• Journal of Society of Preventive Korean Medicine
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• v.16 no.1
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• pp.1-13
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• 2012

The objective of this study is to discuss the role of integrative medicine (IM) in contemporary health care settings, and how and which factors affect and facilitate the success of IM in terms of the integration of complementary and alternative medicine (CAM) and conventional medicine in primary health care (PHC). IM is meant to provide the best possible health care, for both patient and physician. The way of IM use in the developed countries presents various ways that IM can be provided, and it appears that strategies have been successfully developed to facilitate integration. Although few of the barriers to the integration of CAM and conventional medicine have been resolved, concerns over the legitimacy of CAM in health care (e.g., safety, biomedical evidence, and efficacy) are being overcome by the use of evidence-based practice in IM delivery. There are dominant models of IM that have been developed. The model types signify different levels of equity between CAM and conventional medicine in regard to the power, autonomy, and control held by each. However, the factors common to all IM models, whether describing CAM as supplementary or complementary to conventional medicine, is the concept of a health care model that aspires to be client-centred and holistic, with focus on health rather than disease as well as mutual respect among peer practitioners. Finally, this study concluded that the growth and viability of traditional Korean medicine(TKM) depend on evidence-based practices and identifying the successful influences on the integration of TKM and conventional medicine for recognition of its inherent value in PHC. Some recommendations for the integration of TKM and conventional medicine were suggested.

• Magazine of the Korean Society of Agricultural Engineers
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• v.41 no.2
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• pp.44-54
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• 1999

Agricultural water quality standards were reviewed through rice culture using treated sewage irrigation . The seqage from school building of Konkuk University was treated by a constructed wetland system, and theeffluent of the systeml was irrigated for rice culutre after nutrient concentration adjusted by dilution. Average concentration of COD, SS, T-N and T-P in irrigated water was 22.3mg/$\ell$, 6.5mg/$\ell$, 25.8 mg/$\ell$and 2.2mg/$\ell$, respectively. Treatment include irrigation of adjusted effluent with conventional fertilization (TWCF), adjusted effluent with no fertilization (TWNF). and effluent of the wetland system as it was with no fertilization (SWNF). These treatment plots were compared with control plot irrigated by tap water with conventional fertilization (CONTROL). Other environmentals for rice culture were identical for all the plots. Among them, TWCF showed the best growth rate and the highest yield, and constituents in the harvested rice showed not much difference among them. Which implies that irrigation with relatively high nutrient concentration compared to the current water quality standards may cause no adverse effect on rice culture and could be even beneficial . Although T-N for this study was 25 times greater than the current standards, rice culture wasnot adversely affected by irrigatino water quality and even beeter results were observed than the CONTROL. It could be mistakenly that clean irrigation water produces better agricultural product, however, it is not necessarily true. Irrigation water with moderate nutrient concentration can enhance the plant growth, and better result might be expected. Therefore, peer review and modification if necessary are needed to the current agricultural water quality standards, especially for the nutrient components.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.5
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• pp.559-564
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• 2020

In order to attain the best-educated people in a rapidly changing, modern society with English is an official language, this study applies the problem-based learning (PBL) method to the English Science Class. PBL problems were developed for PBL classes, and their effectiveness has been proven. The focus of this study was five PBL questions posed during the first semester, targeting seven learners in the fourth grade of Elementary School A. The questions were divided into levels aimed at each grade, with the emphasis on specialized English education. Learners wrote journals, peer evaluations, and self-evaluations after finishing their PBL classes. Also, a survey about PBL was conducted after the first semester. The results of the study showed that learners experienced an 86% improvement in presentation skills, an 86% improved interest in learning, 86% better understanding, and 100% improvement in both problem-solving skills and cooperation. On the other hand, learners had difficulty in understanding PBL problems, and with research using the internet. PBL was somewhat unfamiliar to the students, but the survey found that learners are already aware of its effectiveness, and that they are interested in PBL.

• The Journal of Information Systems
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• v.29 no.3
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• pp.145-157
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• 2020

Purpose This study proposed an approach for predicting the efficiency rating of the cultural tourism festivals using DEA and machine learning techniques. The cultural tourism festivals are selected for the best festivals through peer reviews by tourism experts. However, only 10% of the festivals which are held in a year could be evaluated in the view of effectiveness without considering the efficiency of festivals. Design/methodology/approach Efficiency scores were derived from the results of DEA for the prediction of efficiency ratings. This study utilized BCC models to reflect the size effect of festivals and classified the festivals into four ratings according the efficiency scores. Multi-classification method were considered to build the prediction of four ratings for the festivals in this study. We utilized neural networks and SVMs with OAO(one-against-one), OAR(one-against-rest), C&S(crammer & singer) with Korea festival data from 2013 to 2018. Findings The number of total visitors in low efficient rating of DEA is more larger than the number of total visitors in high efficient ratings although the total expenditure of visitors is the highest in the most efficient rating when we analyzed the results of DEA for the characteristics of four ratings. SVM with OAO model showed the most superior performance in accuracy as SVM with OAR model was not trained well because of the imbalanced distribution between efficient rating and the other ratings. Our approach could predict the efficiency of festivals which were not included in the review process of culture tourism festivals without rebuilding DEA models each time. This enables us to manage the festivals efficiently with the proposed machine learning models.

• Korean Journal of Childcare and Education
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• v.9 no.2
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• pp.47-73
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• 2013

The purpose of this study is to explore the relationships that a popular three year old child has with other children and teacher. One popular child was selected among thirteen children using peer-nomination method and participated in this study. During free choice play time, the popular child's various activities and interaction patterns were observed and analyzed. The popular child in this study had a steady intimate friendship with his best friend most of the time. However, he showed a tendency to behave as he pleased and give orders to other children who he was not in a close relationship with. He did some deliberate and premeditated acts to get praise and love from his teacher. The teacher's compensations also reinforced his intentional actions.

• Korean Journal of Adult Nursing
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• v.23 no.5
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• pp.514-524
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• 2011

The Korean Society of Adult Nursing (KSAN) was founded in 1971. KSAN is dedicated to the development of nursing's knowledge base and specifically in the area of adult nursing. Other goals are knowledge dissemination, promotion of nursing research and education, and the encouragement and support of nurse researchers, nurse educators and nurse practitioners through forums fostering interactions. With more than 1,100 active members in 2011, this year we celebrate the 40th anniversary of KSAN by lookingback at our past, living our present, and pursuing the future. KSAN has six branches nationwide and is governed by an eleven board of directors. KSAN's conferences, held two or three times every year, offer members opportunities to share creative nursing ideas. The Korean Journal of Adult Nursing (KJAN), our bi-monthly Journal, provides innovative ideas in the field of adult nursing for our members through peer-reviewed articles. It was launched in 1989, listed in the Cumulative Index to Nursing and Allied Health Literature (CINAHL) in 2011, and strives to publish the best articles. Each issue of the Journal examines current problems and trends in nursing practice, education, and research. On the occasion of our 40th anniversary, we pledge to continue the development of our society in order to meet the needs of our members, and contribute to expand and extend the knowledge base of adult nursing.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.17 no.4
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• pp.512-520
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• 2016

Breast cancer is the most common malignancy in women, and lymphedema is one of the most common postoperative complications of breast surgery. Exercises are usually prescribed to prevent this occurrence. On the other hand, conflicting results regarding the effects and timing of such exercises have been reported. This study reviewed systematically the contemporary literature, peer-reviewed publications, and web sites of professional organizations that examined exercise for lymphedema prevention or therapy to determine the effects of exercise on lymphedema providing the best evidence for the treatment of patients. Exercise or training groups have strategies that appear to reduce the development of secondary lymphedema and altering its progression compared to the control group. Advances in cancer treatment, cancer and exercise research, and lymphedema management require physicians to have a basic understanding of the current evidence to provide the appropriate patient education and specialist referral.

• Nuclear Engineering and Technology
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• v.41 no.9
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• pp.1143-1156
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• 2009

The SPACE code that is based on a multi-dimensional two-fluid, three-field model is under development for licensing purposes of pressurized water reactors in Korea. Among the participating research and industrial organizations, KAERI is in charge of developing the physical models and correlation packages for the constitutive equations. This paper introduces a developed wall-to-fluid heat transfer package for the SPACE code. The wall-to-fluid heat transfer package consists of twelve heat transfer subregions. For each sub-region, the models in the existing safety analysis codes and the leading models in literature have been peer reviewed in order to determine the best models which can easily be applicable to the SPACE code. Hence a wall-to-fluid heat transfer region selection map has been developed according to the non-condensable gas quality, void fraction, degree of subcooling, and wall temperature. Furthermore, a partitioning methodology which can take into account the split heat flux to the continuous liquid, entrained droplet, and vapor fields is proposed to comply fully with the three-field formulation of the SPACE code. The developed wall-to-fluid heat transfer package has been pre-tested by varying the independent parameters within the application range of the selected correlations. The smoothness between two adjacent heat transfer regimes has also been investigated. More detailed verification work on the developed wall-to-fluid heat transfer package will be carried out when the coupling of a hydraulic solver with the constitutive equations is brought to completion.

• Quality Improvement in Health Care
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• v.25 no.1
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• pp.11-28
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• 2019

Purpose: The purpose of this paper is to derive implication on the adoption of PROMs (Patient-Reported Outcome Measures) to improve quality of care in South Korea. With this purpose, the paper examines the status of PROMs in South Korea and other countries including OECD's PaRIS (Patient Reported Indicators Survey) initiative, and reviews policy cases that have adopted PROMs to improve performance of healthcare system. Methods: We conducted literature review on OECD reports on PaRIS, peer-reviewed journals, and information from the websites of relevant institutions such as ICHOM, NQF and OECD. Results: To identify healthcare services of best values and support patient-centered health system, OECD has initiated PaRIS which develops, collects and analyzes patient-reported indicators for cross-countries comparison. PaRIS is implemented on two work streams: 1) collect, validate and standardize PROMs in the areas where patient-reported indicators already exist such as breast cancers, hip and knee replacement, and mental conditions, 2) develop a new international survey on multiple chronic conditions. Countries like England, U.S., Sweden and Netherlands use PROMs for measuring performance of hospitals and performance evaluation at the national level, and provide the financial incentives for reporting PROMs. Conclusions: The use of PROMs can support the current policy agenda that is the patient-centered healthcare system which has been emphasized to reinforce the primary and the community-based care. For the use of PROMs, it is recommended to actively participate in PaRIS initiative by OECD, select appropriate instruments for PROMs, and continue on standardization of them. This will assure patients' involvement in improving health system performance, systemize information generated in the process of adopting PROMs, and develop a system to evaluate performance.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.34 no.4
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• pp.268-274
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• 2023

Objectives: This study investigated whether the Minnesota Multiphasic Personality Inventory-Adolescent Restructured Form (MMPI-ARF) can differentiate between two groups of adolescents, one diagnosed with internalizing disorders and another with externalizing disorders, and examined the clinical utility of the MMPI-A-RF by examining which subscales can significantly discriminate between these two groups. Methods: A total of 105 adolescents aged 13-18 years completed the MMPI-A-RF (53 internalizing disorder and 52 externalizing disorder groups). Independent t-test, chi-square test (χ²), and discriminant analysis were used to examine whether MMPI-A-RF can distinguish between the two groups. Results: Sixteen MMPI-A-RF scales best predicted differences between the groups with internalizing and externalizing disorders. Fourteen scales (Higher-Order Scale [Emotional/Internalizing Dysfunction], Restructured Clinical [RC] Scale [RC demoralization, Somatic Complaints (RC1), and Low Positive Emotions (RC2)], Personality Psychopathology Five Scale [Introversion/Low Positive Emotionality-Revised, Negative Emotionality/Neuroticism-Revised], Somatic/Cognitive Scale [Malaise, Head Pain Complaints, and Gastrointestinal Complaints], Internalizing Scale [Stress/Worry, Self-Doubt], Externalizing Scale [Negative School Attitudes], Interpersonal Scale [Social Avoidance, Shyness]) were associated with the internalizing disorder group, whereas two scales (Externalizing Scale [Conduct Problems, Negative Peer Influence]) were associated with the externalizing disorder group. Conclusion: The MMPI-A-RF can be an efficient assessment tool for a quick diagnosis as it can classify individuals with internalizing and externalizing disorders in clinical settings that lack a variety of assessment tools for children and adolescents.