• 대한지역사회영양학회지
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• 제11권1호
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• pp.124-132
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• 2006

The aim of this study is to evaluate the clinical outcome. Between January 1,2002 to September 30, 2002, we prospectively and retrospectively recruited III hospitalized patients who received Enteral Nutrition (EN group n = 52) and Total Parenteral Nutrition (TPNgroup n = 59) for more than seven days. The factors of clinical outcomes are costs, incidences of infection, lengths of hospital stay, and changes in weight. The characteristics of patients were investigated, which included nutritional status, disease severity CAP ACHE III score) and hypermetabolic severity Chypermetabolic score). Hypermeta-bolic scores were determined by high fever (> $38^{\circ}C$), rapid breathing (> 30 breaths/min) , rapid pulse rate (> 100 beats/min), leukocytosis (WBC > 12000 $mm^{3}$), leukocytopenia (WBC > 3000 $mm^{3}$), status of infection, inflammatory bowel disease, surgery and trauma. There was a positive correlation between hypermetabolic score and length of hospital stay (ICU), medical cost, weight loss, antibiotics adjusted by age while APACHEIII score did not show correlation to clinical outcome. Medical cost was higher by $18.2\%$ in the TPN group than the EN group. In conclusion, there was a strong negative correlation between the clinical outcome (cost, incidence of infection, hospital stay) and hypermetabolic score. Higher metabolic stress caused more malnutrition and complications. For nutritional management of patients with malnutrition, multiple factors, including nutritional assessment, and evaluation of hypermetabolic severity are needed to provide nutritional support for critically ill patients.

• 천문학회보
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• 제41권1호
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• pp.80.1-80.1
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• 2016

There are probabilistic forecast models for solar flare occurrence, which can be evaluated by various skill scores (e.g. accuracy, critical success index, heidek skill score, and true skill score). Since these skill scores assume that two types of forecast errors (i.e. false alarm and miss) are equal or constant, which does not take into account different situations of users, they may be unrealistic. In this study, we make an evaluation of a probabilistic flare forecast model [Lee et al., 2012] which use sunspot groups and its area changes as a proxy of flux emergence. We calculate daily solar flare probabilities from 2011 to 2014 using this model. The skill scores are computed through contingency tables as a function of forecast probability, which corresponds to the maximum skill score depending on flare class and type of a skill score. We use a value score with cost/loss ratio, relative importance between the two types of forecast errors. The forecast probability (y) is linearly changed with the cost/loss ratio (x) in the form of y=ax+b: a=0.88; b=0 (C), a=1.2; b=-0.05(M), a=1.29; b=-0.02(X). We find that the forecast model has an effective range of cost/loss ratio for each class flare: 0.536-0.853(C), 0.147-0.334(M), and 0.023-0.072(X). We expect that this study would provide a guideline to determine the probability threshold and the cost/loss ratio for space weather forecast.

• The Journal of Asian Finance, Economics and Business
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• 제8권2호
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• pp.317-328
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• 2021

This study examines the impact of bank competition and efficiency in the financial stability of the banking sector in Bangladesh. The study used the Lerner index and the Boone indicator to represent the bank competition, while the non-performing loan (NPL) and Z-score are used to represent financial stability. The secondary data were collected from the annual reports of 28 DSE listed commercial banks of Bangladesh over the period from 2011 to 2018. Using a dynamic panel GMM model, the study found the Lerner index is significantly negatively related with Z-score, which means that higher bank competition results in higher bank stability. It is also seen that higher cost efficiency results in higher bank stability. The Lerner index has negative, but insignificant impact on NPL. Similarly, using the Boone indicator, this study found that lower competition increases NPL. In terms of the Z-score, the Boone indicator found that 1 unit of increment results in decrease of the Z-score by 6.15 units. The study suggests that, as more competition results in more financial soundness, the banking industry competition should be ensured by policymakers or regulators. Banks could enhance financial stability by cost control to achieve cost efficiency as well as by improving loan-to-asset ratio.

• 천문학회보
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• 제40권1호
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• pp.84.2-84.2
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• 2015

There are probabilistic forecast models for solar flare occurrence, which can be evaluated by various skill scores (e.g. accuracy, critical success index, heidek skill score, true skill score). Since these skill scores assume that two types of forecast errors (i.e. false alarm and miss) are equal or constant, which does not take into account different situations of users, they may be unrealistic. In this study, we make an evaluation of a probabilistic flare forecast model (Lee et al. 2012) which use sunspot groups and its area changes as a proxy of flux emergence. We calculate daily solar flare probabilities from 1996 to 2014 using this model. Overall frequencies are 61.08% (C), 22.83% (M), and 5.44% (X). The maximum probabilities computed by the model are 99.9% (C), 89.39% (M), and 25.45% (X), respectively. The skill scores are computed through contingency tables as a function of forecast probability, which corresponds to the maximum skill score depending on flare class and type of a skill score. For the critical success index widely used, the probability threshold values for contingency tables are 25% (C), 20% (M), and 4% (X). We use a value score with cost/loss ratio, relative importance between the two types of forecast errors. We find that the forecast model has an effective range of cost/loss ratio for each class flare: 0.15-0.83(C), 0.11-0.51(M), and 0.04-0.17(X), also depending on a lifetime of satellite. We expect that this study would provide a guideline to determine the probability threshold for space weather forecast.

• 임상간호연구
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• 제18권2호
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• pp.183-195
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• 2012

Purpose: This study was performed to identify the variations of nursing care cost depending on nursing care requirement and calculate nursing care cost per one day and one care requirement point. Methods: Nursing care requirement was measured by classifying 3,855 patients according to KPCS-1(Korean Patient Classification System for nurses-1). Nursing care cost was calculated from personnel expenses and nursing care requirement. Nursing cost factors were identified by multiple regression analysis. Results: Average nursing cost per patient per day was 33,588 won, Average nursing care cost per 1 patient classification score was 3,558 won. The nursing cost per 1 patient classification score was different depending on the types and levels of the hospitals. The 4th patient classification group revealed the highest nursing care cost. Nursing cost factors included the number of beds in the hospitals, seniority, number of nurses and first grade in nurse personnel accreditation ($adj-R^2$ 74.0%. p<.05). Conclusion: Nursing care requirements expressed by patient classification scores don't directly correlate with nursing care cost. Further research is needed to evaluate validity and reliability for refining KPCS-1 and to apply variable criteria to nurse personnel accreditation.

• 한국IT서비스학회지
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• 제14권2호
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• pp.69-86
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• 2015

The current contract awarding process regulated by laws and ordinances is analyzed and more reasonable processes are suggested. To this end, the principle of economic analysis is described with emphasis on the cost-effectiveness analysis, and the laws and ordinances regulating the process are thoroughly examined. The current contract awarding rule is based on the weighted sum of effectiveness score and cost score. This may not conform to the framework of economic analysis where effectiveness is supposed to be measured as an output and cost measured as an input. An improvement is attempted to the defense acquisition system and it is recognized that the economic analysis and policy consideration should be performed separately. Concept of statistical testing is introduced to see if the results of the cost effectiveness analyses show the significant difference between the alternatives. It is suggested that the contract awarding process can be improved by performing significance test followed by the aggregation of the two analyses. A minor improvement is also suggested on the application of current rules.

• 한국병원경영학회지
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• 제4권2호
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• pp.219-241
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• 1999

This study used the Data Envelopment Analysis, a mathematical linear programming method, to evaluate cost efficiency of hospitals in Korea. DEA method was applied to 244 hospitals: 31 bankrupt hospitals and 213 survived hospitals. Among the 213 sound hospitals, 11 hospitals showed efficiency score 100, but more than 40 hospitals recorded efficiency scores lower than 60. This result implies that more hospitals can be bankrupt in the restructuring process of the industry within 1-2 years. Among the 31 bankrupt hospitals, the highest technical efficiency score was 0.821 and 11 hospitals showed technical efficiency lower than 0.6. This implies that selective financial support based on cost efficiency by the government will be valuable to prevent bankruptcy of these hospitals. The logistic analysis showed statistically significant relationship between bankruptcy and efficiency of hospitals in Korea.

• 기술발표회
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• 통권2006호
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• pp.279-291
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• 2006

This study shows decision-making process for selection of cutoff wall on a wastewater treatment project. There are 10 different cut-off wall methods So, we examine the site to gather information for find appropriate methods. After using that information, 10 cutoff wall methods are reviewed for analysis. Through brainstorming, four alternatives are selected for design VE item. Following the standard VE process, we established performance criteria and evaluated function score(F) using questionnaire. The questionnaires, brainstorming and AHP method for weighting on performance criteria and evaluate function score increased the reliability of this selection process. Water Jet method, one of four methods, has the best function score(F=92.71) and the lease construction cost(as cost index 1,000). The value score also highest as 92.7, so we select the method. The result is value innovation type In addition, the authors try to calculate the environmental burden in selection process using LCA. We cannot conduct the full LCA as defined ISO, so perform Simple LCA In LCA result, the cut-off grouting has the least environmental burden as index 9.09E+01 and Water Jet method has following as the second. To selection best method to specific area and purpose, design VE/LCG process used as useful tool and it is needed to develop integrated method that evaluate VEILCC and LCA as one-set process.

• Archives of Plastic Surgery
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• 제40권5호
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• pp.589-596
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• 2013

Background The treatment of pressure ulcers is complicated, given the various wound dressing products available. The cost of different treatments varies and the cost-effectiveness of each product has not been thoroughly evaluated. We compare two wound dressing protocols-alginate silver dressing (AlSD) and silver zinc sulfadiazine cream (AgZnSD) with regard to wound healing and cost-effectiveness Methods Patients with grade III or IV sacral or trochanteric pressure ulcers were eligible for this prospective, randomized controlled trial. The patients were randomized to receive one of the two dressings for an eight-week period. The criteria of efficacy were based on the Pressure Ulcer Scale for Healing (PUSH) scoring tool. The cost of treatment was also assessed. Results Twenty patients (12 women and 8 men) were randomly assigned to receive either AlSD (n=10) or AgZnSD cream (n=10). The demographic data and wound characteristics were comparable in the two groups. The two groups showed no significant difference in the reduction of PUSH score, wound size, or volume of exudate. The tissue type score was significantly lower in the AlSD group ($3.15{\pm}0.68-1.85{\pm}0.68$ vs. $2.73{\pm}0.79-2.2{\pm}0.41$; P=0.015). The cost of treatment was significantly lower in the AlSD group (377.17 vs. 467.74 USD, respectively; P<0.0001). Conclusions Alginate silver dressing could be effectively used in the treatment of grade III and IV pressure ulcers. It can improve wound tissue characteristics and is cost-effective.

• 한국건설관리학회논문집
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• 제16권4호
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• pp.98-106
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• 2015

VE는 공공건설사업의 예산절감과 기능향상, 구조적 안전, 품질 확보를 목적으로 하고 있다. 그러나 관련 내용이 설계의 경제성 검토 위주로 구성되어 있어 구조적 안전과 품질확보를 위한 검토가 미흡해 질 가능성이 문제점으로 지적되고 있고, VE를 단순한 원가절감방법으로 생각하는 인식으로 인해 VE 수행 시 비용절감에 치중된 대안이 제시되어 왔다. 이에 대한 개선방안으로 정부에서는 생애주기비용절감 가치향상 제안서를 도입하고 원안과 대안의 비용 점수와 기능 점수, 가치 변화를 명시하도록 하였다. 그러나 구체적인 방법과 기준이 제시되어 있지 않아 이론적 근거보다는 실무적 편의 위주의 방법이 사용되고 있다. 현행 방법은 원안과 대안의 비(比)를 이용하기 때문에 간단하고 사용이 편리하다. 하지만 현행 방법을 이용하여 평가 값을 점수화 하면 설계안 속성에 따라 다양한 값이 산출되어 광범위한 점수 분포를 나타낸다. 따라서 많은 양의 VE 안을 평가하여 수정 설계를 위한 최적 안을 선택하는 의사결정과정에서 평가자에게 혼란을 줄 수 있다. 이는 합리적인 의사결정을 저해하는 요소로서, VE대안의 비용과 성능 속성 정보를 이용하여 산출한 가치 점수의 신뢰성 및 객관성 검증의 어려움으로 이어진다. 본 연구는 VE 안 평가 시 의사결정의 효율성 제고를 위하여 기능 점수와 비용 점수 산출 절차와 방법을 고찰하여 문제점을 제시하고, 개선 방안으로서, 정규화 기반의 기능 및 비용 점수 산출 모델을 제시하였다.