• Title/Summary/Keyword: Cost Score

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Length of Stay, Health Care Cost, Postpartum Discomfort, and Satisfaction with Medical Service in Puerperas Giving Birth in Midwifery Clinic and Hospitals (조산원과 병원 분만 산모의 재원일 수, 의료비용, 산후불편감과 의료서비스 만족도 비교)

  • Park, Mi-Ran;Lee, Ju-Young
    • Women's Health Nursing
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    • v.24 no.1
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    • pp.24-32
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    • 2018
  • Purpose: To determine traits related to pregnancy and delivery, length of stay, health care cost, postpartum discomfort, and satisfaction with medical service of puerperas giving birth in midwifery clinic and hospitals. Methods: This study used a comparative survey design. Data were collected from a total of 140 postpartum mothers composed of 70 mothers who gave births in two hospitals and another 70 mothers who delivered in one midwifery clinic. Results: Delivery in midwifery clinic had higher Apgar score at 1 minute and 5 minutes after birth than hospital. Those who delivered in midwifery clinic had shorter stay in the clinic, fewer health care cost, less postpartum discomfort in physical, environmental, social, and cultural areas, higher satisfaction with medical services than those who delivered in hospitals. Conclusion: Results of this study can be used as a basis for studies on giving birth in midwifery clinic and hospitals. They might increase the autonomy of women in giving birth with positive effect on the delivery experience of the mother and her spouse.

Aircraft Combat Survivability Analysis based on the Random Variable Weighted Score Algorithm (확률변수 가중치 환산법 기반 군용 항공기 생존성 분석기법)

  • Yang, Ju-Suk;Lee, Kyung-Tae;Jee, Cheol-Kyu
    • Journal of the Korean Society for Aeronautical & Space Sciences
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    • v.41 no.11
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    • pp.883-890
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    • 2013
  • Aircraft combat survivability analysis is essential process for the development of combat aircraft. M&S methodology is the typical procedure for the aircraft combat survivability analysis, and the last step is the expensive Live Fire Test if it is necessary. This study introduced cost and time effective survivability analysis methodology based on the random variable weighted score algorithm in conceptual design phase. For this study, essential element and event analysis (E3A) is used to define the random variables and Monte-Carlo simulation is implemented to estimate weighted score and the final value of survivability.

Relationship between oral health knowledge, behavior and satisfaction of fixed orthodontic treatment in orthodontic patients (고정성 치열교정장치 장착환자의 구강보건 지식 및 행태와 교정만족도의 관련성)

  • Choi, Eun-Young;Lee, Jae-Ra;Yoon, So-Ra
    • Journal of Korean Dental Hygiene Science
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    • v.3 no.2
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    • pp.1-8
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    • 2020
  • This study investigated the relationship between oral health knowledge, behavior and orthodontic satisfaction in orthodontic patients visiting dental hospitals and clinics and provided suggestions to improve orthodontic patients' satisfaction. This study anayzed structured self-administered questionnaires collected from 245 patients who visited 5 dental clinics in Gwangju Metropolitan City. Regarding oral health knowledge, the highest percentage of correct answers was for the item "Cavities heal themselves over time" (97.1%), and the lowest percentage of correct answers was for the item "Cavity bacteria move from tooth to tooth" (16.7%). Five fluoride items showed a lower percentage of correct answers than those for cavity and gingival diseases. Regarding the survey on oral health behavior, the highest score was found for the item "I brush my teeth with a certain method and order" (3.78 out of 5), and the lowest score was found for the item "I use an electric toothbrush" (1.34 out of 5). Regarding the survey on orthodontic satisfaction, the highest score was found for the item "I would recommend receiving medical treatment at the department of orthodontics" (4.23), and the lowest score was found for the item "Orthodontic cost is reasonable" (3.46). While oral health behavior had on orthodontic satisfaction, oral health knowledge had no effect on it. Oral health behaviors should be improved to enhance orthodontic satisfaction. To improve oral health behavior, it is necessary to develop and activate education programs for tooth brushing and oral care for orthodontic patients.

A Study on a Coping Method of the Family Caregivers of Demented Patients (치매노인 가족부양자의 대처방법에 관한 연구)

  • You, Kwang-Soo
    • Research in Community and Public Health Nursing
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    • v.13 no.4
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    • pp.648-667
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    • 2002
  • This was a descriptive study designed to identify the level of coping method and its influencing factors on the family caregivers of demented patients, and resolve the family caregivers' level of stress. The data were collected from September 10 to October 10, 2001. Subjects for this study were recruited from four clinics, which were chosen from 15 clinics located in Chunbuk-Do as the study sites because of their cooperation for the study. They were similar in terms of size, the characteristics of the local community. and the population and registration status of the demented patients. The instruments used for the study were as follows: 1. Problematic behaviors of demented patients are measured by the Memory and Behavior Problem Checklist (Zarit, 1980), and the Linguistic Communication Symptoms Questionnaire (Bayles and Tomoeda, 1991) 2. The ability to carry out daily activities was measured using the Barthel Index (1965) and Katz Index (1963), which as well-known ADL assessment methods. 3. Burden was measured using Cost of Care Index by the Kosberg and Cairl (1986). 4. Coping strategy was measured Bell's 18 methods (1977). The data were analyzed using SPSS/PC. The study results were as follows: 1. The total stress score was 2.90 out of a maximum score of 5. The highest score reported was 3.09 on the dimension of restriction of individual and social activities, and the lowest region reported was 2.58 on the dimension of mental and physical health. 2. The total score of the coping method was 2.65 out of a maximum score of 5. The highest score reported was 4.01 on the dimension of thinking that includes an ideation such that it is better than any possible worst case, and the lowest score reported was 1.45 on the dimension of the self-image as a scapegoat. 3. There were significant differences in coping method among the subjects by age (F=2.752 p=0.04), caregiver (F=4.33 p=0.003), care-giving period (F=2.68 p=0.049), and dementia stage (F=2.87 p=0.034). 4. There were highly negative correlations ($\gamma$=-0.301 p=0.000) between problematic behaviors of demented patients and the coping method of their family caregivers. The highest correlation coefficient ($\gamma$=-0.339 p=0.000) was found between aggressive behaviors of the demented patients and the coping method of their family caregivers. 5. There was a low negative correlation ($\gamma$=-0.201 p=0.019) between the ADL of the demented patients and the coping method of their family caregivers. 6. There were highly negative correlations ($\gamma$=-0.213 p=0.005) between stress and the coping method of the family caregivers. The highest correlation was found between financial burden ($\gamma$=-.327 P=.000) and the coping method of the family caregivers. There was no significant correlation among unpleasant aspects of the demented patients, willingness to the demented patients, and the coping method of the family caregivers.

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The Burden of Atopic Dermatitis on Children and Their Families : Quality of Life and Financial Impact in Seoul Area (서울 지역을 대상으로 모집된 유.소아기 아토피피부염 환아의 삶의 질과 경제적 비용 부담에 관한 조사)

  • Yu, Seung-Min;Choi, In-Hwa
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.23 no.3
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    • pp.122-137
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    • 2010
  • Objective : Atopic dermatitis (AD) in children may profoundly affect the quality of life (QOL), and also cause financial burden, to the families of those suffering from this ailment. The aim of our study was to examine the quality of life and the financial burden of atopic dermatitis in children and their families to evaluate this relationship with the degree of AD. Methods : 37 infant and child atopic dermatitis patients were included and evaluated using the SCORing of Atopic Dermatitis (SCORAD) Index and Eczema Area and Severity Index (EASI). Patients and carers were asked to fill in the questionnaires about their quality of life and financial costs during the past year. Data about sleep disturbance and pruritus were also obtained. Pearson's correlation was used for statistical analysis. Results : 1. The mean score of Children's Dermatology Life Quality Index (CDLQI) was $10.52{\pm}4.82$, Infants' Dermatologic Quality of Life (IDQOL) was $8.21{\pm}3.95$. 2. The mean score of Family Dermatology Life Quality Index (FDLQI) was $13.30{\pm}5.72$, Dermatitis Family Impact (DFI) was $12.5{\pm}4.98$. 3. By analyzing the questionnaire, the monthly average cost was determined to be 730,800 won for each patient : the direct cost was 283,500 won, and the indirect cost was 447,300 won. 4. By analyzing the correlation between the severity of AD and QOL, subjective SCORAD were significantly and positively correlated with QOL(IDQOL, FDLQI, DFI, CDLQI). 5. By analyzing the correlation between the severity of AD and any economic impact, EASI were significantly and positively correlated with the direct cost. Conclusion : The above results show that the QOL of the patients and carers is significantly related to their disease severity. Atopic dermatitis patients pay an average of 730,800 won a month, and the economic impact on the patients is significantly related to their disease severity. The CDLQI, IDQOL, FDLQI and DFImay potentially be of value to help in the appropriate management of AD and can be used as an added measurement in clinical trials involving AD management.

A Study on QoS Improvement for Overlay Multicast Using Modified Dijkstra Algorithm (변형된 Dijkstra 알고리즘을 활용한 오버레이 멀티캐스트 QoS 향상 기법 연구)

  • Lee, Hyung-Ok;Nam, Ji-Seung;Park, Jun-Seok
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.7
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    • pp.3468-3473
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    • 2013
  • Conditions that overlay multicast tree must satisfy for the real-time application system of a video-conference, an internet broadcasting is two things. First, the degree of nodes in a tree must be proper value. Second, the diameter of the multicast tree, distance between longest two users should be short. If the path between two users in the tree is long, the delay time in data transmission between two users great. So, it is not suitable to the application system such as video-conferences. In this paper, the cost of the dijkstra algorithm calculate with proposed score-function through checking the extra bandwidth, the delay and the requested bandwidth. It is composed the tree through the dijkstra algorithm.

Auto-Walking Training After Incomplete Spinal Cord Injury (불완전 척수손상 후의 자동보행훈련)

  • Jeong, Jae-Hoon
    • Physical Therapy Korea
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    • v.10 no.3
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    • pp.81-90
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    • 2003
  • This study was conducted to assess the effects of the gait training method in incomplete spinal cord injured persons using an auto-walking machine. Persons with incomplete spinal cord injury level C or D on the American Spinal Injury Association impairment scale participated for eight weeks in an auto-walking training program. The gait training program was carried out for 15 minutes, three times per day for 8 weeks with an auto-walking machine. The foot rests of the auto-walking machine can be moved forward, downward, backward and upward to make the gait pattern with fixed on crank. The patient's body weight is supported by a harness during waking training. We evaluated the gait speed, physiologic cost index, motor score of lower extremities and the WISCI (walking index for spinal cord injury) level before the training and after the forth and eighth week of walking training. 1. The mean gait speed was significantly increased from .22 m/s at pre-training to .28 m/s after 4 weeks of training and .31 m/s after 8 weeks of training (p=.004). 2. The mean physiologic cost index was decreased from 4.6 beats/min at pre-training to 3.0 beats/min after 4 weeks and 2.0 beats/min after 8 weeks of training, but it was not statistically significant (p=.140). 3. The mean motor score of lower extrernities was significantly increased from 29.8 to 35.8 after 8 weeks of training (p=.043). 4. The mean WISCI level was significantly increased from level 10 to level 19 after 8 weeks of training (p=.007). The results of this study suggest that the gait training program using the auto-walking machine increased the gait speed, muscle strength and galt pattern (WISCI level) in persons with incomplete spinal cord injury. A large, controlled study of this technique is warranted.

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Optimization of Passenger Safety Restraint System for USNCAP by Response Surface Methodology (USNCAP에 대응하는 반응표면법을 이용한 조수석 안전구속장치 최적화)

  • Oh, Eun-Kyung;Lee, Ki-Sun;Son, Chang-Kyu;Kim, Dong-Seok;Chae, Soo-Won
    • Transactions of the Korean Society of Automotive Engineers
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    • v.22 no.6
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    • pp.1-8
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    • 2014
  • Safety performance of a new car is evaluated through USNCAP and their results in the star rating are provided to the consumers. It is very important to obtain high score of USNCAP to appeal their performance to consumers. Therefore the car companies have made the effort to improve their car safety performance. These efforts should satisfy the demand not only to get high score but also to pass the FMVSS, NHTSA regulations on safety. Huge numbers of car crash tests have been conducted on these bases by car companies. However physical tests spend too much cost and time, as an alternative way, the simulation on the car crash could be a solution to reduce the cost and time. Therefore the simulations have been widely conducted in car industry and various researches on this have been reported. In this study, restraint system had been optimized to minimize the injury of female passenger. Belted $5^{th}%ile$ female frontal crash test was selected from various test methods of USNCAP for the study. Initial velocity of the test was 56km/h. The combination injury probability of USNCAP was selected as an objective function and the injury limit value, which was defined in FMVSS, was set to an optimization constraint. Many researches that were similar to this study had been conducted, however most of them had limitation that interaction between airbag and safety belt had not been considered. Contrary to these researches, the interaction was considered in this study.

Consensus-based Autonomous Search Algorithm Applied for Swarm of UAVs (군집 무인기 활용을 위한 합의 기반 자율 탐색 알고리즘)

  • Park, Kuk-Kwon;Kwon, Ho-Jun;Choi, Eunju;Ryoo, Chang-Kyung
    • Journal of Advanced Navigation Technology
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    • v.21 no.5
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    • pp.443-449
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    • 2017
  • Swarm of low-cost UAVs for search mission has benefit in the sense of rapid search compared to use of single high-end UAV. As the number of UAVs forming swarm increases, not only the time for the mission planning increases, but also the system to operate UAVs has excessive burden. This paper addresses a decentralized area search algorithm adequate for multiple UAVs which takes advantages of flexibility, robustness, and simplicity. To down the cost, it is assumed that each UAV has limited ability: close-communication, basic calculation, and limited memory. In close-communication, heath conditions and search information are shared. And collision avoidance and consensus of next search direction are then done. To increase weight on un-searched area and to provide overlapped search, the score function is introduced. Performance and operational characteristics of the proposed search algorithm and mission planning logic are verified via numerical simulations.

Comparison of the Immediate Effects of Kinesio Taping on the Dynamic Balance of Stable Ankle and Functional Ankle Instability among Young Adults in Their Twenties: a preliminary study

  • Kim, Ki-Jong;Kim, Ju-Hong
    • Journal of The Korean Society of Integrative Medicine
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    • v.10 no.1
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    • pp.73-79
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    • 2022
  • Purpose : Kinesio taping applied to the ankle varies, and if the overall ankle is taped as much as possible, several effects, including balance, can be expected, but clinically the cost reduction for intervention is very important. Therefore, this study attempted to find out the optimal way to the effect and cost of kinesio taping on ankle dynamic balance. Methods : The subject of this study was 24 university students in their 20s (male: 13, female: 11), who received sufficient explanation of the purpose and method of the study. The Cumberland ankle instability tool (CAIT) questionnaire was used for the degree of ankle instability of the study subjects. If the subject's CAIT score was 28 points or more, it was classified as a stable ankle, and if the score was 24 points or less, it was classified as functional ankle instability (FAI). In this study, Biodex Balance System® measurement equipment was used to calculate the dynamic balance of study participants. The application of kinesio taping was performed by one physical therapist to attach in the same way, and a method of wrapping the ankle joint was applied in the eight-shaped bandage. Results : The results are as follows in before and after taping of the stable ankle and FAI group. There was no significant difference in the overall, anterior-posterior, and medial-lateral stability index. The comparison is as follows between groups for the differences (post-pre value) in before and after the application of kinesio taping. There were no significant differences between groups in all the overall, anterior-posterior, and medial-lateral stability index. Conclusion : In this study, no significant difference in kinesio taping was found in the dynamic balance of stable ankle and FAI (overall, anterior-posterior, and medial-lateral). It is necessary to continue to study ways to find the maximum effect while minimally attaching them to the application method of ankle kinesio taping.