• Title/Summary/Keyword: Encounter Cost

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Same-Day versus Overnight Observation after Outpatient Pediatric Percutaneous Liver Biopsy: A Retrospective Cohort Study

  • Kozlovich, Svetlana Yuryevna;Sochet, Anthony Alexander;Son, Sorany;Wilsey, Michael John
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.22 no.4
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    • pp.377-386
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    • 2019
  • Purpose: Percutaneous liver biopsy (PLB), a diagnostic procedure to identify several hepatobiliary disorders, is considered safe with low incidence of associated complications. While postoperative monitoring guidelines are suggested for adults, selection of procedural recovery time for children remains at the discretion of individual operators. We aim to determine if differences exist in frequency of surgical complications, unplanned admissions, and healthcare cost for children undergoing outpatient PLB for cohorts with same-day vs. overnight observation. Methods: We performed a retrospective cohort study in children 1 month to 17 years of age undergoing ultrasound-guided PLB from January 2009 to August 2017 at a tertiary care, pediatric referral center. Cohorts were defined by postprocedural observation duration: same-day (${\leq}8$ hours) vs. overnight observation. Outcomes included surgical complications, medical interventions, unscheduled hospitalization within 7 days, and total encounter costs. Results: One hundred and twelve children met study criteria of which 18 (16.1%) were assigned to same-day observation. No differences were noted in demographics, anthropometrics, comorbidities, biopsy indications, or preoperative coagulation profiles. No major complications or acute hospitalizations after PLB were observed. Administration of analgesia and fluid boluses were isolated and given within 8 hours. Compared to overnight monitoring, same-day observation accrued less total costs (US $992 less per encounter). Conclusion: Same-day observation after PLB in children appears well-tolerated with only minor interventions and complications observed within 8 hours of procedure. We recommend a targeted risk assessment prior to selection of observation duration. Same-day observation appears an appropriate recovery strategy in otherwise low-risk children undergoing outpatient PLB.

A Study on the Economical PQMS of the Utility Distribution Power System (전력회사 관점의 배전계통 경제형 PQM 시스템 구축방안)

  • Park, Yong-Up;Lee, Keon-Hang
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.59 no.9
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    • pp.1523-1529
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    • 2010
  • This paper describes the distribution power system econimical PQMS(Power quality monitoring system) of Utility. Recently, the korea power quality standard has been established based on the IEC Std. By IEC Std., the power quality assessment point is measured in PCC(Point of common coupling). In this case, the utility has to construct PQM system in all customer PCC point and the PQ meter cost would be very high in order to acquire the suitable data. Also the distribution system would be encounter the communication overload problem due to the huge data. Accordingly the utilities could not apply to PQM system in the distribution power system by the cost and communication problem. In this paper, the proposed economical PQMS has the voltage and current signal reiteration function and FFT operation function is transferred the server. Also the voltage and current measurement channels are minimized by a classified substation construction.

The Design of the VoDSL Terminal based on TDM (TDM 방식을 이용한 VoDSL단말의 설계에 관한 연구)

  • 안성진;윤정철;정진욱
    • Journal of Korea Society of Industrial Information Systems
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    • v.7 no.5
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    • pp.11-20
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    • 2002
  • The tendency of the technology that is aggregated voice and data circuit is VoP, especially VoIP. But if we try VoP, we have to throw away well structured and well known TDM resources. In this case CLEC and ILEC will encounter lots of troubles about standardization of progress of network evolution, heavy cost of network construction and so on. Therefore in this paper, I suggest designing VoDSL terminal and its operation environment (such as DSLAM) based on TDM. This designed VoDSL terminal can be installed with the DSLAM between PSTN and ISP without any additional facilities. This is more convenient low cost, operation and easier to construct than VoP.

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A Data Transmission Mode Change Method for Improving Energy Efficiency in IoT Environments

  • Lee, Sukhoon;Kim, Kwangsu;Jeong, Dongwon
    • Journal of Advanced Information Technology and Convergence
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    • v.10 no.1
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    • pp.57-69
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    • 2020
  • In general, many IoT devices, including smart phones, use LTE, Wi-Fi, and Bluetooth, and these communication modules generate a lot of energy consumption during periodic data transmission. This paper proposes a method of the data transmission mode change for improving energy efficiency in various communication environments that mobile devices may encounter. We propose an algorithm for setting the mode considering energy efficiency, data transmission performance and cost when the mobile device transmits data, and transmitting the data in an optimized manner according to the state of the mobile device. The proposed algorithm is implemented through experiments on energy efficiency for each communication module, and the scenario is used to verify how efficiently the proposed algorithm uses energy.

Determinants of perceptual switching costs for digital game: focused on the different effects of basic psychological needs satisfaction (게임 전환 비용의 결정 요인: 모바일 게임 사용자의 기본적 심리 욕구 충족 차이를 중심으로)

  • Kim, Young-Berm;Lee, Sang-Ho
    • Journal of the Korea Convergence Society
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    • v.11 no.1
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    • pp.131-139
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    • 2020
  • Gamers switch their games to a new when get bored or encounter more attractive ones. Switching cost varies by gamers and depends on how they are satisfied with their current game. This study evaluates the satisfaction with current games as the miltiple basic psychological need in the self-determination theory and suggests 'needs-costs' causality research model that explain the variety of gamer's switching behavior. As the empirical test to domestic mobile gamers, the autonomy fulfillment to current game affect reversely with those of autonomy and relatedness. Those relationships between need satisfaction and perceptual switching cost vary according to their age and game genre preference. The results would be applied to understand gamers' switching behavior.

Establishment of Resilient Infrastructures for the Mitigation of an Urban Water Problem: 1. Robustness Assessment of Structural Alternatives for the Problem of Urban Floods (도시 물 문제 저감을 위한 회복탄력적 사회기반시설 구축: 1. 도시 홍수 문제 구조적 대안의 내구성 평가)

  • Lee, Changmin;Jung, Jihyeun;An, Jinsung;Kim, Jae Young;Choi, Yongju
    • Ecology and Resilient Infrastructure
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    • v.3 no.2
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    • pp.117-125
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    • 2016
  • Current cities encounter various types of water problems due to rapid urbanization and climate change. The increasing significance of urban water problems calls for the establishment of resilient alternatives to prevent and minimize social loss that results from these phenomena. As a background research for establishing resilient infrastructures for the mitigation of urban water problems, we evaluated the robustness of structural alternatives for urban flood as a representative case. Combining the robustness index (RI) and the cost index (CI), we suggested the robustness-cost index (RCI) as an indicator of the robustness of structural alternatives, and applied the index to assess the existing infrastructures and structural alternatives (i.e., sewer network expansion, additional storage tank construction, and green roof construction) at a site prone to floods located around Gangnam-station, Seoul, Korea. At a rainfall intensity frequency range of 2 to 20 years, the usage of a storage tank and a green roof showed relatively high RCI value, with a variation of an alternative showing greater RCI between the two depending on the size of design rainfall. For a rainfall intensity frequency of 30 years, installing a storage tank with some green roofing was the most resilient alternative based on the RCI value. We proposed strategies for establishing resilient infrastructures for the mitigation of urban floods by evaluating the robustness of existing infrastructures and selecting optimal structural alternatives with the consideration of scales of design disaster.

Analysis of Correlation for Uterine Myoma and Stress by Ultrasonography (초음파 검사에 의한 자궁근종과 스트레스의 상관성 분석)

  • Choi, Ji-Hyun;Kim, Jeong-Koo
    • The Journal of the Korea Contents Association
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    • v.11 no.1
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    • pp.277-283
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    • 2011
  • We investigated correlation between myoma and stress using korean version of BEPSI survey in 374 women more than 19 years age. Diagnosis method made use of ultrasonography for a case-control group because it is low cost, convenient and safety. Prevalence of myoma was 29.7% and according to resulting of cross-tabulations analysis for the correlation between myoma and stress using BEPSI-K survey, the high group of stress showed a high prevalence of myoma and statistical significance (p<0.05). Statistical significance for correlation between myoma and stress will be a help to prevention of myoma.

The Feasible Linkage Between Organizational Commitment and Employee Communication

  • OH, Su-Hyang
    • East Asian Journal of Business Economics (EAJBE)
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    • v.10 no.4
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    • pp.19-28
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    • 2022
  • Purpose - The current study will provide a cause-effect explanation that will reinforce the existing perception that effective communication fosters organizational communication. The findings will also empower organizations with information on why they must polish their communication strategies. Research design, Data, and methodology - This study has collected numerous textual datasets through 'Qualitative Content Approach' (QCA). The author of this research had a responsibility to develop comprehensible methods for categorizing and drawing inferences from raw data in addition to data collecting tactics that may effectively solicit representations. Result - The current study ultimately concludes that effective communication is the most cost-effective tool for motivating employees. Two-way organization communication allows employees to communicate the hardships they encounter in their job. The result of this is adjustments that are geared towards eliminating work-related challenges. Total four suggestions exist for practitioners in the main texts on 'Results' section. Conclusion - According to theoretical research, organizational commitment is anchored on the ability of an organization's leadership to communicate the organization's values to lower-level employees. Moreover, the findings reiterate the importance of creating leadership systems that embody an organization's core values. Communication systems that engender this ensure that management discloses the rationale for their business and corporate strategies to employees.

A Study on Policy Alternatives for Major Changes in the Korea's Agricultural Energy System (우리나라 농업 에너지체계의 전환을 위한 정책대안 연구)

  • Jung, In-Whan;Ko, Soon-Chul
    • Journal of Agricultural Extension & Community Development
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    • v.11 no.2
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    • pp.251-265
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    • 2004
  • The agricultural sector's economic structure in Korea is regarded to encounter major barriers on the way toward revitalizing its economic prosperity. Among many, the energy-related problem is one of prime nuclei embedded in the country's agricultural sector. The ought-to-come structural changes in the country's agricultural energy system hinge upon the central government's policy direction as well as efforts of local governments and local farming community members. The indirect aids via 'cross subsidy' of electricity tariff rate and 'tax-exempt price' of oil fuels are two notable causes of the unsustainable energy consumption pattern in the country's agricultural sector. As measures, demand-side management(DSM) and energy-efficiency promotions are regarded to be the most attractive methods for energy conservation and economic productivity as well. Development of renewable energy sources are also receiving a great deal of attention for the long-term alternatives to the country's existing oil-based agricultural production mode. This study examines the contributive potential of DSM approaches and renewables-based technologies. With the critical evaluation on the concurrent adversities of the country's agricultural energy system, various sources of renewable energy-solar power, wind power, biomass, etc.-are examined for the purpose of technological and economical viability. As sufficient potentials of renewable energy sources are being estimated, both the system production cost and the installation cost for the county's rural areas are expected to lower in the long term. DSM options are also evaluated to be fruitful even in the short term. Both the public and civil arenas must galvanise each side's effort in order to promote these policy options and community potentials.

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Route Travel Time Stabilization by Real Time Traffic Information Improvement (실시간 교통정보 제공수준향상에 의한 경로통행시간의 안정화)

  • Lee Chung-Won
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.2 no.1 s.2
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    • pp.101-108
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    • 2003
  • When drivers encounter multiple available routes, they may evaluate the utility of each route. Two important factors in the evaluation are travel time and travel cost. Without hewing the current travel time of each route, drivers' decisions are not necessarily optimum. It is called 'transparency issue' that drivers are blinded to choose the optimum route among the others because of the limited travel time information. As a result of this, competing route travel times tend to fluctuate. This case study to utilize the data of Namsan traffic information system confirms that this travel time fluctuation can be lessened as real time traffic information is provided.

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