• Title/Summary/Keyword: Completion Effect

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Association of Physician Orders for Life Sustaining Treatment Completion and Healthcare Utilization before Death (연명의료계획서 작성과 사망 전 의료이용의 관계)

  • Eunji Kim;Hongsoo Kim
    • Health Policy and Management
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    • v.33 no.1
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    • pp.19-28
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    • 2023
  • Background: With the enactment of the Hospice, Palliative, Care, and Life-sustaining Treatment Decision-Making Act in February 2018, legal guidelines for physician orders for life-sustaining treatment (POLST) were presented. This study was conducted to analyze the association of writing POLST on the use of health care before death. Methods: The study analyzed the electronic medical records and POLSTs of 1,003 adult patients who died at a tertiary hospital located in Seoul from February 4, 2018 to February 4, 2019. Results: Of the deaths, 80% (n=804) completed POLST. Among patients who completed POLST before death, 51% (n=412) were written 1-7 days before death, and only 31% (n=246) were completed by patients themselves. 99% (n=799) decided to withdraw or withhold cardiopulmonary resuscitation. As a result of analyzing the effect of POLST on medical use before death, it was found that POLST and inpatient cost had a significant negative correlation, and POLST completion significantly reduced death in the intensive care unit (ICU). However, both inpatient costs and death at ICU increased when the POLST was completed by surrogate decision-makers rather than patients themselves. Conclusion: The enactment of the Hospice, Palliative, Care, and Life-sustaining Treatment Decision-Making Act provided a legal basis for withdrawing and withholding meaningless life-sustaining treatment. By specifying the treatment to be received at the end of one's life through the POLST, inpatient treatment costs and death at the ICU were decreased. However, the frequent decision-making by the surrogates and completion of POLST close to death may hinder the original purpose of the law.

A Case Study on the Usage of Mobile Banking Service (농협의 모바일 뱅킹 서비스 사례)

  • Kim, Byung-Gon
    • Proceedings of the Korea Database Society Conference
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    • 2010.06a
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    • pp.249-264
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    • 2010
  • Mobile banking is a subset of electronic banking which underlies not only the determinants of the banking business but also the special conditions of mobile commerce. Nowadays wireless networks are being evolved and diversified. In this situation The wireless e-commerce is in the limelight on new profits of Carriers. Because of this situation, the importance of mobile billing service is being emphasized. This paper searches the definition and service types of mobile banking, and suggests status and prospects of domestic mobile banking. We suggest the basic direction, the stage of development and functions of services by analyzing the cases of Nonghyup's. Finally we derive the critical factors from those and suggest the effect of introduction and the direction of development. From the customer perspective, mobile banking has many strengths. For example, it allows that all customers access banking service at anytime, anywhere more easily than telephone banking or pc banking. And it reduces the time and the effort for using the service. It enables the company to make a business against global customers. On the other hand, from the company perspective, it has a lot of potential that affect market share and reduce the costs of human and material resources which used to operate and support branches. However, it needs many efforts to reach at the stage of completion. And We will have to solve the problems that develop many contents, expend the range of services and raise the service convenience.

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A Study on the Validity of 'Hepa-S' Hepatitis B Antibody Detecting Reagent after Vaccination of 'Hepa-Vax' (B형 간염백신 'Hepa-Vax' 접종후 항체검사시약 'Hepa-S' kit의 정확도에 관한 연구)

  • Moon, In-Sook
    • Journal of Preventive Medicine and Public Health
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    • v.18 no.1
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    • pp.51-57
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    • 1985
  • To attempt to measure the effect of domestic product P.H.A. kit 'Hepa-S' after completion of 'Hepa-Vax' vaccination schedule, P.H.A. test and R.I.A. test on the 330 healthy adults were carried out. The results obtained were as follow ; 1. The positive anti HBs rate after completion of 'Hepa-Vax' vaccination were; in P.H.A. test with domestic product P.H.A. kit 81.2%, in P.H.A. test with foreign product P.H.A. kit 82.7%, and in R.I.A. test 95.8% 2. Using the result of R.I.A. test as the standard, sensitivity of P.H.A. test with domestic product P.H.A. kit was 84.8% and specificity was 100.0% 3. Using the result of R.I.A. test as standard, sensitivity of P.H.A. test with foreign P.H.A. kit was 86.4% and specificity was 100.0%. 4. The concordance rate of P.H.A. test with domestic product and foreign product kit was 98.5%. On the result of this study, there was no significant difference in the validity between the domestic product P.H.A. kit 'Hepa-S' and the foreign P.H.A. kit $'Hebsgencell^{TM}'$. So that it is recommendable to use domestic product P.H.A. kit instead of foreign product P.H.A. kit.

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Numerical Analysis of Heat Transfer in Packed Bed of $Ca(OH)_2/CaO$ for Chemical Heat Pump ($Ca(OH)_2/CaO$계 화학 열펌프에 있어서 고체 반응층의 전열해석)

  • Kim, Jong-Shik
    • Solar Energy
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    • v.17 no.1
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    • pp.67-77
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    • 1997
  • To develop chemical heat pump of higher energy density and efficiency heat-release characteristics accompanied by exothermic hydration reaction in packed bed, $Ca(OH)_2/CaO$ reactor, are examined in a lab-scale unit. We have studied the enhancement effect of inserted fins in cylindical packed bed reactor. The results obtained by numerical analysis about profiles of temperature, completion time of reaction and exothermic heat amount released from the reactor read the insertion of fins in reactor can reduce the reaction completion time by half and the rate of thermochemical reaction depends on the temperature and concentration, and it is also governed by the boundary conditions and the rate of heat transfer in the particle packed bed.

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Effect of Community Based Participatory Research Nutrition Education Program for 3rd Grade Elementary School Students in the Ulsan Area (울산 지역 일부 초등학교 3학년생 영양 교육 프로그램 개발 및 효과 - 지역 사회 기반 참여 연구를 중심으로 -)

  • Kim, Yun-Hee;Kim, Min-Jung
    • Journal of the East Asian Society of Dietary Life
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    • v.20 no.2
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    • pp.231-238
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    • 2010
  • This study was evaluate the effects of community based nutrition education program offered to 3rd grade elementary school students. Students enrolled in intervention programs 4 times per class by nutrition teacher & public health center. The subjects were asked to 606 students fill out a questionnaire before and then after completion of community based nutrition education program. After completion of the community based nutrition education program, nutrition knowledge score increased from $5.07{\pm}1.65$ to $6.24{\pm}1.53$ (p<0.001), dietary attitude score increased from $16.79{\pm}2.70$ to $19.52{\pm}2.71$ (p<0.001), dietary behavior score increased from $4.79{\pm}1.23$ to $5.31{\pm}1.14$ (p<0.001). The changes in nutrition knowledge scores were positively correlated with dietary attitude and dietary behavior. Above results showed that community based nutrition education program was effective for the improvement of dietary habits of 3rd grade elementary school students. Therefore this study is suggested effective Community-Based Participatory Research public health program and this program can be used at school and at public health centers.

Cooling Water Utility of Future Clean Energy Source KSTAR (미래 청정에너지원 KSTAR의 냉각수설비)

  • Lee, J.M.;Kim, Y.J.;Park, D.S.;Lim, D.S.
    • Proceedings of the SAREK Conference
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    • 2006.06a
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    • pp.596-601
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    • 2006
  • Because of insufficiency of energy resources and pollution of environment, it is necessary to develop alternative energy sources. Nuclear fission energy is used widely for source of electric Power but being restricted due to radioactivity problem. Nuclear fission is highlighted as the new generation of nuclear energy and researched worldwide because of low risk of radiation effect. The representatives of fusion research is China's EAST, KSTAR of Korea and ITER of world. Korea Superconducting Tokamak Advanced Research(KSTAR) project is on progress for the completion in August, 2007. In this study, the research of utility system for KSTAR be carried out. The utility system of KSTAR is consist of water cooling & heating system, $N_2$ gas system, DI water system, service water system and instrument air & auto control system. The progress of KSTAR utility system is under commissioning state after construction completion. The optimal operation scenario will be verified during commissioning and adopted to the KSTAR operation.

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Application of Genetic Algorithms to a Job Scheduling Problem (작업 일정계획문제 해결을 위한 유전알고리듬의 응용)

  • ;;Lee, Chae Y.
    • Journal of the Korean Operations Research and Management Science Society
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    • v.17 no.3
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    • pp.1-12
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    • 1992
  • Parallel Genetic Algorithms (GAs) are developed to solve a single machine n-job scheduling problem which is to minimize the sum of absolute deviations of completion times from a common due date. (0, 1) binary scheme is employed to represent the n-job schedule. Two selection methods, best individual selection and simple selection are examined. The effect of crossover operator, due date adjustment mutation and due date adjustment reordering are discussed. The performance of the parallel genetic algorithm is illustrated with some example problems.

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Utilizing a Haptic Display in Multimedia Education (멀티미디어 제작 실습에서의 촉각장치 활용에 관한 연구)

  • Kim, Young-Ook;Kim, Yoon-Sang
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.57 no.7
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    • pp.1279-1284
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    • 2008
  • In this paper, utilizing a haptic display for 3D modeling practice is proposed. A haptic display called PHANTOM Omni providing 3D position as well as touch feeling is used to investigate how effectively the proposed practice works compared to the conventional ones for 3D modeling. Experimental results showed the proposed practice can provide positive effect for 3D modeling: improving the task completion time and lowering task workload, thus increasing the usability.

Construction Process & Technologies Applied to Parc.1 Project

  • Hoi-soo, Seo;Jae-min, Baek
    • International Journal of High-Rise Buildings
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    • v.11 no.3
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    • pp.181-187
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    • 2022
  • POSCO E&C has completed Parc.1 project successfully. The construction period was 42months, and 1.5 million workers were participated till completion. To meet schedule management and quality control, POSCO E&C has adopted a lot of technologies such as GPS measurement, 3D scanning, vibration control, stack effect control, column shortening control, etc

Development of Evaluation Methodology on the Performance of BTL Sewer Rehabilitation Projects (하수관거정비 BTL사업의 효과분석 및 방안 수립 연구)

  • Song, Ho-Myeon;Cho, Jeong-Il;Ahn, Choong-Hee
    • Journal of Korean Society of Water and Wastewater
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    • v.24 no.6
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    • pp.743-751
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    • 2010
  • It requires an interim performance assessment for BTL business of the sewerage rehabilitation which continues from 2005 till now. Means, It is necessary to make an interim performance assessment and an analysis of an business effect of the sewerage rehabilitation BTL projects which still continues, and we presented an improvement method of the new sewerage rehabilitation project in future. This paper has conducted an analysis of the business effect for 3 local government BTL projects which are completed and under operation as of now in Jincheon-Gun, Cheongju-Si and Gangjin-Gun. As a method of business effect analysis, we conducted a business effect of the 3 places using the index set which we previously set for the business effect analysis. The index set in this research was sectionalized to an improvement effect of operating wastewater treatment plant, an benefit effect of the direct cost, an benefit effect of the indirect cost and an environment friendly effect. We, in this paper, conducted an business effect analysis for 3 sewerage rehabilitation BTL projects which are completed or under operation recently as a demonstration, however we judge that an business effect analysis shall be conducted in a stage that a significant time for operation has passed since the completion of the construction in order to induce an actual business effect of the sewerage rehabilitation BTL project.