• Title/Summary/Keyword: Service Review

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Analysis of the Disposal Rate of Fresh Frozen Femoral Head in the Bone Bank of a Single Hospital (단일 병원 인체조직은행에서 채취한 신선 동결 대퇴골두의 폐기율 분석)

  • Lee, Jaeyoung;Lee, Donghun;Jeon, Jinhwa;Lee, Kee Haeng
    • Journal of the Korean Orthopaedic Association
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    • v.56 no.4
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    • pp.305-309
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    • 2021
  • Purpose: This study analyzed the increase in disposal rate of femoral heads in the bone bank of a single hospital from medical disease and drug history, as assessed by the Korean health insurance review and assessment service. Materials and Methods: The disposal rate and cause of 340 femoral heads were analyzed according to the regulations of the bone bank based on the standard model of the Ministry of food and drug safety. Results: One hundred and seven (33%) of 323 femoral heads collected from 2009 to 2018, and 65 (46%) of 142 femoral heads collected from 2015 to 2018 were discarded. The most common causes were related to the history of dementia and the administration of radioisotope for nuclear medicine. Conclusion: The current methods and screening tools can lead to errors in disposing of the available tissues in a bone bank. Thus, improved standards and screening methods are needed.

An Analysis of Gender Mainstreaming in the Urban Policies of Mexico (멕시코 도시정책의 젠더주류화 전략분석)

  • Jung, Sang-Hee
    • Iberoamérica
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    • v.22 no.1
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    • pp.31-72
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    • 2020
  • This study examines the concepts and policy factors regarding gender-mainstreaming strategies and urban areas that have been discussed in the fields of international norms and development cooperation from the perspective of the Mexican government. It analyzes how gender-mainstreaming strategy is integrated and realized through Mexican law and key programs carried out by Mexico City. Through a literature review, this study builds upon previous research and theoretical discussions. In fact, Mexican federal government is considered to have successfully achieved "gender institutionalization." Within the framework of the law and institutions, the programs promoted by Mexico City aim to realize women's rights and meet their needs in the metropolis, while emphasizing a wider participation by citizens to realize these urban rights. In particular, the government of Mexico City is expanding on policies and programs that focus on strengthening the financial autonomy of women by understanding women's vulnerabilities as inequalities arising in the areas of the economy, space, and time.

Review of 2021 Major Medical Decisions (2021년 주요 의료판결 분석)

  • Park, Taeshin;Yoo, Hyunjung;Lee, Jeongmin;Cho, Woosun;Jeong, Heyseung
    • The Korean Society of Law and Medicine
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    • v.23 no.2
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    • pp.171-209
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    • 2022
  • There were also many medical-related rulings in 2021, among which the rulings reviewed in this paper are as follows. The first relates to a case in which the medical record, which is the primary judgment data regarding the presence or absence of medical negligence, has been modified. The court judged whether there was negligence on the basis of the first written medical record without considering the contents of the medical record that was later modified. Next, the ruling on the case of asking for liability for damages for prescription of anti-obesity drugs recognized negligence related to prescription, but denied liability for property damage by denying a causal relationship, and recognized only alimony for violation of the duty of explanation. The a full-bench ruling on the scope of subrogation of the National Health Insurance Corporation, which subrogates the claims for compensation for medical expenses against the perpetrator of the patient, changed the existing precedent that had taken the 'deduction method after offsetting negligence' and judged it as 'the method of offsetting negligence after deduction'. In addition, in the ruling on whether or not there was negligence, the court was not bound by the medical record appraisal result. Lastly, in relation to the National Health Insurance Service's disposition of reimbursement for medical care benefit costs, we reviewed the ruling that discretion should be exercised even when a non-medical person makes a refund to a medical institution opened by a non-medical person. And we also reviewed the ruling that the scope of reimbursement for medical institutions jointly using facilities and manpower specifically should be determined.

Comparison of Inflammatory Markers Changes in Patients Who Used Postoperative Prophylactic Antibiotics within 24 Hours after Spine Surgery and 5 Days after Spine Surgery

  • Youn, Gun;Choi, Man Kyu;Kim, Sung Bum
    • Journal of Korean Neurosurgical Society
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    • v.65 no.6
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    • pp.834-840
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    • 2022
  • Objective : C-reactive protein (CRP) level, erythrocyte sedimentation rate (ESR), and white blood cell (WBC) count are inflammatory markers used to evaluate postoperative infections. Although these markers are non-specific, understanding their normal kinetics after surgery may be helpful in the early detection of postoperative infections. To compliment the recent trend of reducing the duration of antibiotic use, this retrospective study investigated the inflammatory markers of patients who had received antibiotics within 24 hours after surgery according to the Health Insurance Review & Assessment Service guidelines and compared them with those of patients who had received antibiotics for 5 days, which was proven to be non-infectious. Methods : We enrolled 74 patients, divided into two groups. Patients underwent posterior lumbar interbody fusion (PLIF) at a single institution between 2019 and 2020. Group A included 37 patients who received antibiotics within 24 hours after the PLIF procedure, and group B comprised 37 patients who had used antibiotics for 5 days. A 1 : 1 nearest-neighbor propensity-matched analysis was used. The clinical variables included age, sex, medical history, body mass index, estimated blood loss, and operation time. Laboratory data included CRP, ESR, and WBC, which were measured preoperatively and on postoperative days (POD) 1, 3, 5, and 7. Results : CRP dynamics tended to decrease after peaking on POD 3, with a similar trend in both groups. The average CRP level in group B was slightly higher than that in group A; however, the difference was not statistically significant. Multiple linear regression analysis revealed operation time, number of fused levels, and estimated blood loss as significant predictors of a greater CRP peak value (r2=0.473, p<0.001) in patients. No trend (a tendency to decrease from the peak value) could be determined for ESR and WBC count on POD 7. Conclusion : Although slight differences were observed in numerical values and kinetics, sequential changes in inflammatory markers according to the duration of antibiotic administration showed similar patterns. Knowledge of CRP kinetics allows the assessment of the degree of difference between the clinical and expected values.

Proposal on Active Self Charging and Operation of Autonomous Vehicle Using Solar Energy (태양광을 이용한 자율주행 자동차의 능동적 자가 충전 및 운행 제안)

  • Hur, Hyun-Woo
    • The Journal of the Korea Contents Association
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    • v.22 no.9
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    • pp.85-94
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    • 2022
  • In modern society, environmental and energy problems have caused to replace cars with environment friendly energy. Vehicles with internal combustion engine which use petroleum are one of the factors that influence global pollution due to environment problems such as fine dust and ozone layer destruction. In addition use of energies for automobile making resources to become depleted. To solve this limited oil energy problem by using other energy sources. To the problem using electric energy and green energy as alternative for a solution. Among environment friendly energies this paper studies the possibility of drive service for autonomous vehicles that self-charges using only solar energy and whether they can be used as pollution free and alternative energy for automobiles. Studies was researched based on published literature review, data from ministry of transportation and automobile companies. Also case of electric vehicle and prototype automobile using only solar energy and the theory of near future technologies. Many automakers are using electric cars as alternative energy. Also making efforts to use solar energy as an substitute energy source and as a way to supplement electricity. Results show that there is a potential on operating autonomous vehicle using only solar energy. Furthermore, it will be possible to use automobiles actively, also use and supply solar energy. This paper suggest the possibility of contributing to the future of the automotive industry.

A Study on Improvement of Refresher Training for a Minority of Training Occupations (훈련교·강사 보수교육 의무화를 위한 소수훈련직종 보수교육 인정 제도 적용방안 연구)

  • Kim, Mi Hwa;Kim, Woocheol;Kim, Jiyoung;Woo, Heajung;Song, Haelim;Ok, Yeongjeen;Park, Jiwon
    • Journal of Practical Engineering Education
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    • v.13 no.3
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    • pp.545-558
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    • 2021
  • As the "Partial Amendment to the Vocational Competency Development Act" was passed, and the mandatory refresher training was legislated in March 2020, HRD education institutions has prepared a plan for the improved refresher training to strengthen the competency of vocational training teachers and to improve the quality of refresher training. However, as demand for refresher training is concentrated in partial occupations, it is necessary prepare a separate plan to recognize personal learning as a refresher training for a minority of teachers who are not provided with a training. Therefore, this study aims to identify areas of a minor training occupations that don't exist many participants for a refresher training and to derive ways to recognize their multiple education experiences and participations instead of attending a refresher training. To this end, literature review, analysis of current situation, consultation with stakeholders, and written interviews with experts were conducted. As a result, a minority of training occupations was defined as type 1 and type 2 and ways of the recognition of refresher training for minority of training occupations which embrace various educational types were derived. Lastly, discussions and suggestions on the expansion of the scope of the recognition of refresher training for minority of training occupations were provided.

Analysis of the Characteristics of Children and Adolescent Patients Received Sealant after National Health Insurance Coverage using Big Data (빅데이터를 이용한 치면열구전색 급여화 이후의 소아청소년 치면열구전색 환자에 대한 분석)

  • Lee, Hangil;Son, Donghyun;Na, Chaehyun;Kim Jihun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.48 no.2
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    • pp.129-139
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    • 2021
  • The purpose of this study was to analyze the characteristics of pediatric and adolescent patients who received sealant after health insurance coverage based on demographic factors such as gender, age, insurance type, care institution and region. Patient Sample Data from the Health Insurance Review and Assessment Service were used for this study. A total of 8,454,636 patients' data were obtained from 2010 to 2017. Of these, 114,680 patients got sealant treatment. Females were more likely to receive sealant treatment than males. 5 - 9 year age group showed the highest number of patients and proportion of treatment. Patients with health insurance were more likely to receive pit and fissure sealant treatment compared to patients with medical aid program. The number of sealant patients and the proportion of sealant treatment were the highest in dental clinics, followed by dental hospitals and public health centers. The number of sealant patients were the highest in Gyeonggi and proportion of sealant patients were the highest in Jeonbuk.

The Effect of the Adoption of Principle-based International Financial Reporting Standards on Financial Reporting of Korean Small/Medium-Size Enterprises(SMEs) (원칙중심의 국제회계기준 도입이 중소-중견기업의 재무보고에 미친 영향에 관한 연구)

  • Kim, Eung-Gil;Han, Soong-Soo
    • Korean small business review
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    • v.42 no.2
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    • pp.1-22
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    • 2020
  • This paper examines the effect of the adoption of international financial reporting standards(IFRS) on the financial reporting of SMEs. As IFRS is principle-based, management's discretion is needed to reflect the economic substance of transactions, and a sound internal accounting infrastructure is needed to support the judgment process. In the case of SMEs, the internal accounting infrastructure is not well established, which makes it difficult to apply principle-based accounting. The survey analysis of 132 small and medium-sized business accounting managers listed in the domestic stock market showed that the reliability of financial statements has increased due to the introduction of IFRS. In particular, SMEs perceived their financial statements as being more reliable after the adoption of IFRS than midsize companies. However, it was found that the costs and risks from the preparation of financial statements have increased significantly, and conflicts between auditors and supervisory authorities related to the application of the principles have increased. In particular, midsize companies felt the increase in conflict with auditors and supervisory authorities bigger than small companies. As for the practical difficulties in applying IFRS, both small and medium-sized companies have difficulty in interpreting the standards and lacked guidelines. In order to resolve these difficulties, it is necessary to enhance the function of Q&A by the Korea Accounting standard board(KASB) or Financial Supervisory Service(FSS). In conclusion, the reliability of the financial statements of SMEs has improved with the introduction of IFRS. However, we believe that policy and institutional support is needed in order to have better financial reporting for SMEs.

Exploration of Research Themes in Entrepreneurship via Trend Analysis in Asia Pacific Journal of Small Business (「중소기업연구」 40년 '기업가정신(Entrepreneurship)' 연구의 동향과 과제)

  • Lee, Choonwoo;Han, Yoo-Jin
    • Korean small business review
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    • v.42 no.3
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    • pp.1-25
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    • 2020
  • To commemorate the 40th anniversary of the foundation of the Korean Association of Small Business Studies, this study reviewed research papers on the subject of entrepreneurship in the Asia Pacific Journal of Small Business. For 40 years, the subjects of entrepreneurship-related studies published in this journal were relatively limited and the number of articles was very few. The research papers mainly focus on defining entrepreneurship as an innovation or as a determinant of innovation and survey-based empirical studies have been conducted since the publication of the Entrepreneurial Orientation(EO) by Lumpkin and Dess(1996). Although entrepreneurship is a research field that can be approached from various perspectives such as economics, sociology, psychology, cultural anthropology, and organization theory, most of the papers published in the Asia Pacific Journal of Small Business do not clearly state their theoretical positions or viewpoints. Moreover, there are few studies that incorporate corporate entrepreneurs or startup teams although they have been major actors or entrepreneurship. Lastly, innovation has been the main focus of research, leaving other arenas such as opportunity recognition and discovery understudied. In order to increase the quantity and improve the quality in the entrepreneurship research, we need to have the entrepreneurship field as one academic section in the Asia Pacific Journal of Small Business.

Profiles of Work-Family/Parenting Conflict and Enrichment Among Korean Employed Mothers of Children in Elementary School: Various Antecedents and Psychological Outcomes (초등학생 자녀를 둔 취업모의 일-가족·양육 갈등 및 향상 유형: 다양한 예측 요인과 심리적 결과)

  • Park, In-Sook;Lee, Jaerim
    • Journal of Family Resource Management and Policy Review
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    • v.26 no.2
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    • pp.19-36
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    • 2022
  • The purpose of this study was (a) to identify latent profiles among employed Korean mothers of third graders based on work-family conflict, work-family enrichment, work-parenting conflict, and work-parenting enrichment, (b) to examine the antecedents of profile membership at the individual, family, work, and community levels, and (c) to investigate the differences in the various psychological outcomes across the profiles. The sample of 451 married employed mothers was a subset of data from the 10th Wave of the Panel Study of Korean Children, which was collected in 2017 when the focal child was in the third grade. Our latent profile analysis suggested a three-profile model that comprised enriched (11.91%), moderate (47.85%), and mixed (40.24%) profiles. The significant antecedents of profile membership were subjective health status, the child's adjustment to school, working hours, the community's suitability for childrearing, and satisfaction with community service facilities. Regarding psychological outcomes, the levels of life satisfaction, marital satisfaction, and job satisfaction were higher in the following order: enriched, moderate, and mixed profiles. The levels of depressive symptoms were in the reverse order: mixed, moderate, and enriched profiles. This study contributes to a comprehensive understanding of the literature on work-family interactions by considering various predictors and outcomes at multiple levels.