• 제목/요약/키워드: Value-based health technology assessment

검색결과 43건 처리시간 0.031초

한 도시 사업체 에너지 수급의 최적화 방안 연구 - 대기오염지수와 경제성 평가를 중심으로 - (A Study on the Pro-Environmental Energy Supply Program of Urban Enterprises on the concept of BAT(Best Available Technology): Application of Air Environmental Indices and Benefit-Cost Analysis Based)

  • 권용식;김용범;정용
    • 환경영향평가
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    • 제7권2호
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    • pp.89-102
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    • 1998
  • The purpose of this study is to seek AEI(Air Environmental Indices), PSI(Pollutant Standard Index) and the urban air quality control goal(the best available alternative energy program) by assessing the best ratio of energy types used in urban enterprises, based on harmful health effect and air quality standard and costs. This study is focused on an urban area(Puchun), where area sourcees are associated with heavy traffic, large population, and its industrial sources with large emissions. In the first step, air modeling, estimation of AEI and PSI, and benefit-cost analysis were carried out. In the second step, we assessed that 660 scenarios about the ratio of B-C oil, light oil and LNG used in urban enterprises with regard to air quality and cost. In the third step, the best available alternative energy program was selected for the ratio of energy species(B-C oil, light oil and LNG) by using the lexicographic method. From the emission analysis, main source of $NO_2$ is identified as industries and air quality is evaluated according to the ratio of B-C oil, light oil and LNG used in urban enterprise. The modeling data of TSP, $SO_2$, $NO_2$, CO, $O_3$, by ISC3 and PBM are respectively $118{\mu}g/m^3$, 0.027ppm, 0.025ppm, 2.0ppm, 0.55ppm in indurstrial area. That data are close to Environmental Air Quality Standard. By means of sensitivity analysis, we obtained the difference in concentration between the areas(Nae-dong, Joong-dong) according to the ratio of B-C oil, light oil and LNG used in the industries. From the result of alternatives assessment the lowest AEI value and cost, the ratio of B-C oil, light oil and LNG are 2.5%, 20%, 77.5%, respectively.

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일반 방사선검사의 소요 시간 실태조사 (Investigation of the Time Required for General Radiography)

  • 임우택;주영철;김연민
    • 대한방사선기술학회지:방사선기술과학
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    • 제45권3호
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    • pp.255-262
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    • 2022
  • In this study, by analyzing the examination time for each procedure, the appropriate workload of radiologic technologist is analyzed based on the actual examination time in the current clinical setting by comparing with the examination time in the radiology field setting of the health insurance review and assessment service. In addition, this result is introduced into the calculation of relate value units; it was attempted to provide accurate and objective evidence in the field of radiology. From May 2020 to December 2021, the study retrospectively investigated the examination times recorded in the electronic medical record and picture archiving and communication system at 5 tertiary general hospitals and 1 general hospital. The total of 16 examination parts are applied in this study, including the head, sinuses, chest, ribs, abdomen, pelvis, cervical, thoracic, lumbar, shoulder, elbow, wrist, hip, femur, knee, and ankle. The minimum number of images that could be obtained per radiation generator was 3.6 images for one hour, and the maximum was 6.4 images. When 50% median of procedure time is calculated, the minimum number of images that could be obtained was 16.7 images and maximum was 35.3 images; in addition, minimum examination time is 1.7 minutes, and maximum time is 3.6 minutes. In conclusion, it is judged that there will be insufficient explanation time for basic infection instructions such as hand hygiene during the examinations in current clinical practice. It is believed that radiologic technologists will contribute to providing higher-quality of radiation examination services to the public by complying with guidelines for work and setting appropriate workload on their own.

Implementation of Noise Reduction Methodology to Modal Distribution Method

  • Choi, Myoung-Keun
    • 한국해양공학회지
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    • 제25권2호
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    • pp.1-6
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    • 2011
  • Vibration-based Structural Health Monitoring (SHM) systems use field measurements of operational signals, which are distorted by noise from many sources. Reducing this noise allows a more accurate assessment of the original "clean" signal and improves analysis results. The implementation of a noise reduction methodology for the Modal Distribution Method (MDM) is reported here. The spectral subtraction method is a popular broadband noise reduction technique used in speech signal processing. Its basic principle is to subtract the magnitude of the noise from the total noisy signal in the frequency domain. The underlying assumption of the method is that noise is additive and uncorrelated with the signal. In speech signal processing, noise can be measured when there is no signal. In the MDM, however, the magnitude of the noise profile can be estimated only from the magnitude of the Power Spectral Density (PSD) at higher frequencies than the frequency range of the true signal associated with structural vibrations under the additional assumption of white noise. The implementation of the spectral subtraction method to MDM may decrease the energy of the individual mode. In this work, a modification of the spectral subtraction method is introduced that enables the conservation of the energies of individual modes. The main difference is that any (negative) bars with a height below zero after subtraction are set to the absolute value of their height. Both noise reduction methods are implemented in the MDM, and an application example is presented that demonstrates its effectiveness when used with a signal corrupted by noise.

Radioiodine internal dose coefficients specific for Koreans

  • Tae-Eun Kwon;Yoonsun Chung;Choonsik Lee
    • Nuclear Engineering and Technology
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    • 제56권7호
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    • pp.2732-2739
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    • 2024
  • This study developed internal dose coefficients for radioiodine, tailored to the Korean population, by incorporating the Korean biokinetic model along with the Korean S values. The observed differences in dose coefficients for Koreans compared to the International Commission on Radiological Protection (ICRP) reference values noticeably varied depending on physical half-lives of iodine isotopes. For longer-lived isotopes such as I-125 and I-129, significant differences in thyroid dose coefficients were observed, with ratios (Korean/ICRP) from 0.30 to 0.55, indicating that actual doses for Koreans can be considerably lower than those evaluated based on the ICRP data. However, for short-lived iodine isotopes, such as I-131, the thyroid dose coefficients were comparable to the ICRP reference values (ratio = 0.95-0.98). These comparable dose coefficients resulted from the lower thyroidal iodine uptake in the Korean model being almost entirely offset by the higher thyroid self-absorption S values in the Korean phantoms. Additionally, this study delves into the substantial differences in absorbed dose coefficients for non-thyroidal regions and effective dose coefficients, which arose not only from physiological/anatomical variability but also technical differences in phantom design. The use of Korean-specific dose coefficients is advisable particularly in scenarios predicting elevated doses, yielding a more precise and clinically relevant dose assessment.

Temperature effect analysis of a long-span cable-stayed bridge based on extreme strain estimation

  • Yang, Xia;Zhang, Jing;Ren, Wei-Xin
    • Smart Structures and Systems
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    • 제20권1호
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    • pp.11-22
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    • 2017
  • The long-term effect of ambient temperature on bridge strain is an important and challenging problem. To investigate this issue, one year data of strain and ambient temperature of a long-span cable-stayed bridge is studied in this paper. The measured strain-time history is decomposed into two parts to obtain the strains due to vehicle load and temperature alone. A linear regression model between the temperature and the strain due to temperature is established. It is shown that for every $1^{\circ}C$ increase in temperature, the stress is increased by 0.148 MPa. Furthmore, the extreme value distributions of the strains due to vehicle load, temperature and the combination effect of them during the remaining service period are estimated by the average conditional exceedance rate approach. This approach avoids the problem of declustering of data to ensure independence. The estimated results demonstrate that the 95% quantile of the extreme strain distribution due to temperature is up to $1.488{\times}10^{-4}$ which is 2.38 times larger than that due to vehicle load. The study also indicates that the estimated extreme strain can reflect the long-term effect of temperature on bridge strain state, which has reference significance for the reliability estimation and safety assessment.

입원환자 일반촬영 이용량 및 피폭선량: 2018년 입원환자데이터 (General Radiography Imaging Usage and Effective Dose of Inpatients: Based on Data from Inpatients in 2018)

  • 길종원
    • 대한방사선기술학회지:방사선기술과학
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    • 제47권2호
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    • pp.107-116
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    • 2024
  • In this study, we analyzed the use of general radiography imaging and effective dose in inpatients. Our aim is to help reduce national medical radiation exposure doses and develop rational health-care financial policies. The effective dose for each general radiography was calculated using the ALARA-GR program for 53 types (total: 260 codes) general radiography codes selected from 'National Health Insurance Care Benefit Cost'. The usage of general radiography was analyzed in the 2018 inpatient patient data of the Health Insurance Review and Assessment Service, and the effective dose for each general radiography was analyzed. 89.00% of inpatients undergo general radiography imaging at least once, with an average of 12.63 scans per person and an effective dose of 1.00 mSv. Those who received support from Medical Aid showed a higher value compared to those who were insured by National Health Insurance, with 17.39 cases and 1.43 mSv (p<.001). Chest had the highest usage rate at 23.12% for general radiography imaging, while L-spine had the highest effective dose at 24.53%. It is estimated that 420 inpatients patients undergo 121 to 820 general radiography imaging procedures per year, and 233 inpatients are estimated to have an annual effective dose of >20.00~58.25 mSv. Rational use of health-care finances and the practice of medical radiation safety management are essential for the well-being of individuals, the enhancement of quality of life, and the improvement of health-care quality.

지진하중을 받는 사장교의 상태평가를 위한 새로운 통계적 패턴 인식 기술 (New Statistical Pattern Recognition Technology for Condition Assessment of Cable-stayed Bridge on Earthquake Load)

  • 허광희;김충길
    • 대한토목학회논문집
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    • 제34권3호
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    • pp.747-754
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    • 2014
  • 마할라노비스 거리 이론에 기초한 통계적 패턴 인식 기술은 안정된 외부하중에 대한 구조물 상태 평가에 대한 유용성에도 불구하고 지진과 같이 큰 변동성의 외부하중에 대한 구조물의 건전도 모니터링에는 취약하다. 손상은 일반적으로 손상되지 않은 구조물의 측정된 값의 평균과 손상된 구조물의 측정값 사이의 차이에 의해 결정된다. 외부 하중의 변동성이 커질수록 더 큰 차이가 발생하고, 이는 손상으로 인식되기 쉽다. 본 논문에서는 이러한 문제를 극복하고 불확실한 외부 하중을 받는 구조물을 지속적으로 모니터링 할 수 있도록 외부 변동성을 감소시키기 위해 마할라노비스 거리 이론을 수정한 통계적 패턴 인식 기술인 개선된 마할라노비스 거리 이론을 개발하였다. 이 방법은 일반적인 임의의 하중과 지진하중에서 정확하게 사장교의 건전도를 평가하는 것을 실험적으로 확인 하였다. 그 결과, IMDT는 손상되지 않은 케이블로부터 획득한 데이터로 손상된 케이블에 의한 구조물의 손상을 파악하는 데 유효한 것을 확인하였다. 따라서 변동성을 지닌 외부하중에 의한 교량의 건전도 모니터링에 효과적으로 적용할 수 있음을 입증하였다.

Assessment of Airborne Microorganisms in a Swine Wastewater Treatment Plant

  • Kim, Ki-Youn;Ko, Han-Jong;Kim, Daekeun
    • Environmental Engineering Research
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    • 제17권4호
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    • pp.211-216
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    • 2012
  • Quantification of the airborne microorganisms (bacteria and fungi) at a swine wastewater treatment plant was performed. Microbial samples were collected at three different phases of the treatment process over a 1-yr period. Cultivation methods based on the viable counts of mesophilic heterotrophic bacteria and fungi were performed. The concentrations of airborne bacteria ranged up to about $5{\times}10^3$ colony-forming unit (CFU)/$m^3$, and those of airborne fungi ranged up to about $9{\times}10^2CFU/m^3$. The primary treatment (e.g., screen, grit removal, and primary sedimentation) was found to be the major source of airborne microorganisms at the site studied, and higher levels of airborne bacteria and fungi were observed in summer. High levels of the respirable bioaerosol (0.65 to $4.7{\mu}m$ in size) were detected in the aeration phase. Among the environmental factors studied, temperature was strongly associated with fungal aerosol generation (with a Spearman correlation coefficient of 0.90 and p-value <0.01). Occupational biorisks are discussed based on the observed field data.

Evaluation of adenosine triphosphate testing for on-farm cleanliness monitoring compared to microbiological testing in an empty pig farrowing unit

  • Yi, Seung-Won;Cho, Ara;Kim, Eunju;Oh, Sang-Ik;Roh, Jae Hee;Jung, Young-Hun;Choe, Changyong;Yoo, Jae Gyu;Do, Yoon Jung
    • Journal of Animal Science and Technology
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    • 제62권5호
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    • pp.682-691
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    • 2020
  • Careful cleaning and disinfection of pigpens is essential to prevent disease spread and avoid the resultant economic losses. Hygiene in pigpens is generally evaluated by visual monitoring supplemented with bacteriological monitoring, which includes counting the total aerobic bacteria (TAB) and/or fecal indicator bacteria (FIB). However, these methods present drawbacks such as time and labor requirements. As adenosine triphosphate (ATP) is ubiquitous in all living organisms including microorganisms, this study aimed to directly compare the results of microbial assessment and ATP quantification, and to suggest possible detailed application methods of the ATP test for hygiene evaluation in pigpens of a farrowing unit. Before and after standard cleaning procedures, samples were collected from the floor corner, floor center, and feeding trough of four pigpens at different time points. No FIB were detected and both the TAB and ATP levels were significantly decreased in the floor center area after cleaning. FIB were continuously detected after cleaning and disinfection of the floor corners, and there was no significant ATP level reduction. The feeding trough did not show any significant difference in these values before and after cleaning, indicating insufficient cleaning of this area. The levels of TAB and ATP after cleaning were significantly correlated and the average ATP value was significantly lower in the absence of FIB than in their presence. In the absence of standard references, a more thorough hygiene management could be achieved evenly by supplementing cleaning or disinfection based on the lowest ATP results obtained at the cleanest test site, which in the present study was the floor center. Overall, these results indicate that the on-farm ATP test can be used to determine the cleanliness status, in addition to visual inspection, as an alternative to laboratory culture-based testing for the presence of microorganisms.

생체역동학 모델을 이용한 감마선 방출 핵종의 유효반감기 계산 (Calculation of Effective Half-life of Gamma Emission Radionuclide using Bio-kinetic Model)

  • 이상경;정규환;이지연;김봉기;김정민
    • 방사선산업학회지
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    • 제12권4호
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    • pp.277-285
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    • 2018
  • Patients administered radioisotope for medical purposes are regulated by each country to quarantine them until their body's radioactivity contents decrease below release criteria. To predict the quarantine period and provide it to medical staffs and patients, it is necessary to approach the assessment of the exposure dose of persons due to patients in a realistic manner. For this purpose, a whole-body effective half-life should be applied to the dose assessment equation instead of the physical half-life. In this study, we constructed a bio-kinetic model for each nuclear species based on the ICRP publication to obtain a whole-body effective half-life of 10 unsealed gamma-ray emitting nuclei from the notification of Nuclear Safety and Security Commission, and calculated the effective half-life mathematically by simulating the distribution of the radioisotope administered in the whole body as well as each organ scale. The whole-body effective half-life of $^{198}Au$, $^{67}Ga$, $^{123}I$, $^{111}In$, $^{186}Re$, $^{99m}Tc$, and $^{201}TI$ were 1,93, 2.57, 0.295, 2.805, 1.561, 0.245, and 2.397 days respectively. However, it was found to be undesirable to offer a single value of the effective half-life of $^{125}I$, $^{131}I$, and $^{169}Yb$ because the changes in the effective half-life show no linearity. A bio-kinetic model created for the internal exposure assessment has been shown to be possible to calculate the effective half-life of radioisotopes administered in the patient's body, but subsequent studies of radiolabeled compounds are required as well.