• The Journal of the Korea Contents Association
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• v.18 no.1
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• pp.504-516
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• 2018

Many countries have tried to reform financing systems toward UHC and paid attention to the function of strategic purchasing. This study was performed to examine theoretical foundations and the function of strategic purchasing. And we examined the functions of strategic purchasing in Korea based on the framework proposed by Preker(2005). For this purpose, we reviewed literature related to purchasing. we defined the strategic purchasing as strategic activities to provide health care services people need within a given budget, which is carried out by certain organizations, purchasing organizations. These activities include selecting appropriate providers, designing and operating the payment system, setting the price, and determining the target populations and their needs etc. The relationships among government, purchasers and healthcare providers can be explained by the principal-agent theory. In addition to Preker's framework, we emphasized the importance of the infrastructure such as decision making support systems, information systems, health care resource management systems, or expenditure monitoring systems. The National Health Insurance Service and the Health Insurance Review & Assessment Service play major roles in performing strategic purchasing.

• Journal of the Korean Association of Geographic Information Studies
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• v.15 no.1
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• pp.119-132
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• 2012

Recently, forest soil sediment disasters resulting from locally concentrated heavy rainfall have been occurring frequently in steep slope areas. The importance of landslide hazard map is emerging to analyze landslide vulnerable areas. This study was carried out to develop HyGIS-Landslide based on Hydro Geographic Information System in order to analyze forest soil sediment disaster in the mountainous river basin. HyGIS-Landslide is one of HyGIS components designed by considering the landslide hazard criteria of Korea Forest Service. It could show the distribution of landslide hazard areas after calculating the spatial data. In this system, the user could reset the weight of hazard criteria to reflect the regional characteristics of the landslide area. This component provided user interface that could make the latest spatial data available in the area of interest. HyGIS-Landslide could be applied to the surveyor's compensation score and it was possible to reflect the landslide risk exactly through it. Also, it could be used in topographic analysis techniques providing spatial analysis and making topographical parameters in HyGIS. Finally the accuracy could be acquired by calculating the landslide hazard grade map and landslide mapping data. This study applied HyGIS-Landslide at the Gangwon-do province sample site. As a result, HyGIS-Landslide could be applied to a decision support system searching for mountainous disaster risk region; it could be classified more effectively by re-weighting the landslide hazard criteria.

• Journal of the Korean Association of Geographic Information Studies
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• v.16 no.4
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• pp.189-203
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• 2013

The purpose of this study is to build a GIS database that can utilized to provide a multi-dimensional analysis of aquatic health ecosystem. Especially, it was to build a GIS database for comprehensive analysis using the aquatic ecosystem health. So we collected data on aquatic ecosystem health assessment, Korea Reach File(KRF), Stream Naturalness and Water Environmental Information System, and detailed analysis of the collected data was performed. In addition, the core objects were extracted from individual data and a related entity was derived by pulling out the items associated with thematic characteristics and classifying them. The establishment of GIS database makes it possible to support the decision making for the user to quickly understand the information of water environment. Therefore, the database will provide the information for the effective management on water environment.

• Research in Community and Public Health Nursing
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• v.7 no.1
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• pp.154-169
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• 1996

Parish nursing is a community health nursing role developed in 1983 by Lutheran chaplain Granger Westberg. An increasing emphasis on holistic care, personal reseponsibility for a healthy lifestyle, and changes in healthcare delivery systems have undoubtedly facilitated the establishment and nurturance of an innovative nursing role in the community. Parish nurses are functioning in a variety of church congregations of various denominations. The parish nurse is a educator, a personal health counselor, a coordinator of volunteers. The parish nurses helps people relate to the complexed medical care system and assists people to integrate faith and health. The autors conducted a study on pastor's expectations from parish nurses. Results of this study will be useful to those instrumental in planning, initiating, supporting, and evaluating a parish nurses program The research was done on 130 pastors in Taegue and Kyong Sang Buck Do, of various ages ranging from their 20's to 60's: and pastoring churches of various sizes, ranging from under 100 to over 300 members. 94.6% agreed that they needed a parish nurse on their staff; and 86.2% said they wanted to start a parish nurse program in their churches if certain basic conditions were met. The pastors responded that some would hire the nurses on a full-time basis(22.3%), a part -time basis (37.7%) or use volunteer nurses (40%). The pastors said they would expect the following from a parish nurse: health counselling (80.0%) regular health check-ups (78.5%) health care for the elderly (78.5%) health information and education (72.3%) hospice care (72.3%) visiting sick church members at home (69.2%) arranging and training volunteers to help the seek (59.2%) health care for expectant mothers (50.0%) introducing and taking people to health care facilities (46.2%) The pastors were surveyed about specific areas of health education they would want the parish nurse to teach(for example, high blood pressure and heart disease prevention and management(76.2%) ; stress management(74.6%); and diabetes prevention and management(73.8%). The pastors were surveyed about specific areas of health counselling they would expect the parish nurse to do (for example, drug abuse, (73.1), alcohol abuse(64.6%), marriage conflict(60.0%), recovery after the loss of a loved one(56.9%), and women's conflict with parents-in-law(53.8%). The pastors were surveyed about types of things they would want included in regular health check-ups, what they would want a parish nurse to do on home visits, and what they would want included in home care for the elderly. They were also surveyed on what kind of spiritual care they would like parish nurses to give. Most (90.7%) wanted their parish, parishioners to be involved in the parish nurses program as volunteers, and in a variety of ways(such as visiting sick in their homes(68.5%) and helping with housework(63.1%) and taking sick people to health facilities(60%). Parish nurses role, activities, and boundaries of practice should be continuously monitored and refined and a 'case manager' should be conceptualized as an additional or all-encompassing role. An initial parish / community needs and readiness assessment should be done prior to establishing a program to detemine if the congregation is ready, willing, and able to support such a position for at least a 2 to 3 year period.

• Journal of Korean Society of Forest Science
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• v.94 no.6
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• pp.462-467
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• 2005

This study aims to classify the biotope types and evaluate its functions for acquiring the basic information which can support the landscape ecological management of the urban forest in the case of the three parks in Daegu metropolitan city and then to analyze vegetation landscape patterns. The biotope classification was mostly divided into 5 to 6 biotope type groups in the high units and 15 to 20 biotope types belong to them and then could know that the more big the park size, the more diverse and large the biotope types and its average area. The biotope grade over the three parks was dominating low rank grade (1 to 3 grade) 72.7% that forest organism is inadequate as live, and high grade (7 to 9 grade) did not appear entirely. Most in Biotope function estimation were appeared less than the middle rank grade and biotope area is bigger, those grade rises and temperature could know that is fallen. Vegetation landscape patterns was very simple because only two kinds of Robinia pseudo-acacia and Quercus acutissima is appeared as the dominated landscape elements in all of the three parks. And also because average area of those elements is generally 1ha or so, there was much problems in consecutiveness of functional role as forest ecosystem component. Conclusively, Ecological landscape management need to improve Biotope diversity and functionality, and it secures ecological minimal area and space linkage.

• Journal of the Korean Institute of Landscape Architecture
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• v.38 no.1
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• pp.64-73
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• 2010

This research intends to suggest the ways to improve protected area management in Korea. To this end, the current protected areas appointed in the nation and their management has been examined, and the problems of management have been identified by means of a field research of protected areas and a survey. In addition, a scheme for an integrated management system has been suggested for management improvement, and a management plan guide, as well as after-evaluation guide, has been suggested. The outcome of the research is as follows. First, the protected area management plan is needed since the protected area in our nation is not managed in a proper way after being appointed as such. Second, when making a management plan, a management organization should make a management plan that can attract voluntary participation from stake-holders by means of efficient communications with them. Third, to maintain the management plan in a consistent and systematic way, related policy, law, and institutions should be (re)formulated. Fourth, an organization responsible only for management of protected areas should be established in consideration of management inefficiency due to the overlapped appointment of managing the protected area. Fifth, the management plan guide and after-evaluation guide can be used for effective protected area management. The results of this study are expected to be helpful for creating a management improvement scheme to address the problems related to the protected areas in our nation. But, it is required to review the guides for the management plan and after-evaluation, and consistent and systemic support from the government in such areas as legislation and policy are also in great need.

• Korean Journal of Construction Engineering and Management
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• v.13 no.5
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• pp.3-11
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• 2012

The most of domestic bridge has an used life under 30 years, Future maintenance budgets can be expected to increase. However, because of bridge maintenance budgets are limited, demand for asset management being performed to achieve required performance within available budget is increasing. To perform effective asset management of bridges should be made the best use of information to occur in all phase of construction project. Therefore, the development of system and DB is required to support asset management by effective information management. The objective of this study is the development of the BIM-based bridge asset management model. Through previous research survey, BIM capabilities and asset management components were established and mutual linkages were examined. Bridge asset management model was composed of alternate assessment model. In addition, BIM-based asset management model was performed case studies to verify feasibility and applicability. The proposed model can be applied to a current bridge maintenance procedures and supported to perform effective bridge maintenance tasks within a limited budget.

• Journal of the Korean Dietetic Association
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• v.22 no.4
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• pp.292-309
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• 2016

The purpose of this study was to verify the validity of Mealworms as a hospital meal with increased nutrition density. We provided a meal for postoperative patients and conducted analysis of dietary intake and nutritional status of patients and assessment of acceptability of the meal. This study was carried out as a randomized control trial. Patients were supplied either a hospital meal using Mealworms (Experimental group) or a regular hospital meal (Control group). We investigated the administration amounts of parenteral nutrition (PN) and food intake of patients after surgery and measured anthropometry, body composition, and blood tests before surgery and at hospital discharge. We included 34 postoperative patients who were admitted to Gangnam Severance Hospital from March to September. In the groups of patients not supplied with PN, the experimental group ($964.68{\pm}284.6kcal$, $38.82{\pm}12.9g$) had significantly higher dietary calorie and protein intake than the control group ($666.62{\pm}153.7kcal$, $24.47{\pm}4.9g$)(P<0.05). Additionally in the group of patients not supplied with PN, the experimental group (1.37%) showed a significantly higher increase in fat free mass index than the control group (-3.46%)(P<0.05). In all subjects, calorie density and protein density were significantly higher in the experimental group (P<0.001), and acceptability of calorie (P=0.036) and protein (P=0.001) was also significantly higher in the experimental group. Therefore, the results of this study support the validity of the introduction of hospital meals using Mealworms.

• Geomechanics and Engineering
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• v.9 no.5
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• pp.619-629
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• 2015

Influenced by various mining activities, fractures in rock masses have different densities, set numbers and lengths, which induce different mechanical properties and failure modes of rock masses. Therefore, precisely expressing the failure criterion of the fractured rock influenced by coal mining is significant for the support design, safety assessment and disaster prevention of underground mining engineering subjected to multiple mining activities. By adopting PFC2D particle flow simulation software, this study investigated the propagation and fractal evolution laws of the micro cracks occurring in two typical kinds of rocks under uniaxial compressive condition. Furthermore, it calculated compressive strengths of the rocks with different confining pressures and box-counting dimensions. Moreover, the quantitative relation between the box-counting dimension of the rocks and the empirical parameters m and s in Hoek-Brown strength criterion was established. Results showed that with the increase of the strain, the box-counting dimension of the rocks first increased slowly at the beginning and then exhibited an exponential increase approximately. In the case of small strains of same value, the box-counting dimensions of hard rocks were smaller than those of weak rocks, while the former increased rapidly and were larger than the latter under large strain. The results also presented that there was a negative correlation between the parameters m and s in Hoek-Brown strength criterion and the box-counting dimension of the rocks suffering from variable mining activities. In other words, as the box-counting dimensions increased, the parameters m and s decreased linearly, and their relationship could be described using first order polynomial function.

• Journal of Korean Academy of Nursing
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• v.21 no.3
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• pp.365-382
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• 1991

This study was designed to measure the physical, mental-emotional and social health status of elderlies according to rural areas, medium - small cities, and large city environment. Data collection was done from July 18 to August 17 1990. The subjects were a convenience sample after their place of residence was stratified into large, medium- small cities and rural areas. Those who attended elderly centers in Seodaemun, Mapo, and Kangnam districts in Seoul were considered to be residents of a large city and interviewed by trained research assistants and student nurses. Elderlies living in Chungju, Jinju, Chuncheon, and Jeonju cities were coded as residents of medium-small cities and were interviewed by professors of nursing colleges. Rural residents were interviewed by the community health practioners working in community health clinics in North and South Kyongsang, North and South Jeolla, and Kyonggi provinces. The tool used in this study was the health assessment tool developed by Choi, Young Hee in 1990. This tool was organized into 20 physical health status, 17 mental - emotional health status, and 37 social health ststus items. Physical health status items consisted of six factors - personal hygiene activity ability, external activity utilizing traffic, mass media, and spare time ability, sexual ability, digestive system related ability, sexual ability, sensory ability, and elimination ability. Mental - emotional health status items consisted of two factors - mental health factor and emotional health factor. Social health status items consisted of seven factors -grandparental role ability, parental role ability, spoused role ability, friendship role ability, kinship role ability, group member role ability, and religious believer role ability. Data Analysis included frequencies, percentage, mean, standard deviation, ANOVA, and chi - square test. The results of the analysis are as follows : 1. The mean physical health status score for large city residents was 4.1132, for rural residents 4.0787, and for medium and small city residents 3.9565. There were significant differences according to residential area for personal hygiene activity ability, external activity ability, sexual ability, and digestive system related ability items 2. The mean mental -emotional health status score for rural residents was 3.8291, for medium and small city residents 3.7967, and for large city residents 3.7807. There was a significant difference according to residential area in the mental health ability item. 3. The mean social health status score for medium and small city residents was 3.0000, for rural residents 2.9362, and for large city residents 2.8960. There were significant differences according to residential area for kinship role ability and religious believer role ability items. The following conclusion was derived from the above results 1. The physical health status of elderlies residing in medium - small cities and in rural areas was lower than that of those residing in Seoul, a large urban area. Therefore, more medical facilities are needed in rural area so as to monitor their health, prevent disease, and promote their health. 2. The mental -emotional ststus and social health status of elderlies residing in the large city were lower than that of those residing in medium - small cities and rural areas. This may reflect weakening of the strong traditional family bond that may happen with urbanization. Continued support for elderly parents is essential and education should emphasize the traditional cultural norm and value of filial piety. 3. Facilities and programs for elderly are needed so that they may spend their time more valuably in their urban environment.