• Journal of the Korea Convergence Society
• /
• v.9 no.8
• /
• pp.77-85
• /
• 2018

Dementia among the diseases occurring in the old age is recognized as a disease to be solved at the national level and systematic management is being carried out. However, the awareness and response of the mild cognitive disorder, which is the middle stage of normal aging and dementia, are insufficient and social costs are increasing every year. The subjects of the study were 303 hospitalized patients whose primary diagnosis was mild cognitive impairment (F067) in a nursing hospital located in one district in 2016. The number of days of hospitalization was shorter in autumn and longer in winter or in hospital discharge. The cost of treatment for patients with mild cognitive impairment is lower in autumn and higher in winter or in 'discharge' of medical treatment results. The total cost of medical treatment was high in the winter by season in the ADL 6-12 and ADL 13-20 groups. Difference in the cost of medical treatment according to the characteristics of medical treatment, the medical expenses were the highest when the number of corporal disease was 5 ~ 8. In the medical treatment results, the ADL 6-12 point group and the ADL 13-20 point group had high medical expenses in 'continue'. Considering the clinical characteristics of mild cognitive impairment and considering that 10-15% of the patients with mild cognitive impairment progress to dementia every year, early detection and treatment of mild cognitive impairment is an effective and potentially important task for reducing potential social and dementia patients.

• Journal of Korean Society of Industrial and Systems Engineering
• /
• v.45 no.1
• /
• pp.83-90
• /
• 2022

This study deals with replacement analysis of deteriorated equipment for improving productivity of production system. Frequent breakdown of the deteriorated equipment causes a situation that reduces productivity such as low product quality, process delay, and repair cost. However, the replacement of new equipment will be required a high initial investment cost, so it is important to analysis the economic feasibility. Therefore, we analyze the effect of the production system due to the aging effect of the equipment and the feasibility of equipment replacement based on the economic analysis. The process flow, working time, logistics movement, etc. are analyzed in order to build the simulation modeling for a ship and land switchboard production system. Using numerical examples, the economic feasibility analysis of equipment replacement through replacement of existing deteriorated equipment and additional arrangement of new facilities is performed.

• Health Policy and Management
• /
• v.22 no.1
• /
• pp.29-48
• /
• 2012

The purpose of this study is to analyze medical expenses by decedents in their last year of life and compare them with those by survivors during the year 2008. This study is conducted firstly in Korea, except some studies focusing on medical cost of decedents from specific diseases. To study this, national health insurance(NHI) claims data was used with medicaid claims data. The study group(decedents) was selected from the insurance entitlement file who were dropped out from January to December of 2008. The control group(survivors) was selected from the entitlement file by stratified sampling with keeping age-sex composition of the study group. The medical expenses of decedents during one year before death were measured and compared with those of survivors by sex and age. And the medical expenses were analyzed by causes of death, and also the expenses were examined by each item of medical services. On average, the medical expense amounted to 11 million Korean Won per decedent during their last year of life in 2008. The medical expense per decedent was 9.3 higher than that of survivor. The death-related expense of under the age 35 was about 16 million Won, compared with 4 million Won in the case of over the age 95, in average. The death-related expense is higher in younger ages. This means that more medical resources are put in to save life in younger ages. Total death-related expenditure took 8.3 percent in total NHI expenditures. Of the death-related medical expenses, the largest one was injection-related cost which shares twenty five percent, and the second largest one was hospitalization charges, and then the third one was surgery cost. The results of this study suggested that we should pay attention to the medical expenses in the last of year of life when we study health care expenditure in Korea. In addition, we have to deliberate health care policy to cope with medical expenditures before death in more efficient way.

• Korea Journal of Hospital Management
• /
• v.14 no.4
• /
• pp.52-70
• /
• 2009

This study is to analyse the reimbursement prices of drugs in Japan. Japan has the world's second-largest pharmaceutical market, and the world's largest price-controlled pharmaceutical market. The reimbursement prices of new drugs in Japan are determined by confidential negotiations between the manufacturer and the Japanese Ministry of Health, Labor, and Welfare. Pharmaceuticals account for a larger share of total healthcare expenditures in Japan than in most other major pharmaceutical markets such as France, Germany, United Kingdom and United States. Prescription drugs' share of total healthcare spending has slightly increased in recent years, from 20.2% in 2000 to 21.5% in 2004, the most recent year for which data are currently available. This trend is attributable to the effect of the Japanese rapidly aging population that stimulates demand for healthcare services. There are several method of price setting for drugs as below. First, on the initial pricing of branded drugs, is the similar-efficacy pricing method and cost calculation method. Second is postmarketing price changes which are biennial price revisions under the rule of National Health Insurance. Third is the rule of the generics price. Recently, the generics market is expanded because there are increasing numbers of hospitals by DPCs(Diagnosis-procedure Combinations).

• Journal of Electrical Engineering and Technology
• /
• v.4 no.1
• /
• pp.123-130
• /
• 2009

The partial discharge (PD) measurement is a very effective method to assess the winding insulation condition of high-voltage machines, since most of the insulation failure processes are directly or indirectly caused by PD. On-line PD measurements, which can detect insulation defects of winding in the early stages on rotating machines in operation, have been accepted as the most important technique. The epoxy mica capacitive coupler is currently and extensively used for on-line detection of PD pulses of high-voltage rotating machines. To evaluate the feasibility of developing a capacitive coupler that is easier to manufacture at a lower cost compared to epoxy mica couplers, a 100pF capacitive coupler made of ceramic material is designed, fabricated and tested for on-line PD measurements of 23 kV electrical machines. A series of electrical tests and accelerated aging tests are performed on the ceramic coupler to evaluate the performance requirements, long-term reliability and thermal stability for in field application. The test results show that the newly developed ceramic coupler provides equal and improved performance at a lower cost compared to epoxy mica couplers, and estimated voltage life is anticipated to surpass 100 years.

• Journal of the Korean Society of Safety
• /
• v.38 no.1
• /
• pp.18-24
• /
• 2023

Severe natural disasters and man-made attacks such as terrorism are causing unprecedented disruptions in power systems. Due to rapid climate change and the aging of energy infrastructure, both the frequency of failure and the level of damage are expected to increase. Resilience is a concept proposed to respond to extreme disaster events that have a low probability of occurrence but cause enormous damage and is defined as the ability of a system to recover to its original function after a disaster. Resilience is a comprehensive indicator that can include system performance before and after a disaster and focuses on preparing for all possible disaster scenarios and having quick and efficient recovery actions after an incident. Various studies have been conducted to evaluate resilience, but studies on economic damage considering the duration of a power outage are scarce. In this study, we propose an optimal algorithm that can identify failures after an extreme disaster and restore the load on the distribution system through emergency distributed power generation input and system reconfiguration. After that, the cost of power outage damage is analyzed by applying VoLL and CDF according to each restoration strategy.

• The Transactions of the Korean Institute of Electrical Engineers P
• /
• v.61 no.1
• /
• pp.41-46
• /
• 2012

Electrolytic power capacitors have been widely used in power conversion system such as inverter or UPS because of characteristics of large capacitance, high-voltage and low-cost. The electrolytic capacitor, which is most of the time affected by the aging effect, plays a very important role for the power-electronics system quality and reliability. Therefore it is important to diagnosis monitoring the condition of an electrolytic capacitor in real-time to predict the failure. In this paper, the on-line remote diagnosis monitoring system for UPS DC link electrolytic capacitors using low-cost single-chip zigbee communication modules is developed. To estimate the health status of the capacitor, the equivalent series resistor(ESR) of the component has to be determined. The capacitor ESR is estimated by using RMS computation using BPF modeling of DC link ripple voltage/current. Zigbee-based hardware experimental results show that the proposed remote capacitor diagnosis monitoring system can be applied to UPS successfully.

• ETRI Journal
• /
• v.35 no.4
• /
• pp.687-696
• /
• 2013

The development of proxy caching is essential in the area of video-on-demand (VoD) to meet users' expectations. VoD requires high bandwidth and creates high traffic due to the nature of media. Many researchers have developed proxy caching models to reduce bandwidth consumption and traffic. Proxy caching keeps part of a media object to meet the viewing expectations of users without delay and provides interactive playback. If the caching is done continuously, the entire cache space will be exhausted at one stage. Hence, the proxy server must apply cache replacement policies to replace existing objects and allocate the cache space for the incoming objects. Researchers have developed many cache replacement policies by considering several parameters, such as recency, access frequency, cost of retrieval, and size of the object. In this paper, the Weighted-Rank Cache replacement Policy (WRCP) is proposed. This policy uses such parameters as access frequency, aging, and mean access gap ratio and such functions as size and cost of retrieval. The WRCP applies our previously developed proxy caching model, Hot-Point Proxy, at four levels of replacement, depending on the cache requirement. Simulation results show that the WRCP outperforms our earlier model, the Dual Cache Replacement Policy.

• Health Policy and Management
• /
• v.29 no.3
• /
• pp.248-261
• /
• 2019

Establishing a healthcare delivery system is key to building a cost-effective healthcare system that can prevent the waste of healthcare resources and increase efficiency. Recently, the rapid increase in the national medical expenditures due to the aging of the population and the increase in chronic diseases has raised the question about the sustainability of the healthcare system including the health insurance system. This is why we need to reform the medical delivery system, including the function setting of medical institutions. Accordingly, gradual and practical efforts based on the recognition of reality are needed for solving the problems and improving the medical delivery system. The first effort is to secure policy measures to establish functions and roles of medical institutions which are the basis of the healthcare delivery system, and a systematic medical use system for appropriate medical use. This approach can be achieved through a reasonable health insurance schemes. Without reasonable reform efforts, it will be difficult for Korea's health care system to develop into a system that can provide cost-effective and high-quality medical services that the people want.

• The Journal of the Institute of Internet, Broadcasting and Communication
• /
• v.21 no.3
• /
• pp.73-79
• /
• 2021

In the wave of the 4th industrial revolution, smart factory is required in many factories. However, small and mid-sized companies (SMEs) still have aging machines and are having difficulties in the data collection stage, which is the basis of smart factories. This study proposes a low cost monitoring method by using an open source based technology that extracts data from the image of the facility control panel without the need for modification of existing facilities. The proposed method was tested and evaluated for forging facilities in automobile parts manufacturing plants through prototyping. As a result of the evaluation, it was confirmed that low-cost facility monitoring is possible, and it will help SMEs build smart factories.