• Title/Summary/Keyword: S2 서비스

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Studies on the variations of hospital use and the changes in hospital revenues of 10 KDRGs under the PPS (일개 대학병원의 환자군별 진료서비스 변이와 포괄수가제 적용에 따른 진료수익 변화)

  • 전기홍;송미숙
    • Health Policy and Management
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    • v.7 no.1
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    • pp.100-124
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    • 1997
  • In order to suggest the strategies for participation in the PPS(Prospective Payment System), analyses were performed based on variations in utilization pattern and changes in revenues of hospitals in 10 selected KDRGs. The data was collected from the claims data of a tertiary hospital in Kyunggido from September 1, 1995 to August 31, 1996. The studies consisted of 1, 718 inpatients diagnosed for lens procedures, tonsilectomy &/or adenoidectomy, appendectomy with complicated principal diagnosis, Cesarean section, or vaginal delivery without any complications. The resources used in each KDRG were measured including average length of stay, total charges, number of orders, intensity of medical services, frequencies of medical services, the rate of non-reimbursable charges, and the rate of non-reimbursable orders. Then, the changes in hopital revenues due to the composition of medical fee schedules under the PPS were estimated as follows: 1) The variations in average lenght of stay, total charges, number of orders, the intensity of medical services, the frequency of medical services, the rate of non-reimbursable charges, and the rate of non-reimbursable orders among the 10 KDRGs were comparatively small. 2) The average lenght of stay was the longest(6.0 days) for appendectomy with complicated principal diagnosis, while it was the shortest(2.1 days) for two vaginal deliveries. Statistically differences existed in the average length of stay among physicians and among the dates of admission in several KDRGs. 3) The total charges were the highest for lens procedures(1, 716, 000 won), while the lowest charges were for two vaginal deliveries(558, 000 won). Statistically differences in the total charges were found among physicians in several KDRGs: however, there were no differences with the dates of admission. 4) The number of orders was the greatest(155) for appendectomy with complicated principal diagnosis, while it was the smallest(75) for the two vaginal deliveries. Statistical differences in the number of orders did not exist among physicians in the KDRGs. 5) Significant differences were found in the intensity of medical services, and in the frequency of medical services among physicians in the KDRGs. 6) The rate of non-reimbursable charges for each KDRG was not related to the rate of non-reimbursable orders. The rate of non-reimbursable orders was the highest(36.0%) for lens procedures, while the lowest rate(11.6%) was for appendectomy with complicated principal diagnosis. The rate of non-reimbursable charges was the highest(39.4-39.7%) for vaginal deliveries, while the lowest rate(13.1%) was for tonsillectomy &/or adenoidectomy(<17 ages). 7) If the physician's practicing style were not change under the PPS, the hospital revenuses could be increased by 10%, and the portion of patient payment could be decreased by 1.4-22.4%. However, the non-reimbursable charges for showed little change between two reimbursement systems. Based upon the above findings, this hospital could be eligible for participation in the PPS(Prospective Payment Systm). However, the process of diagnosis and treatment should be standardized, inentifying methods to reduce cost and to assure quality of medical care. Furthermore, consideration should be given to finding ways to increase patient volume.

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Analysis of the Research Trend and Developmental Direction against the VDS Data (차량검지기 자료 관련 연구동향 분석 및 발전방향)

  • Kim, Han-Soo;Park, Dong-Joo;Shin, Seung-Jin;Beck, Seung-Kirl;NamKoong, Sung
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.6 no.1 s.12
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    • pp.13-26
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    • 2007
  • A VDS data in the domestic has been used within limits to real time information such as congestion management, incident management, and route guidance service. On the other hand, a VDS data in the foreign countries had been used to various objectives such as transportation policy assessment, transportation construction evaluation, franc safety improvement, and etc. The scope and method of the study is the VDS data which was installed in the uninterrupted flow such as the freeway and the interrupted flow in a diversion route of the leeway. It has investigated and analyzed the VDS as our subject to study, study objective and study methodology for each study generally classified as 1) data collection 2) data processing 3) data store and 4) data quality section. This study has investigated and analyzed the various literatures in domestic and foreign countries regarding the VDS data. And It drew the development direction of the study which is about VDS data in domestic from now.

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An Integrated Assessment of Green Environment on Urban Space (도시공간의 통합적 녹지환경 평가)

  • Lee, Woo-Sung;Jung, Sung-Gwan;Park, Kyung-Hun;You, Ju-Han
    • Journal of the Korean Association of Geographic Information Studies
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    • v.17 no.2
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    • pp.15-31
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    • 2014
  • The purpose of this study is to assess the green environment on urban space and to suggest the sustainable green space planning. The study area is Dalseo-gu which has the biggest spatial imbalance of green space among 7 districts of Daegu. Three functions such as nature-ecological, environment-control, and usage function were established for assessing the green environment. For the assessment step of nature-ecological function, 'green connectivity' and 'animal movement' were used. Also,'thermal environment' and 'temperature decrease' were utilized in terms of environment-control function and 'green space's service supply' were utilized in terms of usage function. According to the results of integrated assessment, the green rich zone(Grade I) was 44.8% of total area in Dalseo and this zone was distributed along the southern forest of Mt. Ap and Mt. Biseul and the northern forest of Mt. Gung and Mt. Waryong. On the other hand, the green broken zone(Grade IV) was located in the residential areas of Gamsam and Jukjeon and the residential and industrial areas of Wolseong 1 and Jincheon and this zone was 5.5% of total area. The findings from this study can be used as the plan criteria for construction and distribution of green space in urban master plan.

A Molecular Modeling Education System based on Collaborative Virtual Reality (협업 가상현실 기반의 분자모델링 교육 시스템)

  • Kim, Jung-Ho;Lee, Jun;Kim, Hyung-Seok;Kim, Jee-In
    • Journal of the Korea Computer Graphics Society
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    • v.14 no.4
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    • pp.35-39
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    • 2008
  • A computer supported collaborative system provides with a shared virtual workspace over the Internet where its remote users cooperate in order to achieve their goals by overcoming problems caused by distance and time. VRMMS (Virtual Reality Molecular Modeling System) [1] is a VR based collaborative system where biologists can remotely participate in and exercise molecular modeling tasks such as viewing three dimensional structures of molecular models, confirming results of molecular simulations and providing with feedbacks for the next simulations. Biologists can utilize VRMMS in executing molecular simulations. However, first-time users and beginners need to spend some time for studying and practicing in order to skillfully manipulate molecular models and the system. The best way to resolve the problem is to have a face-to-face session of teaching and learning VRMMS. However, it is not practically recommended in the sense that the users are remotely located. It follows that the learning time could last longer than desired. In this paper, we propose to use Second Life [2] combining with VRMMS for removing the problem. It can be used in building a shared workplace over the Internet where molecular simulations using VRMMS can be exercised, taught, learned and practiced. Through the web, users can collaborate with each other using VRMMS. Their avatars and tools of molecular simulations can be remotely utilized in order to provide with senses of 'being there' to the remote users. The users can discuss, teach and learn over the Internet. The shared workspaces for discussion and education are designed and implemented in Second Life. Since the activities in Second Life and VRMMS are designed to realistic, the system is expected to help users in improving their learning and experimental performances.

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A Preliminary Investigation for Evaluation Factors of Internet GIS Sites in the Context of User-friendly Approach (사용자 친화성의 관점에서 인터넷 GIS사이트 평가기준 설정을 위한 기초 연구)

  • 엄정섭
    • Journal of the Korean Geographical Society
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    • v.37 no.4
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    • pp.403-424
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    • 2002
  • Internet GIS sites are currently being emersed as one of important places to acquire spatial information in stead of traditional paper map. This paper is intended to identify critical factors in evaluating internet GIS site quality. While there should be a considerable number and variety of factors associated with internet GIS site quality, this paper focuses on the site characteristics that generate visitor satisfaction. After carefully reviewing the previous literature of general website evaluation, four criteria that are critical to internet GIS site quality were identified: (1) contents (2) design (3) navigation (4) spatial analysis. An empirical study for a case study site has been conducted to confirm the validity for the four evaluation factors. A site diagnosis by the criteria provided many valuable information for Web site quality. For example, it was found that many symbols in the site made the visitors confusing and navigation interface was not very user-friendly to track required positional information due to inconsistency in terms of cartographic concept. The results indicate that the evaluation criteria may be used not only as a tool to evaluate internet GIS sites, but also as a checklist to improve the quality of a web site that is under development and requires remodelling. As a result, the research findings have established the new concept of ‘the quality assurance of the internet GIS site’, proposed as an initial aim of this paper Many of the issues unresolved in this project could be improved, based on the understanding of the four criteria suggested in this paper.

Optimization of Classification of Local, Regional, and Teleseismic Earthquakes in Korean Peninsula Using Filter Bank (주파수 필터대역기술을 활용한 한반도의 근거리 및 원거리 지진 분류 최적화)

  • Lim, DoYoon;Ahn, Jae-Kwang;Lee, Jimin;Lee, Duk Kee
    • Journal of the Korean Geotechnical Society
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    • v.35 no.11
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    • pp.121-129
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    • 2019
  • An Earthquake Early Warning (EEW) system is a technology that alerts people to an incoming earthquake by using P waves that are detected before the arrival of more severe seismic waves. P-wave analysis is therefore an important factor in the production of rapid seismic information as it can be used to quickly estimate the earthquake magnitude and epicenter through the amplitude and predominant period of the observed P-wave. However, when a large-magnitude teleseismic earthquake is observed in a local seismic network, the significantly attenuated P wave phases may be mischaracterized as belonging to a small-magnitude local earthquake in the initial analysis stage. Such a misanalysis may be sent to the public as a false alert, reducing the credibility of the EEW system and potentially causing economic losses for infrastructure and industrial facilities. Therefore, it is necessary to develop methods that reduce misanalysis. In this study, the possibility of seismic misclassifying teleseimic earthquakes as local events was reviewed using the Filter Bank method, which uses the attenuation characteristics of P waves to classify local and outside Korean peninsula (regional and teleseismic) events with filtered waveform depending on frequency and epicenter distance. The data used in our analysis were analyzed for maximum Pv values using 463 events with local magnitudes (2 < ML ≦ 3), 44 (3 < ML ≦ 4), 4 (4 < ML ≦ 5), 3 (ML > 5), and 89 outside Korean peninsula earthquakes recorded by the KMA seismic network. The results show that local and telesesimic earthquakes can be classified more accurately when combination of filtering bands of No. 3 (6-12 Hz) and No. 6 (0.75-1.5 Hz) is applied.

A Nobel Video Quality Degradation Monitoring Schemes Over an IPTV Service with Packet Loss (IPTV 서비스에서 패킷손실에 의한 비디오품질 열화 모니터링 방법)

  • Kwon, Jae-Cheol;Oh, Seoung-Jun;Suh, Chang-Ryul;Chin, Young-Min
    • Journal of Broadcast Engineering
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    • v.14 no.5
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    • pp.573-588
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    • 2009
  • In this paper, we propose a novel video quality degradation monitoring scheme titled VR-VQMS(Visual Rhythm based Video Quality Monitoring Scheme) over an IPTV service prone to packet losses during network transmission. Proposed scheme quantifies the amount of quality degradation due to packet losses, and can be classified into a RR(reduced-reference) based quality measurement scheme exploiting visual rhythm data of H.264-encoded video frames at a media server and reconstructed ones at an Set-top Box as feature information. Two scenarios, On-line and Off-line VR-VQMS, are proposed as the practical solutions. We define the NPSNR(Networked Peak-to-peak Signal-to-Noise Ratio) modified by the well-known PSNR as a new objective quality metric, and several additional objective and subjective metrics based on it to obtain the statistics on timing, duration, occurrence, and amount of quality degradation. Simulation results show that the proposed method closely approximates the results from 2D video frames and gives good estimation of subjective quality(i.e.,MOS(mean opinion score)) performed by 10 test observers. We expect that the proposed scheme can play a role as a practical solution to monitor the video quality experienced by individual customers in a commercial IPTV service, and be implemented as a small and light agent program running on a resource-limited set-top box.

DEVELOPMENT OF SAFETY-BASED LEVEL-OF-SERVICE PARAMETERS FOR TWO-WAY STOP-CONTROLLED INTERSECTIONS (무신호 교차로의 안전 -서비스 수준 측정에 관한 연구-)

  • 이수범
    • Proceedings of the KOR-KST Conference
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    • 1996.02a
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    • pp.59-86
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    • 1996
  • Current methods for evaluating unsignalized intersections, and estimating level-of-service (LOS) is determined from efficiency-based criteria such as little or no delay to very long delays. At present, similar procedures to evaluate intersections using safety-based criteria do not exist. The improvement of sight distances at intersections is the most effective way of improving intersection safety. However, a set of procedures is necessary to account for the limitations in current methodology. Such an approach would build upon such methods, but also account for: deficiencies in the current deterministic solution for the determination of intersection sight distances; opportunity for an accident and severity of an accident; and cost-effectiveness of attaining various levels of sight distances. In this research, a model that estimates the degree of safety at two-way stop-controlled intersections is described. Only crossing maneuvers are considered in this study because accidents caused by the crossing maneuvers are the dominate type among intersection accidents. Monte Carlo methods are used to estimate the hazard at an intersection as a function of roadway features and traffic conditions. Driver`s minimum gap acceptance in the crossing vehicles and headway distribution on the major road are used in the crossing vehicles and headway distribution on the major road are used in the model to simulate the real intersectional maneuvers. Other random variables addressed in the model are: traffic speeds; preception-reaction times of both drivers in the crossing vehicles and drivers in oncoming vehicles on the major road; and vehicles on the major roads. The developed model produces the total number of conflicts per year per vehicle and total potential kinetic energy per year per vehicle dissipated during conflicts as measurements of safety at intersections. Based on the results from the developed simulation model, desirable sight distances for various speeds were determined as 350 feet, 450 feet and 550 feet for 40 mph, 50 mph and 60 mph prevailing speed on the major road, respectively. These values are seven to eight percent less than those values recommended by AASHTO. A safety based level-of-service (LOS) is also developed using the results of the simulation model. When the total number of conflicts per vehicle is less than 0.05 at an intersection, the LOS of the intersection is `A' and when the total number of conflicts per vehicle is larger than 0.25 at an intersection, the LOS is `F'. Similarly, when the total hazard per vehicle is less than 350, 000 1b-ft2/sec2, the LOS is `F'. Once evaluation of the current safety at the intersection is complete, a sensitivity analysis can be done by changing one or more input parameters. This will estimate the benefit in terms of time and budget of hazard reduction based upon improving geometric and traffic characteristics at the intersection. This method will also enable traffic engineers in local governments to generate a priority list of intersection improvement projects.

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A Study on the Peirce's Semiotics and Understanding of Symbol Marks (퍼어스 기호론과 심볼마크의 이해)

  • Hwang, Hyun-Taik
    • Archives of design research
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    • v.18 no.1 s.59
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    • pp.5-16
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    • 2005
  • As for the public, it is hard to understand semiotics because of the scope of an enormous semiotics education. This study is making semiotics of Charles Sanders Peirce the subject. I thought that utilization can hold his semiotics study in a visual design field. First of all, this study considered design related papers related to the existing semiotics again and study found an error of the existing semiotics study and understanding did category concept with re-definition about semiotics of Peirce. Explained a symbol mark through understanding of semiotics of Peirce. This study was able to get the following conclusion through these results. 1) A symbol mark means one product, sonics, company oneself with a custom. Therefore, it is a rule symbol in the Representation side. 2) A symbol mark symbolizes an object with one symbol, so a symbol mark is a symbol in an object. 3) Because a symbol mark exists through a social rule, in semiotics definition of Peirce, this must become understanding with a Argument symbol. 4) A symbol mark is what a company or an organization field used from the past, and the public are recognizing this how. Therefore, it works as fact a company attaches a symbol mark to own product, and to show the public a symbol mark. A symbol mark is Dicent Sign in Interpretant. A rule and understanding about a lot of types which have various mutual relation, Peirce classification and understanding of a symbol mark tells to demand is holding that understanding a type of semiotics with the concept that is not an image to us.

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The Effect of Workplace Bullying, Job Stress, and Organizational Commitment on Turnover Intention of Nurses in Small and Medium-sized Hospitals (중소병원 간호사의 직장 내 괴롭힘, 직무스트레스, 조직몰입이 이직의도에 미치는 영향)

  • Lee, Hyun-Jung;Jung, Mijung
    • The Journal of the Korea Contents Association
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    • v.20 no.8
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    • pp.572-582
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    • 2020
  • The purpose of this study was to investigate workplace bullying, job stress, organizational commitment, and turnover intention as well as determine influencing factors on the turnover intention of small and medium-sized hospital nurses. Participants included 140 nurses from six small and medium-sized hospitals with less than 300 beds in G-city and J-province. Data were analyzed using descriptive statistics, independent t-test, one-way analysis of variance, Pearson's correlation coefficient, and stepwise multiple regression, using the SPSS Win 21.0 program. The regression model was statistically significant (F=37.11, p<.001), and the explanatory power for turnover intention was 34.2%. The significant factors influencing turnover intention were organizational commitment (β=-.41, p<.001 and job stress (β=.25, p=.005). Human resources management is crucial for providing high quality healthcare service. The results of this study indicated that it is important to lower job stress and increase organizational commitment in order to reduce turnover intention among nurses of small and medium-sized hospitals. Based on these findings, customized programs for nurses in small and medium-sized hospitals need to be developed and implemented so as to lower their turnover intention and promote efficient management of healthcare human resources.