• Title/Summary/Keyword: 미숙

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Studies on the variations of hospital use and the changes in hospital revenues of 10 KDRGs under the PPS (일개 대학병원의 환자군별 진료서비스 변이와 포괄수가제 적용에 따른 진료수익 변화)

  • 전기홍;송미숙
    • Health Policy and Management
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    • v.7 no.1
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    • pp.100-124
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    • 1997
  • In order to suggest the strategies for participation in the PPS(Prospective Payment System), analyses were performed based on variations in utilization pattern and changes in revenues of hospitals in 10 selected KDRGs. The data was collected from the claims data of a tertiary hospital in Kyunggido from September 1, 1995 to August 31, 1996. The studies consisted of 1, 718 inpatients diagnosed for lens procedures, tonsilectomy &/or adenoidectomy, appendectomy with complicated principal diagnosis, Cesarean section, or vaginal delivery without any complications. The resources used in each KDRG were measured including average length of stay, total charges, number of orders, intensity of medical services, frequencies of medical services, the rate of non-reimbursable charges, and the rate of non-reimbursable orders. Then, the changes in hopital revenues due to the composition of medical fee schedules under the PPS were estimated as follows: 1) The variations in average lenght of stay, total charges, number of orders, the intensity of medical services, the frequency of medical services, the rate of non-reimbursable charges, and the rate of non-reimbursable orders among the 10 KDRGs were comparatively small. 2) The average lenght of stay was the longest(6.0 days) for appendectomy with complicated principal diagnosis, while it was the shortest(2.1 days) for two vaginal deliveries. Statistically differences existed in the average length of stay among physicians and among the dates of admission in several KDRGs. 3) The total charges were the highest for lens procedures(1, 716, 000 won), while the lowest charges were for two vaginal deliveries(558, 000 won). Statistically differences in the total charges were found among physicians in several KDRGs: however, there were no differences with the dates of admission. 4) The number of orders was the greatest(155) for appendectomy with complicated principal diagnosis, while it was the smallest(75) for the two vaginal deliveries. Statistical differences in the number of orders did not exist among physicians in the KDRGs. 5) Significant differences were found in the intensity of medical services, and in the frequency of medical services among physicians in the KDRGs. 6) The rate of non-reimbursable charges for each KDRG was not related to the rate of non-reimbursable orders. The rate of non-reimbursable orders was the highest(36.0%) for lens procedures, while the lowest rate(11.6%) was for appendectomy with complicated principal diagnosis. The rate of non-reimbursable charges was the highest(39.4-39.7%) for vaginal deliveries, while the lowest rate(13.1%) was for tonsillectomy &/or adenoidectomy(<17 ages). 7) If the physician's practicing style were not change under the PPS, the hospital revenuses could be increased by 10%, and the portion of patient payment could be decreased by 1.4-22.4%. However, the non-reimbursable charges for showed little change between two reimbursement systems. Based upon the above findings, this hospital could be eligible for participation in the PPS(Prospective Payment Systm). However, the process of diagnosis and treatment should be standardized, inentifying methods to reduce cost and to assure quality of medical care. Furthermore, consideration should be given to finding ways to increase patient volume.

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Inhibition of Lipid Autoxidation by the Extract of the Submerged-liquid Culture of Mushrooms in the Medium Containing Mulberry Tree Powders (뽕나무 첨가 배지에서 배양한 버섯균사체 배양물의 자동산화 억제 효과)

  • 김석종;임동길;형석원;김미숙;김정옥;김무남;이강권;하영래
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.33 no.2
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    • pp.249-254
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    • 2004
  • Effect of mulberry tree powders on the antioxidant activity of submerged -liquid culture of mushrooms was investigated. Agaricus blazei (AB), Hericicum erinacium (HE), Pleurotus ostreatus (PO), Phellinus linteu (PL) and Paecilomyces japonicus (PJ) were cultured in a shaking incubator (200 rpm, $25^{\circ}C$) for 7 days in culture media: 1) basal medium (BM) and 2) BM+1% mulberry tree powders (BMM). Hot water extracts from the submerged-liquid cultures of mushrooms and BMM were freeze-dried for the measurement of antioxidant activity, of which reaction mixture (25 mL: 10 mL of 0.2 M sodium phosphate buffer, pH 8.0; 4.5 mL distilled water; and 10.5 mL ethanol) contained 275 $\mu$mol linoleic acid and one mg test sample. The reaction mixture was incubated in a shaking incubator (200 rpm, 4$0^{\circ}C$) for 16 days. Peroxide value (POV) was measured for a period of over 16 days, and malonaldehyde (MA) was determined only for samples from the day 16 of incubation. Mycelial weight of mushroom strains cultured in BMM was greater than BM. The antioxidant activities of AB-cultured in BW (AB-BMM) and HE-cultured in BMM (HE-BMM) were superior to those of other mushroom strains-cultured in BMM or BM and of BMM. These results suggest that mulberry tree powders enhance the antioxidant activity of submerged-liquid culture of mushroom strains. The AB-BMM and HE-BMM were the most active cultures.

Mineral Contents of Brown and Milled Rice (현미와 백미의 품종별 무기질 함량)

  • 김미숙;양혜란;정윤화
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.33 no.2
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    • pp.443-446
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    • 2004
  • The objectives of this study were to analyze mineral contents of brown and milled rice of five varieties (Kwangan, Daean, Daejin, Sura, Hwaseong) and to compare those with Korean recommended dietary allowance. The ash contents of brown rice ranged from 1.28 to 1.45% and those of milled rice ranged from 0.51 to 0.62% The mineral contents of brown rices were P, 270.8∼327.2 mg/100 g; K, 216.0∼ 249.0 mg/100 g: Mg, 102.0∼111.0 mg/100 g, Ca, 11.8∼13.2 mg/100 g. The major minerals of milled rices were P, 125.3∼153.2 mg/100 g; K, 96.5∼118.6 mg/100g; Mg, 34.7∼40.0 mg/100 g; Ca, 6.0∼9.4 mg/100 g. Contents of phosphorus from average daily rice consumption (215.9 g) correspond to 90.7% of Korean RDA of phosphorus in brown rice while 42.3% in milled rice.

Analysis of Middle School Students' Difficulties in Science Inquiry Activity in View of Knowledge and Information Processing Competence (지식정보처리역량 관점에서 중학생들의 과학탐구활동 어려움 분석)

  • Son, Mihyun;Jeong, Daehong;Son, Jeongwoo
    • Journal of The Korean Association For Science Education
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    • v.38 no.3
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    • pp.441-449
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    • 2018
  • The knowledge and information processing competence is one of the essential competencies in an information-oriented society which is highly related to science education. The purpose of this study is to investigate middle school students' difficulties in science inquiry activity in view of the knowledge and information processing competence. Collection, processing, and application of information are extracted as common elements of the knowledge and information processing competence through literature search. Data were obtained from eight students of a middle school in Seoul for five months and were analyzed based on constant comparative method to extract students' difficulties. As a result, the element of information collection is observed through science inquiry and the element of information processing is observed in hypothesis setting step, inquiry result analysis step, and inquiry result sharing step. The element of information application is observed in the creation of posters for sharing and inquiry reports. Difficulties in information collection were found in lack of confidence in information gathering, systematic search strategy, and information reliability. Difficulties in information processing appeared in the inexperience of analysis program use, information transformation, and interpretation of linkage information. Difficulties in information application were caused by the lack of effective organization and effective expression of information. In this study, it is meaningful to provide a clue as to how the knowledge and information processing competence can be established in science education.

Strafrechtliche FahI${\square}$ssigkeit und Risiko bei den Piloten des Milit${\square}$rflugzeug (군항공기 조종자의 형사상 과실책임의 제한)

  • Song, Seong-Ryong
    • The Korean Journal of Air & Space Law and Policy
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    • v.19 no.2
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    • pp.163-177
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    • 2004
  • Wenn man das fahrl${\"{a}}$ssige Begehungsdelikt in Bezug auf ein Niveau eines Risiko der objektiv vorhandenen tatbestandlichen Erfolgsm${\"{o}}$glichkeit und auf die n${\"{o}}$tige Sorgfaltspflicht, die die T${\"{a}}$ter nimmt, um das solches Risiko abzuhalten, berucksichtigt, ergibt sich der spezielle Fall selten bei der Person, mit dem hoch-gefahrlichen Berufszweig besch${\"{a}}$ftigt ist, auf den die bestehende Allgemeine-Theorie ${\"{u}}$ber das gafahrl${\"{a}}$ssige Begehungsdelikt gleichm${\"{a}}$ssig unanwendbar ist. Bez${\"{u}}$glich des Piloten des Milit${\"{a}}$rflugzeug ergibt sich oftmals ein bestmmter Fall, die die KontroIIe des Risiko gesch${\"{a}}$ftlich uber sein eigenes pers${\"{o}}$nliches Ermessen geht, und er nimmt die Pflicht, die notwendige milit${\"{a}}$rische Zielsetzung zuerst vor allem zu ber${\"{u}}$cksichtigen, wenn auch technisch, klimatisch und umstandehalber ein normales Niveau von Risiko ${\"{u}}$bersteigt wird und zugleich ein bedenkliches hoches Risiko mit sich gebracht wird. Aus diesem Anla${\beta}$ kann man folgem, da${\beta}$ der Pilot des Milit${\"{a}}$rflugzeug ein besonderer Fall ist, auf den die Kriterien in Bezug auf das Gebiet der Regel ${\"{u}}$ber das fahrl${\"{a}}$ssige Begehungsdelikt gleichm${\"{a}}$ssig unanwendbar sind. Und weil die Vermehrung der Gefahr des Flugzeug sofort an die Vermehrung der Gefahr seines eigenen Leben angeschlossen wird und daher es eine M${\"{o}}$glichkeit gibt, da${\beta}$ der Pilot dem Resultat eines Gefahr zum ersten Opfer f${\"{a}}$llt, ist die Regelung in der Punkt der Generalpr${\"{a}}$vention gegen das fahrl${\"{a}}$ssige Begehungsdelikt sinnlos. Und auch muB die militarpolitische Punkt, die Piloten des Milit${\"{a}}$rflugzeug gem${\"{a}}$${\beta}$ dem notwendigen Ausma${\beta}$ auszubilden und das Ausma${\beta}$ zu behalten, aktuell berucksichtigt werden.

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사회복지시설의 민간자원 동원에 영향을 주는 요인 분석: 후원을 중심으로

  • Kim, Mi-Suk
    • 한국사회복지학회:학술대회논문집
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    • 2004.04a
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    • pp.261-297
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    • 2004
  • Social welfare facilities where provide the socially disadvantaged with proper social services, face financial difficulties. This is because not only of the lack of governmental support, but also of social welfare facilities' lack of skills in developing abundant resources from the private sector. In this context, this study tried to find factors affecting resource mobilization of the social welfare facilities to devise policies in resource development. Mail survey was conducted with the structured questionnaire. Employees in charge of community resource development were asked to answer the questionnaire. The study population were two types of welfare facilities: community welfare centers and residential care facilities. A total of 293 community welfare centers and 632 residential care facilities responded to the survey. The response rate was about 62%. The dependent variable of the study was the amount of resource mobilization in the year 2001 which was measured as the number of donors, the total amount of donation, and estimated amount of gift-in-kind. Three types models were constructed per each welfare facility. Independent variables were selected based on the previous research findings: community environment factor, structural factor, and resource development factor. Multiple regression was utilized to analyze the data. The resource development factor turned out to be significant variable in various models. In the models of donors, the amount of donation, and the amount of gift-in-kind, at least one out of four variables in the resource development factor was significant. Welfare centers which establish the resource development department or hire employees to take care of resource development, and adopt computer software in managing donors, receive more donations than their counterparts. Interestingly, the centers where employees take the responsibility of resource development as well as other responsibilities (dual duty), did not have more resources mobilized than those with no employees for resource development. Using computer software in managing donors turned out to be a significant variable in many models, except for the donor model. In addition, residential care facilities located in urban area have more donors and donations, and among residential facilities those for the elderly, children, and the mentally retarded and those hiring more employees, receive more donations than those for the disabled and those hiring less employees. As for the gift-in-kind model, the centers located in high income area and residential facilities for the elderly, women and mentally retarded receive less gift-in-kind than those for the disabled. Based on the above findings, this study suggested that to mobilize resources the welfare centers as well residential care facilities need to have community resource development department or resource development staffs, and adopt computer software to systematically organize donors.

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A Case of Cerebral Air Embolism that Occurred after CT-guided Transthoracic Needle Biopsy (CT 유도하 경피적 흉부 세침생검 후 발생한 뇌 공기 색전증 1례)

  • Yang, Doo Kyung;Lee, Soo-Keol;Suh, Sung Wan;Sohn, You Jeong;Kim, Kyoung Tae;Yoo, Jung Nam;Kim, Jong Kuk;Roh, Mee Sook;Choi, Pil Jo;Kim, Ki Nam;Lee, Ki-Nam;Son, Choon Hee
    • Tuberculosis and Respiratory Diseases
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    • v.57 no.5
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    • pp.480-483
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    • 2004
  • CT-guided transthoracic needle biopsy is a common procedure for the evaluation of pulmonary and mediastinal lesions. The most frequent complications include pneumothorax, hemorrhage, and hemoptysis. Air embolism, and especially cerebral embolism, is a rare but potentially fatal complication after this procedure. Here, we report on a case of cerebral air embolism that occurred after CT-guided transthoracic needle biopsy for the peripheral lung mass.

The Variation of Industrial Location Demand by Changing Policy of Seoul Metropolitan Area (수도권 정책변화에 따른 산업입지 수요의 변동)

  • Lee, Hyeon-Joo;Kim, Mi-Suk
    • Journal of the Economic Geographical Society of Korea
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    • v.14 no.3
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    • pp.286-306
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    • 2011
  • Based on the announcement by the National Competitiveness Council in 2008, this study analyzed the direction of the changing policy in Seoul Metropolitan Area promoted by the current government and to inquire into such the effect, research was done to study the changes in space demand by companies which respond sensitively to changes in regulation in Seoul Metropolitan Area. In addition, the effect of Seoul Metropolitan Area policy on company location is explored while company location changes and changes in direction of space demand due to easing of regulation in Seoul Metropolitan Area by the current government are examined. Research methods utilized empirical analysis and survey analysis. Empirical analysis utilized statistical data since 1980's. For survey analysis, the effect of changing policy in Seoul Metropolitan Area, which is an exogenous shock, on decision making of the enterprise is considered to derive the direction of demand for company manufacturing lots. The results of the study showed that decision for company location or factory size has been affected greatly by Seoul Metropolitan Area policy and domain regulation and institution to restrict permission area of a manufacturing building from the law of improvement plan of the Metropolitan area were the biggest regulatory policies. Due to easing of regulation in Seoul Metropolitan Area by the current government, the demand for manufacturing lot is expected to increase. In particular, the demand for manufacturing lot is expected to increase centered around Seoul Metropolitan Area and Chungcheong province while demand is expected to decrease in Gangwon province. The reason is because company preference is high for the Seoul Metropolitan Area which has the best transportation/logistics and market conditions in Korea. But in the case of Southeast region and Daegyung region that form exclusive economic zones, changing policy in Seoul Metropolitan Area has little impact. In the case of Seoul Metropolitan Area, demand increase does not occur in the entire area but instead, demand is expected to increase in growth management zones.

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A Study on Nutrient Intake and Food Habits influenced by Smoking for Female College Students in Seoul (여대생에 있어서 흡연양상과 흡연이 영양섭취 및 식습관에 미치는 영향 : 서울시내 여자대학생을 중심으로)

  • 송미숙
    • Korean Journal of Health Education and Promotion
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    • v.4 no.2
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    • pp.71-94
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    • 1987
  • Aiming to investigate nutrient intake and food habits influenced by smoking for female college students in Seoul, the questionnaire survey for 763 students was carried out. The results of the survey was summarized as follows: 1. 9.7% of students were found as the current smokers and 18.9% of students had experienced of smoking, however stopped smoking at present(experienced smokers) respectively. 2. In the current smokers, they started smoking with friends at the first (58.9%), alone (27.4%), and with seniors (11.0%) respectively. The psychological frustration (52.2%), curiosity (28.4%) respectively motivated smoking behavior at the beginning. The most had smoking usually at the entertaining place such as restaurant. Only 6.4% of current smokers consumed more than 10 cigarettes daily, and 55% of current smokers inhaled deeply into the lung while they smoked. Even 26% of current smokers explained their intention of not smoking after marriage, and also about 95% of current smokers explained to stop smoking in the case of pregnancy. 3. It was found as the fact that the school age, economic status, and parental smoking affected their prevalence of cigarette smoking. The higher their schoolage, the higher smoking showed; the more their money spent and the lower father smoking showed ; the more their money spent and the lower father's educational level, the higher smoking showed; the more drink, the higher smoking showed. 4. The value evaluation of cigarette smoking also affected the prevalence of cigarette smoking. Of the students recognized advantageous parts of smoking, the prevalence of cigarette smoking was higher. 5. Logistic regression analysis was to determine the most effective factor which determined prevalence of cigarette smoking. The most effective factor was value evaluation of cigarette smoking. The order of effective factors was health value of cigarette smoking, their drinking capacity and the value evaluation of change in body weight due to smoking and smoking's advantages. 6. Cigarette smoking showed signs of affecting to food habits. In the case of smoking, the missing rate of taking regular meals was higher, and the frequency rate of taking regular meals was lower. Also, smokers took meals less regularly. Even the smokers took less candy than non-smokers, however, smokers liked to take more coffee, alcohol, and hot tasting food than non-smokers. 7. Smoking seemed to affect the nutritional status. It was found that smokers took many kinds of nutrients insufficiently, therefore their calory intake by age was not reached to RDA.

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Development of the Purlin Hanging System Form for the Girder Bridge Slab and Economic Analysis (거더교 상판 콘크리트 타설용 거푸집 개발 및 경제성 분석)

  • Lim, Jeeyoung;Kim, Sunkuk;Son, Kiyoung
    • Journal of the Korea Institute of Building Construction
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    • v.16 no.3
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    • pp.271-278
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    • 2016
  • In the case of South Korea, steel girder bridge (steel box or H-steel) and PSC (Pre-Stressed Concrete) girder bridge are the representative upper structures of railroad and road bridges. These structures account for 75% of the total bridge constructions and 80% of the total construction cost. Since the form work for concreting bridge slab is difficult, various construction methods developed and applied. However, several problems in those methods did not solve partially, including cost increase by material loss and rise of labor costs, quality deterioration by unskilled workers, increased construction time by complicated method, reduced productivity, safety accident by high place work, difficult transportation by big member, and rise of maintenance cost by material characteristic. Alternative method is needed to solve problems of as-is methods. Therefore, the purpose of this study is development of the purlin hanging system form for the girder bridge slab and its economic analysis. Through the findings of this study, it was verified that the purlin hanging system form is possible 60% reduction in cost and 80% reduction in time as comparison with conventional method.