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A study on the change of complication incidence rate according to introduction of quality evaluation by the DRG payment -focussing on patients with lens surgery (질병군 포괄수가 적정성 평가 도입에 따른 합병증 발생률 변화에 대한 연구 -수정체 수술 환자를 대상으로)

  • Kim, Myoung-Ok;Park, Arma;Lee, Chong Hyung;Kim, Kwang-Hwan
    • Journal of the Korea Convergence Society
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    • v.9 no.6
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    • pp.99-106
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    • 2018
  • The purpose of this study is to investigate incidence rates of complications in response to the introduction of quality evaluation of the DRG(diagnosis related group) payments, focusing on an increasing number of patients with lens surgery as the population aging increases.Fourthly, there were three dependent variables ('vitreous prolapse', 'IOP elevations', and 'other complications') in this study, and therefore multivariate logistic regression was performed. The result of the analysis indicates that as the number of hospitalized days increased, vitreous prolapse decreased to 0.27 times(95% CI 0.08~1.00) and IOP elevation decreased by 0.14 times(95% CI 0.03~1.59), compared to other complications, and this was statistically significant. From the above results, this study is meaningful in that it has compared the evaluation results of the appropriateness of DRG payment and the medical quality for lens surgery complications patients, in response to the introduction of quality evaluation by DRG payment.

Cluster Analysis by Children's Basic Learning Ability and Mother's Achievement Expectation Anxiety:Predictability of Children's Self-regulation Ability and Mother's Learning Involvement (유아의 기초학습능력과 어머니의 성취기대불안에 따른 군집화:유아의 자기조절능력과 어머니의 학습관여의 군집 예측가능성)

  • Jun, Eun Ock;Choi, Na ya
    • Korean Journal of Child Education & Care
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    • v.17 no.1
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    • pp.75-98
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    • 2017
  • This study examined the possibility of clustering using 5-year-old children's basic learning ability and mothers' achievement expectation anxiety, and compared the impact of the children's self-regulation ability and mothers' learning involvement for each cluster. The subjects were 239 children (120 boys & 119 girls) aged 5 and attending 9 kindergartens in Seoul, Gyeonggi and Incheon, and also their mothers. The collected data were analyzed using non-hierarchical (K-means) cluster analysis and multivariate logistic regression analysis. The findings of this study were as follows. First, the mother-child pairs were classified into four clusters of 'high learning ability-high expectation anxiety', 'high learning ability-low expectation anxiety', 'low learning ability-low expectation anxiety', or 'low learning ability-high expectation anxiety'group. Second, the level of child's self-monitoring, self-control, and mother's respect and love were significantly higher in the 'high learning ability-low expectations anxiety' group than the 'low learning ability-high expectation anxiety' group. Also, pressure for academic achievement was higher in the 'high learning ability-high expectation anxiety' group than the 'low learning ability-low expectations anxiety' group. Third, child's self-monitoring, mother's pressure for academic achievement, home learning activities, and respect/love for child predicted the clustering using children's basic learning ability and mothers' achievement expectation anxiety.

A Study on the Collision Risk Perception Index to OOW's According to Vessel Encountering Situations (선박조우 상황별 항해당직자의 충돌위기체감지수에 관한 연구)

  • Kim, Dae-Sik;Yim, Jeong-Bin
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.22 no.1
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    • pp.98-107
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    • 2016
  • The purpose of this study is for Human error prevention to acquire Collision Risk Perception Index (CRPI) sensed by the Officer Of the Watch (OOW) when the approaching distances are reduced in six types of ship encountering situations (Head on, $045^{\circ}$, $090^{\circ}$, $135^{\circ}$, Overtaking, Overtaken) between own ship and a target ship and then to predict CRPI fitting coefficients with polynomials in the curve-fitting process. CRPI acquisition experiments are carried out on two coast-guard ships and with the total of 30 crew members. Analysing results shows that CRPI data have goodness of fit to the six types of encountering situation. Futhermore, the One-Way ANOVA results show that CRPI has a negative affect to the OOW's age, career and license grade as the approaching distances is reduced. The availability of CRPI curve fitting with 3 degrees of polynomial was testified through the RMSE as 1.19 to Head on, 0.87 to $045^{\circ}$, 0.81 to $090^{\circ}$, 0.71 to $135^{\circ}$, 1.29 to Overtaking and 0.87 to Overtaken.

Generalization of Galois Linear Feedback Register (갈로이 선형 궤환 레지스터의 일반화)

  • Park Chang-Soo;Cho Gyeong-Yeon
    • Journal of the Institute of Electronics Engineers of Korea CI
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    • v.43 no.1 s.307
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    • pp.1-8
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    • 2006
  • This thesis proposes Arithmetic Shift Register(ASR) which can be used as pseudo random number generator. Arithmetic Shift. Register is defined as progression that multiplies random number D , not 0 or 1 at initial value which is not 0, and it is represented as ASR-D in this thesis. Irreducible polynomial that t which makes $'D^k=1'$ satisfies uniquely as $'t=2^n-1'$ over. $GF(2^n)$ is the characteristic polynomial of ASR-D , and the cycle of Arithmetic Shift Register has maximum cycle as $'2^n-1'$. Galois Linear Feedback Shift Register corresponds to ASR-2-1. Therefore, Arithmetic Shift Register proposed in this thesis generalizes Galois Linear Feedback Shift Register. Linear complexity of ASR-D over$GF(2^n)$ is $'n{\leq}LC{\leq}\frac{n^2+n}{2}'$ and in comparison with existing Linear Feedback Shift Register stability is high. The Software embodiment of arithmetic shift register proposed in this thesis is efficient than that of existing Linear Shift Register and hardware complexity is equal. Arithmetic shift register proposed in this thesis can be used widely in various fields such as cipher, error correcting codes, Monte Carlo integral, and data communication etc along with existing linear shift register.

Temporomandibular disorders and risk factors in office workers, service workers, and teachers (측두하악장애의 유병률과 관련요인에 관한 연구 -일부 일반사무직, 서비스직, 교직원을 대상으로-)

  • Seo, Eui-Gyeong;Kim, Soon-Duck;Lee, June-Young;Rim, Jae-Suk
    • Journal of Korean society of Dental Hygiene
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    • v.12 no.3
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    • pp.563-576
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    • 2012
  • 목적 : 본 연구는 업무형태에 따른 측두하악장애의 유병률과 업무 시 노출되는 직무스트레스 및 구강 내 악습관이 측두하악장애와 어떠한 연관성이 있는지 알아보아 보건학적 기초자료를 제공하고자 실시되었다. 방법 : 본 연구의 자료 수집을 위하여 서울과 경기 일부지역에 근무하고 있는 일반사무직, 서비스직, 교직원으로부터 편의 추출된 452명을 대상으로 2010년 1월부터 2010년 4월까지 설문조사를 실시하였고, 수거된 353명을 연구대상으로 하였다. 설문지는 측두하악장애의 증상, 하악사용에 관한 구강 내 악습관, 직무스트레스, 인구사회학적 특성으로 구성되었다. 측두하악장애의 증상의 정도를 구분하기 위해 설문지의 양성응답 수의 빈도에 따라 무증상인 1단계에서 양성응답 수가 가장 많은 4단계 까지 총 4그룹으로 나누었다. 측두하악장애의 유병률을 알아보기 위하여 빈도분석을 시행하였고, 측두하악장애의 증상의 정도에 따른 여러 요인들 간의 연관성 및 관련요인을 알아보기 위하여 교차분석 및 경향성 분석과 다항로지스틱회기 분석을 시행하였다. 결과 : 측두하악장애의 유병률은 75.4%였고, 측두하악장애에 대한 주관적 증상으로는 관절잡음이 56.4%로 가장 주된 증상 중 하나였으나 남녀 간의 차이는 통계적으로 유의하지 않았다. 다음으로는 두통이나 목의 통증이 36.5%이었고, 귀, 관자놀이, 볼 주위의 통증이 22.1%로 높았다. 측두하악장애의 주관적인 증상 수에 따른 인구사회학적 특성은 증상이 없는 경우 여성에서 19.1%, 남성에서 36.6%로 여성에서 더 높은 유병률을 보였다. 연령별로는 40세 이상의 그룹보다 20 - 30대그룹에서 측두하악장애 증상수가 높아지는 경향을 보였다. 하악 사용과 관련된 악습관 및 직무스트레스는 측두하악장애 증상수와 유의한 관련성이 있는 것으로 나타났는데, 하악 사용과 관련된 습관의 개수가 많아질수록 측두하악장애의 증상의 개수도 많아졌고, 습관이 한 가지씩 늘어날수록 측두하악장애 증상이 없는 1단계보다 3단계가 될 위험이 1.45배, 4단계가 될 위험이 1.57배 높아졌다. 스트레스 수준도 가장 하위단계에서 한 단계 높아지면 측두하악장애 1단계에서 4단계가 될 위험이 2.49배, 두 단계 높아지면 3.43배 높아졌다. 결론 : 본 연구의 결과 측두하악장애와 업무특성에 따른 연관성은 설명하지 못하였지만, 직무스트레스가 높은 경우 측두하악장애 증상의 개수 또한 높아짐을 확인할 수 있었다. 이는 측두하악장애의 주관적인 증상을 발생시키는데 있어서 업무형태 보다는 심인적인 부분이 더 중요한 인자임을 의미한다. 그러므로 측두하악장애 평가 시 신체적인 문제뿐 아니라 행동적, 심리 사회적 문제로 예측인자를 폭넓게 인식함으로써 다각적인 접근을 하는 것이 필요하며, 측두하악장애 증상이 발생된 경우 임상적 치료뿐 아니라 행동요법 및 심리 치료와 자가 관리 등이 함께 수반되어 기여요인 조절을 조절하는 것이 중요하다 하겠다.

A Study on Field Experiment and Numerical Modeling for Efficiency Analysis of Selective Withdrawal in Imha Reservoir (임하호 선택취수 효과분석을 위한 현장실험 및 수치해석 연구)

  • Kim, Tae Won;Kim, Young Do;Yi, Yong-Kon
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.32 no.2B
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    • pp.113-121
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    • 2012
  • When a heavy rain brings flooding, a high turbid water is flowing into a reservoir. In this study, the effectiveness of the intake structures for the selective withdrawal from the various levels of a stratified reservoir was evaluated by the field experiments and the numerical modeling of the three-dimensional approaching flows. The temperature, the turbidity, and the velocity fields for the selective withdrawal were measured using both YSI6600EDS and YSI6600ADV, respectively. A threedimensional model, FLOW-3D, was used to predict the performance of the intake tower in Imha reservoir. The comparisons of the vertical velocity field showed a good agreement with the field measurements. The efficiency of the turbid-water elimination of the selective withdrawal method from low levels was higher up to 46% than that of the surface withdrawal. From the analysis of the numerical simulation, the efficiency of turbidity elimination increased by 10% for the selective withdrawal from middle levels, and by 30% from low levels. These results showed that the selective withdrawals from middle and low levels are more effective than the surface-water intake. The similar results were obtained by the one-dimensional model, SELECT, which is much more computationally time-efficient.

Longitudinal Transition of Adolescents' Psychological Character Profiles and its Predictors in Multicultural Families (다문화 가정 청소년의 심리적 특성 잠재프로파일의 종단적 변화 및 영향 요인)

  • Yeon, Eun Mo;Choi, Hyo-Sik
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.3
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    • pp.164-172
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    • 2020
  • This study investigated the longitudinal transition of adolescents' psychological character profiles, which includes self-esteem, acculturative stress, depression, and social withdrawal, and the predictive effects of parental efficacy, families' support, and friends' support in multicultural families. The sample consisted of 1,188 adolescents in elementary school, who were re-examined in three years, when they were in middle school from the part of waves 2 and 6 of the Multicultural Adolescents Panel Study. A latent profile analysis identified three distinct profiles of psychological character among adolescents in elementary school and middle school: stable, social withdrawal, and unstable. As compared to elementary school, adolescents' psychological characteristics stayed stable and played critical roles on the latent classes. Parental efficacy, and supports from family and friends played critical roles on the latent classes. Specifically, as adolescents perceived full of supports from friends, they were more likely to make transitions to the stable group. Implications for intervention in multicultural families are discussed.

A latent profile analysis of job performance types based on task performance, contextual performance and counterproductive work behavior (과업수행, 맥락수행, 반생산적 업무행동 기반의 직무수행 유형 분석: 잠재프로파일분석을 중심으로)

  • Yoo, Young-Sam;Kim, Myoung-So;Noh, So-Yeon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.4
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    • pp.145-155
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    • 2020
  • Since Campbell (1990) proposed multidimensionality of job performance, unlike the single structure of traditional job performance, it has been largely classified as task performance, contextual performance, and counterproductive work behavior. The objective of this study is to validate the threecriteria currently considered major aspects of job performance, to identify different types of performance based on three dimensions, and to compare the power of personality factors among performance types. A total of 681 employees working at various organizations participated in an on-line survey. The survey included boththe exploratory and confirmatory factor analyses. A 3-factor job performance model consisting of three dimensions was also included. The relationships between performance dimensions and personality factors differedby dimensions of performance, supporting the validity of the 3-factor structure of performance.The results of the Latent Profile Analysis identified four types of performance: exemplary, moderately conscientious moderate, and conscientious, butlow.. The Multinomial logistic regression analysis showed each type differed significantly according to the predictors of personality variables. In conclusion, implications and limitations of the study were noted.

Optimization for the Post-Harvest Induction of trans-Resveratrol by Soaking Treatment in Raw Peanuts (침지조작에 의한 레스베라트롤 증가조건의 최적화)

  • Lee, Seon-Sook;Seo, Sun-Jung;Lee, Boo-Yong;Lee, Hee-Bong;Lee, Junsoo
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.34 no.4
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    • pp.567-571
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    • 2005
  • In this study, the effects of varying the amount of water, soaking time at $25^{\circ}C$ and drying time after soaking at $45^{\circ}C$ on the induction of resveratrol were evaluated to optimize the soaking treatment by response surface methodology (RSM). After response surface regression (RSREG), the second-order polynomial equation was fitted to the experimental data. The analysis of variance showed that the model appeared to be adequate $(R^2=0.9547)$ with no significant lack of fit (p>0.1). From statistical analysis, amount of water and soaking time were found to be significant factors. On the other hand, drying time was not significant. Ridge analysis showed that the optimized parameters were $67.15\%$ for amount of water, 19.58 hr for soaking time, 65.56 hr for drying time. It was confirmed that resveratrol content was increased from $0.1\;{\mu}g/g$ to $4.55\;{\mu}g/g$ under the optimized conditions. In addition, the experimental values at the optimized condition agreed with values predicted by ridge analysis. The analytical method validation parameters such as accuracy, precision, and specificity were calculated to ensure the method's validity.

A Numerical Study on the Geometry Optimization of Internal Flow Passage in the Common-rail Diesel Injector for Improving Injection Performance (커먼레일 디젤인젝터의 분사성능 개선을 위한 내부유로형상 최적화에 관한 수치적 연구)

  • Moon, Seongjoon;Jeong, Soojin;Lee, Sangin;Kim, Taehun
    • Transactions of the Korean Society of Automotive Engineers
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    • v.22 no.2
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    • pp.91-99
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    • 2014
  • The common-rail injectors are the most critical component of the CRDI diesel engines that dominantly affect engine performances through high pressure injection with exact control. Thus, from now on the advanced combustion technologies for common-rail diesel injection engine require high performance fuel injectors. Accordingly, the previous studies on the numerical and experimental analysis of the diesel injector have focused on a optimum geometry to induce proper injection rate. In this study, computational predictions of performance of the diesel injector have been performed to evaluate internal flow characteristics for various needle lift and the spray pattern at the nozzle exit. To our knowledge, three-dimensional computational fluid dynamics (CFD) model of the internal flow passage of an entire injector duct including injection and return routes has never been studied. In this study, major design parameters concerning internal routes in the injector are optimized by using a CFD analysis and Response Surface Method (RSM). The computational prediction of the internal flow characteristics of the common-rail diesel injector was carried out by using STAR-CCM+7.06 code. In this work, computations were carried out under the assumption that the internal flow passage is a steady-state condition at the maximum needle lift. The design parameters are optimized by using the L16 orthogonal array and polynomial regression, local-approximation characteristics of RSM. Meanwhile, the optimum values are confirmed to be valid in 95% confidence and 5% significance level through analysis of variance (ANOVA). In addition, optimal design and prototype design were confirmed by calculating the injection quantities, resulting in the improvement of the injection performance by more than 54%.