• Journal of health informatics and statistics
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• 제43권4호
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• pp.318-328
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• 2018

Objectives: People are living longer, but often with diseases or chronic conditions. As a consequence, interest in resolving insurance blind spots is growing. This study provides substandard risk-relevant statistics to help substandard risks who are likely to fall in insurance blind spots obtain insurance coverage, such as the reimbursement of medical costs, as well as to stimulate insurance product development. Methods: This study uses National Health Insurance Service (NHIS) cohort data to determine the relevant statistics. The incidence rates of severe diseases are derived and compared against standard risks to establish a set of relative risk factors. These incidence rates of standard and substandard risks are then compared. Results: Currently, an individual's cancer history is used in the underwriting process for simplified issue insurance. However, underwriting focusing on hospitalization and procedures related to serious illnesses could lower premiums for substandard risks. Moreover, the statistical results could be used to expand the coverage of health insurance products. Conclusions: This study's relative risk factors can be used to derive simplified issue premium rates for substandard risks. They can also be used to implement discount and loading schemes for medical reimbursement insurance and help insurance companies implement proactive risk management.

• Computers and Concrete
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• 제15권1호
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• pp.1-20
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• 2015

Many existing reinforced concrete (RC) columns in structures tend to become substandard RC ones due to updated standards or environmental changes. These substandard columns may alter the behaviors of the whole structure and therefore are in urgent need of seismic retrofitting. Owing to their superior advantages, carbon fiber reinforced polymer (CFRP) composites are widely used to retrofit RC columns. The applications mainly focus on various substandard RC columns, but few deals with substandard columns with deteriorated concrete, especially damaged by earthquake. The purpose of this paper is to investigate the seismic behaviors of CFRP reinforced partially deteriorated RC columns and to evaluate the effect of CFRP sheets on them. Six flexure-dominant columns were tested under a constant axial load and transverse cyclic displacements. It is found that the seismic behaviors of partially deteriorated columns can be recovered by wrapping CFRP sheets on them. Numerical analysis is then conducted using finite element methods and verified with experimental results. The effects of the axial load ratio, the ratio of the thickness of CFRP sheet to the column diameter, and the slenderness ratio on the seismic behaviors of CFRP reinforced RC columns are evaluated. Finally, a method is proposed to determine the required thickness of CFRP sheet.

• Structural Engineering and Mechanics
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• 제67권3호
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• pp.233-244
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• 2018

This study aims at evaluating the performance of repairing technique with CFRPs in recovering cyclic performance of damaged columns in flexure in terms of structural response parameters such as strength, dissipated energy, stiffness degradation. A 2/3 scaled substandard reinforced concrete frame was constructed to represent the substandard RC buildings especially in developing countries. These substandard buildings have several structural deficiencies such as strong beam-weak column phenomenon, improper reinforcement detailing and poor material properties. Flexural plastic hinges occurred at the columns ends after testing the substandard specimen under both constant axial load and reversed cyclic lateral loading. Afterwards, the damaged columns were externally wrapped with CFRP sheets both in transverse and longitudinal directions and then retested under the same loading protocol. In addition, ambient vibration measurements were taken from the undamaged, damaged and the repaired specimens at each structural repair steps to identify the effectiveness of each repairing step by monitoring the change in the natural frequencies of the tested specimen. The ambient vibration test results showed that the applied repairing technique with external CFRP wrapping was proved to recover stiffness of the pre-damaged specimen. Moreover, the lateral load capacity of the pre-damaged substandard RC frame was restored with externally bonded CFRP sheets.

• 한국한의학연구원논문집
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• 제16권3호
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• pp.115-121
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• 2010

Objectives : Quality control of the needle tips and prevention of pollutions are important factor for safe and effective acupuncture treatment. Ear acupuncture needle is made by 3 companies in Korea, and used to treat for obesity or smoking in clinic frequently, but the Korean industrial Standard is proposed most recently. In spite of the importance, there has been little study about that. Moreover, there was no study about ear acupuncture needle. Methods : We investigated the current condition of needle shape and pollution about the tips and body of the ear acupuncture needle under the stereoscopic microscope. Samples are selected 100 pieces from 300 pieces randomly in each company. Results : The substandard needles are classified into four groups and counted 1. Normal condition (55.3%), 2. Scratch on the surface (14.0%), 3. Malformation of tips (19.3%), 4. Pollution of body (4.3%), 5. Multiple Substandard (7.0%). In the case of including type 2 as a standard needle, normal rate of A company was 81% when B was 76%, and C was 51%. Conclusion : The substandard ear acupuncture needles can induce local side effects such as needling pain or itching. Furthermore, it can disturb the proper effect of acupuncture treatment. We hope that this study can help to improvequality of ear acupuncture and reduce substandard rate for safe and effective ear acupuncture treatment.

• 한국콘텐츠학회논문지
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• 제14권7호
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• pp.169-177
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• 2014

현 정부에서는 국민의 쾌적한 삶을 영위하는 데 방해가 되는 4대악을 척결함으로써 사회적 약자를 보호하고 국민생활의 안전을 보장하기 위한 정책을 추진하고 있다. 4대악에는 성폭력, 학교폭력, 가정폭력, 불량식품이 포함된다. 반추해 보면 4대 사회악은 한국사회의 급속한 환경변화에서 발생하는 다양한 범죄의 한 유형으로 볼 수도 있다. 그런데 4대악으로 인한 피해는 그 파장이 본인에게만 국한되지 않고 나아가 가정 및 사회전반에 주는 해악의 중대성과 지속성으로 인해 국민생활을 현저히 불안하게 하는 범죄이다. 특히 4대악 피해자에게 사회적 침묵이 부당하게 강요되어 피해자 스스로 해결하기 어려운 범죄이기도 하다. 따라서 문제의 심각성을 경시하지 말고 해결의 방안을 모색하여야 함은 당연하다고 하겠다. 뿐만 아니라 이는 사전 예방 국가의 과제이기도 하다. 본 글에서는 4대악 중에서 인간이 생존하기 위한 기본적 요소이며, 국민건강권을 보장하는 차원에서 식품범죄의 개념 및 특징과 유형을 살펴보고, 단속의 문제점 지적과 함께 법제적 개선방안 즉, 식품위생법에서도 결과범에 대한 가중처벌의 조항 신설 등과 같은 개선방안을 제시하고자 하였다.

• 보험의학회지
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• 제2권1호
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• pp.3-16
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• 1985

Necessity of life insurance is stronger for people who feel some anxiety of their health. However, in fact, it is not permitted for them to get a contract, because life insurance stands on the mutual benefit system. Life insurance must be impartial to all applicants. However, it is very reasonable that an applicant, who has high medical impairment like heart infarction or cancer, is rejected, to have a contract by underwriting decision. On the other hand, if his medical impairment is not so severe, we might accept his application by giving some restriction. Numericalratingsystem by hunter-rogers gave us one of solutions to this problem. We can keep impartiality by using more restrictive decision, in order that we demand additional payment to the impairment applicant according to his mortality. We call this system as substandard life insurance. In this system we need detail information about impairments of applicants in order to decide the condition of substandard risks. Therefore, medical examiners are required to have high diagnostic technique.

• Earthquakes and Structures
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• 제6권6호
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• pp.665-687
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• 2014

This paper presents a framework for analytical seismic vulnerability assessment of substandard reinforced concrete (RC) structures in developing countries. Amodified capacity-demand diagram method is used to predict the response of RC structures with degrading behaviour. A damage index based on period change is used to quantify the evolution of damage. To demonstrate the framework, a class of substandard RC buildings is examined. Abrupt accumulation of damage is observed due to the brittle failure modes and this is reflected in the developed vulnerability curves, which differ substantially from the curves of ductile structures.

• Earthquakes and Structures
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• 제17권3호
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• pp.283-295
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• 2019

During the seismic performance assessment of existing buildings, staircases are generally not taken into account as structural members but as dead load. Staircases, as secondary structural members, not only serve for connecting successive floors but also provide considerable amount of strength and stiffness to the building which can modify its seismic behaviour considerably. In this parametric study, the influence of staircases on the seismic response of substandard RC frame buildings which differ in number of storey and span, presence of staircase and its position has been examined. Modal Analyses and bi-directional Non-Linear Time History Analyses (NLTHA) were conducted to compare several engineering demand parameters (EDPs) such as inter-storey drift ratio (ISDR), floor accelerations, modal properties, member shear forces and plastic hinge distribution. Additionally, short column effect, variation in shear forces of columns that are attached to the staircase slab, failure and deformation in staircase models have also been investigated. As the staircase was considered in the analytical model, a different damage pattern can be developed especially in the structural components close to staircase.

• 한국사회정책
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• 제25권3호
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• pp.75-101
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• 2018

본 연구는 공공임대주택과 민간임대주택의 주거복지 성과에 차이가 있는지를 확인하고자 하였다. 2016년 주거실태조사를 활용하여 주거의 구조적 물리적 적절성, 주거비의 저렴적절성, 주거의 안정성으로 정의한 주거복지에 있어 공공임대주택과 민간임대주택이 차이가 있는지, 이러한 차이가 가구의 인구사회경제적 특성을 통제한 상태에서도 유지되는지를 검토하였다. 분석결과 공공임대주택 중 일부는 여전히 최저주거기준미달, 주거비과부담의 문제를 겪고 있는 것으로 나타났다. 그러나 공공임대주택과 민간임대주택을 비교하면 공공임대주택은 주거복지에 있어 통계적으로 유의미한 성과가 있었으며, 이는 인구사회경제적 특성을 통제하면 더욱 일관되게 나타났다. 민간임대주택은 최저주거기준미달, 주거비과부담, 주거안정성에 있어 열악한 상황에 있었다. 본 연구를 통해 공공임대주택정책의 개선방안과 민간임대주택에 대한 적절한 규제의 필요성의 근거를 도출할 수 있었다.

• 한국사회복지학
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• 제67권2호
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• pp.137-159
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• 2015

본 연구는 개인적 특성, 물리적 사회적 환경, 제도적 특성을 포괄하는 건강결정요인에 관한 분석틀을 토대로, 최저주거기준미달과 주거비 과부담을 기준으로 한 주거빈곤이 개인의 주관적 건강, 신체 및 정신건강에 미치는 영향을 종단분석하였다. 분석대상은 전국적인 대표성을 지닌 한국복지패널에서 추출된, 2009-2013년에 실시된 조사에 모두 참여한 만 18세 이상 성인으로, 총 8,583명이다. 분석방법으로는 종단연구에서 자주 사용되는 고정효과모형의 장점에 일반화추정방정식 혹은 확률효과모형의 장점을 결합한 회귀분석-하이브리드방법을 적용하였다. 연구결과는 주거의 물리적 환경이 최저주거기준에 미달하는 것과 주거의 경제사회적 측면인 주거비 과부담이 발생하는 것 모두 정신건강(e.g., 우울)에 부정적임을 보여 주었다. 최저주거기준에 미달하는 가구는 전체인구의 4분의 1, 빈곤층에서는 3분의 1에 달하며, 주거비 비중이 30%를 초과하는 가구의 비율은 빈곤층에서 약 23%에 이르러 전체 인구에서의 비율보다 4배 이상 높았다. 이 연구의 결과는 첫째, 최저주거기준을 온전히 적용할 경우 거주에 적합하지 않은 환경에 사는 가구의 비율이 기존의 보고보다 매우 높고, 둘째, 빈곤층의 경우 적절한 주거환경에서 거주하는 것과 적정한 비용으로 거주공간을 확보하는 것 모두 큰 도전이라는 것, 셋째, 주거급여의 제공과 주택개량사업과 같은 저소득층을 위한 주거지원 정책이 주거비부담 완화 및 주거환경 개선이라는 주효과와 더불어 수혜자의 우울감 완화와 같은 정신건강 증진의 부수적 효과도 수반할 가능성이 있음을 시사한다. 본 연구는 우리나라의 최저주거기준 및 주거비 과부담의 실태에 대한 새로운 정보를 제공하고, 나아가 주거가 건강에 미치는 영향의 방향성과 정도를 보다 명확히 밝히는데 기여하였다.