• Journal of Korean Academy of Nursing
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• v.45 no.1
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• pp.35-45
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• 2015

Purpose: This study was done to determine whether muscle strength training programs have an impact on improving symptoms of urinary incontinence (UI) and physical function among elderly women with UI who reside in long-term care facilities. Methods: A randomized controlled trial was conducted. Participants had to be over 65 years, score over 15 score on the mini-mental state examination, and be able to walk alone or with an assistant. Seventy residents were randomly allocated to either the training group (n=35) or control group (n=35). The program consisted of 50 minutes, twice a week for 8 weeks, and included Kegel's exercise, Thera-band training and indoor walking. Main outcomes were UI symptoms, peak vaginal pressure and physical functions measured with timed up and go test (TUG), one leg standing test (OLST), activities of daily living (ADL) and grip strength. Changes in outcome measurements were calculated from baseline to 4 weeks and to 8 weeks using repeated measures ANOVA. Results: There were significant differences in peak vaginal pressure (p<.001), TUG (p<.001), OLST (p=.012) and grip strength (p<.001) in the interaction between groups and time. Conclusion: Future studies are suggested to confirm the effect of muscle strength training in long-term care facilities where elderly women with UI reside.

• Health Policy and Management
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• v.30 no.1
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• pp.72-81
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• 2020

Background: The out-of-pocket maximum is one of the distinctive healthcare systems which sets a ceiling on co-payment in order to reduce the burden of households from the unpredictable medical expenditure. However, this leads to an increase in the demand for healthcare services especially in long-term care hospitals (LTCHs) in Korea. Methods: This study analyzed the influence factor of medical service overuse of 165,592 inpatients in LTCHs which out-of-pocket maximum is applied, by utilizing data from the National Health Insurance Service (2016). Based on Anderson Model, the medical service overuse, as a dependent variable, was defined as long-stay admission more than 180 days at the LTCHs. Independent variable was comprised of predisposing factors (gender, age), enabling factors (income level, types of out-of-pocket maximum) and need factors (illness level, patient use of tertiary hospital). Results: The most powerful factor of medical service overuse in LTCHs was availability of pre-payment for the out-of-maximum (odds ratio [OR], 191.66; p<0.001). This tendency was found in high income level status (p<0.001). Furthermore, mild inpatients (OR, 1.50; p<0.001) which had no experience with the tertiary hospitals (OR, 2.06; p<0.001) were more relevant to the medical service overuse in LTCHs, compared to the severe inpatients. Conclusion: It is suggested that a separate standard of out-of pocket maximum with regards to LTCHs is required to secure the beneficial functions of long-term hospitals and prevent unnecessary financial leakage to achieve sustainable and financially sound National Health Insurance.

• Journal of recreation and landscape
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• v.12 no.4
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• pp.59-66
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• 2018

The purpose of the present study was to compare the long-term management objectives, policy objectives, implementation plans, and detailed plans of four provincial parks established in 2013 using various analysis frameworks. Through this, the study aimed to identify the characteristics of the management plan and extract the implementation plan important to each park by analyzing the priorities in the detailed plan. The long-term management objectives of most parks were to maintain recreational functions by utilizing all the resources of the park, rather than merely preserving the ecosystem. From an ecological perspective, information on major plants and legal protection species are included for most parks, and geological and topographic features considered a major resource. For sustainable forests, it is important to induce the dispersion of concentrated use space. Efficient management systems are distinctively differentiated among the parks. For regional revitalization, the management of programs to link provincial parks and their surrounding areas has become most important. From an ecological perspective, priorities differed for the parks according to their ecological characteristics. For sustainable forests, Moaksan Provincial Park prioritized the visitor reservation system related to the overall park, while the other three parks prioritized alleviating the concentrated use of specific areas. From an efficient management perspective, Daedunsan Provincial Park prioritized aspects related to the cableway. Maisan Provincial Park prioritized inducing the linkage between the use of natural and cultural resources, and Seonunsan Provincial Park prioritized establishing an ecological and cultural commentary operating system. For the base-type leisure activity space, Moaksan Provincial Park prioritized the systematic management and operation of the pilgrimage route, Maisan Provincial Park the connection between the Maisan geography and residents' income, and Seonunsan Provincial Park providing a space for ecological education.

• Journal of Veterinary Science
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• v.23 no.4
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• pp.61.1-61.10
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• 2022

Background: Although there are growing demands for stem cell-based therapy for companion animals in various diseases, a few clinical trials have been reported. Moreover, most of them are the results from only one or a few times of stem cell injection. Objectives: The aim of this study is to describe a long-term treatment with allogeneic adipose-derived stem cells (ASCs) in a dog with rheumatoid arthritis (RA), which is a rare canine disease. Methods: The dog with RA received intravascular injection of allogeneic ASCs derived from two healthy donors once a month for 11 months. To assess therapeutic effects of ASCs, orthopedic examination and clinical evaluation was performed. Cytokines of tumor necrosis factor-α and interleukin-6 in the plasma were measured using ELISA analysis. Results: Despite this repeated and long-term administration of allogeneic ASCs, there were no side effects such as immunorejection responses or cell toxicity. The orthopedic examination score for the dog decreased after ASCs treatment, and the clinical condition of the dog and owner's satisfaction were very good Conclusions: Although ASCs has been suggested as one of the options for RA treatment because of its anti-inflammatory and immunosuppressive functions, it has never been used to treat RA in dogs. The present report describes a case of canine RA treated with allogeneic ASCs for long-term in which the dog showed clinical improvement without adverse effects.

• The Journal of the Acoustical Society of Korea
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• v.29 no.3
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• pp.200-208
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• 2010

In this work, the minimum statistics (MS) algorithm is combined with the codebook driven short-term predictor parameter estimation (CDSTP) to design a speech enhancement algorithm that is robust against various background noise environments. The MS algorithm functions well for the stationary noise but relatively not for the non-stationary noise. The CDSTP works efficiently for the non-stationary noise, but not for the noise that was not considered in the training stage. Thus, we propose to combine CDSTP and MS. Compared with the single use of MS and CDSTP, the proposed method produces better perceptual evaluation of speech quality (PESQ) score, and especially works excellent for the mixed background noise between stationary and non-stationary noises.

• The Korean Journal of Physiology
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• v.10 no.2
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• pp.11-16
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• 1976

In hold that the pulmonary functions which is important situation that the national physical power, at firstly, from age 10 to age 29 young men and women 1,540 person for the progress of grew up, and them to by each aged viewing transition for pulmonary functions physical examination record is as following; and to measure normal Person with comparison by each others pulmonary functions was gained as the results of follows. 1) Frequency of Breathing: It was same the male and female age at 10 per minute over or less of 20 times, but, at age 16 to 17 was $15{\sim}16$ times, and had to precensed compare constant value. 2) Vital Capacity: At the grew up Pregress term as the body stature, age 10 to 17 or 18, had to showing rapidly increasing, but the after Probably constant. The comparison value in man and women in progress of growth up was about $200{\sim}300ml$, and after growth of progress are about 1,500ml, add in men was presence more highly value. 3) Tidal Volume: At a9e 10 was 365m1, but, it was continuing increasing, an4 at age 20 is about 500m1, and the different in men and women about $20{\sim}30$ times and had precense highly value at men. 4) Breathing holding time: It was presence same at male and femele 10 to 13, from 35 second to $37{\sim}38$ seconds, and had to Presence a slight increasing, but, may has to final of the growth progrees age at 14, it should be presence rapidly increasing and the after probably presence as same value but, than female at male is high record average value of $7{\sim}8$ seconds.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.16 no.10
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• pp.7189-7195
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• 2015

The method of moments (MoM) is implemented to simulate scattering from a PEC (perfectly electric conductor) cylinder in the TE(transversw electric) EFIE (Electric Field Integral Equation) approach. The procedure expresses the singularity integral and the hypersingularity integral in terms of an analytic function and employs a singularity isolation process coupled with numerical technique along the discretized segment to evaluate the self terms. It is known that, in the MoM technique, the choice of base functions and test functions is very important for the accuracy and convergence of the numerical analysis. Thus, in this paper, three conditions, obtained from the combination of basis functions and test functions, are adopted to get the induced currents on the PEC surface. These currents are compared to the analytical one in the relative rms current error to get the condition that shows fast convergence rate. The fast order of convergence of the current error, 2.528, is obtained under the combination of pulse basis function/delta test function.

• Journal of Korean Society of Disaster and Security
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• v.15 no.1
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• pp.1-12
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• 2022

An automatic optimization technique is used to estimate the optimal parameters of the hydrologic model, and different hydrologic response results can be provided depending on objective functions. In this study, the parameters of the event-based rainfall-runoff model were estimated using various objective functions, the reproducibility of the hydrograph according to the objective functions was evaluated, and appropriate objective functions were proposed. As the rainfall-runoff model, the storage function model(SFM), which is a lumped hydrologic model used for runoff simulation in the current Korean flood forecasting system, was selected. In order to evaluate the reproducibility of the hydrograph for each objective function, 9 rainfall events were selected for the Cheoncheon basin, which is the upstream basin of Yongdam Dam, and widely-used 7 objective functions were selected for parameter estimation of the SFM for each rainfall event. Then, the reproducibility of the simulated hydrograph using the optimal parameter sets based on the different objective functions was analyzed. As a result, RMSE, NSE, and RSR, which include the error square term in the objective function, showed the highest accuracy for all rainfall events except for Event 7. In addition, in the case of PBIAS and VE, which include an error term compared to the observed flow, it also showed relatively stable reproducibility of the hydrograph. However, in the case of MIA, which adjusts parameters sensitive to high flow and low flow simultaneously, the hydrograph reproducibility performance was found to be very low.

• Smart Structures and Systems
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• v.15 no.2
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• pp.469-488
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• 2015

Thermal loads, especially thermal gradients, have a considerable effect on the behaviors of large-scale bridges throughout their lifecycles. Bridge design specifications provide minimal guidance regarding thermal gradients for simple bridge girders and do not consider transversal thermal gradients in wide girder cross-sections. This paper investigates the three-dimensional thermal gradients of arch bridge girders by integrating long-term field monitoring data recorded by a structural health monitoring system, with emphasis on the vertical and transversal thermal gradients of wide concrete-steel composite girders. Based on field monitoring data for one year, the time-dependent characteristics of temperature and three-dimensional thermal gradients in girder cross-sections are explored. A statistical analysis of thermal gradients is conducted, and the probability density functions of transversal and vertical thermal gradients are estimated. The extreme thermal gradients are predicted with a specific return period by employing an extreme value analysis, and the profiles of the vertical thermal gradient are established for bridge design. The transversal and vertical thermal gradients are developed to help engineers understand the thermal behaviors of concrete-steel composite girders during their service periods.

• Journal of the Korean Society of Marine Environment & Safety
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• v.15 no.3
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• pp.229-236
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• 2009

This paper intended to find rational alternatives for contracting-out of duties of the Busan port Pier Management Corporation, which is facing the merger and abolition, and of which main functions include the management of port facilities such as International Passenger Terminal, Cruise Terminal and Coast Passenger Terminal. This paper searched appropriate term, needs (merits), proper scope and cost of the contracting-out of that port facilities. The result of the analysis indicated that the best policy is to privatize the Busan port Pier Management Corporation itself to make it an private incorporated company.