• 보건행정학회지
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• 제22권3호
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• pp.451-465
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• 2012

In order to strengthen assurance of National Health Insurance, co-payment should be reduced. This can happen with collaborative efforts of patients, medical institutes, and government altogether at the same time. This research applied Dutton(1986)'s medical service research model with high R-square, and analyzed 2008 Korea Health Panel Data (Beta Version 1), that was examined by Korea Institute for Health and Social Affairs and National Health Insurance, in order to figure out influential variables on co-payment. In result of Multiple Linear Regression Analysis, R-square was 46.7%, the older the age, the patients who had surgery, the longer days of hospital treatment are, the higher gross income of a household is, the more hospitalized in upper grade general hospitals, and the more upper grade rooms and selecting a doctor are used. The results have statistical significance. When conducting research applying medical service research model, there is a need to apply Dutton(1986)'s medical service research model with high R-square. In order to strengthen assurance of National Health Insurance, first conditions should be that patients are hospitalized in upper grade general hospital, and at the same time, are patients who had surgery with long stay of hospitalization. In addition, if proven that patients used upper grade rooms and selecting a doctor due to lack of regular treatment and rooms, for certain number of days of such hospitalization, it is suggested to be provided with health care insurance in upper grade rooms and selecting a doctor in calculating co-payment limit.

• 보건행정학회지
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• 제21권4호
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• pp.599-616
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• 2011

This research was performed to investigate the determination factors of medical service to cover the fee for selecting a doctor which is one of the most important causes of debilitating national health insurance in Korea. Data was from Korea Health Panel and analyzed by Dutton(1986)'s medical service model which was an extended Anderson Model and was widely used in the researches on determination factors of medical service. The results were as follows; In the determinants of selecting a doctor in specialized medical institutions and general hospitals, patients with serious diseases selected doctors more often than other patients. By industrial accident compensation insurance law and enforcement ordinances, insurance covers the fee of selecting a doctor in the hospitals appointed by Labor Welfare Corporation for the patients in critical conditions under industrial accident compensation insurance, while health insurance patients pay the fee themselves for selecting a doctor in all cases. It is suggested that patients with serious diseases proved by medical opinion be provided with health care insurance in selecting a doctor and that the health insurance benefit coverage be enhanced by staged lowering of patient's cost-sharing.

• JSTS:Journal of Semiconductor Technology and Science
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• 제4권1호
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• pp.27-31
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• 2004

Models and simulations of gate tunneling current for thinoxide MOSFETs and Double-Gate SOIs are discussed. A guideline in design of leaky MOS capacitors is proposed and resonant gate tunneling current in DG SOI simulated based on quantum-mechanicalmodels. Gate tunneling current in fully-depleted, double-gate SOI MOSFETs is characterized based on quantum-mechanical principles. The simulated $I_G-V_G$ of double-gate SOI has negative differential resistance like that of the resonant tunnel diodes.

• 한국항공우주학회지
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• 제37권10호
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• pp.955-966
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• 2009

초음속 유동장 내의 축대칭 기저유동에 DES 기법을 적용하였다. 이 기법은 RANS 모드에서는 Spalart-Allmaras (S-A) 난류 모델을 사용하고, Large-eddy simulation (LES) 모드에서는 부격자 모델을 기반으로 하고 있다. LES 보다 비교적 적은 비용을 갖는 DES 기법을 사용하여 기저 유동장과 기저 압력을 정교게 예측할 수 있었다. 기저유동의 정확한 예측을 위해 경계층 두께, 운동량 두께, 표면마찰과 같은 기저 가장자리 유동 물성치를 Dutton 등의 실험과 비교하였다. DES는 하류영역에서의 전단층 말림, 큰 에디 운동, 재순환영역 내의 작은 에디 운동 같은 비정상 난류 운동의 물리적 현상을 잘 모사 하였다. 또한, 경험상수 $C_{DES}$ 1.2를 사용한 현재 결과가 일반적인 경험상수 $C_{DES}$ 0.65에 비해 실험과 잘 일치함을 보여준다.

• 한국전산유체공학회지
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• 제2권2호
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• pp.9-17
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• 1997

The performance of several turbulence models in computing an axisymmetric supersonic base flow is investigated. A compressible Navier-Stokes code, which incorporates k-ε, k-ω model and Reynolds stress closure with three kinds of pressure-strain correlation model, has been developed using implicit LU-SGS algorithm with second-order upwind TVD scheme. Numerical computations have been carried out for Herrin and Dutton's base flow. It is observed that the two-equation models give large backward axial velocity approaching to the base and somewhat larger variation of base pressure distribution than the Reynolds stress model. It is also found that the Reynolds stress model with third order pressure-strain model in the anisotropy tensor predicts most accurate mean flow field.

• 한국병원경영학회지
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• 제24권1호
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• pp.11-20
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• 2019

The purpose of this study was to identify the factors affecting the use of superior general hospitals on public holidays by using the medical use model (Dutton's medical use model) with the medical panel data. The study found that 34.2% of superior general hospital emergency rooms were used on public holidays and the factors which made statistically significant influences on the use of superior general hospital emergency rooms on public holidays were whether patients were operated or emergency care and inspection etc. Also, there was a difference depending on whether the type of establishment of the medical insititution is national or private. In other words, patients who received emergency care and examinations were found to make more frequent visit to hospital emergency room on pubic holiday, compared to patients who underwent surgery and those who visited emergency rooms in the private superior general hospital did so, compared to those who visited emergency room in the national general hospital(OR, 4.4, 3.386, respectively). Therefore, it is necessary to consider the introduction of integrated care of health and social care medical service that focuses on primary care in Denmark, which focuses on patients, and pre-The Canadian Triage and Acuity Scale(pre-CTAS) in the UK.

• 지구물리
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• 제7권3호
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• pp.193-206
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• 2004

서태평양 마샬제도 북서쪽 오가사와라 균열대(Ogasawara Fracture, OFZ) 내에 위치하는 세 해저산들에 대해 2003년 망간각 탐사의 일환으로 고해상(3~7kHz) 천부퇴적탐사 자료를 포함한 지구물리 자료를 획득하였다. OFZ은 600 km의 우측방 이동(right lateral movement)을 보이고 축방향에 수직으로 150 km의 폭을 가지며 동 마리아나분지와 피가페타 분지를 분리한다. OFZ은 다른 균열대와는 달리 내부에 다량의 해저산들을 포함한다. OFZ 주변 해저산에서 획득한 음향상의 명확성 연속성 구조 지형 및 위치에 따라 총 가지로 분류하였다: 음향상Ⅰ-1 원양성 퇴적층(뚜렷한 표층반사파와 평행한 지층내 반사파를 갖음), 음향상Ⅰ-2 원양성 퇴적층(뚜렷한 표층반사파와 지층내 투명한 음향층이 존재), 음향상Ⅱ-1 화산 기저암(약한 표층반사파가 존재하고 지층내 반사파가 없음), 음향 상Ⅱ-2 debrite(불분명한 표층반사파와 지층내 투명한 음향층이 존재), 음향상 Ⅱ-3 원양성 퇴적층 혹은 저탁암 (불분명한 표층반사파와 연속적인 지층내 반사파가 존재함), 음향상 Ⅱ-4 저탁암(확산된 형태의 지층내 반사층이 존재함), 음향상 Ⅲ-1 reef build-up complex(작은 규모의 쌍곡선 형태의 표층반사파가 연결되어 나타남), 음향상Ⅲ-2 화산 기저암(큰 쌍곡선의 표층반사파가 다양한 수심에서 연결되어 나타남), 음향상Ⅲ-3 슬럼프(작은 규모의 블록형태나 쌍곡선 형태의 반사파들이 불규칙하게 보임). 해저산의 정상부는 음향상 Ⅰ-1,Ⅰ-2,Ⅲ-1이, 경사면을 따라 음향상 Ⅱ-1,Ⅱ-2,Ⅲ-3이, 분지에는 음향상Ⅱ-3,Ⅱ-4가 우세하게 분포한다 연구지역에서 음향상Ⅱ-2와 Ⅲ-3이 복합적으로 나타나는 사태의 원인은 (1) OFZ 내부에 존재하는 강한 장력에 의해 발생한 균열이나 단층, (2) 정상부에 발생한 단층과 급한 상부경사면일 것으로 추정된다. 해저산 정상부는 음향상 Ⅰ-1과Ⅰ-2가 구분되어 나타나는데, 음향상Ⅰ-2는 해류가 강하여 해류로부터 안정된 암초나 장애물 주위에만 간헐적으로 쌓인 형태이고, 음향상 Ⅰ-1은 해류가 약해지고 활발한 퇴적률을 보이는 시기에 쌓인 형태로 구분된다.