• Korean Journal of Adult Nursing
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• v.25 no.2
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• pp.113-124
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• 2013

Purpose: Purposes of this study were to develop a reliable and valid checklist to assess and manage post-stroke dysphagia and to identify its utilization. Methods: The first step was to develop checklist through systematic literatures reviews, to test the content validity from 11 clinical experts, and to test the construct validity and the internal consistency from 97 patients with post-stroke dysphagia. The second step was to identify clinical use of the checklist from the same 97 patients. Results: A total of 18 items compromised the assessment checklist and 64 items for intervention checklist. Internal consistencies of assessment checklist and intervention checklist were .84 and .98, respectively. In both checklists, level of utilization of general appearance was the highest, while that of early signs of aspiration was the lowest. The utilization levels of two checklists were significantly higher among patients who were less than 60 years old, and had liquid diet, facial paralysis, and previous history of aspiration pneumonia. Conclusion: We found that the checklists were reliable and valid. Further study is needed to develop specific strategies to improve nurses' use of assessment and intervention checklists for post-stroke dysphagia.

• Journal of Environmental Impact Assessment
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• v.18 no.6
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• pp.347-357
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• 2009

This study conducted a vulnerability assessment on Korea's physical infrastructure to provide base data for developing strategies to strengthen Korea's ability to adapt to climate change. The assessment was conducted by surveying professionals in the field of infrastructure and climate change science. A vulnerability assessment was carried out for seven climate change events: average temperature increases, sea level rise, typhoons and storm surges, floods and heavy rain, drought, severe cold, and heat waves. The survey asked respondents questions with respect to the consequences of each climate change event, the urgency of adaptation to climate change, and the scale of investment for adaptation to each climate change event. Thereafter, management priorities for infrastructure were devised and implications for policy development were suggested. The results showed that respondents expected the possibility of "typhoons and storm surges" and "floods and heavy rain" to be the most high. Respondents indicated that infrastructure related to water, transportation, and the built environment were more vulnerable to climate change. The most vulnerable facilities included river related facilities such as dams and riverbanks in the "water" category and seaports and roads in the "transport and communication" category. The results found were consistent with the history of natural disasters in Korea.

• Journal of Plant Biotechnology
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• v.36 no.4
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• pp.360-365
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• 2009

Over the last five years, we have conducted research on risk assessment of domestically developed genetically modified (GM) crops and found a number of factors which could delay risk assessment process. In this review, we described such cases and discussed the problem of transgene cassette integration, the lack of information on vectors, the poor quality control in seed production and absence of bioinformatic analysis on amino acid sequence homology before GM crop development. To solve these problems, we have suggested the introduction of the screening system of elite event before risk assessment process and quality control strategies for GM seed production. In addition, we suggested that the developers of GM crops should understand the importance of risk assessment and management for the commercialization of those crops and consider the biological and ecological characteristics of host plants. Consistent communications may need to be established between GM crop developers, risk assessors and risk managers at the initial stages of GM crop development to reduce trial-and-errors.

• Health Policy and Management
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• v.28 no.3
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• pp.263-271
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• 2018

Health technology assessment (HTA) is defined as multidisciplinary policy analysis to look into the medical, economic, social, and ethical implications of the development, distribution, and use of health technology. Following the recent changes in the social environment, there are increasing needs to improve Korea's healthcare environment by, inter alia, assessing health technologies in an organized, timely manner in accordance with the government's strategies to ensure that citizens' medical expenses are kept at a stable level. Dedicated to HTA and research, the National Evidence-based Healthcare Collaborating Agency (NECA) analyzes and provides grounds on the clinical safety, efficacy, and economic feasibility of health technologies. HTA offers the most suitable grounds for decision making not only by healthcare professionals but also by policy makers and citizens as seen in a case in 2009 where research revealed that glucosamine lacked preventive and treatment effects for osteoarthritis and glucosamine was subsequently excluded from the National Health Insurance's benefit list to stop the insurance scheme from suffering financial losses and citizens from paying unnecessary medical expenses. For the development of HTA in Korea, the NECA will continue exerting itself to accomplish its mission of providing policy support by health technology reassessment, promoting the establishment and use of big data and HTA platforms for public interest, and developing a new value-based HTA system.

• Journal of Environmental Impact Assessment
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• v.20 no.2
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• pp.249-256
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• 2011

Causing by green house gas emission, global warming is being accelerated significantly. This global warming cause world climate to change quiet different than before and we call this phenomenon is Climate Change. Environmental Impact Assessment being implemented in Korea is to prevent predicted environmental impacts from deteriorating within the domestic information and situation. As the climate change is getting severe, new meteorological records can be occurred which is exceeded existing statistical data. According to KMA(Korea Meteorological Administration) data, maximum value of precipitation and temperature in many regions changed with new data within last decade. And these events accompanied with landslides and flooding, and these also affected on water quality in rivers and lakes. According to impacts by climate change, disasters and accidents from heavy rain are the most apprehensive parts. And water pollution caused by overflowed non-point sources during heavy rain fall, fugitive dust caused by long-term drought, and sea level rise and Tsunami may affect on seaside industrial complex should be worth consideration. In this review, necessity of mutual consideration with influences of climate change was considered adding on existing guideline.

• Korean Medical Education Review
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• v.10 no.2
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• pp.1-7
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• 2008

Purpose : The establishment of clinical skills centers(CSCs) to facilitate the teaching and assessment of clinical skills is one of the more recent developments occurring in medical schools worldwide. The aim of this study is to review experiences of CSCs in other medical schools and learn how to design a CSC in our school. Methods : This study was undertaken in two steps. In the first step, educational activities of CSCs in 6 medical schools were reviewed. In the second step, a search for articles of journals regarding clinical skills education in CSCs was conducted. Results : The review of CSCs programs reveals variations among centers in teaching and assessment activities. However there are increasing trends of utilizing CSCs in teaching and learning in CSCs. The delivery of clinical skills is expanded by an increasing use of simulated patients and realistic simulators. Through an audio/video technology, availability of more detailed monitoring and feedback. CSCs also provide greater opportunity for assessment of communications skills, physical examination and practical procedures. Conclusions: CSCs contribute to the effectiveness in clinical teaching and assessment. Educational benefits of a CSC can be maximized by utilizing new delivery methods, implementing educational strategies and staff development programmes.

• Journal of Environmental Impact Assessment
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• v.20 no.3
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• pp.411-424
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• 2011

Over the past three decades, Korea has undertaken a series of reforms to improve development policy, plans and programs, including measures to mainstream the environment across all major sectors. Despite of these efforts, there has been still the lack of capacity to fully assess the environmental impacts as well as sustainable implications of development projects and strategies. At the level of regional and sectoral development plans, the development of strategic environmental assessment SEA systems continues to remain at a relatively early stage in the region with fewer examples of fully operational processes or effective practice. This study shows a further information to our understanding of the EIA and SEA systems and their implementation in Korea. It affords a number of insights into strengths and weaknesses of the current action in different countries, and identifies an agenda of needs and options for capacity building for implementing the EIA enactment.

• Journal of the Korean Society of Safety
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• v.38 no.3
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• pp.110-120
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• 2023

Following the Fukushima accident, portable equipment employed as accident mitigating systems have been installed and operated to reduce core damage and large early release frequencies. In addition, the establishment of an accident management strategy has gained importance. This study investigated the current status of portable equipment including the international portable equipment FLEX (diverse and flexible coping strategies), and domestic portable equipment multi-barrier accident coping strategy (MACST). Research on optimal utilization of MACST remains insufficient. As a preliminary study for establishing an optimal strategy, sensitivity studies were conducted to facilitate the priority of use on portable equipment, number of portable equipment, and dependency of operator actions based on a multi-unit probabilistic safety assessment model. The results revealed the conditions that reduced the multi-unit and site conditional core damage probabilities, indicating the optimal strategy of MACST. The results of this study can be used as a reference for establishing an optimal strategy that utilizes domestic safety equipment in the future.

• Journal of Environmental Science International
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• v.23 no.8
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• pp.1395-1407
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• 2014

Coal seam gas (CSG) production involves extracting methane from coal seams with ground water which is so called a primary by-product of this process, and is often rich in salts and other constituents. The predicted large volume and variable quality of this water make water management a topic associated with CSG production. In the past, the amount of this water used to be pumped into the vacant aquifer, or into the river during the life of individual production wells. Australian government make a strategies for management and beneficial use of the water. From this point of view, a detailed assessment has not been undertaken, it is necessary for water resource production to analysis the "Coal Seam Gas Water (CSG Water) Management Policy Study" published in Queensland, Australia.

• Structural Engineering and Mechanics
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• v.50 no.4
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• pp.541-561
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• 2014

This paper approaches the issue of seismic vulnerability assessment strategies for facade walls of traditional masonry buildings through the development of a methodology and its subsequent application to over 600 building facades from the old building stock of the historic city centre of Coimbra. Using the post-earthquake damage assessment of masonry buildings in L'Aquila, Italy, an analytical function was developed and calibrated to estimate the mean damage grade for masonry facade walls. Having defined the vulnerability function for facade walls, damage scenarios were calculated and subsequently used in the development of an emergency planning tool and in the elaboration of an access route proposal for the case study of the historic city centre of Coimbra. Finally, the methodology was pre-validated through the comparison of a set of results obtained from its application and also resourcing to a widely accepted mechanical method on the description of the out-of-plane behaviour of facade walls.