The aim of this study is to analyze the differences in the publicness indices depending on the environmental factors of regional public hospitals to derive the policy implications for improving management for regional public hospitals. The data of the 34 regional public hospitals from 2016 was used for the analysis. Major results of this study are as follows. First, the analysis of the differences in the scores of the medical safety net function showed significantly higher scores for regional public hospitals with a larger location, a larger number of hospitals in a unit area, a larger number of nurses per 100 beds, and the lower management fee ratio. Second, the analysis of the differences in the scores of the unmet healthcare needs showed significantly higher scores for regional public hospitals with a larger number of hospitals in a unit area, and a larger number of beds. Third, the analysis of the differences in the scores of the hospital-specialized services showed significantly higher scores for regional public hospitals with a larger location, a higher financial independence of the local government, a larger number of hospitals in a unit area, a larger number of beds, and a larger number of nurses per 100 beds. Major conclusions of this study are as follows. Consideration should be given to the appropriate number of nurses for each regional public hospital to maximize publicness by providing the appropriate amount of medical services, but not to incur unnecessary labor costs. In addition, efforts should be made to enhance profitability, which can be a means of strengthening publicness, by identifying the minimum administrative expenses required for efficient operation and reducing unnecessary administrative expenses. Finally, it is necessary to identify the appropriate number of beds to meet the needs of the customers and to create maximum profits.
Journal of The Korean Society of Agricultural Engineers
/
v.47
no.3
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pp.59-68
/
2005
The rainfall-runoff potential of Jangseong reservoir watershed was studied based on SCS (Soil Conservation Service, which is now the NRCS, Natural Resources Conservation Service, USDA) runoff curve number (CN) technique. Precipitation and reservoir operation data had been collected. The rainfall-runoff pairs from the watershed for ten years was estimated using reservoir water balance analysis using reservoir operation records. The maximum retention, S, for each storm event from rainfall-runoff pair was estimated for selected storm events. The estimated S values were arranged in descending order, then its probability distribution was determined as log-normal distribution, and associated CNs were found about probability levels of Pr=0.1, 0.5, and 0.9, respectively. A subwatershed that has the similar portions of land use categories to the whole watershed of Jangseong reservoir was selected and hydrologic monitoring was conducted. CNs for subwatershed were determined using observed data. CNs determined from observed rainfall-runoff data and reservoir water balance analysis were compared to the suggested CNs by the method of SCS-NEH4. The $CN_{II}$ measured and estimated from water balance analysis in this study were 78.0 and 78.1, respectively. However, the $CN_{II}$, which was determined based on hydrologic soil group, land use, was 67.2 indicating that actual runoff potential of Jangseong reservoir watershed is higher than that evaluated by SCS-NEH4 method. The results showed that watershed runoff potential for large scale agricultural reservoirs needs to be examined for efficient management of water resources and flood prevention.
Background: Many institutes are interested in lung metastatectomy than before because of the improved long term survival, low mortality, and low morbidity after lung metastatectomy. However, prognostic factors affecting long term survival are controversial. We attempt to analyze the prognostic factors affecting retrospectively by comparing the results of lung metastasectomy. Material and Method: Between Jan. 1990 and Dec. 1997, 74 operations were taken in 63 patients with pulmonary metastases in various primary sites. We analyzed the postoperative long term survival according to sex, cell type, laterality, disease free interval(DFI), operation, the number of metastases, and the size of the largest metastasis. Result: There were 27 male and 36 female patients. Sex did not appeared to affect survival time(p=0.849). The primary tumor was carcinoma in 32, sarcoma in 28, and others in 3. Cell type, considering carcinoma and sarcoma, did not relate to survival time(p=0.071). DFI had no influence on the outcome(p=0.902). The type of operative procedure had no influence on the outcome(p=0.556). The laterality of metastases, 47 unilateral(74.6%) and 16 bilateral(25.4%), had no influence on the outcome(p=0.843). The number of metastases excised(one, two or three, four or more) did not appear to affect survival(p=0.263). The size of largest metastasis(<=10mm, 11mm-30mm, and >30mm) did not appear to affect survival(p=0.751). Previous factors were evaluated in both the carcinoma and sarcoma patients respectively. DFI was the only significant prognostic factor in metastatic lung sarcoma(p=0.0026). Conclusion: Survival was not related to sex, cell type, laterality, DFI, operative procedure, number of metastases, nor the size of the largest metastasis. DFI was related to the survival time in sarcoma group but further study is needed.
This study is to develop a learning program supporting how to teach multi-level of students in number and operating field in the elementary school. Mathematics requires different teaching ways for various standards of student in the school. However, in most of elementary school teachers are having hard time giving the proper lesson for each student due to the lack of supplementary classes and the excessive numbers of students in a class. Thus this research provides "Game-type learning Program" and supports individual learning lessons to give each student an opportunity to form a correct concept of number and operation. This system sets up suitable steps for each student by checking their leaning progress and accomplishment. When a student has a trouble, can give a help or show specific things which could be related with the matter. As a result, students have got more interests in studying math, furthermore, actually, the help and giving a clue helped students a lot in settling the problems.
The North Korean military's maneuver toward Honam was the fastest maneuver the North Korean army had demonstrated during the Korean War, and it was a threatening attack that forced the Korean and Allied forces to fully adjust the defenses of the Nakdong River. However, when this study analyzed the North Korean military's maneuver toward Honam in terms of indirect approach strategy, there were a number of factors that inevitably led to its failure. In terms of implementing the indirect approach strategy, the North Korean military cited a number of failure factors, including the dispersion of combat forces, the inflexibility of changing the line of operation, the maneuvering of ground forces, and the lack of psychological distaction. However, the North Koreans were preparing for a final "surprise attack," in which the 7th Division, which was following the North Korean 6th Division, took another diversion and attempted to attack in the direction of Tongyeong. With this, the North Koreans intended to break through the Nakdong River defenses and head for Pusan. However, the North Korean attack was ultimately thwarted by the Korean Navy and Marine Corps' Tongyeong Amphibious Operation. With a swift maneuver using the sea as a maneuvering space, the Navy and Marine Corps occupied key points first, creating an advantageous situation and fending off an attack by the North Korean 7th Division. The Navy and Marine Corps' Tongyeong Amphibious Operation finally thwarted the North Korean military's maneuver toward Honam, thus maintaining the Nakdong River defenses.
Journal of Korean Academy of Fundamentals of Nursing
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v.4
no.2
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pp.245-265
/
1997
The purpose of this study was to promote the effectiveness in managing disease or injury, by examining the length of stay in hospital according to characteristics concerned before and after operation, and by serving as a basis for reducing that length. As a result of investigating the length of stay in hospital according to inpatient's personal characteristics, clinical features and other characteristics concerned, the following characteristics appeared significant. The characteristics that showed a significant difference about the length of stay in hospital before and after operation were the age and the fact whether one was married or not among inpatient's personal characteristics. The significant ones among clinical features were the route to be taken to hospital, the form of insurance, the experience of re-hospitalization, whether another disease coexisted, the experiment of changing department, whether a diagnosis was determined by consultation, whether an intensive care unit was used, whether re-operation was performed, the total number of case of the experience of re-hospitalization, inpatient who were again sent to hospital under the same diagnosis was not included in the investigation, which was pointed out as a limit in this study. The significant ones among other characteristics concerned were the date and season when the patients were taken to hospital and the doctor in attendance. The doctor in attendance appeared to give a significant impact on the length of stay in hospital before operation, but no significant difference was noted in the mean among the doctors in attendance. And those characteristics were not found regularly among the selected departments. As stated above, one way to reduce the length of stay In hospital was to diminish the length of stay in hospital before operation. The term of hospitalization before operation shall be reduced by grasping the factors that affected that length before operation and by conducting examination as many as possible in the out-patient department. Also, the efforts should be put on that length after operation. The management of hospital seemed to be successfully carried out if those factors affected that length were effectively controlled.
Journal of the Korean Institute of Intelligent Systems
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v.15
no.2
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pp.224-229
/
2005
Generally, genetic algorithm (GA) has too much time and space complexity when it is running in the typical processor. Therefore, we are forced to use the high-performance and expensive processor by this reason. It also works as a barrier to implement real device, such a small mobile robot, which is required only simple rules. To solve this problem, this paper presents and proposes enhanced processor-architecture for the faster GA processing. A typical processor architecture can be enhanced and specialized by two approaches: one is a sorting network, the other is a residue number system (RNS). A sorting network can improve the time complexity of which needs to compare the populations' fitness. An RNS can reduce the magnitude of the largest bit that dictates the speed of arithmetic operation. Consequently, it can make the total logic size smaller and innovate arithmetic operation speed faster.
Journal of the Korea Institute of Information and Communication Engineering
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v.17
no.5
/
pp.1203-1212
/
2013
In this paper, an intra prediction hardware architecture is proposed to reduce computational complexity of intra prediction in HEVC decoder. The architecture uses shared operation units and common operation units and adopts a fast smoothing decision algorithm and a fast algorithm to generate coefficients of a filter. The shared operation unit shares adders processing common equations to remove the computational redundancy. The unit computes an average value in DC mode for reducing the number of execution cycles in DC mode. In order to reduce operation units, the common operation unit uses one operation unit generating predicted pixels and filtered pixels in all prediction modes. In order to reduce processing time and operators, the decision algorithm uses only bit-comparators and the fast algorithm uses LUT instead of multiplication operators. The proposed architecture using four shared operation units and eight common operation units which can reduce execution cycles of intra prediction. The architecture is synthesized using TSMC 0.13um CMOS technology. The gate count and the maximum operating frequency are 40.5k and 164MHz, respectively. As the result of measuring the performance of the proposed architecture using the extracted data from HM 7.1, the execution cycle of the architecture is about 93.7% less than the previous design.
This study analyzed the monitoring results of fishways at 16 weirs constructed on four large Rivers to provide data helpful for the operation and management of fishways. The average utilization rate of the fishways at the weirs was confirmed to be 64.9%. When comparing the dominant species in the mainstream and fishway monitoring results, differences were observed in 9 weirs (56.3%). This indicated that the species prevalent in the mainstream were not necessarily the ones most frequently using the fishways. The average number of individuals using the fishways per day was 336. When classifying the fish species using the fishway by life type, 92.3% were primary freshwater fish, and migratory species accounted for only 5.6%. Analysis based on the season of fishway usage revealed that an average or higher number of fish species used the fishways from May to October, with the highest number of individual users occurring from June to August. Between May and July, 80% of the fish species using the fishways were in their spawning period, while during other season, less than 40% were species that move during the spawning period. The fishways that showed a significant alignment between the spawning period and the fishway passage period were Rhinogobius brunneus, Leiocassis nitidus, Squalidus chankaensis tsuchigae, Pseudogobio esocinus, Acheilognathus rhombeus, and Pungtungia herzi, in that order. When comparing the fishway monitoring results of the Gangjeong-Goryeong Weir and the Dalseong Weir with the upper part water level of the weir, both the number of fish species and individuals using the fishway showed positive correlations with the upper part water level of the weir. This suggests that a higher water level of the weir increases the inflow discharge within the fishway, leading to increased use by fish (number of individuals in Gangjeong-Goryeong Weir, P<0.001; number of species in Dalseong Weir, P<0.05). This study summarized and analyzed the results of fishway monitoring at 16 weirs built on four large Rivers, considering fishway efficiency, operation and management, monitoring period, and regulation of water level in the upper part of the weir. It is thought that this will help understand the status of fish use in fishways on large River and aid the construction, operation, and management of fishways in the future.
KIPS Transactions on Computer and Communication Systems
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v.6
no.6
/
pp.261-270
/
2017
With the development of smart on-devices and communication technology, demand for non-stop services is increasing. Therefore, the high availability for continuously providing services in the event of system failure has been spotlighted. Meanwhile, because most internet-based services are provided by using TCP, an efficient TCP session recovery technique for providing non-stop services is required. However, the existing TCP session recovery techniques are inefficient because it has a high recovery cost or does not support failover operation, To solve these problems, in this paper, we propose a TCP session recovery technique for high availability in smart on-devices. For this, we first recover the TCP session without re-establish the TCP session by correcting a sequence number and a acknowledgment number. Second, we synchronize the TCP session recovery data between the master and the server, and then we operate the failover operation when master server fails. Finally, we provide the non-stop service to peer by using the virtual IP number and the transmission of GARP (Gratuitous ARP) packet.
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