• Title/Summary/Keyword: bundle

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Estimation of Home Care Nursing Cost to the Patient with Cerebrovascular Disease based on a Bundle of Home Care Nursing Service (뇌혈관질환 환자군의 가정간호 행위묶음 수가연구)

  • Hong, Jin-Ui;Yun, Soon-Nyoung
    • Journal of Home Health Care Nursing
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    • v.7 no.1
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    • pp.26-38
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    • 2000
  • The purpose of this study was to estimate home care nursing cost for the patient with Cerebrovascular Disease based on a bundle of home care nursing services This study was conducted through four steps. The first step was to investigate home care nursing activities that were offered to the patient with Cerebrovascular Disease(CD) by home care nurse. The second step was to investigate the time spent on home care nursing service and to calculate labor and manufacturing cost. The third step was to calculate home care nursing cost per minute. And at the fourth step, home care nursing cost for a patient with Cerebrovascular Disease based on a bundle of home care nursing service was calculated. The results of the study were as follows: 1) The number of direct home care nursing activities for the patient with CD was 108, and the time of each activity was spent from 1 to 10 minutes. 2) Average time per visit was 51 minute, and the firs visit time were spent 1.6 times higher than 2nd visit time. 3) Nursing cost per minute(cost per visit ${\\}\;22,565\;\div\;$ average time per visit 51 minutes) was ${\\}\;442$. The cost per visit was calculated on Basic visiting cost(nurse's labor cost ${\\}\;15,760$ + management cost ${\\}\;6,805$) divided by average time per visit(51 minutes). 4) Home care nursing cost to the patient with CD based on bundle of home care nursing service was consisted of basic home care nursing cost, the cost of a bundle of service practiced on visit. and transportation fee. Basic home nursing cost(the time spent on basic home nursing service 20 minutes ${\times}$ nursing cost per minute ${\\}\;442$) was ${\\}\;8,840$. The cost of the bundle of home care nursing services to the patient with CD was calculated as self care ${\\}\;2.898$, Tracheostomy care ${\\}\;10,166$, immobility care ${\\}\;6,188$, sore care ${\\}\;6,188$. Foley care ${\\}\;6,630$, and Levin tube or Gastrostomy care ${\\}\;7.514$. Transportation fee which was composed of the labor cost for transportation(${\\}\;5,122$) and the car management cost(${\\}\;3.876$) was ${\\}\;8,998$. Home care nursing cost to the patient with CD based on bundle of home care nursing services consisted of basic home care nursing cost, the cost of a bundle of service practiced on visit, and transportation fee. It will contribute to improve quality of home care service, because of giving appreciate incentives to home care nurses. And it will be more efficient than current cost of hospital based home care. But it need to management than calculation of the current fee-for-services of home care.

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GENERATION OF TOPOGRAPHIC PRODUCTS ON MARS

  • Yoon Jong-suk;Shan Jie
    • Proceedings of the KSRS Conference
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    • 2005.10a
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    • pp.683-686
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    • 2005
  • This study addresses a photogrammetric approach to generate Mars topographic products from mapping data of Mars Global Surveyor (MGS). High-resolution stereo images and laser altimetry data collected from the MGS mission are combined and processed to produce Digital Elevation Models (DEM) and orthoimages. First, altimeter data is registered to high resolution images and considerable registration offset (around 325 m) is discovered on high resolution stereo images. Altimetry data, exterior orientation elements of the camera and conjugate points are used for bundle adjustment to solve this mis-registration and detennine the ground coordinates. The mis-registration of altimetry data are effectively eliminated after the bundle adjustment. Using the adjusted exterior orientation the ground coordinates of conjugate points are detennined. A sufficient number of corresponding points collected through image matching and their precise 3-D ground coordinates are used to generate DEM and orthoimages. A posteriori standard deviations of ground points after bundle adjustment indicate the accuracy of OEM generated in this study. This paper addresses the photogrammetric procedure: the registration of altimetry data to stereo pair images, the bundle adjustment and the evaluation, and the generation of OEM and orthoimages.

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Complexity and Algorithms for Optimal Bundle Search Problem with Pairwise Discount

  • Chung, Jibok;Choi, Byungcheon
    • Journal of Distribution Science
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    • v.15 no.7
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    • pp.35-41
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    • 2017
  • Purpose - A product bundling is a marketing approach where multiple products or components are packaged together into one bundle solution. This paper aims to introduce an optimal bundle search problem (hereinafter called "OBSP") which may be embedded with online recommendation system to provide an optimized service considering pairwise discount and delivery cost. Research design, data, and methodology - Online retailers have their own discount policy and it is time consuming for online shoppers to find an optimal bundle. Unlike an online system recommending one item for each search, the OBSP considers multiple items for each search. We propose a mathematical formulation with numerical example for the OBSP and analyzed the complexity of the problem. Results - We provide two results from the complexity analysis. In general case, the OBSP belongs to strongly NP-Hard which means the difficulty of the problem while the special case of OBSP can be solved within polynomial time by transforming the OBSP into the minimum weighted perfect matching problem. Conclusions - In this paper, we propose the OBSP to provide a customized service considering bundling price and delivery cost. The results of research will be embedded with an online recommendation system to help customers for easy and smart online shopping.

Measuring and Characterizing the Apparent Thickness and its Irregularity of Fine Wire Bundle by Using a Laser Scanning Method (Laser Scanning을 이용한 극세선 집속체의 겉보기 굵기 측정과 불균제 특성)

  • Huh, Y.;Kim, J.S.;Baik, Y.N.
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2003.06a
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    • pp.1573-1576
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    • 2003
  • The quality of bundles is closely related with the apparent thickness. Especially the variation of apparent thickness of bundle determines the qualify of the plane structure made or the bundle such as surface evenness, pore size, and the shape of air-gap, etc.,. This study is dealing with the development of a new measuring system of the thickness of bundle or cross-section by determining the size of the shadow of the object covered by a laser slit beam. Also the measured signal is characterized in terms of the correlogram, the irregularity in wavelength. The correlogram for the irregularity of several sample types could be represented by a sinusoidal function with exponentially decaying amplitude. Moreover, influence of the measuring speed on the signal and the characteristic differences according to the different types of bundle are investigated.

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Characteristics of Spikelets and Vascular Bundles in Panicle of Japonica Rice Cultivar, 'Iksan 435'

  • Park, Hong-Kyu;Kang, Si-Yong;Choi, Weon-Young;Kim, Sang-Su;Cho, Soo-Yeon;Choi, Won-Yul
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.44 no.2
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    • pp.117-121
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    • 1999
  • Spikelet and vascular bundle development in rice panicles is considered to be the important elements in determining the genotype's yield capacity and translocation ability of assimilates into grains, respectively. This study was conducted to clarify the varietal differences of the spikelet and vascular bundle formations among three rice cultivars; Iksan 435 (japonica), Dongjinbyeo (japonica) and Namcheonbyeo (Tongl-type). Iksan 435 had more primary rachis branches (PRBs), secondary rachis branches (SRBs) and spikelets per panicle than Dongjinbyeo, but less than Namcheonbyeo. Among three cultivars, Namcheonbyeo showed the highest spikelet number per panicle which were differentiated SRBs mainly on PRBs of lower rachis nodes. And Namchenbyeo showed the highest number of large vascular bundle (LVB) as well as small vascular bundle (SVB) and it displayed the largest diameter of LVB. Between the two japonica cultivars, the numbers of LVBs end SVBs were significantly higher in Iksan 435 than those in Dongjinbyeo. The PRBs to LVBs ratio of Namcheonbyeo was twice as large as those of Dongjinbyeo and Iksan 435. These results indicate that the newly bred cultivar, Iksan 435, has improved yield capacity by increasing the number of especially rachis branches and spikelets formation as well as 1,000 grain weight, compared to other former japonicas.

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Hydrogen sulfide gas sensing mechanism study of ZnO nanostructure and improvement of sensing property by surface modification

  • Kim, Jae-Hyeon;Yong, Gi-Jung
    • Proceedings of the Korean Vacuum Society Conference
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    • 2011.02a
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    • pp.450-450
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    • 2011
  • This study reports the hydrogen sulfide gas sensing properties of ZnO nanorods bundle and the investigation of gas sensing mechanism. Also the improvement of sensing properties was also studied through the application of ZnO heterstructured nanorods. The 1-Dimensional ZnO nano-structure was synthesized by hydrothermal method and ZnO nano-heterostructures were prepared by sonochemical reaction. Scanning electron microscopy (SEM) and X-ray diffraction (XRD) spectra confirmed a well-crystalline ZnO of hexagonal structure. The gas response of ZnO nanorods bundle sensor increased with increasing temperature, which is thought to be due to chemical reaction of nanorods with gas molecules. Through analysis of X-ray photoelectron spectroscopy (XPS), the sensing mechanism of ZnO nanorods bundle sensor was explained by well-known surface reaction between ZnO surface atoms and hydrogen sulfide. However at high sensing temperature, chemical conversion of ZnO nanorods becomes a dominant sensing mechanism in current system. In order to improve the gas sensing properties, simple type of gas sensor was fabricated with ZnO nano-heterostructures, which were prepared by deposition of CuO, Au on the ZnO nanorods bundle. These heteronanostructures show higher gas response and higher current level than ZnO nanorods bundle. The gas sensing mechanism of the heteronanostructure can be explained by the chemical conversion of sensing material through the reaction with target gas.

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Clinical Review in Double-Bundle Anterior Cruciate Ligament Reconstruction (이중 다발 전방십자인대 재건술의 임상적 결과)

  • Lee, Ju-Hong
    • Journal of the Korean Arthroscopy Society
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    • v.13 no.2
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    • pp.111-114
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    • 2009
  • Double-bundle anterior cruciate ligament reconstruction (DBACLR) has been developed to produce better clinical outcomes in traditional single-bundle reconstruction, which showed considerable rate of dissatisfaction in restoration of stability and function of the anterior cruciate ligament deficient knee. There is plenty of evidence that DBACLR has theoretical advantages in anatomical, biomechanical, biological, kinematical, and possibly clinical standpoint compared with traditional one but still a lack of available clinical outcome studies with sufficient follow-up to demonstrate the substantial advantages of DBACLR. The purpose of this article is to review the clinical outcomes of double-bundle technique and to address controversy exists over the usefulness of this technique.

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Forced Convective Boiling of Refrigerant-Oil Mixtures in a Bundle of Enhanced Tubes Having Pores and Connecting Gaps

  • Park, Ji-Hoon;Kim, Nae-Hyun;Kim, Do-Young;Byun, Ho-Won;Choi, Yong-Min;Kim, Soo-Hwan
    • International Journal of Air-Conditioning and Refrigeration
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    • v.17 no.3
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    • pp.81-87
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    • 2009
  • The effect of oil on convective boiling of R-123 in an enhanced tube bundle is experimentally investigated at $26.7^{\circ}C$ saturation temperature. The enhanced tube had pores (0.23 mm diameter) and connecting gaps (0.07 mm width), which had been optimized using pure R-123. The effects of oil concentration (0 to 5%), heat flux (10 to $40\;kW/m^2$), mass velocity (8 to $26\;kg/m2^s$) and vapor quality are investigated. The oil significantly reduces the bundle boiling heat transfer coefficient. With 1% oil, the reduction is approximately 35%. Further addition of oil further reduces the heat transfer coefficient. The data are also compared with the pool boiling counterpart. The reduction in the heat transfer coefficient is smaller in a bundle (convective boiling) than in a pool (single-tube pool boiling), with larger difference at a smaller heat flux. Similar to pure R-123 case, the effects of mass velocity and vapor quality are negligible for the convective boiling of R-123/oil mixture.

Effect of PT/CT contact on the circumferential temperature distribution over a fully voided nuclear channel of IPHWR

  • Sharma, Mukesh;Kumar, Ravi;Majumdar, Prasanna;Mukhopadhyay, Deb
    • Nuclear Engineering and Technology
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    • v.51 no.5
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    • pp.1314-1321
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    • 2019
  • In case of multiple failure scenario, such as LOCA with ECCS failure, the decay heat continues to raise the reactor core temperature, eventually leading to the core voiding. In such scenario the convective heat transfer becomes poor and the majority of the heat transfer from fuel bundle takes place by radiation mode. During this abnormal working condition, if the channel pressure is less than 1 MPa, the PT sags and come in contact with the CT. This results in high rate of heat transfer from contact location to moderator. The present paper aims to capture the temperature profile over a simulated nuclear channel during such scenario at a steady state temperature of $600^{\circ}C$ (Centre pin) at two different configurations of PT i.e. PT concentric with CT and PT contact with CT. The results showed that the bottom nodes of all the components (Fuel bundle, PT and CT) of the simulated channel was greatly influenced by the PT/CT contact. Moreover, higher temperature were observed at top nodes of the PT and outer pins of the fuel bundle. However, no significant variation in temperatures were obtained in fuel bundle and CT in concentric condition.

The Use of Arteriovenous Bundle Interposition Grafts in Microsurgical Reconstruction: A Systematic Review of the Literature

  • Kareh, Aurora M.;Tadisina, Kashyap Komarraju;Chun, Magnus;Kaswan, Sumesh;Xu, Kyle Y.
    • Archives of Plastic Surgery
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    • v.49 no.4
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    • pp.543-548
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    • 2022
  • Microvascular reconstruction frequently requires anastomosis outside of the zone of injury for successful reconstruction. Multiple options exist for pedicle lengthening including vein grafts, arteriovenous loops, and arteriovenous bundle interposition grafts. The authors performed a systematic review of arteriovenous bundle interposition grafts to elucidate indications and outcomes of arteriovenous grafts in microvascular reconstruction. A systematic review of the literature was performed using targeted keywords. Data extraction was performed by two independent authors, and descriptive statistics were used to analyze pooled data. Forty-four patients underwent pedicle lengthening with an arteriovenous graft from the descending branch of the lateral circumflex femoral artery. Most common indications for flap reconstruction were malignancy (n = 12), trauma (n = 7), and diabetic ulceration (n = 4). The most commonly used free flap was the anterolateral thigh flap (n = 18). There were five complications, with one resulting in flap loss. Arteriovenous bundle interposition grafts are a viable option for pedicle lengthening when free flap distant anastomosis is required. The descending branch of the lateral circumflex femoral artery may be used for a variety of defects and can be used in conjunction with fasciocutaneous, osteocutaneous, muscle, and chimeric free flaps.