• 한국보건간호학회지
• /
• 제2권2호
• /
• pp.21-44
• /
• 1988

In Korea, fee-for service reimbursement has been adopted from the begining of medical insurance system in 1977, and the importance of the relative value unit is currently being investigated. The purpose of this study was to find out the level of propriety of the difference in the fees for different surgical services, and the appropriateness of the classification of the insurance fee schedule. For the purpose of this study, specific subjects and the procedural methodology is shown as follows: 1. The propriety of the Relative Price System(RPS). 1) Choice of sample operations. In this study, sample operations were selected and classified by specialists in general surgery, and the number of items they classified were 32. For the same group of operations the Insurance Fee Schedule(IFS) classified the operations into 24 separate items. In order to investigate the propriety of the RPS, one of the purpose of this study, was to examine the 24 items classified by the IFS. 2) Evaluation of the complexity of surgery. The data used in this study was collected The data used in this study was collected from 94 specialists in general surgery by mail survey from November I to 15, 1986. Several independent variables (age, location, number of bed, university hospital, whether the medical institution adopt residents or not) were also investigated for analysis of the characteristics of surgical complexity. 3) Complexity and time calculations. Time data was collected from the records of the Seoul National University' Hospital, and the cost per operation was calculated through cost finding methods. 4) Analysis of the propriety of the Relative Price System of the Insurance Fee Schedule. The Relative Price System of the sample operation was regressed on the cost, time, comlexity relative ,value system (RVS) separately. The coefficient of determination indicates the degree of variation in the RPS of the Insurance Fee Schedule explained by the cost, time, complexity RVS separately. 2. The appropriateness of the classification of the Insurance Fee Schedule. 1) Choice of sample operations. The items which differed between the classification of the specialist and the classification of medical, Insurance Fee Schedule were chosen. 2) Comparisons of cost, time and complexity between the items were done to evaluate which classification was more appropriate. The findings of the study can be summarized as follows: 1. The coefficient of determination of the regression of the RPS on-cost RVS was 0.58, on time RVS was 0.65, and on complexity RVS was 0.72. This means that the RPS of Insurance Fee Schedule is improper with respect to the cost, time, complexity separately. Thus this indicates that RPS must be re-shaped according to the standard element. In this study, the correlation coefficients of cost, time, complexity Relative Value System were very high, and this suggests that RPS could be reshaped I according to anyone standard element. Considering of measurement, time was thought to be the most I appropriate. 2. The classifications of specialist and of the Insurance Fee Schedule were compared with respect to cost, time, and complexity separately. For complexity, ANOVA was done and the others were compared to the different values of different classifications. The result was that the classification of specialist was more reasonable and that the classification of Insurance Fee Schedule grouped inappropriately several into one price unit.

• 환경생물
• /
• 제39권2호
• /
• pp.225-235
• /
• 2021

본 연구는 북한 산림복원을 생태계 서비스의 관점에서 비용-편익 기반 경제적 가치로 확인하였고, 산림복원 형태에 따른 경제성을 비교하였다. 특히 산림복원에 따른 편익을 탄소저장, 수자원공급, 토양유실방지, 재해저감 등 생태계 서비스로 분류하고 경제적 가치로 환산하여 종합적 편익을 산출하였다. 산림복원 시나리오에서는 최근의 북한 조림실적과 산림정책을 고려하여 '단독조림 시나리오'와 '산림협력 시나리오'를 구성하여 동일한 복원기간이나 조림의 양적 물량 차이를 시나리오로 도출하였다. 단독조림 시나리오에서는 향후 20년 동안 3조 8,294억원의 비용으로 80만 ha의 산림을 복원하여 6조 8,684억원의 편익이 발생할 것으로 산출되었다. 순현재가치로 경제성을 평가하였을 때, 3조 390억원으로, BCR은 1 이상이었다. 산림협력 시나리오에서는 10조 531억원의 비용으로 220만 ha의 산림을 복원하여 18조 8,909억원의 편익이 발생할 것으로 산출되었다. 마찬가지로 순현재가치로 경제성을 평가하였을 때, 8조 3,599억원이며, BCR은 1 이상이었다. 두 시나리오에서 모두 BCR은 1 이상으로 경제성을 갖는 것으로 도출되었으나, 예상되는 편익의 양에는 큰 차이가 있었다. 다만, 조림면적에 따른 단순화된 비용-편익 분석이므로, 경제성(BCR)이 유사하게 나타나는 한계가 있으며, 조림속도나 생물리적 차이를 고려하지 않았다. 결론적으로 산림복원은 비용보다 편익이 높은 사업이 될 수 있으며, 산림협력을 통해 그 가치를 증진시킬 수 있다. 장기적으로 이러한 경제성이 근거가 되어 기업과 국제·민간기구 등의 협력을 통해 다양한 형태의 산림협력이 추진되길 기대한다.

• 한국지반공학회지:지반
• /
• 제10권4호
• /
• pp.119-132
• /
• 1994

본 연구에서는 실트를 포함하는 모래의 액상화강도 및 전단특성을 검토하기 위하여 비배수상태에서 동적 삼축압축시험을 행했다. 그 결과 실트를 포함하는 모래의 액상화강도는 상대밀도 일정의 조건에서는 실트 함유율 30% 정도에서 가장 약한 것으로 판명되었다. 또한 동적 삼축압 축시험의 재하속도를 0.1Hz에서 5Hz까지 변화시켜 실트를 포함하는 모래질 흙의 액상화강도에 미치는 제하속도의 영향을 살펴본 결과 실트의 함유량이 많을수록 재하속도의 영향을 많이 받으나 점토를 함유한 모래질 흙에 비해서는 그 영향이 현저하게 적음을 알 수 있다. 이러한 결과의 일인에 대해서는 유효응력 경로에 있어서의 간극수압의 변화상황으로부터 설명될 수 있다.

• 대한수의학회지
• /
• 제27권2호
• /
• pp.191-200
• /
• 1987

Attempts were to produce porcine leukocyte interferon(PorLeIF) and porcine immune interferon (PorIIF) in the culture of porcine leukocytes. The interferons produced were tested for antiviral activity against vesicular stomatitis virus on poreine-derived PK(15) cells, human-derived FL cells, and Korean native black goat-derived BGK cells. The results were summarized as follws: 1. In the isolation of porcine leukocytes, the mean isolation rate by the buffy coat separation method (28.7%) was higher than that by the hydroxyethyl starch-RBC sedimentation method (9.2%). 2. When NDV(BI)-induced PorLeIFs were assyed on PK(15) cells and FL cells, the mean titers were 129 IU/ml and 72 IU/ml respectively, being 55.8% of the activity in homologous species system expressed in heterologous system. 3. The activities of PHA P-induced PorIIFs were 197 IU/ml on PK (15) cells and no activity on human FL cells. The mean antiviral activity of PorIIF was 1.5 times that of PorLeIF in PK (15) cells. 4. The cytopathic effect of vesicular stomatitis virus was observed in BGK cells derived from Korean native black goat kidney permitting interferon assay on the cells. While the cross-species antiviral activity of reference human ${\alpha},\;{\beta}-interferon$ was observed on the cells, PorLeIF and PorIIF did not show any activity.

• International Journal of Aeronautical and Space Sciences
• /
• 제15권4호
• /
• pp.412-418
• /
• 2014

This paper describes the development of variable stability system (VSS) control laws for the KFA-i to simulate the dynamics of KFA-m aircraft. The KFA-i is a single engine, Class IV aircraft and was selected as an in-flight simulator (IFS) aircraft, whereas the KFA-m is a simulated aircraft that is based on the F-16 aircraft. A 6-DoF math model of KFA-i aircraft was developed, linearized, and separated into longitudinal and lateral motion for VSS control law synthesis. The KFA-i aircraft has five primary control surfaces: two flaperons, two all movable horizontal tails, and one rudder. Flaperons are used for load control, the horizontal tails are used for pitch and roll rate control, and the rudder is used for yaw rate control. The developed VSS control law can simulate four parameters of the KFA-m aircraft simultaneously, such as pitch, roll, yaw rates, and load. The simulation results show that KFA-i follows the responses of KFA-m with high accuracy.

• 기본간호학회지
• /
• 제16권4호
• /
• pp.459-471
• /
• 2009

Introduction: Critical thinking involves identifying problem(s), assessing resources, and generating possible solutions and allows clinical nurses to decide which solution is the most reasonable under the given circumstances, taking into consideration the "hat ifs" and how they will affect the end result. This research was conducted to further understanding and identification of subjective factors in critical thinking in clinical nurses. Methods: The research design was a Q-Methodological Approach. Q-population was formulated from a non-structured questionnaire and interviews from 17 experienced clinical nurses. Thirty selected Q-statements were sorted by 30 experienced clinical nurses. Results: Four factors for critical thinking were identified: (1) Deductive reasoning based on causal relation, (2) Construction of an effective model based on patients' responses, (3) Formulating categories based on priorities for effective interventions, and (4) Judging validity of the situational significance on clinical performances. Conclusion: Critical thinking is an attitude and reasoning process. From this study, the frame of reference for clinical nurses in formulating critical thinking within the context of clinical settings is identified and indicates the way nurses utilize thinking skills when they care for patients and areas that need further exploration as nurses and faculty develop education systems to advance clinical performance competency.

• International Journal of Fuzzy Logic and Intelligent Systems
• /
• 제7권4호
• /
• pp.256-261
• /
• 2007

Electroencephalographic(EEG) is used to record activities of human brain in the area of psychology for many years. As technology developed, neural basis of functional areas of emotion processing is revealed gradually. So we measure fundamental areas of human brain that controls emotion of human by using EEG. Hands gestures such as shaking and head gesture such as nodding are often used as human body languages for communication with each other, and their recognition is important that it is a useful communication medium between human and computers. Research methods about gesture recognition are used of computer vision. Many researchers study Emotion Recognition method which uses one of EEG signals and Gestures in the existing research. In this paper, we use together EEG signals and Gestures for Emotion Recognition of human. And we select the driver emotion as a specific target. The experimental result shows that using of both EEG signals and gestures gets high recognition rates better than using EEG signals or gestures. Both EEG signals and gestures use Interactive Feature Selection(IFS) for the feature selection whose method is based on the reinforcement learning.

• 대한의용생체공학회:학술대회논문집
• /
• 대한의용생체공학회 1994년도 춘계학술대회
• /
• pp.43-48
• /
• 1994

본 논문은 반복 수축 변환의 프랙탈(fractal) 이론에 근거한 심전도 데이터 압축에 관한 연구이다. 심전도 데이터에 반복 함수계(Iterated Function System : IFS) 모델을 적용하여 신호 자체의 자기 유사성(self-similarity)을 반복 수축 변환으로 표현하고, 그 매개변수만을 저장한다. 재구성시는 변환 매개변수를 반복 적용하여 원래의 신호에 근사되어지는 값을 얻게 된다. 심전도 데이타는 부분적으로 자기 유사성을 갖는다고 보고, 부분 자기-유사 프랙탈 모델(piecewise self-affine fractal model)로 표현될 수 있다. 이 모델은 신호를 특정 구간들로 나누어 각 구간들에 대해 최적 프랙탈 보간(fractal interpolation)을 구하고 그 중 오차가 가장 작은 매개변수만을 추출하여 저장한다. 이 방법을 심전도 데이타에 적용한 결과 특정 압축율에 대해 아주 적은 재생오차 (percent root-mean-square difference : PRD)를 얻을 수 있었다.

• 천문학회보
• /
• 제39권2호
• /
• pp.100.2-100.2
• /
• 2014

The DOTIFS is a new multi-object Integral Field Spectrograph (IFS) planned to be designed and built by the Inter-University Center for Astronomy and Astrophysics, Pune, India, (IUCAA) for cassegrain side port of the 3.6m Devasthal Optical Telescope (DOT) being constructed by the Aryabhatta Research Institute of Observational Sciences, Nainital. (ARIES) It is a multi-integral field unit (IFU) spectrograph which has 370-740nm wavelength coverage with spectral resolution R~1200-2400. Sixteen IFUs with microlens arrays and fibers can be deployed on 8 arcmin field. Each IFU has $8.7^{{\prime}{\prime}}{\times}7.4^{{\prime}{\prime}}$ field of view with 144 spaxel elements. 2304 fibers coming from IFUs are dispersed by eight identical spectrographs with all refractive and all spherical optics. In this work, we show optical design of the DOTIFS spectrograph. Expected performance and result of tolerance and thermal analysis are also shown. The optics is comprised of f=520mm collimator, broadband filter, dispersion element and f=195mm camera. Pupil size is determined as 130mm from spectral resolution and budget requirements. To maintain good transmission down to 370nm, calcium fluoride elements and high transmission optical glasses have been used. Volume Phase Holographic grating is selected as a dispersion element to maximize the grating efficiency and to minimize the size of the optics. Detailed optics design report had been documented. The design was finalized through optical design review and now ready for order optics.

• 한국지반공학회지:지반
• /
• 제14권4호
• /
• pp.117-128
• /
• 1998

지오그리드를 이용한 입체적인 매트리스기초는 연약지반의 지지력을 증가시키기 위해서 증증 사용되며 그 효과를 인정받고 있다. 지오그리드-매트리스 시스템이란 그 자체의 강성에 의해 하중을 보다 더 넓게 기초지반에 분산시킴으로서 지지력의 증대효과 및 침하억제효과를 가져오는 공법이다. 그러나, 이에 대한 메카니즘은 아직 명확하게 규명되어 있지 않다. 본 연구에서는 지오그리드 매트리스기초 아래 전파응력분포 특성을 파악하기 위해 모형실험을 실시하였고, 실험에서는 지오그리드 매트리스기초와 두께 및 지지하는 기초의 강성 등을 영향인자로서 고려하였다. 실험결과로부터 매트리스기초하의 전파응력분포 특성을 파악하였고, 지오그리드 매트리스기초 설계시 지지력을 구할 수 있는 방법을 제안하였다.