• Journal of agricultural medicine and community health
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• v.21 no.2
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• pp.231-241
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• 1996

The estimation of medical care status and the planning of health service program should be done according to each community resident's socio-medical background and public health service. In this point, it is most necessary to be set the exact and new socio-economic statistics data in Nepal, one of the worst countries in national health status. We surveyed 668 house, 3,425 residents in Dolka area, Nepal from January 25th to February 1st, 1995. 1. In personal characteristics, the ratio of men and women was similar, the person who were below 19 years old were 28.1% and the single were 52.4%. The illeterate person were 50.3% and the lower group in economic status which had been estimated by interviewers were 46.9%. 2. In sanitational characteristics, the person who used stream water or rainwater to drink were 42.2% and the person who always boiled water to drink were only 8.3%. The person who had not toilet in their house were 67.3% and the lower group in sanitational status which had been estimated by interviewers were 61.8%. 3. The prevalence rate of illness during the last one month were 8.6% and the chronic were 26.1% and the acute were 72.5%. The distribution of sickness symptom were headache, fever and joint pain in order and the person who took no medical treatment among the sick were 37.0%. The patterns of medical utilization were public health center, hospital and pharmacy in order. 4. Illness prevalence was significantly related to sex, age, merital status and educational experience. The residents who were women, 40 years old or more, married and had not educational experience were apt to take illness. 5. Medical utilization was significantly related to educational experience, job, distance from home to medical facilities and economic status. The person who had educational experience, were officer workers or merchants, lived near by medical facilities and had higher economic status took medical treatment very well.

• International Journal of Advanced Culture Technology
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• v.11 no.3
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• pp.26-32
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• 2023

In this study, we attempted to analyze the status of meal nutritional management at daycare centers and determine whether the need for improvement varies depending on their size. We divided into two groups based on the size of foodservice facilities. If meals for more than 50 people are provided at a time, they are classified as large-scale facilities (Large-scale group). If they are smaller, they are classified as small-scale facilities (Small-scale group). Dietitians visited each daycare center and checked 5 categories and 14 items. When comparing 5 categories, scores in the Small-scale group scored higher than those in the Large-scale group for 'Menu utilization' category. As a result of comparing the detailed 14 items, the scores of 'Indicate dietary information', 'Use menus suitable for those who are eligible for meals', and 'Posting menus by age in public places at foodservice facilities' were higher in the Small-scale group than in the Large-scale group. As such, there are differences in meal nutritional management according to the size of children's foodservice facilities therefore, it was found that customized education and management were needed according to the facilities' size.

• Journal of the Korean housing association
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• v.24 no.6
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• pp.1-8
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• 2013

The purpose of this study is to perform an analysis on the design methods of the "UR Housing Stock Renewal Design Competition" for Hanahata No.27 Housing by the UR Renaissance Agency in Japan. The analysis is done by looking at the aspects of lifestyle, demographics, environment, and community changes. The results are as follows: 1) Since demographic changes are caused by low fertility, aging populations need the support of locally-based social welfare facilities of which the architectural aspect can be examined. 2) Changes in lifestyle, such as diversity of family composition, flexibility of work, and improvement of leisurely activities require residents to have public spaces and facilities 3) Since environmental changes caused by deteriorated housing need the conversion of awareness about housing estates as a social asset. 4) To revitalize the community, houses, public facilities, and communal outdoor spaces must be connected. The results of this study are expected to serve as clues to the future direction of sustainable conversion in Korea.

• Journal of The Korea Institute of Healthcare Architecture
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• v.28 no.2
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• pp.31-38
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• 2022

Purpose: This study presents the results of the analysis on space utilization of kidney dialysis units in regional public hospitals, which plays a key role in local public medical services. The result aims to achieve safety from infection, allow comfort for the dialysis environment, and stability for medical support. The purpose of this study is to present fundamental data for architectural plans for the kidney dialysis unit, as well as to alleviate potential infectious diseases such as COVID-19. Methods: For research purposes, the investigation and analysis of space utilization were based on architectural floor plans, research papers and literature, related legal systems, and public statistics. Of the main 35 regional public hospitals, in regards to data accessibility, 15 facilities were selected to conduct the survey and analysis for the objective. Results: The space composition by area research results of kidney dialysis units in public hospitals are as follows: Firstly, most targets do not have required rooms in the access and support area, except for the hemodialysis beds in the treatment section. Secondly, the access area requires necessary room and space design that took into consideration of convenience and accessibility for patients. Thirdly, in regards to infection prevention and control, proper circulation and room plan is essential for storage and disposal of contaminated products and linen after use. For the treatment area, the arrangement plan needs to establish a visual connection between the isolation room, the nursing station, and the bed area. Additionally, consideration of circulation in the preparation, treatment, observation, examination, and all other rooms in the facility is required. Lastly, for the support area, the room is designed to consider adequate working and meeting spaces for the medical staff, consultation space for patients or guardians, separate storage and disposal of clean and contaminated items, and the storage of various equipment for dialysis. Implications: In preparation for the increase in chronic kidney failure patients and the spread of infectious diseases, such as COVID-19, the researched data demonstrates the basic guidelines for space composition of kidney dialysis units and the significant role of regional public hospitals.

• Korea Journal of Hospital Management
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• v.18 no.4
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• pp.78-96
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• 2013

The purpose of this study is to analyze the emergency health care utilization using status according to income class. The target was the 2011 data out Korea Health Panel's raw data. 2011 data composed of total 17,035 people from total 5,741 households. This study set total 1,101 adults over full-20-years old having used an emergency health care utilization as its analysis target. In order to find out the number of emergency health care utilization use according to income class and the influential factors on emergency health care utilization cost, this study conducted the multiple regression analysis. And in order to more accurately analyze the emergency health care utilization use status depending on the income class and the features of emergency health care utilization use status, this study developed Models. As the result, this study found following findings. First, as the income class was lower, the gender was male, the age was lower, and the user has spouse, the user was not a business owner or a paid worker, the user is a house owner, the emergency medical facility type was a clinic, the means of transportation was others rather than 119 ambulance, the reason visiting emergency medical facility was belonged to others rather than accidents or poisoning, then the number of emergency was increased. Second, as the user was in higher income class, received the health insurance benefits, the using medical facility was general hospital, used 119 ambulance more often, stay days in emergency was shorter, then health care utilization cost was increased. In this study investigating the data out of Korea Health Panel, it was found that while the number of emergency health care utilization use was increased in the lower income class, but the emergency health care utilization cost was increased for higher income class. It is considered that this finding was caused from the facts that lower income class was more often exposed to dangers for physical health, so the number of emergency health care utilization use was increased, but their health care utilization cost was decreased because of their economic burdens against various examinations and their difficulties to pay such costs, comparing to that of higher income class. Therefore, in order to solve unequal problem of emergency health care utilization use between lower and higher income classs, it is required to set suitable solutions like the disease prevention effort by facilitating national health check-up programs, the enhancement of public health services in quantity and quality, the emergency health care utilization securing policy at using medical facilities, the promotional, educational activities about emergency health care utilization delivery system, the enhanced accessibility of emergency health care utilizations and emergency medical facilities.

• Journal of the Korea Institute of Building Construction
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• v.22 no.4
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• pp.403-414
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• 2022

Many studies have been conducted on asset management of public facilities, as the importance of such management has been increasing. This basic study aims to present strategies for the practical use of public asset management, and seeks to propose efficient management and utilization measures from a cost perspective by comparing and analyzing the importance and impact relationship between cost items for public asset management. In this study, 19 sub-items and the top 4 items were chosen by deriving cost factors based on the previous literature. A survey was conducted, and the results of the survey were analyzed by using the Analytic Hierarchy Process(AHP) and Interpretive Structural Modeling (ISM) methods. The AHP was used to derive the priority between items, and ISM was used to identify major groups and mutual influences. As a result, those items showing both high priority and high importance, such as user cost, dismantling/disposal cost, replacement cost, maintenance/repair cost, etc. are determined as priority items to be considered for public asset management of public facilities. Also, it is necessary to minimize the impact on other items in public asset management by those items which are impacted less by other items but have significant impact on the items such as initial construction costs, conceptual design costs, construction costs, and supervision costs. It is expected that the results and analysis methods presented in this study can be used to provide strategies for asset management of public facilities.

• Korean Journal of Agricultural Science
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• v.50 no.4
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• pp.785-798
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• 2023

Considering irrigation facilities are currently insufficient and drought vulnerability due to climate change is high, efficient measures are required to secure water supply for field crops. This study, therefore, calculated the water shortage to secure water for representative field crops. An economic analysis was further conducted by comparing the production income to the input cost for each method. Here, five distinct regions were selected to represent each crop-Cheongyang-gun for chili peppers, Yesan-gun for apples, Dangjin-si for cabbages, Seosan-si for garlic, and Goesan for beans. The regions with insufficient water supply were estimated by calculating the water requirements and the supplied water from public groundwater wells for each area. A comprehensive set of four scenarios was presented as a strategy to ensure water security and manage irrigation facilities. These scenarios comprised the maintenance of existing groundwater wells, the construction of new water storage tanks, the installation of additional groundwater wells, and the utilization of surface water. B/C (benefit/cost) analysis was conducted for each scenario. As a result, the construction of water storage tanks was selected as a facility and water management plan in Cheongyang-gun, Dangjin-si, and Seosan-si. The analysis additionally indicated the economic viability of installing surface water utilization facilities in Yesan-gun and developing water storage tanks and groundwater (aquifer) wells in Goesan-gun. The results of this study are considered to serve as foundation data that may be utilized in the selection of water management plans for drought-prone areas in the future.

• Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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• v.36 no.2
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• pp.67-74
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• 2018

This study has proposed a methodology to detect suspicious facilities that occupy national and public land by using the cadastral and digital maps. First, we constructed a spatial database of national & public land based on the cadastral maps by linking its management ledger. Using the PNU (Parcel Number) code as a key field, the data managed by different institutions are integrated into a single spatial information DB (database) and then, the use or nonuse state of each parcel is confirmed on the cadastral map. Next, we explored the suspicious facilities that existed in the unused parcel by utilizing the digital topographical map. Then, the proposed methodology was applied for various regions and tested its feasibility. Through this study, it will be possible to improve the utilization of digital maps and to manage the national and public land efficiently and economically.

• Journal of the Korean Institute of Rural Architecture
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• v.13 no.3
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• pp.61-72
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• 2011

The purpose of this study is to examine and investigate the characteristics of locational facilities and the purchase and leisure patters of residents with its focus on downtown streets of Yeongam-eup which is a eup-level small town. In the subject downtown streets, commercial and residential functions coexisted. While most locational facilities were small-scale sale(buy), food(eat), and employment(public institutions) facilities which were needed for neighborhood life and supporting daily life, the lack of facilities which supported leisure life(enjoy) and represented small town identity was found. The most common frequency of using downtown streets by residents was 'almost everyday'; the most common intention to use was 'to purchase daily things'; and the most common purchase good was 'groceries', followed by farming machines, books, and stationery. It suggested that the use of downtown streets was characterized by daily neighborhood life. In particular, it was found that expensive goods(more than 500,000 won) were commonly purchased in neighboring middle or large cities. Thus, it is necessary to consider the option and professionality of goods. Finally, it is necessary to consider residents' accessibility through reorganizing a street form from car-focused to pedestrian-focused.

• Journal of Preventive Medicine and Public Health
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• v.28 no.1 s.49
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• pp.153-174
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• 1995

This study was conducted to examine the determinant factors for expenditure of the medical insurance program for self-employeds based on the analysis of 1991 'The Medical Insurance Program for Self-Employeds Statistical Yearbook', and also similar yearbooks in the metropolitan and other provinces. The major findings are as follows : We have divided benefits into these four components such as the utilization rate for out-patients, expenses per claim for out-patients as paid by the insurer, utilization rate for in-patients, and the expenses per claim for in-patients as paid by the insurer, in order to examine the determinant factors for it. The results of the study revealed the following findings, in urban areas, the supply of medical care had more influence on the benefits than other demographic and economic variables, while, in county areas, both the supply of medical care and the rate of those aged over 65 affected the provision of benefits. The determinant factors for financial balance of the medical insurance program for self-employeds are, first, the determinant factor for administrative expenses was the number of households. The more the number of households, the less the administrative expenses per the insured. This shows that the economy of scale is being. And so, the administrative district must be taken into consideration in the incorporation of small regional medical societies and should be re-organized for more efficient management. Second, in urban areas, the supply of medical care had more influence on utilization rate and expenses per claim as paid by insurer, and therefore it is necessary to control it. In county areas, the supply of medical care and the rate of those aged over 65 raised the utilization rate and expenses per claim as paid by insurer. For the financial stability of county areas, a common fund for medical care for the aged and expansion of finance stabilization fund would be necessary. But, in county areas, it would be unnecessary to control the supply of medical care because it was much more insufficient than in urban areas. The vitalization of public health facilities must be carried out in county areas, for they reduced benefits. Sice the more insured in a single household, the less the utilization of the medical insurance program, benefits for habilitation at home should be given consideration. The law of majority and the economy of scale were applied here, and therefore the incorporation of regional medical societies must be taken into consideration. In integrating regional medical societies, it would be absolutely necessary to review the structural differences among all regional medical societies, the medical demand of each region, and also the local characteristics of each region.