• Journal of Preventive Medicine and Public Health
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• v.31 no.4 s.63
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• pp.814-827
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• 1998

In this study we analyzed the insurance claims data to investigate the medical care utilization pattern of tuberculosis patients in private sector. We selected the claims of principal or secondary diagnosis with tuberculosis from claims database of National federation of Medical Insurance, from December 1995 to November 1996. Both spell-based analysis and person-based analysis were carried out. In spell-based analysis, type and location of treatment facilities, distribution of diagnoses, number of outpatient/inpatient treatments were analyzed. Additionally in person-based analysis, number of tuberculosis patients, demographic characteristics, number of treatments per person, frequency and pattern of change in source of care were analyzed. The results were as follows 1. The number of treatments with tuberculosis was 863,641 from 1 December 1995 to 30 November 1996. The number of patients was 313.964. 2. Most of tuberculosis patients in private sector were treated in general hospital (45.8%) and clinics(42.2%) 3. About 77.7% of tuberculosis patients who were treated more than two times did not change the source of care. 18,9% of tuberculosis patients changed source of care only once. Even when we limited tuberculosis patient to those who were treated more than five times and whose treatment period were longer than six months, 94.7% of patients did not change source of care at all, or changed treatment facility only once. 4. The probability of change in source of rare was higher in pulmonary tuberculosis, in twenties, and in rural area respectively than other tuberculosis. In conclusion, healer shopping of tuberculosis patients was not serious as expected. However special attention is needed to pulmonary tuberculosis in twenties and rural area.

• Journal of the Korean association of regional geographers
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• v.14 no.6
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• pp.718-735
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• 2008

Park-and- Rides are intermodal transfer facilities providing a staging location for travellers to transfer between transportation modes. They are an alternative to alleviate transportation problems such as traffic congestion and air pollution in metropolitan areas. Siting Park-and-Ride facilities belongs to a kind of multi-criteria spatial decision making problems being associated with a combination of various location factors. The purpose of this paper is to provide a method and procedure to evaluate the location suitability of Park-and-Ride facilities using GIS(Geographic Information Systems). Using GIS-based suitability analysis, land value, landuse, road accessibility, public transportation accessibility, possibility to intercept automobile trips, distance to activity center and competition with existing facilities were evaluated as location factors. The suitabilities of individual factors were combined to produce a composite map with a specific weight scheme. Then a given number of sites with high suitability score were selected as potential facility locations and their demand were evaluated based on a commutershed with parabolic shape. The suggested method and procedure will provide useful information in determining Park-and-Ride sites and designing their structure.

• Quality Improvement in Health Care
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• v.2 no.1
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• pp.86-109
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• 1995

Clinical trials of drugs on humans is the final and most important stage in evaluating the safety and efficacy of the drugs. Good Clinical Practice(GCP) standards were announced in 1987 to protect testees' rights as well as to ensure validity of the clinical trial results, but its implementation has been delayed until now. The purpose of this study is to evaluate the preparedness of the designated institutions to abide by GCP standards during clinical trials, and thereby to determine GCP implementability at the institutions. Survey on the status of clinical trials was conducted for the designated 83 clinical trial hospitals. Response rate was 95.2%. Donabedian's quality assessment model was applied as the basic framework for the study. And the relative - weights for the evaluation items were determined by expert's evaluation. Among the designated 83 hospitals, 39 conducted clinical trials to obtain drug manufacturing approval from 1990 to 1994. Only 19 institutions are found to be able to meet the requirements of KGCP. Structure variables - manpower, organization, and facility -, which are the basic elements for GCP, are evaluated as unsatisfied in many hospitals. Institutions which established IRB accounted for 41 or 51.9%, but those who have a protocol evaluation guideline, or Adverse Drug Reaction(ADR) reporting system were only 12 and 21 institutions, respectively. Also, the institutions providing educational programs on conducting clinical trials are few - 20. The study results indicates that the level of conducting KGCP is unsatisfactory. However, more institutions are expected to be able to meet the standards soon because GCP standards does not require so much regulation on facilities, but stress importance on research methodology and human right. At present as the institutions for clinical trials are primarily training hospitals with residency programs, such efforts as education will accelerate the implementability of GCP in Korea. Institutions must build the appropriate infrastructure and government must prepare to strongly enforce KGCP before it can successfully take place.

• Journal of the Korean Institute of Gas
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• v.15 no.3
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• pp.19-25
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• 2011

Generally, the generation methods of cooling energy are electric air conditioning (EAC) and gas air conditioning (GAC). The EAC system is caused by increasing peak power during summer. Because the electric energy has a characteristic of non-storage, the peak electric load has been issued social problem annually whether the facility to supply is enough or not. Another way to supply cooling energy, GAC system is worked by gas energy. The absorption chiller and gas engine heat pump have been commercialized for cooling. However, the total capacity of GAC is much less than EAC and it almost depends on EAC for small market. This paper described the status of cooling energy consumption in domestic and expected the cooling energy to be consumed by electric and gas energy up to 2024 year. And also the benefit of GAC was analyzed with the case of its expansion and it was aimed to give background to fit the GAC policy.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.19 no.8
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• pp.127-136
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• 2018

In daycare centers, the head teacher requires the leadership to effectively meet the demands of nursery facilities, since he or she plays a role of middle management in charge of communication with the director and the teachers. Therefore, this study aimed to investigate the structural relationship between the head teacher's leadership and job satisfaction of childcare teachers to enhance their organizational commitment and improve service quality and operation of nursery facilities. A survey was conducted of childcare teachers in national and public daycare centers located in Gyunggi Province from February to March 2018. Statistical analysis was performed using SPSS 23.0 and AMOS 23.0 statistical programs. Analysis results found that leadership of the head teacher positively affected job satisfaction and organizational commitment of childcare teachers. Second, the job satisfaction of childcare teachers positively affected organizational commitment. Third, job satisfaction of childcare teachers had a mediating effect in the relationship between the head teacher's leadership and the childcare teachers' organizational commitment. Results of this study suggest that effective leadership of the head teacher should be exercised to enhance the organizational commitment of childcare teachers.

• Journal of the Korea Organic Resources Recycling Association
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• v.28 no.1
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• pp.83-95
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• 2020

The economic issue of the period of return versus investment has emerged to efficiently utilize the thermal energy of public resource recovery facilities using waste and private thermal source facilities using BIO-SRF. Accordingly, the optimum temperature and pressure facilities are required beyond the traditional designed, constructed and operated. In this study, we analyzed current energy output by different heat and pressure model in domestic facilities, and calculated the characteristics of green-house gas emission. In order to, utilize the thermal energy producing facilities using waste and biomass fuel more efficiently, it is temperature and pressure, which will lead to more lucrative investment and return as well.

• Quality Improvement in Health Care
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• v.7 no.2
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• pp.204-216
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• 2000

Background : There has been a concern that the quality of care provided to end-stage renal disease (ESRD) patients in the United States may not be as good as recommended. This paper illustrates a composite measure to assess, the quality of care received by ESRD patients undergoing in-center hemodialysis by incorporating outcomes for 4 major treatment areas. The 4 treatment areas are: dialysis treatments, anemia control, nutritional management, and blood pressure control. Methods : The major data source for the study was the United States Renal Data System (USRDS) Dialysis Morbidity and Mortality Study Wave 1 (DMMS-1) d Sixteen categories of a composite quality indicator were constructed by combining 4 dichotomous variables (16=2*2*2*2). representing the optimal vs. less than optimal level of outcome for each of the 4 treatment outcome measure respectively. Optimal outcome level for each treatment area was defined based on the recommendation from the National Kidney Foundation: (a) delivered dialysis doses (Kt/V) ${\geq}$ 1.2; (b) hematocrit level ${\geq}$ 30%; (c) serum albumin concentration ${\geq}$ 3.8g/dl ; and (d) blood pressure of <140 / <90mmHg. The 16 quality indicator were ranked according to their relative quality weights, which were estimated from its association with the relative risk of survival, adjusting for patient's baseline severity and dialysis facility characteristics. Results : Out of the entire sample of 2,179 patients, only 229 (10%) meet th recommended outcome levels for all 4 treatment areas. Overall, the study patients were distributed evenly over the 16 quality indicators, indicating a great variation in the quality of ESRD care. It appears that the rank of the 16 quality-indicators is driven by serum albumin concentration, suggesting that serum albumin concentration may be the most powerful predictor of ESRD patient survival among the 4 outcome measures. Conclusion : The developed quality indicator has the advantage of describin a range of care for dialysis patients and thus providing a more complete picture of care as compared to previous studies that have focused on only single or few components of the ESRD care.

• Journal of Satellite, Information and Communications
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• v.12 no.1
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• pp.54-57
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• 2017

In commercial facilities, it is very difficult in real to promote specific products among various products because various products are displayed and sold. Therefore, in order to promote information on most display products, there is a great tendency to rely on printed matter or salesperson. So, it is focused to display advertising or promotional video based on interactive user information by utilizing the diplay used in the store, and to implement technology considering energy saving. Also it is very utilized for a specific product sold or displayed at a commercial facility to be sent to manufacturer or advertiser who wants to promote specific products and content at customer contacts. In this study, we implemented that maximized advertisement effect through the advertisement video and combination of product using transparent display. we implemented User-oriented image display technology to provide an interactive service according to whether there is a user or not. Through this study, we proposed a new direction to maximize advertising/public relations effect in various commercial facilities.

• KIEAE Journal
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• v.9 no.3
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• pp.21-27
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• 2009

The goal of this paper is to determine the suitability evaluation indices of a riverside reservoir space planning by classifying major indicators and calculating AHP(Analytical Hierarchy Process) based weights of them. The major indicators were set up based on literature review and questionnaire survey to experts. Four indicator categories were developed: location, environment, resource availability and economical efficiency. And they were divided into 12 sub-categories for calculating AHP-based weights. First, as for the major indicator categories, the calculation shows that the weighted index of environment is the most important at 0.458, followed by location at 0.128, economical efficiency at 0.170 and resource availability at 0.154. This suggests that environment is getting more public attention and the reservoir is regarded as a facility that is connected to a river. Those weight values were considered in calculating final weights for each of 12 sub-categories. Among them water quality and ecological environment take top ranks at 0.190 and 0.186, respectively. The lower ranks include access 0.112, resource availability of site 0.082, tourism resource 0.078, users 0.076, available land 0.052, area of site 0.031, shape of site and deterioration level 0.030 and percentage of private land 0.030 - which represents general considerations in other space planning. The difference of the top rank (water quality, 0.190) and the last one (percentage of private land, 0.027) is 0.163. The above result shows that users regard environmental aspect and resource availability more important than easiness of construction.

• Journal of the Korean Society for Railway
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• v.16 no.1
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• pp.52-58
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• 2013

This study discusses how transportation to connect railway stations in Korea's small and medium-sized cities can be improved, based on analysis of a survey on the Joongang Line. The analysis considered current problems in connectivity between parts of the Korean transportation system and suggests how to encourage more passengers to shift from private cars to railways. It was found that railway users in small and medium-sized cities hope for better connection between different modes of public transportation, especially for urban buses. However, there is not enough connectivity currently available; therefore it is crucial to establish a system of such connections, mainly focusing on urban buses. Furthermore, in order to minimize transfer distances and connect various transfer modes, plans for improvements of facilities are needed and governmental support should be provided.