• Journal of Korean Society on Water Environment
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• v.23 no.6
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• pp.850-862
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• 2007

This study was carried out to survey the actual conditions of wastewater treatment facilities to obtain basic data for the management of wastewater from industrial complexes in Chungcheongnam-do province. Wastewater production flow per site area by watersheds was $49.2m^3/km^2/d$ for Sapgyoho, $8.1m^3/km^2/d$ for Anseongcheon, $5.7m^3/km^2/d$ for Seohae, and $2.9m^3/km^2/d$ for Geumgang. Sapgyoho showed 75% of the total production flow, which was the highest value, Geumgang showed 4% of total flow, which was the lowest value. Average total extra rate as production flow/capacity flow in the wastewater treatment facilities for industrial complex is 49%. Considering by watersheds, the extra rates of Seohae, Geumgang, Anseongcheon, and Sapgyoho, are 73%, 65%, 62%, and 33% respectively. This means that the design of capacity flow in wastewater treatment facilities was too large. Effluent concentration of wastewater treatment facilities did not exceed discharge limit mostly. The removal efficiency rate for water quality item was 90% in BOD, 70% in COD, 80% in SS, 30 to 80% in TN, and 20 to 90% in TP, so the organic removal was good, but the nutrient removal was low and interval of variation was high. The removal efficiency rate of the agricultural was industrial complexes is lower than the national and local complexes. The construction cost of the wastewater treatment facilities in Chungcheongnam-do was $1,756Won\;per\;m^3$, treatment cost was $189Won\;per\;m^3$, and they were about two times and 1.2 times higher than the nation-wide cost, respectively. The treatment cost consists of 39% for man power, 21% for chemical, 16% for power, 11% for sludge treatment, and 13% for others.

• Journal of Technologic Dentistry
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• v.36 no.4
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• pp.267-275
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• 2014

Purpose: The purpose of this study is to analyze denture satisfaction by burdened cost types. Methods: All 588 subjects in Gyeongsangnam-do, Korea was surveyed randomly. The study was conducted for about 24 days from March 28th to April 20th, 2014. The objects who participated in the survey were offered self-report questionnaires for this study. Results: Satisfaction with Half Price of the National Health Insurance Support Denture patients appears the highest point of $2.98{\pm}0.22$, and The Governor Pledge Free Denture appears $2.90{\pm}0.17$ the lowest. Also Pay Denture appears $2.96{\pm}0.21$. Provincial authority regulated medical carelessness inefficiently and at all during the procedure, without having to pay the cost of individual. also provincial authority support low budget. This is the result from the lowest satisfaction of The Governor Pledge Free Denture patient. Conclusion: According to the survey results, The Governor Pledge Free Denture and The Total Pay Denture's satisfaction are higher than The National Health Insurance Support Denture. and The National Health Insurance Support Denture are more uncomfortable than pay denture to use.

• The Korean Journal of Pain
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• v.31 no.1
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• pp.27-38
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• 2018

Background: Related to escalating health care costs and the questionable effectiveness of multiple interventions including lumbar facet joint interventions, cost effectiveness or cost utility analysis has become the cornerstone of evidence-based medicine influencing coverage decisions. Methods: Cost utility of therapeutic lumbar facet joint nerve blocks in managing chronic low back pain was performed utilizing data from a randomized, double-blind, controlled trial with a 2-year follow-up, with direct payment data from 2016. Based on the data from surgical interventions, utilizing the lowest proportion of direct procedural costs of 60%, total cost utility per quality adjusted life year (QALY) was determined by multiplying the derived direct cost at 1.67. Results: Patients in this trial on average received $5.6{\pm}2.6$ procedures over a period of 2 years, with average relief over a period of 2 years of $82.8{\pm}29.6$ weeks with $19{\pm}18.77$ weeks of improvement per procedure. Procedural cost for one-year improvement in quality of life showed USD $2,654.08. Estimated total costs, including indirect costs and drugs with multiplication of direct costs at 1.67, showed a cost of USD $4,432 per QALY. Conclusions: The analysis of therapeutic lumbar facet joint nerve blocks in the treatment of chronic low back pain shows clinical effectiveness and cost utility at USD $2,654.08 for the direct costs of the procedures, and USD $4,432 for the estimated overall cost per one year of QALY, in chronic persistent low back pain non-responsive to conservative management.

• International conference on construction engineering and project management
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• 2009.05a
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• pp.196-202
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• 2009

Study from Yogyakarta earthquake reconstruction program, cast-in-place wall using fix-size formwork system (Old-CIP) has offered a good alternative for house construction. A simulation has also confirmed that this system using mortar as the main material can provide cheapest cost and lowest total man power compared to conventional wall construction technique: brick or mortar-block wall. This paper presents the new wall construction technique: full size cast-in-place wall (New-CIP). The detail of how this new technique implemented is described. In addition, considering that material and labor cost in one area is different to others, cost analysis for different resources prices and wages of three cities are taken into a simulation. The analysis is aimed to distinguish the implementation feasibility of New-CIP system compared to the four common wall systems. Finally, its implementation resistance is also discussed.

• Journal of Biosystems Engineering
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• v.7 no.2
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• pp.36-44
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• 1983

Farm population was rapidly decreasing due to shift of the people from farm sector to the non-farm sector caused by the economic growth of the country. Especially, a great shortage of farm labor in busy farming period in June and October is becoming a serious problem in maintaining or promoting land productivity. The peak of labor requirement in summer is caused by rice transplanting and barley harvesting. In order to reduce the restrictions imposed on farm management by the concurrence of labor requirement and the lack of labor, the experimental study for mechanization of barley harvesting has been carried out in the fields. 1. The machines for barley harvesting were knap-sack type reapers, windrow reaper (power tiller attachment), binder and combine. The order of higher efficiency of machine for barley harvesting was combine, binder, windrow reaper (WR), knapsack type reaper 1(KSTR1), and knap sack type reaper 2(KSTR2; mist and duster attachment). 2. The ratio of grain loss for the manual, binder, and combine plot was about four percent of total field yield. 3. The total yield of barley in 35 days and 40 days harvesting after heading were 514 kg and 507kg per 10 ares respectively. The yield of 35 days-plot was higher than other experimental plots. 4. The lowest yield was recorded in 30 days-plot due to the large quantity of immatured grains and having lighter 1000-grain weight. The ratio of immatured grains was 2.66 percent and 1000-grain weight was 29.4 grams. 5. The total harvesting cost of the windrow reaper was 10,178 won per 10 ares. It was the lowest value compared to other machines. The next were combine, binder, KSTR1, KSTR2, and manual in sequence. As a result, the optimum time of barley harvesting for mechanization was 35-40 days after heading. Combine, binder, and windrow reaper were recommended as the suitable machines for barley harvesting in the work efficiency. However, in total harvesting cost, the windrow reaper was the most promising machine for barley harvesting.

• Journal of Preventive Medicine and Public Health
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• v.11 no.1
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• pp.123-127
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• 1978

The major objective of this research is to identify those hospital characteristics that best explain cost variation among hospitals and to formulate linear models that can predict hospital costs. Specific emphasis is placed on hospital output, that is, the identification of diagnosis related patient groups (DRGs) which are medically meaningful and demonstrate similar patterns of hospital resource consumption. A casemix index is developed based on the DRGs identified. Considering the common problems encountered in previous hospital cost research, the following study requirements are estab-lished for fulfilling the objectives of this research: 1. Selection of hospitals that exercise similar medical and fiscal practices. 2. Identification of an appropriate data collection mechanism in which demographic and medical characteristics of individual patients as well as accurate and comparable cost information can be derived. 3. Development of a patient classification system in which all the patients treated in hospitals are able to be split into mutually exclusive categories with consistent and stable patterns of resource consumption. 4. Development of a cost finding mechanism through which patient groups' costs can be made comparable across hospitals. A data set of Medicare patients prepared by the Social Security Administration was selected for the study analysis. The data set contained 27,229 record abstracts of Medicare patients discharged from all but one short-term general hospital in Connecticut during the period from January 1, 1971, to December 31, 1972. Each record abstract contained demographic and diagnostic information, as well as charges for specific medical services received. The 'AUT-OGRP System' was used to generate 198 DRGs in which the entire range of Medicare patients were split into mutually exclusive categories, each of which shows a consistent and stable pattern of resource consumption. The 'Departmental Method' was used to generate cost information for the groups of Medicare patients that would be comparable across hospitals. To fulfill the study objectives, an extensive analysis was conducted in the following areas: 1. Analysis of DRGs: in which the level of resource use of each DRG was determined, the length of stay or death rate of each DRG in relation to resource use was characterized, and underlying patterns of the relationships among DRG costs were explained. 2. Exploration of resource use profiles of hospitals; in which the magnitude of differences in the resource uses or death rates incurred in the treatment of Medicare patients among the study hospitals was explored. 3. Casemix analysis; in which four types of casemix-related indices were generated, and the significance of these indices in the explanation of hospital costs was examined. 4. Formulation of linear models to predict hospital costs of Medicare patients; in which nine independent variables (i. e., casemix index, hospital size, complexity of service, teaching activity, location, casemix-adjusted death. rate index, occupancy rate, and casemix-adjusted length of stay index) were used for determining factors in hospital costs. Results from the study analysis indicated that: 1. The system of 198 DRGs for Medicare patient classification was demonstrated not only as a strong tool for determining the pattern of hospital resource utilization of Medicare patients, but also for categorizing patients by their severity of illness. 2. The wei틴fed mean total case cost (TOTC) of the study hospitals for Medicare patients during the study years was $11,27.02 with a standard deviation of $117.20. The hospital with the highest average TOTC ($1538.15) was 2.08 times more expensive than the hospital with the lowest average TOTC ($743.45). The weighted mean per diem total cost (DTOC) of the study hospitals for Medicare patients during the sutdy years was $107.98 with a standard deviation of $15.18. The hospital with the highest average DTOC ($147.23) was 1.87 times more expensive than the hospital with the lowest average DTOC ($78.49). 3. The linear models for each of the six types of hospital costs were formulated using the casemix index and the eight other hospital variables as the determinants. These models explained variance to the extent of 68.7 percent of total case cost (TOTC), 63.5 percent of room and board cost (RMC), 66.2 percent of total ancillary service cost (TANC), 66.3 percent of per diem total cost (DTOC), 56.9 percent of per diem room and board cost (DRMC), and 65.5 percent of per diem ancillary service cost (DTANC). The casemix index alone explained approximately one half of interhospital cost variation: 59.1 percent for TOTC and 44.3 percent for DTOC. Thsee results demonstrate that the casemix index is the most importand determinant of interhospital cost variation Future research and policy implications in regard to the results of this study is envisioned in the following three areas: 1. Utilization of casemix related indices in the Medicare data systems. 2. Refinement of data for hospital cost evaluation. 3. Development of a system for reimbursement and cost control in hospitals.

• Journal of the Korean Institute of Gas
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• v.18 no.2
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• pp.81-86
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• 2014

The analysis of the cost optimization and the total demand weight of 9% Ni-steel plates for installing shell stiffeners in the side wall of the large capacity LNG storage tank are carried out in order to reduce the costs of the plates for stiffeners. This study can be possible for developing the calculation program which evaluates the bill-of-material for stiffeners to reduce the manual calculation time of tank designer, and to enable the estimation of weight and cost for various plate width. The results show that the demand weight and cost are reduced as the plate width is wider. Nevertheless, both the weight and the cost with plate width for stiffeners should be compared and evaluated to obtain the optimum cost time to time because of various cost incremental factors of plates such as transportation and handling cost, etc.

• Asian Pacific Journal of Cancer Prevention
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• v.13 no.7
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• pp.3159-3163
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• 2012

Background: For cervical cancer the epidemiological profile is poorly known in Morocco and no data is available concerning the direct medical costs. The purpose of this work is to estimate the direct cost of medical management of invasive cervical cancer during the first year after diagnosis in Morocco. Methods: The estimation of direct costs of medical management of invasive cervical cancer during the first year after diagnosis in Morocco is based on the estimation of individual cost in each stage which covers diagnosis, treatment and follow-up during first year. The cost was estimated per patient and whole cycle-set using the costs for each drug and procedure as indicated by the Moroccan National Agency for Health Insurance. Extrapolation of the results to the whole country was used to calculate the total annual cost of cervical cancer treatments in Morocco. Results: Overall approximately 1,978 new cases of cervical cancer occur each year in Morocco. The majority (82.96%) of these cases were diagnosed at a late stage (stageII or more). The cost of one case of cervical cancer depends on stage of diagnosis, the lowest cost is $382 for stageCis followed by the cost of stageIA1 for young women (< 40 years) which is $2,952. The highest cost is for stageIV, which is $7,827. The total cost of cervical cancer care for one year after diagnosis is estimated at $13,589,360. The share allocated to treatment is the most important part of the global care budget with an annual sum of $13,027,609 whereas other cost components are represented as follows: $435,694 for annual follow-up activity and $126,057 for diagnosis and preclinical staging. Conclusion: This study provides health decision-makers with a first estimate of costs and the opportunity to achieve the optimal use of available data to estimate the needs of health facilities in Morocco.

• Journal of Environmental Science International
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• v.14 no.5
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• pp.473-480
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• 2005

The cost of the construction and management of new apartment buildings was evaluated using a monetary analysis and an emergy concept to provide a new perspective regarding the housing policy of Korea. The systems of analyses were typical apartment buildings with an area of $76.03m^2$ per household in Korea built on the same size of land area. Three apartment buildings with different stories were evaluated and compared; 5-story, 15-story, and 20-story apartment buildings. The durable years of those apartments were assumed to be 40 years. The total cost of the construction and management of an apartment building was divided into three categories of construction, land purchase, and management. A 20-story apartment showed the highest cost and a 15-story apartment the lowest in the monetary cost analysis. In contrast, the emergy evaluation revealed a different pattern in the cost of construction and management, the cost increasing from a 5-story apartment to a 20-story one. This means that the higher the apartment constructed, the greater the cost in terms of real wealth. This result suggests that new evaluation methodologies like the emergy analysis should be used together with the monetary analysis to provide better insights on the national housing policy.

• Asian-Australasian Journal of Animal Sciences
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• v.8 no.5
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• pp.427-431
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• 1995

This study was carried out to investigatigate feed cost of com-manure silage and growth performance of Korean native goats which was fed com-manure silage. The average weight about 11.6 kg of twenty one Korean native male goats (4 months used to determine the effect of the feeding trial. The goats were individually reared in metabolism cages and fed diet daily of 2% of the body weight on the dry matter basis. The treatments were divided into whole crop com silage(CS silage), whole crop com ensiled with cage layer manure (CLM; Com-manure silage or MS silage) and whole crop com silage supplemented with urea at feeding time (US silage). The content of crude protein, lactic acid and the ratio of ammonia nitrogen to total nitrogen ($NH_3-N/Total$ N) in MS silage were increased from 7.7 to 14.9%, 5.7 to 7.5% and 8.2 to 16.6%, and the differences were significantly (p < 0.05) different in all observations. Total body weight gain of those goats for 90 days was 6.0 kg (66.7 g/day; MS silage 4.3 kg (47.8 g/day; US silage) and 3.9 kg (43.4 g/day; CS silage), and feed conversion of MS silage (5.98) for 90 days was increased by far the best in the other groups and decreased about 30% in proportion to CS silage. Feed cost per 1 kg MS silage (1,606 won) was the lowest (p < 0.05) in the body weight gain and cut down expenses than fed CS silage by 37% of feed cost.