• 제목/요약/키워드: Square Pocket

검색결과 37건 처리시간 0.025초

희귀난치성질환자에서 사회경제적 수준이 의료이용에 미치는 영향 (Effect of Socioeconomic Status on Healthcare Utilization in Patients with Rare and Incurable Diseases)

  • 임준;김명희;임정수;오대규
    • 보건행정학회지
    • /
    • 제19권4호
    • /
    • pp.66-77
    • /
    • 2009
  • This study aims to examine the effect of socioeconomic status (hereafter, SES) on healthcare utilization of the patients with rare and incurable diseases. Information of 2,973 patients who were self-employed insured and utilized healthcare service in 2007 was drawn from the National Health Insurance (hereafter, NHI) claim data. SES was set as four groups based on the monthly contribution. Outcome variable was the expense for outpatient and in-hospital services, which was log-transformed and square-rooted in oder to obtain normal distribution. Covariates included age, gender, residence and diagnosis. To examine the effects after controlling for covariates, we employed generalized estimating equation model, since patients with the same diagnosis are likely to have similar characteristics of demographics and healthcare utilization. Univariate statistics showed that lower SES was associated with less utilization of healthcare services. After controlling for covariates, a significantly smaller amount of money was expended for the lowest SES group compared to the highest one. Rural residence was associated with less utilization, except that residents in Seoul significantly more utilized outpatient services in tertiary hospitals. Considering that there is a subsidy program for the low income patients, such differences in healthcare utilization according to SES seems to result from the burden of out-of-pocket payments for uncovered services of the NHI.

건강보험 보장성 확대정책에 따른 치과 이용 및 의료비 지출 변화 : 한국의료패널(2012-2016)을 이용하여 (Changes in dental care utilization and expenditure by the expansion policy of the health insurance coverage : Korea Health Panel Survey 2012-2016)

  • 서혜원;김영실
    • 한국치위생학회지
    • /
    • 제20권5호
    • /
    • pp.611-621
    • /
    • 2020
  • Objectives: This study aimed to verify the impact of dental health care insurance coverage policy by analyzing the changes in dental care utilization and expenditures over 5 years from 2012 to 2016, when the dental health insurance coverage expansion policy was implemented. From the national cohort data collected by the Korea Health Panel Survey, a retrospective study was conducted for all household members using dental services. Methods: This study statistically verified the difference in the dependent variables by frequency analysis, chi-square test, t-test, and one-way analysis of variance (SPSS version 22, IBM Co. USA, p<0.05). Results: The annual utilization rate steadily increased from 23.4% to 26.1% between 2012 and 2016. Although there were differences in utilization rates by gender, age, and income level, patients kept using the dental services in 2016 regardless of the type of health insurance. The average annual copayment for patient expenditures (out-of-pocket amount) increased from ₩463,844 to ₩537,401 in 2012 and 2016, respectively. Of the dental care expenditures over 5 years, the ratio of uninsured expenses by the elderly decreased from 38.5% to 25.9%, and the national health insurance service coverage increased from 40.3% to 49.1%. Conclusions: Although this policy did not reduce overall patient expenditures, it has been found that there was a positive effect on the elderly and low-income groups; it increased the utilization and access to dental services.

Complication incidence of two implant systems up to six years: a comparison between internal and external connection implants

  • Chae, Sung-Wook;Kim, Young-Sung;Lee, Yong-Moo;Kim, Won-Kyung;Lee, Young-Kyoo;Kim, Su-Hwan
    • Journal of Periodontal and Implant Science
    • /
    • 제45권1호
    • /
    • pp.23-29
    • /
    • 2015
  • Purpose: This study was conducted to compare the cumulative survival rates (CSRs) and the incidence of postloading complications (PLCs) between a bone-level internal connection system (ICS-BL) and an external connection system (ECS). Methods: The medical records of patients treated with either a ICS-BL or ECS between 2007 and 2010 at Asan Medical Center were reviewed. PLCs were divided into two categories: biological and technical. Biological complications included >4 mm of probing pocket depth, thread exposure in radiographs, and soft tissue complications, whereas technical complications included chipping of the veneering material, fracture of the implant, fracture of the crown, loosening or fracture of the abutment or screw, loss of retention, and loss of access hole filling material. CSRs were determined by a life-table analysis and compared using the log-rank chi-square test. The incidence of PLC was compared with the Pearson chi-squared test. Results: A total of 2,651 implants in 1,074 patients (1,167 ICS-BLs in 551 patients and 1,484 ECSs in 523 patients) were analyzed. The average observation periods were 3.4 years for the ICS-BLs and 3.1 years for the ECSs. The six-year CSR of all implants was 96.1% (94.9% for the ICS-BLs and 97.1% for the ECSs, P=0.619). Soft tissue complications were more frequent with the ECSs (P=0.005) and loosening or fracture of the abutment or screw occurred more frequently with the ICS-BLs (P<0.001). Conclusions: Within the limitations of this study, the ICS-BL was more prone to technical complications while the ECS was more vulnerable to biological complications.

기선권현망 현용 어구의 전개 성능 (The opening efficiency of the existent net of the anchovy boat seine)

  • 안영수;백영수;진송한;장충식;강명희;차봉진;김보연;차주형;조윤형
    • 수산해양기술연구
    • /
    • 제54권1호
    • /
    • pp.1-11
    • /
    • 2018
  • This study was conducted in order to improve fishing gear for existent net of the anchovy boat seine. Field experiments were performed to observe geometry of nets by catcher boats. When the distances between the two ships were 100, 300, and 500 m, and the speeds of towing nets were 0.6, 0.9, and 1.2 k't, respectively. The vertical opening and actual opening of each part of the existent net was as follows: the middle part of the wing net, 12.9-26.6 m, 19-39%; the entrance of the inside wing net, 23.3-35.3 m, 40-60%; the square and bosom, 18.4-24.2 m, 37-49%; the entrance of the bag net, 19.0-23.3 m, 79-96%; the flapper, 13.2-15.3 m, 142-161%; and the end of the bag net, 13.2-15.7 m, 51-61%. The actual net opening of each part of the existent nets used in this study was lower than that of the design net height, due to the low net height of the wing net and the inside wing net, it limited a range of the net height of the square and bosom. The opening of the entrance of the bag net caused the net pocket shape and inflated some parts of the nets. The tension of towing nets was measured between 4.4 and 11.0 tons, and it is necessary to reduce the structure and improve the structure of the bag net.

기선권현망어업의 어구 개량과 자동화 조업시스템 개발-III - 실물어구의 수중형상 - (Improving of the Fishing Gear and Development of the Automatic Operation System in the Anchovy Boat Seine-III -Underwater Geometry of the Prototype Net-)

  • 장충식;김용해;안영수
    • 수산해양기술연구
    • /
    • 제37권4호
    • /
    • pp.267-274
    • /
    • 2001
  • 어구 크기를 대폭적으로 줄이면서 어획성능을 향상시킨 어구를 개량하고 조업자동화를 이룩할 수 있도록 하기 위하여 신광수산에서 사용하고 있는 실물어구를 가지고 양선간격 및 예망속도의 변화에 따른 해상실험을 통하여 어구 각부의 망고와 수중형상을 측정·분석한 결과를 요약하면 다음과 같다. 1. 실물어구 각 부분의 망고는 양선간격과 예망속도가 증가함에 따라 낮아지는 경향을 보였다. 2. 실물어구의 양선간격에 따른 오비기, 수비, 앞창, 자루 입구, 깔때기와 자루 뒤끝의 망고는 각각 8.4∼6.6, 17.4∼15.7, 17.9∼12.9, 19.0∼l3.6, 8.4∼8.3, 14.7∼11.1m이었고, 각 부분의 전개율은 16∼12, 24∼22, 38∼27, 83∼59, 93∼92, 54∼41%로 나타났다. 3. 실물어구의 예망속도에 따른 오비기, 수비, 앞창, 자루 입구, 깔때기, 자루 뒤끝의 망고는 각각 10.5∼7.7, 21.6∼l9.6, 16.9∼15.2, 17.1∼15.4, 8.2∼8.0, 14.7∼13.7m이었고, 각 부분의 전개율은 각각 19∼14, 30∼27, 36∼32, 74∼67, 91∼89, 54∼51%로 나타났다. 4. 오비기의 망고가 매우 낮게 형성되어 수비와 앞창의 망고가 불안정하고 극히 낮은 전개율로 인하여 포켓현상이 매우 뚜렷하게 나타났다. 5. 실물어구의 예망깊이는 양선간격과 예망속도의 증가에 따라 약간씩 말아지는 현상을 보였는데, 뜸줄 쪽보다는 발줄 쪽이 더 뚜렷하였다.

  • PDF

선단 축소를 위한 기선권현망 축소형 대형 어구의 전개 성능 (The opening efficiency of the miniaturized large-scale net for anchovy boat seine to reduce the fleet size)

  • 안영수;백영수;진송한;장충식;강명희;차봉진;조윤형;김보연;차주형
    • 수산해양기술연구
    • /
    • 제54권1호
    • /
    • pp.12-24
    • /
    • 2018
  • This study was conducted in order to improve opening efficiency of the miniaturized large-scale net for anchovy boat seine gear to reduce the fleet size. Field experiments were performed to observe geometry of nets by catcher boats. When the distances between the two ships were 150, 300 and 450 m, and the speeds of towing nets were 0.6, 0.9, and 1.2 k't, respectively. The vertical opening and actual opening of each part of the miniaturized large-scale net was as follows: the front part of the wing net, 8.7-13.3 m, 51-78%; the middle part of the wing net, 28.1-34.2 m, 55-67%; the entrance of the inside wing net, 31.3-38.5 m, 60-73%; the square and bosom, 22.7-29.6 m, 47-62%; the entrance of the body net, 20.9-26.4 m, 42-52%; the entrance of the bag net, 17.2-21 m, 72-89%; the flapper, 13.2-15.3 m, 78-83%; and the end of the bag net, 13.2-15.7 m, 72-75%. By connecting the net pendants with the front part of the wing net, the opening of the front part of the wing net was significantly improved compared to the traditional gear, which ensured both the wing net and the inside wing net with a normal net height. This, in turn, increased the efficiency of herding. The height of the body and bag nets was also higher than that of the tradition gear. In particular, the body net attached to the gear significantly improved the pocket shape of the gear and reduced the number of fish that were caught and escaped from the bag net, which increased the rate of fishing. The tension of towing nets was measured approximately between 2,958 and 7,110 kg, which indicates that the fleet can tow nets with 350 ps, the standard engine horse power. The fishing operation time was shortened compared with of the existent net, and the large-scale buoy attachment operation was also possible to operate the ship without fish detecting boat.

고등학생의 음주문제행동과 성격특성 (Relationship between Problematic Drinking Behavior and the Personalities of High School Students)

  • 조원정;김광숙;서구민;권인숙
    • 지역사회간호학회지
    • /
    • 제15권3호
    • /
    • pp.471-482
    • /
    • 2004
  • Purpose: This study intended to identify personality factors and related problematic behaviors of adolescents who drink alcohol in order to provide basic data for developing nursing programs. Methods: The data were collected from October to December 2002 from 1.080 high school students in Seoul. The Revised Cloninger's Tri-dimensional Personality Questionnaire (TPQ) was used to measure their personalities. The alcohol expectancy was measured using the tool revised by Cho (1999) and stress levels were measure using a stress tool revised Cho (1998). The data were analyzed with SPSS Windows using Chi square test. independent t-test. and logistic regression analysis. Results: 1. The percentage of fathers who drank was 79.8%. mothers. 54.3%. and friends. 54.3%. The alcohol expectancy averaged 6.36 while the stress levels were 132.79. 2. It was found that there are significant differences (p<.001) in problematic drinking behaviors according to the following variables: second year high school students among all grade variables, more monthly pocket money for the amount of money variables, the group of students who smoked in the case of the variable related to smoking, spending more time using the Internet for the Internet use variable, and having friends who drink 65.6% for the friend variable. The alcohol expectancy scale of those students who showed problematic drinking behaviors was higher than that of those who did not. There are four family-related stress subscales, and there was a significant difference among them (p<.05). Among the personal characteristics, the group who displayed problematic drinking behaviors seeks new experiences and reward dependence more than the group who did not exhibit those behaviors, and there were significant differences between the two groups (p<.001). 3. When the socio-demographic and drinking-related factors were controlled, the tendency of seeking new experiences increased the risk of problematic behaviors 1.07 times (p<.05). Compared to the non smoking group, the smoking group was found to have a 5.06 time (p<.001) greater risk of displaying problematic drinking behaviors. In comparison with the non drinking group, the drinking group was also found to have a 5.31 time (p<.001) greater risk of exhibiting problematic drinking behaviors. The group with high alcohol expectancy scores was significantly different from the group with the no alcohol expectancy, showing a 1.26 time (p<.00l) greater risk of problematic drinking behaviors. Conclusions: Based on these results, the problematic drinking behaviors were connected with alcohol expectancies, friends and personality types. Therefore, we should develop an alcoholic prevention program for adolescence considering the above results.

  • PDF

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

  • 장충식;안영수;김광홍
    • 수산해양기술연구
    • /
    • 제41권1호
    • /
    • pp.9-16
    • /
    • 2005
  • 기선권현망어업의 어구 개량과 조업시스템 개선을 목적으로 생력형어구를 제작하여 현장조업선에 의한 해상실험을 실시하여 어구의 형상과 조업시스템을 관찰한 결과를 요약하면 다음과 같다. 1. 생력형 어구의 양선간격에 따른 오비기 앞끝, 오비기, 수비, 앞창, 자루그물 입구, 깔때기, 자루그물 뒤끝의 망고 변화폭은 각각 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}$9.8m이었고, 각 부분의 실제 전개율은 50${\sim}$78, 25${\sim}$36, 24${\sim}$31, 31${\sim}$38, 61${\sim}$73, 71${\sim}$91, 87${\sim}$104%로 나타났다. 2. 생력형 어구는 그물목줄 부착으로 오비기 앞끝의 전개가 신속하게 이루어지고 있으며, 개량된 나발그물 부착으로 축소형 개량어구보다 포켓형상을 대폭 개선시켜 어군의 유도가 매우 원활하였다. 또한, 양선간격 및 예망속도 변화에 따른 어구 형상이 매우 안정되었으며, 망고의 변화 폭이 크지 않아 어구의 전개성능이 향상되었다. 3. 자루그물의 개량으로 어구저항 감소, 예망속도 증대 및 입망된 어군의 도피가 현저히 감소하여 어획량이 현용어구보다 증가하였으며, 조업시스템의 개선이 가능하였다.

치주질환이 없는 청년의 치은연상 및 치은연하 치면세균막에 존재하는 치주질환 관련 4종 세균의 분포 비교 (Comparison of the prevalence of 4 periodontopathogens in supra-and subgingival plaque of young adults without periodontitis)

  • 장현선;김지연;국중기;유소영;김화숙;김수관;김병옥
    • Journal of Periodontal and Implant Science
    • /
    • 제33권2호
    • /
    • pp.159-166
    • /
    • 2003
  • The purpose of this study was to investigate and compare the frequence of 4 periodontal pathogens in the supra- and subgingival plaque in periodontally healthy subjects. Twenty adult individuals aged 22 to 28 years (mean age 23.65 years) participated in this study. All subjects had no pocket sites more than 3 mm deep, and the sites selected for sampling were all negative for bleeding. After drying and isolation of the sites with cotton rolls, supragingival plaque was sampled using sterile periodontal curette. Each plaque sample was placed in individual tubes containing 500 ml of 1X PBS. After removal of the supragingival sample and any remaining supragingival plaque, subgingival plaque samples were taken from the same sites using sterile curette and placed in similar individual tubes. Identification of 4 putative periodontal pathogens from the samples was performed by polymerase chain reaction based on 16S rDNA. Chi-square test was employed to identify significant explanatory variables for the presence of the 4 periodontal pathogens. The data show that Actinobacillus actinmycetemcomitans, Porphyromonanas gingivalis, Bacteroides forsythus, and Fusobacterium nucleatum occurred in 16.9%, 14.4%, 52.5%, and 80.6%, respectively. No significant differences were noted in the periodontal pathogens between supra- and subgingival plaques according to the kind of teeth. However, the incisors were at higher risk for harboring F. nucleatum (p <0.05). Conclusion: These results reveal that anaerobic periodontal pathogens can be detected in supragingival plaques. Supragingival plaque may function as a reservoir of peri-odotopathogens.

의복문양(衣服紋樣)의 기호도에 관한 실태(實態) 연구(硏究) - 한복(韓服)을 중심(中心)으로 - (A Study on Present Status of Preferences in the Choice of Patterns in Clothing)

  • 김은주
    • 복식
    • /
    • 제6권
    • /
    • pp.65-87
    • /
    • 1982
  • 1. Purpose: The purpose is to apply and adapt ancient textile pattern to practical life, and to contribute to the promotion of the creative development of modernization and Koreanization of textile pattern by the survey of the extent of taste for the textile pattern existent in Korean costume among costumes. 2. Hypothesis: Textile pattern is in most classical one expressed in fact, but nowadays abstract or geometric one is more exist. Consumers are in most part in forties, and so the taste cannot be ignored. Therefore aesthetic consciousness found Korean costume is more important rather than excessively bold or mordern one. 3. Method and Process: (1) This research is analysed 386 one through college student and parents of a primary or high school. (2) Taste of the pattern is comparisoned and analyzed as age. education, pocket money of the student or an income of a month in home through computer. And the analysis of the statistics research is operation through the Chi-Square Goodness of-Fit-Test. 4. Conclusion: (1) The Korean costume put on mostly party or formal dress, therefore it should be researched as an outdoor dress with traditional costume. (2) The most one is concerned in textile pattern, it's taste is different from color, constitution. Textile industry is developed not only weave pattern, gold-coverning pattern but embroidry pattern, dye pattern, therefore the various side of pattern design should be researched. (3) In Side of form, plant pattern is not only most various but highest in popularity. According to approach nowadays, all of the pattern becomes composition or geometric one with abstract tendency and so from these day pattern is necessary combinationed, researched with our people emotion. (4) The color of textile pattern is choiced individual taste. Through investige, research in various side of the modern taste and our costume, we take growing interest in the color, composition of textile, and should dressed with beauty and grace. (5) In side of size, textile pattern is choiced to individual face and body shape through research on form, color, size of these pattern, we should endeavor to dress well. (6) In side of application, most people is concerned in not only interior ornament but the costume is high. Costume research by some people of the outside and symbol with interior through the pattern analysis is not only very important but also is due to people culture.

  • PDF