• Title/Summary/Keyword: 원가계산

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Adequacy of Medical Manpower and Medical Fee for Newborn Nursery Care (신생아실 의료인력의 적정성 및 신생아관리료의 타당성 분석)

  • Park, Jung-Han;Kim, Soo-Yong;Kam, Sin
    • Journal of Preventive Medicine and Public Health
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    • v.24 no.4 s.36
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    • pp.531-548
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    • 1991
  • To assess the adequacy of medical manpower and medical fee for the newborn nursery care, the author visited 20 out of 24 hospitals with the pediatric training program in Youngnam area between July 29 and August 14, 1991. Total number of newborn, both normal and sick, admission and discharge in 1-30 June 1991 was obtained from the logbook of nursery. Head nurse and staff pediatrician of the nursery were interviewed to get the current staffing for the nursery and their subjective opinion on the adequacy of nursery manpower and the difficulties in recruiting manpower. Average medical fee charged for the maternity and normal newborn nursery care was obtained from the division of self-audit of medical insurance claim of each hospital. Average minimum requirement of nursing care time for one normal newborn per day was 179.5 (${\pm}58.6$) minutes; 202.3(${\pm}50.7$) minutes for the university hospitals and 164.2(${\pm}60.5$) minutes for the general hospitals. The ratio of minimum requirement of nursing care time and available nursing time was 1.42 on the average. Taking the additional requirement of nursing care for the sick newborns into consideration, the ratio was 2.06. The numbers of R. N. and A. N. in the nurserys of study hospitals were 31%, and 17%, respectively, of the nursing manpower for the nursery recommended by the American Academy of Pediatrics. These findings indicate that the nursing manpower in newborn nursery is in severe shortage. Ninety percent of the head nurses and 85% of the staff pediatrician stated that the newborn nursery is short of R.N. and 75% of them said that the nurse's aide is also short. Major reason for not recruiting R.N. was the financial constraint of hospital. For the recruitment of nurse's aide, short supply was the second most important reason next to the financial constraint. However, limit of quarter in T.O. was the mar reason for the national university hospitals. Average total medical fee for the maternity and newborn nursery cares of a normal vaginal delivery who stayed two nights and three days at hospital was 219,430won. Out of the total medical fee, 20,323won(9.3%) was for the newborn nursery care. In case of C-section delivery who stayed six nights and seven days, total medical fee was 732,578won and out of the total fee 76,937won (12.0%) was for the newborn care. Cost for a newborn care per day by cost accounting was 16,141won for the tertiary care hospitals and 14,576won for the all other hopitals. The ratio of cost and the fee schedule of the medical insurance for a newborn care per day was 5.0 for the tertiary care hospitals and 4.9 for the all other hospitals. Considering the current wage level of the medical personnel, capital investment for the hospital facilities and equipments, and the cost for hospital maintenance, it is hard to expect adequate quality care in the newborn nursery under the current medical insurance fee schedule.

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A Study on the Approximate model of the Flow rate Characteristics in External Gear pump for EHPS (전기 유압식 동력 조향시스템용 외접형 기어펌프의 유량특성 근사식에 관한 연구)

  • Kim, Ji-Hye;Kim, Sung-Gaun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.2
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    • pp.548-553
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    • 2013
  • EHPS(Electro-Hydraulic Power Steering) is a system to generate the steering operation force from the electric motor connected directly to the oil pump. To optimize the manufacturing cost and efficiency of the performance of the steering system is very important. Until now, the development of the hydraulic system is implemented by the field test which needs a significant time and cost. In this paper, flow measurement of an external gear pump is performed. Then using the experimental results, an approximate model expressed by flow rate characteristics is proposed to calculate the discharge flow rate. Proposed approximate model is verified by comparing with the experimental data and AMESim results. As the experimental data and AMESim results agree well, the approximate model data can be used as an alternative to highly cost experimental procedure.

Aerodynamic Characteristics of Several Airfoils for Design of Passive Pitch Control Module of 10 kW Class (10kW 급 풍력 블레이드의 수동형 피치제어 모듈의 설계를 위한 여러가지 익형의 공력 특성에 관한 연구)

  • Kang, Sang Kyun;Lee, Ji Hyun;Lee, Jang-Ho
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.38 no.6
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    • pp.609-617
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    • 2014
  • Even though the variable pitch control of a wind turbine blade is known as an effective component for power control over the rated wind speed, it has limited applicability to small wind turbines because of its relatively high cost on the price of small wind turbine. Instead, stall control is generally applied in the blade design without any additional cost. However, stall delay can frequently be caused by high turbulence around the turbine blade, and it can produce control failures through excessive rotational speed and overpowering the electrical generator. Therefore, a passive pitch control module should be considered, where the pitch moves with the aerodynamic forces of the blade and returns by the elastic restoring force. In this study, a method to calculate the pitch moment, torque, and thrust based on the lift and drag of the rotating blade wing was demonstrated, and several effective wing shapes were reviewed based on these forces. Their characteristics will be estimated with variable wind speed and be utilized as basic data for the design of the passive pitch control module.

Analysis for Dynamic Characteristics of T-shaped structure using Sensitivity Analysis and Reduced Impedance Method (감도해석과 축소임피던스합성법을 이용한 T형 구조물의 동특성 해석에 관한 연구)

  • 오재응;류지우;조준호
    • Proceedings of the Korean Society for Noise and Vibration Engineering Conference
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    • 1994.10a
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    • pp.231-237
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    • 1994
  • 컴퓨터의 눈부신 발달에 힙입어 실험 또는 해석적 방법으로 일반 구조물이나 기계구조물의 진동특성을 손쉽고 정확하게 파악하는 것이 가능하게 되었다. 그런데 최근의 산업현장은 지금까지의 정확한 구조해석에만 그치지 않고 이를 바탕으로 강도 개선, 재료 절감을 통한 원가절감, 중량 최소화 문제등의 차원에서 동적인 특성의 변경을 요구하고 있다. 이러한 문제는 그 중요성에도 불구하고 여전히 설계자의 경험이나 시행착오에 의존하고 있는 실정이다. 본 연구에서는 구조물 결합부분에 주목하여 동특성의 변경 문제를 해석하고자 하였다. 즉 거의 모든 구조물이 결합부를 가지고 있는데 결합부 특성을 정확히 파악할 수 없기 때문에 리벳이나 보울트나 어떤 특수한 형태 결합부가 구조물의 특성에 주는 영향을 예측하기 어렵다. 이러한 결합부이 특성을 알아내고 구조물 동특성 변경 및 개선안을 제시하는 최적설계를 위해 감도해석기법은 아주 유효하게 쓰일 수 있다. 한편 구조물의 대형화, 복잡화는 구조물 동특성 해석에 더욱 많은 계산시간과 용량이 큰 전자계산기를 필요로 하게 되었으며, 분계의 결합부위가 변경되거나 결합형태가 변했을 때 전계의 동특성을 다시 해석할 필요없이 분계만의 정보로부터 전계의 동특성을 알아낼 필요가 생겼다. 이러한 의미에서 구조물의 분계로부터 전계의 동특성을 해석을 위한 부분구조합성법이 대두되게 되었다. 본 연구에서는 이러한 감도해석과 부분구조합성법의 공통된 문제를 일치화하고자 하였다. 즉 감도해석기법을 이용하여 필요한 구조물의 동특성에 부합하는 결합부의 최적한 설계변수를 규명하였고 이렇게 구해진 결합부의 설계변수와 분계의 정보를 알고리즘이 비교적 간단하고 오차가 적은 축소임피던스 합성법에 적용하여 전계의 동특성을 해석함으로써 감도해석기법과 축소임피던스 합성법의 통합적용이 최적설계와 이에 따른 동특성 해석에 효과적인 방법임을 보이고자 하였다. 대상구조물은 구조물 결합의 기본적인 형태인 T형을 선택하였다. T형 구조물은 분계 A(16개의 사각요소)와 분계 B(8개의 사각요소)로 이루어져 있으며 두개의 스프링으로 결합되어 있다. 설계변수는 강성에 국한하였으며 결합부의 결합형태는 탄성결합과 강결합으로 하였다. 감도해석과 축소임피던스 합성법에 의해 구해진 고유진동수와 FRF를 상용 유한 요소 해석 패키지인 MSC/NASTRAN을 통하여 검증하여 이 연구의 타당성을 검토하였다.

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The Interpretation of Separation Mechanism of Ridge-Cut Explosive Bolt Using Simulation Programs (해석프로시져를 이용한 리치컷형 폭발볼트 분리기구 해석)

  • Lee, Yeung-Jo
    • Journal of the Korean Society of Propulsion Engineers
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    • v.8 no.2
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    • pp.102-114
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    • 2004
  • The present work has been developed the interpretation processor including the behavior of material failure and the separation phenomena under transient dynamic loading (the operation of explosive bolt) using AUTODYN V4.3, SoildWork 2003 and TrueGrid V2.1 programs. It has been demonstrated that the interpretation in ridge-cut explosive bolt under dynamic loading condition should be necessary to the appropriate failure model and the basic stress of bolt failure is the principal stress. The use of this interpretation processor developing the present work could be extensively helped to design the shape and the amount of explosives in the explosive bolt having a complex geometry. It is also proved that the interpretation processor approach is an accurate and effective analysis technique to evaluate the separation mechanism in explosive bolts.

A Study on the Cost Estimation Model in the military logistics- Focus on the military clothing (국방 물류비용 추정 모델에 관한 연구 - 육군 피복류 중심으로 -)

  • Park, Jin-Woo;Kang, Sung-Jin
    • Journal of the military operations research society of Korea
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    • v.32 no.2
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    • pp.1-20
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    • 2006
  • In modern marketing environment, we are more interested in logistics as industrial structure is complicated and globalized. Most companies focus on reducing the cost price. So a lot of companies study on cost estimation logistics. However, it Is very difficult to estimate the cost of logistics. Thus they mainly use linear method such as the simple distance of transportation. This study defines the cost of logistics, structure & network of military logistics and proposes the costing estimation model in the logistics. We apply to battle shoes which are the main clothing in the military. In the result, we found some differences on the rate of cost structure between military and civil companies. This study can be used directly to the decision making for optimal military logistics alternatives and contribute to the efficient operation of military budget.

A Study on the Scheme of the Pulp Price Discrimination from Certified forests and Non-certified forests for Sustainable Forest Management (지속가능한 산림관리를 위한 인증산림과 비인증산림에서 생산된 펄프재의 가격차별화 방안)

  • Choi, Sang Hyun;Lee, Jae Hwan;Woo, Jong-Choon
    • Journal of Korean Society of Forest Science
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    • v.103 no.4
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    • pp.696-702
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    • 2014
  • This study was conducted to provide resonable price of timber that come out from certified forests for sustainable forest management. To accomplish this study objectives, we analyzed compound interest method, willingness to pay (WTP) and price sensitivity measurement (PSM) when buying certified pulp. In case of compound interest method, we used prime cost by average price per ha of each area (Hongcheon, Inje, Shinnam) and unit price that add up the pulp price and investment costs. Interest rate reflects 2 to 6% and investment period apply to 5 years. WTP and PSM data were collected from questionnaire survey. As a result, if apply to interest rate of 2% and investment period of 3 years, result values are quite similar to WTP of 5% and optimal pricing point of PSM. That also showed similar pattern in each area.

Calculation of the Costs and Optimal profits per Inpatient-day of the Geriatric Hospitals (노인병원의 재원환자 1인당 일평균 원가 및 적정이윤 계산)

  • Hwang, In-Kyoung;Kim, Jai-Sun;Choi, Whang-Gyu
    • Korea Journal of Hospital Management
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    • v.8 no.4
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    • pp.149-181
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    • 2003
  • It has been asserted that per diem payment system should be introduced, in place of the current fee-for-service system, for payment of the inpatient services of the geriatric hospitals, Based on the assentation, this study aims at calculating costs and profits per inpatient-day of the geriatric hospitals, and thereby at contributing to the managerial improvement from the both sides of the Government and the hospitals. Relevant data of the three months, May to August, 2002 were collected from the five geriatric hospitals, and per inpatient-day costs and profits were calculated for the three disease groups. Major results and conclusions are as follow : Firstly, total costs per insured inpatient-day of the geriatric hospitals are 65, 389 won for dementia (including optimal profit of 3,858 won), 69,730 won for stroke (including optimal profit of 4,117 won), and 70,085 won for other diseases (including optimal profit of 4,134 won). Secondly, the amount of the non-insured costs per inpatient-day occupies 34.5% of the total costs for dementia, 30.3% for stroke, and 30.1% for other diseases. Thirdly, the total amount of the per inpatient-day costs calculated including the optimal profits is, on the average, higher by 12% than the present price level calculated for the current fee-far-service system. This implies that the present price level should rise by 12% when the current fee-far-service payment system be maintained, and Finally, introduction of a sliding-scale payment system should be considered for the inpatient medical management fees for the length of stay over six months or more that are being cut in the claim examination process by the insurance corporation.

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Design and Implementation of Low Power Touch Screen Controller for Mobile Devices (모바일용 저전력 터치 스크린 제어 회로 설계 및 구현)

  • Park, Sang-Bong
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.12 no.6
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    • pp.279-283
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    • 2012
  • In is paper, we design and implement the low power, high speed touch screen controller that calculates and outputs the coordinate of touch point on the touch screen of mobile devices. The system clock is 10HMz, the number of input channels is 21, standby current is $20{\mu}A$, dynamic range of input is 140pF~400pF and the response time is 0.1ms/frame. It contains the power management unit for low power, automatic impedance calibration unit in order to adapt to humidity, temperature and evaluation board, adjacent key and pattern interference suppression unit, serial interface unit of I2C and SPI. The function and performance is verified by using FPGA and $0.18{\mu}m$ CMOS standard process. The implemented touch screen is designed for using in the double layer ITO(Indium Thin Oxide) module with diamond pattern and single layer ITO module for cost-effective which are applied to mobile phone or smart remote controller.

Theoretical and Computational Analyses of Bernoulli Levitation Flows (베르누이 부상유동의 이론해석 및 수치해석 연구)

  • Nam, Jong Soon;Kim, Gyu Wan;Kim, Jin Hyeon;Kim, Heuy Dong
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.37 no.7
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    • pp.629-636
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    • 2013
  • Pneumatic levitation is based upon Bernoulli's principle. However, this method is known to require a large gas flow rate that can lead to an increase in the cost of products. In this case, the gas flow rate should be increased, and the compressible effects of the gas may be of practical importance. In the present study, a computational fluid dynamics method has been used to obtain insights into Bernoulli levitation flows. Three-dimensional compressible Navier-Stokes equations in combination with the SST k-${\omega}$ turbulence model were solved using a fully implicit finite volume scheme. The gas flow rate, workpiece diameter,and clearance gap between the workpiece and the circular cylinder were varied to investigate the flow characteristics inside. It is known that there is an optimal clearance gap for the lifting force and that increasing the supply gas flow rate results in a larger lifting force.