• Journal of Preventive Medicine and Public Health
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• 제45권3호
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• pp.127-136
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• 2012

The challenge facing the Korean National Health Insurance includes what to spend money on in order to elevate the 'value for money.' This article reviewed the changing issues associated with quality of care in the Korean health insurance system and envisioned a picture of an effective pay-for-performance (P4P) system in Korea taking into consideration quality of care and P4P systems in other countries. A review was made of existing systematic reviews and a recent Organization for Economic Cooperation and Development survey. An effective P4P in Korea was envisioned as containing three features: measures, basis for reward, and reward. The first priority is to develop proper measures for both efficiency and quality. For further improvement of quality indicators, an electronic system for patient history records should be built in the near future. A change in the level or the relative ranking seems more desirable than using absolute level alone for incentives. To stimulate medium- and small-scale hospitals to join the program in the next phase, it is suggested that the scope of application be expanded and the level of incentives adjusted. High-quality indicators of clinical care quality should be mapped out by combining information from medical claims and information from patient registries.

• 한국항공운항학회지
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• 제21권1호
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• pp.80-86
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• 2013

In an effort to decrease aviation accident worldwide, development of aviation safety management has been sought through aviation index and standardization, both by establishing SMS(Safety Management System). It also needs to be done in the domestic. both study on SMS which ICAO recommends and setting the top priority safety goal, each differently classified by nations. Accordingly, defining safety index and developing continuous monitoring approach. Aircraft accident reporting system in Air Force does not operate in a open approach method due to its uniqueness related to mission achievement. Therefore, limits of utilizing the recent worldwide aircraft data sharing and analyzing results to prevent accident is inevitable. This paper introduces an overview of ECCAIRS 5 which become the standard for the recent worldwide aviation safety reporting and data exchange system. Also using ECCAIRS 5, aircraft accident cases of the Air Force are classified such as accident type, year, month, occurrence category, and flight phase. The result of the study will provide a guide line for utilizing the civil system in prevention of future military aviation accidents.

• 한국주조공학회지
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• 제15권5호
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• pp.459-468
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• 1995

For high performance aerospace structures, the properties of highest priority are low density, high strength, and high stiffness(modulus of elasticity). Addition of beryllium decrease the density of the aluminum alloy and increase the strength and the stiffness of the alloy. However it is very difficult to produce the Al-Be alloy having useful engineering properties by conventional ingot casting, because of the extremely limited solid solubility of beryllium in aluminum. So, rapid solidification processing is necessary to obtain extended solid solubility. In this study, rapidly solidified Al-6 at% Be alloy were prepared by twin roll melt spinning process and single roll melt spinning process. Twin roll melt spun ribbons were extruded at $450^{\circ}C$ with reduction in area of 25 : 1 after vacuum hot pressing at $550^{\circ}C and 375^{\circ}C$. The microstructure of melt spun ribbon exhibited a refined cellular microstructure with dispersed Be particles. As advance velocity of liquid/solid interface increase, the morphology of Be particle vary from rod-like type to spherical type and the crystal structure of Be particle from HCP to BCC. These microstructural characteristics of rapidly solidified Al-6at.%Be alloy were described on the basis of metastable phase diagram proposed by Perepezko and Boettinger. The extruded ribbon consisted of recrystallized grains dispersed with Be particles and exhibited improved tensile property compared with that of extruded ingot.

• 한국통신학회논문지
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• 제21권6호
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• pp.1480-1489
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• 1996

In ATM networks there are two methods in traffic control as schemes advancing the quality of service. One is reactive control after congestion and the other which is generally recommended, is preventive control before congestion, including connection admission control on call leel and usage parameter control, network parameter control, priority control and congestion control on cell level. In particular, usage parameter control is required for restricting the peak cell rate of bursy tracffic to the parameter negotiated at call set-up phase since the peak cell rate significantly influences the network quality of service. The scheme for progressing quality of service by usage parameter control is themethod using VSA(Virtual Scheduling Algorlithm) recommended ITU-T. The method using VSSA(Virtual Scheduling Suggested Algorlithm) in this paper is suggested by considering cell delay variation and token rate of leaky bucket, compared VSA and VSANT(Virtual Scheduling Algolithm with No Tolerance) with VSSA which polices violated cell probability of conformed peak cell rate and intentionally excessive peak cell rate. VSSA method using IPP(Interruped Poisson Process) model of input traffic source showed more quality of service than VSA and VSANT methods as usage parameter control because the suggested method reduced the violated cell probability of contformed peak cell rate and intentionally excessive peak cell rate.

• 한국전산구조공학회:학술대회논문집
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• 한국전산구조공학회 2007년도 정기 학술대회 논문집
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• pp.725-730
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• 2007

A framework of multi layered database is proposed for the integrated operation of civil infrastructure information in this study. The multi-layered database is a logically integrated database composed of standardized information layers. The framework of multi-layered database is defined by three axes, national assets, lifetime, and data levels. The axis of national assets indicates civil infrastructures such as bridges, dams, tunnels and power plants that can be considered as national key structures. The axes of lifetime and data levels indicate the standardized information layers generated from the life-phase of civil infrastructure and the priority of data in the information layers, respectively. The standardized information layers are basically composed of reusable data sets defined by information models. A prototype of standard database for steel bridges is constructed based on the framework as a proof of concept. Demonstration examples such as data consistency check and automatic generation of a FEA model show that the proposed concept can assure the sustainable interoperability of civil infrastructure information as well as design information of steel bridges.

• 한국전기전자재료학회논문지
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• 제20권12호
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• pp.1099-1104
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• 2007

In order to develop non-heated STAl(super thermal resistant Aluminum alloy) for ampacity gain conductor, the systematic research was carried out. Especailly, the effect of a very small amount of Zr, Sc element in EC grade Al ingot on mechanical and electrical properties was our priority. As a result, it was found that the strength and recrystallization temperature of designed alloy was gradually increased with Zr, Sc addition up to 0.3 wt.%. However, the electric conductivity showed no drastic change. The tensile strength and recrystalliztion temperature, $17.75{\sim}20.05\;kgf/mm^2$ and $420{\sim}520\;^{\circ}C$, was obtained at 0.3 wt.% Zr, Sc addition, respectively. Particles of the $Al_3Zr$ and $Al_3Sc$ phase affected the ambient and elevated-temperature strength of the alloys.

• 대한안전경영과학회지
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• 제4권4호
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• pp.109-118
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• 2002

Such effects would be paid off in the right way only when management of the firms perform marketing activities focusing on long term effectiveness, which would drive company profits up and keep them for long. Demands of customers are being changed and varied. In this result with the advantage of mass marketing and database marketing have been drawing attentions from company. To fulfill these demands of customer, they need a concept of eCRM(Web based Customer Relationship Management), and go from selling products and services, or gathering customer requests, up to the phase of solving customer's problem by real time or previous action. With the help of internet, the frequency and speed of the problem solving has improved greatly. For these purposes, we try to determine the most important and most urgent factors in eCRM: utilization by using SN Ratio Decision making, one of the Multi-criteria decision-making methods SN Ratio Decision making is widely used for determining relative magnitude per evaluation item, i. e. priority on problems and is expected to make more systematic and objective evaluations than conventional methods do. Even in the present situation where any general criterion on eCRM dose not exist, utilization of eCRM is expected to be actively continued, which will cause many problems. In this regard, evaluating eCRM counts.

• 한국환경과학회지
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• 제16권3호
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• pp.247-253
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• 2007

Polycyclic aromatic hydrocarbons (PAHs) are a major concern because of their potential mutagenic and carcinogenic risks to human beings. One of these harmful, yet commonly observed PAHs is pyrene. Pyrene is one of the 16 PAHs listed by the United States Environmental Protection Agency as priority pollutants. The purposes of this research are to develop a method of pretreatment for PAH contaminants prior to a typical biological treatment and to demonstrate the biodegradablity of these compounds. Since pyrene is non-polar, hexane was chosen as a solvent to effectively dissolve pyrene. Pyrene solutions were treated with ozone, as it has hish oxidation capacity and electrophilic character. The intermediates and byproducts of pyrene were dissolved in alkaline water at pH 11.4 and neutralized to test for $BOD_5$, COD, and toxicity. These solutions were further ozonated and assessed of biodegradability. The first-order rate constant to was found to be between $0.121day^{-1}$ and $0.081 day^{-1}$, depending on the duration of reozonation. The $BOD_5/COD$ ratio was found to 0.66. The toxicity test showed that after 10 min of reozonation time, the byproducts and intermediates of pyrene were within the lion-toxic range of ${\pm}10%$ inhibition for E-Coli bacteria.

• 한국항공운항학회지
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• 제16권1호
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• pp.18-28
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• 2008

The purpose of this study is leading to prevent the major causes of commercial-aviation fatalities about controlled-flight-into-terrain(CFIT) in approach-and-landing accidents. The paper of major analysis for controlled flight into terrain(CFIT) was Guam accident, Mokpo accident and Gimhae accident in commercial transport-aircraft accidents from 1993 through 2002. CFIT occurs when an airworthy aircraft under the control of the flight crew is flown unintentionally into terrain, obstacles or water, usually with no prior awareness by the crew. This type of accident can occur during most phases of flight, but CFIT is more common during the approach-and-landing phase. Ninety-five percent of the Guam accident, Mokpo accident, and Gimhae accident where weather was known involved IMC, fog, and rain. The paper believed that prevention for CFIT accident was education and training for flying crew and upgrade for equipment such as EGPWS, and need more research for professional organizations of airlines, and accomplishing precision approaches should be a high priority.

• 대한신경집중치료학회지
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• 제11권2호
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• pp.71-80
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• 2018

Nutritional assessment and support are often overlooked in the critically ill due to other urgent priorities. Unlike oxygenation, organ dysfunction, infection, or consciousness, there is no consensus of indicators. Making it difficult to evaluate the effectiveness of an intervention. Nevertheless, appropriate nutritional support in the critically ill has been associated with less morbidity and lower mortality. But, nutritional support has been considered an adjunct, for body weight maintenance and to help patients during the inflammatory phase of illness. Thus, it has been assigned a lower priority, compared to mechanical ventilation or hemodynamic stability. Recent findings have shown that nutritional support may prevent cellular injury due to oxidative stress and help strengthen the immune response. Large-scale randomized trials and clinical guidelines have shown a shift from nutritional support to nutritional therapy, with an emphasis on the importance of protein, minerals, vitamins, and trace elements. Nutrition is also important in neurocritically ill patients. Since there are few studies or recommendations with regard to the neurocritical population, the general recommendations for nutritional support should be applied.