• The Journal of Advanced Prosthodontics
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• v.8 no.1
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• pp.53-61
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• 2016

PURPOSE. This study conducted an analysis of cost-effectiveness of the implant and conventional fixed dental prosthesis (CFDP) from a single treatment perspective. MATERIALS AND METHODS. The Markov model for cost-effectiveness analysis of the implant and CFDP was carried out over maximum 50 years. The probabilistic sensitivity analysis was performed by the 10,000 Monte-Carlo simulations, and cost-effectiveness acceptability curves (CEAC) were also presented. The results from meta-analysis studies were used to determine the survival rates and complication rates of the implant and CFDP. Data regarding the cost of each treatment method were collected from University Dental Hospital and Statistics Korea for 2013. Using the results of the patient satisfaction survey study, quality-adjusted prosthesis year (QAPY) of the implant and CFDP strategy was evaluated with annual discount rate. RESULTS. When only the direct cost was considered, implants were more cost-effective when the willingness to pay (WTP) was more than 10,000 won at $10^{th}$ year after the treatment, and more cost-effective regardless of the WTP from $20^{th}$ year after the prosthodontic treatment. When the indirect cost was added to the direct cost, implants were more cost-effective only when the WTP was more than 75,000 won at the $10^{th}$ year after the prosthodontic treatment, more than 35,000 won at the $20^{th}$ year after prosthodontic treatment. CONCLUSION. The CFDP was more cost-effective unless the WTP was more than 75,000 won at the $10^{th}$ year after prosthodontic treatment. But the cost-effectivenss tendency changed from CFDP to implant as time passed.

• Health Policy and Management
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• v.33 no.1
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• pp.40-54
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• 2023

Background: Based on the increase in the needs for convalescent rehabilitation medical services in Korea, this study aims to calculate the needs for rehabilitation services and examine its determinants for 229 regions. Methods: Claim data from the Health Insurance Review and Assessment Service were used to estimate patients who need to receive rehabilitation services, and data from various sources were also used for analysis. The number of cases and incidence rates of hospitalization related to convalescent rehabilitation were calculated to estimate the needs for services by region, and the results were visualized via a map. Multivariate regression and fixed effects regression using panel data were performed to identify the determinants of regional variation of the incidence rate. Results: First, the incidence rate of rural areas such as Jeolla-do, Gyeongsang-do, and Chungcheong-do was higher than urban areas (metropolitan cities). Second, the population, proportion of the elder, medical aid recipients, financial independence, traffic deaths, smoking, diabetes rate, and medical infrastructure correlated significantly with the incidence rate. Third, 'rho' values which mean the fraction of variance due to individual terms in panel data regression models were 0.965 and 0.976, respectively. Conclusion: The incidence rate of hospitalizations was correlated with most independent variables in this study and there is a gap between urban and rural areas. These regional disparities are fixed in our society. An improved regional convalescent rehabilitation system is suggested to cover the entire area including rural areas with a high rate of aging.

• Magazine of the Korean Society of Agricultural Engineers
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• v.31 no.2
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• pp.104-115
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• 1989

In an effort to clarify the wetted patterns of sandy loam soil under trickle irrigation conditions, the distance of wetted zone, infiltration capacity and soil wetted patterns, etc. were measured by gypsum block as soil moisture sensor located every 5 cm vertically and horizontaly in the soil bin under the such conditions as a). irrigation rates set to 2, 4, 6, 8 liters per hour b). total amount of water applied fixed to 14.62 liters per soil bin c) the hearing force of soil measured by plate penetrometer ranging from 1.04 to 1.22kg/cm$_2$ The results can be summarized as follows ; 1. The wetted distance in horizontal direction(H), the wetted distance in vertical direction(D), the horizontal infiltration capacity (iH) and the vertical infiltration capacity(in)could by explained as a function of time t. 2. The horizontal wetted distance (H) is explained by an exponetial function H= a$.$ t where b was found ranging from 021 to 026 under surface trickle irrigation, which was considered a lotlower than the classical value of 0.5 and these measurements were indifferent to the increasing irrigation rates. 3. As for the surface trickle irrigation where horizontal infiltration capacity(iH) is explained as iH = A $.$ t h, the coefficient A increases with respect to irrigation rates within the limits of 0.89~1.34. 4. In terms of surface trickle irrigation of the ratio of Dm Which is maximum vertical wetted distance to Hm, which is maximum horizontal wetted distance, found to be within range of 1.0 to 1.21. It was also noted that the value of Dm decreses when irrigation rates increases while the value of Hm changes the opposite direction. 5. The optimum location of sensors from emitter for surface trickle irrigation should he inside of hemisphere whose lateral radius is 28~30cm long and vertical radius is 10~12cm long. The distance between emitters should be within 60cm long. 6. In the study of vertical wetted distance( D) where D= a $.$ tb, the exponential coefficient b ranged from 0.61 to 0.75 in surface trickle irrigation, and from 0A9 to 0.68 for subsurface trickle irrigation. These measurements showed an increasing tendency to with respect to irrigation rates. 7. In case of vertical infiltration capacity( in), where iD= A $.$ t 1-h, the coefficient A for surface trickle irrigation found to be within range of 0.16 to 0.19 and did not show any relationships with varying degree of irrigation rates. However, the coefficient was varying from 0.09 to 0.22 and showed a tendency to increase vis-a-vis irrigation rates for subsurface trickle irrigation, in contrast. 8. In the observation of subsurface trickle irrigation, it was found that Dm/Hm ratio was within 1.52 to 1.91 and showed a decreasing tendency with respect to increasing rates of irrigation. 9. The location of sensors for subsurface trickle irrigation follows same pattern as above, with vertical distance from emitter being 10~17cm long and horizontal 22~25cm long. The location of emitter should be 50 cm. 10.The relationship between VS which is the volume of wetted soil and Q which is the total amount of water when soil is reached field capacity could be explained as VS= 2.914Q0.91and the irrigation rates showed no impacts on the above relationship.

• Journal of the Korea Organic Resources Recycling Association
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• v.30 no.4
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• pp.5-13
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• 2022

The current environmental problem is that environmental pollution is accelerating due to the generation of large amounts of waste and indiscriminate consumption of energy. Fossil fuels, a representative energy production fuel, are burned in the process of producing energy, generating a large amount of greenhouse gases and eventually causing climate change. In addition, the amount of waste generated worldwide is continuously increasing, and environmental pollution is occurring in the process of waste treatment. One of the methods for simultaneously solving these problems is the energy recovery from and reduction of organic wastes. Sewage sludge generated in sewage treatment plants has been treated in various ways since ocean disposal was completely prohibited, but the amount generated has been continuously increasing. Since the sewage sludge contains a large amount of organic materials, it is desirable to recover energy from the sewage sludge and reduce the final discharged waste through anaerobic digestion. However, most of the excess sludge is a mass of microorganisms used in sewage treatment, and in order for the excess sludge to be anaerobically digested, the cell walls of the microorganisms must be destroyed first, but it takes a lot of time to destroy the cell walls, so high rates of biogas production and waste reduction cannot be achieved only by anaerobic digestion. Therefore, the pre-treatment process of solubilizing excess sludge is required, and the thermal solubilization process is verified to be the most efficient among various solubilization methods, and high rates of biogas production and waste reduction can be achieved by anaerobic digestion after destroying cell walls the thermal solubilization process. In this study, when pretreating TS 10% thickened excess sludge through a thermal solubilization system, a study was conducted on solubilization characteristics according to retention time and operating temperature variables. The experimental variables for the retention time of the thermal solubilization system were 30 minutes, 60 minutes, 90 minutes, and 120 minutes, respectively, while the operating temperature was fixed at 160℃. The soulbilization rates calculated through TCOD and SCOD derived from the experimental results increased in the order of 12.11%, 20.52%, 28.62%, and 31.40%, respectively. And the variables according to operating temperature were 120℃, 140℃, 160℃, 180℃, and 200℃, respectively, while the operating retention time was fixed at 60 minutes. And the solubilization rates increased in the order of 7.14%, 14.52%, 20.52%, 40.72%, and 57.85%, respectively. In addition, TS, VS, T-N, T-P, NH₄⁺-N, and VFAs were analyzed to evaluate thermal solubilization characteristics of thickened excess sludge. As a result, in order to obtain 30% or more solubilization rate through thermal solubilization of TS 10% thickened excess sludge, 120 minutes of retention time is required when the operating temperature is fixed to 160℃, and 170℃ or more of operating temperature is needed when the operating time is fixed to 60 minutes.

• KIISE Transactions on Computing Practices
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• v.22 no.3
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• pp.157-162
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• 2016

The limitation of a human's visual perception is considered to be 60 frames per second, This study investigated the effects of fast update rates (above 60 fps) in terms of interaction accuracy. Initial experiments showed that the interaction accuracy increased at rates faster than 60 fps. We assumed that either or both of the following two situations would cause such an effect: the user could recognize rendering rates faster than 60 fps, or the input processing rates were significant for the high accuracy. To evaluate the significance of these events, we conducted a second and third experiment. Although the display refresh rate was also fixed at 60 fps (by disabling the vertical sync), the rendered image actually differed for 60 fps and 150 fps. This research shows that faster update rate is necessary to achieve high interaction accuracy, and its limit is far over the usually considered 60 fps.

• Nuclear Engineering and Technology
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• v.45 no.1
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• pp.81-88
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• 2013

Neutron spectrum analyses of spallation neutrons are conducted in the accelerator-driven system (ADS) facility at the Kyoto University Critical Assembly (KUCA). High-energy protons (100 MeV) obtained from the fixed field alternating gradient accelerator are injected onto a tungsten target, whereby the spallation neutrons are generated. For neutronic characteristics of spallation neutrons, the reaction rates and the continuous energy distribution of spallation neutrons are measured by the foil activation method and by an organic liquid scintillator, respectively. Numerical calculations are executed by MCNPX with JENDL/HE-2007 and ENDF/B-VI libraries to evaluate the reaction rates of activation foils (bismuth and indium) set at the target and the continuous energy distribution of spallation neutrons set in front of the target. For the reaction rates by the foil activation method, the C/E values between the experiments and the calculations are found around a relative difference of 10%, except for some reactions. For continuous energy distribution by the organic liquid scintillator, the spallation neutrons are observed up to 45 MeV. From these results, the neutron spectrum information on the spallation neutrons generated at the target are attained successfully in injecting 100 MeV protons onto the tungsten target.

• Journal of Satellite, Information and Communications
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• v.1 no.1
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• pp.12-19
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• 2006

In this paper, we propose the bandwidth borrowing scheme which improves the performance of the cal admission control of the integrated GEO satellite networks. In general, target transmission rates of communications and streaming services are fixed, but data services do not have the target transmission rates. Therefore, we can control the transmission rates for data services flexibly according to the system loading situation. When the available bandwidth of the system is insufficient, the bandwidth borrowing scheme gives the bandwidth to request real time services by the transmission rates control of data services through packet scheduler. We make the queueing model for our system model and demonstrate the results through simulations. The simulation results show that there is a 8.7-35.2 dB gain at the total blocking probability according to the use of bandwidth borrowing scheme.

• Journal of Environmental Science International
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• v.15 no.1
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• pp.21-31
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• 2006

Aquatic plants grow in water with photosynthesis and purify water quality as taking organic and inorganic matter in water. Polluted water in stagnant stream channel where nutritive salts load is great can be purified by activities of aquatic plants. Aquatic plants should be fixed to bed easily to plant and sustainable environment is needed. So in this study, Mattress/Filter system is suggested to plant aquatic plant in stagnant stream channel. In the result of study, coverage of Phragmites australis, Zizania latifolia and Typha angustifolia which planted in mattress was $78\%,\;62\%\;and\;82\%$ and numbers of species in each mattress system were 7, 11, 3. The evenness index of each mattress system was 0.86, 0.91 and 0.79 and diversity index of each mattress system was 1.67. 2.18 and 0.87. Removal rates of phosphorus at Phragmites australis, Zizania latifolia and Typha angustifolia which planted in mattress were $68.7\%,\;62.7\%,\;55.3\%$ and removal rates of nitrogen of them were $79.8\%,\;74.7\%,\;64.9\%$. The removal rate of nitrogen was greater than phosphorus at all system and both removal rates were greater at Phragmites australis than at Zirania latifolia and at Typha angustifolia the rate was the least. Removal rates of $PO_4^{-3},\;NH_4-N,\;NO_{3-}N$ at Phragmites australis were $57.4\%,\;52.8\%,\;47.8\%$ and at Zizania latifolia were $82.6\%,\;77.2\%,\;67.5\%$ and at Typha angustifolia were $80.6\%,\;73.7\%,\;64.3\%$. It seems that removal effect is great by the planted mattress system.

• The Korean Nurse
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• v.36 no.1
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• pp.77-96
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• 1997

The duty shifts of hospital nurses not only affect nurses' physical and mental health but also present various personnel management problems which often result in high turnover rates. In this context a study was carried out from October to November 1995 for a period of two months to find out the status of hospital nurses' duty shift patterns, and preferred duty hours and fixed duty shifts. The study population was 867 RNs working in five general hospitals located in Seoul and its vicinity. The questionnaire developed by the writer was used for data collection. The response rate was 85.9 percent or 745 returns. The SAS program was used for data analysis with the computation of frequencies, percentages and Chi square test. The findings of the study are as follows: 1. General characteristics of the study population: 56 percent of respondents was (25 years group and 76.5 percent were "single": the predominant proportion of respondents was junior nursing college graduates(92.2%) and have less than 5 years nursing experience in hospitals(65.5%). For their future working plan in nursing profession, nearly 50% responded as uncertain The reasons given for their career plan was predominantly 'personal growth and development' rather than financial reasons. 2. The interval for rotations of duty stations was found to be mostly irregular(56.4%) while others reported as weekly(16.1%), monthly(12.9%), and fixed terms(4.6%). 3. The main problems related to duty shifts particularly the evening and night duty nurses reported were "not enough time for the family, " "afraid of security problems after the work when returning home late at night." and "lack of leisure time". "problems in physical and physiological adjustment." "problems in family life." "lack of time for interactions with fellow nurses" etc. 4. The forty percent of respondents reported to have '1-2 times' of duty shift rotations while all others reported that '0 time'. '2-3 times'. 'more than 3 times' etc. which suggest the irregularity in duty shift rotations. 5. The majority(62.8%) of study population found to favor the rotating system of duty stations. The reasons for favoring the rotation system were: the opportunity for "learning new things and personal development." "better human relations are possible. "better understanding in various duty stations." "changes in monotonous routine job" etc. The proportion of those disfavor the rotating 'system was 34.7 percent. giving the reasons of"it impedes development of specialization." "poor job performances." "stress factors" etc. Furthermore. respondents made the following comments in relation to the rotation of duty stations: the nurses should be given the opportunity to participate in the. decision making process: personal interest and aptitudes should be considered: regular intervals for the rotations or it should be planned in advance. etc. 6. For the future career plan. the older. married group with longer nursing experiences appeared to think the nursing as their lifetime career more likely than the younger. single group with shorter nursing experiences ($x^2=61.19.{\;}p=.000;{\;}x^2=41.55.{\;}p=.000$). The reason given for their future career plan regardless of length of future service, was predominantly "personal growth and development" rather than financial reasons. For further analysis, the group those with the shorter career plan appeared to claim "financial reasons" for their future career more readily than the group who consider the nursing job as their lifetime career$(x^2$= 11.73, p=.003) did. This finding suggests the need for careful .considerations in personnel management of nursing administration particularly when dealing with the nurses' career development. The majority of respondents preferred the fixed day shift. However, further analysis of those preferred evening shift by age and civil status, "< 25 years group"(15.1%) and "single group"(13.2) were more likely to favor the fixed evening shift than > 25 years(6.4%) and married(4.8%)groups. This differences were statistically significant ($x^2=14.54, {\;}p=.000;{\;}x^2=8.75, {\;}p=.003$). 7. A great majority of respondents(86.9% or n=647) found to prefer the day shifts. When the four different types of duty shifts(Types A. B. C, D) were presented, 55.0 percent of total respondents preferred the A type or the existing one followed by D type(22.7%). B type(12.4%) and C type(8.2%). 8. When the condition of monetary incentives for the evening(20% of salary) and night shifts(40% of. salary) of the existing duty type was presented. again the day shift appeared to be the most preferred one although the rate was slightly lower(66.4% against 86.9%). In the case of evening shift, with the same incentive, the preference rates for evening and night shifts increased from 11.0 to 22.4 percent and from 0.5 to 3.0 percent respectively. When the age variable was controlled. < 25 yrs group showed higher rates(31.6%. 4.8%) than those of > 25 yrs group(15.5%. 1.3%) respectively preferring the evening and night shifts(p=.000). The civil status also seemed to operate on the preferences of the duty shifts as the single group showed lower rate(69.0%) for day duty against 83. 6% of the married group. and higher rates for evening and night duties(27.2%. 15.1%) respectively against those of the married group(3.8%. 1.8%) while a higher proportion of the married group(83. 6%) preferred the day duties than the single group(69.0%). These differences were found to be statistically all significant(p=.001). 9. The findings on preferences of three different types of fixed duty hours namely, B, C. and D(with additional monetary incentives) are as follows in order of preference: B type(12hrs a day, 3days a wk): day shift(64.1%), evening shift(26.1%). night shift(6.5%) C type(12hrs a day. 4days a wk) : evening shift(49.2%). day shift(32.8%), night shift(11.5%) D type(10hrs a day. 4days a wk): showed the similar trend as B type. The findings of higher preferences on the evening and night duties when the incentives are given. as shown above, suggest the need for the introductions of different patterns of duty hours and incentive measures in order to overcome the difficulties in rostering the nursing duties. However, the interpretation of the above data, particularly the C type, needs cautions as the total number of respondents is very small(n=61). It requires further in-depth study. In conclusion. it seemed to suggest that the patterns of nurses duty hours and shifts in the most hospitals in the country have neither been tried for different duty types nor been flexible. The stereotype rostering system of three shifts and insensitiveness for personal life aspect of nurses seemed to be prevailing. This study seems to support that irregular and frequent rotations of duty shifts may be contributing factors for most nurses' maladjustment problems in physical and mental health. personal and family life which eventually may result in high turnover rates. In order to overcome the increasing problems in personnel management of hospital nurses particularly in rostering of evening and night duty shifts, which may related to eventual high turnover rates, the findings of this study strongly suggest the need for an introduction of new rostering systems including fixed duties and appropriate incentive measures for evenings and nights which the most nurses want to avoid, In considering the nursing care of inpatients is the round-the clock business. the practice of the nursing duty shift system is inevitable. In this context, based on the findings of this study. the following are recommended: 1. The further in-depth studies on duty shifts and hours need to be undertaken for the development of appropriate and effective rostering systems for hospital nurses. 2. An introduction of appropriate incentive measures for evening and night duty shifts along with organizational considerations such as the trials for preferred duty time bands, duty hours, and fixed duty shifts should be considered if good quality of care for the patients be maintained for the round the clock. This may require an initiation of systematic research and development activities in the field of hospital nursing administration as a part of permanent system in the hospital. 3. Planned and regular intervals, orientation and training, and professional and personal growth should be considered for the rotation of different duty stations or units. 4. In considering the higher degree of preferences in the duty type of "10hours a day, 4days a week" shown in this study, it would be worthwhile to undertake the R&D type studies in large hospital settings.

• Journal of environmental and Sanitary engineering
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• v.10 no.3
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• pp.67-77
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• 1995

This study was performed for minimization of excessive biofilm effects at the high strength organic wastewater treatment. As a results of biofilm attachment experiment using piggery wastewater, aggravation of water quality due to excessive biofilm showed after 15 days of operating times.4 excessive biofilm phase, the equivalent biofilm thickness and VSS contents per unit aura were observed in the range of 1,100 to $1,200{\mu}m$ and 2.5 to 3.0mg $VSS/cm^{2}$, respectively. In the aerobic fixed biofilm reactor/anoxic fixed biofilm reactor(AFBR/ANFBR) process with endogenous respiration phase, the BOD removal efficiency was obtained more than 90 percentage at the surface loading rate and volumetric loading rate of the AFBR maintained less than 17 g $BOD/m^{2}{\cdot}$day and 1.7kg $BOD/m^{3}{\cdot}$day, respectively. The removal efficiency of TKN and $NH_{3}$-N at the loading rates below 5.60g $NH_{3}-N/m^{2}{\cdot}day$ and 0.56kg $NH_{3}-N/m^{3}{\cdot}$day were above 76 percentage and 82 percentage, respectively. In order to reduced sludge production rate and aggravation of water quality, endogenous respiration phase was accepted at first AFBR reactor. As a results of this operating condition, sludge production was minimized and removal efficiency was maintained stability.