In recent years there has been a rapid influx of high cost MRI equipment into Korea. This diffusion has raised concerns about the changes it will bring for the health care utilization. Therefore, the purpose of this study is to identify socio-economic characteristics of MRI uses in Korea. A structured questionnaire was designed for this purpose, and 1, 091 users were surveyed at the 35 MRI units of 33 hospitals during a week, sometimes March 1992. The study reveals that high cost technology such as MRI, CT scanner is so prevalent in Korea. This is particularly the case in metropolitan areas. Among others, Seoul has the highest percentage of MRI equipment, 51.05%, Pusan 12.10% and Kwangju 11.9%. Unfortunately, most high cost technology equipments are foreign products. Thus, hospitals with such a high cost technology have difficulties in maintenance of the equipment. The average performance of MRI equipment has declined from 10.2 cases per day in 1988 to 7.16 cases in March 1992. Due to the rapid increase, the performance of MRI equipment seems to be deterioration. Male usere are dominant in the case of MRI use. The utilization rate has positively increased with the rise of educational level of users. The same is true for the level of income; the MRI utilization rate by income level shows that it is negatively proportional to income, which indicates that the poor have difficulties in the use of high cost technology. Particularly, the cost of MRI is so high that ordinary patients are unable to pay for it. For example, 86.3% of respondents have answered that the cost is too high even though they are insured by health insurance. This is the first empirical study on the use status of MRI. The information obtained in this study is sufficient to maintain that the Korean health insurance programme is urgently in need of improving the insurance benefit schemes. The easiest way to do this is to include provision of high cost technology service into the benefit package.
The Journal of Korea Institute of Information, Electronics, and Communication Technology
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v.16
no.4
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pp.203-209
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2023
Harmony search(HS) does not use the evaluation of individual harmony when referring to HM when constructing a new harmony, but particle swarm optimization(PSO), on the contrary, uses the evaluation value of individual particles and the evaluation value of the population to find a solution. However, in this study, we tried to improve the performance of the algorithm by finding and identifying similarities between HS and PSO and applying the particle improvement process of PSO to HS. To apply the PSO algorithm, the local best of individual particles and the global best of the swam are required. In this study, the process of HS improving the worst harmony in harmony memory(HM) was viewed as a process very similar to that of PSO. Therefore, the worst harmony of HM was regarded as the local best of a particle, and the best harmony was regarded as the global best of swam. In this way, the performance of the HS was improved by introducing the particle improvement process of the PSO into the HS harmony improvement process. The results of this study were confirmed by comparing examples of optimization values for various functions. As a result, it was found that the suggested HS-PSO was much better than the existing HS in terms of accuracy and consistency.
It is difficult to examine the causal relation of pollution damages because the time gap between pollution cause and effect is large and new pollutants are continuously being produced. Their many environmental effects are not promptly studied. As both the study of causal relation about pollution and the pollutant treatment are becoming highly advanced by the development of science and environmental technology, both the economy and balance on environmental regulation may be discussed. It is reasonable to decide environmental policy in consideration of close relation between both the generation and resolution of environmental problems and of technological developments because environmental problems are related to complicated social problems and scientific technologies. First item in policy decision about environmental control and management is preferentially to consider the way of prevention. It is necessary to prevent pollution by regulating the installment of environmental pollution facility into the environmentally sensitive areas, like water supply source and to regulate land utilization as a method to achieve pollution prevention. Second is a consideration of environmental technology development. This is a solution which can accomplish the development of environmental technology and the reinforcement of economic competition. Third is the coexistence of environment and economy. It is necessary to consider economy in connection with environmental problems and environment in economic problem. Then, we can enjoy a healthy life as well as economic affluence. Fourth is the enlargement of environmental management means. Environmental management means must be diversified because environmental cause and effect are varied. For Improving the land use regulation system, it is necessary to consider both land use regulation status and pollutant toxicity with the development of environmental technology. Land use must be approached by classifying land to 3 levels; water source protection zone and water front zone, special zone 1 and 2, rancus and other zones. Land regulation policy to prevent any accident in water source protection zone, waterfront zone, and special zone must be continuously upgraded. However, economical consideration in other zones is required by the development of environmental technology.
Kim, Koo;Ha, Ye-Jin;Park, Soo-Jeong;Choi, Na-Rae;Lee, Young-Seop;Joo, Jong-Cheon
Journal of Sasang Constitutional Medicine
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v.25
no.4
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pp.306-319
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2013
Objectives The purpose of this study was to find correlations between gastrointestinal disorders, pain, sleep disorder, fatigue, and to figure out characteristics of fatigue in Sasang Constitution using medical devices data. Methods Sixty three subjects were divided into fatigue group and non-fatigue group, both groups had to undergo blood tests, questionnaire, Sasang constitutional analysis tool (SCAT), pulse wave analyzer examination, heart rate variability examination, nail fold capillary microscopic examination. Results 1) The results of questionnaire about fatigue, gastrointestinal disorder, pain, sleep disorder, quality of life had significant differences between fatigue and non-fatigue groups. 2) Soeumin had more serious gastrointestinal problem and Soyangin had more serious sleep disorder in fatigue groups than non-fatigue groups. 3) According to blood test results, there was no difference between fatigue and non-fatigue groups. 4) Elastic parameter of pulse wave analyzer and nail fold capillary microscopic examination showed significant differences between fatigue and non-fatigue groups in Soyangin. Conclusions We reach the conclusion that fatigue is usually accompanied by gastrointestinal disorder, pain, sleep disorder, deterioration in the quality of life. In Soeumin, treating gastrointestinal disorders can be helpful for treatment of fatigue. In Soyangin, improving sleep disorder may be more effective way to treat fatigue.
Purpose: The purpose of this study was to explain the effects of upper extremity exercise program on hemiplegic stroke patients. Method: The research was designed by a non-equivalent pretest-posttest way. The data were collected from February to August 2003 at a community health center located in Seoul. The study subjects were a conveniently selected group of 27 hemiplegic patients. The subjects were divided into two groups, the experimental group and the control group. 14 subjects were assigned to the experimental group in which the subjects did the upper extremity exercise training for 2 hours once a week during four weeks, while 13 subjects were assigned to the control group. The outcomes were evaluated on the basis of the upper extremity motor ability(hand power, pinch power, upper extremity ROMs), amount of motor use and the degree of depression. Result: 1. After treatment, the motor abilities of the affected upper extremity(hand power, pinch power, ROMs of wrist flexion/extension, shoulder extension) were significantly different between the two groups. However, there were no significant differences in elbow and shoulder flexion between experimental and control group. 2. After treatment, amount of motor use of affected upper extremity were significantly different between the two groups. 3. After treatment, the degree of depression were significantly different between the two groups. Conclusion: In considering these results, the upper extremity exercise program could be effective for hemiplegic patients by improving the function of their upper extremity. Long-term studies are needed to determine the effects of upper extremity exercise program.
Journal of the Korean Professional Engineers Association
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v.13
no.4
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pp.31-47
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1980
Since medium and small manufacturing enterprises have , played a very important role not only in national economy but also in political and social relationships all of the countries in the world have paid favorable policies and programmes for protecting and promoting this sector. In Korea main ingredients of promoting policy for this sector consist of (1) encouragement to modernize facilities and rationalize operation (2) special priority in bank loan (3) promotion of industrial cooperatives (4) prevention of infringement by large industries. However, substantial investigation for problems incurred in medium industries has revealed that unless medium industries improve and raise their technological and managerial skillfulness for themselves all other measures are useless to solve the problems. This realization has induced all of the countries to render extension services on both of technology and management to assist and support their own effort for rationalization. Also in Korea during past 20 years many technical and managerial research institutes have rendered free consultancy services to medium industries by the support of government subsidy. Among them the joint extension services project performed by the Medium Industry Bank and UNDP during 1967 and 1975 might he listed as model case because of its broad and integrated activities and participation of foreign experts. We think many precepts should be :learned from the study of this project. Korean economy is expected to develop rapidly throughout coming'80 in spite of many obstacles, tut there is an apprehension that gap in of every facet between medium and large enterprises might he deepened and enlarged. To prevent the actualization of so-called dual structure of national economy and to promote stabilized medium industries with high added value productivity which are shown in well developed countries, consultancy assistance ana extension services should be strengthened much more than ever. Fortunately in 1978 legislation of "Medium and small industry promotion act" has paved the way for the systematic achivement of consultancy and extension services which shall be integrated by the government overall program. Under new framework thoughtfull accomplishment should be undertaken considering precious precepts obtained from past experience and failure. Special attention should be given to the technical liaison officer scheme, exclusive participation of only professional institutes, strict qualification and training for consultants for the future succsseful implementation.
Kim, Chang-Gyum;Park, Soo-Yong;Jo, Eun-Hyeon;Lee, Dong-Hyung
Journal of Korean Society of Industrial and Systems Engineering
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v.42
no.4
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pp.1-7
/
2019
The customer of massage chair is expanding day by day from middle age to all ages. In 2018, the market size was 700 billion KRW, an increase of 30 times over 10 years. However, most related SMEs suffer from excessive competition by the market monopoly of some major companies. In this situation, in order for a related company to survive, it is necessary to steadily research and develop new products. Founded in 2009, company L produces massage chairs for health and relaxation of customers. L's products use a sound wave vibration module that is favorable for human body, unlike other products that use vibration motor type. However, frequent breakdowns of massage chair due to the vulnerability of plate (leaf) springs, which play an important role in sound wave vibration modules, made sap its competitiveness. In this paper, we propose a method to design desirable plate spring structure by sequentially experimenting with five different plate springs. The results of this study are expected to contribute to improve the quality of plate spring and the reliability of sound wave vibration module. In the future, it is necessary to find a way to use it in the development of foot massage or scalp management device as well as continuous research to find optimal plate spring structure through various analysis.
Objectives: To provide basic information for improving the professional image of the dental hygienist among adults who visit the dentist. Methods: From December 5, 2018 to January 25, 2019, 214 adults in Seoul or Gyeonggi filled out a Google online questionnaire. Data were analyzed using t-test, one-way analysis of variance (ANOVA), and multiple regression analysis. Results: The overall average score of the professional image of dental hygienists was 3.59. In addition, there were significant differences in the image according to age, education, and occupation. The image according to the dental visit experience was highest for those providing orthodontic treatment. The difference in professional image recognized by the dental hygienists and the patients was highest in the case of those dental hygienists responding that they had been educated at a four-year university, who were considered as medical practitioners, and were called a dental hygienist. Lastly, the factors related to the professional image of the dental hygienist were positively affected in the case of preventive purpose of visit, and graduate or higher education of the patients. Conclusions: In order to establish the professional image of dental hygienists, public relations for adequate occupational awareness of their work should be continued. Additionally, it is necessary to establish the role through the systematic expansion of the professional image and their being considered as medical professionals, reflecting the reality of the work field.
This study lays its purpose on providing basic material for managing dental hygiene care programs by grasping images of the elderly perceived by dental hygienists and their behaviors toward the elderly, who have an important role in improving the elderly's dental health in the aging society. For these purposes, the researcher conducted a self-administrative questionnaire survey of 370 dental hygienists working in dental clinics or offices located in the Seoul and Daejeon areas from June 2 to 21 in 2008 and collected data, statistical analysis of the $x^2$-test, t-test, one-way ANOVA, Pearson Correlation used. resulting in the following findings. 1. In perceived images of the elderly according to their general characteristics, a subject group with under 8-year career showed 85.38 points, indicating the statistically significant difference (p=0.001). 2. When we look at perceived images of the elderly and behaviors toward them according their characteristics, in images of the elderly, a subject group with positive perceptions of the elderly showed 85.51 points (p=0.000), a subject group with meaningful old person(s), 84.66 points (p=0.000), a subject group living with old person(s), 86.04 points (p=0.001), and a subject group with experience in volunteer service activities, 84.11 points (p=0.001), and in behaviors toward the elderly, a subject group with positive perceptions of the elderly and with meaningful old person(s) showed 56.46 (p=0.036) and 55.91 points respectively, indicating the statistically significant difference (p=0.040). 3. Images of the elderly and behaviors toward them showed a positive correlation, indicating that the more positive images of the elderly, the more positive behaviors toward them (r=0.317). Putting these results together, it is thought that it is time to need continuous education and efforts regarding the formation of desirable relationships with and images of the elderly and behaviors toward them, for dental hygienists who have an important role in managing and enhancing the elderly's dental health in the aging society.
The biggest topics in the automobile industry are light weightening and fuel efficiency improvement. There's a lot of research going on. It is focused on light weight materials. Light weight material is seen as the best way to reduce fuel consumption and to solve the problem of environmental pollution and resource depletion. For the light weight materials, new materials such as aluminum, magnesium, and carbon-hardening materials can be found. Research on the joining techniques of dual materials, improvement of material properties by improving the method of manufacture of existing materials, and studies on ultra-high strength steel sheets are expected to take up the most weight in lightweight materials. As the strength of the ultra-high strength steel sheets increases during forming, it is difficult to obtain dimensional precision due to the increase in elastic restoring force compared to mild or high strength steel sheets. Spring back is known to be affected by a number of factors due to poor plastic molding, and can be divided into the effects of the material spraying and the process. The study on the plasticitic variables were studied as plasticitic factors that can be controlled by a part company. Tensile testing of ultra-high strength materials was conducted to derive properties for plasticitic analysis and to analyze spring back with two factors controlling the height of the bead and blank holding force by adding tensile force and controlling the flow rate.
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