• Title/Summary/Keyword: Risk Adjustment

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A Study on Life Experience by Persons with Mental illness - Focusing on the Experience after the Onslaught of Mental Illness - (정신장애인의 생애경험에 관한 연구 - 정신질환발병 이후의 경험을 중심으로 -)

  • Park, Eun-Ju
    • Korean Journal of Social Welfare
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    • v.63 no.1
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    • pp.5-28
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    • 2011
  • This study, based on the research on the history of life, aimed to recompose and analyze into what life progressive structure the life experience by the mentally ill, after the onslaught of the disease, developed in a bid to understand the risk progress in the mentally ill's life, and to determine what contributed to the current stabilized recovery and adjustment. Five mentally ill persons participated in the study, and Sch$\ddot{u}$tze's narrative interview was used to gather data. The gathered data were analyzed according to Sch$\ddot{u}$tze's process structure of life. The interviewees' life experiences were chronologically organized as understood, and significant stories were recomposed that not only brought about changes but also helped overcome their disabilities in the process of treatment and rehabilitation after the onslaught of the disease. As a result, their experiences were recomposed into the stage of onslaught of the mental illness and confusion, and into the stage of intensive treatment and rehabilitation. The former was categorized into suppression by the disease, repetition and endurance of the painful life, and separation from their family and frustration. The latter was categorized into the rediscovery of self through social role change, others who helped realize the life potential, the expansion of mental health services in the community, obstacle to the integration of communities, re-integration of family relationships, re-analysis of experience of the disease through the examination of the life prior to onslaught of the disease, and expectation for the future. Also, these themes were comparatively examined so as to examine the crisis progress in the mentally ill's life after the onslaught of the disease, as well as the life transfer process through positive rehabilitation. Lastly, on the basis of these results, important areas of mental health services for the mentally ill were discussed.

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AN ANALYSIS OF FAILURE MODE OF TEETH RESTORED WITH FIBER-REINFORCED POSTS UNDER THE CONDITION OF BONY RESORPTION (치주지지가 감소된 상태에서 섬유강화형 포스트로 수복한 치아의 실패양상 분석)

  • Lee Byung-Woo;Yi Yang-Jin;Cho Lee-Ra;Park Chan-Jin
    • The Journal of Korean Academy of Prosthodontics
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    • v.41 no.2
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    • pp.232-242
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    • 2003
  • Statement of problem : Fiber-reinforced posts have lower modulus of elasticity than titanium post or cast post-core. With this similar elasticity to that of dentin, fiber-reinforced posts have been known to have a tendency to reduce the risk of root fracture. However, there were few studies on the teeth restored with fiber-reinforced posts under the condition of reduced periodontal support. Purpose : The purpose of this study was to evaluate the fracture strength and failure mode of endodontically treated teeth restored with fiber-reinforced posts and titanium posts under the condition of reduced periodontal support. Material and method : Extracted human maxillary incisor roots were divided into 3 groups (group 1 carbon fiber post, group 2 : glass fiber post, and group 3 : titanium alloy post). After coronectomy and endodontic treatment, teeth were restored with each post systems and resin core according to the manufacturer's recommendation. Then, teeth with simulated periodontal ligament were embedded in the acrylic resin blocks at the level of 4 mm below the cemento-enamel junction. Each specimen was exposed to $10^5$ load cycles with average 30 N force in $36.5^{\circ}C$ water using a computer-controlled chewing simulator. Loads were applied at $45^{\circ}$ angle to the long axis of the teeth. After cyclic loading, teeth were subjected a compressive load until failure at a crosshead speed of 0.5 mm/min. Fracture strength (N) and failure mode were examined. The fracture strength was analyzed with one-way ANOVA and the Scheffe adjustment at the 95% significance level. Results and conclusion : The results were as follows. 1. There was no statistically significant difference in the mean fracture strength among the groups (P<.05). 2. Carbon fiber post and glass fiber post group showed less root fracture tendency than control group. 3. All specimens with root fractures showed fracture lines above the level of acrylic resin block, except for only one specimen in group 3.

Assessment for Inhalation Exposure to Trihalomethanes (THMs) and Chroline and Efficiency of Ventilation for an Indoor Swimming Pool (일개 실내수영장의 공기 중 염소 및 트리할로메탄의 노출평가 및 환기 효율 평가)

  • Park, Hae-Dong;Park, Hyun-Hee;Shin, Jung-Ah;Kim, Tae-Ho
    • Journal of Environmental Health Sciences
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    • v.36 no.5
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    • pp.402-410
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    • 2010
  • The objectives of this study were to evaluate the air quality surrounding an indoor swimming pool, to estimate the cancer risk based on the airborne exposure to trihalomethanes (THMs), and to examine the ventilation efficiency by Computational Fluid Dynamics (CFD). Chlorine and THMs were measured poolside, and in the staff room and reception area. The indoor swimming pool was modeled using the Airpak program, with ventilation drawings and actual survey data. Temperature, flow and mean age of the air were analyzed. Levels of chlorine poolside, and in the staff room, and reception area were $203\;{\mu}g/m^3$, $5\;{\mu}g/m^3$, and $10\;{\mu}g/m^3$, respectively. Chloroform was the dominant THM in all sampling sites and mean concentrations were $16.30\;{\mu}g/m^3$, $0.51\;{\mu}g/m^3$, and $0.06\;{\mu}g/m^3$ poolside, in the staff room and reception area, respectively. Bromodichloromethane and Dibromochloromethane levels were respectively estimated as $10.3\;{\mu}g/m^3$ and $1.7\;{\mu}g/m^3$ poolside, $1.3\;{\mu}g/m^3$ and $0.1\;{\mu}g/m^3$ in the staff room, and were not detected in the reception area. The cancer risks from inhalation exposure to THMs were estimated between $3.37{\times}10^{-7}$ and $1.84{\times}10^{-5}$. A short circulation phenomenon was observed from the supply air vents to the exhaust air vents located in the ceiling. A high temperature layer was formed within one meter of the ceiling, and a low temperature layer was formed under this layer due to the low velocity and high temperature of the supply air, and the improper locations of the supply air vents and exhaust air vents. The stagnation was evident at the above adult pool and the mean age of the air was 22 minutes. Disinfection by-products in the indoor swimming pool were present in higher concentrations than in the outdoor air. In order to increase the removal of pollutants, adjustment was required of the supply air volume and the supply/exhaust position.

Relationship between flavonoids intake and metabolic syndrome in Korean women with polycystic ovary syndrome (한국 다낭난소증후군 환자에서 대사증후군과 식이 플라보노이드 섭취와의 관련성)

  • Oh, Ji Soo;Ahn, Mi Jin;Han, Chan Jung;Kim, Hyesook;Kwon, Oran;Chung, Hye Won;Chang, Namsoo
    • Journal of Nutrition and Health
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    • v.47 no.3
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    • pp.176-185
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    • 2014
  • Purpose: The purpose of this study was to investigate the relationship between dietary flavonoids intake and metabolic syndrome (MetS) in Korean women with polycystic ovary syndrome (PCOS). Methods: A total of 223 subjects (mean age; $27.3{\pm}4.2$ yrs, range; 17-38 yrs) were divided into the MetS group (n = 27) and non-MetS group (n = 196). Dietary intake data were assessed by 24-hour recall method for two non-consecutive days and the average of the two days was used to estimate the usual dietary intake. Dietary habits were assessed using the Mini Dietary Assessment (MDA) score. We analyzed the intakes of six flavonoid classes (anthocyanidins, flavan-3-ols, flavanones, flavones, flavonols, and iso-flavones) using a flavonoids database. Results: After adjustment for age, total energy intake, alcohol consumption, smoking, regular exercise, and oral contraceptive use, dietary flavonols intake was significantly lower in the MetS group ($5.1{\pm}2.4$ mg/d) than in the non-MetS group ($8.9{\pm}2.8$ mg/d) (p = 0.0472). Intakes of other flavonoids except for flavonols did not differ between the two groups. In MDA scores, significant differences were observed only for that related to daily consumption of fruit or fruit juice (p = 0.0180). A significant inverse relationship was observed between flavonols intake and the risk of MetS (4th vs. 1st quartile, OR = 0.11, 95% CI = 0.02-0.62, p for trend = 0.0131). Conclusion: These results suggest that higher intake of flavonols may be beneficial for MetS in PCOS women.

A Study of Policy Change on K-ETS and its Objective Conformity (한국 배출권거래제 정책 변동의 목적 부합성 연구)

  • Oh, Il-Young;Yoon, Young Chai
    • Journal of Climate Change Research
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    • v.9 no.4
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    • pp.325-342
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    • 2018
  • The Korea Emissions Trading Scheme ( K-ETS), which manages roughly 70% of the greenhouse gas emissions in South Korea, was initiated in 2015, after implementation of its 1st basic plan and the 1st allocation plan (2014) for the 1st phase (2015-2017). During the three and a half years since the launch of K-ETS, there have been critical policy change such as adjustment of the institutions involved, development and revision of the 2030 national GHG reduction roadmap, and change in the allocation plans. Moreover, lack of liquidity and fluctuation of carbon prices in the K-ETS market during this period has forced the Korean government to adjust the flexibility mechanism and auction permits of the market stability reserve. To evaluate the policy change in the K-ETS regarding conformance to its objectives, this study defines three objectives (Environmental Effectiveness, Cost Effectiveness and Economic Efficiency) and ten indicators. Evaluation of Environmental Effectiveness of K-ETS suggests that the national GHG reduction roadmap, coverage of GHG emitters and credibility of MRV positively affect GHG mitigation. However, there was a negative policy change implemented in 2017 that weakened the emission cap during the 1st phase. In terms of the Cost Effectiveness, the K-ETS policies related to market management and flexibility mechanism (e.g. banking, borrowing and offsets) were improved to deal with the liquidity shortage and permit price increase, which were caused by policy uncertainty and conservative behavior of firms during 2016-2018. Regarding Economic Efficiency, K-ETS expands benchmark?based allocation and began auction-based allocation; nevertheless, free allocation is being applied to sectors with high carbon leakage risk during the 2nd phase (2018-2020). As a result, it is worth evaluating the K-ETS policies that have been developed with respect to the three main objectives of ETS, considering the trial?and?error approach that has been followed since 2015. This study suggests that K-ETS policy should be modified to strengthen the emission cap, stabilize the market, expand auction-based allocation and build K-ETS specified funds during the 3rd phase (2021-2025).

The Interaction of High Sensitivity C-Reactive Protein and Uric Acid on Obesity in Koreans: Based on the Seventh Korea National Health and Nutrition Examination Survey (KNHANES VII, 2016~2018) (대한민국에서 비만에 대한 고감도 C-반응성 단백과 요산의 상호작용: 제7기 국민건강영양조사를 이용해서(KNHANES VII, 2016~2018))

  • Pyo, Sang Shin
    • Korean Journal of Clinical Laboratory Science
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    • v.53 no.4
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    • pp.342-352
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    • 2021
  • We used data from the 7th Korea National Health and Nutrition Examination Survey (KNHANES) (2016~2018) to investigate an association between high sensitivity C-reactive protein (hsCRP) and uric acid in the obese. Obesity was defined as a body mass index (BMI) of 25 kg/m2 or more, severe obesity as a BMI of 30 kg/m2 or more, and morbid obesity as a BMI of 35 kg/m2 or more. In the complex samples multiple logistic regression, despite adjustment by adding major risk factors, the odds ratio (OR) for obesity was higher in the group with high levels of both, hsCRP and uric acid than the reference group at all stages (obesity, OR 1.89, P<0.001 vs. severe obesity, OR 5.04, P<0.001 vs. morbid obesity, OR 8.20, P<0.001). The association between hsCRP and uric acid in obese patients increased from 1.89 to 8.20 as the obesity level increased, suggesting that participants with increased BMI were significantly affected by hsCRP and uric acid. Moreover, the interaction between hsCRP and uric acid was statistically significant even in the model corrected for major confounding factors (P for interaction=0.009).

The Evolution of Innovation Cluster : Focusing on the Daedeok Innopolis (혁신클러스터의 진화 : 대덕연구개발특구를 중심으로)

  • Hwang, Doohee;Cheong, Young Chul;Chung, Sunyang
    • Journal of Korea Technology Innovation Society
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    • v.21 no.4
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    • pp.1207-1236
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    • 2018
  • This paper explores the life cycle of innovation cluster, especially focussing on the Korean representative innovation cluster, Daedeok Innopolis. For this purpose, we review theoretically how an innovation cluster has been growing up. In particular, we discuss how a cluster has been formed and activated by governmental innovation policies from an evolutionary perspective. By doing so, the study identifies the typical features of an innovation cluster according to each dimensions of the cluster life cycle. The results of this study are as follows: First, in this study, Daedeok Innopolis has characteristics of latency, emergence, growth, and maturity from evolutionary perspective. Second, the governmental structure of the Daedeok Innopolis is a strong government-led and top-down structure, which has features of inclusiveness and flexibility such as umbrella policy. Third, the Daedeok Innopolis can be seen that adaptive or renewal development, as while, it can be applied fine adjustment the innovation cluster policy towards the recognition of innovation obstacle at each dimensions of the life cycle. Therefore, these discussions expose what kind of policy interventions should be addressed to form and develop the innovation cluster according to the cluster life cycle, as while, the development of adaptive policies during the risk and take-off period. Ultimately, the study provides that a different kind of policy instruments and tools should be implemented according to innovation cluster development and its distinctive characteristic per each dimensions of the cluster life cycle.

Relationships Among the Big Five Personality Traits, Psychological Well-being, and College Adaptation of Pre-service Teachers (교육대학교 학생의 성격 5요인에 기초한 잠재적 성격 특성 유형과 심리적 안녕감, 대학생활적응 간의 관계)

  • Lee, Myung-Sook;Choi, Hyo-Sik;Yeon, Eun-Mo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.3
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    • pp.71-81
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    • 2019
  • To extend the potential benefits of error, the current study examined factors that affect students' error perception in the classroom. An experimental design was used to measure relations of classroom goal structure, feedback, and social relationships on students' perception of error. A total of 316 fourth-, fifth-, and sixth-grade elementary students participated as part of their regular class curriculum. Self-reported questionnaires were administered to measure students' perception of errors and relationships with teacher and peers, and then students were manipulated by classroom goal structure and feedback. Multiple regression analysis results suggested that students' perception of learning from error was affected mostly by relationships with peers, followed by relationships with teacher and the type of feedback. Students' perception of risk taking for error was also affected by relationships with peers and teacher, followed by the classroom goal structure. However, classroom goal structure and feedback did not affect their perception of thinking about error to improve their learning as well as error strain. These results imply how the classroom climate should be structured to improve perception of errors to improve student's learning.

Analysis of the Relationship between the Initial Public Offering Process and Earnings Management - Focusing on SSE-listed SMEs of China (기업의 상장과정과 이익조정과의 관계분석 - 중국의 SSE상장 중소기업을 중심으로)

  • Kim, Dong-Il
    • Journal of Digital Convergence
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    • v.18 no.12
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    • pp.243-249
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    • 2020
  • This study analyzes the earnings management that can occur in the process of public offering in the process of SMEs reducing cost of capital, risks and seeking opportunities for direct financing. Since a company is subject to strict supervision during the IPO process, it is possible to prevent the phenomenon that the company value evaluated in the market is underestimated, or to perform earnings management in consideration of overestimation. This study attempted to verify the degree of earnings management through discretionary accruals and actual earnings management values that can affect the earnings ratio of the IPO of a company. For this study, total accruals were calculated and analyzed through discretionary accruals, sales, costs, and actual earnings management adjustments from production activities. As a result of the analysis, discretionary accruals, which are the countermeasures for earnings management during the listing process, have a positive(+) relationship in both the stock price return and the sales adjustment value, which can be viewed as a factor that induces high valuation. As a result of this, there may be a risk of adverse selection for the benefit amount, and information asymmetry may exist for public offering stocks. This study can provide useful guidelines for evaluating corporate value to domestic SMEs and investors that do business with Chinese companies as well as China through the current and type of earnings management of Chinese listed companies.

Low serum 25-hydroxyvitamin D levels, tooth loss, and the prevalence of severe periodontitis in Koreans aged 50 years and older

  • Kim, Hyunju;Shin, Min-Ho;Yoon, Suk-Ja;Kweon, Sun-Seog;Lee, Young-Hoon;Choi, Chang-Kyun;Kim, OkJoon;Kim, Young-Joon;Chung, HyunJu;Kim, Ok-Su
    • Journal of Periodontal and Implant Science
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    • v.50 no.6
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    • pp.368-378
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    • 2020
  • Purpose: Vitamin D deficiency may cause bone loss and increased inflammation, which are well-known symptoms of periodontal disease. This study investigated whether serum 25-hydroxyvitamin D (25(OH)D) levels are associated with periodontal disease status and tooth loss. Methods: Cross-sectional data from 5,405 individuals aged ≥50 years (2,253 males and 3,152 females) were obtained from the 2008-2010 Dong-gu study, a prospective cohort study of risk factors for chronic diseases. Periodontal examinations were conducted to evaluate the number of remaining teeth, the periodontal probing depth (PPD), the clinical attachment level (CAL), and bleeding on probing. The percentages of sites with PPD ≥4 mm and CAL ≥4 mm were recorded for each participant. The severity of periodontitis was classified using the Centers for Disease Control and Prevention and the American Academy of Periodontology case definitions. Serum 25(OH)D levels were classified as reflecting severe deficiency, deficiency, insufficiency, or sufficiency. Multivariate linear regression analysis was performed to assess the associations of serum 25(OH)D levels with periodontal parameters and the number of remaining teeth after adjusting for confounders including age, smoking status, alcohol consumption status, month of blood collection, and physical activity. Multivariate logistic regression was used to evaluate the association between serum vitamin D levels and severe periodontitis. An overall statistical analysis and a stratified analysis by sex were performed. Results: Overall, the rates of severe deficiency, deficiency, insufficiency, and sufficiency were 6.5%, 67.9%, 22.4%, and 3.2%, respectively. After adjustment for confounders, vitamin D levels were directly associated with the number of remaining teeth, an association that was significant in males, but not in females. Sufficient serum 25(OH)D was associated with a low frequency of severe periodontitis. Conclusions: This population-based cross-sectional study indicates that low serum 25(OH) D is significantly associated with tooth loss and severe periodontitis in Koreans aged 50 years and older.