• Korean Journal of Community Nutrition
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• v.6 no.2
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• pp.218-226
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• 2001

This study was performed to assess the nutritional status, frequency of visiting and necessity of nutrition programs for 157 elderly(male:49, female:108) visiting public health centers in Puchon. The purpose of the study was to provide the basic data for developing a nutrition service model. The subject were investigated by interviews with a questionnaire to obtain dietary data and other information related to public health center. Blood tests for analyzing biochemical status were also carried out. The elderly showed low income status. Ninety two percent of them showed their monthly income was less than 400,000 won and 72.6% was observed as having 30,000 won/month as their pocket money. The most frequent disease reported as having or being treated were hypertension(32.6%), rheumatic arthritis(28.5%), diabetes(10.2%), and stomach disease(8.2%) for males and hypertension(33.1%), diabetes(19.4%), rheumatic arthritis(16.7%), anemia(11.1%) for females. The nutrients whose daily intakes were less than 2/3 of RDA were calcium(37.5% RDA),vitamin A(49.9% RDA), iron(60.0% of RDA) and protein(62.0% RDA) for males and vitamin A(27.7% RDA), vitamin B$_2$(33.3% RDA), calcium(44.1% RDA), iron(53.3% RDA), and niacin(60.0% RDA) for females, respectively. Prevalence of anemia, assessed by hemogloben using WHO definition, were 4.1% for males and 18.5% for females. The percentage of males with hypercholesterolemia( 220 mg/dl) was 2.1% and 19.4% fir females, Two percent of males and 12.0% of females were observed as having a LDL-C higher than 165 mg/dl. The mean fasting blood glucose(FBG) level of males and female was 84.2 mg/dl and 101.7 mg/dl respectively. Two percent of males and 8.3% of females were found with a FBG higher than 140 mg/dl. Seventy one percent of elderly reported they were visiting public health centers at least once per week or more frequently. They were satisfied most with the low medical bills but showed the lowest satisfaction for the facilities of the public health centers. What the nutrition service programs wanted most was nutrition counseling and guidance.

• Journal of Preventive Medicine and Public Health
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• v.49 no.6
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• pp.386-393
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• 2016

Objectives: General practitioners (GPs) retention in rural and underserved areas highly effects on accessibility of healthcare facilities across the country. Education seems to be a critical factor that affects GPs retention. Thus, the present study aimed at inquiry into medical education challenges that limit their retention in rural and underserved areas. Methods: A qualitative approach was applied for the aim of this study. Data were gathered via 28 semi-structured interviews with experts at different levels of Iran's health system as well as GPs who retained and refused to retain working in rural settings. Interviews mainly were performed face-to-face and in some cases via telephone during 2015 and then coded and analyzed using content analysis approach. Results: Iran's medical education is faced with several challenges that were categorized in four main themes including student selection, medical students' perception about their field of study, education setting and approach, curriculum of medical education. According to experts this challenges could results in making GP graduates disinterested for practicing in rural and underserved areas. Conclusions: Challenges that were found could have negative effects on retention. Modification in student's perception about rural practice could be done via changing education setting and approach and curriculum. These modifications could improve GPs retention in rural and underserved areas.

• The Korean Journal of Health Service Management
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• v.2 no.1
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• pp.125-136
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• 2008

Government came to enforce long-term care insurance system in preparation for the rapid aging society. Whether this system is successful or not depends on the professionalism of long-term care-givers who are professional population in charge of care service. Currently in the early stage of enforcement, such problems as a race cutting fee resulted from numerical increase of educational facilities, insolvent operation, degradation of education level resulted from unprofessional instructor, are pointed out. As a mean of manpower-training on long-term care insurance system, this study is to research public-private-university network model of the Academy of Continuing Education attached to Ko Sin University which is the case of Yong Do Gu Busan city. Networking between the vision and development strategy of Yong Do Gu on continuing education city, education system on community manpower-training supported by Ko Sin University, and service field of welfare for the elderly can not only contribute to the professionalism of long-term care-givers but also play an ideal role in manpower-utilization and arrangement of community. Through this networking, high quality of education level and circumstance, using the existing infra, manpower-training and utilization for continuing education of Yong Do Gu can be accomplished. Additionally, the connection with facilities related with welfare for the elderly can contribute to professionalism and accountability of manpower-networking.

• Journal of Preventive Medicine and Public Health
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• v.21 no.2 s.24
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• pp.442-450
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• 1988

Effects of various factors related to the process of social action of hospital services on the selecting a hospital were investigated by using of questionnaires answered by 1,319 patients in a certain University Hospital, in Chungchongnam-Do, from November, 1986 to November, 1987. The results summarized were as follows ; 1. Each of the examined factors, that is, sincerity of an attendant physician in medical treatment and explaining the condition of a disease, confidence to doctor and nurse, doctor's and nurse's response to calling by patient, kindness of the hospital staffs and food handlers, sanitariness of hospital, cleanness of clothes and bed sheets, hospital foods, and rest surroundings, are not solely decisive to attitude of hospital utilization, but the factors effects compositely on hospital utilization 2. Hospital services of the social action process are more effective to hospital utilization in cases of the hospitalization caused by the traffic facility than for the medical skill and facilities.

• Journal of the Korean housing association
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• v.27 no.6
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• pp.19-29
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• 2016

As a lifeway and social change, the neighborhood build up around elementary school based on Perry's Neighbourhood Unit becomes change. Elementary School does not function as a center of residents' activity or community any longer. Activities occurred near the school move to the community streets that many facilities are distributed to, while utilization of facilities near schools becomes lower. On the bases of the current states, this study aims to draw a practical neighborhood center of residential areas by case study. The research is being mainly about low-rise residential areas in Seoul which includes one elementary school at least. In order to deduct the center of neighborhood, the survey takes two steps. At the preliminary survey, conduct the observation and do an interview to investigate awareness and actual status. Also to analyze practical center, do a main survey about land value, pedestrian volume, distribution of public transit and facility density. The research result shows that there is another activated center street not nearby elementary school in every case. This study assumes that the neighborhood center is not limited around elementary school and could variously build up by circumstances. It has significance that we present a question about the traditional theory and also could be references of the future city maintenance in the long term.

• Journal of the Korean Institute of Educational Facilities
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• v.19 no.4
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• pp.39-48
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• 2012

In recent years, the change of urban function and the decrease in birth rate have given rise to merge, abolition and relocation of the existing schools. This study explores the possibilities for various land utilizations of disused school sites, using the trial case of 'M' elementary school at Bu-pyung Gu in Incheon Metropolitan City. 'M' elementary school has recently happened to need no more land to build another school because of decreasing the number of students. Firstly, it studies the land reuse theories in city, the development methodologies of disused sites and the legalistic and political authority and limits. It analyzes the urban spacial values and roles, such as the educational roles, spacial functions and development values of the land. In addition, this study make a questionnaire of local residents to converge the public opinions on the utilization of disused school site. Finally, it proposes the principal direction for the effective appropriation and an alternative for exploitation of school site targeting disused school site of 'M' elementary school.

• Journal of Animal Environmental Science
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• v.1 no.1
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• pp.83-102
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• 1995

Composting is an ecologically sound method of recycling organic waste. Its advantages include the maintenance of soil fertility and improvement of soil physicochemical property. It is an essential part of the waste minimization. That is, composting should be included to increase the recycling rate up to more than 20%. To encourage composting of waste, it is necessary to develop some effective composters of small scale facilities and densely populated areas. For medium and large-size facilities, the optimum process should be selected. Technical counselling and support is desirable for small scale composters for urban residential and rural area. On the other hand, adequate amendment of relevant legislation should be followed to encourage composting. An example of unreasonable legislation is the current fertilizer management act. According to the regulation, the maximum allowable limit of lead in the compost is less than 150ppm, which is too strict. This limit should be increased to at least 300ppm, which is the observed level in most states in USA. At the same time, sound infrastructure should be established and decent publicity work should be achieved to accelerate composting activity. In this paper the desirable standard for some heavy metal concentration in the compost were suggested.

• Journal of Preventive Medicine and Public Health
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• v.24 no.4 s.36
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• pp.485-495
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• 1991

This study examined the effects of referral requirements for insurance patients which have been enforced since July 1, 1989 when medical insurance coverage was extended to the whole population except beneficiaries of medical assistance program. The requirements are mainly aimed at discouraging the use of tertiary care hospitals by imposing restrictions on the patient's choice of a medical service facility. The expectation is that such change in the pattern of medical care utilization would produce several desirable effects including increased efficiency in patient care and balanced development of various types of medical service facilities. In this study, these effects were assessed by the change in the number of out-patient visits and bed-days per illness episode and the share of each type of facility in the volume of services and the amount of expenditures after the implementation of the new referral system. The data for analysis were obtained from the claims to the insurance for government and school employees. The sample was drawn from the claims for the patients treated during the first six months of 1989, prior to the enforcement of referral requirements, and those of the patients treated during the first six months of 1990, after the enforcement. The 1989 sample included 299,824 claims (3.6% of total) and the 1990 sample included 332,131 (3.7% of total). The data were processed to make the unit of analysis an illness episode instead of an insurance claim. The facilities and types of care utilized for a given illness episode are defined to make up the pathway of medical care utilization. This pathway was conceived of as a Markov Chain process for further analysis. The conclusion emerged from the analysis is that the enforcement of referral requirements resulted in less use of tertiary care hospitals, and thereby decreased the volume of services and the amount of insurance expenses per illness episode. However, there are a few points that have to be taken into account in relation to the conclusion. The new referral system is likely to increase the use of medical services not covered by insurance, so that its impact on national health expenditures would be different from that on insurance expenditures. The extension of insurance coverage must have inereased patient load for all types of medical service organizations, and this increase may be partly responsible for producing the effects attributed to the new referral system. For example, excessive patient load for tertiary care hospitals may lead to the transfer of their patients to other types of facilities. Another point is that the data for this study correspond to very early phase of the new system. But both patients and medical care providers would adapt themselves to the new system to avoid or overcome its disadvantages for them, so as that its effects could change over time. Therefore, it is still necessary to closely monitor the impact of the referral requirements.

• Women's Health Nursing
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• v.17 no.1
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• pp.21-30
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• 2011

Purpose: This study was done to investigate the types of breastfeeding visits by mothers twenty-four months after birth and to identify the factors that increased breast feeding rates. Methods: The subjects of this study totaled seven hundred and seventy-four mothers with infants aged 2 years or less who had visited national medical institutions including Sanhujori service facilities, breastfeeding care service facilities, and community health centers. Data was collected from June 22 to July 31, 2009. Data was analyzed using descriptive statistics, $x^2$ test, ANOVA with a post hoc Scheffe test, and multiple logistic regression. Results: Major findings of this study were significant differences of planned length of breastfeeding and breastfeeding self-efficacy in relation to the differing types of breast feeding community visits by mothers. In multivariate logistic regression, baby's age, exclusive breastfeeding at hospital, utilization of breastfeeding care service facility, planned length of breastfeeding, and breastfeeding self-efficacy were independent predictors of the feeding type. Conclusion: In order to increase breastfeeding rates, programs provided by public health care services and medical facilities should start education on breast feeding in the hospital before mothers are discharged and then continue through the use of Sanhujori service facilities and workplace at 3 month and 6 month postpartum.

• Journal of Korean Society of Forest Science
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• v.113 no.1
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• pp.1-13
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• 2024

This study used the results of the 2022 national survey of forest welfare facilities and space users conducted in the Republic of Korea to identify the associations and combination patterns among use of forest welfare facilities and various user characteristics. In addition, a correspondence analysis-namely, a categorical data analysis-was performed regarding four facilities: National Natural Recreation Forest, National Soopchewon, National Forest Trail, and National Healing Forest. The cross-analysis revealed highly significant differences (p < .001) in the age, household income per month, means of transportation, companion type, path to information acquisition, and purpose of visit among the users of forest welfare facilities. Moreover, the results of the correspondence analysis demonstrated that users of National Soopchewon and National Healing Forest were distinguished from users of the other forest welfare facilities based on demographic characteristics such as age and household income per month. In addition, the means of transportation of National Forest Trail users differed from that of users of the other forest welfare facilities. Moreover, users of National Soopchewon were associated with the type of public group visit, acquisition of information from the websites of related institutions and facilities and via online portals, and the purpose of participating in education and experiencing education programs. Therefore, the companion type, path to information acquisition, and purpose of visit on the part of users of National Soopchewon could be differentiated from those of users of other forest welfare facilities. The findings of this study revealed the associations and combinations among forest welfare facilities and the characteristics of users of such facilities, with the scope of utilization of the forest welfare facility user data being expanded via correspondence analysis.