• Title/Summary/Keyword: 2 order system

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Determination of Nursing Costs for Hospitalized Patients Based on the Patient Classification System (종합병원에 입원한 환자의 간호원가 산정에 관한 연구)

  • 박정호;송미숙
    • Journal of Korean Academy of Nursing
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    • v.20 no.1
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    • pp.16-37
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    • 1990
  • A cost analysis for hospitalized patients was carried out based upon Patient Classification System(PCS) in order to determine an appropriate nursing fee. The data were collected from 21 nursing units of three teaching hospitals from April 1 to June 30, 1989. first, all of the 22,056 inpatients were classified into mildly ill(Class Ⅰ), moderately ill(Class Ⅱ), acutely ill(Class Ⅲ), and critically ill(Class Ⅳ) by the PCS which had been carefully developed to be suitable for the Korean nursing units. Second. PCS cost accounting was applied to the above data. The distribution of inpatients, nursing costs, and nursing productivity were as follows : 1) Patient distribution ranged from 45% to class Ⅰ, 36% to class Ⅱ, 15% to class Ⅲ, and 4% to class Ⅳ, the proportion of class Ⅳ in ‘H’ Hospital was greater than that of the other two hospitals. 2) The proportion of Class Ⅲ and Ⅳ in the medical nursing units was greater than that of surgical nursing units. 3) The number of inpatients was greatest on Tuesdays, and least on Sundays. 4) The average nursing cost per hour was W 3,164 for ‘S’ hospital, W 3,511 for ‘H’ hospital and W 4,824 for ‘K’ hospital. The average nursing cost per patient per day was W 14,126 for ‘S’ Hospital, W 15,842 for ‘H’ hospital and W 21,525 for ‘K’ hospital. 5) The average nursing cost calculated by the PCS was W 13,232 for class Ⅰ, W 18,478 for class Ⅱ, W 23,000 for class Ⅲ, and W 25,469 for class Ⅳ. 6) The average nursing cost for the medical and surgical nursing units was W 13,180 and W 13,303 respetively for class Ⅰ, W 18,248 and W 18,707 for class Ⅱ, W 22,303 and W 23,696 for class Ⅲ, and W 24,331 and W 26,606 for class Ⅳ. 7) The nursing costs were composed of 85% for wages and fringe benefits, 3% for material supplies and 12% for overhead. The proportion of wages and fringe benefits among the three Hospitals ranged from 75%, 92% and 98% for the ‘S’, ‘H’, ‘K’ hospitals respectively These findings explain why the average nursing cost of ‘K’ hospital was higher than the others. 8) According to a multi- regression analysis, wages and fringe benefits, material supplies, and overhead had an equal influence on determining the nursing cost while the nursing hours had less influence. 9) The productivity of the medical nursing units were higher than the surgical nursing units, productivity of the D(TS) - nursing units was the lowest while the K(Med) - nursing unit was the highest in 'S' hospital. In ‘H’ hospital, productivity was related to the number of inpatients rather than to the characteristics of the nursing units. The ‘K’ hospital showed the same trend as ‘S’ hospital, that the productivity of the medical nursing unit was higher than the surgical nursing unit. The productivity of ‘S’ hospital was evaluated the highest followed by ‘H’ hospital and ‘K’ hospital. Future research on nursing costs should be extended to the other special nursing areas such as pediatric and psychiatric nursing units, and to ICU or operating rooms. Further, the PCS tool should be carefully evaluated for its appropriateness to all levels of institutions(primary, secondary, tertiary). This study took account only of the quantity of nursing services when developing the PCS tool for evaluating the productivity of nursing units. Future research should also consider the quality of nursing services including the appropriateness of nursing activities.

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Establishment and future prospects of new international fisheries regime in Northeast Asian region (동북아지역 국제어업협력체제의 구축과 운영방향)

  • 최정윤;최종화
    • The Journal of Fisheries Business Administration
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    • v.30 no.2
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    • pp.1-23
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    • 1999
  • In the Northeast Asian region fisheries agreements of the past regarding high seas as an agreement area were transformed or new agreements were introduced in order to conform to the EEZ regime. However, the existing joint regulatory zone which “open” status is somewhat similar to the high sea not only disappear, but also two new systems were established. To begin with, parties of the agreement claimed their EEZs to be from the territorial sea baselines to the extent set forth, problem of the fishery access of the other party under the agreement is to be solved on the principle of reciprocity and on recognizing of the catch results achieved in the past. In regards to the overlapping zones like neutral zone of the East Sea of Korea(Sea of Japan) and neutral zone to the south of the Cheju Island, provisional measures zones in the Yellow Sea and in the East China Sea, and transitional zone of the Yellow Sea special fisheries management systems reflecting the legal character of the zone involved are applied. Moreover, as fisheries agreements defining open sea as an agreement zone are not able to conform to the EEZ regime, so new fisheries agreements must be taken out from old systems and conceptions, and must be understood and enforced from the new point view. Therefore, countermeasures needed to do so should be developed, and their basic structure is as follows. Firstly, the basic concept of the EEZ regime requires that the coastal states have sovereign rights on their sea zones' natural resources and bear responsibilities appropriate to their allowed jurisdiction. Each Northeast Asian state should adjust the structure of fishing industries and employ advanced fisheries management system, and should make efforts toward such issues of the state policy as increasing fishery resources and preserving ocean environment. Secondly, measures should be developed to solve the international fisheries disputes which are to occur under enforcement of the new fisheries agreements system. In regards to the acts of violation the fisheries laws in the foreign EEZ the principle of jail sentence prohibition is established by the UN Convention on the Law of the Sea, and every fisheries agreement reflects this principle. Therefore, the present question is to consider concrete measures to enable the easy release of the seamen, who violated fisheries laws slightly and well-intently, through establishment and management of the guarantee fund needed to make collateral reasonable. Thirdly, Korean-Russian and Russian-Japanese fisheries relations were formed on the basis of the EEZ regime, since 1992 and 1977 respectively, and are expected to maintain mutually beneficial cooperative character. As for Korean-Chinese-Japanese fisheries relations, the operational problems of overlapping zones, and problem of the permits for EEZ mutual access should be solved on the basis of the principle of reciprocity and equity rather than unilaterally from any side.

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A numerical study on the performance of the smoke exhaust system according to the smoke exhaust method in emergency station for railway tunnel (철도터널 구난역의 제연방식에 따른 제연성능에 관한 수치 해석적 연구)

  • Ryu, Ji-Oh;Kim, Jin-Su;Seo, Jong-Won
    • Journal of Korean Tunnelling and Underground Space Association
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    • v.19 no.6
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    • pp.845-856
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    • 2017
  • In the long railway tunnel, in order to secure safety in case of fire, it is required a emergency station. However, there is no standard or research results on smoke exhaust method and exhaust flow rate in emergency station, so it is necessary to study the smoke exhaust system for emergency station. In this study, we are created a numerical analysis model for emergency station where the evacuation cross passage connected to the service tunnel or the relative tunnel was installed at regular intervals (40 m intervals). And the fire analysis are carried out by varying the fire intensity (15, 30MW), the smoke exhaust method (only air supply, forced air supply and exhaust, forced air exhaust only), and the air flow rate (7, 14, $40m^3/s$). From the results of fire analysis, temperature and CO concentration are analyzed and ASET based on the limit temperature are compared at various condition. As a result, in the case with fire intensity of 15 MW, it is shown that a sufficiently safe evacuation environment can be ensured by applying forced air supply and exhaust method or forced air exhaust only method when the air flow rate is $7m^3/s$ above. In case of fire intensity of 30 MW, it is impossible to maintain the safety evacuation environment for more than 900 seconds when the exhaust air volume is below $14m^3/s$. And when the air flow rate is $40m^3/s$, the exhaust port is disposed at the side portion of the upper duct, which is most advantageous for securing the temperature-based safety.

A Study on The Principles and Philosophical Basis of 'Sa Sang Medicine' (사상의학(四象醫學)의 원리(原理)와 철학적(哲學的) 배경(背景)에 대(對)한 고찰(考察))

  • Song, Jeong-Mo
    • Journal of Sasang Constitutional Medicine
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    • v.4 no.1
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    • pp.5-29
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    • 1992
  • In this study, the author researched the process in which the philosophical basis of 'Sa Sang Medicine (四象醫學)' and its methodology build up the principles of Sa Sang Medicine, and then, examined how the principles were applied to the theoretical system of Sa Sang Medicine. The conclusion would be summarized as follows. 1. 'Nae Kyung Medicine (內經醫學)' was developed under the concept that the cosmos's order and its moving rule could be directly applied to that of human body, which corresponded to the 'Theory of Hwang-No (黃老之學)'. On the contrary, Sa Sang Medicine is a thoroughly human-oriented theory formed in the Confucianism system. 2. Lee Jae-Ma's Substantialism can be briefed into 'Mind 心' (Tae Keuk 太極), 'Mind-Body 心身' (Yang Eui 兩儀) and 'Activity-Mind-Body-Matter 事心身物' (Sa Sang 四象), which respectively represents one-elemented substance, two-elemented substance and four-elemented substance. Especially, Sa Sang was used as a basic framework in which he recognized all the objects and phenomena. So, most critical significance of his substantialism consists in the intention of Sa Sang type classifying. 3. By the method of Sa Sang type classifying, Lee Jae-Ma not only redefined the main concepts of confucianism and developed a unique philosophy of his own, but also, in the field of medical science, resystemized and re-explained the structure and function of human body. 4. From the recognition that Activity-Mind-body-Matter (Sa Sang) are four different existence forms of energy 氣 (or four variation types of energy), Yi Jae-Ma thinks that the viscera of human body have a vertical structure of 'four parts 四焦' (upper, mid-upper, mid-lower and lower parts) and its physiological function is operated by the rising and falling action of four energy presentations (sorrow 哀, anger 怒, joy 喜 and pleasure 樂). 5. In "Gyuk Chi Go 格致藁", Lee Jae-Ma understood the concept of joy, anger, sorrow and pleasure on the basis of nature-emotion theory 性情論 from the philosophical viewpoint. But, from the medical viewpoint of "Dong Eui Su Se Bo Won 東醫壽世保元", he understood them on the basis of vital energy theory. That is, sorrow, anger, joy and pleasure are expression of advance or reverse of nature vital-energy 性氣 and emotion vital-energy 情氣. 6. The rising and falling action principle of four energy presentations (sorrow, anger, joy and pleasure) which produces and helps each other is an identical principles of Sa Sang Medicine, distinguished from the Oh-Haeng 五行 circulating principle in Nae Kyung Medicine. Through this principle, Lee Jae-Ma explained the viscera physiology of human body, pathology & diagnosis and pharmacology.

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Development of Screening Technology for Marine Waste Disposal (수산폐기물 전처리 용 스크린기술 개발)

  • Moon, Serng-Bae;Jun, Seung-Hwan;Jin, Gang-Gyoo
    • Journal of Navigation and Port Research
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    • v.33 no.1
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    • pp.57-63
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    • 2009
  • In order to effectively isolate the marine wastes with an effluent standard, the pretreatment process is required to isolate solid materials from the liquid-solid mixed wastes. The more effective the pretreatment becomes, the more processing capacity of posttreatment will be improved and process facilities will be downsized. In this paper, we suggested the vibrating reverse-slant screen, investigated the optimal vibration frequency and vibrator installation angle for the separation of the liquid solid mixed wastes. Several experiments for separation efficiency were conducted under the condition of various vibration frequency($35{\sim}60Hz$, 5Hz interval) and vibrator angle($0^{\circ}$, $30^{\circ}$, $45^{\circ}$, $90^{\circ}$) considering the crack of screen. The screen inclination angle is set up the gradient as $3^{\circ}{\sim}5^{\circ}$ through the preliminary experiments. Also, we made two types of screen(respectively rectangle and square screen). The separation device has shown the optimum efficiency at vibrator angle $0^{\circ}$ and vibration frequency 60Hz, and has no relation with the shape of screen. And the proposed technology is verified by comparing with quantity of suspended solids before and after filtration.

A Knowledge-based Wrapper Learning Agent for Semi-Structured Information Sources (준구조화된 정보소스에 대한 지식기반의 Wrapper 학습 에이전트)

  • Seo, Hee-Kyoung;Yang, Jae-Young;Choi, Joong-Min
    • Journal of KIISE:Software and Applications
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    • v.29 no.1_2
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    • pp.42-52
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    • 2002
  • Information extraction(IE) is a process of recognizing and fetching particular information fragments from a document. In previous work, most IE systems generate the extraction rules called the wrappers manually, and although this manual wrapper generation may achieve more correct extraction, it reveals some problems in flexibility, extensibility, and efficiency. Some other researches that employ automatic ways of generating wrappers are also experiencing difficulties in acquiring and representing useful domain knowledge and in coping with the structural heterogeneity among different information sources, and as a result, the real-world information sources with complex document structures could not be correctly analyzed. In order to resolve these problems, this paper presents an agent-based information extraction system named XTROS that exploits the domain knowledge to learn from documents in a semi-structured information source. This system generates a wrapper for each information source automatically and performs information extraction and information integration by applying this wrapper to the corresponding source. In XTROS, both the domain knowledge and the wrapper are represented as XML-type documents. The wrapper generation algorithm first recognizes the meaning of each logical line of a sample document by using the domain knowledge, and then finds the most frequent pattern from the sequence of semantic representations of the logical lines. Eventually, the location and the structure of this pattern represented by an XML document becomes the wrapper. By testing XTROS on several real-estate information sites, we claim that it creates the correct wrappers for most Web sources and consequently facilitates effective information extraction and integration for heterogeneous and complex information sources.

Design and Implementation of Query Classification Component in Multi-Level DBMS for Location Based Service (위치기반 서비스를 위한 다중레벨 DBMS에 질의 분류 컴포넌트의 설계 및 구현)

  • Jang Seok-Kyu;Eo Sang Hun;Kim Myung-Heun;Bae Hae-Young
    • The KIPS Transactions:PartD
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    • v.12D no.5 s.101
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    • pp.689-698
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    • 2005
  • Various systems are used to provide the location based services. But, the existing systems have some problems which have difficulties in dealing with faster services for above million people. In order to solve it, a multi-level DBMS which supports both fast data processing and large data management support should be used. The multi-level DBMS with snapshots has all the data existing in disk database and the data which are required to be processed for fast processing are managed in main memory database as snapshots. To optimize performance of this system for location based services, the query classification component which classifies the queries for efficient snapshot usage is needed. In this paper, the query classification component in multi-level DBMS for location based services is designed and implemented. The proposed component classifies queries into three types: (1) memory query, (2) disk query, (3) hybrid query, and increases the rate of snapshot usage. In addition, it applies division mechanisms which divide aspatial and spatial filter condition for partial snapshot usage. Hence, the proposed component enhances system performance by maximizing the usage of snapshot as a result of the efficient query classification.

Design and Implementation of Visual Environment for Parallel Object-Oriented Programming (병렬 객체지향 프로그래밍을 위한 시각 환경의 설계 및 구현)

  • Choe, Suk-Yeong
    • The Transactions of the Korea Information Processing Society
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    • v.6 no.2
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    • pp.485-496
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    • 1999
  • Comparing with sequential programming, parallel programming has additional complexity due to the consideration of parallelism, communication and synchronization of processes. A synergism between users and compliers should be established, each assisting the other to produce high quality parallel programs. On the above underlying philosophy, we developed a parallel Object-Oriented specification language, POOSL, as preliminary works. However, it is still likely to hard for users to write parallel program because users have to consider grammar of POOSL and to write text-based parallel program. It would be more desirable to provide users wit visual environment for effective parallel programming. Therefore, we propose a visual programming environment. VEPO(Visual environment for Parallel Object-Oriented Programming), based on POOSL in order that users can develop parallel programs more easily and conveniently. It aims at supporting a programming environment in which users can represent their programs more naturally and visually I parallel manner with object-oriented concept and essential steps during parallel program development such as program specification, compilation, execution and animation of execution are integrated. VEPO has useful features for parallel processing. Especially, complicated parallel codes for synchronization and communication of processes are automatically generated in the translation phase, so users can be relieved of writing error-prone parallel codes. The system is targeted to the transputer-based parallel system, MC-3. The graphic user interface of VEPO was implemented using Visual C++. Visual programs descirbed on VEPO are translated into Inmos C and executed on MC-3.

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Evaluation of Insole-equipped Ankle Foot Or thosis for Effect on Gait based on Biomechanical Analysis (인솔 장착형 단하지 보조기의 생체 역학적 분석을 통한 보행 영향성 평가)

  • Jung, Ji-Yong;Kim, Jin-Ho;Kim, Kyung;Trieu, Pham Hai;Won, Yong-Gwan;Kwon, Dae-Kyu;Kim, Jung-Ja
    • Korean Journal of Applied Biomechanics
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    • v.20 no.4
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    • pp.469-477
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    • 2010
  • The purpose of this study was to evaluate the effects of insole-equipped ankle-foot-orthoses (AFO) on gait. 10 healthy males who had no history of injury in the lower extremity participated in this study as the subjects. The foot of each subject was first scanned, and the insole fit to the plantar was made using BDI-PCO(Pedcad Gmbh, Germany). The subject then was made to walk on a treadmill under four experimental conditions: 1) normal walking, 2) walking wearing AFO, 3) walking wearing AFO equipped with the insole, 4) walking wearing pneumatic-ankle-foot-orthosis (pAFO) equipped with the insole. During walking, foot pressure data such as maximum force, contacting area, peak pressure, and mean pressure was collected using Pedar-X system (Novel Gmbh, Germany) and EMG activity of lower limb muscles such as gastrocnemius medial head, gastrocnemius lateral head, and soleus was recorded using MP150 EMG module (BIOPAC System Inc., USA). Collected data was then analyzed using paired t-test in order to investigate the effects of the insole. As a result of the analysis, when insole was equipped, overall contacting area was increased while both the highest peak pressure and the mean pressure were significantly decreased, and EMG activity of the lower limb muscles was decreased. On the contrary, the cases of wearing AFO showed the decreased contacting area and the increased pressures. Therefore, the AFO equipped with a proper insole fit well to the foot can help comfortable walking by spreading the pressure over the entire plantar.

The Determinants of Purchasing Private Health Insurance in Korean Cancer Patients (암 환자의 민간의료보험 가입 실태와 관련 요인)

  • Lim, Jin-Hwa;Kim, Sung-Gyeong;Lee, Eun-Mi;Bae, Sin-Young;Park, Jae-Hyun;Choi, Kui-Son;Hahm, Myung-Il;Park, Eun-Cheol
    • Journal of Preventive Medicine and Public Health
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    • v.40 no.2
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    • pp.150-154
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    • 2007
  • Objectives : The aim of this study is to identify factors determining the purchase of private health insurance under the mandatory National Health Insurance(NHI) system in Korea. Methods : The data were collected by the National Cancer Center in Korea. It includes cancer patients who were newly diagnosed with stomach (ICD code, C16), lung(C33-C34), liver (C22), colorectal cancer(C18-C20) or breast(C50) cancer. Data were gathered from the hospital Order Communication System (OCS), medical records, and face-to-face interviews, using a structured questionnaire. Clinical, socio-demographic and private health insurance related factors were also gathered. Results : Overall, 43.9% of patients had purchased one or more private health insurance schemes related to cancer, with an average monthly premium of \65,311 and an average benefit amount of \19million. Females, younger aged, high income earners, national health insurers and metropolitan citizens were more likely to purchase private health insurance than their counterparts. Conclusions : About half of Korean people have supple-mentary private health insurance and their benefits are sufficient to cover the out-of-pocket fees required for cancer treatment, but inequality remains in the purchase of private health insurance. Further studies are needed to investigate the impacts of private health insurance on NHI, and the relationship between cancer patients' burden and benefits.