• Strategy21
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• s.40
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• pp.115-130
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• 2016

The security environment surrounding the East Asian seas is rapidly changing due to the naval arms race among coastal states. The arms race is likely to worsen the security dilemma of the countries involved, thus increasing the chances for armed conflicts. It is too early to tell how the contemporary naval arms race in the region will evolve. But, for sure, the level of uncertainty is increasingly becoming high and intense. At the same time, there is emerging a legal warfare or lawfare among the rival countries. In particular, the United States and China have been involved in a serious debate about the nature and scope of the right of innocent passage and freedom of navigation in other countries' maritime zones. In collaboration with its regional allies, the United States has also put normative pressures on China with its excessive claims in the South China Sea. The latest arbitral tribunal case between the Philippines and China illustrates the point. With both arms race and normative competition in play, the future of East Asian maritime security will remain very complex and uncertain.

• Korea Journal of Hospital Management
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• v.9 no.1
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• pp.1-21
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• 2004

The United States has a unique health care system, which is unlikely any other health care systems in the world. The major part of basic functional components of the system -financing, insurance, delivery, and payment- is in private hands. A market-oriented economy invites the participation of numerous private entities that are interested in carrying out the key functions of health systems. Due to this central feature, U.S.health care is not delivered through a network of interrelated components designed to work together coherently. For lack of standardization, the various components of the system fit together only loosely. The involvement of numerous players in the key functions leads to duplication, overlap, inadequacy, inconsistency, and waste, which add to the complexity and also make the system inefficient. Hence, cost containment remains an elusive goals. Moreover, the system falls short of delivering equitable services to all americans, though consumption of health care services is the largest in the world. On the other hand, United States leads the world in the latest and the best in medical technology, medical training, and research. It offers some of the most sophisticated institutions, products, and processes of health care delivery. This article discuss the characteristic features of the U.S. health care system. and its performance, trying to seek its implication on Korean health care system.

• Journal of Digital Convergence
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• v.11 no.12
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• pp.537-549
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• 2013

This study examines implications for the Korean military health survey from literature review on foreign military health surveys. The authors discuss backgrounds, objectives, participants, methods, contents, organizations involved, and cycles of foreign military health surveys from literature review from peer-reviewed journals as well as reports and documents collected from web-sites of governmental organizations. Common and distinguishing characteristics were found from foreign military health surveys. First, the military health surveys have evolved in phases in the direction of reducing health risk factors. Second, the importance of mental health is being emphasized. Third, cooperations and collaborations of governments, universities, and professional agencies are important in order to ensure anonymity and expertise on data collection and analysis. Finally, health surveys are conducted on a regular basis through institutionalization. To monitor and to promote health of military personnel, it is critical for Korea to establish the legal and institutional environment and to recognize the importance as well as the need of military health surveys at the national level.

• Health Policy and Management
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• v.32 no.4
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• pp.356-367
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• 2022

Background: The emergence of new infectious diseases threatens public health, increasing socioeconomic damage, and national risks. This study aimed to develop an evidence-based risk assessment tool to quickly respond to new infectious diseases. Methods: The risk elements were extracted by reviewing the risk assessment methods of the World Health Organization, United States, Europe, United Kingdom, and Germany, and the validity and priority of elements were determined through expert meetings and Delphi surveys. Then, the scale and level for each risk element were defined and a final score calculation method according to the risk evaluation result was derived. The developed risk assessment tool was verified using data at the time of domestic transmission of an emerging infectious disease. Results: In case of spread of actual infectious diseases, priority is determined based on the criticality of the elements in each area of transmissibility and severity, from which the weighted score of the risk assessment is derived. Then, the risk score for each element was calculated by multiplying the average value of the risk evaluation by its weight and the evaluation risk assessment score for the two areas was calculated. At last, the final score is plotted in a matrix where the x-axis indicates the transmissibility and the y-axis the severity and plotted on the coordinate plane for time series use. Conclusion: With respect to transmissibility and severity, this risk assessment method to respond to new and re-emerging infectious diseases enables rapid and evidence-based evaluation by quantitatively and qualitatively assessing various risk elements.

• Korean Journal of Clinical Pharmacy
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• v.26 no.3
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• pp.238-244
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• 2016

Background: Mupirocin, a topical antimicrobial agent has been used for patients with methicillin-resistant Staphylococcus aureus and recently mupirocin resistance was issued in some studies. The objective of this study was to analyze prescription patterns of topical mupirocin, to evaluate appropriateness of prescriptions in the ambulatory setting, and to compare frequency of mupirocin usage in South Korea with that in United States. Methods: Topical mupirocin prescription patterns (the number of prescription and a prescription period), and appropriateness of prescription (including a prescription rate over 10 days, a repeat prescription rate within 30 days and a prescription rate within labeled indications) were analyzed using the 2012 Health Insurance and Review and Assessment service-National Patient Sample dataset of South Korea. The National Ambulatory Medical Care Survey dataset was used to quantify topical mupirocin prescription in United States for comparison. Results: In South Korea, the prescriptions rate for use over 10 days was 3%, the repeat prescription rate within 30 days was 8.87% and the prescription proportion within labeled indications was 33.84%. The most frequent diagnostic code was nonbacterial infection. The prescription rate per 1000 population of topical mupirocin in South Korea was calculated to be 46.07, whereas in United States was calculated to be 13.10. Conclusion: Topical mupirocin has been used frequently and inappropriately, so further studies are required to investigate the rationale behind such prescribing mupirocin patterns.

• Quality Improvement in Health Care
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• v.22 no.1
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• pp.29-37
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• 2016

Readmission which reflects capacity to manage patients and general level of medical services has been known for one of the causes of medical expenditure due to inefficient service. Compared to disease-specific readmission, hospital wide readmission (HWR) is relatively easy to understand, and has merit to get over limitation of collateral medical services assessment; therefore, a growing interest in development and usage of readmission indicator as quality of care indicator focusing on all-disease is detected. In this study, we investigate current state of risk standardized readmission rate indicator used in the United States, the United Kingdom, and Canada, and examine the considerations when using readmission rate as quality indicator in Korea. Differences in risk-adjustment methods were showed among countries. The United States do not control race not to hide socio-demographic factors on readmission. Canada shows differentiation compared to other countries about reflecting community factors. All three-countries utilize readmission rate as monitoring quality of care rather than incentives or penalty due to the fact that readmission rate could not represent the whole quality of hospital and has a limitation at controlling socio-economic factors. Therefore, for usage readmission rate as quality indicator in Korea, preparing readmission classification standard for Korean medical environment and additional methods for acquiring information by using discharge summary is need. Moreover, continued discussion with clinical specialists is needed for obtain clinical reliability and validity.

• The Mathematical Education
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• v.48 no.4
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• pp.365-385
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• 2009

Recently, mathematical modeling has been attractive in that it could be one of many efforts to improve students' thinking and problem solving in mathematics education. Mathematical modeling is a non-linear process that involves elements of both a treated-as-real world and a mathematics world and also requires the application of mathematics to unstructured problem situations in real-life situation. This study provides analysis of literature review about modeling perspectives, case studies about mathematical modeling, and textbooks from the United States and Korea with perspective which mathematical modeling could be potential and meaningful to students even in elementary school. Further, teaching method with mathematical modeling was investigated to see the possibility of application to elementary mathematics classroom.

• Journal for History of Mathematics
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• v.18 no.4
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• pp.67-84
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• 2005

In this paper, We make mathematics be more interesting and have students participate in class actively through studying the cultural value of mathematics and the ethnic custom mathematics. For studying probability of the usage of Wooden Die for Drinking Game as ethnic custom mathematics which was used in the United Shilla. We study how to apply our methods to our current school curriculum

• The Journal of Advanced Prosthodontics
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• v.1 no.2
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• pp.68-74
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• 2009

STATEMENT OF PROBLEM. When veneering composite resin-metal restoration is prepared, the fact that bond strength between Ti and composite resin is relatively weak should be considered. PURPOSE. The purpose of this study is to evaluate the shear bond strength between the veneering composite resin and commercial pure (CP) Ti / Ti-6Al-4V alloy according to the method of surface treatment. MATERIAL AND METHODS. The disks were cast by two types of metal. Their surfaces were treated by sandblasting, metal conditioner, TiN coating and silicoating respectively. After surface treatment, the disks were veneered by composite resin (Tescera$^{TM}$, Bisco, USA) which is 5 mm in diameter and 3 mm in thickness. The specimens were stored in water at $25^{\circ}C$ for 24 hours, and then evaluated for their shear bond strength by universal testing machine (STM-$5^{(R)}$, United Calibration, USA). These values were statistically analyzed. RESULTS. 1. All methods of surface treatment were used in this study satisfied the requirements of ISO 10477 which is the standard of polymer-based crown and bridge materials. 2. The metal conditioner treated group showed the highest value in shear bond strength of CP Ti, silicoated group, TiN coated group, sandblasted group, in following order. 3. The silicoated group showed the highest value in shear bond strength of Ti-6Al-4V alloy, metal conditioner treated group, sandblasted group, TiN coated group, in following order. CONCLUSION. Within the limitations of this study, all methods of surface treatment used in this study are clinically available.

• Korean Journal of Agricultural Science
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• v.48 no.4
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• pp.703-718
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• 2021

An irrigation monitoring system is an efficient approach to save water and to provide effective irrigation scheduling for rice cultivation in desert soils. This research aimed to design, fabricate, and evaluate the basic performance of an irrigation monitoring system based on information and communication technology (ICT) for rice cultivation under drip and micro-sprinkler irrigation in desert soils using a Raspberry Pi. A data acquisition system was installed and tested inside a rice cultivating net house at the United Arab Emirates University, Al-Foah, Al-Ain. The Raspberry Pi operating system was used to control the irrigation and to monitor the soil water content, ambient temperature, humidity, and light intensity inside the net house. Soil water content sensors were placed in the desert soil at depths of 10, 20, 30, 40, and 50 cm. A sensor-based automatic irrigation logic circuit was used to control the actuators and to manage the crop irrigation operations depending on the soil water content requirements. A developed webserver was used to store the sensor data and update the actuator status by communicating via the Pi-embedded Wi-Fi network. The maximum and minimum average soil water contents, ambient temperatures, humidity levels, and light intensity values were monitored as 33.91 ± 2 to 26.95 ± 1%, 45 ± 3 to 24 ± 3℃, 58 ± 2 to 50 ± 4%, and 7160-90 lx, respectively, during the experimental period. The ICT-based monitoring system ensured precise irrigation scheduling and better performance to provide an adequate water supply and information about the ambient environment.