• 보건행정학회지
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• 제20권4호
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• pp.114-125
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• 2010

Objectives : This study investigates the determinants of contingent workers' ratio in public health centers. Since the economic crisis in 1997, there have been many studies on contingent workers in Korea. But, previous studies have been not conducted focusing on public health center. Methods : This study used 253 public health centers, installed and operated since December 31, 2008. in Korea as units of analysis. To examine the determinants of contingent workers' ratio, this study uses Pearson correlation and multiple regression analysis. Results : The following appeared as significant variable affecting contingent workers' ratio in public health centers; degree of the local government's financial independence(p<0.001), rate of increase/decrease in ages 65 and over(p<0.001), rate of increase/decrease in basic livelihood security recipients(p<0.01) and rate of increase/decrease in registered disabled persons(p<0.01). In contrast, internal organizational environment characteristics related variables were not statistically significant. Conclusions : Contingent workers' ratio in public health center is significantly affected by financial vulnerability of the local government and increase in demand of health care services.

• Journal of information and communication convergence engineering
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• 제9권4호
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• pp.411-419
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• 2011

In this paper, we propose an Adaptive Regulating Drop (ARD) marker, as a novel dropping strategy at the ingressive edge router, to improve TCP fairness in assured services (ASs) without a decrease in the link utilization. To drop packets pertinently, the ARD marker adaptively changes a Temporary Permitted Rate (TPR) for aggregate TCP flows. The TPR is set larger than the current input IN packet rate of aggregate TCP flows while inversely proportional to the measured input OUT packet rate. To reduce the excessive use of greedy TCP flows by notifying droppings of their IN packets constantly to them without a decrease in the link utilization, the ARD marker performs random early fair remarking of their excessive IN packets to OUT packets at the aggregate flow level according to the TPR. In addition, an aggregate dropper is combined to drop some excessive IN packets fairly and constantly according to the TPR. Thus, the throughput of a TCP flow no more depends on only the sporadic and unfair OUT packet droppings at the RIO buffer in the core router. Then, the ARD marker regulates the packet transmission rate of each TCP flow to the contract rate by increasing TCP fairness, without a decrease in the link utilization.

• The Korean Journal of Physiology
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• 제11권1호
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• pp.37-44
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• 1977

In the previous study of the release, excretion, and plasma concentration of aldosterone in normal Koreans, the author found that urinary aldosterone excretion and aldosterone secretion rate of the Korean who usually take high amount of salt are significantly lower, in compared to Americans, although the plasma concentration is only tended to be low. The control of plasma aldosterone level depends on the secretion rate and the metabolic clearance of the hormone. In this experiments, the metabolic clearance rate of aldosterone was determined in normotensive korean and the effects of adrenal stimulations on the rates were also studied in the same subjects. The metabolic clearance rate of the normal Korean was not significantly different from those of the American, and shown a little increase in response to sodium restriction. These results indicate that the decrease in secretion rate rather than the increase in metabolic clearance Tate is the major factor maintaining lower plasma aldosterone level. After furosemide diuresis, on the contrary, the removal of aldosterone showed significant the decrease despite slight increase of secretion rate. This suggest that the reduction in metabolic clearance rate of the hormone during volume depletion found to be major cause of high plasma concentration. Additional potassium supply produced detectable decrease of metabolic clearance rate, but the changes were smaller than that of secretion rate, which suggested that the higher secretion rate could account for elevated plasma concentration of aldosterone rather than metabolic clearance. Above results also support author's previous evidences that the normal Korean who already adapted to a high sodium diet have ability to produce adequate aldosterone activity without producing detectable changes on the metabolic clearance rate under the condition of sodium restriction with approp riate potassium intake.

• 보건행정학회지
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• 제21권2호
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• pp.249-262
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• 2011

Since May 1st in 2008, the products of ginkgo biloba extract have had to be used with the patient's out-of-pocket payment due to reimbursement restriction guidelines. This study aims to analyze the policy effects of reimbursement restriction on pharmaceutical expenditures using interrupted time series(ITS) analysis. We retrieved monthly NHI claims data for the period between May, 2005 and December 2009. The ingredients identified as a substitute for ginkgo biloba have similar indications based on the similar pharmacological activities. The effects of changes in reimbursement scope were evaluated both for all relevant pharmaceuticals within the same therapeutic class and for 2 separate groups : ginkgo biloba's and its substitutes. According to the study results, restrictions on reimbursement scope resulted in savings of the drug expenditures in the targeted therapeutic class. Direct restriction on ginkgo biloba was associated with a decrease in expenditure level by 60.1% and changes in trend from an average increase rate of 1.4% to an average decrease rate of 1.5% for the therapeutic class, with a dramatic decrease in expenditure level(-191.5%) for ginkgo biloba itself, but with an increased expenditure level(+50.1%) and changes in trend from an average increase rate of 2.0% to an average decrease rate of 1.0% for the substitute group. Further policy to restrict nicergoline was associated with additional decrease in expenditure level for the therapeutic class. Additionally, we could identify the balloon effect - a new policy squeezing one part results in bulging out elsewhere. After the restriction of ginkgo biloba, the utilization of and expenditures on its substitutes increased significantly. In conclusion, we demonstrated that consecutively introduced policies effectively reduced overall expenditures on the therapeutic class of interest. Some ingredients played as a substitute while others did not. Further studies need to be conducted to identify which factors determine a substitute.

• 한국전문물리치료학회지
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• 제9권1호
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• pp.43-51
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• 2002

Physiological Cost Index (PCI) of walking has been widely used to predict oxygen consumption in healthy subjects or patients. The purpose of this study was to evaluate the predictability of physiological cost index of walking for the amount of exercise and cardiac function. Walking exercise was conducted in 67 healthy children (age 4-12) with a self-selected comfortable walking speed on the level surface. Walking speed was calculated, and heart rate was measured before and immediately after the walking. PCI was calculated for statistical analysis. The results were as follows; 1) The walking speed tends to increase and PCI of walking tends to decrease with age. There was significant difference in walking speed and PCI of walking among three age groups (p<.05). The change of walking heart rate tends to decrease with age, however, there was no significant difference among three age groups. 2) Linear regression equation between walking speed and age was 'Y (walking speed) = 2.124X (age) + 48.286' ($R^2$=.337), (p=.00). 3) The walking heart rate tends to decrease with age. Linear regression equation between walking heart rate and age was 'Y (walking heart rate) = 143.346 - 2.63X (age)' ($R^2$=.3425), (p=.00). 4) The walking heart rate decreased as body surface area (BSA) increased. Linear regression equation between walking heart rate and BSA was 'Y (walking heart rate) = 149.830 - 27.115X (BSA)' ($R^2$=.3066), (p=.00). In conclusion, these equations and PCI could be useful to quantify the variation of energy expenditure of children with pathological gait when compared with age-matched healthy children.

• 한국건설순환자원학회논문집
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• 제5권1호
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• pp.131-138
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• 2010

본 연구에서는 보통포틀랜드 시멘트(이하 OPC)제조과정의 분쇄공정 중 밀출구에서 배출되는 비교적 가격이 저렴하면서, 수화열면으로도 효과일 것으로 예상되는 입자분포를 갖는 시멘트(이하 CC)를 대상으로 플라이애시(이하 FA)와 고로슬래그 미분말(이하 BS)를 복합치환하는 3성분계 저발열 시멘트로의 개발 가능성을 검토하기 위하여 유동성, 강도, 간이단열온도 상승량 등 기초적인 특성에 대하여 분석하고자 한다. 실험결과로 유동성은 CC의 치환율이 증가함에 따라 저하하는 경향을 보였고, FA+BS의 치환율이 늘어남에 따라 증가하는 경향을 나타냈다. 공기량은 CC의 치환율이 증가함에 따라 미소하게 감소하는 경향을 나타냈고, FA+BS의 치환율이 증가함에 따라 감소하였다. 응결특성으로 CC 및 FA+BS의 치환율이 증가 할수록 응결 시간은 지연되었다. 간이 단열에 의한 온도 상승량은 전반적으로 CC 치환율이 증가할수록, FA+BS의 치환율이 증가할수록 피크온도는 감소하였고, 이후 온도저하가 완만해 지는 경향을 나타냈다. 압축강도는 CC 및 FA+BS 치환율이 증가할수록 저하하였는데, 재령이 경과함에 따라 장기강도는 Plain과 동등하거나 동등 이상의 강도를 발현 하였다. 종합적으로 CC에 FA+BS를 치환하였을 때 유동성 및 공기량은 저하하는 경향을 나타냈으나, 수화열 면에서 양호한 저감효과를 보여 3성분계 저발열 시멘트로의 개발이 가능성할 것으로 사료된다.

• Asian-Australasian Journal of Animal Sciences
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• 제5권3호
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• pp.559-561
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• 1992

Three strains each of L. bulgaricus and S. thermophilus isolated from indigenous dahi were examined for their rate of acid production and corresponding pH values in skim milk medium incubated at $40^{\circ}C$. No significant increase in titrable acidity or decrease in pH were recorded from initial period up to 2nd hour in both the strains. Following this period, however, there was a continuous increase in titrable acidity and a decrease in pH value in the milk for all the tested strains. Further it was observed that there was a variation among these strains for their acid production rate. High rate of acid production was recorded for the L. bulgaricus as compared to S. thermophilus. The results further, suggested that efforts should be made to select a proper pair of L. bulgaricus and S. thermophilus according to their rate of acid production, at a particular temperature in order to produce a good quality product.

• 대한전자공학회:학술대회논문집
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• 대한전자공학회 2000년도 하계종합학술대회 논문집(2)
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• pp.298-301
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• 2000

We investigated the etch rate of SiO$_2$ in E-ICP, ICP system and the addition gas (O$_2$H$_2$) effect on SiO$_2$ etch characteristics. In all conditions, E-ICP shows higher etch rate than ICP. Small amount of O$_2$ addition increase F atom and O$\^$*/ concentration. at optimized condition (30％ O$_2$ in CF$_4$, 70Hz) E-ICP system shows highest etch rate (about 6000${\AA}$). H$_2$addition in CF$_4$ Plasma make abrupt decrease Si etch rate and moderate decrease SiO$_2$ etch rate.

• 한국가축번식학회지
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• 제21권2호
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• pp.191-195
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• 1997

The objective of this study were to compare two methods of analysis of milk urea nitrogen (MUN) and to relate conentration of MUN to pregnancy rate in dairy cows. The Azotest and Sigma method for MUN analysis were compared. The Azotest consistently underestimated the Sigma values for same samples, except for those in rank 3. The CV for the Azotest, within each rank, were less than 15%, demonstrating acceptable repeatability of the Azotest within a rank. Concentrations of MUN higher or lower than MUN in rank 3 and 4 were associated with decreased pregnancy rate. Mun concentrations in rank 5 and 6 were associated with a, pp.oximately a 16 percentage point decrease in pregnancy rate. Mun concentrations in rank 5 and 6 were associated with a, pp.oximately a 16 percentage point decrease in pregnancy rate after AI in dairy cow. This results suggest that Azotest may be benificial to dairy producers to monitor urea nitrogen concentration in their herd in efforts to maintain or improve reproductive efficiency.

• Archives of Pharmacal Research
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• 제17권5호
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• pp.364-370
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• 1994

A microscopic mass balance approach has been developed to estimate the extent and rate of absorption for camier-mediated comounds. For the case competitive inhibition in the presence of an inhibitor which shares the same camier, the fraction dose absorbed (F) and absorption rate constant ($K_a$) of a drug can be calculated from its concentration profile in the intestinal lumen. Absorption parameters obtained by single-pass perfusion experiments were used in the simultaion of the absorption of some aminopenicilins. Predicted fractions dose absorbed and absorption rate constants of ampicilin and amoxicilin were significantly reduced in the presence of a 6-times higher molar dose of cyclacilin. The drug-drug interactions on the competitive absroption of camier-mediated compounds were determined with regard to F and $K_a$. Predicted decreases in F for some aminopenicilins corrlated well with decrease in the urinary recovery in humans reported in the literature. Predicted decrease in the mean absorption rate constant ($\barK_a$) explain the delays in the time of peak plasma concentration ($T_{max}$) reported in humans.