• Journal of Korean society of Dental Hygiene
• /
• v.11 no.1
• /
• pp.103-111
• /
• 2011

Objectives : This study of oral health problems was conducted to 311 students in Special Schools in order to inquire into the state of their oral health behaviors, to find out the main obstacles against dental services, to secure dental reasonable basis for oral health promotion. Methods : A questionnaire survey was conducted in the Special School of the 311 students in the area of the metropolitan Seoul. By means of Chi-squared test and Fisher's exact test, oral hygiene habits for each type of the subjects, the contents of dental care services, the prerequisites to improve oral health, were inquired. To evaluate the effects to the current oral health status of types of disability, 2-way ANOVA was practiced. Results : The handicapped with Visual impairment, mental retardation, multiplicity with disabilities, answered negatively in their own oral health status. 47.4% of the deaf can do brush for theirselves without the inconvenience, but in other types of disability they showed that they were helped by others. Subjects did not use the secondary oral hygiene necessaries because, except brain damage, almost of types of disability impeded the convenient use. 60 to 88.2 percent of the total respondents were the recent visitors to dental clinique within 1 year, and the most common motives of the visiting dentist, is a routine medical examination, their movements to the dentist in all types of disabilities, needed helps of others. Most of them received medical treatment at a private dentist, the handicapped preferred the private care and place(49.8%). Only in the case of the brain disorders, extremely much of the disabled answered that they were needed the preventive treatment, and the another cases of disability were largely needed the treatment of the decayed teeth. To improve the oral health of the people with disabilities, at the opening of the clinics and hospitals over a certain size, the mandatory medical facilities for the care of the disabled should be preceded and followed by the improvement of dental insurance system so as to reduce the burdens of the cost of dental care. Conclusions : The improvement of oral health policy for the disabled are needed inevitably: Development of secondary oral hygienic easy to use for the disabled, the building systems of medical dental hospital with the disabled facilities, by the improvement of the insurance system, the reduction of the burden of payments.

• Health Policy and Management
• /
• v.23 no.1
• /
• pp.19-34
• /
• 2013

Background: The study describes the changes resulted from imposition on tertiary hospital outpatient coinsurance rate rise policy and in tertiary or general hospital drug coverage rise policy on healthcare service utilization. Methods: Accordingly, the hypothesis about outpatient healthcare utilization after rise policy in outpatient coinsurance rate and drug coverage was established, using interrupted time-series analysis and segmented regression analysis to test the hypothesis. 5-year analysis period (2007. 3-2012. 3) from the outset year was designated, the data about most common 10 high-ranking of the main diseases targeting visiting patient from age of 6 to 64 were collected. Results: The summary on the major research is followed. First, the medical expense and duration of treatment tends to be increased in case of imposition about rise policy in outpatient coinsurance rate in the tertiary hospital under the interrupted time-series analysis. It showed temporary increase and slow down on account of influenza A even after the policy enforcement. In segmented regression analysis, duration of visit and medical expense in the tertiary hospital increased temporally right after the policy implementation and the decreased rapidly depends on period. Both rise and fall is statistically significant. The second, In case of tertiary or general hospital outpatient drug coverage rise policy, all of the tertiary hospital healthcare service utilization variables by the interrupted time-series analysis, drug coverage policy in the general hospital deeply declined according to decreasing trend before policy implementation. The third, in case of segmented regression analysis, the visit duration and medical expense statistically declined right after the policy implementation in both the tertiary and general hospital. Meanwhile, administration day was statistically meaningful only for the decrease right after the policy implementation. Otherwise, general hospital changes are not statistically meaningful. And the medicine cost was statistically, meaningfully decreased after the increase in drug coverage. Conclusion: Finally, the result demonstrated according to the analysis is only 1 hypothesis is denied, the other 2 are partially supported. Then, tertiary hospital outpatient coinsurance rate increase policy comparatively makes decrease effect on long-term healthcare utilization, and tertiary or general hospital outpatient drug coverage policy showed partially short-term effect is assured.

• Steel and Composite Structures
• /
• v.34 no.5
• /
• pp.681-698
• /
• 2020

The paper addresses contribution to the modeling and optimization of major machinability parameters (cutting force, surface roughness, and tool wear) in finish dry hard turning (FDHT) for machinability evaluation of hardened AISI grade die steel D₃ with PVD-TiN coated (Al₂O₃-TiCN) mixed ceramic tool insert. The turning trials are performed based on Taguchi's L₁₈ orthogonal array design of experiments for the development of regression model as well as adequate model prediction by considering tool approach angle, nose radius, cutting speed, feed rate, and depth of cut as major machining parameters. The models or correlations are developed by employing multiple regression analysis (MRA). In addition, statistical technique (response surface methodology) followed by computational approaches (genetic algorithm and particle swarm optimization) have been employed for multiple response optimization. Thereafter, the effectiveness of proposed three (RSM, GA, PSO) optimization techniques are evaluated by confirmation test and subsequently the best optimization results have been used for estimation of energy consumption which includes savings of carbon footprint towards green machining and for tool life estimation followed by cost analysis to justify the economic feasibility of PVD-TiN coated Al₂O₃+TiCN mixed ceramic tool in FDHT operation. Finally, estimation of energy savings, economic analysis, and sustainability assessment are performed by employing carbon footprint analysis, Gilbert approach, and Pugh matrix, respectively. Novelty aspects, the present work: (i) contributes to practical industrial application of finish hard turning for the shaft and die makers to select the optimum cutting conditions in a range of hardness of 45-60 HRC, (ii) demonstrates the replacement of expensive, time-consuming conventional cylindrical grinding process and proposes the alternative of costlier CBN tool by utilizing ceramic tool in hard turning processes considering technological, economical and ecological aspects, which are helpful and efficient from industrial point of view, (iii) provides environment friendliness, cleaner production for machining of hardened steels, (iv) helps to improve the desirable machinability characteristics, and (v) serves as a knowledge for the development of a common language for sustainable manufacturing in both research field and industrial practice.

• Asian Pacific Journal of Cancer Prevention
• /
• v.14 no.12
• /
• pp.7651-7656
• /
• 2013

Background: Breast cancer is the most common malignancy among women in both developed and developing countries. The burden is increasing in low-income and middle-income countries (LMCs) and threatens the public health of such societies. Introduction of expensive monoclonal antibodies to cancer treatment regimens poses a real challenge in the health systems of LMCs. Despite controversy of cost-effectiveness of bevacizumab in breast cancer, some studies indicate gain of patients from this drug. The present study aimed to propose a priority setting model for administration of anti-angiogenic agents in breast cancer via assessment of tumor angiogenesis by the microvessel density (MVD) method and associations with clinicopathological characteristics (including simultaneous mutations of TP53 and HER-2 genes). Materials and Methods: Age, axillary lymph nodes status, tumor size, stage and grade, estrogen and progesterone receptors status, HER-2/neu status (by immunohistochemistry and FISH test), TP53 mutation, Ki-67 (for proliferation assay) and CD34 (for angiogenesis assay) were assessed in 111 breast cancer patients. The molecular subtype of each tumor was also determined and correlations of simultaneous mutations of HER-2 and p53 genes with angiogenesis and other clinicopathological characteristics were evaluated. Results: There were significant associations between simultaneous mutations of HER-2 and p53 genes and all other parameters except tumor size. The degree of angiogenesis in the ERBB2 subtype was greater than the others. Younger patients showed a higher angiogenesis rate rather those older than 50 years. Conclusions: Our results demonstrated that patients with simultaneous mutations of HER-2 and p53 genes, those with ERBB2 molecular subtype and also younger women (often triple negative) seem more eligible for obtaining anti-angiogenic agents. These results suggest a model for priority setting of patients with breast cancer for treatment with anti-angiogenic drugs in LMCs.

• Environmental and Resource Economics Review
• /
• v.21 no.3
• /
• pp.595-625
• /
• 2012

Recently environment-friendly pellet boilers have interests as emissions of greenhouse gases are regulated internationally and energy security becomes more important to oil addicted countries including Republic of Korea. But the Korean market for pellet boilers is on the initial stage due to the high production costs relative to other conventional boilers. Hence the Korean government has supported financially and promoted the pellet boiler business. In this sense, it would contribute market stratergy and effective promotion policy for both of the government and private companies if we can forecast market shares of pellet boilers appropriately. For this purpose, this study surveyed potential consumers' preferences on pellet boilers among various alternatives using a choice experiment reflecting intangible costs. As the market share of new technology increases, intangible costs decline. According to different intangible cost scenarios, we experimented people's preferences on oil, gas, electric, and pellet boilers. A multinomial logit model was employed to estimate coefficient parameters of common attributes for various alternative boilers. Based on the estimates, we forecasted market shares of individual boilers. We found that as intangible costs decline, the market share of pellet boiler increase substantically while market shares of electric and gas boilers decrease dramatically. The market share of oil boiler did not change significantly. Meanwhile, as people are more rich, more educated, and exposed to advertisement on pellet boilers, the likelihood of choosing the pellet boiler increases.

• Journal of Korean Society of Environmental Engineers
• /
• v.30 no.8
• /
• pp.839-846
• /
• 2008

The flocculation characteristics of polyacrylamide base flocculants were estimated to reduce the moisture content of the dehydrated cakes. The dewaterability for sewage sludge was found to have a marked effect depending on the flocculant type, agitating speed and time, kind of dissolution water, etc. The optimal agitating speed and time were 700 rpm and 3 sec, respectively, in this experimental condition. and the dewaterability was proportion to the agitating speed upto 700rpm. When recycle water as the dissolution water was used, the solution viscosity of all kind of flocculants was decreased. However, the change of its viscosity are not proportioned to the dewaterabilities for each flocculant. Flocculation system of combinations of the first and sencond flocculation using single flocculant was investigated. Effects of the ratio of first and second dosage for dual flocculation on the dewaterability were also investigated. The optimum conditions of dual flocculation system are 75% and 50% as first dosages for low and high viscous flocculant for total dosage of common flocculation, respectively. Based on the results, an overall mechanism of dual flocculation system is proposed and it is envisaged that optimization of flocculation processes in this way can result in considerable savings in cost.

• Journal of Korean Society of Environmental Engineers
• /
• v.34 no.12
• /
• pp.863-870
• /
• 2012

The market trends of automatic meter reading associated with smart water meters were investigated. Also, recent developments and field applications of key technology for automatic meter reading associated with smart water meters were analyzed. Smart water meters have been manufactured mostly in United States and Europe and have been expanded their business to Asia. Integrated water management system combining with the additional functions such as real-time consumption metering, cost notification, water conservation, leak detection, water quality monitoring, and flow control have been operated in automatic meter reading. Both water quality and quantity data measured from smart water meters and sensors were transferred to data concentration units through neighborhood area network, and then were transferred to integrated server through wide area network. The data transfer methods were determined by comprehensively considering urban scale, density of smart water meters, power supply and network topologies. Common data collection methods such as fixed network to data concentation units, vehicles drive by, people walk by, and drone fly by have been applied. The automatic meter reading associated with smart water meters are spread throughout the world, and both water and energy savings result in saving the money and reducing the greenhouse gases emission.

• YAKHAK HOEJI
• /
• v.54 no.4
• /
• pp.270-281
• /
• 2010

Total parenteral nutrition (TPN) is necessary to neonates in neonatal intensive care unit (NICU) for survival and growth because of impossible of enteral feeding. Long-term TPN can be associated with a broad spectrum of hepatobiliary disorder, ranging from mild hepatic dysfunction to severe end-stage liver disease. Cholestasis developed most commonly in neonate, ursodeoxycholic acid (UDCA) is widely used in adult with cholestatic and non-cholestatic liver diseases but there have been limited data on the effects in neonate with PNAC. This study was performed retrospectively to review all medical histories of the total 30 neonates with was administrated UDCA for treatment to parenteral nutrition associated cholestasis (PNAC) at Chungbuk National University Hospital NICU from April 2002 to December 2008. UDCA was administrated at bilirubin is over 2 mg/dl. The criterias for drug evaluation were included hepatic biochemical marker such as direct bilirubin, total bilirubin, AST, ALT, ALP and GGT, TPN therapy period, cholestasis development period, UDCA treatment period, UDCA dosage and adverse effect. In the results, Post-UDCA treatment significant was decreased direct bilirubin, total bilirubin, AST and ALP (p<0.05), and was decreased GGT (p>0.05) and slightly was increased ALT (p>0.05). Reffective timect biDCA was appear at mean $10.5{\pm}1.3$ days, iDCA administration period was mean $64.4{\pm}5.9$ days, cholestasis period was mean $71.9{\pm}6.4$ days and UDCA dosage was mean $22.9{\pm}0.9$ mg/kg/day. Common adverse effects is diarrhea, 5 patients arised mild diarrhea but it possible also related with increased enteral feeding. In conclusion, iDCA can decrease direct bilirubin that major parameter t bcholestasis and oher hepatic biochemical makers. UDCA is effective on PNAC without any serious side effect and cost-effective. Although no greatly shortening cholestasis period, but can protect to develop into severe liver disease and other complication or death. Based on these result, UDCA is recommended for treatment of cholestasis at direct bilirubin is over 2 mg/dl.

• Journal of Aerospace System Engineering
• /
• v.14 no.1
• /
• pp.68-73
• /
• 2020

This purpose of this paper was to review the development trend of the VTOL MAVs with a ducted propellant that can fly like the VTOL at intermediate and high speeds, hovering, landing, and lifting off vertically over urban areas, warships, bridges, and mountainous terrains. The MAV differs in flight characteristics from helicopters and fixed wings in many respects. In addition to enhancing thrust, the duct protects personnel from accidental contact with the spinning rotor. The purpose of the U.S. Army FCS and DARPA's OAV program is spurring development of a the VTOL ducted MAV. Today's MAVs are equipped with video/infrared cameras to hover-and-stare at enemies hidden behind forests and hills for approximately one hour surveillance and reconnaissance. Class-I is a VTOL ducted MAV developed in size and weight that individual soldiers can store in their backpacks. Class-II is the development of an organic VTOL ducted fan MAV with twice the operating time and a wider range of flight than Class-I. MAVs will need to develop to perch-and-stare technology for lengthy operation on the current hover-and-stare. The near future OAV's concept is to expand its mission capability and efficiency with a joint operation that automatically lifts-off, lands, refuels, and recharges on the vehicle's landing pad while the manned-unmanned ground vehicle is in operation. A ducted MAV needs the development of highly accurate relative position technology using low cost and small GPS for automatic lift-off and landing on the landing pad. There is also a need to develop a common command and control architecture that enables the cooperative operation of organisms between a VTOL ducted MAV and a manned-unmanned ground vehicle.

• Korean Journal of Soil Science and Fertilizer
• /
• v.42 no.spc
• /
• pp.4-7
• /
• 2009

Agricultural soils contaminated by cadmium (Cd) are common problems in Asia due to rapid industrial development, so the risks of Cd exposure from food crops consumption are concerned by public and authorities. The latest data on Cd concentration in plant-based food and the dietary intakes of Cd around the world are presented in this review. In general, Cd concentrations in major plant-based commodities seldom exceed 0.05 mg/kg fresh weight and decline in the order as: cereals > pulses > vegetables > roots and tubers > fruits in Far Eastern region. In Middle Eastern and European regions, the order is vegetables > cereals > roots and tubers > pulses > fruits. Rice has the highest Cd levels among cereals in Asian countries, but in Middle Eastern and European region the highest level of Cd occurred in leaf vegetables. The dietary intakes of Cd from plant-based commodities around the world declined in the order as: cereals > vegetables > roots and tubers > fruits > pulses. Rice is the largest contributor to total dietary Cd intake (58%) in the Far Eastern region and contributed 36% of Provisional Tolerable Daily Intake (PTDI). For high foodstuffs consumers, intake of Cd from all diets may exceed PTWI, especially for high rice consumers in Asian countries. The World Health Organization (WHO) conducted impact assessment of different maximum levels (MLs) of Cd and demonstrated that each of the four possible MLs for rice had little impact on dietary Cd intake. Since many Cd-contaminated soils in Asian countries still producing crops due to the growing population, the cost-effective techniques for reducing Cd contents in crops especially rice grain are absolutely required.