• 한국융합학회논문지
• /
• 제8권4호
• /
• pp.239-245
• /
• 2017

본 연구의 목적은 노인 가구의 생활비와 우울 간 관계에서 비동거 자녀로부터 받은 경제적 지원의 조절효과를 분석하는 데 있다. 이를 위해 한국복지패널 10차년도 데이터를 활용하였으며, 65세 이상 노인 3,392명을 최종분석에 활용하였다. 본 연구의 주요한 분석결과는 다음과 같다. 첫째, 생활비가 낮은 노인일수록 우울은 증가하였다. 둘째, 생활비가 노인의 우울에 미치는 영향에 있어 비동거 자녀로부터 받은 경제적 지원이 조절효과를 갖는 것으로 나타났다. 즉, 비동거 자녀로부터의 경제적 지원이 높을수록 노인의 생활비가 우울에 미치는 부적 영향을 완화시키는 것으로 나타났다. 연구결과를 토대로, 노인의 우울을 감소시키기 위한 주요한 요인으로서 경제적 요인을 세분화하여 심도 있게 고려해야 함을 제언하였다.

• 대한가정학회지
• /
• 제29권3호
• /
• pp.35-45
• /
• 1991

This study was to calculate the minimum food expenditure by using OR linear program, and to determine the food plans for different income values based on the recommenced dietary allowances(RDA) for Koreans. VAX 11/780 system was used in this study. There were 6 family models-single man, single woman, married couple, couple with one child, couple with 2 children and couple with 2 children & grandmother. The market price quoted in this study was from July 1989 to June 1990 and the data file was made from RDA & food composition tables. After the minimum food expenditure was calculated from the computer, the low cost food plan was set. From the low cost food plan, we set the moderate cost food plan 25% above the low cost and the liberal food plan 50% above the low cost. One week menu was planned for different food plans. The low cost food plan could be used not only at the institutional levels and at home but also used at the national food policy making for scientific budget planning and for nutritionally well balanced diet. These food plans could control the use of time and efforts, too.

• 한국전문물리치료학회지
• /
• 제9권1호
• /
• pp.43-51
• /
• 2002

Physiological Cost Index (PCI) of walking has been widely used to predict oxygen consumption in healthy subjects or patients. The purpose of this study was to evaluate the predictability of physiological cost index of walking for the amount of exercise and cardiac function. Walking exercise was conducted in 67 healthy children (age 4-12) with a self-selected comfortable walking speed on the level surface. Walking speed was calculated, and heart rate was measured before and immediately after the walking. PCI was calculated for statistical analysis. The results were as follows; 1) The walking speed tends to increase and PCI of walking tends to decrease with age. There was significant difference in walking speed and PCI of walking among three age groups (p<.05). The change of walking heart rate tends to decrease with age, however, there was no significant difference among three age groups. 2) Linear regression equation between walking speed and age was 'Y (walking speed) = 2.124X (age) + 48.286' ($R^2$=.337), (p=.00). 3) The walking heart rate tends to decrease with age. Linear regression equation between walking heart rate and age was 'Y (walking heart rate) = 143.346 - 2.63X (age)' ($R^2$=.3425), (p=.00). 4) The walking heart rate decreased as body surface area (BSA) increased. Linear regression equation between walking heart rate and BSA was 'Y (walking heart rate) = 149.830 - 27.115X (BSA)' ($R^2$=.3066), (p=.00). In conclusion, these equations and PCI could be useful to quantify the variation of energy expenditure of children with pathological gait when compared with age-matched healthy children.

• 보건행정학회지
• /
• 제2권2호
• /
• pp.131-151
• /
• 1992

The contents of prescription service were comparatively analysed between health centers(HC) and private clinics(PC). Medical chart review was done for 330 otu-patients diagnosed with upper respiratory tract infection(UR) of 120 adults and 90 children, and gastritis or duodenitis of 120 adults. Emphasis on comparison was the prime cost of medication which used in prescription service. The results were as follows; 1. The prime costs fro the medication per visit of HC group were significantly higher than PC group in all three diseases, and the out of pocket payments of patients per visit were significantly lower in the HC group than PC group. 2. The reason for high prime costs of medication per visit of HC in adult case of URI were due to the idverse use of medication and long prescription period per visit. And high medication costs in children cases of URI in HC group were due to the longer prescription day. In cases of gastritis, the prime cost of medication was also higher because of longer prescription period and the higher prime cost of medication. The proportions of medications for injection in the HC and PC groups showed similar features. 3. In depth analysis of the prescription services showed the differences of the contents of medication. In adults cases of URI, the averaged cost of oral medication was significantly lower in HC group, but that of medication for injection was higher in HC group. In children cases of URI, the averaged cost of oral medication and medication for injection was lower in HC group than in PC group. But in the cases of gastritis it was was higher in HC group than in PC group. The prescription periods were longer in HC group than in PC group in all three diseases. As a conclusion prime medication cost and quality of prescription services of HC group were higher than PC group. In terms of health care the cost containment and quality assurance in physician visit for common disease, public sector utilization is good option for those perspectives. But it should not be generalized unless future study about structure and outcome research for quality assurance.

• International Journal of Computer Science & Network Security
• /
• 제21권4호
• /
• pp.84-92
• /
• 2021

Care services are a significant asset in human life. Care in its overall nature focuses on human needs and covers several aspects such as health care, homes, personal care, and education. In fact, care deals with many dimensions: physical, psychological, and social interconnections. Very little information is available on estimating the cost of care services that provided to orphans and abandoned children. Prediction of the cost of the care system delivered by governmental or non-governmental organizations to support orphans and abandoned children is increasingly needed. The purpose of this study is to analyze the care cost for orphanage organizations in Saudi Arabia to forecast the cost as well as explore the most influence factor on the cost. By using business analytic process that applied statistical and machine learning techniques, we proposed a model includes simple linear regression, Naive Bayes classifier, and Random Forest algorithms. The finding of our predictive model shows that Naive Bayes has addressed the highest accuracy equals to 87% in predicting the total care cost. Our model offers predictive approach in the perspective of business analytics.

• 한국보육지원학회지
• /
• 제9권5호
• /
• pp.201-228
• /
• 2013

본 연구는 유아기 자녀를 둔 북한이탈주민 어머니의 영어교육에 대한 실태와 어려움을 알아보는 것이 목적이다. 연구대상은 유아기 자녀를 둔 북한이탈주민 201명이며, 영어교육의 실태에 대한 설문지와 심층면담을 통해 자료를 수집하고 분석하였다. 연구결과, 첫째, 대부분의 북한이탈주민 어머니는 자녀에게 영어교육을 실시하고 있었으며, 만 3세 이전에 영어교육을 시작하는 경우가 많았다. 영어교육을 시키는 가장 주된 이유는 같은 또래들이 영어교육을 받고 있기 때문인 경우가 많았다. 자녀의 영어교육을 위한 도움제공은 10분 미만이 가장 많았고, 유아 혼자 복습을 하게하거나, 숙제를 강조하는 경우가 많은 것으로 나타났다. 둘째, 북한이탈주민 어머니들이 자녀에게 영어교육을 시킬 때의 어려움은 비용부담, 정보부족, 영어교육을 시킬 시간부족, 불만족스러운 영어교육 순으로 나타났다. 자녀의 한 달 영어교육비용은 3만원 미만이라는 응답이 가장 많았으며, 영어교육을 위한 지출은 가계에 부담이 된다는 응답이 많았다.

• Pediatric Gastroenterology, Hepatology & Nutrition
• /
• 제22권4호
• /
• pp.377-386
• /
• 2019

Purpose: Percutaneous liver biopsy (PLB), a diagnostic procedure to identify several hepatobiliary disorders, is considered safe with low incidence of associated complications. While postoperative monitoring guidelines are suggested for adults, selection of procedural recovery time for children remains at the discretion of individual operators. We aim to determine if differences exist in frequency of surgical complications, unplanned admissions, and healthcare cost for children undergoing outpatient PLB for cohorts with same-day vs. overnight observation. Methods: We performed a retrospective cohort study in children 1 month to 17 years of age undergoing ultrasound-guided PLB from January 2009 to August 2017 at a tertiary care, pediatric referral center. Cohorts were defined by postprocedural observation duration: same-day (${\leq}8$ hours) vs. overnight observation. Outcomes included surgical complications, medical interventions, unscheduled hospitalization within 7 days, and total encounter costs. Results: One hundred and twelve children met study criteria of which 18 (16.1%) were assigned to same-day observation. No differences were noted in demographics, anthropometrics, comorbidities, biopsy indications, or preoperative coagulation profiles. No major complications or acute hospitalizations after PLB were observed. Administration of analgesia and fluid boluses were isolated and given within 8 hours. Compared to overnight monitoring, same-day observation accrued less total costs (US $992 less per encounter). Conclusion: Same-day observation after PLB in children appears well-tolerated with only minor interventions and complications observed within 8 hours of procedure. We recommend a targeted risk assessment prior to selection of observation duration. Same-day observation appears an appropriate recovery strategy in otherwise low-risk children undergoing outpatient PLB.

• 대한가정학회지
• /
• 제30권3호
• /
• pp.285-305
• /
• 1992

The purpose of this study was to describe the current status of dual-earner families in Seoul. The specific aims of this study were to examine the dynamics of marital relationship, parent-child relationship and old mother-daughter/daughter in law relationship in the same family. The sample consised of 265 dual-earner families was selected based on wives' jobs, primarily non-professional. The information was gathered from working couples and their school-aged children. The findings of this study were as follows: 1. Sex role attitude of husbands was more traditional than their wives. Therefore, housework sharing of husbands was very low and wives' perception of inequity was high. Wives' marital satisfaction was affected by the wives' perception of inequity, joint leisure activity, sexual satisfaction, and wives' job satisfaction. Husbands' marital satisfaction was affected by sexual satisfaction, perceived difficulties and problems of the husbands caused by wives' employment, and the degree of their housework participation. 2. The emotional uneasiness of children during mothers' absence was reported. The communication about mothers' job was helpful to gain children's understanding toward mothers' job. Mothers suffered from guilty feeling of neglecting their children in spite of their good performance of mothering role. 3. The employed daughters/daughters in law perceived high rewards and low cost in relationships with their mothers/mothers in law. The perceived quality of daughter-mother relationship was higher with low cost and high rewards than that of daughter in law/mother in law. Finally practical and policy implications were suggested.

• Integrative Medicine Research
• /
• 제7권4호
• /
• pp.333-340
• /
• 2018

Background: Traditional Korean medicine (TKM) is widely used to treat children with cerebral palsy (CP) in Korea; however, studies investigating factors that influence the use of TKM are scarce. Thus, we investigated the clinical factors that might influence the use of TKM. Methods: A population-based, cross-sectional, multicenter survey was performed from August 2014 to May 2016. The history of TKM use, type and severity of CP, current treatment characteristics, presence of accompanying disabilities or other health problems not directly related to CP, and monthly cost for the treatment of CP were surveyed. Results: In total, 182 children were recruited, and 78 children (42.9%) had used TKM. Among these 78 children, 50 (64.1% of the TKM-use group) had used both acupuncture and herbal medication, 15 (19.2%) had used acupuncture only, and 13 (16.7%) had used herbal medication only. Children with non-typical CP, accompanying disabilities and general health problems tended to use TKM. The monthly cost of treatment for CP was significantly higher in the TKM-use group than that in the no-TKM-use group, suggesting that economically disadvantaged children may have difficulty in accessing TKM. Dietary supplements, conventional pharmacological treatments, and rehabilitation therapies did not affect TKM use. Conclusion: Children with non-typical symptoms or those with poor overall health status are likely to use TKM. Additionally, TKM use leads to increased treatment costs. Studies investigating the motivation for starting or ceasing TKM therapy, socioeconomic factors and the attitude of parents towards complementary and alternative medicine should be performed.

• Clinical and Experimental Pediatrics
• /
• 제51권10호
• /
• pp.1038-1041
• /
• 2008

Aminoglycosides are frequently used antibiotics in children. The multiple daily dosing (MDD) in infants and children is twice or three times daily depending on age. Recent studies in adults have shown that once daily dosing (ODD) maximizes the bactericidal activity and might minimize the toxicity of antibiotics. So, I reviewed many studies about efficacy, toxicity and cost effectiveness of ODD of aminoglycosides in children. Most studies suggest that ODD compared with MDD of aminoglycosides is theoretically more efficacious and has no higher toxicity in infants and children. But, the total number of patients included in the studies is not large. Multi-center, controlled prospective studies are required in larger numbers of infants and children to determine the efficacy and safety of the ODD regimen in children before ODD of aminoglycosides can be recommended for routine use.