• 보건행정학회지
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• 제3권1호
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• pp.1-24
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• 1993

This study is designed to find clues to make a plan for efficient hospital bed utilization. Author has tried to estimate the level of appropriateness and to find out factors affecting intra-hospital variation of inappropriate bed utilization using modified Appropriateness Evaluation Protocol of which criteria are based on service intensity and patients' conditions. Systematic random sampling was done from the population of inpatients during one month in on university hospital. Data were collected by concurrent and retrospective medical record review and analysed by multiple logistic regression. In medical services, 83.5% of admission reveals appropriate and the level of inappropriate admission shows significant differences by patients' residence, type of department admitted to, admission 개\ulcorner, and length of stay. In surgical services, 97.3% and 34.7% are appropriate in location and timing of surgery respectively. Inappropriate timing of surgery differs significantly depending on patients' age, type of department admitted to, admission route, and length of stay. Sixty two percent of hospital days shows appropriate and the level of inappropriateness show marked differences by patients'age, type of services, admission routes, part of the month, part of the stay, and length of stay. Inappropriate hospital days are due to inappropriate level of care, premature admission, improper scheduling of diagnostic or therapeutic procedures, and problems in scheduling surgery in sequence. In conclusion, substantially high proportion of inappropriate hospital bed utilization was confirmed. To reduce it, it is necessary to develop alternative services with which can replace inpatient services, and to introduce utilization management system which may include internal peer review.

• Geomechanics and Engineering
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• 제33권1호
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• pp.11-18
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• 2023

This study explores a new energy partitioning approach to determine the fracture toughness of 3-D printed pristine/recycled high density polyethylene (HDPE) blends employing the essential work of fracture (EWF) concept. The traditional EWF approach conducts a uniaxial tensile test with double-edge notched tensile (DENT) specimens and measures the total energy defined by the area under a load-displacement curve until failure. The approach assumes that the entire total energy contributes to the fracture process only. This assumption is generally true for extruded polymers that fracture occurs in a material body. In contrast to the traditional extrusion manufacturing process, the current 3-D printing technique employs fused deposition modeling (FDM) that produces layer-by-layer structured specimens. This type of specimen tends to include separation energy even after the complete failure of specimens when the fracture test is conducted. The separation is not relevant to the fracture process, and the raw experimental data are likely to possess random variation or noise during fracture testing. Therefore, the current EWF approach may not be suitable for the fracture characterization of 3-D printed specimens. This paper proposed a new energy partitioning approach to exclude the irrelevant energy of the specimens caused by their intrinsic structural issues. The approach determined the energy partitioning location based on experimental data and observations. Results prove that the new approach provided more consistent results with a higher coefficient of correlation.

• 현장농수산연구지
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• 제4권1호
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• pp.45-54
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• 2002

마(Dioscorea spp.) 계통 중 품질이 우수하고 이용 가치가 기대되는 51개 계통에 대한 특성을 조사하고 도입재배 가능성을 시험했다. 또한 종간, 계통 간을 AFLP 분석하였고 생육 패턴을 시험하였다. 1. AFLP분석의 분자마커를 이용한 도입마의 유사성 분석에서 62% 수준에서 도입마는 다른 종간에 유의성이 나타났고 주성분 분석에서도 구분이 가능하였다. 그 중 D. alata는 일부 수집 지역별로 그룹이 형성되었다. 2. 일본의 쿠마모도(Kumamoto)지방에서 수집된 D. alata의 계통들의 유사성이 높은 것으로 보아, 그 지역의 마 유전자원의 이동이 적은 것으로 보인다. 반면, Indonesia, palau Is., 파푸아뉴기니아에서의 수집종들의 유연성이 높은 것은 한 지역의 계통이 여러지역으로 이동된 것으로 사료되다. 3. D. nipponica에 속하는 부채마는 다른 종과 변이가 많은 것으로 조사되어 유전적 가치가 높은 것으로 인정된다.

• Structural Engineering and Mechanics
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• 제81권2호
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• pp.205-217
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• 2022

The thermodynamic properties of shaft lining concrete (SLC) are important evidence for the design and construction, and the spatial variability of concrete materials can directly affect the stochastic thermal analysis of the concrete structures. In this work, an array of field experiments of the concrete materials are carried out, and the statistical characteristics of thermophysical parameters of SLC are obtained. The coefficient of variation (COV) and scale of fluctuation (SOF) of uncertain thermophysical parameters are estimated. A three-dimensional (3-D) stochastic thermal model of concrete materials with heat conduction and hydration heat is proposed, and the uncertain thermodynamic properties of SLC are computed by the self-compiled program. Model validation with the experimental and numerical temperatures is also presented. According to the relationship between autocorrelation functions distance (ACD) and SOF for the five theoretical autocorrelation functions (ACFs), the effects of the ACF, COV and ACD of concrete materials on the uncertain thermodynamic properties of SLC are analyzed. The results show that the spatial variability of concrete materials is subsistent. The average temperatures and standard deviation (SD) of inner SLC are the lowest while the outer SLC is the highest. The effects of five 3-D ACFs of concrete materials on uncertain thermodynamic properties of SLC are insignificant. The larger the COV of concrete materials is, the larger the SD of SLC will be. On the contrary, the longer the ACD of concrete materials is, the smaller the SD of SLC will be. The SD of temperature of SLC increases first and then decreases. This study can provide a reliable reference for the thermodynamic properties of SLC considering spatial variability of concrete materials.

• 대한토목학회논문집
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• 제26권3A호
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• pp.539-546
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• 2006

국내 LRFD 도로교설계규정을 정립하기 위한 기초 자료를 제공하기 위하여 단경간 플레이트 거더 및 박스 거더 합성단면을 하중저항계수설계법으로 설계하고 설계된 단면의 휨에 대한 신뢰도해석을 수행하였다. 신뢰도해석에서 휨저항강도는 최근 국내에서 생산된 16,000여 구조용 강재 표본의 항복강도 통계적 특성이 반영된 강합성단면의 휨저항강도 통계를 이용하였다. 활하중에 의한 작용모멘트 통계는 고정된 값을 사용하지 않고 편심계수 0.95-1.05를, 변동계수는 0.15-0.25로 가정하였다. 강거더 자중, 콘크리트 바닥판 자중, 포장면 자중 등에 의한 고정하중 모멘트 통계 값은 AASHTO 보정자료를 사용하였다. Rackwitz-Fiessler 법으로 신뢰도해석을 수행하고 지간별, 강거더 형식별, 활하중 모멘트의 불확실성 정도별로 신뢰도지수 계산 결과를 제시하였다.

• Journal of Preventive Medicine and Public Health
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• 제57권3호
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• pp.269-278
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• 2024

Objectives: The Chepang people, an indigenous ethnic group in Nepal, experience substantial marginalization and socioeconomic disadvantages, making their communities among the most vulnerable in the region. This study aimed to determine the prevalence and factors associated with adolescent pregnancy in the Chepang communities of Raksirang Rural Municipality, Makwanpur District, Bagmati Province, Nepal. Methods: A cross-sectional study was conducted from October 2022 to April 2023 among 231 Chepang women selected using simple random sampling from Raksirang Rural Municipality. A semi-structured questionnaire was used for interviewing the mothers. Bivariate and multivariate logistic regression analyses were performed, using odds ratios with 95% confidence intervals (CIs). Variables with a variation inflation factor of more than 2 and a p-value of more than 0.25 were excluded from the final model. Results: The study revealed that the prevalence rate of adolescent pregnancy among Chepang women was 71.4% (95% CI, 65.14 to 77.16). A large percentage of participants (72.7%) were married before the age of 18 years. Poor knowledge of adolescent pregnancy (adjusted odds ratio [aOR], 10.3; 95% CI, 8.42 to 14.87), unplanned pregnancy (aOR, 13.3; 95% CI, 10.76 to 19.2), and lack of sex education (aOR, 6.57; 95% CI, 3.85 to 11.27) were significantly associated with adolescent pregnancy. Conclusions: The prevalence of adolescent pregnancy among the Chepang community was high. These findings highlighted the importance of raising awareness about the potential consequences of adolescent pregnancy and implementing comprehensive sexuality education programs for preventing adolescent pregnancies within this community.

• Earthquakes and Structures
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• 제26권4호
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• pp.311-326
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• 2024

Transmission tower structures are particularly susceptible to damage and even collapse under strong seismic ground motions. Conventional seismic analyses of transmission towers are usually performed by considering only ground motion uncertainty while ignoring structural uncertainty; consequently, the performance evaluation and failure prediction may be inaccurate. In this context, the present study numerically investigates the seismic responses and failure mechanism of transmission towers by considering multiple sources of uncertainty. To this end, an existing transmission tower is chosen, and the corresponding three-dimensional finite element model is created in ABAQUS software. Sensitivity analysis is carried out to identify the relative importance of the uncertain parameters in the seismic responses of transmission towers. The numerical results indicate that the impacts of the structural damping ratio, elastic modulus and yield strength on the seismic responses of the transmission tower are relatively large. Subsequently, a set of 20 uncertainty models are established based on random samples of various parameter combinations generated by the Latin hypercube sampling (LHS) method. An uncertainty analysis is performed for these uncertainty models to clarify the impacts of uncertain structural factors on the seismic responses and failure mechanism (ultimate bearing capacity and failure path). The numerical results show that structural uncertainty has a significant influence on the seismic responses and failure mechanism of transmission towers; different possible failure paths exist for the uncertainty models, whereas only one exists for the deterministic model, and the ultimate bearing capacity of transmission towers is more sensitive to the variation in material parameters than that in geometrical parameters. This research is expected to provide an in-depth understanding of the influence of structural uncertainty on the seismic demand assessment of transmission towers.

• Advances in materials Research
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• 제13권4호
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• pp.299-319
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• 2024

Due to higher strength-to-weight ratio of composite laminates, they find uses in many weight-sensitive applications like aerospace, automobile and marine structures. From a reliability point of view, accurate prediction of failure of these structures is important. Due to the complexities in the manufacturing processes of composite laminates, there is a variation in the material properties and geometric parameters. Hence stochastic aspects are important while designing the composite laminates. Many existing works of composite laminate failure analysis are based on the deterministic approach but it is important to consider the randomness in the material properties, geometry and loading to predict accurate failure loads. In this paper the statistics of the ultimate failure load of the [0/θ]_s laminated composite plate (LCP) containing the edge crack and voids subjected to the tensile loading are presented in terms of the mean and coefficient of variance (COV). The objective is to better the efficacy of laminate failure by predicting the statistics of the ultimate failure load of LCP with random material, geometric and loading parameters. The stochastic analysis is done by using the extended finite element method (XFEM) combined with the second-order perturbation technique (SOPT). The ultimate failure load of the LCP is obtained by ply-by-ply failure analysis using the ply discount method combined with the Tsai-Wu failure criterion. The aim is to know the effect of the stacking sequence, crack length, crack angle, location of voids and number of voids on the mean and corresponding COV of the ultimate failure load of LCP is investigated. The results of the ultimate failure load obtained by the present method are in good agreement with the existing experimental and numerical results. It is observed that [0/θ]_s LCPs are very sensitive to the randomness in the crack length, applied load, transverse tensile strength of the laminate and modulus of elasticity of the material, so precise control of these parameters is important. The novelty of the present study is, the stochastic implementation in XFEM for the failure prediction of LCPs containing crack and voids.

• 한국광학회지
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• 제18권5호
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• pp.351-361
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• 2007

마그네트론 스퍼터링 방법을 사용하여 광기록 매체인 GST 박막과 보호층인 $ZnS-SiO_2$ 박막 또는 $Al_2O_3$ 박막을 c-Si 기판위에 증착한 뒤 in-situ 타원계를 사용하여 상변화 광기록층인 GST 시료의 타원상수 온도의존성을 실시간으로 측정한 결과 $300^{\circ}C$ 이상의 온도에서 GST의 고온 타원상수는 가열 환경 및 보호층의 종류에 따라 큰 차이를 보여주었다. 가열 환경 및 보호층의 종류에 따라 GST의 고온 타원상수가 달라지는 원인인 $1{\sim}2$시간의 긴 승온시간을 줄이기 위해 Phase-change Random Access Memory(PRAM) 기록기를 사용하였고 수십 ns 이내의 짧은 시간 내에 순간적으로 GST 시료를 가열 및 냉각하였다. GST층이 손상되지 않고 결정화 및 고온 열처리가 되는 PRAM 기록기의 기록모드와 레이저출력 최적조건을 찾았으며 다층박막 구조에서 조사되는 레이저 에너지가 광기록층인 GST에 흡수되는 양과 이웃하는 층으로 전파되는 양을 열확산방정식으로 나타내고 이를 수치해석적으로 풀어 레이저출력과 GST 박막의 최고 온도와의 관계를 구하였다. 지름이 1um 정도인 레이저스폿을 대략 $0.7{\times}1.0mm^2$의 면적내에 촘촘히 기록한 다음 고온 열처리된 GST 시료의 분광타원데이터를 500 um의 빔 크기를 가지는 마이크로스폿 분광타원계를 사용하여 구하고 그 복소굴절률을 결정하였다. In-site 타원계를 사용할 때에 가열 환경 보호층 물질의 영향을 크게 받은 GST의 고온 복소굴절률은 PRAM 기록기를 사용하였을 때에는 가열환경이나 보호층의 종류에 무관하게 안정된 값을 보여주었다 Atomic Force Microscope(AFM)과 Scanning Electron Microscopy(SEM)을 통해 관찰한 GST 다층박막시료의 고온 열처리 전후 표면미시거칠기 변화도 PRAM 기록기를 사용할 때에는 in-situ 타원계를 사용할 때보다 1/10 정도의 크기를 보여주어 PRAM 기록기와 분광타원계를 사용하여 결정한 GST의 고온광학물성의 신뢰성을 확인하여 주었다.

• 한국해안해양공학회지
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• 제16권1호
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• pp.27-38
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• 2004

본 연구에서는 Shimosako and Takashi(1999)가 직립방파제 케이슨의 기대활동량을 계산하기 위해 개발한 신뢰성 설계법을 방향 불규칙파의 방향 분산, 심해 설계주파향이 해안선에 직각 방향과 이루는 각도, 심해 주파향의 설계치에 대한 변동 등과 같은 파향의 변동성을 고려할 수 있도록 확장하였다. 심해로부터 방파제 설계 위치까지의 파랑변형을 계산하기 위하여 Shimosako and Takahashi는 평행한 등심선을 갖는 직선 해안에 직각으로 입사하는 일방향 불규칙파를 가정하여 Goda(1975)가 개발한 모형을 사용하였다. 본 연구에서는 방향 불규칙파의 변형을 계산하기 위하여 Kweon et al.(1997)이 개발한 모형을 사용하였다. 파랑의 방향분산 및 심해 주파향의 변동에 의한 영향은 별로 크지 않은 반면에, 심해 설계주파향이 해안선에 직각 방향과 이루는 각도의 영향은 상대적으로 커서, 이 각도가 증가함에 따라 기대활동량이 감소하는 경향을 보였다. 특히 우리나라 동해안 일부 지역의 현장 자료를 이용한 경우 파향의 변동성을 고려했을 때의 기대활동량이 이를 고려하지 않았을 때에 비해 약 1/3수준으로 감소하였다. 파랑변형 계산을 위하여 Goda 모형을 사용하는 경우 무시되는 굴절의 영향을 보정하기 위하여 계산된 유의파고를 일률적으로 6% 감소시키는 것은 심해 설계주파향이 약 20$^{\circ}$인 경우에 적합한 값이며, 심해 설계주파향이 보다 작은 경우에는 6%보다 작은 값을, 보다 큰 경우에는 6%보다 큰 값을 사용해야 한다. 케이슨의 기대활동량을 30cm로 설계할 경우 수심이 약 25 m 이하의 지역에서는 파향의 변동성을 고려하지 않더라도 기존의 결정론적 설계보다 최대 약 30% 정도까지 케이슨의 폭을 줄일 수 있다. 동해안 일부 지역의 현장 자료를 사용하여 파향의 변동성을 고려할 경우에는 이를 고려하지 않은 경우보다 최대 약 10% 정도까지 케이슨의 소요 폭이 감소하며, 고려한 전 수심 구간(10∼30 m)에서 결정론적 설계보다 작은 케이슨 폭이 요구된다.