• Title/Summary/Keyword: inducement

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Impacts of DRG Payment System on Behavior of Medical Insurance Claimants (DRG 지불제도 도입에 따른 의료보험청구 행태 변화)

  • Kang, Gil-Won;Park, Hyoung-Keun;Kim, Chang-Yup;Kim, Yong-Ik;Ha, Beom-Man
    • Journal of Preventive Medicine and Public Health
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    • v.33 no.4
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    • pp.393-401
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    • 2000
  • Objectives : To evaluate the impacts of the DRG payment system on the behavior of medical insurance claimants. Specifically, we evaluated the case-mix index, the numbers of diagnosis and procedure codes utilized, and the corresponding rate of diagnosis codes before, during and after implementation of the DRG payment system. Methods : In order to evaluate the case-mix index, the number of diagnosis and procedure codes utilized, we used medical insurance claim data from all medical facilities that participated in the DRG-based Prospective Payment Demonstration Program. This medical insurance claim data consisted of both pre-demonstration program data (fee-for-service, from November, 1998 to January, 1999) and post-demonstration program data (DRG-based Prospective Payment, from February, 1999 to April, 1999). And in order to evaluate the corresponding rate of diagnosis codes utilized, we reviewed 820 medical records from 20 medical institutes that were selected by random sampling methods. Results : The case-mix index rate decreased after the DRG-based Prospective Payment Demonstration Program was introduced. The average numbers of different claim diagnosis codes used decreased (new DRGs from 2.22 to 1.24, and previous DRGs from 1.69 to 1.21), as did the average number of claim procedure codes used (new DRGs from 3.02 to 2.16, and previous DRGs from 2.97 to 2.43). With respect to the time of participation in the program, the change in number of claim procedure codes was significant, but the change in number of claim diagnosis codes was not. The corresponding rate of claim diagnosis codes increased (from 57.5% to 82.6%), as did the exclusion rate of claim diagnosis codes (from 16.5% to 25.1%). Conclusions : After the implementation of the DRG payment system, the corresponding rate of insurance claim codes and the corresponding exclusion rate of claim diagnosis codes both increased, because the inducement system for entering the codes for claim review was changed.

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Bed Design of Inducement Nets for Chrysanthemum Cultivation (국화재배용 유인네트의 베드 설계)

  • Suh, Won-Myung;Kim, Young-Ju;Bae, Yong-Han;Min, Young-Bong;Park, Joong-Choon;Huh, Moo-Ryong;Yoon, Yong-Cheol
    • Journal of agriculture & life science
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    • v.43 no.2
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    • pp.47-53
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    • 2009
  • This research is intended to study the induction net of chrysanthemum used in its greenhouse and requiring lots of time for manual work and review the structural safety of a bed and existing greenhouses after designing the bed of a net which increases cropping period by sharply reducing the time of work and provides the bed of induction nets for cultivating chrysanthemum with its existing and new greenhouse. The review of sectional and biodynamic properties in 15 kinds of materials has revealed that the pipes of ${\phi}38.1{\times}1.7t$and ${\phi}38.1{\times}2.0t$ didn't exceed stress ratio but did 10mm drooping allowance. For this reason, the pipe of ${\phi}48.1{\times}1.5t$ net both stress ratio and drooping allowance. For the safety, the middle chamber should be designed into Truss type owing to bed load, wind load, and snow load when the bed of an induction net is installed in the middle chamber. When installing the middle chamber with a truss type, the greenhouse of chrysanthemum in Geochang area needs proper reinforcements because the stress in colullllls and wind proof walls exceeds stress allowance regardless of the installation of a bed.

A Study on Induced effect of Aggregate and Stone Sector with Input-Output Table (산업연관표를 이용한 골재 및 석재부문의 경제적 파급효과 분석연구)

  • Kim, Ji Whan
    • Economic and Environmental Geology
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    • v.54 no.5
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    • pp.573-580
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    • 2021
  • This study analyzed the induced effects of the aggregate and stone sectors using the industry association table. First, the added value of the aggregate and stone sectors was summarized, and then the intermediate input structure and induced effect were analyzed. In terms of value-added structure, aggregate and stone showed a higher employee remuneration rate compared to the manufacturing industry, and a higher rate of operating surplus compared to other mining industries. The intermediate input structure summarizes the sector using aggregate and stone products as intermediate inputs and their input ratio. The proportion of the intermediate element input structure was confirmed. In addition, the main input sectors of ready-mixed concrete, the largest consumer of aggregate and stone, are also summarized. The production-inducing effect of aggregate and stone showed a higher influence coefficient than the sensitivity coefficient, confirming that they had a relatively large rear chain effect. The production inducement effect was reviewed by reconstructing the industry association table, and it was found to show a relative superiority in the influence coefficient, similar to the results derived according to the provisional classification of the Bank of Korea.

A study on the Development of Physics Education Program for Foreign Students of Natural Science and Engineering College in Korea (이공계 대학의 유학생을 위한 물리교육 프로그램 개발 연구)

  • Kim, Soocheol
    • Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology
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    • v.9 no.9
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    • pp.1-16
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    • 2019
  • This study was carried out to develop a physics education program for foreign students of university in Korea to improve their ability to major in the field and to prevent them from becoming dropout. The subjects of the study are five Chinese students attending a natural science and engineering college. Prior to the development of the physics education program, the researchers developed basic physics textbooks for the foreign students and questionaries for diagnosis and summative evaluation, and utilized them to apply a total of seven classes. After the application of the classes, the results of the student's diagnosis and summative evaluation, the teacher's diaries, the observer's diaries, and the transcripts were analyzed by triangulation method. In addition, Nvivo12 was used for the analysis of the teacher's and observer's diaries to help with qualitative analysis. The results of the study are as follows: First, the oder and contents of physics education program for students of the natural science and engineering college were presented in detail, and basic physics textbooks and tools for diagnosis and summative assessment were developed. Second, as a result of the analysis of the diagnosis and summative assessment results of the program, the students' basic physics achievement improved by an average of 40 points due to the application of the developed program. Third, as a result of the application of the program using Nvivo12, meaningful node and actual cases were extracted. There were 10 types of nodes created such as understanding of the students, teaching method, rate of the participation, level differences, language problems, relevance to majors, curriculum and methods of education in the country of origin, cooperative learning, and interest inducement. The researcher provided suggestions on physics education methods for students of science and engineering colleges in Korea based on the related cases.

A Study on the Career Management for Construction Engineers through the Professional FGI Results: Focused on the Index of Construction Engineer's Competency (전문가 FGI를 통한 건설기술자 경력관리 방안 연구: 건설기술자 역량지수를 중심으로)

  • Lim, Jieun;Park, Yongho
    • The Journal of the Korea Contents Association
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    • v.18 no.12
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    • pp.432-443
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    • 2018
  • This study aims to analyze the current career management system for construction engineers and propose the developed future plan for the career management system. Especially, this study explores the Index of Construction Engineer's Competency(ICEC) and issues for workplace competency development which is the foundation of the career management system for construction engineers and proposes the advanced strategies for operating the career management system. For the developing the future strategy of the current construction engineer's career management system, a focus group interview was conducted in this study. Total 12 experts participated in the FGI. The study results identify the six key issues for advanced construction engineers' career management system. Those six issues include 1)preparing in the inducement of new human resources, 2)institutional modification of the current job/expertise fields, 3)attaching importance of practical experience in the workplace, 4)consideration of various factors of individual career, and 5)developing the highest level's workplace competency. Based on these research findings, theoretical and practical implication and suggestion for future studies were provided.

A Comparison of Estimation Methods for Willingness to Pay Amount in Constructed Oceans and Fisheries Resources Market by Contingent Valuation Method (해양수산자원 가상시장의 지불의사금액 추정방법 비교)

  • Kang, Seok-Kyu
    • The Journal of Fisheries Business Administration
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    • v.49 no.3
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    • pp.85-99
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    • 2018
  • This study is to compare and evaluate the estimating method of WTP(willingness to pay) for the valuation of oceans and fisheries resources with non-market goods characteristics using contingent valuation method. In general, when estimating parameters of the WTP function, we should take into account the assumption of probability distribution, inclusion of covariates, method of inducement of payment, and the treatment of 0 payment intention and resistance responses. This study utilizes survey data that was used to estimate the value of fisheries resource protection zones, with a total of 1,200 samples. The main results of this study are summarized as follows: First, the final willness to pay amount is estimated at a statistical significance of less than 1 percent, and the distribution of the final willness to pay amount is from \6,926 of the double bounded dichotomous model to \10,721 of the spike model. Second, the willness to pay amount based on assumptions about the normal and logistic probability distributions are estimated to be \9,429 and \9,370 respectively, so there was no significant difference. Third, the willness to pay amount of the single bounded dichotomous model and the double bounded dichotomous model are estimated to be \8,951 and \6,926 respectively, making a relatively large difference. Fourth, the willness to pay amount of the model without covariates and the model with covariates are estimated to be \9,429 and \8,951, respectively, so the willness to pay amount is underestimated when the covariates are included. Fifth, the Spike model that considers zero payment intention and resistance response estimates \10,405 as the highest payment in this study. Finally, the CVM analysis guidelines proposed by the Korea Development Institute (KDI) are estimated to be \9,749 and \10,405 respectively, depending on including no covariates and with covariates. Compared to other models, the final willness to pay amount is not estimated underestimated. Therefore this study suggests the use of KDI's guidance under government public policy projects. In view of these results, the estimating model for willness to pay amount model will be selected by considering the sample size, the suitability of the model, the sign of the estimated coefficient, the statistical significance, the ratio of the zero payment intention and the payment rejection. And, for CVMs on government public policy projects, it is desirable to estimate by the method proposed by the KDI.

A Study on the Inducement Distance of Senior-Friendly Park and Evaluation of Green Service Area - Focused on the Pedestrian Aspect - (보행적 측면에서 노인친화형 공원의 유치거리 도출 및 녹지서비스 지역 평가 - 보행자 측면 중심으로 -)

  • Cho, Hyunju;Lee, Soonju
    • Journal of the Korean Institute of Landscape Architecture
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    • v.47 no.1
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    • pp.1-9
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    • 2019
  • The objective of this study was to derive the served distance of the senior-friendly park considering physical changes, which were estimated through a comparison experiment at an actual target site. The time to walk 500m was examined because 500m is considered the served distance of a neighborhood park and as a standard set by the city. The mean walking time of the control group (younger than 65 years) was 536 seconds, while that of the treatment group (older than 65 years) was 889 seconds, which was approximately 1.7 times longer than the control group. The results of this study also showed that the walking time of females was longer than that of males when they were older than 65 years old. The walking velocities of the control group and the treatment groups were also calculated using the mean walking time. The weight estimated by a proportional formula was 0.6. When it was applied to 500m, which is the served distance of a neighborhood park, the served distance of the senior-friendly park was estimated as 300m. Lastly, the green service excluded area was quantified by applying the 300m, the served distance of a senior-friendly park, to the Jung-gu, Daegu, which had the highest elderly population in the Daegu Metropolitan City. The results of this calculation showed that the area served by a city park was $2,425,747m^2$ and the area excluded from the city park service was $4,627,700m^2$ for senior citizens. The results also showed that, in terms of the distributive equity, the administrative districts received unequal am ounts of urban green area services.

Cigarette price rise induced change in youth smoking rate (담배가격 인상에 따른 청소년 흡연율 변화)

  • Min, Gyeong-Mun;Seo, Young-Ho;Park, Chang-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.12
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    • pp.451-461
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    • 2018
  • This study investigated changes in the youth smoking rate and smoking cessation rates before and after a cigarette price increase in 2015. Specifically, the changes in smoking rate, smoking cessation attempt rate, selection rate and amount of smoking were investigated using primary data pertaining to Korean Youth Risk Behavior obtained from a web-based survey of youth general characteristics, mental health, subjective grade, drinking and smoking related characteristics before and after a cigarette price increase. To accomplish this, 800 middle school and high school students in 9th (2013), 10th (2014), 11th (2015) were surveyed. The current youth smoking rate was slightly decreased from 9.7% in 2013 to 9.2% in 2014, while the smoking rate in 2015 decreased significantly by 15.2% after the cigarette price increased to 7.8%. These results confirmed that increasing cigarette price is very effective at decreasing youth smoking rate, providing motivation to stop smoking and preventing smoking. The prevention of smoking and inducement to stop smoking during adolescence is very important because the majority of teenage smokers continue smoking into their adulthood. In addition to expanding a completely non-smoking area and a comprehensive ban on tobacco advertising, promotion and sponsorship should be urgently sought, and the effect can be maximized when the WHO FCTC faithfully implements the already-founded treaty.

Water Extract of Fermented New Korean Medicinal Mixture (F-MAPC) Controls Intracellula Adipogenesis and Glut-4 dependent Glucose Uptake in 3T3-L1 Adipocytes and L6 Myoblasts (세포 내 지방생성과 Glut-4 의존성 포도당 운반에 미치는 발효복합한약 물추출물(F-MAPC)의 영향)

  • Jeon, Seo Young;Park, Ji Young;Kim, Sung Ok;Lee, Eun Sil;Koo, Jin Suk;Kim, Mi Ryeo
    • The Korea Journal of Herbology
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    • v.29 no.1
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    • pp.45-52
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    • 2014
  • Objectives : The aim of this study was to investigate the effects water extract of fermented new korean medicinal mixture, combinations of Mori Folium, Adenophorae Radix, Phllostachyos Folium and Citri Pericarpium (F-MAPC), on adipocyte differentiation, adipogenesis and glucose uptake using undiffernentiated 3T3-L1 adipocytes and L6 myoblasts. Methods : Each herb and those mixture were respectively fermented and then extracted with water. We carried on MTT assay for check-up on cell toxicity, Oil Red O staining for determination of cell differentiation and intracelluar adipogenesis. Western blot analysis for measurement of pAMPK and pACC, $C/EBP{\alpha}$, $PPAR{\gamma}$ and Glut-4 protein expressions were performed. Results : F-MAPC showed significant inhibitory activity on adipocyte differentiation in 3T3-L1 preadipocytes without affecting cell toxicity as assessed by measuring fat accumulation, and this effect was 2 fold higher in 0.2 mg/ml F-MAPC than that of the same dose of each fermented herbal extract alone. In addition, these effects were associated with modulation of adipogenic transcription factors, such as $C/EBP{\alpha}$, $PPAR{\gamma}$, as well as stimulated phosphorylations of AMPK and ACC. Translocation of Glut-4 was significantly increased by 10.2% in L6 cells treated with 0.2 mg/ml F-MAPC compared with that of control. Conclusions : These results demonstrate that F-MAPC may be an ideal candidate for therapy of obesity and diabetes by disturbing the differentiation into adipocytes, as well as the inducement of intramuscular glucose uptake from blood.

The Study of Pansori Performance (판소리 공연학 총론)

  • Jeon, Shinjae
    • (The) Research of the performance art and culture
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    • no.23
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    • pp.159-183
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    • 2011
  • Pansori has both the features of drama and music. In 19th century, prime time of pansori, it had balance of the features between drama and music. But after the late 19th century, pansori has lost the features of drama, and it has been changed into a music centered art performance. This is the phenomenon came from that the upper class accepted and dominated the pansori which had been a performance art of the lower class. The Korean upper class people tend to disdain drama, but to revere music. Nerremsae is dramatic action and ballim is musical gesture in pansori. In 19th century, pansori had plenty of nerremsae, which provided a elaborative symbolic system after the conventional rule of drama. However current pansori actors use only ballim except nerreumsae. Chuimsae like 'ulssigu' is the way to participate in pansori by audience. The actor provides the space for the audience to fill it after inducement by drummer. Through the chuimsae, actor, drummer, and audience share the sympathetic emotional experiences. However the audience in these days do not do chuimsae, but do applause like in western dramas. In western dramas, distinction between tragedy and comedy is relatively clear. The tragedy is constantly tragedy, and the comedy is also constantly comedy. However joy and sorrow are coexisted in Korean pansori. These two contradictory emotions are collided and produce a new strong emotion in a pansori. This is one of very important feature of pansori. Even though each of tragedy and comedy reveals the only one side of life, pansori comprehensively reveals a total human life. However these strong emotions have been much weakened nowadays. Currently pansori has been much declined. For restoration of pansori, it is necessary to revive the drama side in pansori performances.