• Title/Summary/Keyword: two-part model

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The Relationship between Home-Visit Nursing Services and Health Care Utilization among Nursing Service Recommended Beneficiaries of the Public Long-Term Care Insurance (노인장기요양보험 방문간호 권고군의 방문간호 이용과 의료 이용의 관계)

  • Kang, Sae Bom;Kim, Hongsoo
    • Health Policy and Management
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    • v.24 no.3
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    • pp.283-290
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    • 2014
  • Background: This study aimed to examine the relationship between home-visit nursing services and health care utilization under the public long-term care insurance program in Korea. Methods: We analyzed the long-term care need assessment database and the long-term care and the health insurance claim databases of National Health Insurance Service between July 2011 and June 2012. The sample includes a total of 20,065 home-visit nursing recommended-older beneficiaries who use home-visit nursing and/or home-visit care, based on a standard benefit model developed by the Health Insurance Policy Institute of National Health Insurance Service. The beneficiaries were categorized into home-visit nursing use and non-use groups, and the home-visit nursing use group was again divided into high-use and low-use groups home-visit nursing, based on their total annual home-visit nursing expenditure. Two-part models and negative-binomial regression models were used for the statistical analysis. Results: The home-visit nursing use was negatively associated with the number of outpatient visit and cost, while adjusting for all covariates. The home-visit nursing use was also negatively associated with the inpatient cost among the high home-visit nursing use group. Conclusion: The findings implies home-visit nursing use prevents health care utilization. Further studies and policy strategies that can promote and strengthen home-visit nursing services under the public long-term care insurance are necessary in Korea.

Long-Term Care Utilization among End-of-Life Older Adults in Korea: Characteristics and Associated Factors (생애말기 노인의 장기요양서비스 이용 특성과 영향요인)

  • Yoon, Nan-He;Kim, Hongsoo;Kwon, Soonman
    • Health Policy and Management
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    • v.26 no.4
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    • pp.305-314
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    • 2016
  • Background: The purpose of this study is to examine the characteristics of and factors associated with long-term care (LTC) utilization under public long-term care insurance (LTCI) among end-of-life older adults in Korea. Methods: Using a 5% sample of older people aged 65 or older and their health and LTC insurance data, two-part model analyses were conducted. We compared LTC uses and their determinants during the last year of life among decedents in the year 2010 with those of survivors. We also compared the medical uses of the same sample with their LTC uses. Results: The end-of-life elderly were more likely to use LTC, and their expenditure on LTC was higher than their counterparts. Whether or not older people used LTC during their last year of life was significantly affected by age, sex, health insurance, household income, and living alone; however, LTC costs of the decedents were only affected by functional status, which may have been due to the reimbursement scheme of the current LTCI, which is mainly based on functional dependency level. For the survivors, having chronic diseases significantly increased the likelihood of LTC use, which was not the case for the decedents. End-of-life elderly with relatively low social economic status were more likely to use the LTC other than medical services, while the health conditions affected their medical uses most significantly. Conclusion: The study findings provide key information for predicting demand related to the increasing LTC needs of Korean older people at the end of life.

Research of the Face Extract Algorithm from Road Side Images Obtained by vehicle (차량에서 획득된 도로 주변 영상에서의 얼굴 추출 방안 연구)

  • Rhee, Soo-Ahm;Kim, Tae-Jung;Kim, Moon-Gie;Yun, Duk-Geun;Sung, Jung-Gon
    • Journal of Korean Society for Geospatial Information Science
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    • v.16 no.1
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    • pp.49-55
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    • 2008
  • The face extraction is very important to provide the images of the roads and road sides without the problem of privacy. For face extraction form roadside images, we detected the skin color area by using HSI and YCrCb color models. Efficient skin color detection was achieved by using these two models. We used a connectivity and intensity difference for grouping, skin color regions further we applied shape conditions (rate, area, number and oval condition) and determined face candidate regions. We applied thresholds to region, and determined the region as the face if black part was over 5% of the whole regions. As the result of the experiment 28 faces has been extracted among 38 faces had problem of privacy. The reasons which the face was not extracted were the effect of shadow of the face, and the background objects. Also objects with the color similar to the face were falsely extracted. For improvement, we need to adjust the threshold.

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Designed of Intelligent Solar Tracking System using Fuzzy State-Space Partitioning Method (퍼지 상태 공간 분할 기법을 이용한 지능형 태양광 추적시스템 설계)

  • Kim, Gwan-Hyung
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.15 no.10
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    • pp.2072-2078
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    • 2011
  • In photovoltaic(PV) system, for obtaining maximum efficiency of solar power systems, the solar tracking system must be controlled to match position of the sun. In this paper, we design the solar tracking system to track movement of the sun using CdS sensor modules and to determine direction of the sun under shadow of directions. In addition, for an intelligent computation in tracking of the sun, a fuzzy controller is allocated to space avaliable for splitting area of fuzzy part for the fuzzy input space(grid-type fuzzy partition) in which a fuzzy grid partition divides fuzzy rules bases. As well, a simple model of solar tracking system is designed by two-axis motor control systems and the 8-direction sensor module that can measure shadow from CdS sensor modules by matching of axis of CdS modules and PV panels. We demonstrate this systems is effective for fixed location and moving vessels and our fuzzy controller can track the satisfactorily.

Application of Activity-Based Costing (ABC) to Restaurant Menu Costing (활동기준원가계산법을 이용한 외식업소 메뉴 원가 산출)

  • Lee, Bong-Shik;Choi, Mi-Kyung;Shin, Seo-Young
    • Korean journal of food and cookery science
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    • v.23 no.1 s.97
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    • pp.90-98
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    • 2007
  • The purpose of this study was to apply the activity-based costing (ABC) model to restaurant menu costing. The overhead cast of six entr${\acute{e}}$es in XYZ restaurant was calculated for all levels of activity. When comparing activity-based costing with traditional costing applied to BBQ pork rib and an assorted seafood platter, the total difference of costs between two items was 2,191 won in activity-based costing and 600 won in traditional costing. The average food cast percentage of the six entr${\acute{e}}$es was 27% using traditional costing, while the average activity-based cost percentage was 40%. Therefore, there was a 13% difference between the actual margin volume and the expected margin volume. The application of activity-based costing to the restaurant industry would be a milestone from a cost point of view as well as from a process point of view. In particular, the limitation that traditional costing only accounts for food costs could be overcome b considering the overhead cost as an important part of the cast structure. Furthermore, activity-based costing would not only help to reduce the costs associated with the process of analyzing the activities but it would also provide more accurate cost information for menu pricing.

Numerical assessment of step-by-step integration methods in the paradigm of real-time hybrid testing

  • Verma, Mohit;Rajasankar, J.;Iyer, Nagesh R.
    • Earthquakes and Structures
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    • v.8 no.6
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    • pp.1325-1348
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    • 2015
  • Real-time hybrid testing (RTHT) involves virtual splitting of the structure into two parts: physical substructure that contains the key region of interest which is tested in a laboratory and numerical substructure that contains the remaining part of the structure in the form of a numerical model. This paper numerically assesses four step-by-step integration methods (Central difference method (CDM), Operator splitting method (OSM), Rosenbrock based method (RBM) and CR-integration method (CR)) which are widely used in RTHT. The methods have been assessed in terms of stability and accuracy for various realistic damping ratios of the physical substructure. The stability is assessed in terms of the spectral radii of the amplification matrix while the accuracy in terms of numerical damping and period distortion. In order to evaluate the performance of the methods, five carefully chosen examples have been studied - undamped SDOF, damped SDOF, instantaneous softening, instantaneous hardening and hysteretic system. The performance of the methods is measured in terms of a non-dimensional error index for displacement and velocity. Based on the error indices, it is observed that OSM and RBM are robust and performs fairly well in all the cases. CDM performed well for undamped SDOF system. CR method can be used for the system showing softening behaviour. The error indices indicate that accuracy of OSM is more than other method in case of hysteretic system. The accuracy of the results obtained through time integration methods for different damping ratios of the physical substructure is addressed in the present study. In the presence of a number of integration methods, it is preferable to have criteria for the selection of the time integration scheme. As such criteria are not available presently, this paper attempts to fill this gap by numerically assessing the four commonly used step-by-step methods.

Behavior Characteristics of Railway Roadbed Retained by Geosynthetic Reinforced Segmental Wall Under Train Load (열차 하중 작용 시 블록식 보강토 옹벽으로 지지된 철도 노반의 거동)

  • Lee, Seong Hyeok;Choi, Chan Yong;Lee, Jin Wook
    • Journal of the Korean Society for Railway
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    • v.15 no.5
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    • pp.467-475
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    • 2012
  • Static and dynamic train load tests were conducted to evaluate the train load transfer mechanism in the roadbed which was retained by two types (fully and partially) of segmental retaining walls reinforced by geogrid. The test roadbed was 2.6m high, 5m wide, and 6m long. A combination of earth pressure gages, displacement transducers, and strain gages were placed in specific locations to measure the responses. Test results showed that the wall displacement pattern as well as the earth pressure for the fully reinforced retaining wall was different from those for the partially reinforced retaining wall. In the dynamic train load test, the strain in the upper part of the wall tended to decrease, and both the residual deformation and the rate of the deformation were significantly lower than those in the current design standard.

ANALYSIS OF TMI-2 BENCHMARK PROBLEM USING MAAP4.03 CODE

  • Yoo, Jae-Sik;Suh, Kune-Yull
    • Nuclear Engineering and Technology
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    • v.41 no.7
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    • pp.945-952
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    • 2009
  • The Three Mile Island Unit 2 (TMI-2) accident provides unique full scale data, thus providing opportunities to check the capability of codes to model overall plant behavior and to perform a spectrum of sensitivity and uncertainty calculations. As part of the TMI-2 analysis benchmark exercise sponsored by the Organization for Economic Cooperation and Development Nuclear Energy Agency (OECD NEA), several member countries are continuing to improve their system analysis codes using the TMI-2 data. The Republic of Korea joined this benchmark exercise in November 2005. Seoul National University has analyzed the TMI-2 accident as well as the currently proposed alternative scenario along with a sensitivity study using the Modular Accident Analysis Program Version 4.03 (MAAP4.03) code in collaboration with the Korea Hydro and Nuclear Power Company. Two input files are required to simulate the TMI-2 accident with MAAP4: the parameter file and an input deck. The user inputs various parameters, such as volumes or masses, for each component. The parameter file contains the information on TMI-2 relevant to the plant geometry, system performance, controls, and initial conditions used to perform these benchmark calculations. The input deck defines the operator actions and boundary conditions during the course of the accident. The TMI-2 accident analysis provided good estimates of the accident output data compared with the OECD TMI-2 standard reference. The alternative scenario has proposed the initial event as a loss of main feed water and a small break on the hot leg. Analysis is in progress along with a sensitivity study concerning the break size and elevation.

Comparison of Iron(Fe) Data of ENDF/B-IV and VI in Yonggwang Nuclear Unit-3/4 Vessel Fluence Calculation (영광 3/4호기 압력용기의 중성자 조사량계산을 통한 ENDF / B-IV와 VI 철(Fe) 자료의 비교)

  • Kim, Tae-Hyeong;Cho, Nam-Zin
    • Nuclear Engineering and Technology
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    • v.27 no.1
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    • pp.74-83
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    • 1995
  • The accurate determination of the fast neutron flux/fluence onto the pressure vessel is an essential part of the reactor pressure vessel surveillance program. It has been reported recently that the iron cross section data in ENDF/B versions III through V might underestimate the flux/fluence of fast neutrons in steel structures such as reactor pressure vessel. In this study, for the comparison of iron data of ENDF/B-IV and VI we produced two 47-group cross section sets, CXFe-IV and CXFe-Ⅵ, which are based on Yonggwang nuclear unit-3/4 model and the iron data of ENDF/B-IV and VI, respectively. A comparison was made of the results obtained from DOT4.3 calculation using CXFe-IV and CXFe-VI. From the results, it was found that the fast flux(E 〉 1.0 MeV), which is important for the pressure vessel embrittlement analysis, increases by about 7.6% at the inner wall and 20% at the outer wall of the vessel, if the iron data are used from ENDF/B-VI instead of ENDF/B-IV.

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Greenhouse Gas Mitigation Policies and National Emission Targets of Korea (온실가스 감축을 위한 정책과 우리나라의 부문별 감축여건)

  • Kim, Ho-Seok
    • Journal of Korean Society of Environmental Engineers
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    • v.32 no.9
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    • pp.809-817
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    • 2010
  • Reducing emissions across all sectors requires a well-designed policies tailored to fit specific national circumstances. And every climate policymaker would like to have an accurate method of assessing the quantitative impacts of future policies to address GHG-related problems. Estimates of future changes in a nation's GHG emissions, the expected environmental impacts of future energy sector developments, and the potential costs and benefits of different climate technology and mitigation policy options are desirable inputs to policy making. Various mitigation analysis and modeling approaches helped to fill the needs for these kinds of information, and as such has been an important part of national mitigation policy making in many countries for most of two decades. This paper provides a overview of GHG mitigation policies and mitigation analysis, and sectoral mitigation circumstances and potentials.