• Title/Summary/Keyword: RESPONSE 2000

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A Survey on Opinions on the DRG Reimbursement System (DRG 지불제도 시범사업에 대한 평가 및 개선방안 연구 - DRG 시범사업 참여기관 의견을 중심으로 -)

  • Lee, Sun-Hee;Choi, Kui-Son;Chae, Yoo-Mi;Jo, Heui-Sug
    • Korea Journal of Hospital Management
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    • v.5 no.2
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    • pp.78-99
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    • 2000
  • Objectives: The purpose of this study was to evaluate the opinions of hospital managers on DRG pilot study. Methods: Managers of 800 hospitals which had participated in DRG pilot study during the period 1997-1999, were requested to respond to structured self-administerd questionnaire. The questionnaire was composed with six categories: the motivation and satisfaction for the DRG pilot study, the opinions on the level of unit price, the appropriateness of DRG classification, the change of medical service quality during the pilot study, the patient's complains resulted from DRG system. and the opinions on the nation-wide application of DRG system. Results : Of the 800 subjects, 327(clinic, 210: 25 hospitals, 82 general hospitals, and 16 tertiary hospitals) completed the questionnaire, and the overall response rate was 41%, 121 hospitals(27%) answered that they participated in DRG pilot study because of convenience of claims and 118 hospitals(35%) dissatisfied with DRG system. 251 hospitals(85%) thought that the level of unit price under the DRG system was same as or lower than that of fee-for service. 297 hospitals(92%) responded that DRG classification should be modified and 137 hospitals(47%) experienced deterioration of medical service quality during the DRG pilot study. The 116 hospitals(35%) experienced the patient's complains resulted from DRG system. The 85 hospitals(88%) didn't want nation-wide application of DRG system. Conclusion: Most of the responded managers seemed to have negative opinions on DRG pilot study, even though they had been participated voluntarily. Further studies and extensive evaluations of DRG reimbursement system are needed before nation-wide application.

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Influence of Sustain Voltage on Wall Charge and Wall Voltage Characteristics in AC-PDPs

  • Kim, T.Y.;Cho, T.S.;Kim, S.S.;Cho, D.S.;Kim, J.G.;Ahn, J.C.;Jung, Y.H.;Lim, J.Y.;Jung, J.M.;Ko, J.J.;Kim, D.I.;Lee, C.W.;Seo, Y.;Cho, G.S.;Choi, E.H.
    • 한국정보디스플레이학회:학술대회논문집
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    • 2000.01a
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    • pp.119-120
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    • 2000
  • Influences of sustain voltage on wall charges and wall voltages are experimentally investigated in surface AC plasma display panels(AC-PDPs), in which electrode gap and width are $80\;{\mu}m$ and $270\;{\mu}m$, respectively. The filling gas is Ne-Xe gas mixture, and total pressures 300 Torr. Also it is found that the more amount of Xe mixing ratio makes the less wall charge and voltage for sustain voltage ranged from 140 V to 222 V. The response time has been delayed by adding a small amount of Xe to Ne in comparison with that without Xe. It is also found that the wall charge and voltage are reduced by adding a small amount of Xe to Ne in comparison with those without Xe.

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Time-domain Equalization Algorithm for a DMT-based xDSL Modem (DMT 방식의 xDSL 모뎀을 위한 시간영역 등화 알고리듬)

  • Kim, Jae-Gwon;Yang, Won-Yeong;Jeong, Man-Yeong;Jo, Yong-Su;Baek, Jong-Ho;Yu, Yeong-Hwan;Song, Hyeong-Gyu
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.25 no.1A
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    • pp.167-177
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    • 2000
  • In this paper, a new algorithm to design a time-domain equalizer (TEQ) for an xDSL system employing the discrete multitone (DMT) modulation is proposed. The proposed algorithm, derived by neglecting the terms whichdo not affect the performance of a DMT system in ARMA modeling, is shown to have similar performance tothe previous TEQ algorithms such as matrix inverse algorithm, fast algorithm, iterative algorithm, and inversepower method, even with the significantly lower computational complexity. In addition, since the proposedalgorithm requires only the received signal, the information on the channel impulse response or training sequenceis not needed. It is also shown that for the case where bridged tap is not included, the number of TEQ tapsrequired can be reduced to half(from 16 to 8) without affecting the overall performance. The performances of theproposed and previous TEQ algorithms are compared by applying them to ADSL environment.

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A Novel Method to Reduce Local Oscillator Leakage (국부발진기에서의 누설신호의 새로운 제거방식)

  • 이병제;강기조
    • The Journal of Korean Institute of Electromagnetic Engineering and Science
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    • v.11 no.2
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    • pp.294-301
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    • 2000
  • One of the most important design parameters in a microwave radio transmitting system is to reduce spurious response from the output spectrum of the transmitting system. A Local oscillator (LO) is seldom totally pure and at the least contain some LO harmonic signals. A LO or any oscillator is a transmitter if provided with a suitable radiator, conduction, or leakage path. Where mixer is employed in the output of the LO mixer generated spurs can be increased by RF amplifier. To reduce LO leakage, notch filter or band pass filter has been conventionally used. In this paper, the leakage reduction(LR) signal, which has the same magnitude and the opposite phase with respect to LO leakage signal, is added to the output of mixer of the wireless LAN system. The LO leakage is reduced by 30 dB more than the conventional methods do. The proposed method is potentially suitable for low-cost, reliable, and simple application of monolithic microwave integrated circuits (MMICs)

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Is There a J-Curve Effect in the Trade with China via Korean Ports? (한국의 대중국 항만 무역에서 J-curve 효과는 존재하는가?)

  • Kim, Chang-Beom
    • Journal of Korea Port Economic Association
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    • v.27 no.3
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    • pp.1-12
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    • 2011
  • The effect of real exchange rate changes on trade balance is called the J-curve effect. That is, after real depreciation, the trade balance will deteriorate in the short run and improve in the long run. Specially, import and export prices respond with little or no decline in volume. Assuming a zero initial trade balance and dominance of the exporter currency in invoicing trade contracts, the trade balance continues to deteriorate in the medium term. Over time, the relative price-induced volume effect comes to dominate the price effect and the trade balance improves. This pattern of the trade balance adjustment is commonly referred to as the J-curve effect. This study examines the effects of changes in the exchange rate on the Korean port trade balance to China. The empirical results indicate that whilst there is J-curve effect in the short-run, but in the long-run, the real depreciation of the Korean won has positive impact on port trade balance to China.

Involvement of Putative Heat Shock Element in Transcriptional Regulation of $p21^{WAF1/ClP1/SDl1}$ by Heat Shock

  • Woo, Sang-Hyeok;Oh, Su-Young;Han, Song-Iy;Choi, Yung-Hyun;Kang, Kwang-Il;Yoo, Mi-Ae;Kim, Han-Do;Kang, Ho-Sung
    • Animal cells and systems
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    • v.4 no.2
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    • pp.181-186
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    • 2000
  • The expression of $p21^{WAF1/ClP1/SDl1}$, one of the cyclin-dependent kinase inhibitors, is regulated by a variety of transcription factors including p53 and STAT. Heat shock induces the expression of p21 in a temperature- and time-dependent manner. Although the p21 induction by heat shock has been reported to be controlled by p53, a p53-independent mechanism Is also involved. To understand the p53-independent regulation of heat shock-induced p21 expression, we searched the promoter region of p21 gene and found one or two heat shock element (HSE)-like sequences in human, rat, and mouse. Electromobility shift assay (EMSA) showed that heat shock factor (HSF) could bind to these HSE-like sequences In response to heat shock, even though to a lesser extent than to HSE. In addition, p21 promoter deletion analysis revealed that heat shock activated a p21 deletion promoter construct containing the HSE-like sequences but lacking p53-binding sites, but not a promoter construct containing neither HSE-like sequences nor the p53-responsive element. Furthermore, the p21 induction by heat shook was significantly inhibited in confluent cells in which heat shock-induced HSF activation was reduced. These results suggest that the transcriptional regulation of p21 by heat shock may be mediated through activation and binding to HSE-like sequences of HSF.

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Nonlinear Analysis of Precast Concrete Wall Structures (프리캐스트 콘크리트 판구조의 비선형 해석)

  • 서수연;이원호;이리형
    • Journal of the Computational Structural Engineering Institute of Korea
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    • v.13 no.2
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    • pp.189-196
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    • 2000
  • The objective of this paper is to propose an analysis technique to predict the behavior of PC wall structures subjected to cyclic load. While PC wall panel is idealized by finite elements, the joints at which PC walls are connected each other are idealized by nonlinear spring elements. Axial and shear spring elements are developed for simulating shear, compression and tension behaviors of joints. The strength and stiffness of each spring elements we presented from the previous research results and incorporated into the computer program of DRAIN-2DX. The proposed analysis technique is evaluated by analyzing specimens previously tested and comparing with those. On the strength, stiffness, energy dissipation and lateral drift, analytical results show good agreements with test results. This means the proposed technique is effective to predict the response of the PC wall structures.

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A Study on the Pole-Q Reduction of Chebyshev Function Using Trade-off (트레이드 오프를 이용한 Chebyshev 함수의 극점-Q 감소에 관한 연구)

  • 윤창훈;최석우
    • The Journal of the Acoustical Society of Korea
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    • v.19 no.5
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    • pp.79-83
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    • 2000
  • When passband ripple α/sub p/ and stopband attenuation α/sub s/ at the w/sub s/ where the stopband begins are specified in filter design, △α/sub s/ usually exceeds the specification by △α/sub s/ due to the necessity that the order n of the filter function be an integer. In this paper, we apply a trade-off method to remove the excess stopband attenuation △α/sub s/ for reducing the value of pole-Q and improving the characteristics of the Chebyshev filter function. We also apply the trade-off method of pole-Q reduction to the modified Chebyshev function, and then the 4 types of function have been analyzed to compare in frequency and time domain characteristics. The trade-off method reduces the pole-Q which influences the filter characteristics to maximum 49.6% without increase of the order n. Thus implies that they have the improved characteristics such as the reduced passband ripple and flatter delay characteristics as compared Chebyshev filter function before trade-off. And the unit step response shows shorter delay time and settling time in time domain performance.

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Clinical Analysis of Novalis Stereotactic Radiosurgery for Brain Metastases

  • Gu, Hae-Won;Sohn, Moon-Jun;Lee, Dong-Joon;Lee, Hye-Ran;Lee, Chae-Heuck;Whang, C.-Jin
    • Journal of Korean Neurosurgical Society
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    • v.46 no.3
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    • pp.245-251
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    • 2009
  • Objective : The authors analyzed the effectiveness and therapeutic response of Novalis shaped beam radiosurgery for metastatic brain tumors, and the prognostic factors which influenced the outcome. Methods : We performed a retrospective analysis of 106 patients who underwent 159 treatments for 640 metastatic brain lesions between January 2000 and April 2008. The pathologies of the primary tumor were mainly lung (45.3%), breast (18.2%) and GI tract (13.2%). We classified the patients using Radiation Therapy Oncology Group Recursive Partitioning Analysis (RPA) and then analyzed the survival and prognostic factors according to the Kaplan Meier method and univariate analysis. Results : The overall median actuarial survival rate was 7.3 months from the time of first radiosurgery treatment while 1 and 2 year actuarial survival estimates were 31% and 14.4%, respectively. Median actuarial survival rates for RPA classes I, II, and III were 31.3 months, 7.5 months and 1.7 months, respectively. Patients' life spans, higher Karnofsky performance scores and age correlated closely with RPA classes. However, sex and the number of lesions were not found to be significantly associated with length of survival. Conclusion : This result suggests that Novalis radiosurgery can be a good treatment option for treatment of the patients with brain metastases.

${\ll}$영추(靈樞).논용(論勇)${\gg}$ 에 대(對)한 연구(硏究)

  • Lee Nam-Gu;Jang Dae-Won
    • Journal of Korean Medical classics
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    • v.13 no.1
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    • pp.328-344
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    • 2000
  • YoungChu NonYong(靈樞 論勇)seems to be named as such by its explanation in detail about the brave man who can and the coward who cannot stand pain respectively. In the first chapter, it is considered that the factors of diseases are dependent upon the state of skin and flash. In the second chapter, it is put about the problem of standing pain and not. In the third chapter, about the causes of resulting in brave or unbrave man. And in the fourth chapter, about drunken frenzy(酒悖). More concretely speaking, in the first chapter, it is explained that the factors of pathogenesis are related closely with the state of skin and flash, so to speak, though the outer factors which can arouse diseases should exist, the sensitivity of skin and flash which are the first defense tissue in human body, is more important factor. Undoubtedly, the environmental factors existing in physical nature which surrounds human life, have influenced upon human health, especially in ancient times. But, this chapter exhibits some reflections that ultimately the inner conditions of human body decide the attack of diseases. However, this chapter may have some corruptions for it reveals the contents which are not fit with the headline. In the second chapter, it is written that the sensitivity to pain is not only dependent upon the character of bravery but also upon the thickness of skin, the strength of flesh and the speed of response. In this we evidence that the ancient people had the idea that human pain-feeling is more dependent upon the degree of development of sensory neuron of physical body than one's character of bravery. In the third chapter, ti is described that the differences of physical development mainly influence the differences of the degree of mental bravery. In the fourth chapter, the drunken frenzy is explained. The implication is that as civilization has been growing, the drinking culture has made both in dividual and social health affair. The alcohol has the function of pleasing mind improving the quality of human life but it can also destroy both human body and mind when abused. About the harms like this, this part wams by the examples of drunken man's abnormal behaviors.

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