• 보건행정학회지
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• 제23권1호
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• pp.19-34
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• 2013

Background: The study describes the changes resulted from imposition on tertiary hospital outpatient coinsurance rate rise policy and in tertiary or general hospital drug coverage rise policy on healthcare service utilization. Methods: Accordingly, the hypothesis about outpatient healthcare utilization after rise policy in outpatient coinsurance rate and drug coverage was established, using interrupted time-series analysis and segmented regression analysis to test the hypothesis. 5-year analysis period (2007. 3-2012. 3) from the outset year was designated, the data about most common 10 high-ranking of the main diseases targeting visiting patient from age of 6 to 64 were collected. Results: The summary on the major research is followed. First, the medical expense and duration of treatment tends to be increased in case of imposition about rise policy in outpatient coinsurance rate in the tertiary hospital under the interrupted time-series analysis. It showed temporary increase and slow down on account of influenza A even after the policy enforcement. In segmented regression analysis, duration of visit and medical expense in the tertiary hospital increased temporally right after the policy implementation and the decreased rapidly depends on period. Both rise and fall is statistically significant. The second, In case of tertiary or general hospital outpatient drug coverage rise policy, all of the tertiary hospital healthcare service utilization variables by the interrupted time-series analysis, drug coverage policy in the general hospital deeply declined according to decreasing trend before policy implementation. The third, in case of segmented regression analysis, the visit duration and medical expense statistically declined right after the policy implementation in both the tertiary and general hospital. Meanwhile, administration day was statistically meaningful only for the decrease right after the policy implementation. Otherwise, general hospital changes are not statistically meaningful. And the medicine cost was statistically, meaningfully decreased after the increase in drug coverage. Conclusion: Finally, the result demonstrated according to the analysis is only 1 hypothesis is denied, the other 2 are partially supported. Then, tertiary hospital outpatient coinsurance rate increase policy comparatively makes decrease effect on long-term healthcare utilization, and tertiary or general hospital outpatient drug coverage policy showed partially short-term effect is assured.

• 한방재활의학과학회지
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• 제32권2호
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• pp.123-138
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• 2022

Objectives This study was conducted to evaluate the clinical efficacy and safety of the chuna combination treatment for patients who complain of functional impairment and pain even 3 months after total knee arthroplasty. Methods 24 patients who had 3 months of surgery and who had knee joint pain with a score of 4 or higher on the numerical rating scale (NRS) for more than a week were selected as subjects. The test group received usual care and Chuna treatment and the control group received the administration of drugs as usual care. And then the clinical efficacy and safety were compared and evaluated. Follow-up was performed 1 month after the end of treatment. Results As a result of the analysis, it was confirmed that the primary parameter Korean Western Ontario and McMaster Universities (K-WOMAC) showed statistical significance in the amount of change in visit 2-visit 10 (V2-V10) in the pain domain and in the amount of change in visit 2-follow 1 (V2-FU1) in the functional domain and total score domain. The secondary parameter (NRS, risk of fall, and range of motion) showed a tendency to decrease in the degree of discomfort, but statistical significance could not be confirmed. Conclusions Because this study did not have enough study subjects, it is difficult to use the results as confirmatory evidence. However, it was confirmed that the 4-week Chuna treatment had a significant effect and safety in patients who underwent total knee arthroplasty. Therefore, this study is meaningful as a prior research data to prepare confirmatory evidence in the future.

• 대한한의학회지
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• 제42권3호
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• pp.26-43
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• 2021

Objectives: This study is designed to statistically analyze data of outpatients visiting for recent 3 years. The purpose is to identify tendencies of patients who visit the hospitals before and after COVID-19. Methods: This study retrospectively analyzed the medical records of 452,487 patients who visited to the Daejeon·Cheonan·Cheongju Korean Medicine Hospital of Daejeon University from January 1, 2018 to August 31, 2020. The data is classified according to year, month, gender, age, and visit type. The statistical analysis was performed using IBM SPSS 25.0. Results: The total number of patients decreased in 2020 compared to before 2020, and the number of patients in each hospital also decreased from the previous year. According to the year of each hospital, the difference by year was not statistically significant at Daejeon Hospital, but Cheonan and Cheongju Hospital showed statistical difference. The change in monthly according to the year by hospital has continued to decrease from January to March in 2020, unlike the previous year, which recovered from a decline in March. In the analysis of patients by age, there was no statistically significant difference in the number of patients in the above 60s according to the year, while those under 60s have a tendency to significantly decrease. Conclusion: We expect that the results of this study will be used as reference materials in analyzing effects of COVID-19 at health care utilization.

• 대한소아치과학회지
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• 제39권4호
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• pp.373-382
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• 2012

본 연구는 소아 환자들의 변화하는 특성과 진료양상의 변화를 파악하여 소아치과 진료의 방향성을 고려하고자 시행되었다. 2003년부터 2010년까지 전남대학교 치과병원 소아치과에 내원한 모든 환자를 대상으로 하였으며 다음과 같은 결론을 얻었다. 전체 내원환자의 수는 2009년, 2010년에 들어 증가하였고 여자보다 남자의 비율이 높았다. 초진환자의 13~15세군의 내원율이 2003년 2.9%에서 2005년 23.5%로 가장 크게 증가하였고, 3~4세군의 내원율은 2003년 27.6%에서 2005년 3.2%로 가장 크게 감소하였다. 초진환자는 12월이 가장 많았고 이 중 광주시내 거주자가 가장 많았으며 전신질환을 가진 환자는 약 10.7%, 진정치료의 분포는 19.1%였다. 초진환자는 충치 치료를 주소로 내원한 경우가 36.0%로 가장 많았고 진료현황분포는 2003년에는 수복 치료가 38.4%, 2010년에는 30.4%를 차지함을 보여주었다.

• 한국철도학회논문집
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• 제20권3호
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• pp.382-388
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• 2017

지구온난화로 인한 범세계적 위기가 초래됨에 따라 1997년 선진국을 중심으로 교토의정서가 체결되었고 2015년 개발도상국까지 공동의무를 부과하는 파리협정이 체결되어 이를 계기로 온실가스 감축 규제 및 국가적 노력이 본격화 되고 있다. 본 연구에서는 한국철도시설공단에서 효율적인 철도건설을 위해 전통적인 건설사업관리 업무를 전산화함에 따라 저감되는 탄소배출량을 분석하였다. 이를 위해 '방문감소에 의한 탄소발생 저감'과 '종이감소에 의한 탄소발생 저감'효과를 측정하는 산출모델을 제시하고자 한다. 수립된 산출모델을 활용하여 건설사업관리시스템 도입에 따른 탄소저감량을 산출하고 이를 경제적 비용으로 환산한다. 본 연구에서 제시한 산출모델 및 산출방식은 정보화사업 추진으로 인한 탄소저감 효과를 분석하는데 도움이 될 수 있을 것으로 기대된다.

• Journal of Chest Surgery
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• 제55권1호
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• pp.61-68
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• 2022

Background: While the coronavirus disease 2019 (COVID-19) pandemic has affected all aspects of health care, its impact on cardiac surgical practice and outcomes is yet to be determined. We compared the outcomes of our cardiac surgical practice from the past year during the pandemic to those in a similar pre-pandemic period. Methods: Retrospective data were collected from 307 patients who were involved in all adult cardiac surgical procedures performed between March 2020 and February 2021, which was considered the pandemic period, at Amrita Institute of Medical Sciences, India. These were compared with data from the 1-year period between March 2019 and February 2020. During that earlier period, 491 patients underwent surgery, and the surgical outcomes were assessed. Outpatient visit data were also collected to evaluate the effect of COVID-19 on outpatient follow-up visits. Results: A 37% decrease in surgical case volume was observed during the study period. No difference was found in operative mortality between the 2 time periods (3.3% vs. 2.6%, p=0.383). Overall postoperative complications were less frequent during this period, at 23% compared to 38% the previous year (p<0.001). Conclusion: The COVID-19 pandemic caused a dramatic decrease in surgical volume and outpatient medical follow-up. However, the pandemic and its attendant social restrictions did not yield a significant change in the surgical outcomes of our patients. Hence, it is reasonable to continue cardiac surgical care during global health crises, and this can be done with good results.

• 한국농촌건축학회논문집
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• 제16권3호
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• pp.9-18
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• 2014

Small and medium-sized local airports have suffered from chronic operating deficits due to many factors except for large airports in Incheon, Gimpo, Jeju and Gimhae. These small and medium-sized local airports have currently been degraded to inefficient airports handling the significantly lower airline demand than their carrying capacities. In this context, this study conducted a survey on the actual conditions of the airline demand in small and medium-sized local airports for the last 10 years after the opening of the Korea Train eXpress and investigated the causes and actual conditions of an increase and a decrease in the airline demand. In addition, it analyzed the functionality, convenience and economic feasibility, competition elements in comparison with other means of transportation, and the actual competitive conditions of local airports. It investigated facility improvements through a field visit for local airports and analyzed the performance rate of passenger demands and the use rate of terminal facilities according to a change in the airline demand. This study aimed to provide basic data in the architectural planning field, needed to establish a plan for the airport revitalization of local airports with the results of an analysis on the actual conditions of small and medium-sized local airports.

• Perspectives in Nursing Science
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• 제6권1호
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• pp.55-65
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• 2009

The Korean government introduced Home Care Services System to cut medical cost and make efficient use of limited medical resources because of increasing chronic diseases and the growing population of the elderly. The Korean government established measures to control the use of insurance services by restricting the number of nurse's visits to patient's home and by asking the patients to shoulder the transportation fee of nurses during the visit. Factors such as oversupply of hospital facilities, low price of home care services, high insurance coverage for hospital services and increased nuclear family set up resulted in the limited use of home care nursing services. The introduction of long-term care insurance in 2007 brought the decrease in the number of home care agencies and these agencies are facing a crisis today. The increase in chronic diseases and growing population of the elderly recently resulted in the need to control the high medical cost. Home care services for early discharge patients and chronic-severe disease patients will contribute in the reduction of medical cost at the same time improves the quality of patient's life. To catch up with the demands of the nation, accessibility to home care services should be improved and policies such as the expansion of home care services insurance coverage and promotion of establishing home care agencies should be considered.

• 수산경영론집
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• 제35권2호
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• pp.53-69
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• 2004

While the life in the fishing villages in old days was characterized by accepting the sea as destiny by birth, it became an industrial one nowadays with industry - scale fisheries as the mainstream. It is expected, however, that nature - friendly life will be prevailing in the fishing villages in the future In these days, the status of fishing village is on a very terrible situation due to the decrease in population, low income, environment destruction, and so on. However, the fishing village should be revitalized because of its public benefits at least. Recently, a kind of affirmative appearance in fishing village is that people who are willing to visit fishing village are increasing. The fishermen are supposed to use this opportunity for its economic and social interests. This paper suggests a kind of way, enjoyable fishery after catching and farming fishery, to use it. Enjoyable fishery consists of watching (learning by observation) fishery and doing (experience) fishery. The example of watching fishery is inspecting the fixed net fishery, doing fishery is experience of small dragnet fishery. The activation devices of the enjoyable fishery are suggested as follows; 1) fixing the identification of regional tourism 2) the development of regional enjoyable 3) opening of one day's fisherman school. 4) networking with fishing village amenity improvement 5) driving sisterhood system with urban area.

• Child Health Nursing Research
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• 제14권1호
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• pp.90-98
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• 2008

Purpose: This study was done to investigate behavior related to viewing pornography sites by primary, middle, and high school students in one province. Methods: The participants were 2,939 primary (5, 6 grade), middle and high school students (1, 2 and 3 grade), chosen at random in big cities, small towns and rural areas of North Cholla Province. Results: The first experience of finding pornography sites by oneself was 21.1% for the total sample and for primary school students 6.8%, for middle school students, 31.0%, and for high school students, 62.2%. The first time on a pornography site was highest for middle school students (62.0%) and for grade, middle school 1 grade (25.7%). The pornography use resulted in difficulties with study (11.3%), desire to imitate what was seen in pornography (10.9%), imitation of what was seen the pornography (3.9%), and desire to visit pornography sites everyday (2.3%). Pornography contact behavior was related to gender and school type (p<.05). Independent access to pornography and experiencing difficulties with study were related to area of residence (p<.05). Conclusion: These findings suggest that systematic education policy and further research on needs for pornography contact should be examined to develop programs to decrease pornography contact behavior.