• Title/Summary/Keyword: PART

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Impacts of the Implementation of the DRG Based Prospective Payment System on the Medicare Expenditures (DRG 도입이 메디케어 의료비 증가억제에 미친 효과)

  • Kim, Han-Joong;Nam, Chung-Mo
    • Journal of Preventive Medicine and Public Health
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    • v.27 no.1 s.45
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    • pp.107-116
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    • 1994
  • The United States adopted DRG based prospective payment system (PPS) in order to control the inflation of health care costs. No study used statistical test while many studies reported the cost containing effect of the PPS. To study impacts of the PPS on the Medicare expenditure, this study set the following three hypotheses (1) The PPS decelerated the increase in the hospital expenditure (Part A), (2) the PPS accelerated the increase in the expenditure of outpatients and physicians (Part B), (3) the increase in total expenditure was decelerated inspite of the spill over (substitution) effect because saving in the Part A expenditure were greater than losses in the Part B expenditure. The dependent variables are per capita hospital expenditure, per capita Part B expenditure, and per capita total expenditure for the Medicare beneficiaries. An intervention analysis, which added intervention effect to the time series variation on the Box-Jenkins model, was used. The observations included 120 months from 1978 to 1987. The results are as follows : (1) The annual increase in the per capita Part A expenditure was $5.11 after the implementation of DRG where as that before the PPS had been $11.1. The effect of the reduction ($5.99) was statistically significient (t=-3.9). (2) The spill over (substitution) effect existed because the annual increase in the per capita Part B expenditure was accelerated by $1.73 (t=1.91) after the implementation of the PPS. (3) The increase in the total Medicare expenditure per capita was reduced by $4.26 (t=-2.19) because the spill over effect was less than cost savings in the Part A expenditure.

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Effect of Deer Antler Extracts from Various Origins and Parts on the Hemopoietic Activity (녹용의 품종에 따른 조혈작용 비교연구)

  • Lee, Hyo-Jeong;Park, Jeong-Ran;Kim, Ha-Na;Ahn, Kyoo-Seok;Cho, Deok-Yeon;Choi, Don-Woong;Kim, Sung-Hoon
    • Korean Journal of Pharmacognosy
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    • v.35 no.1 s.136
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    • pp.6-15
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    • 2004
  • This study was performed to evaluate the hemopoietic effects of 6 species of deer antlers from origins and parts in vitro. CD34 positive cells were isolated and confirmed the its population by FACS analysis. In a week liquid culture, there was any statistical significance between extracts of three parts of six species of deer antlers in the experiments as colony forming assay, proliferation assay, differentiation assay and observation of morphology. However, after 2 weeks- culture with extracts of three parts of six species of deer antlers, colonies were counted. six species of deer antlers, such as middle part of Korean nippon deer, upper part of Chinese nippon deer, upper part of Newzealand horse deer, middle part of Korea horse deer and middle part of Newzealand red deer, significantly increased the CFU-GM (colony forming unit garnulocyte-macrophage) of CD34 positive cells re1atεd to production of leucocytes such as eosinophil, basophil and neutrophil, while only middle part of Korea horse deer significantly increased the BFU-E (burst forming unit-erythroid) at 1 mg/ml seggesting progenting red blood cells (RBC). In the molecular study with CD34+ cells pretreated with cyclophosphamide, antagonist of hemopoietic activity, upper Part of Korean nippon deer and upper part of Chinese nippon deer effectively increased TPO involved in a late pathway of hematopoiesis just like in ELISA assay of IL-3, TPO and GM-CSF. Taken together, these results indicate exσacts of deer antler had some hemopoietic activity still proposing more clinical study and more basic mechanism research.

Determinants of Part-Time Work and Preparation for Later Life of Older Women (중고령 여성의 시간제 일자리 결정요인과 노후준비)

  • Kim, So-Hee;Park, Mee-Hyun
    • The Journal of the Korea Contents Association
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    • v.15 no.1
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    • pp.185-196
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    • 2015
  • This study aims to outline the characteristics of part-time work among older women and examine what determines whether an older woman is employed part-time. Furthermore, the purpose of this study is to investigate difference between the levels of later life preparation of full-time and part-time workers among older women and to suggest thereby the implications for policy makers to develop program for increasing the quality of part-time employment of older women. The results show that former job significantly influences part-time employment of older women. The findings also indicate that later life preparation of part-time workers, including household income, wage income, and public pension, is significantly lower than those of full-time workers among older women.

Iron Technologies of the Three Kingdoms Period in Korea (삼국시대(三國時代) 철기유물(鐵器遺物)의 제작기술(製作技術) 연구(硏究))

  • Chung, Kwang-Yong
    • Korean Journal of Heritage: History & Science
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    • v.35
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    • pp.138-158
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    • 2002
  • To compare and analyze technical system related to manufacturing of ironware during the period of the Three Kingdoms, an analysis was conducted on the minute system of metalwork, as study objects, of the remains of the Mt. Wolpyeong fortress wall in Daejeon in the period of capital during the era of the Three Kingdoms in the 5th century, the Sanwol-ri remains in the 6th century in Gunsan and the remains of ironware excavated from the great ancient tomb of Hwangnam of the Silla dynasty in the 5th century. The result of analysis shows that in the most of the casting products, the minute system of white cast iron were contained. While the iron part of decarbonization was in the system by casting as white cast iron in the central part, on the surface layer it was turned out that comparatively uniform 100% pearlite system of about 1~2mm degree was existing. The part of pearlite on the surface layer was caused by decarbonization, which appears in all the parts of blade front end and handle. Therefore, it was found that the iron part of decarbonization was manufactured by casting, and then was processed at the high temperature by decarbonization. For the products of forging, after processing the products on the basis of pure iron for materials, they manufactured the ironware that raises the strength by carbonizing that keeps carbon infiltrated on the necessary part, by the method of black smith welding that add pure iron to steel, or by varying the method of heat processing onto the part required of strength. Though limited, we could understand that the technical systems for manufacturing skill of ironware in the areas of Baekje and Silla were different each other. In the technical system for Hwangnam great ancient tomb in the Silla area, it is found that they had raised the strength on the necessary part by applying the steelmaking method of carbonizing in the last stage of production of products, in the meantime in Baekje area, it appears that they had produced steel in advance in the first stage of production of the products, and used the produced steel only to the necessary part.

Life Cycle Cost Estimation Method for Spare Parts Using Weapon System Hierarchy (무기체계 계층구조를 활용한 수리부속의 수명주기비용 추정 방안)

  • Lee, Ja Kyoung;Kim, Sang Boo;Park, Yun Gyu;Bae, In Hwa
    • Journal of Korean Society for Quality Management
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    • v.52 no.2
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    • pp.275-286
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    • 2024
  • Purpose: The spare part cost is one of the most important cost factors with which construct Life Cycle Cost. The LCSP(Life Cycle Sustainment Plan) Guidebook issued by Korea Ministry of Defense, however, suggests a simple equation to estimate the spare part cost using maintenance task frequencies and each part cost. Therefore, following the cost estimation method in the LCSP Guidebook may lead to an improper cost estimation result since both the hierarchical structure of the weapon system and the part discard rate are not considered. The purpose of this study is to develop a new life cycle cost estimation method for spare parts of weapon system during its life cycle. Methods: In this study, the detailed cost structure of spare parts is provided. Also a new spare part cost estimation methods for the each cost element are proposed, considering the hierarchical structure of weapon system and the part discard rate. And the proposed spare cost estimation methods are applied to K system for a case study. Results: Based on the case study of K system, the spare part cost estimation method, proposed by this study, shows that it can complement the estimation method suggested by the LCSP Guidebook. It also shows that it is applicable to the weapon systems for Korea armed forces. Conclusion: The proposed life cycle cost estimation method for spare parts has an advantage of estimating the spare part cost more accurately. It is expected to be useful in analyzing the procurement alternatives objectively and making up the Korea armed forces budget effectively.

LncRNA PART1 Attenuates Myocardial Ischemia-Reperfusion Injury by Regulating TFAP2C/DUSP5 Axis via miR-302a-3p

  • Min Zeng;Xin Wei;Jinchao Zhou;Siqi Luo
    • Korean Circulation Journal
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    • v.54 no.5
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    • pp.233-252
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    • 2024
  • Background and Objectives: Myocardial ischemia-reperfusion injury (MIRI) refers to the damage of cardiac function caused by restoration of blood flow perfusion in ischemic myocardium. However, long non-coding RNA prostate androgen regulated transcript 1 (PART1)'s role in MIRI remain unclear. Methods: Immunofluorescence detected LC3 expression. Intermolecular relationships were verified by dual luciferase reporter assay. 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide, flow cytometry and transferase-mediated dUTP nick-end labeling (TUNEL) assays analyzed cell viability and apoptosis. The release of lactate dehydrogenase was tested via enzyme-linked immunosorbent assay (ELISA). Left anterior descending coronary artery surgery induced a MIRI mouse model. Infarct area was detected by 2,3,5-triphenyltetrazolium chloride staining. Hematoxylin and eosin staining examined myocardial injury. ELISA evaluated myocardial marker (creatine kinase MB) level. Results: PART1 was decreased in hypoxia/reoxygenation (H/R) induced AC16 cells and MIRI mice. PART1 upregulation attenuated the increased levels of Bax, beclin-1 and the ratio of LC3II/I, and enhanced the decrease of Bcl-2 and p62 expression in H/R-treated cells. PART1 upregulation alleviated H/R-triggered autophagy and apoptosis via miR-302a-3p. Mechanically, PART1 targeted miR-302a-3p to upregulate transcription factor activating enhancer-binding protein 2C (TFAP2C). TFAP2C silencing reversed the protected effects of miR-302a-3p inhibitor on H/R treated AC16 cells. We further established TFAP2C combined to dual-specificity phosphatase 5 (DUSP5) promoter and activated DUSP5. TFAP2C upregulation suppressed H/R-stimulated autophagy and apoptosis through upregulating DUSP5. Overexpressed PART1 reduced myocardial infarction area and attenuated MIRI in mice. Conclusion: PART1 improved the autophagy and apoptosis in H/R-exposed AC16 cells through miR-302a-3p/TFAP2C/DUSP5 axis, which might provide novel targets for MIRI treatment.

Future Directions and Perspectives for Performance Assessment in Mathematics (수학과 학업성취도 평가를 위한 수행평가의 과제와 전망)

  • 성태제;권오남
    • School Mathematics
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    • v.1 no.1
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    • pp.217-234
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    • 1999
  • The first part of this paper examines the assumptions underlying traditional types of standardized testing compared with assumptions underlying innovative types of performance assessment. The second part focuses on directions for the future. The third part gives examples from closed related projects which were designed to find practical ways to implement recommendations.

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ISO/IEC JTC1/SC27의 전자서명 표준

  • 이필중;박동진
    • Review of KIISC
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    • v.14 no.2
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    • pp.12-22
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    • 2004
  • 본 고에서는 ISO/IEC JTC1/SC27에서 만들어졌거나 진행 중인 전자서명 표준에 대해서 살펴본다. 해당되는 표준은 9796의 part 2, 3과 14888의 part 1, 2, 3과 15946의 part 2, 4이다. 각 문서들이 다루고 있는 내용과 개정 방향을 살펴보고, 각각의 알고리즘들을 간단히 설명한다.