• Title/Summary/Keyword: 논문 심사

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The characteristics related to the development of pressure ulcers in long term care facilities : the use of 2009 National Patient Sample (요양병원 입원 환자의 욕창 발생 현황과 관련 요인: 2009년 건강보험 환자표본 자료 이용)

  • Moon, Mikyung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.7
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    • pp.3390-3399
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    • 2013
  • The purpose of this study was to examine the incidence rates of pressure ulcers depending on the types of healthcare organizations and to determine whether the characteristics of patients and facilities influence on the incidence of pressure ulcers in long term facilities. We analyzed data on 796,857 patients of the 2009 National Patient Sample which was extracted from to claims for medical fees to Health Insurance Review & Assesment Service(HIRA). A total of 3.2% of patients(n=25,339) had at least 1 pressure ulcer during their hospitalization. The pressure ulcer rates were highest in long term care facilities(8.2%, n=11,895) following general hospital(2.7%, n=8,052), hospital(1.7%, n= 5,059). According to logistic regression analysis, urinary incontinence (Odds ratio(OR)=2.462, 95% confidence interval(CI)=2.038-2.974), hypertension(OR=1.456, CI=1.400-1.515), peripheral vessel diseases (OR=1.357, CI=1.200-1.534) were significant predictors of pressure ulcers. As the number of diagnoses, age, and the number of doctors per 100 beds increased, the incidence of pressure ulcers increased. In addition, more number of beds was associated with fewer pressure ulcers.

Analysis of EQ pH Condition and Fission Product Removal Capability for Nuclear Power Plant (원전의 내환경기기검증 화학환경 및 핵분열생성물 제거능력 평가)

  • Song, Dong Soo;Ha, Sang Jun;Seong, Je Joong;Jeon, Hwang Yong;Huh, Seong Cheol
    • Journal of Energy Engineering
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    • v.23 no.3
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    • pp.186-190
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    • 2014
  • Nuclear Power Plants require the control ability of chemical condition (pH) because pH control during transient accident such as LOCA makes an able the fission product removal capability to be maintained, stress corrosion cracking of stainless steel equipment to be prevented and the production of hydrogen by aluminum and zinc to be minimized. An NPP is designed to control the pH of containment spray and sump coolant using the spray additives 30% NaOH in the event of loss of coolant accident. In this paper, the pH of sump coolant of an NPP during LOCA was analyzed and the fission products removal constant and decontamination factor were calculated according to Standard Review Plan 6.5.2 related to spray chemical conditions of pH. The calculated pH value of recirculation mode using the computer code corresponds to 8.09~9.67, which meets the chemical environment regulation requirements. The fission product removal capability caused by containment spray system is performed to provide input to radiation analysis.

Review for Applying Spent Fuel Pool Island (SFPI) during Decommissioning in Korea (원전해체시 독립된 사용후핵연료저장조 국내 적용 검토)

  • Baik, Jun-ki;Kim, Chang-Lak
    • Journal of Nuclear Fuel Cycle and Waste Technology(JNFCWT)
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    • v.13 no.2
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    • pp.163-169
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    • 2015
  • In many nuclear power plant sites in Korea, high density storage racks were installed in the spent fuel pool to expand the spent fuel storage capacity. Nevertheless, the capability of the Hanbit nuclear site will be saturated by 2024. Also, 10 NPPs will reach their design life expiration date by 2029. In the case of the US, SFPI (Spent Fuel Pool Island) operated temporarily as a spent fuel storage option before spent nuclear fuels were transported to an interim storage facility or a final disposal facility. As a spent fuel storage option after shutdown during decommissioning, the SFPI concept can be expected to have the following effects: reduced occupational exposure, lower cost of operation, strengthened safety, and so on. This paper presents a case study associated with the regulations, operating experiences, and systems of SFPI in the US. In conclusion, the following steps are recommended for applying SFPI during decommissioning in Korea: confirmation of design change scope of SFPI and expected final cost, the submission of a decommissioning plan which is reflected in SFPI improvement plans, safety assessment using PSR, application of an operating license change for design change, regulatory body review and approval, design change, inspection by the regulatory body, education and commissioning for SFPI, SFPI operation and periodic inspection, and dismantling of SFPI.

A Study on Entrance Evaluation System for Data Scientist Postgraduate Program (대학원 데이터 과학자 과정 입학 평가 체계 분석)

  • Kim, MiJeong;Kim, JaMee;Lee, WonGyu
    • The Journal of Korean Association of Computer Education
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    • v.23 no.3
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    • pp.49-58
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    • 2020
  • Organizing entrance evaluation system for selecting students who can become expert in data science field according to need of the age and social demand is important. This study was conducted for the purpose of analyzing data science field graduate school entrance evaluation system and deriving implications after taking into account the importance of talents possessing convergence competency. For this aim, a total of 22 graduate schools in 7 countries have been selected targeting data scientist postgraduate program around the world. The selected graduate schools have been analyzed based on qualifications, necessary skills prior to entrance, entrance conditions, and selection methods. As a result of the analysis, 'graduate school which I can apply for regardless of possessing undergraduate degree or undergraduate major (63.6 percent)' in qualifications category, 'graduate school which mentioned skills required in completing master's degree prior to entrance (63.6 percent)' in skills required prior to entrance category, 'graduate school which does not mention separate entrance condition (81.8 percent)' in entrance conditions category, and 'graduate school selecting students merely based on document screening (68.2 percent)' in selection methods category took the highest portion. Based on the above, this study summarized the results of the data scientist process and suggested implications for objectifying admission evaluation.

The PHC-Pile Cost Effect on Sale Price for Multi-Family Housing (PHC-pile 공사비가 공동주택 분양가에 미치는 영향)

  • Cha, Yongwoon;Park, Taeil;Park, Wonyoung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.11
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    • pp.94-101
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    • 2020
  • This study examined the effect of the sale price by excluding the PHC-pile cost from the construction costs for basic type (CCsBT) as an additional cost. The Ministry of Land, Infrastructure, and Transport excluded the PHC-pile cost in the CCsBT and new method so that only the designed pile quantity was recognized as an additional cost. The effect on the sale price was analyzed by comparing the pile cost of the existing and new methods. For this purpose, seven cases were selected, and the PHC-pile cost was estimated. The existing method was estimated as the ratio of the pile cost to CCsBT. The new method was estimated based on the bill of quantity. As a result, the CCsBT decreased by approximately 2-3% when the PHC-pile cost was calculated in the new method. Furthermore, as a result of comparing the sale price, excluding the PHC-pile cost with the sale price, the CCsBT decreased by approximately 1%. These results are expected to help improve the understanding of the CCsBT. Also, this paper contributes to promoting national housing stability through institutional improvement.

Determinants of Length of Stay in Geriatric Hospitals - Focused on Alzheimer Dementia's Inpatients (요양병원 입원 알츠하이머 치매노인의 재원일수 결정요인 분석)

  • Bang, Hyo-Jung;Lee, Kwang-Soo
    • The Journal of the Korea Contents Association
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    • v.13 no.12
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    • pp.900-909
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    • 2013
  • This study purposed to analyze the determinants of length of stay for patients having alzheimer dementia in geriatric hospitals. Sample data was collected from the National Patient Sample (NPS) produced by the Health Insurance Review & Assessment Service (HIRA) in 2009. Total 538 alzheimer inpatients over 65 years were used in the analysis. Patients were classified into 5 risk groups to represent the case-mix differences of patients. Organizational characteristics of geriatric hospitals such as number of beds, doctors, and nurses were included in the analysis model. In multivariate regression analysis, hospital variables were not statistically significant in explaining the length of stay. Two risk group were statistically significant in analysis, However, their signs of relationship with the dependent variable were opposite to the expectations. These results suggest that the characteristics of patients and hospitals did not have impacts on the length of stay. There will be needs to test the effects of other factor such as social needs which represents the socio-economic status of the family for the patients.

Evaluating Economic Value of Heat Wave Watch/Warning Information in Seoul and Busan in 2016: Focused on a Cost of Heat Wave Action Plan and Sample of Patients (2016년 서울과 부산지역 폭염특보 정보의 경제적 가치 평가 -폭염대책 비용과 환자 자료를 중심으로-)

  • Kim, In-Gyum;Lee, Seung-Wook;Kim, Hye-min;Lee, Dae-Geun
    • The Journal of the Korea Contents Association
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    • v.20 no.5
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    • pp.525-535
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    • 2020
  • This study aims to evaluate the economic value of the heat wave watch/warning (HW/W) forecast provided by the KMA (Korea Meteorological Administration) for the public sector. Local govermenments of Korea currently use the HW/W forecasts as a major input variable to determine the preparative requisite level for reducing potential damage by extreme heat events. To assess the value of the HW/W, which is not a marketable commodity, a decision-making model taking into account the cost and loss was established. The 'cost' variable was defined as the heat wave countermeasures budget for Seoul and Busan in 2016, and the 'loss' variable was set as the amount of health insurance claims for those 65 and older obtained from the Health Insurance Review and Assessment Service. Using this model, the value of the HW/W in 2016 was calculated as KRW 4,133M and KRW1,090M for Seoul and Busan, respectively. In addition, if the KMA reduces the False Alarm of the HW/W by a single instance, the value will be increased by KRW 76.6M and KRW 16.8M for the two cities. The results of this study are useful in quantitatively estimation of the value of the HW/W forthe public sector.

Does the Level of Hospital Caseloads Influences on the Length of Stay for the Delivery Inpatients (입원환자의 집중도 수준에 따른 재원일수의 변이 분석: 분만환자를 중심으로)

  • Moon, Kyeong-Jun;Lee, Kwang-Soo
    • The Journal of the Korea Contents Association
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    • v.13 no.8
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    • pp.314-323
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    • 2013
  • This study analyzed the relationship between the level of hospital caseloads and length of stay for the delivery patients. The differences of hospital caseloads were measured by the Internal Herfindahl Index, which measured the concentration of delivery patient in a hospital. And the structure variables of hospitals such as the number of bed, the number of treatment, and the number of doctors and nurses per 100 beds were included as control variables. And average length of stay of delivery patients was used as the dependent variable. Concentration status of delivery patients was measured in two models: (1) first model represents the concentration level of delivery patient in all hospital patients, (2) second model represents the concentration level of delivery patient in all obstetrics and gynecology patients. In regression analysis, patient concentration index was not statistically significant in explaining the variation of average length of stay in two models. But the number of delivery patients and number of beds were statistically significant. The number of delivery patient variable showed negative regression coefficient with average length of stay and the number of beds showed positive coefficient with average length of stay. This study result indicated that the volume of delivery patients in a hospital will play a significant role in reducing the length of stay of delivery patients. Patient volume could contribute in improving the efficiency of patient care in a hospital.

Analysis of the Health Insurance Costs of Occupational Therapy in Stroke patients (뇌졸중 환자의 작업치료 보험수가 분석)

  • Kim, Hyun-Jin;Kim, Se-Yun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.3
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    • pp.1920-1927
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    • 2015
  • This study examined health insurance costs of occupational therapy in stroke patients. The subjects were stroke patients, who underwent occupational therapy by hospitalization or out-patient centers in 2010. The cost of occupational therapy was analyzed from the insurance claims data of Health Insurance Review and Assessment Service in 2010. The kinds of occupational therapy were divided according to the insurance fee of occupational therapy in 2010. In-patients who received occupational therapy paid the highest rehabilitation treatment fee, whereas outpatients paid the highest nervous system function test fee. The cost of occupational therapy in the special rehabilitation treatment fee was highest by 25.3 billion won. The number of uses of general hospitals was the highest by 180 thousand but the total cost of long-term care hospital was highest by 10.4 billion won. The number of uses and cost by regional groups was highest in Seoul and Gyeonggi-do province. This study is meaningful in that a cost analysis of occupational therapy in stroke patients was performed for the first time using the stroke data from the whole country. The result can be used to provide basic data to improve the insurance fee in the future.

A Study of the Effects and Regulations of Comparative Advertising: Focusing on the Definition and Application of Unfairly Comparative Advertising (비교 광고의 효과와 규제에 대한 연구: '부당한 비교'의 정의와 적용을 중심으로)

  • Cho, Jae-Yung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.3
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    • pp.270-276
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    • 2017
  • Previous studies of the effects of comparative advertising did not consider that comparative advertising should satisfy its legal conditions otherwise it would be unfairly comparative advertising. In this context, this study reviewed the current legal definition of 'unfairly comparative advertising' to clarify it by the definition of unfairly comparative advertising of the Guideline of Judgement of Comparative Labeling or Advertising based on the Act on Fair Labeling and Advertising. In addition, this study confirmed that comparative advertising was banned by the Monopoly Regulation and Fair Trade Act, which was the previous act on unfair labeling or advertising, and identified differences between the two Acts in regulating unfairly comparative advertising. This study analyzed 354 adjudication cases of unfairly comparative advertising based on the regulation of Monopoly Regulation and Fair Trade Act. As a result, the definitions of the two Acts of unfairly comparative advertising were found to correspond to each other. These results suggest empirically that comparative advertising was not banned legally in the past and the definition and judgement standards of unfairly comparative advertising have not been changed.