• Health Policy and Management
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• v.24 no.1
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• pp.24-34
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• 2014

Background: Bankrupted households have recently been increased due to excessive medical expenditure in Korea. They have not been protected from economic risk when household's member has severe diseases that need a lot of money for treatment. Purpose of this study examines policy effect by comparing unmet needs' change of policy object households and non-object groups. Methods: We used Korea Health panel 2nd 4th data collected by Korea Institute for Health and Social Affairs and National Health Insurance Service. Analysis subjects were 381 households (pre-policy) and 393 households (post-policy) that had cancer and cardiovascular and cerebrovascular diseases. Since it was major concern that estimates benefit strengthening policy started by certain time, we setup comparing households which had diabetes, hypertension disease. Comparison subjects were 393,247 households, respectively and we evaluated policy effect using difference in difference (DID) model. Results: Although unmet needs of policy object households were higher than non-object groups, policy execution variable affected negative direction. But interaction-term which shows pure effect of policy was not statistically significant. We utilized multi-DID model to examine factors affecting unmet needs causes. Copayment assistance policy did not significantly affect households that responded to 'economic reason,' and 'no have time to visit' for unmet needs causes. Conclusion: The second copayment assistance policy did not significantly give positive effect to beneficiary households than non-beneficiary groups. When we consider that primary purpose of public insurance guarantee high medical expenditure occurred by unexpected events, it needs to deliberate on switch of benefit strengthening policy that can assist vulnerable people. Also, we suggest that government forward a policy covering non-reimbursable medical expenses as well as switch of benefit strengthening direction because benefit policy do not affect non-covered medical cost which accounts for quarter of total health expenditure.

• Journal of the Korea institute for structural maintenance and inspection
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• v.19 no.5
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• pp.10-21
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• 2015

Many studies have been carried out on carbon fiber-reinforced plastic sheet(hereafter CFRP sheet)-confined concrete specimens for improve structural performance of concrete structures. To complement the existing studies, a parametric study is conducted to examine the effect of various design parameters such as layers of CFRP sheet, size and aspect ratio of specimens, and overlap length. The behavior of CFRP-confined concrete is compared using stress-strain curves of each specimen. And the strengthening effect of CFRP sheet is examined by maximum compressive strength. As the layers of CFRP sheet increases, structural performance of CFRP-confined concrete is significant increased. If the overlap length is more than 5% of circumstance, strengthening effect is not affected. In addition, a test database assembled from test results and existing studies is presented. Using these test database, accuracy and reliability of the existing strength models for CFRP-confined concrete are verified.

• Journal of Industrial Convergence
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• v.20 no.4
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• pp.85-93
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• 2022

The purpose of this study was to verify whether strengthening family competency plays a mediating role in the influence of parents' parenting efficacy on the independent life of children with developmental disabilities. The subjects of the study were 146 parents with developmental disabilities, and data analysis using the SPSS 22.0 program was conducted. The mediating effect was Baron and Kenny Hierarchical regression analysis and sobel-test were conducted. As a result of the study, the positive effect of parents' parenting efficacy on the level of self-reliance and strengthening family competency of children with developmental disabilities was verified. In addition, the positive mediating effect of strengthening family competency was verified between the parenting efficacy of parents and the level of independence of children with developmental disabilities. As a result of the study, it is important to support parents' parenting and family capacity enhancement to support the independence of children with developmental disabilities.

• Journal of Korean Physical Therapy Science
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• v.9 no.1
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• pp.61-68
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• 2002

The purpose of this dissertation was to analyze the effect of trunk extension strengthening exercise on muscle performance of the upper limb in adolescent baseball player. The twenty people were studied : experimental group(10), comparative group(10). The experimental group has done trunk extension strengthening exercise for 8 weeks. The study analyzes isometric maximal strength of shoulder internal rotation. shoulder external rotation, elbow flexion, elbow extension, forearm pronation, forearm supination and ball speed. All of subjects were tested for 3 times ; pre, mid, post. The results were as follows; 1. Maximal isometric strength of upper limb, during trunk extension strengthening exercise in experimental group, shoulder internal rotation and external rotation showed it has slightly increased and comparative group showed it has no change, but not significant elbow flexion and extension significantly(p<0.05) increased after exercise either for 4 or 8 weeks compared with that of control group. Forearm pronation showed not significantly changed in both group, but significantly different between group either for 4 or 8 weeks. Forearm supination, significantly((p<0.05) increased after 8 weeks in experimental group. 2. Ball speed showed slightly increased but not significantly in experimental group. These results it may expect improvement of upper limb muscle performance of upper limb in adolescent baseball player. However, in case of shoulder a point of view of bunk extension strengthening exercise of this study hasn't a significant influence. More experimental studies are needs, hereafter which will use more experimental subjects and various methods of exercise and new application of treatment term to define significant change.

• Journal of the Korea institute for structural maintenance and inspection
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• v.9 no.3
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• pp.178-186
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• 2005

In this study, the PSC girder bridge retrofitted with external tendons is tested to verify the strengthening effects. We measure the variations of the displacement and strain at mid-span of each beam as external tendons are removed in sequence. The structural behavior of the bridge are examined using controlled truck load tests for the systems before and after all external tendons were removed. From the test results, the characteristics of structural behavior of the bridge do not change significantly, but the natural frequency is decreased after the external tendons are removed. The strengthening effects of bridges can be exactly estimated by analytical methods some extent. As a result of this study, when a PSC girder bridge is deteriorated, the bridge can be retrofitted effectively by External Prestressing Strengthening Method, and the strengthening effects can be predicted through accurate structural analysis.

• Physical Therapy Korea
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• v.27 no.1
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• pp.19-29
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• 2020

Background: Stretch-oriented home exercise programs are often used as treatments for patients with adhesive capsulitis; however, there is lack of research on home exercise programs to strengthen rotator cuffs. Objects: The aim of this study is to investigate the effect of home exercise programs for rotator cuff strengthening on pain, range of motion (ROM), disability level, and quality of life in patients with adhesive capsulitis. Methods: Twenty-two patients with adhesive capsulitis volunteered to participate in this study. The subjects were randomly divided into an experimental group (n = 11) and control group (n = 11). For the experimental group, manual therapy and home exercise programs for rotator cuff strengthening were applied for 6 weeks; for the control group, only manual therapy was applied for 6 weeks. Shoulder pain (quadruple visual analogue scale, QVAS), ROM, disability (shoulder pain and disability index-Korean version, SPADI), and quality of life (world health organization quality of life scale-Korean version, WHOQOL-BREF) were evaluated at baseline, after 3 weeks, and after 6 weeks of intervention. The changes in the measurement variables were analyzed by using repeated measure analysis of variance. Results: Significant differences were observed between the experimental group and control group in the QVAS; SPADI-pain scores; SPADI-disability scores; SPADI-total scores; flexion, abduction, internal and external rotation ROM of the glenohumeral joint; and WHOQOL-BREF total, overall, physical health, and psychological scores. All groups displayed statistically significant improvements as observed in the QVAS, SPADI, flexion, abduction, external and internal rotation ROM of the glenohumeral joint, and WHOQOL-BREF. Conclusion: Home exercise programs for rotator cuff strengthening had a positive impact on shoulder pain, shoulder ROM, disability level, and quality of life in patients with adhesive capsulitis. Therefore, we propose the use of home exercise programs for rotator cuff strengthening in the exercise rehabilitation of patients with adhesive capsulitis.

• Steel and Composite Structures
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• v.30 no.4
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• pp.393-403
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• 2019

Cold-formed steel (CFS) has a great potential to meet the global challenge of fast-track and durable construction. CFS members undergo large buckling instabilities due to their small wall thickness. CFS beams with corrugated webs have shown great resistance towards web buckling under flexure, when compared to the conventional I-sections. However, the magnitude of global imperfections significantly affects the performance of CFS members. This paper presents the first attempt made to experimentally study the effect of global imperfections on the structural efficiency of various strengthening schemes implemented in CFS beams with corrugated webs. Different strengthening schemes were adopted for two types of beams, one with large global imperfections and the other with small imperfections. Strength and stiffness characteristics of the beams were used to evaluate the structural efficiency of the various strengthening schemes adopted. Six tests were performed with simply supported end conditions, under four-point loading conditions. The load vs. mid-span displacement response, failure loads and modes of failure of the test specimens were investigated. The test results would compensate the lack of experimental data in this area of research and would help in developing numerical models for extensive studies for the development of necessary guidelines on the same. Strengthening schemes assisted in enhancing the member performance significantly, both in terms of strength and stiffness. Hence, providing an economic and time saving solution to such practical structural engineering problems.

• Structural Engineering and Mechanics
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• v.77 no.3
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• pp.329-342
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• 2021

In this paper, the effect of different steel bar configurations on the quasi-static punching and impact response of concrete slabs was studied. A total of forty RC square slab specimens were cast in two groups of concrete strengths of 40 and 63 MPa. In each group of twenty specimens, ten specimens were reinforced at the back face (singly reinforced), and the remaining specimens were reinforced on both faces of the slab (doubly reinforced). Two rebar spacing of 25 and 100 mm, with constant reinforcement ratio and effective depth, were used in both singly and doubly reinforced slab specimens. The specimens were tested against the normal impact of cylindrical projectiles of hemispherical nose shape. Slabs were also quasi-statically tested in punching using the same projectile, which was employed for the impact testing. The experimental response illustrates that 25 mm spaced rebars are effective in (i) decreasing the local damage and overall penetration depth, (ii) increasing the absorption of impact energy, and (iii) enhancing the ballistic limit of RC slabs. The ballistic limit was predicted using the quasi-static punching test results of slab specimens showing a strong correlation between the dynamic perforation energy and the energy required for quasi-static perforation of slabs.

• The Journal of Korean Physical Therapy
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• v.34 no.3
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• pp.121-127
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• 2022

Purpose: This study aims to compare the effect on balance during core and ankle muscle strengthening exercises using the Thera-Band. Methods: 21 healthy college students were recruited. The participants were divided into a core strengthening group (CSG), an ankle strengthening group (ASG), and a non-exercise group (NEG). CSG and ASG were performed twice a week for a total of 4 weeks, and static and dynamic balance were measured before and after the intervention. The static balance were measured as stability index and weight distribution index using Tetrax^®. The dynamic balance was measured in each direction by the Y balance test. The Thera-Band intensity was increased after 2 weeks of exercise, and the exercise was subsequently performed. Results: Participants showed static balance with Tetrax^®, a significant difference was noted between normal eye closes and pillow with eye closes in ASG (p<0.05). In the case of dynamic balance with the Y balance test, a significant difference was observed in posterolateral direction (PL) and composite score (CS) between each group for the pre- and post-intervention differences (p<0.05). A significant difference was observed between PL and CS in CSG (p<0.05). Conclusion: These findings show that the progressive Thera-Band exercise had a positive effect on balance abilities. It was confirmed that core strengthening was effective for dynamic balance, and ankle strengthening was effective for static balance.

• Advances in concrete construction
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• v.16 no.4
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• pp.205-216
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• 2023

Concrete structures may become vulnerable during their lifetime due to several reasons such as degradation of their material properties; design or construction errors; and environmental damage due to earthquake. These structures should be repaired or strengthened to ensure proper performance for the current service load demands. Several methods have been investigated and applied for the strengthening of reinforced concrete (RC) structures using various materials. Fiber reinforced polymer (FRP) reinforcement is one of the most recent type of material for the strengthening purpose of RC structures. The main objective of the present research is to identify the behavior of reinforced concrete slabs strengthened with FRP bars by using near surface mounted (NSM) technique. Validation study is conducted based on the experimental test available in the literature to investigate the accuracy of finite element models using LS-DYNA to present the behavior of the models. A parametric analysis is conducted on the effect of FRP bar diameters, number of grooves, groove intervals as well as width and height of the grooves on the flexural behavior of strengthened reinforced slabs. Performance of strengthening RC slabs with NSM FRP bars was confirmed by comparing the results of strengthening reinforced slabs with control slab. The numerical results of mid-span deflection and stress time histories were reported. According to the numerical analysis results, the model with three grooves, FRP bar diameter of 10 mm and grooves distances of 100 mm is the most ideal and desirable model in this research. The results demonstrated that strengthening of reinforced concrete slabs using FRP by NSM method will have a significant effect on the performance of the slabs.