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The Effects of Insurance Types on the Medical Service Uses for Heart Failure Inpatients: Using Propensity Score Matching Analysis (의료보장유형이 심부전 입원 환자의 의료서비스 이용에 미친 영향분석: Propensity Score Matching 방법을 사용하여)

  • Choi, Soyoung;Kwak, Jin-Mi;Kang, Hee-Chung;Lee, Kwang-Soo
    • Health Policy and Management
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    • v.26 no.4
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    • pp.343-351
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    • 2016
  • Background: This study aims to analyze the effects of insurance types on the medical service uses for heart failure inpatients using propensity score matching (PSM). Methods: 2014 National inpatient sample based on health insurance claims data was used in the analysis. PSM was applied to control factors influencing the service uses except insurance types. Negative binomial regression was used after PSM to analyze factors that had influences on the service uses among inpatients. Subjects were divided by health insurance type, national health insurance (NHI) and medical aid (MA). Total charges and length of stay were used to represent the medical service uses. Covariance variables in PSM consist of sociodemographic characteristics (gender, age, Elixhauser comorbidity index) and hospital characteristics (hospital types, number of beds, location, number of doctors per 50 beds). These variables were also used as independent variables in negative binomial regression. Results: After the PSM, length of stay showed statistically significant difference on medical uses between insurance types. Negative binomial regression provided that insurance types, Elixhauser comorbidity index, and number of doctors per 50 beds were significant on the length of stay. Conclusion: This study provided that the service uses, especially length of stay, were differed by insurance types. Health policy makers will be required to prepare interventions to narrow the gap of the service uses between NHI and MA.

A Study on the Physical Characteristics of Irrigation Reservoirs in Korea (우리나라 관개용 흙댐 저수지의 외형적 제특성에 관한 연구)

  • 정두희;안병기
    • Magazine of the Korean Society of Agricultural Engineers
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    • v.25 no.4
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    • pp.29-37
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    • 1983
  • This study was carried out not only to prepare available materials that can be utilized in basic planning of irrigation reservoirs, but also to contribute to the study on countermeasures for reasonable irrigation water development in Korea in the future, through the investigation for the structural characteristics of reservoirs and their change trend by an epoch. During this study 123 sites of sample reservoirs were analysed in their dimensions of physical constituent factors. The physical characteristics and their change trends revealed by this study are summarized as follows: 1. For the irrigation earth dam in Korea the correlation between dam volume (v) and dam height & length (H$^2$L) can be described as the formula of v=1. 434H2L~17, 300 (r=0. 933), from which embankment amount is assumed to be quickly estimated under determined dam height and length of the proposed reservoir. 2. The ratio of dam volume to dam height & length ranges approximately from 0.5 to 3 (1.7 in average), that of storage capacity to dam volume 2 to 10 (8.4 in average), that of irrigation area to full water surface area 5 to 20 (13 in average) and that of catchment area to irrigation area 2 to 5 (4 in average). Though correlation between dam volume and dam height & length is high, that between others is relatively low. 3. Average storage depth ranges approximately from 4m to l0m (6.6m in average), unit storage capacity 0. 4m to 0. 8m (0.54 in average) and shape factor of dam 5 to 20 (10.5 in average). 4. The more recently planned the reservoirs were, the less storage capacity, dam volume, full water surface and dam shape factor they have. 5. The more recently planned the reservoirs were, the larger storage depth and unit storage capacity they have.

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Difference in Healthcare Utilization for Percutaneous Transluminal Coronary Angioplasty Inpatients by Insurance Types: Propensity Score Matching Analysis (의료보장유형에 따른 Percutaneous Transluminal Coronary Angioplasty 입원 환자의 의료이용 차이 분석: Propensity Score Matching을 이용하여)

  • Seo, Eun-Won;Lee, Kwang-Soo
    • Health Policy and Management
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    • v.25 no.1
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    • pp.3-10
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    • 2015
  • Background: Previous studies showed differences in healthcare utilization among insurance types. This study aimed to analyze the difference in healthcare utilization for percutaneous transluminal coronary angioplasty inpatients by insurance types after controlling factors affecting healthcare utilization using propensity score matching (PSM). Methods: The 2011 national inpatient sample based on health insurance claims data was used for analysis. PSM was used to control factors influencing healthcare utilization except insurance types. Length of stay and total charges were used as healthcare utilization variables. Patients were divided into National Health Insurance (NHI) and Medical Aid (MA) patients. Factors representing inpatients (gender, age, admission sources, and Elixhauser comorbidity index) and hospitals (number of doctors, number of beds, and location of hospitals) were used as covariates in PSM. Results: Tertiary hospitals didn't show significant difference in length of stay and total charges after PSM between two insurance types. However, MA patients showed significantly longer length of stay than that of NHI patients after PSM in general hospitals. Multivariate regression analysis provided that admission sources, Elixhauser comorbidity index, insurance types, number of doctors, and location of hospitals (province) had significant influences on the length of stay in general hospitals. Conclusion: Study results provided evidences that healthcare utilization was differed by insurance types in general hospitals. Health policy makers will need to prepare interventions to influence the healthcare utilization differences between insurance types.

Strengthening of concrete structures with buckling braces and buckling restrained braces

  • Mazloom, Moosa;Pourhaji, Pardis;Farash, Abbas Moosa;Sanati, Amir Hossein
    • Structural Monitoring and Maintenance
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    • v.5 no.3
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    • pp.391-416
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    • 2018
  • The purpose of this article is to strengthen concrete structures using buckling and non-buckling braces. Connection plates are modeled in three shapes including the effect of 1.5t hinge zone length, 2t one and without the zone (1.5t-CP, 2t-CP and WCP). According to the verification performed with ABAQUS software, the connection plates which are superior in ductility and strengthening are found. The results show adding steel braces in concrete moment frames increase the strength and stiffness of the structures up to about 12 and 3 times, respectively. The frame strength increased about 21 and 25 percent with considering the effect of 2t hinge length in connection plates compared to 1.5t-CPs and WCPs. Also the ductility of retrofitted frames with 2t-CP improved 2.06 times more than WCP ones. Thus, 2t-CP sample is the best choice for connecting steel braces to concrete moment frames for retrofitting them. Afterwards, optimum conditions for elemental coating in braces with no buckling are assessed. The length of concrete coatings could be reduced about 30 percent, and buckling did not occur. Therefore, the weight of restraining coating decreased, and its performance improved. It is worth noting that BRBs could be constructed with only steel materials, which have outer steel tubes too. In fact, only the square cross sections of the tube profiles are appropriate for removing the filler concrete, and the rectangular ones are prone to buckle around their weak axis.

An in vitro evaluation of the accuracy of four electronic apex locators using stainless-steel and nickel-titanium hand files

  • Gehlot, Paras Mull;Manjunath, Vinutha;Manjunath, Mysore Krishnaswamy
    • Restorative Dentistry and Endodontics
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    • v.41 no.1
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    • pp.6-11
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    • 2016
  • Objectives: The purpose of this in vitro study was to evaluate the accuracy of working length (WL) determination of four electronic apex locators (EALs), namely, Root ZX (RZX), Elements diagnostic unit and apex locator (ELE), SybronEndo Mini Apex locator (MINI) and Propex pixi (PIXI) using Stainless steel (SS) and nickel-titanium (NiTi) hand files. The null hypothesis was that there was no difference between canal length determination by SS and NiTi files of 4 EALs. Materials and Methods: Sixty extracted, single rooted human teeth were decoronated and the canal orifice flared. The actual length (AL) was assessed visually, and the teeth were embedded in an alginate model. The electronic length (EL) measurements were recorded with all four EALs using SS and NiTi files at '0.5' reading on display. The differences between the AL and EL were compared. Results: The results obtained with each EAL with SS and NiTi files were compared with AL. A paired sample t test showed that there was a statistical significant difference between EAL readings with SS and NiTi files for RZX and MINI (p < 0.05). The accuracy of RZX, ELE, MINI and PIXI within ${\pm}0.5 mm$ of AL with SS/NiTi files were 93.3%/70%, 90%/91.7%, 95%/68.3%, and 83.3%/83.3%, respectively. Conclusions: The results of this study indicate that Root ZX was statistically more accurate with NiTi files compared to SS files, while MINI was statistically more accurate with SS files compared to NiTi files. ELE and PIXI were not affected by the alloy type of the file used to determine WL.

Estimating Stature and Weight from Anthropometry for the Elderly Who are Limited in Mobility (신체계측방법에 의한 거동이 제한된 노인들의 신장과 체중추정)

  • 한경희
    • Journal of Nutrition and Health
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    • v.28 no.1
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    • pp.71-83
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    • 1995
  • The purpose of the study was to develop generalized equations for estimating stature and weight for the nonambulatory elderly persons. Height weight recumbent knee height total ann length, midarm, waist and calf circumferences, triceps and subscapular skinfolds were measured from over 60 years old 315 ambulatory elderly. The equations to predict stature and weight were derived from participants in the validation sample and were applied to the participants in the cross-validation to test the accuracy and validity of equations. Stature and weight were significantly and negatively associated with age of women and similar patterns observed in men but associated to a slight degree. Knee height and total arm length were highly correlated with stature but the majority of the variances in stature was accounted for by knee height for both the men and women. In men, waist circumference was the most significantly correlated with weight and am, calf circumferences and so forth. But in women arm circumference was the highest then waist and calf circumference in order. The possible predictor variables to estimate of stature were knee height total arm length and age for both elderly men and women. Predictor variables to estimate of weight were recumbent measures of waist am, calf circumferences and knee height for both sexes. Inclusion of skinfold thickness measurements did not improve the prediction power of estimation for weight. When both equations developed from the present study and Chumlea's study were applied to cross-valida-tions samples, the equations derived from present study showed better accuracy and validity. The presentation of prediction equations using two, three, or four recommended measurements allows the selection of an equation based upon the measurements that are possible to collect on an individual basis.

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A Study on Sizes Specifications of Infants' Apparels (유아복(乳兒服)브랜드 치수규격(値數規格) 실태(實態) 조사(調査) 연구(硏究) II)

  • Kim, Jin;Sohn, Hee-Soon
    • Journal of Fashion Business
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    • v.3 no.4
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    • pp.31-39
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    • 1999
  • The purpose of this study is to survey and analyze the general conditions of infants' apparel brands in Korea, review the sizes and specifications of each brand, analyze the differences and correlations among brands, and thereby, present the reasonable sizes and specifications for infants' apparels in consideration of domestic and foreign specifications and infants' health conditions. for this purpose, 13 brands manufacturing the apparels for the infants aged from 0 to 4 were sampled, and their design directors and outside pattern suppliers were surveyed through direct interviews. The collected data were processed for frequencies, mean, median and mode. The results of this study can be summarized as follows; 1. The sample infants' apparel brands were mostly launched as national brands in 1990's, while their target ages were diverse : 0 $\sim$ 72 months, 0 $\sim$ 36 months, 0 $\sim$ 48 months, 0 $\sim$ 60 months, 12 $\sim$ 24 months, etc. 2. More brands were restructuring the pattern suppliers' sizes and specifications rather than developing them directly, which suggests that most of infants' brands depend much on pattern suppliers. 3. Infants' apparel brands were presenting the 'space suites' sized from #60 to #90 because consumers prefer those space suites distinct in their upper and lower parts and convenient for their toddlers aged 36 months or older. The brands were setting the sizes for 6 parts: total length, breast, sleeve length, hip, hip height, leg. 4. The sizes for infants' one-pieces were #70, #75, #80, #85, #90, #95, #100, #110 and #120, while their subsizes were determined for 4 parts: total length, breast, sleeve length, hip.

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A unhomogeneity of critical current at the long length coated conductors (Coated conductor에서 임계전류의 불균일)

  • Lee, Nam-Jin;Oh, Sang-Soo;Kim, Ho-Sup;Ha, Dong-Woo;Ha, Hong-Soo;Ko, Rock-Kil;Kim, Tae-Hyung;Moon, Seung-Hyun;Youm, Do-Jun
    • Proceedings of the Korean Institute of Electrical and Electronic Material Engineers Conference
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    • 2009.05a
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    • pp.1-2
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    • 2009
  • The high critical current ($I_c$, A) of SmBCO coated conductor in a magnetic field, the high production rate and the high material yield are promising for applications. The inhomogeneity of Ie at the long length coated conduct is very important problem for electric application. So we researched the reason of inhomogeneity of $I_c$ at long length tape prepared by batch type co-evaporation system called by EDDC. The long length SmBCO coated conductors were developed on $LaMnO_3/IBAD-MgO/Y_2O_3/Al_2O_3$/Hastelloy C276 template. The distribution of $I_c$ are from 0 to 397 A/cm at 77 K and self field. We have studied the microstructures of these films by using SEM, EDS and X-ray diffraction. The XRD and composition by EDS results of SmBCO film reveals subtle difference. But, the microscopic observation by SEM show the microcrack at the sample with low $I_c$.

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The Effects of M-CRM Characteristics, Market Orientation on Customer Loyalty and the Moderating Role of Relationship Length in Insurance Companies (보험기업의 M-CRM 특성과 시장지향성이 고객충성도에 미치는 영향: 관계기간의 조절효과)

  • Jung, Chul-Ho;Jung, Duk-Hwa
    • The Journal of the Korea Contents Association
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    • v.16 no.6
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    • pp.726-738
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    • 2016
  • This paper aims to examine structural relationship between the influence factors of customer loyalty, hypothesizing that m-CRM characteristics, market orientations, relationship quality and relationship length plays a crucial role in achieving customer loyalty in insurance companies. Total of 255 valid sample data were used to test study hypotheses. By using Structure Equation Modeling(SEM) method, the results show that m-CRM characteristics and customer orientation significantly influence to relationship quality except competitor orientation and all relationship quality are very significantly influence to customer loyalty being consisted of customer retention and word of mouth effect. In addition, the modulation effect of relationship length is confirmed about relationship between relationship quality and customer loyalty. A real situation we conducted our research may enable academics and practitioners to understand the antecedents and outcomes of m-CRM implementation in terms of market orientation.

Rapid and Accurate Measurement of Diffusion Length of Minority Carriers of CIGS Solar Cells (CIGS 태양전지의 소수캐리어 확산 거리에 대한 새로운 측정 방안 연구)

  • Lee, Don Hwan;Kim, Young Su;Mo, Chan Bin;Nam, Jung Gyu;Lee, Dong Ho;Park, Sung Chan;Kim, Byoung June;Kim, Dong Seop
    • Current Photovoltaic Research
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    • v.2 no.2
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    • pp.59-62
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    • 2014
  • Minority carrier diffusion length is one of the most important parameters of solar cells, especially for short circuit current density (Jsc). In this report, we proposed the calculating method of the minority carrier diffusion length ($L_n$) in CIGS solar cells through biased quantum efficiency (QE). To verify this method's reliability, we chose two CIGS samples which have different grain size and calculated $L_n$ for each sample. First of all, we calculated out that $L_n$ was 56nm and 97nm for small and large grain sized-cell through this method, respectively. Second, we found out the large grain sized-cell has about 7 times lower defect density than the small grain sized-cell using drive level capacitance profiling (DLCP) method. Consequently, we confirmed that $L_n$ was mainly affected by the micro-structure and defect density of CIGS layer, and could explain the cause of Jsc difference between two samples having same band gap.