• 제목/요약/키워드: Cost control

검색결과 5,844건 처리시간 0.032초

Cost Effectiveness of Interventions to Promote Screening for Colorectal Cancer: A Randomized Trial

  • Misra, Swati;Lairson, David R.;Chan, Wenyaw;Chang, Yu-Chia;Bartholomew, L. Kay;Greisinger, Anthony;Mcqueen, Amy;Vernon, Sally W.
    • Journal of Preventive Medicine and Public Health
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    • 제44권3호
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    • pp.101-110
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    • 2011
  • Objectives: Screening for colorectal cancer is considered cost effective, but is underutilized in the U.S. Information on the efficiency of "tailored interventions" to promote colorectal cancer screening in primary care settings is limited. The paper reports the results of a cost effectiveness analysis that compared a survey-only control group to a Centers for Disease Control (CDC) web-based intervention (screen for life) and to a tailored interactive computer-based intervention. Methods: A randomized controlled trial of people 50 and over, was conducted to test the interventions. The sample was 1224 partcipants 50-70 years of age, recruited from Kelsey-Seybold Clinic, a large multi-specialty clinic in Houston, Texas. Screening status was obtained by medical chart review after a 12-month follow-up period. An "intention to treat" analysis and micro costing from the patient and provider perspectives were used to estimate the costs and effects. Analysis of statistical uncertainty was conducted using nonparametric bootstrapping. Results: The estimated cost of implementing the web-based intervention was $40 per person and the cost of the tailored intervention was $45 per person. The additional cost per person screened for the web-based intervention compared to no intervention was $2602 and the tailored intervention was no more effective than the web-based strategy. Conclusions: The tailored intervention was less cost-effective than the web-based intervention for colorectal cancer screening promotion. The web-based intervention was less cost-effective than previous studies of in-reach colorectal cancer screening promotion. Researchers need to continue developing and evaluating the effectiveness and costeffectiveness of interventions to increase colorectal cancer screening.

스테퍼 모터를 위한 비선형 제어기법의 개관 (Survey of Nonlinear Control Methods to Permanent Magnet Stepping Motors)

  • 김원희;신동훈;이영우;정정주
    • 제어로봇시스템학회논문지
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    • 제20권3호
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    • pp.323-332
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    • 2014
  • Stepper motor is widely used in positioning applications due to its durability and high torque to inertia ratio as well as low cost and ability to be easily controlled with open-loop. Due to increased resolution of position control and improved stability of motion control, microstepping has drawn attention in industry since it was introduced in 1970s. With the increase in computational power and decrease in cost of embedded processors in recent years, drives and control systems for stepper motors have become more sophisticate than ever. Thus, closed-loop control methods have been developed to improve the performance of the stepper motors. In this paper, we review not only basic principles of conventional control methods used for stepper motors but also that of microstepping control. In addition, we surveyed recent development in nonlinear control methods applied to stepper motors. The nonlinear control methods are presented in the view of Lyapunov stability. Nonlinear torque disturbance observer, sliding mode control, and nonlinear phase compensation are also presented.

Treatment Costs and Factors Associated with Glycemic Control among Patients with Diabetes in the United Arab Emirates

  • Lee, Seung-Mi;Song, Inmyung;Suh, David;Chang, Chongwon;Suh, Dong-Churl
    • Journal of Obesity & Metabolic Syndrome
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    • 제27권4호
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    • pp.238-247
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    • 2018
  • Background: We aimed to estimate the proportion of patients with diabetes who achieved target glycemic control, to estimate diabetes-related costs attributable to poor control, and to identify factors associated with them in the United Arab Emirates. Methods: This retrospective cohort study used administrative claims data handled by Abu Dhabi Health Authority (January 2010 to June 2012) to determine glycemic control and diabetes-related treatment costs. A total of 4,058 patients were matched using propensity scores to eliminate selection bias between patients with glycosylated hemoglobin (HbA1c) <7% and HbA1c ${\geq}7%$. Diabetes-related costs attributable to poor control were estimated using a recycled prediction method. Factors associated with glycemic control were investigated using logistic regression and factors associated with these costs were identified using a generalized linear model. Results: During the 1-year follow-up period, 46.6% of the patients achieved HbA1c <7%. Older age, female sex, better insurance coverage, non-use of insulin in the index diagnosis month, and non-use of antidiabetic medications during the follow-up period were significantly associated with improved glycemic control. The mean diabetes-related annual costs were $2,282 and $2,667 for patients with and without glycemic control, respectively, and the cost attributable to poor glycemic control was $172 (95% confidence interval [CI], $164-180). The diabetes-related costs were lower with mean HbA1c levels <7% (cost ratio, 0.94; 95% CI, 0.88-0.99). The costs were significantly higher in patients aged ${\geq}65$ years than those aged ${\leq}44$ years (cost ratio, 1.45; 95% CI, 1.25-1.70). Conclusion: More than 50% of patients with diabetes had poorly controlled HbA1c. Poor glycemic control may increase diabetes-related costs.

퍼지 알고리즘을 이용한 유도전동기 간접벡터제어기의 설계와 엘리베이터 속도제어 시스템의 응용 (Design of Indirect Vector Controller of Induction Motor using Fuzzy Algorithm and apply to the Speed Control System of Elevator)

  • 경제문;김훈모
    • 한국정밀공학회:학술대회논문집
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    • 한국정밀공학회 2000년도 추계학술대회 논문집
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    • pp.110-113
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    • 2000
  • In general, speed control method of the elevator system has used motor pole change type or motor primary voltage control type. But it will change to vector control type in order to increase it's reliability, riding comfort and decrease material cost. It is the conception of vector control type in order to increase it's reliability, riding comfort and decrease material cost. It is the conception of vector control that primary current of the induction motor be controlled independently with magnetizing current(field current of DC motor) and torque current(armature current of DC motor). In this paper, by analyzing the effect of the time constant variation of rotor of the induction motor on the slip frequency type indirect vector control, a drive system for the motor will be constructed using a fuzzy slip frequency type indirect vector controller with fuzzy control method for estimating the vector time constant in the slip frequency type indirect vector control. The goal of this study is to enabling even more efficient speed control by constructing on elevator driver based on the newly developed drive system.

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에너지, 환경 및 경제성을 통합 고려한 공동주택 설계요소 제어에 관한 연구 (A Study on the Control of Apartment House Design Factors considering Energy, Environment and Economical Efficiency)

  • 최두성;도진석
    • KIEAE Journal
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    • 제12권6호
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    • pp.29-38
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    • 2012
  • The current building energy efficiency rating certification regulation on apartment houses evaluates only the saving rate of energy consumed during operation, i.e. use, of a building, but doesn't consider the energy consumptions and environmental load($CO_2$) emissions occurring during the whole lifetime of a building. So this study calculated the energy consumptions and environmental load emissions occurring during the whole lifetime of a building, selected reference schemes and alternative items by design variables to present a design draft considering energy efficiency and environmental performance, and evaluated the total cost by combining and calculating its direct cost(material and heating cost) and indirect cost(environmental cost), for an existing apartment house as an evaluation object. As a result of analysis, the change of heating cost by alternative items of design variables showed a 4~8% change rate compared to the reference scheme, and the material cost of design variable 7 showed a maximum 4.4 times change rate in the alternative plan 6 compared to the reference scheme. The environmental cost showed a similar change rate to the material cost change rate in general, but showed a similar environmental cost change rate to the heating cost change rate in case of design variables 4-1, 4-2, 7.

악성 프로세스 제어 시스템의 성능 향상을 위한 보안 프레임워크 (Security Framework for Improving the Performance of the Malicious Process Control System)

  • 김익수;최종명
    • 인터넷정보학회논문지
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    • 제14권2호
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    • pp.61-71
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    • 2013
  • 지금까지 인터넷 웜에 대응하기 위한 다양한 연구가 진행되어 왔다. 대부분의 인터넷 웜 탐지 및 차단 시스템은 탐지룰을 이용하여 인터넷 웜 공격에 대응하지만 새로운 인터넷 웜에 대응할 수 없는 문제가 있다. 이에 인터넷 웜의 멀티캐스트 특징을 이용한 악성 프로세스 제어 시스템이 제안되었다. 하지만 이 시스템은 서비스를 제공해야 할 서버의 수가 많을수록 시스템 구축비용이 증가하고 부분적 공격 유형의 인터넷 웜 공격 탐지 확률이 낮다. 본 논문에서는 악성 프로세스 제어 시스템의 구축비용을 절감하고, 부분적 공격 유형의 인터넷 웜 공격 탐지 확률을 높일 수 있는 보안 프레임워크를 제안한다. 제안된 보안 프레임워크에서는 가상머신을 이용하여 제어서버 구축비용을 줄이며, 사용되지 않는 여분의 IP 주소를 동적으로 인터넷 웜 공격 탐지에 이용함으로써 부분적 공격 유형의 인터넷 웜 공격 탐지 확률을 증가시킬 수 있다. 결국 제안된 보안 프레임워크는 비교적 낮은 비용으로 새로운 유형의 다양한 인터넷 웜에 효과적으로 대응할 수 있다.

저밀도 노선 적용을 위한 ATS 제어절차에 관한 연구 (A Study on ATS Control Procedure to adopt Low Density Line)

  • 조봉관;박기준;박평식;이영수
    • 전기학회논문지
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    • 제64권5호
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    • pp.830-837
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    • 2015
  • A study which is to develop the low-cost urban railway system for low-density line such as Gwang-ju subway Line 2 is in progress, and its TCS(Train Control System) is required as an economic system which is able to train operation suitable in low-density line. We have developed the signaling equipment which is configured with automatic block system between stations, and the control center's equipment in order to meet the requirements of TCS mentioned above. In this paper, we propose the control procedure of ATS to be required for train operation management in the low-density line such as Gwang-ju subway Line 2. The control procedure of ATS considered all features such as the requirements analysis for train operation management, the functions of train control system to be applied and the block type. Also, it considered the station(interlocking, passenger, turn-back) type, station control(stop, route, departure, turn-back departure, turn-back) type, and train operation management for exiting and entering depot. The ATS control procedure proposed in this paper has an advantage in the cost and efficiency through unification and optimization of its function. And in cost of operating and maintenance, the ATS system has a feature that can be significantly reduced.

품질손실을 고려한 경제적 CUSUM 관리도 (A Design of Economic CUSUM Control Chart Incorporating Quality Loss Function)

  • 김정대
    • 산업경영시스템학회지
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    • 제41권4호
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    • pp.203-212
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    • 2018
  • Quality requirements of manufactured products or parts are given in the form of specification limits on the quality characteristics of individual units. If a product is to meet the customer's fitness for use criteria, it should be produced by a process which is stable or repeatable. In other words, it must be capable of operating with little variability around the target value or nominal value of the product's quality characteristic. In order to maintain and improve product quality, we need to apply statistical process control techniques such as histogram, check sheet, Pareto chart, cause and effect diagram, or control charts. Among those techniques, the most important one is control charting. The cumulative sum (CUSUM) control charts have been used in statistical process control (SPC) in industries for monitoring process shifts and supporting online measurement. The objective of this research is to apply Taguchi's quality loss function concept to cost based CUSUM control chart design. In this study, a modified quality loss function was developed to reflect quality loss situation where general quadratic loss curve is not appropriate. This research also provided a methodology for the design of CUSUM charts using Taguchi quality loss function concept based on the minimum cost per hour criterion. The new model differs from previous models in that the model assumes that quality loss is incurred even in the incontrol period. This model was compared with other cost based CUSUM models by Wu and Goel, According to numerical sensitivity analysis, the proposed model results in longer average run length in in-control period compared to the other two models.

An Economic Dispatch Algorithm as Combinatorial Optimization Problems

  • Min, Kyung-Il;Lee, Su-Won;Moon, Young-Hyun
    • International Journal of Control, Automation, and Systems
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    • 제6권4호
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    • pp.468-476
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    • 2008
  • This paper presents a novel approach to economic dispatch (ED) with nonconvex fuel cost function as combinatorial optimization problems (COP) while most of the conventional researches have been developed as function optimization problems (FOP). One nonconvex fuel cost function can be divided into several convex fuel cost functions, and each convex function can be regarded as a generation type (G-type). In that case, ED with nonconvex fuel cost function can be considered as COP finding the best case among all feasible combinations of G-types. In this paper, a genetic algorithm is applied to solve the COP, and the $\lambda$-P table method is used to calculate ED for the fitness function of GA. The $\lambda$-P table method is reviewed briefly and the GA procedure for COP is explained in detail. This paper deals with three kinds of ED problems, namely ED considering valve-point effects (EDVP), ED with multiple fuel units (EDMF), and ED with prohibited operating zones (EDPOZ). The proposed method is tested for all three ED problems, and the test results show an improvement in solution cost compared to the results obtained from conventional algorithms.

시설 규모 및 급식비에 따른 유치원 급식소 위생 관리 수행도 (Performance of Hygiene Management according to Capacity and Food Cost of Foodservice in Kindergartens)

  • 김옥선
    • 동아시아식생활학회지
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    • 제24권5호
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    • pp.680-690
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    • 2014
  • This study investigated the performance of hygiene management according to the capacity and food cost of foodservice in kindergartens as a measure of kindergartens foodservice hygiene management. Dietitians from the education office visited 50 kindergartens under the control of Dongbu District Office of Education during January, 2011. Kindergartens were 11 public and 39 private institutions. Over half of kindergartens (n=27) provided foodservice to 50~99 children. About 21 kindergartens had a foodservice cost per student per day of 2,000 won. Regarding personal hygiene, 'whether to wear an accessory or have a manicure' showed the best performance. 'Whether to have their health examined once every 6 months or keep their health records in 2 years' was rarely performed. For food materials, 'whether to buy food appropriate for the quality control standard of food materials' showed the highest performance. The highest performances for storage management of food materials and handling of food was 'whether to store goods within butlery at intervals more than 30 cm from the ground' and 'whether to heat and cook food more than $74^{\circ}C$', respectively. The highest performance for distribution of food and management of facilities was 'the hygienic management of cooking tools and facilities' and 'the proper installation of air-conditioning, heating and ventilation facilities', respectively. The results of this study show that capacity and food cost had the strongest effects on performance of personal hygiene. Especially, smaller facility size could increase performance of foodservice management.