• Title/Summary/Keyword: Induced demand effect

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경막외 Naloxone 투여가 경막외 Sufentanil에 의한 가려움증에 미치는 영향 (Effects of Epidural Naloxone on Pruritus Induced by Epidural Sufentanil)

  • 임의성;김기준;윤주선;남순호;공명훈
    • The Korean Journal of Pain
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    • 제20권2호
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    • pp.123-129
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    • 2007
  • Background: Postoperative pruritus following the administration of epidural narcotics is a very common and undesirable side effect. Therefore, we evaluated the use of a combination of naloxone and sufentanil via patient controlled epidural analgesia to determine if the incidence of pruritus was decreased when compared to the use of sufentanil alone. Methods: Patients scheduled for subtotal gastrectomy under general anesthesia were enrolled in a prospective, double-blinded and randomized trial. All patients received a $20{\mu}g$ epidural bolus of sufentanil in 5 ml of 0.2% ropivacaine. Following administration of the epidural, patients in the sufentanyl group (S) received a continuous epidural comprised of sufentanil ($0.75{\mu}g/ml$) in 0.2% ropivacaine, whereas patients in the naloxone group (N) received an epidural infusion comprised of naloxone ($4{\mu}g/ml$) and sufentanil ($0.75{\mu}g/ml$) in 0.2% ropivacaine. The infusion rate, demand dose and lockout interval were 5 ml/hr, 0.5 ml and 15 minutes respectively. Next, the occurrence of postoperative analgesia and side effects were evaluated by blinded observers. Results: The incidence of pruritus (47.4% versus 20.0%, P = 0.013) and nausea (42 .1 % versus 20.0%, P = 0.043) were lower in group N than in group S. In addition, there were no significant differences observed in the visual analogue scale, the incidence of vomiting or the incidence of sedation. Furthermore, epidural infusion of naloxone at $0.25-0.4{\mu}g/kg/hr$ did not affect the requirement for postoperative sufentanil. Conclusions: Epidural naloxone reduces epidural sufentanil induced pruritus and nausea without reversing its analgesic effects.

국민의료비 결정요인분석 (Determinants of the National Health Expenditures: Panel Study)

  • 최병호;남상호;신윤정
    • 보건행정학회지
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    • 제14권2호
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    • pp.99-116
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    • 2004
  • This study estimates the determinants of national health expenditures of OECD countries using panel regression method. The data used are OECD Health Data(2003) covering 33 countries and from 1970 to 2001. This study shows several important different results compared to the previous studies. Further this study estimates the determinants of Korean case using data from 1m to 2000, and compare with the results of OECD panel. The main findings are as follows. The income elasticity of health expenditures is estimated below 1.0, but is shown above 1.0 when the different health systems of each country are controlled. The women's labor participation influences strongly positive effect on the health expenditures. The diffusion of new technologies is positively related with the increasing expense. The increasing government expenditures have a tendency not to contain health expenses, but to increase expenses. The expansion of public health insurance holders is containing the expenses, and the increasing number of doctors is pushing expenditures. This implies the health expenditures are influenced more by the induced demand of providers rather than the moral hazard of patients. However, the above result is opposite in Korean case. The existence of primary care doctors affects slightly up warding rather than containing expenditures. Finally the determinants are seriously depending upon which factors are included in the model and which statistical model is chosen. Therefore it must be cautious to interpret the results of statistical model.

경사면의 자기연마가공 특성평가 및 표면거칠기 예측모델 (Assessment on magnetic abrasive finishing of inclined surface and prediction model for surface roughness)

  • 이정인;김상오;곽재섭
    • Design & Manufacturing
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    • 제2권6호
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    • pp.11-16
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    • 2008
  • In order to satisfy the customer's variant needs for a product quality in recent years, a demand for developing higher precision machining technologies in a lot of application areas such as automobile, cellular phone and semiconductor has been increased more and more. Micro-magnetic induced polishing(${\mu}-MIP$) process is one of these precision technologies. In this study, to verify the parameters' effect of the ${\mu}-MIP$ process on the surface roughness improvement of the inclined workpiece, well planned experiment which was called the design of experiments was carried out. Considered parameters were spindle speed, inductor current, abrasive configuration and working gap between the workpiece and the solid tool. As a result, it was seen that the inductor current and the working gap greatly affected the surface roughness improvement. And to predict the surface roughness of the inclined workpiece, S/N ratio and first-order response surface model was developed.

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Strength and stiffness modeling of extended endplate connections with circular and rectangular bolt configurations

  • Hantouche, Elie G.;Mouannes, Elie N.
    • Steel and Composite Structures
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    • 제22권2호
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    • pp.323-352
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    • 2016
  • The results of a series of finite element (FE) simulations and experimental studies are used to develop strength and stiffness models that predict the failure capacity and response characteristics of unstiffened extended endplate connections with circular and rectangular bolt configurations associated with deep girders. The proposed stiffness models are composed of multi-linear springs which model the overall extended endplate/column flange system deformation and strength of key-components. Comparison of model predictions with FE and experimental results available in the literature show that the proposed models accurately predict the strength and the response of extended endplate/column system with circular and rectangular bolt configurations. The effect of the bolt configuration (circular and rectangular) on the prying phenomenon encountered in the unstiffened extended endplate/column system was investigated. Based on FE results, extended endplate with circular bolt configuration has a more ductile behavior and exhibits higher total prying forces. The proposed models can be used to design connections that cover all possible failure modes for extended endplate with circular bolt configuration. This study provides guidelines for engineers to account for the additional forces induced in the tension bolts and for the maximum rotational capacity demand in the connection which are required for seismic analysis and design.

펄프, 종이 및 종이제품의 국민경제 기여도 분석 (Input-output Analysis for Pulp, Paper and Paper Product Industries)

  • 김철환;문지민;김의경;안병일
    • 펄프종이기술
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    • 제42권4호
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    • pp.45-55
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    • 2010
  • In order to investigate the structures and growth patterns of pulp and paper industries of Korea, the input-output tables of the year 1995, 2000, 2005 and 2007 were analyzed in this papers. The production inducement coefficients of these industries have grown during the designated period. In 2007, the value of production induced by pulp industry was estimated to be 343,8 billion won. Paper and paper product industries were estimated to induce the production of other industries by 7,281,6 and 8,515.9 billion won, respectively. The import inducement effect of pulp industry was estimated to be larger than that of paper and paper product industries. Analysis on the forward linkage effects indicated that paper and paper product industries were more sensitive to the change in demand of other industries than pulp industry.

입자연마가공에서의 압력 속도 및 유체점도의 영향에 대한 고찰 (A Study of the Effects of Pressure Velocity and Fluid Viscosity in Abrasive Machining Process)

  • 양우열;양지철;성인하
    • Tribology and Lubricants
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    • 제27권1호
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    • pp.7-12
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    • 2011
  • Interest in advanced machining process such as AJM(abrasive jet machining) and CMP(chemical-mechanical polishing) using micro/nano-sized abrasives has been on the increasing demand due to wide use of super alloys, composites, semiconductor and ceramics, which are difficult to or cannot be processed by traditional machining methods. In this paper, the effects of pressure, wafer moving velocity and fluid viscosity were investigated by 2-dimensional finite element analysis method considering slurry fluid flow. From the investigation, it could be found that the simulation results quite corresponded well to the Preston's equation that describes pressure/velocity dependency on material removal. The result also revealed that the stress and corresponding material removal induced by the collision of particle may decrease under relatively high wafer moving speed due to the slurry flow resistance. In addition, the increase in slurry fluid viscosity causes the reduction of material removal rate. It should be noted that the viscosity effect can vary with the shape of abrasive particle.

Flow Visualization of Flowfield Structures around an Aerospike Nozzle using LIF and PSP

  • NIIMI Tomohide;MORI Hideo;TANIGUCHI Mashio
    • 한국가시화정보학회:학술대회논문집
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    • 한국가시화정보학회 2004년도 Proceedings of 2004 Korea-Japan Joint Seminar on Particle Image Velocimetry
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    • pp.75-80
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    • 2004
  • Aerospike nozzles have been expected to be used for an engine of a reusable space shuttle to respond to growing demand for rocket-launching and its cost reduction. In this study, the flow field structures in any cross sections around clustered linear aerospike nozzles are visualized and analyzed, using laser induced fluorescence (LIF) of nitrogen monoxide seeded in the carrier gas of nitrogen. Since flow field structures are affected mainly by pressure ratio, the clustered linear aerospike nozzle is set inside a vacuum chamber to carry out the experiments in the wide range of pressure ratios from 75 to 200. Flow fields are visualized in several cross-sections, demonstrating the complicated three-dimensional flow field structures. Pressure sensitive paint (PSP) of PtTFPP bound by poly- IBM -co-TFEM is also applied to measurement of the complicated pressure distribution on the spike surface, and to verification of contribution of a truncation plane to the thrust. Finally, to examine the effect of the sidewalls attached to the aerospike nozzle, the flow fields around the nozzle with the sidewalls are compared with those without sidewalls.

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루프소기형태의 2행정기관에서 분사압력 및 분사각도에 따른 분무특성 연구 (Effects of Injection Pressure and Injection Angle on Spray Characteristics in Loop Scavenged Type 2-stroke Engines)

  • 채수;유홍선
    • 한국자동차공학회논문집
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    • 제4권1호
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    • pp.165-176
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    • 1996
  • The flow field and spray characteristics for loop scavenged type 2stroke engine having pancake shape was numerically computed using KIVA-Ⅱ code. The cylinder has 1intake port, 2side intake ports and 1exhaust port with induced flow angle 25 deg. In engine calculation, the chop techniques is used to strip or add planes of cells across the mesh adjacent to the TDC and the BDC(ports parts) for preventing the demand of exceed time during the computation, providing a control on cell height in the squish region. The modified turbulent model including the consideration of the compressibility effect due to the compression and expansion of piston was also used. The case of 25 deg.(injection angle) which is opposite to scavenging flow direction shows better the distribution of droplets and the evaporation rate of droplets compared to other cases(0 deg., - 25 deg.). When injection pressure was increased, the spray tip penetration became longer. When injection pressure was increased, the interaction between the upward gas velocity and spray droplets strongly cause. Thus the breakup of droplets is strongly occurred and the evaporation rate of droplets was found to be better.

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Cyclic performance of RC beam-column joints enhanced with superelastic SMA rebars

  • Ghasemitabar, Amirhosein;Rahmdel, Javad Mokari;Shafei, Erfan
    • Computers and Concrete
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    • 제25권4호
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    • pp.293-302
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    • 2020
  • Connections play a significant role in strength of structures against earthquake-induced loads. According to the post-seismic reports, connection failure is a cause of overall failure in reinforced concrete (RC) structures. Connection failure results in a sudden increase in inter-story drift, followed by early and progressive failure across the entire structure. This article investigated the cyclic performance and behavioral improvement of shape-memory alloy-based connections (SMA-based connections). The novelty of the present work is focused on the effect of shape memory alloy bars is damage reduction, strain recoverability, and cracking distribution of the stated material in RC moment frames under seismic loads using 3D nonlinear static analyses. The present numerical study was verified using two experimental connections. Then, the performance of connections was studied using 14 models with different reinforcement details on a scale of 3:4. The response parameters under study included moment-rotation, secant stiffness, energy dissipation, strain of bar, and moment-curvature of the connection. The connections were simulated using LS-DYNA environment. The models with longitudinal SMA-based bars, as the main bars, could eliminate residual plastic rotations and thus reduce the demand for post-earthquake structural repairs. The flag-shaped stress-strain curve of SMA-based materials resulted in a very slight residual drift in such connections.

크로마이징 처리 된 철계 소결 부품의 내식성 및 저 마찰특성 (Corrosion Resistance and Low Friction Property of Sintered Steel Parts via Chromizing Treatment)

  • 김상권;박용진;여국현;이재훈
    • 대한금속재료학회지
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    • 제50권11호
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    • pp.809-815
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    • 2012
  • Recently, as the interest in improving energy efficiency has grown, the demand for vehicle and machine parts that are resistant in high temperature corrosive conditions and abrasive environments has increased. Pack chromizing treatment of sintered steels is a profitable method that satisfies both corrosion resistance and low friction properties. Since austenitic stainless steels have good corrosion resistance but low mechanical hardness, if they are replaced by sintered steel parts with pack chromizing treatment, all the desirable properties such as low price, easy molding, high hardness, low frictional coefficient, and high corrosion resistance, can be obtained. The higher corrosion resistance of the chromized parts over that of the austenitic stainless steels was acquired by coating chromium carbides and a thin chromium oxides layer on the surface. Moreover, the surface morphology of chromized parts, which were composed of chromium rich phases and hardened chromium carbides by diffusing and alloying, had a peak-and-valley shape so that the dimple effect by the wrinkled morphology and high hardness induced a low friction coefficient.