• Journal of Korean Academy of Nursing
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• v.37 no.6
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• pp.986-993
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• 2007

Purpose: The purpose of this study was to compare stress levels of elementary students according to three regional levels: a large city, a medium-sized city, and a rural area. Methods: This was a descriptive comparative survey using a convenience sample of 1,161 5th-and 6th-grade students. The stress level was measured by a stress scale that consisted of 65 items regarding personal characteristics, family, school, and peer factors. The data were analyzed by ${\chi}^2-test$, t-test, ANOVA and multiple regression using the SPSS 10.0 statistical program. Results: Overall, the mean stress scores reported by the participants were near the middle of a 5-point scale and the level of family-related stress was highest, followed by peer, school, and individual-related stress. Sixth-graders and female students showed higher stress levels than 5th-graders and male students, respectively. The participants reporting unsatisfaction with their lives and those living in large cities tended to have significantly higher stress levels. Conclusion: Grade, gender, life satisfaction, and regional levels were all significant factors associated with high stress levels among elementary students. Development of stress management programs for this specific population, especially targeting students who are female and living in large cities, is needed.

• Journal of the Korean Association of Geographic Information Studies
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• v.11 no.2
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• pp.1-12
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• 2008

This paper identifies public transit-poors and derives spatial characteristics of the poors' distribution in an urban area by utilizing buffering analysis of geographic information systems and remote sensing techniques in the case of Daegu metropolitan city. Since special attention is given to elderlies, this study assigns three hundred meter buffer from bus/subway station as service boundary for elderlies. The results of this study tell us that 1) the transit-poors are concentrated on suburban and rural regions, 2) high proportions of the transit poors are elderlies with spatial variations in many regions, 3) the main housing type of the transit-poors is single detached house. We expect that this study can contribute to build an effective policy-making by showing essential technical processes and methods in identifying policy-need groups and their characteristics of spatial distribution.

• Health Policy and Management
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• v.21 no.4
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• pp.617-642
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• 2011

The purpose of our study is to analyze the determinants of the benefits of the long-term care insurance in Korea using 2008 and 2009 cross-sectional data. Per capita long-term care insurance benefits can be divided into home care services utilization rate, institutional care services utilization rate, per capita home care services benefits, and per capita institutional care services benefits, which are used as the dependent variables in our regression analysis. Admission rate and the ratio of the admitted to the applicant also used as the dependent variables. The results of our analysis show that the explanatory variables such as income level, needs for care, family type, access to the services, and regional characteristics are statistically significant to explain the dependent variables, the long-term care insurance benefits. The higher is the regional income and the more of the female residents, the more are the long-term care insurance benefits. The easier is the access to the services, the more are the insurance benefits. In the rural area, the level of the insurance benefits is relatively high. We propose that copayment rates of the long-term care insurance should be examined and monitoring on the over-use of the services should be done. Also preventive services and care by the family member should be expanded.

• Health Policy and Management
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• v.16 no.1
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• pp.41-53
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• 2006

This study was carried out to investigate the linkage between health care and social services for the elderly in Jeonnam Province and its related factors. The subjects were 831 persons of visiting health service workers and social welfare workers in Jeonnam Province who responded the mail questionnaire (85.5% respondse rate). The data were collected from 15th May to 30th June, 2004 using the structured questionnaire. It was composed of the socio-demographic characteristics, the content and frequency of services referred between health care and social welfare workers, and interdisciplinary perception. Data was analysed by SPSS for Windows 12.0. 374(45.0%) reported having experience of service cooperation between health care and social welfare workers for the last three month. The most service that health care workers requested to social welfare workers was to get information for the client, on the other hand the most service that social welfare workers requested to health care workers was to visit and treat the elderly. These service providers in rural area and good attitude toward the cooperation between health care and social welfare service showed more linkage. The findings of this study could provide the basic data for the development of efficient coordinating program of health and welfare.

• Journal of Preventive Medicine and Public Health
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• v.57 no.1
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• pp.65-72
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• 2024

Objectives: Protecting people against financial hardship caused by illness stands as a fundamental obligation within healthcare systems and constitutes a pivotal component in achieving universal health coverage. The objective of this study was to analyze the prevalence and determinants of catastrophic health expenditures (CHE) in Iran, over the period of 2013 to 2019. Methods: Data were obtained from 7 annual national surveys conducted between 2013 and 2019 on the income and expenditures of Iranian households. The prevalence of CHE was determined using a threshold of 40% of household capacity to pay for healthcare. A binary logistic regression model was used to identify the determinants influencing CHE. Results: The prevalence of CHE increased from 3.60% in 2013 to 3.95% in 2019. In all the years analyzed, the extent of CHE occurrence among rural populations exceeded that of urban populations. Living in an urban area, having a higher wealth index, possessing health insurance coverage, and having employed family members, an employed household head, and a literate household head are all associated with a reduced likelihood of CHE (p<0.05). Conversely, the use of dental, outpatient, and inpatient care, and the presence of elderly members in the household, are associated with an increased probability of facing CHE (p<0.05). Conclusions: Throughout the study period, CHE consistently exceeded the 1% threshold designated in the national development plan. Continuous monitoring of CHE and its determinants at both household and health system levels is essential for the implementation of effective strategies aimed at enhancing financial protection.

• Journal of agricultural medicine and community health
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• v.45 no.4
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• pp.194-207
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• 2020

Purpose: The purpose of this study is to develop and evaluate the curriculum, that was the continuing professional development program, for cultivating physician's competencies in public health. Methods: This study was conducted through in-depth interview and survey in the frame of ADDIE, from 2 May to 30 June in 2019. Participants were 7 physicians by in-depth interview and Respondents were 46 physicians worked in public health by survey. Results: The results were analyzed and described in the frame of ADDIE model. In the stage of Analysis, physician's core competencies in public health was presented to practical education, management of organization and labor force, communication with community, and director' role of public health center in the community as core competencies by in-depth interview. The skill - knowledge-attitude competencies were highest in order in the survey for placing priority (by Borich score) of 29 core competencies. In design stage, the educational objective of curriculum was established, that is to develop the competencies of knowledge, skills, and attitude needed for physician of public health in 21th century. In development and implementation stage, it is important to decide to lecturer, to get in advance educational materials to do the maintenance and management of curriculum. In the stage of evaluation, the educational satisfaction was high on the whole and educational effect was statistically significant. Conclusions: This study was an initial study of Korean doctors, and it aims to pursue competency-based education as a continuing professional development (CPD) beyond continuing medical education (CME) including knowledge, skills, and attitudes.

• Journal of Agricultural Extension & Community Development
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• v.10 no.1
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• pp.43-56
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• 2003

Evaluation in both an art and a science. The art of evaluation involves working with the management to agree upon purpose and users of results, creating design and gathering information that are appropriate for a specific situation and a particular policy making context. The value of evaluating extension p개grams has received a lot of attentions recently, and many extension educations see evaluation as an integral part of their work. The science of evaluation involves determining standards and developing indicatiors, selecting methods appropriate to gather information in a systematic way, analyzing information to assist in determining the value of the program in an objective manner. First, extension specialists have to consider relative merits about methods of gathering evaluation data. Selection of method should be influenced by the type of information desired, time availability, and cost of using the method. Second, good evaluations involve stakeholders at all stages including planning, implementation, and utilization of results. Third, far from being an "add-on ," evaluation begins with the initial planning of an educational program. Fourth, it is important for extension specialists that although evaluation is valuable and essential in any effective program, one of the biggest mistakes of extension program evaluators in to promise results that cannot possibly solve all the problems of project.

• Child Health Nursing Research
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• v.15 no.1
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• pp.81-87
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• 2009

In recent years, reductions in infant mortality have mainly been accomplished by improving the survival of premature and low birth weight infants, however premature infants still remain at great risk. The purpose of this study was to review the maternal child health service related to premature infants and to provide a future direction for improving maternal child health (MCH) in Korea. We reviewed two MCH services which are directly related to premature infants: 1) a registry and financial support program for families with a premature infant, and 2) financial support to build neonatal intensive care units in rural public hospitals. Suggestions are made for the development of a national vital signs record system to identify high risk infants and to monitor the trends in infant mortality due to prematurity. Prevention efforts and preconception care for childbearing women is also an important strategy to reduce the rate of preterm births. Finally, we need consider long-term follow-up plans for premature infants for a successful transit to the special education system. Developing MCH policy related to premature infants that decreases the occurrence of premature may decrease infant mortality, and also improve maternal and child health services.

• International Journal of Industrial Entomology and Biomaterials
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• v.19 no.1
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• pp.205-213
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• 2009

In order for further systematic maintenance of silkworm stocks kept in Korea we analyzed character quality of a diverse array of silkworm strains originated from several sericulture-practicing countries. The analysis of about ten qualitative characters from 67 strains (13 of Japanese strains, 15 of Chinese strains, 14 of European strains, 6 of Korean and Tropical strains, and 19 of unknown origin) revealed a significant difference in the ten different qualitative characters among silkworm strains. In the analysis of quantitative characters, Japanese and European strains were highest in hatchability, the Korean and Tropical strains were highest in pupation rate, and unknown origin and Chinese strains were highest in cocoon yield and number of egg laid. With the connection of molecular genetic analysis the current data may provide the advanced ground for further systematic maintenance of valuable genetic resources of silkworms, although more breeds should be investigated for further complete pictures.

• Korean Journal of Soil Science and Fertilizer
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• v.47 no.5
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• pp.319-323
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• 2014

This study investigates the prediction of soil chemical properties (organic matter (OM), pH, Ca, Mg, K, Na, total acidity, cation exchange capacity (CEC)) on 688 Korean soil samples using the visible-near infrared reflectance (VIS-NIR) spectroscopy. Reflectance from the visible to near-infrared spectrum (350 to 2500 nm) was acquired using the ASD Field Spec Pro. A total of 688 soil samples from 168 soil profiles were collected from 2009 to 2011. The spectra were resampled to 10 nm spacing and converted to the 1st derivative of absorbance (log (1/R)), which was used for predicting soil chemical properties. Principal components analysis (PCA), partial least squares regression (PLSR) and regression rules model (Cubist) were applied to predict soil chemical properties. The regression rules model (Cubist) showed the best results among these, with lower error on the calibration data. For quantitatively determining OM, total acidity, CEC, a VIS-NIR spectroscopy could be used as a routine method if the estimation quality is more improved.