• Journal of Preventive Medicine and Public Health
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• 제33권4호
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• pp.393-401
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• 2000

Objectives : To evaluate the impacts of the DRG payment system on the behavior of medical insurance claimants. Specifically, we evaluated the case-mix index, the numbers of diagnosis and procedure codes utilized, and the corresponding rate of diagnosis codes before, during and after implementation of the DRG payment system. Methods : In order to evaluate the case-mix index, the number of diagnosis and procedure codes utilized, we used medical insurance claim data from all medical facilities that participated in the DRG-based Prospective Payment Demonstration Program. This medical insurance claim data consisted of both pre-demonstration program data (fee-for-service, from November, 1998 to January, 1999) and post-demonstration program data (DRG-based Prospective Payment, from February, 1999 to April, 1999). And in order to evaluate the corresponding rate of diagnosis codes utilized, we reviewed 820 medical records from 20 medical institutes that were selected by random sampling methods. Results : The case-mix index rate decreased after the DRG-based Prospective Payment Demonstration Program was introduced. The average numbers of different claim diagnosis codes used decreased (new DRGs from 2.22 to 1.24, and previous DRGs from 1.69 to 1.21), as did the average number of claim procedure codes used (new DRGs from 3.02 to 2.16, and previous DRGs from 2.97 to 2.43). With respect to the time of participation in the program, the change in number of claim procedure codes was significant, but the change in number of claim diagnosis codes was not. The corresponding rate of claim diagnosis codes increased (from 57.5% to 82.6%), as did the exclusion rate of claim diagnosis codes (from 16.5% to 25.1%). Conclusions : After the implementation of the DRG payment system, the corresponding rate of insurance claim codes and the corresponding exclusion rate of claim diagnosis codes both increased, because the inducement system for entering the codes for claim review was changed.

• Journal of applied mathematics & informatics
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• 제39권5_6호
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• pp.813-823
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• 2021

In this work, we present the classical formulation for the antiplane problem of a eletro-viscoelastic materialswith total sliprate dependent friction and write the corresponding variational formulation. In the second step, we prove that the solution converges to the solution of the corresponding electro-elastic problem as the viscosity converges to zero.

• 한국전산유체공학회지
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• 제16권1호
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• pp.90-95
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• 2011

The Navier-Stokes equations are solved to study the flow characteristics of a micro viscous pump. The viscous micropump is consisted of a stationary disk with a spiral shaped channel and a rotating disk. A simple geometrical model for the tip clearance is proposed and validated by comparing computed flow rate with corresponding experimental data. Present numerical solutions show satisfactory agreement with the corresponding experimental data. The tip clearance effect is found to become significant as the rotational speed increases. As the pressure load increases, a reversed flow region is seen to form near the stationary disk. The height of the channel is shown to be optimized in terms of the flow rate for a given rotational speed and pressure load. The optimal height of the channel becomes small as the rotational speed decreases or the pressure load increases. The flow rate of the pump is found to be in proportion to the width of channel.

• 대한건축학회논문집:구조계
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• 제34권10호
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• pp.37-44
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• 2018

In this study, the effects of considering hourly metabolic rate variations for predicted mean vote (PMV) control on the heating and cooling energy and greenhouse gas emission were investigated. The case adopting PMV control taking the hourly metabolic rate into account was comparatively analyzed against the conventional dry-bulb air temperature control, using a detailed simulation technique. Under the assumption that all the apartments in Korea adopt the PMV control incorporating real-time metabolic rate measurements, nationwide reductions of primary energy and greenhouse gas emission were analyzed. As a result, PMV control considering hourly metabolic rate variations is expected to reduce national primary energy by 6.2% compared to conventional dry-bulb air temperature control, corresponding to reduction of 10,342 GWh. In addition, it turned out that 6.6% of tCO2 emission can be reduced by adopting PMV control, corresponding to nationwide reduction of greenhouse gas emission by approximately 1,720,000 tCO2.

• Journal of the Korean Data and Information Science Society
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• 제24권4호
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• pp.737-753
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• 2013

금리변동형 보험상품은 시장금리에 연동하여 이자율 (공시이율)을 적용하는 보험상품이지만, 시장금리의 하락시에도 해약환급금의 이자율을 보증하기 위해 최저보증이율을 설정하도록 하고 있다. 즉, 공시이율이 계약할 당시 설정한 최저보증이율을 하회할 경우 보험사는 공시이율과 최저보증이율 중에 큰 금액으로 책임준비금을 적립하고 계약자가 보험계약을 해지할 경우 해약환급금을 지급해야 한다. 이러한 이자율 보증옵션은 시장금리가 하락하는 최근의 저금리 기조에서 생명보험회사의 손익을 악화시키는 요인이 되고 있다. 본 논문에서는 현재의 저금리 상황과 이자율 보증옵션 적용방식 현황을 살펴보고, 금리변동형 종신보험과 금리변동형 연금보험의 이차손익 구조 및 이자율 보증옵션의 가치와 리스크를 분석한다. 그리고, 이자율 보증옵션의 분석 결과를 토대로 시장이율과 최저보증이율의 금리차와 이차손익과의 관계에 대한 시사점을 제시한다.

• Clinical and Experimental Reproductive Medicine
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• 제41권1호
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• pp.21-28
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• 2014

Objective: To investigate the association of individual follicular fluid (FF) leptin and adiponectin levels with the quality of the corresponding oocyte and embryo. Methods: We prospectively enrolled 67 women who underwent controlled ovarian hyperstimulation with 89 FF samples. FF and the corresponding oocyte was obtained from a single dominant preovulatory follicle at the time of oocyte retrieval. Concentrations of leptin and adiponectin were measured by enzyme-linked immunosorbent assay in an individual follicle. The oocyte quality, fertilization rate, and corresponding embryo development were assessed. Results: The FF level of leptin was significantly associated with body mass index (r=0.334, p<0.01). The FF adiponectin level was significantly higher in the normal fertilization group than the abnormal fertilization group (p=0.009) in the non-obese women. A lower FF leptin level was associated with a trend toward mature oocytes, normal fertilization, and good embryo quality, although these relationships were not statistically significant. The leptin:adiponectin ratio of FF did not differ significantly according to oocyte and embryo quality. The quality of the oocyte and embryo was not associated with the FF leptin level tertile. However, the normal fertilization rate was positively associated with FF adiponectin level tertile. There was a trend towards improved oocytes and normal fertilization rates with the lowest tertile of the FF leptin:adiponectin ratio, but this difference was not statistically significant. Conclusion: Our results suggest that a high FF adiponectin concentration could be a predictor of normal fertilization. However, the FF leptin concentration and leptin:adiponectin ratio is not significantly related to oocyte maturity and corresponding embryo development.

• Bulletin of the Korean Chemical Society
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• 제15권10호
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• pp.873-881
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• 1994

The approximate rate and stoichiometry of the reaction of excess diisobutylaluminum hydride-dimethyl sulfide complex($DIBAH-SMe_2$) with organic compounds containing representative functional group under standardized conditions (toluene, $0{\circ}C$) were examined in order to define the reducing characterstics of the reagent and to compare the reducing power with DIBAH itself. In general, the reducing action of the complex is similar to that of DIBAH. However, the reducing power of the complex is weaker than that of DIBAH. All of the active hydrogen compounds including alcohols, amines, and thiols evolve hydrogen slowly. Aldehydes and ketones are reduced readily and quantitatively to give the corresponding alcohols. However, $DIBAH-SMe_2$ reduces carboxylic acids at a faster rate than DIBAH alone to the corresponding alcohols with a partial evolution of hydrogen. Similarly, acid chlorides, esters, and epoxides are readily reduced to the corresponding alcohols, but the reduction rate is much slower than that of DIBAH alone. Both primary aliphatic and aromatic amides examined evolve 1 equiv of hydrogen rapidly and are reduced slowly to the amines. Tertiary amides readily utilize 2 equiv of hydride for reduction. Nitriles consume 1 equiv of hydride rapidly but further hydride uptake is quite slow. Nitro compounds, azobenzene, and azoxybenzene are reduced moderately. Cyclohexanone oxime liberates ca. 0.8 equiv of hydrogen rapidly and is reduced to the N-hydroxylamine stage. Phenyl isocyanate is rapidly reduced to the imine stage, but further hydride uptake is quite sluggish. Pyridine reacts at a moderate rate with an uptake of one hydride in 48 h, while pyridine N-oxide reacts rapidly with consumption of 2 equiv of hydride for reduction in 6h. Similarly, disulfides and sulfoxide are readily reduced, whereas sulfide, sulfone, and sulfonic acid are inert to this reagent under these reaction conditions.

• 품질경영학회지
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• 제23권3호
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• pp.93-101
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• 1995

We present a brief survey concerning the relations between mean residual life and failure rate. Change points of mean residual life and failure rate are known to be different in general and we explore such situations in this paper. A few parametric models which show bathtub-shaped failure rate are examined in details, including the shape of its corresponding mean residual life function. We give some graphical comparisons of trend changes of mean residual life and failure rate for various choices of parameters for each parametric model.

• Bulletin of the Korean Chemical Society
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• 제33권7호
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• pp.2269-2273
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• 2012

Pseudo-first-order rate constants $k_{amine}$ have been measured spectrophotometrically for the reactions of benzyl 4-pyridyl carbonate 6 with a series of alicyclic secondary amines in $H_2O$ at $25.0^{\circ}C$. The plots of $k_{amine}$ vs. [amine] curve upward, indicating that the reactions proceed through a stepwise mechanism with two intermediates, a zwitterionic tetrahedral intermediate $T^{\pm}$ and its deprotonated form $T^-$. This contrasts to the report that the corresponding reactions of benzyl 2-pyridyl carbonate 5 proceed through a forced concerted pathway. The $k_{amine}$ values for the reactions of 6 have been dissected into the second-order rate constant $Kk_2$ and the thirdorder rate constant $Kk_3$. The Br${\o}$nsted-type plots are linear with ${\beta}_{nuc}=0.94$ and 1.18 for $Kk_2$ and $Kk_3$, respectively. The $Kk_2$ for the reaction of 6 is smaller than the second-order rate constant $k_N$ for the corresponding reaction of 5, although 4-pyridyloxide in 6 is less basic and a better nucleofuge than 2-pyridyloxide in 5.

• Journal of Biosystems Engineering
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• 제42권1호
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• pp.1-11
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• 2017

Purpose: Methods: Three-dimensional CFD modeling was conducted to analyze the flow structure and discharge flow rate corresponding to the variation in the geometry of the flow channel in a microtube. Additionally, experiments were carried out, and the discharge flow rate was measured at various inlet pressures and inclination angles of the microtube. Results: The quantitative data of velocity distribution and discharge flow rate were obtained. As the width and length of the microtip increased, the discharge flow rate decreased significantly because of the increase in the loss of pressure along the microtube. As the depth of the microtip increased, the flow rate also increased because of the reduction in the flow resistance. However, in this analysis, the variation in the angle of the microtip did not influence the flow rate. From the experimental results, it was observed that the flow rate increased linearly with the increase in the inlet pressure, and the effects of the inclination angle were not clearly observed in those test cases. The values of the flow rate obtained from the experiments were significantly lower than that obtained from the CFD analysis. This is because of the distortion of the shape of the flow path inside the microtube during the fabrication process. The distortion of the flow path might decrease the flow cross-sectional area, and it would increase the flow resistance inside the microtube. The variation in the flow rate corresponding to the variation in the inlet pressure showed similar trends. Conclusions: Therefore, the results of the numerical analysis obtained from this study can be efficiently utilized for optimizing the shape of the microtip inside a microtube.