• Journal of Korean Academy of Nursing Administration
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• v.16 no.4
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• pp.399-408
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• 2010

Purpose: The purpose of this study was to compare the cost using different methods of costing nursing activities for patients with chronic otitis media having surgery. Method: Data were collected from 30 patients who had mastoidectomy and tympanoplasty. To compare the cost, the researchers used three different costing methods; consumed time, resource based relative value scale (RBRVS), and critical pathway (CP). Results: Twenty-six nursing activities for surgical patients with chronic otitis media were found. Total cost was 83,843.7 won using RBRVS. The costliest activity was recording at 9,734.4 won, followed by confirmation of doctors' orders at 9,302.4 won, and injection with infusion pump at 9,072.0 won. There was a difference in nursing activities performed according to the length of hospital stay, and the cost was highest on the surgery day at 13,417.8 won. Comparatively, the total cost was 72,014.4 won using CP. Conclusions: Nursing activities are performed in various forms according to the disease and patient's condition, and different nursing activities are executed according to the length of hospital stay. In order to measure the load of nursing activities and distribute it appropriately, it is necessary to analyze the cost of nursing activities by the process of nursing services performed.

• Journal of Korean Academy of Nursing
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• v.30 no.6
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• pp.1580-1591
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• 2000

This study was conducted to assess the amount of nursing services for psychiatric inpatients and to estimate psychiatric nursing costs by using the RBRVS. Full details of medical services, including physician and nursing services, for psychiatric inpatients were surveyed and data of general characteristics of hospitals and patients were also collected. The cost of nursing activities was estimated by the multiple conversion factor which was drawn from the Korean RBRVS Development Project to the RBRVS score of each nursing activities, which was drawn from the results of Korean Nurses Association (KNA)'s projects about nursing RBRVS development and cost of nursing activities. The data about 89 inpatients from 3 general hospitals with psychiatric departments were analyzed. The total cost of nursing activities for each patient per admission day was from KRW 22,185 to KRW 27,954 by hospital, and KRW 25,220 in average. The percent of nursing cost to the total cost of medical services was from 36% to 48% by characteristics of patients and 41.4% in average. The cost of nursing activities estimated in this study was between the existing NHI fee schedule and the one suggested by KNA. It is considered as appropriate and acceptable level compared to the total amount of medical services. In the process of KNA's activities to get nursing fee in NHI fee schedule, results of additional studies to estimate the cost of nursing activities balanced with total cost of medical services in every departments should be found and utilized.

• Journal of Oral Medicine and Pain
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• v.30 no.2
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• pp.257-268
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• 2005

It is recently suggested in Korea that Resource-Based Relative Value Scale (RBRVS) is an alternative plan of Korean Dental Fee Schedule which has been operated on a fee-for-service basis since the introduction of the national health insurance program in 1977. RBRVS applicable to diagnosis and treatment for temporomandibular disorders (TMD), a common cause of orofacial pain, is needed to be estimated in Korea and the establishment of the standard terminology of dental procedures for TMD should be preceded. The purposes of this study were to develop a new classification system of health care service items for TMD and to investigate time needed for each item, which enables RBRVS to be estimated prior to establishment the payment system of health care services for TMD. The dental service items for TMD in this study were categorized through Delphi process which 10 TMD specialists were participated in and the time needed for each service item was investigated by work sampling and time study method with a stopwatch. The results of this study demonstrated the new classification system of dental services for TMD comprising 151 service items and exhibited the average time for each items ranging from 7.22 min for cold laser therapy to 171.71 min for direct fabrication of anterior repositioning splint. Conclusively, it is suggested that the classification system for TMD developed in this study, considering specific characteristics on basis of resources for health care service of dental procedures, should be helpful to estimate payment level for each service item.

• Journal of Korean Academy of Nursing Administration
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• v.11 no.1
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• pp.33-44
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• 2005

Purpose: This study was aimed to estimate nursing cost for hemodialysis of tertiary hospitals using Resource Based Relative Value Scale(RVRBS). Method: First, we calculated nursing workload of the each hemodialysis-nursing behaviors compared with basic nursing behavior(check vital sign) for the most severe hemodialysis patients in general hospitals. Second, we measured each spent time according to each nursing behaviors. Third, we computed Resource Based Relative Value(RBRV) scores and nursing expenses of each 14 nursing behavior for hemodialysis. Finally, we estimated nursing cost of each hemodialysis-behavior for the most severe hemodialysis-patients in general hospitals. Result: The mean RBRV scores for each nursing behaviors were from 218.9 to 383.9 points. The highest RBRV socres were 383.9(Complication during hemodialysis). The Nursing behavior that spent the most time was "access the vascular( 31.7 minutes)". Nursing cost per hemodialysis for the patient with severe condition was estimated 63,455(won). Conclusion: Total average workload was 347.6 points and total spent time was 306.5 minutes for 14 hemodialysis nursing behaviors provided to severe patients. There were clear differences in nursing workload and cost according to patient's severity-mild, moderate and severe class.

• Proceedings of the Korean Society for Emotion and Sensibility Conference
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• 2008.10a
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• pp.155-158
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• 2008

오늘날 다양해지는 산업구조에서 가장 핵심적인 분야로 떠오르고 있는 서비스는 국가의 미래전략사업으로 현재 각 국가들은 서비스를 중요한 이슈로 타 학문과의 연계 가능성에 대한 연구가 진행되고 있다. 서비스란 국가의 생활환경과 문화 수준에 따라 현저한 차이를 보이고 있지만 신 개념의 서비스는 접근방법에 있어서 소비자가 원하는 요구조건을 개인의 특성에 맞는 맞춤형서비스라는 공통된 방식으로 진행되고 있다. 동양에서의 서비스란 단순히 무료로 가치를 보상받지 않고 육체적, 물리적 가치를 상대에게 제공한다는 의미로 해석되고 있는 반면, 서양에서 서비스 개념은 가치를 제공함 으로서 합당한 대가를 돌려받는다는 의미로 해석된다. 이러한 서비스의 개념은 디자인을 서비스라는 시각에서 볼 때 소비자에게 가치의 제공이라는 개념으로 지금까지 많은 기업 및 산업체에서는 디자인을 실시하는 행위가 소비자를 위한 서비스 제공이라는 개념으로 생각하지만 실제 디자인에서 서비스 접근방법은 명확한 기준과 근거가 부족한 편이다. 따라서 본 연구에서는 기존 연구에서 밝혀진 부산 관광자원의 중요 요소인 쇼핑환경을 개선하기 위해 소비자의 이용 빈도가 높은 부산시 마트(Mart)를 중심으로 이용자에게 좀더 편리한 쇼핑환경을 제공하기 위한서비스디자인 방법을 연구하고자 한다. 연구방법에 있어서는 실제 마트(Mart)를 이용하는 소비자의 심리분석과 문제점, 행동분석을 통해 쇼핑환경을 개선하고 이용자에게 편리한 제품디자인 방법을 연구하여 마트(Mart)의 서비스 디자인 방법을 찾아본다.

• Journal of The Korean Society of Grassland and Forage Science
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• v.32 no.2
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• pp.109-116
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• 2012

This study was carried out to determine the forage quality, production, and regrowth of Phragmites communis as a native grass according to growth stages. Experiment 1 was conducted in Ansan from May 2009 to April 2010 (7 stages), and experiment 2 was conducted in Cheonan from May to November 2011 (10 stages). In experiment 1, forage quality decreased rapidly with advance of growth from May. When harvested on late May, July, September and April of the following year, the contents of crude protein were 7.7%, 4.6%, 3.7%, and 2.2%, respectively. Relative feed value (RFV) were 80.2, 65.1, 61.8 and 52.8, and lignin contents were 7.1%, 9.9%, 12.0%, and 13.2%, respectively. In experiment 2, significantly higher forage yields were observed when harvested from late June to mid July. On the other hand, forage quality decreased with delayed harvest as was in experiment 1. Good regrowth of Phragmites communis was observed when harvested earlier than in August. When harvested on late May, June, July, August, September, October and November, the dry matter (DM) yields were 7,329 kg/ha, 12,527 kg, 9,593 kg, 8,279 kg, 7,649 kg, 5,822 kg and 5,540 kg, and in vitro digestible DM (IVDDM) yields were 3,924 kg/ha, 5,264 kg, 4,273 kg, 3,322 kg, 3,352 kg, 2,195 kg and 1,887 kg, respectively. Forage quality grades of Phragmites communis were 4th grade in May, 5th grade from June to Sept., and 6th grade in Oct., Nov., or in Apr. of the following year. However, all regrown Phragmites communis ranked the 4th in quality. In conclusion, we recommend that Phragmites communis should be harvested from late June to mid July (no later than the end of July) to obtain good forage quality with digestible nutrient contents greater than rice straw. Regrowth of Phragmites communis was poor, and more than 70% of annual forage yields were out of the first harvest. Therefore, we recommend only one harvesting per year for good regrowth and stable production of Phragmites communis.

• Journal of the Korean Institute of Landscape Architecture
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• v.50 no.1
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• pp.1-19
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• 2022

The Geumgang Pine (Pinus densiflora) Forest in Sogwang-ri, Uljin has traditionally been a pine tree protection area (prohibited forest) for timber production purposes, and is now designated and managed as a protected area for forest genetic resource conservation by the Korea Forest Service. This study, we analyzed topographical characteristics, existing vegetation, tree age, and plant community structure, and proposed a sustainable management method for the Geumgang Pine (Pinus densiflora) Forest in Sogwang-ri, Uljin for timber havesting purposes. The topographical characteristics of the target area were 36.7% ridges and 38.7% valleys; the ratio of ridges to valleys was similar, and the slopes formed 24.7% of the total area. The types of pine forest communities are divided into six types based on the progress of pine forest renewal, the competition with other species such as deciduous broadleaf trees, and the formation of layered structures. It has been confirmed that the age of the large-diameter pine trees (40~60cm in diameter) is approximately 60~70 years, which is relatively low. As a result of the analysis of the relative importance percentage and layered structure, differences depended on the progress of the pine forest renewal project, and not only the maintenance of the pine forest, but also the creation of a secondary growth forest, the density adjustment of pine trees, and the active management of competitive trees. The average basal area by the community was 12,642.1~25,424.4cm² for the tree layer and 1.8~1,956.5cm² for the low tree layer based on a quadrat of 400m². The difference in the basal area appeared to depend on the size and number of trees forming the tree layer and the degree of pine forest renewal (the degree of time elapsed after thinning pine trees). The average number of species that appeared in each community was 8.7-20.3; there were many species located in valleys, and the type competes with deciduous broadleaf trees due to the lack of management. The diversity of species ranged from 0.6915-1.0942, and was evaluated as low compared to pine communities in central temperate zones. In this paper, we determined the management goals of Geumgang Pine (Pinus densiflora) Forest in Sogwang-ri, Uljin to produce timber with high economic value, and suggested efficient vegetation management for continuous afforestation, the establishment of a timber production system, and improvement of wood production as a management direction.