• Title/Summary/Keyword: Utilization rate

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The association between nutrition label utilization and disease management education among hypertension or diabetes diagnosed in Korea using 2018 Community Health Survey: a cross-sectional study (고혈압·당뇨병 진단자의 영양표시 활용과 질환관리교육의 연관성: 2018년 지역사회건강조사 자료를 활용한 횡단연구)

  • Miran Jin;Jayeun Kim;Kyuhyun Yoon
    • Korean Journal of Community Nutrition
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    • v.28 no.1
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    • pp.38-47
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    • 2023
  • Objectives: This study examined the association between the experience of disease management education and the use of nutrition labels according to the sociodemographic characteristics and health behaviors of people diagnosed with hypertension and diabetes living in the community. Methods: Among the participants from the Community Health Survey (2018), 74,283 individuals diagnosed with hypertension or diabetes were included in the study population. According to gender, this study evaluated nutrition label use by the experience of disease management education, individual sociodemographic characteristics, and health behavior. Finally, using multiple logistic regression analysis, the association between disease management education and nutrition labels was calculated using the odds ratio (OR) and 95% confidence interval (CI). Results: Males (24.5%) experienced more disease management education than females (22.6%). In addition, younger age, higher education level, and higher equalized personal income experienced more disease management education (P < 0.001). The educational experience rate was higher in the male subjects who did not smoke or were involved in high-risk alcohol consumption (P < 0.001). In addition, the rate of disease management education experience was significantly higher for both men and women who exercised by walking (P < 0.001). The use of nutrition labels was higher in females (9.9%) than males (5.8%), and both males and females were significantly higher in young age, high education, high income, and professional and office positions (P < 0.001). The utilization rate of nutrition labels was high in non-smoking male subjects and high-risk-drinking female subjects. In addition, the utilization rate of nutrition labels was significantly higher in males and females who exercised by walking and those who experienced disease management education (P < 0.001). After adjusting for individual sociodemographic characteristics, health behavior, and disease management education, the use of nutrition labels was high among females (OR 3.19, 95% CI 2.85-3.58), high income (Q4; OR 1.62, 95% CI 1.41-1.87, Q5; OR 1.58, 95% CI 1.37-1.84) and highly educated (high school; OR 2.87, 95% CI 2.62-3.14, above college; OR 5.60, 95% CI 5.02-6.23) while it was low in the elderly (OR 0.43, 95% CI 0.40-0.47), and economically inactive (OR 0.86, 95% CI 0.76-0.96). The use of nutrition labels was high in non-smokers (OR 1.29, 95% CI 1.13-1.48), nonhigh-risk drinkers (OR 1.22, 95% CI 1.08-1.38), and subjects who exercised walking (OR 1.44, 95% CI 1.34-1.54). There was no difference in the utilization rate of nutrition labels according to obesity, and the utilization rate of nutrition labels was significantly higher in subjects who had experienced disease education (OR 1.34, 95% CI 1.24-1.44). Conclusions: Education on the use of nutrition labels, which contributes to food selection for healthy eating, might be a tool for dietary management. Moreover, the utilization rate can be a good indicator for predicting the proportion of the population practicing the guide for disease management. Improving the utilization rate of nutrition labels through disease management education can be a useful intervention for people with chronic diseases who need healthy eating habits for disease management and preventing complications, particularly those diagnosed with hypertension and diabetes.

Determinant Factors for Expenditure of the Medical Insurance Program for Self-Employeds (지역의료보험(地域醫療保險) 재정지출(財政支出)의 결정요인(決定要因))

  • Kam, Sin;Park, Jae-Yong;Yeh, Min-Hae
    • Journal of Preventive Medicine and Public Health
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    • v.28 no.1 s.49
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    • pp.153-174
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    • 1995
  • This study was conducted to examine the determinant factors for expenditure of the medical insurance program for self-employeds based on the analysis of 1991 'The Medical Insurance Program for Self-Employeds Statistical Yearbook', and also similar yearbooks in the metropolitan and other provinces. The major findings are as follows : We have divided benefits into these four components such as the utilization rate for out-patients, expenses per claim for out-patients as paid by the insurer, utilization rate for in-patients, and the expenses per claim for in-patients as paid by the insurer, in order to examine the determinant factors for it. The results of the study revealed the following findings, in urban areas, the supply of medical care had more influence on the benefits than other demographic and economic variables, while, in county areas, both the supply of medical care and the rate of those aged over 65 affected the provision of benefits. The determinant factors for financial balance of the medical insurance program for self-employeds are, first, the determinant factor for administrative expenses was the number of households. The more the number of households, the less the administrative expenses per the insured. This shows that the economy of scale is being. And so, the administrative district must be taken into consideration in the incorporation of small regional medical societies and should be re-organized for more efficient management. Second, in urban areas, the supply of medical care had more influence on utilization rate and expenses per claim as paid by insurer, and therefore it is necessary to control it. In county areas, the supply of medical care and the rate of those aged over 65 raised the utilization rate and expenses per claim as paid by insurer. For the financial stability of county areas, a common fund for medical care for the aged and expansion of finance stabilization fund would be necessary. But, in county areas, it would be unnecessary to control the supply of medical care because it was much more insufficient than in urban areas. The vitalization of public health facilities must be carried out in county areas, for they reduced benefits. Sice the more insured in a single household, the less the utilization of the medical insurance program, benefits for habilitation at home should be given consideration. The law of majority and the economy of scale were applied here, and therefore the incorporation of regional medical societies must be taken into consideration. In integrating regional medical societies, it would be absolutely necessary to review the structural differences among all regional medical societies, the medical demand of each region, and also the local characteristics of each region.

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Flooded Analysis for Multi-Utilization of Reclaimed Tidelands in the West Coast District (서해안지역 간척농지의 다각적 활용을 위한 침수안전지역 설정 연구)

  • Park, Myeong Soo;Yun, Dong Koun;Han, Guk Heon;Oh, Sung Tae;La, Min Chul
    • KCID journal
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    • v.19 no.1
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    • pp.50-63
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    • 2012
  • Many reclaimed tideland projects in Korea have been conducted to secure the food self-sufficiency. In fact, the domestic food self-sufficiency has been greatly improved and reclaimed tideland projects contribute to Korea's economic and social development directly or indirectly replacing agricultural lands from urbanization, industrialization. As result, current self-sufficiency of rice reach the demand(104.6%) while rate of upland crops has less than 30% of self-sufficiency rate and corn, wheat, soybeans, etc. are virtually dependent on imports. Domestic price of crop is expected to be unstable by trend of international grain prices. Therefore, developing reclaimed tidelands as upland which is originally constructed for paddy fields could be a good option to become steady in domestic crop market and dedicate to ensure a stable food security. The study to prepare measures for dealing with disasters in reclaimed tidelands of west coast district is required in order to utilize those sites for infra construction of multi-utilization in those sites and The result of flooding analysis in this study can suggest policy direction for practical utilization of reclaimed tidelands in yellow sea area.

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Assessment of Documentation Status of the Statement on the Sea Area Utilization according to Artificial Structure Installation in Public Water (공유수면 인공구조물 설치에 따른 해역이용협의서 작성실태 평가)

  • Eom, Ki-Hyuk;Lee, Dae-In;Kim, Gui-Young;Yoon, Sung-Soon
    • Journal of Environmental Impact Assessment
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    • v.22 no.3
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    • pp.265-276
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    • 2013
  • This study assessed documentation status of each environmental assessment items by analyzing the 243 case of marine EIS on the Consultation System of Sea Area Utilization. Observed rate of tidal elevation, current, temperature, salinity in maine environment were below 20%. The EFDC tool is applied substantially in hydrodynamic modeling. The verification process, however, is very insufficient using the recent observed data. Also, in-situ assessment rate of pelagic organism such as phytoplankton was below 50%, and assessment for Chlorophyll a was not accomplished. Ecological index evaluation for zooplankton and benthic ecosystem were not considered in statements. Especially, the rational assessment on the fisheries resources and protected species were very limited. It was necessary that the core assessment items (checklists) were established for environmental scoping. Furthermore, suggestion of information related to development, regional coastal management plan, aquaculture farms, and facilities were enhanced. The redundancy problem of proceedings between Environmental Impact Assessment and Sea Area Utilization Assessment System was improved.

A study on improving the bandwidth utilization of fair packet schedulers (공평 패킷 스케줄러의 대역폭 이용 효율 개선에 관한 연구)

  • Kim Tae-Joon;Kim Hwang-Rae
    • The KIPS Transactions:PartC
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    • v.13C no.3 s.106
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    • pp.331-338
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    • 2006
  • Most fair packet schedulers supporting quality-of-services of real-time multimedia applications are based on the finish time design scheme in which the expected transmission finish time of each packet is used as its timestamp. This scheme can adjust the latency of a flow with raising the flow's scheduling rate but it may suffer from severe bandwidth loss due to the coupled rate and delay allocation. This paper first introduces the concept of delay resource, and then proposes a scheduling method to improve the bandwidth utilization in which delay resource being lost due to the coupled allocation is transformed into bandwidth one. The performance evaluation shows that the proposed method gives higher bandwidth utilization by up to 50%.

Regional Difference in Outpatient Service Utilization for Chronic Diseases among the Elderly (고령층 만성질환 외래이용의 지역 간 변이)

  • Yun, Heesuk
    • Health Policy and Management
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    • v.24 no.2
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    • pp.128-135
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    • 2014
  • Background: With ageing and growing importance of disease management system, it is necessary to investigate the extent of regional difference in service utilization for chronic diseases among the elderly and to reflect it in designing the system. Methods: A multiple regression analysis and descriptive statistics analyses were employed using patient survey, which covers nationwide health facilities and their users. Results: While the differences in the rate of service utilization/utilization outside living area between urban and rural areas or between income levels are not large, considerable variations are observed within urban or rural areas and within income groups. Conclusion: This results suggest that it is important to subsidize economically disadvantaged segments of the population and residents of less-favored areas to be better-equipped for chronic disease management in order to prevent the development of severe ailments and the need for treatment at higher-level medical institutions. Improvements to the service infrastructure in vulnerable regions are essential.

Study for Determining an Inventory Level of Spare Parts according to System Utilization (시스템 가동률에 따른 수리 부속 제품의 재고 수준 결정에 관한 연구)

  • Jeong, Suk-Jae;Han, Sung-Hoon;Kim, Kyung-Sup
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.30 no.3
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    • pp.117-126
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    • 2007
  • It has been a major issue to repair the broken system quickly for improvement of productivity and utilization. Generally, high utilization of system requires the high amount of spare parts in inventory and inventory cost. Therefore, it is necessary to determine the proper amount of inventory with regard to utilization of system. This study designs a methodology for determining the proper amount of inventory level in a two-echelon spare parts distribution system. The requirements are to satisfy proper customer demands at a distribution center and to maintain over the utilization of the whole system at customers. This methodology minimizes total inventory investment at a distribution center and customers.

A Multicast Regrouping Method for Efficient Utilization of Bandwidth (효율적 대역폭 이용을 위한 멀티캐스트 재그룹 기법)

  • Noh, Ju-Yi;Ku, Myung-Mo;Kim, Sang-Bok
    • Journal of Korea Multimedia Society
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    • v.7 no.8
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    • pp.1078-1085
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    • 2004
  • The SARLM(Source Adaptive Receiver-Driven Multi-Layered Multicast) has been proposed to address heterogeneous bandwidth constraints through layer merging and splitting. However, this method causes that receivers subscribing to the higher layer drop down to the lower layer and hence may decrease utilization of available bandwidth after layer merging. In this paper, we proposed a multicast regrouping method considering distributive status of receivers according to loss rates. The proposed method weights receivers according to loss rates. And then it groups higher layer with receivers subscribing to lower layer have extra bandwidth and lower layer with receivers subscribing to higher layer have high loss rate. Experimental results show that receivers subscribing to higher layer can receive in high transmission rate and consequently the proposed method effectively improves utilization of available bandwidth.

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Performance Analysis of Random Early Dropping Effect at an Edge Router for TCP Fairness of DiffServ Assured Service

  • Hur Kyeong
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.31 no.4B
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    • pp.255-269
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    • 2006
  • The differentiated services(DiffServ) architecture provides packet level service differentiation through the simple and predefined Per-Hop Behaviors(PHBs). The Assured Forwarding(AF) PHB proposed as the assured services uses the RED-in/out(RIO) approach to ensusre the expected capacity specified by the service profile. However, the AF PHB fails to give good QoS and fairness to the TCP flows. This is because OUT(out- of-profile) packet droppings at the RIO buffer are unfair and sporadic during only network congestion while the TCP's congestion control algorithm works with a different round trip time(RTT). In this paper, we propose an Adaptive Regulating Drop(ARD) marker, as a novel dropping strategy at the ingressive edge router, to improve TCP fairness in assured services without a decrease in the link utilization. To drop packets pertinently, the ARD marker adaptively changes a Temporary Permitted Rate(TPR) for aggregate TCP flows. To reduce the excessive use of greedy TCP flows by notifying droppings of their IN packets constantly to them without a decrease in the link utilization, according to the TPR, the ARD marker performs random early fair remarking and dropping of their excessive IN packets at the aggregate flow level. Thus, the throughput of a TCP flow no more depends on only the sporadic and unfair OUT packet droppings at the RIO buffer in the core router. Then, the ARD marker regulates the packet transmission rate of each TCP flow to the contract rate by increasing TCP fairness, without a decrease in the link utilization.

Assessments of utilization and Management Practices of Frozen Convenience Foods in Elementary School Foodservice Operations in Inchon (인천지역 초등학교 급식의 냉동가공식품 이용률 및 관리실태)

  • Park, Gyeong-Suk;Choe, Eun-Hui;Ryu, Gyeong
    • Journal of the Korean Dietetic Association
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    • v.10 no.2
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    • pp.246-257
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    • 2004
  • To provide basic information for the proper usage of frozen convenience foods in elementary school foodservice operations, 51 dietitian employeed in school foodservices in Inchon were surveyed. Among the frozen convenience foods, dumpling-type foods(60.8%) and processed meats(40.4%)were used widely in school foodservice. Generally, the frequency of using frozen food items was fewer than 1 time per month. More than 15% of respondents were using pork cutlet, chicken, chickenball, dumpling stuffed with meat about 2-3 times per month. Sweet and sour pork(Tangsuyuk), kebap(Sanjuk), fish/shrimp cutlet, fried potato items were used only fewer than 1 time per month. Dietitian's age, carrier, employed status influenced the utilization rate. The grand mean of satisfaction score was 3.36 out of 5. The factors affecting satisfaction in using frozen foods were sanitation, taste, price, nutrition, food additives in order. The major reasons of utilizaing frozen convenience foods were 'improved labor productivity(4.47)' and 'meet customer preference(4.25)'. The limiting factors in using frozen foods were taste(35.3%), price(23.5%), nutrition(17.6%). The management practices of frozen convenience foods through food processing flow were assessed. Average performance rate was 64.7%. To enlarge the usage of frozen convenience foods in foodservice operations, dietitians should observe sanitary practices.

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