• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.16 no.6
• /
• pp.4031-4039
• /
• 2015

The problems related with blood supply shortage and the stability of blood transfusion are on the rise, as it is expected that the blood doners will decrease but the blood use amount for aged population will increase, owing to low birth and aged population increase. The purpose of this study is to analyze the hospital characteristics which affect patients receiving and non-receiving blood transfusion for the knee and hip total replacement arthroplasty. Data were collected from Health Insurance Review and Assessment Service's 2011 sample data, and 5,370 inpatients were abstracted from them. Logistic regression analysis was performed, using SPSS 20. Independent variables used are hospital characteristics variables and patient characteristics variables. Hospital characteristics variables are hospital type, ownership, residence and the number of usable beds, and patient characteristics variables are gender, age, severity, type of anesthesia, main diagnosis, whether or not of anemia and insurance class. At the result of this study, it was found that hospital type, region, gender, age, severity, main diagnosis and whether or not of anemia were the factors that mostly affected the blood transfusion for knee arthroplasty. And hospital type, residence, gender, age, severity, type of anesthesia and whether of not of anemia were the factors that mostly affected the blood transfusion for hip arthroplasty. In addition to that, it is expected that this research which analyzed the present state of blood transfusion and its influence factors are cost effective, and would make a good use of preliminary data for good quality of medical service.

• Journal of Korean Institute of Industrial Engineers
• /
• v.34 no.1
• /
• pp.98-107
• /
• 2008

The purpose of this paper is to present an optimization scheme that aims at minimizing the expected cost per unittime. This study considers a linear connected-(r, s)-ouI-of-(m, n):f lattice system whose components are orderedlike the elements of a linear (m, n)-matrix. We assume that all components are in the state 1 (operating) or 0(failed) and identical and s-independent. The system fails whenever at least one connected (r, s)-submatrix offailed components occurs. To find the optimal threshold of maintenance intervention, we use a simulatedannealing(SA) algorithm for the cost optimization procedure. The expected cost per unit time is obtained byMonte Carlo simulation. We also has made sensitivity analysis to the different cost parameters. In this study,utility maintenance model is constructed so that minimize the expense under full equipment policy throughcomparison for the full equipment policy and preventive maintenance policy. The full equipment cycle and unitcost rate are acquired by simulated annealing algorithm. The SA algorithm is appeared to converge fast inmulti-component system that is suitable to optimization decision problem.

• The Journal of the Korea Contents Association
• /
• v.4 no.3
• /
• pp.71-80
• /
• 2004

In distributed file-systems, cooperative caching algorithm which owns the data cached at each node jointly is used to reduce an expense of disk access. Cooperative caching algorithm is the method that increases a cache hit-ratio and decrease a disk access as it holds the cache information of distributed systems in common and makes cache larger virtually. Recently, several cooperative caching algorithms decrease the message costs by using approximate information of the cache and increase the cache hit-ratio by using local and global cache fields dynamically. And they have an advantage that increases the whole field hit-ratio by sending a replaced buffer to the idle node on buffers replacement in order to maintain the replaced cache in the cache field. However the wrong approximate information deteriorates the performance, the consistency maintenance goes to great expense to exchange messages and the cost that manages Age-information of each node to choose the idle node increases. In this thesis, we propose a cooperative cache algorithm that maintains correct cache information, minimizes the maintenance cost for consistency and the management cost for buffer Age-information. Also, we show the superiority of our algorithm through the performance evaluation.

• Journal of Digital Convergence
• /
• v.14 no.11
• /
• pp.369-377
• /
• 2016

This study examined artificial joint replacement surgery for early intervention and prevention of the occurrence of delirium surgery. Data of study were analysed using the sample through the EMR (Electronic Medical Record) and after surgery to provide basic data. The subjects were elderly aged 60 years or more and the number of the sample was 821. Data were analysed by using SPSS 20.0 with t-test, $x^2$-test and multiple logistic regression analysis. The study results showed patients with artificial joint replacement surgery incidence of delirium was 13.5%, findings of these variables insisted that the main influencing factors of delirium were caused by age, fall history, physical activity, emotional status, body mass index (BMI) before surgery. The study suggested that the above findings are required for early intervention, early detection and prevention of delirium.

• 한국디지털정책학회:학술대회논문집
• /
• 2005.06a
• /
• pp.75-87
• /
• 2005

Under the internet age, the competition among recruiting intermediaries including online and offline players has been intensified for several years. Therefore, their business processes or business models have also been transformed to be able to earn the competitive advantages. For these reasons, the traditional players like offline-based recruiting companies have willingly or unwillingly experienced the competitive disadvantages on the recruit battle ground. The online recruiting intermediaries, who newly participated in this industry and based on the internet environment, however, seized on the competitive advantages with the richness and the reach traits of online media. Under this context, the offline traditional intermediaries, who have been threatened by new online entries, must make a replacement of traditional trading mechanisms with alternative trading mechanisms like IT-enabled intermediaries. In this study by exploratory approach, we investigate the phases of transformation of the traditional recruiting intermediaries, changes in business strategies of offline-based firms, and impacts of online media in e-recruiting industry.

• Journal of Digital Convergence
• /
• v.3 no.2
• /
• pp.131-142
• /
• 2005

Under the internet age, the competition among recruiting intermediaries including online and offline players has been intensified for several years. Therefore, their business processes or business models have also been transformed to be able to earn the competitive advantages. For these reasons, the traditional players like offline-based recruiting companies have willingly or unwillingly experienced the competitive disadvantages on the recruit battle ground. The online recruiting intermediaries, who newly participated in this industry and based on the internet environment, however, seized on the competitive advantages with the richness and the reach traits of online media. Under this context, the offline traditional intermediaries, who have been threatened by new online entries, must make a replacement of traditional trading mechanisms with alternative trading mechanisms like IT-enabled intermediaries. In this study by exploratory approach, we investigate the phases of transformation of the traditional recruiting intermediaries, changes in business strategies of offline-based firms, and impacts of online media in e-recruiting industry.

• International Area Studies Review
• /
• v.21 no.1
• /
• pp.221-243
• /
• 2017

In this study, I examine overall conditions and problems of personal asset management processes by the old age people in Korea from the global perspectives. Major recommended policy implications for those are as follows.. First, the IRR (income replacement ratio) of public pensions in Korea is found to rank nearly the lowest among the OECD member countries. The relatively low fund performance compared to that of developed countries as well as this low IRR can be pointed out as major problems of public pension in Korea. It is recommended to reinforce specialty in fund management as a top priority to solve out these problems related with public pensions in Korea. Second, it is needed to set retirement pensions to be mandatory for almost all the firms in Korea to substitute for the above lower IRR of public pensions and to recover from the highest elderly poverty ratio among the OECD countries. Third, it is required to discuss about the expansion of tax refund policy application in the individual pension sector and many financial investment products under the correction of current budget control to motivate voluntary subscription for individual pension planning and to stabilize elderly lives of ordinary people in Korea. Fourth, it is required to induce market mechanism in controling price and longevity risk of reverse mortgages for the long-run sustainability.

• Journal of Preventive Medicine and Public Health
• /
• v.49 no.4
• /
• pp.230-239
• /
• 2016

Objectives: We aimed to evaluate the effect of geographic units of analysis on measuring geographic variation in medical services utilization. For this purpose, we compared geographic variations in the rates of eight major procedures in administrative units (districts) and new areal units organized based on the actual health care use of the population in Korea. Methods: To compare geographic variation in geographic units of analysis, we calculated the age-sex standardized rates of eight major procedures (coronary artery bypass graft surgery, percutaneous transluminal coronary angioplasty, surgery after hip fracture, knee-replacement surgery, caesarean section, hysterectomy, computed tomography scan, and magnetic resonance imaging scan) from the National Health Insurance database in Korea for the 2013 period. Using the coefficient of variation, the extremal quotient, and the systematic component of variation, we measured geographic variation for these eight procedures in districts and new areal units. Results: Compared with districts, new areal units showed a reduction in geographic variation. Extremal quotients and inter-decile ratios for the eight procedures were lower in new areal units. While the coefficient of variation was lower for most procedures in new areal units, the pattern of change of the systematic component of variation between districts and new areal units differed among procedures. Conclusions: Geographic variation in medical service utilization could vary according to the geographic unit of analysis. To determine how geographic characteristics such as population size and number of geographic units affect geographic variation, further studies are needed.

• Health Policy and Management
• /
• v.29 no.4
• /
• pp.399-411
• /
• 2019

Background: This study aimed to explore the associations of social-demographic, health-behavioral, and woman-specific factors with the non-screening status of the cervical cancer screening test in Korean adult women. Methods: This study was a cross-sectional analysis of 9,698 Korean adult women aged 20 years or more who participated in the Korea National Health and Nutrition Examination Surveys V (2010-2012). Rao-Scott chi-square tests and survey logistic regression analyses were employed respectively to analyze the difference in the non-screening status of the cervical cancer screening test by each characteristic and to explore the factors related to the non-screening status. Results: The rate of the non-screening status of the cervical cancer screening test was 53.5% over the previous 2 years. In the survey logistics regression analysis, age, marital status, educational levels, income levels, residential area, occupation, private health insurance, smoking, alcohol, obesity, menstrual status, pregnancy experience, and hormone replacement therapy were significantly associated with the non-screening status of the cervical cancer screening test. Conclusion: On the basis of the results of this study, some social-demographic, health-behavioral, and woman-specific characteristics of Korean adult women seem to affect the non-screening status of the cervical cancer screening test. Therefore, appropriate health policies need to be designed, implemented, monitored, and evaluated to reduce the non-screening status of the cervical cancer screening test of them.

• Journal of Digital Convergence
• /
• v.18 no.11
• /
• pp.329-336
• /
• 2020

The study investigated the perception and experience of infection control targeting dental users. During July-August 2020, 198 adults over the age of 20 were surveyed on general characteristics, infection control awareness and experience, and improvement. Analysis was performed using PASW Statistics ver 18.0. The research results, 91% of dental users recognized that infection control was important. In the recognition of infection control were highly investigated oral treatment equipment sterilization, hand hygiene and glove replacement before and after treatment by dental staff. And dental users was relatively low the replacement of disposable gowns and safety glasses for each patient by medical staff. The dental staff are doing well in personal protection and instrument sterilization. Surface disinfection and water quality management needed improvement. It was meaningful to suggest improvement in infection control based on the perception and experience from the perspective of dental users. It is expected to be used as basic data necessary for high-quality medical services through infection control in dental medical institutions.