• 제목/요약/키워드: Low Utilization Group

검색결과 212건 처리시간 0.029초

노인장기요양보험 방문간호 권고군의 방문간호 이용과 의료 이용의 관계 (The Relationship between Home-Visit Nursing Services and Health Care Utilization among Nursing Service Recommended Beneficiaries of the Public Long-Term Care Insurance)

  • 강새봄;김홍수
    • 보건행정학회지
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    • 제24권3호
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    • pp.283-290
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    • 2014
  • Background: This study aimed to examine the relationship between home-visit nursing services and health care utilization under the public long-term care insurance program in Korea. Methods: We analyzed the long-term care need assessment database and the long-term care and the health insurance claim databases of National Health Insurance Service between July 2011 and June 2012. The sample includes a total of 20,065 home-visit nursing recommended-older beneficiaries who use home-visit nursing and/or home-visit care, based on a standard benefit model developed by the Health Insurance Policy Institute of National Health Insurance Service. The beneficiaries were categorized into home-visit nursing use and non-use groups, and the home-visit nursing use group was again divided into high-use and low-use groups home-visit nursing, based on their total annual home-visit nursing expenditure. Two-part models and negative-binomial regression models were used for the statistical analysis. Results: The home-visit nursing use was negatively associated with the number of outpatient visit and cost, while adjusting for all covariates. The home-visit nursing use was also negatively associated with the inpatient cost among the high home-visit nursing use group. Conclusion: The findings implies home-visit nursing use prevents health care utilization. Further studies and policy strategies that can promote and strengthen home-visit nursing services under the public long-term care insurance are necessary in Korea.

사료 내 감귤착즙박 첨가가 저수온에서 사육된 참돔(Pagrus major)의 성장, 비특이적 면역반응 및 수온자극 스트레스에 미치는 영향 (Effects of Dietary Supplementation of a Citrus By-product on Growth Performance, Innate Immunity and Tolerance of Low Water Temperature in Red Seabream Pagrus major)

  • 송진우;박상현;이초롱;이경준
    • 한국수산과학회지
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    • 제46권4호
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    • pp.399-406
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    • 2013
  • Our aim was to determine the effects of a citrus by-product (CBP) and CBP fermented by Lactobacillus plantarum (LP-CBP), provided as dietary supplements, on the growth performance, feed utilization, innate immunity and temperature tolerance of red seabream. A diet without inclusion of CBP or LP-CBP was used as a control and four other experimental diets were formulated to replace wheat flour by 4% and 8% of either CBP or LP-CBP (designated as Con, LP-CBP4%, LP-CBP8%, CBP4% and CBP8%, respectively). Experimental diets were fed to triplicate groups of 25 fish (initial body weight, 55.0 g) for 9 weeks. Growth performance and feed utilization were not significantly different among all the groups. Bone collagen content was significantly increased by supplementation with CBP and LP-CBP. Vitamin C concentration tended to be higher in livers of fish fed the supplements than in the control group. Myeloperoxidase, lysozyme and superoxide dismutase activities were higher in fish fed CBP or LP-CBP than in fish fed the control diet. When fish were exposed to low water temperature, cumulative mortalities of those fed CBP or LP-CBP supplemented diets were lower (29%, 33%, 34% and 33% mortalities for LP-CBP4%, LP-CBP8%, CBP4% and CBP8%, respectively) than in the control group (58%). Therefore, inclusion of either CBP or LP-CBP at up to 8% in red seabream diet brings benefits through enhanced innate immunity and better tolerance of low water temperature.

장기층군의 함탄층에서 산출되는 흡착기능성 광물 자원의 부존 환경 및 자원잠재성 평가 (Mineralization Environments and Evaluation of Resources Potentials for the Absorbent-functional Mineral Resources Occurred in the Coal-bearing Formation of the Janggi Group)

  • 노진환
    • 한국광물학회지
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    • 제19권3호
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    • pp.197-207
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    • 2006
  • 쇄설성 퇴적층 위주의 퇴적상을 갖는 것으로 알려진 영일 지역 장기층군의 함탄층 내에 실제로는 상당한 규모의 화산쇄설성 퇴적암류가 혼재된다. 전체적으로 이 함탄층은 화성쇄설성 암상과 단순 쇄설성 암상이 교호되는 양상을 보인다. 부석편을 함유하는 응회암과 응회질 사암이 함탄층의 특징적인 화산쇄설성 암상을 이룬다. 상 하부 함탄층의 화산쇄설성 암석에서 속성기원으로 산출되는 변질광물로는 몬모릴로나이트와 클리놉틸로라이트가 주된 광물상을 이루고 여기에 단백석과 석영이 수반된다. 광물조성과 양이온 치환능력 면에서 일부 층준에서는 응회질 암석들이 저품 위 제올라이트나 벤토나이트 광층을 이룬다. 또한 대부분 1 m 미만의 박층을 이루기 때문에 전형적인 제올라이트나 벤토나이트 자원으로서의 유용성과 잠재성은 낮은 것으로 판단된다. 그렇지만 인접하는 이들 광층들이 함께 개발될 수 있다면, 광물조성과 CEC 수치 면에서 산성백토와 같은 흡착기능성 광물자원으로서의 활용 가능성은 충분한 것으로 평가된다.

희귀난치성질환자에서 사회경제적 수준이 의료이용에 미치는 영향 (Effect of Socioeconomic Status on Healthcare Utilization in Patients with Rare and Incurable Diseases)

  • 임준;김명희;임정수;오대규
    • 보건행정학회지
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    • 제19권4호
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    • pp.66-77
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    • 2009
  • This study aims to examine the effect of socioeconomic status (hereafter, SES) on healthcare utilization of the patients with rare and incurable diseases. Information of 2,973 patients who were self-employed insured and utilized healthcare service in 2007 was drawn from the National Health Insurance (hereafter, NHI) claim data. SES was set as four groups based on the monthly contribution. Outcome variable was the expense for outpatient and in-hospital services, which was log-transformed and square-rooted in oder to obtain normal distribution. Covariates included age, gender, residence and diagnosis. To examine the effects after controlling for covariates, we employed generalized estimating equation model, since patients with the same diagnosis are likely to have similar characteristics of demographics and healthcare utilization. Univariate statistics showed that lower SES was associated with less utilization of healthcare services. After controlling for covariates, a significantly smaller amount of money was expended for the lowest SES group compared to the highest one. Rural residence was associated with less utilization, except that residents in Seoul significantly more utilized outpatient services in tertiary hospitals. Considering that there is a subsidy program for the low income patients, such differences in healthcare utilization according to SES seems to result from the burden of out-of-pocket payments for uncovered services of the NHI.

Screening of the total phenol content and analysis of phenolic compound in rice (Oryza saiva L.) genetic resources

  • Lee, Ji-Hee;An, Min-Jeong;Kim, Seung-Hyun;Chung, Ill-Min
    • 한국작물학회:학술대회논문집
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    • 한국작물학회 2017년도 9th Asian Crop Science Association conference
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    • pp.290-290
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    • 2017
  • Rice (Oryza sativa L.) is one of the most consumed staple food crop which is energy source as carbohydrate and also is considered as the important antioxidant sources including various phenolic compounds. According to the increasing demand of healthy life, the concern to antioxidant also is increasing because of its health-promoting effect. Phenolic compounds are one of the plant secondary metabolites class, which shows various benefits to preventing or treating chronic diseases. In this study, we have measured the total phenol content from total 647 rice samples using the Floin-Ciocalteau method, and then were selected 30 rice genetic resources classified with high, middle, and low group on the basis of total phenol content. The average of the total phenol content of each group was high-group ($6892.9{\pm}488.5{\mu}g\;GAE/g$) > middle-group ($1428.1{\pm}76.0{\mu}g\;GAE/g$) > low-group ($97.6{\pm}11.4{\mu}g\;GAE/g$). The selected rice samples were analyzed with LC-MS/MS to find the composition and concentration of individual phenolic in rice grain. High-group and middle-group contained large amounts of protocatechuic acid and (+)-catechin whereas low-group showed limited amount. Among high-group samples, rice samples with black pericarp color (IT 174089, IT 220079, and IT 259958) had high content of peonidin-3-O-glucoside. Further, these black rice samples were special since polydatin, rarely found stilbenoid in rice grain, was detected. Overall, both the sum of phenolic acid and the sum of flavonoid were high-group > middle-group > low-group. Also, each group exhibited different phenolic compositions; high-group consisted of flavonoid more than phenolic acid, middle-group and low-group was comprised of phenolic acid rather than flavonoid, and non-pigmented rice was composed by fully phenolic acid. The total phenol content had positive relationships with the sum of phenolic compound (r = 0.64), the sum of flavonoid (r = 0.74) at the significance level of p < 0.0001. In addition, protocatechuic acid and quercetin showed positive correlation with above phenolic composition parameters; in order, r = 0.98, 0.65 for protocatechuic acid and r = 0.73, 0.78 for quercetin (p < 0.0001). In conclusion, the total phenol content assay showed the possibility of utilization as a phenolic composition indicator in rice grain. Also, this result was suggested study pigment on other material.

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Rearing Temperature and Density Effects on the Number of Bacterial and Fungal Colonies in Metamorphosed Dybowski's Frogs (Rana dybowskii)

  • Kim, Jong-Sun;Choi, Woo-Jin;Park, Il-Kook;Koo, Kyo-Soung;Kang, Hui-Beom;Kwon, Oh-Sung;Lee, Seung-Hyeon;Choi, Hye-Ji;Lee, Jung-Hyun;Lee, Jin-Gu;Park, Dae-Sik
    • Journal of Forest and Environmental Science
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    • 제34권1호
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    • pp.61-65
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    • 2018
  • To know if small changes in rearing water temperature and density affect the number of bacterial and fungal colonies in metamorphosed frogs, Dybowski's frog tadpoles were reared from Gosner 25-26 stages at either low ($1^{\circ}C$ low to ambient water temperature), ambient, or high ($1^{\circ}C$ high) water temperature (each 15 tadpoles in 20 L water) condition and at either low (10 tadpoles/20 L water), medium (20 tadpoles), or high (30 tadpoles) density condition. Immediately after metamorphosis, we sampled bacteria and fungi from skin, liver, and heart of six metamorphosed frogs, randomly selected for each treatment group. After separate incubation of bacteria and fungi on 3M Petrifilm plates, we counted the number of bacterial and fungal colonies appeared on the plates and compared the numbers among the temperature and density treatment groups. For temperature treatment, high-temperature group had fewer bacterial colonies, while low-temperature group had more fungal colonies than the other two groups. For density treatment, low-density group had fewer bacterial colonies than the other two groups, but the number of fungal colonies were not different among the groups. Our results suggest that small increased rearing water temperature and lowered rearing density could potentially reduce pathogens in farming frogs.

신문을 활용한 토의 학습 활동이 초등학교 5학년 학생들의 과학 학업 성취도와 정의적 특성에 미치는 효과 (Effects of Discussion Using Newspapers on 5th Grade Elementary School Students' Scientific Academic Achievement and Affective Characteristics)

  • 박미애;오창호;김효남;박국태
    • 한국초등과학교육학회지:초등과학교육
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    • 제25권1호
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    • pp.59-69
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    • 2006
  • The purpose of this study was to investigate effects of discussion using newspapers on fifth grade elementary school students' academic achievement and affective characteristics related to science. Additionally, this study intended to examine students' ideas about newspaper utilization, discussion based learning and science with questionnaire. The subjects were 59 fifth grade students from two classes. NIE was used in the experimental group and traditional teaching methods in the control group. In pretest and posttest sessions, both groups were evaluated by the academic achievement test, and an affective characteristics related science test. The results of this study showed that the academic achievement of the experimental group which applied discussion using newspapers was significantly higher than that of the control group which applied traditional instruction, especially in terms of knowledge and understanding. Additionally, the results showed that discussion using newspapers had a positive effect on affective domains such as perception, interest and attendance for science classes. In particular, the post-results of the experimental group were higher than pre-results, on the other hand, those of the control group were lower than preresults in all affective domains. It appeared that students had positive thoughts about newspaper utilization, discussion based learning, and science. The half of students who had low academic achievement showed negative reactions for discussion based learning.

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시계열 자료의 데이터마이닝을 통한 한국산업표준의 제정과 활용 분석 (Analysis of Enactment and Utilization of Korean Industrial Standards(KS) by Time Series Data Mining)

  • 윤재권;김완;이희상
    • 기술혁신연구
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    • 제23권3호
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    • pp.225-253
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    • 2015
  • 표준은 산업발전 및 무역 자유화의 기반이며 사회 경제적인 효율을 향상시키는 중요한 수단이다. 표준과 관련된 정책은 국가적인 차원에서 중요한 이슈 중 하나가 되고 있으며, 이에 따라 산업 분야별 한국산업표준 제정과 활용에 대한 분석은 표준과 관련된 연구에서 중요한 부분이 되고 있다. 본 연구는 분야별 KS 보유 및 제정현황 분석 그리고 열람실적을 이용하여 표준의 활용도를 분석한다. 먼저 KS의 보유현황을 국가정책적인 이슈와 함께 살펴보고, 세부적으로 KS 제정현황이 유사한 분야들은 무엇인지 파악하기 위해 다차원 척도법을 이용하여 시각화 및 군집화를 실시한다. 이후 각 군집별 제정현황이 유사한 분야들의 표준화 제정활동에 영향을 미치는 결정요인이 무엇인지 가설설정에 따른 회귀분석을 실시한다. 연구결과 자본집약도, 연구개발 그리고 매출액이 표준화 제정활동에 영향을 미치는 것으로 나타났다. 이에 따라 정부는 자본집약도가 큰 기업들이 표준화 과정에서 선도적 역할을 유도하고, 연구개발에 따른 표준과 기술특허 등을 정책적으로 연계시키며, 매출액이 큰 기업들이 표준화 활동을 선도하도록 지원정책을 수립해야 한다. 두 번째로 표준의 활용도를 분석하기 위해, KS 열람실적 데이터를 사용하며, 각 KS의 제정연도, 형태 분야별 활용도가 어떻게 다른지 기초통계분석과 의사결정나무를 사용하여 분석을 수행한다. 그 결과 표준의 제정시기가 활용도에 영향을 크게 미치며, 특정 분야와 형태의 KS들은 최근에 제정되었더라도 활용도가 높은 것으로 나타났다. 이에 따라 열람실적이 낮은 표준들에 대한 홍보 정책과 함께, 표준을 제정할 때 미열람되는 표준이 적어지도록 활용도를 고려하는 정책을 수립해야 한다.

Influence of Dietary Butyrate on Growth Rate, Efficiency of Nutrient Utilization and Cost of Unit Gain in Murrah Buffalo (Bubalus bubalis) Male Calves

  • Vidyarthi, V.K.;Kurar, C.K.
    • Asian-Australasian Journal of Animal Sciences
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    • 제14권4호
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    • pp.474-478
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    • 2001
  • Eighteen Murrah male buffalo calves were allotted into three groups of six each. The calves in group I (control) were fed with whole milk, skim milk, calf starter and green maize fodder. The calves in group II (high butyric acid) and group III (low butyric acid) were fed with the same diet as control along with 24 ml and 12 ml of butyric acid/calf/day for 120 days, respectively for 120 days. Dry matter intake was higher in group II and III as compared with group I. Digestibility of dry matter, organic matter, crude protein, crude fibre, ether extract, neutral detergent fibre, acid detergent fibre, cellulose and hemicellulose was the highest in group II followed by group III and the control group. Body weight gain and conversion efficiency of dry matter, digestible crude protein and total digestible nutrients were better in group II. Cost of feed for per unit of live weight gain was the lowest in group II. It was concluded that dietary addition of butyric acid (24 ml/day) was economical and had positive effect on the performance of Murrah buffalo calves.

인구사회적 요인, 암, 일부 전신질환 등이 자살에 미치는 영향: 성별, 연령별 분석 (Effect of Sociodemographic Factors, Cancer, Psychiatric Disorder on Suicide: Gender and Age-specific Patterns)

  • 박재영;채유미;정상혁;문기태
    • Journal of Preventive Medicine and Public Health
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    • 제41권1호
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    • pp.51-60
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    • 2008
  • Objectives : We examined the effect of sociodemographic factors, cancer, and psychiatric disorders on suicide by gender and age-specific patterns in South Korea. Methods : The study is a case-control study. Claim data was obtained from the national health insurance database and national death registration database. The number of people who committed suicide was 11,523, which was matched with a control group consisting of ten times as many people at 115,230 selected from the national health insurance and medical aids beneficiaries. The medical utilization of the case group was one year before death and that of the control group was from July 1,2003 to June 30, 2004. Four variables-address, economic status, presence of a psychiatric disease, and cancer-were used in multiple logistic regression analyses. Results : Living in cities or in rural areas showed a greater risk for suicide than living in a metropolitan city. Low economic status, the presence of a psychiatric disorder, and cancer were also statistically meaningful risk factors for suicide. The three major psychiatric diseases, schizophrenia, alcohol abuse, and bipolar disorder, were meaningful in all age groups, but the scale of the odds ratio differed by the age group. Only the psychiatric disorder variable was meaningful in the adolescent group, whereas a psychiatric disorder and economic status were meaningful for the young adult group, and all variables were meaningful for the middle-aged group. A psychiatric disorder and cancer were meaningful in the elderly group, economic status was meaningful for male subjects, and address was meaningful for female subjects. Conclusions : Factors such as living in city or rural areas, low economic status, the presence of a psychiatric disorder, and cancer were statistically meaningful risk factors in suicide. These factors also differed by age group. Therefore, policymakers should establish policies for suicide prevention that are relevant for each age group.