• 제목/요약/키워드: Rural Improvement

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진료비 고가도 지표의 한계와 개선 방향 (Limitations and Improvement of Using a Costliness Index)

  • 장호연;강민석;정서현;이상아;강길원
    • 보건행정학회지
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    • 제32권2호
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    • pp.154-163
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    • 2022
  • Background: The costliness index (CI) is an index that is used in various ways to improve the quality of medical care and the management of appropriate treatment in medical institutions. However, the current calculation method for CI has a limitation in reflecting the actual medical cost of the patient unit because the outpatient and inpatient costs are evaluated separately. It is desirable to calculate the CI by integrating the medical cost into the episode unit. Methods: We developed an episode-based CI method using the episode classification system of the Centers for Medicare and Medicaid Services to the National Inpatient Sample data in Korea, which can integrate the admission and ambulatory care cost to episode unit. Additionally, we compared our new method with the previous method. Results: In some episodes, the correlation between previous and episode-based CI was low, and the proportion of outpatient treatment costs in total cost and readmission rates are high. As a result of regression analysis, it is possible that the level of total medical costs of the patient unit in low volume medical institute and rural area has been underestimated. Conclusion: High proportion of outpatient treatment cost in total medical cost means that some medical institutions may have provided medical services in the ambulatory care that are ancillary to inpatient treatment. In addition, a high readmission rate indicates insufficient treatment service for inpatients, which means that previous CI may not accurately reflect actual patient-based treatment costs. Therefore, an integrated patient-unit classification system which can be used as a more effective CI indicator is needed.

수도의 수량 및 수량구성요소에 관여하는 주요 요인의 효과분석 (Effect Analysis of the Factors Affacting Yield and Its Components in Rice)

  • 한원식;채영암
    • 한국작물학회지
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    • 제28권3호
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    • pp.291-298
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    • 1983
  • 1966-1979년(14년)간 수행된 수도작황 시험결과를 이용하여 수도의 수량 및 수량구성 요소에 관여하는 년차, 지역, 품종, 질소수준, 이앙기 등의 효과를 분석한 결과는 다음과 같다. 1. 연도의 효사는 년차적으로 점증하며 년간 3.46kg의 효과증가를 보였다. 2. 지역효과는 경기, 충남, 경북, 경남은 정의 효과, 강원, 충북, 전북, 전남, 제주는 부의 효과를 나타냈다. 3. 이앙기의 효과는 조기이앙일수록 효과가 증가하여 이앙기가 1일 빨라짐에 따라 수량은 2.26kg 증가하였다. 4. 질소수준 효과는 6kg이하일 때 현저히 감소하고 6kg-15kg에서는 거의 비슷하였으며 15kg 이상에서 현저히 증가하였다. 5. 1960년대 일반계 품종들은 거의 부의 효과였고 1970년대 육성된 통일계 품종들은 정의 효과를 나타냈으며 년간 5.84kg의 품종효과의 점증을 보였다. 6. 수량에 대한 분산성분의 크기는 이앙기, 품종, 지역, 년차, 질소의 순서였다. 7. 1966-1979년까지 년간 증수에 대한 기여도는 이앙기 1.76kg(14.5%), 질소시비 1.04kg(8.7%) 품종 5.84kg(48.2%), 병충해 및 기타 재배법개선 3.47kg(28.6%)로 년간 12.12kg이 증수된 것으로 추정되었다.

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국내 방사선종사자 피폭 분류체계 개선에 관한 연구 (Study on the Improvement of the Radiation Work Field Classification System in Republic of Korea)

  • 박수희;한지영;김용민
    • 한국방사선학회논문지
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    • 제17권2호
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    • pp.267-275
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    • 2023
  • 전 세계적으로 방사선종사자들의 피폭 기록은 관심의 대상이며 피폭이 일어나는 분야에 대한 분석이 수행되고 있다. 한국에서는 유관부처에 따라 보건복지부, 농림축산식품부, 원자력안전위원회에서 종사자들의 피폭을 11개 업종으로 나누어 기록을 수집 분석하고 있다. 그러나 이러한 분류 체계는 유엔방사선영향과학위원회를 비롯한 주요 국가들의 분류 체계와는 정합성이 부족하다. 국내의 종사자 피폭 분류 체계는 명확한 분류 기준이 없고 업종 특성 등을 반영해주지 못하고 있다. 유엔방사선영향과학위원회의 분류 체계를 바탕으로 국내의 분류 체계를 핵주기 분야, 의료분야, 산업분야, 그 외 분야(교육/연구, 군사/공공)의 5개 대분류 체계와 그에 따른 세 분류 및 직군 분류를 본 연구를 통해 제안하였다.

재미 한국 식당을 이용하는 외국인 고객들의 한국 음식 및 서비스 속성에 대한 인식도 조사;IPA 분석을 통한 음식${\cdot}$서비스 속성 분석 (Expectation and Satisfaction of Foreign Customers Visiting Korean Restaurants Located in USA;Analysis for Food and Service Attributes through IPA Analysis)

  • 이소정;채인숙
    • 한국식생활문화학회지
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    • 제23권2호
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    • pp.152-162
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    • 2008
  • The objectives of this study were to: a) examine foreign customers’ satisfaction and expectations for the food and service attributes of Korean restaurants located in the U.S., b) measure the gap between the satisfaction and expectations for food and service attributes, c) analyze through IPA analysis the crucial attributes needing improvement in order to minimize the discrepancy between customers’ expectations and performance, and d) analyze the effects of factors related to the food and service attributes on overall customer satisfaction in regard to Korean restaurant selection. A total of 255 American customers who had visited four Korean restaurants located within metropolitan and rural areas of the U.S. were surveyed for this study. Statistical analyses, including t-tests, factor analysis, and multiple regression, were performed using the SPSS statistical package (12.0). The American customers’ overall satisfaction of the food and services offered by the Korean restaurants was relatively high, with the exception of tangible service attributes such as comfortable chairs, restroom cleanliness, and restaurant interior. The urban foreign customers, however, were dissatisfied with the use of healthful ingredients in Korean food, because their expectation level toward this aspect exceeded their satisfaction level. In terms of Korean restaurant selection, tangible services related to the restaurant facilities were identified as the critical factor having an effect on American customer satisfaction.

시군구 수준의 사회자본 추이와 사회자본과 COVID-19 관련 행위와 인식 간의 관계 (Social Capital Trends and the Relationship between Social Capital and COVID-19-Related Behaviors & Perceptions)

  • 이근찬
    • 보건행정학회지
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    • 제33권3호
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    • pp.338-354
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    • 2023
  • Background: The influence of social capital on the spread of coronavirus disease 2019 (COVID-19) and related behaviors and perceptions has been recognized during the COVID-19 pandemic. This study aims to analyze the trends in social capital using primary data from the Korean Community Health Survey, which is the only available source in Korea for local-level social capital analysis. It also investigates the relationship between various variables, including social capital, as factors influencing COVID-19-related behaviors and perceptions. Methods: The study analyzed the temporal trends of social capital using raw data from four community health surveys conducted in 2017, 2019, 2020, and 2021. A multilevel analysis was conducted to examine the relationship between social capital and COVID-19-related behaviors and perceptions following the onset of the COVID-19 pandemic in 2020. Results: Social capital consists of trust, bonding social capital, and bridging social capital. Within the trust sub-factor, trust in neighbors (Trust-1) declined after the COVID-19 pandemic, whereas trust in safety and general environment (Trust-2) and trust in medical services and public transportation (Trust-3) increased. Additionally, the gap between municipalities narrowed. COVID-19-related behaviors and perceptions, such as adherence to COVID-19 prevention measures, return to normal activities, and fear of COVID-19, showed improvement in 2021 compared to the previous year. Individual-level trust in neighbors was associated with reduced fear of COVID-19, while community-level trust in neighbors was associated with increased fear of COVID-19. Conclusion: Social capital plays a role in mitigating public health crises, and it is necessary to implement active policies that address the gap in social capital between metropolitan and rural areas. Strengthening risk communication regarding emerging infectious diseases such as COVID-19 is crucial.

Development of Plastic/Gelatin Bilayer Active Packaging Film with Antibacterial and Water-Absorbing Functions for Lamb Preservation

  • Shijing Wang;Weili Rao;Chengli Hou;Raheel Suleman;Zhisheng Zhang;Xiaoyu Chai;Hanxue Tian
    • 한국축산식품학회지
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    • 제43권6호
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    • pp.1128-1149
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    • 2023
  • In order to extend the shelf life of refrigerating raw lamb by inhibiting the growth of microorganisms, preventing the oxidation of fat and protein, and absorbing the juice outflow of lamb during storage, an active packaging system based on plastic/gelatin bilayer film with essential oil was developed in this study. Three kinds of petroleum-derived plastic films, oriented polypropylene (OPP), polyethylene terephthalate, and polyethylene, were coated with gelatin to make bilayer films for lamb preservation. The results showed significant improvement in the mechanical properties, oxygen, moisture, and light barriers of the bilayer films compared to the gelatin film. The OPP/gelatin bilayer film was selected for further experiments because of its highest acceptance by panelists. If the amount of juice outflow was less than 350% of the mass of the gelatin layer, it was difficult for the gelatin film to separate from lamb. With the increase in essential oil concentration, the water absorption capacity decreased. The OPP/gelatin bilayer films with 20% mustard or 10% oregano essential oils inhibited the growth of bacteria in lamb and displayed better mechanical properties. Essential oil decreased the brightness and light transmittance of the bilayer films and made the film yellow. In conclusion, our results suggested that the active packaging system based on OPP/gelatin bilayer film was more suitable for raw lamb preservation than single-layer gelatin film or petroleum-derived plastic film, but need further study, including minimizing the amount of essential oil, enhancing the mechanical strength of the gelatin film after water absorption.

Thermal imaging and computer vision technologies for the enhancement of pig husbandry: a review

  • Md Nasim Reza;Md Razob Ali;Samsuzzaman;Md Shaha Nur Kabir;Md Rejaul Karim;Shahriar Ahmed;Hyunjin Kyoung;Gookhwan Kim;Sun-Ok Chung
    • Journal of Animal Science and Technology
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    • 제66권1호
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    • pp.31-56
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    • 2024
  • Pig farming, a vital industry, necessitates proactive measures for early disease detection and crush symptom monitoring to ensure optimum pig health and safety. This review explores advanced thermal sensing technologies and computer vision-based thermal imaging techniques employed for pig disease and piglet crush symptom monitoring on pig farms. Infrared thermography (IRT) is a non-invasive and efficient technology for measuring pig body temperature, providing advantages such as non-destructive, long-distance, and high-sensitivity measurements. Unlike traditional methods, IRT offers a quick and labor-saving approach to acquiring physiological data impacted by environmental temperature, crucial for understanding pig body physiology and metabolism. IRT aids in early disease detection, respiratory health monitoring, and evaluating vaccination effectiveness. Challenges include body surface emissivity variations affecting measurement accuracy. Thermal imaging and deep learning algorithms are used for pig behavior recognition, with the dorsal plane effective for stress detection. Remote health monitoring through thermal imaging, deep learning, and wearable devices facilitates non-invasive assessment of pig health, minimizing medication use. Integration of advanced sensors, thermal imaging, and deep learning shows potential for disease detection and improvement in pig farming, but challenges and ethical considerations must be addressed for successful implementation. This review summarizes the state-of-the-art technologies used in the pig farming industry, including computer vision algorithms such as object detection, image segmentation, and deep learning techniques. It also discusses the benefits and limitations of IRT technology, providing an overview of the current research field. This study provides valuable insights for researchers and farmers regarding IRT application in pig production, highlighting notable approaches and the latest research findings in this field.

Development of an Integrated General Model (IGM) System for Comparison of Genetic Gains from Different Bull Selection Strategies for Korean Brown Cattle (Hanwoo)

  • Lee, Jeong-Soo;Kim, Hee-Bal;Kim, Si-Dong
    • Asian-Australasian Journal of Animal Sciences
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    • 제24권11호
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    • pp.1483-1503
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    • 2011
  • To advance the effectiveness of the current Hanwoo improvement system, we developed a general simulation that compared a series of breeding schemes under realistic user circumstances. We call this system the Integrated General Model (IGM) and it allows users to control the breeding schemes and selection methods by manipulating the input parameters. The Current Hanwoo Performance and Progeny Test (CHPPT) scheme was simulated with a Modified Hanwoo Performance and Progeny Test (MHPPT) scheme using a Hanwoo Breeding Farm cow population of the Livestock Improvement Main Center (LOMC) of the National Agricultural Cooperatives Federation (NACF). To compare the two schemes, a new method, the Simple Hanwoo Performance Test (SHPT), which uses ultrasound technology for measuring the carcass traits of live animals, was developed. These three models, including the CHPPT, incorporated three types of selection criteria: phenotype (PH), true breeding value (TBV), and estimated breeding value (EBV). The simulation was scheduled to mimic an actual Hanwoo breeding program; thus, the simulation was run to include the years 1983-2020 for each breeding method and was replicated 10 times. The parameters for simulation were derived from the literature. Approximately 642,000 animals were simulated per replication for the CHPPT scheme; 129,000 animals were simulated for the MHPPT scheme and 112,000 animals for the SHPT scheme. Throughout the 38-year simulation, all estimated parameters of each simulated population, regardless of population size, showed results similar to the input parameters. The deviations between input and output values for the parameters in the large populations were statistically acceptable. In this study, we integrated three simulated models, including the CHPPT, in an attempt to achieve the greatest genetic gains within major economic traits including body weight at 12 months of age (BW12), body weight at 24 months of age (BW24), average daily gain from 6 to 12 months (ADG), carcass weight (CWT), carcass longissimus muscle area (CLMA), carcass marbling score (CMS), ultrasound scanned longissimus muscle area (ULMA), and ultrasound scanned marbling score (UMS).

토양 화학성 및 생물학성 변화에 대한 녹비작물 시용 효과 (Effects of Green Manure Crops on Improvement of Chemical and Biological Properties in Soil)

  • 최봉수;정정아;오미경;전상호;고현관;옥용식;성좌경
    • 한국토양비료학회지
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    • 제43권5호
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    • pp.650-658
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    • 2010
  • 시설재배지의 경우 휴작기간 동안 녹비작물의 활용가능성이 높을 것으로 판단된다. 본 연구는 녹비작물이 시설재배지에서의 양분공급 및 토양질 개선에 미치는 영향을 평가하고자 두과 (헤어리베치, 크림손클로버) 및 화본과 (호밀, 수수, 수단그라스) 녹비작물을 재배 후 토양과 혼합하였으며, 무기질소 공급능과 생물적 지표로써 토양 탄수화물, 미생물활성 및 부식함량의 경시적 변화를 측정하였다. 관행구의 무기태 질소함량은 전 기간 비슷한 수준을 유지하였으나 녹비작물을 처리한 토양에서는 토양처리 후 4주까지 무기태질소 함량이 지속적으로 증가하였고, 특히 수단그라스에서 무기태질소 함량이 두드러지게 증가하였다. 녹비작물 처리 후 토양 중 수용성 당은 두과 녹비작물 처리 후 서서히 증가하기 시작하여 7주 경에 가장 높았으며 이후 서서히 감소하는 경향이 나타났다. 반면 화본과 녹비작물 처리 후 수용성 당이 빠르게 증가하여 처리 후 4주 경에 최대치에 도달한 후 감소하는 양상이 나타났다. 토양 내의 부식산 (humicacid)은 아무것도 첨가하지 않은 관행구와 녹비처리 초기에는 비슷한 수준으로 낮았으나 녹비처리 후 4주 정도 시간이 경과하면서 녹비작물의 부숙에 의해 형성된 부식산이 점점 증가하는 것을 확인할 수 있었다. 또한 양이온과 결합하여 물에 잘 용해되는 염을 만드는 fulvic 산에서도 작물 간 차이는 있었지만 부식산의 함량 변화와 비슷한 경향이었다.

축광노면표시 시인성 및 설치규격개선 효과분석: 고속도로 사고다발구간을 중심으로 (Effectiveness Analysis of Phosphorescent Pavement Markings for Improving Visibility and Design Standards: Focusing on Expressway Accident Hot Spots)

  • 이용주;이명환;최기주
    • 대한토목학회논문집
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    • 제36권4호
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    • pp.685-694
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    • 2016
  • 야간 혹은 우천시에 노면표시의 시인성이 저하되어 교통안전에 위협을 초래하고 있는 가운데, 본 연구에서는 최근 소개된 차선도색 장비 성능개량에 따른 노면표시 수명 연장(1.5배), 축광차선도료를 배합한 야광 노면표시의 시인성 개선(32.7%), 인간공학적 검토를 통한 고속도로 차선도색 설치규격 개선안(도색길이 6m, 빈길이 12m, 차선폭 13cm: 도색면적 27.8% 절감)을 도입하였을 때 종합적인 소요비용 및 사고절감 편익을 고려한 경제성분석을 통해 도입타당성을 제시하고자 하였다. 기존 문헌을 바탕으로 노면표시 시인성 32.7% 개선에 따라 26.9%의 사고감소 효과가 있는 것으로 나타났으며, 이에 대한 고속도로 교통사고 절감편익은 125억원으로 산정되었다. 야광차선 도입 및 설치규격 개선에 따른 총비용 증가분은 306억원으로 고속도로 일괄 도입시 경제성(비용-편익비 0.41) 확보가 어려운 것으로 나타났다. 야간 교통사고가 잦은 상위 20개 구간을 대상으로 각 구간별 경제성 분석을 수행한 결과, 구간에 따라 비용-편익비가 0.67~4.20으로 전체 20개 구간 중 11개 구간에서 경제성이 확보되어, 특히 지방부 고속도로 사고다발구간에 야광 노면표시 및 설치 규격 개선을 우선적으로 적용시 사고 감소에 따른 경제성이 존재하는 것으로 확인되었다. 연구의 한계와 향후 연구주제가 함께 논문의 말미에 토의되었다.