• 제목/요약/키워드: cost per use

검색결과 353건 처리시간 0.054초

Radiofrequency in arthroscopic shoulder surgery: a systematic review

  • Neeraj Vij;Joseph N. Liu;Nirav Amin
    • Clinics in Shoulder and Elbow
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    • 제26권4호
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    • pp.423-437
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    • 2023
  • Background: Radiofrequency has seen an increase in use in orthopedics including cartilage lesion debridement in the hip and knee as well as many applications in arthroscopic shoulder surgery. The purpose of this systematic review is to evaluate the safety and usage of radiofrequency in the shoulder. Methods: This systematic review was registered with PROSPERO (international registry) and followed the preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) guidelines. Embase and PubMed were searched using: "shoulder," "rotator cuff," "biceps," "acromion" AND "monopolar," "bipolar," "ablation," "coblation," and "radiofrequency ablation." The title and abstract review were performed independently. Any discrepancies were addressed through open discussion. Results: A total of 63 studies were included. Radiofrequency is currently utilized in impingement syndrome, fracture fixation, instability, nerve injury, adhesive capsulitis, postoperative stiffness, and rotator cuff disease. Adverse events, namely superficial burns, are limited to case reports and case series, with higher-level evidence demonstrating safe use when used below the temperature threshold. Bipolar radiofrequency may decrease operative time and decrease the cost per case. Conclusions: Shoulder radiofrequency has a wide scope of application in various shoulder pathologies. Shoulder radiofrequency is safe; however, requires practitioners to be cognizant of the potential for thermal burn injuries. Bipolar radiofrequency may represent a more efficacious and economic treatment modality. Safety precautions have been executed by institutions to cut down patient complications from shoulder radiofrequency. Future research is required to determine what measures can be taken to further minimize the risk of thermal burns.

인삼 하우스 직파재배 시 파종밀도 및 솎음처리가 3 년근 인삼의 생육과 수량에 미치는 영향 (Effects of Sowing Density and Thinning Treatment on Growth Characteristics and Yield of 3-Year-Old Ginseng Cultivated in a Greenhouse)

  • 서수정;장인배;유진;장인복;현동윤;박홍우;권기범
    • 한국약용작물학회지
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    • 제26권1호
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    • pp.64-71
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    • 2018
  • Background: The cultivation of ginseng (Panax ginseng C. A. Meyer) in greenhouses could reduce the use of pesticides and result in higher yield; however, construction costs are problematic. The adaptation of direct-sowing culture in greenhouses could reduce the cost of ginseng production. Methods and Results: To improve seedling establishment in direct-sowing culture, effects of sowing density (SD), number of seeds sown per hole (SN), and thinning (TH) treatment on the root yield were investigated after 3 years of seeding. The emergence rate was significantly influenced by SD, but not by SN or TH. Damping-off and rusty roots increased with an increase in SN with diminishing effects of SN on seedling establishment. Root weight and diameter were affected by SD, SN, and TH, however, there were no statistical significances. The total number of roots harvested per unit area increased with increasing SD and SN, and the weight of roots was affected by SD, but not by SN or TH. Conclusions: Multi-seed sowing per hole and/or thinning might not be an efficient method for the direct-sowing culture of ginseng. The SD for direct seeding culture in greenhouses should be approximately $33-42seeds/m^2$ for an optimum yield of 3-year-old ginseng.

매몰 사축에 의한 침출수내 오염물질 제거 방법 (Method for contaminant removal from leachate induced by buried livestock carcasses)

  • 전해성;박준규;김건하
    • 상하수도학회지
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    • 제37권6호
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    • pp.395-408
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    • 2023
  • This study presents a novel method for addressing the issue of high-concentration contaminants (ammonium, phosphate, antibiotics) in leachate arising from decomposing livestock carcasses. Antibiotics, developed to eliminate microorganisms, often have low biodegradability and can persist in the ecosystem. This research proposes design elements to prevent contamination spread from carcass burial sites. The adsorbents used were low-grade charcoal (an industrial by-product), Alum-based Adsorbent (ABA), and Zeolite, a natural substance. These effectively removed the main leachate contaminants: low-grade charcoal for antibiotics (initial concentration 1.05 mg/L, removal rate 73.4%), ABA for phosphate (initial concentration 2.53 mg/L, removal rate 99.9%), and zeolite for ammonium (initial concentration 38.92 mg/L, removal rate 100.0%). The optimal mix ratio for purifying leachate is 1:1:10 of low-grade charcoal, ABA, and zeolite. The average adsorbent usage per burial site was 1,800 kg, costing KRW 2,000,000 per ton. The cost for the minimum leachate volume (about 12.4 m3) per site is KRW 2,880,000, and for the maximum volume (about 19.7 m3) is KRW 4,620,000. These findings contribute to resolving issues related to livestock carcass burial sites and suggest post-management strategies by advocating for the effective use of adsorbents in leachate purification.

태안 시설원예단지의 온실 냉난방 부하 분석 (Analyses of Heating and Cooling load in Greenhouse of Protected Horticulture Complex in Taean)

  • 서원명;배용한;허해준;곽철순;이석건;이종원;윤용철
    • 한국농공학회논문집
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    • 제51권6호
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    • pp.45-52
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    • 2009
  • This study was conducted in the process that the basic plan of the formation of the thermal energy complex in the Iwon reclaimed land of Taean was being made. Targeting for the large-sized greenhouse to be made in this area, it examined the cooling and heating load and the amount of ventilation, and also analyzed the economic efficiency of heating. The research results are as per the below: The minimum ambient temperature of this area was measured on January 7, 2001, which was $-18.7^{\circ}C$, and the maximum ambient temperature of this area was measured on July 24, 1994, which was $36.7^{\circ}C$. The maximum heating load was 39,011 MJ/h, but the date when the maximum heating load was not consistent with the date when the minimum temperature was measured. The maximum cooling load was 88,562MJ/h, It was approximately 2.3 times of the maximum heating load, which was measured at 14:00 hours on September 4, 2000. The maximum amount of ventilation heat was 138,639MJ/h. Assuming the rate of solar heat use as 10%, 20%, 50%, and 100%, the total sum of cost-benefit would be ₩-193,450,000, ₩-634,930,000, ₩-3,372,960,000, and ₩-9,850,420,000, respectively 20 years later. The break-even point of the geothermal heat pump would be about 4 years for 10% use, about 3 years for 20% or 50% use, and approximately 6 years for 100% use. It was found that 50% use would be most advantageous. In case two systems are combined, the break-even point will be 10 years, 8 years, and 11 years respectively.

An Economic Evaluation under Thailand Feed in Tariff of Residential Roof Top Photovoltaic Grid Connected System with Energy Storage for Voltage Stability Improving

  • Treephak, Kasem;Saelao, Jerawan;Patcharaprakiti, Nopporn
    • International Journal of Advanced Culture Technology
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    • 제3권1호
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    • pp.120-128
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    • 2015
  • In this paper, Residential roof top photovoltaic system with 9.9 kW design is proposed. The system composed of 200 Watts solar array 33 panels connecting in series 10 strings and parallels 3 strings which have maximum voltage and current are 350 V and 23.8 A. The 10 kW sinusoidal grid-connected inverter with window voltage about 270-350 is selected to convert and transfer DC Power to AC Power at PCC (Point of Common Coupling) of power system following to utility standard. However the impact of fluctuation and uncertainty of weather condition of PV may decrease the voltage stability and voltage collapse of power system. In order to solve this problem the energy storage such 120 V 1200 Ah battery bank and 30 kVAR capacitor are designed for voltage stability control. The other expensed for installing the system such battery charger, cable, accessories and maintenance cost are concerned. The economic analysis by using investment from money loan with interest about 7% and use own money which loss income of deposit about 3% are calculated as 671,844 and 547,044 for PV system with energy storage and non energy storage respectively. The solar energy from PV is about 101,616 Bath per year which evaluated by using the value of $5kWh/m^2/day$ from average peak sun hour (PSH) of the Thailand and 6.96 Bath/kWh of Feed in Tariff Incentive. The payback periods of four scenarios are proposed follow as i) PV system with energy storage and use loan money is 15 years ii) PV system with no energy storage and use loan money is 10 years iii) PV system with energy storage and use deposit money is 9 years iv) PV system with energy storage and use deposit money is 7 years. In addition, the other scenarios of economic analysis such no FIT support and other type of economic analysis such NPV and IRR are proposed in this paper.

표준석탄화력 발전소 해수온도 상승에 따른 복수기 압력 손실 최소화 방안 (A Study on Minimizing of Condenser Pressure Loss according to the Temperature Rise of the Seawater for Korean Standard Coal-fired Power Plants)

  • 안효열;문승재
    • 플랜트 저널
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    • 제11권2호
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    • pp.45-51
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    • 2015
  • 손실비용을 고려하여 발전소 효율에 큰 영향을 미치는 복수기의 운전 관리 방안을 연구하였다. 2013년 S발전소의 해수온도는 복수기 압력과 뚜렷한 상관관계를 보였으며, 해수온도가 변화함에 따라 복수기 압력은 설계 압력 38.1 mmHg 보다 -1.7~+20 mmHg의 차이로 운전되었다. 제작사에서 제시한 열소비율 보정곡선을 통해 복수기 압력 1 mmHg 증가시 1,2호기 0.0201%, 3,4호기 0.0155%의 효율 손실과 1,2호기 12,830 원/h, 3,4호기 9,832 원/h의 시간당 손실비용이 발생함을 알 수 있었다. 또한 계절별 대응운전, 설비 노후화, 예방정비 시점에 따른 손실비용의 차이를 확인하고 월별 관리범위를 설정하였다. 이를 통해 운전 관리범위 준수, 손실비용을 고려한 정비 계획 수립으로 최소 2.5억원/년(1호기, 40일 정비)의 관리적 손실을 줄일 수 있을 것으로 판단된다.

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THE USE OF MULTINUTRIENT BLOCK SUPPLEMENTED TO UREA TREATED RICE STRAW BASE DIET FOR DAIRY HEIFERS

  • Cheva-Isarakul, B.;Promma, S.
    • Asian-Australasian Journal of Animal Sciences
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    • 제8권2호
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    • pp.113-118
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    • 1995
  • Eighteen Holstein Friesian ${\times}$ Native heifers with an average live weight of $175.4{\pm}27.8kg$ were allotted to 3 dietary groups. All animals were kept individually in a stanchion barn with free access to water and urea-treated rice straw (UTS). The supplemented feeds were as follows: Group (Gr) 1 - concentrate mixture (15% CP) at 1% body weight (BW), Gr 2 - concentrate mixture at 0.7% BW + free licking of multinutrient block (MNB), Gr 3 - as Gr 2 + 0.3% BW ground com. Multinutrient block composed of 20% mineral mixture, 10% urea, 18% molasses, 20% soybean meal, 22% sesame meal, 10% cement, 0.15 million IU and 50 IU/kg MNB of vitamin A and E. The experimental period lasted 12 weeks. The result revealed that MNB enhanced intake of UTS and total dry matter intake. Animals in Gr 3 consumed a higher amount of feed than the other 2 groups, thus resulting in the highest live weight gain and tended to possess the best feed conversion ratio. Heifers in Gr 2 also performed better than Gr 1 although the difference was not significant. Average MNB intake found to be 0.65 kg/day. Feed cost per kg gain was not significantly different amon groups. However if the cost of MNB could be lower, it would benefit the production cost of animals. The advantage of MNB is the safety of using a high level of urea. Although it was supplemented to UTS which also contained non-protein nitrogen (NPN), no toxic sign was shown. The results indicated that MNB could be partially substituted to concentrate mixture and it was even better when used incombination with soluble carbohydrate feed.

소셜 미디어 감성평가를 활용한 항공사 고객만족도 분석 - 대형항공사와 저비용항공사 비교연구 (Airline Customer Satisfaction Analysis using Social Media Sentiment Evaluation: Full Service Carriers vs. Low Cost Carriers)

  • 이주양;장필식
    • 디지털융복합연구
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    • 제15권6호
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    • pp.189-196
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    • 2017
  • 본 연구의 목적은 소셜 미디어 데이터에 대한 감성평가를 활용하여 대형항공사와 저비용항공사 이용 고객의 만족도를 정량적으로 분석하는 것이다. 이를 위해 2008년에서 2016년까지 대형항공사와 저비용항공사가 언급된 총 77,591개의 트윗을 취합하고 항공사 선택 속성별로 분류하였으며, 고객만족도 분석을 위해 3명의 평가자가 감성 평가를 시행하도록 하였다. 분석결과, 최근 7년 간 고객 만족도는 저비용항공사가 대형항공사보다 통계적으로 유의하게(p<0.001) 높은 것으로 나타났으며, 대형, 저비용항공사 모두 고객만족도가 지속적으로 하락하고 있는 것으로 파악되었다. 또한, 항공사 선택 속성 중 예약과 항공기 운항과 관련된 고객만족도가 낮은 것으로 나타났으며, 대형항공사의 경우, 예약과 기내서비스, 마케팅 측면에서 만족도 저하가 최근 심화되고 있는 것으로 판단된다. 본 연구의 결과는 대형항공사와 저비용항공사의 전반적인 고객만족도 향상을 위한 정량적 데이터로 활용 가능할 것으로 기대된다.

환자표본자료를 이용한 간경변증 환자의 의료이용 특성 및 의료비용 분석 (Analysis of Medical Use and Costs Related to the Management of Liver Cirrhosis Using National Patients Sample Data)

  • 김혜린;박재아;신지영;박승후;이의경
    • 한국임상약학회지
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    • 제26권4호
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    • pp.341-347
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    • 2016
  • Background: Liver cirrhosis causes substantial socio-economic burden and is one of the major severe liver diseases in Korea. Nonetheless, there is only a few studies that analyzes disease burden of liver cirrhosis in Korea. Such study must be carried out due to its increasing need from the invention of new drugs for chronic hepatitis and demand for cost-effectiveness analyses. Methods: Patient sample data with ensured representativeness was analyzed retrospectively to compare the medical costs and uses for patients with compensated cirrhosis and decompensated cirrhosis. Patient claims data that include K74 and K703 from the year of 2014 were selected. Within the selected data, decompensated cirrhosis patient was identified if complications such as ascites (R18), encephalopathy (B190), hepatic failure (K72), peritonitis (K65), or esophageal varices (I85) were included, and they were compared to compensated cirrhosis patients. Results: 6,565 patients were included in the analysis. The average cost per patient was 6,471,020 (SD 8,848,899) KRW and 2,173,203 (4,220,942) KRW for decompensated cirrhosis and compensated cirrhosis, respectively. For inpatients, the average hospitalized days was 38.0 (56.4) days and 27.2 (57.2) days for decompensated cirrhosis and compensated cirrhosis, respectively. For outpatients, the average number of visits was 8.7 (9.1) days and 5.3 (7.5) days for compensated cirrhosis and decompensated cirrhosis, respectively. Conclusion: Compared to compensated cirrhosis patients, decompensated cirrhosis patients had higher costs, especially for hospitalization, injection, examination, and drugs administrated within medical institutions.

환자표본자료를 이용한 간이식 환자의 의료이용 특성 및 의료비용 분석 (Analysis of Medical Use and Costs of Liver Transplant Patients Using National Patients Sample Data)

  • 김혜린
    • 한국임상약학회지
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    • 제28권1호
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    • pp.57-64
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    • 2018
  • Background: Patients experience significant differences in aspects of mortality, quality of life, and costs between during the year of receiving liver transplant (LT) and the subsequent years (post-LT). This study aimed to estimate the medical utilization and cost of LT for patients compared to post-LT patients by using a recent National Patient Sample (NPS) data provided by the Korean Health Insurance Review and Assessment Service (HIRA). Methods: This study used a subset of the 2015 HIRA-NPS. Patient claims data that included Z944 (Korean Standard Classification of Diseases code for LT status) were selected. Within the selected data, LT patients were identified based on whether the national health insurance number code of Q80 (procedure code for LT surgery) was included, and they were compared to post-LT patients. Results: In the analysis, 330 patients were included. The average cost per patient was $90,066{\pm}36,959$ thousand KRW and $10,557{\pm}9,668$ thousand KRW for LT and post-LT patients, respectively. Especially, LT patients' costs for injection/procedure, surgery/treatment, and examination were higher than other costs, being $35,983{\pm}18,115$ thousand KRW, $28,246{\pm}9,408$ thousand KRW, and $12,131{\pm}6,604$ thousand KRW, respectively. For inpatients, the average number of hospitalized days was $63.5{\pm}66.0$ days for LT patients and $22.3{\pm}35.1$ days for post-LT patients. Conclusion: Compared to post-LT patients, LT patients had higher costs, especially for injection/procedure, surgery/treatment, and examination. Additionally, the LT group had longer hospitalization duration and higher costs for their hospital admission, whereas they did not show a significant difference in number of visits and medical costs for outpatient-care.