Transactions of the Korean Society of Mechanical Engineers
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v.10
no.1
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pp.86-95
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1986
A study on film water flow on steep open channel has been seldom found up to date. Therefore, this paper dealed with the depth variation of film thickness of water (city supply normal water) flowing on steep open channel. For this purpose, Experimental apparatus (made of a normal glass with 160cm of length and 15cm of width) was made and the depths of the water flowing on the channel were measured experimentally, changing the channel slope angle from 30 to 80 degree (5 steps) and the flow rate from 0.25 to 10CPM (11 steps). The results obtained, some characteristics of the film flow on the channel are as follows. (1) When thin film water flowed on steep open channel, the depths of flow tended to increase after decreasing and was kept nearly constant in its downstream in case of laminar and transitional flow region. The turining point of the depths of flow from decrease to increase tended to move downward with the increase of Reynolds number. In turbulent flow region, the depths of flow showed reapid decrease in its upper stream, gradual decrease in its midstream and were kept nearly constant in its downstream. (2) While the differences between the depths of flow along the channel slope got small in its upper stream and got large in its downstream in case of laminar flow region, they got very large in its upper stream and were kept nearly constant in its downstream in case of transitional and turbulent flow region. And the move flow rate increases, the more the differences between the depths of flow along the channel slope got large in its upper stream.
Previous studies provided that limiting the number of services provided in hospital had influences in decreasing cost in delivering medical services. Hospitals could have positive effects on their profit by concentrating small number of services which they have comparative advantages. This study purposed to analyze the relationship between the concentration status of hospitals and medical charge for inpatients. National Inpatient sample data provided by the Health Insurance Review and Assessment Service (HIRA) for three years, 2009 to 2011 was used to compute the three concentration indices (Information Theory Index (ITI), Internal Herfindahl Index (IHI), and number of distinct Diagnosis-Related Groups (DRGs) treated) and total medical charge per inpatient case in each year. It was also used to select the control variables such as bed size, number of doctors per 100 beds, and locations. The ordinary least square regression models were developed and tested for hospital and general hospitals separately. The results showed that the total medical charge per inpatient case was significantly differed depending on the concentration indices, and there were positive relationships in ITI and IHI. The number of distinct DRGs had different directions in regression coefficients depending on the locations and hospital types. Hospitals had larger absolute standardized regression coefficients compare to those of general hospitals. However, their effects could be varied by the hospital types, number of doctors, and locations. It seems that hospitals have more influences on medical charges by concentrating their services than general hospitals. Study results provide knowledges to hospital administrators that concentration strategy can positive influences on the performance of small size hospitals.
Purpose: We are going to present a report from clinical and radiographic results of hallux valgus done only by soft-tissue procedure, when intermetatarsal joint is totally unfit under mild to moderate deformity. Materials and Methods: As a retrospective study, among all the patients who went under the surgery for hallux valgus, and of those who were possible to follow up,(excluding those whose intermetatarsal joint is fit) it was done over 28 cases (18 patients). the soft-tissue procedure was all done by Modified Mc Bride. Results: Hallux valgus angle and intermetatarsal angle each showed correction of $19.4^{\circ}$ and $5.2^{\circ}$, and from the final follow up, they were each decreased by $5.1^{\circ}$ and $1.5^{\circ}$. 21% (6case) were recurred, in one case, the intermetatarsal angle decreasing 120 and the other 5 case all decreased by $13^{\circ}$. Conclusion: when the intermetatarsal joint is unfit and there is no degenerative change, and, if the intermetatarsal angle is not large, moderate hallux valgus can show a good result, just by the distal soft-tissue procedure. a critical indication and a well through out preparation can reduce unneccessary surgeries.
Several detailed aspects of medical care services during one year (Aug 1, $1982{\sim}$July 31, 1983) were compared between two community health sub-centers; one (A) was served by a local clinician, the other (B) by a trainee of preventive medicine. The results were analysed as follows: 1. Total spells of medical services during the same period in 'A' sub-center was 4,087 and that in 'B' 2,347. Medicaid visitors in 'A' was 1,051 (25.7% of the total), that in 'B' was 250 (10.7%). Significant difference was observed. 2. Average number of visits for the same case in 'A' was 2.0, that in 'B' was 1.4. Average duration of service by day for the same case in 'A' was 3.9, that in 'B' 3.0. 3. Average cost of service for a case in 'A' was 6,770 won, that in 'B' 4,230 won. 4. Difference in age distribution of visitors in the two sub-centers was insignificant. $0{\sim}9$ year group was 38.5% of the total. Difference in distribution by sex (between two sub-centers) was minimal. Male utilisers more than female by ca. 10%. 5. Concerning distribution of visitors by month, utilisation in July, August and September was the highest; the sum of them was 32.7% of the total in 'A' and 32.9% in 'B'. 6. Distribution by diagnoses in 'A' in decreasing order of frequency was Respiratory system diseases (26.1%), Digestive system diseases (23.0%), Diseases of skin and subcutaneous tissue (17.4%), Accidents and poisoning (11.5%) and Diseases of musculoskeletal system and connective tissue (5.4%). That in 'B' was Respiratory system diseases (39.0%), Digestive system diseases (23.0%), Diseases of skin and subcutaneous tissue (14.2%), Accidents and poisoning (10.9%) and Infection and parasitic diseases (9.1%). 7. The 10 most frequent diagnoses comprised 68.5% of the total in 'A' and 65.5% in 'B' 8. Utilisation by accessibility to each sub-center was studied. It is shown that the nearer the distance or the easier the accessibility, the more visits to services. The distinct pattern is manifested in the utilisation in 'A'-Myun.
The characteristics of $CO_2$ or Nd:YAG laser welded 600MPa ade TRIP steel was investigated. He or Ar gas was used as a shield gas in case of $CO_2$ laser welding, but the shield gas was not used in case of Nd:YAG laser welding. Bead on plate welding was performed with various welding conditions. Defects in the joints of both welding type occurred at 1.8m/min but were not observed over the welding speed of 2.1m/min in case of Nd:YAG laser welding. However, porosity occurred in $CO_2$ laser welding and the tendency of decreasing with the increase of welding speed. The hardness was the highest at heat affected zone near fusion zone as well as at the fusion zone and decreased on approaching the base metal. In a perpendicular tensile test to the weld line, all specimens that have been welded at optimum conditions were fractured at the base metal, and the tensile properties showed the rather higher than those of raw material. In a parallel tensile test, the strength of the joints was higher than that of the base metal. Elongation was found to be lower than that of the raw material. Forming height by Erichsen test and elongation were deeply related with the ratio of base metal/weld metal and the maximum hardness of the weld metal. Also porosity induced to decrease the strength and the elongation. The maximum formability was recorded at approximately 80% as compared with that of the raw material with the optimum condition.
The purpose of this study was to evaluate how mandibular implant-supported fixed complete prosthesis, implant and mandible responded mechanically, according to curvature of arch, number and location of fixture, and amounts of load. The shape of mandibular arch was tapered or square form and, 4 or 6 fixtures were implanted in each arch model. A vertical load of 10kg was applied at the center of prosthesis and a vertical load of 20kg was applied at the location of the 10mm or 20mm cantilever posterior to the most distal implant. Three-dimensional finite element analysis was performed for stress distribution and deflection using commercial software(ABAQUS program) for Sun-SPARC Workstation. The results were as follows : 1. The case square arch form was more stable to compare with that of tapered arch form in respect of stress distribution and displacement under vertical load on the center of prosthesis. 2. 6-implants cases were more stable than 4-implants cases for decreasing bending torque under vertical load on the center of prosthesis. 3. Under vertical load on cantilever extension, the case of 10mm long cantilever was more stable than that of 20mm long cantilever in respect of stress distribution and displacement. 4. Under vertical load on cantilever extension, 6-implants cases had a tendency to reduce displacement and to increase the reaction force of supporting point due to increasing of the bending stiffness of the prosthesis than 4-implant case. 5. When the ends of 10mm or 20mm long cantilever were loaded, the most distal implant was under compressive stress but the second most distal implant was under the highest tensile stress and the remaining implants were under varying tensile stress. 6. Because 6-implants cases had smaller displacement than 4-implants cases, 6-implants cases were more favorable in respect of prevention of screw loosening under repeated loadings.
Kim Jae-Yeob;Park U-Yeol;Kim Gwang-Hee;Kim Joong-Koo
Korean Journal of Construction Engineering and Management
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v.5
no.5
s.21
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pp.76-83
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2004
There is a greater importance for underground work designed and built in the urban areas when it comes to considering the cost-effectiveness and the period of construction commensurate with an increasing trend of skyscrapers. At this stage of underground work, it's extremely necessary to choose a proper earth retaining method. However, a frequent change order during construction happens in Korea where different performers design and construct separately, so there is a great possibility for the change order to affect the aspects of construction cost and period which normally define the outcome of construction work. Therefore, the study has suggested the rational retaining wall method by developing the case-based reasoning model as stool to choose a proper retaining wall method applied at the stage of selecting the earth retaining method. Applying the 'CBR Model' developed in the study to the designing and developing stages of the earth retaining work will contribute to the successful outcomes by decreasing any changes of design from implementing the earth retaining work.
The purpose of this study is to analyze the impact of land-use and population change in rural area by new expressway. Chungbu expressway constructed in 1987, going through the south area of Kyunggi province from Seoul, was selected as a case expressway, and also 2 cities and 18 subdivisions of county in its surrounding area, as a case study area. To analyze the change characteristics before and after the construction, land-use maps of 1986 and 1996 were collected, including the census data for the years in cities and counties yearbooks. Remote sensing technology was applied to classify the land-use maps with six types of land use. Geographic information system was also used for spatial analysis, such as the land-use and accessibility changes. A 5 km buffer zone from interchange of the expressway showed about two times increase of urbanized built-up area than a 5 km buffer zone from the expressway. Accessibility from Seoul and cities was improved in most areas, which is accessing to Seoul through existing Youngdong expressway. Ten rural areas showed increased population with accessibility of average 52 minutes to Seoul and 19 minutes to cities, while eight areas showed decreased population with average 73 minutes to Seoul and 35 minutes to cities. This shows that the threshold value, which is time distance to Seoul and cities for population increase or decrease, one and half hours, respectively. Urbanized area was increased in most areas, even in population decrease areas, so this indicates that there are thinning rural areas, increasing urbanized area while decreasing population.
Journal of the Korean Society of Fisheries and Ocean Technology
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v.17
no.2
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pp.77-83
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1981
Four-day bioassay method was used in this study to find out toxicity levels of DDT and PCP. From this study it was found that M. chrysophekadion was the most sensitive to DDT with a 96 h-TL sub(m) value of 0.0044 mg/l followed by P. Sutchi with a 96 h-TL sub(m) value of 0.0056 mg/l, and the most resistant was C. Siamensis with a 96 h-TL sub(m) value of 0.0133 mg/l. In the case of PCP, it was also found that M. Chrysophekadion and P. Sutchi were the first and second most sensitive to PCP with a 96 h-TL sub(m) value of 0.065mg/l PCP and 0.125mg/l PCP respectively, as in the case of DDT study. T. Nilotica was found to be the most resistant to PCP with a 96 h-TL sub(m) value of 0.264mg/l PCP. The resistant power of fish to pollution varies with the species of fish and the types of pollutants. In order of decreasing sensitivity of fish to DDT based on TL sub(m), the following sequence is obtained M. Chrysophekadion, P. Sutchi, T Nilotica, P. Gonionotus, K. Bicirrhis, L. Bicolor, C. Carpio, R. Heteromorpha, C. Siamensis while in the case of PCP, M. Chrysophekadion, P. sutchi, L. Bicolor, K. Bicirrhis, P. Gonionotus (R. Heteromorpha, R. Trilineata), C. Siamensis, C. Carpio, T. Nilotica.
Journal of The Korean Society of Integrative Medicine
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v.9
no.4
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pp.19-28
/
2021
Purpose : The purpose of this study was to apply manual lymphatic drainage (MLD) and high-frequency diathermy (HFD) to patients with axillary web syndrome (AWS), one of the side effects of breast cancer surgery, and to treat upper extremity pain, volume, function of the upper extremity, (joint range of motion; ROM, disabilities of the arm, shoulder and hand; DASH) and quality of life before and after treatment. It is to determine the effect of treatment by checking the level change. Methods : This study is a case series. A total of 5 patients diagnosed with AWS after breast cancer surgery voluntarily participated in this study. The intervention program consisted of stretching, MLD and HFD. It was conducted 3 times a week for 30 minutes for 4 weeks. In order to compare the effects of pain (numeric pain rating scale; NPRS), volume, upper limb function (ROM, DASH) and quality of life (the European organization for research and treatment of cancer quality of life questionnaire-breast, EORTC QLQ-BR23) evaluations were compared before and after 4 weeks of intervention. All measured variables were analyzed and expressed as mean, standard deviation and percentage. Results : The shoulder NPRS level of the subjects in all case groups decreased, the volume decreased and the shoulder flexion, abduction ROM increased. It showed improvement in DASH and quality of life, QLQ-BR23. Conclusion : After breast cancer surgery, we confirmed the possibility that MLD and HFD treatments could be effective in improving pain, decreasing volume, increasing upper extremity function, and quality of life for patients who have difficulties with AWS. The possibility has been confirmed, and additional research is needed by increasing the number of participants in the experiment in the future.
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