• Title/Summary/Keyword: Selective management

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Selective tendon lengthening in the management of acquired claw toes (후천성 갈퀴족 변형의 선택적 건연장술 - 증례 보고 4례 -)

  • Choi, Joong-Geun;Choi, Sung-Woo;Lee, Kyung-Wook
    • Journal of Korean Foot and Ankle Society
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    • v.7 no.2
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    • pp.274-278
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    • 2003
  • Rare complications of distal tibia fracture are claw-toe deformity, cavus deformity and checkrein deformity. These complications may be due to contracture of the muscles of the deep posterior compartment of the leg after a compartment syndrome. These 4 cases were treated by selective tendon lengthening of flexor tendon at the retromalleolar level.

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Development of a Decision Support System for Turbid Water Management through Joint Dam Operation

  • Kim, Jeong-Kon;Ko, Ick-Hwan;Yoo, Yang-Soo
    • Proceedings of the Korea Water Resources Association Conference
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    • 2007.05a
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    • pp.31-39
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    • 2007
  • In this study we developed a turbidity management system to support the operation for effective turbid water management. The decision-making system includes various models for prediction of turbid water inflow, effective reservoir operation using the selective withdrawal facility, analysis of turbid water discharge in the downstream. The system is supported by the intensive monitoring devices installed in the upstream rivers, reservoirs, and downstream rivers. SWAT and HSPF models were constructed to predict turbid water flows in the Imha and Andong catchments. CE-QUAL-W2 models were constructed for turbid water behavior prediction, and various analyses were conducted to examine the effects of the selective withdrawal operation for efficient high turbid water discharge, turbid water distribution under differing amount and locations of turbid water discharge. A 1-dimensional dynamic water quality model was built using Ko-Riv1 for simulation of turbidity propagation in the downstream of the reservoirs, and 2-dimensional models were developed to investigate the mixing phenomena of two waters discharged from the Andong and Imha reservoirs with different temperature and turbidity conditions during joint dam operation for reducing the impacts of turbid water.

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Study of Selective Attributes for Luxury Hotel Buffet Restaurants in Seoul (서울 시내 특1급 호텔 뷔페 레스토랑의 선택 속성 연구)

  • Kim, Jang-Ho;Shin, Jae-Gun;Hong, Jong-Sook
    • Journal of the East Asian Society of Dietary Life
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    • v.18 no.5
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    • pp.849-860
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    • 2008
  • The principal objective of this study was to assess the behavior of customers who visit hotel buffet restaurants. This information will provide us with a good marketing strategy, allowing us to control for different customer characteristics and focus on giving marketers useful clues that make it easy to understand the selective attributes for hotel buffet restaurants. Thus, the application of selective attributes is predicated on the results of the analysis. Additionally, this survey was completed by regular customers. The following are the concrete results of the study. First of all, customer's behaviors differ radically with the selective attributes of hotel buffet restaurants. The most crucial factors were found to be "quality of food", "hygiene & cleanliness", and "service". These factors have nothing to do with customer characteristics & demographic features. "Opinions of their relatives, colleagues" and "experience of restaurants" are all sources that substantially influence the selective attributes of restaurants and this is the only way to survive the ever-changing market situation. Finally, hotel buffet restaurants generally attempt to lure customers with healthy food, special corners, fresh vegetables, and fresh sashimi, as compared to the services provided by hotel outlets. According to upgrade service quality & restaurant interior, also, buffet restaurants tend to provide guests with a more charming. Food service companies should consider the question "what really is service?" and thus seek to provide a variety of events. Preparing for unforeseeable market situations, we should execute efficient marketing strategies in order to assure continued customer satisfaction.

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The Influence of Importance Factors Affecting Ethnic Food Restaurant Selection upon Overall Satisfaction (에스닉 푸드 레스토랑 선택속성의 중요도가 전반적 만족도에 미치는 영향)

  • Kim, Eun-Hee;Kim, Ji-Hyun;Hong, Wan-Soo
    • Korean journal of food and cookery science
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    • v.30 no.3
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    • pp.360-367
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    • 2014
  • This study analyzed the Importance-Performance Analysis of selective attributes of Ethnic Food Restaurant. A total of 369 questionnaires were analyzed. Five factors were obtained from factor analysis of Importance variance of selective attributes of Ethnic food restaurant: Factor 1 "Quality", Factor 2 "Service", Factor 3 "Physical environment", Factor 4 "Uniqueness", Factor 5 "Health". Also, "Quality", "Physical environment", "Uniqueness" factors influenced overall satisfaction. In addition, according to the IPA results, selective attributes with low satisfaction and high importance in the second quadrant were 'Sanitation that comfort hospitality', 'Level of service' and 'Price'. These results suggest that when customers select Ethnic food restaurant, they consider 'food price' and 'food quality'. Therefore, manager of ethnic food restaurant should take these improvement factors into consideration in order to meet consumer's expectations.

Assessment of Selective Withdrawal Facility in the Imha Reservoir Using CE-QUAL-W2 Model (CE-QUAL-W2 모델을 이용한 임하호 선택배제시설의 효과분석)

  • Lee, Sanguk;Kim, Jeongkon;Noh, Joonwoo;Ko, Ick Hwan
    • Journal of Korean Society on Water Environment
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    • v.23 no.2
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    • pp.228-235
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    • 2007
  • For efficient turbid water withdrawal in the Imha reservoir, a selective withdrawal facility was recently installed and operated during summer season of year 2006. In this research, CE-QUAL-W2 model was utilized to assess the efficiency of the selective withdrawal facility, in comparison with the original surface withdrawal, on turbid water management. Model calibration was carried out using data observed at four automatic monitoring stations in the reservoir. It was found that the model appropriately simulated, with the RMSE less than 5.2 NTU, the observed vertical and horizontal distributions of water temperature and turbidity as well as the location of maximum turbid water at each monitoring station. The analysis results showed that selective withdrawal is more effective in removing high turbid water than surface withdrawal as selective withdrawal contributed to reducing $35Mm^3$ of high turbidity water (> 100 NTU) in the reservoir by increasing outflows of high turbid water. Therefore, effective management of turbid water in the reservoir can be achieved by changing locations of intake depending on turbid water distribution conditions. The results of this study will provide some basic information for establishing better operation strategies to cope with turbid water problems.

Modeling and Performance Analysis of Zone-Based Registration for Next Generation Mobile Communication Network (차세대 이동통신망을 위한 영역기준 위치등록의 모형화 및 성능 분석)

  • Kim, Dong-Hoi;Baek, Jang-Hyun
    • Journal of Korean Institute of Industrial Engineers
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    • v.29 no.4
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    • pp.292-303
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    • 2003
  • An efficient mobility management for mobile stations plays an important role in mobile communication network. Two basic operations of mobility management are location registration and paging. A zone-based registration (ZBR) is implemented in most of mobile communication systems and we consider the mobility management scheme that combines a zone-based registration and a selective paging (SP). We propose new analytical model that can reflect on the characteristics of the ZBR based on 2-dimensional random walk mobility model and more efficient paging schemes considering the proposed model. We evaluate the performance of the mobility management scheme with our mobility model to determine the optimal size of location area that will result in the minimum signaling traffic on radio channels. Numerical results are provided to demonstrate that our mobility model is useful to evaluate the ZBR more exactly.

Paroxetine, as an Adjuvant Analgesic for the Management of Neuropathic Pain Syndrome (신경병증성 통증 증후군의 관리를 위한 부가적 진통제로서의 Paroxetine)

  • Han, Tae-Hyung;Eun, Jong-Shin;Lee, Sang-Min;Shin, Baek-Hyo
    • The Korean Journal of Pain
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    • v.11 no.2
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    • pp.201-209
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    • 1998
  • Background: Tricyclic antidepressants (TCA) have been used for various pain syndromes for their analgesic effects. They, however, often have anticholinergic side effects and therefore search for more selective drugs with fewer side effects is justified. Paroxetine, a selective serotonin reuptake inhibitor devoid of autonomic side effects, was evaluated for its role as an analgesic adjuvant in the management of neuropathic pain. Method: According to individual diagnostic group as diabetic neuropathy, postherpetic neuralgia, central pain syndrome and cancer related plexopathy, 10 patients per each group were equally accumulated. Patients have been stabilized in their analgesic regimen at least four weeks prior to enrollment into study. TCA, if taken, was discontinued for two weeks for wash out period. Baseline four point verbal pain intensity score was obtained and oral administration of paroxetine 20 mg was initiated. At two weeks follow-up visit, pain intensity scores, pain improvement scores judged by family, drug efficacy, tolerability and overall evaluation were assessed. The incidence of side effects were also obtained. Result: After two weeks of treatment, pain intensity scores decreased in 77.5% of patients and no patients experienced aggravation. These findings were objectively reflected in pain improvement scores judged by family members. But, the number of nonresponders was different among groups. In drug efficacy, tolerability and overall evaluation, the proportions of patients who scored as excellent or good were 75%, 80% and 80% respectively. Incidence of side effects was 27.5%, but the side effects spontaneously disappeared after discontinuation of medication. Conclusion: Paroxetine, a selective serotonin reuptake inhibitor, appears to be effective as adjuvant analgesic for the management of various neuropathic pain syndromes.

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A Study on the Improvement of the Reports on Details of Supply of Medical Device System Through Selective Application (선별적 적용을 통한 의료기기 공급내역보고 제도 개선 연구)

  • Hyun Ju Jeong;Soo Yeon Lim;Ju Wan Kim;Won Seuk Jang;Byeong-Ju Kwon
    • Journal of Biomedical Engineering Research
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    • v.44 no.5
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    • pp.315-323
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    • 2023
  • The objective of this study is to identify the selective application targets for reporting on details of supply of class 1 and 2 medical devices as part of the improvement of the reports on details of supply of medical device system, and to analyze its effectiveness. Therapeutic materials covered by health insurance and secondhand medical devices were chosen based on the transparency of health insurance coverage and the management of medical device distribution. As a result, approximately 85% of groups can be excluded from the reporting requirements compared to reporting all items under Class 1 and 2 medical devices. This is expected to enhance the efficiency of supply reporting tasks. Additionally, the information on supply details managed by the regulatory authority can be utilized for statistical analysis and periodic monitoring, serving as fundamental data for the development of medical device-related policies and research in the field of medical devices.

A Study on Domestic Consumers' Needs and Importance-Performance Analysis of Selective Attributes for Developing Home Meal Replacement (HMR) Products (가정간편식 제품 개발을 위한 소비자의 요구도 및 선택속성의 중요도-만족도 분석)

  • Park, Sung-Bae;Lee, Hyun-Jun;Kim, Hae Young;Hwang, Hye-Sun;Park, Dae-Sub;Hong, Wan-Soo
    • Korean journal of food and cookery science
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    • v.32 no.3
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    • pp.342-352
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    • 2016
  • Purpose: This study conducted an Importance-Performance Analysis (IPA) of selective attributes of Home Meal Replacement (HMR) as well as it examined the consumers' needs and willingness to buy HMR products to explore the need for developing more HMR products. Methods: This study was conducted among domestic consumers living in Seoul and its metropolitan areas, in the age range from the 20s to the 50s, and who had experience in purchasing HMR products. From the 490 surveys retrieved, 472 (96.3%) valid surveys were analyzed. Results: The analysis of the frequency of consuming HMR products showed the following results: 247 respondents answered '1-3 times a month' (52.3%); 167 respondents stated '1-2 times a week' (35.3%). With respect to the reason of purchase, 'simplicity of the recipe' was the most common, accounting for 188 respondents (39.8%), followed by 'time efficiency' accounting for 172 respondents (36.4%). Analysis of the demand for bibimbap (mixed rice) HMR products showed that 'chicken bibimbap' had the highest preference with 5.32 points, followed by 'bulgogi bibimbap' (5.08 points), and 'kimchi bibimbap' (4.96 points). In the case of HMR products that need to undergo further development, 'low-sodium products' received the highest points of 5.41 points, followed by 'small packaged products' (5.05 points), and 'functional products' (4.98 points). The factor analysis of the 13 selective attributes showed that they can be divided into 3 factors. The IPA analysis of the selective attributes of HMRs showed 'hygiene', 'taste', 'easy to go packaging', 'convenience in intake', and 'accessibility' in the 1st quadrant. In the 2nd quadrant, 'price' and 'freshness' were shown as the factors. In the 3rd quadrant, 'easy to serve', 'familiar food menu', and 'consistent menu' were shown as the leading factors, and in the 4th quadrant, 'saving labor' was the only factor. Conclusion: Based on these results, the research concludes that with respect to developing HMR products, there is a high demand for low sodium, low calorie, small packaged products; thus, showing the need to develop various HMR products for customer satisfaction. Furthermore, it shows that there is a need to consider developing HMR products that can maintain freshness at an affordable price.

The Effects of Changed Selective Treatment System on Medical Service Usage and Payments for Lung Cancer Patients (선택진료제도 개선이 폐암환자 의료이용 및 본인부담액에 미치는 영향)

  • Jeon, Insook;Lee, Haejong
    • Korea Journal of Hospital Management
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    • v.22 no.4
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    • pp.61-73
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    • 2017
  • In the Health Insurance System of South Korea, patients must pay high out-of-pocket expenditures for the medical service by uninsured medical benefits. So, the government implemented a policy to relieve the burdens of patients by lowering the uninsured selective-medical treatment costs in August, 2014. This study investigate the policy effects of selective-medical treatment(SMT) on the medical service's usage and cost with severe lung cancer patients. The patients are selected in one university hospital(with 1,000 beds), between one year before and after policy implementation. The study find that the usages of outpatient(visit number) and inpatient (length of stay) are not changed by statistically significant. It means that there are no effect in medical service behavior between before and after the policy. In medical expenses, outpatients decreased in their out-of-pocket payments by policy, but total medical expenses and insured medical benefits is not changed, because of the increased another medical insurance fees. For inpatient, although the SMT costs are statistically significant decrease, the total out-of-pocket payments and insured medical expenses are not changed statistically significant. Those findings show that the political decision making about SMT made lowing the selective-medical expenses, but total insured cost and patient's out-of pocket money were not changed by the new increased medical insurance fees. It means that the policy about SMT gave no particular benefit for patients. So, it need another benefit plans to lower the medical expenses of severe lung cancer patients with a high medical service usage and much total medical expense.