• Health Policy and Management
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• v.3 no.1
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• pp.25-52
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• 1993

Variation in the utilization of medical services is a very important issue in cost containment and quality assurance of health care. Practice variation directly affects health care expenditure especially in fee-for-service system, which is the payment system of health insurance in Korea. In addition to cost issue it is generally accepted that variations in medical practice and the cost of inpatient care suggest the possibility of inappropriate quality of care. This study is to closely examine the patterne and degrees of variation in cost structure of inpatient care among types of hospital and individual hospitals in some tracer diseases, and also to inquire into the service items which contribute much to the variation of total medical care cost. Foru common diseases, i.e. Cesarean Section, appendectomy, cataract extraction and pediatric pneumonia, were selected as tracer diseases. In most tracer diseases there were statistically significant differences in total medical care cost among hospitals in same type of hospital as well as among types of hospital(p<0.01). When total medical care cost were subdivided into the types of service, cost of medication and diagnostic examination varied the most prominenly. When the cost of medication were subdivided again, cost of parenteral antibiotics showed the most prominent variation. Of total medical care cost, medication was most contributory to the variation of total medical care cost(58.1~82.3%), and cost of antibiotics was most contributory to the variation of medication cost(63.9~92.2%). The results of study implicated that reducing the variation of medication may plays a significant role in containing the cost of inpatient care. In order to sort out the factors affecting practice variations including drug prescription pattes further researches are required.

• Wind and Structures
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• v.19 no.4
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• pp.421-441
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• 2014

With the assistance of typhoon field data at aerial elevation level observed by meteorological satellites and wind velocity and direction records nearby the ground gathered in Guangzhou Weather Station between 1985 and 2001, some key wind field parameters under typhoon climate in Guangzhou region were calibrated based on Monte-Carlo stochastic algorithm and Meng's typhoon numerical model. By using Peak Over Threshold method (POT) and Generalized Pareto Distribution (GPD), Wind field characteristics during typhoons for various return periods in several typical engineering fields were predicted, showing that some distribution rules in relation to gradient height of atmosphere boundary layer, power-law component of wind profile, gust factor and extreme wind velocity at 1-3s time interval are obviously different from corresponding items in Chinese wind load Codes. In order to evaluate the influence of typhoon field parameters on long-span flexible bridges, 1:100 reduced-scale wind field of type B terrain was reillustrated under typhoon and normal conditions utilizing passive turbulence generators in TJ-3 wind tunnel, and wind-induced performance tests of aero-elastic model of long-span Guangzhou Xinguang arch bridge were carried out as well. Furthermore, aerodynamic admittance function about lattice cross section in mid-span arch lib under the condition of higher turbulence intensity of typhoon field was identified via using high-frequency force-measured balance. Based on identified aerodynamic admittance expressions, Wind-induced stochastic vibration of Xinguang arch bridge under typhoon and normal climates was calculated and compared, considering structural geometrical non-linearity, stochastic wind attack angle effects, etc. Thus, the aerodynamic response characteristics under typhoon and normal conditions can be illustrated and checked, which are of satisfactory response results for different oncoming wind velocities with resemblance to those wind tunnel testing data under the two types of climate modes.

• Journal of the Korean GEO-environmental Society
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• v.20 no.1
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• pp.19-25
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• 2019

In this present study, to evaluate the applicability of the monitoring system of the entire reservoir dam facility using the wireless sensor network system and a section representative of the domestic reservoir dam was selected as the test bed site and to operated a system that can evaluate the condition of the facility at the real time with monitoring. In order to set up a wireless sensor network system, the system assessment of present state was carried out for confirmation the risk factors and the limit values of the risk factors in limit state were calculated. The type and position of the sensor to be measured in the field were determined by setting the measurement items suitable for the hazardous area and the risk factor. In this paper, we evaluated the feasibility of the system by monitoring and constructing a wireless sensor network system in a field for a fill dam that can represent a domestic reservoir dam. Applicability evaluation was verified by comparing directly with the measurement of partial concentration method which is the measurement management technology of the dam.

• Journal of the Society of Naval Architects of Korea
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• v.58 no.5
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• pp.281-293
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• 2021

Oil and steel prices, which are major pricescosts in the shipbuilding industry, were predicted. Firstly, the error of the moving average line (N=3-5) was examined, and in all three error analyses, the moving average line (N=3) was small. Secondly, in the linear prediction of data through existing theory, oil prices rise slightly, and steel prices rise sharply, but in reality, linear prediction using existing data was not satisfactory. Thirdly, we identified the limitations of linear prediction methods and confirmed that oil and steel price prediction was somewhat similar to actual moving average line prediction methods. Due to the high volatility of major price flows, large errors were inevitable in the forecast section. Through the time series analysis method at the end of this paper, we were able to achieve not bad results in all analysis items relative to artificial intelligence (Prophet). Predictive data through predictive analysis using eight predictive models are expected to serve as a good research foundation for developing unique tools or establishing evaluation systems in the future. This study compares the basic settings of artificial intelligence programs with the results of core price prediction in the shipbuilding industry through time series prediction theory, and further studies the various hyper-parameters and event effects of Prophet in the future, leaving room for improvement of predictability.

• Journal of The Korea Institute of Healthcare Architecture
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• v.28 no.2
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• pp.31-38
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• 2022

Purpose: This study presents the results of the analysis on space utilization of kidney dialysis units in regional public hospitals, which plays a key role in local public medical services. The result aims to achieve safety from infection, allow comfort for the dialysis environment, and stability for medical support. The purpose of this study is to present fundamental data for architectural plans for the kidney dialysis unit, as well as to alleviate potential infectious diseases such as COVID-19. Methods: For research purposes, the investigation and analysis of space utilization were based on architectural floor plans, research papers and literature, related legal systems, and public statistics. Of the main 35 regional public hospitals, in regards to data accessibility, 15 facilities were selected to conduct the survey and analysis for the objective. Results: The space composition by area research results of kidney dialysis units in public hospitals are as follows: Firstly, most targets do not have required rooms in the access and support area, except for the hemodialysis beds in the treatment section. Secondly, the access area requires necessary room and space design that took into consideration of convenience and accessibility for patients. Thirdly, in regards to infection prevention and control, proper circulation and room plan is essential for storage and disposal of contaminated products and linen after use. For the treatment area, the arrangement plan needs to establish a visual connection between the isolation room, the nursing station, and the bed area. Additionally, consideration of circulation in the preparation, treatment, observation, examination, and all other rooms in the facility is required. Lastly, for the support area, the room is designed to consider adequate working and meeting spaces for the medical staff, consultation space for patients or guardians, separate storage and disposal of clean and contaminated items, and the storage of various equipment for dialysis. Implications: In preparation for the increase in chronic kidney failure patients and the spread of infectious diseases, such as COVID-19, the researched data demonstrates the basic guidelines for space composition of kidney dialysis units and the significant role of regional public hospitals.

• The Journal of The Korea Institute of Intelligent Transport Systems
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• v.21 no.1
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• pp.221-239
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• 2022

Various elements such as geometry, traffic safety facilities, congestion level, weather, etc., need to be appropriately reflected in the assessment scenario evaluating the driving safety of automated vehicles. Therefore, this study first established a scenario structure and defined the layer of elements, to derive the elements to be reflected in the automated driving safety evaluation. After that, all elemental candidates that can be reflected in each layer were derived by reviewing the relevant literature. Finally, as a result of an expert survey, 77 items were selected to be reflected in the automated driving safety evaluation. The selected elements are expected to be actively utilized in developing scenarios for the driving safety evaluation of automated vehicles in simulation, proving ground, and real road assessments.

• KSCE Journal of Civil and Environmental Engineering Research
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• v.29 no.2D
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• pp.183-190
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• 2009

In order to improve continuous success and stabilization of high-speed rail in the future, Using Frequency of high-speed rail should be enhanced by improving satisfaction of high-speed rail passenger. High-speed rail is needed to hold the priority in competition means by comparing the traits of service of domestic air lines. This study utilizes structural equation modeling to develop model for estimating factors influencing to service through conducting survey questionnaire. It also uses reliability analysis, correlation analysis, factor analysis to examine the rationalization of items and to establish hypothesis of this research. The results show that KTX contains 'inner service' item that is considered to be ameliorated and that domestic airline present low performance of 'outer service' item. In other words, moving section which partly is under a limited condition is needed to be improved. In addition, access to airport and transfer to other transportations have to be improved as they show the lowest satisfaction.

• The Journal of the Convergence on Culture Technology
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• v.9 no.4
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• pp.633-638
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• 2023

In this study, the effect of the change in cable tension on the track irregularity of railway ballasted track on a railway steel composite bridge was analyzed. As a result of comparing design and analysis results for cable tension, a difference of less than 3% was found, and analysis modeling was analyzed to reflect the design conditions well. In addition, the adequacy of the analysis modeling was demonstrated by comparing the field measurement results with the analysed cable tension. By considering the change in cable tension as a variable, the track irregularity of the railway steel composite bridge was analyzed. As a result of the analysis, it was analyzed that the total and one-sided cable tension change had a direct effect on the vertical irregularity among the track irregularity items. In addition, it was found that the change in track irregularity occurred in the section close to the cable position. It was analyzed that the change in cable tension had a more direct effect on track irregularity that had a direct correlation with the vertical direction rather than the lateral direction.

• Fashion & Textile Research Journal
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• v.25 no.6
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• pp.732-738
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• 2023

This study delves into the realm of upcycling beauty design by repurposing discarded CDs, magazines, and fabrics. The study outlines a meticulous process for transforming waste into beauty designs. We created three upcycling beauty design works as part of this investigation. The first creation, called Silver Leaf, uses the silver section of CDs to craft leaves and stems. Achromatic colors are used as makeup to achieve cyber-inspired imagery. After carrying out silver-gray eye makeup, the lips were completed by affixing a CD component. The second creation is a firebird crafted by cutting or folding fashion magazines to create essential items. The colorful firebird image was completed using vivid color makeup of shades such as red and yellow. After proceeding with red eye makeup, the lips were completed by cutting and pasting magazine cutouts. The third piece is a spring flower, which involved selectively cutting lace patterns to complete a beauty design extending from head to face. The colors are spring-themed and encompass pink, yellow, and blue. Pink, blue, and green eyeshadows were applied on the lace, attached from head to face, chest, and lips. This study advocates for the prospect of upcycling beauty design using sustainable materials by repurposing waste resources. It also introduces the possibilities of creative activities in this field through upcycling. The study aims to play a role in changing the perception of environmental conservation, a concern of our times, through the use of sustainable resources.

• Journal of the Korean Institute of Landscape Architecture
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• v.45 no.6
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• pp.62-75
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• 2017

This study analyzes the multiple effects of the following three aspects of waterscape facilities within apartment complexes: planning/designing, maintenance/management, and use of the facilities and suggests primary documents that will be fundamental for the methods to accelerate the implementation of waterscape facilities. A survey and analysis was conducted among a few of the most representative private apartment complexes in Seoul in accordance with the management and operation of waterscape facilities. The analysis used frequency analysis, descriptive statistics, reliability test, t-test, and PLS regression analysis. The research findings are as follows: first, the degree of use of waterscape facilities was found to be low regardless of the levels of operation, but residents' preference for the facilities was shown to be high, thus indicating there are still high expectations on the part of residents. Second, regardless of whether the facilities are being operated efficiently, the two items of location and display method under the section of planning and designing and the two items of aptitude and convenience under the section of use were found to positively affect the operation and use of waterscape facilities. Particularly, the item of freshness, cleanliness was shown to be directly and indirectly correlated with obsolescence, administration costs, and noise, which negatively affect the operation. Third, it was found that the administration costs itself that had been shown as the most negative factor of operating landscaping facilities in previous research did not cause problems in the residential area where the facilities are not operated efficiently. The finding suggests that the administration costs do not matter but that in the case of experience- and entertainment-typed facilities that residents want, they are linked to problems that do not introduce the desired facilities. Fourth, it was found that various aspects of planning, designing, maintaining, and using facilities interconnect and affect one another in the process of operating and using waterscape facilities resulting in the need to have a comprehensive approach to these three factors of planning, design, maintenance, management, and utilization. This study proposes that the needs and values of residents should be reflected to activate the introduction of landscaping facilities in the apartment complexes.