• The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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• v.34 no.2
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• pp.21-37
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• 2021

Objectives : Allergic rhinitis(AR) is a common chronic disease that accounts for 10-40% of the world's population. This study aims to analyze the status of claims, prevalence, and medical utilization of allergic rhinitis patients using representative patients sample data. Methods : This study used the National Patients Sample(HIRA-NPS) of the Health Insurance Review and Assessment Service for 7 years(2010-2016). And we defined AR patients as all statements including J30 or a subcategory of J30 as the main disease, using the Korean Standard Classification of Diseases(KCD-7). The trend of AR patients by year was divided into Western medicine(WM) and Korean medicine(KM), and analyzed by subgroup analysis such as inpatient/outpatient, gender, age, insurance type, and care institution. Results : Patients with AR were mainly claimed for first sub diagnosis in WM and major diagnosis in KM, and the number of claims increased about 1.3 times and 1.4 times compared to 2010 in WM and KM, respectively. In addition, the total annual medical expenses in 2016 increased 1.3 times and 1.7 times compared to 2010, respectively. Conclusions : Both WM and KM are showing a steadily increasing trend in medical use due to allergic rhinitis. Further research is needed by considering genetic and environmental factors and individual characteristics, and linking with additional data.

• Journal of Society of Preventive Korean Medicine
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• v.25 no.2
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• pp.1-11
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• 2021

Objective : The purpose of this study is to analyze Korean patients' characteristics, who were concurrently treated with both Korean herbal medicines and Western chemical medicines using nation-wide database. Method : Using the patients sample data (HIRA-NPS 2018) provided by Health Insurance Review and Assessment Service, a group of patients who co-administered Korean herbal and Western medicines was selected, and their basic characteristics, diagnosis, and prescribed chemical medicines were analyzed. Results : Out of the 1,481,921 sample population, 17,629 patients (1.2%) were selected as a concurrent medication group. Compared to the whole sample, the concurrent medication group was composed of more women (65.8% vs. 51.1%), the more elderly people (65 or older years old) (44.5% vs. 14.6%), and the higher prevalence of chronic diseases (49.1% vs. 22.2%). The most frequent diagnosis treated with Western medicines was mental and behavioral disorders, musculoskeletal and circulatory disorders. Frequently used drugs among concurrent medication group were anti-anxiety drugs, gastric ulcer treatment drugs, and senile diseases treatment drugs. Conclusion : The evidence reported in this study is expected to provide herb-drug interaction researchers with important reference to set the priorities of research topics in the future.

• Parasites, Hosts and Diseases
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• v.60 no.5
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• pp.327-338
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• 2022

This study determined the recent status and trend of Pneumocystis jirovecii pneumonia (PcP) in the non-human immunodeficiency virus (HIV) (non-HIV-PcP) and HIV (HIV-PcP) infected populations using data from the Health Insurance Review & Assessment Service (HIRA) and the Korea Disease Control and Prevention Agency (KDCA). SaTScan and Join-point were used for statistical analyses. Non-HIV-PcP cases showed an upward trend during the study period from 2010 to 2021, with the largest number in 2021 (551 cases). The upward trend was similar until 2020 after adjusting for the population. Seoul had the highest number of cases (1,597) in the non-HIV-PcP group, which was the same after adjusting for the population (162 cases/1,000,000). It was followed by Jeju-do (89 cases/1,000,000). The most likely cluster (MLC) for the non-HIV-PCP group was Seoul (Relative Risk (RR)=4.59, Log Likelihood Ratio (LLR)=825.531), followed by Jeju-do (RR=1.59, LLR=5.431). An upward trend was observed among the non-HIV-PcP group in the Jeju-do/Jeollanam-do/Jeollabuk-do/Gyeongsangnam-do/Busan/Daejeon/Daegu/Ulsan joint cluster (29.02%, LLR=11.638, P<0.001) located in the southern part of Korea. Both women and men in the non-HIV groups showed an overall upward trend of PcP during the study period. Men in the 60-69 age group had the highest annual percentage change (APC 41.8) during 2014-2019. In contrast, the HIV groups showed a falling trend of PcP recently. Men in the 60-69 age group had the most decrease (APC -17.6) during 2018-2021. This study provides an analytic basis for health measures and a nationwide epidemiological surveillance system for the management of PcP.

• The Journal of Churna Manual Medicine for Spine and Nerves
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• v.17 no.2
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• pp.131-139
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• 2022

Objectives This study aimed to analyze the medical utilization of low back pain (LBP) patients after back surgery and estimate the medical costs of Korean and Western medicine collaborative treatment, odds ratio, and hazard ratio between the two groups using the 2019 Health Insurance Review and Assessment Service-National Patient Sample (HIRA-NPS-2019). Methods Data management and descriptive analysis, logistic regression, and survival analysis were conducted for defining and estimating the LBP patients after back surgery in the NPS 2019 dataset. Results A total of 216,424 patients out of 991,189 were identified as having LBP. Among the patients with LBP, 1,734 were treated with surgery while 214,690 were not. Among those who had surgery, 937 were treated with conventional treatments only and 797 underwent Korean medicine treatments. The odds ratio of the logistic regression analysis was 0.7129, suggesting that Korean medical treatment experience group had a 28.7% lower risk of reoperation than the Western medical treatments only group. The hazard ratio of the survival analysis was 0.9145; thus, the risk probability of reoperation was estimated to be approximately 8.55% lower. The 50% risk of reoperation was 69 days (0.5044) for the conventional group, and 97 days (0.5008) for the Korean medical group in the survival analysis using the Kaplan-Meier graph. Conclusions These results could be utilized in future studies in conducting economic evaluation for estimating cost-effectiveness of Western medicine and Korean medicine treatment compared to Western medicine alone in LBP patients after back surgery in a South Korean perspective. mended and should be applied while taking the necessary precautions.

• Knowledge Management Research
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• v.11 no.5
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• pp.25-36
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• 2010

It is widely known that KMS (Knowledge Management System) plays a role of facilitator that contributes to upgrading the organizational performance. Despite this widespread belief, actual operation of KMS has been stalled at the level of being used only for the plain knowledge administration, not reaching the level of utilizing KMS strategically. In this sense, this case study suggests three successful KMS operation strategies-personalization strategy, socialization strategy, and technological strategy. Cases adopted in this study include HIRA(Health Insurance Review & Assessment Service) and KORAIL (Korea Railroad) where KMS has been successfully utilized to improve their organizational innovation and performance as well. Through scrutinizing the two cases, it was concluded that the proposed three KMS operation strategies have potentials of being generally applied to other KMS operation cases.

• Korean Journal of Clinical Pharmacy
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• v.20 no.3
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• pp.242-247
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• 2010

Controlling inappropriate antibiotics prescribing for acute upper respiratory infections(URI) is a very important for prudent use of antibiotics and resistance control. Health Insurance Review and Assessment Service (HIRA) introduced Prescribing Evaluation Program and publicly reported antibiotics prescribing rate for URI of each health institution. We performed segmented regression analysis of interrupted time series to estimate the effect of public report on antibiotics prescribing rate using national health insurance claims data. The results indicate that just before the public report period, clinics' monthly antibiotics prescribing rate for URI was 66.7%. Right after the public report, the estimated antibiotics prescribing rate dropped abruptly by 12.3%p. There was no significant changes in month-to-month trend in the prescribing rate before and after the intervention.

• Journal of the Korean Data and Information Science Society
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• v.16 no.4
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• pp.801-813
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• 2005

The discretization algorithms for continuous data have been actively studied in the area of data mining. These discretizations are very important in data analysis, especially for efficient model selection in data mining. So, in this paper, we introduce the principles of some mutiway discretization algorithms including KEX, 1R and CN4 algorithm and investigate the efficiency of these algorithms through numerical study. For various underlying distribution, we compare these algorithms in view of misclassification rate.

• International Journal of Precision Engineering and Manufacturing
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• v.9 no.2
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• pp.34-38
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• 2008

Commercially available magnetic barrel machines equipped with permanent magnets have certain limitations: work can only be finished effectively in limited areas of the container because permanent magnets are arranged two-dimensionally on the magnet disk. We overcame this problem by developing a new magnetic barrel machine equipped with a three-dimensional magnet arrangement. The effectiveness of the new machine has already been reported; this study improved the machine's polishing ability by changing the polarity of magnets on a magnet block. Polishing experiments confirmed the most effective arrangement of magnets on the magnet block. An alternating arrangement of north and south poles produced far superior polishing characteristics than a uniform arrangement of the same pole facing outward. Alternating polarity probably causes increased quantities of barrel media to work together. Finally, we introduced stronger permanent magnets to the magnet block, and found that the increased magnetic field also improved polishing ability.

• The Korean Journal of Applied Statistics
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• v.29 no.1
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• pp.145-155
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• 2016

In this paper, we compare forecasting models for disease occurrences in elderly patients due to the weather. For the analysis, the medical data of aged patients released from Health Insurance Review and the weather data of the Korea Meteorological Administration are weekly and regionally merged. The ARMAX model, the VARMAX model and the TSCS regression model are considered to analyze the number of weekly occurrences of some diseases attributable to climate conditions. These models are compared with MSE, MAPE, and MAE criteria.

• Proceedings of the Korea Contents Association Conference
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• 2016.05a
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• pp.471-472
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• 2016

최근들어 현대인들의 건강에 대한 인식의 변화에 따라 여러 가지 헬스케어 서비스들이 대두되고 있고 자기 자신이 직접 건강 체크를 하기 시작한다. 또한, 자신의 건강에 대해 체크해주는 스마트 워치같은 제품들이 많이 나와있어 자신의 건강을 보다 쉽게 관리할 수 있다. 본 논문에서는 스마트 기기를 통해 만성질환 환자들이 직접 쉽고 간편하게 자신의 건강에 대해 관리할 수 있고, 심평원에서 제공하는 HIRA-NPS(전체환자표본)자료를 이용하여 만성질환의 토픽에 관련된 내용을 가시화해서 보여주어 사용자들에게 쉽게 건강에 관련된 내용들을 보여줄 수 있다.