Journal of the Korea Academia-Industrial cooperation Society
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v.18
no.12
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pp.589-596
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2017
The purpose of this study was to investigate factors affecting employment stress among Emergency Department students and reduce stress of employment. A questionnaire survey was administered to 276 students who experienced clinical practice among 4 emergency college students in Jeollabuk-do and Jeollanam-do at 4-year and 3-year colleges from September 10 to 15, 2017. Statistical analysis was performed using the SPSS 18.0 program and analyzed by t-test, ANOVA, Pearson's correlation coefficient, and multiple regression analysis. In the results, there were significantly negative correlations between clinical training stress and major satisfaction (r=-0.192, p=0.001), significantly positive correlations between career stress and clinical training stress (r=0.222, p<0.001), and significantly negative correlations between career stress and major satisfaction (r=-0.245, p<0.001). In the multi-regression analysis, the following was discovered: higher clinical training stress (${\beta}=0.157$, p=0.005), lower major satisfaction (${\beta}=-0.211$, p<0.001), and higher career stress. Junior students (${\beta}=0.237$, p<0.001) and senior students (${\beta}=0.288$, p<0.001) had the highest career stress. Subjects with medium-level financial status had high career stress (${\beta}=0.173$, p=0.012). Therefore, this study suggests that colleges should reduce clinical training stress among emergency medical technology students, and more job support centers should be opened and job management programs developed.
The status of the forest owners and the ownership arrangement has been surveyed in the joint ownership forest of the total 250.59 ha, 17 plots including plot No. 2, in Cha-ri, Duseo-myeon, Ulju-gun, Kyongnam. It has been surveyed that the total number of the practical owners relevant to the ownership is 133 persons. However, the number of the owners is recorded as 55 person in the official documents and there has been a big difference between the number of the practical owners and that of the practical owners and that of the owners in the official documents. As 79 forestowners, 59% of the total forestowners, can not be certainly guaranteed in the execution of their legal rights to the ownership, it could be one of the factors which will hinder the promotion of the investment willingness to forest works. In order to go through with the formality of the ownership registration correspond to reality, some necessary works such as the boundary survey should be followed. Therefore it is required that any governmental or public organizations should take part in technical and financial aids to solve these matters.
Objectives: The object of this study was to compare between perceived stress, coping strategies and quality of life between parents of childhood cancer and normal controls. Methods: Global assessment of recent stress(GARS) scale and symptom checklist-90-revised (SCL-90-R) were used to measure perception for stressors and stress responses(psychopathology). Coping scale and Smithklein Beecham quality of life scale were used to measure coping strategies and quality of life. Results: Scores of perceived stress related to interpersonal, changes in relationship, sickness or illness, financial, unusual happenings on the GARS scale were significantly higher in parents of childhood cancer than normal controls. Scores of the SCL-90-R, somatization, depression, anxiety, hostility subscale were also significantly higher in parents of childhood cancer than normal controls. Scores of self control and positive reappraisal were significantly higher in parents of childhood cancer than normal controls. Parents of childhood cancer scored significantly lower in quality of life than normal controls. Scores of depression were also significantly higher in parents of children diagnosed as acute lymphocytic leukemia(ALL) than those as acute nonlymphocytic leukemia(ANLL). Conclusions: The results suggest that patients with parents of childhood cancer were likely to have higher levels of perceived stressor and psychopathology and lower quality of life than normal controls.
Journal of the Korean association of regional geographers
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v.21
no.4
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pp.716-727
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2015
The location and distribution of daycare centers do not reflect local daycare demand enough although government has increased facilities and financial supports to solve the low birthrate as a social problem. This study tried to examine spatial inequality of daycare center distribution by comparing the number of daycare facilities between city and rural communities in Jeollanam-Do. Analyzing the differences between city (5 Cities) and rural area (17 Guns) in Jeollanam-Do, it has been found that there were large differences in the number of available facilities per 1,000 children between Cities (10.9 facilities) and Guns as rural area (6.2 facilities). The average number of facilities in each City and Gun also showed a large discrepancy as a City has 147.8 facilities and a Gun has 15.4 facilities, respectively. There were total 78 Dong or Myeon with no facility at all as a dead zone of daycare, and 8 of them were Myeons in cities with 560 children, which accounted for 0.7% of total population of children in cities. On the other hand, 70 Myeons in Guns with 5,269 children have no facilities at all, which accounted for 11% of total population of children in Guns. Public facilities that parents prefer were more in cities (87) than Guns (28). Therefore, it is necessary to consider various childcare policies with minimizing discrepancies between city and rural area and investigating more accurate local demands and characteristics.
As the interest and the importance of environmental protection increases rapidly, the environment considers to be not only the item that requires a control and a duty fundamental element but the fundamental element to enhance the internection icompetitiveness n so. Along with the collapse of the foreign trade barrier and the quality improvement of a customer's life qu life of a an object is shortened liforder to sectsfy the customer's lemands and as the result of it quaother critical issues rmparding the waste treatment and recasles are now thought to be momentou onlyaddition to the issue of the greenhou e gases reduction that is considered as one of me q issues among many internection ienvironmental issues. To keep up the pace with the environmental flow qube notd countries have nlreal iput their attempts to solve this environmental problems through a number of rmpulactios and acctios and they have showed a great concern for it as it is an internection iproblem that they should aasroaeronlythe aspect of not just a compan isr a country but of the wte e globn ivillage. Sueroenvironmental flow alemaned the logistic stratmpy of a compan iand it brought up the demand for the reverse logistics in a supply chain. For the reason above, the concept of reverse logistics and classification, the comparison with any similar concepts and its necessity are studied in this research through the theoretical consideration and the current state of the reverse logistics is organized in this research by acknowledging the domestic development process and the properties regarding the recycles of resources. In addition, the way to apply to the nation was investigated by comparing with the environmentalism development process, the reverse logistics policies and examples of advanced countries in logistics. The research proposed building of intimate cooperative system between a shipper and logistic service provider for the reverse logistics throughout the whole supply chain, the financial support, amendment of regulations, support Eco-friendly logistic technology development and the propagation, effective logistic system development and others and it is expected to bring a significant meaning to the reverse logistic policy and operation later on.
By studying on the characteristics of cancer patients who receive radiotherapy and the attitudes of medical social workers, this thesis aims to suggest of requirements for medical social work intervention. The study was conducted using SPSS 10.0 for Windows to analyze data taken from a survey involving 90 cancer patients receiving radiotherapy in 4 general hospitals in Daejeon city. The data were collected form Oct. 1st to 15th, 2003, and its analyses used averages, correlation, and regression. The results were summarized as follows ; 1. The average family income in 67.8% of the cases was less than 2,000,000 won, which is a lower income bracket. In the disease characteristics, fatigue ware the highest (2.78) in the side effects of radiotherapy, which most patients were receiving alongside other forms of treatment. 2. It was shown that cancer patients receiving radiotherapy receive a high level of psychological and social support from doctors and other medical staffs, and that they also received a high average (4.38) of individual care and encouragement from family members. 3. In the psychosocial status, the need for financial assistance in the form of a national aid program or an expansion of medical insurance was great, especially in the need for house keeping service and night nurses. The need for psychosocial counselling rose following rises in treatment side effects and depression. Information for cancer patients was especially needed in the areas of treatment plans, treatment costs, and side effects of radiotherapy. The need for information rose in accordance with an elongation of hospital treatment and an escalation of care from family members.
Objective : Based on the Model of Human Occupation (MOHO), this study was to identifies the goals setting of elderly person with dementia. Methods : For 5 weeks from May to June of 2012, MOHO-based interviews and Occupational Questionnaire(OQ), Interest checklist(IC), Volitional Questionnaire(VQ), The Assessment of Communication and Interaction Skills(ACIS), Occupational Performance History Interview-II(OPHI-II), Occupational Self Assessment(OSA), The Occupational Circumstances Assessment Interview and Rating(OCAIR) assessment were conducted on elderly person with dementia. Further interviews were conducted with case manager and family. Results : After interviews and assessments were conducted, the results of which showed limitations in social and family relationship, financial issues, general well-being. Conclusion : Applying the MOHO forms a basis for judging the subject in a holistic and general way, changes how the subject is viewed, suggests various strategies. For improving the professinoalism and qualities of occupational therapy service, and may help expand the range of other relevant areas.
As the country's elderly people who are 65 years or older recently exceeded 10% of the total population with development of medical technology and improvement of living standards, Korea has turned into an aging society. Especially in Gyeonggi-do, as of late December 2012, elderly people who were 65 years or older were 1,135,242 persons, taking up 18.98% of the region's population and registering the largest number of elderly people in the nation's cities or provinces. Due to such a sharp rise in elderly population, support for the elderly is increasing the burden on families and communities. The study aims to take as its subjects elderly people staying at authorized elderly welfare facilities, who are weak in mind and body and have difficulty in daily life with disabilities, or adult day care facilities that take care of elderly people during the day or at night, examine the concept of adult day care facilities and instances in foreign countries, and study the status of the adult day care facilities located in Gyeonggi-do, their services, and safety by figuring out space arrangement based on program implementation. Spacial arrangement in program operation should satisfy fuction and purpose from the manager and user's perspective, and a desirable program operation should provide separate spaces for the elderly with Alzheimer's and those without Alzheimer's. Compared to residential care facilities, adult day care facilities incur less financial burden and, compared to other authorized services, have many right functions that can upgrade the quality of users and satisfy their desires. Major countries like Japan, the UK, and Sweden recognize the right functions of day and night care services and aggressively support and utilize adult day care facilities. For adult day care facilities, quality services should be developed and use and choices should be enhanced as regards services. Development of special programs for the elderly with dementia and stroke, instead of simple protective functions of a program, must be actively promoted, while manpower training is required for program operation, conveniences, and safety. By developing and providing space arrangement models that focus on efficiency, convenience, and safety of program operation, adult day care operation can be revitalized, while quality of elderly care may be enhanced and welfare budget can be saved.
Government organizations (including police, prosecutor, and Financial Supervisory Service) and programs to uncover or prevent from insurance crime are not well developed. However, insurance crime are increasing among not only private insurances such as life insurance, indemnity insurance, and auto insurance but also public insurances including national health insurance and industrial accident compensation insurance. The damages of crimes are serious in both economical and ethical perspectives. Insurance crime deteriorates a current account of insurance companies and the leakages due to insurance fraud worsen loss ratio. Consequently, insurance crime increases customers' costs of insurance. For this reason, insurance companies stated to establish Special Investigation Unit(SIU) to detect insurance crime and fraud by themselves. However, organizational and operational efficiencies are limited. The purpose of this study is to examine the relationship between work environment factors, perception of insurance crime and job satisfaction among Special Investigation Units. Therefore, this study investigated the perception of work environments of Special Investigation Units. In addition, this study examined how their work environments and general perception of insurance crime influence their job satisfaction. In order test the purpose of this study, reliability test, exploratory factor analysis(EFA), multiple regression were employed. The results of this study suggested that clarity of insurance company, distress/difficulty of resolve, compensation, perception of work pressure are statistically significant on jab satisfaction among Special Investigation Unit in South Korea. This exploratory study expected to contribute to understanding of Special Investigation Unit, and their insurance crime prevention system. The results from this analysis will be examined in light of previous findings and policy implications discussed.
Kim, Woorim;Nam, Chung Mo;Lee, Sang Gyu;Park, Sohee;Kim, Tae Hyun;Park, Eun-Cheol
Health Policy and Management
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v.29
no.4
/
pp.513-522
/
2019
Background: South Korea operates a Medical Aid (MA) program targeting selected low-income individuals to ensure medical service delivery to the disadvantaged while enhancing self-sufficiency of work-capable beneficiaries. However, as reasons behind welfare exits are diverse and do not always infer poverty relief or the provision of appropriate levels of health care services, this study aimed to investigate the association between changes in MA status and health care utilization. Methods: This study used the 2006 to 2015 National Health Insurance claims data. The impact of changes in annual MA status on health care utilization (yearly number of outpatient visits, inpatient visits, length of stay, and emergency department [ED] visits) was investigated using the generalized estimating equation model. Results: In 117,943 adult subjects aged 20 to 64, compared to the 'MA to MA' group, the 'MA to MA exit' group showed general decreases in utilization (outpatient visits: β=-3.93, p<0.0001; hospital admissions: relative risk [RR], 0.87; 95% confidence interval [CI], 0.83-0.91; length of stay: β=-3.64, p<0.0001; ED visits: RR, 0.83; 95% CI, 0.77-0.90). Similar patterns were found in the 'MA exit to MA exit' group (outpatient visits: β=-5.72, p<0.0001; admissions: RR, 0.91; 95% CI, 0.87-0.94; length of stay: β=-5.87; p<0.0001; ED visits: RR, 0.81; 95% CI, 0.75-0.88). Likewise, in 74,747 older adult subjects aged 65 or above, the 'MA to MA exit' group showed reduced levels of utilization (outpatient visits: β=-1.51; p=0.0020), as well as the 'MA exit to MA exit' group (admissions: RR, 0.92; 95% CI, 0.89-0.95; length of stay: β, -5.45; p<0.0001; ED visits: RR, 0.90; 95% CI, 0.83-0.97). Conclusion: MA exit was associated with general decreases in health care utilization. Utilization patterns of individuals with experiences of receiving MA benefits should be monitored to promote the ideal use of health care services while preventing potential financial barriers present in accessing medical care.
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