To identify the changes in professional care patterns after the introduction of medical insurance in Korea, professional care in hospitals and clinics of two succeeding years were compared. The hospitals and clinics selected for this study were those which located in Seoul city. Hospitals were classified into 3 categories: university hospital, general hospital and hospital. The diseases selected for this study were acute appendicitis and normal delivery. They were selected because their disease courses are considered to be fairly stable. The variables used for this study were length of stay, total hospital costs, costs of each components of cares. The information used for this study was obtained from the official forms requested by the medical facilities to the Korea Medical Insurance Corporation. The two periods studied were 3 months of each year from March 1st to May 31st in 1979 and 1980, The total number of normal delivery studied was 289 in 1979, 301 in 1980 respectively and the acute appendicitis was 92 and 111 respectively. In order to compare the quantity of medical care between 2 study periods the insurance price scores of 1979 were converted to prices of 1980. For statistical test of difference between 2 periods T-test and Welch's test were used. The result of the study were briefly summarized in below. 1. No significant difference was observed in the average length of stay of both disease between two study periods in all types of hospitals. 2. No significant difference was observed in the average total hospital costs of both diseases in all types of hospital, but in the private clinic the average clinic costs was rather decreased significantly in 1980. 3. More cost decrease were seen than cost increase in 1980 in all types of facilities, More cost changes by items were seen in acute appendicitis than in normal delivery between two study periods. The total hospital costs can be devided into 2 portions: charges for drug and material and for physician. In normal delivery, costs for physician's charges was significantly decreased in almost all the hospitals and costs for drug and material were not changed significantly in all the hospitals in 1980. In the university hospitals, however, the costs for drug and material were increased significantly in 1980. The cost decrease for physician's charge were mainly due to the decrease in the costs of laboratory test, treatment and physical therapy. The increase in the costs for the drug and material in the university hospitals was mainly due to the increase in the cost for drugs for oral administration and injection. 4. The proportion of components of medical care in the hospital has not been changed significantly, however, the cost for injection in normal delivery was characteristically increased in 1980 in all hospitals studied. In general the proportion of the costs for drug and material was tended to increase and the costs for physician was tended to decrease in 1980. The increase in the costs for drug and material were considered to be due to increase in the cost for drugs for oral administration and injection. The decrease in the costs for physician were due to decrease in the costs of laboratory test, treatment and physical therapy. Above mentioned changes in hospital and clinic care patterns are considered to be mostly influenced by the review criteria set by the K.I.C. for the assessment of the fee request made by clinics and hospitals.
A reed-sand-filter system was used to purify swine wastewater economically. Reeds (Phragmites communis Trin) were planted on the sand / gravel bed of a 20/30cm layer depth. After the input of waste-water up to a depth of l0㎝, the effluent was monitored for pollutants on the 1st, 3rd, 5th and 7th day thereafter. As swine wastewater stayed longer, the pollutants in the effluent such as T-N, $PO_4^{3-}$, COD and BOD were removed more effectively. The sand-filter system with reeds showed a superior removal efficiency to that without reeds. Especially in summer, the former showed greater purification rates than the latter, being 30% greater in T-N, 37% in $PO_4^{3-}$, 42% in COD and 30% in suspended solids. The seasonal purification efficiency was in the decreasing order of July, October and April. Reeds took up 40.1g N, 10.8g $P_2O_5$, 38.9g $K_2O$, 2.8g CaO, 2.1g MgO per square meter of the above surface area.
Jo, Hee Jin;Kwon, Min Soo;Kim, Jung Hwan;Jo, Dae Hyun;Choi, Ji Eun;Han, Ji Sun;Lee, Seung Hoon;Kim, Yong Suk;Nam, Sang Soo
Journal of Acupuncture Research
/
v.33
no.4
/
pp.109-119
/
2016
Objectives : The aim of this study is to give a statistical basis for the characteristics of patients who received cooperative medical care after being referred from Western medical departments to the Department of Acupuncture and Moxibustion in a Korean medical hospital. Methods : The request records were searched for cooperative medical treatment at the Department of Acupuncture and Moxibustion in a Korean medical hospital between September 1st, 2011 and August 31, 2016, based on the Order Communication system(OCS). The records were reviewed and retrospectively analyzed according to the patient's general characteristics, the chief diagnosis code based on the 7th Korean standard classification of diseases(KCD-7) before and after the cooperative medical care in the Department of Acupuncture and Moxibustion, and the actual treatment measures which patients received as a result of the cooperative medical care. Results : Among the 2702 records, 1549 patients were included in the analysis. The male to female ratio was 1 : 1.17. Sexagenarians formed the highest age group and the number of patients whose age was over 50 was 1176(75.92 %). The surgery department requested the cooperative care from the department of Acupuncture and Moxibustion for the highest number of patients, 1194(77.08 %). When analysing specific medical departments, Neurosurgery, General Surgery, Neurology, Otorhinolaryngology, and Physical medicine and rehabilitation followed. The frequency of chief diagnosis code used before the cooperative medical care was in the order of I, C, G, S, and M code, from highest to lowest. The order of the codes after the cooperative medical care was the same. Acupuncture treatment was the most frequently-used measure after the cooperative medical care. Following were infrared, moxibustion, transfer, herbal acupuncture, cupping, electroacupuncture, and so on. Conclusion : This study provides a statistical basis for the demands placed on the Department of Acupunture and Moxibustion for cooperative medical care with the Western medical department. Based on the present condition of cooperative medical care, more preparation and effort is required for its activation.
Shin, Dong-Min;Jang, Mun-Sun;Kang, Bo-Ra;Yoon, Byeung-Gil;Tak, Yang Ju;Lee, In-Soo
The Korean Journal of Emergency Medical Services
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v.14
no.3
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pp.95-105
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2010
Purpose: This study aims to investigate the operation of continuing education system and continuing education program for emergency medical technician in Korea, Japan and United States and develop reasonable operating scheme of continuing education and curriculum in order to provide the base data for the improvement of continuing education for the improved practice capability and its maintenance, Method: The overall review of continuing education for domestic 1st class emergency medical technician was performed and also the content of continuing education for Emergency Medical Technician - Paramedic in the United States and Paramedics of Fire Department with the license for the paramedic in Japan, have been analyzed through literature, books, articles, agencies' data, laws, and internet date. Result: Hours for domestic continuing education was 4-8 hours and it was only 3-11% compared to 72 hours in the United States and 128 hours in the Japan. And with respect to the types and methods of programs, there were differences both in quantity and quality. Conclusion: As an education, providing and supplementing the changed content and technical information for the improvement of the capability and qualification of emergency medical technician, selection of education hours and various continuing education should be continuously and regularly provided and conducted. The introduction of various continuing education system and programs for this is considered to be required.
Journal of the Korean Society for Precision Engineering
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v.23
no.10
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pp.103-112
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2006
This paper describes a theoretical analysis and experimental verification on the performances of a vacuum-compatible air bearing, which is designed with a cascaded exhaust scheme to minimize the air leakage in a vacuum environment. The design of the vacuum-compatible air bearing equipped with the differential exhaust system requires great care because several design parameters, such as the number of exhaust stages, diameter of exhaust tube, pumping speed of a vacuum pump, and bearing clearance greatly influence the air leakage and thus degree of vacuum. In this study, a performance analysis method was proposed to estimate the performances of the air bearing, such as load capacity, stiffness, and air leakage. Results indicate that the load capacity and stiffness of the air bearing was improved as its boundary pressure, which was determined by the $1^{st}$ exhaust method, was lowered, and the dominant factors on the chamber's degree of vacuum were the number of exhaust stages, exhaust tube diameter and bearing clearance. A vacuum chamber and air bearing stage using porous pad were fabricated to verify the theoretical analysis. The results demonstrate that chamber pressure up to an order of $10^{-3}$ Pa was achieved with the air bearing stage operating inside the chamber, and this analysis method was valid by comparing predicted values with experimental data, for the mass flow rates from the porous pad, and pressures at each exhaust port and chamber, respectively.
Kim, Gi-Seok;Kim, You-Min;Kim, Jong-Seung;Oh, Se-Gyu
KIEAE Journal
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v.14
no.6
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pp.65-73
/
2014
Due to the Climate change and resource shortage by global warming, various problems are rising and getting worse around the world. Many countries are doing the considerable efforts to reduce greenhouse gas emissions. The government of South Korea also plans to decrease greenhouse gas emission, the various pilot projects are underway, which includes obligation of energy efficiency 1st rating and greenhouse gas target management system of public buildings. In particular, luxurious government office buildings and energy-wasting public building have issued and emerged as a social problem. Energy efficiency improvement of the existing public office buildings are becoming an important issue recently. This study is proposed the step-by-step energy improvement model according to the building energy efficiency rate in order to reduce the energy consumption. To attain this end, I set up a base model by analyzing the current architectural conditions of the existing public office buildings and grasped the specific properties of building energy consumption through energy simulations. Furthermore, I suggested phased reduction prototypes for the reduction target of energy consumption by applying the methods of the zero energy building plan. This study is expecting that prototypes would give directions when it comes to planning the implementation policy of phased building plan factors, according the building energy consumption reduction goal in the existing public office buildings which are the subject of building energy target management system.
KIM, Yong-Jig;KANG, Il-Kwon;HAM, Sang-Jun;PARK, Chi-Wan
Journal of the Korean Society of Fisheries and Ocean Technology
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v.51
no.4
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pp.520-526
/
2015
A tragic disaster happened by capsizing O-Ryong 501 trawler at Western Bering Sea in 1st, Dec. 2014. The disaster was caused by the severe weather and the long deferred escape from the storm in fully developed high sea. Lots of sea water from poop deck rushed into the fish ponder with fishes all together after hauling net and then remove the fishes from codend. The vessel became to incline to the one side caused by the weight and the free surface effect of flood sea waters and fishes at initial stage. In spite of crews all effort to discharge the waters, but the work was not achieved successfully. For the worse thing, the order of abandon ship was issued too late. After all, the ship capsized and sank, then almost crews became to the victims of the casualty including captain. In this paper, author carried out restrictively the calculation of dynamic factors influenced on the disaster including the weather condition and effects of the flood sea waters, and found out that the most important causes of the disaster were the decrease of stabilities, GM was decreased from 0.9m to 0.08 m, and the high waves which led to the vessel disaster.
Korean Journal of Air-Conditioning and Refrigeration Engineering
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v.28
no.6
/
pp.224-231
/
2016
When aiming to reduce the low frequency noise of a subway guest room through sound absorbing treatment methods inside the wall of a tunnel the resonator is often more effective than a porous sound absorbing material. Therefore, the perforated panel type resonator embedded with a perforated panel is proposed. The perforated panel is installed in the neck, which is then extended into the resonator cavity so that it can ensure useful volume. The absorption performance of the perforated panel type of resonator is obtained by acoustic analysis and experiment. The analytical results are in good agreement with the experimental results. In the case of multiple perforated panel type resonators, as the number of perforated panels increase, the 1st resonance frequency is moved to a low frequency band and sound absorption bandwidth is extended on the whole. In order to obtain excellent absorption performance, the impedance matching between multi-panels should be considered. When the perforated panel in the resonator is combined with a porous material, the absorption performance is highly enhanced in the anti-resonance and high frequency range. In case of the resonator inserted with perforated panels of 2, the 2nd resonance frequency is shifted to a low frequency band in proportion to the distance between perforated panels.
This study was conducted to develop an efficient mass propagation method for the mature $Prunus$$yedoensis$ Matsumura (43 to 58 years old). Cutting was conducted depending on cutting time, auxin treatments (IBA and NAA treatments mixed with talc powder), and cuttings position on shoots in a plastic house equipped with a fog system without heating. Rooted cuttings were transplanted to a nursery bed, and their growth characteristics were investigated in order to check whether the cuttings are successful or not for roadside tree planting. The average rooting rate was highly significant ($P$ < 0.0001) in all treatments: cutting on June 1st (61.4%) was more than two times greater in rooting rate than that on August 1st (23.6%); IBA 1,000 $mg{\cdot}L^{-1}$ (90.8%) and IBA 500 $mg{\cdot}L^{-1}$ (89.2%) showed much greater rooting rates than those of the other treatments; upper part of the cuttings treated with IBA 1,000 $mg{\cdot}L^{-1}$ showed the highest rooting rate, 96.7%. The interactions among treatments in the average rooting rate were also significant. There were significant differences ($P$ < 0.0001) among the auxin treatments in the survival rate of leafed cuttings transplanted to a nursery bed. The average survival rate was 46.5%, and IBA 1,000 $mg{\cdot}L^{-1}$ treatment was the highest in leafed cuttings 79.2%, but most of leafless cuttings were dead. There were significant differences ($P$ < 0.0001) among the cuttings, grafts, and in the seedlings height, diameter at root collar, the number of roots, branches, and leaves, etc., and the cuttings was the best. We can expect a possibility of mass propagation of improved $P.$$yedoensis$ Matsumura and a high planting survival rate through the transplanting of cuttings to a nursery bed in which the cuttings should be the following conditions: cutting in June to July, use of the upper part of cuttings, IBA treatment, and rooting in August in a cutting-greenhouse equipped with a fog system.
Journal of Korean Academy of Nursing Administration
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v.1
no.2
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pp.372-387
/
1995
One-hundred eighty four medical doctors and 349 nurses out of 6 university hospitals and 1 general hospital were surveyed from Mar. 3, to Mar. 31, 1995, in order to appreciate the extent of their understandings on the clinical nurse specialist system. The difference was analyzed by the subjects' age, their position and department, the expected benefits of the system. the assigned department, the position and qualification, the required special educational organization and program, and the extent of autonomy of the function of clinical nurse specialists and the special nursing field. The results were as follows ; 1. The perception about the expected benefits of the introduction of clinical nurse specialist system was significantly different among the age groups of medical doctors, and the age group of 40s among them showed the most positive perception. 2. The extent of acquaintance with clinical nurse specialist was the higher in the older age groups of respondent nurses. Meanwhile, the experience of participation with clinical nurse specialists was the more in the older age group of medical doctors. 3. The opinion about the required position of clinical nurse specialists was significantly different by the age and position of the respondent nurses. The rank of head nurse was suggested by the respondent nurses of older age and higher positon, while the level of in-charge nurse was suggested by the staff nurses. Also, the duration of clinical experience required of clinical nurse specialists was the most frequently responded as 6 to 10 years by nurses, as 2 to 5 years by medical doctors. 4. The degree of educational background required of clinical nurse specialists was differently responded by the various position of medical doctors and nurses. Of the medical doctors, professors frequently responded bachelor degree and medical residents frequently responded master degree as the required educational background. Of the nurses, nursing administrators more frequently responded that master degree was required of clinical nurse specialists than staff nurses and clinical nurse specialists did. 5. The extent of acquaintance with clinical nurse specialist system was different among the various department of medical doctors, which was the highest in the doctors of psychiatry, internal medicine and pediatrics, respectively. The doctors of surgery were the least acquainted of clinical nurse specialist. 6. The nurses of special parts, of surgery and of obstetrics & pediatrics responded more frequently that clinical nurse specialists should belong to the nursing department than the nurses of internal medicine and of others did. 7. The Special parts that necessitate clinical nurse specialists were responded to be the more important by nurses than by medical doctors. Clinical nurse specialists were responded to be the more necessary in the parts of diabetics, oncology, pyschiatry, dialysis, organ transplantation, intensive care, and in cardiovascular part. They were responded to be the less important in the parts of intravenous therapy, computer informatics, nursing administration, the improvement of nursing quality.
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