• Title/Summary/Keyword: Improving Efficiency

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Evaluation on Safety of Two-bed Therapy Rooms (2인용 치료병실 안전성 평가)

  • Lee, Kyung-Jae;Cho, Hyun-Duck;Oh, Chang-Bum;Ko, Kil-Man;Park, Young-Jae;Lee, In-Won;Ahn, Hee-Yong
    • The Korean Journal of Nuclear Medicine Technology
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    • v.15 no.1
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    • pp.75-80
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    • 2011
  • Purpose: Europe and U.S use multi-bed therapy rooms. Hereupon, this study aims to examine the safety when current one-bed therapy rooms in Seoul National University Hospital is changed into two-bed ones. Materials and Methods: This study evaluated external exposure by gamma radiation emitted from other patients and internal and external exposure caused by pollutions from other patients in case that Seoul National University Hospital installs a shielding wall between beds in existing therapy rooms. Results: When internal and external exposure was evaluated to evaluate safety of two-bed hospital rooms, 'isolation amount of patients' 5mSv exposure or below is received according to the Atomic Energy Act. Conclusion: With the increasing number of patients with thyoid cancer, patients using therapy rooms are on the rise. Therefore, improving one-person therapy rooms to two-person ones in line with international trend would increase cost reduction and management efficiency, and patients' alienation and isolation can be reduced to increase healing effects.

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Introducing the Insurance Health Care Delivery System and Its Impact on Patients Distribution of Medical Service Organizations (보험진료체계 개편이 의료기관 종별 환자분포에 미친 영향 분석 -3차 의료기관, 종합병원, 병원, 의원을 중심으로-)

  • 공방환;한동운;장원기;강선희;문옥륜
    • Health Policy and Management
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    • v.5 no.1
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    • pp.31-58
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    • 1995
  • The Korean government achieved the universal coverage of health insurance in July 1989, and concomitantly introduced a new measure of regulated health care delivery system in using medical care. There are three reasons why the government took the new health care delivery system. Firstly, there was ample room for improving the allocative efficiency in the use of medical facilities. And the second one was to constrain the dramatic increase of medical demand under health insurance. Thirdly, and the most important reason was to alleviate the patient crowdedness in big general hospitals, particularly tertiary hospitals. There are essentially two different ways to control the use of health care : one is to cut the demand for health care, and the other to regulate behaviors of providers through the use of incentives/disincentives, demand-side approach or supply-side approach. The objective of this study is to examine whether or not medical care utilization behaviors under health insurance scheme have been changed among medical facilities such as clinic, hospital, general hospital and tertiary hospital in comparison with those before and after the introduction, particularly whether the patient crowdedness in tertiary hospitals has been alleviated or not. In order to conduct this study, the insurance claim data during the period of January 1989 and July 1992 were analyzed by focusing on diagnosis of both inpatients and outpatients, and especially the fifteen most frequent diseases in ambulatory care and the seven most frequent diseases in hospitalizatio. In addition, the same analyses were made on the changes in medical care utilization by specialty department. This was because the five departments, such as family medicine, ENT, eye, dermatology and rehabilitation, were exempted from applying the regulated health care delivery system in tertiary hospitals. The study revealed that a remarkable alleviation effect in the crowdness was noted for tertiary hospitals. This effect was most conspicuous for the most frequent mild diseases of both inpatient and outpatient care. For example, the fifteen most frequent OPD care at tertiary facilities have decreased as much as by 40%, of which 34% belonged to the cut in initial visits. Meanwhile, the proportion of those who used general hospitals and private practitioner's clinics have increased due to the shift of patients. The cases from the five special departments were also decreased, but not so much as other departments. A problem was noted that, as time passed by, the decreasing tendencies of crowdness at tertiary hospitals due to the regulated system became slightly smaller. Therefore, through complementary remedies are needed for the future implementation.

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Progesterone assays as an aid for improving reproductive efficiency in dairy cattle II. Use of plasma or milk progesterone profiles for differential diagnosis of ovarian cysts (Progesterone 농도측정(濃度測定)에 의한 유우(乳牛)의 번식효율증진(繁殖效率增進)에 관한 연구(硏究) II. 혈액(血液) 및 유즙(乳汁)중 progesterone 농도측정(濃度測定)에 의한 난소낭종(卵巢囊腫)의 감별진단(鑑別診斷))

  • Kang, Byong-kyu;Choi, Han-sun;Choi, Sang-gong;Son, Chang-ho;Chon, Hong-suk
    • Korean Journal of Veterinary Research
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    • v.34 no.1
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    • pp.181-188
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    • 1994
  • In 60 dairy cows with inactive ovaries, follicular cyst, luteal cyst, persistent corpus luteum and silent heat as diagnosed by rectal palpation, and those that had not resumed ovarian cycles until 60 days postpartum, progesterone concentrations for differential diagnosis of reproductive disorders were measured and were compared in matched plasma, skim milk and milk fat samples at 10 days interval. The incidence rate of reproductive disorders were as follows; inactive ovaries 20(33.3%), silent heat 11(18.3%), follicular cyst 7(11.7%), luteal cyst 7(11.7%), persistent corpus luteum 7(11.7%), pyometra 4(6.7%), vaginitis 2(3.3%), cystic corpus luteum 1(1.7%), and endometritis 1(1.7%), respectively. Cows having a progesterone concentration in plasma and skim milk < 1.0 ng/ml, and in milk fat < 80.0 ng/ml were considered to have inactive ovaries or follicular cyst. Those with concentrations in plasma and skim milk ${\geq}1.0ng/ml$, and in milk fat ${\geq}80.0ng/ml$ were regarded as the cases of luteal cyst or persistent corpus luteum. Progesterone concentrations in above cows did not differ significantly between the time of initial determination and the 10 days after initial determination. But progesterone concentrations in cows with silent heat did differ significantly between the time of initial determination and the 10 days after initial determination(P<0.05). The accuracy of rectal palpation for making a differential diagnosis of ovarian dysfunction, as defined on basis of progesterone concentrations, were as follows; follicular cyst 55.6%, luteal cyst 50.0%, inactive ovaries 90.5% and persistent corpus luteum 60.0%, respectively. It may be concluded that progesterone determinations at 10 days interval is practical as an aid to diagnosing ovarian dysfunction, particularly follicular cyst and luteal cyst.

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Recycling of Plant Fiber Resources: Enhanced Hydration of Newspaper Stock for Decrease of Deinking Reject (식물유래 섬유자원의 재활용: 탈묵 수율 개선을 위한 신문 지료의 수화 촉진 방안)

  • Chung, Sung-Hyun;Kim, Joong-Ho;Joo, Jong-Hun;Bang, Jae-Wook
    • Proceedings of the Korea Technical Association of the Pulp and Paper Industry Conference
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    • 2011.10a
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    • pp.39-41
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    • 2011
  • The recycling rate of recovered paper in Korea is the highest in the world, 92%, but remanufacturing yield is low due to the extremely poor quality of the paper. The poor quality, in turn, influences to the reject amount in deinking process. To increase the yield of old newspaper recycling process, hydrophobic degree of inorganic pigments of deinking stock must be reduced. To determine the hydrophobicity, Pitch Potential Deposit Tester (PDT) was newly designed and applied with respect to the SB latex property of various quality used in Korea; its hydrophobic degree according to Tg, gel content, charge and particle size of latex and optimum designing condition of SB latex. And below are the conclusions: 1. The reason of excessive reject from old newspaper deinking process for total amount of printed ink is loss of inorganic pigments. When lipase, a biochemical catalyst, was applied with the purpose of preventing inorganic pigments loss about more than 70% of total reject weight and promoting hydration of pulp for deinking, deinking process yield of pre flotation secondary stage increased remarkably without any changes of deinking efficiency. 2. Lipase improved deinking stock by cutting ester linkage on surface of hydrophobic materials to promote its hydration. From this, it reached the conclusion that hydration degree of stock exercises significant effect on flotation deinking process yield. 3. Inorganic alkali promotes hydration of deinking stock. But there have been needs for more fundamental measures other than inorganic alkali of promoting hydration for yield improvement. For this, this study intended to find out reasons of chemical properties change on surface of hydrophobic material by change of pH. 4. Pitch Deposit Test (PDT) was performed for understanding principle of why surface of coating flake from OMG is hydrophobic and why it becomes hydrophilic when pH of stock is alkaline. As a result of this test, it is determined that swelling property by change of pH of latex film, which were used as coating adhesive is the reason for hydrophobic change. 5. Hydrophilicity of coating flake increased with hydrophilic pigments. And as more of SB Latex adhesive was used and higher of calcium hardness of stock became, its hydrophilicity decreased. SB Latex adhesive film is reformed by mechanical friction. For having hydrophilicity under neutral pH, strong bruising action such as kneading is required. 6. Because swelling of adhesive film decreases as Tg of SB latex gets lower and mean diameter gets smaller, it shows hydrophobicity under neutral pH. This lowers hydrophilicity of coating flake, which leads to easy elimination with flotation reject on DIP process. Therefore, for improving future flotation yield, it is necessary to develop to use eco-friendly clean SB latex by raising Tg and increasing mean diameter for recycling, and as a result, to reduce excessive loss of coating flake as a reject from deinking process.

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Development of the New Hybrid Evolutionary Algorithm for Low Vibration of Ship Structures (선박 구조물의 저진동 설계를 위한 새로운 조합 유전 알고리듬 개발)

  • Kong, Young-Mo;Choi, Su-Hyun;Song, Jin-Dae;Yang, Bo-Suk
    • Proceedings of the Korean Society for Noise and Vibration Engineering Conference
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    • 2006.05a
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    • pp.164-170
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    • 2006
  • This paper proposes a RSM-based hybrid evolutionary algorithm (RHEA) which combines the merits of the popular programs such as genetic algorithm (GA), tabu search method, response surface methodology (RSM). This algorithm, for improving the convergent speed that is thought to be the demerit of genetic algorithm, uses response surface methodology and simplex method. The mutation of GA offers random variety to finding the optimum solution. In this study, however, systematic variety can be secured through the use of tabu list. Efficiency of this method has been proven by applying traditional test functions and comparing the results to GA. And it was also proved that the newly suggested algorithm is very effective to find the global optimum solution to minimize the weight for avoiding the resonance of fresh water tank that is placed in the rear of ship. According to the study, GA's convergent speed in initial stages is improved by using RSM method. An optimized solution is calculated without the evaluation of additional actual objective function. In a summary, it is concluded that RHEA is a very powerful global optimization algorithm from the view point of convergent speed and global search ability.

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Technique to Evaluate Safety and Loaded Heavy Equipment Grade in RC Building during Demolition Work (RC건축물 해체공사의 안전성 평가기법 및 탑재장비 등급 제안)

  • Park, Seong-Sik;Lee, Bum-Sik;Kim, Hyo-Jin;Sohn, Chang-Hak
    • Land and Housing Review
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    • v.2 no.2
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    • pp.195-204
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    • 2011
  • During mechanical demolition of RC structures, weights of dismantling equipment and demolition waste of building are applied to unexpected load which did not be considered during the design of structural member. Nevertheless, the loading of dismantling equipment and dismantling process are mainly dependent on field managers' field workers' or experiences without considering safety of structural member by a structural engineer. It is urgently required that reflecting actual circumstance of mechanical demolition, safety evaluation method to evaluate the safety and the guideline for appropriate capacity of structural member to support dismantling equipment weight, be provided. Through site investigation and questionnaire on field workers, this paper proposed demolition waste load, load factor, strength reduction factor, and so on. These are essential to safe evaluation of a building, ready to demolition. Considering actual circumstance of mechanical demolition, safety evaluation method of building and design method of slab and beam was suggested to a dilapidated building. An capability to loading of dismantling equipment was proposed, applied to RC slab and RC beam. Therefore, the suggested safety evaluation method and the guideline for an capability to loading of dismantling equipment weight can reasonably evaluate the capacity of structural member in demolition and use effectively as increasing efficiency and improving safety of demolition through proper management of dismantling equipments.

Development of Large-area Plasma Sources for Solar Cell and Display Panel Device Manufacturing

  • Seo, Sang-Hun;Lee, Yun-Seong;Jang, Hong-Yeong
    • Proceedings of the Korean Vacuum Society Conference
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    • 2011.08a
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    • pp.148-148
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    • 2011
  • Recently, there have been many research activities to develop the large-area plasma source, which is able to generate the high-density plasma with relatively good uniformity, for the plasma processing in the thin-film solar cell and display panel industries. The large-area CCP sources have been applied to the PECVD process as well as the etching. Especially, the PECVD processes for the depositions of various films such as a-Si:H, ${\mu}c$-Si:H, Si3N4, and SiO2 take a significant portion of processes. In order to achieve higher deposition rate (DR), good uniformity in large-area reactor, and good film quality (low defect density, high film strength, etc.), the application of VHF (>40 MHz) CCP is indispensible. However, the electromagnetic wave effect in the VHF CCP becomes an issue to resolve for the achievement of good uniformity of plasma and film. Here, we propose a new electrode as part of a method to resolve the standing wave effect in the large-area VHF CCP. The electrode is split up a series of strip-type electrodes and the strip-type electrodes and the ground ones are arranged by turns. The standing wave effect in the longitudinal direction of the strip-type electrode is reduced by using the multi-feeding method of VHF power and the uniformity in the transverse direction of the electrodes is achieved by controlling the gas flow and the gap length between the powered electrodes and the substrate. Also, we provide the process results for the growths of the a-Si:H and the ${\mu}c$-Si:H films. The high DR (2.4 nm/s for a-Si:H film and 1.5 nm/s for the ${\mu}c$-Si:H film), the controllable crystallinity (~70%) for the ${\mu}c$-Si:H film, and the relatively good uniformity (1% for a-Si:H film and 7% for the ${\mu}c$-Si:H film) can be obtained at the high frequency of 40 MHz in the large-area discharge (280 mm${\times}$540 mm). Finally, we will discuss the issues in expanding the multi-electrode to the 8G class large-area plasma processing (2.2 m${\times}$2.4 m) and in improving the process efficiency.

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Influences of LH, FSH, EGF and Cysteine on In Vitro Canine Oocyte Maturation (개 난자의 체외성숙에 대한 LH, FSH, EGF 및 Cysteine의 효과)

  • Song, Hye-Jin;Kang, Eun-Ju;Ock, Sun-A;Jeon, Byeong-Gyun;Rho, Gyu-Jin;Choe, Sang-Yong
    • Reproductive and Developmental Biology
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    • v.31 no.3
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    • pp.169-174
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    • 2007
  • Despite many efforts to improving canine in vitro maturation(IVM), the efficiency is still low compared to that of other mammalian species. The present study investigated the effects of gonadotropin, epidermal growth factor and cysteine supplementation on in vitro maturation of canine oocytes. Cumulus-oocyte complexes (COCs) were matured in basic medium (TCM-199 containing 10% FBS, 0.11mg/ml sodium pyruvate supplemented with or without $10{\mu}g/ml$ FSH, 10ng/ml EGF and 0.57mM cysteine) for 72 hr at $38.5^{\circ}C$ in humidified atmosphere of 5% $CO_2$ in air. After culture, oocytes were stained with Hoechst 33342 $(10{\mu}g/ml)$ for 30 min at $4^{\circ}C$, and assessed their nuclear status (GV: germinal vesicle, GVBD: germinal vesicle break down, MI: metaphasse I, MII: metaphase II, UK: unknown stage). No differences were observed in GV, MI and MII rate except GVBD rate between with and without gonadotropins addition respectively (6.7%, vs. 17.2%). Supplementation of 10ng/ml of EGF in hormones added IVM medium resulted in significantly (p<0.05) higher MII rate (4.54% vs.7.06%). Although there are no significantly difference, total of MI and MII rates were increased by adding cysteine. In conclusion, the present study indicates that supplementation of $10{\mu}g/ml$ LH and FSH, 10ng/ml EGF and 0.57mM cysteine in canine IVM medium show a positive influence on the progression of maturation to MII at 72 hr.

Development and Application of Teaching·Learning Material Concept of Resonance Using the History of Chemistry (화학사적 교수법을 적용한 공명(共鳴) 개념 교수·학습 자료 개발 및 적용)

  • Kim, Kyung-Im;Lee, Woo-Bung
    • Journal of Science Education
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    • v.34 no.2
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    • pp.342-358
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    • 2010
  • By using the concept of 'Resonance' in benzene which stems from a unit dealing with the carbocyclic compounds which is in a text 'Chemistry I', I developed teaching methods based on the history of science. This study was executed to analyze the effect by applying these methods. Seventy 3rd grade male students, who are attending a high school located in the Pohang area were used in this study. I investigated the level of the relative difficulty and the degree of scholastic achievement from each treatment group and controlled group using the concept of Resonance from the preceeding study. In this study, these 70 students divided into two classes- a traditional lecture group consisting of male 35 student, and a group using the history of chemistry consisting of the remaining 35 student and after a specified period, their scholastic achievement was analyzed. As a result of this study, the treatment group scored much higher (50.143) than the controlled group(25.429) in average score and showed significant difference between two groups. Through this study was based on the history of chemistry, after scientists let them realize the process of improving science attitude, and think like scientists, giving conceptual class can get much more efficiency and durability for learning.

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The Enhancement Effect of the Electrochemical Deposition in the Recovering Process of Cu from CuSO4 Solution (황산구리 용액으로부터의 구리회수공정에서 초음파에 의한 전착반응의 증대효과)

  • Yoon, Yong-Soo;Hong, In-Kwon;Lee, Jae-Dong;Jeong, Il-Hyun
    • Applied Chemistry for Engineering
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    • v.5 no.2
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    • pp.199-208
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    • 1994
  • In this study, the ultrasound which provides the properties of mixing, and surface cleaning effect, the increase of the effective reaction surface area and the enhancement of the effective collision frequency, was used to enhance the recovering efficiency of Cu from the Cu-ion containning waste water. The ultrasonic reactor used in this study was designed and constructed for improving the disadvantage of the existing ultrasonic reactor. From the experimental result and its analysis, we obtained following conclusions. 1. The ultrasound increased the rate of electrochemical deposition to 582.2% in maximum at the condition of $0.1M-CuSO_4$, and 2.1 V-overpotential. 2. The enhancement effect of ultrasound induced by the reduction of diffusion layer thickness was 277.8% in maximum and induced by the other effect except for the reduction effect of the diffusion layer thickness was 253.6% in maximum at $0.1M-CuSO_4$ and 2.1V overpotential. 3. This study gave the possibility of the scale-up of ultrasonic reactor and in particular, ultrasonic reactor would be effective in the treatment of waste water containning a low concentration of Cu ion.

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