• Title/Summary/Keyword: rehabilitation project

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A Study on the Operation and Use of Physiotherapy room at Public Health Service Center (보건소내 물리치료실 운영실태와 물리치료사의 배치방안)

  • Song, Myung-Soo;Kim, Seng-Il;Song, Mi-Wha;Park, Seon-A
    • Journal of Korean Physical Therapy Science
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    • v.6 no.4
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    • pp.263-274
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    • 1999
  • The public health service center and its branch are, as one of public institution, responsible for providing non-profitable medical service to local residents, which can't be addressed by private medical institutes. In addition, as a planning coordinator, they need to manage local medical resources effectively to make sure local residents can be offered good-quality health service fairly and impartially. The purpose of this study was to highlight the importance of physical therapy in public health service center's successful role performance, one of treatment to which local residents had a direct access. For attaining the purpose, an investigation was made into the actual facilities of public health service center and its branches in North Cholla province, the extent of use of physicaltherapy room, and the general characteristics of physical therapists. And literatures concerned were referred to. As a result, the dominant opinion was that the current physicaltherapy room shoulder be more reinforced(38.9%) or that it should he kept as it was(46.5%). Besides, the physical therapists investigated still were serving in a poor working condition. To elevate the quality and quantity of medical service, the current way to employ expert personnels temporarily or not to guarantee the position of physiotherapists should be removed immediately. Instead, physicaltherapists should be employed as regular public official. As, in home-visit project, physiotherapist are expected to play a bigger role in rehabilitation care or the management of patients with chronic disease, the physicaltherapy room should be increased and more physicaltherapists should be provided to health service institutions.

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A Theoretical Study on the Wildlife Passage for Connecting Fragmented Habitat(I)- In the case of Wildlife Passage Types and Design Process (분절된 서식처의 연결을 위한 생태이동통로에 관한 이론적 연구(I) - 유형구분 및 조성절차를 중심으로 -)

  • 김귀곤;최준영
    • Journal of the Korean Institute of Landscape Architecture
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    • v.26 no.2
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    • pp.293-307
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    • 1998
  • This study has been divided into two parts, 1) literature review and 2) a case study. Based on literature review and case studies found in Korea and abroad, this study aimed at classifying wildlife passages and establishing their development procedures in order to establish a theoretical ground for the development of wildlife passage as a way to link habitats that have been fragmented by the construction of roads and other developments. The results of the literature review are as follows : 1) Impact of road construction on surrounding ecological environment is found in various aspects. Along with damage of habitats as direct impact, decrease of biodiversity and simplification of species due to limited breeding and movement are cited as possible indirect impact. 2) In order to lessen the impact generated from fragmented habitats, various types of wildlife passage are being developed in Europe and are showing positive results. 3) In Korea, interests on animal passages have been rising recently. The ministry of Environment and local authorities are establishing development plans for the passages. However, practical materials on the usefulness of adoped methods are not available.4) In order to create an effective wildlife passage, decisions have to be made first on basic factors of planning and designing such as ecosystem rehabilitation methods and surveys on wildlife movement routes and habitat environment. Based on this, in a planning and designing stage, the location and type of a passage, size and measures to attract animals and prevent a collision need to be finalized. This should be followed by a series of process of maintenance, management and monitoring after the development. Based on the results of a theoretical study to develop an wildlife passage, Part 2 of this study deals with the results of an experiment through a specific planning and design that includes a process of ecological surveys, site selection, type selection, ecosystem infrastructure, planting design and construction details on an actual study area and presents them as a model project.

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Performance analysis of flood prevention projects through flood simulation (침수 시뮬레이션을 통한 침수예방사업의 성과분석)

  • Shin, Jungsub;Chung, Seokhyun;Cho, Byoungog;Kang, Seonhong;Park, Byungman;Yoon, Joonjae
    • Journal of Korean Society of Water and Wastewater
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    • v.32 no.2
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    • pp.169-181
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    • 2018
  • For performance analysis of flood prevention projects, this study performed simulation (SWMM) for the five sites where the projects have been completed. The models were constructed using watershed and sewer information of the project sites and were verified using flood records in the past to improve accuracy. In this simulation, the design rainfall data (probability 30~50 years) and the rainfall data in the summer of 2017 were applied. When the design rainfall data was applied to the models, simulation results presented that all the sites were flooded before the projects, but after the projects all the sites were not flooded due to improve discharge capacity. And when the rainfall data in the summer of 2017 was applied to the models, simulation results presented that all the sites were flooded before the projects, but after the projects any sites did not occur flooding in this summer. So if the projects had not been completed, all the sites might be flooded in the summer of 2017. These effects were analyzed as the improvement of discharge capacity due to rehabilitation of sewer, construction of underground tunnel and pumping station, etc. As the results, ratio of sewer that water depth exceed diameter reduced from 52.3~75.8% to 17.1~39.8%.

Development of Approximate Cost Estimate Model for Aqueduct Bridges Restoration - Focusing on Comparison between Regression Analysis and Case-Based Reasoning - (수로교 개보수를 위한 개략공사비 산정 모델 개발 - 회귀분석과 사례기반추론의 비교를 중심으로 -)

  • Jeon, Geon Yeong;Cho, Jae Yong;Huh, Young
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.33 no.4
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    • pp.1693-1705
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    • 2013
  • To restore old aqueduct in Korea which is a irrigation bridge to supply water in paddy field area, it is needed to estimate approximate costs of restoration because the basic design for estimation of construction costs is often ruled out in current system. In this paper, estimating models of construction costs were developed on the basis of performance data for restoration of RC aqueduct bridges since 2003. The regression analysis (RA) model and case-based reasoning (CBR) model for the estimation of construction costs were developed respectively. Error rate of simple RA model was lower than that of multiple RA model. CBR model using genetic algorithm (GA) has been applied in the estimation of construction costs. In the model three factors like attribute weight, attribute deviation and rank of case similarity were optimized. Especially, error rate of estimated construction costs decreased since limit ranges of the attribute weights were applied. The results showed that error rates between RA model and CBR models were inconsiderable statistically. It is expected that the proposed estimating method of approximate costs of aqueduct restoration will be utilized to support quick decision making in phased rehabilitation project.

A Method for Customizing Flexible Pavement Design Parameters for EDCF-Funded Projects in Asia (아시아 지역 EDCF 사업의 가요성포장 설계 계수 적용방안)

  • Shim, Cha-Sang;Cho, Yoon-Ho
    • International Journal of Highway Engineering
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    • v.19 no.5
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    • pp.21-31
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    • 2017
  • PURPOSES : One of the main components of road projects funded by the Economic Development Cooperation Fund (EDCF) is the improvement or rehabilitation of existing pavements. The result is that pavement structures are critical to the success of a project. There is, however, no design standard available at present that reflects a region's specific features including climate conditions and quality of pavement materials. For this reason, a comparative study of the major EDCF borrowers' flexible pavement design standards was conducted. This study led to the proposal of a new method for applying flexible pavement designs which can be used for EDCF-funded projects in Asia. METHODS : The method has been produced by adjusting some input data of the "AASHTO Interim Guide for Design of Pavement Structures" in accordance with certain Asian countries' geometrical features, tropical and subtropical weather, and strength of pavement materials. The Philippine regional factors, having five different grades, have been selected after taking into consideration the amount of rainfall, strength of pavement materials, and characteristics of the Asia and Pacific regions. Structural layer coefficients have been prepared for two different regions according to the geometric difference between Southeast and Southwest Asia. The Philippine and Sri Lankan coefficients have been used for Southeast Asia and Southwest Asia, respectively. CONCLUSIONS : Owing to applying this new method, it was verified that the thickness of the pavement was underestimated by between 11 cm and 16 cm compared with the originally designed thickness. Having discovered that the use of the Korean and American-oriented factors and coefficients is not appropriate for other Asian countries, the new method is expected to enhance the quality of pavement in future projects.

Reforming the Rural Health Insurance Programs in Korea (농촌의료보험의 당면과제와 개선방향)

  • Moon, Ok-Ryun
    • Journal of agricultural medicine and community health
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    • v.16 no.2
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    • pp.179-194
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    • 1991
  • Despite its universal coverage of health insurance, the rural health insurance program(RHIP) stands at the crossroads in Korea. The RHIP has weaknesses in stability of financing, problems of inequities in the provision of health services and has suffered from high cost of running the program. The author has analyzed these problems from the perspective of health insurance policy and presented several options for improvement. First of all, this study urged the importance of a firm Governmental commitment of RHIP with the 50% subsidization of contributions as the Government had promised, instead of the current 40%. This can be justified from the 20% subsidization by the Government for the contributions of private school teachers and their dependents, who belong to richer segments of the population. Second, various cost containment measures ought to be sought curbing the rising demand for medical through strengthening health education and increasing individual responsibility, and tightening the claim review process. Third, this study requires the Government to run a demonstration project on the introduction of case payment system for primary health care. Fourth introducing an income-related cost sharing scheme is another possibility. Reforming the cost sharing formula for large medical expenditures is recommendable for a beginning. This measure can take the form of tax credit for medical expenditures of the poor. Fifth, the degree of financial adjustment among health insurance plans should be levelled up for enhancing stability of RHIP and social solidarity. Sixth, health policy should be redirected toward development of rural health resources and higher priority should be put on relieving difficulties in access to care. Seventh. the insurance plan owned-hospital needs to be developed or provision of health services in the medically underserved areas, and the need of such facilities is particularly acute for geriatric care, rehabilitation and renal dialysis, etc. Eighth, more generous insurance benefits are required of the elderly who are suffering the most : elimination of the maximum 180 days of benefit period and provision of glasses and artificial dentures, etc. Ninth. the economies of scale principle is working for the operating expenses of regional self-employed insurance plan. Thus, measures should be instituted to pursue an optimum size of health insurance plans. Lastly, excessive dependence on exclusion items is an evil so that some radical remedies are urgently required to cut them.

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Curriculum Analysis of Chuna Manual Medicine in Korea (추나의학 관련과목 개설현황 조사)

  • Park, Tae-Yong;Shin, Byung-Cheul
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.5 no.1
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    • pp.157-168
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    • 2010
  • Objectives: The aim of this study was to investigate the curriculum of Chuna manual medicine (CMM)-related subjects in oriental medicine college and to let CMM have opportunities to develope current curriculum and basic circumstance for CMM. Methods: Questionnaire was obtained from 11 oriental medicine college and 1 school of Korean medicine, Pusan National University, bye-mail. If there was any insufficient information from response, we asked more information by direct call. Results and Conclusions: The findings from our study can be summarized as follows: 1. There are three CMM-related subjects, CMM, Oriental Rehabilitation Medicine (ORM) and Neuromusculoskeletology(NMS). All curriculums of 8 colleges belonged to classification I have CMM and DRM courses. Curriculums of 4 colleges belonged to classification II, have ORM or NMS course without CMM course. 2. 10 colleges of 11 ones which have ORM course, have major compulsory courses, 1 college has a major optional course. 5 colleges of 8 ones which have CMM course, have major compulsory courses, 3 colleges have major optional courses. 2 colleges have only part-time lecturers for CMM course, other 2 college have cooperation of specialized professors and part-time lecturers, another 8 colleges have only specialized professors. 3. Most CMM-related subjects is teached at 3 or 4 grade of medical course. The units taken for CMM-related subjects is minimum 4 units to maximum 8 units in total about 160 units. 4. Total class hour for CMM-related subjects is minimum 120 hours to maximum 225 hours, and practice hours is about minimum 30 hours to maximum 75 hours. 5. The systematic regulation and financial support is needed for patients to get the best CMM treatment, because the present curriculum of CMM is insufficient for carrying out the best manual therapy for patients.

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Evaluation of structural safety reduction due to water penetration into a major structural crack in a large concrete project

  • Zhang, Xiangyang;Bayat, Vahid;Koopialipoor, Mohammadreza;Armaghani, Danial Jahed;Yong, Weixun;Zhou, Jian
    • Smart Structures and Systems
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    • v.26 no.3
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    • pp.319-329
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    • 2020
  • Structural damage to an arch dam is often of major concern and must be evaluated for probable rehabilitation to ensure safe, regular, normal operation. This evaluation is crucial to prevent any catastrophic or failure consequences for the life time of the dam. If specific major damage such as a large crack occurs to the dam body, the assessments will be necessary to determine the current level of safety and predict the resistance of the structure to various future loading such as earthquakes, etc. This study investigates the behavior of an arch dam cracked due to water pressure. Safety factors (SFs), of shear and compressive tractions were calculated at the surfaces of the contraction joints and the cracks. The results indicated that for cracking with an extension depth of half the thickness of the dam body, for both cases of penetration and non-penetration of water load into the cracks, SFs only slightly reduces. However, in case of increasing the depth of crack extension into the entire thickness of the dam body, the friction angle of the cracked surface is crucial; however, if it reduces, the normal loading SFs of stresses and joints tractions reduce significantly.

Assessment of Carbon Stock in Chronosequence Rehabilitated Tropical Forest Stands in Malaysia

  • Kueh, Roland Jui Heng;Majid, Nik Muhamad;Ahmed, Osumanu Haruna;Gandaseca, Seca
    • Journal of Forest and Environmental Science
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    • v.32 no.3
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    • pp.302-310
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    • 2016
  • The loss and degradation in tropical forest region are some of the current global concern. Hence, these issues elevated the role of rehabilitated forests in providing ecological products and services. The information on the carbon stock is important in relation to global carbon and biomass use, but lacking from the tropical region. This paper reports the assessment of tree and soil carbon stock in a chronosequence rehabilitated tropical forest stands in Malaysia. The study site was at the UPM-Mitsubishi Forest Rehabilitation Project, UPMKB. $20{\times}20m$ plot was established each and assessed in 2009 at 1-, 10- and 19-year-old sites while an adjacent ${\pm}23-year-old$ natural regenerating secondary forest plot was established for comparison. The overall total carbon stock was in the order of 19-year-old>${\pm}23-year-old$>10-year-old>1-year-old. When forest carbon stock is low, the soil component plays an important role in the carbon storage. The forest carbon recovery is crucial to increase soil carbon stock. The variations in the carbon stock showed the different stages of the forest recovery. Species survived after 19-years of planting are potential species for carbon sequestration activities in rehabilitated forest. Human intervention in rehabilitating degraded forest areas through tree planting initiatives is crucial towards recovering the forest ecological role especially in forest carbon stock capacity.

Evaluation of Ubiquitous High Blood-Pressure Demonstration in Sungnam (성남시 유비쿼터스 고혈압 관리에 대한 평가)

  • Lee, Won-Jae;Kim, Hye-Jung;Lee, Jae-Eun
    • Korean Journal of Health Education and Promotion
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    • v.25 no.1
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    • pp.13-23
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    • 2008
  • Objective: The current study was to test if the developed sphygmomanometer was working well and blood pressure information could be collected and monitored systematically through the internet. We tested if the sphygmomanometer and services for blood pressure controlled high blood pressure significantly and the ubiquitous monitoring could be used further. Methods: Kyungwon University, KT Co., Gil Medical Center, LIG Nex1 Co., and Sujeong Health Center conducted an ubiquitous high blood control project in Sujeong-gu, Sungnam, Korea from Mar. 5 to May 16. We developed and applied sphygmomanometer. We distributed the devices to 27 high blood pressure patients. The blood pressures of the residents were monitored through the internet when they measured blood pressures in their homes. A nurse monitored and consulted their blood pressures in the monitoring center in Kyungwon University during the demonstration period. The consultant called them and consulted on their blood pressures in few seconds they used the sphygmomanometers. For the significance of change in blood pressure, we tested statistically with Generalized Additive Model(GAM) and Multi-level Analysis. Results: Both GAM and Multi-level Analysis showed that the blood pressures of persons with ubiquitous blood pressure management decreased significantly as time passed. Conclusions: The internet monitoring and services are considered to be promising because most of the participants were satisfied especially because somebody was caring their health. The decrease of blood pressures was significant by GAM and Multi-level Analysis. Thus, we can apply ubiquitous blood pressure management to health promotion projects.