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Determination of Nursing Price using Willingness to Pay (지불용의접근법을 이용한 간호서비스의 가격결정)

  • Ko, Su-Kyoung;Park, Jeong-Young
    • Journal of Korean Academy of Nursing Administration
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    • v.7 no.2
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    • pp.205-221
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    • 2001
  • It will become more and more popular to use the long-term care facilities and home health care services with the chronic disease increasing. It depends on how much the consumers would pay and purchase the services. They might get more benefits from that kind of services than from ordinary hospitalization. So far, the study of determining the medical service price has focused most often on the efforts from the providers' view. But it must be reasonable to include the consumers' value for the service. This study was performed to assess WTP(Willingness to Pay) for home health care service in order to apply to the determination of nursing price in a reasonable manner. In this study, respondents were asked if they would pay for the service's intangible benefits under the four different types(open-ended minimum WTP, open-ended maximum WTP, bidding WTP, referendum WTP). The contingent valuation method is a potentially useful tool in understanding how people value the benefits of the service. As a result, average open-ended minimum WTP was W16,015 per day among 65 respondents. Average open-ended maximum WTP was W29,154 per day among 65 respondents. Average bidding WTP was W26,300 per day among 65 respondents. Average referendum WTP was W22,200 per day among 70 respondents. The results of regression analyses were also consistent with theoretical prediction, e.g., increasing WTP with consumers' value for the service, state of patients, and household income. This study demonstrated that it was more reasonable to consider the consumers' value in determining the services' price. In addition, a further study is needed to test the validity of this CV method and to determine a proper nursing price based on the consumers' view.

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Depression Status of Academic High School Students in Seoul: Mediating Role of Entrapment (서울시내 인문계 고등학생의 우울 실태 및 속박감의 매개효과)

  • Park, Young-Joo;Shin, Nah-Mee;Han, Kuem-Sun;Kang, Hyun-Cheol;Cheon, Sook-Hee;Shin, Hyun-Jeong
    • Journal of Korean Academy of Nursing
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    • v.41 no.5
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    • pp.663-672
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    • 2011
  • Purpose: Purpose of this study was to investigate the status of depression in academic high school students and path analysis model for exploring the mediating role of entrapment to depression in relation to academic stress and perceived social support. Methods: Measurements were four reliable questionnaires measuring academic stress, social support, entrapment, and depression. Data were collected from students in 17 high schools in Seoul. Results: Students (n=5,346) completing the questionnaires indicated depression & entrapment from academic stress. Depression was more prevalent in girls, those whose parents' household income was less than two million won, who did not live with father or mother or both due to divorce, separation, or death, and those who smoked or used alcohol. Entrapment was more prevalent in students similar to cases of depression and in seniors. According to the proposed path model, 48.6% of depression was explained by academic stress, social support, and entrapment. The indirect effect of entrapment as a mediator between academic stress and depression was verified and larger than the direct effect of academic stress on depression. Conclusion: Considering levels of depression and entrapment demonstrated by these students, better mental health programs with diverse strategies should be developed for their psychological well-being.

A Study on the Effects of Preparation for the Old Aged on the satisfaction of the life (중장년층의 노후준비가 삶의 만족도에 미치는 영향연구)

  • Jin, Ju-Young;Ha, Kyu-Soo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.2
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    • pp.45-57
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    • 2016
  • This study examined the effect factors for the preparations for the old age on the current satisfaction of life of the middle-aged. A survey of middle aged people living in Seoul and metropolitan areas was conducted. The data from 442 subjects were collected from 450 questionnaires excluding 8 incomplete datasets and analyzed. The results were as follows. First, the emotional and economical preparations for the old age had influences on the emotional satisfaction positively. Second, the educational background, jobs for technician/working, emotional and physical preparations for old age had a positive effect on the physical satisfaction. Third, the household income, emotional and economical preparation for the old age had a positive influence on the economical satisfaction. Fourth, sex, emotional preparations for old age had a positive effect on the social relation satisfaction. The research results suggested that the preparations for the old age should be arranged from the middle-aged years because it is difficult to improve the satisfaction of life for old age in the elderly.

A Study on the Forecasting of Satisfaction Influence in the Foreign Medical Tourist (외국인 의료관광객의 만족영향력 예측 연구)

  • Kim, Sa-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.3
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    • pp.1478-1488
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    • 2014
  • The purpose of this study was to forecast which factors provided satisfaction for the foreign medical tourist. The study concluded that the following key factors most affected the satisfaction of medical tourism: total travel budget, number of visits for medical services, occupation, education, monthly household income, budget for medical expenses, and the visiting period. Overall satisfaction of medical tourism explained was 43.5%. The influence of satisfaction on medical tourism through a word-of-mouth and the revisit intention was significant. These conclusions suggest that overall satisfaction with medical tourism based on this study's key factors may be an important factor for increasing the word-of-mouth and the revisit intention by the medical tourist in the future.

A Study on the Growth and Spatial Differentiation of Housing Market in Yongin City (용인시 주택시장의 성장과 공간적 분화에 관한 연구)

  • Joo, Kyung-Sik;Park, Young-Woo
    • Journal of the Korean Geographical Society
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    • v.45 no.2
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    • pp.240-255
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    • 2010
  • This empirical study researched the three major phenomena of differentiation of housing market under the large scale of new town construction in the metropolitan area, the spatial differentiation pattern of housing market due to the urban growth, and the relationship with the distribution of housing submarket and suburbanization. Yongin City, one of the most active growth cities among the metropolitan areas, is optimal place to investigate the spatial differentiation pattern of the housing submarket on the microscopic scale. Furthermore, Yongin City has not only the geographical benefit but also the strong influences from institutional, social, and environmental changes. This city is divided into four housing submarkets, where to Gangnam and Boondang, Gyeongbu and Youngdong expressway has significant effects. In addition, the housing tenure and size, household structure, educational background and income levels and so on also resulted in the differentiation of the housing submarket.

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

  • Seo, Hye-Won;Kim, Young-Sil
    • Journal of Korean society of Dental Hygiene
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    • v.20 no.5
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    • pp.611-621
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    • 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.

Content of trans Fatty Acids in Korean Margarine (국산(國産) 마아가린중의 트란스산(酸) 함량)

  • Cho, Young-Ja;Sugano, Michihiro
    • Korean Journal of Food Science and Technology
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    • v.17 no.3
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    • pp.219-222
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    • 1985
  • Fatty acid patterns were determined for 11 and 19 brands of household margarines from the local markets in Korea in 1983 and 1984, respectively. Gas-liquid chromatographic analyses on OV-275 column showed that the average content of total trans fatty acids was 18% ranging from 6.2 to 35.5% for the margarines produced in 1983. The prototype of trans fatty acids was trans-octadecenoic acid. There was a small amount of c, t-or t, c-octadecadienoic, whereas there were practically no t, t-octadecadienoic acid. Trans fatty acids was increased in proportion to linoleic acid contents. For the margarines produced in 1984.. percentage of trans fatty acids tended to decrease, while that of linoleic acid was increased as compared with the corresponding values for the 1983 products. Thus, the P/S ratio was increased markedly in the soft type margarines produced in 1984. However, Korean margarines contained seemingly less linoleic acid than that contained in Japanese margarines.

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A study on Men's Trunks Designs Characterized by Chinese Letters (한자(漢字)를 응용한 남성 트렁크 디자인 연구)

  • Kim, Hye-Ree;Choi, Won-Kyung;Lee, Young-Sook
    • Fashion & Textile Research Journal
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    • v.12 no.5
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    • pp.574-581
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    • 2010
  • Trunks like men's underpants are similar to boxer shorts and are made in both modern and traditional styles. Like boxer shorts, trunks cover the mid-section of the body (hence the name "trunk"). As the income level of the nation increases, men as well as women become interested in fashion expressing the individual's character, by not regarding fashion as simply wearing essential items to live in. Men's interest in fashion influences men's underwear designs which has been thought previously just as to be worn for living in. Nowadays, trunks are often worn as lounge wear in the household, therefore the need for sensual and characteristic trunks designs is required in the fashion market to meet the customer's new needs. In modern fashion designs, Chinese letters have been artistically presented and used in decorative fashion design regardless of its original meaning, generally embroidered in traditional costumes. Based on the fact that Chinese letters containing lucky meanings have traditionally been used, other Chinese letters meaning positive and prospective future can be adapted and weaved into men's trunks designs. Therefore, in this study, among many good meaning Chinese letters; four Chinese letters, 高(high), 金(gold), 義(justice), 愛(love), have been selected and applied in the trunks designs. The purpose of this study is to develop men's trunk designs using these Chinese letters which can be massively produced and sold in Asian countries which commonly understand the meaning of the Chinese letters as well as in South Korea.

Socioeconomic Disparities in Breast Cancer Screening among US Women: Trends from 2000 to 2005

  • Kim, Jae-Young;Jang, Soong-Nang
    • Journal of Preventive Medicine and Public Health
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    • v.41 no.3
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    • pp.186-194
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    • 2008
  • Objectives : This study describes trends in the socioeconomic disparities in breast cancer screening among US women aged 40 or over, from 2000 to 2005. We assessed 1) the disparities in each socioeconomic dimension; 2) the changes in screening mammography rates over time according to income, education, and race; and 3) the sizes and trends of the disparities over time. Methods : Using data from the Behavioral Risk Factor Surveillance System (BRFSS) from 2000 to 2005, we calculated the age-adjusted screening rate according to relative household income, education level, health insurance, and race. Odds ratios and the relative inequality index (RII) were also calculated, controlling for age. Results : Women in their 40s and those with lower relative incomes were less likely to undergo screening mammography. The disparity based on relative income was greater than that based on education or race (the RII among low-income women across the survey years was 3.00 to 3.48). The overall participation rate and absolute differences among socioeconomic groups changed little or decreased slightly across the survey years. However, the degree of each socioeconomic disparity and the relative inequality among socioeconomic positions remained quite consistent. Conclusions : These findings suggest that the trend of the disparity in breast cancer screening varied by socioeconomic dimension. Continued differences in breast cancer screening rates related to income level should be considered in future efforts to decrease the disparities in breast cancer among socioeconomic groups. More focused interventions, as well as the monitoring of trends in cancer screening participation by income and education, are needed in different social settings.

Effects of Triclosan on Neural Stem Cell Viability and Survival

  • Park, Bo Kyung;Gonzales, Edson Luck T.;Yang, Sung Min;Bang, Minji;Choi, Chang Soon;Shin, Chan Young
    • Biomolecules & Therapeutics
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    • v.24 no.1
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    • pp.99-107
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    • 2016
  • Triclosan is an antimicrobial or sanitizing agent used in personal care and household products such as toothpaste, soaps, mouthwashes and kitchen utensils. There are increasing evidence of the potentially harmful effects of triclosan in many systemic and cellular processes of the body. In this study, we investigated the effects of triclosan in the survivability of cultured rat neural stem cells (NSCs). Cortical cells from embryonic day 14 rat embryos were isolated and cultured in vitro. After stabilizing the culture, triclosan was introduced to the cells with concentrations ranging from $1{\mu}M$ to $50{\mu}M$ and in varied time periods. Thereafter, cell viability parameters were measured using MTT assay and PI staining. TCS decreased the cell viability of treated NSC in a concentration-dependent manner along with increased expressions of apoptotic markers, cleaved caspase-3 and Bax, while reduced expression of Bcl2. To explore the mechanisms underlying the effects of TCS in NSC, we measured the activation of MAPKs and intracellular ROS. TCS at $50{\mu}M$ induced the activations of both p38 and JNK, which may adversely affect cell survival. In contrast, the activities of ERK, Akt and PI3K, which are positively correlated with cell survival, were inhibited. Moreover, TCS at this concentration augmented the ROS generation in treated NSC and depleted the glutathione activity. Taken together, these results suggest that TCS can induce neurodegenerative effects in developing rat brains through mechanisms involving ROS activation and apoptosis initiation.