• Title/Summary/Keyword: Out of pocket

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Socioeconomic Differentials in Health and Health Related Behaviors: Findings from the Korea Youth Panel Survey (사회경제적 위치에 따른 청소년의 건강과 건강 관련 행태의 차이 : 한국청소년패널 조사 결과)

  • Cho, Sung-Il;Yang, Seung-Mi;Lee, Moo-Song;Khang, Young-Ho
    • Journal of Preventive Medicine and Public Health
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    • v.38 no.4
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    • pp.391-400
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    • 2005
  • Objective : This study examined the socioeconomic differentials for the health and health related behaviors among South Korean middle school students. Methods : A nationwide cross-sectional interview survey of 3,449 middle school second-grade students and their parents was conducted using a stratified multi-stage cluster sampling method. The response rate was 93.3%. The socioeconomic position indicators were based on self-reported information from the students and their parents: parental education, father's occupational class, monthly family income, out-of-pocket expenditure for education, housing ownership, educational expectations, educational performance and the perceived economic hardships. The outcome variables that were measured were also based on the self-reported information from the students. The health measures included self-rated health conditions, psychological or mental problems, the feelings of loneliness at school, the overall satisfaction of life and the perceived level of stress. The health related behaviors included were smoking, alcohol drinking, sexual intercourse, violence, bullying and verbal and physical abuse by parents. Results : Socioeconomic differences for the health and health related behaviors were found among the eighth grade boys and girls of South Korea. However, the pattern varied with gender, the socioeconomic position indicators and the outcome measures. The prevalence rates of the overall dissatisfaction with life for both genders differed according to most of the eight socioeconomic position indicators. All the health measures were significantly different according to the perceived economic hardship. However, the socioeconomic differences in the self-rated health conditions and the psychosocial or mental problems were not clear. The students having higher socioeconomic position tended to be a perpetrator of bullying while those students with lower socioeconomic position were more likely to be a victim. Conclusions : The perceived economic hardships predicted the health status among the eighth graders of South Korea. The overall satisfaction of life was associated with the socioeconomic position indicators. Further research efforts are needed to explore the mechanisms on how and why the socioeconomic position affects the health and health related behaviors in this age group.

MAXILLARY FLOATING TEETH IN A CHIARI MALFORMATION PATIENT (Chiari malformation 환아에서 상악 구치부의 부유치)

  • Shin, Eun-Young;Choi, Byung-Jai;Lee, Jae-Ho;Son, Heung-Kyu
    • Journal of the korean academy of Pediatric Dentistry
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    • v.28 no.4
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    • pp.649-653
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    • 2001
  • The Chiari malformation is a deformation within the central nervous system which the lower brain stem and the cerebellum migrate into the foramen magnum causing herniation. In 1891, Arnold Chiari classified such symptoms into 3 categories. This case report is of a 8-year-old female with the complaint of a slight facial swelling and pain on the upper right molar during tooth brushing since 10 days before. Clinical examination showed gingival pocket formation on distal of the upper right first molar with pain and mobility of the tooth. Radiographic examination showed generalized low bone density in the upper molar area, and especially no bone support above the upper right and left first molars were noted. With a temporary diagnosis of Early-onset periodontitis, consultations with medical doctors for the possibility of an underlying systemic disease were made during periodontal treatment. 3D CT was taken with after a final diagnosis of Chiari malformation. Generalized thinning and defect of the cranial bone was noted and the foramen magnum was slightly enlarged. The occipital and maxillary bone was low in density, and the alveolar bone of maxillary posterior teeth was especially almost non-existing causing the upper right and left first molar to be floating. For this, the patient went under consultation with the department of neurosurgery and is still under observation. Periodontitis in childreren is very rare. When symptoms of periodontitis appear in a child, due to the possibility of an underlying systemic disease such as leukemia, histiocytosis X, and hypophosphatasia, proper examinations should be carried out so that the primary factor the symptoms can be treated.

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Rheological Evaluation of Blast Furnace Slag Cement Paster over Setting Time (고로슬래그 혼합 시멘트 페이스트의 응결시간 경과에 따른 레올로지 특성)

  • Cho, Bong-Suk;Ahn, Jae-Cheol;Park, Dong-Cheon
    • Journal of the Korea Institute of Building Construction
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    • v.16 no.6
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    • pp.505-512
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    • 2016
  • Even though high performance concrete was developed according to the trend of bigger and higher of reinforced concrete building, the rheological evaluations such as viscosity, yield stress are not enough to use as input data to accomplish the numerical analysis for the construction design. So there are many problems in the harden concrete such as poor compaction, rock pocket and crack, etc. in the field. In this study, consistency curves were measured by the viscometer as hydration reaction time passed. At the same time the slump flow test and Vicat setting test were carried out for comparing with the results of rheological properties. The fluidity of the W/B 30% decreased as the increase of replacement ratio of blast furnace slag. But in case of W/B 40%, the replacement ration did not significantly influenced to the slump flow value with the passage of hydration time. By the replacement of blast furnace slag to cement, initial setting was delayed and the time gap between initial and final setting became shorten. Through the regression analysis using Bingham model, there are a sudden changes of viscosity and yield stress around initial setting in case of low W/B 30%. The increase of workability by the change of free water in cement paste was offset by the coating effect of impermeable layer in case of W/B 40%.

Fishing Experiment on Selectivity of Trawl Net (트로올 어구의 어획 선택성에 관한 연구)

  • 박시환
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.26 no.3
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    • pp.244-253
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    • 1990
  • For the purpose of the investigation on the selective action of trawl net, a series of fishing experiments carryed out in M. S. Pusan 402 during the years of 1986~1987, by using a set of trawl net with a few pocket nets in each part of the bagnet. The author analyzed these experimental data and derived the following results. 1. 58 species of aquatic animals were caught in totally 43 times of trawl operation and 33 species of them did not escape at all through the barrier of netting in the bagnet. 2. Sardinops melanosticta, Harengula zunasi, Thrisa kamalensis, Englausis japonicus, little size of Tracurus japonicus, Sphyraena pinguis, Trichirus lepturus, and Psenopsis anomala escaped easily through the barrier of netting after being caught inside of the codend. Especially, Englusis japonicus escaped well not only through the netting of the codend but also through the netting of the square and the baiting. 3. In the case of mesh size of 60mm in the codend, Pampus argentus, Doderleinia bercoides and Tracurus japonicus were caught all in the size of less than 10cm.

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Estimating the Economic Burden of Osteoporotic Vertebral Fracture among Elderly Korean Women (우리나라 노인여성의 골다공증성 척추골절로 인한 경제적 부담 추계)

  • Kang, Hye-Young;Kang, Dae-Ryong;Jang, Young-Hwa;Park, Sung-Eun;Choi, Won-Jung;Moon, Seong-Hwan;Yang, Kyu-Hyun
    • Journal of Preventive Medicine and Public Health
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    • v.41 no.5
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    • pp.287-294
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    • 2008
  • Objectives : To estimate the economic burden of osteoporotic vertebral fracture (VF) from a societal perspective. Methods : From 2002 to 2004, we identified all National Health Insurance claims records for women ${\geq}50$ years old with a diagnosis of VF. The first 6-months was defined as a "clearance period," such that patients were considered as incident cases if their first claim of fracture was recorded after June 30, 2002. We only included patients with ${\geq}$ one claim of a diagnosis of, or prescription for, osteoporosis over 3 years. For each patient, we cumulated the claims amount for the first visit and for the follow-up treatments for 1 year. The hospital charge data from 4 hospitals were investigated to measure the proportion of the non-covered services. Face-to-face interviews were conducted with 106 patients from the 4 study sites to measure the out-of-pocket spending outside of hospitals. Results : During 2.5 years, 131,453 VF patients were identified. The patients had an average of 3.38 visits, 0.40 admissions and 6.36 inpatient days. The per capita cost was 1,909,690 Won: 71.5% for direct medical costs, 20.6% for direct non-medical costs and 7.9% for indirect costs. The per capita cost increased with increasing age: 1,848,078 Won for those aged 50-64, 2,084,846 Won for 65-74, 2,129,530 Won for 75-84and 2,121,492 Won for those above 84. Conclusions : Exploring the economic burden of osteoporotic VF is expected to motivate to adopt effective treatment options for osteoporosis in order to prevent the incidence of fracture and the consequent costs.

The Opening Efficiency of Labor Saving net for the Anchovy Boat Seine (생력형 기선권현망 어구의 전개성능)

  • Jang, Choong-Sik;An, Young-Su;Kim, Koang-Hong
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.41 no.1
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    • pp.9-16
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    • 2005
  • This study was conducted in order to improvement of fishing gear and fishing operating system for anchovy boat seine by labor saving improved nets. Field experiments were carried out observe geometry of nets and fishing operating system by catcher boats. The obtained results are summarized as follows : The Vertical net opening of fore wing net, wing net, inside wing net, square, fore bag net, flapper, after bag net of the labor saving improved net according to the distance between catcher boats were varied in the range of 5.0${\sim}$7.8, 14.4${\sim}$21.1, 16.2${\sim}$21.2, 14.0${\sim}$17.3, 11.7${\sim}$13.9, 5.4${\sim}$6.9, 8.2${\sim}$9.8m respectively, varied in the range of 50${\sim}$78, 25${\sim}$36, 24${\sim}$31, 31${\sim}$38, 61${\sim}$73, 71${\sim}$91, 87${\sim}$104% of the actual ratio of net opening in each part. Labor saving improved net was performed instant net opening in fore wing net and maintained stable net opening and towing depth by means of attached net pendant. Also, it was minimized as net pocket phenomenon leading to guide anchovy for more catch by means of attached body net. The opening in accordance with distance between catcher boats and towing speed. The catch of labor saving improved net was increased than traditional net due to decrement of net resistance by improvement of bag net leading to increasement of towing speed and reduction of escape anchovy as well as improve nets of whole operation system.

The Opening Efficiency of half size modified net for the Anchovy Boat Seine (기선권현망 축소형 개량어구의 전개성능)

  • An, Young-Su;Jang, Choong-Sik;Lee, Ju-Hee
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.40 no.4
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    • pp.255-267
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    • 2004
  • This study was conducted in order to improvement of fishing gear and fishing operating system for anchovy boat seine by bag net A-type and B-type was attached with half size modified nets. Field experiments were carried out observe geometry of nets by catcher boats. The obtained results are summarized as follows : The actual ratio of net opening in each part of the half size modified nets was increased from fore part to back part of the nets as shown the smallest value about 20% in wing net and the biggest value about 110% in bag net. In addition, vertical net opening of B-type net as measured as 10.9~11.8m in fore bag net and 5.8~8.0m in after bag net were 1~2m greater than 9.0~13.6m of A-type one, and 2~3m less than 9.3~10.4m of A-type one, respectively. Vertical net opening of half size modified net was shown as less variation of towing depth from wing net to inside wing net than those of traditional nets due to stable vertical performance. The mesh distortion or drift and variation of vertical net opening were decreased by improvement of bag nets in order to minimized shape of net pocket phenomenon whenever towing speed is slow. Bag net B-Type attached with dual flapper was shown as less variation in width of bag net and less escapement of anchovy.

The Determinants of Purchasing Private Health Insurance in Korean Cancer Patients (암 환자의 민간의료보험 가입 실태와 관련 요인)

  • Lim, Jin-Hwa;Kim, Sung-Gyeong;Lee, Eun-Mi;Bae, Sin-Young;Park, Jae-Hyun;Choi, Kui-Son;Hahm, Myung-Il;Park, Eun-Cheol
    • Journal of Preventive Medicine and Public Health
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    • v.40 no.2
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    • pp.150-154
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    • 2007
  • Objectives : The aim of this study is to identify factors determining the purchase of private health insurance under the mandatory National Health Insurance(NHI) system in Korea. Methods : The data were collected by the National Cancer Center in Korea. It includes cancer patients who were newly diagnosed with stomach (ICD code, C16), lung(C33-C34), liver (C22), colorectal cancer(C18-C20) or breast(C50) cancer. Data were gathered from the hospital Order Communication System (OCS), medical records, and face-to-face interviews, using a structured questionnaire. Clinical, socio-demographic and private health insurance related factors were also gathered. Results : Overall, 43.9% of patients had purchased one or more private health insurance schemes related to cancer, with an average monthly premium of \65,311 and an average benefit amount of \19million. Females, younger aged, high income earners, national health insurers and metropolitan citizens were more likely to purchase private health insurance than their counterparts. Conclusions : About half of Korean people have supple-mentary private health insurance and their benefits are sufficient to cover the out-of-pocket fees required for cancer treatment, but inequality remains in the purchase of private health insurance. Further studies are needed to investigate the impacts of private health insurance on NHI, and the relationship between cancer patients' burden and benefits.

Travel Demand and Transportation Cost of Household According to Accessibility to Public Transport and to Service Facilities (대중교통시설과 근린시설의 접근도에 따른 교통이용행태 및 교통비용)

  • Kim, Seong-Gil
    • Journal of Korean Society of Transportation
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    • v.24 no.6 s.92
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    • pp.65-74
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    • 2006
  • The costs of owning car are accepted as a subscription fee for participating in car-oriented society and only direct out-of-pocket costs of driving are mostly considered, so that the efficient location with better accessibility to service facilities is often under-appreciated. The purpose of this study is to explore the impact of accessibility to public transport and other service facilities on travel demand and transportation cost of household. The residential areas in Hamburg are categorized into 8 types according to level of public transport and other service facilities. The costs of owning and operating car in each residential area are calculated on the base of the household automobile ownership and usage analysed through the actual survey The result of this analysis shows that the transportation cost of household is decreased In proportion to the level of Public transport and other service facilities. This analysis finds the structure of residential area, which economize energy consume and makes household actual transportation cost saying Possible. The result of the analysis can be used as a tool for influencing home locaion choice towards Public transportaion corridors.

Changes in the Hosptal Length of Stay and Medical Cost between before and after the Applications of the DRG payment system using Health Insurance Big Data (건강보험 빅 데이터를 활용한 종합병원에서의 포괄수가제 적용 전·후 재원일수와 진료비의 변화)

  • Jeong, Su-Jin;Choi, Seong-Woo
    • The Journal of the Korea institute of electronic communication sciences
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    • v.12 no.2
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    • pp.401-410
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    • 2017
  • This study aimed to identify appropriateness and efficiency in the DRG payment system by analysing the hospital length of stay and changes in fees before and after the application of DRG payment system. The subjects of the study were a total of 398 patients consisting of 204 for the fee for service system and 194 for the DRG payment system. They received surgery in the Obstetrics and Gynecology (OBGY) department of a general hospital in G metropolitan city between January and December 2013. The mean hospital length of stay was significantly decreased after application of the DRG payment system(p=0.013). Total fees, insurance charges, and deductions increased significantly(p<0.001), and non-payment charges and total deductions decreased significantly(p<0.001). Application of the DRG payment system reduced length of stay, non-payment charges and total patient's cost sharing and increased out-of-pocket, insurance charges, and total fees.