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On Feasibility of Ambulatory KDRGs for the Classification of Health Insurance Claims (KDRG를 이용한 건강보험 외래 진료비 분류 타당성)

  • 박하영;박기동;신영수
    • Health Policy and Management
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    • v.13 no.1
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    • pp.98-115
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    • 2003
  • Concerns about growing health insurance expenditures became a national Issue in 2001 when the National Health Insurance went into a deficit. Increases in spending for ambulatory care shared the largest portion of the problem. Methods and systems to control the spending should be developed and a system to measure case mix of providers is one of core components of the control system. The objectives of this article is to examine the feasibility of applying Korean Diagnosis Related Groups (KDRGs) to classify health insurance claims for ambulatory care and to identify problem areas of the classification. A database of 11,586,270 claims for ambulatory care delivered during January 2002 was obtained for the study, and the final number of claims analyzed was 8,319,494 after KDRG numbers were assigned to the data and records with an error KDRG were excluded from the study. The unit of analysis was a claim and resource use was measured by the sum of charges incurred during a month at a department of a hospital of at a clinic. Within group variance was assessed by th coefficient of variation (CV), and the classification accuracy was evaluated by the variance reduction achieved by the KDRG classification. The analyses were performed on both all and non-outlier data, and on a subset of the database to examine the validity of study results. Data were assigned to 787 KDRGs among 1,244 KDRGs defined in the classification system. For non-outlier data, 77.4% of KDRGs had a CV of charges from tertiary care hospitals less than 100% and 95.43% of KDRGs for data from clinics. The variance reduction achieved by the KDRG classification was 40.80% for non-outlier claims from tertiary care hospitals, 51.98% for general hospitals, 40.89% for hospitals, and 54.99% for clinics. Similar results were obtained from the analyses performed on a subset of the study database. The study results indicated that KDRGs developed for a classification of inpatient care could be used for ambulatory care, although there were areas where the classification should be refined. Its power to predict tile resource utilization showed a potential for its application to measure case mix of providers for monitoring and managing delivery of ambulatory care. The issue concerning the quality of diagnostic information contained in insurance claims remains to be improved, and significance of future studies for other classification systems based on visits or episodes is guaranteed.

Effects of Economic Strain and Family Conflict on Children's Adjustment : Focused on Interaction Effects of Children's Stress and Coping Strategies (경제적 곤란과 가족갈등이 아동의 적응에 미치는 영향: 아동의 스트레스와 스트레스 대처방식의 상호작용을 중심으로)

  • Yoon, Hye-Mee
    • Korean Journal of Social Welfare
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    • v.57 no.3
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    • pp.133-164
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    • 2005
  • This study examined the effects of children's perceived stress of economic strain, resulting family conflict, and stress coping strategies on their adjustment. Dimensions of children's adjustment studied in this research were problem behaviors (aggression, delinquency, withdrawal and anxiety depression) and school adjustment. Interaction effects between children's stress variables and coping strategies on the adjustment were also explored. 1,115 fifth to eighth graders from Chungbuk regions participated in self-administered structured questionnaires. Data were processed with SPSS PC 10.0 statistical package. Results were: First, the level of children's problem behaviors and school adjustment indicated differences according to their academic achievement, gender, and their age. Middle schoolers with rather low grade average reported higher level of aggression, delinquency, withdrawal and that of depression/anxiety. Boys tended to be more prone to external problems while girls to internal problems. Second, stresses originated from children's perceived economic strain and family conflicts showed consistent meaningful explanatory power on adjustment. Boys' adjustment was influenced by stress from economic strain and family conflict while girls by family conflict and academic achievements. The support seeking coping strategy among others was the most popularly employed coping strategy of children followed by aggressive coping strategy. In boys' cases, interaction effects of stress and coping strategies were significant in all of the adjustment variables, the more frequent the use of support seeking coping strategies, the lower the problem behavior, while interaction effect of family conflict stress and support seeking coping strategies played the opposite significant role in girls' cases. Further research efforts are required. Research results suggest; when developing a program facilitating children's adjustment, training on stress coping strategies should be considered as a potent new arena of interest.

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BER Performance Analysis of Groupwise Iterative- Multipath Interference Cancellation(GWI-MPIC) Algorithm for Coherent HSDPA System (동기식 HSDPA시스템의 그룹단위 반복 다중경로 간섭제거 알고리즘의 오류율 성능해석)

  • 구제길
    • The Journal of Korean Institute of Electromagnetic Engineering and Science
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    • v.15 no.3
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    • pp.231-241
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    • 2004
  • This paper drives the exact expression of bit error rate(BER) performance for groupwise iterative-multipath interference cancellation(GWI-MPIC) algorithm for cancelling multipath interference components in a coherent high-speed downlink packet access(HSDPA) system of W-CDMA downlink and the BER performance is evaluated by numerical analysis. The performance of GWI-MPIC is compared to the successive interference cancellation(SIC) algorithm for multipath components. From numerical results, the optimal average BER performance of weighting factor ${\beta}$$\_$h/ for interference cancellation is obtained at ‘${\beta}$$\_$h/=0.8’ and then this weighting factor is hereafter applied to other performance analysis. Numerical results showed that the average BER performance of GWI-MPIC algorithm is rapidly degraded at multipath L=6, but is revealed the good performance than that of SIC algorithm in terms of increasing the number of multipath. This results also indicated that the average BER performance is greatly degraded due to increasing interference power more than multicode K=8. The average BER performance of the proposed algorithm is superior to the performance of SIC algorithm about 3 ㏈ for processing gain PG=128 at multipath L=2 and Average BER=1.0${\times}$10$\^$-5/. And also, the results produced good performance in case of linear monotonic reduction of multipath fading channel gain than that of constant channel gain variation, because multipath fading channel gain which is arrived later is small.

A Case Study on the Use of Mentoring as a Method of Improving Novice Teachers' Teaching Professionalism in Secondary Science-Gifted Education (중등 과학영재교육에서 초임 교사의 수업 전문성 제고 전략으로써의 멘토링 적용 사례연구)

  • Noh, Tae-Hee;Kang, Seok-Joo;Kang, Hun-Sik
    • Journal of The Korean Association For Science Education
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    • v.32 no.2
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    • pp.331-345
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    • 2012
  • As a case study on the use of mentoring as a method of improving novice teachers' teaching professionalism in secondary science-gifted education, this study investigated the characteristics of mentoring science instructions for science-gifted students at the plan, performance, evaluation, and post-mentoring stages of the classes. One mentor and two mentees were selected, and mentoring in each mentee's instructions was conducted during nine classes over three times. We observed the total classes, and analyzed taped videos, the materials, the transcripts for mentoring and in-depth interviews, and field notes. The analyses of the results indicated that the characteristics of mentoring instructions, at the planning stage of the classes, exhibited the construction of more systematic classes, the escape from the schema that science instructions for science-gifted students were instructions using somewhat difficult experiments and the uses of diverse teaching strategies, the influence of the psychological burdens on developing science-gifted education programs, and the increase of the time preparing the classes. At the performance stage of the classes, the characteristics included the improvement in the quality of the classes, the influence of the psychological burdens on teaching the classes, and the inducements of some confusion on performing them. At the evaluation stage of the classes, the characteristics included the provision of the opportunities in deeply reflecting my own classes, and the provision of the practical power for improving the classes. Finally, the characteristics at the postmentoring stage could be attributed to the increase of mentees' self-confidence about their instructions and some development of mentors' teaching professionalism/mentoring skills.

A Study on Compressive Strength Estimation of Underwater Concrete Structures According to Water Depths (수중 콘크리트 구조물의 수심별 강도 추정에 관한 연구)

  • Lee, Jisung;Han, Sanghun;Park, Seunghee
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.36 no.3
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    • pp.341-348
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    • 2016
  • Harbor facilities require long-term durability and safety, and also maintain the performance requirement until the durability life. However, existing harbor facilities are becoming superannuated with durable years and durability is declined by erosion of the sea and damage from sea. In addition, harbor facilities will be in demand for the expansion of harbor and offshore structures with rising economic power by enhancement of domestic industry and increase of import and export. Therefore, in this study, two kinds of nondestructive test (NDT) techniques (schmidt rebound hammer and ultrasonic sensor) are verified for the effective maintenance of underwater concrete structures including harbor facilities. Sea field applicability of Schmidt hammer and ultrasonic sensor was verified by comparing field test result with sea field test result and also deduced the compressive strength estimation equation by depth of the water. On the basis of the sea field test result, compressive strength estimation equation which was deduced by multiple regression analysis indicated highest accuracy compared to other equations, especially it will be more likely to be used in underwater because of the depth of water correction. In the future, if schmidt hammer and ultrasonic sensor which were invented as waterproofing are used with ROV (Remotely Operated Vehicle), it will be possible to make a diagnosis of high reliability for underwater concrete structures and set up a ubiquitous concept of NDT system.

Survey on the Manufacturing Process of Traditional Meju for and of Kanjang(Korean Soy Sauce) (한국 전통간장 및 메주 제조공정에 관한 조사 연구)

  • 이권행;김남대;유진영
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.26 no.3
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    • pp.390-396
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    • 1997
  • Meju is a basis for manufacturing Kanjang, Meju was traditionally prepared at home by different types of process depending on the regional area. It is necessary to standardize and simplify the process of Meju-preparation for Kanjang of good quality. For these purposes, the process of Meju and Kangjang making as well as analysis of commercial Kanjang, were compared. Generally, traditional Meju was prepared by steeping and dehulling the whole soybean. After steeping for 24hr. soybean absorbed water up to 110~120% of its weight. The soaked soybeans were steamed for 2hr. and cooled to 5$0^{\circ}C$. Cooked soybeans were crushed down to the size of 10~15 mesh and molded. Molded soybeans were dried for 2 days in the air, hung up by rice straw and fermented for 20~30 days under natural environmental condition. On the other hand, commercial soybean koji was made of defatted soybean. Defatted soybeans were steeped in water and steamed for 15~30min at 0.7~1.2 kg/$\textrm{cm}^2$. Steamed and defatted soybean was cooled to 4$0^{\circ}C$. Separately, wheat power was roasted at 200~30$0^{\circ}C$ by wheat roaster. Mixture of steamed defatted soybean and roasted wheat powder (5/5 to 7/3) were inoculated with 0.1~0.2% Aspergillus sojae and incubated for 2 days at 3$0^{\circ}C$ with occasional stirring. Chemical analysis showed that traditional soy sauces contained the following composition: NaCl, 20.12~25.42%; total nitrogen, 0.64~0.91%; pure extract, 9.47~11.20%; color, 2.34~4.01; pH, 4.92~5.12. Commercial products contained: NaCl, 15.20~17.19%; total nitrogen, 1.25~1.40%; pure extract, 18.17~21.47%; color, 5.41~21.12; pH, 4.51~4.66 and ethalnol. 2.97~3.12%. Organoleptic test on taste, color and flavor of traditional and commercial soysauce indicated that most of the consumers prefer commercial products to traditional products. Preferrable formulation of Kanjang based on organoleptic test of soy sauces was assumed as containing; NaCl, 16.0%; total nitrogen, 1.40%; pure extract, 19.97%; color, 12.98; pH, 4.61 and ethanol, 2.96.

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Factor Analysis of Biometric Traits of Kankrej Cows to Explain Body Conformation

  • Pundir, R.K.;Singh, P.K.;Singh, K.P.;Dangi, P.S.
    • Asian-Australasian Journal of Animal Sciences
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    • v.24 no.4
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    • pp.449-456
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    • 2011
  • Eighteen different biometric traits in 407 Kankrej cows from their breeding zone, i.e. Palanpur district of Gujarat, India, were recorded and analyzed by factor analysis to explain body conformation. The averages of body length, height at withers, height at shoulder, height at knee, heart girth, paunch girth, face length, face width, horn length, horn diameter, distance between horns, ear length, ear width, neck length, neck diameter, tail length with switch, tail length without switch and distance between hip bones were $123.44{\pm}0.37$, $124.49{\pm}0.28$, $94.68{\pm}0.30$, $38.2{\pm}0.14$, $162.56{\pm}0.56$, $178.95{\pm}0.70$, $44.09{\pm}0.10$, $15.91{\pm}0.05$, $42.47{\pm}0.53$, $26.07{\pm}0.19$, $13.34{\pm}0.08$, $31.24{\pm}0.12$, $16.10{\pm}0.05$, $50.63{\pm}0.18$, $73.21{\pm}0.32$, $111.62{\pm}0.53$, $89.34{\pm}0.34$ and $17.28{\pm}0.10\;cm$, respectively. The correlation coefficients between different traits ranged from -0.806 (horn diameter and distance between horns) to 0.815 (heart girth and paunch girth). Most of the correlations were positive and significant. Factor analysis with promax rotation with power 3 revealed three factors which explained about 66.02% of the total variation. Factor 1 described the cow body and explained 38.89% of total variation. The second factor described the front view/face of the cow and explained 19.68% of total variation. The third factor described the back of the cow and explained 7.44% of total variation. It was necessary to include some more variables for factor 3 to obtain a reliable estimate of the back view of the cow. The lower communities shown for distance between horns, horn diameter, ear width and neck diameter indicated that these traits did not contribute effectively to explaining body conformation and can be dropped from recording, whereas all other traits are important and needed to explain body conformation in Kankrej cows. The result suggests that principal component analysis (PCA) could be used in breeding programs with a drastic reduction in the number of biometric traits to be recorded to explain body conformation.

A study on Recycling of Waste Garnet Powder as a Raw Material for Clay Bricks (폐기 Garnet 미분말의 적벽돌 원료로의 再活用에 관한 硏究)

  • 황경진;김영임;김동수;김준수
    • Resources Recycling
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    • v.11 no.2
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    • pp.36-44
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    • 2002
  • The waste garnet powder as a raw material for clay bricks was studied its recycling. The physical strength of clay bricks are closely dependent both on the contents of $SiO_2$, $Al_2$$O_3$, and $Fe_2$$O_3$in clay and on the viscosity of it. Although the garnet power has very high contents of $SiO_2$, $Al_2$$O_3$, and $Fe_2$$O_3$, it could not substituted to clay because of its low viscosity. Therefore the substitution of sand with waste garnet powder was considered to influence positively on the strength of clay bricks .Mixing ratios of {clay-sand}, {sand-garnet powder}, and {clay-sand-garnet powder} based on weight were controlled in the production of clay bricks. The properties of clay bricks such as compression strength, moisture absorption, shrinkage, and specific gravity has been evaluated. It was shown that the optimal mixing combination was found to be { clay(50%)-sand(30%)-garnet powder(20%)} as a weight basis. The present study indicated possibilities to produce commercially clay bricks with the waste garnet powder. An economical benefit will be produced in viable in view of recycling waste garnet powder.

A Study on the Science Gifted Students Awareness of Science, Mathematics and Technology/Engineering to Enhance National Competitive Power (국가 경쟁력 강화를 위한 중학교 영재 학생들의 과학, 수학, 기술 및 공학에 대한 인식 조사)

  • Park, Kyungsuk;Lee, Hyonyong;Jeon, Jaedon
    • Journal of Gifted/Talented Education
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    • v.25 no.3
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    • pp.363-380
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    • 2015
  • The convergent education such as STEAM education has been implemented in the gifted education institutions in order to resolve the crisis of science and engineering fields caused by the science and engineering avoidance of excellent talents. The purpose of this study was to investigate awareness about science, mathematics and technology/ engineering fields of science gifted students. The subjects were 86 middle school science gifted students at the Science Institute for Gifted Students of a university located in metropolitan city in Korea. The data were collected from the survey that consists of 97 questions in 3 categories. The results were follows: First, the gifted students were aware that science was more interesting than mathematics or technology/engineering. Second, science rated highest in career choice. Third, they were aware that the scientists were more interesting, more imagination, less accuracy and less considering than the mathematicians and the engineers. In addition they responded that the mathematicians were smarter than the scientists and the engineers, and the engineers were more diligent than the scientists and the mathematicians. Finally, the result of the correlational analysis indicated that there were strong correlations between science and mathematics, and between science and technology/engineering. It was recommended that the consolidation of the convergent gifted education, the necessity of systemic career education, and the study of correlation between mathematics and technology/engineering.

Viscometric Properties of Waxy Rice Starches (일반계 및 다수계 찹쌀 전분의 점성 특성)

  • Song, Bum-Ho;Kim, Sung-Kon;Lee, Kyu-Han;Pyun, Yu-Ryang;Lee, Shin-Young
    • Korean Journal of Food Science and Technology
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    • v.17 no.2
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    • pp.107-112
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    • 1985
  • Viscometric properties of japonica(Olchal) and japonica${\times}$indica(Hankang and Suwon 317) waxy rice starches were investigated. Light transmittance of starch suspension increased from $50^{\circ}{\sim}55^{\circ}C$ and remained constant after $75^{\circ}C$. Swelling power was in the order of Hankang, Suwon 317 and Olchal. Amylograph data revealed that Hankang had the highest viscosity at all reference points. The apparent viscosity of 5% starch suspension indicated that the j${\times}$indica starches were completely gelatinized after 30 min cooking at $65^{\circ}C$ whereas japonica starch at $70^{\circ}C$. The apparent viscosity of gelatinized starch at $121^{\circ}C$(15 psig) was higher compared to that of gelatinized one at $95^{\circ}C$. Hankang was the most susceptable to alkali gelatinization followed by Suwon 317 and Olchal.

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