• Journal of Preventive Medicine and Public Health
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• 제53권3호
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• pp.205-210
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• 2020

Objectives: Aging is assumed to be accompanied by greater health care expenditures. The objective of this retrospective, bottom-up micro-costing study was to identify and analyze the variables related to increased health care costs for the elderly from the provider's perspective. Methods: The analysis included all elderly inpatients who were admitted in 2017 to a hospital in Tehran, Iran. In total, 1288 patients were included. The Mann-Whitney and Kruskal-Wallis tests were used. Results: Slightly more than half (51.1%) of patients were males, and 81.9% had a partial recovery. The 60-64 age group had the highest costs. Cancer and joint/orthopedic diseases accounted for the highest proportion of costs, while joint/orthopedic diseases had the highest total costs. The surgery ward had the highest overall cost among the hospital departments, while the intensive care unit had the highest mean cost. No statistically significant relationships were found between inpatient costs and sex or age group, while significant associations (p<0.05) were observed between inpatient costs and the type of ward, length of stay, type of disease, and final status. Regarding final status, costs for patients who died were 3.9 times higher than costs for patients who experienced a partial recovery. Conclusions: Sex and age group did not affect hospital costs. Instead, the most important factors associated with costs were type of disease (especially chronic diseases, such as joint and orthopedic conditions), length of stay, final status, and type of ward. Surgical services and medicine were the most important cost items.

• 대한토목학회논문집
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• 제41권5호
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• pp.591-599
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• 2021

현재 국내 철도시설 운영기관은 노후 시설물 판단을 위한 명확한 정의와 시설물 보수/개량 우선순위 산정 방법이 정립되지 않아 성능중심 유지관리계획 수립에 어려움을 겪고 있다. 따라서, 본 연구는 선행연구에서 노후 시설물을 어떻게 정의하였는지 고찰하고, 국내 노후 철도시설물 관리제도와 미국 연방대중교통청(FTA)의 교통시설물 자산관리체계 비교분석을 통해 벤치마킹 포인트를 도출하였다. 노후 시설물 판단은 경과연수와 성능수준을 같이 고려해야 하며, 경과연수와 성능등급 간 관계를 통계적으로 분석하여 보수/개량 우선순위를 산정해야 한다. 또한, FTA와 같은 데이터 기반 철도시설 관리를 위해서는 표준 철도시설물 분류체계를 기반으로 시설물 분류 하위 수준에서 내용연수, 성능평가 결과, 유지관리비용 데이터베이스를 구축하는 것이 필요하다. 향후 데이터가 충분히 축적되면 성능중심 노후 철도시설 관리를 위한 효율적 예산집행계획 수립에 기여할 것으로 기대된다.

• 교육녹색환경연구
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• 제13권1호
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• pp.15-23
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• 2014

With introduction of amended educational curriculum in 2007, optimizing project of educational environment to accomplish its purposes and goals includes expanding educational facilities and supplying eco-friendly school facilities. However, while the focus of optimizing project of educational environment is quality improvement of educational facilities, aging of these facilities built at th times of quantitative expansion and its management become serious problems. Higher concerns on studies and jobs on management of building caused by serious aging of facilities, management cost of building becomes a very crucial issue. Therefore, this study aims to analyze environment improvement budget of school facilities through building and using data warehouse, by investigating and analyzing the current status of environment improvement budget of school facilities and its cost through questionnaire and interview surveys on officers who are in charge of environment improvement budget of school facilities in educational administrations. This study thus analyzed environment improving budget of school facilities by using data warehouse technology collecting related data to the topic and setting levels by region, school class, establishment year, school facility types and others.

• 보건행정학회지
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• 제32권3호
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• pp.282-292
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• 2022

Background: Aging societies face social problems of increased medical expenses for older adults due to increased geriatric diseases. This study aims to analyze the relationship between the state change of multiple chronic conditions (MCC) and out-of-pocket medical expenses in the elderly aged 60 or older. Methods: The 2014-2018 Korean Longitudinal Study of Aging data were used for 2,202 elderly people. Four status change groups were established according to the change in the number of chronic diseases. The association between the change of MCC and the out-of-pocket medical cost was analyzed using the generalized estimating equation model analysis. Results: The average out-of-pocket total medical costs were 1,384,900 won for participants with MCC and 542,700 won for those without MCC, which was a statistically significant difference (p<0.0001). Compared to the reference group (simple chronic disease, SCD→SCD), the change in multiple chronic conditions significantly increased the total out-of-pocket medical expenses in MCC→MCC and SCD→MCC groups (MCC→MCC: 𝛽=0.8260, p<0.0001; SCD→MCC: 𝛽=0.6607, p<0.0001). Conclusion: In this study, it was confirmed that the prevalence of MCC increased with age, and the out-of-pocket medical cost increased in the case of MCC. Continuity of treatment can be achieved for patients with MCC, and the system and management of treatment for MCC are required to receive appropriate treatment.

• 한국정보통신학회논문지
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• 제23권2호
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• pp.201-206
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• 2019

소프트웨어 노화에 따른 시스템의 예기치 않은 장애 발생은 재활 기능을 주기적으로 수행함으로써 줄일 수 있다. 이 시스템 재활 기능은 주로 시스템이 가장 한가한 시간에 수행하는 것이 효과적이다. 이를 통해 시스템 가용도를 높일 수 있다. 재활 기법은 크게 시간 기반과 조건 기반의 두 가지 종류로 나눌 수 있다. 시간 기반 재활은 정해진 시간 간격마다 수행되고, 조건 기반 재활은 시스템 상태가 특정 조건을 만족할 때 수행된다. 조건 기반 방식은 시스템 감시와 정보의 수집 및 통계적 분석을 통해 재활 시점을 추정해야하기 때문에 추가적인 비용이 발생한다. 본 논문은 시간 기반 소프트웨어 재활 기법을 분석할 수 있는 확률 모형을 제시한다. 제시한 모형은 재활을 주기적으로 수행하는 시간 간격을 일정하게 유지할 수 있는 현실적인 상황을 반영한다. 해당 확률 모형을 수학적으로 분석하여, 정상 상태에서의 시스템 가용도와 사용자 인지 가용도 및 이에 따른 비용을 분석한다.

• 한국산학기술학회논문지
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• 제19권12호
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• pp.717-724
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• 2018

사회기반시설물의 노후화에 따른 교량 유지관리비용의 급격한 증가에 대비하기 위해서는 미래 발생 가능한 유지관리비용의 예측이 선행되어야 한다. 이를 위해 본 논문에서는 교량 관리주체의 유지관리 현황 분석을 통해 교량의 관리수준을 파악하고, 이를 생애주기에 따른 목표관리수준과 성능향상 한계 값으로 모델링하였다. 이와 함께 교량 안전점수에 따른 보수보강비용 예측모델, 성능열화모델, 평균개축비용단가, 평균 개축시기로 구성된 기존의 비용 및 성능 예측모델과 연계하여, 교량 유지관리비용 추계분석을 위한 방법론 및 절차를 제안하였다. 제안된 방법의 활용성 검증을 위해 특정 관리주체가 관리하는 교량의 규모, 노후화 정도, 현재 관리현황을 고려하여 미래 유지관리비용 추계 분석을 수행하였다. 연차별로 개별 교량 수준의 안전등급과 유지관리 조치에 따른 비용 추정 결과와 이들을 관리주체 수준으로 합산하여 연차별 평균 안전점수, 안전등급 구성비, 점검진단비용, 보수보강비용, 개축비용을 합리적으로 추정할 수 있다. 향후 목표성능관리수준의 변경에 따른 생애주기 예산의 변화를 추정하여 최적의 관리수준을 제안할 수 있을 것으로 판단된다.

• 전기학회논문지
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• 제66권12호
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• pp.1830-1835
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• 2017

8200 Series Electric Locomotives are mostly imported from overseas due to aging and uncertainty of source technology, and it's the maintenance cost is increasing. We are analyzed life cycle costs based on international standards such as IEC 60300-3-3 and IEC62278. The main conversion system of the 8200 series electric locomotive is closely related to vehicle operation and is one of the subsystems requiring frequent maintenance. In this paper, the life cycle cost of the main conversion unit in 8200 series electric locomotive is analyzed based on the maintenance manual. As a result of analysis, maintenance cost of GTO module and control device is relatively high, and it is confirmed that the cost increases according to the useful life.

• 한국건축시공학회지
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• 제8권2호
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• pp.53-61
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• 2008

It is expected that the market of residential facility for retired seniors will be a new investment field for construction firms. This study describes the questionnaire survey analysis results of potential customers' demand for the facility. For comparison purpose, direct construction cost was estimated by estimation experts. In addition, a case analysis was conducted to compare direct cost and indirect project cost with the experts' estimation. According to the questionnaire survey analysis, it is observed that there were significant differences in demand between groups which are classified by the regions, living expenditures, the level of property ownership and the scales of residence. From an investor's perspective, investment decision on residential facility for retired seniors should be made considering bothe the level of returns which can be generated from the investment and the customers' needs.

• Structural Monitoring and Maintenance
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• 제9권4호
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• pp.359-371
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• 2022

Bridges are critical to the civil engineering infrastructure network as they facilitate movement of people, the transportation of goods and services. Given the aging of bridge infrastructure, federal officials mandate visual inspections biennially to identify necessary repair actions which are time, cost, and labor-intensive. Additionally, the expansion joints of bridges are rarely monitored due to cost. However, expansion joints are critical as they absorb movement from thermal effects, loadings strains, impact, abutment settlement, and vehicle motion movement. Thus, the need to monitor bridge expansion joints efficiently, at a low cost, and wirelessly is desired. This paper addresses bridge joint monitoring needs to develop a cost-effective, real-time wireless system that can be validated in a full-scale bridge structure. To this end, a wireless expansion joint monitoring was developed using commercial-off-the-shelf (COTS) sensors. An in-service bridge was selected as a testbed to validate the performance of the developed system compared with traditional displacement sensor, LVDT, temperature and humidity sensors. The short-term monitoring campaign with the wireless sensor system with the internet protocol version 6 over the time slotted channel hopping mode of IEEE 802.15.4e (6TiSCH) network showed reliable results, providing high potential of the developed system for effective joint monitoring at a low cost.

• 농업과학연구
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• 제43권1호
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• pp.144-151
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• 2016

With an aging population in rural areas, farm owners in South Korea are also aging. In particular, this phenomenon leads to the lack of human resources in rural areas and agriculture, worsening the deterioration of the rural economy. This study aimed, firstly, to analyze the criticality of the lack of human resources and high production cost issues for farmers, before using the farm as cooperative nursery of rice seedlings. Secondly, the study analyzed farmer satisfaction after using the farm cooperative. Analysis results are as follows. The motives of the research subjects for using the co-nursery were the aging of the farming population, the expected reduction of production costs, and farmers' failure in raising seedlings. Importance-performance analysis measured the importance for the farms for cooperative raising of rice seedling at 3.49 and the performance for the farms at 3.41, with a difference of 0.07 between them. The four importance-performance matrix areas, used were as follows: concentrated efforts required (Quadrant I: concentrate here), continuous maintenance (Quadrant II: keep up the good work), gradual improvement (Quadrant III: low priority), and avoiding excessive efforts (Quadrant IV: possible overkill). Based on the results, it was concluded that improvements and efforts would be necessary for each of these areas. And, there is a need to improve services through the initiation of farmer use of this rice co-nursery.