• 제목/요약/키워드: Decrease rate

검색결과 6,195건 처리시간 0.035초

건강보험 본인일부부담률 적정성에 대한 대중의 인식 (Public Perception on Coinsurance Rate of the National Health Insurance in Korea)

  • 조하현;김지은;함명일;강은정;김선정
    • 보건행정학회지
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    • 제30권4호
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    • pp.451-459
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    • 2020
  • Background: Although Korean government have been adopting several policies to expand coverage of National Health Insurance (NHI) program, the coverage rate is still below average across Organization for Economic Cooperation and Development countries. This study was to identify public perception on appropriateness of coinsurance rate and factors associated with coinsurance rate in National Health Insurance. Methods: For this cross-sectional study, 507 participants over aged 20 years were recruited from telephone surveys. Respondents experienced at least one and more visiting medical facilities due to medical problems in last 12 months. Demographic factors, socioeconomic positions, and experiences on medical utilization were measured in order to identify factors associated with perception appropriateness of coinsurance rate. Results: The 49.9% (n=209) of the public responded that the coinsurance rate of NHI program was appropriate. There were no differences in positive perception according to socio-demographic factors and experiences on medical utilization except for gender, residential area, and felt expensive when using medical services. People who felt burden of medical expenditure were more likely to perceive coinsurance rate inappropriate (odds ratio, 2.33; 95% confidence interval, 1.52-3.58) Conclusion: In spite of the relatively low coverage rate of NHI, this study identified that 49.9% of the public perceived the current coinsurance rate was adequate. However, people who felt the burden of medical expenditure were still had a negative perception of the coinsurance rate needed to decrease the coinsurance rate.

환율 변동성과 양자 무역 흐름: 중국을 중심으로 (Exchange Rate Volatility and Bilateral Trade Flow: Evidence from China)

  • 이청;이상휘
    • 무역학회지
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    • 제48권4호
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    • pp.47-66
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    • 2023
  • 본 연구는 중국의 대외무역정책 조치가 중국에 미치는 영향을 살펴보고자 하며 중국의 양자 무역이 실질실효환율의 움직임에 크게 영향을 받는다는 것으로 나타났다. 또한, 총무역흐름과 환율변동의 관계를 분석한 결과 실질환율의 하락이 중국의 수출량을 증가시키고 수입량을 소폭 감소시키는 것으로 나타났다. 또한 중국의 수출량은 환율수준에 비해 환율변동성에 대한 민감도가 높은 것으로 나타났으며, 나아가 세분화된 무역흐름에 대한 실증결과는 상품마다 환율변동에 따라 상이한 영향을 받고 있음을 시사하고 있다. 자본재와 소비재는 서로 다른 가공 단계에 있으므로 환율 하락으로 인해 수출입에 부정적인 영향을 미치지 않은 것으로 나타났다.

집단치료사업에 따른 간흡충증의 역학적 변동에 관한 조사 (Studies on the Epidemiological Change of Clonorchiasis After Mass Chemotherapy in Highly endemic Areas)

  • 주경환;주봉덕;임한종;이준상
    • 농촌의학ㆍ지역보건
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    • 제12권1호
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    • pp.80-93
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    • 1987
  • Mass chemotherapy of Clonorchis sinensis infection in Korea was started in 1982 with 40mg/kg body weight single dose administration scheme of praziquantel. The purpose of this study was to investigate the efficiency of current mass chemotherapy project and compare the epidemiological changes in endemic area of Ckmorchis sinensis. This study was performed at Kimhae-city and Samrangjin-eup of Miryang-gun, Kyongnam province, highly endemic area of C. sinensis located southeastern part of Korea from July to October of 1986. The therapy project of Kimhae area was performed in 1984, whereas that of Samrangjin was done in 1985 by stool examination of the Korea Association for Parasite Eradication(KAPE) and drug administration of local health centre. The results obtained were as follows; 1) As a results of stool examination from 234 specimens obtained in Kimhae area, the infection rate has decreased to 34.2%from 45.6p in 1983, but the infection rate of C. sinensis from 341 specimens obtained in Samrangjin area did not decrease (58.1%in 1986 490%in 1983). 2) The study in Kimhae area showed that the average EPG decreased remarkably from 4,858 to 1,340 and those classified above the category of heavy infection decreased also from 14.0pp to 1.7%. The study in Samrangjin area showed that the average EPG did decrease drastically from 9,597 to 6,498 and those classified above the category of heavy infection did not go down drastically from 25.2% to 14.2%. 3) The study in Kimhae area showed decrease of Cs.$D._{50}$ in comparison to that in 1983, wheareas Cs.$D._{50}$ in Samrangjin area showed no much difference compared to that in 1983. The intensities of endemicity were represented with the regression equation calculated with the cumulative percentages of EPG count. Regression equation was Y=4.49+1.19 log x in Kimhae area and Y=3.66+127 log x in Samrangjin area. 4) The two stage catalytic model was applied and the calculation lead to the equation $Y=5.33(e^{-0.018t}-e^{-0.016t})$ in Kimhae area and $Y=1.25(e^{-0.010t}-e^{-0.018t})$ in Kimhae area and $Y=125(e^{-0.010t}-e^{-0.050t})$ in Samrangjin area 5) The infection rate of cercaria in P.manchouric-us studied in Kimhae area showed 1.25% which is not much different from that in previous years, wheareas the infection rate of metacercaria in P. parva studied in the same area this year showed 2.5-20.2/gm of flesh in comparison to 64/gm of flesh in 1983. 6) Data of C. sinensis infection on the reservoir host in Kimhae area showed 4 out of 18 dogs, 1 out of 18 rats and that in Samrangjin area showed 2 out of 18 dogs respectively. 7) Among the inhabitants who were under mass chemotherapy in Kimhae area, 71out of them, upon stool examination, showed infection rate of 66.2% and those classified above the category of heavy infection, 2.4%. In comparison to infection rate of 33.7% and those classified above the category of heavy infection, which is 1.0%, obtained from those not under mass chemotherapy showed higher infection rate and somewhat equal distribution of intensity of infection. The above statements reflect the fact that individual therapy besides mass chemotherapy was prevalent in that area. 8) On the other side, the studies in Samrangjin area showed infection rate of 68.7% and those above the category of heavy infection, which is 6.1%, in comparison to infection rate of 58.3% and those above the category of heavy infection, which is 16.5%, in those not under mass chemotherapy. the above reflects that although a good deal of inhabit-ants were classified under light or moderate infection category, those above the category of heavy infection, yet, numbered a lot, and individual chemotherapy has not been going on. In conclusion, it was suggested that the number of reinfected inhabitants among those under mass chemotherapy were numerous. Accordingly, the reinforcement of health education should be followed with mass chemotherapy. The facts of high infection rate exemplified by 65% and high number of those above the category of heavy infection in Samrangjin area say that reevaluation of dosage, number of medication and intervals should be necessarily made.

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기업의 R&D 구조변화와 정부정책 방향에 대한 소고

  • 송종국;서환주
    • 기술혁신연구
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    • 제11권1호
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    • pp.79-97
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    • 2003
  • R&D expenditure of Korean firms has been increasing drastically since 1980 and occupied 84% of total R&D expenditure in 1994. After 1994, however, the growth rate of industry R&D expenditure has dropped below single digit. R&D concentration rate of upper 20 companies declined from 61.9% in 1999 to 49.8% in 2001. The technology trade balance has diverged by 2.8 billion dollars in 2000 compared to around 0.3 billion dollars in 1985. We find several reasons on declining the industry R&D growth rate in Korea. First, we carefully say there might be an crowding out effect in increasing government R&D investment from Granger causality test between industry R&D and government R&D. Second, the decreasing benefit of tax credit since 1992 on industry R&D expenditure has caused the decrease of industry R&D growth rate. Third, the type of R&D cost becomes to similar to matured countries type of cost, which means the portion of capital expenditure has been decreased since late of 1980s. Therefore, industry R&D growth rate gets to saturation point. We draw several policy implications from the changing structure of business R&D of Korean company. Firstly, to stimulate industry R&D investment Korean government needs to strengthen tax credit policy. Secondly, to induce foreign direct investment Korean government needs to establish technology infrastructures and high quality of manpower. To utilize foreign technology resources Korean government need to introduce global R&D program executed by foreign scientist as an Project Leader.

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SCR 촉매층 형상변화에 따른 침식특성에 관한 수치해석적 연구 (NUMERICAL STUDY ON THE EROSION CHARACTERISTICS OF SCR CATALYST DUCT BY VARYING ITS GEOMETRICAL CONFIGURATION)

  • 박훈채;최항석;최연석
    • 한국전산유체공학회지
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    • 제16권2호
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    • pp.66-74
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    • 2011
  • The SCR catalyst in coal-fired power plant is eroded by the collision of fly ash on the catalyst surface. However the erosion of SCR catalyst by the collision of fly ash has not been fully studied, especially in terms of fluid dynamics. Hence, in the present study, we focus on the gas and solid flows inside the SCR catalyst duct and their consequent effect on the erosion characteristics. For this purpose, computational fluid dynamics is applied to investigate the two-phase flows and to evaluate the erosion rate for different flow and particle injection conditions. Also, the erosion rate and pressure drop of commonly used square shape are compared with equilateral triangle and hexagon shapes. The pressure drop of SCR catalyst is increased when SCR catalyst surface area per unit volume increases. The erosion rate of SCR catalyst is enhanced when the particle velocity, mass flow rate of particle, particle diameter and cell density of SCR catalyst are increased. From the results, the pressure drop and erosion rate at the catalyst surface can be minimized by reducing cell density of SCR catalyst to decrease particle velocity and number of particle impacts.

A Survey on the Implementation of Musculoskeletal Disorders Prevention Program in Shipbuilding Industry

  • Kim, Day-Sung
    • 대한인간공학회지
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    • 제31권1호
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    • pp.151-156
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    • 2012
  • Objective: In 2010, the rate of injuries and illnesses in the shipbuilding industry was 1.20, about 1.74 times higher than the average of overall industries(0.69). Musculoskeletal disorders(MSDs) became a major problem since 2000 in shipbuilding industry. The purpose of this study was to provide efficient implementation management through evaluating the economic effectiveness of the Musculoskeletal Disorders Prevention Program(MDPP). Successfully implementing the MDPP in the workplace may decrease the risk of MSDs and therefore reduce MSDs related costs. Methods: Occupational accident index (frequency rate, severity rate, and frequency severity indicator), estimated direct costs, and total occupational accident occurrence rate were provided by analysis of MSDs, statistical analysis of MDPP decreed companies, and data analysis of implementation. Results: The study shows the number of MSDs for MDPP decreed companies decreased 76.2% from 2,319 in 2004 to 551 in 2008. Above all, the number of MSDs decreased 78.7% in Shipbuilding industries. Forty companies (85.1%) showed a decreasing tendency and 27.7% of those had an $R^2$ > 0.7. Similar results were found in severity rate and frequency severity indicator. From these results, it appears there are a number of advantages in implementing the MDPP. Conclusion: MDPP effectiveness was demonstrated by analysing implementation and occupational accident index. A more effective and efficient implementation would take into account business sector, size, policy, and organization of the company.

Patterns of the Diagnosis Prevalence of Psychiatric Disorders in the Population Aged 0-18 Years Based on the Nationwide Insurance Sample Data

  • Lee, Seung Yup;Bahn, Geon Ho
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제31권4호
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    • pp.214-224
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    • 2020
  • Objectives: This study aimed to examine the trend in diagnostic prevalence of psychiatric disorders in children and adolescents. Methods: Individuals aged 0-18 years were included in the study based on the National Health Insurance Claims Data. To investigate the trends in diagnosis and diagnostic prevalence of psychiatric disorders reflecting the decrease in the birth rate, data were analyzed from 2010 as a reference year to 2015. Results: The number of patients diagnosed with psychiatric disorder decreased annually, from 23,412 on 2010 to 18,821 on 2015. The most common disorder was hyperkinetic disorder in male and depressive episode in female. Although there was no significant change in overall diagnostic prevalence rate of psychiatric disorders, age groups <10 years and some disorders had significant changes in prevalence rate. This study classified the diagnostic prevalence by age into two unique patterns: group in which the diagnosis rate increases with age and group in which the diagnosis rate peaks at a certain age and then decreases. Conclusion: Diagnostic prevalence of psychiatric disorders was different according to age and sex. These patterns should be reflected in the formulation of policies related to mental health and in medical practice for pediatric patients. It is urgent to identify how these patterns change in young adults.

EFFECT OF CIMATEROL ON GROWTH AND 3-METHYLHISTIDINE EXCRETION IN RATS

  • Kim, Y.S.;Lee, Y.B.
    • Asian-Australasian Journal of Animal Sciences
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    • 제3권4호
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    • pp.313-318
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    • 1990
  • Forty-two outbred female Sprague-Dawley rats weighing 145 g were used to study the effects of a beta-agonist, cimaterol, on growth, body composition and urinary excretion of 3-methylhistidine (MH) at 3, 6 and 18 d. Cimaterol (CIM) was administered in the feed at 10 mg/kg. The growth promoting effect of CIM was most evident during the initial part of the feeding period, followed by a gradual decrease in the magnitude of the response with no significant effect at 18 d. The action of CIM was confined to skeletal and cardiac muscles with no stimulating effect on other organs. The amount of urine excretion and urinary MH excretion was reduced (p<.01) at 3 d in the CIM group. No difference was found at 6 d, followed by an increased urine excretion (p<.05) and MH excretion (p<.01) at 18 d. An inverse relationship between growth rate and urinary MH excretion suggested that the increased growth rate of CIM-fed rats during the initial part of the feeding period is primarily attributed to the decreased protein degradation rate. It was further suggested that both fractional synthesis rate and fractional degradation rate increased during the later part of the feeding period.

벤질 할라이드의 할로겐 교환반응 (제Ⅲ보) 아세톤 중에서의 염화 및 브롬화 벤질과 브롬화 및 요오드화 이온간의 교환반응 (Halogen Exchange Reactions of Benzyl Halides Part Ⅲ-Kinetics of Reactions of Bromide and Iodide Ions with Benzyl Chloride and Bromide in Absolute Acetone)

  • 황보명환;이본수;이익춘
    • 대한화학회지
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    • 제13권2호
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    • pp.109-114
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    • 1969
  • 할로겐화 벤질의 할로겐 교환반응을 무수 아세톤에서 연구하였으며 반응속도상수 계산에는 새로 유도한 적분식을 사용하였다. 아세톤 용매 속에서의 할로겐 이온들의 친핵반응성은 90% 에탄올 용매속에서의 것과 정반대 순서이며 이것은 HSAB 원리와 할로겐 이온의 solvation으로 설명할 수 있었다. 아세톤 용매 속에서의 반응속도의 증가는 ${\Delta}H^\neq$의 감소보다는 ${\Delta}S^\neq$의 증가에 기인되며 또 전이상태의 solvation 현상도 그 원이이 될 수 있음을 논의하였다.

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국내 배편계통의 최적 개폐기 설치 기준 (The Optimized Standards and Criteria for Installing Switches on Distribution Feeder)

  • 조남훈;하복남;이흥호
    • 대한전기학회논문지:전력기술부문A
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    • 제51권5호
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    • pp.238-246
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    • 2002
  • Utilities are trying to install the equipment of high quality to avoid deterioration of supply reliability. In addition, many sectionalizing switches which can decrease the total outage value for a fault are installed for the same reason. Therefore, utilities are interested in stun dards and criteria for installing switches to optimize the total cost on distribution systems. The affect of sectionalizing switches installed on distribution feeder is gradually decreased because the failure rate on distribution feeder is decreased. Also the automation for distribution systems is widely applied for the efficient operation. Therefore, the renewal for installation standards of sectionalizing switches Is required to reflect the current operation situation. The variable data is used to consider the KEPCO's real situation of distribution feeder as follows; the feeder capacity, connecting rate, feeder length, failure rate of distribution feeder, the failure rate of switches, perception time of feeder fault, the restoration time for a faulted section, the transfer time to other feeders, and the switching time. In this study, We propose equations which can determine the number of sectionalizing switches for minimizing the outage and switch installation cost.