• Title/Summary/Keyword: terminal cost

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Problems of the Current Referral System of the Terminal Cancer Patients in Korea (말기 암 환자의 완화 의료 연계 시스템의 문제점과 개선 방안)

  • Yun, Cho-Hee;Lee, Ju-Young;Kim, Mi-Ra;Heo, Dae-Seok
    • Journal of Hospice and Palliative Care
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    • v.5 no.2
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    • pp.94-100
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    • 2002
  • Purpose : The system to refer terminally ill patients to palliative or hospice care which ultimately give them emotional, psychological, and social support hasn't been fully developed and organized yet in Korea. The controversies concerning the current referral system are being analyzed to present the improvements. Methods : The questionnaires were asked to be filled out by family members of the 76 patients by phone interview, who were referred from the Seoul National University Hospital between April, 2001 to March, 2002. They were referred to the 35 palliative and hospice care-giving institutes and hospitals which were given questionnaires by mail. Results : Of the 76 patient's family members, 47 family members accepted to answer the questionnaire. The first thing that influence to family to determine the referral of patient was solicitation of doctors or nurses (44%). And they were influenced by allowance for the other things such as convenience of patients (32%), convenience of caring family members (24%). In the course of determining of referred institutes, responders had considered at first their dwelling area, and then fame of institutes, the place which patent had wanted to spend last hours or which is suitable for patient's funeral service, and their financial condition. Thirty-eight the 47 responders answered that they had experienced difficulties in referral procedure. The worst among difficulties was unwanted discharge, and followings were lack of information about the referred institutes, concern about patient's suffering, resistance of patient and opposition of other family members, etc. Although they expressed dissatisfaction in referral procedure, most of them answered they had been satisfied with hospice care at referred institute after referral. Merits of referral which responders counted were patient's peace, caring family's comfort and reduced cost in order. Of the 35 referred institutes, 24 institutes' staffs responded mail questionnaires and sent to us in return. Except one responder, the rest approved the referral system and thought that referred patients had been satisfied with their hospice care. And they claimed that systemic support of the government is definitely necessary. The most difficult thing which responders experienced in care of referred patients was lack of information about patients. Besides, there were patient's financial problems, lack of understanding about their institutes of patients or family, and inconvenience of terminal cancer patient's pain control. Conclusion : The development and support of the organized referral system is needed to alleviate the troubles which patients, family members, and palliative or hospice institutes and hospitals have to face through the procedure of the referral.

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Analysis of Actual State for Hospice Programs in Korea (호스피스 프로그램 운영 현황 조사)

  • Chang, Hyun-Sook;Park, Sylvia;You, Sun-Ju
    • Journal of Hospice and Palliative Care
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    • v.3 no.1
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    • pp.4-17
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    • 2000
  • Purpose : This study aimed to investigate and to evaluate the present conditions of hospice programs in Korea for supplying data useful in making policy in hospice, which is not institutionalized yet. Method : For this purpose we surveyed 59 hospice programs regarding the general characteristics, manpower, patients, services, financial conditions, and facilities. Thirty-seven hospice programs answered the questionnaires. Result : They were 11 tertiary hospitals, 11 other hospitals, 3 clinics, 12 home care hospice, and 1 freestanding hospice. Only 9 hospice programs have all of the essential professionals: physicians, nurses, social workers, clergies, and volunteers. In some hospice programs, volunteers who had not been trained for hospice provided services to terminal patients. More than half of the hospice said they provided services to the patients who lost their consciousness and were not suitable for hospice care. 16% of the hospice said they did not keep the patients' record. Some hospitals including tertiary hospitals provided such intensive care as radiotherapy, TPN, injections to hospice patients. Many hospice programs other than hospitals didn't charge patients for hospice care. 60% of the hospice said they suffered from financial problems. Most of the hospice wards were not built for hospice use at first. So they did not have such supplementary facilities as dayroom, waiting room, special bathing facilities etc. Conclusion : For improving the quality of terminal patients and promoting the cost effective use of health care resources, it is necessary to consider the institutionalization of hospice. The institutionalization of hospice programs can improve the quality of hospice care and the standardization of the hospice program can hasten its institutionalization.

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Analysis of Overseas LNG Bunkering Business Model (해외 LNG벙커링 비즈니스 모델 분석)

  • Kim, Ki-Dong;Park, So-Jin;Choi, Kyoung-Sik;Cho, Byung-Hak;Oh, Yong-Sam;Cho, Sang-Hoon;Cha, Keunng-Jong;Cho, Won-Jun;Seong, Hong-Gun
    • Journal of the Korean Institute of Gas
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    • v.22 no.1
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    • pp.37-44
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    • 2018
  • As the international Maritime Organization is tightening up the emission regulation vessel, many countries and companies are pushing ahead the LNG fuel as one of long term solution for emission problems of ship. as a study on the way to conduct business for LNG bunkering around the world, this study was analyzed in view-point of business models focused on major countries such as Japan, China, Singapore, Europe and United States. The results of this study are as follows. China first established a nation-centered LNG bunkering policy. And then, the state and the energy company have been cooperating and carrying on LNG bunkering business for LNG fueled ships. Some countries in Europe and United States are in the process of LNG bunkering business mainly with private company. To obtain cheaper LNG fuel than bunker-C, the private company has a business model of LNG bunkering on their own LNG fueled ships, while securing LNG with high price competitiveness through partnership with middle class operators such us LNG terminal and natural gas liquefaction plant. Also, the LNG bunkering business around the world is focused on private companies rather than public corporations, but it was going to be focused on large energy companies because the initial cost required to build LNG bunkering infrastructure. Three models (TOTE model, Shell model, ENGIE model) of LNG bun kering business are currently being developed. It has been found that the way in which LNG bunkering business is implemented by different countries is applied differently according to the enterprise and national policy.

The Evaluation Analysis of Competitiveness among Ports in ASEAN & Korea - An Application of HFP Model - (HFP방법을 적용한 ASEAN과 한국항만의 경쟁력 평가분석)

  • 김진구;전일수
    • Proceedings of the Korean Association for Survey Research Conference
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    • 2003.06a
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    • pp.140-160
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    • 2003
  • The purpose of this study is to identify and evaluate the competitiveness of ports in ASEAN(Association of Southeast Asian Nations), which plays a leading role in basing the hub of international logistics strategies as a countermeasure in changes of international logistics environments. This region represents most severe competition among Mega hub ports in the world in terms of container cargo throughput at the onset of the 21st century. The research method in this study accounted for over lapping between attributes, and introduced the HFP method that can perform mathematical operations. The scope of this study was strictly confined to the ports of ASEAN, which cover the top 100 of 350 container ports that were presented in Containerization International Yearbook 2002 wi th reference to container throughput. The results of this study show Singapore in the number one position. Even compared with major ports in Korea (after getting comparative ratings and applying tile same data and evaluation structure), the number one position still goes to Singapore and then Busan(2) and Manila(2), followed by Port Klang(4), Tanjung Priok(5), Tanjung Perak(6), Bangkok(7), Inchon(8), Laem Chabang(9) and Penang(9). In terms of the main contributions of this study, it is the first empirical study to apply the combined at tributes of detailed and representative attributes into the advanced HFP model which was enhanced by the KJ method to evaluate the port competitiveness in ASEAN. Up-to-now, none have comprehensively conducted researches with sophisticated port methodology that has discussed a variety of changes in port development and terminal transfers of major shipping lines. Moreover, through the comparative evaluation among major ports in Korea and ASEAN, the presentation of comparative competitiveness for Korean ports is a great achievement in this study. In order to reinforce this study, it needs further compensative research, including cost factors which could not be applied to modeling the subject ports by lack of consistently qualified data in ASEAN.

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The Implementation of Remote Meter Reading System Using Bluetooth Technology & SkT3 Protocol in CDMA (블루투스와 CDMA의 SMS프로토콜을 이용한 원격 가스 검침 시스템의 구현)

  • 김종현;김영길
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2003.05a
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    • pp.443-446
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    • 2003
  • This paper implement Remote Meter Reading System which is used Bluetooth and SMS in CDMA. This System propose system which tan detect a total amount of gas, electricity or water without a meterman, at home BlueTooth is a close range wireless communication technology which uses a wireless frequency 2.4GHz and has a high trust and self error correction technology according to a low power consumption quality and a high-speed frequency hopping. This makes get a high trust concerning a data transmission than an existing modem. In addition, though wireless modem is restricted by a minimal of a wireless terminal, it will be possible to coincide with the function of the portable with the low power consumption quality by using Bluetooth. And as the system on a chip of module progresses, the possibility of the small size is present. Nowadays, SMS Protocol in CDMA for have a network function based on PPP in CDMA Phone. The proposed Remote Meter Reading System to get more nobility, efficiency, and have good function. SMS Protocol in CDMA have profits which is low power, low cost, and low microwave output.

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A Study to Solve Empty Container Return Problems in Gyeongin Province - Focusing on Uiwang ICD and Incheon Port - (경인지역 내 효율적인 공 컨테이너 반납처리 방안 연구 - 의왕ICD와 인천항을 중심으로 -)

  • Shin, Chul-Hwan;Moon, Ha-Yeon;Park, Jin-Hee
    • Journal of Navigation and Port Research
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    • v.40 no.6
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    • pp.459-468
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    • 2016
  • The decreasing number of import and export containers is causing a problem with container circulation. In particular, this problem has reached a serious level in the Gyeongin area. Empty containers are accumulating in the Gyeongin container yard, where most of the returned containers are stored. In order to improve the empty container return problem at Gyeonhin, this study analyzes the actual situation and the empty container return process. A preference survey was conducted to suggest solutions from the perspective of users rather than shippers. A logistics company's data was analyzed to identify the inefficient cost structure in the Gyeongin area. The results show that the empty container return problem in Gyeongin is becoming more and more serious. To solve this problem, this paper proposes reestablishing functions at the Incheon Port, and securing a third new storage terminal in the Gyeongin area. Finally, an efficient empty container circulation system is presented. It will also be necessary to prepare laws and institutions to ensure these solutions.

Design of Integrated Management System for Electronic Library Based on SaaS and Web Standard

  • Lee, Jong-Hoon;Min, Byung-Won;Oh, Yong-Sun
    • International Journal of Contents
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    • v.11 no.1
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    • pp.41-51
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    • 2015
  • Management systems for electronic library have been developed on the basis of Client/Server or ASP framework in domestic market for a long time. Therefore, both service provider and user suffer from their high cost and effort in management, maintenance, and repairing of software as well as hardware. Recently in addition, mobile devices like smartphone and tablet PC are frequently used as terminal devices to access computers through the Internet or other networks, sophisticatedly customized or personalized interface for n-screen service became more important issue these days. In this paper, we propose a new scheme of integrated management system for electronic library based on SaaS and Web Standard. We design and implement the proposed scheme applying Electronic Cabinet Guidelines for Web Standard and Universal Code System. Hosted application management style and software on demand style service models based on SaaS are basically applied to develop the management system. Moreover, a newly improved concept of duplication check algorithm in a hierarchical evaluation process is presented and a personalized interface based on web standard is applied to implement the system. Algorithms of duplication check for journal, volume/number, and paper are hierarchically presented with their logic flows. Total framework of our development obeys the standard feature of Electronic Cabinet Guidelines offered by Korea government so that we can accomplish standard of application software, quality improvement of total software, and reusability extension. Scope of our development includes core services of library automation system such as acquisition, list-up, loan-and-return, and their related services. We focus on interoperation compatibility between elementary sub-systems throughout complex network and structural features. Reanalyzing and standardizing each part of the system under the concept on the cloud of service, we construct an integrated development environment for generating, test, operation, and maintenance. Finally, performance analyses are performed about resource usability of server, memory amount used, and response time of server etc. As a result of measurements fulfilled over 5 times at different test points and using different data, the average response time is about 62.9 seconds for 100 clients, which takes about 0.629 seconds per client on the average. We can expect this result makes it possible to operate the system in real-time level proof. Resource usability and memory occupation are also good and moderate comparing to the conventional systems. As total verification tests, we present a simple proof to obey Electronic Cabinet Guidelines and a record of TTA authentication test for topics about SaaS maturity, performance, and application program features.

Study on Analysis of Difference in Preference of Stakeholders in Port Gyeongin Using Conjoint Analysis (컨조인트 분석을 활용한 경인항 이해관계자의 선호도 차이분석에 관한 연구)

  • Park, Jong-Min;YANG, Tae-Hyeon;Park, Sung Hoon;Yeo, Gi-Tae
    • Journal of Navigation and Port Research
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    • v.44 no.1
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    • pp.10-19
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    • 2020
  • Port Gyeongin was developed as a multi-functional port equipped with container and general port facilities and could be linked with nearby tourist attractions. However, it has experienced difficulties from the limitation of being a small port, duplicating functions, and lacking an interlink with nearby ports. Nonetheless, resident companies that need logistics facilities in Port Gyeongin or nearby ports process specific import and export goods such as wood, steel, and industrial products through Port Gyeongin because of the characteristics of the port. From this perspective, it is critical to establish a measure to promote Port Gyeongin through utility analysis of the stakeholders in Port Gyeongin. In this regard, the purpose of this study was to analyze the preference of stakeholders in Port Gyeongin using conjoint analysis and propose a difference in the preference of the stakeholders. Study results show that the terminal group, shippers, and tenant companies considered the berthing capacity, incentive scale, and port logistics cost as the most critical matters, respectively. The stakeholders in Port Gyeongin should recognize the difference in critical matters, and be equipped with shipper discovery and institutional arrangement according to the characteristics of Port Gyeongin such as cooperation with related institutions and inter-collaboration between operating companies to promote Port Gyeongin.

Study on Review of e-Call Introduction Plan and Analysis of Introduction Effect (e-Call 도입방법 및 도입 효과분석 연구)

  • Han, Kyeung-hee;Hwang, Jae-Seong;Kim, Do-Kyeong;Lee, Choul-Ki
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.18 no.6
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    • pp.211-221
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    • 2019
  • The death toll for every 10,000 cars registered in Korea is 1.4, which is still the lowest among OECD members, and the need for rescue and response systems is emerging. In response, the company is developing a vehicle ICT-based emergency rescue system (e-Call) that can handle accidents such as rapid and accurate life saving by automatically sending accident detection and related information to the central center in the event of a traffic accident. However, ordinary citizens are negative about the installation and cost of e-Call services. To solve these problems, various introduction and operation methods of e-Call were proposed for activation of terminal distribution. In addition, the effect of introducing e-Call was analyzed by predicting the penetration rate of e-Call terminals. Analysis shows that 463 to 926 deaths and 3,335 to 6,66.9 billion won will be saved in 10 years after the introduction of e-Call terminals.

A Hybrid Search Method of A* and Dijkstra Algorithms to Find Minimal Path Lengths for Navigation Route Planning (내비게이션 경로설정에서 최단거리경로 탐색을 위한 A*와 Dijkstra 알고리즘의 하이브리드 검색법)

  • Lee, Yong-Hu;Kim, Sang-Woon
    • Journal of the Institute of Electronics and Information Engineers
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    • v.51 no.10
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    • pp.109-117
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    • 2014
  • In navigation route planning systems using A* algorithms, the cardinality of an Open list, which is a list of candidate nodes through which a terminal node can be accessed, increases as the path length increases. In this paper, a method of alternately utilizing the Dijkstra's algorithm and the A* algorithm to reduce the cardinality of the Open list is investigated. In particular, by employing a depth parameter, named Level, the two algorithms are alternately performed depending on the Level's value. Using the hybrid searching approach, the Open list constructed in the Dijkstra's algorithm is transferred into the Open list of the A* algorithm, and consequently, the unconstricted increase of the cardinality of the Open list of the former algorithm can be avoided and controlled appropriately. In addition, an optimal or nearly optimal path similar to the Dijkstra's route, but not available in the A* algorithm, can be found. The experimental results, obtained with synthetic and real-life benchmark data, demonstrate that the computational cost, measured with the number of nodes to be compared, was remarkably reduced compared to the traditional searching algorithms, while maintaining the similar distance to those of the latter algorithms. Here, the values of Level were empirically selected. Thus, a study on finding the optimal Level values, while taking into consideration the actual road conditions remains open.