• Korean Journal of Adult Nursing
• /
• v.12 no.4
• /
• pp.641-653
• /
• 2000

A quantitative descriptive survey was conducted to assess the needs of elderly people in relation to accessibility of medical care. Identifying their functional status was done and accessibility of medical care was ascertained. Using a convenient sampling method, 856 elderly aged 65 and over in Taejon-city participated. A multi-dimensional questionnaire containing sections on health status, Activities of Daily Living(ADLs) and accessibility of medical care in terms of use, time, distance, transport, cost and feeling at ease was developed by the researchers of this study to collect data. Data were collected between October and December, 1999. In general, the result of the self-reports from this study found that approximately 40% of participants had difficulties with their health status and ADLs while about 45% of the population did not access medical care. The majority of respondents stated that they had no difficulties with time distance and transport to access medical care. About two-thirds of the respondents felt that they had many or some difficulties with expenses and strategies for emergency to access medical care. Even though these findings need to be generalized, several recommendations for appropriate medical care delivery for the elderly still can be outlined from the study findings. Recommendations suggested are: To identify impediments to access medical care in emergency in elderly people and to remove those factors preventively are required. Responsible governmental involvement for solving problems of the medical care cost and additional costs in relation to separation of dispensary from medical practice for the elderly is required. More constructive and practical uses of public health community centers are recommended.

• Korean Journal of Digital Imaging in Medicine
• /
• v.12 no.2
• /
• pp.71-79
• /
• 2010

Thanks to the great development of technology in radiation, we are now able to reduce radiation exposure to the patients, and the radiographer and expenses in medical sector. We are also trying to produce ideal images which maintain useful information. These kinds of effort are increasing over the world. For that reason, we should get images which include necessary data of patients. Then it also can help to reduce radiation exposure to the patients. Therefore, we need to know the problems that cause a falling off in image's quality and check on generator in case of their electronic and mechanical errors. And moreover, we should anticipate the possibility of devices errors and prevent them with regular quality control. This investigation was conducted in medical institutions, institute of educations and hospitals. They are all in Seongnam-City. We used PMX-III, kVp meter to implement kVp test, mR / mAs output test, light fiel / beam alignment test, Reproducibility of exposure dose, half value layer test, reproducibility of exposure time test. in the case of hospitals, they perceive the importance of regular quality control and organize the regular quality control team so they can be satisfied with the error standard in most experiments. On the other hand, when it comes to medical institutions and institute of educations, they perceive the importance of regular quality control less than hospitals do. Radiographer need to understand the importance of regular quality control and practice it so they can get the fine ideal image with the lower dose to the patient.

• Transactions of the Korean Society of Automotive Engineers
• /
• v.19 no.3
• /
• pp.57-64
• /
• 2011

In general, the durability performance of a large-sized military truck has been checked through a field durability test which required many man-hours and costs. To reduce these expenses, the durability analysis using a VTL(Virtual Test Lab) at an initial design stage was introduced recently. In this paper, the VTL with a multi-post testrig template for a large-sized truck was developed to compute the load histories transferred to cabin and chassis frame. The VTL consisted of trimmed FE models of cabin, chassis frame, and deck, dynamic models of front and rear suspensions, and a 8-post testrig template. The basic characteristics of the VTL were correlated with experimental results which had been extracted from actual driving test, modal test, and static weight test. The fatigue analysis using MSM(Modal Superposition Method) was applied to evaluate the durability performance of a large-sized military truck. From a series of analytic methods, it is shown that the fatigue analysis process using the VTL could be a useful tool to estimate the fatigue lives and weak areas of a large-sized military truck.

• Journal of Korean Society for Geospatial Information Science
• /
• v.23 no.2
• /
• pp.11-16
• /
• 2015

In general, problems of delimitating trading area are that it takes much efforts depending on regions and the results are not scientific due to agencies' own rules and criteria. Especially, areas like Hongik University Station, where countless stores are opening and closing simultaneously, the field survey needs even more time and expenses. Despite of its drawbacks, it has been considered that the field survey is the most credible method in delimitating trading area. The purpose of this study, therefore, is reducing the field survey when agencies delimitate trade area by maximizing use of previously built GIS database and utilizing spatial analysis. Publicly notified individual land value and floating population of Gwanak-gu were utilized to delimitate trading areas. For an evaluation method, the study results were compared to other trading area boundaries.

• Korea Journal of Hospital Management
• /
• v.9 no.2
• /
• pp.102-127
• /
• 2004

The objective of this study is to analyze a current trend of and relating factors on profitability of the Korean Public Corporation Medical Centers(KPCMCs, hereinafter, hospitals) in Korea. There are 34 hospitals in Korea as of 2004. Among these hospitals some are red ink hospitals, others are black inks in terms of profitability. Data were collected by Korea Health Industry Development Institute(KHIDI) Statistics for Hospital Management 2000-2002 and Ministry of Health and Welfare(MOHW) financial data of public hospitals which was planned to coordinate public health care services roadmap in the long run. The samples are 32 hospitals. Profitability was measured in the aspect of profit rate with normal profit to total assets, and normal profit to gross revenues as dependent variables in respective. Independent variables were classified by general factors, i.e., location, intern/resident training, period of opening, number of beds, and managerial factors(current ratio, fixed ratio, liability to total assets, total assets turnover, personnel costs, materials cost, administrative cost), and finally factors related to patient treatment(average length of stay, bed occupancy rate, admission ratio of outpatients). The methods of analysis are correlation and multiple regression analysis. This study shows firstly, a lot of hospitals are optimal current ratio. Hospitals in upper 100% current ratio are 81.2%. And the personnel cost in total costs are high. Secondly, the trend of normal profit to gross revenues of hospitals are deteriorating gradually. And lastly, as a result of multiple regression analysis, the factors had on significant effect on normal profit to total assets are fixed ratio(+), liability to total assets(-), bed occupancy rate(+), admissions of outpatients(+), etc. And the factors had on significant effect on normal profit to gross revenues are current ration(+), fixed ratio(+), personnel cost(-), administrative expenses(-), admissions of outpatients(+), etc. In conclusion, to improve the profitability of hospitals, the efforts to reduce personnel cost and average length of stay might be needed. And also beds utilization rate need to be increased.

• Journal of the Korean GEO-environmental Society
• /
• v.9 no.5
• /
• pp.29-36
• /
• 2008

The shotcrete is a NATM technique as a major tunnel support for ground stability after tunnel excavation. Instead of a general concrete lining method, it is a trend for curtail of construction periods and reduction of construction expenses that required to use of the permanent shotcrete lining. This high-strength shotcrete is required to use as a permanent shotcrete lining. This brought out the solution of environmental pollution and harmfulness to human. Accordingly, in this study specimens for strength measurement were made to develop shotcrete possible to develop materials in early with cement mineral accelerator as NATM method construction. It was compared with existing shotcrete material, unconfined compression test, flexural strength test, antiwashout underwater test were experimented. The fish poison test was experimented to evaluate an influence of environment. As a results of the test, unconfined compressive strength and flexural strength were equivalent with 28-curing day strength of existing material. An antiwashout of research subject material was revealed excellently in antiwashout Underwater test. As a results of the fish poison, an evaluation research subject material was founded more environmentally friendly than existing shotcrete.

• The Korean Journal of Rehabilitation Nursing
• /
• v.9 no.1
• /
• pp.34-41
• /
• 2006

Purpose: This study was to analyze the relationship the physical disability, cognitive disorder and body image. Method: The research was a descriptive relationship study. A sample is composed of 101 hospitalized stroke patients. Data were collected from November, 2005 to December, 2005. The survey instruments used in the study Sharon and Glen's physical disability scale, Lim's cognitive disorder scale and Osgood's body image scale. The collected data were analyzed frequency, percentage, mean, standard deviation, ANOVA, Duncan test, Pearsons' correlation coefficients. Result: The level of physical disability the score was 2.26, cognitive disorder 1.84 and body image 3.54. and they were relation to significant correlation. The body image showed significant negative correlation with physical disability, cognitive disorder. Physical disability showed significant positive correlation with cognitive disorder(r=.639, p=.000), and significant negative correlation with body image(r=-.420, p=.000). Cognitive disorder showed significant negative correlation with body image(r=-.620, p=.000). There were significant differences of body image by general characteristics as follows: age(p=.000), occupation(p=.004), education(p=.008), disease(p=.007). monthly income(p=.006), burden of medical expenses(p=.001), duration of stroke(p=.008). Conclusion: There was a significant correlation between physical disability, cognitive disorder and body image. there will be considered useful nursing intervention effect to physical disability, cognitive disorder and body image of stroke patients.

• Journal of the Korean Institute of Navigation
• /
• v.18 no.2
• /
• pp.129-149
• /
• 1994

Sea casualties may happen in ship, cargo and the others concerned with sea transportation. : the shipo-wer, marine insurer and salvage company have been endeavored to compensate salvage award with some rule and regulation such as Marine Insurance Act, York Antwerp Rules and Average adjustment rules. Once sea casualties happened, the salvage contract is established between the owners, marine insurance and salvage company, the contract are divided into so many kinds of them. In this paper, we have an analysis on the character of the salvage contract whether the characteristic contents of them are in benefit to any party or not. In this connection with these positive or negative character of the contract, it is worthwhile to compare the actual salvage expenses contract with no cure no pay contract. LOF 1990 has been revised recently, which is based on no cure no pay, expecially, the special compensation, safety net clause of LOF 1990 could be understood in the view of the prevention of sea pollution and the preservation of sea circumstances in the world. Salvage has the complicated and quality, because the adjustment of almost salvage charges have been treated through the other sea casualties which is accompanied by and mixed with. Besides of the importance of salvage contracts, we are in need to understand that what the diversified character of salvage charges are. Furthermore the owners should carefully select the insured conditions on Hull Insurance according to the type of his company, operating ocean route, loading cargo and etc. In this paper, we would try to analyze the character of the salvage award such as General Average, Sue and Labour Charges and Particular charges. We would like to propose that the uniformed system of the salvage award. Compensation should be built up for the effective and efficient salvage operation and for reducing the claims and conflicts from the concerned parties. To this end, we could expect that the uniformed system for salvage award compensation will come to be the benefit of all owners, insurers, salvage company.

• Journal of Korean Clinical Health Science
• /
• v.7 no.2
• /
• pp.1298-1307
• /
• 2019

Purpose. This study was to correlations between oral health education experience and subjective oral health level of elderly in Yeongnam region. Methods. The data were collected from 254 elderly in Yeongnam region. Data analysis was performed using cross Analysis, t-test(One-way ANOVA), logistic regression by SPSS WIN 17.0 program. Results. According to the general characteristics of the study subjects, 42.8% of those under 75 years and 57.2% of those over 75 years of age had never been educated, 50.7% of living expenses less than 1 million won and 37.3% of those below 2 million won had never received oral health education (p<.05). The differences in subjective oral health levels with or without oral health education experience showed higher limitations of function and impairment of social psychic function in the elderly with no experience than those with oral health education experience(p<.05). Correlation between oral health education experience and subjective health level of the elderly showed a positive relationship with each factor, meaning that the subjective oral health level was higher with oral health education(p<.05). Subjective oral health levels for functional limitations or social and psychological disorders were high in the elderly without oral health education(p<.05). Conclusion. Considering the impact of oral health education experience on the subjective oral health level of the elderly as above, we should develop various continuous and systematic programs that can increase prevention and post-education practices for the increase of education beneficiaries through diverse approaches to enhance their usability.

• Korea Journal of Hospital Management
• /
• v.4 no.2
• /
• pp.41-59
• /
• 1999

Objectives: This study was done to compare patient satisfaction and hospital charges of surgery performed in an outpatient basis(ambulatory surgical procedures). Methods : This retrospective study was performed in 20(vitrectomy 11, tonsillectomy 9) randomly selected ambulatory surgical procedures patients and 50(vitrectomy 26, tonsillectomy 24) inpatients who. received the same procedure at a general hospital in Seoul since January 1, 1998 to October 31, 1998. The operative procedures were vitrectomy and tonsilletomy which could be performed on a ambulatory surgical procedures basis or on an inpatient basis. Results: The results of this study shows that the patients thought the expenses and the surgical operative time was an important factor in a ambulatory surgical procedures but there were no differences in the patient satisfaction by the method of surgery. The charges of vitrectomy and tonsilletomy were reduced up to 495,000 won and 380,000 won from l,589,000 won 842,000 won inpatient surgery respectively. Conclusions: This study focused only on the charges of the surgical procedures and did not include the cost of patient helper, the lost salary due to missing days of work to care for a member of the family, transportation costs, and other indirect costs. Therefore, if those fees were included, ambulatory surgical procedures would be more economical. Therefore, by giving incentives at the fee schedule, the government health policies it would reduce the total hospital charges.