• 제목/요약/키워드: Out of pocket

검색결과 275건 처리시간 0.032초

부산 지역 중.고등학생의 패스트푸드 이용 실태와 영양지식, 식생활 태도와의 관련성에 관한 연구 (A Study on the Relationship between Fast Food Consumption Patterns and Nutrition Knowledge, Dietary Attitude of Middle and High School Students in Busan)

  • 최민경
    • 한국조리학회지
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    • 제13권2호
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    • pp.188-200
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    • 2007
  • This study was carried out to investigate fast food consumption patterns, nutrition knowledge, dietary attitude of middle and high school students in Busan. A questionnaire survey was conducted among 562 students from April 8 to April 22 in 2006. The results are summarized as follows. Convenience to eat is the best motive for visiting fast food restaurants. Nutrition knowledge scores of middle school male students were lower than those of the other groups. The more nutrition knowledge female students have, the lower fast food consumption became. There was no significant difference in nutrition knowledge and fast food consumption in male students. There was a significantly positive correlation between education levels of their parents and dietary attitude of the subjects(p<0.01). Pocket money showed a significantly negative correlation with dietary attitude and with fast food use frequency(p<0.05). There was a significantly positive correlation between nutrition knowledge and dietary attitude of the subjects. The use frequency of fast food showed a negative correlation with dietary attitude(p<0.01) and nutrition knowledge(p<0.05) of the subjects. Therefore, proper nutrition education is required to improve their nutritional status and dietary attitude.

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The art of diabetes care: guidelines for a holistic approach to human and social factors

  • Muhammad Jawad Hashim
    • Journal of Yeungnam Medical Science
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    • 제40권2호
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    • pp.218-222
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    • 2023
  • A holistic approach to diabetes considers patient preferences, emotional health, living conditions, and other contextual factors, in addition to medication selection. Human and social factors influence treatment adherence and clinical outcomes. Social issues, cost of care, out-of-pocket expenses, pill burden (number and frequency), and injectable drugs such as insulin, can affect adherence. Clinicians can ask about these contextual factors when discussing treatment options with patients. Patients' emotional health can also affect diabetes self-care. Social stressors such as family issues may impair self-care behaviors. Diabetes can also lead to emotional stress. Diabetes distress correlates with worse glycemic control and lower overall well-being. Patient-centered communication can build the foundation of a trusting relationship with the clinician. Respect for patient preferences and fears can build trust. Relevant communication skills include asking open-ended questions, expressing empathy, active listening, and exploring the patient's perspective. Glycemic goals must be personalized based on frailty, the risk of hypoglycemia, and healthy life expectancy. Lifestyle counseling requires a nonjudgmental approach and tactfulness. The art of diabetes care rests on clinicians perceiving a patient's emotional state. Tailoring the level of advice and diabetes targets based on a patient's personal and contextual factors requires mindfulness by clinicians.

도시에 거주하는 여자노인의 영양상태와 건강상태에 관한 조사연구 (A Study on the Nutritional Status and Health Condition of Elderly Women Living in Urban Community)

  • 김혜경
    • Journal of Nutrition and Health
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    • 제22권3호
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    • pp.175-184
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    • 1989
  • This survey was carried out to obtain the information concerning nutritional status, including factors of food intake and health condition of elderly women living in Ulsan city. Main results were as follows. 1) Dietary intake data showed the average daily intake of energy, protein, vitamin A, riboflavin and ascorbic acid were lower than Korean recommended dietary allowances (RDA). According to the percentage of RDA, Vitamin A was the nutrient found to be least sufficient. 2) Among the various influencial factors, pocket money, meal-mate, skip meal and health concern influenced on nutrient intake considerably. A meal condition score based on influencial factors, showed significant correlations with all nutrient intake(P<0.001). A health score based n the subjects complains about health condition, showed significant correlations with intake of energy, carbohydrate, thiamin, and niacin(P<0.05). 3) Average hight was below Korea reference, while average body weight of subjects was close to Korean reference. Average body mass index was 23.0. 4) The average systolic and diastolic blood pressure was 140mmHg/88mmHg, the proportion of hypertension was 32.4 percent. The average hemglobin concentration was 12.7g/dl, only 6.7 percent of subjects were anemic. Serum cholesterol concentration was normal range(140~220mg/dl) in all subjects.

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삼차원 구의 보로노이 다이어그램 계산을 위한 두 가지 알고리듬 및 단백질구조채석에의 응용 (Two Algorithms for Constructing the Voronoi Diagram for 3D Spheres and Applications to Protein Structure Analysis)

  • 김동욱;조영송;김덕수
    • 한국CDE학회논문집
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    • 제11권2호
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    • pp.97-106
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    • 2006
  • Voronoi diagrams have been known for numerous important applications in science and engineering including CAD/CAM. Especially, the Voronoi diagram for 3D spheres has been known as very useful tool to analyze spatial structural properties of molecules or materials modeled by a set of spherical atoms. In this paper, we present two algorithms, the edge-tracing algorithm and the region-expansion algorithm, for constructing the Voronoi diagram of 3D spheres and applications to protein structure analysis. The basic scheme of the edge-tracing algorithm is to follow Voronoi edges until the construction is completed in O(mn) time in the worst-case, where m and n are the numbers of edges and spheres, respectively. On the other hand, the region-expansion algorithm constructs the desired Voronoi diagram by expanding Voronoi regions for one sphere after another via a series of topology operations, starting from the ordinary Voronoi diagram for the centers of spheres. It turns out that the region-expansion algorithm also has the worst-case time complexity of O(mn). The Voronoi diagram for 3D spheres can play key roles in various analyses of protein structures such as the pocket recognition, molecular surface construction, and protein-protein interaction interface construction.

광주 신창동 출토 칠기칼집 보존처리 (Conservation for Pocket of Wooden Dagger Excavated from Sinchang-dong, Gwangju)

  • 김수철;이용희
    • 박물관보존과학
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    • 제5권
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    • pp.37-41
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    • 2004
  • 광주신창동 저습지유적에서 출토된 수침고목재 유물은 재질이 매우 취약하여, 공기 중에 노출되면 건조가 진행되어 곧바로 수축·변형이 일어나게 되므로 전시 및 보존을 위해서는 특별한 보존처리가 필요하다. 특히 칠기칼집과 같이 목재표면에 치밀하게 옻칠이 되어있어 칠기는 처리약제가 잘 침투되지 않고 처리 중 칠막이 부풀거나 탈락될 우려가 높아 보존처리가 매우 까다롭다. 칠기칼집은 낮은 농도의 PEG#4000 40% 수용액(水溶液)에 함침처리 후 동결건조하는 방법을 적용하여 보존처리 하였다.

유압 피스톤 펌프의 슬리퍼 정압베어링에 관한 윤활특성 연구 (A Study on Lubrication Characteristic of Slipper Hydrostatic Bearing in Hydraulic Piston Pump)

  • 정재연;백일현;조인성;송규근;오석형;정석훈
    • 유공압시스템학회논문집
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    • 제4권3호
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    • pp.1-6
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    • 2007
  • The leakage generated from the clearance between the cylinder bore and the piston is one of the most serious problems in the hydraulic piston pump, and it even results in terrible decrease of the volume efficiency at a great velocity and high pressure. In this paper, the lubrication characteristic of the hydrostatic slipper bearing equipped in the hydraulic piston pump has been worked out by experimentation with three model bearings of different shape. Preparatory to this, not only the three models of piston-slipper were designed, but the corresponding experimental apparatus were also manufactured. As a result, it was verified that, according to the supply pressure, the hydrostatic bearing part of the slipper is severely affected by the pocket pressure, land pressure, oil film thickness, and leakage flow.

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문재인 정부의 건강보험 보장성 강화대책 (Moon Jae-in Government's Plan for Benefit Expansion in National Health Insurance)

  • 박은철
    • 보건행정학회지
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    • 제27권3호
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    • pp.191-198
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    • 2017
  • Moon Jae-in Government announced the Government's 5-Year Plan on July 19, 2017, President Moon directly announced the Government's Plan for Benefit Expansion in National Health Insurance on August 7, 2017. The main contents of the announced expansion include benefit coverage for all medically necessary services with control over non-covered service occurrence, a decrease in the cost-sharing upper limit, and monetary support for catastrophic medical costs. Although past governments have been continuously striving for benefit expansion in the last 15 years, this plan has its breakthrough aspect in that all medical services will be covered by the National Health Insurance. In alignment, there are important tasks to solve: attaining a proper fee schedule, reforming the healthcare delivery system, and improving healthcare quality. This plan is a symptom oriented action in that it is limited in reducing patients' out-of-pocket money, unlike the systematic approach of the National Health Insurance. The sustainability of the National Health Insurance is being threatened due to South Korea's low birth rate, rapidly aging society, and low economic growth, in addition to the unification issue of the Korean Peninsula, medical utilization of the elderly, management of non-communicable diseases, and so on. Therefore, the Government needs to plan the National Health Insurance system reformation including actions addressed toward medical consumers.

조경 공사 내역서 계산 자동화를 위한 소프트웨어 개발에 관한 연구 (A Study on the Software Development to Automate the Calculation for the Landscape Architecture Construction Cost Estimation.)

  • 이규석;황국웅
    • 한국조경학회지
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    • 제20권2호
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    • pp.106-118
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    • 1992
  • The landscape architecture construction cost estimation includes the repeated calculation and updating. Thus, it is time-consuming, and one of the jobs which needs to be automated first. In Korea, the IBM compatible personal computer(PC) is the most widely used one in the landscape architecture firms. However, the software for landscape architecture construction cost estimation is not being used in the PC environment. Therefore, the purpose of this study is to develop the software which can be used to automate the calculation for the landscape architecture construction cost estimation, and runs in the IBM compatible personal computers(PC). The clipper '88 summer is one of the DBMS software packages, and it has many commands and functions and functions which reduces program lines and makes the programing efficient, especially in the programing work whose total source code lines do not exceed over 10,000 lines. So, it was used in this study. The software developed in the this study was tested using the real data, and it was found that it can be efficiently used in the following jobs. They are: (1) to calculate exactly and rapidly. (2) to use resources repeatedly. (3) to print out the results. (4) to store data files for the future use. The software, as discussed in this paper, reduces the time and efforts to be spent in the calculation for the landscape architecture construction cost estimation compared with the traditional approach using the pocket calculator.

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능동소자의 접합 커패시턴스를 이용한 VCO 설계에 관한 연구 (A Study on the Design of VCO Using Junction Capacitance of Active Element)

  • 강석엽;박욱기;고민호;박효달
    • 한국항행학회논문지
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    • 제8권1호
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    • pp.57-65
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    • 2004
  • 본 논문에서는 경량화, 소형화 가격절감에 맞추어 전압 제어 발진기의 공진기 부분에 바랙터 다이오드를 사용하지 않고, 발진부에 사용된 트랜지스터의 베이스 단에 제어 전압을 인가하여 TR 내부 커패시턴스를 변화시키므로 하여 X/Ku 대역 민수용 RD에 사용 가능한 전압 제어 발진기를 설계 및 제작하였다. 시뮬레이션을 수행 한 결과 설계한 전압 제어 발진기는 4.25 V에서 4.80 V까지의 제어 전압에 의하여 약 110 MHz의 주파수 동조 범위를 보였으며, 11.46 GHz 동작 주파수에서 9.63 dBm의 출력 및 1 MHz의 옵셋 주파수에서 -107.2 dBc의 위상잡음 특성을 나타내어 상용 목적에 적합한 성능을 내었다.

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인접치아가 임플란트 치은연하 세균총의 분포에 미치는 영향 (The influence of adjacent tooth to the microbiology of implant sulcus)

  • 이동영;이만섭;권영혁;박준봉;허익;정종혁
    • Journal of Periodontal and Implant Science
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    • 제35권3호
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    • pp.563-575
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    • 2005
  • The aim of present study is to evaluate the influence of adjacent tooth to the microbiology of clinically healthy implant. Control group included patients who had clinically healthy implant and tooth with healthy $periodontium(PD{\leq}3mm)$, test group was composed of patients who had clinically healthy implant and tooth with periodontal pocket(PD>3mm). The criteria of clinically health implant are no pain or discomfort, the restorative suprastructure provide satisfactory fit and function, and the tissue around the fixtures were firm and probing with standard periodontal probe with a rounded tip 0.5mm in diameter resulted in penetration of no more than 5mm when using a force of 0.5N at any location. 38 patients, partially edentulous subjects with endosseous root-form implants were selected. All subjects were medically healthy and had not taken systemic antibiotics and professional plaque control 3 months before sampling. Number of control group is 25(mean age $52{\pm}13$, 26 teeth, 34 implants) and test group is 13(mean age $60{\pm}13$, 13 teeth, 17 implants). All teeth and implants of each patient were examined probing depth(PD), bleeding on probing(BOP), and plaque index(PI), and samples of subgingival plaque were obtained at each site with sterile curet or fine paper points, then the plaque transferred to PBS. Obtained samples were examined for the presence of P. gingivalis, T. forsythensis, and T. denticola by the polymerase chain reaction(PCR). The relationship among clinical parameters and the colonizations by the 3 bacterial species from natural teeth and implants region were analyzed by student t-test. The results of this study were as follows: 1. PD was different in teeth between 2 groups(p<0.05), but the other parameters were not. 2. Statistically significant difference was not found in clinical parameters of implants between 2 groups. 3. All bacterial prevalences of teeth were higher in test group than in control group, and prevalence of T. forsythensis had statistically significant difference between 2 groups(p<0.05). 4. Prevalences of P. gingivalis and T. forsythensis are higher in test group than control group, and that of T. denticola is higher in control group than in test group. But there were no statistically significant differences between 2 groups. In conclusion, there is no statistically significant difference in prevalence of implant microbiology between 2 groups. But if the number of samples increased, it will be possible to find out statistical significance in prevalence of P. gingivalis. It seems that pocket of adjacent tooth influences prevalence of P. gingivalis. These results mean that improvement of the periodontal condition before implantation is very important.