• Journal of Society of Preventive Korean Medicine
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• v.27 no.1
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• pp.17-27
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• 2023

Objectives : This study aimed to analyze the factors influencing Korean medical utilization among persons with unmet healthcare needs. Methods : This study utilized Korea Health Panel data in 2019, with 10,771. We performed a t-test and ANOVA on the difference in general characteristics between Korean medical utilization and unmet healthcare needs. Logistic regression analysis and generalized linear model analysis were conducted to analyze on factors affecting the Korean medical utilization by people with unmet healthcare needs. Results : Among people with unmet healthcare needs, the variables influencing Korean medical utilization were western medical utilization, gender, education level, musculoskeletal disease, and other chronic diseases. The more people with unmet healthcare needs, the more likely they were to use Korean medicine. As a result of logistic regression analysis, the influencing factors on Korean medical utilization were analyzed for people with unmet healthcare needs, and the higher the household income, the more musculoskeletal diseases, and the higher the probability of using Korean medicine. Conclusions : Korean medicine has a large proportion of musculoskeletal disease, so it was found that musculoskeletal diseases have an impact. In addition, considering that household income is an important factor in the influencing factor of unmet healthcare needs, it is necessary to increase the use of Korean medicine by those with low household incomes.

• Proceedings of the National Institute of Ecology of the Republic of Korea
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• v.4 no.1
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• pp.28-42
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• 2023

Seed dispersal supports community structure, maintains genetic connectivity across fragmented landscapes, and influences vegetation assemblages. In the Philippines, only two seed dispersal studies have compared different dispersal agents. We examined the seed dispersal patterns of water, wind, birds, and bats in the Caliraya Watershed, Philippines. We aimed to determine the floral species that were dispersed and how the forest characteristics influenced seed dispersal. By running seed rain traps and drift litter collection from March to June 2022, we analyzed 14,090 seeds in a privately owned study site within the watershed. Water did not exclusively disperse any species and acted as a secondary disperser. Seed density (seeds/trap) was significantly higher for bird-dispersed (n=166) and bat-dispersed (n=145) seeds than for wind-dispersed (n=79) seeds (One-way analysis of variance [ANOVA]: F_2,87=16.21, P<0.0001). Species number (species/trap) was significantly higher for bird-dispersed (n=3.7) and bat-dispersed (n=3.9) seeds than for wind-dispersed (n=0.2) seeds (One-way ANOVA: F_2,87 =16.67, P<0.0001). Birds dispersed more species because they are more diverse and access a wider variety of fruits, unlike bats. Birds and bats target different fruits and provide separate seed dispersal services. Generalized linear model analyses revealed that the number and basal area of fleshy fruit trees most strongly influenced the bird seed dispersal patterns. Therefore, we recommend a three-way approach to restoration efforts in the Caliraya Watershed: (1) ensure the presence of fleshy fruit trees in restoration zones, (2) assist the establishment of mid-successional and wind-dispersed trees, and (3) intensify the conservation efforts for both flora and faunal diversity.

• Imaging Science in Dentistry
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• v.52 no.4
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• pp.399-408
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• 2022

Purpose: The purpose of this study was to compare volume measurements obtained using 2 image software packages on Digital Imaging and Communications in Medicine (DICOM) images acquired from 1 multidetector computed tomography and 5 cone-beam computed tomography devices, using different protocols for physical volume measurements. Materials and Methods: Four pieces of bovine leg were prepared. Marrow was removed from 3 pieces, leaving cortical bone exposed. The resulting space of 1 piece was filled with water, another was filled with propylene glycol, and the third was left unfilled. The marrow in the fourth sample was left fully intact. Volume measurements were obtained after importing DICOM images into the Dolphin Imaging 11.95 and ITK-SNAP software programs. Data were analyzed using 3-way analysis of variance with a generalized linear model to determine the effects of voxel size, software, and content on percentage mean volume differences between tomographic protocols. A significance level of 0.05 was used. Results: The intraclass correlation coefficients for intraobserver and interobserver reliability were, respectively, 0.915 and 0.764 for the Dolphin software and 0.894 and 0.766 for the ITK-SNAP software. Three sources of statistically significant variation were identified: the interaction between software and content (P=0.001), the main effect of content (P=0.014), and the main effect of software (P=0.001). Voxel size was not associated with statistically significant differences in volume measurements. Conclusion: Both content and software influenced the accuracy of volume measurements, especially when the content had gray values similar to those of the adjacent tissues.

• Proceedings of the Korea Water Resources Association Conference
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• 2022.05a
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• pp.130-130
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• 2022

기후변화로 인한 기상이변 현상으로 폭우와 홍수 등 수문학적 극치 사상의 출현 빈도가 잦아지고 있다. 따라서 이러한 기상이변 현상에 적응하기 위하여 보다 정확한 확률강우량 측정의 필요성이 증가하고 있다. 대장 지점의 미래 확률강우량 계산을 위해선 기후변화 시나리오의 비정상성을 고려해야 한다. 본 연구는 비정상적인 미래 기후에서 확률강우량이 어떻게 변화하는지 측정하는 것을 목표로 한다. Representative Concentration Pathway (RCP4.5)에 따른 우리나라의 확률강우량 계산에 인공신경망을 포함한 정상성, 비정상성 확률강우량 산정 모델들이 사용되었다. 지점빈도해석(AFA), 홍수지수법(IFM), 모분포홍수지수법(PIF), 인공신경망을 이용한 Quantile & Parameter regression technique(QRT & PRT)이 정상성 자료에 대해 확률강우량을 계산하는 모델로 사용되었으며, 비정상성 자료에 대해서는 비정상성 지점빈도해석(NS-AFA), 비정상성 홍수지수법(NS-IFM), 비정상성 모분포홍수지수법(NS-PIF), 인공신경망을 사용한 비정상성 Quantile & Parameter regression technique(NS-QRT & NS-PRT)이 사용되었다. Rescaled Akaike information criterion(rAIC)를 사용한 불확실성 분석과 적합도 검정을 통해서 generalized extreme value(GEV) 분포형 모델이 정상성 및 비정상성 확률강우량 산정에 가장 적합한 모델로 선정되었다. 이후, 관측자료가 GEV(0,0,0)을 따르고 시나리오 자료가 GEV(1,0,0)을 따르는 지점들을 선택하여 미래의 확률강우량 변화를 추정하였다. 각 빈도해석 모델들은 몬테카를로 시뮬레이션을 통해 bias, relative bias(Rbias), root mean square error(RMSE), relative root mean square error(RRMSE)를 바탕으로 측정하여 정확도를 계산하였으며 그 결과 QRT와 NS-QRT가 각각 정상성과 비정상성 자료로부터 가장 정확하게 확률강우량을 계산하였다. 본 연구를 통해 향후 기후변화의 영향으로 확률강우량이 증가할 것으로 예상되며, 비정상성을 고려한 빈도분석 또한 필요함을 제안하였다.

• Geomechanics and Engineering
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• v.32 no.2
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• pp.159-177
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• 2023

In the present work, a simple and refined shear deformation theory is used to analyze the effect of visco-elastic foundation on the buckling response of exponentially-gradient sandwich plates under various boundary conditions. The proposed theory includes indeterminate integral variables kinematic with only four generalized parameters, in which no shear correction factor is used. The visco-Pasternak's foundation is taken into account by adding the influence of damping to the usual foundation model which characterized by the linear Winkler's modulus and Pasternak's foundation modulus. The four governing equations for FGM sandwich plates are derived by employing principle of virtual work. To solve the buckling problem, Galerkin's approach is utilized for FGM sandwich plates for various boundary conditions. The analytical solutions for critical buckling loads of several types of powerly graded sandwich plates resting on visco-Pasternak foundations under various boundary conditions are presented. Some numerical results are presented to indicate the effects of inhomogeneity parameter, elastic foundation type, and damping coefficient of the foundation, on the critical buckling loads.

• Journal of Preventive Medicine and Public Health
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• v.56 no.1
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• pp.67-76
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• 2023

Objectives: Previous studies have reported that people with disabilities are more likely to be impoverished and affected by excessive medical costs than people without disabilities. Public transfer income (PTI) reduces financial strain in low-income households. This study examined the impact of PTI on catastrophic health expenditures (CHE), focusing on low-income households and households with Medical Aid beneficiaries that contained people with disabilities. Methods: We constructed a panel dataset by extracting data on registered households with disabilities from the Korea Welfare Panel Study 2012-2019. We then used a generalized estimating equation model to estimate the impacts of PTI on CHE. A subgroup analysis was carried out to assess the moderating effects of family income levels and health insurance types. Results: As PTI increased, the odds ratio (OR) of CHE in households that contained people with disabilities decreased significantly (OR, 0.92; 95% confidence interval [CI], 0.89 to 0.94; p<0.001). In particular, PTI effectively reduced the likelihood of CHE for low-income households (OR, 0.85; 95% CI, 0.81 to 0.89; p<0.001) and those who received medical benefits (OR, 0.78; 95% CI, 0.68 to 0.89; p<0.001). Conclusions: This study highlights the positive effect of PTI on decreasing CHE. Household income and the health insurance type were significant effect modifiers, but economic barriers seemed to persist among low-income households with non-Medical Aid beneficiaries. Federal policies or programs should consider increasing the total amount of PTI targeting low-income households with disabilities that are not covered by the Medical Aid program.

• Journal of the Korea Society of Computer and Information
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• v.28 no.5
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• pp.155-161
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• 2023

97.5% of our country's exports and 87.2% of imports are transported by sea, making ports an important component of the Korean economy. To efficiently operate these ports, it is necessary to improve the short-term prediction of port water volume through scientific research methods. Previous research has mainly focused on long-term prediction for large-scale infrastructure investment and has largely concentrated on container port water volume. In this study, short-term predictions for petroleum and liquefied gas cargo water volume were performed for Ulsan Port, one of the representative petroleum ports in Korea, and the prediction performance was confirmed using the deep learning model LSTM (Long Short Term Memory). The results of this study are expected to provide evidence for improving the efficiency of port operations by increasing the accuracy of demand predictions for petroleum and liquefied gas cargo water volume. Additionally, the possibility of using LSTM for predicting not only container port water volume but also petroleum and liquefied gas cargo water volume was confirmed, and it is expected to be applicable to future generalized studies through further research.

• Structural Engineering and Mechanics
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• v.85 no.4
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• pp.531-543
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• 2023

The existing concrete bridges are time-varying working systems, where the maintenance strategy should be planned according to the time-varying performance of the bridge. This work proposes a time-dependent residual capacity assessment procedure, which considers the non-stationary bridge load effects under growing traffic and non-stationary structural deterioration owing to material degradations. Lifetime bridge load effects under traffic growth are predicated by the non-stationary peaks-over-threshold (POT) method using time-dependent generalized Pareto distribution (GPD) models. The non-stationary structural resistance owing to material degradation is modeled by incorporating the Gamma deterioration process and field inspection data. A three-span continuous box-girder bridge is illustrated as an example to demonstrate the application of the proposed procedure, and the time-varying reliability indexes of the bridge girder are calculated. The accuracy of the proposed non-stationary POT method is verified through numerical examples, where the shape parameter of the time-varying GPD model is constant but the threshold and scale parameters are polynomial functions increasing with time. The case study illustrates that the residual flexural capacities show a degradation trend from a slow decrease to an accelerated decrease under traffic growth and material degradation. The reliability index for the mid-span cross-section reduces from 4.91 to 4.55 after being in service for 100 years, and the value is from 4.96 to 4.75 for the mid-support cross-section. The studied bridge shows no safety risk under traffic growth and structural deterioration owing to its high design safety reserve. However, applying the proposed numerical approach to analyze the degradation of residual bearing capacity for bridge structures with low safety reserves is of great significance for management and maintenance.

• Computers and Concrete
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• v.32 no.1
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• pp.61-74
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• 2023

This article investigates the wave propagation analysis of the imperfect functionally graded (FG) sandwich plates based on a novel simple four-variable integral quasi-3D higher-order shear deformation theory (HSDT). The thickness stretching effect is considered in the transverse displacement component. The presented formulation ensures a parabolic variation of the transverse shear stresses with zero-stresses at the top and the bottom surfaces without requiring any shear correction factors. The studied sandwich plates can be used in several sectors as areas of aircraft, construction, naval/marine, aerospace and wind energy systems, the sandwich structure is composed from three layers (two FG face sheets and isotropic core). The material properties in the FG faces sheet are computed according to a modified power law function with considering the porosity which may appear during the manufacturing process in the form of micro-voids in the layer body. The Hamilton principle is utilized to determine the four governing differential equations for wave propagation in FG plates which is reduced in terms of computation time and cost compared to the other conventional quasi-3D models. An eigenvalue equation is formulated for the analytical solution using a generalized displacements' solution form for wave propagation. The effects of porosity, temperature, moisture concentration, core thickness, and the material exponent on the plates' dispersion relations are examined by considering the thickness stretching influence.

• Proceedings of the Korean Institute of Navigation and Port Research Conference
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• 2023.05a
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• pp.206-207
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• 2023

Intelligent maritime traffic information services provide services for maritime traffic safety, but due to the difference in ship specifications and loading condition, the method of determining abnormalities in ship stability has not been generalized. In this study, we established a method for collecting and preprocessing Accelerometer and GPS data for calculating ship stability. In addition, we have researched a model that can determine the real-time ship stability through data science algorithms that can reflect each vessel specifications and external forces, breaking away from approximate calculations that cannot reflect weather factors in the real ocean.