• Title/Summary/Keyword: health costs

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A Study on the Social Environment of Elderly (노인의 사회적 환경에 대한 연구)

  • Kim, Hee-Jung
    • The Journal of Korean society of community based occupational therapy
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    • v.5 no.1
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    • pp.35-43
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    • 2015
  • Objective : The purpose of the study is to find the factors affecting a social phenomena of the elderly and suggest a basic data for efficiency of a senior policy and type of the life in Korea. Methods : We refereed to sources from the Korean Statistical Information, the National Pension Service, and the Ministry of Health and Welfare. We also surveyed and analysed the depression and death anxiety among the elderly in 2014. Results : First, most of them were low educated people and family composing a couple. An annual income were average. Second, medical costs were increasing constantly in proportion to the increase of aging population. Third, they had high depression index resulting from negative thinking of the future and themselves. Fourth, the death anxiety level of them were more than moderate and that was about the death of themselves and the process of the death. Conclusion : It is needed to help physical, mental, and social health and improve the quality of the life in the elderly through social program established a variety of special fields like occupational therapy and family support program belonging to the government.

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SO2 Emission Permits Tradable under Exchange Rates : U.S. Case (다수 거래비율하에서의 SO2 배출권 거래 : 미국 사례)

  • Hlasny, Vladimir
    • Environmental and Resource Economics Review
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    • v.20 no.4
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    • pp.689-733
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    • 2011
  • This study evaluates a novel scheme to trade sulfur dioxide emission permits subject to non-uniform rates. These rates are based on generators' marginal costs of compliance with environmental policy in a hypothesized least social-cost solution. This scheme is compared against the existing trading program used by the U.S. Environmental Protection Agency, featuring permits tradable one for one. Both policies are modeled to yield identical aggregate emissions. A numerical partial-equilibrium model of the U.S. energy industry is used to infer sulfur dioxide concentrations and health damages, as well as producer and consumer surplus, under the two policies. Regional pollution levels are found to vary across the two policies significantly. The system of exchange rates is estimated to outperform the uniform-trading scheme by $2.2 billion in industry profits and $2.1 billion in health damages, but to reduce consumer surplus by $6.7 billion. Paradoxically, exchange rates are thus estimated to lower total welfare by $2.5 billion. This is due to conceptual mechanism-design problems, as well as empirical issues.

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Current Status and Suggested Future Directions of Nutrition Intervention using Healthy School Tuck Shops: the Teenage Perspective (건강매점을 이용한 청소년 영양관리의 현황과 향후 개선 방안 : 매점 이용자 측면에 대한 질적 연구)

  • Oh, Suhyun;Kim, Kirang;Hwang, Ji-Yun
    • Korean Journal of Community Nutrition
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    • v.23 no.3
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    • pp.226-233
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    • 2018
  • Objectives: This study was conducted to investigate the current status and to suggest future directions for health management of teenagers who use healthy school tuck shops to improve teenagers' eating habits while reducing and preventing obesity. Methods: A total of 29 students (16 middle school students and 13 high school students) took part in the interview for this study, and the interview was conducted for each school's focus group by using qualitative research methodology. Results: The current status of using healthy school tuck shops and suggested future directions were divided into two categories. Personal barriers such as discrepancies between personal perceptions and behaviors and lack of food choice suitable to individual tastes can be solved by rebuilding the operating system to provide intuitive promotion of behavior and customized products through improvements in existing products and new product development. A lack of consistent management from low utilization convenience and difficulty in maintaining a constant purchase price can be handled by establishing a solution to restricted physical access for products, as well as seeking profit by improving distribution costs via continuous cooperation between the school and community. Conclusions: Continuous funding and a system that reflects the needs and preferences of healthy school tuck shop users should be applied for sustainable operation of healthy school tuck shops to improve teenagers' eating habits.

Drug Use Evaluation of Vancomycin in Hospitalized Patients of Surgery Departments (외과계 입원환자에 대한 Vancomycin의 약물사용 평가)

  • Lee, Young Mee;Choi, Kyung Eob
    • Korean Journal of Clinical Pharmacy
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    • v.9 no.1
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    • pp.35-43
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    • 1999
  • Over the last 50 years, a number of antibiotic agents have been developed and clinically used in the area of infectious diseases. Due to antimicrobial resistance problems and increasing health care costs, the rational use of antibiotics has been required. As a drug of choice to treat infections caused by MRSA, vancomycin has been extensively prescribed since the late 1970's. Recently, reports of vancomycin-resistant organisms such as VRE and VRSA have been increased to draw medical concerns. The objectives of this study were to evaluate the rational use of vancomycin and the appropriateness of the Restrictional Program of Antibiotic Utilization (RPAU) which has been operated at Samsung Medical Center. A retrospective chart review was performed in 132 hospitalized patients treated with vancomycin in the surgery departments from. January to June 1998. The guidelines of ASHP and HICPAC for vancomycin were modified and used as our criteria to determine the vancomycin DUE. In one hundred out of the patients, uses of vancomycin were approved by the Department of Infectious Diseases (DID) based on the RPAU. Vancomycin was appropriately used in $62.5\%$ of the 100 patients according to the criteria of justification of use, while $60.0\%,\;60.0\%,\;79.0\%,\;and\;51.0\%$ of the patients showed appropriate according to those of lab reports such as applicable culture obtained, pretreatment SCr, WBC and serum drug concentration monitoring, respectively. Although the rest 32 patients were not approved to receive vancomycin by the DID, twenty two percent continued receiving vancomycin treatment. This might result from the fact that the RPAU was started not before the use of antibiotics but in the middle of antimicrobial therapy. Continual education should be provide to the related health professionals and the RPAU should be simultaneously modified in order to increase the rate of appropriate uses of antibiotics.

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Structure Health Monitoring System based on Wireless Sensor Network (무선 센서 네트워크 기반의 구조물 안전 감시 시스템)

  • Lim, Hwa-Jung;Lee, Joa-Hyoung;Park, Chong-Myung;Jung, In-Bum
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.12 no.2
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    • pp.391-400
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    • 2008
  • There has been increasing interest in developing Structure Health Monitoring(SHM) system based on wireless sensor network(WSN) due to recent advancement in sensor network technologies. SHM is the continuous monitoring of the condition such a acceleration or load of a structure. The SHM system works, which measure key structure parameters systematically, provide information in evaluation of structure integrity, durability and reliability. Currently SHM system collects data via analog sensor and then sends to analysis application through the wired network. The wire system support high accuracy, but suffers the disadvantages in installation costs, complexity of connection and loss of line. It's also difficult to add new sensor nodes. We design and implement the SHM system based on WSN technology to solve those problems.

Weak D Testing is not Required for D- Patients With C-E- Phenotype

  • Choi, Sooin;Chun, Sejong;Lee, Hwan Tae;Yu, HongBi;Seo, Ji Young;Cho, Duck
    • Annals of Laboratory Medicine
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    • v.38 no.6
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    • pp.585-590
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    • 2018
  • Background: Although testing to detect weak D antigens using the antihuman globulin reagent is not required for D- patients in many countries, it is routinely performed in Korea. However, weak D testing can be omitted in D- patients with a C-E- phenotype as this indicates complete deletion of the RHD gene, except in rare cases. We designed a new algorithm for weak D testing, which consisted of RhCE phenotyping followed by weak D testing in C+ or E+ samples, and compared it with the current algorithm with respect to time and cost-effectiveness. Methods: In this retrospective study, 74,889 test results from January to July 2017 in a tertiary hospital in Korea were analyzed. Agreement between the current and proposed algorithms was evaluated, and total number of tests, time required for testing, and test costs were compared. With both algorithms, RHD genotyping was conducted for samples that were C+ or E+ and negative for weak D testing. Results: The algorithms showed perfect agreement (agreement=100%; ${\kappa}=1.00$). By applying the proposed algorithm, 29.56% (115/389 tests/yr) of tests could be omitted, time required for testing could be reduced by 36% (8,672/24,084 min/yr), and the test cost could be reduced by 16.53% (536.11/3,241.08 USD/yr). Conclusions: Our algorithm omitting weak D testing in D- patients with C-E- phenotype may be a cost-effective testing strategy in Korea.

Systematic review of literature and analysis of big data from the National Health Insurance System on primary immunodeficiencies in Korea

  • Son, Sohee;Kang, Ji-Man;Hahn, Younsoo;Ahn, Kangmo;Kim, Yae-Jean
    • Clinical and Experimental Pediatrics
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    • v.64 no.4
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    • pp.141-148
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    • 2021
  • There are very scant data on the epidemiology of primary immunodeficiency diseases (PIDs) in Korea. Here we attempted to estimate the PID epidemiology and disease burden in Korea. A systematic review was performed of studies retrieved from the PubMed, KoreaMed, and Google Scholar databases. Studies on PIDs published in Korean or English between January 2001 and November 2018 were analyzed. The number of PID patients and the healthcare costs were estimated from Health Insurance Review and Assessment Service (HIRA) Korea data for 2017. A total of 398 PID patients were identified from 101 reports. Immunodeficiencies affecting cellular and humoral immunity were reported in 11 patients, combined immunodeficiency with associated or syndromic features in 40, predominantly antibody deficiencies in 144, diseases of immune dysregulation in 58, congenital defects of phagocytes in 104, defects in the intrinsic and innate immunity in 1, auto-inflammatory disorders in 4, complement deficiencies in 36, and phenocopies of PID in none. From the HIRA reimbursement data, a total of 1,162 outpatients and 306 inpatients were treated for 8,166 and 6,149 days, respectively. In addition, reimbursement was requested for 8,200 outpatient and 1,090 inpatient cases and $1,924,000 and $4,715,000 were reimbursed in 2017, respectively. This study systematically reviewed published studies on PID and analyzed the national open data system of the HIRA to estimate the disease burden of PID, for the first time in Korea.

Demand and willing to pay for oral hygiene service in long-term care insurance of elderly (노인장기요양보험 재가급여 수급자의 구강위생서비스 요구도와 비용지불의사)

  • Kim, Han-Nah;Kim, Gi-Yon;Noh, Hie-Jin;Kim, Nam-Hee
    • Journal of Korean Academy of Oral Health
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    • v.42 no.4
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    • pp.204-209
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    • 2018
  • Objectives: This study was conducted to identify the demand and willingness to pay for oral hygiene services among elderly people with long-term care insurance. Methods: Our study was a cross-sectional analysis. Subjects comprised 126 elderly individuals from long-term home-care centers. A total of 28 centers were selected through convenience sampling from among 78 centers in ${\bigcirc}{\bigcirc}$. For analysis, semi-structured questionnaires that required about 20-30 minutes to complete were used. Analysis was performed using SPSS 23.0 software. Results: The overall demand for oral hygiene services was 44.4%, and willingness to pay was 31.0%. Thirty-three people (58.9%) of elderly those who have demand for an oral hygiene service were willing to pay for the service, and 64 people (91.4%) who did not have a demand were not willing to pay for it. Among those with partial dependence on brushing, 65.6% had demand for oral hygiene services and 50.0% were willing to pay costs. Among basic livelihood beneficiaries, 69.6% were willing to pay for oral hygiene services; general subjects and relievers were less willing to pay. Conclusions: The overall demand for oral hygiene services among elderly people was 44.4%, and the willingness to pay was as low as 31.0%.

iOS-based Fitness Management System utilizing OpenWrt Server (OpenWrt 서버를 활용한 iOS기반 피트니스 케어 시스템)

  • Kye, Min-seok;Min, Joon-Ki;Yang, Seung-Eui;Park, Sang-No;Jung, Hoe-kung
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2014.10a
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    • pp.687-689
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    • 2014
  • Due to the development of health promotion and health care technology of smartphones paradigm from treatment to manage change, and this is increasing the fitness in time for the user. However, fitness club, users find the right exercise law-personal trainer must be costly to pay companies describes the management system is required in order to operate the high costs strain. In this paper, such as scalable servers to OpenWrt Fonera is mainly based on the client to configure the server iOS mobile sensors collect a user's movement through the history of the user's input. This data is sent to the Web and check whether the receiving system via a trainer is to record the users through weight training and to receive feedback.

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Improvement of Strain Detection Accuracy of Aircraft FBG Sensors Using Stationary Wavelet Transform (정상 웨이블릿 변환을 이용한 항공기 FBG 센서의 변형률 탐지 정확도 향상)

  • Son, Yeong-Jun;Shin, Hyun-Sung;Hong, Gyo-Young
    • Journal of Advanced Navigation Technology
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    • v.23 no.4
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    • pp.273-280
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    • 2019
  • There are many studies that use structure health monitoring to reduce maintenance costs for aircraft and to increase aircraft utilization. Many studies on FBG sensors are also being conducted. However, if the FBG sensor is installed inside the composite, voids will occur between the layers of the composite, resulting in signal split problem. In addition, the FBG sensor is not affected by electromagnetic waves, but will produce electromagnetic noise caused by electronic equipment during post-processing. In this paper, to reduce the error caused by these noises, the stationary wavelet transform, which has the characteristics of movement immutability and is efficient in nonlinear signal analysis, is presented. And in the above situation, we found that noise rejection performance of stationary wavelet transform was better compared with the wavelet packet transform.