• 제목/요약/키워드: Optimal Inventory Level

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Analysis of The Management of Three Tertiary General Hospital(2011 to 2013)

  • Park, Hyun-Suk
    • 한국임상보건과학회지
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    • 제4권2호
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    • pp.582-592
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    • 2016
  • Purpose. For more effective hospital management, it analyzes the trend through general characteristics, balance sheet, income statement, and financial ratio analysis, grasps the causes of the problems, and analyzes management of the hospital in order to use the result as baseline data for development of the hospital in the future. Methods. The collected data of 3 years from 2011 to 2013 about 3 tertiary hospitals in metropolitan cities from Alio (provider of public institution information; www.alio.go.kr), Health Insurance Review & Assessment Service (www.hira.or.kr), and the website of the Ministry of Health and Welfare (www.mw.go.kr) were analyzed and general characteristics, balance sheet, income statement, and financial ratio, analysis are used as data. Results & Conclusions. From the result of data analysis from 2011 to 2013, general characteristics, balance sheet, income statement, financial ratio analysis, and pie charts could lead to conclusions as follows. In the result of comprehensive analysis, the 3 tertiary hospitals showed increase of fixed expense due to extension of the buildings and so did the scale of fund and asset. Although medical revenue increased, the margin of increase for medical expense was greater than that of medical revenue, which consequently led to loss. In prediction for the 3 tertiary hospitals based on characteristics so far, it is expected to see improved revenue structure after building extension is completed, but it is necessary to exert management effort to maintain its optimal level by enhancement in stability of management and inventory turnover through management of inventories.

공급사슬관리에서 생산입지선정 문제와 안전재고 최적화 문제의 통합모형 개발에 관한 연구 (A Study on Developing an Integrated Model of Facility Location Problems and Safety Stock Optimization Problems in Supply Chain Management)

  • 조건
    • 한국경영과학회지
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    • 제31권1호
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    • pp.91-103
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    • 2006
  • Given a bill of materials (BOM) tree T labeled by the breadth first search (BFS) order from node 0 to node n and a general network ${\Im}=(V,A)$, where V={1,2,...,m} is the set of production facilities and A is the set of arcs representing transportation links between any of two facilities, we assume that each node of T stands for not only a component. but also a production stage which is a possible stocking point and operates under a periodic review base-stock policy, We also assume that the random demand which can be achieved by a suitable service level only occurs at the root node 0 of T and has a normal distribution $N({\mu},{\sigma}^2)$. Then our integrated model of facility location problems and safety stock optimization problem (FLP&SSOP) is to identify both the facility locations at which partitioned subtrees of T are produced and the optimal assignment of safety stocks so that the sum of production cost, inventory holding cost, and transportation cost is minimized while meeting the pre-specified service level for the final product. In this paper, we first formulate (FLP&SSOP) as a nonlinear integer programming model and show that it can be reformulated as a 0-1 linear integer programming model with an exponential number of decision variables. We then show that the linear programming relaxation of the reformulated model has an integrality property which guarantees that it can be optimally solved by a column generation method.

손마사지가 폐엽 절제술 환자의 흉관 제거시 통증과 불안에 미치는 영향 (The Effect of Hand Massage on Pain and Anxiety Related to Chest Tube Removal in Patients with a Lobectomy)

  • 송영숙
    • 기본간호학회지
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    • 제9권1호
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    • pp.27-44
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    • 2002
  • The main purpose of this study was to identify the effect of hand massage on pain and anxiety related to chest tube removal in patients with a lobectomy. The research design of this study was a nonequivalent control group non-synchronized design. Of the twenty nine adult subjects, fourteen were assigned to the experimental group and fifteen to the control group. The data were obtained over 3 months from a medical center in Seoul. The instruments used to assess trait state anxiety was the Spielberger Trait-State anxiety Inventory. For pain and psychological anxiety. The Visual Analogue Scale was used. Hiko analogue sphygmo-manometer(2001) was used to check blood pressure and pulse rate as indicators of physiological anxiety Subjects in the experimental group received hand massage for 5 minutes just before chest tube was removed, and subjects assigned to the control group did not receive hand massage. Data were analysed with $x^2$-test and Mann-Whitney U test using the SPSSWIN 10.0 program. The results of the study are as follows : 1. Hypothesis 1: 'there will be a significant difference between two groups in the level of pain after chest tube removal' was supported (u = 23.00, p < 0.001). 2. Hypothesis 2: 'there will be a significant difference between the two groups in the level of psychological anxiety after chest tube removal' was supported (u = 3.00, p < 0.001). 3. Hypothesis 3: 'there will be a significant difference between the two groups in physiological anxiety(systolic, diastolic blood pressure and pulse rate) after chest tube removal' was supported(u =55.50, p = 0.01 ; u = 41.50, p = 0.01 ; u = 20.50, p < 0.001, relatively). The findings of this study indicate that hand massage is effective for pain and anxiety related to chest tube removal in patients with lobectomy. Therefore, hand massage is recommended as an effective nursing intervention for relieving pain and anxiety in patients undergoing chest tube removal. Further research is needed to identify the proper duration and timing to achieve the optimal effect of hand massage. A larger subject population is required to apply the current findings to the general population. Further research is also needed to assess the effects of hand massage in other patient subsets. Finally, it would be interesting to see if the effects of hand massaging would be attenuated when performed by a non-medical specialist.

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산업융합환경에서 조직의 보안성 향상을 위한 센싱시스템 구축 연구 (A Study on Construction of Optimal Wireless Sensor System for Enhancing Organization Security Level on Industry Convergence Environment)

  • 나원철;이효직;성소영;장항배
    • 한국융합학회논문지
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    • 제6권4호
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    • pp.139-146
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    • 2015
  • 융합환경의 대표적인 도구인 WSN은 환경 구성의 기본 인프라에서부터 기업의 재고-생산-유통 관리에 이르는 비즈니스 모델까지 다양한 방향으로 활용되고 있다. 그러나, 안전하게 보호되어야 할 조직의 고유정보가 WSN과 같은 ICT와 융합되어 정보화 되면서 외부로 손쉽게 유출될 수 있는 위험에 놓여져 있다. 이에 따라, 안정적인 기업의 비즈니스를 위하여 보안성 있는 센서노드의 배치 전략이 필요한 시점이다. 조직의 보안현황을 고려하지 않은 단편적인 보안성 강화전략의 수립은 보안사고 발생 시 조직의 비즈니스 연속성에 큰 영향을 미친다. 그러나 그간의 조직의 보안성 진단을 위한 보안 수준평가 모형들은 대부분 기술적 중심의 측정방법이 진행되고 있으며, 관리적 요인과 환경적 요인에 대한 연구는 매우 부족한 상태이다. 따라서, 본 연구에서는 보안성 있는 센서노드 배치전략을 수립하기 위하여 융합환경을 기반으로 조직의 보안성을 진단하고 이에 따르는 전략수립방안을 연구하고자 한다.

한국 여성에서 우울증상과 혈당 조절의 연관성 (The Relationship of Depressive Symptomatology with a Glycemic Control in Korean Women)

  • 윤대현;박진호;박민정;신찬수;조상헌;오병희
    • 정신신체의학
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    • 제14권1호
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    • pp.47-52
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    • 2006
  • 연구목적 : 우울증상은 여성에게 흔하며 적절한 혈당 조절은 당뇨병 치료에 있어 매우 중요하다. 당뇨병 환자에서 우울증은 상대적으로 흔히 발견된다. 그러나 아직 우울증과 혈당조절의 상호관계에 대해서는 명확히 밝혀진 바가 없다. 본 연구는 한국 여성 당뇨병 환자의 혈당 조절과 우울증상 사이의 상호관계를 평가하려 한다. 방법: 여성 당뇨병 환자 216명을 포함한 연구 대상자 4,567명을 대상으로 Beck 우울 척도와 장기 혈당조절 지표인 $HbA_{1c}$ 수치를 측정하여 우울증과 혈당조절간의 연관성을 분석하였다. 공복 혈당 수치와 비만도 지표인 체질량지수도 함께 측정하여 분석하였다. 임상적으로 우울증을 의심할 수 있는 분할점은 16점으로 하였다. 결과: 당뇨병 보유 여성군에서 우울 여성군이 유의미하게 많았고(P<0.001), Beck우울 척도 평균치도 통계적으로 유의하게 높았다(p<0.001). 우울 여성군에서 $HbA_{1c}$, 평균치 (p<0.01)와 공복 혈당 평균치 (p<0.05)가 유의미하게 높았고, 혈당 조절의 장애가 심할 수록 우울 여성군의 비율이 증가하는 경향을 보였다(p=0.001). 결론: 본 연구는 한국 여성에서 우울증상과 당뇨병 및 혈당 조절간 연관성이 존재함을 지지하는 결과를 보였다. 향후 종적 연구를 통한 우울장애와 당뇨병간 상호작용에 대한 원인-결과론적 이해가 요구된다.

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Differences in Functional Materials between White and Black Rice Varieties

  • Lee, Chae Young;Park, Jae Seong;Lee, Hee Du;Choi, Ye Seul;Hong, Seong Taek;Hong, Eui Yon;Lee, Yun Sang;Kim, In Jae;Woo, Sun Hee
    • 한국작물학회:학술대회논문집
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    • 한국작물학회 2017년도 9th Asian Crop Science Association conference
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    • pp.368-368
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    • 2017
  • Rice is the world's three major crops that is the staple food of Asian. Japonica type rice is consumed in Korea. Rice cultivation area decreases steadily. That is affected by decrease of the farm income with the inventory of 1.7 million tons, which is 2 to 3 times more than the optimal amount due to the decrease in the consumption of rice per person and cultivate high yield varieties. In recent years, as income level has improved, interest in health has been high and consumption for health food has been steadily increasing. For health food, rice is added by adding grains such as millet, sorghum, oats, beans and colored rice rather than white rice. In 1997, RDA(Rural Development Administration) developed black rice 'Heuknambyeo', and then 20 varieties were bred until 2017. In CBARES(Chungbuk Agricultural Research and Extension Services), we have developed new rice varieties 'Cheongpungheukchal' in 2010, 'Cheongpungheukhyangchal' in 2014, 'Cheongpungheukchal' is high in farming preference because of high yield. Black rice has high content of GABA and water-soluble phenol, DPPH radical scavenging activity, and consumers are interested in the function in the body. Therefore, functional and antioxidant activities(anthocyanin, total polyphenol, ${\alpha}-glucosidase$ inhibition) and antioxidant activities(ABTs, DPPH) were analyzed by comparing white and black rice. Testing varieties are 'Chucheongbyeo', best quality cultivars 'Daebo' and 'Samgwang' as white rice which are cultivated much in Chungbuk area, and black rice are 10 varieties including 'Cheongpungheukchal', 'Cheongpungheukhyangchal', 'Josaengheukchal' and so on. It has transplanted on 25th May, at CBARES research paddy by 100% fertilizer recommendation rate. Harvesting time was 50 days after heading by varieties, and has researched growth properties, yield and yield components, functional and antioxidant activities. Anthocyanin content was not measured because there was no pigmented in white rice, the highest value of anthocyanin content was 'Shintoheukmi' and in the range of 125.6~249.6mg/100g by black rice varieties. Total polyphenol content was high 'Cheongpungheukchal' and 'Shintoheukmi' and in the range of 96.68~244.34 mg/100g in black rice, white rice lower than blackish rice at 19.84~22.51mg/100g. ${\alpha}-glucosidase$ inhibition was high 'Cheongpungheukchal', 'Cheongpungheukhyangchal' and 'Shintoheukmi' in the rage of 75.87~98.85% by black rice varieties, especially 'Samgwang' was 80.75% and the other white rice was higher than 58~68%.

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종양통증관리를 방해하는 환자의 염려와 관련요인 연구 (A Study on Patients' Concerns about Management of Cancer Pain and Related Factors)

  • 김홍수;서문자
    • 재활간호학회지
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    • 제3권1호
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    • pp.43-58
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    • 2000
  • Pain management is a major issue in caring of cancer patients. Patients' concerns for reporting pain and taking analgesics are patient-related barriers to the management of cancer pain. Since such study has not been done at all in Korea, it is clearly needed to study on these problems. The purpose of this study is to attain basic data in order to improve cancer pain management in Korea. This is done by: 1) examining the extent of patients' concerns that might be barriers to the optimal pain management, and the extent of related factors (pain management hesitancy, adequacy of using analgesics, pain severity and pain interference); 2) identifying the relationship between patients' concerns and the related factors. The data has been collected from 180 cancer patients who were hospitalized in medical wards of one university hospital in Seoul, Korea during the period from November 1, 1997 to February 28, 1998. The data has been collected through interviews with (1) Barriers Questionnaire - Korean Version (BQ-K); (2) Hesitancy Experience Questionnaires (HQ); (3) Pain Management Index (PMI); (4) Brief Pain Inventory (BPI); and (5) Demographic Data. The data were analyzed by descriptive statistics and by t-test, One-way ANOVA, Pearson correlation using SPSSWIN program. The Results are as following: 1) The mean scores of Pain Management Concerns (PMC) by BQ-K were toward the moderate with a little high points(2.59). Most of the patients (99.4%) had some extent of concerns (over lout of maximum 5 points). Among the eight subscales of BQ-K, the Pain Management Concerns (PMC) about 'Fear of tolerance' was the highest (3.80) and 'Worry about side effects' was the least (1.40). 2) The extent of Pain Management Hesitancy (PMH) by HQ of wnom had pain on the day of the interview was a little higher than moderate score(5.53 out of maximum 10 points). 6.7% of the patients with experiencing pain used less adequate analgesics for the severity of pain than they were expected. 27.8% of them never used any analgesics at all. The mean score of pain severity by BPI was 16.59 (maximum: 40), and that of the interference with daily life by BPI was 32.03 (maximum: 70). 3) The patients who were older, less educated, and in low socio-economic status were likely to have more concerns. Pain Management Concerns (PMC) was positively correlated with Pain Management Hesitancy (PMH) (r=.75), pain severity (r=.44) and pain interference (r=.50). Those who were not using adequate analgesics had higher Pain Management Concerns (PMC) than did those who were using adequate analgesics (t=-5.42). The patients who had more Pain Management Concerns (PMC) tended to hesitate more to report pain and to use analgesics. They used more inadequate analgesics for the severity of pain and also had experienced more pain severity and interference with daily life. In conclusion, the patients' concerns for reporting pain and for using analgesics are major patient-related barriers to cancer pain management in Korea. The patients' concerns were correlated significantly with the level of the hesitancy experience, inadequate use of analgesics, the pain severity and the interference with daily life. Considering this, an educational program for cancer patients under the treatment with analgesics should be developed in order to solve these problems.

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지식 공유의 파레토 비율 및 불평등 정도와 가상 지식 협업: 위키피디아 행위 데이터 분석 (Pareto Ratio and Inequality Level of Knowledge Sharing in Virtual Knowledge Collaboration: Analysis of Behaviors on Wikipedia)

  • 박현정;신경식
    • 지능정보연구
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    • 제20권3호
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    • pp.19-43
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    • 2014
  • 전체 결과의 80%가 전체 원인의 20%에 의해 일어난다는 파레토 법칙(Pareto principle)은 상위 20%의 핵심 고객에 대한 우선적인 마케팅을 비롯하여 기업 경영의 많은 부분에서 적용되어 왔다. 파레토 법칙과는 대조적으로, 80%의 사소한 다수가 20%의 핵심적인 소수보다 우월한 가치를 창출한다는 롱테일 법칙(Long Tail theory)은 ICT(Information and Communication Technology)의 발전과 함께 새로운 경영 패러다임으로 주목 받아오고 있다. 본 연구의 목적은 경영 현장에서 양대 흐름을 형성해온 이러한 법칙들이 변화무쌍한 글로벌 가상화 환경에서 기업의 핵심적인 성공 요인이라고 할 수 있는 가상 지식 협업에는 어떻게 관련되는지를 규명하는 것이다. 이를 위해, 대표적인 가상 지식 협업 커뮤니티인 위키피디아에서 품질 최상위 등급인 피쳐드 아티클(Featured Article) 레벨로 승급된 2,978개의 아티클에 대한 협업 행위를 분석하였다. 즉, 각 아티클 그룹에서 편집 횟수 기준 상위 20%에 속하는 참여자들의 총 편집 횟수가 전체 편집 횟수에서 차지하는 비율인 파레토 비율(Pareto ratio)이 지식 협업 효율성과 어떤 관계를 가지고 있는지를 도출하였다. 그리고, 이러한 연구를 편집 참여를 통한 지식 공유에 대한 전체적인 불평등 정도를 나타내는 지니 계수(Gini coefficient)의 영향 및 그룹의 작업 특성을 반영하도록 확장하였다. 결과적으로, 지식 공유의 파레토 비율과 지니 계수가 증가하면 지식 협업 효율성도 높아지지만, 이러한 변수들이 일정 수준 이상으로 증가하면 오히려 지식 협업 효율성이 낮아지는 역 U자(inverted U-shaped) 관계가 있음을 확인하였다. 그리고, 이러한 관계는 인지적 노력을 상대적으로 더 많이 요구하는 학문적인 특성의 작업에서 더 민감하게 작용하는 것으로 보인다.