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Medical Expenses for Trauma According to the Type of Medical Insurance (외상환자의 보험체계에 따른 진료비 분석)

  • Park, Heeseung;Jung, Yooun Joong;Kim, Young-Hwan;Kim, Tae-Hyun;Km, Min Ae;Kyoung, Kyu Hyouck;Kim, Jung Jae;Hong, Suk-Kyung
    • Journal of Trauma and Injury
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    • v.25 no.4
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    • pp.178-187
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    • 2012
  • Purpose: In Korea, the nation's medical expenses were 12 billion won in 2010. The medical costs for individuals can also be overwhelming. If a patient has sustained severe trauma, his/her insurance company responsible may pay only part of the medical bills. In Korean, there are diverse types of medical insurance, such as health insurance, automobile insurance, and industrial accident compensation insurance. And each insurance system has a different type of payment system. Our study will be essential for establishing the optimal medical expense payment system. Methods: From January to December 2011, we retrospectively reviewed the medical charts of 161 patients who were admitted to our hospital's emergency room after having undergone severe trauma. Of those 161 patients, 125 were retrospectively reviewed. Written permission was obtained from all of the patients. We analysed the demographic characteristics, clinical outcomes, data of the trauma, type of the patient's insurance, and the entire bill when the patient was discharged. Results: Seventy-one patients had health insurance, 48 automobile insurance, and six industrial accident compensation insurance. High-deductible insurance included health insurance and industrial accident compensation insurance, with the deductibles up to 20.6% and 19.1%, respectively. We attempted to analyze the cause of the high deductible rate. In patients with health insurance, medicines, primarily sedatives, pain killers, antibiotics, and fluids. comprised a large proportion. On the other hand, industrial accident compensation insurance deducted for a high-grade hospital room charge. Conclusion: We found that medical expenses were diverse according to the type of insurance. In particular, health insurance forced patients to pay too much of the medical expenses. Therefore, in Korea we should try to identify the insurance problems and improve the wage system.

A Study on Development of Residential-linked Pension Insurance for Rural Living after Retirement - Decisive insuring factors and the service demand of potential consumers - (은퇴 후 농촌거주를 위한 주택연동형 연금보험 개발에 관한 기초연구 - 잠재 수요자의 보험가입조건 및 서비스 요구도 분석)

  • Hong, Hyung-Ock;Kim, Jung-In;Im, Sang-Bon
    • Journal of Families and Better Life
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    • v.26 no.3
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    • pp.37-52
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    • 2008
  • The purpose of this study was to provide the valid data about residential-linked pension insurance development. The development was a part of national housing projects, which was an incentive for rural living of retired people, in order to relieve residential issues of elderly and revitalize rural communities by residents moving from cities. The insuring intent, decisive insuring factors and the residential service demand degree of people preparing retirement were analyzed. Data was collected in October, 2007. 364 Sample Subjects lived in Seoul Metropolitan area. Firstly, more than 90% of respondents had intention to purchase a residential-linked pension insurance and about 50% of them necessarily desired receiving premium for moving in. This indicated that it could be developed as an insurance which helped to meet housing expenses by housing-linked system, and in the mean time, it met the original purpose of pension insurance as the pension benefit could be guaranteed for all the insurance subscribers. Secondly, the respondents, whose income and private assets were higher, were able to pay more for insurance compared to average. Therefore, It was necessary to regulate monthly insurance bill and the payment period according to asset states of insurance subscribers after establishing certain amount of total insurance payment. Thirdly, by and large, it indicated the tendency that the less they prepare for older age the later they wanted to move into the pension insurance residence. It was inferred that in the case of insufficient preparation for older age, people preferred preparing behind time by postponing move in to moving in early to enjoy retired life, due to uncertainties. lastly, the respondents understood the significance of health, medical treatment and emergency management service and these two services were preferred as essential provided services. Because of the necessity of developing residential-linked pension insurance was found to be positive, further research to find the real cost, directives for operation and institutional support for this type of pension insurance might be needed.

Feeding Behavior of Black-faced Spoonbills Platalea minor on Rice Paddy in Gangwha Island, Korea (강화도 논에서 저어새(Platalea minor)의 섭식행동)

  • Yoo, Sung-Yeon;Kwon, In-Ki;Yoo, Jeong-Chil
    • Korean Journal of Environment and Ecology
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    • v.33 no.2
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    • pp.168-177
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    • 2019
  • This study was conducted to examine the impact of various environmental factors on the feeding behavior of black-faced spoonbills Platalea minor known to use rice fields during the breeding season. We surveyed the rice fields three times a month from April to June 2017 and from April to June 2018. We counted the number of black-faced spoonbills and measured the environmental factors such as the water depth, paddy type by cultivation stage, and biomass of potential prey that are expected to affect black-faced spoonbills. We also filmed the feeding behavior of black-faced spoonbills to examine differences in feeding behavior by environmental factors. The survey showed that the number of black-faced spoonbills reached its peak from late April to late May which was the breeding period. Among a total of 308 black-faced spoonbills observed, 86.4% (n=266) were observed feeding on rice paddies, 90.6% (n=279) were adults, and none was observed on dry paddies. The biomass of rice paddy increased significantly since May when fish started hatching, and there was a significant difference in the amount of biomass between the rice paddies where black-faced spoonbills were observed and other rice paddies. The analysis of the feeding behavior of black-faced spoonbills showed that the feeding efficiency and feeding success rate of black-faced spoonbills increased significantly when the amount of biomass soared and that the number of steps of black-faced spoonbills per minute increased greatly after rice planting was completed. The number of bill sweeping was not related to the feeding efficiency, feeding success rate, and paddy type by cultivation stage.

The Study of Documentaries' 'Rhetoric' as a Statement on Social Issues: Focused on EBS-TV (사회적 쟁점에 대한 발언으로서 다큐멘터리의 수사학 연구: EBS-TV <지식채널(e)>를 중심으로)

  • Kim, Nam-Il;Lee, Gyu-Jeong
    • Korean journal of communication and information
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    • v.53
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    • pp.53-72
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    • 2011
  • has become the representative program of EBS after first airing in 2004. After seeing as a media text, this study was fulfilled on the basis of Bill Nichols' "Rhetoric" discussion, in order to analyze the structural method and social meaning of the program. As a result of the study, we were first able to see that was taking form as a documentary to make a constructive statement on current affairs related to Korean society, by mobilizing 'knowledge' related to these issues. Second, the "rhetoric" plays an important role in the program's process to generate meaning, and despite the text being relatively short, the rhetorical process undergone for the generation of meaning has been fully reflected. Moreover, the program was successfully structuring a new method of generating meaning by enthusiastically raising questions and choosing a unique method of vision mix. Third, by looking at the study's results in-depth, we can see that was creating a ideological place for open discussion, which was providing viewers with the satisfaction of overcoming our society's dominating ideology and forming new ones. In that sense, the easily accessible 'knowledge'that surrounds us holds somewhat of a political meaning. On top of that, it can be seen that the program especially, is a media text that holds a cultural political meaning, which is an important factor to consider in the Korean broadcasting industry. In conclusion, we found out that this program uses 'knowledge' to see the possibility of 'knowledge'journalism by making constructive statements through a 'rhetorical' process.

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Design of a designated lane enforcement system based on deep learning (딥러닝 기반 지정차로제 단속 시스템 설계)

  • Bae, Ga-hyeong;Jang, Jong-wook;Jang, Sung-jin
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2022.10a
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    • pp.236-238
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    • 2022
  • According to the current Road Traffic Act, the 2020 amendment bill is currently in effect as a system that designates vehicle types for each lane for the purpose of securing road use efficiency and traffic safety. When comparing the number of traffic accident fatalities per 10,000 vehicles in Germany and Korea, the number of traffic accident deaths in Germany is significantly lower than in Korea. The representative case of the German autobahn, which did not impose a speed limit, suggests that Korea's speeding laws are not the only answer to reducing the accident rate. The designated lane system, which is observed in accordance with the keep right principle of the Autobahn Expressway, plays a major role in reducing traffic accidents. Based on this fact, we propose a traffic enforcement system to crack down on vehicles violating the designated lane system and improve the compliance rate. We develop a designated lane enforcement system that recognizes vehicle types using Yolo5, a deep learning object recognition model, recognizes license plates and lanes using OpenCV, and stores the extracted data in the server to determine whether or not laws are violated.Accordingly, it is expected that there will be an effect of reducing the traffic accident rate through the improvement of driver's awareness and compliance rate.

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Review of 2018 Major Medical Decisions (2018년 주요 의료판결 분석)

  • Lee, Dong Pil;Lee, Jung Sun;Yoo, Hyun Jung;Park, Tae Shin;Jeong, Hye Seung;Park, Noh Min
    • The Korean Society of Law and Medicine
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    • v.20 no.1
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    • pp.243-279
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    • 2019
  • During the main ruling in 2018, it is difficult to find a new judiciary, which is understood to be due to a certain degree of jurisprudence established and focusing mainly on contentious disputes within the framework of damages. The cases in which the court's judgment is reversed helped to understand the reason and the judiciary, and it was confirmed that the dispute in the medical lawsuit became more and more intense. Decisions on responsibility restrictions and medical records were also noticeable, with a significant increase in the number of verdicts relating to the doubt about medical records. This is considered to be part of the increasing number of cases in which the parties raise questions about medical records, and several cases were categorized and introduced at this opportunity. We also introduce the case of forced discharge of long-term hospitalized patients and medical fee bill, because it was judicial interest after the Supreme Court ruling that the cost of treatment for the after-effects of medical malpractice can not be claimed to the patient.

Mulberry Yields under Several Planting Densities on Hilly Land (경사지 뽕밭에서 식재밀도에 따른 수량의 경년적 변화에 관한 연구)

  • 이종한;김동일
    • Journal of Sericultural and Entomological Science
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    • v.29 no.1
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    • pp.7-11
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    • 1987
  • The influence of planting density, on the mulberry yield, had been studied for 5 years period since 1982. For this purpose, a hilly land (15$^{\circ}$) was selected and 5 planting density level (926, 1,667, 2,780 and 3,444 tree/10a) were used. Following results were obtained. 1. Vinyl mulching promoted 2 days earlier of green tip sprouting stage and 3 days earlier of shallow-bill stage, compared with the non-mulching. 2. It was shown that increase of the length of the branch with vinyl mulching and decrease of the mulching effect with the higher density of plants from, 2,780 tree/10a. 3. When the planting density was higher, length and width of leaf was decreased sharply, and chlorosis of the lower part of the branch was occured heavily. 4. With the higher planting density, number of branches per tree and average length of the branch was decreased. Number of shorter branch-normal branch ratio were increased. However, number of branches and total length of branch per area were shown opposite. 5. Yield of mulberry was increased for the peroid of 3 years after planting with the all the levels of planting density after that, yield increase was dully in 926 tree plot, and more dully in 1,677 trees plot, while decrease of the yield were showen with density of 2,780 and 3,444 trees plots. 6. The highest average yield for the 5 years were obtained from 2,780 trees plot, 46.6% higher than in 926 trees plot, followed 40% higher in 3,444 trees plot, and 29.9% higher in 1,667 trees plot. 7. Soil pH, organic matter, Ca and Mg decreased with cultivation, especially P2O5, pH, Ca and Mg in the density of more than 926 trees plot.

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Design of Integrated Process-Based Model for Large Assembly Blocks Considering Resource Constraints in Shipbuilding (자원제약을 고려한 조선 대조립 공정의 통합 프로세스 기반 모델 설계)

  • Jeong, Eunsun;Jeong, Dongsu;Seo, Yoonho
    • Journal of the Korea Society for Simulation
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    • v.28 no.2
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    • pp.107-117
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    • 2019
  • Because shipbuilding is single-product production with limited resources, production management technology is essential to manage the resources effectively and maximize the productivity of ship-process. Therefore, many shipbuilding companies are conducting research on ship production plan and process considering various constraints in the field by applying modeling and simulation. However, it is difficult to provide accurate production plan on sudden schedule and process changes, and to understand the interconnectivity between the processes that produce blocks in existing research. In addition, there are many differences between the production planning and field planning because detailed processes and quantity of blocks can not be considered. In this research, we propose the integrated process-based modeling method considering process-operation sequences, BOM(Bill of materials) and resource constraints of all the scheduled blocks in the indoor system. Through the integrated process-based model, it is easy for the user to grasp the assembly relationship, workspace and preliminary relationship of assembly process between the blocks in indoor system. Also, it is possible to obtain the overall production plan that maximizes resource efficiency without the separate simulation and resource modeling procedures because resource balancing that considers the amount of resource quantity shared in the indoor system is carried out.

A Survey on Awareness and Availability on Items of 2018 Assistive Devices Distribution Program for the Disabled in the Occupational Therapists (2018년도 장애인 보조기기 교부사업 품목에 대한 작업치료사의 인식도와 활용도 조사)

  • Kim, Jeong-Eun;Park, Je-Min;Bae, Su-Yeong;Jung, Nam-hae
    • Korean Journal of Occupational Therapy
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    • v.26 no.4
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    • pp.85-95
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    • 2018
  • Objective : The purpose of this study was to investigate the awareness and availability on items of 2018 assistive devices distribution program for the disabled in the occupational therapists. Methods : A total of 132 occupational therapists participated in the survey from May 1 to May 31. Results : 96.2% of the occupational therapists responded that assistive device is helpful in lives of the disabled people. Especially, they responded that assistive device is the most helpful in 'movement and mobility'. Awareness on an angle spoon/fork with built-up handle and universal cuff was the highest, while a visual signaling indicator was the lowest. Availability on an air cushion was the highest, while a visual signaling indicator and a voice guidance system were the lowest. 67.4% responded that 'sometimes' they use the assistive device and 77.3% responded they will utilize the assistive device. To improve awareness and availability, 43.2% needed financial support, 32.6% needed to add insurance bill and 22.7% needed related education. Conclusion : In the future, this result will be available as a basic data for the education about assistive device for the occupational therapists.

A Study on the Practice Variations According to Physician Characteristics (의사 특성에 따른 외래 진료내용의 변이)

  • Jeong, Eun-Kyeong;Moon, Ok-Ryun;Kim, Chang-Yup
    • Journal of Preventive Medicine and Public Health
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    • v.26 no.4 s.44
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    • pp.614-627
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    • 1993
  • It is well known that a physician's personal characteristic affects his practice pattern. Furthermore, a physician's specialty has powerful influences on his practice pattern. However, despite the fact that specialization has received the most attention for its influence on physician's service behavior, few studies have been conducted on the variations of contents and volume of physician's services. This study has intended to identify factors influencing the practice variations according to various physician characteristics. There are some other evidences that medical care providers are different in using of health services and resources in Korea. Four physician characteristics were selected for the analysis, two demographical factors, age and sex, and two practice factors, place of practice and medical specialty. Also, three indicators of service amount (total amount of insurance claim bill, number of visits per case, number of prescriptions per case) were selected. From the pool of insurance claims for ambulatory care received by the Korean National Federation of Medical Insurance(NFMI), 84,898 cases were randomly sampled. In the meantime using physician database of NFMI, 613 general practitioners (GP), 107 regular family physicians (FP), 483 'grandfather' family physicians(GFP), and 1,157 specialist practitioners(SP) were randomly sampled. Their different practice contents were compared concerning the specialty, age groups, sex, and practice sites (urban-rural) Specialist physicians tend to provide more costly care than do generalists. General practitioners and family physicians usually make fewer following visits and prescriptions. Age is also the important factor in determining the amount of services, which is highest at the physician's age group of 40's. Female doctors and urban practitioners use much more resources than their counterparts respectively. Research findings suggest that physician's characteristics particularly the specialty can affect practice patterns and resource utilizations. Other characteristics such as age and sex are not controllable but physician's specialty is relatively easily controllable during the entire phases of policy implementation. This is all the more true in the individual's initial decision of his specialty. Specialization therefore should receive policymaker's attention for its potential influence on medical care utilization and health care expenditure.

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