• 대한기관식도과학회:학술대회논문집
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• 대한기관식도과학회 1991년도 제25차 학술대회 연제순서 및 초록
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• pp.28-28
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• 1991

후두암의 수직절제 수술후의 후두 재건 목적은 기관절개를 통하지 않고 후두를 통한 호흡이 가능하도록 하면서 연하시 기도흡인을 피하기 위한 sphincter 능력의 보존, 그리고 발성이 가능하도록 성대진동 mechanism을 재건하는데 있다. 오늘날 수많은 후두학자들에 의해서 고안 개발된 다양한 재건 방법이 있다. 연자는 광범위한 후두절제에 따른 큰 결손을 메우기 위해 bulky하면서도 점막 상피의 재생이 용이한 재건 피판으로 흉유돌근골막 피판을 이용하여 후두 결손부를 재건하여 보았다. 방법은 성견 3마리를 대상으로하여 thiopental sodium 정맥주사로 전신마취를 시행한 후 설골에서부터 흉골상까지 경부 정중앙의 피부를 절개하고 후두를 노출시켜 후두 수직절제술을 시행하였다. 흉유돌근과 흉골에 부착된 골막을 박리하여 흥유돌근골막 피판을 제작한 후 골막이 후두강 안쪽으로 되도록하여 골막연과 후두점막을 봉합하였다. 그리고 3, 5, 9개월에 후두적출술을 시행하여 병리조직학적 및 수술후 경과를 관찰하였다. 3실험견 모두 기관절개술 없이 후두를 통한 호흡이 가능하였고 흡입성 폐렴이나 피하기종등의 합병증없이 창상이 치유되었으며 발성도 양호하였다. 이식된 골막위로 신생혈관의 출현과 함께 점막재생이 잘되 있었다. 단지 봉합사 주위에 소량의 육아종이 관찰되었다. 조직학적으로는 섬유조직위로 편평상피가 재생되었으며 성문하부에서는 일부 섬모가 있는 호흡기 점막도 관찰되고 골막하부에 신생골 형성은 관찰할 수 없었다. 골막 피판은 그 유연성 때문에 결손부위의 점막연에 맞춰도 tension이 없고 공기 누출이 되지 않게 봉합이 가능할 뿐 아니라 점막이 재생할 수 있는 frame-work의 역할을 하는 것으로 사료되었다. 이상과 같은 사실로 미루어 흉유돌근 자체가 견실하고 골막에 혈류공급이 잘되어 창상치유에 좋을 뿐 아니라 큰 후두결손부의 재건이 가능하리라고 사료되었다.로서 몇가지 앞으로의 치료지침에 도움이 되는 결과를 얻었기에 보고하는 바이다. 1) 성별 분포는 남자 16(39 %), 여자 25 (61%)이었으며 1 : 1.5의 빈도를 보였다. 2) 연령 분포는 20대와 30대에서 남녀 모두 25명으로 대부분을 차지하였다. 3) 부식제의 종류는 빙초산이 26명 (63.4 %)으로 대부분을 차지하였고 염산 7 (17.1 %) Lye 3 (0.7 %) 의 순이었다. 4) 음독후 12시간내에 식도경술을 받은 환자가 3명(0.7 %) 12-24시간에 받은 환자가 17명(41.5 %), 24 - 48시간에 받은 환자가 11명(26. 8%)으로 48시간 내에 시행받은 환자가 전체의 75.6%를 차지하였다. 5) 식도경 검사상 나타난 식도화상은 Grade I 11명 (26.8%) G.ade II 18(43.9%) Grade III 7명(17.1%) 이었으며 Grade II 인 경우가 18명(43.9%)로 가장 많았으며 Grade I 11명(26.8 %), Grade III 7명 (17.1 %) Normal 5명 (12.2 %) 순이었다. 6) 조기 식도경 검사에서 41명중 oral cavity burn이 없었던 경우가 15명(36. 1 %) 이었으며, oral cavity burn이 있었던 26명중 5명(19 .2 %)에서 Esophageal burn이 없었다 특히 Esophageal burn의 Grade II, III 25명 중 9명(29.6 %)에서 oral cavity burn이 없었다. 7) 식도 부식중 환자의 치료 원칙으로 Grade I, II, III에서 항생제 및 보존적 치료를 하였으며 Grade I에선 oral feeding을 시켰고 Steroid는 경우에 따라 투여하였으며 Grade III에선 원칙적으로 사용치 않았다. 식도조영술은 Grade I II III에서 3주 후에 모두 시행하였다. 8) 3주 후 식도조영술을 실

• 지질공학
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• 제11권2호
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• pp.175-190
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• 2001

오염된 연약지반에 편재하중이 작용하는 경우에 있어서 지반의 소성화에 따른 측방유동에 대한 거동을 규명하기 위하여 기존의 이론적인 배경을 고찰하고, 모형실험을 통하여 실측한 결과를 상호 비교.분석하였다. 모형실험은 모형재하장치인 토조와 재하틀 및 재하판을 제작하여 토조 안에 함수비를 일정하게 유지한 상태에서 자연지반의 시료와 오염물질을 점진적으로 증가시킨 지반시료에 대하여 일정한 시간 간격으로 편재하중을 증가시키면서 침하량과 측방변위량 및 융기량 등을 관측하였다. 그 결과 한계하중은 실험값이 Tschebotarioff(q$_{cr}$=3.0$_{cu}$)의 제안값과 Meyerhof(q$_{cr}$=(B/2H+$\pi$/2)$_{cu}$)의 제안값에 근접하여 q$_{cr}$=2.78$_{cu}$값을 나타냈고, 극한하중은 Prandtl의 제안값에 근접하여 q$_{ult}$=4.84$_{cu}$값을 나타냈다. 측방유동압은 Matsui.Hong의 이론식에 의해서 산정함이 비교적 적절하며, 측방유동압의 최대값은 토층두께(H)의 0.3H 부근에서 발생하였으며, 복합형과 Poulos의 분포형태 및 오염되지 않는 연약점토(CL, CH)지반 보다 지표면측으로 상승하여 발생하였다. 안정관리방법은 지반의 측방유동에 의한 소성변위량을 많이 이용하고 있는 부영.교본, 자전.관구, 송미.천촌 등의 안정관리도에 적용한 결과 송미.천촌의{S$_{v}$-(Y$_{m}$/S$_{v}$)}관리도와 자전.관구의 {(q/Y$_{m}$)-q}관리도에서 얻어진 극한하중은 하중-침하량곡선 (q-S$_{v}$)에서 얻어진 극한하중 보다 적은 경향을 나타냈다.

• Animal Bioscience
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• 제34권6호
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• pp.1049-1060
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• 2021

Objective: This study assessed the effect of different levels of xylanase, β-glucanase and phytase on intestinal enzyme activities and tibia bone development in broiler chickens fed wheat-based diets. Methods: Twelve experimental diets were formulated using a 3×2×2 factorial design (three doses of phytase and two doses of both xylanase and β-glucanase) and offered to 648 day-old Ross 308 male chicks having 6 replicates groups with 9 birds per replicate and lasted for 35 days. Results: An interaction between the enzymes products improved (p<0.01) the activity of chymotrypsin. Protein content at d 10 was highest (p<0.001) with addition of phytase while general proteolytic activity (GPA) (p<0.02) and lipase activity (p<0.001) were decreased. At d 24, there were improvements in protein content (p<0.01) and lipase (p<0.04) with supplementation of superdose phytase. Addition of superdose phytase decreased in chymotrypsin (p<0.02), trypsin (p<0.01) and GPA (p<0.001). The optimum dose of xylanase decreased the chymotrypsin activity (p = 0.05), while the GPA (p<0.001) was increased with the optimum level of β-glucanase. Superdose phytase supplementation at d 10 improved maltase (p = 0.05), sucrase (p<0.001) and alkaline phosphatase (p<0.001) activities in the jejunum while aminopeptidase activity was highest (p<0.005) with the low level of phytase. Protein content of jejunum mucosa was bigger (p<0.001) in birds fed superdose phytase while maltase activity (p<0.001) at d 24 was reduced by this treatment. Sucrase (p<0.04) and aminopeptidase activities (p<0.001) improved when diets supplemented with low levels of phytase. Tibia bone breaking strength was highest (p<0.04) with addition of low level of superdose phytase or optimum level of β-glucanase. Bone dry matter content decreased (p<0.04) when diets supplemented with phytase. Conclusion: From the results obtained in this study, supplementation of superdose phytase was the most effective, however, the cost-benefit analysis of the use of such a dose needs to be evaluated.

• 헤리티지:역사와 과학
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• 제45권4호
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• pp.92-103
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• 2012

본 연구는 고건축 기술사적 관점에서 첨성대 축조당시 가설공법을 규명하고자 하였다. 독특한 구조와 형태로 이루어진 첨성대는 그동안 많은 관심을 끌며 연구되어왔으나 고건축 기술사적 측면에서 접근한 사례를 보기 어렵다. 더욱이 첨성대 축조기술에 관한 연구는 고건축 기술사적 고찰기반이 취약한 추론으로 전개되어 있으므로 많은 의문점을 남기고 있다. 여러 가지 의문점 가운데 가설공법에 대한 논의는 고건축시공 규준방식과 드잡이에 관한 기술사적(技術史的) 고찰을 결여한 추론으로 전개되어 있으므로 신빙성 있는 역사적 사실규명으로 보기 어렵게 한다. 연구결과 첨성대축조 가설공법에 대한 규명은 실제유구가 남아있지 않아 직접 고찰에 한계가 있었으나, 그간의 오류 폭을 좁히고 기초자료 제공에 의한 기술사(技術史) 연구 활성화를 기대할 수 있게 되었다. 주요 연구결과는 세 가지로 정리되었다. 1. 원통형 구조로 이루어진 첨성대축조 규준방식은 또한 +자먹 규구법과 다림추를 이용한 준승방식에 기초한 중심축 규준을 적용하였음으로 고찰되었다. 2. 첨성대 축석공사는 규구준승에 기초한 규준방식과 부합하는 드잡이공사 방법으로 녹로사용 가능성이 고찰 검토되었다. 3. 첨성대축조 규준과 드잡이기술에 대한 고찰 결과 규구준승에 의한 규준방식과 녹로(??)를 이용한 드잡이공사는 축석공사에 별도로 운반을 위한 비계가설을 요하지 않는 고건축 시공기술로 고찰되었다.

• Journal of Animal Science and Technology
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• 제61권4호
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• pp.192-203
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• 2019

A study was conducted to determine the influence of feed form and microbial enzyme supplementation on energy utilization, bone quality, and amino acid and mineral digestibility of broiler chickens. Four hundred and eighty Ross 308, day-old broiler chickens were randomly assigned to eight diets formulated from commonly used ingredients in Tanzania. A 2 (pellet or mash) ${\times}$ 4 (control, Axtra XB, Quantum Blue (QB) and Axtra XB + QB enzyme) factorial array in a completely randomized design having six replicates per treatment (10 birds per replicate) was used. Birds were raised in climate-controlled rooms in a 3-phase; starter (0-10 days), grower (11-24 days) and finisher (25-35 days). Apparent metabolizable energy (AME), metabolizable energy intake, net energy of production, energy retained as protein (REp), and efficiency of metabolizable energy use for energy and protein retention were higher (p < 0.05) in birds fed pelleted diets. The AME and REp was higher (p < 0.05) with enzyme supplementation. Ash content, weight, length, width and breaking strength of tibia bones were highest (p < 0.05) in birds on pelleted diets. Tibia bone traits were improved (p < 0.05) when enzymes were included, particularly in a combination of QB and Axtra XB. However, potassium, magnesium, and zinc contents were highest (p < 0.05) when QB was supplemented. Digestibility of all amino acids was higher (p < 0.05) in birds supplied with pellets and with enzyme supplementation for most amino acids, except for serine. There was a positive interaction (p < 0.05) between feed form and enzymes on lysine and phenylalanine digestibility. Digestibility of Ca, P, K, S, Zn, and Fe was higher (p < 0.05) in birds fed pelleted diets, while those on mashed diets had higher (p < 0.05) digestibility of Cu and B. The digestibility of P, K, and Zn was highest (p < 0.001) when QB was added, while Ca, P, S, and B digestibility was highest when a combination of Axtra XB + QB was applied. Pelleted diets with or without enzymes improved energy utilization, digestibility of amino acids, and minerals, and increased bone strength in broiler chickens.

• Journal of Korean Neurosurgical Society
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• 제64권4호
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• pp.562-574
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• 2021

Objective : This study is to evaluate the efficacy and safety of demineralized bone matrix (DBM) gel versus DBM gel with recombinant human bone morphogenetic protein-2 (rhBMP-2) used in transforaminal lumbar interbody fusion (TLIF). Methods : This study was designed as a prospective, multi-center, double-blind method, randomized study. All randomized subjects underwent TLIF with DBM gel with rhBMP-2 group (40 patients) as an experimental group or DBM gel group (36 patients) as a control group. Post-operative observations were performed at 12, 24, and 48 weeks. The spinal fusion rate on computed tomography scans and X-rays films, Visual analog scale pain scores, Oswestry disability index and SF-36 quality of life (QOL) scores were used for the efficacy evaluation. The incidence rate of adverse device effects (ADEs) and serious adverse device effects (SADEs) were used for safety evaluation. Results : The spinal fusion rate at 12 weeks for the DBM gel with rhBMP-2 group was higher with 73.68% compared to 58.82% for the DBM gel group. The 24 and 48 weeks were 72.22% and 82.86% for the DBM gel with rhBMP-2 group and 78.79% and 78.13%, respectively, for the DBM gel group. However, there were no significant differences between two groups in the spinal fusion rate at 12, 24, and 48 weeks post-treatment (p=0.1817, p=0.5272, p=0.6247). There was no significant difference between the two groups in the incidence rate of ADEs (p=0.3836). For ADEs in the experimental group, 'Pyrexia' (5.00%) was the most common ADE, followed by 'Hypesthesia', 'Paresthesia', 'Transient peripheral paralysis', 'Spondylitis' and 'Insomnia' (2.50%, respectively). ADEs reported in control group included 'Pyrexia', 'Chest discomfort', 'Pain', 'Osteoarthritis', 'Nephropathy toxic', 'Neurogenic bladder', 'Liver function analyses' and 'Urticaria' (2.86%, respectively). There was no significant difference between the two groups in the incidence rate of SADEs (p=0.6594). For SADE in the experimental group, ''Pyrexia' and 'Spondylitis' were 2.50%. SADE reported in the control group included 'Chest discomfort', 'Osteoarthritis' and 'Neurogenic bladder'. All SADEs described above were resolved after medical treatment. Conclusion : This study demonstrated that the spinal fusion rates of DBM gel group and DBM gel with rhBMP-2 group were not significantly different. But, this study provides knowledge regarding the earlier postoperative effect of rhBMP-2 containing DBM gel and also supports the idea that the longer term follow-up results are essential to confirm the safety and effectiveness.

• 한국가축번식학회지
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• 제23권1호
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• pp.29-36
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• 1999

본 연구는 Hamster 정소상체 정자의 운동성에 영향을 미치는 methylxanthine derivatives 의 효과를 알아보고자 수행하였다 . Pentoxifylline 을 첨가하였을 때 운동 형태에 대한 첨가효과는 정소상체 체부에서 차이를 보였으며, 농도에 대한 변화는 1 mM 농도군에서 현저한 차이를 나타냈다. 2-Deoxya-denosine 첨가군에서도 pentoxifylline 첨가군과 같이 특히 VCL 이 정소상체 체부 정자부터 증가하였으며 다른 농도군에 비해 1 mM 과 2 mM 에서 차이가 났다. Hypoxanthine 첨가군은 1 mM 농도에서 다른 첨가군에 비해 운동 형태가 증가하였다. 그러나 pentoxifylline 과 adenosine 첨가군과는 달리 농도를 달리하여도 뚜렷한 운동형태의 변화는 관찰되지 않았다. VCL 과 VAP 는 pentoxifylline 1 mM 과 2-Deoxyadenosine 1 mM 첨가군에서 정소상체 체부 정자의 운동성이 증가하고 hypoxanthine 1 mM 첨가군도 유의하게 증가하였다. 결론적으로 hamster 정소상체 정자의 운동성은 적정한 농도의 methylxanthine derivatives 의 첨가로 증가됨을 알 수 있었다.

• Journal of Microbiology and Biotechnology
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• 제34권8호
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• pp.1617-1626
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• 2024

Various antibiotic-resistant bacteria (ARB) are known to induce repeated pulmonary infections and increase morbidity and mortality. A thorough knowledge of antibiotic resistance is imperative for clinical practice to treat resistant pulmonary infections. In this study, we used a reads-based method and an assembly-based method according to the metagenomic next-generation sequencing (mNGS) data to reveal the spectra of ARB and corresponding antibiotic resistance genes (ARGs) in samples from patients with pulmonary infections. A total of 151 clinical samples from 144 patients with pulmonary infections were collected for retrospective analysis. The ARB and ARGs detection performance was compared by the reads-based method and assembly-based method with the culture method and antibiotic susceptibility testing (AST), respectively. In addition, ARGs and the attribution relationship of common ARB were analyzed by the two methods. The comparison results showed that the assembly-based method could assist in determining pathogens detected by the reads-based method as true ARB and improve the predictive capabilities (46% > 13%). ARG-ARB network analysis revealed that assembly-based method could promote determining clear ARG-bacteria attribution and 101 ARGs were detected both in two methods. 25 ARB were obtained by both methods, of which the most predominant ARB and its ARGs in the samples of pulmonary infections were Acinetobacter baumannii (ade), Pseudomonas aeruginosa (mex), Klebsiella pneumoniae (emr), and Stenotrophomonas maltophilia (sme). Collectively, our findings demonstrated that the assembly-based method could be a supplement to the reads-based method and uncovered pulmonary infection-associated ARB and ARGs as potential antibiotic treatment targets.

• 한국초지조사료학회지
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• 제19권1호
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• pp.1-10
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• 1999

목초하고 피해를 최소화할 수 있는 방목개시시 초장(주구 3처리 ; 15, 30, 45cm)과 여름철 혼파된 화본 과목초에 경합력이 낮은 화이트클로바 품종(세구 4처리; Regal, Tahora, Brown, STVR)을 선발하기 위해 제주농업시험장의 사료작물시험포장에서 1994년 9월부터 1996년 10월까지 2년간 시험이 수행되었다. 혼파목초의 건물수량은 전체적으로 평균 예취시 초장 30cm 이상에서 유의적 증수를 보였으나(P<0.05) 2년차에는 유의적 차이가 없었다. 2년째 수확시에만 목초의 건물수량이 Brown 품종구에서 타 품종 보다 통계적으로 고도의 유의적 증가를 보였다.(P<0.01). 2년차에 예취시 초장에 따른 식생구성율에 분명한 차이를 발견치 못하였다. 다만 white clover 품종 처리별로 비교할 때 white clover의 비율은 Regal와 Tahora구에서 보다 Brown과 SRVR 처리구에서 낮아지는 경향이었다. 2년차 마지막 예취시에 잡초비율도 주구나 세구간 효과를 발견치 못하였다. 목초의 ADF와 NDF 함량은 예취 초장 15cm에서 가장 낮았고 인 함량은 15cm에서 가장 높았으며 모두 통계적으로 유의차가 인정되었다(P<0.05). 혼파목초의 K 함량은 30cm 초장에서 가장 낮았으며 (P<0.05) 질소 함량은 예취시 초장과 품종간에 상호작용이 있었으며 통계적으로 고도의 유의차가 있었다(P<0.01). White clover의 품종이 목초의 일반성분 함량에 영향을 주지 못하였다. 결론적으로 방목형일 때 15cm 초장에서 화이트 클로바 SRVR을 이용하는 것이 사료가치도 유지하며 두과와 화본과목초 균형을 유지하는 데 적합하다고 사료된다.

• 한국보건간호학회지
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• 제3권2호
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• pp.47-76
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• 1989

The objectives of this study was to analyze the major causes of decreasing utilization rate of health care institutios in pilot-project area of regional medical insurance, Kwang-hwa and Kun-wi country. After the implementation of medical insurance, utilization rate of health institutions turned out' to be lower than it was estimated, when the pilot-project of regional medical insurance was planned. It might be due to changes in inhabitant's behavioral attitude toward medical insurance. So this study was made to find measures for financial stability by increasing utilization rate of health care institutions and to be available for basic demand-supply program of medical care. The hypothesis of this study was as follows; First. there is difference in understanding health care institutions between Kun-wi and Kwang-hwa. Second. respondesnts of inquiry survey have exact knowledge of their past experience of treatment taken prior to enforcement of medical insurance, Questionaire survey was made as to each 700 household among total 11, 884 households in Kun-wi and 20,919 households in Kwang-hwa. In case of Kun-wi, 70% of inquired households (491) gave their answers. In Kwang-hwa, the number was 560 households (80% of inquireds). Dollected data was processed and analyzed by way of using SPSS batch system. To evaluate facto rs distribution aspects of data and to make comparison between two area, percentage and $X^2$ distribution were applied. The results were as follows; L The utilization rate of health care institutions in Kun-wi and Kwang-hwa was lower than it was estimated. when pilot-project of medical insurance was planned. 2. Prior to the implementation of medical insurance. inhabitants in two area chose the medical institutions considering such factors. First was medical care fee cheap. second in habitant's residence, Third was the institutions conveniently easy of access. 3. After the implementation of medical insurance. 26.1% of inqurieds in Kun-wi and 41.6% in Kwang-hwa, changed medical institutions. In case of Kwn-wi, from health care institution (p 0.05), and in case of Kwang-hwa, vice versa, from general medical institutions to health care institutions. 4. Evaluation by factors were made such as follows. Inquired gave high marks to following facts: In case of Kun-wi, general medical institutions were difficult of access and relation between patients: was not friendly, but burden of medical expenditure was light. Effects of treatment and facilities was good. In case of Kwang-hwa, inquired gave high evaluation marks to the follow ing facts; facilities of medical institutions was not good, but the burden of medical expenditure was light. 5. After the implementation of medical insurance, the services was evaluated as good, but inquired hopec for lessening the burden of medical expenditure. 6. In case of exact understanding of cost-sharing, the evaluation rate in Kwang-hwa was higher than that of Kun-wi (p < 0.005). And positive attitude toward necessity of medical insurance was also good in Kwang-hwa (p < 0.05). 7. In case of inquired's attitude toward medical institutions, Kwang-hwa showed positive response (p < 0.05) 8. In the case of comparison between general medical institution and health care institution, two area showed similar positive response; medical manpower, facilities of medical institutions and effest: of treatement was good. 9. In comprehensive evaluation of benefit-service; the general medical institution's positiveness was higher than that of health care institutions in Kun-wi. But in Kwang-hwa vice-versa. 10. If the medical expenditure of general medical institution and health care institutions was equal 77% of inquireds in Kun-wi and 59.1% in Kwang-hwa answered that they chose general medical insurance. Considering results above mentioned, the conclusion of this study was made as follows. 1. In Kwang-hwa county, where the understanding of health care institutions's was good, the utilization's of health care institutions was shown high. Therefore, in case of Kwang-hwa, betterment: should be made to induce increasing utilization rate for negative factors of health care institutions. 2. In case of Kun-wi, where the understanding of health care institutions was on the decrease, measures for changing such negative factors should be taken by way of strengthening public relations. And cases of Kwang-hwa should also be studied. 3. On the side of financial stabilization and establishing health care delivery system, primary health care should be available. Therefore, the major cause of inhabitant's avoiding health care institutions should be known. And measures for activating that institutions have to be taken. So, the facilities of health care institution have to be improved up to the level of clinic. And supportive measures for securing equipment and improving health care services should also be taken. It is necessary that strategy for public relations should be employed with policy considerations and supports.