• Title/Summary/Keyword: Economical Cost-Effectiveness

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Study on the Economic Analysis for Developing Bukhansan Mountain Train (북한산 산악철도 개발의 경제성 분석 연구)

  • Lee, Jong-Seong;Song, Moon-Shuk
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.7
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    • pp.4969-4976
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    • 2015
  • South Korea has more than two-thirds of the land consists of mountainous terrain. It is necessary to enable the recycling of mountain tourism policy to allow people to use. This paper studied Bukhansan where there seems to have the most economical efficiency and effectiveness as an alternative means of transportation applying user'swillingnessto pay by age based upon the Study on Introduction Bukhansan Mountain Railway which was progressed as part of the balanced national development and railway promotion strategy. The Analyisis results are shown that cost-benefit ratio is Lim 0.73 and rack & pinion 0.8. The rack-and-pinion method is selected as an applicable alternative. If the new technologies are developed and made part of the construction of the tunnel route was judged as possible as an alternative way LIM

The Clinical and Cost Effectiveness of Medical Nutrition Therapy for Patients with Type 2 Diabetes Mellitus (제2형 당뇨병환자에서 임상영앙치료의 임상적 효과와 비용효과 연구)

  • Cho, Youn-Yun;Lee, Moon-Kyu;Jang, Hak-Chul;Rha, Mi-Yong;Kim, Ji-Young;Park, Young-Mi;Sohn, Cheong-Min
    • Journal of Nutrition and Health
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    • v.41 no.2
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    • pp.147-155
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    • 2008
  • Medical nutrition therapy (MNT) is considered a keystone of medical treatment of chronic diseases. However, only few studies have evaluated medical and economical outcome of MNT. The study was performed on the patient with type 2 diabetes mellitus to evaluate the effect of clinical and cost-effective outcomes of MNT. Subjects from two general hospitals were randomly assigned to two different groups; One receiving basic nutritional education (BE) (n = 35), and the other receiving intensive nutritional education (IE) (n = 32) for a 6-month clinical trial. The group which received BE had a single visit with a dietitian, while the other group which received IE had an initial visit with a dietitian addition to two visits during the first 4 weeks of the study periods. Anthropometric parameters, blood components, and dietary intake were measures at the beginning of study period and after 6 month. Cost-effective analysis included direct labor costs, educational materials and medication cost difference during 6 months. After 6 month, subjects from IE group showed significant reduction of body weight (p <0.05) and systolic blood pressure (p <0.05), whereas BE group did not show any significant changes. Result from biochemical indices showed glycated hemoglobin concentration was significantly reduced by 0.7% (p <0.05) only in the IE group. The ratio of energy intake to prescribed energy intake decreased significantly in both groups (p <0.05). Mean time taken for a dietitian to educate the subject was 67.9 ${\pm}$ 9.3 min/person for BE group, while 96.4 ${\pm}$ 12.2 min/person for IE group. Mean number of educational materials was 1.9 ${\pm}$ 0.7/person for BE group and 2.5 ${\pm}$ 0.7/person for IE group. Change in glycated hemoglobin level along the 6 month period of study can be achieved with an investment of \88,510/% by implementing BE and \53,691/% by implementing IE. Considering the net cost-effect of blood glucose control and HbA Ic, IE which provides MNT by dietitian had a cost efficiency advantage than that of BE. According to this study, MNT provided by dietitian had a significant improvements in medical and clinical outcomes compared to that of BE intervention. Therefore, MNT protocol should be performed by systemic intensive nutrition care by dietitian in clinical setting to achieve good therapeutic results of DM with lower cost.

Effectiveness of Music-listening intervention on Hwa-byung Patients (화병환자를 대상으로 한 음악청취 중재의 효과에 대한 연구)

  • Park, So-Jeong;Jung, Sun-Yong;Hwang, Wei-Wan;Kim, Jong-Woo
    • Journal of Oriental Neuropsychiatry
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    • v.18 no.3
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    • pp.23-41
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    • 2007
  • Objective: The objectives of this preliminary study was to develop cost-effective and accessible self-intervention program and to assess the effects of music listening self intervention program for Hwa-byung patients, who had undergone conflicts with family and economical problems, in quantity and quality. Subjects: Seven middle age women who bad been diagnosed with Hwa-byung by Hwa-Byung Diagnotic interview Schedule participated in this program. Method: Participants learned music listening techniques and visited hospital three times a week during 2 weeks. Music-listening self intervention for Hwa-byung patients was consisted of three sad musics(in minor) and three sedative musics(in major) and perlO1med at home for 2 weeks. Patient's somatic symptoms and self awareness (of Hwa-byung scale), anxiety(STAD, anger(STAXD, depressive mood(BDD were evaluated before and after intervention and 6 weeks later after study completed. And various and subjective responses of Music-listening self intervention for Hwa-byung patients were collected by semi- structured interview made for this study. Results: Their Somatic symptoms(especially insomnia), self-awareness of Hwa-byung and depressive mood were improved except anxiety, anger. This improvement had maintained over a 6-week follow-up period. Patients had used constantly the music-listening program for Hwa-byung patients after the study completed. Conclusion: The music-listening program will be an effective for Hwa-byung patient's somatic symptoms and depressive mood and had been used constantly by them. But, much methodological supplementation will be needed to assess clinical effects on this program.

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Comparisons of Adherence, Efficacy and Price between Sitagliptin/Metformin Fixed-dose Combination Tablets and Concomitant Administration of Sitagliptin and Metformin in Type 2 Diabetes Mellitus Patients (제2형 당뇨병 환자에서 시타글립틴과 메트포민 고정 복합제 투여와 단일제 병용간의 복약 순응도, 효과 및 약가에 대한 비교 연구)

  • Park, Ji Hye;Lee, Byung Koo;Kim, Jae Youn;Gwak, Hye Sun
    • Korean Journal of Clinical Pharmacy
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    • v.24 no.3
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    • pp.193-198
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    • 2014
  • Objective: This study was conducted to compare the adherence, clinical and economical utility of fixed-dose combination tablets of sitagliptin/metformin with concomitant administration of sitagliptin and metformin in patients with type 2 diabetes mellitus. Methods: Adherence was measured as the medication possession ratio (MPR) of ${\geq}80%$, and MPR was calculated as the number of total prescription days divided by the total treatment period. Hemoglobin $A_{1C}$ ($HbA_{1c}$) differences between baseline and predetermined periods were analyzed. Proportions of patients who achieved $HbA_{1c}$ less than 6.5% for three or more consecutive times were compared. To evaluate cost-effectiveness, prices of sitagliptin, metformin and sitagliptin/metformin tablets were investigated. Results: More than 90% of patients showed adherence in both groups (92.0% in fixed-dose combination group vs 95.9% in concomitant administration group), and there was no statistically significant difference (P = 0.113). Proportion of patients with HbA1c less than 6.5% for three or more consecutive times tended to be somewhat higher in fixed dose combination group than in concomitant administration group without a statistically significant difference (32.6% vs. 28.0%, P = 0.344). Total price of metformin and sitagliptin was cheaper up to 222 KRW in the case of fixed-dose combination tablets compared to the case of concomitant administration. Conclusion: The sitagliptin/metformin fixed-dose combination tablet had a similar patient adherence and was not significantly different in efficacy to the concomitant administration of each component. In terms of drug prices, fixed-dose combination tablets were cheaper than concomitant administration of each tablet.

Update for Building Layers of Digital Map Using LiDAR Data and Aerial Images (LiDAR자료와 항공영상을 이용한 수치지형도 건물레이어 갱신)

  • Yoo, Hwan-Hee;Goo, Sin-Hoi;Kim, Seong-Sam
    • Journal of Korean Society for Geospatial Information Science
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    • v.14 no.2 s.36
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    • pp.43-53
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    • 2006
  • As NGIS project has been implemented in 1995 and effectiveness of geospatial information increased, Digital maps serve several purpose in administrative, living, and the variety of industrial fields. But, Digital maps have difficulties in application of managing urban facilities due to many differences with real world information caused by high update cost and long generation period. This paper suggests an update method of building layers of digital map in urban area; first, we verify the filtered building information using digital areal imagery and LiDAR data which is high-accurate and also can be faster and more economical in 3D information acquisition, and finally update building layers by comparing with the existed digital map. Future research will concentrate on automatic removal of the small and the tree regions, discrimination of buildings and vegetation for generating and updating building layers using LiDAR data.

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Study on Decision-Making Model to Select Optimal Strengthening Method (최적 보강공법 선정을 위한 의사결정모델에 관한 연구)

  • Sun, Jong-Wan;Park, Kyong-Hoon;Oh, Hong-Sub;Cho, Hyo-Nam
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.14 no.1
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    • pp.117-124
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    • 2010
  • Different to other social infrastructures, bridge elements or bridges can be damaged or collapsed and this may cause death toll and severe social and economical damage, bridges should be managed to maintain a safety level. Diverse strengthening methods is developed to improve a deteriorated bridge performance up to original design level. But rational decision-making process and methodologies to select a optimum strengthening method are absence yet in Korea. This paper therefore derived items and proposed methodologies for quantity estimate considering uncertainty to select a optimum strengthening method among conceptually designed alternatives. And also, to demonstrate the applicability and verification of the proposed approach, it was applied to select the optimum strengthening method for the deteriorated T-shape concrete girder bridge. The model and the procedure can greatly contribute to the uncertainty-oriented alternative selection.

Hysteretic performance of SPSWs with trapezoidally horizontal corrugated web-plates

  • Kalali, Hamed;Hajsadeghi, Mohammad;Zirakian, Tadeh;Alaee, Farshid J.
    • Steel and Composite Structures
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    • v.19 no.2
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    • pp.277-292
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    • 2015
  • Previous research has shown that steel plate shear walls (SPSWs) are efficient lateral force-resisting systems against both wind and seismic loads. A properly designed SPSW can have high initial stiffness, strength, and energy absorption capacity as well as superior ductility. SPSWs have been commonly designed with unstiffened and stiffened infill plates based on economical and performance considerations. Recent introduction and application of corrugated plates with advantageous structural features has motivated the researchers to consider the employment of such elements in stiffened SPSWs with the aim of lowering the high construction cost of such high-performing systems. On this basis, this paper presents results from a numerical investigation of the hysteretic performance of SPSWs with trapezoidally corrugated infill plates. Finite element cyclic analyses are conducted on a series of flat- and corrugated-web SPSWs to examine the effects of web-plate thickness, corrugation angle, and number of corrugation half-waves on the hysteretic performance of such structural systems. Results of the parametric studies are indicative of effectiveness of increasing of the three aforementioned web-plate geometrical and corrugation parameters in improving the cyclic response and energy absorption capacity of SPSWs with trapezoidally corrugated infill plates. Increasing of the web-plate thickness and number of corrugation half-waves are found to be the most and the least effective in adjusting the hysteretic performance of such promising lateral force-resisting systems, respectively. Findings of this study also show that optimal selection of the web-plate thickness, corrugation angle, and number of corrugation half-waves along with proper design of the boundary frame members can result in high stiffness, strength, and cyclic performances of such corrugated-web SPSWs.

Analysis on Flexural Behavior of Spiral Steel Pipe Considering Residual Stress Developed by Pipe Manufacturing (조관에 의한 잔류 응력을 고려한 스파이럴 강관의 휨 거동 분석)

  • Kim, Kyuwon;Kim, Jeongsoo;Kang, Dongyoon;Kim, Moon Kyum
    • Journal of the Korean Institute of Gas
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    • v.23 no.4
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    • pp.65-73
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    • 2019
  • A spiral steel pipe has been more used widely as a structural member as well as transport pipeline because the pipe can be manufactured continuously, consequently more economical than the conventional UOE pipe. As improved pipe manufacture technology makes spiral pipes to have high strength and to have larger diameters, the spiral pipes have been recently used as long distance transport pipeline with a large diameter and strain-based design is thus required to keep structural integrity and cost effectiveness of the spiral pipe. However, design codes of spiral pipe have not been completely established yet, and structural behaviors of a spiral pipe are not clearly understood for strain-based design. In this paper, the effects of residual stresses due to the spiral pipe manufacture process are investigated on the flexural behavior of the spiral pipe. Finite element analyses were conducted to estimate residual stresses due to the manufacturing process for the pipes which have different forming angle, thickness, and strength, respectively. After that, the results were used as initial conditions for flexural analysis of the pipe to numerically investigate its flexural behaviors.

A comprehensive review of the Fenton-based approaches focusing on landfill leachate treatment

  • Hussain, Mujtaba;Mahtab, Mohd Salim;Farooqi, Izharul Haq
    • Advances in environmental research
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    • v.10 no.1
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    • pp.59-86
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    • 2021
  • Landfilling is the most commonly adopted method for a large quantity of waste disposal. But, the main concern related to landfills is the generation of leachate. The leachate is high strength wastewater that is usually characterized by the presence of high molecular recalcitrant organics. Several conventional methods are adopted for leachate treatment. However, these methods are only suitable for young leachate, having high biodegradability and low toxicity levels. The mature and stabilized leachate needs advanced technologies for its effective treatment. Advanced oxidation processes (AOPs) are very suitable for such complex wastewater treatment as reported in the literature. After going through the literature survey, it can be concluded that Fenton-based approaches are effective for the treatment of various high/low strength wastewaters treatment. The applications of the Fenton-based approaches are widely adopted and well recognized due to their simplicity, cost-effectiveness, and reliability for the reduction of high chemical oxygen demand (COD) as reported in several studies. Besides, the process is relatively economical due to fewer chemical, non-sophisticated instruments, and low energy requirements. In this review, the conventional and advanced Fenton's approaches are explained with their detailed reaction mechanisms and applications for landfill leachate treatment. The effect of influencing factors like pH, the dosage of chemicals, nature of reaction matrix, and reagent ratio on the treatment efficiencies are also emphasized. Furthermore, the discussion regarding the reduction of chemical oxygen demand (COD) and color, increase in biodegradability, removal of humic acids from leachate, combined processes, and the pre/post-treatment options are highlighted. The scope of future studies is summarized to attain sustainable solutions for restrictions associated with these methods for effective leachate treatment.

Machinability investigation and sustainability assessment in FDHT with coated ceramic tool

  • Panda, Asutosh;Das, Sudhansu Ranjan;Dhupal, Debabrata
    • Steel and Composite Structures
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    • v.34 no.5
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    • pp.681-698
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    • 2020
  • The paper addresses contribution to the modeling and optimization of major machinability parameters (cutting force, surface roughness, and tool wear) in finish dry hard turning (FDHT) for machinability evaluation of hardened AISI grade die steel D3 with PVD-TiN coated (Al2O3-TiCN) mixed ceramic tool insert. The turning trials are performed based on Taguchi's L18 orthogonal array design of experiments for the development of regression model as well as adequate model prediction by considering tool approach angle, nose radius, cutting speed, feed rate, and depth of cut as major machining parameters. The models or correlations are developed by employing multiple regression analysis (MRA). In addition, statistical technique (response surface methodology) followed by computational approaches (genetic algorithm and particle swarm optimization) have been employed for multiple response optimization. Thereafter, the effectiveness of proposed three (RSM, GA, PSO) optimization techniques are evaluated by confirmation test and subsequently the best optimization results have been used for estimation of energy consumption which includes savings of carbon footprint towards green machining and for tool life estimation followed by cost analysis to justify the economic feasibility of PVD-TiN coated Al2O3+TiCN mixed ceramic tool in FDHT operation. Finally, estimation of energy savings, economic analysis, and sustainability assessment are performed by employing carbon footprint analysis, Gilbert approach, and Pugh matrix, respectively. Novelty aspects, the present work: (i) contributes to practical industrial application of finish hard turning for the shaft and die makers to select the optimum cutting conditions in a range of hardness of 45-60 HRC, (ii) demonstrates the replacement of expensive, time-consuming conventional cylindrical grinding process and proposes the alternative of costlier CBN tool by utilizing ceramic tool in hard turning processes considering technological, economical and ecological aspects, which are helpful and efficient from industrial point of view, (iii) provides environment friendliness, cleaner production for machining of hardened steels, (iv) helps to improve the desirable machinability characteristics, and (v) serves as a knowledge for the development of a common language for sustainable manufacturing in both research field and industrial practice.