• Title/Summary/Keyword: indirect costs

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The National Cancer Screening Program for Breast Cancer in the Republic of Korea: Is it Cost-Effective?

  • Kang, Moon Hae;Park, Eun-Cheol;Choi, Kui Son;Suh, MiNa;Jun, Jae Kwan;Cho, Eun
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.3
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    • pp.2059-2065
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    • 2013
  • This goal of this research was to evaluate the cost-effectiveness of the National Cancer Screening Program (NCSP) for breast cancer in the Republic of Korea from a government expenditure perspective. In 2002-2003 (baseline), a total of 8,724,860 women aged 40 years or over were invited to attend breast cancer screening by the NCSP. Those who attended were identified using the NCSP database, and women were divided into two groups, women who attended screening at baseline (screened group) and those who did not (non-screened group). Breast cancer diagnosis in both groups at baseline, and during 5-year follow-up was identified using the Korean Central Cancer Registry. The effectiveness of the NCSP for breast cancer was estimated by comparing 5-year survival and life years saved (LYS) between the screened and the unscreened groups, measured using mortality data from the Korean National Health Insurance Corporation and the National Health Statistical Office. Direct screening costs, indirect screening costs, and productivity costs were considered in different combinations in the model. When all three of these costs were considered together, the incremental cost to save one life year of a breast cancer patient was 42,305,000 Korean Won (KW) (1 USD=1,088 KW) for the screened group compared to the non-screened group. In sensitivity analyses, reducing the false-positive rate of the screening program by half was the most cost-effective (incremental cost-effectiveness ratio, ICER=30,110,852 KW/LYS) strategy. When the upper age limit for screening was set at 70 years, it became more cost-effective (ICER=39,641,823 KW/LYS) than when no upper age limit was set. The NCSP for breast cancer in Korea seems to be accepted as cost-effective as ICER estimates were around the Gross Domestic Product. However, cost-effectiveness could be further improved by increasing the sensitivity of breast cancer screening and by setting appropriate age limits.

Application of Accrual Basis for Calculation of Prolongation Cost in Construction Projects (공기연장 추가간접비 산정기준의 발생주의방식 적용 연구)

  • Jeong, Kichang;Lee, Jaeseob
    • Korean Journal of Construction Engineering and Management
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    • v.19 no.5
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    • pp.111-120
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    • 2018
  • Recently, Domestic public construction projects are experiencing a great deal of disputes because of the growing uncertainty about the criteria for calculating the prolongation cost. In addition, researchers have been studying various systems and proper cost estimates in an effort to reduce the uncertainty of these systems and the occurrence of disputes. However, there is no standard yet for social consensus. Meanwhile, The study on the classification system according to the recognition standard of accounting has been systematically studied. As a result, the concepts of accrual and cash basis are defined separately. The purpose of this study is to verify the possibility of applying the concept of 'accrual basis' to the Standard for calculation of prolongation cost. Therefore, As a result of analyzing the occurrence pattern of Job-site overhead cost, it is confirmed that actual costs can not be calculated by the cash-basis method. In particular, the implications of the necessity of the accrual-basis method should be more strictly indicated in the case of items such as indirect labor costs and welfare benefits. In addition, the contractor 's claim report and the appraisal report were examined. As a result, it was confirmed that the calculation situations of prolongation costs are biased to the cash-basis method. In this way, it is suggested that necessary to supplement the calculation standard of the actual costs from the point of view of accrual basis.

Level of Safety Awareness of Construction Workers (건설현장 작업자의 내면적 안전의식 수준)

  • Lee, Wang Gi;Park, Seong Yong;Son, Ki Sang
    • Journal of the Korean Society of Safety
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    • v.32 no.3
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    • pp.48-53
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    • 2017
  • Many construction accidents can be lead to a death occurring at construction sites. These are considerably due to potentially-hazardous equipment and machine or unexpected collapsion at earth work due to land slide and so on. Almost 50% of the total death and injury, occurred in construction sites in 2015. 66% of those serious accidents are due to falling occurring from construction sites when they work. Therefore, causes and recommendations of each accident should be deeply thought and analysed The indirect causes are directly related to safe consciousness of the construction workers. Actually, their safety consciousness are not high, even very low, it is thought. Questionnaire survey sheets have been distributed to Seoul, Incheon, and Gyunggi-Do area, first. And then, the authors have collected those directly at sites, in order to increase collection rate of the sheets. The totally, collected sheets are 295 sheets. And, they are analysed using SPSS version 19 package program. Workers internal consciousness has been investigated and reviewed and analysed by statistical method such as frequency rate, crossed, and correlated analysis. And finally the conclusions for the above analyses are as follows; Heavy weight worth a crew of more than two workers should be necessarily considered for the advanced safety plan and needed for making a highly potential hazard group at construction sites. Safety consciousness, earing p.p.e, workman ship should be mainly considered for investing safety costs with an aspect of human factor.

Direct Mapping based Binary Translation Rule Generator with Considering Retargetability (재목적성을 고려한 직접 매핑 기반의 이진 변환 규칙 생성 도구)

  • Seo, Yongjin;Kim, Hyeon Soo
    • Journal of KIISE:Software and Applications
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    • v.41 no.7
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    • pp.501-517
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    • 2014
  • Binary translation is a restructuring process in order to execute a program targeting a specific device on the other devices. In binary translation, it is very important to generate the translation rules between two devices. There are two methods for generating the translation rules, direct and indirect mapping. The direct mapping is the method for performance, while the indirect mapping is the method for retargetability. This paper suggests a binary translation method based on the direct mapping for the embedded systems. Because, however, the retargetability is also important requirement, we suggest the direct mapping based binary translation with considering the retargetability. In addition, we implement an automatic generation tool for translation rules to prove our concept. Through this method, we can generate the translation rules with considering the performance as well as the retargetability. Furthermore, we can reduce costs for the binary translation.

Evaluation of Adhesiveness with Current Flow Time in the Indirect Heating of an Asphalt Pad using Joule Heating (줄 히팅을 이용한 아스팔트패드 간접가열에 있어서 통전시간별 융착성 평가)

  • Bae, Ki-Man;Choi, Han-Suk;Oh, Bo-Ra-Mi;Baek, Jong-Jin;Park, Seong-Hwan;Kang, Myungchang;Lee, Jae-Jin
    • Journal of the Korean Society of Manufacturing Process Engineers
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    • v.19 no.8
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    • pp.104-109
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    • 2020
  • Recently, vibration and noise have become an important issue in the auto industry. Asphalt vibration damping pads are used to reduce the noise and vibration of automobile bodies, and asphalt is used for many mass-produced parts due to its simple attachment process and low processing costs. In this study, the self-adhesion of asphalt pads using Joule heating was evaluated. To create the asphalt pad for the experiment, the asphalt pad was molded into a specific thickness by using SGACC material and rubber used in the vehicle body as a main component and a modified resin and filler. The SGACC material was 200 mm in length, 200 mm in width, and 0.7 mm in thickness. The asphalt pad was 200 mm in length, 100 mm in width, and 3 mm in thickness. The equipment was composed of a TR (Transformer) DC254kVA and a TC (Time controller) for a current of up to 20,000 A. The current for the Joule heating was set to 7.0 kA and a 3/1 cycle, for which the adhesion of the asphalt pad over the current flow time was evaluated.

Cost-effectiveness Outcomes of the National Gastric Cancer Screening Program in South Korea

  • Cho, Eun;Kang, Moon Hae;Choi, Kui Son;Suh, MiNa;Jun, Jae Kwan;Park, Eun-Cheol
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.4
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    • pp.2533-2540
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    • 2013
  • Background: Although screening is necessary where gastric cancer is particularly common in Asia, the performance outcomes of mass screening programs have remained unclear. This study was conducted to evaluate cost-effectiveness outcomes of the national cancer screening program (NCSP) for gastric cancer in South Korea. Materials and Methods: People aged 40 years or over during 2002-2003 (baseline) were the target population. Screening recipients and patients diagnosed with gastric cancers were identified using the NCSP and Korea Central Cancer Registry databases. Clinical outcomes were measured in terms of mortality and life-years saved (LYS) of gastric cancer patients during 7 years based on merged data from the Korean National Health Insurance Corporation and National Statistical Office. We considered direct, indirect, and productivity-loss costs associated with screening attendance. Incremental cost-effectiveness ratio (ICER) estimates were produced according to screening method, sex, and age group compared to non-screening. Results: The age-adjusted ICER for survival was 260,201,000-371,011,000 Korean Won (KW; 1USD=1,088 KW) for the upper-gastrointestinal (UGI) tract over non-screening. Endoscopy ICERs were lower (119,099,000-178,700,000 KW/survival) than UGI. To increase 1 life-year, additional costs of approximately 14,466,000-15,014,000 KW and 8,817,000-9,755,000 KW were required for UGI and endoscopy, respectively. Endoscopy was the most cost-effective strategy for males and females. With regard to sensitivity analyses varying based on the upper age limit, endoscopy NCSP was dominant for both males and females. For males, an upper limit of age 75 or 80 years could be considered. ICER estimates for LYS indicate that the gastric cancer screening program in Korea is cost-effective. Conclusion: Endoscopy should be recommended as a first-line method in Korea because it is beneficial among the Korean population.

Treatment Process and Outcomes of Brain Injuried ER Patients (응급실 내원 뇌 손상 환자의 진료과정과 결과)

  • Hong, Hye-Ryeon;Jin, Ki-Nam;Lee, Dong-Woo;Kim, Jae-Su
    • Journal of Preventive Medicine and Public Health
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    • v.31 no.3 s.62
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    • pp.481-489
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    • 1998
  • Injuries and infectious diseases have been the most important public health problems since the beginning of human life. Injuries result in death of about 30,000 people each year in South Korea. In terms of years of life lost, injuries are considerably more costly than either heart disease or cancer. In terms of cost - both the direct costs of care and the indirect costs to individuals, families, and societies of a diminished life-injuries are among the most expensive of all social problems. The main purposes of this study are (1) to describe the outcomes as well as treatment process of brain injured patients and (2) to identify the factors impacting on length of stay during hospitalization and hospital fees. The research method used in this study was to review the medical records of five hundreds brain injured cases using systemic random sampling. The multiple logistic regression was administered to identify the factors impacting on the outcomes. The results are as follow : (1) the consultation .ate was found to be 72.9% while referral rate was 11.2%; (2) nearly 30% of the respondents were hospitalized over 30 days; (3) multiple logistic regression analyses revealed that the determinants influencing LOS were number of consultations, number of lab tests, and surgery; (4) the determinants of hospital fee were severity of brain injury, gender of patients, number of consultations, number of lab tests, and surgery.

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Study of structural properties and development of high strength Cured-In-Place Pipe (CIPP) liner for sewer pipes using glass fiber (유리섬유를 이용한 하수관의 고강도 현장경화 비굴착 보수 공법 재료의 개발 및 물성 특성 연구)

  • Ji, Hyon Wook;Koo, Dan Daehyun;Yoo, Sung Soo;Kang, Jeong-Hee
    • Journal of Korean Society of Water and Wastewater
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    • v.34 no.2
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    • pp.149-159
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    • 2020
  • Cured-in-place-pipe(CIPP) is the most adopted trenchless application for sewer rehabilitation to extend the life of the existing sewer without compromising both direct construction and indirect social costs especially applied in the congested urban area. This technology is globally and domestically known to be the most suitable for partial and full deteriorated pipe structure rehabilitation in a sewer system. The typical design of CIPP requires a significant thickness of lining to support loading causing sewage flow interruption and increasing material cost. This paper presents development of a high strength glass fiber composite lining material for the CIPP application and structural test results. The test results exhibit that the new glass fiber composite lining material has 12 times of flexural strength, 6.2 times of flexural modulus, and 0.5 Creep Retention Factor. These test results can reduce lining design thickness 35% at minimum. Even though taking into consideration extra materials such as outer and inner films for actual field applications, the structural capacity of the composite material significantly increases and it reduces 20 percent or more line thickness as compared to the conventional CIPP. We expect that the newly developed CIPP lining material lowers material costs and minimizes flow capacity reduction, and fully replaceable to the conventional CIPP lining materials.

Energy Expenditure in Normal-Weight and Overweight Korean Middle-Aged Women

  • Kim, Wha-Young;Cha, Jin-Young
    • Nutritional Sciences
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    • v.4 no.1
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    • pp.34-38
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    • 2001
  • The purpose of this study was to compare the energy expenditure of normal-weight and overweight Korean middle-aged women (40-60 yr). Middle-aged oveweight ($BMI\;{\geq}\;25$, n= 20) and normal-weight women were ($BMI\;{\leq}\;23$, n = 20) were recruited in Seoul. Anthropometric measurements, body composition, energy intake, daily activity time, and energy costs of some daily activities were measured. Energy expenditure at rest and while reading the newspaper, washing dishes, mopping the floor, and walking on a treadmill at 1.0, 2.0, 3.5mph were measured by indirect calorimeter and total daily energy expenditure was estimated by summation of energy costs of different activities. The overweight group had significantly higher values of body weight, triceps skinfold thickness, thigh circumference, waist circumference, hip circumference, BMI, WTR, WHR, body surface area, percentage body fat, fat mass, fat free mass (FFM), and muscle mass compared to normal-weight group. The energy intakes of both groups were close to RDA and other nutrient intake status was also satisfactory. There were no significant differences in intakes of energy and nutrients between the two groups. Overweight subjects showed lower energy expenditure per kg body weight for reading the newspaper, washing dishes and mopping the floor, and walking on a treadmill at 2.0 and 3.5 mph, however, energy expenditure per kg FFM did not differ between the two groups. Daily energy expenditure for all activities was significantly higher in the overweight compared to the normal-weight group due to higher body weight. Both overweight and normal-weight groups showed negative energy balance between energy intake and energy expenditure, and there was no significant difference in energy balance between the two roups. Total daily energy expenditure correlated highly with FFM and body surface area. The result of present study does not offer an explanation on the energy imbalance and weight gain of overweight women.

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Practical Model to Estimate Road User Cost for Bridge Maintenance Strategy (교량 유지관리 전략 수립을 위한 실용적 도로이용자비용 추정 모델)

  • Park, Kyung-Hoon;Sun, Jong-Wan;Lee, Sang-Yoon;Lee, Jong-Soon;Cho, Hyo-Nam
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.11 no.6
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    • pp.131-142
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    • 2007
  • The road user cost in indirect costs as well as direct costs such as the inspection/ diagnosis cost and the repair/reinforcement cost should be considered as one of the important items in the life-cycle cost-effective design and maintenance of the bridges. To estimate the road user cost, this paper formulates the road user cost as a sum of the user delay cost and the vehicle operating cost considering the detour effect. A numerical traffic simulation and a regression analysis are performed to develop a regression model due to a time delay. The proposed regression model is applied to the generation of the maintenance strategy based on the life-cycle cost and performance, and its effectiveness and applicability is investigated. The road user cost has a great influence on establishing the maintenance strategy, and the proposed regression model could be successfully utilized to estimate the road user cost of a bridge.