• 제목/요약/키워드: change pattern

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7개 질병군 포괄수가제 도입에 따른 일개 대학병원의 진료행태 변화 모의실험 (Simulation on the Change of Practice Pattern after the Introduction of 7 Diagnosis-related Groups Prospective Payment System in a University Hospital)

  • 신삼철;강길원;김상원
    • 보건행정학회지
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    • 제23권2호
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    • pp.103-111
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    • 2013
  • Seven diagnosis-related groups (DRGs) prospective payment system is going to expand to all hospitals including university hospitals this year. However there are few studies on the change of practice pattern under prospective payment system in the university hospital setting. So This study was intended to predict the practice pattern change after the introduction of 7 DRGs prospective payment system in a university hospital setting. To predict the change of practice pattern, this study used simulation technique. Five hundred and nineteen patients classified as 5 DRGs in a university hospital were selected for simulation. The change of practice pattern were predicted based on clinicians' opinion. We also predicted payment change by service items. Major findings of this study are as follows. First, the total medical payment was reduced by 14.4%. The drug payment change (8.8%) took most of total payment reduction. The followings are the change of treatment material cost (3.2%), the change of laboratory tests cost (1.8%), the change of room charge (0.5%), and other payment change (0.1%), respectively. Second, most of the reduction in total medical payment resulted from the decreased amount of medical services themselves. The transfer of medical services to outpatient setting took up only 4.9% of the total payment reduction. The change of unit price or composition took up 5.5% of the total payment reduction. In this study we found that it is possible to reduce the inpatient services through practice pattern change in university hospital setting. However, it needs to be careful to adjust DRG payment after the reduction of provided services, because most of reduction was not due to service transfer but to service volume reduction. It is desirable to utilize the saving from practice pattern change as incentive to improve quality of care.

상지동작에 따른 길의 변화에 관한 연구 -입체재단법을 중심으로- (A Study on the Change of Waist Pattern by Upper Limb Motion -By the Method of Tight Fitting Technique-)

  • 이은정;박정순
    • 한국의류학회지
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    • 제20권1호
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    • pp.113-127
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    • 1996
  • In this study, the pattern was copied by the method of Tight Fitting Techinque, which resulted from the changed body by the upper limb motion-front-vertical motion(or vertical motion in front), side-vertical motion, and horizontal motion. And, this study analyzed the change of the pattern and the observed items dimension changed to the pattern. The results are as follows: 1. In the observation of the degree of the pattern change according to the motion of upper limb, the result provides that the motion change in the range of $135^{\circ}$ to $180^{\circ}$ is the largest in front-vertical motion, $45^{circ}~90^{\circ}$ in side-vertical motion, and $0^{circ}~45^{\circ}$ in horizontal motion respectively. 2. The probability test result of the items of the motion is more related with the horizontal width item rather than the vertical length item in the front and back pattern where the back pattern has more effect than the front pattern. And the upper limb-surrounding items are more related than any otheer item. 3. The change of the pattern according to the motion shows the decrese of the neck width and the shoulder legth, the rising of the point of shoulder (or shoulder point) and armpit point, the decrease of the pattern width and the increase of the pattern length. As the angle of the motion grows vertically motion. The change of the shoulder length in the horizontal motion is smaller than that vertical. But as the angle of the motion grows horizontally, it has a tendency of decreas in th width of the front patten and the length of the pattern, whereas the width of the back pattern is noticeably increases.

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구매패턴변화에 따른 상업공간의 시설변환 방향에 대한 고찰 - 할인점과 백화점 및 멀티플렉스를 중심으로 - (A Study on the Direction of Commercial Space Plan through Change of Purchasing - Focused on the Discount Store and Department Store and Multiplux -)

  • 김오성;이명식
    • 한국실내디자인학회논문집
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    • 제19권3호
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    • pp.154-161
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    • 2010
  • Domestic distribution environment in Korea has rapidly and qualitatively been developed due to the open of distribution market. However, the function of commercial establishment goes beyond the place value that simple transaction of capacity takes place, and it is recognized as life groove space enhancing the satisfaction of costumers' purchasing pattern. For this reason, there has been the need to change the purchasing environment of commercial space. The change factors of commercial space contributed to the establishment of consumption identity formed by change of consumers' lifestyle and the purchasing pattern. It is necessary to see the change factors of the purchasing pattern as the conversion of distribution environment in terms of supplier and as the change of consumers' lifestyle in terms of consumers. In reality, however, the commercial facility ill-imitated the advanced model and qualitatively was developed. In this situation, the change of the purchasing pattern according to the conversion of facility is needed as an early stage. The purpose of this study is to analyze the overflow supply of commercial facility. Also It will discuss the plan characteristics of commercial space conversion of facility conforming to the change of the purchasing pattern that is predicted in the lifestyle on a conversion stage of facility.

강수일과 그 연변화형에 의한 한국의 지역구분 (Regional Division of Korea by Precipitation Days and Annual Change Pattern)

  • 박현욱
    • 한국환경과학회지
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    • 제4권5호
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    • pp.1-1
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    • 1995
  • An attempt was made to study the subdivision of Korea by the annual amount and the annual change pattern of monthly precipitation days(that is one of the important elements of the precipitation characteristics), using the mean values for the years 1961-1990 at the 68 stations. The amplitudes of annual change were normalized and using these values, the principal component analysis was applied to determine the annual change patterns. The results show that they are expressed by the combinations of the three change patterns in almost whole regions of Korea. As a result,the annual change pattern of precipitation days in Korea is classified into 8 types from A to e,in detail, 36 types from A0 to e$\circled2$.And regional division of precipitation days in Korea is divided into 13 regions from I a to IIIC,into detail, 41 regions from I no to IIICl.

강수일과 그 연변화형에 의한 한국의 지역구분 (Regional Division of Korea by Precipitation Days and Annual Change Pattern)

  • 박현욱
    • 한국환경과학회지
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    • 제4권5호
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    • pp.387-402
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    • 1995
  • An attempt was made to study the subdivision of Korea by the annual amount and the annual change pattern of monthly precipitation days(that is one of the important elements of the precipitation characteristics), using the mean values for the years 1961-1990 at the 68 stations. The amplitudes of annual change were normalized and using these values, the principal component analysis was applied to determine the annual change patterns. The results show that they are expressed by the combinations of the three change patterns in almost whole regions of Korea. As a result, the annual change pattern of precipitation days in Korea is classified into 8 types from A to e, in detail, 36 types from A0 to e$\circled2$.And regional division of precipitation days in Korea is divided into 13 regions from I a to IIIC, into detail, 41 regions from I no to IIICl.

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Pattern-based Business Process Change Management in Dynamic Business Environment

  • Kim, Dongsoo;Kim, Minsoo
    • 정보화연구
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    • 제10권3호
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    • pp.295-303
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    • 2013
  • This paper presents a new approach to managing dynamic business process changes based on business process change patterns. We identify and categorize business process change patterns that occur recurrently in a dynamic business environment. Several issues regarding management of process versions are discussed, and a pattern-based version management method for handling process changes more flexibly is explained in detail. We propose a mechanism for abstract process execution with runtime encapsulation of a business process, which can maximize the flexibility of process execution using multiple process versions. In addition, we propose a concept of process promotion and demotion that can dynamically choose an actual version of the process at run-time. With our pattern-based process change management and versioning approach, it is expected that the flexibility and efficiency of BPM systems can be enhanced significantly.

CAD System을 이용한 패턴디자인설계 활용가능성에 관한 연구(I)-Coat 원형을 중심으로- (A Study on the Possibility of Pattern Design Using CAD System (With concentration on the change of coat basic pattern))

  • 김옥경
    • 복식
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    • 제20권
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    • pp.49-62
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    • 1993
  • The purpose of this research was to utilize of Pattern Design System(P.D.S) by using AM-300 The conclusion were like these : 1. A coat of basic pattern was selected by design sketch. 2. The basic pattern was input into computer by digitizing. 3. The basic pattern was change into designed shape by using various skills. This system were enabled to draw straight lines, curves, delete lines, sections of lines, extend lines, cut pattern into sections, measure line or section reproduce whole pattern shape of section, rotate and mirror pattern and complete patterns. 4. Automatic grading of finished master pattern have been developed by creation and modification of grading rules of basic pattern. 5. Production pattern added seam allowance, not-ches was generated by P.D.S menu option. 6. Finished pattern design was plotted out 100% and 20% size by AM-300 Plotter. This results will be the basic materials to develop the CAD SYSTEM if some problems were improve. Furthermore, the utilization of P.D.S is expected to be developing in pattern making process.

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An On-Line Real-Time SPC Scheme and Its Performance

  • Nishina, Ken
    • International Journal of Quality Innovation
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    • 제2권1호
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    • pp.30-49
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    • 2001
  • This paper considers a recent environment in the manufacturing process in which data in large amounts can be obtained on-line in real-time. Under this environment an on-line real-time Statistical Process Control (SPC) scheme equipped with detection of a process change, change-point estimation, and recognition of the change pattern is proposed. The proposed SPC scheme is composed of a Cusum chart, filtering methods and Akaike Information Criterion (AIC). We examine the performance of this scheme by Monte Carlo simulation and show its usefulness.

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급속조형기술을 이용한 쾌속정밀주조 금형 및 시제품 제작 (Die Making and Product Prototype Fabrication in Investment Casting by SLA Rapid Prototyping Technique)

  • 박문선;김대환;곽정기;황상문;강범수
    • 한국정밀공학회지
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    • 제16권11호
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    • pp.74-80
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    • 1999
  • In this study, a stereolithography apparatus (SLA) prototype is used as a master model to be transformed into the silicone pattern by vacuum tool forming. The tool for the first prototype is fabricated by using this silicone pattern. Following this procedure, a temporary tool with metal powder and epoxy for wax injection is prepared for the die set of quick change type which consists of upper and lower base die나 and an insert die. The die set of quick change type appears to be very effective in casting operation by changing tools rapidly. The original wax pattern is formed through the die set, and is made of lost-was. Finally the lost-wax pattern is applied to investment casting. The final casting product is checked regarding its dimensional accuracy.

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서울시 아파트 실거래가의 변화패턴 분석 (Analysis of Pattern Change of Real Transaction Price of Apartment in Seoul)

  • 김정희
    • 대한공간정보학회지
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    • 제22권1호
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    • pp.63-70
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    • 2014
  • 본 연구는 국토교통부에서 제공하는 아파트 실거래가자료를 이용하여 2006~2010년까지 5년간의 서울시 아파트실거래가 변화패턴을 시공간적으로 분석하는데 그 목적이 있다. 이를 위해 아파트별 평균 실거래가, 동별 평균 아파트 실거래가 자료를 위치정보자료와 연결하여 GIS데이터로 구축하였다. 분석방법으로는 먼저 공간보간기법 중 크리깅(kriging)을 이용하여 개별 아파트의 시기별/면적별 실거래가의 변화패턴을 분석하였다. 둘째 행정구역(행정동)별 아파트실거래가의 변화패턴을 분석하기 위해 단위 면적별 실거래가의 평균을 계산하여 Moran I 값으로 변환한 후 거래가격의 공간상의 군집도를 분석하였다. 이를 통해 시공간상의 분포패턴을 파악하고, 변화유형까지 유추할 수 있어 주택 및 지역정책에 기초자료로 활용할 수 있다. 시계열 자료를 바탕으로 종적인 변화패턴과 GIS를 이용한 횡적 변화패턴을 분석하기 때문에 아파트가격의 지역 불균형을 한눈에 살펴 볼 수 있다.