• Journal of Korean Tunnelling and Underground Space Association
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• v.17 no.2
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• pp.117-125
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• 2015

Quantitative risk assessment (QRA) of railway is to create a variety of scenario and to quantify the degree of risk by a result of the product of accident frequency and accident. Quantitative risk Assessment is affected by various factors such as tunnel specifications, characteristics of the fire, and relation of smoke control and evacuation direction. So in this study, it is conducted that how the way of smoke control and the relation of smoke control and evacuation direction affect quantitative risk assessment with variables (the tunnel length (2, 3, 4, 5, 6 km) and the slope (5, 15, 25‰)). As the result, in a train fire at the double track tunnel (Area = $97m^2$), it is most efficient to evacuate to the opposite direction of smoke control regardless of the location of train in train fire. In addition, under the same condition, index risk in mechanical ventilation up to 1/10.

• Health Policy and Management
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• v.21 no.4
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• pp.527-540
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• 2011

Some patients tend to visit tertiary hospitals instead of non-tertiary hospitals for minor illnesses, which is a chronic problem within the Korean health care delivery system. In order to reduce the number of patients with minor severity diseases unnecessarily utilizing the tertiary medical services in Korea, the Ministry of Health and Welfare raised the outpatient co-insurance rate for the tertiary hospitals in July, 2009. Another increase in the prescription drug co-insurance rate by the general and tertiary hospitals is scheduled to take place in the second half of 2011. An increase in copayments may discourage the utilization rate of medical services among the underprivileged or patients who require complicated procedures. This study aims to analyze the diabetic patients' utilization rates of tertiary hospitals according to the Comorbidity score. Diabetic patients' data was gathered from the Health Insurance Claims Records in the Health Insurance Review & Assessment Service between 2007-2009. Comorbidity scores are measured by the Charlson Comorbidity Index and the Elixhauser Index. Chi-square and logistic regressions were performed to compare the utilization rates of both insulin-dependents (n=94,026) and non-insulin-dependents (n=1,424,736) in tertiary hospitals. The higher Comorbidity outcomes in the insulin-dependent diabetic patients who didn't visit tertiary hospitals compared to those who did, was expected. However, after adjusting the gender, age, location, first visits and complications, the groups that scored >=1 on the comorbidity scale utilized the tertiary hospitals more than the O score group. Non-insulin-diabetic patients with higher Comorbidity scores visited tertiary hospitals more than patients who received lower grades. This study found that patients suffering from severe diabetes tend to frequently visit the tertiary hospitals in Korea. This result implied that it is important for Korea to improve the quality of its primary health care as well as to consider a co-insurance rate increase.

• Health Policy and Management
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• v.25 no.2
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• pp.107-117
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• 2015

Background: The purpose of this study is to analyze the cost for the denture treatment in accordance with the government's plan to expand the National Health Insurance coverage for dental prothesis from July 1, 2012. Methods: We developed the draft of classification of the treatment activities based on the existing researches and expert's review and finalized the standard procedures through confirming by Korean Dental Association. We also made the list of input at each stage of treatments. We conducted survey of 100 dental clinics via post from April 4 to May 20 in 2011 and 37 clinics took part in the survey. The unit of cost calculation is the process from the first visit for denture treatment to setting of denture and adjustment. The manufacturing process performed by dental technician was not included in the cost analysis. Results: The process for the complete denture treatment was classified with 10 stages. The partial denture treatment was classified with 8 stages. The treatment time per each denture is about 5.6 hours for complete dentures and about 6.6 hours for partial dentures. The treatment cost were from 591,108 won to 643,913 won for complete denture and from 670,219 won to 738,840 won for partial denture in 2011, depending on the location, type of the clinics and the types of physician's income. Conclusion: This study shows the example of cost analysis for the treatment to set the fee schedule. Measures to get representative and accurate information need to be made.

• Journal of the Korean Geotechnical Society
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• v.37 no.5
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• pp.33-46
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• 2021

After the Gyeongju earthquake, which was the largest in the history of measuring instruments in Korea in 2016, and after the Pohang earthquake, where the pillars of pallet structures were destroyed in 2017, the seismic design standards for all domestic facilities have been revised and supplemented. In particular, during the investigation of the Pohang Earthquake damage cases, liquefaction damage that occurs mainly in countries with strong earthquakes such as the United States, Japan, and New Zealand was found, so studies are being conducted in depth to improve seismic design standards. In this study, the liquefaction potential assessment in the recently revised seismic design standard for port and harbor was reviewed, and an applicability review was conducted focusing on the newly cited liquefaction potential index (LPI). At this time, by varying the thickness and location of the sandy soil where liquefaction can occur, the LPIs for various cases were calculated and compared. Also, 22 LPI values in the practical port area were compared and reviewed along with performance of the liquefaction assessment based on the site response analysis using the boring-hole data of the actual 22 port sites.

• Journal of Environmental Impact Assessment
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• v.19 no.3
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• pp.271-279
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• 2010

We conducted a quantitative human health risk assessment with respect to inhalation of heavy metals for residents of housing developments in "new towns" where an incinerator will be operated within the area scheduled for construction thereof. To assess potential human health risk we calculated the amount of heavy metals emitted from the incinerator, and then forecasted the potential health impact on adjoining areas where new housing is to be developed (i.e. "new towns") at different altitudes by a using SCREEN-3 model. We assessed Cancer Risk (CR) caused by known carcinogens using the Inhalation Unit Risk criteria developed by the US Environmental Protection Agency. Notably, we assessed risk by determining concentrations of heavy metals on a floor by floor basis, as apartment buildings are to be constructed near the incinerator according to a pre-devised plan. Results indicated that cancer risk for most carcinogens exceeded US EPA standards for the highest locations at each collection point. This result indicates that construction of high buildings in areas adjoining incinerators is undesirable, and that measures to lower carcinogens are needed. The results of this study, which assessed health risk from exposure to heavy metals emitted from a nearby incinerator, can be useful in land use planning with respect to the location of housing developments in new towns, as well as the heights of any buildings constructed. Furthermore, the methodology deployed herein with respect to risk assessment can be helpful for policy makers and the general public in the event of conflicts regarding incinerator projects in the future. The results herein may also be of merit in determining priorities when establishing harm reduction measures for carcinogens at incinerators. However, the study does contain several limitations. The SCREEN-3 model, a kind of screening model that provides conservative results, can provide higher forecasted concentrations of air pollutants than other models. Moreover, although the incinerator in question is set to be a thermoselect type, domestic data for emissions from these incinerators is not available, and assumptions were based on a stoker type incinerator. Insufficient domestic data likewise compelled the use of data of USA, resulting in possible errors in results. Continued research will thus be required to develop systematic methodologies that address the foregoing factors and produce more reliable outcomes.

• Journal of the Korea institute for structural maintenance and inspection
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• v.17 no.1
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• pp.124-132
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• 2013

Damage location and extent could be detected by the inverse analysis on dynamic response of the damaged structure. In general, detection of damage location is possible by the observation of the mode shape difference between undamaged and damaged structure and assessment of stiffness reduction is possible by the observation of the natural frequency difference of them. The study on damage detection by the dynamic response in civil structures is reported enough and in practical use, but in building structures it is reported seldom due to several problems. The purpose of this study is to present the damage detection method on shear building structures by mode shape. The damage location index using 1st mode shape is observed theoretically to find out damage location. The damage detection method is applied to numerical analysis model such as MATLAB and MIDAS GENw for the verification. Finally the shaking table test on 3 story shear building is performed for the examination of the damage detection method. In shaking table results, as the story stiffness decrease by 25% the 1st mode frequency increase by 12%, and the damage location index represents minus at damaged story.

• Journal of Korean Society of Occupational and Environmental Hygiene
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• v.23 no.3
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• pp.261-265
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• 2013

The purpose of this study was to evaluate noise level exposures at different locations such as the left and right ears of the shooter, control room, waiting soldier location and drill ground. For this study, we visited two military rifle ranges and took measurements with a sound level meter (3M Quest SoundPro TM) at five different locations with values of Peak (dB(A)) and Max (dB(A)). The highest peak value of impulse noise level averaged 150.4 dB(A), ranging from 149.6 to 150.5 dB(A) at both the left and right ear sides. This result was significantly different between both left and right ear side locations and at other locations such as the control room, waiting soldier location, and drill ground (P < 0.001). Frequency of impulse noise exposure level showed that the left ear of shooter had the highest frequency (20 times) at over 150 dB(A). This study confirmed that there is a need for proper controls to reduce the amount of impulse noise exposure at military rifle ranges.

• Journal of Energy Engineering
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• v.11 no.4
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• pp.306-316
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• 2002

ln this paper, flowfields inside the various rooms have been investigated. A storage room, a liv-ingroom with a kitchen in an apartment, and a hospital room are considered in the present calculations. In all cases, it was found that the average of air change rate is. similar to that of perfect mixing assumption and the location of air purifier has little effects on the average air change rate. Detailed local air concentrations show that there are regions where air is not quite purified because of non-uniform circulation of air flow. The location of air purifier has great effects on this behavior.

• Journal of Korean Clinical Health Science
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• v.2 no.3
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• pp.158-166
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• 2014

Purpose. This study pursued the way for the effective application of the differentiated charge (Nursing grading system) by the nursing manpower which is performed for the nursing service quality improvement to the in-patients in Korea and the minimum employment problem solution of nurses. Methods. For this matter, the status of the nursing grade for 1,452 hospitals (44 high class general hospitals, 259 general hospitals, 265 hospitals, 59 oriental medicine hospitals and 825 recuperation hospitals) was identified which were registered in the Health Insurance Review and Assessment Service in March 2011 status quo. Results. In the most nursing grade by the kind of medical institutions, 70.5% of the nurses were third-graded in upper general hospitals, 38.1% were sixth graded in general hospitals, 62.7% were seventh-graded in oriental medicine hospitals and 40.4% were first-graded in recuperation hospitals. In the nursing grade by the scale of hospitals (in terms of the number of beds), there was a significant difference in general hospitals, but there was no significant difference between oriental medicine hospitals and recuperation hospitals. In the nursing grade by the location of hospitals and the foundation type of hospitals, there was a significant difference between general hospitals and recuperation hospitals. Conclusion. For the effectiveness of applying differentiated nursing fees by the number of nurses, it seems necessary to consider adjusting the present differentiated inpatient-charge system for the better so that small and medium-sized hospitals may induce more nurses.

• Earthquakes and Structures
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• v.8 no.5
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• pp.977-994
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• 2015

In this study, earthquake loads are investigated statistically and compared with the nominal earthquake loads calculated according to the Turkish Earthquake Code, namely: "Specifications for Structures to be Built in Earthquake Areas". For this purpose, the "actual" mean load values estimated from statistical methods and the nominal load values computed according the Seismic Code are compared, with respect to some variations in the basic parameters, such as the importance factor, building height, site coefficient, seismic zone and seismic load reduction factor. In addition to the data compiled from different regions of Turkey, the published data and information in the foreign literature are also used in the determination of the earthquake load statistics. Although the dead and live loads acting on a structure are independent of the geographical location of the structure, environmental loads, such as earthquake loads are highly dependent on the location of the structure. Accordingly, for the assessment of statistical parameters associated with earthquake loads, twelve different locations which can represent the different seismic zones of Turkey as accurately as possible are chosen. As a result of the code calibration procedure considered in this study, it is observed that the load values obtained from the Turkish Seismic Code may overestimate or underestimate the actual seismic loads in some of the seismic zones.