• Title/Summary/Keyword: tailored management

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A Study on Classifications and Characteristics of Declined Rural Area in Chungcheong Region (충청권 농촌지역 쇠퇴 특성 및 유형에 관한 연구)

  • Jo, Jin-Hee;Park, Hyung-Keun;Mo, Hye-Ran;Lee, Han-Soo
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.35 no.1
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    • pp.203-215
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    • 2015
  • The study aims to identify the degree and types of spatial recessions in Si/Gun and Eup/Myun units within Chungcheong region in South Korea to contribute to the efforts being made to diagnose the rural recession and the potentials. To this end, we analyzed 27 Sis and Guns to identify the degree of recession and potentials of rural areas in Chungcheong region. We also carried out the diagnosis and K-Means Clustering on 274 Eups and Myuns, smaller administrative units, to figure out the types and characteristics of the rural recessions. In case of the analysis targeting the Sis and Guns, a relatively high degree of rural recession was found in Cheongyang, Seocheon and Taean for Chungcheongnam-do, and in Danyang and Goisan, as well as in Boeun, Okcheon and Youngdong - which are collectively called as 'Southern 3 Areas in Chungcheongbuk-do' as they are conventionally known by their high degree of rural recession. According to the results of the clustering analysis carried out on the 166 Eups and Myuns, there were five outstanding clusters. They were; areas with housing deterioration (29), areas with poor economic foundation (16), areas with poor accessibility to central areas (42), areas with poor residential environment (51) and areas with aged population (28). The findings and results of the present study are likely to serve as a basis for the design and enforcement of forthcoming rural area activation policies. Also, it would be highly recommended that a more comprehensive diagnosis is taken from a community-level perspective and policy suggestions and strategies tailored for rural communities are further discussed.

Risks of Hyperlipidemia, Hypertension, High Blood Glucose and Liver Dysfunction in Moderately and Severely Obese Children

  • Kim, Eun-Kyung;Kim, Chang-Ok;Lee, Jung-Sook;Park, Gye-Wol;Ji, Kyung-Ah
    • Nutritional Sciences
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    • v.5 no.4
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    • pp.234-244
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    • 2002
  • This study was conducted to compare the rates of hyperlipidemia, hypertension, high blood glucose, and liver dysfunction, between 64 obese children (24 boys and 11 girls who were moderately obese, and 21 boys and 8 girls who were severely obese) and 45 normal weight children (31 boys and 14 girls) from 13 elementary schools in Kangnung city. Among the boys with severe obesity, the levels of serum triglycerides and LDL-cholesterol (133.60 $\pm$ 49.99 mg/dl and 105.00 $\pm$ 41.12 mg/dl( respectively) were significantly higher compared to the normal Weight group (81.16 $\pm$ 23.59 mg/dl and 87.74 $\pm$ 32.095 mg/dl, respectively) of moderately obese group (102.30 $\pm$ 36.03 mg/dl, 89.99 $\pm$ 32.10 mg/이, respectively). In girls, only serum triglycerides were significantly higher in the severely obese group (154.30 $\pm$ 46.84 mg/dl), compared with the normal weight group (80.00 $\pm$ 25.31 mg/dl) or moderately obese group (106.40 $\pm$ 41.73 mg/dl). In boys, blood pressure in the severely obese group (systolic: 120.5 $\pm$ 9.74 mmHg; diastolic: 80.95 $\pm$ 10.44 mmHg) was significantly higher compared with the groups of normal weight or moderately obese children. The rate of hypertriglyceridemia was significantly different among normal weight, moderately obese, and severely obese boys (9.7%, 41.7%, and 76.2%, respectively). The proportion of boys who had an Atherogenic Index(AI) higher than 3 was found to be significantly higher in the severely obese group (28.6%), compared to 6.5% in the normal weight group and 4.1% in the moderately obese group. Among boys, a significantly higher rate of hypertension was found in the severely obese group, which showed high systolic blood pressure and high diastolic pressure (81.0% and 81.0%), compared with the normal weight group (16.1% and 22.6%) and moderately obese group (33.3% and 33.3%). In conclusion, the diagnosis and management of obese children needs to be tailored to gender and the degree of obesity. Furthermore, a systematic management program needs to be developed for early screening and detection of obesity in order to minimize the risk of hyperlipidemia and hypertension, especially in severely obese children.

Performance Evaluation Model for Public-Private Partnership Projects - with Reference to BTO (Build-Transfer-Operate) Road Projects - (민간투자사업 성과평가 모델 개발 및 적용 - 도로 부문 사업을 중심으로 -)

  • Park, Hyeon;Park, Inseok;Lee, Shin
    • Korean Journal of Construction Engineering and Management
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    • v.19 no.2
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    • pp.83-95
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    • 2018
  • The aim of this paper is to develop a performance evaluation model for PPP (Public-Private Partnership) projects that appropriately reflects the important traits that are unique to PPP projects. To this end, 1) it defines a set of distinct perspectives involved in the PPP projects and their associated success factors that might differ amongst the perspectives; 2) it identifies the key performance indicators and suggests the performance evaluation criteria for each indicator; and 3) it builds a performance evaluation model by matching the success factors from each perspective with performance measure criteria as well as applies the model to the two selected BTO road projects in Korea. The process of model construction and its application confirms significant differences between the main stakeholder perspectives typically involved in PPP projects, which highlights the need for an evaluation model tailored for PPP projects by taking into account the distinct perspectives. The results from the PPP evaluation model developed in the study is compared against the results from the existing ex-post evaluation model for construction projects in general. The former shows a closer match with the results from the user satisfaction survey conducted. This new evaluation framework and the performance indicators entailed in it permits a balanced evaluation of PPP projects as it takes into account different perspectives involved in PPP projects as well as an understanding of the factors affecting the success of PPP projects. While the construction of the model is based on transport projects, it is applicable to different types of PPP projects through variation with the weight allocation amongst different success factors and/or additions or other adjustments to the performance evaluation criteria as required.

Predictors of Intention to Undergo Mammography among Underutilizers (유방암 검진 미수검자의 검진의도 관련 요인)

  • Kye, Su-Yeon;Park, Kee-Ho;Choi, Kui-Son;Bae, Mi-Jin;Moon, In-Ok;Yun, Young-Ok;Lim, Min-Kyung
    • Korean Journal of Health Education and Promotion
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    • v.26 no.2
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    • pp.75-86
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    • 2009
  • Objectives: To identify the factors associated with the intention to undergo mammography among Korean women without a prior screening experience. Methods: Among 1,039 women of the general population, we selected 145 women (mean age: 54.2 years, age range : 40-78 years) without any prior experience with mammography. They were recruited for the 'Cancer Information Needs Assessment Survey' by using the method of random multi-stage cluster sampling. Data on the socio-demographic characteristics, intention to undergo mammography based on the Precaution Adoption Process Model, level of self belief and self efficacy for breast cancer screening, motivation for decision to undergo breast cancer screening were obtained by conducting a household survey. Results: Of the study subjects, 49.7% were classified as "unengaged" and "decided not to act" regarding breast cancer screening. Women with the intention to undergo mammography were more likely to be younger (OR 0.11, 95%CI 0.04-0.36), to have been recommended to undergo screening by others (OR 3.27, 95%CI 1.36-7.87), to have a high level of perceived sensitivity (OR 3.15, 95%CI 1.27-7.82), and to have a high level of self efficacy (OR 1.09, 95%CI 0.97-1.23). Exposure to campaigns and information regarding breast cancer screening, whether cancer patients are or not in around, perceived severity, perceived benefit, and perceived cost were factors that were not significantly associated with the intention to undergo mammography. Conclusion: It is necessary to develop tailored intervention strategies for women who have never undergone breast cancer screening on the basis of their demographic characteristics and factors that positively influence the intention to undergo mammography.

Exploratory study on developing a support policy for adolescent parents: focusing on single mothers who become pregnant for the first time as teenage years (청소년부모의 지원정책 개발을 위한 조사연구 -10대에 첫 자녀를 임신한 미혼한부모를 대상으로-)

  • Lee, young ho;Park, ji yoon
    • Journal of Family Resource Management and Policy Review
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    • v.25 no.1
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    • pp.113-132
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    • 2021
  • Despite the diverse system development and improvement initiatives that have been created to improve the environments of child birth and nurturing, the birth rate in Korean society remains low. Some minor teenage single parents give birth and raise children. Teenage single parents are supported by the Single-Parent Family Support Act, but some of their needs are still not being addressed. As each single parent has different backgrounds and socioeconomic characteristics, an investigation is required for developing differentiated support in which they will be considered both parents and children. Therefore, this study identifies the unique problems encountered by teenage parents, focuses on single mothers giving birth, and explores measures that teenage parents can use to be independent members of civil society. Three suggestions are presented for the period from pregnancy and childbearing to parenting. First, there should be an education support plan that will enable them to finish tertiary education, and parent education. Second, measures should be created to initiate a change in direction in indifferent biological(real) fathers: these should enlighten and help them participate in rearing their children. Third, in addition to improvements of the current systems only targeting single parent-family support, which will help differentiate teenage parent support from adolescent single parent-family support, assistance should be given for teenage single parents to grow as a Subject of Rights through tailored independent support programs.

Fibromyalgia from the Psychiatric Perspective (정신과적 관점에서의 섬유근통)

  • Lee, Yunna;Lee, Sang-Shin;Kim, Hyunseuk;Kim, Hochan
    • Korean Journal of Psychosomatic Medicine
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    • v.28 no.2
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    • pp.99-107
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    • 2020
  • Fibromyalgia is a disorder characterized by the core symptom of chronic widespread pain, along with fatigue, sleep disturbances, mood changes, and cognitive difficulties. The etiology of fibromyalgia involves a combination of biological factors, such as genetic vulnerability, alterations in pain processing and stress response system ; psychological factors, such as anxiety, depression, anger, and perceived stress ; environmental factors, such as infections, febrile diseases, and trauma. Central sensitization, which is amplified in the process of sensory stimulation, has been emphasized as a key etiological factor, as supported by enhanced wind-up, delayed aftersensation, decreased nociceptive flexion reflex threshold and functional imaging studies. Several guidelines recommend that a multimodal approach be used to treat fibromyalgia, including both pharmacological and non-pharmacological treatments, tailored to each individual, and that clinicians should provide an intellectual framework through sufficient education and emphasis on the importance of self-management. The prevalence of mood disorders, anxiety disorders, and other psychiatric problems is 7-9 times higher in patients with fibromyalgia than in the general population ; moreover, the association between fibromyalgia and certain psychopathologies or sleep problems has also been suggested. Since psychiatric problems, with shared vulnerabilities and risk factors, interact with fibromyalgia bidirectionally and also affect the disease course, an integrated management approach is needed to determine the risk of comorbidities.

A Study on the Management of Non-Communicable Disease in Fiji (피지에서의 만성병 관리)

  • Kim, Daeseon;Romakin, Pablo;Rafai, Eric;Lee, Chulwoo
    • Journal of Appropriate Technology
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    • v.6 no.2
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    • pp.163-173
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    • 2020
  • For the successful execution of an ODA project, it is necessary to know what areas are weak and necessary to the country of demand exactly. The health sector is also a top priority in most of developing countries. This study was carried out to introduce non-communicable disease (NCD) in Fiji for ODA projects planning. The major causes of death in Fiji in 2016 are diabetes, ischemic heart disease, cerebrovascular disease, chronic kidney disease, lower respiratory infect, asthma in ranking. The major causes of death in Korea in same year are cancer, ischemic heart diseases, cerebrovascular diseases, pneumonia, suicide, diabetes in the order of ranking. The chronic disease as non-communicable disease (NCD) has been increasing continuously due to changes in lifestyle and consumption patterns and population aging in prevalence rate. This global trend is also apparent in Fiji and Korea, reflected in increasing mortality and personal costs for the treatment and management of NCD. The need for a sustained comprehensive treatment tailored for individual patients has suggested from many studies and the development of a systematic program to manage NCD patients to provide such care have been recommended. The Fiji government developed Non-communicable Diseases Strategic Plan 2015-2019 and has tried to reduce the prevalence rate of non-communicable diseases by factors. The WHO global action plan guiding national-level NCD policies requires an NCD prevention and control model at the community level, presenting strategic goals and detailed options for the introduction and application of the approach to communities. It is necessary to develop an NCD prevention and control model, consisting of a strategy of community intervention, education for students and NCD patients, and the legal enactment of NCD that adequately meets the needs of community members.

Development of Graph based Deep Learning methods for Enhancing the Semantic Integrity of Spaces in BIM Models (BIM 모델 내 공간의 시멘틱 무결성 검증을 위한 그래프 기반 딥러닝 모델 구축에 관한 연구)

  • Lee, Wonbok;Kim, Sihyun;Yu, Youngsu;Koo, Bonsang
    • Korean Journal of Construction Engineering and Management
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    • v.23 no.3
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    • pp.45-55
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    • 2022
  • BIM models allow building spaces to be instantiated and recognized as unique objects independently of model elements. These instantiated spaces provide the required semantics that can be leveraged for building code checking, energy analysis, and evacuation route analysis. However, theses spaces or rooms need to be designated manually, which in practice, lead to errors and omissions. Thus, most BIM models today does not guarantee the semantic integrity of space designations, limiting their potential applicability. Recent studies have explored ways to automate space allocation in BIM models using artificial intelligence algorithms, but they are limited in their scope and relatively low classification accuracy. This study explored the use of Graph Convolutional Networks, an algorithm exclusively tailored for graph data structures. The goal was to utilize not only geometry information but also the semantic relational data between spaces and elements in the BIM model. Results of the study confirmed that the accuracy was improved by about 8% compared to algorithms that only used geometric distinctions of the individual spaces.

The Effect of Content Layout in Mobile Shopping Product Page on Product Attitude and Purchase Intention: Focusing on Consumer Cognitive Responses Depending on Regulatory Focus (모바일 쇼핑몰 상세페이지 콘텐츠 레이아웃 형태가 제품태도 및 구매의도에 미치는 영향: 조절초점에 따른 소비자 인지 반응 중심으로)

  • Park, Kyunghee;Seo, Bonggoon;Park, Dohyung
    • Knowledge Management Research
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    • v.23 no.2
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    • pp.193-210
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    • 2022
  • The rapid development of mobile technology and the improvement of network speed are providing convenience to various services, and mobile shopping malls are no exception. Although efforts are being made to promote sales by combining various technologies such as customized recommendations using big data and specialized personalization services based on artificial intelligence, most mobile shopping malls have the same detailed page information structure including detailed product information. In this context, in this study, it was determined that the content layout of the product detail page and the mobile product detail page layout tailored to the consumer's preference should be presented according to the consumer's preference. Based on Higgins' Regulatory Focus Theory, a study of consumer propensity revealed that the content layout arrangement on a product detail page, when presented in an F-shape, informs the consumer that it is organized. If presented in a Z-shape, vivid information was recognized, and it was examined whether the product attitude and purchase intention were affected. As a result, when the content layout composition was presented as a layout arrangement in the form of a sense of unity and organization, prevention-focused consumers were positively affected by product attitudes and purchase intentions, and promotion-oriented consumers felt freedom. When presented in an arrangement, it was confirmed that the product attitude and purchase intention were affected.

Comparison of Risk Factors for Men and Women According to Severity Classification in Patients with Coronary Artery Disease (관상동맥질환 중증도 분류에 따른 성별 위험요인 비교)

  • Kweon, Mi-Soo
    • Journal of Industrial Convergence
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    • v.20 no.8
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    • pp.85-96
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    • 2022
  • The aim of this retrospective study was to compare risk factors between men and women through secondary data of nursing information and medical records according to the severity classification in patients of 340 men and 221 women with coronary artery disease(CAD) who were admitted for the first time at a general hospital and underwent first coronary artery angiography. Consequently, men presented with risk factors such as age(p=.004), total cholesterol(p=.040), triglycerides(p=.049), HbA1c(p<.001), smoking(p<.001), alcohol consumption(p=.002) and comorbidities(p=.036) that showed statistically significant differences. Among women, age(p=.002) and comorbidities (p=.018) were the only factors that showed significant differences. Significant risk factors influencing the classification of CAD severity in men were total cholesterol (OR 0.97, 95% CI 0.96-1.00, p=.014) in 1VD, alcohol consumption (OR 52.47, 95% CI 2.99-91.95, p=.007)in 2VD, and total cholesterol in the 3VD(OR 0.98, 95% CI 0.95-0.98, p=.026). A significant risk factor affecting the classification of CAD severity in women was comorbidity (OR 0.30, 95% CI 0.11-0.82, p=.020) in the 3VD. This study identified the importance of nursing care for male CAD patients, such as smoking cessation and quitting drinking, blood sugar control, cholesterol, and accompanying disease management, and provided evidence of individually tailored nursing care.