• Journal of the Korean Dietetic Association
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• v.25 no.4
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• pp.295-309
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• 2019

The purpose of this study were to identify the dietary practices of vulnerable older adults and to assess the foodservice and food provision service programs perceived by the health and welfare service providers in the community. A survey was conducted on health and welfare service providers working in outreach community centers and community health centers in Seoul. A total of 260 nurses and social workers participated in the survey and 224 responses were used for data analysis after excluding significant missing data. The respondents consisted of nurses (58.5%) and social workers (41.5%). In terms of the dietary life of the vulnerable older adults, they perceived that the food cost was burdensome to the older adults and poor dental conditions prohibited them from eating various foods. The health and welfare service providers rated highly for 'home-delivered meal and side dish services are effective for checking older adults' conditions' but rated low for availability of menu choices. In targeting vulnerable older adults for food and nutrition service programs, the home-delivered meal service was found to be suitable for older adults living alone, those over age of 80 years, those with mobility difficulties, and those with economic difficulties. The food provision service was appropriate for older adults living with their spouse or other family members. Vulnerable older adults are a heterogeneous population with diverse needs related to food and nutrition. Home-delivered meal/side dish service and food provision services will achieve their goals when they reach the correct targets with a customized service.

• Journal of the Korean Society of Industry Convergence
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• v.16 no.2
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• pp.41-46
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• 2013

On the purpose of helping the inhabitants living in farming, fishing villages, and islands for more safe and hygienic water from simple waterworks, experimental investigations were performed concerning the development of a water purifier with silver nanomaterial packed, having a function of the auto-disinfection. The results show as follows through such filteration and auto-disinfection processes. It is possible to get hygienic and safe water, for example, more than 95% of general bacteria, total coliforms, and fecal coliforms were removed. It is also possible to get good-quality water, for 49.4% of spent potassium permanganate and 85% and 63% of turbidity and conductivity were removed respectively. It is a very effective equipment, for 100% cost reduction of used chemicals was achieved by no-chemical disinfection process and THM was not generated.

• Journal of Nutrition and Health
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• v.37 no.3
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• pp.236-250
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• 2004

The objective of this study was to investigate difference in the diet by the kind of meal and the economic status. Nutrient contents at each meals were compared and differences in food intake at different meal were analyzed by economic status. Data from the 1998 Korean National Health Examination Nutrition Survey were used. Using the poverty line based on the 1998 Korean minimum cost of living, the subjects (n = 10400) were classified into high class (36.1％), middle class (40.7％) and low class (23.1 ％). Most nutrient intakes were obtained for main meals regardless of economic status. For high class, breakfast, lunch, dinner and snacks bring about 21, 29, 30 and 19 ％ of total energy intake, for middle class 22, 29, 30 and 19％ and for low class 24, 30, 30 and 16％, respectively. The high-middle class people tend to get more food intakes and nutrients at dinner and snacks, while the low class at main meals. This result was associated with the consumption of a smaller number of meals and a greater number of snacks daily as the economic level was going up (p 〈 0.05). Meals contributed to energy, protein and fat intake, and snacks to water, retinol and vitamin C. The food intakes by food group were different at meals by economic class. Seaweed product were popular breakfast foods in both middle and low groups. Thus three meals such as breakfast, lunch and dinner still delivered most of the energy and most of the macro-nutrients regardless of economic status.

• The Korean Journal of Pain
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• v.34 no.1
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• pp.114-123
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• 2021

Background: Evaluation of the effectiveness of caudal epidural injection on pain, spine mobility, disease activity, and activity of daily living in axial spondyloarthritis (SpA) patients. Methods: A total sample of 47 patients were registered in this study. They were randomly assigned into 2 groups; Group I received caudal epidural injections, ultrasound-guided, with 1% lidocaine hydrochloride mixed with triamcinolone, whereas Group II did not receive any injections. All participants fulfilled the ASAS criteria for axial SpA. Outcome measures were as follows: visual analogue scale, Oswestry disability index (ODI), modified Schober test, lateral lumbar flexion, and Ankylosing Spondylitis Disease Activity Score (ASDAS) with assessment at baseline, 2 weeks, and 8 weeks post-treatment. This clinical trial was registered on clinicaltrials.gov under the number NCT04143165. Results: There was a significant difference between both groups regarding pain, ODI, spine mobility and ASDAS scores in favor of group I. This effect was at its maximum after 2 weeks. Despite the decline of this effect after 2 months, the difference between the groups remained significant. Higher disease activity, younger age, and shorter disease duration were associated with better outcomes. Conclusions: Epidural injection of lidocaine and triamcinolone is a cost effective and a practical technique for controlling pain, as well as improving the function of the spine and disease activity scores in axial SpA patients with acceptable complications and relatively sustained effect.

• KIEAE Journal
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• v.2 no.3
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• pp.25-32
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• 2002

The demand for water in a city area has enormously increased due to the concentration of population and improvement of the living quality. In this reason, the water shortage and the pollution by city sewage seem to be inevitable. For saving city water and meeting the demands from the city, the wastewater recycling system can be used, which makes used water reusable by a certain purification process. In Korea, the application of a wastewater recycling system to the buildings has continuously been adopted since its first appearance at the Lotte World Complex in 1989. However, the system has not been in fashion because of its high cost and users' negative attitude against recycled water. A research based on literature review and a case study for a recycling water system was carried out and an estimation and evaluation model was proposed. The results from the present study suggest that the optimal size of the recycling water system should be designed within 30-40% of total water demand in a building. Also, it was found that economic benefits could be expected within the payback period of 5.3 years by securing the operation rate over 70%.

• Journal of the Korean housing association
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• v.24 no.1
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• pp.69-78
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• 2013

Recently, due to the casualties and property damage caused by disasters, it became important to evacuate the victims to a safe place and come up with a space for them to inhabit for a certain period of time. Therefore, this study aims to design and develop a temporary housing system that would quickly provide a safe and comfortable living space until the displaced persons can return to a normal life again when a disaster occurs. As a result, a system of a BIM-based modular housing, a modular town through automatic placement, and a method to calculate the capacity and the total cost was developed. As this system provides the temporary housing facilities and the site in 3D, it can be utilized as a training material on a normal basis, as well as the first case material for rapid decision making when there is a disaster.

• Health Policy and Management
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• v.19 no.2
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• pp.21-35
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• 2009

Limited studies examined Medical Aid recipients' perception for amount of medical use. This study aimed to identify self-perception(optimal, under and overutilization) for amount, and real amount of medical use, and to determine factors associated with the perception. Subjects were 2,489 Medical Aid recipients among top 2% overusers in 2005. 200 case managers(CM) managing them conducted survey. CM interviewed them using 2005 medical claiming data from the Health Insurance Review & Assessment Service and structured questionnaire. Despite of overusers, perception of overutilization was only 26.9% and 23.6% in Class I and Class II, and that of underutilization was 21.4% and 18.7% respectively. In Class I, monthly total outpatient cost per capita of overutilization perception in 2006 was 206 thousand won higher than 150 thousand won of optimal utilization. Amounts of outpatient visit-days and prescribed cases of overutilization perception were higher than those of optimal and underutilization(p <0.0001). In Class II, overutilization perception had more prescribed cases(p 0.004). After adjustment of confounding factors including age and sex, the associated factors(odds ratio) with overutilization perception were hypertension(1.25), arthritis(1.32), depression(1.66), visit of multi medical institutions(3.09), and those of the underutilization were female(1.34), disabled(1.27), no family support(1.49), living in medium and small city(1.48), experience of unabled-visit to medical institution(2.54), frequent visit-recommendation from physician (1.36). In conclusion, education and consult are needed for subjects to improve the reasonable decision of medical use, and the self-care ability to manage diseases and symptoms. We suggest reinforcing the alternative service in community instead of costly medical institution.

• Proceedings of the KSRS Conference
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• 1999.11a
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• pp.443-449
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• 1999

The investigation of the amount of the ecosystem damage on the shoreline due to the NAHODKA oil-spill accident, which occurred in the Sea of Japan, was attempted by using geoinformatics. At first, it was assumed that symbolical vegetation's distribution could be specified in the coast in Ishikawa Pref. where the heavy oil was washed, and surveyed the regional distribution. Then, the presumption result of those environmental capacities was arranged by GIS. In addition, the amount of the ecosystem damage was presumed as cost necessary though a symbolical living thing for the retreat because of the base line by the heavy oil drifting ashore was recovered. By comparing the vegetation line and the surveying data which shows environmental capacity, the retreat areas of the vegetation were 1100-1200 $m^2$. When the amount of damage on the ecosystem of the NAHODKA oil-spill accident was presumed based on the retreat area of this vegetation and the restoration cost, the amount of damage within Shioya beach which 150m in the surveying range became 2 to 2.5 million Yen. Because the extension distance from the Shioya beach to the Katano beach was about 3,500m, the amount of damage became about 46 to 65 million Yen. As a result of calculation for the amount of damage on the ecosystem of the NAHODKA oil-spill accident, it was estimated approximately 1,400 to 2,000 million Yen in the shoreline of Ishikawa Pref., because the total extension of beaches in Ishikawa Pref. is about 110km.

• Proceeding of Spring/Autumn Annual Conference of KHA
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• 2006.11a
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• pp.386-391
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• 2006

Though a variety of demands for an green dwelling, it is hard to diffuse a wooden house due to high construction cost. So this study aims to diffuse to propose a space modular for production and supply. Therefore the result of investigation to the space modular of each room through the survey of width and depth in the type of dwelling in korea is as follows. 1) Investigated the mixture of magnitude on the total width and depth, the survey is showed commonly 3.6m and 4.2m. 2) Once the depth is 3.6m, a living room and inner room, room's width is 3.9m, 4.5m. Once the depth is 4.2m, those width is 4.8m. 3) By use of a survey, the post distances consisted of all rooms are 3.6m, 3.9m, 4.2m, 4.5m, 4.8m. The result of investigation to possibility for mixture applied to six level types invested post modules to the wooden house of post & Beam method is as follows. 1) With the regularity of depth and simplicity of width, It is potential to compound floor plan in korea. 2) It is possible to plan an informal shape of kitchen+dining room which is a spare space available for the merit changeable space after arranged main rooms. 3) It is possible to plan a space through a variety of mixture method at bathroom. Thus, it is possible for a variety of floor formations to build a low-cost wooden house through five types of post distance.

• Korean Journal of Community Nutrition
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• v.8 no.5
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• pp.736-743
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• 2003

The purpose of this study was to research the current home delivered meal (HDM) service programs for seniors living in the community. Fifty seven centers which operated a HDM service program were surveyed with respect to their administrative structure, menu management, food purchasing and production management, hygiene and equipment and facility. -Statistical data analyses were completed using the SAS 8.1 program for descriptive analysis and t-test. The results showed that 55 percent of the study group were from 70 to 79 years old. All of the participants received free HDM. As a result of the meal cost analysis, the meal cost at 56.1% of the HDM service centers was from ￦2,000 to ￦2,499 per meal. A total of 68.4% of the HDM service centers were operated without the services of a dietitian. According to the menu analysis, all nutrients except Vitamin B2 were at levels of more than 33% of the Recommended Dietary Allowances for Koreans. Although 96.6% of the HDM service centers required a therapeutic diet menu for the health of the elderly recipients, 68% of the directors responded that they could not afford to serve therapeutic meal. Food purchasing, menu planning and other foodservice management processes were handled by non-professionals, such as volunteers, cooks or social workers. Forty two percent of the HDM service centers never used standard recipes. For determining portion sizes, 75.4% of the HDM service centers depended on personal experience. Finally, the current HDM service programs for the homebound elderly were not operated systematically. It is suggested that professionally trained personnel should be included among the staff members to provide a more effective HDM service. The HDM service programs should be supported financially and systematically by the government.