• Health Policy and Management
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• v.29 no.2
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• pp.184-194
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• 2019

Background: The extent of coverage rate of the public health insurance is still insufficient to meet healthcare needs. Private health insurance (PHI) plays a role to supplement coverage level of national health insurance in Korea. It is expected that reduce unmet need healthcare. This study was aimed to identify relationship between PHI type and the unmet healthcare need and its associated factors. Methods: Data were obtained from the 2014 Korea Health Panel Survey using nationally representative sample was analyzed. Respondents were 8,667 who were adults over 20 years covered by PHI but have not changed their contract. According to the enrollment form, PHI was classified into three types: fixed-benefit, indemnity, and mixed-type. To identify factors associated with unmet needs, multiple logistic regression conducted using the Andersen model factors, which are predisposing factors, enabling factors, and need factors. Results: Our analysis found that subjects who had PHI with mixed-type were less likely to experience unmet health care needs compared than those who did not have it (odds ratio, 0.80; 95% confidence interval, 0.66-0.98). As a result of analyzing what affected their unmet healthcare needs, the significant factors associated with unmet medical need were gender, marital status, residence in a metropolitan area, low household income, economic activity participation, self-employed insured, physically disabled, low subjective health status, and health-risk factors such as current smoking and drinking. Conclusion: The results of this study suggest that having PHI may reduce experience of unmet healthcare needs. Findings unmet healthcare needs factors according to various subjects may be useful in consideration of setting policies for improving accessibility to healthcare in Korea.

• Journal of the Korea Institute of Building Construction
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• v.17 no.3
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• pp.227-234
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• 2017

This research analyzes the properties of mortar following the rise in water-cement ratio and applicability as an eco-friendly construction supply by using the mudflats of a dredged arena as a substitute for aggregate. The results of a experiment of the flow showed that the flow value decreases as the amount of mudflats increases. A test for chloride content showed that the chloride content increases with the amount of mudflats. In the compression of specimen mixed with mudflat and the testing of tensile strength, the strength weakened as the addition ratio of mudflats rose. However, with 14-day strength as the standard, most specimen showed more strength than the plain, and 14-day strength was higher than 28-day strength. It appears to be experimental error in the mixing process from the viscosity and cohesion of mudflats, and it is considered that there will be a need for an experiment on mixing methods of mudflats in the future. The compressive strength of this research was the strongest with 70% in water-cement ratio, and the tensile strength was strongest with 80% in water-cement ratio. In the evaluation of surface analysis, 70% water-cement ratio, which is finest in strength, mixing, and compactness, was selected to analyze the roughness of the surface, and the results showed that the surface became smoother as the addition ratio of mudflats increases. In conclusion, it appears that 70% water-cement ratio is the optimal mixing ratio for mortar and 10 to 30% addition ratio of mudflats the optimal ratio. It also appears that the application of interior finishing material like bricks and tiles and interior plastering material using the mudflats are possible.

• Korean Journal of Environmental Agriculture
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• v.37 no.3
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• pp.207-212
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• 2018

BACKGROUND: Recently, the need for a method to cultivate 'Haryejosaeng' Satsuma mandarin has been increasing. However, there is limited information available as this is a new Satsuma mandarin cultivar, which was bred by the RDA in 2004. Many farmers who cultivate this cultivar follow the cultivation method similar to that used for 'Miyagawa' Satsuma mandarin, and suffer low production of optimum-sized fruits. METHODS AND RESULTS: This study was conducted to find out the optimum ratio of leaf-to-fruit for the stable production of high quality 'Haryejosaeng' Satsuma mandarin fruits in a non-heated plastic film house. Seven-year-old 'Haryejosaeng' Satsuma mandarin trees were used in the study. Before the treatment, the leaf-to-fruit ratio ranged from 5.7 to 17.9. The treatments included 10, 20, 30, and 40 leaves per fruit. The fruits were removed if over fruiting was observed at day 60 after full bloom. We investigated the fruit size and quality on the day of harvest. Flowering and fruiting patterns in each treatment were recorded for the following year. In the experiments, the flower-to-leaf ratio was 1.12 to 1.74. As the leaf-to-fruit ratio decreased, the fruit size and weight also decreased. Contrarily, the higher the ratio of leaf-to-fruit, the higher fruit size and weight were. It was noted that the ratio of 20:1 was ideal to produce the M grade optimum-sized Satsuma mandarin fruits on the day of harvest. However, higher ratio might result in fruits weighting above 100 g. There was no difference among the treatments in terms of fruit quality, such as total soluble solid contents, titratable acid, and color. In the subsequent years, flowering and fruiting in the treatments were lowered when the leaf number per fruit was 10, but they were improved when the leaf number per fruit was above 20. CONCLUSION: Based on the above results, the optimum ratio of leaf-to-fruit was found to be 20:1 for flowering and fruiting of 'Haryejosaeng' Satsuma mandarin. It is important that optimum ratio of leaf-to-fruit is set as a standard to produce good grade and quality of 'Haryejosaeng' Satsuma mandarin fruits.

• Journal of Yeungnam Medical Science
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• v.20 no.2
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• pp.117-128
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• 2003

Thallium-201 scintigraphy is used to discriminate the malignant bone tumor from the benign by qualitatively and quantitatively, and to predict the response of preoperative chemotherapy in osteosarcoma, by comparing the changes of thallium uptake ratio after chemotherapy to the tumor necrosis ratio. Thallium-201 scintigraphy scan should be done prior to surgical biopsy. PICKER Prism 2000 gamma camera with high resolution parallel hole collimator is usually used for scanning. The patient is injected with 2-3mCi of Tl-201 and the early phase is checked in 30 minutes and delayed phase in 3 hours. The scan images are visually evaluated by a blinded nuclear medicine physician. We could evaluate true positive, true negative, false positive and false negative by the comparison of results with those of biopsy, and calculate positive and negative predictive value(%), sensitivity(%), specificity(%) and diagnostic accuracy(%). For the quantitative analysis of thallium uptake, we drew the region of interest on the tumor side and contralateral normal side as mirror image, and calculated the uptake ratio with dividing the amount of gamma count in tumor side by normal side. We could calculate the percent changes of thallium uptake ratio in early and delayed phase, and compare them to the ratio of tumor necrosis. Thallium-201 scintigraphy proved as useful imaging study to discriminate malignant bone tumor from benign, but had exception in giant cell tumor and low grade malignant bone tumors. We can use T1-201 scan to differentiate the benign from the malignant tumor, and to evaluate the response of preoperative chemotherapy or radiotherapy, and to determine the residual tumor or local recurrence. For the better result, we need to have a more detail information about false positive cases and a more objective and quantitative reading technique.

• Journal of Korean Ophthalmic Optics Society
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• v.15 no.4
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• pp.398-404
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• 2010

Purpose: Concerns had been voiced about an oversupply of optometrists in Korea. So, this study aimed to forecast the supply and demand for opticians for policy implications. Methods: Baseline Projection model combined with demographic method was adopted as the supply forecasting method and so was a ratio method using the number of physician and population using weight of healthcare utilization. Results: Under the 'physician to optician ratio', there would be a surplus of 83~700 opticians in 2010 and an undersupply of 15 to surplus of 6,118 opticians in 2025. Under the 'population to optician ratio', there would be a surplus of 1,055 opticians in 2010 and surplus of 9,376 opticians in 2025. Conclusions: We concluded that there would be oversupply for opticians until 2025, although the shortage and surplus of opticians might depend on the ratio's criteria. Hence, policies would need to be developed that could solve the imbalance in requirements and supply for opticians.

• Journal of Korean Society on Water Environment
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• v.23 no.5
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• pp.650-658
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• 2007

The Universal Soil Loss Equation (USLE) has been used in over 100 countries to estimate potential long-term soil erosion from the field. However, the USLE estimated soil erosion cannot be used to estimate the sediment delivered to the stream networks. For an effective erosion control, it is necessary to compute sediment delivery ratio (SDR) for watershed and sediment yield at watershed outlet. Thus, the Sediment Assessment Tool for Effective Erosion Control (SATEEC) was developed to compute the sediment yield at any point in watershed. In this study, the SATEEC was applied to the Sudong watershed, Chuncheon Gangwon to compare the sediment yield using area-based sediment delivery ratio (SDRA) and slope-based sediment delivery ratio (SDRS) at watershed outlet. The sediment yield using the SDRA by Vanoni, SYA and the sediment yield using the SDRS by Willams and Berndt, SYS were compared for the same sized watersheds. The 19 subwatersheds was 2.19 ha in size, the soil loss and sediment yield were estimated for each subwatershed. Average slope of main stream was about 0.86~3.17%. Soil loss and sediment yield using SDRA and SDRS were distinguished depending on topography, especially in steep and flat areas. The SDRA for all subwatersheds was 0.762, however the SDRS were estimated in the range of 0.553~0.999. The difference between SYA and SYS was -79.74~27.45%. Thus site specific slope-based SDR is more effective in sediment yield estimation than area-based SDR. However it is recommended that watershed characteristic need to be considered in estimating yield behaviors.

• Journal of Korean Society on Water Environment
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• v.25 no.6
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• pp.849-854
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• 2009

Pollutant unit load (unit-load) reported by Ministry of Environment (MOE) in 1995 has been a useful method for watershed management and environmental policy decision. The unit-load has been estimated using effective rainfall ratio method. However, reliability of unit-load determined by the method has been criticized especially for paddy field and upland conditions. In this paper the unit-load of paddy field estimated by effective rainfall ratio method was compared with continuous monitoring data. Annual loads was simulated by the method choosing 5~6 storm events randomly from whole events collected. Probability distribution of difference between results by the method and measured data was investigated. The results showed that unit-load derived by the method was generally lesser than measured unit-load and showed wide variations. Therefore, unit-load estimation of paddy fields by effective rainfall ratio method need caution.

• Journal of the Korean Solar Energy Society
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• v.34 no.5
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• pp.117-126
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• 2014

This study developed a KRESS program designed to find the optimization ratio for new and renewable energy systems and analyze the effects of building energy consumption characteristics on the ratio. In spite of clear differences in predicted energy consumption and energy consumption by the loads among 18 facilities, the current formula for obligatory supply ratios applies a correction coefficient according to the building purposes based on energy consumption per each unit area in medical facilities and thus reflects no energy consumption characteristics according to the building purposes. The optimization ratio for new and renewable energy systems was the same for all facilities when the correction coefficients by the building purposes and new and renewable energy sources were all applied. When the correction coefficients were not applied, however, the optimization ratio varied according to building energy consumption characteristics. The findings raise a need to test the correction coefficients in order to select new and renewable energy systems that take into account energy consumption characteristics by the building purposes and loads and reflect economy, environmental performance, and technology.

• Elastomers and Composites
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• v.50 no.2
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• pp.103-109
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• 2015

In this study, epoxy/anhydride mixing ratio for the highly silica filled compounds with chromium (III) octoate catalyst was investigated at a low curing temperature ($71^{\circ}C$ for 40 hr) by evaluating the compressive strength with the weight ratio ranges from 0.3/1.0 to 1.0/1.0 of epoxy part (Part A)/anhydride part (Part B). In case of epoxy/anhydride compounds used surface unmodified silica by coupling agent, these compounds need excess anhydride unlike the weight ratio in the conventional epoxy/anhydride compounds. In curing behavior, the epoxy/anhydride compounds containing chromium (III) octoate showed high conversions at $71^{\circ}C$ for 40 hr, even if a dipropylene glycol (DPG) was not used as a polymerization initiator. Also, DPG leads to a poor epoxy network structure. In conclusion, the appropriate weight ratio of Part A/Part B of highly silica filled epoxy/anhydride compounds with chromium (III) octoate catalyst is 0.5/1.0 and the maximum amounts of silica is 1470 phr of epoxy resin.

• Clinical and Experimental Pediatrics
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• v.63 no.1
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• pp.20-24
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• 2020

Background: Predicting the prognosis of patients admitted to the pediatric intensive care unit (PICU) is very important in determining further management and resource allocation. The prognostication of critically ill children can be challenging; hence, accurate methods for predicting outcomes are needed. Purpose: To evaluate the role of microalbuminuria at admission as a prognostic marker in comparison to standard Pediatric Risk of Mortality (PRISM) and Pediatric Logistic Organ Dysfunction (PELOD) mortality scores in children admitted to the PICU. Methods: This cross-sectional study was conducted from January 2015 to October 2016. Eighty-four patients aged 1 month to 18 years admitted to the PICU of teaching hospitals for more than 24 hours were enrolled by convenience sampling method. Microalbuminuria was estimated by spot urinary albumin-creatinine ratio. PRISM and PELOD scores were calculated using an online calculator. Outcome measures were PICU length of stay, inotrope usage, multiorgan dysfunction, and survival. ACR was compared with mortality scores for predicting survival. Results: Microalbuminuria was present in 79.8% with a median value of 85 mg/g (interquartile range, 41.5-254 mg/g). A positive correlation was found between albumin-creatinine ratio and PICU length of stay (P=0.013, r=0.271). Albumin-creatinine ratio was significantly associated with organ dysfunction (P=0.004) and need for inotropes (P=0.006). Eight deaths were observed in the PICU. The area under the curve for mortality for albumin-creatinine ratio (0.822) was comparable to that for PRISM (0.928) and PELOD (0.877). Albumin-creatinine ratio >109 mg/g predicted mortality with a sensitivity of 87.5% and specificity of 63.2%. Conclusion: Microalbuminuria is a good predictor of PICU outcomes comparable with mortality scores.