• Journal of Preventive Medicine and Public Health
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• 제56권6호
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• pp.563-572
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• 2023

Objectives: The high readmission rate of patients with chronic obstructive pulmonary disease (COPD) has led to the worldwide establishment of proactive measures for identifying and mitigating readmissions. This study aimed to identify factors associated with readmission, as well as groups particularly vulnerable to readmission that require transitional care services. Methods: To apply transitional care services that are compatible with Korea's circumstances, targeted groups that are particularly vulnerable to readmission should be identified. Therefore, using the National Health Insurance Service's Senior Cohort database, we analyzed data from 4874 patients who were first hospitalized with COPD from 2009 to 2019 to define and analyze readmissions within 30 days after discharge. Logistic regression analysis was performed to determine factors correlated with readmission within 30 days. Results: The likelihood of readmission was associated with older age (for individuals in their 80s vs. those in their 50s: odds ratio [OR], 1.59; 95% confidence interval [CI], 1.19 to 2.12), medical insurance type (for workplace subscribers vs. local subscribers: OR, 0.84; 95% CI, 0.72 to 0.99), type of hospital (those with 300 beds or more vs. fewer beds: OR, 0.77; 95% CI, 0.66 to 0.90), and healthcare organization location (provincial areas vs. the capital area: OR, 1.66; 95% CI, 1.14 to 2.41). Conclusions: Older patients, patients holding a local subscriber insurance qualification, individuals admitted to hospitals with fewer than 300 beds, and those admitted to provincial hospitals are suggested to be higher-priority for transitional care services.

• 한국철도학회:학술대회논문집
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• 한국철도학회 2007년도 추계학술대회 논문집
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• pp.1379-1385
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• 2007

철도에서 접속구간은 교량과 토공 또는 터널과 토공 사이의 노반상태가 변화하는 구간이나 궤도구조형식이 변화하는 구간을 말한다. 이들 구간에서는 궤도지지강성이 갑작스럽게 변화함으로써 레일변위가 급하게 변화하여 차량의 이상 진동 및 충격윤중이 발생한다. 열차의 진동은 차량의 주행안정성 및 승차감을 저하시키고 충격윤중은 노반의 침하 및 궤도재료의 열화, 손상을 가속시키는 결과를 초래한다. 자갈도상 궤도구조에서의 접속구간은 노반강성이 차이가 생기는 교량경계부와 터널경계부가 가장 보편적인 천이접속형태이며 특히 교량부와 토공부는 각각 일정한 고유의 탄성을 가지고 있어 서로 큰 강성차를 가진다. 교량부와 토공부의 강성차로 인해 궤도에서 발생하는 탄성변위량이 일치하지 않기 때문에 동적윤중은 하부구조의 과도한 변위를 유발시킬 수 있는 큰 충격하중을 발생시키고 이러한 과하중은 토공부의 궤도구성품의 손상을 유발하게 된다. 따라서 현재 국내에서는 접속구간 설계 시 구간별 노반 및 궤도강성차를 줄여 전체적으로 궤도지지강성 변화를 완화시키고, 토공구간의 소성침하 방지와 접속부에 부정적 영향을 주는 노반구조물의 비이상적 거동발생을 방지할 수 있는 규정을 제정하여 이를 바탕으로 설계하고 있으나 실제 운행선에서 발생하는 접속부 궤도의 동적거동을 감안한 설계지침은 아직 미약한 실정이다. 따라서 본 연구에서는 노반강성별 접속부 궤도의 동적거동 특성을 파악하고 노반구조물과 궤도구조의 상호관계를 입증하기 위해 노반강성별 접속부 궤도의 동적응답을 측정하고 측정 및 이론식을 이용한 접속부 궤도의 탄성력 및 궤도부담력을 산출하여 운행선 접속부 궤도의 동적거동을 감안한 설계지침 개발을 위한 기초자료를 제시하고자 한다.F-1^{(R)}$, $Helioseale^{(R)}$에 brush tip을 적용한 경우보다 많이 발생하였다(p<0.05). 3. 기포의 평균 단면적은 Teethmate $F-1^{(R)}$가 다른 군에 비해 큰 값을 보였다(p<0.05). 4. $Clinpro^{(R)}$와 적용 tip을 달리한 $Helioseal^{(R)}$의 경우 기포의 발생 빈도, 평균 개수, 평균 단면적 모두 유의차를 보이지 않았다(p>0.05).닌, 집이나 학교와 같은 일상의 생활공간이기 때문에 단순한 주의만으로도 외상의 발생을 예방할 수 있을 것으로 사료된다. 보이지 않았다 (p>0.05). 본 실험에서 시도한 두 가지 진정요법이 비교적 높은 임상적 치료 성공률(II군 : 97.14%, III군 : 88.57%)을 보여 만족할 만한 결과를 나타낸 것으로 평가되었다.tosan film보다 큰 수증기 투과도를 보였다.적으로 유의한 차이를 보이지 않았다.y tissue layer thinning은 3 군모두에서 관찰되었고 항암 3 일군이 가장 심하게 나타났다. 이상의 실험결과를 보면 술전 항암제투여가 초기에 시행한 경우에는 조직의 치유에 초기 5 일정도까지는 영향을 미치나 7 일이 지나면 정상범주로 회복함을 알수 있었고 실험결과 항암제 투여후 3 일째 피판 형성한 군에서 피판치유가 늦어진 것으로 관찰되어 인체에서 항암 투여후 수술시기는 인체면역계가 회복하는 시기를 3주이상 경과후 적어도 4주째 수술시기를 정하는 것이 유리하리라 생각되었다.한 복합레진은 개발의 초기단계이며, 물성의 증가를 위한 연구가 필요할 것으로 사료된다.또

• 한국의류학회지
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• 제24권5호
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• pp.702-713
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• 2000

The purpose of this paper is to deeply understand the transitional concept of gender expressed in the later 20th century fashion through analyzing of various literature. Gender is constructed in the context of social and culture different than sex which is inherent difference between man and women. Thus the concept of gender can be changed according to change of social and culture. There are imposing changes in gender since 60's owing to various factors; namely, feminism, subculture, deconstruction, development of technology, market economy, changing sex roles, etc. Especially in the 60's to 70's, as radical changes were took place, gender became vague more and more. Finally these days there is no fixed gender. In terms of meaning, there may be a number of genders-since there are as many meanings of sex as there are people who have thought about it. That is, sex is, gender means. Sex exists in itself, and is sublimely indifferent to what humans think of it, However gender is all the meanings we assign to sex. In accordance with this phenomena, people don't mind their sexes with appearance. There is only different disposition and taste.

• 한국철도학회:학술대회논문집
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• 한국철도학회 2011년도 정기총회 및 추계학술대회 논문집
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• pp.1542-1549
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• 2011

The Transitional zone between bridge abutment and earthwork is one of the representative vulnerable zones in railway where differential settlements may take place due to the different supportive stiffness. Although transitional zones are managed with stricter standards than those of the other earthwork zones either in the design and construction stages, it is very difficult to prevent differential settlement perfectly. A three-dimensional numerical analyses were performed by applying train moving load in this study. The analytical model including abutments and earthwork zones was constituted with rail, sleepers, track concrete layer (TCL), hydraulic stabilized base (HSB), reinforced road bed, and road bed using railway and road base structure. The clamp connecting the rail and sleeper were also modeled as the element with spring coefficient. The train wheel is modeled in the actual size and moved on the rail with 300 km/hr speed. The deformation characteristics at each point of the rail and the ground were considered in detail when moving the train wheel. The analysis results were compared with those from the two-dimensional analysis without considering moving load. The research results show that displacement and stress were greater in the three-dimensional analysis than in other analyses, and the three-dimensional analysis with moving load should be performed to evaluate railway performance.

• 가정과삶의질연구
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• 제30권6호
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• pp.183-199
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• 2012

Since the Framework Act on Healthy Families came into effect in 2005, family policy has become a primary field of social policy, and 'family' has emerged as an important keyword for solving Korean society's various phenomena and problems. In order to seek practical plans for reforming social policy through family policy, this thesis has analyzed the transitional characteristics of Korean families in relation to where Korean families currently stand and the situation they are facing. This thesis has also reviewed the content of family policy in the master plan of healthy families, the starting point of the actual family policy, and other related policies. It also has analyzed the key content of child care support policy. From these various analyses and discussions, this thesis has emphasized "family care" as the keyword of family policy, family effect analysis as the means of reinforcing family perspective, and family integrity for policy effectiveness.

• 대한기계학회논문집B
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• 제22권6호
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• pp.757-770
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• 1998

A Navier-Stokes code with a low Reynolds number k-.epsilon. turbulence model was tested to investigate its predictability for the unsteady transitional boundary layer flow due to rotor-stator interaction. A preliminary calculation with three different numbers of time steps 300, 600, and 1000 for a rotor wake passing period was carried out to see the effects of time steps on the unsteady flow and pressure fields due to rotor-stator interaction. Numerical solutions showed that unsteady pressure was much more sensitive to the number of time steps and over 600 time steps should be used to get a numerical solution independent of the number of time steps for a rotor wake passing period. The original low Reynolds number k-.epsilon. turbulence model showed very poor prediction of the unsteady transitional boundary layer flow due to rotor-stator interaction. This was due to the excessive production of turbulent kinetic energy near the leading edge. A modification suggested by Launder was incorporated and the modified model captured well the wake induced transitional strip. Present solutions also showed improved prediction over previous Euler/boundary layer solution in terms of the onset of unsteady transition and its extent.

• 대한산업공학회지
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• 제21권3호
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• pp.329-343
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• 1995

Traditionally, machining process sequence was influenced and constrained by the design information obtained from CAD data base, i.e., class of operations, geometric shape, tooling, geometric tolerance, etc. However, even though all the constraints from design information are considered, there may exist more than one way to feasibly machine parts. This research is focused on the integrated problem of operations sequencing and machine tools selection in the presence of the product mix and their production volumes. With the transitional costs among machining operations, the operation sequencing problem can be formulated as a well-known Traveling Salesman Problem (TSP). The transitional cost between two operations is expressed as the sum of total machining time of the parts on a machine for the first operation and transportation time of the parts from the first machine to a machine for the second operation. Therefore, the operation sequencing problem formulated as TSP cannot be solved without transitional costs for all operation pairs. When solved separately or serially, their mutual optima cannot be guaranteed. Machining operations sequencing and machine tool selection problems are two core problems in process planning for discretely machined parts. In this paper, the interrelated two problems are integrated and analyzed, zero-one integer programming model for the integrated problem is formulated, and the solution methods are developed using a Tabu Search technique.

• 지역사회간호학회지
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• 제21권4호
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• pp.502-511
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• 2010

Purpose: The purpose of this study was to investigate the influencing factors of influenza vaccination in the elderly participating in lifetime transitional health examination. Methods: This study was a secondary analysis of data collected from lifetime transitional health examination (for 66-year-old people) conducted by the National Health Insurance Corporation (NHIC) from January 1 to December 31, 2008. Questionnaires were received from NHIC to obtain information regarding gender, chronic diseases, health-related behaviors, and ADL. A total of 255,333 participants who responded all the questions in the questionnaire were included in the analysis. Collected data were analyzed by descriptive statistics, ${\chi}^2$ test, and multiple logistic regression. Results: The influenza vaccine coverage rate in 66-year-old people was 66.1%. The influenza vaccine coverage rate was higher in female elders and those with hypertension, diabetes, heart disease or past smoking, and lower in those with stroke, current smoking, drinking, no-exercise or ADL-dependency. Conclusion: Strategies for improving the influenza vaccination coverage rate in the elderly are needed. The strategies should give priority to the elderly with current smoking, drinking, and no-exercise, and home visiting programs are needed for the elderly with stroke and ADL-dependency.

• 대한가정학회지
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• 제40권8호
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• pp.37-48
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• 2002

The purpose of this study was to survey Navajo's textiles of the transitional period(1868-1890) and to examine appearance background of those textiles. The two study questions were central to the project. 1) What were characteristics of eye-dazzler and pictorial in the transitional period? 2) How developed was the American trader's role? To perform the purpose, literatures on this subject were surveyed, investigation of textiles in Arizona State Museum and Historical Museum of Arizona were accomplished. The results of this study were as follows: 1. Eye-dazzler is called because of their small, serrate triangle and diamond patterns in intense, contrasting colors. Eye-dazzler mostly used Germantown yam and wedge-weave technique. Germantown was a plied yam colored with synthetic dyes. Wedge-weave technique used optical illusions and an undulating technique to create an effect of motion and rhythmic symmetry. 2. The Americans began to intern Navajos at Bosque Redondo, New Mexico in 1863. During their stay at Bosque Redondo, the Navajo came into greater contact with Rio Grande blankets. The influence of designs of these becomes increasingly important in the eye-dazzler. 3. Pictorial materials included rich new sources the railroad provided and living environment of animals, plants, hogans, neighbors, deities that interested the Navajo. Also, sandpainting textiles were a pictorial. Three types of textiles utilized: yei, yeibichai, and sandpainting tapestry. 4. The arrival of the railroad caused many changes for the lives and textiles of the Navajos. The railroad brought a new client into the Navajo, and the Navajos attempted new textiles with design-inspiring fresh materials to adjust taste of the eastern purchasers.

• 한국식품영양과학회지
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• 제14권1호
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• pp.47-50
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• 1985

한국인 중류층 수유부들로부터 분만 후 70일까지 채취한 유즙의 인 지방질의 자방산 조성이 수유기간의 경과에 어떻게 변화하는지 살펴보았다. 8 : 0 은 이행유 단계에서, 그리고 10 : 0, 12 : 0, 14 : 0 등은 성숙유 I단계에서 각각 유의하게 증가하였다. w6계 대사산물들(20 :2w6, 20 : 4w6, 22 : 4w6)은 수유기간의 경과에 따라 점진적인 감소의 경향을 나타내었다. 24 : 1w9는 이행유 단계에서 유의한 증가의 수준을 유지하다가 그 이후는 초유 수준 이하로 유의하게 감소하였다.