to recognition, attitude, experiences of hypertension showed that patients who thought that they should take anti-hypertensive drug during the whole life time took the medicine regularly(82.3%). The reasons for patients turning to alternatives varied. In case of having subjective symptom(34.1%), those who thought they knew the hypertension well(36.6%), they decided to use alternatives. In multiple logistic regression analysis the key statistics were as follows: The older patients, patients who ate low-salt diet, patients who thought that they should take anti-hypertensive drug during the whole life time, all showed that they took medicines regularly. And also patients who experienced drug side-effect, doubted prescriptions and instructions, and patients who had subjective symptoms, patients who thought that he knew the hypertension very well, all showed higher rate of using alternative medicine. In the future, at the health centers, to register and manage hypertension patients effectively, we must educate patients about regular drug-taking, and alternatives without doctor's prescriptions.

• Journal of The Korean Society of Agricultural Engineers
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• v.49 no.5
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• pp.57-65
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• 2007

The objective of this study was to evaluate chemical water quality by hourly monitoring(25hr) of Saemangeum esturary. For this study, we selected 2 sites like a Mangyong Bridge(St. 6) and Dongjin Bridge(St. 7). Inflow of salt water was not detected during low tide(maximum 553, 508cm) of all stations, while the salinity rises were detected in spring tide(750cm). When 602m of maximum tide was reached, salinity concentration was increased at St. 7, while there was no change in St. 6. Therefore, We know that salinity variation is greatly influenced by tide height at survey site. Also, significant variance of salinity(p<0.05) was found between St. 6 and St. 7 because dike construction made the flood tide move into the Dongjin river. Total suspened solids(TSS) concentration was increased because of the river runoff at St. 6, and also the turbulance and resuspension according to salt intrusion at St. 7. During the high tide, the water discharge from the sea seemed to dilute the nutrient but to elevate TSS concentration in St. 7. Silicate and nitrate concentrations in the studied site were decreased by the mixing of sea water, whereas the evident trend of phosphate concentration was not found. This result can be explained by the phosphorus condition. Phosphorus exists inactive when it is affected by hydrated iron and adsorbed onto suspended matters. Compared to the environmental conditions of the St. 6 and St. 7, physical factors such as temperature, dissolved oxygen and TSS have statistically no significant difference(p<0.001), but nutrient concentrations were higher at St. 6 than St. 7. It could be suggested from these results that it is important to control the discharge of fresh water by sewage treatment plants located in St. 6 for water quality management.

• Korean journal of food and cookery science
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• v.32 no.3
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• pp.333-341
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• 2016

Purpose: In this study, we comparatively investigated the nutrition knowledge, dietary attitude, and dietary behavior related to salt according to the types of dietary life style for differences between the groups. Methods: The survey was conducted between May 1 to July 31, 2014 among 500 adults aged >19 years in Seoul, Gyeonggi-do and Chungcheong-do areas. Results: Factor analysis of the dietary life style, indicated 4 factors including food convenience factor, food information emphasis factor, behavior factor of pursing food taste, and food purchase standard factor, which were classified into 3 groups according to differentiated dietary life style types; group 1 emphasized convenience and diversity of food, and price sensitiveness. and included subjects who had low interest in health and nutrition and were less likely to take care of their health through regular exercise,; group 2 emphasized food ingredients, food additives, usage and food purchase standards. and included subjects who were more likely to take care of their health through exercise and showed lower intake of fast food and less cases of eating out.; and group 3 showed relatively higher tendency toward dietary life style factors than the other two groups. The level of nutrition knowledge in sodium intake differed according to dietary life styles, and showed a significant difference in the dietary practice of sodium intake. Conclusion: Nutrition education on the healthy dietary habit of reducing sodium intake be based on ge and gender. In addition, an effort is required to improve behavior, interest, and attitude according to the important tendencies of the dietary life style.

• Journal of Wetlands Research
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• v.21 no.4
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• pp.290-297
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• 2019

The estuary is a transition zone where fresh water and salt water meet because the stream is connected to the open sea area. So estuaries have very high biodiversity and form a unique ecosystem. However, before the recognition of the ecological value of the estuaries, various damage and disturbances have been occurred so countermeasures are needed. The river master plan is acting as a disturbance factor. However, the river master plan has the public object such as water disaster defense, river function improvement, and national water resources management. Therefore, it is necessary to study the ways in which the opposite relationship of development and ecosystem protection coexist. In this study, the concept of environmental windows were used to estimate the low impact development duration. We expected that proposed method for low impact development duration estimation can be used as a basis and basic data to protected the ecosystem from development project and disturbance in the future.