• Title/Summary/Keyword: condition assessment criteria

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Typology of the medical claims review (의적클레임검토 유형론)

  • Lee, Sin-Hyung
    • The Journal of the Korean life insurance medical association
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    • v.26
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    • pp.41-53
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    • 2007
  • In the course of insurance claim administration, medical experts' opinions are called medical claim reviews. They are classified into two main categories: medical verification and counsel for claim staff. Medical verification compare between product coverage and the insured's physical condition. Medical counsel for claim staff is advice for claim staff when they have a question about medical knowledge to make a claim decision. A common example of medical verification is insurance coding of pituitary apoplexy. Some clinicians have insisted that the ICD coding of pituitary apoplexy is l63 of cerebral infarction, but the exclusion criteria of I code show that neoplasm is coded as C00 to D48. Thus, pituitary apoplexy must be coded as D33. An example of medical counsel for claim staff is interpretation of some medical conditions. It is divided into UCR(usual, customary, and reasonable) assessment, assessment of causality, and so on. Disability evaluation is another subject of medical counsel for claim staff. The final claim decision must be made by claim staff because only the claim staff have the authority of claim decision. Medical claims review is only an expert's opinion.

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Failure Risk Assessment of Reinforced Concrete Sewer Pipes on Joint-Related Defects (원심력철근콘크리트관의 결함에 따른 심각도 평가 -이음부 사례를 중심으로-)

  • Han, Sangjong;Shin, Hyunjun;Hwang, Hwankook
    • Journal of Korean Society of Water and Wastewater
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    • v.27 no.6
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    • pp.787-796
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    • 2013
  • Sewer joint-related defect is one of the most common domestic sewer defects along with the lateral pipe problem. However, there are currently no criteria that precisely assess the joint-related sewer defects. Therefore, this study examined the joint-related sewer defects found in domestic circumstances, classified them according to the suggested defect code, and presented the examples of defect pictures. Each defect code was organized as the process of out of pipeline alignment (OPA) which shows the progress in deterioration. Each defect was classified into 5 grades depending on appropriate repair and rehabilitation method. The result of this study is expected to be useful for domestic CCTV inspectors to assess the sewer condition and helpful for managers to make a decision of repair and rehabilitation.

Environmental Impact Assessments along with Construction of Residential and Commercial Complex (주거단지 건설이 하천에 미치는 생태영향평가)

  • An, Kwang-Guk;Han, Jeong-Ho;Lee, Jae Hoon
    • Journal of Environmental Impact Assessment
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    • v.21 no.5
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    • pp.631-648
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    • 2012
  • The integrative ecological approaches of chemical assessments, physical habitat modelling, and multi-metric biological health modelling were applied to Gwanpyeong Stream within Gap-Stream watersheds to evaluate environmental impacts on the constructions of residential and commercial complex. For the analysis, the surveys conducted from 45 sites of reference streams within the Gap-Stream watershed and 3 regular sites during 2009 - 2010. Physical habitat health, based on the habitat model of Qualitative Habitat Evaluation Index(QHEI) declined from the headwaters(good - fair condition) to the downstream(poor condition). Chemical water quality, based turbidity and electric conductivity(EC), was degraded toward to the downstream, and especially showed abrupt increases, compared to the values of control streams(CS). Also, concentrations of chlorophyll-a in the downstreams were greater compared to the control stream(CS), indicating an eutrophication. Biological health conditions, based on the Index of Biological Integrity(IBI) using fish assemblages, averaged 19.3 which is judged as a fair condition by the biological criteria of the Ministry of Environment, Korea. The comparisons of model metric values in sensitive species and riffle-benthic species on the Maximum Species Richness Line(MSRL) of 45 reference streams indicated a massive disturbances in all sampling locations. Also, tolerance guild and trophic guild analyses suggest that dominances of tolerant species and omnivores were evident, indicating a biological degradation by habitat disturbances and organic matter pollutions. There was no distinct longitudinal variations of IBI model values from the headwater to the downstream in spite of slight chemical and habitat health gradients among the sampling sites. Overall, integrative ecological health(IEH) scores, based on the chemical, physical, and biological parameters, were low compared to the 45 reference streams due to physical and chemical disturbances of massive constructions of the residential and commercial complex. This stream, thus showed a tendency of typical urban streams which are disturbed in the chemical water quality, habitat structures, and biological integrity. Effective stream management plans and restoration strategies are required in this urban stream for improving integrative stream health.

Conservation Value Assessment by Considering Patch Size, Connectivity and Edge (패치크기, 연결성, 가장자리를 고려한 보전가치평가)

  • Lee, Dong-Kun;Kim, Eun-Young;Oh, Kyu-Shik
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.8 no.5
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    • pp.56-67
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    • 2005
  • Rapid and reckless economical development is causing nationwide deforestation; more and more forest is being developed to be used as a base for economic advancement. While benefiting the national economy, this destruction of forest is creating a serious problem in the National Land Plan. To solve this problem, it is imperative to understand the current condition of damaged forest and make an environment-friendly plan. This paper explains the principles of spatial plan and sets the criteria for the plan, such as patch size, connectivity, and edge of the Landscape Ecology. The paper assesses the conservational value of area that are currently being developed or planned to be developed to figure out the current environmental situation. This conservational value was verified by the field survey. The result of assessment appears that the patch size of the major mountains in site is over 1,000ha and edge is located widely beside roads. The area of the high connectivity is located agriculture area in valley or narrow roads. The research shows that the patch size is related to biodiversity the larger the patch size, the more populated the species are. The research also reveals the conservational value indicated by degree of connection to forest, difference in the structure of vegetation between core area and edge area, and effects of surrounding environment. In further study, we will assess other criteria of conservation value, such as patch shape and fragmentation to the Landscape Ecology, and apply those criteria in biological aspects of the spatial plan.

컴퓨터 영상처리에 의한 윤활시스템의 상태진단

  • 서영백;박흥식;전태옥;이충엽
    • Proceedings of the Korean Society of Tribologists and Lubrication Engineers Conference
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    • 1997.04a
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    • pp.224-231
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    • 1997
  • Microscopic examination for the morphological estimation of wear debris on the oil-lubrcated moving system is an accepted method for machine condition and fault diagnosis. However wear particle anaysis has not been widely accepted industry because it is dependent on expert interpretation of particle morphology and relies on subjective assessment criteria. This paper was undertaken to estimate the morphology of wear debris on the oil-lubricated movig system by computer image analysis. The wear test was performed under different sliding conditions using a wear test device made in our laboratory and wear testing specimen of the pin-on-disk-type was rubbed in pararline series base oil. In order to describe characteristics of debris of various shape and size, four shape parameters (50% volumetric diameter, aspect, roundness and reflectivity) have been developed and outlined in the paper. A system using such techniques promises to obviate the need for subjective, human interpretation of particle morphology in machine condition monitoring.

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A Study on the New Criteria for Assessing the Insulation Deterioration of Generator Stator Winding (발전기 고정자 권선의 새로운 절연열화 판정기준 설정에 관한 연구)

  • Hwang, D.H.;Kim, Y.J.;Kim, J.B.;Jeon, J.W.;Kim, H.G.;Park, J.J.
    • Proceedings of the KIEE Conference
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    • 1997.07e
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    • pp.1692-1695
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    • 1997
  • This paper describes the relationship between the various non-destructive parameters and the breakdown voltage for the 17 kV, 300 MVA and the 22 kV, 500 MVA generators stator bars with polyester and epoxy/mica insulation respectively. Also, this study reports the results of an investigation into the factors which can assess the insulation condition of generator stator winding. Furthermore, a new parameter, Partial Discharge Index(PDI), is introduced as the valuable parameter for the assessment of insulation condition. The ratio between partial discharge increment and the stepwise voltage increment from the Discharge Inception Voltage (DIV) at the characteristic or resonant frequency band shows the close relationship between the breakdown voltage and PDI.

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Survey on Performance of the Risk Assessment of Musculoskeletal Disorders (근골격계부담작업 유해요인조사 이행 실태 조사)

  • Park, Jae-Hee;Lee, In-Seok;Kee, Do-Hyung;Jung, Hwa-Shik;Park, Jung-Keun
    • Journal of the Korean Society of Safety
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    • v.26 no.1
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    • pp.49-57
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    • 2011
  • A questionnaire study was carried out to understand the status of performing the risk assessment of work-related musculoskeletal disorders(WMDSs), which is the employers' legal responsibility when the employees are involved in doing tasks with risk factors. Employers or managers from 340 companies and the representative employees from 250 companies participated in the survey. According to the participated employers and employees, 35.0~46.2% of companies had performed the first risk assessment before the end of 2005. However, it is presumed that the real condition might not be as much as the result, because most companies were very reluctant to took part in the survey. It was found that the type of business and size of the company are the main factors affecting the performance of the risk assessment in terms of the performing ratio, method, and so on. The participants were positive in the thought that the assessment would be helpful in preventing msuculoskeletal disorders, while there was a little difference between the employers and employees in the thought that the assessment would be helpful in finding the injuries in the early stage. It was found that it is necessary to modify and improve the definition and criteria of the tasks to be examined in the assessment.

Regionalization of CN values at Imha Watershed with SCE-UA (최적화 기법을 이용한 임하호유역 대표 CN값 추정)

  • Jeon, Ji-Hong;Kim, Tae-Dong;Choi, Dong-Hyuk
    • Journal of The Korean Society of Agricultural Engineers
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    • v.53 no.5
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    • pp.9-16
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    • 2011
  • Curve Numbers (CN) for the combination of land use and hydrologic soil group were regionalized at Imha Watershed using Long-term Hydrologic Impact Assessment (L-THIA) coupled with SCE-UA. The L-THIA was calibrated during 1991-2000 and validated during 2001-2007 using monthly observed direct runoff data. The Nash-Sutcliffe (NS) coefficients for calibration and validation were 0.91 and 0.93, respectively, and showed high model efficiency. Based on the criteria of model calibration, both calibration and validation represented 'very good' fit with observe data. The spatial distribution of direct surface runoff by L-THIA represented runoff from Thiessen pologen at Subi and Sukbo rain gage station much higher than other area due to the combination of poor hydrologic condition (hydrologic soil C and D group) and locality heavy rainfall. As a results of hydrologic condition and treatment for land use type based on calibrated CNs, forest is recommended to be hydrologically modelled dived into deciduous, coniferous, and mixed forest due to the hydrological difference. The CNs for forest and upland showed the poor hydrologic condition. The steep slope of forest and alpine agricultural field make high runoff rate which is the poor hydrologic condition because CN method can not consider field slope. L-THIA linded with SCE-UA could generated a regionalized CNs for land use type with minimized time and effort, and maximized model's accuracy.

Development of Quantitative Model for Structural Performance of Concrete Bridges Considering of Loads and Environmental Factors (하중과 환경인자를 고려한 콘크리트교량의 정량적 구조성능 평가모델 개발)

  • Oh, Byung-Hwan;Kim, Dong-Wook
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.8 no.3
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    • pp.235-242
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    • 2004
  • Bridge Management System (BMS) requires a more objective condition assessment over the lifespan of a given bridge. Thus, a quantitative assessment model of resistance capacity was developed here to meet the requirement for deteriorated concrete bridges. The model focuses on damage mechanisms of concrete bridges deteriorated by traffic loads and environment factors such as chloride and carbonation attacks. Also, it was applied to a typical concrete slab bridge which was severely damaged due to both load and environmental conditions. It was shown that the proposed quantitative model simulates well the deterioration level considering the two damage criteria.

Assessment of Design Criteria for Bearing Capacity of Rock Socketed Drilled Shaft (암반에 근입된 현장타설말뚝의 지지력 산정기준에 대한 평가)

  • 백규호;사공명
    • Journal of the Korean Geotechnical Society
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    • v.19 no.4
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    • pp.95-105
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    • 2003
  • The existing design criteria f3r the estimation of ultimate bearing capacity of drilled shaft socketed into rock masses are mainly obtained from the ultimate pile load capacities, which are determined by inconsistent failure criteria. Therefore, these design criteria generally produce difffrent predictions even for drilled shaft in the same condition. In this paper, the accuracies of the existing design criteria are investigated to develop an optimized design process for drilled shaft socketed into rock masses. Reasonable and consistent ultimate capacities of drilled shafts socked into rock masses, necessary far the check of accuracies of predictions, are determined by applying a specific failure criterion to a total of 11 pile load test results. A comparison between the predicted and the measured load capacities shows that ultimate base load capacities calculated from Zhang and Einstein's equation and NAVFAC are close to the measured values. Rosenberg and Journeaux's equation produces satisfactory prediction f3r ultimate side load capacity.