• Journal of Preventive Medicine and Public Health
• /
• 제50권2호
• /
• pp.91-99
• /
• 2017

Objectives: As in many low-income and middle-income countries, out-of-pocket (OOP) payments by patients or their families are a key healthcare financing mechanism in Bangladesh that leads to economic burdens for households. The objective of this study was to identify whether and to what extent socioeconomic, demographic, and behavioral factors of the population had an impact on OOP expenditures in Bangladesh. Methods: A total of 12 400 patients who had paid to receive any type of healthcare services within the previous 30 days were analyzed from the Bangladesh Household Income and Expenditure Survey data, 2010. We employed regression analysis for identify factors influencing OOP health expenditures using the ordinary least square method. Results: The mean total OOP healthcare expenditures was US dollar (USD) 27.66; while, the cost of medicines (USD 16.98) was the highest cost driver (61% of total OOP healthcare expenditure). In addition, this study identified age, sex, marital status, place of residence, and family wealth as significant factors associated with higher OOP healthcare expenditures. In contrary, unemployment and not receiving financial social benefits were inversely associated with OOP expenditures. Conclusions: The findings of this study can help decision-makers by clarifying the determinants of OOP, discussing the mechanisms driving these determinants, and there by underscoring the need to develop policy options for building stronger financial protection mechanisms. The government should consider devoting more resources to providing free or subsidized care. In parallel with government action, the development of other prudential and sustainable risk-pooling mechanisms may help attract enthusiastic subscribers to community-based health insurance schemes.

• Architectural research
• /
• 제13권3호
• /
• pp.31-40
• /
• 2011

Profit-keeping behaviors naturally occur in the market to satisfy consumers, and the logic behind it lies in the economies of scale. On the flip side, some commodities transacted in the market are not available or can not be easily acquired unless the demand is high enough. Under this proposition, some consumers rise and find their own solution to meet the services at a reasonable cost or at an adequate level. The commonly adopted way is to establish a cooperative, and it stirs purchasing power by pooling resources and further bargains price and service quality. As a consumer cooperative, housing cooperatives notably found in rural towns enable the elderly to continue independent living. This study is to take a closer look at residential life of the rural elderly in housing cooperatives. Utilizing in-depth focus group interviews with 40 residents in four housing cooperatives, this qualitative research draws main factors affecting the decision to move in, residential assessment, and strengths and weakness of living in a housing cooperative. The primary factor influencing the moving decision is to continue to independent living in a familiar community, and the bottom line is planning ahead. Frailty and bereavement are found to be the leading occasions for them to move. The participants are satisfied with the independent living arrangement, and particularly, cited such features as safety and security, elderly-friendly design, common spaces, freedom, social activities and efficient living. Also, it is stated that some cooperative natures such as control over the property and giving a voice on management render positive impacts on the satisfaction with communal living. In spite of all the benefits and strengths, participants face with a public notion that an independent living arrangement like a housing cooperative has never done before in rural towns, so that most people recognize it as part of dependent living arrangements like nursing home.

• 농촌지도와개발
• /
• 제23권1호
• /
• pp.15-25
• /
• 2016

In this study, we examined the awareness of consumers purchasing Punica granatum by conducting a survey on consumption of Punica granatum for the consumer panel of the Rural Development Administration (RDA) and derived the purchasing characteristics from the actual purchase date analyzed in a Linear regression model and Tobit model. Most consumers had been purchasing Punica granatum for health and beauty, and the proportion of that consumers were willing to repurchase Punica granatum was 93.1%. The result of examining the biggest considerations in 5 point scale when choosing a Punica granatum was in the order of freshness (4.37)> price (4.15)> safety (4.13)> size(3.86)> brand (3.27)> discount event (2.76). When we compared the results between a linear regression model and tobit model, the signs of all variables are consistent with each other. However, it was estimated that all absolute values of the coefficient values in the results of the tobit model analysis were larger than the values in the linear regression model, except for the "favorite purchasing place" of a weekday traditional markets. Punica granatum is known as a good fruit for postmenopausal women and it seems that the higher age is, the more purchase there will be. The more income a housewife had, the greater purchase there was. In the case of the purchase amount, a selecting for a eating pleasure was bigger than a selecting for a need of health. Therefore, it is necessary to develop Punica granatum with a taste in consumer preferences.

• 농업과학연구
• /
• 제38권3호
• /
• pp.493-504
• /
• 2011

This study was carried out to safety evaluation, the practical application and improvement of design method of the agricultural reservoir due to raising embankments. Also, it was to compare and analyze the pore water pressure (PWP), seepage (leakage) quantity and piping phenomenon according to high water table and rapid drawdown. The seepage analysis by finite element analysis was used for steady state and transient condition. The pore water pressure distribution for steady state and transient condition showed positive(+) PWP on the upstream slope, it was gradually changed negative(-) PWP on the downstream slope. The PWP in the core ranged from 100 ~ -33 kPa, the seepage line in the incline-type core suddenly decreased towards the lower levels from the higher levels. The PWP according to rapid drawdown is remained in the vicinity of the upstream slope, therefore, it is investigated to be in an unstable state by the slope stability analysis. The PWP after raising embankments showed smaller than in the before raising embankments. It was likely to be the piping phenomenon because the gradients in the before raising embankments showed largely at downstream slope, and the stability for piping in the after raising embankments increased stable state. The seepage quantity per 1 day and the leakage per 100m for the steady state and transient condition appeared to be safe against the piping. It reduced slightly regardless of the transient condition before the raising embankments and it decreased largely about 2.4 times in the early days after the raising embankments.

• 한국임상약학회지
• /
• 제28권3호
• /
• pp.250-253
• /
• 2018

When stenting is applied to treat myocardial infarction, antiplatelet agents are administered to prevent thrombosis, which increases the risk of bleeding. Patients with myocardial infarction are also more likely to have osteoarthritis simultaneously, because both diseases occur frequently in elderly patients. Patients with osteoarthritis often use analgesics, especially nonsteroidal anti-inflammatory drugs (NSAIDs); hence, patients with both diseases use analgesics and antiplatelet agents simultaneously. The risk of bleeding increases with the use of antiplatelet agents and this is further increased when NSAIDs are added. We would like to report a case that reflects this situation. A 60-year-old man underwent stenting after ST-elevation myocardial infarction, and was treated with aspirin and clopidogrel. This patient also received a pelubiprofen prescription from another physician to treat osteoarthritis. After the patient took pelubiprofen twice, he found a bruise on his wrist and reported it to the pharmacist. It is unlikely that this is rare in community pharmacies, so pharmacists should pay careful attention to the concomitant administration of analgesics to patients receiving antiplatelet agents and should provide appropriate education to patients.

• 전자공학회논문지CI
• /
• 제49권4호
• /
• pp.9-15
• /
• 2012

인터넷과 전자상거래의 증가로 인터넷은 전보다 더 많이 이용되고, 개인이나 혹은 기업등은 그들의 업무처리나 생활의 많은 부분을 컴퓨터에 의존하고 있다. 또한 인터넷의 쉬운 접근으로 시스템을 속이고 공격하는 방법도 증가하고 있다. 따라서 웹상에서의 보안은 우리 사회에 꼭 필요한 존재이며 보안 메카니즘의 도입도 시급한 편이다. 현재 많은 보안 방법들이 사용되고 있지만 완전한 차단은 불가능한 것으로 보이고 있다. 다양한 환경에서, 또한 견고한 IDPS 솔루션은 여러개의 IDPS 기술사용 없이는 불가능하여 많은 조직들은 많은 벤더들로부터 다중의 IDPS 제품들을 구입하여 사용한다. 이들은 또한 디자인과 구현의 제약사항들 때문에 여전히 최적화 문제에 놓여있다. 본 논문에서는 IDPS의 주요기능을 설명하고 IDPS의 구성요소 및 구조, 각 기술 유형별 특징과 보안 능력과 장단점을 비교 분석하였다. 이것은 서로 다른 장단점을 가지는 IDPS 기술들을 통합하여 최적의 IDPS 솔루션을 찾는, 다중 IDPS 기술 통합의 기반을 조성할 것이다.

• 한국콘텐츠학회논문지
• /
• 제20권2호
• /
• pp.360-370
• /
• 2020

필요 치과진료 미수진과 관련된 요인을 파악하고자 지역사회건강조사 원자료를 분석하였다. 21만 4861명의 만 25세이상 인구집단을 대상으로 인구학적 요인, 사회경제적 요인, 사회적지지 및 사회적 환경요인, 사회물리적 환경요인과 필요 치과진료 미수진과의 연관성을 확인하였다. 연구결과, 연령이 낮을수록, 소득분위가 높을수록, 교육수준이 낮을수록, 친척, 친구와 자주 접촉하지 않을수록, 친목, 여가 활동에 참여하지 못할수록, 사회물리적 환경(안전수준, 자연환경, 생활환경, 대중교통, 의료서비스)에 불만족할수록 필요 치과진료 미수진율이 높게 나타났다. 필요 치과진료 미수진에 인구학적 요인, 사회경제적 요인 뿐 아니라 사회적지지 및 사회적 환경요인, 사회물리적 환경요인이 통계적으로 유의한 영향이 있음이 확인되었다. 필요 치과진료 수진율을 높일 수 있는 방안으로 건강의 사회적 결정요인에 정책적 요인을 포함하는 추후 연구가 필요하겠다.

• 대한교통학회지
• /
• 제32권6호
• /
• pp.615-627
• /
• 2014

본 연구는 비계층적 K-평균 군집분석을 이용하여 보행자사고와 토지이용특성에 따른 지방자치단체의 유형을 분류하고 유형별 보행자사고의 세부특성을 Mann-Whitney U검증과 Kruskal-Wallis 검증을 이용하여 분석한 다음 그 결과로부터 보행환경 조성사업에 대한 개선방안을 제안하였다. 지역은 행정시와 행정구를 제외한 기초지방자치단체를 기준으로 230개 시 군 구로 구분된다. 비계층적 K-평균 군집분석 결과 230개 지방자치단체는 유형 1-A(상업지가 상대적으로 우세한 도시형), 유형 1-B(주거지가 우세한 도시형), 유형 2(농촌형)로 분류되었으며, 지자체 유형별 보행자사고 차이 검증결과 9m 미만 생활형 도로의 보행자사고 발생율은 공통적으로 60% 이상으로 도시형에 비해 농촌형에서 발생할 비율이 더 높았다. 또한 유형별로 유형 1-B는 교차로 내 보행자사고 사상자수가 많고 횡단 중 사고 비율도 높은 반면 길가장자리구역 통행 중 보행자 사상자수 비율은 유형 2에 해당하는 농촌형이 가장 높았다.

• 의료법학
• /
• 제15권1호
• /
• pp.239-262
• /
• 2014

The conventional medical appraisal which was done in the process of medical lawsuit was requested from the court to the designated hospital and was delivered as a pattern of one question and one answer in each. However, the comprehensiveness of medical appraisal which was pursued, for example, in Korea Medical Dispute Mediation and Arbitration Agency, could be guaranteed in terms of in-depth medical analysis as well as the broader capacity of the causality estimation besides. The comprehensiveness of appraisal would also include how well organized hospital system of medical care is and how well correlated job system among medical staffs, when medical dispute was happened at the hospital. This comprehensiveness will exert a big contribution on making a demonstrative medical care to prevent from the medical dispute and it could achieve the national plan of building the patient safety net which is effective in restoring the worsened quality of contemporary medical service. Therefore, the comprehensiveness of medical appraisal has to be designed to go forward interdisciplinary fused speciality rather than one division of medicine, which is also aiming at the reliable and consistent appraisal with the supreme dignity from one window. In addition to that, the objective and concrete frame of comprehensive appraisal under the computed connection has to be deliberated to make itself possible in collaboration with positive participation of medical community. The comprehensiveness of medical appraisal would serve to expand not only the capacity of speciality but also the ability of influence on a restorative justice, so that it give effect to an increased number of mediation and arbitration rather than medical lawsuit as well as a decreased number of the social cost and social conflict.

• 한국항공우주학회지
• /
• 제40권2호
• /
• pp.146-156
• /
• 2012

비행 중 결빙은 항공기 운용에 위험한 상황을 초래하게 되며, 개발 및 감항 인증 과정중 성능과 안전에 미치는 영향이 평가되어야 한다. 평가를 위한 결빙 풍동시험에서 스케일링 기법은 실제와 동등한 수집율과 결빙량이 모사되는 대체시험 조건을 결정하는 기법이다. 본 논문에서는 Olsen 및 Ruff-IV 기법과 무차원 Weber 수를 일치시켜 속도를 계산하는 방법을 적용하여 연구자들이 쉽게 이용할 수 있도록 스케일링 프로그램을 개발하였다. 동일조건에서 수행된 NASA 스케일링 결과와 비교하여 프로그램을 검증하였다. 또한 FAR Part 25 Appendix C를 적용한 스케일링 사례를 제시하고 결빙코드 FENSAP-ICE를 이용하여 스케일링 기법을 검증하였다.