The utilization of medical care services has been partly regionalized with the implementation of referral requirement by the government since July 1, 1989 when the health insurance coverage was extended to all the people. For the purpose of regionalization, the whole country has been primarily divided into tertiary care regions, and each of them again into secondary care regions. This study investigates the self-sufficiency for in-patient care services of secondary care regions focusing on why it varies among the regions. In doing so, analysis is performed to examine a model which embodies three sets of hypotheses as follows : 1) The regional self-sufficiency for medical care services would be subject to direct influences of regional characteristics, amount of available services and structural properties of regional medical care system ; 2) The regional characteristics would have indirect effects on the self-sufficiency which are mediated by medical care services ; and 3) The amount of available services would indirectly affect the self-sufficiency by influencing the structure of regional medical care system. The results of analysis were generally consistent with the model. The findings have some practical implications. The regional self-sufficiency for medical care services partly depends upon basic properties of each region which cannot be changed in a short period of time. Thus the self-sufficiency for medical care services can be improved mainly by health policy measures. In some of the regions the self-sufficiency for in-patient care services was much higher or lower than can be predicted from the bed-population ratio. Indication is that the allocation of health resources should be made considering a variety of factors bearing upon the supply of and demand for health care ; not on the basis of just a single criterion like the availability. The self-sufficiency of a certain region is related to not only its own characterstics but also the characteristics of neighboring regions. Therefore, attention should be also directed to the inter-regional relationships in health care when the needs for investment of health resources in a region are assessed. However, it should be noted that this study used the data collected before the referral requirement was imposed. A replication of this analysis using recent data would provide an evaluation of the impact on the self-sufficiency of the referral requirement as well as a confirmation of the findings of this study.
This study presents a case study of condition evaluation of various asphalt pavement sections to estimate performance lives. The pavement surface conditions including cracking and rutting are first evaluated using a automatic pavement analyzer, ARAN. HPCI(Highway Pavement Condition Index) values are estimated using the pavement surface distress data. It is observed from the pavement distress survey that the major distress type of the sections is top-down cracking. The modulus value of each pavement layer is back-calculated from the defection data obtained from a FWD(Falling Weight Deflectometer) and compared with the laboratory measured dynamic modulus values. Remaining lives of the various pavement sections are estimated based on a mechanistic-empirical approach and AAHTO 1993 design guide. The structural capacities of the all pavement sections based on the two approaches are strong enough to maintain the pavement sections for the rest of design life. Since the major distress type is top-down cracking, the remaining lives of the pavement sections are estimated based on HPCI and existing performance database of highway pavements. To evaluate the causes of premature pavement distress, various material properties, such as air void, asphalt binder content, aggregate gradation, dynamic modulus and fatigue resistance, are measured from the field cores. It is impossible to accurately estimate the binder contents of field samples using the ignition method. It is concluded from the laboratory tests that the premature top down cracking is mainly due to insufficient compaction and inadequate aggregate gradation.
This paper describes vegetation based soil-media hydroseeding measures that have been previously applied as slope revegetation methods show problems such as insufficient binding force, drying, and insufficient organic matter. In particular, in the case of slope faces in regions where scattering is severe, a vicious circle exists in which remarkably low vegetation cover rates and increases in withering rates over time lead to further decreases in vegetation cover rates, which lead to further increases in erosion and scattering. Therefore, in the present study, environment friendly soil stabilizers were applied for resistance against erosion or scattering and engineering evaluations such as long-term immersion tests and flow resistance tests were conducted to determine appropriate mixing ratios. According to the results of long-term immersion tests utilizing environment friendly soil stabilizers and existing greening soil based materials, 100% collapse occurred at 30 hours and 40 days in the case of soil stabilizer mixing ratios of 0% and 2%, respectively. While the original form of the samples remained intact until the experiment was completed in the case of mixing ratios exceeding 4% indicating that 2% or higher soil stabilizer mixing ratios could affect the maintenance of forms even under extreme conditions. In addition, artificial rainfall tests were conducted on 40, 45, and 55 degree slope faces to evaluate the structural stability of vegetation based materials. Flow resistance tests were conducted on soil stabilizer mixing ratios of 0, 4, 8% to evaluate erosion resistance capability. Based on the results of the tests, environment friendly soil stabilizers applied for prevention of scattering or resistance against erosion by rainwater are considered to provide large effects to reduce losses and loss rates showed a tendency of decreasing rapidly when soil stabilizers were mixed.
Kim, Tae-Hyung;Kim, Kook-Han;Choi, Young-Chu;Lee, Sa-Ik;Ruy, Ji-Hoon
Journal of the Korean Geosynthetics Society
/
v.13
no.1
/
pp.1-9
/
2014
Expansion of a roadway on a soft ground can cause settlement of the existing road during embankment construction due to the consolidation characteristics of the soft soil. Many problems related to construction and maintenance, such as deterioration of the surface, decreased safety, and decreased structural stability, could affect the existing road. This scenario is especially true if the roadway foundation is a deep thick soft ground. Therefore, engineers should carefully select a proper design based on the characteristics of the soil layer. In this study, the expansion of the second branch of the Namhae Expressway was selected as the target site because this expressway has been constructing on a soft soil layer approximately 50 m thick. The original design was reviewed, problems were discussed and alternative was proposed through value engineering job plan phases: investigation, speculation, evaluation, development and presentation. In addition, the proposed alternative was evaluated on cost, function and value improvement. Compared to the original design, the proposed alternative saved cost and improved the function and overall value.
Focal mechanism solutions in the central and western areas of the Korean Peninsula (36-37.8$^{\circ}N$, 126-128$^{\circ}E$) were obtained from the analysis of the recent seventeen earthquakes (M${\geq}$2.2) which occurred from January, 2005 to May, 2010. The spatial differences between the epicenters recalculated by this study and those announced by the Korea Meteorological Administration are less than $0.03^{\circ}$, indicating a small deviation. Focal mechanism solutions were obtained from the analysis of P wave polarities, SH wave polarities and SH/P amplitude ratios. The focal mechanism solutions show dominant strike-slip faulting or oblique slip faulting with strike-slip components. The P-axes trends are mainly ENE-WSW or E-W directions. The direction of fault plane and auxillary fault plane with NNE-SSW and WNW-ESE are almost parallel to the general trends of lineaments in the study area. The results also show that focal mechanism solutions and the main axis of stress field in the Kyonggi massif and Okchon belt are almost same.
Journal of the Korean Recycled Construction Resources Institute
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v.7
no.4
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pp.71-78
/
2012
Recycled aggregates are made from construction wastes, and they have many national and social benefits by saving energy, developing substitute resources, and protecting environment. However, low-quality recycled aggregate with low density and high absorption rate cannot be used for structural concrete aggregate but is used mainly for low added value. Therefore, this study aims to identify the characteristics of the materials of recycled aggregates made after crashing and pulverizing waste concrete. For this, their major physical characteristics of cement content, absolute dry density, absorption rate, etc. were reviewed to make a mix design (draft) for the production of the secondary product and performance evaluation was done on the bending strength, absorption rate, bending strength after freezing and thawing, compressive strength, air-dried gravity, etc. of the test products produced by applying the mix design to compare the results with the quality standards of GR mark. The results of the tests showed that the substitution rate of recycled aggregate increased to 50~90 %, which is of superior quality than the performance standards of GR F 4007. Therefore, it is thought that they can be used for various construction works with certain physical characteristics applicable to the production of secondary concrete products using recycled aggregates.
Journal of the Korea Institute of Building Construction
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v.17
no.4
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pp.321-329
/
2017
Concrete is a semi-brittle material, so its compressive strength is high but its tensile strength is low. The use of fiber-reinforced concrete to improve the disadvantages of such concrete can be an effective way to toughen effective toughness, and the performance is improved by using steel fiber reinforced concrete for structures that are vulnerable to bending forces. However, alternative materials are required due to corrosion of steel fiber and lowering of workability. The purpose of this study is to evaluate the availability of replacing steel fiber reinforced concrete by evaluating physical properties, mechanical properties and drying shrinkage properties of concrete using macro forta fiber with excellent diffusibility. Experimental results show that the macro forta fiber has better fluidity and mechanical performance than the steel fiber reinforced concrete. It was also confirmed that the crack resistance of concrete using Macro Forta fiber is effective in improving structural cracking and drying shrinkage resistance compared to steel fiber reinforced concrete.
Korean Journal of Construction Engineering and Management
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v.5
no.6
s.22
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pp.212-217
/
2004
Carbon fiber reinforced plastic(CFRP) plate Is one of the alterative materials for soengthening of reinforced and prestressed connote members due to excellent strength and light weight In this paper, the behavior of beams strengthened with CFRP plate and CFS(Carbon fiber sheet) is observed and analyzed from the test results. Especially specimens with thick plate is tested when large moment and large shear lone appear in same position. The main failure mode is a peeling-off of the CFRP plate near the loading points due to flexural-shear crack, Because of this failure mode, failure load is not linearly proportional to the thickness of CFRP plates. When beam is wrapped with CFS around oかy loading point it does not influence on the failure loads. Depending on the loading pattern, it is necessary to consider different design criteria for reinforced concrete members with external reinforcement. When line moment and large shear force appear in same location, maximum thickness may limit to 0.6mm and ratio between moment of strengthened beam and moment of unstrengthened beam is proposed 1.5-2.0. In order to use the plate of thicker than 6mm, CFS may be extended to the location which moment of strengthened beam is 1.5 times than moment of unstrengthened beam.
The Eocene Gyeongju granitoids in SE Korea are alkali feldspar granite (AGR), biotite granite (BTGR), and hornblende biotite granodiorite (HBGD) along Yangsan fault and Ulsan fault. According to their geochemical characteristics, these granitoids are classified as A-type (AGR) and I-type (BTGR and HBGD) granitoids, and regarded that were derived from same parental magma in upper mantle. The hornblende and biotite of AGR as an interstitial phase indicate that influx of F-rich fluid during the crystallization of AGR magma. AGR is enriched LILE (except Sr and Ba) and LREE that indicate the influences for subduction released fluids. The highest HFSE contents and zircon saturation temperature of AGR among the Eocene Gyeongju granitoids may indicate that it was affected by partial melting rather than magma fractionation. These characteristics may represent that the high F contents of AGR was affected by F-rich fluid derived from the subducted slab and partial melting. It corresponds with the results of the REE modeling and the dehydrated fluid component (Ba/Th) modeling showing that AGR (A-type) was formed by the partial melting of BTGR (I-type) with the continual influx of F-rich fluid derived from the subducted slab.
The experiments were carried out to elucidate the varietal variation of retrogradation in aged cooked rice and its association with some physicochemical properties of milled rice. The fifteen rice materials were selected from forty-three low-amylose japonica and Tongil-type rice cultivars based on palatability and retrogradation of cooked rice stratified by preliminary sensory evaluation of warm and cooled cooked rice. One japonica glutinous rice variety was included for comparison of retrogradation of cooked rice. The $\alpha$-amylase-iodine method was adopted for checking the varietal difference in retrogradation of cooked rice. The desirable checking time for evaluating the varietal difference in deterioration of aged cooked rice was four hours after storing in room temperature and two hours after preserving in refrigerator based on the largest coefficients of variations in degree of retrogradation of cooked rice. The rice cultivars revealing the relatively slow retrogradation in aged cooked rice were Ilpumbyeo, Chucheongbyeo, Sasanishiki, Jinbubyeo and Koshihikari. A Tongil-type rice, Taebaegbyeo, and a japonica cultivar, Seomjinbyeo, showed the relatively fast deterioration of cooked rice. The retrogadation index represented by the percentage of retrogradation difference between warm and cooled cooked rice to original estimates of warm cooked rice was significantly affected by the degree of retrogradation of cooled cooked rice. Generally, the better rice cultivars in eating quality of cooked rice showed less retrogradation and much sponginess in cooled cooked rice. Also, the rice varieties exhibiting less retrogradation in cooled cooked rice revealed higher hot viscosity and lower cool viscosity of rice flour in amylogram. The sponginess of cooled cooked rice was closely associated with magnesium content and volume expansion of cooked rice. The hardness-changed ratio of cooked rice by cooling was negatively correlated with solids amount extracted during boiling and volume expansion of cooked rice. The major physicochemical properties of rice grain closely related to the palatability of cooked rice may be directly or indirectly associated with the retrogradation characteristics of cooked nce. The varietal difference in retrogradation of cooked rice can be effectively classified by scatter diagram on the plane of upper two principal components based on some retrogradation properties of cooked rice. The deteriorated structural change in cooled cooked rice by observing through the scanning electron microscope was more conspicuous in the fastly retrograded cooked rice than in the slower one.
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