• Journal of Preventive Medicine and Public Health
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• v.57 no.1
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• pp.65-72
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• 2024

Objectives: Protecting people against financial hardship caused by illness stands as a fundamental obligation within healthcare systems and constitutes a pivotal component in achieving universal health coverage. The objective of this study was to analyze the prevalence and determinants of catastrophic health expenditures (CHE) in Iran, over the period of 2013 to 2019. Methods: Data were obtained from 7 annual national surveys conducted between 2013 and 2019 on the income and expenditures of Iranian households. The prevalence of CHE was determined using a threshold of 40% of household capacity to pay for healthcare. A binary logistic regression model was used to identify the determinants influencing CHE. Results: The prevalence of CHE increased from 3.60% in 2013 to 3.95% in 2019. In all the years analyzed, the extent of CHE occurrence among rural populations exceeded that of urban populations. Living in an urban area, having a higher wealth index, possessing health insurance coverage, and having employed family members, an employed household head, and a literate household head are all associated with a reduced likelihood of CHE (p<0.05). Conversely, the use of dental, outpatient, and inpatient care, and the presence of elderly members in the household, are associated with an increased probability of facing CHE (p<0.05). Conclusions: Throughout the study period, CHE consistently exceeded the 1% threshold designated in the national development plan. Continuous monitoring of CHE and its determinants at both household and health system levels is essential for the implementation of effective strategies aimed at enhancing financial protection.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• v.33 no.2
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• pp.81-93
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• 2007

Purpose: Adenoid cystic carcinoma (ACC) is a relatively rare tumor that arises in glandular tissues of the head and neck region and sometimes has a protracted clinical course with perineural invasion and delayed onset of distant lung metastasis. Treatment failure of salivary ACC is most often associated with perineural and hematogenous tumor spread. However, very little has been known about the cellular and molecular mechanisms of perineural invasion and hematogenous distant metastasis of parotid ACC. This study was designed to develop an orthotopic tumor model of parotid adenoid cystic carcinoma in athymic nude mice. Experimental Design: A melanoma cell line was injected into the parotid gland of athymic mice to determine whether such implantation was technically feasible. A parotid ACC cell line was then injected into the parotid gland or the subcutaneous tissue of athymic mice at various concentrations of tumor cells, and the mice were thereafter followed for development of tumor nodule. The tumors were examined histopathologically for perineural invasion or regional or distant lung metastasis. We used an oral squmous cell carcinoma cell line as control. Results: Implantation of tumor(melanoma) cell suspension into the parotid gland of nude mice was technically feasible and resulted in the formation of parotid tumors. A parotid ACC cell line, ACC3 showed no significantly higher tumorigenicity, but showed significantly higher lung metastatic potential in the parotid gland than in the subcutis. In contrast, mucosal squmous cell carcinoma cell line doesn’t show significantly higher lung metastatic potential in the parotid gland than in the subcutis. The ACC tumor established in the parotid gland seemed to demonstrate perineural invasion of facial nerve, needs further study. Conclusion: An orthotopic tumor model of salivary ACC in athymic nude mice was successfully developed that closely recapitulates the clinical situations of human salivary ACC. This model should facilitate the understanding of the cellular and molecular mechanisms of tumorigenisis and metastasis of salivary ACC and aid in the development of targeted molecular therapies of salivary ACC.

• Journal of the Korea Convergence Society
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• v.8 no.9
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• pp.211-216
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• 2017

The purpose of this study is to evaluate the usefulness of a newly fusion model designed cloak shield to reduce the radiation exposure of the assistant during CT(computed tomography) of severely injured patient. Radiation dose was measured in the heart, both axillary and thyroid areas using newly designed cloak shield and existing shield with head phantom and human phantom under the same conditions as brain vascular CT scan. The newly designed cloak shield was measured higher for radiation shielding rate than the existing shields, 61.9 % for heart, 46.2 % for left axillary, 69.8 % for right axillary and 71.1 % for thyroid gland, respectively. a newly developed fusion model of cloak shields are useful for reducing radiation exposure. It is expected to make a significant contribution to reduction of radiation exposure.

• Journal of the Korean Society of Manufacturing Process Engineers
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• v.18 no.2
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• pp.65-72
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• 2019

In long freight trains, there is a brake time delay in neighboring freight cars, which causes damage and fractures in the couplers, especially at their knuckle. A problem in the couplers of the cars can cause derailment and damages of human life and property. In this study, maximum forces on the couplers are studied when a long freight car brakes with the brake delay time and coupler gap. We make a dynamic model of 50 freight cars and couplers, applying contact between the couplers and a characteristic curve to express the force and displacement of the buffers using SIMPACK, which is a multi-body dynamics program. We use EN 14531-2, which is a standard of freight car brakes, to verify the dynamic model. Then, we compare the analyzed impact force with the coupler knuckle standard after applying the two carriages of a locomotive in the model based on the dispersed double head control system. The result shows that all coupler gap conditions satisfy the infinite lifetime of the material when the brake delay time is 0.1 second.

• Asian-Australasian Journal of Animal Sciences
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• v.21 no.7
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• pp.941-946
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• 2008

Single-minded 1 gene (SIM1) is a homolog of Drosophila SIM1 gene which plays a key role in the midline cell lineage of the central nervous system and is implicated in the regulation of feeding behavior and obesity in the human and mouse. In this study, porcine SIM1 gene was firstly mapped to chromosome 1p13 using radiation hybrid (RH) mapping and two polymorphisms were detected at position 607 (A/G) in SIM1 intron7 and position 780 (C/T) in SIM1 exon8. The last substitution was genotyped in a 364 F2 animal-population and an association analysis of these genotypes was performed with growth, carcass and meat quality traits by the statistical animal model. The results showed the significant influence of the SIM1 genotype on growth (p<0.05): live weight at birth, later period of growth and average daily gain; and effects on carcass composition (p<0.05): weight of head and buck kneed foreleg, backfat depth, loin eye area, carcass leaf fat and ham fat weights; and traits related to intramuscular fat content (p<0.05).

• Journal of the Korean Home Economics Association
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• v.42 no.4
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• pp.11-27
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• 2004

본 연구의 일차적 목적은 어머니의 특성과 관련된 요인들이 양육효능감에 미치는 영향을 살펴보고, 양육효능감이 어머니의 특성과 관련된 요인들과 자녀양육 행동과의 관계에서 매개역할을 하는 것인가를 분석하였다. 그리고 양육효능감, 자녀 양육행동, 아동 발달과의 상관관계를 살펴보았다 미국 내 거주하는 Early Head Start 프로그램 의 수혜 자인 저 소득층의 어머니와 영 아들을 (출생∼36개월) 대상으로 한 본 연구결과에 의하면 어머니의 특성과 관련된 요인들로 어머니의 연령, 소득수준, 양육에서 오는 스트레스가 양육효능감에 영향을 미치는 것으로 나타났다. 양육효능감은 어머니의 특성과 관련된 요인, 특히 어머니의 연령과 양육행동과의 관계에서 매개역할을 하는 것으로 나타났다 양육효능감, 양육행동, 아동발달과의 상관관계 분석에서는 양육효능감과 양육행동에서만 유의한 정적인 강관관계가 있는 것으로 나타났다. 지금까지의 선행연구들과는 맥을 같이하는 연구결과이지만, 저소득층(high-risk families)의 어머니와 영아를 대상으로 양육효능감을 포괄적이고 체계적으로 이해하고자 하였다는데서 의의를 찾을 수 있다. 나아가, 이 연구의 결과는 저소득층을 위한 아동 및 가족의 통합적 복지사업을 실천하는데 있어 의미가 있는 것으로 시사된다. 사회 경제적 자립을 위한 기회 제공과 자녀양육을 하는데 있어서 전문가의 직접적인 모델링을 통한 부모교육을 통해서 양육효능감을 향상시켜나갈 때, 아동 및 가족 복지 실현의 궁국적 목적을 이룰 수 있을 것이다.

• International Journal of Aerospace System Engineering
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• v.3 no.2
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• pp.22-25
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• 2016

This dissertation tried to analyze passenger behaviors after an accident with the possibilities of a variety of accidents open reflecting the phases of the times of increasing interests in safety of passengers as the use of means of transportation such as cars and airplanes is increasing. Because a lot of data on head-on collisions, broadside collisions and reverse side collisions have been gathered through lots of experiments and interpretations, I chose to study a relatively unfamiliar subject, dropping collision. For example, I tried to study passenger behaviors in seating position after a dropping collision in preparation for falling accidents due to recent frequently-occurring sinkholes, driver's carelessness or mechanical problems. I used MADYMO, passenger behavior interpretation program, and experimented with 2 meters high Drop Test device which I made in person to increase the reliability of the results. On the basis of these, I compared the real experiments with interpretations.

• Journal of Biomedical Engineering Research
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• v.29 no.2
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• pp.99-106
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• 2008

To improve $B_1$ homogeneity in high field MRI, the RF power is applied to the transmit array coil elements sequentially in the time-multiplexed way. Since only a single coil element is activated in a time-multiplexing slot, the global standing wave formation in the human body is greatly suppressed. The time-multiplexing slot width is on the order of micro seconds, hence, high-order-harmonic slices can be placed far from the transmit coil and simultaneous multiple slice selection can be avoided. The $B_1$ homogeneities of a birdcage coil and an eight-channel transmit array coil have been compared through finite difference time domain simulations. The simulation results indicate that the proposed technique can reduce the peak-to-peak $B_1$ inhomogeneity down to one fourth of the transmission with a birdcage coil on the central plane of the human head model at 3 T. The mimicking experiments at 3 T, eight separate experiments with a single coil element activated and image reconstruction by combining the eight images, also show promising results. It is expected that the proposed technique has some advantages over other $B_1$ improving methods in real practice since simple RF switching circuitries are only necessary and electromagnetic coupling between the coil elements is out of concern in its realization.

• International Journal of Control, Automation, and Systems
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• v.4 no.3
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• pp.325-332
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• 2006

The dynamic responses of human standing postural control were investigated when subjects were exposed to long-term horizontal vibration. It was hypothesized that the motion of standing posture complexity mainly occurs in the mid-sagittal plane. The motor-driven support platform was designed as a source of vibration. The AC Servo-controlled motors produced anterior/posterior (AP) motion. The platform acceleration and the trunk angular velocity were used as the input and the output of the system, respectively. A method was proposed to identify the complexity of the standing posture dynamics. That is, during AP platform motion, the subject's knee, hip and neck were tightly constrained by fixing assembly, so the lower extremity, trunk and head of the subject's body were individually immovable. Through this method, it was assumed that the ankle joint rotation mainly contributed to maintaining their body balance. Four subjects took part in this study. During the experiment, the random vibration was generated at a magnitude of $0.44m/s^2$, and the duration of each trial was 40 seconds. Measured data were estimated by the coherence function and the frequency response function for analyzing the dynamic behavior of standing control over a frequency range from 0.2 to 3 Hz. Significant coherence values were found above 0.5 Hz. The estimation of frequency response function revealed the dominant resonance frequencies between 0.60 Hz and 0.68 Hz. On the basis of our results illustrated here, the linear model of standing postural control was further concluded.

• Journal of the Institute of Electronics Engineers of Korea SP
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• v.39 no.2
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• pp.69-78
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• 2002

This paper addresses a method to automatically detect out a person's face from a given image that consists of a hair and face view of the person and a complex background scene. Out method involves an effective detection algorithm that exploits the spatial distribution characteristics of human skin color via an adaptive fuzzy color classifier (AFCC), The universal skin-color map is derived on the chrominance component of human skin color in Cb, Cr and their corresponding luminance. The desired fuzzy system is applied to decide the skin color regions and those that are not. We use RGB model for extracting the hair color regions because the hair regions often show low brightness and chromaticity estimation of low brightness color is not stable. After some preprocessing, we apply convex-hull to each region. Consequent face detection is made from the relationship between a face's convex-hull and a head's convex-hull. The algorithm using the convex-hull shows better performance than the algorithm using pattern method. The performance of the proposed algorithm is shown by experiment. Experimental results show that the proposed algorithm successfully and efficiently detects the faces without constrained input conditions in color images.