• Child Health Nursing Research
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• v.12 no.1
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• pp.15-24
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• 2006

Purpose: This study was done to define nursing behavior in neonatal intensive care units so as to estimate resource-based relative value-. Method: Participating in this study were 292 nurses in neonatal intensive care units. The study surveyed physical and mental labor, stress and time involved in nursing work. Tool used in this study was a nursing labor per relative value tool. For analyzes, the relative value of each nursing behavior was calculated, where the mean value of the three components, labor intensity and component-by-component explanatory power were in percentage terms. Results: 1. Nursing behaviors in neonatal intensive care unit were classified and defined at three levels: 5 main domains, 17 mid-domains, and 42 small domains. 2. The per component explanatory power of intensity involved in nursing labor showed physical effort to be 32.45%, mental 32.86%, and stress 34.69%. 3. The reliability of nursing labor factors was very strong, Cronbach's alpha value of 0.96. Conclusion: In this research, which is a first in defining nursing behavior in neonatal intensive care units, individual nursing behavior were broken down using resource-based relative value for nursing cost, and each nursing behavior was successfully translated to a numerical value.

• Journal of Korean Academy of Nursing
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• v.41 no.3
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• pp.302-312
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• 2011

Purpose: The purpose of this study was to develop a resource-based relative value scale (RBRVS) and its conversion factor for advanced nursing practices carried out by critical care nurse practitioners (CCNP) in intensive care units. Methods: The methodology was developed by calculating CCNP's RBRVS for 32 advanced nursing services based on CCNP's workload and time spent in the context of national health insurance. A cost analysis was performed to estimate the conversion factor of CCNP's RBRVS. The share of CCNP's contribution to fee-for-service in intensive care units was also analyzed. Results: Calculation of the RBRVS of 32 advanced nursing practices showed a range of points from 100.0 to 1,181.4 and an average of 296.1 points. The relevant conversion factor for advanced nursing practices in CCNP were estimated at 37.3-48.4 won. The contribution rate of CCNP's advanced nursing practices in the relative value scale of the national health insurance was estimated at 0.1-31.3%. Conclusion: Measuring the economic value of advanced nursing services will be a basis for esta-blishing a reimbursement system for CCNP's practices and thus encourage a social demand for advanced nurse practitioners.

• Journal of Korean Physical Therapy Science
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• v.3 no.2
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• pp.1065-1077
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• 1996

Fees for medical insurance services in Korea has not being been set based on service costing. Recently in the USA, fees for physican services are determined by developing and applying Resoure Based Relative Value Scales (RBRVS). This study attempts to develop relative value scales for personal factors of rehabilitative and physical therapeutic services. The personal factors were classified into four categories as having been done in the USA;service time, treatment technology and physical efforts, mental efforts and judgement, and stress. Input factors were measured using Magnitude Estimation Method (MEM), and relative value units were calculated for each of twenty eight rehabilitative and physical therapeutic services. Results show that service time surveyed differs from that provided in the public fee schedules in 24 services; the three personal factors but the service time are highly correlated; the physical therapists hold treatment technology and physical efforts to be the most important factor in setting the for services; and that relative values developed for noninsurance services such as Silver Spike Electrode (SSP) and Proprioceptive Neuromuscular Facilitation (PNF) are higher than those of similar insurance services. The policy implications and measures for improvement for the above findings were suggested respectively.

• Journal of the Korean housing association
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• v.19 no.4
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• pp.97-105
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• 2008

The purposes of this study were to determine the actual state of the indoor thermal environment in apartment units and to analyze the relationship between the living factors and indoor thermal elements. The field surveys consisted of measurements of physical elements and observations of living factors. In addition, the residents of 20 apartment units were interviewed to survey their subjective response. Field surveys were carried out from January to March 2007. Measuring elements were air temperature, globe temperature, and relative humidity. The results showed that the average of indoor temperature for the houses was $21.2{\sim}27.2^{\circ}C$, while 4 houses exceeded the comfort zone. The average of globe temperature for the houses was $21.3{\sim}27.5^{\circ}C$, while 6 houses exceeded the comfort zone. The mean relative humidity was $19.5{\sim}58.8%$, which is a relatively dry condition. The residents' average clothing value was $0.39{\sim}0.89$ clo(average 0.68 clo). The average thermal sensation vote on each room was $4.2{\sim}4.8$, which is 'neutral' to 'slightly warm'. Living factors had significant effect on indoor temperature in regression analysis were ventilation time(outdoor air exchange), opening time of door through balcony, and gas cooker use time.

• Proceeding of Spring/Autumn Annual Conference of KHA
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• 2008.04a
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• pp.281-284
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• 2008

The purposes of this study were to make clear the present condition of indoor thermal environment in apartment units and to analyze the relation of the living factors with indoor thermal elements. The field surveys consisted of measurements on physical elements and observations on living factors and interview on resident's subjective responses were carried out in 20 apartment units. The field surveys were carried out during the $January{\sim}March$ 2007. Measuring elements were air temperature, globe temperature, and relative humidity. As results, the averages of indoor temperature each houses were $21.2{\sim}27.2^{\circ}C$, the number of houses exceed the comfort zone were 4. The averages of globe temperature each houses were $21.3{\sim}27.5^{\circ}C$, 6 houses exceeded the comfort zone. The means of relative humidity were $19.5{\sim}58.8%$, relatively dry condition. The clothing value of residents were $0.39{\sim}0.89$ clo(average 0.68 clo). The average of thermal sensation ratings each room were $4.2{\sim}4.8$, 'neutral'$\sim$'slightly warm'. The results of regression analysis on relations of living factors with the thermal elements are as follow; ventilation time(outdoor air exchange), door opening time with balcony, and gas cooker use time had significant effect on indoor temperature.

• Journal of Korean Society of Coastal and Ocean Engineers
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• v.22 no.5
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• pp.295-305
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• 2010

Although the rubble mound breakwaters in Korea have been damaged by typhoons almost every year, quantification of erosion of armor block have seldomly been made. In this paper, the damage of armor units is standardized by the relative damage. In the case where the number of damaged units is reported, it is divided by the total number of units to calculate the relative damage. In the case where the rehabilitation cost is reported, the relative damage is calculated by using its relationship with the present value of the past rehabilitation cost. The relative damage is shown to have strong correlations with the typhoon parameters such as nearest central air pressure and maximum wind speed at each site. On the other hand, the existing numerical methods for calculating the cumulative damage are compared with hydraulic model tests. The method of Melby and Kobayashi (1998) is shown to give a reasonable result, and it is used to calculate the relative damage, which is compared with the measured damage. A good agreement is shown for the East Breakwater of Yeosu Harbor, while poor agreement is shown for other breakwaters. The poor agreement may be because waves of larger height than the design height occurred due to strong typhoons associated with climate change so that the relative damage increased during the last several decades.

• Journal of Korean Academy of Nursing
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• v.30 no.6
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• pp.1543-1555
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• 2000

Home health care is moving into a set of new realities. An era of competition and cost containment has arrived. Before nurses are able to contain costs or describe the relationship between nursing activities, cost must be accurately measured based on the nurse's workload. Nurses in home health care usually desire to measure expenses for one of three reasons : reimbursement, management, or research. The purpose of the study was to investigate the work input by Registered Nurse in each of the home health care activities by relative value units and identify the factors affecting the nurses' total work input in health care services. To measure the work input by nurses, work was defined by four dimensions: time, physical effort, mental effort, and stress. This study used a descriptive-correlational design. Data collection consisted of two phases. In phase I, data on home health activities performed by nurses were collected. In phase II, data on nurses' time, physical effort, mental effort, and stress in each of home health care activities discovered phase I were collected. In this method, the respondent was asked to rate a service in relation to a reference service using a ratio scale. The sample included 39 home health care nurses. The results of the study indicated that home health care activities performed by the nurses were in 10 categories and 69 items. Measuring the relative work inputs in each of home health care activities, and foley catheterization was selected as the reference to service. In terms of time and physical effort dimensions, full bath service was rated as the most strenuous among 69 activities by the respondents, and intramuscular injection was rated as least. It was found that emergency treatment required the highest mental effort and the highest stress, while blood sugar tests required the lowest mental effort. Approximately 91.3% of the variance in total work input was accounted for by the linear combination of time, physical effort, mental effort judgement, and stress. Examining the regression coefficients of those variables, physical effort, time, and stress were found as the predictors which were significantly associated with the total work of nurses in home health care. Professional nursing's next step in the conundrum of economic volatility is to develop a tool to reflect the interaction of functional deficiency and direct professional nursing care. And this will be a more accurate predictor of nursing resource use and ultimately a great forcaeter cost.

• Clinics in Shoulder and Elbow
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• v.25 no.1
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• pp.42-48
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• 2022

Background: Total shoulder arthroplasty (TSA) has been demonstrated to be an effective treatment for multiple shoulder pathologies. The purpose of our study was to compare the relative value units (RVUs) per minute of surgical time for primary and revision TSA. Methods: The American College of Surgeons National Surgical Quality Improvement Program database was queried to identify patients that underwent primary TSA, one-component revision TSA, and two-component revision TSA between January 1, 2015 and December 31, 2017 using current procedure terminology codes. RVUs were divided by mean operative time for each procedure to determine the amount of revenue generated per minute. Rates were compared between the groups using a one-way analysis of variance with post-hoc Tukey test. Statistical significance was set at p<0.05. Results: When dividing compensation by surgical time, we found that two-component revision generated more compensation per minute compared to primary TSA (0.284±0.114 vs. 0.239±0.278 RVU per minute or $10.25±$4.11 vs. $8.64±$10.05 per minute, respectively; p=0.001). Conclusions: The relative value of revision TSA procedures is weighted to account for the increased technical challenges and time associated with these procedures. This study confirms that reimbursement is higher for revision TSA compared to primary TSA.

• Journal of Applied Biological Chemistry
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• v.43 no.4
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• pp.250-253
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• 2000

The effects of high relative humidity (RH) on the physicochemical properties and microbial activity of mature green tomatoes ('Dombito') during refrigerated storage were determined at three temperatures (5, 10, and $15^{\circ}C$) and four different RH levels (91, 94, 97, and 99%). At each temperature, the weight loss rates of tomatoes at different levels of RH were significantly (p<0.05) different from each other. For the samples stored at $10^{\circ}C$, the weight losses were generally higher than those for the samples at $15^{\circ}C$ within the same RH level (i.e., greater vapor pressure deficit). The color change rates ('a' value) showed positive slopes, indicating that the tomato color was changing from green to red. Neither bacteria nor fungi caused visible damages to the samples, and the microbial counts were below 650 colony forming units/$cm^2$ during the test period.

• International Journal of Reliability and Applications
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• v.16 no.2
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• pp.55-79
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• 2015

It is well known that using any additional information in the estimation of unknown parameters with new sample of observations diminishes the sampling units needed and minimizes the risk of new estimators. There are many rational reasons to assure that the existence of additional information in practice and there exists many practical cases in which additional information is available in the form of target value (initial value) about the unknown parameters. This article is described the problem of how the prior initial value about the unknown parameters can be utilized and combined with classical Bayes estimator to get a new combination of Bayes estimator and prior value to improve the properties of the new combination. In this article, two classes of Bayes-shrinkage and preliminary test Bayes-shrinkage estimators are proposed for the scale parameter of exponential distribution. The bias, risk and risk ratio expressions are derived and studied. The performance of the proposed classes of estimators is studied for different choices of constants engaged in the estimators. The comparisons, conclusions and recommendations are demonstrated.