• 한국콘크리트학회:학술대회논문집
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• 한국콘크리트학회 2000년도 가을 학술발표회 논문집(II)
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• pp.1063-1068
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• 2000

Latex modified concrete (LMC) has grown to be accepted as a standard material of construction overlaying bridge decks in America due to its superior physical and chemical properties. The properties of latex, combined with the low water-cement ratio, produce a concrete that has improved flexural, tensile, and bond strength, lower modulus of elasticity, increased freeze-thaw resistance, and reduced permeability compared to conventional concrete of similar mix design. LMC overlays have been service in excellence for 30 years on thousands of bridge in U.S.A. This may, also, prolong the life cycle of bridge deck once it is adopted in Korea. The self-contained, mobile, continuous mixer is most appropriate particularly for concrete quality assurance. Assuring quality on a bridge deck overlay project should begin in the design phase and continue after the construction is completed. Quality should be the concern of everyone involved-owner, designer, and contractor.

• 한국정보처리학회논문지
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• 제6권2호
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• pp.315-325
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• 1999

Indexing techniques for distributed resources have much effect on an information service system based on distributed environment like digital library. There is a centralized indexing technique, a distributed technique, and a mixed technique for distributed indexing techniques. In this paper, we propose new distributed indexing technique using EIF(extended Inverted File) structure that mix the centralized technique and t도 distributed technique. And we propose management techniques using EIF structure and retrieval technique using EIF structure. This distributed indexing technique proposed is able to fast process retrieval request and reduce network overload and select servers relevant to query terms. This paper investigated performance of a proposed distributed indexing technique.

• 토지주택연구
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• 제3권2호
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• pp.137-146
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• 2012

서민의 주거 안정을 위해 1980년대 후반 공급된 영구임대주택단지는 20여년이 흐르면서 새로 공급된 단지 거주자와의 형평성 문제가 야기되고 있으며 기존 거주자를 위한 복지서비스를 개선해야 한다는 요구에 직면해 있다. 이를 반영하여 본 연구는 복지서비스 유형을 살펴보고 단지의 입지특성과 거주자 계층의 인구특성을 기준으로 단지에 적용 가능한 복지서비스 유형들을 검토하고 거주자의 복지요구와 비교하여 향후 단지별 복지정책을 위한 기초자료로 활용하는데 그 의의를 둔다. 이를 위하여 복지서비스, 거주자 계층 그리고 입지특성에 관한 이론을 고찰함으로서 복지서비스의 범위와 유형기준을 마련하였다. 그리고 이를 토대로 거주자 대상에 따라 복지서비스를 강화하기 위한 7가지 유형(자립형, 반자립형, 육아형, 청소년형, 자활형, 사회통합형, 1인가구형)을 설정하였다. 복지서비스 요구분석에서는 관리 전문가와 입주자 대표를 대상으로 설문조사를 통해 단지 별 요구분야를 파악하고 이를 바탕으로 개별 단지를 분류하였다. 그 다음으로 단지별 입지특성과 거주자 계층의 인구특성을 바탕으로 복지서비스 유형을 세분화하여 적용하고 단지 별 요구도와 비교하였다. 전반적으로 영구임대주택의 인구특성은 고령화되었음을 확인할 수 있었으나, 유아비율과 청소년 비율이 높게 나타난 단지의 경우 보육형과 청소년형을 적용할 수 있었다. 분석결과, 영구임대주택의 복지서비스 유형은 서울시와 대도시의 대규모 단지일수록 자립형, 청소년형, 1인가구형의 비율이 높게 나타났으며, 소도시의 소규모 단지일수록 반자립형과 육아형의 적용비율이 높게 나타났다.

• 콘크리트학회논문집
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• 제27권4호
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• pp.419-426
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• 2015

본 연구는 지하식 LNG 저장탱크의 시공에 앞서 연약지반의 개량을 위하여 현장 원위치의 흙과 시멘트, 벤토나이트 등을 사용하는 소일-시멘트 연속벽체를 효과적으로 시공하는 SMW 공법에 대한 배합설계 및 현장적용 사례를 실험적으로 규명하기 위한 것이다. 현장조건을 고려하여, 보통 포틀랜드 시멘트와 벤토나이트를 주재료로 선정하였고, 흙의 단위용적중량은 $1,833kg/m^3$을 적용하였으며, 이에 따른 물-시멘트비 4종류와 배합속도 3수준을 대상으로 블리딩 및 압축강도 실험을 실시하였다. 실험은 실내실험 및 현장적용 사례로 나누어 수행되었으며, 실험을 통하여 얻은 결론은 다음과 같다. (1) 물-시멘트비가 감소할수록, 배합속도(rpm)이 증가할수록, 블리딩량 및 블리딩율이 감소하는 것으로 나타났다. (2) 물-시멘트비 150% 이하에서 현장적용강도(1.5 MPa)를 만족하였으며, 현장 코아강도는 공시체 강도에 비해 8~23% 증가하였다. 따라서 적용현장 조건을 고려하여 단위시멘트량 $280kg/m^3$, 벤토나이트 $10kg/m^3$, 물-시멘트비 150%, 그리고 배합속도 90 rpm을 현장시공의 최적배합으로 제안하였으며, 현장적용 사례의 실험결과로부터 요구되는 성능을 만족하였다.

• Journal of Preventive Medicine and Public Health
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• 제33권4호
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• pp.393-401
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• 2000

Objectives : To evaluate the impacts of the DRG payment system on the behavior of medical insurance claimants. Specifically, we evaluated the case-mix index, the numbers of diagnosis and procedure codes utilized, and the corresponding rate of diagnosis codes before, during and after implementation of the DRG payment system. Methods : In order to evaluate the case-mix index, the number of diagnosis and procedure codes utilized, we used medical insurance claim data from all medical facilities that participated in the DRG-based Prospective Payment Demonstration Program. This medical insurance claim data consisted of both pre-demonstration program data (fee-for-service, from November, 1998 to January, 1999) and post-demonstration program data (DRG-based Prospective Payment, from February, 1999 to April, 1999). And in order to evaluate the corresponding rate of diagnosis codes utilized, we reviewed 820 medical records from 20 medical institutes that were selected by random sampling methods. Results : The case-mix index rate decreased after the DRG-based Prospective Payment Demonstration Program was introduced. The average numbers of different claim diagnosis codes used decreased (new DRGs from 2.22 to 1.24, and previous DRGs from 1.69 to 1.21), as did the average number of claim procedure codes used (new DRGs from 3.02 to 2.16, and previous DRGs from 2.97 to 2.43). With respect to the time of participation in the program, the change in number of claim procedure codes was significant, but the change in number of claim diagnosis codes was not. The corresponding rate of claim diagnosis codes increased (from 57.5% to 82.6%), as did the exclusion rate of claim diagnosis codes (from 16.5% to 25.1%). Conclusions : After the implementation of the DRG payment system, the corresponding rate of insurance claim codes and the corresponding exclusion rate of claim diagnosis codes both increased, because the inducement system for entering the codes for claim review was changed.

• 대한예방한의학회지
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• 제20권2호
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• pp.27-38
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• 2016

Backgrounds : Taiwan has similar national health insurance (NHI) system for traditional medicine with South Korea. Recently, new quality improvement policies for traditional medicine is being attempted in Taiwan. Objectives : This study aimed to review the Taiwanese NHI system for Chinese Medicine (CM) and introduce quality improvement policies. Methods : Research articles, reports, government publications and year books which handled traditional medicine system and NHI system in Taiwan were searched and collected. The authors analyzed and summarized the contents in a qualitative manner. Results : In Taiwanese NHI system, CM procedures and medication for outpatients are reimbursed through a mix of fee-for-service and global budget payment system. CM shares 4% of total expenditure of NHI in Taiwan. Mostly, the expenses for procedures are reimbursed regardless of disease type, however, in the specialized program for quality improvement, CM doctors have to comply with standard operating procedures (SOPs). Conclusions : Taiwanese NHI system implemented SOP-based new reimbursement system for CM. Yet, the scientific evidences for SOPs are not sufficient, it can be useful references when we develope disease related reimbursement system for Korean Medicine in South Korea.

• Journal of Preventive Medicine and Public Health
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• 제18권1호
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• pp.41-50
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• 1985

To find out the differences in medical practice according to the environment of patient care and managerial situation of the medical care institutions, normal spontaneous vaginal delivery and acute appendicitis were selected, which is suitable for comparison because of their high comparability. A total of 473 cases of normal spontaneous vaginal delivery and 408 cases of acute appendicitis was sampled from the claims to Korea Medical Insurance Cooperations during January to June 1984. Complicated cases were excluded from population and sampling was restricted from 40 to 60 percentile for total charges by the type of medical care facility in order to rule out the influence originating from case mix. Important items representing type and quantity of medical care service were compared by type of facility. Major findings are as follows : 1. University hospital shows the highest in charges per case and decrease in order of general hospital, and clinic. 2. In case of normal spontaneous vaginal delivery, average length of stay shows statistically significant difference by type of facility. 3. Charge amount for each service item affected by practice pattern shows statistically significant difference mostly by type of facility. It is suggested that medical practice pattern is different by type of facility for medical services. 4. Difference in total medical expenditure by type of facility is affected more with charges for materials, consumables and drugs than with fee for service activity. 5. In administering drugs to patients, hospital and clinic show higher injection rate than university and general hospital. 6. Clinical Laboratory tests were common in order of uninalysis, hemoglobin, hematocrit, white blood cell count, urine microscopic examination in cases of normal spontaneous vaginal delivery; white blood cell count, urinalysis, hemoglobin, hematocrit, urine microscopic examination, white blood cell differential count, in cases of acute appendicitis. 7. The result for Laboratory test and Radiologic study shows extreme difference by type of facility. Test rate is lowest in clinic and increase hospital, general hospital, and university hospital in order, both in type and frequency.

• 한국항해항만학회:학술대회논문집
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• 한국항해항만학회 2003년도 춘계공동학술대회논문집
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• pp.223-230
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• 2003

광양항 컨테이너터미널의 운영을 효율화하기 위해 한국컨테이너부두공단은 자동화운영시스템을 도입하려고 하고 있다. 자동화 컨테이너터미널 운영시스템의 구조를 만들기 앞서 운영시스템의 목표설정이 정의되어야 한다. 본 연구에서는 자동화 컨테이너터미널의 운영목표를 객관적으로 설정하기 위해 AHP 방법을 사용하였으며, 다양한 주체들의 터미널에 대한 요구사항을 수용하는 목표결정을 위해 미래의 고객, 운영자 및 연구기관을 대상으로 설문조사가 시행되었다. 자동화 컨테이너터미널 운영의 제1계층의 목표믹스로는 초기투자비 절감, 운영비 절감, 자동화시스템 성능 향상, 운영효율화 및 생산성 향상, 고객서비스 제고를 선정하였다. 전체적 관점에서 중요한 목표요인은 2계층의 목표믹스중 “운영비 절감”이었다. 특히 설문대상기관 중 컨테이너터미널 고객군이 가장 선호하는 목표는 “고객서비스 제고”요인으로 나타났다. 본 연구의 결과는 향후 터미널개발 및 시스템개발시 고려해야 하는 중요한 사항인 건설투자비의 수준, 정보시스템 및 자동화 하역장비의 투자비 수준, 무인화의 정도 및 터미널운영 성과 등에 대한 일정한 가이드라인을 제시하게 될 것이다.

• 한국구조물진단유지관리공학회 논문집
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• 제20권4호
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• pp.128-135
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• 2016

현재 고속도로의 콘크리트 구조물에서 대부분 지속되고 있는 가장 큰 문제는 동결 융해와 제설염에 의해 발생하는 콘크리트 열화이고, 이는 완전하게 해결되지 않은 쟁점사항이다. 특히, 동결융해만이 작용할 때와는 달리 동결 융해와 제설염의 복합열화 환경에서 콘크리트의 내구성능은 급격하게 저하되고 공용수명이 단축된다. 본 연구에서는 지역별 고속도로 구간의 노출환경등급을 수립하고 콘크리트 손상정도와 염화물량을 조사하였다. 또한 기계타설 소구조물 콘크리트의 내구성 향상을 위해 배합조건을 개선한 콘크리트의 염화물 이온 투과성, 박리저항성, 동결 융해 저항성 시험을 수행하였다. 연구결과에 따르면, 특수환경에 노출된 콘크리트 표면의 손상범위가 광범위하게 나타났으며 내부 염화물량 또한 높게 나타났다. 한편, 물-결합재(W/B) 비 및 단위수량을 적게 하고, 플라이애시를 혼합하여 내구성을 개선한 콘크리트는 기존의 배합비 보다 내구성이 크게 향상되었다. 또한 도출한 최적 배합비는 콘크리트 관련 시방서에서 제시하고 있는 강도 및 공기량, 물-결합재 비 등의 기준에 부합하였고, 내구성 기준에 만족할 뿐 아니라 공용수명이 크게 향상될 것으로 판단된다.

• 보건행정학회지
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• 제5권2호
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• pp.35-69
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• 1995

The managerial environment of hospitals in Korea characterized by low levels of medical insurance fees is worsening by increasing government regulations as to the utilization of medical services, rising costs of labor, material, and medical equipments, growing patient expectations concerning the quality of services, and escalating competitions among large hospitals in the market. Hospitals should seek for their survival strategies in this harsh environment and they should have information about costs of their products in doing so. However, it has not been available due to the complexity of the production process of hospital services. The objectives of this study were to develop a service-based cost accounting model and to apply the developed model to a study hospital to obtain cost information of hospital services. A model commonly used for the job-order product cost accounting in the manufacturing industry was modified for the use in hospitals in Korea. Actual costs, instead of standard costs, incurred to produce a unit of services during a given period of time were estimated in the model. Data required to implement the model included financial information, statistics for the allocation of supportive cost center costs to final cost centers, statistics for the allocation of final cost center costs to services, and the volume of each services charged to patients during a study period. The model was executed using data of a university teaching hospital located in Seoul for the fiscal year 1992. Data for financial information, allocation statistics fo supportive service costs, and the volume of services, most of them in electronic form, were available to the study. Data for allocation statistics of final cost center costs were collected in the study. There were 15 types of evaluation and management service, 2, 923 types of technical service, and 2, 608 types of drug and material service charged to patients in the study hospital during the fiscal year 1992. Labor costs of each of seven types of pesonnel, material costs of 611 types of drugs and materials, and depreciation costs of 212 types of medical equipments, miscellaneous costs, and indirect costs incurred in producing a unit of each services were estimated. Medical insurance fees for basic services such as evaluation and management of inpatients and outpatients, injection, and filling prescriptions, and for operating procedures were found to be set lower than costs. Infrequent services which use expensive medical equipments showed negative revenuse as well. On the other hand, fees for services not covered by the insurance such as CT, MRI and Sonogram, and for laboratory tests were higher than costs. This study has a significance in making it possible for a hospital to obtain cost information for all types of services which produced income based on all types of expenses incurred during a given period of time. This information can assist the management of a hospital in finding an effective cost reduction strategy, an efficient service-mix strategy under a given fee structure, and an optimum strategy for within-hospital resource allocations.