• Title/Summary/Keyword: physical cost

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Workload Measurement of Home Health Care Nurses상 Services using Relative Value Units (가정간호행위 업무량의 상대적 가치 측정에 관한 연구)

  • 이태화;박정숙;김인숙
    • Journal of Korean Academy of Nursing
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    • v.30 no.6
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    • pp.1543-1555
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    • 2000
  • Home health care is moving into a set of new realities. An era of competition and cost containment has arrived. Before nurses are able to contain costs or describe the relationship between nursing activities, cost must be accurately measured based on the nurse's workload. Nurses in home health care usually desire to measure expenses for one of three reasons : reimbursement, management, or research. The purpose of the study was to investigate the work input by Registered Nurse in each of the home health care activities by relative value units and identify the factors affecting the nurses' total work input in health care services. To measure the work input by nurses, work was defined by four dimensions: time, physical effort, mental effort, and stress. This study used a descriptive-correlational design. Data collection consisted of two phases. In phase I, data on home health activities performed by nurses were collected. In phase II, data on nurses' time, physical effort, mental effort, and stress in each of home health care activities discovered phase I were collected. In this method, the respondent was asked to rate a service in relation to a reference service using a ratio scale. The sample included 39 home health care nurses. The results of the study indicated that home health care activities performed by the nurses were in 10 categories and 69 items. Measuring the relative work inputs in each of home health care activities, and foley catheterization was selected as the reference to service. In terms of time and physical effort dimensions, full bath service was rated as the most strenuous among 69 activities by the respondents, and intramuscular injection was rated as least. It was found that emergency treatment required the highest mental effort and the highest stress, while blood sugar tests required the lowest mental effort. Approximately 91.3% of the variance in total work input was accounted for by the linear combination of time, physical effort, mental effort judgement, and stress. Examining the regression coefficients of those variables, physical effort, time, and stress were found as the predictors which were significantly associated with the total work of nurses in home health care. Professional nursing's next step in the conundrum of economic volatility is to develop a tool to reflect the interaction of functional deficiency and direct professional nursing care. And this will be a more accurate predictor of nursing resource use and ultimately a great forcaeter cost.

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Economic Impact Analysis of the Ready-Operational Physical Properties Laboratory on Geoscience and Mineral Resources (지질자원 연구개발을 위한 상시가동 물성실험실 구축의 경제적 파급효과 분석)

  • Ahn, Eun-Young;Lee, Sang-Kyu
    • Economic and Environmental Geology
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    • v.40 no.6
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    • pp.805-814
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    • 2007
  • To offer R&D infrastructure on geoscience and mineral resources area, a new project was launched in KIGAM to build-up of a 'Ready-Operational Physical Properties Laboratory'. In this study, we evaluate the economic impact of the concentration of physical properties measurements equipment and facilities in KIGAM. As centralization of physical properties measurements of earth samples, the direct effects, annual measurement cost reduction and equipment opportunity cost are expected 1,095 million Won (US$1.095 million) and 1,440 million Won (US$1.440 million) in present aspects, and 1,110 million Won (US$1.110 million) and 1,527 million Won (US$1.527 million) in future aspects. The indirect economic effect by increasing of the relative papers is estimated 7,524 million Won (US$7.524 million) by the input cost approach, and the contributions of gross domestic product are 8,010 billion Won (US$8.010 billion) in the heavy construction industry and 260 billion Won (US$0.260 billion) in the mining and quarrying industry.

QoS-, Energy- and Cost-efficient Resource Allocation for Cloud-based Interactive TV Applications

  • Kulupana, Gosala;Talagala, Dumidu S.;Arachchi, Hemantha Kodikara;Fernando, Anil
    • IEIE Transactions on Smart Processing and Computing
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    • v.6 no.3
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    • pp.158-167
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    • 2017
  • Internet-based social and interactive video applications have become major constituents of the envisaged applications for next-generation multimedia networks. However, inherently dynamic network conditions, together with varying user expectations, pose many challenges for resource allocation mechanisms for such applications. Yet, in addition to addressing these challenges, service providers must also consider how to mitigate their operational costs (e.g., energy costs, equipment costs) while satisfying the end-user quality of service (QoS) expectations. This paper proposes a heuristic solution to the problem, where the energy incurred by the applications, and the monetary costs associated with the service infrastructure, are minimized while simultaneously maximizing the average end-user QoS. We evaluate the performance of the proposed solution in terms of serving probability, i.e., the likelihood of being able to allocate resources to groups of users, the computation time of the resource allocation process, and the adaptability and sensitivity to dynamic network conditions. The proposed method demonstrates improvements in serving probability of up to 27%, in comparison with greedy resource allocation schemes, and a several-orders-of-magnitude reduction in computation time, compared to the linear programming approach, which significantly reduces the service-interrupted user percentage when operating under variable network conditions.

Effects of Treadmill Gait Training on Gait Patterns in Hemiplegic Patients comparison with conventional gait training (편마비 환자에서 트레드밀 보행훈련이 보행에 미치는 효과 - 지면 보행훈련과의 비교 -)

  • Kim, Hee-Hyun;Hur, Jin-Gan;Yang, Young-Ae
    • Journal of Korean Physical Therapy Science
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    • v.10 no.2
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    • pp.17-28
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    • 2003
  • The aim of this study was to investigate the effects of treadmill gait training on the functional characteristics and the temporal-distance parameters of gait in hemiplegic patients, as compared with conventional gait training. The subjects of this study were 32 hemiplegic patients who had been admitted or were visited out-patients at Kangdong Sacred Heart Hospital, Hallym University, from March 3 through April 25, 2003. These subjects were randomly divided into treadmill gait training group or conventional gait training group. We evaluated the gait ability, motor functions, muscle strength, spasticity, physiological cost index, and temporal-distance parameters. We analyzed the changes between pre and post training in each groups, and the difference between two groups. Temporal-distance parameters were obtained using the ink footprint method and then energy consumption using physiological cost index. The results were as follows: 1. After a six-week training, treadmill gait training group significantly improved, as. compared to pre-training, in gait ability, motor functions for the leg and trunk and gross function, muscle strength of the lower limb, gait speed, cadence, step length both on the affected and on the unaffected side, step length symmetry, and energy consumption(p<0.05). 2. After a six-week training, conventional gait training group significantly improved, as compared to pretraining, in gait ability, motor functions for the leg and trunk, muscle strength of the lower limb, spasticity the upper limb, gait speed, cadence, step length both on the affected and on the unaffected side, and energy consumption(p<0.05). 3. After a six-week training, the treadmill gait training group significantly improved, as compared to the conventional gait, training, in gait speed and step length on the unaffected side. These results show that treadmill gait training was improved gait speed and step length on the unaffected side of hemiplegic patients, as compared with conventional gait training. Further research is needed to confirm the generalization of these findings and to identify which hemiplegic patients might benefit from treadmill gait training.

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Effect of a Workplace-Based Work-Conditioning Program on Management of Work-Related Musculoskeletal Disorders

  • Lee, Won-Hwee;Ha, Sung-Min;Kim, Su-Jung;Park, Kyue-Nam;Cheong, Sung-Dae;Kim, Si-Hyun;Weon, Jong-Hyuck;Cynn, Heon-Seock;Kwon, Oh-Yun
    • Physical Therapy Korea
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    • v.17 no.4
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    • pp.61-68
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    • 2010
  • The purpose of this study was to investigate the effects of a workplace-based work-conditioning program (WCP) on the management of work-related musculoskeletal disorders (WRMDs) in an automobile-parts manufacturing company. In total, 1,110 subjects with WRMDs participated in workplace-based WCP emphasizing function-centered management and ergonomics. We investigated the incidence of WRMDs variables (number of persons diagnosed with industrial accident-related WHMDs, number of cases of WRMD) and financial benefits (cost of workers' compensation insurance and lost work days related to WRMDs) per year before and after WCP. Additionally, we compared self-reported pain intensity and functional disability in subjects with musculoskeletal pain before and after the WCP. Pain intensity was measured using a visual analog scale (VAS), and functional disability was measured by the neck disability index (NDI) and the Oswestry disability Index (ODI). The number of person diagnosed with industrial accident-related WRMDs, the number of cases of WRMD, the cost of workers' compensation insurance and lost work days related to WRMDs per year decreased by 51%, 37%, 34%, and 47%, respectively, and VAS, NDI, and ODI scores decreased significantly after implementation of WCP (p<.05). Thus, the results of the present study suggest that function-centered, workplace-based WCP was effective in managing WRMDs at an automobile-parts manufacturing company.

Development of Physical Computing Curriculum in Elementary Schools for Computational Thinking (컴퓨팅 사고력 향상을 위한 초등 피지컬 컴퓨팅 교육과정 개발)

  • Kim, Jaehwi;Kim, Dongho
    • Journal of The Korean Association of Information Education
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    • v.20 no.1
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    • pp.69-82
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    • 2016
  • Block-based educational programming language(EPL) is commonly used due to its availability at low or no cost. It is also preferred tool of computing education due to its intuitive design, ease-of-use and its effectiveness in increasing algorithmic thinking abilities especially in elementary students. Physical computing is also necessary because it brings students closer to real-world problem solving by connecting the real world with the computing environment. However, due to high-cost and required knowledge in electrical engineering, many schools find the education difficult to access. The study shows significant increase in computational thinking abilities in both groups treated with EPL and additional physical computing education.

A Study for the Physical Properties of Artificial Admixtured with β-NSF Base & Vinsol Base Surfactants (β-NSF계와 빈졸계 계면활성제로 변성된 인조석의 물성)

  • Cho, Heon-young;Park, Seong-ki;Suh, Jung-mok;Kim, Jin-man
    • Applied Chemistry for Engineering
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    • v.10 no.4
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    • pp.592-598
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    • 1999
  • Exterior finishing materials of artificial stones are manufactured with the mixture of water, cement, stone powder and light-weight aggregate. In this research, we tried to find a way of increasing the physical properties and decreasing the manufacturing cost of artificial stone. So, we used ${\beta}$-NSF base surfactant and vinsol base surfactant to the artificial stone mixture instead of light-weight aggregate. The optimum dosage of the ${\beta}$-NSF and vinsol surfactants for artificial stone are found to be 1.0 wt % of cement, respectively. The physical properties increased ca. 20% and the durability for freezing & thawing of the new artificial stone increased ca. 300%. While the manufacturing cost of the new artificial stone decreased as much as 30%.

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The Analysis of Differences in Pulmonary Functions, Jerk Cost, and Ground Reaction Force Depending on Professional and Amateur Dancers in Korea Dance (한국무용 숙련자와 미숙련자에 따른 폐기능, 부드러움, 그리고 지면반력의 차이 분석)

  • Park, Yang-Sun;Kim, Mee-Yea;Lee, Sung-Ro
    • Korean Journal of Applied Biomechanics
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    • v.24 no.4
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    • pp.349-357
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    • 2014
  • The purpose of this study was to examine the differences in the performance of dancing motions depending on the level of skill by investigating pulmonary functions, ground reaction force, and jerk cost. The subjects of this study were 12 professional dancers (career: 16 yrs) and 12 amateur dancers (career: 9 yrs) who had similar physical conditions. We selected four motion phases which included the diagonal line motion, the deep flexion motion, the breath motion, and the turn motion with one leg after a small step walking motion, with Goodguri Jangdan. In the experiment, 6 infrared cameras were installed in order to analyze the value of the jerk costs and the force plate form. Finally, we measured the pulmonary functions of the subjects. For data analysis, independent t-tests according to each event, were carried out in the data processing. According to the results of FVC % Predicted, the professional dancers showed greater lung capacities than the amateur dancers, indicating that the level of dancing skill influences lung capacity. Based on the result of the balance test, the professional dancers used more vertical power than did the amateur dancers when performing maximal flexion motion. The professional dancers used a propulsive force of pushing their body forward by keeping the center of body higher while the amateur dancers used a braking power by keeping their bodies backward. When performing medial-lateral movements, the amateur dancers were less stable than the professional dancers. There were no differences in values of jerk costs between the amateur dancers and the professional dancers.

Anti-corrosion impact of green synthesis of Silica nanoparticles for the sports structures in physical exercise activities

  • Zhixin Zhang;Zhiqiang Cai;Khidhair Jasim Mohammed;H. Elhosiny Ali
    • Advances in concrete construction
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    • v.15 no.1
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    • pp.41-46
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    • 2023
  • Sport has no age limit and can be done anywhere and in any condition with minimal equipment. The existence of sports spaces in all parts of the world is considered a citizen's right. One of the activities carried out in this field is installing sports equipment and structures in parks and encouraging citizens to use this equipment for physical health with the least cost and facilities. Installing sports structures in open spaces such as parks is a practical step for developing citizens' sports. Although using devices in parks is acceptable, it is more critical to meet scientific and technical standards. The components of these structures must have high strength and endurance against changes in environmental conditions such as humidity, temperature difference, and corrosion. Among the various causes of material degradation, corrosion has always been one of several fundamental causes of metal equipment failure. Sports structures in open spaces are not safe from corrosion. Uniform corrosion is the most common type of corrosion. This corrosion usually occurs uniformly through a chemical or electrochemical reaction across the surface exposed to the corrosive environment. Rust and corrosion of outdoor sports structures are examples of this corrosion. For this reason, in this research, with the green synthesis of silica nanoparticles and its application in outdoor sports structures, the life span of these structures can be increased for the use of physical exercises as well as their quality.

Characteristics of the Economic Repair Time of the Components in Public Rental Housing

  • Lee, KangHee;Chae, ChangU
    • KIEAE Journal
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    • v.15 no.1
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    • pp.69-75
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    • 2015
  • Building has required the repair money to improve or maintain the decent living condition continuously after construction. It needs to grasp the building deterioration to decide the scope and contents before it is repaired. Under various conditions such as physical, social and financial constraints, the repair plan would be prepared. Among constraints, the cost is indispensible to specify the repair time, repair scope and target. The required cost would be planned to preparation over the years. In this paper, it aimed at providing the repair strategy of the public rental housing in repair time, using the cumulative cost model which is $3^{rd}$ function. In the $3^{rd}$ function, the inflection point should exist in the line. And there are two types in the cumulative model, First, if the maximum cost be shown, the repair time would be provided. Second, if the maximum cost not be shown, the cumulative function should be proportionally increased and the repair strategy is properly provided with a short cycle. In results of this study, 11 items would provide the repair time. These cumulative function would be repaired about 4 years after constructed, and after about 4 years, the cumulative function would be continuously increased.