• 제목/요약/키워드: Utilization System

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의료보험 통계자료를 이용한 최근 우리나라 질병구조 변화관찰 - 의료보험관리공단 자료를 중심으로 - (The study for recent changes of disease-mix in health insurance data)

  • 유승흠;정상혁
    • Journal of Preventive Medicine and Public Health
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    • 제23권3호
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    • pp.345-357
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    • 1990
  • Accumulated data on medical care utilization among the insured in Korea Medical Insurance Corporation can explain the health status of the population. The purpose of this study was to analyze a change of the disease-mix and utilization pattern by controlling the size of the population enrollment. Major findings of the study are as follows : 1. The changes of inpatient disease-mix a. Utilization rate was 139.2% in 1988 against 1980. b. Disease groups higher than the average utilization rate included neoplasms, endocrine, nutritional and metabolic diseases and immunity disorders, mental disorders etc. Meanwhile, disease groups seen less often were infections and parasistic diseases, diseases of blood and bloodforming, diseases of the digestive system etc. c. Utilization rate was up 106.3% in 1988 compared to 1985, and diseases above that average level were ill-defined intestinal infections, chronic liver disease and cirrhosis, diabetes mellitus, essential hypertension, etc. d. The disease-mix by institution in 1988 compared to 1985 shows that chronic disorders rank high in general hospitals whereas opthalmologic, obstetric, and orthopedic diseases rank high in private clinics. 2. The changes of outpatient disease-mix a. Utilization rate was up 175.2% in 1988 compared to 1980. b. Disease groups higher than the average utilization rate included neoplasms, endocrine, nutritional and metabolic diseases and immunity disorders, mental disorders etc. And disease groups seen less often were infections and parasistic diseases, diseases of the respiratory system, diseases of the genitourinary system. etc. c. Utilization rate was up 104.0% in 1988 compared to 1985, and diseases above that average level were gastric ulcer, diseases of hard tissues of teeth, etc. And diseases seen below that average level were acute nasopharyngitis(common cold). acute upper respiratory infections of multiple or unspecified sites, etc. It was concluded that medical care utilization level was increased, and that, from 1980 to 1988, disease-mix shifted to the chronic disorders. Chronic disorders accounted for more medical care utilization in general hospitals.

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Evaluation of Thermal Utilization of Dousing System in PHWR Nuclear Power Plant

  • Nam, S.D.;Ryu, J.I.
    • 한국분무공학회지
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    • 제4권3호
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    • pp.42-52
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    • 1999
  • An effectiveness of thermal utilization of a dousing system in the 600 MW PHWR Nuclear Power Plant has been evaluated. The behavior and conditions of water droplet sprayed in a postulated accident conditions in containment configuration has been calculated. In this calculation, two pressure conditions with the consideration of obstruction area and containment wall effect has been established : one being the minimum containment pressure of 7 kPa(g) encountered for dousing shut off and the other being the containment design pressure 124 kPa(g). The results revealed that the effectiveness of the thermal utilization ranges from 93% to 97%. In the analysis on two cases without/with side wall effect in the containment building, the thermal utilization decreases with obstruction area from 89% to 85%, which satisfies the design criteria set for the containment pressure against the accident condition.

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해양에너지의 복합이용시스템에 관한 기초연구 (A Study for Integrated Ocean Energy Utilization System)

  • 김현주;홍석원
    • 한국해양공학회:학술대회논문집
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    • 한국해양공학회 2001년도 춘계학술대회 논문집
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    • pp.83-86
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    • 2001
  • This paper aims to make a feasibility study and to propose a master plan for the development of "integrated ocean energy utilization system", which utilizes various renewable ocean energies. Fossils energy, as the most important energy resources which are inevitable for the living and industrial development, becomes exhausted and its consumption creates serious environmental problem. It is important to utilize renewable ocean energy for a sustainable and environmentally friendly development. We survey the integrated utilization of ocean energy based on surveyed energy density distribution and propose concepts of integrated ocean energy utilization plant for both onshore and offshore system. The results of this study can support national effort for renewable energy development utilizing integrated ocean energy and refer as a guideline for the technical development of sustainable integrated ocean energy.

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장기요양 서비스 이용자와 미이용자의 의료비 지출 차이 및 의료비 지출에 미치는 영향 - 요양병원 의료비 지출을 중심으로 - (The Effect on Health Care Utilization of the Non-Use of Beneficiaries of Long-Term Care Insurance Service - around of Geriatric Hospital's Medical Cost -)

  • 정운숙;임은실
    • 한국산학기술학회논문지
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    • 제16권11호
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    • pp.7463-7473
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    • 2015
  • 본 연구는 장기요양 1등급 건강보험가입자를 대상으로 장기요양서비스 이용자와 미이용자의 의료비 지출 차이를 비교하고, 의료비 지출에 미치는 영향 요인을 규명해 보고자 시도하였다. 연구 대상은 건강보험가입자로 2009년 1월 1일부터 12월 31일까지 1등급 판정을 받은 21,213명 전수를 대상으로 국민건강보험공단의 장기요양급여, 건강보험급여 자료를 활용하였다. 연구결과 2007년부터 2009년의 연간 총 진료비 변화량의 경우 서비스 이용자에 비해 미이용자는 5,337천원 증가하였으며, 연간 요양병원 진료비 변화량은 5,449천원 증가하였다. 연간 총 입원일 변화량의 경우 서비스 이용자에 비해 미이용자는 87.31일 증가하였으며, 요양병원 입원일 변화량은 79.47일 증가한 것으로 나타났다. 이 같은 결과는 장기요양 서비스 미이용자의 의료이용, 특히 요양병원의 의료이용이 높게 나타남에 따라 미이용자에 대한 적정의료와 요양서비스 지원 정책을 통해 장기요양과 의료서비스의 효율적 연계가 필요로 된다.

A Novel Definition of Spectrum Holes for Improved Spectrum Utilization Efficiency

  • Li, Xiaoqiang;Zhou, Qi;Dai, Hui;Zhang, Jie;Li, Ying
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • 제8권3호
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    • pp.749-761
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    • 2014
  • Improving spectrum utilization efficiency is a fundamental goal of dynamic spectrum access technology. The definition of spectrum holes determines how to detect and exploit them. Current definitions of spectrum holes are ineffective in exploiting spatial-temporal spectrum holes. In this paper, a novel definition of spectrum holes is proposed, in which throughput loss indicates the impact of secondary users on primary users. The definition specifies spectrum holes, unifies the impact of secondary users on primary users and is effective exploiting spatial-temporal spectrum holes. Theoretical analysis and numerical simulations show that the new definition proposed in this paper significantly improves the spectrum utilization efficiency.

국방분야 지식관리시스템의 활용도와 만족도에 관한 연구 (A Study on the Utilization and Satisfaction of Knowledge Management System in the Defense Sector)

  • 정다은;심승배;정호상
    • 한국IT서비스학회지
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    • 제12권3호
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    • pp.207-229
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    • 2013
  • The aim of this study is to analyze how both the quality of KMS (Knowledge Management System) and its organizational factors have effect on the utilization and user satisfaction in the defense sector. This study has verified the effects and identified the main factors affecting KMS performance measures. The nature of KMS quality and its organizational characteristics were deduced from previous research results, and a questionnaire survey was conducted on 250 KMS users in the defense sector on the performance of KMS based on the time spent on KMS and the overall satisfaction through which the hypothesis was verified. This study has made several contributions in the fact that it had provided the opportunity to analyze which factors have impact on knowledge management performance in the defense sector and the utilization and users' satisfaction of KMS reflecting the viewpoint of the organizational characteristics of the military, while studying the factors which can affect the performance for knowledge management.

Task Assignment Strategies for a Complex Real-time Network System

  • Kim Hong-Ryeol;Oh Jae-Joon;Kim Dae-Won
    • International Journal of Control, Automation, and Systems
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    • 제4권5호
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    • pp.601-614
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    • 2006
  • In this paper, a study on task assignment strategies for a complex real-time network system is presented. Firstly, two task assignment strategies are proposed to improve previous strategies. The proposed strategies assign tasks with meeting end-to-end real-time constraints, and also with optimizing system utilization through period modulation of the tasks. Consequently, the strategies aim at the optimizationto optimize of system performance with while still meeting real-time constraints. The proposed task assignment strategies are devised using the genetic algorithmswith heuristic real-time constraints in the generation of new populations. The strategies are differentiated by the optimization method of the two objectives-meeting end-to-end real-time constraints and optimizing system utilization: the first one has sequential genetic algorithm routines for the objectives, and the second one has one multiple objective genetic algorithm routine to find a Pareto solution. Secondly, the performances of the proposed strategies and a well-known existing task assignment strategy using the BnB(Branch and Bound) optimization are compared with one other through some simulation tests. Through the comparison of the simulation results, the most adequate task assignment strategies are proposed for some as system requirements-: the optimization of system utilization, the maximization of running tasktasks, and the minimization of the number of network node nodesnumber for a network system.

노인장기요양보험 도입 후 요양병원 이용에 영향을 미치는 요인 (A Study on the Affecting Factors to Utilization of Long Term Care Hospitals According to the Elderly Long Term Care Insurance System in Korea)

  • 이윤석;문승권
    • 한국병원경영학회지
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    • 제15권1호
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    • pp.49-69
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    • 2010
  • The major purpose of this study is to find out relevant factors affecting utilization of Long Term Care Hospitals since the Elderly Long Term Care Insurance System was adopted in Korea. The sample hospitals of this study are 5 long term care hospitals located in 4 big cities and 1 local area. The research data were collected with structured questionnaire from 247 patients and patients' protectors in 5 sample hospitals. Analyzing methods are descriptive statistics, factor analysis and multiple regression with SPSS(version 12.0). Major results of this study are as follows. 1) Utilization and recommendation of patients is affected significantly by the level of hospital facilities (0.043), fee level(0.026), level of staff (0.000), and discomfort of services(0.001). 2) Level of staff is very positively correlated with utilization and recommendation of patients. 3) Discomport of services is very negatively correlated with utilization and recommendation of patients. On the basis of results this study conclude that the management of Long Term Care Hospitals is required conclude to improve the level of staff and facilities and to solve discomport problems of services for patients' marketing. And also more in-depth study on the utilization factors of long term care hospital in Korea is required.

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Research on a handwritten character recognition algorithm based on an extended nonlinear kernel residual network

  • Rao, Zheheng;Zeng, Chunyan;Wu, Minghu;Wang, Zhifeng;Zhao, Nan;Liu, Min;Wan, Xiangkui
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • 제12권1호
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    • pp.413-435
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    • 2018
  • Although the accuracy of handwritten character recognition based on deep networks has been shown to be superior to that of the traditional method, the use of an overly deep network significantly increases time consumption during parameter training. For this reason, this paper took the training time and recognition accuracy into consideration and proposed a novel handwritten character recognition algorithm with newly designed network structure, which is based on an extended nonlinear kernel residual network. This network is a non-extremely deep network, and its main design is as follows:(1) Design of an unsupervised apriori algorithm for intra-class clustering, making the subsequent network training more pertinent; (2) presentation of an intermediate convolution model with a pre-processed width level of 2;(3) presentation of a composite residual structure that designs a multi-level quick link; and (4) addition of a Dropout layer after the parameter optimization. The algorithm shows superior results on MNIST and SVHN dataset, which are two character benchmark recognition datasets, and achieves better recognition accuracy and higher recognition efficiency than other deep structures with the same number of layers.

Denitrifying PAO와 SBBR-MSBR을 이용한 생물학적영양소제거공정에서 탄소원 절약에 대한 연구 (Evaluation of COD Utilization for Biological Nutrient Removal with dPAO in SBBR-MSBR System)

  • 이한샘;한종훈;윤주환
    • 한국물환경학회지
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    • 제27권5호
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    • pp.646-653
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    • 2011
  • The combined system of sequencing batch biofilm reactor (SBBR) and membrane SBR (MSBR) was operated with sewage to evaluate the COD utilization for biological nutrient removal (BNR). The SBBR was operated for nitrification reactor, while denitrifying PAO (dPAO) was cultivated in MSBR with anaerobic-anoxic operation. In the SBBR and MSBR system, the enhanced biological phosphorus removal (EBPR) was successfully achieved with higher N removal. The COD utilization in combined SBBR-MSBR system was significantly reduced compared to ordinary BNR (up to 3.1 g SCOD/g (N+P) and 1.6 g SCOD/g (N+P) with different C/N/P ratio). The results suggest that a dPAO process could effectively reduce carbon energy (=COD) requirement. The combination of oxic-SBBR and anaerobic-anoxic MSBR for dPAO utilization could be an attractive alternative to upgrade the process performance in weak sewage.