• Asian-Australasian Journal of Animal Sciences
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• 제30권12호
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• pp.1667-1673
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• 2017

Antibiotics have long been of great benefit for people, both in the medical treatment of human disease and in animal food where they improve the growth performance and feed utilization during animal production. Antibiotics as in-feed supplements affect all stages of pork production, including the gestation, nursing, growing, and finishing stages, although the effects show stage-dependent differences. However, the use of antibiotics in animal feed has become a worldwide concern. This review describes why sub-therapeutic levels of antibiotic additives in animal feed have become an integral part of animal feeding programs for more than 70 years, particularly in pork production. It also discusses the threat of the long-term use of sub-therapeutic levels of antibiotics in pork production. In recent years, the effectiveness of in-feed antibiotics has tended to decrease. This review analyzes this change from various perspectives. First, the equipment used at pig farms has improved dramatically and is more sanitary. Worldwide, more pig farms use pig farrowing crates, gestation crates, piglet nursery crates, flooring devices, piggery ventilation and cooler systems, automatic pig feeders, piggery heating equipment, and artificial insemination systems. In addition, scientists have replaced the use of antibiotics with organic acids, fermented mash, probiotics, prebiotics, minerals, oligosaccharides, enzymes, herbs/flavors, and protein/amino acids, and have improved management and husbandry techniques. In addition, animal welfare legislation has been aimed at improving the quality of the floors and living space, ensuring that animals have permanent access to fresh water, and setting a minimum weaning age. Finally, the prospects and the possibility of replacing antibiotics in pork production are described, in line with recent research results.

• 한국정보통신학회논문지
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• 제19권8호
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• pp.1893-1900
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• 2015

정부는 소비자의 후생을 극대화하기 위하여 경쟁을 촉진하고 독과점의 폐해를 방지할 책무가 있다. 이를 위해서는 정보의 비대칭성을 최대한 해소하고 소비자 선택권을 보장해야만 한다. 우리나라의 단말기 보조금은 일견 소비자의 단말기 가격부담이나 서비스요금부담을 저감하는 것으로 보이지만 실제는 가격차별을 통하여 시장을 왜곡하고 있는 것이다. 정부는 보조금의 다과만을 문제로 인식하고 이동통신시장의 왜곡 방지를 위한 적절한 역할을 하지 못함으로써 주인-대리인 문제를 야기하였다. 보조금으로 사용될 재원은 단말기가격이나 요금의 인하를 위하여 사용되는 것이 소비자에게 이로운 것이며 사회적 후생을 증가시킬 수 있다. 보조금의 분리공시는 진일보한 정책이나 업계의 저항과 정부 및 국회의 인식부족으로 단통법의 제정에도 불구하고 제대로 이행되지 않았다. 궁극적으로는 제조사와 이동통신사의 과도한 초과이익은 보조금의 형태가 아닌 가격이나 요금의 인하로 반영되어야 하고 완전경쟁시장에 가까운 가격구조가 형성되어야 한다.

• 의료법학
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• 제8권2호
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• pp.69-118
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• 2007

In providing general medical treatments, the medical service contract between the patient and the doctor is the mutually responsible onerous contract. However, the nature of the mutually assumed contract standings of the patient and the doctor has been changing since the implementation of the national health insurance program. For instance, besides the cases of beyond excessive medical charges and medical negligence, if the doctor charged for his/her medical treatments violating the post-treatment/nursing cover criteria, the overpaid medical charge, regardless of being collected with the patient's consent, has to be refunded back to the patient. Medically needed aspects, treatment results, and unfair benefits favoring the patient are not at all taken into consideration in the health insurance scheme. This makes it easier for patients to get refunds for their share of the medical payments by involving the Health Insurance Review & Assessment Service or the National Health Insurance Corporation, without engaging in civil law suits (for reimbursement claim) against doctors. In other words, the doctor's responsibility to provide medical treatments and the patient's responsibility to pay for the medical treatment provided within the contractual realm are being demolished by the administrational arbitration of the National Health Insurance system. The basic rights of medical service providers, and the patient's right to choose are as important constitutional rights, as the National Health Insurance program, which is essential in the social welfare system. Furthermore, the development of the medical fields should not be prevented by the National Health Insurance system. If the medical treatment services can be divided into necessary treatments, general treatments, and high quality treatments, the National Health Insurance is supposed to guarantee the necessary and general treatments to provide medical treatments equally to all the insured with limited financial resources. However, for the high quality treatments, it is recommended that they should not be interfered by the National Health Insurance system, and that they should be left to the private contract between the patient and the doctor.

• Journal of Preventive Medicine and Public Health
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• 제38권1호
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• pp.9-15
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• 2005

Objectives : To analyze medical expenses by cancer site and survival time among cancer patients in their last year of life. Method : The study subjects were 45,394 people that had died of cancers in 2002, were registered by the Korea Central Cancer Registry and received National Health Insurance benefit in the last year (360 days) of life. Personal identification data, general characteristics, dates of death and cancer incidence, and site of cancer were collected from the National Statistical Office and the Korea Central Cancer Registry, and merged with the data of the individual medical expenses of the Health Insurance Review Agency. Results : Average monthly cost curves were U-shaped with high costs near the time of diagnosis and death, and lower costs in between. Medical expenses in the last year of life were around 30.3, 16.7, 13.0, and 12.1 million won among leukemia, lymphoma, ovarian cancer, and breast cancer patients, respectively. Digestive organ cancers including stomach, esophagus, liver, pancreas, and colorectal cancers had relatively low medical expenses. Medical expenses in the last year of life were inverse U-shaped with high expenses near one year of survival. Average monthly cost in the 12 months before death among the patients who had survived $10{\sim}15$ years were more than two-fold greater than the cost before diagnosis among those who had survived for less than one year. Conclusions : Leukemia was the most expensive cancer. It is possible that once diagnosed as cancer, medical expenses do not return to the level before diagnosis. Further research will be needed to understand the magnitude and change of the medical expenses among cancer patients with long term follow up data.

• 대한지역사회영양학회지
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• 제3권5호
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• pp.715-721
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• 1998

This study was performed to investigate how milk supplementation can benefit the elderly by increasing bone density but possibly harming the iron status concomitantly. Forty one elderly subjects over 65 years of age(male : 9, female : 32) participated. All subjects were apparently healthy, home staying and attending meal service for lunch at the welfare center. They were from low income area of Puchon city. One cup of milk per day was served for 10 months. The mean intake of calcium was significantly increased for females after milk supplementation. Males showed significantly increased means of triceps skinfold thickness, suprailiac skinfold thickness and waist circumference. Females showed significantly increased measurements fo three kinds of skinfold thickness, waist circumference, and hip circumference. There were no significant change in the mean bone density of lumbar spine$(L_2~L_4)$, femoral neck, ward's triangle and torchanter, but the proportion of osteopenia estimated by the T score of lumbar spine bone density was lowered from 50.0% to 34.6% for females. The mean Hb level was significantly for males. The proportion of anemia estimated by Hb(<12g/dl), Hct(<36%) and serum ferritin(<15mg/ml) were increased from 17.2% to 51.7%, from 20.7% to 44.8% and from 10.3% to 17.2%, respectively for females. It looks like milk supplementation can effect the intakes of several nutrients considered to be commonly deficient in the Korean diet fo elderly people, increase some anthropometric measurements, and decrease the proportion of osteopenia. However it can have adverse effects on iron status of females.

• 한국식품영양학회지
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• 제31권1호
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• pp.160-172
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• 2018

This study examined the intake status of energy drinks and related factors among university students in Yeungnam region, Korea. A total of 456 students participated in the study by a self-administered questionnaire. About 26% of the respondents never took energy drinks, whereas about 30% took them previously, but do not take them now. Almost 45% answered that they have taken them up to now. The reasons for first intake of energy drinks were 'necessity for myself' followed by 'curiosity', 'recommendation of friends', and 'seeing advertisement', and Chi-square test showed that there was a significant difference according to dwelling status. About half of the respondents took them since high school, and the main reason for energy drink intake was 'to stay awake'. About 45% of the respondents indicated that they increased study hours after taking energy drinks, whereas almost 40% answered that they had little effect on them. Over half of the respondents experienced side effects after energy drink intake. About one-fifth of the respondents mixed the energy drinks with alcoholic beverages to make them taste better. In addition, in the result for the multinomial logistic regression analysis, gender, grade, dwelling status, smoking status, alcohol drinking status, perception of effect of energy drinks on health, and perception of benefit level of caffeine were the predictors for the respondents who never took energy drinks in comparison with the respondents who have taken them up to now. On the other hand, for the respondents who took them previously but do not take them now compared with those of having taken them up to now, the predictors were dwelling status and smoking status. These results imply that dietary education from childhood regarding knowledge and side effects of energy drinks should be offered.

• 재활복지공학회논문지
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• 제8권3호
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• pp.221-226
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• 2014

본 연구는 현재 운영되고 있는 광역 보조기구센터의 공적급여 연계 현황을 분석하고 발전 방향을 제시하는데 목적이 있다. 이를 위해 각 보조기구센터가 공적급여 사업에서 연계하고 있는 서비스 단계 및 주요 연계 부분들을 파악하였고, 지역사회에서 실시하고 있는 수리사업의 현황과 연계 현황 그리고 각 서비스에 필요한 공급 업체 연계에 대한 현황을 조사하였다. 이를 통해 나타난 결과는 공적급여는 보조기구 정보제공 수준에서의 연계가 가장 많았다. 수리사업은 모든 센터들이 실시하지만 경 정비 수준의 수리를 일반적으로 수행하였고, 지역사회 전문 수리 업체와 연계하여 서비스를 제공하는 실정이었다. 공급 업체 연계는 지역별로 차이가 많이 나타났다. 이를 통해 전문센터에 보다 다양한 보조기구의 확충을 통한 공적급여 정보제공의 질적 향상과 지속적인 공적급여 지원 기관과의 긴밀한 교류가 필요하며, 연계의 효과성을 분석하여 정책 수립의 근거를 확보할 필요가 있다.

• STI Policy Review
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• 제7권2호
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• pp.60-84
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• 2016

What impact does the sharing economy have on existing businesses? This paper empirically examines how Uber transformed the taxi industry in New York City. Using a regression model controlling various potential influencing factors, we find no direct evidence that daily trips or revenue per taxi driver decreased since Uber entered the taxi industry. However, a closer investigation into other dimensions of taxi trips reveals that taxi drivers were forced to change their way of doing businesses to retain existing daily trips and revenue. Since Uber crowded out yellow taxis from the central area of Manhattan, yellow taxis responded by serving customers outside of the Manhattan borough. From enlarging their geographical coverage and serving customers that were previously ignored, yellow taxis were able to retain their previous level of taxi trips and market share. We also find that yellow taxis responded by improving their service quality to better serve customers' needs. Our result suggests that incumbents actively responded to Uber's entry and provided substantial benefit to consumers. Combined with the incumbent's response, the sharing economy transformed the existing market in a welfare-enhancing way. This paper provides managerial and policy implication on how incumbents affected by the disruptions of the sharing economy should respond. Even though it might be yet premature to examine the impact of Uber, results suggest that incumbents have effectively defended against Uber's entry so far. We conclude that the sharing economy and the existing economy can create positive value in our society through well-intentioned competition, complementing each other's weaknesses and strengths.

• 디지털융복합연구
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• 제14권7호
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• pp.21-27
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• 2016

빅데이터가 다양한 산업 분야에서 모든 관심을 끌고 있다. 사물과 사물 간 연결과 모바일 장치들의 용도 확대는 데이터의 폭발적인 증가를 불러오고 있다. 이러한 데이터를 분석하여 민간과 공공 분야에서는 비용 절감과 생산성 분야에 있어서 혜택을 누리고 있다. 한국 정부는 이러한 활용을 촉진하기 위해서, 빅데이터 산업발전전략을 활발하게 추진하고 있다. 본 연구는 빅데이터의 적극적인 육성이 필요한 산업 분야를 전문가의 검증을 통해 선정하였다. 전문가의 50여명의 체계적인 의견 도출을 위해 계층분석법(AHP)을 적용하였다. 분석 결과 의료,복지, 운송/창고보관업, 정보통신/정보보안, 에너지, 금융 분야가 빅데이터 적용이 유망한 것으로 확인되었다. 도출 결과는 앞으로 빅데이터 시범사업으로 인한 모범사례의 발굴 등에 활용되어 빅데이터 산업 발전에 기여할 것이다.

• Human Ecology Research
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• 제51권3호
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• pp.275-284
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• 2013

The purpose of this study is to provide useful insights into community-level support services for family caregivers in Korea by comparing them with the services in the United States. Similar to most developed countries, life expectancy has led to rapid population aging in Korea over the last several decades. However, despite increased social needs of long-term care for the elderly, many elderly Koreans are still dependent on their family for the long-term care. Yet, existing support programs for family caregivers are very limited. As a result, family caregivers often suffer from a lack of financial resources and emotional support. In this study, we comprehensively review the extensive literature, including relevant studies and documents of community-level support services for family caregivers of the elderly at home in Korea and the United States. One of the most important differences is that compared to Korea, diverse services based on the law of NFCSP to support the family caregivers, such as counseling, organization of support group, and educating have been available in the United States since 2000. Additionally, the legal definition of family caregivers in the United State is broader than that in Korea, where family caregivers are limited to those who are related by blood or marriage. Therefore, more caregivers are eligible for support programs and benefit from the programs in the United States. The findings of the study suggest that policy makers in Korea should legislate for diverse and comprehensive services for family caregivers. Further, it is necessary to define legal terms for family caregivers more broadly to extend beneficiaries of the programs.