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Comparison of Integrated Health and Welfare Service Provision Projects Centered on Medical Institutions (의료기관 중심 보건의료·복지 통합 서비스 제공 사업 비교)

  • Su-Jin Lee;Jong-Yeon Kim
    • Journal of agricultural medicine and community health
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    • v.49 no.2
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    • pp.132-145
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    • 2024
  • Objectives: This study compares cases of Dalgubeol Health Care Project, 301 Network Project, and 3 for 1 Project based on program logic models to derive measures for promoting integrated healthcare and welfare services centered around medical institutions. Methods: From January to December 2021, information on the implementation systems and performance of each institution was collected. Data sources included prior academic research, project reports, operational guidelines, official press releases, media articles, and written surveys from project managers. A program logic model analysis framework was applied, structuring the information based on four elements: situation, input, activity, and output. Results: All three projects aimed to address the fragmentation of health and welfare services and medical blind spots. Despite similar multidisciplinary team compositions, differences existed in specific fields, recruitment scale, and employment types. Variations in funding sources led to differences in community collaboration, support methods, and future directions. There were discrepancies in the number of beneficiaries and medical treatments, with different results observed when comparing the actual number of people to input manpower and project cost per beneficiary. Conclusions: To design an integrated health and welfare service provision system centered on medical institutions, securing a stable funding mechanism and establishing an appropriate target population and service delivery system are crucial. Additionally, installing a dedicated department within the medical institution to link activities across various sectors, rather than outsourcing, is necessary. Ensuring appropriate recruitment and stable employment systems is needed. A comprehensive provision system offering services from mild to severe cases through public-private cooperation is suggested.

Customer-perceived distributive peer justice climate, community identification, C2C interaction quality, and helping intention in MMORPG contexts (고객의 분배공정성분위기 지각과 커뮤니티동일시, 고객간상호작용인식, 도움행동의도의 관계에 대한 연구)

  • Hyun Sik Kim
    • Journal of Service Research and Studies
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    • v.14 no.2
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    • pp.158-177
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    • 2024
  • This paper proposes and tests a theoretical model of the relational link between a novel form of customer-perceived fairness for a reward design (distributive peer justice climate) and C2C helping intention via community identification and online C2C interaction (friend-, neighboring customer-, audience-interaction) qualities in a collective consumption context (MMORPG). To test hypotheses, we amassed survey data within a collective consumption context (massively multiplayer online role-playing games, MMORPGs). We used structural equation modeling in analyzing the survey data. The results reveal that user-perceived distributive peer justice climate for a reward design enhances their C2C helping intention via community identification and C2C interactions in MMORPG contexts. Collective consumption-type service managers should focus on promoting the user-perceived distributive peer justice climate for their reward system to enhance users' present C2C co-creation experience (community identification, C2C interaction) and future C2C co-creation behavior (helping intention). By adopting an intra-unit level distributive justice concept (customer-perceived distributive peer justice climate) to a reward design in a collective consumption context (MMORPGs), this study informed collective consumption-type service managers of the importance of its management.

Evaluation of Changes in Particle Size and Production of Sand and Cake Produced in Wet Aggregate Production Process (습식 골재 생산 공정에서 모래 및 케이크 발생량 평가)

  • Young-Wook Cheong;Jin-Young Lee;Sei-Sun Hong
    • Economic and Environmental Geology
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    • v.57 no.2
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    • pp.177-184
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    • 2024
  • This study was conducted to find a way to reduce the production of cakes generated in the domestic aggregate production process. Cakes from 8 wet aggregate producers were collected and particle size was analyzed. Samples were collected step by step from an aggregate producer A, particle size analysis was performed, and the material balance was calculated before and after an sand recovery unit by modeling the production process. As a result of the particle size analysis of eight cakes, one sample contained 50% sand, and the rest contained about 5% to 25% sand. The results showing that the cake contained a variety of sand in cakes may indicate that the recovery efficiency of the sand recovery units in the field varied. Sieve analysis of the samples showed that the generation of sand particles increased 2.8 times during the third crushing compared to the second crushing, and more cake particles were generated. As a result of simulating the sand recovery unit model, the lower the cut point of the cyclone and dewatering screen, the higher the sand production and the less cake production appeared. In order to reduce the production of cake in the field, it was determined that an optimal operation of the sand recovery unit was necessary in the aggregate production process.

Failure Envelope of Suction Caisson Foundations in Clay Subjected to Combined Loads (점성토 지반에 시공된 석션 케이슨 기초의 파괴포락선 산정)

  • Kang, Sangwook;Lee, Donghyun;Jung, Donghyuk;Han, Taek Hee;Ahn, Jaehun
    • Journal of the Korean Geotechnical Society
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    • v.40 no.2
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    • pp.95-103
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    • 2024
  • The global increase in population and subsequent scarcity of terrestrial living spaces necessitates exploration of alternative habitats. Research into the development of underwater living areas provides promising avenues for the expansion of human living spaces and the use of marine environments. This study focuses on the failure envelope of suction caisson foundations subjected to combined loads in a marine setting, utilizing finite element analysis. The foundation is assumed to be embedded in clay characterized by a linear increase in undrained shear strength with depth, employing the von Mises constitutive model for the clay. The resulting failure envelope is represented as a tilted ellipse which expands as the undrained shear strength increases, maintaining a constant ratio between the major and minor axes. A comparative analysis of two suction caisson foundations with varying length-to-diameter ratios revealed that this ratio influences the dimensions of the failure envelope, with a tendency for the major-to-minor axis ratio to increase as the length-to-diameter ratio increases. These findings are critical for the design of suction caisson foundations in offshore environments.

Assessment of the Non-point Source Pollution Control Strategies for Water Quality Improvement in the Haeban Stream of West Nakdong River Watershed (서낙동강 유역 해반천의 수질 개선을 위한 비점오염관리대책 효과 분석)

  • Yejin Kim
    • Journal of Wetlands Research
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    • v.26 no.1
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    • pp.1-9
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    • 2024
  • In this study, a HSPF model was developed to simulate runoff and water quality in the Haebancheon watershed, which has a high land area ratio and population density among the West Nakdong River watersheds. Various non-point source pollution control strategies were applied, and the reduction in pollutant loads and the exceedance rate of water quality standards were analyzed. The scenarios included basic road cleaning for reducing pollutant loads, runoff reduction measures considering extensive low-impact development techniques, and inflow reduction measures to mitigate non-point source pollution entering the river. In the first step, practical conditions such as the number of vehicles for road cleaning in Kimhae City were considered, while for the second and third steps, it was assumed that 50% of the applicable land use area was used to be applicable for the LID techniques. As a result of applying all three measures, it was analyzed that the BOD pollutant load could be reduced by 58.28%, T-N by 58.49%, and T-P by 51.56%. Furthermore, the 60th percentile of water quality measurements accumulated over 5 years was set as the target water quality, and a flow-duration curve was constructed. The exceedance rate of the flow-duration curve before and after applying non-point source pollution reduction measures was analyzed. As a result, for BOD, the exceedance rate decreased from 41.57% before applying the measures to 16.32% after, showing a 25.25% reduction in the exceedance rate. For T-N, the exceedance rate decreased significantly from 40.31% before the measures to 22.84% after, and for T-P, it decreased significantly from 62.43% to 27.22%.

Dynamic Shear Behavior Characteristics of PHC Pile-cohesive Soil Ground Contact Interface Considering Various Environmental Factors (다양한 환경인자를 고려한 PHC 말뚝-사질토 지반 접촉면의 동적 전단거동 특성)

  • Kim, Young-Jun;Kwak, Chang-Won;Park, Inn-Joon
    • Journal of the Korean Geotechnical Society
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    • v.40 no.1
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    • pp.5-14
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    • 2024
  • PHC piles demonstrate superior resistance to compression and bending moments, and their factory-based production enhances quality assurance and management processes. Despite these advantages that have resulted in widespread use in civil engineering and construction projects, the design process frequently relies on empirical formulas or N-values to estimate the soil-pile friction, which is crucial for bearing capacity, and this reliance underscores a significant lack of experimental validation. In addition, environmental factors, e.g., the pH levels in groundwater and the effects of seawater, are commonly not considered. Thus, this study investigates the influence of vibrating machine foundations on PHC pile models in consideration of the effects of varying pH conditions. Concrete model piles were subjected to a one-month conditioning period in different pH environments (acidic, neutral, and alkaline) and under the influence of seawater. Subsequent repeated direct shear tests were performed on the pile-soil interface, and the disturbed state concept was employed to derive parameters that effectively quantify the dynamic behavior of this interface. The results revealed a descending order of shear stress in neutral, acidic, and alkaline conditions, with the pH-influenced samples exhibiting a more pronounced reduction in shear stress than those affected by seawater.

Simulation of Time-Domain Acoustic Wave Signals Backscattered from Underwater Targets (수중표적의 시간영역 음파 후방산란 신호 모의)

  • Kim, Kook-Hyun;Cho, Dae-Seung;Seong, Woo-Jae
    • The Journal of the Acoustical Society of Korea
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    • v.27 no.3
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    • pp.140-148
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    • 2008
  • In this study, a numerical method for a time-domain acoustic wave backscattering analysis is established based on a physical optics and a Fourier transform. The frequency responses of underwater targets are calculated based on physical optics derived from the Kirchhoff-Helmholtz integral equation by applying Kirchhoff approximation and the time-domain signals are simulated taking inverse fast Fourier transform to the obtained frequency responses. Particularly, the adaptive triangular beam method is introduced to calculate the areas impinged directly by acoustic incident wave and the virtual surface concept is adopted to consider the multiple reflection effect. The numerical analysis result for an acoustic plane wave field incident normally upon a square flat plate is coincident with the result by the analytic time-domain physical optics derived theoretically from a conventional physical optics. The numerical simulation result for a hemi-spherical end-capped cylinder model is compared with the measurement result, so that it is recognized that the presented method is valid when the specular reflection effect is predominant, but, for small targets, gives errors due to higher order scattering components. The numerical analysis of an idealized submarine shows that the established method is effectively applicable to large and complex-shaped underwater targets.

The Immunological Position of Fibroblastic Reticular Cells Derived From Lymph Node Stroma (림프절 스트로마 유래 Fibroblastic Reticular Cell의 면역학적 위치)

  • Jong-Hwan Lee
    • Journal of Life Science
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    • v.34 no.5
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    • pp.356-364
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    • 2024
  • Lymph nodes (LNs) are crucial sites where immune responses are initiated to combat invading pathogens in the body. LNs are organized into distinctive compartments by stromal cells. Stromal cell subsets constitute special niches supporting the trafficking, activation, differentiation, and crosstalk of immune cells in LNs. Fibroblastic reticular cells (FRC) are a type of stromal cell that form the three-dimensional structure networks of the T cell-rich zones in LNs, providing guidance paths for immigrating T lymphocytes. FRCs imprint immune responses by supporting LN architecture, recruiting immune cells, coordinating immune cell crosstalk, and presenting antigens. During inflammation, FRCs exert both spatial and molecular regulation on immune cells through their topological and secretory responses, thereby steering immune responses. Here, we propose a model in which FRCs regulate immune responses through a three-part scheme: setting up, supporting, or suppressing immune responses. FRCs engage in bidirectional interactions that enhance T cell biological efficiency. In addition, FRCs have profound effects on the innate immune response through phagocytosis. Thus, FRCs in LNs act as gatekeepers of immune responses. Overall, this study aims to highlight the emerging roles of FRCs in controlling both innate and adaptive immunity. This collaborative feedback loop mediated by FRCs may help maintain tissue function during inflammatory responses.

Mesenchymal Stem Cells Attenuate Asthmatic Inflammation and Airway Remodeling by Modulating Macrophages/Monocytes in the IL-13-Overexpressing Mouse Model

  • Yosep Mo;Yujin Kim ;Ji-Young Bang;Jiung Jung;Chun-Geun Lee;Jack A. Elias;Hye-Ryun Kang
    • IMMUNE NETWORK
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    • v.22 no.5
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    • pp.40.1-40.24
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    • 2022
  • Mesenchymal stem cells (MSCs) are attractive alternatives to conventional anti-asthmatic drugs for severe asthma. Mechanisms underlying the anti-asthmatic effects of MSCs have not yet been elucidated. This study evaluated the anti-asthmatic effects of intravenously administered MSCs, focusing on macrophages and monocytes. Seven-week-old transgenic (Tg) mice with lung-specific overexpression of IL-13 were used to simulate chronic asthma. MSCs were intravenously administered four days before sampling. We examined changes in immune cell subpopulations, gene expression, and histological phenotypes. IL-13 Tg mice exhibited diverse features of chronic asthma, including severe type 2 inflammation, airway fibrosis, and mucus metaplasia. Intravenous administration of MSCs attenuated these asthmatic features just four days after a single treatment. MSC treatment significantly reduced SiglecF-CD11c-CD11b+ monocyte-derived macrophages (MoMs) and inhibited the polarization of MoMs into M2 macrophages, especially M2a and M2c. Furthermore, MSCs downregulated the excessive accumulation of Ly6c- monocytes in the lungs. While an intravenous adoptive transfer of Ly6c- monocytes promoted the infiltration of MoM and Th2 inflammation, that of MSC-exposed Ly6c- monocytes did not. Ex vivo Ly6c- MoMs upregulated M2-related genes, which were reduced by MSC treatment. Molecules secreted by Ly6c- MoMs from IL-13 Tg mice lungs upregulated the expression of fibrosis-related genes in fibroblasts, which were also suppressed by MSC treatment. In conclusion, intravenously administered MSCs attenuate asthma phenotypes of chronic asthma by modulating macrophages. Identifying M2 macrophage subtypes revealed that exposure to MSCs transforms the phenotype and function of macrophages. We suggest that Ly6c- monocytes could be a therapeutic target for asthma management.

Influence of Mixture Non-uniformity on Methane Explosion Characteristics in a Horizontal Duct (수평 배관의 메탄 폭발특성에 있어서 불균일성 혼합기의 영향)

  • Ou-Sup Han;Yi-Rac Choi;HyeongHk Kim;JinHo Lim
    • Korean Chemical Engineering Research
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    • v.62 no.1
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    • pp.27-35
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    • 2024
  • Fuel gases such as methane and propane are used in explosion hazardous area of domestic plants and can form non-uniform mixtures with the influence of process conditions due to leakage. The fire-explosion risk assessment using literature data measured under uniform mixtures, damage prediction can be obtained the different results from actual explosion accidents by gas leaks. An explosion characteristics such as explosion pressure and flame velocity of non-uniform gas mixtures with concentration change similar to that of facility leak were examined. The experiments were conducted in a closed 0.82 m long stainless steel duct with observation recorded by color high speed camera and piezo pressure sensor. Also we proposed the quantification method of non-uniform mixtures from a regression analysis model on the change of concentration difference with time in explosion duct. For the non-uniform condition of this study, the area of flame surface enlarged with increasing the concentration non-uniform in the flame propagation of methane and was similar to the wrinkled flame structure existing in a turbulent flame. The time to peak pressure of methane decreased as the non-uniform increased and the explosion pressure increased with increasing the non-uniform. The ranges of KG (Deflagration index) of methane with the concentration non-uniform were 1.30 to 1.58 [MPa·m/s] and the increase rate of KG was 17.7% in methane with changing from uniform to non-uniform.