• Journal of Korean Academy of Nursing
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• v.16 no.3
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• pp.38-66
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• 1986

Based on the statistical data of FKMIS during five years from 1981 to 1985, the major findings of studying on the treatments of employee's modical insurance covered people were made as follows. 1. During five years, the total number of trratment case was increased 25.14% annually, and so doubled. The consultation rate was increased from 2.086 to 2.856, showng annual increase of 8.17% and total increase of 36.91%. In the cafe, of in-patient, the rate was from 0.056 to 0.602, . showing annual increase of 2.58%. And in out-patient, the rate was from, 2.030 to 2.794, showing annual increase of 8.31%. The male: female ratio of treatment case was changed from 1 : 1.1 to 1 : 1.2. 2. Case of chronic disease was on the increase .every year. The ratio of medical expenditure of that disease to the total medical expenditure was increased from 22.99% in 1984 to 25.0% in 1985. 3. As a whole, the consultation rate of circulatory disease was increased from 26.10 in 1981 to 46.53 in 1985, showing an nual increase of 15.55 %. The rate of in-patient was increased from 2.06 to 2.94, showing annual increase of 9.30%. The rate of out-patient wag from. 24.04 to 43.59, showing annual increase of 16.04%. 4. The duration (days) of circulatory disease in 1985 by types is as follows. In the case of in-patient, rheumatic fever rheumatic heart disease, (22. 67), ischaemic disease (17.39), cerebrovascular disease (17.18), disease of pulmonary circulation and other from of heart disease (15.82), hypertensive disease (13.18), other disease of circulatory disease(11.55). In the case of out-patient, visiting day (11.57 day) and medical expenditure per case (7,853 won) is lower than that of other diseases (4.39 day, 4,361 won). 5. Cases of circulatory chronic disease were two times as many as those of non-chronic disease. Incidence of the out-patient was shown higher than that of in-patient. In the case of duration per case, the chronic disease(12.92 days) was longer that of non-chronic disease (9.8 day). 6. The male: female ratio of chronic rheumatic heart disease is 34.56 : 65.44 (in-patient) and 34. 67 : 65.33 (out-patient). The consultation rate(case per 1,000 persons) was increased from 1.11 in 1983 to 1.30 in 1985, showing annual increase of 8.22 %. The duration, visiting day, was decreased slightly, but medication day wasincreased from 13.93 in 1983 to 16.72 in 1985, showing annual increase of 9.56%. 7. The male: female ratio of hypertensive disease (case) was 39.36 : 60.64(in-patient) and 40.67 : 59.33 (out-patient). The consultation rate was increased from 19.59 in 1983 to 25.36 in 1985, showing annual increase of 13.78%. Duration, visting day was decreased slightly, but medication day was increased from 11.82 in 1983 to 12.77 in 1985, showing annual increase of 3.94%. 8. The male： female ratio of chronic pulmonary-ischaemic heart disease (case) was 48.90 : 51.10 (in-patient) and 43.66 : 56.34 (out-patient). The consultation rate of chronic pulmonary-ischaemic heart disease was increase from 0.69 in 1983 to 1. 12 in 1985, showing annual increase of 27.40％. Duration, visiting day, was decreased from 2.67 in 1983 to 2.36 in 1985, and medication day was decreased from 0.69 in 1983 to 1.12 in 1985, showing annual decrease of 2.09%. 9. The male: female ratio of cerebrovascular disease (case) was 47.90 : 52.10 (in-patient) and 52.28 : 47.72 (out: patient). The consulatation rate was increased from 2.12 in 1983 to 2.89 in 1985, showing annual increase of 16.76%, Duration, visiting day, was decreased slightly, but medication day was increased from 12. 67 in 1983 to 13.85 in 1985, showing annual increase of 4.55%. 10. In case of artery and capillary disease, the male: female ratio of case was 61.80 : 38.20 (in-patient) and 51.77 : 48.23 (out-patient). But durntion, visiting day, was increased from 3.45 in 1983 to 3.60 in 1985, showing annual increase of 2.15 % and the medication day was increased from 10. 06 to 10.18, showing annual increase of 0.59%.

• Health Policy and Management
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• v.2 no.2
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• pp.221-237
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• 1992

The reasons for cost inflation in medical insurance expenditure are classified into demand pull inflation and cost push inflation. The former includes increase in the number of beneficiaries and utilization rate, while the latter includes increase in medical insurance fee and the charges per case. This study was conducted to analyze sources of increases of expenditure in medical insurance demonstration area by the period of 1982-1987 which was earlier than national health insurance and the period of national health insurance(1988-1990). The major findings were as follows: Medical expenditure in these areas increased by 9.4%(15.1%) annually between 1982 and 1990 on the basis of costant price(current price) and for this period, the yearly average increasing rate of expenses for outpatient care[10.5%(15.8%)] was higher than that of inpatient care [7.3%(12.6%)]. Medical expenditure increased by 6.3%(8.9%) annually between 1982 and 1987, the period of medical insurance demonstration, while it increased by 10.7%(18.9%) after implementing national health insurance(1988-1990). Medical expenditure increased by 35.9%(45.9%) between 1982 and 1987. Of this increase, 115.2%(92.1%) was attributable to the increase in the frequencies of utilization per beneficiary and 61.0%(68.1%) was due to the increase in the charges per case, but the expenditure decreased by 76.2%(60.2%) due to the reduction in the number of beneficiaries. Beteen 1988 and 1990, the period of national health insurance, medical expenditure increased by 21.2%(41.4%). Of this increase, 87.5%(46.4%) was attributable to the increase in the frequencies of utilization per beneficiary and 52.4%(73.4%) was due to the increase in the charges per case, and of the increase in the charges per case, 69.6%(40.8%) was attributable to the increase in the days of visit per case. Medical expenses per person in these areas increased by 78.2%(89.0%) between 1982 and 1987. Of this increase, 76.6%(69.1%) was attributable to the increase in the frequencies of utilization per beneficiary and 23.4%(30.9%) was due to the increase in the charges per case. For this period, demand-pull factor was the major cause of the increase in medical expenses and the expenses per treatment day was the major attributable factor in cost-push inflation. Betwee 1988 and 1990, medical expenditure per person increased by 31.2%(53.1%). Of this increase, 60.8%(37.2%) was attributable to the demand-pull factor and 39.2%(62.8%) was due to the increase in the charges per case which was one of cost-push factors. In current price, the attributalbe rate of the charges per case which was one of cost-push factors was higher than that of utilization rate in the period of national health insurance as compared to the period of medical insurance demonstration. In consideration of above findings, demand-pull factor led the increase in medical expenditure between 1982 and 1987, the period of medical insurance medel trial, but after implementing national health insurance, the attributable rate of cost-push factor was increasing gradually. Thus we may conclude that for medical cost containment, it is requested to examine the new reimbursement method to control cost-push factor and service-intensity factor.

• Journal of Physiology & Pathology in Korean Medicine
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• v.23 no.6
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• pp.1332-1340
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• 2009

Moxa-combustion therapy makes use of heat stimulus and chemicals result form when cauterize the skin with moxa cones to medical cares. Despite an extensive evidence-base guiding the selection of stimulation parameters and attributes of subject, little methodologically research regarding the attributes of moxa cautery in need to provide effective stimulation. To determine moxibustion's effects of the three different moxa cautery made by three different company(as A, B, C), the small intestinal motility in rats were observed after moxibustion at ST36. Under anesthesia, each intensities(1, 5, 10 times), two regions(left and right at ST36) and a quantity(as number of 1, 5, 10 times at once) were applied to the groups divided with sex. In each intensities groups, the A product made increase with 5, 10 times in male and female group. The B and C product made increase with 10 times in male group and the B product made increase with 1, 5, 10 times and the C product made increase with 5 times in female group. In two regions(left and right at ST36) groups, the A and C product made increase with 1(right), 5(right) times and the B product made increase with 1(left), 10(left), 10(right) times in male group. In female group, the A product made increase with 5(left), 5(right), 10(right) times and the B product made increase with 1(left), 10(left), 10(right) times and the C product made increase with 5(left), 10(left) times. In a quantity(as number of 1, 5, 10 times at once) groups, the A and B product did not show any changes but the C product made increase with a quantity of 10 times in male group. In female group, The B product made increase with a quantity of 1 times and the C product made increase with a quantity of 5 times, but the A product did not show any changes. Three different moxa cautery made by three different company made differents result in each group divided with sex. With these results, it was suggested that we should consider the a process of manufacture and moxa cautery's quality for the adequate value of moxibustion.

• International Journal of Railway
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• v.2 no.2
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• pp.80-92
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• 2009

Successful market adoption of rail freight transport innovations that might offer opportunities for market share increase is the focus of this paper. Firstly, seen from a theoretical point of view, it is not incremental innovations but radical organizational and transformation innovations that are likely to increase the market share of rail freight transport. Secondly, the particular inovations that offer some success potential for market adoption are: dedicated infrastructure, the fixed timetable, locomotive upgrades, and INTERFACE. Thirdly, unfortunately, the opportunities to increase the market share of rail freight transport appear to be limited.

• Magazine of the Korean Society of Agricultural Engineers
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• v.12 no.1
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• pp.1883-1886
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• 1970

This study was made to obtain the optium compaction of quicklime mixed with soil and to find out the relation of the quicklime mix ratio, dry density and strength by changing the compaction rounds. The obtained results are as follows. 1. The maximun dry density of unmixed soil in not distinguishable, while that of mixed soil is distinguishable. 2. What the increase of quicklime mix ratio, the dry density and strength increase and the optimum quicklime mix ratio could be obtained. 3. With the increase of compaction rounds, the dry density and strength increase, while they decrease in a certain limit and maximum dry density and strength could be obtained.

• Korean Journal of Soil Science and Fertilizer
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• v.2 no.1
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• pp.27-30
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• 1969

The present notes summarize the results obtained from the effect of soil-solution ratio on pH values of soils having widely different physico-chemical characteristics. The pH was determined in deionized water N-KCl and 0.01 M $CaCl_2$ solution The results obtained are: 1. With deionized water, the pH values increase with the increase in soil-solution ratio. The increase is more in upland soils than in paddy soils. 2. With N-KCl solution, there is also an increase in pH values with the increase in soil-solution ratio but the increase is less than the corresponding increase with deionized water. 3. With 0.01 M $CaCl_2$ solution, there is practically no change in pH values with the increase in soil-solution ratio except for saline soils. 4. In case of saline soils, the pH increase even in case of 0.01 M $CaCl_2$ solution with increase in soil-solution ratio, the reason for increase may be due to decrease of electric potential by high concentration of salts.

• Advances in concrete construction
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• v.2 no.3
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• pp.177-192
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• 2014

One of the main applications of FRP composites is confining concrete columns. Hence identifying the cyclic and monotonic stress-strain behavior of confined concrete columns and the parameters influencing this behavior is inevitable. Two significant parameters affecting the stress-strain behavior are aspect ratio and corner radius. The present study aims to scrutinize the effects of corner radius and aspect ratio on different aspects of stress-strain behavior of FRP confined concrete specimens (rectangular, square and circular). Hence 44 FRP confined concrete specimens were tested and the results of the tests were investigated. The findings indicated that for specimens with different aspect ratios, the relationship between the ultimate stress and the corner radius is linear and the variations of the ultimate stress versus the corner radius decreases as a result of an increase in aspect ratio. It was also observed that increase of the corner radius results in increase of the compressive strength and ultimate axial strain and increase of the aspect ratio causes an increase of the ultimate axial strain but a decrease of the compressive strength. Investigation of the ultimate condition showed that the FRP hoop rupture strain is smaller in comparison with the one obtained from the tensile coupon test and also the ultimate axial strain and confined concrete strength are smaller when a prism is under monotonic loading. Other important results of this study were, an increase in the axial strain during the early stage of unloading paths and increase of the confining effect of FRP jacket with the increase and decrease of the corner radius and aspect ratio respectively, a decrease in the slope of reloading branches with cycle repetitions and the independence of this trend from the variations of the aspect ratio and corner radius and also quadric relationship between the number of each cycle and the plastic strain of the same cycle as well as the independence of this relationship from the aspect ratio and corner radius.

• Journal of ILASS-Korea
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• v.5 no.1
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• pp.5-12
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• 2000

The beneficial aspects of applying emulsion fuels to combustion systems may be due to the changes of fuel properties which lead to the enhanced atomization characteristics. The spray characteristics of water/oil emulsified fuel injected from the pressure-swirl(simplex) atomizer using for oil burner were investigated. Four different water contents from 10 to 40 % by volume at 10% increment were prepared by mixing with the different contents of surfactants. Total amount of surfactant used was varied from 1 to 3 % by volume. This study demonstrates the influence of water and surfactant contents of emulsified fuel, injection pressure on the spray characteristics, i.e. Sauter mean diameter(SMD) and spray angle. The drop size distribution of the emulsified fuel spray was measured with a Malvem particle sizer. In order to measure the spray angle, the digital image processing was employed by capturing multiple images of the spray with 3-CCD digital video camera. It was evident that the addition of water and surfactant changes fuel properties which are the key parameters influencing the atomization of the spray. The increase in surfactant content results in the decrease of SMD and the increase in spray angle. The droplets decease with increase in injection pressure, but the influence of injection pressure in this experimental condition was less important than expected. The more viscous fuel with the increase of water content exhibits the larger droplets in the centerline of the spray, and the less viscous fuel in the outer edges of the spray. The increase in axial position from the nozzle causes the spray angle to decrease. The spray angle decreases with increase in water content. This is due to increase in viscosity with increase in water content.

• Proceedings of the Korean Geotechical Society Conference
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• 2009.03a
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• pp.419-433
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• 2009

Pressure grouting is a common technique in geotechnical engineering to increase the stiffness and strength of the ground mass and to fill boreholes or void space in a tunnel lining and so on. Recently, the pressure grouting has been applied to a soil-nailing system which is widely used to improve slope stability. The soil-nailing design has been empirically performed in most geotechnical applications because the interaction between pressurized grouting paste and the adjacent ground mass is complicated and difficult to analyze. The purpose of this study is to analyze the increase of pullout resistance induced by pressurized grouting with the aid of performing laboratory model tests and field tests. In this paper, two main causes of pullout resistance increases induced by pressurized grouting were verified: the increase of residual stress; and the increase of coefficient of pullout friction. From the laboratory tests, it was found that residual stress in borehole increases by pressurized grouting and dilatancy angle could be estimated by cavity expansion theory using the measured wall displacements. From the field test results, the pullout resistance of soil-nailing with pressurized grouting was found to be 10% larger than that of soil-nailing with gravitational grouting, mainly caused by mean normal stress increase and dilatancy effect. So, the pullout resistance could be estimated by considering these two effects. The radial displacement increases with dilatancy angle increase and the dilatancy angle decreases with injection pressure increase. The measured pullout resistance obtained from field tests is in good agreement with the estimated one from the cavity expansion theory.

• Atmosphere
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• v.29 no.2
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• pp.165-181
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• 2019

In this study, the regional climate model, RegCM4.0 (25 km), with the HadGEM2-AO data as boundary conditions, was used to simulate the mean climate changes in the mid and late 21st century for CORDEX Phase 2 East Asian region. 122 years (1979~2100) of simulation were performed, and RCP 4.5 and RCP 8.5 were used for the simulation of future climate. In the mid-21st century, the temperature is expected to increase by about 0.5 to $3.0^{\circ}C$ in all regions of East Asia, regardless of season and scenario. The increase in temperature is greater in summer and winter, especially in the northern part of simulation domain. Interannual variability (IAV) is expected to decrease by 25% in summer for RCP 8.5, while it is expected to increase by more than 30% in autumn for both scenarios. Regardless of the scenario, the precipitation in South Korea is expected to increase in late June but decrease in mid-July, with an increase in precipitation greater than $100mm\;day^{-1}$. In RCP 4.5 of the late 21st century, relatively uniform temperature increase ($1.0{\sim}2.5^{\circ}C$) is expected throughout the continent, while RCP 8.5 shows a very diverse increase ($3.0{\sim}6.0^{\circ}C$) depending on season and geographical location. In addition, the IAV of temperature is expected to decrease by more than 35% in both scenarios in the summer. In most of the Northwest Pacific region, precipitation is expected to decrease in all seasons except for the summer, but in South Korea, it is projected to increase by about 10% in all seasons except autumn.