• Advances in pediatric surgery
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• 제2권2호
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• pp.81-87
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• 1996

Although nonoperative reduction plays a major role in the management of uncomplicated intussusception in the pediatric age group, surgical treatment is still a necessary alternative when nonoperative reduction is unsuccessful. The author analyzed the clinical features of 68 patients requiring operation in order to identify factors which might influence the type of operative management. A nine-year experience at Ewha Womans University Hospital was reviewed, and the findings compared to previous reports. Barium was used for the initial reduction attempt in 33 cases, saline in 35. Manual reduction by milking at operation achieved success in 41 cases(60.3%). Fifteen cases(22.1%) required resection of bowel, and 12 patients(17.6%) were found to have spontaneous and complete reduction of the intussusception at operation. Two cases had pathologic leading points. There were no perforations due to nonoperative reduction. There were no significant differences in demographic data, clinical findings, laboratory data, and anatomic type of intussusception between barium and saline reduction groups. However, a significant number of cases with spontaneous reduction were in saline reduction group(p<0.05). There was a slight chance of spontaneous reduction in infants under 6 month of age(p<0.001). Age under 6 month. body temperature over $38^{\circ}C$, symptom over 24 hours, and ileo-colic and ileo-ileo-colic intussusception contributed significantly to the necessity for bowel resection(p<0.05-0.001). The author believes that the age, body temperature, duration of illness, and anatomic type of intussusception strongly influence operative management.

• 산업공학
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• 제19권4호
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• pp.316-323
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• 2006

In this study, based on Weibull proportional age reduction model and age replacement policy, we analyze economic life of cutting tool which allows re-grinding. Re-grinding task, usually for high-priced machining tools(e.g., broaching tool), is a kind of preventive maintenance activities to extend tool life at the completion of a lot production. The numerical results are also presented. Among the parameters of Weibull proportional age reduction model, the re-grinding effect parameter and Weibull shape parameter have a strong effect on economic tool life, and in the cost parameters, shortage cost is most sensitive. With further study on the parameter estimation of tool life process and cost function, this study can be expected to give more practical contribution to management of general machining tools.

• 대한산업공학회지
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• 제36권1호
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• pp.69-77
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• 2010

The failure rate model of External Environment Maintenance(EEM) for a system under severe environment is investigated. EEM, which is recently introduced concept, is a maintenance activity controlling external environment factors that potentially cause system failure such as cleaning equipment, controlling temperature (humidity) and removing dust inside of electronic appliances. EEM can not have any influence on the inherent failure rate of a system but reduce the severity of the external environment causing failure since it deals with only external environment factors. Therefore, we propose two failure rate models to express the improvement effect of EEM: The intensity reduction model and age reduction model. The intensity and age reduction models of EEM are developed assuming the quality of improvement effect is proportioned to an extra intensity or age respectively. The validation of proposed failure rate models is performed in order of data generation, parameter estimation and test for goodness-of-fit.

• 한국병원경영학회지
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• 제26권3호
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• pp.1-12
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• 2021

Purpose: This study aims to examine the effect of the copayment reduction policy on the health care utilization of patients under age 15 after the policy started in 2017. (이하는 아래 methodoloty로 이동) Methodology: Data on the ALOS, the average admission cost, and the out-of-pocket expenditure for patients under 15 years of age from 2015 to 2019 were obtained from the National Health Insurance database. Policy effects were measured by analyzing three dependent variables before and after policy: the average length of stay (ALOS), the average admission cost, and the out-of-pocket expenditure for patients under 15 years of age. The collected data were analyzed using the SAS package, and the analysis methods used in this study were the mean difference test and linear regression analysis. Findings: The study results reveal that, after the copayment reduction policy in the year 2017, the ALOS and the out-of-pocket expenditure were significantly decreased, but the average admission cost was significantly increased. Practical Implications: These results imply that the policy of copayment reduction for the patients under the age of 15 has contributed to mitigating the patients' financial burden with little concern about growing medical utilization.

• Advances in pediatric surgery
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• 제3권2호
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• pp.126-132
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• 1997

Reduction of intussusception using air or oxygen has wide acceptance as an alternative to conventional hydrostatic reduction. This study was undertaken to evaluate the results and complications of air pressure enema in 948 pediatric intussusception. One hundred and twenty nine cases were operated on at the Department of Surgery, Masan Samsung Hospital from 1985 to 1996 because of air reduction failure. The success rate was 86.4 %. Twenty-one patients(2.2 %) showed perforation during air reduction. Risk prone factors of perforation were; age less than 3 months(42.9 % vs 11.1 %), duration of symptoms greater than 48 hours (66.7 % vs 33.3 %), and presence of pathologic leading point(28.6 % vs 3.7 %). Vomitting and spontaneous rectal bleeding revealed higher prediction to the complication. In nineteen cases, bowel infarction, coagulated necrosis and hemorrhage suggested that the cause of perforation was due to the preexisting strangulation. In conclusion, when doing an air pressure enema reduction, care must be taken if the patient is of a young age or the symptoms are of long duration.

• 한국건축시공학회:학술대회논문집
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• 한국건축시공학회 2016년도 추계 학술논문 발표대회
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• pp.150-151
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• 2016

In previous study, researchers studied development of early anti-freezing cement at low temperature (-5℃) using hydration characteristics of reduction slag. In this study, the durability of concrete using reduction slag was conducted. The experiment result, reduction slag makes high temperature and improves compressive strength due to quick setting. And then result of durability show that it is no problem. However, it is considered that further study is needed about high shrinkages which was indicated in dry shrinkage.

• 한국건축시공학회:학술대회논문집
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• 한국건축시공학회 2016년도 춘계 학술논문 발표대회
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• pp.203-204
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• 2016

In this research, it used cement power and reduction slag, which generates high hydration heat in hydration reation without heat cure below -5℃ degree. Purpose of final research is preventing freezing and thawing by making the compressive strength 5MPa in 3days below zero temperature due to own heat of concrete. and it is the result of physical characteristic and thermal property evaluation of reduction slag. Because reduction sag generates high hydration heat, compressive strength development is excellent. By generating highly Hydration heat by C₁₂A₇ and C₃A in reduction slag, compressive strength is developed in low temperature. In case of displacing only reduction slag without SO₃, it is indicated that quick-setting occurs by shortage of SO₃. For preventing quick-setting, gypsum is used essentially. According to this research result, in case of using reduction slag and gypsum as a ternary system, Compressive strength developed 5MPa in 3days below zero temperature. It is identified to prevent early frost damage of concrete below zero temperature.

• 한국인구학
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• 제9권2호
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• pp.13-29
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• 1986

This study was carried out to calculate working life expectancy and its potential gains according to the degree of reduction in the specific causes of death. It sought to ascertain what potential gains in labor force longevity might be reasonably achieved through efforts to reduce mortality from injuries and poisoning, diseases of circulatory system, neoplasms and the other causes of death. The data were drawn from the three sources such as "The 1982 Causes of Death Statistics," "Abridged Life Table for Korea 1978~'79" and "The 1982 annual Report of Economically Active Population" issued by Economic Planning Board. Analytical tools used in this study were the cause-deleted life table and the Wolfbein Wool's working life table method. Partial life expectancy was adopted as an index of this study, This application will be widely used as a good demographic tool for analyzing the dynamics of labor force and causes of death. Some of the findings are summerized as follows. 1. Partial life expectancies from initial age 15, 25, and 45 respectively to terminal age 65 are 44.86, 35.59 and 17.41 year in life expectancy itself, 37.08, 32.83 and 15.21 year in working life expectancy, 7.78, 2.76 and 2.20 years in inactive life years. 2. Potential gains in working expectancy from initial age 15, 25 and 45 to terminal age 65 by the complete elimination of the specific causes of death are 1.36, 0.94 and 0.27 years in injuries and poisoning, 0.88, 0.83 and 0.54 years in diseases of circulatory system, 0.56, 0.54 and 0.37 years in neoplasms, 1.13, 1.02 and 0.58 years in the other causes of death. The relationship between degree of reduction in causes of death and potential gains in working life years is in direct proportion. The prime orders of reduction effectiveness in age groups by the causes of death are injuries and poisoning in age 15-24, the other causes of death in age 25-49 and diseases of circulatory system in age 50 and over. 3. If it were possible to reduce 25%, 50% and 75% in mortality condition 1978~'79, the average length of working life would be 38.08, 39.13 and 40.17 years in age 15, and 33.68, 34.57 and 35.44 years in age 25, and 15.67, 16.14 and 16.63 years in age 45.

• Asian-Australasian Journal of Animal Sciences
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• 제19권11호
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• pp.1632-1637
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• 2006

We studied the changes in biochemical markers of bone metabolism in growing Thoroughbred horses. Serum osteocalcin (OC), as a marker for bone formation, and carboxy-terminal propeptide of type-I collagen (PICP), as a marker for bone formation, carboxy-terminal telopeptide of type-I collagen (ICTP), as a marker for bone resorption, were determined in nine clinically healthy horses from 3 d to 17 mo of age. The BW and withers height (WH) increased during the study. On the other hand, a rapid reduction in body weight gain (BWG) was observed between 1 mo and 9 mo of age and a rapid reduction in withers height gain was observed between 1 mo and 5 mo of age. The serum markers decreased significantly with increasing age. In particular, dramatic changes in serum markers occurred between 3 d to 1 wk and 5 to 7 mo of age in these horses, which suggests that bone turnover rapidly decreased after birth. On the other hand, the ratio of PICP to ICTP decreased through the experiment. This result suggests that the reduction in bone formation exceeded that of bone resorption. There was a significant correlation between markers and growth parameters, except for the correlation between PICP and BWG on single linear regression analysis. Serum OC and ICTP were affected by the WH in multiple linear regression analysis. These results indicated that the age-related variation in serum biochemical markers of bone metabolism reflected bone growth, but neither BW nor BWG. Therefore, we consider that changes in bone modeling are the major factor affecting the levels of serum biochemical markers by 17 mo of age in horses.

• 한국의류학회지
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• 제19권3호
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• pp.434-447
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• 1995

This research was intended to identify variables influencing on risk perception and risk reduction behavior in clothing purchase situations. Responses from 631 female adults living in Seoul area were collected and analyzed. Towner for social occasions or working in office was used as clothing stimulus. The analysis included three product variables(price, style, type of clothing), 4 personality variables(generalized self-confidence, specific self-confidence, generalized informativeness, fashion informativeness), 2 clothing attitude variables(clothing importance, clothing interest), 4 demographic variables(age, educational level, occupation, income), and 3 situational variables(purchase planning, time pressure, effects of shopping company). Multiple regression revealed the fact that each type of clothing risk and each type of risk reduction behavior was influenced by the set of different variables. Generalized self- confidence and age and time pressure had more effects on clothing risk perception, while clothing risk reduction behavior was more influenced by clothing risk type, clothing interest, price of clothing and fashion informativeness. Implications for marketing strategies planning were also provided.