• Title/Summary/Keyword: regional background level

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The Influence Factors on the Performance of Regional Public Hospitals (지방의료원의 성과에 영향을 미치는 요인)

  • Lee, Hae Jong;Lee, Dong Won;Jeong, Ji Yun
    • Health Policy and Management
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    • v.29 no.1
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    • pp.27-39
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    • 2019
  • Background: This study is designed to estimate the factors that affect the level of three different performance (publicity, efficiency, profitability) among regional public hospitals. Methods: The units of analysis are the regional 30 hospitals, which have the operating data during 22 years (from 1933 to 2014). The research method is used by fixed panel analysis. The publicity is measured by medicaid outpatient proportion and medicaid inpatient proportion. The efficiency is measured by two types of efficient score by DEA (data envelopment analysis). The profitability is measured by medical income to medical revenue and ROA (return on total asset). Results: At first, the increase of bed gives negative affect to the publicity but give positive effect to the efficiency and profitability. Because it means the increase of the region population, it gives more profitability compare to hospital with small number of beds. The more the operating period is the higher effect to the publicity and efficiency because of it's refutation. The debt ratio gives negative effect to publicity, but positive effect to profitability. It is the normal belief that there is inverse relationship between publicity and profitability. The turnover rate of bed gives the negative affect to the publicity, but positive affect to the efficiency and profitability. That give us the implication that type of the inpatient make different effect the hospital performance. The ratio of labor cost give negative effect to all kind of performance. That means that the higher labor cost don't mean the higher publicity and labor cost control is very important factors to hospital performance. So the region hospital have to focus the labor factors more to make higher performance. Conclusion: As the conclusion, the independent variables give similar effect to the efficiency and the profitability, but give inverse effect to the publicity. That means that if an region hospital want to make the more publicity, it loss the higher efficiency and profitability. Specially publicity is higher negative relation with the profitability.

Regional disparities related to cardiovascular diseases and diet quality in Korean adults: based on the 2013-2016 Korea National Health and Nutrition Examination Survey Data

  • Bo Young, Seo;Eun Sil, Her
    • Nutrition Research and Practice
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    • v.16 no.6
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    • pp.755-764
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    • 2022
  • BACKGROUND/OBJECTIVES: Cardiovascular diseases (CVDs) are the leading cause of death in Koreans, and eating habits, including diet quality, are among the etiologies of these diseases. Recently, various studies on regional health disparities have been conducted. However, there are limited studies on their relationship with nutritional factors. This study aimed to identify the magnitude of regional disparities in diet quality and prevalence of CVD in Korean adults. SUBJECTS/METHODS: This study included 17,646 participants aged ≥ 20 years from the 7th (2013-2016) Korean National Health and Nutrition Examination Survey. Participants were classified into four groups based on their residential areas: City 1, City 2, City 3, and non-city. Demographic characteristics, health-related factors, body mass index (BMI), metabolic syndrome index, diet quality, and CVD prevalence were evaluated. RESULTS: In terms of demographic characteristics, age (P < 0.001), marital status (P < 0.001), educational level (P < 0.001), and income (P < 0.001) were lower in the non-city category. Health-related factors such as monthly drinking rate (P < 0.01) and mental stress (P < 0.05) were the highest in City 1 and lowest in the non-city group. Conversely, the current smoking rate (P < 0.05), BMI (P < 0.05), and prevalence of metabolic syndrome (P < 0.001) were the highest in the non-city group (P < 0.05). The non-city group also had the highest prevalence of CVDs (35.6%). This group had the lowest diet quality index (68.36 ± 0.22, P < 0.01), caused by low intake of fruit and calcium, a lack of sodium moderation, and an overall imbalance in the macronutrient and fatty acid ratio. When the diet quality index was increased by 1, the odds ratio for the prevalence of CVDs was reduced by 0.991 (P < 0.001), but this was not the case in all regions. CONCLUSIONS: This study provides useful information and data in identifying and resolving the regional health disparities related to CVD prevalence and implementation of public health nutrition systems.

Vulnerability Index for Workplace Spot Inspection (취약지수를 이용한 사업장 근로감독과 지방노동관서 평가)

  • Kim, Sung Tai;Park, Wonju;Jeon, Yongil
    • Journal of Labour Economics
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    • v.34 no.3
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    • pp.29-58
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    • 2011
  • Using careful background research and methodology, we proposed a revised sectoral index of vulnerability that is directly applied to two central labor examples: working hours and minimum wages. The valued calculated by each specific index represent the degree of weakness in corresponding conditions at the level of workplace units. Our proposed vulnerability index promises to be applicable to all business units under labor spot inspection. Also, it can be easily updated as the business environment evolves. The index is useful in selecting certain groups of business units and in evaluating the effectiveness of each regional government office.

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Assessment of Innovation Policy Coordination Through Korean Office of Science, Technology and Innovation (OSTI)

  • Seong, Jieun;Song, Wichin
    • STI Policy Review
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    • v.4 no.2
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    • pp.96-112
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    • 2013
  • The need for designing and implementing integrated policy was further emphasized in tandem with the increase in interest concerning policy coordination and interactions. An active discussion is taking place in the field of innovation policy concerning "integrated innovation policy," which considers innovation along with financial, regional development, social, and environmental policies together in a holistic manner. In Korea since the beginning of the 2000s, there were many attempts at implementing integrated innovation policy through the restructuring of the overall S&T administration system. For the purposes of taking an integrated approach to S&T policies as well as to S&T-related human resources, industrial, and regional development policies, the Roh Administration (February 2003~February 2008) elevated the S&T Minister to the level of Deputy Prime Minister as well as launching the Office of Science, Technology, and Innovation (OSTI) (October 2004 ~ February 2008) under the Ministry of Science and Technology. This study investigates the policy coordination activities of the OSTI from the perspective of policy integration. It deals with the background of the OSTI, its roles and responsibilities, the coordination process, and its achievements and limitations while discussing the important implications for developing effective policy measures with the hope of contributing to the development of theories of integrated innovation policy.

On the Regional Background Level of CO Observed at Tae-ahn Peninsula in Korea During 1990-1992 (한국의 태안반도에서 관측된 CO의 지역적 배경농도에 관한 연구)

  • 정용승;이근준
    • Journal of Korean Society for Atmospheric Environment
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    • v.9 no.3
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    • pp.200-206
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    • 1993
  • Since November 1990, observations of carbon monoxide(CO) levels have been carried out at Tat-ahn Peninsula(TAP) in Korea. Analysis on atmospheric data, obtained in the period from November 1990 to February 1992, is carried out and the results are included in this study. It is observed that variations of monthly average level on CO are in the range of 141.61-516.06ppb(amplitude 374.45 ppb). An average level in 1991 is 308.18 ppb. CO observed at TAP has a larger seasonal variation. One of reasons appears that CO of TAP is strongly influenced by local sources and westerly airflows. When this gas of TAP is compared with data observed at Korea National University of Education(KNU) and in Seoul, we learn that CO values of KNU are higher(in average 2.15 times) than those of TAP; CO value observed in Seoul are 7 times higher than those of TAP. We interprete that air samples taken both at KNU and in Seoul are influenced strongly by local sources than those at TAP. According to analysis of trajectories and air flows, the CO value is higher with NW airflows than the value with SW airflows.

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A Comparison of Influencing Factors on Yangseng(養生) Level in Urban and Rural Elderly (도시와 농촌지역 노인들의 양생수준에 영향을 미치는 요인 비교)

  • Chong, Dae-Seong;Chong, Myong-Soo;Lee, Ki-Nam
    • Journal of Society of Preventive Korean Medicine
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    • v.11 no.2
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    • pp.1-21
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    • 2007
  • The purpose of this research is to seek for efficient method of health improvement program for the old and to offer basic material for the development of community's public health service. This study investigated into the yangseng life level of the old and the factors which affect their yangseng life, and was to offer basic materials for oriental medicine-based health improvement plan which is appropriate for each community. The 818 surveys were conducted upon the old who are above 65 and who live in Jeollabukdo, and the results from the survey are as follows ; 1. The rural area showed more percentage of old people, the old who live alone and who have job compared to urban area. More people in rural area were found to live at their own expense. Additionally, there were more people who had high education in urban area and who have disease in rural area. 2. The total yangseng level of recipients was 94.20, and the average was 3.25. The average of urbanite was 3.26 and it was 3.23 for who live in rustic area, but there found no significant difference. All the old live in both urban area and rural area showed the highest score in morality yangseng and lowest in sex-life yangseng. 3. There found no difference upon regions, but the recipients show high yangseng level when they are male, have spouse, live with them, have factors including high education background, job, religion and hobby, or have confidence in their health. They also show high yangseng level when they do not have any disease in progress. 4. According to the results of general traits and yangseng level of each category, the old who live in urban area show higher exercise yangseng level than the one in rural area, and there is no significant difference upon the region in other categories. There were some cases which general traits and regional characteristics mutually affected each other. In conclusion, the yangseng level of the old is affected by individual traits and habits rather than the regions in which they live. The old who live in rural area are required to focus on exercise more, since the exercise yangseng level of them were lower than the ones of urban area. Moreover, there were some cases which general traits and regional characteristics mutually affected each other, so it requires further in-depth study about the correlation.

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Regional Background Levels of Carbon Monoxide Observed in East Asia during 1991~2004 (1991~2004년 동아시아에서 관측한 일산화탄소의 지역적 배경 농도)

  • Kim, Hak-Sung;Chung, Yong-Seung
    • Journal of the Korean earth science society
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    • v.27 no.6
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    • pp.643-652
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    • 2006
  • Data of the carbon monoxide concentration observed in Mt. Waliguan in China (WLG), Ulaan Uul in Mongolia (UUM), Tae-ahn Peninsula in Korea (TAP), and Ryori in Japan (RYO) were analyzed for a long period between 1991 and 2004. The annual average concentration of carbon monoxide was the highest at TAP $(233{\pm}41ppb)$ followed by $RYO(171{\pm}36ppb),\;UUM(155{\pm}26ppb),\;and\;WLG(135{\pm}22ppb)$. The seasonal variations being high in spring and low in summer were observed in other areas of Eastern Asia except WLG. TAP was high in carbon monoxide concentration in all seasons compared to WLG, UUM and RYO and shows wide distribution of concentration in the histogram, which is caused by the influence of large-scale air pollution due to its downwind location close to the East Asian continent, China in particular. Also, our data was compared with data measured at Mauna Loa (MLO) in Hawaii. According to the origin of the isentropic backward trajectory and its transport passage, carbon monoxide concentration observed in TAP was analyzed as follows: continental background airflows (CBG) were $216{\pm}47ppb$; regionally polluted continental airflows (RPC) were $316{\pm}56ppb$; Oceanic background airflows (OBG) were $108{\pm}41ppb$; and Partly perturbed oceanic airflows (PPO) were $161{\pm}6ppb$. The high concentration of carbon monoxide in TAP is due to the airflow from East Asian continent origin rather than that from the North Pacific origin. Especially, RPC which passes through the eastern China appeared to be the highest in concentration in spring, fall, and winter. However, OBG was affected by the North Pacific air mass with a low carbon monoxide concentration in summer. The NOAA satellite images and GEOS-CHEM model simulation confirmed a large-scale air pollution event that was in the course of expansion from southeastern China bound to the Korean Peninsula and the Korea East Sea by way of the Yellow Sea.

On the Regional Background Levels of $CH_4$ Observed Peninsula in Korea during 1990~1992 (한국의 태안반도에서 관측된 $CH_4$의 지역적 배경농도에 관한 연구 -1990~1992년 자료를 중심으로-)

  • 정용승;이근준
    • Journal of Environmental Science International
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    • v.1 no.2
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    • pp.33-48
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    • 1992
  • Since November 1990, the observations of methane (CH4) level have been carried out at Tae-ahn Peninsula (TAP) in Korea. Analysis on atmospheric data obtained in the period from November 1990 to August 1992 is carried out and the results are included in this study. We 임ole that CIL does not have a clear seasonal cycle with a minor maximum in August- september and with a minimum in June-July. The variations in monthly average level are much larger with 1765.01∼ 1857.21 pub (amplitude 92.20 ppb). The occurrence of a minimum in June-July is due to the inflow of the North Pacific air, an increase of OH radical and due to a decrease in CH4 emission from rice paddy. A maximum in August and September appears to result from an increase in organic materials in agriculture (rice paddy) and forests, inputs of local sources due to weak airflows, stagnation of the warm and moist air and from a decrease in OH radical.'rho present analysis indicates that according to CH4 data from Mongolia and from several sites in North Pacific TAP is influenced as much as 31 pub in average from the inputs of Chinese omission. When the atmospheric CH4 of TAP is compared with data observed at Korea National University of Education (KNU), the values of KNU are higher (127 ppb) than those of TAP. It is clear that air samples taken at KNU are influenced strongly by local sources in central Korea than those at TAP. According to analysis of trajectories and airflows, we find that there are 4 types in classification. Firstly, when an air flow is originated mainly in China values of CH4 gas are in medium ranges. Secondly, when an airflow is from both local (Korea) and China we find higher values. Thirdly, with an airflow from both local (Korea) and Japan origins medium values are recorded. Fourths)r, when an airflow of maritime origin arrives low values of atmospheric CH4 are observed at TAP.

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Prognostic Significance of Basic Laboratory Methods in Non-Small-Cell-Lung Cancer

  • Kaya, Vildan;Yildirim, Mustafa;Demirpence, Ozlem;Yildiz, Mustafa;Yalcin, Aysen Yesim
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.9
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    • pp.5473-5476
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    • 2013
  • Background: In our study, the LDH, albumin, hemoglobin, neutrophile, thrombocyte, lymphocyte counts and prognostic significance of neutrophile-lymphocyte and thrombocyte-lymphocyte ratios in NSCLC derived from these counts obtained during regular examinations of patients were examined. Materials and Methods: Histopathologically diagnosed non-small-cell-lung cancer patients between 2008 and 2010 were included in the study. Before the treatment, full blood count including routine lymphocyte count, blood biochemistry examinations including liver (AST, ALT, total protein, Albumin), LDH and kidney (BUN, Cre) function tests were performed. Results: A total of 156 patients, 76 of whom (48.7%) were female and 80 of whom (51.3%) were male were included. Mean hemoglobin level was determined as 12. Overall survival was found to be significantly dependent on whether patients were anemic or not (p: 0.005). Mean LDH level was determined as 233.4. There was nosurvival difference between patients with and without high LDH (p: 0.532). In patients where NLR showed systemic inflammatory response, overall survival was 10.8 months whereas this duration was 19.6 months in patients where the systemic inflammatory response was negative (p: 0.012). In patients where TLR showed systemic inflammatory response, overall survival was 13.6 months whereas this duration was 21.9 months in patients where the systemic inflammatory response was negative (p: 0.04). Conclusions: Molecular methods have been changing rapidly in today's world and they manage the treatment besides defining the prognosis of patients. However, easily accessible and cheap laboratory parameters should be considered in the prognosis of patients besides these new methods.

The Change in Regional Cerebral Oxygen Saturation after Stellate Ganglion Block

  • Park, Hyeon-Min;Kim, Tae-Wan;Choi, Hong-Gyu;Yoon, Kyung-Bong;Yoon, Duck-Mi
    • The Korean Journal of Pain
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    • v.23 no.2
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    • pp.142-146
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    • 2010
  • Background: Stellate ganglion block (SGB) is known to increase blood flow to the innervations area of the stellate ganglion. Near infrared spectroscopy reflects an increased blood volume and allows continuous, non-invasive, and bedside monitoring of regional cerebral oxygen saturation ($rSO_2$). We investigated the influence of SGB on bilateral cerebral oxygenation using a near infrared spectroscopy. Methods: SGB was performed on 30 patients with 1% lidocaine 10 ml using a paratracheal technique at the C6 level and confirmed by the presence of Horner's syndrome. The blood pressure (BP), heart rate (HR) and rSO2 were measured before SGB and 5, 10, 15 and 20 minutes after SGB. Tympanic temperature of each ear was measured prior to SGB and 20 minutes after SGB. Results: The increments of the $rSO_2$ on the block side from the baseline were statistically significant at 5, 10, 15 and 20 minutes. The $rSO_2$ on the non-block side compared with the baseline, however, decreased at 15 and 20 minutes. The difference between the block and the non-block sides was significant at 15 and 20 minutes. The BP at 10, 15 and 20 minutes was increased and the HR was increased at 10 and 15 minutes. Conclusions: We observed an increment of the $rSO_2$ on the block side from the baseline; however, the $rSO_2$ on the non-block side decreased.