• Title/Summary/Keyword: Claims Analysis

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Exploring Secondary Students' Dialogic Argumentation Regarding Excretion via Collaborative Modeling (배설에 대한 협력적 모델링 과정에서 나타난 중학교 학생들의 대화적 논변활동 탐색)

  • Lee, Shinyoung;Kim, Hui-Baik
    • Journal of The Korean Association For Science Education
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    • v.37 no.6
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    • pp.1037-1049
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    • 2017
  • The purpose of this study is to explore how the flow of discourse move and their reasoning process in dialogic argumentation during group modeling on excretion. Five groups of three to four students in the second grade of a middle school participated in the modeling practice of a Gifted Center. Analysis was conducted on argumentation during the modeling activity in which students should explain how the waste product (ammonia) leaves the body. It was found that there was a sequential argumentative process-tentative consensus, solving the uncertainty, and consensus. There were several discourse moves - 'claim' and 'counterclaim' in the stage of tentative consensus, 'query' and 'clarification of meaning' in the stage of solving the uncertainty, and 'change of claim' in the stage of consensus. Students participated in the dialogic argumentation by constructing argument collaboratively for reaching a consensus. Critical questioning in the stage of solving the uncertainty and reasoning in the stage of consensus were the impact factors of dialogic argumentation. By answering the critical questions, students changed their claims or suggested new claims by defending or rebutting previous claims. Students justified group claims with diverse argumentation scheme and scientific reasoning to reach a group consensus. These findings have implication for science educators who want to adopt dialogic argumentation in science classes.

Effects of Unripe Rubus Coreanus Extract on Upper Body Obesity: A Randomized, Double-Blind, Placebo-Controlled Clinical Trial (미숙과 복분자 추출물의 상체비만 개선 효과: 무작위배정, 이중눈가림, 위약-대조 임상연구)

  • Ha, Ki Chan;Kim, Hye Mi;Baek, Hyang Im;Jeong, Da Young;Kim, Eun;Lee, Ki Hoon;Kim, Ha Rim;Kwon, Kang Beom;Kim, Sunoh;Lee, Jung Han
    • Journal of Korean Medicine Rehabilitation
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    • v.31 no.4
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    • pp.117-127
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    • 2021
  • Objectives Previously, we demonstrated that a 5% ethanol extract of unripe Rubus coreanus (5-uRCK) and ellagic acid has hypocholesterolemic and antiobesity activity in high-fat diet-fed animals. Therefore, we conducted a clinical study on the anti-obesity effect of 5-uRCK in 140 Korean adults (aged 19-70 years, body mass index (BMI) ≥25 kg/m2). Methods The participants were randomly assigned to two groups and were administered the placebo (n=70) or 5-uRCK extract (800 mg, n=70) daily for 12 weeks. The subjects were instructed to maintain their usual dietary intake and normal physical activity. Anthropometrics, body composition (dual-energy X-ray absorptiometry), and blood parameters were compared between the two groups. Results Average body weight and BMI did not show any significant changes; however, changes in upper body fat mass between the two groups was significantly different, as determined using analysis of covariance adjusted for baseline of percent body fat and drinking units. Moreover, Although not significant, the trunk fat mass and percent trunk fat tended to decrease after 5-uRCK supplementation. There was no significant difference in other laboratory biomarkers between the two groups. All safety parameters were within normal ranges in the both group. Conclusions In the present study, 5-uRCK significantly reduced upper body fat in obese subjects after 12 weeks, which indicates that it may help improve android-type obesity. Furthermore, the supplement is safe and well tolerated.

Patterns of Medical Care Utilization Behavior and Related Factors among Hypertensive Patients: Follow-up Study Using the 2003-2007 Korean Health Insurance Claims Data (고혈압 환자의 의료이용 행태 변화 및 관련 요인: 2003~2007년 건강보험청구자료를 활용한 추적연구)

  • Song, Hyun-Jong;Jang, Sun-Mee;Shin, Suk-Youn
    • Korean Journal of Health Education and Promotion
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    • v.29 no.2
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    • pp.1-12
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    • 2012
  • Objectives: Several practice guidelines recommended both medication and behavior modification to control hypertension. The objective of this study was to analyze ambulatory care utilization pattern and related factors. Methods: A retrospective cohort study was conducted among 45,267 new users who initiated treatment with hypertensive drugs in 2003. Korean National Health Insurance Claims Data was used to study the medical care utilization behavior and related factors after treatment initiation for up to four years. Taking prescription was considered as medical care utilization. Results: More than 20% of patients discontinued visiting physicians for prescription after initiating antihypertensive drug therapy. The average number of institutions visited by patients was about 1.3 annually. Clinic was the most frequently visited institution by patients. In GEE analysis, probability of continuous visit one institution after initiating antihypertensive drug treatment increased in patients who were women, old, have comorbidity, visited clinic or hospital mainly in previous year. Conclusions: Young hypertensive male patients who have no major comorbidity showed high possibility to discontinue medical service utilization. It is necessary to educate these targeted patients about importance of hypertension management in early stage after treatment initiation.

Cost Sharing System of Oriental Medical Services in the National Health Insurance (한방의료의 건강보험 본인부담 실태분석)

  • Byun, Jin-Seok;Lee, Sun-Dong;Yoo, Wang-Keun;Kim, Jin-Hyun
    • Journal of Society of Preventive Korean Medicine
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    • v.10 no.2
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    • pp.95-120
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    • 2006
  • The purpose of this paper is to investigate the structure of cost-sharing for oriental medical services in the national health insurance. Out-of-pocket payment in ambulatory oriental medical care is a co-payment of KRW3,000 up to total expenses of KRW15,000, and co-insurance rate of 30% thereafetr. The empirical analysis based on medial claims data shows that the frequency of medical claims for outpatient care are mostly concentrated just below a total expenses of KRW15,000, and it decreases beyond a total expense of KRW15,000, while it rebounds between KRW17,000${\sim}$20,000. This means the current co-payment(KRW3,000) in oriental medical services should be applied up to a total payment of KRW17,000${\sim}$20,000, or the level of co-payment should be adjusted upward to KRW45,000 in order to be consistent in cost-sharing, between co-payment and co-insurance.

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Analysis of Consumer's Complaints for Clothing Products - In Taejon Area - (의류제품에 대한 소비자 고발실태 분석 - 대전지역을 중심으로 -)

  • Lee, Jung-Soon;Lee, Hyun-Young;Lee, Hyun-Ja;Song, Kyeong-Ja;Kim, Hea-Suk;Seo, Mee-Young;Lee, Soo-In
    • Korean Journal of Human Ecology
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    • v.9 no.1
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    • pp.127-136
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    • 2000
  • The purpose of this study is to investigate the consumer's complaints for clothing products in quality, uses and care. The consumer's complaints that were lodged to in consumer's claim center, Taejon Housewives Classes, from 1997 Jan. to 1999 Mar. were analyzed. The major results were as follows. 1. Complainers are generally females in their thirties and forties. Out of the clothing items, jackets and jumpers are the most part. Periods of uses and prices of accused clothing are less than one year and one hundred thousands won respectively. For claims about purchasing places, department store ranked first. 2. The complaints are mostly claims related to quality of clothing products, for example damage, color change, deformation, pilling and shrinkage. 3. Concerning the results of claim consideration, responsibility's whereabouts is that consumers, manufacturers, launderer rank in order.

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Testing Structural Changes in Triangular Data (삼각분할표에서 구조적 변화점 유무에 관한 검정)

  • Lee, Sung-Im
    • Communications for Statistical Applications and Methods
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    • v.15 no.4
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    • pp.551-562
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    • 2008
  • The loss reserve is defined as a provision for an insurer's liability for claims or an insurer's estimate of the amount an individual claim will ultimately cost. For the estimation of the loss reserve, the data which make up the claims in general is represented as run-off triangle. The chain ladder method has known as the most representative one in the estimation of loss reserves based on such run-off triangular data. However, this fails to capture change point in trend. In order to test of structural changes of development factors, we will present the test statistics and procedures. A real data analysis will also be provided.

Reliability and Validity of the Appropriateness Evaluation Protocol for Public Hospitals in Korea

  • Lee, Clara;Kim, Stella Jung-Hyun;Lee, Changwoo;Shin, Euichul
    • Journal of Preventive Medicine and Public Health
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    • v.52 no.5
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    • pp.316-322
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    • 2019
  • Objectives: This study was conducted to assess the applicability of the Appropriateness Evaluation Protocol (AEP) for public hospitals in Korea. Methods: In May 2016, 1500 admission claims were collected from Korean public district hospitals using stratified random sampling. Of these claims, 560 admissions to 37 hospitals were retrieved for analysis. Medical records administrators determined the appropriateness of admission using the criteria detailed in the AEP, and a physician separately assessed the appropriateness of admission based on her clinical judgment. To examine the applicability of the AEP, the concordance of the decisions made between a pair of AEP reviewers and between an AEP reviewer and a physician reviewer was compared. Results: The results showed an almost perfect inter-rater agreement between the AEP reviewers and a moderate agreement between the AEP reviewers and the physician. The sensitivity and specificity of the AEP were calculated as 0.86 and 0.56, respectively. Conclusions: Our findings suggest that the AEP could potentially be applied to Korean public hospitals as a reliable and valid instrument for assessing the appropriateness of admissions.

TREE FORM CLASSIFICATION OF OWNER PAYMENT BEHAVIOUR

  • Hanh Tran;David G. Carmichael;Maria C. A. Balatbat
    • International conference on construction engineering and project management
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    • 2011.02a
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    • pp.526-533
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    • 2011
  • Contracting is said to be a high-risk business, and a common cause of business failure is related to cash management. A contractor's financial viability depends heavily on how actual payments from an owner deviate from those defined in the contract. The paper presents a method for contractors to evaluate the punctuality and fullness of owner payments based on historical behaviour. It does this by classifying owners according to their late and incomplete payment practices. A payment profile of an owner, in the form of aging claims submitted by the contractor, is used as a basis for the method's development. Regression trees are constructed based on three predictor variables, namely, the average time to payment following a claim, the total amount ending up being paid within a certain period and the level of variability in claim response times. The Tree package in the publicly available R program is used for building the trees. The analysis is particularly useful for contractors at the pre-tendering stage, when contractors predict the likely payment scenario in an upcoming project. Based on the method, the contractor can decide whether to tender or not tender, or adjust its financial preparations accordingly. The paper is a contribution in risk management applied to claim and dispute resolution practice. It is argued that by contractors having a better understanding of owner payment behaviour, fewer disputes and contractor business failures will occur.

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Forecasting the Effects of the Claims in the Korean Construction Industry (국내 중재사례를 통한 주요 건설 클레임 예측 방안)

  • Kim, Jihye;Im, Haekyung;Choi, Jaehyun
    • Korean Journal of Construction Engineering and Management
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    • v.17 no.5
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    • pp.35-44
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    • 2016
  • Various risk factors are known to be the nature of construction project execution process. These factors lead to potential claims, dispute mediation, arbitration, and litigation which can result in huge loss of money and time. Therefore, it is necessary for construction companies in Korea to improve overall project management capability through the evaluation before entering into the overseas construction market. Also, after examination of the claim and dispute caused by construction project risks, a substantial degree of influence and active preparation for the claim and dispute management should be confirmed via the effect analysis of the each factors. Main claim causes were derived through claim and dispute cases involved with domestic construction projects. As a prediction result of the main claim, 16.1% of the construction change claim, 5.7% of the bad faith claim and 2.7% for the construction delay claim were found to be the portion of the total construction cost. As a result of this analysis, risk management methodology was suggested to improve a project management capability for domestic construction companies through analysis result of the main factors of construction claims.

A Delay Analysis based on the Comparison of the As-planned Schedule, As-built Schedule including All Delays and As-built Schedule absent Owner Delays (계획공정표, 모든 지연을 포함한 준공공정표, 발주자 지연을 제외한 준공공정표의 비교를 통한 공기지연분석)

  • Yun Chul-Sung;Chu Hae-Keum;Kim Seon-Gyoo
    • Proceedings of the Korean Institute Of Construction Engineering and Management
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    • autumn
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    • pp.426-429
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    • 2003
  • In the construction process, there are many change orders differing to the initial contracts came from the social needs and environmental changes. Most of them will impact to the construction process so that its effects occur project delays. Time extension and liquidated damage in the construction process come from schedule delay whether it is excusable or not non-excusable by the owner. However, those become the delay claims if the owner and the contractor are not agreed on this situation. One of the most important thing on the delay claims is the calculation of delay. The purpose of this study is to present the method of the time delay calculation by comparison of As-Planned schedule, As-Built schedule including all delay and As-Built schedule absent owner delay.

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