• Health Policy and Management
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• v.5 no.2
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• pp.35-69
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• 1995

The managerial environment of hospitals in Korea characterized by low levels of medical insurance fees is worsening by increasing government regulations as to the utilization of medical services, rising costs of labor, material, and medical equipments, growing patient expectations concerning the quality of services, and escalating competitions among large hospitals in the market. Hospitals should seek for their survival strategies in this harsh environment and they should have information about costs of their products in doing so. However, it has not been available due to the complexity of the production process of hospital services. The objectives of this study were to develop a service-based cost accounting model and to apply the developed model to a study hospital to obtain cost information of hospital services. A model commonly used for the job-order product cost accounting in the manufacturing industry was modified for the use in hospitals in Korea. Actual costs, instead of standard costs, incurred to produce a unit of services during a given period of time were estimated in the model. Data required to implement the model included financial information, statistics for the allocation of supportive cost center costs to final cost centers, statistics for the allocation of final cost center costs to services, and the volume of each services charged to patients during a study period. The model was executed using data of a university teaching hospital located in Seoul for the fiscal year 1992. Data for financial information, allocation statistics fo supportive service costs, and the volume of services, most of them in electronic form, were available to the study. Data for allocation statistics of final cost center costs were collected in the study. There were 15 types of evaluation and management service, 2, 923 types of technical service, and 2, 608 types of drug and material service charged to patients in the study hospital during the fiscal year 1992. Labor costs of each of seven types of pesonnel, material costs of 611 types of drugs and materials, and depreciation costs of 212 types of medical equipments, miscellaneous costs, and indirect costs incurred in producing a unit of each services were estimated. Medical insurance fees for basic services such as evaluation and management of inpatients and outpatients, injection, and filling prescriptions, and for operating procedures were found to be set lower than costs. Infrequent services which use expensive medical equipments showed negative revenuse as well. On the other hand, fees for services not covered by the insurance such as CT, MRI and Sonogram, and for laboratory tests were higher than costs. This study has a significance in making it possible for a hospital to obtain cost information for all types of services which produced income based on all types of expenses incurred during a given period of time. This information can assist the management of a hospital in finding an effective cost reduction strategy, an efficient service-mix strategy under a given fee structure, and an optimum strategy for within-hospital resource allocations.

• Journal of Korean Society of Environmental Engineers
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• v.29 no.1
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• pp.62-67
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• 2007

It was investigated to develop the technology for simultaneous removal of $SO_2/NO$ in flue gas using liquid homogeneous catalyst. Test was carried out using a bench scale and a pilot scale experiment. The investigation led to the following results: 1) Removal efficiency of $SO_2$ gas showed good results regardless of operating condition. Removal efficiency of NO gas, however, proportionally increased with higher packing height, lower concentration and larger injection rate of catalyst 2) The optimum design parameters for simultaneous removal of $SO_2/NO$ gas using Fe(II)-EDTA catalyst were as follow: HTU(height of transfer unit) = 0.5 m, liquid gas ratio = 20 $L/m^3$, NTU (number of transfer unit) = 3 stages, cross dimension of scrubber=0.025 $m^2$ 3) The removal efficiencies of $SO_2$ and NO were 95% and 81%, repletely. 4) The high HTU is advantageous on removal of the NO, but the excessive HTU diminishes operating efficiency. Consequently, it is important to decide the HTU of optimum.

• Journal of Food Hygiene and Safety
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• v.4 no.2
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• pp.103-108
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• 1989

Three mushroom cannerries were selected by size which are representative vegetable processing firms in korea for monitoring microbial contamination of processing water, washing water, mushroom before and after washing through first and second washing tanks and, blanched and prolonged mushroom for certain time at room temperature. Total contamination degree was expressed as colony forming unit (CFU) of mesophilic aerobes. The contamination degree of processing water was $10^{2}\;CFU/100\;ml$ and washing water in first and second washing tank were 10 to 100 times higher than processing water. When 2.3 tons of washing water was used for washing 1 ton of mushroom, washing effect was showed by reduction of microbial load but cutting it to 1.8 tonsIl ton of mushroom, microbial load was higher than that of raw mushroom level. Blanching reduced microbial load to 50-500 CFU/g of blanched mushroom and it was not seen much increase of CFU in blanched mushroom left at room temperature for 3 hours in $16^{\circ}C$ processing water. Just after injection of $80^{\circ}C$ brine in container, CFU/ml of brine in container was $84{\times}10^{4}$ but it was increased rapidly to $20{\times}10^{7}$ after 2 hours at ambient temperature.

• The Journal of Korean Medicine
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• v.15 no.2 s.28
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• pp.46-91
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• 1994

l. Backgrounds of Studies Cerebrovascular accident. one of the three major causes of death among audults with cardiopathy and malignancy, has been on the increase in korea while it is on the decrease in European countries and Japan. Types of stroke undergo changes caused by prolongment of life expectancy. and social and economic variety. More patients of ischemic stroke show a tendency to increase now than those of hemorrhagic stroke in the past. Many clinical studies on medical cerebrovascular and oriental stroke of paralysis have been published. but few clinical studies on therapeutics of integrated oriental and western medicine are to be found. So I have made an attempt to study clinical observations and therapeutic responses of ischemic stroke under integrated oriental and western medicine. 2.Methods. Among the patients admitted into the clinic of Joong-Poong, Woo-Suk University Hospital from May 1. 1993 until April 30. 1994 those 56 patients who were diagnosed as ischemic stroke on Computed Tomography(CT) and showed no dubious symptom after examination of coagulation and bleeding time were classified into the following six steps and treated: l)diagnosis 2)emergency treatment 3)basic treatment 4)treatment of risk and provoking factors. and preceeding disease 5)complications and conservative therapy 6)rehabilitation. For a period of basic treatment both herb medication and urokinase therapy were applied at the same time. Intravenous injection has been given at a unit of 300.000 dosage a day as urokinase therapy during basic treatment. If they showed any dubious symptom in glucose tolerance test. fructose 500ml and urokinase 300.000 dosage were mixed and injected. In case of no symptom 5% DW 500ml was mixed with urokinase 300.000 unit. and injected at a speed of 15gtt per minute. 3. Results and Conclusions 1) The level of ambulation has been improved from 42.9% when admitted to 73.2% when discharged in the degree of recovery. The level of severe function disorder has been remarkably decreased from 55.4% when admitted to 19.6% when discharged. 2) The treatment effect on the basis of therapeutic response of clinical and subjective symptom shows as follows: 7.1% Excellent. 35.7% Good. 37.5% Effective. 10.7% Stationary. and 8.9% Aggravated. The total recovery above effective shows 80.3%. Judging from the above results I think it proper to develop the model of better preventing and treating ischemic stroke through effective therapeutic and clinical studies of integrated oriental and western medicine.

• Plant Journal
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• v.14 no.3
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• pp.29-34
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• 2018

In this study, the output and thermal efficiency of Taean Integrated Gasification Combined Cycle Plant were calculated by using the manufacturer's basic design data and the performance correction factor for each atmospheric temperature, and the actual performance was measured at summer and winter representative points. The results were compared with the calculated values to verify their validity. The thermal efficiency is the highest at around $15^{\circ}C$ and lower at lower temperature and higher temperature. This is similar to that of natural gas Combined Cycle Power Plant, but the thermal efficiency has drastically decreased due to the increase of power consumption of the air separation unit at relatively high temperature. The output is highest in the range of 5 to $15^{\circ}C$, and is kept almost constant at below $5^{\circ}C$ and declines above $15^{\circ}C$. The reason why the output does not increase at low temperatures is that the torque limit of the shaft is activated by the increase of the flow rate due to the nitrogen injection of the gas turbine combustor. In order to improve the performance in the future, efforts should be made to improve the power generation output and to reduce the power consumption of the air separation unit in summer.

• Journal of the Korean earth science society
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• v.43 no.1
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• pp.140-150
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• 2022

This paper focuses on introducing the concept of the multi-scale study on the Ulleungdo-Dokdo Volcanic Group in the East Sea and recent new findings from it. Multi-channel seismic reflection data reveals that the major volcanic activities of the Ulleungdo-Dokdo Volcanic Group took place between 5 and 2.5 Ma, which were propagated from Isabu Tablemount on the eastern end to the Ulleung Island on the western end. The terrestrial Ulleung Island was built via 5 stages, which eventually formed a 3 km-wide caldera, named Nari Caldera, and a volcanic dome, named Albong, within the caldera. The Albong and the unit N-1, the earliest phreatomagmatic explosive phase of the Albong volcano, were generated from a new magma injected into the existing phonolitic body. The generally trachyandesitic bulk rock composition of the pumice in unit N-1 and Albong is attributed to the contamination of the new magma by mafic cumulates at the base of the existing phonolitic chamber. The lines of evidence of a new magma injection point toward that Ulleung Island is an active volcano with a live subvolcanic magma plumbing system.

• Particle and aerosol research
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• v.10 no.2
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• pp.83-91
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• 2014

Since airborne bacteria have been known to aggravate indoor air quality, studies on reducing bacteria particles increase recently. In this study, a chamber(0.8m x 0.8m x 1.56m) system was built in order to simulate real conditions for reducing airborne bacteria, and evaluated by a simple aerosol reduction test. A method utilizing CFD(Computational Fluid Dynamics) simulation was used to detect the horizontal cross-sectional area which represents particle distribution in the chamber. Then an air-cleaner with HEPA filter and Carbon Fiber Ionizer was located on that area for aerosol reduction test. The CFD result found the area was located at 0.2m height from the bottom of the chamber, and the test showed aerosol reduction efficiencies using measurements of number concentration and CFU(colony forming unit) per each case. At the measurement of number concentration, the reduction efficiency of air-cleaner with filter and ionizer(Case 3) was about 90% after 4 minutes from the stop of the bacteria injection, and that with only filter(Case 2) was about 90% after 8 minutes from the beginning. Lastly, that without filter and ionizer(Case 1) was about 30% after 10 minutes. At the measurement of CFU, it shows similar results but it is related to viability of bio-aerosol.

• Journal of The Korean Dental Society of Anesthesiology
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• v.14 no.1
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• pp.57-62
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• 2014

Background: The aim of this study was to analyze outpatient anesthesia for dental treatment in handicapped patients with behavior disorder in order to use data for carrying out better and safe anesthetic management. Methods: The data were drawn from the 100 patients with behavior disorder who visited CNUDH dental clinic for disabled based on anesthesia record to investigate patient's systemic condition, cooperative level, anesthesia method according to patients cooperation, and side effects after recovery time. Results: Mental retardation (58%) is the most reason to choose general anesthesia. The methods of induction according to cooperative level are intravenous propofol injection in 22 cases and inhalation of sevoflurane in 78 cases. Induction time of anesthesia were within 10 seconds in cases of propofol induction and average $48.8{\pm}18.5$ seconds in cases of inhalation induction. The time spent on dental treatment was average $3.2{\pm}1.1$ hours. After the end of treatment, average time to move from unit chair to recovery bed, to recliner, and to discharge from hospital are $10.4{\pm}5.1$, $36.9{\pm}17.1$ and $72.4{\pm}16.0$ minutes, respectively. During recovery, there are nausea with 9%, vomiting with 4%, dizziness with 2%, finger injury with 1%. Conclusions: This study showed our successful anesthetic outcomes without any severe side effects or complications. Through this study, it will be used for safe anesthetic management as useful reference data.

• Journal of The Korean Society of Clinical Toxicology
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• v.14 no.2
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• pp.151-154
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• 2016

Increased plasma insulin levels are often observed in exogenous insulin overdose patients. However, plasma insulin level may decrease with time. We report a case of low plasma insulin level hypoglycemia after insulin lispro overdose. The patient was a 37-year-old man with no previous medical history who suspected insulin lispro overdose. Upon arrival, his Glasgow coma scale was 3 points and his blood sugar level (BSL) was 24 mg/dl. We found five humalog-quick-pen (insulin lispro) in his bag. There was no elevation of glucose level, despite an initial 50 ml bolus of 50% glucose and 150 cc/hr of 10% dextrose continuous intravenous infusion. He also suffered from generalized tonic-clonic seizure, which was treated with lorazepam and phenytoin. We conducted endotracheal intubation, after which he was admitted to the intensive care unit (ICU). There were recurrent events of hypoglycemia below BSL<50 mg/dl after admission. We repeatedly infused 50 ml 50% glucose 10 times and administered 1 mg of glucagon two times. The plasma insulin level was 0.2 uU/ml on initial blood sampling and 0.2 uU/ml after 5 hours. After 13 hours, his BSL stabilized but his mental status had not recovered. Diffuse brain injury was observed upon magnetic resonance imaging (MRI) and severe diffuse cerebral dysfunction was found on electroencephalography (EEG). Despite 35 days of ICU care, he died from ventilator associated pneumonia.

• Clinical and Experimental Reproductive Medicine
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• v.44 no.4
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• pp.232-238
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• 2017

Objective: To determine whether reducing the cetrorelix dose in the antagonist protocol to 0.125 mg had any deleterious effects on follicular development, the number and quality of retrieved oocytes, or the number of embryos, and to characterize its effects on the affordability of assisted reproductive technology. Methods: This randomized controlled study was conducted at the Fertility Unit of Tanta Educational Hospital of Tanta University, the Egyptian Consultants' Fertility Center, and the Qurrat Aien Fertility Center, from January 1 to June 30, 2017. Patients' demographic data, stimulation protocol, costs, pregnancy rate, and complications were recorded. Patients were randomly allocated into two groups: group I (n = 61) received 0.125 mg of cetrorelix (the study group), and group II (n = 62) received 0.25 mg of cetrorelix (the control group). Results: The demographic data were comparable regarding age, parity, duration of infertility, and body mass index. The dose of recombinant follicle-stimulating hormone units required was $2,350.43{\pm}150.76$ IU in group I and $2,366.25{\pm}140.34$ IU in group II, which was not a significant difference (p= 0.548). The duration of stimulation, number of retrieved oocytes, and number of developed embryos were not significantly different between the groups. The clinical and ongoing pregnancy rates likewise did not significantly differ. The cost of intracytoplasmic sperm injection per cycle was significantly lower in group I than in group II (US $ $494.66{\pm}4.079$ vs. US $ $649.677{\pm}43.637$). Conclusion: Reduction of the cetrorelix dose in the antagonist protocol was not associated with any significant difference either in the number of oocytes retrieved or in the pregnancy rate. Moreover, it was more economically feasible for patients in a low-resource country.