• Title/Summary/Keyword: Omission

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Analytic Study of the Hospital Self Inspection Results with the Medical Insurance Inpatient Fee on the View-point of the Hospital Management. -based on the University hospital Pre-discharge inspection- (병원관리에서 의료보험 입원진료비의 병원자체심사 결과의 분석 연구 - 일 대학병원의 퇴원전 심사를 중심으로)

  • Mun, Seon-Sun
    • The Korean Nurse
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    • v.32 no.5
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    • pp.78-92
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    • 1994
  • The purposes of this study were to evaluate the results of the hospital self inspection with the medical insurance and to offer basic materials to the medical insurance inspection and the education of medical insurance. The study was undertaken with 4,730 cases among the total 13,810 medical insurance in patients from Jan. 1990 to Dec. 1990 at one university hospital in Pusan. The major contents of the inspection were the omission of diagnosis and medical fee, curtailment, application mistake, the rates of inclusion, subtraction and total accumulation. The data were collected using patients charts and bills. The results of the paper analysis were as follows. 1. From the pre-discharge hospital self inspection, major omission were treatment and material fee but medication fee were moderately high and high curtailment was operation fee. 2. Decreasing order of operation fee adjustment were digestive(22.4%) muscular(22%) and neuro system operation(21.4%). Majority of the medication fee adjustments were injection form of medication(95.7%). 50% of the treatment fee adjustments were composed of injection fee(27.9%) and dressing or post-operative dressing fee(22.3%). 74.7% of material costs were composed of oxygen(30.6%), blood and the blood composed materials(44.1%). 3. Pre-discharge inspection showed 6% adjustment rate, 4.3% addition and 2.1% curtailment rate. Most of the adjustment were omission(66.1%). 4. Omission were divided by event omission(92.6%)and application mistake(7.4%). The decreasing order of omission fee were operation(21.84%), treatment(18.71 %) diagnosis(18.68%), medication (14.53%) and material costs(10.84%). So operation and treatment part were the major part of the total omission fee(40.55%). 5. The average omission of diagnosis were 1,800 per month.

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Application and Comparison of Data Mining Technique to Prevent Metal-Bush Omission (메탈부쉬 누락예방을 위한 데이터마이닝 기법의 적용 및 비교)

  • Sang-Hyun Ko;Dongju Lee
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.46 no.3
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    • pp.139-147
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    • 2023
  • The metal bush assembling process is a process of inserting and compressing a metal bush that serves to reduce the occurrence of noise and stable compression in the rotating section. In the metal bush assembly process, the head diameter defect and placement defect of the metal bush occur due to metal bush omission, non-pressing, and poor press-fitting. Among these causes of defects, it is intended to prevent defects due to omission of the metal bush by using signals from sensors attached to the facility. In particular, a metal bush omission is predicted through various data mining techniques using left load cell value, right load cell value, current, and voltage as independent variables. In the case of metal bush omission defect, it is difficult to get defect data, resulting in data imbalance. Data imbalance refers to a case where there is a large difference in the number of data belonging to each class, which can be a problem when performing classification prediction. In order to solve the problem caused by data imbalance, oversampling and composite sampling techniques were applied in this study. In addition, simulated annealing was applied for optimization of parameters related to sampling and hyper-parameters of data mining techniques used for bush omission prediction. In this study, the metal bush omission was predicted using the actual data of M manufacturing company, and the classification performance was examined. All applied techniques showed excellent results, and in particular, the proposed methods, the method of mixing Random Forest and SA, and the method of mixing MLP and SA, showed better results.

A Study on The Scheme for Omission of lightning Arresters on One-Phase and Overhead Ground Wires in the Power Distribution Lines (배전선 1상의 피뢰기 및 가공지선 생략 방안 연구)

  • 정현수;정창호;김진오;송일근;장완성
    • Journal of the Korean Institute of Illuminating and Electrical Installation Engineers
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    • v.15 no.2
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    • pp.13-20
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    • 2001
  • This proper presents the characteristics and their schemes for omission of lighting arresters on one-phase and over-head ground wire in the power distribution line. The case studies for Japan were investigated and compared with the cases of Korea. Especially, the EMTP simulation was performed for the omission scheme of lightning arrester's middle phase and the simulation results were described on the feasible problems when omitted. In this paper, it could be concluded that the omission of ground wire may be possible in some cases for the omission of lightning arresters, and in that case, the capacity of the lightning arresters should be Increase.

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THE IMPORTANCE OF BICARBONATE-BUFFER ON CARDIAC FUNCTION: Contractility, Membrane Potentials and ATP Content of Isolated Atria in the Absence of External Buffers (심장기능(心臟機能)에 미치는 Bicarbonate-Buffer의 중요성(重要性) : Buffer 제거(除去)에 의(依)한 유리심방(遊離心房)의 수축성(收縮性), 막전위(膜電位) 및 ATP 함량(含量)의 변동(變動))

  • Ko, Kye-Chang;Han, Dae-Sup;Jung, Jee-Chang
    • The Korean Journal of Pharmacology
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    • v.8 no.2
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    • pp.63-69
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    • 1972
  • The effects of omission of buffers from Krebs-Ringer medium on contractile activity, membrane potentials and ATP content of electrically stimulated isolated rat atria were investigated. 1) Contractile status: A rapid and marked depression of the contractile activity of atria occurred when buffer-free medium was substituted for the normal Krebs-Ringer medium. 2) Electrical status: The omission of buffers from medium did not alter the resting or action potential magnitudes of atria. However, the action potential duration was on initial increase followed by a decrease in the buffer-free medium. 3) ATP concentration: The omission of buffers from medium resulted in a marked decrease in the ATP levels of atria. It has been also found in the present study that bicarbonate buffer plays an important role for the maintenance of the contractility and ATP levels of the heart. The contractile depression by the omission of buffers was not directly associated with electrical alterations in resting or action potentials of the heart. In the absence of bicarbonate-buffer, glucose no longer plays to maintain the contractile activity and the ATP levels of rat atria.

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Consonant Confusions Matrices in Adults with Dysarthria Associated with Cerebral Palsy (뇌성마비로 인한 마비말장애 성인의 자음 오류 분석)

  • Lee, Youngmee;Sung, JeeEun;Sim, HyunSub
    • Phonetics and Speech Sciences
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    • v.5 no.1
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    • pp.47-54
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    • 2013
  • The aim of this study was to analyze consonant articulation errors produced by 90 speakers with cerebral palsy (CP). Phonetic transcriptions were made for 37 single-word utterances containing 70 phonemes: 48 initial consonants and 22 final consonants. Errors of substitution, omission, and distortion were analyzed using a confusion matrix paradigm showing the visualization of error patterns. Results showed that substitution errors in initial and final consonants were most frequent, followed by omission and distortion. Consonant omission occurred more frequently on final consonants. In both initial and final consonants, the within-place errors were more prominent than the within-manner errors. The current results suggest that consonant confusion matrices for dysarthric speech may provide useful information for evaluating speech intelligibility and developing automatic speech recognition system of adults with CP associated dysarthria.

Improving the Quality of Filtered Lidar Data by Local Operations

  • Seo, Su-Young
    • Korean Journal of Remote Sensing
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    • v.23 no.3
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    • pp.189-198
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    • 2007
  • Introduction of lidar technology have contributed to a wide range of applications in generating quality surface models. Accordingly, because of the importance of terrain surface models in mapping applications, rigorous studies have been performed to extract ground points from a lidar data point cloud. Although most filters have been shown abilities to extract ground points with their parameters tuned, however, most experiments revealed that there are certain limitations in optimizing filter parameters and the correction of remaining misclassified points is not straightforward. In this study, therefore, a method to improve the quality of filtered lidar data is proposed, which exploits neighboring surface properties arising between immediate neighbors. The method comprises a sequence of procedures which can reduce commission and omission errors. Commission errors occurring in low-rise objects are reduced by utilizing morphological operations. On the other hand, omission errors are reduced by adding missing ground points around step edges. Experimental results show that the qualities of filtered data can be improved considerably by the proposed method.

A Study on Medical-criminal Problem of Withdrawing Life-Sustaining Treatment (치료중단행위에 대한 의료형법적 고찰 -의학적 충고에 반한 퇴원 사례를 중심으로-)

  • Cho, In-Ho
    • The Korean Society of Law and Medicine
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    • v.9 no.1
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    • pp.319-382
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    • 2008
  • As a withdrawing care's study, the purpose of this study is searching about withdrawing care's acceptance and circumstances through Bora-mae hospital case(chapter 1). Withdrawing life-sustaining treatment has various forms. Though the meaning of euthanasia, death with dignity, natural death, physician assisted suicide are duplicated, the meaning of those are different slightly. Firstly, this study looks about the difference of the those meaning and acceptance range(condition) by withdrawing care's forms(chapter 2). Bora-mae hospital case sentenced guilty about physician who discharged incompetent patient who was after surgery by patient's wife determination. This Bora-mae case that sentenced guilty about discharge against medical advise(DAMA) that is regarded to custom has brought intensive confliction of legal, social, medical aspect, Bora-mae hospital case has many legal problems. First, as to criminal law rule 250(murder), the problem is whether discharge and withdrawing life-sustaining treatment is commission or omission. this study concluded omission(district court: omission, appeal, supreme court: commission). Because legal denounce point of discharge and medical treatment withdrawing is omission that physician who is obligatory on patient to cure. If physician's act is regarded omission, it is necessary to determine whether he has guardian status and obligation. Without guardian status and obligation, omission crime can't exist. This study decided that physician had guardian status and obligation and foundation of guardian status was pre-action or acceptance of emergency patient. Physician's medical treatment duty finished when patient(or patient's guardian) demands discharge. But when patient death is foreseen and other possible treatment does not exist, his duty of life prolonging treatment does not finish. This originate from physician's social responsibility and public status that limits patient's private liberty. This study regarded physician's action as accomplice about whether physician's discharging action is accomplice or the principal offender(district court: the principal offender, appeal, supreme court: accomplice). Though the principal offender needs criminal determination and action, there is no this common determination and functional action control of physician in Bora-mae case(chapter 3). Bora-mae hospital case partly originated from deficiency of legal, institutive system including medical security system shortage, the instruction is 1. medical security system strengthening, 2. hospital ethical committee's activity strengthening, 3. institutionalization of withdrawing life-sustaining treatment, 4. acceptance of pre-decision making system, 5. sufficient persuasion of physician for patient and faithful writing of medical paper, 6. respect for patients' self-determination and rights, 7. consciousness's changing for withdrawing life-sustaining treatment and persistent education about medical ethics(chapter 4). Considering Bora-mae case, medical sector is not the dead ground of a criminal punishment. Intervention of criminal law in medical sector give rise to ill effect, that is, excess medical examination and treatment, safeguard treatment, delay of discharge from a hospital. Because sufficient guarantee of life becomes mere empty slogan under situation that impose a burden of heavy cost to family or hospital, public and systematic solution should be given(chapter 5).

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A Study on the Influence of Green Advertisement on the Attitude of Consumers -Concerning the Message Effect- (그린광고가 소비자태도에 미치는 영향에 대한 연구 -메시지 효과에 관련하여-)

  • Cho, Kook-Haeng
    • Management & Information Systems Review
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    • v.28 no.1
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    • pp.99-124
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    • 2009
  • This study has observed the influence of green advertisemen on the attitude of consumers in relation to its message effect. The analysis has been conducted in the perpective of awareness-emotion -behavior targeting housewives based on the message structure of the advertisement(conclusion omission type/ conclusion offer type). Results of the analysis are as follows : 1) Green advertisement was more effective for the attitude toward advertisement and products than non-green advertisement and in the case of high involvement the conclusion omission message was more effective than the conclusion offer message. 2) Green advertisement was more effective also for the emotion side than non-green advertisement and the conclusion omission message was found more effective than the conclusion offer message. 3) Green advertisement was found more effective for purchasing activities than non-green advertisement and the conclusion omission message was found more effective than the conclusion offer message in the case of high involvement. 4) In case of the conclusion offer type structure of green advertisement the awareness side influenced purchasing activities and in case of the conclusion omission type structure of green advertisement the emotion side influenced purchasing activities. Besides that in case of the conclusion offer type structure of non-green advertisement both the awareness and emotion sides were found to influence purchasing activities. No difference was found in the conclusion omission type structure of non-green advertisement.

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The Cognitive Performance, Emotional and Behavioral Problems of the Children with ADHD Showing the Difference between Visual and Auditory Attention (시각 주의력과 청각 주의력의 차이를 보이는 주의력 결핍.과잉활동장애 아동의 인지기능과 정서 및 행동 문제)

  • Son, Jung Woo
    • Korean Journal of Biological Psychiatry
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    • v.13 no.2
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    • pp.70-81
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    • 2006
  • Objective : The purpose of this study was to investigate the differences of the cognitive performance, emotional and behavioral problems among the attention-deficit/hyperactivity disorder(ADHD) groups that show the difference between visual and auditory attention. Method : Using 'ADHD Diagnostic System(ADS)', visual attention and auditory attention of 98 children diagnosed as ADHD were measured. According to the omission and commission error of ADS, they were divided into three groups ; 1) the group whose each visual omission and commission error scores were higher than each auditory omission and commission error scores(VV group), 2) the group whose each auditory omission and commission error scores were higher than each visual omission and commission error scores(AA group), 3) the group that was the rest of VV and AA group(M group). And the results of both the subscales of Korean Educational Development Institute-Wechsler Intelligence Scale for Children(KEDI-WISC) and the subscales of Korean Child Behavior Checklist(K-CBCL) among three groups were compared. Finally, the correlation between the visual omission, visual commission, auditory omission, auditory commission error and the results of KEDI-WISC, K-CBCL were investigated. Results : The results were as follows ; 1) In 98 ADHD children, the number of VV group(N=56) was higher than that of AA (N=10) and M group (N=32). 2) All mean scores of the subscales of KEDI-WISC of VV group were higher than those of M and AA group. The score of verbal IQ(p=.039) of VV group was significantly higher than that of AA group and the scores of block design(p=.015), Kaufman's factor 2(p=.045), performance IQ(p=.004) were significantly higher than those of M group. The score of full IQ(p=.004) were significantly higher than that of M and AA group. 3) The mean scores of all K-CBCL subscales of VV group were higher than those of M and AA group, except the score of Somatic complaint subscale. The score of Social subscale(p=.041) of VV group was significantly higher than that of AA group. The score of Withdrawn subscale(p=.021) of AA group was significantly higher than that of VV group. 4) There were no significant correlation between the scores of visual omission/commission error and those of each subscale of KEDI-WISC. But, there were many significant correlations between the scores of auditory omission/commission error and those of each subscale of KEDI-WISC. 5) There were significant correlation between the score of the visual omission error and that of Thought problem subscale(r=.205, p=.043) of K-CBCL. There were significant correlation between the scores of the auditory omission error and those of Social subscale(r=-.319, p=.001), Social problems subscale(r=.206, p=.042), Thought problem subscale(r=.235, p=.021). Finally, there were significant correlation between the scores of auditory commission error and those of Social subscale(r=-.241, p=.017), Thought problem subscale(r=.235, p=.020). Conclusion : The ADHD children whose auditory attention ability were higher than visual attention ability had relatively better cognitive performance and less emotional/behavioral problems than the others. The more comprehensive experiment will be needed about the cognitive performance, emotion and behavior problems of the ADHD children showing the difference between visual and auditory attention.

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A Study on Possibility of Sedimentation Basin Omission After Installed Membrane System in Drinking Water Treatment (정수처리시설에서 막공정 도입시 침전공정생략 가능성에 관한 연구)

  • Kim, Hyung-Sun;Zhoh, Choon-Koo;Hong, Seong-Ho;Kim, Sung-Jin;Lee, Kil-Sook
    • Journal of Korean Society of Water and Wastewater
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    • v.20 no.3
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    • pp.403-410
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    • 2006
  • The objective of this study was to evaluate the possibility of sedimentation basin omission when installed hybrid membrane filtration process in the field plant with the capacity of $500m^3/day$ for 11 months in the "G", water purification plant in Seoul. In order to evaluate the possibility of the sedimentation basin omission, we measured the change of DOC by coagulant dosage. Dosage of PAC(power activated carbon) 4mg/L and coagulant($AI_2O_3$ 10%) 1.67mg/L were compatible to meet the water quality. Also according to the experiment without settlement process, optimization G values were determined to be 300/s, 64/s, and 32/s at the mixing tank, the first flocculator and the second flocculator, respectively. The test was performed under the conditions PAC-coagulation-no settlement-MF. As a result, a dosage of 4.0mg/L as PAC and 0.86 to 1.22mg/L as $Al_2O_3$(10%) in the condition of flux of 62.5LMH were determined to keep TMP value less than $1.0kg_f/cm^2$.