• Title/Summary/Keyword: health costs

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Development of a Theory Based Nutrition Education Program for Childbearing Aged Women in Korea (행동이론에 근거한 가임여성 대상 영양교육 프로그램 개발)

  • Oh Se-Young;Kim Kyung-A;You Hye-Eun;Chung Hae-Rang
    • Korean Journal of Community Nutrition
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    • v.9 no.6
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    • pp.725-733
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    • 2004
  • It was well received that well grounded behavioral theories were important in the development of effective nutrition education programs, but there are only a few programs available for Korean women. The objective of this study was to develop nutrition education programs for childbearing-aged women in Korea. Based on the findings of the needs assessment for the program and theoretical backgrounds, we developed behaviorally oriented tailored nutrition education program including motivation (MT), modifying (MD) and maintenance (MA) stages. The key concepts of the stages were motivation promotion for MT, increasing behavioral capabilities for MD, and strengthening self-management and building favorable environmental condition for MA. The education program was intended to be need in individual nutrition counseling, but it could be well used for group education by developing materials using the relevant contents. The primary users of the program were nutrition educators, however it could be also used by clients as needed. The introductory chapter provided dietary assessment tools and nutrition education tips. MT chapter included subjects such as nutritional status screening, costs of inappropriate nutrition and weight management, benefits of eating right, and activities for motivation promotion. MD stage chapter dealt with topics of healthy weight, knowledges and skills for better eating habits and physical activity status, and activities related to setting tailored behavioral objectives. MA stage focused on facilitating self management skills and building helping relationships. Each stage underlined activities using various educational tools in order to promote active participation of the client (s). For better use of this program, it was recommended to conduct program validation study.

Continuity of Care in Chronic Diseases: A Concept Analysis by Literature Review

  • Hu, Jingjing;Wang, Yuexia;Li, Xiaoxi
    • Journal of Korean Academy of Nursing
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    • v.50 no.4
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    • pp.513-522
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    • 2020
  • Purpose: This study aimed to utilize concept analysis to obtain a better understanding of the concept of "continuity of care" in chronic diseases. Methods: The concept of continuity of care was analyzed using the Walker and Avant method. Covering literature in English from 1930 to 2018, the data sources included CINAHL Complete, Academic Search Complete, MEDLINE, PsyARTICLES, Health Source: Nursing/Academic Edition, Google Scholar, Science Direct, and the Cochrane Library. Results: A comprehensive definition of concept of continuity of care was developed based on a systematic search and synthesis. The key defining attributes were identified as (a) care over time, (b) the relationship between an individual patient and a care team, (c) information transfer, (d) coordination, and (e) meeting changing needs. The antecedents of continuity of care were having a chronic disease, inexperienced with disease management, a poorly coordinated healthcare system, and medical care limitations. The consequences of continuity of care were decreasing hospital admissions, reducing costs, reducing emergency room visits, improving the quality of life, improving patient satisfaction, and delivering good healthcare. Conclusion: The thorough concept analysis provides insight into the nature of "continuity of care" in chronic diseases and also helps ground the concept in healthcare.

A Comparison Study of Performance between Local Government Hospitals and General Hospitals (지방공사의료원과 의료법인의 성과 비교)

  • Kim, Sang-Mi;Hwang, Sung-Wan;Yoon, Seo-Jung;Kang, Jung-Kyu
    • Journal of Digital Convergence
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    • v.11 no.11
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    • pp.463-470
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    • 2013
  • The objective of this study is to compare hospital performance between Local Government Hospitals and General Hospitals. To compare the result of the financial performance between two groups, there were significant differences in current ratio, Fixed ratio, total assets turnover, personnel expenses to gross revenues, management expenses to gross revenues, return on assets, operating margin. The significant impact relations of ROA(Return on Assets) were formed the total assets turnover, salaries, material costs, administrative expenses. Although two groups are the similar beds, most of LGH are in the red so the managers and local government must consider the financial efficiency of LGH.

An Empirical Study on the Cost Finding of Dental Laboratory Products in a University Hospital (치과기공물(齒科技工物) 원가계산(原價計算)에 관(關)한 실증적(實證的) 연구(硏究))

  • Paek, Seok-Hyeon
    • Journal of Technologic Dentistry
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    • v.16 no.1
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    • pp.78-104
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    • 1994
  • Under the fee for service schedule of Korean health insurance system, rational fee for dental laboratory products based on the cost is required to be formulated. The purpose of this study was to find actual cost of dental laboratory products in case of a University Hospital. Materials of this study were used as follows : 1. Balance sheet at Dec. 31, 1992 and profit and loss report of the year 1992 of the sample hospital 2. Performance report of dental laboratory department. 3. Purchasing and other accounting bills of dental laboratory materials. The following methods were used. 1. Actual cost finding of dental laboratory department was performed. 2. Work sampling methods were used for measuring standard working time by the process of working. 3. To porcelain fused to metal crown(non-precious), Relative value of the cost of dental laboratory products was calculated as 1.00. 4. Fee and cost of those products were compared on the basis of Relative values. The results of the study can be summarized as follow : 1. Overall, it took longs time than other items. to product denture-related items. 2. When several teeth are made in a time, average production time is much sorter than when one tooth is made in a time. 3. The relative price cost of Dicor cast crown and denture related items are higher than the criterion items. 4. The material cost occupies average 11% out of the total price cost, proportion of personnel expenses is average as 60.0%. 5. Some of the components consisting of the price cost are not reflected adequately in setting the level of the reimbursement price. 6. Relative values of dental laboratory products price cost are varied in the range from 0.05 to 2.83, overall, the reimbursement price of dental products appears not to reflect adequately the price cost. On the basis of this study results, the following ideas would be suggested : 1. Fee Schedule of dental laboratory products should be renovated in order to reflect their costs. 2. Dental laboratory product manufacturers should be enlarged for the economy of scale which may be useful for cost- containment. 3. Dental laboratory producters themselves are required to be standardiqed according to the categories of skill.

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Adaptive Situation of the wireless communication technology for the Medical Science Environment (무선정보통신기술의 의료과학 환경 적용현황 분석)

  • Hwang, Jin-Ok;Lee, Do-Yeon
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.19 no.9
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    • pp.2100-2106
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    • 2015
  • Recently, we are increasing an interest of the health care from the developing elderly society. The need for the safety standardization is the High-tech industry that the technology of Medical science based on advanced nations with the wireless communication technology. It is urgent matter the chronic disease that is growing the total costs is everyday increased. We consider the standardization of the monitoring the medical examination based on the medical science environment with wireless communication technology. In addition, we make the environment of the powerful nation based on medical / patient care technology for the supporting of the high quality service. In this paper, we focus on description of the relationship that convergence of the medical / patient care science is need the component based on wireless communication technology.

Comparative Analysis of the Storm Sewer Expansion Methodology and Underground Rainwater Storage Tanks for Urban Flood Control (기존 도시의 홍수저감을 위한 우수관거 배수용량 증대 및 지하 빗물저류조 설치효과 비교 분석)

  • Lee, Ho Yeol;Seo, Gyu Tae;Lee, Taek Soon
    • Journal of Korean Society on Water Environment
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    • v.29 no.6
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    • pp.754-761
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    • 2013
  • Urban floods are usually caused by the lack of drainage capacity. Hence, sewer capacity expansion methodology by replacing small pipes with bigger ones is primarily applied as a flood control measure. However, this approach is often unreasonable because of the costs and time involved. Thus, the installation of underground rainwater storage tanks with the two advantages of flood control and water conservation is proposed. This study compared the effectiveness of flood control by both the sewer expansion methodology and rainwater storage tanks using the Storm Water Management Model. Three cases were simulated in this study. The first case analyzed flood reduction by the storm sewer expansion methodology. The simulation results indicate that the overflow volume from manholes was reduced by 49% with this methodology. The second case analyzed flood reduction by installation of rainwater storage tanks. The simulation results indicate that the overflow volume was reduced by 62%. However, these two cases could not prevent urban floods completely. Hence, the third case analyzed the joint application of the storm sewer expansion methodology and rainwater storage tanks. In this simulation, flooding did not occur. Consequently, the results of this study clearly show that underground rainwater storage tanks are more effective for flood control than capacity expansion of storm sewer. Furthermore, the joint application of these two flood control measures is more effective than their separate application.

Current Situation of Environment-Friendly Production of Apples (환경농법에 의한 사과생산 실태 및 경영개선)

  • Park, Heung-Sub;Oh, Kwang-In;Park, Joon-Keun
    • Korean Journal of Organic Agriculture
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    • v.7 no.2
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    • pp.1-16
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    • 1999
  • In this study, questionnaire were made to environment-friendly producers of apples regarding farm management methods in low-input production method. utilizing organic materials, production and marketing of apples with lower agricultural chemical residues. Besides, five apples farms were visited to find out their management situation by employing the low-input production method in order to protect the environment as well as consumer's health. Those five low-input apple farms were scattered in Kyungbuk, Chungnam, and Chonnam Provinces, There were not many low-input apple farms across the nation from the beginning and, as a result, increasing the sample size was basically very difficult. Most of these farms were using 140hrs of labor per 10a, of which 30hrs in pre-season management, 25hrs in plowing and weed control, 15hrs in disease and pest control, 20hrs in harvest and marketing and 50hrs in miscellaneous activities. Relatively, pest control takes much time in that they would spray pesticides 7-10 times a season to control the apple disease, 9 times on the average. The average gross revenue of low-input apple farms was about \2,000,000/10a, and their average yield was 2,000kg/10a, which are 25% and 13% lower, respectively, than the ordinary apple production case. This means the low-input farmers are inefficient in marketing their products. On the other hand, their production costs were 20.4% higher than the ordinary apple farms on the average. Since the imported foreign fruits including apples must use various agricultural chemicals on their way to the export markets, the domestic low-input apples have competitive edge over them in therms of food safety. In order to improve the low-input apple industry, active cooperation is needed among the producers, government and researchers more than ever. Among other things, production cost reduction and quality improvement with lower chemical residues are part of the urgent matters to be done.

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Removal of Inorganic Arsenic from Steamed Hijiki Sargassum fusiforme Concentrate Using Activated Carbon (활성탄을 이용한 톳(Sargassum fusiforme) 자숙농축액 내 무기비소 저감 기술)

  • Kang, Eun Hye;Lee, Ka Jeong;Jo, Mi Ra;Yu, Hongsik;Son, Kwang Tae;Yoon, Minchul
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.54 no.4
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    • pp.561-567
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    • 2021
  • The edible sargasso seaweed hijiki Sargassum fusiforme is known to have high concentration of arsenic, which is a threat to human health, particularly due to inorganic arsenic. In this study, various methods were used to remove inorganic arsenic from steamed hijiki concentrate. The highest concentration of arsenate [As(V)] in both raw and processed hijiki during steamed hijiki manufacturing process was within the range of 8.213-14.356 mg/kg, and it is a potential source of inorganic arsenic, which can result in re-contamination and cause environmental pollution. The removal efficiencies of the various removal methods were within the range of 57.3-83.4%, and 19.0% reduction was achieved using activated carbon and alginate bead. Further, activated carbon showed the best adsorption effect of inorganic arsenic. Therefore, we suggest that activated carbon is a suitable efficient method for removing inorganic arsenic and has low operational costs in field applicability.

Rice as an alternative feed ingredient in swine diets

  • Kim, Sheena;Cho, Jin Ho;Kim, Hyeun Bum;Song, Minho
    • Journal of Animal Science and Technology
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    • v.63 no.3
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    • pp.465-474
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    • 2021
  • It has become important to explore alternative feed ingredients to reduce feed costs, which are burdensome for livestock production. In addition, it is desirable to find efficient and functional alternative ingredients for traditional feed ingredients in pig diets, considering the stress and sensitivity of disease of pig. Rice is produced around the world like corn that is the typical energy source in pig diets. Although the nutritional quality varies depending on the degree of milling, rice, except whole grains (paddy rice), contains more starch than corn and its structure and granule size are easier to digest than corn. In addition, the fact that rice has fewer non-starch polysaccharides (NSP) and anti-nutritional factors (ANFs) is also effective in improving digestibility and various polyphenols in rice can help modulation of immune responses, which can be beneficial to the gastrointestinal environment and health of pig. Many studies have been conducted on rice focusing on things such as degree of milling, substitution rates of corn, granule size, and processing methods. Most results have shown that rice can be partially or completely used to replace corn in pig diets without negatively affecting pig growth and production. While further research should focus on the precise biological mechanisms at play, it was confirmed that the use of rice could reduce the use of antibiotics and pig removal and protect pigs from gastrointestinal diseases including diarrhea. From this point of view, rice can be evaluated as a valuable feed ingredient for swine diets.

Therapeutic Effects of Botanicals Used in Management of Dhiq al-Nafas (Bronchial Asthma): An Evidence Based Review

  • Ahmad, Taufiq;Parray, Shabir Ahmad;Ahmad, Naseem;Khan, Javed Ahmad;Zohaib, Sharique
    • CELLMED
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    • v.9 no.1
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    • pp.3.1-3.5
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    • 2019
  • Bronchial asthma is one of the most common chronic diseases globally and currently affects approximately 300 million people worldwide. As per scientific data, approximately 10-12% of adults; and 15% of children are affected by the disease. The increasing global prevalence of the disease imposes a high health care costs into its mechanisms and treatment. Unani system of medicine (USM) is a well known traditional therapy for number of diseases since ancient times. Time has proved that USM has a special role in treatment of chronic diseases, due its special Usooleillaj (Line of treatment). Dhiq al-Nafas (bronchial asthma) is also considered as a chronic disease. Since ancient times, the disease was cured by number of single as well as compound formulations by renowned Unani scholars. This review provides a comprehensive summary of medicinal plant throughout the world, with reference to renowned Unani scholars and physicians for treatment of Dhiq al-Nafas. A number of Unani single and compound drugs, highly efficacious and safe drugs are available for the asthma. The data were taken from classical literature of USM, Modern reference books & electronic journals. The recent information was collected from different authentic search engines. This review will provide the centuries therapeutic information's of classical literature and recent scientific studies of 12 herbal drugs mentioned in USM, which will help the academia, clinicians, research scholars and post graduate students from Unani Medicine, Traditional & Complementary Medicine and other related disciplines, having research interest or work in the Unani medicine.