• Title/Summary/Keyword: transitional

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Risks for Readmission Among Older Patients With Chronic Obstructive Pulmonary Disease: An Analysis Using Korean National Health Insurance Service - Senior Cohort Data

  • Yu Seong Hwang;Heui Sug Jo
    • Journal of Preventive Medicine and Public Health
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    • v.56 no.6
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    • pp.563-572
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    • 2023
  • Objectives: The high readmission rate of patients with chronic obstructive pulmonary disease (COPD) has led to the worldwide establishment of proactive measures for identifying and mitigating readmissions. This study aimed to identify factors associated with readmission, as well as groups particularly vulnerable to readmission that require transitional care services. Methods: To apply transitional care services that are compatible with Korea's circumstances, targeted groups that are particularly vulnerable to readmission should be identified. Therefore, using the National Health Insurance Service's Senior Cohort database, we analyzed data from 4874 patients who were first hospitalized with COPD from 2009 to 2019 to define and analyze readmissions within 30 days after discharge. Logistic regression analysis was performed to determine factors correlated with readmission within 30 days. Results: The likelihood of readmission was associated with older age (for individuals in their 80s vs. those in their 50s: odds ratio [OR], 1.59; 95% confidence interval [CI], 1.19 to 2.12), medical insurance type (for workplace subscribers vs. local subscribers: OR, 0.84; 95% CI, 0.72 to 0.99), type of hospital (those with 300 beds or more vs. fewer beds: OR, 0.77; 95% CI, 0.66 to 0.90), and healthcare organization location (provincial areas vs. the capital area: OR, 1.66; 95% CI, 1.14 to 2.41). Conclusions: Older patients, patients holding a local subscriber insurance qualification, individuals admitted to hospitals with fewer than 300 beds, and those admitted to provincial hospitals are suggested to be higher-priority for transitional care services.

An Experimental Study on Dynamic Behavior Evaluation of Transitional Track (접속부 궤도의 동적거동분석을 위한 실험적 연구)

  • Cho, Sung-Jung;Choi, Jung-Youl;Chun, Dae-Sung;Kim, Man-Cheol;Park, Yong-Gul
    • Proceedings of the KSR Conference
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    • 2007.11a
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    • pp.1379-1385
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    • 2007
  • In domestic transitional zone design, there is regulation to prevent generation of irregular substructure behaviors that negatively influence in prevention of plasticity settlement on approach section and contact section as well as relieve overall track rigidity by reducing sectional foundation and track stiffness difference, but design guideline that considers dynamic behavior of transitional track in actual service line is very insignificant. Therefore in this study, characteristics of transitional track dynamic behaviors by substructure stiffness are researched and measured dynamic response of transitional track by substructure stiffness in order to prove correlation between substructure and track and calculate elasticity(stiffness) and track load of transitional track by using measurement and formula to provide basic information for developing design guideline considering dynamic behavior of service line transitional track.

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The Analysis of the Transitional Aspect of Gender expressed in the Later 20th Century Fashion (20세기 후반 패션에 나타난 성 개념 변화추이 분석)

  • 안소현;이경희
    • Journal of the Korean Society of Clothing and Textiles
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    • v.24 no.5
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    • pp.702-713
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    • 2000
  • The purpose of this paper is to deeply understand the transitional concept of gender expressed in the later 20th century fashion through analyzing of various literature. Gender is constructed in the context of social and culture different than sex which is inherent difference between man and women. Thus the concept of gender can be changed according to change of social and culture. There are imposing changes in gender since 60's owing to various factors; namely, feminism, subculture, deconstruction, development of technology, market economy, changing sex roles, etc. Especially in the 60's to 70's, as radical changes were took place, gender became vague more and more. Finally these days there is no fixed gender. In terms of meaning, there may be a number of genders-since there are as many meanings of sex as there are people who have thought about it. That is, sex is, gender means. Sex exists in itself, and is sublimely indifferent to what humans think of it, However gender is all the meanings we assign to sex. In accordance with this phenomena, people don't mind their sexes with appearance. There is only different disposition and taste.

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A Study on the Supportive Stiffness in Transitional Zones through Moving Load-Based Three-Dimensional Modeling (이동하중과 3차원 모델링을 통한 접속부 지지강성연구)

  • Woo, Hyeun-Joon;Lee, Seung-Ju;Kang, Yun-Suk;Cho, Kook-Hwan
    • Proceedings of the KSR Conference
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    • 2011.10a
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    • pp.1542-1549
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    • 2011
  • The Transitional zone between bridge abutment and earthwork is one of the representative vulnerable zones in railway where differential settlements may take place due to the different supportive stiffness. Although transitional zones are managed with stricter standards than those of the other earthwork zones either in the design and construction stages, it is very difficult to prevent differential settlement perfectly. A three-dimensional numerical analyses were performed by applying train moving load in this study. The analytical model including abutments and earthwork zones was constituted with rail, sleepers, track concrete layer (TCL), hydraulic stabilized base (HSB), reinforced road bed, and road bed using railway and road base structure. The clamp connecting the rail and sleeper were also modeled as the element with spring coefficient. The train wheel is modeled in the actual size and moved on the rail with 300 km/hr speed. The deformation characteristics at each point of the rail and the ground were considered in detail when moving the train wheel. The analysis results were compared with those from the two-dimensional analysis without considering moving load. The research results show that displacement and stress were greater in the three-dimensional analysis than in other analyses, and the three-dimensional analysis with moving load should be performed to evaluate railway performance.

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Characteristics of Transitional Period of Korean Family and Family Policy (한국 가족의 전환기적 특성과 가족정책)

  • Lee, Seung-Mie;Song, Hye-Rim;Lee, Wan-Jung;Sung, Miai;Chin, Mee-Jung;Lee, Hyun-Ah
    • Journal of Families and Better Life
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    • v.30 no.6
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    • pp.183-199
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    • 2012
  • Since the Framework Act on Healthy Families came into effect in 2005, family policy has become a primary field of social policy, and 'family' has emerged as an important keyword for solving Korean society's various phenomena and problems. In order to seek practical plans for reforming social policy through family policy, this thesis has analyzed the transitional characteristics of Korean families in relation to where Korean families currently stand and the situation they are facing. This thesis has also reviewed the content of family policy in the master plan of healthy families, the starting point of the actual family policy, and other related policies. It also has analyzed the key content of child care support policy. From these various analyses and discussions, this thesis has emphasized "family care" as the keyword of family policy, family effect analysis as the means of reinforcing family perspective, and family integrity for policy effectiveness.

정익과 동익의 상호작용에 의한 비정상 천이 경계층 유동의 수치해석에 관한 연구 1

  • Kang, Dong-Jin;Lakshminarayana, Budugur
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.22 no.6
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    • pp.757-770
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    • 1998
  • A Navier-Stokes code with a low Reynolds number k-.epsilon. turbulence model was tested to investigate its predictability for the unsteady transitional boundary layer flow due to rotor-stator interaction. A preliminary calculation with three different numbers of time steps 300, 600, and 1000 for a rotor wake passing period was carried out to see the effects of time steps on the unsteady flow and pressure fields due to rotor-stator interaction. Numerical solutions showed that unsteady pressure was much more sensitive to the number of time steps and over 600 time steps should be used to get a numerical solution independent of the number of time steps for a rotor wake passing period. The original low Reynolds number k-.epsilon. turbulence model showed very poor prediction of the unsteady transitional boundary layer flow due to rotor-stator interaction. This was due to the excessive production of turbulent kinetic energy near the leading edge. A modification suggested by Launder was incorporated and the modified model captured well the wake induced transitional strip. Present solutions also showed improved prediction over previous Euler/boundary layer solution in terms of the onset of unsteady transition and its extent.

Model Development for Machining Process Sequencing and Machine Tool Selection (가공 순서 결정과 기계 선택을 위한 모형 개발)

  • Seo, Yoon-Ho
    • Journal of Korean Institute of Industrial Engineers
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    • v.21 no.3
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    • pp.329-343
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    • 1995
  • Traditionally, machining process sequence was influenced and constrained by the design information obtained from CAD data base, i.e., class of operations, geometric shape, tooling, geometric tolerance, etc. However, even though all the constraints from design information are considered, there may exist more than one way to feasibly machine parts. This research is focused on the integrated problem of operations sequencing and machine tools selection in the presence of the product mix and their production volumes. With the transitional costs among machining operations, the operation sequencing problem can be formulated as a well-known Traveling Salesman Problem (TSP). The transitional cost between two operations is expressed as the sum of total machining time of the parts on a machine for the first operation and transportation time of the parts from the first machine to a machine for the second operation. Therefore, the operation sequencing problem formulated as TSP cannot be solved without transitional costs for all operation pairs. When solved separately or serially, their mutual optima cannot be guaranteed. Machining operations sequencing and machine tool selection problems are two core problems in process planning for discretely machined parts. In this paper, the interrelated two problems are integrated and analyzed, zero-one integer programming model for the integrated problem is formulated, and the solution methods are developed using a Tabu Search technique.

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The Influencing Factors of Influenza Vaccination in the Elderly Participating in Lifetime Transitional Health Examination (생애전환기 건강진단 노인 수검자의 독감 백신 접종 영향 요인)

  • Yim, Eun-Shil;Kim, Kyung-Ha;Chae, Hyun-Ju
    • Research in Community and Public Health Nursing
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    • v.21 no.4
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    • pp.502-511
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    • 2010
  • Purpose: The purpose of this study was to investigate the influencing factors of influenza vaccination in the elderly participating in lifetime transitional health examination. Methods: This study was a secondary analysis of data collected from lifetime transitional health examination (for 66-year-old people) conducted by the National Health Insurance Corporation (NHIC) from January 1 to December 31, 2008. Questionnaires were received from NHIC to obtain information regarding gender, chronic diseases, health-related behaviors, and ADL. A total of 255,333 participants who responded all the questions in the questionnaire were included in the analysis. Collected data were analyzed by descriptive statistics, ${\chi}^2$ test, and multiple logistic regression. Results: The influenza vaccine coverage rate in 66-year-old people was 66.1%. The influenza vaccine coverage rate was higher in female elders and those with hypertension, diabetes, heart disease or past smoking, and lower in those with stroke, current smoking, drinking, no-exercise or ADL-dependency. Conclusion: Strategies for improving the influenza vaccination coverage rate in the elderly are needed. The strategies should give priority to the elderly with current smoking, drinking, and no-exercise, and home visiting programs are needed for the elderly with stroke and ADL-dependency.

A Study of Navajo Textiles in the Transitional Period (19세기후반 전환시대 Navajo 인디언직물의 고찰)

  • 정미실
    • Journal of the Korean Home Economics Association
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    • v.40 no.8
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    • pp.37-48
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    • 2002
  • The purpose of this study was to survey Navajo's textiles of the transitional period(1868-1890) and to examine appearance background of those textiles. The two study questions were central to the project. 1) What were characteristics of eye-dazzler and pictorial in the transitional period? 2) How developed was the American trader's role? To perform the purpose, literatures on this subject were surveyed, investigation of textiles in Arizona State Museum and Historical Museum of Arizona were accomplished. The results of this study were as follows: 1. Eye-dazzler is called because of their small, serrate triangle and diamond patterns in intense, contrasting colors. Eye-dazzler mostly used Germantown yam and wedge-weave technique. Germantown was a plied yam colored with synthetic dyes. Wedge-weave technique used optical illusions and an undulating technique to create an effect of motion and rhythmic symmetry. 2. The Americans began to intern Navajos at Bosque Redondo, New Mexico in 1863. During their stay at Bosque Redondo, the Navajo came into greater contact with Rio Grande blankets. The influence of designs of these becomes increasingly important in the eye-dazzler. 3. Pictorial materials included rich new sources the railroad provided and living environment of animals, plants, hogans, neighbors, deities that interested the Navajo. Also, sandpainting textiles were a pictorial. Three types of textiles utilized: yei, yeibichai, and sandpainting tapestry. 4. The arrival of the railroad caused many changes for the lives and textiles of the Navajos. The railroad brought a new client into the Navajo, and the Navajos attempted new textiles with design-inspiring fresh materials to adjust taste of the eastern purchasers.

Changes in Fatty Acid Composition of Phospholipids from Human Milk in the Course of the Lactation (수유기간의 경과에 따른 인유 인 지방질의 지방산 조성의 변화)

  • Yoon, Tai-Heon;Im, Kyung-Ja
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.14 no.1
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    • pp.47-50
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    • 1985
  • Changes in fatty acid composition of phospholipids from human milk during the course of lactation were determined in milk from Korean lactating mothers giving birth at term. The levels of 8 : 0 increased significantly from colostral to transitional stages with a further small decrease at mature stage. The proportions of 10 : 0, 12 : 0 and 14 : 0 increased markedly from colostrum to transitional to mature milk. The w6-derived long-chain polyunsaturated fatty acids, 20 : 2w5, 20 : 4w6 and 22 : 4w5, were decreased with time of lactation. The levels of 24 : 1w9 were significantly higher in transitional milk than in colostrum and then significantly decreased to lowers than the colostral levels at mature milk.

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