• Title/Summary/Keyword: out-of-pocket

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Behavior of grouped stud shear connectors between precast high-strength concrete slabs and steel beams

  • Fang, Zhuangcheng;Jiang, Haibo;Chen, Gongfa;Dong, Xiaotong;Shao, Tengfei
    • Steel and Composite Structures
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    • v.34 no.6
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    • pp.837-851
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    • 2020
  • This study aims to examine the interface shear behavior between precast high-strength concrete slabs with pockets and steel beam to achieve accelerated bridge construction (ABC). Twenty-six push-out specimens, with different stud height, stud diameter, stud arrangement, deck thickness, the infilling concrete strength in shear pocket (different types of concrete), steel fiber volume of the infilling concrete in shear pocket concrete and casting method, were tested in this investigation. Based on the experimental results, this study suggests that the larger stud diameter and higher strength concrete promoted the shear capacity and stiffness but with the losing of ductility. The addition of steel fiber in pocket concrete would promote the ductility effectively, but without apparent improvement of bearing capacity or even declining the initial stiffness of specimens. It can also be confirmed that the precast steel-concrete composite structure can be adopted in practice engineering, with an acceptable ductility (6.74 mm) and minor decline of stiffness (4.93%) and shear capacity (0.98%). Due to the inapplicability of current design provision, a more accurate model was proposed, which can be used for predicting the interface shear capacity well for specimens with wide ranges of the stud diameters (from13 mm to 30 mm) and the concrete strength (from 26 MPa to 200 MPa).

Suggestion of Functional Smart Jacket Based on Wearable Technology (웨어러블 테크놀로지에 기반을 둔 고기능 스마트 재킷 설계 제안)

  • Lee, Jeong-Ran
    • Journal of the Korean Society of Clothing and Textiles
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    • v.35 no.3
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    • pp.292-303
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    • 2011
  • This research suggested a draft proposal for a smart jacket design, which has applied wearable technologies to provide convenience in daily life. The smart jacket combined with a vest was the casual item for autumn and winter. The heating device was composed of the heating element, battery, controller, electric wire, connector, switch, and charger. A stable electronic conductor fiber of good heating effect with a flexible zigzag form has been selected for the heating element. The lighting device has been made in a way that attaches the LED and its power controller in the same mechanical device. As the result of the wearing test, the heating effect turned out to be effective in the order of: back, both the back and abdomen and only the abdomen. When wearing a smart jacket, the back and abdomen have been selected as favorable body parts for heating. Pockets and hems are selected as the adequate place to attach the LED lighting, and the brightness of LED lighting has turned out to be suitable and useful. Based on the test results, the first draft proposal has attached the heating element only in the back and its controller located in the inside pocket of the vest. In addition, the LED has been attached to the front pocket of the jacket. As to the second draft proposal, heating elements have been placed in the back and the abdomen. Each controller for the heating elements has been placed in the front and inside pocket of vest, and the LED lighting has been attached to the hem of the jacket. The smart jacket combined with a wearable device was assessed by functioning categories. The user showed a high satisfaction in the heating and illuminating function of a smart jacket.

Development of GPS game machine of space and a position information system

  • Lee, Dae-Young;Park, Kil-Hwan;Bae, Sang-Hyun
    • Proceedings of the KAIS Fall Conference
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    • 2003.11a
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    • pp.243-246
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    • 2003
  • This system is unionized form about GPS and a pocket game machine. This game machine of the use only for the game with an existing system but the function of various purposes which carries out service relevant to a user's position information. This system have the game function, the function to offer space guidance service by the theme interlocked with a user's position, and the traffic safety education function.

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The Effect of Piston Configuration on Combustion and Flame Propagation (피스톤 형상이 연소와 화염전파에 미치는 영향)

  • Jie, Myoung-Seok;Kang, Ki-Young
    • Journal of the Korean Society of Industry Convergence
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    • v.22 no.5
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    • pp.511-517
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    • 2019
  • Two type pistons which had different configuration were made to find out the effects on combustion and flame propagation. Flame propagation speed was obtained by use of the cylinder head gasket ionization probe. Ionization Probe voltage output and flame propagation speed were increased according to the air fuel mixture ratio increase. Exhaust direction flame propagation speed was fastest in combustion chamber and next was front direction, rear direction and intake direction cause of tumbling motion in cylinder. In case of remove the valve pocket in piston, average flame propagation speed changed slowly and spark timing was advanced. Also emission was decreased.

Patient satisfaction of medical care in a public health center (보건소 진료서비스 이용자의 만족도에 관한 연구)

  • Moon, Young-Shin;Cho, Woo-Hyun;Kang, Im-Ok
    • Quality Improvement in Health Care
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    • v.5 no.1
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    • pp.2-14
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    • 1998
  • The aim of this study was to examine differences in the level of satisfaction with medical care at a public health center between patients receiving free-care compared to those paying out-of-pocket. SERVQUAL(Comprehensive Service Quality Measurement Scale), a pyschometrically valid measure for evaluating hospital service quality, was used to assess patient satisfaction. The study sample consisted of 279 patients who received medical care at a public health center. The interview was conducted between April 23 and May 7, 1998. The results was as follow: 1. There were more elderly people among free-care patients than out-of-pocket patients. Education and income levels were lower amongs those receiving free-care. There were, however, no differences in the distribution of gender and religion between the two groups. Patients receiving free-care tended to visit the public health center more frequently compared to those self-paying patients. 2. Overall, free-care patients showed higher satisfaction level than that of self-paying patients. except for the dimension on sympathy and shape.

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Clothing Condition of Elderly Men Focusing on Somatotype Variation and Satisfaction with Ready-to-Wear (노년 남성의 의복착용 실태조사 -체형 변화와 기성복 만족도를 중심으로-)

  • 김희영
    • Journal of the Korean Society of Clothing and Textiles
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    • v.22 no.2
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    • pp.193-202
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    • 1998
  • The purpose of this study was to understand clothing condition of elderly men focusing on somatotype variation and satisfaction with ready-to-wear and to provide basic data in designing ready-to-wrar for the elderly men. The questionnaire method was used and one-to-one interviews were held for the elderly residents in Seoul, Deajon, Jonju, and Yeosu areas. The total of 275 questionnaires (from 148 elderly men in the 60's, 99 in the 70's and 28 in the 80's) were collected and used for statistics. SAS package was used for the statistics and the statistics were based on frequency, X2-test, ANOVA, Duncan's multifle range test. The results of the study were as follows; 1) Height (p< .05), weight (p< .001) and Rohrer index (p< .05) decreased significantly with ageing 2) The somatotypes of 75.6% were changed and the 70's 8t the 80's showed significantly (p< .05) higher changing rate compared to the 60's and more changes took place significantly (p< .001) with ageing. 3) The most preferred out wear was suit & tie and next was jumper or shirt. 4) For the mode of getting suit, the highest number 55.3%) purchased ready-to-wear, next (32.0%) was tailored and the least (12.7%) neither purchased nor tailored. The percentage of buying ready-to-wear significantly (p< .01) decreased with ageing. The main reason for getting tailor-made was not well fitting of ready-to-wear (20.7% out of 32.0%). And for the mode of getting suit, there was significant differance with income (p< .001) and pocket money (p< .01). 5) The most important factors in suit and shirt werefirst, size (fitness) and second, comfort in movement. 6) For the wearing feeling of suit, 55.3% showed discomfort. There was significant difference according to the age (p< .05) and pocket money (p< .05). The Discomfort increased with ageing and less pocket money. 7) 62.4% answered it uneasy to Pick out well fitting If comfortable suit. This showed their dissatisfaction with ready-to-wear. 8) As for the items of not well fitting, 64.4% answered in jacket, 60.8% in trousers, 46.0% in shirt. The above result shows that elderly men's somatotype changes as they age, suit is found uncomfortable and it's not easy for elders to pick out comfortable ready-to-wear. So, they seem to have a certain dissatisfaction in ready to wear. Therefore, there is a need for reorganization of size and developing pattern design according to measurement of elderly men.

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Theoretical Characterization of Binding Mode of Organosilicon Inhibitor with p38: Docking, MD Simulation and MM/GBSA Free Energy Approach

  • Gadhe, Changdev G.;Balupuri, Anand;Kothandan, Gugan;Cho, Seung Joo
    • Bulletin of the Korean Chemical Society
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    • v.35 no.8
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    • pp.2494-2504
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    • 2014
  • P38 mitogen activated protein (MAP) kinase is an important anti-inflammatory drug target, which can be activated by responding to various stimuli such as stress and immune response. Based on the conformation of the conserved DFG loop (in or out), binding inhibitors are termed as type-I and II. Type-I inhibitors are ATP competitive, whereas type-II inhibitors bind in DFG-out conformation of allosteric pocket. It remains unclear that how these allosteric inhibitors stabilize the DFG-out conformation and interact. Organosilicon compounds provide unusual opportunity to enhance potency and diversity of drug molecules due to their low toxicity. However, very few examples have been reported to utilize this property. In this regard, we performed docking of an inhibitor (BIRB) and its silicon analog (Si-BIRB) in an allosteric binding pocket of p38. Further, molecular dynamics (MD) simulations were performed to study the dynamic behavior of the simulated complexes. The difference in the biological activity and mechanism of action of the simulated inhibitors could be explained based on the molecular mechanics/generalized Born surface area (MM/GBSA) binding free energy per residue decomposition. MM/GBSA showed that biological activities were related with calculated binding free energy of inhibitors. Analyses of the per-residue decomposed energy indicated that van der Waals and non-polar interactions were predominant in the ligand-protein interactions. Further, crucial residues identified for hydrogen bond, salt bridge and hydrophobic interactions were Tyr35, Lys53, Glu71, Leu74, Leu75, Ile84, Met109, Leu167, Asp168 and Phe169. Our results indicate that stronger hydrophobic interaction of Si-BIRB with the binding site residues could be responsible for its greater binding affinity compared with BIRB.

Effects of the Out-of-pocket Payment Exemption in the Public Health Center on Medical Utilization of the Korean Elderly

  • Nam, Kiryong;Park, Eunhye;Chung, Yuhjin;Kim, Chang-yup
    • Journal of Preventive Medicine and Public Health
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    • v.53 no.6
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    • pp.455-464
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    • 2020
  • Objectives: The distribution of hospitals in Korea is unbalanced in terms of accessibility. Many local public health centers (PHCs) exempt out-of-pocket payments (OOPs) based on local government laws to increase coverage. However, this varies across administrative regions, as many make this exemption for the elderly, while others do not. This study aimed to evaluate the effects of the OOP exemption at local PHCs among elderly individuals. Methods: This study used online data on Korean national law to gather information on individual local governments' regulations regarding OOP exemptions. Individual-level data were gathered from the 2018 Community Health Survey and regional-level data from public online sources. Results: The study analyzed 132 regions and 44 918 elderly people. A statistical analysis of rate differences and 2-level multiple logistic regression were carried out. The rate difference according to whether elderly individuals resided in areas with the OOP exemption was 1.97%p (95% confidence interval [CI], 1.07 to 2.88) for PHC utilization, 1.37%p (95% CI, 0.67 to 2.08) for hypertension treatment, and 2.19%p (95% CI, 0.63 to 3.74) for diabetes treatment. The regression analysis showed that OOP exemption had an effect on hypertension treatment, with a fixed-effect odds ratio of 1.25 (95% CI, 1.05 to 1.48). Conclusions: The OOP exemption at PHCs can affect medical utilization in Korea, especially for hypertension treatment. The OOP exemption should be expanded to improve healthcare utilization in Korea.

The Equity in Health Care Utilization of One-Person Households: By Comparison with Multi-Person Households (1인 가구의 의료이용 형평성: 다인 가구와의 비교를 통하여)

  • Na, Bee;Eun, Sang Jun
    • Health Policy and Management
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    • v.29 no.3
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    • pp.288-302
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    • 2019
  • Background: The one-person households (OPH) are rapidly increasing and vulnerable to socioeconomic and health problems. Because it is predicted to be inequitable to health care utilization, we would like to find out about the equity of health care utilization of the OPH by comparison with the multi-person households (MPH). Methods: This study followed the theoretical framework of Wagstaff and van Doorslaer (2000), O'Donnell and his colleagues (2008), where the horizontal inequity index is the difference between the concentration indices of actual health care utilization and health care needs. This study employed the 9th Korea Health Panel survey, and a total of 10,807 cases were analyzed. Health care needs were measured by age, sex, subjective health status, chronic disease count, Charlson's Comorbidity Index, limitation of activities, and disability. Results: Compared with the MPH, there were pro-poor inequities in hospitalization, emergency utilization, hospitalization out-of-pocket payments, and pro-rich inequities in outpatient out-of-pocket payments for the OPH. The decomposition of the concentration index revealed that chronic disease count made the largest contribution to socioeconomic inequality in outpatient utilization. Age, health insurance, economic activities, and subjective health status also proved more important contributors to inequality. The variables contributing to the hospitalization and emergency utilization inequity were age, education, Charlson's Comorbidity Index, marital status, and income. Conclusion: Because the OPH was more vulnerable to health problems than the MPH and there were pro-poor inequities in medical utilization, hospitalization, and emergency costs, it is necessary to develop a policy that can correct and improve the portion of high contribution to medical utilization of the OPH.

Related factors of physical functions and activities of daily living in Korea rural aged people (일부 농촌지역노인의 신체기능 및 생활기능 관련요인)

  • 이정애;김진순;염영희
    • Korean Journal of Health Education and Promotion
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    • v.18 no.1
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    • pp.93-108
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    • 2001
  • The purpose of this study was to identify the factors that affected to physical functions, activities of daily living (ADLs) and instrumental activities of daily living (IADLs). The subjects for this study, 236 persons, 65 years and over, who were living at rural area in Chun-Cheon city. This survey was carried out from march 3rd to April 25th, 1998. The data was analysed by using SPSS PC+ program. The results were as follows. 1.The variables that were related to the conditions of physical functions were as follows; age, sex, educational level among the general characteristics; raising ways of money, monthly using money for life, states of pocket money, obtaining method of pocket money, state of weight, problems in mind, whether or not chronic illness among socio ㆍeconoㆍphysical conditions; the level of satisfactions in life, subjective condition of health among the subjective thinking ; controlling state in smoking and drinking of alcohol among the lifestyles for promoting health. But the variables for medical utilization were not related to the level of physical function. 2. The variables that were associated with the condition of ADLs were as follows; age among the general characteristics; monthly using money for life, working amount among the socioㆍeconoㆍphysical conditions; subjective conditions of health among the subjective thinking. But The variables for medical utilization, lifestyle for promoting health were irrelevant to the conditions of ADLs. 3. The variables that were related to the conditions of IADLs were as follows; age, educational level among the general characteristics; raising ways of money, monthly using money for life, resident type in the household, procurement method of pocket money, level of weight, problems in mind, wether or not chronic illness among socioㆍeconoㆍphysical condition; regularity of health checking among lifestyles for promoting health; kinds of utilizing medical agent among the variables about utilization patterns of medical agencies; subjective condition of health among the subjective thinking In this study, in the aged there were related factors of physical and life functions, were age, working amount, subjective condition of health.

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