This work aims to explore personal coping and insight experience in mental disorder symptoms from the perspective of the parties in order to lay an empirical basis for the transition of the mental health service paradigm from a medical model to a human rights model. For this purpose, in-depth interviews with 8 persons with mental disorders were conducted and a model of practice was suggested through analysis using the grounded theory. As a result, 11 categories, 23 sub-categories and 132 concepts were identified. According to the analysis of this study, people with mental disorders have changed their perspective on symptoms through in-depth insight into their identities and symptoms as mental disorders, and discovered their own autonomous ways to cope with symptoms, managing their daily lives. Therefore, in developing a Korean alternative model for people with mental disorders, it is necessary to prepare conditions to find their own countermeasures through opportunities for insight.
Background and objective: The boom in urban agriculture has also resulted in the creation of many school gardens. With the increase in various hands-on education programs, people are interested in assessing the value of school gardens. This study was conducted to derive indicators for service value assessement of educational farming experience using school gardens. Methods: Through literature review, we selected assessment items and sub-factors. The indicators for evaluating the effectiveness of school gardens are classified using the Delphi method that involve a focus group experts. In order to increase the reliability and validity of the selected and classified items, an exploratory factor analysis was conducted. In addition, the relative importance and priority of each factor in each field were assessed using the analytic hierarchy process (AHP). Results: We classified the indicators into 4 criteria and come up with 13 items and 33 sub-factors in educational value, health value, economic value, and ecological and environmental value. Most of the items for the 4 value criteria derived were significant for assessing the value of agricultural experience services with content validity ratio (CVR) higher than 0.59 and reliability higher than .6 . In the value criteria, the experts rated educational value as the most important, followed by health value, ecological and environmental value, and economic value. In the assessment items, the most important was improvement of social functions. In the sub-factors, the most important was strengthening of ties (friendly interactions). Conclusion: Among the derived indicators assessing the value of school gardens, 4 criteria, 12 evaluation items and 29 sub-factors showed significance. The schematic index would be useful for the assessment.
The research investigates experimentally the effect of confinement on structural behavior at the ends of beam-column in reinforced concrete (RC) frames. In the experimental study, five specimens consisting of 1/3-scaled RC frames having single-bay, representing the traditional deficiencies of existing buildings constructed without receiving proper engineering service is investigated. The RC frame specimens were produced to represent most of the existing buildings in Turkey that have damage potential. To decrease the probable damage to the existing buildings exposed to earthquakes, the carbon Textile Reinforced Mortar (TRM) strengthening technique (fully wrapping) was used on the ends of the RC frame elements to increase the energy dissipation and deformation capacity. The specimens were tested under reversed cyclic lateral loading with constant axial loads. They were constructed satisfying the weak column-strong beam condition and consisting of low-strength concrete, such as compressive strength of 15 MPa. The test results were compared and evaluated considering stiffness, strength, energy dissipation capacity, structural damping, ductility, and damage propagation in detail. Comprehensive investigations of these experimental results reveal that the strengthening of a brittle frame with fully-TRM wrapping with non-anchored was effective in increasing the stiffness, ductility, and energy dissipation capacities of RC bare frames. It was also observed that the frame-only-retrofitting with an infill wall is not enough to increase the ductility capacity. In this case, both the frame and infill wall must be retrofitted with TRM composite to increase the stiffness, lateral load carrying, ductility and energy dissipation capacities of RC frames. The presented strengthening method can be an alternative strengthening technique to enhance the seismic performance of existing or moderately damaged RC buildings.
This study is designed to find clues to make a plan for efficient hospital bed utilization. Author has tried to estimate the level of appropriateness and to find out factors affecting intra-hospital variation of inappropriate bed utilization using modified Appropriateness Evaluation Protocol of which criteria are based on service intensity and patients' conditions. Systematic random sampling was done from the population of inpatients during one month in on university hospital. Data were collected by concurrent and retrospective medical record review and analysed by multiple logistic regression. In medical services, 83.5% of admission reveals appropriate and the level of inappropriate admission shows significant differences by patients' residence, type of department admitted to, admission 개\ulcorner, and length of stay. In surgical services, 97.3% and 34.7% are appropriate in location and timing of surgery respectively. Inappropriate timing of surgery differs significantly depending on patients' age, type of department admitted to, admission route, and length of stay. Sixty two percent of hospital days shows appropriate and the level of inappropriateness show marked differences by patients'age, type of services, admission routes, part of the month, part of the stay, and length of stay. Inappropriate hospital days are due to inappropriate level of care, premature admission, improper scheduling of diagnostic or therapeutic procedures, and problems in scheduling surgery in sequence. In conclusion, substantially high proportion of inappropriate hospital bed utilization was confirmed. To reduce it, it is necessary to develop alternative services with which can replace inpatient services, and to introduce utilization management system which may include internal peer review.
T Recently, the government has been promoting the expansion and supply of renewable energy as an alternative for achieving carbon neutrality and the nationally determined contributions by 2030. In 2020, the Ministries of Industry and Environment and the Korea Forest Service collaborated to build a nationwide onshore wind energy siting atlas considering wind resources and forestry and environmental regulations focused on central regulations. In this study, the ordinances of the local governments were analyzed to examine the effects of regional location regulations on the expansion of onshore wind power energy generation facilities, in addition to those of central regulations. A development permit standard survey of 226 urban plan ordinances of the local governments nationwide showed that presently in 2022, 52 municipalities are applying regulations on wind energy generation facilities by ordinances. This is twice more than that in 2018, when renewable energy power generation facility development was difficult. Additionally, the location regulations applied by these ordinances were organized by items and regions, and regulatory characteristics, such as the number and scope, were analyzed by regions. To analyze the spatial distribution characteristics, JeollaNamdo was selected as the case area. A spatial DB was established for regulated areas based on the regional and central regulations, and the spatial distribution characteristics and the regulatory scope were compared and analyzed.
This study aimed to estimate the impervious area rate by rural water districts in 2009 and 2021 and analyze the changes. From the EGIS(Environmental Geographic Information Service) land cover maps, the impervious areas were defined as residential, commercial, industrial, culture·sports·recreational, traffic, public facilities, and greenhouses of land cover classes. For 496 rural water districts excluding the border area with North Korea, the nationwide impervious area rate increased from 5.96% in 2009 to 7.50% in 2021. The average of the top 50 rural water districts increased from 23.4% in 2009 to 27.1% in 2021. E ven for the bottom 50 rural water districts, the average impervious area rate rose from 1.12% in 2009 to 1.40% in 2021. Rural water districts with a high impervious area rate are mainly distributed in metro cities and industrial areas. The contraries are primarily found in Gangwon, Gyeongsang, and Jeolla regions covered with forests and farmlands. Notably, the impervious area rate changed more in the neighboring rural water districts than in large cities, and the rate kept increasing slightly even in rural areas with a low impervious area rate. The findings of this study will help prepare a reasonable alternative for managing the impermeable surface of rural areas for safe and sound rural water cycle.
Journal of Korean Society of Occupational and Environmental Hygiene
/
v.33
no.4
/
pp.447-454
/
2023
Objective: This study aims to investigate the impact of changes in working conditions on job-related stress and musculoskeletal disorders using the results of seven surveys conducted at a single workplace from 2004 to 2022 regarding factors hazardous to the musculoskeletal system. Additionally, the study aims to propose alternative methods of investigating factors hazardous to the musculoskeletal system. Methods: A car parts manufacturing plant where the same survey was taken seven times from 2004 to 2022 was selected and the survey data was analyzed. The main contents of the survey were weekly working hours, Borg's scale, work intensity, job-related stress, and the prevalence of musculoskeletal symptoms. The statistical analysis was performed using SAS (version 9.4). Results: The results of this study are as follows. Firstly, changes in working conditions have an impact on job-related stress. Secondly, changes in working conditions have an impact on work intensity indicators. Thirdly, changes in working conditions have an impact on the prevalence of musculoskeletal symptoms. Fourthly, even with an increase in age and length of service, job-related stress and musculoskeletal symptoms were alleviated when working conditions were improved. Conclusions: In order for measures to reduce musculoskeletal disorders to be successful, working conditions must not deteriorate, and it is necessary to demand revisions to regulations, etc. to reflect these points in the investigation of hazardous factors to the musculoskeletal system.
The Journal of the Korea institute of electronic communication sciences
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v.18
no.6
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pp.1073-1080
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2023
The development and speed improvement of the Internet network, and the development of many platforms based on it, have brought about a rapid expansion of production and consumption of various contents. However, the existing IP-based Internet system cannot efficiently cope with such an urgent increase in data. Accordingly, an alternative called the CCN(Contents Centric Network) has emerged, enabling more efficient data transmission and reception centered on content rather than host. In this paper, we will deal with the mobility of intermediate nodes in CCN real-time streaming service, which is one of the major research fields of CCN, and minimize network overload through more efficient path switching through RSSI detection. In other words, by improving the method of selecting and switching a spare path when an intermediate node located between the requester(consumer) and the provider moves, a mechanism for managing data transmission is not interrupted and unnecessary load due to route switching does not occur in the network.
Kasidate Chantakun;Tanyamon Petcharat;Saowakon Wattanachant;Muhammad Shahrim Bin Ab Karim;Pensiri Kaewthong
Food Science of Animal Resources
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v.44
no.4
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pp.790-804
/
2024
This study compared the physicochemical properties of edible insect oils from silkworm (Bombyx mori) pupa (SP), sago palm weevil (Rhynchophorus ferrugineus) larva (PW), and bamboo caterpillar (Omphisa fuscidentalis; BC) to oils from chicken skin (CK), beef back fat (BF), pork back fat (PF), salmon belly (SB), sea bass belly (BB), coconut (C), and peanut (P). The fatty acid profiles and thermal behaviors (crystallization and melting) of the extracted oils were evaluated. PW and BC oils had more saturated fatty acids (SFAs) than CK, PF, SB, BB, and P oils. SP oil had equivalent SFA content to CK and BB oils. Insect oils exhibited similar monounsaturated fatty acid concentrations in all samples, except C oils. PW and BC oils exhibited a higher content of palmitoleic acid than the other oils. SP oils contained polyunsaturated fatty acids similar to those in SB and BB oils, which were higher than those in PW, BC, CK, BF, and PF oils. SP oil also exhibited the highest concentration of α-linolenic acid (C18:3 n-3). Arachidonic acid (0.01-0.02 g/100 g) in all insect oils was lower level compared to CK, BF, PF, SB, and BB oils. SP oil (0.03 g/100 g) exhibited a slightly higher level of eicosapentaenoic acid compared to PW (0.01 g/100 g) and BC (0.01 g/100 g) oils. The insect oils were liquid at ambient temperature, solid below -15℃, and required less energy (∆Hm-max) for melting than other samples. This study indicated that insects, particularly SP, could serve as an alternative source of fat to meet its growing demand.
Journal of agricultural medicine and community health
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v.49
no.3
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pp.235-256
/
2024
Background: The adequate provision of medical care relies on the availability of a suitable number of healthcare professionals. To ensure stability in healthcare delivery, it is crucial for a country to accurately estimate and address the supply of doctors. This study aims to contribute to the formulation of effective policies for securing and distributing doctor manpower, with a focus on medically underserved areas at both the national and local government levels. Methods: Employing the system dynamics methodology, this research utilizes stock and flow diagrams, including level and rate diagrams, to quantitatively analyze the cumulative structure of the doctor supply and demand system. Results: The analysis reveals a substantial shortage of clinical doctors in Gyeongsangnam-do, amounting to 15,477 as of 2021. Projections indicate a need for an additional 7,570 doctors by the year 2050 to maintain the current healthcare service level. Examination of medical treatment rights and distribution across cities and counties indicates an insufficiency in doctor supply relative to demand in the majority of regions. Alternative scenarios, such as increasing medical school enrollments and adjusting retirement ages, were explored, yet none provided a sufficient resolution to the shortage. Conclusion: The findings underscore an impending exacerbation of the doctor shortage in Gyeongsangnam-do if the existing system is perpetuated. Addressing this issue necessitates not only augmenting the number of medical school students and adapting retirement age policies but also implementing diverse strategies employed successfully in other countries. This study serves as a foundational step in informing evidence-based policies aimed at securing an ample and appropriately distributed doctor workforce for sustainable healthcare delivery.
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