• 제목/요약/키워드: reduction number

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의료기관 운영요인과 환경요인이 진료비 삭감율에 미치는 영향에 관한 연구 (Study of Management and Environmental Factors Affecting Medical Expense Reduction)

  • 양유정
    • 디지털융복합연구
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    • 제10권11호
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    • pp.493-502
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    • 2012
  • 본 연구는 진료비 삭감율에 영향을 미치는 의료기관의 운영요인과 환경요인이 무엇인지 알아보기 위한 연구로 삭감율을 최초 삭감율과 최종 삭감율로 구분하고, 진료비는 입원과 외래로 구분하여 조사 연구 하였다. 연구의 자료는 전국 병원급 이상 독립된 보험심사부서의 부서장을 대상으로 직접 설문조사를 통해 얻어진 205부의 설문지를 최종 분석 자료로 이용하였다. 본 연구의 결과는 다음과 같다. 진료비 최초 삭감율과 최종 삭감율에 대한 집단 간의 차이를 분석한 결과 입원의 의료기관 운영요인은 보유 병상, 총 진료과, 보험심사 인력, 총 직원수에 유의한 결과를 보였으며, 외래는 의무기록 운영형태, 보유병상, 총 진료과, 보험심사인력, 총 직원수에 유의한 결과를 보였다. 진료비 삭감율에 영향을 미치는 의료기관의 운영요인은 최초 삭감과 최종 삭감이 동일하게 입원은 병상수가 높을수록, 외래는 전자의무기록을 시행할수록 유의한 결과를 보였다. 진료비 삭감율에 영향을 미치는 의료기관의 환경요인은 최초 삭감과 최종 삭감이 동일하게 입원은 업무협조가 잘 될수록, 지표관리를 시행할수록, 시간외 수당이 지급될수록 유의한 결과를 보였다. 외래의 경우 진료비 최초 삭감은 지표관리를 시행할수록, 진료비 관련 위원회를 구성하여 운영할수록 유의한 결과를 보였으며, 최종 삭감은 업무협조가 잘 될수록, 지표관리를 시행할수록, 시간외수당이 지급될수록 유의한 결과를 보였다.

난류 채널 내 냉·열판 부착에 의한 마찰저항 감소 (Drag Reduction in Turbulent Channel flow with Periodically Arrayed Heating and Cooling Strips)

  • 윤현식;전호환
    • 대한조선학회논문집
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    • 제42권6호
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    • pp.608-618
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    • 2005
  • A new technique giving significant drag reduction in turbulent shear flows has been proposed by using the buoyancy effect to generate periodic spanwise motion. Such spanwise motion can be obtained by arranging heating and cooling strips periodically aligned in the spanwise direction of a vertical channel, where the streamwise mean flow is perpendicular to the gravity vector The strip size has been changed in order to obtain the optimum size corresponding to the maximum drag reduction. The bulk Reynolds number, $ Re_{m} = U_{m} \delta / \nu \$ is fixed at 2270 while Grashof numbers is changed between $10^{6}$ to $10^{7}$. As Grashof number increases, considerable drag reduction can be obtained, At the highest Grashof number, an optimum strip size of about 250 wail units gives drag reduction of about 35$\%$. The greater the Grashof number, the smaller the strip size attains the maximum drag reduction.

영상진단 수가 변화가 의료공급자 진료행태에 미치는 영향: 전산화단층영상진단 검사건수를 중심으로 (The Impact of Diagnostic Imaging Fee Changes to Medical Provider Behavior: Focused on the Number of Exams of Computed Tomograph)

  • 조수진;김동환;윤은지
    • 보건행정학회지
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    • 제28권2호
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    • pp.138-144
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    • 2018
  • Background: Diagnostic imaging fee had been reduced in May 2011, but it was recovered after 6 months because of strong opposition of medical providers. This study aimed to analyze the behavior of medical providers according to fee changes. Methods: The National Health Insurance claims data between November 2010 and December 2012 were used. The number of exams per computed tomography was analyzed to verify that the fee changes increased or decreased the number of exams. Multivariate regression model were applied. Results: The monthly number of exams increased by 92.5% after fee reduction, so the diagnostic imaging spending were remained before it. But medical provider decreased the number of exams after fee return. After adjusting characteristic of hospitals, fee reduction increased the monthly number of exams by 48.0% in a regression model. Regardless type of hospitals and severity of disease, the monthly number of exams increased during period of fee reduction. The number of exams in large-scaled hospitals (tertiary and general hospital) were increased more than those of small-scaled hospitals. Conclusion: Fee-reduction increased unnecessary diagnostic exams under the fee-for-service system. It is needed to define appropriate exam and change reimbursement system on the basis of guideline.

ANALYSIS OF PRIVACY-PRESERVING ELEMENT REDUCTION OF A MULTISET

  • Seo, Jae-Hong;Yoon, Hyo-Jin;Lim, Seong-An;Cheon, Jung-Hee;Hong, Do-Won
    • 대한수학회지
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    • 제46권1호
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    • pp.59-69
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    • 2009
  • The element reduction of a multiset S is to reduce the number of repetitions of an element in S by a predetermined number. Privacy-preserving element reduction of a multiset is an important tool in private computation over multisets. It can be used by itself or by combination with other private set operations. Recently, an efficient privacy-preserving element reduction method was proposed by Kissner and Song [7]. In this paper, we point out a mathematical flaw in their polynomial representation that is used for the element reduction protocol and provide its correction. Also we modify their over-threshold set-operation protocol, using an element reduction with the corrected representation, which is used to output the elements that appear over the predetermined threshold number of times in the multiset resulting from other privacy-preserving set operations.

TORSION POINTS OF ELLIPTIC CURVES WITH BAD REDUCTION AT SOME PRIMES II

  • Yasuda, Masaya
    • 대한수학회보
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    • 제50권1호
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    • pp.83-96
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    • 2013
  • Let K be a number field and fix a prime number $p$. For any set S of primes of K, we here say that an elliptic curve E over K has S-reduction if E has bad reduction only at the primes of S. There exists the set $B_{K,p}$ of primes of K satisfying that any elliptic curve over K with $B_{K,p}$-reduction has no $p$-torsion points under certain conditions. The first aim of this paper is to construct elliptic curves over K with $B_{K,p}$-reduction and a $p$-torsion point. The action of the absolute Galois group on the $p$-torsion subgroup of E gives its associated Galois representation $\bar{\rho}_{E,p}$ modulo $p$. We also study the irreducibility and surjectivity of $\bar{\rho}_{E,p}$ for semistable elliptic curves with $B_{K,p}$-reduction.

A Classification Method Using Data Reduction

  • Uhm, Daiho;Jun, Sung-Hae;Lee, Seung-Joo
    • International Journal of Fuzzy Logic and Intelligent Systems
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    • 제12권1호
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    • pp.1-5
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    • 2012
  • Data reduction has been used widely in data mining for convenient analysis. Principal component analysis (PCA) and factor analysis (FA) methods are popular techniques. The PCA and FA reduce the number of variables to avoid the curse of dimensionality. The curse of dimensionality is to increase the computing time exponentially in proportion to the number of variables. So, many methods have been published for dimension reduction. Also, data augmentation is another approach to analyze data efficiently. Support vector machine (SVM) algorithm is a representative technique for dimension augmentation. The SVM maps original data to a feature space with high dimension to get the optimal decision plane. Both data reduction and augmentation have been used to solve diverse problems in data analysis. In this paper, we compare the strengths and weaknesses of dimension reduction and augmentation for classification and propose a classification method using data reduction for classification. We will carry out experiments for comparative studies to verify the performance of this research.

Dimensionality reduction for pattern recognition based on difference of distribution among classes

  • Nishimura, Masaomi;Hiraoka, Kazuyuki;Mishima, Taketoshi
    • 대한전자공학회:학술대회논문집
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    • 대한전자공학회 2002년도 ITC-CSCC -3
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    • pp.1670-1673
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    • 2002
  • For pattern recognition on high-dimensional data, such as images, the dimensionality reduction as a preprocessing is effective. By dimensionality reduction, we can (1) reduce storage capacity or amount of calculation, and (2) avoid "the curse of dimensionality" and improve classification performance. Popular tools for dimensionality reduction are Principal Component Analysis (PCA), Linear Discriminant Analysis (LDA), and Independent Component Analysis (ICA) recently. Among them, only LDA takes the class labels into consideration. Nevertheless, it, has been reported that, the classification performance with ICA is better than that with LDA because LDA has restriction on the number of dimensions after reduction. To overcome this dilemma, we propose a new dimensionality reduction technique based on an information theoretic measure for difference of distribution. It takes the class labels into consideration and still it does not, have restriction on number of dimensions after reduction. Improvement of classification performance has been confirmed experimentally.

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3차원 표면 가시화를 위한 다각형 감소 알고리즘 (Polygon Reduction Algorithm for Three-dimensional Surface Visualization)

  • 유선국;이경상;배수현;김남현
    • 대한전기학회논문지:시스템및제어부문D
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    • 제53권5호
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    • pp.368-373
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    • 2004
  • Surface visualization can be useful, particularly for internet-based education and simulation system. Since the mesh data size directly affects the downloading and operational performance, the problem that should be solved for efficient surface visualization is to reduce the total number of polygons, constituting the surface geometry as much as Possible. In this paper, an efficient polygon reduction algorithm based on Stokes' theorem, and topology preservation to delete several adjacent vertices simultaneously for past polygon reduction is proposed. The algorithm is irrespective of the shape of polygon, and the number of the polygon. It can also reduce the number of polygons to the minimum number at one time. The performance and the usefulness for medical imaging application was demonstrated using synthesized geometrical objects including plane. cube. cylinder. and sphere. as well as a real human data.

NUMBER OF THE NONTRIVIAL SOLUTIONS OF THE NONLINEAR BIHARMONIC PROBLEM

  • Jung, Tacksun;Choi, Q-Heung
    • Korean Journal of Mathematics
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    • 제18권2호
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    • pp.201-211
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    • 2010
  • We investigate the number of the nontrivial solutions of the nonlinear biharmonic equation with Dirichlet boundary condition. We give a theorem that there exist at least three nontrivial solutions for the nonlinear biharmonic problem. We prove this result by the finite dimensional reduction method and the shape of the graph of the corresponding functional on the finite reduction subspace.

Non-absorbable Gas Effects on Heat and Mass Transfer in Falling Film Absorption

  • Kim, Byongjoo;Lee, Chunkyu
    • Journal of Mechanical Science and Technology
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    • 제17권4호
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    • pp.581-589
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    • 2003
  • Film absorption involves simultaneous heat and mass transfer in the gas-liquid system. While the non-absorbable gas does not participate directly In the absorption process. its pretence does affect the overall heat and mass transfer. An experimental study was performed to investigate the heat and mass transfer characteristics of LiBr-H$_2$O solution flow ing over 6-row horizontal tubes with the water vapor absorption in the pretence of non-absorbable gases. The volumetric concentration of non-absorbable gas, air, was varied from 0.17 to 10.0%. The combined effects of the solution flow rate and its concentration on the heat and mass transfer coefficients were also examined. The presence of 2% volumetric concentration of air resulted in a 25% reduction in the Nusselt number and 41% reduction in the Sherwood number Optimum film Reynolds number was found to exist at which the heat and mass transfer reach their maximum value independent of air contents. Reduced Nusselt and Sherwood numbers. defined as the ratio of Nusselt and Sherwood numbers at given non-absorbable gas content to that with pure water vapor, were correlated to account for the reduction in the heat and mass transfer due to non-absorbable gases in a falling film absorption process.