• Health Policy and Management
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• v.20 no.2
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• pp.40-52
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• 2010

Health insurance fees are set by relative value scales and conversion factors. Since 2008 the conversion factor has been classified into 7 according to the provider type, and a separate contract has been made respectively. As such classification of the conversion factor reflects only the different characteristics of providers, however, further classification to reflect the different cost structures of providers is proposed. Cost varies according to the type of not only providers but also services each provider supply. In fact different cost structures of providers are the result of their different services. This study analyzed the cost structure of medical services to propose a new approach to the classification of the conversion factor. This study analyzed the cost structure of medical services using cost data constructed in the revision study of relative value scales. The cost data consist of doctor's fee, support staff's fee, cost of medical equipments, cost of medical supplies and indirect cost. The proportion of each cost component to the total cost was analyzed in terms of service department and service type. 72 service groups are defined in terms of the combination of service department and service type. Through cluster analysis, 72 service groups were reduced into 7 clusters each of which has a similar cost structure. Conversion factor is contracted annually to reflect the change in the cost of providing medical services. So the classification of conversion factor has to be based on the cost structures of medical services, not the characteristics of providers. Service clusters derived in this study can be used as a new classification for health insurance fee contract.

• Proceedings of the Korea Society for Energy Engineering kosee Conference
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• 1993.05a
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• pp.33-41
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• 1993

The objectives of this experiment performed were to determine the potential using of solar radiation to destroy organic contaminants in water by photolysis and to develop the process and improve its performance. We used lab, scale of recirculation photoreactor with 30, 50, 80ppm initial concentration of TCE and Ti $O_2$ anatase, respectively. Adsorption constant, reaction constant were obtained and compared using the Langmuir-Hinshelwood kinetics equation. Ti $O_2$ anatase demonstrated the highest conversion ratio co TCE among Ti $O_2$ anatase, ZnO and F $e_2$ $O_3$ in this experiment. It was shown that in case of two component system, TCE+ phenol, as the concentration of phenol increased in the feed solution, TCE decomposition rate decreased.

• The Journal of Internal Korean Medicine
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• v.40 no.6
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• pp.1035-1042
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• 2019

Background: Herbal medication is widely used in the Korean Medicine Hospital, and drug-induced liver injury (DILI) in Korea has increased proportionally. Herb-induced liver injury now accounts for approximately 40% of cases of hepatotoxicity in Korea, according to research data. Currently, however, the component responsible for the toxicity is usually unknown or can only be suspected. Objective: To study the hepatotoxicity of Cheongsimyeonja-tang in DILI. Methods: A retrospective review was conducted of 82 inpatients between April 2010 and March 2017 with suspected drug-induced liver injury (n=5). The standard criteria (RUCAM scale) for drug-induced liver injury (DILI) were applied. The electronic medical records (EMRs) were retrospectively reviewed to identify the relevant database. Aminotransferase (AST), alanine aminotransferase (ALT), alkaline phosphatase (ALP), and total bilirubin (T. Bili) were analyzed in blood samples before and after the administration of Cheongsimyeonja-tang. Results: Five cases out of 82 patients had a criterion-referenced probable (RUCAM) score ranging from 6 to 8 points DILI. However, statistical analysis of the liver function parameters results of the 82 patients did not show a statistically meaningful elevation after taking Cheongsimyeonja-tang. Conclusions: These data suggest a relationship between Cheongsimyeonja-tang and DILI. More studies are needed to validate these observations and to explore their implications.

• The Bulletin of The Korean Astronomical Society
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• v.43 no.1
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• pp.51.3-52
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• 2018

Since Voyager 1 passed the Heliopause in 2012, it has provided the observations of the charged particles in the local interstellar medium. However, Voyager 1 only provides the information along with its trajectory. In order to understand the global view of the interstellar plasma flow surrounding the Heliopause, we need another tool. When the interstellar plasmas approach the Heliopause, the ions are deflected around the Heliopause due to the draping of the interstellar magnetic field. The draping of the interstellar magnetic field is strongly connected with the shape of the Heliopause. A fraction of the diverted ions exchanges their charges with the undisturbed primary interstellar neutral atoms, and then the ions become neutral atoms called the secondary interstellar neutral atoms. The newly created neutral atoms carry information on the diverted flow of the interstellar ions, and a fraction of them can travel to the Sun. Therefore, the secondary component of the interstellar neutrals is an excellent diagnostic tool to provide important information to constrain the shape of the Heliopause. The secondary interstellar neutrals are observed by Interstellar Boundary Explorer (IBEX) at Earth's orbit. Since 2009, two energetic neutral atom cameras on IBEX have measured neutral atoms and it has provided sky maps of neutral atoms. In this presentation, we will discuss the directional distribution of the secondary interstellar neutrals at Earth's orbit. In the sky maps, the primary interstellar neutral gas is seen between $200^{\circ}$ and $260^{\circ}$ in ecliptic longitude and the secondary components are seen in the longitude range of $160^{\circ}-200^{\circ}$. We also present a simplified model of the outer heliosheath to help interpret the observations of interstellar neutrals by the IBEX-Lo instruments. We extract information on the large-scale shape of the Heliopause by comparing the neutral flux measured at IBEX along four different look directions with simple models of deflected plasma flow around hypothetical obstacles of different aspect ratios to the flow. Our comparisons between the model results and the observations indicate that the Heliopause is very blunt in the vicinity of the Heliospheric nose, especially compared to a Rankine half-body or cometary shape.

• Korean Journal of Childcare and Education
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• v.8 no.4
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• pp.113-136
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• 2012

The purpose of this study was to examine the effects of a picture book-based leadership program on children's leadership. The participants of the study were 76, four- and five-year-old children of two kindergartens located in Seoul. The subjects participated in a 10-week program. The program was conducted once a week, for a total of 10 times during two and a half months. Children's leadership rating scale(Jang & Hwang, 2009) was used in the collection of data by teachers. A pre-post test paired-samples t-test and ANCOVA(analysis of covariance) were conducted to analyze the differences between the experimental group and the comparative group in leadership. The results of this study were as follows: First, there was a significant difference between the experimental group and the comparative group in the leadership scores of 5-year old children of the leadership scores of teachers. Second, there was a significant difference between the experimental group and the comparative group in the scores of challenges and self-confidence, self-control, and problem solving ability among the leadership component factors only among 5-year old children.

• Journal of the Korean Home Economics Association
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• v.47 no.1
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• pp.13-24
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• 2009

The purpose of this study was to examine the effects of banking service quality on consumer satisfaction and positive word-of-mouth. A total of 330 bank consumers were investigated between Sept. 11 and Oct. 11, 2006. After sorting through the data, the responses of 299 consumer ( > 24 yrs old) were used for analysis. SERVPERF, the performance component of the Service Quality scale (SERVQUAL), was used to measure the four dimensions of reliability, responsiveness/empathy, assurance, and tangibles. Responses were partitioned by age and gender. The major findings were as follows; The effect of service quality by SERVPERF on consumer satisfaction and positive word-of-mouth did not differ according to gender. However, positive recommendation in males was directy related to the technical quality evaluate. In females, higher the functional quality evaluate was directly related to higher positive word-of-mouth recommendation. The effect of service quality by SERVPERF on consumer satisfaction was not revealed differently according to age. However, with respect to respondents under the age of 45, tangibles and assurance had a positive relationship with word-of-mouth recommendation. Furthermore, the higher the functional quality evaluate, the higher the level of positive word-of-mouth. Responsiveness/empathy was the most significant factor on positive word-of-mouth recommendation in respondents over the age of 45. In this age group, the higher the technical quality evaluate, the higher the level of positive word-of-mouth recommendation. These results have implications for banking service managers, particularly in improving service quality to increase consumer satisfaction and positive word-of-mouth. Future research is needed to replicate this study using more broad and representative samples in order to test the generalization of these findings.

• Steel and Composite Structures
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• v.34 no.6
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• pp.891-907
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• 2020

Many studies reveal that during destructive earthquakes, most of the structures enter the inelastic phase. The amount of hysteretic energy in a structure is considered as an important criterion in structure design and an important indicator for the degree of its damage or vulnerability. The hysteretic energy value wasted after the structure yields is the most important component of the energy equation that affects the structures system damage thereof. Controlling this value of energy leads to controlling the structure behavior. Here, for the first time, the hysteretic behavior and energy dissipation capacity are assessed at presence of elliptical braced resisting frames (ELBRFs), through an experimental study and numerical analysis of FEM. The ELBRFs are of lateral load systems, when located in the middle bay of the frame and connected properly to the beams and columns, in addition to improving the structural behavior, do not have the problem of architectural space in the bracing systems. The energy dissipation capacity is assessed in four frames of small single-story single-bay ELBRFs at ½ scale with different accessories, and compared with SMRF and X-bracing systems. The frames are analyzed through a nonlinear FEM and a quasi-static cyclic loading. The performance features here consist of hysteresis behavior, plasticity factor, energy dissipation, resistance and stiffness variation, shear strength and Von-Mises stress distribution. The test results indicate that the good behavior of the elliptical bracing resisting frame improves strength, stiffness, ductility and dissipated energy capacity in a significant manner.

• Asian Pacific Journal of Cancer Prevention
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• v.17 no.sup3
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• pp.197-200
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• 2016

On an international scale, the burden of cancer in absolute numbers continues to increase, mainly due to aging of population in many countries, the overall growth of the world population, changing lifestyle with increasing cancer-causing behavior, like cigarette smoking, changing dietary habits and sedentary life. Cancer is the second-leading cause of death and disability in the world, after only heart disease. Recently, increasing incidence and mortality of cancer have also become evident in the developing world. In Iraq and particularly in Basrah in the southern part of the country, the burden has definitely increased and deserves extensive research. The present paper is part of an extensive household survey carried out in Basrah in 2013. Among the objectives was to validate official cancer registration in the governorate. The cross-sectional survey had a retrospective component to inquire about the incidence of cancer and cancer-related deaths during the three years preceding the date of inquiry (2010-2012). A convenient sample of 6,999 households with 40,688 inhabitants using multistage cluster sampling was surveyed involving all urban and rural areas of Basrah. The official cancer registration activities in Basrah seemed to have attained a high level of registration coverage (70-80%) but the gap, represented by missed cases, is still high enough to criticize the system. Most of the missing cases were either not notified by treating facilities or they were diagnosed and treated outside Basrah. Using a set of parameters, the pattern of cancer was consistent based on data of the household survey and data of the cancer registry but a gap still existed in the coverage of incident cancer and mortality by cancer registration. Integrated serious steps are required to contain the risk of cancer and its burden on the patient through improving the registration process, improving early detection, diagnostic and management capabilities and encouraging scientific research to explore the hidden risk factors and possible causes of low registration coverage. Periodic household surveys seemed feasible and essential to support routine registration.

• Journal of Mechanical Science and Technology
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• v.18 no.10
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• pp.1782-1798
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• 2004

A numerical study of a natural convection in a rectangular cavity with the low-Reynolds-number differential stress and flux model is presented. The primary emphasis of the study is placed on the investigation of the accuracy and numerical stability of the low-Reynolds-number differential stress and flux model for a natural convection problem. The turbulence model considered in the study is that developed by Peeters and Henkes (1992) and further refined by Dol and Hanjalic (2001), and this model is applied to the prediction of a natural convection in a rectangular cavity together with the two-layer model, the shear stress transport model and the time-scale bound ν$^2$- f model, all with an algebraic heat flux model. The computed results are compared with the experimental data commonly used for the validation of the turbulence models. It is shown that the low-Reynolds-number differential stress and flux model predicts well the mean velocity and temperature, the vertical velocity fluctuation, the Reynolds shear stress, the horizontal turbulent heat flux, the local Nusselt number and the wall shear stress, but slightly under-predicts the vertical turbulent heat flux. The performance of the ν$^2$- f model is comparable to that of the low-Reynolds-number differential stress and flux model except for the over-prediction of the horizontal turbulent heat flux. The two-layer model predicts poorly the mean vertical velocity component and under-predicts the wall shear stress and the local Nusselt number. The shear stress transport model predicts well the mean velocity, but the general performance of the shear stress transport model is nearly the same as that of the two-layer model, under-predicting the local Nusselt number and the turbulent quantities.

• Transactions of the Korean Society of Mechanical Engineers B
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• v.37 no.9
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• pp.829-836
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• 2013

The combustion characteristics with variations in synthetic natural gas (SNG) compositions were studied in a lab-scale combustor. The objective of the current study is to investigate the flame stabilization, flame structure, and spectrometry in a non-premixed SNG flame with varying fuel compositions. For the analysis of light emission in SNG flames, we used a spectrometer. As experimental conditions, the fuel jet velocity at the nozzle exit $u_F$ was varied from 5 to 40 m/s and the coaxial air velocity $u_A$ was varies from 0 to 0.43 m/s. The experiments showed that the flame stability increased with the hydrogen component in SNG.