• 제목/요약/키워드: Distance of Visit

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A Survey of Public Preferences on Repeat Dispensing (장기처방약의 조제방식에 대한 일반인의 선호도 조사: 분할조제 관점에서)

  • Young Mi Lee;Daejin Kim;Eunjoo Lee;Hyun Soon Sohn
    • Korean Journal of Clinical Pharmacy
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    • v.34 no.1
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    • pp.30-38
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    • 2024
  • Background: This study examined the public's perceptions of repeat dispensing as one of the measures to reduce the harmful effects of long-term prescriptions in Korea. Methods: From January 11 to 25, 2021, an online survey was conducted for adults using convenience sampling. A self-developed questionnaire was used. Results: There were 310 respondents, of which 228 (73.5%) preferred repeat dispensing. When considering the additional fee payment, 188 (60.6%) preferred repeat dispensing, and 54 (67.5%) out of a total of 80 chronic disease patients preferred it. It was confirmed that there was a difference in the willingness to repeat dispensing considering the additional cost depending on whether the patient had a chronic disease and the distance from home to the nearest pharmacy. As a result of subgroup analysis for patients with chronic diseases, frequency of outpatient visit, number of prescription days, method of packaging pharmaceuticals, and distance from home to the nearest pharmacy were identified as variables that could well predict the willingness to repeat dispensing considering paying additional fees. The preference for repeat dispensing may vary depending on conditions such as additional cost range, frequency and period of prescription use, disease and patient characteristics, so a careful approach is necessary. Conclusion: It is necessary for the government to consider the introduction of repeat dispensing with interest in the public demand.

A Study on the Using of Automatic Exposure Control in the Chest Radiography (흉부 방사선검사에서 자동노출제어 사용에 관한 연구)

  • Choi, Sung-Sik;Lim, Cheong-Hwan;Jung, Sung-Hoon
    • Journal of radiological science and technology
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    • v.42 no.1
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    • pp.19-24
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    • 2019
  • For general radiological examinations, even in the same area and the same test, the test conditions must be set differently according to the patient. However, since it is impossible to consider the body shape and conditions of patients every time in medical institutions where various patients visit, the tests are conducted by setting the AEC which automatically sets the test conditions. AEC is most commonly used in chest radiography. Therefore, the purpose of this study is to propose the improvement plans for using AEC by measuring the exposure dose and evaluating the image quality according to whether the AEC is used or not, and to provide basic data for AEC research. In the present study, images were acquired while varying tube voltage and test distance according to the use of AEC in chest radiography. The radiation dose was measured by placing the dosimeter in front of the chest phantom, and the CNR and SNR of acquired images were analyzed using Image J. The t-test was conducted for the statistical analysis and the significance was determined at the level of 95%(p<.05). As a result of this study, in the inspection distance (100cm, 140cm, 180cm) according to the use of AEC, high doses were observed when the AEC was used and there was statistically significant difference(p<.05). In the t-test to determine the difference between CNR and SNR depending on whether AEC was used or not, there was no significant difference according to the use of AEC(p>.05). Therefore, when performing chest radiography, if the radiologist establishes the appropriate examination conditions and conducts the examination by not just relying solely on AEC, it may be possible to reduce unnecessary radiation exposure to the patient.

Design and Implementation of a Web System Providing Optimal Travel Routes (여행지 최적 경로를 제공하는 웹 시스템의 설계와 구현)

  • Yim, Jae-Geol;Lee, Kang-Jai
    • Journal of the Korea Society of Computer and Information
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    • v.12 no.5
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    • pp.19-27
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    • 2007
  • We have implemented a WWW homepage which finds an optimal route for users. There already exist many web sites which provide the optimal route when a start and a destination cities are given. However, none of them can find the optimal route when a number of cities to be visited. The problem of finding the optimal route starting at a given start city and visiting through all the given intermediate cities and finally returning to the start city is called Travelling Sales Person(TSP) problem. TSP is a well known exponential time complexity problem. We have implemented an artificial intelligent search algorithm for TSP on our homepage. The main feature of our algorithm is that the destination may not be the same as the start city whereas all of the existing heuristic algorithms for TSP assume that the start and the destination cities are the same. The web page asks a user to select all the cities he or she wants to visit(including start and destination city), then it finds a sequence of the cities such that the user would travel minimum distance if he or she visits the cities in the order of the sequence. This paper presents algorithms used in the homepage.

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Efficient heuristic of vehicle routing problem for container shuttle service (컨테이너 셔틀 서비스를 위한 차랑 경로 문제의 근사적 해법)

  • Shin, Jae-Young;Oh, Sung-Inn;Park, Jong-Won
    • Proceedings of the Korean Institute of Navigation and Port Research Conference
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    • 2009.06a
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    • pp.171-172
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    • 2009
  • Generally, the container road transportal ion am be divided into three types; short distance, long distance and shuttle transportation. Also container vehicle am be divided into three types according to the chassis types of vehicle; only 20-feet container, only 40-feet container, combined chassis trailer. This paper deals with Vehicle Routing Problem(VRP) for delivering containers considering shuttle transportation. The shuttle service occurs several amounts of container which is same as O/D pairs. This problem is similar to the previously studied VRP for delivering containers using combined chassis trailers, but the characteristics of shuttle service must be considered additionally. We formulate the container shuttle transportation planning problem using combined chassis trailers based on VRP with pick-up and delivery which can visit each node more than one time, and propose an efficient solution procedure.

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An Efficient Heuristic to Solve Vehicle Routing Problem for Container Shuttle Service (컨테이너 셔틀 서비스를 위한 차량 경로 문제의 근사적 해법)

  • Shin, Jae-Young;Oh, Sung-Inn;Park, Jong-Won
    • Journal of Navigation and Port Research
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    • v.33 no.8
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    • pp.583-588
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    • 2009
  • Generally, the container road transportation can be divided into three types; short distance, long distance and shuttle transportation. Specially, the shuttle service occurs several amounts of container which is same as O/D pairs. Also container vehicle can be divided into three types according to the chassis types of vehicle; only 20-feet container, only 40-feet container and combined chassis trailer. Combined chassis trailers can load two 20-feet containers or one 40-feet container. This paper deals with Vehicle Routing Problem (VRP) for delivering containers considering shuttle service. This problem is similar to the previously studied Shin and Oh (2008), but the characteristics of shuttle service must be considered additionally. We formulate the container shuttle transportation planning problem using combined chassis trailers based on VRP with pick-up and delivery which can visit each node more than one time, and propose an efficient solution procedure.

A Density-based k-Nearest Neighbors Query Method (밀도 기반의 k-최근접 질의 처리)

  • Jang, In-Sung;Han, Eun-Young;Cho, Dae-Soo
    • Journal of the Korean Association of Geographic Information Studies
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    • v.6 no.4
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    • pp.59-70
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    • 2003
  • Spatial data base system provides many query types and most of them are required frequent disk I/O and much CPU time. k-NN search is to find k-th closest object from the query point and up to now, several k-NN search methods have been proposed. Among these, MINMAX distance method has an aim not to access unnecessary node by adapting pruning technique. But this method accesses more disks than necessary while pruning unnecessary nodes. In this paper, we propose new k-NN search algorithm based on density of object. With this method, we predict the radius to be expected to contain k-NN objects using density of data set and search those objects within this radius and then adjust radius if failed. Experimental results show that this method outperforms the previous MINMAX distance method. This algorithm visit less disks than MINMAX method by the factor of maximum 22% and average 7%.

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THE EFFECT OF INTRA-ARTICULAR INJECTION OF HYALURONIC ACID AFTER ARTHROCENTESIS IN TREATMENT OF INTERNAL DERANGEMENTS OF THE TMJ (악관절 내장증 치료를 위한 악관절 세정술 후 관절강내 Hyaluronic Acid 주입 효과)

  • Kim, Jae-Jin
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.32 no.5
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    • pp.453-457
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    • 2006
  • This study was designed to investigate the effect of intra-articular injection of hyaluronic acid for the treatment of internal derangements of the temporomandibular joint(TMJ). Sixteen patients with internal derangements of TMJ in 1 male and 15 females aged 68 to 18 years comprised the study material. The patients' complaint was limited mouth opening and pain during function. Patients were divided into 3 groups(articular disc displacement with reduction, articular disc displacement without reduction, osteoarthritis group). The preauricular area was disinfected anesthetized locally with 2% lidocaine hydrochloride. Arthrocentesis was performed. Hyaluronic acid(1.5 ㏄) was then injected into the superior compartment of the TMJ. Active range of motion exercises were instituted at approximately 24 hours postoperatively. Antibiotics and NSAID, three times daily by mouth, was prescribed for 3 days. Clinical evaluation of the patients was done before the procedure, immediately after the procedure, final follow-up visit postoperatively. Pain during function was assessed using visual analog scales(VAS). Maximal mouth opening was recorded as a distance between upper incisal edge and lower incisal edge. Intra-articular injection of hyaluronic acid caused significant reduction of pain during function, significant increase of maximal opening range. These findings suggest that intra-articular injection of hyaluronic acid is useful for decreasing patient reports of pain while increasing functional mobility of the mandible in internal derangements of the TMJ.

The Urban Parks and Rivers Contribute to the Citizen Satisfaction and Utilization in Uijeongbu City

  • Kim, Yoo-Ill
    • Journal of the Korean Institute of Landscape Architecture
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    • v.38 no.5_2
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    • pp.151-162
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    • 2010
  • This research aimed at measuring Park and Green Satisfaction (PGS) using subjective indicators of 'surface, line and spot' green evaluated by citizens. Also frequency of visits to park and green measured using objective indicators (number of visits) to find the relationship with PGS. A conceptual model of PGS was developed to relate evaluation to satisfaction and finally to utilization of open spaces. A sample of 500 questionnaire survey was employed for Uijeongbu City in Korea. A Structual Equation Modeling (AMOS) techniques was used to test the hypothesized relationship among factors (construct). As a result, first, PGS was explained by three latent factors of 'urban park' (${\gamma}=0.54$), 'linear facilities' (${\gamma}=0.25$), and 'surface green' (${\gamma}=0.15$) respectively. These three exogenous construct was found very useful classification system for open spaces of cities. Second, PGS (${\gamma}=0.34$) was found as a mediating variable to utilization of open spaces and also PGS was closely related to citizens Environmental Quality Satisfaction (EQS), such concept as, 'livability' and 'aesthetic quality'. The more satisfied with park and green the more people use the space. The PGS was an important QOL indicator together with the subjective indicator of 'livability'. Third, jogging and walking trails and bike ways along the river corridor was the most important green facilities contribute to the PGS and EQS. The near the distance (within 500m) the more number of visit to river corridor (green way). The river corridor promote accessibility to nature and other parks.

A Study on the Environmental Analysis of Home for the Elderly in Care Service of Senior citizen who lives alone - A study on the model of co-housing for senior citizen who lives alone in the rural and fishing village (IV) - (노인돌봄서비스를 강화한 독거노인 경로홈의 주거환경 분석에 관한 연구 - 농어촌 독거노인을 위한 친환경 공동주거의 모형개발 연구(4) -)

  • Cho, Won-Seok;Kim, Heung-Gee;Kwon, Young-Gyu
    • Journal of the Korean Institute of Rural Architecture
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    • v.14 no.3
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    • pp.17-24
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    • 2012
  • This study is to propose the dwelling planning of collective housing for the senior citizen who lives alone in rural and fishing villages. and this paper analyzed a change element regarding the field of care service for the elderly. The results of research are as follows: First, the range a village unit of "Home for the Elderly" was investigated most primarily. Second, on the lifestyle of a bedroom, proper using person per a room was investigated to two people to use with one room and life style of using bed preferred more in life style of sitting on the floor(ondol). Third, most necessary facilities were examined into bathroom and steam-room, and the separation of man and woman space, toilet was investigated to 1 ranking. Fourth, to be most difficult care service was investigated by long-distance circulation. This is the item which can be reduced naturally in case of service activity caring for a visit in a collective housing.

Effects of a Short-term Home-based Pulmonary Rehabilitation Program in Patients with Chronic Lung Disease (만성폐질환자를 위한 가정 호흡재활 단기 프로그램의 효과)

  • 오의금;김순희;박희옥;방소연;이춘화;김소희
    • Journal of Korean Academy of Nursing
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    • v.33 no.5
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    • pp.570-579
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    • 2003
  • Purpose: The purpose of this study is to exam the effects of a short-term pulmonary program on lung function, exercise tolerance, and quality of life in chronic lung patients. Method: Randomized controlled pre-post test design was used. The outcome measures were forced expiratory volume in one second (FEV1, % predicted), 6 min walking distance (6MWD), Borg score after 6MWD, and Chronic Respiratory Disease Questionnaire (CRDQ). Experimental group performed the 4-week home-based pulmonary rehabilitation program composed of inspiratory muscle training, upper and lower extremity exercise, relaxation, and telephone visit. Patients in control group were only given education about self-management strategies. Thirty four patients with moderate-to-severe respiratory impairment were recruited, and 28 patients (19 in experiments, 15 in control) completed the study. Result: Significant improvements in lung function, exercise tolerance, and health related quality of life were found only in the experiment group. Conclusion: This study yielded evidence for the potential and beneficial effects of home-based pulmonary rehabilitation program in patients with moderate to severe chronic lung disease. The program could be adequately utilized for improvement of health related quality of life in chronic lung patients.