• Journal of the Korea Convergence Society
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• v.9 no.1
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• pp.151-159
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• 2018

This study analyzes the impact of competitions clinics on the total treatment cost and anti-biotics prescription rate. The result of implementing the basic statistics, correlations, and regression analysis by facilitating the evaluation data by Health Insurance Review & Assessment Service in 2015 for acute otitis media in children is shown as follows. First, there is a significant difference for each si-gun-gu for the competition index between total treatment cost and clinics, but there is almost no significant difference for the anti-biotics prescription rate. Second, competition in clinics has statistically important impact on the total examination cost And, third, competition in clinics has no statistically important impact on the anti-biotics prescription rate. There is a need for additional studies on re-examination rate, treatment cost per visit and so forth in order to clarify other factors of competition for medical institutions impacting on the physician behavior in the future studies.

• Journal of Environmental Impact Assessment
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• v.22 no.6
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• pp.581-589
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• 2013

Generally, Sewage Treatment Plants(STPs) are complexes systems in which a range of physical, chemical and biological processes occur. However, their performance strongly depends on the know-how acquired by the field-engineer. Recently, in order to solve this situations, various operation and management technologies based on the Instrumentation, Control and Automation(ICA) have been developed. As a economies-environmental affect point of view, this study was for the performance evaluation and assessment of results from the Smart Operation System(SOS) in full-scale STP. The SOS in STP consisted of the process monitoring module, including real-time influent prediction and effluent simulation, and the Smart Air Control(SAC) module. According to the results from field test for 2 years, the results of economical evaluation, amount of benefits and cost saving by the SOS have shown to be much higher than that of traditional operation. Nevertheless, the removal load(kg/yr) of BOD 13.3 %, COD 28.2 %, TN 44.4 % and TP 20.8 % were increased, respectively. Remarkable improvement of removal load could be achieved after the SOS was adapted. It was concerned that the SOS offer a user friendly functionalities and cost saving needed by the field-engineers. In addition, it was expected that the results of this study would supply helpful information for design and cost saving for the SOS in full-scale STP.

• Health Policy and Management
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• v.30 no.2
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• pp.164-177
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• 2020

This study aims to compare the experience of selected countries in operating separate payment system for new healthcare technology and to find implications for price setting in Korea. We analyzed the related reports, papers, laws, regulations, and related agencies' online materials from five selected countries including the United States, Japan, Taiwan, Germany, and France. Each country has its own additional payment system for new technologies: transitional pass-through payment and new technology ambulatory payment classification for outpatient care and new technology add-on payment for inpatient care (USA), an extra payment for materials with new functions or new treatment (C1, C2; Japan), an additional payment system for new special treatment materials (Taiwan), a short-term extra funding for new diagnosis and treatment (NUB; Germany), and list of additional payments for new medical devices (France). The technology should be proven safe and effective in order to get approval for an additional payment. The price is determined by considering the actual cost of providing the technology and the cost of existing similar technologies listed in the benefits package. The revision cycle of the additional payment is 1 to 4 years. The cost or usage is monitored during that period and then integrated into the existing fee schedule or removed from the list. We conclude that it is important to set the explicit criteria to select services eligible for additional payment, to collect and analyze data to assess eligibility and to set the payment, to monitor the usage or cost, and to make follow-up measures in price setting for new health technologies in Korea.

• YAKHAK HOEJI
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• v.50 no.2
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• pp.70-77
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• 2006

A cost effective analysis was performed for comparing leflunomide+methotrexate, etanercept monotherapy and etanercept+methotrexate for 6 months. For the patients with methotrexate-resistant RA, ACR20 data were extracted from the published clinical trials searched from Pubmed. The direct medical cost was estimated based on ACR guideline and Korean National Health Insurance reimbursement. Combination therapy of etanercept+methotrexate was found to be more cost-effective than etanercept monotherapy, which meant it was a better therapeutic strategy for methotrexate- resistant RA.

• Journal of the Korean Society of Safety
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• v.26 no.1
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• pp.43-48
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• 2011

Estimation of accident costs would set a sound criterion on which invest judgement for work improvement would be decided. Unfortunately, however, the professional agency and most companies in Korea still adopt the conventional cost estimation method based on Heinrich's theory would not be applicable any more since it was developed about a century ago. This research was carried out to confirm the validity of conventional accident cost estimation method. With 110 accident cases occurred in an autoglass manufacturing plant for last 7 years, post-accident treatment procedure was simplified as a model with several phases, and practical costs were analyzed case by case. The results showed that, as expected, the company should the largest portion of loss due to accidents, and that mean indirect cost were 10.10(${\pm}20.70$) times as much as direct cost estimated by conventional method. Therefore, finally, accident types and items influenced much on accidents costs were analyzed and discussed.

• KSCE Journal of Civil and Environmental Engineering Research
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• v.14 no.1
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• pp.231-243
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• 1994

A stochastic programming model for river water quality management was developed. River water quality, river flow, quality and flowrate of the wastewater treatment plant inflow were treated as random variables in the model. Withdrawal for water supply and submerged weir reaeration were included in the model itself. A probabilistic model was formulated to compute the expectation and variance of water quality using Streeter-Phelps equation. Chance constraints of the optimization problem were converted to deterministic equivalents by chance constrained method. Objective function was total annual treatment cost of all wastewater treatment plants in the region. Construction cost function and O & M cost function were derived in the form of nonlinear equations that are functions of treatment efficiency and capacity of treatment plant. The optimization problem was solved by nonlinear programming. This model was applied to the lower Han River. The results show that the reliability to meet the DO standards of the year 1996 is about 50% when the treatment level of four wastewater treatment plants in Seoul is secondary treatment, and BOD load from the tributary inflows is the same as present time. And when BOD load from Tanchon, Jungrangchon, and Anyangchon is decreased to 50%, the reliability to meet the DO standards of the year 1996 is above 60%. This results indicated that for the sake of the water quality conservation of the lower Han River, water quality of the tributaries must be improved, and at least secondary level of treatment is required in the wastewater treatment plants.

• Journal of Animal Environmental Science
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• v.15 no.3
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• pp.281-288
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• 2009

The objective of this study is to predict the expansion possibility of treatment capacity in public livestock manure treatment plant (PLMTP) integrated individual farmhouses. According to the treatment efficiency and cost reducing effect, expansion possibility was examined using three cases; (i) decrease of influent concentration from 20,000 mg/L BOD to 1,000 mg/L BOD, (ii) maintenance of low concentration influent with minimum revising existing facilities (BIOSUF) and (iii) maintenance of low concentration influent without revising existing facilities (liquid corrosion method, LCM). In BIOSUF, the treatment capacity increased from 130 ton/day to 300 ton/day. Also, LCM resulted in expansion of treatment capacity from 210 ton/day to 250 ton/day while that of designed concentration influent decreased from 210 ton/day to 190 ton/day. The treatment costs were 14,674 won/ton and 9,929 won/ton for BIOSUF and LCM, respectively. After some revisions, it will be changed to 7,221 won/ton and 8,277 won/ton. Therefore, it must be considered that the livestock manure treats to low concentration and flows into PLMTP for the efficient operation and reducing treatment cost.

• Journal of Wetlands Research
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• v.22 no.2
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• pp.92-99
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• 2020

Linked treatment refers to a system that relieves the burden of the business by linking high concentrations of wastewater such as human waste, manure, leachate, and other industrial wastewater to nearby municipal wastewater treatment plants(MWTPs). In 2018, 187 MWTPs, which are about 4.5% of the total domestic MWTPs, have implemented a linked treatment system, but local governments are having difficulties in operating sewage treatment due to lack of reasonable cost estimation standards. Therefore, we proposed an improvement plan to solve the problem in the calculation method that currently imposes linked wastewater. To this end, the effects and correlations of the linkage treatment system on the sewage treatment unit were analyzed, and among them, the main factors with the highest correlation were applied to the improvement plan. As a result, an improvement plan that improved three parts of the existing calculation method was presented, and the calculation method and the calculation case using the existing literature values were also presented. This can be used as a basis for future reference by local governments to implement linkage treatment, and to revise local sewerage ordinance and is believed to be helpful in operating a rational linkage system.

• Proceedings of the Membrane Society of Korea Conference
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• 1991.10a
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• pp.58-63
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• 1991

Membrane technology has been effectively used for many years in certain segments of industrial water treatment. Recent advances in combining sophisticated chemical pre-treatment technology with cross-flow membrane filtration technology have successfully demonstrated that highly efficient, low-cost methods for treating a large of industral streams are available.

• Asian-Australasian Journal of Animal Sciences
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• v.6 no.4
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• pp.569-576
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• 1993

A feeding trial was conducted to determine the effectivity of microbial treatment on eliminating the toxicity of weevil-infested sweet potato roots, and to assess intake level and performance of broilers fed microbiologically-treated, weevil-infested sweet potato meal. Weevil-infested sweet potato meal was treated with Aspergillus awamori (terpene-degrading fungus), dried, and mixed with other ingredients. One hundred twenty (120) broiler chicks were randomly distributed to treatment diets containing 3 types of sweet potato meal (healthy, weevil-infested, and microbiologically-treated, weevil-infested) incorporated at 2 levels (12% and 24%) in the ration, following the $2{\times}3$ factorial in CRD with 4 replicates per treatment. Voluntary intake was high with healthy sweet potato meal, even at 24% in the ration, especially at later stage of broiler development. Weevil infestation of sweet potato meal, even at 24% in the ration, especially at later stage of broiler development. Weevil infestation of sweet potato roots significantly reduced voluntary intake and broiler performance even at 12% level in the diet, much more at 24% level (p<0.01). Microbial treatment, however, was found to alleviate such problem, especially at 24% level of incorporation (p<0.01). "Toxicity" of weevil infestation, in terms of enlargement of liver and spleen, in the absence of mortality, was only apparent at 24% level of incorporation in the ration. Again, this was minimized by microbial treatment (p<0.01), and is therefore recommended at high levels of incorporating weevil-infested sweet potato meal in broiler diets. Microbial treatment constitutes an added cost, so that economic analyses should be done to find out whether increases in broiler performance, or reduction in the toxic effects of terpenoid compounds, outweigh the cost of treatment before a definite recommendation can be made for its commercial application.