• Title/Summary/Keyword: Out-reach service

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Barriers to Health Service Utilization Among Iranian Female Sex Workers: A Qualitative Study

  • Asadi-AliAbadi, Mehran;Abolghasemi, Jamileh;Rimaz, Shahnaz;Majdzadeh, Reza;Rostami-Maskopaee, Fereshteh;Merghati-Khoei, Effat
    • Journal of Preventive Medicine and Public Health
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    • v.51 no.2
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    • pp.64-70
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    • 2018
  • Objectives: In most countries around the world, sex work is an illegal activity. Female sex workers (FSWs) in Iran hide their identities, and they are known to be a hard-to-reach population. Despite free access to HIV testing, fewer than half of FSWs receive HIV testing. The purpose of this study was to characterize the reasons for which FSWs do not seek testing at drop-in centers (DICs) and voluntary counseling and testing (VCT) centers in Iran. Methods: A qualitative study was conducted in 2016. The participants were 24 FSWs who received services at VCT centers and DICs for vulnerable females in the north of Iran and 9 males who were the clients of FSWs. In this study, we made use of purposive sampling and carried out a thematic analysis. Results: We found 4 major and 6 minor themes. The major themes were: fear of being infected (with HIV), stigma, indifference, and knowledge. Conclusions: Despite the significant efforts made by the government of Iran to establish and expand DICs for vulnerable females, the number of FSWs receiving services at these centers has not been very considerable. Consequently, by introducing and implementing training programs for peer groups, it may be possible to take steps toward establishing strategic programs for the control and prevention of HIV/AIDS.

A Study on the role of buyers and sellers in e-Marketplace (e-Marketplace에서의 구매자와 판매자의 역할분석)

  • 조원길
    • The Journal of Information Technology
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    • v.5 no.1
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    • pp.157-171
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    • 2002
  • The evolution of transaction-based business model is upon us. The business models of many e-Marketplace in their early stages have typically been based on transaction fees. Many e-Marketplaces have even called out transaction revenues as a core element of their business plans. The transaction business represents the most simple of business models, but it does not provide a long-term sustain able advantage. For buyer's convenience, wide selection and test price hold appeal. For suppliers, the extended global market reach and direct access to customers and consortiums of customers is powerful. To maxmize leverage of these new e-marketplace, you must from both a buyer perspective as well as a supplier perspective. Also required is a strategy that takes in account all of the various e-Marketplace transaction standards and one that allows the easy accomodation to new e-marketplace as the market change. These new e-marketplace will need to be factored into the sales channel strategies. To be successful, integration with these e-marketplaces should occur at a complete business process level. This study explored independent and industry-backed current and future business models that are emerging in the B2B electronic market industry, as well as value -added service models for the Net market maker industry. E-Marketplaces will evolve into digital work environments in which real industry collaboration can occur.

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Resource Sharing System Base on Context-Awareness for Construction of Mobile Ubiquitous Internet (모바일 유비쿼터스 인터넷 구축을 위한 상황인식 기반 자원공유 시스템)

  • Na Seung Won;Oh Se Man
    • The KIPS Transactions:PartA
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    • v.11A no.6
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    • pp.419-424
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    • 2004
  • Mobile Internet using mobile devices provides Portability to users and is Spreading throughout out lives. But Practical use of the mobile Internet is insufficient due to it's fundamental limitations. Especially, mobile resources are not sufficient because they are not closely connected under current mobile Internet services which are provided with pre-designed structure. For these reasons it will take a lot more time and effort for mobile Internet to grow as a popular service. In this paper, we are focusing to overcome the local limitation and to enhance the 'Sharing of Mobile Resources' by expanding mutual connectivity between resource objects scattered over the mobile Internet environment. To archive this, we propose the MRSS(Mobile Resources Sharing System). MRSS automatically converts single request from user to multiple instructions based on 'Context-Awareness' to search for proper information. Using MRSS, we can expect 'Mobile Ubiquitous Computing' environment which users can reach to information anywhere, anytime.

Bora wind characteristics for engineering applications

  • Lepri, Petra;Vecenaj, Zeljko;Kozmar, Hrvoje;Grisogono, Branko
    • Wind and Structures
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    • v.24 no.6
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    • pp.579-611
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    • 2017
  • Bora is a strong, usually dry temporally and spatially transient wind that is common at the eastern Adriatic Coast and many other dynamically similar regions around the world. One of the Bora main characteristics is its gustiness, when wind velocities can reach up to five times the mean velocity. Bora often creates significant problems to traffic, structures and human life in general. In this study, Bora velocity and near-ground turbulence are studied using the results of three-level high-frequency Bora field measurements carried out on a meteorological tower near the city of Split, Croatia. These measurements are analyzed for a period from April 2010 until June 2011. This rather long period allows for making quite robust and reliable conclusions. The focus is on mean Bora velocity, turbulence intensity, Reynolds shear stress and turbulence length scale profiles, as well as on Bora velocity power spectra and thermal stratification. The results are compared with commonly used empirical laws and recommendations provided in the ESDU 85020 wind engineering standard to question its applicability to Bora. The obtained results report some interesting findings. In particular, the empirical power- and logarithmic laws proved to fit mean Bora velocity profiles well. With decreasing Bora velocity there is an increase in the power-law exponent and aerodynamic surface roughness length, and simultaneously a decrease in friction velocity. This indicates an urban-like velocity profile for smaller wind velocities and a rural-like velocity profile for larger wind velocities. Bora proved to be near-neutral thermally stratified. Turbulence intensity and lateral component of turbulence length scales agree well with ESDU 85020 for this particular terrain type. Longitudinal and vertical turbulence length scales, Reynolds shear stress and velocity power spectra differ considerably from ESDU 85020. This may have significant implications on calculations of Bora wind loads on structures.

Changing Dark Coal into Illuminating High-Tech - Ways out of an Economic Crisis in Dortmund, Germany

  • Becker, Eberhard;Herrmann, Simone
    • World Technopolis Review
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    • v.1 no.4
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    • pp.276-286
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    • 2013
  • "Federal investments into the future of a region" - pushing economy in the right direction or throwing tax money into a black hole? Hot-headed contentions keep circulating within politics and economy discussing the effect of technology centers and their sustainability within a region. Start-up support and technological infrastructure with the auxiliary service of well developed sector-oriented clusters as a fertile soil for successful networks are an undeniable advantage of well organised technology centers. Sceptic contemporaries still hold against that in order to implement such a center millions of federal funds for infrastructure and operation are invested. What output of this tax money is verifiable in the long run? The case of Dortmund provides substantial food for this necessary and relevant discussion. Now, after 27 years of history of the TechnologieZentrumDortmund, TZDO for short, a positive balance can be drawn. This is not just a matter of personal belief and stance. Fortunately, a recent study on the economic effects of the TZDO on the whole region was performed by the Center of Applied Economy Research M$\ddot{u}$nster, Germany (Gundel and Luttmann 2008). The result is clear and measurable: the TZDO has shown to be of great impact on the positive development of a whole region. This paper presents an account of the approach of the TechnologieZentrumDortmund and its current strategy and mode of operation to reach an utmost of effectiveness of personal and pecuniary input in establishing economic success for the region of Dortmund. An immense change of minds, employment opportunities and a massive structural change of the whole region were some of the ambitious aims that had to be reached and that are achieved to a large extent.

Program Evaluation using the RE-AIM Framework: A Systematic Review and Application to a Pilot Health Promotion Program for Children (RE-AIM 프레임워크를 이용한 프로그램 평가: 체계적 고찰과 어린이 대상 건강증진 프로그램 평가)

  • Lee, Ji-Eun;Shim, Jae Eun;Kim, Kirang;Kang, Jae-Heon;Hwang, Ji-Yun
    • Korean Journal of Community Nutrition
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    • v.27 no.4
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    • pp.296-308
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    • 2022
  • Objectives: This study aimed to develop evaluation criteria for the elementary-school-based health promotion program using the RE-AIM framework and to examine their feasibility. Methods: Previous evaluation studies on health interventions for elementary-school students using the RE-AIM framework were reviewed systematically to identify appropriate evaluation criteria. A diet and physical activity intervention based on the transtheoretical model was implemented in a pilot study using the "Happy Me" application. The feasibility of using the RE-AIM framework to evaluate it was examined. Results: The review yielded the following evaluation criteria: "reach," the ratio of participants out of the total target population; "efficacy/effectiveness," the difference in outcomes between the intervention and control groups, or between a pre- and post-test; "adoption," the rate of use of the program and participation in the next stage of the program; "implementation," the progress on the program components; "maintenance," the participants' and teachers' intention to continue using the program. The pilot study reached 76.6% of the targeted population. The intake of sugar-sweetened beverages decreased (P < 0.0001), and the duration of walking increased (P < 0.0001). Other indicators could not be evaluated; therefore, potential indicators were suggested. Conclusions: This study produced feasible evaluation criteria for elementary-school-based health promotion using the RE-AIM framework. Nevertheless, the feasibility needs to be validated with a broader range of studies and long-term interventions.

A Stochastic Study for the Emergency Treatment of Carbon Monoxide Poisoning in Korea (일산화탄소중독(一酸化炭素中毒)의 진료대책(診療對策) 수립(樹立)을 위한 추계학적(推計學的) 연구(硏究))

  • Kim, Yong-Ik;Yun, Dork-Ro;Shin, Young-Soo
    • Journal of Preventive Medicine and Public Health
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    • v.16 no.1
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    • pp.135-152
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    • 1983
  • Emergency medical service is an important part of the health care delivery system, and the optimal allocation of resources and their efficient utilization are essentially demanded. Since these conditions are the prerequisite to prompt treatment which, in turn, will be crucial for life saving and in reducing the undesirable sequelae of the event. This study, taking the hyperbaric chamber for carbon monoxide poisoning as an example, is to develop a stochastic approach for solving the problems of optimal allocation of such emergency medical facility in Korea. The hyperbaric chamber, in Korea, is used almost exclusively for the treatment of acute carbon monoxide poisoning, most of which occur at home, since the coal briquette is used as domestic fuel by 69.6 per cent of the Korean population. The annual incidence rate of the comatous and fatal carbon monoxide poisoning is estimated at 45.5 per 10,000 of coal briquette-using population. It offers a serious public health problem and occupies a large portion of the emergency outpatients, especially in the winter season. The requirement of hyperbaric chambers can be calculated by setting the level of the annual queueing rate, which is here defined as the proportion of the annual number of the queued patients among the annual number of the total patients. The rate is determined by the size of the coal briquette-using population which generate a certain number of carbon monoxide poisoning patients in terms of the annual incidence rate, and the number of hyperbaric chambers per hospital to which the patients are sent, assuming that there is no referral of the patients among hospitals. The queueing occurs due to the conflicting events of the 'arrival' of the patients and the 'service' of the hyperbaric chambers. Here, we can assume that the length of the service time of hyperbaric chambers is fixed at sixty minutes, and the service discipline is based on 'first come, first served'. The arrival pattern of the carbon monoxide poisoning is relatively unique, because it usually occurs while the people are in bed. Diurnal variation of the carbon monoxide poisoning can hardly be formulated mathematically, so empirical cumulative distribution of the probability of the hourly arrival of the patients was used for Monte Carlo simulation to calculate the probability of queueing by the number of the patients per day, for the cases of one, two or three hyperbaric chambers assumed to be available per hospital. Incidence of the carbon monoxide poisoning also has strong seasonal variation, because of the four distinctive seasons in Korea. So the number of the patients per day could not be assumed to be distributed according to the Poisson distribution. Testing the fitness of various distributions of rare event, it turned out to be that the daily distribution of the carbon monoxide poisoning fits well to the Polya-Eggenberger distribution. With this model, we could forecast the number of the poisonings per day by the size of the coal-briquette using population. By combining the probability of queueing by the number of patients per day, and the probability of the number of patients per day in a year, we can estimate the number of the queued patients and the number of the patients in a year by the number of hyperbaric chamber per hospital and by the size of coal briquette-using population. Setting 5 per cent as the annual queueing rate, the required number of hyperbaric chambers was calculated for each province and for the whole country, in the cases of 25, 50, 75 and 100 per cent of the treatment rate which stand for the rate of the patients treated by hyperbaric chamber among the patients who are to be treated. Findings of the study were as follows. 1. Probability of the number of patients per day follows Polya-Eggenberger distribution. $$P(X=\gamma)=\frac{\Pi\limits_{k=1}^\gamma[m+(K-1)\times10.86]}{\gamma!}\times11.86^{-{(\frac{m}{10.86}+\gamma)}}$$ when$${\gamma}=1,2,...,n$$$$P(X=0)=11.86^{-(m/10.86)}$$ when $${\gamma}=0$$ Hourly arrival pattern of the patients turned out to be bimodal, the large peak was observed in $7 : 00{\sim}8 : 00$ a.m., and the small peak in $11 : 00{\sim}12 : 00$ p.m. 2. In the cases of only one or two hyperbaric chambers installed per hospital, the annual queueing rate will be at the level of more than 5 per cent. Only in case of three chambers, however, the rate will reach 5 per cent when the average number of the patients per day is 0.481. 3. According to the results above, a hospital equipped with three hyperbaric chambers will be able to serve 166,485, 83,242, 55,495 and 41,620 of population, when the treatmet rate are 25, 50, 75 and 100 per cent. 4. The required number of hyperbaric chambers are estimated at 483, 963, 1,441 and 1,923 when the treatment rate are taken as 25, 50, 75 and 100 per cent. Therefore, the shortage are respectively turned out to be 312, 791. 1,270 and 1,752. The author believes that the methodology developed in this study will also be applicable to the problems of resource allocation for the other kinds of the emergency medical facilities.

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Surface Checking Reduction Effect of Preservative-treated Korean Larch Round-woods with Various Physical Treatments (물리적 처리에 따른 낙엽송 방부원주목의 표면할렬 방지효과)

  • Pang, Sung-Jun;Oh, Jung-Kwon;Lee, Sang-Joon;Park, Jun-Ho;Jang, Sung-Il;Lee, Jun-Jae
    • Journal of the Korean Wood Science and Technology
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    • v.45 no.1
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    • pp.107-115
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    • 2017
  • In this study, the surface check reduction effect of preservative-treated Korean larch round-wood was investigated by applying three physical treatments, such as incising, kerfing, and kiln-drying. Moreover, the possibility of long-term service life was also checked by comparing the depth of surface check and the penetration depth of preservative. A rapid gradient of wood moisture content between surface and center causes a surface check. Thus, the effect of reducing surface check was carried out at the lowest equilibrium moisture content (EMC) condition, temperature ($2^{\circ}C$), humidity (44.6%), in outdoor locations in Korea until the test specimens reach to the 8.6% EMC. As a result, the preservative-treated specimens without incising, kerfing, kiln-drying (Type C) could not ensure the long-term service life due to a large surface check. Because the surface check depth of all specimens was deeper than the penetration depth of preservative. In case of the incising treated specimens (Type I), 80% of them, the depth of surface check was not deeper than the penetration depth of preservative. However, when a kerfing was additionally treated (Type B), a possibility of happening deeper surface check than penetration depth of preservative was increased rather than Type I.

A Strategy for Improving the Sewerage Systems of Two Rural Areas in Gyeonggi Province (경기도의 2개 시.군 사례를 통한 농어촌지역 하수도 정비 추진 방안)

  • Moon, Chul-Hwan;Ahn, Ji-Hoon;Jang, Mi-Jeong;Lee, Sang-Hyup;Cho, Young-Moo;Kim, Yun-Je
    • Journal of Korean Society of Environmental Engineers
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    • v.32 no.6
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    • pp.563-580
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    • 2010
  • In 2009 the Korea Ministry of Environment announced 'A Comprehensive Plan for the Improvement of Sewer Service in Rural Area' aiming at reduction of the sewer service gap between urban and rural areas as well as improvement in the residential environment of the rural area. According to the plan, the sewer system supply rate for the rural area is expected to reach up to 75% until 2015 with the budget of 4.7 trillion won (Korean currency). It is not certain, however, that the increase in the sewer system supply rate will accompany improvement of water quality in receiving water because several veiled problems that can occur in small-scale sewer treatment plants are poorly addressed in the plan. In this study, those issues for the small-scale sewer treatment plants and their solutions were discussed based on a case study in which we investigated 19 treatment facilities at two rural regions in Gyeonggi province. This study also included strategies useful for the plan. From the results of investigation, some problems, e.g., high hourly variations but low in flowrates and low mass loading were commonly identified. Although operation parameters in sewer treatment plants require to be modified depending on the mass loading, most of the plants were operated with the initial design parameters which causes the decrease of removal efficiency. In the intensive diagnosis, we arranged and applied solutions (e.g., flow equalization, air on/off time control, etc) to the two selected plants and found out improvement of effluent water quality, especially organic matters (COD and SS) and T-N with better denitrification performance.

Temporal and Spatial Distributions of Emergency Medical Services: Busan (부산시 응급의료서비스의 시공간적 분포특성)

  • Nam, Kwang-Woo;Kim, Jeong-Geon
    • Journal of the Korean Association of Geographic Information Studies
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    • v.10 no.1
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    • pp.113-123
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    • 2007
  • This study analyzed the appropriateness of the spatial distribution of fire stations and emergency medical facilities, the main providers of emergency medical care, in Busan. The area over which the 119 emergency medical services were situated in relation to the dispatch and transport of urgent rescue services was examined. Addresses of patients requiring 119 emergency services were obtained and stored as individual units so that they could be analyzed in a Geographic Information System(GIS). The time taken by emergency services to reach patients and transport them to a hospital or other facility was measured in seconds. By inputting additional information such as the location of the 119 dispatch centers, jurisdictions, and emergency medical facilities, the GIS allowed for analyses not only of the temporal but also the spatial aspects of emergency medical services. The results showed that of 16 Gu/Gun and 226 Eup/Myen/Dong in the Busan area, only 41% of Busan's emergency medical services could respond to and transport patients within five minutes. In all districts, most emergency medical services were provided within five to ten minutes. However, the pattern of hospital use to transfer patients to hospitals was inefficient. Based on the temporal and spatial distributions of fire stations and emergency medical agencies, and on their dispatch and transport times, this study sets out and compares ideal dispatch and transportation patterns for the efficient use of Busan's emergency medical services and resources.

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