• Title/Summary/Keyword: co-administration

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Usefulness of medical review in the insurance claims

  • Lee, Eui-Kwan;Hwang, Jin-Sup;Lee, Sin-Hyung
    • The Journal of the Korean life insurance medical association
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    • v.28 no.1_2
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    • pp.31-35
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    • 2009
  • Background : Many of internists have been working for insurance industry. Insurance medicine is use of medical knowledge for insurance industry. There is social role of insurance medicine in terms of soundness of insurance administration. Recently social role of internists also have been being watched. Although theme of insurance medicine is medical risk selection, insurance claims administration also needs medical experts'opinion. There are not any corroborative study of medical consulting for insurance claims. Among insurance industry, someone called this medical review of insurance claims as 'medical claims review'. Aim : To investigate usefulness of medical review of insurance claims. Design : Questionnaire survey with claim staffs in one of insurance claim adjustment company in Korea. Methods : 265 claim staffs were divided into 4 groups and conducted survey using a questionnaire of 20 questions. Utility score, job satisfaction score, and difficult factors of claims administration were measured. Results : Utility score and job satisfaction score are highest in medical claims review group. The most difficult in claim administration to claim staffs was demonstrated to medical knowledge. Conclusion : Medical review of insurance claims is proved to be worthy. Document-based consulting method, namely medical claims review, is more useful than telephone-based simple query among claim staffs...Subjects of the medical claims review are medical record and it's principle is independent medical examination with evidence-based approach, it also has role of protecting fraud of insurance claims. Two main question types of medical claims review are verification and advice.

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Progression of Korean Herbal Medicine and Conventional Medicine Administration for Cough in Patients with Myocardial Infraction Relapse Suspected of Developing Acute Respiratory Infection: Case Report (호흡기감염 후 심근경색이 재발한 것으로 의심되는 환자의 기침에 대한 한양방 약물 병용투여 경과 : 증례보고)

  • Kim, Bo-min;Jo, Hee-geun
    • The Journal of Internal Korean Medicine
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    • v.40 no.1
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    • pp.145-153
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    • 2019
  • Objectives: This case is significant as a rare observational record at the Korean medical practice field. This case reports progression of co-administration of Korean herbal medicines and conventional medicines for cough in patients with myocardial infarction relapse suspected of developing acute respiratory infection. Methods: First, the chest radiography, CBC count and urinalysis were performed to estimate patient's systematic condition. After the estimated diagnosis, the patient was treated with modified Dingchuan decoction, antibiotics, and complex syrup for cough. We used the Cough-Specific Quality-of-Life Questionnaire (CQLQ) to assess patient's respiratory symptoms. Results: Co-administration of Korean herbal medicines and conventional medicines resulted improving of cough and sputum symptoms. Laboratory analysis items and total score of CQLQ also showed significantly improved results. Adverse effects were not observed. Conclusions: In this case, we concluded that co-administration of Korean herbal medicine and conventional medicine may be an effective therapy for the treatment of cough in patients with myocardial relapse of developing acute respiratory infection.

Effect of Carbon Dioxide Concentration, Temperature, and Relative Drought on Growth Responses and Yield in Spring Potato (Solanum tuberosum L.) (이산화탄소와 온도 그리고 한발 영향에 따른 감자의 생육과 수량반응)

  • Lee, Yun-Ho;Cho, Hyeoun-Suk;Kim, Jun-Hwan;Sang, Wan-Gyu;Shin, Pyong;Baek, Jae-Kyeong;Seo, Myung-Chul
    • Korean Journal of Agricultural and Forest Meteorology
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    • v.20 no.2
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    • pp.149-158
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    • 2018
  • Agriculture is strongly influenced by climate change such as increased temperature and carbon dioxide ($CO_2$). This study describes the effects of climate change elevated $CO_2$, temperature, and relative drought on growth responses and yield in potato (Solanum tuberosum L.). The assessment was conducted for spring seasons in Soil-Plant-Atmosphere Research (SPAR) chamber at National Institute of Crop Science (NICS). Potatoes exhibit a positive response to $CO_2$ enrichment but water stress primarily reduces potato canopy and tuber yield. Elevated $CO_2$ and temperature increased both dry weight and tuber yield. Elevated $CO_2$ and temperature influenced SPAR 2 plants to a larger, and tuber increased yield up to 28% of than in SPAR 1(30-year average temperature at 450 ppm of $CO_2$). Our study findings indicate that tuber yield increase in potato under high $CO_2$ concentration was due to an increase in the size of individual tubers rather than in the number of the tubers per plant. On other hand, SPAR 3(30-year average temperature $+2.8^{\circ}C$ at 700 ppm of $CO_2$ under water stress) was lower than SPAR 2(30-year average temperature $+2.8^{\circ}C$ at 700 ppm of $CO_2$) nearly 56% of tuber yield due to drought. The results confirm potato drought sensitivity in terms of yield response. The experiment also showed that, in the conditions of climate change, climate change scenarios that improve cropping systems with potato.

A Study on the Management of Fisheries Cooperative in Korea (한국수협운영의 문제점과 대책방향)

  • 김경호
    • The Journal of Fisheries Business Administration
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    • v.26 no.2
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    • pp.27-52
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    • 1995
  • I have outlined the history of Korean Fisheries Co - coperatives and its economic and noneconomic contribution to Korean Fisheries. But in order to overcome new economic world trend that is emerging now with the beginning of the WTO Korean Fisheries Co - operatives should change itself. It can be summarlized as follows. (1) The early Korean Fisheries Co - operatives was monopolized by Japanese under the Japanese colonial rule. (2) The modern Korean Fisheries Co - operatives was organized in 1962. 4. 1 by Korean government. (3) Korean Fisheries Co - operatives was weak in democratic management because of socioeconomic bad condition. (4) In spite of the dependence on the government financial aid Korean Fisheries Co - operatives has contributed to the fisheries development. (5) At the aid of the credit undertaking economic project was enlarged greatly, (6) With the close of the UR talks we cannot but open out fisheries market. So we are in condition that must enforce out fisheries compatability. especially, \circled1 Improvement of fisheries structure to enlarge management scale \circled2 Increase of productivity in fishing ground \circled3 The continuous endeavour to positive marine resourses making (7) Reorganization of fisheries, for example fisheries system or fisheries structure (8) Reexamination of the organization and operation of Korean Fisheries Co - operatives. And taking a proper step to improve their weak points. (9) The strengthening of the activity of investigation and study in centural Fisheries Co - operatives (10) It needs a special study to establish a few target or object in the management of Fisheries Co - operatives. When we could solve these ones mentioned above our fisheries will develop again.

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Cases of Fishery Co-management in Korea : 'Fishery Closures' of Fisheries Cooperatives (어업인 참여 수산자원관리 운영에 대한 연구 : 수협의 휴어제 운영 사례)

  • Lee, Chang-Soo;Lee, Sang-Go
    • The Journal of Fisheries Business Administration
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    • v.49 no.3
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    • pp.29-47
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    • 2018
  • The primary purpose of this paper is to introduce the cases of fishery co-management, particularly in Korea. In recent, the fishery co-management between the government and fishermen has been brought an important shift of paradigm in a part of Korean fishery management policy. In case of Korea fisheries area, three fisheries cooperatives(which refer to purse sein fishery, trawl fishery, stow net fishery) have a minority of co-management programs. Generally, the main method of fishery co-management programs is 'Fishery Closures' among the programs, and others are restriction of fishing gear and fishermen educations. In spite of the efforts and time consumes of Korean government and fisheries cooperatives, much to our regret that it is hard to confirm visible results in an increased amount of fisheries resources so far because of the time constraint, namely fishery co-management programs have been conducted just since two to three years before. However, what's certain is that fishery co-management programs make it possible to positively effect on both of area in fishermen and fisheries resources. Accordingly, it is necessary that Korean government and fishermen should extend the fishery co-management to other fishery areas as soon as possible we can in order to efficiently reduce administrative costs and effectively reserve fisheries resources.

Carbon Footprint and Mitigation of Vegetables Produced at Open Fields and Film House using Life Cycle Assessment

  • Lee, Deog Bae;Jung, Sun Chul;So, Kyu Ho;Kim, Gun Yeob;Jeong, Hyun Cheol;Sonn, Yeon Gyu
    • Korean Journal of Soil Science and Fertilizer
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    • v.47 no.6
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    • pp.457-463
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    • 2014
  • This study was carried out to find out major factors to mitigate carbon emission using Life Cycle Assessment (LCA). System boundary of LCA was confined from sowing to packaging during vegetable production. Input amount of agri-materials was calculated on 2007 Income reference of white radish, chinese cabbage and chive produced at open field and film house published by Rural Development Administration. Domestic data and Ecoinvent data were used for emission factors of each agri-material based on the 1996 IPCC guideline. Carbon footprint of white radish was 0.19 kg $CO_2kg^{-1}$ at open fields, 0.133 kg $CO_2kg^{-1}$ at film house, that of chinese cabbage was 0.22 kg $CO_2kg^{-1}$ at open fields, 0.19 kg $CO_2kg^{-1}$ at film house, and that of chive was 0.66 kg $CO_2kg^{-1}$ at open fields and 1.04 kg $CO_2kg^{-1}$ at film house. The high carbon footprint of chive was related to lower vegetable production and higher fuel usage as compared to white radish and Chinese cabbage. The mean proportion of carbon emission was 35.7% during the manufacturing byproduct fertilizer; white radish at open fields was 50.6%, white radish at film house 13.1%, Chinese cabbage at outdoor 38.4%, Chinese cabbage at film house 34.0%, chive at outdoor 50.6%, and chive at film house 36.0%. Carbon emission, on average, for the step of manufacturing and combustion accounted for 16.1% of the total emission; white radish at open fields was 4.3%, white radish at film house 15.6%, Chinese cabbage at open fields 6.9%, Chinese cabbage at film house 19.0%, chive at open fields 12.5%, and chive at film house 29.1%. On the while, mean proportion of carbon footprint for the step of $N_2O$ emission was 29.2%; white radish at open fields was 39.2%, white radish at film house 41.9%, Chinese cabbage at open fields 34.4%, Chinese cabbage at film house 23.1%, chive at open fields 28.8%, and chive at film house 17.1%. Fertilizer was the primary factor and fuel was the secondary factor for carbon emission among the vegetables of this study. It was suggested to use Heug-To-Ram web-service system, http://soil.rda.go.kr, for the scientific fertilization based on soil testing, and for increase of energy efficiency to produce low carbon vegetable.

Decreased absorption of midazolam in the stomach due to low pH induced by co-administration of Banha-sasim-tang

  • Jo, Jun Hyeon;Kim, Sun Joo;Nam, Woong Shik;Seung, Eun Ji;Lee, Sangkyu
    • Environmental Analysis Health and Toxicology
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    • v.31
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    • pp.16.1-16.9
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    • 2016
  • Objectives Banha-sasim-tang (BST), which consists of seven different herbs, is one of the most popular herbal formulae for treating gastrointestinal disorders in Eastern Asia. The commonly used herbal medicine is often co-administered with other therapeutic drugs, which raises the possibility of herb-drug interactions and may modify the clinical safety profile of therapeutic drugs. Methods We investigated the potential herb-drug interactions between BST extract and midazolam (MDZ) in mice. The area under the plasma concentration-time curve (AUC) of MDZ and 1'-hydroxymidazolam (1'-OH-MDZ) was evaluated for both oral and intraperitoneal administration of MDZ, following oral administration of BST (0.5 and 1 g/kg). Results It was found that the AUC of MDZ and 1'-OH-MDZ was lower in case of oral administration of MDZ. Administration of BST extract was not associated with hepatic cytochrome P450 activity. BST extract induced a strong reduction in pH and it has been reported that oral mucosal absorption of MDZ is lower at low pH. The decreased absorption rate of MDZ might be caused by the ingredients of BST and may not be related to other factors such as increased excretion of MDZ by P-glycoprotein. Conclusions The altered pharmacokinetics of midazolam caused by co-administration with BST in vivo could be attributed to a decrease in pH and subsequent reduction of MDZ absorption rate.

Evaluation of Greenhouse Gas Emissions from Animal Manure Treatment Systems with Life Cycle Assessment : A Case Study (전과정평가를 이용한 가축분뇨 처리시설의 온실가스 배출량 평가 : 사례 연구)

  • Park, K.H.;Choi, D.Y.;Cho, S.B.;Yang, S.H.;Hwang, O.H.
    • Journal of Animal Environmental Science
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    • v.17 no.sup
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    • pp.1-6
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    • 2011
  • Korean Government announced 'The Roadmap to realize a low carbon green society on year 2020' on July 12, 2011 in order to mitigate greenhouse gas (GHG) emissions. Non-energy category of Food, Agriculture, Forestry and Fishery (FAFF) should mitigate 1,349 kilo $CO_2$-equivalent ($CO_2$-eq.) tonnes which is 7.1% of Business-As-Usual on year 2020. The mitigation from animal manure treatment system (AMTS) comprises ca. 45% of the total mitigated amount of Non-energy category of FAFF. Hence, the precise evaluation of GHG emissions from AMTS is important to find effective mitigation measures. Life cycle assessment was used to evaluate GHG emissions from AMTS. The most GHG emitter was a composting/liquid fertilizer/activated sludge system (1,649.45 kg $CO_2$-eq./head/year) and the least GHG emitter was a activated liquid fertilizer system (1,024.46 kg $CO_2$-eq./head/year). Thermophilic oxic process showed the highest ratio (34.9%) of GHG emissions by the use of electricity to total GHG emissions from systems. Energy efficiency should be considered to mitigate GHG emissions from AMTS.