• Title/Summary/Keyword: Pocket Type

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Distribution and Determinants of Out-of-pocket Healthcare Expenditures in Bangladesh

  • Mahumud, Rashidul Alam;Sarker, Abdur Razzaque;Sultana, Marufa;Islam, Ziaul;Khan, Jahangir;Morton, Alec
    • Journal of Preventive Medicine and Public Health
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    • v.50 no.2
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    • pp.91-99
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    • 2017
  • Objectives: As in many low-income and middle-income countries, out-of-pocket (OOP) payments by patients or their families are a key healthcare financing mechanism in Bangladesh that leads to economic burdens for households. The objective of this study was to identify whether and to what extent socioeconomic, demographic, and behavioral factors of the population had an impact on OOP expenditures in Bangladesh. Methods: A total of 12 400 patients who had paid to receive any type of healthcare services within the previous 30 days were analyzed from the Bangladesh Household Income and Expenditure Survey data, 2010. We employed regression analysis for identify factors influencing OOP health expenditures using the ordinary least square method. Results: The mean total OOP healthcare expenditures was US dollar (USD) 27.66; while, the cost of medicines (USD 16.98) was the highest cost driver (61% of total OOP healthcare expenditure). In addition, this study identified age, sex, marital status, place of residence, and family wealth as significant factors associated with higher OOP healthcare expenditures. In contrary, unemployment and not receiving financial social benefits were inversely associated with OOP expenditures. Conclusions: The findings of this study can help decision-makers by clarifying the determinants of OOP, discussing the mechanisms driving these determinants, and there by underscoring the need to develop policy options for building stronger financial protection mechanisms. The government should consider devoting more resources to providing free or subsidized care. In parallel with government action, the development of other prudential and sustainable risk-pooling mechanisms may help attract enthusiastic subscribers to community-based health insurance schemes.

Related factors of physical functions and activities of daily living in Korea rural aged people (일부 농촌지역노인의 신체기능 및 생활기능 관련요인)

  • 이정애;김진순;염영희
    • Korean Journal of Health Education and Promotion
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    • v.18 no.1
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    • pp.93-108
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    • 2001
  • The purpose of this study was to identify the factors that affected to physical functions, activities of daily living (ADLs) and instrumental activities of daily living (IADLs). The subjects for this study, 236 persons, 65 years and over, who were living at rural area in Chun-Cheon city. This survey was carried out from march 3rd to April 25th, 1998. The data was analysed by using SPSS PC+ program. The results were as follows. 1.The variables that were related to the conditions of physical functions were as follows; age, sex, educational level among the general characteristics; raising ways of money, monthly using money for life, states of pocket money, obtaining method of pocket money, state of weight, problems in mind, whether or not chronic illness among socio ㆍeconoㆍphysical conditions; the level of satisfactions in life, subjective condition of health among the subjective thinking ; controlling state in smoking and drinking of alcohol among the lifestyles for promoting health. But the variables for medical utilization were not related to the level of physical function. 2. The variables that were associated with the condition of ADLs were as follows; age among the general characteristics; monthly using money for life, working amount among the socioㆍeconoㆍphysical conditions; subjective conditions of health among the subjective thinking. But The variables for medical utilization, lifestyle for promoting health were irrelevant to the conditions of ADLs. 3. The variables that were related to the conditions of IADLs were as follows; age, educational level among the general characteristics; raising ways of money, monthly using money for life, resident type in the household, procurement method of pocket money, level of weight, problems in mind, wether or not chronic illness among socioㆍeconoㆍphysical condition; regularity of health checking among lifestyles for promoting health; kinds of utilizing medical agent among the variables about utilization patterns of medical agencies; subjective condition of health among the subjective thinking In this study, in the aged there were related factors of physical and life functions, were age, working amount, subjective condition of health.

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Dietary behaviors and body image recognition of college students according to the self-rated health condition

  • Kim, Mi-Joung;Lim, Ye-Rom;Kwak, Ho-Kyung
    • Nutrition Research and Practice
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    • v.2 no.2
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    • pp.107-113
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    • 2008
  • This study was done to investigate the relationship between the perception of body image, body weight satisfaction or dietary behavior and self-rated health status in Korean college students. Subjects, 285 college students, were divided into three groups (healthy, normal, and unhealthy) according to the answer for the self-rated health question. Information about demographic status, self-rated health condition, height and weight, perception of body image, satisfaction of body weight, concern for body weight control, dietary behavior, nutritional knowledge, and health-related characteristics collected by a self-reported questionnaire. The proportion of men and women in each group was not significantly different. The academic year, major, experience of nutritional education, and type of residence were not significantly related with self-rated health but the pocket money range was significantly associated (p<0.05) with self-rated health. The proportion of subjects rated their health as unhealthy was the lowest in 210-300 thousand won pocket money range and was increased in less than 210 thousand won or over 300 thousand won pocket money ranges. There were no significant differences for age, height, weight and BMI between the groups. The body image perception and body weight satisfaction levels of healthy group was significantly higher than those of unhealthy group (p<0.01 and p<0.001, respectively), but the level of concern for body weigh1 control in healthy subjects was significantly lower than that in unhealthy subjects (p<0.05). The proportion of subjects reported as healthy was significantly increased with increased frequencies of following food behaviors; weekly use of protein foods (p<0.01), vegetables (p<0.05) and dairy products (p<0.01), and food habits such as "regularity of meal time" (p<0.01), "eating in moderation" (p<0.05), and "eating breakfast" (p<0.001). Overall results suggested that the college students have tended to have a better perception of health when they have better body image perception, body weight satisfaction and dietary behaviors.

Improving Catalytic Efficiency and Changing Substrate Spectrum for Asymmetric Biocatalytic Reductive Amination

  • Jiang, Wei;Wang, Yali
    • Journal of Microbiology and Biotechnology
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    • v.30 no.1
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    • pp.146-154
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    • 2020
  • With the advantages of biocatalytic method, enzymes have been excavated for the synthesis of chiral amino acids by the reductive amination of ketones, offering a promising way of producing pharmaceutical intermediates. In this work, a robust phenylalanine dehydrogenase (PheDH) with wide substrate spectrum and high catalytic efficiency was constructed through rational design and active-site-targeted, site-specific mutagenesis by using the parent enzyme from Bacillus halodurans. Active sites with bonding substrate and amino acid residues surrounding the substrate binding pocket, 49L-50G-51G, 74M,77K, 122G-123T-124D-125M, 275N, 305L and 308V of the PheDH, were identified. Noticeably, the new mutant PheDH (E113D-N276L) showed approximately 6.06-fold increment of kcat/Km in the oxidative deamination and more than 1.58-fold in the reductive amination compared to that of the wide type. Meanwhile, the PheDHs exhibit high capacity of accepting benzylic and aliphatic ketone substrates. The broad specificity, high catalytic efficiency and selectivity, along with excellent thermal stability, render these broad-spectrum enzymes ideal targets for further development with potential diagnostic reagent and pharmaceutical compounds applications.

Relationship between Smoking Initiation and School Characteristics According to Grade Level among High School Students in Korea

  • Woo, WonKyu;Kim, Dongsik;Cho, Youngtae
    • Korean Journal of Health Education and Promotion
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    • v.29 no.5
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    • pp.115-123
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    • 2012
  • Objectives: Students' life changes substantially as grade increases. It implies that risk factors that trigger students' smoking may not be consistent across grades. Most previous studies on student smoking have considered grade simply a control variable. This study examines which and to what extent risk factors are differently associated with smoking initiation according to grade level among high school students in Korea. Methods: Data from the Korean Youth Risk Behavior Web-based Survey (KYRBWS) conducted by the Korea Centers for Disease Control and Prevention (KCDC) in 2007 and 2008 were analyzed in this study. Results: Among boys, school location, school type and pocket money etc. significantly influence smoking initiation in the first grade than in any other grades, but the strength of the association decreased as grade increases except academic performance. Among girls, most independent variables were associated with smoking initiation in the second grade except school location, pocket money per week and academic performance. Conclusions: Our results suggested that the variables related smoking initiation in Korean high school students were notably different by grade and gender. These findings can serve as the basis of policy recommendations with regard to school efforts to prevent student smoking.

Purchase Intention of Fashion Goods on Internet Shopping Mall - The Difference to Follow Internet Shopping Mall Utility Actual Condition and the Socioeconomic Variable - (인터넷 쇼핑몰에서 패션상품 구매의도에 관한 연구 - 사회경제적 변수 및 인터넷 쇼핑몰 사용실태에 따른 차이 -)

  • Jung, Jin-Ho;Park, Hea-Ryung
    • Fashion & Textile Research Journal
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    • v.3 no.3
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    • pp.249-256
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    • 2001
  • This study was to investigate difference across socioeconomic groups in factors of purchase intention of apparel in internet shopping mall and in satisfaction were internet shopping mall. A questionnaire was administered to collage students majoring in fashion design during May of 2001. Data was analyzed by using Factor analysis, T-test, one-way ANOVA, Duncan test, ${\chi}^2$-test. Factor analysis yield three factors of purchase intention, purchase stimulus, convenience and economic and rationality. Significant differences were found across levels of monthly pocket money and types of payment for purchase apparel of internet shopping mall purchase stimulus (factor 1). In convenience and economics (factor 2), differences were also significant across levels of purchase frequency, product price and payment ways of internet sopping mall. Significant difference was identified across sex type and levels of product price purchased in internet shopping mall (factor 3). Regarding internet shopping mall satisfaction, differences were significant across levels monthly pocket money and apparel purchase frequency of in internet shopping mall.

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A Experimental Study on the Complex Waterproofing Method of Exposure using PE Textiles of Mesh type and Highly Viscous Urethane (망사형 PE직물과 고점도 우레탄을 이용한 복층형 노출 방수공법에 관한연구)

  • Shao, Xu-Dong;Song, Je-Young;Kim, Young-Suk;Oh, Sang-Keun
    • Proceedings of the Korean Institute of Building Construction Conference
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    • 2011.05a
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    • pp.127-130
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    • 2011
  • The duplex waterproofing construction method has been investigated to improve various problems (how to fix the sheet, breaking, air/water pocket, and cracks caused by different materials) of the existing rooftop exposed waterproofing construction method. By using fiber sheet, Net PE fabric, and thixotropy urethane with high viscosity, the waterproofing construction method is to glue the ground and waterproof course by circular dot. The method is also to construct the waterproof course with high hardness by using waterproof membrane coatings in upper hybrid system. By gluing the ground and the waterproof course by circular dot, the study is expected to be useful to minimize the simultaneous breaking in the waterproof course as tensile stress is buffer in case of the ground crackling. Also, since the waterproofing construction method is good at moving and emitting vapor from the ground, it is considered to be effective to minimize any damages caused by air/water pocket and get loose of the waterproof course.

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Stressors of Students in High School (고교 청소년 스트레스 요인에 관한 연구)

  • Yoo, Jin-Yeong
    • The Korean Journal of Health Service Management
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    • v.5 no.4
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    • pp.81-93
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    • 2011
  • The purpose of this study was to examine the stressors of students in high school. Demographic data such as jobs of parents, family types, levels of living (parents' monthly income) and students' school records, high school types, number of friends, religion, pocket money and their sex showed as the main causes of high school students' stress. The data was analyzed by a t-test, one-way ANOVA, and Duncan Multiple Range Test. The variable which significantly influenced the general properties was sex(p=0.001), high school type (p=0.000), number of friends (p=0.002), parents monthly income (p=0.011) and whether existence of their father or not (p=0.045). In the result (stress score), girl students (25.07) feel greater stress than boy students (20.68). High school type, an academic girls' high school (27.34) and boys' high school (25.67) showed the highest. It was indicated in the study that it is necessary to have programs that help students' stress management and improve high school type Systems.

Theoretical Analysis of the Slipper Hydrostatic Bearing Shape in the Swash Plate Type Axial Piston Pump (사판식 유압 피스톤 펌프의 슬리퍼 정압베어링면 형상에 관한 이론해석)

  • Cho, I.S.
    • Journal of Drive and Control
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    • v.10 no.1
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    • pp.14-20
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    • 2013
  • In the high rotational speed and pressure state, the leakage flow rate of the axial piston pump is one of the serious problems and make great reasons to decrease the volume efficiency. In this study, tribology characteristics is clarified for the hydrostatic slipper bearing in the swash plate type axial piston pump, by means of theoretical analysis for the different shape of the hydrostatic slipper bearing. It was analyzed by Mathcad software and used equal conditions at $0^{\circ}$ swash plate angle in each model. The results show that performance characteristics of the swash plate type axial piston pump are significantly influenced by the shape of the hydrostatic slipper bearing.

Elderly's leisure participation by the type of leisure attitude and leisure constriants (노인의 여가태도 및 여가제약유형에 따른 여가활동 참여도)

  • 김성희
    • Journal of Families and Better Life
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    • v.15 no.4
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    • pp.253-268
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    • 1997
  • the purpose of this study was to analyze the relationship between elderly's leissure participation and the type of leisure attitude and leisure constraints. The sample of this study consisted of 485 elderly over 55 years old living in Seoul Daejeon Jeonju and Daegu. Statistics employed for the analysis were frequencies means cross-tabs and multiple regression analysis. The results could be summarized as follows The types of leisure attitude and leisure constraints of elderly was affected by the age educational attaintment health status region total asset income pocket money family relationship locus of control and self-esteem. And educational attaintment health status region family relationship locus of control and self-esteem had effects on leisure participation level of elderly. These findings pointed that psychological factors such as family relation self-esteen and type of leisure attitude and leisure constraints were the variables explaining leisure activities of elderly.

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