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A study on the productivity of physicians operating clinic in Kyeongsangnamdo (경상남도(慶尙南道) 개원의(開院醫)의 진료생산성(診療生産性)에 관한 조사연구(調査硏究))

  • Kim, J.H.;Jeong, K.W.;Chun, J.H.;Lee, C.U.;Pae, K.T.;Kim, K.H.;Shin, H.R.;Park, H.J.
    • Journal of Preventive Medicine and Public Health
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    • v.24 no.2 s.34
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    • pp.171-180
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    • 1991
  • Productivity analysis of physician is one of essential factors for the optimal health manpower planning. Among 690 physicians operating clinic and registered on the Kyeongsangnamdo Medical Association, 623 physicians were studied with a structural questionaire from April 1 to May 31, 1990. This study covers the general characteristics and productivity of physicians and attempts to find relevant determinants of their productivity through stepwise multiple regression analysis based on collected data. The mar results were as follows. First, physicians were more prevalent $35{\sim}44$ group (30.2%) in age, male (95.8%) in sex, specialist (76.5%) in specialization,'city (78.0%) in geographical location. Age group of 35-54 and specialist were mere prevalent in cities than in counties, while age group of 25-44 and 55 over and general practitioner in counties (p<0.001). Second, daily outpatients load of all physician were 77.1 persons on average. Age group of $35{\sim}44$ had the most outpatient load (90.3 persons) among all age group, $6{\sim}10$ years group (94.2 persons) in years of duration of practice, 11 hours per day group (83.4 persons) in working hours per day. Specialists had more outpatient load (82.6 persons) than general practitioners (61.1 persons) and physicians in cities had more (80.2 persons) than physicians in counties (66.3 persons). Daily average outpatient load of physicians were significantly different by their age, speciality, number of assistants and years of practice (p<0.001) and working location (p<0.05), but not significantly different by working hours per day of physician (p>0.1). Third, the productivity of physicians operating clinic were significantly affected by the three factors-number of assistants of physician, age of physician and duration of practice at the current clinic. Age of physician had negative regression coefficient.

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Secondary Traumatic Stress(STS) and related factors of Emergency Medical Technicians (응급구조사의 이차 외상성 스트레스 정도와 관련요인)

  • Choi, Hee-Jeong;Park, Jeong-Mi;Suh, Soon-Rim
    • The Korean Journal of Emergency Medical Services
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    • v.13 no.2
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    • pp.5-15
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    • 2009
  • Purpose : This study was to examine the secondary traumatic stress(STS) and related factors of emergency medical technicians. Methods : This study was conducted among 190 emergency medical technicians, over the age of 25, with the 1st or 2nd grade qualification, who serve at fire stations in U and P city of Korea. The collected data for this study was analyzed using SPSS 12.0. Result : The average character type of A-type personality technicians was 43.25 points and the average of B-type personality technicians was 37.82 points. It suggested that the former was higher than the latter. State anxiety did not show statistically significant difference between A-Type group and B-Type group with the score of 48.51 for A-Type and 47.91 for B-Type. Physical symptoms showed statistically significant difference between the two groups with the higher score of 28.45 for A-type group than that of 28.13 for B-Type group. The level of STS related to the volunteers' job characteristics was found to be low when the volunteers were satisfied with their job and didn't want to transfer to another division. Those on duty who had slept more than seven hours that day had the highest points. The number of points was highest when the frequency for the onset of trauma was between 20~30 times. Furthermore it was found that for most technicians, 71.05%, the period of symptoms lasted for a few weeks at most, and this was where the STS was the lowest, whereas on the other hand the highest STS occurred when the symptoms lasted for a period of up to six months. The findings showed significant correlations with a relation of r=.24 between STS and level of anxiety and r=.45 between STS and physical symptoms. However, no significant correlation was found between the level of anxiety and physical symptoms. Conclusion : The more emergency medical technicians are exposed to accidents, the more serious the STS are. Those with an A-type personality are especially prone to have higher STS. The higher the STS level is, the higher the level of physical states and anxiety is.

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Effect of Depression, Sleep and Self-esteem on Quality of Life of Elders Living at Home (일개 시 재가노인의 우울, 수면, 자아존중감이 삶의 질에 미치는 영향)

  • Chang, Koung-Oh
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.10
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    • pp.401-412
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    • 2017
  • This study was conducted to examine the effects of depression, sleep and self-esteem on quality of life of elders living at home. A descriptive survey study was conducted based on a survey of 285 older people in person at five senior welfare centers in J city from May 20, 2016 to 9. The data were analyzed by at-test, ANOVA, Pearson's correlation coefficients and multiple regression using SPSS WIN 21.0. The mean scores were depression $7.27{\pm}3.80$, sleep $30.75{\pm}9.35$, self-esteem $36.40{\pm}5.30$ and quality of life $8.05{\pm}2.53$. Depression(r=0.491, p<0.001) and sleep(r=0.590 p<0.001) were positively correlated with quality of life and negatively correlated with self-esteem (r=-0.234, p<0.001). The results of the regression indicated that depression, sleep, and self-esteem explained 39.9% of the variance in quality of life. Overall, these results suggest that depression, sleep and self-esteem were associated with quality of life. Therefore it is necessary to develop strategies to reduce depression and sleep disorders for community dwelling elders to improve quality of life.

Heavy Metal Removal Efficiency in Accordance with Changes in Acid Concentrations in a Micro-nano Bubble Soil Washing System and Pickling Process (마이크로나노버블 토양세척시스템 및 산세척 복합공정의 산 농도변화에 따른 중금속 제거효율에 관한 연구)

  • Jung, Jin-Hee;Choi, Ho-Eun;Jung, Byung-Gil;Sung, Nak-Chang;Yi, Gi-Chul;Choi, Young-Ik
    • Journal of Environmental Science International
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    • v.26 no.1
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    • pp.23-28
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    • 2017
  • This study was aimed at determining the changes in heavy metal removal efficiency at different acid concentrations in a micro-nanobubble soil washing system and pickling process that is used to dispose of heavy metals. For this purpose, the initial and final heavy metal concentrations were measured to calculate the heavy metal removal efficiency 5, 10, 20, 30, 60, and 120 min into the experiment. Soil contaminated by heavy metals and extracted from 0~15 cm below the surface of a vehicle junkyard in the city of U was used in the experiment. The extracted soil was air-dried for 24 h, after which a No. 10 (2 mm) was used as a filter to remove large particles and other substances from the soil as well as to even out the samples. As for the operating conditions, the air inflow rate in the micro-nano bubble soil washing system was fixed at 2 L/min,; with the concentration of hydrogen peroxide being adjusted to 5%, 10%, or 15%. The treatment lasted 120 min. The results showed that when the concentration of hydrogen peroxide was 5%, the efficiency of Zn removal was 27.4%, whereas those of Ni and Pb were 28.7% and 22.8%, respectively. When the concentration of hydrogen peroxide was 10%, the efficiency of Zn removal was 38.7%, whereas those of Ni and Pb were 42.6% and 28.6%, respectively. When the concentration of hydrogen peroxide was 15%, the efficiency of Zn removal was 49.7%, whereas those of Ni and Pb were 57.1% and 42.6%, respectively. Therefore, the efficiency of removal of all three heavy metals was the highest when the hydrogen peroxide concentration was 15%.

Comparison Study for Domestic Coal and Material Characteristics of Coal from the Shipwreck of Koryo Dynasty (고려시대 선체출토 석탄의 재료학적 특성 및 국산 석탄과의 비교 연구)

  • Lee, JangJon;Park, SukWhan;Lim, SungTae;Han, MinSu
    • Journal of Conservation Science
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    • v.29 no.4
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    • pp.345-354
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    • 2013
  • This study analyses geochemistrical, microscopic, mineralogical characteristics of coals which have been collected from in and out of the shipwreck No 1 of Mado island during underwater excavation in Taean. The result from mineralogical and geochemical analysis reveals that the specific gravity of the coals is $1.28g/cm^3$. Considering that coals contains 10% mineral of it and the specific gravity of the pure is $1.15g/cm^3$, it is believed that the collected coals would be lignite or biturminous coal. The X-ray diffraction analysis which displays the peak of $2{\theta}$ is 20~25C degree, proves that the collected coals would be categorised as low rank coal. The collected coals is composed of: 93%-94%(93.5%) of vitrinite maceral group, 5%-6%(5.5%) of exinite maceral group, and 1% of inertinite maceral group. In addition, the average of reflection rate is $R_{mean}$: 0.627 showing that it would be either high volatile bituminous C coal or sub-bituminous C coal. Such result confirms that the coal is sub-bituminous C or high volatile bituminous C coal in accordance with the U.S Bureau of Mine(USBM) classification system. The element analysis reveals that the coal is the coking coal which is grouped as the bituminous coal. Comparative analysis between the coals of Mado Shipwreck No 1 and domestic coals shows that the coals of Mado Shipwreck is similar to the bituminous coal used in the area of Janggi in Pohang city.

An investigation on the actual status of oral health care and perceptions of oral health among the under graduates of S college of education in Cheongju-si - according to their experiences in oral health care education - (청주시 S사범대학 학생들의 구강보건관리 실태 및 구강보건의식 조사 - 구강보건교육경험 유무에 따른 -)

  • Ji, Min-Gyeong
    • Journal of Korean society of Dental Hygiene
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    • v.7 no.4
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    • pp.569-582
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    • 2007
  • The author aims at first securing basic material required for developing and operating proper oral health care education programs though making an investigation into the undergraduates of S College of Education on the actual status of oral health care and perceptions of oral health care education. The obtained results were as follows 1. In the actual status of oral care based on whether or not they have experiences in taking oral health care education, undergraduates with teeth brushing for more than three minutes a time were found to be 25.9% and 15.7% respectively according to the existence and nonexistence of experiences in the education(pM0.020), and undergraduates with teeth brushing in a circular motion was found to be 64.7% and 51.7% respectively, showing statistically significant differences(pM0.015). 2. In the actual status of preventative oral care according to whether or not they have experiences in taking oral care education, degrees of awareness of the usefulness of dental cleansers among the undergraduates were found to be 37.6% and 21.5% respectively according to the existence and nonexistence of experiences in the education(pM0.001), undergraduates with experiences in scaling were found to be 51.8% and 34.9% respectively(pM0.002) and undergraduates with experiences in having dental sealants were found to be 26.5% and 16.9%(pM0.031), showing statistically significant differences. 3. In the survey on perceptions of oral health care according to the existence and nonexistence of experiences in oral health care education, it was revealed that the case that they indicated 'the necessity of oral health care education' was 87.1% and 64.0% respectively according to the existence and nonexistence of the experience(pM0.000), and undergraduates intended to 'participate in oral care education for students(at mid and high schools and so on) after being teachers' were 77.6% and 65.7% respectively, showing statistically significant differences(pM0.011). 4. In general characteristics according to awareness of the necessity of cultivating oral health professionals, groups with awareness of the necessity consisted of 31.8% of freshmen and juniors(pM0.001), 55.69b of female undergraduates(pM0.001), 80.8% of non-smokers(pM0.012), 38.9% of large city residents(pM0.002) and 32.3% of undergraduates living in their own houses (pM0.028), showing statistically significant differences.

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Effect on Motivational Interviewing for Patients with Impaired Fasting Glucose (동기강화면담이 공복혈당장애 환자의 건강증진생활양식, 행동변화단계, 당화혈색소값에 미치는 효과)

  • Kim, Mi-Ok
    • The Journal of the Korea Contents Association
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    • v.15 no.11
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    • pp.338-346
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    • 2015
  • The purpose of this study was to develop a motivational enhancement therapy(MET) for impaired fasting glucose(IFG) patients in early stages of health behavior change and evaluate its effects on health promotion lifestyle, the stages of change and HbAlc. Data was collected in Health Center of U city, December 2011 to March 2012, conducted on 78 IFG patients who visited to the Health center, they randomized to intervention group(n=27) and control group(n=33). The intervention group received the MET, the control group received standard care. This MET programe was applied from MET programe. After developing, it confirmed content validity. Data was analyzed using descriptive statistics, $x^2-test$ and t-test with the SPSS WIN 20.0 program. Participants in the intervention group reported significantly increased scores of the stage of change(t=-20.224, p=.000) compared to those of the control group but no difference of health behaviors(t=-1.297, p=.200) and HbAlc(t=.794, p=.431). The findings indicate that the MET is an effective intervention in improving ealth behaviors and expect to be applied effectively to the preparation for implementation of health care interventions.

Characterization of the Unrecorded Wild Yeasts from the Water and Riverside Soils of Daejeoncheon and Gapcheon in Daejeon Metropolitan City, Korea (대전광역시 대전천과 갑천의 물과 주변 토양들로부터 분리한 국내 미기록 야생효모들의 특성)

  • Han, Sang-Min;Lee, Sang-Yeop;Kim, Ha-Kun;Lee, Jong-Soo
    • The Korean Journal of Mycology
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    • v.45 no.2
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    • pp.153-159
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    • 2017
  • We isolated 120 strains of wild yeasts from the water and riverside soils of Daejeoncheon and Gapcheon in Daejeon, Korea. We identified Debaryomyces udenii JSF601, Kazachstania telluris JSF602, Trichosporon faecale JSF614, Candida infanticola WJSL0039, Candida palmioleophila WJSL0048, Pichia spartinae WJSL0087, and Trichosporon coprophilum WJSL0093 from Daejeoncheon, and Leucosporidium golubevii WJSL0108 and Ustilentyloma graminis WJSL0118 from Gapcheon, as newly recorded yeast strains in Korea and investigated their microbiological characteristics. All of these previously unrecorded yeasts were oval- or ellipsoidal-shaped with ascospores, except C. infanticola WJSL0039, C. palmioleophila WJSL0048, and D. udenii JSF601. L. golubevii WJSL0108 and U. graminis WJSL0118 grew in vitamin-free medium, and C. infanticola WJSL0039 was halotolerant and grew in 10% NaCl-containing YPD broth. K. telluris JSF602 and P. spartinae WJSL0087 were thermophilic yeasts, which grew at $37^{\circ}C$.

An Analysis on the Importance of Planning Indicator of Traffic Calming Technique for Walk Safety - Focusing on Physical Side - (보행안전을 위한 교통정온화(Traffic Calming) 계획지표의 중요도 분석 - 물리적인 측면을 중심으로 -)

  • Yoon, Sanghoon;Choi, Hyoungsun;Lee, Joohyung
    • Journal of the Society of Disaster Information
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    • v.11 no.4
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    • pp.570-580
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    • 2015
  • In the study, planning indicator that should be considered in applying traffic calming technique was derived, and it was intended to analyze the importance of indicator that should most considered in planning traffic calming technique through AHP analysis on the basis of it. The result of planning indicator may be summarized by dividing into road section and crossing section. In road section, hump (0.35) for equipment stimulating reduction of speed, hump image/fort (0.31) for visual control equipment, and slalom type road (0.52) for chicane, and bollard (0.47) for blocking passing route are shown to be the most important and come before anything. In crossing section, signal indicator (0.33) for visual control equipment, rumble strip (0.44) for equipment stimulating reduction of speed, zigzag type road (0.65) for chicane, and blocking going straight at crossing (0.45) for blocking passing route are shown to be the most important and come before anything. The result of the study is judged to be used for basic material in applying traffic calming technique and establishing policy hereafter.

A Study on the Evaluation of Critical Factors for Sustainable Whale Tourism (지속가능한 고래관광을 위한 중요요인 평가에 관한 연구)

  • Kim, Su-Yeon
    • The Journal of Fisheries Business Administration
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    • v.49 no.1
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    • pp.51-66
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    • 2018
  • During the Joseon period, the East Sea would be called 'Gyeonghae' due to a large number of whales. In the Republic of Korea, whaling was locally permitted in 1946. However, the number drastically dropped because the hunting of the marine mammal had already been carried out in Russia, the U.S. and Japan since 1800s. Before a moratorium on commercial whaling was introduced by the International Whaling Commission(IWC) in 1986, whale populations in the East Sea had plunged. Furthermore, Korean gray whales and fin whales weren't found anymore in that area. With the suspension, whale hunting was banned in Korea as well. Even so, accidentally caught whales have been allowed to be distributed on the market with respect for local food culture. With the establishment of Whale Museum and hosting of the 57th Annual Meeting of the International Whaling Commission(IWC) at Jangsaengpo in 2005, whale tourism was facilitated in earnest. This whale tourism has been operated by Nam-gu Office and Nam-gu City Management Corporation in Ulsan. However, the popularity of whale tourism has increased a demand for whale meat. At the same time, there has been concern over decrease in whale populations because of illegal whaling. In addition, a conflict between the use and protection of whales has caused confusion in tourism identity. Actually, there is a serious doubt on the sustainability of whale tourism due to the decade-long deficit and excessive investments. This study attempts to define a concept of whale tourism and propose a future direction for the sustainable growth and development of Korea's whale tourism industry after developing such comprehensive assessment indicators as a basic research for the introduction of sustainable whale tourism. To achieve the aim of this study, AHP(Analytic Hierarchy Process) was chosen as a main research tool and the factors were ranked by a comprehensive analysis of principal factors and detail factors. The current study showed the following results. First, ecological environment(0.430) was indicated the most important factor of whale tourism assessment indicators. Moreover, Population(0.1302), Action for Cetacean protection(0.1031), Governance(0.0898) were critical factors. On the other hand, Accommodations(0.0085), Whale meat(0.0088) were unimportant factors than others.