• 제목/요약/키워드: Utilization pattern

검색결과 582건 처리시간 0.021초

DRG 지불제도에서 환자의 의료서비스 만족도와 제공량에 관한 연구 - 시범사업 전.후 제왕절개 분만 경험 산모를 대상으로 - (A Study on Patients' Satisfaction and Service Utilization in the DRG Based Payment System - Patients who Experienced Cesarean Section Before and After the Demonstration Program -)

  • 김지숙;박하영
    • 한국의료질향상학회지
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    • 제7권2호
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    • pp.190-202
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    • 2000
  • Background : The objectives of this study were to examine patients' satisfaction with the DRG based payment method and its association with their awareness of the method, to examine patient reported changes in doctors' caring attitude, level of their out-of-pocket payments, providers' acceptance of patients' request for additional services after the program, and to examine changes in service utilization recorded in medical records. Method : One hundred-four patients who had cesarean sections before and after the demonstration program at two hospitals located in Seoul participated in the study. Patients were surveyed before discharges when their charges were finalized. Their medical records were reviewed as well to collect data for service utilization during hospital stays. The association between patients' satisfaction with the payment method and their awareness of the method was analyzed by ${\chi}^2$-test, and the significance of changes in providers' acceptance of patients' request for additional services and service utilization after the program were examined by ${\chi}^2$-test and t-test, respectively. Results : A large proportion of patients did not know of the DRG based payment method at the time of survey and a significantly larger proportion of patients who came to the hospitals with the knowledge satisfied with the method. About the same proportion of patients reported improvement and deterioration in doctors' caring attitude compare to the previous hospitalizations and a similar result was found concerning out-of-pocket payments. Providers' acceptance of patients' request for medication, PCA and painless delivery decreased significantly after the program whereas the acceptance for additional hospital days and laboratory and radiology tests did not. Length of stay, the numbers of days on antibiotics and antianemic medication, and the number of blood tests decreased significantly after the program, however, decreases in the rate of antianemic medication and the number of urine analyses were not statistically significant. Re-operation, in-hospital death, and complications were not observed before and after the program. Conclusion : The study findings indicated a need for better patient education and publicity about the newly introduced payment method to improve their satisfaction with the system. Other study findings concerning service utilization and quality of care indicators were consistent with the government funded evaluation studies.

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Diversity, distribution, and antagonistic activities of rhizobacteria of Panax notoginseng

  • Fan, Ze-Yan;Miao, Cui-Ping;Qiao, Xin-Guo;Zheng, You-Kun;Chen, Hua-Hong;Chen, You-Wei;Xu, Li-Hua;Zhao, Li-Xing;Guan, Hui-Lin
    • Journal of Ginseng Research
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    • 제40권2호
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    • pp.97-104
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    • 2016
  • Background: Rhizobacteria play an important role in plant defense and could be promising sources of biocontrol agents. This study aimed to screen antagonistic bacteria and develop a biocontrol system for root rot complex of Panax notoginseng. Methods: Pure-culture methods were used to isolate bacteria from the rhizosphere soil of notoginseng plants. The identification of isolates was based on the analysis of 16S ribosomal RNA (rRNA) sequences. Results: A total of 279 bacteria were obtained from rhizosphere soils of healthy and root-rot notoginseng plants, and uncultivated soil. Among all the isolates, 88 showed antagonistic activity to at least one of three phytopathogenic fungi, Fusarium oxysporum, Fusarium solani, and Phoma herbarum mainly causing root rot disease of P. notoginseng. Based on the 16S rRNA sequencing, the antagonistic bacteria were characterized into four clusters, Firmicutes, Proteobacteria, Actinobacteria, and Bacteroidetesi. The genus Bacillus was the most frequently isolated, and Bacillus siamensis (Hs02), Bacillus atrophaeus (Hs09) showed strong antagonistic activity to the three pathogens. The distribution pattern differed in soil types, genera Achromobacter, Acidovorax, Brevibacterium, Brevundimonas, Flavimonas, and Streptomyces were only found in rhizosphere of healthy plants, while Delftia, Leclercia, Brevibacillus, Microbacterium, Pantoea, Rhizobium, and Stenotrophomonas only exist in soil of diseased plant, and Acinetobacter only exist in uncultivated soil. Conclusion: The results suggest that diverse bacteria exist in the P. notoginseng rhizosphere soil, with differences in community in the same field, and antagonistic isolates may be good potential biological control agent for the notoginseng root-rot diseases caused by F. oxysporum, Fusarium solani, and Panax herbarum.

건강보험심사청구 자료에 근거한 병용금기 약물의 후향적 약물사용평가 : 처방전 조제 형태별 분석 (Retrospective Drug Utilization Review of Drug-Drug Interaction Criteria Based on Real World Data: Analysis in Terms of Dispensing Types)

  • 이영숙;신현택
    • 한국임상약학회지
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    • 제21권3호
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    • pp.249-255
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    • 2011
  • Objective: To examine the drug use (prescribing) pattern of serious drug-drug interactions (DDIs, contraindicated drug interactions) using real world data. Prescription patterns were examined in terms of dispensing types. Method: Retrospective drug utilization review (DUR) study was performed. One hundred and six datasets of serious DDIs (DDI pairs) were determined among DDI datasets that Ministry of Health & Welfare announced for the DUR system from 2004 to 2005. Electronically transacted ambulatory patients' prescription database to Health Insurance Assessment and Review Services (HIRA) from July, 2005 to June, 2006 was collected with personal information deidentified and analyzed in terms of types of dispensing as a contributing factor. Results: After prescription data analysis per each patient, total number of DDI cases using 95 DDI pairs was 5,511, which accounted for 2.6 cases per patients. DDI cases between two drugs from each of community pharmacy dispensing- type prescription were considerable (63% vs. 24% in those from each of in-institutional dispensing-type prescription and vs. 13% in those from a community pharmacy dispensing-type prescription and an in-institutional dispensingtype prescription). Conclusions: DDI cases from different prescribers were found to be significant. Thus, the concurrent DUR process between prescriptions from different physicians and institutions should be implemented for the safe drug use.

도시 저층밀집 주거지 내 어린이공원의 활용분석과 계획방향 제안 (Case Analysis and Planning Guidelines of Children Parks in Low-rise House Residential Area)

  • 윤선희;김진성;양우현
    • 한국주거학회논문집
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    • 제17권2호
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    • pp.27-39
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    • 2006
  • The purpose of this study was to present a guideline for the construction of children park that can create a quality of dwelling and be easily approached and utilized by residents. In order to present a direction of planning, the investigator examined the actual state of children park in low-rise house residential area, and analyzed its general characteristics. And the discriminative characteristics according to the standpoints of planning of children park. The analytic standpoints were classified into the size and disposition of park, the nature of adjacent street and the utilization of park, and the satisfaction and requirement for the internal space of park. The guideline of planning of children park are as follow: (1) The disposition and size of children park: the children park must be disposed convenient use of all the residents. (2) The environment around including approaching streets and facilities around: residents' recognition and access in their everyday life must be considered in relation to the neighborhood streets and surrounding facilities. (3) The composition and utilization of internal space: the internal space must support all the activities of users, and reflect users' requirements in order to induce them to use it continuously.

ENERGY UTILIZATION MODELS OF CATTLE GRAZING IN OIL PALM PLANTATIONS I. DEVELOPMENT OF MODELS

  • Dahlan, I.;Yamada, Y.;Mahyuddin, M.D.
    • Asian-Australasian Journal of Animal Sciences
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    • 제8권1호
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    • pp.59-66
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    • 1995
  • Energy obtained by grazing cattle in oil palm plantations is usually used for maintenance of body functions, the construction of body tissues and pregnancy, the synthesis of milk and the conversion to mechanical energy used for activities such as walking, eating and others. In this study, attempt was made to estimate metabolizable energy (ME) requirement of grazing cattle. Models of ME requirement (MER) for maintenance, gain, pregnancy, lactation and activities were developed. ME system and units were used because of wide recognition. Estimation of ME intake in grazing cattle was expressed as MEVI = $14.58{\times}VI{\times}DMD$, and under grazing condition MEVI = $MER_i$. MER was expressed as a function of net energy(NER, MJ) required for the i'th body function. Coefficient of efficiency for conversion of ME into net energy(ki) was adopted from literatures. Quantifying of ME requirement for Kedah-Kelantan cattle under grazing condition was made by using equation MERM = NEM / kn. The estimated values of MER for Kedah-Kelantan cattle is quite reasonable if compared with other estimates as reported in literatures from stall-fed animals. Dynamic MER models for grazing herd was developed in order to estimate ME requirement for maintenance and productions. These ME requirement models can be used for prediction of energy utilization pattern of the herd in the grazing systems.

방송클립동영상 이용이 방송 시청의도에 미치는 영향 (Effects of Using Shot Clip on the Broadcasting Viewing Intention)

  • 조석현;이현지
    • 한국콘텐츠학회논문지
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    • 제16권10호
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    • pp.645-655
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    • 2016
  • 본 연구에서는 방송클립동영상 이용이 VOD 구매의도와 본방송 시청의도에 영향을 줄 수 있는지를 살펴보고자 하였다. 이를 위해 방송클립동영상 이용자를 대상으로 설문조사를 통해 이용동기와 이용시간, 이용시점, 장르, 이용패턴 등의 이용경험 중심으로 살펴보았다. 연구결과를 요약하면, 방송클립동영상 이용동기 변인에서는 대인관계와 전체방송 대비이점이 높을수록, 방송클립동영상 이용경험 변인에서는 교육 장르, 게시된 영상보기, 게시된 영상 공유 및 추천을 이용하는 정도가 높을수록 VOD를 구매하고자 하는 의도가 높은 것으로 나타났다. 그리고 방송클립동영상 이용동기 변인에서는 이용유연성이 높을수록, 방송클립동영상 이용경험 변인에서는 드라마/영화 장르와 게시된 영상에 대한 댓글 읽기 및 작성 등과 같은 이용이 높을수록 본방송을 시청하고자 하는 의도가 높은 것으로 나타났다.

Experiment Investigation on Fluid Transportation Performance of Propellant Acquisition Vanes in Microgravity Environment

  • Zhuang, Baotang;Li, Yong;Luo, Xianwu;Pan, Halin;Ji, Jingjing
    • International Journal of Fluid Machinery and Systems
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    • 제7권1호
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    • pp.1-6
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    • 2014
  • The propellant acquisition vane (PAV) is a key part of a vane type surface tension propellant management device (PMD), which can manage the propellant effectively. In the present paper, the fluid transportation behaviors for five PAVs with different sections were investigated by using microgravity drop tower test. Further, numerical simulation for the propellant flow in a PMD under microgravity condition was also carried out based on VOF model, and showed the similar flow pattern for PAVs to the experiment. It is noted that the section geometry of PAVs is one of the main factors affecting the fluid transportation behavior of PMD. PAVs with bottom length ratio of 5/6 and 1/2 have larger propellant transportation velocity. Based on the experiments, there were two stages during the process of propellant transportation under microgravity environment: liquid relocation and steady transportation stage. It is also recognized that there is a linear correlation between liquid transportation velocity and relative time's square root. Those results can not only provide a guideline for optimization of new vane type PMDs, but also are helpful for fluid control applications in space environment.

3세대 동거주호의 부분문화적 공간계획에 관한 연구 -수납 및 위생공간을 중심으로- (A Study on the Partial Culture Space Planning of Three Generation Dwelling Unit -Storage Space and Sanitation Space-)

  • 김승근;김정진
    • 한국농촌건축학회논문집
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    • 제5권3호
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    • pp.22-33
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    • 2003
  • I recognized necessity of the space planning to three-generation dwelling because of preservation of wholesome society sense of values of the younger generation indicated often to the point at issue by the change to nuclear family of present and by way to hand down thought of respect for the aged which is our traditional public morals. I wish to present basic data for storage space planning that resident's request and consciousness are reflected in such background. I investigated records in general concept, which is utilization pattern of storage space to achieve the function of these culture intermediation. The object of research is three-generation dwelling, such as 3L-K and 3L-DK as national residences that appear most generally in chongju city. The method of research was question investigation method to write utilization actual conditions and requirement of storage space directly. So I proposed suitable planning to resident's life style analyzing frequency, percentage and average distribution. When supply apartment house hereafter, it should be reflected wide selection by resident's characteristic and needed systematic storage space planning in consideration of user mainly. Also continuous and diversified researches that can improve quality of residence are required.

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Distribution of Dissolved Organic Carbon (DOC) in the Southwestern East Sea in Summer

  • Kim, Tae-Hoon;Kim, Gue-Buem
    • Ocean and Polar Research
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    • 제32권3호
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    • pp.291-297
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    • 2010
  • In the summer of 2008 (August 4-14), vertical and horizontal distributions of inorganic nutrients and dissolved organic carbon (DOC) were measured in the southwestern East Sea. Concentrations of DOC were determined for the first time in the southwestern East Sea using the high-temperature combustion oxidation (HTCO) method, and results were compared with those measured by another laboratory. Concentrations of DOC ranged from 58 to 104 ${\mu}M$ in the upper 200 m, showing a typical decreasing pattern with depth. Generally, concentrations of DOC were relatively lower, with higher nutrient concentrations, in the upper layer of the coastal upwelling zone. Concentrations of DOC ranged from 54 to 64 ${\mu}M$ in the deep Ulleung Basin (200-1500 m), and were higher than those in the Pacific and Atlantic oceans. In association with rapid vertical ventilation of the euphotic, this difference indicates a larger accumulation of semi-labile DOC in the deep East Sea than in the major oceans. A correlation between apparent oxygen utilization (AOU) and DOC in the deep ocean of the East Sea revealed that only a small portion (<10%) of the sinking DOC, relative to the sinking particulate organic carbon (POC), contributes to microbial degradation. Our results present an important data set of DOC in the East Sea, which plays a critical role in carbon cycle modeling and sequestration.

상용(商用) 데이터베이스 : 요점(要點)과 활용(活用)(2) - 신문기사(新聞記事) - (Commercial Database : The Keypoints and Practical Use(2) - Newspaper Articles -)

  • 조재호
    • 정보관리연구
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    • 제24권3호
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    • pp.31-56
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    • 1993
  • 신문(新聞)은 정보원(情報源)으로서 이용도(利用度)가 높다. 각 신문사의 CTS의 도입으로 인하여 신문기사 데이터베이스화(化)가 촉진되어 상용(商用)으로 제공 서비스되는 신문기사의 데이터베이스도 많아졌다. 일본(日本)에서 이용되는 일본과 외국의 주된 신문기사 데이터베이스에 관하여 다음 사항(事項)을 해설하였다. 1) 수록기간, 갱신빈도, 타임 래그, 수록내용, 검색어, 출력 가능한 정보 등 데이터베이스의 특징, 2) 이용시(利用時)의 유의사항, 3) 기업조사, 업계 동향조사 등 조사 목적별의 이용 패턴 등이다. 이러한 데이터베이스는 전자정보의 형태로 이용이 가능하며, 장래에는 사내(社內)의 LAN과 결합하여 이용되리라고 예측된다.

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