• 제목/요약/키워드: Long division

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요양병원 입원급여 적정성 평가 결과를 활용한 요양병원 입원환자의 장기입원 관련 요인 탐색 연구 (An exploratory study of factors related to long-term hospitalization of inpatients using the quality assessment data for long-term care hospitals)

  • 이지윤;남은우;정형선;허민희;노진원
    • 한국병원경영학회지
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    • 제28권3호
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    • pp.58-67
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    • 2023
  • Purpose: The purpose of this study was to analyze the factors associated with long-term hospitalized patients in long-term care hospitals using the quality assessment data for long-term care hospitals by the Health Insurance Review. Methods: Among 1,376 long-term care hospitals, frequency analysis and descriptive statistics were used to analyze the characteristics of these hospitals. Multiple linear regression was conducted to examine the associations between infrastructure characteristics, medical personnel characteristics, health outcomes and the proportion of long-term hospitalized patients. Results: The research findings indicate that the number of patients per doctor, the number of patients per nurse, and the number of patients per nursing staff were positively associated with the proportion of long-term hospitalized patients. Among health outcomes, a higher proportion of patients with more than a 5% weight loss compared to the previous month and the proportion of patients showing improvement in ADL, were more likely to have a lower proportion of long-term hospitalized patients. However the proportion of diabetic patients with HbA1c test results within the appropriate range was positively associated with the proportion of long-term hospitalized patients. Conclusion: The present study results provide fundamental data for the establishment of policies for long-term care hospitals. Based on this study, it is important to suggest screening methods for unnecessary long-term hospitalizations, such as sufficient medical personnel to improve the quality of care in long-term care hospitals. It is also necessary to clearly separate the roles of medical institutions and long-term care facilities and implement policies to support patients' social reintegration.

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The First Record of Long Headed Eagle Ray, Aetobatus flagellum (Pisces: Myliobatidae) from Korea

  • Oh, Ji-Na;Kim, Sung;Kim, Choong-Gon;Soh, Ho-Young;Jeong, Da-Wa;Lee, Youn-Ho
    • Ocean Science Journal
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    • 제41권1호
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    • pp.53-57
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    • 2006
  • A specimen of Aetobatus flagellum was collected at Uljin in June 2005 for the first time in Korea. This specimen is characterized by the cephalic fin, the long snout, the dorsal fin between pelvic fins, spiracles on the dorsal side of the disc, the deeply notched nasal curtain and the one row of the teeth in the lower and the upper jaws. And unlike Aetobatus narinari, it does not have any spots on the its dorsal side of the disc. We report this specimen as the first record from Korea and name it 'Bak-jui-ga-o-ri' in Korean.

INVESTIGATION ON MATERIAL DEGRADATION OF ALLOY 617 IN HIGH TEMPERATURE IMPURE HELIUM COOLANT

  • Kim, Dong-Jin;Lee, Gyeong-Geun;Jeong, Su-Jin;Kim, Woo-Gon;Park, Ji-Yeon
    • Nuclear Engineering and Technology
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    • 제43권5호
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    • pp.429-436
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    • 2011
  • The corrosion of materials exposed to high temperature helium in a very high temperature reactor is caused by interaction with the impurities in the helium. This interaction then induces high temperature mechanical deterioration. By considering the effect of the impurity concentration on material corrosion, a long-term coolant chemistry guideline can be determined for the range of impurity concentration at which the material is stable for a long time. In this work, surface reactions were investigated by analyzing the thermodynamics and the experimental results for Alloy 617 exposed to controlled impure helium at $950^{\circ}C$. Moreover, the surfaces were examined for the Alloy 617 crept in air and in uncontrolled helium, which was explained by possible surface reactions.

Long-Term Durability of Infliximab for Pediatric Ulcerative Colitis: A Retrospective Data Review in a Tertiary Children's Hospital in Japan

  • Shimizu, Hirotaka;Arai, Katsuhiro;Takeuchi, Ichiro;Minowa, Kei;Hosoi, Kenji;Sato, Masamichi;Oka, Itsuhiro;Kaburaki, Yoichiro;Shimizu, Toshiaki
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제24권1호
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    • pp.7-18
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    • 2021
  • Purpose: The long-term efficacy and safety of infliximab (IFX) in children with ulcerative colitis (UC) have not been well-evaluated. Here, we reviewed the long-term durability and safety of IFX in our single center pediatric cohort with UC. Methods: This retrospective study included 20 children with UC who were administered IFX. Results: For induction, 5 mg/kg IFX was administered at weeks 0, 2, and 6, followed by every 8 weeks for maintenance. The dose and interval of IFX were adjusted depending on clinical decisions. Corticosteroid (CS)-free remission without dose escalation (DE) occurred in 30% and 25% of patients at weeks 30 and 54, respectively. Patients who achieved CS-free remission without DE at week 30 sustained long-term IFX treatment without colectomy. However, one-third of the patients discontinued IFX treatment because of a primary nonresponse, and one-third experienced secondary loss of response (sLOR). IFX durability was higher in patients administered IFX plus azathioprine for >6 months. Four of five patients with very early onset UC had a primary nonresponse. Infusion reactions (IRs) occurred in 10 patients, resulting in discontinuation of IFX in four of these patients. No severe opportunistic infections occurred, except in one patient who developed acute focal bacterial nephritis. Three patients developed psoriasis-like lesions. Conclusion: IFX is relatively safe and effective for children with UC. Clinical remission at week 30 was associated with long-term durability of colectomy-free IFX treatment. However, approximately two-thirds of the patients were unable to continue IFX therapy because of primary nonresponse, sLOR, IRs, and other side effects.

The Long Term Trends of Tropospheric Ozone in Major Regions in Korea

  • Shin, Hye Jung;Park, Ji Hoon;Park, Jong Sung;Song, In Ho;Park, Seung Myung;Roh, Soon A;Son, Jung Seok;Hong, You Deog
    • Asian Journal of Atmospheric Environment
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    • 제11권4호
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    • pp.235-253
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    • 2017
  • This study was conducted for analyzing the contribution factors on ozone concentrations and its long term trends in each major city and province in Korea through several statistical methods such as simple linear regression, generalized linear model, KZ-filer, correlation matrix, Kringing method, and cluster analysis. The overall ozone levels in South Korea have been consistently increasing over the past 10 years. The ozone concentrations in Seoul, the biggest city in Korea, are the lowest in all areas with the highest increasing ratio for $95^{th}%$ ozone. It is thought that the active photochemical reaction could affect the higher ozone concentration increase. On the other hand, the ozone concentrations in Jeju are the highest in Korea with the highest increasing ratio for $5^{th}%$, $33^{th}%$, and $50^{th}%$ ozone. It is also thought that the weak $NO_x$ titration could be the reason of higher ozone concentrations in Jeju. In case of Jeju, transport related factors is the major factor affecting the ozone trend. Thus, it is assumed that the variation of ozone trend of Asian region affecting the ozone trend in Jeju, where domestic ozone photochemical reaction is less active than urban area. It is thought that the photochemical reaction plays the role of increasing of ozone concentrations in the urban area, even though the LRT affected on the increase of ozone concentrations in non-urban area.

건축용 단열재의 장기 경시변화에 따른 열성능 특성 (The Thermal Performance of Building Insulation Materials According to Long-Term Aging)

  • 최보혜;강재식
    • 설비공학논문집
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    • 제25권11호
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    • pp.617-623
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    • 2013
  • This study is to draw thermal property data during long-term aging, by testing the thermal conductivity of building insulation materials in Korea. The thermal resistance of extruded insulation within 3 days from manufacture performed well over the KS Standard. After 50 to 110 days, however, the thermal performance had deteriorated to the level of the KS standard. Eventually, after 4,000 days, the insulation performance had deteriorated to about 25.4~41.8% of the initial performance. Therefore, this research will be utilized as a reference for thermal properties during long-term aging, in order to improve standards and regulations related to building insulation materials.

Long-distance cutting of 10-30 mm thick stainless-steel with a 6-kW fiber laser for applications in nuclear decommissioning

  • Jae Sung Shin;Gwon Lim
    • Nuclear Engineering and Technology
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    • 제55권12호
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    • pp.4637-4641
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    • 2023
  • For nuclear decommissioning applications, a study was conducted to investigate the feasibility of using a laser for long-distance cutting in complex structures. Cutting tests were performed on stainless steel plates with thicknesses ranging from 10 mm to 30 mm at distances of 300 mm-700 mm from the laser head, using a laser power of 6 kW. Remarkably, the 10 mm and 20 mm thick stainless-steel plates were successfully cut at a distance of 700 mm from the head. Based on the trends observed in the results, it is anticipated that these thicknesses could also be cut at distances of approximately 1 m. Similarly, the 30 mm thick stainless-steel plate was effectively cut at a distance of 500 mm from the head. To evaluate the amount of secondary waste generated, the kerf width was measured. Due to the long-distance cutting, the average kerf width ranged from 6 mm to 16 mm. Despite the wider kerf width, long-distance cutting holds promise for efficiently handling hard-to-reach targets in nuclear decommissioning scenarios.

한반도 서해상으로 장거리 이동하는 SO2의 농도 및 연직분포 특징 (The Vertical Distribution Patterns of Long Range Transported SO2 in Korea Peninsula)

  • 한진석;안준영;홍유덕;공부주;이석조;선우영
    • 한국대기환경학회지
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    • 제20권5호
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    • pp.671-683
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    • 2004
  • This study was carried out to understand long-range transport of $SO_2$ using aircraft measurements for the identification of it's horizontal and vertical concentration and distribution pattern. Thirteen missions of aircraft measurements have been done around 37$^{\circ}$00'/124$^{\circ}$30' from October 1997 to November 2001. Concentrations of $SO_2$ was 1.5~2.0 ppb in the below mixing layer, 0.6~1.1 ppb in the above mixing layer. $SO_2$ was found to be relatively higher than marine background level, 0.08~0.2ppb, indicating the western coast being influenced by long-range transport except for the summer season. The vertical distribution of $SO_2$ was classified into 3 groups using its vertical sounding and meteorology pattern; the first is linear decay pattern, the second is exponential decay pattern, and the last is gaussian distribution pattern in the below mixing layer, 2 patterns of linear decay and gaussian distribution patterns in the upper layer. It is founded that vertical distribution pattern is strongly dependent on meteorological condition, for example atmospheric stability and predominant air flow.

Effect of Short-term and Long-term Preservation on Motion Characteristics of Garole Ram Spermatozoa: A Prolific Microsheep Breed of India

  • Joshi, Anil;Bag, Sadhan;Naqvi, S.M.K.;Sharma, R.C.;Rawat, P.S.;Mittal, J.P.
    • Asian-Australasian Journal of Animal Sciences
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    • 제14권11호
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    • pp.1527-1533
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    • 2001
  • Garole is a prolific, rare, less known and small size Indian sheep breed found in low and humid Sunderban region of West Bengal. Although information on stored Garole ram liquid semen upto 24 h is available, but there is a need to further investigate the short-term and long-term preservability of Garole ram semen for extensive utilization of this valuable germplasm by artificial insemination. The aim of the present study was to apply computer-assisted sperm analysis technique for assessing the motion characteristics of Garole ram semen stored (i) in liquid state at refrigeration temperature for short-term preservation upto 48 h and (ii) in frozen state at $-196^{\circ}C$ for long-term preservation after packaging in mini straws. Short-term preservation had a significant effect on motility (p<0.01) as the motility progressively decreased from 90.1% at 0 h to 85.5% and 73.2% after 24 and 48 h of storage, respectively. Although the decline in rapid moving sperms was also significant (p<0.01) on storage but the decrease was more pronounced at 48 h as compared to 24 h of storage period. Storage of chilled semen had also a significant effect on % linearity (p<0.05), % straightness (p<0.01), sperm velocities (p<0.01), amplitude of lateral head displacement (p<0.01) and beat frequency (pO.Ol) of spermatozoa. The replication had a significant effect for all the variables except average path and straight line velocity. However, the interactions of short-term storage and replication were non-significant for most of the variables except % of medium moving sperms, sperm velocities and beat frequency. On long-term preservation of Garole ram spermatozoa under controlled conditions the mean post-thaw recovery of 70.4 and 71.4% motile spermatozoa was achieved having 48.8 and 48.9% of rapidly motile spermatozoa, respectively in both the replicates. The effect of replication on cryopreservation was significant (p<0.05) on amplitude of lateral head displacement and beat frequency, but there was no significant effect on motility, rapidly motile spermatozoa, linearity, straightness and sperm velocities of frozen-thawed spermatozoa. It can be concluded from these results that an average 70% motility can be achieved on storage of Garole ram semen in chilled liquid state upto 48 h or in liquid nitrogen after freezing under controlled conditions in straws. However, further studies are required to evaluate the fertility of short-term and long-term preserved Garole ram semen for extensive use of this prolific sheep breed.

Long-term Effects of Inorganic Fertilizer and Compost Application on Rice Sustainability in Paddy Soil

  • Lee, Chang Hoon;Park, Chang Young;Jung, Ki Youl;Kang, Seong Soo
    • 한국토양비료학회지
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    • 제46권3호
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    • pp.223-229
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    • 2013
  • Sustainability index was calculated to determine the best management for rice productivity under long-term inorganic fertilizer management's practices. It is based on nutrient index, microbiological index and crop index related to sustainability as soil function. Indicators for calculating sustainability index were selected by the comparison of soil properties and rice response in paddy soil with fertilization. Total twenty two indicators were determined to assess nutrient index, microbiological index and crop index in order to compare the effect of different fertilization. The indices were applied to assess the sustainability with different inorganic fertilizer treatments such as control, N, NK, NP, NPK, NPK+Si, and NPK+Compost. The long-term application of compost with NPK was the highest sustainability index value because it increased nutrient index, microbial index and crop index. The use of chemical fertilizers resulted in poor soil microbial index and crop index, but the treatments like NP, NPK, and NPK+Si were maintained sustainability in paddy soil. These results indicate that application of organic and chemical fertilizer could be a good management to improve rice sustainability in paddy soil.