• 제목/요약/키워드: Member utilization

검색결과 103건 처리시간 0.025초

Health Care Utilization Pattern and Its Related Factors of Low-income Population with Abnormal Results through Health Examination (저소득층 건강검진 유소견자의 의료이용 양상 및 관련요인)

  • Kwon, Bog-Soon;Kam, Sin;Han, Chang-Hyun
    • Journal of agricultural medicine and community health
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    • 제28권2호
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    • pp.87-105
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    • 2003
  • Objectives: The purpose of this study was to examine the health care utilization pattern and its related factors of low-income population with abnormal results through health examination. Methods: Analysed data were collected through a questionnaire survey, which was given to 263 persons who 30 years or over with abnormal results through health examination at Health Center. This survey was conducted in March, 2003. This study employed Andersen's prediction model as most well known medical demand mode and data were analysed through 2-test, and multiple logistic regression analysis. Results: The proportion of medical utilization for thorough examination or treatment among study subjects was 51.0%. In multiple logistic regression analysis as dependent variable with medical utilization, the variables affecting the medical utilization were 'feeling about abnormal result(anxiety versus no anxiety: odds ratio 2.25, 95% confidence intervals 1.07-4.75)', 'type of health security(medicaid type I versus health insurance: odds ratio 2.82, 95% confidence intervals 1.04-7.66; medicaid type II versus health insurance: odds ratio 3.22, 95% confidence intervals 1.37-7.53)', 'experience of health examination during past 2 years(odds ratio 2.39, 95% confidence intervals 1.09-5.21)' and 'family member's response for abnormal result(recommendation for medical utilization versus no response: odds ratio 4.90, 95% confidence intervals 1.75-13.75; family member recommended to utilize medical facilities with him/her versus no response: odds ratio 19.47, 95% confidence intervals 5.01-75.73)'. The time of medical utilization was 8-15 days after they received the result(29.9%), 16-30 days after they receive the result(27.6%), 2-7 days after they received the result(20.9%) in order. The most important reason why they didn't take a medical utilization was that it seemed insignificant to them(32.4%). Conclusions: In order to promote medical utilization of low-income population, health education for abnormal result and its management would be necessary to family member as well as person with abnormal result. And follow-up management program for person with abnormal result through health examination such as home-visit health care would be necessary.

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Biochemical Characterization of a GDSL-Motif Esterase from Bacillus sp. K91 with a New Putative Catalytic Mechanism

  • Ding, Junmei;Yu, Tingting;Liang, Lianming;Xie, Zhenrong;Yang, Yunjuan;Zhou, Junpei;Xu, Bo;Li, Junjun;Huang, Zunxi
    • Journal of Microbiology and Biotechnology
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    • 제24권11호
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    • pp.1551-1558
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    • 2014
  • The esterase gene Est8 from the thermophilic bacterium Bacillus sp. K91 was cloned and expressed in Escherichia coli. The monomeric enzyme exhibited a theoretical molecular mass of 24.5 kDa and an optimal activity around $50^{\circ}C$ at pH 9.0. A model of Est8 was constructed using a hypothetical YxiM precursor structure (2O14_A) from Bacillus subtilis as template. The structure showed an ${\alpha}/{\beta}$-hydrolase fold and indicated the presence of a typical catalytic triad consisting of Ser-11, Asp-182, and His-185, which were investigated by site-directed replacements coupled with kinetic characterization. Asp-182 and His-185 residues were more critical than the Ser-11 residue in the catalytic activity of Est8. A comparison of the amino acid sequence showed that Est8 could be grouped into the GDSL family and further classified as an SGNH hydrolase. Est8 is a new member of the SGNH hydrolase subfamily and may employ a different catalytic mechanism.

Axial Impact Collapse Analysis on Hat-shaped Members by FEM (FEM에 의한 단일모자형 단면부재의 축방향 충격압궤 해석)

  • Cha, Cheon-Seok;Gang, Jong-Yeop;Yang, In-Yeong
    • Journal of the Korean Society for Precision Engineering
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    • 제17권12호
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    • pp.129-136
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    • 2000
  • In the frontal collision the spot welded hat-shaped section side member is the fundamental structure for automobiles and has a great amount of absorbing capacity. For this reason LS-DYNA3D has been used for analyzing impact collapse characteristics on hat shaped section member with respect to the valuables; thickness, width ratio and spot weld potch on impact load(7.19m/sec, 1034J). By comparing the results from simulation and the experimental results, the utilization of simulation has been certified.

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Electronic Books' Marketplaces : Status quo and Perspective (전자책 시장의 현황과 전망)

  • Kim, Eun-Jeong;Kim, Sol-Mi
    • Journal of Information Management
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    • 제32권1호
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    • pp.71-86
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    • 2001
  • The advancement of Internet and information technology allows people to access information and knowledge resources without the limit of time and place. Recent the development of various readers and wireless communication technologies has made It possible to facilitate the widespread use of electronic books. This paper is describes the definitions, features and advantages of e-books, and examines researches of technologies standards, and digital rights managements related to e-books in Korea and other countries. It also observes a future growth in the production and utilization of e-books in libraries.

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Inner Evaporative Cooling Wind Power Generator with Non-overlapping Concentrated Windings

  • Li, Wang;Wang, Haifeng
    • Journal of international Conference on Electrical Machines and Systems
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    • 제3권1호
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    • pp.15-19
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    • 2014
  • As the space of the wind power generator stator end is limited, it is difficult for us to place the inner evaporative cooling system in it. We use the non-overlapping concentrated windings scheme to solve the placing and cooling problem. The characteristic of a 5MW direct-driven permanent magnet generator with non-overlapping concentrated windings were analyzed under no-load, rating-load and short-circuit by (Finite Element Method) FEM for verification of design. We studied the connection methods of the stator windings and designed the end connection member. The heat dissipation of the stator end was simulated by FEM, the result showed that the end cooling could satisfy the wind generator operation needs. These results show that the direct-driven permanent magnet wind power generators with non-overlapping concentrated windings and inner evaporative cooling system can solve the cooling problem of wind power generator, and obtain good performance at the same time.

A Study on the Training Plans of SMEs' Origin Management Specialist for the Improvement of FTA Utilization in the Digital Convergence Era (디지털융복합시대, FTA활용도 향상을 위한 중소기업의 원산지전문인력 양성방안)

  • Han, Sang-Ok
    • Journal of Digital Convergence
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    • 제14권12호
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    • pp.55-63
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    • 2016
  • Recently, FTA may go beyond the agreement of the two countries, and also FTA is tinged aspects of Mega FTA between the economic sphere, under the situation that FTA and the business model are mutually intertwined in convergence industrial environments. Since South Korea came into force in 52 countries and 15 cases of FTA, South Korea have completed FTA network with the United States, as well as ASEAN and most of OECD member countries, and South Korea is now a critical time to take advantage of the FTA to determine the South Korea's economic performance. This paper examined the previous studies of FTA utilization and analyzed practical usages and problems of SMEs' FTA utilization. Through analysis, this paper suggests that the Training Plans of SMEs' Origin Management Specialist for the Improvement of FTA Utilization is as follows: to build up the effective management system of origin supports, to enrich the origin management competency, to reinforce the operation of supporting system, and to strengthen practical capacity of Origin administrative staff. Based on the results, it is expected to provide the policy implications for the FTA utilization in the future.

Healthcare Utilization and Expenditure Depending on the Types of Private Health Insurance in Korea (민간의료보험 가입 및 가입유형별 의료이용 특성 분석)

  • Lee, Jung Chan;Park, Jae San;Kim, Han Nah;Kim, Kye Hyun
    • Korea Journal of Hospital Management
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    • 제19권4호
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    • pp.57-68
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    • 2014
  • Since the introduction of National Health Insurance(NHI) in 1977, it has grown rapidly and contributed to extend patient's access to the health care services. However, limited coverage for health care services of NHI has been ongoing challenge and private health insurance(PHI) has been rising as an alternative source of enhancing coverage and saving out-of-pocket(OOP) expenditure for patients. In this study, after controlling for socio-demographic, economic, health related variables, we identified the patients' healthcare utilization and subsequent OOP expenditure depending on their PHI enrollment and their enrollment types(fixed benefit, indemnity, fixed benefit plus indemnity). Data were collected from the 2010 Korean Health Panel. The unit of analysis was a member of household(n=13,324). Of the 13,324 cases, 70.7% of patients held PHI, in detail, fixed benefit(47.0%), indemnity(3.6%), fixed benefit plus indemnity(20.1%). Major findings showd that patients who enrolled in PHI used more outpatient services(outpatient visit, number of physician visit, number of examination) and spent more OOP expenditure than non-PHI patients. There were also differences of healthcare utilization and OOP expenditure among the types of PHI. In addition, PHI patients used more inpatient services(inpatient use, number of hospitalization, LOS), but there was no significant difference between PHI and non-PHI patients with regard to the OOP expenditure. Thus, we could not find any distinct relationship between the types of PHI and patients' tertiary hospital use. Policy-makers should need careful political deliberation for monitoring the effect of PHI on health care utilization and subsequent expenditure not only to improve patients' coverage but also to save their OOP expenditures.

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Estimation of Yield strength and Slip Modulus for Helically Threaded Nail Connection (나선형 철선못 접합부의 항복내력 및 강성 예측)

  • Hwang, Kweonhwan;Shim, Kug-Bo
    • Journal of the Korean Wood Science and Technology
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    • 제37권6호
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    • pp.524-530
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    • 2009
  • In the post-beam structure, the infilled light-frame construction provides most shear strengths. Shear properties of the light-frame structure can be estimated from the shear properties of nailed connection for the sheathings, and those of nailed connections can be done from nail bending strengths. For the basic study to predict the yield strength and the slip modulus of a nailed sheathing shear wall, those of a nailed joint were examined from nail bending strengths. To estimate shear properties of a nailed connection, referenced bearing strength and bearing constant for the wood members and the experimental nail bending strengths of the helically threaded nail were applied. The yield strength using the diameter at grooves instead of shank diameter was well coincided with the experimental value, but the slip modulus was estimated much smaller. The effective factors, specific gravity for the main member, withdrawal by nail head diameter to the side member, and embedment and moment at the nail head were considered, and further examinations are needed for the precise prediction of the nailed connections.

Identification and Characterization of a New Alkaline SGNH Hydrolase from a Thermophilic Bacterium Bacillus sp. K91

  • Yu, Tingting;Ding, Junmei;Zheng, Qingxia;Han, Nanyu;Yu, Jialin;Yang, Yunjuan;Li, Junjun;Mu, Yuelin;Wu, Qian;Huang, Zunxi
    • Journal of Microbiology and Biotechnology
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    • 제26권4호
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    • pp.730-738
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    • 2016
  • est19 is a gene from Bacillus sp. K91 that encodes a new esterase. A comparison of the amino acid sequence showed that Est19 has typical Ser-Gly-Asn-His (SGNH) family motifs and could be grouped into the SGNH hydrolase family. The Est19 protein was functionally cloned, and expressed and purified from Escherichia coli BL21(DE3). The enzyme activity was optimal at 60℃ and pH 9.0, and displayed esterase activity towards esters with short-chain acyl esters (C2-C6). A structural model of Est19 was constructed using phospholipase A1 from Streptomyces albidoflavus NA297 as a template. The structure showed an α/β-hydrolase fold and indicated the presence of the typical catalytic triad Ser49-Asp227-His230, which were further investigated by site-directed mutagenesis. To the best of our knowledge, Est19 is a new member of the SGNH hydrolase family identified from thermophiles, which may be applicable in the industrial production of semisynthetic β-lactam antibiotics after modification.

Suppliers Measurement of Channel Member Performance in Korea (우리 나라 공급업체의 유통경로구성원 성과 특정)

  • 김종훈;한장희
    • Journal of Distribution Research
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    • 제4권2호
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    • pp.21-39
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    • 1999
  • This study investigates the general applicability of the measurement scale for assessing channel-member performance for the supplier's view that was proposed by Kumar, and Achrol (1992). First, we attempted to examine whether the measurement-scale could be used without any change; the results from the initial data-analysis proposed that the scale needed a certain amount of a revision for further utilization. It seemed that the scale needed some adjustment for being applied to this study; their scale was developed with the data collected from the network of independent dealers handling multiple product items or multiple brands in the U.S. and Canada, while the data of this study were provided by a Korean car manufacturer having a dealer network selling and servicing only its own brand without ownership. Accordingly, we determined that it was necessary to develop a newly finalized performance-measurement scale revising Kumar et al.'s. During the data-analysis of the data resulted in a scale of fifteen items measuring three facets-financial performance, behavioral performance, and competence, each of which consisted of five items respectively. This empirically developed scale looked more valid for the situation of this study than the Kumar, Stern, and Achrol's which was composed of twenty-one items measuring seven facets--three items each.

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