Estimating the lifetime economic burden of stroke according to the age of onset in South Korea: a cost of illness study

<p>Abstract</p> <p>Background</p> <p>The recently-observed trend towards younger stroke patients in Korea raises economic concerns, including erosion of the workforce. We compared per-person lifetime costs of stroke according to the age of stroke onset from the Korean societal perspective.</p> <p>Methods</p> <p>A state-transition Markov model consisted of three health states ('post primary stroke event', 'alive post stroke', and 'dead') was developed to simulate the natural history of stroke. The transition probabilities for fatal and non-fatal recurrent stroke by age and gender and for non-stroke causes of death were derived from the national epidemiologic data of the Korean Health Insurance Review and Assessment Services and data from the Danish Monitoring Trends in Cardiovascular Disease study. We used an incidence-based approach to estimate the long-term costs of stroke. The model captured stroke-related costs including costs within the health sector, patients' out-of-pocket costs outside the health sector, and costs resulting from loss of productivity due to morbidity and premature death using a human capital approach. Average insurance-covered costs occurring within the health sector were estimated from the National Health Insurance claims database. Other costs were estimated based on the national epidemiologic data and literature. All costs are presented in 2008 Korean currency values (Korean won = KRW).</p> <p>Results</p> <p>The lifetime costs of stroke were estimated to be: 200.7, 81.9, and 16.4 million Korean won (1,200 KRW is approximately equal to one US dollar) for men who suffered a first stroke at age 45, 55 and 65 years, respectively, and 75.7, 39.2, and 19.3 million KRW for women at the same age. While stroke occurring among Koreans aged 45 to 64 years accounted for only 30% of the total disease incidence, this age group incurred 75% of the total national lifetime costs of stroke.</p> <p>Conclusions</p> <p>A higher lifetime burden and increasing incidence of stroke among younger Koreans highlight the need for more effective strategies for the prevention and management of stroke especially for people between 40 and 60 years of ages.</p

Application of smart phone in "Better Border Healthcare Program": A module for mother and child care

<p>Abstract</p> <p>Background</p> <p>To assess the application of cell phone integrating into the healthcare system to improve antenatal care (ANC) and expanded programme on immunization (EPI) services for the under-served population in border area.</p> <p>Methods</p> <p>A module combining web-based and mobile technology was developed to generate ANC/EPI visit schedule dates in which the healthcare personnel can cross-check, identify and update the mother's ANC and child's EPI status at the healthcare facility or at the household location when performing home visit; with additional feature of sending appointment reminder directly to the scheduled mother in the community.</p> <p>Results</p> <p>The module improved ANC/EPI coverage in the study area along the country border including for both Thai and non-Thai mothers and children who were either permanent resident or migrants; numbers of ANC and EPI visit on-time as per schedule significantly increased; there was less delay of antenatal visits and immunizations.</p> <p>Conclusions</p> <p>The module integrated and functioned successfully as part of the healthcare system; it is proved for its feasibility and the extent to which community healthcare personnel in the low resource setting could efficiently utilize it to perform their duties.</p

The economic burden of musculoskeletal disease in Korea: A cross sectional study

<p>Abstract</p> <p>Background</p> <p>Musculoskeletal diseases are becoming increasingly important due to population aging. However, studies on the economic burden of musculoskeletal disease in Korea are scarce. Therefore, we conducted a population-based study to measure the economic burden of musculoskeletal disease in Korea using nationally representative data.</p> <p>Methods</p> <p>This study used a variety of data sources such as national health insurance statistics, the Korea Health Panel study and cause of death reports generated by the Korea National Statistical Office to estimate the economic burden of musculoskeletal disease. The total cost of musculoskeletal disease was estimated as the sum of direct medical care costs, direct non-medical care costs, and indirect costs. Direct medical care costs are composed of the costs paid by the insurer and patients, over the counter drugs costs, and other costs such as medical equipment costs. Direct non-medical costs are composed of transportation and caregiver costs. Indirect costs are the sum of the costs associated with premature death and the costs due to productivity loss. Age, sex, and disease specific costs were estimated.</p> <p>Results</p> <p>Among the musculoskeletal diseases, the highest costs are associated with other dorsopathies, followed by disc disorder and arthrosis. The direct medical and direct non-medical costs of all musculoskeletal diseases were $4.18 billion and$338 million in 2008, respectively. Among the indirect costs, those due to productivity loss were $2.28 billion and costs due to premature death were$79 million. The proportions of the total costs incurred by male and female patients were 33.8% and 66.2%, respectively, and the cost due to the female adult aged 20-64 years old was highest. The total economic cost of musculoskeletal disease was $6.89 billion, which represents 0.7% of the Korean gross domestic product.</p> <p>Conclusions</p> <p>The economic burden of musculoskeletal disease in Korea is substantial. As the Korean population continues to age, the economic burden of musculoskeletal disease will continue to increase. Policy measures aimed at controlling the cost of musculoskeletal disease are therefore required.</p

The use of oil-based mud cuttings as an alternative raw material to produce high sulfate-resistant oil well cement

Oil-based mud (OBM) is used during the oil well drilling processes to cool drilling pits and remove the cuttings. As a result of these processes, the oil-based mud (OBM) cuttings are produced. The composition of the OBM cuttings depends on the geological conditions of the boreholes and the OBM used during the drilling operation. In this study, the OBM cuttings were used as an alternative material to produce a special cement known as oil-well cement (OWC). Raw meal mixtures were prepared with various percentages of OBM cuttings (5, 11, 13, 15, 18, and 20%). Then they were sintered up to a temperature of 1450 °C, and the resulting cement clinker was ground to produce highly sulfate resistant OWC. The burnability of the raw meal was studied to explore the effect of OBM cuttings on raw meal behavior during the clinkerization process. The results of the study indicated a decrease in the decarbonation temperature and an increase in the rate of clinkerization as the OBM cuttings increased. The produced cement was tested per American Petroleum Institute’s testing procedure for OWC. Also, the cement hydration for 2, 7 and 28 days was carried out to study the behavior of the produced OWC

Use of excess heat from ethylene recycling in a low-density polyethylene production plant

The recovery of the wasted heat is an effective way of improving the energy efficiency of industry sites and can contribute to the reduction of the operating costs and the CO2 emissions. In the production of low density polyethylene, the polymerisation reaction is carried out with a large excess of ethylene at very high pressure. The excess ethylene is separated at an intermediate pressure (around 280 bar and 310 °C) and then it is recycled. In this recycle, the stream is cooled in several steps to temperatures close to 35 °C before being recompressed. In some units, the first cooling is carried out with air coolers up to temperatures around 130 °C. In a unit with a recycle of 33 t/h, this cooling corresponds to releasing to the atmosphere about 4.6 MW of thermal power. We present a study of different alternatives for the use of this excess heat. We studied the implementation of a refrigeration cycle by absorption with LiBr/H2O, the production of steam and the electricity generation by Rankine and Kalina cycles. The Aspen HYSYS process simulator was used to study the different alternatives. The capital cost was estimated for each of the evaluated options as well as the benefits expected to be obtained. In the study conditions, the absorption refrigeration cycle is the best solution presenting a return period of 3 years.info:eu-repo/semantics/publishedVersio