• Membrane and Water Treatment
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• 제8권2호
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• pp.137-147
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• 2017

A water treatment utility in South Korea operates a large system of pressurized hollow fiber membrane (PHFM) modules. The optimal selection of membrane module for the full scale plant was critical issue and carried out using Risk-based Life Cycle Cost (RbLCC) analysis based on the historical data of operation and maintenance. The RbLCC analysis was used in the process of decision-making for replacing aged modules. The initial purchasing cost and the value at risk during operation were considered together. The failure of modules occurs stochastically depending on the physical deterioration with usage over time. The life span of module was used as a factor for the failure of Poisson's probability model, which was used to obtain the probability of failure during the operation. The RbLCC was calculated by combining the initial cost and the value at risk without its warranty term. Additionally, the properties of membrane were considered to select the optimum product. Results showed that the module's life span in the system was ten years (120 month) with safety factor. The optimum product was selected from six candidates membrane for a full scale water treatment facility. This method could be used to make the optimum and rational decision for the operation of membrane water purification facility.

• 한국물환경학회지
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• 제23권1호
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• pp.131-137
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• 2007

Industrial wastewater management guideline and evaluation model of Best Available Technologies for the leather tanning and finishing industry was developed as an economical evaluation model using evaluation of BAT including economical evaluation combined with cost analysis model and cost annualization model in considering of economical factors and non-water environmental factors. It was verified that approximately 10% will be increased annually to modify conventional treatment process ($3,700m^3/d$) of J leather wastewater treatment plant to advanced process of K leather wastewater treatment plant.

• 상하수도학회지
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• 제11권3호
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• pp.87-95
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• 1997

A river water quality management model was made by Dynamic programming. This model optimizes the wastewater treatment cost of the application area, and computed water quality with it must meet the water quality standard. And this model takes into consideration tributary input, wastewater treatment plant effluent, withdrawls for several purposes. Modified Streeter-Phelps equation was used to calculate BOD and DO. Optimization problem was solved with particular exceedance probability flow, and the water quality of each point was calculated with the decided treatment efficiencies. At that time, the probability satisfying the water quality standard of constraints to the exceedance probability of the flow. The developed model was applied to the lower part of the Han-River. The reliability to meet the water quality standard is 70 % when 4 wastewater treatment plants of Seoul City are operated by activated sludge system at autumn of the year 2001. Treatment cost of this case is 121.288 billion won per year.

• 한국병원경영학회지
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• 제3권1호
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• pp.134-164
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• 1998

The purpose of this study is to provide the data for the co-operative treatment of western and oriental hospital. The studies were made a questionnaire to analyze inpatients' awareness on the systems of co-operative treatment and to observe the differences in medical service satisfaction between inpatients who had experienced the co-operative treatment of western and oriental hospital(Group 1) and those who did not (Group 2). The survey was conducted in February 1998, on 250 inpatients who were in a hospital which provided co-operative treatment of western and oriental medicine in Pusan. Korea. The results of this study were disclosed as follows: 54.2% of western hospital inpatients and 90.5% of oriental hospital inpatients suffered from diseases of the nervous system 88.9% of Group 1 and 72.2% of Group 2 believed that the co-operative treatment of western and oriental hospital was more effective in curing diseases of the nervous system. 33.5% or inpatiens in the western hospital and 87.4% of inpatients in the oriental hospital had received the co-operative treatment. In the case of the oriental hospital inpatients who had experienced western treatment, 36.8% received an examination radiologic, 30.7% received a laboratory test, 17.8% received physical therapy, and 14.1% received medication. Whereas, in case of the western hospital inpatients who had experienced oriental treatment, 71.8% received acupuncture, 23.9% received herbal medicine, and 2.8% received oriental medical tests. As to the opinion on the systems of co-operative treatment, 49.6% of Group 1 agreed that 'New medical institutions that adopt the merits of both western and oriental medicine are absolutely necessary.', and 48.9% of Group 1 agreed that 'Since there are strong points and weak points in both western and oriental medicine, partial and gradual introduction of the two systems would be better.' Whereas, 49.6% of Group 2 agreed that the partial and gradual introduction, and 35.7% of Group 2 agreed that the necessity of the new medical institutions. As to the motives for visiting the hospital, the most popular reason for all the inpatients was "others' advice". In the case of Group 1, however, the most popular reason was "the possibility of co-operative treatment". In regards to medical cost, the oriental hospital inpatients felt that their medical cost was too expensive. On the other hand, a smaller percentage of the western hospital inpatients felt that western hospital medical cost were too expensive. And between Group 1 and Group 2, a higher percentage of Group 1 felt that their medical cost was too expensive.

• 대한토목학회논문집
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• 제7권3호
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• pp.13-21
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• 1987

합리적인 수질관리를 위하여 여러가지 수질관리정책들을 수질과 비용의 측면에서 평가하고자 하는 것이 본 연구의 목적이다. 연구의 대상지역은 서울동북부의 중랑천유역으로 하였으며, 용존산소를 수질지표로 하였다. 과학적인 분석을 위하여 수질예측모형인 QUAL2E와 최적화기법의 하나인 선형계획법을 사용하였다. 중랑천에 가상의 처리장을 설치하여 점오염원을 처리함으로써 수질을 개선하도록 하였으며, 수질기준의 변화에 따른 유역내 처리장의 총비용을 검토하였다. 연구결과에 의하면 여름기간에 중랑천에서 유지할 수 있는 용존산소량(DO)은 3.5mg/l 정도였다. 그러나 오염이 심한 지역의 수질기준을 3.0mg/l로 고정할 경우, 그 외의 지역에서는 4 개의 처리장을 설치하여 5.0mg/l 이상의 DO도 유지시킬 수 있었다. 처리자간의 평등성에 따른 정책비교에 의하면, 균등처리(UT)인 경우(\$24.8{\times}10^8$)가 최소비용(LC)의 경우(\$22.9{\times}10^3$)보다 더 많은 처리비용이 소용되었다. 그리고 LC보다 더 공평한 방법인 지역별 균등처리(ZUT)의 경우(\$23.0{\times}10^8$)는 거의 차이가 없어, 적은 비용의 증가로도 평등성(Equity)을 높일 수 있는 중랑천의 지역적 특성을 발견하였다.

• 한국습지학회지
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• 제22권2호
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• pp.139-144
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• 2020

최근 고농도의 연계처리수를 인근 하수처리장으로 유입하고 있으나, 합리적이지 못한 연계처리 요금제도로 인해 지자체에서 하수처리 운영이 어려운 실정이며 이를 증명할 수 있는 근거나 데이터가 부족한 상황이다. 하지만, 국가 필수기반시설인 하수처리장은 일반적으로 예비타당성조사를 면제를 받기 때문에 경제성 평가를 실시한 사례가 전무하다. 따라서, 본 연구진은 선행연구를 통해 기존 연계처리 부과금의 단점을 보완할 수 있는 개선안을 제시하였고, 본 연구에서는 경제성분석을 실시하여 개선안을 적용하였을 때 기존 대비 얼마나 경제성이 개선될 수 있는지 비교평가를 하였다. 이를 위해 기존 환경시설의 예비타당성 평가 자료와 노후하수처리시설 현대화 진행 시 책정한 비용인자와 편익인자를 참고하였고, 연구진이 자체적으로 판단하였을 때 연계처리로 인해서 발생할 수 있는 편익 등을 고려하여 적용하였다. 연구결과 기존에는 B/C(Benefit/cost)값이 상당히 낮았으나, 연구진이 제안한 개선안을 적용하였을 경우 B/C값이 1에 가깝게 증가하는 것을 확인할 수 있었다. 따라서 본 연구진이 제안한 연계처리 부하에 따라 연계처리 부과금을 산정하는 방식은 매우 합리적이고 타당한 것으로 판단된다.

• 한방안이비인후피부과학회지
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• 제34권2호
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• pp.53-69
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• 2021

Objectives : The purpose of this study is to analyze the effects of treatment between Western medicine and Korean medicine on Allergic rhinitis patients using national population-based claim data from the Health Insurance Review and Assessment Service. Methods : The subjects of the study were 30,024 patients in the Korean medicine group and 30,024 in the Western medicine group who were diagnosed with Allergic rhinitis from September 1, 2018 to December 31, 2018. Propensity score analysis was used for matching age, sex, etc. at a ratio of 1:1. Cox regression and subgroup analysis were used to estimate the adjusted hazard ratio of recurrence, Asthma, and Atopic dermatitis in Korean medicine group and Western medicine group. In addition, the total treatment period, total treatment cost, and average cost per day of visit were compared and analyzed. Results : Compared to Korean medicine, Western medicine had a significantly higher risk of recurrence at 1.701 times, Asthma occurrence risk at 1.609 times and Atopic dermatitis occurrence risk at 1.098 times. Compared to Western medicine, the total treatment period of Korean medicine was 14.27 days longer, the total treatment cost was 53,591 won more, and the average cost per day was 7,539 won more. Conclusions : This study is a retrospective cohort study using the propensity score matching in Korea to compare the outcomes of Allergic rhinitis between Western medicine and Korean medicine. Further research is needed by considering patients characteristics, and linking with additional data.

• Asian Pacific Journal of Cancer Prevention
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• 제13권7호
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• pp.3159-3163
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• 2012

Background: For cervical cancer the epidemiological profile is poorly known in Morocco and no data is available concerning the direct medical costs. The purpose of this work is to estimate the direct cost of medical management of invasive cervical cancer during the first year after diagnosis in Morocco. Methods: The estimation of direct costs of medical management of invasive cervical cancer during the first year after diagnosis in Morocco is based on the estimation of individual cost in each stage which covers diagnosis, treatment and follow-up during first year. The cost was estimated per patient and whole cycle-set using the costs for each drug and procedure as indicated by the Moroccan National Agency for Health Insurance. Extrapolation of the results to the whole country was used to calculate the total annual cost of cervical cancer treatments in Morocco. Results: Overall approximately 1,978 new cases of cervical cancer occur each year in Morocco. The majority (82.96%) of these cases were diagnosed at a late stage (stageII or more). The cost of one case of cervical cancer depends on stage of diagnosis, the lowest cost is $382 for stageCis followed by the cost of stageIA1 for young women (< 40 years) which is $2,952. The highest cost is for stageIV, which is $7,827. The total cost of cervical cancer care for one year after diagnosis is estimated at $13,589,360. The share allocated to treatment is the most important part of the global care budget with an annual sum of $13,027,609 whereas other cost components are represented as follows: $435,694 for annual follow-up activity and $126,057 for diagnosis and preclinical staging. Conclusion: This study provides health decision-makers with a first estimate of costs and the opportunity to achieve the optimal use of available data to estimate the needs of health facilities in Morocco.

• 한국물환경학회지
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• 제23권6호
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• pp.881-888
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• 2007

In order to investigate the characteristics of the non-biodegradable material, the $BOD_5/COD_{Cr}$ ratio was used. The average ratio of industrial complex's influent wastewater was 2.29~2.96, the effluent ratio was 4.29~19.0. The removal efficiency of $UV_{254}$ by physicochemical treatment was 22.8~94.7% and 5.3~77.2% by biological treatment, respectively. Of the wastewater removal efficiency for each of the items, the $BOD_5$ treatment efficiency was the greatest at 97.3% and the color & TN treatment efficiency was 40~70%. The study of the economical assessment showed that the complex as well as the individual companies spent 722~1,298 won for each ton of treated wastewater. All of the wastewater treatment facilities spent the most money on chemicals needed to treat the wastewater. The total cost for Nylon manufacturing wastewater treatment plant was the greatest while the total cost for cotton manufacturing wastewater treatment plant turned out to the lowest. As respects of removal efficiency and economocal assessment, Polyester A and Cotton manufacturing wastewater treatment plants were better effective than a dyeing industrial complex wastewater treatment plant.

• Asian Pacific Journal of Cancer Prevention
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• 제15권19호
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• pp.8209-8213
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• 2014

Background: Cervical cancer is a common, preventable and manageable disease in women worldwide. Objectives: This study was conducted to determine the cost of follow-up for suspicious precancerous cervical lesions within a screening program using Pap smear or HPV DNA test through the decision tree. Materials and Methods: Patient follow-up processes were determined using standard guidelines and consultation with specialists to design a decision tree model. Costs of treatment in both public and private sectors were identified according to the national tariffs in 2010 and determined based on decision tree and provided services (visits to specialists, colposcopy, and conization) with two modalities: Pap smear and HPV DNA test. The number of patients and the mean cost of treatment in each sector were calculated. The prevalence of lesions and HPV were obtained from literature to estimate the cost of treatment for each woman in the population. Results: Follow-up costs were determined using seven processes for Pap smear and 11 processes for HPV DNA test. The total cost of using Pap smear and HPV DNA process for each woman in the population was 36.1$ and 174$ respectively. Conclusions: The follow-up process for patients with suspicious cervical lesions needs to be included in the existing screening program. HPV DNA test is currently more expensive than Pap smear, it is suggested that we manage precancerous cervical lesions with this latter test.