• Title/Summary/Keyword: Coverage estimation

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Standardized multi-institutional data analysis of fixed and removable prosthesis: estimation of life expectancy with regards to variable risk factors

  • Hae-In Jeon;Joon-Ho Yoon;Jeong Hoon Kim;Dong-Wook Kim;Namsik Oh;Young-Bum Park
    • The Journal of Advanced Prosthodontics
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    • v.16 no.2
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    • pp.67-76
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    • 2024
  • PURPOSE. This study aims to assess and predict lifespan of dental prostheses using newly developed Korean Association of Prosthodontics (KAP) criteria through a large-scale, multi-institutional survey. MATERIALS AND METHODS. Survey was conducted including 16 institutions. Cox proportional hazards model and principal component analysis (PCA) were used to find out relevant factors and predict life expectancy. RESULTS. 1,703 fixed and 815 removable prostheses data were collected and evaluated. Statistically significant factors in fixed prosthesis failure were plaque index and material type, with a median survival of 10 to 18 years and 14 to 20 years each. In removable prosthesis, factors were national health insurance coverage, antagonist type, and prosthesis type (complete or partial denture), with median survival of 10 to 13 years, 11 to 14 years, and 10 to 15 years each. For still-usable prostheses, PCA analysis predicted an additional 3 years in fixed and 4.8 years in removable prosthesis. CONCLUSION. Life expectancy of a prosthesis differed significantly by factors mostly controllable either by dentist or a patient. Overall life expectancy was shown to be longer than previous research.

A Preliminary Study for Expending of Hospital-Based Horne Health Care Coverage - Focused on Accident Inpatients Who has the Workers Compensation Insurance - (병원중심 가정간호사업 관리대상범위 확대를 위한 기초연구)

  • Lee, Sook-Ja;Lee, Jin-Kyung;Ryu, Ho-Sihn
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.6
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    • pp.5-18
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    • 1999
  • This study was attempt to encourage for developing on rehabilitation delivery system and programs as a substitute service instead of hospitalization for accident patients at work, such as hospital based home health care nursing service. It needs vary substitutes service of hospitalization to curtail the length of stay for inpatients who were hospitalized with workers compensation insurance. It focused on developing an estimation of early discharge day of accident inpatients based on a detail statement of treatment for 115 inpatients who were hospitalized at General Hospital in 1997. This study has four specific purpose as follows. First, to find out the status of health service utilization. Second, to estimate the early discharge days and income increasing effect based on the early discharge for those patients. Third, to identify the factors to affect total medical expenditure and the length of stay for those inpatients. Forth, to figure out the need of utilizing home health care nursing service for accident patients. In order to analyze of the length of stay and medical expenditure for inpatients who were hospitalized due to the accident, the authors conducted with micro-analysis and macroanalysis from medical records and medical expenditure records. Micro-analysis was done by nominal group discussion of 4 expertise with the critical criteria. such as a decrease in the amount of treatment after surgery, treatments, tests, drugs and changes in the tests consistency, drug methods, vital signs, start of ROM exercise, doctor's order, patient's outside visiting ability, stable conditions. In addition to identify affected variables for medical expenditure. the length of stay and income effect due to early discharge day, the data was analyzed with multiple regression analysis and linear regression analysis model by SPSS-PC for windows and Excell program. Results of this study as follows. First, the mean length of stay was 37.1 days, whereas the mean length of stay due to early discharge was 28.2 days at the hospital. The estimation of early discharge days were shown that depends on the length of stay. The longer length of stay, the longer length of early discharge days, such as under 7 days length of stay patients was to estimated the mean length of stay was 4.9 days and early discharge days was 4.6. whereas the mean length of stay was 122.6 days and early discharge days was 92.0 respectively. The mean medical expenditure per day were found to be 133.409 Won. whereas the mean medical expenditure per day was shown negative linear trends according to the length of stay at the hospital. The estimation results of the income effect due to 11 early discharge days per bed was around 2,150,000 won. However, it means not the real benefits from early discharge, but the income increasing amount without considering medical prime cost in general hospital. Therefore, it needs further analysis on the cost containments and benefits under the considering as well turn over rates per bed as the medical prime costs. The length of stay was most significant and the sign was positive to the total medical expenditure, as expected. Surgery and patient's residential area also an important variable in explaining medical expenditure. The level of complications was most significant variable in explaining the length of stay. The level of the needs on horne health care nursing service which can be used for early discharge accident patients were shown very high. The needs distribution varied from 65.5% of patients and 88.9% of caregivers, to 96.4% of doctors, and 99.1% of nurses. In addition horne health nurse responded that they can be managed the accident inpatients from early discharge. From these research findings. the following suggestions has been drawn it needs to develop strategies on rehabilitation delivery system in order to focused on consumer's side which is planned for 21 century health policy in Korea. Vary intermediate facilities and horne health care would have been developed in the community based for comprehensive rehabilitation services as a substitutes of hospitalization for shortening the length of stay of hospitalizations. In hospital based horne health care nursing service, it's available immediately to utilize for the patients who wanted rehabilitation services as a substitutes of hospitalization under the cooperations with workers compensation insurance company.

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Retrieval of Fire Radiative Power from Himawari-8 Satellite Data Using the Mid-Infrared Radiance Method (히마와리 위성자료를 이용한 산불방사열에너지 산출)

  • Kim, Dae Sun;Lee, Yang Won
    • Journal of Korean Society for Geospatial Information Science
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    • v.24 no.4
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    • pp.105-113
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    • 2016
  • Fire radiative power(FRP), which means the power radiated from wildfire, is used to estimate fire emissions. Currently, the geostationary satellites of East Asia do not provide official FRP products yet, whereas the American and European geostationary satellites are providing near-real-time FRP products for Europe, Africa and America. This paper describes the first retrieval of Himawari-8 FRP using the mid-infrared radiance method and shows the comparisons with MODIS FRP for Sumatra, Indonesia. Land surface emissivity, an essential parameter for mid-infrared radiance method, was calculated using NDVI(normalized difference vegetation index) and FVC(fraction of vegetation coverage) according to land cover types. Also, the sensor coefficient for Himawari-8(a = 3.11) was derived through optimization experiments. The mean absolute percentage difference was about 20%, which can be interpreted as a favourable performance similar to the validation statistics of the American and European satellites. The retrieval accuracies of Himawari FRP were rarely influenced by land cover types or solar zenith angle, but parts of the pixels showed somewhat low accuracies according to the fire size and viewing zenith angle. This study will contribute to estimation of wildfire emissions and can be a reference for the FRP retrieval of current and forthcoming geostationary satellites in East Asia.

Detection of Drought Stress in Soybean Plants using RGB-based Vegetation Indices (RGB 작물 생육지수를 활용한 콩 한발 스트레스 판별기술 평가)

  • Sang, Wan-Gyu;Kim, Jun-Hwan;Baek, Jae-Kyeong;Kwon, Dongwon;Ban, Ho-Young;Cho, Jung-Il;Seo, Myung-Chul
    • Korean Journal of Agricultural and Forest Meteorology
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    • v.23 no.4
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    • pp.340-348
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    • 2021
  • Continuous monitoring of RGB (Red, Green, Blue) vegetation indices is important to apply remote sensing technology for the estimation of crop growth. In this study, we evaluated the performance of eight vegetation indices derived from soybean RGB images with various agronomic parameters under drought stress condition. Drought stress influenced the behavior of various RGB vegetation indices related soybean canopy architecture and leaf color. In particular, reported vegetation indices such as ExGR (Excessive green index minus excess red index), Ipca (Principal Component Analysis Index), NGRDI (Normalized Green Red Difference Index), VARI (Visible Atmospherically Resistance Index), SAVI (Soil Adjusted Vegetation Index) were effective tools in obtaining canopy coverage and leaf chlorophyll content in soybean field. In addition, the RGB vegetation indices related to leaf color responded more sensitively to drought stress than those related to canopy coverage. The PLS-DA (Partial Squares-Discriminant Analysis) results showed that the separation of RGB vegetation indices was distinct by drought stress. The results, yet preliminary, display the potential of applying vegetation indices based on RGB images as a tool for monitoring crop environmental stress.

Efficient Estimation Method of Reception Rate for Terrestrial Digital TV Broadcasting Service (효율적인 지상파 디지털 TV방송 수신율 산정방안)

  • Kwon, Won-Hyun;Kim, Kwang-Ui
    • Journal of IKEEE
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    • v.16 no.1
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    • pp.7-14
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    • 2012
  • In this paper, a reception rate of terrestrial digital TV broadcasting service is analyzed and a novel method which can estimate the broadcasting coverage rate more objectively and reliably than the existing method is proposed. Previous method measures the reception rate by means of electric field intensity measurement or subjective video quality assessment. Because of limited measuring points, it inherently has measurement error and cannot consider the viewer's receiving conditions in real-time. In order to consider the viewer's population and receiving environment, morphology which characterizes the viewer's receiving environment is extracted using household census data of National Statistical Office and the land cover map of Ministry of Environment. Using the extracted geographical morphology, the reception rate of terrestrial digital TV broadcasting service is calculated with Spectrum Management Intelligence System (SMIs). Proposed method can calculate the reception rate more objectively and reliably than the existing methods because it fully considers the viewer's receiving environments in real-time.

Regression models for interval-censored semi-competing risks data with missing intermediate transition status (중간 사건이 결측되었거나 구간 중도절단된 준 경쟁 위험 자료에 대한 회귀모형)

  • Kim, Jinheum;Kim, Jayoun
    • The Korean Journal of Applied Statistics
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    • v.29 no.7
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    • pp.1311-1327
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    • 2016
  • We propose a multi-state model for analyzing semi-competing risks data with interval-censored or missing intermediate events. This model is an extension of the 'illness-death model', which composes three states, such as 'healthy', 'diseased', and 'dead'. The state of 'diseased' can be considered as an intermediate event. Two more states are added into the illness-death model to describe missing events caused by a loss of follow-up before the end of the study. One of them is a state of 'LTF', representing a lost-to-follow-up, and the other is an unobservable state that represents the intermediate event experienced after LTF occurred. Given covariates, we employ the Cox proportional hazards model with a normal frailty and construct a full likelihood to estimate transition intensities between states in the multi-state model. Marginalization of the full likelihood is completed using the adaptive Gaussian quadrature, and the optimal solution of the regression parameters is achieved through the iterative Newton-Raphson algorithm. Simulation studies are carried out to investigate the finite-sample performance of the proposed estimation procedure in terms of the empirical coverage probability of the true regression parameter. Our proposed method is also illustrated with the dataset adapted from Helmer et al. (2001).

A probabilistic knowledge model for analyzing heart rate variability (심박수변이도 분석을 위한 확률적 지식기반 모형)

  • Son, Chang-Sik;Kang, Won-Seok;Choi, Rock-Hyun;Park, Hyoung-Seob;Han, Seongwook;Kim, Yoon-Nyun
    • Journal of Korea Society of Industrial Information Systems
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    • v.20 no.3
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    • pp.61-69
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    • 2015
  • This study presents a probabilistic knowledge discovery method to interpret heart rate variability (HRV) based on time and frequency domain indexes, extracted using discrete wavelet transform. The knowledge induction algorithm was composed of two phases: rule generation and rule estimation. Firstly, a rule generation converts numerical attributes to intervals using ROC curve analysis and constructs a reduced ruleset by comparing consistency degree between attribute-value pairs with different decision values. Then, we estimated three measures such as rule support, confidence, and coverage to a probabilistic interpretation for each rule. To show the effectiveness of proposed model, we evaluated the statistical discriminant power of five rules (3 for atrial fibrillation, 1 for normal sinus rhythm, and 1 for both atrial fibrillation and normal sinus rhythm) generated using a data (n=58) collected from 1 channel wireless holter electrocardiogram (ECG), i.e., HeartCall$^{(R)}$, U-Heart Inc. The experimental result showed the performance of approximately 0.93 (93%) in terms of accuracy, sensitivity, specificity, and AUC measures, respectively.

Characterization of Shear Waves in Busan New Port Clay: Estimation of the Coefficients of Shear Wave Velocity (부산 신항 점토의 전단파 특성 연구: 전단파 속도 계수 추정 사례)

  • Lee, Jong-Sub;Kim, Youngseok;Hong, Seungseo;Yoon, Hyung-Koo
    • The Journal of Engineering Geology
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    • v.23 no.4
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    • pp.503-510
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    • 2013
  • Shear wave velocity is widely used as an parameter for investigating subsurface characteristics and for obtaining the design parameters based on theoretical equations. This study seeks to estimate the coefficient of shear wave velocity in Busan clay via laboratory tests. Eight specimens were extracted at depths of 10, 12, 15, 20, 22, 25, 30, and 31 m. The specimens were subjected to the consolidation test to determine the relationship between effective stress and shear wave velocity. The relationship shows a non-linear trend and is similar to the results of a previous study. The coefficient shows constant coverage and a relationship between ${\alpha}$ and ${\beta}$ is suggested. The results demonstrate that this coefficient could be used as a reference value to determine engineering parameters based on the shear wave velocity.

A Study on the Demand Zone of Housing for New Town: Focused on Seoul Metropolitan Area (택지개발지구의 주택 수요권역 실증 연구: 수도권을 중심으로)

  • Kim, Jong-Lim;Cho, Han-Jin;So, Soon-Woo
    • Land and Housing Review
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    • v.6 no.3
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    • pp.107-115
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    • 2015
  • Recently one of interest concern in domestic housing market is to reduce the difference of supply and demand. Exact demand estimation by accurate demand region is a essential cue to reduce the gap. This empirical study compared the data of housing subscriber's real address with estimated demand area on household movement, which are applied by advanced studies. This empirical case data is related to 3 housing development districts in metropolitan area. As a result, This study found that the real demand area has a more widened coverage compared with those of household movement one. For to establish exact demand area, we found, more complementary considerations should be taken. Especially some factors such as distance between a project site and downtown of Seoul Metropolitan City, locational competitiveness on main demand and behind demand, and development scale are more considerable variables. In additionally, we found the demand areas are influenced by housing rental types, sizes and the real estate business trends. And also, this study found those factors should be considered with housing price and locational competitiveness.

Measuring the resource-based relative value scale scores for physical therapies of traditional Korean medicine and estimating the insurer's expenditure in National Health Insurance (한방물리요법 상대가치 산출과 급여 확대 시 재정부담 추계)

  • Lim, Byung-Mook;Shin, Mi-Sook;Shin, Byung-Cheul;Song, Yoon-Kyung;Song, Mi-Yeon;Shin, Seung-Woo;Kim, Ho-Jun;Lee, Myeong-Jong
    • Journal of Society of Preventive Korean Medicine
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    • v.14 no.2
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    • pp.57-66
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    • 2010
  • Backgrounds : Since December 1, 2009, National Health Insurance began to reimburse for three physical therapies of Korean medicine. The extension of insurance coverage is demanded by Korean medicine societies. Objectives : This study aimed to measure the resource-based relative value scale (RBRVS) scores for thirty four physical therapies of Korean medicine and to estimate the insurer's expenditure for them in National Health Insurance. Methods : To measure the physician's work and the practice expense, the 'magnitude estimation method (MEM)' and the 'fully distributed cost - attributable cost method (FDC-ACM)' were applied respectively. We collected the frequency data of physical therapies from Korean medicine hospitals and clinics to estimate the total expenditure. Results : The resource-based relative value scale scores of physical therapies were measured from 23.44 to 160.66. Total insurer's expenditure was calculated to be 95.5 billion won as of 2009. Conclusions : Based on the result that showed minor increase of total expenditure, most physical therapies of Korean medicine need to be reimbursed in the National Health Insurance.