• Title/Summary/Keyword: Length of service

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Length of Stay, Health Care Cost, Postpartum Discomfort, and Satisfaction with Medical Service in Puerperas Giving Birth in Midwifery Clinic and Hospitals (조산원과 병원 분만 산모의 재원일 수, 의료비용, 산후불편감과 의료서비스 만족도 비교)

  • Park, Mi-Ran;Lee, Ju-Young
    • Women's Health Nursing
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    • v.24 no.1
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    • pp.24-32
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    • 2018
  • Purpose: To determine traits related to pregnancy and delivery, length of stay, health care cost, postpartum discomfort, and satisfaction with medical service of puerperas giving birth in midwifery clinic and hospitals. Methods: This study used a comparative survey design. Data were collected from a total of 140 postpartum mothers composed of 70 mothers who gave births in two hospitals and another 70 mothers who delivered in one midwifery clinic. Results: Delivery in midwifery clinic had higher Apgar score at 1 minute and 5 minutes after birth than hospital. Those who delivered in midwifery clinic had shorter stay in the clinic, fewer health care cost, less postpartum discomfort in physical, environmental, social, and cultural areas, higher satisfaction with medical services than those who delivered in hospitals. Conclusion: Results of this study can be used as a basis for studies on giving birth in midwifery clinic and hospitals. They might increase the autonomy of women in giving birth with positive effect on the delivery experience of the mother and her spouse.

Comparison of Health Care Utilization Patterns and Length of Stay Determinants between Fracture Patients with Workers' Compensation Insurance and National Health Insurance (건강보험 환자와 비교한 산재환자의 의료이용 행태와 재원일수 결정요인: 일부 골절환자를 중심으로)

  • Youn, Kyung-Il
    • The Korean Journal of Health Service Management
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    • v.9 no.4
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    • pp.131-144
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    • 2015
  • Objectives : This study investigated the health care utilization patterns and length of stay (LOS) determinants of fracture patients with workers' compensation insurance (WCI) and national health insurance (NHI). Methods : The discharge summary data of 4,394 WCI fracture patients were compared to 28,874 NHI patients. Health care utilization characteristics were compared with a logistic regression analysis, and the LOS determinants were identified with linear regression analysis. Results : The average LOS of the WCI fracture patients was 2.4 times higher than that of the NHI patients. WCI patients used more small or medium sized hospitals, and were more frequently admitted through the emergency room. Females, older patients and patients admitted through emergency room had a significant positive impact on LOS. Conclusions : Healthcare utilization by the WCI fracture patients may include medically unnecessary hospital stays. Therefore, policy makers need to respond appropriately to the inefficient use of health resources by WCI patients.

Analysis of Defense Method for HTTP POST DDoS Attack base on Content-Length Control (Content-Length 통제기반 HTTP POST DDoS 공격 대응 방법 분석)

  • Lee, Dae-Seob;Won, Dong-Ho
    • Journal of the Korea Institute of Information Security & Cryptology
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    • v.22 no.4
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    • pp.809-817
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    • 2012
  • One of the OSI 7 Layer DDoS Attack, HTTP POST DDoS can deny legitimate service by web server resource depletion. This Attack can be executed with less network traffic and legitimate TCP connections. Therefore, It is difficult to distinguish DDoS traffic from legitimate users. In this paper, I propose an anomaly HTTP POST traffic detection algorithm and http each page Content-Length field size limit with defense method for HTTP POST DDoS attack. Proposed method showed the result of detection and countermeasure without false negative and positive to use the r-u-dead-yet of HTTP POST DDoS attack tool and the self-developed attack tool.

Prediction of Service Life of a Respirator Cartridge by the Occupational Environment -Simulation of Breakthrough Curve for Respirator Cartridge and Sampling Tube- (작업현장의 환경조건에 따른 방독마스크 정화통의 수명예측 -모사에 의한 정화통과 샘플관의 파과시간-)

  • 김덕기;신창섭
    • Journal of the Korean Society of Safety
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    • v.11 no.2
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    • pp.89-95
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    • 1996
  • To predict the service life of an organic vapor respirator cartridge, the breakthrough curve of respirator was simulated using a fixed-bed adsorption model and compared with that of sampling tube. And the effects of bed porosity, length to diameter ratio and flow rate of the sampling tube were studied. The life time of respirator cartridge was increased with the decrease of particle size and bed porosity. And the breakthrough time of sampling tube was affected by the flow rate, however not by the length to diameter ratio. The 10% breakthrough time of the sampling tube was corresponded with that of cartridge.

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Forecast Driven Simulation Model for Service Quality Improvement of the Emergency Department in the Moses H. Cone Memorial Hospital

  • Park, Eui-H.;Park, Jin-Suh;Ntuen, Celestine;Kim, Dae-Beom;Johnson, Kendall
    • International Journal of Quality Innovation
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    • v.9 no.3
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    • pp.1-14
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    • 2008
  • Patient satisfaction with the Emergency Department(ED) in a hospital is related to the length of stay, and especially to the amount of waiting time for medical treatments. ED overcrowding decreases quality and efficiency, therefore affecting hospitals' profitability. This paper presents a forecasting and simulation model for resource management of the ED at Moses H. Cone Memorial Hospital. A linear regression forecasting model is proposed to predict the number of ED patient arrivals, and then a simulation model is provided to estimate the length of stay of ED patients, system throughput, and the utilization of resources such as triage nurses, patient beds, registered nurses, and medical doctors. The near future load level of each resource is presented using the proposed models.

Analysis of a binary feedback switch algorithm for the ABR service in ATM networks (ATM망에서 ABR 서비스를 위한 이진 피드백 스위치 알고리즘의 성능 해석)

  • 김동호;안유제;안윤영;박홍식
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.22 no.1
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    • pp.162-172
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    • 1997
  • In this paper, we investigated the performance of a binary feedback switch algorithm for the ABR(Available Bit Rate) service in ATM networks. A binary feedback switch is also called EFCI(Explicit Forward Congestion Indication) switch and can be classificed into input cell processing(IP) scheme according to processing methods for the EFCI bit in data-cell header. We proposed two implementation methods for the binary feedback switch according to EFCI-bit processing schemes, and analyzed the ACR(Allowed Cell Rate) of source and the queue length of switch for each scheme in steady state. In addition, we derived the upper and lower bounds for maximum and minimum queue lengths, respectively, and investigated the impact of ABR parameters on the queue length.

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A tension stiffening model for analysis of RC flexural members under service load

  • Patel, K.A.;Chaudhary, Sandeep;Nagpal, A.K.
    • Computers and Concrete
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    • v.17 no.1
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    • pp.29-51
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    • 2016
  • Tension-stiffening is the contribution of concrete between the cracks to carry tensile stresses after cracking in Reinforced Concrete (RC) members. In this paper, a tension-stiffening model has been proposed for computationally efficient nonlinear analysis of RC flexural members subjected to service load. The proposed model has been embedded in a typical cracked span length beam element. The element is visualized to consist of at the most five zones (cracked or uncracked). Closed form expressions for flexibility and stiffness coefficients and end displacements have been obtained for the cracked span length beam element. Further, for use in everyday design, a hybrid analytical-numerical procedure has been developed for nonlinear analysis of RC flexural members using the proposed tension-stiffening model. The procedure yields deflections as well as redistributed bending moments. The proposed model (and developed procedure) has been validated by the comparison with experimental results reported elsewhere and also by comparison with the Finite Element Method (FEM) results. The procedure would lead to drastic reduction in computational time in case of large RC structures.

A RECENT PROGRESS IN ALGORITHMIC ANALYSIS OF FIFO QUEUES WITH MARKOVIAN ARRIVAL STEAMS

  • Takine, Tetsuya
    • Journal of the Korean Mathematical Society
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    • v.38 no.4
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    • pp.807-842
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    • 2001
  • This paper summarizes recent development of analytical and algorithmical results for stationary FIFO queues with multiple Markovian arrival streams, where service time distributions are general and they may differ for different arrival streams. While this kind of queues naturally arises in considering queues with a superposition of independent phase-type arrivals, the conventional approach based on the queue length dynamics (i.e., M/G/1 pradigm) is not applicable to this kind of queues. On the contrary, the workload process has a Markovian property, so that it is analytically tractable. This paper first reviews the results for the stationary distributions of the amount of work-in-system, actual waiting time and sojourn time, all of which were obtained in the last six years by the author. Further this paper shows an alternative approach, recently developed by the author, to analyze the joint queue length distribution based on the waiting time distribution. An emphasis is placed on how to construct a numerically feasible recursion to compute the stationary queue length mass function.

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Correlates of Prenatal Care Service Use and Service Need Among Married Immigrant Women in Korea (결혼이주여성의 임신·출산 지원서비스 이용 및 서비스 요구도 관련 요인)

  • Na, Hyeon;Jeon, Gyeong-Suk
    • The Korean Journal of Health Service Management
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    • v.11 no.4
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    • pp.77-88
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    • 2017
  • Objectives : To examine the factors associated with the use of the prenatal care services provided by the Ministry of Gender Equality and Family by married migrant women in Korea. Methods : We employed data from the 2015 Nationwide Multiculturale Family Survey. We selected 19- to 39-year-old married immigrant women with children aged 5 years or less for the study (N=1,579). We included four predisposing factors, six enabling factors, and two need factors based on the Andersen's Health-care Utilization Model. Results : Only one third of married immigrant women(31.6%) used prenatal care service and 45.9% of them reported prenatal care service needs. Area of residence, country of birth, and Korean language proficiency were significantly associated with prenatal care service use. Further, age, country of birth, length of time in Korea, household income, and discrimination experience were significantly associated. Conclusions : Findings suggest the need to develop strategies to improve accessibility to prenatal care service use especially for married immigrant women from developing countries, low-income families, having poor Korean language proficiency or having discrimination experience.