• Title/Summary/Keyword: Non Standardized Cost

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A Study on the Investigation of Demander's Consciousness for Standardization and Information of Construction Materials (건설자재 표준화 및 정보활용에 대한 수요자 의식 조사 연구)

  • Choi, Young-Jun;Cho, Young-Keun;Kwon, Ki-Jun;Chae, Seong-Tae
    • Journal of the Korean Society of Hazard Mitigation
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    • v.7 no.2 s.25
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    • pp.7-12
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    • 2007
  • This study has been conducted to present reform recommendations for Standardization of Construction Materials, based on a study on the Investigation of Demander's Consciousness for Construction Materials Quality and Information Standardization in Korea. Upon investigation, it was found that the quality of Korea Industrial Standards (KS) was given 67 points (out of 100) by respondents. In addition, 38% of the respondents showed that they had problems with a lack of Standardized Information. Good examples were found to be non-standardized materials, e.g. admixtures, waterproof agents, reinforcing fibers, concrete, aggregates, adhesives, wood, temporary materials, thermal-insulating materials, etc. Upon results from the investigation of demander's consciousness for infrastructure of standardization of information, 71.2% of respondents thought that it is necessary to informatize construction materials. They made following demands on the informatization to be, in order: Quality, Standard, Price (Cost), Operation, Drawing, Law, and Information.

Effectiveness of Deep Breathing Exercise for Postoperative Pulmonary Complications Prevention: A Systematic Review (수술 후 폐 합병증 예방을 위한 심호흡 운동의 효과에 대한 체계적 고찰)

  • Lee, Worlsook;Yang, You Lee;Oh, Eui Geum
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.21 no.4
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    • pp.423-432
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    • 2014
  • Purpose: This study was done to evaluate effectiveness of deep breathing exercise as a postoperative intervention to prevent pulmonary complications. Methods: A search of databases from 1990 to 2012 was done including MEDLINE, EMBASE, CINAHL, Cochrane Library and eight Korean databases. Ten studies met eligibility criteria. Researchers trained in systematic review, independently assessed the methodological quality of selected studies using the Cochrane's risk of bias tool. Data were analyzed using RevMan 5.2 program. Results: Among ten RCTs in four studies, deep breathing exercise was compared with an instrument using interventions such as incentive spirometry, in the other four studies deep breathing exercise was compared with non-intervention, and in last two studies bundles of interventions including coughing and early ambulation were assessed. A significant difference was found between deep breathing exercise group and non-intervention group. The odds ratio (OR) of occurrence of pulmonary complications for deep breathing exercise versus non-intervention was 0.30. However, there was no significant difference between deep breathing exercise group and incentive spirometry group (OR=1.22). Conclusion: Deep breathing exercise is vital to improving cost-effectiveness and efficiency of patient care in preventing postoperative pulmonary complications. For evidence-based nursing, standardized guidelines for deep breathing in postoperative care should be further studied.

A New Approach to Statistical Analysis of Electrical Fire and Classification of Electrical Fire Causes

  • Kim, Doo-Hyun;Lee, Jong-Ho;Kim, Sung-Chul
    • International Journal of Safety
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    • v.6 no.2
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    • pp.17-21
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    • 2007
  • This paper aims at the statistical analysis of electrical fire and classification of electrical fire causes to collect electrical fires data efficiently. Electrical fire statistics are produced to monitor the number and characteristics of fires attended by fire fighters, including the causes and effects of fire so that action can be taken to reduce the human and financial cost of fire. Electrical fires make up the majority of fires in Korea(including nearly 30% of total fires according to recent figures), The incorrect and biased knowledge for electrical fires changed the classification of certain types of fires, from non-electrical to electrical. It is convenient and required to develop the standardized form that makes, in the assessment of the cause of electrical fires, the fire fighters directly ticking the appropriate box on the fire report form or making an assessment of a text description. Therefore, it is highly recommended to develop electrical fire cause classification and electrical fire assessment on the fire statistics in order to categorize and assess electrical fires exactly. In this paper newly developed electrical fire cause classification structure, which is well-defined hierarchical structure so that there are not any relationship or overlap between cause categories, is suggested. Also fire statistics systems of foreign countries are introduced and compared.

Studies on the variations of hospital use and the changes in hospital revenues of 10 KDRGs under the PPS (일개 대학병원의 환자군별 진료서비스 변이와 포괄수가제 적용에 따른 진료수익 변화)

  • 전기홍;송미숙
    • Health Policy and Management
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    • v.7 no.1
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    • pp.100-124
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    • 1997
  • In order to suggest the strategies for participation in the PPS(Prospective Payment System), analyses were performed based on variations in utilization pattern and changes in revenues of hospitals in 10 selected KDRGs. The data was collected from the claims data of a tertiary hospital in Kyunggido from September 1, 1995 to August 31, 1996. The studies consisted of 1, 718 inpatients diagnosed for lens procedures, tonsilectomy &/or adenoidectomy, appendectomy with complicated principal diagnosis, Cesarean section, or vaginal delivery without any complications. The resources used in each KDRG were measured including average length of stay, total charges, number of orders, intensity of medical services, frequencies of medical services, the rate of non-reimbursable charges, and the rate of non-reimbursable orders. Then, the changes in hopital revenues due to the composition of medical fee schedules under the PPS were estimated as follows: 1) The variations in average lenght of stay, total charges, number of orders, the intensity of medical services, the frequency of medical services, the rate of non-reimbursable charges, and the rate of non-reimbursable orders among the 10 KDRGs were comparatively small. 2) The average lenght of stay was the longest(6.0 days) for appendectomy with complicated principal diagnosis, while it was the shortest(2.1 days) for two vaginal deliveries. Statistically differences existed in the average length of stay among physicians and among the dates of admission in several KDRGs. 3) The total charges were the highest for lens procedures(1, 716, 000 won), while the lowest charges were for two vaginal deliveries(558, 000 won). Statistically differences in the total charges were found among physicians in several KDRGs: however, there were no differences with the dates of admission. 4) The number of orders was the greatest(155) for appendectomy with complicated principal diagnosis, while it was the smallest(75) for the two vaginal deliveries. Statistical differences in the number of orders did not exist among physicians in the KDRGs. 5) Significant differences were found in the intensity of medical services, and in the frequency of medical services among physicians in the KDRGs. 6) The rate of non-reimbursable charges for each KDRG was not related to the rate of non-reimbursable orders. The rate of non-reimbursable orders was the highest(36.0%) for lens procedures, while the lowest rate(11.6%) was for appendectomy with complicated principal diagnosis. The rate of non-reimbursable charges was the highest(39.4-39.7%) for vaginal deliveries, while the lowest rate(13.1%) was for tonsillectomy &/or adenoidectomy(<17 ages). 7) If the physician's practicing style were not change under the PPS, the hospital revenuses could be increased by 10%, and the portion of patient payment could be decreased by 1.4-22.4%. However, the non-reimbursable charges for showed little change between two reimbursement systems. Based upon the above findings, this hospital could be eligible for participation in the PPS(Prospective Payment Systm). However, the process of diagnosis and treatment should be standardized, inentifying methods to reduce cost and to assure quality of medical care. Furthermore, consideration should be given to finding ways to increase patient volume.

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Knowledge on the chemical disinfectants among dental workers in some Daejeon region (대전 일부 지역 치과종사자의 화학소독제에 관한 지식도 연구)

  • Min, Hee-Hong;Ahn, Kwon-Suk
    • Journal of Korean society of Dental Hygiene
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    • v.7 no.4
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    • pp.455-470
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    • 2007
  • The usage of appropriate disinfectants is essential for infection control in dental hospitals, dental clinics. Inadequate use of disinfectants is the cause of human or environmental toxicity and is a waste of cost. This study was aimed to assess the level of knowledge on the disinfection and chemical disinfectants among dental workers in dental hospitals, dental clinics. It's ultimately intended to serve as a basis for the preparation of more effective, appropriate educational programs on the disinfection and manuals on the use of disinfectants for dental workers. This study enforced a questionnaire with 184 dental workers employed in dental hospitals, dental clinics from 15 Aug. to 15 Sep. 2007, in the area of Daejeon. The obtained result were as follows; 1. The population sociological feature of dental hospital and dental clinic showed that significant differences of dental service career(pM0.039). Dental service career of dental workers shows; below 3 years 42.9%, 4~6 years 34.7%, more than 7 years 22.4% in dental hospitals, below 3 years 30.4%, 4~6 years 26.7%, more than 7 years 43.0% in dental clinics(pM0.039). 2. The average score of dental workers knowledge in 'Critical item soaks in high-level disinfectants for 20minutes was 2.73V0.49 point, got from knowledge of dental instrument is appropriate to immerse before sterilization in the dental device disinfection(pM0.002). 3. In the general disinfection which it follows in education experience of chemical disinfectants direction for use, 'Direction for use by Spaulding process classification' responded that the correct answer was the education experience dental workers 60.0%, the education non-experience dental workers 39.5%(p=0.026). 4. In the dental device disinfection which it follows in education experience of chemical disinfectants direction for use. 'High level disinfection is not applied for the non-critical items and equipment' responded that the education experience dental workers 49.2%, the education non-experience dental workers 31.9%(pM0.045), 'Semi-critical items is applied same method in presence of the infection disease which it acts responded that the education experience dental workers 44.6% answer back, the education non-experience dental workers 24.4%(pM0.017). 5. 'A hand disinfectants of anticeptics have effect' the education experience dental workers 78.5% answer back, the education non-experience dental workers 52.9%(pM0.003). 1t uses with hand disinfectants when the instruments which be imbrued and patient contact', the education experience dental workers 78.5% answer back, the education non-experience dental workers 62.2%(pM0.026), 'Boric acid solution uses for the skin disinfectants the education experience dental workers 52.3% answer back, the education non-experience dental workers is 37.0%(pM0.016), 'Gluconate have effective difference which it follows in chemical disinfectant consistency and the solution type' education experience dental workers 72.3% answer back, education non-experience dental workers 47.9%(pM0.004). 6. The education experience dental workers were appeared higher than the education non-experience dental workers in knowledge of the disinfection and chemical disinfectants. Consequently system and the specialty education which is standardized continuously must be provided to all dental workers.

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A Strategy to Improve Customer Service for Apartment Building Units (공동주택 상품의 고객서비스 개선 전략 연구)

  • Lee, Hyun-Min;Lee, Dong-Hoon;Kim, Sun-Kuk
    • Journal of the Korea Institute of Building Construction
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    • v.9 no.5
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    • pp.163-172
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    • 2009
  • As customers are becoming increasingly important in corporate management, there is a growing demand for migration to customer-focused organizational structures. Unlike the manufacturing industry, the construction industry is non-iterative and non-standardized. As a result, a wide variety of materials, human resources, technologies and equipment must be mobilized in complex work activities to complete a structure. Consequently, surprises are bound to occur as such work activities progress. This paper intends to study a strategy that is designed to improve customer services for apartment building units. It aims primarily to focus on cost control and brand management. Housing tenants and industry experts are surveyed to collect input for issue analysis. In addition, the external circumstances and internal capabilities of major builders in Korea are analyzed, and a SWOT analysis is performed regarding market conditions related to customer service. These analysis results are utilized to develop a strategy implementation plan over different time frames, and the operational resources available for such strategy implementation are analyzed in order to forecast its performance. This research will facilitate communication between construction companies in Korea and their customers by proposing a customer service improvement strategy for apartment building units, and is expected to provide resource material for a strategic analysis of efforts to fully incorporate customer requirements

Systematic review for economic benefit of poison control center (중독관리센터의 경제적 효과에 대한 체계적 고찰)

  • Han, Eunah;Hwang, Hyuna;Yu, Gina;Ko, Dong Ryul;Kong, Taeyoung;You, Je Sung;Choa, Minhong;Chung, Sung Phil
    • Journal of The Korean Society of Clinical Toxicology
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    • v.19 no.1
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    • pp.1-7
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    • 2021
  • Purpose: The purpose of this study was to conduct a systematic review to investigate the socio-economic benefits of the poison control center (PCC) and to assess whether telephone counseling at the poison control center affects the frequency of emergency room visits, hospitalization, and length of stay of patients with acute poisoning. Methods: The authors conducted a medical literature search of the PubMed, EMBASE, and Cochrane Library databases. Two reviewers evaluated the abstracts for eligibility, extracted the data, and assessed the study quality using a standardized tool. Key results such as the cost-benefit ratio, hospital stay days, unnecessary emergency room visits or hospitalizations, and reduced hospital charges were extracted from the studies. When meta-analysis was possible, it was performed using RevMan software (RevMan version 5.4). Results: Among 299 non-duplicated studies, 19 were relevant to the study questions. The cost-benefit ratios of PCC showed a wide range from 0.76 to 36 (average 6.8) according to the level of the medical expense of each country and whether the study included intentional poisoning. PCC reduced unnecessary visits to healthcare facilities. PCC consultation shortened the length of hospital stay by 1.82 (95% CI, 1.07-2.57) days. Conclusion: The systematic review and meta-analysis support the hypothesis that the PCC operation is cost-beneficial. However, when implementing the PCC concept in Korea in the future, it is necessary to prepare an institutional framework to ensure a costeffective model.

Performance Analysis of A Novel Inter-Networking Architecture for Cost-Effective Mobility Management Support

  • Song, Myungseok;Jeong, Jongpil
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.8 no.4
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    • pp.1344-1367
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    • 2014
  • Mobile traffic is increasing a masse because of the propagation of the Internet and the development of wireless mobile technology. Accordingly, the Network Local Mobility Management (NETLMM) working group [1] of the Internet Engineering Task Force (IETF) has standardized Proxy Mobile IPv6 (PMIPv6) [2] as a protocol for accomplishing the transmissibility of mobile terminals. PMIPv6 is a network-led IP-based mobility management protocol, which can control terminal mobility without depending on the type of access system or the capability of the terminal. By combining PMIPv6 and the mobility of Session Initiation Protocol (SIP), we can establish terminal mobility and session mobility through a more effective route. The mobility function can be improved and the overlap of function reduced as compared to that in the case of independent operation. PMIPv6 is appropriate for a non-real-time service using TCP, and SIP is appropriate for a real-time service using RTP/UDP. Thus, in the case of a terminal using both services, an effective mobility management is possible only by using PMIPv6 together with SIP. In order to manage mobility in this manner, researches on PMIPv6-SIP are in progress. In line with this trend, this paper suggests a new PMIPv6-SIP architecture where when a mobile terminal conducts a handover, a network-led handover while maintaining the session without the addition of a special function or middleware is possible along with effective performance evaluation through mathematical modeling by comparing the delay and the packet loss that occur during the handover to the Pure-SIP.

A Study on the Industry Food Service Management Practice in Chonbuk Province (산업체 단체급식소의 급식관리실태에 대한 조사연구)

  • 유정희
    • Korean journal of food and cookery science
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    • v.9 no.2
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    • pp.109-115
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    • 1993
  • This study was attempted to investigate the current status of industry food service management in Chonbuk province. The survey for the analysis was conducted through the questionaires to dietitian. The following results are to be noted. 1. Only one dietitian was employed regardless of feeding numbers and feeding times, and the average number of cooks comes to 5∼6 persons. Among 51 food service places for the study, 84.3% provided more than two meals a day. Feeding number were 200∼1000 people per one meal (64.7%) and feeding cost amounts to 700∼1000 won per meal per one person. 2. The food preferences and budget were primary considerations in menu planning. The type of menus was a non-selective menu with a seven-day cycle (83.7%). Most of dietitian (94.1%) had control of food purchasing, receiving and checking procedure and prefered placing orders by phone (94.5%) through the purveyors (86.4%). 3. In many food service places (70.5%), the mass food preparation was controlled of cooking method and standardized recipes were not undertaken by management Also, the food quality control such as flavor, texture, appearance and temperature was not fully established in food service system. 4. They used the method of manual dish washing operations (88%) and about 71.4% of them are dependent on boiling method of ultrabiolet light for disinfection of kitchen utensils. 5. The performance rates of dietitian management responsibility showed as nutritional management 100%, working management 72.4%, sanitary management 85.6%, personnel management 64.5% and nutrition education 40.7%, but they did not perform the objective and systematic their own responsibility as specialized dietitian because only few dietitian used basic check list and management tools. In addition, dietitian (21.6%) worked beyond their field. In the result, only 54.9% dietitian have satisfied their own occupation and most of them emphasized on practical working in educational curriculums.

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Developing Measurement System for Key Performance Indicators on Building Construction Projects (건설 프로젝트 효율적 성과관리를 위한 핵심 지표 체계 구축)

  • Cha, Hee-Sung;Kim, Tae-Kyoung
    • Korean Journal of Construction Engineering and Management
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    • v.9 no.4
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    • pp.120-130
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    • 2008
  • In construction industry, project performance should be evaluated in terms of project value objectives, i.e., cost, time, quality, safety, and environment. However, there have been few, if any, systematic approaches in assessing comprehensive performance level which encompasses the whole spectrum of project value objectives. It is non trivial to establish the standardized performance metric system due to the project individualities. This study provides a new approach in assessing the wide variety of project performance types by collecting the real industry project data. In addition, the proposed system has been validated through industry survey on project practitioners. It is concluded that the developed quantitative project performance measurement system would be effectively useful in indicating the level of current status of a particular project and furthermore, to provide a meaningful strategy for the future project in a more sustainable way.