• Title/Summary/Keyword: separation index

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A Study on the introduction of the outpatient and inpatient conversion factors in the 2020 Physician Fee Contract (외래⦁입원 환산지수에 기초한 2020년도 환산지수 산출 연구)

  • O, Dongil
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.4
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    • pp.183-194
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    • 2021
  • In this study, the conversion factor for 2020 is estimated based on an outpatient and inpatient conversion factor separation model developed from SGR and AR by using actual medical expense data. In addition, a policy plan is proposed to calculate the values of single and multiple conversion factors for each type of medical expense, and to effectively use the conversion factor separation model as one of the means to establish a medical delivery system. The major results are as follows. First, at r=0.1, the rate of adjustment in the hospital single conversion index in 2020 was 2.0%, and the outpatient and hospitalization conversion rates for hospitals were 2.2% and 2.3%, respectively. In addition, a combination of outpatient and inpatient conversion factors can be used for the adjustment. Second, as a measure to establish a medical delivery system, instead of adjusting the addition rate, a method of interlocking the addition rate and the conversion factor is proposed. Third, it is necessary to develop a model that enables target management of volumes, in addition to the outpatient conversion factor, the inpatient conversion factor, and the adjustment coefficient.

A Comparison of Field-in-Field Intensity Modulated Radiation Therapy Planning and Conventional Radiation Therapy Planning with Tangential Beam for Breast Cancer (유방암의 접선조사 시 Field-in-Field Intensity Modulated Radiation Therapy와 Conventional Radiation Therapy의 전산화 치료계획에 관한 고찰)

  • Yoo, Soon-Mi;Yeom, Mi-Suk;Kim, Dae-Sup;Back, Geum-Mun;Kwon, Kyeong-Tae
    • The Journal of Korean Society for Radiation Therapy
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    • v.22 no.1
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    • pp.41-46
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    • 2010
  • Purpose: To analyze differences in the dose uniformity for the computed breast radiation therapy planning with tangential beam between conventional RT using wedge filter and FiF-IMRT using multileaf collimator based onsizes and volumes of breasts. Materials and Methods: Thirty breast cancer patients were classified according to the sizes and volumes of the breasts using Eclipse treatment planning system ($Varian^{TM}$, USA, V8.0). Conformity Index and Homogeneity Index were computed along with Dose Volume Histogram. Results: No differencein CI (${\pm}1.2%$) was observed. However, lower mean HI (1.67%) in FiF-IMRT was observed compared to that of the conventional RT. Statically significant (P<0.01) correlation was identified between the values of ${\Delta}HI$ (%) and physical parameters such as breast volumes and separations. Conclusion: Increase in breast volume and separation improves the dose uniformities in computed radiation therapy planning for FiF-IMRT. Physical dimension of the breast should be considered to optimize the compured radiation therapy planning.

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Quantifying Contribution of Direct Runoff and Baseflow to Rivers in Han River System, South Korea (한강수계의 하천에 대한 직접유출과 기저유출의 기여도 정량화)

  • Hong, Jiyeong;Lim, Kyoung Jae;Shin, Yongchul;Jung, Younghun
    • Journal of Korea Water Resources Association
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    • v.48 no.4
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    • pp.309-319
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    • 2015
  • River characteristics in South Korea has been affected by seasonal climatic variability due to climate change and by remarkable land cover change due to rapid economic growth. In this regard, the roles of river management is getting more important to eco-system and human community in watersheds of South Korea. Understanding river characteristics including direct runoff and baseflow, the first step of river management, can give a significant contribution to sustainable river environment. Therefore, the objective of this study is to quantify the contributions of the direct runoff and baseflow to river streamflow. For this, we used the BFLOW and WHAT programs to conduct baseflow separation for 71 streamflow gauge stations in Han River system, South Korea. The results showed that baseflow index for 71 stations ranges from 0.42 to 0.78. Also, gauge stations which have baseflow index more than 0.5 occupied 76% of a total stations. However, baseflow index can be overestimated due to human impacts such as discharge from dams, reservoirs, and lakes. This study will be used as fundamental information to understand river characteristics in river management at the national level.

The Numerical Simulation of a 8-Channel Optical Wavelength Division Multiplexer with Channel Spacing $\Delta\lambda$=0.8 nm

  • Kim, Sang-Duk;Ku, Dae-Sung;Yun, Jung-Hyun;Lee, Jae-Gyu;Kim, Jong-Bin
    • Proceedings of the IEEK Conference
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    • 2002.07a
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    • pp.1-4
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    • 2002
  • The numerical alaysis of optical device, silicabased device, are presented. The purpose of this paper is to simulate and to design a 8-channel optical wavelength division multiplexer(OWDM) based on Mach-Zehnder Interferometer(MZI) with wavelength spacing between channels Δλ=0.8 nm at central wavelength λ=1.55 ${\mu}{\textrm}{m}$. In initial condition fur simulating, we assumed as follows. A channel waveguide is made from silica based P-doped SiO2 core layers in order to coupling with a fiber easily and its core dimension was 6 ${\mu}{\textrm}{m}$$\times$6 ${\mu}{\textrm}{m}$. The core and clad index of channel waveguide were 1.455 and 1.444, separately, at λ=1.55 ${\mu}{\textrm}{m}$. Where, the separation between channel waveguides in coupling region was 3 ${\mu}{\textrm}{m}$. As a result of analysis, a group mode index of channel waveguide was 1.4498370, was gained by Hermite-Gaussian Method(HGM). Also, the channel spacing was determined by the waveguide arm length difference and was Δλ=0.8 nm as like a proposed condition. The central wavelength of a designed-multiplexer was activated about wavelength λ=1.55 ${\mu}{\textrm}{m}$, and we certificated that it can be used to 8-channel optical wavelength division multiplexer/demultiplexer.

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The Effect of Expanded Rice Hulls as a Root Substrate on the Suppression of Anthracnose Crown Rot in Strawberry

  • Park, Gab Soon;Nam, Myeong Hyeon;Choi, Jong Myung
    • Horticultural Science & Technology
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    • v.34 no.2
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    • pp.242-248
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    • 2016
  • This research was conducted to determine the effects of four different substrates, expanded rice hulls (ERH), commercial substrates for strawberries (CSS), clay sand (CS), and loamy sand (LS), on the inhibition of anthracnose crown rot (ACR) in strawberry. Mother plants of 'Seolhyang' strawberry were transplanted into an elevated bed in March, 2013 and March, 2014 and the runners connecting mother plants and daughter plants were cut in early August of both years. After separation, growth characteristics of the daughter plants were measured and then each daughter plant was inoculated with conidial suspensions of Colletotrichum fructicola, one of several species of Colletotrichum that causes ACR in strawberries. The incidence of ACR as influenced by the different substrates was investigated in both years. The daughter plants grown on CSS had the highest values for shoot height, leaf area, and fresh weight. Those grown on ERH and LS substrates also displayed good above-ground growth characteristics except for fresh weight, but the daughter plants grown on CS had the poorest above-ground growth characteristics. The ERH and CS treatments resulted in the highest number of primary roots and the greatest root weight. The CSS-grown daughter plants had the highest ACR disease index, followed by the CS and LS treatments, but there were no significant differences among the three substrates. However, the ERH-grown daughter plants had a markedly lower ACR disease index on October 11, 2013 and October 7, 2014. The CSS-grown daughter plants had high nitrogen and potassium contents and low calcium content, whereas the ERH-grown daughter plants had low nitrogen levels and high silicon levels. The results of this study provide basic information on the ability of the different substrates tested to provide disease suppression of ACR in the propagation of strawberry transplants.

Internal Short-circuiting Estimation in Clearwell : Part A. Improving T10/T Using Intra Basin and Diffuser Wall by Applying ISEM to Field (정수지 내부 단락류 발생 평가 : Part A. 정수장 내부 단락류 분석을 통한 장폭비와 형태가 T10/T 값에 미치는 영향 연구)

  • Shin, Eunher;Lee, Seungjae;Kim, Sunghoon;Park, Heekyung
    • Journal of Korean Society of Water and Wastewater
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    • v.22 no.1
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    • pp.105-112
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    • 2008
  • Disinfection is a basic and effective microorganism inactivation method and historically contributed a decrease in waterborne diseases. To guarantee the disinfection ability, improving T in CT value is important. Many indexes are used to estimate the hydraulic efficiency, however, these are black-box analysis. Therefore it is need to develope new estimation method. In this study, internal short-circuiting estimation method (ISEM) is developed using CFD and we inquire into the factor which causes increase of $T_{10}/T$ value as LW ratio increases. And the effect of shape on the relation of LW ratio and $T_{10}/T$ is analyzed. As LW ratio increases, internal short-circuiting index (ISI) of influent and effluent zone is rapidly reduced and recirculation and dead zone are reduced in channel zone. Therefore, as the $T_{10}/T$ value converges maximum value, ISI curve is changed from "V" shape to "U" shape and hydraulic efficiency is improved especially in downstream portion of clearwell. The less the shape ratio(width/length of clearwell) is the less the $T_{10}/T$ value is at a same LW ratio because the portion of turning zone increases as shape ration decreases, therefore more boundary separation is generated.

Unsupervised Classification of Forest Vegetation in the Mt. Wolak Experimental Forest Using Landsat Thematic Mapper Data (Landsat Thematic Mapper 화상자료를 이용한 월악산 지역 산림식생의 무감독분류)

  • Lee, Sang Hee;Park, Jae Hyeon;Lee, Joon Woo;Kim, Je Su
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.4 no.2
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    • pp.36-44
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    • 2001
  • The main purpose of this study was to classify forest vegetation effectively using Landsat Thematic Mapper data(June, 1994) in mountainous region. The research area was the Mt. Wolak Experimental Forest of Chungbuk National University, near Chungju and Jecheon city, Chungcheongbuk-do. To classify forest vegetation effectively, Normalized Difference Vegetation Index(NDVI) was used to reduce topographic effects. This NDVI was modified and transformed to the value of 0 to 255, and then the modified values were combined with other Landsat Thematic Mapper bands. To classify forest and land cover types, unsupervised classification method was used. The results of this study are summarized as follows. 1. Combinations of band "3, 5, NDVI" in Landsat Thematic Mapper data showed a good separation with high accuracy. The expected classification accuracy was 95.1% in Landsat Thematic Mapper data. 2. The Land Cover types were classified into six groups : coniferous forest, deciduous forest, mixed forest, paddy and grass, non-forest, and other undetectable areas. As these classified results were compared with the reconnaissance survey and aerial black and white infrared photographs, the overall classification accuracy was 76.5% in Landsat Thematic Mapper data. 3. The portion of non-forest in Mt. Wolak area was 1.9%. The percentages of coniferous, deciduous and mixed forests were 30.9%, 35.7% and 26.4%, respectively. 4. As these classified results were compared with other reference data, the percentages of coniferous, deciduous and mixed forests increased, but the portion of non-forest was exceedingly diminished. These differences are thought to be from the different research method and the different season of received Landsat Thematic Mapper data.

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Comparison of Soil Bacterial Community Structure in Rice Paddy Fields under Different Management Practices using Terminal Restriction Fragment Length Polymorphism (T-RFLP)

  • Kim, Do-Young;Kim, Chang-Gi;Sohn, Sang-Mok;Park, Sang-Kyu
    • Journal of Ecology and Environment
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    • v.31 no.4
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    • pp.309-316
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    • 2008
  • To develop a monitoring method for soil microbial communities in rice paddy fields, we used terminal restriction fragment length polymorphism (T-RFLP) to compare soil bacterial community structure in rice paddy fields experiencing different management practices: organic practices, conventional practices without a winter barley rotation, and conventional practices with a winter barley rotation. Restriction fragment length profiles from soils farmed using organic practices showed very different patterns from those from conventional practices with and without barley rotation. In principal component analyses, restriction fragment profiles in organic practice samples were clearly separated from those in conventional practice samples, while principal component analysis did not show a clear separation for soils farmed using conventional practices with and without barley rotation. The cluster analysis showed that the bacterial species compositions of soils under organic practices were significantly different from those under conventional practices at the 95% level, but soils under conventional practice with and without barley rotation did not significantly differ. Although the loadings from principal component analyses and the Ribosomal DNA Project II databases suggested candidate species important for soils under organic farming practices, it was very difficult to get detailed bacterial species information from terminal restriction fragment length polymorphism. Rank-abundance diagrams and diversity indices showed that restriction fragment peaks under organic farming showed high Pielou's Evenness Index and the reciprocal of Simpson Index suggesting high bacterial diversity in organically farmed soils.

Flexural strengthening of RC one way solid slab with Strain Hardening Cementitious Composites (SHCC)

  • Basha, Ali;Fayed, Sabry;Mansour, Walid
    • Advances in concrete construction
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    • v.9 no.5
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    • pp.511-527
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    • 2020
  • The main aim of the current research is to investigate the flexural behavior of the reinforced concrete (RC) slabs strengthened with strain hardening cementitious composites (SHCC) experimentally and numerically. Seven RC slabs were prepared and tested under four-points loading test. One un-strengthened slab considered as control specimen while six RC slabs were strengthened with reinforced SHCC layers. The SHCC layers had different reinforcement ratios and different thicknesses. The results showed that the proposed strengthening techniques significantly increased the ultimate failure load and the ductility index up to 25% and 22%, respectively, compared to the control RC slab. Moreover, a three dimensional (3D) finite element model was proposed to analyze the strengthened RC slabs. It was found that the results of the proposed numerical model well agreed with the experimental responses. The validated numerical model used to study many parameters of the SHCC layer such as the reinforcement ratios and the different thicknesses. In addition, steel connectors were suggested to adjoin the concrete/SHCC interface to enhance the flexural performance of the strengthened RC slabs. It was noticed that using the SHCC layer with thickness over 40 mm changed the failure mode from the concrete cover separation to the SHCC layer debonding. Also, the steel connectors prevented the debonding failure pattern and enhanced both the ultimate failure load and the ductility index. Furthermore, a theoretical equation was proposed to predict the ultimate load of the tested RC slabs. The theoretical and experimental ultimate loads are seen to be in fairly good agreement.

Milk Fat Substitution by Microparticulated Protein in Reduced-fat Cheese Emulsion: The Effects on Stability, Microstructure, Rheological and Sensory Properties

  • Urgu, Muge;Turk, Aylin;Unluturk, Sevcan;Kaymak-Ertekin, Figen;Koca, Nurcan
    • Food Science of Animal Resources
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    • v.39 no.1
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    • pp.23-34
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    • 2019
  • Fat reduction in the formulation of cheese emulsion causes problems in its flowability and functional characteristics during spray-dried cheese powder production. In order to eliminate these problems, the potential of using microparticulated whey protein (MWP) in cheese emulsions was examined in this study. Reduced-fat white-brined cheese emulsions (RF) with different dry-matters (DM) (15%, 20%, and 25% excluding emulsifying salt) were produced using various MWP concentrations (0%-20% based on cheese DM of emulsion). Their key characteristics were compared to full-fat cheese emulsion (FF). MWP addition had no influence on prevention of the phase separation observed in the instable group (RF 15). The most notable effect of using MWP was a reduction in apparent viscosity of RF which significantly increased by fat reduction. Moreover, increasing the amount of MWP led to a decrease in the values of consistency index and an increase in the values of flow behavior index. On the other hand, using high amounts of MWP made the emulsion more liquid-like compared to full-fat counterpart. MWP utilization also resulted in similar lightness and yellowness parameters in RF as their full-fat counterparts. MWP in RF increased glossiness and flowability scores, while decreased mouth coating scores in sensory analyses. Fat reduction caused a more compact network, while a porous structure similar to FF was observed with MWP addition to RF. In conclusion, MWP showed a good potential for formulation of reduced-fat cheese emulsions with rheological and sensorial characteristics suitable to be used as the feeding liquid in the spray drying process.