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Analyses of the Efficiency in Hospital Management (병원 단위비용 결정요인에 관한 연구)

  • Ro, Kong-Kyun;Lee, Seon
    • Korea Journal of Hospital Management
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    • v.9 no.1
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    • pp.66-94
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    • 2004
  • The objective of this study is to examine how to maximize the efficiency of hospital management by minimizing the unit cost of hospital operation. For this purpose, this paper proposes to develop a model of the profit maximization based on the cost minimization dictum using the statistical tools of arriving at the maximum likelihood values. The preliminary survey data are collected from the annual statistics and their analyses published by Korea Health Industry Development Institute and Korean Hospital Association. The maximum likelihood value statistical analyses are conducted from the information on the cost (function) of each of 36 hospitals selected by the random stratified sampling method according to the size and location (urban or rural) of hospitals. We believe that, although the size of sample is relatively small, because of the sampling method used and the high response rate, the power of estimation of the results of the statistical analyses of the sample hospitals is acceptable. The conceptual framework of analyses is adopted from the various models of the determinants of hospital costs used by the previous studies. According to this framework, the study postulates that the unit cost of hospital operation is determined by the size, scope of service, technology (production function) as measured by capacity utilization, labor capital ratio and labor input-mix variables, and by exogeneous variables. The variables to represent the above cost determinants are selected by using the step-wise regression so that only the statistically significant variables may be utilized in analyzing how these variables impact on the hospital unit cost. The results of the analyses show that the models of hospital cost determinants adopted are well chosen. The various models analyzed have the (goodness of fit) overall determination (R2) which all turned out to be significant, regardless of the variables put in to represent the cost determinants. Specifically, the size and scope of service, no matter how it is measured, i. e., number of admissions per bed, number of ambulatory visits per bed, adjusted inpatient days and adjusted outpatients, have overall effects of reducing the hospital unit costs as measured by the cost per admission, per inpatient day, or office visit implying the existence of the economy of scale in the hospital operation. Thirdly, the technology used in operating a hospital has turned out to have its ramifications on the hospital unit cost similar to those postulated in the static theory of the firm. For example, the capacity utilization as represented by the inpatient days per employee tuned out to have statistically significant negative impacts on the unit cost of hospital operation, while payroll expenses per inpatient cost has a positive effect. The input-mix of hospital operation, as represented by the ratio of the number of doctor, nurse or medical staff per general employee, supports the known thesis that the specialized manpower costs more than the general employees. The labor/capital ratio as represented by the employees per 100 beds is shown to have a positive effect on the cost as expected. As for the exogeneous variable's impacts on the cost, when this variable is represented by the percent of urban 100 population at the location where the hospital is located, the regression analysis shows that the hospitals located in the urban area have a higher cost than those in the rural area. Finally, the case study of the sample hospitals offers a specific information to hospital administrators about how they share in terms of the cost they are incurring in comparison to other hospitals. For example, if his/her hospital is of small size and located in a city, he/she can compare the various costs of his/her hospital operation with those of other similar hospitals. Therefore, he/she may be able to find the reasons why the cost of his/her hospital operation has a higher or lower cost than other similar hospitals in what factors of the hospital cost determinants.

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A Study on Evaluation of the Rurality by the Distance of View (조망거리에 따른 농촌경관의 농촌다움 평가에 관한 연구)

  • Shin, Min-Ji;Shin, Ji-Hoon
    • Journal of Korean Society of Rural Planning
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    • v.21 no.2
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    • pp.63-77
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    • 2015
  • Improve the rural views of the Government and the municipalities with the intention of rural landscape planning. However, rural scenery evaluation of landscape types and element categories, landscape scenes, such as the valuation of resources selected, form a coherent system and ecological point of view is not only a Visual perspective of evaluation, or evaluation is made. This study evaluates the rural landscape through the rural landscape for rurality is implemented can explain the image. Rural amenity 100 represented the rural landscape in rurality with photos of photos, and scenes, photos, location-based rural Vista rurality landscapes drawn components. Selected landscape photography scenic landscapes in the u.s. survey and image vocabularies through surveys is representative of the landscape in rurality of each Vista location-specific photos and images began extracted factors. As a result, the Distant view is a town and village in the rolling hills of the surrounding environment is an image behind the Vista Skyline, Farmland Rural village forests, Behind the hills, Individual housing roof, Housing arrangement, The number of household includes landscape components. Factor analysis 'openness', 'intimacy', 'activity', 'complexity', 'safety' was down to five factors, such as a description of the overall factors that force was 66.45 percent. Middle distance view is close to being out of town houses and village environment, an image in the skyline hills Vista, farmlands, village forests, rolling hills, behind the scenes of the housing component of the neck, the sperm will honor an individual factor analysis results are 'intimacy', 'safety', 'openness', 'specificity', 'complexity' five factors the whole description of the capacity factors compared to 67.24 percent. Close-range view is mainly in Vista village embraced the individual elements and an image of a harmonious location in the surroundings of the sperm, individual houses, fences, gates, courtyard, Garden, garage, agricultural facilities, including, but not limited to, factors assay but an 'intimacy', 'complexity', 'safety', 'activity', 'openness' five factors, such as a description of the overall factors that force was 65.29%. This research seeks to determine the extent to which rurality of rural landscape Vista by location attributes and elements and representative officer in photo selection and rurality to extract the image. To date, followed by a comprehensive study, which was presented through the readjustment could not overlook the Visual elements. The future rural development officer for the evaluation of rural landscape classification and quantitative and objective assessment will have to come up with ways to do.

A Hole Self-Organization Real-Time Routing Protocol for Irregular Wireless Sensor Networks (비정형적인 무선 센서 네트워크에서 음영지역 자가 구성 실시간 라우팅 프로토콜)

  • Kim, Sangdae;Kim, Cheonyong;Cho, Hyunchong;Yim, Yongbin;Kim, Sang-Ha
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.39B no.5
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    • pp.281-290
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    • 2014
  • The real-time data dissemination schemes exploit the spatiotemporal commuication approach which forwards data at the delivery speed calculated with the desired time deadline and the end-to-end distance in wireless sensor networks (WSNs). In practical environments, however, the performance of the real-time data dissemination might be degraded by additional and inevitable delay due to some holes. Namely, the holes lengthen the data delivery path and the spatiotemporal approach could not estimate a distance of the data delivery path. To deal with this, we propose A Hole Self-Organization Real-time Routing Protocol for Irregular Wireless Sensor Networks. In proposed protocol, nodes around holes could detect them at deploying phase. A hole is represented as a circle with center point and radius. This hole information is processed and provided as a form of location service. When a source queries a destination location, location provider replies certain points for avoiding holes as well as destination location. Thus, the source could set desired speed toward the destination via the points. Performance evaluation shows that provides better real-time service in practical environments.

Study on Developing Program for Efficient Landscape Woody Plants Management - Mainly Focused on the Development of a Tree Inventory System - (조경수목의 효율적 관리를 위한 프로그램 개발에 관한 연구 - 관리대장(Tree Inventory) 개발을 중심으로 -)

  • 조영환;곽행구
    • Journal of the Korean Institute of Landscape Architecture
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    • v.24 no.4
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    • pp.1-22
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    • 1997
  • This paper was focused on the efficient management of landscape woody plants, and concerned itself with their important role in the urban environment. Based on the philosophy that there is nothing that can be done without an inventory, the purpose of this study was to develop an inventory system and iris proper application to a site for establishing a management plan Two different approaches were used, The first was to make a newly structured inventory system through collecting, analyzing, and evaluating various types of inventories used in Korea, the U. S. A., and Japan. The second approach was to apply a newly designed inventory system to the case study area. using GIS 'as a tool of spacial analysis and statistics for making decisions. The results could be summarized as follows; 1. In Korea, most of the Landscape Woozy Plants Inventories had datas which represented possession of trees, and only the work which they had done according to their traditional ways, There was no data related to the conditions, management needs, and site conditions of individual trees, This is essential information for organizing an inventory system . 2. There needs to be data which is balanced, containing tree characteristics and site characteristics. Through such information the management needs could be adjusted properly. The inventory list described in this paper was determined by botanical identity, placement condition, condition of tree, and types of work for maintaining as well as improving the condition of each tree One of the most important things was to determine the location data of each tree so as to compare data with other trees. The data gained from the field survey still had some problems because of lack of scientific method for supporting objective views, and because of actual situations, especially in the field of evaluating site conditions and management needs. All data should be revised to fit a computer data management system , if possible 3. The GIS(Geographic Information System) application showed good performance in handling inventory data for decision making. All the data used for the GIS application was divided into location and non-spatial data. Using the location data, it was easy to find the exact location of each tree on the monitor and on the maps generated by the computer even in the actual managed trite, along with various attribute data. Therefore it could be said that the entire management plan should start from data of individual trees with their exact locations, for making concrete management goals through actual budget planning.

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Transmission Line Based Plucked String Model (전송선로 기반 탄현 모델)

  • Lee, Jingeol;French, Mark
    • The Journal of the Acoustical Society of Korea
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    • v.32 no.4
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    • pp.361-368
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    • 2013
  • As one way to describe the behavior of a vibrating string, analogies to a transmission line have been made based on the fact that they have oppositely travelling waves on each of them. In such analogies, a rigid end to the string has been represented as an open circuit, and the displacement of the string as the current on the transmission line. However it turns out that the rigid end corresponds to a short circuit, the displacement to the voltage by the theory of the transmission line, and it is confirmed by experiments with circuit simulations. Based on these discoveries, a transmission line based plucked string model comprising a transmission line, two piecewise linear current sources, and switches is proposed. The proposed model is validated by showing that the voltage at the arbitrarily chosen location, and the voltage calculated over an infinitesimal portion at the end of the transmission line are consistent with the displacement at the corresponding location and the force on the rigid end of the string from the well known difference form of a wave equation governing the behavior of the string with its fundamental frequency tuned to that for the proposed model, respectively. Moreover, the applicability of the proposed model to modeling string and wind instruments is presented.

Numerical Analysis on the Initial Cool-down Performance Inside an Automobile for the Evaluation of Passenger's Thermal Comfort (차량 내부 탑승자의 쾌적성 평가를 위한 초기 냉방운전 성능에 대한 수치해석적 연구)

  • Kim, Yoon-Kee;Yang, Jang-Sik;Baek, Je-Hyun;Kim, Kyung-Chun;Ji, Ho-Seong
    • Transactions of the Korean Society of Automotive Engineers
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    • v.18 no.5
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    • pp.115-123
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    • 2010
  • Cool-down performance after soaking is important because it affects passenger's thermal comfort. The cooling capacity of HVAC system determines initial cool down performance in most cases, the performance is also affected by location, and shape of panel vent, indoor seat arrangement. Therefore, optimal indoor designs are required in developing a new car. In this paper, initial cool down performance is predicted by CFD(computational fluid dynamics) analysis. Experimental time-averaging temperature data are used as inlet boundary condition. For more reliable analysis, real vehicle model and human FE model are used in grid generation procedure. Thermal and aerodynamic characteristics on re-circulation cool vent mode are investigated using CFX 12.0. Thermal comfort represented by PMV(predicted mean vote) is evaluated using acquired numerical data. Temperature and velocity fields show that flow in passenger's compartment after soaking is considerably unstable at the view point of thermodynamics. Volume-averaged temperature is decreased exponentially during overall cool down process. However, temperature monitored at different 16 spots in CFX-Solver shows local variation in head, chest, knee, foot. The cooling speed at the head and chest nearby panel vent are relatively faster than at the knee and foot. Horizontal temperature contour shows asymmetric distribution because of the location of exhaust vent. By evaluating the passenger's thermal comfort, slowest cooling region is found at the driver's seat.

The apartments model house bathroom chatacteristics of plane composition classified by 'pyeong' on Seoul (서울지역 아파트 모델하우스 욕실의 평형대별 평면구성)

  • Chung, Hoe-Jin;Shin, Kyung-Joo
    • Proceedings of the Korean Institute of Interior Design Conference
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    • 2004.05a
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    • pp.123-126
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    • 2004
  • This study aims to identify the change of bathroom design characteristics through the investigation of bathroom space in apartment model houses. The bathroom space of each private exclusive area was analyzed from the plane characteristics perspective such as quantity, location, size and shape. For this study, site survey and observation was performed to analyze the characteristics of plane and design based on twenty seven model houses of seven large-sized construction firms with Seoul area focused on. Research object was restricted to from ten Pyeong's apartment to sixty Pyeong's in order to understand various characteristics of twenty seven model houses. Since analysis variables were not diverse, the main three factors - frequency, percentage and an average - were represented in Microsoft Excel worksheet, focusing on the quantity of each case, design characteristics and pattern. 1) The quantity of bathrooms: It was turned out that the quantity of bathroom was one in ten Pyeong's apartment while it was two in thirty, forty, and fifty Pyeong's apartment. There were mostly two bathrooms available in twenty Pyeong's apartment even if only one was planned in few cases. All powder rooms and dress rooms in twenty and fifty Pyeong's apartment were designed to be separated and be accessible through bedroom. 2) The size of bathrooms: As private exclusive area increased, the size of bathroom for both family and couple increased. Couple bathrooms had the tendency to be equipped with shower booth and bathtub at the same place or have more tubs than family bathrooms because couple bathrooms were bigger than family bathrooms. 3) The location of bathrooms: Couple bathrooms were usually located beyond dress rooms or powder rooms while family bathrooms were mostly located at the entrance side. 4) The shape of bathrooms: Shower booth was assumed to be in general vogue because family bathrooms, for the most part, were comprised of a flush toilet, a washstand and a shower booth. In the case of couple bathrooms, a flush toilet, a washstand, a shower booth and a tub were generally equipped in more than twenty Pyeong's apartments while a tub was not installed in twenty Pyeong's apartments.

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A Study on the Impact of Weather on Sales and Optimal Budget Allocation of Weather Marketing (날씨가 기업 매출에 미치는 영향과 날씨 마케팅 예산의 최적 할당에 관한 연구)

  • Chu, Kyounghee;Kim, Soyeon;Choi, Changhui
    • Journal of the Korean Operations Research and Management Science Society
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    • v.38 no.1
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    • pp.153-181
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    • 2013
  • Weather is an influential factor to sales of companies. There have been growing attempts with which companies apply weather to developing their strategic marketing plans. By executing weather marketing activities, companies minimize risks (or negative impacts) of weather to their business and increase sales revenues. In spite of managerial importance of weather management, there are scarce empirical studies that comprehensively investigate its impact and present an efficient method that optimally allocates marketing budget. Our research was conducted in two parts. In the first part, we investigated influences of weather on sales based on real-world daily sales data. We specifically focused on the contextual factors that were less focused in the weather related research. In the second part, we propose an optimization model that can be utilized to efficiently allocate weather marketing budget across various regions (or branches) and show how it can be applied to real industry cases. The results of our study are as follow. Study 1 investigated the impact of weather on sales using store sales data of a family restaurant company and an outdoor fashion company. Results represented that the impacts of weather are context-dependent. The impact of weather on store sales varies across their regional and location characteristics when it rains. Based on the results derived from Study 1, Study 2 proposes a method on how optimally companies allocate their weather marketing budgets across each region.

An Analysis of Regional Imbalance and Map Usage in Korean Geography Test as a Part of the College Scholastic Ability Test (수능 한국지리 문항에서의 지도활용과 출제 지역의 공간 분포 현황 분석)

  • Bae, Sunhak
    • Journal of the Korean Geographical Society
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    • v.50 no.1
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    • pp.91-103
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    • 2015
  • The purpose of this study is to investigate if there is any regional distribution difference in the frequency of geographical location's name mentioned on the SAT Korean geography test. The reviewed items were used for geography subject test in Korean SAT exam in between 2005 and 2015. Researchers analyzed how often a location had been mentioned in the form of maps, captions, and graphs in the national college entrance exam for 11 years. The result indicated that 42% out of the 220 items were using map and about 33% of them represented a specific region. Especially, items related with climate, industries, and local area section contained a specific area information more frequently than others. Moreover, there were 76 cities mentioned in geography subject test on Korean SAT exam during 11 years and 25 places among them were referred to more than three times. The most frequently appeared city was Seoul followed by Incheon, Daegu, Busan, Gangneung, and Jeju and this result shows that there were some regional bias in geography test on the SAT Korean exam.

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A FINITE ELEMENT STRESS ANALYSIS OF TOOTH AND IMPLANT SUPPORTED FIXED PARTIAL DENTURE ACCORDING TO THE LOCATION OF NON-RIGID CONNECTOR (치아 및 임플랜트 지지 고정성 국소의치의 비고정성 연결부의 위치에 따른 유한요소법적 응력분석)

  • An, Byoung-Ju;Hwang, Young-Pil;Kay, Kee-Sung;Cho, Kyu-Zong
    • The Journal of Korean Academy of Prosthodontics
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    • v.33 no.4
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    • pp.807-823
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    • 1995
  • The purpose of this study was to analyze the stress distribution and the displacement happened to the abutment, the prosthesis, and the surrounding structure according to the location of the nonrigid connector, that is, the keyway in the distal of canine and the mesial of the implant in the three unit fixed partial denture. Two-dimensional finite element model ws constructed and analyzed for the stress distribution and the displacement using software ABAQUS(Ver 5.2 Hibbitt, Karisson & Sorenson, Inc., 1992). After finishing the finite element model, the distribution load of 15kg was applied simultaneously to the all cusp tips of the prosthesis and the concentration load of 10㎏ was applied respectively at the each cusp tip of the prosthesis. The following results were obtained : 1. The amount of displacement of the implant was greater in case of the non-rigid connection than the rigid connection, and the more favorable displacement was shown in case of the IKb than the IKa. 2. Without regard to the connection method, the stress represented at the surrounding bone was similar, and the more favorabel stress distribution was shown in case of IKb. 3. The maximum stress was concentrated at the fastening screw and the neck of implant in all experimental groups, and their stress magnitudes were in the order of IKb, IR, and IKa.

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