• Title/Summary/Keyword: Decrease rate

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Determinants of Contingent Workers' Ratio in Public Health Centers (보건소 비정규직 고용 비율에 영향을 미치는 요인)

  • Lee, Su-Jin
    • Health Policy and Management
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    • v.20 no.4
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    • pp.114-125
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    • 2010
  • Objectives : This study investigates the determinants of contingent workers' ratio in public health centers. Since the economic crisis in 1997, there have been many studies on contingent workers in Korea. But, previous studies have been not conducted focusing on public health center. Methods : This study used 253 public health centers, installed and operated since December 31, 2008. in Korea as units of analysis. To examine the determinants of contingent workers' ratio, this study uses Pearson correlation and multiple regression analysis. Results : The following appeared as significant variable affecting contingent workers' ratio in public health centers; degree of the local government's financial independence(p<0.001), rate of increase/decrease in ages 65 and over(p<0.001), rate of increase/decrease in basic livelihood security recipients(p<0.01) and rate of increase/decrease in registered disabled persons(p<0.01). In contrast, internal organizational environment characteristics related variables were not statistically significant. Conclusions : Contingent workers' ratio in public health center is significantly affected by financial vulnerability of the local government and increase in demand of health care services.

An Adaptive Drop Marker for Edge Routers in DiffServ Networks

  • Hur, Kyeong
    • Journal of information and communication convergence engineering
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    • v.9 no.4
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    • pp.411-419
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    • 2011
  • In this paper, we propose an Adaptive Regulating Drop (ARD) marker, as a novel dropping strategy at the ingressive edge router, to improve TCP fairness in assured services (ASs) without a decrease in the link utilization. To drop packets pertinently, the ARD marker adaptively changes a Temporary Permitted Rate (TPR) for aggregate TCP flows. The TPR is set larger than the current input IN packet rate of aggregate TCP flows while inversely proportional to the measured input OUT packet rate. To reduce the excessive use of greedy TCP flows by notifying droppings of their IN packets constantly to them without a decrease in the link utilization, the ARD marker performs random early fair remarking of their excessive IN packets to OUT packets at the aggregate flow level according to the TPR. In addition, an aggregate dropper is combined to drop some excessive IN packets fairly and constantly according to the TPR. Thus, the throughput of a TCP flow no more depends on only the sporadic and unfair OUT packet droppings at the RIO buffer in the core router. Then, the ARD marker regulates the packet transmission rate of each TCP flow to the contract rate by increasing TCP fairness, without a decrease in the link utilization.

Effects of Na Restriction, K Supplement and Diuresis on Aldosterone Metabolic Clearance in the Normal Korean (한국인의 Aldosterone 대사 제거율에 미치는 Na 섭취제한, K 보충투여 및 이뇨의 영향)

  • Sung, Ho-Kyung
    • The Korean Journal of Physiology
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    • v.11 no.1
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    • pp.37-44
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    • 1977
  • In the previous study of the release, excretion, and plasma concentration of aldosterone in normal Koreans, the author found that urinary aldosterone excretion and aldosterone secretion rate of the Korean who usually take high amount of salt are significantly lower, in compared to Americans, although the plasma concentration is only tended to be low. The control of plasma aldosterone level depends on the secretion rate and the metabolic clearance of the hormone. In this experiments, the metabolic clearance rate of aldosterone was determined in normotensive korean and the effects of adrenal stimulations on the rates were also studied in the same subjects. The metabolic clearance rate of the normal Korean was not significantly different from those of the American, and shown a little increase in response to sodium restriction. These results indicate that the decrease in secretion rate rather than the increase in metabolic clearance Tate is the major factor maintaining lower plasma aldosterone level. After furosemide diuresis, on the contrary, the removal of aldosterone showed significant the decrease despite slight increase of secretion rate. This suggest that the reduction in metabolic clearance rate of the hormone during volume depletion found to be major cause of high plasma concentration. Additional potassium supply produced detectable decrease of metabolic clearance rate, but the changes were smaller than that of secretion rate, which suggested that the higher secretion rate could account for elevated plasma concentration of aldosterone rather than metabolic clearance. Above results also support author's previous evidences that the normal Korean who already adapted to a high sodium diet have ability to produce adequate aldosterone activity without producing detectable changes on the metabolic clearance rate under the condition of sodium restriction with approp riate potassium intake.

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Effects of reimbursement restriction on pharmaceutical expenditures : A case of Ginkgo biloba (은행잎 제제의 급여제한 정책효과 분석)

  • Kwon, Hye-Young;Lee, Tae-Jin
    • Health Policy and Management
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    • v.21 no.2
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    • pp.249-262
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    • 2011
  • Since May 1st in 2008, the products of ginkgo biloba extract have had to be used with the patient's out-of-pocket payment due to reimbursement restriction guidelines. This study aims to analyze the policy effects of reimbursement restriction on pharmaceutical expenditures using interrupted time series(ITS) analysis. We retrieved monthly NHI claims data for the period between May, 2005 and December 2009. The ingredients identified as a substitute for ginkgo biloba have similar indications based on the similar pharmacological activities. The effects of changes in reimbursement scope were evaluated both for all relevant pharmaceuticals within the same therapeutic class and for 2 separate groups : ginkgo biloba's and its substitutes. According to the study results, restrictions on reimbursement scope resulted in savings of the drug expenditures in the targeted therapeutic class. Direct restriction on ginkgo biloba was associated with a decrease in expenditure level by 60.1% and changes in trend from an average increase rate of 1.4% to an average decrease rate of 1.5% for the therapeutic class, with a dramatic decrease in expenditure level(-191.5%) for ginkgo biloba itself, but with an increased expenditure level(+50.1%) and changes in trend from an average increase rate of 2.0% to an average decrease rate of 1.0% for the substitute group. Further policy to restrict nicergoline was associated with additional decrease in expenditure level for the therapeutic class. Additionally, we could identify the balloon effect - a new policy squeezing one part results in bulging out elsewhere. After the restriction of ginkgo biloba, the utilization of and expenditures on its substitutes increased significantly. In conclusion, we demonstrated that consecutively introduced policies effectively reduced overall expenditures on the therapeutic class of interest. Some ingredients played as a substitute while others did not. Further studies need to be conducted to identify which factors determine a substitute.

Physiological Cost Index of Walking in Healthy Children (건강한 아동이 걸을 때에 생리학적 소비지수)

  • Lee, Hyang-Sook;Kim, Bong-Ok
    • Physical Therapy Korea
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    • v.9 no.1
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    • pp.43-51
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    • 2002
  • Physiological Cost Index (PCI) of walking has been widely used to predict oxygen consumption in healthy subjects or patients. The purpose of this study was to evaluate the predictability of physiological cost index of walking for the amount of exercise and cardiac function. Walking exercise was conducted in 67 healthy children (age 4-12) with a self-selected comfortable walking speed on the level surface. Walking speed was calculated, and heart rate was measured before and immediately after the walking. PCI was calculated for statistical analysis. The results were as follows; 1) The walking speed tends to increase and PCI of walking tends to decrease with age. There was significant difference in walking speed and PCI of walking among three age groups (p<.05). The change of walking heart rate tends to decrease with age, however, there was no significant difference among three age groups. 2) Linear regression equation between walking speed and age was 'Y (walking speed) = 2.124X (age) + 48.286' ($R^2$=.337), (p=.00). 3) The walking heart rate tends to decrease with age. Linear regression equation between walking heart rate and age was 'Y (walking heart rate) = 143.346 - 2.63X (age)' ($R^2$=.3425), (p=.00). 4) The walking heart rate decreased as body surface area (BSA) increased. Linear regression equation between walking heart rate and BSA was 'Y (walking heart rate) = 149.830 - 27.115X (BSA)' ($R^2$=.3066), (p=.00). In conclusion, these equations and PCI could be useful to quantify the variation of energy expenditure of children with pathological gait when compared with age-matched healthy children.

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A Fundamental Properties of the Concrete Using Coarse Particle Cement and Mineral Admixture (굵은입자 시멘트와 광물질 혼화재를 조합 사용하는 콘크리트의 기초적 특성)

  • Han, Cheon-Goo;Jang, Duk-Bae
    • Journal of the Korean Recycled Construction Resources Institute
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    • v.5 no.1
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    • pp.131-138
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    • 2010
  • This research intends to analyze the basic characteristics of cements(hereinafter "CC") with affordable price and particle distribution effective as hydration heat face which are discharged at the outlet of smashing process of ordinary portland cement(hereinafter "OPC") manufacturing process such as fluidity, rigidity, temporary insulation temperature increase amount etc to review the potential of developing "CC" to 3 ingredients low heat cement that substitutes fly ash and blast furnace slag(hereinafter "BS"). As a result of experiment, fluidity tended to decrease with increase in CC substitution rate, and increase with increase in FA+BS substitution rate. Air amount tended to slightly decrease with increase in CC substitution rate, and decrease with increase in FA+BS substitution rate. Condensation characteristics were such that condensation time was delayed with increase in CC and FA+BS substitution rate. As for the temperature rising amount by temporary insulation, peak temperature decreased with increase in CC substitution rate and increase in FA+BS substitution rate in general, and thereafter, temperature tended to decrease slowly. Compressive strength decreased with increase in CC and FA+BS substitution rate, and as aging goes on, long term strength was equivalent to plain or higher. By and large, when FA+BS was substituted to CC, fluidity and air amount tended to decrease, but hydration heat face showed good reduction effects, suggesting possibility of development to 3 ingredients low heat cement.

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COMPARATIVE STUDIES ON INDIGENOUS STARTER CULTURE STRAINS FOR THEIR RATE OF ACID PRODUCTION

  • Masud, T.;Sultana, K.;Kausar, R.
    • Asian-Australasian Journal of Animal Sciences
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    • v.5 no.3
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    • pp.559-561
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    • 1992
  • Three strains each of L. bulgaricus and S. thermophilus isolated from indigenous dahi were examined for their rate of acid production and corresponding pH values in skim milk medium incubated at $40^{\circ}C$. No significant increase in titrable acidity or decrease in pH were recorded from initial period up to 2nd hour in both the strains. Following this period, however, there was a continuous increase in titrable acidity and a decrease in pH value in the milk for all the tested strains. Further it was observed that there was a variation among these strains for their acid production rate. High rate of acid production was recorded for the L. bulgaricus as compared to S. thermophilus. The results further, suggested that efforts should be made to select a proper pair of L. bulgaricus and S. thermophilus according to their rate of acid production, at a particular temperature in order to produce a good quality product.

Oxide etching characteristics of Enhanced Inductively Coupled Plasma (E-ICP에 의한 산화막 식각특성)

  • 조수범;송호영;박세근;오범환
    • Proceedings of the IEEK Conference
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    • 2000.06b
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    • pp.298-301
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    • 2000
  • We investigated the etch rate of SiO$_2$ in E-ICP, ICP system and the addition gas (O$_2$H$_2$) effect on SiO$_2$ etch characteristics. In all conditions, E-ICP shows higher etch rate than ICP. Small amount of O$_2$ addition increase F atom and O$\^$*/ concentration. at optimized condition (30% O$_2$ in CF$_4$, 70Hz) E-ICP system shows highest etch rate (about 6000${\AA}$). H$_2$addition in CF$_4$ Plasma make abrupt decrease Si etch rate and moderate decrease SiO$_2$ etch rate.

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Herd Reproductive Performance Related to Urea Nitrogen Concentration in Bulk Milk (우유내 요소태 질소 농도와 관련된 우군의 번식성)

  • 박수봉;김현섭;이명식;박진기;장원경;이정규
    • Korean Journal of Animal Reproduction
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    • v.21 no.2
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    • pp.191-195
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    • 1997
  • The objective of this study were to compare two methods of analysis of milk urea nitrogen (MUN) and to relate conentration of MUN to pregnancy rate in dairy cows. The Azotest and Sigma method for MUN analysis were compared. The Azotest consistently underestimated the Sigma values for same samples, except for those in rank 3. The CV for the Azotest, within each rank, were less than 15%, demonstrating acceptable repeatability of the Azotest within a rank. Concentrations of MUN higher or lower than MUN in rank 3 and 4 were associated with decreased pregnancy rate. Mun concentrations in rank 5 and 6 were associated with a, pp.oximately a 16 percentage point decrease in pregnancy rate. Mun concentrations in rank 5 and 6 were associated with a, pp.oximately a 16 percentage point decrease in pregnancy rate after AI in dairy cow. This results suggest that Azotest may be benificial to dairy producers to monitor urea nitrogen concentration in their herd in efforts to maintain or improve reproductive efficiency.

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Prediction of drug-Drug Interaction During Oral Absorption of Carrier-Mediated Compounds in Humans

  • Oh, Doo-Man;Gordon L. Amidon
    • Archives of Pharmacal Research
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    • v.17 no.5
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    • pp.364-370
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    • 1994
  • A microscopic mass balance approach has been developed to estimate the extent and rate of absorption for camier-mediated comounds. For the case competitive inhibition in the presence of an inhibitor which shares the same camier, the fraction dose absorbed (F) and absorption rate constant ($K_a$) of a drug can be calculated from its concentration profile in the intestinal lumen. Absorption parameters obtained by single-pass perfusion experiments were used in the simultaion of the absorption of some aminopenicilins. Predicted fractions dose absorbed and absorption rate constants of ampicilin and amoxicilin were significantly reduced in the presence of a 6-times higher molar dose of cyclacilin. The drug-drug interactions on the competitive absroption of camier-mediated compounds were determined with regard to F and $K_a$. Predicted decreases in F for some aminopenicilins corrlated well with decrease in the urinary recovery in humans reported in the literature. Predicted decrease in the mean absorption rate constant ($\barK_a$) explain the delays in the time of peak plasma concentration ($T_{max}$) reported in humans.

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