• 제목/요약/키워드: T-section

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DRG 지불제도에서 환자의 의료서비스 만족도와 제공량에 관한 연구 - 시범사업 전.후 제왕절개 분만 경험 산모를 대상으로 - (A Study on Patients' Satisfaction and Service Utilization in the DRG Based Payment System - Patients who Experienced Cesarean Section Before and After the Demonstration Program -)

  • 김지숙;박하영
    • 한국의료질향상학회지
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    • 제7권2호
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    • pp.190-202
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    • 2000
  • Background : The objectives of this study were to examine patients' satisfaction with the DRG based payment method and its association with their awareness of the method, to examine patient reported changes in doctors' caring attitude, level of their out-of-pocket payments, providers' acceptance of patients' request for additional services after the program, and to examine changes in service utilization recorded in medical records. Method : One hundred-four patients who had cesarean sections before and after the demonstration program at two hospitals located in Seoul participated in the study. Patients were surveyed before discharges when their charges were finalized. Their medical records were reviewed as well to collect data for service utilization during hospital stays. The association between patients' satisfaction with the payment method and their awareness of the method was analyzed by ${\chi}^2$-test, and the significance of changes in providers' acceptance of patients' request for additional services and service utilization after the program were examined by ${\chi}^2$-test and t-test, respectively. Results : A large proportion of patients did not know of the DRG based payment method at the time of survey and a significantly larger proportion of patients who came to the hospitals with the knowledge satisfied with the method. About the same proportion of patients reported improvement and deterioration in doctors' caring attitude compare to the previous hospitalizations and a similar result was found concerning out-of-pocket payments. Providers' acceptance of patients' request for medication, PCA and painless delivery decreased significantly after the program whereas the acceptance for additional hospital days and laboratory and radiology tests did not. Length of stay, the numbers of days on antibiotics and antianemic medication, and the number of blood tests decreased significantly after the program, however, decreases in the rate of antianemic medication and the number of urine analyses were not statistically significant. Re-operation, in-hospital death, and complications were not observed before and after the program. Conclusion : The study findings indicated a need for better patient education and publicity about the newly introduced payment method to improve their satisfaction with the system. Other study findings concerning service utilization and quality of care indicators were consistent with the government funded evaluation studies.

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중기업의 지식자산과 산업의 역동성이 기업성과에 미치는 영향 (the Impact of Medium Sized Firm's Knowledge and Industry Dynamism on Firm Performance)

  • 박선영
    • 기술혁신학회지
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    • 제10권3호
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    • pp.509-530
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    • 2007
  • 중소기업이 글로벌 경쟁력을 확보하고 장기적인 경쟁우위를 확보하기 최선의 전략은 기업자원 및 역량을 활용한 혁신을 통해 급변하는 환경변화에 적응하는 것이다. 따라서 본 연구에서는 제조업에 속하는 중기업을 대상으로 산업·조직특성 및 기업혁신과 기업성과간의 직접적인 연관관계뿐만 아니라 산업환경과 조직특성인 지식의 수준이 기업혁신과 성과간의 관계에 미치는 간접적인 영향을 분석하고자 횡단면분석을 수행하였다. 연구결과, 중기업의 지식자산과 교육투자, 산업의 역동성은 기업혁신과 정의 관련성이 있는 것으로 나타났는데, 이는 중기업이 연구개발 집약적인 산업에 속하고, 석사이상의 고급인력 보유 비율이 높고, 교육에 대한 투자가 많을수록 혁신활동비율이 더 커진다는 것을 의미한다. 그러나 기업혁신과 성과간의 관계에 관한 분석에서는 기업혁신 뿐만 아니라 산업역동성 및 기업의 지식수준과 혁신간의 상호작용 모두 기업성과에 유의한 관련성이 없는 것으로 나타났으며, 고기술과 저기술 기업으로 나눈 추가 분석에서도 유사한 결과가 나타났다. 이러한 결과는 단기적으로 기업의 지식자산 및 교육에 대한 투자가 혁신 및 기업성과간의 관계에 유의한 영향을 미치지 않으며 산업환경에 따라 뚜렷한 차이가 없음을 의미한다.

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유통업체의 부실예측모형 개선에 관한 연구 (Performance Evaluation and Forecasting Model for Retail Institutions)

  • 김정욱
    • 유통과학연구
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    • 제12권11호
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    • pp.77-83
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    • 2014
  • Purpose - The National Agricultural Cooperative Federation of Korea and National Fisheries Cooperative Federation of Korea have prosecuted both financial and retail businesses. As cooperatives are public institutions and receive government support, their sound management is required by the Financial Supervisory Service in Korea. This is mainly managed by CAEL, which is changed by CAMEL. However, NFFC's business section, managing the finance and retail businesses, is unified and evaluated; the CAEL model has an insufficient classification to evaluate the retail industry. First, there is discrimination power as regards CAEL. Although the retail business sector union can receive a higher rating on a CAEL model, defaults have often been reported. Therefore, a default prediction model is needed to support a CAEL model. As we have the default prediction model using a subdivision of indexes and statistical methods, it can be useful to have a prevention function through the estimation of the retail sector's default probability. Second, separating the difference between the finance and retail business sectors is necessary. Their businesses have different characteristics. Based on various management indexes that have been systematically managed by the National Fisheries Cooperative Federation of Korea, our model predicts retail default, and is better than the CAEL model in its failure prediction because it has various discriminative financial ratios reflecting the retail industry situation. Research design, data, and methodology - The model to predict retail default was presented using logistic analysis. To develop the predictive model, we use the retail financial statements of the NFCF. We consider 93 unions each year from 2006 to 2012 to select confident management indexes. We also adapted the statistical power analysis that is a t-test, logit analysis, AR (accuracy ratio), and AUROC (Area Under Receiver Operating Characteristic) analysis. Finally, through the multivariate logistic model, we show that it is excellent in its discrimination power and higher in its hit ratio for default prediction. We also evaluate its usefulness. Results - The statistical power analysis using the AR (AUROC) method on the short term model shows that the logistic model has excellent discrimination power, with 84.6%. Further, it is higher in its hit ratio for failure (prediction) of total model, at 94%, indicating that it is temporally stable and useful for evaluating the management status of retail institutions. Conclusions - This model is useful for evaluating the management status of retail union institutions. First, subdividing CAEL evaluation is required. The existing CAEL evaluation is underdeveloped, and discrimination power falls. Second, efforts to develop a varied and rational management index are continuously required. An index reflecting retail industry characteristics needs to be developed. However, extending this study will need the following. First, it will require a complementary default model reflecting size differences. Second, in the case of small and medium retail, it will need non-financial information. Therefore, it will be a hybrid default model reflecting financial and non-financial information.

광모드변환기가 집적된 $1.3\mum$ SC-FP-LD 제작 및 특성 해석 (Fabrication and analysis of $1.3\mum$ spot-size-converter integrated laser diodes)

  • 심종인
    • 한국광학회지
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    • 제11권4호
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    • pp.271-278
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    • 2000
  • 광가입자용 광원으로서 유망한 모드변환기가 집적된 1.3$\mu\textrm{m}$ SSC-FP-LD를 저압 MOVPE결정성장법을 사용해 제작하고 이의 특성을 분석하였다. SSC-LD의 활성영역과 SSC영역은 BJB방법으로 접합하였으며 taper형 도파로 구조를 선택성장법으로 성장하였다. 제작한 SSC-LD의 특성을 측정한 결과 SSC 단면으로 부터의 미분효율 0.23~0.32 mW/mA, FFP의 FWHM값은 9.5$^{\circ}$~12.3$^{\circ}$, 단일모드 광섬유와의 광결합 시 추가광결합손실 -1dB 범위내에서 수평방향으로 $\pm$2.5$\mu\textrm{m}$ 및 수직방향으로 $\pm$2.3$\mu\textrm{m}$의 정렬오차 허용도 등과 같은 양호한 특성을 얻었다. SSC-LD의 문제점들을 이해하고 SSC-LD의 성능향상에 대한 지침을 얻고자 방사모드를 고려한 SSC-LD특성 해석을 행하였다. 해석결과 SSC-LD에서의 비대칭 광출력특성, FFP과 SSC영역단면 근처의 도파로 구조와 비상관성, 온도특성열화 등은 BJB 및 SSC영역내의 불균일한 도파로 구조에 의해 발생되는 방사모드와 두 영역 사이의 좋지 못한 광결합 효율에 의해 발생되는 SHB현상에 기인함을 처음으로 지적하였다.

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분석용 네트워크구축을 위한 교통주제도 품질확보방안 (Transportation Digital Map Quality Guarantee Scheme for Analytic Network Building)

  • 최정민;주용진;최애심
    • Spatial Information Research
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    • 제12권3호
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    • pp.285-298
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    • 2004
  • 교통주제도는 건설교통부와 교통개발연구원이 '국가교통DB구축사업'의 일환으로 제작한 것으로, 국토지리정보원이 항공사진을 기반으로 하여 작성한 NGIS(국가기본 수치지도)를 수정ㆍ보완하여 교통계획ㆍ투자분석 등 교통목적으로 재구축한 수치지도이다. 또한 교통부분 지리정보시스템(GIS-T)분야에서 교통정책 및 계획수립 등에 활용되고 있는 필수적인 기초 데이터이다. 이러한 교통주제도는 국가의 교통 정책결정과 연구분석에 활용되는 자료로 객관적이고 신뢰성 있는 데이터베이스이어야 한다. 또한 현실세계의 교통망을 모델링하여 반영한 것이므로 분석 기준년도에 대응되는 현재성과 정확성이 요구된다. 이를 위해 첫째, 조사 및 구축 지침을 통해 일관된 데이터의 생성 및 구축이 보장되어야하고 둘째, 데이터베이스를 구축함에 따라 발생할 수 있는 기하학적ㆍ논리적 오류를 파악하여야하며 셋째, 항목별 검수 방법과 절차에 대한 지침을 가지고 일관적이고 체계적인 점검을 하여야 한다. 본 연구에서는 교통주제도 데이터의 가장 기본이 되는 노드와 링크를 대상으로 항목별, 검수 절차와 방법에 대한 지침을 설정하고 일관적이고 체계적으로 데이터의 오류를 점검함으로써 교통 네트워크의 객관적이고 신뢰성 있는 품질확보가 가능하도록 하였다.

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여성의 요실금빈도와 관련요인에 관한 조사연구 (A Study on Prevalence and its Relating Factors of Urinary Incontinence in Women)

  • 김금순;서문자
    • 기본간호학회지
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    • 제4권1호
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    • pp.73-85
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    • 1997
  • The purpose of this study was to find out the prevalence of the urinary incontinence and it's relating factors in women. The target population is 327 community dwelling women in the age of 30-70 years old at 6 cities in Korea. The data were collected from August, 1996 to December. 1996 with interview using structured questionaire composing of items of general characteristics, obstetric characteristics, disease characteristics, situation of experiencing urinary incontinence, discomfort due to urinary incontinence, and depression. The data were analysed with $SPSS/PC^+$ program, T-test, $x^2$ test, and ANOVA test. The results obtained from this study were as follows : 1) The prevalence of urinary incontinence in women is 37.7%(130/327). 2) The mean duration of experiencing the urinary incontinence was 75.9 months and the 60% of the respondents experienced a few frequency of urinary incontinence and the most common amount of urinary incontinence(91.5%) was somewhat small expressed as 'wetting their clothes'. 3) The common factors related to the urinary incontinence were coughing, sneezing, laughing aloudly, and the activities of need for hurry. 4) The most common situations of discomforts associated with urinary incontinence were having long journey, exercise, playing, and social meeting. 5) The incidence of urinary incontinence was significantly higher in woman who had more children, older age of last delivery, more vaginal delivaries, and less c-section. 6) The incidence of urinary incontinence was not affected with the disease characteristics of the respondents, however it was higher when the women had the physical problems of constipation, abdominal laparatomy and episode of urinary catheterization than who had not. 7) The most common symptom of urinary incontinence was the frequent urine(43.1%), and the next was the urgent urine(12.3), delayed urine(9.2%). 8) 90.7% of the epsodic urinary incontinence were not treated at al, however, they wanted to try the herb medicine(41.5%), Kegel exercise(27.7%), and biofeedback(10.0%). 9) The level of Depression in the group of urinary incontinence was higher than that of non incontinence group significantly. In conclusion, as urinary incontinence in women proved severe health problem, health care providers need to develop and provide nursing intervention of urinary incontinence such as pelvic muscle exercise with bio-feedback and psychological care.

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고속도로 VMS Message Set 연구 및 이용자 선호도 평가 (A Study on Message Set of VMS on Express way and Evaluation of Driver's Preference)

  • 김남선;지동목;오영태;이환필;김상복
    • 한국ITS학회 논문지
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    • 제8권4호
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    • pp.1-13
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    • 2009
  • 도로전광표지(VMS;Variable Message Sign)는 지능형교통시스템의 세부시스템중 하나로 도로이용자에게 실시간으로 교통정보를 제공하여 교통흐름을 원활하게 하는 기능을 가지고 있다. 그러나 현재 고속도로 구간의 VMS운영현황을 조사한 결과, 현시운영측면에서 메시지판독횟수가 정의되지 않아 적정현시운영에 어려움이 있으며, 정보제공측면에서 VMS 설치구간의 특성고려가 미흡하여 운전자의 혼란을 유발시키는 문제점이 드러났다. 세부적으로 문안표출시 글자체(Font), 표출전환방식, 정렬방식, 표출메시지 구성의 통일성이 결여되어 있고 불필요한 단어사용과 통일되지 않은 동일의미의 여러 용어를 사용하는 등 효과적인 정보전달체계에 개선이 필요한 것으로 분석되었다. 이에 본 연구는 VMS 운영관련지침 및 연구분석결과를 토대로 VMS 설치위치별 요구기능과 적정현시수의 정의 등의 효율적인 표출방안을 수립하였다. 세부표출방안으로 제공글자체, 메시지 전환방식, 정렬방식을 통일하였고, 운전자의 직관적인 메시지 판독이 가능하도록 상황별로 표출색상을 정의하였다. 본 연구에서 제시한 개선안의 평가를 위해 일반운전자들을 대상으로 기존안과 개선안의 선호도평가와 통계분석을 실시하였다.

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비만아동의 비만정도에 따른 생화학적 상태와 식습관 및 식행동에 관한 연구 (The Difference of Biochemical Status , Dietary Habits and Dietary Behaviors according to the Obesity Degree among Obese Children)

  • 김은경;이애랑;김지주;김민회;김진숙;문현경
    • 대한영양사협회학술지
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    • 제6권2호
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    • pp.161-170
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    • 2000
  • This study was conducted to find biochemical status, dietary habits and dietary behaviors according to the degree of obesity among obese children, and to provide baseline data for nutrition education. The number of subjects was 64 obese children(Mildly obesed : MI 19, Moderately obese : Mo 30, Severely obese : SI 15) participated in '98 Summer Nutrition Camp'. The results of this study were as follows. 1. Weight and body fat rate was increased according to obesity degree(p<0.05). Total cholesterol and TG also was increased according to obesity degree but it was statistically significant. 2. In dietary habits, it wasn't statistically significant but MI tended to eat fast and to eat the snacks before sleeping. MO tended to skip the breakfast. SI tended to eat more snacks and dinner and they tended to overeat. 3. In cognition of self-weight, most obese children(93.7%) worried about their weight but 73.4% of obese children thought that it was possible for losing weight. There were no difference by the obesity degree. 4. In dietary behaviors, there were no statistically significant difference but MI and SI than MO tended to had worse dietary behaviors. 5. In life styles, SI than the others have tendency to have more regular exercise but they had more indoor activities than outdoor activities. 6. In foods intake frequency, SI than MI and MO ate instant foods more frequently and MI than the others ate hot and salty foods more frequently(p<0.05). With these result, MI and SI than MO tended to have undesirable dietary habits and behaviors. Many obese children worried about the weight but they had positive thought about losing weight. SI tended to do regularly exercise but they had more indoor activities than outdoor activities. Therefore, only with this study, it is difficult to say that there is the clear difference by the obesity degree. Because, in this study, we can have some difference among these groups, we should study more about these difference for effective, systemic and practical nutrition education in the future.

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치과용 단층촬영을 이용한 Stainless-Steel File과 MFile-System® 전동식 기구의 근관 성형 능력에 대한 비교 연구 (A Comparison of Stainless-Steel File and MFile-System® Ni-Ti Rotary Instrument in Canal Preparation using Dental Computed Tomography)

  • 서동진;윤미란;이린;유미경
    • 구강회복응용과학지
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    • 제22권2호
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    • pp.173-180
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    • 2006
  • Objectives The aim of this study is to compare the quality of root canal preparation completed using MFile-$System^{(R)}$ instrument ( Komet, Gebr.Brsaseler, Germany) and conventional stainless steel file in the canals of Maxillary molar teeth that had a canal curvature between $25^{\circ}$ or more Materials & Methods Buccal canals of 24 first and second maxillary molar teeth, extracted for periodontal and prosthetic reasons were used. Tissue fragments and calcified debris were removed from teeth by scaling and the teeth were stored in 10% formalin solution for 24 hour. Then, teeth were stored in saline until used. To be included the roots had to have completed formed apices and angle of curvature ranging between $25^{\circ}$ or more according to the criteria described by Schneider(1971). Palatal and Second mesiobuccal canals were not included. Teeth were embedded into transparent acrylic. The teeth were randomly divided into two experimental groups. All teeth were scanned by Dental CT (PSR9000N, Asahi, Japan) to determine the root canal shape before instrumentation. Image slices were prepared from the apical end point to the pulp chamber. The first two sections were 2 mm from the apical end of root and 2 mm below the orifice. Further section was recorded, dividing the distance between the sections of apical and coronal levels into two equal lengths. 12 teeth were instrumented using stainless steel fileand another 12 teeth were instrumented using MFile-$System^{(R)}$. Following the completion of the instrumentation, the teeth were again scanned and compared with the cross sectional images taken prior to canal preparation. Amount of transportation and centering ability was assessed. Student's t-test was used for statistical analysis. Result Less transportation occurred with MFile-$System^{(R)}$ rotary instrumentation than stainless steel instrument. MFile-$System^{(R)}$ had better centering ability than stainless steel instrument. Conclusion MFile-$System^{(R)}$ rotary instrumentation transported canals less and had good centering ability.

20대와 30-40대 여성의 하반신 신체치수 및 체형 비교 연구 - 다운에이징(Down-aging) 의복구매 현상에 따른 문제점 파악을 중심으로 - (Comparative Study on Size and Type of Lower Body of Women in Their 20s and 30s-40s - Focusing on Determining Problems by the Phenomenon of Purchasing Down-aging Clothes -)

  • 김은경
    • 한국의상디자인학회지
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    • 제16권3호
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    • pp.201-217
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    • 2014
  • There is likely to be a fit problem when women aged in their 30s-40s purchase down-age clothing from brands that target women in their 20s. To identify the part of the lower body that causes the fit problem, the sizes and types of lower body of women in their 30s-40s were compared with those of women in their 20s. The data for this study was from the 2010 Size Korea survey of body measurements of 1675 female adults in their 20s-40s. To examine differences in the average sizes of the lower body between women in their 20s and 30s-40s, descriptive statistics and t-tests were conducted. Factor and cluster analysis were used to classify body types by age groups. On the whole, compared to women in their 30s-40s, women in their 20s were found to be higher for all height items and smaller for size, thickness and width items. The result of the Glycemic index analysis showed that the body type of women in their 20s was generally larger than that of women in their 30s-40s. In addition, women in their 20s had a large drop value compared to those in their 30s-40s, whereas flatness of body cross section was bigger in the group of women in their 30s-40s. Four factors related to the lower body type of female adults in their 20s-40s were identified in the factor analysis, and three categories of body type were identified by cluster analysis. A Type 1 individual had abdominal obesity and chubby lower limbs, Type 2 had short legs and slightly chubby lower limbs, and Type 3 had long legs and a skinny lower body. A significant number of women in their 30s-40s were included in the Type 1 group, which was the least common category for women in their 20s.

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