• 보건교육건강증진학회지
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• 제19권2호
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• pp.155-167
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• 2002

This study was carried out to grasp visiting nurses' perception of the service referral between health and welfare with a view to providing the basic data for the visiting nursing activities. A questionnaire survey was conducted on public health nurses in 25 health centers in Seoul from Feb. 12, 2001 to Mar. 15, 2001. A total of 151 questionnaires were collected and they were analysed by use of SPSS/WIN 7.5. The results of the survey are as follows. 1. In general, visiting nurses were burdened with heavy workloads. On average, a visiting nurse covered 5 ‘dong's(the smallest administrative unit), 564 households, and 1223 persons. They spent almost a quarter of their working hours moving from home to home and recording the charts after home visiting. They took 30-60 minutes to provide their services when visiting homes. As for the frequency of home visiting, they were following the instructions recommended by the government. However, their services were still wasteful, not skill-oriented, in that they spent more time assessing ‘subjects’ rather than providing their ‘services’ for them. 2. As for the degree of service performance, visiting nurses scored average 2.94 and 2.28 on the four-point scale in the area of health and welfare respectively. The Pearson coefficient between the two variables was high(.56). According as the health services increased, the welfare services increased as well, which showed that the service referral between the two areas should be essential. 3. ‘The necessity of cooperation with social welfare staff’ scored average 4.49, and ‘the degree of cooperation with social welfare staff’ scored average 3.16 on the five-point scale; There was a statistically significant difference (average 1.33) between the two variables. Such a big difference between perception and practice results from the lack of political support that connects the two service areas comprehensively. Therefore it is recommendable to establish a so-called ‘Visiting Nursing Center’ in the ‘dong’ office in order to provide integrated services of health and welfare at once in cooperation with social welfare staff. That's the way to meet the public needs directly and it's more efficient as well in terms of cost-saving.

• Journal of Preventive Medicine and Public Health
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• 제9권1호
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• pp.109-116
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• 1976

Reorganization of myun health care service is one of the main issues in health care delivery in rural Korea. The fundamenta, concept of the role and function of the myun health subcenter is that it is the basic unit of rural health care service and is to provide comprehensive health care service through the integration of curative and preventive services. The aim of this study is to analyze the patterns of curative activities in the myun health subcenter in terms of the most prevalent types of diseases, necessary diagnostic methods and required equipment, types of treatment, necessary drugs and materials, and finally the cost of curative services. The population on which this study was done was the 1596 patients who visited the two myun health subcenters (Sunwon Myun and Naega Myun) in Kang Wha County, the area of the Yonsei University Community Health Teaching Project, during period from May 1, 1975 to June 10, 1976. For the patient's record in the clinic, problem oriented medical records were used. Decisions regarding the disease classification, the diagnostic methods used and selection of the most appropriate and adequate medical treatment were made by a group of three experienced physicians after reviewing the medical records which had been written by public physicians who were treating patients in the study area. The records were reviewed by resident staff members of the Department of Preventive Medicine, of Yonsei University College of Medicine. A brief summary of results of the study is as follow: 1. 29.9% of the patients who visited the clinics were ages between 0-4. No sex difference was observed among patients less than 20 years of age. However, among patients over 20 years old, females predominated. Thus it is evident that the majority of patients were either children or mothers and grandmothers. 2. The distance from the individual villages to the myun health subcenter was one of important factors in determining the ratio of clinic visits. However, other factors such as the activities of the health workers also affected the rates substantially. 3. The most common 25 diseases comprised 90.2% of all the diseases recorded. Acute respiratory infection (25.5%), Skin (12.7%) , diarrheal diseases (6.8%), neuralgia and back pain (4.9%) and. all other injuries (3.9%) were the five most common diseases. 4. Of all the diseases diagnosed and treated, 9.2% required simple laboratory tests for diagnosis, 6.5% required X-ray examination, and altogether 13.6% required either laboratory test or X-ray examination. 5. Treatment and management of 42.0% of the cases could be accomplished with simple, inexpensive drugs, 12.8% required the use of more expensive drugs (mostly antibiotics) and injections were required in 19.7% of the cases. Minor surgery and referral were necessary in 5% of the cases. 6. The cost for diagnosis and treatment was estimated with a standard which was set by general concensus. The average cost of diagnosis was 144 per case and the cost of treatment was 726 per case, The Total average cost per visit was 870.

• 한국건설관리학회논문집
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• 제12권2호
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• pp.111-120
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• 2011

최근 도심지 고밀화에 따른 공간의 효율적 이용이 요구됨에 따라 대규모의 고층 사무공간이 증가하고 있으며, 이와 함께 주거, 상업, 문화 등 다양한 기능을 밀접하게 연관시킨 고층 복합시설도 점차 늘어가고 있다. 이러한 대형 건설, 프로젝트는 긴 공사기간이 소요되어 공사비 예측이 쉽지 않으며, 막대한 비용이 투입되기 때문에 비용 예측의 중요성이 더욱 증대되고 있다. 이러한 상황에서 최근 극심한 경제변화에 따른 건설자재가격의 변동은 자재비를 포함한 공사비 예측을 어렵게 만드는 주요 원인이다. 따라서 본 연구는 건설자재단가 시계열자료를 활용, 미래의 자재단가 예측을 위한 시계열모델을 구축하고 복잡한 모델 프로세스를 간소화하는 자재별 최적 예측모델 도출시스템을 구축한다. 또한 Building Information Modeling(BIM)의 접근을 통해 자재의 투입시기 및 투입물량을 분석, 시계열모델을 통해 예측한 자재단가 예측 값과 조합함으로써 총 자재비를 포함하는 BIM기반 공사원가 예측 시계열모델을 제시한다. 본 연구는 시계열모델의 하나인 Autoregressive Integrated Moving Average(ARIMA)모델에 대한 예측력 비교를 통해 자재단가 예측을 위한 적합모델을 도출하였다. BIM기반의 원가예측 시계열모델은 자재의 투입시기별 자재단가 변동치를 예측함으로써 급변하는 경제 환경 변화에 대처할 수 있는 도구가 될 것이다.

• 대한치과보철학회지
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• 제52권1호
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• pp.18-26
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• 2014

연구 목적: 본 연구의 목적은 가장 최근에 수행된 치과의원의 경영 분석 자료를 바탕으로 상향식 방법을 적용하여 임플란트 원가를 산정하는데 있다. 연구 재료 및 방법: 본 연구에서는 진료행위 각각에 소요되는 직간접 비용을 모두 합산하는 상향식 방식으로 산출하였다. 상향식 원가계산의 경우 총원가는 인건비, 재료비, 관리비, 의료사고비용, 투자자본의 기회비용 등으로 구성이 된다. 이를 임플란트 원가 구성요소로 구분하면 인건비, 기공료, 재료비, 감가상각비 등의 직접비용과 관리운영비를 포함하는 간접비용, 치과의원 투자분에 대한 기회비용으로 구성된다. 결과: 상부보철물의 종류에 따라 금속관일 경우 1,449천원, 도재관일 경우 1,583천원, 오버덴쳐의 경우 2,471천원으로 산정되었다. 임플란트 원가는 인건비, 재료비, 관리비, 기타비용으로 나누어지는데 총 원가 중 인건비가 차지하는 비율은 50%, 재료비 33%, 관리비 15%, 기타비용2%로 나타났다. 이를 직접비, 간접비, 투자비용으로 구분하면 상부 보철물이 금속관일 경우 각각 원가의 83%, 15%, 2%를 차지한다. 결론: 전체 원가 중 인건비가 73만원(약 50%)으로 가장 많은 비중을 차지한다. 상향식 원가계산 결과 관행수가에 근접하게 나타났는데 금속관의 경우 145만원, 도재관일 경우 158만원 추계되었다.

• 자원환경지질
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• 제46권3호
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• pp.247-256
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• 2013

재해위험지구 정비사업의 질적 수준제고를 위하여 재해위험지구 정비 사업을 대상으로 비용 대비 편익을 분석하였다. 최근의 재해이력을 고려하여 8개의 분석대상 지구를 선정하였고, 비용편익비(B/C)를 사용하여 투자효과를 분석하였다. 편익 산정은 해당지역의 과거재해이력을 활용하였으며, 비용은 총사업비로 평가하였다. 8개의 분석대상 지구에 대한 분석결과는 영향범위, 할인율 등의 인자에 따라 다른 범위에서 1보다 큰 B/C를 보여주고 있다. 분석결과에 따르면, 4% 할인율과 5 km 영향거리 조건에서 8개 대상 지구에 대한 평균 B/C는 4.1로 1이상을 나타내는 것으로 확인되었다. 이러한 결과로 볼 때 재해위험지구 정비 사업은 비용 대비 효율이 높을 것으로 판단된다.

• 자원ㆍ환경경제연구
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• 제18권4호
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• pp.745-766
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• 2009

특정 산업의 시장지배력을 측정할 때 일부 생산 투입요소의 시장가격이 존재하지 않을 경우 한계시장비용을 초과한 가격 markup으로 판단한 수치는 현실을 왜곡시킬 수 있다. 투입된 모든 생산요소의 가격들의 함수인 비용함수를 추정하는 데 있어서 총 시장비용에서 이들 투입요소에 대한 지출비용이 누락되면 완전경쟁산업에서의 시장가격이 한계시장비용을 초과하는 상황이 발생한다. 한국 제조업의 경우 원재료의 시장가격이 존재하지 않을 뿐만 아니라 관련 자료의 부족으로 공해저감자본의 가격지수를 산정하는 것이 거의 불가능하다. 본 논문에서는 환경규제를 받는 한국 철강산업의 시장지배력에 대한 가격 markup 추정치의 신뢰성을 제고하기 위하여 최적 수준의 원재료와 공해저감자본의 투입량을 전제로 제약비용함수를 도출한 후 공급관계식과 함께 연립방정식으로 추정하였다. 공급가격에 대한 시장지배력 markup의 비율로 측정한 국내 철강산업의 시장지배도는 1982년부터 2001년까지 연평균 0.49로서, 환경규제를 고려하지 않을 경우 약 8% 과대평가되는 것으로 나타났다.

• 한국국방경영분석학회지
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• 제4권1호
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• pp.113-123
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• 1978

Consider a series system of two units, named 1 and 2, respectively. Two units are observed at the beginning of discrete time periods t=0,1,2, $cdots$ and classified as being in one of a countable number of states. Let (i, r) be a state of the system at time t, when the state of unit 1 is i and state of unit 2 is r at time t, Under some conditions, the opportunistic replacement policy that minimizes the expected total discounted cost or the average cost of maintenance is shown to be characterized by the control limits $i^{*}(r)$ (a function of r) and $r^{*}(i)$ (a function of i) : (a) in observed state (i, r), the optimal policy for unit 1 is to replace if $i{\ge}i^{*}(r)$ and no action otherwise; (b) in observed state (i, r), the optimal policy for unit 2 is to replace if $r{\ge}r^{*}(i)$ and no action otherwise. In addition, this paper also develops optimal policy in the finite time horizon case, where time horizon is fixed or a finite integer valued r.v. with known pmf.

• 지역사회간호학회지
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• 제27권3호
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• pp.272-283
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• 2016

Purpose: This is a comparative study using secondary data from the Korean national long term care (LTC) insurance. Methods: Visiting nursing (VN) service users (n=666) and non-users (n=4,375) were extracted and compared in terms of medical expenditures, length of hospitalization, and annual number of ambulatory care visits to investigate effects of VN services in LTC. Results: Total health care expenditures were compared between the two groups and it was found that VN service users spent about $ 1700 than non-users for their medical costs between 2009 and 2011. The average length of in-hospital stay for VN service users was 19.4 days shorter than that of non-users. However, using VN services did not significantly influence the annual number of ambulatory care visits. Conclusion: The study has found that VN services are effective ways of providing community-based LTC services. We recommend LTC policy makers to further utilize VN services to deliver cost effective health care services.

• The Journal of Korean Physical Therapy
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• 제25권5호
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• pp.322-329
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• 2013

Purpose: This study was conducted in order to investigate the awareness of physical therapy and difference between physical therapy and rehabilitation therapy. Methods: A total of 183 subjects who gave consent to participate in the survey at five universities in Gyenggi-do were randomly selected and the survey was conducted from February 2012 to July 2013 by a questionnaire consisting of 13 questions. Frequency analysis for the awareness of the general characteristics of physical therapy, anticipated cost, awareness of difference, and cross tab analysis for correlation with each item were used. Results: Participants recognized the academic ability, and the department for management of physical therapist licensing very well. The kindness and workmanship of physical therapists were average. According to their experience of physical therapy, most participants received a hot pack and electrical therapy at a local clinic and satisfaction with treatment was high. The percentage of students who recognized a difference between physical therapy and rehabilitation therapy was high, however, they misunderstood only electrical therapy for physical therapy and they recognized the exercise method of physical therapy for rehabilitation therapy. No correlation of the awareness of difference was observed between physical therapy and rehabilitation therapy and the awareness of physical therapy, experience, and anticipated cost, except the major of students. Conclusion: We found that people can misunderstand exercise therapy for rehabilitation therapy even though they have good awareness of physical therapy. Therefore, a physical therapist has to find the ways to express their identity while working.

• Journal of Electrical Engineering and Technology
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• 제12권4호
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• pp.1511-1518
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• 2017

Renewable energy hybrid systems look into the process of choosing the finest arrangement of components and their sizing with suitable operation approach to deliver effective, consistent and cost effective energy source. This paper presents hybrid renewable energy system (HRES) solar photovoltaic, downdraft biomass gasifier, and fuel cell based generation system. HRES electrical power to supply the electrical load demand of academic research building sited in $23^{\circ}12^{\prime}N$ latitude and $77^{\circ}24^{\prime}E$ longitude, India. Fuzzy logic programming discover the most effective capital and replacement value on components of HRES. The cause regarding fuzzy logic rule usage on HOMER pro (Hybrid optimization model for multiple energy resources) software program finds the optimum performance of HRES. HRES is designed as well as simulated to average energy demand 56.52 kWh/day with a peak energy demand 4.4 kW. The results shows the fuel cell and battery bank are the most significant modules of the HRES to meet load demand at late night and early morning hours. The total power generation of HRES is 23,794 kWh/year to the supply of the load demand is 20,631 kWh/year with 0% capacity shortage.