• Title/Summary/Keyword: Material Cost

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Determination of Nursing Costs for Hospitalized Patients Based on the Patient Classification System (종합병원에 입원한 환자의 간호원가 산정에 관한 연구)

  • 박정호;송미숙
    • Journal of Korean Academy of Nursing
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    • v.20 no.1
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    • pp.16-37
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    • 1990
  • A cost analysis for hospitalized patients was carried out based upon Patient Classification System(PCS) in order to determine an appropriate nursing fee. The data were collected from 21 nursing units of three teaching hospitals from April 1 to June 30, 1989. first, all of the 22,056 inpatients were classified into mildly ill(Class Ⅰ), moderately ill(Class Ⅱ), acutely ill(Class Ⅲ), and critically ill(Class Ⅳ) by the PCS which had been carefully developed to be suitable for the Korean nursing units. Second. PCS cost accounting was applied to the above data. The distribution of inpatients, nursing costs, and nursing productivity were as follows : 1) Patient distribution ranged from 45% to class Ⅰ, 36% to class Ⅱ, 15% to class Ⅲ, and 4% to class Ⅳ, the proportion of class Ⅳ in ‘H’ Hospital was greater than that of the other two hospitals. 2) The proportion of Class Ⅲ and Ⅳ in the medical nursing units was greater than that of surgical nursing units. 3) The number of inpatients was greatest on Tuesdays, and least on Sundays. 4) The average nursing cost per hour was W 3,164 for ‘S’ hospital, W 3,511 for ‘H’ hospital and W 4,824 for ‘K’ hospital. The average nursing cost per patient per day was W 14,126 for ‘S’ Hospital, W 15,842 for ‘H’ hospital and W 21,525 for ‘K’ hospital. 5) The average nursing cost calculated by the PCS was W 13,232 for class Ⅰ, W 18,478 for class Ⅱ, W 23,000 for class Ⅲ, and W 25,469 for class Ⅳ. 6) The average nursing cost for the medical and surgical nursing units was W 13,180 and W 13,303 respetively for class Ⅰ, W 18,248 and W 18,707 for class Ⅱ, W 22,303 and W 23,696 for class Ⅲ, and W 24,331 and W 26,606 for class Ⅳ. 7) The nursing costs were composed of 85% for wages and fringe benefits, 3% for material supplies and 12% for overhead. The proportion of wages and fringe benefits among the three Hospitals ranged from 75%, 92% and 98% for the ‘S’, ‘H’, ‘K’ hospitals respectively These findings explain why the average nursing cost of ‘K’ hospital was higher than the others. 8) According to a multi- regression analysis, wages and fringe benefits, material supplies, and overhead had an equal influence on determining the nursing cost while the nursing hours had less influence. 9) The productivity of the medical nursing units were higher than the surgical nursing units, productivity of the D(TS) - nursing units was the lowest while the K(Med) - nursing unit was the highest in 'S' hospital. In ‘H’ hospital, productivity was related to the number of inpatients rather than to the characteristics of the nursing units. The ‘K’ hospital showed the same trend as ‘S’ hospital, that the productivity of the medical nursing unit was higher than the surgical nursing unit. The productivity of ‘S’ hospital was evaluated the highest followed by ‘H’ hospital and ‘K’ hospital. Future research on nursing costs should be extended to the other special nursing areas such as pediatric and psychiatric nursing units, and to ICU or operating rooms. Further, the PCS tool should be carefully evaluated for its appropriateness to all levels of institutions(primary, secondary, tertiary). This study took account only of the quantity of nursing services when developing the PCS tool for evaluating the productivity of nursing units. Future research should also consider the quality of nursing services including the appropriateness of nursing activities.

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Optimizing Fat Grafting Using a Hydraulic System Technique for Fat Processing: A Time and Cost Analysis

  • Verdura, Vincenzo;Guastafierro, Antonio;Di Pace, Bruno;Faenza, Mario;Nicoletti, Giovanni Francesco;Rubino, Corrado
    • Archives of Plastic Surgery
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    • v.49 no.2
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    • pp.266-274
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    • 2022
  • Background Many authors have researched ways to optimize fat grafting by looking for a technique that offers safe and long-term fat survival rate. To date, there is no standardized protocol. We designed a "hydraulic system technique" optimizing the relationship among the quantity of injected fat, operative time, and material cost to establish fat volume cutoffs for a single procedure. Methods Thirty-six patients underwent fat grafting surgery and were organized into three groups according to material used: standard, "1-track," and "2-tracks" systems. The amount of harvested and grafted fat as well as material used for each procedure was collected. Operating times were recorded and statistical analysis was performed to establish the relationship with the amount of treated fat. Results In 15 cases the standard system was used (mean treated fat 72 [30-100] mL, mean cost 4.23 ± 0.27 euros), in 11 cases the "1-track" system (mean treated fat 183.3 [120-280] mL, mean cost 7.63 ± 0.6 euros), and in 10 cases the "2-tracks" one (mean treated fat 311[220-550] mL, mean cost 12.47 ± 1 euros). The mean time difference between the standard system and the "1-track" system is statistically significant starting from three fat syringes (90 mL) in 17.66 versus 6.87 minutes. The difference between the "1-track" system and "2-tracks" system becomes statistically significant from 240 mL of fat in 15 minutes ("1-track") versus 9.3 minutes for the "2-tracks" system. Conclusion Data analysis would indicate the use of the standard system, "1-track," and "2-tracks" to treat an amount of fat < 90 mL of fat, 90 ÷ 240 mL of fat, and ≥ 240 mL of fat, respectively.

A Study on the Standard Method of Measurement Information Communication Field Contractors (정보통신시설공사 수량산출기준에 관한 연구)

  • Seol, Dong-Hwa;Lee, Kwang-Hee
    • Journal of The Institute of Information and Telecommunication Facilities Engineering
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    • v.2 no.4
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    • pp.52-63
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    • 2003
  • This study proposes a change from the currentexpected price integrated system, which is based on the standard of estimated unit manpower and material, to a new actual construction cost integrated system. In order to implement it, the standard method of measurement organization system as well as the communication area standard of estimated unit manpower and material should be changed Moreover, the work breakdown structure and itemized structure should be assorted.

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A Performance Analysis Model for Optimal Design of Freight Terminal Layout and Operation Using AutoMod (화물터미널 집배송센터의 최적설계를 위한 분석모델)

  • 황흥석;조규성
    • Proceedings of the Korean Operations and Management Science Society Conference
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    • 2000.10a
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    • pp.275-278
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    • 2000
  • This paper focuses on a performance analysis model for optimizing the freight terminal design and layout using AutoMod simulator and numerical analysis. We developed a model to analyze the freiht terminal performance per unit time and the material handling cost based on both throughput and waiting due to conjestion. We developed computer program for this model and some sample results by both numerical method and AutoMod simulator are compared.

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An Experimental Study on Development of Design-Concrete used Building Wall (건축외벽용 의장콘크리트 개발에 관한 실험적 연구)

  • 임현준;김종원;강태경;김우재;이영도;정상진
    • Proceedings of the Korea Concrete Institute Conference
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    • 2002.05a
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    • pp.985-990
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    • 2002
  • Contemporary architecture calls for a wide range of surface textures and treatments. A surface compatible with the architect's design may vary from a glass-smooth finish to one requiring special sculptured ornamentation. These surfaces require many different types of form sheathing and lining. The purpose of study development new design form and made elaborateness shape. Easy to used in field that architecture finish material not used expect effective reduce of working hours, personnel expenses, architecture finish material, cost. After this, building wall apply a variety shape in concrete surface.

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Mechanical Strength Properties of Hanger Insulator for Arrestor (피뢰기 절연행거의 기계적 강도 특성)

  • 박기호;조한구;한동희
    • Proceedings of the Korean Institute of Electrical and Electronic Material Engineers Conference
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    • 2001.07a
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    • pp.589-592
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    • 2001
  • Generally, hanger insulator for polymer arrestor have to be good insulation properties and mechanical strength and weatherability, But many remark and repairs have been to think about low cost and light weight. The Paper is used Polymer arrestor for post and performance analysis and mechanical strength insulator hanger according to development of simplest product. To enhance the efficiency of experimental modal analysis, we proposed the process which is the selection of the locations and the number of measurement points for pre-test.

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A Study on Building Wall with Glossing Design-Concrete (건축벽체용 광택문양콘크리트의 성능평가 연구)

  • 김종원;김재은;윤상혁;양동일;조상영;정상진
    • Proceedings of the Korea Concrete Institute Conference
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    • 2003.05a
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    • pp.573-578
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    • 2003
  • Contemporary architecture calls for a wide range of surface textures and treatments. A surface compatible with the architect's design may vary from a glass-smooth finish to one requiring special sculptured ornamentation. These surfaces require many different types of form sheathing and lining. The purpose of study development new design form and made elaborateness shape. Easy to used in field that architecture finish material not used expect effective reduce of working hours, personnel expenses, architecture finish material, cost. After this, building wall apply a variety shape in concrete surface

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Silicon solar cell--Development, Processing and Future (실리콘 태양전지--개발, 공정 및 미래전망)

  • 이수홍
    • Proceedings of the Korean Institute of Electrical and Electronic Material Engineers Conference
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    • 1994.11a
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    • pp.78-81
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    • 1994
  • The Photovoltaics(PV) industry has been evolving over the last 30 years and expanding because of a rising demand for clean and safe energy. Crystalline silicon solar cells will have increased performance and reduced cost in the future. In this paper solution growth process used to fabricate polycrystalline silicon thin film is considered.

Compact Wilkinon Power Divider Design and Simulation Using IPD Technology

  • Cong, Wang;Kim, Nam-Young
    • Proceedings of the Korean Institute of Electrical and Electronic Material Engineers Conference
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    • 2008.06a
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    • pp.186-188
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    • 2008
  • The wireless communication revolution has spawned a revival of interest in the design and optimization of radio transceivers. Radio transmit modules continue to shrink in die size and cost, requiring novel approaches for integration of the numerous passive elements of the radio front-end. A 3 dB Wilkinson power divider based on GaAs substrates, for DCS 1710-1880 MHz band was designed and fabricated showing excellent performance.

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Structural analysis of Aluminium coach body (알루미늄 객차의 구조강도 해석)

  • 이정수;서승일;이기열
    • Proceedings of the KSR Conference
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    • 1998.11a
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    • pp.583-588
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    • 1998
  • Large extrusions of aluminium alloy can be more general and useful as structural material of rolling stocks to reduce weight and labor cost than mild steel and stainless steel. Our company is studying aluminium coach body will be made of 6005A and A5083 alloy. In this paper, at first detailed finite element analysis is carried out to calculate the orthotropic material properties of aluminium extrusions. And then global strength evaluation of coach body is carried out according to UIC 566 OR code.

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