• Journal of Preventive Medicine and Public Health
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• v.20 no.2 s.22
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• pp.287-300
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• 1987

Island regions suffer from a shortage of health care in part because they are less developed, they cover a widespread area relative to the population, and due to transportation barriers. The purpose of this study was to assess the level of illness and the magnitude of medical care utilization, and to investigate the determinants of utilization in these area. The data were collected by means of a household survey conducted from February 16 to 25, 1987 on S islands which were selected in consideration of the size of the population, the distance from the main land, and the distribution of health care facilities. The household response rate was 89.1% (491 of 551 households), and 1971 persons were surveyed. The major findings of this study are as follows: 1) The morbidity rate of the island inhabitants was 27.7% during the two weeks, and 25.5 chronic illnesses and 9.1 acute illnesses per 100 persons, were noted. Differences in the magnitude of illness were statistically significant by sex, age, education, and family size. 2) The magnitude of total ambulatory carl utilization was 16.8 visits per 100 persons during the two weeks, which was less than that of other regions; and differences in the magnitude of total ambulatory care were statistically significant by sex, age, education, occupation, and family size. 3) Unmet needs were classified as 56.0% in chronic illnesses and 19.6% in acute illnesses; and differences in unmet needs were statistically significant by sex, age, education, occupation, income, and family size. 4) Statistically significant determinants in medical care utilization included the frequency of acute illness and chronic illness, and income in total utilization; the frequency of chronic illness and acute illness, and medical care insurance in physician visits. 5) According to the results of the path analysis, need factors had the greatest effect on utilization, and predisposing factors had more indirect effects through enabling or need factors than direct effects.

• IE interfaces
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• v.17 no.4
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• pp.466-471
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• 2004

In this paper, I develop a simple dynamic resource allocation algorithm that reduces the call blocking rate by improving the resource utilization of the WCDMA (Wideband Code Division Multiple Access) systems under multimedia service environment. Simulation results show that the proposed algorithm significantly reduces the blocking rate of high speed multimedia calls. The algorithm developed in this paper is currently working in the commercial WCDMA IMT-2000 system.

• Particle and aerosol research
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• v.12 no.4
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• pp.127-134
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• 2016

A multiwall carbon nanotube (MWCNT)/graphene (GR) composite was synthesized for an enhanced supercapacitor. Aerosol spray pyrolysis (ASP) was employed to synthesize the MWCNT/GR composites using a colloidal mixture of MWCNT and graphene oxide (GO). The effect of the weight ratio of the MWCNT/GO on the particle properties including the morphology and layered structure were investigated. The morphology of MWCNT/GR composites was generally the shape of a crumpled paper ball, and the average composite size was about $5{\mu}m$. MWCNT were uniformly dispersed in GR sheets and the MWCNT not only increase the basal spacing but also bridge the defects for electron transfer between GR sheets. Thus, it was increasing electrolyte/electrode contact area and facilitating transportation of electrolyte ion and electron in the electrode. Electrochemical data demonstrate that the MWCNT/GR (weight ratio=0.1) composite possesses a specific capacitance of 192 F/g at 0.1 A/g and good rate capability (88% capacity retention at 4 A/g) using two-electrode testing system.

• Tunnel and Underground Space
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• v.29 no.5
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• pp.356-366
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• 2019

Various TBM performance prediction models have been developed and most of them were considered penetration rate only. Despite the fact that some models have suggested equations and charts for estimating the utilization factor, but there are a few studies to estimate the TBM utilization factor. Utilization factor is affected by the type of TBM machine, operation, maintenance of machine, geological conditions, contractor experience and other factors. In this study, more than 100 case studies are analyzed to determine the relationship between the utilization factor and RMR, geological conditions, TBM types, tunnel length, and TBM diameter. Simple and multiple linear regression analysis are performed to develop predictive models for the utilization factor. The predictive model with explanatory variables of geological conditions, TBM types, tunnel length, and TBM diameter does not give a good correlation. The predictive models with explanatory variable of RMR give higher values of the coefficient of determination.

• Journal of Preventive Medicine and Public Health
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• v.53 no.6
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• pp.455-464
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• 2020

Objectives: The distribution of hospitals in Korea is unbalanced in terms of accessibility. Many local public health centers (PHCs) exempt out-of-pocket payments (OOPs) based on local government laws to increase coverage. However, this varies across administrative regions, as many make this exemption for the elderly, while others do not. This study aimed to evaluate the effects of the OOP exemption at local PHCs among elderly individuals. Methods: This study used online data on Korean national law to gather information on individual local governments' regulations regarding OOP exemptions. Individual-level data were gathered from the 2018 Community Health Survey and regional-level data from public online sources. Results: The study analyzed 132 regions and 44 918 elderly people. A statistical analysis of rate differences and 2-level multiple logistic regression were carried out. The rate difference according to whether elderly individuals resided in areas with the OOP exemption was 1.97%p (95% confidence interval [CI], 1.07 to 2.88) for PHC utilization, 1.37%p (95% CI, 0.67 to 2.08) for hypertension treatment, and 2.19%p (95% CI, 0.63 to 3.74) for diabetes treatment. The regression analysis showed that OOP exemption had an effect on hypertension treatment, with a fixed-effect odds ratio of 1.25 (95% CI, 1.05 to 1.48). Conclusions: The OOP exemption at PHCs can affect medical utilization in Korea, especially for hypertension treatment. The OOP exemption should be expanded to improve healthcare utilization in Korea.

• Journal of Preventive Medicine and Public Health
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• v.32 no.4
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• pp.546-555
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• 1999

Objectives : To determine the prevalence, pattern. and out-of-pocket expenditure of complementary and alternative medicine (CAM) utilization in Korean adult population. Methods : We conducted a representative telephone survey of 2,042 persons aged 18 or older. Data about any health problem, details of their use of medical doctors(MDs) offices/hospitals/pharmacies services and CAM during the preceding 12 months were collected with structured questionnaire. Results : The utilization rate of CAM among Korean adults was 29% in one year. A total of 231 kinds of CAM was identified from this survey. Annual out-of-pocket expenditure associated with CAM use in 1998 amounted to ${\xi}{\S}1.88$ billion and was comparable to 40.8% of out-of-pocket expenditure paid for MDs offices/hospitals/pharmacies services. Among those(N=424) who paid for both MDs offices/hospitals/pharmacies services an d CAM, 35.8% paid more for CAM. CAM gave more satisfaction than western medicine to those who had experience of both types of therapy. About half of CAM users were willing to recommend CAM to others. Disclosure rate to physician among CAM users was not high(40.6%). Conclusion : CAM became a popular source of health care in Korea, Korean spent a substantial amount of out-of-pocket money on CAM without any public control. Because CAM use is likely to be increased rapidly through lay referral system, health policy makers and health professionals should pay more attention to CAM for making appropriate utilization of CAM.

• Journal of Korean Society of Rural Planning
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• v.20 no.1
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• pp.115-125
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• 2014

Rural villages have many problems such as the collapse of rural village communities with continued over-depopulation and aging, reduced functions of towns and villages, deteriorated services with changes in the structure of settlement class and decreased use of the facilities. they also have difficulties in maintenance in spite of the increase of the roles of rural village community facilities. Various plans for the utilization of community facilities to promote the vitality of rural villages and the revitalization of communities have been needed. Thus, this study aimed to offer basic data to seek for future plans to utilize community facilities and reconstruct communities through an analysis of the current uses of energy and community facilities in rural villages. The results indicated that the consumption of petroleum was highest in mountain villages at an average of 187,475 won/month($137{\ell}$), followed by fishing villages at an average of 144,142 won/month($104{\ell}$) and rural villages at an average of 126,070 won/month($93{\ell}$). The rate of utilization of community facilities was reversely highest in rural villages at 84.3%, followed by fishing villages at 61.1% and mountain villages at 40.7%. This research also found that households saved energy when they used community facilities and areas with a high rate of utilization of community facilities at a lower average temperature in winter. It saved approximately 33% energy compared to other areas. Finally, efficient and economical methods for community facilities in villages to be newly developed and the remodeling of existing facilities should been needed in the future to contribute to reconstructing rural village communities that face a crisis of maintenance or abolition.

• The KIPS Transactions:PartC
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• v.13C no.2 s.105
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• pp.203-210
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• 2006

Fair packet scheduling algorithms supporting quality-of-services of real-time multimedia applications can be classified into the following two design schemes in terms of the reference time used in calculating the timestamp of arriving packet: Finish-time Design (FD) and Start-time Design (SD) schemes. Since the former can adjust the latency of a flow with raising the flow's reserved rate, it has been applied to a router for the guaranteed service of the IETF (Internet Engineering Task Force) IntServ model. However, the FD scheme may incur severe bandwidth loss for traffic flows requiring low-rate but strong delay bound such as internet phone. In order to verify the usefulness of the SD scheme based router for the IETF guaranteed service, this paper analyzes and compares two design schemes in terms of bandwidth and payload utilizations. It is analytically proved that the SD scheme is better bandwidth utilization than the FD one, and the simulation result shows that the SD scheme gives better payload utilization by up to 20%.

• 한국신재생에너지학회:학술대회논문집
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• 2007.11a
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• pp.485-488
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• 2007

Riverbank filtration is a kind of artificial aquifer recharge for the fresh water supply. By construction of several production wells penetrating the riverbank, surface water withdrawn from the river would pass riverbed. This extracted water is well known to be cooler than surface water in summer and warmer than surface water in winter, showing more constant water temperature. This characteristic of extracted water is applied to geothermal energy utilization. Prediction of the annual temperature variation of filtrated water is the major concern in this study. In Daesan-myeon, Changwon-si, Gyeongsangnam-do, South Korea, riverbank filtration facility has been on its operation for municipal water supply and thermal energy utilization since 2006. Appropriate hydraulic and thermal properties were estimated for flow and heat transfer modeling with given pumping rate and location. With the calibrated material properties and boundary conditions, we numerically reproduced measured head and temperature variation with acceptable error range. In the numerical simulation, the change of saturation ratio and river stage caused by rainfall was calculated and the resulting variation of thermal capacity and thermal conductivity was considered. Simulated temperature profiles can be used to assess the possible efficiency of geothermal energy utilization using riverbank filtration facility. Influence of pumping rate, pumping location on the extracted water temperature will be studied.

• Health Policy and Management
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• v.30 no.1
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• pp.37-49
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• 2020

Background: Unmet healthcare needs have many advantages for measuring inequalities in healthcare use. However, the existing indicator is difficult to capture the reality of unmet healthcare needs sufficiently and is not quite appropriate in comparing regional inequality. The purpose of this study is to critically analyze the utilization of the unmet healthcare need indicator for regional healthcare inequalities research. Methods: We used the level of healthcare accessibility and healthcare need to categorize the regions that are known to cause differences in healthcare utilization between regions and verified how existing unmet healthcare need indicator is distributed at the regional level. Results: Four types of regions were classified according to the high and low levels of healthcare needs and accessibility. The hypothesis about the regional type expected to have the highest unmet healthcare need was not proved. The hypothesis about the lowest expected regional type was proved, but the difference in the average rate of unmet healthcare needs among regional types was not significant. The standard deviation of the rate of unmet healthcare needs among regions within the same type was also higher than the overall regional variation, which also disproved the whole frame of hypothesis. Conclusion: Failure to prove the hypothesis means the gap between the supposed meaning of the indicator and the reality. In order to understand the current state of healthcare utilization of people in various regions of Korea and to resolve inequality, fundamental research on the in-depth structure and mechanisms of healthcare utilization is needed.