• Title/Summary/Keyword: Post-Examination

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Analysis of Medical Use and Costs of Liver Transplant Patients Using National Patients Sample Data (환자표본자료를 이용한 간이식 환자의 의료이용 특성 및 의료비용 분석)

  • Kim, Hye-Lin
    • Korean Journal of Clinical Pharmacy
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    • v.28 no.1
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    • pp.57-64
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    • 2018
  • Background: Patients experience significant differences in aspects of mortality, quality of life, and costs between during the year of receiving liver transplant (LT) and the subsequent years (post-LT). This study aimed to estimate the medical utilization and cost of LT for patients compared to post-LT patients by using a recent National Patient Sample (NPS) data provided by the Korean Health Insurance Review and Assessment Service (HIRA). Methods: This study used a subset of the 2015 HIRA-NPS. Patient claims data that included Z944 (Korean Standard Classification of Diseases code for LT status) were selected. Within the selected data, LT patients were identified based on whether the national health insurance number code of Q80 (procedure code for LT surgery) was included, and they were compared to post-LT patients. Results: In the analysis, 330 patients were included. The average cost per patient was $90,066{\pm}36,959$ thousand KRW and $10,557{\pm}9,668$ thousand KRW for LT and post-LT patients, respectively. Especially, LT patients' costs for injection/procedure, surgery/treatment, and examination were higher than other costs, being $35,983{\pm}18,115$ thousand KRW, $28,246{\pm}9,408$ thousand KRW, and $12,131{\pm}6,604$ thousand KRW, respectively. For inpatients, the average number of hospitalized days was $63.5{\pm}66.0$ days for LT patients and $22.3{\pm}35.1$ days for post-LT patients. Conclusion: Compared to post-LT patients, LT patients had higher costs, especially for injection/procedure, surgery/treatment, and examination. Additionally, the LT group had longer hospitalization duration and higher costs for their hospital admission, whereas they did not show a significant difference in number of visits and medical costs for outpatient-care.

Major Reforms and Issues of the Medical Licensing Examination Systems in Korea (의사면허 필기시험 제도의 성과와 과제)

  • Baik, Sang-Ho
    • Korean Medical Education Review
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    • v.15 no.3
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    • pp.125-135
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    • 2013
  • Since the establishment of the national medical licensing examination board in 1992, the medical licensing examination system has changed enormously and this has had a number of impacts on examination services. All those reforms were aimed at improving the relevance and reliability of the test. Several attempts of the testing system have appeared in the new examination service, and which have also brought about the changes in the medical school curriculum such as introducing integrated courses instead of traditional subjects, using test scores as a reference to the post-graduation selection test. Some examples of changes in the examination system are as follows: 1) choosing three integrated test subjects and outlines of their reference content instead of 15 academic subjects, 2) adjusting the ratio of multiple choice question items to focus more on the problem solving level, 3) introduction of 'one-best answer' single set and 'extended matching type items, 4) item construction based on real clinical cases and real clinical materials. Recently, a clinical skill test system has been introduced to measure examinees' basic clinical skills competencies. Despite continuing efforts, the examination system still has many issues remaining to be solved. These problems include the differential weighting of test items, appropriate threshold for passing, and practicality of pre-testing to stabilize the passing rate and avoid the hazards of newness and undesirably difficult test items.

Pattern alopecia in a miniature pinscher dog (미니어쳐 핀셔견에서 발생한 형태탈모증(pattern alopecia) 1례)

  • Kang, Jongil;Lee, Wanghui;Park, Jeongho;Oh, Taeho;Cho, Seongwhan;Park, Seongjun
    • Korean Journal of Veterinary Research
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    • v.51 no.4
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    • pp.315-318
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    • 2011
  • A dog (5.6 kg, 4-year-old, castrated male, Miniature pinscher) with diffuse symmetric alopecia on the chest and excessive scales was referred to Veterinary Medical Teaching Hospital of Chungnam National University, Korea. On physical examination, diffuse alopecia on ventral aspect of the neck and caudomedial thighs, and severe scales were presented. Dermatologic tests of lesions revealed bacterial infections. Histopathologically, atrophy of hair bulb was observed in the severely alopecic lesion of caudomedial thighs. ACTH stimulation test was performed to differentiate the endocrine disorder related to generalized alopecia. The pre-ACTH serum testosterone and progesterone concentrations were above normal ranges and the post-ACTH serum testosterone concentration was high. The pre- and post-ACTH serum estradiol and cortisol concentrations were within normal ranges. Canine pattern alopecia was diagnosed based on history, physical examination, hormonal assay and dermatohistopathologic examination. After 3 months of melatonin administration, multifocal alopecia on the trunk was improved and general hair regrowth was identified.

Efficacy of closantel against Fasciola hepatica in experimentally-infected rats (랫트에 인공감염된 간질(Fasciola hepatica)에 미치는 closantel의 구충효과)

  • Kim, Jong-taek;Lee, Chung-gil;Cho, Shin-hyeong
    • Korean Journal of Veterinary Research
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    • v.37 no.3
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    • pp.595-599
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    • 1997
  • Male and female Sprague-Dawley rats 8 weeks of age were inoculated per os with 10 Fasciola hepatica metacercariae each. After the infection was verified by fecal examination, they were divided into four groups at 14 weeks post-inoculation; three groups were dosed orally at 10, 20 and 30mg/kg of closantel($Flukiver^{TM}$), a salicylanilide compound and the rest used as untreated control. Efficacy of closantel was monitored weekly by fecal examination of all infected animals starting during the second week post-treatment(PT) and continuing for three weeks. Closantel elicited 96.0, 86.9 and 87.4% efficacy in rats treated with 10mg/kg at the second, third and fourth week PT, respectively. It elicited a 100% efficacy in rats treated with 20 and 30mg/kg.

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Filtration System and its Efficiency of Exhaust System at Post Irradiation Examination Facility (조사후시험시설에서의 방사성 오염배기체의 포집장치 및 여과효율)

  • 황용화;이형권;전용범;민덕기;엄성호;홍권표
    • Proceedings of the Korean Radioactive Waste Society Conference
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    • 2003.11a
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    • pp.96-100
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    • 2003
  • Filtering system is installed at post irradiation examination facility(PIEF) to maintain optimized operating condition of the facility by keeping different negative pressure condition depending on contamination level in the PIEF due to its treatment of radioactive materials. Inspection on each system, filter leak test and other related test are periodically performed as the performance test for increasing operational efficiency and safety.

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Pilot Research on a Heavy Rainfall for the Meteorological Information Application and Disaster Prevention (기상정보 활용 및 방재를 위한 호우 사례 연구)

  • Park, Jong-Kil;Jung, Woo-Sik;Choi, Hyo-Jin
    • Journal of Environmental Science International
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    • v.15 no.11
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    • pp.1003-1010
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    • 2006
  • It is very difficult to forecast accurately a damage from the natural disasters which occurs frequently. If the significant weather event was forecasted one or two days ago, we will be able to minimize a damage from the severe weather event through the suitable prevention activities. It said that 2000's our country's total damages from the meteorological disasters was several trillion won(Park et al, a, b, 2005). Therefore, we analyzed the Korea Meteorological Administration(KMA) and television broadcasting's reports, information contents, and transmission system, an ex post facto valuation about typhoon Nabi which struck the Korean peninsula from September 5 to 7, 2005. Through these investigations, we want to present the basic data to rises the application effect of disaster prevention meteorological information. We think KMA must present many information report to promote a citizen's understanding about the meteorological information and the serious disaster situation. And also we think the KMA and television broadcasting must present an advisable reports, the contents which is suitable to disaster response stages. And we must grasp the problem of disaster prevention meteorological information through an ex post facto examination, improve it effectively.

Post-Examination Analysis on the Student Dropout Prediction Index (학생 중도탈락 예측지수에 관한 사후검증 연구)

  • Lee, Ji-Eun
    • The Journal of Bigdata
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    • v.4 no.2
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    • pp.175-183
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    • 2019
  • Drop-out issue is one of the challenges of cyber university. There are about 130,000 students enrolled in cyber universities, but the dropout rate is also very high. To lower the dropout rate, cyber universities invest heavily in learning analytics. Some cyber universities analyze the possibility of dropout and actively support students who are more likely to drop out. The purpose of this paper is to identify the learning data affecting the dropout prediction index. As a result of the analysis, it is confirmed that number of lessons(progress), credits, achievement and leave of absence have a significant effect on dropout rate. It is necessary to increase the accuracy of the prediction model through post-test on the student dropout prediction index.

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Establishment on Management Plan of Environmental Noise with Noise Map (소음지도를 활용한 환경소음 관리계획 수립)

  • Sun, Hyosung
    • Journal of Environmental Impact Assessment
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    • v.20 no.2
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    • pp.123-131
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    • 2011
  • The objective of this study is to prepare the effective management plan of environmental noise with a noise map, and the guideline on the management plan of environmental noise was suggested through the review of existing application examples. The management plan of environmental noise with a noise map includes the practical contents in the stages of subdivision of management areas, establishment of reduction measures, opinion collection, post investigation, and reformulation of management plan. First, the classification of management regions is performed considering the excess degree of noise standard and the facility type in the phase of subdivision of management areas. Second, the optimal management plan is established through the investigation of regional characteristics and various noise reduction measures in the phase of establishment of reduction measures, which includes the examination of noise reduction effects with a noise map and the budget planning with the costing of noise reduction measures. Third, the opinion survey with a local resident and a expert is carried out in order to prove the validity of the management plan in the phase of opinion collection, and the management plan is modified with gathered opinions. Fourth, the post examination plan with noise measurement is performed in order to verify the real effect of noise reduction measures according to the management plan in the phase of post investigation. Finally, the amendment of the management plan as well as the improvement of a noise map is carried out at a regular cycle in the phase of reformulation of management plan.

The Effect of Coagulant on the Post Drawing and Morphology of Wet Spun Regenerated SF/Nylon 6 Blend Filaments

  • Um, In-Chul
    • International Journal of Industrial Entomology and Biomaterials
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    • v.16 no.2
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    • pp.61-66
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    • 2008
  • In this paper, the regenerated silk fibroin (SF)/nylon 6 blend filaments were fabricated using wet spinning technique and the effect of coagulant on the post drawing and morphology of blend filaments was investigated. In the result of wet spinnability, methanol, acetone, DMF, and THF showed relatively good coagulation strength and fiber formation for the regenerated SF. On the contrary, they did not exhibit strong enough to produce a uniform nylon 6 filament due to the lack of coagulation strength. In the examination of post drawing performance, methanol showed the highest maximum draw ratio of the blend filament over all blend ratios. The maximum draw ratio of SF/nylon 6 blend filaments decreased with the reduction of SF content regardless of type of coagulant. SEM observation showed the consistent result with that of post-drawing performance. As SF content decreased, the uniform and regular structure was changed to irregular one. In particular, the severe macro-phase separation between SF and nylon 6 could be detected in the 50/50 SF/nylon 6 blend filaments coagulated in methanol and THF.