• Title/Summary/Keyword: claim size

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Analysis of the Factors Regarding Work-related Musculoskeletal Disease by Company Size (사업장 규모별 업무상 근골격계질환 요양 실태와 영향 요인)

  • Jung, Sung Won;Kim, Kyung Ha;Suk, Min Hyun;Hwang, Rah Il
    • Journal of Korean Public Health Nursing
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    • v.28 no.3
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    • pp.522-535
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    • 2014
  • Purpose: This study was constructed in order to examine factors that influence work-related musculoskeletal disease (WMSD) approvals and current status according to the company size. Method: This is a descriptive study that utilized Industrial Accident Compensation Claim Data. Workplaces with over 35,811 workers derived from the 2012 claim data, which comprised approximately 91.5%, were selected for this study. Then workplaces were divided into three groups according to the number of workers: less than 5, 5~299, and 300 and over. Results: Since 2008, the number of small sized workplaces has increased. The 2012 data showed that 32.5% of workers at small sized workplace had WMSD. However, workplaces with 5~299 workers showed WMSD approval rate of 60%. Of note most WMSD approved workers were employed by manufacturing and construction companies, regardless of the workplace size. Most of them were engaged in elementary tasks. The days of medical treatment at OPD and IPD were most prevalent among workers at the largest workplaces. Conclusions: It is certain from this study that WMSD has been polarized by the company size. More policy attention should be paid to the WMSD status of workers at small sized workplaces which usually do not have their own health office.

PCA Ruling on South China Sea : Implications for Region (필리핀 vs. 중국 간 남중국해 사건 중재판정의 동아시아 역내 함의)

  • Park, Young-Gil
    • Strategy21
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    • s.40
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    • pp.131-143
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    • 2016
  • On 12 July 2016, China's maritime claim to most of the South China Sea (SCS) based on the so-called nine-dash line was rejected by the Arbitral Tribunal, constituted under Annex VII to the UN Convention on the Law of the Sea (UNCLOS) concerning issues in the South China Sea including the legality of the so-called "nine-dashed line", the status of certain maritime features and their corresponding maritime entitlements, together with the lawfulness of certain actions by China which the Philppines, in a case brought in 2013, alleged were violations. As having the Tribunal determined that China's claim had no legal grounds in UNCLOS, thus undermining China's claims, and establishing that China has no exclusive legal rights to control the area roughly the size of India. There are some major implications from the Tribunal's ruling in the Arbitration award. These include implications on: how to delimit the maritime boundary in disputed waters, how to promote maritime confidence-building measures, how to safeguard maritime safety and security, and how to promote the rule of law in the SCS. Since its application of UNCLOS in East Asia, it has been obvious that the only way to resolve maritime disputes in the region is to build strong maritime cooperative partnerships under the auspices of the rule of law.

The Study on Problems in Bidding Guideline and Suggestion for Improvement in Architectural Turnkey project in Construction - Focused on Preventing Claim- (건축턴키공사 입찰안내서의 문제점과 개선방안에 관한 연구 - 클레임예방을 중심으로 -)

  • Yoon Jun-Seon
    • Journal of Arbitration Studies
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    • v.15 no.3
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    • pp.303-324
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    • 2005
  • Turnkey project in construction which accounts for about $10\%$ of the total annual construction orders in the nation is expected to grow in size as an effort to strengthen international competitiveness and improve quality of construction work. However, problems of turnkey project in construction raise concern for many possible cases of possible claims. Based on the understanding that bidding guidelines which plays a critical role in turnkey project in construction actually contain some unequal clauses and causes for problems which undermine development of turnkey construction and further create possible cases of claims, the paper aims to identify and analyze the unequal clauses and problems contained in the guidelines in order to make suggestions for improvement. Among all the turnkey construction orders that has been placed since 2000 when domestic turnkey project in construction became relatively formulated, 13 constructions costing more than 50 billion won were selected for this study since their construction scale were large enough that the bidding guidelines for them were regarded as containing little difference among one another. In order to enhance construction technology and to prevent claims while trying to achieve the original purpose of Turnkey system, the parties involved in or schedule to take part in Turnkey project including ordering institution, Construction Company and Design Company should make an effort to have more reasonable bidding guidelines drawn up.

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Analysis of interior features of indoor community facilities in Apartment Complex (공동주택 단지 내 실내 커뮤니티시설의 인테리어 특징 분석)

  • Choi, Hye-Jin;Shin, Kyung-Joo
    • Korean Institute of Interior Design Journal
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    • v.17 no.5
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    • pp.80-90
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    • 2008
  • This study analyzes interior features of indoor community facilities, focused on apartment complexes in capital area selected by 'Award of best living apartment' during $2000{\sim}2007$. First we analyze community facilities' concept, present standards of installment, present condition, then the size of each complex compared with legal standards. Also, we analyze interior features(spacial layout, furniture and furnishings, interior finishing materials, interior color), too. Research methods included both data survey and site visiting inquiry. Data survey method analyzes size of each complex using community facilities' floor plans, and site visiting inquiry analyzes type and feature of community facilities. Survey target was total 11 complexes, 7 in Seoul, 4 in Gyeonggi-do. The result is as follows. 1) It is needed to improve legal standards of installment, and to provide space with flexibility and changeability in order to allow alternation of usage purpose by resident's claim. 2) To determine size of community facilities, we must planned not only by the number of households, but by legal standards of supply according to the number of households, the rate of net area, and the recommended size per person. 3) The area of community facilities in apartment complex that residents use doesn't considered user's convenience. So it us needed to add each facility's recommendation in response to user's needs.

The Legal Base and Validity of Reviewing Medical Expenses in the Health Insurance (건강보험 진료비심사의 법적 근거와 효력)

  • Kim, Un-Mook
    • The Korean Society of Law and Medicine
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    • v.8 no.1
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    • pp.137-177
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    • 2007
  • The medical expenses review system in Korea has developed under fee-for-service system with its own unique structure. The importance of reviewing medical expenses has been emphasized, as the size of medical expenditures moving through the health insurance legal context and its weight in the national economy have increased very rapidly. It is, however, analyzed that the feuds and arguments continue among the stakeholders for the lack of laws supporting the medical expenses review system. The medical expenses review is a series of administrative procedures, deciding whether claims from medical care institutions to the insurer are legal and valid or not. It mainly controls the increase of unnecessarily excessive health insurance claim and prevents fraudulent claim and abuse and checks the less use or unsuitable use of medical resources. It also works a function guarantees medical benefits for the appropriate treatment according to the object of health insurance system as a social insurance scheme. The dispute on legal base of the medical expenses review is about the source of law in the medical expenses review. There are the Health Insurance Act and administrative laws as jus scriptum and the guidelines of review as administrative orders. The medical expenses review should reflect various factors, such as the development of medical healthcare technologies, the health expenditures distribution, the financial situation of the health insurance, and the evaluation on the level of appropriate benefits. It is also likely to adapt to the traits of characters of medicine, and trends and transition, Besides it should judge the legality and the validity of medical benefits expenditures by synthesizing these all factors. And the evaluation system of appropriateness of medical benefits was administrative procedure which was consecutive with reviewing the medical expenses system and it was intended to make up for the result of reviewing the medical expenses in more comprehensive levels.

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Current Status of Clinical Study on Traditional East Asian Medicine Using Taiwan Health Insurance Claim Data (대만 건강보험청구데이터(NHIRD)를 이용한 전통 동아시아 의학(TEAM) 임상연구의 현황)

  • Jeung, Chang-Woon;Jo, Hee-Geun;Seol, Jae-Uk
    • Journal of Korean Medicine Rehabilitation
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    • v.27 no.2
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    • pp.67-75
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    • 2017
  • Objectives The study of the clinical effects of traditional east asian medicine (TEAM) using Taiwan national health insurance claim dataset (NHIRD) is useful in Korean Medicine research. We reviewed the clinical studies of TEAM using NHIRD as a whole through this study. Methods We comprehensively searched PUBMED and NHIRD DB for clinical effects of TEAM study using NHIRD from inception to 17, January 2017. As a result, 40 studies investigating the contribution of TEAM intervention to health benefit have been confirmed. We analyzed publication time, target disease, sample size, outcome measurement and main result of 40 searched studies. Results The number of TEAM studies using NHIRD grdually increasing. The topics of the team study using NHIRD covered a wide range of subjects including cardiovascular disease, tumor, gynecological disease, diabetes and kidney disease. The studies have shown large samples and reported significant effects on severe diseases. Conclusions The results of this study suggest that the study of Korean Medicine using Big data will be useful for decision making related to health care in Korea. However, considering the limited domestic Korean health insurance data, it will be necessary to activate the big data research of Korean Medicine through the establishment of a separate cohort in Korea.

Fast Generation of Stereoscopic Virtual Environment Display Using P-buffer

  • Heo, Jun-Hyeok;Jung, Soon-Ki;Wohn, Kwang-Yun
    • Journal of Electrical Engineering and information Science
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    • v.3 no.2
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    • pp.202-210
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    • 1998
  • This paper is concerned with an efficient generation of stereoscopic views for complex virtual environments by exploiting frame coherence in visibility. The basic idea is to keep visible polygons throughout the rendering process. P-buffer, a buffer of image size, holds the id of the visible polygon for each pixel. This contrasts to the frame buffer and the Z-buffer which hold the color information and the depth information, respectively. For the generation of a consecutive image, the position and the orientation of the visible polygons in the current view are updated according to the viewer's movements, and re-rendered on the current image under the assumption that, when the viewer moves slightly, the visibility of polygons remains unchanged. In the case of stereoscopic views, it may not introduce much difficulty when we render the right(left) image using visible polygons on the (right) image only, The less difference in two images is, the easier the matching becomes in perceiving depth. Some psychophysical experiments have been conducted to support this claim. The computational complexity for generating a fight(left) image from the previous left(right) image is bounded by the size of image space, and accordingly. It is somewhat independent of the complexity of the 3-D scene.

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Assessing Personalized Recommendation Services Using Expectancy Disconfirmation Theory

  • Il Young Choi;Hyun Sil Moon;Jae Kyeong Kim
    • Asia pacific journal of information systems
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    • v.29 no.2
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    • pp.203-216
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    • 2019
  • There is an accuracy-diversity dilemma with personalized recommendation services. Some researchers believe that accurate recommendations might reinforce customer satisfaction. However, others claim that highly accurate recommendations and customer satisfaction are not always correlated. Thus, this study attempts to establish the causal factors that determine customer satisfaction with personalized recommendation services to reconcile these incompatible views. This paper employs statistical analyses of simulation to investigate an accuracy-diversity dilemma with personalized recommendation services. To this end, we develop a personalized recommendation system and measured accuracy, diversity, and customer satisfaction using a simulation method. The results show that accurate recommendations positively affected customer satisfaction, whereas diverse recommendations negatively affected customer satisfaction. Also, customer satisfaction was associated with the recommendation product size when neighborhood size was optimal in accuracy. Thus, these results offer insights into personalizing recommendation service providers. The providers must identify customers' preferences correctly and suggest more accurate recommendations. Furthermore, accuracy is not always improved as the number of product recommendation increases. Accordingly, providers must propose adequate number of product recommendation.

A Study on the Oil Pollution Compensation System in Korea (우리나라 유류오염보상제도에 관한 고찰)

  • 서동오
    • Journal of the Korean Institute of Navigation
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    • v.17 no.4
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    • pp.73-87
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    • 1993
  • As a result of accepting the '71 FUND Convention and enforcing the Oil Pollution Compensation Act 1992, we observed some benefits and costa. This paper analyses those benefits and costs and suggests se-veral key policy recommendations for the estasblishment of an effective oil pollution compensation regime in Korea. This paper identifies the said benefits and costs as follows : First, by establishing the oil pollu-tion compensation system as same as the international level, most of small and medium size of oil pollution damage which are caused by coastal tankers will be compensated by FUND. Second, most of oil pollution damage which are not covered by '69 CLC will be compensated by FUND. Third, some parts of FUND Contribution Fee and CRISTAL Contribution Fee to be charged by major oil companies will be doubled. However the limit of international oil pollution compensation system and the loophole outside the Oil Pol-lution Compensation Act 1992 suggest followings : 1) Radical risk management and insurance manage-ment of ocean going tanker owners, 2) Establishment of oil pollution claim settlement system, 3) Enforce-ment of crew and ship management for coastal tanker and 4) Establishment of Korean P & I Club.

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A Study on the K-way Partition Minimizing Maxcut (최대컷값을 최소화하는 k-way 분할 연구)

  • Kim, Kyung-Sik;Lee, Chul-Dong;Yu, Young-Uk;Jhon, Chu-Shik;Hwang, Hee-Yung
    • Proceedings of the KIEE Conference
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    • 1988.07a
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    • pp.557-560
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    • 1988
  • In this paper, we present a new k-way partitioning algorithm for a graph of an electrical circuit wherein nodes and edges are regarded as cells (modules) and nets, respectively. In contrast to the previous work, our method is based upon a linearly ordered partition paradigm. We also claim that the maximum number of netcuts mostly governs the performance of k-way partitioning, thus having influence on the construction of a new cost function. In addition, our approach elaborates upon balancing the partition size. Our experiments show excellent results in comparison with previous k-way partitioning algorithms.

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