• Health Policy and Management
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• v.24 no.4
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• pp.396-412
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• 2014

Background: As a reform plan of health care system, Accountable Care Organization (ACO) has became an object of attention in the United States after Patient Protection and Affordable Care Act was enacted. ACO is a group of various health care providers and provide coordinated care to its assigned beneficiaries. If ACOs improve the quality level and reduce the cost of care, they can get financial incentives. Under the discussion for a quite long time and demonstration projects, ACO has been established. We aimed to analysis and discuss the history, policy mechanism, contents, status and outcomes of ACO. Also, we intended to suggest political implication Korean health care system with regard to ACO. Methods: We searched the articles related ACO in PubMed and selected several available papers about ACO. Total 56 studies were reviewed and categorized three parts; demonstration projects for formation of ACO, policy mechanism and agenda, empirical results of ACO performance. Results: As a result, establishment of ACO was successful partly in the US. It seems to be due to various project and pilot test for verification in the long time. The empirical effect of ACO was also identified in a few study but it needs more evidences to judge its positive effect. Conclusion: In Korea, there are arguments for the application of ACO. However it is difficult to implement a ACO by different political conditions between Korean and US. Nevertheless ACO proposed us the necessity of paradigm shift in our health policy and could be significant to national policy orientation in the future.

• Korean journal of food and cookery science
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• v.23 no.3 s.99
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• pp.302-313
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• 2007

The purpose of this study was to investigate the gap in perceived importance-performance between dietitians and parents regarding school foodservice sanitation practices, to establish a plan for improving the school foodservice monitoring that is conducted by parents. A survey was given using questionnaires and was distributed to 31 school foodservice dietitians and to parents who attended sanitation education in October 2006. All statistical analyses were conducted using the SAS package program(version 8.2 for Windows) for descriptive analysis, t-test, and importance-performance analysis(IPA). The results of the IPA showed the following areas as improvement priorities: (1) contracting with a reliable suppliers, (2) securing proper refrigerator and freezer capacity and checking temperatures, (3) adequate design and construction of foodservice facilities and equipment, and (4) ensuring trays and utensils are clean, dry, and stored in a way that prevents contamination. The results of the IPA illustrated that school foodservice dietitians performed well in 8 out of the 21 sanitation management items. The perceived importance by parents was higher than by dietitians for accurate record keeping and documentation of HACCP worksheets(p<0.01), appropriate cleaning plans and practices(p<0.05), garbage management of inner kitchens (p<0.05), and garbage management of external kitchens(p<0.05). On the other hands, the perceived importance by dietitians was higher than that of parents for contracting with a reliable suppliers(p<0.05) and adequate design and construction of foodservice facilities and equipment(p<0.01). According to the performance analysis there were significant differences between dietitians and parents in six out of the twenty-one items. For these six items, the evaluated degree of performance by parents was higher than that of dietitians. In conclusion, proper education programs should be planned and regularly performed for the student's patents who take part in school foodservice monitoring in order to improve on their monitoring.

• Publications of The Korean Astronomical Society
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• v.20 no.1 s.24
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• pp.143-149
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• 2005

KASI (Korea Astronomy and Space Science Institute) is developing the near-infrared camera system named KASINICS (KASI Near-Infrared Camera System) which will be installed at the 60cm f/13.5 Ritchey-Chretien telescope of the Sobaeksan Optical Astronomy Observatory (SOAO). The camera system is optimized for JHKL bands and has a 6 arcmin FOV. The optical system consists of two spherical mirrors and a 8-position filter wheel. With the exception for the dewar window, all optical elements are cooled inside cryogenic dewar. Since the Offner system is adopted to prevent thermal noises from outside of the telescope primary mirror, the secondary mirror of the Offner system acts as a cold Lyot stop. The optical performance does not change by temperature variations because the Aluminum mirrors contract and expand homogeneously with its mount. We finished the design and fabrication of the optical parts and are now aligning the optical system. We plan to have a test observation on 2006 January.

• Research in Community and Public Health Nursing
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• v.15 no.2
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• pp.266-276
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• 2004

Purpose: This study purposed to supply basic data for nursing intervention plan for middle-aged women healthcare and for finding solutions to nursing problems through understanding middle-aged women's depression, and to examine whether middle-aged women's depression is related with self-concept, self-efficacy, physical condition and social support. Method: The subjects were 200 middle-aged women aged between 35 and 60 and living in Daejon city and K city in Chungcheongnam-do, and the questionnaire survey was conducted from the 15th of August to the 18th of September in 2003 using a structured questionnaire. Collected data were analyzed through descriptive statistics, t-test, ANOVA. Pearson's correlation coefficient and stepwise multiple regression. Result: Middle- aged women's depression was found to be in a negative correlation at a statistically significant level with self-concept (r=-.679, p=0.000), self-efficacy(r=-.489, p= 0.000), physical condition(r=-.650, p=0.000) and social support(r=-.526, p=0.000). The most significant variables of middle-aged women's depression was self-concept(46.2%). Combining with physical condition(13.2%) and self-efficacy(0.9%), the three variables together explained 60.3% of middle-aged women's depression. Conclusion: The results show that middle-aged women's depression is closely related with self-concept, self-efficacy and physical condition. Thus this study suggests that the goal of nursing intervention for middle-aged women to overcome depression should be to help them to have positive self-concept, high self-efficacy and sound physical condition.

• Research in Community and Public Health Nursing
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• v.15 no.1
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• pp.102-109
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• 2004

Purpose: The purpose of this study was to confirm a structural model for health promotion for industrial workers. Methods: Data was collected by questionnaires from 294 industrial workers at a food manufacturing factory. The data collected were analyzed through SAS 8.1 and Window LISREL 8.12a. Results: 1. The result of the test showed that the measurement of fitness was $x^2$=(삭제) 443.35, $x^2$/df 5.3415, GFI .86, AGFI .75, RMR .060, NFI .95, NNFI .93, CN 77.58, and those other than NFI and NNFI did not well fit into the practical data. 2. 15 out of 29 paths in a constructed model were statistically significant. 3. The measurements for total fitness in the modified model were $x^2$= (삭제) 146.51, $x^2$/df 1.8546, GFI .95, AGFI .91, RMR .042, NFI .98, NNFI .99, CN 223.44, all of which showed fitness in good shape to the practical data. 4. The result of the study for the modified model indicated that perceived self efficacy had the most significant direct effect on health promotion behaviors, and self esteem, perceived benefits of action, interpersonal influences, commitment to a plan of action were important factors having influences on them. Conclusion: The derived model in this study is considered appropriate in explaining and predicting health promoting behavior of industrial workers. Therefore, it can effectively be used as a reference model for further studies and suggested implication in nursing practice.

• Journal of Technologic Dentistry
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• v.33 no.4
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• pp.495-503
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• 2011

Purpose: The purpose of this study was to obtain data that can be utilized in the planning of oral health education plan, by surveying the correlation between oral health knowledge, attitude, and behavior among high grade students elementary school in some regions of the metropolitan. Methods: The subject of this study through the survey of the recognition of the oral health, a questionnaire survey was conducted for 548 male and female students who were in the 4th, 5th, 6th grade of elementary school in some regions of the metropolitan. Statistical analysis was conducted using the SPSS 12.0 with t-test, ANOVA, and correlation. Results: Knowledge of oral health was very high. Correct attitudes and positive behavior were indicated. There was a significant difference in oral health knowledge according to school year and parents' dental condition(P<.05). The student one recording oral health behavior degree where the oral health knowledge is high appears highly, considers statistically the difference which it was visible. Positive correlation was significantly observed among oral health knowledge, attitudes, and behavior. Especially, attitudes and toothbrush method were highly correlated(r=.853). Conclusion: Oral health program through the elementary school students and their parents for the development of proper oral health care education programs continue to be made should be considered.

• Journal of The Korean Association For Science Education
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• v.13 no.1
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• pp.31-47
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• 1993

This study was intended to find the characteristics of the middle school students' thinking processes and problem spaces when they solved the physics problems. Ten ninth grade students in Chon-Buk Do, Korea were participated in this study. The researcher investigated their thinking processes in solving 5 physics problems on electric circuit. "Thinking aloud" method was used as a research method. The students' thinking processes were recorded using an audio tape recorder and transfered into protocols. The protocols were analyzed by problem solving process coding system which was developed by Lee(1987) on the basis of Larkin's problem solving process model. The results are as follows : (1) On the average 2.85 items were solved among 5 test items, and only one person could solve all of the items correctly. (2) Problems were solved in sequence of understanding the problem, planning, carrying out the plan, and evaluating steps regardless of the problem difficulty. (3) In regard to the thinking process steps, there was no difference between the good solvers and the poor ones. But in the detail performance of problem solving, the former was different from the latter in respect with using the design of general solving procedure. (4) The basic problem spaces by the item analysis were divided into two classes. One was the problem space by using Qualitative approach in problem solving, and the other was one by using Quantitative approach. As novices in physics problem solving, most of the students used the problem space by using the Quantitative approach.

• Journal of the Korean Society of Costume
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• v.58 no.5
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• pp.1-12
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• 2008

Although the curator system of South Korea officially started in 2001, it has not taken root yet. Because most active curators do not have a certificate, concerned scholars are making efforts to complement and establish the curator system. Although there are currently numerous museums and art galleries that own a number of costumes and textiles in Korea, the number of curators who majored in the history of costume is very low. Despite the growing importance and the increase in costume-related exhibition than any other fields, this shortage of qualified curators resulted in the lack of specialty for the management and exhibition of past costumes. To solve this problem, there needs to be more hire for curators, in proportion to the possession and exhibition of costumes, who major in the history of costume. The history of costume must also be part of the curator test and be required even for the internship. And there must be education for curators who currently deal with costumes without having majored in the study of costume, history of costume students who want to become a costume-related curator in the future, and the general public. The contents for education must include the knowledge of artifacts, theories to enhance the management capacity, and practice in the museum.

• Journal of Korean Clinical Health Science
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• v.1 no.2
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• pp.49-57
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• 2013

Purpose. This study was purposed to seek for a way to enhance the self-efficacy of students in dental hygiene department at deciding their careers by analyzing the relationship between the self-efficacy and the major satisfaction. Methods. The investigator conducted a survey targeting 253 students attending on dental hygiene departments in two 3-year-graduate colleges and 1 university located in Busan from May 1st to May 30th, 2013. The used research instruments were the major satisfaction questionnaire and the Career Decision-Making Self-Efficacy Scale Short Form(CDMSES-SF). The survey was conducted in self-administered questionnaire. The data was analyzed with SPSS (ver 12.0) and also conducted t-test, ANOVA and multi-regression analysis. Results. It was found that self-efficacy level of students in dental hygiene department was $3.22{\pm}0.38$ point, and their major satisfaction level was $3.27{\pm}0.47$ point. The factors enhancing the self-efficacy of students in dental hygiene department at deciding their careers were identified as the curriculum satisfaction, the relationship satisfaction, and the recognition satisfaction. It was identified that more these elements were increased, the higher the self-efficacy level was enhanced. Conclusions. In order to enhance the self-efficacy of students in dental hygiene department at deciding their careers, it is considered that the curriculum should be organized carefully under reasonable plan, and there should be more active communication between professors and students as well as students each other. Besides there needs some educational programs to inspire the pride and sense of duty for the dental hygiene department.

• Asian-Australasian Journal of Animal Sciences
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• v.14 no.2
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• pp.189-192
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• 2001

This study was initiated in an effort to determine the normal mean and variations of the somatic cell count (SCC) in milk of buffaloes as influenced by the milking time, stage of lactation, parity and season. The buffaloes were hand milked at 13 and 11 h. interval during evening and morning respectively. On the day of milk sampling the udders were tested for mastitis by California Mastitis Test (CMT). Only those buffaloes, which were found negative in the CMT, were included in the sampling plan. The mean values for morning and evening were 1.09 (range 0.39-1.76) and $0.97(range\;0.57-2.46){\times}10^5cells/ml$, respectively which did not differ significantly. When data of the morning and evening values was compared on the basis of total cell secretion in milk, even then there was no statistical difference between the morning and the evening values, thereby suggesting that no diurnal variation existed in SCC of milk. Paritywise differences were not significant between the 1st to 5th lactation and above. Similarly stage of lactation effect, when tested at 30 day intervals, did not differ significantly. Significant (p<0.05) correlation coefficients (r) between SCC and milk yield during different stages of lactation and parity suggested that SCC per ml of milk was higher during the later stages of lactation. SCC was higher in primiparous than in multiparous buffaloes. On an average the SCC recorded was $1.0{\times}10^5cells/ml$ of milk irrespective of time of milking, parity and stages of lactation. The SCC was low during cold and hot-dry season but were high during the hot-humid season (p<0.05), the respective values being 0.76, 1.08 and $1.35{\times}10^5cells/ml$. These values were lower than the SCC already reported in cows suggesting less stressful condition of the udder of buffaloes in this study.