• Title/Summary/Keyword: Claims problem

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Socioeconomic Costs of Stroke in Korea: Estimated from the Korea National Health Insurance Claims Database (건강보험 청구자료를 이용한 우리나라 뇌졸증 환자의 사회경제적 비용 추계)

  • Lim, Seung-Ji;Kim, Han-Joong;Nam, Chung-Mo;Chang, Hoo-Sun;Jang, Young-Hwa;Kim, Se-Ra;Kang, Hye-Young
    • Journal of Preventive Medicine and Public Health
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    • v.42 no.4
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    • pp.251-260
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    • 2009
  • Objectives : To estimate the annual socioeconomic costs of stroke in Korea in 2005 from a societal perspective. Methods : We identified those 20 years or older who had at least one national health insurance (NHI) claims record with a primary or a secondary diagnosis of stroke (ICD-10 codes: I60-I69, G45) in 2005. Direct medical costs of the stroke were measured from the NHI claims records. Direct non-medical costs were estimated as transportation costs incurred when visiting the hospitals. Indirect costs were defined as patients and caregivers productivity loss associated with office visits or hospitalization. Also, the costs of productivity loss due to premature death from stroke were calculated. Results : A total of 882,143 stroke patients were identified with prevalence for treatment of stroke at 2.44%. The total cost for the treatment of stroke in the nation was estimated to be 3,737 billion Korean won (KRW) which included direct costs at 1,130 billion KRW and indirect costs at 2,606 billion KRW. The per-capita cost of stroke was 3 million KRW for men and 2 million KRW for women. The total national spending for hemorrhagic and ischemic stroke was 1,323 billion KRW and 1,553 billion KRW, respectively, which together consisted of 77.0% of the total cost for stroke. Costs per patient for hemorrhagic and ischemic stroke were estimated at 6 million KRW and 2 million KRW, respectively. Conclusions : Stroke is a leading public health problem in Korea in terms of the economic burden. The indirect costs were identified as the largest component of the overall cost.

Intelligent Control for Torque Ripple Minimization in Combined Vector and Direct Controls for High Performance of IM Drive

  • Boulghasoul, Zakaria;Elbacha, Abdelhadi;Elwarraki, Elmostafa
    • Journal of Electrical Engineering and Technology
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    • v.7 no.4
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    • pp.546-557
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    • 2012
  • In Conventional Combined Vector and Direct Controls (VC-DTC) of induction motor, stator current is very rich in harmonic components. It leads to high torque ripple of induction motor in high and low speed region. To solve this problem, a control method based on the concept of fuzzy logic approach is used. The control scheme proposed uses stator current error as variable. Through the fuzzy logic controller rules, the choice of voltage space vector is optimized and then torque and speed are controlled successfully with a less ripple level in torque response, which improve the system's performance. Simulation results trough MATLAB/SIMULINK${(R)}$ software gave results that justify the claims.

A Method for Enhancing Data Transmission Performance in the Power-Line Communication Channel with Low-Voltage Surge Protective Devices (저압용 SPD가 설치된 전력선통신에서 데이터전송 성능 향상)

  • Choi, Jong-Min;Jeon, Tae-Hyun
    • Journal of the Korean Institute of Illuminating and Electrical Installation Engineers
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    • v.26 no.2
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    • pp.78-85
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    • 2012
  • Low-Voltage power lines should equip surge protection devices which protect electronic equipments and human lives against lightning and abnormal voltages. Data transmission capacity of the power line is determined by frequency characteristics of the surge protective devices. To analyze the effects of surge protective devices on the data transmission performance, various combinations of installation methods are tested which include ZnO varistor elements that is compatible with class I, class II and class III. The result claims that ZnO varistor for class III is found to be one of the main factors that deteriorates the transmission performance. To overcome this problem a serial connection methed between Gap type SPD and ZnO varistor is proposed. With the proposed scheme, laboratory experimental results show that the data transmission performance can be improved up to 91.9[%] with proper SPD combination.

A Case Study of Quality Improvement practice in Cooling Fan Motor Manufacturing (냉각팬 모터 제조공정의 품질개선에 관한 사례연구)

  • Jeoung, Ji-Yong;Bae, Young-Ju
    • Journal of the Korea Safety Management & Science
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    • v.15 no.4
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    • pp.279-288
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    • 2013
  • The purpose of this study is to present a case study of six sigma quality improvement practice in cooling fan motor(CFM) manufacturing processes. In this study, the CFM manufacturing process of automobile parts not relevant to the target process rate of the process point of view, in order to reduce the system to solve the problem of localized resolution procedures of six sigma DMAIC methodology was applied to study. In conclusion, this study's field D in order to improve the initial rate of inadequate quality management best practices by applying the method of Six Sigma quality CFM failure through stabilization schemes were proposed cost reduction.To be CFM product to satisfy customers based on continuous monitoring of the effective field of claims quality management system is required.

FINANCIAL SYSTEM: INNOVATIONS AND PRINCING OF RISKS

  • Melnikov, A.V.
    • Journal of the Korean Mathematical Society
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    • v.38 no.5
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    • pp.1031-1046
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    • 2001
  • The paper studies the evolution of the financial markets and pays the basic attention to the role of financial innovations (derivative securities) in this process. A characterization of both complete and incomplete markets is given through an identification of the sets of contingent claims and terminal wealths of self-financing portfolios. the dynamics of the financial system is described as a movement of incomplete markets to a complete one when the volume of financial innovations is growing up and the spread tends to zero (the Merton financial innovation spiral). Namely in this context the paper deals with the problem of pricing risks in both field: finance and insurance.

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A NEW LOOK AT THE FUNDAMENTAL THEOREM OF ASSET PRICING

  • Yan, Jia-An
    • Journal of the Korean Mathematical Society
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    • v.35 no.3
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    • pp.659-673
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    • 1998
  • In this paper we consider a security market whose asset price process is a vector semimartingale. The market is said to be fair if there exists an equivalent martingale measure for the price process, deflated by a numeraire asset. It is shown that the fairness of a market is invariant under the change of numeraire. As a consequence, we show that the characterization of the fairness of a market is reduced to the case where the deflated price process is bounded. In the latter case a theorem of Kreps (1981) has already solved the problem. By using a theorem of Delbaen and Schachermayer (1994) we obtain an intrinsic characterization of the fairness of a market, which is more intuitive than Kreps' theorem. It is shown that the arbitrage pricing of replicatable contingent claims is independent of the choice of numeraire and equivalent martingale measure. A sufficient condition for the fairness of a market, modeled by an Ito process, is given.

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A Comparative Consideration on the Domestic and Foreign Industrial Accident Compensation Insurance (국내.외 산업재해 보상보험제도의 비교 고찰)

  • Kim, Byung-Suk
    • Journal of the Korea Safety Management & Science
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    • v.11 no.4
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    • pp.25-33
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    • 2009
  • Since it's first adaptation in Germany in 1884, the industrial accident compensation insurance system has been on the most widely used social security systems, and in was first enforced in Korea in 1964. Today's society has been industrialized and number of business places for workers accident. As the welfare of workers improves in korea, the number of beneficiaries of industrial accident compensation insurance is increasing. Even though such trend is desirable in many respects, there is a growing social problem caused by abnormal insurance claims.

Scenarios for Manufacturing Process Data Analysis using Data Mining (데이터 마이닝을 이용한 생산공정 데이터 분석 시나리오)

  • Lee, Hyoung-wook;Bae, Sung-min
    • Journal of Institute of Convergence Technology
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    • v.3 no.1
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    • pp.41-44
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    • 2013
  • Process and manufacturing data are numerously accumulated to the enterprise database in industries but little of those data are utilized. Data mining can support a decision to manager in process from the data. However, it is not easy to field managers because a proper adoption of various schemes is very difficult. In this paper, six scenarios are conducted using data mining schemes for the various situations of field claims such as yield problem, trend analysis and prediction of yield according to changes of operating conditions, etc. Scenarios, like templates, of various analysis situations are helpful to users.

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A Comparative Study on the Characteristics of Korean, American and Islam Business Negotiators (무역계약분쟁예방을 위한 협상시 유의점에 관한 연구 - 한·미·이슬람협상관행을 중심으로 -)

  • Shin, Koon Jae
    • Journal of Arbitration Studies
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    • v.9 no.1
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    • pp.265-290
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    • 1999
  • All kinds of commerces are begun from the contract and the claims are frequently raised by the problem in the contracts. Therefore, the negotiation is very important to make a contract and resolve the claim. This article compared and analyzed the negotiation practice of Korean, American and Islam to strengthen the negotiation power of the Korean domestic companies and suggested the some guidelines when the Korean companies negotiate with the foreign companies. For the negotiator to make a effective negotiation with the foreigners and a make the negotiation performance, The negotiator has to prepare for the negotiation practice and strategy of the foreign countries. Secondly, the negotiator has to be accustomed to the foreign country and make the win-win strategy by giving the benefit to the foreign company as well as him. Especially, in the negotiation with American, it is very necessary that the negotiator persuade him logically by preparing the objective data and include the lawyer into the negotiation team. In the negotiation with Islam, making the personal relationship and, if possible, frequent contact with the person who has the responsibility in the contract is very important.

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Neutralization of Short Tones in Taiwanese

  • Jane Tsay
    • Proceedings of the KSPS conference
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    • 1996.10a
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    • pp.136-141
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    • 1996
  • This paper is an acoustic study of neutralization of short tones in Taiwanese. The results show that the two short tones were completely neutralized in juncture position. Since long tones in Taiwanese show complete neutralization in context position, the bidirectionality of tone alternation in Taiwanese Tone Sandhi poses a problem far rule-based approaches, while it is consistent with the hypothesis that both juncture and context tones are listed in the lexicon, instead of one being derived from the other. Moreover, in order to account for the difference between Taiwanese Tone Sandhi and Mandarin Tone Sandhi (which has been proven acoustically to be incomplete neutralization), the Naturalness Hypothesis is proposed, which claims that if the neutralization is phonetically unnatural, then the neutralization is more likely to be lexicalized and show complete neutralization.

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