• Health Policy and Management
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• v.10 no.4
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• pp.20-56
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• 2000

The purpose of this article was to evaluate the effects of reimbursement system on the basis of diagnosis-related groups(DRGs). We searched articles which was published from 1970 to 2000 using MEDLINE ； Key words "diagnosis-related groups, DRGs, prospective payment system, PPS. Then we reviewed 97 articles on classifying them into several categories of contents. It seems that the effects of DRGs in controlling hospitals cost in the U.S. was not clear cut. The U.S. Medicare PPS using DRGs remains vulnerable to compensatory increases in ambulatory care and long-term care facilities utilization despite cost per case and cost per admission being reduced. Also some research indicated the possibilities of deterioration in health care service quality. So putting theses results together, much more consideration is needed before the application of DRGs reimbursement system in Korea. Particularly there is the crucial difference between U.S. health care system and Korean, we must be aware of the limitations of DRGs and revise the DRG system to applicable in Korea.orea.

• Proceedings of the Korea Concrete Institute Conference
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• 2005.05b
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• pp.177-180
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• 2005

Decing agent with chloride promote frost damage of concrete structure in winter period. From the safetyside, however, it is difficult to stop using chloride. Therefore, the durable concrete is required from now on. In this paper, long-term freezing and thawing test was carried out using the freezing water containing $CaCl_{2}$ to consider the concrete scaling according to the kind of binders, such as OPC, Flyash, Slag+Fa. and Slag As a result, it was found that the degree of scaling is different with containing slag being considered to prevent the penetration chloride ion and according to each binders.

• Structural Engineering and Mechanics
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• v.41 no.1
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• pp.139-155
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• 2012

Structural health monitoring systems are often installed on bridges to provide assessments of the need for structural maintenance and repair. Damage or deterioration may be detected by observation of changes in bridge characteristics evaluated from measured structural responses. However, construction materials such as concrete and steel cables exhibit certain time-dependent behaviour, which also results in changes in structural characteristics. If these are not accounted for properly, false alarms may arise. This paper proposes a systematic and efficient method to study the time-dependent effects on the dynamic properties of cable-stayed bridges. After establishing the finite element model of a cable-stayed bridge taking into account geometric nonlinearities and time-dependent behaviour, long-term time-dependent analysis is carried out by time integration. Then the dynamic properties of the bridge after a certain period can be obtained. The effects of time-dependent behaviour of construction materials on the dynamic properties of typical cable-stayed bridges are investigated in detail.

• Proceedings of the Korea Concrete Institute Conference
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• 2004.11a
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• pp.325-328
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• 2004

According to demand the increase of the rate of strength development for rapid constructions and repairs, many efforts have progressed to improve on performance of concrete. The use of regulated set cement helps make it possible to increase the rate of strength development. However it has some problems as like increasing its permeability and accelerate its long-term deterioration caused by internal and external factors. The purpose of this study is to improve the performance of regulated set cement, which mixed with the mineral admixtures. In this paper, setting time, compressive/flexural strength and chloride permeability of mortar according to the substitute ratio of SF, FA and BS in the range of $5\~20\%$ were conducted. Based on the test results, 5% substitute of silica fume for binder was showed good performance.

• Proceedings of the Korean Institute of Building Construction Conference
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• 2017.11a
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• pp.126-127
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• 2017

This study investigates the effect of improving the heat resistance performance when carbon fiber is mixed in the polyurea coating material. A tensile strength test method was carried out with the carbon fiber mixed polyurea specimens at an interval of 7, 14, and 21 days after heat treatment at 140±2℃. The test results showed that there was a significant decrease in the tensile strength performance. While the elongation and tensile performance decreased greatly, it was confirmed nevertheless the overall performance was maintained. This study proposes that mixing carbon fiber to the polyurea resin can effectively secure long-term heat resistance, thereby solving the problem of deterioration of physical properties caused by exposure to ultraviolet rays.

• Tuberculosis and Respiratory Diseases
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• v.86 no.3
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• pp.183-195
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• 2023

Bronchiectasis, which is characterized by irreversibly damaged and dilated bronchi, causes significant symptoms, poor quality of life, and increased economic burden and mortality rates. Despite its increasing prevalence and clinical significance, bronchiectasis was previously regarded as an orphan disease, and ideal treatment of this disease has been poorly understood. The European Respiratory Society and British Thoracic Society have recently published guidelines to assist physicians in the clinical field. Guidelines and reports suggest comprehensive management that includes both non-pharmacological and pharmacological treatment. Physiotherapy and pulmonary rehabilitation are two of the most important non-pharmacologic therapies in bronchiectasis patients; long-term inhaled antibiotics and macrolide therapy have gained significant evidence in reducing exacerbation risk in frequent exacerbators. In this review, we summarize recent updates on bronchiectasis treatment to prevent exacerbation and manage clinical deterioration.

• Tribology and Lubricants
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• v.24 no.4
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• pp.179-185
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• 2008

Microporous polymer lubricants(MPLs) are solid polymer materials containing micropores which are filled with liquid lubricants, and which are molded or formed to suit rolling bearings or other machine parts requiring lubrication. MPLs can be effectively applied to provide long-term, maintenance-free lubrication of a variety of machine elements without fully replacing of oils and greases. The application of rolling bearings packed fully with an MPL could reduce or eliminate the problems such as grease deterioration, leakage, under-lubrication caused by insertion of water or foreign matters under severe operation conditions. This paper discuss the application of MPLs for lubrication of rolling ball bearings. Two different MPLs were synthesized and the features of MPLs were tested. Characteristics of the bearings which are packed fully with synthesized MPLs were investigated using SEM, TG/DSC, extents of oil leakage, OIT, and life time test. After these preliminary tests twelve MPLs were synthesized and evaluated by measuring extents of oil leakage and OIT values. Then synthesis conditions for the optimum MPL were selected by SSRED(Six Sigma Robust Engineering Design) pro gram using extents of oil leakage and OIT values respectively. The optimum MPL by means of OIT value showed higher performance such as long life time and application at higher temperature of $140^{\circ}C$ than previous temperature of $100^{\circ}C$.

• Journal of Chest Surgery
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• v.12 no.4
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• pp.361-364
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• 1979

The first Mitral Commissurotomy was performed for tight mitral stenosis on March 1957. The patient was at that time 22-year-old male, student. The longest follow 9p for 22 years and 8 months has been obtained. During the follow up period, late deterioration due to restenosis developed 4 years after initial good result and reoperation was succeeded by transventricular Mitral Valvotomy with Tubb`s ilator on April 1964. The possible cause of restenosis was attributed to recurrent rheumatic activity. After more than 13 years long-good life following 2nd operation, Endocarditis such as episode of high fever & chill intermittently followed by mild fever and night sweat, I t. tibial artery embolization and rupture of aortic cusp. At present, patient complained of no subjective symptom, enjoying ordinary life {NYHA II]. Blood pressure has been 110/50-60 mmHg, trivial diastolic murmur at apex and moderate degree of mechanical murmur on diastole at Erb`s rea. Neither signs of RVH for mitral stenosis nor sign of LVH. ST-T change for aortic regurgitation appeared yet during last 2 yrs. The patient`s are for prevention of Rheumatic activity and development of endocarditis is important for obtaining the better long-term result.

• Current Photovoltaic Research
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• v.5 no.4
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• pp.135-139
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• 2017

We fabricated two different transparent conducting oxide thin films of ZnO doped with Ga ($Ga_2O_3$ 0.9 wt%) as well as Al ($Al_2O_3$ 2.1 wt%) (GAZO) and ZnO doped only with Al ($Al_2O_3$ 3 wt%) (AZO). It was investigated how it affects the moisture resistance of the transparent electrode. In addition, $Cu(In,Ga)Se_2$ thin film solar cells with two transparent oxides as front electrodes were fabricated, and the correlation between humidity resistance of transparent electrodes and device performance of solar cells was examined. When both transparent electrodes were exposed to high temperature distilled water, they showed a rapid increase in sheet resistance and a decrease in the fill factor of the solar cell. However, AZO showed a drastic decrease in efficiency at the beginning of exposure, while GAZO showed that the deterioration of efficiency occurred over a long period of time and that the long term moisture resistance of GAZO was better.

• Smart Structures and Systems
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• v.18 no.2
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• pp.317-334
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• 2016

Structural Health Monitoring System (SHMS) works as an efficient platform for monitoring the health status and performance deterioration of engineering structures during long-term service periods. The objective of its installation is to provide reasonable suggestions for structural maintenance and management, and therefore ensure the structural safety based on the information extracted from the real-time measured data. In this paper, the SHMS implemented on a world-famous kilometer-level cable-stayed bridge, named as Sutong Cable-stayed Bridge (SCB), is introduced in detail. The composition and core functions of the SHMS on SCB are elaborately presented. The system consists of four main subsystems including sensory subsystem, data acquisition and transmission subsystem, data management and control subsystem and structural health evaluation subsystem. All of the four parts are decomposed to separately describe their own constitutions and connected to illustrate the systematic functions. Accordingly, the main techniques and strategies adopted in the SHMS establishment are presented and some extension researches based on structural health monitoring are discussed. The introduction of the SHMS on SCB is expected to provide references for the establishment of SHMSs on long-span bridges with similar features as well as the implementation of potential researches based on structural health monitoring.