• Title/Summary/Keyword: Benefit Evaluation

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Role of MR Neurography for Evaluation of the Lumbosacral Plexus: A Scoping Review (요천추 신경총에 대한 자기공명신경조영술의 역할: 주제 범위 문헌고찰)

  • Seon Gyeong Kim;Joon-Yong Jung
    • Journal of the Korean Society of Radiology
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    • v.83 no.6
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    • pp.1273-1285
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    • 2022
  • Purpose MR neurography (MRN) is an imaging technique optimized to visualize the peripheral nerves. This review aimed to discover an optimized protocol for MRN of the lumbosacral plexus (LSP) and identify evidence for the clinical benefit of lumbosacral plexopathies. Materials and Methods We performed a systematic search of the two medical databases until September 2021. 'Magnetic resonance imaging', 'lumbosacral plexus', 'neurologic disease', or equivalent terms were used to search the literature. We extracted information on indications, MRN protocols for LSP, and clinical efficacy from 55 studies among those searched. Results MRN of the LSP is useful for displaying the distribution of peripheral nerve disease, guiding perineural injections, and assessing extraspinal causes of sciatica. Three-dimensional short-tau inversion recovery turbo spin-echo combined with vascular suppression is the mainstay of MRN. Conclusion Future work on the MRN of LSP should be directed to technical maturation and clinical validation of efficacy.

Calculation of the target revenue water ratio of local waterworks considering economic feasibility (경제성을 고려한 지방상수도 목표 유수율 산정)

  • Donghong Kim;Jaebum Lee;Jungkwan Song;Taeho Choi
    • Journal of Korean Society of Water and Wastewater
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    • v.37 no.6
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    • pp.311-324
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    • 2023
  • As an advanced study on the method of calculating the target revenue water ratio of local waterworks through the leakage component analysis method proposed by Kim et al. (2022), this study developed a model to calculate the achievable revenue water ratio within the specified project cost, the required project cost to achieve the specified target revenue water ratio, and the economically appropriate target revenue water ratio level by considering the leakage reduction cost and leakage reduction benefit for each revenue water ratio improvement strategy, and conducted an applicability evaluation of the developed model using actual field data. The procedure for calculating the target revenue water ratio of local waterworks considering economics proposed in this study consists of three stages: physical data linkage model construction, leakage component analysis, and economic analysis, and the applicability was evaluated for Zone H with branch type and the Zone M network type. As a result of the application, it was calculated that approximately 32.5 billion won would be required to achieve the target revenue water ratio of 70% in the Zone H, and approximately KRW 10.5 billion would be required to achieve the target revenue water ratio of 75% in the Zone M. If the business scale of Zones H and M was corrected to 10,000 m3/day of water usage, the required project cost for a 1% improvement in the revenue water ratio of Zone H was calculated to be 0.7642 billion won and 0.4715 billion won for Zone M.

Final Impact of Anti-Vascular Endothelial Growth Factor Treatment in Age-related Macular Degeneration (연령관련황반변성 환자에서 항혈관내피성장인자의 치료 방법과 재정 영향 분석)

  • Yang, Jangmi;Shin, Sang Jin;Suh, Jae Kyung;Cho, Songhee;Tchoe, Hajin;Kang, Min Joo;Jee, Donghyun
    • Journal of The Korean Ophthalmological Society
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    • v.59 no.11
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    • pp.1039-1048
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    • 2018
  • Purpose: To evaluate the effects of anti-vascular endothelial growth factor (VEGF) treatment on the healthcare-related finances of patients with age-related macular degeneration. Methods: Changes in health care financing due to newly introduced benefit standards were predicted over the coming 5-year period (2018-2022). We also analyzed the financial impact of scenarios in which agents similar to anti-VEGF, such as the over-licensed drug bevacizumab, were introduced. For this purpose, the future number of patients receiving anti-VEGF treatments was estimated for various scenarios based on National Health Insurance Corporation claims data followed by an estimate of the financial burden. Results: In the case of age-related macular degeneration, the current standard of care (14 times in a lifetime) was maintained in scenario 1. In 2018, the insurance budget for the coming 5-year period was estimated at approximately 440.3 billion won. The insurance cost for that period was estimated at approximately 560.1 billion won under the revised standard of December 2017 (scenario 2). For scenarios wherein, after 2020, similar treatments (scenario 3) and bevacizumab (scenario 4) were introduced, the estimated health insurance costs were 521 billion won and 419.7 billion won, respectively. Conclusions: Health insurance costs are projected to increase substantially due to the elimination of the 14 time pay standard; however, the actual budget will only moderately increase, due to new limitations of visual acuity ${\leq}0.1$ or in case of scarring/atrophic lesions. Clinically similar agents and bevacizumab could be considered as alternatives to anti-VEGF treatment for age-related macular degeneration.

Evaluation of Dynamic Lane Allocation Method at Climbing Lane Section (통행속도에 기반한 오르막차로 동적 운영방안 평가)

  • Ko, Han-Geom;Choi, Yoon-Hyuk;Oh, Young-Tae;Kang, Jeong-Gyu
    • Journal of Korean Society of Transportation
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    • v.30 no.1
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    • pp.59-72
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    • 2012
  • In aspects of traffic operation, a climbing lane may cause traffic congestion if the volume of traffic (v/c) grows and the ratio of heavy vehicle increases. Conversely, it would be effective, if the climbing lane is dynamically operated according to changes in traffic flow. However, there are no guideline to effectively control this climbing lane in aspects of traffic operation. In this study, we examine the necessity of flexible traffic operation criteria and its process for dynamic traffic management and also establish and analyze the effect of flexible traffic operation criteria in accordance with traffic properties using an example of climbing lane. We selected the operation criteria (critical travel speed), which decides whether to operate or close the climbing lane when the average travel speed of climbing lane is 50km/h based on VISSM (microscopic traffic simulation) analysis of Nakdong junction towards Masan with the volume of traffic (v/c), ratio of heavy vehicle as the traffic operation parameters. Based on the simulation result in accordance with the volume of traffic by the operation mode of climbing lane, the analysis on the effect of dynamic traffic management of climbing lane showed that the dynamic traffic management provides more convenience compare to the operation and close of climbing lane. Thereby, we proved that the dynamic traffic management of climbing lane is more effective.

Efficiency Evaluation of Mobile Emission Reduction Countermeasures Using Data Envelopment Analysis Approach (자료포락분석(DEA) 기법을 활용한 도로이동오염원 저감대책의 효율성 분석)

  • Park, Kwan Hwee;Lee, Kyu Jin;Choi, Keechoo
    • Journal of Korean Society of Transportation
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    • v.32 no.2
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    • pp.93-105
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    • 2014
  • This study evaluated the relative efficiency of mobile emission reduction countermeasures through a Data Envelopment Analysis (DEA) approach and determined the priority of countermeasures based on the efficiency. Ten countermeasures currently applied for reducing greenhouse gases and air pollution materials were selected to make a scenario for evaluation. The reduction volumes of four air pollution materials(CO, HC, NOX, PM) and three greenhouse gases($CO_2$, $CH_4$, $N_2O$) for the year 2027, which is the last target year, were calculated by utilizing both a travel demand forecasting model and variable composite emission factors with respect to future travel patterns. To estimate the relative effectiveness of reduction countermeasures, this study performed a super-efficiency analysis among the Data Envelopment Analysis models. It was found that expanding the participation in self car-free day program was the most superior reduction measurement with 1.879 efficiency points, followed by expansion of exclusive bus lanes and promotion of CNG hybrid bus diffusion. The results of this study do not represent the absolute data for prioritizing reduction countermeasures for mobile greenhouse gases and air pollution materials. However, in terms of presenting the direction for establishing reduction countermeasures, this study may contribute to policy selection for mobile emission reduction measures and the establishment of systematic mid- and long-term reduction measures.

Operation Method of Power Supply System for Eco-friendly Movable-weir Based on Natural Energy Sources (자연에너지를 이용한 친환경 가동보용 전원공급시스템의 운용방안)

  • Kwon, Pil-June;Lee, Hu-Dong;Tae, Dong-Hyun;Park, Ji-Hyun;Ferreira, Marito;Rho, Dae-Seok
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.2
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    • pp.601-610
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    • 2020
  • Recently, damage caused by drought is becoming worse and worse due to the global climate change. To overcome these problems, movable-weir to control the water level has been installed instead of a fixed-weir made from concrete. On the other hand, it is difficult to operate an existing moveable-weir because of the high cost of facility management and manpower consumption. In addition, because most moveable-weirs are installed in power systems, the operating cost and the cost of connection for power systems increase when they are located in remote areas. Therefore, this paper proposes an optimal design algorithm and the evaluation algorithm of the SOC (state of charge) of a lithium-ion battery to replace an existing power supply with eco-friendly movable-power with a power supply system using PV modules and lithium-ion batteries. In addition, this study modeled a 50kW power supply system of a movable-weir using PSCAD/EMTDC S/W. The simulation results confirmed that the proposed algorithm has stable operation characteristics in an independent operation mode and interconnection operation mode and that there is the possibility of commercialization with a benefits evaluation of the eco-friendly power supply system of a movable-weir.

Reviews on the Adaptation Strategy to Climate Change -Application to the Sea Level Rise- (기후변화 적응방안 연구 -해수면 상승을 중심으로-)

  • Cho Kwangwoo;Maeng Jun-Ho;Kim Hae-Dong;Oh Young Min;Kim Dong-Sun;Kim Mu Chan;Yoon Jong Hwui
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.10 no.2 s.21
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    • pp.81-88
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    • 2004
  • We review the adaptation strategies of the 21st climate change in an application to sea level rise. For the development of appropriate adaptation strategies on the coast vulnerable to the sea level rise, we have to consider the issues such as where to adapt, how to adapt, and when to adapt. The coastal target needed adaptation can be found by the evaluation of adaptive capacity of the coastal zone which requires the understanding of impacts and adaptive potential of the natural and socioeconomic systems in the coastal zone. Planned adaptation options to sea level rise can be classified into three generic approaches as managed retreat, accommodation, and protection In practice, the implementation of the options requires the analysis of land use, degree of vulnerability, cost and benefit, etc, and may be combination of the options rather than one approach. In terms of the response timing, the adaptation can be grouped as anticipatory and reactive ones. Generally it is more effective to consider both anticipatory and reactive adaptations at the same time for the impacts of future sea level rise. Due to the scientific uncertainty of climate change issues including sea level rise, the adaptation processes have to be designed to deal with a series of processes such as information md awareness establishment, planning and design implementation, and monitoring and evaluation in continuity and long-term period.

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Evaluation of Image Quality and dose with the Change of kVp and BMI in the Liver CT (CT 검사 시 관전압과 BMI 변화에 따른 화질 및 피폭평가)

  • Kim, Dong-Hyun;Ko, Sung-Jin;Kang, Se-Sik;Kim, Jung-Hoon;Choi, Seok-Yoon;Kim, Changsoo
    • The Journal of the Korea Contents Association
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    • v.13 no.6
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    • pp.331-338
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    • 2013
  • CT for follow-up visits because of liver disease, body mass index (BMI) and kVp according to the change of the image quality and radiation dose to evaluate for changes. March 2010 to June 2011 at Pusan P University Hospital, abdominal CT scans a patient BMI (Body Mass Index. Less BMI) index was less than 25 in the treatment of subjects had a 48-person Noise and SNR at 100kVp abdominal image is lager than the 120kVp image. CTDI volume value at by the analysis of the radiation dose is 4.47mGy(100kVp) and 9.01mGy(120kVp). So CTDIvol in 100kVp is smaller than CTDIvol in 120kVp(decrease by 44.1%). And, effective dose is 7.1mSv(100kVp) and 12.51mSv(120kVp). So effective dose in 100kVp is smaller than effective dose in 120kVp(decrease by 43%). Evaluation of image quality is that Unacceptable 0 person, Suboptimal 0 person, Adequate 0 person, Good 1 person, Excellent 47 person. In case of repeatly patient, we examinate abdomianl CT scan by using low kVp and body mass index less than 25. We can has good quality image and benefit of low radiation dose.

A Study on the Revitalization of Distribution and Logistics in the Least Developed Free Economic Zones (FEZ) (후발 경제자유구역의 성공을 위한 물류유통 부문 활성화에 관한 연구)

  • Jeon, Jae-Woan;Kim, Ki-Soo
    • Journal of Distribution Science
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    • v.11 no.2
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    • pp.57-70
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    • 2013
  • Purpose - The objective of this paper is to explain the successful methods for the revitalization of distribution and logistics of the least developed FEZs (Saemangum, Yellow-sea, and Deagu-Kyengbuk) in Korea. With the recent changes in the economic terrain of Northeast Asia as with the rise of China, Korea has developed a logistics hub concept for improving the efficiency of logistics and distribution industry and its distribution and logistics policy has received positive worldwide evaluation. Therefore, we face severe competition and must always look for ways to address these problems. Research design, Data, Methodology - This study adopts two methods to propose successful revitalization of distribution and logistics in the least developed FEZ. The first method investigates the limitation of these FEZs by analyzing the statutes, and the second one follows comparable cases. Thus, we first reviewed the efficient strategic political alternatives for the least developed FEZ, Yellow-sea, Seamangum-Gunsan, and Deagu-Kyeongbuk, through the relative institution system, law, and future plans. Next, we studied the Bin-hai Economic Free Section (Zone) in China as a comparable example. In order to analyze the competitiveness of logistics in the three FEZs (Yellow-sea, Seamangum-Gunsan, and Deagu-Kyeongbuk), the total factor productivity growth of regional manufacturing industries is divided into three sources: the external trade effect, scale effect, and technical change effect. However, this paper does not test for a positive contribution of external trade, which is a reason of non-building on these FEZs. A FEZ that shows a larger external trade effect than the others will have a comparative advantage in the logistics infrastructure and policy support. This study presented the newly applied Bin-hai FEZ in China, in order to make the studied FEZ as successful by applying the strategy of its distribution and logistics center. Results - In Korea, there is an increased focus on the benefit of the regional development of regions such as the Free Economic Zones (FEZ). We have six FEZs, Inchon, Busan-Jinhae, Guangyang, Yellow-sea, Seamangum-Gunsan, and Deagu-Kyeongbuk. However, our FEZs do not have various supporting factors needed for the logistics and distribution industry. Korea designated the above six places as FEZ and has operated to enhance national competitiveness and ensure a balanced regional development since 2003. However, most FEZs did not receive favorable feedback in the first business performance evaluation and it is necessary to take action for substantial improvements. Conclusions - Especially, over the past 10 years, even though the FEZ policy has been implemented in an effort to promote success in distribution and logistics, there are still many underdeveloped industries in logistics. The main problem is the absence of revitalization of the high value added performance in the distribution and logistics industry. However, there is a limitation to this study. We have used non-empirical method based on a case study to arrive at our findings. Future studies should use appropriate statistical methods to supplement our results and provide a solution to this problem.

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Torsional Behavior of Hybrid Truss Bridge according to Connection Systems (복합트러스교의 격점구조별 비틀림 거동)

  • Jung, Kwang-Hoe;Lee, Sang-Hyu;Yi, Jong-Won;Choi, Ji-Hun;Kim, Jang-Ho Jay
    • Journal of the Korea Concrete Institute
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    • v.25 no.1
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    • pp.63-72
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    • 2013
  • HTB (hybrid truss bridge) steel truss webs instead of concrete webs in prestressed box girder bridges has been widely used in, because of its structural benefit such as relatively less self-weight and good aesthetics due to open web structure. Since the core technology of this bridge is the connection system between concrete slabs and steel truss members, several connection systems were proposed and experimentally evaluated. Also, the selected joint system was applied to the real bride design and construction. The researches were performed on the connection system, since it can affect the global behavior of this bridge such as flexural and fatigue behaviors as well as the local behavior around the connection region. The evaluation study showned that HTB applied to a curved bridge or a eccentric loading bridge, characteristic has a weak torsional capacity compared to an ordinary PSC box girder bridges due to the open structure of HTB. In this study, three box shaped hybrid truss specimens were made and the torsional test and evaluation for them were performed in order to find out the torsional behavior of HTB according to the connection system.