• Title/Summary/Keyword: Case-mix

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Displayed Subjects of Practice and Case-Mix of Private Practitioners in Taegu City (개원의의 진료과목표방 및 진료환자 구성)

  • Park, Jae-Yong;Oh, Kang-Jin;Kam, Sin
    • Health Policy and Management
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    • v.2 no.1
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    • pp.42-65
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    • 1992
  • To survey the specialties or sujects of practice displayed by the private practitioners the authors visited 691 clinics in Taegu from April 1 to May 18, 1991, At the same time, a mail questionnaire was administered to ask the number of displayed subjects of practice, and the reasons for displaying the subjects, reasons for not displaying in case of no specialty was displayed, composition of patients, and role as a specialist. The questionnaire was returned by 308(44.6%) practitioners. The distributions of private practitioners by specialty were 13.9% for internal medicine (IM), 11.7% for pediatrics(Ped), 13.0% for obstetrics '||'&'||' gynecology(OBGY), 11.1% for general surgery(GS), 10.0% for family practice(FP), and 5.3% for general practitioner(GP). Ninety percent of the specialists have displayed their specialty in their offices. Among all the private practitioners, 61.9% of them have displayed their subjects of practice and 23.7% have shown telephone number. Among private practitioners who displayed the subjects of practice, 80.6% have signs of 'subjects of practice'. Mean number of the displayed subjects of practice for the all private practitioners is 1.20, and 1.93 for the private practitioners who displayed subjects of practice. FP and GS have displayed their subjects of practice in 91.2% and 87.0% respectively and OBGY have displayed in 32.2%, the lowest percentage among all the soecuaktues. IM specialists displays pediatrics as a major subject of practice in 72.1% the pediatricians display IM in 88.9% the OBGYs display pediatrics in 77.8%, and the GSs display IM in 51.9%. Most commonly displayed subjects of practice are Ped and IM. Sixty-five percent of the private practitioners answered that they don't display their specialties because their clinics are "primary health care facility". The reasons for displaying the subjects of practice and its relevance with their own specialty(45.6%), and the difficulty in clinic management only with the patients for their own specialty(36.9%). The proportion of clinics whose patients of other specialty are than their own specialty accounted less than 10% was 52.8% and that accounted more than 51% was 16.0%. Specially, 51.4% of GS specialists cared more than 51% of patients of other specialty area than their own specialty. Most of the patients of IM, Ped, and OBGY specialists are the patients of their own specialty. However, 56.8% of GS care more of IM patients and only 24.3% of them care mostly GS patients, The respondents to the mail questionnaire who stated that they can not play the role of specialist well are 30.5% and especially 72.9% of the GS specialists state so. The proportion of respondents who do not suffort the private practice of specialists is 71.1%. Among the surgical specialists, 82.7% of them rarely perform operation. The reasons for not performing operation are insufficient insurance fee (76.9%), and risk of operation(58.0%), so as the OBGY specialists. Above finidngs suggest that most of the specialists, especially surgeons, in the private practice can not play their role as a specialist. It is necessary to develop a policy that facilitates the production of practice and the retention of the specialists in the hospitals.s.

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Experimental Study for Improving Method of Load Bearing and Spalling Prevention of 100 MPa High Strength Concrete Column (100 MPa급 고강도 콘크리트 기둥의 폭렬방지 및 하중지지력 향상방안에 관한 실험적 연구)

  • Cho, Bum-Yean;Kim, Heung-Youl;Kim, Hyung-Jun;Kwon, In-Kyu;Kim, Kyeong-Ok
    • Fire Science and Engineering
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    • v.26 no.6
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    • pp.78-84
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    • 2012
  • In this study, we have conducted a fire resistance experiment under loading condition on standard fire to evaluate the fire resistance performance according to applying reinforcement of methods for reinforcing the lateral confinement of reinforced bars (Wire Rope) and fire resistance reinforcement (Fiber-Cocktail) for 100 MPa high strength concrete column. In the result of the experiment, in case of the test objects applied by hoop, it has been shown as not possible to be applied as the fire resistance structure after satisfying the fire resistance performance for 43 minutes. In case of applying the wire rope as lateral confinement of reinforced bar, instead of hoop in identical volume ratio, it has been shown as possible to apply it to the buildings with under 4 floors after satisfying the fire resistance performance fro 69 minutes with any separate fire resistance process. Also, in case of applying with mixing wire rope method, instead of hoop, and Fiber-Cocktail mix method to prevent spall, it has been shown as possible to apply to the buildings with over 12 floors after satisfying the fire resistance performance for 180 minutes.

Eco-Friendly Backfill Materials with Bottom Ash (바톰애시를 이용한 환경친화적 뒤채움재)

  • Lee, Kwan-Ho;Kim, Seong-Kyum
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.3
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    • pp.1385-1390
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    • 2012
  • Couple of laboratory for controlled low strength materials with bottom ash and recycled in-situ soil have been carried out. The optimum mix ratios for 4 cases with flowability and unconfined compressive strength were determined. The optimim mixing ratios were 25 to 45% of insitu soil, 30% of bottom ash, 10 to 20% of fly ash, 0 to 3% of crumb rubber, 3% of cement and 22% of water. Each mixture was satisfied the standard specification, minimum 20cm of flowability and 127 kPa of unconfined compressive strength. Two different curling methods, at room temperature and wet condition, were adopted. The average secant modulus(E50) was 0.07 to 0.08 * $q_u$. The compressive strength at wet condition showed 10% larger than at room temperature. The range of internal friction angle and cohesion for mixtures were 36.5o to 46.6o and 49.1 to 180 kPa, respectively. The mixture with crumb rubber(case 4) showed higher choesion and lower internal friction angle than the others. The pH of all the mixtures was over 12 which is strong alkine.

Evaluation of Properties of Warm-Mix Recycled Asphalt Binder for Promoting the Recycled Asphalt (순환골재 활성화를 위한 중온 재생 아스팔트 바인더 특성 평가)

  • An, Ji Hun;Kim, Nakseok
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.36 no.6
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    • pp.1101-1107
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    • 2016
  • As an increase in the amount of RAP, there are growing interests in recycling asphalt concrete. In case of using the RAP as recycled asphalt pavement, it tends to be quality deteriorate. Therefore, the amount of RAP using is advised to be limited or has to be used with rejuvenator. In this study, asphalt mixture containing WMRA was analyzed to be used up to 50% for the sake of convenience on the process. As the results of evaluation, there was no significant difference in case of using 30% of RAP in the test of Marshall stability. However, in case of WMRA using up to 50%, it was satisfied criteria by flow value at 34.7. Further, result of toughness test was found that the crack resistance showed 55% higher than using straight asphalt when using WMRA binder up to 50%. According to the results of directly comparing crack resistance through repeated direct tensile test, it was shown that the fatigue crack resistance of WMRA pavement was increased by 263%. Therefore, it was shown that WMRA binder was effective in recycling RAP because WMRA binder could increase the percentage of RAP using up to 50%.

Removal of residual VOCs in a collection chamber using decompression for analysis of large volatile sample

  • Lee, In-Ho;Byun, Chang Kyu;Eum, Chul Hun;Kim, Taewook;Lee, Sam-Keun
    • Analytical Science and Technology
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    • v.34 no.1
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    • pp.23-35
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    • 2021
  • In order to measure the volatile organic compounds (VOCs) of a sample which is too large to use commercially available chamber, a stainless steel vacuum chamber (VC) (with an internal diameter of 205 mm and a height of 50 mm) was manufactured and the temperature of the chamber was controlled using an oven. After concentrating the volatiles of the sample in the chamber by helium gas, it was made possible to remove residual volatile substances present in the chamber under reduced pressure ((2 ± 1) × 10-2 mmHg). The chamber was connected to a purge & trap (P&T) using a 6 port valve to concentrate the VOCs, which were analyzed by gas chromatography-mass spectrometry (GC-MS) after thermal desorption (VC-P&T-GC-MS). Using toluene, the toluene recovery rate of this device was 85 ± 2 %, reproducibility was 5 ± 2 %, and the detection limit was 0.01 ng L-1. The method of removing VOCs remaining in the chamber with helium and the method of removing those with reduced pressure was compared using Korean drinking water regulation (KDWR) VOC Mix A (5 μL of 100 ㎍ mL-1) and butylated hydroxytoluene (BHT, 2 μL of 500 ㎍ mL-1). In case of using helium, which requires a large amount of gas and time, reduced pressure ((2 ± 1) × 10-2 mmHg) only during the GC-MS running time, could remove VOCs and BHT to less than 0.1 % of the original injection concentration. As a result of analyzing volatile substances using VC-P&T-GC-MS of six types of cell phone case, BHT was detected in four types and quantitatively analyzed. Maintaining the chamber at reduced pressure during the GC-MS analysis time eliminated memory effect and did not affect the next sample analysis. The volatile substances in a cell phone case were also analyzed by dynamic headspace (HT3) and GC-MS, and the results of the analysis were compared with those of VC-P&T-GC-MS. Considering the chamber volume and sample weight, the VC-P&T configuration was able to collect volatile substances more efficiently than the HT3. The VC-P&T-GC-MS system is believed to be useful for VOCs measurement of inhomogeneous large sample or devices used inside clean rooms.

Passion + Innovation + Marketing = A Successful New Market Development 『A Case of Pulmuone Fresh Ramen, 'Jayeonun Masitda'』 (열정 + 혁신 + 마케팅 = 신시장 창출 『풀무원 '자연은 맛있다'의 생라면 시장 개척 사례』)

  • Chu, Kyounghee;Lee, Doo-Hee;Park, Seong Yeon;Yoo, Shijin
    • Asia Marketing Journal
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    • v.13 no.3
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    • pp.233-248
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    • 2011
  • This case illustrates a story of passionate and innovative new market development by Pulmuone, a fresh food provider in Korea. The company has been successfully developing a new market by introducing a (non-frying) fresh ramen, 'Jayeonun Masitda - The Nature Is Tasty' in the packaged ramen market dominated by fried ones. In this case, a detailed new market development process by Pulmuone will be investigated including; company overview, a new product development process, marketing strategy formulation, marketing mix implementation, market performance, and future directions. Pulmuone has been making efforts to create a new product category by marketing non-frying ramens since 1995, but with a modest success. In 2011, Pulmuone finally succeeded to develop an innovative product, 'Jayeonun Masitda' that brought more health and nutrition conscious consumers' attention in the ramen market. The company intended to change the current competitive structure in the ramen market, i.e., from the strength of taste and the amount of ingredient to fried/non-fried and the freshness of ingredient. By this new positioning, Pulmuone aimed to reshaping the ramen market into competition between healthy and unhealthy ramens. Pulmuone has been successful in developing a new market. Sales revenue of 'Jayeonun Masitda' has been continuously increasing, and customers are found to be highly satisfied with the product resulting in a high repeat purchase rate. The company's successful new market development can be attributed to a faithful new product development process, innovative technology, an appropriate positioning strategy, and consistent marketing communication. In addition, Pulmuone's eco-friendly corporate image and the organization's passion to grow are also important factors for success of this new market development.

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Guided Bone Regeneration Using a Putty-type Demineralized Bone Matrix: Case Report (Putty형 탈회동종골을 이용한 골유도 재생술: 증례보고)

  • Jang, Han-Seung;Kim, Su-Gwan;Moon, Seong-Yong;Oh, Ji-Su;Park, Jin-Ju;Jeong, Mi-Ae;Yang, Seok-Jin;Jung, Jong-Won;Kim, Jeong-Sun
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.33 no.5
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    • pp.420-424
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    • 2011
  • Allomatrix (Wright Medical Tech, Inc., Arlington, Tenn, USA), is a newly designed, injectable putty with a reliable demineralized bone matrix (DBM), derived from human bone. The compound contains 86% DBM and other bone growth factors such as bone morphogenic protein (BMP)-2, BMP-4, insulin-like growth factor (IGF)-1, and transforming growth factor (TGF)-${\beta}1$. It has excellent osteoinduction abilities. In addition, DBM is known to have osteoconduction capacity as a scaffold due to its collagen matrix. This product contains a powder, which is a mix of DBM and surgical grade calcium sulfate as a carrier. A practitioner can blend the powder with calcium sulfate solution, making a putty-type material which has the advantages of ease of handling, better fixation, and no need for a membrane, because it can function as membrane itself. This study reports the clinical and radiographic results of various guided bone regeneration cases using Allomatrix, demonstrating its strong potential as a graft material.

A Study on the Fundamental Mechanical Properties of Hydrophobic Cementeous Mortar using Silane Admixtures (실란계 혼화제를 활용한 소수성 시멘트 모르타르의 기초물성 연구)

  • Oh, Hongseob
    • Journal of the Korean Recycled Construction Resources Institute
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    • v.6 no.2
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    • pp.79-86
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    • 2018
  • In this study, emulsion type hydrophobic admixture was prepared by mixing polyvinyl alcohol surfactant, polymethyl hydro-siloxane and meta kaolin, and the compressive strength and mechanical properties such as permeability and contact angle test of the mortar were evaluated. The developed hydrophobic admixture showed no decrease in strength and the mortar specimen with magnesium oxide developed the early strength. In the case of permeability, total seepage was significantly decreased when the hydrophobic admixture was directly mixed with the mortar, but the effect of meta kaolin contained in hydrophobic admixture was not significant. The surface of specimens coated with hydrophobic admixture shows that the contact angle on the surface was highly increased compared with reference mortar specimen. Further researches to obtain the optimum mix proportion of the PVA fiber, nano-silica and meta kaolin for producing the super-hydrophobic surface are required.

Experimental Study on Reduced Amount of Rebound in Wet Process Shotcrete Works by Upon Accelerator Contents (급결제 함유량에 따른 습식 Shotcrete 리바운드 감소량에 대한 실험적 연구)

  • Jeon, Jun Tai;Park, Hong Tae;Lee, Yang Kyu
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.32 no.6D
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    • pp.615-622
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    • 2012
  • The aim of shotcrete is to increase the bearing capacity and to protect the excavated surface from erosion by preventing falling of rock mass. Shotcreting method is divided into two types as dry process and wet process. Since 1997, wet process method has been used more frequently than dry process method in field works. The failure to bond, so called rebound, occurs in many case during shotcrete works. The excess amount of rebound has a significant effect on the total construction cost. For example, material and craft-man cost increases, the shooting time delays due to deceleration of work execution stage, work efficiency of craft-man decreases and additional cost to remove the muck generates. In this study, therefore, the experimental analysis of rebound amount and strength was conducted by analyzing the actual construction data for wet process type of shotcreting method upon accelerator contents. Also, the effective and rational method was suggested, which can be actually implemented in the Korea construction sites.

Ageless Trend and the Fashionable Style of Korean Middle-Aged Men (한국 중년 남성의 젊음 추구와 유행 스타일 변화)

  • Lee, Na Hyun;Ha, Ji Soo
    • Journal of the Korean Society of Clothing and Textiles
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    • v.39 no.5
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    • pp.745-754
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    • 2015
  • This study analyzed Korean middle-aged men's fashionable styles according to ageless trends as their representative characteristic and deriving their special features from men's magazines. Literature and case studies were conducted together. The research findings are as follows. First, it showed uniformity, conformity, passive clothing selection and consumption in 1990s as characteristics of middle-aged men's wear by period. However, clothing became an expressive way to pursue individuality and an ageless trend gradually, and middle-aged men positioned themselves as subjects of a consumer market for men's wear after 2010 through active clothing selection and consumption. Second, along with a trend change preferring a comfortable and active to formal atmosphere, it showed that casual style became diversified and segmented gradually in Korean middle-aged men's ageless trend and fashionable style. Third, as for formative characteristic changes in middle-aged men's fashionable style by period, it contained a slim silhouette, bright and splendid colors and patterns, increase of light, active and functional materials, generalization of casual items and pursuit of individuality by various mix & match styles. Fourth, in Korean men's ageless trend and changing fashionable style, four kinds of special characteristics were derived that included a change of the traditional clothing symbolism, weakened conformity & pursuit of personality, obscured boundaries between age and wearing style, and active embracing of a trend.