• 한국노년학
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• v.37 no.3
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• pp.549-565
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• 2017

A high-quality workforce is essential to delivering the high-quality care for the older people who are beneficiaries of long term care insurance. Providing adequate education and ongoing training opportunities could be one answer that may lead to the ultimate goal of improving the quality of long-term care services. Thus this study aimed to examine a workforce crisis and difficulties that care workers face in current education system, especially in contents and administration aspects and draw out suitable solutions or improvement measures. The focus group interview approach was chosen to reflect opinions of long-term care workers, directors of the education system in long-term care facilities and managers. The findings from the focus group interviews were analyzed by theme and classified into several categories by common subjects:'Training contents', 'Training environment', 'Administrator', 'Compulsory training', 'Care givers supply', 'Working condition'. Also, four content areas were presented as follows:'Job training', 'Dementia care training', 'Administration system', 'Workforce'. The caregivers demand very practical training programmes and trainers with a lot of field experience. Improving the working condition and treatments for them leeds to expand the opportunity of the on-going training.

• Journal of Korean Academy of Nursing
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• v.39 no.4
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• pp.508-517
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• 2009

Purpose: Despite recent advances in the surgical and postoperative management of infants with congenital heart disease, nutritional support for this population is often suboptimal. The purpose of this study was to develop a nutritional program for the postoperative period for infants who have had cardiac surgery and to evaluate effects of the program. Methods: A quasi-experimental design with pretest and posttest measures was used. A newly developed nutritional program including a feeding protocol and feeding flow was provided to the study group (n=19) and usual feeding care to the control group (n=19). The effects of the feeding program were analyzed in terms of total feed intake, total calorie intake, gastric residual volume, and frequency of diarrhea. Results: Calorie intake and feeding amount in the study group were significantly increased compared to the control group. However, the two groups showed no significant differences in gastric residual volume and frequency of diarrhea. Conclusion: The results indicate that the nutritional program used in the study is an effective nursing intervention program in increasing feeding amount and calorie intake in infants postoperative to cardiac surgery and does not cause feeding-related complications.

• Journal of Korean society of Dental Hygiene
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• v.18 no.1
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• pp.31-42
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• 2018

Objectives: This study aims to alleviate dental hygienists' job stress caused by emotional labor, lower their turnover rate, improve the working environment, and offer better quality of services by understanding correlations among emotional labor, job characteristics, job stress, and turnover intention. Methods: A survey was conducted in the subjects with dental hygienists who were working at general hospitals, dental university hospitals, and private dental clinics located in Seoul, Gyeonggi, and Chungnam by the convenience sampling method from June 1 through 30, 2017, and the collected data were analyzed using by SPSS Windows Ver. 22.0 (IBM CO, Armonk, NY, USA) and AMOS 21. As the statistical analysis methods, convergent validity test, structural equation model analysis and model goodness of fit were conducted using independent samples t-test, one-way ANOVA, path analysis, and confirmatory factor analysis. Results: It turned out that the more dental hygienists' deep acting of emotional labor and the more their workload of job characteristics, the higher their job stress got, and that the higher their job stress, the higher their turnover intention got. Conclusions: As a method of lowering dental hygienists' turnover intention, they may resolve emotional disharmony with their own problem-solving method, but it is necessary to develop and support organizational culture for the improvement of working environment. Dental hygienists' organizations should implement the measures to minimize their turnover rate and job stress level by allocating appropriate workload.

• Korean Security Journal
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• no.10
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• pp.409-441
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• 2005

During reformation of the world order in the 21st century, the terrorism has been showing up as a new value and rising up as core element of determining human being's quality of lives. The middle east's terrorism is leading the international terrorism and it is originated from the religious ideology which has formed for centuries and struggles for regional influence. This is the conflict aspect coming from the opposition of religious ideologies and cultural dislocations. It concludes as confrontation between the terrorism of Islam fundamentalism and western christianity that America is leading after the terrorist attack on the World Trade Center on September 11, 2001. There is little prospect for an improvement of their relationship. The Terrorism supported by government might be eradicated by America's drastic anti-terrorism policy. However, it will be serious and spread all over the world that the terrorist attacks against America and western countries is acted by militant warriors of Islamic fundamentalism, uniting Arab and Islamic peoples' emotions against America. Terrorism is urgent menace to Korea and it is needed to take measures to cope with it considering their religion and people throughly.

• Convergence Security Journal
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• v.16 no.7
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• pp.41-49
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• 2016

The need for protecting computerized medical information has been growing as information and communication technology has rapidly been developed. Government is also promoting institutional improvement measures for the information protection of medical institutions. With more emphasis upon the efforts to enhance the information protection capability of the medical institution, however, it could increase stress to the hospital workers and cause a reduction in the quality of essential medical services of medical institutions. Therefore, it is necessary to research the stress from hospital workers to strengthen the protection of information that medical institutions to manage and its antecedents. Based on the results of relevant researches, this study selected several factors that affect the security stress, including work overload, invasion of privacy and work uncertainty. The sample for this study was 123 hospital workers who were surveyed by questionnaire. The factor analysis and multiple regression method were employed for the analysis of this study. The results of this study showed that work overload, invasion of privacy and some of work uncertainty were the main factors positively influencing the security stress.

• Journal of The Korean Digital Architecture Interior Association
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• v.9 no.2
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• pp.57-65
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• 2009

Housing Re-Development business is to improve the environment of old residential area and secure insufficient infrastructure facilities for the public, and to provide housing of fine quality for the individuals and it is taken as an opportunity for the individuals to be able to increase their property. However, it is true that the benefits from the redevelopment has not offered to the original dwellers who has lived there for a long time. This research studies the related systems of the Rental House Redevelopment Supply Service and is to present the schema to raise resettlement rate through the investment on the rate of tenants who chose the rental house and their specific characters. This study is to present the reform measures about the following 3 problems, on the basis of prior theoretical studies which deals with the common factors having low rate to move in the rental house of the tenants. (1) Physical side, the problem of supply structure, which is not appropriate Housing Supply Structure, (2) Psychological side, the problem of socially excluded rental house residents (3) Economical side, low re-settlement rate of tenants caused from the unreasonableness of the estimated rental value. This study presents that the compulsory rental housing supply rate should be changed to the gross area not from the number of households, and the supply of rental houses should correspond to the household size of tenants through prior demand survey. Secondly, it proposes the housing complex layout for intermixing to solve the social problems to allow a housing for sale and rental houses mixing in a building. And it proposes that the rental value should be calculated considering the neighboring value and in the long run, it should be calculated considering the tenants' income instead construction cost estimate. Also, it should be arranged to provide an opportunity to create income through resident welfare center improvement and provide self-sufficiency functions leading residents to participate in the residential area's repairing and maintenances.

• Journal of Environmental Policy
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• v.8 no.2
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• pp.63-82
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• 2009

Because many people suffer from physical and mental damage caused by the noise created by transportation infrastructure, including road traffic, rail, and aircraft, developed countries have conducted research on predicting and solving the impact to human health from being exposed to transportation noise. Therefore, this study suggests a fundamental plan to assess the health impact of transportation noise on the basis of domestic and foreign prediction results regarding the health impact of transportation noise. The domestic and foreign exposure-response expressions, including the noise index and the health impact indicator of annoyance and sleep disturbance, are compared, and it is found that domestic individuals show a more sensitive response to transportation noise. Based on domestic and foreign research, and a case study regarding the health impact of transportation noise, a fundamental plan to assess the health impact of transportation noise comprises the preparation of objective assessment standards through the improvement of exposure-response models, and the establishment of reduction measures which can improve the quality of the transportation noise environment.

• The Korean Journal of Emergency Medical Services
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• v.9 no.1
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• pp.33-41
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• 2005

In Korea, the number of those who were drowned of the dead by 'accident and injury' ranked the third of causes of death is over 2,300 people a year. So the Ministry of Home Affairs arranged '119 drowning rescue team' at frequent occurrence regions of drowning temporarily as a part of drowning rescue measures during every summer season and made perfection more perfect for safety control and rescue services at prevention areas of accidents. However, considering that the number of professional drowning rescuers is small and it is managed temporarily only for summer, the placement of special rescue team equipped with professional education and qualification should be ensured and quick lifesaving and first-aid treatment should be conducted, since much time is required to arrive at accident place after receiving accident report at 119 office, rapid rescue and relief have not been achieved. Therefore, the placement of special rescue team should be increased for reducing the personal damages by considering regional characteristics and in particular placement of more drowning rescue teams in Jeonnam region which has more seas and rivers is needed This study aims at analyzing relief activities and statistics to cope with water accidents and achieve qualitative growth of first-aid services, examining actual conditions of water accident relief team and personnel assignment, providing first-aid services of good quality and establishing improvement methods to increase operation of relief team.

• Health Policy and Management
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• v.14 no.3
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• pp.20-44
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• 2004

The National Health Insurance Expenditure has been increased rapidly since the introduction of the separation of prescription and dispensing in 2000, and this trend of rapid growth in overall spendings rate has been observed predominantly among medical practitioners. This study was conducted to investigate the growth rate and distributional changes in private medical practitioners' expenses from 1999 to 2002 and its determinants using the National Health Insurance claims data. The total increasing rate of all medical practitioners' expenditure paid by the National Health Insurance between 1999 and 2002 was $41.71\%$, which exceeding that of general hospitals by $20\%$p. But the income distribution among each practitioner was improved as the changes in Gini coefficient(from 0.40 to 0.38) and decile distribution ratio(from 0.25 to 0.29) during the same period showed. However, this improvement in distributional patterns is not enough since even in 2002 it turned out that the highest $10\%$ income group earned 33times more than the lowest $10\%$ income group did. Also, higher Gini coefficient was observed in larger cities and some department like plastic surgery, obstetrics and gynecology. The major causes of this differentials in medical practitioners' expenses were factors related to medical demand like proportion of old population, residential economic status in a given area. In addition, providers' economic incentives also played an important role in determining their income distribution. The large income differentials among physicians may imply a skewed distribution of patients and thus long waiting time, inefficient utilization of resources and potential inadequate quality of care. In this sense, unreasonable distributional gaps should be reduced, so effective measures as well as ongoing monitoring would be necessary to correct current distributional problems.

• Earthquakes and Structures
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• v.11 no.5
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• pp.779-807
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• 2016

Ground Motion Prediction Equations (GMPEs) are essential tools in seismic hazard analysis. With the introduction of probabilistic approaches for the estimation of seismic response of structures, also known as, performance based earthquake engineering framework; new tasks are defined for response spectrum such as the reference criterion for effective structure-specific selection of ground motions for nonlinear time history analysis. One of the recent efforts to introduce a high quality databank of ground motions besides the corresponding selection scheme based on the broadband spectral consistency is the development of SIMBAD (Selected Input Motions for displacement-Based Assessment and Design), which is designed to improve the reliability of spectral values at all natural periods by removing noise with modern proposed approaches. In this paper, a new global GMPE is proposed by using selected ground motions from SIMBAD to improve the reliability of computed spectral shape indicators. To determine regression coefficients, 204 pairs of horizontal components from 35 earthquakes with magnitude ranging from Mw 5 to Mw 7.1 and epicentral distances lower than 40 km selected from SIMBAD are used. The proposed equation is compared with similar models both qualitatively and quantitatively. After the verification of model by several goodness-of-fit measures, the epsilon values as the spectral shape indicator are computed and the validity of available prediction equations for correlation of the pairs of epsilon values is examined. General consistency between predictions by new model and others, especially, in short periods is confirmed, while, at longer periods, there are meaningful differences between normalized residuals and correlation coefficients between pairs of them estimated by new model and those are computed by other empirical equations. A simple collapse assessment example indicate possible improvement in the correlation between collapse capacity and spectral shape indicators (${\varepsilon}$) up to 20% by selection of a more applicable GMPE for calculation of ${\varepsilon}$.