• 제목/요약/키워드: financial burden

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Update on the Evidence Regarding Maintenance Therapy

  • Lee, Jeong Eun;Chung, Chae-Uk
    • Tuberculosis and Respiratory Diseases
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    • 제76권1호
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    • pp.1-7
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    • 2014
  • Maintenance therapy has emerged as a novel therapeutic paradigm for advanced non-small-cell lung cancer (NSCLC). Maintenance therapy that aims to sustain a clinically favorable state after first-line chemotherapy has two strategies. Switch maintenance therapy entails switching to a new and non-cross-resistant agent in an alternating or sequential manner, on completion of first-line chemotherapy. Continuous maintenance therapy keeps ongoing administration of a component of the current regimen after four to six cycles of chemotherapy, if there is a stable disease, or better response. Both maintenance therapies can be continued, until disease progression. The potential evidence regarding maintenance therapy includes providing the opportunity to receive additional treatment, through sustaining tumor shrinkage, and delayed emergence of tumor-related symptom. Thus far, debates over the parameters used to predict the effectiveness of maintenance therapy, financial burden, and uncertainty of improving the quality of life exist. Despite many debates, maintenance therapy, which is currently recommended, has been disclosed to be beneficial.

독일의 수발보험제도 도입에 따른 주간보호시설의 공간계획 기준에 관한 연구 (A Study on the space standards of daycare facilities with the introduction of Care Insurance in Germany)

  • 남윤옥
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제13권4호
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    • pp.25-35
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    • 2007
  • In Germany, community based daycare facilities has been supported by long term care policies since the 1970s. With the legislation of Care Insurance, those policy has been developed further. As the use of daycare facilities decreased and the financial burden for consumers increased, administrators of facilities has been seeking for innovative programs and management methods in order to improve the service. For the same reason, policy makers have been pursuing new regulations of architectural standards of facilities. By looking at legislations (i.e., Law of Care Insurance, Law of Heim, and DIN18025) that stipulate architectural standard of facilities in Germany, this study will identify the development process of architectural change of daycare facilities. In addition, the study aims to contribute to the discussion on the use of day care facilities in Korea in terms of the legislation of Care Insurance soon to be introduced.

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학령전기 아토피피부염 아동 어머니의 스트레스 경험 (Experiences of Stress among Mothers of Preschoolers with Atopic Dermatitis)

  • 권화영;신성례
    • Child Health Nursing Research
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    • 제24권2호
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    • pp.166-177
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    • 2018
  • Purpose: The purpose of this study was to explore and describe the meaning and essence of experiences of stress in mothers of preschoolers with atopic dermatitis. Methods: This study employed a qualitative research design. Seven mothers of preschoolers with atopic dermatitis were interviewed and the data were analyzed using Giorgi's phenomenological method. Results: Five main themes and 12 theme clusters emerged. The 5 main themes were 1) the mother's enduring heartache from the conflict that arise among family members, 2) the complete loss of daily happiness, 3) the steady stream of emotional fluctuations, 4) struggling to bear the heavy financial burden, and, 5) a life of hope accompanied by stress. Conclusion: The results of this study provide an in-depth understanding of stress among mothers of preschoolers with atopic dermatitis. These results can be used in the development of nursing interventions to provide psychological and emotional support for mothers and family members.

일 지역 어머니의 HPV 관련 지식도 (Mothers' HPV-related Knowledge in an Area)

  • 강문희
    • 종양간호연구
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    • 제11권3호
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    • pp.193-199
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    • 2011
  • Purpose: This study was aimed to examine mothers'knowledge about human papillomavirus (HPV)vaccination to prevent cervical cancer in Korea. Methods: From September 20 to October 10 2011, 101 mothers who have adolescent girls were surveyed with questionnaires about their general characteristics, the knowledge of HPV vaccine, inoculation rate and vaccination-related factors of their daughters. Results: The percentage of correct answers for HPV vaccine knowledge was 24.2% and the HPV vaccination rate was only 5.9%. HPV vaccine knowledge score of the vaccination group was significantly higher than that of the non-vaccinated group. Mothers said that the reasons why they didn't vaccinate their daughters against the HPV was the financial burden, the lack of HPV knowledge, and worries about possible side effects. The participants addressed that they understood the appropriate age for vaccination was sixteen. Conclusion: We recommend that more educational and promotional efforts need to be given for mothers in order to improve their knowledge of HPV vaccination and to increase the performance rates of HPV immunization against cervical cancer for their daughters.

Bone mineral density deficits in childhood cancer survivors: Pathophysiology, prevalence, screening, and management

  • Kang, Min Jae;Lim, Jung Sub
    • Clinical and Experimental Pediatrics
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    • 제56권2호
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    • pp.60-67
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    • 2013
  • As chemotherapy and other sophisticated treatment strategies evolve and the number of survivors of long-term childhood cancer grows, the long-term complications of treatment and the cancer itself are becoming ever more important. One of the most important but often neglected complications is osteoporosis and increased risk of fracture during and after cancer treatment. Acquisition of optimal peak bone mass and strength during childhood and adolescence is critical to preventing osteoporosis later in life. However, most childhood cancer patients have multiple risk factors for bone mineral loss. Cancer itself, malnutrition, decreased physical activity during treatment, chemotherapeutic agents such as steroids, and radiotherapy cause bone mineral deficit. Furthermore, complications such as growth hormone deficiency and musculoskeletal deformity have negative effects on bone metabolism. Low bone mineral density is associated with fractures, skeletal deformity, pain, and substantial financial burden not only for childhood cancer survivors but also for public health care systems. Thus, it is important to monitor bone health in these patients and minimize their risk of developing osteoporosis and fragility fractures later in life.

다양한 형태의 FTA 체결에 따른 Spaghetti Trap에 대한 효율적 대응방안 (How to cope with the Spaghetti Trap of multiple FTAs effectively)

  • 최창환
    • 통상정보연구
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    • 제12권4호
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    • pp.509-535
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    • 2010
  • This paper examines the Spaghetti bowl effect that different tariffs and rules of origin in multiple FTAs have resulted in increasing the significantly additional burden for business when it comes to apply for the use of FTA preference. The wide spread of FTAs in the several years, from 2003 to 2010, has been the most important trade policy development in economically important Korea. Korea presently has 5 FTAs in effect, and made 3 additional agreements which will be expected to take effect in next year. With the study result and expecting a growing number of FTAs in Korea in a next decade, the international trading firms will face rise of transaction costs for enterprises, particularly small- and medium-sized enterprises(SMEs) to cope with multiple tariffs and rule of origins in FTAs. To help mitigate negative effects and facilitate a more SEMs to use the FTA preference, providing new computer programs system, increasing the awareness of FTA provisions, improving business participation in FTA consultations, and SME support in light of education, and financial support are needed.

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농촌지역 보급형 현대 한옥 모델 개발에 관한 연구 -전라남도 사례를 중심으로- (A Study on the Development of Standard Type Modern Han-ok in Rural Areas)

  • 이향미;손승광
    • 한국농촌건축학회논문집
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    • 제12권2호
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    • pp.85-92
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    • 2010
  • Jeollanamdo aims to cultivate Hanok Village as a lodging resource for tourism industry in rural areas. For the purpose, it invited eight models of the Hanok Village publicly and selected our model as the best. This study is to introduce the concepts and characteristics of the village, centering on the model developed by our research team and awarded by the local government. We develop and suggest eleven types of improved-type Hanok model that is to be distributed to each city and county. We compose the space which reflects needs of residents for modern living. And we focus on preservation of decorative beauty to make it a resource of tourism by creating beautiful view of Hanok and reduction of financial burden to activate its distribution. The Hanok developed in this study has a significant meaning as improved Hanok that can be suggested as a new model of rural area housing project.

Impact on the Collective Claims and Conflict Resolution Strategies Related to Infant Policy Integration

  • Kim, Kyung Hee
    • International Journal of Advanced Culture Technology
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    • 제4권3호
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    • pp.39-47
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    • 2016
  • The state adopts the policies based on the goals pursued by the state and provides a basic policy for administrative activities related to early childhood education. Therefore, early childhood education policy should be established organically in consultant with the social consent in advance. In most countries will bear the costs of child care and early childhood education can reduce the financial burden of parents and early childhood education consumers are able to understand the will of the government to support the child care services, which they need in a variety of way. The conflict is deepening - among policy officials, front-line institutions participating in policy implementation, and parents - surrounding the infant and early childhood education. And the conflict has caused the difference between this policy and claims that cannot find hardly a solution. In this study, we argue how the policy differences between groups involved in the policy to analyze the influence, to find the policy conflict resolution strategies.

한옥마을과 개량한옥 모델개발에 관한 연구(전라남도 사례를 중심으로) (A Study on Hanok Village and Modern Hanok Model Developement(focused on the Case study of Jeonnam))

  • 이향미;손승광
    • 한국주거학회:학술대회논문집
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    • 한국주거학회 2008년도 춘계학술발표대회 논문집
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    • pp.209-214
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    • 2008
  • Jeonam aims to cultivate Hanok Village as a lodging resource for tourism industry in rural areas. For the purpose, it invited eight models of the Hanok Village publicly and selected our model as the best. This study is to introduce the concepts and characteristics of the village, centering on the model developed by our research team and awarded by the local government. We develop and suggest eleven types of improved-type Hanok model that is to be distributed to each city and county. We compose the space which reflects needs of residents for modern living. And we focus on preservation of decorative beauty to make it a resource of tourism by creating beautiful view of Hanok and reduction of financial burden to activate its distribution. The Hanok developed in this study has a significant meaning as improved Hanok that can be suggested as a new model of rural area housing project.

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강원도 중소기업 품질경영 운영 방안 사례 (A study on Quality Management in Small and Medium Enterprises)

  • 박노국
    • 대한안전경영과학회지
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    • 제8권1호
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    • pp.131-144
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    • 2006
  • Quality system management adapted by small and medium enterprises in Kangwon province to enhance the competitiveness was studied. Variance analysis on several questionnaire answers was performed. Motives for acquiring the accreditation, such as product export, adjustment to international trend, enhancement of brand/product recognition, CEO's mind change, and management innovation, have been changed significantly among business types. Mind changes after the accreditations were setting company's first priority on quality, enhanced recognition on compliance of in-house standards and regulations, employee's performance with the recognition of quality. Amongst service problems to maintain the ace reditations were difficulties in maintaining the recognition of the company's finality management, labor increase to maintain the ISO 9000 enforcement team, and financial burden to keep the accreditation. Quality recognition after the accreditations was significantly improved in setting company's first priority on quality, enhanced recognition on compliance of in-house standards and regulations, employee's performance with the recognition of quality.