• 제목/요약/키워드: Cost down

검색결과 898건 처리시간 0.027초

원격진료 보수지불체계 설정방향에 관한 연구 (Development of a Payment System for Telemedicine)

  • 염용권;명희봉;이윤태;김동욱;서원식;이관익
    • 보건행정학회지
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    • 제7권2호
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    • pp.65-88
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    • 1997
  • In Korea, telemedicine is still under the beginning stage, but we expect that the developing 'Information Highway' will make this technology more common place and more easily used in coming soon. Currently, three hospitals are providing telemedicine services with their subsidiary hospitals which are far away from their remote place. However, the fee schedule of telemedicine services are not well-settled down, of course not reimbursed through current health insurance system. This study aims to develop new payment system for medical services provided through telemedicaine system. To design appropriate fee schedule for telemedicine services, we, first, review the current insurance payment system and telemedicine system both in domestic and foreign countries focusing on its payment system. A framework of telemedicine payment system is proposed in following steps based on information we acquired from this stage. Second. We decide the span of cost items which should be covered by telemedicine payment scheme. In hear, we suggest payment method for telemedicine services should be designed as dual structure which are telemedicine fee that should be reimbursed through payment scheme and any costs related to capital investment that should not be covered by payment system. Which is, payment system for telemedicine services should cover only service-related costs and any costs related to capital investment should be generated through third party such as government, health insurance association, etc. Finally, we suggest new fee schedules for telemedicine services. The key issues on developing telemedicine fee schedules are related with the determination of appropriate additional rate($\alpha$). The reasonable additional rate($\alpha$) must determine through careful evaluation of any additional efforts(e. g. : additional work hours which are related to providing telemedicine services). This study shows the process of how to determine appropriate additional rate($\alpha$).

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Fire research in Sweden for 1997-99

  • Arvidsson, Tommy
    • 한국화재소방학회:학술대회논문집
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    • 한국화재소방학회 1997년도 International Symposium on Fire Science and Technology
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    • pp.44-48
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    • 1997
  • The Swedish Fire Research Board was established in 1979 to initiate and fund relevant fire research efforts. The Board is responsible for a long term research programme revised every third year, and the Board is one of two major Swedish sponsors of all fire research. Beside the Board we also have the Swedish National Rescue Services, funded by the government. BRANDFORSK gives very high priority for the industry and the insurance company and the need they express for fire research. Research that the Rescue Services Board are funding is mainly focusing the need for the fire department. The Swedish Fire Research Board, BRANDFORSK, is the joint agency of the Swedish government, the insurance industry and the business sector, for the initiation, funding and supervision of different kinds of fire research. Work is directed by a Programme Board and is performed in the form of projects at universities, research institutes, state authorities and private firms. The Secretariat of BRANDFORSK shares the premises of the Swedish Fire Protection Association, SFPA, and the SFPA is the principal and the party which enters into agreement with the State. The programme for the period 1997-1999 has been drawn up on the basis of both damage development and the trends in society which can be noted, and the evident fire problems of the interested parties and their need for fire research. The inputs in the programme have been broken down seven problem areas. In every problem area different project areas are set out, and these primarily specify the aim of the work. Our seven problem-areas are; Costs and benefits of fire protection measure. The role and behaviour of people and organizations Fire In buildings Fire in underground facilities Rescue operations fire in industries Fire and the environment. In comparison with previous fire research programmes, cost/benefit studies have been accorded higher priority, and this is also reflected in other problem areas. Grater Emphasis

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전동기와 조명기기의 에너지사용 분석을 통해 효과적인 EERS 절감량 산정을 위한 주요인자 도출 연구 (Study on Effective EERS Savings Calculating Method through Analysis of Energy Consumption of Electric Motor & Lighting Devices)

  • 염지훈;최한호;이현웅;박성우;김창식;한승희
    • 에너지공학
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    • 제28권3호
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    • pp.34-41
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    • 2019
  • 에너지절약보다 에너지절감이 강조되는 시대의 흐름에 따라 미국 및 주요 EU국가에서 도입하여 시행하고 있는 에너지효율향상의무화제도(EERS)의 국내 도입은 필수적이며, EERS제도의 안정적인 정착을 위해서는 정확하고 신뢰도 높은 절감량 측정이 수반되어야 한다. 특히 국내 총 전력사용량의 60%이상을 차지하고 있는 전동기와 조명기기는 제도 시행에 있어서 뿐만 아니라 국가에너지 효울향상에 있어 가장 중요한 기기이다. 본 논문에서는 전동기, 조명기기의 정확한 사용실태 파악을 위해 계량전송장치를 400여개 사업장에 설치 수집 분석하여 EERS 제도 도입에 따른 절감량 산정시 활용할 수 있도록 가동율, 부하율 등 주요인자를 실측에 입각하여 도출, 제시하고자 한다.

선박관리업의 성장 및 선택기준과 시사점에 관한 연구 (Growth & Selection Criteria of Ship Management Firms and Its Implications)

  • 김현덕;류동근;김광의
    • 한국항만경제학회:학술대회논문집
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    • 한국항만경제학회 2006년도 국제학술대회
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    • pp.277-290
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    • 2006
  • 해운업은 일반적으로 선박의 획득, 선박운영 그리고 비즈니스 활동으로 구분할 수 있다. 이러한 기능은 모든 선박이 수행하는 것이나, 중요한 것은 이러한 몇몇 또는 모든 활동이 자사 내에서 수행하는 것보다 제 3 자 관리업체에 의해 수행되는 것이 더 나은 선택인지 아닌지 하는 것이다. 그러나 비용절감을 성취하기 위해 선박관리업의 시장 규모는 지속적으로 지난 몇 십년간에 걸쳐 성장하고 있다. 본 논문은 선박관리와 시장의 발전 추세를 분석하고 우리나라 선박관리 회사와 비교분석을 한 후 선박관리회사의 선택기준에 관한 기초 설문조사를 수행하였다. 결론 부분에 이러한 분석이 갖는 시사점과 우리나라 선박관리회사의 발전 방안에 대해 제시하고자 한다.

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Terra-Scope - a MEMS-based vertical seismic array

  • Glaser, Steven D.;Chen, Min;Oberheim, Thomas E.
    • Smart Structures and Systems
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    • 제2권2호
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    • pp.115-126
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    • 2006
  • The Terra-Scope system is an affordable 4-D down-hole seismic monitoring system based on independent, microprocessor-controlled sensor Pods. The Pods are nominally 50 mm in diameter, and about 120 mm long. They are expected to cost approximately $6000 each. An internal 16-bit, extremely low power MCU controls all aspects of instrumentation, eight programmable gain amplifiers, and local signal storage. Each Pod measures 3-D acceleration, tilt, azimuth, temperature, and other parametric variables such as pore water pressure and pH. Each Pod communicates over a standard digital bus (RS-485) through a completely web-based GUI interface, and has a power consumption of less than 400 mW. Three-dimensional acceleration is measured by pure digital force-balance MEMS-based accelerometers. These accelerometers have a dynamic range of more than 115 dB and a frequency response from DC to 1000 Hz with a noise floor of less than $30ng_{rms}/{\surd}Hz$. Accelerations above 0.2 g are measured by a second set of MEMS-based accelerometers, giving a full 160 dB dynamic range. This paper describes the system design and the cooperative shared-time scheduler implemented for this project. Restraints accounted for include multiple data streams, integration of multiple free agents, interaction with the asynchronous world, and hardened time stamping of accelerometer data. The prototype of the device is currently undergoing evaluation. The first array will be installed in the spring of 2006.

비만에 대한 국내 한의학계의 최근 연구 동향 분석 - 2006년 이후 국내 학술지를 중심으로 - (An analysis of domestic oriental medicine study tendency on obesity - Focused on domestic academic journal since 2006 -)

  • 박병윤;송윤경;임형호
    • 한방비만학회지
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    • 제10권2호
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    • pp.1-16
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    • 2010
  • Objectives Obesity is one of the most important health problem in modern society and constant studies are still in progress domestically without the effective treatment so far. The objective of this study is to analyze the recent trend of the studies about obesity in oriental medicine and to provide background for further studies. Methods All of the articles in the journal of 'Korean oriental association for study of obesity' were collected published after 2006. Search were conducted through 'http://oasis.kiom.re.kr' and the journal of 'the Korean academy of oriental rehabilitation medicine'(January 2006~October 2010) with the search word "obesity". Collected articles were classified into clinical study, experimental study, literary study, case report. Results Total 177 articles were analysed. The number of studies were increasing until 2008 and went down afterwards. According to the classification by the type of study, percentage of clinical study took 45.2%, experimental study took 31.6%, literary study took 14.7%, case report took 8.5%. Conclusion Domestic clinical studies and experimental studies are conducted more focused on the treatment and diagnosis of obesity. Future study on the obesity should be focused on the prevention in the aspect of public health and social cost.

Colorectal Cancer Therapy Using a Pediococcus pentosaceus SL4 Drug Delivery System Secreting Lactic Acid Bacteria-Derived Protein p8

  • An, Byung Chull;Ryu, Yongku;Yoon, Yeo-Sang;Choi, Oksik;Park, Ho Jin;Kim, Tai Yeub;Kim, Song-In;Kim, Bong-Kyu;Chung, Myung Jun
    • Molecules and Cells
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    • 제42권11호
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    • pp.755-762
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    • 2019
  • Despite decades of research into colorectal cancer (CRC), there is an ongoing need for treatments that are more effective and safer than those currently available. Lactic acid bacteria (LAB) show beneficial effects in the context of several diseases, including CRC, and are generally regarded as safe. Here, we isolated a Lactobacillus rhamnosus (LR)-derived therapeutic protein, p8, which suppressed CRC proliferation. We found that p8 translocated specifically to the cytosol of DLD-1 cells. Moreover, p8 down-regulated expression of Cyclin B1 and Cdk1, both of which are required for cell cycle progression. We confirmed that p8 exerted strong anti-proliferative activity in a mouse CRC xenograft model. Intraperitoneal injection of recombinant p8 (r-p8) led to a significant reduction (up to 59%) in tumor mass when compared with controls. In recent years, bacterial drug delivery systems (DDSs) have proven to be effective therapeutic agents for acute colitis. Therefore, we aimed to use such systems, particularly LAB, to generate the valuable therapeutic proteins to treat CRC. To this end, we developed a gene expression cassette capable of inducing secretion of large amounts of p8 protein from Pediococcus pentosaceus SL4 (PP). We then confirmed that this protein (PP-p8) exerted anti-proliferative activity in a mouse CRC xenograft model. Oral administration of PP-p8 DDS led to a marked reduction in tumor mass (up to 64%) compared with controls. The PP-p8 DDS using LAB described herein has advantages over other therapeutics; these advantages include improved safety (the protein is a probiotic), cost-free purification, and specific targeting of CRC cells.

Healthcare System using Pegged Blockchain considering Scalability and Data Privacy

  • Azizan, Akmal;Pham, Quoc-Viet;Han, Suk Young;Kim, Jung Eon;Kim, Hoon;Park, Junseok;Hwang, Won-Joo
    • 한국멀티미디어학회논문지
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    • 제22권5호
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    • pp.613-625
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    • 2019
  • The rise of the Internet of Things (IoT) devices have greatly influenced many industries and one of them is healthcare where wearable devices started to track all your daily activities for better health monitoring accuracy and even down to tracking daily food intake in some cases. With the amounts of data that are being tracked and shared between from these devices, questions were raised on how to uphold user's data privacy when data is shared between these IoT devices and third party. With the blockchain platforms started to mature since its inception, the technology can be implemented according to a variety of use case scenarios. In this paper, we present a system architecture based on the healthcare system and IoT network by leveraging on multiple blockchain networks as the medium in between that should enable users to have direct authority on data accessibility of their shared data. We provide proof of concept implementation and highlight the results from our testing to show how the efficiency and scalability of the healthcare system improved without having a significant impact on the performance of the Electronic Medical Record (EMR) that mostly affected by the previous solution since these solutions directly connected to a public blockchain network and which resulted in significant delays and high cost of operation when a large amount of data or complicated functions are involved.

The Current Telecommunications Infrastructure in Ecuador is Ready to Start with the Implementation of IoT Applications?

  • Yepez, Johanna Fernandez;Kim, Yun Seon
    • Asia Pacific Journal of Business Review
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    • 제3권1호
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    • pp.57-76
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    • 2018
  • The "Internet of things" (IoT) is becoming an increasingly growing topic of conversation, it is a new emergent technology that can be present in almost every field and application. It's a concept that not only has the potential to impact how people live but also how people work. Broadband Internet and Mobile Internet are becoming more widely available, the cost of the service is decreasing, more devices are being created with Wi-Fi capabilities and sensors built into them, technology costs are going down, and smartphone penetration is growing so fast. All of these facts are creating the best environment for the IoT applications. In a country like Ecuador, is important to have a previous analysis about the feasibility of the implementation of this new technology in order to know what are the challenges the country has to face, and also to not stay behind as the other countries in the region are advancing. Currently, this kind of analysis does not exist. The Internet of Things is an innovation where business and technology models in Ecuador are relatively unexplored. The current infrastructure deployed in Ecuador and the available devices in the market are the central facts to initiate with the research, which is a starting point to show if Ecuador is ready to this technology, and if is not ready what is missing. This study shows the current telecommunications status in Ecuador, and its strengths and weaknesses to start the deployment of Internet of Things. Besides, it also will show the most likely applications that can be easily adopted for the Ecuadorian market with its respective availability, affordability, and adaptability.

볼 베어링 및 가스 포일 베어링으로 지지되는 소형 고속 전동기의 진동 특성 (Vibrational Characteristics of High-Speed Motors with Ball Bearings and Gas Foil Bearings Supports)

  • 서정화;김태호
    • Tribology and Lubricants
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    • 제35권2호
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    • pp.114-122
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    • 2019
  • High-speed rotating machinery requires low cost and reliable bearing elements with low friction, stable rotordynamic characteristics, and a simple design. This study experimentally evaluates the effects of bearing-support elements on the vibrational characteristics of a small-sized, high-speed permanent magnetic motor. A series of coast down tests from 100 krpm characterize the vibrational behaviors, rotor displacement, and housing acceleration of motors supported by ball bearings, ball bearings with a metal mesh damper, and gas foil bearings, respectively. Two eddy-current sensors installed in the horizontal and vertical directions measure the displacement of the rotor at its front nut, and a 3-axis accelerometer attached to the motor housing measures the housing acceleration. The test results reveal that synchronous (1X) vibration components most significantly affect the rotor displacement and housing acceleration, independent of the bearing-support elements. The motor supported by the deep-groove ball bearings results in the largest rotor vibrations increasing with speed; this is due to the absence of a damping mechanism. Additionally, the metal mesh damper effectively reduces the rotor displacement, housing acceleration, and sound-pressure level in the high-speed region (i.e., above 40 krpm), thus implying its substantial damping performance when installed on the outer race of the ball bearing. Lastly, the gas foil bearing supported motor yields the smallest rotor displacement, housing acceleration, and lowest sound-pressure level because of its hydrodynamic airborne operation, which does not require rolling elements that may cause mechanical friction and vibrations.