• Asian Pacific Journal of Cancer Prevention
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• v.14 no.11
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• pp.6985-6989
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• 2013

Background: This study aimed to examine out-of-pocket expenditure for cancer treatments of hospitalized patients and to analyze changing patterns over time. Materials and Methods: This study examined data of all cancer patients receiving inpatient care from two tertiary hospitals from January 2003 to December 2010. Medical expenditures per admission were calculated and classified into those covered and uncovered by the Korean National Health Insurance (NHI) and co-payment. Results: The medical expenditure per admission increased slowly from 3,455 thousand Korean won (KRW) to 4,068 thousand KRW. While expenditures covered by the NHI have increased annually, co-payments have generally decreased. The out-of-pocket expenditure ratio, which means the proportion of uncovered expenditure and co-payment among total medical expenditure dropped sharply from 2005 to 2007 and was maintained at a similar level after 2007. Medical expenditures, NHI coverage, and the out-of-pocket expenditure ratio differed across cancer types. Conclusions: It is necessary to continually monitor the expenditure of uncovered services by the NHI, and to provide policies to reduce this economic burden. In addition, an individual approach considering cancer type-specific characteristics and medical utilization should be provided.

• Biomolecules & Therapeutics
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• v.26 no.1
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• pp.45-56
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• 2018

Cancer is the leading cause of human deaths worldwide. Understanding the biology underlying the evolution of cancer is important for reducing the economic and social burden of cancer. In addition to genetic aberrations, recent studies demonstrate metabolic rewiring, such as aerobic glycolysis, glutamine dependency, accumulation of intermediates of glycolysis, and upregulation of lipid and amino acid synthesis, in several types of cancer to support their high demands on nutrients for building blocks and energy production. Moreover, oncogenic mutations are known to be associated with metabolic reprogramming in cancer, and these overall changes collectively influence tumor-microenvironment interactions and cancer progression. Accordingly, several agents targeting metabolic alterations in cancer have been extensively evaluated in preclinical and clinical settings. Additionally, metabolic reprogramming is considered a novel target to control cancers harboring un-targetable oncogenic alterations such as KRAS. Focusing on lung cancer, here, we highlight recent findings regarding metabolic rewiring in cancer, its association with oncogenic alterations, and therapeutic strategies to control deregulated metabolism in cancer.

• The Journal of the Korea institute of electronic communication sciences
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• v.13 no.2
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• pp.391-396
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• 2018

A variety of experiments are being conducted with the advent of Learning Model for flipped-learning. In order to apply flipped-learning as a method of teaching, most of them require a pre-prepared learning video. In this case, there is the burden to create the samples of a 13 weeks, except for the mid term and the final exam in college. These systems also make it difficult to change learning content. In this paper, we suggest using blogs to improve the characteristics that existing flippling systems are less adaptable to environmental changes. A blog can be a good thing for learners who are comfortable with the Internet, In this study, we experiment with flipped-learning, which applies blog to one subject. As a result, we would like to evaluate the meaningful learning effects of this study.

• Asian Pacific Journal of Cancer Prevention
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• v.14 no.8
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• pp.4935-4937
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• 2013

At the United Nations High-level Meeting on Non-communicable Disease Prevention and Control in 2011 the link between health and socioeconomic issues was raised, becoming a global political issue. Health equity is one challenge that has hitherto not been addressed directly, although there is a growing shared recognition that cancer in Asia is an urgent social issue. At the UICC-ARO we are working to promote and widen networks of individuals and organizations in Asia and involve them in cooperation for this purpose. As part of our current activities, we are addressing the question of the "Economic burden of cancer in Asian countries: How should we face the current situation?" from a variety of angles and seeking to bring together a wealth of multidisciplinary knowledge about cancer in Asia and its related socioeconomic factors. It is essential to ensure that the real picture of cancer in Asia, which is currently not accurately understood, is conveyed clearly to all concerned, and also that the differences between cancer in Asia and in the West are highlighted.

• Health Policy and Management
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• v.23 no.4
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• pp.303-313
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• 2013

During last 65 years, Korea has achieved very rapid economic growth and social reformation including healthcare system. Many foreigners have praised that Korea healthcare system is very good in the respect of ease accessibility to healthcare under the lowest cost among the industrialized countries. Whole population are covered by the National Health Insurance. Also utilizations of healthcare among different income classes are even. However Korea healthcare system faced with several challenges, in terms of the an aging population and a rise in chronic disease problem, new threats of communicable disease due to globalization, the rapid increase of healthcare expenditure and high financial burden of patients even though they are insured. To cope with these challenges, we need reconsider the healthcare system as followings; to set up ideology of healthcare as normative public goods, to rebuild paradigm of healthcare for 21 century, to reform public health for strengthening health promotion, to develop new method for healthcare management including quality improvement and consumer responsiveness, to build new governance for health and to view new perspective on healthcare as a kind of industry.

• Journal of Korean society of Dental Hygiene
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• v.6 no.3
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• pp.243-261
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• 2006

Priority setting in national health insurances in major advanced countries and the nation was investigated to draw the criteria for priority setting and suggest the most rational criteria for dental insurance so as to help secure the efficiency of medicare financing and individual's health right and also elevate medical consumers' satisfaction with health insurance. 1. Priorities in national health insurance are different from country to country, depending on the medical security systems, priority introducing conditions, and social environment, but have many common factors. 2. The priority setting criteria for national health insurance in those countries include the following in common: the efficiency, equity, and cost effect of treatment, emergency of treatment, consumption of expense, efficacy of treatment, patient's receptiveness, patient's demand, severity of disease, and patient's responsibility for the disease. 3. In oral diseases, severe diseases including oral cavity cancer are low in rate, and in-hospital treatments are few. From the above findings, it is suggested that dental insurance should establish discriminative criteria for priority setting by reflecting the aspects of dental diseases and system difference between dental and other health insurances and taking account of efficiency of treatment through prevention, cost effect, prevalence and incidence of generalized diseases, and individual's financing burden.

• Asian Oncology Nursing
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• v.4 no.1
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• pp.5-15
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• 2004

Purpose: This study was conducted to examine utilization of alternative therapies and understand decisional criteria related to use of alternative therapies among chemotherapy patients. Method: Data were collected from 165 cancer patients through the use of questionnaire and interviews at the chemotherapy treatment rooms of two general hospitals located in Seoul. Result: Sixty point six percent of subjects after cancer diagnosis have experience of using alternative therapies and 39.4% were still using alternative therapies. On the average the patients used alternative therapies for 9.4 months and they paid 483,000 Won per month for alternative therapies. Decisional criteria related to use of alternative therapy were curability, social group influence about alternative therapy, confidence in alternative therapy, present symptoms, and who decide on the use of alternative therapy. These variables in the alternative therapy group were statistically different from those of the hospital treatment only group. Conclusion: Utilization rate of alternative therapy among chemotherapy patients is high and cost burden is heavy. Thus, they need to be educated about utilization of alternative therapy by nurse and medical personnel.

• Journal of the Korean Home Economics Association
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• v.36 no.10
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• pp.161-178
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• 1998

This study attemps to identify the factors related to dealing withy work-family conflict of employed women, and to investigate the needs and the methods of support for household labor. Especially, the results of this study aims to be reflected in women's policy from a political point of view. For these purposes, 477 married women those being employed (more than 30 hours per week) and having nuclear family were selected. Statistics were frequencies, means, percentile, and two-way ANOVA. The results were as follows. First, employed mother's housework time is 5 hours 16 minutes on a weekday and 9 hours 32 minutes on Sunday with the exception of market work time. And 84.5% of total housework was performed by housewife. Thus they take chage of work burden(market work and housework), and make a difficulties of cooking and family care. Seconds, the highest needs of support was the change of thought on division of labor, responsibility on housework, and status of women. The next were the needs of the social organization(flex-time, a special holiday for woman workers, home-based work) and the public institution(day-care center, school feeding). Thirds, contributing factors to the needs of support were housewife's age and occupation. So, this two factors were crossed in order to analyze family type by factors.

• Journal of Dental Rehabilitation and Applied Science
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• v.22 no.1
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• pp.29-36
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• 2006

As migraine pain represents a substantial personal and social burden worldwide, there has been a great deal of effort in developing a screening instrument for migraine. Lipton et al(2003) developed and validated the ID Migraine questionnaire, which is a self-administered screener for migraine in primary care, and it is brief and easy to use for a primary care provider. The aim of this study was to determine if the ID Migraine questionnaire could be applied successfully to assess the headache patients with temporomandibular disorders(TMD) and orofacial pain. This study found that nausea, photophobia and headache-related disability had the highest individual sensitivities and specificities, and the performance of the three-item screener was equivalent to that reported in a previous study. Although the sensitivity of the three-item screener in this study (0.58) was lower than in a previous study (0.81), the specificity (0.98) was higher and the positive predictive value was 93.9%. This suggest that the ID Migraine questionnaire is very efficient in this setting. In conclusion, the ID Migraine questionnaire, which is a three-item screener consisting of nausea, photophobia and headache-related disability, is effective as a self-administered report for detecting migraine headaches in patients with temporomandibular disorders(TMD) and orofacial pain.

• The Transactions of the Korean Institute of Electrical Engineers D
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• v.54 no.5
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• pp.330-337
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• 2005

The ratio of aged class has been increasing gradually not only in Korea, but also in the world since several years ago. As a result, many unexpected social problems started to now. The burden charged to this society is to solve those problems; how to take care of that aged people, how to offer jobs to them, etc. It means that the study about the aged class should be done soon. Due to that need, this thesis is wrote out. The aim of this thesis is to detect the emotion of aged people and establish a certain algorithm for detecting it. In the whole process of experiment and analysis, I used HRV(Heart Rate Variability) data since the heart is a representative which is controlled by the ANS(autonomic nervous system), and the ANS reflects the changes in emotion. After stimulating the aged people with the authorized pictures which induce different emotions each. 1 measured HRV of those aged. The HRV data is then analyzed in the two domain area, time and frequency. 1 guessed that the result would show some certain differences according to the pictures and it was shown from the experiment. Seeing the result, HRV was changed by what the aged felt looking at the pictures. Then it also means that visual stimulation influence on the has of the aged people.