• Health Policy and Management
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• v.15 no.4
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• pp.46-64
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• 2005

This study was conducted to verify the current criteria and classification system used to determine specialized general hospitals status. In this study, we proposed a new classification system which Is simpler and more convenient than the current one. In the new classification system clinical procedure was chosen as the unit of analysis in order to reflect all the resource consumption and the complexities and degree of medical technologies in determining specialized general hospitals. We developed a statistical model and applied this model to 117 general hospitals which claim their national insurance through electronic data interchange(EDI). Analysis based on 984 clinical procedures and medical facilities' characteristic variable discriminated specialized general hospital in present without misclassification. It means that we can determine specialized general hospital's permission In new way without using the current complicated criteria. This study discriminated specialized general hospital by the new proposed model based on clinical procedures provided by each hospital. For clustering the same types of medical facilities using 984 clinical procedures, we executed multidimensional scale analysis and divided 117 hospitals into 4 groups by two axises : a variety of procedure and the Proportion of high technology Procedure. Therefore, we divided 117 hospitals into 4 groups and one of them was considered as specialized general hospital. In discriminating analysis, we abstracted proportion of 16 clinical procedures which effect on discriminating the specialized general hospital in statistical system also we identify discriminating function which include these variables. As a result, we identify 2 discriminating functions, one is for current discriminating system and the other two is for new discriminating system of specialized general hospital.

• Journal of Preventive Medicine and Public Health
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• v.28 no.3 s.51
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• pp.640-650
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• 1995

After the introduction of National Medical Insurance in 1989, the medical demand has rapidly increased. The impact of increased medical demand was followed by an increase in the number of claims in need of review. We studied a new, fair method for reducing the number of claims reviewed. We analysed 90,583 outpatient claims submitted between September and October; claims were made for services given August of 1994. We finally suggested a screening system for claims review using a statistical method of discriminant analysis of the medical costs. The results were as follows. 1. In the cut-off group, age, days of medication, number of hospital or clinic visits, and total charge were significantly high. The cut-off rates according to the hospital-type and existence of accompanied disease were significantly different 2. According to ICD, the cut-off rate was highest in peripheral enthesopathies and allied syndromes(20.76%), lowest in acute sinusitis(0.93%). The mean charges were significantly different according to ICD and existence of cut-off. 3. We build discriminant functions by ICD with such discriminant variables as patient age, sex, existence of accompanied disease, number of hospital or clinic visits, and 9 detailed hospital or clinic charges included in claim. 4. We applied the discriminant function for screening those claims that were expected to be cut-off. The sensitivities comprised from 40% to 70%, and specificities from 70% to 95% by ICD. Acute rhinitis had highest sensitivity(100.00%) and other local infections of skin and subcutaneous tissue had highest specificity(98.45%). The expected number of cut-off was 17,762(19.61%). The total sensitivity was 49.62%, the total specificity was 82.57% and the error rate was 19.66%. We lacked economic analysis such as cost-benefit analysis. But, if the new method of screening claims using discriminant analysis were applied, the number of claims in need of review will reduce considerably.

• Journal of dental hygiene science
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• v.13 no.2
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• pp.115-124
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• 2013

Recently, there have been improvements in diagnostic methods for the assessment of early caries lesions. The reason is that dental professionals are seeking methods to reliably detect incipient dental caries and to remineralize them. This review examines the literature on principles, theoretical background, and history of the Quantitative Light-Induced Fluorescence (QLF) system (Inspektor Research Systems BV, The Netherlands). Furthermore, this paper discusses the potential application of QLF system to clinical practice for educational purpose, enabling dental hygiene students to perform oral health assessment using the QLF system. In addition, the clinical application of QLF system can motivate patients by providing additional visual information about caries and bacterial activity. The evidences on validity and reliability of the QLF system for detection of longitudinal changes in de/remineralization and caries were examined. The QLF system is capable of monitoring and quantifying mineral changes in early caries lesions. Therefore, it can be used to assess the impacts of caries preventive measures on the remineralization and reversal of the caries process. And the QLF system is a very promising equipment to assess educational effectiveness for dental hygiene students in their learning process. In conclusion, the QLF system is the most effective technology for more sensitive staging of caries and treatment without surgical intervention.

• Proceedings of the KIEE Conference
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• 2009.07a
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• pp.2061_2062
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• 2009

Within serviced period of time in transformer, thermal stress is the most influential parameter affecting the aging behavior of an insulation system. The thermal stress on the insulation system may occur from operation in a high temperature environment due to Joule's heat at winding coils. This paper describes a development of capacitive sensor and preventive diagnosis techniques for electrical insulating oil, widely used for power and distribution transformer. To survey the dielectric properties of the virgin and used mineral insulating oil, we utilized the highly precise measuring system of KRISS. And the results were used to determine the design factors of the sensor. To evaluate diagnosis by the sensor, we performed accelerated aging test about insulating oils. The condition of aged specimens were investigated by measurements of relative permittivity i.e. capacitance change by capacitive sensor.

• Proceedings of the KIEE Conference
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• 2001.07c
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• pp.1623-1625
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• 2001

This paper describes a monitoring program for a substation preventive diagnostic system. The monitoring program announces the condition of the transformer and GIS like normal, warning, abnormal and danger from the absolute value of data or change trend to user. The developed system is operating in 345kV U-Ryung substation for performance and environment tests.

• Journal of the Korea Safety Management & Science
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• v.7 no.2
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• pp.1-12
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• 2005

TPM(Total Productive Management) that is enforcing introducing more than $80\%$ in domestic manufacturing industry is using total plant efficiency by the evaluation index, and as a result, can see a lot of examples that plant productivity is increased. This study's purpose centers total productive management activities that is management system for total plant efficiency's maximization, plant information system that total productive management activities factor that is enforcing in manufacturing industry can develop evaluation model that can evaluate qualitative activities by quantitative activities in process that maximize total plant efficiency wishes to do design.

• Proceedings of the KSR Conference
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• 2008.11b
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• pp.1539-1544
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• 2008

There is a existing study dealing with the case that the effect of preventive maintenances to restore the door system is imperfect. When the effect of the preventive maintenance is imperfect, we need to consider the maintenance effect for making reliable and economical maintenance policies. The maintenance policies applicable for imperfect maintenance cases are considered and their effectiveness are evaluated through simulation in cases of passenger door system:PDS.

• Journal of Preventive Medicine and Public Health
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• v.31 no.4 s.63
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• pp.628-643
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• 1998

To investigate the exposure levels of organic solvents and subjective symptoms of dry-cleaning workers, 77 male and 52 female dry-cleaning workers who had been worked in a small city of Chungnam province, and a large city, Taejon were selected for the study group. Air concentrations of organic solvents in the working environment were analyzed, and subjective symptoms of dry-cleaning workers were surveyed, from July to August 1996. The results obtained were as follows : 1. The concentrations of organic solvents in the working environment were within permissible TLV-TWA limits. 2. For the 13 symptom clusters, the most frequently complained symptom clusters were fatigue as 71.3%, and followed by depression and urinary disturbances as 53.5% and 51.9%. Other symptom clusters complained were below 50%. 3. Positive response rates of subjective symptoms were significantly higher in worker groups such as lived in a large city, female, higher education level, more frequently alcohol drinking, higher concentration of organic solvent in working environment, work in alone. 4. Workers who had used solvent B showed 2.3 point higher scores of subjective symptoms than those of solvent A. Of the subjective symptoms scores, amnesia and nervousness were higher in solvent B user group than solvent B user group. 5. As a result of factor analysis, 3 factors such as depression, urinary disturbance and neurologic disturbance were selected. 6. As a result of the logistic regression analysis, sex, the number of fellow workers, working time, region, job tenure, smoking, alcohol drinking, ventilating system, concentration of organic solvent in working environment and place of residence were selected for the related variables. For the conclusion, even though the concentrations of organic solvents in the working environments of dry-cleaning workers were within permissible limit of TLV-TWA, many dry-cleaning workers complained symptoms, such as fatigue, depression, urinary disturbances and so on. And the factors affecting to the symptoms of dry-cleaning workers were the number of fellow workers, work hours, region, job tenure, smoking and alcohol drinking.

• Journal of the Korean Data and Information Science Society
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• v.19 no.2
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• pp.587-596
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• 2008

This paper develops the optimal periodic preventive maintenance policies following the expiration of warranty: renewing warranty and non-renewing warranty. After the warranty period is expired, the system undergoes the PM periodically and is minimally repaired at each failure between two successive PMs. Firstly, we determine the expected cost rate per unit time and the expected downtime per unit time for the periodic PM model. Then the overall value function suggested by Jiang and Ji(2002) is applied to obtain the optimal PM period and the optimal PM number. Finally, the numerical examples are presented for illustrative purpose.

• The Korean Nurse
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• v.25 no.2 s.135
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• pp.72-79
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• 1986

The present health system with its emphasis on the patient in hospital and with specialized medical services, is not equipped to provide health maintenance and preventive care to society. Community generated medical facilities to provide preventive and lo