• Title/Summary/Keyword: Claims Analysis

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The Stream of Uncertainty in Scientific Knowledge using Topic Modeling (토픽 모델링 기반 과학적 지식의 불확실성의 흐름에 관한 연구)

  • Heo, Go Eun
    • Journal of the Korean Society for information Management
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    • v.36 no.1
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    • pp.191-213
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    • 2019
  • The process of obtaining scientific knowledge is conducted through research. Researchers deal with the uncertainty of science and establish certainty of scientific knowledge. In other words, in order to obtain scientific knowledge, uncertainty is an essential step that must be performed. The existing studies were predominantly performed through a hedging study of linguistic approaches and constructed corpus with uncertainty word manually in computational linguistics. They have only been able to identify characteristics of uncertainty in a particular research field based on the simple frequency. Therefore, in this study, we examine pattern of scientific knowledge based on uncertainty word according to the passage of time in biomedical literature where biomedical claims in sentences play an important role. For this purpose, biomedical propositions are analyzed based on semantic predications provided by UMLS and DMR topic modeling which is useful method to identify patterns in disciplines is applied to understand the trend of entity based topic with uncertainty. As time goes by, the development of research has been confirmed that uncertainty in scientific knowledge is moving toward a decreasing pattern.

Factors Affecting the Length of Stay of Long-Stay Medical Aid Inpatients in Korea: Focused on Hospitalization Types in Long-Term Care Hospitals (장기입원 의료급여 환자의 재원일수에 미치는 영향요인: 요양병원 입원유형 중심으로)

  • Yun, Eun Ji;Lee, Yo Seb;Hong, Mi Yeong;Park, Mi Sook
    • Health Policy and Management
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    • v.31 no.2
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    • pp.173-179
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    • 2021
  • Background: In Korea, the length of stay and medical expenses incurred by medical aid patients are increasing at a rate faster than the national health insurance. Therefore, there is a need to create a management strategy for each type of hospitalization to manage the length of stay of medical aid patients. Methods: The study used data from the 2019 National Health Insurance Claims. We analyzed the factors that affect the length of stay for 186,576 medical aid patients who were hospitalized for more than 31 days, with a focus on the type of hospitalization in long-term care hospitals. Results: The study found a significant correlation between gender, age, medical aid type, chronic disease ratio, long-term care hospital patient classification, and hospitalization type variables as factors that affect the length of hospital stay. The analysis of the differences in the length of stay for each type of hospitalization showed that the average length of stay is 291.4 days for type 1, 192.9 days for type 2, and 157.0 days for type 3, and that the difference is significant (p<0.0001). When type 3 was 0, type 1 significantly increased by 99.4 days, and type 2 by 36.6 days (p<0.0001). Conclusion: A model that can comprehensively view factors, such as provider factors and institutional factors, needs to be designed. In addition, to reduce long stays for medical aid patients, a mechanism to establish an early discharge plan should be prepared and concerns about underutilization should be simultaneously addressed.

The Impact of Time-to-Treatment for Outcome in Cancer Patients, and Its Differences by Region and Time Trend (암환자의 진단-치료 소요기간에 따른 생존분석과 지역사회별 격차 및 시계열적 추이)

  • Kim, Woorim;Han, Kyu-Tae
    • Health Policy and Management
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    • v.31 no.1
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    • pp.91-99
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    • 2021
  • Background: The Korean government introduced National Cancer Control Program and strengthening national health insurance coverage for cancer patients. Although many positive effects have been observed, there are also many concerns about cancer management such as patient concentration or time-to-treatment. Thus, we investigated the association between the time-to-treatment and survival of cancer patients, and compared regional differences by time trend. Methods: The data used in this study were national health insurance claims data that included patients diagnosed with lung cancer and received surgical treatment between 2005 and 2015. We conducted survival analysis with Cox proportional hazard model for the association between time-to-treatment and survival in lung cancer. Additionally, we compared the regional differences for time-to-treatment by time trend. Results: A total of 842 lung cancer patients were included, and 52.3% of lung cancer patients received surgical treatment within 30 days. Patients who received surgical treatment after 31 days had higher 5-year or 1-year mortality compared to treatment within 30 days (5-year: hazard ratio [HR], 1.566; 1-year: HR, 1.555; p<0.05). There were some regional differences for time-to-treatment, but it was generally reduced after 2010. Conclusion: Delayed surgical treatment after diagnosis can negatively affect patient outcomes in cancer treatment. To improve cancer control strategies, there are needed to analyze the healthcare delivery system for cancer care considering the severity and types of cancer.

Analysis of application of dental sedation in attention deficit hyperactivity disorder (ADHD) patients using the Korean National Health Insurance data

  • Chi, Seong In;Kim, Hyuk;Seo, Kwang-Suk
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.21 no.2
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    • pp.99-111
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    • 2021
  • Background: Attention deficit hyperactivity disorder (ADHD) is characterized by a persistent pattern of inattention and/or hyperactivity-impulsivity that interferes with functioning or development. It has a worldwide pooled prevalence of 5.29%. The characteristics of ADHD can increase the probability of dental treatment, while special behavior management can be required to allow proper treatment. In South Korea, the use of sedation in dental treatment has rapidly increased in recent decades. The present study aimed to investigate the trend and effects of sedation in patients with ADHD undergoing dental treatment in South Korea. Methods: The study used customized health information data provided by the Korean National Health Insurance Service. Among patients with the record of sedative use during the period from January 2007 to September 2019, those with International Classification of Diseases-10 codes for ADHD (F90, F91) were selected; the data of their overall insurance claims for dental treatment were then analyzed. The patients' age, gender, sedative use, and dental treatment were analyzed per year. The annual number of general anesthesia or sedation cases was also analyzed, and changes in the method of behavior management with increasing age were examined. Results: The study involved 7,654 patients with ADHD (6,270 males; 1,384 females). The total number of dental treatments was 137,778, while the number of sedation cases was 16,109, among which 13,052 involved male patients and 3,057 female patients. The number of general anesthesia cases was 631, among which 538 involved male patients and 93 female patients. The most frequently used sedation method in the dental treatment of patients with ADHD was N2O inhalation. The percentage of sedation cases was highest in patients aged 4 years, and it decreased with increasing age. Conclusion: In South Korea, both sedation and dental treatments were slightly more common in patients with ADHD than in the general population. With increasing age, the frequency of dental treatments and the percentage of sedation cases decreased.

A Comprehensive Analysis of 5-Year Outcomes in Patients with Cancer Admitted to Intensive Care Units

  • Hong, Yoonki;Kim, Woo Jin;Hong, Ji Young;Jeong, Yun-jeong;Park, Jinkyeong
    • Tuberculosis and Respiratory Diseases
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    • v.85 no.2
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    • pp.195-201
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    • 2022
  • Background: The aim of this study was to evaluate the long-term (5-year) clinical outcomes of patients who received intensive care unit (ICU) treatment using Korean nationwide data. Methods: All patients aged >18 years with ICU admission according to Korean claims data from January 2008 to December 2010 were enrolled. These enrolled patients were followed up until December 2015. The primary outcome was ICU mortality. Results: Among all critically ill patients admitted to the ICU (n=323,765), patients with cancer showed higher ICU mortality (18.6%) than those without cancer (13.2%, p<0.001). However, there was no significant difference in ICU mortality at day 28 among patients without cancer (14.5%) and those with cancer (lung cancer or hematologic malignancies) (14.3%). Compared to patients without cancer, hazard ratios of those with cancer for ICU mortality at 5 years were: 1.90 (1.87-1.94) for lung cancer; 1.44 (1.43-1.46) for other solid cancers; and 3.05 (2.95-3.16) for hematologic malignancies. Conclusion: This study showed that the long-term survival rate of patients with cancer was significantly worse than that of general critically ill patients. However, short term outcomes of critically ill patients with cancer were not significantly different from those of general patients, except for those with lung cancer or hematologic malignancies.

A Study on the Conception of Sexuality and Sexual Ethics (섹슈얼리티 개념 분석과 성윤리의 정립)

  • Kim, Eun-Hee
    • Journal of Korean Philosophical Society
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    • no.89
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    • pp.99-128
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    • 2010
  • Alan Goldman criticizes "means-end analyses" in that they define the concept of sexuality in terms of extrinsic values to sexuality, such as reproduction, love, and communication. And he claims that sexual desire in itself is only "desire for contact with another person's body and for the pleasure which such contact produces." I suggest that his analysis of sexuality also fails to offer the exact definition of sexuality, and that it also produces the hierarchial conception of sexuality just as those analyses that he refuses do. I agree to Christopher Hamilton's suggestion of Wittgenstein's idea of "family resemblance" and suggest a new sexual ethics focusing on the sexual autonomy. New sexual ethics demands that each person should formulate, reflect, evaluate, and revise his or her sexuality according to his or her own conception of sexuality and teleology. And I claim that new sexual ethics does not formulate distinct domain, but belongs to general ethics which general behaviors are judged through.

The Impact of Motivation behind a Pilgrimage on the Satisfaction Level of Participants and Desire for Revisitation: Examining Holy Places as Moderator Variables (대순진리회 수도인의 성지순례 참여 동기가 만족도와 재참여 의사에 미치는 영향 - 성지 가치의 조절효과를 중심으로 -)

  • Yoo, Seung-gack
    • Journal of the Daesoon Academy of Sciences
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    • v.28
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    • pp.165-206
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    • 2017
  • In Daesoon Jinrihoe (The Society of Daesoon Truth), pilgrimages can serve as a medium to experience and spread Daesoon Thought. The purpose of this study is to gauge the empirical impact that the motive of a pilgrimage has on the satisfaction level of the participant and the participant's willingness to revisit the holy place. This study further suggests a variety of propositions to promote pilgrimages and thereby Daesoon Thought. This study employs hierarchical analysis for measuring the correlation between all factors the pilgrimage can entail and also the moderator variables (holy places) in the pilgrimage. The study reveals that empirical motive is one of the most influential factors in determining a given participant's level of satisfaction and willingness to revisit said holy place. It is also revealed also that the religious significance of a holy place plays an important role in satisfaction and future revisitation. This study claims pilgrimages are a form of learning and cultural exchange which promotes Daesoon Thought that enables maturity of religious faith. Thereby, all stake holders in the Daesoon Jinrihoe community including clergy should increase their efforts to raise awareness and recognition of Daesoon Truth.

Aeroelastic modeling to investigate the wind-induced response of a multi-span transmission lines system

  • Azzi, Ziad;Elawady, Amal;Irwin, Peter;Chowdhury, Arindam Gan;Shdid, Caesar Abi
    • Wind and Structures
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    • v.34 no.2
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    • pp.231-257
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    • 2022
  • Transmission lines systems are important components of the electrical power infrastructure. However, these systems are vulnerable to damage from high wind events such as hurricanes. This study presents the results from a 1:50 scale aeroelastic model of a multi-span transmission lines system subjected to simulated hurricane winds. The transmission lines system considered in this study consists of three lattice towers, four spans of conductors and two end-frames. The aeroelastic tests were conducted at the NSF NHERI Wall of Wind Experimental Facility (WOW EF) at the Florida International University (FIU). A horizontal distortion scaling technique was used in order to fit the entire model on the WOW turntable. The system was tested at various wind speeds ranging from 35 m/s to 78 m/s (equivalent full-scale speeds) for varying wind directions. A system identification (SID) technique was used to evaluate experimental-based along-wind aerodynamic damping coefficients and compare with their theoretical counterparts. Comparisons were done for two aeroelastic models: (i) a self-supported lattice tower, and (ii) a multi-span transmission lines system. A buffeting analysis was conducted to estimate the response of the conductors and compare it to measured experimental values. The responses of the single lattice tower and the multi-span transmission lines system were compared. The coupling effects seem to drastically change the aerodynamic damping of the system, compared to the single lattice tower case. The estimation of the drag forces on the conductors are in good agreement with their experimental counterparts. The incorporation of the change in turbulence intensity along the height of the towers appears to better estimate the response of the transmission tower, in comparison with previous methods which assumed constant turbulence intensity. Dynamic amplification factors and gust effect factors were computed, and comparisons were made with code specific values. The resonance contribution is shown to reach a maximum of 18% and 30% of the peak response of the stand-alone tower and entire system, respectively.

A study of factors affecting citation of patents: Focusing on US automotive patents (특허의 피인용에 영향을 끼치는 요인에 대한 연구: 미국 자동차 특허를 중심으로)

  • Ryu, Wonrim;Kim, Youngjun
    • Journal of Digital Convergence
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    • v.20 no.3
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    • pp.283-295
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    • 2022
  • The number of citations in a patent is one of the indicators of the qualitative value of a patent. In this study, negative binomial regression model analysis was performed focusing on 47,354 US patents of 14 global top automotive makers in order to examine the major factors affecting the number of patent citations. As a result of the review, it was found that, elapsed years since filing, the number of patent claims, the number of claim letters, the number of inventors, the number of patent family countries, and the number of patent families, as well as IPC diversity, had a positive and significant effect on the number of citations. The results of this study are expected to provide a basic basis for considering the IPC diversity index together in analyzing and evaluating future patents and establishing strategies for creating excellent patents.

An Analysis of Hirata Oriza's Plays based on Lyotard's Postmodern Scientific View (리오타르 포스트모던 과학관에 따른 히라타 오리자의 희곡 분석)

  • Lee, Hye Jeong;Heo, Jae Sung
    • The Journal of the Korea Contents Association
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    • v.22 no.8
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    • pp.200-210
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    • 2022
  • The purpose of this paper is to analyze Hirata Oriza's three plays, "Scientific Minds," "Monkeys on the Northern Limit Line" and "Balkan Zoo" with Lyotard's postmodern scientific view. Liotar, who claims that science and narratives follow the rules of their own pragmatic use, talks about the incommensurable parallelism between the two. Hirata Oriza points out that humans rely on narratives in the postmodern world. This paper analyzes Hirata Oriza's plays in three aspects. First, in the postmodern world where the master narrative has disappeared, it identifies the point where the boundaries that define the identity of human beings under the lost and developing science technology are fading. Second, we look at the pattern in which the parallelism between scientific knowledge and narrative knowledge is constantly diluted due to the characteristics of humans who understand the world by leaning on narrative. Finally, the aspects of small narratives are idetified, raised by individuals to comfort themselves toward a world where the master narrative disappears and is justified only by maximizing performance.