• Asian Pacific Journal of Cancer Prevention
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• 제15권13호
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• pp.5265-5270
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• 2014

Background: In Korea, the National Health Insurance program has initiated various copayment policies over a decade in order to alleviate patient financial burden. This study investigated healthcare spending and utilization in the last 12 months of life among patients who died with lung cancer by various copayment policy windows. Materials and Methods: We performed a retrospective cohort study using nationwide lung cancer health insurance claims data from 2002 to 2012. We used descriptive and multivariate methods to compare spending measured by total costs, payer costs, copayments, and utilization (measured by length of stay or outpatient days). Using 1,4417,380 individual health insurance claims (inpatients: 673,122, outpatients: 744,258), we obtained aggregated healthcare spending and utilization of 155,273 individual patient (131,494 inpatient and 103,855 outpatient) records. Results: National spending and utilization is growing, with a significant portion of inpatient healthcare spending and utilization occurring during the end-of-life period. Specifically, inpatients were more likely to have more spending and utilization as they got close to death. As coverage expanded, copayments decreased, but overall costs increased due to increased utilization. The trends were the same in both inpatient and outpatient services. Multivariate analysis confirmed the associations. Conclusions: We found evidence of the higher end of life healthcare spending and utilizations in lung cancer patients occurring as coverage expanded. The practice pattern within a hospital might be influenced by coverage policies. Health policy makers should consider initiating various health policies since these influence the long-term outcomes of service performance and overall healthcare spending and utilization.

• 보건교육건강증진학회지
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• 제29권2호
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• pp.1-12
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• 2012

Objectives: Several practice guidelines recommended both medication and behavior modification to control hypertension. The objective of this study was to analyze ambulatory care utilization pattern and related factors. Methods: A retrospective cohort study was conducted among 45,267 new users who initiated treatment with hypertensive drugs in 2003. Korean National Health Insurance Claims Data was used to study the medical care utilization behavior and related factors after treatment initiation for up to four years. Taking prescription was considered as medical care utilization. Results: More than 20% of patients discontinued visiting physicians for prescription after initiating antihypertensive drug therapy. The average number of institutions visited by patients was about 1.3 annually. Clinic was the most frequently visited institution by patients. In GEE analysis, probability of continuous visit one institution after initiating antihypertensive drug treatment increased in patients who were women, old, have comorbidity, visited clinic or hospital mainly in previous year. Conclusions: Young hypertensive male patients who have no major comorbidity showed high possibility to discontinue medical service utilization. It is necessary to educate these targeted patients about importance of hypertension management in early stage after treatment initiation.

• 한국가구학회지
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• 제22권3호
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• pp.239-243
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• 2011

In this study, the coating properties and surface performance of exotic cherry wood (Prunus serotina) were estimated, reviewing color difference, hardness and abrasion resistibility in order to evaluate probability as construction interior members such as wall and floor. The reduction effect of color difference was represented in the order of water soluble color stain, water soluble transparent stain, and non-coated lumber. However, the tendency of distinct difference according to wood grain pattern was not found. The wavy grain lumber showed better properties in hardness and resistance to abrasion than quarter grain. In conclusion, it was supposed that the application of wavy grain lumber in wall and floor as interior materials would be acceptable in practicality.

• 한국레이저가공학회지
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• 제11권1호
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• pp.1-6
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• 2008

We proposed new light guide panel (LGP) fabrication method exploiting laser-processed inner scatterers and surface pattern. The proposed method has achieved LGP performance improvement in both brightness and uniformity. The inner scatterers and surface pattern of grid type were fabricated with a 2nd harmonic Nd:YAG pulse laser engraving system and a $CO_2$ laser scanning system, respectively. In the implementation of LGP, inner scatterers was arranged in accordance with linear or curved pattern with changing density and surface pattern was engraved on the surface of an inner-scatterers embedded LGP. The increase of scatterers' density and the use of surface patterns in both linear and curved pattern provided high luminance and uniformity enhancement. While thecurved pattern incorporated with increased scatterers' density and surface patterns yielded brightness improvement with preserving good uniformity, the linear pattern showed highly localized brightness near the light entrance of the LGP. We can also observe that the uniformity was mainly determined by pattern of inner scatterers, and the brightness was improved by the higher density and the utilization of surface patterns. From the results, the use of laser-processed inner and surface patterns can be a potential alternative for efficient and simple LGP fabrication method.

• 대한전기학회:학술대회논문집
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• 대한전기학회 1998년도 추계학술대회 논문집 학회본부A
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• pp.179-181
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• 1998

In this paper, one chip PWM pattern generator which eliminates time delay of computations and improves utilization factor of voltage is proposed. Both amplitude of sinusoidal signal and triangular signal are directly controlled. Thus, time delay of computations can be eliminated, and it is possible to track accurately instantaneous current for a sudden change of load with microprocessor 80C196KC. In addition, setting dead-time is also possible for wide range. From experimental work with inverter system for driving induction motor, the validity of proposed one chip PWM pattern generator is verified.

• 한국의상디자인학회지
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• 제16권1호
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• pp.41-52
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• 2014

The purposes of this study were to explore differences in utilization of information sources depending on the length of buyers' career and annual sales volume of stores where buyers work for. The questionnaire was prepared by the researcher and was answered by 200 buyers who purchase their items from Dondaemun market. The researcher analyzed the data using both ANOVA and Tukey's test as a post-hoc test. The conclusion of this study is summarized below. First, there were significant differences in utilization of information sources among buyer groups depending on the length of buyers' career. The buyers with more than 10 years career showed more effective utilization of information source such as resident buying offices, manufacturers, trade publications, trade associations, fashion reports, celebrities, window shopping, professional magazines, and advice from others. Second, there were significant differences in utilization of information sources among buyer groups depending on annual sales volume of the stores where the buyers work for. The buyer who work for the store with its annual sales volume in excess of 2 billion won showed more effective utilization of information source such as trade association, professional magazines, sales record, want slips, advertising results, sales trends, customer surveys, sales meetings, customer advisory panel, in-store merchandising bureau and advice from other experienced buyers. However, buyers of the store with its annual sales volume lower than 100 million won showed different pattern utilization of information sources such as vendors, trade publication, celebrities and advice from others.

• 보건행정학회지
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• 제3권2호
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• pp.27-80
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• 1993

It is widely known that patients' utilization pattern for medical care facilities and the patientflow are influenced by multi-factors, such as demographic characteristics, structural characteristics of society, socio-psychological characteristics(value, attitude, norms, culture, health behavior, etc.), economic characteristics(income, medical price, relative price, physician induced demand, etc.), geographical accessibility, systematic characteristics(health care delivery system, payment methods for physician fees, form of health care security, etc.), and characteristics of medical facilities(reliability, quality of medical care, convenience, kindness, tec.). This study was conducted to research the mechanism of patient-flow according to changes of health care system(implementation of national health insurance, health care referral system and regionalization of health care utilization, etc.) and characteristics of medical facilities(ownership of hospital, characteristics of medical services, non-medical characteristics, etc.). In this study, the fact could be ascertained that the patient-flow had been influenced by changes of health care system and characteristics of medical facilities.

• 전기학회논문지P
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• 제64권1호
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• pp.41-44
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• 2015

In cognitive radios, exponentially distributed idle period(EIP) is considered in this paper. In the EIP case, durations of idle periods are be limited and varied by primary traffic arrivals. Accordingly, we first analyze the idle period utilization which can be achieved by the slotted ALOHA in cognitive radio communications. The idle period utilization is a newly defined performance metric to measure the transmission performance of the secondary network as effective time durations utilized for successful secondary transmissions in an idle period. Then, the idle period utilization is maximized through controlling the data transmission time. All technical processes are mathematically analyzed and expressed as closed form solutions.

• 한국의류학회지
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• 제44권4호
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• pp.708-726
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• 2020

This study develops leggings patterns for pregnant women with increased needs in utilization and necessity. It provides basic data for the development of leggings for pregnant women. The pattern was deformed by analyzing the leggings of U company, and simulated using the DC Suite Program. SPSS 24.0 was used for the analysis. As a result of the appearance evaluation, the primary pattern had many spaces in the thighs, calves, and the upper part; in addition, wrinkles occurred in the upper part and the knee part. The length of the leggings was long and agglomeration in the ankle appeared. Wrinkles were reduced by setting the hip circumference, hip width, and leggings length to reflect the results of the primary in the case of the secondary pattern. A pattern was developed that closely adhered to the body without any wrinkles in the appearance evaluation of the final pattern. Future studies should examine legging patterns of pregnant women according to the material change. Wearing evaluation and appearance evaluation should be done by making actual leggings for pregnant women, not 3D simulation.

• 농촌의학ㆍ지역보건
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• 제28권2호
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• pp.87-105
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• 2003

2002년도 군위군 내 30세 이상 저소득주민을 대상으로 건강검진을 실시한 결과 유소견자로 판정된 263명에 대하여 설문지를 이용하여 추후의료기관 이용여부와 관련요인을 조사 분석하였다. 대상자의 추후의료기관 이용률은 51.0%이었으며, 미이용률은 49.0%이었다. 단순분석결과, 추후의료기관 이용률은 소인성 요인에 있어서는 남자의 경우, 건강관심도가 높은 경우, 질병이 오는 이유가 팔자나 운명적이지 않다는 경우, 검진이 건강에 도움이 된다는 경우, 검진결과를 통보 받을 당시 느낌이 걱정된다는 경우가 의료기관 이용률이 높았다(P<0.05). 가능성 요인에서는 의료보장형태가 의료급여인 경우, 과거 2년간 건강검진 경험이 있는 경우, 단골의료기관이 있는 경우, 검진결과를 인지하는 가족이 있는 경우에 추후의료기관 이용률이 높았다(P<0.05). 필요성 요인에서는 검진결과를 본인이 인지한 경우, 판정결과가 건강에 심각하다는 경우, 검진결과를 통보받는 방법이 우편과 전화통보를 받은 경우, 검진결과에 대한 가족반응이 있는 경우, 보건지도가 있는 경우가 추후의료기관 이용률이 유의하게 높았다(P<0.01). 의료기관 이용여부를 종속변수로 하고 단순분석에서 유의한 관련이 있는 변수를 독립변수로 한 다중 로지스틱 회귀분석 결과, 판정결과를 받을 당시 느낌이 걱정이 된 경우, 의료보장형태가 의료급여의 경우 (P<0.05), 과거 2년간 검진경험이 있는 경우(P<0.05), 검진결과에 대한 가족의 반응이 있는 경우(P<0.01)가 의료기관을 더 이용하였다. 추후 의료기관을 이용한 방문시점은 통보 후 8-15일이 가장 높았고 그 다음이 16-30일 순이었다. 재검결과 당초와 같은 질환이 69.4%, 정상이 23.1%, 당초와 다른 질환이 7.5%이였으며, 정밀검사 후 치료유형에서는 규칙적 치료가 39.6%로 가장 높았으며, 치료하지 않은 경우가 34.4%, 치료중단이 11.8%이었다. 추후의료기관을 이용하지 않은 이유는 가벼운 질환인 것 같아서가 32.4%로 가장 높았으며, 일 때문에 시간이 없어서, 결과가 정상이라서, 이전부터 알고 있는 질병으로 치료 중이어서 순이었다. 이상의 결과, 저소득층의 건강검진 실시 후 의료이용 제고와 사후관리를 위해서는 국가와 검진기관, 보건기관, 가족 등이 연대가 되어야 하겠다. 국가에서는 차상위계층의 의료이용문제점을 해결하여 의료이용의 형평성과 효율성을 높이도록 하여야 하며, 검진기관과 보건기관에서는 건강검진 전에 검진의 필요성, 의의, 올바른 수검지도를 실시하고, 건강검진 통보 시에는 유소견자에 대해서는 방문 등을 통하여 추후관리를 하는 것이 의료기관 이용률을 높일 수 있을 것이다. 그리고 건강검진 결과에 대한 올바른 해석, 의료이용의 필요성, 해당 질환에 대한 정보에 대해 본인 뿐만 아니라 가족을 포함한 보건지도가 있어야 하겠다.