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Home care services: crisis and prospects (가정간호: 위기와 전망)

  • Song, Chong-Rye
    • Perspectives in Nursing Science
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    • v.6 no.1
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    • pp.55-65
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    • 2009
  • The Korean government introduced Home Care Services System to cut medical cost and make efficient use of limited medical resources because of increasing chronic diseases and the growing population of the elderly. The Korean government established measures to control the use of insurance services by restricting the number of nurse's visits to patient's home and by asking the patients to shoulder the transportation fee of nurses during the visit. Factors such as oversupply of hospital facilities, low price of home care services, high insurance coverage for hospital services and increased nuclear family set up resulted in the limited use of home care nursing services. The introduction of long-term care insurance in 2007 brought the decrease in the number of home care agencies and these agencies are facing a crisis today. The increase in chronic diseases and growing population of the elderly recently resulted in the need to control the high medical cost. Home care services for early discharge patients and chronic-severe disease patients will contribute in the reduction of medical cost at the same time improves the quality of patient's life. To catch up with the demands of the nation, accessibility to home care services should be improved and policies such as the expansion of home care services insurance coverage and promotion of establishing home care agencies should be considered.

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Zigbee-based Local Army Strategy Network Configurations for Multimedia Military Service

  • Je, Seung-Mo
    • Journal of Multimedia Information System
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    • v.6 no.3
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    • pp.131-138
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    • 2019
  • With the rapid evolution of communication technology, it became possible to overcome the spatial and temporal limitations faced by humans to some extent. Furthermore, the quality of personal life was revolutionized with the emergence of the personal communication device commonly known as the smart phone. In terms of defense networks, however, due to restrictions from the military and security perspectives, the use of smart phones has been prohibited and controlled in the army; thus, they are not being used for any defense strategy purposes as yet. Despite the current consideration of smart phones for military communication, due to the difficulties of network configuration and the high cost of the necessary communication devices, the main tools of communication between soldiers are limited to the use of flag, voice or hand signals, which are all very primitive. Although these primitive tools can be very effective in certain cases, they cannot overcome temporal and spatial limitations. Likewise, depending on the level of the communication skills of each individual, communication efficiency can vary significantly. As the term of military service continues to be shortened, however, types of communication of varying efficiency depending on the levels of skills of each individual newly added to the military is not desirable at all. To address this problem, it is essential to prepare an intuitive network configuration that facilitates use by soldiers in a short period of time by easily configuring the strategy network at a low cost while maintaining its security. Therefore, in this article, the author proposes a Zigbee-based local strategic network by using Opnet and performs a simulation accordingly.

Literature Review of Listening Effort Using Subjective Scaling (주관적 측정을 이용한 청취 노력의 문헌 고찰)

  • Lee, Jihyeon;Lee, Seungwan;Han, Woojae;Kim, Jinsook
    • Korean Journal of Otorhinolaryngology-Head and Neck Surgery
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    • v.60 no.3
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    • pp.99-106
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    • 2017
  • Listening effort is defined as a listener's mental exertion required to understand a speaker's auditory message, especially when distracting conditions are present. This review paper analyzed several subjective scaling tools used to measure the listening effort in order to suggest the best tool for use with hearing-impaired listeners who have to expend much effort even in everyday life. We first explained the importance of measuring listening effort and discussed various kinds of measurements. We then analyzed and categorized 15 recently published articles (i.e., from 2014 to 2016) into three topics: performance and listening effort, listening effort and fatigue, and clinical implication of listening effort. We compared the articles in terms of pros and cons and also identified 10 tools for use in the subjective scaling. Although none of these tools were unified or standardized easily, we concluded that 7-point scale would be the most reasonable as a less time-consuming measurement for compartmentalizing the degree of listening effort. If used with objective tools for measuring the listening effort, the subjective scaling could be a powerful tool for clinical use.

Analysis of Land Conversion Characteristics in Process of Farmland Loss and Urbanization by Distance from Center of City Using Detailed Digital Land Use - With Representative Big Cities and Their Fringe Areas in Japan - (정밀수치정보를 이용한 도시중심에서 거리별 농지손실 및 도시화과정의 토지전용 특성 분석 - 일본의 대표적 도시주변지역을 중심으로 -)

  • Kim, Dae-Sik
    • Journal of Korean Society of Rural Planning
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    • v.9 no.1 s.18
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    • pp.65-75
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    • 2003
  • As a pre-step research to make land-use planning in the region level, this study aims to analyze some probability pattern representing transition probabilities from farmland to others using the sequential detailed digital land-use maps. Kinki and Chubu regions of Japan, which have Osaka and Nagoya cities as their center places respectively, were selected as test regions in this study. The 10m grid land-use maps for four time series at every 5 year from 1977 to 1992 were used. In this study, the regions were divided into three sub-areas 10km, 20km, and 30km according to distance from center cities, respectively. The correlation coefficient (CC) between sub-areas with same distance in the two regions was calculated to analyze whether or not the two regions have common points in the pattern of land-use conversion probability from farmland to other types. The probability distribution of the converted areas which were moved to the urbanized area (residential, commercial, industrial, road, park and public facility areas) was about $40{\sim}70%$ for both all periods and sub-areas. According to distance from city centers, the probability moved to the urbanized area was about 60% at 10km area, and 40% at the 30km area, which means that the values we decreased gradually, while in the case moved to the forest and the etc areas, the values were increased slightly. The CC analysis from the paddy field and the dry field to the others separately showed that there is high correlation in the probability pattern between the two regions.

Characteristics of land-use and population change in rural area by developing new expressway - A case study on Chungbu expressway and its surrounding areas in the south of Kyuinggi province - (고속도로 개발 전후의 농촌지역 토지이용 및 인구변화 특성 - 경기도 남부 중부고속도로와 주변지역을 중심으로 -)

  • Kim, Dae-Sik
    • Journal of Korean Society of Rural Planning
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    • v.9 no.2 s.19
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    • pp.49-55
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    • 2003
  • The purpose of this study is to analyze the impact of land-use and population change in rural area by new expressway. Chungbu expressway constructed in 1987, going through the south area of Kyunggi province from Seoul, was selected as a case expressway, and also 2 cities and 18 subdivisions of county in its surrounding area, as a case study area. To analyze the change characteristics before and after the construction, land-use maps of 1986 and 1996 were collected, including the census data for the years in cities and counties yearbooks. Remote sensing technology was applied to classify the land-use maps with six types of land use. Geographic information system was also used for spatial analysis, such as the land-use and accessibility changes. A 5 km buffer zone from interchange of the expressway showed about two times increase of urbanized built-up area than a 5 km buffer zone from the expressway. Accessibility from Seoul and cities was improved in most areas, which is accessing to Seoul through existing Youngdong expressway. Ten rural areas showed increased population with accessibility of average 52 minutes to Seoul and 19 minutes to cities, while eight areas showed decreased population with average 73 minutes to Seoul and 35 minutes to cities. This shows that the threshold value, which is time distance to Seoul and cities for population increase or decrease, one and half hours, respectively. Urbanized area was increased in most areas, even in population decrease areas, so this indicates that there are thinning rural areas, increasing urbanized area while decreasing population.

Evaluation on Corrosion of A106 Carbon Steel using AE Technique (음향방출기법을 이용한 A106 탄소강의 부식평가)

  • Lee, Jin-Kyung;Lee, Sang-Pill
    • Journal of Ocean Engineering and Technology
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    • v.22 no.5
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    • pp.100-105
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    • 2008
  • A106 Carbon Steel has recently been used as the material for pipes, nozzles, and tank shells in nuclear power plants. Its corrosion resistance gives the steel many advantages for use in structures under high temperature and high pressure. This steel is also expected to be used as a structural material in the shipbuilding industry for applications involving severe conditions, such as high temperature and pressure. In this study, the mechanical properties of A106 carbon steel were evaluated in regard to its corrosion times. The tensile and yielding strengths decreased as the corrosion time increased. In particular, the tensile strength was influenced by corrosion. In addition, an acoustic emission (AE) technique was used to clarify the microscopic damage to specimens that had undergone corrosion for a certain period. It was found that AE parameters, such as events, energy, duration time, and amplitude were useful for evaluating the degree of damage and remaining life of the corroded specimen. Various properties of the waveform and frequency range were also seen, based on the degree of damage to the specimen from the corrosion time.

A Study of Silk-Culture in the Period of Three-Nation -On point of the relation of Goguryo & Bakje dynasty- (삼국시대의 견문화의 연구 -고구려와 백제를 중심으로-)

  • 박일록
    • Journal of the Korean Home Economics Association
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    • v.32 no.3
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    • pp.217-226
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    • 1994
  • Cloth culture is one of the basic unit of constructing man's culture in a life of human being. One of the fundamental elements to construct cloth culture is the silk-fabric from the ancient time-Sam Han period B.C 2∼4 Korea. This study is to survey the growing aspects of the silk-fabric influence Goguryo & Bakje dynasty. It is an attempt to manifest that how silk-fabric influence through a trade or as means of currency between the two nations at that time. through a trade or as means of currency between the two nations at that time. To certify I use material such as San guo zhi, Hou Han han shu from China Samkuksaki Dong-kuk-tong-gam from Korea and NiHon Shoki from Japen and I concerned the cultural relations of politics economics and socity of the two dynastics so as to prove a relations of politics economics and socity of the two dynastics so as to prove a relative relation between the two. It is reached to the conclusion that silk fabric had been a constituent role at cloth culture at that time of Goguryo & Bakje. It is pointed out that silk-fabric had been an important role to construct the culture of social economic and politic through a trade and as a precious currency.

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Development of an Evacuation Time Calculation Program for Passenger Ships Based on IMO Guidelines, MSC.1/Circ.1238 (IMO 피난지침 기반의 여객선 탈출시간 계산 프로그램 개발)

  • Choi, Jin;Kim, Soo-Young;Shin, Sung-Chul;Kang, Hee-Jin;Park, Beom-Jin
    • Journal of the Society of Naval Architects of Korea
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    • v.47 no.5
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    • pp.719-724
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    • 2010
  • Thousands of passengers and crews are onboard a cruise ship and there are many cabins and large public spaces such as atria and theaters. Therefore it is easy to cause a huge loss of life and damage to property when accidents happen at sea. To improve the safety of passenger ships, in October 2007, IMO proposed MSC.1/Circ.1238 on guidelines for evacuation analysis and recommended its use. However, this guideline is difficult to apply because ship designers need to get many pieces of information from CAD drawings such as width and length of stairs and corridors and manually calculate the evacuation time. In this paper, for practical application of the guidelines, an evacuation time calculation program is developed using AutoCAD .NET API library and C Sharp language.

A Molecular Modeling Education System based on Collaborative Virtual Reality (협업 가상현실 기반의 분자모델링 교육 시스템)

  • Kim, Jung-Ho;Lee, Jun;Kim, Hyung-Seok;Kim, Jee-In
    • Journal of the Korea Computer Graphics Society
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    • v.14 no.4
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    • pp.35-39
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    • 2008
  • A computer supported collaborative system provides with a shared virtual workspace over the Internet where its remote users cooperate in order to achieve their goals by overcoming problems caused by distance and time. VRMMS (Virtual Reality Molecular Modeling System) [1] is a VR based collaborative system where biologists can remotely participate in and exercise molecular modeling tasks such as viewing three dimensional structures of molecular models, confirming results of molecular simulations and providing with feedbacks for the next simulations. Biologists can utilize VRMMS in executing molecular simulations. However, first-time users and beginners need to spend some time for studying and practicing in order to skillfully manipulate molecular models and the system. The best way to resolve the problem is to have a face-to-face session of teaching and learning VRMMS. However, it is not practically recommended in the sense that the users are remotely located. It follows that the learning time could last longer than desired. In this paper, we propose to use Second Life [2] combining with VRMMS for removing the problem. It can be used in building a shared workplace over the Internet where molecular simulations using VRMMS can be exercised, taught, learned and practiced. Through the web, users can collaborate with each other using VRMMS. Their avatars and tools of molecular simulations can be remotely utilized in order to provide with senses of 'being there' to the remote users. The users can discuss, teach and learn over the Internet. The shared workspaces for discussion and education are designed and implemented in Second Life. Since the activities in Second Life and VRMMS are designed to realistic, the system is expected to help users in improving their learning and experimental performances.

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A Study on the Dietary Behaviors of Female Baby Boomers and the Needs for Future Perspectives of Dietary Life (여성 베이비부머들의 식생활 태도와 미래 식생활 요구도 조사)

  • Nam, Haewon;Myung, Choonok;Park, Youngsim
    • The Korean Journal of Food And Nutrition
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    • v.26 no.4
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    • pp.895-908
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    • 2013
  • The purpose of this study is to examine female baby boomers' dietary habits and their attitudes together with their needs for future perspectives of dietary life. Our aim is to use these findings as a basic data when forecasting for food-related industries or policy making. A survey is being carried out for a total of 358 female baby boomers and analyzed by SPSS 12.0. The following is a summary of this study. The average age is 52.6 years old, most of them graduated from highschool (63.1%) and had a nuclear type of family (76.1%). Only 39.0% is composed of housewives, others had either full-time or part-time jobs. Self-assessment of stress is not so high and only 8.1% are dissatisfied with their lives. 38.2% are either overweight or obese in terms of BMI, and most of them are non-smokers (97.2%) or non-drinkers (63.0%). Their mean dietary habit scores are $70.6{\pm}11.8$, and the scores show significant relations with their education levels (p<0.01), monthly income (p<0.01), life satisfaction rates (p<0.001), stress levels (p<0.001), smoking habits (p<0.05), drinking habits (p<0.05), regular exercises (p<0.001) and regular health check-ups (p<0.05). The rate of skipping breakfast, lunch and dinner are 18.2%, 1.1%, 5.2% respectively. The main reason for skipping breakfast is the 'lack of time'. With regards to the frequency of grocery shopping, almost half of the subjects (55.7%) said '1~2 times per week' and bought mainly raw food sources such as vegetables, fruits, and meats. The majority of the subjects (91.3%) report that they cooked meals at homes, and took about 1 hour of time. The subjects also point out that cooking was a bothering task, and only 46.4% would prepare meals at home, while others would rather eat out or eat convenience foods. The main reasons for not wanting meal services in the elderly welfare facility are because they didn't want to live such places (48.4%) and the meals are tasteless (31.3%). As for delivery meal services, 60.1% are aware of it, and 39.9% would consider using it in the future. Factors to be considered when using the delivery meal service are sanitation (43.7%), nutrition (28.7%), taste (18.4%), price (6.3%), and brand name (2.9%). This study is expected to be used as useful information when developing food-related strategies for baby boomers in the future.