Objectives: The purpose of this study was to analyze the medical cost of facial paralysis in payer perspective and to estimate the practice pattern of patient using 2011 Health Insurance Review & Assessment Service-National Patients Sample(HIRA-NPS). Methods: Basic statistical system was used for descriptive analysis of NPS dataset. A table for general information (table20) was extracted by disease code, and social demographic characteristics, distribution of the use among inpatients and outpatients, utilization of each kind of medical care institutions, medical cost were analyzed. Subgroup analysis was conducted for assuming the practice pattern of korean medicine and western medicine. Results: A total of 8,219 people and 64,345 claims data were identified as having facial paralysis. Proportion of outpatient was 95.23%, inpatient 0.84% and patient using both services 3.93%. Mean patient charges was 44,229 won per outpatient, 178,886 won per inpatient and 523,542 won per patient using both services. Utilization of korean medical care institutions was 68.81%(claims), 40.46%(patients), utilization of western medical care institutions was 31.19%(claims), 59.54%(patients). The amount charged by korean medical care institutions was 52.61% and western medical care institutions was 47.39%. Cost per claim was higher than those of the korean treatment and cost per patient of western treatment was lower than those of the korean treatment. Conclusions: The research assessed the medical cost and practice pattern associated with facial paralysis. These findings could be used in health care policy and subsequent studies.
The microcystin is a cyclic heptapeptide from metabolites of cyanobacteria in the genera mycrocystis, anabaeba as a result of eutrophication. It has been known that microcystin-LR is a potent inhibitor of the catalytic subunits of protein phosphatase-1 (PP-1) as well as powerful tumor promoter. The active site of microcystin actually has two metal ions $Fe^{2+}/Zn^{2+}$ close to the nucleophilic portion of PP-1-microcystin complex. We report the isolation and purification of this microcystin-LR from cyanobacteria (blue-green algae) obtained from Daechung Dam in Chung-cheong Do, Korea. Microcystin-LR was extracted from solid-phase extraction (SPE) sample preparation using a CN cartridge. The cyanobacteria extract was purified to obtain microcystin-LR by HPLC method and identified by LC/MS. The detail structural studies that can elucidate the possible role of monovalent and divalent metal ions in PP-1-microcystin complexation were carried out by utilizing molecular dynamics. Conformational changes in metal binding for ligands were monitored by molecular dynamic computation and potential of mean force (PMF) using the method of the free energy perturbation. The microcystin-metal binding PMF simulation results exhibit that microcystin can have very stable binding free energy of -10.95 kcal/mol by adopting the $Mg^{2+}$ ion at broad geometrical distribution of $0.5{\sim}4.5{\AA}$, and show that the $K^+$ ion can form a stable metal complex rather than other monovalent alkali metal ions.
The Journal of Asian Finance, Economics and Business
/
v.8
no.3
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pp.905-915
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2021
This study examines the relationship between financial behavior, financial literacy, self-efficacy, and self-coping among emerging adults. The study population is 790 respondents from 11 Credit Counselling and Debt Management (CCDM). Statistical Package for Social Science (SPSS) was used to analyze Pearson Correlation and Multiple regression. It was used to determine the relationships and recognize determinants of emerging adults' financial behavior respectively. In this study, financial literacy, self-efficacy, self-coping, and financial behavior variables were entered into the regression. A total of 790 respondents aged 40 and below were selected. An independent sample t-test was administered to compare the financial behavior scores for females and males. The results reveal that there was significant difference in the mean of financial behavior scores for females (M = 87.20, SD = 18.00) and males (M = 89.70, SD = 16.80; t (765) = 2.010, p = 0.045, two-tailed). The multiple regression results indicate that the model explained 13.4% of the variance in financial behavior, which is predicted significantly by the model (F = 38.361, p = 0.000). This study will be beneficial to policymakers to improve living conditions and to promote good financial behavior, financial literacy, self-efficacy as well as self-coping especially for emerging adults in Malaysia.
Fatigue reliability problems are nowadays actively considered in the design of mechanical components. Recently, Dimension Reduction Method using Kriging approximation (KDRM) was proposed by the authors to efficiently calculate statistical moments of the response function. This method, which is more tractable for its sensitivity-free nature and providing the response PDF in a few number of analyses, is adopted in this study for the reliability analysis. Before applying this method to the practical fatigue problems, accuracies are studied in terms of parameters of the KDRM through a number of numerical examples, from which best set of parameters are suggested. In the fatigue reliability problems, good number of experimental data are necessary to get the statistical distribution of the S-N parameters. The information, however, are not always available due to the limited expense and time. In this case, a family of curves with prediction interval, called P-S-N curve, is constructed from regression analysis. Using the KDRM, once a set of responses are available at the sample points at the mean, all the reliability analyses for each P-S-N curve can be efficiently studied without additional response evaluations. The method is applied to a spring design problem as an illustration of practical applications, in which reliability-based design optimization (RBDO) is conducted by employing stochastic response surface method which includes probabilistic constraints in itself. Resulting information is of great practical value and will be very helpful for making trade-off decision during the fatigue design.
Yang, Soung-Chul;Wagner-Kaiser, Rachel;Sarajedini, Ata;Kim, Sang Chul;Kyeong, Jaemann
The Bulletin of The Korean Astronomical Society
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v.39
no.1
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pp.39.1-39.1
/
2014
We present the results of our analysis of the RR Lyrae (RRL) variable stars detected in two transition-type dwarf galaxies (dTrans), ESO294-G010 and ESO410-G005 in the Sculptor group, which is known to be one of the closest neighboring galaxy groups to our Local Group. Using deep archival images from the Advanced Camera for Surveys (ACS) onboard the Hubble Space Telescope (HST), we have identified a sample of RR Lyrae candidates in both dTrans galaxies [219 RRab (RR0) and 13 RRc (RR1) variables in ESO294-G010; 225 RRab and 44 RRc stars in ESO410-G005]. The metallicities of the individual RRab stars are calculated via the period-amplitude-[Fe/H] relation derived by Alcock et al. This yields mean metallicities of <[Fe/H]>_{ESO294} = -1.77 +/- 0.03 and <[Fe/H]>_{ESO410} = -1.64+/- 0.03. The RRL metallicity distribution functions (MDFs) are investigated further via simple chemical evolution models; these reveal the relics of the early chemical enrichment processes for these two dTrans galaxies. In the case of both galaxies, the shapes of the RRL MDFs are well-described by pre-enrichment models. This suggests two possible channels for the early chemical evolution for these Sculptor group dTrans galaxies: 1) The ancient stellar populations of our target dwarf galaxies might have formed from the star forming gas which was already enriched through "prompt initial enrichment" or an "initial nucleosynthetic spike" from the very first massive stars, or 2) this pre-enrichment state might have been achieved by the end products from more evolved systems of their nearest neighbor, NGC 55.
PURPOSE. The purpose of this in vitro study was to investigate the fracture resistance, surface hardness, and color stain of 3D printed, CAD-CAM milled, and conventional interim materials. MATERIALS AND METHODS. A total of 80 specimens were fabricated from auto polymerizing polymethyl methacrylate (PMMA), bis-acryl composite resin, CAD-CAM polymethyl methacrylate resin (milled), and 3D printed composite resin (printed) (n = 20). Forty of them were crown-shaped, on which fracture strength test was performed (n = 10). The others were disc-shaped specimens (10 mm × 2 mm) and divided into two groups for surface hardness and color stainability tests before and after thermal cycling in coffee solution (n = 10). Color parameters were measured with a spectrophotometer before and after each storage period, and color differences (CIEDE2000 [DE00]) were calculated. The distribution of variables was measured with the Kolmogorov Smirnov test, and one-way analysis of variance (ANOVA), Tukey HSD, Kruskal-Wallis, Mann-Whitney U tests were used in the analysis of quantitative independent data. Paired sample t-test was used in the analysis of dependent quantitative data (P < .05). RESULTS. The highest crown fracture resistance values were determined for the 3D printed composite resin (P < .05), and the lowest were observed in the bis-acryl composite resin (P < .05). Before and after thermal cycling, increase in mean hardness values were observed only in 3D printed composite resin (P < .05) and the highest ΔE00 value were observed in PMMA resin for all materials (P < .05). CONCLUSION. 3D printing and CAD-CAM milled interim materials showed better fracture strength. After the coffee thermal cycle, the highest surface hardness value was again found in 3D printing and CAD-CAM milled interim samples and the color change of the bis-acryl resin-based samples and the additive production technique was higher than the PMMA resin and CAD-CAM milled resin samples.
Transverse magnetic field annealing (TFA) was carried out on $Fe_{73.5}Cu_1Nb_3Si_{15.5}B_7$ nano-crystalline magnetic core with the aim at decreasing coercivity ($H_c$) while keeping high inductance ($L_s$). The magnetic field generated by direct current (DC) was applied on the magnetic core during different selected annealing stages and it was proved that the nanocrystalline magnetic core achieved lowest $H_c$ when applying transverse field during the whole annealing process (TFA1). Although the microstructure and crystallization degree of the nanocrystalline magnetic core exhibited no obvious difference after TFA1 compared to no field annealing, the TFA1 sample showed a more uniform nanostructure with a smaller mean square deviation of grain size distribution. $H_c$ of the nanocrystalline magnetic core annealed under TFA1 decreased along with the increasing magnetic field. As a result, the certain size nanocrystalline magnetic core with low $H_c$ of 0.6 A/m, low core loss (W at 20 kHz) of 1.6 W/kg under flux density of 0.2 T and high $L_s$ of $13.8{\mu}H$ were obtained after TFA1 with the DC intensity of 140 A. The combination of high $L_s$ with excellent magnetic properties promised this nanocrystalline alloy an outstanding economical application in high frequency transformers.
This study was conducted to evaluate the effect of current dietetic internship program. The survey sample was dietetic practitioners who were charged with a training for dietetic students. The questionnaire requested information about demographic information, experience of guidance for the dietetic student, self evaluation as trainer, fortification Items in university education, and difficulties of the internship program. Data was analyzed using SAS for windows(version 6.12), Descriptive statistics were used such as means, standard deviations, frequency distribution and percentages. Comparison of mean differences was analyzed using t-test and ANOVA. Participants identified how effective the current internship program was. Result indicated that the effectiveness was not high(2.81), and under 29 years old age group, under 6 years work experience group, and contracted foodservice group had positive opinion of the program significantly. Under 29 years old age group, evaluated themselves as a good trainer. The results revealed that respondents wanted to be fortified the practical training courses in school curriculum.
In order to investigate the dispersion patterns and speciations of Cu, Pb, Zn and Cd in soils, stream sediments and stream waters, geochemical studies of soil, stream sediment and stream water samples collected in the vicinity of the Shi-Heung Cu-Pb-Zn mine was carried out Cation exchange capacity measurement, size analysis, X-ray diffraction analysis and batch test were performed to select applicable soil for adsorption treatment The average content of Cu, Pb, Zn and Cd in soils collected from tailings and ore dressing plant is 1084 ppm, 2292 ppm, 3512 ppm and 29.2 ppm, respectively, and therefore, tailings and ore dressing plant site may be the major contamination sources in this study area. The mean content of Cu, Pb, Zn and Cd in stream sediments is extremely high up to 794 ppm, 1633 ppm, 2946 ppm and 25.2 ppm, respectively. Tailing particles and heavy metal ions are dispersed along the tributary system. Results from the sequential extraction analysis indicate; (1) most of Cu is bound to organic matters and sulphides, (2) fraction of Pb is mainly bound to Fe and Mn oxides. Most of Zn is largely bound to Fe and Mn oxides and residual fraction. Ion exchangeable fraction of Cd is relatively higher than those of Cu, Pb and Zn. Batch test on soils collected from the kaolinite and/or pyrophyllite mines and from the control areas was carried out to select an applicable soil samples for adsorption treatment The sample, S10, collected from the control area 2 (clay content 33.2%) shows the highest $K_d$ (distribution coefficient). Organic content in soils and several clay minerals shows relatively good correlation with $K_d$. It means that applicable soils for adsorption treatment of heavy metals show high organic and clay content.
Background and objective: This study was conducted to develop diameter growth models for thinned Quercus glauca Thunb. (QGT) stands to inform production goals for treatment and provide the information necessary for the systematic management of this stands. Methods: This study was conducted on QGT stands, of which initial thinning was completed in 2013 to develop a treatment system. To analyze the tree growth and trait response for each thinning treatment, forestry surveys were conducted in 2014 and 2021, and a one-way analysis of variance (ANOVA) was executed. In addition, non-linear least squares regression of the PROC NLIN procedure was used to develop an optimal diameter growth model. Results: Based on growth and trait analyses, the height and height-to-diameter (H/D) ratio were not different according to treatment plot (p > .05). For the diameter of basal height (DBH), the heavy thinning (HT) treatment plot was significantly larger than the control plot (p < .05). As a result of the development of diameter growth models by treatment plot, the mean squared error (MSE) of the Gompertz polymorphic equation (control: 2.2381, light thinning: 0.8478, and heavy thinning: 0.8679) was the lowest in all treatment plots, and the Shapiro-Wilk statistic was found to follow a normal distribution (p > .95), so it was selected as an equation fit for the diameter growth model. Conclusion: The findings of this study provide basic data for the systematic management of Quercus glauca Thunb. stands. It is necessary to construct permanent sample plots (PSP) that consider stand status, location conditions, and climatic environments.
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