• Title/Summary/Keyword: total resource requirements

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Variation of Hospital Costs and Product Heterogeneity

  • Shin, Young-Soo
    • Journal of Preventive Medicine and Public Health
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    • v.11 no.1
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    • pp.123-127
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    • 1978
  • The major objective of this research is to identify those hospital characteristics that best explain cost variation among hospitals and to formulate linear models that can predict hospital costs. Specific emphasis is placed on hospital output, that is, the identification of diagnosis related patient groups (DRGs) which are medically meaningful and demonstrate similar patterns of hospital resource consumption. A casemix index is developed based on the DRGs identified. Considering the common problems encountered in previous hospital cost research, the following study requirements are estab-lished for fulfilling the objectives of this research: 1. Selection of hospitals that exercise similar medical and fiscal practices. 2. Identification of an appropriate data collection mechanism in which demographic and medical characteristics of individual patients as well as accurate and comparable cost information can be derived. 3. Development of a patient classification system in which all the patients treated in hospitals are able to be split into mutually exclusive categories with consistent and stable patterns of resource consumption. 4. Development of a cost finding mechanism through which patient groups' costs can be made comparable across hospitals. A data set of Medicare patients prepared by the Social Security Administration was selected for the study analysis. The data set contained 27,229 record abstracts of Medicare patients discharged from all but one short-term general hospital in Connecticut during the period from January 1, 1971, to December 31, 1972. Each record abstract contained demographic and diagnostic information, as well as charges for specific medical services received. The 'AUT-OGRP System' was used to generate 198 DRGs in which the entire range of Medicare patients were split into mutually exclusive categories, each of which shows a consistent and stable pattern of resource consumption. The 'Departmental Method' was used to generate cost information for the groups of Medicare patients that would be comparable across hospitals. To fulfill the study objectives, an extensive analysis was conducted in the following areas: 1. Analysis of DRGs: in which the level of resource use of each DRG was determined, the length of stay or death rate of each DRG in relation to resource use was characterized, and underlying patterns of the relationships among DRG costs were explained. 2. Exploration of resource use profiles of hospitals; in which the magnitude of differences in the resource uses or death rates incurred in the treatment of Medicare patients among the study hospitals was explored. 3. Casemix analysis; in which four types of casemix-related indices were generated, and the significance of these indices in the explanation of hospital costs was examined. 4. Formulation of linear models to predict hospital costs of Medicare patients; in which nine independent variables (i. e., casemix index, hospital size, complexity of service, teaching activity, location, casemix-adjusted death. rate index, occupancy rate, and casemix-adjusted length of stay index) were used for determining factors in hospital costs. Results from the study analysis indicated that: 1. The system of 198 DRGs for Medicare patient classification was demonstrated not only as a strong tool for determining the pattern of hospital resource utilization of Medicare patients, but also for categorizing patients by their severity of illness. 2. The wei틴fed mean total case cost (TOTC) of the study hospitals for Medicare patients during the study years was $11,27.02 with a standard deviation of $117.20. The hospital with the highest average TOTC ($1538.15) was 2.08 times more expensive than the hospital with the lowest average TOTC ($743.45). The weighted mean per diem total cost (DTOC) of the study hospitals for Medicare patients during the sutdy years was $107.98 with a standard deviation of $15.18. The hospital with the highest average DTOC ($147.23) was 1.87 times more expensive than the hospital with the lowest average DTOC ($78.49). 3. The linear models for each of the six types of hospital costs were formulated using the casemix index and the eight other hospital variables as the determinants. These models explained variance to the extent of 68.7 percent of total case cost (TOTC), 63.5 percent of room and board cost (RMC), 66.2 percent of total ancillary service cost (TANC), 66.3 percent of per diem total cost (DTOC), 56.9 percent of per diem room and board cost (DRMC), and 65.5 percent of per diem ancillary service cost (DTANC). The casemix index alone explained approximately one half of interhospital cost variation: 59.1 percent for TOTC and 44.3 percent for DTOC. Thsee results demonstrate that the casemix index is the most importand determinant of interhospital cost variation Future research and policy implications in regard to the results of this study is envisioned in the following three areas: 1. Utilization of casemix related indices in the Medicare data systems. 2. Refinement of data for hospital cost evaluation. 3. Development of a system for reimbursement and cost control in hospitals.

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Valuation of Willingness to Pay for Forest Fire Prevention (산불 예방(豫防)을 위한 지불의사금액(支拂意思金額) 평가(評價))

  • Kim, Seong Il;Hong, Sung Kwon;Kim, Jae Jun;Kim, Tong Il
    • Journal of Korean Society of Forest Science
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    • v.90 no.4
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    • pp.573-581
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    • 2001
  • The purposes of this study are to estimate mean willingness to pay (WTP) for preventing forest fires by contingent valuation method (CVM), and to calibrate the variables affecting WTP. The forest fire prevention fund was utilized as a payment vehicle to elicit respondents' willingness to pay (WTP). A total of 500 adults who reside in Seoul Metropolitan area were selected by two-stage cluster sampling and conducted the face-to-face interview. The scenario was designed to meet the requirements for double-bounded dichotomous choice CVM. More than half of the respondents (64.6%) have a willing to pay for the fund. The mean WTP was \4,532. Therefore a total WTP for the population was \34,165,758,000. The calibration of Weibull proportional hazard model showed that education level, environmental conservation intention and negative consciousness about the effect of forest fire were independent variables strongly influencing the WTP.

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Small Ruminants: Imperatives for Productivity Enhancement Improved Livelihoods and Rural Growth - A Review

  • Devendra, C.
    • Asian-Australasian Journal of Animal Sciences
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    • v.14 no.10
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    • pp.1483-1496
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    • 2001
  • Small ruminants form an important economic and ecological niche in small farm systems and agriculture. Their current low level of contribution is dismal, and is not commensurate with the potential capacity for higher levels of production. The context for productivity enhancement and increased socio-economic contribution relates to large sizes of small ruminant populations; wide distribution across various agro-ecological zones and production systems; and diversity of breeds, where 66% of all goat and 57% of sheep breeds in Asia are found in China, India and Pakistan. The advantages and disadvantages of small ruminants over larger ruminants are enumerated with reference to adaptation and environment, small size, production systems and products and interactions with the environment. Discussion focuses especially on efficiency of meat production and niche markets for higher-priced goat meat, and inefficient marketing systems given an estimated 40-45% loss of income to farmers presently. Increasing the quantity of meat produced is related to live weight and the total number of animals at Slaughter, which in turn, depend on the total number of offsprings weaned and lifetime productivity. At the national level, priority attention is essential to build up numbers in concerted breeding programmes, selection for efficiency of reproduction and meat production, and improvements to make traditional markets and marketing systems to respond to the changing environmental and consumer preferences. Post-production systems are neglected and improvements are associated with collection, handling, marketing, slaughter facilities and consumer requirements. Potential opportunities to expand and benefit from integrating small ruminants into annual and perennial cropping systems remain largely unexplored. Important development imperatives include choice of species and better use of available breeds, appropriate production systems that match available feed resources, and linkages between production, products and by-products to markets. Affirmative action is necessary, backed by official policy support, institutional commitment and increased resource use, that can target poverty and directly benefit the poor, and shift subsistence production to a more market-oriented opportunity. These efforts together constitute the challenges for both the owners and producers of small ruminants in the immediate future, as also the will to accelerate increased productivity, improve their livelihoods and promote rural growth.

Risk Management System based on Grid Computing for the Improvement of System Efficiency (시스템 효율성 증대를 위한 그리드 컴퓨팅 기반의 위험 관리 시스템)

  • Jung, Jae-Hun;Kim, Sin-Ryeong;Kim, Young-Gon
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.16 no.1
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    • pp.283-290
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    • 2016
  • As the development of recent science and technology, high-performance computing resources is needed to solve complex problems. To reach these requirements, it has been actively studied about grid computing that consist of a huge system which bind a heterogeneous high performance computing resources into on which are geographically dispersed. However, The current research situation which are the process to obtain the best results in the limited resources and the scheduling policy to accurately predict the total execution time of the real-time task are very poor. In this paper, in order to overcome these problems, we suggested a grid computing-based risk management system which derived from the system structure and the process for improving the efficiency of the system, grid computing-based working methodology, risk policy module which can manage efficiently the problem of the work of resources(Agent), scheduling technique and allocation method which can re-allocate the resource allocation and the resources in problem, and monitoring which can manage resources(Agent).

A Study on the Quality of Tuber silage of Jerusalem Artichoke ( Helianthus tuberosus L. ) (배합사료를 혼합한 돼지감자 ( Helianthus tuberosus L. ) 사일리지 제조시험)

  • 고영두;안병관
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.7 no.3
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    • pp.157-161
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    • 1987
  • In order to utilize the tuber of Jerusalem artichoke (Jerusalem tuberosus L.) which has been considered one of the most economical resources for bioenergy, the tubers of the plant were processed into silage in 11 lab-silo with three levels of mixture of concentrates i.e. 10, 20, 30%. The silage was stored for 20 to 40 days before analyses. The quality of silage was compared with those of the tube-only silage without concentrates. Aproximate composition, pH, ammonium nitrogen, total nitrogen, and organic acids were analyzed. The results obtained are summarized ; 1. With the mixture of concentrates, the water content of the silage was able to be adjusted to 70 percent and NDF significantly increased (P<0.05) while ADF significantly decreased. 2. The content of water-soluble carbohydrate (WSC) was significantly decreased in silages of the mixture of concentrate and the tuber (P<0.05), while total nitrogen and ammonium nitrogen increased. 3. Tube-only silage gave satisfaction in fermentation, particularly organic-acid fermentation. As the storage period extended, Flieg's score of the silage was improved. Conclusively, the tuber of Jerusalem artichoke found to satisfy the requirements of good silage and to be recommended as a good resource for all-inane silage provided the tuber was ensilaged with 20 to 30 percent concentrate.

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Economic Rationale of Compensating Balance Requirements and Its Impact on Money Supply (「꺾기」의 경제학(經濟學)과 통화량(通貨量) 효과분석(效果分析))

  • Jwa, Sung-hee
    • KDI Journal of Economic Policy
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    • v.14 no.1
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    • pp.89-119
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    • 1992
  • This paper purports to analyze the economic rationale of compensating balance requirements and its impact on money supply. This practice has recently been severely criticized for artificially increasing the money supply and, therefore, limiting the nation's aggregate lending policy under the tight constraint of the given money supply target. A review of the existing literature implies that compensating balance requirements is a banking practice which leads to corrections in the distortion of financial resource allocation due to the imperfection of financial market stemming from asymmetric information and/or financial regulations on deposit and lending rates. Therefore, the economic rationale of this practice is deemed to improve the efficiency of financial resource allocation. On the other hand, the macroeconomic impact of compensating balance requirements on the money supply depends on the impact on the money multiplier, which in turn depends on the desired ratio of deposit that people wish to maintain on the money borrowed from the banking system, and on the desired reserve ratio that the banking system would like to hold for deposit withdrawal. If the compensating balance requirements could increase the desired ratio of deposit to borrowing (bank lending), it will increase the available amount of total reserve within the banking system and, in turn, the money multiplier. However, this channel has not been fully analyzed in the literature, and the direction of the effect is ambiguous. If the practice could reduce the turn-over rate of deposit and, thereby, reduce the desired reserve ratio of the banking system, then it will also increase the money multiplier. While this channel operates unambiguously toward increasing the money multiplier, this effect will be limited by the extent that the banking system holds the excess reserve over the required reserve because the excess reserve will set the maximum amount for the desired reserve to fall. This paper tries to determine the effect on the money supply by empirically estimating the multiplier and the desired ratio of deposit to lending equations as functions of the ratio of compensating balance to the related lending, which is not observable and is estimated for the regression purpose. The results suggest that the effect of compensating balance requirements on the money supply in Korea does not exist or is very tenuous even if it could operate. Therefore, this paper concludes that the well publicized policy of cross cancelling the compensating balance and the related lending will not be effective at controlling the money supply and increasing the amount of loans without expanding the money supply.

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An Implementation of Component-based Franchise Management System (컴포넌트 기반의 프랜차이즈 본부 경영 관리시스템의 구현)

  • Seo, Jeong-Min;Kim, Sam-Keun
    • Journal of the Korea Society of Computer and Information
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    • v.10 no.6 s.38
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    • pp.299-308
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    • 2005
  • Recently, the standardization and computerization of franchise management have been necessitated from the specialization of industrial areas and the diversification of customer requirements. The existing ERP(Enterprise Resource Planning) systems are commercially used, but usually are restrictive solutions about manufactured goods and inventory management. etc. In this Paper, we propose an effective franchise management system Franchiser X1(FX1), which is a total component-based franchise management system for effectively supporting franchise management works, including the recruit of franchisees, the management of franchisees, consulting, education and A/S, bill collecting, and so on.

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Comparison of Biomass and Oil Content of Chlorella sp., Nannochloris sp., and Botryococcus braunii in the Mixotrophic Conditions using Glycerol (글리세롤을 이용한 복합영양소에서 Chlorella sp., Nannochloris sp.와 Botryococcus braunii 의 바이오매스 생산량과 오일 함유량 비교)

  • Choi, Hee-Jeong
    • Journal of Korean Society on Water Environment
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    • v.30 no.5
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    • pp.469-476
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    • 2014
  • The focus of this study was to observe the growth of Chlorella sp., Nannochloris sp., and Botryococcus braunii under mixotrophic conditions (i.e., added glycerol) with the aim of increasing the growth of biomass and algae oil content. A significant growth of biomass was obtained when grown in glycerol rich environment comparing to autotrophic conditions. 5 g/L glycerol yielded the highest biomass concentration for these strains. Mixotrophic conditions improved both the growth of the microalgae and the accumulation of triacylglycerols (TAGs). The maximum amount of TAG in Botryococcus braunii was reached in the growth medium with 10 g/L glycerol and Chlorella sp., Nannochloris sp. with 2 g/L glycerol. The content of saturated fatty acids of Chlorella sp., Nannochloris sp., and Botryococcus braunii was found to be 34.94, 14.23 and 13.39%, and the amount of unsaturated fatty acids was 65.06, 85.78 and 86.61% of total fatty acids, respectively. The fatty acid profiles of the oil for the culture possibility met the necessary requirements and are, therefore, promising resource for biofuel production.

Comparision of Farm Management between Land Owners and Tenants -Cash Income and Expenditure Analysis in Chungnam Province- (자작농(自作農)과 소작농(小作農)의 경영성과(經營成果) 비교(比較) -충남지역(忠南地域) 현금수지분석(現金收支分析)-)

  • Kim, Jai Hong
    • Korean Journal of Agricultural Science
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    • v.13 no.2
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    • pp.289-298
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    • 1986
  • This paper aims at identifying the positive economic effects of the tenant system. Increasing numbers of tenant farms is one of the characteristic aspects of Korean agriculture. They have increased 3.7 percent annually since 1960. At the end of 1985, 64.7 percent of the Korean farmers leased partly or entirely the farm land which they managed, and 30.5 percent of the total arable area was cultivated under the tenant system. To find out the difference in performance of management between land owners and tenants, 600 farm households were selected as samples throughout Chungnam province. Among those sampled were 300 land owners and 300 tenants. Tenants defined this paper include not only full tenants but also part tenants. The results of this study are summarized as; First, rice is the main income resource of tenant farms. Due to their rental charges, the marketable surplus of farm products might be lower than that of land owners. Whereas 40 percent of the landowners income is from rice production, the tenants income from rice production is 43 percent. Second, tenants continue to depend on more agricultural wage incoms and more double crop incomes in paddy fields than land owners. Third, like most poor people in the third world, they have maximized their incomes and minimized their expenditures by saving management costs. Finally, there was no interlinking between landlords and tenants especially related to credit supports. Most farmers in the surveyed area have met their credit requirements from agricultural cooperatives.

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Coverage Enhancement in TDD-OFDMA Downlink by using Simple-Relays with Resource Allocation and Throughput Guarantee Scheduler (TDD-OFDMA 하향링크에서의 단순 릴레이를 이용한 자원 할당과 수율 보장 스케줄러를 사용한 서비스 커버리지 향상에 관한 연구)

  • Byun, Dae-Wook;Ki, Young-Min;Kim, Dong-Ku
    • Journal of Advanced Navigation Technology
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    • v.10 no.3
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    • pp.275-281
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    • 2006
  • Simple-relay aided resource allocation (SRARA) schemes are incorporated with throughput guarantee scheduling (TGS) in IEEE 802.16 type time division duplex - orthogonal frequency division multiple access (TDD-OFDMA) downlink in order to enhance service coverage, where the amount of resources for relaying at each relay is limited due to either its available power which is much smaller than base station (BS) power or the overhead required for exchanging feedback information. The performance of SRARA schemes is evaluated with schedulers such as proportional fair (PF) and TGS at 64kbps and 128kbps user throughput requirements when total MS power is set to 500mW or 1 W. For 64kbps throughput requirement level, more improvement comes from relay than scheduler design. For 128kbps case, it comse from scheduler design than relay due to the fact that simple relay can't help using strictly limited amount of resources for relaying function.

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