• Title/Summary/Keyword: Estimate Criteria

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A Study of Staffing Estimation for Nursing Manpower Demand in Hospital (병원간호인력의 수요추정에 관한 연구 -환자분류체계에 의한 간호인력 수요추계의 방법을 중심으로-)

  • 김유겸
    • Journal of Korean Academy of Nursing
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    • v.16 no.3
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    • pp.108-122
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    • 1986
  • Changing concepts of health care, are stimulating the demand for health care, thereby orienting society to health care rights to such an extent that they are deemed as fundamental ones inalienable to man. Concomitantly, qualitative as well as quantative improvement is being sought in the nursing service field. Today, efforts are being made in various areas, especially to qualitatively improve nursing services. A second issue concerns proper staffing. It is important to study staffing, in as much as it continues to be the most persistent and critical problem facing hospital nursing administrators today. It involves quantity, quality, and utilization of nursing personnel. A great deal of attention has been focused on this problem since mid 1930's when nursing services began to be felt as an important segment of hospital operation representing the largest single item of hospital budgets. Traditionally, the determination and allocation of nursing personnel resources has relied heavily on gloval approaches which make use of fixed staff-to-patient ratios. It has long been recognized that these ratios are insensitive to variations between institutions and among individual patients. Therefore, the aim of this thesis is to point to the urgent need for the development of methodology and criteria suited to the reality of Korea. The present research selected one place, the W Christian Hospital, and was conducted over a period 10 days from January, and nurses who were them on duty in their unit. The total num-her of patients surveyed was 1,426 and that of 354. The research represents many variables affecting the direct patient care time using the result from the direct observation method, then using a calculation method to estimate the relationship between the patients care time and selected variables in the hospital setting. The amount of direct patient care time varies with many factors, such 89 the patients age. diagnosis and time in hospital. Differences are also found from hospital, clinic to clinic, ward to ward, and even shift to shift. In this research, the calculation method of estimating the required member of nursing staff is obtained by dividing the time of productive patient care activity(with the time of patient care observed), by the sum of the productive time that each the staff can supply, i.e., 360 minutes, which is obtained by deducting the time for personal activities. The results indicate a substantial difference between the time of productive patient care observed directing and the time of the productive patient care estimated using calculating method. If we know accurately the time of the direct patient care on a shift, there required number of staff members calculated if the proper method can be determinded should be able the time of the direct patient care be estimated by the patient classification system, but this research has shown this system to be in accurate in Korea. There are differences in the recommended time of productive patient care and the required number of nursing staff depending upon which method is used. The calculated result is not very accurate, so more research is needed on the patient classification system.

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A COMPARISON OF PERIAPICAL RADIOGRAPHS AND THEIR DIGITAL IMAGES FOR THE DETECTION OF SIMULATED INTERPROXIMAL CARIOUS LESIONS (모의 인접면 치아우식병소의 진단을 위한 구내 표준방사선사진과 그 디지털 영상의 비교)

  • Kim Hyun;Chung Hyun-Dae
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.24 no.2
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    • pp.279-290
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    • 1994
  • The purpose of this study was to compare the diagnostic accuracy of periapical radiographs and their digitized images for the detection of simulated interproximal carious lesions. A total of 240 interproximal surfaces was used in this study. The case sample was composed of 80 anterior teeth, 80 bicuspids and 80 molars which were prepared in order to distribute the surfaces from carious free to those containing simulated carious lesions of varying depths (0.5㎜, 0.8㎜, and 1.2㎜). The periapical radiographs were taken by paralleling technique and film used was Kodak Ektaspeed(E group). All radiographs were evaluated by five dentist to recognize the true status of simulated carious lesion. They were asked to give a score of 0, 1, 2, or 3. Digitized images were obtained using a commercial video processor(FOTOVIX Ⅱ- XS). And the computer system was 486 DX PC with PC Vision and frame grabber. The 17' display monitor had a resolution of 1280×1024 pixels(0.26㎜ dot pitch). But the one frame of the intraoral radiograph has a resolution of 700×480 pixels and each pixel has a grey level value of 256. All the radiographs and digital images were viewed under uniform subdued lighting in the same reading room. After a week the second interpretation was performed in the same condition. The detection of lesions on the monitor was compared with the finding of simulated interproximal carious lesions on the film images. The results were as follows: 1. When the scoring criteria was dichotomous ; lesion present and not present 1) The overall sensitivity, specificity and diagnostic accuracy of periapical radiographs and their digital images showed no statistically significant difference. 2) The sensitivity and specificity according to the region of teeth and the grade of lesions showed no statistically significant difference between periapical radiographs and their digital images. 2. When estimate the grade of lesions ; score 0, 1, 2, 3 1) The overall diagnostic accuracy was 53.3% on the intraoral films and 52.9% on digital images. There was no significant difference. 2) The diagnostic accuracy according to the region of teeth showed no statistically significant difference between periapical radiographs and their digital images. 3. The degree of agreement and reliability 1) Using gamma value to show the degree of agreement, there was similarity between periapical films and digital images. 2) The reliability of each twice interpretation of periapical films and digital images showed no statistically significant difference. In all cases P value was greater than 0.05, showing that both techniques can be used to detect the incipient and moderate interproximal carious lesions with similar accuracy.

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An Empirical Study on the Estimation of Adequate Debt ration in Korean Shipping Industry: Focused on Water Transport (한국 해운산업의 적정부채비율 추정을 위한 실증연구: 수상운송업을 중심으로)

  • Pai, Hoo-Seok
    • Journal of Navigation and Port Research
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    • v.39 no.1
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    • pp.69-75
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    • 2015
  • The concrete purpose of this study is to suggest actually a debt ratio to optimize the capital structure providing a kind of approach to estimate the proper debt ratio with an analytical model and empirical data in Korean shipping industry. The mathematical and analytical model is started from the first equation about ROE, return of net operating income on equity, with an independent variable, debt ratio. It is constructed with several parameters, ROS(return of operating income on sales), TAT(total assets turnover), and NFCL(net finance cost to liabilities). There could not be a certain relationship between debt ratio and ROS or TAT, while some correlation or causality between debt ratio and NFCL. In other words, most of firms with high debt ratio is likely to burden higher finance cost than others with low one. In this case, there is a linearity relationship between debt ratio and NFCL, so then the second equation considering this relation could be included within the analytical approach of this paper. To be short, if the criteria of adequate debt ratio has to be defined as some level of debt ratio to optimize ROE, the ROE could be illustrated as a quadratic equation to debt ratio from two equations. Next, this research estimated those parameters' numbers through the single regression method with data over 12 years of Korean shipping industry, and identified empirically the fact that optimal debt ratio would be approximately 400%. To conclude, if that industry's sales and operating incomes are stable, the debt ratio could be accepted until twice of 200% had forced in order to guarantee its financial safety in past time.

Development of techniques for evaluating residual life of water pipes based on pipe deterioration evaluation results (관로 노후도 평가결과를 이용한 상수도 관로의 잔존수명 평가 기법의 개발)

  • Park, Suwan;Kim, Kimin
    • Journal of Korea Water Resources Association
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    • v.50 no.10
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    • pp.673-679
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    • 2017
  • In this paper a method for estimating the 'service life' and 'residual life' of a water pipe based on the Water Pipe Network Performance Evaluation(WPNPE) results of Water Supply Technical Diagnosis was developed for efficient maintenance of water pipes. The residual life of a pipe was defined as the difference between the service life and elapsed time since installation. The service life was defined as the time when a pipe reaches the reference score for determining deteriorated pipes that was used in the WPNPE. The pipe evaluation criteria and deterioration scores used in the WPNPE for the case study area were considered as independent variables in the multiple regression model for estimating the service life and residual life of the pipes in the area. To estimate the service life for the pipes the reference scores for determining deteriorated pipes were used as the values of the variables that represent the deterioration scores in the constructed regression models. Subsequently, the statistics of the service life and residual life of the pipes in the case study area were presented and analyzed in comparison with the service life defined by the Local Public Enterprizes Act.

Redetermination of curve number using genetic algorithm and CN aligner equation (유전자 알고리즘과 CN Aligner 공식을 이용한 유출곡선지수 재산정)

  • Park, Dong-Hyeok;Kang, Doo-Sun;Ahn, Jae-Hyun;Kim, Tae-Woong
    • Journal of Korea Water Resources Association
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    • v.49 no.5
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    • pp.373-380
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    • 2016
  • The NRCS-CN (Natural Resources Conservation Service-Curve Number) method has been practically applied for estimating the effective precipitation. However, there are no criteria which reflect the geographic characteristics of Korea having more than 70% of mountainous and rice paddy areas, leading to significant errors in runoff calculation. Thus, it is required to estimate the runoff curve number considered Korea land use classification, however there are practical difficulties to conduct the accurate research and experimentation. In this study, after selecting target areas (urban, agriculture, forest), we performed the runoff analysis to redetermine CN values for the selected basins. To do this, curve numbers for soil type A were estimated using genetic algorithm, and then curve numbers for soil type (B, C, D) were estimated using CN aligner equation. Comparing the initial curve numbers with the estimated curve numbers, it was observed that the slightly differences at Chunwang(0), Choonyang(-1), Janggi(-3). Through the above process, this study proposed new curve numbers to reflect observed rainfall-runoff.

Determination of Dimension of Vertical Curve Elements at Parking Lot Ramps (주차장 램프의 종단곡선 제원 산정에 관한 연구)

  • Kwon, Sung-Dae;Kim, Yoon-Mi;Hong, Jeong-Pyo;Ha, Tae-Jun
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.35 no.3
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    • pp.607-616
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    • 2015
  • The demand for cars has been so steadily increasing based on the economic growth that the number of registered cars reached 18,870,000 as of the end of December, 2012. Due to this, the demand for the parking lots also rises continuously. Because of the limited ground space, the buildings ever becoming larger, and the trend of underground parking spaces, recent parking spaces are generally constructed underground. Accordingly, the parking lot ramps slope is limited to less than 17% by relevant laws to ensure the driver safety. However, when a driver enters a parking lot ramps whose slope is slightly steep, he frequently experiences his car body colliding with ramp brackets and often sees the scratches on ramp floor. Thus, this study is intended to prevent any damage to a structure and to contribute to ensuring the riding comfort and safety of drivers and passengers by presenting the details of proper vertical curve to prevent the collision of vehicles with ramp brackets through a vertical analysis of the first and last parts of a parking lot ramps. Because it is necessary to decide the appropriate and suitable vertical slope of a parking lot ramps, this study first identified the problems through site inspection, targeting the parking lot ramps of large buildings frequently that are used by many random people. Next, the possibility of mutual collision was assessed through a theoretical analysis of the first and last parts of a parking lot ramps. Lastly, the vertical curve of a parking ramp was analyzed to estimate its details, which was presented in this study. In conclusion, if the vertical curve presented through this study is used, it will help prevent any damage to the cars and structures, ensure the riding comfort and safety of the drivers, and further reestablish the criteria for vertical installation of a parking lot ramps.

Mean Fasting Blood Glucose Level and An Estimated Prevalence of Diabetes Mellitus Among A Representative Adult Korean Population (우리나라 성인 인구의 평균 공복혈당치와 당뇨병의 추정 유병률)

  • Kim, J.S.;Kim, Y.J.;Park, S.I.;Hong, Y.P.
    • Journal of Preventive Medicine and Public Health
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    • v.26 no.3 s.43
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    • pp.311-320
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    • 1993
  • This study was carried out along with the 1990 6th National Tuberculosis Prevalence Survey in order to estimate the prevalence rate of diabetes mellitus among a representative adult Korean population. Fasting blood glucose was measured by diastix (Ames) using glucometer II for seventy seven percent of the population (30 year old or above) residing in 190 enumeration districts randomly sampled from 146,944 general ED. The prevalence of diabetes mellitus of the population was estimated by projecting the ratio of ${\geq}200mg/dl\;PP_2$ of fasting blood sugar level below 120 mg/dl by sex to the study population. Fasting blood glucose and 2 hr. postprandial blood glucose were measured on about 3000 subsampled individuals, and diabetes mellitus was defined by the WHO criteria-FBG${\geq}120mg/dl\;or\;PP_2{\geq}200mg/dl$ when FBG is below 120mg/dl. The results obtained are as follows : 1. Estimated prevalence(age adjusted) of diabetes mellitus was 4.6% for male and 8.1% for female. The age adjusted mean FBG was $93.9{\pm}26.2mg/dl$ for male and $102.9{\pm}31.5mg/dl$ for female. 2. The prevalence increased as age advanced with peak in $60{\sim}69$ years old age group for both sexes. 3. The mean FBG and estimated prevalence rate of diabetes mellitus varied considerably among the populations of fifteen cities and provinces ; it vaired from $87.0{\pm}17.7\;to\;104.6{\pm}34.5mg/dl$ and 1.2% to 8.9% for males, and from $93.3{\pm}25.3\;to\;116.7{\pm}38.6mg/dl$ and 3.4% to 20.8% for females. 4. The mean FBG and prevalence rates were higher among the rural population than those residing in metropolitan areas. 5. The proportion of the people previously treated among the diabetics was estimated to be a little less than one fifth. 6. Factors strongly associated with FBG were age, sex, family history of D. M., BMI, area and educational level among eleven variables.

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Estimation of Future Design Flood Under Non-Stationarity for Wonpyeongcheon Watershed (비정상성을 고려한 원평천 유역의 미래 설계홍수량 산정)

  • Ryu, Jeong Hoon;Kang, Moon Seong;Park, Jihoon;Jun, Sang Min;Song, Jung Hun;Kim, Kyeung;Lee, Kyeong-Do
    • Journal of The Korean Society of Agricultural Engineers
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    • v.57 no.5
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    • pp.139-152
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    • 2015
  • Along with climate change, it is reported that the scale and frequency of extreme climate events show unstable tendency of increase. Thus, to comprehend the change characteristics of precipitation data, it is needed to consider non-stationary. The main objectives of this study were to estimate future design floods for Wonpyeongcheon watershed based on RCP (Representative Concentration Pathways) scenario. Wonpyeongcheon located in the Keum River watershed was selected as the study area. Historical precipitation data of the past 35 years (1976~2010) were collected from the Jeonju meteorological station. Future precipitation data based on RCP4.5 were also obtained for the period of 2011~2100. Systematic bias between observed and simulated data were corrected using the quantile mapping (QM) method. The parameters for the bias-correction were estimated by non-parametric method. A non-stationary frequency analysis was conducted with moving average method which derives change characteristics of generalized extreme value (GEV) distribution parameters. Design floods for different durations and frequencies were estimated using rational formula. As the result, the GEV parameters (location and scale) showed an upward tendency indicating the increase of quantity and fluctuation of an extreme precipitation in the future. The probable rainfall and design flood based on non-stationarity showed higher values than those of stationarity assumption by 1.2%~54.9% and 3.6%~54.9%, respectively, thus empathizing the necessity of non-stationary frequency analysis. The study findings are expected to be used as a basis to analyze the impacts of climate change and to reconsider the future design criteria of Wonpyeongcheon watershed.

Groundwater Recharge Estimation for the Gyeongan-cheon Watershed with MIKE SHE Modeling System (MIKE SHE 모형을 이용한 경안천 유역의 지하수 함양량 산정)

  • Kim, Chul-Gyum;Kim, Hyeon-Jun;Jang, Cheol-Hee;Im, Sang-Jun
    • Journal of Korea Water Resources Association
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    • v.40 no.6 s.179
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    • pp.459-468
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    • 2007
  • To estimate the groundwater recharge, the fully distributed parameter based model, MIKE SHE was applied to the Gyeongan-cheon watershed which is one of the tributaries of Han River Basin, and covers approximately $260km^2$ with about 49 km main stream length. To set up the model, spatial data such as topography, land use, soil, and meteorological data were compiled, and grid size of 200m was applied considering computer ability and reliability of the results. The model was calibrated and validated using a split sample procedure against 4-year daily stream flows at the outlet of the watershed. Statistical criteria for the calibration and validation results indicated a good agreement between the simulated and observed stream flows. The annual recharges calculated from the model were compared with the values from the conventional groundwater recession curve method, and the simulated groundwater levels were compared with the observed values. As a result, it was concluded that the model could reasonably simulate the groundwater level and recharge, and could be a useful tool for estimating spatially/temporally the groundwater recharges, and enhancing the analysis of the watershed water cycle.

Study on the influence of sewer network simplification on urban inundation modelling results (하수관망의 간소화가 도시침수 모의에 미치는 영향 분석에 관한 연구)

  • Lee, Seung-Soo;Pakdimanivong, Mary;Jung, Kwan-Sue;Kim, Yeonsu
    • Journal of Korea Water Resources Association
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    • v.51 no.4
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    • pp.347-354
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    • 2018
  • In urban areas, runoff flow is drained through sewer networks as well as surface areas. Therefore, it is very important to consider sewer networks as a component of hydrological drainage processes when conducting urban inundation modelling. However, most researchers who have implemented urban inundation/flood modelling, instinctively simplified the sewer networks without the appropriate criteria. In this research, a 1D-2D fully coupled urban inundation model is applied to estimate the influence of sewer network simplification on urban inundation modelling based on the dendritic network classification. The one-dimensional (1D) sewerage system analysis model, which was introduced by Lee et al. (2017), is used to simulate inlet and overflow phenomena by interacting with surface flow. Two-dimensional (2D) unstructured meshes are also applied to simulate surface flow and are combined with the 1D sewerage analysis model. Sewer network pipes are simplified based on the dendritic network classification method, namely the second and third order, and all cases of pipes are conducted as a control group. Each classified network case, including a control group, is evaluated through their application to the 27 July 2011 extreme rainfall event, which caused severe inundation damages in the Sadang area in Seoul, South Korea. All cases are compared together regarding inundation area, inflow discharge and overflow discharge. Finally, relevant criterion for the simplification method is recommended.