• Journal of Preventive Medicine and Public Health
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• v.57 no.3
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• pp.260-268
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• 2024

Objectives: Regional disparities in cardiovascular care in Korea have led to uneven patient outcomes. Despite the growing need for and access to procedures, few studies have linked regional service availability to mortality rates. This study analyzed regional variation in the utilization of major cardiovascular procedures and their associations with short-term mortality to provide better evidence regarding the relationship between healthcare resource distribution and patient survival. Methods: A cross-sectional study was conducted using nationwide claims data for patients who underwent coronary artery bypass grafting (CABG), percutaneous coronary intervention (PCI), stent insertion, or aortic aneurysm resection in 2022. Regional variation was assessed by the relevance index (RI). The associations between the regional RI and 30-day mortality were analyzed. Results: The RI was lowest for aortic aneurysm resection (mean, 26.2; standard deviation, 26.1), indicating the most uneven regional distribution among the surgical procedures. Patients undergoing this procedure in regions with higher RIs showed significantly lower 30-day mortality (adjusted odds ratio [aOR], 0.73; 95% confidence interval, 0.55 to 0.96; p=0.026) versus those with lower RIs. This suggests that cardiovascular surgery regional availability, as measured by RI, has an impact on mortality rates for certain complex surgical procedures. The RI was not associated with significant mortality differences for more widely available procedures like CABG (aOR, 0.96), PCI (aOR, 1.00), or stent insertion (aOR, 0.91). Conclusions: Significant regional variation and underutilization of cardiovascular surgery were found, with reduced access linked to worse mortality for complex procedures. Disparities should be addressed through collaboration among hospitals and policy efforts to improve outcomes.

• Steel and Composite Structures
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• v.51 no.2
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• pp.185-202
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• 2024

In this research paper, and for the first time, wave propagations in sigmoidal imperfect functionally graded material plates are investigated using a simplified quasi-three-dimensionally higher shear deformation theory (Quasi-3D HSDTs). By employing an indeterminate integral for the transverse displacement in the shear components, the number of unknowns and governing equations in the current theory is reduced, thereby simplifying its application. Consequently, the present theories exhibit five fewer unknown variables compared to other Quasi-3D theories documented in the literature, eliminating the need for any correction coefficients as seen in the first shear deformation theory. The material properties of the functionally graded plates smoothly vary across the cross-section according to a sigmoid power law. The plates are considered imperfect, indicating a pore distribution throughout their thickness. The distribution of porosities is categorized into two types: even or uneven, with linear (L)-Type, exponential (E)-Type, logarithmic (Log)-Type, and Sinus (S)-Type distributions. The current quasi-3D shear deformation theories are applied to formulate governing equations for determining wave frequencies, and phase velocities are derived using Hamilton's principle. Dispersion relations are assumed as an analytical solution, and they are applied to obtain wave frequencies and phase velocities. A comprehensive parametric study is conducted to elucidate the influences of wavenumber, volume fraction, thickness ratio, and types of porosity distributions on wave propagation and phase velocities of the S-FGM plate. The findings of this investigation hold potential utility for studying and designing techniques for ultrasonic inspection and structural health monitoring.

• Water Engineering Research
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• v.2 no.4
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• pp.231-241
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• 2001

Since South Korea has uneven rainfall and deteriorating water quality, it is imperative to create a comprehensive water resources policy and management. This paper is to adopt a win-win policy for upstream-downstream local governments that have been in water rights-related disputer or conflicts in the process of allocating water and maintaining water quality. The Win-Win Policy can be an integrated river-basin approach. We define the win-win policy, introduce the win-win case of Delaware River and Colorado River in the United States, and suggest the win-win policy for Nakdong River in South Korea. Nakdong River is chosen for this paper because it has more serious problems in preserving water quantity and maintaining water quality.

• Journal of Korean Association for Spatial Structures
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• v.3 no.4 s.10
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• pp.59-67
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• 2003

Genetic algorithm is one of the best ways to solve a discrete variable optimization problem. Genetic algorithm tends to thrive in an environment in which the search space is uneven and has many hills and valleys. In this study, genetic algorithm is used for solving the design problem of gable structure. The design problem of frame structure has some special features(complicate design space, many nonlinear constrants, integer design variables, termination conditions, special information for frame members, etc.), and these features must be considered in the formulation of optimization problem and the application of genetic algorithm. So, 'FRAME operator', a new genetic operator for solving the frame optimization problem effectively, is developed and applied to the design problem of gable structure. This example shows that the new opreator has the possibility to be an effective frame design operator and genetic algorithm is suitable for the frame optimization problem.

• Proceedings of the Korean Society of Tribologists and Lubrication Engineers Conference
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• 1999.06a
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• pp.332-338
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• 1999

A coupled thermal-mechanical analysis has been presented for the thermal distortions of the ventilated disk brakes during IS braking operations. The FEM results show that the bendings and distortions of the disk toward the left side are decreased, but the sinusoidal distortion of the disk rubbing surface along the arc length of the vent hole is highly increased by increasing the convective air cooling effects, which is heavily related to the squeal, wear and micro-thermal crackings at the rubbing surfaces due to uneven dissipation rates of friction heatings.

• Advances in materials Research
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• v.5 no.1
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• pp.35-53
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• 2016

Flexural bending analysis of perfect and imperfect functionally graded materials plates under hygro-thermo-mechanical loading are investigated in this present paper. Due to technical problems during FGM fabrication, porosities and micro-voids can be created inside FGM samples which may lead to the reduction in density and strength of materials. In this investigation, the FGM plates are assumed to have even and uneven distributions of porosities over the plate cross-section. The modified rule of mixture is used to approximate material properties of the FGM plates including the porosity volume fraction. In order the elastic coefficients, thermal coefficient and moisture expansion coefficient of the plate are assumed to be graded in the thickness direction. The elastic foundation is modeled as two-parameter Pasternak foundation. The equilibrium equations are given and a number of examples are solved to illustrate bending response of Metal-Ceramic plates subjected to hygro-thermo-mechanical effects and resting on elastic foundations. The influences played by many parameters are investigated.

• Ocean Systems Engineering
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• v.4 no.4
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• pp.279-291
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• 2014

Smart flanges are used for pipeline and riser repair in subsea. In a typical case in the gas export pipeline project, the end cap bolts of a 4inch smart flange were broken during operation, and in turn leakage occurred. This work presents the detail of three dimensional finite element analysis of the smart flange to support the observed end cap bolts failure. From finite element analysis it turns out that in the presence of external bending moment, an uneven contact distribution is present between seal and end cap, which in turn changes the uniform load distribution on bolts and threaten the integrity of bolts. On the other hand, 3D finite element analysis of interaction between pipeline and seabed is presented by means of Abaqus to explore the distribution of bending moment along the pipeline route. It is found that lateral buckling occurs in the pipeline which introduces large bending moment.

• Journal of the Korean Society for Precision Engineering
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• v.29 no.12
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• pp.1360-1367
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• 2012

A bending process is considered as one of fundamental sheet metal forming processes, and it is widely used for fabrication of simple or complicated sheet metal products in industrial fields. Most of automobiles and electronics have many parts made by the bending process inside or outside of them. However, till now, there is few research reports on the bending process of hemmed plates. A hemmed plate has a locally different bending strength, so a waving shape occurs after bending. A poor outlook due to local uneven shape influences greatly on product competitiveness. To settle this problem, we studied the bending parameters of a hemmed plate and showed the major sensitive design-parameters on the bending quality.

• ETRI Journal
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• v.35 no.3
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• pp.491-500
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• 2013

A connected component analysis from a binary image is a popular character segmentation method but occasionally fails to segment the characters owing to image noise and uneven illumination. A multimethod binarization scheme that incorporates two or more binary images is a novel solution, but selection of binarization methods has never been analyzed before. This paper reveals the best combination of binarization methods and parameters and presents an in-depth analysis of the multimethod binarization scheme for better character segmentation. We carry out an extensive quantitative evaluation, which shows a significant improvement over conventional single-method binarization methods. Experiment results of six binarization methods and their combinations with different test images are presented.

• 제어로봇시스템학회:학술대회논문집
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• 2004.08a
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• pp.1727-1731
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• 2004

We propose an ART2 neural network-based fault diagnosis method to diagnose of sensor in the gas monitoring system. In the proposed method, using thermal modulation of operating temperature of sensor, the signal patterns are extracted from the voltage of load resistance. Also, fault classifier by ART2 NN (adaptive resonance theory 2 neural network) with uneven vigilance parameters is used for fault isolation. The performances of the proposed fault diagnosis method are shown by simulation results using real data obtained from the gas monitoring system.