• 보건행정학회지
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• 제26권3호
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• pp.195-206
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• 2016

Background: Concentration of patients to large hospitals is serious problem in Korea. The purpose of this paper is to propose appropriate policy direction to relieve concentration of patients to large hospitals. It is focused on evaluation of the possibility of family doctor system as a policy alternative to relieve concentration of patients to large hospital by empirically analyzing the effect of usual source of care (USC) on large hospitals medical care use. Methods: Korea Health Panel conducted 2009, 2012, 2013 by KIHASA (Korea Institute for Health and Social Affairs) and NHIS (National Health Insurance Service) was used for analysis. For dependent variables, first, the ratio of the amount of using large hospital to total amount of using medical care, and second, the amount of using large hospital are estimated. Independent variables are having an USC and type of USC. Panel analysis was done with above variables. Results: Main results are as follows. First, having an USC increases using large hospital. Second, having a domestic clinic type USC decreases using large hospital and ratio of using large hospital. Third, the effect of domestic clinic type USC is greater in older group, less income group, worse health status group, not having private insurance group, and having chronic disease group. Conclusion: These results show that family doctor program can be a policy alternative to relieve concentration of patients to large hospital. Nonetheless, primary care system in Korea is unsatisfied. It is recommended to reinforce primary care system and family doctor system to relieve concentration of patients to large hospitals.

• KDI Journal of Economic Policy
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• 제14권4호
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• pp.107-121
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• 1992

본고(本稿)는 노동자들의 부업활동(副業活動)이 시장의 불완전성으로 인해 부득이하게 일어나는 측면이 크며, 본업(本業)에의 집중도를 떨어뜨려 생산성을 감소시킨다는 문제의식을 바탕으로 한다. 따라서 부업동기(副業動機) 분석은 부업감소방안(副業減少方案)을 도출함으로써 본업생산성 및 노동자효용의 향상방안에 연결될 수 있을 것이다. 부업동기(副業動機)의 주요한 부분은 실업으로 인한 다음 기(期) 소득의 불확실성이 충분히 보완되지 못함으로써 발생한다. 따라서 안정적 고용을 보장하거나 실업보험을 실시하면 소득불확실성이 줄어서 부업활동이 감소하므로 본업에서의 생산성 향상도 기대할 수 있다는 시사점이 본고(本稿)의 결론이다. 본고(本稿)는 1차노동시장에서 본업을 가지고 있으며 2차노동시장에서 부업을 하고 있는 노동자를 분석대상으로 한다. 그가 제(第)2기(期)에 실직(失職)할 위험성을 가지고 있다면 고용이 되어 있는 제(第)1기(期)에는 어떻게 소비수준(消費水準)과 부업노동시간(副業勞動時間)을 결정하며, 그 결정이 고용보장과 실업보험에 어떻게 영향받는가를 2기모형(二期模型) 안에서 알아볼 것이다.

• Steel and Composite Structures
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• 제21권5호
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• pp.1121-1144
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• 2016

This paper presents a displacement-based finite element procedure for second-order distributed plasticity analysis of planar steel frames with semi-rigid beam-to-column connections under static loadings. A partially strain-hardening elastic-plastic beam-column element, which directly takes into account geometric nonlinearity, gradual yielding of material, and flexibility of semi-rigid connections, is proposed. The second-order effects and distributed plasticity are considered by dividing the member into several sub-elements and meshing the cross-section into several fibers. A new nonlinear solution procedure based on the combination of the Newton-Raphson equilibrium iterative algorithm and the constant work method for adjusting the incremental load factor is proposed for solving nonlinear equilibrium equations. The nonlinear inelastic behavior predicted by the proposed program compares well with previous studies. Coupling effects of three primary sources of nonlinearity, geometric imperfections, and residual stress are investigated and discussed in this paper.

• KIEE International Transactions on Power Engineering
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• 제4A권3호
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• pp.146-151
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• 2004

The most widely used primary protection for the internal fault detection of the power transformer is current ratio differential relaying (CRDR) with harmonic restraint. However, the second harmonic component could be decreased by magnetizing inrush when there have been changes to the material of the iron core or its design methodology. The higher the capacitance of the high voltage status and underground distribution, the more the differential current includes the second harmonic during the occurrence of an internal fault. Therefore, the conventional second harmonic restraint CRDR must be modified. This paper proposes a numerical algorithm for enhanced power transformer protection. This algorithm enables a clear distinction regarding internal faults as well as magnetizing inrush and steady state. It does this by analyzing the RMS fluctuation of terminal voltage, instantaneous value of the differential current, RMS changes, harmonic component analysis of differential current, and analysis of flux-differential slope characteristics. Based on the results of testing with WatATP99 simulation data, the proposed algorithm demonstrated more rapid and reliable performance.

• Radiation Oncology Journal
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• 제36권2호
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• pp.85-94
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• 2018

Radiation-induced second malignancies (RISM) is one of the important late side effects of radiation therapy and has an impact on optimal treatment decision-making. Many factors contribute to the development of RISM such as age at radiation, dose and volume of irradiated area, type of irradiated organ and tissue, radiation technique and individual and family history of cancer. Exact mechanism of RISM is unknown. But nowadays, it is a growing concern in oncology because of the increased number of cancer survivors and efforts are being made to prevent or decrease the incidence of RISM. The primary search for articles was carried via Google Scholar and PubMed with keywords included 'radiation induced malignancies, second malignancies, and chemotherapy induced malignancies'. Additional papers were found through references from relevant articles. In this review article, we have discussed about the pathogenesis, factors contributing to RISM, screening and prevention strategies of RISM.

• Journal of Trauma and Injury
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• 제36권4호
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• pp.404-410
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• 2023

Large scalp defects resulting from high-voltage electrical burns require free flaps, preferably skin, to permit optimal coverage and enable future or simultaneous cranial vault reconstruction. The anterolateral thigh permits the harvest of a large area of skin supplied by a reliable perforator. The superficial temporal vessels offer the proximate choice of recipient vessels to enable adequate reach and coverage. The lack of a second vein at this site implies the inability to perform a second venous anastomosis; however, this obstacle can be overcome by using an interposition vein graft, to the neck veins primarily. This assures adequate venous drainage and complete flap survival.

• 한국전산유체공학회지
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• 제13권3호
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• pp.62-68
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• 2008

This paper reports briefly on the computational results of a turbulent Rayleigh-Benard convection with the elliptic-blending second-moment closure (EBM). The primary emphasis of the study is placed on an investigation of accuracy and numerical stability of the elliptic-blending second-moment closure for the turbulent Rayleigh-Benard convection. The turbulent heat fluxes in this study are treated by the algebraic flux model with the temperature variance and molecular dissipation rate of turbulent heat flux. The model is applied to the prediction of the turbulent Rayleigh-Benard convection for Rayleigh numbers ranging from Ra=$2{\times}10^6$ to Ra=$10^9$ and the computed results are compared with the previous experimental correlations, T-RANS and LES results. The predicted cell-averaged Nusselt number follows the correlation by Peng et al.(2006) (Nu=$0.162Ra^{0.286}$) in the 'soft' convective turbulence region ($2{\times}10^6{\leq}Ra{\leq}4{\times}10^7$) and it follows the experimental correlation by Niemela et al. (2000) (N=$0.124Ra^{0.309}$) in the 'hard' convective turbulence region ($10^8{\leq}Ra{\leq}10^9$) within 5% accuracy. This results show that the elliptic-blending second-moment closure with an algebraic flux model predicts very accurately the Rayleigh-Benard convection.

• 한국전산유체공학회:학술대회논문집
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• 한국전산유체공학회 2008년도 학술대회
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• pp.111-117
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• 2008

This paper reports briefly on the computational results of a turbulent Rayleigh-Benard convection with the elliptic-blending second-moment closure (EBM). The primary emphasis of the study is placed on an investigation of accuracy and numerical stability of the elliptic-blending second-moment closure for the turbulent Rayleigh-Benard convection. The turbulent heat fluxes in this study are treated by the algebraic flux model with the temperature variance and molecular dissipation rate of turbulent heat flux. The model is applied to the prediction of the turbulent Rayleigh-Benard convection for Rayleigh numbers ranging from $Ra=2{\times}10^6$ to $Ra=10^9$, and the computed results are compared with the previous experimental correlations, T-RANS and LES results. The predicted cell-averaged Nusselt number follows the correlation by Peng et al.(2006) ($Nu=0.162Ra^{0.286}$) in the 'soft' convective turbulence region ($2{\times}10^6{\leq}Ra{\leq}4{\times}10^7$) and it follows the experimental correlation by Niemela et al. (2000) ($Nu=0.124Ra^{0.309}$) in the 'hard' convective tubulence region ($10^8{\leq}Ra{\leq}10^9$) within 5% accuracy. This results show that the elliptic-blending second-moment closure with an algebraic flux model predicts very accurately the Rayleigh Benard convection.

• Radiation Oncology Journal
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• 제4권2호
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• pp.129-133
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• 1986

한 환자에서 두개 이상의 중복암이 발생하는 경우는 매우 드물게 알려져 왔으나 근래에 들어와 치료법의 발달로 환자의 수명이 연장되고 진단법이 발달되면서 그 보고가 증가되고 또한 관심도 높아지고 있는 상태이다. 따라서 이런 중복암을 가진 환자의 특성을 분석함으로써 발생할 수 있는 2차 3차 암의 조기 발견 및 나아가서는 발암 물질과 유전적 요인 등을 찾아 암의 치료 및 예방에 이응 할 수 있겠다. 이에 $1978.7\~1986.8$까지 8년간 서울 대학교 병원에서 중복암으로 진단되어 치료받은 121예를 대상으로 하여 다음과 같은 결과를 얻었다. 전체 발생율은$0.7\%$이 있으며 이중 2중복암이 119례, 3중복암이 2례 있었다. 동시성은 (6개월 이내) 51례, 속발성은 (6개월 이상) 70례이었으며 속발성의 경우 $70\%$이상에서 3년내에 2차 암이 발생했다. Moertel분류에 의한 mvlticentriz은 $11.6\%$로 다소 낮은 빈도를 보였으며 다른 장기에 발생한 중복암 중에서는 위암과 간암, 위암과 직장암의 빈도가 가장 높았다.

• 대한장애인치과학회지
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• 제10권2호
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• pp.84-88
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• 2014

1. 순측접근법은 치수치료를 순측으로 시행한 후 변색된 순측의 치질을 확대하여 삭제하고 레진으로 순면전체를 수복함으로써 치수치료와 동시에 심미성을 회복할 수 있다. 2. 순측으로 치수치료를 시행하므로 시야가 확보에 유리하고 기구조작이 용이해 행동조절이 잘 되지 않는 어린이에게 추천된다.