• 제목/요약/키워드: Final Reduction Rate

검색결과 152건 처리시간 0.024초

의료기관 운영요인과 환경요인이 진료비 삭감율에 미치는 영향에 관한 연구 (Study of Management and Environmental Factors Affecting Medical Expense Reduction)

  • 양유정
    • 디지털융복합연구
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    • 제10권11호
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    • pp.493-502
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    • 2012
  • 본 연구는 진료비 삭감율에 영향을 미치는 의료기관의 운영요인과 환경요인이 무엇인지 알아보기 위한 연구로 삭감율을 최초 삭감율과 최종 삭감율로 구분하고, 진료비는 입원과 외래로 구분하여 조사 연구 하였다. 연구의 자료는 전국 병원급 이상 독립된 보험심사부서의 부서장을 대상으로 직접 설문조사를 통해 얻어진 205부의 설문지를 최종 분석 자료로 이용하였다. 본 연구의 결과는 다음과 같다. 진료비 최초 삭감율과 최종 삭감율에 대한 집단 간의 차이를 분석한 결과 입원의 의료기관 운영요인은 보유 병상, 총 진료과, 보험심사 인력, 총 직원수에 유의한 결과를 보였으며, 외래는 의무기록 운영형태, 보유병상, 총 진료과, 보험심사인력, 총 직원수에 유의한 결과를 보였다. 진료비 삭감율에 영향을 미치는 의료기관의 운영요인은 최초 삭감과 최종 삭감이 동일하게 입원은 병상수가 높을수록, 외래는 전자의무기록을 시행할수록 유의한 결과를 보였다. 진료비 삭감율에 영향을 미치는 의료기관의 환경요인은 최초 삭감과 최종 삭감이 동일하게 입원은 업무협조가 잘 될수록, 지표관리를 시행할수록, 시간외 수당이 지급될수록 유의한 결과를 보였다. 외래의 경우 진료비 최초 삭감은 지표관리를 시행할수록, 진료비 관련 위원회를 구성하여 운영할수록 유의한 결과를 보였으며, 최종 삭감은 업무협조가 잘 될수록, 지표관리를 시행할수록, 시간외수당이 지급될수록 유의한 결과를 보였다.

금속 철을 이용한 TNT의 환원시의 동역학 산정 (Kinetics of 2,4,6-Trinitrotoluene reduction by zero valent iron)

  • 배범한
    • 한국지하수토양환경학회:학술대회논문집
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    • 한국지하수토양환경학회 1999년도 정기총회 및 춘계 공동 학술발표회
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    • pp.62-63
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    • 1999
  • Reduction 2,4,6-Trinitrotoluene by zero valent iron was studied in a batch reactor under anoxic conditions. Results showed that the removal of TNT was a pseudo-first order and the rate was dependent on the available metal surface area. Final product, presumably triaminotoluene, accumulated in the solution as well as on the metal surface. However, little amounts of aminodinitrotoluenes were detected. Therefore, it is postulated that the reduction of nitro group occurs simultaneously in all three position.

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의료기관 진료비 삭감율 및 이의신청 회수율과 관련되는 관리요인 (The Management Factors of Medical Expenditure Reduction and Recovery of Hospital Health Insurance Department)

  • 박현숙
    • 한국병원경영학회지
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    • 제13권4호
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    • pp.46-75
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    • 2008
  • Main objective of this study is to investigate the factors that affect the reduction and recovery rate of hospital health insurance review departments of Korean tertiary hospitals, general hospitals and hospitals. A nationwide mail survey was conducted through structured questionnaire for chiefs and members of health insurance review departments of 178 hospitals, and data from 1,064 respondents were utilized in the final analysis. Major findings are as follows: 1) Monthly average reduction rate of surveyed hospitals was 1.18% for inpatients and 0.56% for outpatients. Also, average recovery rates from protests were 45.7% and 53.6%, respectively. 2) Average ages of health insurance review department employees were 41.5 for chiefs and 34.9 for members, and their average working period was 6.64 years. 69.1% of the respondents felt stress in their jobs, and they suggested 'communication problems with doctors' along with 'heavy workloads' as major reasons for the stress. 3) Reduction rates decreased and recovery rates increased when separate member in charge was assigned to each medical department, when health insurance review departments periodically provided medical parts with related education, and when the members participated in various committees.

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벼의 순환병류건조기(循環竝流乾操機)의 시뮬레이션 (Simulation of Rice Circulating Concurrent-flow Dryer)

  • 금동혁;이왕석
    • Journal of Biosystems Engineering
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    • 제13권3호
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    • pp.59-70
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    • 1988
  • A computer simulation model for rice circulating concurrent-flow dryer was developed and verified by conduction a series of pilot-scale experiment. The effects of design parameter and operating conditions on dryer performance were analyzed by using simulation. The results indicated that the developed model was found suitable for analyzing operating characteristics. The other results from simulation also showed that; 1) an increse in the initial moisture content resulted in an increase in the drying rate and a reduction in the grain temperature and total energy requirements. 2) an increase in the drying air temperature resulted in an increase in the drying rate and grain temperature. 3) an increase in air flow rate resulted in an radical increase in drying rate, fan power requirements and total energy requirements but an radical decrease in final head rice yield. 4) an increase in the bed depth resulted in an increase in fan power requirements and a lowering of the final head rice yield.

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음식물쓰레기의 호기성 퇴비화에 있어서 왕겨와 톱밥의 영향에 관한 비교 연구 (Comparison of Effects of Chaff and Sawdust on Aerobic Composting of Food Wastes)

  • 박석환
    • 한국환경보건학회지
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    • 제29권3호
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    • pp.28-34
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    • 2003
  • This study was performed to compare the effects of chaff and sawdust as bulking materials on temperature, pH, weight and volume reduction and salinity in aerobic composting of food wastes. Volume ratios of food wastes to chaff in reactor of Control, Ch-l, Ch-2, Ch-3 and Ch-4 were 4:0, 4:1, 4:2, 4:3 and 4:4, respectively. Volume ratios of food wastes to sawdust in reactor of Control, Sd-l, Sd-2, Sd-3 and Sd-4 were 4:0, 4:1, 4:2, 4:3 and 4:4, respectively. Reactors were operated for 24 days with 1 hour stirring by 1 rpm and 2 hours aeration per day. The lowering of the volume ratio of food wastes to chaff and sawdust resulted in the reaction at higher reaction temperature and the elongation of the high temperature reaction period. The lowering of the volume ratio of food wastes to chaff and sawdust resulted in faster pH increase. In the volume ratio of 4:3 and 4:4, pH increased faster in food-chaff mixtures than in food-sawdust mixtures. The lowering of the volume ratio of food wastes to chaff and sawdust resulted in faster steady state in the weight reduction rate and the volume reduction rate. The weight reduction rates of chaff mixtures were higher than those of sawdust mixtures, but the volume reduction rates of sawdust mixtures were more higher than those of chaff mixtures. Salinity increased as composting reaction proceeded, due to reduction in mass weight. The final salinity of Control was 2.79%, and the final range of salinities of chaff and sawdust mixtures were 2.18∼2.37% and 1.86∼2.05%, respectively.

음식물쓰레기의 세척이 호기성 퇴비화에 미치는 영향 (Effects of Washing of Food Wastes on Aerobic Composting)

  • 박석환
    • 한국환경보건학회지
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    • 제30권1호
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    • pp.1-6
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    • 2004
  • This study was performed to estimate the effects of washing of food wastes on temperature, pH, weight and volume reduction and salinity in aerobic composting of food wastes. Weight ratios of food wastes to water in washing were 1:0(Control), 1:1 (W-1), 1:2(W-2), 1:3(W-3) and :4(W-4), respectively. Ratios of food wastes to wood chips in reactor of Control, W-1, W-2, W-3 and W-4 were 5 kg:5 1, respectively. Reactors were operated for 24 days with 1 hour stirring by 1 rpm and 2 hours aeration per day. The increase in the ratio of food wastes to water used in washing resulted in the decrease of the highest reaction temperature and the elongation of the high temperature reaction period. The lowering of the ratio of food wastes to water used in washing resulted in faster pH increase and the steady state in the weight reduction rate and the volume reduction rate of composts. The final salinities of Control, W-1, W-2, W-3 and W-4 were 0.95%, 0.73%, 0.65%, 0.57% and 0.41%, respectively.

분말 압연에 의해 제조된 퍼말로이(PB, PC)의 자성 특성 (Magnetic Properties of Permalloy(PB, PC) Strips Fabricated by Powder Rolling Process)

  • 이동원
    • 한국분말재료학회지
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    • 제3권1호
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    • pp.13-24
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    • 1996
  • Two grades of Permalloy strips, Fe-45Ni(PB) and Fe-78Ni-4Mo-5Cu(PC) were fabricated by powder rolling process from elemental powder mixtures. The roll compacted green strips were sintered, homogenized, cold rolled with or without an intermediate annealing and finally heat treated to measure magnetic properties. For a given thickness reduction, rolling with an intermediate annealing was found more effective to achieve a full densification with no visible micropores and also to obtain better magnetic properties. Increasing the final rolling reduction also produced a marked improvement of the magnetic properties whereas the cooling rate during the final heat treatment has little effect in both grades. Addition of a small amount, 0.4% Mn slightly degraded the properties. As an overall, The PM strips produced via powder rolling yielded the similar soft magnetic properties to the corresponding commercial grades produced via wrought processing.

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전기로(電氣爐) 환원(還元) 슬래그의 수화반응(水和反應) 특성(特性) 연구(硏究) (Hydration Property of Electric Arc Furnace Reduction Slag)

  • 안용준;한인규;최재석;배광현;김형석
    • 자원리싸이클링
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    • 제19권6호
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    • pp.93-101
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    • 2010
  • 본 연구에서는 전기로 환원슬래그를 시멘트 혼화재로 이용하였을 때의 전기로 환원슬래그의 수화반응 특성과 압축강도 특성을 연구하였다. 전기로 환원슬래그에는 17.1%의 f-CaO 및 속경성 클링커 광물인 37.1%의 $C_{11}A_7CaF_2$와 21.0%의 $Ca_3A$가 함유되어 있었다. 보통 포틀랜드시멘트(OPC, Ordinary Portland Cement)에 전기로 환원슬래그를 30%까지 치환할 경우, 초결 및 종결시간이 각각 305분과 425분에서 10분과 30분으로 단축되는 급결성을 보였다. OPC에 전기로 환원슬래그의 치환량이 7%까지 증가됨에 따라 혼합시멘트의 압축강도는 OPC보다 높아졌으나, 7%이상에서는 점차 압축강도가 낮아져 20%이상 치환하였을 때에는 OPC보다 초기강도 및 장기강도가 모두 낮았다. 전기로 환원슬래그 자체의 수화반응 생성물을 조사한 결과, $C _{11}A_7CaF_2$는 물과 반응하여 $C_3AH_6$로 변화되었다. 그러나 OPC에 환원슬래그를 치환하여 사용할 경우, 환원슬래그의 치환율이 높아짐에 따라 f-CaO가 많아지고 준안정성의 수화물인 $C_4AH_{13}$의 생성량이 증가되기 때문에 OPC에 환원슬래그를 7%미만으로 치환하여 사용해야만 안정된 경화체를 형성하여 압축강도가 OPC보다 높아졌다.

Rotary Swaging 공법을 적용한 탄체 소성가공에 관한 연구 (A Study on the Plastic Forming by Rotary Swaging Process)

  • 손병철;이호진
    • 한국산학기술학회논문지
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    • 제21권6호
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    • pp.672-678
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    • 2020
  • 국내에서 생산중인 대구경 탄약은 대부분 Ogive 부를 제조하는 방법으로 Press Nosing 공법을 적용하고 있다. Press Nosing 공법은 프레스 공정 전 후 윤활처리 등의 추가적인 공정이 필요한 단점이 있다. 본 연구에서는 이러한 단점을 개선할 수 있는 점진성형 공법 중 하나인 Swaging 공법의 대구경 탄약 적용 가능성을 제시하고자 하였다. 대구경 탄약인 155MM K307 탄체는 Press Nosing 공정을 적용하는 대표적인 제품으로, 본 연구에서는 K307 탄체의 Sub-scale 시험품을 제작하여 Swaging 공정을 적용한 소성가공 실험을 실시하였다. 최종 성형 치수를 만족하는 단면감소율 75 % 까지 소성가공이 가능한지 여부 및 Swaging 성형으로 제작된 제품의 치수만족 여부, 제품 결함 발생 여부, 단면감소율에 따른 경도 변화, 두께의 증가 등을 고찰하였다. 시험을 통해 단면적 감소율에 따라 비례적으로 경도가 증가하여 단면적 감소율 75 %에서 경도는 HV 335 이상 증가하는 것을 확인하였다. 소재두께 변화량은 이론적 계산값과 유사한 경향을 보였으며 단면 감소율 75 %에서 두께 증가율은 65.4 %로 비례함을 확인하였다.

다공성 매질 모델 기반 출구유량 감소 모사 기법을 이용한 산업기계용 엔진룸 열유동해석 (Thermal Flow Analysis of an Engine Room using a Porous Media Model for Imitating Flow Rate Reduction at Outlet of Industrial Machines)

  • 최요한;유일훈;이철희
    • 드라이브 ㆍ 컨트롤
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    • 제19권1호
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    • pp.62-68
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    • 2022
  • Considering the characteristics of industrial machines that lack vehicle-induced wind, forced convection by a cooling fan is mostly required. Therefore, numerical analysis of an engine room is usually performed to examine the cooling performance in the room. However, most engine rooms consist of a number of parts and components at specific positions, leading to high costs for numerical modeling and simulation. In this paper, a new methodology for three-dimensional computer-assisted design simplification was proposed, especially for the pile of components and parts at the engine room outlet. A porous media model and regression analysis were used to derive a meta-model for imitating the flow rate reduction at the outlet by the pile. The results showed that the fitted model was reasonable considering the coefficient of determination. The final numerical model of the engine room was then used to simulate the velocity distribution by changing the mass flow rate at the outlet. The results showed that both velocity distributions were significantly changed in each case and the meta-model was valid in imitating the flow rate reduction by some piles of components and parts.