• Asian Pacific Journal of Cancer Prevention
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• v.17 no.2
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• pp.609-614
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• 2016

Background: Although breast cancer is the most common cancer in women, economic evaluation of breast cancer screening is not fully addressed in developing countries. The main objective of the present study was to analyze the cost-effectiveness of breast cancer screening using mammography in 35-69 year old women in an Iranian setting. Materials and Methods: This was an economic evaluation study assessing the cost-effectiveness of a population-based screening program in 35-69 year old women residing in rural areas of South east Iran. The study was conducted from the perspective of policy-makers of insurance. The study population consisted of 35- to 69-year old women in rural areas of Kerman with a population of about 19,651 in 2013. The decision tree modeling and economic evaluation software were used for cost-effectiveness and sensitivity analyses of the interventions. Results: The total cost of the screening program was 7,067.69 US$ and the total effectiveness for screening and no-screening interventions was 0.06171 and 0.00864 disability adjusted life years averted, respectively. The average cost-effectiveness ratio DALY averted US$ for screening intervention was 7,7082.5 US$ per DALY averted and 589,027 US $ for no-screening intervention. The incremental cost-effectiveness ratio DALY averted was 6,264 US$ per DALY averted for screening intervention compared with no-screening intervention. Conclusions: Although the screening intervention is more cost-effective than the alternative (noscreening) strategy, it seems that including breast cancer screening program in health insurance package may not be recommended as long as the target group has a low participation rate.

• Journal of Korean Society of Industrial and Systems Engineering
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• v.20 no.44
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• pp.33-46
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• 1997

The location decision problem for distribution center is one of the most important problem in business logistics system. Because the proportion of holding and transportation cost to physical distribution cost in our country exceed the 60%, a corporation must feel strong pressure to investigate the location problem for distribution center. This paper presents an algorithm for determining the best location of distribution center in consideration with physical distribution cost, demand, and customer location. The methods of determining the distribution center location is that firstly many of proposed sites are built up where demand position is distributed, and then optimal location of distribution center is selected.

• Proceeding of Spring/Autumn Annual Conference of KHA
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• 2011.04a
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• pp.161-166
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• 2011

This research was conducted in order to suggestion management program of Happy house center which facility of detached housings, multi family housing, and semi-detached housing management. This study's purpose is to systematically help create a district customized co-management housing management system among detached housing area by reflecting resident opinion and simultaneously provide basic research. The area of research is Sanjoen district in Ulsan city that compact old detached houses. The research study's results are follows: First, the overall survey results showed that most respondents demanded program of happy house center for housing energy deduction method and support of house insulation cost and heating fuel cost. Second, happy house center try to order of priority or housing maintenance and seek of cost deduction plan. Third, happy house center propose the Maeulmandeulgi(Machizkuri) program or housing management plan for residents' talent contribution.

• 한국정보디스플레이학회:학술대회논문집
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• 2005.07a
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• pp.531-534
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• 2005

This paper presents a new data line sharing technique for TFT-LCD panels. This technique reduces the number of data driver IC's to half by having two adjacent pixels share the same data line. This in turn doubles the number of gate lines, which are integrated directly on the glass substrate of amorphous silicon for further cost reduction and more compactness. The proposed technique with new pixel array structure was applied to 15.4 inch WXGA TFT-LCD panels and has proven that the number of driver IC's were halved with nearly 41% circuit cost reduction and 5.3% reduction in power consumption without degrading the image quality.

• The Transactions of The Korean Institute of Electrical Engineers
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• v.62 no.1
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• pp.21-28
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• 2013

The paper proposes an optimal sizing method of a customer's battery energy storage system (BESS) which aims at managing the electricity demand of the customer to minimize electricity cost under the time of use(TOU) pricing. Peak load limit of the customer and charging and discharging schedules of the BESS are optimized on annual basis to minimize annual electricity cost, which consists of peak load related basic cost and actual usage cost. The optimal scheduling is used to assess the maximum cost savings for all sets of candidate capacities of BESS. An optimal size of BESS is determined from the cost saving curves via capacity of BESS. Case study uses real data from an apartment-type factory customer and shows how the proposed method can be employed to optimally design the size of BESS for customer demand management.

• Coupled systems mechanics
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• v.13 no.4
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• pp.311-335
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• 2024

This work aims to show a model to estimate the minimum cost (Thickness and area of steel in X and Y directions) for design a circular isolated footing with eccentric column that considers that the surface in contact with the ground works partially under compression. The formulation is shown by integration to find the moments, the bending shears and the punching shear using the pressure volume under the footing. Some researchers show the minimum cost design for circular isolated footings for an eccentric column assuming that the contact area works completely in compression, others consider the contact surface with the ground working partially in compression for a column in the center of the base. Three numerical examples are developed to obtain the complete design, which are: Example 1 for a column in the center of the base,Example 2 for a column at a distance of 1.50 m from the center of the base in the X direction, Example 3 for a column at a distance of 1.50 m from the center of the base in both directions. Also, a comparison of the new model against the model proposed by other authors is presented. The comparison shows that the new model generates a great saving of up to 43.74% for minimum area and 48.44% for minimum cost design in a column located in the center of the base, and when the column is located at a distance of radius/2 starting from the center of the base in the X direction generates great savings of up to 45.24% for minimum area and 31.80% for minimum cost design. Therefore, it is advisable to use the model presented in this study.

• The Korean Journal of Pain
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• v.31 no.1
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• pp.27-38
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• 2018

Background: Related to escalating health care costs and the questionable effectiveness of multiple interventions including lumbar facet joint interventions, cost effectiveness or cost utility analysis has become the cornerstone of evidence-based medicine influencing coverage decisions. Methods: Cost utility of therapeutic lumbar facet joint nerve blocks in managing chronic low back pain was performed utilizing data from a randomized, double-blind, controlled trial with a 2-year follow-up, with direct payment data from 2016. Based on the data from surgical interventions, utilizing the lowest proportion of direct procedural costs of 60%, total cost utility per quality adjusted life year (QALY) was determined by multiplying the derived direct cost at 1.67. Results: Patients in this trial on average received $5.6{\pm}2.6$ procedures over a period of 2 years, with average relief over a period of 2 years of $82.8{\pm}29.6$ weeks with $19{\pm}18.77$ weeks of improvement per procedure. Procedural cost for one-year improvement in quality of life showed USD $2,654.08. Estimated total costs, including indirect costs and drugs with multiplication of direct costs at 1.67, showed a cost of USD $4,432 per QALY. Conclusions: The analysis of therapeutic lumbar facet joint nerve blocks in the treatment of chronic low back pain shows clinical effectiveness and cost utility at USD $2,654.08 for the direct costs of the procedures, and USD $4,432 for the estimated overall cost per one year of QALY, in chronic persistent low back pain non-responsive to conservative management.

• 한국정보디스플레이학회:학술대회논문집
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• 2002.08a
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• pp.556-559
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• 2002

We designed a low cost optical structure of transflective LCD that uses only a half number of retardation films compared to general active matrix transflective LCD. The prototype embodied by this design shows reasonable reflective and transmissive performance. This design would provide us thinner, lighter and cheaper product due to its reduced retardation film structure.

• The Journal of Korean Medicine
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• v.28 no.1 s.69
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• pp.72-86
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• 2007

Objectives : The purpose of this study was to evaluate and compare the cost-effectiveness of Eastern, Western, and collaborative treatments and suggest a cost-effective approach for patients with frozen shoulder pain. Methods : Using the data of fifty-two patients, treatment effectiveness was measured by CSA, SPABI, and ROM scales and changes from the baseline score were evaluated. Data source for cost estimation was based on the national health insurance (NHI) payment system. Because the price in NHI was differentiated by health care institutions, five collaborative types were considered in assessing costs. Cost-effective ratios were computed for economic evaluation. Results : Compared with Eastern treatment, collaborative and Western treatments showed better effects on CSA scale after 4 weeks' treatment. The collaborative approach was also the most effective treatment on SPADI and ROM scales. The direct cost per patient receiving Eastern treatment was less than other treatments. In general, collaborative treatment dominated Eastern and Western treatments in cost-effectiveness an analysis. However, the cost-effectiveness ratio of Eastern treatment resulted in \9,000 compared to \29,000 of collaborative treatment on SPADI. Four different indicators of ROM scales resulted in different approaches as the cost-effective treatment. Conclusions : Considering cost-effectiveness ratios, collaborative treatment was the best treatment on CSh and SPADI scales after 4 weeks' treatment. As for ROM scales, the recommended alternatives were Eastern treatment for patients with abduction and adduction disabilities, Western treatment for those with flexion disability, and collaborative approach fir those with extension disabiliry.

• Health Policy and Management
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• v.15 no.2
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• pp.1-15
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• 2005

The aim of this study was to compare medical cost of hospice care and that of conventional care during the last year of life, and identify factors that influenced the cost. From January to August 2003 592 terminal cancer patients receiving care from 5 hospice care units and 2 hospice care teams in general hospitals were enrolled to case group. Two hundreds and seventy two terminal cancer patients receiving conventional care from 7 general hospitals were enrolled to hospital-based control group, and 1,636 terminal cancer patients from 122 general hospitals located in same regions with the 7 hospitals were enrolled to community-based control. We used characteristics and medical cost from data of National Health Insurance Cooperation. Total medical cost per beneficiary in cases was about 10 millions won, 14.5 millions in hospital-based controls and 11.1 millions in community-based controls. The hospice care saved $45\%$ over the last year of life compared with hospital-based controls (p<0.0001). Saving of inpatient cost account for approximately $80\%$ of saving per beneficiary. Hospice care saved $29\%$ of medical cost per hospitalization day compared with hospital­based controls and $17\%$ compared with community-based controls (p<0.0001). Multiple regression analyses showed that hospice care significantly saved the medical cost. This study suggest that hospice care save medical cost compared with hospital-based control and community-based control. Most of saving of inpatient cost account for approximately $80\%$ of saving of medical cost.