• Title/Summary/Keyword: comparative assessment

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Comparative Study on the National Health Screening Programs according to the Health Insurance System (국가별 건강보험체계에 따른 국가건강검진제도 비교 연구)

  • Lee, Yeji;Kim, Eunyoung;Lee, Donghyun
    • Health Policy and Management
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    • v.31 no.3
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    • pp.272-279
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    • 2021
  • Background: Korea's health screening program has been faced the need for changes as the population and diseases structure are changing. In addition to Korea, many countries operate state-led health check-up programs to improve the health level of the people, and the operating methods of the program appear in various forms according to each country's health insurance system. This study examines other state-led health screening programs and proposes a direction for the development of Korea's health screening program. Methods: The study was conducted using the literature review method, and the "country" was set as a unit for the case analysis. The operating method of the health screening programs and the financial resources were compared according to the health insurance system. Five countries were selected as Korea, the United States, the United Kingdom, Japan, and Taiwan. Results: The analyzed countries mainly operate the health screening program as a management method for chronic diseases, but there were differences in the operating method, financing, and targeted subjects and examination items. In most countries, a risk assessment was performed prior to the examination (screening), and the subjects who needed the examination were first selected, and a follow-up management service was provided in accordance with the risk each individual exposed. Conclusion: Rather than applying the same screening method to populations with different risk levels, a health screening program will be constructed in consideration of the individual's health level and exposure risk, and the healthcare delivery system will be reorganized so that screening and treatment services can be linked.

Assessment of Upland Drought Using Soil Moisture Based on the Water Balance Analysis (물수지 기반 지역별 토양수분을 활용한 밭가뭄 평가)

  • Jeon, Min-Gi;Nam, Won-Ho;Yang, Mi-Hye;Mun, Young-Sik;Hong, Eun-Mi;Ok, Jung-Hun;Hwang, Seonah;Hur, Seung-Oh
    • Journal of The Korean Society of Agricultural Engineers
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    • v.63 no.5
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    • pp.1-11
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    • 2021
  • Soil moisture plays a critical role in hydrological processes, land-atmosphere interactions and climate variability. It can limit vegetation growth as well as infiltration of rainfall and therefore very important for agriculture sector and food protection. Recently, due to the increased damage from drought caused by climate change, there is a frequent occurrence of shortage of agricultural water, making it difficult to supply and manage stable agricultural water. Efficient water management is necessary to reduce drought damage, and soil moisture management is important in case of upland crops. In this study, soil moisture was calculated based on the water balance model, and the suitability of soil moisture data was verified through the application. The regional soil moisture was calculated based on the meteorological data collected by the meteorological station, and applied the Runs theory. We analyzed the spatiotemporal variability of soil moisture and drought impacts, and analyzed the correlation between actual drought impacts and drought damage through correlation analysis of Standardized Precipitation Index (SPI). The soil moisture steadily decreased and increased until the rainy season, while the drought size steadily increased and decreased until the rainy season. The regional magnitude of the drought was large in Gyeonggi-do and Gyeongsang-do, and in winter, severe drought occurred in areas of Gangwon-do. As a result of comparative analysis with actual drought events, it was confirmed that there is a high correlation with SPI by each time scale drought events with a correlation coefficient.

Comparative Efficacy and Safety of Long-acting Injectable and Oral Second-generation Antipsychotics for the Treatment of Schizophrenia: A Systematic Review and Meta-analysis

  • Park, Seon-Cheol;Choi, Mi Young;Choi, Jina;Park, Eunjung;Tchoe, Ha Jin;Suh, Jae Kyung;Kim, Young Hoon;Won, Seung Hee;Chung, Young-Chul;Bae, Kyung-Yeol;Lee, Sang-Kyu;Park, Chan Mi;Lee, Seung-Hwan
    • Clinical Psychopharmacology and Neuroscience
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    • v.16 no.4
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    • pp.361-375
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    • 2018
  • We aimed to compare the efficacy and safety of long-acting injectable (LAI) and oral second-generation antipsychotics (SGAs) in treating schizophrenia by performing a systematic review and meta-analysis. MEDLINE, EMBASE, PsycINFO, CINAHL, and the Cochrane Library, as well as five Korean databases, were systemically searched to identify studies published from 2000 to 16 April 2015, which compared the efficacy and safety of LAI and oral SGAs. Using data from randomized controlled trials (RCTs), meta-analyses were conducted. In addition, the GRADE (the Grading of Recommendations, Assessment, Development and Evaluation) approach was applied to explicitly assess the quality of the evidence. A total of 30 studies including 17 RCTs and 13 observational studies were selected. The group treated with LAI SGAs was characterized by significantly lower relapse rates, longer times to relapse and fewer hospital days, but also by a higher occurrence of extrapyramidal syndrome and prolactin-related symptoms than that in the group treated with oral SGAs. Our findings demonstrate that there is moderate to high level of evidence suggesting that in the treatment of schizophrenia, LAI SGAs have higher efficacy and are associated with higher rates of extrapyramidal syndrome and prolactin-related symptoms. Additionally, the use of LAI SGAs should be combined with appropriate measures to reduce dopamine $D_2$ antagonism-related symptoms.

Comparative studies of systems and questions between Chinese I in the Korea National Scholastic Aptitude Test and Chinese with Listening in the SAT (대학수학능력시험의 '중국어 I'과 SAT의 'Chinese with Listening' 비교 - 체제와 문항을 중심으로)

  • Park, Chan Wook
    • Cross-Cultural Studies
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    • v.23
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    • pp.351-382
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    • 2011
  • This paper aims to compare systems and questions between Chinese I in the Korea National Scholastic Aptitude Test(abbreviated by KNSAT) and Chinese with Listening in the SAT. In the beginning, we compared KNSAT and SAT, and then focused our attention on Chinese I in KNSAT and Chinese with Listening in SAT in terms of assessment purposes, sections, ranges, questions. Through the research, the following results were obtained: Firstly, compared KNSAT with SAT, it is found that Chinese I is less important in KNSAT than Chinese with Listening in SAT. Chinese I belongs to one of the second foreign languages section, and it is placed under common rule of its section. However, Chinese with Listening is similar to Chinese I in that it also belongs to one of the languages section, but it keeps under its control, so it has its own system e.g. purpose, range etc.. Next, compared Chinese I with Chinese with Listening, in the matter of purposes of them, Chinese I is less explicit and less concrete to explain it than Chinese with Listening, and in respect of sections of them, the sections of Chinese I are leaning more toward language materials contrary to Chinese with Listening leaning more toward language functions. And in terms of ranges of them, Chinese I is limited to Basic vocabulary and Examples of communicative function in curriculum of Chinese I, but Chinese with Listening has not any limit on the ranges of questions. Lastly, with regard to questions of them, Chinese I has more tendency toward assessing knowledge of Chinese, on the contrary, Chinese with Listening has more tendency toward assessing performance of it.

A Study on the Improvement of Green Building Certification System and Items in Korea and China - Focused on the Public Facilities - (한·중 녹색건축인증 체계 및 항목 비교를 통한 개선방향 연구 - 공공시설을 중심으로 -)

  • Kim, Jae-Young;Lee, Jong-Kuk
    • The Journal of Sustainable Design and Educational Environment Research
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    • v.17 no.3
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    • pp.9-16
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    • 2018
  • This research is intended to propose future research directions by identifying differences between Korea and China's public facilities at the time of introduction and presenting improvement measures by comparing the criteria for green building certification. The study focuses on the comparison of Korea's G-SEED 2016 and China's ESGB 2014. For data related to green building certification in Korea, refer to the Construction Technology Research Institute Green Building Certification Criteria 2016 v1.2 Guide for New Housing. A study on the Green Building Certification System in China referred to the Green Building Assessment Standards. Comparisons were made between G-SEED 2016 general building certification review criteria and ESGB 2014 public facility certification criteria, and certification methods, essential items and specialties for each area.

A Study on Medical Expenses of Modern and Korean Medicine for Dementia Patients Under National Health Care (한국 치매 환자의 건강보험 의·한의 진료 비용에 관한 연구)

  • Lee, Jung Bae;Kang, Hyung Won;Kim, Jaeuk;Kim, Gahye;Kim, Nam-Kwen
    • Journal of Oriental Neuropsychiatry
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    • v.30 no.1
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    • pp.31-38
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    • 2019
  • Objectives: To identify the cost effectiveness of early dementia diagnosis using the 2014 Health Insurance Review & Assessment Service-National Patients Sample (HIRA-NPS). Methods: The medical costs of dementia between Western medical care and Korean medical care were compared through the reimbursement and non-reimbursement item code for dementia examination. In addition, the medical expenses of patients with dementia and mild cognitive impairment were compared and analyzed with respect to Western and Korean medical care. Results: There were 87,434 claims, of which 16,101 patients were diagnosed with dementia and 38,680,789,560 won was found to be the medical expenses. 12,881 patients (80.0%) with dementia, 3,144 patients (19.5%) with mild cognitive impairment, and 76 patients (0.5%) progressing from mild cognitive impairment to dementia. The proportion of medical expenses was 97.6% for dementia patients, 2.3% for mild cognitive impairment, and 1% for patients progressing from mild cognitive impairment to dementia. 86,070 claims (98.4%) were from Western medical care, with16,824 patients (98.2%), and the medical expenses was 38,546,895,400 won (99.7%). 1,361 claims (1.6%) were from Korean medical care, with 303 patients (1.8%), and the medical expenses was 133,894,160 won (0.3%). Conclusions: This study compared and analyzed the medical costs of dementia patients and the diagnosis of both Korean and Western medical care. The results of this study are expected to be used as basic research data for investigating cost effectiveness of developing early diagnosis of dementia.

Analysis of Korean Qualitative Studies on Cerebral Palsy (뇌성마비에 대한 국내의 질적 연구 분석)

  • Lee, Moonsung;Shin, Daewon;Kim, Buyoung;Yun, Youngju
    • Journal of The Korean Society of Integrative Medicine
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    • v.7 no.1
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    • pp.99-112
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    • 2019
  • Purpose : The purpose of this study was to analyze Korean qualitative research studies on cerebral palsy and provide a basis for future direction of research. Methods : Twenty-six articles were selected by searching 4 Korean databases (NDSL, DBpia, KISS, and RISS) and reviewing the list of additional references. All the articles were analyzed and assessed using the Consolidated criteria for Reporting Qualitative research (COREQ). Results : Seventeen qualitative studies and 9 mixed quantitative and qualitative studies were selected, and methodologies such as case study (42.3 %), constant comparative method (23.1 %) and phenomenology (23.1 %) were used. The studies investigated the effects of interventions (38.5 %), support programs (30.8 %), and life experiences (26.9 %). Among the participants, 50.0 % were persons with disabilities only, 19.2 % were parents only, and 30.8 % were combination of persons with disabilities, parents, teachers, and therapists. The number of participants in most studies was 2-9 (57.7 %). The COREQ evaluation of the selected articles revealed many shortcomings in the studies. Interview guidelines were used only in 26.9 % of the studies. In particular, many articles did not describe in detail the characteristics of researchers and the relationship between researchers and the participants. Conclusion : In future, various research methodologies and research checklists must be used to stimulate high-quality qualitative research with on cerebral palsy.

Comparative evaluation of ultrasonography with clinical respiratory score in diagnosis and prognosis of respiratory diseases in weaned dairy buffalo and cattle calves

  • Hussein, Hussein Awad;Binici, Cagri;Staufenbiel, Rudolf
    • Journal of Animal Science and Technology
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    • v.60 no.12
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    • pp.29.1-29.11
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    • 2018
  • Background: Respiratory troubles have economic impacts in countries where livestock industry is an important segment of the agricultural sector, as well as these problems may cause significant economic losses for bovine producers. Various practical methods are used to assess diseases that affect the bovine respiratory system. Ultrasonography is a noninvasive tool that has been used frequently in diagnosis of various animal diseases. The present study was designed to establish whether thoracic ultrasonography is a diagnostic tool for detection of respiratory troubles in weaned buffalo and cattle calves, as well as to assess its prognostic value in comparison with clinical respiratory scores. Thirty five (15 buffalo and 20 cattle) calves were included. Twelve (6 buffalo and 6 cattle) clinically healthy calves were enrolled as controls. Results: Based on physical examinations, clinical respiratory scores (CRS), ultrasound lung scores (ULS) and postmortem findings, animals were classified into 4 groups as pulmonary emphysema (n = 8), interstitial pulmonary syndrome (n = 7), bronchopneumonia (n = 12), and pleurisy (n = 8). The mean values of CRS and ULS were significantly higher in diseased calves (P < 0.01). In calves with pulmonary emphysema and interstitial syndrome, thoracic ultrasonography revealed numerous comet-tail artifacts, which varied in numbers and imaging features. Furthermore, variable degrees of pulmonary consolidation with alveolograms and bronchograms were noticed in bronchopneumonic calves. In addition, thick irregular or fragmented pleura with pleural effusions and fibrin shreds were imaged in calves with pleurisy. A weak correlation was calculated between CRS and ULS (r = 0.55, P < 0.01). Hematologically, the counts of white blood cells, activities of aspartate aminotransferase and partial tensions of carbon dioxide were significantly increased in all diseased groups. Serum concentrations of total globulins were higher in claves with bronchopneumonia (P < 0.05). The partial tension of oxygen was decreased in all diseased calves (P < 0.05). Conclusions: Thoracic ultrasonography is a diagnostic tool for various lung troubles and assessment the grade and severity of pulmonary diseases, as well as it can be used as a follow-up tool for evaluating the prognosis of respiratory troubles and monitoring the efficacy of therapies.

Trend Review of Solar Energy Forecasting Technique (태양에너지 예보기술 동향분석)

  • Cheon, Jae ho;Lee, Jung-Tae;Kim, Hyun-Goo;Kang, Yong-Heack;Yun, Chang-Yeol;Kim, Chang Ki;Kim, Bo-Young;Kim, Jin-Young;Park, Yu Yeon;Kim, Tae Hyun;Jo, Ha Na
    • Journal of the Korean Solar Energy Society
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    • v.39 no.4
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    • pp.41-54
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    • 2019
  • The proportion of solar photovoltaic power generation has steadily increased in the power trade market. Solar energy forecast is highly important for the stable trade of volatile solar energy in the existing power trade market, and it is necessary to identify accurately any forecast error according to the forecast lead time. This paper analyzes the latest study trend in solar energy forecast overseas and presents a consistent comparative assessment by adopting a single statistical variable (nRMSE) for forecast errors according to lead time and forecast technology.

A comparative study on the stability evaluation of double deck tunnel in terms of excavation (대심도 복층터널에 대한 굴착 안정성 평가 비교 연구)

  • Jang, Namju;Gang, Han-gil;Kim, Kihwan;Choi, Chang-rim
    • Journal of Korean Tunnelling and Underground Space Association
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    • v.21 no.1
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    • pp.155-166
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    • 2019
  • It is necessary to construct underground in the metropolis. Road traffic has reached saturation point. The city has several underground road construction projects. In abroad, double deck tunnels are planned and constructed. It is attained a high level of underground development technology. In case the double deck tunnel (2 lane) is planed instead of the bidirectional tunnel (2 lane), excavation area is similar. But tunnel width is decreased. The reduced width can cut cost for the tunnel reinforcement. This study evaluates the stability of excavation on double deck tunnel. By the assessment of the strength-stress ratio and strength reduction method, quantitative analysis is conducted between double deck tunnel and the bidirectional tunnel.