Background: The appropriate management of diabetes mellitus(DM) can help reduce its relapse and economic burden, but the level of management of DM in Korea is reported to be insufficient. This study aims to identify the management level of DM by figuring out the HbA1c examination performance rate of the diabetics and analyzing the variation according to the characteristic of a diabetic. Methods: This study used the Korean National Health Insurance Database which includes E10-14(ICD-10 code) as a primary or secondary disease as of 2006. Study population is 1,892,062 diabetics excluding 393,784 patients with the first attack of DM in 2006, 33,440 diabetics who died in 2006, and 21,299 patients with DM having no record of ambulatory care among the 2,340,585 DM patients in total. Results: The HbA1c examination performance rate of all DM patients in our country is estimated to be 41.5% as of 2006 and shows variation according to the characteristic of individual DM patients. The highest performance odds was shown by the patients who were below 19 of age, insured for health insurance, attended more than 3 ambulatory care providers, made ambulatory care visits more than 10 times annually, attended a specialized general hospital as their main attending medical institution, had a record of hospitalization or had co-morbidity. Conclusion: This study propose that is necessary to make politic preparations for the appropriate management of diabetes at a national level, and particularly, the patients with advanced age, the ones dependent on Medical Aid, and the ones using hospitals or clinics, whose appropriate management seems vulnerable, demand a careful management.
Korean Medical Insurance Cooperation executed the physical checkup intended for all the members of public officials, school personnel in private schools, and the insured as a national-wide event in 1980. This is the result of a part of Taegu district and its contiguous country this hospital took charge of. Physical checkup method was divided into the first health examination and tile second health examination. The second health examination was executed for those who needed reexamination according to the result of the first health examination. After that, we passed judgement on the result finally. The total number of the first health examination was 10,779; 4,606 in public officials, 2,327 in police constables, 3,976 in school personnel in private schools. The classification of physical checkup is as follows; A group: normal groups B group: those who do not require immediate medical care but require preventive measures or who are doubtful of disease or who had undetermined diagnosis (attention) C group: those who require immediate medical care but who are able to be on duty (simple recuperation) D group: those who require immediate medical treatment and recuperation (suspension from office and recuperation) Total B group to the in the first health examination was 4.73%, that of total C,D groups 2.21%. That of total C,D groups to the total in the first health examination by occupation was 2.30% in public officials, 2.19% in police constables, 2.04% in school personnel. Consequently there was no different among occupations. Total C,D groups of hypertension to the total in the first health examination was 1.68% and hypertension was 76.05% to all disease. These rates mentioned to above were higher than any other rate in disease. Subsequently, being low, the rate of diabetes was 15.54%. From the view point of age, the higher rate appeared in men and women over 35 years old of B group and over 45 years old of C,D groups in three occupations in comparison with other ages and the older men were, the higher men who took a disease were.
Park, Joung-Soon;Na, Myung-Chae;Paek, Do-Myung;Moon, Ok-Ryun
Journal of Preventive Medicine and Public Health
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v.27
no.2
s.46
/
pp.242-257
/
1994
In Korea, female workforce has reached more than 40% of total working population, but the effects of work on spontaneous abortion are yet to be examined. This study as conducted to investigate the occupational effects on spontaneous abortion. Medical insurance claim data were used to examine the effects of the employment status and industry of employment on spontaneous abortion. The study population was composed of females, aged $15{\sim}44$, who were the beneficiary of medical insurance in the month of June, 1993. The working females covered by medical insurance for industrial workers, had the highest age-adjusted Spontaneous Abortion rate (SAB rate=claim frequency of spontaneous abortion/claim frequency of complication of pregnancy, childbirth and the puerperium), 6.65% whereas female dependants of medical insurance for industrial workers had the lowest age-adjusted SAB rate, 4.54%. Among industrial workers, the workers in manufacturing industry had the highest age-adjusted Spontaneous Abortion ratio(SAB ratio=claim frequency of spontaneous abortion/claim frequency of completly normal delivery), 43.2/100 whereas those in financing and service industry had age-adjusted SAB ratio, 16.2/100 and 20.5/100, respectively. The results of the study suggest the adverse effect of manufacturing Industry on reproduction. Work environments such as chemical exposures, overwork, awkard posture, and job stress should be further studied for their effects on reproductive functions of female.
Transactions of the Korean Society of Automotive Engineers
/
v.8
no.3
/
pp.110-118
/
2000
For reasonable fatigue design and estimation of fatigue durability considered fatigue strength and stiffness of the automotive body structure, many fatigue data must be insured according to the shapes, materials, and welding conditions of the spot welded lap joints. However, because it is actually difficult problem, there is need to establish a new method to be able to predict its fatigue life without any additional fatigue tests. Therefore, In order to improve such problems, in this study, the maximum stress function presenting the $\delta\sigma_{1max}―\delta P$ relation was defined form the relation between $\delta\sigma_{1max}-N_f$ and ${\delta}P-N_f$. By using the fatigue data on the IB type spot-welded lap joints previously obtained from the fatigue test results, fatigue life of the spot-welded lap joint previously obtained from the fatigue test results, fatigue life of the spot-welded lap joint having a certain dimension was tried to predict without any additional fatigue tests. And, its result was verified by ${\delta}P-$N_f$ curves. Obtained conclusion are as follows, 1) a maximum stress function considered the relation of the maximum principal stress, fatigue load, and the effects of geometrical factors of the IB type spot-welded lap joint was suggested. 2) the fatigue life predicted by the maximum principal stress function and the relation of $\delta\sigma_{1max}-N_f$ was well agreed with the fatigue life obtained through the actual fatigue test result. 3) the fatigue life of the IB type spot-welded lap joint having a certain dimension is able to be predicted without any additional fatigue tests from the fatigue life prediction method by the maximum principal stress function.
This study was conducted as the primary work to develop a customer relationship management (CRM) system to improve the performance of health screening programs. The specific aims of the study was to identify and classify the characteristics of the people who did not receive their health screening using decision trees and to propose management strategies according to their characteristics identified. The data on a total of 5,102,761 subjects of health screening provided by the National Health Insurance Program in the year of 2002 were used. The target variable was whether they underwent their health screening. The input variables included a total of 27. The SAS 9.1 version was used for data preprocessing and statistical analyses. SAS Enterprise Miner was used to develop the decision trees model. The decision trees identified the factors greatly affecting the health screening. In the non-disease group, the highest rate of non-examinees was characterized by: no experience of receiving a health screen, household's age, non-insured episode for the last one year, and patients' age. In the disease group, the one showing the highest rate of non-examinees was characterized by: no experience of receiving a health screening, no experience of going to public health center or midwife clinic for the last one year, and examinees' age. Developing CRM systems for health screening management taking into account the individual characteristics would be considerably helpful to increase the rate of receiving health screening.
The shock of melamine-contained food has been known with the incident of hospitalization or death of infants at the age of 11-month old in China. The purpose of this study was to examine consumers' risk perception, attitude and purchase behavior of melamine-contained food which recently came to the fore as a social issue, focusing on the relationship between consumers' attitude and purchase behavior based on physical risk, social risk, psychological risk, financial risk, consumers' attitude and purchase behavior. Study findings are as follows. First, the four factors of risk perception of melamine-contained food were significantly different by consumers. Consumers regarded social risk as most significant and it was followed by financial risk and psychological risk. And they regarded physical risk as most insignificant. Second, as for the difference of risk perception by demographic features, such factors as gender, age, marital status and schooling had no statistically significant influence. Third, the potential risk of melamine-contained food had a negative influence upon consumers' attitude and purchase behavior. In addition, consumers' attitude and purchase behavior were decided by perceived risks. This finding implies that consumers' attitude can accompany with negative or positive behavior and consumers' behavior can be related to social, financial and physical risks. Because the risk perception of melamine-contained food can cause consumers' distrust about all kinds of food in general, domestic manufacturers of milk product-contained confectionery and food can be harmed. In order to overcome this problem and make consumers purchase all the milk products and milk-contained food without fear, governmental agencies must reestablish systems with which the safety of imported raw materials and its processing can be insured and manufactures must improve the quality of products in a diverse and discriminative manner. This study seems to be meaningful in that it examined consumers' risk perception of melamine-contained food, a current social issue, and then looked into the influence of risk perception upon consumers" attitude and behavior, thus presenting the strategy of reestablishing the system of relationship between consumers and business entities in a desirable manner.
Kim, Il-Young;Kwon, Jai-Wook;Moon, Sang-Man;Seok, Byong-Seok
Journal of Aerospace System Engineering
/
v.11
no.2
/
pp.30-34
/
2017
This paper is concerned with product assurance for the secondary payload, which is used for technology and science research, in the satellite system, which consists primarily of the spacecraft and the primary payload (a high-resolution optical camera). The Korean satellite development program has successfully insured the safety of the spacecraft and primary payload. However, given the limits of budget and schedule, it is very important to establish adequate product assurance for the secondary payload, which has a lower priority than the spacecraft or primary payload. This paper studies the concept of product assurance for the secondary payload of technological and scientific equipment.
19) This research investigates the satisfaction level of both countries' export companies about the export insurance system which can cause problems in Korean-Chinese FTA in this age of spreading FTA. Through this research, it surveys of the system user satisfaction of two nations based on the characteristics of export insurance systems in South Korea and China. The satisfaction level of export credit insurance system is as follows: Awareness of credibility (3.53), awareness of exporting area (3.38), awareness of risk management (3.29), awareness of market change (3.14), awareness of insured accident (3.24), and awareness of regulations (3.03) present positive responses to the export insurance system but awareness of defective product (2.97) was relatively unsatisfied. Though it is hard to compare directly due to the differences between the exporting systems of Korean and China, this research shows the need of various export insurance products, and that most export companies in Korea and China are generally satisfying with export insurance products at present.
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.
The production of advanced high strength steels requires the improvement of cooling technology. The use of high cooling rates allows relatively low levels of expensive alloying additions to ensure sufficient hardenability. In classical annealing and hot-dip galvanizing lines a mixing station is used to provide atmosphere gas containing 3-5% hydrogen and 97-95% nitrogen in the various sections of the furnace, including the rapid cooling section. Heat exchange enhancement in this cooling section can be insured by the increased hydrogen concentration. Drever International developed a patented improvement of cooling technology based on the following features: pure hydrogen gas is injected only in the rapid cooling section whereas the different sections of the furnace are supplied with pure nitrogen gas; the control of flows through atmosphere gas management allows to get high hydrogen concentration in cooling section and low hydrogen content in the other furnace zones. This cooling technology development insures higher cooling rates without additional expensive hydrogen gas consumption and without the use of complex sealing equipments between zones. In addition reduction in electrical energy consumption is obtained. This atmosphere control development can be combined with geometrical design improvements in order to get optimised cooling technology providing high cooling rates as well as reduced strip vibration amplitudes. Extensive validation of theoretical research has been conducted on industrial lines. New lines as well as existing lines, with limited modifications, can be equipped with this new development. Up to now this technology has successfully been implemented on 6 existing and 7 new lines in Europe and Asia.
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