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양로원 재원노인의 우울에 관한 연구 (A Study of Depression Observed Among The Elderly Residing in Home For The Aged In Korea)

  • 박병탁;이종범;이중훈;정성덕
    • Journal of Yeungnam Medical Science
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    • 제7권2호
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    • pp.79-87
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    • 1990
  • Using Zung's self-rating depression scale, the authors studied depression in 310 elderlies residing in the 9 home for the aged (HFA) in Kyungbuk area, and 234 elderlies living in Taegu city and 107 elderlies attending a Life-long education program in Taegu, which serve as a control group, Community resident elderlies(CRE). The research had been administered during the period from June to August, 1986. The results were as follows : 1. The mean scores of male. female. and the total of the elderlies in HFA were $38.95{\pm}11.55$, $44.18{\pm}14.15$:: and $42.8{\pm}13.7$ respectively while CRE marked $40.8{\pm}11.3$ for male, $45.2{\pm}12.0$ for female, and $43.4{\pm}11.9$ for the total. Therefore there were significant differences between male and female in both groups(p<0.01, p<0.001), though no significant difference between the two groups. However, the depression score of elderlies in HFA might be much higher than that of CRE if 81 elderlies(14.2%) in HFA who had been left out of the statistical evaluation due to their having severe depression, organic brain syndrom, or pseudoementia, etc had been included. 2. The score distribution by items for the elderlies in HFA were from highest scores hopelessness, worthlessness, emptiness, decreased appetite, confusion, while for CRE, hopelessness, decreased appetite, psychomotor retardation, indecisiveness, and worthlessness. Elderlies in HFA showed significantly high scores in depressed mood, weight loss, suicidal rumination(ideation) and psychomotor excitement, while CRE showed significantly high scores in decreased appetite, psychomotor retardation, indecisiveness, and dissatisfaction. 3. Elderlies who scored over 50 numbered 10 males(16%), 57 females(34%), and total of 67(29%) in HFA and 28 males(21%), 77 females(37%), and total of 105(31%) in CRE : female showed higher seores in both groups. 4. Psychosocial factors such as getting older(respectively p<0.01, p<0.01), being Buddhist(respectively p<0.01, p<0.01), and monthly pocket money less than \30,000(respectively p<0.001, p<0.001) were found to have a noticable impact on the depression level of the elderlies in both groups. Factors such as illiteracy (p<0.001, monthly pocket money less than \10,000(p<0.05), and having no family(p<0.01) recorded significantly higher scores among CRE than the elderlies in HFA.

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중동 의약품시장 통상진출 전략에 대한연구: UAE 시장을 중심으로 (A Study on Trade Expansion Strategies to Middle East Pharmaceutical Market: Focused on the UAE Market)

  • 서병민
    • 통상정보연구
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    • 제16권2호
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    • pp.297-318
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    • 2014
  • 본 연구는 통상진출측면에서 UAE 의약품 시장의 점유율 확대 전략을 중심으로 시장세분화, 목표시장 결정, 제품 위치선정과 아울러 목표시장 내에서의 시장촉진 관리를 내용으로 문헌연구를 실시하였다. 기본적으로 STP전략과 Marketing Mix전략의 개념을 적용하여 본 연구의 실무적 시사점을 도출하였다. 우리나라 의약품산업은 국내의 다양한 제도적 제약으로 인한 국내시장 성장의 확대에 한계를 가지고 있다. 한편 UAE 의료산업은 지속적인 유가 상승에 따른 경기의 활성화와 정부의 적극적인 지원 정책으로 급성장하고 있다. UAE 정부는 의료시설 확충과 의료수준 향상을 위해 2014년 의료산업에 1600억 달러의 투자를 계획하고 있다. UAE의 의료부문은 각 에미리트별로 단독적인 규제 체제를 갖추고 있다. UAE는 해외 노동자 유입으로 높은 인구증가율을 보이고 있는데, 지난 30년 동안 UAE 거주인구는 약 7배가 증가했다. UAE 정부는 의료서비스 질을 개선하기 위해 민간부문과 공공기간의 파트너십(PPP) 체결을 장려하며 외국인 직접투자에도 규제가 없으므로 우리 기업으로서는 거대 다국적 기업과 무한 경쟁을 준비해야 하는 시점에서 이러한 분석결과는 의약품 수출활성화 측면의 환국의 비즈니스환경 분석과 UAE 시장에 대한 진출전략 측면에서 시사점을 도출하였다는 점에서 실학적 가치를 찾을 수 있다. 또한, 해외진출 활성화와 더불어 한국의 취약한 의약품 산업 개발을 위한 지속적인 전략 개발의 타당성을 확보해준다는 측면에서 학문적 의미가 있다.

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관광교류협력사업과 연계지역의 관광발전 영향요인에 관한 연구 - 금강산관광사업과 강원도 고성군의 발전 방안을 중심으로 - (The Study on the Effect of Inter-Korean Tourism Cooperation on the Local Tourism Development: the Case of Mt, Kumgang Tourism Business and Goseong Region)

  • 강인원
    • 마케팅과학연구
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    • 제16권4호
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    • pp.55-73
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    • 2006
  • 본 연구는 국제적 상호의존성이 증대되고 국제협력의 유력한 수단으로 관광교류협력 문제가 중요한 이슈로 부각되고 있는 오늘날 남북한 관광교류협력사업의 중요성과 사업 그 자체에 국한된 많은 정책적 논의, 즉 남북한 관광교류 촉진 및 확대, 남북관광 활성화 측면에 주로 관심이 집중되었던 기존의 시각에서 탈피하여 관광교류협력사업과 주변지역의 발전적 측면에서 금강산관광사업과 강원도 고성군을 중심으로 관광교류협력사업이 연계지역의 관광발전에 미치는 영향요인과 속성을 실증적으로 규명하고자 하였다. 연구결과 관광교류협력사업이 연계지역에 미치는 6가지의 관광발전 영향요인이 도출되었으며, 영향요인에 대한 연계지역 관광개발주체간의 서로 상이한 의식성향도 확인할 수 있었다. 또한 관광교류 협력사업의 영향요인과 10개 영역을 중심으로 한 연계지역 관광부문간의 상호관계 및 특징 등에 대해서 실증적으로 규명한 본 연구 결과와 시사점들은 미시적 차원에서 관광교류협력사업인 금강산관광사업과 주변지역 고성군의 관광발전 방안을 강구하고, 나아가 거시적 차원에서 남북한 관광교류협력사업과 연계지역의 관광활성화 방안에 대한 정책적 자료를 제시하는 기회가 될 수 있을 것이다. 한편 본 연구는 지속적으로 확대 발전될 관광교류협력사업과 연계지역의 관광발전문제와 관련영향요인에 대한 실증적인 사례연구로서 그 의의가 있다고 할 수 있다.

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한국인 구취발생 빈도에 관한 연구 (Epidemiologic Study on Oral Malodor for Korean)

  • 박문수;김영구;정성창;이승우
    • Journal of Oral Medicine and Pain
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    • 제26권2호
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    • pp.107-114
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    • 2001
  • Oral malodor is a problem that traverses history, culture, race and sex. But, up to the present the study on prevalence of oral malodor in normal popualtion is short, especially there is no study on oral malodor prevalence in Korean. In our study, we investigated self-evaluation of oral malodor, self-rating intensity of oral malodor, patients efforts for curing their oral malodor, and degree of satisfaction with their efforts. Investigation was carried out on 368 public Koreans resident in a big city(174 males, 194 females), by method of self-reporting to prepared questionnaire. There was no difference in self-reporting prevalence of oral malodor in sexes(57.5% in male, 58.8% in female), and the prevalence rate was increased with aging. Self-rating intensity of oral malodor in oral malodor patients group(by self-reporting) was ranked in order of slight, weak, middle, strong in both sexes, but the number of self-rating strong female group is significantly larger than that of self-rating strong male group(9.3% in male, 17.9% in female). In question on duration of oral malodor, most subjects answered that their oral malodor was developed in certain circumstances(61.3% in male, 76.3% in female), and oral malodor-developing circumstances was ranked in order of in the early morning, in hunger state, in fatigue, in stressful situations. Subjects effort for curing their oral malodor was ranked in order of more tooth brushing, gum chewing, use of commercial product for oral hygiene, visit dental clinic, and rates of no effort subjects were 15.3% in males and 10.7% in females. The degree of satisfaction with their efforts for curing their oral malodor was very low, only 5.6% of males and 6.6% of females were answered that there were satisfactory improvement in their oral malodor. Collectively, our result revealed that prevalence of oral malodor in public Koreans and their interest in oral malodor were much higher than our anticipation, and that patients satisfaction with improvement in oral malodor was short of their expectations. Considering the life quality of patients suffering from oral malodor, we conclude that developments of more improved diagnostic tools and treatment methods for oral malodor is indispensable in future.

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장애학생과 일반학생의 구강건강상태 조사연구 (A Study of Oral Health Status in Handicapped Students Comparing with Normal Students)

  • 이지연;김창희
    • 치위생과학회지
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    • 제2권2호
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    • pp.115-119
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    • 2002
  • 본 연구는 신체적, 정신적으로 장애가 있는 장애학생의 구강 건강상태를 조사하였고 대조군으로는 일반학교에 다니는 일반학생을 대상으로 하였다. 6개의 장애학교의 학생들과 4개의 일반학교 학생들을 조사하였다. 조사기간은 1999년 8월부터 1999년 11월까지이며, 장애학생 597명과 일반학생 731명의 구강건강상태를 조사 평가해 보았다. 1. 장애학생과 일반학생의 구강건강상태는 우식영구치는 비슷한 수준이었고, 상실영구치는 일반학생($0.11{\pm}0.54$개)보다 장애학생($0.41{\pm}1.16$개)에서 높게 나타났으며(p<0.01), 치주질환도 일반학생(10.9%)보다 장애학생(29.1%)이, 부정교합에서도 일반학생(7.4%)보다 장애학생(25.6%)에서 더 높게 나타났다(p<0.01). 2. 장애유형에 따른 구강건강상태는 우식영구치에서 $2.24{\pm}2.14$개로 정신지체장애학생이 가장 높게 나타났으며, 감강기능장애의 학생은 $1.75{\pm}2.10$개로 가장 낮게 나타났다(p<0.05). 상실영구치는 장애유형에 따른 차이는 없었으나, 치주질환에서는 정신지체장애학생이 63.8%로 가장 높게 나타났다. 또한 부정교합에서도 정신지체장애학생이 59.5%로 지체장애학생(9.2%)이나 감각기증장애학생(31.3%)보다 높게 나타났다(p<0.01). 3. 정기적인 치아관리를 하고 있는 학교의 학생에 비해 그렇지 못한 학교의 학생이 치주질환과 부정교합이 많았으나, 우식영구치와 상실영구치는 비슷한 수준이었다. 집단숙식을 하는 학교의 학생과 그렇지 않은 학생의 학생에 대한 우식영구치, 상실영구치, 치주질환, 부정교합에서는 모두 비슷한 수준이었다.

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Evaluation of the Forest Bird Community by using a Sound Recording System -Verification for the Avifauna evaluation in the non-breeding season -

  • Yoo, Seung-Hwa;Han, Hyun-Jin;Kim, Dong-Won;Joo, Woo-Young
    • 한국환경생태학회지
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    • 제29권2호
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    • pp.174-183
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    • 2015
  • We have conducted a verification test of correlation between bird community indices and bird sound recording results in order to use the equipment which deals with the automatic sound collecting system, the song meter. The study areas include four sites which are Gombaeryoung and Zochimryoung in Jeombongsan Mountain and Jookryoung and Gochiryoung in Sobaeksan National Park. We collected the bird sound data five times using a sound recorder and field survey results in the same place of the study site. As a result of the sound recording from the field survey, the species recorded by three researchers of sound analyst include common resident species or species which have a relatively conspicuous call and song. On the contrary, the species recorded by only one researcher are a relatively rare or inconspicuous species or was familiar with the personal experiences of each researcher. The number of species recorded by only one researcher totaled fourteen species (36.8 %), and that of two researchers totaled twelve species (31.6 %), and that of three researchers totaled twelve species (31.6 %). The correlations of the number of species among three researchers was not significant in some results, but the sum or maximum count of the number of species was useful to estimate a significant correlation between the result of researchers and the indices of field surveys. As a result of correlation analysis by using sound recordings, the maximum number of species among the three researchers significantly correlated with the number of species, the species diversity index and the species abundance index in the field survey at the same site, however it did not correlate with the number of individuals and species evenness index. As a result of sound analysis collected from the stationary sound recording system; song meter, the number of frequencies in bird songs and calls correlated with the number of species in the field survey at the same site. The number of calls and songs decreased as time went by. Finally, we could test the active time range and change the activity strength by using a sound recording system. In particular, that sound recording system is able to collect data in same time and site, so it is expected so that the equipment not only replenish a shortage of researchers and survey periods in field research in a short term monitoring survey, but also be able to acquire statistical objectivity.

개인수준의 사회적 자본이 우울증에 미치는 영향 (The Influence of Individual-Level Social Capital on Depression)

  • 이진향;박기수;김록범;김봉조;전진호
    • 농촌의학ㆍ지역보건
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    • 제36권2호
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    • pp.73-86
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    • 2011
  • 본 연구는 개인수준의 사회적 자본과의 연관성을 파악하기 위해 수행되었다. 연구대상자는 2009년 지역사회 건강조사 대상자 18,104명이었다. 연구대상자의 우울증 유병률은 CES-D로 측정한 후 기준점을 16점으로 하였을 때 9.0%였으며 21점을 기준으로 하였을 때 5.7%, 25점을 기준점으로 하였을 때 3.6%였다. 대상자의 인구학적 특성, 건강행태 및 만성질환 이환 여부를 통제한 후 사회적 자본과 우울증과의 관련성을 분석한 결과 요인 중 신뢰와 비공식집단 참여여부가 통계적으로 유의하였다. 신뢰하는 집단일 경우 그렇지 않은 집단에 비해 교차비가 0.536(95% CI .419~.689)이고 비공식집단에 참여하는 집단은 그렇지 않은 집단에 비해 교차비가 0.657(95% CI .516~.836)로 우울증이 낮았다. 인구학적 특성과 건강행태, 만성질환 이환여부에서는 연령, 결혼상태, 월소득, 흡연, 문제음주 여부, 수면시간, 체질량지수, 아침식사, 관절염 이환여부 등이 유의하게 영향을 미쳤다. 신뢰 수준과 비공식적 집단 활동 참여라는 사회적 자본이 우울증에 예방적 효과를 주므로, 보건사업의 영역에 지역 주민들의 사회적 자본을 높일 수 있는 방안을 고려하여, 이의 향상을 통해 주민들의 우울감을 낮추는 변화가 필요하다.

치주 큐렛의 절단 연 마모도 평가 (Evaluation of the wear of the periodontal curet's cutting edge)

  • 박응준;임성빈;정진형
    • Journal of Periodontal and Implant Science
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    • 제27권3호
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    • pp.575-584
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    • 1997
  • The quality of periodontal instrument cutting edge is a basic element of effective root planing procedure. Using instruments, the sharp edge is changed into blunt or beveled edge. With the blunt instrument, the periodontal treatment can't be carried into accuracy and effective. The study on the wear of periodontal curet is insufficient, there are few publications about the change of sharpness of cutting egde after using instrument and a certen reports were published on the study of scanning electron microscope(SEM) examination. In this study, to declare the number of strokes for sharpening of instruments, the changes of cutting edge is measured by the clinical methods, tactile sensitivity examination and refraction light-white line test after scaling strokes and root planing strokes. SEM test was added for defined the changes of cutting edges. The 7/8 Gracey curets that have been never used was tested. Maxillary molars which were extracted from the School of Dental Medicine, Dankook University was used. Subjected teeth had attachment loss more than 6 mm in bucca-lingual surface and sufficient calculus of a band type in cervical area. The strokes of curet were executed 3, 5, 7, 9, 11, 13 times on scaling stroke and 10, 15, 20, 25, 30, 35 times on root planing stroke. A resident has periodontal experience over 3 years carried out the clinical examinations those tactile sensitivity examination and refraction light-white line test 5 times. The case there being tactile sensitivity certenly is 2, the case being felt tactile sensitivity is 1, and the case there not being tactile sensitivity is 0. The visual examination was recorded as following. The case that refracted white line is not recognised is 2, the case that uncerten is 1, and the case that acknowledged is 0. The results were obtained as follows. 1. After scaling strokes, the tactile sensitivity was reduced after 11 strokes and disappeared in 13 strokes. 2. In tactile sensitivity after root planing procedures, sensitivity was reduced after 25 strokes and disappeared in 35 strokes. 3. In case of visual examination, the detection of refracted white line was increased after 9 strokes of scaling procedures and the accuracy of wear wasn't showed after root planing procedures. 4. In SEM, metal projection was observed on new periodontal curet cutting edge and it was disappeared after scaling procedures. 5. In SEM, the cutting edge was showed changing linear into an aspect of the surface after 5 strokes of scaling procedures and 10 strokes of root planing procedures and showed beveled edge in 11 strokes of scaling procedures, 25 strokes of root planing procedures. The results of 3-type examination indicated that the sharpening of curet should be performed after 11 strokes of scaling procedures and 25 strokes of root planing procedures.

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방사선 비상계획을 위한 월성원전 주변 주민 소개시간 예측 연구 (A Study on the Public Evacuation Time Estimates for Radiological Emergency Plan and Preparedness of Wolsong Nuclear Power Plant Site)

  • 이갑복;방선영;정양근
    • Journal of Radiation Protection and Research
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    • 제32권2호
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    • pp.79-88
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    • 2007
  • 원자력발전소 사고 시 방사성물질이 발전소외 지역으로 유출이 되거나 예상될 때 주민을 안전하게 보호하기 위한 조치의 일환으로 주민소개가 고려된다. 소개시간 산정에 필요한 인자를 도출하고, 각각의 인자에 대해 원전 주변의 현장자료를 토대로 부지주변의 교통환경 여건을 반영하여 월성원전의 방사선 비상계획구역 내의 주민전체를 소개시키는데 소요되는 시간을 예측하였다. 월성원전 방사선비상계획구역 내 주요 간선도로와 교차로에서 교통량을 조사하였고, 소개시작시간 분포를 추정하기 위해 상주거주자와 일시거주자를 대상으로 사회행동특성에 대한 설문조사를 실시하였다. 평시와 관광객이 많이 유입되어 차량정체가 예상되는 여름철을 대상으로 주간 및 야간, 평상기상 및 악기상의 경우로 나누어 주민소개시간을 예측하였다. 주민 소개시간 예측을 위한 교통분석은 TSIS 패키지 프로그램이 이용되었다. 비상계획구역 경계 남단과 북단에서 모든 소개차량(인구)이 비상계획구역을 벗어나는 데 걸리는 시간은 전체적으로는 $118{\sim}150$분 정도로 예측되었다. 여름 첨두교통량 유입시, 소개 시간은 낮이 밤보다 최대 17분 정도 더 소요되는 것으로 예측되었다.

보건지소(保健支所) 진료활동(診療活動)에 관(關)한 연구(硏究) (Study of Medical Carein Health Subcenter)

  • 김문식;김한중;김영기;김일순
    • Journal of Preventive Medicine and Public Health
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    • 제9권1호
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    • pp.109-116
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    • 1976
  • Reorganization of myun health care service is one of the main issues in health care delivery in rural Korea. The fundamenta, concept of the role and function of the myun health subcenter is that it is the basic unit of rural health care service and is to provide comprehensive health care service through the integration of curative and preventive services. The aim of this study is to analyze the patterns of curative activities in the myun health subcenter in terms of the most prevalent types of diseases, necessary diagnostic methods and required equipment, types of treatment, necessary drugs and materials, and finally the cost of curative services. The population on which this study was done was the 1596 patients who visited the two myun health subcenters (Sunwon Myun and Naega Myun) in Kang Wha County, the area of the Yonsei University Community Health Teaching Project, during period from May 1, 1975 to June 10, 1976. For the patient's record in the clinic, problem oriented medical records were used. Decisions regarding the disease classification, the diagnostic methods used and selection of the most appropriate and adequate medical treatment were made by a group of three experienced physicians after reviewing the medical records which had been written by public physicians who were treating patients in the study area. The records were reviewed by resident staff members of the Department of Preventive Medicine, of Yonsei University College of Medicine. A brief summary of results of the study is as follow: 1. 29.9% of the patients who visited the clinics were ages between 0-4. No sex difference was observed among patients less than 20 years of age. However, among patients over 20 years old, females predominated. Thus it is evident that the majority of patients were either children or mothers and grandmothers. 2. The distance from the individual villages to the myun health subcenter was one of important factors in determining the ratio of clinic visits. However, other factors such as the activities of the health workers also affected the rates substantially. 3. The most common 25 diseases comprised 90.2% of all the diseases recorded. Acute respiratory infection (25.5%), Skin (12.7%) , diarrheal diseases (6.8%), neuralgia and back pain (4.9%) and. all other injuries (3.9%) were the five most common diseases. 4. Of all the diseases diagnosed and treated, 9.2% required simple laboratory tests for diagnosis, 6.5% required X-ray examination, and altogether 13.6% required either laboratory test or X-ray examination. 5. Treatment and management of 42.0% of the cases could be accomplished with simple, inexpensive drugs, 12.8% required the use of more expensive drugs (mostly antibiotics) and injections were required in 19.7% of the cases. Minor surgery and referral were necessary in 5% of the cases. 6. The cost for diagnosis and treatment was estimated with a standard which was set by general concensus. The average cost of diagnosis was 144 per case and the cost of treatment was 726 per case, The Total average cost per visit was 870.

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