The rate of antibiotics prescription for an acute airway infection significantly varies depending upon the diagnosis type, specialty, and the location of the hospital along with many other related factors. The objective of this study is to empirically investigate the possible relationship between the antibiotics prescription rates for an acute airway infection and the degree of competition in the hospital market regions of mainly the providers of primary medical care services such as clinics, internal medicines, pediatrics and otorhinolaryngology department. Using the data from Health Insurance Review and Assessment Service (HIRA) regarding the hospitals' antibiotics prescription rates for the acute airway infection and controlling for selected variables of demand and supply sectors, this study tries to figure out that the degree of competition in the hospital market, regardless of what type of competition indexes we employed, has a statistically significant effect on the variations of antibiotics prescription rate of the clinics in local areas. This result implies that as an economic consideration itself, the change in the degree of competition in the hospital market can play a crucial role influencing the treatment behaviors of the medical doctors. More specifically, this study reveals that as the degree of competition increases the antibiotics prescription rate goes up. This result means that if the market becomes more competitive in a specific region so that it might cause a reduction in doctor's income, doctors with rational decision-making process, recognize that the benefit created from inducing patients' seemingly unnecessary demand for medical care (income effect) would be higher than the costs associated with sustaining their targeted income (substitution effect). It is because that the doctors are more likely to prescribe antibiotics which create relatively higher margins than other medical care services in order to sustain their targeted income when the hospital market competition becomes tighter. Even though this study empirically confirms that antibiotics prescription can be affected by the economic incentives, it still raises following issues as limitations of the study: first issue is about the representativeness of the hospital regions segregated for this study, which might be weak in explaining whether these regions are mutually exclusive in reality. Patients actually consider the quality of services, transportation cost, time costs, and any other related factors choosing the doctors or hospitals, and in that sense, this study rules out 'border-crossing' in using the medical care services. Second issue arises in capturing the data of antibiotics prescription rate. Since we use the average rate for each medical institution, we cannot figure out the average rate for each patient so that we are not able to control for the variation of patients' medical conditions. It is because of the unavailability of data regarding each patient's medical condition from HIRA. Thirdly, since this study mainly analyzes the medical institutions providing primary care such as clinics, internal medicines, pediatrics, and otorhinolaryngology department, it is skeptical of whether those institutions can represent the hospital market in respective regions and truly reflect the degree of competition. It needs to extend the study areas and disease types as well as any micro data for future studies.
This article was triggered by Victor H. Mair's book 'Painting and performance'. The book explained that Buddhist paintings are common in the area where Buddhism was spread, and there are also performances using them. And although it has nothing to do with Buddhism, it has been shown that this form of performance can be global. However, the problem was not 'Korea'. It was because there was no record or transmission of the corresponding performance soon. In this situation, the landing method of Samcheok stable temple was announced in 2018. On the one hand, the academic community is very pleased, but on the other hand, it is troubled. The worries are summed up as 'synchronic and diachronic universality'. Is the landing method inherited from the Samcheok stable temple a unique type of temple? Otherwise, it is a question of whether it has been passed down or is it universal at the national level. However, prior to this essential question, we do not yet know the full picture of the stable landing method. So this article was prepared to show the overall outline of the stable landing method. There is a 'picture' in common throughout the landing method, and understanding how to operate it in various ways is the first step in understanding the landing method. There are five repertoires (which are called main halls) that are considered important, and more than that. What these repertoires have in common is the narrative structure of a Buddhist character. In this narrative, the most important thing is the revised figure, and it was the earthly method to inform the contents of the revised figure in various ways. In the case of Byeonsangdo, which serves as a clue to the narrative, there was a problem that could not be seen in the evening without light, which required special design. It is the way of shadow play and Yeongdeung. In other words, there are three types of performances in the landing method. The first is the method of using reparation, and the second is the method of using shadow. The third is the way of eternity. This method is not a selection based on the contents of the repertoire, but a selection based on the performance environment. If there is light and you can see the picture, use reparation. However, in the evening, it was impossible to see it dark (when there was no electricity in the past). The use of the visual method as a tool in this method is to confirm the transition to a visual culture that is a step further from the level of culture. Moreover, unlike the epic narrative, the power of the implied image provided an opportunity for viewers to experience the mystery of Buddhism through emotional stimulation.
The purpose of this study is to prepare countermeasures for aggressive driving and road rage which have recently become a hot issue by analysing mechanism of how the driving behavior determinants(personal anger and aggression) and dangerous driving behavior factors(aggressive driving behavior and over-speeding driving behavior, drunk driving behavior, inattentive driving behavior, and inexperience driving behavior) affect aggressive driving and road rage. From the survey conducted by seven branches of the Road Traffic Authority with 351 people who were traffic offenders and drivers who caused car accidents, this study obtained three results as follows. First, seriousness of aggressive driving and road rage and requirements as types of customized educations, proper length of time for education, and contents of education can be understood. Second, specific relation and mechanism between the driving behavior determinants and dangerous driving behavior factors with respect to aggressive driving and road rage can be clearly identified, which helps to set order of priority and weighting of measures for reducing aggressive driving and road rage. Third, countermeasures can be categorized as corporate measures or customized measures through mechanism analysis model of aggressive driving and road rage.
The purpose of this study is to figure out how a child, as an active responder, responds to the characters of fantastic picture books by analyzing the child's questions and comments through the reading aloud approach. The subjects of this study are fifty-four children under five years old. Nine fantastic picture books are used as the study materials. The contents of the analysis are the frequency of children's questions and comments, the types of responses and the reasons of preferences to the characters. The results of the analysis are as follows: Firstly, the frequency of comments is three times higher than the frequency of questions. Secondly, the frequency of "evaluative questions" is the highest and "imaginative questions" is the next highest. The frequency of "transparent questions" and "personal questions" are comparatively low. Thirdly, most of the children answered that the reason of preference of the characters was "the character's appearance" and then "their subjective feeling to the character", "the character's role" and "the character's characteristics" in that order. Only one child answered that it was "the character's gender." This study will contribute to the planning and implementation of the strategies of reading picture books and to the strategic study to improve children's responses as well.
Objective : The purpose of this study is to investigate the mechanism and effect of moxibustion objectively and to be used as the quantitative data for developing the new thermal stimulating treatment by observing the combustion characteristics of commercial moxaes. Methods : We have selected two types(large-size moxa A(LMA), large-size moxa B(LMB)) among large moxaes used widely in the clinic. We examined combustion times, temperatures, temperature gradients in each period during a combustion of moxa. Results : 1. The ascending temperature gradient measured in the central point of non-contacted surface was fastest, the average ascending temperature gradient of both moxaes was $0.0384^{\circ}C/sec$, $0.0123^{\circ}C/sec$ respectively, 3.1 times faster in LMA. The maximum ascending temperature gradient was also about 2.9 times faster in LMA. The time required for the maximum ascending temperature gradient from ignition was 254sec, 411sec respectively. 2. The minimum descending temperature gradient in the retaining period was $-0.0250^{\circ}C/sec$, $-0.0090^{\circ}C/sec$ respectively and the average descending temperature gradient was $-0.0160^{\circ}C/sec$, $-0.0037^{\circ}C/sec$ respectively on the non-contact surface. 3. On the basis of the non-contact surface($A_I$), the time at which the effective stimulus period began to occur was about 264sec, 796sec respectively after an ignition, the time at which the maximum temperature began to occur was about 373sec, 1323sec respectively after an ignition, and the maximum temperature was $0.9^{\circ}C$ higher in LMA. The maximum ascending temperature gradient was also about 4.2 times faster in LMA. Conclusion : It was thought that not only the figure of moxicombustion device, but also the form and size of moxa had influence on the combustion characteristics deciding the performance of stimulus seriously.
Asia-Pacific Journal of Business Venturing and Entrepreneurship
/
v.10
no.2
/
pp.27-42
/
2015
The aim of this research is to investigate the difference in the capturing opportunities for each type of venture companies in the industry undergoing competition of a dominant design and then figure out the reason why they can be successful. Existing studies on venture companies are focused on the way to enhance a firm's competencies by acquiring and combining its resources. However, it is important for startups which have a lack of resources and capabilities to capture the opportunity to survive by understanding a changing environment. This study is focused on opportunity capture and strategic response to a changing environment and attempts to select and observe startup companies which are able to capture the opportunity and enter the market in the industry undergoing dominant design competition. In order to find out its difference in different types of business, we select one case from hardware startups and the other from software startups. According to the result of this study, the hardware startup focuses on market extension by lowering their prices and the software startup strives to induce more users to participate by the universalization of enabling technology so as to extend and standardize their technology in the environment undergoing dominant design competition. This feature of environment leads the difference in the approach for successfully capturing opportunity and thus hardware firms need to recognize the opportunity with profit potential from relationship with a number of cooperative firms while software firms need to identify the opportunity for extension of enabling technology which can be used by many users.
Journal of Korean Society of Coastal and Ocean Engineers
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v.29
no.6
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pp.363-368
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2017
The tsunami flood the coastal cities and damage the land structures. The study on wave pressure and force on land structures is one of the important factors in designing the stability of inland structures. In this study, two - dimensional wave flume tests on the horizontal wave force and pressure of tsunamis on a simplified box-type structure was conducted. Vertical distribution and wave power of horizontal wave pressure over time were measured by pressure sensors and force transducer. Also, those were measured from the different wave breaking types. The vertical distribution of horizontal wave pressure was uniform at the moment when the horizontal wave force to the structure was maximum under the breaking wave condition. A surf similarity parameter was employed in order to figure out the relationship between the maximum horizontal wave force on the structure as a function of various incident wave conditions. As a result, the non - dimensionalized horizontal wave force tends to decrease exponentially as the surf similarity parameter increases.
KSCE Journal of Civil and Environmental Engineering Research
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v.38
no.4
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pp.611-619
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2018
Basalt powder sludge (abbreviated BPS) is an inevitable industry by product resulted from the stone processing. Recently, demands for natural materials have been increasing in the construction and landscaping fields, therefore, amounts of BPS have been also increasing. Since most of BPS are used as landfill and earth soil, it is necessary to figure out to expedite their utilization. In this study, by considering the characteristics of precipitation of Jeju, effectiveness of BPS as a filler for asphalt compounds mixed with cement were analyzed. As a result, BPS satisfies quality criterion required in KS F 3501. Marshall mixing designs were performed to determine the optimal asphalt content for the Modified recycling asphalt mixture (27% recycling aggregate) and the Normal asphalt mixture. Effectiveness of BPS were identified by the Marshall Stability Test with the mixing ratio (level 3) of two asphalt compounds and composition ration (level 3) of BPS and cement. Performance of asphalt compounds shown appropriate effect of mixing and composition ratios of the filler were assessed. Test results show that two types of asphalt compounds satisfy the quality standards of the MLIT (2015). Therefore, BPS could be used as filler for asphalt compounds.
To figure out the causes of obesity against middle-aged women, this study aimed to provide basic data for setting an obesity-related policy through analysis on diverse related factors. Against the healthy middle-aged women who visited 'N' Hospital Health Center in Incheon from April to November 2014, anthropometric assessment, body composition test and abdominal fat distribution test were conducted using Fat-CT. They were carried out against 159 women who agreed with the purpose of the study, using BMD, Q-CT. According to Fat-CT, subcutaneous and visceral types accounted for 39% (76 women) and 61% (119 respondents) respectively. In terms of BMI, 'underweight ($18.5kg/m^2$)' and 'overweight ($25kg/m^2$ or above)' were 13 women (6.7%) and 60 women (30.8%) each with the average of $23.5{\pm}4.11kg/m^2$. Mean while, waist circumference, diastolic blood pressure, systolic blood pressure and neutral fat were statistically significant at the 5% significance level. As getting older, muscle weakness offsets increase in body weight with abdominal obesity. A group with low BMI should also be considered due to increase in waist circumference.
This study was conducted to figure out the relationships among soil chemical properties and bacterial biomass related to denitrification and sulfur-reducing and the activity of dehydrogenase, and ultimately to consider the usefulness of dehydrogenase activity as a tool for evaluating the dynamics of forest soil ecosystem. Four sites were selected for the collection of soil samples within two regions(Onsan industrial estate as a polluted region and Mt. Mani at Kanghwa island as a clean area) with two forest types (coniferous and deciduous stands). The soils of Mt. Mani showed higher amount of organic matter, total nitrogen and available phosphorus than those collected from Onsan industrial estate, which indicated that the soils were more beneficial for microbial growth than those of Onsan. The dehydrogenase activity was more sensitive than the denitrifying bacteria or sulfur-reducing bacteria since the activity was significantly different between the regions and season while the two bacterial biomass were not significantly different between the two regions. In addition, the dehydrogenase activity showed relatively high correlation coefficients with organic matter(r=0.53, p=0.004), total nitrogen(r=0.41, p=0.008) and C/Ava. P-ratio(r=-0.52, p=0.001), which was thought to be closely related with microbial activity. Thus, the dehydrogenase activity was thought to be a useful index of soil ecosystem dynamics with considering that the technique need to be applied with the same soil texture for the comparison of the activity as other researchers indicated.
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