• Health Policy and Management
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• v.19 no.3
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• pp.92-108
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• 2009

This study suggests a model for continuing and comprehensive management of hypertension or Type 2 diabetes mellitus (T2DM) in Korea. Moreover, this paper computed the contribution cost of hypertension or T2DM management using the healthcare medical cost, which could have occurred from stroke, myocardial infarction (MI), and end-stage renal disease (ESRD) that were successfully prevented from the effective hypertension or T2DM management. Additionally, these costs were compared with the cost of implementing the hypertension or T2DM management model suggested in this study. This study used the medical fee summary of the health insurance claims submitted to National Health Insurance Corporation by medical facilities for services provided during the period from January 1st 1999 to December 31st 2006. The prevalence rate with treatment referred to cases in which patients submitted their medical claims at least once during the period, along with an accordant diagnosis. The incidence rate with treatment referred to cases in which patients who never submitted claims for the accordant disease during the five years from 1999 to 2003 submitted claims for the accordant disease in 2004 and 2005. The relative risk of the occurrence of stroke, MI and ESRD was 11.0, 13.6, and 30.3, respectively. The attributable risk of hypertension or T2DM for stroke was 0.730, and that for MI and ESRD were 0.773 and 0.888, respectively. Based on these, the contribution cost of hypertension or T2DM is estimated to be 986.3 billion Korean Won(KRW) for stroke patients, 330.5 billion KRW for MI patients, and 561.7 billion KRW for ESRD patients as in 2005. Hence, the total contribution cost of hypertension or T2DM to stroke, MI, and ESRD is 1.878 trillion KRW. The estimate for operational costs included an annual expenditure of 50,000 KRW per each recipient and an annual subsidy of 0.22 million KRW per person for the 1.6 million low.income individuals with hypertension or T2DM to cover their out.of.pocket medical expenses. Under this assumption, it took approximately 0.6 trillion KRW to manage 5 million high.risk patients in the low. and mid.income range, coverings up to 50% of costs. In conclusion, considering the potential benefits of preventing stroke, MI, and ESRD, the costs seems to be reasonable.

• Journal of the Korean Home Economics Association
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• v.12 no.34
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• pp.679-697
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• 1974

I. Preface A. Establishment. There are many psycological and physiological difficulties that students have made practical application to a building site of 600 pyung and a structure of 65 pyung each sixteen students in the Home Management House, but there exists problem in students apprentice and management of professors. B. Purpose of study This research aim to seek a high degree of efficiency approach in investigating, studying and analyzing factors of the problem in Home Management which have been faced in women colleges in seoul. C. Content of study. This study is aim at finding out the problems including facilites, system, guiding principle, working bottleneck and administrative problem in making practical application of Home Management. II. A plan and method of study A. This subject of statiscal research is 616 women students in senior year from september 27 1970 to October 31 1974. The rate of collection of questionnaire is 100 percent. B. The Method of study is devised through refering documents, interview with students, questionnaire and observation. III. Result of study Of the total of 29 university in seoul, 24 Universities have its Course of Home Economic among which only 12 have Home Management for making practical application. Home Management House for making practical application is located mainly in campus but some of them exceptimally are in outside university. Students practice mainly at civilzed resident, apartment, bangalow so forth, and demention of which occupies approxiamtely 50-600 pyung (land) and 20-70 pyung (Building). A member with 4 or 20 students make practical application from 10 days to 3 months. A member consists of students and assistant teacher, and practice site classifies into living school for Professors living, and another school for Professors and assistant teachers. Answer to a questionnaire. 616 students answer to a questionnaire. 49 Perfect of 616 students like to have a member with 12 students like to have a member with 12 students, 38 percent student a member with 16 students. About the period of making practical About the period of making practical application, 76 percent students like to have two or three week period. 19 percent students think it a short period and 4 percent students think it a long period. There is none who thinks 25 day period day period to be short. About making practical application, 66 percent of 616 students feel uneasy, 40 percent students feel lack of sleep and tired. Students take a pleasure in having a conversation with their friends, inviting their mother, having dinner-party and birthday party. 77 percent students want to invite their father and 67 percent students want to invite their boy-friends. It is hard to have a good personal relation about the great the result of practice, students acknowledge themselves that they have learned about Cautiousness and they are sure of good Home Manager. There are 9 difficult problems during the period. IV. Summary discussion a. Many problems come from having a number of students. b. Students feel tired with their practice if over three weeks. No Matter how good a plan is, it useless if students can't adapt themselves to it. Suggestions 1) it is good to have a member with 5 or 6 students, and it is suitable to have two or three week period, and to have an area of 20 or 30 pyung. 2) it's proposed a profess or to live together in making practical application of Home Management 3) it is proposed a professor to have a sure T.O. and to be treated better.

• Korean Journal of Community Nutrition
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• v.14 no.6
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• pp.817-830
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• 2009

The purpose of this study was to analysis the sanitary management performance based on HACCP system for school foodservice. This study was carried out from September 2008 until December 2008 and is targeted towards schools' dietitians that work at schools with school foodservice. The regional distribution of this research is as follows; 377 schools in Seoul, 648 schools in Gyeonggido, 160 schools in Kangwondo, 438 schools in Choongchungdo equaling 1,623 schools in total. When school foodservices were put through sanitation management achievement level analysis applied by the HACCP system, results displayed that management of temperature (3.96 points), time (4.08 points), and cross-contamination (4.07 points) were all below the average achievement level. HACCP system's achievement level based on the TQM showed that areas for strategy development, leadership, information and analysis had low achievement levels. Achievement levels for CCP are quality check, delivery/distribution process, sterilization/cleansing of food's contact surface. As a result of multiple regression analysis of the factors that influenced sanitation management achievement level of school foodservice HACCP system; sanitary job standard showed 35.6% and CCP achievement levels showed 26.8% explanatory rate. In particular, Kangwondo's number of foodservice provided to per cook was small. Also, the better the processing management was assessed, the higher the sanitary job standard achievement level became resulting to a explanatory rate of 39.5%. Elementary schools showed a higher explanatory rate of 37.0% than middle and high schools. CCP achievement levels in middle and high schools with self-operated foodservice had a 28.0% variable explanatory rate, which was the highest. The better the drainage system, leadership and assessments turned out to be, the higher the CCP achievement levels became. In summary, to revitalize HACCP system that is based on the TQM, it is considered that proper database of HACCP system for school foodservice's sanitation management be constructed and more emphasis should be put on strategy development to improve customers' satisfactory level. In addition, improvements in achievement levels of time, temperature, and cross-contamination for sanitary job standard and CCP achievement level are essential.

• Health Policy and Management
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• v.23 no.1
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• pp.19-34
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• 2013

Background: The study describes the changes resulted from imposition on tertiary hospital outpatient coinsurance rate rise policy and in tertiary or general hospital drug coverage rise policy on healthcare service utilization. Methods: Accordingly, the hypothesis about outpatient healthcare utilization after rise policy in outpatient coinsurance rate and drug coverage was established, using interrupted time-series analysis and segmented regression analysis to test the hypothesis. 5-year analysis period (2007. 3-2012. 3) from the outset year was designated, the data about most common 10 high-ranking of the main diseases targeting visiting patient from age of 6 to 64 were collected. Results: The summary on the major research is followed. First, the medical expense and duration of treatment tends to be increased in case of imposition about rise policy in outpatient coinsurance rate in the tertiary hospital under the interrupted time-series analysis. It showed temporary increase and slow down on account of influenza A even after the policy enforcement. In segmented regression analysis, duration of visit and medical expense in the tertiary hospital increased temporally right after the policy implementation and the decreased rapidly depends on period. Both rise and fall is statistically significant. The second, In case of tertiary or general hospital outpatient drug coverage rise policy, all of the tertiary hospital healthcare service utilization variables by the interrupted time-series analysis, drug coverage policy in the general hospital deeply declined according to decreasing trend before policy implementation. The third, in case of segmented regression analysis, the visit duration and medical expense statistically declined right after the policy implementation in both the tertiary and general hospital. Meanwhile, administration day was statistically meaningful only for the decrease right after the policy implementation. Otherwise, general hospital changes are not statistically meaningful. And the medicine cost was statistically, meaningfully decreased after the increase in drug coverage. Conclusion: Finally, the result demonstrated according to the analysis is only 1 hypothesis is denied, the other 2 are partially supported. Then, tertiary hospital outpatient coinsurance rate increase policy comparatively makes decrease effect on long-term healthcare utilization, and tertiary or general hospital outpatient drug coverage policy showed partially short-term effect is assured.

• Tuberculosis and Respiratory Diseases
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• v.79 no.3
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• pp.111-120
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• 2016

Asthma is a prevalent and serious health problem in Korea. Recently, the Korean Asthma Guideline has been updated by The Korean Academy of Tuberculosis and Respiratory Diseases (KATRD) in an effort to improve the clinical management of asthma. This guideline focuses on adult patients with asthma and aims to deliver up to date scientific evidence and recommendations to general physicians for the management of asthma. For this purpose, this guideline was updated following systematic review and meta-analysis of recent studies and adapting some points of international guidelines (Global Initiative for Asthma [GINA] report 2014, National Asthma Education and Prevention Program [NAEPP] 2007, British Thoracic Society [BTS/SIGN] asthma guideline 2012, and Canadian asthma guideline 2012). Updated issues include recommendations derived using the population, intervention, comparison, and outcomes (PICO) model, which produced 20 clinical questions on the management of asthma. It also covers a new definition of asthma, the importance of confirming various airflow limitations with spirometry, the epidemiology and the diagnostic flow of asthma in Korea, the importance and evidence for inhaled corticosteroids (ICS) and ICS/formoterol as a single maintenance and acute therapy in the stepwise management of asthma, assessment of severity of asthma and management of exacerbation, and an action plan to cope with exacerbation. This guideline includes clinical assessments, and treatment of asthma-chronic obstructive pulmonary disease overlap syndrome, management of asthma in specific conditions including severe asthma, elderly asthma, cough variant asthma, exercise-induced bronchial contraction, etc. The revised Korean Asthma Guideline is expected to be a useful resource in the management of asthma.

• Journal of Families and Better Life
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• v.25 no.2 s.86
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• pp.59-69
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• 2007

The purpose of this analysis is to investigate the effect of leading characters in picture books on self concept in children. For this study, we selected a total of 55 picture books, all of which were best sellers in four internet book stores. The method used for the study was based on content analysis. The results of this analysis were as follows: First, the gender of leading characters was male more often than female, and the majority of picture books were creative story books and translation books. Second, subordinate parts related to the self-concept were most frequently found in the social self-concept. Social self-concept was positively expressed through the relationship between friend and family characters in story books. Cognitive self-concept was the least. Third, when the frequency of positive and negative expressions in picture books was analyzed, the social self-concept was found to be positively expressed in the subordinate parts of relationships between friends and family. The social self-concept was negatively expressed, however, in the subordinate parts of relationship between non-significant others, and the emotional self-concept was also negatively expressed in the subordinate parts of the emotional recognition and expression. In summary. instances of cognitive self-concept and positive expression were found to be more significant than negative ones.

• Plant Journal
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• v.8 no.1
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• pp.50-59
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• 2012

The current dual-watchdog estimation system has individually calculated the construction, the engineering and the procurement cost. The dual-watchdog estimation system is inefficient and prolonged estimation period because of the lack of the interoperability and the difference of material unit cost and construction unit cost. In order to resolve this problem, new estimation software was developed. The estimation software is developed by making up for the weak points in existing estimation method. The cost data with the same standard is the key point. And this software enhanced accuracy and speed of the data search in stylized estimation standard. A summary of the construction, the engineering and the procurement cost was generated in this estimation software. The unit rate about the labor cost, equipment and expense through a sheet was handled. The developed estimation software has five categories on engineering cost, procurement cost, construction cost and subcontractor management sheet. In this study, the estimation software to supplement the faults of the existing estimation method was developed. And estimation software on petrochemical projects increases an efficiency of the estimation work.

• Korean Institute of Interior Design Journal
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• v.23 no.2
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• pp.21-29
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• 2014

This study analyzed some of nursing homes in various domestic and foreign regions in order to find solutions to reduce suicidal incidents from the loneliness. To analyze community space of nursing homes, elderly community is analyzed into three categories based on their characteristics (morphological characteristics, Social characteristics, Environmental characteristics). With those three characteristics above, architectural spaces are analyzed the relation with them. Elderly nursing homes are divided with living, nursing, management, and public spaces. The space of elderly nursing homes (classification of function)-elderly community (classification of elderly characteristics) is approached in an architectural way related to the space of elderly nursing homes and elderly characteristics. Through some case studies, specific space relation of elderly nursing homes and elderly community is analyzed. Also, with the building analysis for summary, plans, wards(hospital rooms), cafeteria, program rooms and alley, some of general information and elderly community space is understood. In this study, there will be an analysis of relation of elderly community(morphological, social, environmental characteristics) which is separated into some spaces of elderly nursing homes(living, nursing, public spaces and facilities) written above. Furthermore, if people can recognize the importance of community space for elderly facilities, there will be a new guide line for that which can have a play on catalyst.

• Journal of the Korean Society of Propulsion Engineers
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• v.18 no.1
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• pp.91-96
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• 2014

KSLV-I (Korea Space Launch Vehicle-I) upper stage KM (Kick Motor) is a solid propulsion system which consists of igniter, SAD (Safety Arming Device), composite case, and submerged nozzle capable of TVC (Thrust Vector Control) actuation. Each subsystem of KM fulfilled development requirements for achieving a flight mission successfully. We confirmed the successful development of KM from the $3^{rd}$ flight test results of NARO on January 30, 2013. This article deals with the requirements of KM and the results on configuration management, mass variation, thrust axis alignment, and major test results and so on.

• The Journal of Fisheries Business Administration
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• v.41 no.1
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• pp.129-156
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• 2010

Well-deviced buyback programs may be detrimental to achieve sustainable fisheries. However, it is not difficult to find undesirable examples that the result of buyback program have no impact on fish stocks or the sustainability of the fishery. This paper discusses the problems and policy directions for successful restructuring of Korean marine fisheries through comparative analysis of selected cases from five main countries including Japan, Norway, Italy, Taiwan and Australia. From the analysis, this study demonstrated that Korean buyback program just pursue the reduction of boat number but passed over alleviation of the real ability in fishing industry. Although there were clear decrease of fishing effort in a certain parts of fisheries and some evidences of advancement in efficiency, it seemed hard to continue these effects because the Korean policy lacks consistency and coherence of systematic restructuring. To summary, four things are recommended for successful application of Korean buyback program; first is to establish the obvious goal of the program, second is to introduce downsizing in both fleet capacity and engine power, third is to conduct other management tools simultaneously to help resource restoration, and last, but not the least is to induce voluntary participation of fishermen providing opportunity to pursue their mutual interest.