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Medical Service Variation of Urinary Incontinence Surgery and Uterine Polypectomy Using a Multilevel Analysis (다수준 분석을 이용한 요실금수술과 자궁폴립제거술의 의료서비스 변이)

  • Kim, Sang Me;Ahn, Bo Ryung;Kim, Jeong Lim;Lee, Hae Jong
    • Health Policy and Management
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    • v.30 no.1
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    • pp.82-91
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    • 2020
  • Background: This study investigates the influence factors of medical service variations using medical charge and the length of stay (LOS) for urinary incontinence surgery and uterine polypectomy. Methods: The National Health Insurance claims data and Medical Resource Report by the Health Insurance Review & Assessment Service in 2016 were used. Frequency analysis, one-way analysis of variance, and Bonferroni post-hoc tests were executed for each surgery. A multilevel analysis was executed to assess the factors to the medical charge and LOS for each surgery in patient, doctor, and hospital level. Results: Fifty-two point eight percent of urinary incontinence surgery and 87.1% of uterine polypectomy were distributed in general and tertiary hospitals. Among three levels, the patient level variation was 61.5% or 77.2% in medical charge and 93.9% or 96.3% in LOS, respectively. The doctor level variation was 29.6% or 22.6% in medical charge and 0.6% or 0.0% in LOS, respectively. The institution level variation was 8.9% or 0.2% in medical charge and 5.5% or 3.7% in LOS, respectively. Number of other disease and organizational type were main factors that affected the charge and LOS for urinary incontinence surgery and uterine polypectomy. Conclusion: Medical service variations of the urinary incontinence surgery and uterine polypectomy were the largest for the patient level, followed by doctor level for the medical charge, and the institution level for the LOS.

The Effect on Employment of Employment Preparation Activities in College Graduates (전문대학생의 취업준비활동이 취업에 미치는 영향)

  • Choe, Sun-Mi
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.4
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    • pp.2556-2563
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    • 2015
  • This study aims to find out the employment effectiveness of employment preparation activities that college students experience, especially focused on analyzing employment effects of college employment-related activities such as career choice and employment support program, along with individual preparation activities such as qualification, vocational training, etc. It performed binary logistic regression analysis using 2011 Graduates Occupational Mobility Survey data of 3,249 college graduates. The results showed that In college characteristics, the higher grade point average was and the more college was located in non-metropolitan area, the higher employment probability was. In the case of major field, Medicine, Education, Engineering, Social Science, Natural science in highest first order had employment probability higher than the reference group. The results showed that the number of qualification, interview skill & resume description skill program participation, and job search experience before and after graduation among employment preparation activities had an effect on employment. The rest, that is, vocational training, career employment curriculum, work experience program, career counseling program, employment camp, in-school job experience, employment goal status before graduation did not have an direct effect on employment.

Structural Effect on Curtailment of Upper Shear Wall in Frame-Shear Wall Structure (골조-전단벽 구조에서 상부 전단벽 미배치의 구조효과)

  • Kim, Hyong-Kee
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.20 no.5
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    • pp.18-25
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    • 2016
  • This research purposed to study a structural effect on curtailment of upper shear wall in frame-shear wall structures, using MIDAS-Gen. In this study, the analysis variables were the story number of curtailment of upper shear wall, change of column section in every 2 stories and change of shear wall thickness in every 2 stories. In order to analyse a structural effect on curtailment of upper shear wall in frame-shear wall structures, we studied the distribution of shear force and overturning moment according to curtailment of shear wall, the inflection point of shear wall from shear force/overturning moment and the lateral stiffness. The results of study proposed the quantitative influence that the curtailment of upper shear wall in frame-shear wall structures had on the structural performance such as lateral stiffness. Furthermore, it is verified that the results of study can be very helpful in catching the materials on the structure design for a reasonable frame-shear wall system.

Characteristics of Virtual Reflection Images in Seismic Interferometry Using Synthetic Seismic Data (합성탄성파자료를 이용한 지진파 간섭법의 가상반사파 영상 특성)

  • Kim, Ki Young;Park, Iseul;Byun, Joongmoo
    • Geophysics and Geophysical Exploration
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    • v.21 no.2
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    • pp.94-102
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    • 2018
  • To characterize virtual reflection images of deep subsurface by the method of seismic interferometry, we analyzed effects of offset range, ambient noise, missing data, and statics on interferograms. For the analyses, seismic energy was simulated to be generated by a 5 Hz point source at the surface. Vertical components of particle velocity were computed at 201 sensor locations at 100 m depths of 1 km intervals by the finite difference method. Each pair of synthetic seismic traces was cross-correlated to generate stacked reflection section by the conventional processing method. Wide-angle reflection problems in reflection interferometry can be minimized by setting a maximum offset range. Ambient noise, missing data, and statics turn to yield processing noise that spreads out from virtual sources due to stretch mutes during normal moveout corrections. The level of processing noise is most sensitive to amplitude and duration time of ambient noise in stacked sections but also affected by number of missing data and the amount of statics.

Comparative Study on Major Nations's Related Legislation for Counter-terrorism (테러대응 관련 법제의 국가별 비교 연구)

  • Kwon, Jeong-Hoon
    • The Journal of the Korea Contents Association
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    • v.10 no.1
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    • pp.343-352
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    • 2010
  • As a result of comparing and analyzing the related legislation of each nation, more superior legislative systems should be made to cope with a number of terrors effectively. And also it is required to devise some concrete regulations such as the following in superior legislative systems. First, because it is hard to collect information on terrorism and watch over suspects according to Communication Privacy Protection Law. More in-depth discussion into the issue of surveillance is needed for the protection of lives and property, although public concerns of privacy are a valid point of contention. Second, it is necessary to take complementary measures on immigration as surveillance, since the current Immigration Control Law has restrictions in many ways to hinder efforts to root out terrorists. Third, under the current law on financial activities, it is impossible to block influx of terror financing. Therefore it is necessary to come up with ways of making the punishment procedures. Fourth, considering that convicted terrorists get punished under the standard procedures and precedents, it is required to clearly differentiate between what the terror acts are and what terrorist groups are. Fifth, it is necessary to make use of the private security system to enhance the security system of national facilities.

A Study on the Quality of Farmers and Characters of Rural Human Resources in China (중국의 농민 소질과 농촌인력자원의 특성에 관한 연구)

  • Bae, Sung-Eui
    • Journal of Agricultural Extension & Community Development
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    • v.16 no.2
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    • pp.285-304
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    • 2009
  • The objectives of this study were finding out some methods about development of oversea agriculture in Korea. It is a tough task that faces us now. China is a big agricultural country, most agricultural investment country and the nearest located in Korea. So this study researches on the quality of farmers and characters of rural human resources in China. In China, agriculture industry is the basic industry among national economy developments. The majority of populations in China are living in rural region. Agriculture, villages and farmers are main issues in China. From this point, An analysis of Chinese farmers' characters and qualities; general conditions of farmers' knowledge of science and technology, their education level, quality of minds and sprit, and rural public health service situation in China. The result of this study is following; First, Chinese farmers' factors that low education level, big cultural differences between cities and country sides affect the development of China's agriculture as obstruction factors. Second, Practice conditions of farmers' science knowledge and technology are low level, output of higher rural human resources, low quality of minds and sprit and problems of agricultural extension service. It is negative influenced of agriculture and farmers economic development in China. Third, unsociable culture of the peasantry influences Chinese farming in the negative ways. Also, conventional notions of family are getting weaker, it makes connection of the kinship weaken. But, Chinese think that this kind of kinship is the most important thing in their life. Fourth, in the case of situations that the farmer's sanitation and health, low level of the medical service is getting worse than before relatively. And there are a lot of discordances between a planned childbirth policy and personal recognitions. Also, lacking of nourishment makes labor productivity falling tendencies. The medical industry falls short of the standard as compared to the number of farming people. Fifth, in the peasantry's consciousness of the legal system, this causes difficulties to farmers in the market. Shortage of the legal knowledge exerts a bad influence upon rural economy.

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A STUDY ON THE THREE DIMENSIONAL FINITE ELEMENT ANALYSIS OF THE STRESSES ACCORDING TO THE CURVATURE OF ARCH AND PLACEMENT OF IMPLANTS (악궁의 만곡도 및 임플랜트 위치에 따른 삼차원적 유한요소 응력분석)

  • Lee, Don-Oh;Chung, Chae-Heon;Cho, Kyu-Zong
    • The Journal of Korean Academy of Prosthodontics
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    • v.33 no.1
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    • pp.98-129
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    • 1995
  • The purpose of this study was to evaluate how mandibular implant-supported fixed complete prosthesis, implant and mandible responded mechanically, according to curvature of arch, number and location of fixture, and amounts of load. The shape of mandibular arch was tapered or square form and, 4 or 6 fixtures were implanted in each arch model. A vertical load of 10kg was applied at the center of prosthesis and a vertical load of 20kg was applied at the location of the 10mm or 20mm cantilever posterior to the most distal implant. Three-dimensional finite element analysis was performed for stress distribution and deflection using commercial software(ABAQUS program) for Sun-SPARC Workstation. The results were as follows : 1. The case square arch form was more stable to compare with that of tapered arch form in respect of stress distribution and displacement under vertical load on the center of prosthesis. 2. 6-implants cases were more stable than 4-implants cases for decreasing bending torque under vertical load on the center of prosthesis. 3. Under vertical load on cantilever extension, the case of 10mm long cantilever was more stable than that of 20mm long cantilever in respect of stress distribution and displacement. 4. Under vertical load on cantilever extension, 6-implants cases had a tendency to reduce displacement and to increase the reaction force of supporting point due to increasing of the bending stiffness of the prosthesis than 4-implant case. 5. When the ends of 10mm or 20mm long cantilever were loaded, the most distal implant was under compressive stress but the second most distal implant was under the highest tensile stress and the remaining implants were under varying tensile stress. 6. Because 6-implants cases had smaller displacement than 4-implants cases, 6-implants cases were more favorable in respect of prevention of screw loosening under repeated loadings.

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Effect on Social Game Use on the Degree of Social Capital - Based on Construal Level Theory - (소셜게임 이용시간이 사회자본에 미치는 영향에 대한 연구 - 해석수준 이론을 중심으로 -)

  • Lee, Dae Young;Ryu, Seoung Ho;Jeong, Eui Jun
    • Journal of Korea Game Society
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    • v.13 no.6
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    • pp.65-74
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    • 2013
  • There are a number of studies about the impact of social games' social network. But because of conflicting results, the game's effect isn't ascertained. In this study, we defined that using social games makes increase the social capital with construal level theory. The survey results on construal level, social capital, game using time, etc, are used for the analysis of the correlation and interact. As a result, growing bridging social capital shows on the people who use high level of construal and more social game time use. This phenomenon did not appear in other online games, so that makes a social games' feature unique characteristic. And we discovered that high level construals is key point for defining the practical use of media.

Uptake Effects of Two Electrons for Relative Stability and Atomic Structures of Carbon Cluster Isomers of C20: ab initio Methods

  • Lee, Wang-Ro;Lee, Chang-Hoon;Kang, Jin-Hee;Park, Sung-Soo;Hwang, Yong-Gyoo;Lee, Kee-Hag
    • Bulletin of the Korean Chemical Society
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    • v.30 no.2
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    • pp.445-448
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    • 2009
  • This study examined the effect of the uptake of one and two electrons on the atomic structure of three isomers of $C_{20}$ clusters, namely the ring, bowl (corannulene like), and cage (the smallest fullerene). Geometry optimizations were performed using the hybrid density functional (B3LYP) methods for neutral, singly and doubly charged $C_{20},\;{C_{20}}^-,and\;{C_{20}}^{2-}$. These results show that the symmetry of the lowest energies for ring and bowl isomers were not changed, whereas the increasing order of energy for the cage (the smallest fullerene) isomers was changed from $D_{2h}\;<\;C_{2h}\;{\leq}\;C_2\;of\;C_{20}\;through\;Ci\;<\;C_{2h}\;<\;C_2\;<\;D_{2h}\;of\;{C_{20}}^-\;to\;Ci\;<\;C_2\;<\;D_{2h}\;<\;C_{2h}\;of\;{C_{20}}^{2-}$. The reduced symmetry isomers of the cage have comparative energy and the ground state symmetry of the neutral and single and double charged $C_{20}$ decreased with increasing number of electrons taken up in the point of energetics. Interestingly, the difference in energy between the ground state and the next higher energy state of ${C_{20}}^{2-}$ was 3.5kcal/mol, which is the largest energy gap of the neutral, single anion and double anion of the cage isomers examined.

A GIS-based Geometric Method for Solving the Competitive Location Problem in Discrete Space (이산적 입지 공간의 경쟁적 입지 문제를 해결하기 위한 GIS 기반 기하학적 방법론 연구)

  • Lee, Gun-Hak
    • Journal of the Korean Geographical Society
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    • v.46 no.3
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    • pp.366-381
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    • 2011
  • A competitive location problem in discrete space is computationally difficult to solve in general because of its combinatorial feature. In this paper, we address an alternative method for solving competitive location problems in discrete space, particularly employing deterministic allocation. The key point of the suggested method is to reducing the number of predefined potential facility sites associated with the size of problem by utilizing geometric concepts. The suggested method was applied to the existing broadband marketplace with increasing competition as an application. Specifically, we compared computational results and spatial configurations of two different sized problems: the problem with the original potential sites over the study area and the problem with the reduced potential sites extracted by a GIS-based geometric algorithm. The results show that the competitive location model with the reduced potential sites can be solved more efficiently, while both problems presented the same optimal locations maximizing customer capture.