• 한국병원경영학회지
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• 제12권3호
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• pp.1-19
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• 2007

This study focused on finding the variation of medical service utilization and medical payments of the patients died by three, cancers, stomach, breast, and colon cancer. For this study, data of the one-year episodes of the health insurance subscribers died in 2004 were selected. The frequency of medical visits, the lengths of slays, the days of outpatient visits, the total period of medical services and the total medical payments were compared by the characteristics of the suppliers and utilizers. The data of the patients died by cerebrovascular diseases and cancer in 2004 were selected. To select the dead by cerebrovascular diseases and cancer in 2004, were matched the 2004 reimbursement data of all medical institutions to the data of funeral fee payment by the National Health Insurance Corporation from January 2004 to May 2005 for the death in 2004. The results of the analysis were as follow. The variation of medical service utilization of the dead by cancers were not small in Korea. The current study found that the variation of medical care utilization was influenced by the factors of suppliers, such as types and locations of medical institutions and the factors of users, such as sex and age. It was suspected that the reimbursement by fee-for-service contributed to the variation quite a lot, but we could not compare the variation between the different reimbursement systems in Korea. The results of the study suggested that tile factors of suppliers and utilizers should he reviewed to reduce the under use and over use expressed by variations of medical service utilization. The processes of care, effective communication and management system should be investigated for the equity of medical service utilization. Additionally, prospective payment could he recommended to reduce the high variation of medical service Use. To find the variation caused by under use and over use, further study need to control the severity of diseases, socio-economic status of the users and the system factors.

• 보건의료산업학회지
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• 제6권1호
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• pp.77-86
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• 2012

Objective of the study represents experiences of medical utilization of Psychiatric Outpatients. This research draws on information obtained from the 2008 National-wide sampling study of the Korean Healthcare Panel(KHP) conducted. The results of our study suggest the significance of variables such as the gender(p<.001) in the social demographical characteristics, the medical security type(p<.016), medical institution utilization(p<.012) treatment type(p<.004) in the utilization factors. In the case of medical utilization cost, the financial support factor(p<.018) showed a significant relationship. Depending on the particularities of gender, medical security type, financial support, medical institution utilization, treatment type were determined through a multiple logistics regression analysis. Gender showed that, among Psychiatric outpatient age of 30-59 level was 5.358 times and 60 years and older, their the second medical examination level was 4.490 times higher than Psychiatric outpatients under the age of 29. Health insurance type showed for the others medical allowance was 6.712 times higher than job health insurance and the other treatment was 0.395 times lower than drug treatment. Psychiatric outpatients utilization are rooted in the thoughts and factor levels of the Psychiatric patients and must be understood from the Psychiatric outpatients's perspective. The point is not only to gauge the patients research during Psychiatric medical utilization. The important of social community mental healthcare services levels goes beyond the goal of enhancing healthcare.

• 한국컴퓨터산업학회논문지
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• 제2권9호
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• pp.1155-1162
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• 2001

본 논문은 UNIX 시스템의 최적 이용률(Optimal Utilization)을 결정하는 방법을 제시한다. 제시된 방법은 사용자가 인내할 수 있는 응답시간(Tolerable Response Time)을 제공하는 범위에서 사용자에게 허용될 수 있는 최대 이용률이 최적 이용률이 된다는 정의(Definition)를 근거로 하여 개발되었다. 인내할 수 있는 응답시간이 길어지면 최적 이용률도 높아지므로 최적 이용률은 인내할 수 있는 응답시간의 최대값에서 구해진다. 인내할 수 있는 응답시간은 서비스 목표(Service Objective)가 주어지면 도출해 낼 수 있다. 본 논문에서는 인내할 수 있는 응답시간이 0.24초라는 것과 최적 이용률의 세 가지 구성요소는 %wio, %sys, %usr 이라는 것을 보여준다. 또한 최적 이용률을 결정하는 실제의 과정을 예시하기 위하여 UNIX 운영체제를 사용하는 IBM 컴퓨터의 최적 이용률을 구하는 과정을 예시한다.

• 한국정보처리학회논문지
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• 제2권5호
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• pp.807-813
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• 1995

본 논문은 UNIX 시스템의 최적 이용율(Optimal Utilization)을 결정하는 방법을 제시한다. 제시된 방법은 사용자가 인내할 수 있는 응답시간(Tolerable Response Time) 을 제공하는 범위에서 사용자에게 허용될 수 있는 최대 이용율이 최적 이용율이 된다 는 정의(Definition)를 근거로하여 개발되었다. 인내할 수 있는 응답시간이 길어지면 최적 이용율도 높아지므로 최적 이용율은 인내할 수 있는 응답시간의 최대값에서 구해 진다. 인내할 수 있는 응답시간은 서비스 목표(Service Objective) 가 주어지면 도출 해낼 수 있다. 본 논문에서는 인내할 수 있는 응답시간이 0.24초라는 것과 최적 이용 율의 세가지 구성요소는 %wio, %sys, %usr이라는 것을 보여준다. 또한 최적 이용율을 결정하는 실제의 과정을 예시하기 위하여 UNIX 운영체제를 사용하는 IBM 3081 컴퓨터 의 최적 이용율을 구하는 과정을 보여준다.

• 대한통합의학회지
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• 제6권4호
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• pp.149-169
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• 2018

Purpose : This study was to develop a strategy for modeling future workforce projections to serve as a basis for analyzing annual supply of and demand for physical therapists across the South Korea into 2030. Methods : In-and-out movement model was used to project the supply of physical therapists. The demand was projected according to the demand-based method which consists of four-stages such as estimation of the utilization rate of the base year, forecasting of health care utilization of the target years, forecasting of the requirements of clinical physical therapists and non-clinical physical therapists based on the projected physical therapists. Results : Based on the current productivity standards, there will be oversupply of 39,007 to 40,875 physical therapists under the demand scenario of average rate in 2030, undersupply of 44,663 to 49,885 under the demand scenario of logistic model, oversupply of 16,378 to 19,100 under the demand scenario of logarithm, and oversupply of 18,185 to 20,839 under the demand scenario of auto-regressive moving average (ARIMA) model in 2030. Conclusion : The result of this projection suggests that the direction and degree of supply of and demand for physical therapists varied depending on physical therapists productivity and utilization growth scenarios. However, the need for introduction of a professional physical therapist system and the need to provide long-term care rehabilitation services are actively being discussed in entering the aging society. If community rehabilitation programs for rehabilitation of disabled people and the elderly are activated, the demand of physical therapists will increase, especially for elderly people. Therefore, healthcare policy should focus on establishing rehabilitation service infrastructure suitable for an aging society, providing high-quality physical therapy services, and effective utilization of physical therapists.

• Animal Bioscience
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• 제37권2호
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• pp.193-202
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• 2024

Objective: Oxidative stress (OS) is a pathological process arising from the excessive production of free radicals in the body. It has the potential to alter animal gene expression and cause damage to the jejunum. However, there have been few reports of changes in the expression of long noncoding RNAs (lncRNAs) in the jejunum in piglets under OS. The purpose of this research was to examine how lncRNAs in piglet jejunum change under OS. Methods: The abdominal cavities of piglets were injected with diquat (DQ) to produce OS. Raw reads were downloaded from the SRA database. RNA-seq was utilized to study the expression of lncRNAs in piglets under OS. Additionally, six randomly selected lncRNAs were verified using quantitative real-time polymerase chain reaction (qRT-PCR) to examine the mechanism of oxidative damage. Results: A total of 79 lncRNAs were differentially expressed (DE) in the treatment group compared to the negative control group. The target genes of DE lncRNAs were enriched in gene ontology (GO) terms and Kyoto encyclopedia of genes and genomes (KEGG) signaling pathways. Chemical carcinogenesis-reactive oxygen species, the Foxo signaling pathway, colorectal cancer, and the AMPK signaling pathway were all linked to OS. Conclusion: Our results demonstrated that DQ-induced OS causes differential expression of lncRNAs, laying the groundwork for future research into the processes involved in the jejunum's response to OS.

• 대한간호학회지
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• 제40권6호
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• pp.903-912
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• 2010

Purpose: This study was conducted to examine whether the level of classification for long-term care service under longterm care insurance reflects resource utilization level for residents in nursing homes. Methods: From 2 long-term care facilities, the researchers selected 95 participants and identified description and time of care services provided by nurses, certified caregivers, physical therapists and social workers during a 24-hr-period. Results: Resource utilization level was: 281.04 for level 1, 301.05 for level 2 and 270.87 for level 3. Resource utilization was not correlated with level. Differences in resource utilization within the same level were similar with the coefficient of variance, 22.7-27.1%. Physical function was the most influential factor on long-term care scores (r=.88, p<.001). The level for long-term care service did not reflect differences in resource utilization level of residents on long-term care insurance. Conclusion: The results of this study indicate that present grading for long-term care service needs to be reconsidered. Further study is needed to adjust the long-term care classification system to reflect the level of resource utilization for care recipients on the long-term care insurance.

• 한국BIM학회 논문집
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• 제14권3호
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• pp.1-12
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• 2024

Many efforts are being made to enhance user productivity and promote collaboration while ensuring the economic efficiency of office buildings. Analyzing space utilization, indicating how users utilize spaces, has been a crucial factor in these efforts. Appropriate space utilization enhances building maintenance and space layout design, reducing unnecessary energy waste and under-occupied spaces. Recognizing the importance of space utilization, there have been several studies to predict space utilization using information about users, activities, and spaces. These studies suggested an ontology of the information and implemented automated activity-space mapping as part of space utilization prediction. Despite the existing studies, there remains a gap in integrating space utilization prediction with automated space layout design. As a foundational study to bridge this gap, our study proposes a novel methodology that automatically generates office rooms based on space utilization optimization. This methodology consists of three modules: Activity-space mapping, Space utilization calculation, and Room generation. The first two modules use data on space types and user activity types as input to calculate and optimize space utilization through requirement-based activity-space mapping. After optimizing the space utilization value within an appropriate range, the number and area of each space type are determined. The Room generation module then automatically generates rooms with optimized areas and numbers. The practical application of the developed methodology is demonstrated, highlighting its effectiveness in fabricated case scenario. By automatically generating rooms with optimal space utilization, our methodology shows potential for expanding to automated generation of optimized space layout design based on space utilization.

• 지역사회간호학회지
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• 제22권1호
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• pp.33-44
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• 2011

Purpose: This study examined the characteristics and service utilization of home nursing care beneficiaries under the Korean Long-Term Care Insurance (LTCI). Methods: We used assessment data and claim data of National Health Insurance Corporation from July to August 2008. Data were composed of subjects who were the beneficiaries of home nursing care. Results; A total of 634 subjects were analyzed. Of the subjects, 57.1% were 75 years and over. The average score of nursing care need was only 0.71 and the percentage of those whose nursing care need score was zero was 58.0%. More than half of the subjects had partially dependent musculoskeletal conditions, and 75.5% had two or more comorbidities. A third of them usedonly home nursing care, and another third used both home nursing care and general home care at the same time. Those who needed sore care used the largest home nursing care benefits. Conclusion: Home nursing care of LTCI performs community-based healthcare services under LTCI. Throughout the past two years, however, it has not been active. Understanding the characteristics of its users is important in order to develop effective strategies for activating home nursing care.

• 대한약침학회지
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• 제25권3호
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• pp.276-289
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• 2022

Objectives: Child and adolescent sleep is an important factor for brain and physical development. Therefore, it is necessary to investigate the prevalence of sleep disorders and nonorganic sleep disorders in children and adolescents and determine the type of utilization of medical institutions. This study analyzed the prevalence and type of medical institutions in Korean children and adolescents with sleep disorders and nonorganic sleep disorders. Methods: This study used data recorded in the Health Insurance Review and Assessment-National Patient Sample (HIRA-NPS) database from 2010 to 2017. Details of medical institution type and patient's sex, age, and treatment type were extracted for patients younger than 20 years with sleep disorders and nonorganic sleep disorders. Results: Among 2,536,478 patients under age 20, we identified 3,772 patients with sleep disorders or nonorganic sleep disorders. From 2010 to 2017, the prevalence of sleep disorders in children and adolescents was 0.07% to 0.09%. The utilization rate of Korean medical institutions was 30.47%. The prevalence of nonorganic sleep disorders and the utilization rate of Korean medical institutions were 0.06% to 0.08% and 45.99%, respectively. Conclusion: The prevalence of sleep disorders and nonorganic sleep disorders in the under-20 population was 0.14% to 0.16%. More than 70% of patients with nonorganic sleep disorder who were younger than 9 years used Korean medical institutions.