• Title/Summary/Keyword: ECI

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Assessment of Validity of Inpatient Classification System in Korean Medicine (KDRG-KM) (한의 입원환자분류체계의 적정성 평가)

  • Kim, Dongsu;Ryu, Jiseon;Lee, Byungwook;Lim, Byungmook
    • The Journal of Korean Medicine
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    • v.37 no.3
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    • pp.112-122
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    • 2016
  • Objectives: This study aimed to assess the validity of 'Korean Diagnosis Related Groups-Korean Medicine (KDRG-KM)' which was developed by Health Insurance Review & Assessment Service (HIRA) in 2013 Methods: Among inpatient EDI claim data issued by hospitals and clinics in 2012, the data which included Korean medicine procedures were selected and analyzed. We selected control targets in the Korean medicine hospitals which had longer Episodes-Costliness index (ECI) and Lengthiness index (LI) than average of total Korean medicine hospitals, and compared the results of selection between the major diagnosis-based patient classification system and the KDRG-KM system. Finally, the explanation power (R2) and coefficient of variation (CV) of the KDRG-KM system using practice expenses were calculated. Results: The numbers of control target in Korean medicine hospitals changed from 36 to 32 when patient grouping adjustment method was changed from major diagnosis to KDRG-KM. For expenses of all outpatient claim data on Korean medicine, explanation power of KDRG-KM system was 66.48% after excluding outliers. CVs of expenses of patient groups in Korean medicine hospitals were gathered from under 70% to under 90%, and those in long-term care hospitals mostly belonged under 70%. Conclusions: The validity of KDRG-KM system was assured in terms of explanation power. By adapting KDRG-KM system, fairness of control targets selection for costliness management in Korean medicine hospitals can be enhanced.

Effects of Qi Gong Exercise on the Immune Response, Pulse Wave Parameter and Heart Rate Variability(HRV) for Post Mastectomy Women (기공(氣功) 운동이 유방암 절제술 여성의 면역, 맥상파 및 심박변이에 미치는 영향)

  • Kim, Yi Soon;Lee, Jeong Won;Kim, Yun Hee;Oh, Mi Jung;Kim, Gyeong Cheol
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.19 no.2
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    • pp.75-90
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    • 2015
  • Objectives The purposes of this study was to develope a Qi gong exercise that suits characteristics of post mastectomy women, and to evaluate the effect of Qi gong exercise on immune response, blood circulation index, pulse wave parameter and heart rate variability. Methods This study was applied to total 35 post mastectomy women, including 17 for experiment group and 18 for control group. The Qi gong exercise was composed of total 24 times of 90 minutes per each time, twice a week, and 12 weeks and it was conducted by the oriental medicine professor who was an expert of Qi gong exercise. Results 1. Two group comparison revealed that the experimental group had significantly improved immune response(p<.021), HR(beats/min)(p<.001), ESV(ml/beat)(p=.038), ESI($ml/beat/m^2$)(p=.040), ECO (L/min)(p=.019), ECI($L/min/m^2$)(p=.023), ECRI($dyne^*sec/cm$)(p=.015), Left Kwan($div^3$)(p=.021), Right Kwan($div^3$)(p=.038), Mean HRV(cycle/min)(p<.001), SDNN(ms)(p=.043), RMSSD(ms)(p=.040), and TP(log $ms^2$)(p=.039). 2. Two group comparison revealed that the experimental group had significantly decreased ECR ($dyne^*sec^*cm^{-5}$) (p=.034), Left RAI(p=.044), Right RAI(p=.042), and pNN50(%)(p=.038). Conclusions These results from Qi gong exercise program can be used as basic data for development of health promotion program for Post Mastectomy Women.

Requirement Analysis and Development of TCMS (종합제어장치(TCMS) 요구사항 분석과 개발)

  • Choi, Byoung-Wook;Seo, In-Myung;Kim, Soo-Ho;Park, Jong-Heon
    • Journal of the Korean Society for Railway
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    • v.14 no.6
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    • pp.507-514
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    • 2011
  • Recently, we developed a new subway train with many cooperative companies. The main controller of the subway train is Control and Monitoring System (TCMS), so we conducted requirement analysis of TCMS considering system performance, easy maintenance and service oriented flexibility. Hence, we adopted new bus architecture and QNX as a Real-time Operating System (RTOS) and developed hardware systems. The functions of TCMS are employed into two computers, service computer and control/monitor computer, to increase on their performance and to yield easy maintenance and to satisfy customer needs. The TCMS controls and monitors control devices equipped in the train through various protocols which are implemented in hardware. In order to evaluate the performance of the system and to satisfy reliability, various experiments including EMC/ECI were performed. Now the TCMS is installed on the newly developed train and is under performance evaluation through test driving.

Waveform Changes of the Radial Pulsation Followed by the Food Intakes in Healthy Subjects (식사에 따른 맥상파 변화 연구 -h1, t, 맥(脈)에너지, RAI를 중심으로-)

  • Kim, Gyeong-Cheol;Lee, Jeong-Won;Ryu, Gyeong-Ho;Kim, Yi-Soon
    • Korean Journal of Oriental Medicine
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    • v.17 no.3
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    • pp.87-96
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    • 2011
  • Objectives : The study on the affected factor of the pulse wave is important in the pulse wave part. The purpose of this study is to secure the objective data of pulse-wave parameter on the food intakes affected the radial pulse-wave. Methods : The study was carried out healthy adult men. We researched the blood circulation index and the changes of the pulse factor according to 'before meal', 'right after meal', '30 minute after meal', '1 hour after meal' and '2 hours after meal'. We analyzed the changes according the time schedule. And analyzed the difference between 'before meal' and 'after meal'on the pulse-wave parameter. Results : The results were as follows. 1. HR, ECO and ECI were showed the highest increase 'after meal' and the significant decrease in '2 hours after meal' with 'before meal' degree. 2. In the pulse energy, 'left hand average pulse energy' was showed the highest increase 'after meal', and 'right hand average pulse energy' and 'right Quan(關)' were showed the highest increase in '30 minute after meal'. 3. h1 of '6 part of left and right hand'(Chon-Quan-Chuk, 寸關尺) was showed the significant difference statistically in 'left Chuk' and 'right Quan'. 4. T was showed the highest 'before meal' and the lowest after meal in '6 part of left and right' (Chon-Quan-Chuk, 寸關尺). 5. RAI was showed the highest 'before meal' in '6 part of left and right'(Chon-Quan-Chuk 寸關尺). Conclusions : From the about results, the food intakes was considered important factor of pulse formation. On the factor affected the pulse, we considered that continuous study needs for the future.

Analysis of Geomagnetic Field measured from KOMPSAT-1 Three-Axis Magnetometer (다목적위성 삼축자력계로부터 관측된 지구자기장에 관한 연구)

  • 김정우;황종선;김성용;이선호;민경덕;김형래
    • Economic and Environmental Geology
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    • v.37 no.4
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    • pp.401-411
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    • 2004
  • The Earth's total magnetic field was calculated from on board TAM(Three-Axis Magnetometer) observations of KOMPSAT-1 satellite between June 19th and 21st, 2000. The TAM's telemetry data were transformed from ECI(Earth-Centered Inertial Frame) to ECEF(Earth-Centered Earth-Fixed Frame) and then to spherical coordination. Self-induced field from the satellite bus were removed by the symmetric nature of the magnetic field. The 2-D wavenumber correlation filtering and quadrant-swapping method were applied to eliminate the dynamic components and track-line noise. To test the validity of the TAM's geomagnetic field, ${\phi}$rsted satellite's magnetic model and IGRF2000 model were used for statistical comparison. The correlation coefficients between KOMPSAT-1/${\phi}$rsted and KOMPSAT-1/IGRF2000 models are 0.97 and 0.96, respectively. The global spherical harmonic coeffi-cient was then calculated from the KOMPSAT-1 data degree and order of up to 19 and compared with those from IGRF2000, $\phi$rsted, and CHAMP models. The KOMPSAT-1 model was found to be stable to degree & order of up to 5 and it can give new information for the low frequency components of the global geomagtic field.

Case of the Anti-Type 2 Diabetes Effects on the Prescription of Red Onion (한약과 자색양파 제재로 호전된 제2형 당뇨병 42례 보고)

  • Lee, Jeong Won;Kim, Yi Soon;Kim, Chang Tae;Kwak, Yi Sub;Lee, Hai Woong;Han, Cho Ryang;Oh, Mi Jung;Kim, Gyeong Cheol
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.27 no.4
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    • pp.465-470
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    • 2013
  • The purpose of this study is to observe clinically the effects of red onion prescription on type 2 diabetes. The subject of this study were middle-aged people. We measured clinically physiological index, body composition, radial arterial pulse wave before taking medicine and after taking medicine for 4 month (the prescription of red onion). The study results were as follows. In physiological Index, diastolic blood pressure(mmHg)(p<0.001), Fasting blood glucose(mg/dL)(p=0.001), and HbA1c(%)(p<0.001) were decreased significantly after taking medicine. In body Composition, waist-hip ratio(p=0.031), body fat percentage(p=0.006), fat mass(kg)(p=0.005), and muscle mass(kg)(p=0.001) were decreased significantly after taking medicine. Blood Circulation Index, ECO(L/min)(p=0.038) and ECI($L/min/m^2$)(p=0.007) were increased significantly after taking medicine, ECR($dyne^*sec^*cm^{-5}$)(p=0.002), and ECRI($dyne^*sec/cm$)(p=0.001) were decreased significantly after taking medicine for 4 month. The prescription of red onion was showed significant change in physiological index, character of body composition, blood circulation index. Based on this result, it is considered that red onion prescription has the positive effects on type 2 diabetes and blood circulation clinically. In the future, diversified studies on the effects of red onion prescription are needed.

Competency Modeling Using AHP Methodology and Improvement of National Technical Qualification System (다면 AHP 방법론을 활용한 역량 모델링과 국가기술자격제도 개선 방안 도출)

  • Lee, Jae Yul;Hwang, Seung-June
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.40 no.4
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    • pp.191-202
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    • 2017
  • The purpose of this study is to develop an engineer competency model using Analytical Hierarchy Process (AHP) to improve the national technical qualification system. Korea has managed technical human resources at the government level through the operation of a national technical qualification system that certifies engineers with national certificates or technical grades by laws. However, there have been increasing concerns that the government system is separated from global standards and does not reflect an engineer's comprehensive capabilities. For these reasons, the new architecture of the system has been continuously discussed and becomes a major policy issue of the Korean government. For the development of the engineer competency model, domestic and global models were separately structured using 554 valid questionnaires with a consistency ratio (CR) of 0.1 or less. The relative importance of engineer competency factors in a domestic model was career (0.383), qualification (0.253), academic degree (0.195), and job training (0.169) whereas the order in the global model was career (0.308), global ability (0.237), job training (0.175), domestic qualification (0.147), and academic degree (0.134). The results of AHP analysis indicated that the evaluation factors and methods recognized by engineers were different from a current government model focusing on domestic qualifications. There was also perceptual difference in the importance of engineer evaluation factors between groups depending on the type of organizations and markets. This means that it is necessary to reflect the characteristics of organizations and markets when evaluating engineer competency. Based on AHP analysis and literature reviews, this paper discussed how to develop a new engineer competency index (ECI) and presented two effective index models verified by simulation test using 59,721 engineers' information. Lastly, the paper discussed major findings of our empirical research and proposed policy alternatives for the improvement of a national engineer qualification system. The paper contributes to the management of technical human resources since it provides quantitative competency models that are objectively developed by reflecting market recognition and can be effectively used by the policy makers or firms.

Estimation of Employment Creation Center considering Spatial Autocorrelation: A Case of Changwon City (공간자기상관을 고려한 고용창출중심지 추정: 창원시 사례를 중심으로)

  • JEONG, Ha-Yeong;LEE, Tai-Hun;HWANG, In-Sik
    • Journal of the Korean Association of Geographic Information Studies
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    • v.25 no.1
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    • pp.77-100
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    • 2022
  • In the era of low growth, many provincial cities are experiencing population decline and aging. Population decline phenomena such as reduction of productive manpower, reduction of finances, deterioration of quality of life, and collapse of the community base are occurring in a chain and are being pushed to the brink of extinction of the cities. This study aims to propose a methodology to objectively estimate the employment creation centers and setting the basic unit of industrial-centered zoning by applying spatial statistical techniques and GIS for the application of the compact city plan as an efficient spatial management policy in a city with a declining population. In details, based on reviewing previous studies on compact city, 'employment complex index(ECI)' were defined considering the number of workers, the number of settlers, and the area of development land, the employment creation center was estimated by applying the 'Local Moran's I' and 'Getis-Ord's Hot-Spot Analysis'. As a case study, changes in the four years of 2013, 2015, 2017, and 2019 were compared and analyzed for Changwon City. As a result, it was confirmed that the employment creation center is becoming compacted and polycentric, which is a significant result that reflects the actual situation well. This results provide the basic data for functional and institutional territorial governance for the regional revitalization platform, and provide meaningful information necessary for spatial policy decision-making, such as population reduction, regional gross domestic product, and public facility arrangement that can respond to energy savings, transportation plans, and medical and health plans.

Influences of Chinese Cabbage Growth and Soil Salinity to Alternative Irrigation Waters (대체관개 용수에 의한 배추생육 및 토양 염류도에 미치는 영향)

  • Shin, Joung-Du;Park, Sang-Won;Kim, Won-Il;Lee, Jong-Sik;Yun, Sun-Gang;Eom, Ki-Cheol
    • Korean Journal of Soil Science and Fertilizer
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    • v.40 no.1
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    • pp.25-30
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    • 2007
  • Objective of this experiment was to investigate the growth effects of Chinese cabbage and soil salinity to alternative irrigation waters for drought periods. The treatments were consisted of the discharge water from industrial wastewater treatment plant (DIWT), the discharge water from municipal wastewater treatment plant (DMWT) and ground water as the control. For the chemical compositions of alternative water, it appeared that concentrations of the $Ni^+$ and SAR values in DIWT were over the reuse criteria of other countries for irrigation, but CODcr concentration in DMWT was higher than the reuse criteria for agricultural irrigation. According to classification of water by $EC_i$ value, DIWT and DMWT are ranged from 0.7 to $2.0dS\;m^{-1}$, slight salinity. Average harvest indexes were 0.64 for DIWT and 0.63 for DMWT as compared to 0.61 of the control regardless of irrigation periods. SAR value in soil was increased with prolonging the irrigation periods at head forming stage, but not much difference except for 30 days of irrigation period at harvesting time for DIWT. However, it was not much difference along with irrigation periods through the growth stages for DMWT as compared with the groundwater. At harvesting time, average $EC_e$ for the soil irrigated with alternative agricultural waters was $0.017dS\;m^{-1}$ for its DIMT and $0.036dS\;m^{-1}$ for its DMWT as compared to $0.013dS\;m^{-1}$ of its groundwater as the control. For $NH_4-N$ concentrations, it observed that there were no differences among the treatments with different irrigation periods at head forming stage in soil after irrigation. Also, $NO_3-N$ concentration in soil was increased up to 20 days after irrigation, and then decreased at 30 days after irrigation with DMWT at head forming stage. The $Ni^+$ concentration in upper layer soil (0-15 cm) irrigated with DIWT was increased with prolonging the irrigation period at head forming stage, but it was dramatically decreased and almost constant in all the treatments at harvesting time. Therefore, it might be concluded that there was potentially safe to irrigate the discharge water from municipal wastewater treatment plant for 20 days after transplanting to drought periods with cultivating the Chinese cabbage.