• 제목/요약/키워드: Out of pocket

검색결과 275건 처리시간 0.029초

골결손과 치주질환 유도 후 성견 절치의 실험적 함입이동시 치주조직의 반응 (PERIODONTAL RESPONSE FOLLOWING APPLICATION OF INTRUSIVE FORCES TO THE INCISORS WITH BONE LOSS AND PERIODONTAL DISEASE IN ADULT DOGS)

  • 황현식;박양수;최홍란
    • 대한치과교정학회지
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    • 제28권3호
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    • pp.431-440
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    • 1998
  • 치주질환에 이환된 성인환자에서 상악전치의 치간공간과 아울러 정출이 발생된 경우 기능 및 심미의 회복을 위해서는 함입이동이 필요하다. 본 연구는 골하치주낭 즉, 수직적 골결손이 있는 절치의 함입이동시 치주조직 반응을 살펴보기 위하여 시행되었다. 상악 좌우 측절치에 골결손과 함께 치주질환을 유발시킨 성견 4마리를 실험대상으로 하여 양측 모두에 치주수술을 시행하고 결손부 최하방 치근면에 notch를 형성 한 2주후 우측 제2측절치는 4주간 함입이동 후 4주간 보정을 시행한 실험측으로, 좌측 제2측절치는 구강위생관리만 시행한 대조측으로 사용한 바 조직소견을 통하여 다음과 같은 결론을 얻었다. 1. 함입이동없이 치주수술만 시행한 대조측의 조직소견은 치주낭 깊이의 감소를 보였으나 notch 부위부터 치주낭 기저부까지 긴 접합상피 상태를 보였으며 신생백악질이 형성된 일부에서만 결합조직 부착의 양상이 보였다. 2. 함입이동을 시행한 실험측은 대조측에 비하여 상피부착이 줄어든 반면 보다 넓은 신생 결합조직 부착 소견을 나타내었다. 3. 대조측과는 달리 실험측 notch근처의 결합조직내에는 다수의 세포가 관찰되었으며, 신생 백악질 생성 역시 대조측보다 많이 관찰되었다. 이상의 결과는 치주질환으로 인하여 정출된 치아에서도 철저한 염증조절과 구강위생이 유지되고 적절한 크기의 힘에 의하여 순수한 함입이동이 적용된다면 바람직한 치료결과가 가능함을 시사하였다.

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PFC프로세스 의한 Fe기 Fe78Si9B13 비정질 합금리본 제조에 있어서 습도변화가 표면결함 및 연자기적 특성에 미치는 영향 (Influence of Humidity Variation on the Surface Deffects and Soft Magnetic Properties in the Fabrication of Fe Based Amorphous Alloy Ribbon by the PFC Process)

  • 최영진;장세종;김상욱;전병서;김상무;송창빈;김용찬;남궁정
    • 한국자기학회지
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    • 제25권1호
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    • pp.4-9
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    • 2015
  • 본 연구는 PFC(Planar Flow Casting)프로세스에 의한 Fe기 $Fe_{78}Si_9B_{13}$ 비정질 합금리본 제조에 있어서 습도변화(55~85 %)가 비정질 합금리본의 표면결함 및 자기적 특성에 미치는 영향을 조사하였다. 그 결과, 비정질 합금리본의 접촉면과 자유면에서 관찰된 air pocket/droplet의 크기는 습도가 증가할수록 커지는 경향을 보임과 동시에 표면조도과 함께 크게 증가하였으며, 특히 습도 65 %에서 제조한 표면조도 값이 접촉면($Ra=0.60{\mu}m$, $Rz=3.11{\mu}m$)과 자유면($Ra=0.47{\mu}m$, $Rz=3.00{\mu}m$)에서 모두 가장 낮은 값이 얻어졌다. 또한 $23(OD)^*20(ID)^*20(H)$ 크기의 토로이달 코어로 제조된 자성코어의 연자기적 특성의 경우에도 65 %에서 제조한 비정질 합금리본의 시료에서 $B_s(B_{700})=1.055T$, $H_c=0.083Oe$, 투자율 = 1,197 및 core loss = 0.276 W/kg로 가장 우수한 값이 얻어졌다.

인구사회학적 특성 및 건강행위 특성에 따른 치주상태 평가 (Evaluation of Periodontal Status according to Sociodemographic and Health Behavior Characteristics)

  • 한경순;배광학;이명주;최준선
    • 치위생과학회지
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    • 제8권4호
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    • pp.395-401
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    • 2008
  • 본 연구는 인구사회학적 특성 및 건강행위 특성과 치주상태의 관련성을 평가하여 치주건강 증진에 도움이 될 수 있는 기초자료를 제공하고자 실시되었으며 다음과 같은 결과를 얻었다. 1. 치면세균막지수 및 치은염지수는 인구사회학적 특성 및 건강행위 특성별 차이가 나타나지 않았다. 2. 치주낭보유분악수는 인구사회학적 특성에서 남자(3.34)가 여자(2.43)에 비해 높았으며(p < 0.01), 직무분야인 생산직(3.69), 전문직(3.43), 관리직(2.92), 가정주부(2.67), 사무직(2.61)간에서도 차이가 나타났다(p < 0.05). 건강행위 특성에서 흡연자(3.38)가 비흡연자(2.72)보다 유의하게 높았고, 음주횟수인 주 3회이상(3.48)과 주 2회 이하(3.32), 거의 마시지 않음(2.70) 사이에서도 차이가 확인되었다(p < 0.05). 3. 치간골소실량은 인구사회학적 특성에서 남자(71.79mm)가 여자(42.24 mm)에 비해 높았고, 직무분야로는 전문직(99.20 mm)이 매우 높았으며, 관리직(71.19mm), 생산직(61.07mm), 가정주부(50.86mm), 사무직(50.35mm)간에 높은 차이가 나타났다(p < 0.05). 건강행위 특성에서는 흡연자(67.23 mm)가 비흡연자(48.22 mm)보다 높은 상실율을 나타냈다(p < 0.05). 4. 상실치아수는 인구사회학적 특성에서 50대(0.74), 40대(0.35), 30대(0.17)간의 유의한 차이가 있었으며, 건강행위 특성에서는 음주횟수에서 주 3회 이상(0.68)과 주2회 이하(0.45), 거의 마시지 않음(0.20) 사이에 차이가 확인되었다(p < 0.05).

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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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대학생의 건강증진해위 수행정도와 관련요인 (Health Promoting Behavior of University Students and Related Factors)

  • 김보경;정문숙;한창현
    • 보건교육건강증진학회지
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    • 제19권1호
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    • pp.59-85
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    • 2002
  • The purpose of this study was to examine the health promoting behavior of university students and its related factors. A self-administered questionnaire survey was carried out for 1,031(male, 477, female, 554) students from 7 universities in Taegu from March 10 to April 15 2000. Collected data were analyzed by the $X^2$-test, t-test, ANOV A and structural equation modeling analysis. The results of this study were as follows; Mean score of health promoting behavior of women was higher than mean score of men(p〈0.01). According to the subordinate fields, female students showed significantly higher scores in the fields of stress management, nutrition, personal relations and alcohol-cigarette(p〈0.05). And in male students, the only fields of exercise had meaningfully higher score(p〈0.01). The highest degree of performance was marked in alcohol-cigarette field in female, and interpersonal field in male. In Both male and female students, the lowest field was health responsibility. The mean score of health promoting behavior showed significant differences in intermediating factors such as age, health education and grade in male, and such as grade, pocket money for a month, taking health education, perceived body shape and gastrointestinal symptoms in female(p〈0.05). The mean score of health promoting behavior showed significant differences in cognitive-perceptual factors and cues to action such as perceived health status, perceived benefits, perceived barriers, and health concern of parents in both male and female(p〈0.05). By the results of structural equation modeling analysis in male students, the economic status, gastrointestinal symptoms and perceived body shape as lean had significant direct effects on cognitive-perceptual factors($\mid$T$\mid$〉2.0). Grade and health concern of parents had significant direct effects on health promotion behaviors($\mid$T$\mid$〉2.0). In female students, perceived body shape as lean and perceived body shape as fat had significant direct effects on cognitive-perceptual factors($\mid$T$\mid$〉2.0). Grade, pocket money and health concern of parents had significant direct effects on health promotion behaviors($\mid$T$\mid$〉2.0). On the consideration of above findings, it is recommended that perceived health status and perceived benefits should be raised and perceived barriers should be lowered to increase health promoting behaviors, by means such as institutional approach which can enhance the primary prevention for a disease. In addition, the health policy for improving parents' concern about health as well as university students, through various ways such as health education, consulting, and health program, should be employed.

베이비붐 세대의 성공적 노화에 관한 연구 : Rowe & Kahn 이론을 적용하여 (Study on the Successful Aging of Baby-Boom Generation : Application of Rowe & Kahn's Theory)

  • 전병주;한혜숙
    • 한국콘텐츠학회논문지
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    • 제19권10호
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    • pp.69-83
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    • 2019
  • 본 연구는 한국에서 전체 인구의 15%를 차지하는 베이비붐 세대가 노년기에 진입하는 현실을 반영하여 베이비붐 세대의 성공적 노화 수준 및 영향요인을 파악하고자 하였다. 이 과정에서 Rowe & Kahn의 이론을 적용하였고, 고령화연구패널조사의 5차 기본조사와 특별조사의 데이터를 결합하여 총 2,577명의 자료를 분석하였다. 본 연구에서 자료 분석은 IBM SPSS Statistics ver. 20.0을 이용하였으며, 주요 연구결과는 다음과 같다. 첫째, 본 연구에서 베이비붐 세대의 성공적 노화 수준(범위: 0~9점)은 $6.36{\pm}1.39$로 나타나 베이비붐 세대의 성공적 노화에 대해 긍정적으로 평가할 수 있다. 하지만, 성공적 노화의 하위요인에 따라 성공적 노화로 판단된 비율이 크게 다른 것으로 나타났다. 둘째, 베이비붐 세대의 성공적 노화에 영향을 미치는 요인을 파악한 결과, 조사대상자의 용돈 수준, 교육수준, 자녀관계 만족도 등이 크게 영향을 주는 것으로 나타났다. 이와 같이 본 연구는 성공적 노화의 대표적 모델이라고 할 수 있는 Rowe & Kahn의 이론을 적용함으로써 베이비붐 세대의 성공적 노화에 대해 통합적으로 파악하며 그에 따른 시사점을 도출하였다. 나아가, 베이비붐 세대의 성공적 노화에 대해 보다 정확히 규명하기 위해서 성공적 노화에 대한 보다 엄밀한 개념화를 시도하고, 사회적으로 합의된 측정요인을 발굴하는 것이 전제되어야 함을 제언하였다.

PDA기반의 산림지리정보 소프트웨어 개발에 관한 연구 (Development of PDA-Based Software for Forest Geographic Information)

  • 석수일;이헌호;이도형
    • 한국산림과학회지
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    • 제96권1호
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    • pp.7-13
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    • 2007
  • 본 연구는 산림에서 개인휴대 단말기(PDA)를 기반으로 수치지형도와 GPS를 활용하여 산림지리정보를 활용할 수 있는 소프트웨어를 개발하는데 그 목적이 있다. 본 연구에서 개발한 산림지리정보 소프트웨어의 주요 내용과 그 특징은 다음과 같다. 산림지리정보검색 소프트웨어는 PocketPC 2002/2003 운영체계에서 작동하도록 하였다. PDA의 표시 화면은 DXF형식의 1:25,000 수치지형도를 PC에서 변환하여 활용하며, PDA에 표시하는 지도데이터는 1:2,500에서 1:30,000까지 5단계로 확대, 축소 표시가 가능하도록 제작하였다. GPS에서 수신한 위치정보 및 이동 경로정보를 화면에 나타내고 저장할 수 있도록 하였다. DXF형식의 수치지형도의 레이어 중 선택한 정보를 본 시스템에서 활용이 가능한 이진파일 형식으로 변환하는 소프트웨어를 제작하였다. 이를 활용하여 DXF 파일 크기 대비 90%이상 압축이 가능하였고, PDA의 처리 속도를 크게 향상시켰다. 산림지리정보검색 소프트웨어는 sub menu 기능과 grid index를 활용하여 GPS에서 수신된 위치정보와 함께 산림조사 자료입력 소프트웨어와 연동하여 표본점의 관리에 활용이 가능하도록 하였다. 산림작업자가 현장에서 필요한 임상, 소유, 위치, 임도, 사방댐, 시설물 설계도 등 산림지리정보를 현장에서 즉시 검색이 가능하도록 하였다. 산림지리정보검색 소프트웨어는 지리정보 표시기능과 정보검색기능을 이용하여, 일반인들의 등산, 관광, 유적지 답사 등에 현재 위치 및 이동 경로에 관한 정보를 제공할 수 있도록 제작하였다.

지역사회 의료공급자의 지불보상체계상의 특징이 지역사회 주민의 의료이용에 미치는 영향: 미국사례분석 (The Effect of Payment Method of Community Medical Provider on Medical Care Use of Community Residents)

  • 임재영
    • 보건행정학회지
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    • 제15권2호
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    • pp.16-36
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    • 2005
  • Due to the existence of asymmetry of information between doctor and patient, it has been believed that doctor might affect patient's decision making process of purchasing medical care. Based on this notion, doctor's reimbursement method has been suggested as an effective policy device of improving efficiency of patient's medical care use by way of its affecting doctor's practice pattern. By using the Community Tracking Study (CTS) household and physician data set, which includes not only various information on patient's medical care use, but doctor's practice arrangements and sources of practice revenue, this paper investigates the effect of community doctor's characteristics of reimbursement method on community patient's medical care use under the control of patient's socio-demographic characteristics and community doctor's practice type. In the process of estimating econometric model, the endogeneity problem of individual health insurance purchase was corrected by using 2818. And due to the existence of sample selection problem, Heckman's two-step estimation method was used for strengthen the robustness of estimation which was adversely affected by sample selection problem The empirical results show that as the average value of community doctor's portion of practice revenue determined by prospective method out of total revenue increases, the community patient's total out-of-pocket medical cost decreases. This results suggest, as doctor's practice revenues are mainly determined by prospective method, such as capitation, doctors would be more conscious about practice cost, which might affect doctor's practice pattern and by which his/her patient's use of medical care would decrease.

서울시 가구의 과부담의료비 지출 발생 및 반복적 발생의 영향요인 (The factors influencing the occurrence and recurrence of catastrophic health expenditure among households in Seoul)

  • 정채림;이태진
    • 보건행정학회지
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    • 제22권2호
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    • pp.275-296
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    • 2012
  • Graduate School of Public Health, Seoul National University The national health insurance system in Korea is characterized as relatively high out-of-pocket payments, which are the principal source of catastrophic health expenditure (CHE). The objectives of this study are to estimate the incidence of household CHE and to clarify the characteristics that affect the occurrence and recurrence of household CHE using the Seoul Welfare Panel Survey database for 2008 and 2010. Thresholds to estimate CHE were 10% and 20% of the total household income (T/X), and 25% and 40% of the income excluding food share (T/Y). Determinants of the occurrence and recurrence of CHE at the threshold of T/X=10% were analysed using multiple logistic regression models. Out of the 3,665 households that responded in 2008 survey, households with CHE were 12.07% (T/X${\geq}$10%), 5.34% (T/X${\geq}$20%), 6.84% (T/Y${\geq}$25%), and 4.44% (T/Y${\geq}$40%). Risk factors associated with household CHE included living with a spouse, non-Medicaid beneficiary, householder unemployment, low household income, the number of disabled members, poor subjective health, and the number of chronic diseases. A total of 41.78% of households with CHE in 2008 repeatedly experienced CHE in 2010. Risk factors of CHE recurrence included decreased household income and an increase in chronic diseases over the two time periods, the number of members with disability or chronic diseases, and the presence of cancer patients in 2008. Households with lower socioeconomic and health status had a higher financial burden on health care than do their counterpart households. There is a need to enhance society-wide financial protection from health spending among vulnerable citizens in Seoul, particularly, households with low income, disabled members or cancer patients.

청소년의 구매 행동과 관련 변인에 관한 연구 -강원 지역 중학생을 중심으로 - (A Study on the Adolescents′ Purchasing Behavior and Related Variables- Focused on the Middle School Students in Kangwon Province -)

  • 조현주;최동숙
    • 한국가정과교육학회지
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    • 제14권1호
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    • pp.1-13
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    • 2002
  • The purpose of this study is to find out the level of purchasing behavior and related variables of Korean adolescents in Kangwon Province. and to suggest a direction of consumer education for rational purchase and of Home Economics Education. through noticing the influence of socio-demographic variables and socialization-related variables. To find out the results of this study, a survey was made using questionnaires with middle school students who live in Kang-won Province. and 472 Questionnaires were used as the analysis data. The methods of statistical analysis used for this study were Cronbach' ${\alpha}$. Frequency Distribution, Percentile. Mean. Standard Deviation. ANOVA, t-test. Duncan's Multiple Range Test, Multiple Regression Analysis. and also SPSS PC+ was used. The summaries of the results of this study were as follows. First. the level of the adolescents'purchasing behavior was the average 3.34 which is higher than the centered number 3, and the level of pre-Purchasing behavior(3.36) was higher than that of the post-purchasing behavior (3.27). Second. the adolescents' purchasing behavior showed the significant difference according to the mothers' educational level and family income. Third among the socialization-related variables. the group which had much communications with their parents and friends about purchase. the group which got much consumer education in school and their home. the group which can see much advertisements about purchase showed high level of purchasing behavior. Fourth. in the regression analysis. the consumer education in school. the communication with parents or friends were significant variables to the level of purchasing behavior. Looking into the subcategory. the communication with parents. the amount of pocket money. the father's occupation were significant variables to the level of pre-purchasing behavior, And the consumer education in school. the communication with parents or friends. the father's occupation were significant variables to the level of post-purchasing behavior.

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