• Title/Summary/Keyword: Utilization Rate

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Prevalence and Treatment Patterns of Sleep Disorders in the Under 20 Population: analysis using a national health insurance claims database

  • Lee, Jang Won;Hwang, Jinseub;Hyun, Min Kyung
    • Journal of Pharmacopuncture
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    • v.25 no.3
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    • pp.276-289
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    • 2022
  • Objectives: Child and adolescent sleep is an important factor for brain and physical development. Therefore, it is necessary to investigate the prevalence of sleep disorders and nonorganic sleep disorders in children and adolescents and determine the type of utilization of medical institutions. This study analyzed the prevalence and type of medical institutions in Korean children and adolescents with sleep disorders and nonorganic sleep disorders. Methods: This study used data recorded in the Health Insurance Review and Assessment-National Patient Sample (HIRA-NPS) database from 2010 to 2017. Details of medical institution type and patient's sex, age, and treatment type were extracted for patients younger than 20 years with sleep disorders and nonorganic sleep disorders. Results: Among 2,536,478 patients under age 20, we identified 3,772 patients with sleep disorders or nonorganic sleep disorders. From 2010 to 2017, the prevalence of sleep disorders in children and adolescents was 0.07% to 0.09%. The utilization rate of Korean medical institutions was 30.47%. The prevalence of nonorganic sleep disorders and the utilization rate of Korean medical institutions were 0.06% to 0.08% and 45.99%, respectively. Conclusion: The prevalence of sleep disorders and nonorganic sleep disorders in the under-20 population was 0.14% to 0.16%. More than 70% of patients with nonorganic sleep disorder who were younger than 9 years used Korean medical institutions.

Predictive Resource Allocation Scheme based on ARMA model in Mobile Cellular Networks (ARMA 모델을 이용한 모바일 셀룰러망의 예측자원 할당기법)

  • Lee, Jin-Yi
    • Journal of Advanced Navigation Technology
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    • v.11 no.3
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    • pp.252-258
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    • 2007
  • There has been a lot of research done in scheme guaranteeing user's mobility and effective resources management to satisfy the requested by users in the wireless/mobile networks. In this paper, we propose a predictive resource allocation scheme based on ARMA(Auto Regressive Moving Average) prediction model to meet QoS requirements(handoff dropping rate) for guaranteeing users' mobility. The proposed scheme predicts the demanded amount of resource in the future time by ARMA time series prediction model, and then reserves it. The ARMA model can be used to take into account the correlation of future handoff resource demands with present and past handoff demands for provision of targeted handoff dropping rate. Simulation results show that the proposed scheme outperforms the existing RCS(Reserved channel scheme) in terms of handoff connection dropping rate and resource utilization.

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Applicability Analysis of Empirical Methods for the Calculation of TBM Advance Rate (국내 TBM굴진속도 산정을 위한 경험적 방법들의 적용성 분석)

  • 조만섭;우동찬;김경곤;이진무
    • Tunnel and Underground Space
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    • v.13 no.4
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    • pp.260-269
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    • 2003
  • In order to introduce to engineers the suitable calculation techniques of TBM advance rate (ad.) and ultimately promote to understand the designing process, this study was carried out. We analyzed the 17 bored data of TBM which applied to the roadway and water supply tunnels in Korea. From this analysis, it was able to how that the average utilization is 30.83% md the correlation equation of Ad and TBM´s diameter (D) is Ad(m/month) = 506.05ㆍ $e^{-0.1162}$$\times$D than the correlation coefficient ($R^2$) is 0.76. In the object of the W tunnel of Seoul-Busan highspeed railway, the Ad of TBM 5.0mø was analyzed by the variety of empirical models and upper correlation equation. Average Ad of the empirical models was calculated to be larger than one of the upper equations. But considering only the results of 3.0~5.0mø TBM in the 17 bored data, the average Ad by the models belongs to the similar range of bored data. Therefore, when the reliability and representative of parameters are decreased, a reliability test should be carried out through the comparison a variety of empirical models with the upper correlation equation.

Multi-Parameter Based Scheduling for Multi-user MIMO Systems

  • Chanthirasekaran, K.;Bhagyaveni, M.A.;Parvathy, L. Rama
    • Journal of Electrical Engineering and Technology
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    • v.10 no.6
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    • pp.2406-2412
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    • 2015
  • Multi-user multi-input multi-output (MU-MIMO) system has attracted the 4th generation wireless network as one of core technique for performance enrichment. In this system rate control is a challenging problem and another problem is optimization. Proper scheduling can resolve these problems by deciding which set of user and at which rate the users send their data. This paper proposes a new multi-parameter based scheduling (MPS) for downlink multi-user multiple-input multiple-output (MU-MIMO) system under space-time block coding (STBC) transmissions. Goal of this MPS scheme is to offer improved link level performance in terms of a low average bit error rate (BER), high packet delivery ratio (PDR) with improved resource utilization and service fairness among the user. This scheme allows the set of users to send data based on their channel quality and their demand rates. Simulation compares the MPS performance with other scheduling scheme such as fair scheduling (FS), normalized priority scheduling (NPS) and threshold based fair scheduling (TFS). The results obtained prove that MPS has significant improvement in average BER performance with improved resource utilization and fairness as compared to the other scheduling scheme.

A study on the rock fracture mechanism of cutter penetration and the assessment system of TBM tunnelling procedure

  • Baek, Seung-Han;Moon, Hyun-Koo
    • 한국지구물리탐사학회:학술대회논문집
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    • 2003.11a
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    • pp.162-169
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    • 2003
  • Excavation by TBM can be characterized by a rock-machine interaction during the cutting process on a small scale, but on a large scale the interaction between the rock mass and TBM becomes very significant. For the planning and evaluation of TBM tunnelling it needs to understand rock fracture mechanism by a cutter or cutters on a small scale, and to estimate penetration rate, advance rate and utilization on a large scale. In this study rock chipping mechanism due to cutter-penetration is analysed by numerical simulation, showing that rock chipping is mainly occurred by tensile failure. Also, through the analysis of factors that affect on TBM procedures in various assessment systems, it is determined that the key elements that should be considered in the planning and evaluation of TBM tunnelling are classified into rock properties, the geological structures and properties of rock mass, and the structural and functional specifications of the machine. The user-friendly assessment tool is developed, so that penetration rate, advance rate and TBM utilization are evaluated from various input data. The tool developed in this study can be applied to a practical TBM tunnelling by understanding TBM tunnelling procedures.

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Effects on Microbial Activity and Substrate Removal in Industrial Wastewater with Fluoride Content (산업폐수에서 불소함유가 미생물활성도 및 기질제거에 미치는 영향에 관한 연구)

  • Choi, Jung Su;Joo, Hyun Jong;Jin, Oh Suk
    • Journal of Korean Society on Water Environment
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    • v.28 no.5
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    • pp.717-722
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    • 2012
  • Fluoride can be easily found in semiconductor and display industry. However, there is a lack of research for its effects on the related wastewater treatment. The objective of this study is to evaluate the microbial inhibitory effect by fluoride injection. The research entailed the assessment of removal efficiency of $TCOD_{Cr}$ according to the fluoride concentration and also the Specific Oxygen Uptake Rate (SOUR) was measured. The laboratory scale reactor was prepared and operated with the fluoride concentrations of 0, 10, 50, 100, and 200 mg/L based on concentrations frequently occurring in the wastewater. The results from this study showed that, as the fluoride concentration increase, the Specific Substrate Utilization Rate (SSUR) tend to decrease as expected. Also, the increase in fluoride concentrations resulted in the decrease in SOUR. It is determined that fluoride injection affects the microbial activity. Especially, The addition of above 200 mg/L fluoride into reactor caused rapidly decreased SSUR and SOUR due to the inhibitory effects of fluoride.

Absorption Rate of Nutrients in the Diets supplemented with the Leaf or Trunk of Panax Ginseng in Rat (인삼의 엽, 경을 첨가한 식이중 영양소의 흡수율에 관한 연구)

  • Kim, Seong-Mi;Hwang, U-Ik;Kim, Sang-Sun
    • Journal of Ginseng Research
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    • v.7 no.1
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    • pp.23-36
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    • 1983
  • This study was devised to observe the nutritional effects of the diets supplemented with the leaf or trunk in rats. The male albino rats (110 heads), Sprague-Dowley strain weighing 75g to 79g, were used as the experimental aninl mils. The animals were divided into twelve diet groups and maintained with corresponding diet for 40 days, and then sacrificed. The growth rate, the consumption and efficiency ratios of the food and protein, the absorption rates of carbohydrate, lipid and protein, and the utilization rates of energy were determined during the feeding term. The results obtained are summarized as follows: 1) The growth rate, the consumption and efficiency ratios of the food and protein in each experimental diet group added ginseng steamed leaf or trunk were higher than those in experimental group A which has the diet supplemented with ginseng raw leaf of trunk. 2) The absorption rates of the carbohydrate were above 96%, higher than those or the control group, But those of fat, protein and the utilization rate of energy in each experimental diet group were generally lower than those in the control group.

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Analysis on the trends and causes of inhabitant's behavioral changes in medical institutions's utilization after enforcement of regional medical insurance. (pilot-project area of regional medical insurance; mainly Kun-wi and Kwang-hwa county) (의료보험(醫療保險) 실시이후(實施以後) 지역주민(地域住民)의 의료기관이용행태(醫療機關利用行態) 변화(變化) 추이(推移)와 그 요인(要因)에 관한 조사연구(調査硏究))

  • Park, Jung-Yeon
    • Journal of Korean Public Health Nursing
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    • v.3 no.2
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    • pp.47-76
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    • 1989
  • The objectives of this study was to analyze the major causes of decreasing utilization rate of health care institutios in pilot-project area of regional medical insurance, Kwang-hwa and Kun-wi country. After the implementation of medical insurance, utilization rate of health institutions turned out' to be lower than it was estimated, when the pilot-project of regional medical insurance was planned. It might be due to changes in inhabitant's behavioral attitude toward medical insurance. So this study was made to find measures for financial stability by increasing utilization rate of health care institutions and to be available for basic demand-supply program of medical care. The hypothesis of this study was as follows; First. there is difference in understanding health care institutions between Kun-wi and Kwang-hwa. Second. respondesnts of inquiry survey have exact knowledge of their past experience of treatment taken prior to enforcement of medical insurance, Questionaire survey was made as to each 700 household among total 11, 884 households in Kun-wi and 20,919 households in Kwang-hwa. In case of Kun-wi, 70% of inquired households (491) gave their answers. In Kwang-hwa, the number was 560 households (80% of inquireds). Dollected data was processed and analyzed by way of using SPSS batch system. To evaluate facto rs distribution aspects of data and to make comparison between two area, percentage and $X^2$ distribution were applied. The results were as follows; L The utilization rate of health care institutions in Kun-wi and Kwang-hwa was lower than it was estimated. when pilot-project of medical insurance was planned. 2. Prior to the implementation of medical insurance. inhabitants in two area chose the medical institutions considering such factors. First was medical care fee cheap. second in habitant's residence, Third was the institutions conveniently easy of access. 3. After the implementation of medical insurance. 26.1% of inqurieds in Kun-wi and 41.6% in Kwang-hwa, changed medical institutions. In case of Kwn-wi, from health care institution (p 0.05), and in case of Kwang-hwa, vice versa, from general medical institutions to health care institutions. 4. Evaluation by factors were made such as follows. Inquired gave high marks to following facts: In case of Kun-wi, general medical institutions were difficult of access and relation between patients: was not friendly, but burden of medical expenditure was light. Effects of treatment and facilities was good. In case of Kwang-hwa, inquired gave high evaluation marks to the follow ing facts; facilities of medical institutions was not good, but the burden of medical expenditure was light. 5. After the implementation of medical insurance, the services was evaluated as good, but inquired hopec for lessening the burden of medical expenditure. 6. In case of exact understanding of cost-sharing, the evaluation rate in Kwang-hwa was higher than that of Kun-wi (p < 0.005). And positive attitude toward necessity of medical insurance was also good in Kwang-hwa (p < 0.05). 7. In case of inquired's attitude toward medical institutions, Kwang-hwa showed positive response (p < 0.05) 8. In the case of comparison between general medical institution and health care institution, two area showed similar positive response; medical manpower, facilities of medical institutions and effest: of treatement was good. 9. In comprehensive evaluation of benefit-service; the general medical institution's positiveness was higher than that of health care institutions in Kun-wi. But in Kwang-hwa vice-versa. 10. If the medical expenditure of general medical institution and health care institutions was equal 77% of inquireds in Kun-wi and 59.1% in Kwang-hwa answered that they chose general medical insurance. Considering results above mentioned, the conclusion of this study was made as follows. 1. In Kwang-hwa county, where the understanding of health care institutions's was good, the utilization's of health care institutions was shown high. Therefore, in case of Kwang-hwa, betterment: should be made to induce increasing utilization rate for negative factors of health care institutions. 2. In case of Kun-wi, where the understanding of health care institutions was on the decrease, measures for changing such negative factors should be taken by way of strengthening public relations. And cases of Kwang-hwa should also be studied. 3. On the side of financial stabilization and establishing health care delivery system, primary health care should be available. Therefore, the major cause of inhabitant's avoiding health care institutions should be known. And measures for activating that institutions have to be taken. So, the facilities of health care institution have to be improved up to the level of clinic. And supportive measures for securing equipment and improving health care services should also be taken. It is necessary that strategy for public relations should be employed with policy considerations and supports.

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Market Segmentation of Patient-Utilization in Oriental Medical Care and Western Medical Care (양.한방 의료서비스 이용환자의 시장 세분화에 관한 연구)

  • 이선희;조희숙;최은영;최귀선;채유미
    • Health Policy and Management
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    • v.12 no.1
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    • pp.125-143
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    • 2002
  • The objectives of this study were analysis of patient\`s characteristics and market segmentation in oriental medical care and western medical care. This study focused on medical utilization using Anderson's health utilization model. The source of data was 1998 National Health and Nutrition Survey which Korean Institute For Health and Social Affairs carried out. A stratified multistage probability sampling design was used in this survey. The analysis was conducted using the statistical software package SPSS version 10.0 and Answer Tree 2.1 which is one of data mining methodology. The results were as follows ; 1) 44.9% of respondents reported visiting oriental medical center within recent two weeks. 3.4% of them used oriental medical care. The group of age, kind of disease and medical expenditure are associated with the difference western and oriental medical utilization rate. 2) There were several factors related to utilization of oriental medical care according to decision tree. Especially, important factors that patient chose his medical center were kinds of disease, kinds of common medical use, and expenditure. 3) in the results of CART analysis, market of oriental medical care were classified by seven categories. The major groups who have a preference for oriental medicine were those musculo-skeletal, cerebra-vascular disease, or chronic headache patients, and they had a preference fur oriental medical care in common use. These results show that oriental and western medical market were divided into various areas by market segmentation.

Organizational Capacity and Performance of Local Public Health in Korea (지역공공보건조직의 역량과 조직성과)

  • Kim, Jae Hee
    • Journal of agricultural medicine and community health
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    • v.41 no.4
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    • pp.183-194
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    • 2016
  • Objectives: The purpose of this study was to investigate the differences of capacity of local health organization to regional characteristics and the influence of organizational capacity on organizational performance. Methods: The study used the secondary data for 160 local public health organizations from $5^{th}$ Community Health Plans and 2009 Community Health Survey. The collected data were analyzed using one-way ANOVA and multiple regression analysis. Results: Work force and budget showed differences in regional size and elderly population rate. And consumer satisfaction and health care utilization showed differenced in work force and budget. The regression model with total number of employee, number of registered nurses, number of doctors and budget against consumer satisfaction was statistically significant (F=14.70, p=<.001), and number of registered nurses was identified as a factor influencing consumer satisfaction. This model also explained 20.5% of service satisfaction. The regression model for consumer satisfaction was statistically significant (F=45.98, p=<.001), and total number of employee nurses was identified as a factor influencing health care utilization. This model also explained 53.1% of utilization. Conclusions: The findings of this study imply that organizational capacity as work force and budget should be increased to improve the organizational performance as consumer satisfaction and health care utilization.