• Korea Journal of Hospital Management
• /
• v.25 no.2
• /
• pp.45-56
• /
• 2020

Purpose: The purpose of this study is to investigate medical care behaviors influencing accuracy of the payment based New diagnosis-related groups (DRG) compared to fee for service (FFS) in hospitalized patients with medical illness. Methodology: In order to estimate the difference in medical costs between New DRG and FFS depending on medical care behaviors, medical records and hospital claims data (n=4,232) were utilized, which were collected from a single public hospital during the first-half of 2018. Data were analyzed by descriptive statistics, t-test, chi-square test, and multivariate binary logistic regression. Findings: The average difference in medical costs between New DRG and FFS were KRW 506,711±13,945 with incentives and KRW -51,506±12,979 without incentives, respectively. Forty-four point two percent (44.2%, n=1,872) of total subjects were shown to have negative compensation in overall medical costs with New DRG compared to the costs with FFS. Medical care behaviors that affected on the negative compensation were the presence of severe bed sores on admission, medical consultations, death, operations, medications and laboratory or imaging tests with unit price over KRW 100,000, hospital-acquired complications or underlying comorbidities, elderly patients (≧65 years), and hospitalized for more than average inpatient days defined by New DRG (p<0.001). The difference in average medical cost between New DRG and FFS for a group with mild illness was KRW -11,900±10,544, whereas it was KRW -196,800±46,364 for a group with severe illness (p<0.0001). Practical Implications: These findings suggest that New DRG payment model without incentives may incompletely cover the variation of medical costs in real clinical practice. Therefore, policy makers need to consider that the current New DRG reimbursement should be focused and refined to improve accuracy of payment on medical care resources utilized in severe and complex medical conditions.

• Journal of the Korea Concrete Institute
• /
• v.28 no.2
• /
• pp.149-156
• /
• 2016

The service life in RC (Reinforced Concrete) is very important and it is usually obtained through deterministic method based on Fick's 2nd law and probabilistic method. This paper presents an evaluation of $P_{df}$(durability failure probability) and the related service life considering time-dependent behaviors in chloride diffusion and surface chloride content. For the work, field investigation is performed for RC structures exposed to chloride attack for 3.5~4.5years, focusing tidal zone (6.0 m) and sea shore (9.0 m), respectively. Random variables like cover depth, chloride diffusion coefficient, and surface chloride content are obtained, and $P_{df}$ and the service life are evaluated. Unlike the results from deterministic method using LIFE 365, probabilistic method with time effects on diffusion and surface chloride shows a relatively rapid change in the result, which is a significant reductions of service life in the case with low surface chloride content. For probabilistic evaluation of durability, high surface chloride content over $10.0kg/m^3$ is required and reasonable service life can be derived with consideration of time-dependent diffusion coefficient.

• Journal of Periodontal and Implant Science
• /
• v.34 no.1
• /
• pp.127-138
• /
• 2004

Background: Crestal bone loss known as saucerization is a frequently observed phenomenon. Recent studies have shown that implants with micothreaded crest module reduced the force concentration in the crestal region thus resulting in no or reduced crestal bone loss. This study presents a clinical, histologic, and histometric evaluation of implants with microthreaded crest module and SLA surface. Methods: The implants were placed in the mandible of 5 beagle dogs weighing 10-15kg. Four premolars were bilaterally extracted 8 weeks prior to implant placement. Mucoperiosteal flap was elevated and drilling with increasing diameter was performed under saline irrigation. After countersinking 2 implants were placed in each side resulting in 4 implants per dog. Healing period of 8 weeks was allowed before sacrificing the animals. Histologic preparation was performed for histologic and histometric analysis. Bone to implant contact as well as percentage of bone area inside threads were measured. T-test was used for statistical analysis with pvalue p<0.05. Results: 1. Healing was uneventful without any cover screw exposure. New bone formation around the implants was observed without any inflammatory infiltration. 2. Bone to implant contact in the microthread and thread were 43.90 ${\pm}$ 20.30 %, and 53.19 ${\pm}$ 20.97 % respectively. The overall bone to implant contact was 48.54 ${\pm}$ 20.95 %. 3. Percentage of bone area inside threads were 54.43 ${\pm}$ 10.39 %, and 38.44 ${\pm}$ 16.44 % for the microthread and thread respectively. There was statistically significant difference(p<0.05). The overall percentage of bone area inside threads was 46.67 ${\pm}$ 15.68 %.

• Journal of Korean Ophthalmic Optics Society
• /
• v.18 no.3
• /
• pp.341-346
• /
• 2013

Purpose: The purpose of this study was to evaluate whether a relationship exists between head posture and phoria, and usefulness in examining habitual head posture. Methods: Twenty two subjects (20 males and 2 females, mean age $23.6{\pm}2.7$ years) with abnormal phoria from participants randomized were enrolled in this study. For all subjects, testing included case history, cover test, refraction, phoria and vergence test. Habitual head posture (head posture, head tilt and face turn) was measured by Impression IST, and observed by examiners. Results: The abnormal head posture was revealed in some subjects with abnormal phoria. Spearman' correlation ($\rho$=0.524, p=0.045) showed significant correction between face turn and phoria at distance in 15 subjects with prism prescription. No significant relationship between head posture and phoria was found in subjects with abnormal phoria. The objective measurement and subjective observation of head posture showed insignificant correction but there was a distinct difference. The former was detail and the latter was discriminate. Conclusions: Presence of abnormal head posture was found in phoric subjects. The results indicate the need to observe habitual head posture at all major positions of gaze in phoria.

• Journal of the Korean Vacuum Society
• /
• v.18 no.5
• /
• pp.352-357
• /
• 2009

The InAs multi-quantum dots (MQDs) solar cell and InGaAs multi-quantum wells (MQWs) solar cell to cover 1.1 eV and 1.3 eV were designed by 1D poisson, respectively. The MQDs and MQWs of 5, 10, 15 layers were grown by molecular beam epitaxy. The photo luminescence results showed that the 5 period stacked MQDs have the highest intensity at around 1.1 eV with 57.6 meV full width at half maximum (FWHM). Also we can observe 10 period stacked MQWs peak position which has highest intensity at 1.31 eV with 12.37 meV FWHM. The density and size of QDs were observed by reflection high energy electron diffraction pattern and atomic force microscope. Futhermore, AlGaAs/GaAs sandwiched tunnel junctions were modified according to the width of GaAs layer on p-type GaAs substrates. The structures with GaAs width of 30 nm and 50 nm have backward diode characteristics. In contrast, tunnel diode characteristics were observed in the 20 nm of that of sample.

• Korean Journal of Agricultural and Forest Meteorology
• /
• v.17 no.3
• /
• pp.191-201
• /
• 2015

Measuring and mapping connectivity among habitats is a key component of sustainable urban planning and design process. In this study, we examined how functional corridors connect forest bird habitats in a metropolitan area of Korea using graph theory-based techniques. High-quality forest habitat was defined as a function of forest cover, presence of residential areas, and road networks. We then constructed a network of high-quality forest habitats using the FunConn (functional connectivity) tools, and computed metrics ($T_i$) of patch importance based on the minimum ($Q_1$) and the 25th percentile ($Q_{25}$) rank least-cost distance values. We investigated the relative influence of two values of patch importance on forest bird species richness. As a result, the patch importance index based on the $Q_{25}$ effective distance threshold was most positively correlated with species richness (P < 0.001) after controlling for the area effect. Thus, using the $Q_{25}$ effective distance threshold, we mapped not only the locations of important habitat patches and functional corridors, but also the network backbone of forest bird habitats. The network developed in this study can help guide urban planning for biodiversity conservation.

• Journal of Conservation Science
• /
• v.28 no.1
• /
• pp.63-73
• /
• 2012

In this study, the 89 components of the gases emitted from grave goods at Sim Seol(1570-1630) tomb identified and quantitatively analyzed using a thermal desorption system integrated with gas chromatography-mass spectrometer. The concentration of major components show the levels of alpha-pinene 4,113ppbv, beta-pinene 2,510ppbv and limonene 2,424ppbv, that of the others orderly show p-menth-2-ene, acetone, isolongifolene and isoborneol. The functional groups of high concentration level cover 65% of terpenes and 25.8% of alcohols. The expected odor intensity orderly show 35.1% of terpenes, 33.4% of aldehydes and 8.8% of alcohols. Terpenes have generally effect of a perfume, antifungal and antimicrobial activity, and could come out of the pine(Pinus densiflora) coffin, aldehydes and alcohols could be come out of both the Sim Seol mirra and Pinus densiflora for a long time. The analyses of gases emitted from a excavated properties or a tomb are assessed that it can pc001 provide a scientific basis on a counterplan against harmful gases, a method of conservation treatments and a evaluation of effectiveness in conservation of cultural properties in a tomb.

• Journal of Environmental Health Sciences
• /
• v.43 no.5
• /
• pp.370-381
• /
• 2017

Objectives: The rate at which the nationwide highway is outsourcing the duties of toll gate cashiers to the public is increasing. The aim of this study is to conduct research on job stress for the rate at which the fares are collected by national highway toll gate cashiers. Methods: The population selected was a statistically significant group making up 10% of the total number of people surveyed in 2015, with a population of approximately 5,495 persons. The sample size is intended to cover the maximum sample size of 550 samples and the maximum number of samples that should be obtained. After allocating the number of samples by quota allocation, the qualitative function of Quality Function Deployment (QFD) was applied by random sampling. Results: Job stress ranked at $46.6{\pm}11.5$ points was found to be under the stress of 50% reported in other occupations. Job stress items showed higher for "job instability" compared to other types of tasks. Also, it appeared lower in "conflict in relationships." This is a result of the work characteristics of highway service operators. Conclusions: Time was found to have the highest influence on the workload (${\beta}=0.80$, p. 0.001), which calls for a reduction in time and workload. est influence on the workload (${\beta}=0.80$, p. 0.001), which requires a reduction in time and workload.

• Journal of the Korean Society of Environmental Restoration Technology
• /
• v.5 no.4
• /
• pp.1-9
• /
• 2002

This study is carried out to make the environmentally affinitive porous planting block for revegetation and to make a effective program for greening plans. The summary is shown below. 1. In order to get stronger intensity and distribute proper porosity in the block for planting, the cements mixed with fine soil were used and the finer in soil grains gives the stronger in intensity of the cements. Use of the furnace slag cements instead of the portland cements showed relatively stronger in intensity of the block. The intensity of the block became stronger when the mixed ratio of the cements to soil is 5 : 1, but the pore space ratio was lower. The percolate pH of the portland cements after one month of treatment was 13.1 but the percolate pH of the furnace slag cements was shown lower. To mold proper porous planting blocks, the proper combination of additives such as the dehydrating agent, elastic agent and adhesives into the mixture of cements and soil gives better effectives. 2. After molding the porous planting blocks, it gave a better result when the grains of the filler made of peat moss, upland soil and compound fertilizer were smaller than 2 mm in size. Shaking of the filling materials also gave the better result, but it took more time and cost much more. Therefore, it was better when the filling materials were mixed with water first then flew down for stuffing. 3. It was necessary to cover with soil after seeding or planting on the porous planting blocks. The proper thickness of the soil to help root development and keep moisture is about 3~5 cm. 4. The plants for planting on the porous planting block were required stronger in the growth condition of their roots and their environmental adaptability. The average germination percentage and rate of Platycodon grandiflorum on the porous planting block were 88.8% and 85% accordingly and their rate is very uniform. The germination rates of Dianthus superbus var. longicalycinus and Taraxacum officinale were more than 50%. These grass species, Chelidonium majus var. asiaticum, Lysimachia mauritiana and Scabiosa mansenensis were the suggested biennial grasses in the planting area where exchanging of the seedling or nursery plants was not necessary because their germination rates were 59.3, 45.6 and 40.3% accordingly. Viola kapsanensis, Chrysanthemum sp., Taraxacum sp. and Iris ensata var. spontanea are the grass species that could be used by seeding for greening. However, the germination rate of Solidago virga-aurea var. asiatica, Aster scaber and Lythrum anceps were lower than 10%. The coverage ratio of Ixeris stolonifera is more than 80% after 60 days seeding and the root length of most of species are more than 10 cm except Iris ensata var. spontanea and Platycodon grandiflorum because their root developed thicker than other species.

• Korean Journal of Soil Science and Fertilizer
• /
• v.35 no.6
• /
• pp.361-371
• /
• 2002

Multifunctionality of agriculture has been an important international issue in terms of environmental benefits and public concerns. We calculated soil loss mass in national basis using the USLE, and attempted to evaluate its economical benefits by replacement cost method. Soil loss mass ranged from 1.4 to $18MT\;ha^{-1}\;yr^{-1}$ was fairly fitted to measured values for 13 cropping systems. In national basis, the factors in USLE were evaluated as: 429.4 for rainfall and runoff factor. R, 0.15 for soil erodibility factor, K, 1.72 for topographic factor, LS, 0.275 for cover and management factor, C, and 0.856 for support practice factor, P. The soil loss estimated from upland farming using the USLE was $26.1MT\;ha^{-1}\;yr^{-1}$, but soil loss from the bare soil was $110.8MT\;ha^{-1}\;yr^{-1}$, the ratio of soil loss from upland farming to bare soil was 23 percents. Function of reducing soil loss in comparison with the bare soil was $84.7MT\;ha^{-1}\;yr^{-1}$, of which national soil loss mass was 62.6 million MT per annum in south Korea. Agriculture economic replacement cost of soil loss reduction was 497 billion Wons(398 million dollars) for the cost of upland soil dressing. For conservational purposes to increase the environmental benefits of upland farming, the agricultural practice including contour, strip cropping, terracing and division ditches should be implemented.