• The Korean Journal of Health Service Management
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• v.11 no.3
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• pp.51-64
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• 2017

Objectives : This study examined the effect of private health insurance on medical care utilization by subscription type. Methods : The data used were the six waves of the Korea Health Panel (2009-2014), and 16,187 persons were the subjects of the analysis. We performed a panel regression with a fixed effects model. Results : Indemnity private health insurance was positively related to the number of physician visits, number of admissions, and total length of stays. However, fixed-benefit private health insurance was not related to medical care utilization. Conclusions : The result of this study, which shows the difference by subscription type in the effect of private health insurance on medical care utilization, suggests that continuous monitoring of indemnity private health insurance is needed in the future.

• Wind and Structures
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• v.23 no.5
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• pp.405-420
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• 2016

Section model wind tunnel test is currently the main technique to investigate the flutter performance of long-span bridges. Further study about applying the wind tunnel test results to the aerodynamic optimization is still needed. Systematical parameters and test principle of the bridge section model are determined by using three long-span steel truss suspension bridges. The flutter critical wind at different attack angles is obtained through section model flutter test. Under the most unfavorable working condition, tests to investigate the effects that upper central stabilized plate, lower central stabilized plate and horizontal stabilized plate have on the flutter performance of the main beam were conducted. According to the test results, the optimal aerodynamic measure was chosen to meet the requirements of the bridge wind resistance in consideration of safety, economy and aesthetics. At last the credibility of the results is confirmed by full bridge aerodynamic elastic model test. That the flutter reduced wind speed of long-span steel truss suspension bridges stays approximately between 4 to 5 is concluded as a reference for the investigation of the flutter performance of future similar steel truss girder suspension bridges.

• Journal of The Korean Astronomical Society
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• v.17 no.1
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• pp.1-14
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• 1984

Analyses of an integrated form $N(\tau)={\int}_{\tau}^{\infty}n(\tau)d{\tau}$ of the distribution of cluster ages, rather than its differential form $n(\tau)$, demonstrate that the observed distribution has clusters older than about 500 million years in a significant excess over theoretical model distributions. Considerations on cluster disruption processes show that a single disruption time-scale, frequently employed by current theoretical models, is no longer an adequate parameter for describing survival probability of clusters over wide age range, because different initial conditions of these clusters produce corresponding spreads in their lifetimes. To take into account for the spread in initial conditions, we have introduced an age-dependent disruption time, and deduced its age-dependence from the present-day age distribution of clusters. Results show a distinct two-stage variation: The newly introduced disruption time stays constant at about 50 million years for clusters younger than about 100 million years, while for clusters older than that it increases monotonically with the cluster age. This leads us to conclude that clusters experience different types of disrupting causes as they get old.

• Journal of the Institute of Electronics Engineers of Korea TC
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• v.41 no.11
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• pp.47-55
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• 2004

In this paper, an enhanced time-based registration method is proposed. The method reduces the registration cost when a mobile terminal stays in a cell for a long time. We also analyze the performance of the proposed method numerically. In the analysis, we assume Poisson call arrival distribution and exponential cell resident time. From the analysis we calculate the optimal time-interval. Additionally, limit cost analysis is made to investigate the behaviors in the limit conditions. To compare the performance of the proposed method with the original time-based registration method, we analyze the performance of the original time-based registration method. In the comparisons, we see that the proposed enhanced time-based registration method has better performance and is applicable to the PCS systems.

• Journal of The Korean Astronomical Society
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• v.36 no.spc1
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• pp.117-124
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• 2003

Pre-launch calibration data have been analyzed for evaluating the point spread function (PSF) of Yohkoh Soft X-ray Telescope (SXT). Especially, it is found crucial that the effect of undersampling should be treated properly. The best fit solution of the SXT PSF, which is modeled by an elliptical Moffat function, has been derived by the comparison with the ground experiment data. In order to examine the off-axis variation of the SXT PSF, we need to define in advance the location of the optical axis on the CCD. According to the previous studies, the off-axis variation of effective area (the vignetting function) may be approximated either by two non-concentric cones or by a cone with some flat distortions. There have been, however, no fully approved representations for the SXT vignetting effect. The effect of the shift of the optical axis from the geometrical center of the telescope is investigated by numerical simulation. It is revealed from our study that the full width at half maximum (FWHM) of the SXT PSF stays nearly constant within an error bound over the central area of the CCD where the solar disk is located.

• Health Policy and Management
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• v.14 no.1
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• pp.121-147
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• 2004

Since the pilot program for a DRG-based prospective payment system was introduced in 1997, the performance of KDRGs has been one of hotly debated issues. The objectives of this study are to refine the classification algorithm of the KDRGs and to assess the improvement achieved by the refinement. The U.S. Medicare DRGs version 17.0 and the Australian Refined DRGs version 4.1 were reviewed to identify areas of possible impro-vement. Refined changes in the classification and result of date analyses were submitted to a panel of 48 physicians for their reviews and suggestions. The refinement was evaluated by the variance reduction in resource utilization achieved by the KDRG The database of 2,182,168 claims submitted to the Health Insurance Review Agency during 2002 was used for evaluation. As the result of the refinement, three new MDCs were introduced and the number of ADEGs increased from 332 to 674. Various age splits and two to four levels of severity classification for secondary diagnoses were introduced as well. A total of 1,817 groups were defined in the refined KDRGs. The variance reduction for charges of all patients increased from 48.2％ to 53.6％ by the refinement, and from 65.6％ to 73.1％ for non-outlier patients. The r-square for length of stays of all patients was increased from 28.3％ to 32.6％, and from 40.4％ to 44.9％ for non-outlier patients. These results indicated a significant improvement in the classification accuracy of the KDRG system.

• Journal of Korean Society of Coastal and Ocean Engineers
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• v.6 no.1
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• pp.34-39
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• 1994

The dilution and the shore attachment of buoyant effluent into a crossflow are investigated experimentally. The effluent is produced by discharging warm water through a side channel into an open channel crossflow with the same depth to the side channel flow. Buoyancy causes the effluent to lift off the bottom, spreads across the crossflow and stays as the surface layer. The geometry of the recirculating region and the dilution of the effluent depend mainly on the buoyancy. The condition of the shore attachment can be specified by the ratios of velocities and Froude numbers.

• Korean System Dynamics Review
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• v.9 no.2
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• pp.45-75
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• 2008

Roe Deer has been preserved for 25 years by the local government and the residents in Jejudo. However, the damage and harm of crops of the residents by Roe Deer are increasing as well. So, some experts worry about the unstability of ecosystem in Mt. Halla where Roe Deer live. This paper discuss the suitable number of Roe Deer population in Jejudo to protect the ecosystem in Mt. Halla and minimize the damage of residents in Jejudo. With system dynamics modeling and simulation, the population of Roe Deer at present is estimated about 2,300. However, the population of Roe Deer stays 'unstable balance'. So, a little change such as poaching and the increase of wild dogs may make the balance of ecosystem broken. According to the result of policy test simulation, we should keep on watching the poaching and maintain the number of wild dogs at about 100, so that the ecosystem in Jejudo can be stable. To reduce the moving of Roe Deer to low region, moreover, we should protect the Mt. Halla which is Roe Deer's habitat. If we are indifferent about these efforts, the ecosystem of Roe Deer in Mt. Halla will be ruined.

• The Korean Journal of Applied Statistics
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• v.22 no.1
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• pp.115-127
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• 2009

The purpose of statistical analyses of array-CGH experiment data is to divide the whole genome into regions of equal copy number, to quantify the copy number in each region and finally to evaluate its significance of being different from two. Several statistical procedures have been proposed which include the circular binary segmentation, and a Gaussian based local regression for detecting break points (GLAD) by estimating a piecewise constant function. We propose in this note a penalized spline regression and its simultaneous confidence band(SCB) approach to evaluate the statistical significance of regions of genetic gain/loss. The region of which the simultaneous confidence band stays above 0 or below 0 can be considered as a region of genetic gain or loss. We compare the performance of the SCB procedure with GLAD and hidden Markov model approaches through a simulation study in which the data were generated from AR(1) and AR(2) models to reflect spatial dependence of the array-CGH data in addition to the independence model. We found that the SCB method is more sensitive in detecting the low level copy number alterations.

• Journal of Chest Surgery
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• v.28 no.3
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• pp.297-302
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• 1995

Video-assisted thoracic surgery [VATS is emerging as a viable alternatives to thoracotomy when surgical treatment of spontaneous pneumothorax is required.Apical blebs and bullaes of the lung can be resected,and pleural abrasion can be accomplished with minimal postoperative pain and a shorter postoperative stay in hospital. We compared our results with thoracoscopic management of spontaneous pneumothorax in 20 patients [group I with a group of 32 patients previously subjected to lateral limited thoracotomy [group II . Indications for operation, sex distribution, and average age [groupI, 24.7 years ; group II, 34.4 years were comparable. Operation time [112.42 54.7 min versus 124.8 35.3 min ; P 0.03 and chest tube duration [64.4 52.3 hours versus 97.7 45.4 hours ; P 0.01 were less in group I. Postoperative hospital stay was less in group I[3.84 0.99 days;P 0.01 , as was the use of parenteral narcotics after 48 hours. [5/20=25% versus25/32=78% . Pain was quantitated by verbal rating scale in postoperative 1 to 3 days. Patients undergoing VATS experienced significantly less postoperative pain. Postoperative complication was less in group I[1/20=5% versus 3/32=8.3% . In conclusion, Video-assisted thoracoscopic management of spontaneous pneumothrax allows performance of the standard surgical procedure while avoiding the thoracotomy incision.Video-assisted thoracic surgery [VATS is safe and offers the potential benefits of shorter postoperative hospital stays and less pain with cosmetic benefits.