Recently, materials with micro-architecture of hollow trusses and ultralow density (less than 10–2 Mg/m3) have gained attention. The materials have been fabricated by forming templates based on 3D lithographical techniques, followed by hard coating on the surface, and finally etching out the template. Here, we describe a novel fabrication method for another micro architecture composed of a single continuous smooth-curved shell with D-surface, named Shellular; its template is prepared based on weaving flexible polymer wires. Compression test results reveal that these D-surfaced Shellulars have strength and Young’s modulus comparable to those of their hollow truss-based competitors. The best virtue of this weaving-based technology is its mass-productivity and large-size potential. Also, this technology can be applied to fabricate not only D-surfaced but also P- or G-surfaced Shellular. The unique geometry of Shellular, composed of a single continuous, smooth, and interfacial shell or membrane separating two equivalent sub-volumes intertwined with each other, appears to possess huge application potential such as non-clogging tissue engineering scaffolds and compact light-weight fuel cells with high energy density.
Purpose:The purpose of this study is to establish the standards for duty of Medical Care Client Managers and analyze the extent of accomplishment, importance, and difficulty according to the standards. Methods: The draft for duty of Medical Care Client Managers was formed by the method of developing a curriculum (DACUM) and data were collected from 185 Medical Aid Client Managers in 234 areas to evaluate the actual frequency of accomplishment, importance and difficulty in comparison with the standards for duties. Results: The standard duty draft for Medical Care Client Manager is composed of five separate groups of duties and thirty five tasks. The five duties are Case Management, Extension Approval, External Cause of Injury, Duplicate Claims and Other Administrations. Seven Tasks are allocated to each duty such as Case Management, Extension Approval and External Cause of Injury. Five tasks are allocated to 'Duplicate Claims' duty and nine tasks are allocated to 'Other Administrations' duty. Conclusion: From the results of analysis for duties, it was apprehensive about overburdened responsibilities and carelessness in professional duties. It was necessary to establish specific guidelines for duties because of redundent application or regional variation in frequency of accomplishing other administrative duties. It was necessary to relieve a regional disparity of business charge and also was necessary to propose an alternative plan to relieve the overburdened responsibilities.
Purpose: This study aimed to identify the factors affecting on depression among female middle school students. Methods: A survey was conducted on 217 first and second grade female middle school students in C city. Participants' general characteristics, home environment, level of depression, paternal, maternal, peer attachment, school adjustment were measured by self-reporting questionnaire. With SPSS 18.0 program, measured variables were analyzed and compared using descriptive statistics, t-test, ANOVA, Scheffé post hoc test, and stepwise multiple regression analysis. Results: The level of depression among female middle school students were higher among students with lower economic status, second in birth order, and second grade in school. The level of depression was negatively associated with the level of paternal attachment (r=-.522), maternal attachment (r=-.487), peer attachment (r=-.376), relationship with teachers in school adjustment (r=-.274), relationship with friends in school adjustment (r=-.378), classroom behavior (r=-.450), school regulation (r=-.267). About 42% of depression among female middle school students were explained by paternal attachment, relationship with friends in school adjustment, and classroom behavior. Conclusion: Paternal attachment was identified as the most influencing factor on depression among female middle school students. Encouraging paternal involvement in the process of school adjustment might be a useful intervention to decrease depression among middle school girls.
Purpose: This study was to ascertain whether there are differences in health care utilization and expenditure for Type I Medical Aid Beneficiaries before and after applying Copayment. Methods: This study was one-group pretest posttest design study using secondary data analysis. Data for pretest group were collected from claims data of the Korea National Health Insurance Corporation and data for posttest group were collected through door to-door interviews using a structured questionnaire. A total of 1,364 subjects were sampled systematically from medical aid beneficiaries who had applied for copayment during the period from December 12, 2007 to September 25, 2008. Results: There was no negative effect of copayment on accessibility to medical services, medication adherence (p=.94), and quality of life (p=.25). Some of the subjects' health behaviors even increased preferably after applying for copayment including flu prevention (p<.001), health care examination (p=.035), and cancer screening (p=.002). However, significant suppressive effects of copayment were found on outpatient hospital visiting days (p<.001) and outpatient medical expenditure (p<.001). Conclusion: Copayment does not seem to be a great influencing factor on beneficiaries'accessibility to medical services and their health behavior even though it has suppressive effects on outpatients' use of health care.
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