• Research in Community and Public Health Nursing
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• v.11 no.2
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• pp.499-512
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• 2000

The number of deliveries by cesarean section has increased internationally. However, The cesarean section rate is different by country to country. It is because each country has different social and cultural background and. practices its unique delivery policies. Hence, it is very important to understand the uniqueness that one country faces related with the cesarean section. In Korea, there have been many researches on the clinical. maternal. hospital and community factors and so on. However, few studies have attempted to reveal the physician factors in Korea because it is difficult to approach hospital records. So, in this study, the physician factors that influence the increase of cesarean section rate in Korea was investigated, and preliminary research agenda for policy establishment to keep the cesarean section rate from excessive increase was provided. In this study, all 2744 cesarean section deliveries performed by 36 physicians at the hospital was considered. and detailed delivery records of 12 months selected randomly from January 1996 to August 1998 was reviewed retrospectively. Chi-square analysis is used to examine the homogeneity of distribution of maternal, fetal, and clinical factors. In addition, multiple regression analysis is used to examine the effect of physician characteristics on the cesarean section rate. Physician characteristics as independent variable and the cesarean section rate as dependent variable was put in this analysis. Follows are the results of this study. 1) Total cesarean section rate is 34.8%. primary cesarean section rate is 12.5 % and repeated cesarean section rate is 22.3 %. Among the indications for the primary cesarean section, 15.6 % is for breech presentation. 40.2 % is for dystocia. 7.6 % is for fetal distress. and 36.6 % is for others. 2) There is positive correlation between physician's age and the cesarean section rate (p<0.001). And statistically significant correlation is found between the physician's educational attainment and the cesarean section rate (p<0.001). A physician with Ph.D degree has lower cesarean section rate than a physician with B.A only and M.A. degree (p<0.001). However. physician's gender, location of graduated university. position at the hospital, and the religious belief were not shown statistically significant relations with the cesarean section rate. 3) Among all cesarean sections in this study, only 15.4 % is performed during weekend. While 18.2 % is performed on monday only. This suggests that physicians may not prefer weekend operation of cesarean section. In addition, 86.1 % among all cesarean section operations is performed from 6 a.m. to 6 p.m. So the cesarean section rate could be related with a day of the week and a time of the day. From this results. there is a possibility that the physicians' personal comfort may influence the cesarean section rate.

• The Journal of the Korea Contents Association
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• v.21 no.1
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• pp.268-276
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• 2021

The purpose of this study was to investigate the effect of the value perception of ecotourism on the behavioral intention and satisfaction of university students. The results of the study are as follows. First, it was found that all ecotourism value recognition factors, such as cognitive value, emotional value, and functional value, had a positive(+) effect on satisfaction. Second, it was found that all ecotourism recognition factors, such as cognitive value, emotional value, and functional value, had a positive(+) effect on behavioral intention. These results show that the higher the awareness of ecotourism is, the higher the satisfaction and behavioral intentions of ecotourism are, but the functional value made up of services, quality, and programs has relatively less influence than other factors. Therefore, various marketing strategies and educational programs such as the development of accessible weekend products and development of sustainable light-emitting products that can respond to each ecotourism value recognition factor that affects the ecotourism product satisfaction and behavior intention should be developed.

• Journal of the Economic Geographical Society of Korea
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• v.21 no.4
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• pp.335-349
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• 2018

This study analyzes the effect of the changes in traffic environments such as transportation speeds on the time-distance accessibility for the public transportation passengers. To do this, we use passenger transaction databases of the Seoul metropolitan public transportation system: one week for each of the three years (2011, 2013, and 2015). These big data contain the information about time and space on the traffic trajectories of every passenger. In this study, the time-distances of links between subway stations and bus stops of the public transportation system at each time are calculated based on the actual travel time extracted from the traffic-card transaction database. The changes in the time-distance accessibility of the integrated transportation network from the experimental results can be summarized in two aspects. First, the accessibility tends to decline as the year goes by. This is because the transportation network becomes more complicated and then the average moving speed of the vehicles is lowered. Second, the accessibility tends to increase on the weekend in the analysis of accessibility changes by day. This tendency is because the bus speeds on bus routes on the weekend are faster than other days. In order to analyze the accessibility changes, we illustrate graphs of the vehicle speeds and the numbers of passengers by year and day.

• Safety and Health at Work
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• v.12 no.2
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• pp.255-260
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• 2021

Background: A well-designed shift schedule has been reported to have a positive effect on improving health problems associated with shift work. This study aimed to identify compliance with the 17 recommendations on work schedule (WSRs) for shift nurses and related factors. Methods: The descriptive study was conducted with 182 nurses who worked in three shifts for more than 1 year at superior general and general hospitals in three regions. Data were collected with selfadministered questionnaire and 13-week work schedule tables, and analyzed with both person- and cycle-based compliance. Results: Person-based compliance was 11.77 among 17 items in total. However, no one completely complied with WSRs of "no work on weekends" and which showed the lowest cycle-based compliance (22.3%). Compliance with some WSRs was related to hospital type, proportion of nurses in school and having standards on work schedule at institutional level. Conclusion: Compliance with WSRs of shift nurses in Korea is still unsatisfactory, and one day off after night shift and work on weekend are quite common. Hospitals should keep the standards on work schedule, monitor compliance with standards, and try to introduce modified shift systems to improve the current problems.

• Korea Journal of Hospital Management
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• v.9 no.1
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• pp.46-65
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• 2004

The study was designed to investigate what effect of working time reduction which will be gradually expanded to corporate size from June, 2004 could give to medical industries, and to provide basic information for hospitals and government to prepare the policy. 276 hospitals were surveyed about medical service income and manpower realities during the first half of 2003, using a structured survey tool. Response rate was 8% and 20 hospitals were finally analyzed. The effect of working time reduction in hospital management was different to the size of hospitals and the alternative. Income to existing service income was decreased by $2.2{\sim}4.6%$ in tertiary hospitals, by $3.2{\sim}5.7%$ in general hospitals with more than 300 beds, and by $3.7{\sim}6.0%$ in general hospitals with less than 300 beds. In preparation against such decrease in income, government is required to raise insurance payment, to calculate added service charge for day-off on Saturday forenoon, to retain emergency care payment, to expand emergency care facilities, to secure duty doctors, and to support middle and small sized hospitals. Hospitals are required to give self improving efforts such as fortifying of weekday care, development of weekend care program, strengthening of care capacity and function of emergency care center, and making manpower operation efficient.

• The Journal of the Korea Contents Association
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• v.19 no.3
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• pp.659-674
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• 2019

The purpose of this study is to verify the path of the motivation, the flow, and problem gambling and intervention points. To this end, we verified the mediation effect of the motivation of the users outside sales offices influences the problem gambling through a flow and the moderated mediation effect of the frequency of the use of a bicycle racing tracks in that process. A total of 411 cases were analyzed using surveys conducted for one day on a weekday and weekend (September 13th and 15th 2018) for adults using an outside sales office in Jangan. According to the analysis, the causality of gambling by gambling motivation(amusement, excitement, avoidance, society, money) showed its effect positively by mediating the flow. The adjusted effect of the frequency of the use on the intermediary effect of the motivation ${\rightarrow}$ flow ${\rightarrow}$ problem gambling behavior, which is the main concern of this study, was found to be statistically significant. More specifically, the effect of adjusting the frequency of the use was statistically significant in both paths: motivation/flow and flow/problem gambling. It was also shown that, in the model with excitement, avoidance and social motivation, the adjustment of the frequency was only significant in the causal relationship between the flow and problem gambling. Based on these findings, this study made clinical and policy suggestions for intervention for gamblers and user protection regulations.

• The Journal of The Korea Institute of Intelligent Transport Systems
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• v.17 no.1
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• pp.1-16
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• 2018

Changes in the life style might vary trip purposes, ultimately leading to the change in the travel behavior. Therefore, this study analyzed the factors affecting travel time change by using the time use survey data in Seoul, surveyed by the Statistics Korea in 1999~2014. We developed multiple linear regression models for travel time, considering individual, household and time-related variables as independent variables. The models were separately estimated weekday and weekend. the model results show that the household, individual, and time related variables have an significant effect on the travel time. In addition, travel time is more influenced by individual characteristics thn household ones. Each activity time positively affects the travel time, indicating that travel is derived demand. The variable that have the greatest influence on the travel time is the activity time for leisure.

• The Journal of The Korea Institute of Intelligent Transport Systems
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• v.16 no.1
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• pp.38-49
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• 2017

In general, railroad operation companies sell tickets to maximize their profits by applying the ticketing release time (when selling any tickets regardless of trip distances). This study is to analyze the effect of the release time on KTX ticket reservation behavior. The reservation behavior in this study means the reservation time calculated by difference between ticketing time and departure time. The data come from KTX ticket sales data of Gyeongbu-line for a week including Saturday and Sunday. The results show that the factors to affect the reservation time are day of the week, trip distance and operation direction, in addition to the release time. Furthermore, most of tickets were reserved three hours before their departure time, and most of the up line weekend users reserved their tickets a day before the departure time. Before the release time, reservation time was affected by up line and long distance travel. On the other hand, after the release time, it was affected by long distance travel and Sunday.

• Asian Journal of Atmospheric Environment
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• v.12 no.1
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• pp.17-29
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• 2018

For the first time in the city of Riyadh, the formation of $O_3$ and its relationship with NO and $NO_2$ ($NO_x$) was investigated. Throughout the summer $O_3$, NO, and $NO_2$ were collected from three locations: residential, industrial, and rural areas. During the sampling period $O_3$ concentrations exceeded 1-hour local standards a few times yet remained consistent with the standards most of the time. The $O_3$ concentrations were observed highest in the rural location and lowest in the industrial area. The diurnal variation of NO followed a double peak: one in the morning and the other in the evening, representing the traffic pattern. Early morning NO peaks were observed in the rural location, which were attributed to the movement of NO from other locations. The $O_3$ concentrations depicted typical pattern, increasing after sunrise and reaching its maximum during midday. The highest $O_3$ concentrations were observed in the rural location followed by the residential and industrial. $NO_2$ photolysis rates were 3-4 times higher compared to other similar investigations, potentially due to intense solar radiation. A strong negative correlation was observed between $NO_x$ and $O_3$ values in the industrial location indicating photochemical activities around the industrial area were higher, likely due to additional $NO_x$ emissions from industries. Regression analysis of $NO_x$ and OX ($O_3+NO_2$) indicated that in residential and industrial locations at nighttime there were large $NO_x$ independent regional contributions which is attributed to VOCs. The Weekend Effect was observed in the city potentially due to the production of the OH radical and subsequent reactions with VOCs implying that the area is VOC-sensitive.

• Nutrition Research and Practice
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• v.7 no.6
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• pp.488-494
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• 2013

A food allergy is an adverse health effect arising from a specific immune response that occurs reproducibly upon exposure to a given food. In those with food allergies that are thought to cause aggravation of eczema, food avoidance is important. The objective of this study was to research the nutritional status of patients with food allergies. A total of 225 subjects diagnosed with atopic dermatitis underwent a skin prick test as well as measurement of serum immunoglobulin E. Food challenge tests were conducted using seven food items: milk, eggs, wheat, soybeans, beef, pork, and chicken. At post-food challenge visits to the test clinic, participants completed a three-day dietary record, which included two week days and one weekend day, in order to evaluate energy intake and diet quality during the challenge. We analyzed nutrient intake based on differential food allergens. Subjects with a food allergy to milk showed lower intake of Ca, Zn, and vitamin B2, and subjects with a food allergy to egg showed lower intake of vitamin A, B1, B2, niacin, and cholesterol. Subjects with a food allergy to wheat and soybean showed lower intake of Ca, P, Fe, K, Zn, vitamin B2, vitamin B6, and niacin; and subjects with a food allergy to beef, pork, and chicken showed lower intake of Fe and higher intake of K, vitamin A, B2. Subjects with atopic dermatitis were lacking in several nutrients, including vitamin A and vitamin C. A greater number of food allergies showed an association with a greater number of nutrient intake deficiencies. Allergen avoidance is the basic treatment for atopic dermatitis. However, when the allergen is food, excessive restriction can lead to nutrition deficiency. Findings of this study suggest the necessity for enhanced nutritional education in order to provide substitute foods for patients with food allergies who practice food restriction.