• The Korean Journal of Health Service Management
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• v.14 no.1
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• pp.93-102
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• 2020

Objectives: This study analyzed the prescription characteristics of medication for acute respiratory diseases before and after pay-for-performance to provide basic data on effective medical quality management policies. Methods: The research data were collected from the 2013-2014 sample cohort of the National Health Insurance Corporation, from Internal Medicine, Pediatrics, Otorhinolaryngology, Family Medicine and General practitioner clinics (classification of disease codes: J00-J06, J20-J22, J40 outpatients). Results: The antibiotics prescription rates decreased from 43.9% in 2013 to 43.5% in 2014 when the major diagnosis was for upper respiratory infections and increased from 62.0% in 2013 to 62.5% in 2014 when the major diagnosis was for lower respiratory infections. Conclusions: There is a need to identify the correct antibiotic prescription method by expanding the current assessment standards. Such standards must include acute lower respiratory infections and minor diagnoses as the current evaluation techniques focus only on the major diagnosis of acute upper respiratory infections.

• Steel and Composite Structures
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• v.33 no.3
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• pp.389-402
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• 2019

Reinforced concrete walls and buckling restrained braces are effective structural elements that are used to resist seismic loads. In this paper, the behavior of the reinforced concrete walls coupled with buckling restrained braces is investigated. In such a system, there is not any conventional reinforced concrete coupling beam. The coupling action is provided only by buckling restrained braces that dissipate energy and also cause coupling forces in the wall piers. The studied structures are 10-, 20- and 30-story ones designed according to the ASCE, ACI-318 and AISC codes. Wall nonlinear model is then prepared using the fiber elements in PERFORM-3D software. The responses of the systems subjected to the forward directivity near-fault (NF) and ordinary far-fault (FF) ground motions at maximum considered earthquake (MCE) level are studied. The seismic responses of the structures corresponding to the inter-story drift demand, curvature ductility of wall piers, and coupling ratio of the walls are compared. On average, the results show that the inter-story drift ratio for the examined systems subjected to the far-fault events at MCE level is less than allowable value of 3%. Besides, incremental dynamic analysis is used to examine the considered systems. Results of studied systems show that, the taller the structures, the higher the probability of their collapse. Also, for a certain peak ground acceleration of 1 g, the probability of collapse under NF records is more than twice this probability under FF records.

• Wind and Structures
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• v.15 no.2
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• pp.111-129
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• 2012

Codes for structural design usually assume that the incident mean wind velocity is parallel to the ground, which constitutes a valid simplification for frequent winds caused by sypnoptic events. Wind effects due to other phenomena, such as thunderstorm downbursts, are simply neglected. In this paper, results of recent and ongoing research on this topic in Brazil are presented. The model of the three-dimensional wind velocity field originated from a downburst in a thunderstorm (TS), proposed by Ponte and Riera for engineering applications, is first described. This model allows the generation of a spatially and temporally variable velocity field, which also includes a fluctuating component of the velocity. All parameters are related to meteorological variables, which are susceptible of statistical assessment. An application of the model in the simulation of the wind climate in a region sujected to both EPS and TS winds is discussed next. It is shown that, once the relevant meteorological variables are known, the simulation of the wind excitation for purposes of design of transmission lines, long-span crossings and similar structures is feasible. Complementing the theoretical studies, wind velocity records during a recent TS event in southern Brazil are presented and preliminary conclusions on the validity of the proposed models discussed.

• Steel and Composite Structures
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• v.42 no.1
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• pp.59-74
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• 2022

This study introduces a general reliability-based, performance-based design framework to design frames regarding their uncertainties and user-defined design goals. The Iterative-R method extracted from the main framework can designate a proper R (i.e., response modification factor) satisfying the design goal regarding target reliability index and pre-defined probability of collapse. The proposed methodology is based on FEMA P-695 and can be used for all systems that FEMA P-695 applies. To exemplify the method, multiple three-dimensional, four-story steel special moment-resisting frames are considered. Closed-form relationships are fitted between frames' responses and the modeling parameters. Those fits are used to construct limit state functions to apply reliability analysis methods for design safety assessment and the selection of proper R. The frameworks' unique feature is to consider arbitrarily defined probability density functions of frames' modeling parameters with an insignificant analysis burden. This characteristic enables the alteration in those parameters' distributions to meet the design goal. Furthermore, with sensitivity analysis, the most impactful parameters are identifiable for possible improvements to meet the design goal. In the studied examples, it is revealed that a proper R for frames with different levels of uncertainties could be significantly different from suggested values in design codes, alarming the importance of considering the stochastic behavior of elements' nonlinear behavior.

• Journal of Mechanical Science and Technology
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• v.20 no.12
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• pp.2061-2078
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• 2006

The main purpose of this paper is to establish the high temperature structural integrity evaluating procedures for the next generation reactors, which are to be operated at over 500$^{\circ}C$ and for 60 years. To do this, comparison studies of the high temperature structural design codes and assessment procedures such as the ASME-NH (USA), RCC-MR (France), DDS (Japan), and R5 (UK) are carried out in view of the accumulated inelastic strain and the creep-fatigue damage evaluations. Also the application procedures of the ASME-NH rules with the actual thermal and structural analysis results are described in detail. To overcome the complexity and the engineering costs arising from a real application of the ASME-NH rules by hand, all the procedures established in this study such as the time-dependent primary stress limits, total accumulated creep ratcheting strain limits, and the creep-fatigue damage limits are computerized and implemented into the SIE ASME-NH program. Using this program, the selected high temperature structures subjected to two cycle types are evaluated and the parametric studies for the effects of the time step size, primary load, number of cycles, normal temperature for the creep damage evaluations and the effects of the load history on the creep ratcheting strain calculations are investigated.

• Transactions of the Korean Society for Noise and Vibration Engineering
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• v.21 no.10
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• pp.883-889
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• 2011

The brand sound of vehicle diesel engine is recently one of the important advantage strategies in the automotive company. Because various noise components masked under high frequency level can be audible in quieter driving situation. Many researches have been carried out for subjective and objective assessments on vehicle sounds and noises. In particular, the interior sound quality has been one of research fields that can give high quality feature to vehicle products. Vehicle interior noise above 500 Hz is usually controlled by sound package parts. The materials and geometries of sound package parts directly affect on this high frequency noise. This paper describes the sound quality evaluation method for the vehicle diesel engine noise to establish objective criteria for sound quality assessment. Considering the sensitivity of human hearing to impulsive sounds such as diesel noise, the human auditory mechanism was simulated by introducing temporal masking in the time domain. Furthermore, each of the human auditory organs was simulated by computer codes, providing reasonable analytical explanations of typical human hearing responses to diesel noise. This method finally provides the sound quality index of vehicle diesel engine noise that includes high frequency intermittent offensive sounds caused by impacting excitations of combustion and piston slap.

• Wind and Structures
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• v.32 no.5
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• pp.439-452
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• 2021

The concept of Performance objective assessment is extended to wind engineering. This approach applies using the Database-Assisted Design technique, relying on the aerodynamic database provided by the National Institute of Standards and Technology (NIST). A structural model of a low-rise building is analyzed to obtain influence coefficients for internal forces and displacements. Combining these coefficients with time histories of pressure coefficients on the envelope produces time histories of load effects on the structure, for example knee and ridge bending moments, and eave lateral drift. The peak values of such effects are represented by an extreme-value Type I Distribution, which allows the estimation of the gust wind speed leading to the mean hourly extreme loading that cause specific performance objective compromises. Firstly a fully correlated wind field over large tributary areas is assumed and then relaxed to utilize the denser pressure tap data available but with considerably more computational effort. The performance objectives are determined in accordance with the limit state load combinations given in the ASCE 7-16 provisions, particularly the Load and Resistance Factor Design (LRFD) method. The procedure is then repeated for several wind directions and different dominant opening scenarios to determine the cases that produce performance objective criteria. Comparisons with two approaches in ASCE 7 are made.

• Journal of Korean Tunnelling and Underground Space Association
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• v.13 no.1
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• pp.1-8
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• 2011

Spray density of the water spray system which is installed in long road tunnels and hazardous vehicle tunnels is applied without proper performance assessment process. In this study, the requirements of Spray Density Guidelines at the standard pressure is investigated through spray test set up the nozzle of a water spray system in a simulated road tunnel. The results showed that all the nozzles used in the test area did not meet the requirements of the Guidelines. The absence of performance test codes and inspection process on the nozzle at real scale in tunnels may have caused this practice. Therefore, it is suggested that the performance test regulations of the nozzle on the water spray system is established in order to properly assess the system performance.

• Nuclear Engineering and Technology
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• v.41 no.1
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• pp.91-98
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• 2009

The "3+3 Process" for safety critical software for nuclear power plants' I&C (Instrumentation and Control system) has been developed in this work. The main idea of the "3+3 Process" is both to simplify the software development and safety analysis in three steps to fulfill the requirements of a software safety plan [1]. The "3-Step" software development process consists of formal modeling and simulation, automated code generation and coverage analysis between the model and the generated source codes. The "3-Step" safety analysis consists of HAZOP (hazard and operability analysis), FTA (fault tree analysis), and DV (design validation). Put together, these steps are called the "3+3 Process". This scheme of development and safety analysis minimizes the V&V work while increasing the safety and reliability of the software product. For assessment of this process, validation has been done through prototyping of the SDS (safety shut-down system) #1 for PHWR (Pressurized Heavy Water Reactor).

• Nuclear Engineering and Technology
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• v.54 no.9
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• pp.3567-3579
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• 2022

This paper provides an assessment of fluid transport and mixing processes inside the primary circuit of the test facility ROCOM through the numerical simulation of Test 2.1 with the system code ATHLET. The experiment represents an asymmetric injection of cold and non-borated water into the reactor coolant system (RCS) of a pressurized water reactor (PWR) to restore core cooling, an emergency procedure which may subsequently trigger a core re-criticality. The injection takes place at low velocity under single-phase subcooled conditions and presents a major challenge for the simulation in lumped parameter codes, due to multidimensional effects in horizontal piping and vessel arising from density gradients and gravity forces. Aiming at further validating ATHLET 3-D capabilities against horizontal geometries, the experiment conditions are applied to a ROCOM model, which includes a newly developed horizontal pipe object to enhance code prediction inside coolant loops. The obtained results show code strong simulation capabilities to represent multidimensional flows. Enhanced prediction is observed at the vessel inlet compared to traditional 1-D approach, whereas mixing overprediction from the descending denser plume is observed at the upper-half downcomer region, which leads to eventual deviations at the core inlet.