• 농촌의학ㆍ지역보건
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• 제16권2호
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• pp.179-194
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• 1991

Despite its universal coverage of health insurance, the rural health insurance program(RHIP) stands at the crossroads in Korea. The RHIP has weaknesses in stability of financing, problems of inequities in the provision of health services and has suffered from high cost of running the program. The author has analyzed these problems from the perspective of health insurance policy and presented several options for improvement. First of all, this study urged the importance of a firm Governmental commitment of RHIP with the 50% subsidization of contributions as the Government had promised, instead of the current 40%. This can be justified from the 20% subsidization by the Government for the contributions of private school teachers and their dependents, who belong to richer segments of the population. Second, various cost containment measures ought to be sought curbing the rising demand for medical through strengthening health education and increasing individual responsibility, and tightening the claim review process. Third, this study requires the Government to run a demonstration project on the introduction of case payment system for primary health care. Fourth introducing an income-related cost sharing scheme is another possibility. Reforming the cost sharing formula for large medical expenditures is recommendable for a beginning. This measure can take the form of tax credit for medical expenditures of the poor. Fifth, the degree of financial adjustment among health insurance plans should be levelled up for enhancing stability of RHIP and social solidarity. Sixth, health policy should be redirected toward development of rural health resources and higher priority should be put on relieving difficulties in access to care. Seventh. the insurance plan owned-hospital needs to be developed or provision of health services in the medically underserved areas, and the need of such facilities is particularly acute for geriatric care, rehabilitation and renal dialysis, etc. Eighth, more generous insurance benefits are required of the elderly who are suffering the most : elimination of the maximum 180 days of benefit period and provision of glasses and artificial dentures, etc. Ninth. the economies of scale principle is working for the operating expenses of regional self-employed insurance plan. Thus, measures should be instituted to pursue an optimum size of health insurance plans. Lastly, excessive dependence on exclusion items is an evil so that some radical remedies are urgently required to cut them.

• International Journal of Fluid Machinery and Systems
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• 제6권2호
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• pp.105-112
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• 2013

The application of contra-rotating rotors for higher specific speed pump has been proposed in our studies, which is in principle effective for reducing the rotational speed and/or the pump size under the same specification of conventional axial flow pump. In the previous experiments of our prototype, the cavitation inception at the tip region of the rear rotor rather than that of the front rotor and the strong potential interaction from the suction surface of the rear rotor blade to the pressure surface of the front one were observed, indicating the possibility to further improve the pump performance by optimizing rotational speed combination between the two rotors. The present research aims at the design of rear rotor with lower rotational speed. Considering the fact that the incoming flow velocity defects at the tip region of the rear rotor, an integrated inflow model of 'forced vortex' and 'free vortex' is employed. The variation of maximum camber location from hub to tip as well as other related considerations are also taken into account for further performance improvement. The ideas cited above are separately or comprehensively applied in the design of three types of rear rotor, which are subsequently simulated in ANSYS CFX to evaluate the related pump performance and therefore the whole low speed design idea. Finally, the experimental validation is carried out on one type to offer further proofs for the availability of the whole design method.

• Journal of Biosystems Engineering
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• 제5권1호
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• pp.43-50
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• 1980

The milling plants in Korea have been generally used the paddy-separator that operated in accordance with the principle of sieving action. This type of paddy separator was considered as inefficient, especially in relation to the new high-yielding varieties which have different size characteristics within their varieties and also as compared to traditional varieties. With the installation of modern paddy separator it may be possible to increase the overall milling system efficiency and to reduce the grain loss. This study was intended to identify and define important parameters required for assessing the separation performance of a tray-type paddy separator and to determine the optimum conditions of the inclination of separator-table. The results of the study were summarized as follows : (1) Separation performance can be given by use of many parameters found from the measurement of separator outputs. such as upper-tail recovery $(\varepsilon)$, purity of upper-tail $(\gamma)$ , separation recovery of brown rice $(\alpha)$, separation recovery paddy $(\beta)$, and efficiency of separator $(\epsilon)$, Among these para-meters , $\varepsilon$, $\gamma$, $\alpha$ and $\beta$, were designated , respectively, their independent properties of the paddy separator. In addition, their modes of variation due to a varied inclination of the separation table did not indicated in the same direction . However, the efficiency of separator had an advantage to indicate the overall characteristics of the separator performance with a clear optimum inclination condition of the separator table. (2) The optimum feed rate and maximum efficiency of the separator did not occur at the identical inclination of the separator table. Thus, for its practical operation it is necessary to compromise between the qualitative and quantitative performances of the separator. (3) The optimum setting of the separator table tested in the study showed to occur at its inclination of approximately $26^\circ<$/TEX> for the front and $8^\circ<$/TEX> for lateral.

• 수산경영론집
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• 제1권1호
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• pp.19-68
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• 1970

This is a study of a long term project to encourage the Korean fishing industry. It seeks to supply a sound theoretical background in an attempt to liberalize the capital investment of the industry. However, the discussions developed in this thesis are based on, the existing world's fisheries resources, the possibility of their prospective cultivation, and the analysis of the evolution of Korean fisheries and fisheries organization. According to the reasults of the analysis ; out of the prospective world fisheries resources which are estimated at about 200 millions m/t the total yield per year is only about 70 millions m/t (1969), and Korea occupies only 850 thousands m/t. This therefore means that the Korean fishing industry allows much room for further growth. But the purpose of Korea's existing fishing industry organizations is entirely directed toword coastal fisheries and their functions never reache beyond the limit of off-shore fisheries. Thus almost 99% of the fisheries population engage in small scale fisheries along the coast line. The result is that the resource are almost exhausted by such over-exploitation. Being faced by this fact, it is of urgent necessity to modernize the management of fisheries as well as to encourage larger scale management of fisheries industries. This should be accompanied by the liberalization of capital investment. For this purpose this study also recommends the unification or annexation of small organizations to establish larger ones that will function for a larger scale industry. and further this study recommends that, in order to reorganize the existing fisheries organizations, a principle of selection should be applied in the areas of (1) maximum sustainable yields, (2) the possibility of forming an enterprise and (3) the maintenance of organization stability.

• 대한한의학원전학회지
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• 제34권2호
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• pp.45-62
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• 2021

Objectives : To study the characteristics and meaning of the division pharmaceutical method in the Donguibogam through analysis of formulas that apply such method. Methods : Each formula applying the division method within the Donguibogam was analyzed Results & Conclusions : In the Donguibogam, medicinals to which the division pharmaceutical method was applied were baizhu[白朮], cangzhu[蒼朮], zhiqiao[枳殼], wuzhuyu[吳茱萸], xiangfuzi[香附子], chuanlianzi[川練子], huangbo[黃柏], etc. Formulas where this method was used were few, while the four methods that were used, together with the Center represents the principle of the five phases. The formulas that applied the division method usually did not adopt the tablet or decoction form, which means they were meant to treat slowly, treating deficiency or stagnation diseases due to problems in the middle-lower body such as the Spleen, Liver and Kidney. It could be said that compared to other more common formulas, this was a unique method. The division pharmaceutical method allows for usage of a wider variety of processing methods compared to single ingredient formulas, while there is lower chance of interference among the different types of processing. Another benefit is that the properties of the main medicinal ingredient could be preserved as much as possible. In addition, the division method allows for the main ingredient and the processed ingredient to interact exclusively, after which the processed medicinal is eliminated leaving only the main ingredient. This allows for maximum improvement of the main ingredient. The division method includes the principles of formula composition as well, whose concept could be positioned between single ingredient formulas and common formulas.

• Computers and Concrete
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• 제26권2호
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• pp.127-136
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• 2020

There is an inherent randomness for concrete microstructure even with the same manufacturing process. Meanwhile, the concrete material under the aqueous environment is usually not fully saturated by water. This study aimed to develop a stochastic micromechanical framework to investigate the probabilistic behavior of the unsaturated concrete from microscale level. The material is represented as a multiphase composite composed of the water, the pores and the intrinsic concrete (made up by the mortar, the coarse aggregates and their interfaces). The differential scheme based two-level micromechanical homogenization scheme is presented to quantitatively predict the concrete's effective properties. By modeling the volume fractions and properties of the constituents as stochastic, we extend the deterministic framework to stochastic to incorporate the material's inherent randomness. Monte Carlo simulations are adopted to reach the different order moments of the effective properties. A distribution-free method is employed to get the unbiased probability density function based on the maximum entropy principle. Numerical examples including limited experimental validations, comparisons with existing micromechanical models, commonly used probability density functions and the direct Monte Carlo simulations indicate that the proposed models provide an accurate and computationally efficient framework in characterizing the material's effective properties. Finally, the effects of the saturation degrees and the pore shapes on the concrete macroscopic probabilistic behaviors are investigated based on our proposed stochastic micromechanical framework.

• 의료법학
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• 제15권2호
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• pp.91-122
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• 2014

For a variety of reasons, the number of medical disputes is continuously rising. Due to the intrinsic qualities of medical treatments, one would find it more apt to subject medical disputes to general conflict resolution procedures rather than to once-for-all decisions under legal suits. To address the increasing medical disputes with greater professionalism and efficiency, the Medical Disputes Mediation Act was enacted and a medical dispute mediation system put in place, while drawbacks have been blamed to both. The current mediation procedures require the respondent's agreement as a disclosure requirement. A reasonable improvement to this would be to amend the regulation of agreement supposition, or to enforce procedural participation only to public health facilities managed by the national or regional government. Furthermore, small claims cases of 20 million KRW or less in claim may be considered for conciliation-prepositive principle. The concentration on small claim medical disputes is a phenomenon that can be addressed by carrying out maximum authentication commissions or similar measures, one of the solutions by enhancing the public trust in the Korea Medical Dispute Mediation and Arbitration Agency. The proper management of medical authentication teams is one way to address the existing problems in the authentication system. For this, the number of team members shall be increased under more flexible authentication procedures. All indemnity resources for medical accidents of force majeure must be borne by the Government, for it is the body principally responsible for social compensation. Placing this cost on the establisher of the subject medical facility holds the possibility of violating fundamental rights. While the costs for subrogation payment system for damages may be borne by the healthcare facility establisher, a deposit-based system must be created for cases in which the facility shuts down, without holding the responsibility for accident cause. Such change to a deposit-based system will evade the controversies of unconstitutionality, etc.

• 한국펄프종이공학회:학술대회논문집
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• 한국펄프종이공학회 2000년도 제26회 펄프종이기술 국제세미나
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• pp.1-10
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• 2000

The development of paper machines, increasing machine speeds with new, mostly low basis weight and/or high ash content paper grades, as well as the fact that several trends regarding process items have increased the sensitivity of papermaking. At the same time, papermakers are looking for flexibility in the production line. We can say that with all PMs the biggest benefits with the lowest capital spending can be achieved by focusing on improved wet end management. In order to manage wet end chemistry on a paper machine, our goal is to control sub-process through which we can influence the operation of the entire wet end with maximum effect. Key measurements and controls are-white water consistency control which is the most effective way to control retention - charge demand measurement and control which takes care of concentration of the anionic material entering to PM -ash measurements and controls which are deeply related to retention and paper quality This paper presents and concentrates to two of these key controls ; retention and charge. The purpose of charge control is to give the process control the tools to react to changes caused by amount of dissolved and colloida material incoming to wet end system. It is called coagulation or fixing control. Retention control is then taking care of retention aid flow to the process by responding any changes seen in white water consistency. It is called flocculation control. Each of these solutions separately , and even more effectively all together, stabilize the wet end operations and so greatly improve the produced paper quality and machine runnability. Practical results will be presented and they are referring to the latest mill cases. We have developed the first wet end measuring system in the late 1980s and control solutions based on this modern measuring technology were completely updated in 1990s. This paper introduces the principle, operation , and results of our unique wet end analyzers (retention and charge ) which are at the level of automation solutions as a part of paper machine quality control Especially our newest member of the platform , on-line charge analyzer has reached and set new standards to the on-line charge monitoring.

• Journal of Power Electronics
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• 제19권4호
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• pp.881-893
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• 2019

This paper proposes a practical sliding-mode controller design for shaping the impedances of cascaded boost-converter power decoupling circuits for reducing the second order harmonic ripple in photovoltaic (PV) current. The cascaded double-boost converter, when used as power decoupling circuit, has some advantages in terms of a high step-up voltage-ratio, a small number of switches and a better efficiency when compared to conventional topologies. From these features, it can be seen that this topology is suitable for residential (PV) rooftop systems. However, a robust controller design capable of rejecting double frequency inverter ripple from passing to the (PV) source is a challenge. The design constraints are related to the principle of the impedance-shaping technique to maximize the output impedance of the input-side boost converter, to block the double frequency PV current ripple component, and to prevent it from passing to the source without degrading the system dynamic responses. The design has a small recovery time in the presence of transients with a low overshoot or undershoot. Moreover, the proposed controller ensures that the ripple component swings freely within a voltage-gap between the (PV) and the DC-link voltages by the small capacitance of the auxiliary DC-link for electrolytic-capacitor elimination. The second boost controls the main DC-link voltage tightly within a satisfactory ripple range. The inverter controller performs maximum power point tracking (MPPT) for the input voltage source using ripple correlation control (RCC). The robustness of the proposed control was verified by varying system parameters under different load conditions. Finally, the proposed controller was verified by simulation and experimental results.

• Steel and Composite Structures
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• 제44권1호
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• pp.81-89
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• 2022

The purposes of the present work it to study the effect of shear deformation on the static post-buckling response of simply supported functionally graded (FGM) axisymmetric beams based on classical, first-order, and higher-order shear deformation theories. The behavior of postbuckling is introduced based on geometric nonlinearity. The material properties of functionally graded materials (FGM) are assumed to be graded in the thickness direction according to a simple power law distribution in terms of the volume fractions of the constituents. The equations of motion and the boundary conditions derived using Hamilton's principle. This article compares and addresses the efficiency, the applicability, and the limits of classical models, higher order models (CLT, FSDT, and HSDT) for the static post-buckling response of an asymmetrically simply supported FGM beam. The amplitude of the static post-buckling obtained a solving the nonlinear governing equations. The results showing the variation of the maximum post-buckling amplitude with the applied axial load presented, for different theory and different parameters of material and geometry. In conclusion: The shear effect found to have a significant contribution to the post-buckling behaviors of axisymmetric beams. As well as the classical beam theory CBT, underestimate the shear effect compared to higher order shear deformation theories HSDT.