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Effects of Usual Source of Care by Patients with Diabetes on Use of Medical Service and Medical Expenses (당뇨병 환자의 상용치료원 보유가 의료이용 및 의료비에 미치는 영향)

  • Lee, So Dam;Shin, Euichul;Lim, Jae-Young;Lee, Sang Gyu;Kim, Ji Man
    • Korea Journal of Hospital Management
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    • v.22 no.3
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    • pp.1-17
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    • 2017
  • Purposes: Diabetes is a metabolic disorder that requires continuous care in order to prevent complications, as it can impose a critical burden on families and society due to various complications, including terminal renal failure, non-traumatic lower extremity amputation, and adult blindness. The usual sources of care are "specified private clinics, public health centers, or other facilities to visit when ill or when health-related advice is needed". These usual sources of care offer preventative services, have a high overall satisfaction rate in terms of public health care, and decrease the inpatient rates and medical costs of medical aid recipients. This study analyzed the current status of diabetic patients over 20 years of age based on their possession of a usual source of care, and the effects of this possession on the frequency of their medical service usage and its costs. Methodology: Based on data from the 7th Korea Health Panel, a Tobit analysis was used to analyze the different factors that can affect the frequency of medical service usage and its costs for diabetic patients with and without a usual source of care. Findings: The medical costs of diabetic patients with a usual source of care decreased in terms of inpatient, and the outpatient visits and inpatient costs of the group with a usual source of care in the form of a mainly-visiting doctor decreased more than those of the group with a mainly-visiting medical institution only. Practical Implications: Having a usual source of care can increase the treatment continuity, leading to reduced inpatient, and having a mainly-visiting doctor as the usual source of care further increases the treatment continuity. Based on these results, a new policy is needed to increase and strengthen diabetic patients? possession of a usual source of care.

An Analysis of the Difference in Awareness on Visual Landscape Control Elements among the Expert Groups (경관제어요소에 관한 전문가집단 간 인식차이 분석)

  • Cho, You-Kyung;Kong, Eun-Mi;Kim, Young-Ook
    • Journal of the Korean Institute of Landscape Architecture
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    • v.39 no.2
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    • pp.29-39
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    • 2011
  • Recent interests in the quality of urban space have raised awareness on the role and importance of landscape planning. Although laws and guidelines are officially ready to be imposed as for landscape planning, we do not have concrete materials that can be utilized in the course of practices. The aim of this paper in this regard is to disclose the possible difference in awareness on 'visual landscape control elements' among experts engaged with urban space planning. The expert groups are distinguished to three which are for a planning, design and engineering and the survey is made by questionnaires. The results are analyzed through basic technology statistics in SPSS and independent-sample t-test provided. The survey is done by tens of 'control elements' and the result is that specially, group 1 and group 2 in mixed landscape has the most discrepancy in awareness on those elements but relatively, they has less discrepancy in awareness on compare with other groups through all landscape area. In case of artificial landscape and mixed landscape in 'landscape controled area', the result for comparing between G1 and G2 is that there are the most discrepancy in awareness which are 7 control elements. In case of mixed landscape in 'landscape promoted area', there are 4 control elements for discrepancy in awareness between G2 and G3 which is quite different. The control elements which show the most discrepancy in awareness is height, floor space and building to land ratio in order. The shape elements has only discrepancy in awareness for comparing between G1 and G2 of artificial landscape in 'landscape controled area'. In terms of the average evaluation score of the appropriateness of these control elements, G1 seems to appreciate the role of these elements in systematic landscape planning more than the other group does. In other words, relatively low scores are given by G2 as for the overall functionality of visual landscape control elements. The texture, floor space and building of land ratio has low evaluation score for all area and types. It means that it should reverify for appropriateness of performance for landscape planning as visual landscape control elements.

A Study on the Effectiveness and Possibility of Chemistry Inquiry Programs Based on Reverse Science Principle (RSP(Reverse Science Principle)기반 화학 탐구 프로그램의 효과 및 가능성 탐색)

  • Jo, Eun-ji;Yang, Heesun;Kang, Seong-Joo
    • Journal of the Korean Chemical Society
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    • v.62 no.4
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    • pp.299-313
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    • 2018
  • Inquiry-centered education is important in science education, but in the actual education field, scientific research is being done in a uniform manner due to realistic difficulties. In this study, we use RS (Reverse Science) as a secondary chemistry class to provide opportunities for students to engage in inquiry learning and scientific thinking through process-oriented activities. In this study, we developed and applied it to explore the effects on the scientific inquiry abilities of middle school students and checked the students' perception of it. For the application of the program, 128 students were selected from 6 classes of the 2nd grade in D district middle school, 64 from the experimental group and 64 from the comparative group. The experimental group taught RSP-based the chemistry inquiry programs and the comparative group taught instructor-led classes and verification experiments on the same topic over the seventh hour with three themes. In addition, we analyzed the results of the pre- and post-test by using the science inquiry ability test, and discussed the effects of the program based on the students' perceptions through class observation, student activity area, questionnaire and interview. As a result, the class using the program showed statistically significant changes in the science inquiry ability of secondary school students. Specifically, the experimental group was found to be significant in its prediction among the subcomponents of basic exploration ability compared to the comparative group. The differences have also been shown to be significant in terms of data translation, hypothesis setup and variable control, which are subcomponents of integrated exploration capabilities (p <. 05). In addition, students became interested in the process of creating the theory of science, and were highly interested in collaborating with their friends. It also provided students with opportunities to experience scientific thinking through process-oriented inquiry. Finally, based on the positive impact of the RSP-based chemistry inquiry program on students, we were able to identify the potential use of the program.

A Study on the State of Smoking and Smoking-Related Oral Health Knowledge Level among Some Adolescents (일부 청소년의 흡연 실태와 흡연 관련 구강건강지식수준에 관한 연구)

  • Lee, Hyun-Ok;Chun, Ju-Yeon;Ju, On-Ju
    • Journal of dental hygiene science
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    • v.11 no.6
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    • pp.535-542
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    • 2011
  • The purpose of this study was to examine the state of smoking among adolescents and their smoking-related oral health knowledge. The subjects in this study were the teens who were selected by convenience sampling from among the students who were in their first, second and third years in four different middle schools in the city of Iksan, North Jeolla Province. A self-administered survey was conducted from June 14 to July 12, 2011, and the answer sheets from 1,219 respondents were selected for analysis. The collected data were analyzed by the statistical package 12.0, and the findings of the study were as follows: 1. The smoker students accounted for 10.6 percent. The boys and girls who smoked respectively represented 16.0 and 5.4 percent. 2. As for the period of smoking, the largest group that accounted for 51.6 percent smoked for less than a year. Concerning the amount of daily smoking, the greatest group that accounted for 91.9 percent smoked less than 10 cigarettes. As to the motivation of smoking, the biggest group that represented 52.8 percent started to smoke out of curiosity. 3. Regarding smoking-related oral health knowledge, they got a mean of 0.85. Their scores in knowledge of oral malodor(0.95), oral cavity cancer(0.94) and periodontal diseases(0.93) were above the average, and their scores in knowledge of dental caries(0.70) and blunting of taste(0.77) were below the average. 4. The seventh graders got the best score of 5.28 in smoking-related oral health knowledge(p<0.01), and the students who were more satisfied with their life had a better oral health knowledge(p<0.05). 5. The senior students were more dependent on nicotine(p<0.01), and the number of smoking days(${\beta}=0.407$, p<0.001) and the period of smoking(${\beta}=0.235$, p<0.01) affected their nicotine dependence.

Research on Visitor Behavior and Satisfaction with the Nature Trail in Hallasan National Park (한라산국립공원 자연학습탐방로의 이용행태와 이용객만족에 관한 연구)

  • Kim, Jeong-Min
    • Korean Journal of Environment and Ecology
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    • v.21 no.3
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    • pp.223-234
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    • 2007
  • The study, executed with Hallasan National Park, which deserves to be a typical ecotourism destination, aims to provide basic information on park management for early establishment of ecotourism in a national park by assessing its visitors' behavior and satisfaction with a nature trail established as a series of an environmental interpretation program. The questionnaire survey was conducted at Eorimok Square in the weekday and on the weekend for two months of August and September in 2006, and finally 144 valid samples were used for the analysis. As a result of the research, it revealed that the demographic characteristics of the visitors to Hallasan National Park tended to coincide with those of the visitors to other national parks In Korea. On the whole, it showed their low recognition level of nature trails built up in national parks and less experience in using them. However, the visitors' satisfaction level and intention of re-visit, and recommendation to others were comparatively higher after actually using the nature trail at the site of Hallasan National Park, which hints at the possibility of national parks' much weightier role as the ground for ecology education and the functional expansion of the environmental interpretation-related facilities and programs. As for the attributes having effects on users' satisfaction with a nature trail, substantial aspects such as accessibility, safety, uniqueness and interest in environmental interpretation, and educational quality as well as physical facility management were revealed to have equal effects on users' satisfaction level, so there still remain a lot of pending issues over the reality of national parks in the initial stage of ecotourism staying at the level of the introduction and establishment of the facilities for environmental interpretation. This research had surveyed visitors to Hallasan National Park and limited to the nature trail only. For more systematic and practical ecological management of a national park, the in-depth understanding of the attributes affecting satisfaction of ecotourists, including nature trails and other environmental interpretation programs, and more sophisticated measuring tools are needed.

A Study on the Lifestyle and Coffee Consumption Motivation (라이프스타일과 커피소비동기에 관한 연구)

  • Jung, Ja Young;Kim, Kwang Jin
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.8 no.3
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    • pp.53-65
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    • 2013
  • In Korea recently the consumption of coffee has been drastically increased and majority of people who are more than $20^{th}$ are drinking more than a cup of coffee every day. Nowadays coffee a kind of essential items in modern urban society. As the popularity of the coffee is increasing, As the coffee consumption is growing, the studies on coffee also have been increased. Many of the studies on coffee were focused on the consumer attitudes, coffee shops and franchise coffee shops, and coffee components or ingredients. As the products of the coffee are becoming diverse, the consumers of coffee also becoming diverse. There was a study showing that coffee has variety of types, and that motivations and attitudes for coffee consumption are different depend on demographic statistics such as age and life styles. On this study main focus was life style and consumer's motivation on coffee consumption. For this study the survey was conducted on the people living in Seoul City and Kyengkido from March 1, 2013 to March 31, 2013. 600 questionnaires were distributed and 480 were collected and 470 were used for analysis of this study. The statistics program used in this study was SPSS. The method used in the analysis wee factors analysis test, reliability test, validity test, t-testy, One-Way ANOVA, and regression analysis. In this study according to the factor analysis, the life styles were classified the following six categories ; wellbeing pursuit, taste pursuit, atmosphere pursuit, dine-out pursuit, instant pursuit, and economic value pursuit. The factors of coffee consumption motivation were 6; wellbeing consumption motivation, changing mood consumption motivation, social consumption motivation, habitual consumption motivation, and emotional consumption motivation. The demographic factors used in this study were age, marital status, occupation, educational background, residence, income, and eating-out expenses. The hypothesis used in this study were two. The first hypo-thesis was whether the coffee consumption was affected by the life styles. The second hypo-thesis was whether there was any statistical differences on the motivation of coffee consumption according to the characteristics of life style. The outcome of this study demonstrated that life styles had partial impact on coffee consumption motivations. According to the characteristics of the life style, except for the habitual consumption motivation, all the other factors showed statistical differences on coffee consumption motivations according the characteristics of life styles.

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Clinical Features Affecting the Efficacy of Systemic Clonazepam for Management of Burning Mouth Syndrome (구강작열감증후군의 치료를 위한 전신적 클로나제팜의 투여 시 환자의 임상적 특징에 따른 효능의 차이에 관한 연구)

  • Min, Bo-Kyong;Jung, Jae-Kwang;Choi, Jae-Kap
    • Journal of Oral Medicine and Pain
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    • v.37 no.3
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    • pp.161-167
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    • 2012
  • Burning mouth syndrome(BMS) is defined as chronic, painful burning sensation in the oral mucosa. Treatments for BMS include medication and psychiatric interventions. Capsaicin, alpha-lipoic acid, and topical and systemic clonazepam showed more effective in reducing the symptoms of BMS in the previous studies. The purpose of this study is to evaluate of the therapeutic efficacy of systemic clonazepam in BMS and to elucidate the relationships between such a efficacy and various clinical features, including age, pain intensity, pain duration, previous dental history and condition of oral mucosa. A retrospective clinical records audit was performed of patients diagnosed with BMS between January 2011 and August 2012. Patients were prescribed 0.5 mg clonazepam two times daily. Pain was assessed by patients on an 11-point numeric rating scale (NRS; 0 to 10) before and 1-2 weeks after systemic administration of clonazepam. The efficacy of clonazepam was evaluated in terms of patient's age, initial pain intensity, pain duration, presence or absence of precipitating event, condition of the tongue, presence or absence of denture. A total of 50 patients (46 women, 4 men) were included in this study. The patients were divided into two or three groups according to above clinical features. The amount of mean NRS reduction in patients with severe initial pain was $3.33{\pm}2.74$, whereas that in patients with mild initial pain was $1.64{\pm}1.54$. The amount of mean NRS reduction in oldest patients was $3.53{\pm}1.94$ (${\geq}$70yrs), and those in another younger patients were $2.88{\pm}1.80$(< 60yrs) and $1.54{\pm}2.86$(60yrs ${\leq}$ age < 70yrs), respectively. It was concluded that the older patients and the patients with higher intensity of initial pain tend to show better efficacy of clonazepam. However, There were no statistically significant differences according to pain duration, presence or absence of precipitating events, tongue fissuring, and wearing dentures.

The Size, Form of Dental Arch and Occlusion in Dental Hygiene Students in Korea (한국 치위생과 학생의 치열궁 크기 및 형태와 교합)

  • Hwang, Ji-Min;Lee, Chun-Sun;Han, Ji-Hyoung
    • Journal of dental hygiene science
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    • v.14 no.3
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    • pp.390-396
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    • 2014
  • The purpose of this study was to examine the size, form of dental arch and occlusion type in college students in our country and the relationship of the factors. The subjects in this study were 210 selected dental hygiene students. The collected data were analyzed by a statistical package PASW 18.0. When their size, form and occlusion of dental arch were analyzed, the inter-canine width of the maxillary was 34.38 mm, and the inter-first molar width was 52.05 mm. The canine depth was 8.60 mm, and the first molar depth was 28.69 mm. As for the mandibular, the inter-canine width was 26.42 mm, and the inter-first molar width was 44.83 mm. The canine depth was 5.54 mm, and the first molar depth was 24.38 mm. Concerning the form of dental arch, the percentage of normal dental arch in the maxillary stood at 29.0, and that of crowding stood at 60.5. The percentage of spacing stood at 10.5. In the case of the mandibular, the percentage of normal dental arch stood at 29.0; crowding, 55.7; and spacing, 15.2. In relation to occlusion, the percentage of normal occlusion stood at 16.7. As to malocclusion, class I that accounted for 55.7 was most common, and class II and class III respectively accounted for 20.5 and 7.1. When the size of dental arch was compared according to the form and occlusion of it, dental arch was largest (45.95 mm) in size when the form of dental arch in the inter-first molar width of the mandibular was spacing. The size of dental arch was 44.73 mm when its form in the same region was normal, and that was 44.58 mm when its form in the same region was crowding (p=0.032). Regarding the relationship between the form and occlusion of dental arch, crowding was most common when there were class I, II and III of malocclusion both in the maxillary and mandibular.

The Characteristics of Healthy City Project in Korea (국내 건강도시 프로젝트 담당자를 대상으로 한 건강도시 관련 특성 조사)

  • Jung, Gil-Ho;Kim, Keon-Yeop;Na, Bak-Ju
    • Journal of agricultural medicine and community health
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    • v.34 no.2
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    • pp.155-167
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    • 2009
  • Objectives: The purpose of this study was to investigate healthy city project related characteristics to members of the Korea Healthy Cities Partnership(KHCP). Methods: This study analyzed general characteristics of healthy city, characteristics of healthy city(political support, collaboration & citizen participation, healthy city project, infrastructure development, capacity building), self-evaluation of healthy city and etc by self-questionnaires from February to December, 2007, which were distributed to government workers who were in charged in health city project of 23 membership cities of KHCP. Results: The number of urban city was 11(47.8%) and that of rural municipality was 12(52.5%). Public health center was almost in charge of healthy city project(73.9%). As for the characteristics of healthy city, healthy city municipal budget(91.3%), city health profile(91.3%), technical support of cooperative university(82.6%), healthy city regulation(78.3%), citizen participation(78.3%), committee(73.9%), setting approach(69.9%) and healthy city network(69.6%) were good. But intersectoral collaboration(34.8%), long-term healthy city plan(39.1%), administrative policy or campaign promise(43.5%), programs to the vulnerable population(47.8%), department in charge(47.8%) and seminar(47.8%) were not good. Especially, characteristics of healthy city according to the existence of department in charge were significantly different in intersectoral collaboration, citizen participation, setting approach and healthy city network. Conclusions: In spite of rapid expansion in healthy cities, there were great difficulty in political support, collaboration, department in charge and programs of health equity. So we need to go a long way to achieve the vision of healthy cites by its principles and characteristics.

Obstetric Complications by the Accessibility to Local Obstetric Service (지역별 분만서비스 접근도에 따른 산과적 합병증 비교)

  • Choi, Young Hyun;Na, Baeg Ju;Lee, Jin Yong;Hwang, Ji Hye;Lim, Nam Gu;Lee, Seong Ki
    • Journal of agricultural medicine and community health
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    • v.38 no.1
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    • pp.14-24
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    • 2013
  • Objectives: Pregnant women in rural areas do not have access to sufficient obstetric services in their own communities due to the shortage of obstetricians. Therefore, most of these women must seek obstetrician outside of their communities. The purpose of this study was to investigate the relationship between obstetric complications and accessibility to local obstetric care in Korea. Methods: This study was an ecological study in which the unit of analysis was an administrative district. Using Korea National Health Insurance Corporation data, the total number of deliveries and the delivery proportion within and outside of the community from 2001 to 2008 were calculated for 232 administrative districts nationwide. Three outflow levels were categorized based on each district's out-of-community delivery proportion: high outflow (upper one third), moderate outflow (middle one third), and low outflow (lower one third). In addition, three obstetric complication rates (the rate of complications following abortion, ectopic and molar pregnancy, the abortion rate, and the eclampsia rate) were calculated for the 232 districts. One-way ANOVA and multivariate linear regression were used to evaluate obstetric complications among the three outflow levels. Results: The high outflow districts had higher rates of eclampsia and complications following abortion, ectopic, and molar pregnancy compared to the other districts (ANOVA, p<0.05). However, there was no significant difference in the abortion rate among the three groups. Multiple linear regression analysis showed that high outflow districts were statistically significant in the rate of complications following abortion, ectopic and molar pregnancy and eclampsia rate after adjusting for local tax per capita (p<0.01). Conclusion: These results indicate that poor access to local obstetric care correlate with poor obstetric outcomes (delayed or excessive bleeding, embolism, genital tract or pelvic infection, shock or other complications following abortion and ectopic or molar pregnancy, or eclampsia).